code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries ,,Bilateral Procedure,,,,,0 ,,Catastrophe/disaster related,,,,,0 ,,Modifier description not available,,,,,0 ,,"Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital",,,,,0 ,,"Technical Component; represents the costs of equipment, supplies, and technician personnel for a procedure, excluding the physician's interpretation. It is used when only the technical portion of a te",,,,,0 APC,1289,AbobotulinumtoxinA,,,,,0 APC,1482,"Darbepoetin alfa, esrd use",,,,,0 APC,1489,Inj vedolizumab iv 1 mg,,,,,0 APC,1508,New Technology - Level 8 ($601 - $700),,,,,0 APC,1511,New Technology - Level 11 ($901 - $1000),,,,,0 APC,1521,New Technology - Level 21 ($1901-$2000),,,,,0 APC,1522,New Technology - Level 22 ($2001-$2500),,,,,0 APC,1532,New Technology - Level 32 ($7001-$7500),,,,,0 APC,2040,"Endo, single, urinary tract",,,,,0 APC,2646,"Brachytx, non-str, HDR Ir-192",,,,,0 APC,5012,Clinic Visits and Related Services,,,,,0 APC,5021,Level 1 Type A ED Visits,,,,,0 APC,5022,Level 2 Type A ED Visits,,,,,0 APC,5023,Level 3 Type A ED Visits,,,,,0 APC,5024,Level 4 Type A ED Visits,,,,,0 APC,5025,Level 5 Type A ED Visits,,,,,0 APC,5041,Critical Care,,,,,0 APC,5045,Trauma Response with Critical Care,,,,,0 APC,5051,Level 1 Skin Procedures,,,,,0 APC,5052,Level 2 Skin Procedures,,,,,0 APC,5053,Level 3 Skin Procedures,,,,,0 APC,5054,Level 4 Skin Procedures,,,,,0 APC,5055,Level 5 Skin Procedures,,,,,0 APC,5061,Hyperbaric Oxygen,,,,,0 APC,5071,Level 1 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5072,Level 2 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5073,Level 3 Excision/ Biopsy/ Incision and Drainage,,,,,0 APC,5091,Level 1 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5092,Level 2 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5093,Level 3 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5094,Level 4 Breast/Lymphatic Surgery and Related Procedures,,,,,0 APC,5101,Level 1 Strapping and Cast Application,,,,,0 APC,5102,Level 2 Strapping and Cast Application,,,,,0 APC,5111,Level 1 Musculoskeletal Procedures,,,,,0 APC,5112,Level 2 Musculoskeletal Procedures,,,,,0 APC,5113,Level 3 Musculoskeletal Procedures,,,,,0 APC,5114,Level 4 Musculoskeletal Procedures,,,,,0 APC,5115,Level 5 Musculoskeletal Procedures,,,,,0 APC,5116,Level 6 Musculoskeletal Procedures,,,,,0 APC,5151,Level 1 Airway Endoscopy,,,,,0 APC,5152,Level 2 Airway Endoscopy,,,,,0 APC,5153,Level 3 Airway Endoscopy,,,,,0 APC,5154,Level 4 Airway Endoscopy,,,,,0 APC,5155,Level 5 Airway Endoscopy,,,,,0 APC,5161,Level 1 ENT Procedures,,,,,0 APC,5162,Level 2 ENT Procedures,,,,,0 APC,5163,Level 3 ENT Procedures,,,,,0 APC,5164,Level 4 ENT Procedures,,,,,0 APC,5165,Level 5 ENT Procedures,,,,,0 APC,5166,Cochlear Implant Procedure,,,,,0 APC,5181,Level 1 Vascular Procedures,,,,,0 APC,5182,Level 2 Vascular Procedures,,,,,0 APC,5183,Level 3 Vascular Procedures,,,,,0 APC,5184,Level 4 Vascular Procedures,,,,,0 APC,5191,Level 1 Endovascular Procedures,,,,,0 APC,5192,Level 2 Endovascular Procedures,,,,,0 APC,5193,Level 3 Endovascular Procedures,,,,,0 APC,5194,Level 4 Endovascular Procedures,,,,,0 APC,5212,Level 2 Electrophysiologic Procedures,,,,,0 APC,5213,Level 3 Electrophysiologic Procedures,,,,,0 APC,5221,Level 1 Pacemaker and Similar Procedures,,,,,0 APC,5222,Level 2 Pacemaker and Similar Procedures,,,,,0 APC,5223,Level 3 Pacemaker and Similar Procedures,,,,,0 APC,5224,Level 4 Pacemaker and Similar Procedures,,,,,0 APC,5232,Level 2 ICD and Similar Procedures,,,,,0 APC,5241,Level 1 Blood Product Exchange and Related Services,,,,,0 APC,5242,Level 2 Blood Product Exchange and Related Services,,,,,0 APC,5243,Level 3 Blood Product Exchange and Related Services,,,,,0 APC,5301,Level 1 Upper GI Procedures,,,,,0 APC,5302,Level 2 Upper GI Procedures,,,,,0 APC,5303,Level 3 Upper GI Procedures,,,,,0 APC,5311,Level 1 Lower GI Procedures,,,,,0 APC,5312,Level 2 Lower GI Procedures,,,,,0 APC,5313,Level 3 Lower GI Procedures,,,,,0 APC,5331,Complex GI Procedures,,,,,0 APC,5341,Level 1 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0 APC,5342,Level 2 Abdominal/Peritoneal/Biliary and Related Procedures,,,,,0 APC,5361,Level 1 Laparoscopy and Related Services,,,,,0 APC,5362,Level 2 Laparoscopy and Related Services,,,,,0 APC,5371,Level 1 Urology and Related Services,,,,,0 APC,5372,Level 2 Urology and Related Services,,,,,0 APC,5373,Level 3 Urology and Related Services,,,,,0 APC,5374,Level 4 Urology and Related Services,,,,,0 APC,5375,Level 5 Urology and Related Services,,,,,0 APC,5376,Level 6 Urology and Related Services,,,,,0 APC,5377,Level 7 Urology and Related Services,,,,,0 APC,5378,Level 8 Urology and Related Services,,,,,0 APC,5401,Dialysis,,,,,0 APC,5411,Level 1 Gynecologic Procedures,,,,,0 APC,5412,Level 2 Gynecologic Procedures,,,,,0 APC,5413,Level 3 Gynecologic Procedures,,,,,0 APC,5414,Level 4 Gynecologic Procedures,,,,,0 APC,5415,Level 5 Gynecologic Procedures,,,,,0 APC,5416,Level 6 Gynecologic Procedures,,,,,0 APC,5431,Level 1 Nerve Procedures,,,,,0 APC,5432,Level 2 Nerve Procedures,,,,,0 APC,5441,Level 1 Nerve Injections,,,,,0 APC,5442,Level 2 Nerve Injections,,,,,0 APC,5443,Level 3 Nerve Injections,,,,,0 APC,5461,Level 1 Neurostimulator and Related Procedures,,,,,0 APC,5462,Level 2 Neurostimulator and Related Procedures,,,,,0 APC,5463,Level 3 Neurostimulator and Related Procedures,,,,,0 APC,5464,Level 4 Neurostimulator and Related Procedures,,,,,0 APC,5465,Level 5 Neurostimulator and Related Procedures,,,,,0 APC,5471,Implantation of Drug Infusion Device,,,,,0 APC,5481,Laser Eye Procedures,,,,,0 APC,5491,Level 1 Intraocular Procedures,,,,,0 APC,5492,Level 2 Intraocular Procedures,,,,,0 APC,5493,Level 3 Intraocular Procedures,,,,,0 APC,5501,"Level 1 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5502,"Level 2 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5503,"Level 3 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5504,"Level 4 Extraocular, Repair, and Plastic Eye Procedures",,,,,0 APC,5521,Level 1 Imaging without Contrast,,,,,0 APC,5522,Level 2 Imaging without Contrast,,,,,0 APC,5523,Level 3 Imaging without Contrast,,,,,0 APC,5524,Level 4 Imaging without Contrast,,,,,0 APC,5571,Level 1 Imaging with Contrast,,,,,0 APC,5572,Level 2 Imaging with Contrast,,,,,0 APC,5573,Level 3 Imaging with Contrast,,,,,0 APC,5591,Level 1 Nuclear Medicine and Related Services,,,,,0 APC,5592,Level 2 Nuclear Medicine and Related Services,,,,,0 APC,5593,Level 3 Nuclear Medicine and Related Services,,,,,0 APC,5594,Level 4 Nuclear Medicine and Related Services,,,,,0 APC,5611,Level 1 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5612,Level 2 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5613,Level 3 Therapeutic Radiation Treatment Preparation,,,,,0 APC,5622,Level 2 Radiation Therapy,,,,,0 APC,5623,Level 3 Radiation Therapy,,,,,0 APC,5624,Level 4 Radiation Therapy,,,,,0 APC,5626,Level 6 Radiation Therapy,,,,,0 APC,5627,Level 7 Radiation Therapy,,,,,0 APC,5661,Therapeutic Nuclear Medicine,,,,,0 APC,5671,Level 1 Pathology,,,,,0 APC,5672,Level 2 Pathology,,,,,0 APC,5673,Level 3 Pathology,,,,,0 APC,5674,Level 4 Pathology,,,,,0 APC,5691,Level 1 Drug Administration,,,,,0 APC,5692,Level 2 Drug Administration,,,,,0 APC,5693,Level 3 Drug Administration,,,,,0 APC,5694,Level 4 Drug Administration,,,,,0 APC,5721,Level 1 Diagnostic Tests and Related Services,,,,,0 APC,5722,Level 2 Diagnostic Tests and Related Services,,,,,0 APC,5723,Level 3 Diagnostic Tests and Related Services,,,,,0 APC,5724,Level 4 Diagnostic Tests and Related Services,,,,,0 APC,5731,Level 1 Minor Procedures,,,,,0 APC,5732,Level 2 Minor Procedures,,,,,0 APC,5733,Level 3 Minor Procedures,,,,,0 APC,5734,Level 4 Minor Procedures,,,,,0 APC,5735,Level 5 Minor Procedures,,,,,0 APC,5741,Level 1 Electronic Analysis of Devices,,,,,0 APC,5742,Level 2 Electronic Analysis of Devices,,,,,0 APC,5743,Level 3 Electronic Analysis of Devices,,,,,0 APC,5771,Cardiac Rehabilitation,,,,,0 APC,5781,Resuscitation and Cardioversion,,,,,0 APC,5791,Pulmonary Treatment,,,,,0 APC,5801,Ventilation Initiation and Management,,,,,0 APC,5811,Manipulation Therapy,,,,,0 APC,5821,Level 1 Health and Behavior Services,,,,,0 APC,5822,Level 2 Health and Behavior Services,,,,,0 APC,5823,Level 3 Health and Behavior Services,,,,,0 APC,7048,Alteplase recombinant,,,,,0 APC,763,"Inj, bupivacaine liposome",,,,,0 APC,764,Ketorolac tromethamine inj,,,,,0 APC,784,"Inj, tyenne, 1 mg",,,,,0 APC,790,"Inj, methylpred acetate 1 mg",,,,,0 APC,792,"Inj, glycopyrrolate, 0.1 mg",,,,,0 APC,801,"Inj, methylpred sod succ 5mg",,,,,0 APC,814,"Inj, magtrace per study dose",,,,,0 APC,875,Euflexxa inj per dose,,,,,0 APC,9011,Mmrv vaccine sc,,,,,0 APC,902,"Injection,onabotulinumtoxinA",,,,,0 APC,9025,"Inj glucagon hcl, fresenius",,,,,0 APC,9042,Glucagon hydrochloride,,,,,0 APC,9096,Inj retacrit esrd on dialysi,,,,,0 APC,9097,Inj retacrit non-esrd use,,,,,0 APC,9139,"Rabies vaccine, im",,,,,0 APC,9208,Agalsidase beta injection,,,,,0 APC,9290,"Inj, bupivacaine, nos, 0.5mg",,,,,0 APC,9398,Covid-19 Vaccine Administration,,,,,0 APC,9440,"Instill, bupivac and meloxic",,,,,0 APC,9472,Inj talimogene laherparepvec,,,,,0 APC,9489,"Inj, nusinersen, 0.1mg",,,,,0 APC,9501,Platelet pheres leukoreduced,,,,,0 APC,9512,RBC leukocytes reduced,,,,,0 APC,9518,Washed red blood cells unit,,,,,0 APC,9522,RBC leukoreduced irradiated,,,,,0 APC,9525,"Platelets, hla-m, l/r, unit",,,,,0 APC,9536,Platelets pheresis path redu,,,,,0 APC,963,"Albumin (human), 5%, 250 ml",,,,,0 APC,965,"Albumin (human), 25%, 50ml",,,,,0 APC,N800,Clinical Diagnostic Lab Services,,,,,0 APC,N801,Therapy Services,,,,,0 APC,N804,Mammography Services,,,,,0 APC,N805,Durable Medical Equipment,,,,,0 APC,N809,Other Medicine,,,,,0 APC,N811,"Observation, Other",,,,,0 APC,N900,Non-covered Services,,,,,0 APC,N902,Packaged Services,,,,,0 APC,N905,Not Recognized by OPPS,,,,,0 APC,N907,Not Billable to FI,,,,,0 CDM,11404,PR EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM,879.55,879.55,,,0 CDM,1210000001,HC ADULT INPT ONLY ROOM,1.0,1.0,,,0 CDM,1210000002,HC BMT TRANSPLANT ROOM,5178.84,5178.84,,,0 CDM,1210000004,HC MED/SURG ROOM,2495.0,2495.0,,,0 CDM,1210000007,HC ADULT M/S BURN ROOM,4135.0,4135.0,,,0 CDM,1220000001,HC OBSTETRIC ROOM,2078.0,2078.0,,,0 CDM,1230000002,HC PEDS INTERMEDIATE ROOM,4924.0,4924.0,,,0 CDM,1230000003,HC PEDS ROOM,4924.0,4924.0,,,0 CDM,1280000001,HC REHABILITATION ROOM,2193.0,2193.0,,,0 CDM,1610000007,HC HOSPITAL AT HOME ROOM,2495.0,2495.0,,,0 CDM,1700000001,HC NEWBORN LEVEL I,1851.0,1851.0,,,0 CDM,1720000001,HC NEWBORN LEVEL II,4161.0,4161.0,,,0 CDM,2.72E+08,HC SU-TRANSDUCER W/SAFESET,97.65,97.65,,,0 CDM,2.72E+09,HC TRANSDUCER SAFESET W/1PORT,97.65,97.65,,,0 CDM,2.72E+10,HC SU-TRANSGASTRIC JEJUN FEED TUB,1005.19,1005.19,,,0 CDM,2.72E+11,HC SU-TRAY CONTINUOUS EPIDURAL ANESTHESIA,131.08,131.08,,,0 CDM,2.72E+12,HC SU-TRAY CONTINUOUS EPIDURAL ANESTHESIA,131.08,131.08,,,0 CDM,2.72E+13,HC SU-TRAY EPIDURAL ARROW,159.39,159.39,,,0 CDM,2.72E+14,HC TRAY EPIDURAL ARROW,159.39,159.39,,,0 CDM,2.72E+15,HC SU-TRAY SONOPLEX 21G X 4,164.17,164.17,,,0 CDM,2.72E+16,HC SU-TRAY SONOPLEX 21G X 4,164.17,164.17,,,0 CDM,2010000001,HC ICU ROOM,5841.0,5841.0,,,0 CDM,2030000001,HC PEDS ICU ROOM,10829.0,10829.0,,,0 CDM,2060000001,HC GR INTERMEDIATE ROOM,2672.0,2672.0,,,0 CDM,2070000001,HC ADULT ICU BURN ROOM,8948.0,8948.0,,,0 CDM,2080000002,HC TRAUMA ICU ROOM,8307.0,8307.0,,,0 CDM,2301006001,HC INCISION & DRAIN SKIN ABSCESS SIMPLE,281.0,281.0,,,0 CDM,2301006101,HC INCISION & DRAIN SKIN ABSCESS; COMPLICATED OR MULT,399.0,399.0,,,0 CDM,2301008001,HC INCISION & DRAIN PILONIDAL CYST SIMPLE,917.0,917.0,,,0 CDM,2301008101,HC INCISION & DRAIN PILONIDAL CYST COMPLIC,1229.0,1229.0,,,0 CDM,2301012001,HC INCISION & REMOVE FOREIGN BODY SIMPLE,438.0,438.0,,,0 CDM,2301012101,HC INCISION & REMOVE FOREIGN BODY COMPLIC,2379.0,2379.0,,,0 CDM,2301014001,HC INCISION & DRAINAGE OF HEMATOMA/FLUID,1738.0,1738.0,,,0 CDM,2301016001,HC BS PUNCTURE DRAINAGE OF LESION,382.0,382.0,,,0 CDM,2301018001,HC INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,5397.0,5397.0,,,0 CDM,2301104201,HC DEBRIDE SUBQ 20 SQ CM OR LESS,467.0,467.0,,,0 CDM,2301104301,HC DEBRIDE MUSC/FASCIA 20 SQ CM OR LESS,648.0,648.0,,,0 CDM,2301104401,HC DEBRIDE BONE 20 SQ CM OR LESS,2781.0,2781.0,,,0 CDM,2301104501,HC DEBRIDE SUBQ TISSUE ADDTL 20 SQ CM,431.0,431.0,,,0 CDM,2301104601,HC DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,519.0,519.0,,,0 CDM,2301104701,HC DEBRIDE BONE ADDTL 20 SQ CM,1309.0,1309.0,,,0 CDM,2301110201,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,489.0,489.0,,,0 CDM,2301110301,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,323.0,323.0,,,0 CDM,2301110401,HC PUNCH BIOPSY SKIN SINGLE LESION,510.0,510.0,,,0 CDM,2301110501,HC PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,247.0,247.0,,,0 CDM,2301110601,HC INCISIONAL BIOPSY SKIN SINGLE LESION,777.0,777.0,,,0 CDM,2301110701,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,577.0,577.0,,,0 CDM,2301120001,HC REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15,208.0,208.0,,,0 CDM,2301174001,HC DRAIN BLOOD FROM UNDER NAIL,132.0,132.0,,,0 CDM,2301176001,HC REPAIR OF NAIL BED,613.0,613.0,,,0 CDM,2301200101,HC RESUPERF WND BODY <2.5CM,217.0,217.0,,,0 CDM,2301200201,HC RESUP NPTERF WND BODY 2.6-7.5,249.0,249.0,,,0 CDM,2301200401,HC RESUPERF WND BODY 7.6-12.5,287.0,287.0,,,0 CDM,2301200501,HC RESUPERF WND BODY 12.6-20,407.0,407.0,,,0 CDM,2301200601,HC RESUPERF WND BODY 20.1-30,422.0,422.0,,,0 CDM,2301200701,HC RESUPERF WND BODY >30CM,435.0,435.0,,,0 CDM,2301201101,HC RESUPERF WND FACE <2.5CM,243.0,243.0,,,0 CDM,2301201301,HC RESUPERF WND FACE 2.6-5,280.0,280.0,,,0 CDM,2301201401,HC RESUPERF WND FACE 5.1-7.5,321.0,321.0,,,0 CDM,2301201501,HC RESUPERF WND FACE 7.6-12.5,369.0,369.0,,,0 CDM,2301201601,HC RESUPERF WND FACE 12.6-20,424.0,424.0,,,0 CDM,2301201701,HC RESUPERF WND FACE 20.1-30,393.0,393.0,,,0 CDM,2301201801,HC RESUPERF WND FACE >30CM,445.0,445.0,,,0 CDM,2301202001,HC CLOSURE OF SIMPLE WOUND SUPERFICIAL,623.0,623.0,,,0 CDM,2301203101,HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,427.0,427.0,,,0 CDM,2301203201,HC REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM,478.0,478.0,,,0 CDM,2301203401,HC REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,550.0,550.0,,,0 CDM,2301203501,HC REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,629.0,629.0,,,0 CDM,2301203601,HC REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,1036.0,1036.0,,,0 CDM,2301203701,HC REPAIR INTERMEDIATE S/A/T/E > 30.0 CM,2108.0,2108.0,,,0 CDM,2301204101,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,510.0,510.0,,,0 CDM,2301204201,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,589.0,589.0,,,0 CDM,2301204401,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,644.0,644.0,,,0 CDM,2301204501,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM,741.0,741.0,,,0 CDM,2301204601,HC RINTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM,767.0,767.0,,,0 CDM,2301204701,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM,1922.0,1922.0,,,0 CDM,2301205101,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,427.0,427.0,,,0 CDM,2301205201,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,491.0,491.0,,,0 CDM,2301205301,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,564.0,564.0,,,0 CDM,2301205401,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,650.0,650.0,,,0 CDM,2301205501,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 12.6-20.0CM,747.0,747.0,,,0 CDM,2301205601,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 20.1-30.0CM,851.0,851.0,,,0 CDM,2301205701,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC > 30.0 CM,976.0,976.0,,,0 CDM,2301310001,HC RECMPL WND TRUNK 1.1-2.5CM,960.0,960.0,,,0 CDM,2301310101,HC RECMPL WND TRUNK 2.6-7.5CM,629.0,629.0,,,0 CDM,2301310201,"HC REP,SKIN,TRUNK,CMPLX,+5CM/<",186.0,186.0,,,0 CDM,2301312001,"HC RECMPL WND SCALP,EXTR 1.1-2.5",586.0,586.0,,,0 CDM,2301312101,"HC RECMPL WND SCALP,EXTR 2.6-7.5",1191.0,1191.0,,,0 CDM,2301312201,"HC REP,SKIN,SCALP/EXTREM+5CM/<",287.0,287.0,,,0 CDM,2301313101,"HC RECMPL WND HEAD,FAC,HAND 1.1-2.5",624.0,624.0,,,0 CDM,2301313201,"HC RECMPL WND HEAD,FAC,HAND 2.6-7.5",1036.0,1036.0,,,0 CDM,2301313301,"HC REP,FACE,GENITAL,HAND,FT+5CM/<",287.0,287.0,,,0 CDM,2301315101,"HC RECMPL WND LID,NOS,EAR 1.1-2.5",901.0,901.0,,,0 CDM,2301315201,"HC RECMPL WND LID,NOS,EAR 2.5-7.5",1042.0,1042.0,,,0 CDM,2301315301,"HC REP,EYELID,NOSE,EAR,LIP+5CM",287.0,287.0,,,0 CDM,2301600001,HC INITIAL RX BURN(S) 1ST DEGREE,286.0,286.0,,,0 CDM,2301602001,HC DRESS/DEBRID SMALL BURN NO ANES,266.0,266.0,,,0 CDM,2301602501,HC DRESS/DEBRID MED BURN NO ANESTH,304.0,304.0,,,0 CDM,2301603001,HC DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,510.0,510.0,,,0 CDM,2301603501,HC ESCHAROTOMY,441.0,441.0,,,0 CDM,2301603601,"HC INCISION OF BURN SCAB, EACH ADDNTL",205.0,205.0,,,0 CDM,2302052001,HC REMOVAL OF FOREIGN BODY,1648.0,1648.0,,,0 CDM,2302052501,HC REMOVAL OF FOREIGN BODY DEEP/COMPLIC,4608.0,4608.0,,,0 CDM,2302060001,HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,387.0,387.0,,,0 CDM,2302060401,HC ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,585.0,585.0,,,0 CDM,2302060501,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,445.0,445.0,,,0 CDM,2302060601,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,940.0,940.0,,,0 CDM,2302061001,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,511.0,511.0,,,0 CDM,2302061101,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US,1080.0,1080.0,,,0 CDM,2302066001,HC APPLY/REMOVE CRANIAL FIX DEV,4780.0,4780.0,,,0 CDM,2302131001,"HC CLOSED RX NOSE FRACTURE, W/O MANIPULATION",64.79,64.79,,,0 CDM,2302131501,HC BS CLOSED TX OF NASAL BONE FX W/ MANIPULATION W/O STABILIZATION,1585.0,1585.0,,,0 CDM,2302132001,HC BS CLOSED TX OF NASAL BONE FX W/ MANIPULATION W/ STABILIZATION,4902.0,4902.0,,,0 CDM,2302133701,HC CLOSED RX NASAL SEPTAL FRACTURE,3205.0,3205.0,,,0 CDM,2302134501,HC CLOSED RX NOSE/JAW FRAC+WIRES,1601.0,1601.0,,,0 CDM,2302142101,HC CLOSED RX LEFORTE I+WIRES,4835.0,4835.0,,,0 CDM,2302143101,HC CLOSED RX LEFORTE III+WIRES,5653.0,5653.0,,,0 CDM,2302144001,HC CLOSED RX DENTAL RIDGE FX,3205.0,3205.0,,,0 CDM,2302145001,HC CLOSED RX MANDIBLE FX,1201.0,1201.0,,,0 CDM,2302145101,HC CLOSED RX MANDIBLE FX+MANIPULATN,1647.0,1647.0,,,0 CDM,2302145301,HC CLOSED RX MANDIBLE FX+DENTAL FIX,5947.0,5947.0,,,0 CDM,2302182001,HC CLOSED RX STERNUM FRACTURE,348.0,348.0,,,0 CDM,2302231001,HC CLOSED TREAT VERT BODY FRACT,700.0,700.0,,,0 CDM,2302333001,HC REMOVE SUBCUT SHOULDER FOREIGN BODY,1822.0,1822.0,,,0 CDM,2302333301,HC REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM,2877.0,2877.0,,,0 CDM,2302350001,HC CLOSED RX CLAVICLE FRACTURE,426.0,426.0,,,0 CDM,2302357001,HC CLOSED RX SCAPULA FX,424.0,424.0,,,0 CDM,2302357501,"HC CLOSED RX SCAPULA FX,MANIPULATN",1469.0,1469.0,,,0 CDM,2302360001,HC CLOSED RX PROX HUMERUS FRACTURE,424.0,424.0,,,0 CDM,2302360501,"HC CLOSED RX PROX HUMERUS FX,MANIP",1632.0,1632.0,,,0 CDM,2302362001,HC CLOSED RX GR TUBEROSITY HUM FX,439.0,439.0,,,0 CDM,2302362501,"HC CLOSED RX GR TUBER HUM FX,MANIP",1632.0,1632.0,,,0 CDM,2302365001,HC BS CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,291.0,291.0,,,0 CDM,2302420001,"HC REMOVAL ARM/ELBOW F.B.,SUPERFICIAL",1648.0,1648.0,,,0 CDM,2302420101,"HC REMOVAL ARM/ELBOW F.B.,DEEP",6521.0,6521.0,,,0 CDM,2302450001,HC CLOSED RX MID HUMERUS FRACTURE,381.0,381.0,,,0 CDM,2302450501,"HC CLOSED RX MID HUMERUS FX,MANIPULATN",1469.0,1469.0,,,0 CDM,2302453001,HC CLOSED RX HUMERAL SUPRACONDYLAR FX,381.0,381.0,,,0 CDM,2302453501,"HC CLOSED RX HUM SUPRACONDYLR FX,MANIPU",1469.0,1469.0,,,0 CDM,2302456001,HC CLOSED RX HUMER EPICONDYLR FX,424.0,424.0,,,0 CDM,2302456501,"HC CLOSED RX HUMER EPICONDYLR FX,MANIP",1469.0,1469.0,,,0 CDM,2302457601,HC CLOSED RX HUMER CONDYLR FX,537.0,537.0,,,0 CDM,2302457701,"HC CLOSED RX HUMER CONDYLR FX,MANIP",1632.0,1632.0,,,0 CDM,2302462001,HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW,1469.0,1469.0,,,0 CDM,2302465001,HC CLOSED RX RADIAL HEAD/NECK FX,424.0,424.0,,,0 CDM,2302465501,"HC CLOSED RX RADIAL HEAD/NECK FX,MANIP",1469.0,1469.0,,,0 CDM,2302467001,HC CLOSED TX ULNAR FRACTURE PROX END W/O MANIPULATE,446.0,446.0,,,0 CDM,2302467501,HC CLOSED TX ULNAR FRACTURE PROX END W MANIPULATION,1469.0,1469.0,,,0 CDM,2302524801,HC REMOVE FOREARM/WRIST FOREIGN BODY,1632.0,1632.0,,,0 CDM,2302550001,HC CLOSED RX RADIAL SHAFT FX,390.0,390.0,,,0 CDM,2302550501,"HC CLOSED RX RADIAL SHAFT FX,MANIPULATN",1469.0,1469.0,,,0 CDM,2302552001,HC CLOSED RX RADIAL SHAFT FX W/DISLOCATION,6223.0,6223.0,,,0 CDM,2302553001,HC CLOSED RX ULNA SHAFT FX,437.0,437.0,,,0 CDM,2302553501,"HC CLOSED RX ULNA SHAFT FX,MANIPULATN",503.0,503.0,,,0 CDM,2302556001,HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN,376.0,376.0,,,0 CDM,2302556501,"HC CLOSED RX RAD/ULNA SHAFT FX,MANIP",1469.0,1469.0,,,0 CDM,2302560001,HC CLOSED RX DIST RAD/ULNA FX,381.0,381.0,,,0 CDM,2302560501,"HC CLOSED RX DIST RAD/ULNA FX,MANIPUL",1632.0,1632.0,,,0 CDM,2302562201,HC CLOSED RX NAVICULAR FX,510.0,510.0,,,0 CDM,2302562401,"HC CLOSED RX NAVICULAR FX,MANIPULATN",1438.0,1438.0,,,0 CDM,2302563001,HC CLTX CARPL B1 FX W/O MNPJ EA B1,439.0,439.0,,,0 CDM,2302563501,HC CLTX CARPL B1 FX W/MNPJ EA B1,1632.0,1632.0,,,0 CDM,2302565001,HC CLOSED RX ULNA STYLOID FX,281.0,281.0,,,0 CDM,2302568001,HC CLOSED RX NAVIC/LUNATE FX/DISLOC,443.0,443.0,,,0 CDM,2302601001,"HC DRAIN FINGER ABSCESS,SIMPLE",303.0,303.0,,,0 CDM,2302601101,"HC DRAIN FINGER ABSCESS,COMPLICATED",1656.0,1656.0,,,0 CDM,2302602001,HC BS DRAINAGE TENDON SHEATH,3143.0,3143.0,,,0 CDM,2302605501,HC INCISE FINGER TENDON SHEATH,1678.0,1678.0,,,0 CDM,2302607501,HC BS ARTHROTOMY WITH EXPLORE MCP,9915.0,9915.0,,,0 CDM,2302608002,HC ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA,3151.0,3151.0,,,0 CDM,2302641801,HC REPAIR EXT TENDON FINGER,2528.0,2528.0,,,0 CDM,2302658701,HB RECONST POLYDACT DIGIT SOFT TIS & BONE,3318.0,3318.0,,,0 CDM,2302660001,HC CLOSED RX METACARPAL FX,274.0,274.0,,,0 CDM,2302660501,"HC CLOSED RX METACARPAL FX,MANIP",491.0,491.0,,,0 CDM,2302664501,"HC TREAT THUMB FX/DISLOC,MANIP",1598.0,1598.0,,,0 CDM,2302672001,HC CLOSE RX PROX/MID FING SHFT FX,253.0,253.0,,,0 CDM,2302672501,"HC CLOSE RX PROX/MID FING SHFT FX,MANIP",737.0,737.0,,,0 CDM,2302674001,HC CLOSE RX FINGR ARTICULAR FX,383.0,383.0,,,0 CDM,2302674201,"HC CLOSE RX FINGR ARTICULAR FX,MANIP",1469.0,1469.0,,,0 CDM,2302675001,HC CLOSE RX DIST FINGR FX,444.0,444.0,,,0 CDM,2302675501,"HC CLOSE RX DIST FINGR FX,MANIPULATN",663.0,663.0,,,0 CDM,2302695101,HC AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,3318.0,3318.0,,,0 CDM,2302708601,"HC REMOVE PELV/HIP F.B.,SUBCUTANEOUS",2877.0,2877.0,,,0 CDM,2302708701,"HC REMOVE PELV/HIP F.B.,DEEP",3316.0,3316.0,,,0 CDM,2302722001,HC CLOSED RX ACETABULAR FX,1295.0,1295.0,,,0 CDM,2302722201,"HC CLOSED RX ACETABULAR FX,MANIPULATN",2422.0,2422.0,,,0 CDM,2302723001,HC CLOSED RX PROX/NECK FEMUR FX,439.0,439.0,,,0 CDM,2302723201,"HC CLOSED RX PROX/NECK FEMUR FX,MANIP",1865.0,1865.0,,,0 CDM,2302723801,HC CLOSED RX INTER/SUBTROCH FEMUR FX,1598.0,1598.0,,,0 CDM,2302724001,"HC CLOSED RX INTER/SUBTROCH FX,MANIP",2141.0,2141.0,,,0 CDM,2302724601,HC CLOSED RX GR TROCHANTERIC FX,439.0,439.0,,,0 CDM,2302750001,HC CLOSED RX FEMUR SHAFT FX,439.0,439.0,,,0 CDM,2302750101,HC CLOSED RX CONDYLAR FX,439.0,439.0,,,0 CDM,2302750201,HC CLOSED RX FEMUR SHAFT FX+MANIP,1700.0,1700.0,,,0 CDM,2302750301,HC CLOSED RX CONDYLAR FX+MANIP,1469.0,1469.0,,,0 CDM,2302750801,"HC CLOSED RX FEMUR,DISTAL",446.0,446.0,,,0 CDM,2302751001,"HC CLOSED RX FEMUR,DISTAL+MANIP",1469.0,1469.0,,,0 CDM,2302751601,HC CLOSED RX DIST FEM EPIPHYSIS,1164.0,1164.0,,,0 CDM,2302751701,HC CLOSED RX DIST FEM EPIPHYSIS+MANIP,1585.0,1585.0,,,0 CDM,2302752001,HC CLOSED RX PATELLA FX,446.0,446.0,,,0 CDM,2302753001,HC CLOSED RX TIBIAL PLATEAU FX,424.0,424.0,,,0 CDM,2302753201,HC CLOSED RX TIB PLAT FX+MANIP,2986.0,2986.0,,,0 CDM,2302753801,HC CLOSED RX TIB TUBER FX,1089.0,1089.0,,,0 CDM,2302775001,HC CLOSED RX TIBIA SHAFT FX,332.0,332.0,,,0 CDM,2302775201,"HC CLOSED RX TIBIA SHAFT FX,MANIPULATN",1937.0,1937.0,,,0 CDM,2302776001,HC CLOSED RX MED MALLEOLUS FX,446.0,446.0,,,0 CDM,2302776201,"HC CLOSED RX MED MALLEOLUS FX,MANIP",1469.0,1469.0,,,0 CDM,2302776701,HC CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANIP,437.0,437.0,,,0 CDM,2302776801,HC CLOSED TREATMENT PST MALLEOLUS FRACTURE W MANIP,1632.0,1632.0,,,0 CDM,2302778001,HC CLOSED RX PROX/SHAFT FIBULA FX,424.0,424.0,,,0 CDM,2302778101,"HC CLOSED RX PROX/SHAFT FIB FX,MANIP",1469.0,1469.0,,,0 CDM,2302778601,HC CLOSED RX DIST FIBULA FX,694.0,694.0,,,0 CDM,2302778801,"HC CLOSED RX DIST FIBULA FX,MANIP",476.0,476.0,,,0 CDM,2302780801,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANIP,424.0,424.0,,,0 CDM,2302781001,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MANIP,1640.0,1640.0,,,0 CDM,2302781601,HC CLOSED RX TRIMALLEOLAR FX,701.0,701.0,,,0 CDM,2302781801,"HC CLOSED RX TRIMALLEOLAR FX,MANIP",1640.0,1640.0,,,0 CDM,2302782401,HC CLOSED RX WEIGHT BEAR DIST TIBIA,437.0,437.0,,,0 CDM,2302782501,"HC CLOSED RX WEIGHT BEAR DIST TIB,MANIP",1469.0,1469.0,,,0 CDM,2302819001,"HC REMV FOOT FOREIGN BODY,SUBCUTANEOUS",674.0,674.0,,,0 CDM,2302819201,"HC REMV FOOT FOREIGN BODY,DEEP",1989.0,1989.0,,,0 CDM,2302819301,"HC REMV FOOT FOREIGN BODY,COMPLEX",1648.0,1648.0,,,0 CDM,2302840001,HC CLOSED RX HEEL FX,551.0,551.0,,,0 CDM,2302840501,"HC CLOSED RX HEEL FX,MANIPULATN",558.0,558.0,,,0 CDM,2302843001,HC CLOSED RX TALUS FX,381.0,381.0,,,0 CDM,2302843501,"HC CLOSED RX TALUS FX,MANIPULATN",1469.0,1469.0,,,0 CDM,2302845001,"HC CLOSED RX TARSAL FX,EACH",381.0,381.0,,,0 CDM,2302845501,"HC CLOSED RX TARSAL FX,MANIP,EACH",1598.0,1598.0,,,0 CDM,2302847001,HC CLOSED RX METATARSAL FX,495.0,495.0,,,0 CDM,2302847501,"HC CLOSED RX METATARSAL FX,MANIP",557.0,557.0,,,0 CDM,2302910501,HC APPLY LONG ARM SPLINT,207.0,207.0,,,0 CDM,2302912501,"HC APPLY FOREARM SPLINT,STATIC",207.0,207.0,,,0 CDM,2302912601,"HC APPLY FOREARM SPLINT,DYNAMIC",126.0,126.0,,,0 CDM,2302913001,"HC APPLY FINGER SPLINT,STATIC",206.0,206.0,,,0 CDM,2302913101,"HC APPLY FINGER SPLINT,DYNAMIC",82.0,82.0,,,0 CDM,2302950501,HC APPLY LONG LEG SPLINT,166.0,166.0,,,0 CDM,2302951501,HC APPLY LOWER LEG SPLINT,164.0,164.0,,,0 CDM,2303000001,"HC DRAIN ABSCESS/HEMATOMA,NASAL",286.0,286.0,,,0 CDM,2303002001,"HC DRAIN ABSCESS/HEMATOMA,NASAL SEPTUM",474.0,474.0,,,0 CDM,2303030001,HC REMOVE NASAL FOREIGN BODY,117.0,117.0,,,0 CDM,2303090101,"HC CTRL NOSEBLEED,ANTER,SIMPLE",129.0,129.0,,,0 CDM,2303090301,"HC CTRL NOSEBLEED,ANTER,COMPLEX",203.0,203.0,,,0 CDM,2303090501,"HC CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT",240.0,240.0,,,0 CDM,2303090601,HC REPEAT CONTROL OF NOSEBLEED,308.0,308.0,,,0 CDM,2303150001,HC INSERT EMERGENCY ENDOTRACH AIRWAY,321.0,321.0,,,0 CDM,2303150201,HC TRACH TUBE CHANGE,349.0,349.0,,,0 CDM,2303157501,HC LARYNGOSCOPY FLEX DIAGNOSTIC,564.0,564.0,,,0 CDM,2303160001,HC TRACHEOSTOMY PLANNED,4853.0,4853.0,,,0 CDM,2303162201,BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX,5383.0,5383.0,,,0 CDM,2303162401,"HC BRONCHOSCOPY,DIAGNOSTIC W LAVAGE",2254.0,2254.0,,,0 CDM,2303164501,HC BRNCHSC W/THER ASPIR 1ST,1863.0,1863.0,,,0 CDM,2303255101,HC INSERTION OF CHEST TUBE,1647.0,1647.0,,,0 CDM,2303255401,HC THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,1043.0,1043.0,,,0 CDM,2303255501,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,1200.0,1200.0,,,0 CDM,2303301601,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,3765.0,3765.0,,,0 CDM,2303301701,HC PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY,745.0,745.0,,,0 CDM,2303321001,HC BS TEMPORARY PACEMAKER INSERTION,7685.0,7685.0,,,0 CDM,2303396701,HC INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ,1829.0,1829.0,,,0 CDM,2303396801,HC RMV AORTIC BALLOON DEVICE,74.0,74.0,,,0 CDM,2303397001,INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN,2502.0,2502.0,,,0 CDM,2303399201,HC REMOVAL PERQ R HEART VAD ARTERIAL CANNULA SEPT INSJ,443.0,443.0,,,0 CDM,2303399301,HC REPOSITION VAD W/IMAGING DIFFERENT SESSION,386.0,386.0,,,0 CDM,2303651001,"HC CATH, VEIN UMBILICAL NEWBORN",127.0,127.0,,,0 CDM,2303655501,HC INSERT NON-TUNNEL CV CATH < 5 Y/O,3354.0,3354.0,,,0 CDM,2303655601,HC INSERT NON-TUNNEL CV CATH,3354.0,3354.0,,,0 CDM,2303656801,HC INSERTION PICC W/O IMG GDN LESS THAN 5 YR,2977.0,2977.0,,,0 CDM,2303656901,HC INSERTION PICC W/O IMG GDN GREATER THAN 5 YR,2227.0,2227.0,,,0 CDM,2303662001,"HC INSERT CATH,ART,PERCUT,SHORTTERM",116.0,116.0,,,0 CDM,2303662501,"HC INSERT CATH,ART,CUTDOWN,SHORTTERM",213.0,213.0,,,0 CDM,2303666001,"HC CATH, UMBILICAL ARTERY",167.0,167.0,,,0 CDM,2303668001,"HC INSERT NEEDLE,INTRAOSSEOUS INFUSN",413.0,413.0,,,0 CDM,2303680001,"HC INSERT CANNULA,VEIN-VEIN",9382.0,9382.0,,,0 CDM,2303822001,HC DIAGNOSTIC BONE MARROW ASPIRATION,1648.0,1648.0,,,0 CDM,2303822101,HC DIAGNOSTIC BONE MARROW BIOPSY,1648.0,1648.0,,,0 CDM,2303822201,HC BONE MARROW ASP POST BX,2778.0,2778.0,,,0 CDM,2303824201,HC ALLOGENEIC LYMPHOCYTE INFUSIONS,2919.0,2919.0,,,0 CDM,2304065001,"HC REPAIR LIP,FULL THICK,VERMILION",665.0,665.0,,,0 CDM,2304065201,"HC REPAIR LIP,<1/2 VERT HEIGHT",637.0,637.0,,,0 CDM,2304065401,"HC REPAIR LIP,>1/2 VERT HEIGHT",1427.0,1427.0,,,0 CDM,2304080001,"HC DRAIN MOUTH ABSC/CYST/HEMATOMA,SIMPL",792.0,792.0,,,0 CDM,2304080101,"HC DRAIN MOUTH ABSC/CYST/HEMAT,COMPLX",556.0,556.0,,,0 CDM,2304080401,"HC REMOVAL FOREIGN BODY,MOUTH,SIMPLE",942.0,942.0,,,0 CDM,2304080501,"HC REMOVAL FOREIGN BODY,MOUTH,COMPLEX",582.0,582.0,,,0 CDM,2304083001,"HC REPAIR MOUTH LACERATION,<2.5CM",334.0,334.0,,,0 CDM,2304083101,"HC REPAIR MOUTH LACERATION,>2.5CM",561.0,561.0,,,0 CDM,2304100001,"HC I&D MOUTH/TONG INTRA,LINGUAL",709.0,709.0,,,0 CDM,2304100501,"HC I&D MOUTH/TONG INTRA,SUBLING,SUPERF",308.0,308.0,,,0 CDM,2304100601,"HC I&D MOUTH/TONG INTRA,SUBLING,DEEP",1518.0,1518.0,,,0 CDM,2304100701,"HC I&D MOUTH/TONG INTRA,SUBMENTAL",1903.0,1903.0,,,0 CDM,2304100801,HC INTRAORAL I&D SUBMANDIBULAR,2859.0,2859.0,,,0 CDM,2304100901,"HC I&D MOUTH/TONG INTRA,MASTICATOR",662.0,662.0,,,0 CDM,2304110801,HC BS BIOPSY OF FLOOR OF MOUTH,4971.0,4971.0,,,0 CDM,2304125001,"HC REPAIR TONGUE LACER,<2.6CM",343.0,343.0,,,0 CDM,2304125101,"HC REPAIR TONGUE LACER,POST 1/3",338.0,338.0,,,0 CDM,2304125201,"HC REPAIR TONGUE LACER,2.6CM+/COMPLX",286.0,286.0,,,0 CDM,2304180001,HC DRAINAGE OF GUM LESION,305.0,305.0,,,0 CDM,2304180501,"HC REMOVAL FOREIGN BODY, GUM",5670.0,5670.0,,,0 CDM,2304187401,HC ALVEOLOPLASTY EACH QUADRANT SPECIFY,10122.0,10122.0,,,0 CDM,2304189901,HC UNLISTED TOOTH 1-3 EXTRACTIONS,474.0,474.0,,,0 CDM,2304189902,HC UNLISTED TOOTH 10-12 EXTRACTIONS,1779.0,1779.0,,,0 CDM,2304189903,HC UNLISTED TOOTH 4-6 EXTRACTIONS,790.0,790.0,,,0 CDM,2304189904,HC UNLISTED TOOTH 7-9 EXTRACTIONS,1186.0,1186.0,,,0 CDM,2304200001,HC DRAINAGE ABSCESS PALATE/UVULA,247.0,247.0,,,0 CDM,2304218001,HC REPAIR PALATE LACER <2CM,536.0,536.0,,,0 CDM,2304218201,HC REPAIR PALATE LACER 2+CM OR COMPLX,6850.0,6850.0,,,0 CDM,2304230001,"HC DRAIN ABSCESS PAROTID,SIMPLE",2806.0,2806.0,,,0 CDM,2304270001,HC INC/DRAIN PERITONSIL ABSCESS,687.0,687.0,,,0 CDM,2304324601,HC EGD PLACE GASTROSTOMY TUBE,1903.0,1903.0,,,0 CDM,2304346001,"HC ESOPHAGOGASTRIC TAMPONADE,BALLOON",544.0,544.0,,,0 CDM,2304375201,HC GI NASO OR ORO-GAST TUBE PL,385.0,385.0,,,0 CDM,2304375301,"HC GASTRIC INTUBATION/ASPIRATION, THERAPEUTIC",876.0,876.0,,,0 CDM,2304376101,HC REPOSITION GASTRIC FEEDING TUBE THRU DUODENUM,867.0,867.0,,,0 CDM,2304376201,HC PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,665.0,665.0,,,0 CDM,2304450001,HC GI PLACEMENT OF N-J TUBE,948.0,948.0,,,0 CDM,2304510001,HC BIOPSY OF RECTUM,7533.0,7533.0,,,0 CDM,2304530701,"HC PROCTOSIGMOIDOSCOPY,REMV F.B.",4669.0,4669.0,,,0 CDM,2304908201,HC ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,948.0,948.0,,,0 CDM,2304908301,HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE,1071.0,1071.0,,,0 CDM,2305110101,HC DRAIN BLADDER BY TROCAR/CATH BEDSIDE,1070.0,1070.0,,,0 CDM,2305110201,HC DRAIN BL W/CATH INSERTION,2108.0,2108.0,,,0 CDM,2305170001,HC IRRIGATION OF BLADDER,302.0,302.0,,,0 CDM,2305170101,"HC INSERT,NON-INDWELLING BLADDER CATHETER",220.0,220.0,,,0 CDM,2305170201,"HC INSERT,TEMP INDWELLING BLAD CATH,SIMPLE",165.0,165.0,,,0 CDM,2305170301,"HC INSERT,TEMP INDWELLING BLAD CATH,COMP",194.0,194.0,,,0 CDM,2305200001,HC CYSTOURETHROSCOPY,1172.0,1172.0,,,0 CDM,2305228101,HC CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,2097.0,2097.0,,,0 CDM,2305231001,HC CYSTO W/SIMPLE REMOVAL STONE & STENT,2097.0,2097.0,,,0 CDM,2305233201,HC CYSTO W/INSERT URETERAL STENT,10765.0,10765.0,,,0 CDM,2305510001,HC DRAINAGE SCROTAL WALL ABSCESS,2157.0,2157.0,,,0 CDM,2305512001,HC REMOVAL OF SCROTAL FOR.BODY,2097.0,2097.0,,,0 CDM,2305640501,HC I&D OF VULVA/PERINEUM ABSCESS,335.0,335.0,,,0 CDM,2305642001,HC I&D BARTHOLIN GLAND ABSCESS,414.0,414.0,,,0 CDM,2305644001,HC MARSUP BARTHOLIN GLAND CYST,2908.0,2908.0,,,0 CDM,2305660501,HC BIOPSY OF VULVA LESION SINGLE,904.0,904.0,,,0 CDM,2305660601,HC BX VULVA EACH ADDTL LESION,233.0,233.0,,,0 CDM,2305682001,"HC COLPOSCOPY,VULVA",195.0,195.0,,,0 CDM,2305682101,"HC COLPOSCOPY,VULVA,W/BIOPSY(S)",330.0,330.0,,,0 CDM,2305741501,HC REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL,3216.0,3216.0,,,0 CDM,2305742001,"HC COLPOSCOPY,ENTIRE VAGINA",553.0,553.0,,,0 CDM,2305742101,"HC COLPOSCOPY,ENTIRE VAGINA,W/BIOPSY(S)",770.0,770.0,,,0 CDM,2305745201,"HC COLPOSCOPY,CERVIX W/ADJ VAGINA",206.0,206.0,,,0 CDM,2305745401,"HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG",316.0,316.0,,,0 CDM,2305745501,"HC COLPOSCOPY,CERVIX W/ADJ VAGINA,W/BX",364.0,364.0,,,0 CDM,2305745601,"HC COLPOSCOPY,CERVIX W/ADJ VAGINA, CURETTAG",464.0,464.0,,,0 CDM,2305746001,"HC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX",3075.0,3075.0,,,0 CDM,2305746101,"HC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP CONIZ",3075.0,3075.0,,,0 CDM,2305750001,"HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION",1005.0,1005.0,,,0 CDM,2305750501,HC ENDOCERVICAL CURETTAGE BEDSIDE,1005.0,1005.0,,,0 CDM,2305751101,HC CRYOCAUTERY OF CERVIX,323.0,323.0,,,0 CDM,2305752001,"HC CONIZATION CERVIX,KNIFE/LASER",3149.0,3149.0,,,0 CDM,2305810001,HC ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX,300.0,300.0,,,0 CDM,2305855801,HC HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C,8686.0,8686.0,,,0 CDM,2305899901,HC CERCLAGE REMOVAL WITHOUT ANES,2233.0,2233.0,,,0 CDM,2305900001,HC AMNIOCENTESIS DIAGNOSTIC,743.0,743.0,,,0 CDM,2305902501,HC FETAL NON STRESS TEST,372.0,372.0,,,0 CDM,2305907001,HC TRANSABDOM AMNIOINFUS W/ US,672.0,672.0,,,0 CDM,2306102001,HC HB VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX,1081.0,1081.0,,,0 CDM,2306107001,HC PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX,843.0,843.0,,,0 CDM,2306110701,HC TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE,634.0,634.0,,,0 CDM,2306115601,BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL,12862.0,12862.0,,,0 CDM,2306121001,HC BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE,827.0,827.0,,,0 CDM,2306227001,"HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC",997.0,997.0,,,0 CDM,2306440001,"HC INJ(S), ANESTHETIC AGENT(S) AND/OR STEROID; TRIGEMINAL NERVE, EA BRANCH (IE OPHT, MAX, MAND)",345.0,345.0,,,0 CDM,2306440501,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE",831.0,831.0,,,0 CDM,2306441501,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; BRACHIAL PLEXUS",1812.0,1812.0,,,0 CDM,2306441701,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; AXILLARY NERVE",2067.0,2067.0,,,0 CDM,2306441801,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; SUPRASCAPULAR NERVE",839.0,839.0,,,0 CDM,2306442001,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; INTERCOSTAL NERVE, SINGLE LEVEL",843.0,843.0,,,0 CDM,2306442501,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; ILIOINGUINAL, ILIOHYPOGASTRIC NERVES",1985.0,1985.0,,,0 CDM,2306443001,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PUDENDAL NERVE",1088.0,1088.0,,,0 CDM,2306443501,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PARACERVICAL (UTERINE) NERVE",839.0,839.0,,,0 CDM,2306444501,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; SCIATIC NERVE",839.0,839.0,,,0 CDM,2306444701,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FEMORAL NERVE",839.0,839.0,,,0 CDM,2306445001,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH",906.0,906.0,,,0 CDM,2306445501,HC NJX ANES&/STEROID PLANTAR COMMON DIGITAL NERVE,303.0,303.0,,,0 CDM,2306447901,"HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE ,1 LEVEL",1088.0,1088.0,,,0 CDM,2306448301,"HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL",1088.0,1088.0,,,0 CDM,2306449001,"HC INJ DX/THER AGNT PARAVERT FACET JOINT, CERV/THORAC, 1ST LEVEL",2078.0,2078.0,,,0 CDM,2306456701,HC BS PERQ ELEC NRV FIELD STIMJ CRANIAL NRV W/O IMPLTJ,2711.0,2711.0,,,0 CDM,2306499901,"HC INJECT NERV BLCK,CERV PLEXUS",306.0,306.0,,,0 CDM,2306499902,"HC INJECT NERV BLCK,FACIAL NERV",303.0,303.0,,,0 CDM,2306499903,HC NERVOUS SYSTEM SURGERY UNLISTED,306.0,306.0,,,0 CDM,2306520501,"HC REMV F.B.,EYE,SUPERF CONJUNC",199.0,199.0,,,0 CDM,2306521001,"HC REMV F.B.,EYE,EMBED CONJUNC",420.0,420.0,,,0 CDM,2306522001,"HC REMV F.B.,EYE,CORNEA,NO SLIT",454.0,454.0,,,0 CDM,2306522201,"HC REMV F.B.,EYE,CORNEA,SLIT LAMP",128.0,128.0,,,0 CDM,2306770001,HC DRAINAGE OF EYELID ABSCESS,307.0,307.0,,,0 CDM,2306793801,"HC REMOVE EYELID FOREIGN BODY,EMBEDDED",620.0,620.0,,,0 CDM,2306802001,HC INCISE/DRAIN CONJUNCTIVA,971.0,971.0,,,0 CDM,2306900001,"HC DRAIN EXT EAR ABSC/BLOOD,SIMPLE",889.0,889.0,,,0 CDM,2306900501,"HC DRAIN EXT EAR ABSC/BLOOD,COMPLIC",2444.0,2444.0,,,0 CDM,2306920001,HC REMV EXT CANAL FOREIGN BODY,133.0,133.0,,,0 CDM,2309103801,"HC GERD TST W/ MUCOS IMPEDE ELECTROD,>1HR",1183.0,1183.0,,,0 CDM,2309295001,HC CARDIOPLUMONARY RESUSCITATION,352.0,352.0,,,0 CDM,2309296001,"HC CARDIOVERSION, ELECTIVE;EXTERN",1006.0,1006.0,,,0 CDM,2309296101,HC CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX,655.0,655.0,,,0 CDM,2309350301,HC INSERTION FLOW DIRECTED CATHETER FOR MONITORING,1869.0,1869.0,,,0 CDM,2309759701,HC DEBRIDEMENT OPEN WOUND 20 SQ CM<,211.0,211.0,,,0 CDM,2309759801,HC DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,41.0,41.0,,,0 CDM,2309760501,HC OTH NEG PRESS WOUND TX LESS THAN OR EQUAL TO 50 SQ CM WITH DME,410.0,410.0,,,0 CDM,2309760601,HC TX NEG PRESS WOUND TX GREATER THAN 50 SQ CM WITH DME,462.0,462.0,,,0 CDM,2309760701,HC NEG PRESSURE WOUND THERAPY NON DME 50 SQ CM,477.0,477.0,,,0 CDM,2309946501,HC DELIVERY/BIRTHING ROOM RESUSCITATION,1052.0,1052.0,,,0 CDM,247L850934,HC INHEALTH DUALVALVE NS 20FR 8MM,2106.0,2106.0,,,0 CDM,247L850935,HC INHEALTH DUALVALVE NS 20FR 10MM,2106.0,2106.0,,,0 CDM,247L850936,HC INHEALTH DUALVALVE NS 20FR 12MM,2106.0,2106.0,,,0 CDM,247L850937,HC INHEALTH DUALVALVE NS 20FR 14MM,2106.0,2106.0,,,0 CDM,247L850938,HC INHEALTH DUALVALVE LF 20FR 6MM,2243.0,2243.0,,,0 CDM,247L850939,HC INHEALTH DUALVALVE LF 20FR 8MM,2243.0,2243.0,,,0 CDM,247L850940,HC INHEALTH DUALVALVE LF 20FR 10MM,2243.0,2243.0,,,0 CDM,247L850941,HC INHEALTH DUALVALVE LF 20FR 12MM,2243.0,2243.0,,,0 CDM,247L850942,HC INHEALTH DUALVALVE LF 20FR 14MM,2243.0,2243.0,,,0 CDM,2500000005,HC RX-SILVADENE CREAM 1000 GM,223.6,223.6,,,0 CDM,2500000006,HC RX-SILVADENE CREAM 400 GM,66.04,66.04,,,0 CDM,2500000007,HC RX-SILVADENE CREAM 50 GM,26.57,26.57,,,0 CDM,2500000008,HC RX-SILVADENE CREAM 85 GM,48.44,48.44,,,0 CDM,2500000009,HC SU NITRIC OXIDE HOURLY,292.15,292.15,,,0 CDM,2609636001,HC IV HYDRATION INFUSION INITIAL HOUR,261.0,261.0,,,0 CDM,2609636101,HC IV HYDRATE ADDTL HOURS,86.0,86.0,,,0 CDM,2609636501,HC IV INFUSION THERAPY UP TO 1 HR,384.0,384.0,,,0 CDM,2609636601,HC IV INFUSION THERAPY EACH ADDTL HR,178.0,178.0,,,0 CDM,2609636701,HC IV INFUSION ADDTL SEQUENTUAL UP TO 1 HR,254.0,254.0,,,0 CDM,2609636801,HC IV CONCURRENT INFUSION,235.0,235.0,,,0 CDM,2609637201,HC ADMIN OF INJECTION SUBQ OR IM,139.0,139.0,,,0 CDM,2609637401,HC IV PUSH SINGLE OR INITIAL SUBSTANCE,263.0,263.0,,,0 CDM,2609637501,HC IV PUSH EACH ADDTL NEW SUBSTANCE,213.0,213.0,,,0 CDM,2609637601,HC IV PUSH SAME DRUG 30 MIN AFTER,209.0,209.0,,,0 CDM,2609637901,HC UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,347.0,347.0,,,0 CDM,260C895701,"HC PROLONGED IV INF, REQ PUMP- NON CHEMO",902.0,902.0,,,0 CDM,260M024501,"HC IV INFUSION, BAMLANIVIMAB AND ETESEVIMAB, INCLUDES INFUSION AND POG",901.0,901.0,,,0 CDM,260M024701,"HC IV INFUSION, SOTROVIMAB, INCLUDES INFUSION AND POST ADMINSTRATION G",901.0,901.0,,,0 CDM,2700000007,HC SU-MATTRESS AIR INFLATABLE 31X,135.52,135.52,,,0 CDM,2700000009,HC TRAY 16 FR FOLEY CATH,68.85,68.85,,,0 CDM,2700000013,HC SU LARGE AMPUTEE SLING,748.4,748.4,,,0 CDM,2710000001,HC SU HELIOX HOURLY,92.17,92.17,,,0 CDM,2710000002,HC SU MATTRESS WARMING SMALL,145.3,145.3,,,0 CDM,2710000003,HC SU NITRIC OXIDE DELIVERY SYSTEM,87.64,87.64,,,0 CDM,2710000006,HC SU-BED CLINTRON II HILLROM,216.64,216.64,,,0 CDM,2710000007,HC SU-BED DOLPHIN MATTRESS,178.1,178.1,,,0 CDM,2710000008,HC SU-BED P500,158.78,158.78,,,0 CDM,2710000009,HC SU-BED TRIFLEX FOAM,256.92,256.92,,,0 CDM,2710000010,HC SU-BED TRIFLEX SYNERGY AIR,374.92,374.92,,,0 CDM,2710000012,SU BED COMPELLA AIR,310.56,310.56,,,0 CDM,2710000013,SU BED COMPELLA FOAM,235.14,235.14,,,0 CDM,2710000014,SU BED ENVELLA,332.74,332.74,,,0 CDM,2710000015,HC SU-BED CLINITRON RITE HITE,380.42,380.42,,,0 CDM,2710000020,SU BED COMPELLA AIR W/TRPZ,341.61,341.61,,,0 CDM,2710000021,SU BED COMPELLA FOAM W/TRPZ,258.65,258.65,,,0 CDM,2710000022,SU BED ENVELLA W/TRPZ,366.02,366.02,,,0 CDM,2710000023,"SU BED CENTRELLA MAX 36""",145.23,145.23,,,0 CDM,2710000024,"SU BED CENTRELLA MAX 40""",213.21,213.21,,,0 CDM,2710000025,HC SU BED TOTAL LIFT V5 W/POWER DRIVE,271.0,271.0,,,0 CDM,2710000026,HC SU BED POSEY,83.0,83.0,,,0 CDM,271V526401,HC EAR MOLD/INSERT,215.36,215.36,,,0 CDM,271V527501,HC EAR MOLD IMPRESSION,70.16,70.16,,,0 CDM,2720000001,HC ADHESIVE SKIN OCTYL,66.68,66.68,,,0 CDM,2720000002,HC CERVICAL SLEEVE,160.25,160.25,,,0 CDM,2720000003,HC CYBER TM 200W LASER FEE ONE,6891.0,6891.0,,,0 CDM,2720000004,HC CYBER TM 200W LASER FEE TWO,6250.0,6250.0,,,0 CDM,2720000005,HC D644 EMG NEEDLE KIT W/PROBE,2723.23,2723.23,,,0 CDM,2720000006,HC DIAGNOSTIC RADIOOGY BW PK-LF,52.9,52.9,,,0 CDM,2720000007,HC DRESSING MEPITEL AG 8X12,318.67,318.67,,,0 CDM,2720000008,HC EFFLUENT CARTRIDGE CRRT,336.31,336.31,,,0 CDM,2720000009,HC EPIDURAL SPINAL ELECTRODE 2-CONTACT,751.09,751.09,,,0 CDM,2720000010,HC HYPERBARIC IV EXT KIT,106.0,106.0,,,0 CDM,2720000011,HC LASER RENTAL CONTINUOUS FLOW,909.92,909.92,,,0 CDM,2720000012,HC MEPILEX AG 8X8,152.47,152.47,,,0 CDM,2720000013,HC MEPILEX AG BORDER 6X6,122.34,122.34,,,0 CDM,2720000014,HC MEPITEL AG 4X7,128.73,128.73,,,0 CDM,2720000015,HC MEPITEL AG 8X20,508.15,508.15,,,0 CDM,2720000016,HC MEPITEL ONE 6X10,102.64,102.64,,,0 CDM,2720000024,HC PUMP BL1D002SK2-CP WILLIAMS MED PAIN SIN,504.38,504.38,,,0 CDM,2720000025,HC PUMP BL1D002SK2-CP WILLIAMS MED PAIN SIN,504.38,504.38,,,0 CDM,2720000027,HC SLING CEILING DISP MED CAP,154.59,154.59,,,0 CDM,2720000029,HC SU - TRAY BONE MARROW BIOPSY (11G X4),216.67,216.67,,,0 CDM,2720000030,HC SU 1- CHANNEL DRAGONFLY 2.0-5.0 D1182,473.47,473.47,,,0 CDM,2720000035,HC SU AIRWAY SIZING KIT,1078.19,1078.19,,,0 CDM,2720000036,HC SU BIPOLAR PROBE D1263,561.35,561.35,,,0 CDM,2720000037,HC SU BIPOLAR STIMULATING PROBE SIDE BY SIDE,458.2,458.2,,,0 CDM,2720000043,HC SU CATHETER AIRWAY EXCHANGE 4M,322.06,322.06,,,0 CDM,2720000044,HC SU CATHETER AIRWAY EXCHANGE 5,283.04,283.04,,,0 CDM,2720000045,HC SU CONCENTRIC PROBE D238,426.23,426.23,,,0 CDM,2720000046,HC SU CONCENTRIC/BIPOLAR STIM PROBE D191,426.23,426.23,,,0 CDM,2720000047,HC SU D1260 PEDICLE SCREW BALL 2.3 MM,438.71,438.71,,,0 CDM,2720000048,HC SU D1264 BALL TIP PROBE 160MM,488.81,488.81,,,0 CDM,2720000049,"HC SU D1265 BALL-TIP PROBE, 200MM",554.26,554.26,,,0 CDM,2720000050,HC SU D145 - 4-CONTACT (1X4) PLATINUM STRIP,2683.67,2683.67,,,0 CDM,2720000051,HC SU D190 PEDICLE SCREW BALL 2.3 MM,438.71,438.71,,,0 CDM,2720000052,HC SU D200 BIPOLAR CORTICAL STIMULATOR PROBE,2651.29,2651.29,,,0 CDM,2720000053,HC SU D339 MONOPOLAR PROBE MAGSTIM,536.41,536.41,,,0 CDM,2720000054,HC SU D340 PRASS PROBE STIMULATOR,1261.59,1261.59,,,0 CDM,2720000055,HC SU D344 PEDICLE SCREW BALL 3 MM,494.27,494.27,,,0 CDM,2720000056,HC SU D346 XL PEDICLE SCREW BALL 3 MM,928.07,928.07,,,0 CDM,2720000057,HC SU D612 NVM5 PROBE SINGLE USE,1222.42,1222.42,,,0 CDM,2720000058,"HC SU D623 NVM5 MULTIMODALITY KIT, NEEDLE",4095.07,4095.07,,,0 CDM,2720000059,HC SU DISPOSE BRONCHOSCOPE ALL SI,1192.565,1192.565,,,0 CDM,2720000060,HC SU ELECTRODE LARYNGEAL STICKER,1325.89,1325.89,,,0 CDM,2720000061,HC SU ENDO TRACH TUBE 6.5MM,182.91,182.91,,,0 CDM,2720000062,HC SU ENDOTRACHIAL TUBE 6MM,1157.68,1157.68,,,0 CDM,2720000063,HC SU ENDOTRACHIAL TUBE 7MM,1157.68,1157.68,,,0 CDM,2720000064,HC SU EPIDURAL SPINAL ELECTRODE 3-CONTACT,751.1,751.1,,,0 CDM,2720000068,HC SU MATTRESS SPR+ OVERLAY,240.52,240.52,,,0 CDM,2720000069,HC SU MONOPOLAR PROBE RHYTHMLINK D129,536.41,536.41,,,0 CDM,2720000070,HC SU MONOPOLAR TEFLON ELECTRODE,19.93,19.93,,,0 CDM,2720000079,HC SU RELOADABLE CATHETER,3369.32,3369.32,,,0 CDM,2720000080,HC SU SET PRISMAFLEX HF1000,1085.53,1085.53,,,0 CDM,2720000081,HC SU SET PRISMAFLEX M-100,1034.41,1034.41,,,0 CDM,2720000082,HC SU SET PRISMAFLEX M-60,884.74,884.74,,,0 CDM,2720000084,HC SU TRAY SPINAL 24GA 4IN W/EPH/,108.35,108.35,,,0 CDM,2720000085,HC SU TRUFREEZE PASSIVE VENTING SPRAY KIT,6815.09,6815.09,,,0 CDM,2720000086,HC SU TRUFREEZE RAPID ACTIVE VENTING SPRAY KIT,6815.09,6815.09,,,0 CDM,2720000087,HC SU URETHRAL ELECTRODE,1696.47,1696.47,,,0 CDM,2720000091,HC SU-BAG AMBU PEDS,104.33,104.33,,,0 CDM,2720000093,"HC SU-BINDER ABD 12"" - 46-62""",75.29,75.29,,,0 CDM,2720000094,"HC SU-BINDER ABD 12"" 30-45""",62.23,62.23,,,0 CDM,2720000095,"HC SU-BINDER ABD 12"" 60-75""",94.51,94.51,,,0 CDM,2720000096,HC SU-BRONCHO CATH 32 LEFT,283.04,283.04,,,0 CDM,2720000097,HC SU-BRONCHO CATH LEFT,283.04,283.04,,,0 CDM,2720000098,HC SU-CATHETER AIRWAY EXCHANGE 7M,288.51,288.51,,,0 CDM,2720000099,HC SU-CATHETER BRONCHO RIGHT 39,284.555,284.555,,,0 CDM,27200000A1,HC SU-CATHETER BRONCHO RIGHT ES 3,284.55,284.55,,,0 CDM,27200000A2,HC SU-CATHETER INTUBAT 19.0FR 56,288.51,288.51,,,0 CDM,27200000A3,HC SU-CATHETER KIT LUMBAR ACCESS,1299.5,1299.5,,,0 CDM,27200000A4,HC SU-CATHETER KIT LUMBAR ACCESS,1299.51,1299.51,,,0 CDM,27200000A5,HC SU-ENDO TRACH TUBE 6.0MM,182.91,182.91,,,0 CDM,27200000A7,HC SU-FLOTRAC SENSOR MHD8,1303.94,1303.94,,,0 CDM,27200000A8,HC SU-FLOTRAC SENSOR MHD8,1303.95,1303.95,,,0 CDM,27200000A9,HC SU-GLIDESCOPE COVERS,61.08,61.08,,,0 CDM,27200000B1,HC SU-GLIDESCOPE COVERS,61.08,61.08,,,0 CDM,27200000B2,HC SU-INTRODUCER FROVA INTUBATING,460.495,460.495,,,0 CDM,27200000B3,HC SU-KIT TB089T I-FLOW CONT CATHETER 3.5,164.17,164.17,,,0 CDM,27200000B4,HC SU-KIT TB089T I-FLOW CONT. CATHETER 3.5,164.17,164.17,,,0 CDM,27200000B5,HC SU-KIT TB127T I-FLOW CONT CATHETER 5.0,164.17,164.17,,,0 CDM,27200000B6,HC SU-KIT TB127T I-FLOW CONT. CATHETER 5.0,164.17,164.17,,,0 CDM,27200000B7,HC SU-KIT TRIFUR SAFE 3 TRAN,192.47,192.47,,,0 CDM,27200000B8,HC LMA FASTRACH SZ 3-5,241.05,241.05,,,0 CDM,27200000C3,HC SU-MASK LMA AMBU-ALL SIZES,52.41,52.41,,,0 CDM,27200000C6,HC SU-NEEDLE CSE 17G X 6IN 25G X 190,152.65,152.65,,,0 CDM,27200000C8,HC SU-PUMP VAC PER DAY,332.47,332.47,,,0 CDM,27200000D1,HC SU-SEALGUARD TUBES,94.51,94.51,,,0 CDM,27200000D2,HC SU-SET VENTRICULOSTOMY DRAINAGE,1593.22,1593.22,,,0 CDM,27200000D3,HC SU-SET VENTRICULOSTOMY DRAINAGE,1593.22,1593.22,,,0 CDM,27200000D4,HC SU-SETS ENDOBRACHIAL BLOCKER 9,790.385,790.385,,,0 CDM,27200000D6,HC SU-SONOSITE NEEDLE GUIDE KIT,104.74,104.74,,,0 CDM,27200000D7,HC SU-SONOSITE NEEDLE GUIDE KIT,104.74,104.74,,,0 CDM,27200000D8,HC SU-TRANSDUCER BIFURCATED KIT,154.26,154.26,,,0 CDM,27200000D9,HC TRANSDUCER SAFESET W/2PORT,154.26,154.26,,,0 CDM,27200000F1,HC SU-TRAY SONOPLEX 22G X 2,164.17,164.17,,,0 CDM,27200000F2,HC SU-TRAY SONOPLEX 22G X 2,164.17,164.17,,,0 CDM,27200000F3,HC SU-TRAY THORACENTESIS,154.39,154.39,,,0 CDM,27200000F4,HC SU-TUBE BRONCH CATH 41 FR. RT,283.04,283.04,,,0 CDM,27200000F5,HC SU-TUBE BRONCHIO CATH LEFT 37F,283.045,283.045,,,0 CDM,27200000F6,HC SU-TUBE BRONCHIO CATH LEFT 39F,283.045,283.045,,,0 CDM,27200000F7,HC SU-TUBE ENDOBRONCHIAL LEFT 35,283.045,283.045,,,0 CDM,27200000F8,HC SU-TUBE ET BRONC CATH RT 35FR,283.04,283.04,,,0 CDM,27200000G1,HC SYSTEM SUCTION DRAINAGE 500ML (ACCORDION DRAINAGE BAG),157.8,157.8,,,0 CDM,27200000G2,HC VIDEOSCOPE 403-001-00 AMBU FLEXIBLE DISP,1157.09,1157.09,,,0 CDM,27200000G6,HC SU EPIDURAL ID ADAPTER & KIT COMPUFLO,318.01,318.01,,,0 CDM,27200000G7,HC SU EPIDURAL CATHCHEK COMPUFLO,275.01,275.01,,,0 CDM,27200000G8,"HC VYAIRE SUPERNO 2VA ET, MEDIUM/LARGE",401.19,401.19,,,0 CDM,27200000G9,HC SU-CATHETER DUAL LUMEN 40CM,561.49,561.49,,,0 CDM,27200000H1,HC SU-CATHETER DUAL LUMEN 70CM,651.33,651.33,,,0 CDM,27200000H2,HC SU D325-6 CONTACT (1X6) PLATINUM STRIP,2898.36,2898.36,,,0 CDM,27200000H3,HC OSTEOCOOL ABLATION GENERATOR FEE,2433.38,2433.38,,,0 CDM,2720000100,HC BINDER ABDOMINAL 12 INCH 72-84,54.88,54.88,,,0 CDM,2720000101,HC DUALCORE BIOPSY SYSTEM W/ COAX 14G 10CM,231.01,231.01,,,0 CDM,2720000102,HC DUALCORE BIOPSY SYSTEM W/ COAX 14G 16CM,231.01,231.01,,,0 CDM,2720000104,HC D217 BALL TIP PROBE 100MM,474.57,474.57,,,0 CDM,2720000105,HC FIBER DUST THULIUM FIBER LASER 1 CASE,4898.18,4898.18,,,0 CDM,2720000106,HC CUSTOM TRACH TUBE,2811.59,2811.59,,,0 CDM,2720000400,HC RESERVOIR VENTRICULAR BUR HOLE(1067532) MEDTRONIC,1418.74,1418.74,,,0 CDM,2720000401,HC KIT LUMBAR CATHETER ACCESSORY (1114008) INTEGRA,1338.55,1338.55,,,0 CDM,2720000G48,HC SU D353 EPIDURAL SPINAL ELECTRODE 3-CONTACT,2753.19,2753.19,,,0 CDM,272A621001,HC IOPLEX IODOPHOR FOAM,100.01,100.01,,,0 CDM,272C175702,HC FLOWTRIEVER SYSTEM,42949.97,42949.97,,,0 CDM,272C176901,HC SU-WIRE GUIDE FIXED CORE .015I,121.21,121.21,,,0 CDM,272C176904,"HC SU-MICROWIRE, TORQ-FLEX",283.04,283.04,,,0 CDM,272C188701,HC CATHETER VERT 7FR,234.24,234.24,,,0 CDM,272C980401,HC SU-PUMP ON-Q C-BLOCK PUMP SINGLE 550ML,597.01,597.01,,,0 CDM,272C980601,HC SU AMBIT PAIN PUMP,959.29,959.29,,,0 CDM,272T210101,HC DONOR BREAST MILK PER ML,0.75,0.75,,,0 CDM,2740000001,HC ACAPELLA DUET,264.7,264.7,,,0 CDM,2740000003,HC SPIROMETER GOSPIRAL PERSONAL,1933.5,1933.5,,,0 CDM,2740000006,HC SU-HW IMPLANT KIT,249812.17,249812.17,,,0 CDM,2740000008,HC SU-VAC CANNISTER W/O GEL,116.26,116.26,,,0 CDM,2740000011,HC WEARABLE ACCESSORY KIT,638.24,638.24,,,0 CDM,274A446701,"HC BELT, STRAP, SLEEVE, GARMENT, OR COVERING, ANY TYPE",1186.78,1186.78,,,0 CDM,274A550001,"HC FOR DIABETICS ONLY, FITTING (INCLUDING FOLLOW-UP), CUSTOM PREPARATE",1186.76,1186.76,,,0 CDM,274A653001,"HC GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MMHG, EACH",1186.76,1186.76,,,0 CDM,274A800001,"HC HELMET, PROTECTIVE, SOFT, PREFABRICATED, INCLUDES ALL COMPONENTS AND ACCESSORIES",1186.76,1186.76,,,0 CDM,274A800101,"HC HELMET, PROTECTIVE, HARD, PREFABRICATED, INCLUDES ALL COMPONENTS AND ACCESSORIES",1186.78,1186.78,,,0 CDM,274A928301,"HC FOOT PRESSURE OFF LOADING/SUPPORTIVE DEVICE, ANY TYPE, EACH",1186.78,1186.78,,,0 CDM,274E019101,"HC HEEL OR ELBOW PROTECTOR, EACH",1186.76,1186.76,,,0 CDM,274L012001,"HC CERVICAL, FLEXIBLE, NON-ADJUSTABLE, PREFABRICATED, OFF-THE-SHELF (FOAM",1186.78,1186.78,,,0 CDM,274L014001,"HC CERVICAL, SEMI-RIGID, ADJUSTABLE (PLASTIC COLLAR)",1186.78,1186.78,,,0 CDM,274L015001,"HC CERVICAL, SEMI-RIGID, ADJUSTABLE MOLDED CHIN CUP (PLASTIC COLLAR WITH MANDIBULAR/OCCIPITAL PIECE)",1186.78,1186.78,,,0 CDM,274L017201,"HC CERVICAL, COLLAR, SEMI-RIGID THERMOPLASTIC FOAM, TWO-PIECE, PREFABRICATED, OFF-THE-SHE",1186.78,1186.78,,,0 CDM,274L017401,"HC CERVICAL, COLLAR, SEMI-RIGID, THERMOPLASTIC FOAM, TWO PIECE WITH TF",1186.78,1186.78,,,0 CDM,274L018001,"HC CERVICAL, MULTIPOST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJUST",1186.76,1186.76,,,0 CDM,274L020001,"HC CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJN",1186.78,1186.78,,,0 CDM,274L022001,"HC THORACIC, RIB BELT, CUSTOM FABRICATED",1186.76,1186.76,,,0 CDM,274L045001,"HC TLSO, FLEXIBLE, TRUNK SUPPORT, UPPER THORACIC REGION, INCLUDES SHOF",1186.76,1186.76,,,0 CDM,274L045601,"HC TLSO, FLEXIBLE, TRUNK SUPPORT, THORACIC REGION, RIGID POSTERIOR PAT",1186.76,1186.76,,,0 CDM,274L045701,"HC TLSO, FLEXIBLE, TRUNK SUPPORT, THORACIC REGION, RIGID POSTERIOR PAF",1186.78,1186.78,,,0 CDM,274L046001,"HC TLSO, TRIPLANAR CONTROL, MODULAR SEGMENTED SPINAL SYSTEM, TWO RIGI",1186.76,1186.76,,,0 CDM,274L046401,"HC TLSO, TRIPLANAR CONTROL, MODULAR SEGMENTED SPINAL SYSTEM, FOUR RIGT",1186.78,1186.78,,,0 CDM,274L047201,"HC TLSO, TRIPLANAR CONTROL, HYPEREXTENSION, RIGID ANTERIOR AND LATERAT",1186.78,1186.78,,,0 CDM,274L048601,"HC TLSO, TRIPLANAR CONTROL, TWO PIECE RIGID PLASTIC SHELL WITH INTERFD",1186.78,1186.78,,,0 CDM,274L062101,"HC SACROILIAC ORTHOSIS, FLEXIBLE, PROVIDES PELVIC-SACRAL SUPPORT, REDF",1186.76,1186.76,,,0 CDM,274L062701,"HC LUMBAR ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIT",1186.76,1186.76,,,0 CDM,274L062801,"HC LUMBAR-SACRAL ORTHOSIS, FLEXIBLE, PROVIDES LUMBO-SACRAL SUPPORT, MF",1186.78,1186.78,,,0 CDM,274L063701,"HC LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, WITH RIGID ANTER",1186.78,1186.78,,,0 CDM,274L064001,"HC LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, RIGID SHELL(S)/PD",1186.76,1186.76,,,0 CDM,274L064201,"HC LUMBAR ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIF",1186.76,1186.76,,,0 CDM,274L065001,"HC LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, WITH RIGID ANTERF",1186.78,1186.78,,,0 CDM,274L081001,"HC HALO PROCEDURE, CERVICAL HALO INCORPORATED INTO JACKET VEST",1186.78,1186.78,,,0 CDM,274L085901,"HC ADDITION TO HALO PROCEDURE, MAGNETIC RESONANCE IMAGE COMPATIBLE SYL",1186.78,1186.78,,,0 CDM,274L086101,"HC ADDITION TO HALO PROCEDURE, REPLACEMENT LINER/INTERFACE MATERIAL",1186.78,1186.78,,,0 CDM,274L099901,"HC ADDITION TO SPINAL ORTHOSIS, NOT OTHERWISE SPECIFIED",1186.78,1186.78,,,0 CDM,274L100101,"HC CERVICAL THORACIC LUMBAR SACRAL ORTHOSIS, IMMOBILIZER, INFANT SIZET",1186.76,1186.76,,,0 CDM,274L149901,"HC SPINAL ORTHOSIS, NOT OTHERWISE SPECIFIED",1186.76,1186.76,,,0 CDM,274L162001,"HC HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINTS, FLEXIBLE, (PAVLIK HE",1186.76,1186.76,,,0 CDM,274L168501,"HC HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINT, POSTOPERATIVE HIP ABDUCTION TYPE, CUSTOM FABRICATED",1186.76,1186.76,,,0 CDM,274L168601,"HC HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINT, POSTOPERATIVE HIP ABT",1186.76,1186.76,,,0 CDM,274L182001,"HC KNEE ORTHOSIS, ELASTIC WITH CONDYLAR PADS AND JOINTS, WITH OR WITHT",1186.78,1186.78,,,0 CDM,274L183001,"HC KNEE ORTHOSIS, IMMOBILIZER, CANVAS LONGITUDINAL, PREFABRICATED, OFF-THE-SHELF",1186.78,1186.78,,,0 CDM,274L183201,"HC KNEE ORTHOSIS, ADJUSTABLE KNEE JOINTS (UNICENTRIC OR POLYCENTRIC),T",1186.78,1186.78,,,0 CDM,274L183301,"HC KNEE ORTHOSIS, ADJUSTABLE KNEE JOINTS (UNICENTRIC OR POLYCENTRIC),F",1186.78,1186.78,,,0 CDM,274L183601,"HC KNEE ORTHOSIS, RIGID, WITHOUT JOINT(S), INCLUDES SOFT INTERFACE MAF",1186.78,1186.78,,,0 CDM,274L185001,"HC KNEE ORTHOSIS (KO), SWEDISH TYPE, PREFABRICATED",1109.11,1109.11,,,0 CDM,274L185101,"HC PREF, OFF-THE-SHELF, KNEE ORTHOSIS (KO), SINGLE UPRIGHT, THIGH ANDT",1109.11,1109.11,,,0 CDM,274L190201,"HC ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, PREFABRICATED, OFF-THE-SHELF",1186.76,1186.76,,,0 CDM,274L193001,"HC ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",1186.76,1186.76,,,0 CDM,274L193201,"HC ANKLE FOOT ORTHOTIC(AFO)RIGID ANTERIOR TIBIAL SECTION, TOTAL CARBOT",1186.78,1186.78,,,0 CDM,274L194001,"HC ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, CUSTOM FABRICATED",1186.76,1186.76,,,0 CDM,274L194501,"HC ANKLE FOOT ORTHOSIS, PLASTIC, RIGID ANTERIOR TIBIAL SECTION (FLOOR REACTION), CUSTOM FABRICATED",1186.76,1186.76,,,0 CDM,274L195001,"HC CUSTOM, ANKLE FOOT ORTHOSIS, SPIRAL, PLASTIC",1186.76,1186.76,,,0 CDM,274L196001,"HC ANKLE FOOT ORTHOSIS, POSTERIOR SOLID ANKLE, PLASTIC, CUSTOM FABRICATED",1186.76,1186.76,,,0 CDM,274L197001,"HC ANKLE FOOT ORTHOSIS, PLASTIC WITH ANKLE JOINT, CUSTOM FABRICATED",1186.78,1186.78,,,0 CDM,274L213601,HC KAFO FEMORAL FX CAST RIGID,1109.13,1109.13,,,0 CDM,274L220001,"HC ADDITION TO LOWER EXTREMITY, LIMITED ANKLE MOTION, EACH JOINT",1186.78,1186.78,,,0 CDM,274L222001,HC DORSI & PLANTAR FLEX ASS/RES,1186.78,1186.78,,,0 CDM,274L227001,"HC ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION ('T') STRAP, PADDED/LINED OR MALLEOLUS PAD",1186.76,1186.76,,,0 CDM,274L227501,"HC ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION, PLASTIC MODIFICATION, PADDED/LINED",1186.78,1186.78,,,0 CDM,274L237501,"HC ADDITION TO LOWER EXTREMITY, TORSION CONTROL, ANKLE JOINT AND HALF SOLID STIRRUP",1186.76,1186.76,,,0 CDM,274L238001,"HC ADDITION TO LOWER EXTREMITY, TORSION CONTROL, STRAIGHT KNEE JOINT, EACH JOINT",1186.76,1186.76,,,0 CDM,274L253001,"HC ADDITION TO LOWER EXTREMITY, THIGH-WEIGHT BEARING, LACER, NON-MOLDED",1186.76,1186.76,,,0 CDM,274L254001,"HC ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, LACER, MOLDED TO PATIENT MODEL",1186.76,1186.76,,,0 CDM,274L261001,"HC ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, CLEVIS OR THRUST BEARING, LOCK, EACH",1186.76,1186.76,,,0 CDM,274L262401,"HC ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, ADJUSTABLEH",1186.78,1186.78,,,0 CDM,274L282001,"HC ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, BELOW KNEE SECTION",1186.76,1186.76,,,0 CDM,274L283001,"HC ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, ABOVE KNEE SECTION",1186.76,1186.76,,,0 CDM,274L299901,"HC LOWER EXTREMITY ORTHOSES, NOT OTHERWISE SPECIFIED",1186.76,1186.76,,,0 CDM,274L321901,"ORTHOPEDIC FOOTWEAR, MENS SHOE, OXFORD, EACH",1109.11,1109.11,,,0 CDM,274L322101,"HC ORTHOPEDIC FOOTWEAR, MENS SHOE, DEPTH INLAY, EACH",1186.76,1186.76,,,0 CDM,274L325301,"HC FOOT, MOLDED SHOE PLASTAZOTE (OR SIMILAR) CUSTOM FITTED, EACH",1186.76,1186.76,,,0 CDM,274L326002,"HC SURGICAL BOOT/SHOE, EACH",1186.78,1186.78,,,0 CDM,274L326501,"HC PLASTAZOTE SANDAL, EACH",1186.78,1186.78,,,0 CDM,274L331001,"HC LIFT, ELEVATION, HEEL AND SOLE, NEOPRENE, PER INCH",1186.78,1186.78,,,0 CDM,274L333201,"HC LIFT, ELEVATION, INSIDE SHOE, TAPERED, UP TO ONE-HALF INCH",1186.76,1186.76,,,0 CDM,274L348501,"HC HEEL, PAD, REMOVABLE FOR SPUR",1186.76,1186.76,,,0 CDM,274L363001,"HC TRANSFER OF AN ORTHOSIS FROM ONE SHOE TO ANOTHER, SOLID STIRRUP, NEW",1186.76,1186.76,,,0 CDM,274L365001,"HC SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, PREFABRICATED, OFF-THE-SHELF",1186.78,1186.78,,,0 CDM,274L367001,"HC SHOULDER ORTHOSIS, ACROMIO/CLAVICULAR (CANVAS AND WEBBING TYPE), PREFABRICATED, OFF-THE-SHELF",1186.78,1186.78,,,0 CDM,274L370201,HC EO W/O JOINTS CF,421.48,421.48,,,0 CDM,274L373001,"HC CUSTOM FAB ELBOW ORTHOSIS, DOUBLE UPRIGHT WITH FOREARM/ARM CUFFS, EXTENSION/ FLEXION ASSIST",1109.11,1109.11,,,0 CDM,274L374001,HC CUFFS ADJ LOCK W/ ACTIVE CON,1705.57,1705.57,,,0 CDM,274L376001,"HC ELBOW ORTHOSIS, WITH ADJUSTABLE POSITION LOCKING JOINTS, PREFABRICE",1186.78,1186.78,,,0 CDM,274L376002,HC EO WITH JNT PREFABRICATED,974.45,974.45,,,0 CDM,274L376301,HC EWHO RIGID WO JNTS CF,1092.25,1092.25,,,0 CDM,274L376401,HC EWHO W JOINTS CF,1143.06,1143.06,,,0 CDM,274L376501,HC EWHFO RIGID WO JNTS CF,1908.97,1908.97,,,0 CDM,274L380602,HC WHFO W JOINTS CUSTOM FAB,662.98,662.98,,,0 CDM,274L380603,"HC WRIST HAND FINGER ORTHOSIS, INCLUDES ONE OR MORE NONTORSION JOINTST",1186.76,1186.76,,,0 CDM,274L380702,HC WHFO WO JOINTS PRE CST,871.42,871.42,,,0 CDM,274L380703,"HC WRIST HAND FINGER ORTHOSIS, WITHOUT JOINTS, PREFABRICATED ITEM THAE",1186.78,1186.78,,,0 CDM,274L380802,HC WHFO RIGID WO JOINTS CF,519.91,519.91,,,0 CDM,274L380902,HC WHFO WO JOINTS PRE OTS,364.94,364.94,,,0 CDM,274L380903,"HC WRIST HAND FINGER ORTHOSIS, WITHOUT JOINT(S), PREFABRICATED, OFF-THE-SHELF, ANY TYPE",1186.78,1186.78,,,0 CDM,274L390001,HC HINGE EXT FLEX WRIST FIN CF,2425.8,2425.8,,,0 CDM,274L390101,HC HINGE EXT FLEX WRST FNGR CF,3401.7,3401.7,,,0 CDM,274L390501,HC WHO W NONTORSION JNTS CF,1447.42,1447.42,,,0 CDM,274L390602,HC WHO WO JOINTS CF,739.67,739.67,,,0 CDM,274L390802,HC WHO COCKUP NONMOLDE OTS,107.02,107.02,,,0 CDM,274L390803,"HC WRIST HAND ORTHOSIS, WRIST EXTENSION CONTROL COCK-UP, NON MOLDED, PREFABRICATED, OFF-THE-SHELF",1186.78,1186.78,,,0 CDM,274L391201,"HC HAND FINGER ORTHOSIS HFO, FLEXION GLOVE WITH ELASTIC FINGER CONTROF",1186.76,1186.76,,,0 CDM,274L391301,HC HFO WO JOINTS CF,395.28,395.28,,,0 CDM,274L391901,HC HO WO JOINTS CF,395.28,395.28,,,0 CDM,274L392101,HC HFO W JOINTS CF,468.85,468.85,,,0 CDM,274L392301,HC HFO WITHOUT JOINTS PRE CST,154.78,154.78,,,0 CDM,274L392401,HC HFO WITHOUT JOINTS OTS,336.63,336.63,,,0 CDM,274L392501,HC FO PIP DIP JNT SPRNG PRE OTS,95.88,95.88,,,0 CDM,274L393101,"HC WRIST HAND FINGER ORTHOSIS, INCLUDES ONE OR MORE NONTORSION JOINTST",1186.76,1186.76,,,0 CDM,274L393301,HC FO WO JOINTS CF,311.42,311.42,,,0 CDM,274L396001,"HC SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANT",1186.76,1186.76,,,0 CDM,274L396701,"HC SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING (AIRPLANT",1186.76,1186.76,,,0 CDM,274L398001,"HC UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",1186.78,1186.78,,,0 CDM,274L398201,"HC UPPER EXTREMITY FRACTURE ORTHOSIS, RADIUS/ULNAR, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",1186.76,1186.76,,,0 CDM,274L398401,"HC UPPER EXTREMITY FRACTURE ORTHOSIS, WRIST, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",1186.78,1186.78,,,0 CDM,274L399901,"HC UPPER LIMB ORTHOSIS, NOT OTHERWISE SPECIFIED",1186.76,1186.76,,,0 CDM,274L400201,"HC REPLACEMENT STRAP, ANY ORTHOSIS, INCLUDES ALL COMPONENTS, ANY LENGTH, ANY TYPE",1186.76,1186.76,,,0 CDM,274L420501,"HC REPAIR OF ORTHOTIC DEVICE, LABOR COMPONENT, PER 15 MINUTES",1186.76,1186.76,,,0 CDM,274L421001,"HC REPAIR OF ORTHOTIC DEVICE, REPAIR OR REPLACE MINOR PARTS",1186.76,1186.76,,,0 CDM,274L435001,"HC ANKLE CONTROL ORTHOSIS, STIRRUP STYLE, RIGID, INCLUDES ANY TYPE INF",1186.78,1186.78,,,0 CDM,274L436002,"HC WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WIT",1186.78,1186.78,,,0 CDM,274L436101,"HC WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITF",1186.78,1186.78,,,0 CDM,274L438601,"HC WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHO",1186.78,1186.78,,,0 CDM,274L438701,"HC WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOF",1186.78,1186.78,,,0 CDM,274L439601,"HC STATIC OR DYNAMIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MA",1186.78,1186.78,,,0 CDM,274L439701,"HC STATIC OR DYNAMIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MAF",1186.78,1186.78,,,0 CDM,274L439801,"HC FOOT DROP SPLINT, RECUMBENT POSITIONING DEVICE, PREFABRICATED, OFF-THE-SHELF",1186.78,1186.78,,,0 CDM,274L463101,"HC ANKLE FOOT ORTHOSIS, WALKING BOOT TYPE, VARUS/VALGUS CORRECTION, RD",1186.76,1186.76,,,0 CDM,274L545001,HC BELOW KNEE POST SURGICAL APPLICAT NON-WEIGHT BEARING RIGID DRESSING,1186.78,1186.78,,,0 CDM,274L546001,HC ABOVE KNEE POST SURGICAL APPLICAT NON-WEIGHT BEARING RIGID DRESSING,1186.78,1186.78,,,0 CDM,274L553001,"HC PREPARATORY, BELOW KNEE 'PTB' TYPE SOCKET, NON-ALIGNABLE SYSTEM, PL",1186.76,1186.76,,,0 CDM,274L563701,"HC ADDITION TO LOWER EXTREMITY, BELOW KNEE, TOTAL CONTACT",1186.76,1186.76,,,0 CDM,274L564401,"HC ADDITION TO LOWER EXTREMITY, ABOVE KNEE, WOOD SOCKET",1186.76,1186.76,,,0 CDM,274L566801,"HC ADDITION TO LOWER EXTREMITY, BELOW KNEE, MOLDED DISTAL CUSHION",1186.76,1186.76,,,0 CDM,274L567901,"HC ADDITION TO LOWER EXTREMITY, BELOW KNEE/ABOVE KNEE, CUSTOM FABRICAM",1186.76,1186.76,,,0 CDM,274L568501,"HC ADDITION TO LOWER EXTREMITY PROSTHESIS, BELOW KNEE, SUSPENSION/SEAH",1186.76,1186.76,,,0 CDM,274L568801,"HC ADDITION TO LOWER EXTREMITY, BELOW KNEE, WAIST BELT, WEBBING",1186.78,1186.78,,,0 CDM,274L569201,"HC ADDITION TO LOWER EXTREMITY, ABOVE KNEE, PELVIC CONTROL BELT, LIGHT",1109.13,1109.13,,,0 CDM,274L591001,"HC ADDITION, ENDOSKELETAL SYSTEM, BELOW KNEE, ALIGNABLE SYSTEM",1186.76,1186.76,,,0 CDM,274L599901,"HC LOWER EXTREMITY PROSTHESIS, NOT OTHERWISE SPECIFIED",1186.78,1186.78,,,0 CDM,274L638801,"HC IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF RIGID DRESSING ONLY",1186.76,1186.76,,,0 CDM,274L840001,"HC PROSTHETIC SHEATH, BELOW KNEE, EACH",1186.76,1186.76,,,0 CDM,274L842001,"HC PROSTHETIC SOCK, MULTIPLE PLY, BELOW KNEE, EACH",1186.78,1186.78,,,0 CDM,274L843001,"HC PROSTHETIC SOCK, MULTIPLE PLY, ABOVE KNEE, EACH",1186.78,1186.78,,,0 CDM,274L843501,"HC PROSTHETIC SOCK, MULTIPLE PLY, UPPER LIMB, EACH",1186.76,1186.76,,,0 CDM,274L844001,"HC PROSTHETIC SHRINKER, BELOW KNEE, EACH",1186.78,1186.78,,,0 CDM,274L846001,"HC PROSTHETIC SHRINKER, ABOVE KNEE, EACH",1186.78,1186.78,,,0 CDM,274L846501,"HC PROSTHETIC SHRINKER, UPPER LIMB, EACH",1186.76,1186.76,,,0 CDM,274L847001,"HC PROSTHETIC SOCK, SINGLE PLY, FITTING, BELOW KNEE, EACH",1186.78,1186.78,,,0 CDM,274L848001,"HC PROSTHETIC SOCK, SINGLE PLY, FITTING, ABOVE KNEE, EACH",1186.76,1186.76,,,0 CDM,274L848501,"HC PROSTHETIC SOCK, SINGLE PLY, FITTING, UPPER LIMB, EACH",1186.76,1186.76,,,0 CDM,274L850901,HC INHEALTH ADVANTAGE SOFT 16FR 10MM,1751.85,1751.85,,,0 CDM,274L850902,HC INHEALTH ADVANTAGE SOFT 16FR 12MM,1751.85,1751.85,,,0 CDM,274L850903,HC INHEALTH ADVANTAGE SOFT 16FR 14MM,1751.85,1751.85,,,0 CDM,274L850904,HC INHEALTH ADVANTAGE SOFT 16FR 4MM,1751.85,1751.85,,,0 CDM,274L850905,HC INHEALTH ADVANTAGE SOFT 16FR 6MM,1751.85,1751.85,,,0 CDM,274L850906,HC INHEALTH ADVANTAGE SOFT 16FR 8MM,1751.85,1751.85,,,0 CDM,274L850907,HC INHEALTH ADVANTAGE SOFT 20FR 10MM,1751.85,1751.85,,,0 CDM,274L850908,HC INHEALTH ADVANTAGE SOFT 20FR 12MM,1751.85,1751.85,,,0 CDM,274L850909,HC INHEALTH ADVANTAGE SOFT 20FR 14MM,1751.85,1751.85,,,0 CDM,274L850910,HC INHEALTH ADVANTAGE SOFT 20FR 4MM,1751.85,1751.85,,,0 CDM,274L850911,HC INHEALTH ADVANTAGE SOFT 20FR 6MM,1751.85,1751.85,,,0 CDM,274L850912,HC INHEALTH ADVANTAGE SOFT 20FR 8MM,1751.85,1751.85,,,0 CDM,274L850913,HC INHEALTH CLASSIC INDW 16FR 10MM,1145.44,1145.44,,,0 CDM,274L850914,HC INHEALTH CLASSIC INDW 16FR 12MM,1145.44,1145.44,,,0 CDM,274L850915,HC INHEALTH CLASSIC INDW 16FR 14MM,1145.44,1145.44,,,0 CDM,274L850916,HC INHEALTH CLASSIC INDW 16FR 16MM,1145.44,1145.44,,,0 CDM,274L850917,HC INHEALTH CLASSIC INDW 16FR 4MM,1145.44,1145.44,,,0 CDM,274L850918,HC INHEALTH CLASSIC INDW 16FR 6MM,1145.46,1145.46,,,0 CDM,274L850919,HC INHEALTH CLASSIC INDW 16FR 8MM,1145.46,1145.46,,,0 CDM,274L850920,HC INHEALTH CLASSIC INDW 20FR 10MM,1145.44,1145.44,,,0 CDM,274L850921,HC INHEALTH CLASSIC INDW 20FR 12MM,1145.44,1145.44,,,0 CDM,274L850922,HC INHEALTH CLASSIC INDW 20FR 14MM,1145.44,1145.44,,,0 CDM,274L850923,HC INHEALTH CLASSIC INDW 20FR 16MM,1145.44,1145.44,,,0 CDM,274L850924,HC INHEALTH CLASSIC INDW 20FR 4MM,1145.44,1145.44,,,0 CDM,274L850925,HC INHEALTH CLASSIC INDW 20FR 6MM,1145.44,1145.44,,,0 CDM,274L850926,HC INHEALTH CLASSIC INDW 20FR 8MM,1145.44,1145.44,,,0 CDM,274L850928,HC TRACH-ESOPH VOICE PROS MD IN,6605.55,6605.55,,,0 CDM,274L850933,HC INHEALTH DUALVALVE NS 20FR 6MM,2106.0,2106.0,,,0 CDM,274Q047801,HC SU-HW CONTROLLER AC ADAPTER 1430US,5005.8,5005.8,,,0 CDM,274Q047802,HC SU-HM POWER MODULE DC INPUT,903.42,903.42,,,0 CDM,274Q047901,HC SU-HM POWER MODULE,20827.58,20827.58,,,0 CDM,274Q047902,HC HM MOBILE POWER UNIT 107754,31229.6,31229.6,,,0 CDM,274Q048101,HC SU-HM3 SYSTEM CONTROLLER,21470.35,21470.35,,,0 CDM,274Q048102,HC SU-HM POCKET CONTROLLER,16742.18,16742.18,,,0 CDM,274Q048103,HC SU-HMII SYSTEM CONTROLLER 106762,21362.72,21362.72,,,0 CDM,274Q048104,HC SU-HW CONTROLLER KIT,21213.59,21213.59,,,0 CDM,274Q048106,HC SU HW CONTROLLER 1420,22934.24,22934.24,,,0 CDM,274Q048301,HC SU-HM DISPLAY MODULE,9470.31,9470.31,,,0 CDM,274Q048501,HC SU-HM2 POWER MOD PAT CABLE,4227.89,4227.89,,,0 CDM,274Q048502,HC SU-HM3 MODULAR CABLE 106525US,21362.72,21362.72,,,0 CDM,274Q048901,HC SU-HW BATTERY CHARGER 1600US,23812.57,23812.57,,,0 CDM,274Q049501,HC SU-HM BATTERY CHARGER 1440,25295.98,25295.98,,,0 CDM,274Q049701,HC SU-HM 14 VOLT BATTERY CLIP 2865,4955.74,4955.74,,,0 CDM,274Q049801,HC SU-HM GOGEAR VEST 104231,1903.07,1903.07,,,0 CDM,274Q049802,HC SU-HW PATIENT PACK 1475,2271.92,2271.92,,,0 CDM,274Q049803,HC SU-HW SHOULDER PACK 2060US,2405.57,2405.57,,,0 CDM,274Q049805,HC SU- HM HOLSTER VEST 104226,1903.07,1903.07,,,0 CDM,274Q049806,HC SU-HM BATTERY HOLSTER,2112.02,2112.02,,,0 CDM,274Q049901,HC HM CONSOLIDATION BAG BLACK,1301.72,1301.72,,,0 CDM,274Q049902,HC SU HM CONSOLIDATION BAG LEFT 106449,1480.76,1480.76,,,0 CDM,274Q049903,HC SU HM CONSOLIDATION BAG RIGHT 104233,1480.76,1480.76,,,0 CDM,274Q049904,HC SU-HW WAIST PACK 2050US,2271.92,2271.92,,,0 CDM,274Q050101,HC SU-HM SHOWER BAG,1802.4,1802.4,,,0 CDM,274Q050102,SU HC HW SHOWER BAG 2000US,1603.71,1603.71,,,0 CDM,274Q050601,HC HM BATTERY 11V BACKUP PCTRL 106128,2405.57,2405.57,,,0 CDM,274Q050602,HC SU-HM 14 VOLT LI-ION BATTERY 2465,2815.76,2815.76,,,0 CDM,274Q050603,HC SU-HW BATTERY 1650DE,3754.35,3754.35,,,0 CDM,274Q050801,HC SU HM GOGEAR ACCESSORY KIT 106129,817.89,817.89,,,0 CDM,274Q050802,HC SU-DAILY VAD DRIVELINE MGT SYSTEM,138.7,138.7,,,0 CDM,274Q050803,HC SU-HM SC BATTERY MODULES,1179.34,1179.34,,,0 CDM,274Q050804,HC SU-HM STABILIZATION BELT,504.38,504.38,,,0 CDM,274Q050805,HC SU-HM TRAVEL CASE 1260,769.78,769.78,,,0 CDM,274Q050806,HC SU-HW CONTROLLER DC ADAPTER 1440,8631.4,8631.4,,,0 CDM,274Q050807,HC SU-HW TRAVEL BAG,285.04,285.04,,,0 CDM,274Q050808,HC SU-WEEKLEY VAD DRIVELINE MGT SYSTEM,158.3,158.3,,,0 CDM,274Q050810,HC SU HW ALARM ADAPTER 1450,1470.07,1470.07,,,0 CDM,274Q050901,HC MIS SUP/AC IMP VAD NOPAY MED PART A,158.3,158.3,,,0 CDM,274S104001,"HC CRANIAL REMOLDING ORTHOSIS, PEDIATRIC, RIGID, WITH SOFT INTERFACE",1186.76,1186.76,,,0 CDM,2780000002,HC PLUG B004-0155 STRYKER OSTEONICS SIZE 4,283.04,283.04,,,0 CDM,2780000008,HC SHUNT BG-103-250 BAERVELDT GLAUCOMA 250X,2976.4,2976.4,,,0 CDM,2780000009,HC SHUNT BG-103-250 BAERVELDT GLAUCOMA 250X,2976.4,2976.4,,,0 CDM,2780000010,HC SU-BLOCKER BRONCH 9FR ADULT,814.115,814.115,,,0 CDM,2780000011,HC SU-KIT TBT01089T I-FLOW CONT. STIMUCATH,322.81,322.81,,,0 CDM,2780000012,HC SU-KIT TBT01089T I-FLOW CONT STIMUCATH,322.81,322.81,,,0 CDM,2780000013,HC SU-KIT TBT01127T I-FLOW CONT STIMUCATH,322.81,322.81,,,0 CDM,2780000014,HC SU-KIT TBT01127T I-FLOW CONT. STIMUCATH,322.81,322.81,,,0 CDM,2781511001,HC EPIDERMAL AUTOGRAF TR/ARM/LG 1ST 100SQCM,3396.43,3396.43,,,0 CDM,2781511101,HC EPIDERMAL AUTGRFT ADDTL 100SQCM,1.09,1.09,,,0 CDM,278A464801,HC SU-GOLD FIDUCIAL MARKERS,72.2,72.2,,,0 CDM,278C171701,HC SU-IRIDIUM 192 SEED,527.1,527.1,,,0 CDM,278C175109,HC SU-CATHETER 4.0FR PIC VENOUS,504.38,504.38,,,0 CDM,278C175110,HC SU-CATHETER PIC 5.0FR,327.59,327.59,,,0 CDM,278C175111,HC SU-CATHETER TRIPLE LUMEN 7FR INFUSION,177.97,177.97,,,0 CDM,278C175112,HC SU-CATHETER TRIPLE LUMEN 7FR INFUSION,177.97,177.97,,,0 CDM,278C188901,HC SPACEOAR HYDROGEL,10128.83,10128.83,,,0 CDM,278C263801,HC SU-IODINE 125 SEED,176.14,176.14,,,0 CDM,278C263901,HC SU- EYEPLAQ HIGH NONSTRAND,402.88,402.88,,,0 CDM,278C263902,HC SU-IODINE 125 NONSTRANDED SEED,166.51,166.51,,,0 CDM,278C264001,HC SU-PALLADIUM 103 SEED,231.49,231.49,,,0 CDM,278C264101,HC SU-PALLADIUM 103 NONSTRANDED,231.49,231.49,,,0 CDM,278Q410102,HC APLIGRAFT PER SQ CM,112.39,112.39,,,0 CDM,3000000002,HC LAB MI NEWBORN BLOOD SCREENING,236.0,236.0,,,0 CDM,3000000004,HC RES EXTRACTION PRO,34.0,34.0,,,0 CDM,3000000005,HC RES EXTRACTION RETRO,34.0,34.0,,,0 CDM,3000000006,HC RES HEM NGS PANEL,369.0,369.0,,,0 CDM,3000000007,HC RES KNOWN MUTATION,108.0,108.0,,,0 CDM,3000000008,HC RESEARCH CA HOT SPOT V2,841.0,841.0,,,0 CDM,3000000009,HC RESEARCH COMP CA PANEL,1942.0,1942.0,,,0 CDM,3000000010,HC RESEARCH INHER DIS PANEL,363.0,363.0,,,0 CDM,3003641501,HC VENIPUNCTURE,18.0,18.0,,,0 CDM,3003641601,HC COLLECT CAP BLD SPEC,48.0,48.0,,,0 CDM,3003660001,HC ARTERIAL PUNCTURE,156.0,156.0,,,0 CDM,3008004803,HC POC BASIC METABOLIC PANEL,36.0,36.0,,,0 CDM,3008017101,HC GABAPENTIN LEVEL,40.0,40.0,,,0 CDM,3008032104,HC PHOSPHATIDYLETHANOL (PETH) DRUG SCREEN QUANT,133.0,133.0,,,0 CDM,3008035701,HC DRUG SCREENING KETAMINE AND NORKETAMINE,286.0,286.0,,,0 CDM,3008037201,HC TAPENTADOL CONF,65.0,65.0,,,0 CDM,3008119401,HC NTRK GENE FUSION ANALYSIS,1535.0,1535.0,,,0 CDM,3008121001,HC BRAF LUNG PANEL,333.0,333.0,,,0 CDM,3008121802,HC LAB CEBPA MUTATION ANALYSIS,538.0,538.0,,,0 CDM,3008123501,HC EGFR LUNG PANEL,479.0,479.0,,,0 CDM,3008124502,HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS,490.0,490.0,,,0 CDM,3008124602,HC FLT3 GENE ANALYSIS TYROSINE KINASE DOMAIN VARIANTS,246.0,246.0,,,0 CDM,3008127201,HC LAB KIT MUTATION ANALYSIS,945.0,945.0,,,0 CDM,3008127501,HC KRAS LUNG PANEL,366.0,366.0,,,0 CDM,3008127702,HC CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS ACGH,2688.0,2688.0,,,0 CDM,3008127703,HC CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSI TECH ONLY,1210.0,1210.0,,,0 CDM,3008127704,HC CMA HEMATOLOGIC DISORDERS,2581.0,2581.0,,,0 CDM,3008127705,HC CMA HEMATOLOGIC DISORDERS-TECH ONLY,632.0,632.0,,,0 CDM,3008127901,JAK2 TARGETED SEQUENCE ANALYSIS EXONS 12/13,673.0,673.0,,,0 CDM,3008128701,HC MGMT GENE ANALYSIS,548.0,548.0,,,0 CDM,3008130501,HC MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT,775.0,775.0,,,0 CDM,3008131001,HC LAB NPM1 MUTATION ANALYSIS,563.0,563.0,,,0 CDM,3008131101,HC NRAS,622.0,622.0,,,0 CDM,3008131401,HC PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS,495.0,495.0,,,0 CDM,3008133801,HC MPL GENE COMMON VARIANTS,621.0,621.0,,,0 CDM,3008137500,HC HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1,552.0,552.0,,,0 CDM,3008138302,HC HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP,273.0,273.0,,,0 CDM,3008140302,HC IDH1 OR IDH2 GENE ANALYSIS,422.0,422.0,,,0 CDM,3008140303,HC MOLECULAR PATH LEVEL 4 DNA SEQ ANALYSIS,579.0,579.0,,,0 CDM,3008140304,HC KIR GENOTYPING,314.0,314.0,,,0 CDM,3008140306,HC MPL GENE ANALYSIS,535.0,535.0,,,0 CDM,3008140501,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 TP53,642.0,642.0,,,0 CDM,3008142001,HC FETAL CHRMOML ANEUPLOIDY,571.0,571.0,,,0 CDM,3008142201,HC FETAL CHRMOML MICRODELTJ,1205.0,1205.0,,,0 CDM,3008145501,HC GENE SOLID TUMOR ANALYSIS,3523.0,3523.0,,,0 CDM,3008145601,HC SARCOMA GENOMIC SEQ PANEL,4198.0,4198.0,,,0 CDM,3008147910,HC MOLECULAR POLE GENE MUTATION ANALYSIS,698.0,698.0,,,0 CDM,3008147911,HC MOLECULAR CXCR4 MUTATION ANALYSIS,519.0,519.0,,,0 CDM,3008213901,HC AMINO ACIDS QUANTITATIVE 6 OR MORE,35.0,35.0,,,0 CDM,3008256501,HC LAB CREATININE SERUM,25.0,25.0,,,0 CDM,3008352020,HC IMMUNOASSAY ANALYTE QUANTITATIVE NGAL,35.0,35.0,,,0 CDM,3008501803,HC POC HEMOGLOBIN,16.0,16.0,,,0 CDM,3008561003,HC POC COAGUCHEK INR,21.0,21.0,,,0 CDM,3008658002,HC TB TESTING,108.0,108.0,,,0 CDM,3008659201,HC IDM STS MI BLOOD,13.0,13.0,,,0 CDM,3008664401,HC IDM ANTI CMV MI BLOOD,49.0,49.0,,,0 CDM,3008668701,HC IDM ANTI HTLV I MI BLOOD,12.0,12.0,,,0 CDM,3008668801,HC IDM ANTI HTLV II MI BLOOD,47.0,47.0,,,0 CDM,3008670301,HC IDM ANTI HIV MI BLOOD,47.0,47.0,,,0 CDM,3008670401,HC IDM ANTI HBC MI BLOOD,41.0,41.0,,,0 CDM,3008670601,HC IDM HBSAG MI BLOOD,36.0,36.0,,,0 CDM,3008675304,HC IDM CHAGAS MI BLOOD,42.0,42.0,,,0 CDM,3008680301,HC IDM ANTI HCV MI BLOOD,48.0,48.0,,,0 CDM,3008685002,HC IDM ANTIBODY SCREEN MI BLOOD,56.0,56.0,,,0 CDM,3008686001,HC ANTIBODY ELUTION VERSITI,44.0,44.0,,,0 CDM,3008687001,HC ANTIBODY IDENTIFICATION VERSITI,107.0,107.0,,,0 CDM,3008688001,HC 3009 ANTIGLOBULIN VERSITI,29.0,29.0,,,0 CDM,3008690101,HC IDM RH MI BLOOD,37.0,37.0,,,0 CDM,3008690102,HC RH TYPING VERSITI,16.0,16.0,,,0 CDM,3008690201,HC AGCHGV1 BLOOD TYPE ANTIGEN DONOR EA VERSITI,306.0,306.0,,,0 CDM,3008690202,HC AGCHGV2 BLOOD TYPE ANTIGEN DONOR EA VERSITI,306.0,306.0,,,0 CDM,3008690203,HC AGCHGV3 BLOOD TYPE ANTIGEN DONOR EA VERSITI,306.0,306.0,,,0 CDM,3008690204,HC AGCHGV4 BLOOD TYPE ANTIGEN DONOR EA VERSITI,306.0,306.0,,,0 CDM,3008690501,HC ANTIGEN TYPE PT VERSITI,40.0,40.0,,,0 CDM,3008690601,HC RH PHENOTYPE VERSITI,57.0,57.0,,,0 CDM,3008692701,"HC FRESH FROZEN PLASMA, THAWED-NOT TRANSFUSED",244.38,244.38,,,0 CDM,3008693101,HC FROZEN BLOOD THAWED - NOT TRANSFUSED,244.38,244.38,,,0 CDM,3008697801,HC ALLO DIFF RBC ABSORPTION VERSITI,133.0,133.0,,,0 CDM,3008697802,HC WARM VERSITI,43.0,43.0,,,0 CDM,3008742601,HC SEVERE AQT RESPIR SYND CORONAVIRUS,86.25,86.25,,,0 CDM,3008742801,"HC LAB COVID, INFLUENZA A/B",99.0,99.0,,,0 CDM,3008742802,HC POC IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B,99.0,99.0,,,0 CDM,3008751601,HC IDM HBV RNA MI BLOOD,45.0,45.0,,,0 CDM,3008762502,HC HPV HIGH RISK 16 18,334.0,334.0,,,0 CDM,3008763504,HC NOVEL COVID-19 DETECT AGENT DNA QUANT,217.5,217.5,,,0 CDM,3008766104,HC TRICHOMONAS PCR - ALINITY,179.0,179.0,,,0 CDM,3008766202,HC IDM ZIKA VIRUS,51.0,51.0,,,0 CDM,3008780401,HC LAB INFLUENZA EIA A OR B,48.0,48.0,,,0 CDM,3008789901,HC MALARIA AG,59.0,59.0,,,0 CDM,3008872001,HC BILIMETER TRANSCUTANEOUS,14.0,14.0,,,0 CDM,3008874001,HC TRANSCUTANEOUS CARBOXYHEMOGLOBIN,15.0,15.0,,,0 CDM,3008905001,HC CELL CT MISC BODY FLUID,32.0,32.0,,,0 CDM,3008905101,HC CELL CT W DIFF FLUID,37.0,37.0,,,0 CDM,3008905501,HC SHRL FECAL LEUKOCYTE,14.0,14.0,,,0 CDM,3008906001,HC CRYSTALS,82.0,82.0,,,0 CDM,3008923001,HC SWEAT CHLORIDE COLLECTION,135.0,135.0,,,0 CDM,3009900102,HC STAT COURIER LAB HANDLING FEE,35.0,35.0,,,0 CDM,3010000002,HC LEGAL BLOOD DRAW,25.0,25.0,,,0 CDM,3010000003,HC LEGAL ETHANOL LEVEL,150.0,150.0,,,0 CDM,3018004802,HC BASIC METABOLIC PANEL,38.0,38.0,,,0 CDM,3018005101,HC ELECTROLYTE PANEL,22.0,22.0,,,0 CDM,3018005301,HC COMPREHENSIVE METABOLIC PANEL,52.0,52.0,,,0 CDM,3018006101,HC LIPID PANEL,37.0,37.0,,,0 CDM,3018006901,HC RENAL FUNCTION PANEL,39.0,39.0,,,0 CDM,3018007401,HC ACUTE HEPATITIS PANEL,117.0,117.0,,,0 CDM,3018007601,HC HEPATIC FUNCTION PANEL,20.0,20.0,,,0 CDM,3018014301,HC DRUG ASSAY ACETAMINOPHEN,112.0,112.0,,,0 CDM,3018014502,HC DRUG ASSAY ADALIMUMAB,114.0,114.0,,,0 CDM,3018015001,HC AMIKACIN LEVEL,58.0,58.0,,,0 CDM,3018015601,HC CARBAMAZEPINE TOTAL,98.0,98.0,,,0 CDM,3018015702,HC CARBAMAZEPINE FREE TDA,33.0,33.0,,,0 CDM,3018015801,HC CYCLOSPORINE,111.0,111.0,,,0 CDM,3018015901,HC CLOZAPINE,80.0,80.0,,,0 CDM,3018016201,HC DIGOXIN TOTAL,89.0,89.0,,,0 CDM,3018016401,HC VALPROIC ACID TOTAL,92.0,92.0,,,0 CDM,3018016501,HC VALPROIC ACID FREE,87.0,87.0,,,0 CDM,3018016801,HC ETHOSUXIMIDE LEVEL,58.0,58.0,,,0 CDM,3018016901,HC EVEROLIMUS LEVEL,94.0,94.0,,,0 CDM,3018017001,HC GENTAMICIN LEVEL,101.0,101.0,,,0 CDM,3018017301,HC HALOPERIDOL LEVEL,74.0,74.0,,,0 CDM,3018017501,HC LAMOTRIGINE LEVEL,80.0,80.0,,,0 CDM,3018017601,HC LIDOCAINE,82.0,82.0,,,0 CDM,3018017701,HC LEVETIRACETAM LEVEL,89.0,89.0,,,0 CDM,3018017801,HC LITHIUM LEVEL,41.0,41.0,,,0 CDM,3018017901,HC DRUG ASSAY SALICYLATE,40.0,40.0,,,0 CDM,3018018002,HC MYCOPHENOLIC ACID TDA,45.0,45.0,,,0 CDM,3018018101,HC DRUG ASSAY FLECAINIDE,47.0,47.0,,,0 CDM,3018018302,HC OXCARBAZEPINE (TRILEPTAL) TDA,33.0,33.0,,,0 CDM,3018018401,HC PHENOBARBITAL LEVEL,77.0,77.0,,,0 CDM,3018018501,HC PHENYTOIN TOTAL,89.0,89.0,,,0 CDM,3018018601,HC PHENYTOIN FREE,93.0,93.0,,,0 CDM,3018018701,HC DRUG ASSAY POSACONAZOLE,72.0,72.0,,,0 CDM,3018018802,HC PRIMIDONE TDA,41.0,41.0,,,0 CDM,3018019501,HC SIROLIMUS,103.0,103.0,,,0 CDM,3018019701,HC TACROLIMUS LEVEL,77.0,77.0,,,0 CDM,3018019801,HC THEOPHYLLINE LEVEL,86.0,86.0,,,0 CDM,3018020001,HC TOBRAMYCIN LEVEL,100.0,100.0,,,0 CDM,3018020102,HC TOPIRAMATE TDA,30.0,30.0,,,0 CDM,3018020201,HC VANCOMYCIN LEVEL,92.0,92.0,,,0 CDM,3018020302,HC ZONISAMIDE,33.0,33.0,,,0 CDM,3018020401,HC DRUG ASSAY METHOTREXATE,80.0,80.0,,,0 CDM,3018023001,HC DRUG ASSAY INFLIXIMAB,114.0,114.0,,,0 CDM,3018023502,HC LACOSAMIDE LEVEL,57.0,57.0,,,0 CDM,3018028501,HC DRUG ASSAY VORICONAZOLE,72.0,72.0,,,0 CDM,3018029903,HC FLECAINIDE,77.0,77.0,,,0 CDM,3018029905,HC MILRINONE LEVEL,69.0,69.0,,,0 CDM,3018029906,HC PAROXETINE LEVEL MAYO,50.53,50.53,,,0 CDM,3018029907,HC POSACONAZOLE LEVEL,59.0,59.0,,,0 CDM,3018029908,HC PROPRANOLOL,59.0,59.0,,,0 CDM,3018029910,HC VORICONAZOLE LEVEL,59.0,59.0,,,0 CDM,3018029911,HC APIXABAN LEVEL,286.0,286.0,,,0 CDM,3018029933,HC QUANT THERAPUTIC DRUG NOT ELSEWHERE SPECIFIED,47.0,47.0,,,0 CDM,3018030501,HC LAB DRUG SCREEN CLASS A,34.0,34.0,,,0 CDM,3018030701,HC CANNABIN SCR UR,72.0,72.0,,,0 CDM,3018030702,HC COCAINE SCR UR,92.0,92.0,,,0 CDM,3018030704,HC DRUG SCR ACID GC,278.0,278.0,,,0 CDM,3018030705,HC DRUG SCR ALKALINE GC,278.0,278.0,,,0 CDM,3018030707,HC DRUG SCREEN LCMS W ADULTERATION,124.0,124.0,,,0 CDM,3018030709,HC ETHANOL SCR UR,126.0,126.0,,,0 CDM,3018030712,HC MECONIUM DRUG SCREEN,86.0,86.0,,,0 CDM,3018030716,HC DRUG SCREEN CLASS A,186.0,186.0,,,0 CDM,3018032001,HC BLOOD ETHANOL LEVEL,131.0,131.0,,,0 CDM,3018032002,HC DRUG SCREEN  ALCOHOLS  W CONF,12.5,12.5,,,0 CDM,3018032003,HC ETHANOL CONFIRMATION,131.0,131.0,,,0 CDM,3018032004,HC ETHANOL VITREOUS HUMOR,131.0,131.0,,,0 CDM,3018032005,HC ISOPROPANOL LEVEL,131.0,131.0,,,0 CDM,3018032006,HC METHANOL LEVEL,131.0,131.0,,,0 CDM,3018032007,HC TOXIC ALCOHOLS,142.0,142.0,,,0 CDM,3018032008,HC VOLATILE SCREEN,131.0,131.0,,,0 CDM,3018032301,HC NICOTINE ASSAY,131.0,131.0,,,0 CDM,3018032401,HC AMPHETAMINES CONFIRMATION,118.0,118.0,,,0 CDM,3018032402,HC AMPHETAMINES MECONIUM CONF,63.0,63.0,,,0 CDM,3018032403,HC DRUG SCREEN  AMPHETAMINES  W CONF,7.5,7.5,,,0 CDM,3018032901,HC ACETAMINOPHEN LEVEL,62.0,62.0,,,0 CDM,3018032902,HC IBUPROFEN LEVEL,65.0,65.0,,,0 CDM,3018032903,HC SALICYLATES LEVEL,62.0,62.0,,,0 CDM,3018033201,HC CITALOPRAM LEVEL,133.0,133.0,,,0 CDM,3018033202,HC FLUOXETINE LEVEL,118.0,118.0,,,0 CDM,3018033204,HC SERTRALINE LEVEL,118.0,118.0,,,0 CDM,3018033501,HC AMITRIPTYLINE LEVEL,131.0,131.0,,,0 CDM,3018033502,HC CLOMIPRAMINE LEVEL,65.0,65.0,,,0 CDM,3018033503,HC DESIPRAMINE LEVEL,102.0,102.0,,,0 CDM,3018033504,HC DOXEPIN LEVEL,65.0,65.0,,,0 CDM,3018033505,HC IMIPRAMINE LEVEL,102.0,102.0,,,0 CDM,3018033506,HC NORTRIPTYLINE LEVEL,131.0,131.0,,,0 CDM,3018033508,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2,118.0,118.0,,,0 CDM,3018033801,HC ANTIDEPRESSANTS NOS,106.0,106.0,,,0 CDM,3018033803,HC TRAZODONE,106.0,106.0,,,0 CDM,3018033804,HC VENLAFAXINE LEVEL,106.0,106.0,,,0 CDM,3018034201,HC OLANZAPINE,131.0,131.0,,,0 CDM,3018034202,HC QUETIAPINE BLD LEVEL,131.0,131.0,,,0 CDM,3018034501,HC BARBITURATES CONFIRMATION,131.0,131.0,,,0 CDM,3018034502,HC PENTOBARBITAL LEVEL,131.0,131.0,,,0 CDM,3018034601,HC ALPRAZOLAM LEVEL,118.0,118.0,,,0 CDM,3018034602,HC BENZO EXPANDED CONFIRMATION,118.0,118.0,,,0 CDM,3018034603,HC CHLORDIAZEPOX LEVEL,65.0,65.0,,,0 CDM,3018034604,HC CLONAZEPAM LEVEL,118.0,118.0,,,0 CDM,3018034605,HC DIAZEPAM LEVEL,118.0,118.0,,,0 CDM,3018034606,HC DRUG SCREEN  BENZODIAZEPINES  W CONF,7.5,7.5,,,0 CDM,3018034607,HC LORAZEPAM LEVEL,118.0,118.0,,,0 CDM,3018034608,HC NORDIAZEPAM LEVEL,65.0,65.0,,,0 CDM,3018034801,HC BUPRENORPHINE LEVEL,118.0,118.0,,,0 CDM,3018034802,HC DRUG SCREEN  BUPRENORPHINE  W CONF,7.5,7.5,,,0 CDM,3018034901,HC CANNABINOIDS CONFIRMATION,131.0,131.0,,,0 CDM,3018034902,HC CANNABIS MECONIUM CONF,63.0,63.0,,,0 CDM,3018034903,HC DRUG SCREEN  CANNABINOIDS  W CONF,7.5,7.5,,,0 CDM,3018035301,HC COCAINE MECONIUM CONF,63.0,63.0,,,0 CDM,3018035302,HC COCAINE METABOLITES CONF,118.0,118.0,,,0 CDM,3018035303,HC COCAINE METABOLITES LEVEL,118.0,118.0,,,0 CDM,3018035304,HC DRUG SCREEN  COCAINE  W CONF,7.5,7.5,,,0 CDM,3018035401,HC DRUG SCREEN  FENTANYL  W CONF,7.5,7.5,,,0 CDM,3018035402,HC FENTANYL CONFIRMATION,118.0,118.0,,,0 CDM,3018035403,HC MECONIUM DRUG SCREENING FENTANYL,106.0,106.0,,,0 CDM,3018035501,HC DRUG SCREEN  GABAPENTIN  W CONF,7.5,7.5,,,0 CDM,3018035601,HC 6MAM EXPANDED CONF,118.0,118.0,,,0 CDM,3018035602,HC DRUG SCREEN  HEROIN MET  W CONF,7.5,7.5,,,0 CDM,3018035801,HC DRUG SCREEN  METHADONE  W CONF,7.5,7.5,,,0 CDM,3018035802,HC METHADONE CONF,118.0,118.0,,,0 CDM,3018035803,HC METHADONE CONF DAU,65.0,65.0,,,0 CDM,3018035804,HC METHADONE LEVEL,118.0,118.0,,,0 CDM,3018035805,HC METHADONE MECONIUM CONF,63.0,63.0,,,0 CDM,3018035901,HC DRUG SCREEN  MDMA  W CONF,7.5,7.5,,,0 CDM,3018035902,HC MDA MDMA CONF,65.0,65.0,,,0 CDM,3018036001,HC DRUG SCREEN  METHYLPHENIDATE  W CONF,7.5,7.5,,,0 CDM,3018036002,HC METHYLPHENIDATE CONF,131.0,131.0,,,0 CDM,3018036101,HC CODEINE MORPHINE LEVEL,135.0,135.0,,,0 CDM,3018036102,HC DRUG SCREEN  OPIATES  W CONF,7.5,7.5,,,0 CDM,3018036103,HC HYDROCODONE LEVEL,131.0,131.0,,,0 CDM,3018036104,HC OPIATES EXPANDED CONF,131.0,131.0,,,0 CDM,3018036105,HC OPIATES MECONIUM CONF,63.0,63.0,,,0 CDM,3018036201,HC DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2,118.0,118.0,,,0 CDM,3018036501,HC DRUG SCREEN  OXYCODONE  W CONF,7.5,7.5,,,0 CDM,3018036502,HC OXYCODONE EXPANDED CONF,118.0,118.0,,,0 CDM,3018036503,HC OXYCODONE LEVEL,118.0,118.0,,,0 CDM,3018036504,HC OXYCODONE MECONIUM CONF,63.0,63.0,,,0 CDM,3018036601,HC DRUG SCREEN  PREGABALIN  W CONF,7.5,7.5,,,0 CDM,3018036901,HC DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2,118.0,118.0,,,0 CDM,3018037301,HC DRUG SCREEN  TRAMADOL  W CONF,7.5,7.5,,,0 CDM,3018037302,HC TRAMADOL CONF,118.0,118.0,,,0 CDM,3018037303,HC TRAMADOL CONF DAU,65.0,65.0,,,0 CDM,3018037501,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,118.0,118.0,,,0 CDM,3018037503,HC GHB GAMMAHYDROXY AC,65.0,65.0,,,0 CDM,3018037504,HC SUBSTANCE ANALYSIS QUANT,129.0,129.0,,,0 CDM,3018037701,HC SUBSTANCE ANALYSIS QUAL,129.0,129.0,,,0 CDM,3018040001,HC ACTH STIMULATION,308.0,308.0,,,0 CDM,3018042801,HC GROWTH HORMONE STIMULATION PANEL,389.0,389.0,,,0 CDM,3018043001,HC GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN,323.0,323.0,,,0 CDM,3018100301,HC ADULTERATION URINE,10.0,10.0,,,0 CDM,3018201001,HC BETA HYDROXYBUTYRATE,25.0,25.0,,,0 CDM,3018201301,HC ACETYLCHOLINESTERASE AMNIOTIC FLUID MAYO,81.48,81.48,,,0 CDM,3018202401,HC ADRENOCORTICOTROPIC HORMONE,70.0,70.0,,,0 CDM,3018204001,HC ALBUMIN LEVEL,15.0,15.0,,,0 CDM,3018204201,HC ALBUMIN BODY FLUID,15.0,15.0,,,0 CDM,3018204301,HC MICROALBUMIN URINE,18.0,18.0,,,0 CDM,3018207502,HC POC BREATH ALCOHOL,34.0,34.0,,,0 CDM,3018207701,HC ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR&BREATH IA,59.0,59.0,,,0 CDM,3018208803,HC ASSAY OF ALDOSTERONE,72.0,72.0,,,0 CDM,3018210303,HC ALPHA ANTITRYPSIN,37.0,37.0,,,0 CDM,3018210502,HC AFP TUMOR MARKER,51.0,51.0,,,0 CDM,3018210601,HC AFP AMNIOTIC FLUID,50.0,50.0,,,0 CDM,3018210602,HC AFP AMNIOTIC FLUID MAYO,48.1,48.1,,,0 CDM,3018214001,HC AMMONIA LEVEL,45.0,45.0,,,0 CDM,3018214301,HC BILI AMNIOTIC FLUID,17.0,17.0,,,0 CDM,3018215001,HC AMYLASE BODY FLUID,19.0,19.0,,,0 CDM,3018215003,HC AMYLASE SERUM,19.0,19.0,,,0 CDM,3018215004,HC AMYLASE URINE,19.0,19.0,,,0 CDM,3018215005,HC AMYLASE URINE 24 HR,19.0,19.0,,,0 CDM,3018216401,HC ANGIOTENSIN CONVERTING ENZYME,40.0,40.0,,,0 CDM,3018223202,HC BETA-2-MICROGLOBULIN SERUM,34.0,34.0,,,0 CDM,3018224703,HC BILIRUBIN TOTAL,16.0,16.0,,,0 CDM,3018224704,HC BILIRUBIN TOTAL FLUID,13.0,13.0,,,0 CDM,3018224801,HC BILIRUBIN DIRECT,16.0,16.0,,,0 CDM,3018227001,HC OCCULT BLOOD SCREEN,17.0,17.0,,,0 CDM,3018227101,HC OCCULT BLOOD GASTRIC,11.0,11.0,,,0 CDM,3018227201,HC HEMOCCULT 1 3 DETERMINATIONS SYMPTOMATIC,17.0,17.0,,,0 CDM,3018227401,HC OCCULT BLOOD IMMUNOASSAY DX,37.0,37.0,,,0 CDM,3018227402,HC OCCULT BLOOD SCREEN IMMUNOASSAY,37.0,37.0,,,0 CDM,3018230601,HC VIT D 25 HYDROXY LEVEL,91.0,91.0,,,0 CDM,3018231001,HC CALCIUM LEVEL,14.0,14.0,,,0 CDM,3018231002,HC CALCIUM UR RANDOM LEVEL,14.0,14.0,,,0 CDM,3018233001,HC IONIZED CALCIUM,53.33,53.33,,,0 CDM,3018233002,HC POC IONIZED CALCIUM,44.0,44.0,,,0 CDM,3018234001,HC CALCIUM URINE 24 HR,18.0,18.0,,,0 CDM,3018237401,HC CO2 LEVEL,11.0,11.0,,,0 CDM,3018237501,HC CARBOXY HEMOGLOBIN,97.46,97.46,,,0 CDM,3018237801,HC CEA ANTIGEN ASSAY,57.0,57.0,,,0 CDM,3018239001,HC CERULOPLASMIN,32.0,32.0,,,0 CDM,3018239708,HC CHEMILUMINESCENT ASSAY,29.0,29.0,,,0 CDM,3018243501,HC CHLORIDE,12.0,12.0,,,0 CDM,3018243601,HC CHLORIDE URINE,15.0,15.0,,,0 CDM,3018243802,HC CHLORIDE SWEAT ANALYSIS,29.0,29.0,,,0 CDM,3018246501,HC CHOLESTEROL,13.0,13.0,,,0 CDM,3018250702,HC CITRATE URINE LEVEL,79.0,79.0,,,0 CDM,3018250705,HC ASSAY OF CITRATE,70.0,70.0,,,0 CDM,3018252301,HC BETA CROSSLINK CTX,69.0,69.0,,,0 CDM,3018252302,HC COLLAGEN CROSS LINKS ANY METHOD,69.0,69.0,,,0 CDM,3018252502,HC ASSAY OF COPPER,25.0,25.0,,,0 CDM,3018253302,HC CORTISOL LEVEL,49.0,49.0,,,0 CDM,3018255001,HC CREATINE KINASE CPK TOTAL,20.0,20.0,,,0 CDM,3018255301,HC CREATINE MB FRACTION,22.0,22.0,,,0 CDM,3018256501,HC CREATININE SERUM,15.0,15.0,,,0 CDM,3018256502,HC POC CREATININE,30.0,30.0,,,0 CDM,3018257009,HC CREATININE OTHER SOURCE,15.0,15.0,,,0 CDM,3018257501,HC CREATININE CLEARANCE,29.0,29.0,,,0 CDM,3018259502,HC CRYOGLOBULINS,15.0,15.0,,,0 CDM,3018260001,HC CYANIDE LEVEL,50.0,50.0,,,0 CDM,3018260701,HC VITAMIN B12 LEVEL,46.0,46.0,,,0 CDM,3018261001,HC CYSTATIN C,43.0,43.0,,,0 CDM,3018262701,HC DHEA SULFATE,64.0,64.0,,,0 CDM,3018265203,"HC VITAMIN D 1,25 DIHYDROXY",79.0,79.0,,,0 CDM,3018265302,HC ELASTASE PANCREATIC FECAL QUANTITATIVE,57.0,57.0,,,0 CDM,3018266802,HC ERYTHROPOIETIN,39.0,39.0,,,0 CDM,3018267001,HC ESTRADIOL LEVEL,85.0,85.0,,,0 CDM,3018267702,HC ESTRIOL,60.0,60.0,,,0 CDM,3018269301,HC ETHYLENE GLYCOL,41.0,41.0,,,0 CDM,3018272801,HC FERRITIN,41.0,41.0,,,0 CDM,3018273101,HC FETAL FIBRONECTIN,204.0,204.0,,,0 CDM,3018274601,HC FOLATE LEVEL,45.0,45.0,,,0 CDM,3018274701,HC FOLIC ACID RBC,41.0,41.0,,,0 CDM,3018278403,HC IGG IGM OR IGA EA,28.0,28.0,,,0 CDM,3018278501,HC IGE EA,50.0,50.0,,,0 CDM,3018278701,HC IGG SUBCLASSES EACH,15.0,15.0,,,0 CDM,3018280001,HC PH BLOOD,26.0,26.0,,,0 CDM,3018280301,HC PH PCO2 PO2,54.0,54.0,,,0 CDM,3018280302,HC POC PH PCO2 PO2,74.0,74.0,,,0 CDM,3018280502,HC PH PCO2 PO2 MEA O2,87.0,87.0,,,0 CDM,3018281001,HC BLOOD GAS O2 SAT ONLY,45.0,45.0,,,0 CDM,3018293001,HC GASTRIC ACID ANALYIS W/PH EACH SPECIMEN,11.0,11.0,,,0 CDM,3018294501,HC GLUCOSE BODY FLUID,16.0,16.0,,,0 CDM,3018294505,HC GLUCOSE URINE,10.0,10.0,,,0 CDM,3018294701,HC GLUCOSE QUANT BLOOD,24.0,24.0,,,0 CDM,3018294702,HC POC GLUCOSE,24.0,24.0,,,0 CDM,3018295001,HC GLUCOSE 1 HOUR TOTAL,14.0,14.0,,,0 CDM,3018295002,HC GLUCOSE 2 HR POST DOSE,11.0,11.0,,,0 CDM,3018295101,HC GLUCOSE TOLERANCE,39.0,39.0,,,0 CDM,3018295201,HC GLUCOSE TOLERANCE ADDTL SAMPLE,12.0,12.0,,,0 CDM,3018295505,HC GLUCOSE-6-P-DEHYDROGENASE QUANT,24.0,24.0,,,0 CDM,3018296201,HC GLUCOSE MONITORING,7.0,7.0,,,0 CDM,3018297701,HC GGT,21.0,21.0,,,0 CDM,3018300101,HC FSH SERUM,57.0,57.0,,,0 CDM,3018300202,HC LUTENIZING HORMONE,57.0,57.0,,,0 CDM,3018300301,HC GROWTH HORMONE SERUM,49.0,49.0,,,0 CDM,3018301001,HC HAPTOGLOBIN,38.0,38.0,,,0 CDM,3018301301,HC POC H PYLORI BREATH,159.5,159.5,,,0 CDM,3018301401,HC POC H PYLORI COLLECTION,25.0,25.0,,,0 CDM,3018302007,HC HGB ELECTROPHERESIS CAPILLARY,45.0,45.0,,,0 CDM,3018302106,HC HGB FRACTIONATION,53.0,53.0,,,0 CDM,3018303601,HC GLYCATED HEMOGLOBIN,19.0,19.0,,,0 CDM,3018305001,HC METHEMOGLOBIN,27.0,27.0,,,0 CDM,3018305101,HC HEMOGLOBIN PLASMA FREE,22.0,22.0,,,0 CDM,3018309001,HC HOMOCYSTEINE TOTAL,65.0,65.0,,,0 CDM,3018315002,HC HOMOVANILLIC ACID,50.0,50.0,,,0 CDM,3018349701,HC 5 HIAA,36.0,36.0,,,0 CDM,3018351615,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP AMH,47.0,47.0,,,0 CDM,3018351619,HC IMMUNOASSAY NONANTIBODY,47.0,47.0,,,0 CDM,3018351623,HC MPO AB,47.0,47.0,,,0 CDM,3018351624,HC PROTEINASE 3 AB,47.0,47.0,,,0 CDM,3018352001,HC P1NP IMMUNOASSAY ANALYTE QUANTITATIVE NOS,69.0,69.0,,,0 CDM,3018352002,HC 3002601 IMMUNOASSAY ANALYTE QUANTITATIVE CHG 2 ARUP,47.0,47.0,,,0 CDM,3018352022,HC IMMUNOASSAY QUANT TRYPTASE,35.0,35.0,,,0 CDM,3018352041,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS,44.0,44.0,,,0 CDM,3018352054,HC IMMUNOASSAY QUANT NOS ADA/FIX,40.0,40.0,,,0 CDM,3018352101,HC IMMUNOGLOBULIN LIGHT CHAINS FREE,65.0,65.0,,,0 CDM,3018352501,HC INSULIN LEVEL,35.0,35.0,,,0 CDM,3018354001,HC IRON,19.0,19.0,,,0 CDM,3018355001,HC IRON BINDING CAPACITY,27.0,27.0,,,0 CDM,3018360501,HC LAB LACTIC ACID CSF,32.0,32.0,,,0 CDM,3018360502,HC LACTIC ACID,32.0,32.0,,,0 CDM,3018360503,HC POC LACTATE,32.0,32.0,,,0 CDM,3018361502,HC LDH,18.0,18.0,,,0 CDM,3018363001,HC LACTOFERRIN FECAL QUALITATIVE,40.0,40.0,,,0 CDM,3018365506,HC LEAD BLOOD,31.0,31.0,,,0 CDM,3018365514,HC 0007655 ASSAY OF LEAD QUEST,2.98,2.98,,,0 CDM,3018366101,HC LECITHIN SPHINGOMYELIN,125.0,125.0,,,0 CDM,3018366401,HC LAMELLAR BODY DENSITY,50.0,50.0,,,0 CDM,3018369001,HC LIPASE,21.0,21.0,,,0 CDM,3018369501,HC LIPA1 ASSAY OF LIPOPROTEIN(A) MAYO,79.07,79.07,,,0 CDM,3018369502,HC LIPOPROTEIN (A),32.0,32.0,,,0 CDM,3018371801,HC HDL CHOLESTEROL,25.0,25.0,,,0 CDM,3018372101,HC LDL CHOLESTEROL DIRECT,45.0,45.0,,,0 CDM,3018373501,HC ASSAY OF MAGNESIUM,20.0,20.0,,,0 CDM,3018387404,HC MYOGLOBIN,32.0,32.0,,,0 CDM,3018388001,HC NATRIURETIC PEPTIDE BNP,70.0,70.0,,,0 CDM,3018388303,HC KAPPA OR LAMBDA LIGHT CHAIN,53.0,53.0,,,0 CDM,3018391601,HC OLIGOCLONAL IMMUNE,58.0,58.0,,,0 CDM,3018392103,HC SERUM METHYLMELONIC ACID,78.0,78.0,,,0 CDM,3018393001,HC OSMOLALITY BLOOD,20.0,20.0,,,0 CDM,3018393501,HC OSMOLALITY OTHER,21.0,21.0,,,0 CDM,3018393701,HC OSTEOCALCIN LEVEL,64.0,64.0,,,0 CDM,3018394502,HC OXALATE URINE,37.0,37.0,,,0 CDM,3018394505,HC OXALATE,36.0,36.0,,,0 CDM,3018397001,HC PTH,126.0,126.0,,,0 CDM,3018398601,HC PH OTHER THAN BLOOD,10.0,10.0,,,0 CDM,3018399201,HC PHENCYCLIDINE CONF,53.0,53.0,,,0 CDM,3018399301,HC ASSAY OF CALPROTECTIN FECAL,46.0,46.0,,,0 CDM,3018407501,HC ALK PHOSPHATASE,14.0,14.0,,,0 CDM,3018408003,HC BONE ALKALINE PHOS,41.0,41.0,,,0 CDM,3018408004,HC ALKALINE PHOSPHATASE ISOENZYMES,31.0,31.0,,,0 CDM,3018408101,HC PHOSPHATIDYLGLYCEROL AMNIO,41.0,41.0,,,0 CDM,3018410002,HC PHOSPHOROUS LEVEL,14.0,14.0,,,0 CDM,3018410501,HC PHOSPHOROUS URINE,15.0,15.0,,,0 CDM,3018411201,HC POC AMNISURE,202.0,202.0,,,0 CDM,3018413201,HC POTASSIUM LEVEL,19.0,19.0,,,0 CDM,3018413202,HC POC POTASSIUM,28.0,28.0,,,0 CDM,3018413301,HC POTASSIUM URINE,13.0,13.0,,,0 CDM,3018413401,HC PRE ALBUMIN,45.0,45.0,,,0 CDM,3018414402,HC PROGESTERONE LEVEL,64.0,64.0,,,0 CDM,3018414501,HC PROCALCITONIN,50.0,50.0,,,0 CDM,3018414601,HC PROLACTIN LEVEL,59.0,59.0,,,0 CDM,3018415302,HC PSA SCREENING,37.0,37.0,,,0 CDM,3018415303,HC PSA TOTAL,56.0,56.0,,,0 CDM,3018415402,HC PSA FREE,54.0,54.0,,,0 CDM,3018415501,HC PROTEIN TOTAL SERUM,11.0,11.0,,,0 CDM,3018415601,HC PROTEIN URINE,13.0,13.0,,,0 CDM,3018415701,HC ASSAY OF PROTEIN OTHER,13.0,13.0,,,0 CDM,3018416501,HC PROTEIN FRACTION SERUM,44.0,44.0,,,0 CDM,3018416601,HC PROTEIN FRACTION UR,60.0,60.0,,,0 CDM,3018421002,HC PYRUVIC ACID,30.0,30.0,,,0 CDM,3018424401,HC ASSAY OF RENIN,38.0,38.0,,,0 CDM,3018425501,HC SELENIUM LEVEL,64.0,64.0,,,0 CDM,3018427001,HC SEX BINDING HORMONE,54.0,54.0,,,0 CDM,3018429501,HC POC SODIUM,13.0,13.0,,,0 CDM,3018429503,HC SODIUM,13.0,13.0,,,0 CDM,3018430002,HC SODIUM URINE,14.0,14.0,,,0 CDM,3018430501,HC IGF1,36.0,36.0,,,0 CDM,3018431109,HC CHOLESTEROL FLUID,20.0,20.0,,,0 CDM,3018440201,HC FREE TESTOSTERONE,55.0,55.0,,,0 CDM,3018440205,HC 36170 ASSAY OF TESTOSTERONE FREE QUEST,10.57,10.57,,,0 CDM,3018440302,HC TESTOSTERONE,72.0,72.0,,,0 CDM,3018440311,HC 36170 ASSAY OF TESTOSTERONE TOTAL QUEST,8.0,8.0,,,0 CDM,3018440312,HC 15983 ASSAY OF TESTOSTERONE TOTAL QUEST,8.0,8.0,,,0 CDM,3018442501,HC LAB THIAMIN VITAMIN B LEVEL,48.0,48.0,,,0 CDM,3018443001,HC THIOCYANATE,33.0,33.0,,,0 CDM,3018443202,HC THYROGLOBULIN,40.0,40.0,,,0 CDM,3018443602,HC THYROXINE TOTAL,17.0,17.0,,,0 CDM,3018443901,HC FREE T4,27.0,27.0,,,0 CDM,3018444301,HC TSH,58.0,58.0,,,0 CDM,3018444502,HC THYROID STIMULATING IMMUNE GLOBULINS TSI,105.0,105.0,,,0 CDM,3018444601,HC VITAMIN E LEVEL,37.0,37.0,,,0 CDM,3018445001,HC AST,15.0,15.0,,,0 CDM,3018446001,HC ALT,16.0,16.0,,,0 CDM,3018446601,HC TRANSFERRIN,36.0,36.0,,,0 CDM,3018447803,HC TRIGLYCERIDE,18.0,18.0,,,0 CDM,3018448001,HC TOTAL T3,43.0,43.0,,,0 CDM,3018448101,HC FREE T3,52.0,52.0,,,0 CDM,3018448401,HC TROPONIN,30.0,30.0,,,0 CDM,3018452001,HC BUN,12.0,12.0,,,0 CDM,3018454002,HC UREA NITRO 24 HR UR,13.0,13.0,,,0 CDM,3018454003,HC UREA NITRO RANDOM UR,13.0,13.0,,,0 CDM,3018454501,HC UREA CLEARANCE,17.0,17.0,,,0 CDM,3018455001,HC URIC ACID,13.0,13.0,,,0 CDM,3018456002,HC URIC ACID OTHER,14.0,14.0,,,0 CDM,3018456003,"HC URIC ACID OTHER, 24 HR",14.0,14.0,,,0 CDM,3018458501,HC VMA URINE,44.0,44.0,,,0 CDM,3018459001,HC VITAMIN A LEVEL,31.0,31.0,,,0 CDM,3018463001,HC ZINC LEVEL,32.0,32.0,,,0 CDM,3018468101,HC C PEPTIDE,57.0,57.0,,,0 CDM,3018470202,HC HCG BETA SUBUNIT,38.0,38.0,,,0 CDM,3018470301,HC POC HCG QUAL URINE,22.0,22.0,,,0 CDM,3018470302,HC LAB PREG TEST SERUM QUAL,21.0,21.0,,,0 CDM,3018499902,HC NEPHROCHECK-AKIR UNLISTED CHEM PROC,101.0,101.0,,,0 CDM,3028236524,HC 0090253 CALCULUS INFRARED SPECTROSCOPY QUEST,13.6,13.6,,,0 CDM,3028600301,HC ALLERGEN SPECIFIC,33.0,33.0,,,0 CDM,3028600501,HC MULTI ALLERGEN SCREN,32.0,32.0,,,0 CDM,3028600801,HC ALLG SPEC IGE RECOMB EA,58.0,58.0,,,0 CDM,3028601501,HC ACTIN ANTIBODY EACH,30.0,30.0,,,0 CDM,3028602201,HC HEP DEP PLATELET AB,226.0,226.0,,,0 CDM,3028603601,HC ANCA SCREEN ANTIBODY,69.0,69.0,,,0 CDM,3028603701,HC ANCA TITER EACH ANTIBODY,30.0,30.0,,,0 CDM,3028603801,HC ANA HEP2 SUBSTRATE,100.0,100.0,,,0 CDM,3028603802,HC ANA SCREEN,100.0,100.0,,,0 CDM,3028603901,HC ANA TITER PATTERN,77.0,77.0,,,0 CDM,3028606001,HC ASO LEVEL,52.0,52.0,,,0 CDM,3028614001,HC C REACTIVE PROTEIN,34.0,34.0,,,0 CDM,3028614101,HC C REACTIVE PROTEIN ULTRASENSITIVE,118.0,118.0,,,0 CDM,3028614601,HC BETA 2 GLYCOPROTEIN I ANTIBODY EACH,121.0,121.0,,,0 CDM,3028614701,HC ANTICARDIOLIPIN ANTIBODY,188.0,188.0,,,0 CDM,3028614703,HC CARDIOLIPIN IGM AB,36.0,36.0,,,0 CDM,3028615706,HC COLD AGGLUTININ TITER,52.0,52.0,,,0 CDM,3028616003,HC C3 COMPLEMENT AG,81.0,81.0,,,0 CDM,3028616004,HC C4 COMPLEMENT AG,81.0,81.0,,,0 CDM,3028616203,HC COMPLEMENT TOTAL HEMOLYTIC CH50,42.0,42.0,,,0 CDM,3028620001,HC CYCLIC CITRULLINATED PEPTIDE AB,72.0,72.0,,,0 CDM,3028622501,HC ANTI DNA ANTIBODY,112.0,112.0,,,0 CDM,3028623101,HC ENDOMYSIAL ANTIBODY EACH IG CLASS,116.0,116.0,,,0 CDM,3028623505,HC NUCLEAR ANTIGEN ANTIBODY EACH,44.0,44.0,,,0 CDM,3028625504,HC ANCA SCREEN,54.0,54.0,,,0 CDM,3028625537,HC SMOOTH MUSCLE ANTIBODY,69.0,69.0,,,0 CDM,3028625601,HC ANCA TITER,36.0,36.0,,,0 CDM,3028625603,HC ENDOMYSIAL AB IGA,90.0,90.0,,,0 CDM,3028625604,HC MITOCHONDRIAL ANTIBODY TITER,90.0,90.0,,,0 CDM,3028625615,HC FLUORESCENT ANTIBODY TITER CRITHIDIA LUCILLAE IFA,30.0,30.0,,,0 CDM,3028625801,HC GLIADIN DGP ANTIBODY EACH IG CLASS,89.0,89.0,,,0 CDM,3028630001,HC CANCER ANTIGEN 15 3,179.0,179.0,,,0 CDM,3028630101,HC CANCER ANTIGEN 19 9,179.0,179.0,,,0 CDM,3028630401,HC CANCER ANTIGEN 125,196.0,196.0,,,0 CDM,3028630801,HC MONONUCLEOSIS SCREEN,50.0,50.0,,,0 CDM,3028631604,HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE,52.0,52.0,,,0 CDM,3028631710,HC 0070070 IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS QUEST,15.42,15.42,,,0 CDM,3028633401,HC IMMUNOELECTROPHORESIS SERUM,135.0,135.0,,,0 CDM,3028633502,HC IMMUNOELECTROPHORESIS UR,204.0,204.0,,,0 CDM,3028633603,HC INHIBIN A MATERNAL,39.0,39.0,,,0 CDM,3028634124,HC 0037933 ISLET CELL ANTIBODY QUEST,37.16,37.16,,,0 CDM,3028635202,HC CELLULAR FUNCTION ASSAY,991.0,991.0,,,0 CDM,3028635501,HC B CELL TOTAL CT,210.0,210.0,,,0 CDM,3028635603,HC MONONUCLEAR CELL ANT QUANT,195.0,195.0,,,0 CDM,3028635702,HC NATURAL KILLER TOTAL,141.0,141.0,,,0 CDM,3028635902,HC T CELL TOTAL COUNT,243.0,243.0,,,0 CDM,3028636001,HC CD4 AND CD8 ABS CT W RATIO,262.0,262.0,,,0 CDM,3028636101,HC ABSOLUTE CD4 COUNT,140.0,140.0,,,0 CDM,3028636401,HC TISSUE TRANSGLUTAMINASE EACH IG CLASS,87.0,87.0,,,0 CDM,3028636701,HC AUTO STEM CELLS TOTAL CD34,491.0,491.0,,,0 CDM,3028636702,HC STEM CELL TOTAL CT,326.0,326.0,,,0 CDM,3028637601,HC ANTI THYROID,119.0,119.0,,,0 CDM,3028638101,HC MITOCHONDRIAL ANTIBODY EACH,116.0,116.0,,,0 CDM,3028638401,HC OXIDATIVE BURST,185.0,185.0,,,0 CDM,3028643001,HC RHEUMATOID FACTOR,27.0,27.0,,,0 CDM,3028643101,HC RHEUMATOID FACTOR QUANT,50.0,50.0,,,0 CDM,3028648001,HC LAB TB TEST QUANTIFERON GOLD,205.0,205.0,,,0 CDM,3028658001,HC LAB TB TESTING,69.0,69.0,,,0 CDM,3028659201,HC RPR,37.0,37.0,,,0 CDM,3028659203,HC VDRL/RPR QUALITATIVE CSF,13.0,13.0,,,0 CDM,3028659302,HC RPR TITER,40.0,40.0,,,0 CDM,3028661209,HC 0070070 ANTIBODY BLASTOMYCES QUEST,6.73,6.73,,,0 CDM,3028661804,HC LYME DISEASE ANTIBODY,139.0,139.0,,,0 CDM,3028664401,HC CMV SCREEN,117.0,117.0,,,0 CDM,3028664501,HC CMV IGM QUALITATIVE,136.0,136.0,,,0 CDM,3028666301,HC EB VIRUS EARLY AG,105.0,105.0,,,0 CDM,3028666401,HC EB VIRUS EBNA,125.0,125.0,,,0 CDM,3028666501,HC EBV AB IGG OR IGM EA,147.0,147.0,,,0 CDM,3028667701,HC H PYLORI AB,72.0,72.0,,,0 CDM,3028668901,HC HTLV OR HIV ANTIBODY CONFIRMATORY TEST,182.0,182.0,,,0 CDM,3028669401,HC HERPES SIMPLEX NES ANTIBODY,58.0,58.0,,,0 CDM,3028669501,HC HERPES IGG TP1,108.0,108.0,,,0 CDM,3028669601,HC HERPES IGG TP2,102.0,102.0,,,0 CDM,3028670301,HC HIV DIAGNOSTIC,49.0,49.0,,,0 CDM,3028670302,HC HIV EXPOSURE,80.0,80.0,,,0 CDM,3028670303,HC HIV QUICK TEST,85.0,85.0,,,0 CDM,3028670304,HC HIV SCREENING,49.0,49.0,,,0 CDM,3028670401,HC HEP B CORE ANTIBODY,93.0,93.0,,,0 CDM,3028670501,HC HEP B CORE AB IGM,90.0,90.0,,,0 CDM,3028670601,HC HEP B SURFACE AB,82.0,82.0,,,0 CDM,3028670801,HC HEP A ANTIBODY,72.0,72.0,,,0 CDM,3028670901,HC ANTI HAV IGM,85.0,85.0,,,0 CDM,3028673502,HC MUMPS IGG AB,105.0,105.0,,,0 CDM,3028673803,HC MYCOPLASMA ANTIBODY,108.0,108.0,,,0 CDM,3028673804,HC MYCOPLASMA SCREEN,54.0,54.0,,,0 CDM,3028676201,HC RUBELLA ANTIBODY IGG,101.0,101.0,,,0 CDM,3028676501,HC RUBEOLA IGG,117.0,117.0,,,0 CDM,3028676902,HC SARS-COV-2 COVID-19 ANTIBODY,60.0,60.0,,,0 CDM,3028677701,HC TOXOPLASMOSIS AB,117.0,117.0,,,0 CDM,3028677801,HC TOXOPLASMA ANTIBODY,117.0,117.0,,,0 CDM,3028678001,HC SYPHILIS IGG AB,94.0,94.0,,,0 CDM,3028678703,HC VARICELLA ZOS IGG,109.0,109.0,,,0 CDM,3028680002,HC THYROGLOBULIN ANTIBODY,74.0,74.0,,,0 CDM,3028680301,HC HEPATITIS C AB DX,108.0,108.0,,,0 CDM,3028680302,HC HEPATITIS C AB SCR,108.0,108.0,,,0 CDM,3028681201,HC HLA B27,143.0,143.0,,,0 CDM,3028682801,HC ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL,160.0,160.0,,,0 CDM,3028683201,HC ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL,809.0,809.0,,,0 CDM,3028683301,HC ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL,815.0,815.0,,,0 CDM,3028685001,HC ANTIBODY SCREEN,56.0,56.0,,,0 CDM,3028686001,HC ELUTION,62.23,62.23,,,0 CDM,3028687001,HC ANTIBODY IDENTIFICATION,331.0,331.0,,,0 CDM,3028688001,HC ANTIGLOBULIN DIRECT,71.0,71.0,,,0 CDM,3028688601,HC ANTIBODY TITER,69.88,69.88,,,0 CDM,3028690001,HC ABO,127.0,127.0,,,0 CDM,3028690003,HC ABO VERSITI,16.0,16.0,,,0 CDM,3028690004,HC IDM ABO MI BLOOD,127.0,127.0,,,0 CDM,3028690102,HC RH TYPING 3,37.0,37.0,,,0 CDM,3028690501,HC ANTIGEN TESTING ANTIGLOBULIN,331.0,331.0,,,0 CDM,3028692001,HC CROSSMATCH IMMEDIATE SPIN,169.0,169.0,,,0 CDM,3028692101,HC CROSSMATCH INCUBATION,171.0,171.0,,,0 CDM,3028692201,HC CROSSMATCH ANTIGLOBULIN,169.0,169.0,,,0 CDM,3028692301,HC ELECTRONIC CROSSMATCH,169.0,169.0,,,0 CDM,3028694101,HC ISOHEMAGGLUTININS,54.0,54.0,,,0 CDM,3028694501,HC IRRADIATION,38.54,38.54,,,0 CDM,3028696001,HC VOLUME REDUCTION BLOOD OR PRODUCT,35.76,35.76,,,0 CDM,3028696501,HC BLOOD PRODUCT POOLING,33.99,33.99,,,0 CDM,3028697802,HC DIFFERENTIAL RBC ABSORPTION,79.29,79.29,,,0 CDM,3028698501,HC VOLUME BLOOD PROD ALIQUOTING,67.51,67.51,,,0 CDM,3028789901,HC CRYPTOCOCCUS ANTIGEN,62.0,62.0,,,0 CDM,3028789902,HC HIV1 P24 AG,59.0,59.0,,,0 CDM,3058500701,HC BLOOD SMEAR MANUAL DIFFERENTIAL,16.0,16.0,,,0 CDM,3058500801,HC BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,16.0,16.0,,,0 CDM,3058501401,HC HEMATOCRIT,14.0,14.0,,,0 CDM,3058501801,HC HEMOGLOBIN,16.0,16.0,,,0 CDM,3058501802,HC SPLIT HEMOGLOBIN,16.0,16.0,,,0 CDM,3058502501,HC CBC AUTO COMPLETE DIFFERENTIAL,26.0,26.0,,,0 CDM,3058502701,HC CBC PLATELET NO DIFFERENTIAL,19.0,19.0,,,0 CDM,3058504501,HC RETIC CT AUTOMATED,12.0,12.0,,,0 CDM,3058504601,HC RETIC CT W RETIC HGB,12.0,12.0,,,0 CDM,3058504801,HC WBC AUTOMATED,8.0,8.0,,,0 CDM,3058504901,HC PLATELET CT AUTOMATED,18.0,18.0,,,0 CDM,3058505501,HC LAB RETICULATED PLATELET,38.0,38.0,,,0 CDM,3058509701,HC BONE MARROW SMEAR INTERP,583.0,583.0,,,0 CDM,3058513001,HC CHROMOGENIC SUBSTRATE ASSAY,52.0,52.0,,,0 CDM,3058521001,HC FACTOR II ACTIVITY,31.0,31.0,,,0 CDM,3058522001,HC FACTOR V ACTIVITY,52.0,52.0,,,0 CDM,3058523001,HC FACTOR VII ACTIVITY,52.0,52.0,,,0 CDM,3058524002,HC FACTOR VIII ACTIVITY,52.0,52.0,,,0 CDM,3058524501,HC RISTOCETIN CO FACTOR,61.0,61.0,,,0 CDM,3058524601,HC VW FACTOR ANTIGEN,60.0,60.0,,,0 CDM,3058525001,HC FACTOR IX ACTIVITY,56.0,56.0,,,0 CDM,3058526001,HC FACTOR X ACTIVITY,52.0,52.0,,,0 CDM,3058527001,HC FACTOR XI ACTIVITY,47.0,47.0,,,0 CDM,3058528001,HC FACTOR XII ACTIVITY,46.0,46.0,,,0 CDM,3058530001,HC ANTITHROMBIN III ACTIVITY,35.0,35.0,,,0 CDM,3058530301,HC PROTEIN C ACTIVITY,40.0,40.0,,,0 CDM,3058530601,HC PROTEIN S ACTIVITY,34.0,34.0,,,0 CDM,3058530702,HC ACTIVATED PROTEIN C APC RESISTANCE ASSAY,38.0,38.0,,,0 CDM,3058534701,HC POC ACT,25.0,25.0,,,0 CDM,3058534702,HC POC TEG COAGULATION TIME ACTIVATED,20.0,20.0,,,0 CDM,3058534703,HC TEG ACT CLOT TIME,14.0,14.0,,,0 CDM,3058536201,HC FDP FSP,17.0,17.0,,,0 CDM,3058537801,HC D DIMER LATEX,21.0,21.0,,,0 CDM,3058537901,HC D DIMER QUANT,29.0,29.0,,,0 CDM,3058538401,HC FIBRINOGEN LEVEL,25.0,25.0,,,0 CDM,3058538402,HC POC TEG FIBRINOGEN ACTIVITY,47.0,47.0,,,0 CDM,3058538403,HC TEG FIBRINOGEN LEVEL,42.0,42.0,,,0 CDM,3058539001,HC POC TEG LY30 FIBRINOLYSINS SCREEN I&R,32.0,32.0,,,0 CDM,3058539701,HC CLOTTING FUNCT ACTIVITY EACH ANALYTE,62.0,62.0,,,0 CDM,3058546001,HC FETAL CELL KLEIBETKE,22.0,22.0,,,0 CDM,3058552001,HC LMW HEPARIN ASSAY,35.0,35.0,,,0 CDM,3058552002,HC XA HEPARIN ASSAY,35.0,35.0,,,0 CDM,3058552004,HC IIA HEPARIN ASSAY,53.0,53.0,,,0 CDM,3058552005,HC DOAC SCREEN HEPARIN ASSAY,35.0,35.0,,,0 CDM,3058552501,HC HEPARIN NEUTRALIZATION,27.0,27.0,,,0 CDM,3058557601,HC P2Y12 ANTI-PLATELET EFFECT,105.0,105.0,,,0 CDM,3058557602,HC PLATELET AGGREGATION,69.0,69.0,,,0 CDM,3058557603,HC PLATELET AGGREGATION ASPIRIN EFFECT,71.0,71.0,,,0 CDM,3058557604,HC PLATELET FUNCTION ASSAY,59.0,59.0,,,0 CDM,3058557605,HC POC TEG PLATELET AGGREGATION IN VITRO EACH AGENT,121.0,121.0,,,0 CDM,3058557606,HC TEG PLT AGGREGATION,109.0,109.0,,,0 CDM,3058561001,HC PROTIME,21.0,21.0,,,0 CDM,3058561002,HC SPLIT PROTIME,21.0,21.0,,,0 CDM,3058561101,HC PT MIXING STUDIES EA,10.0,10.0,,,0 CDM,3058561301,HC LUPUS ANTICOAG LA1 OR LA2,27.0,27.0,,,0 CDM,3058565201,HC AUTO SED RATE,16.0,16.0,,,0 CDM,3058566002,HC SICKLE CELL,32.0,32.0,,,0 CDM,3058567001,HC THROMBIN TIME PLASMA,9.0,9.0,,,0 CDM,3058573001,HC PTT,21.0,21.0,,,0 CDM,3058573201,HC PTT MIX STUDIES EACH,18.0,18.0,,,0 CDM,3058581001,HC VISCOSITY,34.0,34.0,,,0 CDM,3058905001,HC EOSINOPHIL SMR UR,32.0,32.0,,,0 CDM,3060202U01,HC RESPIR NFCT DS BCT/VIR 22 TRGT SARSCOV2,709.69,709.69,,,0 CDM,3060402U01,HC NFCT AGT STI MULT AMP PRB TQ VAG ENDOCRV/MALE UR,357.0,357.0,,,0 CDM,3060455U01,HC NFCT AGT STI CHLMYD GONORR TRICH MULT AMP PRB UR,357.0,357.0,,,0 CDM,3068701501,HC AFB CONCENTRATION,14.0,14.0,,,0 CDM,3068704001,HC CULTURE BLOOD,62.0,62.0,,,0 CDM,3068707001,HC CULTURE AEROBIC,53.0,53.0,,,0 CDM,3068707002,HC CULTURE CSF,53.0,53.0,,,0 CDM,3068707003,HC CULTURE TISSUE,53.0,53.0,,,0 CDM,3068707004,HC STERILITY CHECK,53.0,53.0,,,0 CDM,3068707101,HC CULTURE QUANTITATIVE,40.0,40.0,,,0 CDM,3068707501,HC CULTURE ANAEROBIC,57.0,57.0,,,0 CDM,3068707601,HC ID CULT ANAER EA ISOLATE,79.0,79.0,,,0 CDM,3068707701,HC ID CULT AEROB EA ISOLATE,67.0,67.0,,,0 CDM,3068707702,HC MS CULTURE URINE,22.0,22.0,,,0 CDM,3068708101,HC BACTERIA CULTURE SCREEN,40.0,40.0,,,0 CDM,3068708102,HC CIPRO RES ENTERIC SC,18.0,18.0,,,0 CDM,3068708103,HC CULTURE LEGIONELLA,18.0,18.0,,,0 CDM,3068708104,HC CULTURE THROAT,18.0,18.0,,,0 CDM,3068708105,HC STAPH AUREUS SCREEN,18.0,18.0,,,0 CDM,3068708106,HC VRE SCREEN,18.0,18.0,,,0 CDM,3068708601,HC CULTURE URINE,50.0,50.0,,,0 CDM,3068708802,HC ID CULTURE URINE,22.0,22.0,,,0 CDM,3068710101,HC CULT FUNGUS HAIR SKIN OR NAILS,46.0,46.0,,,0 CDM,3068710201,HC CULTURE FUNGUS,51.0,51.0,,,0 CDM,3068710301,HC CULT BLOOD FUNGUS,54.0,54.0,,,0 CDM,3068710601,HC ID CULT YEAST,62.0,62.0,,,0 CDM,3068710701,HC ID CULT MOLD,83.0,83.0,,,0 CDM,3068710901,HC CULT MYCOPLASMA,85.0,85.0,,,0 CDM,3068711001,HC CHLAMYDIA CULTURE,108.0,108.0,,,0 CDM,3068711601,HC ACID FAST CULTURE,65.0,65.0,,,0 CDM,3068711602,HC CULT BLOOD AFB,65.0,65.0,,,0 CDM,3068714001,HC CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM,23.0,23.0,,,0 CDM,3068714701,HC CULT TYPING IMUN METHOD EA,28.0,28.0,,,0 CDM,3068714901,HC CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM,54.0,54.0,,,0 CDM,3068715401,HC CUL TYP ID BLD PTHGN 6+ TRGT,480.0,480.0,,,0 CDM,3068716801,HC MACRO EXAM ARTHROPOD,11.0,11.0,,,0 CDM,3068716901,HC MACRO EXAM PARASITE,32.0,32.0,,,0 CDM,3068717201,HC PINWORM PREP,36.0,36.0,,,0 CDM,3068717601,HC TISSUE HOMOGENIZATION FOR CULTURE,34.0,34.0,,,0 CDM,3068717701,HC OVA AND PARASITES,54.0,54.0,,,0 CDM,3068718101,HC MIC E TEST EACH,15.0,15.0,,,0 CDM,3068718401,HC SUSCEPTIBILITY DISK METHOD,42.0,42.0,,,0 CDM,3068718501,HC SUSCEPTIBILITY STUDY ENZYME,20.0,20.0,,,0 CDM,3068718601,HC MIC TEST,53.0,53.0,,,0 CDM,3068718602,HC YEAST ANTIFUNGAL MIC,53.0,53.0,,,0 CDM,3068720501,HC GRAM STAIN,25.0,25.0,,,0 CDM,3068720601,HC ACID FAST SMEAR,31.0,31.0,,,0 CDM,3068720602,HC CALCOFLO WHITE STAIN,31.0,31.0,,,0 CDM,3068720704,HC PARASITEMIA LEVEL,28.0,28.0,,,0 CDM,3068720901,HC TRICHROME STAIN,101.0,101.0,,,0 CDM,3068721001,HC WET MOUNT INFECTIOUS AGENTS,68.0,68.0,,,0 CDM,3068722001,HC KOH TISSUE SLIDE,25.0,25.0,,,0 CDM,3068725201,HC VIRAL CULTURE,144.0,144.0,,,0 CDM,3068725301,HC ID VIRUS TISSUE CULTURE EA,55.0,55.0,,,0 CDM,3068725401,HC VIRAL SHELL W STAIN,111.0,111.0,,,0 CDM,3068726901,HC O&P SCRN GIARDIA,26.0,26.0,,,0 CDM,3068727201,HC O AND P SCREEN CRYPTOSPORIDIUM,26.0,26.0,,,0 CDM,3068727301,HC HERPES TYPE 2 DFA,53.0,53.0,,,0 CDM,3068727401,HC HERPES TYPE 1 DFA,59.0,59.0,,,0 CDM,3068727801,HC LEGIONELLA PNEUMOPHILA DFA,53.0,53.0,,,0 CDM,3068728001,HC RSV ANTIGEN,26.0,26.0,,,0 CDM,3068728101,HC PNEUMOCYSTIS DIR FA EX,26.0,26.0,,,0 CDM,3068729001,HC VARICELLA ZOSTER DFA,59.0,59.0,,,0 CDM,3068730101,HC ADENOVIRUS ANTIGEN,59.0,59.0,,,0 CDM,3068732401,HC C DIFF TOXIN SCREEN,59.0,59.0,,,0 CDM,3068732801,HC O AND P SCR CRYPTOSPORIDIUM EIA,59.0,59.0,,,0 CDM,3068732901,HC O AND P SCR GIARDIA EIA,59.0,59.0,,,0 CDM,3068733801,HC IAAD EIA HPYLORI STOOL,75.0,75.0,,,0 CDM,3068734001,HC HEP B SURF ANTIGEN,87.0,87.0,,,0 CDM,3068734101,HC HEP B SURFACE AG NEUTRALIZATION,50.0,50.0,,,0 CDM,3068738901,HC HIV-1 AG W/HIV-1 & HIV-2 AB DIAGNOSTIC,204.0,204.0,,,0 CDM,3068738906,HC HIV-1 AG W/HIV-1 & HIV-2 AB SCREEN,166.0,166.0,,,0 CDM,3068742001,HC RSV ANTIGEN EIA,36.0,36.0,,,0 CDM,3068742501,HC ROTAVIRUS,42.0,42.0,,,0 CDM,3068742601,HC POC IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS,88.0,88.0,,,0 CDM,3068744902,HC C. DIFFICILE ANTIGEN EIA,30.0,30.0,,,0 CDM,3068748301,HC CNS DNA AMP PROBE TYPE 12-25,1232.0,1232.0,,,0 CDM,3068748601,HC CHLAMYDOPHILA PCR,95.0,95.0,,,0 CDM,3068749101,HC CHLAMYDIA PCR RNA,131.0,131.0,,,0 CDM,3068749102,HC CHLAMYDIA PCR UR,131.0,131.0,,,0 CDM,3068749103,HC CHLMD TRACH DNA AMP PROBE,131.0,131.0,,,0 CDM,3068749107,HC CHLAMYDIA PCR RNA-ALINITY,127.0,127.0,,,0 CDM,3068749301,HC C DIFF AMPLIFIED PROBE TECH,162.0,162.0,,,0 CDM,3068749401,HC IADNA CHLMYD TRCHMTS&NEISRA GONORR MULT AMP PRB,175.0,175.0,,,0 CDM,3068749701,HC CMV QUANT,351.0,351.0,,,0 CDM,3068749801,HC ENTEROVIRUS PCR,162.0,162.0,,,0 CDM,3068750201,HC FLU RT PCR 2 TYPES,311.0,311.0,,,0 CDM,3068750301,HC FLU RT PCR EA ADDTL,61.0,61.0,,,0 CDM,3068750601,HC LAB ENTERIC PATH PCR VERIGENE,335.0,335.0,,,0 CDM,3068751701,HC HBV QUANT PCR,364.0,364.0,,,0 CDM,3068752101,HC HEP C AMPLIFICATION,170.0,170.0,,,0 CDM,3068752102,HC IDM HCV RNA MI BLOOD,45.0,45.0,,,0 CDM,3068752201,HC HCV QUANT PCR,309.0,309.0,,,0 CDM,3068752902,HC HSV 1 OR 2 DNA PROBE,162.0,162.0,,,0 CDM,3068753503,HC IDM HIV1 RNA MI BLOOD,45.0,45.0,,,0 CDM,3068753601,HC HIV 1 QUANT RNA PCR,446.0,446.0,,,0 CDM,3068756301,HC MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,184.0,184.0,,,0 CDM,3068756302,HC MYCOPLASMA GENITALIUM AMP PROBE -ALINITY,179.0,179.0,,,0 CDM,3068756401,HC IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ,104.0,104.0,,,0 CDM,3068758102,HC MYCOPLASMA DNA PCR,95.0,95.0,,,0 CDM,3068759102,HC GONOCOCCUS PCR-ALINITY,131.0,131.0,,,0 CDM,3068759103,HC GC PCR UR,131.0,131.0,,,0 CDM,3068759104,HC GONOCOCCUS PCR RNA,131.0,131.0,,,0 CDM,3068762402,HC HPV HIGH RISK SCREEN,184.0,184.0,,,0 CDM,3068762601,HC IADNA HPV SEP RPRT HI-RSK TYP&HI-RSK POOLD RSLTS,176.0,176.0,,,0 CDM,3068763301,HC RESP VIRUS 12 TO 25 TARGETS,1093.0,1093.0,,,0 CDM,3068763503,HC NON HTP NOVEL SARS-COV-2 COVID-19 AMP PRB,217.5,217.5,,,0 CDM,3068763601,HC SARS COV 2 + FLU AB PCR POC ASSAY,297.0,297.0,,,0 CDM,3068763701,HC IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,294.29,294.29,,,0 CDM,3068764101,HC MRSA AMPLIFIED PROBE,125.0,125.0,,,0 CDM,3068765101,HC LAB GRP A STREP DNA PCR,74.0,74.0,,,0 CDM,3068765301,HC GRP B STREP DNA PCR,162.0,162.0,,,0 CDM,3068766101,HC TRICHOMONAS PCR,184.0,184.0,,,0 CDM,3068779805,HC B PERTUSSIS DNA PCR,104.0,104.0,,,0 CDM,3068779807,HC DETECT AGENT NOS DNA AMP,116.0,116.0,,,0 CDM,3068779809,HC IDM WNV RNA MI BLOOD,45.0,45.0,,,0 CDM,3068779814,HC NOS AMPLIFIED PROBE TQ EACH ORGANISM MGEN,113.0,113.0,,,0 CDM,3068779822,HC IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM,88.0,88.0,,,0 CDM,3068779823,HC M TB/RIFAMPIN DNA AMPIFIED PROBE,11.0,11.0,,,0 CDM,3068779843,HC DETECT AGENT BORDETELLA PCR DNA AMP,116.0,116.0,,,0 CDM,3068779912,HC ADENOVIRUS PCR QUANT,108.0,108.0,,,0 CDM,3068779915,HC BMT HHV7 VIRACOR,247.5,247.5,,,0 CDM,3068779916,HC BMT HHV8 VIRACOR,247.5,247.5,,,0 CDM,3068779918,HC EBV PCR,283.0,283.0,,,0 CDM,3068780001,HC IADNA STREPTOCOCCUS GROUP CG DIRECT PROBE,109.0,109.0,,,0 CDM,3068780101,HC DNA AMP PROBE MULTI ORGANISM,480.0,480.0,,,0 CDM,3068780601,HC HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES -ALERE,146.0,146.0,,,0 CDM,3068780702,HC RESPIRATORY SYNCTIAL VIRUS IAADIADOO,59.0,59.0,,,0 CDM,3068780801,HC LAB TRICHOMONAS OSOM,59.0,59.0,,,0 CDM,3068788001,HC RAPID STREP SCREEN,59.0,59.0,,,0 CDM,3068789901,HC LEGIONELLA AG UR,59.0,59.0,,,0 CDM,3068789902,HC PNEUMO AG URINE,55.0,55.0,,,0 CDM,3068790201,HC HEP C GENOTYPE,876.0,876.0,,,0 CDM,306Q011401,HC LAB FERN TEST,24.0,24.0,,,0 CDM,3078100001,HC URINALYSIS DIP WITH MICROSCOPY,18.0,18.0,,,0 CDM,3078100101,HC URINALYSIS AUTOMATED W MICROSCOPY,17.0,17.0,,,0 CDM,3078100202,HC POC URINALYSIS NON AUTO WO MICROSCOPY,25.0,25.0,,,0 CDM,3078100204,HC URINALYSIS SPECIFIC GRAVITY,25.0,25.0,,,0 CDM,3078100301,HC URINALYSIS AUTOMATED WO MICROSCOPY,11.0,11.0,,,0 CDM,3078100303,HC SPECIFIC GRAVITY URINE RANDOM,10.0,10.0,,,0 CDM,3078102501,HC URINE PREGNANCY TEST,18.0,18.0,,,0 CDM,3078105001,HC URINALYSIS VOLUME MEASURE TIMED COLLECTION,12.0,12.0,,,0 CDM,3090000002,HC LAB RESEARCH MMRF PATH INTERPRETATION,267.0,267.0,,,0 CDM,3100000001,HC AUTOPSY COMPLETE,1467.0,1467.0,,,0 CDM,3100000002,HC AUTOPSY INF CNS,2158.0,2158.0,,,0 CDM,3100000003,HC AUTOPSY PARTIAL,1467.0,1467.0,,,0 CDM,3100000004,HC AUTOPSY PRIVATE COMPLETE,3022.0,3022.0,,,0 CDM,3100000005,HC AUTOPSY PRIVATE PARTIAL,1813.0,1813.0,,,0 CDM,3100000006,HC LAB RESEARCH CYTOSLIDE PREP,25.0,25.0,,,0 CDM,3100000007,HC LAB RESEARCH FICOLL,48.0,48.0,,,0 CDM,3100000008,HC LAB RESEARCH FREEZE AND STORE,3.46,3.46,,,0 CDM,3100000009,HC MMRF PLASMA CELL SCREEN,150.0,150.0,,,0 CDM,3100000010,HC PROC EMBED CUT STAIN H&E,17.0,17.0,,,0 CDM,3100000011,HC RES BLOCK ONLY,14.0,14.0,,,0 CDM,3100000012,HC RES CUT STEP SECTION UNSTAINED,4.31,4.31,,,0 CDM,3100000013,HC RES CUT THICK SECTION,4.31,4.31,,,0 CDM,3100000014,HC RES DIGITALIZED SLIDES,21.0,21.0,,,0 CDM,3100000015,HC RES EXPLANT TISSUE OR DEVICE,172.0,172.0,,,0 CDM,3100000016,HC RES IHC ANTIBODY,29.0,29.0,,,0 CDM,3100000017,HC RES IHC/HER2/ER/PR/CD20/CD117,43.0,43.0,,,0 CDM,3100000018,HC RES IN SITU HYBRIDIZATION,86.0,86.0,,,0 CDM,3100000019,HC RES PARAFFIN UNSTAIN SLIDE 1ST,4.81,4.81,,,0 CDM,3100000020,HC RES PARAFFIN UNSTAIN SLIDE ADD,2.88,2.88,,,0 CDM,3100000021,HC RES PATH ANNOTATION OF SLIDE,24.0,24.0,,,0 CDM,3100000022,HC RES PROCESS EMBED CUT AND STAIN,19.0,19.0,,,0 CDM,3100000023,HC RES PUNCH BLOCK,4.31,4.31,,,0 CDM,3100000024,HC RES RECUT BLOCK AND STAIN,14.0,14.0,,,0 CDM,3100000025,HC RES RETRIEVE OFFSITE SL/BLK #1,19.0,19.0,,,0 CDM,3100000026,HC RES RETRIEVE OFFSITE SL/BLK AD,4.81,4.81,,,0 CDM,3100000027,HC RES RETRIEVE ONSITE SLIDE/BLK,4.81,4.81,,,0 CDM,3100000028,HC RES SPECIAL STAINS,34.0,34.0,,,0 CDM,3100000029,HC RES URINE,9.0,9.0,,,0 CDM,3108112001,HC IDH1 COMMON VARIANTS,590.0,590.0,,,0 CDM,3108112101,HC IDH2 COMMON VARIANTS,590.0,590.0,,,0 CDM,3108116801,HC CCND1/IGH TRANSLOCATION ALYS,360.0,360.0,,,0 CDM,3108120601,HC TRANS BCR ABL1 MAJOR,280.0,280.0,,,0 CDM,3108120701,HC TRANS BCR ABL1 MINOR,280.0,280.0,,,0 CDM,3108121001,HC ANALYSIS GENE BRAF,800.0,800.0,,,0 CDM,3108121901,HC CALR VAR IN EXON 9,516.0,516.0,,,0 CDM,3108122001,HC CFTR GENE ANALYSIS COMMON VARIANTS,774.0,774.0,,,0 CDM,3108122901,HC CYTOGEN M ARRAY COPY NO&SNP,832.0,832.0,,,0 CDM,3108122902,HC CYTOGENOMIC MICROARRAY ANALYSIS,1881.0,1881.0,,,0 CDM,3108123501,HC EGFR GENE ANALYSIS,1184.0,1184.0,,,0 CDM,3108124001,HC F2 GENE ANALYSIS,692.0,692.0,,,0 CDM,3108124101,HC F5 GENE ANALYSIS LEIDEN VARIANT,349.0,349.0,,,0 CDM,3108124301,HC ANALYS GENE FMR1 DET,158.0,158.0,,,0 CDM,3108124401,HC ANALYS GENE FMR1 CHA,153.0,153.0,,,0 CDM,3108125601,HC HFE GENE ANALYSIS COMMON VARIANTS,308.0,308.0,,,0 CDM,3108126101,HC IGH GENE REARRANGEMENT ANALYSIS,581.0,581.0,,,0 CDM,3108126301,HC IGH VARIABLE REGION SOMATIC MUTATION ANALYSIS,736.0,736.0,,,0 CDM,3108126401,HC IGK GENE REARRANGE ANALYSIS,431.0,431.0,,,0 CDM,3108126501,HC COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC,387.0,387.0,,,0 CDM,3108126503,HC STR GENE ANALYSIS,1980.0,1980.0,,,0 CDM,3108126601,HC STR GENE ANALYSIS ADDTL SPECIMEN,1550.0,1550.0,,,0 CDM,3108126701,HC CHIMERISM ANALYSIS WO CELL SORT,1005.0,1005.0,,,0 CDM,3108126801,HC CHIMERISM ANALYSIS WITH CELL SORT,1005.0,1005.0,,,0 CDM,3108127001,HC JAK2 GENE ANALYSIS,255.0,255.0,,,0 CDM,3108127002,HC JAK2 V617F MUTATION AN,388.0,388.0,,,0 CDM,3108127501,HC KRAS GENE ANALYSIS VARIANTS 12/13,440.0,440.0,,,0 CDM,3108127601,HC KRAS ADDTL VARIANTS,440.0,440.0,,,0 CDM,3108127801,HC IGH@/BCL2 TRANSLOCATION ALYS,324.0,324.0,,,0 CDM,3108128801,HC MLH1 PROMOTER METHYLATION ANALYSIS,548.0,548.0,,,0 CDM,3108129101,HC MTHFR GENE ANALYSIS COMMON VARIANTS,273.0,273.0,,,0 CDM,3108130101,HC MICROSATELLITE INSTABILITY ANALYSIS,619.0,619.0,,,0 CDM,3108130901,HC PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS,461.0,461.0,,,0 CDM,3108132701,HC EPIPROCOLON SEPTIN 9,269.0,269.0,,,0 CDM,3108133101,HC SNRPN UBE3A METHYLATION ANALYSIS,200.0,200.0,,,0 CDM,3108134001,HC TRB GENE REARRANGE AMPLIFY,522.0,522.0,,,0 CDM,3108134201,HC TRG GENE REARRANGEMENT ANALYSIS,591.0,591.0,,,0 CDM,3108137001,HC HLA CLASS I&II LOW HLA-A -B -C -DRB1/3/4/5&DQB,1005.0,1005.0,,,0 CDM,3108137301,"HC 81373 HLA I LOW ONE LOCUS, EA",319.0,319.0,,,0 CDM,3108140101,HC HTT HUNTINGTON GENE ANALYSIS,292.0,292.0,,,0 CDM,3108140102,HC MT-ATP6 GENE NARP,162.0,162.0,,,0 CDM,3108140103,HC MT-ND4 GENE LHON,496.0,496.0,,,0 CDM,3108140104,HC MT-ND5 GENE MELAS,222.0,222.0,,,0 CDM,3108140105,HC MT-TK GENE MERRF,426.0,426.0,,,0 CDM,3108140305,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 CTNNB1,527.0,527.0,,,0 CDM,3108144501,HC GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE,1268.0,1268.0,,,0 CDM,3108144502,HC GENE SEQUENCE ANALYSIS 5 50,2981.0,2981.0,,,0 CDM,3108144503,HC TARGETED GENOMIC SEQ ANALYSIS LUNG PANEL,3578.0,3578.0,,,0 CDM,3108144504,HC TARGETED GENOMIC SEQ ANALYS,1495.0,1495.0,,,0 CDM,3108145001,HC GENE ANALYSIS HEME,3312.0,3312.0,,,0 CDM,3108145503,HC TARGETED GENOMIC SEQ ANALYSIS PANEL,4323.0,4323.0,,,0 CDM,3108145601,HC PAN GENE FUSION PANEL RNA ANAYSIS,5448.0,5448.0,,,0 CDM,3108147902,HC MITOCHON DELETE KSS,260.0,260.0,,,0 CDM,3108147903,HC ERBB2 LUNG PANEL,161.0,161.0,,,0 CDM,3108147904,HC GNAS GENE ANALYSIS,569.0,569.0,,,0 CDM,3108147905,HC LAB DNA EXTRACTION,65.0,65.0,,,0 CDM,3108147906,HC UNLISTED MOLECULAR PATHOLOGY PROCEDURE,717.0,717.0,,,0 CDM,3108147907,HC RNA EXTRACTION AND HOLD,65.0,65.0,,,0 CDM,3108147910,HC MOLECULAR BRAF GENE FUSION,711.0,711.0,,,0 CDM,3108147914,HC IGL GENE REARRANGE ANALYSIS,431.0,431.0,,,0 CDM,3108147915,HC ALK GENE FUSION,711.0,711.0,,,0 CDM,3108790201,HC HEPC GENO 1A NS5A DRUG RES,579.0,579.0,,,0 CDM,3108810401,HC CYTOLOGY BRUSHINGS,72.0,72.0,,,0 CDM,3108810801,HC CYTOPATHOLOGY NONGYN,118.0,118.0,,,0 CDM,3108814101,HC PAP SMEAR INTERP,70.0,70.0,,,0 CDM,3108814201,HC THIN PREP DIAGNOSTIC WO INTERP,114.0,114.0,,,0 CDM,3108815501,HC CYTOL MATURAT INDEX,28.0,28.0,,,0 CDM,3108816001,HC CYTO NONGYN SMEAR,147.0,147.0,,,0 CDM,3108816101,HC CYTOLOGY SMEAR PREP SCREEN & INTERP,52.0,52.0,,,0 CDM,3108816201,HC CYTOLOGY EXTENDED STUDY,41.0,41.0,,,0 CDM,3108817201,HC FNA IMMEDIATE READ,148.0,148.0,,,0 CDM,3108817301,HC CYTO FNA INTERP AND REPORT,186.0,186.0,,,0 CDM,3108817701,HC CYTO FNA IMMEDIATE ADDTL EVAL,21.0,21.0,,,0 CDM,3108818202,HC FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS,107.0,107.0,,,0 CDM,3108818401,HC CD20 1ST MARKER,259.0,259.0,,,0 CDM,3108818403,HC FETAL CELL FLOW CYTOMETRY,289.0,289.0,,,0 CDM,3108818404,HC FLOW CYTO 1ST MARKER,289.0,289.0,,,0 CDM,3108818501,HC CD20 ADD MARKER,66.0,66.0,,,0 CDM,3108818504,HC FLOW CYTO EA ADD MKR,81.0,81.0,,,0 CDM,3108823001,HC TISSUE CULT LYMPHOCYTE,517.0,517.0,,,0 CDM,3108823301,HC TISSUE CULT SOLID TISSUE,711.0,711.0,,,0 CDM,3108823501,HC TISSUE CULT AMNIO FLUID,647.0,647.0,,,0 CDM,3108823701,HC TISSUE CULT BONE MARROW,569.0,569.0,,,0 CDM,3108823901,HC TISSUE CULT SOLID TUMOR,711.0,711.0,,,0 CDM,3108824001,HC CRYOPRESERVATION EA,135.0,135.0,,,0 CDM,3108824101,HC THAW EXPAND CRYO CELL EA ALQ,347.0,347.0,,,0 CDM,3108824801,HC CHROM ANALYSIS BREAK SYNDROMES,618.0,618.0,,,0 CDM,3108824901,HC BREAK SYNDROME CLASTOGEN STRESS,653.0,653.0,,,0 CDM,3108826101,HC CHROM ANALYSIS 5 CELL 1 KARYOTYPE,707.0,707.0,,,0 CDM,3108826201,HC CHROM ANALYSIS 15 TO 20 CELL 2 KARYOTYPES,805.0,805.0,,,0 CDM,3108826401,HC CHROM ANALYSIS 20 TO 25 CELLS,799.0,799.0,,,0 CDM,3108826701,HC CHROM ANALYSIS AMNIO FLUID 15 CELL 1 KARYOTYPE,585.0,585.0,,,0 CDM,3108826901,HC CHROM ANALYSIS AMNIO FLUID 6 TO 12 CELL 1 KARYOTYPE,466.0,466.0,,,0 CDM,3108827101,HC DNA PRB EA LUNG PNL,103.0,103.0,,,0 CDM,3108827102,HC MOL CYTO DNA PROB EA,132.0,132.0,,,0 CDM,3108827201,HC FISH ANALYSIS 3 TO 5 CELLS,258.0,258.0,,,0 CDM,3108827301,HC FISH ANALYSIS 10 TO 30 CELL,377.0,377.0,,,0 CDM,3108827401,HC INTER FISH 25 TO 99 CELL,369.0,369.0,,,0 CDM,3108827402,HC ISH LUNG PANEL,288.0,288.0,,,0 CDM,3108827501,HC INTER FISH 100 TO 300 CELL,310.0,310.0,,,0 CDM,3108828001,HC ADDTL KARYOTYPE EA STUDY,147.0,147.0,,,0 CDM,3108828301,HC CHROM ANAL ADDL BAND,250.0,250.0,,,0 CDM,3108828501,HC SUSPECTED MOSAIC,147.0,147.0,,,0 CDM,3108828901,HC CHROM ANALYSIS HIGH RES,299.0,299.0,,,0 CDM,3108830001,HC SURG PATH LEVEL I,64.0,64.0,,,0 CDM,3108830201,HC SURG PATH LEVEL II,121.0,121.0,,,0 CDM,3108830401,HC SURG PATH LEVEL III,144.0,144.0,,,0 CDM,3108830501,HC SURG PATH LEVEL IV,234.0,234.0,,,0 CDM,3108830701,HC SURG PATH LEVEL V,390.0,390.0,,,0 CDM,3108830901,HC SURG PATH LEVEL VI,652.0,652.0,,,0 CDM,3108831101,HC DECALCIFICATION PROCEDURE,31.0,31.0,,,0 CDM,3108831201,HC SPECIAL STAIN GROUP I,218.0,218.0,,,0 CDM,3108831303,HC SPECIAL STAIN GROUP II,195.0,195.0,,,0 CDM,3108831401,HC HISTOCHEMICAL STAIN,125.0,125.0,,,0 CDM,3108831901,HC SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS,652.0,652.0,,,0 CDM,3108832102,HC PATH CONSULT OUTSIDE SLIDES,53.0,53.0,,,0 CDM,3108832302,HC PATH CONSULT REFERRED MATERIAL,105.0,105.0,,,0 CDM,3108832502,HC PATH CONSULT COMPREHENSIVE REVIEW,337.0,337.0,,,0 CDM,3108832901,HC PATH CONSULT INTROPERATIVE,71.0,71.0,,,0 CDM,3108833101,HC FROZEN SECTION,148.0,148.0,,,0 CDM,3108833201,HC ADDTL FROZEN SECTION,71.0,71.0,,,0 CDM,3108833301,HC PATH CONSULT INTROPERATIVE CYTO EXAM,652.0,652.0,,,0 CDM,3108833401,HC PATH CONSULT INTROPERATIVE CYTO EXAM ADDTL,71.0,71.0,,,0 CDM,3108834101,HC IMMUNOCHEMICAL AB STAIN ADDTL,186.0,186.0,,,0 CDM,3108834202,HC IMMUNOCHEMICAL AB STAIN INITIAL,177.0,177.0,,,0 CDM,3108834401,HC IHC EA MULTIPLEX AB STN,289.0,289.0,,,0 CDM,3108836001,HC MORPH IHC EA AB STAIN,188.0,188.0,,,0 CDM,3108836401,HC IN SITU HYB ADDTL PROBE,232.0,232.0,,,0 CDM,3108836501,HC ISH INITIAL SINGLE PROBE,290.0,290.0,,,0 CDM,3108836601,HC ISH EA MULTIPLEX AB STN,275.0,275.0,,,0 CDM,3108836801,HC MORPH ISH INITIAL PROBE,432.0,432.0,,,0 CDM,3108836901,HC MORPH ISH ADDTL PROBE,432.0,432.0,,,0 CDM,3108837701,HC MORPH ISH EA MULTI PRB,350.0,350.0,,,0 CDM,3108837702,HC M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB,366.0,366.0,,,0 CDM,3118811201,HC CYTO NONGYN SELECTIVE W INTERP,234.0,234.0,,,0 CDM,3118812101,HC CYTP INSITU HYBRID URINE SPEC 3-5 PROBES CPRT EA,1074.0,1074.0,,,0 CDM,3118814201,HC THIN PREP SCREEN WO INTERP,114.0,114.0,,,0 CDM,3118817501,HC PAP SCREEN AUTO,114.0,114.0,,,0 CDM,3118817502,HC PAP DIAGNOSTIC AUTO,114.0,114.0,,,0 CDM,3128834601,HC FLUORESCENT STAIN EACH AB DIRECT,336.0,336.0,,,0 CDM,3128834801,HC ELECTRON MICROSCOPY DIAG,914.0,914.0,,,0 CDM,3128835001,HC IF PER SPECIMEN EA ADD ANTIBODY STN,103.0,103.0,,,0 CDM,3200000001,HC AUTOPSY ME RAD,89.0,89.0,,,0 CDM,3200000002,HC FLUOROSCOPY LESS THAN OR EQUAL TO 1 HOUR,320.0,320.0,,,0 CDM,3200000003,HC XRAY COREVALVE ROTATIONAL,213.0,213.0,,,0 CDM,3205160001,HC INJECTION-CYSTO/VOIDING CYSTO,1020.0,1020.0,,,0 CDM,3205161001,HC INJECTION URETHROGRAM,681.0,681.0,,,0 CDM,3207003001,HC XRAY EYE FOREIGN BODY,204.5,204.5,,,0 CDM,3207010001,HC XRAY MANDIBLE LESS THAN 4 VIEWS,106.5,106.5,,,0 CDM,3207011001,HC XRAY MANDIBLE COMPLETE MIN 4 VIEWS,311.5,311.5,,,0 CDM,3207013001,HC XRAY MASTOIDS COMPLETE MIN 3 VIEWS PER SIDE,151.0,151.0,,,0 CDM,3207014001,HC XRAY FACIAL BONES LESS THAN 3 VIEWS,109.0,109.0,,,0 CDM,3207015001,HC XRAY FACIAL BONES COMPLETE MIN 3 VIEWS,314.5,314.5,,,0 CDM,3207016001,HC XRAY NASAL BONES MIN 3 VIEWS,195.5,195.5,,,0 CDM,3207019001,HC XRAY ORBITS OPTIC FORAMINA,84.0,84.0,,,0 CDM,3207020001,HC XRAY ORBITS COMPLETE MIN 4 VIEWS,313.0,313.0,,,0 CDM,3207021001,HC XRAY SINUSES PARANASAL LESS THAN 3 VIEWS,187.0,187.0,,,0 CDM,3207022001,HC XRAY SINUSES PARANASAL COMPLETE MIN 3 VIEWS,307.5,307.5,,,0 CDM,3207025001,HC XRAY SKULL LESS THAN 4 VIEWS,295.0,295.0,,,0 CDM,3207026001,HC XRAY SKULL COMPLETE MIN 4 VIEWS,313.0,313.0,,,0 CDM,3207032801,HC RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT,275.0,275.0,,,0 CDM,3207033001,HC XRAY TEMPOROMANDIBULAR JOINTS BILATERAL,390.5,390.5,,,0 CDM,3207035501,HC XRAY ORTHOPANTOGRAM (PANORAMIC),106.0,106.0,,,0 CDM,3207036001,HC XRAY NECK SOFT TISSUE,184.5,184.5,,,0 CDM,3207037001,HC XRAY PHARYNX/LARYNX INC FLUORO,320.0,320.0,,,0 CDM,3207039001,HC XRAY SIALOGRAPHY S&I,356.0,356.0,,,0 CDM,3207110001,HC XRAY RIBS UNILATERAL 2 VIEWS,195.0,195.0,,,0 CDM,3207110101,HC XRAY RIBS UNILAT WITH PA CHEST MIN 3 VIEWS,314.0,314.0,,,0 CDM,3207111001,HC XRAY RIBS BILATERAL 3 VIEWS,311.0,311.0,,,0 CDM,3207111101,HC XRAY RIBS BILATERAL WITH PA CHEST MIN 4 VIEWS,336.5,336.5,,,0 CDM,3207112001,HC XRAY STERNUM MIN 2 VIEWS,195.0,195.0,,,0 CDM,3207113001,HC XRAY STERNOCLAVICULAR JOINT MIN 3 VIEWS,199.5,199.5,,,0 CDM,3207202001,HC XRAY SPINE SINGLE VIEW,210.0,210.0,,,0 CDM,3207204001,HC XRAY CERVICAL PA & LAT 2 TO 3 VIEWS,295.5,295.5,,,0 CDM,3207205001,HC XRAY-SPINE CERVICAL COMPLETE,322.0,322.0,,,0 CDM,3207205201,HC XRAY SPINE CERVIAL COMP FLX AN,351.5,351.5,,,0 CDM,3207207001,HC XRAY THORACIC 2 VIEWS,203.5,203.5,,,0 CDM,3207207201,HC XRAY THORACIC 3 VIEWS,234.5,234.5,,,0 CDM,3207208001,HC X-RAY SPINE THORACOLUMBAR 2 OR 3 VIEWS,225.0,225.0,,,0 CDM,3207208101,HC XRAY ENTIRE SPINE 1 VIEW,188.5,188.5,,,0 CDM,3207208201,HC XRAY ENTIRE SPINE 2 TO 3 VIEWS,242.5,242.5,,,0 CDM,3207208301,HC XRAY ENTIRE SPINE 4 TO 5 VIEWS,278.5,278.5,,,0 CDM,3207208401,HC XRAY ENTIRE SPINE MIN 6 VIEWS,321.0,321.0,,,0 CDM,3207210001,HC XRAY SPINE LUMBAR 2 OR 3 VIEWS,277.0,277.0,,,0 CDM,3207211001,HC XRAY L UMBAR SPINE MIN 4 VIEWS,305.5,305.5,,,0 CDM,3207211401,HC XRAY SPINE LUMBAR COMP WITH AD,306.0,306.0,,,0 CDM,3207212001,HC XRAY LUMBAR SPINE BEND 2 OR 3 VIEWS,312.0,312.0,,,0 CDM,3207217001,HC XRAY PELVIS 1 OR 2 VIEWS,283.0,283.0,,,0 CDM,3207219001,HC XRAY PELVIS MIN 3 VIEWS,330.5,330.5,,,0 CDM,3207220001,HC XRAY SACROILIAC JOINT 2 VIEWS OR LESS,196.0,196.0,,,0 CDM,3207220201,HC XRAY SACROILIAC JOINTS MIN 3 VIEWS,290.0,290.0,,,0 CDM,3207222001,HC XRAY SACRUM/COCCYX MIN 2 VIEWS,195.0,195.0,,,0 CDM,3207228501,HC DISCOGRAPHY CERVICAL/THORACIC S&I,1758.0,1758.0,,,0 CDM,3207229501,HC DISCOGRAPHY LUMBAR S&I,1807.0,1807.0,,,0 CDM,3207300001,HC XRAY CLAVICLE COMPLETE,198.5,198.5,,,0 CDM,3207301001,HC XRAY SCAPULA COMPLETE,198.0,198.0,,,0 CDM,3207302001,HC XRAY SHOULDER 1 VIEW,192.5,192.5,,,0 CDM,3207303001,HC XRAY SHOULDER COMPLETE MIN 2 VIEWS,280.5,280.5,,,0 CDM,3207305001,HC XRAY ACROMIOCLAVICULAR JOINT BILATERAL,300.5,300.5,,,0 CDM,3207306001,HC XRAY HUMERUS MIN 2 VIEWS,197.0,197.0,,,0 CDM,3207307001,HC XRAY ELBOW 2 VIEWS,181.0,181.0,,,0 CDM,3207308001,HC XRAY ELBOW COMPLETE MIN 3 VIEWS,196.5,196.5,,,0 CDM,3207309001,HC XRAY FOREARM 2 VIEWS,197.0,197.0,,,0 CDM,3207309201,HC XRAY UPPER EXT INFANT MIN 2 VIEWS,146.0,146.0,,,0 CDM,3207310001,HC XRAY WRIST 2 VIEWS,111.5,111.5,,,0 CDM,3207311001,HC XRAY WRIST COMPLETE MIN 3 VIEWS,196.0,196.0,,,0 CDM,3207312001,HC XRAY HAND 2 VIEWS,203.5,203.5,,,0 CDM,3207313001,HC XRAY HAND MIN 3 VIEWS,234.5,234.5,,,0 CDM,3207314001,HC XRAY FINGER MIN 2 VIEWS,175.5,175.5,,,0 CDM,3207350101,HC XRAY HIP UNILATERAL 1 VIEW WITH PELVIS,215.0,215.0,,,0 CDM,3207350201,HC XRAY HIP UNILATERAL 2 TO 3 VIEWS WITH PELVIS,240.0,240.0,,,0 CDM,3207350301,HC XRAY HIP UNILATERAL MIN 4 VIEWS WITH PELVIS,342.0,342.0,,,0 CDM,3207352101,HC XRAY HIP BILATERAL 2 TO 3 VIEWS WITH PELVIS,366.5,366.5,,,0 CDM,3207352201,HC XRAY HIP BILATERAL 3 TO 4 VIEWS WITH PELVIS,384.0,384.0,,,0 CDM,3207352301,HC XRAY HIP BILATERAL 5 VIEWS WITH PELVIS,468.5,468.5,,,0 CDM,3207355101,HC XRAY FEMUR 1 VIEW,186.5,186.5,,,0 CDM,3207355201,HC XRAY FEMUR MIN 2 VIEWS,228.5,228.5,,,0 CDM,3207356001,HC XRAY KNEE 1 OR 2 VIEWS,189.5,189.5,,,0 CDM,3207356201,HC XRAY KNEE 3 VIEWS,252.5,252.5,,,0 CDM,3207356401,HC XRAY KNEE COMPLETE,272.0,272.0,,,0 CDM,3207356501,HC XRAY STANDING KNEES AP 2 VIEWS,191.0,191.0,,,0 CDM,3207359001,HC XRAY TIBIA & FIBULA 2 VIEWS,197.0,197.0,,,0 CDM,3207359201,HC XRAY LOW EXT INFANT 2 VIEWS,127.0,127.0,,,0 CDM,3207360001,HC XRAY ANKLE 2 VIEWS,249.0,249.0,,,0 CDM,3207361001,HC XRAY ANKLE COMPLETE MIN 3 VIEWS,282.5,282.5,,,0 CDM,3207362001,HC XRAY FOOT 2 VIEWS,194.5,194.5,,,0 CDM,3207363001,HC XRAY FOOT COMPLETE MIN 3 VIEWS,196.0,196.0,,,0 CDM,3207365001,HC XRAY CALCANEOUS MIN 2 VIEWS,198.5,198.5,,,0 CDM,3207366001,HC XRAY TOES MIN 2 VIEWS,196.0,196.0,,,0 CDM,3207401801,HC XRAY ABDOMEN AP,184.5,184.5,,,0 CDM,3207401901,HC XRAY ABD FLAT AND ERECT OR DEC,271.5,271.5,,,0 CDM,3207401902,HC XRAY ABD FLAT AND ERECT OR DEC COMP,212.5,212.5,,,0 CDM,3207402101,HC XRAY ABD FLAT AND ERECT OR DEC-3 VIEWS,277.0,277.0,,,0 CDM,3207402201,HC XRAY ABD COMP W/PA CHEST,280.0,280.0,,,0 CDM,3207421001,HC RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY,651.0,651.0,,,0 CDM,3207422001,HC XRAY ESOPHAGUS,242.0,242.0,,,0 CDM,3207422101,HC RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY,414.0,414.0,,,0 CDM,3207423001,HC XRAY SWALLOW FUNCTION WITH VIDEO,339.0,339.0,,,0 CDM,3207424001,HC XRAY UPPER GI WO KUB,362.0,362.0,,,0 CDM,3207424601,HC XRAY UPPER GI AIR WO KUB,235.0,235.0,,,0 CDM,3207424801,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,380.0,380.0,,,0 CDM,3207425001,HC XRAY SMALL BOWEL FOLLOW THRU,290.0,290.0,,,0 CDM,3207427001,HC XRAY COLON/BARIUM ENEMA,354.0,354.0,,,0 CDM,3207428001,HC XRAY COLON/BARIUM ENEMA WITH AIR,526.0,526.0,,,0 CDM,3207428301,HC XRAY THEAURAPEUTIC ENEMA,419.0,419.0,,,0 CDM,3207430001,HC XRAY CHOLANGIOGRAPHY OPERATIVE S&I,111.0,111.0,,,0 CDM,3207432901,HC XRAY ERCP OF PANCREATIC DUCT,459.0,459.0,,,0 CDM,3207433001,HC XRAY ERCP BOTH PANCREAT & BILARY,277.0,277.0,,,0 CDM,3207434001,HC XRAY INTRO LONG GASTRO TUBE S&I,307.5,307.5,,,0 CDM,3207435501,HC XRAY PERC PLACE ENTEROCLYSIS TUBE,623.0,623.0,,,0 CDM,3207436001,HC XRAY GUIDE GI DILATION S&I,380.0,380.0,,,0 CDM,3207436301,HC CHOLANGIOPL WITH OR WO STENT S&I,727.0,727.0,,,0 CDM,3207440001,HC XRAY INTRAVENOUS PYELOGRAM,381.0,381.0,,,0 CDM,3207441501,HC XRAY NEPHROTOMOGRAM,337.0,337.0,,,0 CDM,3207442001,HC XRAY RETROGRADE UROGRAPHY WITH OR WO KUB,401.0,401.0,,,0 CDM,3207442501,HC XRAY NEPHROSTO/LOOPOGRAMS S&I,546.0,546.0,,,0 CDM,3207443001,HC XRAY CYSTOGRAM S&I,546.0,546.0,,,0 CDM,3207445001,HC XRAY URETHROGRAM RETRO S&I,375.0,375.0,,,0 CDM,3207445501,HC XRAY VOIDING CYSTOGRAM S&I,670.0,670.0,,,0 CDM,3207447001,HC XRAY RENAL CYST STUDY,491.0,491.0,,,0 CDM,3207448501,HC XRAY DILATION OF URETERS,2317.0,2317.0,,,0 CDM,3207474001,HC XRAY HYSTEROSALPINGOGRAM S&I,406.0,406.0,,,0 CDM,3207477501,HC XRAY PERINEOGRAM,436.0,436.0,,,0 CDM,3207570501,HC ANGIO SPINAL SELECTIVE S&I,7607.0,7607.0,,,0 CDM,3207573101,HC ANGIOGRAPHY ADRENAL UNILATERAL S&I,3877.0,3877.0,,,0 CDM,3207574301,HC PULM ARTERY ANGIO BILATERAL,4566.0,4566.0,,,0 CDM,3207574601,HC XRAY ANGIOGRAPHY PULMONARY,3723.0,3723.0,,,0 CDM,3207575601,HC INTERNAL MAMMARY SELECTIVE,4566.0,4566.0,,,0 CDM,3207580101,HC LYMPHANGIOGRAPHY UNILATERAL S&I,984.0,984.0,,,0 CDM,3207580301,HC LYMPHANGIOGRAPHY BILATERAL S&I,1858.0,1858.0,,,0 CDM,3207580501,HC LYMPHA PELVIC/ABD UNILATERAL S&I,4517.0,4517.0,,,0 CDM,3207580701,HC LYMPHA PELVIC/ABD BILATERAL S&I,4566.0,4566.0,,,0 CDM,3207580901,HC SHUNTOGRAM INVEST SHUNT S&I,549.0,549.0,,,0 CDM,3207581001,HC SPLENOPORTOGRAM,4517.0,4517.0,,,0 CDM,3207582001,HC VENOGRAM EXTREMITY UNILATERAL S&I,2020.5,2020.5,,,0 CDM,3207582201,HC VENOGRAM EXTREMITY BILATERAL S&I,2374.5,2374.5,,,0 CDM,3207582501,HC VENOGRAPHY INFERIOR VENA CAVA,4157.5,4157.5,,,0 CDM,3207582701,HC VENOGR CAVAL SUP S&I,1999.0,1999.0,,,0 CDM,3207583101,HC VENO RENAL UNILATERAL,5673.0,5673.0,,,0 CDM,3207583301,HC VENO RENAL BILATERAL,8510.0,8510.0,,,0 CDM,3207586001,HC VENOGRAPHY SINUS OR JUGULAR,4566.0,4566.0,,,0 CDM,3207587001,HC VENO SUP SAG SINUS RAD S&I,4566.0,4566.0,,,0 CDM,3207587201,HC VENO SUPSAGGITAL SINUS,1099.0,1099.0,,,0 CDM,3207588501,HC PORTOGRAPHY PERC WITH HEMODYNAMIC,4566.0,4566.0,,,0 CDM,3207588701,HC PORTOGRAPHY PERC TRANSHEPATIC,4566.0,4566.0,,,0 CDM,3207588901,HC HEPATIC VENO WITH HEMO EVAL,4566.0,4566.0,,,0 CDM,3207589101,HC HEPATIC VENOGRAPHY,4566.0,4566.0,,,0 CDM,3207589301,HC VENOUS SAMPLING W/CATH,7795.0,7795.0,,,0 CDM,3207589401,HC TRANSCATHETER THERAPY S&I,4057.0,4057.0,,,0 CDM,3207589801,HC ANGIOGRAPHY THRU EXISTING CATH,4566.0,4566.0,,,0 CDM,3207590101,HC CVC STRIP VIA NEW PUNC S&I,380.5,380.5,,,0 CDM,3207590201,HC CVC DECLOT THRU DEVICE LUMEN S&I,480.0,480.0,,,0 CDM,3207595901,HC ENDOVASC RPR THORA DIST S&I,737.0,737.0,,,0 CDM,3207597001,HC BIOPSY TRANSCATHETER S&I,1456.0,1456.0,,,0 CDM,3207598401,HC CHANGE DRAIN CATHETER,211.5,211.5,,,0 CDM,3207598901,HC IR-RAD GUID PERC DRAINCATH S&I,276.5,276.5,,,0 CDM,3207600001,HC SNIFF TEST FLUORO,367.0,367.0,,,0 CDM,3207601001,HC XRAY CHILD FB SINGLE VIEW,138.5,138.5,,,0 CDM,3207608001,HC FISTULA AND CONTRAST,751.5,751.5,,,0 CDM,3207609801,HC BREAST SURG SPECIMEN EACH,677.5,677.5,,,0 CDM,3207637602,HC 3D RENDER W/O POST PROCESSING,660.0,660.0,,,0 CDM,3207637701,HC 3D RENDERING INDEPENDENT,767.0,767.0,,,0 CDM,3207649601,HC FLUORO GUIDANCE UNSPECIFIED,262.0,262.0,,,0 CDM,3207649701,HC MULTITOM RAX CT- 3 D IMAGING,128.0,128.0,,,0 CDM,3207649901,HC DR BODY COMPOSITION,314.0,314.0,,,0 CDM,3207700101,HC FLUORO GUIDANCE CVC,267.5,267.5,,,0 CDM,3207700201,HC FLUORO GUIDANCE FOR NEEDLE PLACEMENT,185.0,185.0,,,0 CDM,3207700301,HC FLUORO GUIDANCE OF NEEDLE/CATH TIP,203.5,203.5,,,0 CDM,3207701301,HC CT GUIDE FOR TISSUE ABLATION,3426.0,3426.0,,,0 CDM,3207705301,HC GALACTOGRAM SINGLE DUCT S&I,485.0,485.0,,,0 CDM,3207705401,HC GALACTOGRAM MULTIPLE DUCTS S&I,342.0,342.0,,,0 CDM,3207707101,HC XRAY JOINT STRESS VIEW,155.0,155.0,,,0 CDM,3207707201,HC XRAY BONE AGE STUDIES,306.0,306.0,,,0 CDM,3207707301,HC XRAY BONE LENGTH STUDY,194.0,194.0,,,0 CDM,3207707401,HC RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,332.0,332.0,,,0 CDM,3207707501,HC XRAY BONE SURVEY COMPLETE SKELETON,301.5,301.5,,,0 CDM,3207707601,HC XRAY BONE SURVEY INFANT,281.0,281.0,,,0 CDM,3207707701,HC XRAY JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,133.0,133.0,,,0 CDM,3207708001,HC XRAY BONE DENSITY AXIAL,299.0,299.0,,,0 CDM,3207708101,HC XRAY BONE DENSITY APPENDICULAR,144.0,144.0,,,0 CDM,3207708501,HC XRAY BONE DENSITY AXIAL WITH VFA,579.5,579.5,,,0 CDM,3207708601,HC XRAY VERTEBRAL FRACTURE ASSESS,257.5,257.5,,,0 CDM,320C973301,HC NON-OPHTHALMIC FLUORESCENT VASCULAR ANGIOGRAPHY,1178.0,1178.0,,,0 CDM,3227311501,HC XRAY ARTHROGRAM WRIST S & I,393.0,393.0,,,0 CDM,3237560501,HC THORACIC AORTOGRAM,7607.0,7607.0,,,0 CDM,3237562501,HC ABDOMINAL AORTOGRAM,5313.0,5313.0,,,0 CDM,3237563001,HC ABDOMINAL AORTOGRAM WITH BILATERAL RUNOFF,6111.0,6111.0,,,0 CDM,3237571001,HC ANGIO UNILATERAL EXTREMITY S&I,5305.0,5305.0,,,0 CDM,3237571601,HC ANGIO BILATERAL EXTREMITIES,6102.0,6102.0,,,0 CDM,3237572601,HC ANGIO VISCERAL SELECTIVE OR SUPRASELECTIVE S&I,6855.5,6855.5,,,0 CDM,3237573601,HC PELVIC ANGIOGRAPHY S&I,7607.0,7607.0,,,0 CDM,3237574101,HC PULM ARTERY ANGIO UNILATERAL,4566.0,4566.0,,,0 CDM,3237577401,HC EACH ADDTL VESSEL AFTER BASIC EXAM,2200.0,2200.0,,,0 CDM,3247104501,HC XRAY CHEST SINGLE VIEW,216.0,216.0,,,0 CDM,3247104601,HC XRAY CHEST 2 VIEWS,248.5,248.5,,,0 CDM,3247104602,HC XRAY CHEST SPECIAL VIEWS,248.5,248.5,,,0 CDM,3247104701,HC XRAY CHEST PA LAT & LORDOTIC,273.5,273.5,,,0 CDM,3247104801,HC XRAY CHEST COMPLETE MIN FOUR VIEWS,329.0,329.0,,,0 CDM,3247104802,HC XRAY CHEST PA LATERAL & OBLIQUE,329.0,329.0,,,0 CDM,3319640101,HC CHEMO SUBQ/IM NONHORMONE ANTINEOP,289.0,289.0,,,0 CDM,3319640201,HC CHEMO SUBQ/IM HORMONAL ANTINEO,278.0,278.0,,,0 CDM,3319640901,HC CHEMO IV PUSH SINGLE / INITIAL,319.0,319.0,,,0 CDM,3319642001,HC CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ,728.0,728.0,,,0 CDM,3319644601,HC PERITONEAL CHEMOTHERAPY,468.0,468.0,,,0 CDM,3319645001,HC INTRATHECAL ADMIN CHEMOTHER,778.0,778.0,,,0 CDM,3337701401,HC CT RAD ONC LOCALIZATION,1109.0,1109.0,,,0 CDM,3337728001,HC RAD THERAPY SIMULATION SIMPLE,464.0,464.0,,,0 CDM,3337728501,HC RAD TH-SIMULATION INTERMEDIATE,1351.54,1351.54,,,0 CDM,3337729001,HC RAD THERAPY SIMULATION COMPLEX,1232.0,1232.0,,,0 CDM,3337729301,HC RAD THERAPY RESP MOTION MGMT SIM,923.0,923.0,,,0 CDM,3337729501,HC RAD THERAPY 3D TREATMENT PLAN,5508.0,5508.0,,,0 CDM,3337730001,HC RAD THERAPY BASIC DOSIMETRY,464.0,464.0,,,0 CDM,3337730101,HC IMRT PLAN WITH HISTOGRAMS,5837.0,5837.0,,,0 CDM,3337730701,HC RAD THERAPY ISODOSE TELETHPY COMPLEX,1232.0,1232.0,,,0 CDM,3337731601,HC RAD THERAPY BRACHY ISODOSE SIMPLE,475.0,475.0,,,0 CDM,3337731701,HC RAD THERAPY BRACHY ISODOSE INTERMED,1120.0,1120.0,,,0 CDM,3337731801,HC RAD THERAPY BRACHY ISODOSE COMPLEX,1120.0,1120.0,,,0 CDM,3337732101,HC RAD THERAPY TELETHERAPY PORT PLAN,1120.0,1120.0,,,0 CDM,3337733101,HC RAD THERAPY SPECIAL DOSIMETRY,539.0,539.0,,,0 CDM,3337733201,HC RAD THERAPY TREATMENT DEVICES SIMPLE,464.0,464.0,,,0 CDM,3337733301,HC RAD THERAPY TREATMENT DEVICE INTERM,576.0,576.0,,,0 CDM,3337733401,HC RAD THERAPY TREATMENT DEVICES COMPLEX,1120.0,1120.0,,,0 CDM,3337733601,HC RAD THERAPY WEEKLY PHYSICS CONSULT,464.0,464.0,,,0 CDM,3337733801,HC RAD THERAPY DESIGN MLC DEVICE IMRT,1232.0,1232.0,,,0 CDM,3337737001,HC RAD THERAPY MED PHYSICS SPECIAL CON,464.0,464.0,,,0 CDM,3337737201,HC RAD THERAPY STER SRS CRANIAL 1 FRAC,20111.0,20111.0,,,0 CDM,3337737301,HC RAD THERAPY STEREO BODY,5938.0,5938.0,,,0 CDM,3337738501,HC IMRT DELIVERY SIMPLE,1778.0,1778.0,,,0 CDM,3337738601,HC IMRT DELIVERY COMPLEX,2145.0,2145.0,,,0 CDM,3337738701,HC RAD THERAPY IMAGE GUIDANCE,609.0,609.0,,,0 CDM,3337739901,HC IMAGE FUSION,422.0,422.0,,,0 CDM,3337740201,HC RAD THERAPY SIMPLE,2064.0,2064.0,,,0 CDM,3337740701,HC RAD THERAPY INTERMEDIATE,2148.0,2148.0,,,0 CDM,3337741201,HC RAD THERAPY COMPLEX,2558.0,2558.0,,,0 CDM,3337741701,HC RAD THERAPY PORT FILMS,245.0,245.0,,,0 CDM,3337747001,HC RAD THERAPY SPECIAL TX PROCEDURE,2001.0,2001.0,,,0 CDM,3337776101,HC RAD THERAPY BRACHY INTRACAVI SIMPLE,1635.0,1635.0,,,0 CDM,3337776201,HC RAD THERAPY BRACHY INTRACAV INTERME,1635.0,1635.0,,,0 CDM,3337777001,HC RAD THERAPY HDR BRACH INTER 1 CH,3872.0,3872.0,,,0 CDM,3337777101,HC RAD THERAPY HDR BRACH INTER 2-12 CH,4453.0,4453.0,,,0 CDM,3337777801,HC RAD THERAPY LDR BRACH INTER OVER 9,1758.0,1758.0,,,0 CDM,3337778901,HC RAD THERAPY SURFACE APP W/ RAD SOUR,299.0,299.0,,,0 CDM,3337779001,HC RAD THERAPY HANDLING & LOADING,841.0,841.0,,,0 CDM,3337779901,HC RAD TH-LDR BRACHY INTERSTITIAL 1-9 CH,4053.08,4053.08,,,0 CDM,3359641101,HC CHEMO IV PUSH EA ADDTL DRUG,254.0,254.0,,,0 CDM,3359641301,HC CHEMO IV INFUSION INITIAL DRUG 1 HOUR,526.0,526.0,,,0 CDM,3359641501,HC CHEMO IV INFUSION INITIAL DRUG ADDTL HOUR,216.0,216.0,,,0 CDM,3359641701,HC CHEMO IV INFUSION EACH SEQUENTUAL DRUG,353.0,353.0,,,0 CDM,3359654901,HC CHEMOTHERAPY UNSPECIFIED,248.0,248.0,,,0 CDM,335G049801,HC CHEMO EXTEND IV INFUS W/PUMP,861.0,861.0,,,0 CDM,3417801201,HC NM THYROID UPTAKE MEASUREMENT,559.0,559.0,,,0 CDM,3417801301,HC NM THYROID IMAGING WITH BLOOD FLOW,466.0,466.0,,,0 CDM,3417801401,HC NM THYROID UPTAKE IMAGE WITH FLOW,953.0,953.0,,,0 CDM,3417801801,HC NM THYROID TOTAL BODY,1034.0,1034.0,,,0 CDM,3417802001,HC NM THYROID CA METS UPTAKE,201.0,201.0,,,0 CDM,3417807001,HC NM PARATHYROID PLANAR IMAGING,485.0,485.0,,,0 CDM,3417807201,HC NM PARATHYROID SPECT CT,1182.0,1182.0,,,0 CDM,3417810201,HC NM BONE MARROW IMAGING LIMITED,489.0,489.0,,,0 CDM,3417810301,HC NM BONE MARROW IMAGING MULT,534.0,534.0,,,0 CDM,3417818501,HC NM SPLEEN IMAGING,485.0,485.0,,,0 CDM,3417819101,HC NM KINETICS PLATELET SURVIVAL,485.0,485.0,,,0 CDM,3417819501,HC NM LYMPHATICS/LYMPH GLANDS,761.0,761.0,,,0 CDM,3417822601,HC NM HEPATOBILIARY SCAN,691.0,691.0,,,0 CDM,3417822701,HC NM HEPATOBILIARY WITH PHARM,1491.0,1491.0,,,0 CDM,3417823101,HC NM SALIVARY GLAND IMAGING,485.0,485.0,,,0 CDM,3417826401,HC NM GASTRIC EMPTYING STUDY,842.0,842.0,,,0 CDM,3417827801,HC NM GI BLEED SCAN WITH LABELED RBC,555.0,555.0,,,0 CDM,3417829001,HC NM MECKELS STUDY,644.0,644.0,,,0 CDM,3417830001,HC NM BONE SCAN LIMITED,661.0,661.0,,,0 CDM,3417830501,HC NM BONE MULTIPLE AREAS,791.0,791.0,,,0 CDM,3417830601,HC NM BONE SCAN TOTAL BODY,874.0,874.0,,,0 CDM,3417831501,HC NM BONE/JOINT 3 PHASE STUDY,1004.0,1004.0,,,0 CDM,3417843201,HC MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER,12601.0,12601.0,,,0 CDM,3417843301,HC MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT,12091.0,12091.0,,,0 CDM,3417843401,HC AQMBF PET REST AND PHARMACOLOGIC STRESS,6343.0,6343.0,,,0 CDM,3417845101,HC NM CARDIAC PERFUSION SPECT SINGLE,1859.0,1859.0,,,0 CDM,3417845201,HC MYOCARDIAL PERFUSION STRESS & REST,3764.5,3764.5,,,0 CDM,3417847201,HC NM CARDIAC BLOOD POOL IMAGE SINGLE,1014.0,1014.0,,,0 CDM,3417857901,HC NM LUNG VENTILATION,742.0,742.0,,,0 CDM,3417858001,HC NM LUNG PERFUSION,536.0,536.0,,,0 CDM,3417858201,HC NM LUNG VENTILATION/PERFUSION,1066.0,1066.0,,,0 CDM,3417859701,HC NM LUNG QUANT PERFUSION,1238.0,1238.0,,,0 CDM,3417859801,HC NM LUNG QUANT VENT/PERF,1038.0,1038.0,,,0 CDM,3417860601,HC NM DYNAMIC FLOW/BRAIN SCAN,696.0,696.0,,,0 CDM,3417863001,HC NM CISTERNOGRAPHY,618.0,618.0,,,0 CDM,3417864501,HC NM SHUNT PATENCY,975.0,975.0,,,0 CDM,3417865001,HC NM CSF LEAK STUDY,2325.0,2325.0,,,0 CDM,3417870001,HC NM RENAL STATICS ONLY,461.0,461.0,,,0 CDM,3417870101,HC NM RENAL FLOW ONLY,485.0,485.0,,,0 CDM,3417870701,HC NM RENAL VASC FLOW/FUNCTION WO RX,832.0,832.0,,,0 CDM,3417870801,HC NM RENAL VASC FLOW/FUNCTION WITH RX,1645.0,1645.0,,,0 CDM,3417874001,HC NM VOIDING CYSTOURETHROGRAM,485.0,485.0,,,0 CDM,3417880001,HC RP LOCLZJ TUM PLNR 1 AREA SGL DAY IMAGING,999.0,999.0,,,0 CDM,3417880201,HC NM TUMOR WHOLE BODY SINGLE DAY,1646.0,1646.0,,,0 CDM,3417880301,HC NM TUMOR SPECT,2177.0,2177.0,,,0 CDM,3417880401,HC NM TUMOR IMAGING WHOLEBODY 2 OR MORE DAYS,1972.0,1972.0,,,0 CDM,3417880801,HC NM INJECTION PX NON IMAGING PROBE STUDY,492.0,492.0,,,0 CDM,3417883001,HC RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING,2505.0,2505.0,,,0 CDM,3417883101,HC RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2+D,5592.0,5592.0,,,0 CDM,3417883201,HC RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2+D,6343.0,6343.0,,,0 CDM,3417899901,HC NM FUSION DATA SET,476.0,476.0,,,0 CDM,3427900501,HC RADIOPHARMACEUTICAL THEARPY ORAL,915.0,915.0,,,0 CDM,3427910101,HC NM RADIOPHAR TX IV NONTHYROID,543.0,543.0,,,0 CDM,3427940301,HC NM RADIOTX MONOCLONAL ANTIBODY,388.0,388.0,,,0 CDM,3427944501,HC NM RADIOPAHARM THEARPY INTRA-ARTERIAL,781.0,781.0,,,0 CDM,349G100701,HC CLINICAL DECISION SUPPORT MECHANISM AIM SPECIALTY HEALTH,0.01,0.01,,,0 CDM,349G100801,HC CLINICAL DECISION SUPPORT MECHANISM CRANBERRY PEAK,0.01,0.01,,,0 CDM,349G101001,HC CLINICAL DECISION SUPPORT MECHANISM STANSON,0.01,0.01,,,0 CDM,349G101201,HC AGILEMD'S CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,349G101301,HC EVIDENCECARE IMAGING ADVISOR,0.01,0.01,,,0 CDM,349G101401,HC INVENIQA'S SEMANTIC ANSWERS IN MEDICINE,0.01,0.01,,,0 CDM,349G101501,HC RELIANT MEDICAL GROUP CDSM,0.01,0.01,,,0 CDM,349G101601,HC SPEED OF CARE CDSM,0.01,0.01,,,0 CDM,349G101701,HC HEALTHHELPS CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,349G101801,HC INFINX CDSM,0.01,0.01,,,0 CDM,349G101901,HC LOGICNETS AUC SOLUTION,0.01,0.01,,,0 CDM,349G102001,HC CURBSIDE CLINICAL AUGMENTED WORKFLOW,0.01,0.01,,,0 CDM,349G102101,HC EHEAHTLINE CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,349G102201,HC INTERMOUNTAIN CLINICAL DECISION SUPPOORT MECH,0.01,0.01,,,0 CDM,349G102301,HC PERSIVIA CLINICAL DECIISION SUPPORT,0.01,0.01,,,0 CDM,3500722T01,HC QUAN CT TISS CHARAC I&R W/CNCRNT CT EXAM,4402.0,4402.0,,,0 CDM,3507047301,HC CT CERE PRFUJ ALYS C+ W/O CT/CTA SAME ANATOMY,599.0,599.0,,,0 CDM,3507320601,HC CT ANGIOGRAPHY UPPER EXT WO & WITH CONTRAST,1177.5,1177.5,,,0 CDM,3507370601,HC CT ANGIOGRAPHY LOWER EXT WITH & WO CONTRAST,1177.5,1177.5,,,0 CDM,3507426101,HC CT COLONOGRAPHY WO CONTRAST DIAGNOSTIC,719.0,719.0,,,0 CDM,3507426201,HC CT COLONOGRAPHY WITH CONTRAST DIAGNOSTIC,1083.0,1083.0,,,0 CDM,3507426301,HC CT COLONOGRAPHY SCREENING,1294.5,1294.5,,,0 CDM,3507557101,HC CT CALCIUM SCORING,150.0,150.0,,,0 CDM,3507557301,HC CT CCTA WITH DISEASE STRXR,1385.0,1385.0,,,0 CDM,3507598901,HC CT GUID DRAIN ABS/SEP PERC S&I,575.0,575.0,,,0 CDM,3507637601,HC 3D RENDER W/O POST PROCESSING,660.0,660.0,,,0 CDM,3507638001,HC CT LIMITED OR LOCAL FU STUDY,534.0,534.0,,,0 CDM,3507649702,HC CT VALVULAR CALCIUM SCORING,618.0,618.0,,,0 CDM,3507649703,HC DIAG LOW DOSE WHOLE BODY CT MULT MYELOMA,2727.0,2727.0,,,0 CDM,3507701201,HC CT GUIDED NEEDLE PLACEMENT S&I,520.5,520.5,,,0 CDM,3507701301,HC RAD CT GUIDE FOR TISSUE ABLATION,3426.0,3426.0,,,0 CDM,350C800101,HC 3D ANAT SEG IMAGING PREOP,440.0,440.0,,,0 CDM,3510042T01,HC CT PERFUSION BRAIN,609.0,609.0,,,0 CDM,3517045001,HC CT HEAD OR BRAIN WO CONSTRAST,719.0,719.0,,,0 CDM,3517046001,HC CT HEAD OR BRAIN WITH CONTRAST,1114.5,1114.5,,,0 CDM,3517047001,HC CT HEAD OR BRAIN WO & WITH CONTRAST,1330.0,1330.0,,,0 CDM,3517047101,HC CTA HEAD&NECK C+ W/NONCONTRAST IMG&POST-PXESSING,1229.5,1229.5,,,0 CDM,3517047201,HC CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY,899.0,899.0,,,0 CDM,3517048001,"HC CT ORBIT,SEL,PIT,TEMP WO CONTRAST",719.0,719.0,,,0 CDM,3517048101,"HC CT ORBIT,SEL,PIT,TEMP WITH CONTRAST",1114.5,1114.5,,,0 CDM,3517048201,"HC CT ORB,SEL,PIT,TEMP WO & WITH CONTRAST",1330.0,1330.0,,,0 CDM,3517048601,HC CT MAXILLOFACIAL WO CONTRAST,719.0,719.0,,,0 CDM,3517048701,HC CT MAXILLOFACIAL WITH CONTRAST,1114.5,1114.5,,,0 CDM,3517048801,HC CT MAXILLOFACIAL WO & WITH CONTRAST,1330.0,1330.0,,,0 CDM,3517049001,HC CT SOFT TISSUE NECK WO CONTRAST,719.0,719.0,,,0 CDM,3517049101,HC CT SOFT TISSUE NECK WITH CONTRAST,1114.5,1114.5,,,0 CDM,3517049201,HC CT SOFT TISSUE NECK WO & WITH CONTRAST,1330.0,1330.0,,,0 CDM,3517049601,HC CT ANGIOGRAPHY HEAD WO & WITH CONTRAST,1177.5,1177.5,,,0 CDM,3517049801,HC CT ANGIOGRAPHY NECK WO &WITH CONTRAST,1177.5,1177.5,,,0 CDM,3527125001,HC CT THORAX WO CONTRAST,719.0,719.0,,,0 CDM,3527126001,HC CT THORAX WITH CONTRAST,1114.5,1114.5,,,0 CDM,3527127001,HC CT THORAX WO & WITH CONTRAST,1330.0,1330.0,,,0 CDM,3527127101,HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C,464.0,464.0,,,0 CDM,3527127501,HC CT ANGIOGRAPHY CHEST WO & WITH CONTRAST,1177.5,1177.5,,,0 CDM,3527212501,HC CT CERVICAL SPINE WO CONTRAST,719.0,719.0,,,0 CDM,3527212601,HC CT CERVICAL SPINE WITH CONTRAST,1114.5,1114.5,,,0 CDM,3527212701,HC CT CERVICAL SPINE WO & WITH CONTRAST,1330.0,1330.0,,,0 CDM,3527212801,HC CT THORACIC SPINE WO CONTRAST,719.0,719.0,,,0 CDM,3527212901,HC CT THORACIC SPINE WITH CONTRAST,1114.5,1114.5,,,0 CDM,3527213001,HC CT THORACIC SPINE WO & WITH CONTRAST,1330.5,1330.5,,,0 CDM,3527213101,HC CT LUMBAR SPINE WO CONTRAST,719.0,719.0,,,0 CDM,3527213201,HC CT LUMBAR SPINE WITH CONTRAST,1114.5,1114.5,,,0 CDM,3527213301,HC CT LUMBAR SPINE WO & WITH CONTRAST,1330.0,1330.0,,,0 CDM,3527219101,HC CT ANGIOGRAPHY PELVIS WO & WITH CONTRAST,1177.5,1177.5,,,0 CDM,3527219201,HC CT PELVIS WO CONTRAST,719.0,719.0,,,0 CDM,3527219301,HC CT PELVIS WITH CONTRAST,1114.5,1114.5,,,0 CDM,3527219401,HC CT PELVIS WO & WITH CONTRAST,1330.0,1330.0,,,0 CDM,3527320001,HC CT UPPER EXTREMITY WO CONTRAST,719.0,719.0,,,0 CDM,3527320101,HC CT UPPER EXTREMITY WITH CONTRAST,1114.5,1114.5,,,0 CDM,3527320201,HC CT UPPER EXTREMITY WO & WITH CONTRAST,1330.0,1330.0,,,0 CDM,3527370001,HC CT LOWER EXTREMITY WO CONTRAST,719.0,719.0,,,0 CDM,3527370101,HC CT LOWER EXTREMITY WITH CONTRAST,1204.0,1204.0,,,0 CDM,3527370201,HC CT LOWER EXTREMITY WO & WITH CONTRAST,1462.5,1462.5,,,0 CDM,3527415001,HC CT ABDOMEN WO CONTRAST,719.0,719.0,,,0 CDM,3527416001,HC CT ABDOMEN WITH CONTRAST,1114.5,1114.5,,,0 CDM,3527417001,HC CT ABDOMEN WO & WITH CONTRAST,1330.0,1330.0,,,0 CDM,3527417401,HC CT ANGIO ABD/PELVIS WO & WITH CONTRAST,2429.0,2429.0,,,0 CDM,3527417501,HC CT ANGIOGRAPHY ABDOMEN WO & WITH CONTRAST,1177.5,1177.5,,,0 CDM,3527417601,HC CT ABD/PELVIS WO CONTRAST,1518.0,1518.0,,,0 CDM,3527417701,HC CT ABD/PELVIS WITH CONTRAST,2353.5,2353.5,,,0 CDM,3527417801,HC CT ABD/PELVIS WO & WITH CONTRAST,2808.5,2808.5,,,0 CDM,3527563501,HC CTA ABDOMINAL AORTOGRAM WITH BILATERAL ILIOFEMORAL,1177.5,1177.5,,,0 CDM,352G028801,HC CT RECONSTRUCTION AORTA FOR SURGERY,271.5,271.5,,,0 CDM,359G100701,HC CLINICAL DECISION SUPPORT MECHANISM AIM SPECIALTY HEALTH,0.01,0.01,,,0 CDM,359G100801,HC CLINICAL DECISION SUPPORT MECHANISM CRANBERRY PEAK,0.01,0.01,,,0 CDM,359G101001,HC CLINICAL DECISION SUPPORT MECHANISM STANSON,0.01,0.01,,,0 CDM,359G101201,HC AGILEMD'S CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,359G101301,HC EVIDENCECARE IMAGING ADVISOR,0.01,0.01,,,0 CDM,359G101401,HC INVENIQA'S SEMANTIC ANSWERS IN MEDICINE,0.01,0.01,,,0 CDM,359G101501,HC RELIANT MEDICAL GROUP CDSM,0.01,0.01,,,0 CDM,359G101601,HC SPEED OF CARE CDSM,0.01,0.01,,,0 CDM,359G101701,HC HEALTHHELPS CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,359G101801,HC INFINX CDSM,0.01,0.01,,,0 CDM,359G101901,HC LOGICNETS AUC SOLUTION,0.01,0.01,,,0 CDM,359G102001,HC CURBSIDE CLINICAL AUGMENTED WORKFLOW,0.01,0.01,,,0 CDM,359G102101,HC EHEAHTLINE CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,359G102201,HC INTERMOUNTAIN CLINICAL DECISION SUPPOORT MECH,0.01,0.01,,,0 CDM,359G102301,HC PERSIVIA CLINICAL DECIISION SUPPORT,0.01,0.01,,,0 CDM,3600000001,HC CELL-SAVER,1851.0,1851.0,,,0 CDM,3600000002,HC CELL-SAVER/PER 1/2 HOUR,220.0,220.0,,,0 CDM,3600000003,HC ESWL SERVICE UNILATERAL,9553.5,9553.5,,,0 CDM,3600000004,HC EXTRA CORPOREAL CIRC,13682.0,13682.0,,,0 CDM,3600000005,HC EXTRACORP CIRC STANDBY 1/2HR,165.0,165.0,,,0 CDM,3600000006,HC HYPERTHERMIC CHEMO PER 15 MIN,518.0,518.0,,,0 CDM,3600000007,HC INTRACEPT GENERATOR RENTAL,539.0,539.0,,,0 CDM,3600000008,HC LASER FORTEC CO2 RENTAL,1522.0,1522.0,,,0 CDM,3600000009,HC LASER FORTEC XPS GREEN LIGHT RENTAL,8070.0,8070.0,,,0 CDM,3600000013,HC N BLOCK CONT INFUSION,1860.0,1860.0,,,0 CDM,3600000015,HC OSTEOCOOL ABLATION GENERATOR FEE,2885.5,2885.5,,,0 CDM,3600000016,HC PERIPHERAL NERVE BLOCK,1018.5,1018.5,,,0 CDM,3600000017,HC PRE-SURGICAL GRAFT PREPARATION,2945.0,2945.0,,,0 CDM,3600000018,HC SURGERY ADDL 15 MIN LEVEL I,924.0,924.0,,,0 CDM,3600000019,HC SURGERY ADDL 15 MIN LEVEL II,1036.5,1036.5,,,0 CDM,3600000020,HC SURGERY ADDL 15 MIN LEVEL III,1349.5,1349.5,,,0 CDM,3600000021,HC SURGERY ADDL 15 MIN LEVEL IV,1668.5,1668.5,,,0 CDM,3600000022,HC SURGERY FIRST 1/2 HR LEVEL I,4263.0,4263.0,,,0 CDM,3600000023,HC SURGERY FIRST 1/2 HR LEVEL II,4610.0,4610.0,,,0 CDM,3600000024,HC SURGERY FIRST 1/2 HR LEVEL III,5351.5,5351.5,,,0 CDM,3600000025,HC SURGERY FIRST 1/2 HR LEVEL IV,6396.0,6396.0,,,0 CDM,3600000026,HC TAP BLOCK-CONT INF BILATERAL,5794.0,5794.0,,,0 CDM,3600000027,HC TAP BLOCK-CONT INF UNILAT,4303.5,4303.5,,,0 CDM,3600000028,HC TAP BLOCK-SINGLE INJ BILATERAL,2832.0,2832.0,,,0 CDM,3600000029,HC TAP BLOCK-SINGLE INJ UNILAT,1396.5,1396.5,,,0 CDM,3600000030,HC FORTEC BLUE LIGHT CYSTOSCOPY LASER FEE,2166.0,2166.0,,,0 CDM,3600000045,HC URONAV MRI FUSION SYSTEM RENTAL,2503.0,2503.0,,,0 CDM,3600000046,HC ULTRASOUND URONAV MRI FUSION SYSTEM RENTAL,1085.0,1085.0,,,0 CDM,3600000062,HC FLEXIBLE FORTEC CO2 RENTAL,3053.0,3053.0,,,0 CDM,3600000063,HC SERVICE AKSM CRYOSURGERY PROSTATE RENTAL,6240.0,6240.0,,,0 CDM,3600000069,HC LASER LUMENIS ACUPULSE DUO CO2 RENTAL,1200.0,1200.0,,,0 CDM,3600000070,HC LASER WISDOM MEDICAL LEONARDO DUAL DIODE RENTAL,1200.0,1200.0,,,0 CDM,3600000071,HC LASER LUMENIS VERSAPULSE 100W HOLMIUM RENTAL,1013.0,1013.0,,,0 CDM,3600000072,HC LASER LUMENIS PULSE 100H HOLMIUM RENTAL,1013.0,1013.0,,,0 CDM,3600000073,HC LASER QUANTA LITHO 100W HOLMIUM RENTAL,1013.0,1013.0,,,0 CDM,3600000074,HC LASER CONMED 7500 ABC RENTAL,1050.0,1050.0,,,0 CDM,3600000075,HC LASER INPHASE WOLF TRUE BLUE RENTAL,1125.0,1125.0,,,0 CDM,3600000076,HC LASER CANDELA CO2RE CO2 RENTAL,750.0,750.0,,,0 CDM,3600000077,HC LASER SHARPLAN 40C CO2 RENTAL,900.0,900.0,,,0 CDM,3600000078,HC LASER LUMENIS ULTRAPULSE DUO CO2 RENTAL,1800.0,1800.0,,,0 CDM,3600000079,HC LASER QUANTA CYBER TM THULIUM RENTAL,1200.0,1200.0,,,0 CDM,3600000080,HC LASER BOSTON SCIENTIFIC GREENLIGHT XPS RENTAL,1200.0,1200.0,,,0 CDM,3600000081,HC LASER LUMENIS PULSE 30H HOLMIUM RENTAL,675.0,675.0,,,0 CDM,3600000082,HC LASER LUMENIS VERSAPULSE 80/100W HOLMIUM / YAG RENTAL,1425.0,1425.0,,,0 CDM,3600000083,HC LASER IRIDEX OCULIGHT TX KTP RENTAL,900.0,900.0,,,0 CDM,3600000084,HC LASER AMS KTP AURA XP RENTAL,900.0,900.0,,,0 CDM,3600000085,HC LASER LUMENIS SELECTA II OPHTHALMIC YAG RENTAL,975.0,975.0,,,0 CDM,3600000086,HC LASER QUANTA FIBER DUST TFL RENTAL,1350.0,1350.0,,,0 CDM,3600000087,HC LASER BOSTON SCIENTIFIC MOSES HOLMIUM RENTAL,1350.0,1350.0,,,0 CDM,3600000088,HC LASER OLYMPUS SOLTIVE TFL RENTAL,1350.0,1350.0,,,0 CDM,3600000089,HC LASER COLOPLAST TFL RENTAL,1350.0,1350.0,,,0 CDM,3600000090,HC LASER BOSTON SCIENTIFIC THUVERA TFL RENTAL,1350.0,1350.0,,,0 CDM,3600000091,HC LASER LISA LASER REVOLIX THULIUM RENTAL,1050.0,1050.0,,,0 CDM,3600000092,HC LASER OMNIGUIDE INTELLIGUIDE CO2 RENTAL,1050.0,1050.0,,,0 CDM,3600000093,HC LASER AMS KTP AURA XP RENTAL,900.0,900.0,,,0 CDM,3600000094,HC LASER OMNIGUIDE BEACON CO2 AGILITI RENTAL,1050.0,1050.0,,,0 CDM,3600000095,HC ULTRASOUND FORTEC RENTAL,2250.0,2250.0,,,0 CDM,3600431T01,HC RMVL/RPLC NSTIM SYSTEM SLEEP APNEA,77823.0,77823.0,,,0 CDM,3600644T01,HC TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ,13437.0,13437.0,,,0 CDM,3602789901,HC CRYOABLATION OF SOFT TISSUE TUMOR EXTREMITY W/ US GID,10533.0,10533.0,,,0 CDM,3603153601,HC LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE,11508.0,11508.0,,,0 CDM,3603646001,HC INTRAUTERINE FETAL TRANSFUSION,1173.0,1173.0,,,0 CDM,3603779901,"HC STAB PHELB VARICOSE VEINS 1 EXT < 10""",4274.0,4274.0,,,0 CDM,3604335201,"HC ESOPHAGOSTOMY, FSTL ESOPH, XTRNL; CRV APPR",1851.0,1851.0,,,0 CDM,3606178201,HC STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL,2245.0,2245.0,,,0 CDM,3606178301,HC STEREOTACTIC COMPUTER ASSISTED PX SPINAL,1539.0,1539.0,,,0 CDM,3606366301,HC REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR,23374.0,23374.0,,,0 CDM,3606368801,HC REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR,12423.0,12423.0,,,0 CDM,3606440501,HC INJ ANES > OCCIPITAL NERVE,1282.0,1282.0,,,0 CDM,3606446101,HC PVB THORACIC SINGLE INJECTION SITE W/IMG GID,2179.0,2179.0,,,0 CDM,3606446201,HC PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID,1633.0,1633.0,,,0 CDM,3606448602,HC TAP BLOCK UNILATERAL BY INJECTION(S),437.0,437.0,,,0 CDM,3610000001,HC TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,10939.0,10939.0,,,0 CDM,3610075T01,HC PLC EXTRACRA STENT INITIAL VESSEL,1735.0,1735.0,,,0 CDM,3610076T01,HC PLC EXTRACRAN STENT ADDTL VESSEL,2150.0,2150.0,,,0 CDM,3610200T01,HC SACROPLASTY UNILATERAL INJECTION,6445.0,6445.0,,,0 CDM,3610201T01,HC SACROPLASTY BILATERAL INJECTION,6445.0,6445.0,,,0 CDM,3610238T01,HC ILIAC ATHRECTOMY,22486.0,22486.0,,,0 CDM,3610440T01,HC ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE,26947.0,26947.0,,,0 CDM,3610441T01,HC ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE,23893.0,23893.0,,,0 CDM,3610442T01,HC ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,17895.0,17895.0,,,0 CDM,3610644T01,HC TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ,15378.0,15378.0,,,0 CDM,3610686T01,HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,31501.0,31501.0,,,0 CDM,3611000401,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL,402.0,402.0,,,0 CDM,3611000501,HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESSION,726.0,726.0,,,0 CDM,3611000601,HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,341.0,341.0,,,0 CDM,3611000701,HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION,808.5,808.5,,,0 CDM,3611000801,HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL,889.0,889.0,,,0 CDM,3611000901,HC FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION,860.5,860.5,,,0 CDM,3611001001,HC FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL,878.0,878.0,,,0 CDM,3611001101,HC FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION,4239.0,4239.0,,,0 CDM,3611001201,HC FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL,3633.0,3633.0,,,0 CDM,3611002101,HC FINE NEEDLE ASPIRATION BX W/O GDN 1ST LESION,603.0,603.0,,,0 CDM,3611003001,HC IMG CATH FLUID COL SOFT TISSUE,971.5,971.5,,,0 CDM,3611003501,HC PERQ DEV SOFT TISSUE 1ST LESION,2099.0,2099.0,,,0 CDM,3611003601,HC PERC DEV SOFT TISS ADDTL LESION,2436.0,2436.0,,,0 CDM,3611016001,HC PUNCTURE DRAINAGE OF LESION,346.5,346.5,,,0 CDM,3611104201,HC DEBRID SUBQ TISSUE TO 20SQCM,408.0,408.0,,,0 CDM,3611585101,HC REM SUTURES W ANESTH OTHR SURGEON,4682.0,4682.0,,,0 CDM,3611799901,HC POCKET REVISION,3309.0,3309.0,,,0 CDM,3611799902,HC UNLISTED PROCEDURE SKIN,207.0,207.0,,,0 CDM,3611799903,HC PERCUTANEOUS BIOPSY OF FAT TISSUE,346.5,346.5,,,0 CDM,3611799904,HC EXCHANGE OF A SEROMA DRAIN,3246.5,3246.5,,,0 CDM,3611900001,HC CYST BREAST ASPIRATION,635.0,635.0,,,0 CDM,3611900101,HC PUNCT ASPIRATION CYST EACH ADDT,418.0,418.0,,,0 CDM,3611902001,HC MASTOTOMY WITH DRAINAGE,2114.0,2114.0,,,0 CDM,3611903001,HC GALACTOGRAM INJECTION,308.0,308.0,,,0 CDM,3611908101,HC CORE BX 1ST LESION WITH STEREOTACTIC GUIDE,2762.0,2762.0,,,0 CDM,3611908201,HC CORE BX ADDTL LESION WITH STEREOTACTIC GUIDE,2762.0,2762.0,,,0 CDM,3611908301,HC BX BREAST 1ST LESION WITH US GUIDANCE,2287.0,2287.0,,,0 CDM,3611908401,HC BX BREAST ADDTL LESION WITH US GUIDANCE,2563.0,2563.0,,,0 CDM,3611908501,HC BX BRST 1ST LES MRI IMG GUID,4136.0,4136.0,,,0 CDM,3611908601,HC BX BRST ADD LES MRI IMG GUID,1275.0,1275.0,,,0 CDM,3611928102,HC BREAST LOCAL DEVICE 1ST LESION WITH MAM GUIDE,1791.0,1791.0,,,0 CDM,3611928202,HC BREAST LOCAL DEVICE ADDTL LESION WITH MAM GUIDE,498.0,498.0,,,0 CDM,3611928301,HC BREAST LOCAL DEVICE 1ST LESION WITH STEREO GUIDE,710.0,710.0,,,0 CDM,3611928401,HC BREAST LOCAL DEVICE ADDTL LESION WITH STEREO GUIDE,498.0,498.0,,,0 CDM,3611928501,HC BREAST LOCAL DEVICE 1ST LESION WITH US GUIDE,710.0,710.0,,,0 CDM,3611928601,HC BREAST LOCAL DEVICE ADDTL LESION WITH US GUIDE,498.0,498.0,,,0 CDM,3612020601,HC BX MUSCLE,1372.0,1372.0,,,0 CDM,3612022001,HC BX BONE SUPERFICIAL PERC,1372.0,1372.0,,,0 CDM,3612022501,HC BX BONE DEEP PERC,1372.0,1372.0,,,0 CDM,3612050001,HC INJECTION OF SINUS TRACT,1318.5,1318.5,,,0 CDM,3612050101,HC INJECTION SINOGRAM,386.5,386.5,,,0 CDM,3612055001,HC INJ SGL TENDON SHEATH/LIGMNT,425.0,425.0,,,0 CDM,3612055201,HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,348.0,348.0,,,0 CDM,3612060001,HC INJECTION ARTHROCENTESIS SMALL JT,338.0,338.0,,,0 CDM,3612060401,HC ARTHROCENTESIS SM JT US,514.0,514.0,,,0 CDM,3612060501,HC OTH INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US,337.5,337.5,,,0 CDM,3612060601,HC INJECTION ARTHROCENTESIS INTERMEDIATE JT WITH US,822.0,822.0,,,0 CDM,3612061001,HC INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US,359.0,359.0,,,0 CDM,3612061101,HC ARTHROCENTESIS MAJOR JT WITH US,802.5,802.5,,,0 CDM,3612061201,HC ASPIRATION INJECTION GANGLION CYST,311.0,311.0,,,0 CDM,3612061501,HC ASPIR/INJEC BONE CYST,1353.0,1353.0,,,0 CDM,3612066001,HC SRS HEADFRAME PLACE RAD ONC,5659.0,5659.0,,,0 CDM,3612098201,HC CT RF BONE TUMOR ABLATION,12660.0,12660.0,,,0 CDM,3612098301,HC CT ABLAT THERAPY OF 1 OR MORE BONE TUMORS,17849.0,17849.0,,,0 CDM,3612099901,HC CT CRYOBALATION OF GLUTEAL MASS,28073.0,28073.0,,,0 CDM,3612099902,HC CRYOBLATION SOFT TISSUE W/ULTRASOUND GUIDANCE,10533.0,10533.0,,,0 CDM,3612155001,HC IR-BIOPSY OF NECK OR CHEST,2585.0,2585.0,,,0 CDM,3612251001,HC VERTEBROPLASTY THORACIC,3254.0,3254.0,,,0 CDM,3612251101,HC VERTEBROPLASTY LUMBAR,3254.0,3254.0,,,0 CDM,3612251201,HC EACH ADD VERTEBRAL LEVEL,1759.0,1759.0,,,0 CDM,3612251301,HC KYPHOPLASTY THORACIC,15966.0,15966.0,,,0 CDM,3612251401,HC KYPHOPLASTY LUMBAR,14726.0,14726.0,,,0 CDM,3612251501,HC EACH ADDITIONAL LEVEL,14726.0,14726.0,,,0 CDM,3612289901,HC ABLATION SOFT TISSUE SPINE,4534.0,4534.0,,,0 CDM,3612299901,HC IR BX ABDOMINAL WALL MASS,2915.0,2915.0,,,0 CDM,3612306501,HC BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL,4443.0,4443.0,,,0 CDM,3612335001,HC INJECTION SHOULDER ARTHROGRAPHY,1103.0,1103.0,,,0 CDM,3612422001,HC INJECTION ARTHROCENTESIS ELBOW,1211.0,1211.0,,,0 CDM,3612524601,HC INJECTION ARTHROGRAM WRIST,1203.0,1203.0,,,0 CDM,3612599901,HC RADIAL TUNNEL INJECTION,424.0,424.0,,,0 CDM,3612601001,HC TX DRAIN ABCESS FINGER SIMPLE,349.0,349.0,,,0 CDM,3612698901,HC PERCUTANEOUS BX SOFT TISSUE OF HAND,1795.5,1795.5,,,0 CDM,3612709301,HC INJECTION HIP ARTHROGRAM,1202.0,1202.0,,,0 CDM,3612709601,HC CT GUIDED SI JOINT INJECTION,3145.0,3145.0,,,0 CDM,3612709602,HC INJ FOR SACROILIAC JT ANEST,1814.5,1814.5,,,0 CDM,3612729901,HC CEMETOPLASTY PELVIS,15966.0,15966.0,,,0 CDM,3612736901,HC NJX PX CNTRST KNE ARTG CNTRST ENHNCD CT/MRI KNE,578.0,578.0,,,0 CDM,3612764801,HC INJECTION ARTHROCENTESIS ANKLE,966.0,966.0,,,0 CDM,3613189901,HC PERCUTANEOUS TRACHEAL BIOPSY,1657.0,1657.0,,,0 CDM,3613240001,HC BX PLEURA PERC NEEDLE,1617.0,1617.0,,,0 CDM,3613240801,HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG,2370.0,2370.0,,,0 CDM,3613255001,HC INSERTION TUNNLED PLEURAL CATH,3273.0,3273.0,,,0 CDM,3613255101,HC OTH INSERTION OF CHEST TUBE,1671.0,1671.0,,,0 CDM,3613255201,HC REM TUNN PLEURAL CATH WITH CUF,4331.0,4331.0,,,0 CDM,3613255502,HC THORACENTESIS WITH IMAGE GUIDANCE,805.5,805.5,,,0 CDM,3613255701,HC INSERT CATH PLEURA WITH IMAGE GUIDANCE,1941.0,1941.0,,,0 CDM,3613256001,HC CHEMICAL PLEURODESIS,926.0,926.0,,,0 CDM,3613256101,HC FIBRINOLYSIS CHEST TUBE INITIAL,2243.0,2243.0,,,0 CDM,3613256201,HC FIBRINOLYSIS CHEST TUBE SUBSEQUENT,2618.0,2618.0,,,0 CDM,3613299401,HC ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION,21925.0,21925.0,,,0 CDM,3613299801,HC CT RF LUNG TISSUE ABLATION,16648.0,16648.0,,,0 CDM,3613299901,HC PLEURAL TUNNELED CATHETER EXCHANGE,5162.0,5162.0,,,0 CDM,3613299902,HC PLEURAL DRAIN EXCHANGE,1285.0,1285.0,,,0 CDM,3613299903,HC INJECTION OF PLEURAL DRAIN,693.0,693.0,,,0 CDM,3613302501,HC CREATION OF PERICARDIAL WINDOW,11941.0,11941.0,,,0 CDM,3613321001,HC TEMPORARY PACEMAKER INSERTION,6715.0,6715.0,,,0 CDM,3613322201,HC RELOCATE PPM POCKET,2619.0,2619.0,,,0 CDM,3613322301,HC RELOCATE ICD POCKET,2487.0,2487.0,,,0 CDM,3613328501,HC INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,10902.0,10902.0,,,0 CDM,3613328601,HC REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,1642.0,1642.0,,,0 CDM,3613388101,HC RPR THOR AORTA WO SUBCLAV,6769.0,6769.0,,,0 CDM,3613388301,HC PLACE DISTAL EXTEN THOR INITIAL,3863.0,3863.0,,,0 CDM,3613470101,HC EVASC AAA GRAFT A-AO,14116.0,14116.0,,,0 CDM,3613470201,HC EVASC AAA GRAFT A-AO W RUPTURE,14116.0,14116.0,,,0 CDM,3613470301,HC EVASC AAA GRAFT AORTO-UNI-ILIAC,13431.0,13431.0,,,0 CDM,3613470401,HC EVASC AAA GRAFT AORTO-UNI-ILIAC W/RUPTURE,10808.0,10808.0,,,0 CDM,3613470501,HC EVASDC AAA GRAFT AORTO-BI-ILIAC,9443.0,9443.0,,,0 CDM,3613470601,HC EVASC AAA GRAFT AORTO-BI-ILIAC W/RUPTURE,11383.0,11383.0,,,0 CDM,3613470701,HC EVASC ILIO-ILIAC GRAFT,11383.0,11383.0,,,0 CDM,3613470801,HC EVASC ILIO-ILIAC GRAFT W/RUPTURE,8976.0,8976.0,,,0 CDM,3613470901,HC EVASC GRAFT EXTENSION,10876.0,10876.0,,,0 CDM,3613471001,HC EVASC GRAFT EXTENSION DELAYED 1ST VESS,4783.0,4783.0,,,0 CDM,3613471101,HC EVASC GRAFT EXTENSION DELAYED EA ADDL,4942.0,4942.0,,,0 CDM,3613471201,HC ENDOGRAFT FIXATION DEVICE,4942.0,4942.0,,,0 CDM,3613471301,HC PERQ ACCESS & CLSR FEMORAL ART,1409.0,1409.0,,,0 CDM,3613471401,HC OPEN FEM ART EXPOS W/CONDUIT,1409.0,1409.0,,,0 CDM,3613471501,HC OPN AX/SUBCLA ART EXPOS,1409.0,1409.0,,,0 CDM,3613471601,HC OPEN AX/SUBCLA ART EXPOS W/CONDUIT,1409.0,1409.0,,,0 CDM,3613480801,HC ENDO ILIAC OCCLUDING DEVICE,998.0,998.0,,,0 CDM,3613587501,HC THROM AV GRAFT,5635.0,5635.0,,,0 CDM,3613600001,HC INTRO NEEDLE/INTRACATH,507.0,507.0,,,0 CDM,3613600201,HC THROMBIN INJECTION WITH NEEDLE,436.0,436.0,,,0 CDM,3613600501,HC INJECTION EXT VENOGRAPHY,422.0,422.0,,,0 CDM,3613601001,HC INTRO OF CATH SVC OR IVC,2173.5,2173.5,,,0 CDM,3613601101,HC VENOUS 1ST ORDER,1693.0,1693.0,,,0 CDM,3613601201,HC VENOUS 2ND ORDER,995.0,995.0,,,0 CDM,3613601301,HC ARTERIAL CATH,1264.0,1264.0,,,0 CDM,3613601401,HC CATH PLACE PULMONARY ARTERY,1051.0,1051.0,,,0 CDM,3613601501,HC CATH PLC SEG SUBSEG PULM,934.0,934.0,,,0 CDM,3613614001,HC EXTREMITY INJECTION NON SELECTIVE,1543.0,1543.0,,,0 CDM,3613616001,HC AORTA (TRANSLUMBAR),1072.0,1072.0,,,0 CDM,3613620001,HC INTRO OF CATH AORTA,1971.0,1971.0,,,0 CDM,3613621501,HC ART ARTERIO 1ST ABOV DIA,2294.0,2294.0,,,0 CDM,3613621601,HC ART ARTERIO 2ND ABOV DIA,3801.0,3801.0,,,0 CDM,3613621701,HC ART ARTERIO 3RD ABOV DIA,4546.0,4546.0,,,0 CDM,3613621801,HC SEL CATHPL EA ADDTL IN VASC FAM,1254.0,1254.0,,,0 CDM,3613622101,HC ARCH ANGIOGRAM S&I,4307.0,4307.0,,,0 CDM,3613622201,HC CAROTD XTRCRN ART CTH PL,4584.0,4584.0,,,0 CDM,3613622301,HC CAROTD COM ART CTH PLC,9481.0,9481.0,,,0 CDM,3613622401,HC CAROTD IN ART CTH PLC,13555.0,13555.0,,,0 CDM,3613622501,HC SUBCLAVIAN ART CATH PLC,13485.0,13485.0,,,0 CDM,3613622601,HC VERTEBRAL ART CATH PLC,15509.0,15509.0,,,0 CDM,3613622701,HC SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,7903.0,7903.0,,,0 CDM,3613622702,HC CAROTD XTRNL ART CTH PL,7903.0,7903.0,,,0 CDM,3613622801,HC PLC CATH INTRACRAN ART,5799.0,5799.0,,,0 CDM,3613624501,HC PLACE CATHETER IN ARTERY,1802.0,1802.0,,,0 CDM,3613624601,HC PL CATH ART 2ND BELOW DIA,1372.0,1372.0,,,0 CDM,3613624701,HC SUP MESENT ARTERY 3RD ORDER,2284.0,2284.0,,,0 CDM,3613624801,HC PL CATH ART EA ADDTL BELOW DI,1036.0,1036.0,,,0 CDM,3613625101,HC RENAL ANGIO UNILATERAL 1ST ORDE,5322.0,5322.0,,,0 CDM,3613625201,HC RENAL ANGIO BILATERAL 1ST ORDER,5440.0,5440.0,,,0 CDM,3613625301,HC RENAL ANGIO UNILATERAL 2ND AND UP,7175.0,7175.0,,,0 CDM,3613629901,HC VASCULAR INJECTION,260.0,260.0,,,0 CDM,3613646501,HC INJ NONCMPND SCLRSNT 1 VEIN,6164.0,6164.0,,,0 CDM,3613646601,HC INJ NONCMPND SCLRSNT MULTI VEIN,6047.0,6047.0,,,0 CDM,3613647001,HC INJECTION SCLERO SOLN VEIN SINGLE,421.0,421.0,,,0 CDM,3613647101,HC INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS,1216.0,1216.0,,,0 CDM,3613647801,HC VENOUS ABLATION 1ST VEIN,7074.0,7074.0,,,0 CDM,3613647901,HC VENOUS ABLATION ADDTL VEINS,769.0,769.0,,,0 CDM,3613648101,HC PORTAL VEIN CATH,1387.0,1387.0,,,0 CDM,3613648201,HC ENDOVEN ABLATION CHEM ADHESIVE INITIAL,19182.0,19182.0,,,0 CDM,3613648301,HC ENDOVEN ABLATION CHEM ADHESIVE SBSQ,9590.0,9590.0,,,0 CDM,3613650001,HC SEL ORGAN BLOOD SAMPLE,1668.0,1668.0,,,0 CDM,3613655501,HC INSERT CENTRAL LINE AGE 5 AND UNDER,3781.0,3781.0,,,0 CDM,3613655601,HC INSERT CENTRAL LINE AGE 5 AND OVER,2784.0,2784.0,,,0 CDM,3613655701,HC INSERT TUN CVC AGE 5 AND UNDER,8761.0,8761.0,,,0 CDM,3613655801,HC IMPLANT VENOUS TUNNELED,2791.5,2791.5,,,0 CDM,3613656001,HC PORT A CATH PLACEMENT AGE 5 AND UNDER,8311.0,8311.0,,,0 CDM,3613656101,HC PORT A CATH PLACEMENT,4265.5,4265.5,,,0 CDM,3613656301,HC INS TUN CTR INS CATH WITH PUMP,8392.0,8392.0,,,0 CDM,3613656501,HC INS 2 TUN CATH 2 SITE WO PORT,8311.0,8311.0,,,0 CDM,3613656601,HC INS 2 TUN CATH 2 SITE WITH PORT,27948.0,27948.0,,,0 CDM,3613656801,HC INSERTION PICC W/O IMG GDN < 5 YR,1553.24,1553.24,,,0 CDM,3613656901,HC INSERTION PICC W/O IMG GDN GREATER THAN 5 YR,1585.5,1585.5,,,0 CDM,3613657001,HC INS PICC WITH PORT AGE 5 AND UNDER,4669.0,4669.0,,,0 CDM,3613657101,HC INS PICC WITH PORT,3760.0,3760.0,,,0 CDM,3613657201,HC INSERTION PICC W/RS&I <5 YEARS,2631.0,2631.0,,,0 CDM,3613657301,"HC INSERTION PICC W/RS&I, 5 YRS OR OLDER",1769.5,1769.5,,,0 CDM,3613657501,HC REPAIR CVA CATHETER,999.0,999.0,,,0 CDM,3613657601,HC REPAIR CENT VAD WITH SUB PORT,9583.0,9583.0,,,0 CDM,3613657801,HC REPLACE CATH ONLY WITH PT/PUMP,6907.0,6907.0,,,0 CDM,3613658001,HC REPLC NON-TUNNL SAME ACCESS,2060.5,2060.5,,,0 CDM,3613658101,HC REPLC CMPLT TNLD SAME ACCES,2791.5,2791.5,,,0 CDM,3613658201,HC REPLC COMPLT TUNL WITH PT SAME,3986.5,3986.5,,,0 CDM,3613658301,HC REPLC COMPLT TUNL WITH PMP SAM,9603.0,9603.0,,,0 CDM,3613658401,HC COMPLETE REPLACEMENT PICC RS&I,1582.5,1582.5,,,0 CDM,3613658501,HC REPLC PICC WITH PT SAME ACCESS,3971.0,3971.0,,,0 CDM,3613658901,HC REMOVE IMPLANT VEN TUNNELED,946.0,946.0,,,0 CDM,3613659002,HC REMOVE TUNLD CATH W PT/PUMP,1462.5,1462.5,,,0 CDM,3613659301,HC OTH DECLOTTING CATH/ACCESS DEVICE,605.0,605.0,,,0 CDM,3613659501,HC RMV CVC OBSTR SEP ACCESS,2791.5,2791.5,,,0 CDM,3613659601,HC MECH REMOVE TUNNELED CV CATH,1671.0,1671.0,,,0 CDM,3613659701,HC RPSTN CENTRAL CATH WITH FLUORO,1371.0,1371.0,,,0 CDM,3613659801,HC INJECTION WITH FLUORO EXISTING CV DEVICE,573.5,573.5,,,0 CDM,3613662001,HC ARTERIAL CANNULATION,102.0,102.0,,,0 CDM,3613686001,HC THROMBEC CANULDECLOT WO BAL,1535.0,1535.0,,,0 CDM,3613686101,HC EXTERNAL CANNULA WITH BAL,5304.0,5304.0,,,0 CDM,3613690101,HC IR AV DIALYSIS SHUNT,1203.0,1203.0,,,0 CDM,3613690201,HC IR TRANSLUMIN ANGIO PERIPH SEG,10040.0,10040.0,,,0 CDM,3613690301,HC IR DIALYS CIRC STNT PERIPH SEG,32828.0,32828.0,,,0 CDM,3613690401,HC IR MECHANICAL THROMBECT DIALYSIS CIRCUIT,13098.0,13098.0,,,0 CDM,3613690501,HC IR DIALYSIS SHUNT MECH THR ANG,20872.0,20872.0,,,0 CDM,3613690601,HC PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT,54099.0,54099.0,,,0 CDM,3613690701,HC IR ANGIO CENTRAL DIALYSIS SEG,2452.0,2452.0,,,0 CDM,3613690801,HC IR ANGIO CTR DIALYSIS SEG STNT,4415.0,4415.0,,,0 CDM,3613690901,HC DIALYSIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I,14324.0,14324.0,,,0 CDM,3613718201,HC TIPS INSERTION,12090.0,12090.0,,,0 CDM,3613718301,HC TIPS REVISION,8829.0,8829.0,,,0 CDM,3613718401,HC PRIM ART MECH THROMBECTOMY,11543.0,11543.0,,,0 CDM,3613718501,HC PRIM ART MECH THROMBECTOMY ADD ON,3659.0,3659.0,,,0 CDM,3613718601,HC SEC ART MECH THROMBECTOMY ADD ON,4108.0,4108.0,,,0 CDM,3613718701,HC VENOUS MECH THROMBECTOMY,11470.0,11470.0,,,0 CDM,3613718801,HC VENOUS MECH THROMBECTOMY ADD ON,10094.0,10094.0,,,0 CDM,3613719101,HC IVC FILTER PLACEMENT,6276.5,6276.5,,,0 CDM,3613719301,HC IVC FILTER RETRIEVAL,2836.0,2836.0,,,0 CDM,3613719701,HC TX REMOVE INTRAVASCULAR FOREIGN BODY,3434.5,3434.5,,,0 CDM,3613720001,HC TRANSCATHETER BIOPSY,5481.0,5481.0,,,0 CDM,3613721201,HC THROMBOLYTIC VEN THER INITIAL,3508.0,3508.0,,,0 CDM,3613721401,HC THROMBOLYTIC THER REMOVAL,4603.0,4603.0,,,0 CDM,3613721501,HC TRANSCATH STENT CCA WITH EPS,2464.0,2464.0,,,0 CDM,3613721601,HC TRANSCATH STENT CCA WO EPS,2464.0,2464.0,,,0 CDM,3613721801,HC TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,2328.0,2328.0,,,0 CDM,3613722001,HC ANGIOPLASTY ILIAC INIT VESSEL,7292.0,7292.0,,,0 CDM,3613722101,HC ILIAC STENT,9256.0,9256.0,,,0 CDM,3613722201,HC ILIAC TLA EACH ADDTL,5735.0,5735.0,,,0 CDM,3613722401,HC ANGIOPLASTY FEMORL POP UNI,6595.0,6595.0,,,0 CDM,3613722501,HC FEM/POP ATHRECTOMY,16022.0,16022.0,,,0 CDM,3613722601,HC FEM/POP STENT,13865.0,13865.0,,,0 CDM,3613723601,HC ARTERIAL STENT INITIAL,8087.0,8087.0,,,0 CDM,3613723701,HC ARTERIAL STENT ADDITIONAL,6886.0,6886.0,,,0 CDM,3613723801,HC VENOUS STENT INITIAL,7922.0,7922.0,,,0 CDM,3613723901,HC VENOUS STENT ADDITIONAL,1311.0,1311.0,,,0 CDM,3613724101,HC VASC EMBOLIZE/OCCLUDE VENOUS,17524.0,17524.0,,,0 CDM,3613724201,HC VASC EMBOLIZE/OCCLUDE ARTERY,15833.0,15833.0,,,0 CDM,3613724301,HC VASC EMBOLIZE/OCCLUDE ORGAN,17114.0,17114.0,,,0 CDM,3613724401,HC VASC EMBOLIZE/OCCLUDE BLEED,14328.5,14328.5,,,0 CDM,3613724601,HC IR ANGIOPL BALLN TRNSL 1ST ART,5327.0,5327.0,,,0 CDM,3613724602,HC IR PTA RENAL ARTERIES BILATERA,8207.0,8207.0,,,0 CDM,3613724701,HC IR PTA BRACHIOENCEPH EA AD ART,6159.0,6159.0,,,0 CDM,3613724801,HC IR PTA VENOUS EACH,5109.0,5109.0,,,0 CDM,3613724901,HC IR PTA VENOUS EACH ADDL,2503.0,2503.0,,,0 CDM,3613725201,HC IVUS NON CORONARY INITIAL VESSEL,17028.0,17028.0,,,0 CDM,3613725301,HC IVUS NON CORONARY EACH ADDTL,17028.0,17028.0,,,0 CDM,3613779901,HC FIBRIN SHEATHOPLASTY,1040.0,1040.0,,,0 CDM,3613779902,HC STENT NEUROFORM PLACEMENT,4390.0,4390.0,,,0 CDM,3613779903,HC THROMBIN INJECTION W/NEEDLE,679.0,679.0,,,0 CDM,3613779904,HC VENOUS ABLATION,3847.0,3847.0,,,0 CDM,3613779905,HC INSERTION OF ARTERIAL COIL MARKER,12818.0,12818.0,,,0 CDM,3613820001,HC INJ SPLENOPORTOGRAM,624.0,624.0,,,0 CDM,3613822101,HC BONE MARROW BIOPSY,1443.5,1443.5,,,0 CDM,3613822201,HC BONE MARROW BIOPSY,2569.5,2569.5,,,0 CDM,3613822202,HC BONE MARROW ASP POST BX,2312.0,2312.0,,,0 CDM,3613850501,HC BIOPSY NDLE SUPER LYMPH NOD,1372.0,1372.0,,,0 CDM,3613879001,HC NM INJECTION LYMPHANGIOGRAM,3095.0,3095.0,,,0 CDM,3613879201,HC NM SENTINAL NODE INJECTION,600.0,600.0,,,0 CDM,3613879401,"HC CANNULATION, THORACIC DUCT",2601.0,2601.0,,,0 CDM,3613899902,HC CT GUIDED LYMPH NODE CRYOABLATION,16876.0,16876.0,,,0 CDM,3613899991,HC ASPIRATION OF CYST OF SPLEEN,924.0,924.0,,,0 CDM,3614240001,HC BIOPSY OF SALIVARY GLAND ND,692.5,692.5,,,0 CDM,3614255001,HC INJECTION SIALOGRAM,522.0,522.0,,,0 CDM,3614326601,HC EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION,12565.0,12565.0,,,0 CDM,3614345301,HC ESOPHAGUS DIL OVER GUIDEWIR,2253.0,2253.0,,,0 CDM,3614349901,HC ESOPHAGEAL STENT PLACEMENT,3177.0,3177.0,,,0 CDM,3614349902,"HC ESOPHAOSTOMY EXCHANGE, E-TUBE EXCHANGE",869.0,869.0,,,0 CDM,3614375201,HC GI NASO OR ORO-GAST TUBE PL,328.5,328.5,,,0 CDM,3614376101,HC GI REPOSITION N-G TO N-J,644.0,644.0,,,0 CDM,3614376201,HC PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,581.0,581.0,,,0 CDM,3614376301,HC PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC,963.0,963.0,,,0 CDM,3614380001,HC PYLOROPLASTY,2417.0,2417.0,,,0 CDM,3614399901,HC IR ALCOHOL SCLEROSIS KIDNEY,2929.0,2929.0,,,0 CDM,3614399902,HC STOMACH SURGERY PROCEDURE,2193.0,2193.0,,,0 CDM,3614399903,HC PERCUTANEOUS RETRIEVAL OF FOREIGN BODY NON-VASCULAR,1055.0,1055.0,,,0 CDM,3614399904,HC ADJUSTMENT OF GASTRIC BAND DIAMETER VIA SUBCUTANEOUS PORT BY INJECTION OR ASPIRATION,389.0,389.0,,,0 CDM,3614430001,HC GASTROJEJUNOSTOMY,4048.0,4048.0,,,0 CDM,3614450001,HC GI PLACEMENT OF N-J TUBE,787.0,787.0,,,0 CDM,3614479901,HC GI COLONIC STENT PLACEMENT,2810.0,2810.0,,,0 CDM,3614479902,HC NJ REPLACEMENT,1122.0,1122.0,,,0 CDM,3614479903,HC SP GI STENT PLACEMENT SM BOWEL,3294.0,3294.0,,,0 CDM,3614479904,HC INJECTION INTO NJ TUBE WITH FLUOROSCOPY,985.0,985.0,,,0 CDM,3614539901,HC REPAIR ANAL FISTULA W/FIBRIN GLUE,8395.0,8395.0,,,0 CDM,3614700001,HC BX LIVER PERC NEEDLE,1344.5,1344.5,,,0 CDM,3614700101,HC BIPSY LIVER W/OTHER MAJOR,2459.0,2459.0,,,0 CDM,3614738201,HC RF ABLATION,10455.0,10455.0,,,0 CDM,3614738301,HC CT ABLAT TUMR LIVER PERC CRYO,39673.0,39673.0,,,0 CDM,3614739901,HC ALCOHOL ABLATION OF LIVER LESION,3410.0,3410.0,,,0 CDM,3614739902,HC PERCUTANEOUS REMOVAL OF INTRAHEPATIC FOREIGN BODY,5208.0,5208.0,,,0 CDM,3614739903,HC PERCUTANEOUS ASPIRATION OF LIVER CYST,957.0,957.0,,,0 CDM,3614749001,HC CHOLECYSTOSTOMY,4230.0,4230.0,,,0 CDM,3614753101,HC INJECTION FOR CHOLANGIOGRAM EXISTING,4573.5,4573.5,,,0 CDM,3614753201,HC INJECTION FOR CHOLANGIOGRAM NEW,7039.0,7039.0,,,0 CDM,3614753301,HC PLMT BILIARY DRAIN CATH EXT,3273.0,3273.0,,,0 CDM,3614753401,HC PLMT BILIARY DRAIN CTH INEX,3273.0,3273.0,,,0 CDM,3614753501,HC BILI DRG CTH CONV EX INT EX,3656.0,3656.0,,,0 CDM,3614753601,HC EXCHANGE BILIARY DRG CATH,4160.0,4160.0,,,0 CDM,3614753701,HC REMOVAL BILIARY DRAING CATH,1427.5,1427.5,,,0 CDM,3614753801,HC PERC PLMT BILE DUCT STENT E,11016.0,11016.0,,,0 CDM,3614753901,HC PER PLMT BILE DUCT STNT WO,20872.0,20872.0,,,0 CDM,3614754001,HC PER PLMT BILE DUC STNT W/CA,17890.0,17890.0,,,0 CDM,3614754101,HC PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL,14115.0,14115.0,,,0 CDM,3614754201,HC DILATE BILIARY DUCT AMPULLA,7337.5,7337.5,,,0 CDM,3614754301,HC ENDOLUMINAL BX BILIARY TREE,2420.5,2420.5,,,0 CDM,3614754401,HC REMOVAL DUCT GLBLDR CALCULI,2620.0,2620.0,,,0 CDM,3614755001,HC BILIARY NDSC INTRAOPERATIVE,5028.0,5028.0,,,0 CDM,3614755201,HC BIOPSY BILIARY BRUSH,4003.0,4003.0,,,0 CDM,3614755301,HC BILIARY ENDO VIA T-TUB W/BX,4670.0,4670.0,,,0 CDM,3614755401,"HC BILIARY ENDOSCOPY, PERCUTANEOUS W CALC REMOVAL",15605.0,15605.0,,,0 CDM,3614755501,HC PERC DILATAT BILIARY STRICT,4670.0,4670.0,,,0 CDM,3614755601,HC PERC DILAT BILARY STRICTURE,11169.0,11169.0,,,0 CDM,3614780101,HC CHOLEDOCAL STENT INSERTION,1163.0,1163.0,,,0 CDM,3614799901,HC IR-UNLISTED PROC BILIARY TRACT,2355.0,2355.0,,,0 CDM,3614799902,HC PERCUTANEOUS REMOVAL OF BILIARY STENT,2278.0,2278.0,,,0 CDM,3614799904,HC COIL EMBOLIZATION OF CYSTIC DUCT FISTULA VIA EXISTING DRAIN TRACT,8994.0,8994.0,,,0 CDM,3614810201,HC BIOPSY PANCREAS PERC NEEDLE,1841.0,1841.0,,,0 CDM,3614908201,HC TX ABD PARACENTESIS WITHOUT IMAGE,1100.0,1100.0,,,0 CDM,3614908301,HC ABD PARACENTESIS WITH IMAGING,1139.5,1139.5,,,0 CDM,3614918001,HC BIOPSY ABD RETROPERITON PERC NEEDL,1372.0,1372.0,,,0 CDM,3614918501,HC SCLEROTHER FLUID COLLECTION,1632.0,1632.0,,,0 CDM,3614940001,HC INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX,1022.0,1022.0,,,0 CDM,3614940501,HC IMAGE CATH FLUID DRAIN VISCERAL,2760.5,2760.5,,,0 CDM,3614940601,HC IMAGE CATH FLUID PERI OR RETRO PERC,2013.0,2013.0,,,0 CDM,3614940701,HC IMAGE CATH FLUID TRANSVAGINAL,6268.0,6268.0,,,0 CDM,3614941801,HC INS TUN IPER CATHETER,3694.5,3694.5,,,0 CDM,3614942101,HC INSERT TUN PERIT CATH PERM,9415.0,9415.0,,,0 CDM,3614942201,HC REMOVE TUN PERIT CATH,4205.5,4205.5,,,0 CDM,3614942301,HC EXCHG CATH ABSC CYST DRAIN,2956.5,2956.5,,,0 CDM,3614942401,HC INJ CONTR ABSCESS OR CYST,465.0,465.0,,,0 CDM,3614942601,HC REVIS PERITONEAL VENOUS SHU,6991.0,6991.0,,,0 CDM,3614942701,HC INJ EVAL PREV PER-VEN SHUNT,668.0,668.0,,,0 CDM,3614942901,HC REMOVAL PERITON VENOUS SHUN,6607.0,6607.0,,,0 CDM,3614944001,HC GI INSERT G TUBE,1671.0,1671.0,,,0 CDM,3614944101,HC GI INSERT DUODENAL JEJUNAL,1673.0,1673.0,,,0 CDM,3614944201,HC GI INSERT CECOTOMY/COLONIC,2562.0,2562.0,,,0 CDM,3614944601,HC GI CONVERT G TUBE TO GJ TUBE,1587.0,1587.0,,,0 CDM,3614945001,HC GI REPLACE G OR CECOST COLO,807.0,807.0,,,0 CDM,3614945101,HC GI REPLACE DUODENAL JEJUNAL,842.5,842.5,,,0 CDM,3614945201,HC GI REPLACE GJ TUBE,792.5,792.5,,,0 CDM,3614946001,HC GI REMOVAL OF GI TUBE OBSTR,970.0,970.0,,,0 CDM,3614946501,HC GI INJECTION GI TUBE,241.0,241.0,,,0 CDM,3614999901,HC CT GUIDED PELVIC CUL-DE-SAC ASP W/TRANSGLUT APPROACH,2369.0,2369.0,,,0 CDM,3614999902,HC DRAIN EXCHANGE WITH A PERCUTANEOUS DEBRIDEMENT,2289.5,2289.5,,,0 CDM,3614999903,HC SURGICAL PROCEDURE ABDOMEN,5005.5,5005.5,,,0 CDM,3614999904,HC PERCUTANEOUS REMOVAL OF DROP STONE VIA DRAIN CATH,1952.0,1952.0,,,0 CDM,3614999905,HC CRYOABLATION OF PELVIC LYMPH NODE,27926.0,27926.0,,,0 CDM,3614999906,"HC ABLATION OF SOFT TISSUE MASS ABDOMEN, PERIOTONEUM & OMENTUM",19938.0,19938.0,,,0 CDM,3614999907,HC CT GUIDED PERCUTANEOUS GASTROSTOMY TUBE PLACEMENT,1931.0,1931.0,,,0 CDM,3614999908,HC ABDOMINAL ASPIRATION FLUID COLLECTION,2152.0,2152.0,,,0 CDM,3614999910,HC EXCHANCE OF PERITONEAL DRAIN,4163.0,4163.0,,,0 CDM,3614999912,HC FIBRIN GLUE INJECTION,1391.0,1391.0,,,0 CDM,3615020001,HC BX KIDNEY PERC NEEDLE,1399.0,1399.0,,,0 CDM,3615038201,HC CHANGE URETER STENT PERCUT,4828.5,4828.5,,,0 CDM,3615038401,HC REMOVE URETER STENT PERCUT,4238.0,4238.0,,,0 CDM,3615038701,HC CHANGE EXT/INT URETER STENT,1746.0,1746.0,,,0 CDM,3615038901,HC REMOVE RENAL TUBE WITH FLUORO,621.0,621.0,,,0 CDM,3615039001,HC ASPIRATION/INJECT OF RENAL CYST,761.5,761.5,,,0 CDM,3615039601,HC WHITAKER TEST,824.0,824.0,,,0 CDM,3615043001,HC INJ FOR NEPHRR AND/OR URTRGRM,2658.0,2658.0,,,0 CDM,3615043101,HC NEPROSTGRM URTRGRM DRN INJ,1311.0,1311.0,,,0 CDM,3615043201,HC PLACEMENT NEPHROSTOMY CATHETER,2979.5,2979.5,,,0 CDM,3615043202,HC PLACEMENT NEPHROSTOMY CATHETER,2400.0,2400.0,,,0 CDM,3615043301,HC PLACEMENT NEPHROURET CATH NEW AC,4620.0,4620.0,,,0 CDM,3615043401,HC CONVERT NEPHROSTOMY CATHETER,3636.5,3636.5,,,0 CDM,3615043501,HC EXCHANGE NEPHROSTOMY CATHETER,1746.0,1746.0,,,0 CDM,3615059201,HC CT RF RENAL TISSUE ABLATION,14904.0,14904.0,,,0 CDM,3615059301,HC CT ABLATION TUMOR RENAL PERC CRYO,25224.0,25224.0,,,0 CDM,3615060601,HC ENDOLUM BX URETER RENAL PEL,2138.0,2138.0,,,0 CDM,3615068401,HC INJ PROC VIA URETERAL CATH,743.0,743.0,,,0 CDM,3615068801,HC CHANGE OF URETEROSTOMY,3186.5,3186.5,,,0 CDM,3615069001,HC INJECT ILEAL CONDUIT (LOOPOGR),478.5,478.5,,,0 CDM,3615069301,HC PLMT URETERAL STENT PERC,3910.0,3910.0,,,0 CDM,3615069401,HC PLMT URET STENT PERC WO CATH,4738.0,4738.0,,,0 CDM,3615069501,HC PLMT URET STENT PERC WITH CATH,4738.0,4738.0,,,0 CDM,3615070501,HC URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,1468.0,1468.0,,,0 CDM,3615070601,HC BALLOON DILATE URTRL STRICT,1468.0,1468.0,,,0 CDM,3615110201,HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,1772.0,1772.0,,,0 CDM,3615170301,HC OTH INSERT TEMP BLAD CATH COMPLETE,218.0,218.0,,,0 CDM,3615170501,HC CHANGE CYSTOSTOMY TUBE,295.5,295.5,,,0 CDM,3615171001,HC CHANGE CYSTO TUBE COMPLICATED,2644.0,2644.0,,,0 CDM,3615178402,HC OTH EMG - PAD,352.0,352.0,,,0 CDM,3615235101,HC DILATION OF URETERS,4227.0,4227.0,,,0 CDM,3615389901,HC INITL PLACEMENT NEHROURETERAL STENT VIA EXISTING ILEAL CONDUIT,5110.0,5110.0,,,0 CDM,3615389902,HC URETER OR URETHRA DILATION,418.0,418.0,,,0 CDM,3615570001,HC MRI PROSTATE BIOPSY NEEDLE,2358.0,2358.0,,,0 CDM,3615834001,HC INJECTION SALPINOGRAPHY,707.0,707.0,,,0 CDM,3615880501,HC CYST ASPIRATION VIA ABD,4842.0,4842.0,,,0 CDM,3615899901,HC ASPIR DRAIN OVARIAN CYST,1196.0,1196.0,,,0 CDM,3615899903,HC PERCUTANEOUS BIOPSY OF VAGINAL CUFF,2350.5,2350.5,,,0 CDM,3615899905,HC CT GUIDED CRYOABLATION OF VAGINAL CUFF,6833.0,6833.0,,,0 CDM,3616010001,HC NEEDLE BX THYROID,938.5,938.5,,,0 CDM,3616030001,HC ASPIRATION THYROID CYST,1471.0,1471.0,,,0 CDM,3616069901,HC ETHANOL ABLATION OF THYROID,7018.0,7018.0,,,0 CDM,3616105001,"HC CISTERNAL OR LATERAL CERVICAL PUNCTURE, WITHOUT INJECTION",1037.0,1037.0,,,0 CDM,3616105501,HC CERVICAL APPROACH,1904.0,1904.0,,,0 CDM,3616107001,HC BRAIN CANAL SHUNT ASPIRATION NUC MED,736.0,736.0,,,0 CDM,3616162301,HC TEMP BALL OCCLUS HEAD NECK,19100.0,19100.0,,,0 CDM,3616162401,HC EMBOLIZATION INTRACRANIAL SPINAL,17512.0,17512.0,,,0 CDM,3616162601,HC EMBOLIZATION EXTRACRANIAL,11543.0,11543.0,,,0 CDM,3616163001,HC INTRACRANIAL ANGIOPLASTY,2616.0,2616.0,,,0 CDM,3616163501,HC INTRACRAN ANGIOPLSTY W STENT,2464.0,2464.0,,,0 CDM,3616164001,HC DILATE IC VASOSPASM INITITIAL,2565.0,2565.0,,,0 CDM,3616164101,HC SAME VASC FAM EACH ADD PTA,2936.0,2936.0,,,0 CDM,3616164201,HC DIFF VASC FAM EA ADD PTA,3157.0,3157.0,,,0 CDM,3616164501,HC PERQ ART MECHTHROMBECT,9758.0,9758.0,,,0 CDM,3616165001,HC EVASC PRLNG ADM RX AGNT 1ST,2214.0,2214.0,,,0 CDM,3616165101,HC EVASC PRLNG ADM RX AGNT AD,2238.0,2238.0,,,0 CDM,3616170801,HC ANEURYSM COIL,6098.0,6098.0,,,0 CDM,3616171001,HC EMBOLIZATION ANEURYSM,4561.0,4561.0,,,0 CDM,3616226701,HC INVERT DISC ASPIRATION PERC,1449.5,1449.5,,,0 CDM,3616227001,HC LUMBAR PUNCTURE DIAGNOSTIC,765.5,765.5,,,0 CDM,3616227201,HC LUMBAR PUNCTURE THERAPEUTIC,836.0,836.0,,,0 CDM,3616227301,HC INJ EPIDURAL BLOOD PATCH,736.0,736.0,,,0 CDM,3616227302,HC RAD INJ EPIDURAL BLOOD PATCH,660.5,660.5,,,0 CDM,3616228401,HC LUMBAR APPROACH,2861.0,2861.0,,,0 CDM,3616228701,HC PERC DISK DECOMPRESSION,11023.0,11023.0,,,0 CDM,3616229001,HC INJECTION DISKOGRAPHY LUMBAR,1749.0,1749.0,,,0 CDM,3616229101,HC INJECTION DISKOGRAPHY CERVICAL THORACIC,1837.0,1837.0,,,0 CDM,3616230201,HC MYELOGRAM CERVICAL,1858.0,1858.0,,,0 CDM,3616230301,HC MYELOGRAM THORACIC,1858.0,1858.0,,,0 CDM,3616230401,HC MYELOGRAM LUMBOSACRAL,1858.0,1858.0,,,0 CDM,3616230501,HC MYELOGRAM COMPLETE,2137.0,2137.0,,,0 CDM,3616232101,HC IR INJ EPI SUBAR EA CERV THORA,695.0,695.0,,,0 CDM,3616232301,HC IR INJ EPI SUB EA LUMBARSACRAL,807.5,807.5,,,0 CDM,3616232801,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,1181.0,1181.0,,,0 CDM,3616232901,HC THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT,1058.5,1058.5,,,0 CDM,3616237001,HC ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP,902.0,902.0,,,0 CDM,3616365001,HC PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,18007.0,18007.0,,,0 CDM,3616366101,HC RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,3664.0,3664.0,,,0 CDM,3616368501,HC INSERT/REPLACE OF SPINAL NEUROSTIM PULSE GEN,97637.0,97637.0,,,0 CDM,3616440001,HC INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH,302.0,302.0,,,0 CDM,3616441701,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; AXILLARY NERVE",2331.0,2331.0,,,0 CDM,3616442001,HC INJECTION AA&STRD INTERCOSTAL NRV SINGLE LVL,736.0,736.0,,,0 CDM,3616442101,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; INTERCOSTAL NERVE, EACH ADDITIONAL LEVEL",900.5,900.5,,,0 CDM,3616442501,HC INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,1405.0,1405.0,,,0 CDM,3616443001,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PUDENDAL NERVE",967.0,967.0,,,0 CDM,3616444502,HC INJECTION AA&/STRD SCIATIC NERVE W/IMG GDN,993.0,993.0,,,0 CDM,3616445001,HC HB 64450 INJ NRV BLK PERIPHER/BRANCH,792.0,792.0,,,0 CDM,3616445101,HC INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IM,1022.0,1022.0,,,0 CDM,3616445401,HC INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG,885.0,885.0,,,0 CDM,3616446601,HC THORACIC FASCIAL PLANE BLOCK UNI INJECTION,1128.0,1128.0,,,0 CDM,3616447901,HC INJ TRANSFOR CERV THOR SINGLE,955.0,955.0,,,0 CDM,3616448001,HC INJ TRANSFOR CERV THOR EA ADDTL,1232.0,1232.0,,,0 CDM,3616448301,HC INJ TRANSFOR LUMB SACR SINGLE,905.5,905.5,,,0 CDM,3616448401,HC INJ TRANSFOR LUMB SACR EA ADDTL,678.5,678.5,,,0 CDM,3616449001,HC INJ FACET JT CERV THOR SINGLE,1156.5,1156.5,,,0 CDM,3616449101,HC INJ FACET JT CERV THOR EA ADDTL,952.0,952.0,,,0 CDM,3616449201,HC INJ CERV THOR FAC JT 3+,1271.0,1271.0,,,0 CDM,3616449301,HC INJ FACET JT LUMB SACR SINGLE,957.0,957.0,,,0 CDM,3616449401,HC INJ FACET JT LUMB SACR EA ADDTL,690.0,690.0,,,0 CDM,3616449501,HC INJ LUMB SACR FACET JT 3+,1295.5,1295.5,,,0 CDM,3616451001,HC INJ ANESTHETIC AGENT STELLATE GANGLION BLOCK,1954.0,1954.0,,,0 CDM,3616451701,HC SUPERIOR HYPOGASTRIC NERVE BLOCK,1632.0,1632.0,,,0 CDM,3616452001,HC INJ ANESTHETIC AGENT SYMPATHETIC LUMBAR BLOCK,1245.0,1245.0,,,0 CDM,3616453001,HC CT INJ CELIAC PLEX W ANESTHETI,1105.5,1105.5,,,0 CDM,3616461101,HC CHEMODENERV PAROTID&SUBMANDIBLE SALIVARY GLNDS,1139.0,1139.0,,,0 CDM,3616462001,HC DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,4566.0,4566.0,,,0 CDM,3616462401,HC DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG,4108.0,4108.0,,,0 CDM,3616462501,HC RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN,7027.0,7027.0,,,0 CDM,3616463001,HC DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE,2723.0,2723.0,,,0 CDM,3616463301,HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,4589.0,4589.0,,,0 CDM,3616463401,HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,4589.0,4589.0,,,0 CDM,3616463501,HC DSTR NROLYTIC AGNT PARVERTEB FCT SINGL LMBR/SACRAL,4589.0,4589.0,,,0 CDM,3616463601,HC DSTR NROLYTIC AGNT PARVERTEB FT ADDL LUMBR/SACRAL,4589.0,4589.0,,,0 CDM,3616464001,HC DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE,1965.0,1965.0,,,0 CDM,3616464601,HC CHEMODENERVATION OF TRUNK MUSCLES 1-5,874.5,874.5,,,0 CDM,3616464701,HC CHEMODENERVATION OF TRUNK MUSCLE(S) 6 OR MORE,956.5,956.5,,,0 CDM,3616468001,HC CT INJ CELIAC PLEX W NEUROLYTIC,1239.0,1239.0,,,0 CDM,3616468101,HC DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS,1472.0,1472.0,,,0 CDM,3616499901,HC DISK ASPIRATION BIOPSY,1893.0,1893.0,,,0 CDM,3616499902,HC INTRADISCAL INJECTION,2111.0,2111.0,,,0 CDM,3616499903,HC SYNO CYST INJ/ASP SPINE,1243.5,1243.5,,,0 CDM,3616499904,HC ULTRASOUND-GUIDED HEPATIC HILAR NERVE BLOCK,1703.0,1703.0,,,0 CDM,3616499905,HC CHEMODENERVATION OF CRICOPHARYNGEAL MUSCLE,426.0,426.0,,,0 CDM,3616499906,HC RADIOFREQUENCY ABLATION OF LUMBAR SYMPATHETIC PLEXUS,5434.0,5434.0,,,0 CDM,3616499907,HC CHEMODENERVATION OF HAND (1-4 DIGITS),834.0,834.0,,,0 CDM,3616499908,HC GANGLION IMPAR BLOCK,2088.0,2088.0,,,0 CDM,3616499909,HC INTRACRANIAL STENT IN VEIN,2464.0,2464.0,,,0 CDM,3616499911,HC RENAL HILAR BLOCK,906.0,906.0,,,0 CDM,3617419001,HC PERITONEOGRAM RS&I,1904.0,1904.0,,,0 CDM,3617649901,"HC VENOGRAPHY OTHER VEIN, SELECTIVE RS&I",5130.0,5130.0,,,0 CDM,3617704801,HC MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,1157.0,1157.0,,,0 CDM,3619637201,HC OTH ADMIN OF INJECTION SUBQ OR IM,133.5,133.5,,,0 CDM,3619645001,HC CHEMOTX ADMN CNS REQ SPINAL PUNCTURE,980.0,980.0,,,0 CDM,3619760601,HC NEG PRESS WOUND TX GREATER THAN 50 SQ CM WITH DME,547.0,547.0,,,0 CDM,361G026901,HC PLACE VESSEL CLOSURE DEVICE,1032.5,1032.5,,,0 CDM,3700000001,HC ANESTHESIA 1ST HALF HOUR,791.5,791.5,,,0 CDM,3700000002,HC ANESTHESIA ADDITIONAL 15 MIN,131.5,131.5,,,0 CDM,3706232201,HC INJ INTERLAMINAR L/S NO IMAGE,1022.0,1022.0,,,0 CDM,3706232401,HC EPIDURAL CATH PLACEMENT C/T NO IMAGE,996.5,996.5,,,0 CDM,3706232601,HC EPIDURAL CATH PLACEMENT L/S NO IMAGE,996.5,996.5,,,0 CDM,3709915101,HC CON SED SAME PHYS/QHP 1ST 15<5,140.0,140.0,,,0 CDM,3709915201,HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,122.0,122.0,,,0 CDM,3709915301,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,86.0,86.0,,,0 CDM,390C950701,HC COVID-19 CONVALESCENT PLASMA,1159.0,1159.0,,,0 CDM,390P901001,HC LTOWB LOW TITER GROUP O POS WHOLE BLOOD,1549.0,1549.0,,,0 CDM,390P901101,HC BLOOD PLATELET PHERSIS LEUKORED LG VOL SPLIT UNIT,525.83,525.83,,,0 CDM,390P901102,HC CRYO BLOOD SPLIT UNIT,64.0,64.0,,,0 CDM,390P901103,HC FFP BLOOD SPLIT UNIT,28.0,28.0,,,0 CDM,390P901104,HC PLATELETS PHERESIS PATH REDU SPLIT UNIT,446.0,446.0,,,0 CDM,390P901105,HC PLT HLA APH BLOOD SPLIT UNIT,654.0,654.0,,,0 CDM,390P901106,HC PLT PH BLOOD SPLIT UNIT,376.0,376.0,,,0 CDM,390P901107,HC PLT PH IRRADIATED BLOOD SPLIT UNIT,406.0,406.0,,,0 CDM,390P901108,HC RBC BLOOD SPLIT UNIT,672.0,672.0,,,0 CDM,390P901109,HC RBC IRRADIATED BLOOD SPLIT UNIT,183.0,183.0,,,0 CDM,390P901110,HC RBC WASHED BLOOD SPLIT UNIT,217.0,217.0,,,0 CDM,390P901111,HC RBC WASHED IRR BLOOD SPLIT UNIT,242.0,242.0,,,0 CDM,390P901201,HC BLOOD CRYOPRECIPITATE EACH,138.51,138.51,,,0 CDM,390P901601,HC BLOOD RBC LEUKORED EACH,672.0,672.0,,,0 CDM,390P901701,HC BLOOD FRESH FROZEN PLASMA,120.56,120.56,,,0 CDM,390P902101,HC RED BLOOD CELLS UNIT,650.22,650.22,,,0 CDM,390P902201,HC BLOOD RBC WASHED EACH,701.53,701.53,,,0 CDM,390P902202,HC WASHED RBC LEUKORED IRR,726.53,726.53,,,0 CDM,390P902301,HC PLASMA POOLED MULT DONOR SOLVENT/DETERGENT TREAT FROZ EA UNIT,428.0,428.0,,,0 CDM,390P903101,HC BLOOD PLATELET LEUKORED EACH,222.35,222.35,,,0 CDM,390P903301,HC BLOOD PLT LEUKORED IRR EACH,2184.0,2184.0,,,0 CDM,390P903501,HC BLOOD PL PH LEUKORED EACH,1218.38,1218.38,,,0 CDM,390P903502,HC BLOOD PLATELET PHERSIS LEUKORED LG VOL EACH,1462.0,1462.0,,,0 CDM,390P903701,HC BLOOD PLT PH LEUKORED IRR EACH,1313.28,1313.28,,,0 CDM,390P904001,HC BLOOD RBC LEUKORED IRR EACH,672.0,672.0,,,0 CDM,390P904401,HC BLOOD PLASMA CRYO RED EACH,120.56,120.56,,,0 CDM,390P904402,HC LIQUID PLASMA IRRADIATED,288.0,288.0,,,0 CDM,390P905201,HC BLOOD PLT HLA LEUKORED APH EACH,2116.13,2116.13,,,0 CDM,390P905401,"HC BLOOD, L/R, FROZ/DEGLY/WASH",470.27,470.27,,,0 CDM,390P905701,HC BLOOD RBC DEGLYCEROLIZED EACH,649.0,649.0,,,0 CDM,390P905902,HC HB PLASMA FRESH FROZEN 8-24 HOURS,120.56,120.56,,,0 CDM,390P907301,HC PLATELETS PHERESIS PATH REDU,1603.13,1603.13,,,0 CDM,3913643001,HC TRANSFUSION BLOOD OR BLOOD PRODUCT,983.0,983.0,,,0 CDM,4017706501,HC DIGITAL DIAG MAMMOGRAM UNILATERAL,415.5,415.5,,,0 CDM,4017706601,HC DIGITAL DIAG MAMMOGRAM BILATERAL,478.5,478.5,,,0 CDM,401G027901,HC DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS BILATERAL,256.5,256.5,,,0 CDM,401G027902,HC DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,128.5,128.5,,,0 CDM,4020690T01,HC QUANTITATIVE US TISS CHARAC I&R W/DX US SM ANAT,1858.5,1858.5,,,0 CDM,4025179801,HC URINE CAPACITY MEASURE BY US,122.5,122.5,,,0 CDM,4027598901,HC US GUIDED DRAIN-ABS/SPEC PERC,557.0,557.0,,,0 CDM,4027650601,HC US NEONATE HEAD,710.0,710.0,,,0 CDM,4027651201,HC BED US OCULAR,613.0,613.0,,,0 CDM,4027653601,HC US SOFT TISSUE HEAD/NECK,717.5,717.5,,,0 CDM,4027660401,HC US CHEST,822.5,822.5,,,0 CDM,4027664101,HC US BREAST COMPLETE,766.0,766.0,,,0 CDM,4027664201,HC US BREAST LIMITED,575.0,575.0,,,0 CDM,4027670001,HC US ABDOMEN COMPLETE,1078.0,1078.0,,,0 CDM,4027670501,HC US ABDOMEN LIMITED,689.0,689.0,,,0 CDM,4027670601,HC US AAA SCREENING,571.5,571.5,,,0 CDM,4027677001,HC US RETROPERITONEAL COMPLETE,860.5,860.5,,,0 CDM,4027677501,HC US RETROPERITONEAL LIMITED,797.0,797.0,,,0 CDM,4027677601,HC US TRANSPLANT COMPLETE,938.0,938.0,,,0 CDM,4027680101,HC US PREG UTER 1ST TRIM LESS THAN 14 WEEKS,732.5,732.5,,,0 CDM,4027680201,HC US OB <14 WKS ADDL FETUS,145.5,145.5,,,0 CDM,4027680501,HC US PREGNANCY COMPLETE,736.0,736.0,,,0 CDM,4027681001,HC US OB GREATER THAN OR = 14 WKS ADDL FETUS,251.5,251.5,,,0 CDM,4027681101,HC US PREGNANT DETAILED SINGLE,1407.0,1407.0,,,0 CDM,4027681201,HC US PREG DETAILED EA ADDL GEST,628.0,628.0,,,0 CDM,4027681501,HC US PREGNANT UTERUS LIMITED,718.0,718.0,,,0 CDM,4027681601,HC US PREG UTERUS FOLLOW UP,499.0,499.0,,,0 CDM,4027681701,HC US TRANSVAGINAL PREG UTERUS,656.0,656.0,,,0 CDM,4027681801,HC US FETAL BIOPHYSICAL PROFILE W NST,929.0,929.0,,,0 CDM,4027681901,HC US FETAL BIOPHYSICAL PROFILE WO NST,637.0,637.0,,,0 CDM,4027682001,HC US DOPPLER FETAL UMBILICAL ART,535.5,535.5,,,0 CDM,4027682101,HC US DOPP VELCO FET MID CEREB,649.0,649.0,,,0 CDM,4027682502,HC US FETAL ECHOCARDIOGRAHPY,1478.0,1478.0,,,0 CDM,4027683001,HC US PELVIS TRANSVAGINAL,726.5,726.5,,,0 CDM,4027683101,HC US HYSTEROSONOGRAPHY W &WO DOPPLER,329.5,329.5,,,0 CDM,4027685601,HC US PELVIC COMPLETE,727.5,727.5,,,0 CDM,4027685701,HC US PELVIS LIMITED/FOLLOW UP,490.5,490.5,,,0 CDM,4027687001,HC US SCROTUM,721.5,721.5,,,0 CDM,4027687201,HC US TRANSRECTAL,591.0,591.0,,,0 CDM,4027687301,HC PROSTATE VOLUME STUDY,946.0,946.0,,,0 CDM,4027688101,HC US EXTREMITY NONVASCULAR COMPLETE,891.0,891.0,,,0 CDM,4027688201,HC US EXTREMITY NONVASCULAR LIMITED,520.0,520.0,,,0 CDM,4027688301,HC US NRV&ACC STRUX 1XTR COMPRE,578.0,578.0,,,0 CDM,4027688601,HC US CONGENITAL HIP LIMITED STATIC,367.0,367.0,,,0 CDM,4027693601,HC US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,1072.0,1072.0,,,0 CDM,4027693701,HC US GUIDANCE FOR VASCULAR ACCESS,150.5,150.5,,,0 CDM,4027694001,HC ULTRASOUND GUIDANCE TISSUE ABL,354.0,354.0,,,0 CDM,4027694101,HC US GUIDED FETAL TRANS/CORDO,638.0,638.0,,,0 CDM,4027694201,HC GUIDE NEEDLE PLACE S&I,996.0,996.0,,,0 CDM,4027694202,HC GUIDE NEEDLE PLACE S&I,848.0,848.0,,,0 CDM,4027694601,HC US GUIDANCE FOR AMNIO PROCED,692.0,692.0,,,0 CDM,4027696501,HC US GUIDANCE RADIOELEMENT,3478.0,3478.0,,,0 CDM,4027698101,HC ULTRASOUND ELASTOGRAPHY PARENCHYMA,937.0,937.0,,,0 CDM,4027698201,HC ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION,366.0,366.0,,,0 CDM,4027698301,HC ULTRASOUND ELASTOGRAPY EA ADDL TAGET LESION,366.0,366.0,,,0 CDM,4027699801,HC US INTRAOPERATIVE,1180.0,1180.0,,,0 CDM,4037706301,HC BREAST TOMO SCREEN BILATERAL,264.5,264.5,,,0 CDM,4037706701,HC DIGITAL SCREENING MAMMOGRAM,370.5,370.5,,,0 CDM,4047843001,HC MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT,6343.0,6343.0,,,0 CDM,4047843101,HC MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT,9893.0,9893.0,,,0 CDM,4047845901,"HC MYOCARDIAL IMAGING, PET, METABOLIC EVAL",6657.0,6657.0,,,0 CDM,4047849101,"HC MYOCARDIAL IMAGING, PET, PERFUSION, SINGLE STUDY STRESS/REST",7023.0,7023.0,,,0 CDM,4047849201,"HC MYOCARDIAL IMAGING, PET, PERFUSION, MULTIPLE, AT REST AND/OR STRESS",7023.0,7023.0,,,0 CDM,4047860801,HC PET BRAIN IMAGING,8705.0,8705.0,,,0 CDM,4047881401,HC PET/CT TUMOR IMAGE LIMITED,6315.0,6315.0,,,0 CDM,4047881501,HC PET/CT TUMOR IMAGE SKULL TO MID THIGH,6524.0,6524.0,,,0 CDM,4047881601,HC PET/CT TUMOR IMAGE FULL BODY,7249.0,7249.0,,,0 CDM,404G100701,HC CLINICAL DECISION SUPPORT MECHANISM AIM SPECIALTY HEALTH,0.01,0.01,,,0 CDM,404G100801,HC CLINICAL DECISION SUPPORT MECHANISM CRANBERRY PEAK,0.01,0.01,,,0 CDM,404G101001,HC CLINICAL DECISION SUPPORT MECHANISM STANSON,0.01,0.01,,,0 CDM,404G101201,HC AGILEMD'S CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,404G101301,HC EVIDENCECARE IMAGING ADVISOR,0.01,0.01,,,0 CDM,404G101401,HC INVENIQA'S SEMANTIC ANSWERS IN MEDICINE,0.01,0.01,,,0 CDM,404G101501,HC RELIANT MEDICAL GROUP CDSM,0.01,0.01,,,0 CDM,404G101601,HC SPEED OF CARE CDSM,0.01,0.01,,,0 CDM,404G101701,HC HEALTHHELPS CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,404G101801,HC INFINX CDSM,0.01,0.01,,,0 CDM,404G101901,HC LOGICNETS AUC SOLUTION,0.01,0.01,,,0 CDM,404G102001,HC CURBSIDE CLINICAL AUGMENTED WORKFLOW,0.01,0.01,,,0 CDM,404G102101,HC EHEAHTLINE CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,404G102201,HC INTERMOUNTAIN CLINICAL DECISION SUPPOORT MECH,0.01,0.01,,,0 CDM,404G102301,HC PERSIVIA CLINICAL DECIISION SUPPORT,0.01,0.01,,,0 CDM,4109400201,HC VENTILATOR INITIAL DAY,1039.0,1039.0,,,0 CDM,4109400202,HC JET VENTILATOR INITIAL DAY,1194.0,1194.0,,,0 CDM,4109400203,HC OSCILLATOR VENTILATOR INITIAL DAY,1194.0,1194.0,,,0 CDM,4109400301,HC VENTILATOR SUBSEQUENT DAY,1039.0,1039.0,,,0 CDM,4109400302,HC JET VENTILATOR SUBSEQUENT DAY,1194.0,1194.0,,,0 CDM,4109400303,HC OSCILLATOR VENTILATOR SUBSEQUENT DAY,1194.0,1194.0,,,0 CDM,4109478001,HC CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN,161.0,161.0,,,0 CDM,4109478101,HC CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN,80.0,80.0,,,0 CDM,4120000001,HC HDVCH RESPIRATORY NEONATAL TRANSPORT,242.0,242.0,,,0 CDM,4129464001,HC AIRWAY INHALATION TREATMENT,367.0,367.0,,,0 CDM,4129464201,HC PENTAMIDINE TREATMENT,290.0,290.0,,,0 CDM,4129464401,HC CBT 1ST HOUR,217.0,217.0,,,0 CDM,4129464501,HC CBT EACH ADDTL HOUR,141.0,141.0,,,0 CDM,4129466001,HC BIPAP/CPAP,432.0,432.0,,,0 CDM,4129479901,HC CBT VELETRI DAILY CHARGE,2146.0,2146.0,,,0 CDM,413G027701,HC HYPERBARIC O2 EACH 30 MINUTES,619.0,619.0,,,0 CDM,419G023701,HC THERAP PROS ACTIVE EXERCISE,163.0,163.0,,,0 CDM,419G023801,HC THER 6 MIN WALK WITH REPORT,100.0,100.0,,,0 CDM,419G023901,HC THERAPEUTIC PROC 2 OR MORE,60.0,60.0,,,0 CDM,4200000003,HC PT CPM SET UP,372.0,372.0,,,0 CDM,4200000004,HC PT CPM-DAILY,205.0,205.0,,,0 CDM,4209091201,HC PT BFB TRAING W/EMG &/MANOMETRY 1ST 15 MIN CNTCT,374.0,374.0,,,0 CDM,4209091301,HC PT BFB TRAING W/EMG&/MANOMETRY EA ADDL 15 MIN CNTCT,132.0,132.0,,,0 CDM,4209599201,HC PT CANALITH REPOSITIONING PROC,145.0,145.0,,,0 CDM,4209701201,HC PT TRACTION MECHANICAL,128.0,128.0,,,0 CDM,4209701401,HC PT ELECTRIC STIM UNATTENDED,63.0,63.0,,,0 CDM,4209701601,HC PT VASOPNEUMATIC,54.0,54.0,,,0 CDM,4209701801,HC PT PARAFFIN BATH THERAPY,14.0,14.0,,,0 CDM,4209702201,HC PT WHIRLPOOL,73.0,73.0,,,0 CDM,4209703201,HC PT ELECTRICAL STIM MANUAL PER 15 MIN,67.0,67.0,,,0 CDM,4209703301,HC PT IONTOPHORESIS PER 15 MIN,139.0,139.0,,,0 CDM,4209703401,HC PT CONTRAST BATH PER 15 MIN,32.0,32.0,,,0 CDM,4209703501,HC PT ULTRASOUND PER 15 MIN,77.0,77.0,,,0 CDM,4209711001,HC PT THERAPEUTIC PROC PER 15 MIN,63.0,63.0,,,0 CDM,4209711201,HC PT NEUROMUSCULAR RE-EDUCATION PER 15 MIN,75.0,75.0,,,0 CDM,4209711301,HC PT AQUATIC THERAPY (PER UNIT),72.0,72.0,,,0 CDM,4209711601,HC PT GAIT TRAINING PER 15 MIN,72.0,72.0,,,0 CDM,4209712401,HC PT MASSAGE PER 15 MIN,50.0,50.0,,,0 CDM,4209714001,HC PT MANUAL THERAPY PER 15 MIN,75.0,75.0,,,0 CDM,4209753001,HC PT THERAPEUTIC FUNCTIONAL ACTIVITY,73.0,73.0,,,0 CDM,4209753501,HC PT ADL/SELFCARE/HMETRN PER UNIT,97.0,97.0,,,0 CDM,4209754201,HC PT WHEELCHAIR MGT EA 15 MINUTES,65.0,65.0,,,0 CDM,4209754501,HC PT WORK HARD/COND INITIAL 2 HRS,426.0,426.0,,,0 CDM,4209754601,HC PT WORK HARD/COND EACH ADDTL HOUR,313.0,313.0,,,0 CDM,4209755001,HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES,129.0,129.0,,,0 CDM,4209755101,HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN,63.0,63.0,,,0 CDM,4209755201,HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE,53.0,53.0,,,0 CDM,4209759701,HC PT DEBRIDEMENT 20 SQ CM OR LESS,184.0,184.0,,,0 CDM,4209759801,HC PT DEBRIDEMENT ADDTL 20 SQ CM,281.0,281.0,,,0 CDM,4209760201,HC PT NON-SELECTIVE DEBRIDEMENT,211.0,211.0,,,0 CDM,4209760501,HC PT NEG PRESS WOUND TX LESS THAN OR EQUAL TO 50 SQ CM WITH DME,452.0,452.0,,,0 CDM,4209775001,HC PT PHYS PERFORM/FCE PER UNIT,79.0,79.0,,,0 CDM,4209776001,HC PT ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS,83.0,83.0,,,0 CDM,4209776101,HC PT PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,70.0,70.0,,,0 CDM,4209776301,HC PT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,57.0,57.0,,,0 CDM,4209897001,HC PT OL DIGITAL ASSMT&MGMT EST PT <7 D 5-10 MIN,40.0,40.0,,,0 CDM,4209897101,HC PT OL DIGITAL ASSMT&MGMT EST PT <7 D 11-20 MIN,68.0,68.0,,,0 CDM,4209897201,HC PT OL DIGITAL ASSMT&MGMT EST PT <7 D 21+ MIN,95.0,95.0,,,0 CDM,420G028201,HC PT ELEC STIM (UNATT) WOUND CARE,81.0,81.0,,,0 CDM,4239715001,HC PT THERAPEUTIC PROCEDURE GROUP,70.0,70.0,,,0 CDM,4249716101,HC PT LOW COMPLEX EVALUATION,182.0,182.0,,,0 CDM,4249716201,HC PT MOD COMPLEX EVALUATION,191.0,191.0,,,0 CDM,4249716301,HC PT HIGH COMPLEX EVALUATION,195.0,195.0,,,0 CDM,4249716401,HC PT RE EVALUATION,115.0,115.0,,,0 CDM,4309252601,HC OT FEEDING/SWALLOWING TREATMENT,214.0,214.0,,,0 CDM,4309599201,HC OT CANALITH REPOSITIONING PROC,130.0,130.0,,,0 CDM,4309701401,HC OT ELECTRIC STIM UNATTENDED,63.0,63.0,,,0 CDM,4309701601,HC OT VASOPNEUMATIC,54.0,54.0,,,0 CDM,4309701801,HC OT PARAFFIN BATH,14.0,14.0,,,0 CDM,4309702201,HC OT WHIRLPOOL,73.0,73.0,,,0 CDM,4309703201,HC OT ELECTRICAL STIM MANUAL PER 15 MIN,67.0,67.0,,,0 CDM,4309703202,HC OTA ELECTRICAL STIM MANUAL PER 15 MIN,74.0,74.0,,,0 CDM,4309703301,HC OT IONTOPHORESIS PER 15 MIN,139.0,139.0,,,0 CDM,4309703401,HC OT CONTRAST BATH PER 15 MIN,32.0,32.0,,,0 CDM,4309703501,HC OT ULTRASOUND PER 15 MIN,77.0,77.0,,,0 CDM,4309711001,HC OT THERAPEUTIC PROC PER 15 MIN,63.0,63.0,,,0 CDM,4309711002,HC OTA THERAPEUTIC PROC PER 15 MIN,69.0,69.0,,,0 CDM,4309711201,HC OT NEUROMUSCULAR RE-EDUCATION PER 15 MIN,75.0,75.0,,,0 CDM,4309711202,HC OTA NEUROMUSULAR RE-EDUCATION PER 15 MIN,82.0,82.0,,,0 CDM,4309712901,HC OT THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES,52.0,52.0,,,0 CDM,4309713001,HC OT THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES,51.0,51.0,,,0 CDM,4309714001,HC OT MANUAL THERAPY PER 15 MIN,75.0,75.0,,,0 CDM,4309753001,HC OT THERAPEUTIC FUNCTIONAL ACTIVITY,73.0,73.0,,,0 CDM,4309753002,HC OTA THERAPEUTIC FUNCTIONAL ACTIVITY,80.0,80.0,,,0 CDM,4309753301,HC OT SENSORY INTEGRAT PER UNIT,134.0,134.0,,,0 CDM,4309753501,HC OT ADL/SELFCARE/HMETRN PER UNIT,97.0,97.0,,,0 CDM,4309753502,HC OTA ADL/SELFCARE/HMETRN PER UNIT,106.0,106.0,,,0 CDM,4309753701,HC OT COMMUN/WORK REINTEGR / UNIT,69.0,69.0,,,0 CDM,4309754201,HC OT WHEELCHAIR MGT EA 15 MINUTES,65.0,65.0,,,0 CDM,4309754202,HC OTA WHEELCHAIR MGT EA 15 MIN,71.0,71.0,,,0 CDM,4309754501,HC OT WORK HARD/COND INITIAL 2 HRS,426.0,426.0,,,0 CDM,4309754601,HC OT WORK HARD/COND EACH ADDTL HOUR,313.0,313.0,,,0 CDM,4309755001,HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES,129.0,129.0,,,0 CDM,4309755101,HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN,63.0,63.0,,,0 CDM,4309755201,HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE,53.0,53.0,,,0 CDM,4309759701,HC OT DEBRIDEMENT 20 SQ CM OR LESS,213.0,213.0,,,0 CDM,4309759801,HC OT DEBRIDEMENT ADDTL 20 SQ CM,281.0,281.0,,,0 CDM,4309760201,HC OT NON-SELECTIVE DEBRIDEMENT,211.0,211.0,,,0 CDM,4309760501,HC OT NEG PRESS WOUND TX LESS THAN OR EQUAL TO 50 SQ CM WITH DME,452.0,452.0,,,0 CDM,4309760601,HC OT NEG PRESS WOUND TX GREATER THAN 50 SQ CM WITH DME,714.0,714.0,,,0 CDM,4309775001,HC OT PHYS PERFORM/FCE PER UNIT,79.0,79.0,,,0 CDM,4309775501,HC OT ASSIST TECH ASSMNT EA 15 MIN,126.0,126.0,,,0 CDM,4309776001,HC OT ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS,83.0,83.0,,,0 CDM,4309776101,HC OT PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,70.0,70.0,,,0 CDM,4309776301,HC OT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,57.0,57.0,,,0 CDM,4309897001,HC OT OL DIGITAL ASSMT&MGMT EST PT <7 D 5-10 MIN,28.0,28.0,,,0 CDM,4309897101,HC OT OL DIGITAL ASSMT&MGMT EST PT <7 D 11-20 MIN,56.0,56.0,,,0 CDM,4309897201,HC OT OL DIGITAL ASSMT&MGMT EST PT <7 D 21+ MIN,72.0,72.0,,,0 CDM,4339715001,HC OT THERAPEUTIC PROCEDURE GROUP,70.0,70.0,,,0 CDM,4349261001,HC OT ORAL/PHARY SWALLOWING EVALU,333.0,333.0,,,0 CDM,4349716501,HC OT LOW COMPLEX EVALUATION,226.0,226.0,,,0 CDM,4349716601,HC OT MOD COMPLEX EVALUATION,230.0,230.0,,,0 CDM,4349716701,HC OT HIGH COMPLEX EVALUATION,242.0,242.0,,,0 CDM,4349716801,HC OT RE EVALUATION,150.0,150.0,,,0 CDM,4409250802,HC GROUP THERAPY,58.0,58.0,,,0 CDM,4409251201,HC ST NASAL FUNCTION STUDIES,325.0,325.0,,,0 CDM,4409260901,HC ST THERAP SVCS SPCH GEN DEVICE,222.0,222.0,,,0 CDM,4409612501,HC ST COGNITIVE PERFORM PER HOUR,234.0,234.0,,,0 CDM,4409712901,HC ST THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES,52.0,52.0,,,0 CDM,4409713001,HC ST THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES,51.0,51.0,,,0 CDM,4409755001,HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES,129.0,129.0,,,0 CDM,4409755101,HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN,63.0,63.0,,,0 CDM,4409755201,HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE,53.0,53.0,,,0 CDM,4409897001,HC SLP OL DIGITAL ASSMT&MGMT EST PT <7 D 5-10 MIN,31.0,31.0,,,0 CDM,4409897101,HC SLP OL DIGITAL ASSMT&MGMT EST PT <7 D 11-20 MIN,62.0,62.0,,,0 CDM,4409897201,HC SLP OL DIGITAL ASSMT&MGMT EST PT <7 D 21+ MIN,88.0,88.0,,,0 CDM,4419250701,HC ST SPEECH/LANGUAGE/VOICE THERAPY,213.0,213.0,,,0 CDM,4419252601,HC ST FEEDING/SWALLOWING TREATMENT,214.0,214.0,,,0 CDM,4419259701,HC ST VOICE PROSTHETIC EVALUATION,292.0,292.0,,,0 CDM,4449252101,HC ST SPEECH FLUENCY EVALUATION,157.0,157.0,,,0 CDM,4449252201,HC ST SPEECH SOUND PROD EVALUATION,140.0,140.0,,,0 CDM,4449252301,HC ST SPEECH COMP/EXPRESS EVAL,299.0,299.0,,,0 CDM,4449252401,HC ST BEHAVORIAL QUALITATIVE EVAL,133.0,133.0,,,0 CDM,4449260501,HC ST EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR,684.0,684.0,,,0 CDM,4449260701,HC ST EVAL SPCH GEN DEVICE 1ST HR,618.0,618.0,,,0 CDM,4449260801,HC ST EVAL SPCH GEN DEVICE ADDTL 30 MIN,323.0,323.0,,,0 CDM,4449261001,HC ST ORAL/PHARY SWALLOWING EVALU,333.0,333.0,,,0 CDM,4449261101,HC ST MOTION FLUOR EVAL SWLNG FUNCJ C/V REC,438.0,438.0,,,0 CDM,4449261201,HC ST FIBEROPT ENDO EVAL OF SWALLOW,528.0,528.0,,,0 CDM,4449261401,HC FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC,323.0,323.0,,,0 CDM,4449261801,HC ST EVAL NONSPEECH GEN ADDTL 30 MIN,226.0,226.0,,,0 CDM,4449610501,HC ST ASSESSMENT OF APHASIA,420.0,420.0,,,0 CDM,4500000001,HC ED TRAUMA CENTER 1 ACTIVATION LEVEL 1 NON NOTIFICATION,9613.0,9613.0,,,0 CDM,4500000002,HC ED TRAUMA CENTER 1 ACTIVATION LEVEL 2 NON NOTIFICATION,7805.0,7805.0,,,0 CDM,4500000003,HC ED TRAUMA CENTER 1 OR 2 EVALUATION NON NOTIFICATION,3579.0,3579.0,,,0 CDM,4500000004,HC ED TRAUMA CENTER 3 ACTIVATION LEVEL 1 NON NOTIFICATION,7706.0,7706.0,,,0 CDM,4500000005,HC ED TRAUMA CENTER 3 ACTIVATION LEVEL 2 NON NOTIFICATION,5154.0,5154.0,,,0 CDM,4500000006,HC ED TRAUMA CENTER 3 EVALUATION NON NOTIFICATION,3022.0,3022.0,,,0 CDM,4501002101,HC ED FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,447.0,447.0,,,0 CDM,4501006001,HC ED DRAINAGE OF SKIN ABSCESS SIMPLE,246.0,246.0,,,0 CDM,4501006101,HC ED DRAINAGE OF SKIN ABSCESS COMP,348.0,348.0,,,0 CDM,4501008001,HC ED DRAINAGE PILONIDAL CYST SIMPLE,805.0,805.0,,,0 CDM,4501008101,HC ED INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,1074.0,1074.0,,,0 CDM,4501012001,HC ED REMOVE FOREIGN BODY SUBQ SIMPLE,382.0,382.0,,,0 CDM,4501012101,HC ED REMOVE FOREIGN BODY SUBQ COMPLEX,2088.0,2088.0,,,0 CDM,4501014001,HC ED DRAINAGE OF HEMATOMA FLUID,1518.0,1518.0,,,0 CDM,4501016001,HC ED PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,374.0,374.0,,,0 CDM,4501018001,HC ED INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,2439.0,2439.0,,,0 CDM,4501100001,HC ED DEBRIDEMENT INFECTED SKIN UP TO 10%,568.0,568.0,,,0 CDM,4501100101,HC ED DEBRIDEMENT EACH ADDTL 10%,171.0,171.0,,,0 CDM,4501101001,HC ED DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS,1525.0,1525.0,,,0 CDM,4501101201,HC ED DBRDMT FX&/DISLC SUBQ T/M/F BONE,2439.0,2439.0,,,0 CDM,4501104201,HC ED DEBRIDE SUBQ 20 SQ CM OR LESS,408.0,408.0,,,0 CDM,4501104301,HC ED DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM OR LESS,566.0,566.0,,,0 CDM,4501104401,HC ED DEBRIDE BONE 20 SQ CM OR LESS,2430.0,2430.0,,,0 CDM,4501104501,HC ED DEBRIDE SUBQ EA ADDTL 20 SQ CM,376.0,376.0,,,0 CDM,4501104601,HC ED DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,532.0,532.0,,,0 CDM,4501105501,HC ED PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1,243.0,243.0,,,0 CDM,4501110601,HC ED INCISIONAL BIOPSY SKIN SINGLE LESION,914.0,914.0,,,0 CDM,4501120001,HC ED EXCISE SKIN TAGS 15 TAGS OR LESS,183.0,183.0,,,0 CDM,4501130101,HC ED SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM,547.0,547.0,,,0 CDM,4501130501,HC ED SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,256.0,256.0,,,0 CDM,4501130601,HC ED SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,304.0,304.0,,,0 CDM,4501131001,HC ED SHAVE SKIN LESION FACE 0.5 CM OR LESS,304.0,304.0,,,0 CDM,4501140101,HC ED EXC BENIGN LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM,1630.0,1630.0,,,0 CDM,4501140201,HC ED EXC BENIGN LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,1448.0,1448.0,,,0 CDM,4501140301,HC ED EXC BENIGN LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM,2546.0,2546.0,,,0 CDM,4501142001,HC ED EXC BENIGN LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/<,1672.0,1672.0,,,0 CDM,4501142101,HC ED EXC BENIGN LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0 CM,1263.0,1263.0,,,0 CDM,4501142201,HC ED EXC BENIGN LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,2042.0,2042.0,,,0 CDM,4501144001,HC ED EXCISE BENIGN LESION FACE 0.5 CM OR LESS,992.0,992.0,,,0 CDM,4501144101,HC ED EXCISE BENIGN LESION FACE 0.6 TO 1 CM,1240.0,1240.0,,,0 CDM,4501144301,HC ED EXC BENIGN LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM,1939.0,1939.0,,,0 CDM,4501171901,HC ED TRIMMING NONDYSTROPHIC NAILS ANY NUMBER,140.0,140.0,,,0 CDM,4501172101,HC ED DEBRIDE NAIL 6 OR MORE,181.0,181.0,,,0 CDM,4501173001,HC ED AVULSION OF NAIL PLATE SINGLE,184.0,184.0,,,0 CDM,4501173201,HC ED AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,131.0,131.0,,,0 CDM,4501174001,HC ED DRAIN BLOOD FROM UNDER NAIL,115.0,115.0,,,0 CDM,4501175001,HC ED REMOVAL OF NAIL BED,447.0,447.0,,,0 CDM,4501176001,HC REPAIR OF NAIL BED,536.0,536.0,,,0 CDM,4501176201,HC ED RECONSTRUCTION OF NAIL BED WITH GRAFT,2364.0,2364.0,,,0 CDM,4501176501,HC ED EXCISION OF NAIL FOLD TOE,374.0,374.0,,,0 CDM,4501197101,HC ED REMOVAL OF TISSUE EXPANDER(S) WITHOUT INSERT OF IMPLANT,5130.0,5130.0,,,0 CDM,4501197601,HC ED REMOVE CONTRACEPTIVE CAPSULE,1189.0,1189.0,,,0 CDM,4501198201,HC ED REMOVE DRUG IMPLANT DEVICE,346.0,346.0,,,0 CDM,4501200101,HC ED REPAIR SIMPLE WOUND TRUNK/SCALP 2.5 CM OR LESS,190.0,190.0,,,0 CDM,4501200201,HC ED REPAIR SIMPLE WOUND TRUNK/SCALP 2.6 TO 7.5 CM,218.0,218.0,,,0 CDM,4501200401,HC REPAIR SIMPLE WOUND TRUNK/SCALP 7.6 TO 12.5 CM,251.0,251.0,,,0 CDM,4501200501,HC REPAIR SIMPLE WOUND TRUNK/SCALP 12.6 TO 20 CM,356.0,356.0,,,0 CDM,4501200601,HC ED SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,369.0,369.0,,,0 CDM,4501200701,HC ED SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,382.0,382.0,,,0 CDM,4501201101,HC ED SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,212.0,212.0,,,0 CDM,4501201301,HC ED SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM,245.0,245.0,,,0 CDM,4501201401,HC REPAIR SIMPLE WOUND FACE 5.1 TO 7.5 CM,282.0,282.0,,,0 CDM,4501201501,HC ED SIMPLE REPAIR F/E/E/N/L/M 7.6-12.5CM,325.0,325.0,,,0 CDM,4501201601,HC ED SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM,432.0,432.0,,,0 CDM,4501201701,HC REPAIR SIMPLE WOUND FACE 20.1 TO 30 CM,532.0,532.0,,,0 CDM,4501202001,HC ED CLOSURE OF SIMPLE WOUND SUPERFICIAL,608.0,608.0,,,0 CDM,4501202101,HC ED CLOSURE OF SIMPLE WOUND SUPERFICIAL WITH PACK,421.0,421.0,,,0 CDM,4501203101,HC ED REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.5 CM OR LESS,374.0,374.0,,,0 CDM,4501203201,HC ED REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.6 TO 7.5 CM,418.0,418.0,,,0 CDM,4501203401,HC ED REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,481.0,481.0,,,0 CDM,4501203501,HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 12.6 TO 20 CM,553.0,553.0,,,0 CDM,4501203601,HC ED REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,905.0,905.0,,,0 CDM,4501203701,HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 30.1 CM OR GREATER,2139.0,2139.0,,,0 CDM,4501204101,HC ED REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 2.5 CM OR LESS,447.0,447.0,,,0 CDM,4501204201,HC ED REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 2.6 TO 7.5 CM,515.0,515.0,,,0 CDM,4501204401,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 7.6 TO 12.5 CM,566.0,566.0,,,0 CDM,4501204501,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 12.8,752.0,752.0,,,0 CDM,4501204601,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 20.1 TO 30 CM,977.0,977.0,,,0 CDM,4501205101,HC ED REPAIR INTERMEDIATE WOUND FACE 2.5 CM OR LESS,374.0,374.0,,,0 CDM,4501205201,HC ED REPAIR INTERMEDIATE WOUND FACE 2.6 TO 5 CM,429.0,429.0,,,0 CDM,4501205301,HC ED REPAIR INTERMEDIATE WOUND FACE 5.1 TO 7.5 CM,493.0,493.0,,,0 CDM,4501205401,HC REPAIR INTERMEDIATE WOUND FACE 7.6 TO 12.5 CM,568.0,568.0,,,0 CDM,4501205501,HC REPAIR INTERMEDIATE WOUND FACE 12.6 TO 20 CM,652.0,652.0,,,0 CDM,4501205601,HC REPAIR INTERMEDIATE WOUND FACE 20.1 TO 30 CM,863.0,863.0,,,0 CDM,4501310101,HC ED REPAIR COMPLEX TRUNK 2.6-7.5 CM,839.0,839.0,,,0 CDM,4501310201,HC ED REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<,350.0,350.0,,,0 CDM,4501312001,HC ED REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM,1220.0,1220.0,,,0 CDM,4501312101,HC ED REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM,1040.0,1040.0,,,0 CDM,4501312201,HC ED REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<,251.0,251.0,,,0 CDM,4501313101,HC ED REPAIR COMPLEX WOUND F/C/C/M/N/AX/G/H/F 1.1-2.5 CM,597.0,597.0,,,0 CDM,4501313201,HC REPAIR COMPLEX WOUND FACE 2.6 TO 7.5 CM,905.0,905.0,,,0 CDM,4501313301,HC ED REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<,251.0,251.0,,,0 CDM,4501315101,HC ED REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,791.0,791.0,,,0 CDM,4501315201,HC ED REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,911.0,911.0,,,0 CDM,4501315301,HC ED REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<,251.0,251.0,,,0 CDM,4501316001,HC ED LATE CLOSURE OF WOUND,4453.0,4453.0,,,0 CDM,4501404001,HC ED ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/<,3273.0,3273.0,,,0 CDM,4501404101,HC TISSUE TRAN 10.1 TO 30 SQ CM,4530.0,4530.0,,,0 CDM,4501430101,HC ED ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM,12013.0,12013.0,,,0 CDM,4501505001,HC PINCH GRAFT UP TO 2 CM,1264.0,1264.0,,,0 CDM,4501524001,HC FULL THICK GRAFT 20 SQ CM OR LESS,2333.0,2333.0,,,0 CDM,4501527501,HC ED SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM,3224.0,3224.0,,,0 CDM,4501576001,HC ED GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA,4210.0,4210.0,,,0 CDM,4501585201,HC ED DRESSING CHANGE WITH ANESTHESIA,1472.0,1472.0,,,0 CDM,4501600001,HC ED BURN TX 1ST DEGREE BURN,250.0,250.0,,,0 CDM,4501602001,HC ED DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,232.0,232.0,,,0 CDM,4501602501,HC ED BURN CLINIC-TREAT BURN MEDIUM,266.0,266.0,,,0 CDM,4501603001,HC ED BURN CLINIC-TREAT BURN LARGE,446.0,446.0,,,0 CDM,4501603501,HC INCISION OF BURN SCAB INIT,545.0,545.0,,,0 CDM,4501603601,HC ESCHAROTOMY ADDITIONAL INCISION,228.0,228.0,,,0 CDM,4501700001,HC ED DESTRUCT 1ST BENIGN LESION,248.0,248.0,,,0 CDM,4501700301,HC ED DESTRUCT BENIGN LESION 2-14,158.0,158.0,,,0 CDM,4501711001,HC ED DESTRUCT BENIGN LESION 1 TO 14,248.0,248.0,,,0 CDM,4501725001,HC ED CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,209.0,209.0,,,0 CDM,4501799901,HC ED UNLISTED PX SKIN MUC MEMBRANE & SUBQ TISSUE,680.0,680.0,,,0 CDM,4501900001,HC ED CYST BREAST ASPIRATION,635.0,635.0,,,0 CDM,4501902001,HC ED MASTOTOMY WITH DRAINAGE,2841.0,2841.0,,,0 CDM,4501949901,HC ED UNLISTED INCISION AND DRAINAGE OF NIPPLE,4379.0,4379.0,,,0 CDM,4502010001,HC EXPLORE WOUND NECK,861.0,861.0,,,0 CDM,4502010201,HC ED EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK,1950.0,1950.0,,,0 CDM,4502010301,HC EXPLORE WOUND EXTREMITY,3543.0,3543.0,,,0 CDM,4502052001,HC ED REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,1744.0,1744.0,,,0 CDM,4502052501,HC ED RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP,4523.0,4523.0,,,0 CDM,4502052601,HC ED INJECTION STEROID CARPAL TUN,564.0,564.0,,,0 CDM,4502055001,HC ED INJECTION TENDON LIGAMENT,425.0,425.0,,,0 CDM,4502055101,HC INJECTION TENDON ORIGIN INSERT,711.0,711.0,,,0 CDM,4502055201,HC ED INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,348.0,348.0,,,0 CDM,4502055301,HC INJECTION TRIGGER POINT 3 OR MORE,482.0,482.0,,,0 CDM,4502056001,HC ED NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLE,133.0,133.0,,,0 CDM,4502056101,HC ED NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES,160.0,160.0,,,0 CDM,4502060001,HC ED INJECTION ARTHROCENTESIS SMALL JT,338.0,338.0,,,0 CDM,4502060401,HC ED ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,660.0,660.0,,,0 CDM,4502060501,HC ED INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US,389.0,389.0,,,0 CDM,4502060601,HC ED ARTHROCENT INTMD JT LT W US,822.0,822.0,,,0 CDM,4502061001,HC ED INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US,446.0,446.0,,,0 CDM,4502061101,HC ED ARTHROCENTESIS MAJOR JT WITH US,944.0,944.0,,,0 CDM,4502061201,HC ED ASPIRATION INJECTION GANGLION CYST,532.0,532.0,,,0 CDM,4502065001,HC INSERT REMOVE WIRE PIN,2913.0,2913.0,,,0 CDM,4502066001,HC ED APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX,5659.0,5659.0,,,0 CDM,4502066101,HC ED APPLICATION HALO CRANIAL INCLUDING REMOVAL,300.0,300.0,,,0 CDM,4502066501,HC ED HALO REMOVAL APP BY OTHER PHYS,1601.0,1601.0,,,0 CDM,4502067001,HC ED REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE,1447.0,1447.0,,,0 CDM,4502069001,HC ED APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM,7476.0,7476.0,,,0 CDM,4502081601,HC REPLANT DIGIT COMPLETE,503.0,503.0,,,0 CDM,4502082201,HC REPLANT FINGER COMPLETE,5639.0,5639.0,,,0 CDM,4502095001,HC ED MONITOR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME,855.0,855.0,,,0 CDM,4502107301,HC MAN TMJ WITH ANESTHESIA,1811.0,1811.0,,,0 CDM,4502111001,HC ED APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC,5309.0,5309.0,,,0 CDM,4502131501,HC ED CLOSED TX NASAL FX WITHOUT STABILIZATION,1876.0,1876.0,,,0 CDM,4502132001,HC ED CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,14480.0,14480.0,,,0 CDM,4502132501,HC ED OPEN TX NASAL FX UNCOMPLICATED,3751.0,3751.0,,,0 CDM,4502133701,HC ED CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION,3794.0,3794.0,,,0 CDM,4502134501,HC ED CLOSED TX NASOMAXILLARY COMPLEX FRACTURE,1783.0,1783.0,,,0 CDM,4502142101,HC ED CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT,4906.0,4906.0,,,0 CDM,4502143101,HC TREAT CRANIOFACIAL FRACTURE,2291.0,2291.0,,,0 CDM,4502144001,HC ED CLTX MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE,12410.0,12410.0,,,0 CDM,4502148001,HC ED CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,266.0,266.0,,,0 CDM,4502148501,HC RESET DISLOCATED JAW,1553.0,1553.0,,,0 CDM,4502149701,HC INTERDENTAL WIRING,4023.0,4023.0,,,0 CDM,4502231001,HC ED CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING,893.0,893.0,,,0 CDM,4502333001,HC REMOVAL FB SHOULDER SUBQ,1848.0,1848.0,,,0 CDM,4502333301,HC REMOVAL SHOULDER FOREIGN BODY DEEP,3406.0,3406.0,,,0 CDM,4502350501,HC ED CLSD TX CLAVICULAR FRACTURE W/MANIPULATION,1932.0,1932.0,,,0 CDM,4502352001,HC ED CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION,1932.0,1932.0,,,0 CDM,4502352501,HC ED CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION,424.0,424.0,,,0 CDM,4502354001,HC ED CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION,433.0,433.0,,,0 CDM,4502354501,HC ED CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,279.0,279.0,,,0 CDM,4502357001,HC ED CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,502.0,502.0,,,0 CDM,4502357501,HC ED CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION,1433.0,1433.0,,,0 CDM,4502360001,HC ED CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,478.0,478.0,,,0 CDM,4502360501,HC ED CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,1433.0,1433.0,,,0 CDM,4502362001,HC ED CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,428.0,428.0,,,0 CDM,4502362501,HC ED CLTX GRTER HUMERAL TUBEROSITY FX W/MANIPULATION,1932.0,1932.0,,,0 CDM,4502365001,HC ED CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,284.0,284.0,,,0 CDM,4502365501,HC ED CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,2398.0,2398.0,,,0 CDM,4502366501,HC ED CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ,1433.0,1433.0,,,0 CDM,4502367501,HC ED CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ,1433.0,1433.0,,,0 CDM,4502393001,HC ID ARM ELBOW DEEP ABSCESS,4431.0,4431.0,,,0 CDM,4502393101,HC ID UPPER ARM ELBOW BURSA,2368.0,2368.0,,,0 CDM,4502420001,HC ED RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,1688.0,1688.0,,,0 CDM,4502420101,HC ED REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP,7720.0,7720.0,,,0 CDM,4502434101,HC REPAIR TEND MSCL UPPER ARM,9808.0,9808.0,,,0 CDM,4502450001,HC ED CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION,431.0,431.0,,,0 CDM,4502450501,HC ED CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ,1433.0,1433.0,,,0 CDM,4502453001,HC ED CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ,431.0,431.0,,,0 CDM,4502453501,HC ED CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ,1433.0,1433.0,,,0 CDM,4502456001,HC ED CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,503.0,503.0,,,0 CDM,4502456501,HC ED CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ,1433.0,1433.0,,,0 CDM,4502457601,HC ED CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,604.0,604.0,,,0 CDM,4502457701,HC ED CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ,1672.0,1672.0,,,0 CDM,4502460001,HC ED TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,284.0,284.0,,,0 CDM,4502460501,HC ED TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,2248.0,2248.0,,,0 CDM,4502462001,HC ED CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ,1433.0,1433.0,,,0 CDM,4502464001,HC ED CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ,284.0,284.0,,,0 CDM,4502465001,HC ED CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,502.0,502.0,,,0 CDM,4502465501,HC ED CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,1433.0,1433.0,,,0 CDM,4502467001,HC ED CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ,503.0,503.0,,,0 CDM,4502467501,HC ED CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,1433.0,1433.0,,,0 CDM,4502499901,HC ED UNLISTED REDUCTION OF ELBOW WITH FX,411.0,411.0,,,0 CDM,4502500001,HC INCISE TENDON SHEATH WRIST,5399.0,5399.0,,,0 CDM,4502524801,HC REMOVAL FOREARM FOREIGN BODY,1932.0,1932.0,,,0 CDM,4502526001,HC REPAIR TENDON MUSCLE FLEX,5963.0,5963.0,,,0 CDM,4502527001,HC REPAIR TENDON EXTENSOR,5582.0,5582.0,,,0 CDM,4502540001,HC REPAIR RADIUS OR ULNA,11500.0,11500.0,,,0 CDM,4502550001,HC ED CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION,440.0,440.0,,,0 CDM,4502550501,HC ED CLOSED TX RADIAL SHAFT FX WITH MANIPULATION,1433.0,1433.0,,,0 CDM,4502552001,HC ED CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT,6782.0,6782.0,,,0 CDM,4502553001,HC ED CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION,426.0,426.0,,,0 CDM,4502553501,HC ED CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,490.0,490.0,,,0 CDM,4502556001,HC ED CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN,367.0,367.0,,,0 CDM,4502556501,HC ED CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ,1433.0,1433.0,,,0 CDM,4502560001,HC ED CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ,373.0,373.0,,,0 CDM,4502560501,HC ED CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF,1433.0,1433.0,,,0 CDM,4502562201,HC ED CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ,575.0,575.0,,,0 CDM,4502562401,HC ED CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ,1403.0,1403.0,,,0 CDM,4502563001,HC ED CLTX CARPAL BONE FX W/O MANJ EACH BONE,495.0,495.0,,,0 CDM,4502563501,HC ED CLTX CARPAL BONE FX W/MANJ EACH BONE,1932.0,1932.0,,,0 CDM,4502565001,HC ED CLOSED TREATMENT ULNAR STYLOID FRACTURE,274.0,274.0,,,0 CDM,4502566001,HC ED CLSD TX DISLOCATED WRIST W MANIPULATION,332.0,332.0,,,0 CDM,4502567501,HC ED CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ,332.0,332.0,,,0 CDM,4502568001,HC TX SCAPHOPERILUN FX DS,499.0,499.0,,,0 CDM,4502569001,HC ED CLOSED TX LUNATE DISLOCATION W/MANIPULATION,1621.0,1621.0,,,0 CDM,4502601001,HC ED DRAINAGE FINGER ABSCESS SIMPLE,265.0,265.0,,,0 CDM,4502601101,HC ED DRAINAGE FINGER ABSCESS COMPLICATED,1447.0,1447.0,,,0 CDM,4502602001,HC ED DRAINAGE TENDON SHEATH,3066.0,3066.0,,,0 CDM,4502607501,HC ED ARTHROTOMY WITH EXPLORE MCP,3928.0,3928.0,,,0 CDM,4502608001,HC ED ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA,3552.0,3552.0,,,0 CDM,4502614001,HC REVISE FINGER JOINT EACH,7018.0,7018.0,,,0 CDM,4502614501,HC SYNOVECTOMY FLEXR TEND,3729.0,3729.0,,,0 CDM,4502623601,HC ED PARTIAL REMOVAL FINGER BONE,3728.0,3728.0,,,0 CDM,4502635001,HC REPAIR FLEX TEND HAND,6333.0,6333.0,,,0 CDM,4502637001,HC REPAIR PROFUNDUS TEND,6349.0,6349.0,,,0 CDM,4502641001,HC REPAIR EXT TENDON HAND,2863.0,2863.0,,,0 CDM,4502641801,HC REPAIR EXT TENDON FINGER,2218.0,2218.0,,,0 CDM,4502642001,HC REPAIR GRAFT TENDON FINGER,7514.0,7514.0,,,0 CDM,4502642601,HC REPAIR BUTONNIERE DEFORMITY,7250.0,7250.0,,,0 CDM,4502643201,HC ED CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING,1892.0,1892.0,,,0 CDM,4502643301,HC REPAIR EXT TENDON DIST,3897.0,3897.0,,,0 CDM,4502643701,HC REALIGN EXTN TEND HAND,4143.0,4143.0,,,0 CDM,4502652001,HC ED CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH,3925.0,3925.0,,,0 CDM,4502652501,HC RELEASE FINGER CONTRACTURE,7018.0,7018.0,,,0 CDM,4502654001,HC REPAIR COLLAT LIG MCP,3897.0,3897.0,,,0 CDM,4502659101,HC REPAIR HAND MUSCLES,6646.0,6646.0,,,0 CDM,4502660001,HC ED CLTX METACARPAL FX W/O MANIPULATION EACH BONE,432.0,432.0,,,0 CDM,4502660501,HC ED CLTX METACARPAL FX W/MANIPULATION EACH BONE,429.0,429.0,,,0 CDM,4502660801,HC PERCUTAN FIX METACARPAL FX,5286.0,5286.0,,,0 CDM,4502661501,HC ED OPEN TX METACARPAL FRACTURE SINGLE EA BONE,5952.0,5952.0,,,0 CDM,4502664101,HC ED CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ,291.0,291.0,,,0 CDM,4502664501,HC ED CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,1637.0,1637.0,,,0 CDM,4502665001,HC ED PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB,17004.0,17004.0,,,0 CDM,4502667001,HC ED CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES,344.0,344.0,,,0 CDM,4502667501,HC TREAT HAND DISLOCATON,1892.0,1892.0,,,0 CDM,4502670001,HC ED CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES,284.0,284.0,,,0 CDM,4502670501,HC ED CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES,1433.0,1433.0,,,0 CDM,4502671501,HC OPEN TX MCP DISLOCATION,9381.0,9381.0,,,0 CDM,4502672001,HC ED CLOSED TX FINGER FX WITHOUT MAN,247.0,247.0,,,0 CDM,4502672501,HC ED CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,284.0,284.0,,,0 CDM,4502672701,HC PERCUT SKEL FIX FINGER,7450.0,7450.0,,,0 CDM,4502673501,HC ED OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA,5474.0,5474.0,,,0 CDM,4502674001,HC ED CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ,374.0,374.0,,,0 CDM,4502674201,HC ED CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,1433.0,1433.0,,,0 CDM,4502674601,HC OPEN TX ARTICULAR FX,6385.0,6385.0,,,0 CDM,4502675001,HC ED CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA,288.0,288.0,,,0 CDM,4502675501,HC ED CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA,284.0,284.0,,,0 CDM,4502675601,HC PERCUT SKELETAL FIX DP,8526.0,8526.0,,,0 CDM,4502676501,HC ED OPEN TX DISTAL PHALANG,4855.0,4855.0,,,0 CDM,4502677001,HC ED CLTX IPHAL JT DISLC W/MANJ W/O ANES,284.0,284.0,,,0 CDM,4502677501,HC TREAT FINGER DISLOCATION,596.0,596.0,,,0 CDM,4502677601,HC PERC SKELETAL FIX INTERPHAL,6359.0,6359.0,,,0 CDM,4502678501,HC OPEN TX INTERPHALANGEAL,8509.0,8509.0,,,0 CDM,4502686001,HC ED ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ,3925.0,3925.0,,,0 CDM,4502695101,HC ED AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,2913.0,2913.0,,,0 CDM,4502695201,HC ED AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,2913.0,2913.0,,,0 CDM,4502698901,HC ED REPAIR SIMPLE WOUND UNSPECIFIED LENGTH,1804.0,1804.0,,,0 CDM,4502708601,HC REMOVE HIP FOREIGN BODY,3406.0,3406.0,,,0 CDM,4502708701,HC REMOVE HIP FOREIGN BODY DEEP,3925.0,3925.0,,,0 CDM,4502709601,HC ED INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,387.0,387.0,,,0 CDM,4502720001,HC ED CLOSED TREATMENT COCCYGEAL FRACTURE,495.0,495.0,,,0 CDM,4502722001,HC ED CLTX ACETABULUM HIP/SOCKT FX W/O MANJ,495.0,495.0,,,0 CDM,4502722201,HC ED CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ,962.0,962.0,,,0 CDM,4502723001,HC ED CLTX FEM FX PROX END NCK W/O MANJ,495.0,495.0,,,0 CDM,4502723201,HC TREAT THIGH FRACTURE,2377.0,2377.0,,,0 CDM,4502723801,HC ED CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ,1892.0,1892.0,,,0 CDM,4502724001,HC REVISION OF UNSTABLE KNEECAP,3033.0,3033.0,,,0 CDM,4502724601,HC ED CLTX GREATER TROCHANTERIC FX W/O MANJ,426.0,426.0,,,0 CDM,4502725001,HC ED CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,284.0,284.0,,,0 CDM,4502725201,HC ED CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,2678.0,2678.0,,,0 CDM,4502725601,HC TX SPONT HIP DISL WITHOUT,363.0,363.0,,,0 CDM,4502725701,HC ED TX SPON HIP DISLC W/ MANJ ANES,6073.0,6073.0,,,0 CDM,4502726501,HC ED CLTX POST HIP ARTHRP DISLC W/O ANES,284.0,284.0,,,0 CDM,4502726601,HC ED CLTX POST HIP ARTHRP DISLC REQ ANES,4070.0,4070.0,,,0 CDM,4502726801,HC ED CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ,3724.0,3724.0,,,0 CDM,4502730101,HC INCISION AND DRAINAGE THIGH BURSA KNEE,3335.0,3335.0,,,0 CDM,4502737201,HC FB REMOVAL THIGH KNEE DEEP,4014.0,4014.0,,,0 CDM,4502750001,HC ED CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,495.0,495.0,,,0 CDM,4502750101,HC ED CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,495.0,495.0,,,0 CDM,4502750201,HC ED CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ,3379.0,3379.0,,,0 CDM,4502750301,HC ED CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,1601.0,1601.0,,,0 CDM,4502750801,HC ED CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,436.0,436.0,,,0 CDM,4502751001,HC ED CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,1601.0,1601.0,,,0 CDM,4502751601,HC ED CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ,495.0,495.0,,,0 CDM,4502751701,HC ED CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL,1876.0,1876.0,,,0 CDM,4502752001,HC ED CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,503.0,503.0,,,0 CDM,4502753001,HC ED CLTX TIBIAL FX PROXIMAL W/O MANIPULATION,432.0,432.0,,,0 CDM,4502753201,HC ED CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ,2913.0,2913.0,,,0 CDM,4502753801,HC ED CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN,671.0,671.0,,,0 CDM,4502755001,HC ED CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,277.0,277.0,,,0 CDM,4502755201,HC TREAT KNEE DISLOCATION,1656.0,1656.0,,,0 CDM,4502756001,HC ED CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA,284.0,284.0,,,0 CDM,4502756201,HC ED CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,995.0,995.0,,,0 CDM,4502757001,HC ED MANIPULATION KNEE JOINT UNDER GEN ANESTHESIA,8596.0,8596.0,,,0 CDM,4502759901,HC ED UNLISTED PROCEDURE FEMUR/KNEE,339.0,339.0,,,0 CDM,4502765001,HC REPAIR ACHILLES TENDON,9039.0,9039.0,,,0 CDM,4502766401,HC REPAIR EXT TENDON LEG,8721.0,8721.0,,,0 CDM,4502772001,HC REPAIR OF TIBIA,13604.0,13604.0,,,0 CDM,4502775001,HC ED CLTX TIBIAL SHAFT FX W/O MANIPULATION,323.0,323.0,,,0 CDM,4502775201,HC ED CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ,1891.0,1891.0,,,0 CDM,4502776001,HC ED CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION,503.0,503.0,,,0 CDM,4502776201,HC ED CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,1433.0,1433.0,,,0 CDM,4502776701,HC ED CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,492.0,492.0,,,0 CDM,4502776801,HC ED CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ,1433.0,1433.0,,,0 CDM,4502778001,HC ED CLTX PROX FIBULA/SHFT FX W/O MANJ,502.0,502.0,,,0 CDM,4502778101,HC ED CLTX PROX FIBULA/SHFT FX W/MANJ,1433.0,1433.0,,,0 CDM,4502778601,HC ED CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ,333.0,333.0,,,0 CDM,4502778801,HC ED CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,416.0,416.0,,,0 CDM,4502780801,HC ED CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,431.0,431.0,,,0 CDM,4502781001,HC ED CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ,1433.0,1433.0,,,0 CDM,4502781601,HC ED CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,428.0,428.0,,,0 CDM,4502781801,HC ED CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION,1433.0,1433.0,,,0 CDM,4502782401,HC ED CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ,492.0,492.0,,,0 CDM,4502782501,HC ED CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,1433.0,1433.0,,,0 CDM,4502783001,HC ED CLTX PROX TIBFIB JT DISLC W/O ANES,380.0,380.0,,,0 CDM,4502784001,HC ED CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,284.0,284.0,,,0 CDM,4502784201,HC TREAT ANKLE DISLOCATION,1433.0,1433.0,,,0 CDM,4502789901,HC ED UNLISTED ANKLE REDUCTION,561.0,561.0,,,0 CDM,4502812401,HC ED PARTIAL REMOVAL OF TOE,8623.0,8623.0,,,0 CDM,4502816001,HC ED PARTIAL REMOVAL OF TOE JT,10059.0,10059.0,,,0 CDM,4502819001,HC FB REMOVAL OF FOOT SU,657.0,657.0,,,0 CDM,4502819201,HC FB REMOVAL OF FOOT DEEP,2242.0,2242.0,,,0 CDM,4502819301,HC FB REMOVAL OF FOOT COM,1951.0,1951.0,,,0 CDM,4502820001,HC REPAIR TEND FLX FOOT,4960.0,4960.0,,,0 CDM,4502820801,HC REP TENDON EXT FOOT,5217.0,5217.0,,,0 CDM,4502840001,HC ED CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION,433.0,433.0,,,0 CDM,4502840501,HC ED CLOSED TX CALCANEAL FRACTURE W/MANIPULATION,490.0,490.0,,,0 CDM,4502843001,HC ED CLOSED TX TALUS FRACTURE W/O MANIPULATION,431.0,431.0,,,0 CDM,4502843501,HC ED CLOSED TX TALUS FRACTURE W/MANIPULATION,1656.0,1656.0,,,0 CDM,4502845001,HC TX TARSAL WITHOUT EACH,432.0,432.0,,,0 CDM,4502845501,HC TX TARSAL WITH MAN EACH,1892.0,1892.0,,,0 CDM,4502847001,HC ED CLOSED TX METATARSAL FRACTURE W/O MANIPULATION,502.0,502.0,,,0 CDM,4502847501,HC ED CLTX METAR FX W/MANJ,428.0,428.0,,,0 CDM,4502849001,HC ED CLTX FX GRT TOE PHLX/PHLG W/O MANJ,495.0,495.0,,,0 CDM,4502849501,HC ED CLTX FX GRT TOE PHLX/PHLG W/MANJ,277.0,277.0,,,0 CDM,4502849601,HC ER FIX FX GR TOE WITH MAN PERC,5612.0,5612.0,,,0 CDM,4502851001,HC ED CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ,322.0,322.0,,,0 CDM,4502851501,HC ED CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ,382.0,382.0,,,0 CDM,4502853001,HC ED CLOSED TREATMENT SESAMOID FRACTURE,495.0,495.0,,,0 CDM,4502854001,HC ED CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES,503.0,503.0,,,0 CDM,4502854501,HC TREAT TARSAL DISLOCATION,3925.0,3925.0,,,0 CDM,4502857001,HC ED CLOSED TX TALOTARSAL JOINT DISLC W/O ANES,499.0,499.0,,,0 CDM,4502857501,HC TREAT TALO TARSAL DISLOCATION,3925.0,3925.0,,,0 CDM,4502860001,HC ED CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,370.0,370.0,,,0 CDM,4502860501,HC TREAT TARSOMETATARSAL DISLOCATION,678.0,678.0,,,0 CDM,4502863001,HC ED CLTX METATARSOPHLNGL JT DISLC W/O ANES,277.0,277.0,,,0 CDM,4502863501,HC ED CLTX METATARSOPHLNGL JT DISLC REQ ANES,6548.0,6548.0,,,0 CDM,4502866001,HC ED CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES,284.0,284.0,,,0 CDM,4502866501,HC ED CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES,1255.0,1255.0,,,0 CDM,4502866601,HC PERCUT SKELETAL FIX IP,8526.0,8526.0,,,0 CDM,4502867501,HC OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION,9126.0,9126.0,,,0 CDM,4502882001,HC ED AMPUTATION TOE METATARSOPHALANGEAL JOINT,4429.0,4429.0,,,0 CDM,4502906501,HC ED APPLICATION CAST SHOULDER HAND LONG ARM,246.0,246.0,,,0 CDM,4502907501,HC ED APPLICATION CAST ELBOW FINGER SHORT ARM,246.0,246.0,,,0 CDM,4502908501,HC ED APPLICATION CAST HAND & LOWER FOREARM GAUNTLET,694.0,694.0,,,0 CDM,4502910501,HC ED APPLY LONG ARM SPLINT,181.0,181.0,,,0 CDM,4502912501,HC ED APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC,181.0,181.0,,,0 CDM,4502912601,HC ED APPLICATION SHORT ARM SPLINT DYNAMIC,181.0,181.0,,,0 CDM,4502913001,HC ED APPLICATION FINGER SPLINT STATIC,181.0,181.0,,,0 CDM,4502924001,HC STRAPPING SHOULDER,244.0,244.0,,,0 CDM,4502926001,HC STRAPPING ELBOW WRIST,304.0,304.0,,,0 CDM,4502928001,HC STRAPPING HAND FINGER,296.0,296.0,,,0 CDM,4502930501,HC ED APPLICATION HIP SPICA CAST 1 LEG,287.0,287.0,,,0 CDM,4502932501,HC HIP SPICA 1.5 OR DOUBL,532.0,532.0,,,0 CDM,4502934501,HC ED APPLICATION LONG LEG CAST THIGH-TOE,246.0,246.0,,,0 CDM,4502940501,HC ED APPLICATION SHORT LEG CAST BELOW KNEE-TOE,246.0,246.0,,,0 CDM,4502942501,HC ED APPLICATION SHORT LEG CAST WALKING/AMBULATORY,287.0,287.0,,,0 CDM,4502944501,HC ED APPLICATION RIGID TOTAL CONTACT LEG CAST,412.0,412.0,,,0 CDM,4502950501,HC ED APPLY LONG LEG SPLINT,162.0,162.0,,,0 CDM,4502951501,HC ED APPLICATION SHORT LEG SPLINT CALF FOOT,143.0,143.0,,,0 CDM,4502953001,HC ED STRAPPING KNEE,285.0,285.0,,,0 CDM,4502954001,HC ED STRAPPING ANKLE &/FOOT,296.0,296.0,,,0 CDM,4502955001,HC STRAPPING TOES,256.0,256.0,,,0 CDM,4502958001,HC ED STRAPPING UNNA BOOT,222.0,222.0,,,0 CDM,4502970501,HC REMOVE FULL ARM LEG CAST,457.0,457.0,,,0 CDM,4502971001,HC WEDGING OF CAST,316.0,316.0,,,0 CDM,4502972001,HC REP SPICA BODY CAST JA,296.0,296.0,,,0 CDM,4502973001,HC ED WINDOWING CAST,718.0,718.0,,,0 CDM,4502974001,HC ED WEDGING OF CAST,316.0,316.0,,,0 CDM,4503000001,HC ED DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH,443.0,443.0,,,0 CDM,4503002001,HC ED I&D NASAL SEPT ABSCESS,463.0,463.0,,,0 CDM,4503010001,HC ED BIOPSY INTRANASAL,4658.0,4658.0,,,0 CDM,4503030001,HC ED FB REMOVAL INTRANASAL,114.0,114.0,,,0 CDM,4503090101,HC ED CONTRL NASAL HEMORRHAGE SIMPLE,112.0,112.0,,,0 CDM,4503090301,HC ED CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,177.0,177.0,,,0 CDM,4503090501,HC ED CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST,210.0,210.0,,,0 CDM,4503090601,HC ED CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ,347.0,347.0,,,0 CDM,4503123101,HC NASAL ENDOSCOPY DX,215.0,215.0,,,0 CDM,4503123801,HC ED NASAL/SINUS ENDOSCOPY SURG WITH CONTROL OF NASAL HEM,3316.0,3316.0,,,0 CDM,4503150001,HC ED INTUBATION ENDOTRACHEAL,314.0,314.0,,,0 CDM,4503150201,HC TRACHEOTOMY TUBE CHANGE,305.0,305.0,,,0 CDM,4503150501,HC LARYNGOSCOPY INDIRECT,230.0,230.0,,,0 CDM,4503151101,HC LARYNGOSCOPY WITH REM FB,505.0,505.0,,,0 CDM,4503152501,HC ED LARYNGOSCOPY DIRECT DIAGNOSTIC EXCEPT NEWBORN,2570.0,2570.0,,,0 CDM,4503153001,HC LARYNGOSCOPY WITH FB REMOVAL,5830.0,5830.0,,,0 CDM,4503157501,HC ED LARYNGOSCOPY FLEX DIAGNOSTIC,624.0,624.0,,,0 CDM,4503157601,HC LARYNGOSCOPY FF WITH BIO,5593.0,5593.0,,,0 CDM,4503157701,HC ED LARYNGOSCOPY FLEXIBLE WITH REMOVAL OF FOREIGN BODY(S),1104.0,1104.0,,,0 CDM,4503157801,HC LARYNGOSCOPY FF WITH REM,5593.0,5593.0,,,0 CDM,4503160301,HC TRACHEOSTOMY ER TRANST,1785.0,1785.0,,,0 CDM,4503160501,HC TRACHEOSTOMY CRICOTHYROID,1261.0,1261.0,,,0 CDM,4503161501,HC TRACHEOBRONCH THROUGH TRACH,1577.0,1577.0,,,0 CDM,4503162201,HC ED BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX,7436.0,7436.0,,,0 CDM,4503162401,HC ED BRNCHSC W/BRNCL ALVEOLAR LAVAGE,2748.0,2748.0,,,0 CDM,4503163501,HC ED BRONCH WITH FOREIGN BODY REMOVAL,2986.0,2986.0,,,0 CDM,4503164501,HC ED BRNCHSC W/THER ASPIR 1ST,1863.0,1863.0,,,0 CDM,4503210001,HC ED THORACOTOMY WITH EXPLORATION,7441.0,7441.0,,,0 CDM,4503211001,HC ED THORCOTOMY CTRL TRAUMTC HEMRRG&/RPR LNG TEAR,8328.0,8328.0,,,0 CDM,4503216001,HC ED THORACOTOMY WITH CARDIAC MASSAGE,8552.0,8552.0,,,0 CDM,4503255101,HC ED INSERTION OF CHEST TUBE,1439.0,1439.0,,,0 CDM,4503255401,HC ED THORACENTESIS WO IMAGE GUIDANCE,912.0,912.0,,,0 CDM,4503255501,HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,1048.0,1048.0,,,0 CDM,4503255601,HC INSERT CATH PLEURA WO IMAGE GUIDANCE,1671.0,1671.0,,,0 CDM,4503296001,HC PNEUMOTHORAX THERAPEUTIC,737.0,737.0,,,0 CDM,4503301601,HC ED PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,2875.0,2875.0,,,0 CDM,4503321001,HC ED TEMPORARY PACEMAKER INSERTION,6715.0,6715.0,,,0 CDM,4503330001,HC ED REPAIR OF CARDIAC WOUND WITHOUT BYPASS,31553.0,31553.0,,,0 CDM,4503520101,HC REPAIR BLOOD VESSEL NECK,5731.0,5731.0,,,0 CDM,4503520601,HC REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY,3911.0,3911.0,,,0 CDM,4503520701,HC ED REPAIR BLOOD VESSEL DIRECT HAND FINGER,5326.0,5326.0,,,0 CDM,4503522601,HC REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY,2874.0,2874.0,,,0 CDM,4503614001,HC ED INTRACATH EXTREM ARTERY,1396.0,1396.0,,,0 CDM,4503641001,HC ED VENIPUNCTURE 3 YRS OLDER,21.0,21.0,,,0 CDM,4503642001,HC VENIPUNCTURE CUTDOWN AGE 1 OR UNDER,153.0,153.0,,,0 CDM,4503642501,HC VENIPUNCTURE CUTDOWN AGE 1 AND OVER,426.0,426.0,,,0 CDM,4503651001,HC INSERTION OF CATHETER VEIN,157.0,157.0,,,0 CDM,4503655501,HC ED INSERT CENTRAL LINE AGE 5 AND UNDER,3781.0,3781.0,,,0 CDM,4503655601,HC ED INSERT CENTRAL LINE AGE 5 AND OVER,2930.0,2930.0,,,0 CDM,4503655801,HC ED INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>,2945.0,2945.0,,,0 CDM,4503656801,HC ED INSERTION PICC W/O IMG GDN < 5 YR,3019.0,3019.0,,,0 CDM,4503657301,"HC ED INSERTION PICC W/RS&I, 5 YRS OR OLDER",1409.0,1409.0,,,0 CDM,4503657601,HC ED RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT,9583.0,9583.0,,,0 CDM,4503657801,HC ED REPLACE CATH ONLY WITH PT/PUMP,6907.0,6907.0,,,0 CDM,4503658401,HC ED COMPLETE REPLACEMENT PICC RS&I,1702.0,1702.0,,,0 CDM,4503658901,HC ED REMOVE IMPLANT VEN TUNNELED,1238.0,1238.0,,,0 CDM,4503659301,HC ED DECLOTTING CATH/ACCESS DEVICE,605.0,605.0,,,0 CDM,4503659601,HC ED MECH REMOVE TUNNELED CV CATH,2975.0,2975.0,,,0 CDM,4503660001,HC WITHDRAWAL OF ARTERIAL BLOOD,156.0,156.0,,,0 CDM,4503662001,HC ED ARTERIAL CANNULATION,102.0,102.0,,,0 CDM,4503662501,HC INSERTION CATHETER ARTERY,186.0,186.0,,,0 CDM,4503666001,HC INSERTION CATHETER ARTERY NEWBORN,178.0,178.0,,,0 CDM,4503668001,HC PLCMNT NDL INTRAOSSEOU,403.0,403.0,,,0 CDM,4503719501,HC ED THROMBOLYSIS CEREBRAL IV INFUSION,573.0,573.0,,,0 CDM,4503724401,HC ED VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,19786.0,19786.0,,,0 CDM,4503761801,HC LIGATION ARTERY EXTER,223.0,223.0,,,0 CDM,4503765001,HC ED LIGATION OF FEMORAL VEIN,11850.0,11850.0,,,0 CDM,4503779901,HC ED UNLISTED VASCULAR SURGERY REPAIR OF VARICOSE VEINS,566.0,566.0,,,0 CDM,4503830001,HC ED DRAIN ABSC LYMPH NODE SIMPLE,3406.0,3406.0,,,0 CDM,4504065001,HC RPR LIP FULL THICKNESS VERMILION ONLY,2145.0,2145.0,,,0 CDM,4504065201,HC REPAIR LIP,621.0,621.0,,,0 CDM,4504065401,HC ED REPAIR LIP FULL/COMPLEX,1391.0,1391.0,,,0 CDM,4504079901,HC ED UNLISTED INCISION AND DRAINAGE OF LIP,1062.0,1062.0,,,0 CDM,4504080001,HC ED DRAINAGE OF MOUTH LESION SIMPLE,692.0,692.0,,,0 CDM,4504080101,HC ED DRG ABSC CST HMTMA VESTIBULE MOUTH COMP,604.0,604.0,,,0 CDM,4504080401,HC ED RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,828.0,828.0,,,0 CDM,4504080501,HC REMOVAL FOREIGN BODY MOUTH,635.0,635.0,,,0 CDM,4504083001,HC ED CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<,376.0,376.0,,,0 CDM,4504083101,HC ED CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,1094.0,1094.0,,,0 CDM,4504100001,HC INTRAORAL I&D ABSCESS,839.0,839.0,,,0 CDM,4504100501,HC INTRAORAL INCISION,468.0,468.0,,,0 CDM,4504100701,"HC INTRAORAL I&D, SUBMENTAL",3247.0,3247.0,,,0 CDM,4504100801,HC INTRAORAL I&D SUBMANDIBULAR,4096.0,4096.0,,,0 CDM,4504100901,HC INTRAORAL I&D TONGUE,696.0,696.0,,,0 CDM,4504101601,HC EXTRAORAL I&D SUBMENTAL,9202.0,9202.0,,,0 CDM,4504125001,HC REP LAC TONGUE,403.0,403.0,,,0 CDM,4504125101,HC REPAIR ONE THIRD TONGUE,329.0,329.0,,,0 CDM,4504125201,HC REP LAC TOUNGUE OVER 2.6CM,312.0,312.0,,,0 CDM,4504159901,HC ED DEBRIDEMENT OF TONGUE GRAFT,15331.0,15331.0,,,0 CDM,4504180001,HC I&D ABSC DENTOALVEOLAR,266.0,266.0,,,0 CDM,4504180501,HC REMOVAL FB DENTOAVEOLAR,6711.0,6711.0,,,0 CDM,4504189901,HC ED UNLISTED ASPIRATION OF DENTAL ABSCESS,859.0,859.0,,,0 CDM,4504189902,HC ED UNLISTED DENTAL SEAL PROCEDURE,541.0,541.0,,,0 CDM,4504189903,HC ED UNLISTED GINGIVAL TISSUE REPAIR,822.0,822.0,,,0 CDM,4504189904,HC ED UNLISTED TOOTH 1-3 EXTRACTIONS,465.0,465.0,,,0 CDM,4504189905,HC ED UNLISTED TOOTH REIMPLANTATION,689.0,689.0,,,0 CDM,4504200001,HC ED DRAINAGE ABSCESS PALATE UVULA,216.0,216.0,,,0 CDM,4504218001,HC REPAIR PALATE LAC UP TO 2CM,634.0,634.0,,,0 CDM,4504218201,HC REPAIR LACERATION PALATE,8109.0,8109.0,,,0 CDM,4504233001,HC SAILOLITHOTOMY-UNCOMP,3451.0,3451.0,,,0 CDM,4504266001,HC ED DILAT&CATHJ SALIVARY DUCT W/WO INJECTION,674.0,674.0,,,0 CDM,4504270001,HC I&D PERITONSILLAR ABSC,600.0,600.0,,,0 CDM,4504272001,HC ED I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL,4389.0,4389.0,,,0 CDM,4504280901,HC FB REMOV FROM PHARYNX,369.0,369.0,,,0 CDM,4504290001,HC SUTURE PHARYNX WOUND/INJURY,1923.0,1923.0,,,0 CDM,4504296001,HC OROPHARYNGEAL HEMORRHA,535.0,535.0,,,0 CDM,4504299901,HC ED ASPIRATION PERITONSILLAR ABSCESS,895.0,895.0,,,0 CDM,4504320001,HC ESOPHAGOSCOPY DIAGNOSTIC,1502.0,1502.0,,,0 CDM,4504324701,HC ESOPHAGOGASTRODUODENO W/FB REM,1337.0,1337.0,,,0 CDM,4504346001,HC PRESSURE TREATMENT ESOPHAGUS,694.0,694.0,,,0 CDM,4504375201,HC ED GI NASO OR ORO-GAST TUBE PL,376.0,376.0,,,0 CDM,4504375301,HC ED GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE,897.0,897.0,,,0 CDM,4504376201,HC ED PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,581.0,581.0,,,0 CDM,4504450001,HC INTRO LONG GASTROINTEST TUBE,3836.0,3836.0,,,0 CDM,4504479901,HC ED UNLISTED PROCEDURE SMALL INTESTINE,1122.0,1122.0,,,0 CDM,4504500501,HC I&D RECTAL ABSCESS SUBMUCOS,2000.0,2000.0,,,0 CDM,4504530001,HC PROCTOSIGMOID W/O DILA,857.0,857.0,,,0 CDM,4504530701,HC PROCTOSIGMOIDOSCOPY; REM FB,4325.0,4325.0,,,0 CDM,4504533001,HC SIGMOIDOSCOPY FLEXIBLE,972.0,972.0,,,0 CDM,4504591001,HC ED DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL,1971.0,1971.0,,,0 CDM,4504591501,HC ED RMVL FECAL IMPACTION/FB SPX UNDER ANES,1237.0,1237.0,,,0 CDM,4504599901,HC ED FOREIGN BODY REMOVAL RECTUM,2546.0,2546.0,,,0 CDM,4504602001,HC PLACEMENT OF SETON,6602.0,6602.0,,,0 CDM,4504604001,HC I&D ISCHIO/PERIRECTAL,2556.0,2556.0,,,0 CDM,4504605001,HC I&D OF PERIANAL ABSCESS,922.0,922.0,,,0 CDM,4504608301,HC INCISION THROMB HEMORROID,370.0,370.0,,,0 CDM,4504622101,HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS,4666.0,4666.0,,,0 CDM,4504623001,HC EXCISION HEMORRHOID EXTERNAL,3466.0,3466.0,,,0 CDM,4504625001,HC ED HEMORRHOIDECTOMY EXTERNAL 2 OR MORE,3952.0,3952.0,,,0 CDM,4504632001,HC ED EXC THROMBOSED HEMORRHOID XTRNL,3653.0,3653.0,,,0 CDM,4504660001,HC ED ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,203.0,203.0,,,0 CDM,4504660801,HC ED ANOSCOPY W/RMVL FOREIGN BODY,1095.0,1095.0,,,0 CDM,4504661401,HC ED ANOSCOPY CONTROL BLEEDING,1463.0,1463.0,,,0 CDM,4504691001,HC ED DSTRJ LESION ANUS SMPL ELTRDSICCATION,4286.0,4286.0,,,0 CDM,4504699901,HC ED MANUAL REDUC PROLAPSED HEMORRHOID,1961.0,1961.0,,,0 CDM,4504699902,HC ED UNLISTED LIGATION OF BLEEDING VESSEL POST HEMORRHOIDECTOMY,1896.0,1896.0,,,0 CDM,4504901301,HC ED PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA,3186.0,3186.0,,,0 CDM,4504908201,HC ED ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,925.0,925.0,,,0 CDM,4504908301,HC ED ABD PARACENTESIS WITH IMAGING,1202.0,1202.0,,,0 CDM,4504943601,HC EMBEDDED IP CATH EXIT-SITE,4077.0,4077.0,,,0 CDM,4504945001,HC ED GI REPLACE G OR CECOST COLO,869.0,869.0,,,0 CDM,4504945101,HC ED REPLACE DUODENAL JEJUNAL,1087.0,1087.0,,,0 CDM,4505068801,HC ED CHANGE OF URETEROSTOMY,6077.0,6077.0,,,0 CDM,4505104001,HC ED CYSTOSTOMY CYSTOTOMY W/DRAINAGE,4153.0,4153.0,,,0 CDM,4505110001,HC ED ASPIRATION BLADDER NEEDLE,2091.0,2091.0,,,0 CDM,4505110101,HC ED ASPIRATION BLADDER TROCAR/INTRACATHETER,1268.0,1268.0,,,0 CDM,4505110201,HC ED ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,1842.0,1842.0,,,0 CDM,4505170001,HC IRRIGATION OF BLADDER SIMPLE,264.0,264.0,,,0 CDM,4505170101,HC ED INSERT NON-INDWELLING BLADDER CATHETER,193.0,193.0,,,0 CDM,4505170201,HC ED FOLEY CATH INSERT,144.0,144.0,,,0 CDM,4505170301,HC INSERT TEMP BLAD CATH COMPLETE,189.0,189.0,,,0 CDM,4505170501,HC ED CHANGE CYSTOSTOMY TUBE,314.0,314.0,,,0 CDM,4505171001,HC ED CHANGE CYSTOSTOMY TUBE COMPLICATED,859.0,859.0,,,0 CDM,4505200001,HC ED CYSTOURETHROSCOPY,1447.0,1447.0,,,0 CDM,4505200501,HC ED CYSTO BLADDER W/URETERAL CATHETERIZATION,3144.0,3144.0,,,0 CDM,4505228101,HC ED CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,3360.0,3360.0,,,0 CDM,4505231001,HC ED CYSTO W/SIMPLE REMOVAL STONE & STENT,2320.0,2320.0,,,0 CDM,4505231501,"HC CYSTOSCOPY, REMOV CALCULUS, COMPLIC",10184.0,10184.0,,,0 CDM,4505306001,HC ED DRG OF SKENE'S GLAND ABSCESS OR CYST,3294.0,3294.0,,,0 CDM,4505360001,HC ED DILATE URETHRAL STRIX DILATOR MALE 1ST,580.0,580.0,,,0 CDM,4505360101,HC ED DILAT URETHRAL STRIX DILATOR MALE SBSQ,268.0,268.0,,,0 CDM,4505362001,HC ED DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST,4286.0,4286.0,,,0 CDM,4505366001,HC ED DILATION URETHRA INITIAL,276.0,276.0,,,0 CDM,4505400101,HC SLIT PREPUCE EXCEPT NB,4149.0,4149.0,,,0 CDM,4505416301,HC REPAIR INC CIRCUMCISION,6347.0,6347.0,,,0 CDM,4505422001,HC ED IRRIGATION CORPORA CAVERNOSA PRIAPISM,369.0,369.0,,,0 CDM,4505423501,HC INJECT CORPORA CAVERNOSA,370.0,370.0,,,0 CDM,4505443501,HC ED CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM,8465.0,8465.0,,,0 CDM,4505445001,HC FORESKIN MANIPULATION,360.0,360.0,,,0 CDM,4505470001,HC I&D OF EPIDIDYMIS TEST,1842.0,1842.0,,,0 CDM,4505500001,HC PUNCT ASPIR HYDROCELE,855.0,855.0,,,0 CDM,4505510001,HC ED DRAIN SCROT WALL ABSCESS,1894.0,1894.0,,,0 CDM,4505512001,HC REMOVAL OF SCROTUM LESION,2482.0,2482.0,,,0 CDM,4505640501,HC ED I&D VULVA/PERINEAL ABSCESS,327.0,327.0,,,0 CDM,4505642001,HC ED I&D BARTHOLIN GLAND ABCESS,404.0,404.0,,,0 CDM,4505644001,HC MARSPLIZATN BARTH GLAN,3278.0,3278.0,,,0 CDM,4505660501,HC BIOPSY OF VULVA LESION SINGLE,1019.0,1019.0,,,0 CDM,4505660601,HC BX VULVA EACH ADDTL LESION,276.0,276.0,,,0 CDM,4505670001,HC PARTIAL REMOVAL OF HYMEN,5108.0,5108.0,,,0 CDM,4505674001,HC ED EXC BARTHOLINS GLAND/CYST,3824.0,3824.0,,,0 CDM,4505702001,HC ED COLPOCENTESIS SEPARATE PROCEDURE,6111.0,6111.0,,,0 CDM,4505702201,HC I&D VAGINAL HEMATOMA OBS/PP,3406.0,3406.0,,,0 CDM,4505702301,HC ED I&D VAGINAL HEMATOMA NON-OBSTETRICAL,3830.0,3830.0,,,0 CDM,4505710001,HC ED BIOPSY VAGINA SIMPLE,1569.0,1569.0,,,0 CDM,4505715001,HC IRRIGATION/APP MED VAGINA,361.0,361.0,,,0 CDM,4505716001,HC ED INSERT PESSARY OTHER DEVICE,263.0,263.0,,,0 CDM,4505718001,HC ED INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX,607.0,607.0,,,0 CDM,4505720001,HC ED COLPORRHAPHY SUTURE INJURY VAGINA,3097.0,3097.0,,,0 CDM,4505721001,HC ED COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU,6237.0,6237.0,,,0 CDM,4505741001,HC ED PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL,9676.0,9676.0,,,0 CDM,4505741501,HC REMOVAL VAG FB UNDER ANESTH,3625.0,3625.0,,,0 CDM,4505745201,HC ED COLP CERVIX INCLUDE UP VAGINA,572.0,572.0,,,0 CDM,4505750001,"HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION",1190.0,1190.0,,,0 CDM,4505772001,HC TRACHELORRHAPHY,5106.0,5106.0,,,0 CDM,4505780001,HC ED DILATION CERVICAL CANAL INSTRUMENTAL SPX,3554.0,3554.0,,,0 CDM,4505810001,HC ED ENDOMETRIAL BIOPSY,259.0,259.0,,,0 CDM,4505812001,HC ED DILATION & CURETTAGE DX&/THER NONOBSTETRIC,4522.0,4522.0,,,0 CDM,4505814501,HC MYOMECTOMY EXCS LEIOM,7069.0,7069.0,,,0 CDM,4505830101,HC ED REMOVAL IUD,327.0,327.0,,,0 CDM,4505892501,HC OVARIAN CYSTECTOMY,7069.0,7069.0,,,0 CDM,4505899901,HC ED FEMALE GENITAL PROCEDURE NON OB,375.0,375.0,,,0 CDM,4505930001,HC ED EPISIOTOMY OR VAGINAL REPAIR,3820.0,3820.0,,,0 CDM,4505940901,HC VAGINAL DELIVERY ONLY,3603.0,3603.0,,,0 CDM,4505941401,HC ED DELIVERY OF PLACENTA,3492.0,3492.0,,,0 CDM,4505981201,HC ED TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL,2700.0,2700.0,,,0 CDM,4505982001,HC TX OF MISSED ABORTION,3195.0,3195.0,,,0 CDM,4506102001,HC ED VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX,973.0,973.0,,,0 CDM,4506107001,HC ED BRAIN CANAL SHUNT ASPIRATION,736.0,736.0,,,0 CDM,4506110701,HC TWST DRL HOLE IMPLT VENT CA,619.0,619.0,,,0 CDM,4506223001,HC REPLACE REVISION BRAIN SHUNT,9234.0,9234.0,,,0 CDM,4506225201,HC ED REPROGRAMMING CSF SHUNT,538.0,538.0,,,0 CDM,4506227001,HC ED LUMBAR PUNCTURE DIAGNOSTIC,871.0,871.0,,,0 CDM,4506227201,HC ED LUMBAR PUNCTURE THERAPEUTIC,761.0,761.0,,,0 CDM,4506227301,HC ED INJECTION EPIDURAL BLOOD/CLOT PATCH,736.0,736.0,,,0 CDM,4506440001,"HC ED INJ(S), ANESTHETIC AGENT(S) AND/OR STEROID; TRIGEMINAL NERVE, EA BRANCH (IE OPHT, MAX, MAND)",302.0,302.0,,,0 CDM,4506440501,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE",730.0,730.0,,,0 CDM,4506440801,HC N BLOCK INJ VAGUS,359.0,359.0,,,0 CDM,4506441501,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; BRACHIAL PLEXUS",2043.0,2043.0,,,0 CDM,4506441701,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; AXILLARY NERVE",2017.0,2017.0,,,0 CDM,4506441801,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; SUPRASCAPULAR NERVE",1101.0,1101.0,,,0 CDM,4506442001,HC ED INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL,736.0,736.0,,,0 CDM,4506442101,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; INTERCOSTAL NERVE, EACH ADDITIONAL LEVEL",1278.0,1278.0,,,0 CDM,4506442501,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; ILIOINGUINAL, ILIOHYPOGASTRIC NERVES",2349.0,2349.0,,,0 CDM,4506443001,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PUDENDAL NERVE",1288.0,1288.0,,,0 CDM,4506443501,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PARACERVICAL (UTERINE) NERVE",993.0,993.0,,,0 CDM,4506444501,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; SCIATIC NERVE",993.0,993.0,,,0 CDM,4506444701,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FEMORAL NERVE",736.0,736.0,,,0 CDM,4506445001,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH",885.0,885.0,,,0 CDM,4506445101,HC ED INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG,1022.0,1022.0,,,0 CDM,4506445401,HC ED INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG,3839.0,3839.0,,,0 CDM,4506446601,HC ED THORACIC FASCIAL PLANE BLOCK UNI INJECTION,1128.0,1128.0,,,0 CDM,4506447301,HC ED LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION,111.0,111.0,,,0 CDM,4506447901,HC INJ FORAMEN EPIDURAL C/T,1288.0,1288.0,,,0 CDM,4506448301,HC INJ FORAMEN EPIDURAL L/S,1103.0,1103.0,,,0 CDM,4506448601,HC ED TAP BLOCK UNILATERAL BY INJECTIONS(S),885.0,885.0,,,0 CDM,4506449001,HC INJ PARAVERT F JNT/CT 1 LEV,3309.0,3309.0,,,0 CDM,4506450501,HC ED INJECTION ANES AGENT SPHENOPALATINE GANGLION,892.0,892.0,,,0 CDM,4506472101,HC ED NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE,6924.0,6924.0,,,0 CDM,4506477201,HC INCISION OF SPINAL NERVE,4230.0,4230.0,,,0 CDM,4506483101,HC SUTURE DIGITAL NERVE,5695.0,5695.0,,,0 CDM,4506483501,HC SUTURE MEDIAN MTR NERV,8146.0,8146.0,,,0 CDM,4506485601,HC SUTURE PERIPHERAL NERV,7669.0,7669.0,,,0 CDM,4506499901,HC ED UNLISTED INJECTION ANESTHESTIC AGENT CERVICAL PLEXUS,760.0,760.0,,,0 CDM,4506499902,HC ED UNLISTED INJECTION ANESTHETIC AGENT FACIAL NERVE,352.0,352.0,,,0 CDM,4506499903,HC ED UNLISTED INTRANASAL ADMIN OF ANESTH AGENT SPHENO GANGLIAN,429.0,429.0,,,0 CDM,4506499904,HC ED UNLISTED INJECTION ANESTHESTIC AGENT SERRATUS NERVE,1299.0,1299.0,,,0 CDM,4506499905,HC ED UNLISTED INJECTION ANESTHESTIC AGENT ERECTOR SPINAE,3274.0,3274.0,,,0 CDM,4506520501,HC FB REM EXT EYE CONJ SU,278.0,278.0,,,0 CDM,4506521001,HC FB REM EXT EYE CONJ EM,544.0,544.0,,,0 CDM,4506522001,HC FB REM FROM CORNEAL WO,635.0,635.0,,,0 CDM,4506522201,HC FB REM FROM CORNEAL W SL,635.0,635.0,,,0 CDM,4506523501,HC REM FB INTRAOCULAR EYE LENS,4792.0,4792.0,,,0 CDM,4506527001,HC REP CONJNCT LAC DIR CL,5162.0,5162.0,,,0 CDM,4506529001,HC REPAIR EYE SOCKET WOUND,6205.0,6205.0,,,0 CDM,4506543501,HC REM CORNEAL EPITHELIUM,1747.0,1747.0,,,0 CDM,4506676101,HC REVISION OF IRIS,1383.0,1383.0,,,0 CDM,4506699901,HC ED UNLISTED PROCEDURE IRRIGATION OF EYE,3594.0,3594.0,,,0 CDM,4506702801,HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX,2167.0,2167.0,,,0 CDM,4506770001,HC ED BLEPHAROTOMY DRAINAGE ABSCESS EYELID,555.0,555.0,,,0 CDM,4506771501,HC INCISION OF EYELID FOLD,4054.0,4054.0,,,0 CDM,4506780001,HC EXCISION CHALAZION SINGLE,2279.0,2279.0,,,0 CDM,4506793001,HC ED SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK,3059.0,3059.0,,,0 CDM,4506793501,HC RPR EYELID WOUND PT,4083.0,4083.0,,,0 CDM,4506793801,HC REMOVE FB EYELID,868.0,868.0,,,0 CDM,4506795001,HC ED CANTHOPLASTY,2721.0,2721.0,,,0 CDM,4506802001,HC INC CONJUNC DRAIN CYST,1122.0,1122.0,,,0 CDM,4506811001,HC REMOVE EYELID LINING LESION,4135.0,4135.0,,,0 CDM,4506842001,HC INC DRAIN LACRIMAL SAC,4068.0,4068.0,,,0 CDM,4506870001,HC REP LACRIMIL DUCT CANALICULI,5796.0,5796.0,,,0 CDM,4506881501,HC PROBE NASOLACRIML DUCT,4193.0,4193.0,,,0 CDM,4506884001,HC PROBE LACRIMAL CANALICULI,475.0,475.0,,,0 CDM,4506900001,HC ED DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE,867.0,867.0,,,0 CDM,4506900501,HC ED DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,2755.0,2755.0,,,0 CDM,4506902001,HC ED DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,1168.0,1168.0,,,0 CDM,4506911001,HC ED EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR,11789.0,11789.0,,,0 CDM,4506920001,HC REMOVAL FOREIGN BODY EAR,130.0,130.0,,,0 CDM,4506920901,HC ED REMOVE IMPACT CERUMEN IRRIGATE,159.0,159.0,,,0 CDM,4506921001,HC REMOVE IMPACT CERUMEN W INSTR,94.0,94.0,,,0 CDM,4506942001,HC MYRINGOTOMY ASPIRATION FLAT,440.0,440.0,,,0 CDM,4506943301,HC ED TYMPANOSTOMY W/ LOCAL OR TOP ANESTH,2940.0,2940.0,,,0 CDM,4509251101,HC NASOPHARYNGOSCOPY W/ENDOSCOPE,212.0,212.0,,,0 CDM,4509295001,HC ED CPR,308.0,308.0,,,0 CDM,4509295301,HC TEMP TRANSCUTANEOUS PACING,667.0,667.0,,,0 CDM,4509296001,HC ED CARDIOVERSION,879.0,879.0,,,0 CDM,4509464001,HC ED AIRWAY INHALATION TREATMENT,376.0,376.0,,,0 CDM,4509636001,HC ED IV HYDRATION INFUSION INITIAL HOUR,261.0,261.0,,,0 CDM,4509636101,HC ED IV HYDRATE ADDTL HOURS,86.0,86.0,,,0 CDM,4509636501,HC ED IV INFUSION THERAPY UP TO 1 HR,404.0,404.0,,,0 CDM,4509636601,HC ED IV INFUSION THERAPY EACH ADDTL HR,164.0,164.0,,,0 CDM,4509636701,HC ED IV INFUSION ADDTL SEQUENTUAL UP TO 1 HR,236.0,236.0,,,0 CDM,4509636801,HC ED IV CONCURRENT INFUSION,235.0,235.0,,,0 CDM,4509637201,HC ED ADMIN OF INJECTION SUBQ OR IM,160.0,160.0,,,0 CDM,4509637401,HC ED IV PUSH SINGLE OR INITIAL SUBSTANCE,266.0,266.0,,,0 CDM,4509637501,HC ED IV PUSH EACH ADDTL NEW SUBSTANCE,213.0,213.0,,,0 CDM,4509637601,HC ED IV PUSH SAME DRUG 30 MIN AFTER,209.0,209.0,,,0 CDM,4509640101,HC ED CHEMO SUBQ/IM NONHORMONE ANTINEOP,289.0,289.0,,,0 CDM,4509759701,HC ED DEBRIDEMENT 20 SQ CM OR LESS,184.0,184.0,,,0 CDM,4509759801,HC ED DEBRIDEMENT ADDTL 20 SQ CM,349.0,349.0,,,0 CDM,4509760201,HC ED RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS,814.0,814.0,,,0 CDM,4509760501,HC ED NEG PRSR WOUND 50CM OR LESS,308.0,308.0,,,0 CDM,4509760801,HC ED NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM,1659.0,1659.0,,,0 CDM,4509919501,HC ED THERAPUTIC PHLEBOTOMY,503.0,503.0,,,0 CDM,4509928101,HC ED VISIT CATEGORY 1,140.0,140.0,,,0 CDM,4509928201,HC ED VISIT CATEGORY 2,514.0,514.0,,,0 CDM,4509928301,HC ED VISIT CATEGORY 3,682.0,682.0,,,0 CDM,4509928401,HC ED VISIT CATEGORY 4,1325.0,1325.0,,,0 CDM,4509928501,HC ED VISIT CATEGORY 5,1815.0,1815.0,,,0 CDM,4509929101,HC ED VISIT CRITICAL CARE 30 TO 74 MIN,4094.0,4094.0,,,0 CDM,4509929201,HC ED CRITICAL CARE EACH ADDTL 30 MIN,299.0,299.0,,,0 CDM,4609401001,HC SPIROMETRY,170.0,170.0,,,0 CDM,4609406001,HC SPIROMETRY PRE & POST,343.0,343.0,,,0 CDM,4609407001,HC BRONCHOPROVACTION,393.0,393.0,,,0 CDM,4609415001,HC TV VC INSP EFFORT,170.0,170.0,,,0 CDM,4609461001,HC INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP,634.0,634.0,,,0 CDM,4609461801,HC PULMONARY STRESS TESTING,504.0,504.0,,,0 CDM,4609466701,HC PERCUSSION & POST DRAINAGE,114.0,114.0,,,0 CDM,4609466801,HC PERCUSSION & POST DRAINAGE SUBSEQUENT,114.0,114.0,,,0 CDM,4609466901,HC MECHANICAL CHEST WALL OSCILLATION,192.0,192.0,,,0 CDM,4609468101,HC METABOLIC CART PROFILE,323.0,323.0,,,0 CDM,4609472601,HC PLETHYSMOGRAPHY,374.0,374.0,,,0 CDM,4609472701,HC GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL,474.0,474.0,,,0 CDM,4609472901,HC C.O. DIFFUSION,119.0,119.0,,,0 CDM,4609476101,HC OXIMETRY MULTIPLE,116.0,116.0,,,0 CDM,4609476201,"HC NONINVASV OXYGEN SATUT, CONTINUOUS",327.0,327.0,,,0 CDM,4609476202,HC NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR,327.0,327.0,,,0 CDM,4609477601,HC PED HOME APNEA RECORD & DOWNLOAD,137.0,137.0,,,0 CDM,4609479901,HC CAPNOGRAPHY DAILY UNLISTED,225.0,225.0,,,0 CDM,4609479902,HC PULMONARY COMPLIANCE STUDY UNLISTED,172.0,172.0,,,0 CDM,4699479901,HC SMOKE ANALYZER PULMONARY SERVICE,210.0,210.0,,,0 CDM,4706920001,HC RMVL FB XTRNL AUDITORY CANAL W/O ANES,328.0,328.0,,,0 CDM,4706920901,HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,164.0,164.0,,,0 CDM,4706921001,HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT,164.0,164.0,,,0 CDM,4709250701,HC TREATMENT OF AUDITORY PROCESING DISORDER; INDIV,215.0,215.0,,,0 CDM,4709251701,HC VEMP TEST I&R CERVICAL,678.0,678.0,,,0 CDM,4709251801,HC VEMP TEST I&R OCULAR,494.0,494.0,,,0 CDM,4709251901,HC VEMP TST I&R CERVICAL&OCULAR,860.0,860.0,,,0 CDM,4709253101,HC SPONTANEOUS NYSTAGMUS W/GAZE,55.0,55.0,,,0 CDM,4709253201,HC POSITIONAL NYSTAGMUS TEST,39.0,39.0,,,0 CDM,4709253701,HC CALORIC BITHERMAL,871.0,871.0,,,0 CDM,4709253801,HC CALORIC MONOTHERMAL,871.0,871.0,,,0 CDM,4709254101,HC SPONTANEOUS NYSTAGMUS,213.0,213.0,,,0 CDM,4709254501,HC OSCILLATING TRACKING,371.0,371.0,,,0 CDM,4709254601,HC SINUSIODAL ROTATION TEST,598.0,598.0,,,0 CDM,4709254701,HC USE OF VERTICAL LEADS,156.0,156.0,,,0 CDM,4709254801,HC POSTUROGRAPHY,374.0,374.0,,,0 CDM,4709254901,HC POSTUROGRAPHY SOT/MCT/ADT,370.0,370.0,,,0 CDM,4709255501,HC SPEECH AUDIOLMETRY THRESHOLD,144.0,144.0,,,0 CDM,4709256501,HC STENGER PURE TONE,154.0,154.0,,,0 CDM,4709256801,HC ACOUSTIC REFLEX TESTING,262.0,262.0,,,0 CDM,4709257001,HC ACOUSTIC IMMITTANCE TESTING,138.0,138.0,,,0 CDM,4709257101,HC FILTERED SPEECH HEARING,81.0,81.0,,,0 CDM,4709257201,HC STAGGERED SPONDAIC WORD,362.0,362.0,,,0 CDM,4709257601,HC SYNTHETIC SENTENCE IDENTIFICATION TEST,87.0,87.0,,,0 CDM,4709257701,HC STENGER SPEECH TEST,526.0,526.0,,,0 CDM,4709257901,HC VISUAL REINFORCE AUDIOMETRY,462.5,462.5,,,0 CDM,4709258201,HC CONDITIONED PLAY AUDIOGRAM,462.5,462.5,,,0 CDM,4709258301,HC SELECT PICTURE AUDIOMETRY,87.0,87.0,,,0 CDM,4709258401,HC ELECTROCOCHLEOGRAPHY,393.0,393.0,,,0 CDM,4709259401,HC ELECTROACOUS EVAL HEARING AID MONAURAL,95.0,95.0,,,0 CDM,4709259501,HC ELECTROACOUS EVAL HEARING AID BINAURAL,109.0,109.0,,,0 CDM,4709259601,HC EAR PROTECTOR ATTENUATION MEASUREMENTS,87.0,87.0,,,0 CDM,4709260101,HC DX ANALYSIS COCHLEAR IMPLANT AGE 7 OR UNDER WITH PROG,564.5,564.5,,,0 CDM,4709260201,HC REPROGRAM COCHLEAR IMPLANT AGE 6 OR UNDER,473.5,473.5,,,0 CDM,4709260301,HC DX ANALYSIS COCHLEAR IMPLANT AGE 7 OR OLDER WITH PROG,538.5,538.5,,,0 CDM,4709260401,HC REPROGRAM COCHLEAR IMPLANT AGE 7 OR OLDER,453.5,453.5,,,0 CDM,4709262001,HC EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN,325.0,325.0,,,0 CDM,4709262101,HC EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN,49.0,49.0,,,0 CDM,4709262501,HC TINNITUS ASSESSMENT,144.0,144.0,,,0 CDM,4709262601,HC TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING,179.0,179.0,,,0 CDM,4709262701,HC EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15,49.0,49.0,,,0 CDM,4709262801,HC EVALUATION HEARING AID CANDIDACY 1ST 30 MINUTES,40.0,40.0,,,0 CDM,4709262901,HC EVALUATION HEARING AID CANDIDACY EA ADDL 15 MIN,20.0,20.0,,,0 CDM,4709263001,HC AUDITORY REHABILITATION PRELINGUAL HEARING LOSS,174.0,174.0,,,0 CDM,4709263101,HC HEARING AID SELECTION SERVICES 1ST 30 MINUTES,40.0,40.0,,,0 CDM,4709263201,HC HEARING AID SELECTION SERVICES EA ADDL 15 MIN,20.0,20.0,,,0 CDM,4709263301,HC AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS,174.0,174.0,,,0 CDM,4709263401,HC HEARING AID FITTING SERVICES 1ST 60 MINUTES,80.0,80.0,,,0 CDM,4709263501,HC HEARING AID FITTING SERVICES EA ADDL 15 MINUTES,20.0,20.0,,,0 CDM,4709263601,HC HEARING AID POST-FITTING F-UP SVC 1ST 30 MINUTES,80.0,80.0,,,0 CDM,4709263701,HC HEARING AID POST-FITTING F-UP SVC EA ADDL 15 MIN,20.0,20.0,,,0 CDM,4709263801,HC BEHAVIORAL VERIFICATION OF AMPLIFICATION,30.0,30.0,,,0 CDM,4709263901,HC HEARING AID MEAS VERIF W/PROBE MICROPHONE,40.0,40.0,,,0 CDM,4709264101,HC HEARING DEVICE VERIFICATION ELECTROACOUSTIC ALYS,30.0,30.0,,,0 CDM,4709264201,HC HEARING ASSISTIVE DEVICE SUPPL TECH FITTING SVC,30.0,30.0,,,0 CDM,4709265001,HC AEP SCR AUDITORY POTENTIAL,308.0,308.0,,,0 CDM,4709265101,HC AEP HEARING STATUS DETER I&R,476.0,476.0,,,0 CDM,4709265201,HC AEP THRSHLD EST MLT FREQ I&R,735.0,735.0,,,0 CDM,4709265301,HC AEP NEURODIAGNOSTIC I&R,648.0,648.0,,,0 CDM,4709599201,HC CANALITH REPOSITIONING PROCEDURE,99.0,99.0,,,0 CDM,4709612701,HC BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT,100.0,100.0,,,0 CDM,470G026801,HC REMOVAL OF IMPACTED WAX MD,137.0,137.0,,,0 CDM,4719254001,HC BASIC VESTIBULAR EVALUATION,815.0,815.0,,,0 CDM,4719254201,HC POSITIONAL NYSTAGMUS,258.0,258.0,,,0 CDM,4719254401,HC OPTOKINETIC NYSTAGMUS,258.0,258.0,,,0 CDM,4719255001,HC TYMPANOMETRY AND REFLEX THRESH,170.0,170.0,,,0 CDM,4719255101,HC SCREENING PURETONE AIR,109.0,109.0,,,0 CDM,4719255201,HC PURETONE AUDIOMETRY AIR ONLY,159.0,159.0,,,0 CDM,4719255301,HC PURETONE AUDIOMETRY AIR AND BONE,378.0,378.0,,,0 CDM,4719255601,HC THRESHOLD WITH SPEECH RECOGNITION,225.5,225.5,,,0 CDM,4719255701,HC COMPREHENSIVE AUDIOGRAM,384.5,384.5,,,0 CDM,4719255801,HC EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS,362.0,362.0,,,0 CDM,4719256701,HC TYMPANOMETRY,144.5,144.5,,,0 CDM,4719258701,HC OTOACOUSTIC EMISSION LIMITED,314.0,314.0,,,0 CDM,4719258801,HC OTOACOUSTIC COMP OR DIAG,359.0,359.0,,,0 CDM,4719262601,HC EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR,253.0,253.0,,,0 CDM,4800575T01,HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON,97.0,97.0,,,0 CDM,4800576T01,HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON,97.0,97.0,,,0 CDM,4800579T01,HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH,97.0,97.0,,,0 CDM,4800650T01,HC PROGRMG DEV EVAL SCRMS PHYS/QHP REMOTE,97.0,97.0,,,0 CDM,4800804T01,HC PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON,97.0,97.0,,,0 CDM,4800826T01,HC PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP,97.0,97.0,,,0 CDM,4807557201,HC CT CCTA WO & WITH DISEASE STRXR,1385.0,1385.0,,,0 CDM,4807557401,HC CT CCTA WO & WITH CONTRAST,1385.0,1385.0,,,0 CDM,4807558001,HC N-INVAS EST C FFR AUGMNT SW ALYS CTA I&R PHY/QHP,4819.0,4819.0,,,0 CDM,4809296001,HC CARDIOVERSION,879.0,879.0,,,0 CDM,4809326001,HC PDE IMPLANT SUBCUTANEOUS LEAD,109.5,109.5,,,0 CDM,4809326101,HC INTERROGATION LEAD DEFIBRILL,88.5,88.5,,,0 CDM,4809326401,HC REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D,133.5,133.5,,,0 CDM,4809327901,HC PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP,124.0,124.0,,,0 CDM,4809328001,HC PDE IMPLANT DUAL LEAD,124.0,124.0,,,0 CDM,4809328101,HC PDE MULTIPLE LEAD PACEMAKER,124.0,124.0,,,0 CDM,4809328201,HC PDE SINGLE LEAD TRANS DEFIB,124.0,124.0,,,0 CDM,4809328301,HC PDE DUAL LEAD TRANS DEFIB,124.0,124.0,,,0 CDM,4809328401,HC PDE MULTIPLE LEAD TRANS DEFIB,124.0,124.0,,,0 CDM,4809328501,HC PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON,92.0,92.0,,,0 CDM,4809328601,HC PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,150.0,150.0,,,0 CDM,4809328701,HC PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,109.0,109.0,,,0 CDM,4809328801,HC INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,88.0,88.0,,,0 CDM,4809328901,HC ED INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB,150.0,150.0,,,0 CDM,4809328902,HC IDE ANALYSIS HEART RHYTHM DATA ELEMENT,100.0,100.0,,,0 CDM,4809329001,HC INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON,130.0,130.0,,,0 CDM,4809329101,HC INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON,89.0,89.0,,,0 CDM,4809329601,HC REM INTERROG PM/LDLS PM/IDS <90 D PHYS/QHP,146.0,146.0,,,0 CDM,4809329701,HC REM INTERROG SCRMS <30 D PHYS/QHP,64.0,64.0,,,0 CDM,4809329801,HC REM INTERROG ICPMS <30 D PHYS/QHP,64.0,64.0,,,0 CDM,4809364201,HC ED EP EVALUATION,2374.0,2374.0,,,0 CDM,4809366001,HC TILT TABLE,688.0,688.0,,,0 CDM,4809370101,HC BIOIMPEDNACE DERIVED PHYSIOLOGIC CV ANALYSIS,283.0,283.0,,,0 CDM,4809375001,HC INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS,443.0,443.0,,,0 CDM,4809378601,HC AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY,361.0,361.0,,,0 CDM,4809378801,HC AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R,361.0,361.0,,,0 CDM,4809479901,HC MV02-RESTING MEASURED OXYGEN CONSUMPTION,312.0,312.0,,,0 CDM,480G016601,HC EXTERNAL COUNTERPULSATION,334.0,334.0,,,0 CDM,4810338T02,HC TRANSCATHETER RENAL DENERVATION PERCUTANEOUS UNILATERAL,18811.0,18811.0,,,0 CDM,4810339T01,HC TRANSCATHETER RENAL DENERVATION PERCUTANEOUS BILATERAL,29444.0,29444.0,,,0 CDM,4810408T01,HC CCM INSERT/REPLACE SYSTEM PLS GEN AND LEAD(S),72096.0,72096.0,,,0 CDM,4810409T01,HC CCM GENERATOR INSERTION,50827.0,50827.0,,,0 CDM,4810410T01,HC CCM ATRIAL LEAD INSERTION,18617.0,18617.0,,,0 CDM,4810411T01,HC CCM VENTRICULAR LEAD INSERTION,18617.0,18617.0,,,0 CDM,4810412T01,HC CCM GENERATOR REMOVAL,13039.0,13039.0,,,0 CDM,4810413T01,HC CCM LEAD REMOVAL,13039.0,13039.0,,,0 CDM,4810414T01,HC CCM GENERATOR CHANGE,50827.0,50827.0,,,0 CDM,4810415T01,HC CCM LEAD REVISION,2086.0,2086.0,,,0 CDM,4810416T01,HC CCM POCKET REVISION,6055.0,6055.0,,,0 CDM,4810483T01,HC TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPRCH,17489.0,17489.0,,,0 CDM,4810519T01,HC RMVL & RPLMNT WIRELESS CAR STIM PG COMPNT,32664.0,32664.0,,,0 CDM,4810523T01,HC INTRAPROCEDURAL CORONARY FFR W/3D FUNCJL MAPPING,6434.0,6434.0,,,0 CDM,4810525T01,HC ISCHEMIA MONITOR SYSTEM INSERTION,27385.0,27385.0,,,0 CDM,4810526T01,HC ISCHEMIA MONITOR LEAD INSERTION,21642.0,21642.0,,,0 CDM,4810527T01,HC ISCHEMIA MONITOR GENERATOR INSERTION,21642.0,21642.0,,,0 CDM,4810530T01,HC ISCHEMIA MONITOR SYSTEM REMOVAL,13326.0,13326.0,,,0 CDM,4810531T01,HC ISCHEMIA MONITOR LEAD REMOVAL,8884.0,8884.0,,,0 CDM,4810532T01,HC ISCHEMIA MONITOR GENERATOR REMOVAL,8884.0,8884.0,,,0 CDM,4810569T01,HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS,15787.0,15787.0,,,0 CDM,4810570T01,HC TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS,3946.0,3946.0,,,0 CDM,4810571T01,HC INS/RPLCMT ICDS W/SUBSTERNAL ELETRODE,56423.0,56423.0,,,0 CDM,4810572T01,HC INSERT SUBSTERNAL IMPLANT DEFIB ELECTRODE,28208.0,28208.0,,,0 CDM,4810573T01,HC REMVL SUBSTERNAL IMPLANT DEFIB ELECTRODE,13039.0,13039.0,,,0 CDM,4810574T01,HC REPOSITION PRVS IMPLANT SUBSTERNAL DEFIB ELECTRODE,13039.0,13039.0,,,0 CDM,4810574T02,HC REPOS PREV IMPLNTD SS IMPLTBL DFB PACING ELCTRD,10204.0,10204.0,,,0 CDM,4810577T01,HC EP EVAL IMPLANT CARD DEFIB W/SUBSTERNAL ELECTRODE(S),3951.0,3951.0,,,0 CDM,4810580T01,HC REMVL SUBSTERNAL IMPLANT DEFIB PLSE GEN ONLY,13039.0,13039.0,,,0 CDM,4810614T01,HC REMVL & REPLCMNT SUBSTERNAL IMPLANT DEFIB PLSE GEN,51655.0,51655.0,,,0 CDM,4810644T01,HC TCAT RMVL/DEBULK INTRACAR MASS SUCTION DEVICE PERQ,17600.0,17600.0,,,0 CDM,4810646T01,HC TTVI REPLACEMENT PERQ,16358.0,16358.0,,,0 CDM,4810715T01,HC PERCUTANEOUS TRANSLUMINCAL CORONARY LITHOTRIPSY,3678.0,3678.0,,,0 CDM,4810795T02,HC INSERT DUAL-CHMBR LEADLESS PCMKR R ATRL & R VNTRCLR,50633.0,50633.0,,,0 CDM,4810796T01,HC INSERT DUAL-CHMBR LEADLESS PCMKR R ATRL CMPNT,64698.0,64698.0,,,0 CDM,4810797T01,HC INSERT DUAL-CHMBR LEADLESS PCMKR R VNTRCLR CMPNT,64698.0,64698.0,,,0 CDM,4810801T01,HC TRNSCTHTR RMVL & REPLACEMENT DUAL-CHMBR LEADLESS PCMKR,59491.0,59491.0,,,0 CDM,4810802T01,HC TRNSCTHTR RMVL & REPLACEMENT DUAL-CHMBR LEADLESS PCMKR R ATRIAL,59491.0,59491.0,,,0 CDM,4810803T01,HC TRNSCTHTR RMVL & REPLACEMENT DUAL-CHMBR LEADLESS PCMKR R VNTRCLR,59491.0,59491.0,,,0 CDM,4810823T01,HC TRNSCTHTR INSERT SINGLE CHMBR LEADLESS PCMKR R ATRL CMPNT,50633.0,50633.0,,,0 CDM,4810825T01,HC TRNSCTHTR RMVL & REPLACEMENT SINGLE-CHMBR LEADLESS PCMKR R ATRIAL,59491.0,59491.0,,,0 CDM,4810913T01,HC PERQ TRNSCATH THER RX DLVR INTRAC BAL 1 MAJ C ART,15549.0,15549.0,,,0 CDM,4810914T01,HC PERQ TRNSCATH THER RX DLVR INTRAC BAL SEPARATE,10885.0,10885.0,,,0 CDM,4810915T01,HC INSRTN PERM CCDM-D SYS PG&DUAL TRANSVNS ELTRDS/LDS,73741.0,73741.0,,,0 CDM,4811012001,HC CTH REMOVE FOREIGN BODY SUBQ SIMPLE,489.0,489.0,,,0 CDM,4811014001,HC CTH DRAINAGE OF HEMATOMA FLUID,1518.0,1518.0,,,0 CDM,4811018001,HC INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,6729.0,6729.0,,,0 CDM,4811104301,HC DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,566.0,566.0,,,0 CDM,4811104601,HC DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,369.0,369.0,,,0 CDM,4811202001,HC CLOSURE OF SPLIT WOUND,777.0,777.0,,,0 CDM,4813301601,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,2875.0,2875.0,,,0 CDM,4813301701,HC PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY,2875.0,2875.0,,,0 CDM,4813302001,HC PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY,41623.0,41623.0,,,0 CDM,4813320601,HC PACEMAKER INSERT ATRIAL,11969.0,11969.0,,,0 CDM,4813320701,HC PACEMAKER INSERT VENTRICLE,11969.0,11969.0,,,0 CDM,4813320801,HC PACEMAKER INSERT A/V LEADS,14694.0,14694.0,,,0 CDM,4813321001,HC HC TEMPORARY PACEMAKER INSERTION,6715.0,6715.0,,,0 CDM,4813321101,HC INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX,16898.0,16898.0,,,0 CDM,4813321201,HC INSERT NEW PPM TO EXIST SINGLE LEAD,9822.0,9822.0,,,0 CDM,4813321301,HC INSERT NEW PPM TO EXIST DUAL LEADS,14097.0,14097.0,,,0 CDM,4813321401,HC UPGRADE SINGLE TO DUAL SYSTEM,8008.0,8008.0,,,0 CDM,4813321501,HC REPOSITION RA OR RV LEAD,4181.0,4181.0,,,0 CDM,4813321601,HC INSERT ONE LEAD TO EXIST DEVICE,7672.0,7672.0,,,0 CDM,4813321701,HC INSERT TWO LEADS TO EXIST DEVICE,8056.0,8056.0,,,0 CDM,4813321801,HC REPAIR SINGLE LEAD,3384.0,3384.0,,,0 CDM,4813322001,HC REPAIR TWO LEADS,3386.0,3386.0,,,0 CDM,4813322101,HC INSERT NEW PPM TO EXIST MULTI LEAD,14996.0,14996.0,,,0 CDM,4813322301,HC RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR,2391.0,2391.0,,,0 CDM,4813322401,HC LV LEAD ADDED TO EXIST DEVICE,8372.0,8372.0,,,0 CDM,4813322501,HC LV LEAD ADDED TO NEW DEVICE,3467.0,3467.0,,,0 CDM,4813322601,HC REPOSITION LV LEAD,5099.0,5099.0,,,0 CDM,4813322701,HC PPM BATTERY CHANGE SINGLE LEAD,10058.0,10058.0,,,0 CDM,4813322801,HC PPM BATTERY CHANGE DUAL LEADS,11032.0,11032.0,,,0 CDM,4813322901,HC PPM BATTERY CHANGE MULTI LEAD,14996.0,14996.0,,,0 CDM,4813323001,HC INSERT NEW ICD TO EXIST DUAL LEADS,46592.0,46592.0,,,0 CDM,4813323101,HC INSERT NEW ICD TO EXIST MULTI LEAD,35610.0,35610.0,,,0 CDM,4813323301,HC PACEMAKER BATTERY REMOVAL,6569.0,6569.0,,,0 CDM,4813323401,HC REMOVE ONE PPM LEAD,2772.0,2772.0,,,0 CDM,4813323501,HC REMOVE TWO PPM LEADS,2983.0,2983.0,,,0 CDM,4813324001,HC INST NEW ICD TO EXIST SINGLE LEAD,22317.0,22317.0,,,0 CDM,4813324101,HC ICD BATTERY REMOVAL,2772.0,2772.0,,,0 CDM,4813324401,HC REMOVE ICD LEADS,2752.0,2752.0,,,0 CDM,4813324901,HC INSERT NEW ICD SYSTEM,26448.0,26448.0,,,0 CDM,4813326201,HC ICD BATTERY CHANGE SINGLE LEAD,18567.0,18567.0,,,0 CDM,4813326301,HC ICD BATTERY CHANGE DUAL LEAD,18567.0,18567.0,,,0 CDM,4813326401,HC ICD BATTERY CHANGE MULTI LEAD,26448.0,26448.0,,,0 CDM,4813326701,HC EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD,18918.0,18918.0,,,0 CDM,4813327001,HC INSERT NEW SUBQ ICD SYSTEM,26448.0,26448.0,,,0 CDM,4813327101,HC INSRT SUBQ IMPLANTABLE DFB ELECTRODE,22076.0,22076.0,,,0 CDM,4813327201,HC REMOVE SUBQ ICD LEAD,2752.0,2752.0,,,0 CDM,4813327301,HC REPOS PREV IMPLANTED SUBQ IMPLANT DFB,10204.0,10204.0,,,0 CDM,4813327401,HC INS SNGLE CHAMBER LEADLESS PPM,23369.0,23369.0,,,0 CDM,4813327601,HC INSERTION PHRENIC NERVE STIMULATOR SYSTEM,69862.0,69862.0,,,0 CDM,4813327801,HC REMOVAL PHRENIC NERVE STIMULATOR SYSTEM,10167.0,10167.0,,,0 CDM,4813327901,HC RMVL PHRNC NRV STIMULATOR TRANSVNS STIMJ/SNSG LD,10167.0,10167.0,,,0 CDM,4813328001,HC RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY,10167.0,10167.0,,,0 CDM,4813328101,HC REPOSITIONING PHRENIC NRV STIMULATOR TRANSVNS LD,10167.0,10167.0,,,0 CDM,4813328501,HC INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,10902.0,10902.0,,,0 CDM,4813328601,HC REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,1642.0,1642.0,,,0 CDM,4813328701,HC RMVL&RPLCMT PHRENIC NRV STIMULATOR PLS GENERATOR,45932.0,45932.0,,,0 CDM,4813328801,HC RMVL&RPLCMT PHRNC NRV STIM TRNSVNS STIMJ/SNSG LD,20149.0,20149.0,,,0 CDM,4813328901,HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR,23226.0,23226.0,,,0 CDM,4813333501,HC INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS,10087.0,10087.0,,,0 CDM,4813334001,HC LEFT ATRIAL APPENDAGE IMPLANT,7847.0,7847.0,,,0 CDM,4813336101,HC TAVR/TAVI WITHPROS VALVEPERC AP,14721.0,14721.0,,,0 CDM,4813336301,HC TAVR OPEN AXIL ART APPROACH,26127.0,26127.0,,,0 CDM,4813339101,HC VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX,15049.0,15049.0,,,0 CDM,4813341801,HC PERC MITRAL VALVE REPAIR INITIAL,15787.0,15787.0,,,0 CDM,4813341901,HC PERC MITRAL VALVE REPAIR ADDTL,3946.0,3946.0,,,0 CDM,4813374101,HC TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD,6242.0,6242.0,,,0 CDM,4813388001,HC RPR THOR AORTA WITH SUBCLAV,7900.0,7900.0,,,0 CDM,4813389701,HC PERQ TRLUML ANGP NT/RECR COA,5327.0,5327.0,,,0 CDM,4813390001,HC PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI,22026.0,22026.0,,,0 CDM,4813390101,HC PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI,56289.0,56289.0,,,0 CDM,4813390201,HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,22026.0,22026.0,,,0 CDM,4813390301,HC PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL,56289.0,56289.0,,,0 CDM,4813390401,HC PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL,5484.0,5484.0,,,0 CDM,4813395201,HC ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ,2390.0,2390.0,,,0 CDM,4813396701,HC INTRA AORTIC BALLOON PLACEMENT,1829.0,1829.0,,,0 CDM,4813396801,HC RMV AORTIC BALLOON DEVICE,1004.0,1004.0,,,0 CDM,4813399001,"HC INSERT VAD, PERQ, W/RS&I LT HEART, ARTERIAL ACCESS ONLY",19022.0,19022.0,,,0 CDM,4813399201,HC REMOVAL PERQ R HEART VAD ARTERIAL CANNULA SEPT INSJ,2858.0,2858.0,,,0 CDM,4813399301,HC REPOSITION VAD W/IMAGING DIFFERENT SESSION,2243.0,2243.0,,,0 CDM,4813399501,HC INSJ PERQ VAD W/RS&I R HEART VENOUS ACCESS ONLY,21136.0,21136.0,,,0 CDM,4813399701,HC REMOVAL PERQ R HEART VAD VENOUS CANNULA SEPT INSJ,4057.0,4057.0,,,0 CDM,4813399902,HC FB REMOVAL RIGHT ATRIUM,2981.0,2981.0,,,0 CDM,4813399903,HC HIS LEAD ADDED TO NEW DEVICE,4430.0,4430.0,,,0 CDM,4813399904,HC INSERT NEW BI-V ICD W/HIS,25354.0,25354.0,,,0 CDM,4813399905,HC INSERT VAD PERC VENOUS ACCESS,24306.0,24306.0,,,0 CDM,4813399906,HC OCCLUTECH ATRIAL FLOW REGULATOR,3693.0,3693.0,,,0 CDM,4813399907,HC PACEMAKER INSERT HIS LEADS,18776.0,18776.0,,,0 CDM,4813399908,HC PERICARDIOPLASTY,3053.0,3053.0,,,0 CDM,4813399909,HC REMOVE INTRACORONARY GUIDEWIRE,3739.0,3739.0,,,0 CDM,4813399911,HC TRICUSPID VALVE REPLACEMENT,20692.0,20692.0,,,0 CDM,4813399914,HC REPOSITIONING OF IABP,1004.0,1004.0,,,0 CDM,4813399915,HC REMOVE AND REPLACE SAME LEADLESS PACEMAKER,2670.0,2670.0,,,0 CDM,4813399916,HC INSERT NEW PPM WITH LV LEADS,14012.0,14012.0,,,0 CDM,4813399918,HC SENTINEL DEVICE INSERTION,1385.0,1385.0,,,0 CDM,4813399920,HC LAA DEVICE LEAK OCCLUSION,7847.0,7847.0,,,0 CDM,4813484201,HC ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT,15641.0,15641.0,,,0 CDM,4813484501,HC ENDOVASC REPAIR VISC AND INFRARENAL ABDOM AORTA 1 PROSTHS,14077.0,14077.0,,,0 CDM,4813484601,HC ENDOVASC REPAIR VISCER & INFRAREMAL ABDOM AORTA 2 PROSTH,14859.0,14859.0,,,0 CDM,4813601201,HC SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,1701.0,1701.0,,,0 CDM,4813601501,HC CATH PLC SEG SUBSEG PULM,1039.0,1039.0,,,0 CDM,4813620001,HC INTRODUCTION CATHETER AORTA,1715.0,1715.0,,,0 CDM,4813621501,HC HC ART ARTERIO 1ST ABOV DIA,2055.0,2055.0,,,0 CDM,4813621801,HC CTH SEL CATHPL EA ADDTL IN VASC FAM,1254.0,1254.0,,,0 CDM,4813624601,HC SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH,1194.0,1194.0,,,0 CDM,4813624701,HC SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,1986.0,1986.0,,,0 CDM,4813625101,HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN,5332.0,5332.0,,,0 CDM,4813629901,HC CATHETER PLACEMENT INTO PULMONARY VEIN,3582.0,3582.0,,,0 CDM,4813655801,HC IMPLANT VENOUS TUNNELED >5 YRS,3763.0,3763.0,,,0 CDM,4813683701,HC PERQ AV FISTULA CREATION UPPER EXTMTY SEP ACCESS SITES,62576.0,62576.0,,,0 CDM,4813690401,HC PRCT MECHANICAL THROMBECT DIALYSIS CIRCUIT,16736.0,16736.0,,,0 CDM,4813718501,HC PRIM ART MECH THROMBECTOMY ADD ON,3641.0,3641.0,,,0 CDM,4813718601,HC SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL,10804.0,10804.0,,,0 CDM,4813719301,HC IVC FILTER RTRVL,3641.0,3641.0,,,0 CDM,4813719701,HC REMOVE INTRAVASCULAR FOREIGN BODY,4486.0,4486.0,,,0 CDM,4813721501,HC CAR STENT W/DIST EMB PRO,2143.0,2143.0,,,0 CDM,4813722001,HC ILIAC TLA,7292.0,7292.0,,,0 CDM,4813722101,HC ILIAC REVASC W/STENT,30928.0,30928.0,,,0 CDM,4813722201,HC ILIAC TLA EACH ADDITIONAL,6341.0,6341.0,,,0 CDM,4813722401,HC REVSE OPN/PRG FEM/POP W/ANGIOPLASTY UNI,6341.0,6341.0,,,0 CDM,4813722601,HC REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,15868.0,15868.0,,,0 CDM,4813722801,HC REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,9256.0,9256.0,,,0 CDM,4813723601,HC CTH ARTERIAL STENT INITIAL,8087.0,8087.0,,,0 CDM,4813723701,HC CTH ARTERIAL STENT ADDITIONAL,5649.0,5649.0,,,0 CDM,4813723801,HC CTH VENOUS STENT INITIAL,7922.0,7922.0,,,0 CDM,4813723901,HC CTH VENOUS STENT ADDITIONAL,5517.0,5517.0,,,0 CDM,4813724201,HC CTH VASC EMBOLIZE/OCCLUDE ARTERY,15833.0,15833.0,,,0 CDM,4813724401,HC VASC EMBOLIZE/OCCLUDE BLEED,17114.0,17114.0,,,0 CDM,4813724601,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART,5919.0,5919.0,,,0 CDM,4813724801,HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,4940.0,4940.0,,,0 CDM,4813725201,HC CTH IVUS NON CORONARY INITIAL VESSEL,17028.0,17028.0,,,0 CDM,4813725301,HC CTH IVUS NON CORONARY EACH ADDTL,17028.0,17028.0,,,0 CDM,4813725401,HC REVSC EVASC IVT ANGIOP UNI SF LES 1ST VSL,6341.0,6341.0,,,0 CDM,4813725501,HC REVSC EVASC IVT ANGIOP UNI SF LES EA ADDL VSL,5514.0,5514.0,,,0 CDM,4813725601,HC REVSC EVASC IVT ANGIOP UNI CPLX LES 1ST VSL,6341.0,6341.0,,,0 CDM,4813725701,HC REVSC EVASC IVT ANGIOP UNI CPLX LES EA ADDL VSL,5514.0,5514.0,,,0 CDM,4813725801,HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,10284.0,10284.0,,,0 CDM,4813725901,HC REVSC EVASC IVT ST PLMT UNI SF LES EA ADDL VSL,6341.0,6341.0,,,0 CDM,4813726001,HC REVSC EVASC IVT ST PLMT UNI CPLX LES 1ST VSL,10284.0,10284.0,,,0 CDM,4813726101,HC REVSC EVASC IVT ST PLMT UNI CPLX LES EA ADDL VSL,6341.0,6341.0,,,0 CDM,4813726201,HC INTRAVASCULAR LITHOTRIPSY IVT WITHIN SAME ARTERY,8507.0,8507.0,,,0 CDM,4813726301,HC REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,7046.0,7046.0,,,0 CDM,4813726401,HC REVSC EVASC FPVT ANGIOP UNI SF LES EA ADDL VSL,4190.0,4190.0,,,0 CDM,4813726501,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,7046.0,7046.0,,,0 CDM,4813726601,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES EA ADDL VSL,8507.0,8507.0,,,0 CDM,4813726701,HC REVSC EVASC FPVT ST PLMT UNI SF LES 1ST VSL,15406.0,15406.0,,,0 CDM,4813726801,HC REVSC EVASC FPVT ST PLMT UNI SF LES EA ADDL VSL,4190.0,4190.0,,,0 CDM,4813726901,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES 1ST VSL,15406.0,15406.0,,,0 CDM,4813727001,HC REVSC EVASC FPVT ST PLMT UNI CPLX LES EA ADD VSL,16667.0,16667.0,,,0 CDM,4813727101,HC REVSC EVASC FPVT ATHRC UNI SF LES 1ST VSL,15406.0,15406.0,,,0 CDM,4813727201,HC REVSC EVASC FPVT ATHRC UNI SF LES EA ADDL VSL,4190.0,4190.0,,,0 CDM,4813727301,HC REVSC EVASC FPVT ATHRC UNI CPLX LES 1ST VSL,15406.0,15406.0,,,0 CDM,4813727401,HC REVSC EVASC FPVT ATHRC UNI CPLX LES EA ADDL VSL,8507.0,8507.0,,,0 CDM,4813727501,HC REVSC EVASC FPVT ST ATHRC UNI SF LES 1ST VSL,23314.0,23314.0,,,0 CDM,4813727601,HC REVSC EVASC FPVT ST ATHRC UNI SF LES EA ADDL VSL,4190.0,4190.0,,,0 CDM,4813727701,HC REVSC EVASC FPVT ST ATHRC UNI CPLX LES 1ST VSL,23314.0,23314.0,,,0 CDM,4813727801,HC REVSC EVSC FPVT ST ATHRC UNI CPLX LES EA ADD VSL,8507.0,8507.0,,,0 CDM,4813727901,HC INTRAVASCULAR LITHOTRIPSY FPVT W/IN SAME ARTERY,8507.0,8507.0,,,0 CDM,4813728001,HC REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,34508.0,34508.0,,,0 CDM,4813728101,HC REVSC EVASC TPVT ANGIOP UNI SF LES EA ADDL VSL,8627.0,8627.0,,,0 CDM,4813728201,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES 1ST VSL,34508.0,34508.0,,,0 CDM,4813728301,HC REVSC EVASC TPVT ANGIOP UNI CPLX LES EA ADDL VSL,17254.0,17254.0,,,0 CDM,4813728401,HC REVSC EVASC TPVT ST PLMT UNI SF LES 1ST VSL,54797.0,54797.0,,,0 CDM,4813728501,HC REVSC EVASC TPVT ST PLMT UNI SF LES EA ADDL VSL,13699.0,13699.0,,,0 CDM,4813728601,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES 1ST VSL,54797.0,54797.0,,,0 CDM,4813728701,HC REVSC EVASC TPVT ST PLMT UNI CPLX LES EA ADD VSL,27399.0,27399.0,,,0 CDM,4813728801,HC REVSC EVASC TPVT ATHRC UNI SF LES 1ST VSL,54797.0,54797.0,,,0 CDM,4813728901,HC REVSC EVASC TPVT ATHRC UNI SF LES EA ADDL VSL,13699.0,13699.0,,,0 CDM,4813729001,HC REVSC EVASC TPVT ATHRC UNI CPLX LES 1ST VSL,54797.0,54797.0,,,0 CDM,4813729101,HC REVSC EVASC TPVT ATHRC UNI CPLX LES EA ADDL VSL,27399.0,27399.0,,,0 CDM,4813729201,HC REVSC EVASC TPVT ST ATHRC UNI SF LES 1ST VSL,54797.0,54797.0,,,0 CDM,4813729301,HC REVSC EVASC TPVT ST ATHRC UNI SF LES EA ADDL VSL,13699.0,13699.0,,,0 CDM,4813729401,HC REVSC EVASC TPVT ST ATHRC UNI CPLX LES 1ST VSL,54797.0,54797.0,,,0 CDM,4813729501,HC REVSC EVSC TPVT ST ATHRC UNI CPLX LES EA ADD VSL,27399.0,27399.0,,,0 CDM,4813729601,HC REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL,34508.0,34508.0,,,0 CDM,4813729701,HC REVSC EVASC IMVT ANGIOP UNI SF LES EA ADDL VSL,8627.0,8627.0,,,0 CDM,4813729801,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES 1ST VSL,34508.0,34508.0,,,0 CDM,4813729901,HC REVSC EVASC IMVT ANGIOP UNI CPLX LES EA ADDL VSL,17254.0,17254.0,,,0 CDM,4813779902,HC IVUS NON-CORONARY WITHOUT BASE PROCEDURE,9068.0,9068.0,,,0 CDM,4813779903,HC LVOT PSEUDO ANEURYSM CLOSURE,24034.0,24034.0,,,0 CDM,4817560001,HC AORTOGRAPHY THORACIC W/O SRLGRPHY RADIOLOGICAL S&I,9824.0,9824.0,,,0 CDM,4817577401,HC CTH EACH ADDTL VESSEL AFTER BASIC EXAM,2200.0,2200.0,,,0 CDM,4819292001,HC ANGIOPLASTY INITIAL,5795.0,5795.0,,,0 CDM,4819292401,HC ATHERECTOMY INITIAL,8087.0,8087.0,,,0 CDM,4819292801,HC BM PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH,10571.0,10571.0,,,0 CDM,4819292802,HC DE PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH,10571.0,10571.0,,,0 CDM,4819293001,HC PRQ TCAT PLMT NTRAC ST 2+LES,54797.0,54797.0,,,0 CDM,4819293301,HC BM PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH,12931.0,12931.0,,,0 CDM,4819293302,HC DE PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH,12931.0,12931.0,,,0 CDM,4819293701,HC BM PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL,10571.0,10571.0,,,0 CDM,4819293702,HC DE PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL,10571.0,10571.0,,,0 CDM,4819294101,HC BM PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL,10571.0,10571.0,,,0 CDM,4819294102,HC DE PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL,10571.0,10571.0,,,0 CDM,4819294301,HC BM PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL,10571.0,10571.0,,,0 CDM,4819294302,HC DE PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL,10571.0,10571.0,,,0 CDM,4819294501,HC PRQ TRL RVS CH OCC ANT&RTRGR,34508.0,34508.0,,,0 CDM,4819295001,HC CTH CPR,308.0,308.0,,,0 CDM,4819297201,HC PERQ TRLUML CORONRY LITHOTRP,2503.0,2503.0,,,0 CDM,4819297301,HC MECHANICAL THROMBECTOMY CORONARY,808.0,808.0,,,0 CDM,4819297801,HC INTRAVAS IMAGE CORO IVUS/OCT INITIAL VESSEL,3572.0,3572.0,,,0 CDM,4819297901,HC INTRAVAS IMAGE CORO IVUS/OCT ADDTL VESSEL,2013.0,2013.0,,,0 CDM,4819298601,HC VALVULOPLASTY AORTIC VALVE,8060.0,8060.0,,,0 CDM,4819298701,HC VALVULOPLASTY MITRAL VALVE,10381.0,10381.0,,,0 CDM,4819299001,HC VALVULOPLASTY PULMONARY VALVE,8087.0,8087.0,,,0 CDM,4819299701,HC PULMONARY ARTERY ANGIO SINGLE VESSEL,8087.0,8087.0,,,0 CDM,4819345101,HC RIGHT HEART CATH,7935.0,7935.0,,,0 CDM,4819345201,HC LEFT HEART CATH,7935.0,7935.0,,,0 CDM,4819345301,HC RIGHT & LEFT HEART CATH,7851.0,7851.0,,,0 CDM,4819345401,HC CORONARY ANGIOGRAPHY,4551.0,4551.0,,,0 CDM,4819345501,HC CORONARY ANGIOGRAPHY WITH BYPASS GRAFT,5234.0,5234.0,,,0 CDM,4819345601,HC RIGHT HEART CATH WITH CORONARY ANGIO,10699.0,10699.0,,,0 CDM,4819345701,HC RIGHT HEART CATH WITH CORO/GRAFT ANGIO,9606.0,9606.0,,,0 CDM,4819345801,HC LEFT HEART CATH WITH CORONARY ANGIO,8684.0,8684.0,,,0 CDM,4819345901,HC LEFT HEART CATH WITH CORO/GRAFT ANGIO,9369.0,9369.0,,,0 CDM,4819346001,HC RIGHT & LEFT HEART CATH WITH CORONARY ANGIO,9601.0,9601.0,,,0 CDM,4819346101,HC RIGHT & LEFT HEART CATH WITH CORO/GRAFT ANGIO,10285.0,10285.0,,,0 CDM,4819346201,HC LEFT HEART CATH BY TRANSEPTAL PUNCTURE,5552.0,5552.0,,,0 CDM,4819346301,HC ADMIN PHARM AGENT,281.0,281.0,,,0 CDM,4819346401,HC PHYSIOLOGIC EXERCISE STUDY,894.0,894.0,,,0 CDM,4819350301,HC INSERTION SWAN GANZ CATH,1285.0,1285.0,,,0 CDM,4819350501,HC ENDOCARDIAC BIOPSY,2290.0,2290.0,,,0 CDM,4819356301,HC CONGENITAL SELECTIVE CORONARY ANGIOGRAPHY,502.0,502.0,,,0 CDM,4819356501,HC CONGENITAL LV OR LA GRAM,395.0,395.0,,,0 CDM,4819356601,HC CONGENITAL RV OR RA GRAM,517.0,517.0,,,0 CDM,4819356701,HC SUPRAVALVULAR AORTOGRAPHY,327.0,327.0,,,0 CDM,4819356801,HC PULMONARY ANGIOGRAPHY,688.0,688.0,,,0 CDM,4819356901,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI,668.0,668.0,,,0 CDM,4819357101,HC FRACTIONAL FLOW RESERVE 1ST VESSEL,5595.0,5595.0,,,0 CDM,4819357201,HC FRACTIONAL FLOW RESERVE ADDTL,4793.0,4793.0,,,0 CDM,4819357301,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI,1336.0,1336.0,,,0 CDM,4819357401,HC NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY,668.0,668.0,,,0 CDM,4819357501,HC NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA,668.0,668.0,,,0 CDM,4819358001,HC ATRIAL SEPTAL CLOSURE,13515.0,13515.0,,,0 CDM,4819358101,HC VENTRICULAR SEPTAL CLOSURE,25891.0,25891.0,,,0 CDM,4819358301,HC PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER,10571.0,10571.0,,,0 CDM,4819358401,HC VNGRPH CHD ANOM/PERSIST SVC,463.0,463.0,,,0 CDM,4819358501,HC VNGRPH CHD AZYGS/HEMIAZYGS,948.0,948.0,,,0 CDM,4819358601,HC VNGRPH CHD CORONARY SINUS,713.0,713.0,,,0 CDM,4819358701,HC VNGRPH CHD VNVN CLTRL AT/ABV,948.0,948.0,,,0 CDM,4819358801,HC VNGRPH CHD VNVN CLTRL BELOW,948.0,948.0,,,0 CDM,4819359001,HC PERQ TRANSCATH CLS MITRAL,41990.0,41990.0,,,0 CDM,4819359101,HC PERQ TRANSCATH CLS AORTIC,41990.0,41990.0,,,0 CDM,4819359301,HC R HRT CATH CHD NML NT CNJ,2777.0,2777.0,,,0 CDM,4819359401,HC R HRT CATH CHD ABNL NT CNJ,2754.0,2754.0,,,0 CDM,4819359501,HC L HRT CATH CHD NM/ABN NT CNJ,8860.0,8860.0,,,0 CDM,4819359601,HC R&L HRT CATH CHD NML NT CNJ,4166.0,4166.0,,,0 CDM,4819359701,HC R&L HRT CATH CHD ABNL NT CNJ,4166.0,4166.0,,,0 CDM,4819359801,HC CAR OUTP MEAS DRG CATH CHD,517.0,517.0,,,0 CDM,4819360001,HC BUNDLE OF HIS RECORDING,13366.0,13366.0,,,0 CDM,4819360201,HC INTRA-ATRIAL RECORDING,10461.0,10461.0,,,0 CDM,4819360301,HC RIGHT VENTRICULAR RECORDING,2242.0,2242.0,,,0 CDM,4819360901,HC VENT OR ATRIAL MAP TACHY,2273.0,2273.0,,,0 CDM,4819361001,HC INTRA ATRIAL PACING,10461.0,10461.0,,,0 CDM,4819361201,HC INTRAVENTRICULAR PACING,10461.0,10461.0,,,0 CDM,4819361301,HC 3D MAPPING FOR EP,4825.0,4825.0,,,0 CDM,4819361801,HC INDUC ARRHYTH BY HEART RHYTHM PACING,2242.0,2242.0,,,0 CDM,4819361901,HC COMPREHENSIVE EP WO INDUCTION,10211.0,10211.0,,,0 CDM,4819362001,HC COMPREHENSIVE EP WITH INDUCTION,14102.0,14102.0,,,0 CDM,4819362101,HC LA PACING & RECORDING FROM CORONARY SINUS,12248.0,12248.0,,,0 CDM,4819362201,HC COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC,4264.0,4264.0,,,0 CDM,4819362301,HC STIMULATION POST DRUG INFUSION,3967.0,3967.0,,,0 CDM,4819364001,HC ICD LEAD EVALUATION,2927.0,2927.0,,,0 CDM,4819364101,HC ICD LEAD & GENERATOR EVALUATION,2853.0,2853.0,,,0 CDM,4819364201,HC ICD EVALUATION WITH PROGRAMMING,2063.0,2063.0,,,0 CDM,4819364401,HC SUBQ ICD SYSTEM EVALUATION,2121.0,2121.0,,,0 CDM,4819365001,HC ABLATION AV NODE,4791.0,4791.0,,,0 CDM,4819365301,HC COMPRE EP EVAL ABLTJ 3D MAPG TX SVT,27433.0,27433.0,,,0 CDM,4819365401,HC COMPRE EP EVAL ABLTJ 3D MAPG TX VT,22290.0,22290.0,,,0 CDM,4819365501,HC ABLATION 2ND SEPERATE SITE SVT/VT,3735.0,3735.0,,,0 CDM,4819365601,HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION,37856.0,37856.0,,,0 CDM,4819365701,HC ABLATION 2ND SITE POST PVI AFIB,3735.0,3735.0,,,0 CDM,4819379901,HC ANGIOGRAPHY CORONARY W/ IFR W/O ADM PHARM STRESS AGENT,18333.0,18333.0,,,0 CDM,4819379902,HC ASPIRATION THROMBECTOMY CORONARY,1725.0,1725.0,,,0 CDM,4819379905,HC CARDIAC IV DRUG INFUSION,11037.0,11037.0,,,0 CDM,4819379906,HC CARDIOMEMS RECALIBRATION,235.0,235.0,,,0 CDM,4819379907,HC FFR AND IVUS,14490.0,14490.0,,,0 CDM,4819379908,HC FFR RESERVE,7844.0,7844.0,,,0 CDM,4819379910,HC LVAD RAMP STUDY,384.0,384.0,,,0 CDM,4819379913,HC ADENOSINE CHALLENGE,1274.0,1274.0,,,0 CDM,4819379914,HC RFR INITIAL & ADDTL CORONARY ARTERIES,18333.0,18333.0,,,0 CDM,4819379915,"HC BALLOON ANGIOPLASTY PREV PLACED UNDER DEPLOYED STENT W/O STENOSIS, OCCLUSION OR HEMODYNAMIC SIGNIFICANCE",9462.0,9462.0,,,0 CDM,4819379917,HC PROC FRAC FLOW RES (FFR) W/O ADENOSINE,6140.0,6140.0,,,0 CDM,4819379919,HC NONINVASIVE PROGRAM STIMULATION OF A PACEMAKER,1733.12,1733.12,,,0 CDM,4819379921,HC DFR/FFR W/O BASE PROCEDURE,3575.0,3575.0,,,0 CDM,4819379922,HC SHOCKWAVE LITHOTRIPSY W/O BASE PROCEDURE,3198.0,3198.0,,,0 CDM,4819379924,HC VEIN OF MARSHALL ABLATION,29796.0,29796.0,,,0 CDM,4819379926,HC DFR AORTIC VALVE,2160.0,2160.0,,,0 CDM,481C756401,HC PERCUTANEOUS TRANSLUMINAL MECH THROMBECTOMY,11409.0,11409.0,,,0 CDM,481C976401,HC REVASC INTRAVASC LITHOTRIPSY,10150.0,10150.0,,,0 CDM,481C976501,HC REVASC INTRA LITHOTRIP-STENT,26279.0,26279.0,,,0 CDM,481C976601,HC REVASC INTRA LITHOTRIP-ATHER,26279.0,26279.0,,,0 CDM,481C976701,HC REVASC LITHOTRIP-STENT-ATHER,42034.0,42034.0,,,0 CDM,481C977201,HC REVASC LITHOTRIP TIBI/PERONE,26279.0,26279.0,,,0 CDM,481C977301,HC REVASC LITHOTR-STENT TIB/PER,42034.0,42034.0,,,0 CDM,481C977401,HC REVASC LITHOTR-ATHER TIB/PER,42034.0,42034.0,,,0 CDM,481C977501,HC REVASC LITH-STEN-ATH TIB/PER,40306.0,40306.0,,,0 CDM,481G027801,HC ILIAC FEMORAL ANGIO WITH HEART CATH,1469.0,1469.0,,,0 CDM,4829301701,HC STRESS TEST MAXIMUM,923.5,923.5,,,0 CDM,4829462101,HC METABOLIC STRESS TEST B,948.0,948.0,,,0 CDM,4830000001,HC ECHO RESEARCH,979.7349999999999,979.7349999999999,,,0 CDM,4830000002,HC ECHO RESEARCH ADDITIONAL TIME,313.5,313.5,,,0 CDM,4830439T01,HC MYOCARDIAL CONTRAST PERF ECHO,59.0,59.0,,,0 CDM,4839330302,HC ECHO COMPLETE CARDIAC ANOMALY,1187.0,1187.0,,,0 CDM,4839330401,HC ECHO LIMITED CARDIAC ANOMALY,497.0,497.0,,,0 CDM,4839330601,HC ECHO COMP WITH DOPPLER & COLOR FLOW,1169.0,1169.0,,,0 CDM,4839330701,HC ECHO COMPLETE WO DOPPLER & COLOR FLOW,784.5,784.5,,,0 CDM,4839330801,HC ECHO-LIMITED OR FOLLOW-UP,525.5,525.5,,,0 CDM,4839331201,HC ECHO TRANSESOPHAGEAL,1192.0,1192.0,,,0 CDM,4839331501,HC TRANSESOPHAGEAL ECHO CARD ANOMALY,1161.5,1161.5,,,0 CDM,4839331801,HC TEE INTRAOPERATIVE MONITORING,1370.0,1370.0,,,0 CDM,4839331901,HC 3D ECHO OF THE HEART,499.5,499.5,,,0 CDM,4839332001,HC ECHO DOPPLER COMPLETE,134.0,134.0,,,0 CDM,4839332101,HC ECHO DOPPLER LIMITED,56.0,56.0,,,0 CDM,4839332501,HC ECHO COLOR FLOW STUDY,70.0,70.0,,,0 CDM,4839335001,HC ECHO STRESS,843.0,843.0,,,0 CDM,4839335201,HC ECHO STRESS CONTRAST AGENT,114.5,114.5,,,0 CDM,4839335501,HC TEE GUIDE PERQ STRUCTURAL INTERVENTION,682.0,682.0,,,0 CDM,4839335601,HC MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH,488.0,488.0,,,0 CDM,4839366201,HC INTRACARDIAC ECHO,3919.0,3919.0,,,0 CDM,483C892101,HC ECHO COMP CARD ANOMALY WITH CONTRAST,1365.5,1365.5,,,0 CDM,483C892202,HC ECHO LMT CARDIAC ANOMALY WITH CONTRAST,1119.0,1119.0,,,0 CDM,483C892402,HC ECHOCARDIOGRAM LIMITED CONTRAST,1046.5,1046.5,,,0 CDM,483C892502,HC ECHO TRANSESOPHAGEAL WITH CONTRAST,1227.0,1227.0,,,0 CDM,483C892601,HC TRANSESOPHAGEAL ECHO CARD ANOMALY WITH CONTRAST,2091.0,2091.0,,,0 CDM,483C892802,HC ECHO STRESS WITH CONTRAST,1210.0,1210.0,,,0 CDM,483C892902,HC ECHOCARDIOGRAM COMPLETE CONTRAST,1823.5,1823.5,,,0 CDM,483C893001,"TTE W OR W/O CONTR, CONT ECG",2615.5,2615.5,,,0 CDM,5101111F01,HC DISCHRG MEDS RECONCILED W/CURRENT MED LIST,34.0,34.0,,,0 CDM,5101406001,HC TIS TRNFR E/N/E/L 10 SQ CM/<,6571.0,6571.0,,,0 CDM,5101406101,HC TIS TRNFR E/N/E/L10.1-30SQCM,6663.0,6663.0,,,0 CDM,5102958001,HC STRAPPING UNNA BOOT,192.0,192.0,,,0 CDM,5102958101,HC APPLY MULTILAY COMPRS LWR LEG,140.0,140.0,,,0 CDM,5106920901,HC REMOVE IMPACT CERUMEN IRRIGATE,159.0,159.0,,,0 CDM,5109079101,HC PSYCHIATRIC DIAGNOSTIC EVALUATION,224.0,224.0,,,0 CDM,5109083201,HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES,224.0,224.0,,,0 CDM,5109083301,HC PSYCHOTHERAPY PT&/FAMILY W/E&M SRVCS 30 MIN,286.0,286.0,,,0 CDM,5109083401,HC PSYOTHERAPY PATIENT &/ FAMILY 45 MINUTES,224.0,224.0,,,0 CDM,5109083601,HC PSCYOTHERAPY PT&/FAMILY W/E&M SRVCS 45 MIN,244.0,244.0,,,0 CDM,5109083701,HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES,233.0,233.0,,,0 CDM,5109379201,HC ANTICOAG MNGMNT - INITIAL 90,683.0,683.0,,,0 CDM,5109379301,HC ANTICOAG MNGMNT - SUBSEQUENT,232.0,232.0,,,0 CDM,5109604002,HC VIRTUAL GENETIC COUNSELING 30MIN,138.97,138.97,,,0 CDM,5109604101,HC GENETIC COUNSELING 30 MIN,154.0,154.0,,,0 CDM,5109612701,HC BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT,76.0,76.0,,,0 CDM,5109615601,HC HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,125.0,125.0,,,0 CDM,5109615801,HC HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,130.0,130.0,,,0 CDM,5109615901,HC HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,41.0,41.0,,,0 CDM,5109616001,HC PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM,62.0,62.0,,,0 CDM,5109616101,HC CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM,62.0,62.0,,,0 CDM,5109616701,HC HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN,101.0,101.0,,,0 CDM,5109896601,HC NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN,36.0,36.0,,,0 CDM,5109896701,HC NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN,73.0,73.0,,,0 CDM,5109896801,HC NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN,109.0,109.0,,,0 CDM,5109921101,HC EST PT OV BRIEF,126.0,126.0,,,0 CDM,5109921201,HC EST PT OV PROB FOCUSED,126.0,126.0,,,0 CDM,5109921301,HC EST PT OV LOW COMPLEX,137.0,137.0,,,0 CDM,5109921401,HC EST PT OV MOD COMPLEX,179.5,179.5,,,0 CDM,5109921501,HC EST PT OV HIGH COMPLEX,196.0,196.0,,,0 CDM,5109938101,HC INITIAL PREVENTIVE MEDICINE NEW PATIENT,311.0,311.0,,,0 CDM,5109938201,HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS,311.0,311.0,,,0 CDM,5109938301,HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS,311.0,311.0,,,0 CDM,5109938401,HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR,311.0,311.0,,,0 CDM,5109938501,HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,311.0,311.0,,,0 CDM,5109938601,HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,311.0,311.0,,,0 CDM,5109938701,HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>,311.0,311.0,,,0 CDM,5109939101,HC PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y,271.0,271.0,,,0 CDM,5109939201,HC PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS,271.0,271.0,,,0 CDM,5109939301,HC PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS,271.0,271.0,,,0 CDM,5109939401,HC PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS,271.0,271.0,,,0 CDM,5109939501,HC PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS,271.0,271.0,,,0 CDM,5109939601,HC PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS,271.0,271.0,,,0 CDM,5109939701,HC PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER,271.0,271.0,,,0 CDM,5109945701,HC REMOTE PHYSIOLOGIC MONITORING 20 MIN+ PER MONTH,122.0,122.0,,,0 CDM,5109945801,HC REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO,139.0,139.0,,,0 CDM,5109949501,HC TRANSITIONAL CARE MANAGE SRVC 14 DAY DC,399.5,399.5,,,0 CDM,5109949601,HC TRANSITIONAL CARE MANAGE SRVC 7 DAY DC,399.5,399.5,,,0 CDM,5109960501,HC MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT,33.0,33.0,,,0 CDM,5109960601,HC MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT,33.0,33.0,,,0 CDM,5109960701,HC MEDICATION THERAPY EACH ADDITIONAL 15 MIN,33.0,33.0,,,0 CDM,510G040201,HC INITIAL PREVENTIVE EXAM,339.0,339.0,,,0 CDM,510G043801,"HC PPPS, INITIAL VISIT",311.0,311.0,,,0 CDM,510G043901,"HC PPPS, SUBSEQ VISIT",271.0,271.0,,,0 CDM,510G046301,HC HOSPITAL OUTPT CLINIC VISIT,156.5,156.5,,,0 CDM,5166522001,HC UC FB REM FROM CORNEAL WO SLIT,445.0,445.0,,,0 CDM,6100649T01,QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN,5133.0,5133.0,,,0 CDM,6100865T01,HC QUAN MRI ALYS BRAIN W/O DIAGNOSTIC MRI SAME SESS,735.0,735.0,,,0 CDM,6100866T01,HC QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI,735.0,735.0,,,0 CDM,6107054001,HC MRI ORBIT FACE &/NECK W/O CONTRAST,1297.0,1297.0,,,0 CDM,6107054201,HC MRI NECK WITH CONTRAST,1956.5,1956.5,,,0 CDM,6107054301,HC MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,2399.0,2399.0,,,0 CDM,6107155001,HC MRI CHEST WO CONTRAST,1297.0,1297.0,,,0 CDM,6107155101,HC MRI CHEST WITH CONTRAST,1767.5,1767.5,,,0 CDM,6107155201,HC MRI CHEST WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6107155503,HC MRA CHEST WO & WITH CONTRAST,3065.0,3065.0,,,0 CDM,6107219501,HC MRI PELVIS WO CONTRAST,1297.0,1297.0,,,0 CDM,6107219601,HC MRI PELVIS WITH CONTRAST,1860.5,1860.5,,,0 CDM,6107219701,HC MRI PELVIS WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6107321801,HC MRI UPPER EXT NON JOINT WO CONTRAST,1297.0,1297.0,,,0 CDM,6107321901,HC MRI UPPER EXT NON JOINT WITH CONTRAST,1839.0,1839.0,,,0 CDM,6107322001,HC MRI UPPER EXT NON JOINT WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6107322101,HC MRI UPPER EXT JOINT WO CONRAST,1297.0,1297.0,,,0 CDM,6107322201,HC MRI UPPER EXT JOINT WITH CONTRAST,1894.0,1894.0,,,0 CDM,6107322301,HC MRI UPPER EXT JOINT WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6107322501,HC MRA UPPER EXT WO OR WITH CONTRAST,5161.0,5161.0,,,0 CDM,6107322502,HC MRA UPPER EXTREMITY WITH CONTRAST,4203.0,4203.0,,,0 CDM,6107371801,HC MRI LOWER EXT NON JOINT WO CONTRAST,1297.0,1297.0,,,0 CDM,6107371901,HC MRI LOWER EXT NON JOINT WITH CONTRAST,2010.5,2010.5,,,0 CDM,6107372001,HC MRI LOWER EXT NON JOINT WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6107372101,HC MRI LOWER EXT JOINT WO CONTRAST,1297.0,1297.0,,,0 CDM,6107372201,HC MRI LOWER EXT JOINT WITH CONTRAST,2010.5,2010.5,,,0 CDM,6107372301,HC MRI LOWER EXT JOINT WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6107418101,HC MRI ABDOMEN WO CONTRAST,1297.0,1297.0,,,0 CDM,6107418201,HC MRI ABDOMEN WITH CONTRAST,1839.0,1839.0,,,0 CDM,6107418301,HC MRI ABDOMEN WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6107471201,HC MRI FETAL SINGLE OR 1ST FETUS,1514.0,1514.0,,,0 CDM,6107471301,HC MRI FETAL EA ADDL FETUSES,794.0,794.0,,,0 CDM,6107555701,HC MRI CARDIAC FOR MORPHOLOGY,1297.0,1297.0,,,0 CDM,6107555901,HC MRI CARDIAC WITH STRESS IMAGING,2410.5,2410.5,,,0 CDM,6107556101,HC MRI CARDIAC FOR MORPHOLOGY WO & WITH CONTRAST,2074.5,2074.5,,,0 CDM,6107556301,HC MRI CARDIAC WITH STRESS IMAGING & CONTRAST,3538.0,3538.0,,,0 CDM,6107556501,HC MRI CARDIAC VELOCITY FLOW MAP,252.0,252.0,,,0 CDM,6107601401,HC MR SAFETY IMPLANT&/FB ASSMT CLIN STAF 1ST 15 MIN,77.0,77.0,,,0 CDM,6107601501,HC MR SAFETY IMPLANT&/FB ASSMT CLIN STAFF EA ADD 30,135.0,135.0,,,0 CDM,6107601601,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,278.0,278.0,,,0 CDM,6107601701,HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR,761.0,761.0,,,0 CDM,6107601801,HC MR SAFETY IMPLT ELECTRONICS PREPJ SUPVJ PHYS/QHP,289.0,289.0,,,0 CDM,6107601901,HC MR SAFETY IMPLANT POS&/IMMOBLJ SUPVJ PHYS/QHP,187.0,187.0,,,0 CDM,6107639001,HC MRI SPECTROSCOPY,3219.0,3219.0,,,0 CDM,6107639101,HC MAGNETIC RESONANCE ELASTOGRAPHY,1523.0,1523.0,,,0 CDM,6107649801,HC WHOLE BODY MRI,3333.0,3333.0,,,0 CDM,6107702101,HC MRI GUIDANCE FOR NEEDLE PLACE,3117.0,3117.0,,,0 CDM,6107704701,HC MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,1526.0,1526.0,,,0 CDM,6117055101,HC MRI BRAIN WO CONTRAST,1297.0,1297.0,,,0 CDM,6117055201,HC MRI BRAIN W CONTRAST,2010.5,2010.5,,,0 CDM,6117055301,HC MRI BRAIN WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6117055401,HC MRI BRAIN BY TECH,1297.0,1297.0,,,0 CDM,6117055501,HC MRI BRAIN BY PHYS/PSYCH,1762.0,1762.0,,,0 CDM,6117055701,HC MRI BRAIN INTRAOP WO CONTRAST,1620.0,1620.0,,,0 CDM,6127214101,HC MRI CERVICAL SPINE WO CONTRAST,1297.0,1297.0,,,0 CDM,6127214201,HC MRI CERVICAL SPINE WITH CONTRAST,2010.5,2010.5,,,0 CDM,6127214601,HC MRI THORACIC SPINE WO CONTRAST,1297.0,1297.0,,,0 CDM,6127214701,HC MRI THORACIC SPINE WITH CONTRAST,2010.5,2010.5,,,0 CDM,6127214801,HC MRI LUMBAR SPINE WO CONTRAST,1297.0,1297.0,,,0 CDM,6127214901,HC MRI LUMBAR SPINE WITH CONTRAST,2010.5,2010.5,,,0 CDM,6127215601,HC MRI CERVICAL SPINE WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6127215701,HC MRI THORACIC SPINE WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6127215801,HC MRI LUMBAR SPINE WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6146171501,HC MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL,39301.0,39301.0,,,0 CDM,6147033601,HC MRI TEMPOROMANDIBULAR JOINT(S),1297.0,1297.0,,,0 CDM,6147704901,HC ABBREV MRI BREAST WITHOUT & WITH CONTRAST W/CAD BILATERAL,400.0,400.0,,,0 CDM,614C890601,HC MRI BREAST WITH CONTRAST W/CAD BILATERAL,1713.0,1713.0,,,0 CDM,614C890801,HC MRI BREAST WITHOUT & WITH CONTRAST W/CAD BILATERAL,2823.0,2823.0,,,0 CDM,614C893701,HC CAD BREAST MRI,440.0,440.0,,,0 CDM,6157054401,HC MRA HEAD WO CONTRAST,1297.0,1297.0,,,0 CDM,6157054501,HC MRA HEAD WITH CONTRAST,2010.0,2010.0,,,0 CDM,6157054601,HC MRA HEAD WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6157054701,HC MRA NECK WO CONTRAST,1297.0,1297.0,,,0 CDM,6157054801,HC MRA NECK WITH CONTRAST,2299.0,2299.0,,,0 CDM,6157054901,HC MRA NECK WO & WITH CONTRAST,2399.0,2399.0,,,0 CDM,6167219801,HC MRA PELVIS W OR WO CONTRAST,3188.0,3188.0,,,0 CDM,6167219802,HC MRA PELVIS WITH CONTRAST,2956.0,2956.0,,,0 CDM,6167219803,HC MRA PELVIS WITHOUT CONTRAST,2034.0,2034.0,,,0 CDM,6167372501,HC MRA LOWER EXTREMITY W CONTRAST,3165.0,3165.0,,,0 CDM,6167372503,HC MRA LOWER EXTREMITY WO CONTRAST,1968.0,1968.0,,,0 CDM,6167372504,HC MRA-LOWER EXTREM W & W/O CONTR,4174.5,4174.5,,,0 CDM,6187155501,HC MRA CHEST WITH CONTRAST,2400.5,2400.5,,,0 CDM,6187155502,HC MRA CHEST WITHOUT CONTRAST,1888.0,1888.0,,,0 CDM,6187215901,HC MRA SPINE WITH CONTRAST,2332.0,2332.0,,,0 CDM,6187215902,HC MRA SPINE WITH OR WO CONTRAST,2926.5,2926.5,,,0 CDM,6187215903,HC MRA SPINE WITHOUT CONTRAST,1950.5,1950.5,,,0 CDM,6187418501,HC MRA ABDOMEN WITH CONTRAST,2447.0,2447.0,,,0 CDM,6187418502,HC MRA ABDOMEN WITHOUT CONTRAST,2036.5,2036.5,,,0 CDM,6187418503,HC MRA ABDOMEN WO & WITH CONTRAST,3065.0,3065.0,,,0 CDM,619G100701,HC CLINICAL DECISION SUPPORT MECHANISM AIM SPECIALTY HEALTH,0.01,0.01,,,0 CDM,619G100801,HC CLINICAL DECISION SUPPORT MECHANISM CRANBERRY PEAK,0.01,0.01,,,0 CDM,619G101001,HC CLINICAL DECISION SUPPORT MECHANISM STANSON,0.01,0.01,,,0 CDM,619G101201,HC AGILEMD'S CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,619G101301,HC EVIDENCECARE IMAGING ADVISOR,0.01,0.01,,,0 CDM,619G101401,HC INVENIQA'S SEMANTIC ANSWERS IN MEDICINE,0.01,0.01,,,0 CDM,619G101501,HC RELIANT MEDICAL GROUP CDSM,0.01,0.01,,,0 CDM,619G101601,HC SPEED OF CARE CDSM,0.01,0.01,,,0 CDM,619G101701,HC HEALTHHELPS CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,619G101801,HC INFINX CDSM,0.01,0.01,,,0 CDM,619G101901,HC LOGICNETS AUC SOLUTION,0.01,0.01,,,0 CDM,619G102001,HC CURBSIDE CLINICAL AUGMENTED WORKFLOW,0.01,0.01,,,0 CDM,619G102101,HC EHEAHTLINE CLINICAL DECISION SUPPORT MECH,0.01,0.01,,,0 CDM,619G102201,HC INTERMOUNTAIN CLINICAL DECISION SUPPOORT MECH,0.01,0.01,,,0 CDM,619G102301,HC PERSIVIA CLINICAL DECIISION SUPPORT,0.01,0.01,,,0 CDM,6240000001,HC SUPPLY G200093 IMPELLA CP WITH SMART ASSIST,97592.5,97592.5,,,0 CDM,6240000002,HC AORTIC COREVALVE SYSTEM G100012,30900.0,30900.0,,,0 CDM,6240000003,HC APOLLO INTREPID G160020,46350.0,46350.0,,,0 CDM,6240000005,HC GORE AAA EXCLUDER G150057,10349.06,10349.06,,,0 CDM,6240000006,HC GORE AAA EXTENDER G150057,2723.43,2723.43,,,0 CDM,6240000007,HC HEARTMATE III G140113 DEVICE,95318.91,95318.91,,,0 CDM,6240000008,HC RESEARCH SUPPLY 624 COREVALVE EVOLUT,33990.0,33990.0,,,0 CDM,6240000009,HC RESEARCH SUPPLY 624 COREVALVE SURVATI,30900.0,30900.0,,,0 CDM,6240000010,HC RESEARCH SUPPLY 624 NELLIX POLYMER,309.0,309.0,,,0 CDM,6240000011,HC RESEARCH SUPPLY 624 NELLIX SYSTEM,17510.0,17510.0,,,0 CDM,6240000012,HC SU G160209 LOTUS EDGE REPRISE IDE,29273.03,29273.03,,,0 CDM,6240000014,HC SU G190020-CORDELLA PROACTIVE HF,25613.53,25613.53,,,0 CDM,6240000015,HC SU G190272-PVCA GOLD CATHETER IDE,10300.0,10300.0,,,0 CDM,6240000018,LOW RISK BICUSPID G160022,35949.38,35949.38,,,0 CDM,6240000020,HC SU G190087 CITADEL EMBOLIZATION DEVICE STUDY IDE,1.0,1.0,,,0 CDM,6240000021,HC SU G230034 IDE GORE® ASCENDING STENT GRAFT,24720.0,24720.0,,,0 CDM,6240000022,HC SU G230034 IDE GORE® TBE AORTIC COMPONENT,28325.0,28325.0,,,0 CDM,6240000023,HC SU G230034 IDE GORE® TBE SIDE BRANCH COMPONENT,5665.0,5665.0,,,0 CDM,6240000024,HC SU G230034 IDE GORE® TRI-LOBE BALLOON CATHETER,618.0,618.0,,,0 CDM,6240000025,HC SU G230212 IMPEDE-FX RAPIDFILL AAA-SHAPE STUDY IDE,1.0,1.0,,,0 CDM,6240000027,HC CONFORM CLAAS IMPLANT WITH DELIVERY SYSTEM,0.01,0.01,,,0 CDM,6240000030,HC SU G200126 IMPELLA ECP,25750.0,25750.0,,,0 CDM,6240000031,HC SU G220046 EMBLOK DEVICE STUDY IDE,1.0,1.0,,,0 CDM,6240000032,HC SU-G220289 - THECAFLEX DRX SYSTEM - IDE RESEARCH,0.01,0.01,,,0 CDM,6240000033,HC SU G240209 PREVAIL DCB RESEARCH,1.0,1.0,,,0 CDM,6240000040,HC SU ASG PROCEDURE SECONDARY - CAPITATED CASE,77250.0,77250.0,,,0 CDM,6240000067,HC SU G150249 CORCINCH DEVICE STUDY IDE,0.01,0.01,,,0 CDM,6240000068,HC SU G200119-TTVR SYSTEM IDE CAT. A - RESEARCH,0.01,0.01,,,0 CDM,6240000069,SU G230145 GORE TRBR IDE CAT. B -RESEARCH,0.01,0.01,,,0 CDM,6240000070,HC SU G240020 INNOVATE BRIOVAD RESEARCH,241116.0,241116.0,,,0 CDM,6240000071,HC SU G250008 ARISE III IDE GORE® ASCENDING STENT GRAFT,24720.0,24720.0,,,0 CDM,6240000072,HC SU G160196 COSIRA-II RESEARCH,1.0,1.0,,,0 CDM,6240000074,HC SU G210258 REPRIEVE RESEARCH,1.0,1.0,,,0 CDM,6240000075,SU â  G220046 - EMBLOK EMBOLIC PROTECTION SYSTEM,1.0,1.0,,,0 CDM,6240000076,HC SU-G240257 VORO SCAFFOLD,1.0,1.0,,,0 CDM,6240000077,HC SU G250078 AGENT PACLITAXEL COATED BALLOON CATHETER,1.0,1.0,,,0 CDM,6240000078,HC SU G190225 VIRTUE SIROLIMUS ANGIOINFUSION BALLON SAB,1.0,1.0,,,0 CDM,6240000079,HC SU G240300 FARAPULSE⢠PULSED FIELD ABLATION SYSTEM,1.0,1.0,,,0 CDM,6360000023,HC RX DEFINITY 636,49.54,49.54,,,0 CDM,6369028101,HC IMMUNE GLOBULIN (IG) HUMAN GAMASTAN IM USE  0-2ML,145.92,145.92,,,0 CDM,6369028102,HC IMMUNE GLOBULIN (IG) HUMAN GAMASTAN IM USE  2-4 ML,291.84,291.84,,,0 CDM,6369037101,HC VACCINE HBIG IMMUNE GLOBULIN,493.4,493.4,,,0 CDM,6369038001,HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE,742.5,742.5,,,0 CDM,6369038101,HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE,742.5,742.5,,,0 CDM,6369038201,HC RSV MONOCLONAL ANTB SEASONAL DOSE 0.7 ML IM USE,911.0,911.0,,,0 CDM,6369047301,HC VFC VACCINE ADMIN INTRANASAL/ORAL SINGLE,23.03,23.03,,,0 CDM,6369059301,HC CHIKUNGUNYA VIRUS VACCINE RECOMBINANT FOR IM USE,465.0,465.0,,,0 CDM,6369062001,HC VACCINE MENB-4C VACC 2 DOSE IM,166.8,166.8,,,0 CDM,6369062101,HC MENB RECOMBINANT LIPOPROTEIN VACCINE IM,240.88,240.88,,,0 CDM,6369062501,HC CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE,382.0,382.0,,,0 CDM,6369063201,HC VACCINE HEP A ADULT IM,170.53,170.53,,,0 CDM,6369063301,HC VACCINE HEP A PEDS IM,80.28,80.28,,,0 CDM,6369063601,HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM,247.22,247.22,,,0 CDM,6369064701,HC VACCINE HIB PRP OMP,97.36,97.36,,,0 CDM,6369064801,HC VACCINE HIB PRP-T IM,26.81,26.81,,,0 CDM,6369064901,HC VACCINE HPV,378.17,378.17,,,0 CDM,6369065101,HC VACCINE HPV VIRUS 9 VAL IM,334.43,334.43,,,0 CDM,6369065301,HC VACCINE FLU ADJUVANT IM,89.0,89.0,,,0 CDM,6369065601,HC VACCINE FLU PRESERVATIVE FREE AGE 3 OR OLDER,38.0,38.0,,,0 CDM,6369065701,HC VACCINE FLU AGE 3 OR UNDER,27.64,27.64,,,0 CDM,6369065801,HC VACCINE FLUZONE AGE 3 OR OLDER,29.22,29.22,,,0 CDM,6369066001,HC VACCINE FLU NASAL,65.51,65.51,,,0 CDM,6369066003,HC LAIV3 VACCINE LIVE FOR INTRANASAL USE,58.0,58.0,,,0 CDM,6369066202,HC VACCINE FLU SPLIT VIRUS PRESERVATIVE FREE,84.77,84.77,,,0 CDM,6369067001,HC VACCINE PNEUMOCOCCAL 13 VAL IM,344.72,344.72,,,0 CDM,6369067101,HC PCV15 VACCINE FOR INTRAMUSCULAR USE,705.93,705.93,,,0 CDM,6369067201,HC VACCINE FLU 4 VALENT NASAL,1.32,1.32,,,0 CDM,6369067301,HC RIV3 VACCINE PRESERVATIVE FREE FOR IM USE,110.0,110.0,,,0 CDM,6369067501,HC VACCINE RABIES,840.72,840.72,,,0 CDM,6369067801,HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE,378.6,378.6,,,0 CDM,6369067901,HC VACCINE RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE,355.49,355.49,,,0 CDM,6369068001,HC VACCINE ROTOVIRUS 3 DOSE,251.34,251.34,,,0 CDM,6369068201,HC VACCINE FLUBLOK PREFILLED SYRINGE,84.77,84.77,,,0 CDM,6369068401,HC VACCINE PCV21 FOR INTRAMUSCULAR USE,430.0,430.0,,,0 CDM,6369068501,HC VACCINE FLU QUAD SPLIT VIRUS,39.61,39.61,,,0 CDM,6369068601,HC VACCINE FLU NO PRESERVATIVE 4 VAL 3 OR OLDER,35.37,35.37,,,0 CDM,6369068801,HC VACCINE FLU QUADRIVAL AGE 3 OR OLDER IM,31.91,31.91,,,0 CDM,6369069001,HC TYPHOID VACCINE LIVE ORAL,151.8,151.8,,,0 CDM,6369069101,HC TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM,151.8,151.8,,,0 CDM,6369069401,HC FLUAD- AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE,203.19,203.19,,,0 CDM,6369069601,HC VACCINE DTAP IPV KINRIX,110.96,110.96,,,0 CDM,6369069801,HC VACCINE PENTACEL,157.89,157.89,,,0 CDM,6369070001,HC VACCINE DTAP,48.85,48.85,,,0 CDM,6369070201,HC VACCINE DT AGE 7 OR UNDER,22.68,22.68,,,0 CDM,6369070701,HC VACCINE MMR,129.12,129.12,,,0 CDM,6369071001,HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ,153.6,153.6,,,0 CDM,6369071301,HC VACCINE POLIO SUBQ,66.25,66.25,,,0 CDM,6369071401,HC VACCINE TETANUS DIPTHERIA TOXOID,70.91,70.91,,,0 CDM,6369071501,HC VACCINE TDAP AGE 7 OR OLDER,90.05,90.05,,,0 CDM,6369071601,HC VACCINE VARICELLA CHICKEN POX,216.73,216.73,,,0 CDM,6369071701,HC YELLOW FEVER VACCINE LIVE SUBQ,244.6,244.6,,,0 CDM,6369072301,HC VACCINE DTAP HEP B IPV IM,156.18,156.18,,,0 CDM,6369073202,HC VACCINE PNEUMOVAX SUBQ OR IM,158.27,158.27,,,0 CDM,6369073301,HC VACCINE MENINGITIS ACYW SUBQ,257.61,257.61,,,0 CDM,6369073401,HC VACCINE MENINGOCOCCAL CONJ,274.89,274.89,,,0 CDM,6369073601,HC VACCINE ZOSTAVAX SUBQ,495.59,495.59,,,0 CDM,6369073901,HC VACCINE HEP B ADULT 2 DOSE SCHEDULE,82.2,82.2,,,0 CDM,6369074001,HC HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM,560.65,560.65,,,0 CDM,6369074401,HC HEP B VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM,32.41,32.41,,,0 CDM,6369074601,HC VACCINE HEPATITIS B ADULT DOSE,168.75,168.75,,,0 CDM,6369074801,HC VACCINE COMVAX HIB,146.01,146.01,,,0 CDM,6369075001,HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX,234.18,234.18,,,0 CDM,6369131801,HC MODERNA SARSCOV2 VACC 3MCG/0.3ML TRIS-SUCROSE IM USE,131.0,131.0,,,0 CDM,6369131901,HC PFIZER SARSCOV2 VACC 10MCG/0.3ML TRIS-SUCROSE IM USE,176.0,176.0,,,0 CDM,6369132001,HC PFIZER SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE,262.0,262.0,,,0 CDM,6369132101,HC MODERNA SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE,292.0,292.0,,,0 CDM,6369132201,HC MODERNA SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE,292.0,292.0,,,0 CDM,6369132301,HC SARSCOV2 VACCINE 10 MCG/0.2 ML FOR IM USE,863.0,863.0,,,0 CDM,636A955501,HC NM RUBIDIUM/ PER DOSE,1101.0,1101.0,,,0 CDM,636J279001,HC INJECTION RHO D IMMUNE GLOBULIN FULL DOSE,247.06,247.06,,,0 CDM,636J349001,HC IUD UNCLASSIFIED,1472.55,1472.55,,,0 CDM,636J729801,HC IUD MIRENA,1472.55,1472.55,,,0 CDM,636J730001,HC IUD COPPER DEVICE,1636.89,1636.89,,,0 CDM,636J730101,HC IUD SKYLA,2992.27,2992.27,,,0 CDM,636Q203601,HC VACCINE FLULAVAL QIV PREFILLED SYRINGE,28.22,28.22,,,0 CDM,636Q410001,HC SKIN CADAVER 1/4 SQ FT REG,9.24,9.24,,,0 CDM,636Q410002,HC SKIN CADAVER 1/6SQ FT MESHED,9.19,9.19,,,0 CDM,636Q410003,HC SKIN CADAVER 1/6SQ FT NON-MESH,9.19,9.19,,,0 CDM,636Q410004,HC SKIN CADAVER 1/9 SQ FT,9.27,9.27,,,0 CDM,636Q410502,HC OMNIGRAFT KIT STAPL 2.5X2.5 CM,3376.58,3376.58,,,0 CDM,636Q410503,HC OMNIGRAFT KIT STAPL 4X4 CM,4100.25,4100.25,,,0 CDM,636Q410504,HC OMNIGRAFT KIT STAPL 7X7 CM,8200.5,8200.5,,,0 CDM,636Q411002,HC PRIMATRIX 1 SQ CM 14MM DISC,836.77,836.77,,,0 CDM,636Q411003,HC PRIMATRIX 1 SQ CM 18MM DISC,678.62,678.62,,,0 CDM,636Q411004,HC PRIMATRIX 1 SQ CM 3X3 CM,272.98,272.98,,,0 CDM,636Q411005,HC PRIMATRIX 1 SQ CM 4X4CM MESHED,200.55,200.55,,,0 CDM,636Q411006,HC PRIMATRIX 2X2 SQ CM,540.69,540.69,,,0 CDM,636Q413301,HC GRAFIX PL PRIME 1.5X2.0CM (3),1200.21,1200.21,,,0 CDM,636Q413302,HC GRAFIX PL PRIME 2.0X3.0CM (6),750.13,750.13,,,0 CDM,636Q413303,HC GRAFIX PL PRIME 3.0X4.0CM (12),361.78,361.78,,,0 CDM,636Q413304,HC GRAFIXPL PRIME 16.0MM DISC (2),1099.56,1099.56,,,0 CDM,636Q413701,HC AMNIOEXCEL 1 SQ CM 1.5X1.5 CM,927.16,927.16,,,0 CDM,636Q413702,HC AMNIOEXCEL 1 SQ CM 15MM DISC,686.19,686.19,,,0 CDM,636Q413703,HC AMNIOEXCEL 1 SQ CM 18MM DISC,842.87,842.87,,,0 CDM,636Q413704,HC AMNIOEXCEL 1 SQ CM 2X3 CM,634.83,634.83,,,0 CDM,636Q413706,HC AMNIOEXCEL BIODEXCEL 1 SQ CM 3.5 X 3.5CM,261.19,261.19,,,0 CDM,636Q413707,HC AMNIOEXCEL BIODEXCEL 1 SQ CM 4X4 CM,222.03,222.03,,,0 CDM,636Q413708,HC AMNIOEXCEL BIODEXCEL 1 SQ CM 4X8 CM,139.19,139.19,,,0 CDM,636Q413709,HC AMNIOEXCEL 1 SQ CM 12MM DISC,1258.05,1258.05,,,0 CDM,636Q413710,HC AMNIOEXCEL 1 SQ CM 17MM DISC,916.36,916.36,,,0 CDM,636Q413711,HC AMNIOEXCEL 1 SQ CM 24MM DISC,590.01,590.01,,,0 CDM,636Q413712,HC AMNIOEXCEL BIODEXCEL 1 SQ CM 5X5 CM,160.83,160.83,,,0 CDM,636Q418601,HC EPIFIX 1 SQ CM,443.55,443.55,,,0 CDM,636Q418701,HC EPICORD 1 SQ CM,443.55,443.55,,,0 CDM,636Q996601,HC LOCM ISOVUE 250 PER ML,2.77,2.77,,,0 CDM,636Q996701,HC LOCM OMNI 300-349 PER ML,3.27,3.27,,,0 CDM,681G039001,HC ED TRAUMA CENTER 1 ACTIVATION LEVEL 1 PRE NOTIFICATION,9613.0,9613.0,,,0 CDM,681G039002,HC ED TRAUMA CENTER 1 ACTIVATION LEVEL 2 PRE NOTIFICATION,7805.0,7805.0,,,0 CDM,681G039003,HC ED TRAUMA CENTER 1 PRE NOTIFICATION EVALUATION,3579.0,3579.0,,,0 CDM,683G039004,HC ED TRAUMA CENTER 3 ACTIVATION LEVEL 1 PRE NOTIFICATION,7706.0,7706.0,,,0 CDM,683G039005,HC ED TRAUMA CENTER 3 ACTIVATION LEVEL 2 PRE NOTIFICATION,5154.0,5154.0,,,0 CDM,683G039006,HC ED TRAUMA CENTER 3 EVALUATION,3022.0,3022.0,,,0 CDM,7100000007,HC RECOVERY ADDITIONAL 15 MIN,148.0,148.0,,,0 CDM,7100000008,HC RECOVERY CVRU ADDTL 15 MIN,134.0,134.0,,,0 CDM,7100000009,HC RECOVERY CVRU FIRST 1/2 HOUR,622.0,622.0,,,0 CDM,7100000010,HC RECOVERY CVRU LEVEL IV,6032.0,6032.0,,,0 CDM,7100000011,HC RECOVERY FIRST 1/2 HOUR,693.5,693.5,,,0 CDM,7100000012,HC RECOVERY PHASE 2 EACH 15 MIN,87.5,87.5,,,0 CDM,7100000013,HC RECOVERY PHASE 2 EACH 15 MIN,86.5,86.5,,,0 CDM,7200000001,HC MONITOR FETAL INTERNAL,608.0,608.0,,,0 CDM,7205900001,HC AMNIOCENTESIS,753.0,753.0,,,0 CDM,7205900101,HC AMNIOTIC FLUID REDUCTION,719.0,719.0,,,0 CDM,7205902001,HC OCT FETAL CONTRACTION STRESS T,258.0,258.0,,,0 CDM,7205941201,HC OB BREECH VERSION (ECV),4348.0,4348.0,,,0 CDM,7210000001,HC LABOR INDUCTION,1087.0,1087.0,,,0 CDM,7210000002,HC LABOR ROOM FEE EACH HOUR,182.0,182.0,,,0 CDM,7220000001,HC DELIVERY CHARGE,4782.0,4782.0,,,0 CDM,7225920001,HC OB INSERTION CERVICAL DILATOR,392.0,392.0,,,0 CDM,7225941401,HC DELIVERY OF PLACENTA,3022.0,3022.0,,,0 CDM,7235415001,"HC CIRCUMCISION,CLAMP,NEWBORN",1678.0,1678.0,,,0 CDM,7309300501,HC EKG COMPUTER,160.0,160.0,,,0 CDM,7309324201,HC EXTERNAL ECG>48HR<7D RECORDING,215.5,215.5,,,0 CDM,7309324601,HC EXTERNAL ECG>7D<15D RECORDING,270.0,270.0,,,0 CDM,7309327001,HC EKG-SINGLE EVENT ECG RECORDING,138.0,138.0,,,0 CDM,730G040401,HC EKG TRACING INITIAL PREV EXAM,60.0,60.0,,,0 CDM,7319322501,HC HOLTER HOOK-UP,304.0,304.0,,,0 CDM,7319322601,HC HOLTER SCAN ONLY,304.0,304.0,,,0 CDM,7409570001,HC VEEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,864.5,864.5,,,0 CDM,7409570501,HC EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED,864.5,864.5,,,0 CDM,7409570601,HC EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR,864.5,864.5,,,0 CDM,7409570701,HC EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR,864.5,864.5,,,0 CDM,7409570801,HC EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED,1297.0,1297.0,,,0 CDM,7409570901,HC EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR,1657.0,1657.0,,,0 CDM,7409571001,HC EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR,1297.0,1297.0,,,0 CDM,7409571101,HC VEEG BY TECH 2-12 HOURS UNMONITORED,675.0,675.0,,,0 CDM,7409571201,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,864.5,864.5,,,0 CDM,7409571301,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,1657.0,1657.0,,,0 CDM,7409571401,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,1326.5,1326.5,,,0 CDM,7409571501,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,1657.0,1657.0,,,0 CDM,7409571601,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,3103.5,3103.5,,,0 CDM,7409578201,HC POLYSOM UNDER 6 YRS 4 ADDL PARAM ATTND,6839.0,6839.0,,,0 CDM,7409578301,HC POLYSOM UNDER 6 YRS W/CPAP/BILVL VENT 4 ADDL PARAM ATTND,7616.0,7616.0,,,0 CDM,7409580701,HC SLEEP STUDY ATTENDED LIMITED,1463.0,1463.0,,,0 CDM,7409581001,HC POLYSOM 6 YRS OR OLDER 4 ADDL PARAM ATTND,3825.5,3825.5,,,0 CDM,7409581101,HC POLYSOM 6 YRS OR OLDER W/CPAP/BILVL VENT 4 ADDL PARAM ATTND,3825.5,3825.5,,,0 CDM,7409581201,HC EEG 41 TO 60 MINUTES,798.0,798.0,,,0 CDM,7409581301,HC EEG 61 TO 119 MINUTES,958.0,958.0,,,0 CDM,7409581601,HC EEG AWAKE/DROWSY,665.0,665.0,,,0 CDM,7409581901,HC EEG AWAKE AND ASLEEP,665.0,665.0,,,0 CDM,7409582201,HC EEG COMA OR SLEEP ONLY,1002.0,1002.0,,,0 CDM,7409582401,HC EEG CEREBRAL DEATH,782.0,782.0,,,0 CDM,7409582901,HC ELECTROCORTICOGRAM INTRAOP,88.0,88.0,,,0 CDM,7409594001,HC INTRAOP NEURO MON PER 15 MIN,238.0,238.0,,,0 CDM,7409595501,HC EEG IOM,1035.0,1035.0,,,0 CDM,7409595801,HC EEG HEMISPHERIC FUNCTION/WADA,2093.0,2093.0,,,0 CDM,7409596101,HC CORTICAL MAPPING,2184.0,2184.0,,,0 CDM,7409596201,HC BRAIN MAPPING ADDITIONAL HOURS,1091.0,1091.0,,,0 CDM,7500000005,HC ENDOSCOPY LEVEL I PER MINUTE,51.0,51.0,,,0 CDM,7500000006,HC ENDOSCOPY LEVEL II PER MINUTE,80.0,80.0,,,0 CDM,7500000007,HC ENDOSCOPY LEVEL III PER MINUTE,102.5,102.5,,,0 CDM,7500000008,HC ENDOSCOPY LEVEL IV PER MINUTE,157.0,157.0,,,0 CDM,7610000001,HC CRRT DAILY,2528.81,2528.81,,,0 CDM,7610000002,HC CRRT INITIAL SET UP,1934.0,1934.0,,,0 CDM,7610000004,HC PIRRT DAILY,1992.0,1992.0,,,0 CDM,7610493T01,HC NEAR INFRARED SPECTROSCPY STUDIES LOW EXT WOUNDS,102.0,102.0,,,0 CDM,7610859T01,HC NCNTC NR IFR SPECTRSC OTH/THN PAD EA ANTMC SITE,202.0,202.0,,,0 CDM,7610860T01,HC NCNTC NR IFR SPECTRSC SCR PAD W/PROV MANEUVERS,202.0,202.0,,,0 CDM,7611000401,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL,345.0,345.0,,,0 CDM,7611000501,HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,805.0,805.0,,,0 CDM,7611000601,HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,470.0,470.0,,,0 CDM,7611000701,HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION,2560.0,2560.0,,,0 CDM,7611002101,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,447.0,447.0,,,0 CDM,7611004001,HC ACNE SURGERY,349.0,349.0,,,0 CDM,7611006001,HC DRAINAGE OF SKIN ABSCESS SIMPLE,246.0,246.0,,,0 CDM,7611006101,HC DRAINAGE OF SKIN ABSCESS COMP,348.0,348.0,,,0 CDM,7611012001,HC REMOVE FOREIGN BODY SUBQ SIMPLE,382.0,382.0,,,0 CDM,7611012101,HC REMOVE FOREIGN BODY SUBQ COMPLEX,2088.0,2088.0,,,0 CDM,7611014001,HC DRAINAGE OF HEMATOMA FLUID,1407.5,1407.5,,,0 CDM,7611016001,HC TX PUNCTURE DRAINAGE OF LESION,374.0,374.0,,,0 CDM,7611018001,HC INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,2432.0,2432.0,,,0 CDM,7611104201,HC DEBRIDE SUBQ 20 SQ CM OR LESS,408.0,408.0,,,0 CDM,7611104301,HC DEBRIDE MUSC/FASCIA 20 SQ CM OR LESS,566.0,566.0,,,0 CDM,7611104401,HC DEBRIDE BONE 20 SQ CM OR LESS,2430.0,2430.0,,,0 CDM,7611104501,HC DEBRIDE SUBQ TISSUE ADDTL 20 SQ CM,376.0,376.0,,,0 CDM,7611104601,HC DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,369.0,369.0,,,0 CDM,7611104701,HC DEBRIDE BONE ADDTL 20 SQ CM,932.0,932.0,,,0 CDM,7611105501,HC TRIM SKIN LESION,181.0,181.0,,,0 CDM,7611105601,"HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4",199.0,199.0,,,0 CDM,7611105701,HC TRIM SKIN LESIONS 5 OR MORE,237.0,237.0,,,0 CDM,7611110201,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,290.0,290.0,,,0 CDM,7611110301,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,338.0,338.0,,,0 CDM,7611110401,HC BIOPSY OF FLOOR OF MOUTH,446.0,446.0,,,0 CDM,7611110402,HC PUNCH BIOPSY SKIN SINGLE LESION,446.0,446.0,,,0 CDM,7611110501,HC PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,216.0,216.0,,,0 CDM,7611110601,HC INCISIONAL BIOPSY SKIN SINGLE LESION,679.0,679.0,,,0 CDM,7611110701,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,598.0,598.0,,,0 CDM,7611120001,HC EXCISE SKIN TAGS 15 TAGS OR LESS,183.0,183.0,,,0 CDM,7611120101,HC REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10,121.0,121.0,,,0 CDM,7611130001,HC SHAVE SKIN LESION TRUNK 0.5 CM OR LESS,354.0,354.0,,,0 CDM,7611130101,HC SHAVE SKIN LESION TRUNK 0.6 TO 1 CM,469.0,469.0,,,0 CDM,7611130201,HC SHAVE SKIN LESION TRUNK 1.1 TO 2 CM,540.0,540.0,,,0 CDM,7611130501,HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,269.0,269.0,,,0 CDM,7611130601,HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,331.0,331.0,,,0 CDM,7611131002,HC SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<,263.0,263.0,,,0 CDM,7611140001,HC EXCISE BENIGN LESION TRUNK 0.5 CM OR LESS,724.0,724.0,,,0 CDM,7611140101,HC EXCISE BENIGN LESION TRUNK 0.6 TO 1 CM,905.0,905.0,,,0 CDM,7611140201,HC EXCISE BENIGN LESION TRUNK 1.1 TO 2 CM,1074.0,1074.0,,,0 CDM,7611140301,HC EXCISE BENIGN LESION TRUNK 2.1 TO 3 CM,1651.0,1651.0,,,0 CDM,7611140401,HC EXC BENIGN LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM,2361.0,2361.0,,,0 CDM,7611140402,HC EXCISE BENIGN LESION TRUNK,3182.0,3182.0,,,0 CDM,7611140601,HC EXCISE BENIGN LESION TRUNK 4.1 CM OR GREATER,2578.0,2578.0,,,0 CDM,7611142001,HC EXCISE BENIGN LESION SCALP 0.5 CM OR LESS,1447.0,1447.0,,,0 CDM,7611142101,HC EXCISE BENIGN LESION SCALP 0.6 TO 1 CM,1467.0,1467.0,,,0 CDM,7611142201,HC EXCISE BENIGN LESION SCALP 1.1 TO 2 CM,1514.0,1514.0,,,0 CDM,7611142301,HC EXCISE BENIGN LESION SCALP 2.1 TO 3 CM,1589.0,1589.0,,,0 CDM,7611142401,HC EXCISE BENIGN LESION SCALP 3.1 TO 4 CM,1928.0,1928.0,,,0 CDM,7611142601,HC EXCISE BENIGN LESION SCALP 4.1 CM OR GREATER,8441.0,8441.0,,,0 CDM,7611144001,HC EXCISE BENIGN LESION FACE 0.5 CM OR LESS,665.0,665.0,,,0 CDM,7611144101,HC EXCISE BENIGN LESION FACE 0.6 TO 1 CM,688.0,688.0,,,0 CDM,7611144201,HC EXCISE BENIGN LESION FACE 1.1 TO 2 CM,860.0,860.0,,,0 CDM,7611144301,HC EXCISE BENIGN LESION FACE 2.1 TO 3 CM,1672.0,1672.0,,,0 CDM,7611144401,HC EXCISE BENIGN LESION FACE 3.1 TO 4 CM,1694.0,1694.0,,,0 CDM,7611144601,HC EXCISE BENIGN LESION FACE 4.1 CM OR GREATER,2526.0,2526.0,,,0 CDM,7611160001,HC EXCISE MALIGNANT LESION TRUNK 0.5 CM OR LESS,992.0,992.0,,,0 CDM,7611160101,HC EXCISE MALIGNANT LESION TRUNK 0.6 TO 1 CM,735.0,735.0,,,0 CDM,7611160201,HC EXCISE MALIGNANT LESION TRUNK 1.1 TO 2 CM,1039.0,1039.0,,,0 CDM,7611160301,HC EXCISE MALIGNANT LESION TRUNK 2.1 TO 3 CM,1246.0,1246.0,,,0 CDM,7611160401,HC EXCISE MALIGNANT LESION TRUNK 3.1 TO 4 CM,1496.0,1496.0,,,0 CDM,7611160601,HC EXCISE MALIGNANT LESION TRUNK 4.1 CM OR GREATER,1954.0,1954.0,,,0 CDM,7611162001,HC EXCISE MALIGNANT LESION SCALP 0.5 CM OR LESS,1934.0,1934.0,,,0 CDM,7611162101,HC EXCISE MALIGNANT LESION SCALP 0.6 TO 1 CM,735.0,735.0,,,0 CDM,7611162201,HC EXCISE MALIGNANT LESION SCALP 1.1 TO 2 CM,2226.0,2226.0,,,0 CDM,7611162301,HC EXCISE MALIGNANT LESION SCALP 2.1 TO 3 CM,1954.0,1954.0,,,0 CDM,7611162401,HC EXCISE MALIGNANT LESION SCALP 3.1 TO 4 CM,1954.0,1954.0,,,0 CDM,7611164001,HC EXCISE MALIGNANT LESION FACE 0.5 CM OR LESS,735.0,735.0,,,0 CDM,7611164101,HC EXCISE MALIGNANT LESION FACE 0.6 TO 1 CM,846.0,846.0,,,0 CDM,7611164201,HC EXCISE MALIGNANT LESION FACE 1.1 TO 2 CM,974.0,974.0,,,0 CDM,7611164301,HC EXCISE MALIGNANT LESION FACE 2.1 TO 3 CM,1691.0,1691.0,,,0 CDM,7611164401,HC EXCISE MALIGNANT LESION FACE 3.1 TO 4 CM,1934.0,1934.0,,,0 CDM,7611171901,HC TRIM NAIL (S) ANY NUMBER,119.0,119.0,,,0 CDM,7611172001,HC DEBRIDE NAIL 1 TO 5,173.0,173.0,,,0 CDM,7611172101,HC DEBRIDE NAIL 6 OR MORE,198.0,198.0,,,0 CDM,7611173001,HC AVULSION OF NAIL PLATE SINGLE,184.0,184.0,,,0 CDM,7611173201,HC AVULSION OF NAIL PLATE EACH ADDTL,131.0,131.0,,,0 CDM,7611175001,HC REMOVAL OF NAIL BED,447.0,447.0,,,0 CDM,7611176501,HC EXCISION OF NAIL FOLD TOE,432.0,432.0,,,0 CDM,7611190001,HC INJECTION SKIN LESION UP TO 7,209.0,209.0,,,0 CDM,7611195001,HC SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<,209.0,209.0,,,0 CDM,7611195101,HC SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC,765.0,765.0,,,0 CDM,7611195201,HC SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC,765.0,765.0,,,0 CDM,7611195401,HC SUBCUTANEOUS INJECTION FILLING MATRL >10.0 CC,765.0,765.0,,,0 CDM,7611197601,HC REMOVE CONTRACEPTIVE CAPSULE,834.0,834.0,,,0 CDM,7611198101,HC INSERT DRUG IMPLANT DEVICE,115.0,115.0,,,0 CDM,7611198201,HC REMOVE DRUG IMPLANT DEVICE,403.0,403.0,,,0 CDM,7611198301,HC REMOVE AND REINSERT IMPLANT DEVICE,403.0,403.0,,,0 CDM,7611200101,HC ED OBS REPAIR SIMPLE WOUND TRUNK/SCALP 2.5 CM OR LESS,190.0,190.0,,,0 CDM,7611200102,HC REPAIR SIMPLE WOUND TRUNK/SCALP 2.5 CM OR LESS,219.0,219.0,,,0 CDM,7611200201,HC REPAIR SIMPLE WOUND TRUNK/SCALP 2.6 TO 7.5 CM,218.0,218.0,,,0 CDM,7611201101,HC REPAIR SIMPLE WOUND FACE 2.5 CM OR LESS,212.0,212.0,,,0 CDM,7611201301,HC SIMPLE LAC 2.6-5CM FACE,245.0,245.0,,,0 CDM,7611201302,HC SIMPLE REPAIR F/E/E/N/L/M 2.6 CM - 5.0 CM,245.0,245.0,,,0 CDM,7611201401,HC SIMPLE LAC 5.1-7.5CM FACE,326.0,326.0,,,0 CDM,7611201501,HC SIMPLE LAC 7.6-12.5CM FACE,778.0,778.0,,,0 CDM,7611201601,HC SIMPLE LAC 12.6-20CM FACE,658.0,658.0,,,0 CDM,7611202001,HC CLOSURE OF SIMPLE WOUND SUPERFICIAL,703.0,703.0,,,0 CDM,7611203101,HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.5 CM OR LESS,374.0,374.0,,,0 CDM,7611203201,HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.6 TO 7.5 CM,418.0,418.0,,,0 CDM,7611204101,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 2.5 CM OR LESS,517.0,517.0,,,0 CDM,7611204201,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 2.6 TO 7.5 CM,515.0,515.0,,,0 CDM,7611205101,HC REPAIR INTERMEDIATE WOUND FACE 2.5 CM OR LESS,374.0,374.0,,,0 CDM,7611205201,HC REPAIR INTERMEDIATE WOUND FACE 2.6 TO 5 CM,429.0,429.0,,,0 CDM,7611205301,HC INTMD LAC 5.1-7.5 CM,493.0,493.0,,,0 CDM,7611205401,HC INTMD LAC 7.6-12.5CM FACE,658.0,658.0,,,0 CDM,7611205501,HC INTMD LAC 12.6-20CM FACE,658.0,658.0,,,0 CDM,7611310001,HC REPAIR COMPLEX WOUND TRUNK 1.1 TO 2.5 CM,1220.0,1220.0,,,0 CDM,7611310101,HC REPAIR COMPLEX WOUND TRUNK 2.6 TO 7. 5CM,839.0,839.0,,,0 CDM,7611310201,HC REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<,188.0,188.0,,,0 CDM,7611312101,HC REPAIR COMPLEX WOUND SCALP 2.6 TO 7.5 CM,1040.0,1040.0,,,0 CDM,7611313101,HC COMPLEX LAC 1.1 TO 2.5 CM,570.0,570.0,,,0 CDM,7611313201,HC COMPLEX LAC 2.6 TO 7.5CM,905.0,905.0,,,0 CDM,7611313301,HC REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<,251.0,251.0,,,0 CDM,7611315101,HC REPAIR COMPLEX WOUND EYE/NOSE/EARS 1.1 TO 2.5CM,791.0,791.0,,,0 CDM,7611315201,HC REPAIR COMPLEX WOUND EYE/NOSE/EARS 2.6 TO 7.5CM,911.0,911.0,,,0 CDM,7611430101,HC ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM,4692.0,4692.0,,,0 CDM,7611500201,HC PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT,2364.0,2364.0,,,0 CDM,7611500202,HC PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT,2285.0,2285.0,,,0 CDM,7611500401,HC PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,741.0,741.0,,,0 CDM,7611510001,HC SPLIT AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD,1688.0,1688.0,,,0 CDM,7611510101,HC SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,280.0,280.0,,,0 CDM,7611512001,HC SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/100SCM 1ST 100SCM,4692.0,4692.0,,,0 CDM,7611527401,HC APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM,100.0,100.0,,,0 CDM,7611527501,HC SKIN SUB GRAFT FACE/NK/HF/G,2671.0,2671.0,,,0 CDM,7611527601,HC SKIN SUB GRAFT F/N/HF/G ADDL,97.0,97.0,,,0 CDM,7611527701,HC SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM,2125.0,2125.0,,,0 CDM,7611527801,HC SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM,160.0,160.0,,,0 CDM,7611585201,HC DRESSING CHANGE WITH ANESTHESIA,1262.0,1262.0,,,0 CDM,7611585301,HC REMOVAL SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,66.5,66.5,,,0 CDM,7611585401,HC REMOVAL SUTURES AND STAPLES NOT REQUIRING ANESTHESIA,133.0,133.0,,,0 CDM,7611602001,HC TX BURN CLINIC-TREAT BURN SMALL,232.0,232.0,,,0 CDM,7611602501,HC TX BURN CLINIC-TREAT BURN MEDIUM,266.0,266.0,,,0 CDM,7611603001,HC TX BURN CLINIC-TREAT BURN LARGE,517.0,517.0,,,0 CDM,7611603501,HC ED OBS INCISION OF BURN SCAB INIT,615.0,615.0,,,0 CDM,7611603502,HC ESCHAROTOMY FIRST INCISION,451.0,451.0,,,0 CDM,7611603601,HC ED OBS ESCHAROTOMY ADDITIONAL INCISION,258.0,258.0,,,0 CDM,7611603602,HC ESCHAROTOMY EACH ADDITIONAL INCISION,236.0,236.0,,,0 CDM,7611700001,HC DESTRUCT 1ST BENIGN LESION,211.0,211.0,,,0 CDM,7611700301,HC DESTRUCT BENIGN LESION 2-14,104.0,104.0,,,0 CDM,7611711001,HC DESTRUCT BENIGN LESION 1 TO 14,183.0,183.0,,,0 CDM,7611725001,HC CHEMICAL CAUTERIZATION,209.0,209.0,,,0 CDM,7611799901,HC 02 SAT NIR SKIN MUCOUS MEM OR SUBQ TISSUE,250.0,250.0,,,0 CDM,7611910101,HC OPEN BIOPSY OF BREAST,8343.0,8343.0,,,0 CDM,7611912001,HC EXCISION OF CYST BREAST,8622.0,8622.0,,,0 CDM,7611928701,HC BREAST LOCAL DEVICE 1ST LESION WITH MRI GUIDE,2471.0,2471.0,,,0 CDM,7611928801,HC BREAST LOCAL DEVICE ADDTL LESION WITH MRI GUIDE,335.0,335.0,,,0 CDM,7611935001,HC NIPPLE/AREOLA RECONSTRUCTION,13543.0,13543.0,,,0 CDM,7611949901,HC 02 SAT NIR BREAST,4532.0,4532.0,,,0 CDM,7612052601,HC INJECTION STEROID CARPAL TUN,367.0,367.0,,,0 CDM,7612055001,HC INJECTION TENDON LIGAMENT,474.0,474.0,,,0 CDM,7612055101,HC INJECTION SINGLE TENDON ORIGIN/INSERTION,711.0,711.0,,,0 CDM,7612055201,HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,348.0,348.0,,,0 CDM,7612055301,HC TRIGGER POINT INJ 3 + MUSCLE,482.0,482.0,,,0 CDM,7612060001,HC TX INJECTION ARTHROCENTESIS SMALL JT,338.0,338.0,,,0 CDM,7612060501,HC INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US,389.0,389.0,,,0 CDM,7612060601,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,959.0,959.0,,,0 CDM,7612061001,HC TX INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US,446.0,446.0,,,0 CDM,7612061201,HC ASPIRATION INJECTION GANGLION CYST,600.0,600.0,,,0 CDM,7612066001,HC ED OBS APPLY REM FIXATION DEVICE,5659.0,5659.0,,,0 CDM,7612066501,HC RAD ONC HALO REMOVAL,1601.0,1601.0,,,0 CDM,7612067001,HC REMOVAL IMPLANT SUPERFICIAL,1297.0,1297.0,,,0 CDM,7612099901,HC 02 SAT NIR MUSCULOSKELETAL SYSTEM GENERAL,272.0,272.0,,,0 CDM,7612099902,HC PT SHOCKWAVE,62.0,62.0,,,0 CDM,7612101201,HC EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>,4233.0,4233.0,,,0 CDM,7612101301,HC EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM,4192.0,4192.0,,,0 CDM,7612104001,HC EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL & CURT,3751.0,3751.0,,,0 CDM,7612132001,HC CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,4304.0,4304.0,,,0 CDM,7612134501,HC ED OBS CLOSED TX NOSE/JAW FX,2010.0,2010.0,,,0 CDM,7612143101,HC ED OBS TREAT CRANIOFACIAL FRACTURE,2258.0,2258.0,,,0 CDM,7612144501,HC TREAT DENTAL RIDGE FRACTURE,7887.0,7887.0,,,0 CDM,7612148501,HC ED OBS RESET DISLOCATED JAW,1785.0,1785.0,,,0 CDM,7612155001,HC BIOPSY SOFT TISSUE NECK/THORAX,1766.0,1766.0,,,0 CDM,7612155501,HC EXCISION TUMOR SUBQ NECK THORAX,1694.0,1694.0,,,0 CDM,7612231001,HC ED OBS CLOSED TX VERT FX W/O MANIP,880.0,880.0,,,0 CDM,7612299901,"HC 02 SAT NIR ABDOMEN, MUSCULOSKELETAL SYSTEM",272.0,272.0,,,0 CDM,7612333301,HC ED OBS REMOVAL SHOULDER FOREIGN BODY DEEP,3406.0,3406.0,,,0 CDM,7612350001,HC CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,373.0,373.0,,,0 CDM,7612357001,HC CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,373.0,373.0,,,0 CDM,7612360001,HC CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,373.0,373.0,,,0 CDM,7612362001,HC CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,373.0,373.0,,,0 CDM,7612366501,HC CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ,1656.0,1656.0,,,0 CDM,7612420101,HC ED OBS REMOVAL OF ARM FOREIGN BODY,7720.0,7720.0,,,0 CDM,7612450001,HC TX CLOSED TX HUMERAL SHAFT FX WITHOUT MAN,373.0,373.0,,,0 CDM,7612453001,HC CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ,373.0,373.0,,,0 CDM,7612453501,HC CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ,1433.0,1433.0,,,0 CDM,7612456001,HC CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,435.0,435.0,,,0 CDM,7612457601,HC CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,507.0,507.0,,,0 CDM,7612460001,HC TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,329.0,329.0,,,0 CDM,7612465001,HC CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,373.0,373.0,,,0 CDM,7612465501,HC CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,1656.0,1656.0,,,0 CDM,7612467001,HC CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ,373.0,373.0,,,0 CDM,7612467501,HC CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,1656.0,1656.0,,,0 CDM,7612524801,HC ED OBS REMOVAL FOREARM FOREIGN BODY,1932.0,1932.0,,,0 CDM,7612550001,HC TX CLOSED TX RAD SHAFT WITHOUT,381.0,381.0,,,0 CDM,7612553001,HC CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION,426.0,426.0,,,0 CDM,7612553501,HC CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,490.0,490.0,,,0 CDM,7612556001,HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN,367.0,367.0,,,0 CDM,7612556501,HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ,1433.0,1433.0,,,0 CDM,7612560001,HC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ,373.0,373.0,,,0 CDM,7612560501,HC CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF,1433.0,1433.0,,,0 CDM,7612562201,HC TX CLOSED TX NAVICULAR WITHOUT MAN,498.0,498.0,,,0 CDM,7612563001,HC TX CLOSED TX CARP SCAP WITHOUT,428.0,428.0,,,0 CDM,7612565001,HC CLOSED TREATMENT ULNAR STYLOID FRACTURE,274.0,274.0,,,0 CDM,7612601101,HC TX INCISION AND DRAINAGE FINGER ABSCESS SIMPLE,1447.0,1447.0,,,0 CDM,7612605501,HC INCISE FINGER TENDON SHEATH,1892.0,1892.0,,,0 CDM,7612607501,HC ARTHROTOMY WITH EXPLORE MCP,8663.0,8663.0,,,0 CDM,7612608001,HC ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA,3552.0,3552.0,,,0 CDM,7612658701,HB RECONST POLYDACT DIGIT SOFT TIS & BONE,3928.0,3928.0,,,0 CDM,7612660001,HC CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ,580.0,580.0,,,0 CDM,7612667501,HC ED OBS TREAT HAND DISLOCATON,1892.0,1892.0,,,0 CDM,7612672001,HC CLOSE RX PROX/MID FING SHFT FX,247.0,247.0,,,0 CDM,7612674001,HC CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ,374.0,374.0,,,0 CDM,7612677501,HC ED OBS TREAT FINGER DISLOCATION,688.0,688.0,,,0 CDM,7612695101,HC AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,3366.0,3366.0,,,0 CDM,7612708601,HC ED OBS REMOVE HIP FOREIGN BODY,3406.0,3406.0,,,0 CDM,7612708701,HC ED OBS REMOVE HIP FOREIGN BODY DEEP,3925.0,3925.0,,,0 CDM,7612709601,HC INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA,261.0,261.0,,,0 CDM,7612719701,HC CLSD TX PELVIC RING FX W/O MANIPULATION,373.0,373.0,,,0 CDM,7612720001,HC CLOSED TREATMENT COCCYGEAL FRACTURE,495.0,495.0,,,0 CDM,7612722001,HC CLTX ACETABULUM HIP/SOCKT FX W/O MANJ,416.0,416.0,,,0 CDM,7612723201,HC ED OBS TREAT THIGH FRACTURE,2342.0,2342.0,,,0 CDM,7612724001,HC ED OBS REVISION OF UNSTABLE KNEECAP,2987.0,2987.0,,,0 CDM,7612724601,HC CLTX GREATER TROCHANTERIC FX W/O MANJ,426.0,426.0,,,0 CDM,7612750101,HC CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ,495.0,495.0,,,0 CDM,7612750801,HC CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,373.0,373.0,,,0 CDM,7612751001,HC CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,1932.0,1932.0,,,0 CDM,7612752001,HC CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,373.0,373.0,,,0 CDM,7612753001,HC CLTX TIBIAL FX PROXIMAL W/O MANIPULATION,371.0,371.0,,,0 CDM,7612753801,HC CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN,580.0,580.0,,,0 CDM,7612755201,HC ED OBS TREAT KNEE DISLOCATION,1941.0,1941.0,,,0 CDM,7612756001,HC CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA,329.0,329.0,,,0 CDM,7612775001,HC TX CLOSED TX TIBIAL FX WITHOUT MAN,323.0,323.0,,,0 CDM,7612776001,HC CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION,373.0,373.0,,,0 CDM,7612776701,HC CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,426.0,426.0,,,0 CDM,7612776702,HC ED OBS CLTX POST ANKLE FX,492.0,492.0,,,0 CDM,7612776801,HC ED OBS CLTX POST ANKLE FX W/MANIP,1656.0,1656.0,,,0 CDM,7612778001,HC CLTX PROX FIBULA/SHFT FX W/O MANJ,373.0,373.0,,,0 CDM,7612778002,HC TX CLOSED TX PROX FIB WITHOUT MAN,502.0,502.0,,,0 CDM,7612778601,HC CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ,333.0,333.0,,,0 CDM,7612778801,HC CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,416.0,416.0,,,0 CDM,7612780801,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,373.0,373.0,,,0 CDM,7612781001,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ,1433.0,1433.0,,,0 CDM,7612781601,HC CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,356.0,356.0,,,0 CDM,7612781801,HC CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION,1932.0,1932.0,,,0 CDM,7612782401,HC CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ,426.0,426.0,,,0 CDM,7612782501,HC CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,1932.0,1932.0,,,0 CDM,7612784201,HC ED OBS TREAT ANKLE DISLOCATION,1656.0,1656.0,,,0 CDM,7612789901,HC 02 SAT NIR LEG OR ANKLE,285.0,285.0,,,0 CDM,7612819201,HC TX FB REMOVAL OF FOOT DEEP,2242.0,2242.0,,,0 CDM,7612840001,HC TX CLOSED TX CALCANEAL WITHOUT MAN,426.0,426.0,,,0 CDM,7612843001,HC TX CLOSED TX TALUS WITHOUT MAN,373.0,373.0,,,0 CDM,7612845001,HC TX TARSAL WITHOUT EACH,373.0,373.0,,,0 CDM,7612847001,HC TX CLOSED TX METATARSAL WITHOUT MAN,373.0,373.0,,,0 CDM,7612849001,HC TX CLOSED TX GREAT TOE WITHOUT MAN,240.0,240.0,,,0 CDM,7612851001,HC CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ,326.0,326.0,,,0 CDM,7612854501,HC ED OBS TREAT TARSAL DISLOCATION,3925.0,3925.0,,,0 CDM,7612857501,HC ED OBS TREAT TALO TARSAL DISLOCATION,3925.0,3925.0,,,0 CDM,7612860001,HC CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES,320.0,320.0,,,0 CDM,7612860501,HC ED OBS TREAT TARSOMETATARSAL DISLOCATION,783.0,783.0,,,0 CDM,7612882501,HC AMPUTATION TOE INTERPHALANGEAL JOINT,5008.0,5008.0,,,0 CDM,7612889901,HC 02 SAT NIR FOOT OR TOES,285.0,285.0,,,0 CDM,7612906501,HC TX APPLY LONG ARM CAST,246.0,246.0,,,0 CDM,7612907501,HC TX APPLY SHORT ARM CAST,246.0,246.0,,,0 CDM,7612910501,HC TX APPLY LONG ARM SPLINT,181.0,181.0,,,0 CDM,7612912501,HC TX APPLY SHORT ARM SPLINT,181.0,181.0,,,0 CDM,7612912601,HC ED OBS APPLY FOREARM SPLINT,149.0,149.0,,,0 CDM,7612913001,HC APPLY FINGER SPLINT,209.0,209.0,,,0 CDM,7612934501,HC TX APPLY LONG LEG CAST,246.0,246.0,,,0 CDM,7612935501,HC APPLY LONG LEG WALKING CAST,246.0,246.0,,,0 CDM,7612936501,HC CAST CYLINDER SYNTHETIC,729.0,729.0,,,0 CDM,7612940501,HC TX APPLY SHORT LEG CAST,246.0,246.0,,,0 CDM,7612942501,HC TX APPLY SHORT LEG WALKING CAST,248.0,248.0,,,0 CDM,7612944501,HC TX APPLY RIGID CONTACT CAST LEG,248.0,248.0,,,0 CDM,7612950501,HC TX APPLY LONG LEG SPLINT,187.0,187.0,,,0 CDM,7612951501,HC TX APPLY SHORT LEG SPLINT,143.0,143.0,,,0 CDM,7613002001,HC DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM,535.0,535.0,,,0 CDM,7613010001,HC BIOPSY INTRANASAL,3455.0,3455.0,,,0 CDM,7613030001,HC FB REMOVAL INTRANASAL,251.0,251.0,,,0 CDM,7613090101,HC CONTRL NASAL HEMORRHAGE SIMPLE,112.0,112.0,,,0 CDM,7613090102,"HC CTRL NOSEBLEED,ANTER,SIMPLE",130.0,130.0,,,0 CDM,7613090103,"HC CTRL NOSEBLEED,ANTER,SIMPLE",130.0,130.0,,,0 CDM,7613090301,HC CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,177.0,177.0,,,0 CDM,7613090501,HC CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST,291.0,291.0,,,0 CDM,7613123101,HC NASAL ENDOSCOPY DX,215.0,215.0,,,0 CDM,7613123701,HC NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX,4939.0,4939.0,,,0 CDM,7613123801,HC ED OBS NASAL SINUS ENDOSCOPY,3026.0,3026.0,,,0 CDM,7613150201,HC TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,305.0,305.0,,,0 CDM,7613157501,HC LARYNGOSCOPY FLEX DIAGNOSTIC,624.0,624.0,,,0 CDM,7613157601,HC LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES),4958.0,4958.0,,,0 CDM,7613157901,HC LARYNGOSCOPY WITH STROBOSCOPY,745.0,745.0,,,0 CDM,7613160001,HC TRACHEOSTOMY PLANNED,10459.0,10459.0,,,0 CDM,7613161501,HC TRACHEOBRONCH THROUGH TRACH,1472.0,1472.0,,,0 CDM,7613162201,BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX,5955.0,5955.0,,,0 CDM,7613162401,"HC BRONCHOSCOPY,DIAGNOSTIC W LAVAGE",2505.0,2505.0,,,0 CDM,7613172001,HC BRONCHIAL ALVEOLAR LAVAGE,315.0,315.0,,,0 CDM,7613182001,SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT PLASTIC REPAIR,9911.0,9911.0,,,0 CDM,7613189901,HC TRACH TAKEDOWN OR DOWNSIZE,277.0,277.0,,,0 CDM,7613255201,HC RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF,4331.0,4331.0,,,0 CDM,7613255401,HC THORACENTESIS WO IMAGE GUIDANCE,1600.0,1600.0,,,0 CDM,7613260101,HC THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX,18736.0,18736.0,,,0 CDM,7613260901,HC THORACOSCOPY WITH BIOPSYIES OF PLEURA,18736.0,18736.0,,,0 CDM,7613265001,HC THORACOSCOPY W/PLEURODESIS,18736.0,18736.0,,,0 CDM,7613265101,HC THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION,22483.0,22483.0,,,0 CDM,7613325501,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,3183.0,3183.0,,,0 CDM,7613394601,HC ECMO INITIAL DAY VV,4675.0,4675.0,,,0 CDM,7613394701,HC ECMO INITIAL DAY VA,4675.0,4675.0,,,0 CDM,7613394801,HC ECMO SUBSEQUENT DAY VV,3099.0,3099.0,,,0 CDM,7613394901,HC ECMO SUBSEQUENT DAY VA,3099.0,3099.0,,,0 CDM,7613396601,HC ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER,2390.0,2390.0,,,0 CDM,7613624601,HC TX PL CATH ART 2ND BELOW DIA,1372.0,1372.0,,,0 CDM,7613624701,HC TX SUP MESENT ARTERY 3RD ORDER,2065.0,2065.0,,,0 CDM,7613625401,HC RENAL ANGIO BILATERAL 2 AND UP,5882.0,5882.0,,,0 CDM,7613640501,HC VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN,29.0,29.0,,,0 CDM,7613640601,HC VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN,26.0,26.0,,,0 CDM,7613641001,HC NON ROUTINE BLOOD DRAW,23.0,23.0,,,0 CDM,7613641601,HC TX COLLECT CAP BLD SPEC,48.0,48.0,,,0 CDM,7613651001,HC ED OBS INSERTION OF CATHETER VEIN,157.0,157.0,,,0 CDM,7613652201,HC PHOTOPHERESIS,8010.0,8010.0,,,0 CDM,7613656801,HC INSERTION PICC W/O IMG GDN LESS THAN 5 YR,3019.0,3019.0,,,0 CDM,7613656901,HC INSERTION PICC W/O IMG GDN GREATER THAN 5 YR,2248.0,2248.0,,,0 CDM,7613659301,HC DECLOTTING CATH/ACCESS DEVICE,605.0,605.0,,,0 CDM,7613660001,HC ED OBS WITHDRAWAL OF ARTERIAL BLOOD,210.0,210.0,,,0 CDM,7613662501,HC ED OBS INSERTION CATHETER ARTERY,261.0,261.0,,,0 CDM,7613666001,HC ED OBS INSERTION CATHETER ARTERY NEWBORN,233.0,233.0,,,0 CDM,7613719201,HC IVC FILTER REPOSITIONING,4141.5,4141.5,,,0 CDM,7613721101,HC THROMBOLYTIC ART THER INITIAL,6800.0,6800.0,,,0 CDM,7613721201,HC THROMBOLYTIC VEN THER INITIAL,3527.0,3527.0,,,0 CDM,7613721301,HC THROMBOLYTIC THER SUBSEQUENTIAL,3403.0,3403.0,,,0 CDM,7613722301,HC ILIAC STENT EACH ADDTL,6595.0,6595.0,,,0 CDM,7613722701,HC FEM/POP STENT AND ATHRECTOMY,24247.0,24247.0,,,0 CDM,7613779901,HC EXTERNAL CAROTID ANGIOGRAPHY W/O BSE PROCEDURE,3653.0,3653.0,,,0 CDM,7613820701,HC AUTO TRNSPL CRYO/STORE CELL,3047.0,3047.0,,,0 CDM,7613820801,HC AUTO TRNSPL THAW CELL WO WASH,1630.0,1630.0,,,0 CDM,7613821401,HC AUTO TRNSPL PLASMA DEPLETN,3446.0,3446.0,,,0 CDM,7613822001,HC DIAGNOSTIC BONE MARROW ASPIRATION,1440.0,1440.0,,,0 CDM,7613822101,HC DIAGNOSTIC BONE MARROW BIOPSY,3193.0,3193.0,,,0 CDM,7613824001,HC TRNSPL ALLO SCT BMT,44370.34,44370.34,,,0 CDM,7613824101,HC TRNSPL AUTO SCT BMT,5103.97,5103.97,,,0 CDM,7613824201,HC TRNSPL ALLO SCT BMT LYMPH INF,2751.65,2751.65,,,0 CDM,7613850001,HC EXC BIOPSY LYMPH NODES,3922.0,3922.0,,,0 CDM,7614049001,HC BIOPSY OF LIP,294.0,294.0,,,0 CDM,7614065001,HC REPAIR LIP FULL THICKNESS,835.0,835.0,,,0 CDM,7614065201,HC ED OBS REPAIR LIP,718.0,718.0,,,0 CDM,7614065401,HC REPAIR LIP FULL/COMPLEX,1608.0,1608.0,,,0 CDM,7614080001,HC I&D ABSCESS DENTOALVEOLAR,692.0,692.0,,,0 CDM,7614080101,"HC DRAIN MOUTH ABSC/CYST/HEMAT,COMPLX",604.0,604.0,,,0 CDM,7614080401,HC ED OBS REMVL IMBED FB MOUTH,1115.0,1115.0,,,0 CDM,7614080501,HC ED OBS REMOVAL FOREIGN BODY MOUTH,730.0,730.0,,,0 CDM,7614080801,HC BIOPSY OF MOUTH LESION,650.0,650.0,,,0 CDM,7614080802,HC BIOPSY OF MOUTH LESION,960.0,960.0,,,0 CDM,7614081001,HC EXCISION OF MOUTH LESION,4716.0,4716.0,,,0 CDM,7614081201,HC EXCISE/REPAIR MOUTH LESION,4716.0,4716.0,,,0 CDM,7614081401,"HC EXCISE/REPAIR MOUTH LESION, COMPLEX",4716.0,4716.0,,,0 CDM,7614083001,HC CLOSURE LAC VEST<2.5CM,376.0,376.0,,,0 CDM,7614083101,HC CLOSURE LAC VEST>2.5CM,974.0,974.0,,,0 CDM,7614100001,HC INTRAORAL I&D ABSCESS,719.0,719.0,,,0 CDM,7614100601,"HC DRAINAGE OF MOUTH LESION, SUBLING DEEP",1797.0,1797.0,,,0 CDM,7614100701,HC INTRAORAL I&D SUBMENTAL,2253.0,2253.0,,,0 CDM,7614100801,HC INTRAORAL I&D SUBMANDIBULAR,2790.0,2790.0,,,0 CDM,7614100901,HC ED OBS INTRAORAL I&D TONGUE,804.0,804.0,,,0 CDM,7614101001,HC INCISION OF TONGUE,1886.0,1886.0,,,0 CDM,7614101501,HC DRAINAGE OF MOUTH LESION SUBLINGUAL,835.0,835.0,,,0 CDM,7614101601,HC EXTRAORAL I&D SUBMENTAL,9202.0,9202.0,,,0 CDM,7614101701,HC DRAINAGE OF MOUTH LESION SUBMNDB,3459.0,3459.0,,,0 CDM,7614101801,HC DRAINAGE OF MOUTH LESION MASTICATOR SPACE,2407.0,2407.0,,,0 CDM,7614110001,"HC BIOPSY TONGUE, ANTER 2/3",1238.0,1238.0,,,0 CDM,7614110501,HC BIOPSY TONGUE POSTERIOR ONE-THIRD,8716.0,8716.0,,,0 CDM,7614110801,HC BS BIOPSY FLOOR MOUTH,5604.0,5604.0,,,0 CDM,7614111201,HC EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS,3253.0,3253.0,,,0 CDM,7614125001,HC REPAIR LAC TONGUE,308.0,308.0,,,0 CDM,7614125101,HC REPAIR ONE-THIRD TONGUE,379.0,379.0,,,0 CDM,7614125201,HC REPAIR LAC TONGUE>2.6CM,322.0,322.0,,,0 CDM,7614159901,HC CLOSED BIOPSY OF THE TONGUE,1383.0,1383.0,,,0 CDM,7614180001,HC ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,266.0,266.0,,,0 CDM,7614183001,HC REMOVAL OF GUM TISSUE,4662.0,4662.0,,,0 CDM,7614187401,HC ALVEOLOPLASTY EACH QUADRANT SPECIFY,10122.0,10122.0,,,0 CDM,7614189901,HC UNLISTED TOOTH 1-3 EXTRACTIONS,465.0,465.0,,,0 CDM,7614189902,HC UNLISTED TOOTH 10-12 EXTRACTIONS,1832.0,1832.0,,,0 CDM,7614189903,HC UNLISTED TOOTH 4-6 EXTRACTIONS,698.0,698.0,,,0 CDM,7614189904,HC UNLISTED TOOTH 7-9 EXTRACTIONS,1047.0,1047.0,,,0 CDM,7614200001,HC DRAIN ABSCESS PALATE,251.0,251.0,,,0 CDM,7614210001,HC BIOPSY PALATE/UVULA,3065.0,3065.0,,,0 CDM,7614218001,HC REPAIR PALATE LAC UP TO 2CM,634.0,634.0,,,0 CDM,7614218201,HC REPAIR LACERATION PALATE,8109.0,8109.0,,,0 CDM,7614230001,"HC DRAIN ABSCESS PAROTID,SIMPLE",3109.0,3109.0,,,0 CDM,7614233001,HC REMOVAL OF SALIVARY STONE,3253.0,3253.0,,,0 CDM,7614240501,HC BIOPSY SALIVARY GLAND INCISIONAL,1829.0,1829.0,,,0 CDM,7614270001,HC TX I&D PERITONSILLAR ABSC,600.0,600.0,,,0 CDM,7614272001,HC DRAINAGE THROAT ABSCESS,4389.0,4389.0,,,0 CDM,7614280001,HC BIOPSY OROPHARYNX,1391.0,1391.0,,,0 CDM,7614299901,HC ASPIRATION PERITONSILLAR ABSCESS,895.0,895.0,,,0 CDM,7614346001,HC ED OBS PRESSURE TREATMENT ESOPHAGUS,683.0,683.0,,,0 CDM,7614376201,HC PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,581.0,581.0,,,0 CDM,7614399901,HC TX STOMACH SURGERY PROCEDURE,1899.0,1899.0,,,0 CDM,7614479901,HC IR-GI TUBE PLACE FECAL TRANPLT,1118.0,1118.0,,,0 CDM,7614479902,HC TX GI COLONIC STENT PLACEMENT,1571.0,1571.0,,,0 CDM,7614510001,HC BIOPSY OF RECTUM,6614.0,6614.0,,,0 CDM,7614539901,HC CLS COLCUT FIST TISSEEL INJ,2857.0,2857.0,,,0 CDM,7614605001,HC TX I&D OF PERIANAL ABSCESS,922.0,922.0,,,0 CDM,7614608301,HC TX INCISION THROMB HEMORROID,432.0,432.0,,,0 CDM,7614660001,HC TX ANOSCOPY DX W OR WO SPEC,160.0,160.0,,,0 CDM,7614999901,HC TPA INSTALLATION IN AN ABDOMINAL DRAIN,2714.0,2714.0,,,0 CDM,7615069001,HC INJ ILEAL COND/URETEROPYELGM,450.0,450.0,,,0 CDM,7615110101,HC ED OBS DRAIN BLADDER BY TROCAR/CATH,1268.0,1268.0,,,0 CDM,7615170001,HC BLDR IRRIGATION SMPL LAVAGE &/INSTLJ,264.0,264.0,,,0 CDM,7615170101,HC INTERMITTENT CATH PROCEDURE,184.0,184.0,,,0 CDM,7615170201,HC FOLEY CATH INSERT,144.0,144.0,,,0 CDM,7615171001,HC CHANGE OF BLADDER TUBE,1003.0,1003.0,,,0 CDM,7615200001,HC CYSTOURETHROSCOPY,1447.0,1447.0,,,0 CDM,7615200002,HC CYSTOURETHROSCOPY,1321.0,1321.0,,,0 CDM,7615228101,HC CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,2482.0,2482.0,,,0 CDM,7615231001,HC CYSTO W/SIMPLE REMOVAL STONE & STENT,2320.0,2320.0,,,0 CDM,7615233201,HC CYSTO W/INSERT URETERAL STENT,10765.0,10765.0,,,0 CDM,7615405601,HC DSTRJ LESION PENIS SIMPLE CRYOSURGERY,598.0,598.0,,,0 CDM,7615512001,HC ED OBS REMOVAL OF SCROTUM LESION,2482.0,2482.0,,,0 CDM,7615587401,HC TRANSPERINEAL PLMT OF BIODEGRABLE MATERIAL,9744.0,9744.0,,,0 CDM,7615640501,HC SPLIT BILLED I&D VULVA/PERINEAL ABS,327.0,327.0,,,0 CDM,7615642001,HC I&D BARTHOLIN GLAND ABCESS,404.0,404.0,,,0 CDM,7615650101,HC DSTRCT VULVA LESION SIMPLE,3458.0,3458.0,,,0 CDM,7615660501,HC BIOPSY OF VULVA LESION SINGLE,882.0,882.0,,,0 CDM,7615660601,HC BX VULVA EACH ADDTL LESION,59.0,59.0,,,0 CDM,7615682001,HC EXAM OF VULVA WITH SCOPE,174.0,174.0,,,0 CDM,7615682101,HC EXAM BIOPSY VULVA WITH SCOPE,338.0,338.0,,,0 CDM,7615706101,HC DEST VAGINAL LESION SINGLE,5951.0,5951.0,,,0 CDM,7615710001,HC BIOPSY VAGINA SIMPLE,789.0,789.0,,,0 CDM,7615710501,HC BIOPSY OF VAGINA EXTENSIVE,9433.0,9433.0,,,0 CDM,7615715601,HC INSERT VAG RAD APPARATUS BRACH,988.0,988.0,,,0 CDM,7615716001,HC INSERT PESSARY OTHER DEVICE,228.0,228.0,,,0 CDM,7615717001,HC FITTING DIAPHRAGM CAP,234.0,234.0,,,0 CDM,7615742001,HC COLPOSCOPY ENTIRE VAG WITH CERVI,567.0,567.0,,,0 CDM,7615742101,HC COLP OF VAGINA WITH CERVIX WITH BIO,677.0,677.0,,,0 CDM,7615745201,HC COLP CERVIX INCLUDE UP VAGINA,229.0,229.0,,,0 CDM,7615745401,HC COLP CERVIX WITH BX CUT,351.0,351.0,,,0 CDM,7615745501,HC COLP CERVIX WITH VAGINA AND BX,405.0,405.0,,,0 CDM,7615745601,HC COLPOSCOPY ENDOCERV CURRETT,516.0,516.0,,,0 CDM,7615746001,HC COLP CERV UP VAG WITH BX,9656.0,9656.0,,,0 CDM,7615746101,HC COLP CERVIX UP WITH LOOP,3418.0,3418.0,,,0 CDM,7615750001,HC CERVIX BIOPSY SINGLE/MULTIPLE,882.0,882.0,,,0 CDM,7615750501,HC ENDOCERVICAL CURETTAGE,882.0,882.0,,,0 CDM,7615751101,HC CYROCAUTERY CERVIX INTL REPEAT,433.0,433.0,,,0 CDM,7615752201,HC CONIZATION CERVIX LOOP ELECT,8184.0,8184.0,,,0 CDM,7615810001,HC ENDOMETRIAL BIOPSY,237.0,237.0,,,0 CDM,7615811001,HC ENDOMETRIAL SAMPLING,304.0,304.0,,,0 CDM,7615830001,HC IUD INSERTION,59.0,59.0,,,0 CDM,7615830101,HC REMOVAL IUD,327.0,327.0,,,0 CDM,7615855801,HC HYSTEROSCOPY BIOPSY,8813.0,8813.0,,,0 CDM,7615856201,HC HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY,628.0,628.0,,,0 CDM,7615899901,HC CERCLAGE REMOVAL WITHOUT ANES,2518.0,2518.0,,,0 CDM,7615930001,HC EPISIOTOMY OR VAGINAL REPAIR,3306.0,3306.0,,,0 CDM,7615982001,HC TX MISSED ABORTION FIRST TRIMESTER SURGICAL,3195.0,3195.0,,,0 CDM,7615982101,HC TX MISSED ABORTION SECOND TRIMESTER SURGICAL,3727.0,3727.0,,,0 CDM,7616030001,HC ED OBS ASP AND/OR INJECT THYROID CYST,2089.0,2089.0,,,0 CDM,7616115601,BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL,12862.0,12862.0,,,0 CDM,7616227001,HC TX LUMBAR PUNCTURE DIAGNOSTIC,871.0,871.0,,,0 CDM,7616227201,HC THERAPEUTIC SPINAL PUNCTURE,761.0,761.0,,,0 CDM,7616228101,HC INJ NEUROLYTIC CERVICAL THORACIC,2827.0,2827.0,,,0 CDM,7616228201,HC INJ NEUROLYTIC LUMBAR SACRAL,1938.0,1938.0,,,0 CDM,7616440501,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE",693.5,693.5,,,0 CDM,7616440801,HC ED OBS N BLOCK INJ VAGUS,359.0,359.0,,,0 CDM,7616441501,HC ED OBS N BLOCK INJ BRACHIAL PLEXUS,2383.0,2383.0,,,0 CDM,7616441502,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; BRACHIAL PLEXUS",1768.0,1768.0,,,0 CDM,7616441701,HC ED OBS N BLOCK INJ AXILLARY,2331.0,2331.0,,,0 CDM,7616442501,HC ED OBS N BLOCK INJ ILIO-ING/HYPOGI,2349.0,2349.0,,,0 CDM,7616443001,HC ED OBS N BLOCK INJ PUDENDAL,1288.0,1288.0,,,0 CDM,7616445001,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH",885.0,885.0,,,0 CDM,7616447901,HC NJX AA&/STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL,1114.0,1114.0,,,0 CDM,7616448301,HC ED OBS INJ FORAMEN EPIDURAL L/S,1288.0,1288.0,,,0 CDM,7616448302,HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,1114.0,1114.0,,,0 CDM,7616448401,HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,1048.0,1048.0,,,0 CDM,7616449001,HC NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL,3259.0,3259.0,,,0 CDM,7616449301,HC TX INJ FACET JT LUMB SACR SINGLE,3387.0,3387.0,,,0 CDM,7616449401,HC TX INJ FACET JT LUMB SACR EA ADDTL,3323.0,3323.0,,,0 CDM,7616451001,HC INJ ANESTHETIC AGENT STELLATE GANGLION BLOCK,2521.0,2521.0,,,0 CDM,7616456701,HC PERQ ELEC NRV FIELD STIMJ CRANIAL NRV W/O IMPLTJ,2711.0,2711.0,,,0 CDM,7616461101,HC CHEMODENERV SALIV GLANDS,667.0,667.0,,,0 CDM,7616461201,HC CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL,512.0,512.0,,,0 CDM,7616461501,HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,512.0,512.0,,,0 CDM,7616461601,HC CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,369.0,369.0,,,0 CDM,7616464201,HC CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,652.0,652.0,,,0 CDM,7616464301,HC CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,115.0,115.0,,,0 CDM,7616464401,HC CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES,734.0,734.0,,,0 CDM,7616464501,HC CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES,208.0,208.0,,,0 CDM,7616464601,HC CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES,1258.0,1258.0,,,0 CDM,7616472102,HC CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL,549.67,549.67,,,0 CDM,7616499905,HC UNLISTED CHEMODENERVATION ECCRINE GLANDS OF EXTREMITIES,868.0,868.0,,,0 CDM,7616770001,HC DRAINAGE OF EYELID ABSCESS,498.0,498.0,,,0 CDM,7616920001,HC TX REMOVAL FOREIGN BODY EAR,130.0,130.0,,,0 CDM,7616921001,HC TX REMOVE IMPACT CERUMEN W INSTR,94.0,94.0,,,0 CDM,7617694201,HC TX GUIDE NEEDLE PLACE S&I,530.0,530.0,,,0 CDM,7619103801,"HC GERD TST W/ MUCOS IMPEDE ELECTROD,>1HR",1300.0,1300.0,,,0 CDM,7619225001,HC FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT,400.0,400.0,,,0 CDM,7619251101,HC NASOPHARYNGOSCOPY W/ENDOSCOPE,212.0,212.0,,,0 CDM,7619295001,HC TX CPR,308.0,308.0,,,0 CDM,7619296001,HC TX CARDIOVERSION,1016.0,1016.0,,,0 CDM,7619392201,HC TX US ART PHYSIO EXAM LIMITED,349.0,349.0,,,0 CDM,7619392501,HC TX US ART DOPPLER LOW EXTREMITY COMPLETE BILATERAL,612.0,612.0,,,0 CDM,7619392601,HC TX US ART DOPPLER LOW EXTREMITY LIMITED OR UNILATERAL,846.0,846.0,,,0 CDM,7619397001,HC TX US EXTREMITY DOPPLER COMPLETE BILATERAL,444.0,444.0,,,0 CDM,7619397101,HC TX US VENOUS EXTREMITY LIMITED OR UNILATERAL,338.0,338.0,,,0 CDM,7619399801,HC TCOM WITHOUT ABI,110.0,110.0,,,0 CDM,7619597001,HC ANALYZE NEUROSTIM NO PROG,380.0,380.0,,,0 CDM,7619597601,HC ELEC ALYS IMPLT SMPL CN NPGT PRGRMG,54.0,54.0,,,0 CDM,7619597701,HC ELEC ALYS IMPLT CPLX CN NPGT PRGRMG,154.0,154.0,,,0 CDM,7619636001,"HC ED OBS IV HYDRATION, INITIAL, 31 MIN TO 1 HR",314.0,314.0,,,0 CDM,7619636501,HC ED OBS IV INF THER/PROPH/DIAG INIT TO 1 HR,561.0,561.0,,,0 CDM,7619637201,HC ED OBS THER/PROPH/DIAG INJECTION SC/IM,152.0,152.0,,,0 CDM,7619652301,HC IRRIGATION IMPLANTED DEVICE,93.0,93.0,,,0 CDM,7619700701,HC MCHNL SCLP COOL CAP SPLY HEAD MEAS FIT & EDU,5305.0,5305.0,,,0 CDM,7619700801,HC MCHNL SCLP COOL PREP PLMT,3183.0,3183.0,,,0 CDM,7619700901,HC MCHNL SCLP COOL AFTER CHEMO EACH 30 MINUTES,2122.0,2122.0,,,0 CDM,7619759801,HC DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,57.0,57.0,,,0 CDM,7619760201,HC RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS,214.0,214.0,,,0 CDM,7619761001,HC LOW FREQ NON CONTR/THERMAL,578.0,578.0,,,0 CDM,7619892501,HC OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS,58.0,58.0,,,0 CDM,7619892601,HC OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS,78.0,78.0,,,0 CDM,7619918801,HC APPLY TOPICAL FLUORIDE,56.0,56.0,,,0 CDM,7619921101,HC TX EST PT OV BRIEF,284.0,284.0,,,0 CDM,7619921201,HC TX EST PT OV PROB FOCUSED,408.0,408.0,,,0 CDM,7619921301,HC TX EST PT OV LOW COMPLEX,488.0,488.0,,,0 CDM,7619921401,HC TX EST PT OV MOD COMPLEX,541.0,541.0,,,0 CDM,7619921501,HC TX EST PT OV HIGH COMPLEX,692.0,692.0,,,0 CDM,761C527101,HC LOW COST SKIN SUB TRNK ARMS LEGS 1ST 25 SQ CM OR LESS,1112.0,1112.0,,,0 CDM,761C527201,"HC LOW COST SKIN SUB TRNK, ARMS LEGS EACH ADD 25 SQ CM",1080.0,1080.0,,,0 CDM,761C527501,"HC LOW COST SKIN SUB FACE, SCALP, NECK, GENITALIA, HANDS, FEET 1ST M",1260.0,1260.0,,,0 CDM,761C527601,"HC LOW COST SKIN SUB FACE, SCALP, NECK, GENITALIA, HANDS, FEET 2ND M",1260.0,1260.0,,,0 CDM,761G046301,HC OBSTETRIC EST PT VISIT,594.0,594.0,,,0 CDM,761G046501,HC AUTOLOGOUS PRP FOR DIABETIC CHRONIC WOUND/ULCERS PER TREATMENT,2195.0,2195.0,,,0 CDM,762G037801,HC BURN OBSERVATION PER HOUR,362.0,362.0,,,0 CDM,762G037802,HC BURN OBSERVATION PER HOUR CARVE OUT,362.0,362.0,,,0 CDM,762G037805,HC HOSPITAL OBSERVATION PER HOUR,104.0,104.0,,,0 CDM,762G037806,HC HOSPITAL OBSERVATION PER HOUR CARVE OUT,104.0,104.0,,,0 CDM,762G037807,HC INTERMEDIATE OBSERVATION PER HR,106.0,106.0,,,0 CDM,762G037808,HC INTERMEDIATE OBSERVATION PER HR CARVE OUT,106.0,106.0,,,0 CDM,762G037809,HC OBSTETRIC OBSERVATION PER HOUR,89.0,89.0,,,0 CDM,762G037810,HC OBSTETRIC OBSERVATION PER HOUR CARVE OUT,89.0,89.0,,,0 CDM,762G037811,HC PEDS INTERMEDIATE OBSERVATION PER HR,204.0,204.0,,,0 CDM,762G037812,HC PEDS INTERMEDIATE OBSERVATION PER HR CARVE OUT,204.0,204.0,,,0 CDM,762G037813,HC PEDS OBSERVATION PER HOUR,205.0,205.0,,,0 CDM,762G037814,HC PEDS OBSERVATION PER HOUR CARVE OUT,205.0,205.0,,,0 CDM,762G037815,HC HOSPITAL AT HOME OBSERVATION PER HOUR,104.0,104.0,,,0 CDM,762G037816,HC HOSPITAL AT HOME OBSERVATION PER HOUR CARVE OUT,104.0,104.0,,,0 CDM,762G037901,HC OBSERVATION DIRECT ADMIT INITIAL,610.0,610.0,,,0 CDM,7690000005,HC BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS,17337.0,17337.0,,,0 CDM,7690000006,HC BRONCH APC CNTRL BLEED,5365.0,5365.0,,,0 CDM,7690000007,HC BRONCH APC DEBULK TUMOR,5398.0,5398.0,,,0 CDM,7690000008,HC BRONCH DILATE W STENT,17337.0,17337.0,,,0 CDM,7690000009,HC BRONCH EBUS 1 TO 2 NODE,8881.0,8881.0,,,0 CDM,7690000010,HC BRONCH EBUS 3 OR MORE NODES,13322.0,13322.0,,,0 CDM,7690000011,HC BRONCH EBUS IVNTJ PERPH LES,3508.0,3508.0,,,0 CDM,7690000012,HC BRONCH LUNG BX ADDTL,1920.0,1920.0,,,0 CDM,7690000013,HC BRONCH LUNG BX EACH,1898.0,1898.0,,,0 CDM,7690000014,HC BRONCH NEEDL BX ADDTL,1920.0,1920.0,,,0 CDM,7690000015,HC BRONCH NEEDLE BX EACH,1910.0,1910.0,,,0 CDM,7690000016,HC BRONCH THERMOPLASTY 1 LOBE,12676.0,12676.0,,,0 CDM,7690000017,HC BRONCH THRMOPLSTY 2 OR MORE LOBES,19013.0,19013.0,,,0 CDM,7690000018,HC BRONCH W/IBV ADDTL INSERT,2371.0,2371.0,,,0 CDM,7690000019,HC BRONCH W/IBV ADDTL REMOVAL,2471.0,2471.0,,,0 CDM,7690000020,HC BRONCH W/IBV INITIAL INSERT,12676.0,12676.0,,,0 CDM,7690000021,HC BRONCH W/IBV INITIAL REMOVAL,5199.0,5199.0,,,0 CDM,7690000022,HC BRONCH WITH BAL,1979.0,1979.0,,,0 CDM,7690000023,HC BRONCH WITH BIOPSY,1876.0,1876.0,,,0 CDM,7690000024,HC BRONCH WITH BRONCHIAL STENT,17337.0,17337.0,,,0 CDM,7690000025,HC BRONCH WITH BRONCHIAL STENT ADD ON,3467.0,3467.0,,,0 CDM,7690000026,HC BRONCH WITH BRUSHING,1876.0,1876.0,,,0 CDM,7690000027,HC BRONCH WITH FOREIGN BODY REMOVAL,2893.0,2893.0,,,0 CDM,7690000028,HC BRONCH WITH TRACH/BRONCH DIL,9661.0,9661.0,,,0 CDM,7690000029,HC BRONCH WITH/WO FLUOR CELWASH,1991.0,1991.0,,,0 CDM,7690000030,HC BRONCHOSCOPY BALLOON OCCLUSION,12676.0,12676.0,,,0 CDM,7690000031,HC BRONCHOSCOPY LEVEL I PER MINUTE,61.0,61.0,,,0 CDM,7690000032,HC BRONCHOSCOPY LEVEL II PER MINUTE,124.0,124.0,,,0 CDM,7690000033,HC BRONCHOSCOPY LEVEL III PER MINUTE,149.0,149.0,,,0 CDM,7690000034,HC BRONCHOSCOPY LEVEL IV PER MINUTE,179.0,179.0,,,0 CDM,7690000035,HC BRONCHOSCOPY W/EXCISION TUMOR,9254.0,9254.0,,,0 CDM,7690000036,HC ENB PROCEDURE,4067.0,4067.0,,,0 CDM,7690000041,HC PULM - BRONCH W/FIDUCIAL MARK PL,12676.0,12676.0,,,0 CDM,7710064A01,HC ADMIN MODERNA SARSCOV2 50MCG/0.25ML VACCINE BOOSTER,81.0,81.0,,,0 CDM,7710064A02,HC IP ADMIN MODERNA SARSCOV2 50MCG/0.25ML VACCINE BOOSTER,81.0,81.0,,,0 CDM,7710064A03,HC ED ADMIN MODERNA SARSCOV2 50MCG/0.25ML VACCINE BOOSTER,81.0,81.0,,,0 CDM,7710072A01,HC ADMIN PFIZER SARSCOV2 10MCG/0.2ML TRIS-SUCROSE VACCINE PEDIATRIC 2E,81.0,81.0,,,0 CDM,7710073A01,HC ADMIN PFIZER SARSCOV2 10MCG/0.2ML TRIS-SUCROSE VACCINE PEDIATRIC 3E,81.0,81.0,,,0 CDM,7710074A03,HC IP ADMIN PFIZER SARSCOV2 10MCG/0.2ML TRIS-SUCROSE VACCINE PEDIATRIC BOOSTER,81.0,81.0,,,0 CDM,7719046001,HC VACCINE ADMIN THRU 18YR INITIAL,81.0,81.0,,,0 CDM,7719046002,HC VFC VACCINE ADMIN THRU 18YR INITIAL,23.03,23.03,,,0 CDM,7719046101,HC VACCINE ADMIN THRU 18YR EA ADDL,30.28,30.28,,,0 CDM,7719046102,HC VFC VACCINE ADMIN THRU 18YR EA ADDL,23.03,23.03,,,0 CDM,7719046103,HC ED VACCINE ADMIN THRU 18 YR EA ADDL,35.0,35.0,,,0 CDM,7719047101,HC ADMIN HEP B VACCINE,66.0,66.0,,,0 CDM,7719047102,HC ADMIN INFLUENZA VACCINE,70.0,70.0,,,0 CDM,7719047103,HC ADMIN PNEUMONIA VACCINE,83.0,83.0,,,0 CDM,7719047104,HC ED HEP B VACCINE ADMIN,74.0,74.0,,,0 CDM,7719047105,HC ED INFLUENZA VACCINE ADMIN,70.0,70.0,,,0 CDM,7719047106,HC ED PNEUMOCOCCAL VACCINE ADMIN,70.0,70.0,,,0 CDM,7719047107,HC ED VACCINE ADMIN SINGLE,82.0,82.0,,,0 CDM,7719047108,HC PNEUMOCOCCAL VACCINE ADMIN,70.0,70.0,,,0 CDM,7719047109,HC VACCINE ADMIN SINGLE,70.0,70.0,,,0 CDM,7719047110,HC VFC ADMIN FLU VACCINE,23.03,23.03,,,0 CDM,7719047111,HC VFC ADMIN HEP B VACCINE,23.03,23.03,,,0 CDM,7719047113,HC VFC ADMIN OF PNEUMO VACCINE,23.03,23.03,,,0 CDM,7719047114,HC VFC VACCINE ADMIN SINGLE,23.03,23.03,,,0 CDM,7719047201,HC ED VACCINE ADMIN EACH ADDTL,60.56,60.56,,,0 CDM,7719047202,HC VACCINE ADMIN EACH ADDTL,18.0,18.0,,,0 CDM,7719047203,HC VFC VACCINE ADMIN EACH ADDTL,23.03,23.03,,,0 CDM,7719047301,HC VACCINE ADMIN INTRANASAL/ORAL SINGLE,66.0,66.0,,,0 CDM,7719047302,HC VFC VACCINE ADMIN INTRANASAL/ORAL SINGLE,23.03,23.03,,,0 CDM,7719048001,HC IMM ADMN SARSCOV2 VACCINE SINGLE DOSE,80.0,80.0,,,0 CDM,7719048002,HC ED IMM ADMN SARSCOV2 VACCINE SINGLE DOSE,80.0,80.0,,,0 CDM,7719048003,HC IP IMM ADMN SARSCOV2 VACCINE SINGLE DOSE,80.0,80.0,,,0 CDM,7719048004,HC VFC IMM ADMN SARSCOV2 VACCINE SINGLE DOSE,23.03,23.03,,,0 CDM,7719048005,HC VFC ED IMM ADMN SARSCOV2 VACCINE SINGLE DOSE,23.03,23.03,,,0 CDM,7719048101,HC IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT,80.0,80.0,,,0 CDM,7719048102,HC ED IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT,80.0,80.0,,,0 CDM,7719048103,HC IP IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT,80.0,80.0,,,0 CDM,7719048104,HC VFC IMM ADMN SARSCOV2 VACCINE EACH ADDL COMPONENT,23.03,23.03,,,0 CDM,7719638101,HC ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,90.0,90.0,,,0 CDM,7719638102,HC ED ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,90.0,90.0,,,0 CDM,7719638103,HC IP ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,90.0,90.0,,,0 CDM,7719638104,HC VFC ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,23.03,23.03,,,0 CDM,7719638105,HC VFC ED ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,23.03,23.03,,,0 CDM,7719638106,HC VFC IP ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,23.03,23.03,,,0 CDM,771M020101,HC COVID-19 VACCINE HOME ADMIN,53.0,53.0,,,0 CDM,780Q301401,HC TELEHEALTH FACILITY FEE,82.0,82.0,,,0 CDM,8019093501,HC HEMODIALYSIS ADULT/PEDS INPATIENT,939.0,939.0,,,0 CDM,8030000001,HC IP PD DIALYSIS CAPD,298.0,298.0,,,0 CDM,8040000001,HC IP PD DIALYSIS CCPD,310.0,310.0,,,0 CDM,8110000001,HC KIDNEY ACQUISITION LIVE DONOR,135360.0,135360.0,,,0 CDM,8120000001,HC CADAVERIC KIDNEY ACQUISITION,155157.0,155157.0,,,0 CDM,8120000002,HC HEART ACQUISITION,350357.0,350357.0,,,0 CDM,8120000003,HC LUNG ACQUISITION,256402.0,256402.0,,,0 CDM,8120000004,HC HEART AND LUNG  ACQUISITION,107803.39,107803.39,,,0 CDM,8150000001,HC ALLO TRNSPL FRESH/STORE CELL,1759.5,1759.5,,,0 CDM,8153641501,HC BMT VENIPUNCTURE,11.74,11.74,,,0 CDM,8153659201,HC BMT BLOOD DRAW EXT CVA DEVICE,121.92,121.92,,,0 CDM,8153659301,HC BMT DECLOTTING CATH/ACCESS DEVICE,464.81,464.81,,,0 CDM,8153820701,HC ALLO TRNSPL CRYO/STORE CELL,2497.5,2497.5,,,0 CDM,8153820801,HC BMT TRANSPL THAW CELL WO WASH,1233.0,1233.0,,,0 CDM,8153820901,HC BMT ALLO TRNSPL THAW WASH CELLS,1233.0,1233.0,,,0 CDM,8158635901,HC ALLO CD 3 ENUMERATION,318.0,318.0,,,0 CDM,8158636701,HC ALLO STEM CELLS TOTAL CD34,284.9,284.9,,,0 CDM,8159636001,HC BMT IV HYDRATION INFUSION INITIAL HOUR,216.9,216.9,,,0 CDM,8159636101,HC BMT IV HYDRATE ADDTL HOURS,121.35,121.35,,,0 CDM,8159636501,HC BMT IV INFUSION THERAPY UP TO 1 HR,318.71,318.71,,,0 CDM,8159636601,HC BMT IV INFUSION THERAPY EACH ADDTL HR,121.56,121.56,,,0 CDM,8159636701,HC BMT IV INFUSION ADDTL SEQUENTUAL UP TO 1 HR,197.13,197.13,,,0 CDM,8159637201,HC BMT ADMIN OF INJECTION SUBQ OR IM,152.44,152.44,,,0 CDM,8159637501,HC BMT IV PUSH EACH ADDTL NEW SUBSTANCE,181.28,181.28,,,0 CDM,8159637601,HC BMT IV PUSH SAME DRUG 30 MIN AFTER,181.28,181.28,,,0 CDM,815G046303,HC BMT OUTPT CLINIC VISIT,145.0,145.0,,,0 CDM,829G025701,HC HEMODIALYSIS ADULT OUTPATIENT,939.0,939.0,,,0 CDM,8743822801,HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION,2843.0,2843.0,,,0 CDM,8809093502,HC NON ESRD DIALYSIS TREATMENT,938.36,938.36,,,0 CDM,9059614601,HC PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT,96.0,96.0,,,0 CDM,9189611601,HC NEUROBEHAVORIAL STATUS EX 1ST HOUR,906.0,906.0,,,0 CDM,9189612701,HC BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT,88.0,88.0,,,0 CDM,9189613201,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR,1529.0,1529.0,,,0 CDM,9189613301,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR,765.0,765.0,,,0 CDM,9189613601,HC PSYL/NRPSYCL TST PHYS/QHP 2+ TST 1ST 30 MIN,367.0,367.0,,,0 CDM,9189613701,HC PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN,178.0,178.0,,,0 CDM,9189613801,HC PSYCHL/NRPSYCL TST TECH 2+TST 1ST 30 MIN,330.0,330.0,,,0 CDM,9189613901,HC PSYCHL/NRPSYCL TST TECH 2+TST EA ADDL 30 MIN,85.0,85.0,,,0 CDM,9205179201,HC URINARY REFLEX STUDY,152.0,152.0,,,0 CDM,9205902501,HC FETAL NON STRESS TEST,191.0,191.0,,,0 CDM,9209103401,HC GASTROESOPHO REFLX PROLON,714.0,714.0,,,0 CDM,9209106501,HC LAB HYDROGEN BREATH TEST,462.0,462.0,,,0 CDM,9209222801,HC IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI,42.0,42.0,,,0 CDM,9209226501,HC EMG EYE,157.0,157.0,,,0 CDM,9209315001,HC THER ACTIVATION IMPL PHRENIC NRV STIMULATOR SYS,261.0,261.0,,,0 CDM,9209315101,HC INTERROG&PRGRMG IMPL PHRENIC NRV STIMULATOR SYS,261.0,261.0,,,0 CDM,9209315201,HC INTERROG&PRGRMG IPNSS DURING POLYSOMNOGRAPHY,807.0,807.0,,,0 CDM,9209315301,HC INTERROGATION WITHOUT PROGRAMMING IPNSS,261.0,261.0,,,0 CDM,9209370201,HC BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT,235.0,235.0,,,0 CDM,9209389501,HC EVAL THICKNESS CAROTID BILATERAL,482.0,482.0,,,0 CDM,9209580001,HC SLEEP STUDY UNATTENDED,237.0,237.0,,,0 CDM,9209580501,HC MULTIPLE SLEEP LATENCY TEST,5143.0,5143.0,,,0 CDM,9209580601,HC PORTABLE HOME SLEEP TESTING,595.5,595.5,,,0 CDM,9209590701,HC NERVE CONDUCTION STUDIES 1-2 STUDIES,489.0,489.0,,,0 CDM,9209590801,HC NERVE CONDUCTION STUDIES 3-4 STUDIES,908.0,908.0,,,0 CDM,9209590901,HC NERVE CONDUCTION STUDIES 5-6 STUDIES,908.0,908.0,,,0 CDM,9209591001,HC NERVE CONDUCTION STUDIES 7-8 STUDIES,908.0,908.0,,,0 CDM,9209593001,HC VISUAL EVOKED RESPONSE,669.0,669.0,,,0 CDM,9209611001,HC DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM,29.0,29.0,,,0 CDM,9219388001,HC US CAROTID DOPPLER COMPLETE BILATERAL,332.5,332.5,,,0 CDM,9219388201,HC US CAROTID DUPLEX LIMITED OR UNILATERAL,336.0,336.0,,,0 CDM,9219388601,HC US TRANSCRANIAL DOPPLER COMPLETE,377.0,377.0,,,0 CDM,9219388801,HC US TRANSCRANIAL DOPPLER LIMITED,274.0,274.0,,,0 CDM,9219392201,HC US ART PHYSIO EXAM LIMITED,271.5,271.5,,,0 CDM,9219392301,HC US ART PHYSIO EXAM COMPLETE,312.5,312.5,,,0 CDM,9219392401,HC US ART PHYSIO EXAM W EXERCISE,312.5,312.5,,,0 CDM,9219392501,HC US ART DOPPLER LOW EXTREMITY COMPLETE BILATERAL,819.0,819.0,,,0 CDM,9219392601,HC US ART DOPPLER LOW EXTREMITY LIMITED OR UNILATERAL,812.0,812.0,,,0 CDM,9219393001,HC US ART DOPPLER UP EXTREMITY COMPLETE BILATERAL,728.5,728.5,,,0 CDM,9219393101,HC US ART DOPPLER UP EXTREMITY LIMITED OR UNILATERAL,636.0,636.0,,,0 CDM,9219397001,HC US EXTREMITY DOPPLER COMPLETE BILATERAL,967.0,967.0,,,0 CDM,9219397101,HC US VENOUS EXTREMITY LIMITED OR UNILATERAL,775.5,775.5,,,0 CDM,9219397501,HC US ABD RETRO ART/VEN DOP COMPLETE,960.5,960.5,,,0 CDM,9219397601,HC US DUPLEX ABD PELV RETRO LIMITED,773.5,773.5,,,0 CDM,9219397801,HC US DUPLEX AORTA IVC ILI BYPASS COMPLETE,949.5,949.5,,,0 CDM,9219397901,HC US DUPLEX AORTA IVC BYPASS LIMITED,1010.5,1010.5,,,0 CDM,9219398001,HC DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL,370.0,370.0,,,0 CDM,9219398501,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,508.0,508.0,,,0 CDM,9219398601,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,227.0,227.0,,,0 CDM,9219399001,HC US HEMODIAL ACCESS DUPLEX DOPPLER,280.5,280.5,,,0 CDM,9225178501,HC EMG-ANAL/URINA MUS SDY ANY TEQ,618.0,618.0,,,0 CDM,9229586001,HC MUSCLE TEST ONE LIMB,259.0,259.0,,,0 CDM,9229586101,HC MUSCLE TEST 2 LIMBS,390.0,390.0,,,0 CDM,9229586301,HC MUSCLE TEST 3 LIMBS,442.0,442.0,,,0 CDM,9229586401,HC MUSCLE TEST 4 LIMBS,477.0,477.0,,,0 CDM,9229586501,HC MUSCLE TEST LARYNX,310.0,310.0,,,0 CDM,9229586601,HC MUSCLE TEST HEMIDIAPHRAGM,276.0,276.0,,,0 CDM,9229586701,HC MUSCLE TEST CRAN NERV UNILATERAL,701.0,701.0,,,0 CDM,9229586801,HC MUSCLE TEST CRAN NERV BILATERAL,921.0,921.0,,,0 CDM,9229586901,HC MUSCLE TEST THOR PARASPINAL,701.0,701.0,,,0 CDM,9229587001,HC MUSCLE TEST NONPARASPINAL,259.0,259.0,,,0 CDM,9229587401,HC NEEDLE EMG GUID W/CHEMODENERVATION,84.0,84.0,,,0 CDM,9229588501,HC MUSC TEST DONE WITH NERVE TEST LIMITED,246.0,246.0,,,0 CDM,9229588502,HC NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED,94.0,94.0,,,0 CDM,9229588601,HC MUSC TEST DONE WITH NERVE TEST COMPLETE,246.0,246.0,,,0 CDM,9229588701,HC MUSC TEST DONE WITH NERVE TEST NONEXT,130.0,130.0,,,0 CDM,9229590701,HC ELECTRO-OCULOGRAPY W/INTERPRETATION & REPORT,417.0,417.0,,,0 CDM,9229590801,HC NERVE CONDUCTION STUDIES 3-4 STUDIES,987.0,987.0,,,0 CDM,9229592501,HC EMG SER UPPER LIMB,733.0,733.0,,,0 CDM,9229592601,HC EMG EVOKED RESPONSE LOWER LIMB,733.0,733.0,,,0 CDM,9229592701,HC EMG EVOKED RESPONSE TRUNK/HEAD,835.0,835.0,,,0 CDM,9229592801,HC CENT MOTOR EVOK POT UPPER LIMB,1927.0,1927.0,,,0 CDM,9229592901,HC CENT MOTOR EVOK POT LOWER LIMB,1022.0,1022.0,,,0 CDM,9229593801,HC SOMATOSENSORY UPPER AND LOWER LIMB,1082.0,1082.0,,,0 CDM,9229593901,HC C MOTOR EVOKD UPPER AND LOWER LIMB,2040.0,2040.0,,,0 CDM,9249507001,HC METHACHOLINE INHALATION,666.0,666.0,,,0 CDM,9249511502,HC ALLERGEN INJECTION SINGLE,83.0,83.0,,,0 CDM,9249511702,HC ALLERGEN INJECTION MULTIPLE,106.0,106.0,,,0 CDM,9402056001,HC NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES,42.0,42.0,,,0 CDM,9402056101,HC NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES,63.0,63.0,,,0 CDM,9409366801,HC PAD REHABILITATION PER SESSION,25.0,25.0,,,0 CDM,9409599101,HC RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP,1334.0,1334.0,,,0 CDM,9409637701,HC APPLICATION OF BODY INJECTOR,198.0,198.0,,,0 CDM,9409759701,HC OTH DEBRIDEMENT 20 SQ CM OR LESS,184.0,184.0,,,0 CDM,9409759801,HC RMVL DEVITAL TIS ADDL 20CM,169.0,169.0,,,0 CDM,9409760501,HC NEG PRESS WOUND TX LESS THAN OR EQUAL TO 50 SQ CM WITH DME,266.0,266.0,,,0 CDM,9409760601,HC TX NEG PRESS WOUND TX GREATER THAN 50 SQ CM WITH DME,404.0,404.0,,,0 CDM,9409760701,HC NEG PRESS WOUND TX LESS THAN OR EQUAL TO 50 SQ CM WITH DISP,351.0,351.0,,,0 CDM,9409760801,HC NEG PRESS WOUND TX GREATER THAN 50 SQ CM WITH DISP,439.0,439.0,,,0 CDM,9409781001,HC ACUPUNCTURE W/O STIMUL 15 MIN,32.0,32.0,,,0 CDM,9409781101,HC ACUPUNCTURE W/O STIMUL ADDL 15,22.0,22.0,,,0 CDM,9409781301,HC ACUPUNCTURE W/STIMUL 15 MIN,30.0,30.0,,,0 CDM,9409781401,HC ACUPUNCTURE W/ STIMUL ADDL 15,24.0,24.0,,,0 CDM,9409919501,HC THERAPUTIC PHLEBOTOMY,295.0,295.0,,,0 CDM,940G002301,HC PRINCIPAL ILLNESS NAVIGATION 60 MINUTES PER MONTH,137.0,137.0,,,0 CDM,940G002401,HC PRINCIPAL ILLNESS NAVIGATION ADDITIONAL 30 MINUTES PER MONTH,45.0,45.0,,,0 CDM,9420000001,HC METABOLIC WELLNESS 12 WEEKS,275.0,275.0,,,0 CDM,9420000002,HC METABOLIC WELLNESS 6 WEEKS,137.5,137.5,,,0 CDM,9420000003,HC POTS PROGRAM 12 WEEKS,350.0,350.0,,,0 CDM,9429780201,HC MNT INITIAL ASSMT EA 15 MINUTE,41.0,41.0,,,0 CDM,9429780202,HC VIRTUAL MNT INITIAL ASSMT EA 15 MINUTES,45.0,45.0,,,0 CDM,9429780301,HC MNT REASSESSMENT EA 15 MINUTES,41.0,41.0,,,0 CDM,9429780302,HC VIRTUAL MNT REASSESSMENT EA 15 MINUTES,45.0,45.0,,,0 CDM,9429780401,HC MNT GROUP EACH 30 MINUTES,40.0,40.0,,,0 CDM,9429780402,HC VIRTUAL MNT GROUP EACH 30 MINUTES,37.0,37.0,,,0 CDM,9429897501,HC REMOTE THERAPEUTIC MNTR 1ST SETUP&PT EDUCAJ EQP,295.0,295.0,,,0 CDM,9429940101,HC LACTATION COUNSELING 15 MINUTE,186.0,186.0,,,0 CDM,9429940201,HC LACTATION COUNSELING 30 MINUTE,207.0,207.0,,,0 CDM,9429940301,HC LACTATION COUNSELING 45 MINUTE,228.0,228.0,,,0 CDM,9429940401,HC LACTATION COUNSELING 60 MINUTE,249.0,249.0,,,0 CDM,9429940601,HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,41.0,41.0,,,0 CDM,9429940701,HC TOBACCO USE CESSATION INTENSIVE >10 MINUTES,83.0,83.0,,,0 CDM,942G010801,HC DIAB INST INDIVIDUAL PER 30 MIN,108.0,108.0,,,0 CDM,942G027001,HC INITIAL CHNG DX EACH 15 MIN,62.0,62.0,,,0 CDM,942G027002,HC VIRTUAL MNT SUBSQ TX FOR CHANGE DX EACH 15 MINUTES,57.5,57.5,,,0 CDM,942S943701,HC PRENATAL CLASS-REFRESHER,80.0,80.0,,,0 CDM,942S943702,HC VIRTUAL PRENATAL CLASS- REFRESHER,80.0,80.0,,,0 CDM,942S943801,HC CESAREAN BIRTH CLASS NON PHY,70.0,70.0,,,0 CDM,942S943802,HC VIRTUAL CESAREAN BIRTH CLASS NON PHY,70.0,70.0,,,0 CDM,942S944201,HC PRENATAL CLASS-COMPREHENSIVE,170.0,170.0,,,0 CDM,942S944202,HC VIRTUAL PRENATAL CLASS-COMPREHENSIVE,170.0,170.0,,,0 CDM,942S944301,HC LACTATION CLASS NONPHYSICIAN,80.0,80.0,,,0 CDM,942S944302,HC VIRTUAL LACTATION CLASSS NONPHYSICIAN,80.0,80.0,,,0 CDM,942S944401,HC PARENTING CLASS NONPHYSICIAN,44.0,44.0,,,0 CDM,9439366801,HC PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION,160.0,160.0,,,0 CDM,9439379701,HC CARDIAC REHAB II WO EKG,265.0,265.0,,,0 CDM,9439379702,HC VIRTUAL CARDIAC REHAB II WO EKG,273.11,273.11,,,0 CDM,9439379801,HC CARDIAC REHAB II WITH EKG,265.0,265.0,,,0 CDM,9439379802,HC VIRTUAL CARDIAC REHAB II WITH EKG,273.11,273.11,,,0 CDM,943G042201,HC INTENS CARDIAC REHAB W/WO EKG WITH EXERCISE,356.0,356.0,,,0 CDM,943G042301,HC INTENS CARDIAC REHAB W/WO EKG WITHOUT EXERCISE,356.0,356.0,,,0 CDM,9489462501,HC OP PULM REHAB WO CONT OXIMTRY MNTR,231.0,231.0,,,0 CDM,9489462601,HC OP PULM REHAB W/CONT OXIMTRY MNTR,261.0,261.0,,,0 CDM,9990000001,HC UNRETURNED HOLTER MONITOR,2395.0,2395.0,,,0 CDM,9990000002,HC UNRETURNED HOME SLEEP MONITOR,4025.0,4025.0,,,0 CDM,V5264,PR EAR MOLD/INSERT,215.36,215.36,,,0 CDM,V5275,PR EAR IMPRESSION,67.3,67.3,,,0 HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,168.15,1296.0,7 HCPCS,0002M,Liver dis 10 assays w/ash,,,503.4,906.12,3 HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,25.0,50.16,7 HCPCS,0003M,Liver dis 10 assays w/nash,,,503.4,906.12,3 HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,950.0,2363.09,7 HCPCS,0004M,Scoliosis dna alys,,,79.0,142.2,3 HCPCS,0005U,Onco prst8 3 gene ur alg,,,760.0,1890.47,7 HCPCS,0006M,Onc hep gene risk classifier,,,150.0,270.0,3 HCPCS,0007M,Onc gastro 51 gene nomogram,,,375.0,675.0,3 HCPCS,0007U,Rx test prsmv ur w/def conf,,,114.43,238.33,7 HCPCS,0008U,Hpylori detcj abx rstnc dna,,,597.91,1890.47,7 HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,55.04,192.6,7 HCPCS,0010U,Nfct ds strn typ whl gen seq,,,283.23,769.07,7 HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,760.0,1368.0,3 HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,114.43,238.33,7 HCPCS,0012M,Onc mrna 5 gen rsk urthl ca,,,760.0,1368.0,3 HCPCS,0013M,Onc mrna 5 gen recr urthl ca,,,760.0,1368.0,3 HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,1305.37,2349.67,3 HCPCS,0016M,Onc bladder mrna 209 gen alg,,,3489.63,6281.33,3 HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,163.96,706.16,7 HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,2510.21,4518.38,3 HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,91.66,394.82,7 HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,640.73,1153.31,3 HCPCS,0018U,Onc thyr 10 microrna seq alg,,,3002.09,9407.29,7 HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,712.4,1282.32,3 HCPCS,0019U,Onc rna tiss predict alg,,,3675.0,14430.98,7 HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,760.0,2537.95,7 HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,1029.08,3510.0,7 HCPCS,0023U,Onc aml dna detcj/nondetcj,,,248.51,750.25,7 HCPCS,0024U,Glyca nuc mr spectrsc quan,,,34.19,117.56,7 HCPCS,0025U,Tenofovir liq chrom ur quan,,,114.43,345.45,7 HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,3600.0,10868.51,7 HCPCS,0027U,Jak2 gene trgt seq alys,,,121.91,454.41,7 HCPCS,0029U,Rx metab advrs trgt seq alys,,,1456.52,2554.91,4 HCPCS,0030U,Rx metab warf trgt seq alys,,,134.13,1326.59,7 HCPCS,0031U,Cyp1a2 gene,,,300.85,527.74,4 HCPCS,0032U,Comt gene,,,174.81,527.74,7 HCPCS,0033U,Htr2a htr2c genes,,,601.72,1055.49,4 HCPCS,0034U,Tpmt nudt15 genes,,,466.17,1407.37,7 HCPCS,0035U,Neuro csf prion prtn qual,,,540.99,1407.37,7 HCPCS,0036U,Xome tum & nml spec seq alys,,,4780.0,14430.98,7 HCPCS,0037U,Trgt gen seq dna 324 genes,,,3500.0,10566.61,7 HCPCS,0038U,Vitamin d srm microsamp quan,,,29.6,110.32,7 HCPCS,0039U,Dna antb 2strand hi avidity,,,13.74,51.21,7 HCPCS,0040U,Bcr/abl1 gene major bp quan,,,409.9,1527.78,7 HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,17.21,115.49,7 HCPCS,0042T,HC CT PERFUSION BRAIN,609.0,609.0,,,0 HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,17.21,115.49,7 HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,14.86,115.49,7 HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,14.86,115.49,7 HCPCS,0045U,Onc brst dux carc is 12 gene,,,3873.0,11692.73,7 HCPCS,0046U,Flt3 gene itd variants quan,,,284.86,733.37,7 HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,3873.0,11692.73,7 HCPCS,0048U,Onc sld org neo dna 468 gene,,,2919.6,8814.36,7 HCPCS,0049U,Npm1 gene analysis quan,,,407.43,744.22,7 HCPCS,0050U,Trgt gen seq dna 194 genes,,,2916.6,8814.36,7 HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,246.92,745.44,7 HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,33.86,102.22,7 HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,198.74,600.0,7 HCPCS,0055U,Card hrt trnspl 96 dna seq,,,3240.0,9781.67,7 HCPCS,0058U,Onc merkel cll carc srm quan,,,322.96,1203.75,7 HCPCS,0059U,Onc merkel cll carc srm +/-,,,322.96,1203.75,7 HCPCS,0060U,Twn zyg gen seq alys chrms2,,,759.05,2291.58,7 HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,10.65,45.18,7 HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,380.72,685.3,3 HCPCS,0063U,Neuro autism 32 amines alg,,,750.0,1350.0,3 HCPCS,0064U,Antb tp total&rpr ia qual,,,31.33,56.39,3 HCPCS,0065U,Syfls tst nontreponemal antb,,,18.09,32.56,3 HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,1897.0,3414.6,3 HCPCS,0068U,Candida species pnl amp prb,,,142.63,256.73,3 HCPCS,0069U,Onc clrct microrna mir-31-3p,,,380.0,684.0,3 HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,676.37,1217.47,3 HCPCS,0071T,Us leiomyomata ablate <200,,,2044.76,5805.87,7 HCPCS,0071U,Cyp2d6 full gene sequence,,,600.0,1080.0,3 HCPCS,0072T,Us leiomyomata ablate >200,,,2044.76,5805.87,7 HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,450.91,811.64,3 HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,450.91,811.64,3 HCPCS,0074U,Cyp2d6 nonduplicated gene,,,450.91,811.64,3 HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,450.91,811.64,3 HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,450.91,811.64,3 HCPCS,0077U,Ig paraprotein qual bld/ur,,,43.43,78.17,3 HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,3520.0,6336.0,3 HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,246.92,444.46,3 HCPCS,0083U,Onc rspse chemo cntrst tomog,,,167.35,301.23,3 HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,720.0,1296.0,3 HCPCS,0086U,Nfct ds bact&fng org id 6+,,,200.0,360.0,3 HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,3159.42,5686.96,3 HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,3159.42,5686.96,3 HCPCS,0089U,Onc mlnma prame & linc00518,,,760.0,1368.0,3 HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,1950.0,3510.0,3 HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,2488.0,4478.4,3 HCPCS,0093U,Rx mntr 65 com drugs urine,,,62.14,111.85,3 HCPCS,0094U,Genome rapid sequence alys,,,7582.2,13647.96,3 HCPCS,0095U,Inflm ee elisa alys alg,,,771.98,1389.56,3 HCPCS,0096U,Hpv hi risk types male urine,,,35.09,63.16,3 HCPCS,0100T,Prosth Retina Receive&Gen,,,4137.79,4758.46,4 HCPCS,0101T,Extracorp shockwv tx hi enrg,,,245.78,6154.82,11 HCPCS,0101U,Hered colon ca do 15 genes,,,1743.95,3139.11,3 HCPCS,0102T,Extracorp shockwv tx anesth,,,2182.91,5868.42,11 HCPCS,0102U,Hered brst ca rltd do 17 gen,,,1303.95,2347.11,3 HCPCS,0103U,Hered ova ca pnl 24 genes,,,1743.95,3139.11,3 HCPCS,0105U,Neph ckd mult eclia tum nec,,,950.0,1710.0,3 HCPCS,0106T,Touch Quant Sensory Test,,,27.82,66.99,7 HCPCS,0106U,Gstr emptg 7 timed brth spec,,,874.49,1574.08,3 HCPCS,0107T,Vibrate Quant Sensory Test,,,27.82,66.99,7 HCPCS,0107U,C diff tox ag detcj ia stool,,,16.0,28.8,3 HCPCS,0108T,Cool Quant Sensory Test,,,53.47,105.8,7 HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,4950.0,8910.0,3 HCPCS,0109T,Heat Quant Sensory Test,,,27.82,66.99,7 HCPCS,0109U,Id aspergillus dna 4 species,,,142.63,256.73,3 HCPCS,0110T,Nos Quant Sensory Test,,,98.06,238.63,7 HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,27.11,48.8,3 HCPCS,0111U,Onc colon ca kras&nras alys,,,682.29,1228.12,3 HCPCS,0112U,Iadi 16s&18s rrna genes,,,356.13,641.03,3 HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,760.0,1368.0,3 HCPCS,0114U,Gi barretts esoph vim&ccna1,,,1938.01,3488.42,3 HCPCS,0115U,Respir iadna 18 viral&2 bact,,,275.35,495.63,3 HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,246.92,444.46,3 HCPCS,0117U,Pain mgmt 11 endogenous anal,,,840.65,1513.17,3 HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,2753.25,4955.85,3 HCPCS,0119U,Crd ceramides liq chrom plsm,,,83.76,150.77,3 HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,2510.21,4518.38,3 HCPCS,0121U,Sc dis vcam-1 whole blood,,,509.2,916.56,3 HCPCS,0122U,Sc dis p-selectin whl blood,,,526.23,947.21,3 HCPCS,0123U,Mchnl fragility rbc prflg,,,357.63,643.73,3 HCPCS,0129U,Hered brst ca rltd do panel,,,1303.95,2347.11,3 HCPCS,0130U,Hered colon ca do mrna pnl,,,584.9,1052.82,3 HCPCS,0133U,Hered prst8 ca rltd do 11,,,690.29,1242.52,3 HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,748.39,1347.1,3 HCPCS,0136U,Atm mrna seq alys,,,407.43,733.37,3 HCPCS,0137U,Palb2 mrna seq alys,,,282.88,509.18,3 HCPCS,0138U,Brca1 brca2 mrna seq alys,,,468.33,842.99,3 HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,156.75,282.15,3 HCPCS,0141U,Nfct ds bact&fng gram pos,,,156.75,282.15,3 HCPCS,0142U,Nfct ds bact&fng gram neg,,,156.75,282.15,3 HCPCS,0152U,Nfct bct fng prst dna >1000,,,2126.2,3827.16,3 HCPCS,0153U,Onc breast mrna 101 genes,,,3159.42,5686.96,3 HCPCS,0154U,Fgfr3 gene analysis,,,482.14,867.85,3 HCPCS,0155U,Pik3ca gene analysis,,,274.83,494.69,3 HCPCS,0156U,Copy number sequence alys,,,1740.0,3132.0,3 HCPCS,0157U,Apc mrna seq alys,,,282.88,509.18,3 HCPCS,0158U,Mlh1 mrna seq alys,,,282.88,509.18,3 HCPCS,0159U,Msh2 mrna seq alys,,,282.88,509.18,3 HCPCS,0160U,Msh6 mrna seq alys,,,282.88,509.18,3 HCPCS,0161U,Pms2 mrna seq alys,,,282.88,509.18,3 HCPCS,0162U,Hered colon ca trgt mrna pnl,,,486.54,875.77,3 HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,112.02,201.64,3 HCPCS,0165U,Peanut allg spec asmt 64 epi,,,463.76,834.77,3 HCPCS,0166U,Liver ds 10 biochem asy srm,,,503.4,906.12,3 HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,466.17,839.11,3 HCPCS,0170U,Neuro asd rna next gen seq,,,1950.0,3510.0,3 HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,1519.06,2734.31,3 HCPCS,0172U,Onc sld tum alys brca1 brca2,,,3030.0,5454.0,3 HCPCS,0173U,Psyc gen alys panel 14 genes,,,466.17,839.11,3 HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,1305.37,2349.67,3 HCPCS,0175U,Psyc gen alys panel 15 genes,,,1336.09,2404.96,3 HCPCS,0176U,Cdtb&vinculin igg antb ia,,,64.19,115.54,3 HCPCS,0177U,Onc brst ca dna pik3ca 11,,,274.83,494.69,3 HCPCS,0178U,Peanut allg asmt epi clin rx,,,459.86,827.75,3 HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,1943.21,3497.78,3 HCPCS,0180U,Abo gnotyp abo 7 exons,,,274.83,494.69,3 HCPCS,0181U,Co gnotyp aqp1 exon 1,,,185.2,333.36,3 HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,301.35,542.43,3 HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,185.2,333.36,3 HCPCS,0184T,Exc rectal tumor endoscopic,,,4626.21,10888.32,7 HCPCS,0184U,Do gnotyp art4 exon 2,,,185.2,333.36,3 HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,185.2,333.36,3 HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,185.2,333.36,3 HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,274.83,494.69,3 HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,274.83,494.69,3 HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,274.83,494.69,3 HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,274.83,494.69,3 HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,274.83,494.69,3 HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,274.83,494.69,3 HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,282.88,509.18,3 HCPCS,0194U,Kel gnotyp kel exon 8,,,185.2,333.36,3 HCPCS,0195U,Klf1 targeted sequencing,,,375.25,675.45,3 HCPCS,0196U,Lu gnotyp bcam exon 3,,,185.2,333.36,3 HCPCS,0197U,Lw gnotyp icam4 exon 1,,,185.2,333.36,3 HCPCS,0198T,Ocular blood flow measure,,,53.47,238.63,7 HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,282.88,509.18,3 HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,274.83,494.69,3 HCPCS,0200T,HC SACROPLASTY UNILATERAL INJECTION,6445.0,6445.0,,,0 HCPCS,0200T,Perq sacral augmt unilat inj,,,3448.15,13014.22,11 HCPCS,0200U,Xk gnotyp xk exons 1-3,,,274.83,494.69,3 HCPCS,0201T,HC SACROPLASTY BILATERAL INJECTION,6445.0,6445.0,,,0 HCPCS,0201T,Perq sacral augmt bilat inj,,,3448.15,13014.22,11 HCPCS,0201U,Yt gnotyp ache exon 2,,,185.2,333.36,3 HCPCS,0202T,Post vert arthrplst 1 lumbar,,,12792.51,23026.52,3 HCPCS,0202U,HC RESPIR NFCT DS BCT/VIR 22 TRGT SARSCOV2,709.69,709.69,,,0 HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,416.78,750.2,3 HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,760.0,1368.0,3 HCPCS,0205U,Oph amd alys 3 gene variants,,,47.0,84.6,3 HCPCS,0206U,Neuro alzheimer cell aggregj,,,2215.4,3987.72,3 HCPCS,0207T,Clear eyelid gland w/heat,,,53.47,238.63,7 HCPCS,0208T,Audiometry air only,,,27.82,66.99,7 HCPCS,0209T,Audiometry air & bone,,,27.82,66.99,7 HCPCS,0209U,Cytog const alys interrog,,,787.15,1416.87,3 HCPCS,0210T,Speech audiometry threshold,,,27.82,66.99,7 HCPCS,0210U,Syphilis tst antb ia quan,,,18.63,33.53,3 HCPCS,0211T,Speech audiom thresh & recog,,,27.82,66.99,7 HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,8455.0,15219.0,3 HCPCS,0212T,Compre audiometry evaluation,,,124.61,230.78,7 HCPCS,0212U,Rare ds gen dna alys proband,,,5475.2,9855.36,3 HCPCS,0213T,Njx paravert w/us cer/thor,,,618.36,1586.33,11 HCPCS,0213U,Rare ds gen dna alys ea comp,,,2709.95,4877.91,3 HCPCS,0214U,Rare ds xom dna alys proband,,,5224.6,9404.28,3 HCPCS,0215U,Rare ds xom dna alys ea comp,,,2574.65,4634.37,3 HCPCS,0216T,Njx paravert w/us lumb/sac,,,618.36,1586.33,11 HCPCS,0216U,Neuro inh ataxia dna 12 com,,,1537.02,2766.64,3 HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,2198.35,3957.03,3 HCPCS,0218U,Neuro musc dys dmd seq alys,,,2279.0,4102.2,3 HCPCS,0219T,Plmt post facet implt cerv,,,12792.51,23026.52,3 HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,725.0,1305.0,3 HCPCS,0220T,Plmt post facet implt thor,,,12792.51,23026.52,3 HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,706.25,1271.25,3 HCPCS,0221T,Plmt post facet implt lumb,,,5119.65,13014.22,7 HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,274.83,494.69,3 HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,282.88,509.18,3 HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,416.78,750.2,3 HCPCS,0224U,Antibody sars-cov-2 titer(s),,,35.78,92.57,7 HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,416.78,750.2,3 HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,35.9,76.1,7 HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,62.14,111.85,3 HCPCS,0228U,Onc prst8 ma molec prfl alg,,,173.03,311.45,3 HCPCS,0229U,Bcat1 promoter mthyltn alys,,,384.0,691.2,3 HCPCS,0230U,Ar full sequence analysis,,,301.35,542.43,3 HCPCS,0231U,Cacna1a full gene analysis,,,846.27,1523.29,3 HCPCS,0232T,Njx platelet plasma,,,258.44,801.21,7 HCPCS,0232U,Cstb full gene analysis,,,274.83,494.69,3 HCPCS,0233U,Fxn gene analysis,,,274.83,494.69,3 HCPCS,0234T,Trluml perip athrc renal art,,,9562.07,20704.82,7 HCPCS,0234U,Mecp2 full gene analysis,,,527.87,950.17,3 HCPCS,0235U,Pten full gene analysis,,,600.0,1080.0,3 HCPCS,0236T,Trluml perip athrc abd aorta,,,9562.07,20704.82,7 HCPCS,0236U,Smn1&smn2 full gene analysis,,,602.7,1084.86,3 HCPCS,0237T,Trluml perip athrc brchiocph,,,9562.07,20704.82,7 HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,584.9,1052.82,3 HCPCS,0238T,Trluml perip athrc iliac art,,,17852.74,32878.29,11 HCPCS,0238U,Onc lnch syn gen dna seq aly,,,584.9,1052.82,3 HCPCS,0239U,Trgt gen seq alys pnl 311+,,,3500.0,6300.0,3 HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,5000.0,9000.0,3 HCPCS,0243U,Ob pe biochem assay pgf alg,,,64.41,115.94,3 HCPCS,0244U,Onc solid orgn dna 257 genes,,,3500.0,6300.0,3 HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,1266.07,2278.93,3 HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,720.0,1296.0,3 HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,750.0,1350.0,3 HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,3033.86,5460.95,3 HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,2219.13,3994.43,3 HCPCS,0250U,Onc sld org neo dna 505 gene,,,2919.6,5255.28,3 HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,17.27,31.09,3 HCPCS,0252U,Ftl aneuploidy str alys dna,,,759.05,1366.29,3 HCPCS,0253T,Insert aqueous drain device,,,3856.5,7413.41,11 HCPCS,0253U,Rprdtve med rna gen prfl 238,,,3159.42,5686.96,3 HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,759.05,1366.29,3 HCPCS,0255U,Andrology infertility assmt,,,31.6,56.88,3 HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,159.95,287.91,3 HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,712.47,1282.45,3 HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,3675.0,6615.0,3 HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,52.71,94.88,3 HCPCS,0260U,Rare ds id opt genome mapg,,,1263.53,2274.35,3 HCPCS,0261U,Onc clrct ca img alys w/ai,,,2513.25,4523.85,3 HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,3200.0,5760.0,3 HCPCS,0263T,Im b1 mrw cel ther cmpl,,,3085.19,7811.71,11 HCPCS,0263U,Neuro asd meas 16 c metblt,,,750.0,1350.0,3 HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,3085.19,7811.71,11 HCPCS,0264U,Rare ds id opt genome mapg,,,1263.53,2274.35,3 HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,3085.19,7811.71,11 HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,5475.8,9856.44,3 HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,3200.0,5760.0,3 HCPCS,0267T,Implt/rpl crtd sns dev lead,,,2637.94,4627.27,4 HCPCS,0267U,Rare do id opt gen mapg&seq,,,6739.33,12130.79,3 HCPCS,0268T,Implt/rpl crtd sns dev gen,,,17455.87,30619.67,4 HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,608.17,1094.71,3 HCPCS,0269T,Rev/remvl crtd sns dev total,,,3378.99,5927.15,8 HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,608.17,1094.71,3 HCPCS,0270T,Rev/remvl crtd sns dev lead,,,2603.84,4567.44,8 HCPCS,0270U,Hem cgen coagj do 20 genes,,,608.17,1094.71,3 HCPCS,0271T,Rev/remvl crtd sns dev gen,,,2603.84,4567.44,8 HCPCS,0271U,Hem cgen neutropenia 23 gen,,,608.17,1094.71,3 HCPCS,0272T,Interrogate crtd sns dev,,,124.61,218.58,4 HCPCS,0272U,Hem genetic bld do 51 genes,,,608.17,1094.71,3 HCPCS,0273T,Interrogate crtd sns w/pgrmg,,,124.61,218.58,4 HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,608.17,1094.71,3 HCPCS,0274T,Perq lamot/lam crv/thrc,,,4745.33,13014.22,11 HCPCS,0274U,Hem gen pltlt do 43 genes,,,608.17,1094.71,3 HCPCS,0275T,Perq lamot/lam lumbar,,,4745.33,8323.87,8 HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,18.37,33.07,3 HCPCS,0276U,Hem inh thrombocytopenia 23,,,2448.56,4407.41,3 HCPCS,0277U,Hem gen pltlt funcj do 31,,,608.17,1094.71,3 HCPCS,0278T,Tempr,,,124.61,230.78,7 HCPCS,0278U,Hem gen thrombosis 12 genes,,,608.17,1094.71,3 HCPCS,0279U,Hem vw factor&clgn iii bndg,,,11.53,20.75,3 HCPCS,0280U,Hem vw factor&clgn iv bndg,,,17.27,31.09,3 HCPCS,0281U,Hem vwd propeptide ag lvl,,,17.27,31.09,3 HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,720.0,1296.0,3 HCPCS,0283U,Vw factor type 2b eval plsm,,,18.4,33.12,3 HCPCS,0284U,Vw factor type 2n eval plsm,,,17.27,31.09,3 HCPCS,0285U,Onc rsps radj cll fr dna tox,,,443.31,797.96,3 HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,134.13,241.43,3 HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,3600.0,6480.0,3 HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,3873.0,6971.4,3 HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,760.0,1368.0,3 HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,760.0,1368.0,3 HCPCS,0291U,Psyc mood do mrna 144 genes,,,1755.0,3159.0,3 HCPCS,0292U,Psyc strs do mrna 72 genes,,,1755.0,3159.0,3 HCPCS,0293U,Psyc suicidal idea mrna 54,,,760.0,1368.0,3 HCPCS,0295U,Onc brst dux carc 7 proteins,,,5435.0,9783.0,3 HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,1950.0,3510.0,3 HCPCS,0297U,Onc pan tum whl gen seq dna,,,2919.6,5255.28,3 HCPCS,0298U,Onc pan tum whl trns seq rna,,,2919.6,5255.28,3 HCPCS,0299U,Onc pan tum whl gen opt mapg,,,1863.22,3353.8,3 HCPCS,0300U,Onc pan tum whl gen seq&opt,,,4183.13,7529.63,3 HCPCS,0301U,Iadna bartonella ddpcr,,,262.72,472.9,3 HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,361.37,650.47,3 HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,2201.62,3962.92,3 HCPCS,0304U,Hem rbc ads whl bld normoxic,,,2075.8,3736.44,3 HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,662.58,1192.64,3 HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,3878.45,6981.21,3 HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,794.49,1430.08,3 HCPCS,0308T,Insj ocular telescope prosth,,,16401.63,63082.15,11 HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,390.75,703.35,3 HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,390.75,703.35,3 HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,390.75,703.35,3 HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,8.08,14.54,3 HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,840.65,1513.17,3 HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,3600.0,6480.0,3 HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,1950.0,3510.0,3 HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,8500.0,15300.0,3 HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,18.66,33.59,3 HCPCS,0317U,Onc lung ca 4-prb fish assay,,,2030.0,3654.0,3 HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,1770.48,3186.86,3 HCPCS,0319U,Neph rna pretrnspl perph bld,,,2650.0,4770.0,3 HCPCS,0320U,Neph rna psttrnspl perph bld,,,2650.0,4770.0,3 HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,634.84,1142.71,3 HCPCS,0322U,Neuro asd meas 14 acyl carn,,,750.0,1350.0,3 HCPCS,0323U,Iadna cns pthgn next gen seq,,,2126.2,3827.16,3 HCPCS,0326U,Trgt gen seq alys pnl 83+,,,5000.0,9000.0,3 HCPCS,0327U,Ftl aneuploidy trsmy dna seq,,,795.0,1431.0,3 HCPCS,0328U,Drug assay 120+ rx&metablt,,,114.43,205.97,3 HCPCS,0329U,Onc neo xome&trns seq alys,,,3437.98,6188.36,3 HCPCS,0330T,Tear film img uni/bi w/i&r,,,27.82,66.99,7 HCPCS,0330U,Iadna vag pthgn panel 27 org,,,416.78,750.2,3 HCPCS,0331T,Heart symp image plnr,,,1102.27,2321.99,11 HCPCS,0331U,Onc hl neo opt gen mapping,,,1863.22,3353.8,3 HCPCS,0332T,Heart symp image plnr spect,,,1102.27,2321.99,11 HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,1142.06,2055.71,3 HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,662.32,1192.18,3 HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,3500.0,6300.0,3 HCPCS,0335T,Extraosseous joint stblztion,,,2706.78,13175.32,11 HCPCS,0335U,Rare ds whl gen seq fetal,,,5224.6,9404.28,3 HCPCS,0336U,Rare ds whl gen seq bld/slv,,,2574.65,4634.37,3 HCPCS,0337U,Onc plsm cell do&myeloma id,,,2435.0,4383.0,3 HCPCS,0338T,HC TRANSCATHETER RENAL DENERVATION PERCUTANEOUS UNILATERAL,18811.0,18811.0,,,0 HCPCS,0338T,Trnscth renal symp denrv unl,,,3392.91,10207.97,11 HCPCS,0338U,Onc sld tum crcg tum cl slct,,,2435.0,4383.0,3 HCPCS,0339T,HC TRANSCATHETER RENAL DENERVATION PERCUTANEOUS BILATERAL,29444.0,29444.0,,,0 HCPCS,0339T,Trnscth renal symp denrv bil,,,3392.91,10207.97,11 HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,760.0,1368.0,3 HCPCS,0340U,Onc pan ca alys mrd plasma,,,3590.0,6462.0,3 HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,1900.2,3420.36,3 HCPCS,0342T,Thxp apheresis w/hdl delip,,,3085.19,7811.71,11 HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,760.0,1368.0,3 HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,792.17,1425.91,3 HCPCS,0345U,Psyc genom alys pnl 15 gen,,,1336.09,2404.96,3 HCPCS,0347T,Ins bone device for rsa,,,53.47,105.8,7 HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,1336.09,2404.96,3 HCPCS,0348T,RSA spine exam,,,104.17,193.88,7 HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,742.27,1336.09,3 HCPCS,0349T,RSA upper extr exam,,,104.17,193.88,7 HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,742.27,1336.09,3 HCPCS,0350T,RSA lower extr exam,,,58.68,156.08,7 HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,1336.09,2404.96,3 HCPCS,0351U,Nfct ds bct/viral trail ip10,,,260.5,468.9,3 HCPCS,0355U,Apol1 risk variants,,,137.0,246.6,3 HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,1800.0,3240.0,3 HCPCS,0358T,BIA whole body,,,27.82,51.88,7 HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,260.5,468.9,3 HCPCS,0359U,Onc prst8 ca alys all psa,,,760.0,1368.0,3 HCPCS,0360U,Onc lung elisa 7 autoant alg,,,840.65,1513.17,3 HCPCS,0362T,Expose behav assessment,,,37.33,120.85,7 HCPCS,0362U,Onc pap thyr ca rna 82&10,,,3600.0,6480.0,3 HCPCS,0363U,Onc urthl mrna 5 gen alg,,,760.0,1368.0,3 HCPCS,0364U,Onc hl neo gen seq alys alg,,,2007.25,3613.05,3 HCPCS,0365U,Onc bldr 10 prb bldr ca,,,897.0,1614.6,3 HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,897.0,1614.6,3 HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,902.18,1623.92,3 HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,416.78,750.2,3 HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,416.78,750.2,3 HCPCS,0373T,Exposure behavior treatment,,,37.33,216.74,7 HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,897.0,1614.6,3 HCPCS,0376U,Onc prst8 ca img alys 128,,,706.25,1271.25,3 HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,47.58,85.64,3 HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,137.0,246.6,3 HCPCS,0379T,Vis field assmnt tech suppt,,,27.82,66.99,7 HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,5919.32,3 HCPCS,0381U,Maple syrup ur ds mntr quan,,,44.12,79.42,3 HCPCS,0382U,Hyprphenylalninmia mntr quan,,,51.64,92.95,3 HCPCS,0383U,Tyrosinemia typ i mntr quan,,,52.05,93.69,3 HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,750.0,1350.0,3 HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,390.75,703.35,3 HCPCS,0387U,Onc mlnma ambra1&amlo,,,948.5,1707.3,3 HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,6300.0,3 HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,126.36,3 HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,64.41,115.94,3 HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,3600.0,6480.0,3 HCPCS,0392U,Rx metab genrx ia 16 genes,,,1336.09,2404.96,3 HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,540.99,973.78,3 HCPCS,0394T,Hdr elctrnc skn surf brchytx,,,197.92,347.17,4 HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,198.74,357.73,3 HCPCS,0395T,Hdr elctr ntrst/ntrcv brchtx,,,693.97,1253.94,7 HCPCS,0395U,Onc lng multiomics plsm alg,,,797.45,1435.41,3 HCPCS,0398U,Gi baret esph dna mthyln aly,,,1755.0,3159.0,3 HCPCS,0399U,Neuro cere folate defncy srm,,,300.0,540.0,3 HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,881.42,3 HCPCS,0402T,Collagen crosslinking cornea,,,749.62,4264.08,7 HCPCS,0402U,HC NFCT AGT STI MULT AMP PRB TQ VAG ENDOCRV/MALE UR,357.0,357.0,,,0 HCPCS,0402U,Nfct agt sti mult amp prb tq,,,142.63,256.73,3 HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,760.0,1368.0,3 HCPCS,0404U,Onc brst semiq meas thym kn,,,322.96,581.33,3 HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,1770.48,3186.86,3 HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,760.0,1368.0,3 HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,950.0,1710.0,3 HCPCS,0408T,HC CCM INSERT/REPLACE SYSTEM PLS GEN AND LEAD(S),72096.0,72096.0,,,0 HCPCS,0408T,Insj/rplc cardiac modulj sys,,,28257.82,56296.78,7 HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,25.43,3 HCPCS,0409T,Insj/rplc car modulj pls gn,,,22163.59,49567.56,7 HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,2919.6,5255.28,3 HCPCS,0410T,Insj/rplc car modulj atr elt,,,8245.63,15549.12,7 HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,1160.0,2088.0,3 HCPCS,0411T,Insj/rplc car modulj vnt elt,,,8245.63,15549.12,7 HCPCS,0411U,Psyc genom alys pnl 15 gen,,,1336.09,2404.96,3 HCPCS,0412T,Rmvl cardiac modulj pls gen,,,2477.2,6702.34,7 HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,750.0,1350.0,3 HCPCS,0413T,Rmvl car modulj tranvns elt,,,2477.2,6702.34,7 HCPCS,0413U,Onc hl neo opt gen mapg dna,,,1263.53,2274.35,3 HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,22163.59,49567.56,7 HCPCS,0414U,Onc lng aug alg aly whl sld8,,,706.25,1271.25,3 HCPCS,0415T,Repos car modulj tranvns elt,,,625.05,1161.41,7 HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,390.75,703.35,3 HCPCS,0416T,Reloc skin pocket pls gen,,,1381.8,3700.55,7 HCPCS,0417T,Prgrmg eval cardiac modulj,,,34.46,66.94,7 HCPCS,0417U,Rare ds alys 335 nuc genes,,,2842.53,5116.55,3 HCPCS,0418T,Interro eval cardiac modulj,,,34.46,66.94,7 HCPCS,0418U,Onc brst aug alg aly whl sl8,,,706.25,1271.25,3 HCPCS,0419T,Dstrj neurofibroma xtnsv,,,438.5,1325.55,7 HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,1336.09,2404.96,3 HCPCS,0420T,Dstrj neurofibroma xtnsv,,,438.5,1325.55,7 HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,1328.32,2390.98,3 HCPCS,0422T,Tactile breast img uni/bi,,,57.94,156.08,7 HCPCS,0422U,Onc pan solid tum alys dna,,,1943.21,3497.78,3 HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,1368.0,3 HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,4094.39,7369.9,3 HCPCS,0426U,Genome ultra-rapid seq alys,,,7582.2,13647.96,3 HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,4.48,8.06,3 HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,63.16,3 HCPCS,0430U,Gi malabs aat calpro pncrtc,,,61.54,110.77,3 HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,65.83,3 HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,36.57,65.83,3 HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,1368.0,3 HCPCS,0434U,Rx metab advrs vrnt alys 25,,,416.78,750.2,3 HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,5460.95,3 HCPCS,0436U,Onc lng plsm alys 388 prtn,,,1504.24,2707.63,3 HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,1368.0,3 HCPCS,0438U,Rx metab advrs vrnt alys 33,,,416.78,750.2,3 HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,854.0,1537.2,3 HCPCS,0440T,Abltj perc uxtr/perph nrv,,,1945.7,5927.15,7 HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,854.0,1537.2,3 HCPCS,0441T,Abltj perc lxtr/perph nrv,,,1945.7,5927.15,7 HCPCS,0441T,HC ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE,23893.0,23893.0,,,0 HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,444.08,799.34,3 HCPCS,0442T,Abltj perc plex/trncl nrv,,,3378.99,15739.73,7 HCPCS,0442T,HC ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV,17895.0,17895.0,,,0 HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,74.48,3 HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,116.23,209.21,3 HCPCS,0444U,Onc sld orgn neo tgsap 361,,,2919.6,5255.28,3 HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,260.5,468.9,3 HCPCS,0446T,Insj impltbl glucose sensor,,,591.24,7461.77,7 HCPCS,0446U,Ai ds sle alys 10 cytokine,,,840.65,1513.17,3 HCPCS,0447T,Rmvl impltbl glucose sensor,,,148.19,359.84,7 HCPCS,0447U,Ai ds sle alys 11 cytokine,,,840.65,1513.17,3 HCPCS,0448T,Remvl insj impltbl gluc sens,,,438.5,7461.77,7 HCPCS,0449T,Insj aqueous drain dev 1st,,,4223.44,9543.9,7 HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,345.6,3 HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,345.6,3 HCPCS,0454U,U rare ds id opt genome mapg,,,1263.53,2274.35,3 HCPCS,0455U,HC NFCT AGT STI CHLMYD GONORR TRICH MULT AMP PRB UR,357.0,357.0,,,0 HCPCS,0455U,Nfct agt sti mult amp prb ur,,,142.63,256.73,3 HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,357.73,3 HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,468.9,3 HCPCS,0459U,Abeta42 & ttau eclia csf,,,260.5,468.9,3 HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,917.08,1650.74,3 HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,917.08,1650.74,3 HCPCS,0462U,Melatonin lvl tst slp std7/9,,,17.27,31.09,3 HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,760.0,1368.0,3 HCPCS,0464T,Visual ep test for glaucoma,,,124.61,230.78,7 HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,1065.46,3 HCPCS,0465?,Autolog prp diab wound ulcer,,,2055.86,3700.55,3 HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,3488.42,3 HCPCS,0466U,Crd cad dna gwas 564856 snp,,,345.43,621.77,3 HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,2734.31,3 HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,251.7,453.06,3 HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1197.94,2156.29,3 HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,597.91,1076.24,3 HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,1368.0,3 HCPCS,0472T,Prgrmg io rta eltrd ra,,,306.03,822.2,7 HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,27.9,50.22,3 HCPCS,0473T,Reprgrmg io rta eltrd ra,,,94.73,361.61,7 HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,8100.0,3 HCPCS,0474T,Insj aqueous drg dev io rsvr,,,4075.83,11336.22,8 HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,2347.11,3 HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,2347.11,3 HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,750.2,3 HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,750.2,3 HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,552.99,995.38,3 HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,270.41,1325.55,11 HCPCS,0479U,Tau phosphorylated ptau217,,,17.27,31.09,3 HCPCS,0480U,Nfct ds csf metag ngs alys,,,2126.2,3827.16,3 HCPCS,0481T,Njx autol wbc concentrate,,,445.12,1036.1,7 HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,674.24,1213.63,3 HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,128.82,231.88,3 HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,35.09,63.16,3 HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,35.09,63.16,3 HCPCS,0485T,Oct mid ear i&r unilateral,,,37.22,99.84,7 HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,3649.48,6569.06,3 HCPCS,0486T,Oct mid ear i&r bilateral,,,37.22,99.84,7 HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,1644.25,2959.65,3 HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,5255.28,3 HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,4383.0,3 HCPCS,0491U,Onc sol tum ctc slct er prtn,,,2435.0,4383.0,3 HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,4383.0,3 HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,4955.85,3 HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,1366.29,3 HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,760.0,1368.0,3 HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,485.86,874.55,3 HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,3873.0,6971.4,3 HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,1345.31,2421.56,3 HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,597.91,1076.24,3 HCPCS,0500U,Autoinflam ds vexas synd dna,,,175.4,315.72,3 HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,63.16,3 HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,750.0,1350.0,3 HCPCS,0504U,Nfct ds uti id 17 path orgs,,,416.78,750.2,3 HCPCS,0505T,Ev fempop artl revsc,,,11502.68,20704.82,3 HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,679.77,1223.59,3 HCPCS,0506T,Mac pgmt opt dns meas hfp,,,58.78,105.8,3 HCPCS,0506U,Gi barretts esophgl cell 89,,,1938.01,3488.42,3 HCPCS,0507T,Near ifr 2img mibmn glnd i&r,,,58.78,105.8,3 HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,2088.0,3 HCPCS,0509T,Pattern erg w/i&r,,,215.15,410.45,7 HCPCS,0510T,Rmvl sinus tarsi implant,,,2014.25,7919.97,11 HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,473.91,853.04,3 HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,5683.02,17207.23,11 HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,5460.95,3 HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,199.91,948.21,11 HCPCS,0512U,Onc prst8 alys dgtz img msi,,,706.25,1271.25,3 HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,706.25,1271.25,3 HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,38.57,69.43,3 HCPCS,0515T,Insj wcs lv compl sys,,,22163.59,66408.03,7 HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,69.43,3 HCPCS,0516T,Insj wcs lv eltrd only,,,10414.41,22353.24,7 HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,750.2,3 HCPCS,0517T,Insj wcs lv pg compnt,,,10414.41,22353.24,7 HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,444.46,3 HCPCS,0518T,Rmvl pg compnt wcs,,,3723.52,9451.16,7 HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,444.46,3 HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,5387.98,18745.94,7 HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,444.46,3 HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,10414.41,66408.03,7 HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,444.46,3 HCPCS,0521T,Interrog dev eval wcs ip,,,28.82,51.88,7 HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,51.8,93.24,3 HCPCS,0522T,Prgrmg dev eval wcs ip,,,37.19,112.19,7 HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,260.5,468.9,3 HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,1352.09,2433.76,3 HCPCS,0524T,Ev cath dir chem abltj w/img,,,2093.27,7974.85,11 HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,128.82,231.88,3 HCPCS,0525T,Insj/rplcmt compl iims,,,10195.83,34546.37,11 HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,3033.86,5460.95,3 HCPCS,0526T,Insj/rplcmt iims eltrd only,,,7668.68,22353.24,11 HCPCS,0527T,Insj/rplcmt iims implt mntr,,,5935.12,22353.24,11 HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,142.63,256.73,3 HCPCS,0528T,Prgrmg dev eval iims ip,,,37.19,112.19,7 HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,634.84,1142.71,3 HCPCS,0529T,Interrog dev eval iims ip,,,37.19,112.19,7 HCPCS,0530T,Removal complete iims,,,2584.61,9451.16,11 HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,2919.6,5255.28,3 HCPCS,0531T,Removal iims electrode only,,,2584.61,9451.16,11 HCPCS,0532T,Removal iims implt mntr only,,,2584.61,9451.16,11 HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,5031.2,9056.16,3 HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,416.78,750.2,3 HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,62.14,111.85,3 HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,192.0,345.6,3 HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,1495.0,2691.0,3 HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,2989.55,5381.19,3 HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,3288.51,5919.32,3 HCPCS,0540U,Trnsplj med quan dd-cfdna,,,2753.25,4955.85,3 HCPCS,0541T,Myocardial imaging mcg,,,371.82,669.27,3 HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,2989.55,5381.19,3 HCPCS,0545U,Achr antb id imfluor livecll,,,37.73,67.91,3 HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,37.73,67.91,3 HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,116.23,209.21,3 HCPCS,0548U,Gfap cleia plasma,,,116.23,209.21,3 HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,760.0,1368.0,3 HCPCS,0553U,Repr med pga embry te strux,,,759.05,1366.29,3 HCPCS,0554U,Repr med pga 24chrm te bx qc,,,759.05,1366.29,3 HCPCS,0555T,B1 str&fx rsk transmis data,,,28.82,51.88,3 HCPCS,0555U,Repr med pga embryonic te qc,,,759.05,1366.29,3 HCPCS,0556T,B1 str & fx rsk assessment,,,237.74,427.94,3 HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,142.63,256.73,3 HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,262.99,473.38,3 HCPCS,0558T,Ct scan f/biomchn ct alys,,,86.71,156.08,3 HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,20.81,37.46,3 HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,132.57,238.63,3 HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,20.81,37.46,3 HCPCS,0560U,Onc mrd gsa cfdna baseline,,,3878.45,6981.21,3 HCPCS,0561T,Antmc guide 3d print 1st gd,,,132.57,238.63,3 HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,794.49,1430.08,3 HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,597.91,1076.24,3 HCPCS,0563T,Evac meibomian glnd heat bi,,,58.78,122.89,7 HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,416.78,750.2,3 HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,416.78,750.2,3 HCPCS,0565T,Autol cell implt adps hrvg,,,70.06,122.89,4 HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,1160.0,2088.0,3 HCPCS,0566T,Autol cell implt adps njx,,,211.31,584.76,8 HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,416.78,750.2,3 HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,5031.2,9056.16,3 HCPCS,0568U,Neurol dementia ?amyl ptau,,,897.0,1614.6,3 HCPCS,0569T,HC TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS,15787.0,15787.0,,,0 HCPCS,0570T,HC TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS,3946.0,3946.0,,,0 HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,260.5,468.9,3 HCPCS,0571T,HC INS/RPLCMT ICDS W/SUBSTERNAL ELETRODE,56423.0,56423.0,,,0 HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,31275.99,56296.78,3 HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,2919.6,5255.28,3 HCPCS,0572T,Insertion ss dfb electrode,,,8245.63,14842.14,3 HCPCS,0573T,Removal ss dfb electrode,,,3723.52,6702.34,3 HCPCS,0574T,Repos prev ss impl dfb eltrd,,,3723.52,6702.34,3 HCPCS,0575T,HC PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON,97.0,97.0,,,0 HCPCS,0575T,Prgrmg dev eval icds ss ip,,,37.19,66.94,3 HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,380.0,684.0,3 HCPCS,0576T,HC INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON,97.0,97.0,,,0 HCPCS,0576T,Interrog dev eval icds ss ip,,,37.19,66.94,3 HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,3240.0,5832.0,3 HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,3873.0,6971.4,3 HCPCS,0579T,HC REM INTERROG DEV EVAL SS LD ICDS < 90D TECH,97.0,97.0,,,0 HCPCS,0579T,Rem interrog dev icds tech,,,37.19,66.94,3 HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,390.75,703.35,3 HCPCS,0580T,Rmvl ss impl dfb pg only,,,3723.52,6702.34,3 HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,17.21,30.98,3 HCPCS,0581T,Abltj mal brst tum perq crtx,,,3901.35,7022.44,3 HCPCS,0581U,Trnspl med antb nohla 39trgt,,,325.8,586.44,3 HCPCS,0582T,Trurl abltj mal prst8 tiss,,,13146.01,23662.82,3 HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,7582.2,13647.96,3 HCPCS,0583T,Tmpst auto tube dlvr sys,,,1546.0,2782.81,3 HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,3791.1,6823.98,3 HCPCS,0584U,Neuro csf prion prtn qual,,,540.99,973.78,3 HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,2919.6,5255.28,3 HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,2919.6,5255.28,3 HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,657.65,11430.14,11 HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,114.43,205.97,3 HCPCS,0588T,Revision/removal isdns ptn,,,211.31,6270.36,11 HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,760.0,1368.0,3 HCPCS,0589T,Elec alys smpl prgrmg iins,,,94.73,253.38,7 HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,198.74,357.73,3 HCPCS,0590T,Elec alys cplx prgrmg iins,,,94.73,253.38,7 HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,760.0,1368.0,3 HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,2919.6,5255.28,3 HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,634.84,1142.71,3 HCPCS,0594T,Osteot hum xtrnl lngth dev,,,127.27,13014.22,7 HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,262.99,473.38,3 HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,9.69,1250.62,7 HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,9.69,1250.62,7 HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,215.15,387.26,3 HCPCS,0598U,Gi ibs igg antb 18food items,,,300.0,540.0,3 HCPCS,0599U,Onc pncrtc ca mult ia serum,,,897.0,1614.6,3 HCPCS,0600T,Ire abltj 1+tum organ perq,,,164.83,19064.9,7 HCPCS,0601T,Ire abltj 1+tumors open,,,164.83,19064.9,7 HCPCS,0609T,Mrs disc pain acquisj data,,,237.74,427.94,3 HCPCS,0611T,Mrs disc pain alg alys data,,,237.74,427.94,3 HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,501.26,39894.46,7 HCPCS,0615T,Eye mvmt alys w/o calbrj i&r,,,132.57,238.63,3 HCPCS,0619T,Cysto w/prst8 commissurotomy,,,89.65,103.1,4 HCPCS,0620T,Evasc ven artlz tibl/prnl vn,,,306.58,78998.56,11 HCPCS,0621T,Trabeculostomy interno laser,,,4118.56,7413.41,3 HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,195.98,23026.52,7 HCPCS,0629T,Perq njx algc ct lmbr 1st,,,195.98,23026.52,7 HCPCS,0631T,Tc vis lit hyperspectral img,,,31.43,55.13,4 HCPCS,0632T,Perq tcat us abltj nrv p-art,,,18265.72,32878.29,3 HCPCS,0633T,Ct breast w/3d uni c-,,,104.17,243.46,7 HCPCS,0634T,Ct breast w/3d uni c+,,,174.77,398.9,7 HCPCS,0635T,Ct breast w/3d uni c-/c+,,,174.77,398.9,7 HCPCS,0636T,Ct breast w/3d bi c-,,,237.74,514.15,7 HCPCS,0637T,Ct breast w/3d bi c+,,,347.62,822.42,7 HCPCS,0638T,Ct breast w/3d bi c-/c+,,,347.62,822.42,7 HCPCS,0640T,Ncntc nr ifr spctrsc wnd,,,37.22,66.99,3 HCPCS,0644T,HC TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ,15378.0,15378.0,,,0 HCPCS,0644T,HC TCAT RMVL/DEBULK INTRACAR MASS SUCTION DEVICE PERQ,17600.0,17600.0,,,0 HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,4606.29,10207.97,7 HCPCS,0645T,Tcat impltj c sins rdctj dev,,,18265.72,32878.29,3 HCPCS,0647T,Insj gtube perq mag gastrpxy,,,1474.52,3441.61,7 HCPCS,0648T,Quan mr alys tiss w/o mri,,,927.0,1668.61,3 HCPCS,0649T,QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN,5133.0,5133.0,,,0 HCPCS,0649T,Quan mr alys tiss w/mri,,,927.0,1668.61,3 HCPCS,0650T,Prgrmg dev eval scrms remote,,,37.19,66.94,3 HCPCS,0651T,Mag ctrld capsule endoscopy,,,874.21,1626.7,7 HCPCS,0652T,Egd flx transnasal dx br/wa,,,874.21,3441.61,7 HCPCS,0653T,Egd flx transnasal bx 1/ml,,,874.21,3441.61,7 HCPCS,0654T,Egd flx transnasal tube/cath,,,1474.52,6914.9,7 HCPCS,0655T,Tprnl focal abltj mal prst8,,,2292.26,9616.53,7 HCPCS,0656T,Vrt bdy tethering ant,,,17470.77,31447.38,3 HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,17470.77,31447.38,3 HCPCS,0658T,Elec impd spectrsc 1+skn les,,,58.78,105.8,3 HCPCS,0660T,Implt ant sgm io nbio rx sys,,,4118.56,7413.41,3 HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,4118.56,7413.41,3 HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,2566.74,9543.9,11 HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,975.64,3210.41,11 HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,30746.74,55344.12,3 HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,11102.63,19984.73,3 HCPCS,0677T,Laps repos lead isdss 1st ld,,,10591.61,19064.9,3 HCPCS,0679T,Laps rmvl lead isdss,,,10591.61,19064.9,3 HCPCS,0680T,Insj/rplcmt pg only isdss,,,19330.35,34794.63,3 HCPCS,0681T,Rlcj pulse gen only isdss,,,3483.53,6270.36,3 HCPCS,0682T,Removal pulse gen only isdss,,,3483.53,6270.36,3 HCPCS,0683T,Prgrmg dev eval isdss ip,,,37.19,66.94,3 HCPCS,0685T,Interrog dev eval isdss ip,,,37.19,66.94,3 HCPCS,0686T,HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,31501.0,31501.0,,,0 HCPCS,0686T,Histotripsy mal hepatcel tis,,,10162.1,30722.2,11 HCPCS,0689T,Quan us tis charac w/o dx us,,,86.71,184.56,7 HCPCS,0692T,Therapeutic ultrafiltration,,,516.29,2793.29,7 HCPCS,0693T,Compre ful bdy 3d mtn alys,,,341.84,783.05,7 HCPCS,0696T,Bdy surf mapg pm/cvdfb f/up,,,37.19,84.97,7 HCPCS,0697T,Quan mr tis wo mri mlt orgn,,,299.31,1668.61,7 HCPCS,0698T,Quan mr tiss w/mri mlt orgn,,,927.0,1668.61,3 HCPCS,0699T,Njx pst chmbr eye medication,,,1704.71,4139.14,7 HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,2840.32,5868.42,7 HCPCS,0712T,N-nvs artl plaq alys quan,,,105.22,387.26,7 HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,3553.9,9616.53,7 HCPCS,0716T,Car acous wavfrm rec cad rsk,,,58.78,105.8,3 HCPCS,0717T,Adrc ther prtl rc tear,,,3530.98,6355.77,3 HCPCS,0718T,Adrc ther prtl rc tear njx,,,3530.98,6355.77,3 HCPCS,0721T,Quan ct tiss charac w/o ct,,,634.42,1141.96,3 HCPCS,0722T,HC QUAN CT TISS CHARAC I&R W/CNCRNT CT EXAM,4402.0,4402.0,,,0 HCPCS,0722T,Quan ct tiss charac w/ct,,,634.42,1141.96,3 HCPCS,0723T,Qmrcp w/o dx mri sm anat ses,,,927.0,1668.61,3 HCPCS,0724T,Qmrcp w/dx mri same anatomy,,,927.0,1668.61,3 HCPCS,0730T,Trabeculotomy lsr w/oct gdn,,,5302.17,9543.9,3 HCPCS,0731T,Augmnt ai-based fcl phnt a/r,,,58.78,105.8,3 HCPCS,0736T,Colonic lavage 35+l water,,,128.21,230.78,3 HCPCS,0737T,Xenograft impltj artclr surf,,,12792.51,23026.52,3 HCPCS,0740T,Rem auton alg nsln cal setup,,,58.78,126.34,7 HCPCS,0741T,Rem auton alg nsln data coll,,,37.19,76.94,7 HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,237.74,427.94,3 HCPCS,0744T,Insj bioprostc vlv fem vn,,,5544.48,11297.53,7 HCPCS,0764T,Asstv alg ecg rsk asmt cncrt,,,132.57,238.63,3 HCPCS,0765T,Asstv alg ecg rsk asmt prev,,,132.57,238.63,3 HCPCS,0766T,Tc mag stimj pn 1st tx 1nrv,,,182.24,387.26,7 HCPCS,0778T,Smmg cncrnt appl imu snr,,,128.21,319.68,7 HCPCS,0779T,Gi myoelectrical actv study,,,371.82,1062.6,7 HCPCS,0780T,Instlj fecal microbiota ssp,,,132.57,238.63,3 HCPCS,0783T,Tc auriculr neurostimulation,,,128.21,319.68,7 HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,11102.63,26967.22,11 HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,2617.12,6735.91,11 HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,11102.63,26967.22,11 HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,2617.12,6735.91,11 HCPCS,0788T,Elec aly smp iins sp/sac nrv,,,94.73,191.65,7 HCPCS,0789T,Elec aly cpx iins sp/sac nrv,,,94.73,191.65,7 HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,17470.77,31447.38,3 HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,13663.83,32878.29,7 HCPCS,0794T,Pt spec alg rx-onc tx option,,,58.78,105.8,3 HCPCS,0795T,HC INSERT DUAL-CHMBR LEADLESS PCMKR R ATRL & R VNTRCLR,50633.0,50633.0,,,0 HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,19192.43,34546.37,3 HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,19192.43,34546.37,3 HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,14588.03,34546.37,7 HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3146.13,5663.03,3 HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3146.13,5663.03,3 HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,2689.2,5663.03,7 HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,19192.43,34546.37,3 HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,19192.43,34546.37,3 HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,14588.03,34546.37,7 HCPCS,0804T,HC PRGRMG DEV EVAL LDLS PM SYS 2CHMBR IN PERSON,97.0,97.0,,,0 HCPCS,0804T,Prgrmg evl ldls pm 2chmbr ip,,,37.19,66.94,3 HCPCS,0807T,Pulm tiss vntj alys prev ct,,,215.15,387.26,3 HCPCS,0808T,Pulm tiss vntj alys w/ct,,,215.15,387.26,3 HCPCS,0811T,Rem mlt day uroflow setup,,,132.66,261.68,7 HCPCS,0812T,Rem mlt day uroflow dev sply,,,42.57,230.78,7 HCPCS,0813T,Egd vol adjmt bariatric balo,,,648.33,1794.56,11 HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,19330.35,43306.49,11 HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,19330.35,43306.49,11 HCPCS,0818T,Revj/rmvl ins ptn subq,,,2617.12,6735.91,11 HCPCS,0819T,Revj/rmvl ins ptn subf,,,2617.12,6735.91,11 HCPCS,0823T,HC TRNSCTHTR INSERT SINGLE CHMBR LEADLESS PCMKR R ATRL CMPNT,50633.0,50633.0,,,0 HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,19192.43,38574.45,7 HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,3146.13,6310.21,7 HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,19192.43,38574.45,7 HCPCS,0826T,HC PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP,97.0,97.0,,,0 HCPCS,0826T,Prgrmg evl ldls pm 1chmbr ip,,,37.19,74.68,7 HCPCS,0857T,Opto-acoustic img breast uni,,,104.17,217.67,7 HCPCS,0858T,Ext trnscranl mag stimj meas,,,371.82,669.27,3 HCPCS,0861T,Rmvl pg wcs lv both compnt,,,3723.52,7774.22,7 HCPCS,0862T,Rlcj pg wcs lv battery only,,,2055.86,3700.55,7 HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,2055.86,3700.55,7 HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,176.75,489.26,11 HCPCS,0865T,Quan mri alys brn w/o dx mri,,,237.74,485.1,7 HCPCS,0866T,HC QUAN MRI ALYS BRAIN WITH DIAGNOSTIC MRI,735.0,735.0,,,0 HCPCS,0866T,Quan mri alys brn w/dx mri,,,237.74,485.1,7 HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,5342.52,9616.53,3 HCPCS,0868T,Hi-res gastric ep mapping,,,371.82,669.27,3 HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,3260.23,5868.42,3 HCPCS,0872T,Rplcmt ndwllg bldr&prtl cath,,,3567.53,6421.55,3 HCPCS,0873T,Revj subq prtl asct pmp sys,,,3567.53,6421.55,3 HCPCS,0874T,Rmvl pertl ascites pmp sys,,,3567.53,6421.55,3 HCPCS,0875T,Prgrm subq prtl asct pmp sys,,,37.19,66.94,3 HCPCS,0877T,Augmnt alys ch ct ild w/o ct,,,634.42,1141.96,3 HCPCS,0878T,Augmnt alys ch ct ild w/ct,,,634.42,1141.96,3 HCPCS,0881T,Cryotherapy oral cavity,,,445.12,801.21,3 HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,6049.07,10888.32,3 HCPCS,0885T,Colsc flx 1st tndsc dilat,,,6049.07,10888.32,3 HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,6049.07,10888.32,3 HCPCS,0889T,Prsnlz trgt dvl arhfcmrigtbs,,,927.0,1668.61,3 HCPCS,0893T,N-invas assmt bld oxygnation,,,132.57,238.63,3 HCPCS,0897T,N-invas augmnt arrhyt alys,,,855.65,1540.17,3 HCPCS,0898T,N-invas prst8 cancer est map,,,855.65,1540.17,3 HCPCS,0902T,Qtc ntrvl augmnt alg aly ecg,,,132.57,242.36,7 HCPCS,0904T,Ecg alg 12 ld rdcd trcg only,,,58.78,111.69,7 HCPCS,0906T,Coms ther 1st appl<=50 sq cm,,,199.91,373.6,7 HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,30746.74,55344.12,3 HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,30746.74,55344.12,3 HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,3483.53,6270.36,3 HCPCS,0911T,Elec aly nstm sys vgs nrv wo,,,58.78,105.8,3 HCPCS,0912T,Elec alys nstim sys vgs smpl,,,94.73,170.51,3 HCPCS,0913T,HC PERQ TRNSCATH THER RX DLVR INTRAC BAL 1 MAJ C ART,15549.0,15549.0,,,0 HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,6111.5,20704.82,7 HCPCS,0914T,HC PERQ TRNSCATH THER RX DLVR INTRAC BAL SEPARATE,10885.0,10885.0,,,0 HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,31275.99,60283.78,7 HCPCS,0916T,Insj perm ccm-d sys pg only,,,22163.59,42204.46,7 HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,8245.63,15560.91,7 HCPCS,0918T,Insj perm ccm-d sys dual ld,,,8245.63,15560.91,7 HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,3723.52,6842.8,7 HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,3723.52,6842.8,7 HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,3723.52,6842.8,7 HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,3723.52,6842.8,7 HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,22163.59,42204.46,7 HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,625.05,1162.49,7 HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,1960.77,3700.55,7 HCPCS,0926T,Prgrmg dev eval ccm-d ip,,,37.19,70.12,7 HCPCS,0927T,Interrog dev eval ccm-d ip,,,37.19,70.12,7 HCPCS,0929T,Rem interrog dev ccm-d tech,,,37.19,70.12,7 HCPCS,0930T,Ephys eval ccm-d ld 1st impl,,,1213.16,2282.61,7 HCPCS,0931T,Ephys eval ccm-d ld separate,,,1213.16,2282.61,7 HCPCS,0932T,N-invs det hrt fail aug echo,,,306.03,563.91,7 HCPCS,0933T,Tcat impl wrls l atr prs snr,,,3230.27,6047.67,7 HCPCS,0941T,Cysto flx ins&xpns urtl scaf,,,9432.42,16978.36,3 HCPCS,0942T,Cysto flx rmv&rplc urtl scaf,,,9432.42,16978.36,3 HCPCS,0943T,Cysto flx rmvl urtl scaffold,,,2082.87,3749.16,3 HCPCS,0944T,3d cntr simula trgt lvr les,,,237.74,454.49,7 HCPCS,0946T,Ortho impl mvmt alys pair ct,,,104.17,199.95,7 HCPCS,0949T,Rem interrog dev ccm tech,,,37.19,66.94,3 HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,9432.42,16978.36,3 HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1602.21,2883.98,3 HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,3260.23,5868.42,3 HCPCS,0959T,Rmv/rplc magnet coil assem,,,1645.66,2962.18,3 HCPCS,0962T,Asstv alg alys acous&ecg rec,,,132.57,238.63,3 HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,1192.34,2146.21,3 HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,3303.54,5946.37,3 HCPCS,0965T,I&cst prp jw xpn dl arch non,,,3303.54,5946.37,3 HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,3303.54,5946.37,3 HCPCS,0967T,Tranal ins tmp clrc anst dev,,,1192.34,2146.21,3 HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,3901.35,7022.44,3 HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,3901.35,7022.44,3 HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,405.05,729.1,3 HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,405.05,729.1,3 HCPCS,0977T,Upr gi bld detcj snr capsule,,,903.72,1626.7,3 HCPCS,0981T,Tcat impl wrls ivc snr,,,18265.72,32878.29,3 HCPCS,0982T,Rem mntr impl ivc snr set-up,,,132.66,238.78,3 HCPCS,0983T,Rem mntr impl ivc snr phys,,,37.19,66.94,3 HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,3483.53,6270.36,3 HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,9432.42,16978.36,3 HCPCS,0992T,N-invas assmt car rsk w/o ct,,,237.74,427.94,3 HCPCS,0993T,N-invas assmt car rsk w/ct,,,237.74,427.94,3 HCPCS,10005,Fna bx w/us gdn 1st les,,,705.59,1749.05,7 HCPCS,10005,HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,805.0,805.0,,,0 HCPCS,10005,HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESSION,726.0,726.0,,,0 HCPCS,10006,HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,341.0,341.0,,,0 HCPCS,10007,Fna bx w/fluor gdn 1st les,,,705.59,1749.05,7 HCPCS,10007,HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION,808.5,808.5,,,0 HCPCS,10009,Fna bx w/ct gdn 1st les,,,705.59,1749.05,7 HCPCS,10009,HC FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION,860.5,860.5,,,0 HCPCS,10011,Fna bx w/mr gdn 1st les,,,705.59,1749.05,7 HCPCS,10021,Fna w/o image,,,240.36,2725.39,11 HCPCS,10021,HC ED FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,447.0,447.0,,,0 HCPCS,10021,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,447.0,447.0,,,0 HCPCS,1002T,Air displacmnt plethysmograp,,,28.82,51.88,3 HCPCS,10030,Guide cathet fluid drainage,,,202.97,1319.63,11 HCPCS,10030,HC IMG CATH FLUID COL SOFT TISSUE,971.5,971.5,,,0 HCPCS,10035,HC PERQ DEV SOFT TISSUE 1ST LESION,2099.0,2099.0,,,0 HCPCS,10035,Perq dev soft tiss 1st imag,,,705.59,1708.16,7 HCPCS,10036,HC PERC DEV SOFT TISS ADDTL LESION,2436.0,2436.0,,,0 HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,12792.51,23026.52,3 HCPCS,10040,Acne surgery,,,150.12,359.84,7 HCPCS,1004T,Elec alys s-scl eeg wo prgrm,,,132.57,238.63,3 HCPCS,1005T,Elec alys s-scl eeg prgr 1st,,,94.73,170.51,3 HCPCS,10060,Drainage of skin abscess,,,169.69,3505.73,11 HCPCS,10060,HC DRAINAGE OF SKIN ABSCESS SIMPLE,246.0,246.0,,,0 HCPCS,10060,HC ED DRAINAGE OF SKIN ABSCESS SIMPLE,246.0,246.0,,,0 HCPCS,10060,HC INCISION & DRAIN SKIN ABSCESS SIMPLE,281.0,281.0,,,0 HCPCS,10061,Drainage of skin abscess,,,199.77,729.1,11 HCPCS,10061,HC DRAINAGE OF SKIN ABSCESS COMP,348.0,348.0,,,0 HCPCS,10061,HC ED DRAINAGE OF SKIN ABSCESS COMP,348.0,348.0,,,0 HCPCS,10061,HC INCISION & DRAIN SKIN ABSCESS; COMPLICATED OR MULT,399.0,399.0,,,0 HCPCS,10080,Drainage of pilonidal cyst,,,214.62,1270.05,11 HCPCS,10080,HC ED DRAINAGE PILONIDAL CYST SIMPLE,805.0,805.0,,,0 HCPCS,10080,HC INCISION & DRAIN PILONIDAL CYST SIMPLE,917.0,917.0,,,0 HCPCS,10081,Drainage of pilonidal cyst,,,307.06,1270.05,11 HCPCS,10081,HC ED INCISION & DRAINAGE PILONIDAL CYST COMPLICATED,1074.0,1074.0,,,0 HCPCS,10081,HC INCISION & DRAIN PILONIDAL CYST COMPLIC,1229.0,1229.0,,,0 HCPCS,1008T,Rem mntr s-scl eeg sys setup,,,132.66,238.78,3 HCPCS,1010T,Cptr oph alys monoc eye mvmt,,,132.57,238.63,3 HCPCS,10120,HC ED REMOVE FOREIGN BODY SUBQ SIMPLE,382.0,382.0,,,0 HCPCS,10120,HC INCISION & REMOVE FOREIGN BODY SIMPLE,438.0,438.0,,,0 HCPCS,10120,HC REMOVE FOREIGN BODY SUBQ SIMPLE,382.0,382.0,,,0 HCPCS,10120,Remove foreign body,,,255.05,9924.96,11 HCPCS,10121,HC ED REMOVE FOREIGN BODY SUBQ COMPLEX,2088.0,2088.0,,,0 HCPCS,10121,HC INCISION & REMOVE FOREIGN BODY COMPLIC,2379.0,2379.0,,,0 HCPCS,10121,HC REMOVE FOREIGN BODY SUBQ COMPLEX,2088.0,2088.0,,,0 HCPCS,10121,Remove foreign body,,,1645.66,15707.84,11 HCPCS,1012T,Mtrz ab ntrno trph scl/tr mw,,,4118.56,7413.41,3 HCPCS,10140,Drainage of hematoma/fluid,,,246.41,5555.87,11 HCPCS,10140,HC CTH DRAINAGE OF HEMATOMA FLUID,1518.0,1518.0,,,0 HCPCS,10140,HC DRAINAGE OF HEMATOMA FLUID,1407.5,1407.5,,,0 HCPCS,10140,HC ED DRAINAGE OF HEMATOMA FLUID,1518.0,1518.0,,,0 HCPCS,10140,HC INCISION & DRAINAGE OF HEMATOMA/FLUID,1738.0,1738.0,,,0 HCPCS,10160,HC BS PUNCTURE DRAINAGE OF LESION,382.0,382.0,,,0 HCPCS,10160,HC ED PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST,374.0,374.0,,,0 HCPCS,10160,HC PUNCTURE DRAINAGE OF LESION,346.5,346.5,,,0 HCPCS,10160,HC TX PUNCTURE DRAINAGE OF LESION,374.0,374.0,,,0 HCPCS,10160,Puncture drainage of lesion,,,102.37,729.1,11 HCPCS,10180,Complex drainage wound,,,1847.27,5209.69,11 HCPCS,10180,HC INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,6729.0,6729.0,,,0 HCPCS,10180,HC ED INCISION & DRAINAGE COMPLEX PO WOUND INFECTION,2439.0,2439.0,,,0 HCPCS,1019T,Lymphovenous bypass per xtr,,,6616.29,11909.32,3 HCPCS,1020T,Raman spectroscopy 1+skn les,,,58.78,105.8,3 HCPCS,1021T,Active thrc irrigation spx,,,625.05,1125.08,3 HCPCS,1025T,Alt elec fld dos&dlv sim mdl,,,133.93,241.07,3 HCPCS,1030T,Crtj dig 3d mdl surf mesh 1,,,128.21,230.78,3 HCPCS,1032T,Crtj dig 3d mdl mesh&sim 1,,,128.21,230.78,3 HCPCS,1034T,Crt dig 3d mdl msh sim&aly 1,,,128.21,230.78,3 HCPCS,1041T,Augmnt alg alys enceph wvfrm,,,132.57,238.63,3 HCPCS,11000,Debride infected skin,,,57.17,729.1,11 HCPCS,11000,HC ED DEBRIDEMENT INFECTED SKIN UP TO 10%,568.0,568.0,,,0 HCPCS,11010,Debride skin at fx site,,,521.75,1270.05,11 HCPCS,11011,Debride skin musc at fx site,,,501.61,1270.05,11 HCPCS,11012,Deb skin bone at fx site,,,1095.32,5209.69,11 HCPCS,11042,Deb subq tissue 20 sq cm/<,,,375.19,5042.13,11 HCPCS,11042,HC DEBRID SUBQ TISSUE TO 20SQCM,408.0,408.0,,,0 HCPCS,11042,HC DEBRIDE SUBQ 20 SQ CM OR LESS,437.5,437.5,,,0 HCPCS,11042,HC ED DEBRIDE SUBQ 20 SQ CM OR LESS,408.0,408.0,,,0 HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,375.19,1325.55,11 HCPCS,11043,HC DEBRIDE MUSC/FASCIA 20 SQ CM OR LESS,607.0,607.0,,,0 HCPCS,11043,HC DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<,566.0,566.0,,,0 HCPCS,11043,HC ED DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM OR LESS,566.0,566.0,,,0 HCPCS,11044,Deb bone 20 sq cm/<,,,1095.32,5843.84,11 HCPCS,11044,HC DEBRIDE BONE 20 SQ CM OR LESS,2605.5,2605.5,,,0 HCPCS,11045,HC DEBRIDE SUBQ TISSUE ADDTL 20 SQ CM,403.5,403.5,,,0 HCPCS,11045,HC ED DEBRIDE SUBQ EA ADDTL 20 SQ CM,376.0,376.0,,,0 HCPCS,11046,HC DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM,444.0,444.0,,,0 HCPCS,11047,HC DEBRIDE BONE ADDTL 20 SQ CM,932.0,932.0,,,0 HCPCS,11055,HC TRIM SKIN LESION,181.0,181.0,,,0 HCPCS,11055,Trim skin lesion,,,150.12,359.84,7 HCPCS,11056,"HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4",199.0,199.0,,,0 HCPCS,11056,Trim skin lesions 2 to 4,,,96.85,359.84,11 HCPCS,11057,Trim skin lesions over 4,,,74.5,359.84,11 HCPCS,11102,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,290.0,290.0,,,0 HCPCS,11102,Tangntl bx skin single les,,,303.69,729.1,7 HCPCS,11103,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,338.0,338.0,,,0 HCPCS,11104,HC PUNCH BIOPSY SKIN SINGLE LESION,478.0,478.0,,,0 HCPCS,11104,Punch bx skin single lesion,,,303.69,729.1,7 HCPCS,11105,HC PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,231.5,231.5,,,0 HCPCS,11106,HC INCISIONAL BIOPSY SKIN SINGLE LESION,728.0,728.0,,,0 HCPCS,11106,Incal bx skn single les,,,540.56,1325.55,7 HCPCS,11107,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,577.0,577.0,,,0 HCPCS,1111F,HC DISCHRG MEDS RECONCILED W/CURRENT MED LIST,34.0,34.0,,,0 HCPCS,11200,HC ED EXCISE SKIN TAGS 15 TAGS OR LESS,183.0,183.0,,,0 HCPCS,11200,HC EXCISE SKIN TAGS 15 TAGS OR LESS,183.0,183.0,,,0 HCPCS,11200,Removal of skin tags 2.0 cm,,,193.65,729.1,11 HCPCS,11305,HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/<,269.0,269.0,,,0 HCPCS,11305,Shave skin lesion 0.5 cm/<,,,150.12,359.84,7 HCPCS,11306,HC SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM,331.0,331.0,,,0 HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,150.12,359.84,11 HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,148.19,359.84,11 HCPCS,11308,Shave skin lesion >2.0 cm,,,193.65,729.1,11 HCPCS,11310,HC SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/<,263.0,263.0,,,0 HCPCS,11310,Shave skin lesion 0.5 cm/<,,,148.19,359.84,11 HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,122.06,359.84,11 HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,193.65,729.1,11 HCPCS,11313,Shave skin lesion >2.0 cm,,,193.65,729.1,11 HCPCS,11400,Exc tr-ext b9+marg 0.5 cm<,,,159.95,1270.05,11 HCPCS,11400,HC EXCISE BENIGN LESION TRUNK 0.5 CM OR LESS,724.0,724.0,,,0 HCPCS,11401,Exc tr-ext b9+marg 0.6-1 cm,,,237.77,5095.06,11 HCPCS,11401,HC EXCISE BENIGN LESION TRUNK 0.6 TO 1 CM,905.0,905.0,,,0 HCPCS,11402,Exc tr-ext b9+marg 1.1-2 cm,,,260.25,6124.23,11 HCPCS,11402,HC ED EXC BENIGN LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM,1448.0,1448.0,,,0 HCPCS,11402,HC EXCISE BENIGN LESION TRUNK 1.1 TO 2 CM,1074.0,1074.0,,,0 HCPCS,11403,Exc tr-ext b9+marg 2.1-3cm/<,,,282.71,6592.81,11 HCPCS,11403,HC ED EXC BENIGN LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM,2546.0,2546.0,,,0 HCPCS,11403,HC EXCISE BENIGN LESION TRUNK 2.1 TO 3 CM,1651.0,1651.0,,,0 HCPCS,11404,Exc tr-ext b9+marg 3.1-4 cm,,,1275.58,6158.61,11 HCPCS,11404,HC EXC BENIGN LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM,2361.0,2361.0,,,0 HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1275.58,8380.28,11 HCPCS,11406,HC EXCISE BENIGN LESION TRUNK 4.1 CM OR GREATER,2578.0,2578.0,,,0 HCPCS,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,200.59,8475.8,11 HCPCS,11420,HC EXCISE BENIGN LESION SCALP 0.5 CM OR LESS,1447.0,1447.0,,,0 HCPCS,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,236.91,6858.5,11 HCPCS,11421,HC ED EXC BENIGN LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0 CM,1263.0,1263.0,,,0 HCPCS,11421,HC EXCISE BENIGN LESION SCALP 0.6 TO 1 CM,1467.0,1467.0,,,0 HCPCS,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,262.84,5810.33,11 HCPCS,11422,HC ED EXC BENIGN LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM,2042.0,2042.0,,,0 HCPCS,11422,HC EXCISE BENIGN LESION SCALP 1.1 TO 2 CM,1514.0,1514.0,,,0 HCPCS,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,213.91,2962.18,11 HCPCS,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,933.69,2962.18,11 HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,2417.43,9442.57,11 HCPCS,11440,Exc face-mm b9+marg 0.5 cm/<,,,227.4,4948.46,11 HCPCS,11440,HC EXCISE BENIGN LESION FACE 0.5 CM OR LESS,665.0,665.0,,,0 HCPCS,11441,Exc face-mm b9+marg 0.6-1 cm,,,260.25,7300.03,11 HCPCS,11441,HC EXCISE BENIGN LESION FACE 0.6 TO 1 CM,688.0,688.0,,,0 HCPCS,11442,Exc face-mm b9+marg 1.1-2 cm,,,281.43,6124.23,11 HCPCS,11442,HC EXCISE BENIGN LESION FACE 1.1 TO 2 CM,860.0,860.0,,,0 HCPCS,11443,Exc face-mm b9+marg 2.1-3 cm,,,311.66,7467.3,11 HCPCS,11443,HC EXCISE BENIGN LESION FACE 2.1 TO 3 CM,1672.0,1672.0,,,0 HCPCS,11444,Exc face-mm b9+marg 3.1-4 cm,,,1095.32,13985.53,11 HCPCS,11446,Exc face-mm b9+marg >4 cm,,,2417.43,10379.49,11 HCPCS,11446,HC EXCISE BENIGN LESION FACE 4.1 CM OR GREATER,2526.0,2526.0,,,0 HCPCS,11450,Removal sweat gland lesion,,,1847.27,5209.69,11 HCPCS,11451,Removal sweat gland lesion,,,1847.27,5209.69,11 HCPCS,11462,Removal sweat gland lesion,,,1847.27,5209.69,11 HCPCS,11463,Removal sweat gland lesion,,,1847.27,5209.69,11 HCPCS,11470,Removal sweat gland lesion,,,1847.27,5209.69,11 HCPCS,11471,Removal sweat gland lesion,,,1847.27,5209.69,11 HCPCS,11600,Exc tr-ext mal+marg 0.5 cm/<,,,231.26,1270.05,11 HCPCS,11601,Exc tr-ext mal+marg 0.6-1 cm,,,264.66,1270.05,11 HCPCS,11602,Exc tr-ext mal+marg 1.1-2 cm,,,373.84,7346.74,11 HCPCS,11602,HC EXCISE MALIGNANT LESION TRUNK 1.1 TO 2 CM,1039.0,1039.0,,,0 HCPCS,11603,Exc tr-ext mal+marg 2.1-3 cm,,,404.92,8124.15,11 HCPCS,11603,HC EXCISE MALIGNANT LESION TRUNK 2.1 TO 3 CM,1246.0,1246.0,,,0 HCPCS,11604,Exc tr-ext mal+marg 3.1-4 cm,,,521.75,1270.05,11 HCPCS,11604,HC EXCISE MALIGNANT LESION TRUNK 3.1 TO 4 CM,1496.0,1496.0,,,0 HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1645.66,6940.39,11 HCPCS,11606,HC EXCISE MALIGNANT LESION TRUNK 4.1 CM OR GREATER,1954.0,1954.0,,,0 HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,232.54,2962.18,11 HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,348.64,5081.64,11 HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,289.72,1270.05,11 HCPCS,11622,HC EXCISE MALIGNANT LESION SCALP 1.1 TO 2 CM,2226.0,2226.0,,,0 HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,317.98,2962.18,11 HCPCS,11623,HC EXCISE MALIGNANT LESION SCALP 2.1 TO 3 CM,1954.0,1954.0,,,0 HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1645.66,8977.73,11 HCPCS,11624,HC EXCISE MALIGNANT LESION SCALP 3.1 TO 4 CM,1954.0,1954.0,,,0 HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,2417.43,7270.58,11 HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,242.17,1270.05,11 HCPCS,11640,HC EXCISE MALIGNANT LESION FACE 0.5 CM OR LESS,735.0,735.0,,,0 HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,273.67,1270.05,11 HCPCS,11641,HC EXCISE MALIGNANT LESION FACE 0.6 TO 1 CM,846.0,846.0,,,0 HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,301.28,1270.05,11 HCPCS,11642,HC EXCISE MALIGNANT LESION FACE 1.1 TO 2 CM,974.0,974.0,,,0 HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,330.19,2962.18,11 HCPCS,11643,HC EXCISE MALIGNANT LESION FACE 2.1 TO 3 CM,1691.0,1691.0,,,0 HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1275.58,9831.3,11 HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,2417.43,9651.34,11 HCPCS,11719,HC ED TRIMMING NONDYSTROPHIC NAILS ANY NUMBER,140.0,140.0,,,0 HCPCS,11719,HC TRIM NAIL (S) ANY NUMBER,119.0,119.0,,,0 HCPCS,11719,Trim nail(s) any number,,,53.47,105.8,7 HCPCS,11720,Debride nail 1-5,,,53.47,105.8,7 HCPCS,11720,HC DEBRIDE NAIL 1 TO 5,173.0,173.0,,,0 HCPCS,11721,Debride nail 6 or more,,,53.47,105.8,7 HCPCS,11721,HC DEBRIDE NAIL 6 OR MORE,198.0,198.0,,,0 HCPCS,11730,HC AVULSION OF NAIL PLATE SINGLE,184.0,184.0,,,0 HCPCS,11730,HC ED AVULSION OF NAIL PLATE SINGLE,184.0,184.0,,,0 HCPCS,11730,Removal of nail plate,,,140.04,359.84,11 HCPCS,11732,HC ED AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL,131.0,131.0,,,0 HCPCS,11740,Drain blood from under nail,,,53.47,238.63,7 HCPCS,11740,HC ED DRAIN BLOOD FROM UNDER NAIL,115.0,115.0,,,0 HCPCS,11750,HC ED REMOVAL OF NAIL BED,447.0,447.0,,,0 HCPCS,11750,HC REMOVAL OF NAIL BED,447.0,447.0,,,0 HCPCS,11750,Removal of nail bed,,,169.6,729.1,11 HCPCS,11755,Biopsy nail unit,,,151.61,1270.05,11 HCPCS,11760,HC REPAIR OF NAIL BED,536.0,536.0,,,0 HCPCS,11760,Repair of nail bed,,,291.41,1325.55,11 HCPCS,11762,Reconstruction of nail bed,,,301.91,3700.55,11 HCPCS,11765,Excision of nail fold toe,,,193.65,729.1,11 HCPCS,11765,HC ED EXCISION OF NAIL FOLD TOE,374.0,374.0,,,0 HCPCS,11770,Remove pilonidal cyst simple,,,2417.43,7300.03,11 HCPCS,11771,Remove pilonidal cyst exten,,,2417.43,6416.99,11 HCPCS,11772,Remove pilonidal cyst compl,,,2417.43,6541.84,11 HCPCS,11900,HC INJECTION SKIN LESION UP TO 7,209.0,209.0,,,0 HCPCS,11900,Inject skin lesions <=w 7,,,150.12,359.84,7 HCPCS,11901,Inject skin lesions >7,,,150.12,359.84,7 HCPCS,11920,Correct skin color 6.0 cm/<,,,190.14,1325.55,11 HCPCS,11921,Correct skn color 6.1-20.0cm,,,216.47,1325.55,11 HCPCS,11950,HC SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/<,209.0,209.0,,,0 HCPCS,11950,Tx contour defects 1 cc/<,,,79.01,359.84,11 HCPCS,11951,HC SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC,765.0,765.0,,,0 HCPCS,11951,Tx contour defects 1.1-5.0cc,,,93.15,1325.55,11 HCPCS,11952,HC SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC,765.0,765.0,,,0 HCPCS,11952,Tx contour defects 5.1-10cc,,,102.78,1325.55,11 HCPCS,11954,Tx contour defects >10.0 cc,,,149.67,1325.55,11 HCPCS,11960,Insert tissue expander(s),,,2424.06,6355.77,11 HCPCS,11970,Replace tissue expander,,,4986.47,14178.22,11 HCPCS,11971,Remove tissue expander(s),,,1847.27,5209.69,11 HCPCS,11976,Remove contraceptive capsule,,,132.33,1270.05,11 HCPCS,11980,Implant hormone pellet(s),,,258.44,801.21,7 HCPCS,11981,HC INSERT DRUG IMPLANT DEVICE,115.0,115.0,,,0 HCPCS,11981,Insert drug implant device,,,98.06,238.63,7 HCPCS,11982,HC ED REMOVE DRUG IMPLANT DEVICE,346.0,346.0,,,0 HCPCS,11982,HC REMOVE DRUG IMPLANT DEVICE,403.0,403.0,,,0 HCPCS,11982,Remove drug implant device,,,258.44,801.21,7 HCPCS,11983,HC REMOVE AND REINSERT IMPLANT DEVICE,403.0,403.0,,,0 HCPCS,11983,Remove/insert drug implant,,,445.12,4572.08,7 HCPCS,12001,HC ED REPAIR SIMPLE WOUND TRUNK/SCALP 2.5 CM OR LESS,190.0,190.0,,,0 HCPCS,12001,HC RESUPERF WND BODY <2.5CM,217.0,217.0,,,0 HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,150.12,359.84,7 HCPCS,12002,HC ED REPAIR SIMPLE WOUND TRUNK/SCALP 2.6 TO 7.5 CM,218.0,218.0,,,0 HCPCS,12002,HC REPAIR SIMPLE WOUND TRUNK/SCALP 2.6 TO 7.5 CM,218.0,218.0,,,0 HCPCS,12002,HC RESUP NPTERF WND BODY 2.6-7.5,249.0,249.0,,,0 HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,150.12,359.84,7 HCPCS,12004,HC REPAIR SIMPLE WOUND TRUNK/SCALP 7.6 TO 12.5 CM,251.0,251.0,,,0 HCPCS,12004,HC RESUPERF WND BODY 7.6-12.5,287.0,287.0,,,0 HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,150.12,359.84,7 HCPCS,12005,HC REPAIR SIMPLE WOUND TRUNK/SCALP 12.6 TO 20 CM,356.0,356.0,,,0 HCPCS,12005,HC RESUPERF WND BODY 12.6-20,407.0,407.0,,,0 HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,193.65,729.1,11 HCPCS,12006,HC ED SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM,369.0,369.0,,,0 HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,283.19,729.1,11 HCPCS,12007,HC ED SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM,382.0,382.0,,,0 HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,148.19,359.84,11 HCPCS,12011,HC ED SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<,212.0,212.0,,,0 HCPCS,12011,HC REPAIR SIMPLE WOUND FACE 2.5 CM OR LESS,212.0,212.0,,,0 HCPCS,12011,HC RESUPERF WND FACE <2.5CM,243.0,243.0,,,0 HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,150.12,359.84,7 HCPCS,12013,HC ED SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM,245.0,245.0,,,0 HCPCS,12013,HC RESUPERF WND FACE 2.6-5,280.0,280.0,,,0 HCPCS,12013,HC SIMPLE REPAIR F/E/E/N/L/M 2.6 CM - 5.0 CM,245.0,245.0,,,0 HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,150.12,359.84,7 HCPCS,12014,HC REPAIR SIMPLE WOUND FACE 5.1 TO 7.5 CM,282.0,282.0,,,0 HCPCS,12014,HC RESUPERF WND FACE 5.1-7.5,321.0,321.0,,,0 HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,150.12,359.84,7 HCPCS,12015,HC ED SIMPLE REPAIR F/E/E/N/L/M 7.6-12.5CM,325.0,325.0,,,0 HCPCS,12015,HC RESUPERF WND FACE 7.6-12.5,369.0,369.0,,,0 HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,148.19,359.84,11 HCPCS,12016,HC ED SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM,432.0,432.0,,,0 HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,148.19,729.1,11 HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,193.65,729.1,11 HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,148.19,359.84,11 HCPCS,12020,Closure of split wound,,,438.5,1325.55,11 HCPCS,12020,HC CLOSURE OF SPLIT WOUND,777.0,777.0,,,0 HCPCS,12020,HC ED CLOSURE OF SIMPLE WOUND SUPERFICIAL,608.0,608.0,,,0 HCPCS,12021,Closure of split wound,,,283.19,729.1,11 HCPCS,12031,HC ED REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.5 CM OR LESS,374.0,374.0,,,0 HCPCS,12031,HC REPAIR INTERMEDIATE S/A/T/E 2.5 CM/<,427.0,427.0,,,0 HCPCS,12031,HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.5 CM OR LESS,374.0,374.0,,,0 HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,283.19,729.1,11 HCPCS,12032,HC ED REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.6 TO 7.5 CM,418.0,418.0,,,0 HCPCS,12032,HC REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM,478.0,478.0,,,0 HCPCS,12032,HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 2.6 TO 7.5 CM,418.0,418.0,,,0 HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,283.19,729.1,11 HCPCS,12034,HC ED REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,481.0,481.0,,,0 HCPCS,12034,HC REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM,550.0,550.0,,,0 HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,283.19,729.1,11 HCPCS,12035,HC REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM,629.0,629.0,,,0 HCPCS,12035,HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 12.6 TO 20 CM,553.0,553.0,,,0 HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,283.19,729.1,11 HCPCS,12036,HC ED REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM,905.0,905.0,,,0 HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,438.5,1325.55,11 HCPCS,12037,HC REPAIR INTERMEDIATE WOUND TRUNK/SCALP 30.1 CM OR GREATER,2139.0,2139.0,,,0 HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,569.96,4252.09,11 HCPCS,12041,HC ED REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 2.5 CM OR LESS,447.0,447.0,,,0 HCPCS,12041,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<,510.0,510.0,,,0 HCPCS,12041,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 2.5 CM OR LESS,517.0,517.0,,,0 HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,277.51,729.1,11 HCPCS,12042,HC ED REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 2.6 TO 7.5 CM,515.0,515.0,,,0 HCPCS,12042,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM,589.0,589.0,,,0 HCPCS,12042,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 2.6 TO 7.5 CM,515.0,515.0,,,0 HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,283.19,729.1,11 HCPCS,12044,HC REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM,644.0,644.0,,,0 HCPCS,12044,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 7.6 TO 12.5 CM,566.0,566.0,,,0 HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,291.41,1325.55,11 HCPCS,12045,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 12.8,752.0,752.0,,,0 HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,291.41,1325.55,11 HCPCS,12046,HC REPAIR INTERMEDIATE WOUND NECK/EXTREMITY 20.1 TO 30 CM,977.0,977.0,,,0 HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,283.19,1325.55,11 HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,569.96,3700.55,11 HCPCS,12051,HC ED REPAIR INTERMEDIATE WOUND FACE 2.5 CM OR LESS,374.0,374.0,,,0 HCPCS,12051,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.5 CM/<,427.0,427.0,,,0 HCPCS,12051,HC REPAIR INTERMEDIATE WOUND FACE 2.5 CM OR LESS,374.0,374.0,,,0 HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,148.19,729.1,11 HCPCS,12052,HC ED REPAIR INTERMEDIATE WOUND FACE 2.6 TO 5 CM,429.0,429.0,,,0 HCPCS,12052,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 2.6-5.0 CM,491.0,491.0,,,0 HCPCS,12052,HC REPAIR INTERMEDIATE WOUND FACE 2.6 TO 5 CM,429.0,429.0,,,0 HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,283.19,729.1,11 HCPCS,12053,HC INTMD LAC 5.1-7.5 CM,493.0,493.0,,,0 HCPCS,12053,HC ED REPAIR INTERMEDIATE WOUND FACE 5.1 TO 7.5 CM,493.0,493.0,,,0 HCPCS,12053,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 5.1-7.5 CM,564.0,564.0,,,0 HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,283.19,729.1,11 HCPCS,12054,HC REPAIR INTERMEDIATE F/E/E/N/L/M&/MUC 7.6-12.5 CM,650.0,650.0,,,0 HCPCS,12054,HC REPAIR INTERMEDIATE WOUND FACE 7.6 TO 12.5 CM,568.0,568.0,,,0 HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,283.19,729.1,11 HCPCS,12055,HC REPAIR INTERMEDIATE WOUND FACE 12.6 TO 20 CM,652.0,652.0,,,0 HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,283.19,729.1,11 HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,283.19,729.1,11 HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,148.19,729.1,11 HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,438.5,1325.55,11 HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,438.5,1325.55,11 HCPCS,13101,HC REPAIR COMPLEX WOUND TRUNK 2.6 TO 7. 5CM,839.0,839.0,,,0 HCPCS,13102,HC REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/<,188.0,188.0,,,0 HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,291.41,769.19,11 HCPCS,13120,HC ED REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM,1220.0,1220.0,,,0 HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,405.05,769.19,11 HCPCS,13121,HC ED REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM,1040.0,1040.0,,,0 HCPCS,13121,"HC RECMPL WND SCALP,EXTR 2.6-7.5",1191.0,1191.0,,,0 HCPCS,13121,HC REPAIR COMPLEX WOUND SCALP 2.6 TO 7.5 CM,1040.0,1040.0,,,0 HCPCS,13122,HC ED REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/<,251.0,251.0,,,0 HCPCS,13122,"HC REP,SKIN,SCALP/EXTREM+5CM/<",287.0,287.0,,,0 HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,291.41,6578.54,11 HCPCS,13131,HC COMPLEX LAC 1.1 TO 2.5 CM,570.0,570.0,,,0 HCPCS,13131,HC ED REPAIR COMPLEX WOUND F/C/C/M/N/AX/G/H/F 1.1-2.5 CM,597.0,597.0,,,0 HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,405.05,8162.75,11 HCPCS,13132,HC COMPLEX LAC 2.6 TO 7.5CM,905.0,905.0,,,0 HCPCS,13132,"HC RECMPL WND HEAD,FAC,HAND 2.6-7.5",1036.0,1036.0,,,0 HCPCS,13132,HC REPAIR COMPLEX WOUND FACE 2.6 TO 7.5 CM,905.0,905.0,,,0 HCPCS,13133,HC ED REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<,251.0,251.0,,,0 HCPCS,13133,HC REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<,251.0,251.0,,,0 HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,438.5,1325.55,11 HCPCS,13151,HC ED REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM,791.0,791.0,,,0 HCPCS,13151,HC REPAIR COMPLEX WOUND EYE/NOSE/EARS 1.1 TO 2.5CM,791.0,791.0,,,0 HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,438.5,1325.55,11 HCPCS,13152,HC ED REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM,911.0,911.0,,,0 HCPCS,13152,"HC RECMPL WND LID,NOS,EAR 2.5-7.5",1042.0,1042.0,,,0 HCPCS,13152,HC REPAIR COMPLEX WOUND EYE/NOSE/EARS 2.6 TO 7.5CM,911.0,911.0,,,0 HCPCS,13153,HC ED REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/<,251.0,251.0,,,0 HCPCS,13160,HC ED LATE CLOSURE OF WOUND,4453.0,4453.0,,,0 HCPCS,13160,Late closure of wound,,,1381.8,6355.77,11 HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,1865.01,6663.97,11 HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,1381.8,3700.55,11 HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,1865.01,5536.34,11 HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,1865.01,7300.02,11 HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,1865.01,10827.33,11 HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,1865.01,7709.91,11 HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,1865.01,7709.9,11 HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,1865.01,7270.58,11 HCPCS,14301,HC ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM,4692.0,4692.0,,,0 HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,3049.82,7490.25,11 HCPCS,14350,Filleted finger/toe flap,,,1865.01,4252.09,11 HCPCS,15002,HC PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT,2285.0,2285.0,,,0 HCPCS,15002,Wound prep trk/arm/leg,,,569.96,2423.84,11 HCPCS,15004,HC PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT,741.0,741.0,,,0 HCPCS,15004,Wound prep f/n/hf/g,,,405.05,13245.59,11 HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,1960.77,3700.55,7 HCPCS,15013,Prepj skn cll ssp agrft 1st,,,6699.95,12728.28,7 HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,1960.77,3700.55,7 HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,1960.77,3700.55,7 HCPCS,15040,Harvest cultured skin graft,,,569.96,3700.55,11 HCPCS,15050,Skin pinch graft,,,438.5,1325.55,11 HCPCS,15100,HC SPLIT AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD,1688.0,1688.0,,,0 HCPCS,15100,Skin splt grft trnk/arm/leg,,,2055.86,6578.53,11 HCPCS,15101,HC SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD,280.0,280.0,,,0 HCPCS,15110,Epidrm autogrft trnk/arm/leg,,,569.96,3700.55,11 HCPCS,15115,Epidrm a-grft face/nck/hf/g,,,1381.8,3700.55,11 HCPCS,15120,HC SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/15 punch grafts,,,283.19,729.1,11 HCPCS,15778,Impl absrb msh/prsth dly cls,,,351.72,616.95,4 HCPCS,15780,Dermabrasion total face,,,937.25,5209.69,11 HCPCS,15781,Dermabrasion segmental face,,,521.75,1270.05,11 HCPCS,15782,Dermabrasion other than face,,,501.61,5209.69,11 HCPCS,15783,Dermabrasion suprfl any site,,,148.19,729.1,11 HCPCS,15786,Abrasion lesion single,,,150.12,359.84,7 HCPCS,15788,Chemical peel face epiderm,,,150.12,729.1,7 HCPCS,15789,Chemical peel face dermal,,,193.65,1325.55,11 HCPCS,15792,Chemical peel nonfacial,,,286.88,1325.55,7 HCPCS,15793,Chemical peel nonfacial,,,286.88,729.1,7 HCPCS,15820,Revision of lower eyelid,,,1381.8,3700.55,11 HCPCS,15821,Revision of lower eyelid,,,1865.01,4252.09,11 HCPCS,15822,Revision of upper eyelid,,,1381.8,3700.55,11 HCPCS,15823,Revision of upper eyelid,,,1381.8,3700.55,11 HCPCS,15824,Removal of forehead wrinkles,,,1381.8,3700.55,11 HCPCS,15825,Removal of neck wrinkles,,,1865.01,6355.77,11 HCPCS,15826,Removal of brow wrinkles,,,2424.06,6355.77,11 HCPCS,15828,Removal of face wrinkles,,,2424.06,6355.77,11 HCPCS,15829,Removal of skin wrinkles,,,2424.06,6355.77,11 HCPCS,15830,Exc Skin Abd,,,5499.9,14644.64,11 HCPCS,15832,Excise excessive skin thigh,,,1847.27,5209.69,11 HCPCS,15833,Excise excessive skin leg,,,1847.27,5209.69,11 HCPCS,15834,Excise excessive skin hip,,,1847.27,5209.69,11 HCPCS,15835,Excise excessive skin buttck,,,1847.27,5209.69,11 HCPCS,15836,Excise excessive skin arm,,,1777.52,5209.69,11 HCPCS,15837,Excise excess skin arm/hand,,,1777.52,5209.69,11 HCPCS,15838,Excise excess skin fat pad,,,1777.52,5209.69,11 HCPCS,15839,Excise excess skin & tissue,,,1777.52,5209.69,11 HCPCS,15840,Nerve palsy fascial graft,,,2424.06,6355.77,11 HCPCS,15841,Nerve palsy muscle graft,,,2424.06,6355.77,11 HCPCS,15842,Nerve palsy microsurg graft,,,1381.8,3700.55,11 HCPCS,15845,Skin and muscle repair face,,,2424.06,6355.77,11 HCPCS,15851,Remove sutures diff surgeon,,,159.98,3700.55,11 HCPCS,15852,Dressing change not for burn,,,736.41,4572.08,7 HCPCS,15852,HC ED DRESSING CHANGE WITH ANESTHESIA,1472.0,1472.0,,,0 HCPCS,15853,HC REMOVAL SUTURES OR STAPLES NOT REQUIRING ANESTHESIA,66.5,66.5,,,0 HCPCS,15853,Removal sutr/stapl xreq anes,,,41.03,71.97,4 HCPCS,15854,HC REMOVAL SUTURES AND STAPLES NOT REQUIRING ANESTHESIA,133.0,133.0,,,0 HCPCS,15854,Removal sutr&stapl xreq anes,,,57.18,100.3,4 HCPCS,15860,Test for blood flow in graft,,,258.44,801.21,7 HCPCS,15876,Suction lipectomy head&neck,,,2424.06,6355.77,11 HCPCS,15877,Suction lipectomy trunk,,,2424.06,6355.77,11 HCPCS,15878,Suction lipectomy upr extrem,,,1381.8,3700.55,11 HCPCS,15879,Suction lipectomy lwr extrem,,,2424.06,6355.77,11 HCPCS,15920,Removal of tail bone ulcer,,,1095.32,5209.69,11 HCPCS,15922,Removal of tail bone ulcer,,,1865.01,6355.77,11 HCPCS,15931,Remove sacrum pressure sore,,,933.69,5209.69,11 HCPCS,15933,Remove sacrum pressure sore,,,1847.27,5209.69,11 HCPCS,15934,Remove sacrum pressure sore,,,2424.06,6355.77,11 HCPCS,15935,Remove sacrum pressure sore,,,2424.06,6355.77,11 HCPCS,15936,Remove sacrum pressure sore,,,1381.8,3700.55,11 HCPCS,15937,Remove sacrum pressure sore,,,1381.8,3700.55,11 HCPCS,15940,Remove hip pressure sore,,,1847.27,5209.69,11 HCPCS,15941,Remove hip pressure sore,,,1847.27,5209.69,11 HCPCS,15944,Remove hip pressure sore,,,1865.01,6355.77,11 HCPCS,15945,Remove hip pressure sore,,,569.96,4252.09,11 HCPCS,15946,Remove hip pressure sore,,,2055.86,4252.09,11 HCPCS,15950,Remove thigh pressure sore,,,933.69,2962.18,11 HCPCS,15951,Remove thigh pressure sore,,,1847.27,5209.69,11 HCPCS,15952,Remove thigh pressure sore,,,2055.86,4252.09,11 HCPCS,15953,Remove thigh pressure sore,,,2424.06,6355.77,11 HCPCS,15956,Remove thigh pressure sore,,,1381.8,3700.55,11 HCPCS,15958,Remove thigh pressure sore,,,2424.06,6355.77,11 HCPCS,15999,Removal of pressure sore,,,705.59,1270.05,3 HCPCS,16000,HC ED BURN TX 1ST DEGREE BURN,250.0,250.0,,,0 HCPCS,16000,HC INITIAL RX BURN(S) 1ST DEGREE,286.0,286.0,,,0 HCPCS,16000,Initial treatment of burn(s),,,150.12,359.84,7 HCPCS,16020,Dress/debrid p-thick burn s,,,131.42,359.84,11 HCPCS,16020,HC DRESS/DEBRID SMALL BURN NO ANES,266.0,266.0,,,0 HCPCS,16020,HC ED DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL,232.0,232.0,,,0 HCPCS,16020,HC TX BURN CLINIC-TREAT BURN SMALL,232.0,232.0,,,0 HCPCS,16025,Dress/debrid p-thick burn m,,,148.19,359.84,11 HCPCS,16025,HC DRESS/DEBRID MED BURN NO ANESTH,304.0,304.0,,,0 HCPCS,16025,HC ED BURN CLINIC-TREAT BURN MEDIUM,266.0,266.0,,,0 HCPCS,16025,HC TX BURN CLINIC-TREAT BURN MEDIUM,266.0,266.0,,,0 HCPCS,16030,Dress/debrid p-thick burn l,,,283.19,729.1,11 HCPCS,16030,HC DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE,510.0,510.0,,,0 HCPCS,16030,HC ED BURN CLINIC-TREAT BURN LARGE,446.0,446.0,,,0 HCPCS,16035,Incision of burn scab initi,,,283.19,729.1,11 HCPCS,17000,Destruct premalg lesion,,,101.41,359.84,11 HCPCS,17000,HC DESTRUCT 1ST BENIGN LESION,211.0,211.0,,,0 HCPCS,17003,HC DESTRUCT BENIGN LESION 2-14,104.0,104.0,,,0 HCPCS,17004,Destroy premal lesions 15/>,,,173.44,729.1,11 HCPCS,17106,Destruction of skin lesions,,,375.19,4948.46,11 HCPCS,17107,Destruction of skin lesions,,,375.19,4760.29,11 HCPCS,17108,Destruction of skin lesions,,,375.19,3700.55,11 HCPCS,17110,Destruct b9 lesion 1-14,,,199.91,4948.46,7 HCPCS,17110,HC DESTRUCT BENIGN LESION 1 TO 14,183.0,183.0,,,0 HCPCS,17111,Destruct lesion 15 or more,,,193.65,4322.32,11 HCPCS,17250,Chemical cautery tissue,,,145.26,359.84,11 HCPCS,17250,HC CHEMICAL CAUTERIZATION,209.0,209.0,,,0 HCPCS,17250,HC ED CHEMICAL CAUTERIZATION OF GRANULATION TISSUE,209.0,209.0,,,0 HCPCS,17260,Destruction of skin lesions,,,137.48,359.84,11 HCPCS,17261,Destruction of skin lesions,,,150.12,359.84,11 HCPCS,17262,Destruction of skin lesions,,,150.12,359.84,11 HCPCS,17263,Destruction of skin lesions,,,150.12,359.84,11 HCPCS,17264,Destruction of skin lesions,,,193.65,729.1,11 HCPCS,17266,Destruction of skin lesions,,,248.6,729.1,11 HCPCS,17270,Destruction of skin lesions,,,148.19,359.84,11 HCPCS,17271,Destruction of skin lesions,,,148.19,359.84,11 HCPCS,17272,Destruction of skin lesions,,,150.12,359.84,11 HCPCS,17273,Destruction of skin lesions,,,224.84,729.1,11 HCPCS,17274,Destruction of skin lesions,,,254.39,729.1,11 HCPCS,17276,Destruction of skin lesions,,,280.07,729.1,11 HCPCS,17280,Destruction of skin lesions,,,150.12,359.84,11 HCPCS,17281,Destruction of skin lesions,,,193.65,359.84,11 HCPCS,17282,Destruction of skin lesions,,,199.91,384.24,11 HCPCS,17283,Destruction of skin lesions,,,248.6,729.1,11 HCPCS,17284,Destruction of skin lesions,,,274.94,1325.55,11 HCPCS,17286,Destruction of skin lesions,,,323.11,1325.55,11 HCPCS,17311,Mohs 1 stage h/n/hf/g,,,438.5,1325.55,11 HCPCS,17313,Mohs 1 stage t/a/l,,,438.5,1325.55,11 HCPCS,17340,Cryotherapy of skin,,,27.82,105.8,7 HCPCS,17360,Skin peel therapy,,,150.12,359.84,11 HCPCS,17380,Hair removal by electrolysis,,,375.19,1325.55,11 HCPCS,17999,HC PERCUTANEOUS BIOPSY OF FAT TISSUE,346.5,346.5,,,0 HCPCS,17999,HC POCKET REVISION,3309.0,3309.0,,,0 HCPCS,17999,HC UNLISTED PROCEDURE SKIN,207.0,207.0,,,0 HCPCS,17999,Skin tissue procedure,,,199.91,359.84,3 HCPCS,19000,Drainage of breast lesion,,,195.39,1270.05,11 HCPCS,19000,HC CYST BREAST ASPIRATION,635.0,635.0,,,0 HCPCS,19000,HC ED CYST BREAST ASPIRATION,635.0,635.0,,,0 HCPCS,19001,HC PUNCT ASPIRATION CYST EACH ADDT,418.0,418.0,,,0 HCPCS,19020,HC ED MASTOTOMY WITH DRAINAGE,2841.0,2841.0,,,0 HCPCS,19020,Incision of breast lesion,,,933.69,2962.18,11 HCPCS,19030,HC GALACTOGRAM INJECTION,308.0,308.0,,,0 HCPCS,19030,Injection for breast x-ray,,,191.82,336.47,4 HCPCS,19081,Bx breast 1st lesion strtctc,,,1645.66,3580.7,11 HCPCS,19081,HC CORE BX 1ST LESION WITH STEREOTACTIC GUIDE,2762.0,2762.0,,,0 HCPCS,19082,HC CORE BX ADDTL LESION WITH STEREOTACTIC GUIDE,2762.0,2762.0,,,0 HCPCS,19083,Bx breast 1st lesion us imag,,,1645.66,3478.82,7 HCPCS,19083,HC BX BREAST 1ST LESION WITH US GUIDANCE,2287.0,2287.0,,,0 HCPCS,19084,HC BX BREAST ADDTL LESION WITH US GUIDANCE,2563.0,2563.0,,,0 HCPCS,19085,Bx breast 1st lesion mr imag,,,933.69,3580.7,11 HCPCS,19085,HC BX BRST 1ST LES MRI IMG GUID,4136.0,4136.0,,,0 HCPCS,19086,HC BX BRST ADD LES MRI IMG GUID,1275.0,1275.0,,,0 HCPCS,19100,Bx breast percut w/o image,,,645.78,5042.13,11 HCPCS,19101,Biopsy of breast open,,,2465.17,7022.44,11 HCPCS,19105,Cryosurg ablate fa each,,,1802.57,7022.44,11 HCPCS,19110,Nipple exploration,,,1802.57,7022.44,11 HCPCS,19112,Excise breast duct fistula,,,1802.57,7022.44,11 HCPCS,19120,HC EXCISION OF CYST BREAST,8622.0,8622.0,,,0 HCPCS,19120,Removal of breast lesion,,,2465.17,7022.44,11 HCPCS,19125,Excision breast lesion,,,2872.42,7205.39,11 HCPCS,19281,HC BREAST LOCAL DEVICE 1ST LESION WITH MAM GUIDE,1791.0,1791.0,,,0 HCPCS,19281,Perq device breast 1st imag,,,408.71,2962.18,7 HCPCS,19282,HC BREAST LOCAL DEVICE ADDTL LESION WITH MAM GUIDE,498.0,498.0,,,0 HCPCS,19283,HC BREAST LOCAL DEVICE 1ST LESION WITH STEREO GUIDE,710.0,710.0,,,0 HCPCS,19283,Perq dev breast 1st strtctc,,,320.84,1270.05,7 HCPCS,19284,HC BREAST LOCAL DEVICE ADDTL LESION WITH STEREO GUIDE,498.0,498.0,,,0 HCPCS,19285,HC BREAST LOCAL DEVICE 1ST LESION WITH US GUIDE,710.0,710.0,,,0 HCPCS,19285,Perq dev breast 1st us imag,,,320.84,1270.05,7 HCPCS,19286,HC BREAST LOCAL DEVICE ADDTL LESION WITH US GUIDE,498.0,498.0,,,0 HCPCS,19287,HC BREAST LOCAL DEVICE 1ST LESION WITH MRI GUIDE,2471.0,2471.0,,,0 HCPCS,19287,Perq dev breast 1st mr guide,,,528.58,1270.05,7 HCPCS,19296,Place po breast cath for rad,,,6055.97,14659.2,11 HCPCS,19298,Place breast rad tube/caths,,,3466.26,24716.51,11 HCPCS,19300,Removal of Breast Tissue,,,1802.57,7022.44,11 HCPCS,19301,Partial Mastectomy,,,2465.17,7022.44,11 HCPCS,19302,P-Mastectomy w/LN Removal,,,4881.78,11909.32,11 HCPCS,19303,Mast simple complete,,,3992.3,15625.96,11 HCPCS,19307,Mast mod rad,,,4333.19,11909.32,7 HCPCS,19316,Suspension of breast,,,3466.26,11909.32,11 HCPCS,19318,Reduction of large breast,,,4881.78,21067.44,11 HCPCS,19325,Enlarge breast with implant,,,4076.55,14659.2,11 HCPCS,19328,Removal of breast implant,,,1802.57,7022.44,11 HCPCS,19330,Removal of implant material,,,1802.57,7022.44,11 HCPCS,19340,Immediate breast prosthesis,,,3466.26,14659.2,11 HCPCS,19342,Delayed breast prosthesis,,,5749.63,14659.2,11 HCPCS,19350,Breast reconstruction,,,1802.57,7022.44,11 HCPCS,19355,Correct inverted nipple(s),,,1802.57,7022.44,11 HCPCS,19357,Breast reconstruction,,,5064.15,24716.51,11 HCPCS,19370,Surgery of breast capsule,,,3014.74,7022.44,11 HCPCS,19371,Removal of breast capsule,,,3901.35,8114.91,11 HCPCS,19380,Revise breast reconstruction,,,4881.78,11909.32,11 HCPCS,19396,Design custom breast implant,,,1802.57,7022.44,11 HCPCS,19499,Breast surgery procedure,,,3901.35,7022.44,3 HCPCS,20100,Explore wound neck,,,433.97,967.3,7 HCPCS,20101,Explore wound chest,,,1399.9,3700.55,7 HCPCS,20102,Explore wound abdomen,,,1399.9,3700.55,7 HCPCS,20102,HC ED EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK,1950.0,1950.0,,,0 HCPCS,20103,Explore wound extremity,,,1147.5,6663.97,11 HCPCS,20103,HC EXPLORE WOUND EXTREMITY,3543.0,3543.0,,,0 HCPCS,20150,Excise epiphyseal bar,,,2182.91,5868.42,11 HCPCS,20200,Muscle biopsy,,,933.69,2962.18,11 HCPCS,20205,Deep muscle biopsy,,,1777.52,6955.56,11 HCPCS,20206,HC BX MUSCLE,1372.0,1372.0,,,0 HCPCS,20206,Needle biopsy muscle,,,769.22,2962.18,11 HCPCS,20220,Bone biopsy trocar/needle,,,594.71,2962.18,11 HCPCS,20220,HC BX BONE SUPERFICIAL PERC,1372.0,1372.0,,,0 HCPCS,20225,Bone biopsy trocar/needle,,,893.66,2962.18,11 HCPCS,20225,HC BX BONE DEEP PERC,1372.0,1372.0,,,0 HCPCS,20240,Bone biopsy open superficial,,,2417.43,9801.78,11 HCPCS,20245,Bone biopsy open deep,,,2417.43,6220.67,11 HCPCS,20250,Open bone biopsy,,,2182.91,5868.42,11 HCPCS,20251,Open bone biopsy,,,3448.15,13014.22,11 HCPCS,20500,HC INJECTION OF SINUS TRACT,1318.5,1318.5,,,0 HCPCS,20500,Injection of sinus tract,,,134.89,2782.81,11 HCPCS,20501,HC INJECTION SINOGRAM,386.5,386.5,,,0 HCPCS,20501,Inject sinus tract for x-ray,,,161.88,283.96,4 HCPCS,20520,HC ED REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE,1744.0,1744.0,,,0 HCPCS,20520,Removal of foreign body,,,233.18,2962.18,11 HCPCS,20525,Removal of foreign body,,,1847.27,5209.69,11 HCPCS,20526,HC INJECTION STEROID CARPAL TUN,367.0,367.0,,,0 HCPCS,20526,Ther injection carp tunnel,,,70.65,550.53,11 HCPCS,20527,Inj dupuytren cord w/enzyme,,,78.35,550.53,11 HCPCS,20550,HC INJ SGL TENDON SHEATH/LIGMNT,425.0,425.0,,,0 HCPCS,20550,HC INJECTION TENDON LIGAMENT,474.0,474.0,,,0 HCPCS,20550,Inj tendon sheath/ligament,,,42.4,550.53,11 HCPCS,20551,HC INJECTION SINGLE TENDON ORIGIN/INSERTION,711.0,711.0,,,0 HCPCS,20551,Inj tendon origin/insertion,,,57.17,550.53,11 HCPCS,20552,HC ED INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,348.0,348.0,,,0 HCPCS,20552,HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES,348.0,348.0,,,0 HCPCS,20552,Inj trigger point 1/2 muscl,,,53.96,550.53,11 HCPCS,20553,HC INJECTION TRIGGER POINT 3 OR MORE,482.0,482.0,,,0 HCPCS,20553,HC TRIGGER POINT INJ 3 + MUSCLE,482.0,482.0,,,0 HCPCS,20553,Inject trigger points 3/>,,,82.31,4709.84,11 HCPCS,20555,Place ndl musc/tis for rt,,,2182.91,5868.42,11 HCPCS,20560,HC NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES,42.0,42.0,,,0 HCPCS,20560,Ndl insj w/o njx 1 or 2 musc,,,28.82,94.31,9 HCPCS,20561,HC NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES,63.0,63.0,,,0 HCPCS,20561,Ndl insj w/o njx 3+ musc,,,28.82,137.89,9 HCPCS,20600,Drain/inj joint/bursa w/o us,,,53.61,550.53,11 HCPCS,20600,HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,387.0,387.0,,,0 HCPCS,20600,HC ED INJECTION ARTHROCENTESIS SMALL JT,338.0,338.0,,,0 HCPCS,20600,HC INJECTION ARTHROCENTESIS SMALL JT,338.0,338.0,,,0 HCPCS,20600,HC TX INJECTION ARTHROCENTESIS SMALL JT,338.0,338.0,,,0 HCPCS,20604,Drain/inj joint/bursa w/us,,,68.73,550.53,11 HCPCS,20604,HC ARTHROCENTESIS SM JT US,514.0,514.0,,,0 HCPCS,20605,Drain/inj joint/bursa w/o us,,,57.04,550.53,11 HCPCS,20605,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,445.0,445.0,,,0 HCPCS,20605,HC ED INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US,389.0,389.0,,,0 HCPCS,20605,HC INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US,389.0,389.0,,,0 HCPCS,20605,HC OTH INJECTION ARTHROCENTESIS INTERMEDIATE JT WITHOUT US,337.5,337.5,,,0 HCPCS,20606,Drain/inj joint/bursa w/us,,,74.5,1266.02,11 HCPCS,20606,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,959.0,959.0,,,0 HCPCS,20606,HC ED ARTHROCENT INTMD JT LT W US,822.0,822.0,,,0 HCPCS,20606,HC INJECTION ARTHROCENTESIS INTERMEDIATE JT WITH US,822.0,822.0,,,0 HCPCS,20610,Drain/inj joint/bursa w/o us,,,305.85,635.97,7 HCPCS,20610,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,511.0,511.0,,,0 HCPCS,20610,HC ED INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US,446.0,446.0,,,0 HCPCS,20610,HC INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US,359.0,359.0,,,0 HCPCS,20610,HC TX INJECTION ARTHROCENTESIS MAJOR JT WITHOUT US,446.0,446.0,,,0 HCPCS,20611,Drain/inj joint/bursa w/us,,,116.73,1412.03,11 HCPCS,20611,HC ARTHROCENTESIS MAJOR JT WITH US,802.5,802.5,,,0 HCPCS,20611,HC ED ARTHROCENTESIS MAJOR JT WITH US,944.0,944.0,,,0 HCPCS,20612,Aspirate/inj ganglion cyst,,,59.74,550.53,11 HCPCS,20612,HC ED ASPIRATION INJECTION GANGLION CYST,532.0,532.0,,,0 HCPCS,20615,HC ASPIR/INJEC BONE CYST,1353.0,1353.0,,,0 HCPCS,20615,Treatment of bone cyst,,,271.73,1270.05,11 HCPCS,20650,HC INSERT REMOVE WIRE PIN,2913.0,2913.0,,,0 HCPCS,20650,Insert and remove bone pin,,,2182.91,5868.42,11 HCPCS,20660,Apply rem fixation device,,,1193.64,2883.98,7 HCPCS,20661,Application of head brace,,,1602.21,2883.98,3 HCPCS,20662,Application of pelvis brace,,,1245.6,2883.98,11 HCPCS,20663,Application of thigh brace,,,2182.91,5868.42,11 HCPCS,20664,Application of halo,,,1602.21,2883.98,3 HCPCS,20665,Removal of fixation device,,,174.57,801.21,11 HCPCS,20670,HC REMOVAL IMPLANT SUPERFICIAL,1297.0,1297.0,,,0 HCPCS,20670,Removal of support implant,,,1645.66,5042.13,11 HCPCS,20680,Removal of support implant,,,2417.43,5563.42,11 HCPCS,20690,Apply bone fixation device,,,3448.15,13014.22,11 HCPCS,20692,Apply bone fixation device,,,3448.15,23026.52,11 HCPCS,20693,Adjust bone fixation device,,,3448.15,13014.22,11 HCPCS,20694,Remove bone fixation device,,,1602.21,5064.9,11 HCPCS,20696,Comp multiplane ext fixation,,,3448.15,48665.61,11 HCPCS,20697,Comp ext fixate strut change,,,945.14,6730.56,11 HCPCS,20700,Mnl prep&insj dp rx dlvr dev,,,92.39,162.06,6 HCPCS,20701,Rmvl deep rx delivery device,,,68.93,120.91,6 HCPCS,20702,Mnl prep&insj imed rx dev,,,151.69,266.08,6 HCPCS,20703,Rmvl imed rx delivery device,,,110.31,193.5,6 HCPCS,20704,Mnl prep&insj i-artic rx dev,,,158.57,278.15,6 HCPCS,20705,Rmvl i-artic rx delivery dev,,,131.02,229.83,6 HCPCS,20802,Replantation arm complete,,,17470.77,31447.38,3 HCPCS,20805,Replant forearm complete,,,17470.77,31447.38,3 HCPCS,20808,Replantation hand complete,,,17470.77,31447.38,3 HCPCS,20816,Replantation digit complete,,,1602.21,2883.98,3 HCPCS,20822,Replantation digit complete,,,1602.21,3829.09,11 HCPCS,20824,Replantation thumb complete,,,1602.21,2883.98,3 HCPCS,20827,Replantation thumb complete,,,1602.21,2883.98,3 HCPCS,20838,Replantation foot complete,,,17470.77,31447.38,3 HCPCS,20900,Removal of bone for graft,,,3448.15,13014.22,11 HCPCS,20902,Removal of bone for graft,,,3448.15,13014.22,11 HCPCS,20910,Remove cartilage for graft,,,438.5,1325.55,11 HCPCS,20912,Remove cartilage for graft,,,2424.06,6355.77,11 HCPCS,20920,Removal of fascia for graft,,,1381.8,3700.55,11 HCPCS,20922,Removal of fascia for graft,,,2055.86,4252.09,11 HCPCS,20924,Removal of tendon for graft,,,3448.15,13014.22,11 HCPCS,20932,Osteoart algrft w/surf & b1,,,1019.71,1788.69,4 HCPCS,20933,Hemicrt intrclry algrft prtl,,,936.01,1641.87,4 HCPCS,20934,Intercalary algrft compl,,,1019.71,1788.69,4 HCPCS,20950,Fluid pressure muscle,,,214.62,1270.05,11 HCPCS,20955,Fibula bone graft microvasc,,,7230.12,13014.22,3 HCPCS,20956,Iliac bone graft microvasc,,,7230.12,13014.22,3 HCPCS,20957,Mt bone graft microvasc,,,7230.12,13014.22,3 HCPCS,20962,Other bone graft microvasc,,,7230.12,13014.22,3 HCPCS,20969,Bone/skin graft microvasc,,,7230.12,13014.22,3 HCPCS,20970,Bone/skin graft iliac crest,,,7230.12,13014.22,3 HCPCS,20972,Bone/skin graft metatarsal,,,4745.33,13014.22,11 HCPCS,20973,Bone/skin graft great toe,,,4745.33,13014.22,11 HCPCS,20974,Electrical bone stimulation,,,49.25,162.27,7 HCPCS,20975,Electrical bone stimulation,,,122.06,214.11,4 HCPCS,20979,Us bone stimulation,,,27.82,51.88,7 HCPCS,20982,Ablate bone tumor(s) perq,,,4986.47,31447.38,11 HCPCS,20982,HC CT RF BONE TUMOR ABLATION,12660.0,12660.0,,,0 HCPCS,20983,Ablate bone tumor(s) perq,,,4745.33,13014.22,11 HCPCS,20983,HC CT ABLAT THERAPY OF 1 OR MORE BONE TUMORS,17849.0,17849.0,,,0 HCPCS,20999,HC CRYOBLATION SOFT TISSUE W/ULTRASOUND GUIDANCE,10533.0,10533.0,,,0 HCPCS,20999,HC CT CRYOBALATION OF GLUTEAL MASS,28073.0,28073.0,,,0 HCPCS,20999,HC PT SHOCKWAVE,62.0,62.0,,,0 HCPCS,20999,Musculoskeletal surgery,,,245.78,442.4,3 HCPCS,21010,Incision of jaw joint,,,1684.24,5946.37,11 HCPCS,21011,Exc face les sc <2 cm,,,410.49,2962.18,11 HCPCS,21012,Exc face les sbq 2 cm/>,,,933.69,2962.18,11 HCPCS,21012,HC EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/>,4233.0,4233.0,,,0 HCPCS,21013,Exc face tum deep < 2 cm,,,731.49,6124.23,11 HCPCS,21013,HC EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM,4192.0,4192.0,,,0 HCPCS,21014,Exc face tum deep 2 cm/>,,,1095.32,5209.69,11 HCPCS,21015,Resect face/scalp tum < 2 cm,,,1777.52,5209.69,11 HCPCS,21016,Resect face/scalp tum 2 cm/>,,,1847.27,5209.69,11 HCPCS,21025,Excision of bone lower jaw,,,3650.62,10617.38,11 HCPCS,21026,Excision of facial bone(s),,,2578.99,10617.38,11 HCPCS,21029,Contour of face bone lesion,,,1684.24,5946.37,11 HCPCS,21030,Excise max/zygoma b9 tumor,,,592.92,10617.38,11 HCPCS,21031,Remove exostosis mandible,,,484.36,5946.37,11 HCPCS,21032,Remove exostosis maxilla,,,490.14,5946.37,11 HCPCS,21034,Excise max/zygoma mal tumor,,,3650.62,10617.38,11 HCPCS,21040,Excise mandible lesion,,,1684.24,5946.37,11 HCPCS,21044,Removal of jaw bone lesion,,,3650.62,10617.38,11 HCPCS,21045,Extensive jaw surgery,,,5898.54,10617.38,3 HCPCS,21046,Remove mandible cyst complex,,,3650.62,10617.38,11 HCPCS,21047,Excise lwr jaw cyst w/repair,,,3650.62,10617.38,11 HCPCS,21048,Remove maxilla cyst complex,,,3650.62,10617.38,11 HCPCS,21049,Excis uppr jaw cyst w/repair,,,4050.3,10617.38,7 HCPCS,21050,Removal of jaw joint,,,3650.62,10617.38,11 HCPCS,21060,Remove jaw joint cartilage,,,3650.62,10617.38,11 HCPCS,21070,Remove coronoid process,,,3650.62,10617.38,11 HCPCS,21073,Mnpj of tmj w/anesth,,,476.01,2782.81,11 HCPCS,21076,Prepare face/oral prosthesis,,,840.88,2782.81,11 HCPCS,21077,Prepare face/oral prosthesis,,,2133.38,10617.38,11 HCPCS,21079,Prepare face/oral prosthesis,,,1460.15,5946.37,11 HCPCS,21080,Prepare face/oral prosthesis,,,1643.22,5946.37,11 HCPCS,21081,Prepare face/oral prosthesis,,,1532.11,10617.38,11 HCPCS,21082,Prepare face/oral prosthesis,,,1497.42,5946.37,11 HCPCS,21083,Prepare face/oral prosthesis,,,1474.92,5946.37,11 HCPCS,21084,Prepare face/oral prosthesis,,,1661.23,5946.37,11 HCPCS,21085,Prepare face/oral prosthesis,,,236.0,985.44,11 HCPCS,21086,Prepare face/oral prosthesis,,,1587.99,5946.37,11 HCPCS,21087,Prepare face/oral prosthesis,,,1573.2,10617.38,11 HCPCS,21088,Prepare face/oral prosthesis,,,1684.24,5946.37,11 HCPCS,21089,Prepare face/oral prosthesis,,,236.0,424.8,3 HCPCS,21100,Maxillofacial fixation,,,3650.62,10617.38,11 HCPCS,21110,HC ED APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC,5309.0,5309.0,,,0 HCPCS,21110,Interdental fixation,,,856.9,2782.81,11 HCPCS,21116,Injection jaw joint x-ray,,,210.07,368.49,4 HCPCS,21120,Reconstruction of chin,,,4942.79,10617.38,11 HCPCS,21121,Reconstruction of chin,,,1684.24,5946.37,11 HCPCS,21122,Reconstruction of chin,,,2578.99,10617.38,11 HCPCS,21123,Reconstruction of chin,,,1684.24,5946.37,11 HCPCS,21125,Augmentation lower jaw bone,,,2578.99,10617.38,11 HCPCS,21127,Augmentation lower jaw bone,,,3650.62,10617.38,11 HCPCS,21137,Reduction of forehead,,,1684.24,5946.37,11 HCPCS,21138,Reduction of forehead,,,4942.79,14178.3,11 HCPCS,21139,Reduction of forehead,,,3650.62,10617.38,11 HCPCS,21141,Lefort i-1 piece w/o graft,,,5898.54,10617.38,3 HCPCS,21142,Lefort i-2 piece w/o graft,,,5898.54,10617.38,3 HCPCS,21143,Lefort i-3/> piece w/o graft,,,5898.54,10617.38,3 HCPCS,21145,Lefort i-1 piece w/ graft,,,5898.54,10617.38,3 HCPCS,21146,Lefort i-2 piece w/ graft,,,5898.54,10617.38,3 HCPCS,21147,Lefort i-3/> piece w/ graft,,,5898.54,10617.38,3 HCPCS,21150,Lefort ii anterior intrusion,,,3650.62,10617.38,11 HCPCS,21151,Lefort ii w/bone grafts,,,5898.54,10617.38,3 HCPCS,21154,Lefort iii w/o lefort i,,,5898.54,10617.38,3 HCPCS,21155,Lefort iii w/ lefort i,,,5898.54,10617.38,3 HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,5898.54,10617.38,3 HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,5898.54,10617.38,3 HCPCS,21172,Reconstruct orbit/forehead,,,4050.3,10617.38,7 HCPCS,21175,Reconstruct orbit/forehead,,,4050.3,10617.38,7 HCPCS,21179,Reconstruct entire forehead,,,5898.54,10617.38,3 HCPCS,21180,Reconstruct entire forehead,,,5898.54,10617.38,3 HCPCS,21181,Contour cranial bone lesion,,,3650.62,10617.38,11 HCPCS,21182,Reconstruct cranial bone,,,5898.54,10617.38,3 HCPCS,21183,Reconstruct cranial bone,,,5898.54,10617.38,3 HCPCS,21184,Reconstruct cranial bone,,,5898.54,10617.38,3 HCPCS,21188,Reconstruction of midface,,,5898.54,10617.38,3 HCPCS,21193,Reconst lwr jaw w/o graft,,,4050.3,10617.38,7 HCPCS,21194,Reconst lwr jaw w/graft,,,5898.54,10617.38,3 HCPCS,21195,Reconst lwr jaw w/o fixation,,,4050.3,10617.38,7 HCPCS,21196,Reconst lwr jaw w/fixation,,,5898.54,10617.38,3 HCPCS,21198,Reconstr lwr jaw segment,,,2578.99,10617.38,11 HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,3650.62,10617.38,11 HCPCS,21206,Reconstruct upper jaw bone,,,3650.62,10617.38,11 HCPCS,21208,Augmentation of facial bones,,,3650.62,10617.38,11 HCPCS,21209,Reduction of facial bones,,,3650.62,10617.38,11 HCPCS,21210,Face bone graft,,,3650.62,10617.38,11 HCPCS,21215,Lower jaw bone graft,,,3650.62,10617.38,11 HCPCS,21230,Rib cartilage graft,,,3650.62,10617.38,11 HCPCS,21235,Ear cartilage graft,,,1678.74,12928.04,11 HCPCS,21240,Reconstruction of jaw joint,,,3650.62,10617.38,11 HCPCS,21242,Reconstruction of jaw joint,,,3650.62,10617.38,11 HCPCS,21243,Reconstruction of jaw joint,,,4942.79,48665.61,11 HCPCS,21244,Reconstruction of lower jaw,,,3650.62,10617.38,11 HCPCS,21245,Reconstruction of jaw,,,3650.62,10617.38,11 HCPCS,21246,Reconstruction of jaw,,,3650.62,10617.38,11 HCPCS,21247,Reconstruct lower jaw bone,,,5898.54,10617.38,3 HCPCS,21248,Reconstruction of jaw,,,3650.62,10617.38,11 HCPCS,21249,Reconstruction of jaw,,,3650.62,10617.38,11 HCPCS,21255,Reconstruct lower jaw bone,,,5898.54,10617.38,3 HCPCS,21256,Reconstruction of orbit,,,4050.3,10617.38,7 HCPCS,21260,Revise eye sockets,,,3650.62,10617.38,11 HCPCS,21261,Revise eye sockets,,,4050.3,10617.38,7 HCPCS,21263,Revise eye sockets,,,4050.3,10617.38,7 HCPCS,21267,Revise eye sockets,,,3650.62,10617.38,11 HCPCS,21268,Revise eye sockets,,,5898.54,10617.38,3 HCPCS,21270,Augmentation cheek bone,,,3650.62,10617.38,11 HCPCS,21275,Revision orbitofacial bones,,,3886.31,10617.38,11 HCPCS,21280,Revision of eyelid,,,1684.24,5946.37,11 HCPCS,21282,Revision of eyelid,,,1678.74,5946.37,11 HCPCS,21295,Revision of jaw muscle/bone,,,856.9,2782.81,11 HCPCS,21296,Revision of jaw muscle/bone,,,1684.24,5946.37,11 HCPCS,21299,Cranio/maxillofacial surgery,,,236.0,424.8,3 HCPCS,21315,Closed tx nose fx w/o stablj,,,1546.0,4572.08,11 HCPCS,21315,HC ED CLOSED TX NASAL FX WITHOUT STABILIZATION,1876.0,1876.0,,,0 HCPCS,21320,Closed tx nose fx w/ stablj,,,1678.74,5946.37,11 HCPCS,21320,HC CLOSED TREATMENT NASAL FRACTURE W/STABILIZATION,4304.0,4304.0,,,0 HCPCS,21325,Open tx nose fx uncomplicatd,,,1684.24,5946.37,11 HCPCS,21330,Open tx nose fx w/skele fixj,,,2578.99,10617.38,11 HCPCS,21335,Open tx nose & septal fx,,,1684.24,5946.37,11 HCPCS,21336,Open tx septal fx w/wo stabj,,,2182.91,5868.42,11 HCPCS,21337,Closed tx septal&nose fx,,,1678.74,5946.37,11 HCPCS,21338,Open nasoethmoid fx w/o fixj,,,3650.62,10617.38,11 HCPCS,21339,Open nasoethmoid fx w/ fixj,,,2578.99,10617.38,11 HCPCS,21340,Perq tx nasoethmoid fx,,,1684.24,5946.37,11 HCPCS,21343,Open tx dprsd front sinus fx,,,5898.54,10617.38,3 HCPCS,21344,Open tx compl front sinus fx,,,5898.54,10617.38,3 HCPCS,21345,Closed tx nose/jaw fx,,,1005.11,2965.84,11 HCPCS,21346,Opn tx nasomax fx w/fixj,,,4050.3,10617.38,7 HCPCS,21347,Opn tx nasomax fx multple,,,5898.54,10617.38,3 HCPCS,21348,Opn tx nasomax fx w/graft,,,5898.54,10617.38,3 HCPCS,21355,Perq tx malar fracture,,,1684.24,5946.37,11 HCPCS,21356,Opn tx dprsd zygomatic arch,,,2578.99,10617.38,11 HCPCS,21360,Opn tx dprsd malar fracture,,,3650.62,10617.38,11 HCPCS,21365,Opn tx complx malar fx,,,5898.54,21305.8,7 HCPCS,21366,Opn tx complx malar w/grft,,,5898.54,10617.38,3 HCPCS,21385,Opn tx orbit fx transantral,,,4050.3,10617.38,7 HCPCS,21386,Opn tx orbit fx periorbital,,,4050.3,10617.38,7 HCPCS,21387,Opn tx orbit fx combined,,,4050.3,10617.38,7 HCPCS,21390,Opn tx orbit periorbtl implt,,,4942.79,16181.03,11 HCPCS,21395,Opn tx orbit periorbt w/grft,,,4050.3,10617.38,7 HCPCS,21400,Closed tx orbit w/o manipulj,,,428.37,985.44,11 HCPCS,21401,Closed tx orbit w/manipulj,,,856.9,2782.81,11 HCPCS,21406,Opn tx orbit fx w/o implant,,,3650.62,10617.38,11 HCPCS,21407,Opn tx orbit fx w/implant,,,3650.62,10617.38,11 HCPCS,21408,Opn tx orbit fx w/bone grft,,,4050.3,10617.38,7 HCPCS,21421,Treat mouth roof fracture,,,1684.24,5946.37,11 HCPCS,21422,Treat mouth roof fracture,,,5898.54,10617.38,3 HCPCS,21423,Treat mouth roof fracture,,,5898.54,10617.38,3 HCPCS,21431,Treat craniofacial fracture,,,5898.54,10617.38,3 HCPCS,21432,Treat craniofacial fracture,,,5898.54,10617.38,3 HCPCS,21433,Treat craniofacial fracture,,,5898.54,10617.38,3 HCPCS,21435,Treat craniofacial fracture,,,5898.54,10617.38,3 HCPCS,21436,Treat craniofacial fracture,,,5898.54,10617.38,3 HCPCS,21440,Treat dental ridge fracture,,,810.05,5946.37,11 HCPCS,21445,HC TREAT DENTAL RIDGE FRACTURE,7887.0,7887.0,,,0 HCPCS,21445,Treat dental ridge fracture,,,3650.62,10617.38,11 HCPCS,21450,Treat lower jaw fracture,,,428.37,967.3,11 HCPCS,21451,Treat lower jaw fracture,,,1005.11,2782.81,11 HCPCS,21452,Treat lower jaw fracture,,,1678.74,10617.38,11 HCPCS,21453,Treat lower jaw fracture,,,4942.79,10617.38,11 HCPCS,21454,Treat lower jaw fracture,,,3650.62,10617.38,11 HCPCS,21461,Treat lower jaw fracture,,,3171.64,10617.38,11 HCPCS,21462,Treat lower jaw fracture,,,4942.79,10617.38,11 HCPCS,21465,Treat lower jaw fracture,,,3650.62,10617.38,11 HCPCS,21470,Treat lower jaw fracture,,,5898.54,10684.85,7 HCPCS,21480,HC ED CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ,266.0,266.0,,,0 HCPCS,21480,Reset dislocated jaw,,,171.91,442.4,11 HCPCS,21485,Reset dislocated jaw,,,1005.11,2965.84,11 HCPCS,21490,Repair dislocated jaw,,,1684.24,5946.37,11 HCPCS,21497,Interdental wiring,,,856.9,2782.81,11 HCPCS,21499,Head surgery procedure,,,236.0,424.8,3 HCPCS,21501,Drain neck/chest lesion,,,2167.63,5810.33,11 HCPCS,21502,Drain chest lesion,,,2182.91,5868.42,11 HCPCS,21510,Drainage of bone lesion,,,3260.23,5868.42,3 HCPCS,21550,Biopsy of neck/chest,,,1645.66,6124.23,11 HCPCS,21550,HC BIOPSY SOFT TISSUE NECK/THORAX,1766.0,1766.0,,,0 HCPCS,21550,HC IR-BIOPSY OF NECK OR CHEST,2585.0,2585.0,,,0 HCPCS,21552,Exc neck les sc 3 cm/>,,,2417.43,5571.09,11 HCPCS,21554,Exc neck tum deep 5 cm/>,,,2417.43,9018.79,11 HCPCS,21555,Exc neck les sc < 3 cm,,,1645.66,5786.97,11 HCPCS,21555,HC EXCISION TUMOR SUBQ NECK THORAX,1694.0,1694.0,,,0 HCPCS,21556,Exc neck tum deep < 5 cm,,,2417.43,6124.23,11 HCPCS,21557,Resect neck thorax tumor<5cm,,,1777.52,5209.69,11 HCPCS,21558,Resect neck tumor 5 cm/>,,,1847.27,5209.69,11 HCPCS,21600,Partial removal of rib,,,3448.15,13014.22,11 HCPCS,21601,Exc chest wall tumor w/ribs,,,2894.27,5209.69,9 HCPCS,21602,Exc ch wal tum w/o lymphadec,,,2564.88,13014.22,9 HCPCS,21603,Exc ch wal tum w/lymphadec,,,2717.94,13014.22,9 HCPCS,21610,Partial removal of rib,,,2182.91,5868.42,11 HCPCS,21615,Removal of rib,,,7230.12,13014.22,3 HCPCS,21616,Removal of rib and nerves,,,7230.12,13014.22,3 HCPCS,21620,Partial removal of sternum,,,3260.23,5868.42,3 HCPCS,21627,Sternal debridement,,,3260.23,5868.42,3 HCPCS,21630,Extensive sternum surgery,,,7230.12,13014.22,3 HCPCS,21685,Hyoid myotomy & suspension,,,2578.99,10617.38,11 HCPCS,21700,Revision of neck muscle,,,2182.91,13014.22,11 HCPCS,21705,Revision of neck muscle/rib,,,7230.12,13014.22,3 HCPCS,21720,Revision of neck muscle,,,2182.91,5868.42,11 HCPCS,21725,Revision of neck muscle,,,214.62,1270.05,11 HCPCS,21740,Reconstruction of sternum,,,7230.12,13014.22,3 HCPCS,21742,Repair stern/nuss w/o scope,,,2390.75,5868.42,7 HCPCS,21743,Repair sternum/nuss w/scope,,,2390.75,5868.42,7 HCPCS,21750,Repair of sternum separation,,,7230.12,13014.22,3 HCPCS,21811,Optx of rib fx w/fixj scope,,,2390.75,13014.22,7 HCPCS,21812,Treatment of rib fracture,,,1193.64,13014.22,7 HCPCS,21813,Treatment of rib fracture,,,1193.64,2883.98,7 HCPCS,21820,Treat sternum fracture,,,193.4,442.4,11 HCPCS,21825,Treat sternum fracture,,,7230.12,13014.22,3 HCPCS,21899,Neck/chest surgery procedure,,,236.0,424.8,3 HCPCS,21920,Biopsy soft tissue of back,,,315.4,2962.18,11 HCPCS,21925,Biopsy soft tissue of back,,,933.69,2962.18,11 HCPCS,21930,Exc back les sc < 3 cm,,,933.69,2962.18,11 HCPCS,21931,Exc back les sc 3 cm/>,,,1275.58,7709.9,11 HCPCS,21932,Exc back tum deep < 5 cm,,,1777.52,5209.69,11 HCPCS,21933,Exc back tum deep 5 cm/>,,,2417.43,8119.03,11 HCPCS,21935,Resect back tum < 5 cm,,,1777.52,5209.69,11 HCPCS,21936,Resect back tum 5 cm/>,,,1847.27,5209.69,11 HCPCS,22010,I&d p-spine c/t/cerv-thor,,,7230.12,13014.22,3 HCPCS,22015,I&d abscess p-spine l/s/ls,,,7230.12,13014.22,3 HCPCS,22100,Remove part of neck vertebra,,,5119.65,13014.22,7 HCPCS,22101,Remove part thorax vertebra,,,2390.75,13014.22,7 HCPCS,22102,Remove part lumbar vertebra,,,4745.33,13014.22,11 HCPCS,22110,Remove part of neck vertebra,,,7230.12,13014.22,3 HCPCS,22112,Remove part thorax vertebra,,,7230.12,13014.22,3 HCPCS,22114,Remove part lumbar vertebra,,,7230.12,13014.22,3 HCPCS,22206,Incis spine 3 column thorac,,,7230.12,13014.22,3 HCPCS,22207,Incis spine 3 column lumbar,,,7230.12,13014.22,3 HCPCS,22210,Incis 1 vertebral seg cerv,,,7230.12,13014.22,3 HCPCS,22212,Incis 1 vertebral seg thorac,,,7230.12,13014.22,3 HCPCS,22214,Incis 1 vertebral seg lumbar,,,7230.12,13014.22,3 HCPCS,22220,Incis w/discectomy cervical,,,7230.12,13014.22,3 HCPCS,22222,Incis w/discectomy thoracic,,,7230.12,13014.22,3 HCPCS,22224,Incis w/discectomy lumbar,,,7230.12,13014.22,3 HCPCS,22310,Closed tx vert fx w/o manj,,,193.4,442.4,11 HCPCS,22315,Closed tx vert fx w/manj,,,1245.6,5868.42,11 HCPCS,22318,Treat odontoid fx w/o graft,,,12792.51,23026.52,3 HCPCS,22319,Treat odontoid fx w/graft,,,12792.51,23026.52,3 HCPCS,22325,Treat spine fracture,,,12792.51,23026.52,3 HCPCS,22326,Treat neck spine fracture,,,12792.51,23026.52,3 HCPCS,22327,Treat thorax spine fracture,,,12792.51,23026.52,3 HCPCS,22505,Manipulation of spine,,,1245.6,2883.98,11 HCPCS,22510,HC VERTEBROPLASTY THORACIC,3254.0,3254.0,,,0 HCPCS,22510,Perq cervicothoracic inject,,,1942.91,5868.42,11 HCPCS,22511,HC VERTEBROPLASTY LUMBAR,3254.0,3254.0,,,0 HCPCS,22511,Perq lumbosacral injection,,,1828.22,5868.42,11 HCPCS,22512,HC EACH ADD VERTEBRAL LEVEL,1759.0,1759.0,,,0 HCPCS,22513,HC KYPHOPLASTY THORACIC,15966.0,15966.0,,,0 HCPCS,22513,Perq vertebral augmentation,,,3487.18,13014.22,11 HCPCS,22514,HC KYPHOPLASTY LUMBAR,14726.0,14726.0,,,0 HCPCS,22514,Perq vertebral augmentation,,,4745.33,13014.22,11 HCPCS,22515,HC EACH ADDITIONAL LEVEL,14726.0,14726.0,,,0 HCPCS,22526,Idet single level,,,3787.55,6643.8,4 HCPCS,22532,Lat thorax spine fusion,,,12792.51,23026.52,3 HCPCS,22533,Lat lumbar spine fusion,,,17470.77,31447.38,3 HCPCS,22548,Neck spine fusion,,,12792.51,23026.52,3 HCPCS,22551,Neck spine fuse&remov bel c2,,,6072.25,23026.52,11 HCPCS,22554,Neck spine fusion,,,8316.55,23026.52,11 HCPCS,22556,Thorax spine fusion,,,17470.77,31447.38,3 HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,17470.77,31447.38,3 HCPCS,22590,Spine & skull spinal fusion,,,12792.51,23026.52,3 HCPCS,22595,Neck spinal fusion,,,12792.51,23026.52,3 HCPCS,22600,Neck spine fusion,,,17470.77,31447.38,3 HCPCS,22610,Thorax spine fusion,,,17470.77,31447.38,3 HCPCS,22612,Lumbar spine fusion,,,4486.91,31447.38,11 HCPCS,22800,Post fusion <=6 vert seg,,,17470.77,31447.38,3 HCPCS,22802,Post fusion 7-12 vert seg,,,17470.77,31447.38,3 HCPCS,22804,Post fusion 13/> vert seg,,,17470.77,31447.38,3 HCPCS,22808,Ant fusion 2-3 vert seg,,,17470.77,31447.38,3 HCPCS,22810,Ant fusion 4-7 vert seg,,,17470.77,31447.38,3 HCPCS,22812,Ant fusion 8/> vert seg,,,17470.77,31447.38,3 HCPCS,22818,Kyphectomy 1-2 segments,,,17470.77,31447.38,3 HCPCS,22819,Kyphectomy 3 or more,,,17470.77,31447.38,3 HCPCS,22830,Exploration of spinal fusion,,,7230.12,13014.22,3 HCPCS,22836,Ant thrc vrt body tethrg <7,,,1867.92,31447.38,7 HCPCS,22837,Ant thrc vrt body tethrg 8+,,,2025.99,31447.38,7 HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,2048.07,31447.38,7 HCPCS,22849,Reinsert spinal fixation,,,12792.51,23026.52,3 HCPCS,22850,Remove spine fixation device,,,7230.12,13014.22,3 HCPCS,22852,Remove spine fixation device,,,7230.12,13014.22,3 HCPCS,22855,Remove spine fixation device,,,7230.12,13014.22,3 HCPCS,22856,Cerv artific diskectomy,,,14417.12,31447.38,7 HCPCS,22857,Lumbar Artif Diskectomy,,,17470.77,31447.38,3 HCPCS,22861,Revise cerv artific disc,,,17470.77,31447.38,3 HCPCS,22862,Revise Lumbar Artif Disc,,,17470.77,31447.38,3 HCPCS,22864,Remove cerv artif disc,,,7230.12,13014.22,3 HCPCS,22865,Remove Lumb Artif Disc,,,7230.12,13014.22,3 HCPCS,22867,Insj stablj dev w/dcmprn,,,17470.77,33035.49,7 HCPCS,22869,Insj stablj dev w/o dcmprn,,,12792.51,33035.49,7 HCPCS,22899,HC ABLATION SOFT TISSUE SPINE,4534.0,4534.0,,,0 HCPCS,22899,Spine surgery procedure,,,245.78,442.4,3 HCPCS,22900,Exc abdl tum deep < 5 cm,,,1847.27,5209.69,11 HCPCS,22901,Exc abdl tum deep 5 cm/>,,,1847.27,5209.69,11 HCPCS,22902,Exc abd les sc < 3 cm,,,1645.66,6016.13,11 HCPCS,22903,Exc abd les sc 3 cm/>,,,1847.27,5209.69,11 HCPCS,22904,Radical resect abd tumor<5cm,,,1777.52,5209.69,11 HCPCS,22905,Rad resect abd tumor 5 cm/>,,,1847.27,5209.69,11 HCPCS,22999,Abdomen surgery procedure,,,245.78,442.4,3 HCPCS,22999,HC IR BX ABDOMINAL WALL MASS,2915.0,2915.0,,,0 HCPCS,23000,Removal of calcium deposits,,,1777.52,5209.69,11 HCPCS,23020,Release shoulder joint,,,2182.91,5868.42,11 HCPCS,23030,Drain shoulder lesion,,,1847.27,5209.69,11 HCPCS,23031,Drain shoulder bursa,,,933.69,5209.69,11 HCPCS,23035,Drain shoulder bone lesion,,,1245.6,2883.98,11 HCPCS,23040,Exploratory shoulder surgery,,,2182.91,5868.42,11 HCPCS,23044,Exploratory shoulder surgery,,,2182.91,5868.42,11 HCPCS,23065,Biopsy shoulder tissues,,,228.02,2962.18,11 HCPCS,23066,Biopsy shoulder tissues,,,1847.27,5209.69,11 HCPCS,23071,Exc shoulder les sc 3 cm/>,,,1645.66,4322.32,11 HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,1847.27,5209.69,11 HCPCS,23075,Exc shoulder les sc < 3 cm,,,933.69,2962.18,11 HCPCS,23076,Exc shoulder tum deep < 5 cm,,,1777.52,5209.69,11 HCPCS,23077,Resect shoulder tumor < 5 cm,,,1777.52,5209.69,11 HCPCS,23078,Resect shoulder tumor 5 cm/>,,,1847.27,5209.69,11 HCPCS,23100,Biopsy of shoulder joint,,,1245.6,5868.42,11 HCPCS,23101,Shoulder joint surgery,,,2182.91,5868.42,11 HCPCS,23105,Remove shoulder joint lining,,,3448.15,13014.22,11 HCPCS,23106,Incision of collarbone joint,,,2182.91,5868.42,11 HCPCS,23107,Explore treat shoulder joint,,,3448.15,13014.22,11 HCPCS,23120,Partial removal collar bone,,,3260.23,8878.55,11 HCPCS,23125,Removal of collar bone,,,2182.91,5868.42,11 HCPCS,23130,Remove shoulder bone part,,,2182.91,5868.42,11 HCPCS,23140,Removal of bone lesion,,,2182.91,5868.42,11 HCPCS,23145,Removal of bone lesion,,,2182.91,5868.42,11 HCPCS,23146,Removal of bone lesion,,,3448.15,13014.22,11 HCPCS,23150,Removal of humerus lesion,,,2182.91,5868.42,11 HCPCS,23155,Removal of humerus lesion,,,3448.15,13014.22,11 HCPCS,23156,Removal of humerus lesion,,,3448.15,13014.22,11 HCPCS,23170,Remove collar bone lesion,,,1245.6,5868.42,11 HCPCS,23172,Remove shoulder blade lesion,,,2182.91,5868.42,11 HCPCS,23174,Remove humerus lesion,,,2182.91,13014.22,11 HCPCS,23180,Remove collar bone lesion,,,2182.91,13014.22,11 HCPCS,23182,Remove shoulder blade lesion,,,2182.91,13014.22,11 HCPCS,23184,Remove humerus lesion,,,3448.15,13014.22,11 HCPCS,23190,Partial removal of scapula,,,2182.91,5868.42,11 HCPCS,23195,Removal of head of humerus,,,3448.15,13014.22,11 HCPCS,23200,Resect clavicle tumor,,,7230.12,13014.22,3 HCPCS,23210,Resect scapula tumor,,,7230.12,13014.22,3 HCPCS,23220,Resect prox humerus tumor,,,7230.12,13014.22,3 HCPCS,23330,Remove shoulder foreign body,,,521.75,2962.18,11 HCPCS,23333,Remove shoulder fb deep,,,933.69,5209.69,11 HCPCS,23334,Shoulder prosthesis removal,,,1847.27,13014.22,11 HCPCS,23335,Shoulder prosthesis removal,,,7230.12,13014.22,3 HCPCS,23350,HC INJECTION SHOULDER ARTHROGRAPHY,1103.0,1103.0,,,0 HCPCS,23350,Injection for shoulder x-ray,,,548.12,961.47,4 HCPCS,23395,Muscle transfer shoulder/arm,,,4745.33,13014.22,11 HCPCS,23397,Muscle transfers,,,4745.33,13014.22,11 HCPCS,23400,Fixation of shoulder blade,,,3448.15,13014.22,11 HCPCS,23405,Incision of tendon & muscle,,,3448.15,13014.22,11 HCPCS,23406,Incise tendon(s) & muscle(s),,,3421.65,13014.22,11 HCPCS,23410,Repair rotator cuff acute,,,4745.33,13014.22,11 HCPCS,23412,Repair rotator cuff chronic,,,4986.47,13014.22,11 HCPCS,23415,Release of shoulder ligament,,,4745.33,13014.22,11 HCPCS,23420,Repair of shoulder,,,4745.33,13014.22,11 HCPCS,23430,Repair biceps tendon,,,4175.78,13014.22,11 HCPCS,23440,Remove/transplant tendon,,,2182.91,13014.22,11 HCPCS,23450,Repair shoulder capsule,,,4745.33,13014.22,11 HCPCS,23455,Repair shoulder capsule,,,4745.33,13014.22,11 HCPCS,23460,Repair shoulder capsule,,,4745.33,13014.22,11 HCPCS,23462,Repair shoulder capsule,,,4745.33,13014.22,11 HCPCS,23465,Repair shoulder capsule,,,4745.33,13014.22,11 HCPCS,23466,Repair shoulder capsule,,,4745.33,13014.22,11 HCPCS,23470,Reconstruct shoulder joint,,,9374.63,23026.52,7 HCPCS,23472,Reconstruct shoulder joint,,,17470.77,31447.38,7 HCPCS,23473,Revis reconst shoulder joint,,,9374.63,23026.52,7 HCPCS,23474,Revis reconst shoulder joint,,,12792.51,23026.52,3 HCPCS,23480,Revision of collar bone,,,4745.33,13014.22,11 HCPCS,23485,Revision of collar bone,,,8378.58,23026.52,11 HCPCS,23490,Reinforce clavicle,,,4745.33,13014.22,11 HCPCS,23491,Reinforce shoulder bones,,,8378.58,23026.52,11 HCPCS,23500,HC CLOSED RX CLAVICLE FRACTURE,426.0,426.0,,,0 HCPCS,23500,HC CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION,373.0,373.0,,,0 HCPCS,23500,Treat clavicle fracture,,,193.4,442.4,11 HCPCS,23505,Treat clavicle fracture,,,945.14,2883.98,11 HCPCS,23515,Treat clavicle fracture,,,6358.58,13014.22,11 HCPCS,23520,Treat clavicle dislocation,,,1245.6,2883.98,11 HCPCS,23525,Treat clavicle dislocation,,,193.4,442.4,11 HCPCS,23530,Treat clavicle dislocation,,,4745.33,13014.22,11 HCPCS,23532,Treat clavicle dislocation,,,2706.78,13014.22,11 HCPCS,23540,Treat clavicle dislocation,,,193.4,442.4,11 HCPCS,23545,HC ED CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION,279.0,279.0,,,0 HCPCS,23545,Treat clavicle dislocation,,,193.4,442.4,11 HCPCS,23550,Treat clavicle dislocation,,,4745.33,13014.22,11 HCPCS,23552,Treat clavicle dislocation,,,4745.33,13014.22,11 HCPCS,23570,HC CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,373.0,373.0,,,0 HCPCS,23570,HC ED CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION,502.0,502.0,,,0 HCPCS,23570,Treat shoulder blade fx,,,193.4,442.4,11 HCPCS,23575,HC ED CLTX SCAPULAR FX W/MANJ W/WO SKELETAL TRACTION,1433.0,1433.0,,,0 HCPCS,23575,Treat shoulder blade fx,,,283.36,2883.98,11 HCPCS,23585,Treat scapula fracture,,,4745.33,13014.22,11 HCPCS,23600,HC CLOSED RX PROX HUMERUS FRACTURE,424.0,424.0,,,0 HCPCS,23600,HC CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION,373.0,373.0,,,0 HCPCS,23600,Treat humerus fracture,,,193.4,442.4,11 HCPCS,23605,"HC CLOSED RX PROX HUMERUS FX,MANIP",1632.0,1632.0,,,0 HCPCS,23605,HC ED CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ,1433.0,1433.0,,,0 HCPCS,23605,Treat humerus fracture,,,1245.6,2883.98,11 HCPCS,23615,Treat humerus fracture,,,6556.29,23026.52,11 HCPCS,23616,Treat humerus fracture,,,10009.92,35660.15,11 HCPCS,23620,HC CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,373.0,373.0,,,0 HCPCS,23620,HC ED CLTX GREATER HUMERAL TUBEROSITY FX W/O MANJ,428.0,428.0,,,0 HCPCS,23620,Treat humerus fracture,,,193.4,442.4,11 HCPCS,23625,Treat humerus fracture,,,1245.6,2883.98,11 HCPCS,23630,Treat humerus fracture,,,4745.33,13014.22,11 HCPCS,23650,HC BS CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,291.0,291.0,,,0 HCPCS,23650,HC ED CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES,284.0,284.0,,,0 HCPCS,23650,Treat shoulder dislocation,,,193.4,442.4,11 HCPCS,23655,HC ED CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES,2398.0,2398.0,,,0 HCPCS,23655,Treat shoulder dislocation,,,1245.6,2883.98,11 HCPCS,23660,Treat shoulder dislocation,,,4745.33,13014.22,11 HCPCS,23665,HC CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ,1656.0,1656.0,,,0 HCPCS,23665,HC ED CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MANJ,1433.0,1433.0,,,0 HCPCS,23665,Treat dislocation/fracture,,,945.14,2883.98,11 HCPCS,23670,Treat dislocation/fracture,,,4745.33,13014.22,11 HCPCS,23675,HC ED CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MANJ,1433.0,1433.0,,,0 HCPCS,23675,Treat dislocation/fracture,,,283.36,2883.98,11 HCPCS,23680,Treat dislocation/fracture,,,5603.18,23026.52,11 HCPCS,23700,Fixation of shoulder,,,1245.6,2883.98,11 HCPCS,23800,Fusion of shoulder joint,,,4745.33,13014.22,11 HCPCS,23802,Fusion of shoulder joint,,,8378.58,23026.52,11 HCPCS,23900,Amputation of arm & girdle,,,12792.51,23026.52,3 HCPCS,23920,Amputation at shoulder joint,,,12792.51,23026.52,3 HCPCS,23921,Amputation follow-up surgery,,,1381.8,3700.55,11 HCPCS,23929,Shoulder surgery procedure,,,245.78,442.4,3 HCPCS,23930,Drainage of arm lesion,,,2167.63,10827.33,11 HCPCS,23931,Drainage of arm bursa,,,933.69,2962.18,11 HCPCS,23931,HC ID UPPER ARM ELBOW BURSA,2368.0,2368.0,,,0 HCPCS,23935,Drain arm/elbow bone lesion,,,2182.91,5868.42,11 HCPCS,24000,Exploratory elbow surgery,,,2182.91,5868.42,11 HCPCS,24006,Release elbow joint,,,2182.91,5868.42,11 HCPCS,24065,Biopsy arm/elbow soft tissue,,,310.92,2962.18,11 HCPCS,24066,Biopsy arm/elbow soft tissue,,,1777.52,5209.69,11 HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,1847.27,5209.69,11 HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,1847.27,5209.69,11 HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1645.66,7300.02,11 HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,1777.52,5209.69,11 HCPCS,24077,Resect arm/elbow tum < 5 cm,,,1777.52,5209.69,11 HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,1847.27,5209.69,11 HCPCS,24100,Biopsy elbow joint lining,,,2182.91,5868.42,11 HCPCS,24101,Explore/treat elbow joint,,,2182.91,5868.42,11 HCPCS,24102,Remove elbow joint lining,,,2182.91,5868.42,11 HCPCS,24105,Removal of elbow bursa,,,2182.91,5868.42,11 HCPCS,24110,Remove humerus lesion,,,2182.91,5868.42,11 HCPCS,24115,Remove/graft bone lesion,,,3448.15,13014.22,11 HCPCS,24116,Remove/graft bone lesion,,,3448.15,13014.22,11 HCPCS,24120,Remove elbow lesion,,,2182.91,5868.42,11 HCPCS,24125,Remove/graft bone lesion,,,2182.91,5868.42,11 HCPCS,24126,Remove/graft bone lesion,,,3448.15,13014.22,11 HCPCS,24130,Removal of head of radius,,,3260.23,10827.33,11 HCPCS,24134,Removal of arm bone lesion,,,3448.15,13014.22,11 HCPCS,24136,Remove radius bone lesion,,,2182.91,5868.42,11 HCPCS,24138,Remove elbow bone lesion,,,3448.15,13014.22,11 HCPCS,24140,Partial removal of arm bone,,,2182.91,5868.42,11 HCPCS,24145,Partial removal of radius,,,3448.15,13014.22,11 HCPCS,24147,Partial removal of elbow,,,2182.91,5868.42,11 HCPCS,24149,Radical resection of elbow,,,3448.15,13014.22,11 HCPCS,24150,Resect distal humerus tumor,,,5119.65,13014.22,7 HCPCS,24152,Resect radius tumor,,,4745.33,13014.22,11 HCPCS,24155,Removal of elbow joint,,,2182.91,5868.42,11 HCPCS,24160,Remove elbow joint implant,,,2182.91,5868.42,11 HCPCS,24164,Remove radius head implant,,,2182.91,5868.42,11 HCPCS,24200,HC ED RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS,1688.0,1688.0,,,0 HCPCS,24200,Removal of arm foreign body,,,243.45,2962.18,11 HCPCS,24201,Removal of arm foreign body,,,1777.52,5209.69,11 HCPCS,24220,HC INJECTION ARTHROCENTESIS ELBOW,1211.0,1211.0,,,0 HCPCS,24220,Injection for elbow x-ray,,,599.16,1051.0,4 HCPCS,24300,Manipulate elbow w/anesth,,,1245.6,2883.98,11 HCPCS,24301,Muscle/tendon transfer,,,3448.15,13014.22,11 HCPCS,24305,Arm tendon lengthening,,,2182.91,5868.42,11 HCPCS,24310,Revision of arm tendon,,,2182.91,5868.42,11 HCPCS,24320,Repair of arm tendon,,,3448.15,13014.22,11 HCPCS,24330,Revision of arm muscles,,,2182.91,13014.22,11 HCPCS,24331,Revision of arm muscles,,,4745.33,13014.22,11 HCPCS,24332,Tenolysis triceps,,,2182.91,5868.42,11 HCPCS,24340,Repair of biceps tendon,,,4745.33,13014.22,11 HCPCS,24341,Repair arm tendon/muscle,,,4986.47,13014.22,11 HCPCS,24342,Repair of ruptured tendon,,,4745.33,13014.22,11 HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,2182.91,5868.42,11 HCPCS,24344,Reconstruct elbow lat ligmnt,,,4745.33,13014.22,11 HCPCS,24345,Repr elbw med ligmnt w/tissu,,,3448.15,13014.22,11 HCPCS,24346,Reconstruct elbow med ligmnt,,,4986.47,23026.52,11 HCPCS,24357,Repair elbow perc,,,2182.91,5868.42,11 HCPCS,24358,Repair elbow w/deb open,,,2182.91,5868.42,11 HCPCS,24359,Repair elbow deb/attch open,,,2182.91,5868.42,11 HCPCS,24360,Reconstruct elbow joint,,,4458.15,13014.22,11 HCPCS,24361,Reconstruct elbow joint,,,17470.77,39292.22,11 HCPCS,24362,Reconstruct elbow joint,,,4458.15,23026.52,11 HCPCS,24363,Replace elbow joint,,,17470.77,38062.07,11 HCPCS,24365,Reconstruct head of radius,,,12792.51,23026.52,11 HCPCS,24366,Reconstruct head of radius,,,12792.51,23437.21,11 HCPCS,24370,Revise reconst elbow joint,,,12328.09,23026.52,11 HCPCS,24371,Revise reconst elbow joint,,,17470.77,36684.21,11 HCPCS,24400,Revision of humerus,,,4745.33,13014.22,11 HCPCS,24410,Revision of humerus,,,4986.47,23026.52,11 HCPCS,24420,Revision of humerus,,,4986.47,13014.22,11 HCPCS,24430,Repair of humerus,,,8378.58,23026.52,11 HCPCS,24435,Repair humerus with graft,,,12197.8,23026.52,11 HCPCS,24470,Revision of elbow joint,,,2182.91,5868.42,11 HCPCS,24495,Decompression of forearm,,,3448.15,13014.22,11 HCPCS,24498,Reinforce humerus,,,9427.55,23026.52,11 HCPCS,24500,HC TX CLOSED TX HUMERAL SHAFT FX WITHOUT MAN,373.0,373.0,,,0 HCPCS,24500,Treat humerus fracture,,,193.4,442.4,11 HCPCS,24505,HC ED CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ,1433.0,1433.0,,,0 HCPCS,24505,Treat humerus fracture,,,283.36,2883.98,11 HCPCS,24515,Treat humerus fracture,,,6077.41,23026.52,11 HCPCS,24516,Treat humerus fracture,,,8916.51,23026.52,11 HCPCS,24530,HC CLOSED RX HUMERAL SUPRACONDYLAR FX,381.0,381.0,,,0 HCPCS,24530,HC CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ,373.0,373.0,,,0 HCPCS,24530,HC ED CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ,431.0,431.0,,,0 HCPCS,24530,Treat humerus fracture,,,193.4,442.4,11 HCPCS,24535,HC ED CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ,1433.0,1433.0,,,0 HCPCS,24535,Treat humerus fracture,,,283.36,2883.98,11 HCPCS,24538,Treat humerus fracture,,,2706.78,13014.22,11 HCPCS,24545,Treat humerus fracture,,,4161.64,23026.52,11 HCPCS,24546,Treat humerus fracture,,,6577.92,23026.52,11 HCPCS,24560,HC CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ,435.0,435.0,,,0 HCPCS,24560,Treat humerus fracture,,,193.4,442.4,11 HCPCS,24565,HC ED CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ,1433.0,1433.0,,,0 HCPCS,24565,Treat humerus fracture,,,283.36,2883.98,11 HCPCS,24566,Treat humerus fracture,,,1602.21,3829.09,11 HCPCS,24575,Treat humerus fracture,,,6172.52,23026.52,11 HCPCS,24576,HC CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ,507.0,507.0,,,0 HCPCS,24576,Treat humerus fracture,,,193.4,442.4,11 HCPCS,24577,HC ED CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ,1672.0,1672.0,,,0 HCPCS,24577,Treat humerus fracture,,,283.36,2883.98,11 HCPCS,24579,Treat humerus fracture,,,8916.51,23026.52,11 HCPCS,24582,Treat humerus fracture,,,2706.78,13014.22,11 HCPCS,24586,Treat elbow fracture,,,6803.44,23026.52,11 HCPCS,24587,Treat elbow fracture,,,10009.92,23026.52,11 HCPCS,24600,HC ED TREATMENT CLOSED ELBOW DISLOCATION W/O ANES,284.0,284.0,,,0 HCPCS,24600,Treat elbow dislocation,,,193.4,442.4,11 HCPCS,24605,HC ED TREATMENT CLOSED ELBOW DISLOCATION REQ ANES,2248.0,2248.0,,,0 HCPCS,24605,Treat elbow dislocation,,,1245.6,2883.98,11 HCPCS,24615,Treat elbow dislocation,,,4745.33,13014.22,11 HCPCS,24620,HC ED CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ,1433.0,1433.0,,,0 HCPCS,24620,Treat elbow fracture,,,1245.6,2883.98,11 HCPCS,24635,Treat elbow fracture,,,4745.33,13014.22,11 HCPCS,24640,HC ED CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ,284.0,284.0,,,0 HCPCS,24640,Treat elbow dislocation,,,123.34,442.4,11 HCPCS,24650,HC CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,373.0,373.0,,,0 HCPCS,24650,HC ED CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION,502.0,502.0,,,0 HCPCS,24650,Treat radius fracture,,,193.4,442.4,11 HCPCS,24655,HC ED CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION,1433.0,1433.0,,,0 HCPCS,24655,Treat radius fracture,,,283.36,7300.03,11 HCPCS,24665,Treat radius fracture,,,4745.33,13014.22,11 HCPCS,24666,Treat radius fracture,,,10009.92,23166.18,11 HCPCS,24670,HC CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ,373.0,373.0,,,0 HCPCS,24670,HC ED CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ,503.0,503.0,,,0 HCPCS,24670,Treat ulnar fracture,,,193.4,442.4,11 HCPCS,24675,HC CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,1656.0,1656.0,,,0 HCPCS,24675,HC ED CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ,1433.0,1433.0,,,0 HCPCS,24675,Treat ulnar fracture,,,283.36,2883.98,11 HCPCS,24685,Treat ulnar fracture,,,5603.18,14099.15,11 HCPCS,24800,Fusion of elbow joint,,,4745.33,13014.22,11 HCPCS,24802,Fusion/graft of elbow joint,,,8378.58,23026.52,11 HCPCS,24900,Amputation of upper arm,,,12792.51,23026.52,3 HCPCS,24920,Amputation of upper arm,,,12792.51,23026.52,3 HCPCS,24925,Amputation follow-up surgery,,,2182.91,5868.42,11 HCPCS,24930,Amputation follow-up surgery,,,7230.12,13014.22,3 HCPCS,24931,Amputate upper arm & implant,,,12792.51,23026.52,3 HCPCS,24935,Revision of amputation,,,5119.65,13014.22,7 HCPCS,24940,Revision of upper arm,,,12792.51,23026.52,3 HCPCS,24999,HC ED UNLISTED REDUCTION OF ELBOW WITH FX,411.0,411.0,,,0 HCPCS,24999,Upper arm/elbow surgery,,,245.78,442.4,3 HCPCS,25000,Incision of tendon sheath,,,1245.6,2883.98,11 HCPCS,25001,Incise flexor carpi radialis,,,1245.6,5868.42,11 HCPCS,25020,Decompress forearm 1 space,,,1245.6,3965.37,11 HCPCS,25023,Decompress forearm 1 space,,,2182.91,5868.42,11 HCPCS,25024,Decompress forearm 2 spaces,,,2182.91,5868.42,11 HCPCS,25025,Decompress forearm 2 spaces,,,1602.21,3965.37,11 HCPCS,25028,Drainage of forearm lesion,,,2182.91,5868.42,11 HCPCS,25031,Drainage of forearm bursa,,,1245.6,2883.98,11 HCPCS,25035,Treat forearm bone lesion,,,2200.83,13014.22,11 HCPCS,25040,Explore/treat wrist joint,,,2182.91,5868.42,11 HCPCS,25065,Biopsy forearm soft tissues,,,312.83,2962.18,11 HCPCS,25066,Biopsy forearm soft tissues,,,1847.27,5209.69,11 HCPCS,25071,Exc forearm les sc 3 cm/>,,,933.69,2962.18,11 HCPCS,25073,Exc forearm tum deep 3 cm/>,,,1847.27,5209.69,11 HCPCS,25075,Exc forearm les sc < 3 cm,,,933.69,2962.18,11 HCPCS,25076,Exc forearm tum deep < 3 cm,,,1645.66,8099.78,11 HCPCS,25077,Resect forearm/wrist tum<3cm,,,933.69,5209.69,11 HCPCS,25078,Resect forarm/wrist tum 3cm>,,,1847.27,5209.69,11 HCPCS,25085,Incision of wrist capsule,,,2182.91,5868.42,11 HCPCS,25100,Biopsy of wrist joint,,,2182.91,5868.42,11 HCPCS,25101,Explore/treat wrist joint,,,2182.91,5868.42,11 HCPCS,25105,Remove wrist joint lining,,,2182.91,5868.42,11 HCPCS,25107,Remove wrist joint cartilage,,,2182.91,5868.42,11 HCPCS,25109,Excise tendon forearm/wrist,,,2182.91,5868.42,11 HCPCS,25110,Remove wrist tendon lesion,,,1245.6,2883.98,11 HCPCS,25111,Remove wrist tendon lesion,,,1245.6,2883.98,11 HCPCS,25112,Reremove wrist tendon lesion,,,1602.21,4273.93,11 HCPCS,25115,Remove wrist/forearm lesion,,,1245.6,2883.98,11 HCPCS,25116,Remove wrist/forearm lesion,,,2182.91,5868.42,11 HCPCS,25118,Excise wrist tendon sheath,,,1602.21,3965.37,11 HCPCS,25119,Partial removal of ulna,,,2182.91,5868.42,11 HCPCS,25120,Removal of forearm lesion,,,2182.91,5868.42,11 HCPCS,25125,Remove/graft forearm lesion,,,1602.21,3829.09,11 HCPCS,25126,Remove/graft forearm lesion,,,2182.91,5868.42,11 HCPCS,25130,Removal of wrist lesion,,,2182.91,5868.42,11 HCPCS,25135,Remove & graft wrist lesion,,,2182.91,13014.22,11 HCPCS,25136,Remove & graft wrist lesion,,,3448.15,13014.22,11 HCPCS,25145,Remove forearm bone lesion,,,2182.91,5868.42,11 HCPCS,25150,Partial removal of ulna,,,2182.91,5868.42,11 HCPCS,25151,Partial removal of radius,,,2182.91,5868.42,11 HCPCS,25170,Resect radius/ulnar tumor,,,5119.65,13014.22,7 HCPCS,25210,Removal of wrist bone,,,2182.91,5868.42,11 HCPCS,25215,Removal of wrist bones,,,2182.91,5868.42,11 HCPCS,25230,Partial removal of radius,,,2182.91,5868.42,11 HCPCS,25240,Partial removal of ulna,,,2182.91,5868.42,11 HCPCS,25246,HC INJECTION ARTHROGRAM WRIST,1203.0,1203.0,,,0 HCPCS,25246,Injection for wrist x-ray,,,633.34,1110.96,4 HCPCS,25248,Remove forearm foreign body,,,1602.21,3829.09,11 HCPCS,25250,Removal of wrist prosthesis,,,1245.6,3965.37,11 HCPCS,25251,Removal of wrist prosthesis,,,2182.91,5868.42,11 HCPCS,25259,Manipulate wrist w/anesthes,,,1245.6,2883.98,11 HCPCS,25260,Repair forearm tendon/muscle,,,2182.91,5868.42,11 HCPCS,25263,Repair forearm tendon/muscle,,,2182.91,13014.22,11 HCPCS,25265,Repair forearm tendon/muscle,,,2182.91,5868.42,11 HCPCS,25270,Repair forearm tendon/muscle,,,2182.91,5868.42,11 HCPCS,25272,Repair forearm tendon/muscle,,,2182.91,5868.42,11 HCPCS,25274,Repair forearm tendon/muscle,,,2182.91,5868.42,11 HCPCS,25275,Repair forearm tendon sheath,,,2182.91,5868.42,11 HCPCS,25280,Revise wrist/forearm tendon,,,2182.91,5868.42,11 HCPCS,25290,Incise wrist/forearm tendon,,,2182.91,5868.42,11 HCPCS,25295,Release wrist/forearm tendon,,,2182.91,5868.42,11 HCPCS,25300,Fusion of tendons at wrist,,,2182.91,5868.42,11 HCPCS,25301,Fusion of tendons at wrist,,,2182.91,5868.42,11 HCPCS,25310,Transplant forearm tendon,,,2182.91,5868.42,11 HCPCS,25312,Transplant forearm tendon,,,2182.91,5868.42,11 HCPCS,25315,Revise palsy hand tendon(s),,,3448.15,13014.22,11 HCPCS,25316,Revise palsy hand tendon(s),,,4745.33,13014.22,11 HCPCS,25320,Repair/revise wrist joint,,,4745.33,13014.22,11 HCPCS,25332,Revise wrist joint,,,3260.23,6951.67,11 HCPCS,25335,Realignment of hand,,,2182.91,5868.42,11 HCPCS,25337,Reconstruct ulna/radioulnar,,,4745.33,13014.22,11 HCPCS,25350,Revision of radius,,,4986.47,15530.46,11 HCPCS,25355,Revision of radius,,,2182.91,5868.42,11 HCPCS,25360,Revision of ulna,,,4175.78,13014.22,11 HCPCS,25365,Revise radius & ulna,,,4986.47,23026.52,11 HCPCS,25370,Revise radius or ulna,,,2182.91,5868.42,11 HCPCS,25375,Revise radius & ulna,,,2182.91,5868.42,11 HCPCS,25390,Shorten radius or ulna,,,4745.33,13014.22,11 HCPCS,25391,Lengthen radius or ulna,,,4986.47,23026.52,11 HCPCS,25392,Shorten radius & ulna,,,2182.91,13014.22,11 HCPCS,25393,Lengthen radius & ulna,,,2182.91,13014.22,11 HCPCS,25394,Repair carpal bone shorten,,,2182.91,5868.42,11 HCPCS,25400,Repair radius or ulna,,,7230.12,15006.8,11 HCPCS,25405,Repair/graft radius or ulna,,,4745.33,13014.22,11 HCPCS,25415,Repair radius & ulna,,,4745.33,13014.22,11 HCPCS,25420,Repair/graft radius & ulna,,,6581.11,13014.22,11 HCPCS,25425,Repair/graft radius or ulna,,,4986.47,13014.22,11 HCPCS,25426,Repair/graft radius & ulna,,,2956.0,5868.42,11 HCPCS,25430,Vasc graft into carpal bone,,,2182.91,5868.42,11 HCPCS,25431,Repair nonunion carpal bone,,,4745.33,13014.22,11 HCPCS,25440,Repair/graft wrist bone,,,4745.33,13014.22,11 HCPCS,25441,Reconstruct wrist joint,,,12792.51,24242.37,11 HCPCS,25442,Reconstruct wrist joint,,,17470.77,38012.16,11 HCPCS,25443,Reconstruct wrist joint,,,4458.15,13014.22,11 HCPCS,25444,Reconstruct wrist joint,,,12792.51,23785.31,11 HCPCS,25445,Reconstruct wrist joint,,,4458.15,13014.22,11 HCPCS,25446,Wrist replacement,,,17470.77,38659.46,11 HCPCS,25447,Repair wrist joints,,,2182.91,5868.42,11 HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,3260.23,6100.68,7 HCPCS,25449,Remove wrist joint implant,,,4458.15,13014.22,11 HCPCS,25450,Revision of wrist joint,,,2929.89,12003.11,11 HCPCS,25455,Revision of wrist joint,,,2182.91,5868.42,11 HCPCS,25490,Reinforce radius,,,4745.33,13014.22,11 HCPCS,25491,Reinforce ulna,,,4986.47,23026.52,11 HCPCS,25492,Reinforce radius and ulna,,,2182.91,5868.42,11 HCPCS,25500,HC TX CLOSED TX RAD SHAFT WITHOUT,381.0,381.0,,,0 HCPCS,25500,Treat fracture of radius,,,193.4,442.4,11 HCPCS,25505,HC ED CLOSED TX RADIAL SHAFT FX WITH MANIPULATION,1433.0,1433.0,,,0 HCPCS,25505,Treat fracture of radius,,,945.14,7300.02,11 HCPCS,25515,Treat fracture of radius,,,4745.33,13014.22,11 HCPCS,25520,Treat fracture of radius,,,283.36,2883.98,11 HCPCS,25525,Treat fracture of radius,,,5603.18,13014.22,11 HCPCS,25526,Treat fracture of radius,,,4745.33,13014.22,11 HCPCS,25530,HC CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION,426.0,426.0,,,0 HCPCS,25530,Treat fracture of ulna,,,193.4,442.4,11 HCPCS,25535,HC ED CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION,490.0,490.0,,,0 HCPCS,25535,Treat fracture of ulna,,,193.4,442.4,11 HCPCS,25545,Treat fracture of ulna,,,4745.33,13014.22,11 HCPCS,25560,HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN,367.0,367.0,,,0 HCPCS,25560,HC ED CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN,367.0,367.0,,,0 HCPCS,25560,Treat fracture radius & ulna,,,193.4,442.4,11 HCPCS,25565,"HC CLOSED RX RAD/ULNA SHAFT FX,MANIP",1469.0,1469.0,,,0 HCPCS,25565,HC CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ,1433.0,1433.0,,,0 HCPCS,25565,HC ED CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ,1433.0,1433.0,,,0 HCPCS,25565,Treat fracture radius & ulna,,,283.36,9651.56,11 HCPCS,25574,Treat fracture radius & ulna,,,4745.33,13014.22,11 HCPCS,25575,Treat fracture radius/ulna,,,5502.1,13014.22,11 HCPCS,25600,HC CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ,373.0,373.0,,,0 HCPCS,25600,HC ED CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ,373.0,373.0,,,0 HCPCS,25600,Treat fracture radius/ulna,,,193.4,442.4,11 HCPCS,25605,"HC CLOSED RX DIST RAD/ULNA FX,MANIPUL",1632.0,1632.0,,,0 HCPCS,25605,HC CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF,1433.0,1433.0,,,0 HCPCS,25605,HC ED CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF,1433.0,1433.0,,,0 HCPCS,25605,Treat fracture radius/ulna,,,945.14,6124.19,11 HCPCS,25606,Treat Fx Distal Radial,,,2182.91,5868.42,11 HCPCS,25607,Treat Fx Rad Extra-Articul,,,6550.13,13014.22,11 HCPCS,25608,Treat Fx Rad Intra-Articul,,,7006.36,13014.22,11 HCPCS,25609,Treat Fx Radial 3+ Frag,,,6077.4,13014.22,11 HCPCS,25622,HC TX CLOSED TX NAVICULAR WITHOUT MAN,498.0,498.0,,,0 HCPCS,25622,Treat wrist bone fracture,,,193.4,442.4,11 HCPCS,25624,HC ED CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ,1403.0,1403.0,,,0 HCPCS,25624,Treat wrist bone fracture,,,945.14,2883.98,11 HCPCS,25628,Treat wrist bone fracture,,,4745.33,13014.22,11 HCPCS,25630,HC TX CLOSED TX CARP SCAP WITHOUT,428.0,428.0,,,0 HCPCS,25630,Treat wrist bone fracture,,,193.4,442.4,11 HCPCS,25635,HC ED CLTX CARPAL BONE FX W/MANJ EACH BONE,1932.0,1932.0,,,0 HCPCS,25635,Treat wrist bone fracture,,,283.36,2883.98,11 HCPCS,25645,Treat wrist bone fracture,,,2182.91,5868.42,11 HCPCS,25650,HC CLOSED TREATMENT ULNAR STYLOID FRACTURE,274.0,274.0,,,0 HCPCS,25650,Treat wrist bone fracture,,,193.4,442.4,11 HCPCS,25651,Pin ulnar styloid fracture,,,2182.91,5868.42,11 HCPCS,25652,Treat fracture ulnar styloid,,,4745.33,13014.22,11 HCPCS,25660,HC ED CLSD TX DISLOCATED WRIST W MANIPULATION,332.0,332.0,,,0 HCPCS,25660,Treat wrist dislocation,,,193.4,442.4,11 HCPCS,25670,Treat wrist dislocation,,,2182.91,13014.22,11 HCPCS,25671,Pin radioulnar dislocation,,,2182.91,5868.42,11 HCPCS,25675,HC ED CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ,332.0,332.0,,,0 HCPCS,25675,Treat wrist dislocation,,,193.4,442.4,11 HCPCS,25676,Treat wrist dislocation,,,2706.78,13014.22,11 HCPCS,25680,Treat wrist fracture,,,193.4,442.4,11 HCPCS,25685,Treat wrist fracture,,,2182.91,13014.22,11 HCPCS,25690,HC ED CLOSED TX LUNATE DISLOCATION W/MANIPULATION,1621.0,1621.0,,,0 HCPCS,25690,Treat wrist dislocation,,,1245.6,2883.98,11 HCPCS,25695,Treat wrist dislocation,,,2706.78,13014.22,11 HCPCS,25800,Fusion of wrist joint,,,6612.95,13014.22,11 HCPCS,25805,Fusion/graft of wrist joint,,,4745.33,13014.22,11 HCPCS,25810,Fusion/graft of wrist joint,,,8378.58,23026.52,11 HCPCS,25820,Fusion of hand bones,,,4745.33,13014.22,11 HCPCS,25825,Fuse hand bones with graft,,,7230.12,15185.96,11 HCPCS,25830,Fusion radioulnar jnt/ulna,,,4745.33,13014.22,11 HCPCS,25900,Amputation of forearm,,,7230.12,13014.22,3 HCPCS,25905,Amputation of forearm,,,7230.12,13014.22,3 HCPCS,25907,Amputation follow-up surgery,,,2182.91,5868.42,11 HCPCS,25909,Amputation follow-up surgery,,,2390.75,13014.22,7 HCPCS,25915,Amputation of forearm,,,7230.12,13014.22,3 HCPCS,25920,Amputate hand at wrist,,,3260.23,5868.42,3 HCPCS,25922,Amputate hand at wrist,,,1245.6,2883.98,11 HCPCS,25924,Amputation follow-up surgery,,,3260.23,5868.42,3 HCPCS,25927,Amputation of hand,,,3260.23,5868.42,3 HCPCS,25929,Amputation follow-up surgery,,,1381.8,3700.55,11 HCPCS,25931,Amputation follow-up surgery,,,2182.91,5868.42,11 HCPCS,25999,Forearm or wrist surgery,,,245.78,442.4,3 HCPCS,26010,Drainage of finger abscess,,,148.19,359.84,11 HCPCS,26010,"HC DRAIN FINGER ABSCESS,SIMPLE",303.0,303.0,,,0 HCPCS,26010,HC ED DRAINAGE FINGER ABSCESS SIMPLE,265.0,265.0,,,0 HCPCS,26011,Drainage of finger abscess,,,933.69,2962.18,11 HCPCS,26011,"HC DRAIN FINGER ABSCESS,COMPLICATED",1656.0,1656.0,,,0 HCPCS,26011,HC ED DRAINAGE FINGER ABSCESS COMPLICATED,1447.0,1447.0,,,0 HCPCS,26020,Drain hand tendon sheath,,,1627.71,5868.42,11 HCPCS,26020,HC BS DRAINAGE TENDON SHEATH,3143.0,3143.0,,,0 HCPCS,26020,HC ED DRAINAGE TENDON SHEATH,3066.0,3066.0,,,0 HCPCS,26025,Drainage of palm bursa,,,1627.71,5868.42,11 HCPCS,26030,Drainage of palm bursas,,,1627.71,5868.42,11 HCPCS,26034,Treat hand bone lesion,,,1245.6,2883.98,11 HCPCS,26035,Decompress fingers/hand,,,1627.71,5868.42,11 HCPCS,26037,Decompress fingers/hand,,,1627.71,5868.42,11 HCPCS,26040,Release palm contracture,,,1245.6,2883.98,11 HCPCS,26045,Release palm contracture,,,2182.91,5868.42,11 HCPCS,26055,HC INCISE FINGER TENDON SHEATH,1892.0,1892.0,,,0 HCPCS,26055,Incise finger tendon sheath,,,1602.21,5205.5,11 HCPCS,26060,Incision of finger tendon,,,1245.6,2883.98,11 HCPCS,26070,Explore/treat hand joint,,,1245.6,2883.98,11 HCPCS,26075,Explore/treat finger joint,,,1627.71,5868.42,11 HCPCS,26080,Explore/treat finger joint,,,1245.6,2883.98,11 HCPCS,26080,HC ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA,3151.0,3151.0,,,0 HCPCS,26100,Biopsy hand joint lining,,,1627.71,5868.42,11 HCPCS,26105,Biopsy finger joint lining,,,1627.71,5868.42,11 HCPCS,26110,Biopsy finger joint lining,,,1245.6,2883.98,11 HCPCS,26111,Exc hand les sc 1.5 cm/>,,,933.69,2962.18,11 HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,933.69,2962.18,11 HCPCS,26115,Exc hand les sc < 1.5 cm,,,933.69,2962.18,11 HCPCS,26116,Exc hand tum deep < 1.5 cm,,,933.69,2962.18,11 HCPCS,26117,Rad resect hand tumor < 3 cm,,,1777.52,5209.69,11 HCPCS,26118,Rad resect hand tumor 3 cm/>,,,1847.27,5209.69,11 HCPCS,26121,Release palm contracture,,,2182.91,5868.42,11 HCPCS,26123,Release palm contracture,,,2182.91,5868.42,11 HCPCS,26130,Remove wrist joint lining,,,1627.71,5868.42,11 HCPCS,26135,Revise finger joint each,,,2182.91,5868.42,11 HCPCS,26140,Revise finger joint each,,,1245.6,2883.98,11 HCPCS,26145,HC SYNOVECTOMY FLEXR TEND,3729.0,3729.0,,,0 HCPCS,26145,Tendon excision palm/finger,,,1245.6,2883.98,11 HCPCS,26160,Remove tendon sheath lesion,,,1245.6,2883.98,11 HCPCS,26170,Removal of palm tendon each,,,1245.6,2883.98,11 HCPCS,26180,Removal of finger tendon,,,1245.6,2883.98,11 HCPCS,26185,Remove finger bone,,,1245.6,2883.98,11 HCPCS,26200,Remove hand bone lesion,,,1602.21,3829.09,11 HCPCS,26205,Remove/graft bone lesion,,,2928.69,13014.22,11 HCPCS,26210,Removal of finger lesion,,,1245.6,2883.98,11 HCPCS,26215,Remove/graft finger lesion,,,1627.71,5868.42,11 HCPCS,26230,Partial removal of hand bone,,,1627.71,5868.42,11 HCPCS,26235,Partial removal finger bone,,,1245.6,2883.98,11 HCPCS,26236,HC ED PARTIAL REMOVAL FINGER BONE,3728.0,3728.0,,,0 HCPCS,26236,Partial removal finger bone,,,1245.6,2883.98,11 HCPCS,26250,Extensive hand surgery,,,1627.71,5868.42,11 HCPCS,26260,Resect prox finger tumor,,,1627.71,5868.42,11 HCPCS,26262,Resect distal finger tumor,,,1602.21,3829.09,11 HCPCS,26320,Removal of implant from hand,,,933.69,2962.18,11 HCPCS,26340,Manipulate finger w/anesth,,,283.36,2883.98,11 HCPCS,26341,Manipulat palm cord post inj,,,111.14,442.4,11 HCPCS,26350,Repair finger/hand tendon,,,2182.91,5868.42,11 HCPCS,26352,Repair/graft hand tendon,,,2182.91,13014.22,11 HCPCS,26356,Repair finger/hand tendon,,,2182.91,5868.42,11 HCPCS,26357,Repair finger/hand tendon,,,2182.91,5868.42,11 HCPCS,26358,Repair/graft hand tendon,,,2182.91,13014.22,11 HCPCS,26370,Repair finger/hand tendon,,,2182.91,5868.42,11 HCPCS,26372,Repair/graft hand tendon,,,2928.69,13014.22,11 HCPCS,26373,Repair finger/hand tendon,,,2182.91,5868.42,11 HCPCS,26390,Revise hand/finger tendon,,,2928.69,13014.22,11 HCPCS,26392,Repair/graft hand tendon,,,2928.69,13014.22,11 HCPCS,26410,Repair hand tendon,,,1602.21,3829.09,11 HCPCS,26412,Repair/graft hand tendon,,,2182.91,5868.42,11 HCPCS,26415,Excision hand/finger tendon,,,1245.6,5868.42,11 HCPCS,26416,Graft hand or finger tendon,,,2182.91,5868.42,11 HCPCS,26418,HC REPAIR EXT TENDON FINGER,2218.0,2218.0,,,0 HCPCS,26418,Repair finger tendon,,,1602.21,3829.09,11 HCPCS,26420,Repair/graft finger tendon,,,2182.91,5868.42,11 HCPCS,26426,Repair finger/hand tendon,,,2182.91,5868.42,11 HCPCS,26428,Repair/graft finger tendon,,,2182.91,5868.42,11 HCPCS,26432,Repair finger tendon,,,1602.21,6124.23,11 HCPCS,26433,Repair finger tendon,,,1627.71,5868.42,11 HCPCS,26434,Repair/graft finger tendon,,,2182.91,5868.42,11 HCPCS,26437,Realignment of tendons,,,1627.71,5868.42,11 HCPCS,26440,Release palm/finger tendon,,,1245.6,2883.98,11 HCPCS,26442,Release palm & finger tendon,,,2182.91,5868.42,11 HCPCS,26445,Release hand/finger tendon,,,1627.71,5868.42,11 HCPCS,26449,Release forearm/hand tendon,,,2182.91,5868.42,11 HCPCS,26450,Incision of palm tendon,,,1627.71,5868.42,11 HCPCS,26455,Incision of finger tendon,,,1245.6,2883.98,11 HCPCS,26460,Incise hand/finger tendon,,,1245.6,2883.98,11 HCPCS,26471,Fusion of finger tendons,,,1627.71,5868.42,11 HCPCS,26474,Fusion of finger tendons,,,1602.21,3829.09,11 HCPCS,26476,Tendon lengthening,,,1627.71,5868.42,11 HCPCS,26477,Tendon shortening,,,1627.71,5868.42,11 HCPCS,26478,Lengthening of hand tendon,,,1627.71,5868.42,11 HCPCS,26479,Shortening of hand tendon,,,1245.6,5868.42,11 HCPCS,26480,Transplant hand tendon,,,2182.91,5868.42,11 HCPCS,26483,Transplant/graft hand tendon,,,2182.91,5868.42,11 HCPCS,26485,Transplant palm tendon,,,2182.91,5868.42,11 HCPCS,26489,Transplant/graft palm tendon,,,2182.91,5868.42,11 HCPCS,26490,Revise thumb tendon,,,2182.91,5868.42,11 HCPCS,26492,Tendon transfer with graft,,,2182.91,5868.42,11 HCPCS,26494,Hand tendon/muscle transfer,,,2182.91,5868.42,11 HCPCS,26496,Revise thumb tendon,,,2182.91,5868.42,11 HCPCS,26497,Finger tendon transfer,,,2182.91,5868.42,11 HCPCS,26498,Finger tendon transfer,,,2182.91,5868.42,11 HCPCS,26499,Revision of finger,,,2182.91,5868.42,11 HCPCS,26500,Hand tendon reconstruction,,,1627.71,13014.22,11 HCPCS,26502,Hand tendon reconstruction,,,2182.91,5868.42,11 HCPCS,26508,Release thumb contracture,,,1627.71,16706.21,11 HCPCS,26510,Thumb tendon transfer,,,2182.91,5868.42,11 HCPCS,26516,Fusion of knuckle joint,,,2182.91,5868.42,11 HCPCS,26517,Fusion of knuckle joints,,,2182.91,5868.42,11 HCPCS,26518,Fusion of knuckle joints,,,2182.91,13014.22,11 HCPCS,26520,Release knuckle contracture,,,1627.71,5868.42,11 HCPCS,26525,Release finger contracture,,,1602.21,3829.09,11 HCPCS,26530,Revise knuckle joint,,,2182.91,13014.22,11 HCPCS,26531,Revise knuckle with implant,,,4458.15,13014.22,11 HCPCS,26535,Revise finger joint,,,2182.91,5868.42,11 HCPCS,26536,Revise/implant finger joint,,,4458.15,13014.22,11 HCPCS,26540,Repair hand joint,,,1627.71,5868.42,11 HCPCS,26541,Repair hand joint with graft,,,2182.91,5868.42,11 HCPCS,26542,Repair hand joint with graft,,,1627.71,5868.42,11 HCPCS,26545,Reconstruct finger joint,,,2182.91,5868.42,11 HCPCS,26546,Repair nonunion hand,,,2928.69,13014.22,11 HCPCS,26548,Reconstruct finger joint,,,2182.91,5868.42,11 HCPCS,26550,Construct thumb replacement,,,2182.91,5868.42,11 HCPCS,26551,Great toe-hand transfer,,,7230.12,13014.22,3 HCPCS,26553,Single transfer toe-hand,,,7230.12,13014.22,3 HCPCS,26554,Double transfer toe-hand,,,7230.12,13014.22,3 HCPCS,26555,Positional change of finger,,,2928.69,13014.22,11 HCPCS,26556,Toe joint transfer,,,7230.12,13014.22,3 HCPCS,26560,Repair of web finger,,,1245.6,2883.98,11 HCPCS,26561,Repair of web finger,,,2182.91,5868.42,11 HCPCS,26562,Repair of web finger,,,2928.69,36694.4,11 HCPCS,26565,Correct metacarpal flaw,,,2182.91,5868.42,11 HCPCS,26567,Correct finger deformity,,,2182.91,5868.42,11 HCPCS,26568,Lengthen metacarpal/finger,,,2928.69,13014.22,11 HCPCS,26580,Repair hand deformity,,,1627.71,5868.42,11 HCPCS,26587,HB RECONST POLYDACT DIGIT SOFT TIS & BONE,3928.0,3928.0,,,0 HCPCS,26587,Reconstruct extra finger,,,1627.71,5868.42,11 HCPCS,26590,Repair finger deformity,,,1245.6,2883.98,11 HCPCS,26591,Repair muscles of hand,,,2182.91,5868.42,11 HCPCS,26593,Release muscles of hand,,,1627.71,5868.42,11 HCPCS,26596,Excision constricting tissue,,,1627.71,5868.42,11 HCPCS,26600,HC CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ,580.0,580.0,,,0 HCPCS,26600,Treat metacarpal fracture,,,193.4,442.4,11 HCPCS,26605,HC ED CLTX METACARPAL FX W/MANIPULATION EACH BONE,429.0,429.0,,,0 HCPCS,26605,Treat metacarpal fracture,,,193.4,442.4,11 HCPCS,26607,Treat metacarpal fracture,,,1738.83,5868.42,11 HCPCS,26608,Treat metacarpal fracture,,,2706.78,5868.42,11 HCPCS,26615,Treat metacarpal fracture,,,2929.89,6194.42,11 HCPCS,26641,HC ED CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ,291.0,291.0,,,0 HCPCS,26641,Treat thumb dislocation,,,193.4,442.4,11 HCPCS,26645,HC ED CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ,1637.0,1637.0,,,0 HCPCS,26645,Treat thumb fracture,,,283.36,2883.98,11 HCPCS,26650,Treat thumb fracture,,,2182.91,5868.42,11 HCPCS,26665,Treat thumb fracture,,,2182.91,5868.42,11 HCPCS,26670,HC ED CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES,344.0,344.0,,,0 HCPCS,26670,Treat hand dislocation,,,193.4,442.4,11 HCPCS,26675,HC TREAT HAND DISLOCATON,1892.0,1892.0,,,0 HCPCS,26675,Treat hand dislocation,,,283.36,2883.98,11 HCPCS,26676,Pin hand dislocation,,,2182.91,5868.42,11 HCPCS,26685,Treat hand dislocation,,,2182.91,5868.42,11 HCPCS,26686,Treat hand dislocation,,,2182.91,11511.41,11 HCPCS,26700,HC ED CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES,284.0,284.0,,,0 HCPCS,26700,Treat knuckle dislocation,,,193.4,442.4,11 HCPCS,26705,HC ED CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES,1433.0,1433.0,,,0 HCPCS,26705,Treat knuckle dislocation,,,283.36,2883.98,11 HCPCS,26706,Pin knuckle dislocation,,,1738.83,5868.42,11 HCPCS,26715,Treat knuckle dislocation,,,2182.91,5868.42,11 HCPCS,26720,HC CLOSE RX PROX/MID FING SHFT FX,247.0,247.0,,,0 HCPCS,26720,HC ED CLOSED TX FINGER FX WITHOUT MAN,247.0,247.0,,,0 HCPCS,26720,Treat finger fracture each,,,193.4,442.4,11 HCPCS,26725,HC ED CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA,284.0,284.0,,,0 HCPCS,26725,Treat finger fracture each,,,193.4,442.4,11 HCPCS,26727,Treat finger fracture each,,,2706.78,6124.23,11 HCPCS,26735,Treat finger fracture each,,,2182.91,5868.42,11 HCPCS,26740,HC CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ,374.0,374.0,,,0 HCPCS,26740,Treat finger fracture each,,,193.4,442.4,11 HCPCS,26742,HC ED CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ,1433.0,1433.0,,,0 HCPCS,26742,Treat finger fracture each,,,283.36,2883.98,11 HCPCS,26746,HC OPEN TX ARTICULAR FX,6385.0,6385.0,,,0 HCPCS,26746,Treat finger fracture each,,,2706.78,12003.11,11 HCPCS,26750,Treat finger fracture each,,,193.4,442.4,11 HCPCS,26755,HC ED CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA,284.0,284.0,,,0 HCPCS,26755,Treat finger fracture each,,,193.4,442.4,11 HCPCS,26756,Pin finger fracture each,,,2436.51,5868.42,11 HCPCS,26765,Treat finger fracture each,,,2706.78,9651.31,11 HCPCS,26770,HC ED CLTX IPHAL JT DISLC W/MANJ W/O ANES,284.0,284.0,,,0 HCPCS,26770,Treat finger dislocation,,,193.4,442.4,11 HCPCS,26775,HC TREAT FINGER DISLOCATION,596.0,596.0,,,0 HCPCS,26775,Treat finger dislocation,,,278.69,4948.46,11 HCPCS,26776,Pin finger dislocation,,,2182.91,5868.42,11 HCPCS,26785,HC OPEN TX INTERPHALANGEAL,8509.0,8509.0,,,0 HCPCS,26785,Treat finger dislocation,,,2182.91,5868.42,11 HCPCS,26820,Thumb fusion with graft,,,2928.69,13014.22,11 HCPCS,26841,Fusion of thumb,,,2928.69,13014.22,11 HCPCS,26842,Thumb fusion with graft,,,2928.69,13014.22,11 HCPCS,26843,Fusion of hand joint,,,2928.69,13014.22,11 HCPCS,26844,Fusion/graft of hand joint,,,2928.69,13014.22,11 HCPCS,26850,Fusion of knuckle,,,2928.69,13014.22,11 HCPCS,26852,Fusion of knuckle with graft,,,2928.69,13014.22,11 HCPCS,26860,Fusion of finger joint,,,2182.91,5868.42,11 HCPCS,26862,Fusion/graft of finger joint,,,2182.91,5868.42,11 HCPCS,26910,Amputate metacarpal bone,,,2182.91,5868.42,11 HCPCS,26951,Amputation of finger/thumb,,,1627.71,5868.42,11 HCPCS,26951,HC ED AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR,2913.0,2913.0,,,0 HCPCS,26952,Amputation of finger/thumb,,,1627.71,5868.42,11 HCPCS,26952,HC ED AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP,2913.0,2913.0,,,0 HCPCS,26989,HC ED REPAIR SIMPLE WOUND UNSPECIFIED LENGTH,1804.0,1804.0,,,0 HCPCS,26989,HC PERCUTANEOUS BX SOFT TISSUE OF HAND,1795.5,1795.5,,,0 HCPCS,26989,Hand/finger surgery,,,245.78,442.4,3 HCPCS,26990,Drainage of pelvis lesion,,,2182.91,5868.42,11 HCPCS,26991,Drainage of pelvis bursa,,,1602.21,3829.09,11 HCPCS,26992,Drainage of bone lesion,,,3260.23,5868.42,3 HCPCS,27000,Incision of hip tendon,,,1602.21,3829.09,11 HCPCS,27001,Incision of hip tendon,,,2182.91,5868.42,11 HCPCS,27003,Incision of hip tendon,,,3448.15,13014.22,11 HCPCS,27005,Incision of hip tendon,,,3260.23,5868.42,3 HCPCS,27006,Incision of hip tendons,,,2390.75,5868.42,7 HCPCS,27025,Incision of hip/thigh fascia,,,3260.23,5868.42,3 HCPCS,27027,Buttock fasciotomy,,,5119.65,13014.22,7 HCPCS,27030,Drainage of hip joint,,,7230.12,13014.22,3 HCPCS,27033,Exploration of hip joint,,,2182.91,13014.22,11 HCPCS,27035,Denervation of hip joint,,,2182.91,5868.42,11 HCPCS,27036,Excision of hip joint/muscle,,,7230.12,13014.22,3 HCPCS,27040,Biopsy of soft tissues,,,933.69,2962.18,11 HCPCS,27041,Biopsy of soft tissues,,,933.69,2962.18,11 HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,1847.27,5209.69,11 HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,1847.27,5209.69,11 HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,1777.52,5618.04,11 HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,1777.52,5209.69,11 HCPCS,27049,Resect hip/pelv tum < 5 cm,,,1777.52,5209.69,11 HCPCS,27050,Biopsy of sacroiliac joint,,,1245.6,2883.98,11 HCPCS,27052,Biopsy of hip joint,,,1245.6,2883.98,11 HCPCS,27054,Removal of hip joint lining,,,3260.23,5868.42,3 HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,1193.64,2883.98,7 HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,1847.27,5209.69,11 HCPCS,27060,Removal of ischial bursa,,,2182.91,13014.22,11 HCPCS,27062,Remove femur lesion/bursa,,,2182.91,5868.42,11 HCPCS,27065,Remove hip bone les super,,,2182.91,13014.22,11 HCPCS,27066,Remove hip bone les deep,,,2182.91,5868.42,11 HCPCS,27067,Remove/graft hip bone lesion,,,3448.15,13014.22,11 HCPCS,27070,Part remove hip bone super,,,3260.23,5868.42,3 HCPCS,27071,Part removal hip bone deep,,,3260.23,5868.42,3 HCPCS,27075,Resect hip tumor,,,7230.12,13014.22,3 HCPCS,27076,Resect hip tum incl acetabul,,,7230.12,13014.22,3 HCPCS,27077,Resect hip tum w/innom bone,,,7230.12,13014.22,3 HCPCS,27078,Rsect hip tum incl femur,,,7230.12,13014.22,3 HCPCS,27080,Removal of tail bone,,,3260.23,8124.15,11 HCPCS,27086,Remove hip foreign body,,,933.69,5209.69,11 HCPCS,27087,Remove hip foreign body,,,2182.91,5868.42,11 HCPCS,27090,Removal of hip prosthesis,,,7230.12,13014.22,3 HCPCS,27091,Removal of hip prosthesis,,,12792.51,23026.52,3 HCPCS,27093,HC INJECTION HIP ARTHROGRAM,1202.0,1202.0,,,0 HCPCS,27093,Injection for hip x-ray,,,557.69,978.25,4 HCPCS,27095,Injection for hip x-ray,,,334.68,587.08,4 HCPCS,27096,HC CT GUIDED SI JOINT INJECTION,3145.0,3145.0,,,0 HCPCS,27096,HC INJ FOR SACROILIAC JT ANEST,1814.5,1814.5,,,0 HCPCS,27096,Inject sacroiliac joint,,,2319.68,4069.0,4 HCPCS,27097,Revision of hip tendon,,,2182.91,5868.42,11 HCPCS,27098,Transfer tendon to pelvis,,,2182.91,5868.42,11 HCPCS,27100,Transfer of abdominal muscle,,,4745.33,13014.22,11 HCPCS,27105,Transfer of spinal muscle,,,2182.91,5868.42,11 HCPCS,27110,Transfer of iliopsoas muscle,,,4745.33,13014.22,11 HCPCS,27111,Transfer of iliopsoas muscle,,,2182.91,5868.42,11 HCPCS,27120,Reconstruction of hip socket,,,12792.51,23026.52,3 HCPCS,27122,Reconstruction of hip socket,,,7230.12,13014.22,3 HCPCS,27125,Partial hip replacement,,,12792.51,23026.52,3 HCPCS,27130,Total hip arthroplasty,,,12792.51,23549.8,7 HCPCS,27132,Total hip arthroplasty,,,12792.51,23026.52,3 HCPCS,27134,Revise hip joint replacement,,,12792.51,23026.52,3 HCPCS,27137,Revise hip joint replacement,,,12792.51,23026.52,3 HCPCS,27138,Revise hip joint replacement,,,12792.51,23026.52,3 HCPCS,27140,Transplant femur ridge,,,7230.12,13014.22,3 HCPCS,27146,Incision of hip bone,,,7230.12,13014.22,3 HCPCS,27147,Revision of hip bone,,,7230.12,13014.22,3 HCPCS,27151,Incision of hip bones,,,7230.12,13014.22,3 HCPCS,27156,Revision of hip bones,,,7230.12,13014.22,3 HCPCS,27158,Revision of pelvis,,,7230.12,13014.22,3 HCPCS,27161,Incision of neck of femur,,,7230.12,13014.22,3 HCPCS,27165,Incision/fixation of femur,,,7230.12,13014.22,3 HCPCS,27170,Repair/graft femur head/neck,,,7230.12,13014.22,3 HCPCS,27175,Treat slipped epiphysis,,,3260.23,5868.42,3 HCPCS,27176,Treat slipped epiphysis,,,3260.23,5868.42,3 HCPCS,27177,Treat slipped epiphysis,,,3260.23,5868.42,3 HCPCS,27178,Treat slipped epiphysis,,,3260.23,5868.42,3 HCPCS,27179,Revise head/neck of femur,,,5119.65,13014.22,7 HCPCS,27181,Treat slipped epiphysis,,,7230.12,13014.22,3 HCPCS,27185,Revision of femur epiphysis,,,3260.23,5868.42,3 HCPCS,27187,Reinforce hip bones,,,7230.12,13014.22,3 HCPCS,27197,Clsd tx pelvic ring fx,,,245.78,457.41,7 HCPCS,27197,HC CLSD TX PELVIC RING FX W/O MANIPULATION,373.0,373.0,,,0 HCPCS,27198,Clsd tx pelvic ring fx,,,245.78,457.41,7 HCPCS,27200,HC CLOSED TREATMENT COCCYGEAL FRACTURE,495.0,495.0,,,0 HCPCS,27200,Treat tail bone fracture,,,186.3,442.4,11 HCPCS,27202,Treat tail bone fracture,,,2182.91,6443.66,11 HCPCS,27215,Treat pelvic fracture(s),,,4146.0,7272.58,4 HCPCS,27216,Treat pelvic ring fracture,,,4146.0,7272.58,4 HCPCS,27217,Treat pelvic ring fracture,,,4146.0,7272.58,4 HCPCS,27218,Treat pelvic ring fracture,,,4146.0,7272.58,4 HCPCS,27220,HC CLTX ACETABULUM HIP/SOCKT FX W/O MANJ,416.0,416.0,,,0 HCPCS,27220,Treat hip socket fracture,,,193.4,442.4,11 HCPCS,27222,HC ED CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ,962.0,962.0,,,0 HCPCS,27222,Treat hip socket fracture,,,245.78,442.4,3 HCPCS,27226,Treat hip wall fracture,,,7230.12,13014.22,3 HCPCS,27227,Treat hip fracture(s),,,7230.12,13014.22,3 HCPCS,27228,Treat hip fracture(s),,,7230.12,13014.22,3 HCPCS,27230,Treat thigh fracture,,,193.4,442.4,11 HCPCS,27232,HC TREAT THIGH FRACTURE,2377.0,2377.0,,,0 HCPCS,27232,Treat thigh fracture,,,1602.21,2883.98,3 HCPCS,27235,Treat thigh fracture,,,3312.39,13014.22,7 HCPCS,27236,Treat thigh fracture,,,7230.12,13014.22,3 HCPCS,27238,Treat thigh fracture,,,283.36,2883.98,11 HCPCS,27240,Treat thigh fracture,,,1602.21,2883.98,3 HCPCS,27244,Treat thigh fracture,,,7230.12,13014.22,3 HCPCS,27245,Treat thigh fracture,,,7230.12,13014.22,3 HCPCS,27246,HC CLTX GREATER TROCHANTERIC FX W/O MANJ,426.0,426.0,,,0 HCPCS,27246,Treat thigh fracture,,,193.4,442.4,11 HCPCS,27248,Treat thigh fracture,,,7230.12,13014.22,3 HCPCS,27250,HC ED CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA,284.0,284.0,,,0 HCPCS,27250,Treat hip dislocation,,,193.4,442.4,11 HCPCS,27252,HC ED CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA,2678.0,2678.0,,,0 HCPCS,27252,Treat hip dislocation,,,945.14,2883.98,11 HCPCS,27253,Treat hip dislocation,,,3260.23,5868.42,3 HCPCS,27254,Treat hip dislocation,,,7230.12,13014.22,3 HCPCS,27256,Treat hip dislocation,,,193.4,442.4,11 HCPCS,27257,Treat hip dislocation,,,945.14,2883.98,11 HCPCS,27258,Treat hip dislocation,,,3260.23,5868.42,3 HCPCS,27259,Treat hip dislocation,,,3260.23,5868.42,3 HCPCS,27265,HC ED CLTX POST HIP ARTHRP DISLC W/O ANES,284.0,284.0,,,0 HCPCS,27265,Treat hip dislocation,,,193.4,442.4,11 HCPCS,27266,HC ED CLTX POST HIP ARTHRP DISLC REQ ANES,4070.0,4070.0,,,0 HCPCS,27266,Treat hip dislocation,,,1245.6,2883.98,11 HCPCS,27267,Cltx thigh fx,,,1738.83,5868.42,11 HCPCS,27268,Cltx thigh fx w/mnpj,,,1602.21,2883.98,3 HCPCS,27269,Optx thigh fx,,,7230.12,13014.22,3 HCPCS,27275,Manipulation of hip joint,,,1245.6,2883.98,11 HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,16117.27,36893.38,11 HCPCS,27279,Arthrodesis sacroiliac joint,,,17470.77,39560.71,11 HCPCS,27280,Fusion of sacroiliac joint,,,17470.77,31447.38,3 HCPCS,27282,Fusion of pubic bones,,,3260.23,5868.42,3 HCPCS,27284,Fusion of hip joint,,,12792.51,23026.52,3 HCPCS,27286,Fusion of hip joint,,,12792.51,23026.52,3 HCPCS,27290,Amputation of leg at hip,,,17470.77,31447.38,3 HCPCS,27295,Amputation of leg at hip,,,17470.77,31447.38,3 HCPCS,27299,HC CEMETOPLASTY PELVIS,15966.0,15966.0,,,0 HCPCS,27299,Pelvis/hip joint surgery,,,245.78,442.4,3 HCPCS,27301,Drain thigh/knee lesion,,,1847.27,5209.69,11 HCPCS,27303,Drainage of bone lesion,,,3260.23,5868.42,3 HCPCS,27305,Incise thigh tendon & fascia,,,2182.91,5868.42,11 HCPCS,27306,Incision of thigh tendon,,,1245.6,5868.42,11 HCPCS,27307,Incision of thigh tendons,,,2182.91,5868.42,11 HCPCS,27310,Exploration of knee joint,,,2182.91,5868.42,11 HCPCS,27323,Biopsy thigh soft tissues,,,933.69,2962.18,11 HCPCS,27324,Biopsy thigh soft tissues,,,1847.27,5209.69,11 HCPCS,27325,Neurectomy hamstring,,,1412.88,3502.27,11 HCPCS,27326,Neurectomy popliteal,,,1412.88,3502.27,11 HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,933.69,2962.18,11 HCPCS,27328,Exc thigh/knee tum deep <5cm,,,1777.52,5209.69,11 HCPCS,27329,Resect thigh/knee tum < 5 cm,,,1777.52,5209.69,11 HCPCS,27330,Biopsy knee joint lining,,,2182.91,5868.42,11 HCPCS,27331,Explore/treat knee joint,,,2182.91,5868.42,11 HCPCS,27332,Removal of knee cartilage,,,2182.91,5868.42,11 HCPCS,27333,Removal of knee cartilage,,,2182.91,5868.42,11 HCPCS,27334,Remove knee joint lining,,,2182.91,5868.42,11 HCPCS,27335,Remove knee joint lining,,,3448.15,13014.22,11 HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,1847.27,5209.69,11 HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,2417.43,5209.69,11 HCPCS,27340,Removal of kneecap bursa,,,2182.91,5868.42,11 HCPCS,27345,Removal of knee cyst,,,2182.91,5868.42,11 HCPCS,27347,Remove knee cyst,,,2182.91,5868.42,11 HCPCS,27350,Removal of kneecap,,,2182.91,13014.22,11 HCPCS,27355,Remove femur lesion,,,3260.23,5868.42,11 HCPCS,27356,Remove femur lesion/graft,,,3448.15,23955.39,11 HCPCS,27357,Remove femur lesion/graft,,,3448.15,13014.22,11 HCPCS,27360,Partial removal leg bone(s),,,3260.23,8977.73,11 HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,2417.43,6663.97,11 HCPCS,27365,Resect femur/knee tumor,,,3260.23,5868.42,3 HCPCS,27369,HC NJX PX CNTRST KNE ARTG CNTRST ENHNCD CT/MRI KNE,578.0,578.0,,,0 HCPCS,27369,Njx cntrst kne arthg/ct/mri,,,595.49,1044.56,4 HCPCS,27372,Removal of foreign body,,,1847.27,5209.69,11 HCPCS,27380,Repair of kneecap tendon,,,3448.15,13014.22,11 HCPCS,27381,Repair/graft kneecap tendon,,,3448.15,13014.22,11 HCPCS,27385,Repair of thigh muscle,,,3448.15,13014.22,11 HCPCS,27386,Repair/graft of thigh muscle,,,3448.15,13014.22,11 HCPCS,27390,Incision of thigh tendon,,,2182.91,5868.42,11 HCPCS,27391,Incision of thigh tendons,,,2182.91,5868.42,11 HCPCS,27392,Incision of thigh tendons,,,2182.91,5868.42,11 HCPCS,27393,Lengthening of thigh tendon,,,2182.91,13014.22,11 HCPCS,27394,Lengthening of thigh tendons,,,3448.15,13014.22,11 HCPCS,27395,Lengthening of thigh tendons,,,3260.23,15530.46,11 HCPCS,27396,Transplant of thigh tendon,,,3448.15,13014.22,11 HCPCS,27397,Transplants of thigh tendons,,,4986.47,13014.22,11 HCPCS,27400,Revise thigh muscles/tendons,,,4745.33,13014.22,11 HCPCS,27403,Repair of knee cartilage,,,2182.91,13014.22,11 HCPCS,27405,Repair of knee ligament,,,4745.33,13014.22,11 HCPCS,27407,Repair of knee ligament,,,6803.44,13014.22,11 HCPCS,27409,Repair of knee ligaments,,,4745.33,13014.22,11 HCPCS,27412,Autochondrocyte implant knee,,,5119.65,13014.22,7 HCPCS,27415,Osteochondral knee allograft,,,6803.44,23026.52,11 HCPCS,27416,Osteochondral knee autograft,,,4986.47,13014.22,11 HCPCS,27418,Repair degenerated kneecap,,,4745.33,13014.22,11 HCPCS,27420,Revision of unstable kneecap,,,4745.33,13014.22,11 HCPCS,27422,Revision of unstable kneecap,,,4986.47,14354.67,11 HCPCS,27424,Revision/removal of kneecap,,,4745.33,13014.22,11 HCPCS,27425,Lat retinacular release open,,,2182.91,5868.42,11 HCPCS,27427,Reconstruction knee,,,6397.7,13178.92,11 HCPCS,27428,Reconstruction knee,,,8916.51,23026.52,11 HCPCS,27429,Reconstruction knee,,,8378.58,23026.52,11 HCPCS,27430,Revision of thigh muscles,,,4745.33,13014.22,11 HCPCS,27435,Incision of knee joint,,,2182.91,5868.42,11 HCPCS,27437,Revise kneecap,,,4458.15,13014.22,11 HCPCS,27438,Revise kneecap with implant,,,12267.48,23026.52,11 HCPCS,27440,Revision of knee joint,,,12538.66,23026.52,11 HCPCS,27441,Revision of knee joint,,,4458.15,23026.52,11 HCPCS,27442,Revision of knee joint,,,8073.91,23026.52,11 HCPCS,27443,Revision of knee joint,,,8916.51,23026.52,11 HCPCS,27446,Revision of knee joint,,,6333.59,23026.52,11 HCPCS,27447,Total knee arthroplasty,,,12792.51,23549.8,7 HCPCS,27448,Incision of thigh,,,7230.12,13014.22,3 HCPCS,27450,Incision of thigh,,,7230.12,13014.22,3 HCPCS,27454,Realignment of thigh bone,,,7230.12,13014.22,3 HCPCS,27455,Realignment of knee,,,7230.12,13014.22,3 HCPCS,27457,Realignment of knee,,,7230.12,13014.22,3 HCPCS,27458,Osteot femur imed lngth dev,,,7230.12,13014.22,3 HCPCS,27465,Shortening of thigh bone,,,7230.12,13014.22,3 HCPCS,27466,Lengthening of thigh bone,,,7230.12,13014.22,3 HCPCS,27470,Repair of thigh,,,7230.12,13014.22,3 HCPCS,27472,Repair/graft of thigh,,,7230.12,13014.22,3 HCPCS,27475,Surgery to stop leg growth,,,3448.15,13014.22,11 HCPCS,27477,Surgery to stop leg growth,,,2390.75,13014.22,7 HCPCS,27479,Surgery to stop leg growth,,,3448.15,13014.22,11 HCPCS,27485,Surgery to stop leg growth,,,2390.75,13014.22,7 HCPCS,27486,Revise/replace knee joint,,,12792.51,23026.52,3 HCPCS,27487,Revise/replace knee joint,,,17470.77,31447.38,3 HCPCS,27488,Removal of knee prosthesis,,,12792.51,23026.52,3 HCPCS,27495,Reinforce thigh,,,7230.12,13014.22,3 HCPCS,27496,Decompression of thigh/knee,,,2182.91,5868.42,11 HCPCS,27497,Decompression of thigh/knee,,,2182.91,5868.42,11 HCPCS,27498,Decompression of thigh/knee,,,1245.6,3965.37,11 HCPCS,27499,Decompression of thigh/knee,,,2182.91,13014.22,11 HCPCS,27500,HC ED CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION,495.0,495.0,,,0 HCPCS,27500,Treatment of thigh fracture,,,193.4,442.4,11 HCPCS,27501,Treatment of thigh fracture,,,193.4,442.4,11 HCPCS,27502,HC ED CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ,3379.0,3379.0,,,0 HCPCS,27502,Treatment of thigh fracture,,,1245.6,2883.98,11 HCPCS,27503,HC ED CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,1601.0,1601.0,,,0 HCPCS,27503,Treatment of thigh fracture,,,283.36,2883.98,11 HCPCS,27506,Treatment of thigh fracture,,,7230.12,13014.22,3 HCPCS,27507,Treatment of thigh fracture,,,7230.12,13014.22,3 HCPCS,27508,HC CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ,373.0,373.0,,,0 HCPCS,27508,Treatment of thigh fracture,,,193.4,442.4,11 HCPCS,27509,Treatment of thigh fracture,,,2706.78,13014.22,11 HCPCS,27510,HC ED CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ,1601.0,1601.0,,,0 HCPCS,27510,Treatment of thigh fracture,,,283.36,2883.98,11 HCPCS,27511,Treatment of thigh fracture,,,12792.51,23026.52,3 HCPCS,27513,Treatment of thigh fracture,,,12792.51,23026.52,3 HCPCS,27514,Treatment of thigh fracture,,,12792.51,23026.52,3 HCPCS,27516,Treat thigh fx growth plate,,,193.4,442.4,11 HCPCS,27517,Treat thigh fx growth plate,,,283.36,2883.98,11 HCPCS,27519,Treat thigh fx growth plate,,,7230.12,13014.22,3 HCPCS,27520,HC CLOSED TX PATELLAR FRACTURE W/O MANIPULATION,373.0,373.0,,,0 HCPCS,27520,Treat kneecap fracture,,,193.4,442.4,11 HCPCS,27524,Treat kneecap fracture,,,4745.33,13014.22,11 HCPCS,27530,HC CLOSED RX TIBIAL PLATEAU FX,424.0,424.0,,,0 HCPCS,27530,HC CLTX TIBIAL FX PROXIMAL W/O MANIPULATION,371.0,371.0,,,0 HCPCS,27530,Treat knee fracture,,,193.4,442.4,11 HCPCS,27532,HC ED CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ,2913.0,2913.0,,,0 HCPCS,27532,Treat knee fracture,,,1738.83,5868.42,11 HCPCS,27535,Treat knee fracture,,,7230.12,13014.22,3 HCPCS,27536,Treat knee fracture,,,7230.12,13014.22,3 HCPCS,27538,HC CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN,580.0,580.0,,,0 HCPCS,27538,Treat knee fracture(s),,,193.4,442.4,11 HCPCS,27540,Treat knee fracture,,,7230.12,13014.22,3 HCPCS,27550,HC ED CLOSED TX KNEE DISLOCATION W/O ANESTHESIA,277.0,277.0,,,0 HCPCS,27550,Treat knee dislocation,,,193.4,442.4,11 HCPCS,27552,HC ED OBS TREAT KNEE DISLOCATION,1941.0,1941.0,,,0 HCPCS,27552,HC TREAT KNEE DISLOCATION,1656.0,1656.0,,,0 HCPCS,27552,Treat knee dislocation,,,1245.6,2883.98,11 HCPCS,27556,Treat knee dislocation,,,7230.12,13014.22,3 HCPCS,27557,Treat knee dislocation,,,7230.12,13014.22,3 HCPCS,27558,Treat knee dislocation,,,7230.12,13014.22,3 HCPCS,27560,HC ED CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA,284.0,284.0,,,0 HCPCS,27560,Treat kneecap dislocation,,,193.4,442.4,11 HCPCS,27562,HC ED CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA,995.0,995.0,,,0 HCPCS,27562,Treat kneecap dislocation,,,193.4,1086.91,11 HCPCS,27566,Treat kneecap dislocation,,,4745.33,13014.22,11 HCPCS,27570,Fixation of knee joint,,,1524.79,3679.07,11 HCPCS,27580,Fusion of knee,,,12792.51,23026.52,3 HCPCS,27590,Amputate leg at thigh,,,3260.23,5868.42,3 HCPCS,27591,Amputate leg at thigh,,,3260.23,5868.42,3 HCPCS,27592,Amputate leg at thigh,,,3260.23,5868.42,3 HCPCS,27594,Amputation follow-up surgery,,,2182.91,5868.42,11 HCPCS,27596,Amputation follow-up surgery,,,3260.23,5868.42,3 HCPCS,27598,Amputate lower leg at knee,,,3260.23,5868.42,3 HCPCS,27599,HC ED UNLISTED PROCEDURE FEMUR/KNEE,339.0,339.0,,,0 HCPCS,27599,Leg surgery procedure,,,245.78,442.4,3 HCPCS,27600,Decompression of lower leg,,,2182.91,5868.42,11 HCPCS,27601,Decompression of lower leg,,,2182.91,5868.42,11 HCPCS,27602,Decompression of lower leg,,,2182.91,5868.42,11 HCPCS,27603,Drain lower leg lesion,,,1847.27,5209.69,11 HCPCS,27604,Drain lower leg bursa,,,2182.91,5868.42,11 HCPCS,27605,Incision of achilles tendon,,,1245.6,2883.98,11 HCPCS,27606,Incision of achilles tendon,,,2200.83,8926.71,11 HCPCS,27607,Treat lower leg bone lesion,,,2182.91,5868.42,11 HCPCS,27610,Explore/treat ankle joint,,,2182.91,5868.42,11 HCPCS,27612,Exploration of ankle joint,,,2182.91,5868.42,11 HCPCS,27613,Biopsy lower leg soft tissue,,,301.28,2962.18,11 HCPCS,27614,Biopsy lower leg soft tissue,,,1847.27,5209.69,11 HCPCS,27615,Resect leg/ankle tum < 5 cm,,,1777.52,5209.69,11 HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,1847.27,5209.69,11 HCPCS,27618,Exc leg/ankle tum < 3 cm,,,933.69,2962.18,11 HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,1777.52,5209.69,11 HCPCS,27620,Explore/treat ankle joint,,,2182.91,5868.42,11 HCPCS,27625,Remove ankle joint lining,,,2182.91,5868.42,11 HCPCS,27626,Remove ankle joint lining,,,2182.91,5868.42,11 HCPCS,27630,Removal of tendon lesion,,,2182.91,5868.42,11 HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,2417.43,6982.57,11 HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,1847.27,5209.69,11 HCPCS,27635,Remove lower leg bone lesion,,,2182.91,5868.42,11 HCPCS,27637,Remove/graft leg bone lesion,,,3448.15,13014.22,11 HCPCS,27638,Remove/graft leg bone lesion,,,3448.15,13014.22,11 HCPCS,27640,Partial removal of tibia,,,3260.23,6116.93,11 HCPCS,27641,Partial removal of fibula,,,2182.91,5868.42,11 HCPCS,27645,Resect tibia tumor,,,3260.23,5868.42,3 HCPCS,27646,Resect fibula tumor,,,3260.23,5868.42,3 HCPCS,27647,Resect talus/calcaneus tum,,,2182.91,5868.42,11 HCPCS,27648,HC INJECTION ARTHROCENTESIS ANKLE,966.0,966.0,,,0 HCPCS,27648,Injection for ankle x-ray,,,232.54,407.91,4 HCPCS,27650,Repair achilles tendon,,,2929.89,13014.22,11 HCPCS,27652,Repair/graft achilles tendon,,,4745.33,13014.22,11 HCPCS,27654,Repair of achilles tendon,,,4745.33,13014.22,11 HCPCS,27656,Repair leg fascia defect,,,2182.91,5868.42,11 HCPCS,27658,Repair of leg tendon each,,,2182.91,5868.42,11 HCPCS,27659,Repair of leg tendon each,,,2200.83,13014.22,11 HCPCS,27664,Repair of leg tendon each,,,3448.15,13014.22,11 HCPCS,27665,Repair of leg tendon each,,,3448.15,13014.22,11 HCPCS,27675,Repair lower leg tendons,,,2182.91,5868.42,11 HCPCS,27676,Repair lower leg tendons,,,3448.15,13014.22,11 HCPCS,27680,Release of lower leg tendon,,,2929.89,13655.53,11 HCPCS,27681,Release of lower leg tendons,,,2182.91,5868.42,11 HCPCS,27685,Revision of lower leg tendon,,,2182.91,5868.42,11 HCPCS,27686,Revise lower leg tendons,,,2182.91,5868.42,11 HCPCS,27687,Revision of calf tendon,,,2929.89,15530.51,11 HCPCS,27690,Revise lower leg tendon,,,4745.33,13014.22,11 HCPCS,27691,Revise lower leg tendon,,,4745.33,13014.22,11 HCPCS,27695,Repair of ankle ligament,,,3448.15,13014.22,11 HCPCS,27696,Repair of ankle ligaments,,,3448.15,13014.22,11 HCPCS,27698,Repair of ankle ligament,,,3448.15,13014.22,11 HCPCS,27700,Revision of ankle joint,,,4458.15,13014.22,11 HCPCS,27703,Reconstruction ankle joint,,,17470.77,31447.38,3 HCPCS,27704,Removal of ankle implant,,,2182.91,5868.42,11 HCPCS,27705,Incision of tibia,,,4986.47,13014.22,11 HCPCS,27707,Incision of fibula,,,2182.91,5868.42,11 HCPCS,27709,Incision of tibia & fibula,,,3448.15,23026.52,11 HCPCS,27712,Realignment of lower leg,,,12792.51,23026.52,3 HCPCS,27713,Osteot tibia imed lngth dev,,,7230.12,13014.22,3 HCPCS,27715,Revision of lower leg,,,12792.51,23026.52,3 HCPCS,27720,Repair of tibia,,,4745.33,13014.22,11 HCPCS,27722,Repair/graft of tibia,,,5119.65,13014.22,7 HCPCS,27724,Repair/graft of tibia,,,7230.12,13014.22,3 HCPCS,27725,Repair of lower leg,,,7230.12,13014.22,3 HCPCS,27726,Repair fibula nonunion,,,4626.21,13014.22,11 HCPCS,27727,Repair of lower leg,,,3260.23,5868.42,3 HCPCS,27730,Repair of tibia epiphysis,,,2182.91,5868.42,11 HCPCS,27732,Repair of fibula epiphysis,,,2182.91,5868.42,11 HCPCS,27734,Repair lower leg epiphyses,,,2182.91,5868.42,11 HCPCS,27740,Repair of leg epiphyses,,,2974.91,5868.42,11 HCPCS,27742,Repair of leg epiphyses,,,2182.91,5868.42,11 HCPCS,27745,Reinforce tibia,,,5405.24,21813.84,11 HCPCS,27750,HC TX CLOSED TX TIBIAL FX WITHOUT MAN,323.0,323.0,,,0 HCPCS,27750,Treatment of tibia fracture,,,193.4,442.4,11 HCPCS,27752,HC ED CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ,1891.0,1891.0,,,0 HCPCS,27752,Treatment of tibia fracture,,,1245.6,2883.98,11 HCPCS,27756,Treatment of tibia fracture,,,2706.78,13014.22,11 HCPCS,27758,Treatment of tibia fracture,,,5603.18,23026.52,11 HCPCS,27759,Treatment of tibia fracture,,,8916.51,23026.52,11 HCPCS,27760,Cltx medial ankle fx,,,245.78,6124.23,11 HCPCS,27760,HC CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION,373.0,373.0,,,0 HCPCS,27762,Cltx med ankle fx w/mnpj,,,1245.6,2883.98,11 HCPCS,27762,HC ED CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ,1433.0,1433.0,,,0 HCPCS,27766,Optx medial ankle fx,,,5505.74,13014.22,11 HCPCS,27767,Cltx post ankle fx,,,193.4,442.4,11 HCPCS,27767,HC CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,426.0,426.0,,,0 HCPCS,27767,HC ED CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ,492.0,492.0,,,0 HCPCS,27768,Cltx post ankle fx w/mnpj,,,224.08,2883.98,11 HCPCS,27769,Optx post ankle fx,,,4745.33,13014.22,11 HCPCS,27780,HC CLTX PROX FIBULA/SHFT FX W/O MANJ,373.0,373.0,,,0 HCPCS,27780,HC ED CLTX PROX FIBULA/SHFT FX W/O MANJ,502.0,502.0,,,0 HCPCS,27780,Treatment of fibula fracture,,,193.4,442.4,11 HCPCS,27781,HC ED CLTX PROX FIBULA/SHFT FX W/MANJ,1433.0,1433.0,,,0 HCPCS,27781,Treatment of fibula fracture,,,945.14,2883.98,11 HCPCS,27784,Treatment of fibula fracture,,,4745.33,13014.22,11 HCPCS,27786,HC CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ,333.0,333.0,,,0 HCPCS,27786,HC ED CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ,333.0,333.0,,,0 HCPCS,27786,Treatment of ankle fracture,,,193.4,442.4,11 HCPCS,27788,"HC CLOSED RX DIST FIBULA FX,MANIP",476.0,476.0,,,0 HCPCS,27788,HC CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,416.0,416.0,,,0 HCPCS,27788,HC ED CLTX DSTL FIBULAR FX LAT MALLS W/MANJ,416.0,416.0,,,0 HCPCS,27788,Treatment of ankle fracture,,,193.4,442.4,11 HCPCS,27792,Treatment of ankle fracture,,,5090.31,13014.22,11 HCPCS,27808,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANIP,424.0,424.0,,,0 HCPCS,27808,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,373.0,373.0,,,0 HCPCS,27808,HC ED CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ,431.0,431.0,,,0 HCPCS,27808,Treatment of ankle fracture,,,193.4,442.4,11 HCPCS,27810,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MANIP,1640.0,1640.0,,,0 HCPCS,27810,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ,1433.0,1433.0,,,0 HCPCS,27810,HC ED CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ,1433.0,1433.0,,,0 HCPCS,27810,Treatment of ankle fracture,,,945.14,2883.98,11 HCPCS,27814,Treatment of ankle fracture,,,5603.18,13014.22,11 HCPCS,27816,HC CLOSED RX TRIMALLEOLAR FX,701.0,701.0,,,0 HCPCS,27816,HC ED CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION,428.0,428.0,,,0 HCPCS,27816,Treatment of ankle fracture,,,193.4,442.4,11 HCPCS,27818,"HC CLOSED RX TRIMALLEOLAR FX,MANIP",1640.0,1640.0,,,0 HCPCS,27818,HC ED CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION,1433.0,1433.0,,,0 HCPCS,27818,Treatment of ankle fracture,,,945.14,2883.98,11 HCPCS,27822,Treatment of ankle fracture,,,5603.18,13014.22,11 HCPCS,27823,Treatment of ankle fracture,,,4745.33,13014.22,11 HCPCS,27824,HC CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ,426.0,426.0,,,0 HCPCS,27824,HC ED CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ,492.0,492.0,,,0 HCPCS,27824,Treat lower leg fracture,,,193.4,442.4,11 HCPCS,27825,HC CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,1932.0,1932.0,,,0 HCPCS,27825,HC ED CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ,1433.0,1433.0,,,0 HCPCS,27825,Treat lower leg fracture,,,1602.21,6416.99,11 HCPCS,27826,Treat lower leg fracture,,,4745.33,13014.22,11 HCPCS,27827,Treat lower leg fracture,,,7164.76,23026.52,11 HCPCS,27828,Treat lower leg fracture,,,9469.81,23026.52,11 HCPCS,27829,Treat lower leg joint,,,4745.33,13014.22,11 HCPCS,27830,HC ED CLTX PROX TIBFIB JT DISLC W/O ANES,380.0,380.0,,,0 HCPCS,27830,Treat lower leg dislocation,,,193.4,442.4,11 HCPCS,27831,Treat lower leg dislocation,,,945.14,5868.42,11 HCPCS,27832,Treat lower leg dislocation,,,4745.33,13014.22,11 HCPCS,27840,HC ED CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA,284.0,284.0,,,0 HCPCS,27840,Treat ankle dislocation,,,193.4,442.4,11 HCPCS,27842,HC TREAT ANKLE DISLOCATION,1433.0,1433.0,,,0 HCPCS,27842,Treat ankle dislocation,,,1245.6,2883.98,11 HCPCS,27846,Treat ankle dislocation,,,4745.33,13014.22,11 HCPCS,27848,Treat ankle dislocation,,,4745.33,13014.22,11 HCPCS,27860,Fixation of ankle joint,,,1524.79,9782.57,11 HCPCS,27870,Fusion of ankle joint open,,,8117.24,23026.52,11 HCPCS,27871,Fusion of tibiofibular joint,,,8378.58,23026.52,11 HCPCS,27880,Amputation of lower leg,,,7230.12,13014.22,3 HCPCS,27881,Amputation of lower leg,,,3260.23,5868.42,3 HCPCS,27882,Amputation of lower leg,,,3260.23,5868.42,3 HCPCS,27884,Amputation follow-up surgery,,,2182.91,5868.42,11 HCPCS,27886,Amputation follow-up surgery,,,3260.23,5868.42,3 HCPCS,27888,Amputation of foot at ankle,,,3260.23,5868.42,3 HCPCS,27889,Amputation of foot at ankle,,,3448.15,13014.22,11 HCPCS,27892,Decompression of leg,,,2182.91,5868.42,11 HCPCS,27893,Decompression of leg,,,3448.15,13014.22,11 HCPCS,27894,Decompression of leg,,,1245.6,5868.42,11 HCPCS,27899,HC ED UNLISTED ANKLE REDUCTION,561.0,561.0,,,0 HCPCS,27899,Leg/ankle surgery procedure,,,245.78,442.4,3 HCPCS,28001,Drainage of bursa of foot,,,318.62,2962.18,11 HCPCS,28002,Treatment of foot infection,,,1602.21,3829.09,11 HCPCS,28003,Treatment of foot infection,,,2182.91,5868.42,11 HCPCS,28005,Treat foot bone lesion,,,2182.91,5868.42,11 HCPCS,28008,Incision of foot fascia,,,2310.4,7709.9,11 HCPCS,28010,Incision of toe tendon,,,221.63,2883.98,11 HCPCS,28011,Incision of toe tendons,,,1245.6,2883.98,11 HCPCS,28020,Exploration of foot joint,,,2182.91,5868.42,11 HCPCS,28022,Exploration of foot joint,,,2182.91,5868.42,11 HCPCS,28024,Exploration of toe joint,,,1602.21,3829.09,11 HCPCS,28035,Decompression of tibia nerve,,,1412.88,3502.27,11 HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,1847.27,5209.69,11 HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,1847.27,5209.69,11 HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,933.69,2962.18,11 HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,1777.52,5209.69,11 HCPCS,28046,Resect foot/toe tumor < 3 cm,,,1777.52,5209.69,11 HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,1847.27,5209.69,11 HCPCS,28050,Biopsy of foot joint lining,,,2182.91,5868.42,11 HCPCS,28052,Biopsy of foot joint lining,,,2182.91,5868.42,11 HCPCS,28054,Biopsy of toe joint lining,,,2182.91,5868.42,11 HCPCS,28055,Neurectomy foot,,,1412.88,3502.27,11 HCPCS,28060,Partial removal foot fascia,,,2182.91,5868.42,11 HCPCS,28062,Removal of foot fascia,,,2182.91,5868.42,11 HCPCS,28070,Removal of foot joint lining,,,2182.91,13014.22,11 HCPCS,28072,Removal of foot joint lining,,,2182.91,5868.42,11 HCPCS,28080,Removal of foot lesion,,,1245.6,2883.98,11 HCPCS,28086,Excise foot tendon sheath,,,2182.91,5868.42,11 HCPCS,28088,Excise foot tendon sheath,,,1245.6,5868.42,11 HCPCS,28090,Removal of foot lesion,,,1602.21,3829.09,11 HCPCS,28092,Removal of toe lesions,,,1245.6,2883.98,11 HCPCS,28100,Removal of ankle/heel lesion,,,2182.91,5868.42,11 HCPCS,28102,Remove/graft foot lesion,,,4745.33,13014.22,11 HCPCS,28103,Remove/graft foot lesion,,,5915.07,13014.22,11 HCPCS,28104,Removal of foot lesion,,,2182.91,5868.42,11 HCPCS,28106,Remove/graft foot lesion,,,4745.33,13014.22,11 HCPCS,28107,Remove/graft foot lesion,,,6916.07,13178.9,11 HCPCS,28108,Removal of toe lesions,,,1245.6,2883.98,11 HCPCS,28110,Part removal of metatarsal,,,2310.4,12003.11,11 HCPCS,28111,Part removal of metatarsal,,,2182.91,5868.42,11 HCPCS,28112,Part removal of metatarsal,,,2182.91,5868.42,11 HCPCS,28113,Part removal of metatarsal,,,2182.91,5868.42,11 HCPCS,28114,Removal of metatarsal heads,,,2182.91,5868.42,11 HCPCS,28116,Revision of foot,,,2310.4,13178.9,11 HCPCS,28118,Removal of heel bone,,,2310.4,8475.8,11 HCPCS,28119,Removal of heel spur,,,2182.91,5868.42,11 HCPCS,28120,Part removal of ankle/heel,,,2182.91,5868.42,11 HCPCS,28122,Partial removal of foot bone,,,2310.4,5868.42,11 HCPCS,28124,Partial removal of toe,,,538.98,5868.42,11 HCPCS,28126,Partial removal of toe,,,2182.91,5868.42,11 HCPCS,28130,Removal of ankle bone,,,2182.91,13014.22,11 HCPCS,28140,Removal of metatarsal,,,2182.91,5868.42,11 HCPCS,28150,Removal of toe,,,2182.91,5868.42,11 HCPCS,28153,Partial removal of toe,,,1245.6,5868.42,11 HCPCS,28160,Partial removal of toe,,,2182.91,5868.42,11 HCPCS,28171,Resect tarsal tumor,,,2182.91,5868.42,11 HCPCS,28173,Resect metatarsal tumor,,,2182.91,5868.42,11 HCPCS,28175,Resect phalanx of toe tumor,,,1245.6,2883.98,11 HCPCS,28190,HC FB REMOVAL OF FOOT SU,657.0,657.0,,,0 HCPCS,28190,Removal of foot foreign body,,,433.47,6124.23,11 HCPCS,28192,HC FB REMOVAL OF FOOT DEEP,2242.0,2242.0,,,0 HCPCS,28192,Removal of foot foreign body,,,933.69,2962.18,11 HCPCS,28193,Removal of foot foreign body,,,933.69,2962.18,11 HCPCS,28200,Repair of foot tendon,,,2182.91,5868.42,11 HCPCS,28202,Repair/graft of foot tendon,,,2310.4,13014.22,11 HCPCS,28208,Repair of foot tendon,,,2182.91,5868.42,11 HCPCS,28210,Repair/graft of foot tendon,,,4745.33,13014.22,11 HCPCS,28220,Release of foot tendon,,,513.92,2883.98,11 HCPCS,28222,Release of foot tendons,,,2182.91,5868.42,11 HCPCS,28225,Release of foot tendon,,,2182.91,5868.42,11 HCPCS,28226,Release of foot tendons,,,1245.6,5868.42,11 HCPCS,28230,Incision of foot tendon(s),,,504.28,2883.98,11 HCPCS,28232,Incision of toe tendon,,,619.97,6124.23,11 HCPCS,28234,Incision of foot tendon,,,1245.6,2883.98,11 HCPCS,28238,Revision of foot tendon,,,5039.17,13014.22,11 HCPCS,28240,Release of big toe,,,2182.91,5868.42,11 HCPCS,28250,Revision of foot fascia,,,2182.91,5868.42,11 HCPCS,28260,Release of midfoot joint,,,1245.6,5868.42,11 HCPCS,28261,Revision of foot tendon,,,1602.21,3829.09,11 HCPCS,28262,Revision of foot and ankle,,,2310.4,13014.22,11 HCPCS,28264,Release of midfoot joint,,,1245.6,7953.48,11 HCPCS,28270,Release of foot contracture,,,2182.91,5868.42,11 HCPCS,28272,Release of toe joint each,,,461.87,2883.98,11 HCPCS,28280,Fusion of toes,,,2182.91,5868.42,11 HCPCS,28285,Repair of hammertoe,,,2310.4,5868.42,11 HCPCS,28286,Repair of hammertoe,,,2182.91,5868.42,11 HCPCS,28288,Partial removal of foot bone,,,2310.4,5868.42,11 HCPCS,28289,Corrj halux rigdus w/o implt,,,2182.91,5868.42,11 HCPCS,28291,Corrj halux rigdus w/implt,,,6398.09,13014.22,7 HCPCS,28292,Correction hallux valgus,,,2182.91,5868.42,11 HCPCS,28295,Correction hallux valgus,,,2943.22,5868.42,7 HCPCS,28296,Correction hallux valgus,,,2182.91,5868.42,11 HCPCS,28297,Correction hallux valgus,,,3546.67,23026.52,11 HCPCS,28298,Correction hallux valgus,,,3546.67,13014.22,11 HCPCS,28299,Correction hallux valgus,,,2182.91,13014.22,11 HCPCS,28300,Incision of heel bone,,,6916.07,18447.87,11 HCPCS,28302,Incision of ankle bone,,,2310.4,13014.22,11 HCPCS,28304,Incision of midfoot bones,,,4745.33,13014.22,11 HCPCS,28305,Incise/graft midfoot bones,,,6435.98,13014.22,11 HCPCS,28306,Incision of metatarsal,,,2310.4,13014.22,11 HCPCS,28307,Incision of metatarsal,,,2182.91,13014.22,11 HCPCS,28308,Incision of metatarsal,,,2182.91,5868.42,11 HCPCS,28309,Incision of metatarsals,,,4745.33,13014.22,11 HCPCS,28310,Revision of big toe,,,2182.91,13014.22,11 HCPCS,28312,Revision of toe,,,2182.91,5868.42,11 HCPCS,28313,Repair deformity of toe,,,2182.91,5868.42,11 HCPCS,28315,Removal of sesamoid bone,,,2182.91,5868.42,11 HCPCS,28320,Repair of foot bones,,,6916.07,23026.52,11 HCPCS,28322,Repair of metatarsals,,,2310.4,13014.22,11 HCPCS,28340,Resect enlarged toe tissue,,,2182.91,5868.42,11 HCPCS,28341,Resect enlarged toe,,,2182.91,5868.42,11 HCPCS,28344,Repair extra toe(s),,,2182.91,5868.42,11 HCPCS,28345,Repair webbed toe(s),,,1602.21,19645.67,11 HCPCS,28360,Reconstruct cleft foot,,,5119.65,13014.22,7 HCPCS,28400,HC TX CLOSED TX CALCANEAL WITHOUT MAN,426.0,426.0,,,0 HCPCS,28400,Treatment of heel fracture,,,193.4,442.4,11 HCPCS,28405,HC ED CLOSED TX CALCANEAL FRACTURE W/MANIPULATION,490.0,490.0,,,0 HCPCS,28405,Treatment of heel fracture,,,193.4,1086.91,11 HCPCS,28406,Treatment of heel fracture,,,2706.78,13014.22,11 HCPCS,28415,Treat heel fracture,,,5051.67,13014.22,11 HCPCS,28420,Treat/graft heel fracture,,,5603.18,23026.52,11 HCPCS,28430,HC TX CLOSED TX TALUS WITHOUT MAN,373.0,373.0,,,0 HCPCS,28430,Treatment of ankle fracture,,,193.4,442.4,11 HCPCS,28435,HC ED CLOSED TX TALUS FRACTURE W/MANIPULATION,1656.0,1656.0,,,0 HCPCS,28435,Treatment of ankle fracture,,,1245.6,2883.98,11 HCPCS,28436,Treatment of ankle fracture,,,2706.78,13014.22,11 HCPCS,28445,Treat ankle fracture,,,5090.31,13014.22,11 HCPCS,28446,Osteochondral talus autogrft,,,4745.33,13014.22,11 HCPCS,28450,HC TX TARSAL WITHOUT EACH,373.0,373.0,,,0 HCPCS,28450,Treat midfoot fracture each,,,193.4,442.4,11 HCPCS,28455,HC TX TARSAL WITH MAN EACH,1892.0,1892.0,,,0 HCPCS,28455,Treat midfoot fracture each,,,224.08,2883.98,11 HCPCS,28456,Treat midfoot fracture,,,2706.78,13014.22,11 HCPCS,28465,Treat midfoot fracture each,,,4745.33,13014.22,11 HCPCS,28470,HC TX CLOSED TX METATARSAL WITHOUT MAN,373.0,373.0,,,0 HCPCS,28470,Treat metatarsal fracture,,,193.4,442.4,11 HCPCS,28475,HC ED CLTX METAR FX W/MANJ,428.0,428.0,,,0 HCPCS,28475,Treat metatarsal fracture,,,193.4,442.4,11 HCPCS,28476,Treat metatarsal fracture,,,2182.91,5868.42,11 HCPCS,28485,Treat metatarsal fracture,,,4745.33,13014.22,11 HCPCS,28490,HC TX CLOSED TX GREAT TOE WITHOUT MAN,240.0,240.0,,,0 HCPCS,28490,Treat big toe fracture,,,182.41,442.4,11 HCPCS,28495,HC ED CLTX FX GRT TOE PHLX/PHLG W/MANJ,277.0,277.0,,,0 HCPCS,28495,Treat big toe fracture,,,193.4,442.4,11 HCPCS,28496,Treat big toe fracture,,,2706.78,8475.8,11 HCPCS,28505,Treat big toe fracture,,,2182.91,5868.42,11 HCPCS,28510,HC CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ,326.0,326.0,,,0 HCPCS,28510,Treatment of toe fracture,,,143.88,442.4,11 HCPCS,28515,HC ED CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ,382.0,382.0,,,0 HCPCS,28515,Treatment of toe fracture,,,245.78,7300.02,11 HCPCS,28525,Treat toe fracture,,,2182.91,5868.42,11 HCPCS,28530,Treat sesamoid bone fracture,,,134.25,442.4,11 HCPCS,28531,Treat sesamoid bone fracture,,,2706.78,13014.22,11 HCPCS,28540,Treat foot dislocation,,,193.4,442.4,11 HCPCS,28545,Treat foot dislocation,,,2706.78,5868.42,11 HCPCS,28546,Treat foot dislocation,,,1245.6,3112.8,11 HCPCS,28555,Repair foot dislocation,,,4745.33,13014.22,11 HCPCS,28570,Treat foot dislocation,,,193.4,442.4,11 HCPCS,28575,Treat foot dislocation,,,1738.83,5868.42,11 HCPCS,28576,Treat foot dislocation,,,1245.6,13014.22,11 HCPCS,28585,Repair foot dislocation,,,2706.78,13014.22,11 HCPCS,28600,Treat foot dislocation,,,193.4,442.4,11 HCPCS,28605,HC TREAT TARSOMETATARSAL DISLOCATION,678.0,678.0,,,0 HCPCS,28605,Treat foot dislocation,,,193.4,442.4,11 HCPCS,28606,Treat foot dislocation,,,2182.91,5868.42,11 HCPCS,28615,Repair foot dislocation,,,5039.17,13014.22,11 HCPCS,28630,HC ED CLTX METATARSOPHLNGL JT DISLC W/O ANES,277.0,277.0,,,0 HCPCS,28630,Treat toe dislocation,,,165.72,442.4,11 HCPCS,28635,Treat toe dislocation,,,1245.6,2883.98,11 HCPCS,28636,Treat toe dislocation,,,2182.91,5868.42,11 HCPCS,28645,Repair toe dislocation,,,2182.91,5868.42,11 HCPCS,28660,HC ED CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES,284.0,284.0,,,0 HCPCS,28660,Treat toe dislocation,,,122.06,442.4,11 HCPCS,28665,Treat toe dislocation,,,213.65,501.64,11 HCPCS,28666,Treat toe dislocation,,,2182.91,5868.42,11 HCPCS,28675,Repair of toe dislocation,,,2182.91,5868.42,11 HCPCS,28705,Fusion of foot bones,,,6916.07,34704.8,11 HCPCS,28715,Fusion of foot bones,,,7508.4,23026.52,11 HCPCS,28725,Fusion of foot bones,,,6916.07,23026.52,11 HCPCS,28730,Fusion of foot bones,,,5857.99,23026.52,11 HCPCS,28735,Fusion of foot bones,,,6916.07,23026.52,11 HCPCS,28737,Revision of foot bones,,,6916.07,23026.52,11 HCPCS,28740,Fusion of foot bones,,,5576.91,13014.22,11 HCPCS,28750,Fusion of big toe joint,,,6468.23,13014.22,11 HCPCS,28755,Fusion of big toe joint,,,2310.4,13014.22,11 HCPCS,28760,Fusion of big toe joint,,,4745.33,13014.22,11 HCPCS,28800,Amputation of midfoot,,,3260.23,5868.42,3 HCPCS,28805,Amputation thru metatarsal,,,2390.75,5868.42,7 HCPCS,28810,Amputation toe & metatarsal,,,2182.91,5868.42,11 HCPCS,28820,Amputation of toe,,,2182.91,5868.42,11 HCPCS,28825,Partial amputation of toe,,,2310.4,5868.42,11 HCPCS,28890,Hi enrgy eswt plantar fascia,,,358.45,2883.98,11 HCPCS,28899,Foot/toes surgery procedure,,,245.78,442.4,3 HCPCS,29000,Application of body cast,,,213.65,501.64,11 HCPCS,29010,Application of body cast,,,213.65,501.64,11 HCPCS,29015,Application of body cast,,,213.65,501.64,11 HCPCS,29035,Application of body cast,,,213.65,501.64,11 HCPCS,29040,Application of body cast,,,213.65,501.64,11 HCPCS,29044,Application of body cast,,,121.12,291.45,11 HCPCS,29046,Application of body cast,,,213.65,501.64,11 HCPCS,29049,Application of figure eight,,,69.37,501.64,11 HCPCS,29055,Application of shoulder cast,,,213.65,501.64,11 HCPCS,29058,Application of shoulder cast,,,123.97,501.64,11 HCPCS,29065,Application of long arm cast,,,110.48,501.64,11 HCPCS,29065,HC ED APPLICATION CAST SHOULDER HAND LONG ARM,246.0,246.0,,,0 HCPCS,29065,HC TX APPLY LONG ARM CAST,246.0,246.0,,,0 HCPCS,29075,Application of forearm cast,,,101.49,501.64,11 HCPCS,29075,HC ED APPLICATION CAST ELBOW FINGER SHORT ARM,246.0,246.0,,,0 HCPCS,29075,HC TX APPLY SHORT ARM CAST,246.0,246.0,,,0 HCPCS,29085,Apply hand/wrist cast,,,109.84,291.45,11 HCPCS,29085,HC ED APPLICATION CAST HAND & LOWER FOREARM GAUNTLET,694.0,694.0,,,0 HCPCS,29086,Apply finger cast,,,94.43,291.45,11 HCPCS,29105,Apply long arm splint,,,97.0,291.45,11 HCPCS,29105,HC APPLY LONG ARM SPLINT,207.0,207.0,,,0 HCPCS,29105,HC ED APPLY LONG ARM SPLINT,181.0,181.0,,,0 HCPCS,29105,HC TX APPLY LONG ARM SPLINT,181.0,181.0,,,0 HCPCS,29125,Apply forearm splint,,,98.06,238.63,7 HCPCS,29125,"HC APPLY FOREARM SPLINT,STATIC",207.0,207.0,,,0 HCPCS,29125,HC ED APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC,181.0,181.0,,,0 HCPCS,29125,HC TX APPLY SHORT ARM SPLINT,181.0,181.0,,,0 HCPCS,29126,Apply forearm splint,,,98.06,238.63,7 HCPCS,29130,Application of finger splint,,,53.47,238.63,7 HCPCS,29130,HC ED APPLICATION FINGER SPLINT STATIC,181.0,181.0,,,0 HCPCS,29131,Application of finger splint,,,53.47,105.8,7 HCPCS,29200,Strapping of chest,,,28.26,291.45,11 HCPCS,29240,Strapping of shoulder,,,53.47,238.63,7 HCPCS,29260,Strapping of elbow or wrist,,,27.82,105.8,7 HCPCS,29280,Strapping of hand or finger,,,27.82,105.8,7 HCPCS,29305,Application of hip cast,,,213.65,501.64,11 HCPCS,29305,HC ED APPLICATION HIP SPICA CAST 1 LEG,287.0,287.0,,,0 HCPCS,29325,Application of hip casts,,,213.65,501.64,11 HCPCS,29345,Application of long leg cast,,,143.88,501.64,11 HCPCS,29345,HC ED APPLICATION LONG LEG CAST THIGH-TOE,246.0,246.0,,,0 HCPCS,29345,HC TX APPLY LONG LEG CAST,246.0,246.0,,,0 HCPCS,29355,Application of long leg cast,,,142.59,501.64,11 HCPCS,29355,HC APPLY LONG LEG WALKING CAST,246.0,246.0,,,0 HCPCS,29358,Apply long leg cast brace,,,184.36,501.64,11 HCPCS,29365,Application of long leg cast,,,135.55,501.64,11 HCPCS,29405,Apply short leg cast,,,91.22,501.64,11 HCPCS,29405,HC ED APPLICATION SHORT LEG CAST BELOW KNEE-TOE,246.0,246.0,,,0 HCPCS,29405,HC TX APPLY SHORT LEG CAST,246.0,246.0,,,0 HCPCS,29425,Apply short leg cast,,,86.08,501.64,11 HCPCS,29425,HC TX APPLY SHORT LEG WALKING CAST,248.0,248.0,,,0 HCPCS,29435,Apply short leg cast,,,127.19,501.64,11 HCPCS,29440,Addition of walker to cast,,,41.11,291.45,11 HCPCS,29445,Apply rigid leg cast,,,119.48,501.64,11 HCPCS,29445,HC TX APPLY RIGID CONTACT CAST LEG,248.0,248.0,,,0 HCPCS,29450,Application of leg cast,,,159.98,7709.9,11 HCPCS,29505,Application long leg splint,,,103.41,291.45,11 HCPCS,29505,HC ED APPLY LONG LEG SPLINT,162.0,162.0,,,0 HCPCS,29505,HC TX APPLY LONG LEG SPLINT,187.0,187.0,,,0 HCPCS,29515,Application lower leg splint,,,79.66,291.45,11 HCPCS,29515,HC APPLY LOWER LEG SPLINT,164.0,164.0,,,0 HCPCS,29515,HC ED APPLICATION SHORT LEG SPLINT CALF FOOT,143.0,143.0,,,0 HCPCS,29515,HC TX APPLY SHORT LEG SPLINT,143.0,143.0,,,0 HCPCS,29520,Strapping of hip,,,53.47,238.63,7 HCPCS,29530,Strapping of knee,,,53.47,238.63,7 HCPCS,29540,Strapping of ankle and/or ft,,,20.55,291.45,11 HCPCS,29550,Strapping of toes,,,53.47,105.8,7 HCPCS,29580,Application of paste boot,,,55.88,291.45,11 HCPCS,29580,HC STRAPPING UNNA BOOT,192.0,192.0,,,0 HCPCS,29581,Apply multlay comprs lwr leg,,,99.85,291.45,11 HCPCS,29581,HC APPLY MULTILAY COMPRS LWR LEG,140.0,140.0,,,0 HCPCS,29584,Appl multlay comprs arm/hand,,,105.35,291.45,11 HCPCS,29700,Removal/revision of cast,,,73.21,501.64,11 HCPCS,29705,Removal/revision of cast,,,65.53,501.64,11 HCPCS,29710,Removal/revision of cast,,,120.12,501.64,11 HCPCS,29720,Repair of body cast,,,103.41,291.45,11 HCPCS,29730,Windowing of cast,,,62.3,291.45,11 HCPCS,29740,Wedging of cast,,,96.36,501.64,11 HCPCS,29750,Wedging of clubfoot cast,,,79.01,501.64,11 HCPCS,29799,Casting/strapping procedure,,,161.92,291.45,3 HCPCS,29800,Jaw arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29804,Jaw arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29805,Shoulder arthroscopy dx,,,2182.91,5868.42,11 HCPCS,29806,Shoulder arthroscopy/surgery,,,3737.84,13014.22,11 HCPCS,29807,Shoulder arthroscopy/surgery,,,5675.4,13014.22,11 HCPCS,29819,Shoulder arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29820,Shoulder arthroscopy/surgery,,,4745.33,13014.22,11 HCPCS,29821,Shoulder arthroscopy/surgery,,,2182.91,7653.31,11 HCPCS,29822,Shoulder arthroscopy/surgery,,,2929.89,7870.91,11 HCPCS,29823,Shoulder arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29824,Shoulder arthroscopy/surgery,,,3260.23,6991.32,7 HCPCS,29825,Shoulder arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29827,Arthroscop rotator cuff repr,,,7230.12,13014.22,7 HCPCS,29828,Arthroscopy biceps tenodesis,,,4745.33,13014.22,11 HCPCS,29830,Elbow arthroscopy,,,2182.91,6622.23,11 HCPCS,29834,Elbow arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29835,Elbow arthroscopy/surgery,,,2182.91,6622.23,11 HCPCS,29836,Elbow arthroscopy/surgery,,,4745.33,13014.22,11 HCPCS,29837,Elbow arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29838,Elbow arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29840,Wrist arthroscopy,,,2182.91,5868.42,11 HCPCS,29843,Wrist arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29844,Wrist arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29845,Wrist arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29846,Wrist arthroscopy/surgery,,,2851.13,8093.02,11 HCPCS,29847,Wrist arthroscopy/surgery,,,4745.33,13014.22,11 HCPCS,29848,Wrist endoscopy/surgery,,,1602.21,3975.16,11 HCPCS,29850,Knee arthroscopy/surgery,,,1245.6,3469.39,11 HCPCS,29851,Knee arthroscopy/surgery,,,1245.6,6622.23,11 HCPCS,29855,Tibial arthroscopy/surgery,,,5758.46,13014.22,11 HCPCS,29856,Tibial arthroscopy/surgery,,,5758.46,23026.52,11 HCPCS,29860,Hip arthroscopy dx,,,4745.33,13014.22,11 HCPCS,29861,Hip arthro w/fb removal,,,2182.91,13014.22,11 HCPCS,29862,Hip arthr0 w/debridement,,,5051.67,13014.22,11 HCPCS,29863,Hip arthr0 w/synovectomy,,,2182.91,5868.42,11 HCPCS,29866,Autgrft implnt knee w/scope,,,4745.33,13014.22,11 HCPCS,29867,Allgrft implnt knee w/scope,,,9374.63,23026.52,7 HCPCS,29868,Meniscal trnspl knee w/scpe,,,5119.65,13014.22,7 HCPCS,29870,Knee arthroscopy dx,,,2182.91,5868.42,11 HCPCS,29871,Knee arthroscopy/drainage,,,2182.91,5868.42,11 HCPCS,29873,Knee arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29874,Knee arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29875,Knee arthroscopy/surgery,,,2810.02,9831.3,11 HCPCS,29876,Knee arthroscopy/surgery,,,2929.89,7270.58,11 HCPCS,29877,Knee arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29879,Knee arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29880,Knee arthroscopy/surgery,,,2764.97,5868.42,11 HCPCS,29881,Knee arthroscopy/surgery,,,3260.23,5868.42,7 HCPCS,29882,Knee arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29883,Knee arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29884,Knee arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29885,Knee arthroscopy/surgery,,,4745.33,13014.22,11 HCPCS,29886,Knee arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29887,Knee arthroscopy/surgery,,,2851.13,16706.21,11 HCPCS,29888,Knee arthroscopy/surgery,,,7230.12,13014.22,7 HCPCS,29889,Knee arthroscopy/surgery,,,8378.58,23026.52,11 HCPCS,29891,Ankle arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29892,Ankle arthroscopy/surgery,,,4745.33,13014.22,11 HCPCS,29893,Scope plantar fasciotomy,,,2182.91,5868.42,11 HCPCS,29894,Ankle arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29895,Ankle arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29897,Ankle arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29898,Ankle arthroscopy/surgery,,,2182.91,5868.42,11 HCPCS,29899,Ankle arthroscopy/surgery,,,4745.33,13014.22,11 HCPCS,29900,Mcp joint arthroscopy dx,,,2182.91,5868.42,11 HCPCS,29901,Mcp joint arthroscopy surg,,,2182.91,6622.23,11 HCPCS,29902,Mcp joint arthroscopy surg,,,1245.6,3278.8,11 HCPCS,29904,Subtalar arthro w/fb rmvl,,,2182.91,5868.42,11 HCPCS,29905,Subtalar arthro w/exc,,,2182.91,13014.22,11 HCPCS,29906,Subtalar arthro w/deb,,,2182.91,5868.42,11 HCPCS,29907,Subtalar arthro w/fusion,,,5758.46,23026.52,11 HCPCS,29914,Hip arthro w/femoroplasty,,,3750.34,13014.22,11 HCPCS,29915,Hip arthro acetabuloplasty,,,5758.46,13014.22,11 HCPCS,29916,Hip arthro w/labral repair,,,4617.88,13014.22,11 HCPCS,29999,Arthroscopy of joint,,,245.78,442.4,3 HCPCS,30000,Drainage of nose lesion,,,171.38,424.8,11 HCPCS,30020,Drainage of nose lesion,,,313.48,967.3,11 HCPCS,30020,"HC DRAIN ABSCESS/HEMATOMA,NASAL SEPTUM",474.0,474.0,,,0 HCPCS,30020,HC DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM,535.0,535.0,,,0 HCPCS,30100,HC BIOPSY INTRANASAL,3455.0,3455.0,,,0 HCPCS,30100,Intranasal biopsy,,,186.94,2782.81,11 HCPCS,30110,Removal of nose polyp(s),,,294.86,2782.81,11 HCPCS,30115,Removal of nose polyp(s),,,1684.24,5946.37,11 HCPCS,30117,Removal of intranasal lesion,,,1678.74,10827.37,11 HCPCS,30118,Removal of intranasal lesion,,,1684.24,5946.37,11 HCPCS,30120,Revision of nose,,,1684.24,5946.37,11 HCPCS,30124,Removal of nose lesion,,,1005.11,2965.84,11 HCPCS,30125,Removal of nose lesion,,,3650.62,10617.38,11 HCPCS,30130,Excise inferior turbinate,,,1684.24,5946.37,11 HCPCS,30140,Resect inferior turbinate,,,2258.7,5946.37,11 HCPCS,30150,Partial removal of nose,,,3650.62,10617.38,11 HCPCS,30160,Removal of nose,,,3650.62,10617.38,11 HCPCS,30200,Injection treatment of nose,,,147.73,967.3,11 HCPCS,30210,Nasal sinus therapy,,,188.86,2782.81,11 HCPCS,30220,Insert nasal septal button,,,1005.11,2782.81,11 HCPCS,30300,HC ED FB REMOVAL INTRANASAL,114.0,114.0,,,0 HCPCS,30300,Remove nasal foreign body,,,98.06,238.63,7 HCPCS,30310,Remove nasal foreign body,,,1678.74,5946.37,11 HCPCS,30320,Remove nasal foreign body,,,1005.11,2965.84,11 HCPCS,30400,Reconstruction of nose,,,3650.62,10617.38,11 HCPCS,30410,Reconstruction of nose,,,3650.62,10617.38,11 HCPCS,30420,Reconstruction of nose,,,5730.25,10617.38,7 HCPCS,30430,Revision of nose,,,2578.99,10617.38,11 HCPCS,30435,Revision of nose,,,3650.62,10617.38,11 HCPCS,30450,Revision of nose,,,3650.62,10617.38,11 HCPCS,30460,Revision of nose,,,4942.79,10827.33,11 HCPCS,30462,Revision of nose,,,4942.79,22585.13,11 HCPCS,30465,Repair Nasal Stenosis,,,4942.79,24458.79,11 HCPCS,30468,Rpr nsl vlv collapse w/implt,,,115.83,11362.83,11 HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,5144.92,11736.96,11 HCPCS,30520,Repair of nasal septum,,,3303.54,5946.37,7 HCPCS,30540,Repair nasal defect,,,3650.62,10617.38,11 HCPCS,30545,Repair nasal defect,,,3650.62,10617.38,11 HCPCS,30560,Release of nasal adhesions,,,428.37,967.3,11 HCPCS,30580,Repair upper jaw fistula,,,5230.05,13527.34,11 HCPCS,30600,Repair mouth/nose fistula,,,3650.62,10617.38,11 HCPCS,30620,Intranasal reconstruction,,,3650.62,10617.38,11 HCPCS,30630,Repair nasal septum defect,,,1684.24,6014.56,11 HCPCS,30801,Ablate inf turbinate superf,,,856.9,2782.81,11 HCPCS,30802,Ablate inf turbinate submuc,,,1005.11,2782.81,11 HCPCS,30901,Control of nosebleed,,,132.57,4572.08,7 HCPCS,30901,HC CONTRL NASAL HEMORRHAGE SIMPLE,112.0,112.0,,,0 HCPCS,30901,"HC CTRL NOSEBLEED,ANTER,SIMPLE",129.0,129.0,,,0 HCPCS,30901,HC ED CONTRL NASAL HEMORRHAGE SIMPLE,112.0,112.0,,,0 HCPCS,30903,Control of nosebleed,,,127.87,5089.49,11 HCPCS,30903,HC CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,177.0,177.0,,,0 HCPCS,30903,"HC CTRL NOSEBLEED,ANTER,COMPLEX",203.0,203.0,,,0 HCPCS,30903,HC ED CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX,177.0,177.0,,,0 HCPCS,30905,Control of nosebleed,,,96.8,238.63,11 HCPCS,30905,"HC CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT",240.0,240.0,,,0 HCPCS,30905,HC ED CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST,210.0,210.0,,,0 HCPCS,30906,HC ED CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ,347.0,347.0,,,0 HCPCS,30906,HC REPEAT CONTROL OF NOSEBLEED,308.0,308.0,,,0 HCPCS,30906,Repeat control of nosebleed,,,171.38,424.8,11 HCPCS,30915,Ligation nasal sinus artery,,,2284.6,5663.03,11 HCPCS,30920,Ligation upper jaw artery,,,2284.6,5663.03,11 HCPCS,30930,Ther fx nasal inf turbinate,,,2258.7,6124.23,11 HCPCS,30999,Nasal surgery procedure,,,236.0,424.8,3 HCPCS,31000,Irrigation maxillary sinus,,,171.38,424.8,11 HCPCS,31002,Irrigation sphenoid sinus,,,856.9,2782.81,11 HCPCS,31020,Exploration maxillary sinus,,,1684.24,5946.37,11 HCPCS,31030,Exploration maxillary sinus,,,3650.62,10617.38,11 HCPCS,31032,Explore sinus remove polyps,,,3650.62,10617.38,11 HCPCS,31040,Exploration behind upper jaw,,,2578.99,10617.38,11 HCPCS,31050,Exploration sphenoid sinus,,,3650.62,10617.38,11 HCPCS,31051,Sphenoid sinus surgery,,,3650.62,10617.38,11 HCPCS,31070,Exploration of frontal sinus,,,3650.62,10617.38,11 HCPCS,31075,Exploration of frontal sinus,,,3650.62,10617.38,11 HCPCS,31080,Removal of frontal sinus,,,3650.62,10617.38,11 HCPCS,31081,Removal of frontal sinus,,,3650.62,10617.38,11 HCPCS,31084,Removal of frontal sinus,,,3650.62,10617.38,11 HCPCS,31085,Removal of frontal sinus,,,3650.62,10617.38,11 HCPCS,31086,Removal of frontal sinus,,,3650.62,10617.38,11 HCPCS,31087,Removal of frontal sinus,,,3650.62,10617.38,11 HCPCS,31090,Exploration of sinuses,,,3650.62,10617.38,11 HCPCS,31200,Removal of ethmoid sinus,,,3650.62,10617.38,11 HCPCS,31201,Removal of ethmoid sinus,,,1546.0,13527.34,11 HCPCS,31205,Removal of ethmoid sinus,,,1684.24,5946.37,11 HCPCS,31231,HC NASAL ENDOSCOPY DX,215.0,215.0,,,0 HCPCS,31231,Nasal endoscopy dx,,,141.48,358.0,11 HCPCS,31233,Nasal/sinus endoscopy dx,,,350.29,701.48,11 HCPCS,31235,Nasal/sinus endoscopy dx,,,1019.44,3192.3,11 HCPCS,31237,Nasal/sinus endoscopy surg,,,1669.08,5897.05,11 HCPCS,31238,Nasal/sinus endoscopy surg,,,1407.9,6580.54,11 HCPCS,31239,Nasal/sinus endoscopy surg,,,2001.79,6686.89,11 HCPCS,31240,Nasal/sinus endoscopy surg,,,1019.44,3192.3,11 HCPCS,31241,Nsl/sins ndsc w/artery lig,,,697.86,3192.3,7 HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,4796.13,11593.32,11 HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,5064.61,11593.32,11 HCPCS,31253,Nsl/sins ndsc total,,,2953.15,15271.41,11 HCPCS,31254,Revision of ethmoid sinus,,,2663.84,12657.75,11 HCPCS,31255,Removal of ethmoid sinus,,,4069.17,12657.75,11 HCPCS,31256,Exploration maxillary sinus,,,2663.84,6686.89,11 HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,2953.15,15271.41,11 HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,2953.15,15271.41,11 HCPCS,31267,Endoscopy maxillary sinus,,,2663.84,12657.75,11 HCPCS,31276,Sinus endoscopy surgical,,,4069.17,12657.75,11 HCPCS,31287,Nasal/sinus endoscopy surg,,,4069.17,12657.75,11 HCPCS,31288,Nasal/sinus endoscopy surg,,,3062.14,12657.75,11 HCPCS,31292,Nasal/sinus endoscopy surg,,,4277.78,12657.75,7 HCPCS,31293,Nasal/sinus endoscopy surg,,,4277.78,12657.75,7 HCPCS,31294,Nasal/sinus endoscopy surg,,,4277.78,12657.75,7 HCPCS,31295,Sinus endo w/balloon dil,,,3062.14,12657.75,11 HCPCS,31296,Sinus endo w/balloon dil,,,4069.17,12657.75,11 HCPCS,31297,Sinus endo w/balloon dil,,,2663.84,12657.75,11 HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,2953.15,15271.41,11 HCPCS,31299,Sinus surgery procedure,,,236.0,424.8,3 HCPCS,31300,Removal of larynx lesion,,,1684.24,5946.37,11 HCPCS,31400,Revision of larynx,,,3650.62,10617.38,11 HCPCS,31420,Removal of epiglottis,,,3650.62,10617.38,11 HCPCS,31500,HC ED INTUBATION ENDOTRACHEAL,314.0,314.0,,,0 HCPCS,31500,HC INSERT EMERGENCY ENDOTRACH AIRWAY,321.0,321.0,,,0 HCPCS,31500,Insert emergency airway,,,171.38,424.8,11 HCPCS,31502,Change of windpipe airway,,,171.38,424.8,11 HCPCS,31502,HC TRACH TUBE CHANGE,349.0,349.0,,,0 HCPCS,31502,HC TRACHEOTOMY TUBE CHANGE,305.0,305.0,,,0 HCPCS,31502,HC TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT,305.0,305.0,,,0 HCPCS,31505,Diagnostic laryngoscopy,,,106.0,358.0,11 HCPCS,31510,Laryngoscopy with biopsy,,,1669.08,6686.89,11 HCPCS,31511,Remove foreign body larynx,,,141.48,358.0,11 HCPCS,31512,Removal of larynx lesion,,,2001.79,6686.89,11 HCPCS,31513,Injection into vocal cord,,,350.29,701.48,11 HCPCS,31515,Laryngoscopy for aspiration,,,350.29,1919.44,11 HCPCS,31520,Dx laryngoscopy newborn,,,350.29,701.48,11 HCPCS,31525,Dx laryngoscopy excl nb,,,1019.44,3192.3,11 HCPCS,31525,HC ED LARYNGOSCOPY DIRECT DIAGNOSTIC EXCEPT NEWBORN,2570.0,2570.0,,,0 HCPCS,31526,Dx laryngoscopy w/oper scope,,,1669.08,4948.46,11 HCPCS,31527,Laryngoscopy for treatment,,,2001.79,6686.89,11 HCPCS,31528,Laryngoscopy and dilation,,,2663.84,6686.89,11 HCPCS,31529,Laryngoscopy and dilation,,,2663.84,6686.89,11 HCPCS,31530,Laryngoscopy w/fb removal,,,1669.08,5618.04,11 HCPCS,31531,Laryngoscopy w/fb & op scope,,,1669.08,6686.89,11 HCPCS,31535,Laryngoscopy w/biopsy,,,2663.84,6686.89,11 HCPCS,31536,HC LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE,11508.0,11508.0,,,0 HCPCS,31536,Laryngoscopy w/bx & op scope,,,2001.79,6686.89,11 HCPCS,31540,Laryngoscopy w/exc of tumor,,,2001.79,6686.89,11 HCPCS,31541,Larynscop w/tumr exc + scope,,,2663.84,6686.89,11 HCPCS,31545,Remove vc lesion w/scope,,,2001.79,6686.89,11 HCPCS,31546,Remove vc lesion scope/graft,,,3062.14,12657.75,11 HCPCS,31551,Laryngoplasty laryngeal sten,,,3650.62,10617.38,7 HCPCS,31552,Laryngoplasty laryngeal sten,,,3650.62,10617.38,7 HCPCS,31553,Laryngoplasty laryngeal sten,,,3650.62,10617.38,7 HCPCS,31554,Laryngoplasty laryngeal sten,,,3650.62,10617.38,7 HCPCS,31560,Laryngoscop w/arytenoidectom,,,3062.14,12657.75,11 HCPCS,31561,Larynscop remve cart + scop,,,2663.84,12657.75,11 HCPCS,31570,Laryngoscope w/vc inj,,,1669.08,6686.89,11 HCPCS,31571,Laryngoscop w/vc inj + scope,,,2001.79,6686.89,11 HCPCS,31572,Largsc w/laser dstrj les,,,2699.01,6686.89,7 HCPCS,31573,Largsc w/ther injection,,,1374.52,3192.3,7 HCPCS,31574,Largsc w/njx augmentation,,,1374.52,3192.3,7 HCPCS,31575,Diagnostic laryngoscopy,,,138.74,358.0,11 HCPCS,31575,HC ED LARYNGOSCOPY FLEX DIAGNOSTIC,624.0,624.0,,,0 HCPCS,31575,HC LARYNGOSCOPY FLEX DIAGNOSTIC,594.0,594.0,,,0 HCPCS,31576,HC LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES),4958.0,4958.0,,,0 HCPCS,31576,Laryngoscopy with biopsy,,,1019.44,3192.3,11 HCPCS,31577,Largsc w/rmvl foreign bdy(s),,,350.29,701.48,11 HCPCS,31578,Largsc w/removal lesion,,,1669.08,6686.89,11 HCPCS,31579,HC LARYNGOSCOPY WITH STROBOSCOPY,745.0,745.0,,,0 HCPCS,31579,Laryngoscopy telescopic,,,186.3,701.48,11 HCPCS,31580,Laryngoplasty laryngeal web,,,3650.62,10617.38,11 HCPCS,31584,Laryngoplasty fx rdctj fixj,,,4050.3,10617.38,7 HCPCS,31587,Laryngoplasty cricoid split,,,4050.3,10617.38,7 HCPCS,31590,Reinnervate larynx,,,3650.62,10617.38,11 HCPCS,31591,Laryngoplasty medialization,,,3650.62,10617.38,7 HCPCS,31592,Cricotracheal resection,,,3650.62,10617.38,7 HCPCS,31599,Larynx surgery procedure,,,236.0,424.8,3 HCPCS,31600,HC TRACHEOSTOMY PLANNED,4853.0,4853.0,,,0 HCPCS,31600,Incision of windpipe,,,2131.24,5946.37,7 HCPCS,31601,Incision of windpipe,,,4050.3,10617.38,7 HCPCS,31603,Incision of windpipe,,,856.9,2782.81,11 HCPCS,31605,Incision of windpipe,,,236.0,985.44,11 HCPCS,31610,Incision of windpipe,,,4050.3,10617.38,7 HCPCS,31611,Surgery/speech prosthesis,,,1684.24,5946.37,11 HCPCS,31612,Puncture/clear windpipe,,,1684.24,5946.37,11 HCPCS,31613,Repair windpipe opening,,,1684.24,5946.37,11 HCPCS,31614,Repair windpipe opening,,,3650.62,10617.38,11 HCPCS,31615,HC TRACHEOBRONCH THROUGH TRACH,1472.0,1472.0,,,0 HCPCS,31615,Visualization of windpipe,,,428.37,985.44,11 HCPCS,31622,BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX,5669.0,5669.0,,,0 HCPCS,31622,Dx bronchoscope/wash,,,946.92,3192.3,11 HCPCS,31623,Dx bronchoscope/brush,,,1398.16,7947.52,11 HCPCS,31624,Dx bronchoscope/lavage,,,1398.16,3192.3,11 HCPCS,31624,"HC BRONCHOSCOPY,DIAGNOSTIC W LAVAGE",2379.5,2379.5,,,0 HCPCS,31624,HC ED BRNCHSC W/BRNCL ALVEOLAR LAVAGE,2748.0,2748.0,,,0 HCPCS,31625,Bronchoscopy w/biopsy(s),,,1398.16,7813.63,11 HCPCS,31626,Bronchoscopy w/markers,,,2989.99,12657.75,11 HCPCS,31628,Bronchoscopy/lung bx each,,,1398.16,9291.97,11 HCPCS,31629,Bronchoscopy/needle bx each,,,2989.99,6686.89,11 HCPCS,31630,Bronchoscopy dilate/fx repr,,,2989.99,7300.02,11 HCPCS,31631,Bronchoscopy dilate w/stent,,,2989.99,12657.75,11 HCPCS,31634,Bronch w/balloon occlusion,,,2989.99,12657.75,11 HCPCS,31635,Bronchoscopy w/fb removal,,,1398.16,6124.23,11 HCPCS,31635,HC ED BRONCH WITH FOREIGN BODY REMOVAL,2986.0,2986.0,,,0 HCPCS,31636,Bronchoscopy bronch stents,,,2989.99,12657.75,11 HCPCS,31638,Bronchoscopy revise stent,,,2989.99,12657.75,11 HCPCS,31640,Bronchoscopy w/tumor excise,,,2821.05,6686.89,11 HCPCS,31641,Bronchoscopy treat blockage,,,2989.99,6686.89,11 HCPCS,31643,Diag bronchoscope/catheter,,,1019.44,3192.3,11 HCPCS,31645,Bronchoscopy clear airways,,,1019.44,3192.3,11 HCPCS,31645,HC BRNCHSC W/THER ASPIR 1ST,1863.0,1863.0,,,0 HCPCS,31646,Bronchoscopy reclear airway,,,350.29,1607.88,11 HCPCS,31647,Bronchial valve init insert,,,2989.99,12657.75,11 HCPCS,31648,Bronchial valve remov init,,,2001.79,6686.89,11 HCPCS,31649,Bronchial valve remov addl,,,1019.44,3192.3,11 HCPCS,31652,Bronch ebus samplng 1/2 node,,,3714.94,7078.95,7 HCPCS,31653,Bronch ebus samplng 3/> node,,,3714.94,7693.49,7 HCPCS,31660,Bronch thermoplsty 1 lobe,,,1797.43,12657.75,7 HCPCS,31661,Bronch thermoplsty 2/> lobes,,,1797.43,12657.75,7 HCPCS,31717,Bronchial brush biopsy,,,350.29,701.48,11 HCPCS,31720,Clearance of airways,,,158.92,392.74,7 HCPCS,31720,HC BRONCHIAL ALVEOLAR LAVAGE,315.0,315.0,,,0 HCPCS,31730,Intro windpipe wire/tube,,,512.02,3192.3,11 HCPCS,31750,Repair of windpipe,,,3650.62,10617.38,11 HCPCS,31755,Repair of windpipe,,,3650.62,10617.38,11 HCPCS,31785,Remove windpipe lesion,,,4050.3,10617.38,7 HCPCS,31820,Closure of windpipe lesion,,,1684.24,5946.37,11 HCPCS,31820,SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT PLASTIC REPAIR,9911.0,9911.0,,,0 HCPCS,31825,Repair of windpipe defect,,,1684.24,5946.37,11 HCPCS,31830,Revise windpipe scar,,,1684.24,5946.37,11 HCPCS,31899,Airways surgical procedure,,,198.89,358.0,3 HCPCS,31899,HC PERCUTANEOUS TRACHEAL BIOPSY,1657.0,1657.0,,,0 HCPCS,31899,HC TRACH TAKEDOWN OR DOWNSIZE,277.0,277.0,,,0 HCPCS,32100,HC ED THORACOTOMY WITH EXPLORATION,7441.0,7441.0,,,0 HCPCS,32160,HC ED THORACOTOMY WITH CARDIAC MASSAGE,8552.0,8552.0,,,0 HCPCS,32400,HC BX PLEURA PERC NEEDLE,1617.0,1617.0,,,0 HCPCS,32400,Needle biopsy chest lining,,,809.71,2962.18,11 HCPCS,32408,Core ndl bx lng/med perq,,,19.86,3143.39,11 HCPCS,32408,HC CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG,2370.0,2370.0,,,0 HCPCS,32550,HC INSERTION TUNNLED PLEURAL CATH,3273.0,3273.0,,,0 HCPCS,32550,Insert pleural cath,,,2604.09,6421.55,11 HCPCS,32551,HC ED INSERTION OF CHEST TUBE,1439.0,1439.0,,,0 HCPCS,32551,HC INSERTION OF CHEST TUBE,1647.0,1647.0,,,0 HCPCS,32551,Insertion of chest tube,,,670.76,2823.29,7 HCPCS,32552,HC REM TUNN PLEURAL CATH WITH CUF,4331.0,4331.0,,,0 HCPCS,32552,HC RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF,4331.0,4331.0,,,0 HCPCS,32552,Remove lung catheter,,,625.05,1161.41,11 HCPCS,32553,Ins mark thor for rt perq,,,1031.91,2482.48,11 HCPCS,32554,Aspirate pleura w/o imaging,,,625.05,1161.41,11 HCPCS,32554,HC ED THORACENTESIS WO IMAGE GUIDANCE,912.0,912.0,,,0 HCPCS,32554,HC THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,1043.0,1043.0,,,0 HCPCS,32555,Aspirate pleura w/ imaging,,,625.05,3959.23,11 HCPCS,32555,HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,1048.0,1048.0,,,0 HCPCS,32555,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,1200.0,1200.0,,,0 HCPCS,32555,HC THORACENTESIS WITH IMAGE GUIDANCE,805.5,805.5,,,0 HCPCS,32556,HC INSERT CATH PLEURA WO IMAGE GUIDANCE,1671.0,1671.0,,,0 HCPCS,32556,Insert cath pleura w/o image,,,648.43,3441.61,11 HCPCS,32557,HC INSERT CATH PLEURA WITH IMAGE GUIDANCE,1941.0,1941.0,,,0 HCPCS,32557,Insert cath pleura w/ image,,,648.43,2823.29,11 HCPCS,32560,Treat pleurodesis w/agent,,,625.05,1176.6,7 HCPCS,32561,Lyse chest fibrin init day,,,625.05,1176.6,7 HCPCS,32562,Lyse chest fibrin subq day,,,625.05,1176.6,7 HCPCS,32601,Thoracoscopy diagnostic,,,4117.16,10842.82,7 HCPCS,32604,Thoracoscopy wbx sac,,,4117.16,19064.9,7 HCPCS,32606,Thoracoscopy w/bx med space,,,4117.16,10842.82,7 HCPCS,32607,Thoracoscopy w/bx infiltrate,,,4117.16,19064.9,7 HCPCS,32608,Thoracoscopy w/bx nodule,,,4117.16,19064.9,7 HCPCS,32609,Thoracoscopy w/bx pleura,,,4117.16,10842.82,7 HCPCS,32701,Thorax stereo rad targetw/tx,,,78.35,137.44,4 HCPCS,32960,Therapeutic pneumothorax,,,625.05,1161.41,11 HCPCS,32994,Ablate pulm tumor perq crybl,,,3502.79,19064.9,11 HCPCS,32994,HC ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION,21925.0,21925.0,,,0 HCPCS,32998,HC CT RF LUNG TISSUE ABLATION,16648.0,16648.0,,,0 HCPCS,32998,Perq rf ablate tx pul tumor,,,3651.57,10842.82,11 HCPCS,32999,Chest surgery procedure,,,625.05,1125.08,3 HCPCS,32999,HC INJECTION OF PLEURAL DRAIN,693.0,693.0,,,0 HCPCS,32999,HC PLEURAL DRAIN EXCHANGE,1285.0,1285.0,,,0 HCPCS,33016,HC ED PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,2875.0,2875.0,,,0 HCPCS,33016,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,2875.0,2875.0,,,0 HCPCS,33016,Pericardiocentesis w/imaging,,,1568.49,3643.74,9 HCPCS,33017,HC PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY,2875.0,2875.0,,,0 HCPCS,33017,Prcrd drg 6yr+ w/o cgen car,,,217.88,382.18,6 HCPCS,33018,Prcrd drg 0-5yr or w/anomly,,,244.08,428.15,6 HCPCS,33019,Perq prcrd drg insj cath ct,,,202.71,355.58,6 HCPCS,33206,HC PACEMAKER INSERT ATRIAL,11969.0,11969.0,,,0 HCPCS,33206,Insert heart pm atrial,,,10414.41,21839.93,11 HCPCS,33207,HC PACEMAKER INSERT VENTRICLE,11969.0,11969.0,,,0 HCPCS,33207,Insert heart pm ventricular,,,10414.41,21839.93,11 HCPCS,33208,HC PACEMAKER INSERT A/V LEADS,14694.0,14694.0,,,0 HCPCS,33208,Insrt heart pm atrial & vent,,,10414.41,22921.66,11 HCPCS,33210,HC BS TEMPORARY PACEMAKER INSERTION,7685.0,7685.0,,,0 HCPCS,33210,HC ED TEMPORARY PACEMAKER INSERTION,6715.0,6715.0,,,0 HCPCS,33210,HC HC TEMPORARY PACEMAKER INSERTION,6715.0,6715.0,,,0 HCPCS,33210,HC TEMPORARY PACEMAKER INSERTION,6715.0,6715.0,,,0 HCPCS,33210,Insert electrd/pm cath sngl,,,6574.5,15716.54,11 HCPCS,33211,Insert card electrodes dual,,,8245.63,17761.26,11 HCPCS,33212,HC INSERT NEW PPM TO EXIST SINGLE LEAD,9822.0,9822.0,,,0 HCPCS,33212,Insert pulse gen sngl lead,,,8245.63,17831.76,11 HCPCS,33213,HC INSERT NEW PPM TO EXIST DUAL LEADS,14097.0,14097.0,,,0 HCPCS,33213,Insert pulse gen dual leads,,,10414.41,24149.84,11 HCPCS,33214,Upgrade of pacemaker system,,,10414.41,23810.06,11 HCPCS,33215,HC REPOSITION RA OR RV LEAD,4181.0,4181.0,,,0 HCPCS,33215,Reposition pacing-defib lead,,,2088.47,6522.64,11 HCPCS,33216,HC INSERT ONE LEAD TO EXIST DEVICE,7672.0,7672.0,,,0 HCPCS,33216,Insert 1 electrode pm-defib,,,5538.09,15716.54,11 HCPCS,33217,HC INSERT TWO LEADS TO EXIST DEVICE,8056.0,8056.0,,,0 HCPCS,33217,Insert 2 electrode pm-defib,,,8245.63,17160.7,11 HCPCS,33218,HC REPAIR SINGLE LEAD,3384.0,3384.0,,,0 HCPCS,33218,Repair lead pace-defib one,,,2477.2,6702.34,11 HCPCS,33220,Repair lead pace-defib dual,,,2477.2,6702.34,11 HCPCS,33221,HC INSERT NEW PPM TO EXIST MULTI LEAD,14996.0,14996.0,,,0 HCPCS,33221,Insert pulse gen mult leads,,,19192.43,39958.13,11 HCPCS,33222,HC RELOCATE PPM POCKET,2619.0,2619.0,,,0 HCPCS,33222,Relocation pocket pacemaker,,,1381.8,3700.55,11 HCPCS,33223,HC RELOCATE ICD POCKET,2487.0,2487.0,,,0 HCPCS,33223,HC RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR,2391.0,2391.0,,,0 HCPCS,33223,Relocate pocket for defib,,,1688.66,3700.55,11 HCPCS,33224,HC LV LEAD ADDED TO EXIST DEVICE,8372.0,8372.0,,,0 HCPCS,33224,Insert pacing lead & connect,,,10414.41,24239.67,11 HCPCS,33225,HC LV LEAD ADDED TO NEW DEVICE,3467.0,3467.0,,,0 HCPCS,33226,HC REPOSITION LV LEAD,5099.0,5099.0,,,0 HCPCS,33226,Reposition l ventric lead,,,2088.47,6374.98,11 HCPCS,33227,HC PPM BATTERY CHANGE SINGLE LEAD,10058.0,10058.0,,,0 HCPCS,33227,Remove&replace pm gen singl,,,8245.63,17756.35,11 HCPCS,33228,HC PPM BATTERY CHANGE DUAL LEADS,11032.0,11032.0,,,0 HCPCS,33228,Remv&replc pm gen dual lead,,,9809.98,21839.93,11 HCPCS,33229,HC PPM BATTERY CHANGE MULTI LEAD,14996.0,14996.0,,,0 HCPCS,33229,Remv&replc pm gen mult leads,,,19192.43,38879.25,11 HCPCS,33230,Insrt pulse gen w/dual leads,,,22163.59,61063.36,11 HCPCS,33231,Insrt pulse gen w/mult leads,,,31275.99,84034.49,11 HCPCS,33233,HC PACEMAKER BATTERY REMOVAL,6569.0,6569.0,,,0 HCPCS,33233,Removal of pm generator,,,6574.5,15716.54,11 HCPCS,33234,HC REMOVE ONE PPM LEAD,2772.0,2772.0,,,0 HCPCS,33234,Removal of pacemaker system,,,2477.2,6702.34,11 HCPCS,33235,HC REMOVE TWO PPM LEADS,2983.0,2983.0,,,0 HCPCS,33235,Removal pacemaker electrode,,,1223.61,6702.34,11 HCPCS,33240,Insrt pulse gen w/singl lead,,,22163.59,60747.93,11 HCPCS,33241,HC ICD BATTERY REMOVAL,2772.0,2772.0,,,0 HCPCS,33241,Remove pulse generator,,,2283.25,6702.34,11 HCPCS,33244,HC REMOVE ICD LEADS,2752.0,2752.0,,,0 HCPCS,33244,Remove elctrd transvenously,,,1118.22,6702.34,7 HCPCS,33249,HC INSERT NEW ICD SYSTEM,26448.0,26448.0,,,0 HCPCS,33249,Insj/rplcmt defib w/lead(s),,,17644.9,75678.9,11 HCPCS,33262,HC ICD BATTERY CHANGE SINGLE LEAD,18567.0,18567.0,,,0 HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,9246.72,56434.63,11 HCPCS,33263,HC ICD BATTERY CHANGE DUAL LEAD,18567.0,18567.0,,,0 HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,8111.88,56434.63,11 HCPCS,33264,HC ICD BATTERY CHANGE MULTI LEAD,26448.0,26448.0,,,0 HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,14351.19,75678.9,11 HCPCS,33267,Excl laa open any method,,,1059.15,1857.88,4 HCPCS,33268,Excl laa opn oth px any meth,,,101.84,178.64,4 HCPCS,33269,Excl laa thrscp any method,,,888.55,1558.63,4 HCPCS,33270,HC INSERT NEW SUBQ ICD SYSTEM,26448.0,26448.0,,,0 HCPCS,33270,Ins/rep subq defibrillator,,,6434.29,75678.9,11 HCPCS,33271,Insj subq impltbl dfb elctrd,,,8245.63,18623.34,11 HCPCS,33272,HC REMOVE SUBQ ICD LEAD,2752.0,2752.0,,,0 HCPCS,33272,Rmvl of subq defibrillator,,,2509.61,6702.34,7 HCPCS,33273,HC REPOS PREV IMPLANTED SUBQ IMPLANT DFB,10204.0,10204.0,,,0 HCPCS,33273,Repos prev impltbl subq dfb,,,2477.2,6702.34,11 HCPCS,33274,HC INS SNGLE CHAMBER LEADLESS PPM,23369.0,23369.0,,,0 HCPCS,33274,Tcat insj/rpl perm ldls pm,,,10554.69,46355.74,11 HCPCS,33275,Tcat rmvl perm ldls pm,,,2093.27,7974.85,11 HCPCS,33276,HC INSERTION PHRENIC NERVE STIMULATOR SYSTEM,69862.0,69862.0,,,0 HCPCS,33276,Insj phrnc nrv stim sys,,,43888.09,93403.26,11 HCPCS,33277,Insj phrnc nrv stim transvns,,,260.38,456.73,4 HCPCS,33278,Rmvl phrnc nrv stim sys,,,2617.12,6735.91,11 HCPCS,33279,Rmvl phrnc nrv stim transvns,,,3297.5,6735.91,11 HCPCS,33280,HC RMVL PHRENIC NRV STIMULATOR PULSE GENERATOR ONLY,10167.0,10167.0,,,0 HCPCS,33280,Rmvl phrnc nrv stim pg only,,,2617.12,6735.91,11 HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,2617.12,6735.91,11 HCPCS,33285,HC INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,10902.0,10902.0,,,0 HCPCS,33285,Insj subq car rhythm mntr,,,5935.12,22353.24,11 HCPCS,33286,HC REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,1642.0,1642.0,,,0 HCPCS,33286,Rmvl subq car rhythm mntr,,,478.3,1749.05,11 HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,30746.74,61473.34,11 HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,11102.63,26967.22,11 HCPCS,33289,HC TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR,23226.0,23226.0,,,0 HCPCS,33289,Tcat impl wrls p-art prs snr,,,28580.21,88580.61,7 HCPCS,33340,HC LEFT ATRIAL APPENDAGE IMPLANT,7847.0,7847.0,,,0 HCPCS,33361,HC TAVR/TAVI WITHPROS VALVEPERC AP,14721.0,14721.0,,,0 HCPCS,33370,Tcat plmt&rmvl cepd perq,,,119.03,208.79,4 HCPCS,33418,HC PERC MITRAL VALVE REPAIR INITIAL,15787.0,15787.0,,,0 HCPCS,33419,HC PERC MITRAL VALVE REPAIR ADDTL,3946.0,3946.0,,,0 HCPCS,33440,Rplcmt a-valve tlcj autol pv,,,3725.34,6534.68,4 HCPCS,33509,Ndsc hrv uxtr art 1 sgm cab,,,125.63,220.37,4 HCPCS,33741,HC TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD,6242.0,6242.0,,,0 HCPCS,33741,Tas congenital car anomal,,,663.96,1164.66,4 HCPCS,33745,Tis cgen car anomal 1st shnt,,,965.28,1693.21,4 HCPCS,33746,Tis cgen car anomal ea addl,,,383.97,673.53,4 HCPCS,33858,As-aort grf f/aortic dsj,,,2848.92,4997.35,6 HCPCS,33859,As-aort grf f/ds oth/thn dsj,,,2116.71,3712.96,6 HCPCS,33866,Aortic hemiarch graft,,,1125.81,1974.8,4 HCPCS,33871,Transvrs a-arch grf hypthrm,,,2731.7,4791.72,6 HCPCS,33894,Evasc st rpr thrc/aa acrs br,,,870.07,1526.21,4 HCPCS,33895,Evasc st rpr thrc/aa x crsg,,,691.55,1213.07,4 HCPCS,33897,HC PERQ TRLUML ANGP NT/RECR COA,5327.0,5327.0,,,0 HCPCS,33897,Perq trluml angp nt/recr coa,,,514.37,902.27,4 HCPCS,33900,HC PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI,22026.0,22026.0,,,0 HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,9240.95,23333.17,11 HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,9240.95,23333.17,11 HCPCS,33902,HC PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL,22026.0,22026.0,,,0 HCPCS,33902,Perq p-art revsc 1 abnor uni,,,15357.04,37757.5,11 HCPCS,33903,HC PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL,56289.0,56289.0,,,0 HCPCS,33903,Perq p-art revsc 1 abnor bi,,,9240.95,23333.17,11 HCPCS,33904,HC PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL,5484.0,5484.0,,,0 HCPCS,33904,Perq p-art revsc each addl,,,243.59,427.29,4 HCPCS,33927,Impltj tot rplcmt hrt sys,,,2600.04,4560.77,4 HCPCS,33928,Rmvl & rplcmt tot hrt sys,,,2600.04,4560.77,4 HCPCS,33946,HC ECMO INITIAL DAY VV,4675.0,4675.0,,,0 HCPCS,33947,HC ECMO INITIAL DAY VA,4675.0,4675.0,,,0 HCPCS,33948,HC ECMO SUBSEQUENT DAY VV,3099.0,3099.0,,,0 HCPCS,33949,HC ECMO SUBSEQUENT DAY VA,3099.0,3099.0,,,0 HCPCS,33952,HC ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ,2390.0,2390.0,,,0 HCPCS,33966,HC ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER,2390.0,2390.0,,,0 HCPCS,33967,HC INTRA AORTIC BALLOON PLACEMENT,1829.0,1829.0,,,0 HCPCS,33968,HC RMV AORTIC BALLOON DEVICE,1004.0,1004.0,,,0 HCPCS,33990,"HC INSERT VAD, PERQ, W/RS&I LT HEART, ARTERIAL ACCESS ONLY",19022.0,19022.0,,,0 HCPCS,33992,HC REMOVAL PERQ R HEART VAD ARTERIAL CANNULA SEPT INSJ,2858.0,2858.0,,,0 HCPCS,33995,HC INSJ PERQ VAD W/RS&I R HEART VENOUS ACCESS ONLY,21136.0,21136.0,,,0 HCPCS,33995,Insj perq vad r hrt venous,,,325.32,570.64,4 HCPCS,33997,Rmvl perq right heart vad,,,145.31,254.9,4 HCPCS,33999,Cardiac surgery procedure,,,625.05,1125.08,3 HCPCS,33999,HC INSERT NEW PPM WITH LV LEADS,14012.0,14012.0,,,0 HCPCS,33999,HC LAA DEVICE LEAK OCCLUSION,7847.0,7847.0,,,0 HCPCS,34101,Removal of artery clot,,,3847.7,9980.06,7 HCPCS,34111,Removal of arm artery clot,,,3847.7,9980.06,7 HCPCS,34201,Removal of artery clot,,,3847.7,9980.06,7 HCPCS,34203,Removal of leg artery clot,,,3847.7,9980.06,7 HCPCS,34421,Removal of vein clot,,,2314.5,5663.03,7 HCPCS,34471,Removal of vein clot,,,625.05,1176.6,7 HCPCS,34490,Removal of vein clot,,,2284.6,5663.03,11 HCPCS,34501,Repair valve femoral vein,,,3847.7,9980.06,7 HCPCS,34510,Transposition of vein valve,,,3847.7,9980.06,7 HCPCS,34520,Cross-over vein graft,,,3847.7,9980.06,7 HCPCS,34530,Leg vein fusion,,,2314.5,5663.03,7 HCPCS,34701,Evasc rpr a-ao ndgft,,,1372.54,2407.59,4 HCPCS,34702,Evasc rpr a-ao ndgft rpt,,,1954.41,3428.27,4 HCPCS,34703,Evasc rpr a-unilac ndgft,,,1503.99,2638.17,4 HCPCS,34704,Evasc rpr a-unilac ndgft rpt,,,2364.24,4147.15,4 HCPCS,34705,Evac rpr a-biiliac ndgft,,,1654.77,2902.66,4 HCPCS,34706,Evasc rpr a-biiliac rpt,,,2385.52,4184.48,4 HCPCS,34707,Evasc rpr ilio-iliac ndgft,,,1241.08,2177.0,4 HCPCS,34708,Evasc rpr ilio-iliac rpt,,,1873.21,3285.84,4 HCPCS,34710,Dlyd plmt xtn prosth 1st vsl,,,982.04,1722.62,4 HCPCS,34712,Tcat dlvr enhncd fixj dev,,,1061.29,1861.62,4 HCPCS,34717,Evasc rpr a-iliac ndgft,,,256.5,449.93,6 HCPCS,34718,Evasc rpr n/a a-iliac ndgft,,,897.69,1574.66,6 HCPCS,35011,Repair defect of artery,,,3847.7,9980.06,7 HCPCS,35045,Repair defect of arm artery,,,3847.7,9980.06,7 HCPCS,35180,Repair blood vessel lesion,,,670.76,2823.29,7 HCPCS,35184,Repair blood vessel lesion,,,2314.5,5663.03,7 HCPCS,35188,Repair blood vessel lesion,,,3797.94,9980.06,11 HCPCS,35190,Repair blood vessel lesion,,,3847.7,9980.06,7 HCPCS,35201,Repair blood vessel lesion,,,3847.7,9980.06,7 HCPCS,35206,Repair blood vessel lesion,,,2314.5,5663.03,7 HCPCS,35207,Repair blood vessel lesion,,,2284.6,5663.03,11 HCPCS,35226,HC REPAIR BLOOD VESSEL DIRECT LOWER EXTREMITY,2874.0,2874.0,,,0 HCPCS,35226,Repair blood vessel lesion,,,528.58,1270.05,7 HCPCS,35231,Repair blood vessel lesion,,,2314.5,5663.03,7 HCPCS,35236,Repair blood vessel lesion,,,3847.7,9980.06,7 HCPCS,35256,Repair blood vessel lesion,,,3847.7,9980.06,7 HCPCS,35261,Repair blood vessel lesion,,,2314.5,5663.03,7 HCPCS,35266,Repair blood vessel lesion,,,3847.7,9980.06,7 HCPCS,35286,Repair blood vessel lesion,,,3847.7,9980.06,7 HCPCS,35321,Rechanneling of artery,,,3847.7,9980.06,7 HCPCS,35372,Rechanneling of artery,,,5544.48,9980.06,3 HCPCS,35702,Expl n/flwd surg uxtr art,,,445.41,781.31,6 HCPCS,35703,Expl n/flwd surg lxtr art,,,397.14,696.64,6 HCPCS,35800,Explore neck vessels,,,5544.48,9980.06,3 HCPCS,35860,Explore limb vessels,,,2314.5,5663.03,7 HCPCS,35875,Removal of clot in graft,,,3797.94,9980.06,11 HCPCS,35876,Removal of clot in graft,,,3797.94,9980.06,11 HCPCS,35879,Revise graft w/vein,,,3847.7,9980.06,7 HCPCS,35881,Revise graft w/vein,,,3847.7,9980.06,7 HCPCS,35883,Revise Graft w/Nonauto Graft,,,3847.7,9980.06,7 HCPCS,35884,Revise graft w/vein,,,3847.7,9980.06,7 HCPCS,35903,Excision graft extremity,,,2314.5,5663.03,7 HCPCS,36000,HC INTRO NEEDLE/INTRACATH,507.0,507.0,,,0 HCPCS,36000,Place needle in vein,,,466.08,817.56,4 HCPCS,36002,HC THROMBIN INJECTION WITH NEEDLE,436.0,436.0,,,0 HCPCS,36002,Pseudoaneurysm injection trt,,,251.28,1125.08,11 HCPCS,36005,HC INJECTION EXT VENOGRAPHY,422.0,422.0,,,0 HCPCS,36005,Injection ext venography,,,445.05,780.67,4 HCPCS,36010,HC INTRO OF CATH SVC OR IVC,2173.5,2173.5,,,0 HCPCS,36010,Place catheter in vein,,,924.25,1621.24,4 HCPCS,36011,HC VENOUS 1ST ORDER,1693.0,1693.0,,,0 HCPCS,36011,Place catheter in vein,,,1111.46,1949.64,4 HCPCS,36012,HC SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC,1701.0,1701.0,,,0 HCPCS,36012,HC VENOUS 2ND ORDER,995.0,995.0,,,0 HCPCS,36012,Place catheter in vein,,,1002.04,1757.69,4 HCPCS,36013,HC ARTERIAL CATH,1264.0,1264.0,,,0 HCPCS,36013,Place catheter in artery,,,1219.25,2138.71,4 HCPCS,36014,HC CATH PLACE PULMONARY ARTERY,1051.0,1051.0,,,0 HCPCS,36014,Place catheter in artery,,,966.45,1695.27,4 HCPCS,36015,HC CATH PLC SEG SUBSEG PULM,986.5,986.5,,,0 HCPCS,36015,Place catheter in artery,,,1318.2,2312.27,4 HCPCS,36100,Establish access to artery,,,635.95,1115.53,4 HCPCS,36140,Establish access to artery,,,634.67,1113.29,4 HCPCS,36140,HC EXTREMITY INJECTION NON SELECTIVE,1543.0,1543.0,,,0 HCPCS,36160,Establish access to aorta,,,714.34,1253.03,4 HCPCS,36200,HC INTRO OF CATH AORTA,1971.0,1971.0,,,0 HCPCS,36200,HC INTRODUCTION CATHETER AORTA,1715.0,1715.0,,,0 HCPCS,36200,Place catheter in aorta,,,1326.8,2327.37,4 HCPCS,36215,HC ART ARTERIO 1ST ABOV DIA,2294.0,2294.0,,,0 HCPCS,36215,HC HC ART ARTERIO 1ST ABOV DIA,2055.0,2055.0,,,0 HCPCS,36215,Place catheter in artery,,,4762.65,8354.26,4 HCPCS,36216,HC ART ARTERIO 2ND ABOV DIA,3801.0,3801.0,,,0 HCPCS,36216,Place catheter in artery,,,1254.95,2201.33,4 HCPCS,36217,HC ART ARTERIO 3RD ABOV DIA,4546.0,4546.0,,,0 HCPCS,36217,Place catheter in artery,,,2981.32,5229.59,4 HCPCS,36218,HC CTH SEL CATHPL EA ADDTL IN VASC FAM,1254.0,1254.0,,,0 HCPCS,36218,HC SEL CATHPL EA ADDTL IN VASC FAM,1254.0,1254.0,,,0 HCPCS,36221,HC ARCH ANGIOGRAM S&I,4307.0,4307.0,,,0 HCPCS,36221,Place cath thoracic aorta,,,2314.5,5663.03,7 HCPCS,36222,HC CAROTD XTRCRN ART CTH PL,4584.0,4584.0,,,0 HCPCS,36222,Place cath carotid/inom art,,,2314.5,5663.03,7 HCPCS,36223,HC CAROTD COM ART CTH PLC,9481.0,9481.0,,,0 HCPCS,36223,Place cath carotid/inom art,,,4631.47,9980.06,7 HCPCS,36224,HC CAROTD IN ART CTH PLC,13555.0,13555.0,,,0 HCPCS,36224,Place cath carotd art,,,3847.7,9980.06,7 HCPCS,36225,HC SUBCLAVIAN ART CATH PLC,13485.0,13485.0,,,0 HCPCS,36225,Place cath subclavian art,,,2314.5,5663.03,7 HCPCS,36226,HC VERTEBRAL ART CATH PLC,15509.0,15509.0,,,0 HCPCS,36226,Place cath vertebral art,,,3847.7,9980.06,7 HCPCS,36227,HC CAROTD XTRNL ART CTH PL,7903.0,7903.0,,,0 HCPCS,36227,HC SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,7903.0,7903.0,,,0 HCPCS,36228,HC PLC CATH INTRACRAN ART,5799.0,5799.0,,,0 HCPCS,36245,HC PLACE CATHETER IN ARTERY,1802.0,1802.0,,,0 HCPCS,36245,Ins cath abd/l-ext art 1st,,,2327.07,4081.96,4 HCPCS,36246,HC PL CATH ART 2ND BELOW DIA,1372.0,1372.0,,,0 HCPCS,36246,HC SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH,1194.0,1194.0,,,0 HCPCS,36246,Ins cath abd/l-ext art 2nd,,,1296.34,2273.93,4 HCPCS,36247,HC SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH,1986.0,1986.0,,,0 HCPCS,36247,HC SUP MESENT ARTERY 3RD ORDER,2284.0,2284.0,,,0 HCPCS,36247,HC TX SUP MESENT ARTERY 3RD ORDER,2065.0,2065.0,,,0 HCPCS,36247,Ins cath abd/l-ext art 3rd,,,1788.92,3137.97,4 HCPCS,36248,HC PL CATH ART EA ADDTL BELOW DI,1036.0,1036.0,,,0 HCPCS,36251,HC RENAL ANGIO UNILATERAL 1ST ORDE,5322.0,5322.0,,,0 HCPCS,36251,HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN,5332.0,5332.0,,,0 HCPCS,36251,Ins cath ren art 1st unilat,,,2314.5,5663.03,7 HCPCS,36252,HC RENAL ANGIO BILATERAL 1ST ORDER,5440.0,5440.0,,,0 HCPCS,36252,Ins cath ren art 1st bilat,,,2314.5,5663.03,7 HCPCS,36253,HC RENAL ANGIO UNILATERAL 2ND AND UP,7175.0,7175.0,,,0 HCPCS,36253,Ins cath ren art 2nd+ unilat,,,3847.7,9980.06,7 HCPCS,36254,Ins cath ren art 2nd+ bilat,,,2314.5,5663.03,7 HCPCS,36260,Insertion of infusion pump,,,2963.35,11418.17,11 HCPCS,36261,Revision of infusion pump,,,3110.41,6759.41,11 HCPCS,36262,Removal of infusion pump,,,2477.2,6702.34,11 HCPCS,36299,HC VASCULAR INJECTION,260.0,260.0,,,0 HCPCS,36400,Bl draw < 3 yrs fem/jugular,,,22.47,39.42,4 HCPCS,36405,Bl draw <3 yrs scalp vein,,,24.4,42.8,4 HCPCS,36405,HC VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN,29.0,29.0,,,0 HCPCS,36406,Bl draw <3 yrs other vein,,,21.2,37.19,4 HCPCS,36406,HC VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN,26.0,26.0,,,0 HCPCS,36410,HC ED VENIPUNCTURE 3 YRS OLDER,21.0,21.0,,,0 HCPCS,36410,HC NON ROUTINE BLOOD DRAW,23.0,23.0,,,0 HCPCS,36410,Non-routine bl draw 3/> yrs,,,17.99,31.56,4 HCPCS,36415,HC VENIPUNCTURE,18.0,18.0,,,0 HCPCS,36415,Routine venipuncture,,,9.34,17.24,7 HCPCS,36416,Capillary blood draw,,,23.82,41.78,4 HCPCS,36416,HC COLLECT CAP BLD SPEC,48.0,48.0,,,0 HCPCS,36416,HC TX COLLECT CAP BLD SPEC,48.0,48.0,,,0 HCPCS,36420,Vein access cutdown < 1 yr,,,53.47,238.63,7 HCPCS,36425,Vein access cutdown > 1 yr,,,258.44,801.21,7 HCPCS,36430,Blood transfusion service,,,81.48,791.26,11 HCPCS,36430,HC TRANSFUSION BLOOD OR BLOOD PRODUCT,983.0,983.0,,,0 HCPCS,36440,Bl push transfuse 2 yr/<,,,343.11,791.26,11 HCPCS,36450,Bl exchange/transfuse nb,,,343.11,791.26,11 HCPCS,36455,Bl exchange/transfuse non-nb,,,343.11,791.26,11 HCPCS,36456,Prtl exchange transfuse nb,,,347.63,791.26,7 HCPCS,36460,Transfusion service fetal,,,347.63,791.26,7 HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,1364.68,4924.19,11 HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,1364.68,4924.19,11 HCPCS,36468,Injection(s) spider veins,,,150.12,729.1,11 HCPCS,36470,Injection therapy of vein,,,185.65,729.1,11 HCPCS,36471,HC INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS,1216.0,1216.0,,,0 HCPCS,36471,Injection therapy of veins,,,193.65,729.1,11 HCPCS,36473,Endovenous mchnchem 1st vein,,,2284.6,5663.03,7 HCPCS,36475,Endovenous rf 1st vein,,,2284.6,5663.03,11 HCPCS,36478,Endovenous laser 1st vein,,,2284.6,5663.03,11 HCPCS,36481,HC PORTAL VEIN CATH,1387.0,1387.0,,,0 HCPCS,36481,Insertion of catheter vein,,,1319.78,2315.05,4 HCPCS,36482,Endoven ther chem adhes 1st,,,3710.88,13390.16,11 HCPCS,36500,HC SEL ORGAN BLOOD SAMPLE,1668.0,1668.0,,,0 HCPCS,36500,Insertion of catheter vein,,,77.09,135.23,4 HCPCS,36510,"HC CATH, VEIN UMBILICAL NEWBORN",127.0,127.0,,,0 HCPCS,36510,Insertion of catheter vein,,,79.66,139.73,4 HCPCS,36511,Apheresis wbc,,,1063.31,2793.29,11 HCPCS,36512,Apheresis rbc,,,1063.31,2793.29,11 HCPCS,36513,Apheresis platelets,,,343.11,1608.3,11 HCPCS,36514,Apheresis plasma,,,1063.31,2793.29,11 HCPCS,36516,Apheresis selective,,,3085.19,7811.71,11 HCPCS,36522,HC PHOTOPHERESIS,8010.0,8010.0,,,0 HCPCS,36522,Photopheresis,,,3085.19,7811.71,11 HCPCS,36555,HC ED INSERT CENTRAL LINE AGE 5 AND UNDER,3781.0,3781.0,,,0 HCPCS,36555,HC INSERT NON-TUNNEL CV CATH < 5 Y/O,3354.0,3354.0,,,0 HCPCS,36555,Insert non-tunnel cv cath,,,662.1,5663.03,11 HCPCS,36556,HC ED INSERT CENTRAL LINE AGE 5 AND OVER,2930.0,2930.0,,,0 HCPCS,36556,HC INSERT CENTRAL LINE AGE 5 AND OVER,2784.0,2784.0,,,0 HCPCS,36556,HC INSERT NON-TUNNEL CV CATH,3354.0,3354.0,,,0 HCPCS,36556,Insert non-tunnel cv cath,,,614.18,5663.03,11 HCPCS,36557,HC INSERT TUN CVC AGE 5 AND UNDER,8761.0,8761.0,,,0 HCPCS,36557,Insert tunneled cv cath,,,2963.35,9980.06,11 HCPCS,36558,HC ED INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>,2945.0,2945.0,,,0 HCPCS,36558,HC IMPLANT VENOUS TUNNELED,2791.5,2791.5,,,0 HCPCS,36558,Insert tunneled cv cath,,,1031.55,5663.03,11 HCPCS,36560,HC PORT A CATH PLACEMENT AGE 5 AND UNDER,8311.0,8311.0,,,0 HCPCS,36560,Insert tunneled cv cath,,,2284.6,5663.03,11 HCPCS,36561,HC PORT A CATH PLACEMENT,4265.5,4265.5,,,0 HCPCS,36561,Insert tunneled cv cath,,,2963.35,7404.28,11 HCPCS,36563,Insert tunneled cv cath,,,2963.35,9980.06,11 HCPCS,36565,HC INS 2 TUN CATH 2 SITE WO PORT,8311.0,8311.0,,,0 HCPCS,36565,Insert tunneled cv cath,,,2284.6,5663.03,11 HCPCS,36566,Insert tunneled cv cath,,,2963.35,9980.06,11 HCPCS,36568,HC INSERTION PICC W/O IMG GDN < 5 YR,1553.24,1553.24,,,0 HCPCS,36568,HC INSERTION PICC W/O IMG GDN LESS THAN 5 YR,2977.0,2977.0,,,0 HCPCS,36568,Insert picc cath,,,1117.72,9651.56,11 HCPCS,36569,HC INSERTION PICC W/O IMG GDN GREATER THAN 5 YR,2086.5,2086.5,,,0 HCPCS,36569,Insert picc cath,,,876.6,2823.29,11 HCPCS,36570,Insert picvad cath,,,2284.6,5663.03,11 HCPCS,36571,Insert picvad cath,,,2284.6,5663.03,11 HCPCS,36572,HC INSERTION PICC W/RS&I <5 YEARS,2631.0,2631.0,,,0 HCPCS,36572,Insj picc rs&i <5 yr,,,511.87,1871.81,11 HCPCS,36573,"HC ED INSERTION PICC W/RS&I, 5 YRS OR OLDER",1409.0,1409.0,,,0 HCPCS,36573,"HC INSERTION PICC W/RS&I, 5 YRS OR OLDER",1769.5,1769.5,,,0 HCPCS,36573,Insj picc rs&i 5 yr+,,,902.92,3301.71,11 HCPCS,36575,HC REPAIR CVA CATHETER,999.0,999.0,,,0 HCPCS,36575,Repair tunneled cv cath,,,625.05,1161.41,11 HCPCS,36576,Repair tunneled cv cath,,,662.1,2823.29,11 HCPCS,36578,Replace tunneled cv cath,,,2284.6,5663.03,11 HCPCS,36580,HC REPLC NON-TUNNL SAME ACCESS,2060.5,2060.5,,,0 HCPCS,36580,Replace cvad cath,,,662.1,2823.29,11 HCPCS,36581,HC REPLC CMPLT TNLD SAME ACCES,2791.5,2791.5,,,0 HCPCS,36581,Replace tunneled cv cath,,,2164.97,5663.03,11 HCPCS,36582,HC REPLC COMPLT TUNL WITH PT SAME,3986.5,3986.5,,,0 HCPCS,36582,Replace tunneled cv cath,,,2284.6,5663.03,11 HCPCS,36583,Replace tunneled cv cath,,,2963.35,11306.13,11 HCPCS,36584,HC COMPLETE REPLACEMENT PICC RS&I,1582.5,1582.5,,,0 HCPCS,36584,HC ED COMPLETE REPLACEMENT PICC RS&I,1702.0,1702.0,,,0 HCPCS,36584,Replace picc cath,,,517.39,2823.29,11 HCPCS,36585,Replace picvad cath,,,2284.6,5663.03,11 HCPCS,36589,HC REMOVE IMPLANT VEN TUNNELED,946.0,946.0,,,0 HCPCS,36589,Removal tunneled cv cath,,,625.05,1682.66,11 HCPCS,36590,HC REMOVE TUNLD CATH W PT/PUMP,1462.5,1462.5,,,0 HCPCS,36590,Removal tunneled cv cath,,,1117.72,2823.29,11 HCPCS,36591,Draw blood off venous device,,,71.66,238.63,7 HCPCS,36592,Collect blood from picc,,,71.66,238.63,7 HCPCS,36593,Declot vascular device,,,57.17,592.41,11 HCPCS,36593,HC DECLOTTING CATH/ACCESS DEVICE,605.0,605.0,,,0 HCPCS,36593,HC ED DECLOTTING CATH/ACCESS DEVICE,605.0,605.0,,,0 HCPCS,36593,HC OTH DECLOTTING CATH/ACCESS DEVICE,605.0,605.0,,,0 HCPCS,36595,HC RMV CVC OBSTR SEP ACCESS,2791.5,2791.5,,,0 HCPCS,36595,Mech remov tunneled cv cath,,,694.6,5663.03,11 HCPCS,36596,Mech remov tunneled cv cath,,,662.1,2823.29,11 HCPCS,36597,HC RPSTN CENTRAL CATH WITH FLUORO,1371.0,1371.0,,,0 HCPCS,36597,Reposition venous catheter,,,662.1,2823.29,11 HCPCS,36598,HC INJECTION WITH FLUORO EXISTING CV DEVICE,573.5,573.5,,,0 HCPCS,36598,Inj w/fluor eval cv device,,,201.46,667.92,11 HCPCS,36600,HC ARTERIAL PUNCTURE,156.0,156.0,,,0 HCPCS,36600,HC WITHDRAWAL OF ARTERIAL BLOOD,156.0,156.0,,,0 HCPCS,36600,Withdrawal of arterial blood,,,41.3,238.63,7 HCPCS,36620,HC ARTERIAL CANNULATION,102.0,102.0,,,0 HCPCS,36620,HC ED ARTERIAL CANNULATION,102.0,102.0,,,0 HCPCS,36620,"HC INSERT CATH,ART,PERCUT,SHORTTERM",116.0,116.0,,,0 HCPCS,36620,Insertion catheter artery,,,14.13,24.79,4 HCPCS,36625,"HC INSERT CATH,ART,CUTDOWN,SHORTTERM",213.0,213.0,,,0 HCPCS,36625,HC INSERTION CATHETER ARTERY,186.0,186.0,,,0 HCPCS,36625,Insertion catheter artery,,,36.63,64.25,4 HCPCS,36640,Insertion catheter artery,,,2284.6,5663.03,11 HCPCS,36660,"HC CATH, UMBILICAL ARTERY",167.0,167.0,,,0 HCPCS,36680,"HC INSERT NEEDLE,INTRAOSSEOUS INFUSN",413.0,413.0,,,0 HCPCS,36680,HC PLCMNT NDL INTRAOSSEOU,403.0,403.0,,,0 HCPCS,36680,Insert needle bone cavity,,,258.44,801.21,7 HCPCS,36800,Insertion of cannula,,,2963.35,9980.06,11 HCPCS,36810,Insertion of cannula,,,2284.6,5663.03,11 HCPCS,36815,Insertion of cannula,,,2963.35,9980.06,11 HCPCS,36818,Av fuse uppr arm cephalic,,,4268.07,16635.49,11 HCPCS,36819,Av fuse uppr arm basilic,,,3797.94,9980.06,11 HCPCS,36820,Av fusion/forearm vein,,,4268.07,12367.64,11 HCPCS,36821,Av fusion direct any site,,,3146.13,12939.93,11 HCPCS,36825,Artery-vein autograft,,,3797.94,9980.06,11 HCPCS,36830,Artery-vein nonautograft,,,3797.94,9980.06,11 HCPCS,36831,Open thrombect av fistula,,,3797.94,9980.06,11 HCPCS,36832,Av fistula revision open,,,3797.94,9980.06,11 HCPCS,36833,Av fistula revision,,,3797.94,9980.06,11 HCPCS,36835,Artery to vein shunt,,,2284.6,5663.03,11 HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,16252.26,37757.5,11 HCPCS,36837,Prq av fstl crt uxtr sep acs,,,17980.1,37757.5,11 HCPCS,36838,Dist revas ligation hemo,,,3847.7,9980.06,7 HCPCS,36860,External cannula declotting,,,258.67,2823.29,11 HCPCS,36861,Cannula declotting,,,2963.35,9980.06,11 HCPCS,36901,HC IR AV DIALYSIS SHUNT,1203.0,1203.0,,,0 HCPCS,36901,Intro cath dialysis circuit,,,662.1,2823.29,7 HCPCS,36902,HC IR TRANSLUMIN ANGIO PERIPH SEG,10040.0,10040.0,,,0 HCPCS,36902,Intro cath dialysis circuit,,,3658.24,10207.97,7 HCPCS,36903,Intro cath dialysis circuit,,,10118.72,20704.82,7 HCPCS,36904,HC IR MECHANICAL THROMBECT DIALYSIS CIRCUIT,13098.0,13098.0,,,0 HCPCS,36904,Thrmbc/nfs dialysis circuit,,,5340.11,10207.97,7 HCPCS,36905,HC IR DIALYSIS SHUNT MECH THR ANG,20872.0,20872.0,,,0 HCPCS,36905,Thrmbc/nfs dialysis circuit,,,10118.72,20704.82,7 HCPCS,36906,HC PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT,54099.0,54099.0,,,0 HCPCS,36906,Thrmbc/nfs dialysis circuit,,,15841.57,32878.29,7 HCPCS,36907,HC IR ANGIO CENTRAL DIALYSIS SEG,2452.0,2452.0,,,0 HCPCS,37182,HC TIPS INSERTION,12090.0,12090.0,,,0 HCPCS,37182,Insert hepatic shunt (tips),,,18265.72,32878.29,3 HCPCS,37183,HC TIPS REVISION,8829.0,8829.0,,,0 HCPCS,37183,Remove hepatic shunt (tips),,,4731.01,10207.97,7 HCPCS,37184,HC PRIM ART MECH THROMBECTOMY,11543.0,11543.0,,,0 HCPCS,37184,Prim art m-thrmbc 1st vsl,,,4268.07,32878.29,11 HCPCS,37185,HC PRIM ART MECH THROMBECTOMY ADD ON,3650.0,3650.0,,,0 HCPCS,37186,HC SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL,10804.0,10804.0,,,0 HCPCS,37187,HC VENOUS MECH THROMBECTOMY,11470.0,11470.0,,,0 HCPCS,37187,Venous mech thrombectomy,,,3797.94,20704.82,11 HCPCS,37188,Venous m-thrombectomy add-on,,,2284.6,5663.03,11 HCPCS,37191,HC IVC FILTER PLACEMENT,6276.5,6276.5,,,0 HCPCS,37191,Ins endovas vena cava filtr,,,3847.7,9980.06,7 HCPCS,37192,Redo endovas vena cava filtr,,,2314.5,5663.03,7 HCPCS,37193,HC IVC FILTER RETRIEVAL,2836.0,2836.0,,,0 HCPCS,37193,Rem endovas vena cava filter,,,2314.5,5663.03,7 HCPCS,37195,HC ED THROMBOLYSIS CEREBRAL IV INFUSION,573.0,573.0,,,0 HCPCS,37195,Thrombolytic therapy stroke,,,273.99,592.41,7 HCPCS,37197,HC REMOVE INTRAVASCULAR FOREIGN BODY,4486.0,4486.0,,,0 HCPCS,37197,HC TX REMOVE INTRAVASCULAR FOREIGN BODY,3434.5,3434.5,,,0 HCPCS,37197,Remove intrvas foreign body,,,2284.6,5663.03,11 HCPCS,37200,HC TRANSCATHETER BIOPSY,5481.0,5481.0,,,0 HCPCS,37200,Transcatheter biopsy,,,2963.35,9980.06,11 HCPCS,37211,HC THROMBOLYTIC ART THER INITIAL,6800.0,6800.0,,,0 HCPCS,37211,Thrombolytic art therapy,,,1117.72,9980.06,11 HCPCS,37212,HC THROMBOLYTIC VEN THER INITIAL,3517.5,3517.5,,,0 HCPCS,37212,Thrombolytic venous therapy,,,1117.72,5663.03,11 HCPCS,37213,HC THROMBOLYTIC THER SUBSEQUENTIAL,3403.0,3403.0,,,0 HCPCS,37213,Thromblytic art/ven therapy,,,670.76,5663.03,7 HCPCS,37214,Cessj therapy cath removal,,,670.76,5663.03,7 HCPCS,37214,HC THROMBOLYTIC THER REMOVAL,4603.0,4603.0,,,0 HCPCS,37215,HC TRANSCATH STENT CCA WITH EPS,2464.0,2464.0,,,0 HCPCS,37216,HC TRANSCATH STENT CCA WO EPS,2464.0,2464.0,,,0 HCPCS,37216,Transcath stent cca w/o eps,,,9440.25,16559.31,4 HCPCS,37220,HC ANGIOPLASTY ILIAC INIT VESSEL,7292.0,7292.0,,,0 HCPCS,37220,HC ILIAC TLA,7292.0,7292.0,,,0 HCPCS,37220,Iliac revasc,,,3960.67,6947.48,8 HCPCS,37221,HC ILIAC REVASC W/STENT,30928.0,30928.0,,,0 HCPCS,37221,HC ILIAC STENT,9256.0,9256.0,,,0 HCPCS,37221,Iliac revasc w/stent,,,7039.99,16858.28,8 HCPCS,37222,HC ILIAC TLA EACH ADDTL,5735.0,5735.0,,,0 HCPCS,37224,Fem/popl revas w/tla,,,4793.69,8408.7,8 HCPCS,37224,HC ANGIOPLASTY FEMORL POP UNI,6595.0,6595.0,,,0 HCPCS,37224,HC REVSE OPN/PRG FEM/POP W/ANGIOPLASTY UNI,6341.0,6341.0,,,0 HCPCS,37225,Fem/popl revas w/ather,,,12846.72,22534.68,8 HCPCS,37225,HC FEM/POP ATHRECTOMY,16022.0,16022.0,,,0 HCPCS,37226,Fem/popl revasc w/stent,,,6577.92,16858.28,8 HCPCS,37226,HC FEM/POP STENT,13865.0,13865.0,,,0 HCPCS,37226,HC REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL,15868.0,15868.0,,,0 HCPCS,37227,Fem/popl revasc stnt & ather,,,18851.84,33068.35,8 HCPCS,37227,HC FEM/POP STENT AND ATHRECTOMY,24247.0,24247.0,,,0 HCPCS,37228,HC REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI,9256.0,9256.0,,,0 HCPCS,37228,Tib/per revasc w/tla,,,7504.84,16858.28,8 HCPCS,37229,Tib/per revasc w/ather,,,5361.38,27092.56,8 HCPCS,37230,Tib/per revasc w/stent,,,17018.35,29852.19,8 HCPCS,37231,Tib/per revasc stent & ather,,,16796.74,29463.47,8 HCPCS,37236,HC ARTERIAL STENT INITIAL,8087.0,8087.0,,,0 HCPCS,37236,HC CTH ARTERIAL STENT INITIAL,8087.0,8087.0,,,0 HCPCS,37236,Open/perq place stent 1st,,,3264.28,20704.82,11 HCPCS,37238,HC CTH VENOUS STENT INITIAL,7922.0,7922.0,,,0 HCPCS,37238,HC VENOUS STENT INITIAL,7922.0,7922.0,,,0 HCPCS,37238,Open/perq place stent same,,,1501.86,20704.82,11 HCPCS,37239,HC CTH VENOUS STENT ADDITIONAL,5517.0,5517.0,,,0 HCPCS,37239,HC VENOUS STENT ADDITIONAL,1311.0,1311.0,,,0 HCPCS,37241,HC VASC EMBOLIZE/OCCLUDE VENOUS,17524.0,17524.0,,,0 HCPCS,37241,Vasc embolize/occlude venous,,,6374.45,20704.82,7 HCPCS,37242,HC CTH VASC EMBOLIZE/OCCLUDE ARTERY,15833.0,15833.0,,,0 HCPCS,37242,HC VASC EMBOLIZE/OCCLUDE ARTERY,15833.0,15833.0,,,0 HCPCS,37242,Vasc embolize/occlude artery,,,4035.6,32878.29,7 HCPCS,37243,HC VASC EMBOLIZE/OCCLUDE ORGAN,17114.0,17114.0,,,0 HCPCS,37243,Vasc embolize/occlude organ,,,11024.03,20704.82,7 HCPCS,37244,HC VASC EMBOLIZE/OCCLUDE BLEED,14328.5,14328.5,,,0 HCPCS,37244,Vasc embolize/occlude bleed,,,9562.07,20704.82,7 HCPCS,37246,HC IR ANGIOPL BALLN TRNSL 1ST ART,5327.0,5327.0,,,0 HCPCS,37246,HC IR PTA RENAL ARTERIES BILATERA,8207.0,8207.0,,,0 HCPCS,37246,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART,5919.0,5919.0,,,0 HCPCS,37246,Trluml balo angiop 1st art,,,5340.11,10207.97,7 HCPCS,37247,HC IR PTA BRACHIOENCEPH EA AD ART,6159.0,6159.0,,,0 HCPCS,37248,HC IR PTA VENOUS EACH,5109.0,5109.0,,,0 HCPCS,37248,HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,4940.0,4940.0,,,0 HCPCS,37248,Trluml balo angiop 1st vein,,,4143.65,10207.97,7 HCPCS,37249,HC IR PTA VENOUS EACH ADDL,2503.0,2503.0,,,0 HCPCS,37252,HC CTH IVUS NON CORONARY INITIAL VESSEL,17028.0,17028.0,,,0 HCPCS,37252,HC IVUS NON CORONARY INITIAL VESSEL,17028.0,17028.0,,,0 HCPCS,37253,HC CTH IVUS NON CORONARY EACH ADDTL,17028.0,17028.0,,,0 HCPCS,37253,HC IVUS NON CORONARY EACH ADDTL,17028.0,17028.0,,,0 HCPCS,37254,Revsc evasc ivt angio sf 1st,,,5671.1,10207.97,3 HCPCS,37256,Revsc evasc ivt angio cplx 1,,,5671.1,10207.97,3 HCPCS,37258,HC REVSC EVASC IVT ST PLMT UNI SF LES 1ST VSL,10284.0,10284.0,,,0 HCPCS,37258,Revsc evasc ivt stent sf 1st,,,11502.68,20704.82,3 HCPCS,37260,Revsc evasc ivt st cplx 1st,,,11502.68,20704.82,3 HCPCS,37263,HC REVSC EVASC FPVT ANGIOP UNI SF LES 1ST VSL,7046.0,7046.0,,,0 HCPCS,37263,Revsc evasc fpvt angio sf 1,,,5671.1,10207.97,3 HCPCS,37265,HC REVSC EVASC FPVT ANGIOP UNI CPLX LES 1ST VSL,7046.0,7046.0,,,0 HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,5671.1,10207.97,3 HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,11502.68,20704.82,3 HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,11502.68,20704.82,3 HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,18265.72,32878.29,3 HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,18265.72,32878.29,3 HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,18265.72,32878.29,3 HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,18265.72,32878.29,3 HCPCS,37280,HC REVSC EVASC TPVT ANGIOP UNI SF LES 1ST VSL,34508.0,34508.0,,,0 HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,11502.68,20704.82,3 HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,11502.68,20704.82,3 HCPCS,37284,Revsc evasc tpvt st sf 1st,,,18265.72,32878.29,3 HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,18265.72,32878.29,3 HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,18265.72,32878.29,3 HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,18265.72,32878.29,3 HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,18265.72,32878.29,3 HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,18265.72,32878.29,3 HCPCS,37296,HC REVSC EVASC IMVT ANGIOP UNI SF LES 1ST VSL,34508.0,34508.0,,,0 HCPCS,37296,Revsc evasc imvt angio sf 1,,,11502.68,20704.82,3 HCPCS,37298,Revsc evsc imvt angio cplx 1,,,11502.68,20704.82,3 HCPCS,37500,Endoscopy ligate perf veins,,,2877.83,6662.04,8 HCPCS,37501,Vascular endoscopy procedure,,,625.05,1125.08,3 HCPCS,37565,Ligation of neck vein,,,670.76,5663.03,7 HCPCS,37600,Ligation of neck artery,,,2314.5,5663.03,7 HCPCS,37605,Ligation of neck artery,,,2314.5,5663.03,7 HCPCS,37606,Ligation of neck artery,,,2314.5,5663.03,7 HCPCS,37607,Ligation of a-v fistula,,,2284.6,5663.03,11 HCPCS,37609,Temporal artery procedure,,,933.69,2962.18,11 HCPCS,37615,Ligation of neck artery,,,670.76,5663.03,7 HCPCS,37617,Ligation of abdomen artery,,,5544.48,9980.06,3 HCPCS,37619,Ligation of inf vena cava,,,3847.7,9980.06,7 HCPCS,37650,Revision of major vein,,,2284.6,5663.03,11 HCPCS,37700,Revise leg vein,,,2284.6,5663.03,11 HCPCS,37718,Ligate/strip short leg vein,,,2284.6,5663.03,11 HCPCS,37722,Ligate/strip long leg vein,,,2284.6,5663.03,11 HCPCS,37735,Removal of leg veins/lesion,,,2284.6,5663.03,11 HCPCS,37760,Ligate leg veins radical,,,2284.6,5663.03,11 HCPCS,37761,Ligate leg veins open,,,662.1,5663.03,11 HCPCS,37765,Stab phleb veins xtr 10-20,,,603.2,5663.03,11 HCPCS,37766,Phleb veins - extrem 20+,,,677.73,5663.03,11 HCPCS,37780,Revision of leg vein,,,662.1,5663.03,11 HCPCS,37785,Ligate/divide/excise vein,,,2284.6,5663.03,11 HCPCS,37790,Penile venous occlusion,,,2114.87,6322.15,11 HCPCS,37799,HC EXTERNAL CAROTID ANGIOGRAPHY W/O BSE PROCEDURE,3653.0,3653.0,,,0 HCPCS,37799,HC FIBRIN SHEATHOPLASTY,1040.0,1040.0,,,0 HCPCS,37799,HC THROMBIN INJECTION W/NEEDLE,679.0,679.0,,,0 HCPCS,37799,HC VENOUS ABLATION,3847.0,3847.0,,,0 HCPCS,37799,Vascular surgery procedure,,,625.05,1125.08,3 HCPCS,38120,Laparoscopy splenectomy,,,6833.79,19064.9,7 HCPCS,38129,Laparoscope proc spleen,,,6023.79,10842.82,3 HCPCS,38200,Injection for spleen x-ray,,,68.07,119.4,4 HCPCS,38204,Bl donor search management,,,49.46,86.76,4 HCPCS,38205,Harvest allogeneic stem cell,,,51.38,90.13,4 HCPCS,38206,Harvest auto stem cells,,,1063.31,2793.29,11 HCPCS,38207,Cryopreserve stem cells,,,347.63,791.26,7 HCPCS,38207,HC ALLO TRNSPL CRYO/STORE CELL,2497.5,2497.5,,,0 HCPCS,38207,HC AUTO TRNSPL CRYO/STORE CELL,3047.0,3047.0,,,0 HCPCS,38208,HC AUTO TRNSPL THAW CELL WO WASH,1630.0,1630.0,,,0 HCPCS,38208,HC BMT TRANSPL THAW CELL WO WASH,1233.0,1233.0,,,0 HCPCS,38208,Thaw preserved stem cells,,,347.63,791.26,7 HCPCS,38209,Wash harvest stem cells,,,347.63,791.26,7 HCPCS,38210,T-cell depletion of harvest,,,347.63,791.26,7 HCPCS,38211,Tumor cell deplete of harvst,,,347.63,791.26,7 HCPCS,38212,Rbc depletion of harvest,,,347.63,791.26,7 HCPCS,38213,Platelet deplete of harvest,,,347.63,791.26,7 HCPCS,38214,HC AUTO TRNSPL PLASMA DEPLETN,3446.0,3446.0,,,0 HCPCS,38214,Volume deplete of harvest,,,347.63,791.26,7 HCPCS,38215,Harvest stem cell concentrte,,,347.63,791.26,7 HCPCS,38220,Bone marrow aspiration,,,227.4,2962.18,11 HCPCS,38220,HC DIAGNOSTIC BONE MARROW ASPIRATION,1544.0,1544.0,,,0 HCPCS,38221,Bone marrow biopsy,,,284.46,2962.18,11 HCPCS,38221,HC BONE MARROW BIOPSY,1443.5,1443.5,,,0 HCPCS,38221,HC DIAGNOSTIC BONE MARROW BIOPSY,2420.5,2420.5,,,0 HCPCS,38222,Dx bone marrow bx & aspir,,,198.41,5209.69,11 HCPCS,38222,HC BONE MARROW ASP POST BX,2439.0,2439.0,,,0 HCPCS,38222,HC BONE MARROW BIOPSY,2569.5,2569.5,,,0 HCPCS,38225,Car-t hrv bld-drv t lymphcyt,,,79.04,138.64,4 HCPCS,38226,Car-t prep t lymphcyt f/trns,,,32.26,56.58,4 HCPCS,38227,Car-t receipt&prepj admn,,,32.26,56.58,4 HCPCS,38228,Car-t admn autologous,,,329.12,623.67,7 HCPCS,38228,HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION,2843.0,2843.0,,,0 HCPCS,38230,Bone marrow harvest allogen,,,1063.31,4336.72,11 HCPCS,38232,Bone marrow harvest autolog,,,3771.06,7811.71,11 HCPCS,38240,HC TRNSPL ALLO SCT BMT,44370.34,44370.34,,,0 HCPCS,38240,Transplt allo hct/donor,,,27222.56,112814.87,7 HCPCS,38241,HC TRNSPL AUTO SCT BMT,5103.97,5103.97,,,0 HCPCS,38241,Transplt autol hct/donor,,,1063.31,4336.72,11 HCPCS,38242,HC TRNSPL ALLO SCT BMT LYMPH INF,2751.65,2751.65,,,0 HCPCS,38242,Transplt allo lymphocytes,,,1063.31,2793.29,11 HCPCS,38243,Transplj hematopoietic boost,,,1063.31,2793.29,11 HCPCS,38300,Drainage lymph node lesion,,,933.69,5209.69,11 HCPCS,38305,Drainage lymph node lesion,,,933.69,5209.69,11 HCPCS,38308,Incision of lymph channels,,,1802.57,7022.44,11 HCPCS,38500,Biopsy/removal lymph nodes,,,2465.17,7022.44,11 HCPCS,38500,HC EXC BIOPSY LYMPH NODES,3922.0,3922.0,,,0 HCPCS,38505,HC BIOPSY NDLE SUPER LYMPH NOD,1372.0,1372.0,,,0 HCPCS,38505,Needle biopsy lymph nodes,,,608.57,2962.18,11 HCPCS,38510,Biopsy/removal lymph nodes,,,2465.17,7022.44,11 HCPCS,38520,Biopsy/removal lymph nodes,,,1802.57,7022.44,11 HCPCS,38525,Biopsy/removal lymph nodes,,,2465.17,7022.44,11 HCPCS,38530,Biopsy/removal lymph nodes,,,1802.57,7022.44,11 HCPCS,38531,Open bx/exc inguinofem nodes,,,3901.35,8501.63,7 HCPCS,38542,Explore deep node(s) neck,,,3651.57,10842.82,11 HCPCS,38550,Removal neck/armpit lesion,,,1802.57,7022.44,11 HCPCS,38555,Removal neck/armpit lesion,,,3106.78,11909.32,11 HCPCS,38562,Removal pelvic lymph nodes,,,8144.0,14659.2,3 HCPCS,38570,Laparoscopy lymph node biop,,,3651.57,10842.82,11 HCPCS,38571,Laparoscopy lymphadenectomy,,,5866.58,19064.9,11 HCPCS,38572,Laparoscopy lymphadenectomy,,,5008.21,19064.9,11 HCPCS,38573,Laps pelvic lymphadec,,,5626.09,23846.37,11 HCPCS,38589,Laparoscope proc lymphatic,,,6023.79,10842.82,3 HCPCS,38700,Removal of lymph nodes neck,,,3106.78,11915.68,11 HCPCS,38720,Removal of lymph nodes neck,,,6359.74,11909.32,7 HCPCS,38740,Remove armpit lymph nodes,,,3651.57,10842.82,11 HCPCS,38745,Remove armpit lymph nodes,,,5529.06,10842.82,11 HCPCS,38760,Remove groin lymph nodes,,,3106.78,11909.32,11 HCPCS,38790,HC NM INJECTION LYMPHANGIOGRAM,3095.0,3095.0,,,0 HCPCS,38790,Inject for lymphatic x-ray,,,57.17,100.28,4 HCPCS,38792,HC NM SENTINAL NODE INJECTION,600.0,600.0,,,0 HCPCS,38792,Ra tracer id of sentinl node,,,249.78,717.0,7 HCPCS,38794,Access thoracic lymph duct,,,233.82,410.15,4 HCPCS,38794,"HC CANNULATION, THORACIC DUCT",2601.0,2601.0,,,0 HCPCS,38999,Blood/lymph system procedure,,,439.59,791.26,3 HCPCS,39401,Mediastinoscpy w/medstnl bx,,,4117.16,10842.82,7 HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,4635.03,10842.82,7 HCPCS,40490,Biopsy of lip,,,147.73,424.8,11 HCPCS,40490,HC BIOPSY OF LIP,294.0,294.0,,,0 HCPCS,40500,Partial excision of lip,,,1678.74,8475.8,11 HCPCS,40510,Partial excision of lip,,,1684.24,5946.37,11 HCPCS,40520,Partial excision of lip,,,1678.74,5946.37,11 HCPCS,40525,Reconstruct lip with flap,,,1684.24,5946.37,11 HCPCS,40527,Reconstruct lip with flap,,,3650.62,10617.38,11 HCPCS,40530,Partial removal of lip,,,1684.24,5946.37,11 HCPCS,40650,HC RPR LIP FULL THICKNESS VERMILION ONLY,2145.0,2145.0,,,0 HCPCS,40650,Repair lip,,,428.37,985.44,11 HCPCS,40652,HC REPAIR LIP,621.0,621.0,,,0 HCPCS,40652,Repair lip,,,428.37,985.44,11 HCPCS,40654,"HC REPAIR LIP,>1/2 VERT HEIGHT",1427.0,1427.0,,,0 HCPCS,40654,Repair lip,,,856.9,2782.81,11 HCPCS,40700,Repair cleft lip/nasal,,,4942.79,15530.46,11 HCPCS,40701,Repair cleft lip/nasal,,,3650.62,10617.38,11 HCPCS,40702,Repair cleft lip/nasal,,,3650.62,10617.38,11 HCPCS,40720,Repair cleft lip/nasal,,,3303.54,14970.98,11 HCPCS,40761,Repair cleft lip/nasal,,,3650.62,10617.38,11 HCPCS,40799,HC ED UNLISTED INCISION AND DRAINAGE OF LIP,1062.0,1062.0,,,0 HCPCS,40799,Lip surgery procedure,,,236.0,424.8,3 HCPCS,40800,Drainage of mouth lesion,,,214.62,1270.05,11 HCPCS,40800,"HC DRAIN MOUTH ABSC/CYST/HEMATOMA,SIMPL",792.0,792.0,,,0 HCPCS,40800,HC ED DRAINAGE OF MOUTH LESION SIMPLE,692.0,692.0,,,0 HCPCS,40800,HC I&D ABSCESS DENTOALVEOLAR,692.0,692.0,,,0 HCPCS,40801,Drainage of mouth lesion,,,428.37,985.44,11 HCPCS,40801,"HC DRAIN MOUTH ABSC/CYST/HEMAT,COMPLX",556.0,556.0,,,0 HCPCS,40801,HC ED DRG ABSC CST HMTMA VESTIBULE MOUTH COMP,604.0,604.0,,,0 HCPCS,40804,HC ED RMVL EMBEDDED FB VESTIBULE MOUTH SMPL,828.0,828.0,,,0 HCPCS,40804,"HC REMOVAL FOREIGN BODY,MOUTH,SIMPLE",942.0,942.0,,,0 HCPCS,40804,Removal foreign body mouth,,,258.44,1626.7,7 HCPCS,40805,Removal foreign body mouth,,,389.92,967.3,11 HCPCS,40806,Incision of lip fold,,,170.24,967.3,11 HCPCS,40808,Biopsy of mouth lesion,,,271.09,967.3,11 HCPCS,40808,HC BIOPSY OF MOUTH LESION,650.0,650.0,,,0 HCPCS,40810,Excision of mouth lesion,,,383.02,5946.37,11 HCPCS,40812,Excise/repair mouth lesion,,,465.41,5618.04,11 HCPCS,40814,Excise/repair mouth lesion,,,1684.24,5946.37,11 HCPCS,40816,Excision of mouth lesion,,,1684.24,5946.37,11 HCPCS,40818,Excise oral mucosa for graft,,,428.37,967.3,11 HCPCS,40819,Excise lip or cheek fold,,,1005.11,2782.81,11 HCPCS,40820,Treatment of mouth lesion,,,394.44,5946.37,11 HCPCS,40830,HC ED CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/<,376.0,376.0,,,0 HCPCS,40830,Repair mouth laceration,,,171.38,553.62,11 HCPCS,40831,HC ED CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL,1094.0,1094.0,,,0 HCPCS,40831,Repair mouth laceration,,,428.37,985.44,11 HCPCS,40840,Reconstruction of mouth,,,2578.99,10617.38,11 HCPCS,40842,Reconstruction of mouth,,,3650.62,10617.38,11 HCPCS,40843,Reconstruction of mouth,,,2578.99,10617.38,11 HCPCS,40844,Reconstruction of mouth,,,3650.62,10617.38,11 HCPCS,40845,Reconstruction of mouth,,,3650.62,10617.38,11 HCPCS,40899,Mouth surgery procedure,,,236.0,424.8,3 HCPCS,41000,Drainage of mouth lesion,,,201.06,967.3,11 HCPCS,41000,HC INTRAORAL I&D ABSCESS,779.0,779.0,,,0 HCPCS,41005,Drainage of mouth lesion,,,171.38,553.62,11 HCPCS,41005,HC INTRAORAL INCISION,468.0,468.0,,,0 HCPCS,41006,Drainage of mouth lesion,,,1005.11,2965.84,11 HCPCS,41007,Drainage of mouth lesion,,,1546.0,4709.85,11 HCPCS,41008,Drainage of mouth lesion,,,1678.74,5946.37,11 HCPCS,41008,HC INTRAORAL I&D SUBMANDIBULAR,2859.0,2859.0,,,0 HCPCS,41009,Drainage of mouth lesion,,,428.37,967.3,11 HCPCS,41009,HC INTRAORAL I&D TONGUE,696.0,696.0,,,0 HCPCS,41010,HC INCISION OF TONGUE,1886.0,1886.0,,,0 HCPCS,41010,Incision of tongue fold,,,856.9,5095.06,11 HCPCS,41015,Drainage of mouth lesion,,,428.37,967.3,11 HCPCS,41016,Drainage of mouth lesion,,,2578.99,10617.38,11 HCPCS,41017,Drainage of mouth lesion,,,1678.74,5946.37,11 HCPCS,41018,Drainage of mouth lesion,,,856.9,2782.81,11 HCPCS,41019,Place needles h&n for rt,,,2578.99,10617.38,11 HCPCS,41100,Biopsy of tongue,,,206.85,967.3,11 HCPCS,41100,"HC BIOPSY TONGUE, ANTER 2/3",1238.0,1238.0,,,0 HCPCS,41105,Biopsy of tongue,,,208.13,5946.37,11 HCPCS,41105,HC BIOPSY TONGUE POSTERIOR ONE-THIRD,8716.0,8716.0,,,0 HCPCS,41108,Biopsy of floor of mouth,,,193.34,2962.18,11 HCPCS,41108,HC BS BIOPSY FLOOR MOUTH,5604.0,5604.0,,,0 HCPCS,41110,Excision of tongue lesion,,,376.99,5946.37,11 HCPCS,41112,Excision of tongue lesion,,,1678.74,5946.37,11 HCPCS,41113,Excision of tongue lesion,,,1678.74,5946.37,11 HCPCS,41114,Excision of tongue lesion,,,1684.24,5946.37,11 HCPCS,41115,Excision of tongue fold,,,324.41,2782.81,11 HCPCS,41116,Excision of mouth lesion,,,1684.24,5946.37,11 HCPCS,41120,Partial removal of tongue,,,3650.62,10617.38,11 HCPCS,41250,HC REP LAC TONGUE,403.0,403.0,,,0 HCPCS,41250,"HC REPAIR TONGUE LACER,<2.6CM",343.0,343.0,,,0 HCPCS,41250,Repair tongue laceration,,,171.91,801.21,11 HCPCS,41251,Repair tongue laceration,,,171.38,553.62,11 HCPCS,41252,HC REP LAC TOUNGUE OVER 2.6CM,312.0,312.0,,,0 HCPCS,41252,"HC REPAIR TONGUE LACER,2.6CM+/COMPLX",286.0,286.0,,,0 HCPCS,41252,Repair tongue laceration,,,236.0,985.44,11 HCPCS,41510,Tongue to lip surgery,,,1678.74,5946.37,11 HCPCS,41512,Tongue suspension,,,3650.62,10617.38,11 HCPCS,41520,Reconstruction tongue fold,,,2606.48,5946.37,11 HCPCS,41530,Tongue base vol reduction,,,1548.8,5946.37,11 HCPCS,41599,Tongue and mouth surgery,,,236.0,424.8,3 HCPCS,41800,Drainage of gum lesion,,,98.06,246.81,11 HCPCS,41800,HC ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS,266.0,266.0,,,0 HCPCS,41800,HC DRAINAGE OF GUM LESION,305.0,305.0,,,0 HCPCS,41800,HC I&D ABSC DENTOALVEOLAR,266.0,266.0,,,0 HCPCS,41805,Removal foreign body gum,,,358.45,2782.81,11 HCPCS,41806,Removal foreign body jawbone,,,450.31,2782.81,11 HCPCS,41820,Excision gum each quadrant,,,1684.24,5946.37,11 HCPCS,41821,Excision of gum flap,,,856.9,2782.81,11 HCPCS,41822,Excision of gum lesion,,,404.7,2782.81,11 HCPCS,41823,Excision of gum lesion,,,572.37,10617.38,11 HCPCS,41825,Excision of gum lesion,,,289.72,5946.37,11 HCPCS,41826,Excision of gum lesion,,,527.57,8755.82,11 HCPCS,41827,Excision of gum lesion,,,3650.62,10617.38,11 HCPCS,41828,Excision of gum lesion,,,338.54,2782.81,11 HCPCS,41830,Removal of gum tissue,,,649.36,9831.3,11 HCPCS,41850,Treatment of gum lesion,,,1005.11,2965.84,11 HCPCS,41870,Gum graft,,,1546.0,5684.21,11 HCPCS,41872,Repair gum,,,478.57,5946.37,11 HCPCS,41874,HC ALVEOLOPLASTY EACH QUADRANT SPECIFY,10122.0,10122.0,,,0 HCPCS,41874,Repair tooth socket,,,469.59,5946.37,11 HCPCS,41899,Dental surgery procedure,,,236.0,424.8,3 HCPCS,41899,HC ED UNLISTED ASPIRATION OF DENTAL ABSCESS,859.0,859.0,,,0 HCPCS,41899,HC ED UNLISTED DENTAL SEAL PROCEDURE,541.0,541.0,,,0 HCPCS,41899,HC ED UNLISTED TOOTH 1-3 EXTRACTIONS,465.0,465.0,,,0 HCPCS,41899,HC ED UNLISTED TOOTH REIMPLANTATION,689.0,689.0,,,0 HCPCS,41899,HC UNLISTED TOOTH 1-3 EXTRACTIONS,469.5,469.5,,,0 HCPCS,41899,HC UNLISTED TOOTH 10-12 EXTRACTIONS,1805.5,1805.5,,,0 HCPCS,41899,HC UNLISTED TOOTH 4-6 EXTRACTIONS,744.0,744.0,,,0 HCPCS,41899,HC UNLISTED TOOTH 7-9 EXTRACTIONS,1116.5,1116.5,,,0 HCPCS,42000,Drainage mouth roof lesion,,,171.38,553.62,11 HCPCS,42000,HC DRAINAGE ABSCESS PALATE/UVULA,247.0,247.0,,,0 HCPCS,42000,HC ED DRAINAGE ABSCESS PALATE UVULA,216.0,216.0,,,0 HCPCS,42100,Biopsy roof of mouth,,,242.96,4322.32,11 HCPCS,42104,Excision lesion mouth roof,,,274.94,5946.37,11 HCPCS,42106,Excision lesion mouth roof,,,474.71,6600.33,11 HCPCS,42107,Excision lesion mouth roof,,,4942.79,10617.38,11 HCPCS,42120,Remove palate/lesion,,,2578.99,10617.38,11 HCPCS,42140,Excision of uvula,,,1678.74,11538.44,11 HCPCS,42145,Repair palate pharynx/uvula,,,3982.65,10617.38,11 HCPCS,42160,Treatment mouth roof lesion,,,293.56,5946.37,11 HCPCS,42180,Repair palate,,,428.37,967.3,11 HCPCS,42182,Repair palate,,,2578.99,10617.38,11 HCPCS,42200,Reconstruct cleft palate,,,3650.62,10617.38,11 HCPCS,42205,Reconstruct cleft palate,,,1684.24,5946.37,11 HCPCS,42210,Reconstruct cleft palate,,,4942.79,16521.96,11 HCPCS,42215,Reconstruct cleft palate,,,2821.05,10617.38,11 HCPCS,42220,Reconstruct cleft palate,,,3650.62,10617.38,11 HCPCS,42225,Reconstruct cleft palate,,,3650.62,10617.38,11 HCPCS,42226,Lengthening of palate,,,3650.62,10617.38,11 HCPCS,42227,Lengthening of palate,,,3650.62,10617.38,11 HCPCS,42235,Repair palate,,,3650.62,10617.38,11 HCPCS,42260,Repair nose to lip fistula,,,2578.99,10617.38,11 HCPCS,42280,Preparation palate mold,,,185.0,967.3,11 HCPCS,42281,Insertion palate prosthesis,,,1678.74,10617.38,11 HCPCS,42299,Palate/uvula surgery,,,236.0,424.8,3 HCPCS,42300,Drainage of salivary gland,,,856.9,2782.81,11 HCPCS,42305,Drainage of salivary gland,,,1684.24,5946.37,11 HCPCS,42310,Drainage of salivary gland,,,428.37,967.3,11 HCPCS,42320,Drainage of salivary gland,,,428.37,967.3,11 HCPCS,42330,HC REMOVAL OF SALIVARY STONE,3253.0,3253.0,,,0 HCPCS,42330,HC SAILOLITHOTOMY-UNCOMP,3451.0,3451.0,,,0 HCPCS,42330,Removal of salivary stone,,,262.72,5946.37,11 HCPCS,42335,Removal of salivary stone,,,440.05,5946.37,11 HCPCS,42340,Removal of salivary stone,,,1678.74,5946.37,11 HCPCS,42400,Biopsy of salivary gland,,,190.23,1270.05,11 HCPCS,42400,HC BIOPSY OF SALIVARY GLAND ND,692.5,692.5,,,0 HCPCS,42405,Biopsy of salivary gland,,,1546.0,2965.84,11 HCPCS,42408,Excision of salivary cyst,,,1684.24,5946.37,11 HCPCS,42409,Drainage of salivary cyst,,,1684.24,5946.37,11 HCPCS,42410,Excise parotid gland/lesion,,,3650.62,10617.38,11 HCPCS,42415,Excise parotid gland/lesion,,,4942.79,10617.38,11 HCPCS,42420,Excise parotid gland/lesion,,,4942.79,18367.01,11 HCPCS,42425,Excise parotid gland/lesion,,,3650.62,10617.38,11 HCPCS,42440,Excise submaxillary gland,,,4942.79,10617.38,11 HCPCS,42450,Excise sublingual gland,,,3650.62,10617.38,11 HCPCS,42500,Repair salivary duct,,,2578.99,10617.38,11 HCPCS,42505,Repair salivary duct,,,3650.62,10617.38,11 HCPCS,42507,Parotid duct diversion,,,3650.62,10617.38,11 HCPCS,42509,Parotid duct diversion,,,3650.62,10617.38,11 HCPCS,42510,Parotid duct diversion,,,1684.24,5946.37,11 HCPCS,42550,HC INJECTION SIALOGRAM,522.0,522.0,,,0 HCPCS,42550,Injection for salivary x-ray,,,161.24,282.83,4 HCPCS,42600,Closure of salivary fistula,,,1678.74,5946.37,11 HCPCS,42650,Dilation of salivary duct,,,97.65,2782.81,11 HCPCS,42660,Dilation of salivary duct,,,143.25,967.3,11 HCPCS,42665,Ligation of salivary duct,,,1684.24,5946.37,11 HCPCS,42699,Salivary surgery procedure,,,236.0,424.8,3 HCPCS,42700,Drainage of tonsil abscess,,,171.38,553.62,11 HCPCS,42700,HC I&D PERITONSILLAR ABSC,600.0,600.0,,,0 HCPCS,42700,HC INC/DRAIN PERITONSIL ABSCESS,687.0,687.0,,,0 HCPCS,42700,HC TX I&D PERITONSILLAR ABSC,600.0,600.0,,,0 HCPCS,42720,Drainage of throat abscess,,,1678.74,5946.37,11 HCPCS,42725,Drainage of throat abscess,,,3650.62,10617.38,11 HCPCS,42800,Biopsy of throat,,,186.3,2782.81,11 HCPCS,42800,HC BIOPSY OROPHARYNX,1391.0,1391.0,,,0 HCPCS,42804,Biopsy of upper nose/throat,,,1678.74,5946.37,11 HCPCS,42806,Biopsy of upper nose/throat,,,1684.24,5946.37,11 HCPCS,42808,Excise pharynx lesion,,,1684.24,5946.37,11 HCPCS,42809,HC FB REMOV FROM PHARYNX,369.0,369.0,,,0 HCPCS,42809,Remove pharynx foreign body,,,258.44,801.21,7 HCPCS,42810,Excision of neck cyst,,,2578.99,7300.03,11 HCPCS,42815,Excision of neck cyst,,,4942.79,15530.51,11 HCPCS,42820,Remove tonsils and adenoids,,,5730.25,10617.38,7 HCPCS,42821,Remove tonsils and adenoids,,,2258.7,5946.37,11 HCPCS,42825,Removal of tonsils,,,3407.57,10617.38,11 HCPCS,42826,Removal of tonsils,,,2258.7,5946.37,11 HCPCS,42830,Removal of adenoids,,,3303.54,5946.5,7 HCPCS,42831,Removal of adenoids,,,2258.7,7789.53,11 HCPCS,42835,Removal of adenoids,,,2578.99,5946.37,11 HCPCS,42836,Removal of adenoids,,,1684.24,5946.37,11 HCPCS,42842,Extensive surgery of throat,,,4050.3,10617.38,7 HCPCS,42844,Extensive surgery of throat,,,4050.3,10617.38,7 HCPCS,42860,Excision of tonsil tags,,,1684.24,5946.37,11 HCPCS,42870,Excision of lingual tonsil,,,2578.99,10617.38,11 HCPCS,42890,Partial removal of pharynx,,,3650.62,10617.38,11 HCPCS,42892,Revision of pharyngeal walls,,,3650.62,10617.38,11 HCPCS,42900,Repair throat wound,,,1005.11,2965.84,11 HCPCS,42950,Reconstruction of throat,,,3650.62,10617.38,11 HCPCS,42955,Surgical opening of throat,,,1005.11,2965.84,11 HCPCS,42960,Control throat bleeding,,,171.91,6022.15,11 HCPCS,42962,Control throat bleeding,,,2578.99,5964.35,11 HCPCS,42970,Control nose/throat bleeding,,,171.38,424.8,11 HCPCS,42972,Control nose/throat bleeding,,,1678.74,5946.37,11 HCPCS,42975,Dise eval slp do brth flx dx,,,136.68,3192.3,11 HCPCS,42999,HC ED ASPIRATION PERITONSILLAR ABSCESS,895.0,895.0,,,0 HCPCS,42999,Throat surgery procedure,,,236.0,424.8,3 HCPCS,43020,Incision of esophagus,,,1018.28,2782.81,7 HCPCS,43030,Throat muscle surgery,,,3650.62,10617.38,11 HCPCS,43130,Removal of esophagus pouch,,,3650.62,10617.38,11 HCPCS,43180,Esophagoscopy rigid trnso,,,2578.99,10617.38,11 HCPCS,43191,Esophagoscopy rigid trnso dx,,,988.04,3441.61,11 HCPCS,43192,Esophagoscp rig trnso inject,,,1089.23,3441.61,11 HCPCS,43193,Esophagoscp rig trnso biopsy,,,1089.23,3441.61,11 HCPCS,43194,Esophagoscp rig trnso rem fb,,,1089.23,3441.61,11 HCPCS,43195,Esophagoscopy rigid balloon,,,1411.09,6914.9,11 HCPCS,43196,Esophagoscp guide wire dilat,,,1411.09,3565.78,11 HCPCS,43197,Esophagoscopy flex dx brush,,,231.9,1626.7,11 HCPCS,43198,Esophagosc flex trnsn biopsy,,,247.31,1626.7,11 HCPCS,43200,Esophagoscopy flexible brush,,,903.72,1626.7,7 HCPCS,43201,Esoph scope w/submucous inj,,,1089.23,3441.61,11 HCPCS,43202,Esophagoscopy flex biopsy,,,988.04,3441.61,11 HCPCS,43204,Esoph scope w/sclerosis inj,,,988.04,3441.61,11 HCPCS,43205,Esophagus endoscopy/ligation,,,1420.12,3441.61,7 HCPCS,43206,Esoph optical endomicroscopy,,,1089.23,3441.61,11 HCPCS,43210,Egd esophagogastrc fndoplsty,,,3138.14,19064.9,7 HCPCS,43211,Esophagoscop mucosal resect,,,1089.23,3441.61,11 HCPCS,43212,Esophagoscop stent placement,,,3175.17,10888.32,11 HCPCS,43213,Esophagoscopy retro balloon,,,1089.23,3441.61,11 HCPCS,43214,Esophagosc dilate balloon 30,,,1089.23,3441.61,11 HCPCS,43215,Esophagoscopy flex remove fb,,,1089.23,3441.61,11 HCPCS,43216,Esophagoscopy lesion removal,,,1089.23,3441.61,11 HCPCS,43217,Esophagoscopy snare les remv,,,1089.23,3441.61,11 HCPCS,43220,Esophagoscopy balloon <30mm,,,1089.23,3441.61,11 HCPCS,43226,Esoph endoscopy dilation,,,1089.23,3441.61,11 HCPCS,43227,Esophagoscopy control bleed,,,1089.23,3441.61,11 HCPCS,43229,Esophagoscopy lesion ablate,,,2032.81,6914.9,11 HCPCS,43231,Esophagoscop ultrasound exam,,,1089.23,3441.61,11 HCPCS,43232,Esophagoscopy w/us needle bx,,,1089.23,3441.61,11 HCPCS,43233,Egd balloon dil esoph30 mm/>,,,1089.23,3441.61,11 HCPCS,43235,Egd diagnostic brush wash,,,903.72,2029.55,7 HCPCS,43236,Uppr gi scope w/submuc inj,,,903.72,1626.7,7 HCPCS,43237,Endoscopic us exam esoph,,,1420.12,3441.61,7 HCPCS,43238,Egd us fine needle bx/aspir,,,1912.01,6153.86,11 HCPCS,43239,Egd biopsy single/multiple,,,903.72,2029.55,7 HCPCS,43240,Egd w/transmural drain cyst,,,2032.81,10888.32,11 HCPCS,43241,Egd tube/cath insertion,,,988.04,3441.61,11 HCPCS,43242,Egd us fine needle bx/aspir,,,1411.09,5486.21,11 HCPCS,43243,Egd injection varices,,,994.36,3441.61,7 HCPCS,43244,Egd varices ligation,,,1420.12,3441.61,7 HCPCS,43245,Egd dilate stricture,,,1420.12,3441.61,7 HCPCS,43246,Egd place gastrostomy tube,,,1420.12,3441.61,7 HCPCS,43246,HC EGD PLACE GASTROSTOMY TUBE,1903.0,1903.0,,,0 HCPCS,43247,Egd remove foreign body,,,903.72,1626.7,7 HCPCS,43247,HC ESOPHAGOGASTRODUODENO W/FB REM,1337.0,1337.0,,,0 HCPCS,43248,Egd guide wire insertion,,,903.72,1626.7,7 HCPCS,43249,Esoph egd dilation <30 mm,,,1420.12,3441.61,7 HCPCS,43250,Egd cautery tumor polyp,,,1420.12,3441.61,7 HCPCS,43251,Egd remove lesion snare,,,1420.12,3441.61,7 HCPCS,43252,Egd optical endomicroscopy,,,1411.09,3565.78,11 HCPCS,43253,Egd us transmural injxn/mark,,,1089.23,3441.61,11 HCPCS,43254,Egd endo mucosal resection,,,1089.23,3441.61,11 HCPCS,43255,Egd control bleeding any,,,1420.12,3441.61,7 HCPCS,43257,Egd w/thrml txmnt gerd,,,2537.86,6966.8,11 HCPCS,43259,Egd us exam duodenum/jejunum,,,1411.09,3441.61,11 HCPCS,43260,Ercp w/specimen collection,,,2032.81,6914.9,11 HCPCS,43261,Endo cholangiopancreatograph,,,2588.05,13701.02,11 HCPCS,43262,Endo cholangiopancreatograph,,,2588.05,6914.9,11 HCPCS,43263,Ercp sphincter pressure meas,,,1912.01,3565.78,11 HCPCS,43264,Ercp remove duct calculi,,,2588.05,7657.79,11 HCPCS,43265,Ercp lithotripsy calculi,,,2588.05,16139.33,11 HCPCS,43266,Egd endoscopic stent place,,,3175.17,10888.32,11 HCPCS,43266,HC EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION,12565.0,12565.0,,,0 HCPCS,43270,Egd lesion ablation,,,1420.12,3441.61,7 HCPCS,43274,Ercp duct stent placement,,,3175.17,10888.32,11 HCPCS,43275,Ercp remove forgn body duct,,,1912.01,5650.69,11 HCPCS,43276,Ercp stent exchange w/dilate,,,3138.14,10888.32,11 HCPCS,43277,Ercp ea duct/ampulla dilate,,,2032.81,6914.9,11 HCPCS,43278,Ercp lesion ablate w/dilate,,,2032.81,6914.9,11 HCPCS,43280,Laparoscopy fundoplasty,,,4636.11,19064.9,7 HCPCS,43281,Lap paraesophag hern repair,,,5895.96,19064.9,7 HCPCS,43282,Lap paraesoph her rpr w/mesh,,,10591.61,19064.9,3 HCPCS,43284,Laps esophgl sphnctr agmntj,,,8298.57,19064.9,7 HCPCS,43285,Rmvl esophgl sphnctr dev,,,4923.4,10842.82,7 HCPCS,43286,Esphg tot w/laps moblj,,,4894.69,8585.87,4 HCPCS,43287,Esphg dstl 2/3 w/laps moblj,,,5441.77,9545.51,4 HCPCS,43288,Esphg thrsc moblj,,,5675.67,9955.8,4 HCPCS,43289,Laparoscope proc esoph,,,6023.79,10842.82,3 HCPCS,43290,Egd flx trnsorl dplmnt balo,,,1181.42,3828.14,11 HCPCS,43291,Egd flx trnsorl rmvl balo,,,674.82,1814.54,11 HCPCS,43420,Repair esophagus opening,,,2131.24,5946.37,7 HCPCS,43450,Dilate esophagus 1/mult pass,,,903.72,1626.7,7 HCPCS,43453,Dilate esophagus,,,1420.12,3441.61,7 HCPCS,43497,Transorl lwr esophgl myotomy,,,3994.0,10888.32,7 HCPCS,43499,Esophagus surgery procedure,,,903.72,1626.7,3 HCPCS,43510,Surgical opening of stomach,,,686.12,1626.7,7 HCPCS,43647,Lap impl electrode antrum,,,5632.97,19984.73,7 HCPCS,43648,Lap revise/remv eltrd antrum,,,4117.16,19064.9,7 HCPCS,43651,Laparoscopy vagus nerve,,,4117.16,10842.82,7 HCPCS,43652,Laparoscopy vagus nerve,,,4117.16,10842.82,7 HCPCS,43653,Laparoscopy gastrostomy,,,5008.21,11415.25,11 HCPCS,43659,Laparoscope proc stom,,,6023.79,10842.82,3 HCPCS,43752,HC ED GI NASO OR ORO-GAST TUBE PL,376.0,376.0,,,0 HCPCS,43752,HC GI NASO OR ORO-GAST TUBE PL,376.0,376.0,,,0 HCPCS,43752,Nasal/orogastric w/tube plmt,,,200.06,801.21,11 HCPCS,43753,Tx gastro intub w/asp,,,215.15,399.54,7 HCPCS,43754,Dx gastr intub w/asp spec,,,215.15,399.54,7 HCPCS,43755,Dx gastr intub w/asp specs,,,123.0,502.52,11 HCPCS,43756,Dx duod intub w/asp spec,,,211.41,1626.7,11 HCPCS,43757,Dx duod intub w/asp specs,,,211.41,1626.7,11 HCPCS,43761,HC GI REPOSITION N-G TO N-J,644.0,644.0,,,0 HCPCS,43761,Reposition gastrostomy tube,,,209.08,1136.25,11 HCPCS,43762,HC ED PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,581.0,581.0,,,0 HCPCS,43762,HC PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,623.0,623.0,,,0 HCPCS,43762,Rplc gtube no revj trc,,,191.04,698.65,11 HCPCS,43763,Rplc gtube revj gstrst trc,,,191.04,698.65,11 HCPCS,43770,Lap place gastr adj device,,,6833.79,19064.9,7 HCPCS,43772,Lap rmvl gastr adj device,,,3841.61,6914.9,3 HCPCS,43773,Lap replace gastr adj device,,,6023.79,10842.82,3 HCPCS,43774,Lap rmvl gastr adj all parts,,,3841.61,6914.9,3 HCPCS,43830,Place gastrostomy tube,,,1308.77,3441.61,7 HCPCS,43831,Place gastrostomy tube,,,686.12,1626.7,7 HCPCS,43840,Repair of stomach lesion,,,3841.61,6914.9,3 HCPCS,43842,V-band gastroplasty,,,5372.34,9423.72,4 HCPCS,43870,Repair stomach opening,,,2537.86,9651.58,11 HCPCS,43886,Revise gastric port open,,,2424.06,6355.77,11 HCPCS,43887,Remove gastric port open,,,1381.8,3700.55,11 HCPCS,43888,Change gastric port open,,,2424.06,6355.77,11 HCPCS,43889,Gstr rstcv px trnsorl esg,,,10591.61,19064.9,3 HCPCS,43999,HC ADJUSTMENT OF GASTRIC BAND DIAMETER VIA SUBCUTANEOUS PORT BY INJECTION OR ASPIRATION,389.0,389.0,,,0 HCPCS,43999,Stomach surgery procedure,,,903.72,1626.7,3 HCPCS,44100,Biopsy of bowel,,,677.26,1626.7,11 HCPCS,44180,Lap enterolysis,,,3658.24,10842.82,7 HCPCS,44186,Lap jejunostomy,,,4117.16,10842.82,7 HCPCS,44238,Laparoscope proc intestine,,,6023.79,10842.82,3 HCPCS,44300,Open bowel to skin,,,1912.01,3441.61,3 HCPCS,44312,Revision of ileostomy,,,2424.06,6355.77,11 HCPCS,44314,Revision of ileostomy,,,3530.98,6355.77,3 HCPCS,44340,Revision of colostomy,,,2424.06,6355.77,11 HCPCS,44345,Revision of colostomy,,,3530.98,6355.77,3 HCPCS,44346,Revision of colostomy,,,3530.98,6355.77,3 HCPCS,44360,Small bowel endoscopy,,,1089.23,3441.61,11 HCPCS,44361,Small bowel endoscopy/biopsy,,,1136.83,3441.61,7 HCPCS,44363,Small bowel endoscopy,,,1089.23,3441.61,11 HCPCS,44364,Small bowel endoscopy,,,1089.23,3441.61,11 HCPCS,44365,Small bowel endoscopy,,,1089.23,3441.61,11 HCPCS,44366,Small bowel endoscopy,,,1089.23,3441.61,11 HCPCS,44369,Small bowel endoscopy,,,1089.23,3441.61,11 HCPCS,44370,Small Bowel Endoscopy/Stent,,,3175.17,10888.32,11 HCPCS,44372,Small bowel endoscopy,,,1089.23,3441.61,11 HCPCS,44373,Small bowel endoscopy,,,1089.23,3441.61,11 HCPCS,44376,Small bowel endoscopy,,,1136.83,3441.61,7 HCPCS,44377,Small bowel endoscopy/biopsy,,,1666.25,3441.61,7 HCPCS,44378,Small bowel endoscopy,,,1089.23,3441.61,11 HCPCS,44379,S Bowel Endoscope W/Stent,,,3138.14,10888.32,11 HCPCS,44380,Small bowel endoscopy br/wa,,,903.72,1626.7,7 HCPCS,44381,Small bowel endoscopy br/wa,,,1089.23,3441.61,11 HCPCS,44382,Small bowel endoscopy,,,903.72,1626.7,7 HCPCS,44384,Small bowel endoscopy,,,1129.57,3565.78,11 HCPCS,44385,Endoscopy of bowel pouch,,,926.61,1667.9,7 HCPCS,44386,Endoscopy bowel pouch/biop,,,926.61,1667.9,7 HCPCS,44388,Colonoscopy thru stoma spx,,,926.61,1667.9,7 HCPCS,44389,Colonoscopy with biopsy,,,1053.4,2146.21,7 HCPCS,44390,Colonoscopy for foreign body,,,849.34,1667.9,11 HCPCS,44391,Colonoscopy for bleeding,,,849.34,2146.21,11 HCPCS,44392,Colonoscopy & polypectomy,,,849.34,2146.21,11 HCPCS,44394,Colonoscopy w/snare,,,1053.4,2146.21,7 HCPCS,44401,Colonoscopy with ablation,,,849.34,2146.21,11 HCPCS,44402,Colonoscopy w/stent plcmt,,,1046.68,10888.32,11 HCPCS,44403,Colonoscopy w/resection,,,849.34,2146.21,11 HCPCS,44404,Colonoscopy w/injection,,,849.34,2146.21,11 HCPCS,44405,Colonoscopy w/dilation,,,849.34,2146.21,11 HCPCS,44406,Colonoscopy w/ultrasound,,,849.34,2146.21,11 HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,849.34,2146.21,11 HCPCS,44408,Colonoscopy w/decompression,,,646.18,1667.9,11 HCPCS,44500,HC GI PLACEMENT OF N-J TUBE,828.0,828.0,,,0 HCPCS,44500,HC INTRO LONG GASTROINTEST TUBE,3836.0,3836.0,,,0 HCPCS,44500,Intro gastrointestinal tube,,,538.57,1626.7,11 HCPCS,44602,Suture small intestine,,,3841.61,6914.9,3 HCPCS,44799,HC INJECTION INTO NJ TUBE WITH FLUOROSCOPY,985.0,985.0,,,0 HCPCS,44799,Unlisted px small intestine,,,903.72,1626.7,3 HCPCS,44950,Appendectomy,,,4831.95,11610.97,7 HCPCS,44970,Laparoscopy appendectomy,,,6023.79,10842.82,7 HCPCS,44979,Laparoscope proc app,,,6023.79,10842.82,3 HCPCS,45000,Drainage of pelvic abscess,,,849.34,2958.54,11 HCPCS,45005,Drainage of rectal abscess,,,849.34,2217.52,11 HCPCS,45020,Drainage of rectal abscess,,,1928.28,4978.22,11 HCPCS,45100,Biopsy of rectum,,,1928.28,8083.87,11 HCPCS,45100,HC BIOPSY OF RECTUM,7533.0,7533.0,,,0 HCPCS,45108,Removal of anorectal lesion,,,1995.25,4978.22,11 HCPCS,45150,Excision of rectal stricture,,,849.34,2958.54,11 HCPCS,45160,Excision of rectal lesion,,,1995.25,4978.22,11 HCPCS,45171,Exc rect tum transanal part,,,2572.64,4978.22,11 HCPCS,45172,Exc rect tum transanal full,,,1995.25,4978.22,11 HCPCS,45190,Destruction rectal tumor,,,1995.25,4978.22,11 HCPCS,45300,HC PROCTOSIGMOID W/O DILA,857.0,857.0,,,0 HCPCS,45300,Proctosigmoidoscopy dx,,,227.11,1667.9,7 HCPCS,45303,Proctosigmoidoscopy dilate,,,849.34,2146.21,11 HCPCS,45305,Proctosigmoidoscopy w/bx,,,849.34,2146.21,11 HCPCS,45307,Proctosigmoidoscopy fb,,,1995.25,4978.22,11 HCPCS,45308,Proctosigmoidoscopy removal,,,1096.45,4978.22,11 HCPCS,45309,Proctosigmoidoscopy removal,,,849.34,2146.21,11 HCPCS,45315,Proctosigmoidoscopy removal,,,849.34,2146.21,11 HCPCS,45317,Proctosigmoidoscopy bleed,,,849.34,2146.21,11 HCPCS,45320,Proctosigmoidoscopy ablate,,,1995.25,4978.22,11 HCPCS,45321,Proctosigmoidoscopy volvul,,,1995.25,4978.22,11 HCPCS,45327,Proctosigmoidoscopy W/Stent,,,3138.14,10888.32,11 HCPCS,45330,Diagnostic sigmoidoscopy,,,243.64,1667.9,7 HCPCS,45331,Sigmoidoscopy and biopsy,,,658.4,1667.9,7 HCPCS,45332,Sigmoidoscopy w/fb removal,,,849.34,2146.21,11 HCPCS,45333,Sigmoidoscopy & polypectomy,,,658.4,1667.9,7 HCPCS,45334,Sigmoidoscopy for bleeding,,,1103.47,2146.21,7 HCPCS,45335,Sigmoidoscopy w/submuc inj,,,658.4,1667.9,7 HCPCS,45337,Sigmoidoscopy & decompress,,,849.34,1667.9,11 HCPCS,45338,Sigmoidoscopy w/tumr remove,,,1103.47,2146.21,7 HCPCS,45340,Sig w/tndsc balloon dilation,,,1103.47,2146.21,7 HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,849.34,1667.9,11 HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,849.34,2146.21,11 HCPCS,45346,Sigmoidoscopy w/ablation,,,1103.47,2146.21,7 HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,1096.45,10888.32,11 HCPCS,45349,Sigmoidoscopy w/resection,,,849.34,4978.22,11 HCPCS,45350,Sgmdsc w/band ligation,,,1103.47,2146.21,7 HCPCS,45378,Diagnostic colonoscopy,,,926.61,1667.9,7 HCPCS,45379,Colonoscopy w/fb removal,,,1115.11,2146.21,7 HCPCS,45380,Colonoscopy and biopsy,,,1115.11,2146.21,7 HCPCS,45381,Colonoscopy submucous njx,,,1115.11,2146.21,7 HCPCS,45382,Colonoscopy w/control bleed,,,1053.4,2146.21,7 HCPCS,45384,Colonoscopy w/lesion removal,,,1115.11,2146.21,7 HCPCS,45385,Colonoscopy w/lesion removal,,,1115.11,2146.21,7 HCPCS,45386,Colonoscopy w/balloon dilat,,,1053.4,2146.21,7 HCPCS,45388,Colonoscopy w/ablation,,,1053.4,2146.21,7 HCPCS,45389,Colonoscopy w/stent plcmt,,,1046.68,10888.32,11 HCPCS,45390,Colonoscopy w/resection,,,1053.4,4978.22,7 HCPCS,45391,Colonoscopy w/endoscope us,,,1076.73,2146.21,11 HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1053.4,2146.21,7 HCPCS,45393,Colonoscopy w/decompression,,,849.34,2146.21,11 HCPCS,45398,Colonoscopy w/band ligation,,,1053.4,2146.21,7 HCPCS,45399,Unlisted procedure colon,,,926.61,1667.9,3 HCPCS,45499,Laparoscope proc rectum,,,6023.79,10842.82,3 HCPCS,45500,Repair of rectum,,,1995.25,4978.22,11 HCPCS,45505,Repair of rectum,,,2765.68,7346.74,11 HCPCS,45520,Treatment of rectal prolapse,,,193.65,1667.9,11 HCPCS,45541,Correct rectal prolapse,,,1995.25,4978.22,11 HCPCS,45560,Repair of rectocele,,,1995.25,4978.22,11 HCPCS,45900,Reduction of rectal prolapse,,,586.38,1667.9,11 HCPCS,45905,Dilation of anal sphincter,,,1192.34,2231.75,7 HCPCS,45910,Dilation of rectal narrowing,,,1192.34,2231.75,7 HCPCS,45915,Remove rectal obstruction,,,849.34,2217.52,11 HCPCS,45990,Surg dx exam anorectal,,,1928.28,5042.13,11 HCPCS,45999,HC ED FOREIGN BODY REMOVAL RECTUM,2546.0,2546.0,,,0 HCPCS,45999,Rectum surgery procedure,,,926.61,1667.9,3 HCPCS,46020,Placement of seton,,,2572.64,4978.22,11 HCPCS,46030,Removal of rectal marker,,,586.38,2146.21,11 HCPCS,46040,HC I&D ISCHIO/PERIRECTAL,2556.0,2556.0,,,0 HCPCS,46040,Incision of rectal abscess,,,1176.66,3980.43,11 HCPCS,46045,Incision of rectal abscess,,,1995.25,4978.22,11 HCPCS,46050,HC I&D OF PERIANAL ABSCESS,922.0,922.0,,,0 HCPCS,46050,HC TX I&D OF PERIANAL ABSCESS,922.0,922.0,,,0 HCPCS,46050,Incision of anal abscess,,,586.38,3238.46,11 HCPCS,46060,Incision of rectal abscess,,,1928.28,4978.22,11 HCPCS,46070,Incision of anal septum,,,1928.28,4978.22,11 HCPCS,46080,Incision of anal sphincter,,,1928.28,4978.22,11 HCPCS,46083,HC INCISION THROMB HEMORROID,370.0,370.0,,,0 HCPCS,46083,HC TX INCISION THROMB HEMORROID,432.0,432.0,,,0 HCPCS,46083,Incise external hemorrhoid,,,209.08,448.11,11 HCPCS,46200,Removal of anal fissure,,,1995.25,4978.22,11 HCPCS,46220,Excise anal ext tag/papilla,,,1192.34,2231.75,7 HCPCS,46221,Ligation of hemorrhoid(s),,,424.23,1667.9,11 HCPCS,46230,Removal of anal tags,,,1940.65,4978.22,7 HCPCS,46250,Remove ext hem groups 2+,,,1995.25,4978.22,11 HCPCS,46255,Remove int/ext hem 1 group,,,2235.73,4978.22,11 HCPCS,46257,Remove in/ex hem grp & fiss,,,1995.25,4978.22,11 HCPCS,46258,Remove in/ex hem grp w/fistu,,,1995.25,4978.22,11 HCPCS,46260,Remove in/ex hem groups 2+,,,2495.4,4978.22,11 HCPCS,46261,Remove in/ex hem grps & fiss,,,2572.64,5288.22,11 HCPCS,46262,Remove in/ex hem grps w/fist,,,1995.25,4978.22,11 HCPCS,46270,Remove anal fist subq,,,2572.64,4978.22,11 HCPCS,46275,Remove anal fist inter,,,2572.64,5042.13,11 HCPCS,46280,Remove anal fist complex,,,2572.64,5298.18,11 HCPCS,46285,Remove anal fist 2 stage,,,1995.25,4978.22,11 HCPCS,46288,Repair anal fistula,,,2765.68,8883.13,11 HCPCS,46320,HC ED EXC THROMBOSED HEMORRHOID XTRNL,3653.0,3653.0,,,0 HCPCS,46320,Removal of hemorrhoid clot,,,212.62,2146.21,11 HCPCS,46500,Injection into hemorrhoid(s),,,238.32,1667.9,11 HCPCS,46505,Chemodenervation anal musc,,,1192.34,4572.08,11 HCPCS,46600,Diagnostic anoscopy spx,,,98.06,238.63,7 HCPCS,46600,HC TX ANOSCOPY DX W OR WO SPEC,160.0,160.0,,,0 HCPCS,46601,Diagnostic anoscopy,,,53.47,801.21,7 HCPCS,46604,Anoscopy and dilation,,,1103.47,2146.21,7 HCPCS,46606,Anoscopy and biopsy,,,323.76,2146.21,11 HCPCS,46607,Diagnostic anoscopy & biopsy,,,849.34,2146.21,11 HCPCS,46608,Anoscopy remove for body,,,646.18,1667.9,11 HCPCS,46608,HC ED ANOSCOPY W/RMVL FOREIGN BODY,1095.0,1095.0,,,0 HCPCS,46610,Anoscopy remove lesion,,,1995.25,4978.22,11 HCPCS,46611,Anoscopy,,,646.18,1667.9,11 HCPCS,46612,Anoscopy remove lesions,,,1995.25,4978.22,11 HCPCS,46614,Anoscopy control bleeding,,,160.58,2146.21,11 HCPCS,46615,Anoscopy,,,1995.25,4978.22,11 HCPCS,46700,Repair of anal stricture,,,2572.64,5810.33,11 HCPCS,46706,Repr of anal fistula w/glue,,,1995.25,4978.22,11 HCPCS,46707,Repair anorectal fist w/plug,,,1995.25,4978.22,11 HCPCS,46750,Repair of anal sphincter,,,1995.25,4978.22,11 HCPCS,46753,Reconstruction of anus,,,1995.25,4978.22,11 HCPCS,46754,Removal of suture from anus,,,1928.28,4978.22,11 HCPCS,46760,Repair of anal sphincter,,,1995.25,4978.22,11 HCPCS,46761,Repair of anal sphincter,,,1995.25,4978.22,11 HCPCS,46900,Destruction anal lesion(s),,,283.19,729.1,11 HCPCS,46910,Destruction anal lesion(s),,,326.97,3700.55,11 HCPCS,46916,Cryosurgery anal lesion(s),,,148.19,359.84,11 HCPCS,46917,Laser surgery anal lesions,,,1995.25,4978.22,11 HCPCS,46922,Excision of anal lesion(s),,,2572.64,5042.13,11 HCPCS,46924,Destruction anal lesion(s),,,1995.25,4978.22,11 HCPCS,46930,Destroy internal hemorrhoids,,,259.53,2146.21,11 HCPCS,46940,Treatment of anal fissure,,,244.76,4978.22,11 HCPCS,46942,Treatment of anal fissure,,,242.81,1667.9,11 HCPCS,46945,Remove by ligat int hem grp,,,541.26,4978.22,7 HCPCS,46946,Remove by ligat int hem grps,,,2589.14,4978.22,7 HCPCS,46947,Hemorrhoidopexy by stapling,,,1995.25,4978.22,11 HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2765.68,5236.58,9 HCPCS,46999,Anus surgery procedure,,,926.61,1667.9,3 HCPCS,46999,HC ED MANUAL REDUC PROLAPSED HEMORRHOID,1961.0,1961.0,,,0 HCPCS,47000,HC BX LIVER PERC NEEDLE,1344.5,1344.5,,,0 HCPCS,47000,Needle biopsy of liver,,,927.15,2962.18,11 HCPCS,47370,Laparo ablate liver tumor rf,,,6833.79,19064.9,7 HCPCS,47371,Laparo ablate liver cryosurg,,,6833.79,19064.9,7 HCPCS,47379,Laparoscope procedure liver,,,6023.79,10842.82,3 HCPCS,47382,HC RF ABLATION,10455.0,10455.0,,,0 HCPCS,47382,Percut ablate liver rf,,,5427.63,11812.77,11 HCPCS,47383,Perq abltj lvr cryoablation,,,3651.57,19064.9,11 HCPCS,47384,Abltj ire liver 1+ tum perq,,,10591.61,19064.9,3 HCPCS,47399,Liver surgery procedure,,,705.59,1270.05,3 HCPCS,47490,HC CHOLECYSTOSTOMY,4230.0,4230.0,,,0 HCPCS,47490,Incision of gallbladder,,,2806.87,6421.55,7 HCPCS,47531,HC INJECTION FOR CHOLANGIOGRAM EXISTING,4573.5,4573.5,,,0 HCPCS,47531,Injection for cholangiogram,,,712.57,6421.55,7 HCPCS,47532,HC INJECTION FOR CHOLANGIOGRAM NEW,7039.0,7039.0,,,0 HCPCS,47532,Injection for cholangiogram,,,3308.22,6421.55,7 HCPCS,47533,HC PLMT BILIARY DRAIN CATH EXT,3273.0,3273.0,,,0 HCPCS,47533,Plmt biliary drainage cath,,,2604.09,6421.55,7 HCPCS,47534,HC PLMT BILIARY DRAIN CTH INEX,3273.0,3273.0,,,0 HCPCS,47534,Plmt biliary drainage cath,,,1000.09,6421.55,7 HCPCS,47535,Conversion ext bil drg cath,,,2604.09,6421.55,7 HCPCS,47535,HC BILI DRG CTH CONV EX INT EX,3656.0,3656.0,,,0 HCPCS,47536,Exchange biliary drg cath,,,3308.22,6421.55,7 HCPCS,47536,HC EXCHANGE BILIARY DRG CATH,4160.0,4160.0,,,0 HCPCS,47537,HC REMOVAL BILIARY DRAING CATH,1427.5,1427.5,,,0 HCPCS,47537,Removal biliary drg cath,,,677.26,1626.7,7 HCPCS,47538,Perq plmt bile duct stent,,,3651.57,10842.82,7 HCPCS,47539,Perq plmt bile duct stent,,,3651.57,10842.82,7 HCPCS,47540,Perq plmt bile duct stent,,,3651.57,10842.82,7 HCPCS,47541,Plmt access bil tree sm bwl,,,2604.09,11610.97,7 HCPCS,47542,HC DILATE BILIARY DUCT AMPULLA,7337.5,7337.5,,,0 HCPCS,47543,HC ENDOLUMINAL BX BILIARY TREE,2420.5,2420.5,,,0 HCPCS,47544,HC REMOVAL DUCT GLBLDR CALCULI,2620.0,2620.0,,,0 HCPCS,47552,Biliary endo perq dx w/speci,,,2429.62,11610.97,11 HCPCS,47552,HC BIOPSY BILIARY BRUSH,4003.0,4003.0,,,0 HCPCS,47553,Biliary endoscopy thru skin,,,2604.09,11610.97,11 HCPCS,47554,Biliary endoscopy thru skin,,,2429.62,19064.9,11 HCPCS,47554,"HC BILIARY ENDOSCOPY, PERCUTANEOUS W CALC REMOVAL",15605.0,15605.0,,,0 HCPCS,47555,Biliary endoscopy thru skin,,,2429.62,11610.97,11 HCPCS,47556,Biliary endoscopy thru skin,,,5370.07,19064.9,11 HCPCS,47562,Laparoscopic cholecystectomy,,,5823.28,10842.82,7 HCPCS,47563,Laparo cholecystectomy/graph,,,4633.92,10842.82,11 HCPCS,47564,Laparo cholecystectomy/explr,,,3651.57,19064.9,11 HCPCS,47579,Laparoscope proc biliary,,,6023.79,10842.82,3 HCPCS,47999,Bile tract surgery procedure,,,903.72,1626.7,3 HCPCS,48102,Needle biopsy pancreas,,,933.69,2962.18,11 HCPCS,48160,Pancreas removal/transplant,,,6168.34,10819.99,4 HCPCS,48999,Pancreas surgery procedure,,,705.59,1270.05,3 HCPCS,49010,Exploration behind abdomen,,,6450.54,11610.97,3 HCPCS,49013,Prpertl pel pack hemrrg trma,,,404.01,708.69,6 HCPCS,49014,Reexploration pelvic wound,,,361.27,633.72,6 HCPCS,49082,Abd paracentesis,,,648.43,1626.7,11 HCPCS,49082,HC ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,948.0,948.0,,,0 HCPCS,49082,HC ED ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,925.0,925.0,,,0 HCPCS,49083,Abd paracentesis w/imaging,,,648.43,1626.7,11 HCPCS,49083,HC ABD PARACENTESIS WITH IMAGING,1139.5,1139.5,,,0 HCPCS,49083,HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE,1071.0,1071.0,,,0 HCPCS,49083,HC ED ABD PARACENTESIS WITH IMAGING,1202.0,1202.0,,,0 HCPCS,49084,Peritoneal lavage,,,648.43,1626.7,11 HCPCS,49180,Biopsy abdominal mass,,,763.43,2962.18,11 HCPCS,49180,HC BIOPSY ABD RETROPERITON PERC NEEDL,1372.0,1372.0,,,0 HCPCS,49185,HC SCLEROTHER FLUID COLLECTION,1632.0,1632.0,,,0 HCPCS,49185,Sclerotx fluid collection,,,1645.66,3347.73,7 HCPCS,49186,Opn exc/dstr ntra-abd 5 cm/<,,,1362.63,2390.21,4 HCPCS,49187,Opn exc/dstr ntra-abd 5.1-10,,,1617.48,2837.25,4 HCPCS,49188,Opn exc/dst ntra-abd 10.1-20,,,1961.75,3441.15,4 HCPCS,49189,Opn exc/dst ntra-abd 20.1-30,,,2222.83,3899.11,4 HCPCS,49190,Opn exc/dstr ntra-abd >30 cm,,,2677.4,4696.49,4 HCPCS,49250,Excision of umbilicus,,,2604.09,6421.55,11 HCPCS,49255,Removal of omentum,,,6450.54,11610.97,3 HCPCS,49320,Diag laparo separate proc,,,3171.64,10842.82,11 HCPCS,49321,Laparoscopy biopsy,,,3171.64,10842.82,11 HCPCS,49322,Laparoscopy aspiration,,,3997.81,10842.82,11 HCPCS,49323,Laparo drain lymphocele,,,4117.16,10842.82,7 HCPCS,49324,Lap insert tunnel ip cath,,,3651.57,10842.82,11 HCPCS,49325,Lap Revision Perm IP Cath,,,3651.57,10842.82,11 HCPCS,49329,Laparo proc abdm/per/oment,,,6023.79,10842.82,3 HCPCS,49400,Air injection into abdomen,,,112.42,197.19,4 HCPCS,49402,Remove foreign body adbomen,,,2604.09,6421.55,11 HCPCS,49405,HC IMAGE CATH FLUID DRAIN VISCERAL,2760.5,2760.5,,,0 HCPCS,49405,Image cath fluid colxn visc,,,1360.61,2962.18,7 HCPCS,49406,HC IMAGE CATH FLUID PERI OR RETRO PERC,2013.0,2013.0,,,0 HCPCS,49406,Image cath fluid peri/retro,,,1539.28,2962.18,7 HCPCS,49407,Image cath fluid trns/vgnl,,,933.69,2962.18,11 HCPCS,49411,Ins mark abd/pel for rt perq,,,630.82,2482.48,11 HCPCS,49418,HC INS TUN IPER CATHETER,3694.5,3694.5,,,0 HCPCS,49418,Insert tun ip cath perc,,,2604.09,6421.55,11 HCPCS,49419,Insert tun ip cath w/port,,,2963.35,9980.06,11 HCPCS,49421,Ins tun ip cath for dial opn,,,2604.09,6421.55,11 HCPCS,49422,Remove tunneled ip cath,,,2088.47,5663.03,11 HCPCS,49423,Exchange drainage catheter,,,1708.19,4523.05,11 HCPCS,49423,HC EXCHG CATH ABSC CYST DRAIN,2956.5,2956.5,,,0 HCPCS,49424,Assess cyst contrast inject,,,212.62,372.97,4 HCPCS,49424,HC INJ CONTR ABSCESS OR CYST,465.0,465.0,,,0 HCPCS,49426,Revise abdomen-venous shunt,,,2604.09,6421.55,11 HCPCS,49427,Injection abdominal shunt,,,20.55,36.05,4 HCPCS,49429,Removal of shunt,,,2088.47,5663.03,11 HCPCS,49436,Embedded IP Cath Exit-Site,,,1089.23,3441.61,11 HCPCS,49440,HC GI INSERT G TUBE,1671.0,1671.0,,,0 HCPCS,49440,Place gastrostomy tube perc,,,910.25,3441.61,11 HCPCS,49441,HC GI INSERT DUODENAL JEJUNAL,1673.0,1673.0,,,0 HCPCS,49441,Place duod/jej tube perc,,,1231.53,3441.61,11 HCPCS,49442,HC GI INSERT CECOTOMY/COLONIC,2562.0,2562.0,,,0 HCPCS,49442,Place cecostomy tube perc,,,849.34,2217.52,11 HCPCS,49446,Change g-tube to g-j perc,,,1411.09,3441.61,11 HCPCS,49446,HC GI CONVERT G TUBE TO GJ TUBE,1587.0,1587.0,,,0 HCPCS,49450,HC ED GI REPLACE G OR CECOST COLO,869.0,869.0,,,0 HCPCS,49450,HC GI REPLACE G OR CECOST COLO,807.0,807.0,,,0 HCPCS,49450,Replace g/c tube perc,,,469.01,1626.7,11 HCPCS,49451,HC ED REPLACE DUODENAL JEJUNAL,1087.0,1087.0,,,0 HCPCS,49451,HC GI REPLACE DUODENAL JEJUNAL,842.5,842.5,,,0 HCPCS,49451,Replace duod/jej tube perc,,,445.57,1626.7,11 HCPCS,49452,HC GI REPLACE GJ TUBE,792.5,792.5,,,0 HCPCS,49452,Replace g-j tube perc,,,531.8,1626.7,11 HCPCS,49460,Fix g/colon tube w/device,,,646.75,1626.7,11 HCPCS,49465,Fluoro exam of g/colon tube,,,200.06,427.94,11 HCPCS,49465,HC GI INJECTION GI TUBE,241.0,241.0,,,0 HCPCS,49491,Rpr hern preemie reduc,,,5502.23,10842.82,7 HCPCS,49492,Rpr ing hern premie blocked,,,2806.87,6421.55,7 HCPCS,49495,Rpr ing hernia baby reduc,,,3545.32,7300.03,11 HCPCS,49496,Rpr ing hernia baby blocked,,,2604.09,6421.55,11 HCPCS,49500,Rpr ing hernia init reduce,,,3545.32,11610.97,11 HCPCS,49501,Rpr ing hernia init blocked,,,3545.32,7300.02,11 HCPCS,49505,Prp i/hern init reduc >5 yr,,,3131.79,8095.11,11 HCPCS,49507,Prp i/hern init block >5 yr,,,3545.32,10808.24,11 HCPCS,49520,Rerepair ing hernia reduce,,,3131.79,8883.13,11 HCPCS,49521,Rerepair ing hernia blocked,,,2604.09,11610.97,11 HCPCS,49525,Repair ing hernia sliding,,,2604.09,6421.55,11 HCPCS,49540,Repair lumbar hernia,,,3545.32,10842.82,11 HCPCS,49550,Rpr rem hernia init reduce,,,2604.09,6421.55,11 HCPCS,49553,Rpr fem hernia init blocked,,,2604.09,6421.55,11 HCPCS,49555,Rerepair fem hernia reduce,,,2874.45,6421.55,11 HCPCS,49557,Rerepair fem hernia blocked,,,2604.09,6421.55,11 HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,2615.52,7785.4,11 HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,3922.87,11456.66,11 HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,2615.52,11610.97,11 HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,3922.87,11456.66,11 HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,2615.52,11610.97,11 HCPCS,49596,Rpr aa hrn 1st > 10 ncr/strn,,,922.19,1617.62,4 HCPCS,49600,Repair umbilical lesion,,,2604.09,6421.55,11 HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,2615.52,7785.4,11 HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,3922.87,11456.66,11 HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,2615.52,11610.97,11 HCPCS,49616,Rpr aa hrn rcr 3-10 ncr/strn,,,780.49,1369.08,4 HCPCS,49617,Rpr aa hrn rcr > 10 rdc,,,816.55,1432.33,4 HCPCS,49618,Rpr aa hrn rcr > 10 ncr/strn,,,1106.13,1940.28,4 HCPCS,49621,Rpr parastomal hernia rdc,,,681.07,1194.68,4 HCPCS,49622,Rpr parastomal hrna ncr/strn,,,821.51,1441.03,4 HCPCS,49623,Rmvl ninfct mesh hernia rpr,,,166.53,292.11,4 HCPCS,49650,Lap ing hernia repair init,,,6023.79,10842.82,7 HCPCS,49651,Lap ing hernia repair recur,,,4964.52,10842.82,11 HCPCS,49659,Laparo proc hernia repair,,,6023.79,10842.82,3 HCPCS,49999,Abdomen surgery procedure,,,903.72,1626.7,3 HCPCS,49999,HC ABDOMINAL ASPIRATION FLUID COLLECTION,2152.0,2152.0,,,0 HCPCS,49999,"HC ABLATION OF SOFT TISSUE MASS ABDOMEN, PERIOTONEUM & OMENTUM",19938.0,19938.0,,,0 HCPCS,49999,HC DRAIN EXCHANGE WITH A PERCUTANEOUS DEBRIDEMENT,2289.5,2289.5,,,0 HCPCS,49999,HC EXCHANCE OF PERITONEAL DRAIN,4163.0,4163.0,,,0 HCPCS,49999,HC FIBRIN GLUE INJECTION,1391.0,1391.0,,,0 HCPCS,49999,HC SURGICAL PROCEDURE ABDOMEN,5005.5,5005.5,,,0 HCPCS,50020,Renal abscess open drain,,,2082.87,4372.9,7 HCPCS,50080,Removal of kidney stone,,,4126.14,16978.36,11 HCPCS,50081,Removal of kidney stone,,,4126.14,16978.36,11 HCPCS,50200,HC BX KIDNEY PERC NEEDLE,1399.0,1399.0,,,0 HCPCS,50200,Renal biopsy perq,,,1182.21,2962.18,11 HCPCS,50382,Change ureter stent percut,,,1419.05,3749.16,11 HCPCS,50382,HC CHANGE URETER STENT PERCUT,4828.5,4828.5,,,0 HCPCS,50384,HC REMOVE URETER STENT PERCUT,4238.0,4238.0,,,0 HCPCS,50384,Remove ureter stent percut,,,1419.05,3749.16,11 HCPCS,50385,Change stent via transureth,,,1419.05,3749.16,11 HCPCS,50386,Remove stent via transureth,,,727.4,3749.16,11 HCPCS,50387,Change nephroureteral cath,,,1419.05,3749.16,11 HCPCS,50387,HC CHANGE EXT/INT URETER STENT,1746.0,1746.0,,,0 HCPCS,50389,HC REMOVE RENAL TUBE WITH FLUORO,621.0,621.0,,,0 HCPCS,50389,Remove renal tube w/fluoro,,,531.76,1250.62,11 HCPCS,50390,Drainage of kidney lesion,,,660.77,1604.12,11 HCPCS,50390,HC ASPIRATION/INJECT OF RENAL CYST,761.5,761.5,,,0 HCPCS,50391,Instll rx agnt into rnal tub,,,86.08,448.11,11 HCPCS,50396,Measure kidney pressure,,,283.29,1250.62,11 HCPCS,50430,HC INJ FOR NEPHRR AND/OR URTRGRM,2658.0,2658.0,,,0 HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,538.73,1250.62,7 HCPCS,50431,HC NEPROSTGRM URTRGRM DRN INJ,1311.0,1311.0,,,0 HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,694.79,1584.38,7 HCPCS,50432,HC PLACEMENT NEPHROSTOMY CATHETER,2400.0,2400.0,,,0 HCPCS,50432,Plmt nephrostomy catheter,,,796.97,3749.16,7 HCPCS,50433,HC PLACEMENT NEPHROURET CATH NEW AC,4620.0,4620.0,,,0 HCPCS,50433,Plmt nephroureteral catheter,,,1419.05,6322.15,7 HCPCS,50434,Convert nephrostomy catheter,,,531.76,3749.16,7 HCPCS,50434,HC CONVERT NEPHROSTOMY CATHETER,3636.5,3636.5,,,0 HCPCS,50435,Exchange nephrostomy cath,,,717.29,3749.16,7 HCPCS,50435,HC EXCHANGE NEPHROSTOMY CATHETER,1746.0,1746.0,,,0 HCPCS,50436,Dilat xst trc ndurlgc px,,,1259.22,6322.15,11 HCPCS,50437,Dilat xst trc new access rcs,,,2193.73,8836.28,11 HCPCS,50541,Laparo ablate renal cyst,,,4117.16,19064.9,7 HCPCS,50542,Laparo ablate renal mass,,,6833.79,19064.9,7 HCPCS,50543,Laparo partial nephrectomy,,,10591.61,24703.71,7 HCPCS,50544,Laparoscopy pyeloplasty,,,8498.22,19064.9,7 HCPCS,50549,Laparoscope proc renal,,,6023.79,10842.82,3 HCPCS,50551,Kidney endoscopy,,,727.4,9616.53,11 HCPCS,50553,Kidney endoscopy,,,2762.68,9616.53,11 HCPCS,50555,Kidney endoscopy & biopsy,,,727.4,16978.36,11 HCPCS,50557,Kidney endoscopy & treatment,,,2762.68,16978.36,11 HCPCS,50561,Kidney endoscopy & treatment,,,2762.68,9616.53,11 HCPCS,50562,Renal scope w/tumor resect,,,727.4,16978.36,11 HCPCS,50570,Kidney endoscopy,,,727.4,6322.15,11 HCPCS,50572,Kidney endoscopy,,,531.76,1250.62,11 HCPCS,50574,Kidney endoscopy & biopsy,,,531.76,6322.15,11 HCPCS,50575,Kidney endoscopy,,,3116.77,9616.53,11 HCPCS,50576,Kidney endoscopy & treatment,,,1625.89,16978.36,11 HCPCS,50580,Kidney endoscopy & treatment,,,1625.89,9616.53,11 HCPCS,50590,Fragmenting of kidney stone,,,3512.31,6322.15,7 HCPCS,50592,HC CT RF RENAL TISSUE ABLATION,14904.0,14904.0,,,0 HCPCS,50592,Perc rf ablate renal tumor,,,5427.63,18811.13,11 HCPCS,50593,HC CT ABLATION TUMOR RENAL PERC CRYO,25224.0,25224.0,,,0 HCPCS,50593,Perc cryo ablate renal tum,,,5427.63,19064.9,11 HCPCS,50684,Injection for ureter x-ray,,,140.69,246.79,4 HCPCS,50686,Measure ureter pressure,,,123.0,230.78,11 HCPCS,50688,Change of ureter tube/stent,,,1419.05,3749.16,11 HCPCS,50688,HC CHANGE OF URETEROSTOMY,3186.5,3186.5,,,0 HCPCS,50688,HC ED CHANGE OF URETEROSTOMY,6077.0,6077.0,,,0 HCPCS,50690,Injection for ureter x-ray,,,6168.34,10819.99,4 HCPCS,50693,HC PLMT URETERAL STENT PERC,3910.0,3910.0,,,0 HCPCS,50693,Plmt ureteral stent prq,,,3409.09,6322.15,7 HCPCS,50694,HC PLMT URET STENT PERC WO CATH,4738.0,4738.0,,,0 HCPCS,50694,Plmt ureteral stent prq,,,2114.87,6322.15,7 HCPCS,50695,HC PLMT URET STENT PERC WITH CATH,4738.0,4738.0,,,0 HCPCS,50695,Plmt ureteral stent prq,,,3409.09,6322.15,7 HCPCS,50706,HC BALLOON DILATE URTRL STRICT,1468.0,1468.0,,,0 HCPCS,50727,Revise ureter,,,1823.05,6322.15,11 HCPCS,50945,Laparoscopy ureterolithotomy,,,4117.16,10842.82,7 HCPCS,50947,Laparo New Ureter/Bladder,,,3651.57,19064.9,11 HCPCS,50948,Laparo New Ureter/Bladder,,,5008.21,19064.9,11 HCPCS,50949,Laparoscope proc ureter,,,6023.79,10842.82,3 HCPCS,50951,Endoscopy of ureter,,,727.4,6322.15,11 HCPCS,50953,Endoscopy of ureter,,,727.4,6322.15,11 HCPCS,50955,Ureter endoscopy & biopsy,,,2762.68,9616.53,11 HCPCS,50957,Ureter endoscopy & treatment,,,2762.68,9616.53,11 HCPCS,50961,Ureter endoscopy & treatment,,,2762.68,9616.53,11 HCPCS,50970,Ureter endoscopy,,,531.76,6322.15,11 HCPCS,50972,Ureter endoscopy & catheter,,,531.76,6322.15,11 HCPCS,50974,Ureter endoscopy & biopsy,,,1625.89,9616.53,11 HCPCS,50976,Ureter endoscopy & treatment,,,1625.89,9616.53,11 HCPCS,50980,Ureter endoscopy & treatment,,,2762.68,9616.53,11 HCPCS,51020,Incise & treat bladder,,,2114.87,6322.15,11 HCPCS,51040,HC ED CYSTOSTOMY CYSTOTOMY W/DRAINAGE,4153.0,4153.0,,,0 HCPCS,51040,Incise & drain bladder,,,1419.05,3749.16,11 HCPCS,51045,Incise bladder/drain ureter,,,727.4,3749.16,11 HCPCS,51050,Removal of bladder stone,,,2762.68,9616.53,11 HCPCS,51060,Removal of ureter stone,,,1612.55,3749.16,7 HCPCS,51065,Remove ureter calculus,,,2762.68,6322.15,11 HCPCS,51080,Drainage of bladder abscess,,,1847.27,5209.69,11 HCPCS,51100,Drain bladder by needle,,,57.17,448.11,11 HCPCS,51101,Drain bladder by trocar/cath,,,150.05,1540.17,11 HCPCS,51102,Drain bl w/cath insertion,,,1823.05,3921.7,11 HCPCS,51102,HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,1772.0,1772.0,,,0 HCPCS,51102,HC ED ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,1842.0,1842.0,,,0 HCPCS,51500,Removal of bladder cyst,,,3545.32,10842.82,11 HCPCS,51520,Removal of bladder lesion,,,1419.05,6322.15,11 HCPCS,51535,Repair of ureter lesion,,,1419.05,6322.15,11 HCPCS,51600,HC INJECTION-CYSTO/VOIDING CYSTO,1020.0,1020.0,,,0 HCPCS,51600,Injection for bladder x-ray,,,449.67,788.77,4 HCPCS,51605,Preparation for bladder xray,,,25.71,45.09,4 HCPCS,51610,HC INJECTION URETHROGRAM,681.0,681.0,,,0 HCPCS,51610,Injection for bladder x-ray,,,288.39,505.87,4 HCPCS,51700,HC BLDR IRRIGATION SMPL LAVAGE &/INSTLJ,264.0,264.0,,,0 HCPCS,51700,HC IRRIGATION OF BLADDER,302.0,302.0,,,0 HCPCS,51700,HC IRRIGATION OF BLADDER SIMPLE,264.0,264.0,,,0 HCPCS,51700,Irrigation of bladder,,,90.58,448.11,11 HCPCS,51701,HC ED INSERT NON-INDWELLING BLADDER CATHETER,193.0,193.0,,,0 HCPCS,51701,"HC INSERT,NON-INDWELLING BLADDER CATHETER",220.0,220.0,,,0 HCPCS,51701,HC INTERMITTENT CATH PROCEDURE,184.0,184.0,,,0 HCPCS,51701,Insert bladder catheter,,,98.06,238.63,7 HCPCS,51702,HC ED FOLEY CATH INSERT,144.0,144.0,,,0 HCPCS,51702,HC FOLEY CATH INSERT,144.0,144.0,,,0 HCPCS,51702,"HC INSERT,TEMP INDWELLING BLAD CATH,SIMPLE",165.0,165.0,,,0 HCPCS,51702,Insert temp bladder cath,,,98.06,238.63,7 HCPCS,51703,HC INSERT TEMP BLAD CATH COMPLETE,189.0,189.0,,,0 HCPCS,51703,"HC INSERT,TEMP INDWELLING BLAD CATH,COMP",194.0,194.0,,,0 HCPCS,51703,Insert bladder cath complex,,,123.0,230.78,11 HCPCS,51705,Change of bladder tube,,,102.12,448.11,11 HCPCS,51705,HC CHANGE CYSTOSTOMY TUBE,295.5,295.5,,,0 HCPCS,51705,HC ED CHANGE CYSTOSTOMY TUBE,314.0,314.0,,,0 HCPCS,51710,Change of bladder tube,,,531.76,1250.62,11 HCPCS,51710,HC ED CHANGE CYSTOSTOMY TUBE COMPLICATED,859.0,859.0,,,0 HCPCS,51715,Endoscopic injection/implant,,,2114.87,6322.15,11 HCPCS,51720,Treatment of bladder lesion,,,99.57,1250.62,11 HCPCS,51721,Ins trurl ablt trnsdc thr us,,,1216.99,2134.75,4 HCPCS,51725,Simple cystometrogram,,,200.41,448.11,11 HCPCS,51726,Complex cystometrogram,,,248.95,569.62,11 HCPCS,51727,Cystometrogram w/up,,,370.02,1250.62,11 HCPCS,51728,Cystometrogram w/vp,,,405.52,1250.62,11 HCPCS,51729,Cystometrogram w/vp&up,,,386.71,1250.62,11 HCPCS,51736,Urine flow measurement,,,12.85,238.63,7 HCPCS,51741,Electro-uroflowmetry first,,,13.49,387.26,11 HCPCS,51784,Anal/urinary muscle study,,,128.21,455.11,11 HCPCS,51785,Anal/urinary muscle study,,,248.95,557.77,11 HCPCS,51785,HC EMG-ANAL/URINA MUS SDY ANY TEQ,618.0,618.0,,,0 HCPCS,51792,HC URINARY REFLEX STUDY,152.0,152.0,,,0 HCPCS,51792,Urinary reflex study,,,58.78,498.04,11 HCPCS,51798,HC URINE CAPACITY MEASURE BY US,122.5,122.5,,,0 HCPCS,51798,Us urine capacity measure,,,58.78,170.48,7 HCPCS,51840,Attach bladder/urethra,,,4984.46,8972.03,3 HCPCS,51845,Repair bladder neck,,,3736.45,8972.03,7 HCPCS,51860,Repair of bladder wound,,,3415.99,16978.36,7 HCPCS,51880,Repair of bladder opening,,,2114.87,6322.15,11 HCPCS,51990,Laparo urethral suspension,,,4117.16,10842.82,7 HCPCS,51992,Laparo sling operation,,,3651.57,10842.82,11 HCPCS,51999,Laparoscope proc bla,,,6023.79,10842.82,3 HCPCS,52000,Cystoscopy,,,694.79,1250.62,7 HCPCS,52000,HC CYSTOURETHROSCOPY,1246.5,1246.5,,,0 HCPCS,52000,HC ED CYSTOURETHROSCOPY,1447.0,1447.0,,,0 HCPCS,52001,Cystoscopy removal of clots,,,1625.89,6322.15,11 HCPCS,52005,Cystoscopy & ureter catheter,,,2082.87,4229.23,11 HCPCS,52007,Cystoscopy and biopsy,,,2114.87,6322.15,11 HCPCS,52010,Cystoscopy & duct catheter,,,531.76,1250.62,11 HCPCS,52204,Cystoscopy w/biopsy(s),,,2082.87,4163.43,11 HCPCS,52214,Cystoscopy and treatment,,,2762.68,6322.15,11 HCPCS,52224,Cystoscopy and treatment,,,2555.09,6322.15,11 HCPCS,52234,Cystoscopy and treatment,,,2780.42,6322.15,7 HCPCS,52235,Cystoscopy and treatment,,,3512.31,6343.63,7 HCPCS,52240,Cystoscopy and treatment,,,2762.68,9616.53,11 HCPCS,52250,Cystoscopy and radiotracer,,,2762.68,6322.15,11 HCPCS,52260,Cystoscopy and treatment,,,1625.89,5215.89,11 HCPCS,52265,Cystoscopy and treatment,,,458.03,3749.16,11 HCPCS,52270,Cystoscopy & revise urethra,,,1419.05,3749.16,11 HCPCS,52275,Cystoscopy & revise urethra,,,1419.05,3749.16,11 HCPCS,52276,Cystoscopy and treatment,,,2082.87,4419.24,11 HCPCS,52277,Cystoscopy and treatment,,,2114.87,6322.15,11 HCPCS,52281,Cystoscopy and treatment,,,1625.89,4491.89,11 HCPCS,52281,HC ED CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS,3360.0,3360.0,,,0 HCPCS,52282,Cystoscopy implant stent,,,2114.87,6322.15,11 HCPCS,52283,Cystoscopy and treatment,,,1419.05,3749.16,11 HCPCS,52284,Cysto rx balo cath urtl strx,,,3407.17,10243.56,11 HCPCS,52285,Cystoscopy and treatment,,,694.79,2489.19,11 HCPCS,52287,Cystoscopy chemodenervation,,,1625.89,5400.2,11 HCPCS,52290,Cystoscopy and treatment,,,1419.05,3749.16,11 HCPCS,52300,Cystoscopy and treatment,,,2114.87,6322.15,11 HCPCS,52301,Cystoscopy and treatment,,,2114.87,6322.15,11 HCPCS,52305,Cystoscopy and treatment,,,2762.68,9616.53,11 HCPCS,52310,Cystoscopy and treatment,,,1625.89,6516.16,11 HCPCS,52310,HC CYSTO W/SIMPLE REMOVAL STONE & STENT,2097.0,2097.0,,,0 HCPCS,52310,HC ED CYSTO W/SIMPLE REMOVAL STONE & STENT,2320.0,2320.0,,,0 HCPCS,52315,Cystoscopy and treatment,,,1419.05,3749.16,11 HCPCS,52317,Remove bladder stone,,,2760.88,6322.15,11 HCPCS,52318,Remove bladder stone,,,2762.68,14629.0,11 HCPCS,52320,Cystoscopy and treatment,,,2762.68,6322.15,11 HCPCS,52325,Cystoscopy stone removal,,,2762.68,9616.53,11 HCPCS,52327,Cystoscopy inject material,,,3202.77,9616.53,11 HCPCS,52330,Cystoscopy and treatment,,,2464.1,6322.15,11 HCPCS,52332,Cystoscopy and treatment,,,3512.31,6529.72,7 HCPCS,52332,HC CYSTO W/INSERT URETERAL STENT,10765.0,10765.0,,,0 HCPCS,52334,Create passage to kidney,,,2114.87,6322.15,11 HCPCS,52341,Cysto W/Ureter Stricture Tx,,,2762.68,6322.15,11 HCPCS,52342,Cysto W/Up Stricture Tx,,,2762.68,6322.15,11 HCPCS,52343,Cysto W/Renal Stricture Tx,,,1419.05,6322.15,11 HCPCS,52344,Cysto/uretero stricture tx,,,2762.68,6322.15,11 HCPCS,52345,Cysto/Uretero W/Up Stricture,,,2762.68,6322.15,11 HCPCS,52346,Cystouretero W/Renal Strict,,,2762.68,9616.53,11 HCPCS,52351,Cystouretero & or pyeloscope,,,2411.82,6322.15,11 HCPCS,52352,Cystouretero w/stone remove,,,2458.98,6322.15,11 HCPCS,52353,Cystouretero W/Lithotripsy,,,2685.02,9616.53,11 HCPCS,52354,Cystouretero W/Biopsy,,,2762.68,9616.53,11 HCPCS,52355,Cystouretero W/Excise Tumor,,,2762.68,9616.53,11 HCPCS,52356,Cysto/uretero w/lithotripsy,,,3270.09,9616.53,11 HCPCS,52400,Cystouretero W/Congen Repr,,,1419.05,6322.15,11 HCPCS,52402,Cystourethro cut ejacul duct,,,2114.87,6322.15,11 HCPCS,52441,Cystourethro w/implant,,,2044.2,3585.77,4 HCPCS,52443,Cysto 1st trurl prst8 comis,,,9432.42,16978.36,3 HCPCS,52450,Incision of prostate,,,2114.87,6322.15,11 HCPCS,52500,Revision of bladder neck,,,2198.41,6322.15,11 HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,9432.42,16978.36,3 HCPCS,52601,Prostatectomy (TURP),,,3542.96,9616.53,11 HCPCS,52630,Remove prostate regrowth,,,3171.64,9616.53,11 HCPCS,52640,Relieve bladder contracture,,,2436.51,6322.15,11 HCPCS,52647,Laser surgery of prostate,,,3116.77,5467.19,8 HCPCS,52648,Laser surgery of prostate,,,3312.39,9616.53,11 HCPCS,52649,Prostate laser enucleation,,,4126.14,9616.53,11 HCPCS,52700,Drainage of prostate abscess,,,2762.68,6322.15,11 HCPCS,53000,Incision of urethra,,,1419.05,3749.16,11 HCPCS,53010,Incision of urethra,,,2158.32,9616.53,11 HCPCS,53020,Incision of urethra,,,2082.87,7300.03,11 HCPCS,53025,Incision of urethra,,,1419.05,3749.16,11 HCPCS,53040,Drainage of urethra abscess,,,2158.32,6322.15,11 HCPCS,53060,Drainage of urethra abscess,,,145.83,3749.16,11 HCPCS,53060,HC ED DRG OF SKENE'S GLAND ABSCESS OR CYST,3294.0,3294.0,,,0 HCPCS,53080,Drainage of urinary leakage,,,694.79,2489.19,11 HCPCS,53085,Drainage of urinary leakage,,,1419.05,3749.16,11 HCPCS,53200,Biopsy of urethra,,,2082.87,3749.16,11 HCPCS,53210,Removal of urethra,,,3116.77,6322.15,11 HCPCS,53215,Removal of urethra,,,2158.32,9616.53,11 HCPCS,53220,Treatment of urethra lesion,,,3116.77,6322.15,11 HCPCS,53230,Removal of urethra lesion,,,3116.77,9616.53,11 HCPCS,53235,Removal of urethra lesion,,,2158.32,9616.53,11 HCPCS,53240,Surgery for urethra pouch,,,3116.77,6322.15,11 HCPCS,53250,Removal of urethra gland,,,1419.05,6322.15,11 HCPCS,53260,Treatment of urethra lesion,,,1419.05,6322.15,11 HCPCS,53265,Treatment of urethra lesion,,,1419.05,3749.16,11 HCPCS,53270,Removal of urethra gland,,,2114.87,6322.15,11 HCPCS,53275,Repair of urethra defect,,,1419.05,6322.15,11 HCPCS,53400,Revise urethra stage 1,,,3116.77,9616.53,11 HCPCS,53405,Revise urethra stage 2,,,3116.77,9616.53,11 HCPCS,53410,Reconstruction of urethra,,,3116.77,9616.53,11 HCPCS,53420,Reconstruct urethra stage 1,,,3116.77,9616.53,11 HCPCS,53425,Reconstruct urethra stage 2,,,3116.77,9616.53,11 HCPCS,53430,Reconstruction of urethra,,,3325.5,12392.02,11 HCPCS,53431,Reconstruct urethra/bladder,,,3116.77,9616.53,11 HCPCS,53440,Male sling procedure,,,11099.72,23662.82,11 HCPCS,53442,Remove/revise male sling,,,3116.77,9616.53,11 HCPCS,53444,Insert tandem cuff,,,16029.77,37172.87,11 HCPCS,53445,Insert uro/ves nck sphincter,,,20651.59,39289.76,11 HCPCS,53446,Remove uro sphincter,,,3116.77,9616.53,11 HCPCS,53447,Remove/replace ur sphincter,,,20651.59,38224.55,11 HCPCS,53449,Repair uro sphincter,,,3116.77,16978.36,11 HCPCS,53450,Revision of urethra,,,1419.05,6322.15,11 HCPCS,53451,Tprnl balo cntnc dev bi,,,13146.01,26206.07,11 HCPCS,53452,Tprnl balo cntnc dev uni,,,5667.35,16978.36,11 HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,2292.26,7015.2,11 HCPCS,53454,Tprnl balo cntnc dev adjmt,,,220.92,607.19,11 HCPCS,53460,Revision of urethra,,,2158.32,6322.15,11 HCPCS,53500,Urethrlys transvag w/ scope,,,2492.93,6322.15,7 HCPCS,53502,Repair of urethra injury,,,2114.87,6322.15,11 HCPCS,53505,Repair of urethra injury,,,3116.77,9616.53,11 HCPCS,53510,Repair of urethra injury,,,2158.32,9616.53,11 HCPCS,53515,Repair of urethra injury,,,3116.77,9616.53,11 HCPCS,53520,Repair of urethra defect,,,3325.5,12003.11,11 HCPCS,53600,Dilate urethra stricture,,,66.79,448.11,11 HCPCS,53600,HC ED DILATE URETHRAL STRIX DILATOR MALE 1ST,580.0,580.0,,,0 HCPCS,53601,Dilate urethra stricture,,,98.06,238.63,11 HCPCS,53605,Dilate urethra stricture,,,1419.05,6322.15,11 HCPCS,53620,Dilate urethra stricture,,,98.28,1250.62,11 HCPCS,53621,Dilate urethra stricture,,,104.07,448.11,11 HCPCS,53660,Dilation of urethra,,,78.35,230.78,11 HCPCS,53661,Dilation of urethra,,,98.06,238.63,11 HCPCS,53665,Dilation of urethra,,,1419.05,3749.16,11 HCPCS,53850,Prostatic microwave thermotx,,,1625.89,6322.15,11 HCPCS,53852,Prostatic rf thermotx,,,2721.17,6322.15,11 HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,1259.22,6322.15,11 HCPCS,53855,Insert prost urethral stent,,,727.4,3749.16,11 HCPCS,53860,Transurethral rf treatment,,,1419.05,3749.16,11 HCPCS,53865,Cysto insj dev ischmc rmdlg,,,9432.42,17386.97,7 HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,248.95,457.3,7 HCPCS,53899,HC INITL PLACEMENT NEHROURETERAL STENT VIA EXISTING ILEAL CONDUIT,5110.0,5110.0,,,0 HCPCS,53899,Urology surgery procedure,,,248.95,448.11,3 HCPCS,54000,Slitting of prepuce,,,1419.05,6322.15,11 HCPCS,54001,Slitting of prepuce,,,1419.05,3749.16,11 HCPCS,54015,Drain penis lesion,,,933.69,2962.18,11 HCPCS,54050,Destruction penis lesion(s),,,193.65,729.1,11 HCPCS,54055,Destruction penis lesion(s),,,127.19,3700.55,11 HCPCS,54056,Cryosurgery penis lesion(s),,,150.12,359.84,7 HCPCS,54056,HC DSTRJ LESION PENIS SIMPLE CRYOSURGERY,598.0,598.0,,,0 HCPCS,54057,Laser surg penis lesion(s),,,1381.8,3700.55,11 HCPCS,54060,Excision of penis lesion(s),,,1381.8,3700.55,11 HCPCS,54065,Destruction penis lesion(s),,,1381.8,3700.55,11 HCPCS,54100,Biopsy of penis,,,933.69,2962.18,11 HCPCS,54105,Biopsy of penis,,,1847.27,5209.69,11 HCPCS,54110,Treatment of penis lesion,,,3116.77,6322.15,11 HCPCS,54111,Treat penis lesion graft,,,3116.77,9616.53,11 HCPCS,54112,Treat penis lesion graft,,,4527.14,16978.36,11 HCPCS,54115,Treatment of penis lesion,,,1847.27,5209.69,11 HCPCS,54120,Partial removal of penis,,,2961.94,6322.15,11 HCPCS,54150,Circumcision w/regionl block,,,1419.05,3749.16,11 HCPCS,54150,"HC CIRCUMCISION,CLAMP,NEWBORN",1678.0,1678.0,,,0 HCPCS,54160,Circumcision neonate,,,694.79,2761.56,11 HCPCS,54161,Circum 28 days or older,,,2082.87,7186.97,11 HCPCS,54162,Lysis penil circumic lesion,,,2082.87,5669.13,11 HCPCS,54163,Repair of circumcision,,,2082.87,7616.57,11 HCPCS,54164,Frenulotomy of penis,,,1419.05,3749.16,11 HCPCS,54200,Treatment of penis lesion,,,117.56,448.11,11 HCPCS,54205,Treatment of penis lesion,,,2961.94,9616.53,11 HCPCS,54220,HC ED IRRIGATION CORPORA CAVERNOSA PRIAPISM,369.0,369.0,,,0 HCPCS,54220,Treatment of penis lesion,,,209.08,448.11,11 HCPCS,54230,Prepare penis study,,,82.24,144.26,4 HCPCS,54231,Dynamic cavernosometry,,,112.42,448.11,11 HCPCS,54235,HC INJECT CORPORA CAVERNOSA,370.0,370.0,,,0 HCPCS,54235,Penile injection,,,81.58,448.11,11 HCPCS,54240,Penis study,,,63.59,387.26,11 HCPCS,54250,Penis study,,,19.92,448.11,11 HCPCS,54300,Revision of penis,,,3512.31,11893.66,11 HCPCS,54304,Revision of penis,,,3512.31,14648.6,11 HCPCS,54308,Reconstruction of urethra,,,3116.77,9616.53,11 HCPCS,54312,Reconstruction of urethra,,,2114.87,6322.15,11 HCPCS,54316,Reconstruction of urethra,,,2961.94,16978.36,11 HCPCS,54318,Reconstruction of urethra,,,2114.87,6322.15,11 HCPCS,54322,Reconstruction of urethra,,,1419.05,6322.15,11 HCPCS,54324,Reconstruction of urethra,,,3512.31,13755.86,11 HCPCS,54326,Reconstruction of urethra,,,2961.94,16706.21,11 HCPCS,54328,Revise penis/urethra,,,3512.31,13178.9,11 HCPCS,54332,Revise penis/urethra,,,3512.31,20233.55,7 HCPCS,54336,Revise penis/urethra,,,2492.93,6322.15,7 HCPCS,54340,Secondary urethral surgery,,,2961.94,12003.11,11 HCPCS,54344,Secondary urethral surgery,,,2961.94,16978.36,11 HCPCS,54348,Secondary urethral surgery,,,2961.94,9616.53,11 HCPCS,54352,Reconstruct urethra/penis,,,4527.14,12715.06,11 HCPCS,54360,Penis plastic surgery,,,3512.31,9446.38,11 HCPCS,54380,Repair penis,,,2082.87,3749.16,11 HCPCS,54385,Repair penis,,,1419.05,3749.16,11 HCPCS,54400,Insert semi-rigid prosthesis,,,13146.01,38293.77,11 HCPCS,54401,Insert self-contd prosthesis,,,20651.59,39480.56,11 HCPCS,54405,Insert multi-comp penis pros,,,4631.47,37172.87,11 HCPCS,54406,Remove muti-comp penis pros,,,2114.87,6322.15,11 HCPCS,54408,Repair multi-comp penis pros,,,3116.77,9616.53,11 HCPCS,54410,Remove/replace penis prosth,,,20651.59,38971.02,11 HCPCS,54411,Remov/replc penis pros comp,,,14083.26,37172.87,7 HCPCS,54415,Remove self-contd penis pros,,,2114.87,6322.15,11 HCPCS,54416,Remv/repl penis contain pros,,,20651.59,38528.65,11 HCPCS,54417,Remv/replc penis pros compl,,,14083.26,37172.87,7 HCPCS,54420,Revision of penis,,,1419.05,6322.15,11 HCPCS,54435,Revision of penis,,,1419.05,6322.15,11 HCPCS,54437,Repair corporeal tear,,,1419.05,6322.15,7 HCPCS,54440,Repair of penis,,,2961.94,6322.15,11 HCPCS,54450,HC FORESKIN MANIPULATION,360.0,360.0,,,0 HCPCS,54450,Preputial stretching,,,209.08,448.11,11 HCPCS,54500,Biopsy of testis,,,1394.89,5209.69,11 HCPCS,54505,Biopsy of testis,,,2114.87,6322.15,11 HCPCS,54512,Excise Lesion Testis,,,1419.05,6322.15,11 HCPCS,54520,Removal of testis,,,2961.94,9651.58,11 HCPCS,54522,Orchiectomy partial,,,2114.87,6322.15,11 HCPCS,54530,Removal of testis,,,3545.32,7227.11,11 HCPCS,54535,Extensive testis surgery,,,3415.99,6322.15,7 HCPCS,54550,Exploration for testis,,,2604.09,6421.55,11 HCPCS,54560,Exploration for testis,,,1419.05,3749.16,11 HCPCS,54600,Reduce testis torsion,,,2401.36,8034.29,11 HCPCS,54620,Suspension of testis,,,2114.87,6322.15,11 HCPCS,54640,Suspension of testis,,,3545.32,10121.9,11 HCPCS,54650,Orchiopexy (Fowler-Stephens),,,2806.87,6421.55,7 HCPCS,54660,Revision of testis,,,2401.36,9616.53,11 HCPCS,54670,Repair testis injury,,,1419.05,6322.15,11 HCPCS,54680,Relocation of testis(es),,,1419.05,6322.15,11 HCPCS,54690,Laparoscopy orchiectomy,,,3651.57,10842.82,11 HCPCS,54692,Laparoscopy orchiopexy,,,4831.95,10842.82,11 HCPCS,54699,Laparoscope proc testis,,,6023.79,10842.82,3 HCPCS,54700,Drainage of scrotum,,,2082.87,5563.42,11 HCPCS,54700,HC I&D OF EPIDIDYMIS TEST,1842.0,1842.0,,,0 HCPCS,54800,Biopsy of epididymis,,,645.78,2962.18,11 HCPCS,54830,Remove epididymis lesion,,,1419.05,6322.15,11 HCPCS,54840,Remove epididymis lesion,,,2082.87,5645.73,11 HCPCS,54860,Removal of epididymis,,,1419.05,6322.15,11 HCPCS,54861,Removal of epididymis,,,2114.87,6322.15,11 HCPCS,54865,Explore Epididymis,,,2114.87,6322.15,11 HCPCS,54900,Fusion of spermatic ducts,,,1419.05,3749.16,11 HCPCS,54901,Fusion of spermatic ducts,,,2114.87,6322.15,11 HCPCS,55000,Drainage of hydrocele,,,112.42,1270.05,11 HCPCS,55040,Removal of hydrocele,,,3545.32,6421.55,11 HCPCS,55041,Removal of hydroceles,,,2604.09,6421.55,11 HCPCS,55060,Repair of hydrocele,,,2401.36,7300.03,11 HCPCS,55100,Drainage of scrotum abscess,,,933.69,2962.18,11 HCPCS,55100,HC ED DRAIN SCROT WALL ABSCESS,1894.0,1894.0,,,0 HCPCS,55110,Explore scrotum,,,1419.05,6322.15,11 HCPCS,55120,Removal of scrotum lesion,,,1419.05,3749.16,11 HCPCS,55150,Removal of scrotum,,,2114.87,6322.15,11 HCPCS,55175,Revision of scrotum,,,2114.87,6322.15,11 HCPCS,55180,Revision of scrotum,,,2401.36,9616.53,11 HCPCS,55200,Incision of sperm duct,,,1419.05,6322.15,11 HCPCS,55250,Removal of sperm duct(s),,,470.32,3749.16,11 HCPCS,55300,Prepare sperm duct x-ray,,,98.93,173.54,4 HCPCS,55400,Repair of sperm duct,,,2401.36,11538.44,11 HCPCS,55500,Removal of hydrocele,,,2961.94,9651.58,11 HCPCS,55520,Removal of sperm cord lesion,,,1831.6,6578.54,11 HCPCS,55530,Revise spermatic cord veins,,,2401.36,6416.99,11 HCPCS,55535,Revise spermatic cord veins,,,2604.09,11610.97,11 HCPCS,55540,Revise hernia & sperm veins,,,3545.32,13178.9,11 HCPCS,55550,Laparo ligate spermatic vein,,,3651.57,10842.82,11 HCPCS,55559,Laparo proc spermatic cord,,,6023.79,10842.82,3 HCPCS,55600,Incise sperm duct pouch,,,1419.05,3749.16,11 HCPCS,55680,Remove sperm pouch lesion,,,1419.05,6322.15,11 HCPCS,55700,Biopsy of prostate,,,1419.05,2489.19,8 HCPCS,55705,Biopsy of prostate,,,1419.05,6322.15,11 HCPCS,55706,Prostate saturation sampling,,,1937.73,6322.15,11 HCPCS,55707,Bx prst8 trct us guided,,,3512.31,6322.15,3 HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,3512.31,6322.15,3 HCPCS,55709,Bx prst8 tprnl us guided,,,3512.31,6322.15,3 HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,3512.31,6322.15,3 HCPCS,55711,Bx prst8 trct mri-us 1st,,,3512.31,6322.15,3 HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,3512.31,6322.15,3 HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,5342.52,9616.53,3 HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,5342.52,9616.53,3 HCPCS,55720,Drainage of prostate abscess,,,1419.05,6322.15,11 HCPCS,55725,Drainage of prostate abscess,,,1419.05,6322.15,11 HCPCS,55860,Surgical exposure prostate,,,1823.05,9616.53,11 HCPCS,55866,Laparo radical prostatectomy,,,10591.61,19064.9,3 HCPCS,55867,Laps surg prst8ect smpl stot,,,10591.61,19974.49,7 HCPCS,55868,Lap srg prst8ct lymph nod bx,,,10591.61,19064.9,3 HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,10591.61,19064.9,3 HCPCS,55870,Electroejaculation,,,139.38,1651.93,11 HCPCS,55873,Cryoablate Prostate,,,9432.42,18886.98,11 HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,2934.67,11635.34,11 HCPCS,55875,Transperi needle place pros,,,2762.68,9616.53,11 HCPCS,55876,Place rt device/marker pros,,,126.54,2482.48,11 HCPCS,55877,Abltj ire prst8 1+ tum perq,,,10591.61,19064.9,3 HCPCS,55880,Abltj mal prst8 tiss hifu,,,68.93,16978.36,11 HCPCS,55881,Ablt trurl prst8 tis thrm us,,,26220.68,45994.17,4 HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,13146.01,24429.0,7 HCPCS,55899,Genital surgery procedure,,,248.95,448.11,3 HCPCS,55920,Place needles pelvic for rt,,,2604.09,8972.03,11 HCPCS,55970,Sex transformation m to f,,,2044.76,8972.03,7 HCPCS,55980,Sex transformation f to m,,,2492.93,6322.15,7 HCPCS,56405,HC ED I&D VULVA/PERINEAL ABSCESS,327.0,327.0,,,0 HCPCS,56405,HC I&D OF VULVA/PERINEUM ABSCESS,335.0,335.0,,,0 HCPCS,56405,HC SPLIT BILLED I&D VULVA/PERINEAL ABS,327.0,327.0,,,0 HCPCS,56405,I & D of vulva/perineum,,,122.76,3238.46,11 HCPCS,56420,Drainage of gland abscess,,,116.93,362.6,11 HCPCS,56420,HC ED I&D BARTHOLIN GLAND ABCESS,404.0,404.0,,,0 HCPCS,56420,HC I&D BARTHOLIN GLAND ABCESS,404.0,404.0,,,0 HCPCS,56420,HC I&D BARTHOLIN GLAND ABSCESS,414.0,414.0,,,0 HCPCS,56440,Surgery for vulva lesion,,,2446.44,5805.87,11 HCPCS,56441,Lysis of labial lesion(s),,,1909.64,5805.87,11 HCPCS,56442,Hymenotomy,,,1909.64,5805.87,11 HCPCS,56501,Destroy vulva lesions sim,,,124.61,3700.55,11 HCPCS,56501,HC DSTRCT VULVA LESION SIMPLE,3458.0,3458.0,,,0 HCPCS,56515,Destroy vulva lesion/s compl,,,1706.42,4895.76,11 HCPCS,56605,Biopsy of vulva/perineum,,,70.65,1651.93,11 HCPCS,56605,HC BIOPSY OF VULVA LESION SINGLE,904.0,904.0,,,0 HCPCS,56606,HC BX VULVA EACH ADDTL LESION,146.0,146.0,,,0 HCPCS,56620,Partial removal of vulva,,,2446.44,5805.87,11 HCPCS,56625,Complete removal of vulva,,,1909.64,5805.87,11 HCPCS,56630,Extensive vulva surgery,,,4984.46,8972.03,3 HCPCS,56700,Partial removal of hymen,,,2446.44,5805.87,11 HCPCS,56740,Remove vagina gland lesion,,,1909.64,5805.87,11 HCPCS,56800,Repair of vagina,,,1909.64,5805.87,11 HCPCS,56805,Repair clitoris,,,1909.64,5805.87,11 HCPCS,56810,Repair of perineum,,,1909.64,5805.87,11 HCPCS,56820,Exam of vulva w/scope,,,93.79,362.6,11 HCPCS,56820,HC EXAM OF VULVA WITH SCOPE,174.0,174.0,,,0 HCPCS,56821,Exam/biopsy of vulva w/scope,,,159.98,5081.64,11 HCPCS,56821,HC EXAM BIOPSY VULVA WITH SCOPE,338.0,338.0,,,0 HCPCS,57000,Exploration of vagina,,,2446.44,5805.87,11 HCPCS,57010,Drainage of pelvic abscess,,,1909.64,5805.87,11 HCPCS,57020,Drainage of pelvic fluid,,,1909.64,8972.03,11 HCPCS,57022,I & d vaginal hematoma pp,,,1147.5,5209.69,11 HCPCS,57023,I & d vag hematoma non-ob,,,1847.27,5209.69,11 HCPCS,57061,Destroy vag lesions simple,,,152.19,5805.87,11 HCPCS,57065,Destroy vag lesions complex,,,1909.64,5805.87,11 HCPCS,57100,Biopsy of vagina,,,74.5,1651.93,11 HCPCS,57100,HC BIOPSY VAGINA SIMPLE,789.0,789.0,,,0 HCPCS,57105,Biopsy of vagina,,,1909.64,5805.87,11 HCPCS,57106,Remove vagina wall partial,,,2044.76,5805.87,7 HCPCS,57107,Remove vagina tissue part,,,2044.76,5805.87,7 HCPCS,57109,Vaginectomy partial w/nodes,,,2044.76,5805.87,7 HCPCS,57120,Closure of vagina,,,3217.63,8972.03,7 HCPCS,57130,Remove vagina lesion,,,1909.64,5805.87,11 HCPCS,57135,Remove vagina lesion,,,2446.44,5805.87,11 HCPCS,57150,Treat vagina infection,,,57.93,172.01,11 HCPCS,57155,Insert uteri tandem/ovoids,,,645.71,8972.03,11 HCPCS,57156,HC INSERT VAG RAD APPARATUS BRACH,988.0,988.0,,,0 HCPCS,57156,Ins vag brachytx device,,,266.88,546.54,11 HCPCS,57160,HC INSERT PESSARY OTHER DEVICE,228.0,228.0,,,0 HCPCS,57160,Insert pessary/other device,,,75.8,362.6,11 HCPCS,57170,Fitting of diaphragm/cap,,,45.6,362.6,11 HCPCS,57180,Treat vaginal bleeding,,,147.31,362.6,11 HCPCS,57200,Repair of vagina,,,2446.44,5805.87,11 HCPCS,57210,Repair vagina/perineum,,,1909.64,5805.87,11 HCPCS,57220,Revision of urethra,,,3217.63,8972.03,11 HCPCS,57230,Repair of urethral lesion,,,1909.64,5805.87,11 HCPCS,57240,Repair bladder & vagina,,,4144.85,8972.03,11 HCPCS,57250,Repair rectum & vagina,,,4383.51,9404.48,11 HCPCS,57260,Repair of vagina,,,4304.72,12392.01,11 HCPCS,57265,Extensive repair of vagina,,,4383.51,10684.86,11 HCPCS,57268,Repair of bowel bulge,,,1909.64,8972.03,11 HCPCS,57282,Colpopexy extraperitoneal,,,4996.42,13299.79,7 HCPCS,57283,Colpopexy intraperitoneal,,,7388.77,13419.43,7 HCPCS,57284,Repair paravag defect open,,,3736.45,8972.03,7 HCPCS,57285,Repair paravag defect vag,,,7388.77,16659.87,7 HCPCS,57287,Revise/Remove Sling Repair,,,2446.44,6132.49,11 HCPCS,57288,Repair bladder defect,,,3072.57,8972.03,11 HCPCS,57289,Repair bladder & vagina,,,4383.51,13299.79,11 HCPCS,57291,Construction of vagina,,,1909.64,8972.03,11 HCPCS,57292,Construct vagina with graft,,,3736.45,8972.03,7 HCPCS,57295,Revise vag graft via vagina,,,1909.64,5805.87,11 HCPCS,57300,Repair rectum-vagina fistula,,,1909.64,5805.87,11 HCPCS,57310,Repair urethrovaginal lesion,,,4660.15,13299.79,7 HCPCS,57320,Repair bladder-vagina lesion,,,3217.63,8972.03,11 HCPCS,57330,Repair bladder-vagina lesion,,,5751.57,13299.79,7 HCPCS,57335,Repair vagina,,,2044.76,8972.03,7 HCPCS,57400,Dilation of vagina,,,1909.64,5805.87,11 HCPCS,57410,HC ED PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL,9676.0,9676.0,,,0 HCPCS,57410,Pelvic examination,,,1909.64,5805.87,11 HCPCS,57415,HC REMOVAL VAG FB UNDER ANESTH,3625.0,3625.0,,,0 HCPCS,57415,Remove vaginal foreign body,,,1909.64,5805.87,11 HCPCS,57420,Exam of vagina w/scope,,,130.49,546.54,7 HCPCS,57420,HC COLPOSCOPY ENTIRE VAG WITH CERVI,567.0,567.0,,,0 HCPCS,57421,Exam/biopsy of vag w/scope,,,169.68,1651.93,7 HCPCS,57421,HC COLP OF VAGINA WITH CERVIX WITH BIO,677.0,677.0,,,0 HCPCS,57423,Repair paravag defect lap,,,6833.79,19064.9,7 HCPCS,57425,Laparoscopy surg colpopexy,,,10591.61,20754.42,7 HCPCS,57426,Revise prosth vag graft lap,,,4383.51,13299.79,11 HCPCS,57452,Exam of cervix w/scope,,,89.94,362.6,11 HCPCS,57452,HC COLP CERVIX INCLUDE UP VAGINA,229.0,229.0,,,0 HCPCS,57454,Bx/curett of cervix w/scope,,,111.14,546.54,11 HCPCS,57454,HC COLP CERVIX WITH BX CUT,351.0,351.0,,,0 HCPCS,57455,Biopsy of cervix w/scope,,,116.27,546.54,11 HCPCS,57455,HC COLP CERVIX WITH VAGINA AND BX,405.0,405.0,,,0 HCPCS,57456,Endocerv curettage w/scope,,,111.78,546.54,11 HCPCS,57456,HC COLPOSCOPY ENDOCERV CURRETT,516.0,516.0,,,0 HCPCS,57460,Bx of cervix w/scope leep,,,310.27,5805.87,11 HCPCS,57460,HC COLP CERV UP VAG WITH BX,9656.0,9656.0,,,0 HCPCS,57461,Conz of cervix w/scope leep,,,334.04,5805.87,11 HCPCS,57461,HC COLP CERVIX UP WITH LOOP,3418.0,3418.0,,,0 HCPCS,57465,Cam cervix uteri drg colp,,,95.98,168.36,4 HCPCS,57500,Biopsy of cervix,,,196.28,3562.96,11 HCPCS,57500,HC CERVIX BIOPSY SINGLE/MULTIPLE,882.0,882.0,,,0 HCPCS,57505,Endocervical curettage,,,99.57,1651.93,11 HCPCS,57505,HC ENDOCERVICAL CURETTAGE,882.0,882.0,,,0 HCPCS,57510,Cauterization of cervix,,,102.12,5805.87,11 HCPCS,57511,Cryocautery of cervix,,,123.97,546.54,11 HCPCS,57513,Laser surgery of cervix,,,2446.44,5805.87,11 HCPCS,57520,Conization of cervix,,,2446.44,5805.87,11 HCPCS,57522,Conization of cervix,,,2446.44,5805.87,11 HCPCS,57530,Removal of cervix,,,1909.64,8972.03,11 HCPCS,57550,Removal of residual cervix,,,1909.64,8972.03,11 HCPCS,57555,Remove cervix/repair vagina,,,3736.45,8972.03,7 HCPCS,57556,Remove cervix repair bowel,,,3217.63,8972.03,11 HCPCS,57558,D&C oF Cervical Stump,,,1909.64,5805.87,11 HCPCS,57700,Revision of cervix,,,1909.64,5805.87,11 HCPCS,57720,Revision of cervix,,,1909.64,5805.87,11 HCPCS,57800,Dilation of cervical canal,,,54.6,5805.87,11 HCPCS,58100,Biopsy of uterus lining,,,88.66,362.6,11 HCPCS,58100,HC ENDOMETRIAL BIOPSY,237.0,237.0,,,0 HCPCS,58100,HC ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX,300.0,300.0,,,0 HCPCS,58120,Dilation and curettage,,,2446.44,8783.93,11 HCPCS,58145,Myomectomy vag method,,,2446.44,5805.87,11 HCPCS,58260,Vaginal hysterectomy,,,4984.46,9284.63,7 HCPCS,58262,Vag hyst including t/o,,,4984.46,20503.56,7 HCPCS,58263,Vag hyst w/t/o & vag repair,,,4984.46,15806.31,7 HCPCS,58270,Vag hyst w/enterocele repair,,,4984.46,8977.73,7 HCPCS,58290,Vag hyst complex,,,5751.57,13299.79,7 HCPCS,58291,Vag hyst incl t/o complex,,,4984.46,10684.86,7 HCPCS,58292,Vag hyst t/o & repair compl,,,5751.57,13299.79,7 HCPCS,58294,Vag hyst w/enterocele compl,,,3736.45,8972.03,7 HCPCS,58300,HC IUD INSERTION,59.0,59.0,,,0 HCPCS,58300,Insert intrauterine device,,,58.45,102.53,4 HCPCS,58301,HC ED REMOVAL IUD,327.0,327.0,,,0 HCPCS,58301,HC REMOVAL IUD,327.0,327.0,,,0 HCPCS,58301,Remove intrauterine device,,,107.53,5136.61,11 HCPCS,58321,Artificial insemination,,,73.87,546.54,11 HCPCS,58322,Artificial insemination,,,77.09,362.6,11 HCPCS,58323,Sperm washing,,,11.56,362.6,11 HCPCS,58340,Catheter for hysterography,,,347.85,610.18,4 HCPCS,58340,HC INJECTION SALPINOGRAPHY,707.0,707.0,,,0 HCPCS,58345,Reopen fallopian tube,,,1909.64,5805.87,11 HCPCS,58346,Insert heyman uteri capsule,,,1909.64,8972.03,11 HCPCS,58350,Reopen fallopian tube,,,3217.63,8972.03,11 HCPCS,58353,Endometr ablate thermal,,,3217.63,8972.03,11 HCPCS,58356,Endometrial cryoablation,,,2956.93,8972.03,11 HCPCS,58541,Lsh uterus 250 g or less,,,5604.7,19064.9,11 HCPCS,58542,Lsh w/t/o ut 250 g or less,,,7260.58,19064.9,11 HCPCS,58543,LSH Uterus Above 250 g,,,5866.58,19064.9,7 HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,10591.61,20120.42,7 HCPCS,58545,Laparoscopic myomectomy,,,3997.81,28702.41,11 HCPCS,58546,Laparo-myomectomy complex,,,5008.21,19064.9,11 HCPCS,58550,Laparo-asst vag hysterectomy,,,3651.57,10842.82,11 HCPCS,58552,Laparo-vag hyst incl t/o,,,5008.21,19064.9,11 HCPCS,58553,Laparo-vag hyst complex,,,5866.58,19064.9,7 HCPCS,58554,Laparo-vag hyst w/t/o compl,,,9601.35,19064.9,7 HCPCS,58555,Hysteroscopy dx sep proc,,,2446.44,6416.99,11 HCPCS,58558,HC HYSTEROSCOPY BIOPSY,8813.0,8813.0,,,0 HCPCS,58558,Hysteroscopy biopsy,,,3225.49,5805.87,7 HCPCS,58559,Hysteroscopy lysis,,,3217.63,8972.03,11 HCPCS,58560,Hysteroscopy resect septum,,,2685.02,8972.03,11 HCPCS,58561,Hysteroscopy remove myoma,,,2685.02,8972.03,11 HCPCS,58562,HC HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY,628.0,628.0,,,0 HCPCS,58562,Hysteroscopy remove fb,,,2198.41,5805.87,11 HCPCS,58563,Hysteroscopy ablation,,,4984.46,10377.81,7 HCPCS,58565,Hysteroscopy sterilization,,,3217.63,8972.03,11 HCPCS,58570,Tlh uterus 250 g or less,,,5008.21,19064.9,11 HCPCS,58571,Tlh w/t/o 250 g or less,,,10591.61,19064.9,7 HCPCS,58572,Tlh uterus over 250 g,,,6833.79,19064.9,7 HCPCS,58573,Tlh w/t/o uterus over 250 g,,,7575.02,19064.9,7 HCPCS,58575,Laps tot hyst resj mal,,,3092.98,5425.46,4 HCPCS,58578,Laparo proc uterus,,,6023.79,10842.82,3 HCPCS,58579,Hysteroscope procedure,,,201.44,362.6,3 HCPCS,58580,Transcrv abltj utrn fibrd rf,,,5484.61,14959.46,11 HCPCS,58600,Division of fallopian tube,,,2446.44,5805.87,11 HCPCS,58615,Occlude fallopian tube(s),,,1909.64,5805.87,11 HCPCS,58660,Laparoscopy lysis,,,5008.21,10842.82,11 HCPCS,58661,Laparoscopy remove adnexa,,,4654.07,10842.82,11 HCPCS,58662,Laparoscopy excise lesions,,,6023.79,10842.82,7 HCPCS,58670,Laparoscopy tubal cautery,,,6023.79,10842.82,7 HCPCS,58671,Laparoscopy tubal block,,,3171.64,10842.82,11 HCPCS,58672,Laparoscopy fimbrioplasty,,,3651.57,10842.82,11 HCPCS,58673,Laparoscopy salpingostomy,,,3651.57,19064.9,11 HCPCS,58674,Laps abltj uterine fibroids,,,7909.85,19064.9,7 HCPCS,58679,Laparo proc oviduct-ovary,,,6023.79,10842.82,3 HCPCS,58770,Create new tubal opening,,,2044.76,5805.87,7 HCPCS,58800,Drainage of ovarian cyst(s),,,1909.64,5805.87,11 HCPCS,58805,Drainage of ovarian cyst(s),,,1909.64,5805.87,11 HCPCS,58820,Drain ovary abscess open,,,1909.64,5805.87,11 HCPCS,58900,Biopsy of ovary(s),,,1909.64,5805.87,11 HCPCS,58920,Partial removal of ovary(s),,,5751.57,13299.79,7 HCPCS,58925,Removal of ovarian cyst(s),,,4984.46,8977.73,7 HCPCS,58970,Retrieval of oocyte,,,644.42,1651.93,11 HCPCS,58974,Transfer of embryo,,,266.88,1651.93,11 HCPCS,58976,Transfer of embryo,,,266.88,546.54,11 HCPCS,58999,Genital surgery procedure,,,201.44,362.6,3 HCPCS,58999,HC CERCLAGE REMOVAL WITHOUT ANES,2518.0,2518.0,,,0 HCPCS,59000,Amniocentesis diagnostic,,,126.54,1651.93,11 HCPCS,59000,HC AMNIOCENTESIS,753.0,753.0,,,0 HCPCS,59000,HC AMNIOCENTESIS DIAGNOSTIC,743.0,743.0,,,0 HCPCS,59001,Amniocentesis therapeutic,,,188.29,546.54,11 HCPCS,59001,HC AMNIOTIC FLUID REDUCTION,719.0,719.0,,,0 HCPCS,59012,Fetal cord puncture prenatal,,,266.88,546.54,11 HCPCS,59015,Chorion biopsy,,,110.48,1651.93,11 HCPCS,59020,Fetal contract stress test,,,61.66,362.6,11 HCPCS,59020,HC OCT FETAL CONTRACTION STRESS T,258.0,258.0,,,0 HCPCS,59025,Fetal non-stress test,,,138.67,362.6,9 HCPCS,59025,HC FETAL NON STRESS TEST,191.0,191.0,,,0 HCPCS,59030,Fetal scalp blood sample,,,270.36,546.54,7 HCPCS,59050,Fetal monitor w/report,,,22.47,39.42,4 HCPCS,59051,Fetal monitor/interpret only,,,19.27,33.81,4 HCPCS,59070,Transabdom amnioinfus w/us,,,266.88,742.57,11 HCPCS,59072,Umbilical cord occlud w/us,,,266.88,546.54,11 HCPCS,59074,Fetal fluid drainage w/us,,,266.88,546.54,11 HCPCS,59076,Fetal shunt placement w/us,,,266.88,546.54,11 HCPCS,59100,Remove uterus lesion,,,1909.64,8972.03,11 HCPCS,59150,Treat ectopic pregnancy,,,3651.57,10842.82,11 HCPCS,59151,Treat ectopic pregnancy,,,4307.06,10842.82,11 HCPCS,59160,D & c after delivery,,,2446.44,5805.87,11 HCPCS,59200,HC OB INSERTION CERVICAL DILATOR,392.0,392.0,,,0 HCPCS,59200,Insert cervical dilator,,,69.37,546.54,11 HCPCS,59300,Episiotomy or vaginal repair,,,163.16,5805.87,11 HCPCS,59300,HC ED EPISIOTOMY OR VAGINAL REPAIR,3820.0,3820.0,,,0 HCPCS,59300,HC EPISIOTOMY OR VAGINAL REPAIR,3306.0,3306.0,,,0 HCPCS,59320,Revision of cervix,,,2446.44,5805.87,11 HCPCS,59400,Obstetrical care,,,1312.41,2302.13,4 HCPCS,59409,HC DELIVERY CHARGE,4782.0,4782.0,,,0 HCPCS,59409,HC VAGINAL DELIVERY ONLY,3603.0,3603.0,,,0 HCPCS,59409,Obstetrical care,,,2044.76,5805.87,7 HCPCS,59410,Obstetrical care,,,499.78,876.67,4 HCPCS,59412,Antepartum manipulation,,,2446.44,5805.87,11 HCPCS,59412,HC OB BREECH VERSION (ECV),4348.0,4348.0,,,0 HCPCS,59414,Deliver placenta,,,1909.64,5805.87,11 HCPCS,59414,HC DELIVERY OF PLACENTA,3022.0,3022.0,,,0 HCPCS,59414,HC ED DELIVERY OF PLACENTA,3492.0,3492.0,,,0 HCPCS,59425,Antepartum care only,,,339.82,596.09,4 HCPCS,59426,Antepartum care only,,,624.41,1095.28,4 HCPCS,59430,Care after delivery,,,145.83,255.81,4 HCPCS,59510,Cesarean delivery,,,1428.03,2504.94,4 HCPCS,59515,Cesarean delivery,,,623.12,1093.03,4 HCPCS,59610,Vbac delivery,,,1341.95,2353.95,4 HCPCS,59612,Vbac delivery only,,,2044.76,5805.87,7 HCPCS,59614,Vbac care after delivery,,,533.19,935.27,4 HCPCS,59618,Attempted vbac delivery,,,1437.68,2521.86,4 HCPCS,59622,Attempted vbac after care,,,638.53,1120.05,4 HCPCS,59812,Treatment of miscarriage,,,2444.32,5805.87,11 HCPCS,59820,Care of miscarriage,,,2402.26,5805.87,11 HCPCS,59821,Treatment of miscarriage,,,2446.44,5805.87,11 HCPCS,59840,Abortion,,,1909.64,5805.87,11 HCPCS,59841,Abortion,,,1909.64,5805.87,11 HCPCS,59866,Abortion (mpr),,,266.88,546.54,11 HCPCS,59870,Evacuate mole of uterus,,,2031.2,5805.87,11 HCPCS,59871,Remove cerclage suture,,,1909.64,5805.87,11 HCPCS,59897,Fetal invas px w/us,,,201.44,362.6,3 HCPCS,59898,Laparo proc ob care/deliver,,,6023.79,10842.82,3 HCPCS,59899,Maternity care procedure,,,201.44,362.6,3 HCPCS,60000,Drain thyroid/tongue cyst,,,856.9,2782.81,11 HCPCS,60100,Biopsy of thyroid,,,130.58,1606.8,11 HCPCS,60100,HC NEEDLE BX THYROID,938.5,938.5,,,0 HCPCS,60200,Remove thyroid lesion,,,3651.57,10842.82,11 HCPCS,60210,Partial thyroid excision,,,5618.09,10842.82,11 HCPCS,60212,Partial thyroid excision,,,3651.57,10842.82,11 HCPCS,60220,Partial removal of thyroid,,,5502.08,10842.82,11 HCPCS,60225,Partial removal of thyroid,,,5618.09,10842.82,11 HCPCS,60240,Removal of thyroid,,,5618.09,12576.08,11 HCPCS,60252,Removal of thyroid,,,5898.54,19637.91,7 HCPCS,60260,Repeat thyroid surgery,,,5211.9,10617.38,7 HCPCS,60271,Removal of thyroid,,,5898.54,20927.77,7 HCPCS,60280,Remove thyroid duct lesion,,,5618.09,10842.82,11 HCPCS,60281,Remove thyroid duct lesion,,,5618.09,12003.11,11 HCPCS,60300,Aspir/inj thyroid cyst,,,146.47,1270.05,11 HCPCS,60300,HC ASPIRATION THYROID CYST,1471.0,1471.0,,,0 HCPCS,60500,Explore parathyroid glands,,,4942.79,10617.38,11 HCPCS,60502,Re-explore parathyroids,,,4050.3,10617.38,7 HCPCS,60520,Removal of thymus gland,,,4050.3,10617.38,7 HCPCS,60659,Laparo proc endocrine,,,6023.79,10842.82,3 HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1645.66,3046.45,7 HCPCS,60661,Abltj 1/+thyr ndul addl prq,,,729.16,1279.04,4 HCPCS,60699,Endocrine surgery procedure,,,6023.79,10842.82,3 HCPCS,61000,Remove cranial cavity fluid,,,490.86,1266.02,11 HCPCS,61001,Remove cranial cavity fluid,,,490.86,1266.02,11 HCPCS,61020,HC HB VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX,1081.0,1081.0,,,0 HCPCS,61020,Remove brain cavity fluid,,,618.36,1586.33,11 HCPCS,61026,Injection into brain canal,,,490.86,1266.02,11 HCPCS,61050,Remove brain canal fluid,,,223.57,2240.18,11 HCPCS,61055,Injection into brain canal,,,223.57,1024.13,11 HCPCS,61070,Brain canal shunt procedure,,,266.86,1266.02,11 HCPCS,61070,HC BRAIN CANAL SHUNT ASPIRATION NUC MED,736.0,736.0,,,0 HCPCS,61070,HC ED BRAIN CANAL SHUNT ASPIRATION,736.0,736.0,,,0 HCPCS,61070,HC PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX,843.0,843.0,,,0 HCPCS,61107,HC TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE,634.0,634.0,,,0 HCPCS,61107,HC TWST DRL HOLE IMPLT VENT CA,619.0,619.0,,,0 HCPCS,61215,Insert brain-fluid device,,,3378.99,15739.73,11 HCPCS,61330,Decompress eye socket,,,1684.24,5946.37,11 HCPCS,61623,Endovasc tempory vessel occl,,,9562.07,20704.82,7 HCPCS,61624,HC EMBOLIZATION INTRACRANIAL SPINAL,17512.0,17512.0,,,0 HCPCS,61624,Transcath occlusion cns,,,18265.72,32878.29,3 HCPCS,61626,HC EMBOLIZATION EXTRACRANIAL,11543.0,11543.0,,,0 HCPCS,61626,Transcath occlusion non-cns,,,9562.07,20704.82,7 HCPCS,61630,HC INTRACRANIAL ANGIOPLASTY,2616.0,2616.0,,,0 HCPCS,61635,HC INTRACRAN ANGIOPLSTY W STENT,2464.0,2464.0,,,0 HCPCS,61640,Dilate ic vasospasm init,,,6168.34,10819.99,4 HCPCS,61645,HC PERQ ART MECHTHROMBECT,9758.0,9758.0,,,0 HCPCS,61650,HC EVASC PRLNG ADM RX AGNT 1ST,2214.0,2214.0,,,0 HCPCS,61651,HC EVASC PRLNG ADM RX AGNT AD,2238.0,2238.0,,,0 HCPCS,61715,HC MRGFUS STEREOTACTIC ABLATION TARGET INTRACRANIAL,39301.0,39301.0,,,0 HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,11102.63,23447.3,7 HCPCS,61720,Incise skull/brain surgery,,,4070.83,15739.73,7 HCPCS,61736,Litt icr 1 traj 1 smpl les,,,725.94,1273.38,4 HCPCS,61737,Litt icr mlt trj mlt/cplx ls,,,852.86,1496.02,4 HCPCS,61770,Incise skull for treatment,,,3378.99,6126.95,11 HCPCS,61782,HC STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL,2245.0,2245.0,,,0 HCPCS,61783,HC STEREOTACTIC COMPUTER ASSISTED PX SPINAL,1539.0,1539.0,,,0 HCPCS,61790,Treat trigeminal nerve,,,1412.88,3502.27,11 HCPCS,61791,Treat trigeminal tract,,,1412.88,3502.27,11 HCPCS,61796,Srs cranial lesion simple,,,2890.09,5069.56,4 HCPCS,61798,Srs cranial lesion complex,,,2890.09,5069.56,4 HCPCS,61880,Revise/remove neuroelectrode,,,2603.84,6270.36,11 HCPCS,61885,Insrt/redo neurostim 1 array,,,3331.5,55344.12,11 HCPCS,61886,Implant neurostim arrays,,,3171.64,57884.36,11 HCPCS,61888,Revise/remove neuroreceiver,,,8470.79,19984.73,11 HCPCS,61889,Ins sk-mnt crnl nstm pg/rcvr,,,1069.39,1875.83,4 HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,24688.47,55344.12,7 HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,3260.23,6407.89,7 HCPCS,62000,Treat skull fracture,,,2131.24,5946.37,7 HCPCS,62194,Replace/irrigate catheter,,,1412.88,3502.27,11 HCPCS,62225,Replace/irrigate catheter,,,1708.19,6126.95,11 HCPCS,62230,Replace/revise brain shunt,,,3905.88,15739.73,11 HCPCS,62252,Csf Shunt Reprogram,,,70.01,550.86,11 HCPCS,62252,HC ED REPROGRAMMING CSF SHUNT,538.0,538.0,,,0 HCPCS,62263,Epidural lysis mult sessions,,,618.36,2240.18,11 HCPCS,62264,Epidural lysis on single day,,,618.36,1586.33,11 HCPCS,62267,HC INVERT DISC ASPIRATION PERC,1449.5,1449.5,,,0 HCPCS,62267,Interdiscal perq aspir dx,,,521.75,1270.05,11 HCPCS,62268,Drain spinal cord cyst,,,618.36,1586.33,11 HCPCS,62269,Needle biopsy spinal cord,,,933.69,2962.18,11 HCPCS,62270,HC ED LUMBAR PUNCTURE DIAGNOSTIC,871.0,871.0,,,0 HCPCS,62270,HC LUMBAR PUNCTURE DIAGNOSTIC,765.5,765.5,,,0 HCPCS,62270,"HC SPINAL PUNCTURE,LUMBAR,DIAGNOSTIC",997.0,997.0,,,0 HCPCS,62270,HC TX LUMBAR PUNCTURE DIAGNOSTIC,871.0,871.0,,,0 HCPCS,62270,Spinal fluid tap diagnostic,,,493.94,1266.02,11 HCPCS,62272,Drain cerebro spinal fluid,,,124.08,1266.02,11 HCPCS,62272,HC ED LUMBAR PUNCTURE THERAPEUTIC,761.0,761.0,,,0 HCPCS,62272,HC LUMBAR PUNCTURE THERAPEUTIC,836.0,836.0,,,0 HCPCS,62272,HC THERAPEUTIC SPINAL PUNCTURE,761.0,761.0,,,0 HCPCS,62273,HC ED INJECTION EPIDURAL BLOOD/CLOT PATCH,736.0,736.0,,,0 HCPCS,62273,HC INJ EPIDURAL BLOOD PATCH,736.0,736.0,,,0 HCPCS,62273,HC RAD INJ EPIDURAL BLOOD PATCH,660.5,660.5,,,0 HCPCS,62273,Inject epidural patch,,,236.63,1266.02,11 HCPCS,62280,Treat spinal cord lesion,,,618.36,1586.33,11 HCPCS,62281,Treat spinal cord lesion,,,618.36,2240.18,11 HCPCS,62282,Treat spinal canal lesion,,,618.36,2240.18,11 HCPCS,62284,HC LUMBAR APPROACH,2861.0,2861.0,,,0 HCPCS,62284,Injection for myelogram,,,230.61,404.51,4 HCPCS,62287,Percutaneous diskectomy,,,1945.7,5927.15,11 HCPCS,62290,HC INJECTION DISKOGRAPHY LUMBAR,1749.0,1749.0,,,0 HCPCS,62290,Inject for spine disk x-ray,,,391.2,686.22,4 HCPCS,62291,Inject for spine disk x-ray,,,402.77,706.51,4 HCPCS,62292,Injection into disk lesion,,,1412.88,3502.27,11 HCPCS,62294,Injection into spinal artery,,,618.36,1586.33,11 HCPCS,62302,HC MYELOGRAM CERVICAL,1858.0,1858.0,,,0 HCPCS,62302,Myelography lumbar injection,,,781.1,2345.31,7 HCPCS,62303,HC MYELOGRAM THORACIC,1858.0,1858.0,,,0 HCPCS,62303,Myelography lumbar injection,,,440.92,1405.98,7 HCPCS,62304,HC MYELOGRAM LUMBOSACRAL,1858.0,1858.0,,,0 HCPCS,62304,Myelography lumbar injection,,,781.1,2605.89,7 HCPCS,62305,HC MYELOGRAM COMPLETE,2137.0,2137.0,,,0 HCPCS,62305,Myelography lumbar injection,,,781.1,2345.31,7 HCPCS,62320,Njx interlaminar crv/thrc,,,490.86,1266.02,7 HCPCS,62321,HC IR INJ EPI SUBAR EA CERV THORA,695.0,695.0,,,0 HCPCS,62321,Njx interlaminar crv/thrc,,,490.86,1266.02,7 HCPCS,62322,Njx interlaminar lmbr/sac,,,490.86,1586.33,7 HCPCS,62323,HC IR INJ EPI SUB EA LUMBARSACRAL,807.5,807.5,,,0 HCPCS,62323,Njx interlaminar lmbr/sac,,,465.37,1266.02,7 HCPCS,62324,HC EPIDURAL CATH PLACEMENT C/T NO IMAGE,996.5,996.5,,,0 HCPCS,62324,Njx interlaminar crv/thrc,,,618.36,1586.33,7 HCPCS,62325,Njx interlaminar crv/thrc,,,618.36,1586.33,7 HCPCS,62326,HC EPIDURAL CATH PLACEMENT L/S NO IMAGE,996.5,996.5,,,0 HCPCS,62326,Njx interlaminar lmbr/sac,,,618.36,1586.33,7 HCPCS,62327,Njx interlaminar lmbr/sac,,,618.36,1586.33,7 HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,703.34,1396.27,9 HCPCS,62328,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,1181.0,1181.0,,,0 HCPCS,62329,HC THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT,1058.5,1058.5,,,0 HCPCS,62329,Ther spi pnxr csf fluor/ct,,,703.34,1396.27,9 HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,7230.12,13014.22,3 HCPCS,62350,Implant spinal canal cath,,,3378.99,15739.73,11 HCPCS,62351,Implant spinal canal cath,,,5119.65,13014.22,7 HCPCS,62355,Remove spinal canal catheter,,,1412.88,3502.27,11 HCPCS,62360,Insert spine infusion device,,,4853.36,37964.0,11 HCPCS,62361,Implant spine infusion pump,,,17959.04,38484.04,11 HCPCS,62362,Implant spine infusion pump,,,4756.9,36293.85,11 HCPCS,62365,Remove spine infusion device,,,3403.86,7270.58,11 HCPCS,62367,Analyze spine infus pump,,,41.11,550.86,11 HCPCS,62368,Analyze sp inf pump w/reprog,,,55.23,550.86,11 HCPCS,62369,Anal sp inf pmp w/reprg&fill,,,168.31,550.86,11 HCPCS,62370,Anl sp inf pmp w/mdreprg&fil,,,165.09,550.86,11 HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,6398.09,13014.22,7 HCPCS,63001,Remove spine lamina 1/2 crvl,,,4745.33,13014.22,11 HCPCS,63003,Remove spine lamina 1/2 thrc,,,4745.33,13014.22,11 HCPCS,63005,Remove spine lamina 1/2 lmbr,,,4745.33,13014.22,11 HCPCS,63011,Remove spine lamina 1/2 scrl,,,5119.65,13014.22,7 HCPCS,63012,Remove lamina/facets lumbar,,,5119.65,13014.22,7 HCPCS,63015,Remove spine lamina >2 crvcl,,,5119.65,13014.22,7 HCPCS,63016,Remove spine lamina >2 thrc,,,5119.65,13014.22,7 HCPCS,63017,Remove spine lamina >2 lmbr,,,5119.65,13014.22,7 HCPCS,63020,Neck spine disk surgery,,,5450.5,13014.22,11 HCPCS,63030,Low back disk surgery,,,4475.47,13014.22,11 HCPCS,63040,Laminotomy single cervical,,,5119.65,13014.22,7 HCPCS,63042,Laminotomy single lumbar,,,4626.2,13014.22,11 HCPCS,63045,Remove spine lamina 1 crvl,,,5450.5,13014.22,11 HCPCS,63046,Remove spine lamina 1 thrc,,,4745.33,13014.22,7 HCPCS,63047,Remove spine lamina 1 lmbr,,,4334.24,13014.22,11 HCPCS,63052,Lam facetc/frmt arthrd lum 1,,,275.03,482.44,4 HCPCS,63053,Lam factc/frmt arthrd lum ea,,,206.29,361.86,4 HCPCS,63055,Decompress spinal cord thrc,,,4745.33,13014.22,7 HCPCS,63056,Decompress spinal cord lmbr,,,4626.21,13014.22,11 HCPCS,63064,Decompress spinal cord thrc,,,5119.65,13014.22,7 HCPCS,63075,Neck spine disk surgery,,,5119.65,13014.22,7 HCPCS,63265,Excise intraspinl lesion crv,,,7230.12,13014.22,3 HCPCS,63266,Excise intrspinl lesion thrc,,,7230.12,13014.22,3 HCPCS,63267,Excise intrspinl lesion lmbr,,,7230.12,13014.22,3 HCPCS,63268,Excise intrspinl lesion scrl,,,7230.12,13014.22,3 HCPCS,63600,Remove spinal cord lesion,,,1412.88,3502.27,11 HCPCS,63610,Stimulation of spinal cord,,,1412.88,3502.27,11 HCPCS,63620,Srs spinal lesion,,,706.64,1239.53,4 HCPCS,63650,HC PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL,18007.0,18007.0,,,0 HCPCS,63650,Implant neuroelectrodes,,,6350.08,13794.61,11 HCPCS,63655,Implant neuroelectrodes,,,5132.54,44106.55,11 HCPCS,63661,HC RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR,3664.0,3664.0,,,0 HCPCS,63661,Remove spine eltrd perq aray,,,1412.88,3502.27,11 HCPCS,63662,Remove spine eltrd plate,,,2820.94,6270.36,11 HCPCS,63663,Revise spine eltrd perq aray,,,6350.08,13227.6,11 HCPCS,63664,Revise spine eltrd plate,,,3071.71,19984.73,11 HCPCS,63685,HC INSERT/REPLACE OF SPINAL NEUROSTIM PULSE GEN,97637.0,97637.0,,,0 HCPCS,63685,Insrt/redo spine n generator,,,5422.74,57884.36,11 HCPCS,63688,Revise/remove neuroreceiver,,,2820.94,6497.78,11 HCPCS,63741,Install spinal shunt,,,4070.83,15739.73,7 HCPCS,63744,Revision of spinal shunt,,,3378.99,6126.95,11 HCPCS,63746,Removal of spinal shunt,,,1412.88,3502.27,11 HCPCS,64400,"HC ED INJ(S), ANESTHETIC AGENT(S) AND/OR STEROID; TRIGEMINAL NERVE, EA BRANCH (IE OPHT, MAX, MAND)",302.0,302.0,,,0 HCPCS,64400,HC INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH,302.0,302.0,,,0 HCPCS,64400,N block inj trigeminal,,,147.12,550.53,11 HCPCS,64405,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE",730.0,730.0,,,0 HCPCS,64405,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GREATER OCCIPITAL NERVE",730.0,730.0,,,0 HCPCS,64405,N block inj occipital,,,111.14,550.53,11 HCPCS,64408,N block inj vagus,,,114.34,550.53,11 HCPCS,64415,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; BRACHIAL PLEXUS",2043.0,2043.0,,,0 HCPCS,64415,N block inj brachial plexus,,,493.94,1586.33,11 HCPCS,64416,N block cont infuse b plex,,,618.36,1586.33,11 HCPCS,64417,N block inj axillary,,,493.94,1586.33,11 HCPCS,64418,N block inj suprascapular,,,170.87,1266.02,11 HCPCS,64420,HC INJECTION AA&STRD INTERCOSTAL NRV SINGLE LVL,736.0,736.0,,,0 HCPCS,64420,N block inj intercost sng,,,490.86,1266.02,11 HCPCS,64421,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; INTERCOSTAL NERVE, EACH ADDITIONAL LEVEL",900.5,900.5,,,0 HCPCS,64421,N block inj intercost mlt,,,618.36,1586.33,11 HCPCS,64425,HC INJECTION ANES ILIOINGUINAL ILIOHYPOGASTRIC NRVS,1405.0,1405.0,,,0 HCPCS,64425,N block inj ilio-ing/hypogi,,,116.93,1266.02,11 HCPCS,64430,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PUDENDAL NERVE",1288.0,1288.0,,,0 HCPCS,64430,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; PUDENDAL NERVE",967.0,967.0,,,0 HCPCS,64430,N block inj pudendal,,,618.36,1586.33,11 HCPCS,64435,N block inj paracervical,,,142.59,1266.02,11 HCPCS,64445,N block inj sciatic sng,,,141.95,1266.02,11 HCPCS,64446,N blk inj sciatic cont inf,,,618.36,1586.33,11 HCPCS,64447,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; FEMORAL NERVE",736.0,736.0,,,0 HCPCS,64447,N block inj fem single,,,113.05,1266.02,11 HCPCS,64448,N block inj fem cont inf,,,618.36,2240.18,11 HCPCS,64449,N block inj lumbar plexus,,,618.36,1586.33,11 HCPCS,64450,"HC ED INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH",885.0,885.0,,,0 HCPCS,64450,HC HB 64450 INJ NRV BLK PERIPHER/BRANCH,792.0,792.0,,,0 HCPCS,64450,"HC INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH",895.5,895.5,,,0 HCPCS,64450,N block other peripheral,,,93.15,1266.02,11 HCPCS,64451,HC INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IM,1022.0,1022.0,,,0 HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,703.34,1396.27,9 HCPCS,64454,HC INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG,885.0,885.0,,,0 HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,703.34,1396.27,9 HCPCS,64455,N block inj plantar digit,,,35.34,550.53,11 HCPCS,64461,Pvb thoracic single inj site,,,147.12,1266.02,7 HCPCS,64463,Pvb thoracic cont infusion,,,168.95,1266.02,7 HCPCS,64466,HC ED THORACIC FASCIAL PLANE BLOCK UNI INJECTION,1128.0,1128.0,,,0 HCPCS,64466,HC THORACIC FASCIAL PLANE BLOCK UNI INJECTION,1128.0,1128.0,,,0 HCPCS,64466,Thrc fascial pln blk uni njx,,,214.27,375.85,4 HCPCS,64467,Thrc fascial pln blk uni nfs,,,515.93,905.0,4 HCPCS,64468,Thrc fascial pln blk bi njx,,,254.85,447.04,4 HCPCS,64469,Thrc fascial pln blk bi nfs,,,882.07,1547.26,4 HCPCS,64473,HC ED LOWER XTR FASCIAL PLANE BLOCK UNI INJECTION,111.0,111.0,,,0 HCPCS,64473,Lwr xtr fscl pln blk uni njx,,,211.14,370.37,4 HCPCS,64474,Lwr xtr fscl pln blk uni nfs,,,514.9,903.2,4 HCPCS,64479,HC INJ TRANSFOR CERV THOR SINGLE,955.0,955.0,,,0 HCPCS,64479,HC NJX AA&/STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL,1114.0,1114.0,,,0 HCPCS,64479,Inj foramen epidural c/t,,,881.29,1586.33,7 HCPCS,64480,HC INJ TRANSFOR CERV THOR EA ADDTL,1232.0,1232.0,,,0 HCPCS,64483,HC INJ TRANSFOR LUMB SACR SINGLE,905.5,905.5,,,0 HCPCS,64483,HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL,1114.0,1114.0,,,0 HCPCS,64483,Inj foramen epidural l/s,,,881.29,1919.65,7 HCPCS,64484,HC INJ TRANSFOR LUMB SACR EA ADDTL,678.5,678.5,,,0 HCPCS,64484,HC NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC EA LV,1048.0,1048.0,,,0 HCPCS,64486,HC TAP BLOCK UNILATERAL BY INJECTION(S),437.0,437.0,,,0 HCPCS,64486,Tap block unil by injection,,,131.03,229.85,4 HCPCS,64487,Tap block uni by infusion,,,142.59,250.13,4 HCPCS,64488,Tap block bi injection,,,1360.87,2387.12,4 HCPCS,64489,Tap block bi by infusion,,,200.41,351.54,4 HCPCS,64490,HC INJ FACET JT CERV THOR SINGLE,1156.5,1156.5,,,0 HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,618.36,1586.33,11 HCPCS,64491,HC INJ FACET JT CERV THOR EA ADDTL,952.0,952.0,,,0 HCPCS,64492,HC INJ CERV THOR FAC JT 3+,1271.0,1271.0,,,0 HCPCS,64493,HC INJ FACET JT LUMB SACR SINGLE,957.0,957.0,,,0 HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,774.99,1586.33,11 HCPCS,64494,HC INJ FACET JT LUMB SACR EA ADDTL,690.0,690.0,,,0 HCPCS,64495,HC INJ LUMB SACR FACET JT 3+,1295.5,1295.5,,,0 HCPCS,64505,HC ED INJECTION ANES AGENT SPHENOPALATINE GANGLION,892.0,892.0,,,0 HCPCS,64505,N block spenopalatine gangl,,,95.09,550.53,11 HCPCS,64510,HC INJ ANESTHETIC AGENT STELLATE GANGLION BLOCK,1954.0,1954.0,,,0 HCPCS,64510,N block stellate ganglion,,,618.36,1586.33,11 HCPCS,64517,HC SUPERIOR HYPOGASTRIC NERVE BLOCK,1632.0,1632.0,,,0 HCPCS,64517,N block inj hypogas plxs,,,618.36,1586.33,11 HCPCS,64520,HC INJ ANESTHETIC AGENT SYMPATHETIC LUMBAR BLOCK,1245.0,1245.0,,,0 HCPCS,64520,N block lumbar/thoracic,,,618.36,1586.33,11 HCPCS,64530,HC CT INJ CELIAC PLEX W ANESTHETI,1105.5,1105.5,,,0 HCPCS,64530,N block inj celiac pelus,,,618.36,1586.33,11 HCPCS,64553,Implant neuroelectrodes,,,8131.07,19984.73,11 HCPCS,64555,Implant neuroelectrodes,,,4144.86,11430.14,11 HCPCS,64561,Implant neuroelectrodes,,,6350.08,13975.32,11 HCPCS,64566,Neuroeltrd stim post tibial,,,189.5,550.53,11 HCPCS,64567,Perq elec nrv field stimj cn,,,903.72,1626.7,3 HCPCS,64568,Inc for vagus n elect impl,,,40312.74,78998.56,11 HCPCS,64569,Revise/repl vagus n eltrd,,,7064.53,19984.73,11 HCPCS,64570,Remove vagus n eltrd,,,3403.86,9831.3,11 HCPCS,64575,Implant neuroelectrodes,,,9280.7,44964.57,11 HCPCS,64580,Implant neuroelectrodes,,,19330.35,46350.84,11 HCPCS,64581,Implant neuroelectrodes,,,6350.08,14696.54,11 HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,30746.74,67165.23,11 HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,11102.63,25655.19,11 HCPCS,64584,Rmvl hpglsl nstim ary pg,,,3403.86,13011.38,11 HCPCS,64585,Revise/remove neuroelectrode,,,2820.94,8550.92,11 HCPCS,64590,Insrt/redo pn/gastr stimul,,,3820.45,44106.55,11 HCPCS,64595,Revise/rmv pn/gastr stimul,,,2603.84,6270.36,11 HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,11102.63,26967.22,11 HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,2617.12,6735.91,11 HCPCS,64600,Injection treatment of nerve,,,618.36,2240.18,11 HCPCS,64605,Injection treatment of nerve,,,1412.88,3502.27,11 HCPCS,64610,Injection treatment of nerve,,,1412.88,3502.27,11 HCPCS,64611,Chemodenerv saliv glands,,,124.61,550.53,11 HCPCS,64611,HC CHEMODENERV PAROTID&SUBMANDIBLE SALIVARY GLNDS,1139.0,1139.0,,,0 HCPCS,64611,HC CHEMODENERV SALIV GLANDS,667.0,667.0,,,0 HCPCS,64612,Destroy nerve face muscle,,,130.39,550.53,11 HCPCS,64612,HC CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL,512.0,512.0,,,0 HCPCS,64615,Chemodenerv musc migraine,,,107.27,550.53,11 HCPCS,64615,HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,512.0,512.0,,,0 HCPCS,64616,Chemodenerv musc neck dyston,,,102.78,550.53,11 HCPCS,64616,HC CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,369.0,369.0,,,0 HCPCS,64617,Chemodener muscle larynx emg,,,177.29,1266.02,11 HCPCS,64620,HC DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE,4566.0,4566.0,,,0 HCPCS,64620,Injection treatment of nerve,,,618.36,2240.18,11 HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,1945.7,3840.8,9 HCPCS,64624,HC DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG,4108.0,4108.0,,,0 HCPCS,64625,Rf abltj nrv nrvtg si jt,,,1945.7,3840.8,9 HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,12792.51,28134.85,11 HCPCS,64629,Trml dstrj ios bvn ea addl,,,224.79,394.3,4 HCPCS,64630,HC DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE,2723.0,2723.0,,,0 HCPCS,64630,Injection treatment of nerve,,,618.36,1586.33,11 HCPCS,64632,N block inj common digit,,,71.95,550.53,11 HCPCS,64633,Destroy cerv/thor facet jnt,,,1412.88,3502.27,11 HCPCS,64633,HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,4589.0,4589.0,,,0 HCPCS,64634,HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,4589.0,4589.0,,,0 HCPCS,64635,Destroy lumb/sac facet jnt,,,1412.88,3502.27,11 HCPCS,64635,HC DSTR NROLYTIC AGNT PARVERTEB FCT SINGL LMBR/SACRAL,4589.0,4589.0,,,0 HCPCS,64636,HC DSTR NROLYTIC AGNT PARVERTEB FT ADDL LUMBR/SACRAL,4589.0,4589.0,,,0 HCPCS,64640,HC DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE,1965.0,1965.0,,,0 HCPCS,64640,Injection treatment of nerve,,,155.45,1586.33,11 HCPCS,64642,Chemodenerv 1 extremity 1-4,,,173.78,1266.02,11 HCPCS,64642,HC CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,652.0,652.0,,,0 HCPCS,64643,HC CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE,115.0,115.0,,,0 HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,156.09,1266.02,11 HCPCS,64644,HC CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES,734.0,734.0,,,0 HCPCS,64645,HC CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES,208.0,208.0,,,0 HCPCS,64646,Chemodenerv trunk musc 1-5,,,185.89,3562.96,11 HCPCS,64646,HC CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES,1258.0,1258.0,,,0 HCPCS,64646,HC CHEMODENERVATION OF TRUNK MUSCLES 1-5,874.5,874.5,,,0 HCPCS,64647,Chemodenerv trunk musc 6/>,,,153.52,1266.02,11 HCPCS,64647,HC CHEMODENERVATION OF TRUNK MUSCLE(S) 6 OR MORE,956.5,956.5,,,0 HCPCS,64650,Chemodenerv eccrine glands,,,88.66,550.53,11 HCPCS,64653,Chemodenerv eccrine glands,,,101.49,550.53,11 HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3483.53,6270.36,3 HCPCS,64656,Revj/rplcmt bat mod sys pg,,,30746.74,55344.12,3 HCPCS,64657,Rmvl bat modulj sys tot sys,,,3403.86,6126.95,3 HCPCS,64658,Rmvl bat modul sys lead only,,,3483.53,6270.36,3 HCPCS,64659,Rmvl bat modulj sys pg only,,,3483.53,6270.36,3 HCPCS,64680,HC CT INJ CELIAC PLEX W NEUROLYTIC,1239.0,1239.0,,,0 HCPCS,64680,Injection treatment of nerve,,,881.29,2240.18,11 HCPCS,64681,HC DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS,1472.0,1472.0,,,0 HCPCS,64681,Injection treatment of nerve,,,618.36,1586.33,11 HCPCS,64702,Revise finger/toe nerve,,,1412.88,3502.27,11 HCPCS,64704,Revise hand/foot nerve,,,1412.88,3502.27,11 HCPCS,64708,Revise arm/leg nerve,,,1412.88,3502.27,11 HCPCS,64712,Revision of sciatic nerve,,,1412.88,3502.27,11 HCPCS,64713,Revision of arm nerve(s),,,1412.88,3502.27,11 HCPCS,64714,Revise low back nerve(s),,,1412.88,3502.27,11 HCPCS,64716,Revision of cranial nerve,,,1412.88,3502.27,11 HCPCS,64718,Revise ulnar nerve at elbow,,,1822.37,6578.54,11 HCPCS,64719,Revise ulnar nerve at wrist,,,1412.88,3502.27,11 HCPCS,64721,Carpal tunnel surgery,,,1945.7,3502.27,7 HCPCS,64721,HC CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL,549.67,549.67,,,0 HCPCS,64722,Relieve pressure on nerve(s),,,1412.88,3502.27,11 HCPCS,64726,Release foot/toe nerve,,,1412.88,3502.27,11 HCPCS,64728,Dcmprn median nrv carpl tunl,,,1945.7,3502.27,3 HCPCS,64732,Incision of brow nerve,,,1412.88,3502.27,11 HCPCS,64734,Incision of cheek nerve,,,1412.88,3502.27,11 HCPCS,64736,Incision of chin nerve,,,1412.88,3502.27,11 HCPCS,64738,Incision of jaw nerve,,,1412.88,3502.27,11 HCPCS,64740,Incision of tongue nerve,,,1412.88,3502.27,11 HCPCS,64742,Incision of facial nerve,,,1412.88,3502.27,11 HCPCS,64744,Incise nerve back of head,,,1412.88,3502.27,11 HCPCS,64746,Incise diaphragm nerve,,,1412.88,3502.27,11 HCPCS,64763,Incise hip/thigh nerve,,,1412.88,3502.27,11 HCPCS,64766,Incise hip/thigh nerve,,,1945.7,7988.54,11 HCPCS,64771,Sever cranial nerve,,,1412.88,3502.27,11 HCPCS,64772,Incision of spinal nerve,,,1412.88,3502.27,11 HCPCS,64774,Remove skin nerve lesion,,,1412.88,3502.27,11 HCPCS,64776,Remove digit nerve lesion,,,1412.88,3502.27,11 HCPCS,64782,Remove limb nerve lesion,,,1412.88,3502.27,11 HCPCS,64784,Remove nerve lesion,,,1412.88,3502.27,11 HCPCS,64786,Remove sciatic nerve lesion,,,3378.99,6126.95,11 HCPCS,64788,Remove skin nerve lesion,,,1834.07,6843.8,11 HCPCS,64790,Removal of nerve lesion,,,1412.88,3502.27,11 HCPCS,64792,Removal of nerve lesion,,,3378.99,6126.95,11 HCPCS,64795,Biopsy of nerve,,,1412.88,3502.27,11 HCPCS,64802,Sympathectomy cervical,,,1412.88,3502.27,11 HCPCS,64804,Remove sympathetic nerves,,,1532.9,3502.27,7 HCPCS,64820,Sympathectomy digital artery,,,1412.88,3502.27,11 HCPCS,64821,Remove sympathetic nerves,,,2182.91,5868.42,11 HCPCS,64822,Remove sympathetic nerves,,,2182.91,5868.42,11 HCPCS,64823,Sympathectomy supfc palmar,,,1245.6,5868.42,11 HCPCS,64831,Repair of digit nerve,,,1945.7,17513.45,11 HCPCS,64834,Repair of hand or foot nerve,,,3378.99,6126.95,11 HCPCS,64835,Repair of hand or foot nerve,,,3378.99,6126.95,11 HCPCS,64836,Repair of hand or foot nerve,,,3378.99,6126.95,11 HCPCS,64840,Repair of leg nerve,,,3378.99,15739.73,11 HCPCS,64856,Repair/transpose nerve,,,3378.99,15739.73,11 HCPCS,64857,Repair arm/leg nerve,,,3378.99,6126.95,11 HCPCS,64858,Repair sciatic nerve,,,1945.7,5927.15,11 HCPCS,64861,Repair of arm nerves,,,1945.7,5927.15,11 HCPCS,64862,Repair of low back nerves,,,3378.99,6126.95,11 HCPCS,64864,Repair of facial nerve,,,3378.99,15739.73,11 HCPCS,64865,Repair of facial nerve,,,3378.99,6126.95,11 HCPCS,64885,Nerve graft head/neck <=4 cm,,,3378.99,15739.73,11 HCPCS,64886,Nerve graft head/neck >4 cm,,,3378.99,15739.73,11 HCPCS,64890,Nerve graft hand/foot <=4 cm,,,3905.88,15739.73,11 HCPCS,64891,Nerve graft hand/foot >4 cm,,,3905.88,15739.73,11 HCPCS,64892,Nerve graft arm/leg <4 cm,,,3378.99,15739.73,11 HCPCS,64893,Nerve graft arm/leg >4 cm,,,3403.86,7964.88,11 HCPCS,64895,Nerve graft hand/foot <=4 cm,,,3378.99,15739.73,11 HCPCS,64896,Nerve graft hand/foot >4 cm,,,3378.99,15739.73,11 HCPCS,64897,Nerve graft arm/leg <=4 cm,,,3905.88,15739.73,11 HCPCS,64898,Nerve graft arm/leg >4 cm,,,3378.99,15739.73,11 HCPCS,64905,Nerve pedicle transfer,,,3378.99,15739.73,11 HCPCS,64907,Nerve pedicle transfer,,,3378.99,15739.73,11 HCPCS,64910,Nerve repair w/allograft,,,3378.99,15739.73,11 HCPCS,64911,Neurorraphy w/vein autograft,,,4070.83,15739.73,7 HCPCS,64912,Nrv rpr w/nrv algrft 1st,,,3395.8,15739.73,11 HCPCS,64999,HC ULTRASOUND-GUIDED HEPATIC HILAR NERVE BLOCK,1703.0,1703.0,,,0 HCPCS,64999,HC ED UNLISTED INJECTION ANESTHESTIC AGENT CERVICAL PLEXUS,760.0,760.0,,,0 HCPCS,64999,HC ED UNLISTED INJECTION ANESTHESTIC AGENT ERECTOR SPINAE,3274.0,3274.0,,,0 HCPCS,64999,HC ED UNLISTED INJECTION ANESTHETIC AGENT FACIAL NERVE,352.0,352.0,,,0 HCPCS,64999,HC GANGLION IMPAR BLOCK,2088.0,2088.0,,,0 HCPCS,64999,HC INTRADISCAL INJECTION,2111.0,2111.0,,,0 HCPCS,64999,HC RADIOFREQUENCY ABLATION OF LUMBAR SYMPATHETIC PLEXUS,5434.0,5434.0,,,0 HCPCS,64999,HC UNLISTED CHEMODENERVATION ECCRINE GLANDS OF EXTREMITIES,868.0,868.0,,,0 HCPCS,64999,Nervous system surgery,,,305.85,550.53,3 HCPCS,65091,Revise eye,,,2033.63,7051.07,11 HCPCS,65093,Revise eye with implant,,,2336.4,7051.07,11 HCPCS,65101,Removal of eye,,,2336.4,7051.07,11 HCPCS,65103,Remove eye/insert implant,,,2336.4,7051.07,11 HCPCS,65105,Remove eye/attach implant,,,2336.4,7051.07,11 HCPCS,65110,Removal of eye,,,2336.4,7051.07,11 HCPCS,65112,Remove eye/revise socket,,,2336.4,7051.07,11 HCPCS,65114,Remove eye/revise socket,,,2336.4,7051.07,11 HCPCS,65125,Revise ocular implant,,,1418.23,4264.08,11 HCPCS,65130,Insert ocular implant,,,2336.4,7051.07,11 HCPCS,65135,Insert ocular implant,,,2336.4,7051.07,11 HCPCS,65140,Attach ocular implant,,,2336.4,7051.07,11 HCPCS,65150,Revise ocular implant,,,2033.63,7051.07,11 HCPCS,65155,Reinsert ocular implant,,,2336.4,7051.07,11 HCPCS,65175,Removal of ocular implant,,,2033.63,7051.07,11 HCPCS,65205,HC FB REM EXT EYE CONJ SU,278.0,278.0,,,0 HCPCS,65205,Remove foreign body from eye,,,98.06,238.63,7 HCPCS,65210,HC FB REM EXT EYE CONJ EM,544.0,544.0,,,0 HCPCS,65210,Remove foreign body from eye,,,258.44,801.21,7 HCPCS,65220,HC FB REM FROM CORNEAL WO,635.0,635.0,,,0 HCPCS,65220,"HC REMV F.B.,EYE,CORNEA,NO SLIT",454.0,454.0,,,0 HCPCS,65220,HC UC FB REM FROM CORNEAL WO SLIT,445.0,445.0,,,0 HCPCS,65220,Remove foreign body from eye,,,258.44,801.21,7 HCPCS,65222,HC FB REM FROM CORNEAL W SL,635.0,635.0,,,0 HCPCS,65222,Remove foreign body from eye,,,98.06,238.63,7 HCPCS,65235,HC REM FB INTRAOCULAR EYE LENS,4792.0,4792.0,,,0 HCPCS,65235,Remove foreign body from eye,,,1750.95,4139.14,11 HCPCS,65260,Remove foreign body from eye,,,416.64,4139.14,11 HCPCS,65265,Remove foreign body from eye,,,1750.95,4139.14,11 HCPCS,65270,Repair of eye wound,,,1418.23,4264.08,11 HCPCS,65272,Repair of eye wound,,,1418.23,4264.08,11 HCPCS,65275,Repair of eye wound,,,2336.4,7051.07,11 HCPCS,65280,Repair of eye wound,,,2322.45,9543.9,11 HCPCS,65285,Repair of eye wound,,,2322.45,9543.9,11 HCPCS,65286,Repair of eye wound,,,821.62,4139.14,11 HCPCS,65290,Repair of eye socket wound,,,2033.63,7051.07,11 HCPCS,65400,Removal of eye lesion,,,749.62,1787.93,11 HCPCS,65410,Biopsy of cornea,,,929.79,4264.08,11 HCPCS,65420,Removal of eye lesion,,,1418.23,4264.08,11 HCPCS,65426,Removal of eye lesion,,,1418.23,4264.08,11 HCPCS,65430,Corneal smear,,,258.44,801.21,7 HCPCS,65435,Curette/treat cornea,,,82.24,1787.93,11 HCPCS,65436,Curette/treat cornea,,,372.57,4264.08,11 HCPCS,65450,Treatment of corneal lesion,,,259.85,569.27,11 HCPCS,65600,Revision of cornea,,,427.83,4264.08,11 HCPCS,65710,Corneal transplant,,,3132.44,9543.9,11 HCPCS,65730,Corneal transplant,,,3132.44,7413.41,11 HCPCS,65750,Corneal transplant,,,3132.44,9543.9,11 HCPCS,65755,Corneal transplant,,,3132.44,7413.41,11 HCPCS,65756,Corneal trnspl endothelial,,,3132.44,7413.41,11 HCPCS,65760,Revision of cornea,,,887.78,1557.27,4 HCPCS,65765,Revision of cornea,,,1286.7,2257.02,4 HCPCS,65767,Corneal tissue transplant,,,1198.06,2101.53,4 HCPCS,65770,Revise cornea with implant,,,11726.23,26017.1,11 HCPCS,65771,Radial keratotomy,,,488.21,856.37,4 HCPCS,65772,Correction of astigmatism,,,749.62,1787.93,11 HCPCS,65775,Correction of astigmatism,,,1418.23,4264.08,11 HCPCS,65778,Cover eye w/membrane,,,759.45,1787.93,7 HCPCS,65779,Cover eye w/membrane suture,,,2720.68,7051.07,7 HCPCS,65780,Ocular reconst transplant,,,2336.4,7051.07,11 HCPCS,65781,Ocular reconst transplant,,,3132.44,9543.9,11 HCPCS,65782,Ocular reconst transplant,,,2336.4,7051.07,11 HCPCS,65785,Impltj ntrstrml crnl rng seg,,,3132.44,7413.41,7 HCPCS,65800,Drainage of eye,,,416.64,4139.14,11 HCPCS,65810,Drainage of eye,,,1750.95,4139.14,11 HCPCS,65815,Drainage of eye,,,1750.95,4139.14,11 HCPCS,65820,Relieve inner eye pressure,,,2322.45,7413.41,11 HCPCS,65850,Incision of eye,,,1750.95,4139.14,11 HCPCS,65855,Trabeculoplasty laser surg,,,237.68,986.44,11 HCPCS,65860,Incise inner eye adhesions,,,313.48,986.44,11 HCPCS,65865,Incise inner eye adhesions,,,1750.95,4139.14,11 HCPCS,65870,Incise inner eye adhesions,,,1750.95,4139.14,11 HCPCS,65875,Incise inner eye adhesions,,,1750.95,4139.14,11 HCPCS,65880,Incise inner eye adhesions,,,2322.45,7413.41,11 HCPCS,65900,Remove eye lesion,,,1750.95,4139.14,11 HCPCS,65920,Remove implant of eye,,,1750.95,4139.14,11 HCPCS,65930,Remove blood clot from eye,,,1750.95,4139.14,11 HCPCS,66020,Injection treatment of eye,,,996.75,4139.14,11 HCPCS,66030,Injection treatment of eye,,,996.75,4139.14,11 HCPCS,66130,Remove eye lesion,,,1418.23,4264.08,11 HCPCS,66150,Glaucoma surgery,,,2322.45,7413.41,11 HCPCS,66155,Glaucoma surgery,,,2322.45,7413.41,11 HCPCS,66160,Glaucoma surgery,,,1750.95,4139.14,11 HCPCS,66170,Glaucoma surgery,,,1750.95,4139.14,11 HCPCS,66172,Incision of eye,,,1750.95,4139.14,11 HCPCS,66174,Translum dil eye canal,,,3132.44,7413.41,11 HCPCS,66175,Trnslum dil eye canal w/stnt,,,3132.44,9543.9,11 HCPCS,66179,Aqueous shunt eye w/o graft,,,3132.44,9543.9,11 HCPCS,66180,Aqueous shunt eye w/graft,,,3132.44,9543.9,11 HCPCS,66183,Insert ant drainage device,,,3132.44,7413.41,11 HCPCS,66184,Revision of aqueous shunt,,,1750.95,4139.14,11 HCPCS,66185,Revise aqueous shunt eye,,,1750.95,4139.14,11 HCPCS,66225,Repair/graft eye lesion,,,2322.45,9543.9,11 HCPCS,66250,Follow-up surgery of eye,,,1418.23,4264.08,11 HCPCS,66500,Incision of iris,,,416.64,4139.14,11 HCPCS,66505,Incision of iris,,,996.75,4139.14,11 HCPCS,66600,Remove iris and lesion,,,2322.45,7413.41,11 HCPCS,66605,Removal of iris,,,1750.95,4758.46,11 HCPCS,66625,Removal of iris,,,996.75,4139.14,11 HCPCS,66630,Removal of iris,,,996.75,4139.14,11 HCPCS,66635,Removal of iris,,,1750.95,4139.14,11 HCPCS,66680,Repair iris & ciliary body,,,1750.95,4139.14,11 HCPCS,66682,Repair iris & ciliary body,,,1750.95,4139.14,11 HCPCS,66683,Implantation iris prosthesis,,,16401.63,30867.01,7 HCPCS,66700,Destruction ciliary body,,,996.75,4139.14,11 HCPCS,66710,Ciliary transsleral therapy,,,1418.23,4264.08,11 HCPCS,66711,Ciliary endoscopic ablation,,,1750.95,4139.14,11 HCPCS,66720,Destruction ciliary body,,,1418.23,4264.08,11 HCPCS,66740,Destruction ciliary body,,,1418.23,4264.08,11 HCPCS,66761,HC REVISION OF IRIS,1383.0,1383.0,,,0 HCPCS,66761,Revision of iris,,,330.84,986.44,11 HCPCS,66762,Revision of iris,,,454.73,986.44,11 HCPCS,66770,Removal of inner eye lesion,,,454.73,986.44,11 HCPCS,66820,Incision secondary cataract,,,416.64,4139.14,11 HCPCS,66821,After cataract laser surgery,,,454.73,986.44,11 HCPCS,66825,Reposition intraocular lens,,,1750.95,4139.14,11 HCPCS,66830,Removal of lens lesion,,,1750.95,4139.14,11 HCPCS,66840,Removal of lens material,,,1750.95,4139.14,11 HCPCS,66850,Removal of lens material,,,1750.95,4139.14,11 HCPCS,66852,Removal of lens material,,,2457.25,7413.41,11 HCPCS,66920,Extraction of lens,,,1750.95,4139.14,11 HCPCS,66930,Extraction of lens,,,2457.25,7413.41,11 HCPCS,66940,Extraction of lens,,,1750.95,4139.14,11 HCPCS,66982,Cataract surgery complex,,,1750.95,4139.14,11 HCPCS,66983,Cataract surg w/iol 1 stage,,,1750.95,4139.14,11 HCPCS,66984,Cataract surg w/iol 1 stage,,,2299.52,4139.14,7 HCPCS,66985,Insert lens prosthesis,,,1750.95,4139.14,11 HCPCS,66986,Exchange lens prosthesis,,,1750.95,4139.14,11 HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,4118.56,8529.63,9 HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,4118.56,8529.63,9 HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,5202.71,9543.9,11 HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,5202.71,9543.9,11 HCPCS,66999,Eye surgery procedure,,,2299.52,4139.14,3 HCPCS,67005,Partial removal of eye fluid,,,1750.95,4139.14,11 HCPCS,67010,Partial removal of eye fluid,,,1750.95,4139.14,11 HCPCS,67015,Release of eye fluid,,,1750.95,4139.14,11 HCPCS,67025,Replace eye fluid,,,1750.95,4139.14,11 HCPCS,67027,Implant eye drug system,,,2801.79,25025.01,11 HCPCS,67028,Injection eye drug,,,86.08,592.41,11 HCPCS,67030,Incise inner eye strands,,,1750.95,4139.14,11 HCPCS,67031,Laser surgery eye strands,,,454.73,986.44,11 HCPCS,67036,Removal of inner eye fluid,,,3132.44,7413.41,11 HCPCS,67039,Laser treatment of retina,,,3132.44,7413.41,11 HCPCS,67040,Laser treatment of retina,,,3132.44,7413.41,11 HCPCS,67041,Vit for macular pucker,,,3132.44,7413.41,11 HCPCS,67042,Vit for macular hole,,,3132.44,7413.41,11 HCPCS,67043,Vit for membrane dissect,,,3132.44,7413.41,11 HCPCS,67101,Repair detached retina crtx,,,355.24,4139.14,11 HCPCS,67105,Repair detached retina pc,,,305.78,986.44,11 HCPCS,67107,Repair detached retina,,,3132.44,7413.41,11 HCPCS,67108,Repair detached retina,,,3132.44,7413.41,11 HCPCS,67110,Repair detached retina,,,888.42,4139.14,11 HCPCS,67113,Repair retinal detach cplx,,,3132.44,9543.9,11 HCPCS,67115,Release encircling material,,,2322.45,7413.41,11 HCPCS,67120,Remove eye implant material,,,1750.95,4139.14,11 HCPCS,67121,Remove eye implant material,,,1750.95,4758.46,11 HCPCS,67141,Treatment of retina,,,259.85,569.27,11 HCPCS,67145,Treatment of retina,,,454.73,986.44,11 HCPCS,67208,Treatment of retinal lesion,,,259.85,569.27,11 HCPCS,67210,Treatment of retinal lesion,,,454.73,986.44,11 HCPCS,67218,Treatment of retinal lesion,,,2033.63,7051.07,11 HCPCS,67220,Treatment of choroid lesion,,,454.73,986.44,11 HCPCS,67221,Ocular Photodynamic Ther,,,283.93,986.44,11 HCPCS,67227,Dstrj extensive retinopathy,,,384.75,7051.07,11 HCPCS,67228,Treatment x10sv retinopathy,,,317.33,986.44,11 HCPCS,67229,Tr retinal les preterm inf,,,454.73,986.44,11 HCPCS,67250,Reinforce eye wall,,,1418.23,4264.08,11 HCPCS,67255,Reinforce/graft eye wall,,,1750.95,7413.41,11 HCPCS,67299,Eye surgery procedure,,,2299.52,4139.14,3 HCPCS,67311,Revise eye muscle,,,1876.98,8475.81,11 HCPCS,67312,Revise two eye muscles,,,2033.63,13178.92,11 HCPCS,67314,Revise eye muscle,,,1876.98,13178.9,11 HCPCS,67316,Revise two eye muscles,,,1418.23,4264.08,11 HCPCS,67318,Revise eye muscle(s),,,1876.98,11666.2,11 HCPCS,67343,Release eye tissue,,,1418.23,4264.08,11 HCPCS,67345,Destroy nerve of eye muscle,,,222.9,569.27,11 HCPCS,67346,Biopsy eye muscle,,,2033.63,7051.07,11 HCPCS,67399,Unlisted px extraocular musc,,,316.26,569.27,3 HCPCS,67400,Explore/biopsy eye socket,,,2336.4,7051.07,11 HCPCS,67405,Explore/drain eye socket,,,1418.23,4264.08,11 HCPCS,67412,Explore/treat eye socket,,,2033.63,10847.75,11 HCPCS,67413,Explore/treat eye socket,,,1418.23,4264.08,11 HCPCS,67414,Explr/decompress eye socket,,,3535.46,11253.9,11 HCPCS,67415,Aspiration orbital contents,,,2033.63,5563.42,11 HCPCS,67420,Explore/treat eye socket,,,2336.4,7051.07,11 HCPCS,67430,Explore/treat eye socket,,,2336.4,7051.07,11 HCPCS,67440,Explore/drain eye socket,,,2336.4,7051.07,11 HCPCS,67445,Explr/decompress eye socket,,,3535.46,11538.44,11 HCPCS,67450,Explore/biopsy eye socket,,,2336.4,7051.07,11 HCPCS,67500,Inject/treat eye socket,,,259.85,569.27,11 HCPCS,67505,Inject/treat eye socket,,,73.87,569.27,11 HCPCS,67515,Inject/treat eye socket,,,80.28,569.27,11 HCPCS,67516,Sprchoroidal spc njx rx agt,,,87.13,670.46,11 HCPCS,67550,Insert eye socket implant,,,2336.4,7051.07,11 HCPCS,67560,Revise eye socket implant,,,2033.63,7051.07,11 HCPCS,67570,Decompress optic nerve,,,2033.63,7051.07,11 HCPCS,67599,Orbit surgery procedure,,,316.26,569.27,3 HCPCS,67700,Drainage of eyelid abscess,,,259.85,569.27,11 HCPCS,67700,HC DRAINAGE OF EYELID ABSCESS,307.0,307.0,,,0 HCPCS,67700,HC ED BLEPHAROTOMY DRAINAGE ABSCESS EYELID,555.0,555.0,,,0 HCPCS,67710,Incision of eyelid,,,330.19,1787.93,11 HCPCS,67715,HC INCISION OF EYELID FOLD,4054.0,4054.0,,,0 HCPCS,67715,Incision of eyelid fold,,,1418.23,4264.08,11 HCPCS,67800,Remove eyelid lesion,,,132.97,569.27,11 HCPCS,67801,Remove eyelid lesions,,,218.75,6663.97,11 HCPCS,67805,Remove eyelid lesions,,,280.99,6663.97,11 HCPCS,67808,Remove eyelid lesion(s),,,2033.63,7186.97,11 HCPCS,67810,Biopsy eyelid & lid margin,,,227.4,569.27,11 HCPCS,67820,Revise eyelashes,,,98.06,238.63,7 HCPCS,67825,Revise eyelashes,,,134.91,569.27,11 HCPCS,67830,Revise eyelashes,,,749.62,1787.93,11 HCPCS,67835,Revise eyelashes,,,1418.23,4264.08,11 HCPCS,67840,Remove eyelid lesion,,,353.96,1787.93,11 HCPCS,67850,Treat eyelid lesion,,,266.61,1787.93,11 HCPCS,67875,Closure of eyelid by suture,,,749.62,1787.93,11 HCPCS,67880,Revision of eyelid,,,1418.23,4264.08,11 HCPCS,67882,Revision of eyelid,,,1418.23,4264.08,11 HCPCS,67900,Repair brow defect,,,2033.63,9651.56,11 HCPCS,67901,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67902,Repair eyelid defect,,,2336.4,7051.07,11 HCPCS,67903,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67904,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67906,Repair eyelid defect,,,2033.63,7051.07,11 HCPCS,67908,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67909,Revise eyelid defect,,,1418.23,4264.08,11 HCPCS,67911,Revise eyelid defect,,,1418.23,4264.08,11 HCPCS,67912,Correction eyelid w/implant,,,1418.23,4264.08,11 HCPCS,67914,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67915,Repair eyelid defect,,,389.29,4264.08,11 HCPCS,67916,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67917,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67921,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67922,Repair eyelid defect,,,384.78,4264.08,11 HCPCS,67923,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67924,Repair eyelid defect,,,1418.23,4264.08,11 HCPCS,67930,HC ED SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK,3059.0,3059.0,,,0 HCPCS,67930,Repair eyelid wound,,,408.54,4264.08,11 HCPCS,67935,HC RPR EYELID WOUND PT,4083.0,4083.0,,,0 HCPCS,67935,Repair eyelid wound,,,1418.23,4264.08,11 HCPCS,67938,HC REMOVE FB EYELID,868.0,868.0,,,0 HCPCS,67938,Remove eyelid foreign body,,,259.85,569.27,11 HCPCS,67950,Revision of eyelid,,,1418.23,4264.08,11 HCPCS,67961,Revision of eyelid,,,1418.23,4264.08,11 HCPCS,67966,Revision of eyelid,,,1418.23,4264.08,11 HCPCS,67971,Reconstruction of eyelid,,,1418.23,4264.08,11 HCPCS,67973,Reconstruction of eyelid,,,1418.23,4264.08,11 HCPCS,67974,Reconstruction of eyelid,,,2033.63,7051.07,11 HCPCS,67975,Reconstruction of eyelid,,,1418.23,4264.08,11 HCPCS,67999,Revision of eyelid,,,316.26,569.27,3 HCPCS,68020,Incise/drain eyelid lining,,,119.48,1787.93,11 HCPCS,68040,Treatment of eyelid lesions,,,54.6,569.27,11 HCPCS,68100,Biopsy of eyelid lining,,,214.55,4264.08,11 HCPCS,68110,Remove eyelid lining lesion,,,283.3,4264.08,11 HCPCS,68115,Remove eyelid lining lesion,,,1418.23,4264.08,11 HCPCS,68130,Remove eyelid lining lesion,,,1418.23,4264.08,11 HCPCS,68135,Remove eyelid lining lesion,,,154.16,4264.08,11 HCPCS,68200,Treat eyelid by injection,,,258.44,801.21,7 HCPCS,68320,Revise/graft eyelid lining,,,1418.23,4264.08,11 HCPCS,68325,Revise/graft eyelid lining,,,2336.4,7051.07,11 HCPCS,68326,Revise/graft eyelid lining,,,2336.4,7051.07,11 HCPCS,68328,Revise/graft eyelid lining,,,1418.23,4264.08,11 HCPCS,68330,Revise eyelid lining,,,1750.95,4139.14,11 HCPCS,68335,Revise/graft eyelid lining,,,2336.4,7051.07,11 HCPCS,68340,Separate eyelid adhesions,,,1418.23,4264.08,11 HCPCS,68360,Revise eyelid lining,,,2336.4,7051.07,11 HCPCS,68362,Revise eyelid lining,,,1418.23,4264.08,11 HCPCS,68371,Harvest eye tissue alograft,,,1418.23,4264.08,11 HCPCS,68399,Eyelid lining surgery,,,316.26,569.27,3 HCPCS,68400,Incise/drain tear gland,,,393.79,1787.93,11 HCPCS,68420,Incise/drain tear sac,,,418.21,4264.08,11 HCPCS,68440,Incise tear duct opening,,,116.93,569.27,11 HCPCS,68500,Removal of tear gland,,,2336.4,7051.07,11 HCPCS,68505,Partial removal tear gland,,,2033.63,7051.07,11 HCPCS,68510,Biopsy of tear gland,,,1418.23,4264.08,11 HCPCS,68520,Removal of tear sac,,,2336.4,7051.07,11 HCPCS,68525,Biopsy of tear sac,,,1418.23,4264.08,11 HCPCS,68530,Clearance of tear duct,,,259.85,569.27,11 HCPCS,68540,Remove tear gland lesion,,,1418.23,4264.08,11 HCPCS,68550,Remove tear gland lesion,,,2336.4,7051.07,11 HCPCS,68700,Repair tear ducts,,,1418.23,4264.08,11 HCPCS,68705,Revise tear duct opening,,,259.85,569.27,11 HCPCS,68720,Create tear sac drain,,,2336.4,7051.07,11 HCPCS,68745,Create tear duct drain,,,2336.4,7051.07,11 HCPCS,68750,Create tear duct drain,,,2033.63,7051.07,11 HCPCS,68760,Close tear duct opening,,,242.17,569.27,11 HCPCS,68761,Close tear duct opening,,,171.51,569.27,11 HCPCS,68770,Close tear system fistula,,,929.79,4264.08,11 HCPCS,68801,Dilate tear duct opening,,,258.44,801.21,7 HCPCS,68810,Probe nasolacrimal duct,,,259.85,569.27,11 HCPCS,68811,Probe nasolacrimal duct,,,1876.98,7458.29,11 HCPCS,68815,Probe nasolacrimal duct,,,1876.98,10827.37,11 HCPCS,68816,Probe nl duct w/balloon,,,2033.63,7593.97,11 HCPCS,68840,Explore/irrigate tear ducts,,,142.59,569.27,11 HCPCS,68841,Insj rx elut implt lac canal,,,414.74,4264.08,7 HCPCS,68850,Injection for tear sac x-ray,,,56.52,99.14,4 HCPCS,68899,Tear duct system surgery,,,316.26,569.27,3 HCPCS,69000,Drain external ear lesion,,,214.62,1270.05,11 HCPCS,69000,HC ED DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE,867.0,867.0,,,0 HCPCS,69005,Drain external ear lesion,,,233.18,2962.18,11 HCPCS,69005,"HC DRAIN EXT EAR ABSC/BLOOD,COMPLIC",2444.0,2444.0,,,0 HCPCS,69005,HC ED DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX,2755.0,2755.0,,,0 HCPCS,69020,Drain outer ear canal lesion,,,214.62,1270.05,11 HCPCS,69020,HC ED DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS,1168.0,1168.0,,,0 HCPCS,69090,Pierce earlobes,,,23.12,40.55,4 HCPCS,69100,Biopsy of external ear,,,124.61,424.8,11 HCPCS,69105,Biopsy of external ear canal,,,192.71,2782.81,11 HCPCS,69110,Remove external ear partial,,,1777.52,5209.69,11 HCPCS,69120,Removal of external ear,,,2578.99,10617.38,11 HCPCS,69140,Remove ear canal lesion(s),,,3650.62,10617.38,11 HCPCS,69145,Remove ear canal lesion(s),,,1777.52,5209.69,11 HCPCS,69150,Extensive ear canal surgery,,,2578.99,10617.38,11 HCPCS,69200,Clear outer ear canal,,,98.06,238.63,7 HCPCS,69200,HC REMOVAL FOREIGN BODY EAR,130.0,130.0,,,0 HCPCS,69200,HC TX REMOVAL FOREIGN BODY EAR,130.0,130.0,,,0 HCPCS,69205,Clear outer ear canal,,,1275.58,4572.08,11 HCPCS,69209,HC ED REMOVE IMPACT CERUMEN IRRIGATE,159.0,159.0,,,0 HCPCS,69209,HC REMOVE IMPACT CERUMEN IRRIGATE,159.0,159.0,,,0 HCPCS,69209,Remove impacted ear wax uni,,,58.78,198.84,7 HCPCS,69210,HC REMOVE IMPACT CERUMEN W INSTR,94.0,94.0,,,0 HCPCS,69210,HC TX REMOVE IMPACT CERUMEN W INSTR,94.0,94.0,,,0 HCPCS,69210,Remove impacted ear wax uni,,,53.47,105.8,7 HCPCS,69220,Clean out mastoid cavity,,,150.12,359.84,7 HCPCS,69222,Clean out mastoid cavity,,,292.92,967.3,11 HCPCS,69300,Revise external ear,,,2578.99,12003.14,11 HCPCS,69310,Rebuild outer ear canal,,,4942.79,16706.21,11 HCPCS,69320,Rebuild outer ear canal,,,3650.62,10617.38,11 HCPCS,69399,Outer ear surgery procedure,,,236.0,424.8,3 HCPCS,69420,HC MYRINGOTOMY ASPIRATION FLAT,440.0,440.0,,,0 HCPCS,69420,Incision of eardrum,,,171.38,424.8,11 HCPCS,69421,Incision of eardrum,,,1678.74,5946.37,11 HCPCS,69424,Remove ventilating tube,,,223.45,5946.37,11 HCPCS,69433,Create eardrum opening,,,253.11,967.3,11 HCPCS,69436,Create eardrum opening,,,1546.0,2782.81,7 HCPCS,69440,Exploration of middle ear,,,1684.24,5946.37,11 HCPCS,69450,Eardrum revision,,,1684.24,5946.37,11 HCPCS,69501,Mastoidectomy,,,3650.62,10617.38,11 HCPCS,69502,Mastoidectomy,,,3650.62,10617.38,11 HCPCS,69505,Remove mastoid structures,,,3650.62,10617.38,11 HCPCS,69511,Extensive mastoid surgery,,,3650.62,10617.38,11 HCPCS,69530,Extensive mastoid surgery,,,3650.62,10617.38,11 HCPCS,69540,Remove ear lesion,,,288.43,2782.81,11 HCPCS,69550,Remove ear lesion,,,3650.62,10617.38,11 HCPCS,69552,Remove ear lesion,,,3650.62,10617.38,11 HCPCS,69601,Mastoid surgery revision,,,3650.62,10617.38,11 HCPCS,69602,Mastoid surgery revision,,,3650.62,10617.38,11 HCPCS,69603,Mastoid surgery revision,,,3650.62,10617.38,11 HCPCS,69604,Mastoid surgery revision,,,3650.62,10617.38,11 HCPCS,69610,Repair of eardrum,,,480.53,5089.5,11 HCPCS,69620,Repair of eardrum,,,2258.7,8551.92,11 HCPCS,69631,Repair eardrum structures,,,4942.79,12797.06,11 HCPCS,69632,Rebuild eardrum structures,,,4942.79,12176.06,11 HCPCS,69633,Rebuild eardrum structures,,,4942.79,10617.38,11 HCPCS,69635,Repair eardrum structures,,,3650.62,10617.38,11 HCPCS,69636,Rebuild eardrum structures,,,3650.62,10617.38,11 HCPCS,69637,Rebuild eardrum structures,,,4942.79,24187.93,11 HCPCS,69641,Revise middle ear & mastoid,,,4942.79,19066.63,11 HCPCS,69642,Revise middle ear & mastoid,,,3650.62,10617.38,11 HCPCS,69643,Revise middle ear & mastoid,,,3650.62,10617.38,11 HCPCS,69644,Revise middle ear & mastoid,,,4942.79,16678.51,11 HCPCS,69645,Revise middle ear & mastoid,,,4942.79,21121.53,11 HCPCS,69646,Revise middle ear & mastoid,,,3650.62,10617.38,11 HCPCS,69650,Release middle ear bone,,,1684.24,5946.37,11 HCPCS,69660,Revise middle ear bone,,,4631.46,10617.38,11 HCPCS,69661,Revise middle ear bone,,,4942.79,11538.44,11 HCPCS,69662,Revise middle ear bone,,,3650.62,10617.38,11 HCPCS,69666,Repair middle ear structures,,,1684.24,5946.37,11 HCPCS,69667,Repair middle ear structures,,,1684.24,5946.37,11 HCPCS,69670,Remove mastoid air cells,,,3650.62,10617.38,11 HCPCS,69676,Remove middle ear nerve,,,1684.24,5946.37,11 HCPCS,69700,Close mastoid fistula,,,1005.11,2965.84,11 HCPCS,69705,Nps surg dilat eust tube uni,,,118.82,11362.83,11 HCPCS,69706,Nps surg dilat eust tube bi,,,118.82,11362.83,11 HCPCS,69711,Remove/repair hearing aid,,,1684.24,5946.37,11 HCPCS,69714,Implant Temple Bone W/Stimul,,,9010.97,23026.52,11 HCPCS,69716,Impltj oi implt skl tc esp,,,12556.54,28134.85,11 HCPCS,69717,Temple Bone Implant Revision,,,4458.15,13014.22,11 HCPCS,69719,Revj/rplcmt oi implt tc esp,,,12556.54,28134.85,11 HCPCS,69720,Release facial nerve,,,3650.62,10617.38,11 HCPCS,69725,Release facial nerve,,,4050.3,10617.38,7 HCPCS,69726,Rmvl oi implt skl perq esp,,,2182.71,6461.67,11 HCPCS,69727,Rmvl oi implt skl tc esp,,,2182.71,6461.67,11 HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,2221.32,6542.88,11 HCPCS,69729,Impl oi implt sk tc esp>=100,,,12792.51,28680.54,11 HCPCS,69730,Rplc oi implt sk tc esp>=100,,,12792.51,28680.54,11 HCPCS,69740,Repair facial nerve,,,3650.62,10617.38,11 HCPCS,69745,Repair facial nerve,,,3650.62,10617.38,11 HCPCS,69799,Middle ear surgery procedure,,,236.0,424.8,3 HCPCS,69801,Incise inner ear,,,205.56,2782.81,11 HCPCS,69805,Explore inner ear,,,4942.79,10617.38,11 HCPCS,69806,Explore inner ear,,,3650.62,10617.38,11 HCPCS,69905,Remove inner ear,,,3650.62,10617.38,11 HCPCS,69910,Remove inner ear & mastoid,,,3650.62,10617.38,11 HCPCS,69915,Incise inner ear nerve,,,1684.24,5946.37,11 HCPCS,69930,Implant cochlear device,,,11975.81,77553.16,11 HCPCS,69949,Inner ear surgery procedure,,,236.0,424.8,3 HCPCS,69955,Release facial nerve,,,4050.3,10617.38,7 HCPCS,69960,Release inner ear canal,,,4050.3,10617.38,7 HCPCS,69970,Remove inner ear lesion,,,4050.3,10617.38,7 HCPCS,69979,Temporal bone surgery,,,236.0,424.8,3 HCPCS,70010,Contrast x-ray of brain,,,90.58,625.71,7 HCPCS,70015,Contrast x-ray of brain,,,167.66,1405.98,7 HCPCS,70030,HC XRAY EYE FOREIGN BODY,204.5,204.5,,,0 HCPCS,70030,X-ray eye for foreign body,,,86.71,156.08,3 HCPCS,70100,HC XRAY MANDIBLE LESS THAN 4 VIEWS,106.5,106.5,,,0 HCPCS,70100,X-ray exam of jaw <4views,,,54.24,156.08,7 HCPCS,70110,HC XRAY MANDIBLE COMPLETE MIN 4 VIEWS,311.5,311.5,,,0 HCPCS,70110,X-ray exam of jaw 4/> views,,,104.17,187.51,3 HCPCS,70120,X-ray exam of mastoids,,,44.32,187.51,7 HCPCS,70130,HC XRAY MASTOIDS COMPLETE MIN 3 VIEWS PER SIDE,151.0,151.0,,,0 HCPCS,70130,X-ray exam of mastoids,,,67.43,187.51,7 HCPCS,70134,X-ray exam of middle ear,,,61.66,980.01,7 HCPCS,70140,HC XRAY FACIAL BONES LESS THAN 3 VIEWS,109.0,109.0,,,0 HCPCS,70140,X-ray exam of facial bones,,,86.71,156.08,7 HCPCS,70150,HC XRAY FACIAL BONES COMPLETE MIN 3 VIEWS,314.5,314.5,,,0 HCPCS,70150,X-ray exam of facial bones,,,88.35,187.51,7 HCPCS,70160,HC XRAY NASAL BONES MIN 3 VIEWS,195.5,195.5,,,0 HCPCS,70160,X-ray exam of nasal bones,,,86.71,156.08,7 HCPCS,70170,X-ray exam of tear duct,,,67.43,427.94,7 HCPCS,70190,HC XRAY ORBITS OPTIC FORAMINA,84.0,84.0,,,0 HCPCS,70190,X-ray exam of eye sockets,,,43.66,156.08,7 HCPCS,70200,HC XRAY ORBITS COMPLETE MIN 4 VIEWS,313.0,313.0,,,0 HCPCS,70200,X-ray exam of eye sockets,,,88.35,187.51,7 HCPCS,70210,HC XRAY SINUSES PARANASAL LESS THAN 3 VIEWS,187.0,187.0,,,0 HCPCS,70210,X-ray exam of sinuses,,,86.71,156.08,7 HCPCS,70220,HC XRAY SINUSES PARANASAL COMPLETE MIN 3 VIEWS,307.5,307.5,,,0 HCPCS,70220,X-ray exam of sinuses,,,86.71,156.08,3 HCPCS,70240,X-ray exam pituitary saddle,,,36.63,156.08,7 HCPCS,70250,HC XRAY SKULL LESS THAN 4 VIEWS,295.0,295.0,,,0 HCPCS,70250,X-ray exam of skull,,,103.93,187.51,7 HCPCS,70260,HC XRAY SKULL COMPLETE MIN 4 VIEWS,313.0,313.0,,,0 HCPCS,70260,X-ray exam of skull,,,104.17,187.51,3 HCPCS,70300,X-ray exam of teeth,,,16.06,156.08,7 HCPCS,70310,X-ray exam of teeth,,,50.74,427.94,7 HCPCS,70320,Full mouth x-ray of teeth,,,73.87,427.94,7 HCPCS,70328,HC RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT,275.0,275.0,,,0 HCPCS,70328,X-ray exam of jaw joint,,,86.71,182.31,7 HCPCS,70330,HC XRAY TEMPOROMANDIBULAR JOINTS BILATERAL,390.5,390.5,,,0 HCPCS,70330,X-ray exam of jaw joints,,,86.71,182.31,7 HCPCS,70332,X-ray exam of jaw joint,,,167.08,427.94,7 HCPCS,70336,HC MRI TEMPOROMANDIBULAR JOINT(S),1297.0,1297.0,,,0 HCPCS,70336,Magnetic image jaw joint,,,237.74,427.94,3 HCPCS,70350,X-ray head for orthodontia,,,17.36,156.08,7 HCPCS,70355,HC XRAY ORTHOPANTOGRAM (PANORAMIC),106.0,106.0,,,0 HCPCS,70355,Panoramic x-ray of jaws,,,46.16,156.08,7 HCPCS,70360,HC XRAY NECK SOFT TISSUE,184.5,184.5,,,0 HCPCS,70360,X-ray exam of neck,,,86.71,156.08,3 HCPCS,70370,HC XRAY PHARYNX/LARYNX INC FLUORO,320.0,320.0,,,0 HCPCS,70370,Throat x-ray & fluoroscopy,,,86.71,292.38,7 HCPCS,70371,Speech evaluation complex,,,86.73,427.94,7 HCPCS,70380,X-ray exam of salivary gland,,,48.18,156.08,7 HCPCS,70390,HC XRAY SIALOGRAPHY S&I,356.0,356.0,,,0 HCPCS,70390,X-ray exam of salivary duct,,,134.91,427.94,7 HCPCS,70450,Ct head/brain w/o dye,,,104.17,187.51,3 HCPCS,70450,HC CT HEAD OR BRAIN WO CONSTRAST,719.0,719.0,,,0 HCPCS,70460,Ct head/brain w/dye,,,174.77,314.59,3 HCPCS,70460,HC CT HEAD OR BRAIN WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,70470,Ct head/brain w/o & w/dye,,,174.77,314.59,3 HCPCS,70470,HC CT HEAD OR BRAIN WO & WITH CONTRAST,1330.0,1330.0,,,0 HCPCS,70471,Cta h&n c+ w/noncontrast img,,,347.62,625.71,3 HCPCS,70471,HC CTA HEAD&NECK C+ W/NONCONTRAST IMG&POST-PXESSING,1229.5,1229.5,,,0 HCPCS,70472,HC CT CERE PRFUJ ALYS C+ W/CT/CTA SAME ANATOMY,899.0,899.0,,,0 HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,174.77,314.59,3 HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,104.17,389.47,7 HCPCS,70480,"HC CT ORBIT,SEL,PIT,TEMP WO CONTRAST",719.0,719.0,,,0 HCPCS,70481,Ct orbit/ear/fossa w/dye,,,174.77,781.86,7 HCPCS,70481,"HC CT ORBIT,SEL,PIT,TEMP WITH CONTRAST",1114.5,1114.5,,,0 HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,174.77,314.59,3 HCPCS,70482,"HC CT ORB,SEL,PIT,TEMP WO & WITH CONTRAST",1330.0,1330.0,,,0 HCPCS,70486,Ct maxillofacial w/o dye,,,104.17,187.51,3 HCPCS,70486,HC CT MAXILLOFACIAL WO CONTRAST,719.0,719.0,,,0 HCPCS,70487,Ct maxillofacial w/dye,,,174.77,314.59,3 HCPCS,70487,HC CT MAXILLOFACIAL WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,70488,Ct maxillofacial w/o & w/dye,,,174.77,874.93,7 HCPCS,70488,HC CT MAXILLOFACIAL WO & WITH CONTRAST,1330.0,1330.0,,,0 HCPCS,70490,Ct soft tissue neck w/o dye,,,104.17,187.51,3 HCPCS,70490,HC CT SOFT TISSUE NECK WO CONTRAST,719.0,719.0,,,0 HCPCS,70491,Ct soft tissue neck w/dye,,,174.77,314.59,3 HCPCS,70491,HC CT SOFT TISSUE NECK WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,174.77,314.59,3 HCPCS,70492,HC CT SOFT TISSUE NECK WO & WITH CONTRAST,1330.0,1330.0,,,0 HCPCS,70496,Ct angiography head,,,174.77,314.59,3 HCPCS,70496,HC CT ANGIOGRAPHY HEAD WO & WITH CONTRAST,1177.5,1177.5,,,0 HCPCS,70498,Ct angiography neck,,,174.77,914.96,7 HCPCS,70498,HC CT ANGIOGRAPHY NECK WO &WITH CONTRAST,1177.5,1177.5,,,0 HCPCS,70540,HC MRI ORBIT FACE &/NECK W/O CONTRAST,1297.0,1297.0,,,0 HCPCS,70540,Mri orbit/face/neck w/o dye,,,237.74,427.94,3 HCPCS,70542,HC MRI NECK WITH CONTRAST,1956.5,1956.5,,,0 HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,347.62,1385.87,7 HCPCS,70543,HC MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL,2399.0,2399.0,,,0 HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,347.62,625.71,3 HCPCS,70544,HC MRA HEAD WO CONTRAST,1297.0,1297.0,,,0 HCPCS,70544,Mr Angiography Head W/O Dye,,,237.74,427.94,3 HCPCS,70545,HC MRA HEAD WITH CONTRAST,2010.0,2010.0,,,0 HCPCS,70545,Mr Angiography Head W/Dye,,,347.62,1042.33,7 HCPCS,70546,HC MRA HEAD WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,70546,Mr angiograph head w/o&w/dye,,,347.62,3033.42,7 HCPCS,70547,HC MRA NECK WO CONTRAST,1297.0,1297.0,,,0 HCPCS,70547,Mr Angiography Neck W/O Dye,,,237.74,1059.22,7 HCPCS,70548,Mr Angiography Neck W/Dye,,,347.62,2726.04,7 HCPCS,70549,HC MRA NECK WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,70549,Mr angiograph neck w/o&w/dye,,,347.62,2892.74,7 HCPCS,70551,HC MRI BRAIN WO CONTRAST,1297.0,1297.0,,,0 HCPCS,70551,Mri brain stem w/o dye,,,237.74,427.94,3 HCPCS,70552,HC MRI BRAIN W CONTRAST,2010.5,2010.5,,,0 HCPCS,70552,Mri brain stem w/dye,,,347.62,625.71,3 HCPCS,70553,HC MRI BRAIN WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,70553,Mri brain stem w/o & w/dye,,,347.62,625.71,3 HCPCS,70554,Fmri brain by tech,,,237.74,1671.88,7 HCPCS,70554,HC MRI BRAIN BY TECH,1297.0,1297.0,,,0 HCPCS,70555,Fmri brain by phys/psych,,,237.74,1964.06,7 HCPCS,70557,HC MRI BRAIN INTRAOP WO CONTRAST,1620.0,1620.0,,,0 HCPCS,70557,Mri brain w/o dye,,,544.45,3821.09,7 HCPCS,70558,Mri brain w/dye,,,174.77,4166.99,7 HCPCS,70559,Mri brain w/o & w/dye,,,174.77,4221.1,7 HCPCS,71045,HC XRAY CHEST SINGLE VIEW,216.0,216.0,,,0 HCPCS,71045,X-ray exam chest 1 view,,,86.71,195.02,7 HCPCS,71046,HC XRAY CHEST 2 VIEWS,248.5,248.5,,,0 HCPCS,71046,HC XRAY CHEST SPECIAL VIEWS,248.5,248.5,,,0 HCPCS,71046,X-ray exam chest 2 views,,,86.71,156.08,3 HCPCS,71047,HC XRAY CHEST PA LAT & LORDOTIC,273.5,273.5,,,0 HCPCS,71047,X-ray exam chest 3 views,,,86.71,195.02,7 HCPCS,71048,HC XRAY CHEST COMPLETE MIN FOUR VIEWS,329.0,329.0,,,0 HCPCS,71048,HC XRAY CHEST PA LATERAL & OBLIQUE,329.0,329.0,,,0 HCPCS,71048,X-ray exam chest 4+ views,,,104.17,372.82,7 HCPCS,71100,HC XRAY RIBS UNILATERAL 2 VIEWS,195.0,195.0,,,0 HCPCS,71100,X-ray exam ribs uni 2 views,,,86.71,156.08,3 HCPCS,71101,HC XRAY RIBS UNILAT WITH PA CHEST MIN 3 VIEWS,314.0,314.0,,,0 HCPCS,71101,X-ray exam unilat ribs/chest,,,88.35,187.51,7 HCPCS,71110,HC XRAY RIBS BILATERAL 3 VIEWS,311.0,311.0,,,0 HCPCS,71110,X-ray exam ribs bil 3 views,,,88.35,187.51,7 HCPCS,71111,HC XRAY RIBS BILATERAL WITH PA CHEST MIN 4 VIEWS,336.5,336.5,,,0 HCPCS,71111,X-ray exam ribs/chest4/> vws,,,88.35,187.51,7 HCPCS,71120,HC XRAY STERNUM MIN 2 VIEWS,195.0,195.0,,,0 HCPCS,71120,X-ray exam breastbone 2/>vws,,,86.71,156.08,7 HCPCS,71130,HC XRAY STERNOCLAVICULAR JOINT MIN 3 VIEWS,199.5,199.5,,,0 HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,86.71,156.08,7 HCPCS,71250,Ct thorax w/o dye,,,104.17,187.51,3 HCPCS,71250,HC CT THORAX WO CONTRAST,719.0,719.0,,,0 HCPCS,71260,Ct thorax w/dye,,,174.77,314.59,3 HCPCS,71260,HC CT THORAX WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,71270,Ct thorax w/o & w/dye,,,174.77,314.59,3 HCPCS,71270,HC CT THORAX WO & WITH CONTRAST,1330.0,1330.0,,,0 HCPCS,71271,Ct thorax lung cancer scr c-,,,103.04,187.51,7 HCPCS,71271,HC COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C,464.0,464.0,,,0 HCPCS,71275,Ct angiography chest,,,174.77,314.59,3 HCPCS,71275,HC CT ANGIOGRAPHY CHEST WO & WITH CONTRAST,1177.5,1177.5,,,0 HCPCS,71550,HC MRI CHEST WO CONTRAST,1297.0,1297.0,,,0 HCPCS,71550,Mri chest w/o dye,,,237.74,427.94,3 HCPCS,71551,Mri Chest W/Dye,,,781.1,1405.98,7 HCPCS,71552,HC MRI CHEST WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,71552,Mri chest w/o & w/dye,,,347.62,625.71,3 HCPCS,71555,HC MRA CHEST WITH CONTRAST,2400.5,2400.5,,,0 HCPCS,71555,HC MRA CHEST WITHOUT CONTRAST,1888.0,1888.0,,,0 HCPCS,71555,HC MRA CHEST WO & WITH CONTRAST,3065.0,3065.0,,,0 HCPCS,71555,Mri angio chest w or w/o dye,,,1508.64,2646.33,4 HCPCS,72020,HC XRAY SPINE SINGLE VIEW,210.0,210.0,,,0 HCPCS,72020,X-ray exam of spine 1 view,,,86.71,160.21,7 HCPCS,72040,HC XRAY CERVICAL PA & LAT 2 TO 3 VIEWS,295.5,295.5,,,0 HCPCS,72040,X-ray exam neck spine 2-3 vw,,,86.71,182.31,7 HCPCS,72050,HC XRAY-SPINE CERVICAL COMPLETE,322.0,322.0,,,0 HCPCS,72050,X-ray exam neck spine 4/5vws,,,103.93,187.51,7 HCPCS,72052,HC XRAY SPINE CERVIAL COMP FLX AN,351.5,351.5,,,0 HCPCS,72052,X-ray exam neck spine 6/>vws,,,103.93,187.51,7 HCPCS,72070,HC XRAY THORACIC 2 VIEWS,203.5,203.5,,,0 HCPCS,72070,X-ray exam thorac spine 2vws,,,103.93,187.51,7 HCPCS,72072,HC XRAY THORACIC 3 VIEWS,234.5,234.5,,,0 HCPCS,72072,X-ray exam thorac spine 3vws,,,59.11,187.51,7 HCPCS,72074,X-ray exam thorac spine4/>vw,,,103.93,187.51,7 HCPCS,72080,HC X-RAY SPINE THORACOLUMBAR 2 OR 3 VIEWS,225.0,225.0,,,0 HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,86.71,182.31,7 HCPCS,72081,HC XRAY ENTIRE SPINE 1 VIEW,188.5,188.5,,,0 HCPCS,72081,X-ray exam entire spi 1 vw,,,86.71,182.31,7 HCPCS,72082,HC XRAY ENTIRE SPINE 2 TO 3 VIEWS,242.5,242.5,,,0 HCPCS,72082,X-ray exam entire spi 2/3 vw,,,103.93,187.51,7 HCPCS,72083,HC XRAY ENTIRE SPINE 4 TO 5 VIEWS,278.5,278.5,,,0 HCPCS,72083,X-ray exam entire spi 4/5 vw,,,103.93,187.51,7 HCPCS,72084,X-ray exam entire spi 6/> vw,,,103.93,187.51,7 HCPCS,72100,HC XRAY SPINE LUMBAR 2 OR 3 VIEWS,277.0,277.0,,,0 HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,104.17,187.51,3 HCPCS,72110,HC XRAY L UMBAR SPINE MIN 4 VIEWS,305.5,305.5,,,0 HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,103.93,187.51,7 HCPCS,72114,HC XRAY SPINE LUMBAR COMP WITH AD,306.0,306.0,,,0 HCPCS,72114,X-ray exam l-s spine bending,,,103.93,187.51,7 HCPCS,72120,X-ray bend only l-s spine,,,52.66,187.51,7 HCPCS,72125,Ct neck spine w/o dye,,,104.17,187.51,3 HCPCS,72125,HC CT CERVICAL SPINE WO CONTRAST,719.0,719.0,,,0 HCPCS,72126,Ct neck spine w/dye,,,347.62,781.86,7 HCPCS,72126,HC CT CERVICAL SPINE WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,72127,Ct neck spine w/o & w/dye,,,174.77,874.93,7 HCPCS,72127,HC CT CERVICAL SPINE WO & WITH CONTRAST,1330.0,1330.0,,,0 HCPCS,72128,Ct chest spine w/o dye,,,104.17,389.47,7 HCPCS,72128,HC CT THORACIC SPINE WO CONTRAST,719.0,719.0,,,0 HCPCS,72129,Ct chest spine w/dye,,,174.77,781.86,7 HCPCS,72129,HC CT THORACIC SPINE WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,72130,Ct chest spine w/o & w/dye,,,174.77,874.93,7 HCPCS,72130,HC CT THORACIC SPINE WO & WITH CONTRAST,1330.5,1330.5,,,0 HCPCS,72131,Ct lumbar spine w/o dye,,,104.17,389.47,7 HCPCS,72131,HC CT LUMBAR SPINE WO CONTRAST,719.0,719.0,,,0 HCPCS,72132,Ct lumbar spine w/dye,,,347.62,625.71,3 HCPCS,72132,HC CT LUMBAR SPINE WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,72133,Ct lumbar spine w/o & w/dye,,,174.77,859.37,7 HCPCS,72133,HC CT LUMBAR SPINE WO & WITH CONTRAST,1330.0,1330.0,,,0 HCPCS,72141,HC MRI CERVICAL SPINE WO CONTRAST,1297.0,1297.0,,,0 HCPCS,72141,Mri neck spine w/o dye,,,237.74,929.45,7 HCPCS,72142,HC MRI CERVICAL SPINE WITH CONTRAST,2010.5,2010.5,,,0 HCPCS,72142,Mri neck spine w/dye,,,347.62,625.71,3 HCPCS,72146,HC MRI THORACIC SPINE WO CONTRAST,1297.0,1297.0,,,0 HCPCS,72146,Mri chest spine w/o dye,,,237.74,929.45,7 HCPCS,72147,HC MRI THORACIC SPINE WITH CONTRAST,2010.5,2010.5,,,0 HCPCS,72147,Mri chest spine w/dye,,,347.62,1385.87,7 HCPCS,72148,HC MRI LUMBAR SPINE WO CONTRAST,1297.0,1297.0,,,0 HCPCS,72148,Mri lumbar spine w/o dye,,,237.74,427.94,3 HCPCS,72149,HC MRI LUMBAR SPINE WITH CONTRAST,2010.5,2010.5,,,0 HCPCS,72149,Mri lumbar spine w/dye,,,347.62,1385.87,7 HCPCS,72156,HC MRI CERVICAL SPINE WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,72156,Mri neck spine w/o & w/dye,,,347.62,1567.7,7 HCPCS,72157,HC MRI THORACIC SPINE WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,72157,Mri chest spine w/o & w/dye,,,347.62,1567.7,7 HCPCS,72158,HC MRI LUMBAR SPINE WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,72158,Mri lumbar spine w/o & w/dye,,,347.62,625.71,3 HCPCS,72159,HC MRA SPINE WITH OR WO CONTRAST,2926.5,2926.5,,,0 HCPCS,72159,Mr angio spine w/o&w/dye,,,589.08,1033.31,4 HCPCS,72170,HC XRAY PELVIS 1 OR 2 VIEWS,283.0,283.0,,,0 HCPCS,72170,X-ray exam of pelvis,,,104.17,187.51,3 HCPCS,72190,HC XRAY PELVIS MIN 3 VIEWS,330.5,330.5,,,0 HCPCS,72190,X-ray exam of pelvis,,,103.93,187.51,7 HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,174.77,682.86,7 HCPCS,72191,HC CT ANGIOGRAPHY PELVIS WO & WITH CONTRAST,1177.5,1177.5,,,0 HCPCS,72192,Ct pelvis w/o dye,,,104.17,187.51,3 HCPCS,72192,HC CT PELVIS WO CONTRAST,719.0,719.0,,,0 HCPCS,72193,Ct pelvis w/dye,,,174.77,314.59,3 HCPCS,72193,HC CT PELVIS WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,72194,Ct pelvis w/o & w/dye,,,174.77,314.59,3 HCPCS,72194,HC CT PELVIS WO & WITH CONTRAST,1330.0,1330.0,,,0 HCPCS,72195,HC MRI PELVIS WO CONTRAST,1297.0,1297.0,,,0 HCPCS,72195,Mri Pelvis W/O Dye,,,237.74,427.94,3 HCPCS,72196,HC MRI PELVIS WITH CONTRAST,1860.5,1860.5,,,0 HCPCS,72196,Mri pelvis w/dye,,,347.62,1385.87,7 HCPCS,72197,HC MRI PELVIS WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,72197,Mri pelvis w/o & w/dye,,,347.62,625.71,3 HCPCS,72198,HC MRA PELVIS W OR WO CONTRAST,3188.0,3188.0,,,0 HCPCS,72198,HC MRA PELVIS WITHOUT CONTRAST,2034.0,2034.0,,,0 HCPCS,72198,Mr angio pelvis w/o & w/dye,,,1456.15,2554.25,4 HCPCS,72200,HC XRAY SACROILIAC JOINT 2 VIEWS OR LESS,196.0,196.0,,,0 HCPCS,72200,X-ray exam si joints,,,103.93,187.51,7 HCPCS,72202,HC XRAY SACROILIAC JOINTS MIN 3 VIEWS,290.0,290.0,,,0 HCPCS,72202,X-ray exam si joints 3/> vws,,,103.93,187.51,7 HCPCS,72220,HC XRAY SACRUM/COCCYX MIN 2 VIEWS,195.0,195.0,,,0 HCPCS,72220,X-ray exam sacrum tailbone,,,86.71,182.31,7 HCPCS,72240,Myelography neck spine,,,95.7,1405.98,7 HCPCS,72255,Myelography thoracic spine,,,93.79,1405.98,7 HCPCS,72265,Myelography l-s spine,,,91.86,1405.98,7 HCPCS,72270,Myelogphy 2/> spine regions,,,108.56,1405.98,7 HCPCS,72285,Discography cerv/thor spine,,,94.43,3502.27,7 HCPCS,72295,HC DISCOGRAPHY LUMBAR S&I,1807.0,1807.0,,,0 HCPCS,72295,X-ray of lower spine disk,,,98.28,3502.27,7 HCPCS,73000,HC XRAY CLAVICLE COMPLETE,198.5,198.5,,,0 HCPCS,73000,X-ray exam of collar bone,,,86.71,156.08,3 HCPCS,73010,HC XRAY SCAPULA COMPLETE,198.0,198.0,,,0 HCPCS,73010,X-ray exam of shoulder blade,,,88.35,187.51,7 HCPCS,73020,HC XRAY SHOULDER 1 VIEW,192.5,192.5,,,0 HCPCS,73020,X-ray exam of shoulder,,,86.71,156.08,7 HCPCS,73030,HC XRAY SHOULDER COMPLETE MIN 2 VIEWS,280.5,280.5,,,0 HCPCS,73030,X-ray exam of shoulder,,,86.71,156.08,3 HCPCS,73040,Contrast x-ray of shoulder,,,131.03,625.71,7 HCPCS,73050,HC XRAY ACROMIOCLAVICULAR JOINT BILATERAL,300.5,300.5,,,0 HCPCS,73050,X-ray exam of shoulders,,,86.71,156.08,7 HCPCS,73060,HC XRAY HUMERUS MIN 2 VIEWS,197.0,197.0,,,0 HCPCS,73060,X-ray exam of humerus,,,57.16,156.08,7 HCPCS,73070,HC XRAY ELBOW 2 VIEWS,181.0,181.0,,,0 HCPCS,73070,X-ray exam of elbow,,,57.16,156.08,7 HCPCS,73080,HC XRAY ELBOW COMPLETE MIN 3 VIEWS,196.5,196.5,,,0 HCPCS,73080,X-ray exam of elbow,,,86.71,156.08,3 HCPCS,73085,Contrast x-ray of elbow,,,245.97,625.71,7 HCPCS,73090,HC XRAY FOREARM 2 VIEWS,197.0,197.0,,,0 HCPCS,73090,X-ray exam of forearm,,,57.16,156.08,7 HCPCS,73092,HC XRAY UPPER EXT INFANT MIN 2 VIEWS,146.0,146.0,,,0 HCPCS,73092,X-ray exam of arm infant,,,64.08,187.51,7 HCPCS,73100,HC XRAY WRIST 2 VIEWS,111.5,111.5,,,0 HCPCS,73100,X-ray exam of wrist,,,42.76,156.08,7 HCPCS,73110,HC XRAY WRIST COMPLETE MIN 3 VIEWS,196.0,196.0,,,0 HCPCS,73110,X-ray exam of wrist,,,86.71,156.08,7 HCPCS,73115,Contrast x-ray of wrist,,,140.69,625.71,7 HCPCS,73120,HC XRAY HAND 2 VIEWS,203.5,203.5,,,0 HCPCS,73120,X-ray exam of hand,,,88.35,187.51,7 HCPCS,73130,HC XRAY HAND MIN 3 VIEWS,234.5,234.5,,,0 HCPCS,73130,X-ray exam of hand,,,86.71,156.08,3 HCPCS,73140,HC XRAY FINGER MIN 2 VIEWS,175.5,175.5,,,0 HCPCS,73140,X-ray exam of finger(s),,,86.71,156.08,7 HCPCS,73200,Ct upper extremity w/o dye,,,104.17,187.51,3 HCPCS,73200,HC CT UPPER EXTREMITY WO CONTRAST,719.0,719.0,,,0 HCPCS,73201,Ct upper extremity w/dye,,,347.62,625.71,3 HCPCS,73201,HC CT UPPER EXTREMITY WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,73202,Ct uppr extremity w/o&w/dye,,,174.77,874.93,7 HCPCS,73202,HC CT UPPER EXTREMITY WO & WITH CONTRAST,1330.0,1330.0,,,0 HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,174.77,1761.74,7 HCPCS,73206,HC CT ANGIOGRAPHY UPPER EXT WO & WITH CONTRAST,1177.5,1177.5,,,0 HCPCS,73218,HC MRI UPPER EXT NON JOINT WO CONTRAST,1297.0,1297.0,,,0 HCPCS,73218,Mri Upper Extremity W/O Dye,,,237.74,427.94,3 HCPCS,73219,Mri Upper Extremity W/Dye,,,347.62,1385.87,7 HCPCS,73220,HC MRI UPPER EXT NON JOINT WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,73220,Mri uppr extremity w/o&w/dye,,,347.62,625.71,3 HCPCS,73221,HC MRI UPPER EXT JOINT WO CONRAST,1297.0,1297.0,,,0 HCPCS,73221,Mri joint upr extrem w/o dye,,,237.74,427.94,3 HCPCS,73222,HC MRI UPPER EXT JOINT WITH CONTRAST,1894.0,1894.0,,,0 HCPCS,73222,Mri joint upr extrem w/dye,,,781.1,1405.98,3 HCPCS,73223,HC MRI UPPER EXT JOINT WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,73223,Mri joint upr extr w/o&w/dye,,,347.62,625.71,3 HCPCS,73225,HC MRA UPPER EXT WO OR WITH CONTRAST,5161.0,5161.0,,,0 HCPCS,73225,Mr angio upr extr w/o&w/dye,,,2145.86,3764.1,4 HCPCS,73501,HC XRAY HIP UNILATERAL 1 VIEW WITH PELVIS,215.0,215.0,,,0 HCPCS,73501,X-ray exam hip uni 1 view,,,86.71,156.08,7 HCPCS,73502,HC XRAY HIP UNILATERAL 2 TO 3 VIEWS WITH PELVIS,240.0,240.0,,,0 HCPCS,73502,X-ray exam hip uni 2-3 views,,,86.71,156.08,3 HCPCS,73503,HC XRAY HIP UNILATERAL MIN 4 VIEWS WITH PELVIS,342.0,342.0,,,0 HCPCS,73503,X-ray exam hip uni 4/> views,,,88.35,187.51,7 HCPCS,73521,HC XRAY HIP BILATERAL 2 TO 3 VIEWS WITH PELVIS,366.5,366.5,,,0 HCPCS,73521,X-ray exam hips bi 2 views,,,88.35,187.51,7 HCPCS,73522,HC XRAY HIP BILATERAL 3 TO 4 VIEWS WITH PELVIS,384.0,384.0,,,0 HCPCS,73522,X-ray exam hips bi 3-4 views,,,88.35,187.51,7 HCPCS,73523,HC XRAY HIP BILATERAL 5 VIEWS WITH PELVIS,468.5,468.5,,,0 HCPCS,73523,X-ray exam hips bi 5/> views,,,88.35,187.51,7 HCPCS,73525,Contrast x-ray of hip,,,253.37,625.71,7 HCPCS,73551,HC XRAY FEMUR 1 VIEW,186.5,186.5,,,0 HCPCS,73551,X-ray exam of femur 1,,,57.16,156.08,7 HCPCS,73552,HC XRAY FEMUR MIN 2 VIEWS,228.5,228.5,,,0 HCPCS,73552,X-ray exam of femur 2/>,,,57.16,156.08,7 HCPCS,73560,HC XRAY KNEE 1 OR 2 VIEWS,189.5,189.5,,,0 HCPCS,73560,X-ray exam of knee 1 or 2,,,86.71,182.31,7 HCPCS,73562,HC XRAY KNEE 3 VIEWS,252.5,252.5,,,0 HCPCS,73562,X-ray exam of knee 3,,,86.71,182.31,7 HCPCS,73564,HC XRAY KNEE COMPLETE,272.0,272.0,,,0 HCPCS,73564,X-ray exam knee 4 or more,,,104.17,187.51,3 HCPCS,73565,HC XRAY STANDING KNEES AP 2 VIEWS,191.0,191.0,,,0 HCPCS,73565,X-ray exam of knees,,,86.71,182.31,7 HCPCS,73580,Contrast x-ray of knee joint,,,154.81,625.71,7 HCPCS,73590,HC XRAY TIBIA & FIBULA 2 VIEWS,197.0,197.0,,,0 HCPCS,73590,X-ray exam of lower leg,,,86.71,156.08,3 HCPCS,73592,HC XRAY LOW EXT INFANT 2 VIEWS,127.0,127.0,,,0 HCPCS,73592,X-ray exam of leg infant,,,64.08,156.08,7 HCPCS,73600,HC XRAY ANKLE 2 VIEWS,249.0,249.0,,,0 HCPCS,73600,X-ray exam of ankle,,,86.71,156.08,7 HCPCS,73610,HC XRAY ANKLE COMPLETE MIN 3 VIEWS,282.5,282.5,,,0 HCPCS,73610,X-ray exam of ankle,,,86.71,156.08,3 HCPCS,73615,Contrast x-ray of ankle,,,138.74,625.71,7 HCPCS,73620,HC XRAY FOOT 2 VIEWS,194.5,194.5,,,0 HCPCS,73620,X-ray exam of foot,,,57.16,156.08,7 HCPCS,73630,HC XRAY FOOT COMPLETE MIN 3 VIEWS,196.0,196.0,,,0 HCPCS,73630,X-ray exam of foot,,,86.71,156.08,3 HCPCS,73650,HC XRAY CALCANEOUS MIN 2 VIEWS,198.5,198.5,,,0 HCPCS,73650,X-ray exam of heel,,,57.16,156.08,7 HCPCS,73660,HC XRAY TOES MIN 2 VIEWS,196.0,196.0,,,0 HCPCS,73660,X-ray exam of toe(s),,,57.16,156.08,7 HCPCS,73700,Ct lower extremity w/o dye,,,104.17,187.51,3 HCPCS,73700,HC CT LOWER EXTREMITY WO CONTRAST,719.0,719.0,,,0 HCPCS,73701,Ct lower extremity w/dye,,,174.77,314.59,3 HCPCS,73701,HC CT LOWER EXTREMITY WITH CONTRAST,1204.0,1204.0,,,0 HCPCS,73702,Ct lwr extremity w/o&w/dye,,,174.77,874.93,7 HCPCS,73702,HC CT LOWER EXTREMITY WO & WITH CONTRAST,1462.5,1462.5,,,0 HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,174.77,3004.5,7 HCPCS,73706,HC CT ANGIOGRAPHY LOWER EXT WITH & WO CONTRAST,1177.5,1177.5,,,0 HCPCS,73718,HC MRI LOWER EXT NON JOINT WO CONTRAST,1297.0,1297.0,,,0 HCPCS,73718,Mri Lower Extremity W/O Dye,,,237.74,427.94,3 HCPCS,73719,HC MRI LOWER EXT NON JOINT WITH CONTRAST,2010.5,2010.5,,,0 HCPCS,73719,Mri Lower Extremity W/Dye,,,347.62,1385.87,7 HCPCS,73720,HC MRI LOWER EXT NON JOINT WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,73720,Mri lwr extremity w/o&w/dye,,,347.62,625.71,3 HCPCS,73721,HC MRI LOWER EXT JOINT WO CONTRAST,1297.0,1297.0,,,0 HCPCS,73721,Mri jnt of lwr extre w/o dye,,,237.74,427.94,3 HCPCS,73722,HC MRI LOWER EXT JOINT WITH CONTRAST,2010.5,2010.5,,,0 HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,781.1,1405.98,3 HCPCS,73723,HC MRI LOWER EXT JOINT WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,347.62,625.71,3 HCPCS,73725,HC MRA LOWER EXTREMITY WO CONTRAST,1968.0,1968.0,,,0 HCPCS,73725,HC MRA-LOWER EXTREM W & W/O CONTR,4174.5,4174.5,,,0 HCPCS,73725,Mr ang lwr ext w or w/o dye,,,2326.61,4081.15,4 HCPCS,74018,HC XRAY ABDOMEN AP,184.5,184.5,,,0 HCPCS,74018,X-ray exam abdomen 1 view,,,86.71,156.08,3 HCPCS,74019,HC XRAY ABD FLAT AND ERECT OR DEC COMP,212.5,212.5,,,0 HCPCS,74019,X-ray exam abdomen 2 views,,,104.17,372.82,7 HCPCS,74021,HC XRAY ABD FLAT AND ERECT OR DEC-3 VIEWS,277.0,277.0,,,0 HCPCS,74021,X-ray exam abdomen 3+ views,,,104.17,372.82,7 HCPCS,74022,HC XRAY ABD COMP W/PA CHEST,280.0,280.0,,,0 HCPCS,74022,X-ray exam series abdomen,,,88.35,187.51,7 HCPCS,74150,Ct abdomen w/o dye,,,104.17,187.51,3 HCPCS,74150,HC CT ABDOMEN WO CONTRAST,719.0,719.0,,,0 HCPCS,74160,Ct abdomen w/dye,,,174.77,314.59,3 HCPCS,74160,HC CT ABDOMEN WITH CONTRAST,1114.5,1114.5,,,0 HCPCS,74170,Ct abdomen w/o & w/dye,,,174.77,314.59,3 HCPCS,74170,HC CT ABDOMEN WO & WITH CONTRAST,1330.0,1330.0,,,0 HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,347.62,2243.33,7 HCPCS,74174,HC CT ANGIO ABD/PELVIS WO & WITH CONTRAST,2429.0,2429.0,,,0 HCPCS,74175,Ct angio abdom w/o & w/dye,,,174.77,1744.77,7 HCPCS,74175,HC CT ANGIOGRAPHY ABDOMEN WO & WITH CONTRAST,1177.5,1177.5,,,0 HCPCS,74176,Ct abd & pelvis w/o contrast,,,237.74,427.94,3 HCPCS,74176,HC CT ABD/PELVIS WO CONTRAST,1518.0,1518.0,,,0 HCPCS,74177,Ct abd & pelv w/contrast,,,347.62,625.71,3 HCPCS,74177,HC CT ABD/PELVIS WITH CONTRAST,2353.5,2353.5,,,0 HCPCS,74178,Ct abd & pelv 1/> regns,,,347.62,625.71,3 HCPCS,74178,HC CT ABD/PELVIS WO & WITH CONTRAST,2808.5,2808.5,,,0 HCPCS,74181,HC MRI ABDOMEN WO CONTRAST,1297.0,1297.0,,,0 HCPCS,74181,Mri abdomen w/o dye,,,237.74,427.94,3 HCPCS,74182,HC MRI ABDOMEN WITH CONTRAST,1839.0,1839.0,,,0 HCPCS,74182,Mri Abdomen W/Dye,,,347.62,1385.87,7 HCPCS,74183,HC MRI ABDOMEN WO & WITH CONTRAST,2399.0,2399.0,,,0 HCPCS,74183,Mri abdomen w/o & w/dye,,,347.62,625.71,3 HCPCS,74185,HC MRA ABDOMEN WITH CONTRAST,2447.0,2447.0,,,0 HCPCS,74185,HC MRA ABDOMEN WITHOUT CONTRAST,2036.5,2036.5,,,0 HCPCS,74185,HC MRA ABDOMEN WO & WITH CONTRAST,3065.0,3065.0,,,0 HCPCS,74185,Mri angio abdom w orw/o dye,,,1563.28,2742.19,4 HCPCS,74190,X-ray exam of peritoneum,,,64.88,980.01,7 HCPCS,74210,Contrst x-ray exam of throat,,,107.27,314.59,7 HCPCS,74210,HC RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY,651.0,651.0,,,0 HCPCS,74220,Contrast x-ray esophagus,,,119.52,314.59,7 HCPCS,74220,HC XRAY ESOPHAGUS,242.0,242.0,,,0 HCPCS,74221,HC RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY,414.0,414.0,,,0 HCPCS,74221,X-ray xm esophagus 2cntrst,,,174.77,407.07,7 HCPCS,74230,Cine/vid x-ray throat/esoph,,,174.77,412.94,7 HCPCS,74230,HC XRAY SWALLOW FUNCTION WITH VIDEO,339.0,339.0,,,0 HCPCS,74235,Remove esophagus obstruction,,,210.07,368.49,4 HCPCS,74240,HC XRAY UPPER GI WO KUB,362.0,362.0,,,0 HCPCS,74240,X-ray upper gi delay w/o kub,,,174.77,399.59,7 HCPCS,74246,Contrst x-ray uppr gi tract,,,102.46,314.59,7 HCPCS,74246,HC XRAY UPPER GI AIR WO KUB,235.0,235.0,,,0 HCPCS,74248,HC RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY,380.0,380.0,,,0 HCPCS,74248,X-ray sm int f-thru std,,,106.64,187.06,4 HCPCS,74250,HC XRAY SMALL BOWEL FOLLOW THRU,290.0,290.0,,,0 HCPCS,74250,X-ray exam of small bowel,,,131.63,314.59,7 HCPCS,74251,X-ray exam of small bowel,,,174.77,1221.46,7 HCPCS,74261,Ct colonography dx,,,104.17,187.51,3 HCPCS,74261,HC CT COLONOGRAPHY WO CONTRAST DIAGNOSTIC,719.0,719.0,,,0 HCPCS,74262,Ct colonography dx w/dye,,,174.77,843.16,7 HCPCS,74262,HC CT COLONOGRAPHY WITH CONTRAST DIAGNOSTIC,1083.0,1083.0,,,0 HCPCS,74263,Ct colonography screening,,,237.74,427.94,3 HCPCS,74263,HC CT COLONOGRAPHY SCREENING,1294.5,1294.5,,,0 HCPCS,74270,Contrast x-ray exam of colon,,,174.77,322.67,7 HCPCS,74270,HC XRAY COLON/BARIUM ENEMA,354.0,354.0,,,0 HCPCS,74280,Contrast x-ray exam of colon,,,174.77,435.95,7 HCPCS,74283,Contrast x-ray exam of colon,,,174.77,374.65,7 HCPCS,74283,HC XRAY THEAURAPEUTIC ENEMA,419.0,419.0,,,0 HCPCS,74290,Contrast x-ray gallbladder,,,97.65,314.59,7 HCPCS,74300,X-ray bile ducts/pancreas,,,81.33,142.67,4 HCPCS,74301,X-rays at surgery add-on,,,35.97,63.1,4 HCPCS,74328,X-ray bile duct endoscopy,,,152.88,268.17,4 HCPCS,74329,X-ray for pancreas endoscopy,,,121.42,212.98,4 HCPCS,74330,X-ray bile/panc endoscopy,,,224.31,393.46,4 HCPCS,74340,HC XRAY INTRO LONG GASTRO TUBE S&I,307.5,307.5,,,0 HCPCS,74340,X-ray guide for GI tube,,,243.46,427.05,4 HCPCS,74355,X-ray guide intestinal tube,,,189.5,332.41,4 HCPCS,74360,X-ray guide gi dilation,,,162.52,285.09,4 HCPCS,74363,X-ray bile duct dilation,,,145.83,255.81,4 HCPCS,74400,Contrst x-ray urinary tract,,,174.77,315.36,7 HCPCS,74410,Contrst x-ray urinary tract,,,152.24,314.59,7 HCPCS,74415,Contrst x-ray urinary tract,,,174.77,354.94,7 HCPCS,74420,Contrst x-ray urinary tract,,,181.81,625.71,7 HCPCS,74425,Contrst x-ray urinary tract,,,86.73,625.71,7 HCPCS,74425,HC XRAY NEPHROSTO/LOOPOGRAMS S&I,546.0,546.0,,,0 HCPCS,74430,Contrast x-ray bladder,,,161.78,625.71,7 HCPCS,74430,HC XRAY CYSTOGRAM S&I,546.0,546.0,,,0 HCPCS,74440,X-ray male genital tract,,,113.05,427.94,7 HCPCS,74445,X-ray exam of penis,,,74.5,187.51,7 HCPCS,74450,HC XRAY URETHROGRAM RETRO S&I,375.0,375.0,,,0 HCPCS,74450,X-ray urethra/bladder,,,161.78,427.94,7 HCPCS,74455,HC XRAY VOIDING CYSTOGRAM S&I,670.0,670.0,,,0 HCPCS,74455,X-ray urethra/bladder,,,237.74,814.33,7 HCPCS,74470,HC XRAY RENAL CYST STUDY,491.0,491.0,,,0 HCPCS,74470,X-ray exam of kidney lesion,,,85.43,980.01,7 HCPCS,74485,X-ray guide gu dilation,,,118.83,3749.16,7 HCPCS,74712,HC MRI FETAL SINGLE OR 1ST FETUS,1514.0,1514.0,,,0 HCPCS,74712,Mri fetal sngl/1st gestation,,,237.74,1761.96,7 HCPCS,74713,Mri fetal ea addl gestation,,,252.46,442.84,4 HCPCS,74740,HC XRAY HYSTEROSALPINGOGRAM S&I,406.0,406.0,,,0 HCPCS,74740,X-ray female genital tract,,,237.74,476.13,7 HCPCS,74742,X-ray fallopian tube,,,104.07,182.55,4 HCPCS,74775,HC XRAY PERINEOGRAM,436.0,436.0,,,0 HCPCS,74775,X-ray exam of perineum,,,101.49,427.94,7 HCPCS,75557,Cardiac mri for morph,,,237.74,427.94,3 HCPCS,75557,HC MRI CARDIAC FOR MORPHOLOGY,1297.0,1297.0,,,0 HCPCS,75559,Cardiac mri w/stress img,,,531.89,980.01,7 HCPCS,75559,HC MRI CARDIAC WITH STRESS IMAGING,2410.5,2410.5,,,0 HCPCS,75561,Cardiac mri for morph w/dye,,,347.62,625.71,3 HCPCS,75561,HC MRI CARDIAC FOR MORPHOLOGY WO & WITH CONTRAST,2074.5,2074.5,,,0 HCPCS,75563,Card mri w/stress img & dye,,,781.1,3715.81,7 HCPCS,75563,HC MRI CARDIAC WITH STRESS IMAGING & CONTRAST,3538.0,3538.0,,,0 HCPCS,75565,Card mri veloc flow mapping,,,116.34,204.07,4 HCPCS,75565,HC MRI CARDIAC VELOCITY FLOW MAP,252.0,252.0,,,0 HCPCS,75571,Ct hrt w/o dye w/ca test,,,86.71,156.08,3 HCPCS,75571,HC CT CALCIUM SCORING,150.0,150.0,,,0 HCPCS,75572,Ct hrt w/3d image,,,347.62,625.71,3 HCPCS,75572,HC CT CCTA WO & WITH DISEASE STRXR,1385.0,1385.0,,,0 HCPCS,75573,Ct hrt w/3d image congen,,,347.62,843.16,7 HCPCS,75573,HC CT CCTA WITH DISEASE STRXR,1385.0,1385.0,,,0 HCPCS,75574,Ct angio hrt w/3d image,,,347.62,625.71,3 HCPCS,75574,HC CT CCTA WO & WITH CONTRAST,1385.0,1385.0,,,0 HCPCS,75577,Quan&char c athrosclrtc plaq,,,927.0,1668.61,3 HCPCS,75580,HC N-INVAS EST C FFR AUGMNT SW ALYS CTA I&R PHY/QHP,4819.0,4819.0,,,0 HCPCS,75580,N-invas est c ffr sw aly cta,,,855.65,2069.84,7 HCPCS,75600,Contrast exam thoracic aorta,,,314.13,5663.03,7 HCPCS,75605,Contrast exam thoracic aorta,,,2019.29,9980.06,7 HCPCS,75605,HC THORACIC AORTOGRAM,7607.0,7607.0,,,0 HCPCS,75625,Contrast exam abdominl aorta,,,1729.92,5663.03,7 HCPCS,75625,HC ABDOMINAL AORTOGRAM,5313.0,5313.0,,,0 HCPCS,75630,HC ABDOMINAL AORTOGRAM WITH BILATERAL RUNOFF,6111.0,6111.0,,,0 HCPCS,75630,X-ray aorta leg arteries,,,1875.06,5663.03,7 HCPCS,75635,Ct Angio Abdominal Arteries,,,174.77,1856.57,7 HCPCS,75635,HC CTA ABDOMINAL AORTOGRAM WITH BILATERAL ILIOFEMORAL,1177.5,1177.5,,,0 HCPCS,75705,Artery x-rays spine,,,238.98,9980.06,7 HCPCS,75705,HC ANGIO SPINAL SELECTIVE S&I,7607.0,7607.0,,,0 HCPCS,75710,Artery x-rays arm/leg,,,617.94,5663.03,7 HCPCS,75710,HC ANGIO UNILATERAL EXTREMITY S&I,5305.0,5305.0,,,0 HCPCS,75716,Artery x-rays arms/legs,,,1571.56,5663.03,7 HCPCS,75716,HC ANGIO BILATERAL EXTREMITIES,6102.0,6102.0,,,0 HCPCS,75726,Artery x-rays abdomen,,,2422.83,9980.06,7 HCPCS,75726,HC ANGIO VISCERAL SELECTIVE OR SUPRASELECTIVE S&I,6855.5,6855.5,,,0 HCPCS,75731,Artery x-rays adrenal gland,,,206.85,5663.03,7 HCPCS,75733,Artery x-rays adrenals,,,220.99,5663.03,7 HCPCS,75736,Artery x-rays pelvis,,,189.5,9980.06,7 HCPCS,75736,HC PELVIC ANGIOGRAPHY S&I,7607.0,7607.0,,,0 HCPCS,75741,Artery x-rays lung,,,157.38,5663.03,7 HCPCS,75741,HC PULM ARTERY ANGIO UNILATERAL,4566.0,4566.0,,,0 HCPCS,75743,Artery x-rays lungs,,,2019.29,5663.03,7 HCPCS,75743,HC PULM ARTERY ANGIO BILATERAL,4566.0,4566.0,,,0 HCPCS,75746,Artery x-rays lung,,,175.39,5663.03,7 HCPCS,75746,HC XRAY ANGIOGRAPHY PULMONARY,3723.0,3723.0,,,0 HCPCS,75756,Artery x-rays chest,,,204.29,5663.03,7 HCPCS,75774,Artery x-ray each vessel,,,864.67,1516.74,4 HCPCS,75774,HC CTH EACH ADDTL VESSEL AFTER BASIC EXAM,2200.0,2200.0,,,0 HCPCS,75774,HC EACH ADDTL VESSEL AFTER BASIC EXAM,2200.0,2200.0,,,0 HCPCS,75801,Lymph vessel x-ray arm/leg,,,398.28,1125.08,7 HCPCS,75803,Lymph vessel x-ray arms/legs,,,393.79,2823.29,7 HCPCS,75805,HC LYMPHA PELVIC/ABD UNILATERAL S&I,4517.0,4517.0,,,0 HCPCS,75805,Lymph vessel x-ray trunk,,,422.05,5663.03,7 HCPCS,75807,HC LYMPHA PELVIC/ABD BILATERAL S&I,4566.0,4566.0,,,0 HCPCS,75807,Lymph vessel x-ray trunk,,,431.68,5663.03,7 HCPCS,75809,HC SHUNTOGRAM INVEST SHUNT S&I,549.0,549.0,,,0 HCPCS,75809,Nonvascular shunt x-ray,,,104.17,237.77,7 HCPCS,75810,Vein x-ray spleen/liver,,,852.44,5663.03,7 HCPCS,75820,HC VENOGRAM EXTREMITY UNILATERAL S&I,2020.5,2020.5,,,0 HCPCS,75820,Vein x-ray arm/leg,,,453.94,2823.29,7 HCPCS,75822,HC VENOGRAM EXTREMITY BILATERAL S&I,2374.5,2374.5,,,0 HCPCS,75822,Vein x-ray arms/legs,,,670.14,2823.29,7 HCPCS,75825,HC VENOGRAPHY INFERIOR VENA CAVA,4157.5,4157.5,,,0 HCPCS,75825,Vein x-ray trunk,,,2304.12,5663.03,7 HCPCS,75827,HC VENOGR CAVAL SUP S&I,1999.0,1999.0,,,0 HCPCS,75827,Vein x-ray chest,,,1053.16,2823.29,7 HCPCS,75831,HC VENO RENAL UNILATERAL,5673.0,5673.0,,,0 HCPCS,75831,Vein x-ray kidney,,,2428.7,5663.03,7 HCPCS,75833,HC VENO RENAL BILATERAL,8510.0,8510.0,,,0 HCPCS,75833,Vein x-ray kidneys,,,2019.29,5663.03,7 HCPCS,75840,Vein x-ray adrenal gland,,,165.72,5663.03,7 HCPCS,75842,Vein x-ray adrenal glands,,,192.08,336.93,4 HCPCS,75860,HC VENOGRAPHY SINUS OR JUGULAR,4566.0,4566.0,,,0 HCPCS,75860,Vein x-ray neck,,,158.67,5663.03,7 HCPCS,75870,HC VENO SUP SAG SINUS RAD S&I,4566.0,4566.0,,,0 HCPCS,75870,Vein x-ray skull,,,165.72,5663.03,7 HCPCS,75872,Vein x-ray skull epidural,,,177.94,1125.08,7 HCPCS,75880,Vein x-ray eye socket,,,201.06,1125.08,7 HCPCS,75885,HC PORTOGRAPHY PERC WITH HEMODYNAMIC,4566.0,4566.0,,,0 HCPCS,75885,Vein x-ray liver w/hemodynam,,,2019.29,5663.03,7 HCPCS,75887,HC PORTOGRAPHY PERC TRANSHEPATIC,4566.0,4566.0,,,0 HCPCS,75887,Vein x-ray liver w/o hemodyn,,,161.24,5663.03,7 HCPCS,75889,HC HEPATIC VENO WITH HEMO EVAL,4566.0,4566.0,,,0 HCPCS,75889,Vein x-ray liver w/hemodynam,,,160.58,5663.03,7 HCPCS,75891,HC HEPATIC VENOGRAPHY,4566.0,4566.0,,,0 HCPCS,75891,Vein x-ray liver,,,161.88,5663.03,7 HCPCS,75893,HC VENOUS SAMPLING W/CATH,7795.0,7795.0,,,0 HCPCS,75893,Venous sampling by catheter,,,166.38,9980.06,7 HCPCS,75894,HC TRANSCATHETER THERAPY S&I,4057.0,4057.0,,,0 HCPCS,75894,X-rays transcath therapy,,,1655.43,2903.82,4 HCPCS,75898,Follow-up angiography,,,77.73,5663.03,7 HCPCS,75898,HC ANGIOGRAPHY THRU EXISTING CATH,4566.0,4566.0,,,0 HCPCS,75901,HC CVC STRIP VIA NEW PUNC S&I,380.5,380.5,,,0 HCPCS,75901,Remove cva device obstruct,,,129.95,227.95,4 HCPCS,75902,Remove cva lumen obstruct,,,96.36,169.03,4 HCPCS,75970,HC BIOPSY TRANSCATHETER S&I,1456.0,1456.0,,,0 HCPCS,75970,Vascular biopsy,,,740.67,1299.22,4 HCPCS,75984,HC CHANGE DRAIN CATHETER,211.5,211.5,,,0 HCPCS,75984,Xray control catheter change,,,130.16,228.32,4 HCPCS,75989,Abscess drainage under x-ray,,,283.46,497.21,4 HCPCS,75989,HC IR-RAD GUID PERC DRAINCATH S&I,276.5,276.5,,,0 HCPCS,75989,HC US GUIDED DRAIN-ABS/SPEC PERC,557.0,557.0,,,0 HCPCS,76000,Fluoroscope examination,,,174.04,427.94,7 HCPCS,76000,HC SNIFF TEST FLUORO,367.0,367.0,,,0 HCPCS,76010,HC XRAY CHILD FB SINGLE VIEW,138.5,138.5,,,0 HCPCS,76010,X-ray nose to rectum,,,81.01,156.08,7 HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,26.26,51.88,7 HCPCS,76015,Mr sfty mplt&/fb asmt stf ea,,,53.39,93.66,4 HCPCS,76016,Mr safety deter phys/qhp,,,86.71,165.57,7 HCPCS,76017,Mr sfty med physics xm cstmz,,,237.74,454.49,7 HCPCS,76018,Mr safety implant elec prepj,,,94.73,172.59,7 HCPCS,76019,Mr safety implt pos&/immoblj,,,58.78,111.69,7 HCPCS,76080,HC FISTULA AND CONTRAST,751.5,751.5,,,0 HCPCS,76080,X-ray exam of fistula,,,195.93,980.01,7 HCPCS,76098,HC BREAST SURG SPECIMEN EACH,677.5,677.5,,,0 HCPCS,76098,X-ray exam breast specimen,,,27.29,980.01,7 HCPCS,76100,X-ray exam of body section,,,104.17,190.43,7 HCPCS,76120,Cine/video x-rays,,,104.17,207.35,7 HCPCS,76125,Cine/video x-rays add-on,,,58.45,102.53,4 HCPCS,76145,Med physic dos eval rad exps,,,161.59,669.27,7 HCPCS,76376,3d render w/intrp postproces,,,335.58,588.65,4 HCPCS,76376,HC 3D RENDER W/O POST PROCESSING,660.0,660.0,,,0 HCPCS,76377,3d render w/intrp postproces,,,380.0,666.56,4 HCPCS,76377,HC 3D RENDERING INDEPENDENT,767.0,767.0,,,0 HCPCS,76380,CAT scan follow-up study,,,86.71,459.62,7 HCPCS,76380,HC CT LIMITED OR LOCAL FU STUDY,534.0,534.0,,,0 HCPCS,76390,HC MRI SPECTROSCOPY,3219.0,3219.0,,,0 HCPCS,76390,Mr spectroscopy,,,86.71,4286.22,7 HCPCS,76391,HC MAGNETIC RESONANCE ELASTOGRAPHY,1523.0,1523.0,,,0 HCPCS,76391,Mr elastography,,,237.74,696.06,7 HCPCS,76496,Fluoroscopic procedure,,,86.71,156.08,3 HCPCS,76496,HC FLUORO GUIDANCE UNSPECIFIED,262.0,262.0,,,0 HCPCS,76497,Ct procedure,,,86.71,156.08,3 HCPCS,76497,HC MULTITOM RAX CT- 3 D IMAGING,128.0,128.0,,,0 HCPCS,76498,HC WHOLE BODY MRI,3333.0,3333.0,,,0 HCPCS,76498,Mri procedure,,,86.71,156.08,3 HCPCS,76499,HC DR BODY COMPOSITION,314.0,314.0,,,0 HCPCS,76499,Radiographic procedure,,,86.71,156.08,3 HCPCS,76506,Echo exam of head,,,104.17,499.46,7 HCPCS,76506,HC US NEONATE HEAD,710.0,710.0,,,0 HCPCS,76510,Ophth us b & quant a,,,132.57,256.92,7 HCPCS,76511,Ophth us quant a only,,,88.01,187.51,7 HCPCS,76512,HC BED US OCULAR,613.0,613.0,,,0 HCPCS,76512,Ophth us b w/non-quant a,,,104.17,281.39,7 HCPCS,76513,Echo exam of eye water bath,,,104.17,189.29,7 HCPCS,76514,Echo exam of eye thickness,,,9.63,51.88,7 HCPCS,76516,Echo exam of eye,,,86.08,187.51,7 HCPCS,76519,Echo exam of eye,,,96.36,187.51,7 HCPCS,76529,Echo exam of eye,,,84.8,156.08,7 HCPCS,76536,HC US SOFT TISSUE HEAD/NECK,717.5,717.5,,,0 HCPCS,76536,Us exam of head and neck,,,104.17,187.51,3 HCPCS,76604,HC US CHEST,822.5,822.5,,,0 HCPCS,76604,Us exam chest,,,104.17,220.44,7 HCPCS,76641,HC US BREAST COMPLETE,766.0,766.0,,,0 HCPCS,76641,Ultrasound breast complete,,,94.4,187.51,7 HCPCS,76642,HC US BREAST LIMITED,575.0,575.0,,,0 HCPCS,76642,Ultrasound breast limited,,,86.71,156.08,3 HCPCS,76700,HC US ABDOMEN COMPLETE,1078.0,1078.0,,,0 HCPCS,76700,Us exam abdom complete,,,104.17,258.26,7 HCPCS,76705,Echo exam of abdomen,,,104.17,187.51,3 HCPCS,76705,HC US ABDOMEN LIMITED,689.0,689.0,,,0 HCPCS,76706,HC US AAA SCREENING,571.5,571.5,,,0 HCPCS,76706,Us abdl aorta screen aaa,,,104.17,210.7,7 HCPCS,76770,HC US RETROPERITONEAL COMPLETE,860.5,860.5,,,0 HCPCS,76770,Us exam abdo back wall comp,,,104.17,258.26,7 HCPCS,76775,HC US RETROPERITONEAL LIMITED,797.0,797.0,,,0 HCPCS,76775,Us exam abdo back wall lim,,,104.17,187.51,3 HCPCS,76776,HC US TRANSPLANT COMPLETE,938.0,938.0,,,0 HCPCS,76776,Us exam k transpl w/doppler,,,104.17,380.82,7 HCPCS,76800,Us exam spinal canal,,,104.17,413.46,7 HCPCS,76801,HC US PREG UTER 1ST TRIM LESS THAN 14 WEEKS,732.5,732.5,,,0 HCPCS,76801,Ob us < 14 wks single fetus,,,104.17,250.68,7 HCPCS,76802,HC US OB <14 WKS ADDL FETUS,145.5,145.5,,,0 HCPCS,76802,Ob us < 14 wks addl fetus,,,42.34,74.27,4 HCPCS,76805,HC US PREGNANCY COMPLETE,736.0,736.0,,,0 HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,104.17,187.51,3 HCPCS,76810,HC US OB GREATER THAN OR = 14 WKS ADDL FETUS,251.5,251.5,,,0 HCPCS,76810,Ob us >/= 14 wks addl fetus,,,82.05,143.92,4 HCPCS,76811,HC US PREGNANT DETAILED SINGLE,1407.0,1407.0,,,0 HCPCS,76811,Ob us detailed sngl fetus,,,237.74,861.6,7 HCPCS,76812,HC US PREG DETAILED EA ADDL GEST,628.0,628.0,,,0 HCPCS,76812,Ob us detailed addl fetus,,,206.85,362.84,4 HCPCS,76813,Ob us nuchal meas 1 gest,,,104.17,196.08,7 HCPCS,76814,Ob us nuchal meas add-on,,,54.6,95.78,4 HCPCS,76815,HC US PREGNANT UTERUS LIMITED,718.0,718.0,,,0 HCPCS,76815,Ob us limited fetus(s),,,104.17,250.68,7 HCPCS,76816,HC US PREG UTERUS FOLLOW UP,499.0,499.0,,,0 HCPCS,76816,Ob us follow-up per fetus,,,104.17,250.68,7 HCPCS,76817,HC US TRANSVAGINAL PREG UTERUS,656.0,656.0,,,0 HCPCS,76817,Transvaginal us obstetric,,,104.17,250.68,7 HCPCS,76818,Fetal biophys profile w/nst,,,104.17,221.97,7 HCPCS,76818,HC US FETAL BIOPHYSICAL PROFILE W NST,929.0,929.0,,,0 HCPCS,76819,Fetal biophys profil w/o nst,,,104.17,373.3,7 HCPCS,76819,HC US FETAL BIOPHYSICAL PROFILE WO NST,637.0,637.0,,,0 HCPCS,76820,HC US DOPPLER FETAL UMBILICAL ART,535.5,535.5,,,0 HCPCS,76820,Umbilical artery echo,,,104.17,484.86,7 HCPCS,76821,HC US DOPP VELCO FET MID CEREB,649.0,649.0,,,0 HCPCS,76821,Middle cerebral artery echo,,,104.07,187.51,7 HCPCS,76825,Echo exam of fetal heart,,,355.24,980.01,7 HCPCS,76826,Echo exam of fetal heart,,,223.55,427.94,7 HCPCS,76827,Echo exam of fetal heart,,,85.43,187.51,7 HCPCS,76828,Echo exam of fetal heart,,,46.25,187.51,7 HCPCS,76830,HC US PELVIS TRANSVAGINAL,726.5,726.5,,,0 HCPCS,76830,Transvaginal us non-ob,,,104.17,187.51,3 HCPCS,76831,Echo exam uterus,,,151.61,427.94,7 HCPCS,76831,HC US HYSTEROSONOGRAPHY W &WO DOPPLER,329.5,329.5,,,0 HCPCS,76856,HC US PELVIC COMPLETE,727.5,727.5,,,0 HCPCS,76856,Us exam pelvic complete,,,104.17,187.51,3 HCPCS,76857,HC US PELVIS LIMITED/FOLLOW UP,490.5,490.5,,,0 HCPCS,76857,Us exam pelvic limited,,,104.17,250.68,7 HCPCS,76870,HC US SCROTUM,721.5,721.5,,,0 HCPCS,76870,Us exam scrotum,,,104.17,187.51,3 HCPCS,76872,HC US TRANSRECTAL,591.0,591.0,,,0 HCPCS,76872,Us transrectal,,,104.17,197.19,7 HCPCS,76873,Echograp trans r pros study,,,104.17,554.15,7 HCPCS,76881,HC US EXTREMITY NONVASCULAR COMPLETE,891.0,891.0,,,0 HCPCS,76881,Us xtr non-vasc complete,,,104.17,327.74,7 HCPCS,76882,HC US EXTREMITY NONVASCULAR LIMITED,520.0,520.0,,,0 HCPCS,76882,Us xtr non-vasc lmtd,,,104.17,204.08,7 HCPCS,76883,HC US NRV&ACC STRUX 1XTR COMPRE,578.0,578.0,,,0 HCPCS,76883,Us nrv&acc strux 1xtr compre,,,104.17,234.93,7 HCPCS,76885,Us exam infant hips dynamic,,,86.71,350.43,7 HCPCS,76886,HC US CONGENITAL HIP LIMITED STATIC,367.0,367.0,,,0 HCPCS,76886,Us exam infant hips static,,,86.71,607.28,7 HCPCS,76932,Echo guide for heart biopsy,,,101.49,178.03,4 HCPCS,76936,Echo guide for artery repair,,,215.15,557.77,7 HCPCS,76936,HC US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL,1072.0,1072.0,,,0 HCPCS,76937,HC US GUIDANCE FOR VASCULAR ACCESS,150.5,150.5,,,0 HCPCS,76937,Us guide vascular access,,,57.78,101.36,4 HCPCS,76940,HC ULTRASOUND GUIDANCE TISSUE ABL,354.0,354.0,,,0 HCPCS,76940,Us guide tissue ablation,,,116.27,203.95,4 HCPCS,76941,Echo guide for transfusion,,,100.86,176.92,4 HCPCS,76941,HC US GUIDED FETAL TRANS/CORDO,638.0,638.0,,,0 HCPCS,76942,Echo guide for biopsy,,,320.56,562.29,4 HCPCS,76942,HC GUIDE NEEDLE PLACE S&I,826.0,826.0,,,0 HCPCS,76942,HC TX GUIDE NEEDLE PLACE S&I,530.0,530.0,,,0 HCPCS,76945,Echo guide villus sampling,,,114.34,200.57,4 HCPCS,76946,Echo guide for amniocentesis,,,23.77,41.69,4 HCPCS,76946,HC US GUIDANCE FOR AMNIO PROCED,692.0,692.0,,,0 HCPCS,76948,Echo guide ova aspiration,,,68.73,120.55,4 HCPCS,76965,Echo guidance radiotherapy,,,43.66,76.59,4 HCPCS,76975,GI endoscopic ultrasound,,,111.14,427.94,7 HCPCS,76977,Us bone density measure,,,8.35,187.51,7 HCPCS,76978,Us trgt dyn mbubb 1st les,,,347.21,625.71,7 HCPCS,76979,Us trgt dyn mbubb ea addl,,,311.36,546.17,4 HCPCS,76981,HC ULTRASOUND ELASTOGRAPHY PARENCHYMA,937.0,937.0,,,0 HCPCS,76981,Use parenchyma,,,104.17,339.66,7 HCPCS,76982,Use 1st target lesion,,,104.17,339.66,7 HCPCS,76983,Use ea addl target lesion,,,58.92,103.35,4 HCPCS,76998,HC US INTRAOPERATIVE,1180.0,1180.0,,,0 HCPCS,76998,Us guide intraop,,,341.48,599.0,4 HCPCS,76999,Echo examination procedure,,,86.71,156.08,3 HCPCS,77001,Fluoroguide for Vein Device,,,128.58,225.54,4 HCPCS,77001,HC FLUORO GUIDANCE CVC,267.5,267.5,,,0 HCPCS,77002,HC FLUORO GUIDANCE FOR NEEDLE PLACEMENT,185.0,185.0,,,0 HCPCS,77002,Needle localization by xray,,,83.79,146.97,4 HCPCS,77003,Fluoroguide for Spine Inject,,,90.7,159.09,4 HCPCS,77003,HC FLUORO GUIDANCE OF NEEDLE/CATH TIP,203.5,203.5,,,0 HCPCS,77011,CT Scan for Localization,,,291.63,511.55,4 HCPCS,77012,Ct scan for needle biopsy,,,301.41,528.7,4 HCPCS,77012,HC CT GUIDED NEEDLE PLACEMENT S&I,520.5,520.5,,,0 HCPCS,77013,CT Guide for Tissue Ablation,,,1347.33,2363.38,4 HCPCS,77013,HC CT GUIDE FOR TISSUE ABLATION,3426.0,3426.0,,,0 HCPCS,77013,HC RAD CT GUIDE FOR TISSUE ABLATION,3426.0,3426.0,,,0 HCPCS,77014,CT Scan for Therapy Guide,,,134.91,236.65,4 HCPCS,77021,MR Guidance for Needle Place,,,1464.81,2569.46,4 HCPCS,77022,MRI for Tissue Ablation,,,867.86,1522.34,4 HCPCS,77046,Mri breast c- unilateral,,,237.74,696.06,7 HCPCS,77047,HC MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL,1526.0,1526.0,,,0 HCPCS,77047,Mri breast c- bilateral,,,237.74,696.06,7 HCPCS,77048,Mri breast c-+ w/cad uni,,,506.76,888.92,4 HCPCS,77049,HC ABBREV MRI BREAST WITHOUT & WITH CONTRAST W/CAD BILATERAL,400.0,400.0,,,0 HCPCS,77053,HC GALACTOGRAM SINGLE DUCT S&I,485.0,485.0,,,0 HCPCS,77053,X-Ray of Mammary Duct,,,179.57,427.94,7 HCPCS,77054,X-ray of mammary ducts,,,98.93,427.94,7 HCPCS,77061,Breast tomosynthesis uni,,,170.24,298.62,4 HCPCS,77062,Breast tomosynthesis bi,,,217.76,381.98,4 HCPCS,77063,Breast tomosynthesis bi,,,21.35,181.79,7 HCPCS,77063,HC BREAST TOMO SCREEN BILATERAL,264.5,264.5,,,0 HCPCS,77065,Dx mammo incl cad uni,,,78.75,141.75,3 HCPCS,77065,HC DIGITAL DIAG MAMMOGRAM UNILATERAL,415.5,415.5,,,0 HCPCS,77066,Dx mammo incl cad bi,,,101.08,181.94,3 HCPCS,77066,HC DIGITAL DIAG MAMMOGRAM BILATERAL,478.5,478.5,,,0 HCPCS,77067,HC DIGITAL SCREENING MAMMOGRAM,370.5,370.5,,,0 HCPCS,77067,Scr mammo bi incl cad,,,83.32,149.98,3 HCPCS,77071,HC XRAY JOINT STRESS VIEW,155.0,155.0,,,0 HCPCS,77071,X-Ray Stress View,,,78.73,156.08,7 HCPCS,77072,HC XRAY BONE AGE STUDIES,306.0,306.0,,,0 HCPCS,77072,X-Rays for Bone Age,,,104.17,187.51,3 HCPCS,77073,HC XRAY BONE LENGTH STUDY,194.0,194.0,,,0 HCPCS,77073,X-rays bone length studies,,,104.17,187.51,3 HCPCS,77074,HC RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED,332.0,332.0,,,0 HCPCS,77074,X-rays bone survey limited,,,75.16,187.51,7 HCPCS,77075,HC XRAY BONE SURVEY COMPLETE SKELETON,301.5,301.5,,,0 HCPCS,77075,X-rays bone survey complete,,,104.17,292.23,7 HCPCS,77076,HC XRAY BONE SURVEY INFANT,281.0,281.0,,,0 HCPCS,77076,X-rays bone survey infant,,,104.17,235.85,7 HCPCS,77077,HC XRAY JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS,133.0,133.0,,,0 HCPCS,77077,Joint survey single view,,,37.89,187.51,7 HCPCS,77078,Ct bone density axial,,,86.71,188.36,7 HCPCS,77080,Dxa bone density axial,,,104.17,187.51,3 HCPCS,77080,HC XRAY BONE DENSITY AXIAL,299.0,299.0,,,0 HCPCS,77081,Dxa bone density/peripheral,,,86.71,182.31,7 HCPCS,77081,HC XRAY BONE DENSITY APPENDICULAR,144.0,144.0,,,0 HCPCS,77084,Magnetic image bone marrow,,,237.74,982.59,7 HCPCS,77085,Dxa bone density study,,,104.17,460.21,7 HCPCS,77085,HC XRAY BONE DENSITY AXIAL WITH VFA,579.5,579.5,,,0 HCPCS,77086,Fracture assessment via dxa,,,86.71,182.31,7 HCPCS,77086,HC XRAY VERTEBRAL FRACTURE ASSESS,257.5,257.5,,,0 HCPCS,77089,Tbs dxa cal w/i&r fx risk,,,42.76,75.01,4 HCPCS,77090,Tbs techl prep&transmis data,,,86.71,184.56,7 HCPCS,77091,Tbs techl calculation only,,,86.71,184.56,7 HCPCS,77092,Tbs i&r fx rsk qhp,,,3.97,6.96,4 HCPCS,77261,Radiation therapy planning,,,43.66,76.59,4 HCPCS,77262,Radiation therapy planning,,,61.66,108.16,4 HCPCS,77263,Radiation therapy planning,,,86.08,151.0,4 HCPCS,77280,HC RAD THERAPY SIMULATION SIMPLE,464.0,464.0,,,0 HCPCS,77280,Set radiation therapy field,,,133.93,501.04,7 HCPCS,77285,HC RAD TH-SIMULATION INTERMEDIATE,1351.54,1351.54,,,0 HCPCS,77285,Set radiation therapy field,,,373.08,1220.33,7 HCPCS,77290,HC RAD THERAPY SIMULATION COMPLEX,1232.0,1232.0,,,0 HCPCS,77290,Set radiation therapy field,,,373.08,1327.62,7 HCPCS,77293,HC RAD THERAPY RESP MOTION MGMT SIM,923.0,923.0,,,0 HCPCS,77293,Respirator motion mgmt simul,,,660.39,1158.4,4 HCPCS,77295,3-d radiotherapy plan,,,1379.15,6525.66,7 HCPCS,77295,HC RAD THERAPY 3D TREATMENT PLAN,5508.0,5508.0,,,0 HCPCS,77299,Radiation therapy planning,,,133.93,241.07,3 HCPCS,77300,HC RAD THERAPY BASIC DOSIMETRY,464.0,464.0,,,0 HCPCS,77300,Radiation therapy dose plan,,,133.93,501.04,7 HCPCS,77301,HC IMRT PLAN WITH HISTOGRAMS,5837.0,5837.0,,,0 HCPCS,77301,Radiotherapy dose plan imrt,,,1379.15,6287.6,7 HCPCS,77306,Telethx isodose plan simple,,,140.04,671.55,7 HCPCS,77307,HC RAD THERAPY ISODOSE TELETHPY COMPLEX,1232.0,1232.0,,,0 HCPCS,77307,Telethx isodose plan cplx,,,373.08,1327.62,7 HCPCS,77316,Brachytx isodose plan simple,,,373.08,2042.26,7 HCPCS,77317,Brachytx isodose intermed,,,274.94,671.55,7 HCPCS,77317,HC RAD THERAPY BRACHY ISODOSE INTERMED,1120.0,1120.0,,,0 HCPCS,77318,Brachytx isodose complex,,,373.08,2533.84,7 HCPCS,77321,HC RAD THERAPY TELETHERAPY PORT PLAN,1120.0,1120.0,,,0 HCPCS,77321,Special teletx port plan,,,373.08,1327.62,7 HCPCS,77331,HC RAD THERAPY SPECIAL DOSIMETRY,539.0,539.0,,,0 HCPCS,77331,Special radiation dosimetry,,,133.93,635.79,7 HCPCS,77332,HC RAD THERAPY TREATMENT DEVICES SIMPLE,464.0,464.0,,,0 HCPCS,77332,Radiation treatment aid(s),,,133.93,501.04,7 HCPCS,77333,HC RAD THERAPY TREATMENT DEVICE INTERM,576.0,576.0,,,0 HCPCS,77333,Radiation treatment aid(s),,,133.93,501.04,7 HCPCS,77334,HC RAD THERAPY TREATMENT DEVICES COMPLEX,1120.0,1120.0,,,0 HCPCS,77334,Radiation treatment aid(s),,,373.08,1327.62,7 HCPCS,77336,HC RAD THERAPY WEEKLY PHYSICS CONSULT,464.0,464.0,,,0 HCPCS,77336,Radiation physics consult,,,133.93,501.04,7 HCPCS,77338,Design mlc device for imrt,,,373.08,1327.62,7 HCPCS,77338,HC RAD THERAPY DESIGN MLC DEVICE IMRT,1232.0,1232.0,,,0 HCPCS,77370,HC RAD THERAPY MED PHYSICS SPECIAL CON,464.0,464.0,,,0 HCPCS,77370,Radiation physics consult,,,133.93,501.04,7 HCPCS,77371,Srs multisource,,,2222.67,13209.85,7 HCPCS,77372,HC RAD THERAPY STER SRS CRANIAL 1 FRAC,20111.0,20111.0,,,0 HCPCS,77372,Srs linear based,,,7338.81,23827.77,7 HCPCS,77373,HC RAD THERAPY STEREO BODY,5938.0,5938.0,,,0 HCPCS,77373,SBRT Delivery,,,1781.62,7036.25,7 HCPCS,77385,HC IMRT DELIVERY SIMPLE,1778.0,1778.0,,,0 HCPCS,77385,Ntsty modul rad tx dlvr smpl,,,1201.54,2107.64,4 HCPCS,77386,HC IMRT DELIVERY COMPLEX,2145.0,2145.0,,,0 HCPCS,77386,Ntsty modul rad tx dlvr cplx,,,1201.54,2107.64,4 HCPCS,77387,Guidance for radiaj tx dlvr,,,374.44,656.81,4 HCPCS,77387,HC RAD THERAPY IMAGE GUIDANCE,609.0,609.0,,,0 HCPCS,77399,External radiation dosimetry,,,133.93,241.07,3 HCPCS,77399,HC IMAGE FUSION,422.0,422.0,,,0 HCPCS,77401,Radiation treatment delivery,,,44.96,78.87,4 HCPCS,77402,HC RAD THERAPY SIMPLE,2064.0,2064.0,,,0 HCPCS,77402,Radiation treatment delivery,,,101.66,481.06,7 HCPCS,77407,HC RAD THERAPY INTERMEDIATE,2148.0,2148.0,,,0 HCPCS,77407,Radiation treatment delivery,,,360.38,691.76,7 HCPCS,77412,HC RAD THERAPY COMPLEX,2558.0,2558.0,,,0 HCPCS,77412,Radiation treatment delivery,,,496.79,991.0,7 HCPCS,77417,HC RAD THERAPY PORT FILMS,245.0,245.0,,,0 HCPCS,77417,Radiology port images(s),,,164.03,287.73,4 HCPCS,77423,Neutron beam tx complex,,,175.39,991.0,7 HCPCS,77424,Io rad tx delivery by x-ray,,,3082.73,13209.85,7 HCPCS,77425,Io rad tx deliver by elctrns,,,3082.73,13209.85,7 HCPCS,77427,Radiation tx management x5,,,106.65,187.07,4 HCPCS,77431,Radiation therapy management,,,61.66,108.16,4 HCPCS,77432,Stereotactic radiation trmt,,,216.47,379.72,4 HCPCS,77435,SBRT Management,,,332.09,582.52,4 HCPCS,77436,Surf radj ther tx planning,,,37.22,66.99,3 HCPCS,77469,Io radiation tx management,,,191.44,335.81,4 HCPCS,77470,HC RAD THERAPY SPECIAL TX PROCEDURE,2001.0,2001.0,,,0 HCPCS,77470,Special radiation treatment,,,550.56,2371.1,7 HCPCS,77520,Proton trmt simple w/o comp,,,478.71,991.0,7 HCPCS,77522,Proton trmt simple w/comp,,,962.11,2241.45,7 HCPCS,77523,Proton trmt intermediate,,,962.11,2241.45,7 HCPCS,77525,Proton treatment complex,,,962.11,2241.45,7 HCPCS,77600,Hyperthermia treatment,,,384.31,1100.88,7 HCPCS,77605,Hyperthermia treatment,,,693.97,2163.48,7 HCPCS,77610,Hyperthermia treatment,,,550.56,2526.34,7 HCPCS,77615,Hyperthermia treatment,,,550.56,2969.19,7 HCPCS,77620,Hyperthermia treatment,,,550.56,1200.06,7 HCPCS,77750,Infuse radioactive materials,,,206.85,691.76,7 HCPCS,77761,Apply intrcav radiat simple,,,352.67,991.0,7 HCPCS,77762,Apply intrcav radiat interm,,,407.91,991.0,7 HCPCS,77763,Apply intrcav radiat compl,,,523.54,1249.15,7 HCPCS,77767,Hdr rdncl skn surf brachytx,,,310.27,691.76,7 HCPCS,77768,Hdr rdncl skn surf brachytx,,,384.31,895.84,7 HCPCS,77770,HC RAD THERAPY HDR BRACH INTER 1 CH,3872.0,3872.0,,,0 HCPCS,77770,Hdr rdncl ntrstl/icav brchtx,,,693.97,4588.41,7 HCPCS,77771,HC RAD THERAPY HDR BRACH INTER 2-12 CH,4453.0,4453.0,,,0 HCPCS,77771,Hdr rdncl ntrstl/icav brchtx,,,693.97,1281.18,7 HCPCS,77772,Hdr rdncl ntrstl/icav brchtx,,,693.97,2027.16,7 HCPCS,77778,Apply interstit radiat compl,,,693.97,7185.73,7 HCPCS,77778,HC RAD THERAPY LDR BRACH INTER OVER 9,1758.0,1758.0,,,0 HCPCS,77789,Apply surf ldr radionuclide,,,101.66,190.43,7 HCPCS,77789,HC RAD THERAPY SURFACE APP W/ RAD SOUR,299.0,299.0,,,0 HCPCS,77790,HC RAD THERAPY HANDLING & LOADING,841.0,841.0,,,0 HCPCS,77790,Radiation handling,,,10.92,19.16,4 HCPCS,77799,HC RAD TH-LDR BRACHY INTERSTITIAL 1-9 CH,4053.08,4053.08,,,0 HCPCS,78012,Thyroid uptake measurement,,,129.83,717.0,7 HCPCS,78013,HC NM THYROID IMAGING WITH BLOOD FLOW,466.0,466.0,,,0 HCPCS,78013,Thyroid imaging w/blood flow,,,252.03,717.0,7 HCPCS,78014,HC NM THYROID UPTAKE IMAGE WITH FLOW,953.0,953.0,,,0 HCPCS,78014,Thyroid imaging w/blood flow,,,398.33,945.19,7 HCPCS,78015,Thyroid met imaging,,,356.52,717.0,7 HCPCS,78016,Thyroid met imaging/studies,,,398.33,825.93,7 HCPCS,78018,HC NM THYROID TOTAL BODY,1034.0,1034.0,,,0 HCPCS,78018,Thyroid met imaging body,,,500.45,973.83,7 HCPCS,78020,HC NM THYROID CA METS UPTAKE,201.0,201.0,,,0 HCPCS,78020,Thyroid met uptake,,,105.35,184.81,4 HCPCS,78070,Parathyroid planar imaging,,,398.33,863.13,7 HCPCS,78071,Parathyrd planar w/wo subtrj,,,398.33,989.32,7 HCPCS,78072,HC NM PARATHYROID SPECT CT,1182.0,1182.0,,,0 HCPCS,78072,Parathyrd planar w/spect&ct,,,541.02,1171.84,7 HCPCS,78075,Adrenal cortex & medulla img,,,767.01,2321.99,7 HCPCS,78099,Endocrine nuclear procedure,,,398.33,717.0,3 HCPCS,78102,Bone marrow imaging ltd,,,271.09,717.0,7 HCPCS,78102,HC NM BONE MARROW IMAGING LIMITED,489.0,489.0,,,0 HCPCS,78103,Bone marrow imaging mult,,,381.97,717.0,7 HCPCS,78104,Bone marrow imaging body,,,390.56,717.0,7 HCPCS,78110,Plasma volume single,,,169.6,2321.99,7 HCPCS,78111,Plasma volume multiple,,,158.67,2321.99,7 HCPCS,78120,Red cell mass single,,,154.81,717.0,7 HCPCS,78121,Red cell mass multiple,,,166.38,973.83,7 HCPCS,78122,Blood volume,,,141.95,973.83,7 HCPCS,78130,Red cell survival study,,,258.87,717.0,7 HCPCS,78140,Red cell sequestration,,,203.64,717.0,7 HCPCS,78185,Spleen imaging,,,360.38,717.0,7 HCPCS,78191,Platelet survival,,,258.87,717.0,7 HCPCS,78195,HC NM LYMPHATICS/LYMPH GLANDS,761.0,761.0,,,0 HCPCS,78195,Lymph system imaging,,,430.38,973.83,7 HCPCS,78199,Blood/lymph nuclear exam,,,398.33,717.0,3 HCPCS,78201,Liver imaging,,,316.04,973.83,7 HCPCS,78202,Liver imaging with flow,,,332.76,973.83,7 HCPCS,78215,Liver and spleen imaging,,,320.54,717.0,7 HCPCS,78216,Liver & spleen image/flow,,,187.57,717.0,7 HCPCS,78226,HC NM HEPATOBILIARY SCAN,691.0,691.0,,,0 HCPCS,78226,Hepatobiliary system imaging,,,392.44,717.0,7 HCPCS,78227,HC NM HEPATOBILIARY WITH PHARM,1491.0,1491.0,,,0 HCPCS,78227,Hepatobil syst image w/drug,,,541.02,1509.38,7 HCPCS,78230,Salivary gland imaging,,,286.48,717.0,7 HCPCS,78231,Serial salivary imaging,,,193.99,717.0,7 HCPCS,78232,Salivary gland function exam,,,151.61,717.0,7 HCPCS,78258,Esophageal motility study,,,355.24,717.0,7 HCPCS,78261,Gastric mucosa imaging,,,398.33,717.0,7 HCPCS,78262,Gastroesophageal reflux exam,,,395.08,717.0,7 HCPCS,78264,Gastric emptying imag study,,,398.33,914.4,7 HCPCS,78264,HC NM GASTRIC EMPTYING STUDY,842.0,842.0,,,0 HCPCS,78265,Gastric emptying imag study,,,398.33,1159.48,7 HCPCS,78266,Gastric emptying imag study,,,541.02,1387.11,7 HCPCS,78267,Breath tst attain/anal c-14,,,11.06,33.83,7 HCPCS,78268,Breath test analysis c-14,,,94.41,290.1,7 HCPCS,78278,Acute GI blood loss imaging,,,398.33,2208.2,7 HCPCS,78278,HC NM GI BLEED SCAN WITH LABELED RBC,555.0,555.0,,,0 HCPCS,78282,GI protein loss exam,,,104.07,717.0,7 HCPCS,78290,HC NM MECKELS STUDY,644.0,644.0,,,0 HCPCS,78290,Meckels divert exam,,,326.88,717.0,7 HCPCS,78291,Leveen/shunt patency exam,,,398.33,717.0,7 HCPCS,78299,GI nuclear procedure,,,398.33,717.0,3 HCPCS,78300,Bone imaging limited area,,,398.33,920.29,7 HCPCS,78300,HC NM BONE SCAN LIMITED,661.0,661.0,,,0 HCPCS,78305,Bone imaging multiple areas,,,359.75,717.0,7 HCPCS,78306,Bone imaging whole body,,,398.33,933.87,7 HCPCS,78306,HC NM BONE SCAN TOTAL BODY,874.0,874.0,,,0 HCPCS,78315,Bone imaging 3 phase,,,398.33,717.0,7 HCPCS,78315,HC NM BONE/JOINT 3 PHASE STUDY,1004.0,1004.0,,,0 HCPCS,78350,Bone mineral single photon,,,39.81,69.84,4 HCPCS,78351,Bone mineral dual photon,,,19.27,33.81,4 HCPCS,78399,Musculoskeletal nuclear exam,,,398.33,717.0,3 HCPCS,78414,Non-imaging heart function,,,94.43,973.83,7 HCPCS,78428,Cardiac shunt imaging,,,271.09,717.0,7 HCPCS,78429,Myocrd img pet 1 std w/ct,,,1424.81,3223.83,7 HCPCS,78430,HC MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT,6343.0,6343.0,,,0 HCPCS,78430,Myocrd img pet rst/strs w/ct,,,1424.81,3223.83,7 HCPCS,78431,HC MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT,9893.0,9893.0,,,0 HCPCS,78431,Myocrd img pet rst&strs ct,,,2194.87,5027.88,7 HCPCS,78432,Myocrd img pet 2rtracer,,,1512.17,6144.92,7 HCPCS,78433,HC MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT,12091.0,12091.0,,,0 HCPCS,78433,Myocrd img pet 2rtracer ct,,,2194.87,6144.92,7 HCPCS,78434,Aqmbf pet rest & rx stress,,,722.01,1266.5,4 HCPCS,78434,HC AQMBF PET REST AND PHARMACOLOGIC STRESS,6343.0,6343.0,,,0 HCPCS,78445,Vascular flow imaging,,,296.78,717.0,7 HCPCS,78451,HC NM CARDIAC PERFUSION SPECT SINGLE,1859.0,1859.0,,,0 HCPCS,78451,Ht muscle image spect sing,,,608.81,2321.99,7 HCPCS,78452,HC MYOCARDIAL PERFUSION STRESS & REST,3764.5,3764.5,,,0 HCPCS,78452,Ht muscle image spect mult,,,1289.99,2321.99,3 HCPCS,78453,Ht muscle image planar sing,,,479.23,2321.99,7 HCPCS,78454,Ht musc image planar mult,,,697.62,2321.99,7 HCPCS,78456,Acute venous thrombus image,,,510.71,2321.99,7 HCPCS,78457,Venous thrombosis imaging,,,261.47,973.83,7 HCPCS,78458,Ven thrombosis images bilat,,,301.28,717.0,7 HCPCS,78459,Heart muscle imaging (PET),,,630.19,2321.99,7 HCPCS,78466,Heart infarct image,,,302.57,717.0,7 HCPCS,78468,Heart infarct image (ef),,,292.92,973.83,7 HCPCS,78469,Heart infarct image (3D),,,343.67,973.83,7 HCPCS,78472,Gated heart planar single,,,398.33,2397.54,7 HCPCS,78472,HC NM CARDIAC BLOOD POOL IMAGE SINGLE,1014.0,1014.0,,,0 HCPCS,78473,Gated heart multiple,,,398.33,721.18,7 HCPCS,78481,Heart first pass single,,,239.6,973.83,7 HCPCS,78483,Heart first pass multiple,,,323.11,973.83,7 HCPCS,78491,Heart image (pet) single,,,684.78,2564.65,7 HCPCS,78492,Heart image (pet) multiple,,,860.15,2564.65,7 HCPCS,78494,Heart image spect,,,314.13,717.0,7 HCPCS,78496,Heart first pass add-on,,,37.26,65.35,4 HCPCS,78499,Cardiovascular nuclear exam,,,398.33,717.0,3 HCPCS,78579,Lung ventilation imaging,,,305.78,717.0,7 HCPCS,78580,HC NM LUNG PERFUSION,536.0,536.0,,,0 HCPCS,78580,Lung perfusion imaging,,,382.21,717.0,7 HCPCS,78582,HC NM LUNG VENTILATION/PERFUSION,1066.0,1066.0,,,0 HCPCS,78582,Lung ventilat&perfus imaging,,,541.02,1235.11,7 HCPCS,78597,HC NM LUNG QUANT PERFUSION,1238.0,1238.0,,,0 HCPCS,78597,Lung perfusion differential,,,398.33,1683.19,7 HCPCS,78598,HC NM LUNG QUANT VENT/PERF,1038.0,1038.0,,,0 HCPCS,78598,Lung perf&ventilat diferentl,,,541.02,1219.54,7 HCPCS,78599,Respiratory nuclear exam,,,398.33,717.0,3 HCPCS,78600,Brain image < 4 views,,,307.06,717.0,7 HCPCS,78601,Brain image w/flow < 4 views,,,357.8,717.0,7 HCPCS,78605,Brain image 4+ views,,,327.6,973.83,7 HCPCS,78606,Brain image w/flow 4 + views,,,541.02,987.09,7 HCPCS,78606,HC NM DYNAMIC FLOW/BRAIN SCAN,696.0,696.0,,,0 HCPCS,78608,Brain imaging (PET),,,1424.81,8265.49,7 HCPCS,78608,HC PET BRAIN IMAGING,8705.0,8705.0,,,0 HCPCS,78609,Brain imaging (PET),,,37.26,65.35,4 HCPCS,78610,Brain flow imaging only,,,301.28,973.83,7 HCPCS,78630,Cerebrospinal fluid scan,,,541.02,2691.0,7 HCPCS,78630,HC NM CISTERNOGRAPHY,618.0,618.0,,,0 HCPCS,78635,CSF ventriculography,,,541.02,1027.65,7 HCPCS,78645,CSF shunt evaluation,,,541.02,3012.4,7 HCPCS,78645,HC NM SHUNT PATENCY,975.0,975.0,,,0 HCPCS,78650,CSF leakage imaging,,,567.87,2321.99,7 HCPCS,78660,Nuclear exam of tear flow,,,289.07,717.0,7 HCPCS,78699,Nervous system nuclear exam,,,398.33,717.0,3 HCPCS,78700,Kidney imaging morphol,,,281.36,717.0,7 HCPCS,78701,Kidney imaging with flow,,,353.96,717.0,7 HCPCS,78707,HC NM RENAL VASC FLOW/FUNCTION WO RX,832.0,832.0,,,0 HCPCS,78707,K flow/funct image w/o drug,,,541.02,1333.47,7 HCPCS,78708,HC NM RENAL VASC FLOW/FUNCTION WITH RX,1645.0,1645.0,,,0 HCPCS,78708,K flow/funct image w/drug,,,541.02,1631.4,7 HCPCS,78709,K flow/funct image multiple,,,541.02,981.48,7 HCPCS,78725,Kidney function study,,,334.9,717.0,7 HCPCS,78730,Urinary bladder retention,,,118.83,208.45,4 HCPCS,78740,Ureteral reflux study,,,361.02,717.0,7 HCPCS,78761,Testicular imaging w/flow,,,335.33,717.0,7 HCPCS,78799,Genitourinary nuclear exam,,,398.33,717.0,3 HCPCS,78800,HC RP LOCLZJ TUM PLNR 1 AREA SGL DAY IMAGING,999.0,999.0,,,0 HCPCS,78800,Tumor imaging limited area,,,299.99,717.0,7 HCPCS,78801,Tumor imaging mult areas,,,398.33,736.93,7 HCPCS,78802,HC NM TUMOR WHOLE BODY SINGLE DAY,1646.0,1646.0,,,0 HCPCS,78802,Tumor imaging whole body,,,541.02,6534.63,7 HCPCS,78803,HC NM TUMOR SPECT,2177.0,2177.0,,,0 HCPCS,78803,Tumor imaging (3D),,,512.48,973.83,7 HCPCS,78804,Tumor imaging whole body,,,541.02,1805.75,7 HCPCS,78808,Iv inj ra drug dx study,,,326.58,717.0,7 HCPCS,78811,Pet image ltd area,,,1031.67,2321.99,7 HCPCS,78812,Pet image skull-thigh,,,1257.8,2564.65,7 HCPCS,78813,Pet image full body,,,1309.84,2564.65,7 HCPCS,78814,HC PET/CT TUMOR IMAGE LIMITED,6315.0,6315.0,,,0 HCPCS,78814,Pet image w/ct lmtd,,,1424.81,7172.57,7 HCPCS,78815,HC PET/CT TUMOR IMAGE SKULL TO MID THIGH,6524.0,6524.0,,,0 HCPCS,78815,Pet image w/ct skull-thigh,,,1424.81,7360.45,7 HCPCS,78816,HC PET/CT TUMOR IMAGE FULL BODY,7249.0,7249.0,,,0 HCPCS,78816,Pet image w/ct full body,,,1424.81,7418.6,7 HCPCS,78830,HC RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING,2505.0,2505.0,,,0 HCPCS,78830,Rp loclzj tum spect w/ct 1,,,1289.99,2841.91,7 HCPCS,78831,HC RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2+D,5592.0,5592.0,,,0 HCPCS,78831,Rp loclzj tum spect 2 areas,,,1289.99,2841.91,7 HCPCS,78832,HC RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2+D,6343.0,6343.0,,,0 HCPCS,78832,Rp loclzj tum spect w/ct 2,,,1424.81,3223.83,7 HCPCS,78835,Rp quan meas single area,,,135.6,237.87,4 HCPCS,78999,HC NM FUSION DATA SET,476.0,476.0,,,0 HCPCS,78999,Nuclear diagnostic exam,,,398.33,717.0,3 HCPCS,79005,HC RADIOPHARMACEUTICAL THEARPY ORAL,915.0,915.0,,,0 HCPCS,79005,Nuclear rx oral admin,,,232.5,738.58,7 HCPCS,79101,Nuclear rx iv admin,,,232.5,458.65,7 HCPCS,79200,Nuclear rx intracav admin,,,99.57,418.49,7 HCPCS,79300,Nuclr rx interstit colloid,,,98.28,418.49,7 HCPCS,79403,Hematopoietic nuclear tx,,,150.32,418.49,7 HCPCS,79440,Nuclear rx intra-articular,,,92.51,418.49,7 HCPCS,79445,HC NM RADIOPAHARM THEARPY INTRA-ARTERIAL,781.0,781.0,,,0 HCPCS,79445,Nuclear rx intra-arterial,,,232.5,587.79,7 HCPCS,79999,Nuclear medicine therapy,,,232.5,418.49,3 HCPCS,80047,Metabolic panel ionized ca,,,13.04,36.43,8 HCPCS,80048,HC BASIC METABOLIC PANEL,38.0,38.0,,,0 HCPCS,80048,HC POC BASIC METABOLIC PANEL,36.0,36.0,,,0 HCPCS,80048,Metabolic panel total ca,,,8.04,18.68,8 HCPCS,80050,General health panel,,,35.19,74.84,5 HCPCS,80051,Electrolyte panel,,,6.66,27.21,8 HCPCS,80051,HC ELECTROLYTE PANEL,22.0,22.0,,,0 HCPCS,80053,Comprehen metabolic panel,,,10.03,20.86,8 HCPCS,80053,HC COMPREHENSIVE METABOLIC PANEL,52.0,52.0,,,0 HCPCS,80055,Obstetric panel,,,45.42,205.91,8 HCPCS,80061,HC LIPID PANEL,37.0,37.0,,,0 HCPCS,80061,Lipid panel,,,12.72,28.24,8 HCPCS,80069,HC RENAL FUNCTION PANEL,39.0,39.0,,,0 HCPCS,80069,Renal function panel,,,8.25,47.74,8 HCPCS,80074,Acute hepatitis panel,,,45.25,142.85,8 HCPCS,80074,HC ACUTE HEPATITIS PANEL,117.0,117.0,,,0 HCPCS,80076,HC HEPATIC FUNCTION PANEL,20.0,20.0,,,0 HCPCS,80076,Hepatic function panel,,,5.09,14.71,12 HCPCS,80081,Obstetric panel,,,71.12,308.28,8 HCPCS,80143,Drug assay acetaminophen,,,17.71,41.64,8 HCPCS,80143,HC DRUG ASSAY ACETAMINOPHEN,112.0,112.0,,,0 HCPCS,80145,Drug assay adalimumab,,,36.64,86.18,8 HCPCS,80150,Assay of amikacin,,,14.33,59.02,8 HCPCS,80150,HC AMIKACIN LEVEL,58.0,58.0,,,0 HCPCS,80151,Drug assay amiodarone,,,17.71,41.64,8 HCPCS,80155,Drug assay caffeine,,,23.27,69.43,8 HCPCS,80156,Assay carbamazepine total,,,13.84,57.62,8 HCPCS,80156,HC CARBAMAZEPINE TOTAL,98.0,98.0,,,0 HCPCS,80157,Assay carbamazepine free,,,12.59,57.09,8 HCPCS,80158,Drug assay cyclosporine,,,17.15,71.21,8 HCPCS,80158,HC CYCLOSPORINE,111.0,111.0,,,0 HCPCS,80159,Drug assay clozapine,,,19.14,56.97,8 HCPCS,80159,HC CLOZAPINE,80.0,80.0,,,0 HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,17.71,41.64,8 HCPCS,80162,Assay of digoxin total,,,12.62,52.36,8 HCPCS,80162,HC DIGOXIN TOTAL,89.0,89.0,,,0 HCPCS,80163,Assay of digoxin free,,,12.62,57.17,8 HCPCS,80164,Assay dipropylacetic acd tot,,,12.86,53.39,8 HCPCS,80164,HC VALPROIC ACID TOTAL,92.0,92.0,,,0 HCPCS,80165,Dipropylacetic acid free,,,12.86,53.39,8 HCPCS,80165,HC VALPROIC ACID FREE,87.0,87.0,,,0 HCPCS,80167,Drug assay felbamate,,,17.71,41.64,8 HCPCS,80168,Assay of ethosuximide,,,15.52,64.11,8 HCPCS,80169,Drug assay everolimus,,,13.04,60.09,8 HCPCS,80169,HC EVEROLIMUS LEVEL,94.0,94.0,,,0 HCPCS,80170,Assay of gentamicin,,,15.56,40.83,8 HCPCS,80170,HC GENTAMICIN LEVEL,101.0,101.0,,,0 HCPCS,80171,Drug screen quant gabapentin,,,19.28,39.01,8 HCPCS,80171,HC GABAPENTIN LEVEL,40.0,40.0,,,0 HCPCS,80173,Assay Of Haloperidol,,,14.99,62.73,8 HCPCS,80175,Drug screen quan lamotrigine,,,12.59,56.97,8 HCPCS,80175,HC LAMOTRIGINE LEVEL,80.0,80.0,,,0 HCPCS,80176,Assay of lidocaine,,,13.96,63.26,8 HCPCS,80176,HC LIDOCAINE,82.0,82.0,,,0 HCPCS,80177,Drug scrn quan levetiracetam,,,12.59,56.97,8 HCPCS,80177,HC LEVETIRACETAM LEVEL,89.0,89.0,,,0 HCPCS,80178,Assay of lithium,,,6.28,24.23,8 HCPCS,80178,HC LITHIUM LEVEL,41.0,41.0,,,0 HCPCS,80179,Drug assay salicylate,,,17.71,41.64,8 HCPCS,80179,HC DRUG ASSAY SALICYLATE,40.0,40.0,,,0 HCPCS,80180,Drug scrn quan mycophenolate,,,17.15,33.4,8 HCPCS,80180,HC MYCOPHENOLIC ACID TDA,45.0,45.0,,,0 HCPCS,80181,Drug assay flecainide,,,17.71,41.64,8 HCPCS,80181,HC DRUG ASSAY FLECAINIDE,47.0,47.0,,,0 HCPCS,80183,Drug scrn quant oxcarbazepin,,,12.56,23.85,8 HCPCS,80183,HC OXCARBAZEPINE (TRILEPTAL) TDA,33.0,33.0,,,0 HCPCS,80184,Assay of phenobarbital,,,14.54,44.46,8 HCPCS,80184,HC PHENOBARBITAL LEVEL,77.0,77.0,,,0 HCPCS,80185,Assay of phenytoin total,,,12.59,52.36,8 HCPCS,80185,HC PHENYTOIN TOTAL,89.0,89.0,,,0 HCPCS,80186,Assay of phenytoin free,,,13.07,54.44,8 HCPCS,80186,HC PHENYTOIN FREE,93.0,93.0,,,0 HCPCS,80187,Drug assay posaconazole,,,25.75,60.58,8 HCPCS,80187,HC DRUG ASSAY POSACONAZOLE,72.0,72.0,,,0 HCPCS,80188,Assay of primidone,,,15.76,71.45,8 HCPCS,80188,HC PRIMIDONE TDA,41.0,41.0,,,0 HCPCS,80189,Drug assay itraconzaole,,,25.75,60.58,8 HCPCS,80190,Assay of procainamide,,,41.12,108.0,8 HCPCS,80192,Assay of procainamide,,,15.91,72.13,8 HCPCS,80193,Drug assay leflunomide,,,36.64,86.18,8 HCPCS,80194,Assay of quinidine,,,13.87,62.87,8 HCPCS,80195,Assay of sirolimus,,,13.04,60.09,8 HCPCS,80195,HC SIROLIMUS,103.0,103.0,,,0 HCPCS,80197,Assay of tacrolimus,,,13.04,54.44,8 HCPCS,80197,HC TACROLIMUS LEVEL,77.0,77.0,,,0 HCPCS,80198,Assay of theophylline,,,13.43,40.83,8 HCPCS,80198,HC THEOPHYLLINE LEVEL,86.0,86.0,,,0 HCPCS,80199,Drug screen quant tiagabine,,,25.75,50.16,8 HCPCS,80200,Assay of tobramycin,,,15.32,63.08,8 HCPCS,80200,HC TOBRAMYCIN LEVEL,100.0,100.0,,,0 HCPCS,80201,Assay of topiramate,,,11.32,24.38,8 HCPCS,80201,HC TOPIRAMATE TDA,30.0,30.0,,,0 HCPCS,80202,Assay of vancomycin,,,12.86,53.39,8 HCPCS,80202,HC VANCOMYCIN LEVEL,92.0,92.0,,,0 HCPCS,80203,Drug screen quant zonisamide,,,12.59,46.98,8 HCPCS,80203,HC ZONISAMIDE,33.0,33.0,,,0 HCPCS,80204,Drug assay methotrexate,,,36.64,86.18,8 HCPCS,80204,HC DRUG ASSAY METHOTREXATE,80.0,80.0,,,0 HCPCS,80210,Drug assay rufinamide,,,25.75,60.58,8 HCPCS,80220,Drug asy hydroxychloroquine,,,17.71,41.64,8 HCPCS,80230,Drug assay infliximab,,,36.64,86.18,8 HCPCS,80235,Drug assay lacosamide,,,25.75,60.58,8 HCPCS,80235,HC LACOSAMIDE LEVEL,57.0,57.0,,,0 HCPCS,80280,Drug assay vedolizumab,,,36.64,86.18,8 HCPCS,80285,Drug assay voriconazole,,,25.75,60.58,8 HCPCS,80285,HC DRUG ASSAY VORICONAZOLE,72.0,72.0,,,0 HCPCS,80299,HC APIXABAN LEVEL,286.0,286.0,,,0 HCPCS,80299,HC QUANT THERAPUTIC DRUG NOT ELSEWHERE SPECIFIED,47.0,47.0,,,0 HCPCS,80299,Quantitative assay drug,,,17.71,33.55,4 HCPCS,80305,Drug test prsmv dir opt obs,,,11.97,28.59,8 HCPCS,80305,HC LAB DRUG SCREEN CLASS A,34.0,34.0,,,0 HCPCS,80306,Drug test prsmv instrmnt,,,16.28,38.11,8 HCPCS,80307,Drug test prsmv chem anlyzr,,,59.03,150.41,8 HCPCS,80307,HC CANNABIN SCR UR,72.0,72.0,,,0 HCPCS,80307,HC COCAINE SCR UR,92.0,92.0,,,0 HCPCS,80307,HC DRUG SCR ACID GC,278.0,278.0,,,0 HCPCS,80307,HC DRUG SCR ALKALINE GC,278.0,278.0,,,0 HCPCS,80307,HC DRUG SCREEN CLASS A,186.0,186.0,,,0 HCPCS,80307,HC DRUG SCREEN LCMS W ADULTERATION,124.0,124.0,,,0 HCPCS,80307,HC ETHANOL SCR UR,126.0,126.0,,,0 HCPCS,80320,Drug screen quantalcohols,,,0.01,83.79,5 HCPCS,80320,HC BLOOD ETHANOL LEVEL,131.0,131.0,,,0 HCPCS,80320,HC DRUG SCREEN  ALCOHOLS  W CONF,12.5,12.5,,,0 HCPCS,80320,HC ETHANOL CONFIRMATION,131.0,131.0,,,0 HCPCS,80320,HC ETHANOL VITREOUS HUMOR,131.0,131.0,,,0 HCPCS,80320,HC ISOPROPANOL LEVEL,131.0,131.0,,,0 HCPCS,80320,HC METHANOL LEVEL,131.0,131.0,,,0 HCPCS,80320,HC TOXIC ALCOHOLS,142.0,142.0,,,0 HCPCS,80320,HC VOLATILE SCREEN,131.0,131.0,,,0 HCPCS,80321,Alcohols biomarkers 1or 2,,,0.01,0.01,1 HCPCS,80322,Alcohols biomarkers 3/more,,,0.01,0.01,1 HCPCS,80323,Alkaloids nos,,,0.01,83.62,5 HCPCS,80323,HC NICOTINE ASSAY,131.0,131.0,,,0 HCPCS,80324,Drug screen amphetamines 1/2,,,0.01,83.62,5 HCPCS,80324,HC AMPHETAMINES CONFIRMATION,118.0,118.0,,,0 HCPCS,80324,HC AMPHETAMINES MECONIUM CONF,63.0,63.0,,,0 HCPCS,80324,HC DRUG SCREEN  AMPHETAMINES  W CONF,7.5,7.5,,,0 HCPCS,80325,Amphetamines 3or 4,,,0.01,0.01,1 HCPCS,80326,Amphetamines 5 or more,,,0.01,0.01,1 HCPCS,80327,Anabolic steroid 1 or 2,,,0.01,49.83,5 HCPCS,80328,Anabolic steroid 3 or more,,,0.01,0.01,1 HCPCS,80329,Analgesics non-opioid 1 or 2,,,0.01,107.07,5 HCPCS,80330,Analgesics non-opioid 3-5,,,0.01,0.01,1 HCPCS,80331,Analgesics non-opioid 6/more,,,0.01,0.01,1 HCPCS,80332,Antidepressants class 1 or 2,,,0.01,60.96,5 HCPCS,80332,HC CITALOPRAM LEVEL,133.0,133.0,,,0 HCPCS,80332,HC FLUOXETINE LEVEL,118.0,118.0,,,0 HCPCS,80332,HC SERTRALINE LEVEL,118.0,118.0,,,0 HCPCS,80333,Antidepressants class 3-5,,,0.01,0.01,1 HCPCS,80334,Antidepressants class 6/more,,,0.01,0.01,1 HCPCS,80335,Antidepressant tricyclic 1/2,,,0.01,64.48,5 HCPCS,80335,HC AMITRIPTYLINE LEVEL,131.0,131.0,,,0 HCPCS,80335,HC NORTRIPTYLINE LEVEL,131.0,131.0,,,0 HCPCS,80336,Antidepressant tricyclic 3-5,,,0.01,0.01,1 HCPCS,80337,Tricyclic & cyclicals 6/more,,,0.01,0.01,1 HCPCS,80338,Antidepressant not specified,,,0.01,0.01,1 HCPCS,80338,HC ANTIDEPRESSANTS NOS,106.0,106.0,,,0 HCPCS,80338,HC TRAZODONE,106.0,106.0,,,0 HCPCS,80339,Antiepileptics nos 1-3,,,0.01,78.02,5 HCPCS,80340,Antiepileptics nos 4-6,,,0.01,0.01,1 HCPCS,80341,Antiepileptics nos 7/more,,,0.01,0.01,1 HCPCS,80342,Antipsychotics nos 1-3,,,0.01,64.06,5 HCPCS,80342,HC OLANZAPINE,131.0,131.0,,,0 HCPCS,80342,HC QUETIAPINE BLD LEVEL,131.0,131.0,,,0 HCPCS,80343,Antipsychotics nos 4-6,,,0.01,0.01,1 HCPCS,80344,Antipsychotics nos 7/more,,,0.01,0.01,1 HCPCS,80345,Drug screening barbiturates,,,0.01,83.62,5 HCPCS,80345,HC BARBITURATES CONFIRMATION,131.0,131.0,,,0 HCPCS,80345,HC PENTOBARBITAL LEVEL,131.0,131.0,,,0 HCPCS,80346,Benzodiazepines1-12,,,0.01,83.62,5 HCPCS,80346,HC ALPRAZOLAM LEVEL,118.0,118.0,,,0 HCPCS,80346,HC BENZO EXPANDED CONFIRMATION,118.0,118.0,,,0 HCPCS,80346,HC CLONAZEPAM LEVEL,118.0,118.0,,,0 HCPCS,80346,HC DIAZEPAM LEVEL,118.0,118.0,,,0 HCPCS,80346,HC DRUG SCREEN  BENZODIAZEPINES  W CONF,7.5,7.5,,,0 HCPCS,80346,HC LORAZEPAM LEVEL,118.0,118.0,,,0 HCPCS,80347,Benzodiazepines 13 or more,,,0.01,0.01,1 HCPCS,80348,Drug screening buprenorphine,,,0.01,0.01,1 HCPCS,80348,HC BUPRENORPHINE LEVEL,118.0,118.0,,,0 HCPCS,80348,HC DRUG SCREEN  BUPRENORPHINE  W CONF,7.5,7.5,,,0 HCPCS,80349,Cannabinoids natural,,,0.01,83.62,5 HCPCS,80349,HC CANNABINOIDS CONFIRMATION,131.0,131.0,,,0 HCPCS,80349,HC CANNABIS MECONIUM CONF,63.0,63.0,,,0 HCPCS,80349,HC DRUG SCREEN  CANNABINOIDS  W CONF,7.5,7.5,,,0 HCPCS,80350,Cannabinoids synthetic 1-3,,,0.01,77.74,5 HCPCS,80351,Cannabinoids synthetic 4-6,,,0.01,0.01,1 HCPCS,80352,Cannabinoid synthetic 7/more,,,0.01,0.01,1 HCPCS,80353,Drug screening cocaine,,,0.01,83.62,5 HCPCS,80353,HC COCAINE MECONIUM CONF,63.0,63.0,,,0 HCPCS,80353,HC COCAINE METABOLITES CONF,118.0,118.0,,,0 HCPCS,80353,HC COCAINE METABOLITES LEVEL,118.0,118.0,,,0 HCPCS,80353,HC DRUG SCREEN  COCAINE  W CONF,7.5,7.5,,,0 HCPCS,80354,Drug screening fentanyl,,,0.01,83.62,5 HCPCS,80354,HC DRUG SCREEN  FENTANYL  W CONF,7.5,7.5,,,0 HCPCS,80354,HC FENTANYL CONFIRMATION,118.0,118.0,,,0 HCPCS,80354,HC MECONIUM DRUG SCREENING FENTANYL,106.0,106.0,,,0 HCPCS,80355,Gabapentin non-blood,,,0.01,77.74,5 HCPCS,80355,HC DRUG SCREEN  GABAPENTIN  W CONF,7.5,7.5,,,0 HCPCS,80356,HC 6MAM EXPANDED CONF,118.0,118.0,,,0 HCPCS,80356,HC DRUG SCREEN  HEROIN MET  W CONF,7.5,7.5,,,0 HCPCS,80356,Heroin metabolite,,,0.01,83.62,5 HCPCS,80357,Ketamine and norketamine,,,0.01,77.74,5 HCPCS,80358,Drug screening methadone,,,0.01,83.62,5 HCPCS,80358,HC DRUG SCREEN  METHADONE  W CONF,7.5,7.5,,,0 HCPCS,80358,HC METHADONE CONF,118.0,118.0,,,0 HCPCS,80358,HC METHADONE LEVEL,118.0,118.0,,,0 HCPCS,80358,HC METHADONE MECONIUM CONF,63.0,63.0,,,0 HCPCS,80359,HC DRUG SCREEN  MDMA  W CONF,7.5,7.5,,,0 HCPCS,80359,Methylenedioxyamphetamines,,,0.01,83.62,5 HCPCS,80360,HC DRUG SCREEN  METHYLPHENIDATE  W CONF,7.5,7.5,,,0 HCPCS,80360,HC METHYLPHENIDATE CONF,131.0,131.0,,,0 HCPCS,80360,Methylphenidate,,,0.01,77.74,5 HCPCS,80361,HC CODEINE MORPHINE LEVEL,135.0,135.0,,,0 HCPCS,80361,HC DRUG SCREEN  OPIATES  W CONF,7.5,7.5,,,0 HCPCS,80361,HC OPIATES EXPANDED CONF,131.0,131.0,,,0 HCPCS,80361,HC OPIATES MECONIUM CONF,63.0,63.0,,,0 HCPCS,80361,Opiates 1 or more,,,0.01,83.62,5 HCPCS,80362,HC DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2,118.0,118.0,,,0 HCPCS,80362,Opioids & opiate analogs 1/2,,,0.01,77.74,5 HCPCS,80363,Opioids & opiate analogs 3/4,,,0.01,0.01,1 HCPCS,80364,Opioid &opiate analog 5/more,,,0.01,0.01,1 HCPCS,80365,Drug screening oxycodone,,,0.01,83.62,5 HCPCS,80365,HC DRUG SCREEN  OXYCODONE  W CONF,7.5,7.5,,,0 HCPCS,80365,HC OXYCODONE EXPANDED CONF,118.0,118.0,,,0 HCPCS,80365,HC OXYCODONE MECONIUM CONF,63.0,63.0,,,0 HCPCS,80366,Drug screening pregabalin,,,0.01,77.74,5 HCPCS,80366,HC DRUG SCREEN  PREGABALIN  W CONF,7.5,7.5,,,0 HCPCS,80367,Drug screening propoxyphene,,,0.01,77.74,5 HCPCS,80368,Sedative hypnotics,,,0.01,77.74,5 HCPCS,80369,HC DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2,118.0,118.0,,,0 HCPCS,80369,Skeletal muscle relaxant 1/2,,,0.01,77.74,5 HCPCS,80370,Skel musc relaxant 3 or more,,,0.01,0.01,1 HCPCS,80371,Stimulants synthetic,,,0.01,77.74,5 HCPCS,80372,Drug screening tapentadol,,,0.01,89.73,5 HCPCS,80373,Drug screening tramadol,,,0.01,83.62,5 HCPCS,80373,HC DRUG SCREEN  TRAMADOL  W CONF,7.5,7.5,,,0 HCPCS,80373,HC TRAMADOL CONF,118.0,118.0,,,0 HCPCS,80374,Stereoisomer analysis,,,0.01,77.74,5 HCPCS,80375,Drug/substance nos 1-3,,,0.01,93.46,5 HCPCS,80375,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,118.0,118.0,,,0 HCPCS,80375,HC SUBSTANCE ANALYSIS QUANT,129.0,129.0,,,0 HCPCS,80376,Drug/substance nos 4-6,,,0.01,77.74,5 HCPCS,80377,Drug/substance nos 7/more,,,0.01,77.74,5 HCPCS,80377,HC SUBSTANCE ANALYSIS QUAL,129.0,129.0,,,0 HCPCS,80400,Acth stimulation panel,,,30.99,176.62,8 HCPCS,80400,HC ACTH STIMULATION,308.0,308.0,,,0 HCPCS,80402,Acth stimulation panel,,,82.61,279.98,8 HCPCS,80406,Acth stimulation panel,,,74.35,337.05,8 HCPCS,80408,Aldosterone suppression eval,,,119.23,540.51,8 HCPCS,80410,Calcitonin stimul panel,,,76.35,346.02,8 HCPCS,80412,CRH stimulation panel,,,761.54,1442.92,8 HCPCS,80414,Testosterone response,,,49.06,222.38,8 HCPCS,80415,Estradiol response panel,,,53.1,240.68,8 HCPCS,80416,Renin stimulation panel,,,198.85,568.36,8 HCPCS,80417,Renin stimulation panel,,,41.79,189.46,8 HCPCS,80418,Pituitary evaluation panel,,,550.51,2496.31,8 HCPCS,80420,Dexamethasone panel,,,153.79,310.3,8 HCPCS,80422,Glucagon tolerance panel,,,43.77,196.21,8 HCPCS,80424,Glucagon tolerance panel,,,47.98,217.47,8 HCPCS,80426,Gonadotropin hormone panel,,,140.99,639.2,8 HCPCS,80428,Growth hormone panel,,,63.37,287.28,8 HCPCS,80428,HC GROWTH HORMONE STIMULATION PANEL,389.0,389.0,,,0 HCPCS,80430,Growth hormone panel,,,122.86,335.83,8 HCPCS,80432,Insulin suppression panel,,,157.33,578.2,8 HCPCS,80434,Insulin tolerance panel,,,246.37,513.05,8 HCPCS,80435,Insulin tolerance panel,,,97.85,440.0,8 HCPCS,80436,Metyrapone panel,,,86.6,392.62,8 HCPCS,80438,TRH stimulation panel,,,47.89,217.12,8 HCPCS,80439,TRH stimulation panel,,,63.85,289.48,8 HCPCS,80503,Path clin consltj sf 5-20,,,20.4,113.39,8 HCPCS,80504,Path clin consltj mod 21-40,,,43.88,340.3,8 HCPCS,80505,Path clin consltj high 41-60,,,83.44,340.3,8 HCPCS,80506,Path clin consltj prolng svc,,,18.08,39.75,5 HCPCS,81000,HC URINALYSIS DIP WITH MICROSCOPY,18.0,18.0,,,0 HCPCS,81000,Urinalysis nonauto w/scope,,,3.4,7.24,12 HCPCS,81001,HC URINALYSIS AUTOMATED W MICROSCOPY,17.0,17.0,,,0 HCPCS,81001,Urinalysis auto w/scope,,,3.01,12.56,8 HCPCS,81002,HC POC URINALYSIS NON AUTO WO MICROSCOPY,25.0,25.0,,,0 HCPCS,81002,Urinalysis nonauto w/o scope,,,2.6,6.26,8 HCPCS,81003,HC ADULTERATION URINE,10.0,10.0,,,0 HCPCS,81003,HC SPECIFIC GRAVITY URINE RANDOM,10.0,10.0,,,0 HCPCS,81003,HC URINALYSIS AUTOMATED WO MICROSCOPY,11.0,11.0,,,0 HCPCS,81003,Urinalysis auto w/o scope,,,2.14,11.83,8 HCPCS,81005,Urinalysis,,,2.06,9.33,8 HCPCS,81007,Urine screen for bacteria,,,5.34,53.96,8 HCPCS,81015,Microscopic exam of urine,,,2.9,13.1,8 HCPCS,81020,Urinalysis glass test,,,4.47,15.88,8 HCPCS,81025,HC URINE PREGNANCY TEST,18.0,18.0,,,0 HCPCS,81025,Urine pregnancy test,,,8.18,32.89,8 HCPCS,81050,Urinalysis volume measure,,,3.46,12.93,8 HCPCS,81105,Hpa-1 genotyping,,,116.11,526.41,8 HCPCS,81106,Hpa-2 genotyping,,,116.11,526.41,8 HCPCS,81107,Hpa-3 genotyping,,,116.11,526.41,8 HCPCS,81108,Hpa-4 genotyping,,,116.11,526.41,8 HCPCS,81109,Hpa-5 genotyping,,,116.11,526.41,8 HCPCS,81110,Hpa-6 genotyping,,,116.11,526.41,8 HCPCS,81111,Hpa-9 genotyping,,,116.11,526.41,8 HCPCS,81112,Hpa-15 genotyping,,,116.11,526.41,8 HCPCS,81120,HC IDH1 COMMON VARIANTS,590.0,590.0,,,0 HCPCS,81120,Idh1 common variants,,,183.59,623.48,8 HCPCS,81121,HC IDH2 COMMON VARIANTS,590.0,590.0,,,0 HCPCS,81121,Idh2 common variants,,,281.0,935.21,8 HCPCS,81161,DMD dup/delet analysis,,,252.6,502.2,8 HCPCS,81162,Brca1&2 seq & full dup/del,,,1733.64,7859.71,8 HCPCS,81163,Brca1&2 gene full seq alys,,,444.6,854.0,8 HCPCS,81164,Brca1&2 gen ful dup/del alys,,,555.02,1763.81,8 HCPCS,81165,Brca1 gene full seq alys,,,268.74,854.0,8 HCPCS,81166,Brca1 gene full dup/del alys,,,286.28,909.79,8 HCPCS,81167,Brca2 gene full dup/del alys,,,268.74,854.0,8 HCPCS,81168,Ccnd1/igh translocation alys,,,196.94,463.17,8 HCPCS,81168,HC CCND1/IGH TRANSLOCATION ALYS,360.0,360.0,,,0 HCPCS,81170,Abl1 gene,,,196.0,540.0,8 HCPCS,81171,Aff2 gene detc abnor alleles,,,130.15,413.57,8 HCPCS,81172,Aff2 gene charac alleles,,,261.09,829.73,8 HCPCS,81173,Ar gene full gene sequence,,,286.28,909.79,8 HCPCS,81174,Ar gene known famil variant,,,175.94,559.14,8 HCPCS,81175,Asxl1 full gene sequence,,,642.68,2466.55,8 HCPCS,81176,Asxl1 gene target seq alys,,,229.81,1041.84,8 HCPCS,81177,Atn1 gene detc abnor alleles,,,130.15,413.57,8 HCPCS,81178,Atxn1 gene detc abnor allele,,,130.15,413.57,8 HCPCS,81179,Atxn2 gene detc abnor allele,,,130.15,413.57,8 HCPCS,81180,Atxn3 gene detc abnor allele,,,130.15,413.57,8 HCPCS,81181,Atxn7 gene detc abnor allele,,,130.15,413.57,8 HCPCS,81182,Atxn8os gen detc abnor allel,,,130.15,413.57,8 HCPCS,81183,Atxn10 gene detc abnor allel,,,130.15,413.57,8 HCPCS,81184,Cacna1a gen detc abnor allel,,,130.15,413.57,8 HCPCS,81185,Cacna1a gene full gene seq,,,803.96,2554.91,8 HCPCS,81186,Cacna1a gen known famil vrnt,,,175.94,559.14,8 HCPCS,81187,Cnbp gene detc abnor allele,,,130.15,413.57,8 HCPCS,81188,Cstb gene detc abnor allele,,,130.15,413.57,8 HCPCS,81189,Cstb gene full gene sequence,,,261.09,829.73,8 HCPCS,81190,Cstb gene known famil vrnt,,,175.94,559.14,8 HCPCS,81191,Ntrk1 translocation analysis,,,196.94,463.17,8 HCPCS,81192,Ntrk2 translocation analysis,,,196.94,463.17,8 HCPCS,81193,Ntrk3 translocation analysis,,,196.94,463.17,8 HCPCS,81194,HC NTRK GENE FUSION ANALYSIS,1535.0,1535.0,,,0 HCPCS,81194,Ntrk translocation analysis,,,492.37,1157.9,8 HCPCS,81195,Cytog genom-wid alys hem mal,,,1354.39,3353.8,7 HCPCS,81200,Aspa gene,,,44.89,85.05,4 HCPCS,81201,Apc gene full sequence,,,741.0,2674.95,8 HCPCS,81202,Apc gene known fam variants,,,168.15,504.0,8 HCPCS,81203,Apc gene dup/delet variants,,,190.0,1808.05,8 HCPCS,81204,Ar gene charac alleles,,,130.15,413.57,8 HCPCS,81205,Bckdhb gene,,,90.24,170.98,4 HCPCS,81206,Bcr/abl1 gene major bp,,,122.64,295.13,8 HCPCS,81206,HC TRANS BCR ABL1 MAJOR,280.0,280.0,,,0 HCPCS,81207,Bcr/abl1 gene minor bp,,,122.64,260.71,8 HCPCS,81207,HC TRANS BCR ABL1 MINOR,280.0,280.0,,,0 HCPCS,81208,Bcr/abl1 gene other bp,,,117.6,386.32,8 HCPCS,81209,Blm gene,,,37.34,70.76,4 HCPCS,81210,Braf gene,,,166.63,315.72,8 HCPCS,81210,HC ANALYSIS GENE BRAF,800.0,800.0,,,0 HCPCS,81210,HC BRAF LUNG PANEL,333.0,333.0,,,0 HCPCS,81212,Brca1&2 185&5385&6174 var,,,318.02,792.0,8 HCPCS,81215,Brca1 gene known fam variant,,,167.8,675.45,8 HCPCS,81216,Brca2 gene full sequence,,,175.86,333.22,4 HCPCS,81217,Brca2 gene known fam variant,,,167.8,675.45,8 HCPCS,81218,Cebpa gene full sequence,,,229.81,575.49,8 HCPCS,81219,Calr gene com variants,,,115.55,436.4,8 HCPCS,81219,HC CALR VAR IN EXON 9,516.0,516.0,,,0 HCPCS,81220,Cftr gene com variants,,,528.77,1001.88,4 HCPCS,81221,Cftr gene known fam variants,,,92.36,175.0,4 HCPCS,81222,Cftr gene dup/delet variants,,,413.32,783.13,4 HCPCS,81223,Cftr gene full sequence,,,474.05,898.2,4 HCPCS,81224,Cftr gene intron poly t,,,160.31,303.75,4 HCPCS,81225,Cyp2c19 gene com variants,,,276.79,921.18,8 HCPCS,81226,Cyp2d6 gene com variants,,,428.36,1425.69,8 HCPCS,81227,Cyp2c9 gene com variants,,,166.07,552.69,8 HCPCS,81228,Cytogen micrarray copy nmbr,,,855.0,1620.0,4 HCPCS,81229,Cytogen m array copy no&snp,,,1102.0,2088.0,4 HCPCS,81229,HC CYTOGEN M ARRAY COPY NO&SNP,832.0,832.0,,,0 HCPCS,81229,HC CYTOGENOMIC MICROARRAY ANALYSIS,1881.0,1881.0,,,0 HCPCS,81230,Cyp3a4 gene common variants,,,166.07,552.69,8 HCPCS,81231,Cyp3a5 gene common variants,,,166.07,552.69,8 HCPCS,81232,Dpyd gene common variants,,,166.07,552.69,8 HCPCS,81233,Btk gene common variants,,,166.63,529.53,8 HCPCS,81234,Dmpk gene detc abnor allele,,,130.15,413.57,8 HCPCS,81235,Egfr gene com variants,,,295.12,584.24,8 HCPCS,81235,HC EGFR GENE ANALYSIS,1184.0,1184.0,,,0 HCPCS,81236,Ezh2 gene full gene sequence,,,268.74,854.0,8 HCPCS,81237,Ezh2 gene common variants,,,166.63,529.53,8 HCPCS,81238,F9 full gene sequence,,,570.0,1896.44,8 HCPCS,81239,Dmpk gene charac alleles,,,261.09,829.73,8 HCPCS,81240,F2 gene,,,62.41,118.24,4 HCPCS,81240,HC F2 GENE ANALYSIS,692.0,692.0,,,0 HCPCS,81241,F5 gene,,,69.7,295.16,8 HCPCS,81241,HC F5 GENE ANALYSIS LEIDEN VARIANT,349.0,349.0,,,0 HCPCS,81242,Fancc gene,,,34.79,65.92,4 HCPCS,81243,Fmr1 gene detection,,,54.19,102.67,4 HCPCS,81244,Fmr1 gene characterization,,,42.65,80.8,4 HCPCS,81245,Flt3 gene,,,145.44,297.92,8 HCPCS,81245,HC FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS,490.0,490.0,,,0 HCPCS,81246,Flt3 gene analysis,,,72.9,149.4,8 HCPCS,81246,HC FLT3 GENE ANALYSIS TYROSINE KINASE DOMAIN VARIANTS,246.0,246.0,,,0 HCPCS,81247,G6pd gene alys cmn variant,,,166.07,552.69,8 HCPCS,81248,G6pd known familial variant,,,167.8,675.45,8 HCPCS,81249,G6pd full gene sequence,,,570.0,1896.44,8 HCPCS,81250,G6pc gene,,,55.57,105.28,4 HCPCS,81251,Gba gene,,,44.89,85.05,4 HCPCS,81252,Gjb2 gene full sequence,,,96.06,182.02,4 HCPCS,81253,Gjb2 gene known fam variants,,,58.44,110.74,4 HCPCS,81254,Gjb6 gene com variants,,,33.25,63.0,4 HCPCS,81255,Hexa gene,,,48.88,92.61,4 HCPCS,81256,HC HFE GENE ANALYSIS COMMON VARIANTS,308.0,308.0,,,0 HCPCS,81256,Hfe gene,,,62.09,260.05,8 HCPCS,81257,Hba1/hba2 gene,,,97.15,352.41,8 HCPCS,81258,Hba1/hba2 gene fam vrnt,,,167.8,675.45,8 HCPCS,81259,Hba1/hba2 full gene sequence,,,570.0,1896.44,8 HCPCS,81260,Ikbkap gene,,,37.34,70.76,4 HCPCS,81261,HC IGH GENE REARRANGEMENT ANALYSIS,581.0,581.0,,,0 HCPCS,81261,Igh gene rearrange amp meth,,,188.09,852.74,8 HCPCS,81262,Igh gene rearrang dir probe,,,65.12,188.0,8 HCPCS,81263,HC IGH VARIABLE REGION SOMATIC MUTATION ANALYSIS,736.0,736.0,,,0 HCPCS,81263,Igh vari regional mutation,,,279.79,1268.46,8 HCPCS,81264,Igk rearrangeabn clonal pop,,,164.09,643.13,8 HCPCS,81265,HC COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC,387.0,387.0,,,0 HCPCS,81265,HC STR GENE ANALYSIS,1980.0,1980.0,,,0 HCPCS,81265,Str markers specimen anal,,,221.42,1791.24,8 HCPCS,81266,Str markers spec anal addl,,,289.57,548.66,4 HCPCS,81267,Chimerism anal no cell selec,,,197.09,850.09,8 HCPCS,81267,HC CHIMERISM ANALYSIS WO CELL SORT,1005.0,1005.0,,,0 HCPCS,81268,Chimerism anal w/cell select,,,247.75,909.32,8 HCPCS,81268,HC CHIMERISM ANALYSIS WITH CELL SORT,1005.0,1005.0,,,0 HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,192.28,601.97,8 HCPCS,81270,HC JAK2 V617F MUTATION AN,388.0,388.0,,,0 HCPCS,81270,Jak2 gene,,,87.08,298.29,8 HCPCS,81271,Htt gene detc abnor alleles,,,130.15,413.57,8 HCPCS,81272,HC LAB KIT MUTATION ANALYSIS,945.0,945.0,,,0 HCPCS,81272,Kit gene targeted seq analys,,,313.03,593.12,8 HCPCS,81273,Kit gene analys d816 variant,,,118.63,620.21,8 HCPCS,81274,Htt gene charac alleles,,,261.09,829.73,8 HCPCS,81275,HC KRAS GENE ANALYSIS VARIANTS 12/13,440.0,440.0,,,0 HCPCS,81275,HC KRAS LUNG PANEL,366.0,366.0,,,0 HCPCS,81275,Kras gene variants exon 2,,,170.06,347.85,8 HCPCS,81276,HC KRAS ADDTL VARIANTS,440.0,440.0,,,0 HCPCS,81276,Kras gene addl variants,,,183.59,347.85,8 HCPCS,81277,Cytogenomic neo microra alys,,,1102.0,2591.57,8 HCPCS,81277,HC CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS ACGH,2688.0,2688.0,,,0 HCPCS,81278,HC IGH@/BCL2 TRANSLOCATION ALYS,324.0,324.0,,,0 HCPCS,81278,Igh@/bcl2 translocation alys,,,196.94,463.17,8 HCPCS,81279,JAK2 TARGETED SEQUENCE ANALYSIS EXONS 12/13,673.0,673.0,,,0 HCPCS,81279,Jak2 gene trgt sequence alys,,,175.94,413.76,8 HCPCS,81283,Ifnl3 gene,,,69.7,263.19,8 HCPCS,81284,Fxn gene detc abnor alleles,,,130.15,413.57,8 HCPCS,81285,Fxn gene charac alleles,,,261.09,829.73,8 HCPCS,81286,Fxn gene full gene sequence,,,261.09,829.73,8 HCPCS,81287,HC MGMT GENE ANALYSIS,548.0,548.0,,,0 HCPCS,81287,Mgmt gene methylation anal,,,118.41,496.09,8 HCPCS,81288,HC MLH1 PROMOTER METHYLATION ANALYSIS,548.0,548.0,,,0 HCPCS,81288,Mlh1 gene,,,182.7,463.78,8 HCPCS,81289,Fxn gene known famil variant,,,175.94,559.14,8 HCPCS,81290,Mcoln1 gene,,,37.34,70.76,4 HCPCS,81291,Mthfr gene,,,62.07,295.16,8 HCPCS,81292,Mlh1 gene full seq,,,641.63,2040.16,8 HCPCS,81293,Mlh1 gene known variants,,,314.45,817.85,8 HCPCS,81294,Mlh1 gene dup/delete variant,,,192.28,601.97,8 HCPCS,81295,Msh2 gene full seq,,,273.03,687.06,8 HCPCS,81296,Msh2 gene known variants,,,233.14,607.91,8 HCPCS,81297,Msh2 gene dup/delete variant,,,202.64,478.93,8 HCPCS,81298,Msh6 gene full seq,,,518.03,1155.33,8 HCPCS,81299,Msh6 gene known variants,,,290.21,554.4,8 HCPCS,81300,Msh6 gene dup/delete variant,,,226.1,510.44,8 HCPCS,81301,HC MICROSATELLITE INSTABILITY ANALYSIS,619.0,619.0,,,0 HCPCS,81301,Microsatellite instability,,,138.25,627.41,8 HCPCS,81302,Mecp2 gene full seq,,,501.48,950.17,4 HCPCS,81303,Mecp2 gene known variant,,,114.0,216.0,4 HCPCS,81304,Mecp2 gene dup/delet variant,,,142.5,270.0,4 HCPCS,81305,HC MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT,775.0,775.0,,,0 HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,166.63,529.53,8 HCPCS,81306,Nudt15 gene common variants,,,276.79,879.62,8 HCPCS,81307,Palb2 gene full gene seq,,,360.29,1217.7,8 HCPCS,81308,Palb2 gene known famil vrnt,,,286.28,673.26,8 HCPCS,81309,Pik3ca gene trgt seq alys,,,261.09,614.02,8 HCPCS,81310,HC LAB NPM1 MUTATION ANALYSIS,563.0,563.0,,,0 HCPCS,81310,Npm1 gene,,,234.19,476.82,8 HCPCS,81311,HC NRAS,622.0,622.0,,,0 HCPCS,81311,Nras gene variants exon 2&3,,,281.0,532.42,8 HCPCS,81312,Pabpn1 gene detc abnor allel,,,130.15,413.57,8 HCPCS,81313,Pca3/klk3 antigen,,,242.3,822.87,8 HCPCS,81314,Pdgfra gene,,,313.03,1041.84,8 HCPCS,81315,Pml/raralpha com breakpoints,,,196.94,468.25,8 HCPCS,81316,Pml/raralpha 1 breakpoint,,,196.94,1361.9,8 HCPCS,81317,Pms2 gene full seq analysis,,,642.68,2466.55,8 HCPCS,81318,Pms2 known familial variants,,,314.45,595.8,8 HCPCS,81319,Pms2 gene dup/delet variants,,,193.33,699.81,8 HCPCS,81320,Plcg2 gene common variants,,,276.79,879.62,8 HCPCS,81321,Pten gene full sequence,,,570.0,1896.44,8 HCPCS,81322,Pten gene known fam variant,,,44.27,184.37,8 HCPCS,81323,Pten gene dup/delet variant,,,157.67,540.0,8 HCPCS,81324,Pmp22 gene dup/delet,,,720.44,1365.05,4 HCPCS,81325,Pmp22 gene full sequence,,,731.1,1385.24,4 HCPCS,81326,Pmp22 gene known fam variant,,,44.27,294.96,8 HCPCS,81327,Sept9 methylation analysis,,,149.75,345.6,8 HCPCS,81328,Slco1b1 gene com variants,,,166.07,552.69,8 HCPCS,81329,Smn1 gene dos/deletion alys,,,130.15,413.57,8 HCPCS,81330,Smpd1 gene common variants,,,44.65,84.6,4 HCPCS,81331,HC SNRPN UBE3A METHYLATION ANALYSIS,200.0,200.0,,,0 HCPCS,81331,Snrpn/ube3a gene,,,48.52,91.93,4 HCPCS,81332,Serpina1 gene,,,41.47,188.0,8 HCPCS,81333,Tgfbi gene common variants,,,130.15,413.57,8 HCPCS,81334,Runx1 gene targeted seq alys,,,313.03,1041.84,8 HCPCS,81335,Tpmt gene com variants,,,166.07,552.69,8 HCPCS,81336,Smn1 gene full gene sequence,,,286.28,909.79,8 HCPCS,81337,Smn1 gen nown famil seq vrnt,,,175.94,559.14,8 HCPCS,81338,HC MPL GENE COMMON VARIANTS,621.0,621.0,,,0 HCPCS,81338,Mpl gene common variants,,,142.81,335.86,8 HCPCS,81339,Mpl gene seq alys exon 10,,,175.94,413.76,8 HCPCS,81340,Trb@ gene rearrange amplify,,,198.47,899.79,8 HCPCS,81341,Trb@ gene rearrange dirprobe,,,47.11,213.54,8 HCPCS,81342,HC TRG GENE REARRANGEMENT ANALYSIS,591.0,591.0,,,0 HCPCS,81342,Trg gene rearrangement anal,,,191.43,485.97,8 HCPCS,81343,Ppp2r2b gen detc abnor allel,,,130.15,413.57,8 HCPCS,81344,Tbp gene detc abnor alleles,,,130.15,413.57,8 HCPCS,81345,Tert gene targeted seq alys,,,175.94,559.14,8 HCPCS,81346,Tyms gene com variants,,,166.07,552.69,8 HCPCS,81347,Sf3b1 gene common variants,,,183.59,431.74,8 HCPCS,81348,Srsf2 gene common variants,,,166.63,391.85,8 HCPCS,81349,Cytog alys chrml abnr lw-ps,,,1102.0,2591.57,8 HCPCS,81350,Ugt1a1 gene,,,222.3,421.2,4 HCPCS,81351,Tp53 gene full gene sequence,,,609.76,1433.98,8 HCPCS,81352,Tp53 gene trgt sequence alys,,,313.03,736.17,8 HCPCS,81353,Tp53 gene known famil vrnt,,,292.6,688.13,8 HCPCS,81354,Cytog alys chrml abnor ogm,,,1263.53,2274.35,3 HCPCS,81355,Vkorc1 gene,,,83.79,267.81,8 HCPCS,81357,U2af1 gene common variants,,,183.59,431.74,8 HCPCS,81360,Zrsr2 gene common variants,,,183.59,431.74,8 HCPCS,81361,Hbb gene com variants,,,166.07,552.69,8 HCPCS,81362,Hbb gene known fam variant,,,167.8,675.45,8 HCPCS,81363,Hbb gene dup/del variants,,,192.28,601.97,8 HCPCS,81364,Hbb full gene sequence,,,308.35,1041.84,8 HCPCS,81370,Hla i & ii typing lr,,,335.94,723.82,8 HCPCS,81371,Hla i & ii type verify lr,,,384.29,1036.64,8 HCPCS,81372,Hla i typing complete lr,,,383.41,951.42,8 HCPCS,81373,"HC 81373 HLA I LOW ONE LOCUS, EA",319.0,319.0,,,0 HCPCS,81373,Hla i typing 1 locus lr,,,121.06,479.62,8 HCPCS,81374,Hla i typing 1 antigen lr,,,70.61,313.32,8 HCPCS,81375,Hla ii typing ag equiv lr,,,209.7,950.73,8 HCPCS,81376,Hla ii typing 1 locus lr,,,116.11,526.41,8 HCPCS,81377,Hla ii type 1 ag equiv lr,,,90.0,395.42,8 HCPCS,81378,Hla i & ii typing hr,,,328.29,1296.4,8 HCPCS,81379,Hla i typing complete hr,,,318.61,1444.48,8 HCPCS,81380,Hla i typing 1 locus hr,,,168.39,324.09,8 HCPCS,81381,Hla i typing 1 allele hr,,,161.41,407.36,8 HCPCS,81382,Hla ii typing 1 loc hr,,,117.5,412.48,8 HCPCS,81383,HC HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP,273.0,273.0,,,0 HCPCS,81383,Hla ii typing 1 allele hr,,,103.67,470.03,8 HCPCS,81400,Mopath procedure level 1,,,60.76,115.13,4 HCPCS,81401,Mopath procedure level 2,,,130.15,246.6,4 HCPCS,81402,Mopath procedure level 3,,,142.81,270.59,4 HCPCS,81403,Mopath procedure level 4,,,175.94,333.36,4 HCPCS,81404,Mopath procedure level 5,,,261.09,494.69,4 HCPCS,81405,HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 TP53,642.0,642.0,,,0 HCPCS,81405,Mopath procedure level 6,,,286.28,542.43,4 HCPCS,81406,Mopath procedure level 7,,,268.74,509.18,4 HCPCS,81407,Mopath procedure level 8,,,803.96,1523.29,4 HCPCS,81408,Mopath procedure level 9,,,1900.0,3600.0,4 HCPCS,81410,Aortic dysfunction/dilation,,,478.8,907.2,4 HCPCS,81411,Aortic dysfunction/dilation,,,1282.68,2430.34,4 HCPCS,81412,Ashkenazi jewish assoc dis,,,1077.73,4407.41,8 HCPCS,81413,Car ion chnnlpath inc 10 gns,,,555.66,2519.14,8 HCPCS,81414,Car ion chnnlpath inc 2 gns,,,555.66,2519.14,8 HCPCS,81415,Exome sequence analysis,,,4541.0,8604.0,4 HCPCS,81416,Exome sequence analysis,,,11400.0,21600.0,4 HCPCS,81417,Exome re-evaluation,,,304.0,576.0,4 HCPCS,81418,Rx metab gen seq alys pnl 6,,,917.08,1650.74,7 HCPCS,81419,Epilepsy gen seq alys panel,,,2326.13,5470.35,8 HCPCS,81420,Fetal chrmoml aneuploidy,,,721.1,2519.14,8 HCPCS,81422,Fetal chrmoml microdeltj,,,721.1,2519.14,8 HCPCS,81425,Genome sequence analysis,,,0.01,9056.16,4 HCPCS,81426,Genome sequence analysis,,,0.01,4877.91,4 HCPCS,81427,Genome re-evaluation,,,0.01,4207.77,4 HCPCS,81430,Hearing loss sequence analys,,,1543.75,2925.0,4 HCPCS,81431,Hearing loss dup/del analys,,,645.59,1223.23,4 HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,645.1,2924.65,8 HCPCS,81433,Hrdtry brst ca-rlatd dsordrs,,,416.98,416.98,1 HCPCS,81434,Hereditary retinal disorders,,,568.01,1890.47,8 HCPCS,81435,Hereditary colon ca dsordrs,,,555.66,2519.14,8 HCPCS,81436,Hereditary colon ca dsordrs,,,555.66,555.66,1 HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,416.98,2347.11,8 HCPCS,81438,Heredtry nurondcrn tum dsrdr,,,416.98,416.98,1 HCPCS,81439,Inherited cardmypthy 5 gns,,,555.66,2519.14,8 HCPCS,81440,Mitochondrial gene,,,3157.8,5983.2,4 HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,2326.13,5382.09,8 HCPCS,81442,Noonan spectrum disorders,,,1077.73,3858.48,8 HCPCS,81443,Genetic tstg severe inh cond,,,2326.13,7392.29,8 HCPCS,81445,HC GENE SEQUENCE ANALYSIS 5 50,2981.0,2981.0,,,0 HCPCS,81445,HC TARGETED GENOMIC SEQ ANALYSIS LUNG PANEL,3578.0,3578.0,,,0 HCPCS,81445,Targeted genomic seq analys,,,568.01,1890.47,8 HCPCS,81448,Hrdtry perph neurphy panel,,,555.66,2519.14,8 HCPCS,81449,Tgsap so neo 5-50 rna alys,,,568.01,1314.27,8 HCPCS,81450,HC GENE ANALYSIS HEME,3312.0,3312.0,,,0 HCPCS,81450,Targeted genomic seq analys,,,721.55,2995.61,8 HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,721.55,1669.5,8 HCPCS,81455,Targeted genomic seq analys,,,2773.62,5255.28,4 HCPCS,81456,HC SARCOMA GENOMIC SEQ PANEL,4198.0,4198.0,,,0 HCPCS,81456,Tgsap so/hl 51/< rna alys,,,2773.62,6417.46,8 HCPCS,81457,So neo gsap dna mcrstl ins,,,896.87,6059.95,7 HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,6059.95,7 HCPCS,81459,So neo gsap dna/dna&rna,,,2989.55,6059.95,7 HCPCS,81460,Whole mitochondrial genome,,,1222.65,2316.6,4 HCPCS,81462,So gsap cll fr dna/dna&rna,,,707.5,2152.49,7 HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,707.5,2421.56,7 HCPCS,81464,So gsap cll fr mcrstl ins,,,707.5,5919.32,7 HCPCS,81465,Whole mitochondrial genome,,,889.2,1684.8,4 HCPCS,81470,X-linked intellectual dblt,,,868.3,1645.2,4 HCPCS,81471,X-linked intellectual dblt,,,0.01,1645.2,4 HCPCS,81479,HC ALK GENE FUSION,711.0,711.0,,,0 HCPCS,81479,HC GNAS GENE ANALYSIS,569.0,569.0,,,0 HCPCS,81479,HC LAB DNA EXTRACTION,65.0,65.0,,,0 HCPCS,81479,HC MOLECULAR BRAF GENE FUSION,711.0,711.0,,,0 HCPCS,81479,HC MOLECULAR CXCR4 MUTATION ANALYSIS,519.0,519.0,,,0 HCPCS,81479,HC MOLECULAR POLE GENE MUTATION ANALYSIS,698.0,698.0,,,0 HCPCS,81479,HC RNA EXTRACTION AND HOLD,65.0,65.0,,,0 HCPCS,81490,Autoimmune rheumatoid arthr,,,798.62,1854.38,8 HCPCS,81493,Cor artery disease mrna,,,997.5,3272.75,8 HCPCS,81500,Onco (ovar) two proteins,,,247.48,468.9,4 HCPCS,81503,Onco (ovar) five proteins,,,852.15,1614.6,4 HCPCS,81504,Oncology tissue of origin,,,494.0,936.0,4 HCPCS,81506,Endo assay seven anal,,,65.47,124.06,4 HCPCS,81507,Fetal aneuploidy trisom risk,,,755.25,1431.0,4 HCPCS,81508,Ftl cgen abnor two proteins,,,51.59,97.74,4 HCPCS,81509,Ftl cgen abnor 3 proteins,,,1413.0,2677.27,4 HCPCS,81510,Ftl cgen abnor three anal,,,52.76,99.97,4 HCPCS,81511,Ftl cgen abnor four anal,,,145.83,276.3,4 HCPCS,81512,Ftl cgen abnor five anal,,,66.04,125.14,4 HCPCS,81513,Nfct ds bv rna vag flu alg,,,135.5,318.67,8 HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,249.84,587.56,8 HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,262.99,494.49,7 HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,176.19,365.71,7 HCPCS,81518,Onc brst mrna 11 genes,,,3679.35,11692.73,8 HCPCS,81519,Oncology breast mrna,,,3679.35,10811.44,8 HCPCS,81520,Onc breast mrna 58 genes,,,2384.7,10811.44,8 HCPCS,81521,Onc breast mrna 70 genes,,,3679.35,10811.44,8 HCPCS,81522,Onc breast mrna 12 genes,,,3679.35,8652.73,8 HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,3679.35,8652.73,8 HCPCS,81525,Oncology colon mrna,,,2960.2,9814.15,8 HCPCS,81528,Oncology colorectal scr,,,483.43,1606.87,8 HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,6833.35,12947.4,4 HCPCS,81535,Oncology gynecologic,,,550.49,1535.58,8 HCPCS,81536,Oncology gynecologic,,,168.68,561.4,8 HCPCS,81538,Oncology lung,,,2727.45,6677.64,8 HCPCS,81539,Oncology prostate prob score,,,722.0,1890.47,8 HCPCS,81540,Oncology tum unknown origin,,,3562.5,9169.12,8 HCPCS,81541,Onc prostate mrna 46 genes,,,3679.35,10811.44,8 HCPCS,81542,Onc prostate mrna 22 cnt gen,,,3679.35,8652.73,8 HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,3420.0,8042.82,8 HCPCS,81551,Onc prostate 3 genes,,,916.06,3654.0,8 HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,7387.2,13996.8,4 HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,864.86,9737.28,8 HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,3240.0,6092.01,7 HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,608.69,1153.31,4 HCPCS,81595,Cardiology hrt trnspl mrna,,,3078.0,8919.35,8 HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,68.58,217.94,8 HCPCS,82009,Test for acetone/ketones,,,4.29,13.6,8 HCPCS,82010,Acetone assay,,,7.76,32.48,8 HCPCS,82010,HC BETA HYDROXYBUTYRATE,25.0,25.0,,,0 HCPCS,82013,Acetylcholinesterase assay,,,11.68,96.03,8 HCPCS,82013,HC ACETYLCHOLINESTERASE AMNIOTIC FLUID MAYO,81.48,81.48,,,0 HCPCS,82016,Acylcarnitines qual,,,15.67,59.75,8 HCPCS,82017,Acylcarnitines quant,,,16.03,45.39,8 HCPCS,82024,Assay of acth,,,36.69,89.59,8 HCPCS,82024,HC ADRENOCORTICOTROPIC HORMONE,70.0,70.0,,,0 HCPCS,82030,Assay of adp & amp,,,24.51,98.89,8 HCPCS,82040,Assay of serum albumin,,,4.7,19.86,8 HCPCS,82040,HC ALBUMIN LEVEL,15.0,15.0,,,0 HCPCS,82042,Assay of urine albumin,,,7.39,19.88,8 HCPCS,82042,HC ALBUMIN BODY FLUID,15.0,15.0,,,0 HCPCS,82043,HC MICROALBUMIN URINE,18.0,18.0,,,0 HCPCS,82043,Microalbumin quantitative,,,5.49,11.91,8 HCPCS,82044,Microalbumin semiquant,,,5.92,11.66,8 HCPCS,82045,Albumin ischemia modified,,,32.24,146.17,8 HCPCS,82075,Assay of breath ethanol,,,0.01,54.0,8 HCPCS,82075,HC POC BREATH ALCOHOL,34.0,34.0,,,0 HCPCS,82077,Assay spec xcp ur&breath ia,,,16.41,38.57,8 HCPCS,82077,HC ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR&BREATH IA,59.0,59.0,,,0 HCPCS,82085,Assay of aldolase,,,5.21,17.48,8 HCPCS,82088,Assay of aldosterone,,,13.75,73.35,8 HCPCS,82088,HC ASSAY OF ALDOSTERONE,72.0,72.0,,,0 HCPCS,82103,Alpha-1-antitrypsin total,,,12.77,47.27,8 HCPCS,82103,HC ALPHA ANTITRYPSIN,37.0,37.0,,,0 HCPCS,82104,Alpha-1-antitrypsin pheno,,,13.74,62.28,8 HCPCS,82105,Alpha-fetoprotein serum,,,15.93,65.96,8 HCPCS,82105,HC AFP TUMOR MARKER,51.0,51.0,,,0 HCPCS,82106,Alpha-fetoprotein amniotic,,,16.15,52.98,8 HCPCS,82106,HC AFP AMNIOTIC FLUID MAYO,48.1,48.1,,,0 HCPCS,82107,Alpha-Fetoprotein L3,,,61.19,277.43,8 HCPCS,82108,Assay of aluminum,,,24.21,67.36,8 HCPCS,82120,Amines vaginal fluid qual,,,5.69,16.22,8 HCPCS,82127,Amino acid single qual,,,13.47,59.75,8 HCPCS,82128,Amino acids mult qual,,,13.18,59.75,8 HCPCS,82131,Amino acids single quant,,,21.83,72.65,8 HCPCS,82135,Assay aminolevulinic acid,,,15.63,60.55,8 HCPCS,82136,Amino acids quant 2-5,,,18.63,97.51,8 HCPCS,82139,Amino acids quan 6 or more,,,16.03,105.49,8 HCPCS,82140,Assay of ammonia,,,13.84,58.94,8 HCPCS,82140,HC AMMONIA LEVEL,45.0,45.0,,,0 HCPCS,82143,Amniotic fluid scan,,,8.88,29.57,8 HCPCS,82150,Assay of amylase,,,6.16,13.41,8 HCPCS,82150,HC AMYLASE BODY FLUID,19.0,19.0,,,0 HCPCS,82150,HC AMYLASE SERUM,19.0,19.0,,,0 HCPCS,82150,HC AMYLASE URINE,19.0,19.0,,,0 HCPCS,82150,HC AMYLASE URINE 24 HR,19.0,19.0,,,0 HCPCS,82154,Androstanediol glucuronide,,,27.39,124.19,8 HCPCS,82157,Assay of androstenedione,,,15.06,52.7,8 HCPCS,82160,Assay of androsterone,,,24.27,50.14,8 HCPCS,82163,Assay of angiotensin II,,,19.49,88.39,8 HCPCS,82164,Angiotensin I enzyme test,,,13.87,58.1,8 HCPCS,82164,HC ANGIOTENSIN CONVERTING ENZYME,40.0,40.0,,,0 HCPCS,82166,Assay anti-mullerian horm,,,16.7,69.52,7 HCPCS,82172,Assay of apolipoprotein,,,20.04,66.73,8 HCPCS,82175,Assay of arsenic,,,8.45,34.15,8 HCPCS,82180,Assay of ascorbic acid,,,9.4,33.03,8 HCPCS,82190,Atomic absorption,,,15.11,60.44,8 HCPCS,82232,Assay of beta-2 protein,,,6.96,29.12,8 HCPCS,82232,HC BETA-2-MICROGLOBULIN SERUM,34.0,34.0,,,0 HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,18.51,232.06,7 HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,18.51,232.06,7 HCPCS,82239,Bile acids total,,,16.26,73.73,8 HCPCS,82240,Bile acids cholylglycine,,,25.25,114.47,8 HCPCS,82247,Bilirubin total,,,4.77,10.42,8 HCPCS,82247,HC BILIRUBIN TOTAL,16.0,16.0,,,0 HCPCS,82247,HC BILIRUBIN TOTAL FLUID,13.0,13.0,,,0 HCPCS,82248,Bilirubin direct,,,4.77,20.93,8 HCPCS,82248,HC BILIRUBIN DIRECT,16.0,16.0,,,0 HCPCS,82252,Fecal bilirubin test,,,4.33,19.62,8 HCPCS,82261,Assay of biotinidase,,,16.03,51.83,8 HCPCS,82270,HC OCCULT BLOOD SCREEN,17.0,17.0,,,0 HCPCS,82270,Occult blood feces,,,4.16,21.02,8 HCPCS,82271,HC OCCULT BLOOD GASTRIC,11.0,11.0,,,0 HCPCS,82271,Occult blood other sources,,,5.05,11.12,8 HCPCS,82272,HC HEMOCCULT 1 3 DETERMINATIONS SYMPTOMATIC,17.0,17.0,,,0 HCPCS,82272,Occult bld feces 1-3 tests,,,4.02,21.83,8 HCPCS,82274,Assay test for blood fecal,,,15.12,53.05,8 HCPCS,82274,HC OCCULT BLOOD IMMUNOASSAY DX,37.0,37.0,,,0 HCPCS,82274,HC OCCULT BLOOD SCREEN IMMUNOASSAY,37.0,37.0,,,0 HCPCS,82286,Assay of bradykinin,,,4.9,29.67,8 HCPCS,82300,Assay of cadmium,,,10.31,42.55,8 HCPCS,82306,HC VIT D 25 HYDROXY LEVEL,91.0,91.0,,,0 HCPCS,82306,Vitamin d 25 hydroxy,,,28.12,61.05,8 HCPCS,82308,Assay of calcitonin,,,12.56,48.22,8 HCPCS,82310,Assay of calcium,,,4.9,21.28,8 HCPCS,82310,HC CALCIUM LEVEL,14.0,14.0,,,0 HCPCS,82310,HC CALCIUM UR RANDOM LEVEL,14.0,14.0,,,0 HCPCS,82330,Assay of calcium,,,13.0,53.39,8 HCPCS,82330,HC IONIZED CALCIUM,53.33,53.33,,,0 HCPCS,82330,HC POC IONIZED CALCIUM,44.0,44.0,,,0 HCPCS,82331,Calcium infusion test,,,12.67,24.01,8 HCPCS,82340,Assay of calcium in urine,,,5.73,24.05,8 HCPCS,82340,HC CALCIUM URINE 24 HR,18.0,18.0,,,0 HCPCS,82355,Calculus analysis qual,,,11.0,49.86,8 HCPCS,82360,Calculus assay quant,,,12.23,55.43,8 HCPCS,82365,Calculus spectroscopy,,,10.79,23.22,8 HCPCS,82365,HC 0090253 CALCULUS INFRARED SPECTROSCOPY QUEST,13.6,13.6,,,0 HCPCS,82370,X-ray assay calculus,,,11.89,53.91,8 HCPCS,82373,Assay c-d transfer measure,,,17.16,57.13,8 HCPCS,82374,Assay blood carbon dioxide,,,4.64,21.03,8 HCPCS,82374,HC CO2 LEVEL,11.0,11.0,,,0 HCPCS,82375,Assay carboxyhb quant,,,11.7,97.61,8 HCPCS,82375,HC CARBOXY HEMOGLOBIN,97.46,97.46,,,0 HCPCS,82376,Assay carboxyhb qual,,,13.37,25.81,8 HCPCS,82378,Carcinoembryonic antigen,,,18.01,76.38,8 HCPCS,82378,HC CEA ANTIGEN ASSAY,57.0,57.0,,,0 HCPCS,82379,Assay of carnitine,,,16.03,35.45,8 HCPCS,82380,Assay of carotene,,,8.76,25.66,8 HCPCS,82382,Assay urine catecholamines,,,25.94,74.05,8 HCPCS,82383,Assay blood catecholamines,,,27.63,107.9,8 HCPCS,82384,Assay three catecholamines,,,23.99,52.08,8 HCPCS,82387,Assay of cathepsin-d,,,17.16,86.66,8 HCPCS,82390,Assay of ceruloplasmin,,,10.2,47.52,8 HCPCS,82390,HC CERULOPLASMIN,32.0,32.0,,,0 HCPCS,82397,Chemiluminescent assay,,,13.41,33.61,8 HCPCS,82397,HC CHEMILUMINESCENT ASSAY,29.0,29.0,,,0 HCPCS,82415,Assay of chloramphenicol,,,12.04,54.57,8 HCPCS,82435,Assay of blood chloride,,,4.37,17.73,8 HCPCS,82435,HC CHLORIDE,12.0,12.0,,,0 HCPCS,82436,Assay of urine chloride,,,5.46,19.65,8 HCPCS,82436,HC CHLORIDE URINE,15.0,15.0,,,0 HCPCS,82438,Assay other fluid chlorides,,,4.75,37.29,8 HCPCS,82438,HC CHLORIDE SWEAT ANALYSIS,29.0,29.0,,,0 HCPCS,82441,Test for chlorohydrocarbons,,,5.71,25.86,8 HCPCS,82465,Assay bld/serum cholesterol,,,4.13,18.48,8 HCPCS,82465,HC CHOLESTEROL,13.0,13.0,,,0 HCPCS,82480,Assay serum cholinesterase,,,7.48,29.3,8 HCPCS,82482,Assay rbc cholinesterase,,,9.32,46.29,8 HCPCS,82485,Assay chondroitin sulfate,,,19.62,88.95,8 HCPCS,82495,Assay of chromium,,,19.27,64.04,8 HCPCS,82507,Assay of citrate,,,26.41,50.04,8 HCPCS,82507,HC ASSAY OF CITRATE,70.0,70.0,,,0 HCPCS,82523,Collagen crosslinks,,,17.75,117.13,8 HCPCS,82523,HC BETA CROSSLINK CTX,69.0,69.0,,,0 HCPCS,82525,Assay of copper,,,11.79,22.34,8 HCPCS,82525,HC ASSAY OF COPPER,25.0,25.0,,,0 HCPCS,82528,Assay of corticosterone,,,21.39,96.97,8 HCPCS,82530,Cortisol free,,,13.28,30.08,8 HCPCS,82533,HC CORTISOL LEVEL,49.0,49.0,,,0 HCPCS,82533,Total cortisol,,,15.49,63.64,8 HCPCS,82540,Assay of creatine,,,4.41,112.78,8 HCPCS,82542,Col chromotography qual/quan,,,18.27,43.36,8 HCPCS,82550,Assay of ck (cpk),,,6.18,13.41,8 HCPCS,82550,HC CREATINE KINASE CPK TOTAL,20.0,20.0,,,0 HCPCS,82552,Assay of cpk in blood,,,12.72,57.67,8 HCPCS,82553,Creatine mb fraction,,,8.49,20.79,8 HCPCS,82554,Creatine isoforms,,,11.28,51.11,8 HCPCS,82565,Assay of creatinine,,,4.86,10.42,8 HCPCS,82565,HC CREATININE SERUM,15.0,15.0,,,0 HCPCS,82565,HC POC CREATININE,30.0,30.0,,,0 HCPCS,82570,Assay of urine creatinine,,,4.92,19.92,8 HCPCS,82570,HC CREATININE OTHER SOURCE,15.0,15.0,,,0 HCPCS,82575,Creatinine clearance test,,,8.99,37.73,8 HCPCS,82575,HC CREATININE CLEARANCE,29.0,29.0,,,0 HCPCS,82585,Assay of cryofibrinogen,,,5.65,25.45,8 HCPCS,82595,Assay of cryoglobulin,,,4.16,11.65,8 HCPCS,82595,HC CRYOGLOBULINS,15.0,15.0,,,0 HCPCS,82600,Assay of cyanide,,,18.43,69.72,8 HCPCS,82607,HC VITAMIN B12 LEVEL,46.0,46.0,,,0 HCPCS,82607,Vitamin B-12,,,14.33,59.75,8 HCPCS,82608,B-12 binding capacity,,,13.6,81.31,8 HCPCS,82610,Cystatin c,,,17.59,55.87,8 HCPCS,82610,HC CYSTATIN C,43.0,43.0,,,0 HCPCS,82615,Test for urine cystines,,,9.07,30.48,8 HCPCS,82626,Dehydroepiandrosterone,,,13.75,45.49,8 HCPCS,82627,Dehydroepiandrosterone,,,21.12,87.99,8 HCPCS,82627,HC DHEA SULFATE,64.0,64.0,,,0 HCPCS,82633,Desoxycorticosterone,,,29.43,88.03,8 HCPCS,82634,Deoxycortisol,,,27.82,88.03,8 HCPCS,82638,Assay of dibucaine number,,,11.64,52.74,8 HCPCS,82642,Dihydrotestosterone,,,27.82,109.09,8 HCPCS,82652,"HC VITAMIN D 1,25 DIHYDROXY",79.0,79.0,,,0 HCPCS,82652,Vit d 1 25-dihydroxy,,,13.82,69.3,8 HCPCS,82653,El-1 fecal quantitative,,,21.82,51.35,8 HCPCS,82653,HC ELASTASE PANCREATIC FECAL QUANTITATIVE,57.0,57.0,,,0 HCPCS,82656,Pancreatic elastase fecal,,,10.95,214.85,8 HCPCS,82657,Enzyme cell activity,,,21.06,192.65,8 HCPCS,82658,Enzyme cell activity ra,,,28.6,79.25,8 HCPCS,82664,Electrophoretic test,,,37.48,110.7,8 HCPCS,82668,Assay of erythropoietin,,,9.74,33.82,8 HCPCS,82668,HC ERYTHROPOIETIN,39.0,39.0,,,0 HCPCS,82670,Assay of estradiol,,,26.54,56.58,8 HCPCS,82670,HC ESTRADIOL LEVEL,85.0,85.0,,,0 HCPCS,82671,Assay of estrogens,,,16.86,58.14,8 HCPCS,82672,Assay of estrogen,,,20.62,93.43,8 HCPCS,82677,Assay of estriol,,,13.76,43.52,8 HCPCS,82677,HC ESTRIOL,60.0,60.0,,,0 HCPCS,82679,Assay of estrone,,,20.57,44.91,8 HCPCS,82681,Assay dir meas fr estradiol,,,26.54,62.42,8 HCPCS,82693,Assay of ethylene glycol,,,14.16,64.18,8 HCPCS,82693,HC ETHYLENE GLYCOL,41.0,41.0,,,0 HCPCS,82696,Assay of etiocholanolone,,,24.93,80.14,8 HCPCS,82705,Fats/lipids feces qual,,,4.85,21.94,8 HCPCS,82710,Fats/lipids feces quant,,,15.96,30.87,8 HCPCS,82715,Assay of fecal fat,,,21.82,74.12,8 HCPCS,82725,Assay of blood fatty acids,,,17.83,57.33,8 HCPCS,82726,Long chain fatty acids,,,18.76,99.31,8 HCPCS,82728,Assay of ferritin,,,12.95,28.29,8 HCPCS,82728,HC FERRITIN,41.0,41.0,,,0 HCPCS,82731,Assay of fetal fibronectin,,,61.19,261.72,8 HCPCS,82731,HC FETAL FIBRONECTIN,204.0,204.0,,,0 HCPCS,82735,Assay of fluoride,,,17.61,57.64,8 HCPCS,82746,Assay of folic acid serum,,,13.97,29.8,8 HCPCS,82746,HC FOLATE LEVEL,45.0,45.0,,,0 HCPCS,82747,Assay of folic acid rbc,,,16.77,74.59,8 HCPCS,82757,Assay of semen fructose,,,16.47,74.66,8 HCPCS,82759,Assay of rbc galactokinase,,,20.41,92.53,8 HCPCS,82760,Assay of galactose,,,10.64,35.35,8 HCPCS,82775,Assay galactose transferase,,,20.02,90.72,8 HCPCS,82776,Galactose transferase test,,,11.15,36.13,8 HCPCS,82777,Galectin-3,,,42.04,94.7,8 HCPCS,82784,Assay iga/igd/igg/igm each,,,8.84,36.77,8 HCPCS,82784,HC IGG IGM OR IGA EA,28.0,28.0,,,0 HCPCS,82785,Assay of ige,,,15.64,64.89,8 HCPCS,82785,HC IGE EA,50.0,50.0,,,0 HCPCS,82787,HC IGG SUBCLASSES EACH,15.0,15.0,,,0 HCPCS,82787,Igg 1 2 3 or 4 each,,,7.62,19.83,8 HCPCS,82800,Blood pH,,,10.45,33.49,8 HCPCS,82800,HC PH BLOOD,26.0,26.0,,,0 HCPCS,82803,Blood gases any combination,,,24.77,76.43,8 HCPCS,82803,HC PH PCO2 PO2,54.0,54.0,,,0 HCPCS,82803,HC POC PH PCO2 PO2,74.0,74.0,,,0 HCPCS,82805,Blood gases w/o2 saturation,,,63.91,141.79,8 HCPCS,82805,HC PH PCO2 PO2 MEA O2,87.0,87.0,,,0 HCPCS,82810,Blood gases o2 sat only,,,9.28,37.58,8 HCPCS,82810,HC BLOOD GAS O2 SAT ONLY,45.0,45.0,,,0 HCPCS,82820,Hemoglobin-oxygen affinity,,,12.67,41.07,8 HCPCS,82930,Gastric analy w/ph ea spec,,,6.37,23.45,8 HCPCS,82930,HC GASTRIC ACID ANALYIS W/PH EACH SPECIMEN,11.0,11.0,,,0 HCPCS,82938,Gastrin test,,,16.81,62.5,8 HCPCS,82941,Assay of gastrin,,,9.86,31.73,8 HCPCS,82943,Assay of glucagon,,,13.58,61.55,8 HCPCS,82945,Glucose Other Fluid,,,3.73,20.62,8 HCPCS,82945,HC GLUCOSE BODY FLUID,16.0,16.0,,,0 HCPCS,82945,HC GLUCOSE URINE,10.0,10.0,,,0 HCPCS,82946,Glucagon tolerance test,,,16.88,64.91,8 HCPCS,82947,Assay glucose blood quant,,,3.73,7.44,8 HCPCS,82947,HC GLUCOSE QUANT BLOOD,24.0,24.0,,,0 HCPCS,82947,HC POC GLUCOSE,24.0,24.0,,,0 HCPCS,82948,Reagent strip/blood glucose,,,4.79,13.66,8 HCPCS,82950,Glucose test,,,4.51,8.94,8 HCPCS,82950,HC GLUCOSE 1 HOUR TOTAL,14.0,14.0,,,0 HCPCS,82951,Glucose tolerance test (GTT),,,12.23,51.35,8 HCPCS,82951,HC GLUCOSE TOLERANCE,39.0,39.0,,,0 HCPCS,82952,GTT-added samples,,,3.72,15.72,8 HCPCS,82952,HC GLUCOSE TOLERANCE ADDTL SAMPLE,12.0,12.0,,,0 HCPCS,82955,Assay of g6pd enzyme,,,9.22,33.99,8 HCPCS,82955,HC GLUCOSE-6-P-DEHYDROGENASE QUANT,24.0,24.0,,,0 HCPCS,82960,Test for G6PD enzyme,,,5.75,26.05,8 HCPCS,82962,Glucose blood test,,,3.12,9.69,8 HCPCS,82962,HC GLUCOSE MONITORING,7.0,7.0,,,0 HCPCS,82963,Assay of glucosidase,,,20.41,92.53,8 HCPCS,82965,Assay of gdh enzyme,,,12.49,30.48,8 HCPCS,82977,Assay of GGT,,,6.84,28.23,8 HCPCS,82977,HC GGT,21.0,21.0,,,0 HCPCS,82978,Assay of glutathione,,,14.68,359.39,8 HCPCS,82979,Assay rbc glutathione,,,8.97,29.67,8 HCPCS,82985,Assay of glycated protein,,,13.91,30.17,8 HCPCS,83001,Assay of gonadotropin (fsh),,,17.65,73.31,8 HCPCS,83001,HC FSH SERUM,57.0,57.0,,,0 HCPCS,83002,Assay of gonadotropin (lh),,,17.59,40.91,8 HCPCS,83002,HC LUTENIZING HORMONE,57.0,57.0,,,0 HCPCS,83003,Assay growth hormone (hgh),,,15.84,65.96,8 HCPCS,83003,HC GROWTH HORMONE SERUM,49.0,49.0,,,0 HCPCS,83006,Growth stimulation gene 2,,,53.99,136.08,8 HCPCS,83009,H pylori (c-13) blood,,,63.99,290.1,8 HCPCS,83010,Assay of haptoglobin quant,,,11.95,49.27,8 HCPCS,83010,HC HAPTOGLOBIN,38.0,38.0,,,0 HCPCS,83012,Assay of haptoglobins,,,25.55,60.55,8 HCPCS,83013,H pylori (c-13) breath,,,63.99,268.16,8 HCPCS,83013,HC POC H PYLORI BREATH,159.5,159.5,,,0 HCPCS,83014,H pylori drug admin,,,7.47,32.48,8 HCPCS,83014,HC POC H PYLORI COLLECTION,25.0,25.0,,,0 HCPCS,83015,Heavy metal qual any anal,,,19.89,50.14,8 HCPCS,83018,Heavy metal quant each nes,,,20.86,56.44,8 HCPCS,83020,HC HGB ELECTROPHERESIS CAPILLARY,45.0,45.0,,,0 HCPCS,83020,Hemoglobin electrophoresis,,,12.23,78.43,8 HCPCS,83021,HC HGB FRACTIONATION,53.0,53.0,,,0 HCPCS,83021,Hemoglobin chromotography,,,17.16,76.68,8 HCPCS,83026,Hemoglobin copper sulfate,,,3.81,10.18,8 HCPCS,83030,Fetal hemoglobin chemical,,,10.2,35.59,8 HCPCS,83033,Fetal hemoglobin assay qual,,,7.6,25.65,8 HCPCS,83036,Glycosylated hemoglobin test,,,9.22,21.44,8 HCPCS,83036,HC GLYCATED HEMOGLOBIN,19.0,19.0,,,0 HCPCS,83037,Glycosylated hb home device,,,9.22,41.81,8 HCPCS,83045,Blood methemoglobin test,,,6.17,21.31,8 HCPCS,83050,Blood methemoglobin assay,,,7.79,31.56,8 HCPCS,83050,HC METHEMOGLOBIN,27.0,27.0,,,0 HCPCS,83051,Assay of plasma hemoglobin,,,6.94,29.35,8 HCPCS,83051,HC HEMOGLOBIN PLASMA FREE,22.0,22.0,,,0 HCPCS,83060,Blood sulfhemoglobin assay,,,8.36,35.59,8 HCPCS,83065,Assay of hemoglobin heat,,,8.55,29.67,8 HCPCS,83068,Hemoglobin stability screen,,,9.0,96.84,8 HCPCS,83069,Assay of urine hemoglobin,,,3.75,10.38,8 HCPCS,83070,Assay of hemosiderin qual,,,4.51,20.45,8 HCPCS,83080,Assay of b hexosaminidase,,,16.03,60.75,8 HCPCS,83088,Assay of histamine,,,28.05,147.3,8 HCPCS,83090,Assay Of Homocystine,,,17.02,92.68,8 HCPCS,83090,HC HOMOCYSTEINE TOTAL,65.0,65.0,,,0 HCPCS,83150,Assay of homovanillic acid,,,21.29,70.59,8 HCPCS,83150,HC HOMOVANILLIC ACID,50.0,50.0,,,0 HCPCS,83491,Assay of corticosteroids 17,,,17.01,37.0,8 HCPCS,83497,Assay of 5-hiaa,,,12.26,47.39,8 HCPCS,83497,HC 5 HIAA,36.0,36.0,,,0 HCPCS,83498,Assay of progesterone 17-d,,,12.52,48.91,8 HCPCS,83500,Assay free hydroxyproline,,,21.52,97.55,8 HCPCS,83505,Assay total hydroxyproline,,,23.09,104.67,8 HCPCS,83516,HC IMMUNOASSAY ANALYTE QUAL/SEMIQUAL MULTIPLE STEP AMH,47.0,47.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONANTIBODY,47.0,47.0,,,0 HCPCS,83516,HC MPO AB,47.0,47.0,,,0 HCPCS,83516,HC PROTEINASE 3 AB,47.0,47.0,,,0 HCPCS,83516,Immunoassay nonantibody,,,10.95,26.66,8 HCPCS,83518,Immunoassay dipstick,,,9.16,36.5,8 HCPCS,83519,Ria nonantibody,,,17.48,149.56,8 HCPCS,83520,HC IMMUNOASSAY ANALYTE QUANTITATIVE NOS,44.0,44.0,,,0 HCPCS,83520,HC IMMUNOASSAY QUANT TRYPTASE,35.0,35.0,,,0 HCPCS,83520,HC P1NP IMMUNOASSAY ANALYTE QUANTITATIVE NOS,69.0,69.0,,,0 HCPCS,83520,Immunoassay quant nos nonab,,,16.41,52.11,8 HCPCS,83521,HC IMMUNOGLOBULIN LIGHT CHAINS FREE,65.0,65.0,,,0 HCPCS,83521,Ig light chains free each,,,16.41,38.57,8 HCPCS,83525,Assay of insulin,,,10.86,22.34,8 HCPCS,83525,HC INSULIN LEVEL,35.0,35.0,,,0 HCPCS,83527,Assay of insulin,,,11.55,23.31,8 HCPCS,83528,Assay of intrinsic factor,,,18.83,68.52,8 HCPCS,83529,Asay of interleukin-6 (il-6),,,16.41,38.57,8 HCPCS,83540,Assay of iron,,,6.15,13.41,8 HCPCS,83540,HC IRON,19.0,19.0,,,0 HCPCS,83550,HC IRON BINDING CAPACITY,27.0,27.0,,,0 HCPCS,83550,Iron binding test,,,8.3,19.06,8 HCPCS,83570,Assay of idh enzyme,,,8.41,38.11,8 HCPCS,83582,Assay of ketogenic steroids,,,14.7,61.03,8 HCPCS,83586,Assay 17- ketosteroids,,,12.16,55.11,8 HCPCS,83593,Fractionation ketosteroids,,,27.08,113.28,8 HCPCS,83605,Assay of lactic acid,,,10.99,41.96,8 HCPCS,83605,HC LAB LACTIC ACID CSF,32.0,32.0,,,0 HCPCS,83605,HC LACTIC ACID,32.0,32.0,,,0 HCPCS,83605,HC POC LACTATE,32.0,32.0,,,0 HCPCS,83615,HC LDH,18.0,18.0,,,0 HCPCS,83615,Lactate (LD) (LDH) enzyme,,,5.74,24.12,8 HCPCS,83625,Assay of ldh enzymes,,,12.15,55.11,8 HCPCS,83630,HC LACTOFERRIN FECAL QUALITATIVE,40.0,40.0,,,0 HCPCS,83630,Lactoferrin fecal (qual),,,18.72,53.21,8 HCPCS,83631,Lactoferrin fecal (quant),,,18.65,68.57,8 HCPCS,83632,Placental lactogen,,,19.21,80.14,8 HCPCS,83633,Test urine for lactose,,,10.69,23.67,8 HCPCS,83655,Assay of lead,,,6.53,21.8,8 HCPCS,83655,HC LEAD BLOOD,31.0,31.0,,,0 HCPCS,83661,L/s ratio fetal lung,,,20.89,175.12,8 HCPCS,83662,Foam stability fetal lung,,,5.61,34.04,8 HCPCS,83663,Fluoro polarize fetal lung,,,5.61,34.04,8 HCPCS,83664,Lamellar bdy fetal lung,,,18.35,66.79,8 HCPCS,83670,Assay of lap enzyme,,,9.32,39.47,8 HCPCS,83690,Assay of lipase,,,6.55,13.41,8 HCPCS,83690,HC LIPASE,21.0,21.0,,,0 HCPCS,83695,Assay of lipoprotein(a),,,9.2,25.78,8 HCPCS,83695,HC LIPA1 ASSAY OF LIPOPROTEIN(A) MAYO,79.07,79.07,,,0 HCPCS,83695,HC LIPOPROTEIN (A),32.0,32.0,,,0 HCPCS,83698,Assay Lipoprotein Pla2,,,43.99,146.17,8 HCPCS,83700,Lipopro bld electrophoretic,,,10.7,48.47,8 HCPCS,83701,Lipoprotein bld hr fraction,,,32.17,62.5,8 HCPCS,83704,Lipoprotein bld quan part,,,25.12,61.54,8 HCPCS,83718,Assay of lipoprotein,,,7.78,32.48,8 HCPCS,83718,HC HDL CHOLESTEROL,25.0,25.0,,,0 HCPCS,83719,Assay of blood lipoprotein,,,12.11,28.11,8 HCPCS,83721,Assay of blood lipoprotein,,,9.98,81.11,8 HCPCS,83721,HC LDL CHOLESTEROL DIRECT,45.0,45.0,,,0 HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,32.48,117.56,8 HCPCS,83727,Assay of lrh hormone,,,16.33,74.05,8 HCPCS,83735,Assay of magnesium,,,6.37,13.41,8 HCPCS,83735,HC ASSAY OF MAGNESIUM,20.0,20.0,,,0 HCPCS,83775,Assay malate dehydrogenase,,,7.0,30.48,8 HCPCS,83785,Assay of manganese,,,21.71,47.97,8 HCPCS,83789,Mass spectrometry qual/quan,,,22.9,118.47,8 HCPCS,83825,Assay of mercury,,,7.23,29.27,8 HCPCS,83835,Assay of metanephrines,,,16.09,32.07,8 HCPCS,83857,Assay of methemalbumin,,,10.2,46.24,8 HCPCS,83861,Microfluid analy tears,,,21.36,71.13,8 HCPCS,83864,Mucopolysaccharides,,,27.08,85.77,8 HCPCS,83872,Assay synovial fluid mucin,,,5.57,25.23,8 HCPCS,83873,Assay of csf protein,,,16.34,95.77,8 HCPCS,83874,Assay of myoglobin,,,12.27,31.51,8 HCPCS,83874,HC MYOGLOBIN,32.0,32.0,,,0 HCPCS,83876,Assay myeloperoxidase,,,48.32,146.17,8 HCPCS,83880,Assay of natriuretic peptide,,,37.3,90.41,8 HCPCS,83880,HC NATRIURETIC PEPTIDE BNP,70.0,70.0,,,0 HCPCS,83883,Assay nephelometry not spec,,,12.92,30.13,8 HCPCS,83884,Assay neurflmnt light chain,,,18.51,209.21,7 HCPCS,83885,Assay of nickel,,,23.27,44.12,8 HCPCS,83915,Assay of nucleotidase,,,10.59,357.11,8 HCPCS,83916,HC OLIGOCLONAL IMMUNE,58.0,58.0,,,0 HCPCS,83916,Oligoclonal bands,,,26.02,79.63,8 HCPCS,83918,Organic acids total quant,,,22.42,70.86,8 HCPCS,83919,Organic acids qual each,,,15.63,49.4,8 HCPCS,83921,HC SERUM METHYLMELONIC ACID,78.0,78.0,,,0 HCPCS,83921,Organic acid single quant,,,15.7,38.18,8 HCPCS,83930,Assay of blood osmolality,,,6.28,26.23,8 HCPCS,83930,HC OSMOLALITY BLOOD,20.0,20.0,,,0 HCPCS,83935,Assay of urine osmolality,,,6.48,27.21,8 HCPCS,83935,HC OSMOLALITY OTHER,21.0,21.0,,,0 HCPCS,83937,Assay of osteocalcin,,,28.36,106.1,8 HCPCS,83945,Assay of oxalate,,,13.73,32.33,8 HCPCS,83945,HC OXALATE,36.0,36.0,,,0 HCPCS,83950,Oncoprotein her-2/neu,,,61.19,277.43,8 HCPCS,83951,Oncoprotein dcp,,,61.19,277.43,8 HCPCS,83970,Assay of parathormone,,,39.22,84.9,8 HCPCS,83970,HC PTH,126.0,126.0,,,0 HCPCS,83986,Assay ph body fluid nos,,,3.4,13.63,8 HCPCS,83986,HC PH OTHER THAN BLOOD,10.0,10.0,,,0 HCPCS,83987,Exhaled breath condensate,,,3.4,59.7,8 HCPCS,83992,Assay for phencyclidine,,,0.01,63.32,5 HCPCS,83992,HC PHENCYCLIDINE CONF,53.0,53.0,,,0 HCPCS,83993,Assay for calprotectin fecal,,,18.65,228.03,8 HCPCS,83993,HC ASSAY OF CALPROTECTIN FECAL,46.0,46.0,,,0 HCPCS,84030,Assay of blood pku,,,5.23,23.67,8 HCPCS,84035,Assay of phenylketones,,,3.78,13.25,8 HCPCS,84060,Assay acid phosphatase,,,7.26,31.79,8 HCPCS,84066,Assay prostate phosphatase,,,9.18,40.83,8 HCPCS,84075,Assay alkaline phosphatase,,,4.92,9.65,8 HCPCS,84075,HC ALK PHOSPHATASE,14.0,14.0,,,0 HCPCS,84078,Assay alkaline phosphatase,,,7.85,30.48,8 HCPCS,84080,Assay alkaline phosphatases,,,13.5,26.6,8 HCPCS,84080,HC ALKALINE PHOSPHATASE ISOENZYMES,31.0,31.0,,,0 HCPCS,84081,Assay phosphatidylglycerol,,,15.69,64.11,8 HCPCS,84085,Assay of rbc pg6d enzyme,,,8.97,29.03,8 HCPCS,84087,Assay phosphohexose enzymes,,,10.19,117.04,8 HCPCS,84100,Assay of phosphorus,,,4.5,8.94,8 HCPCS,84100,HC PHOSPHOROUS LEVEL,14.0,14.0,,,0 HCPCS,84105,Assay of urine phosphorus,,,5.49,19.65,8 HCPCS,84105,HC PHOSPHOROUS URINE,15.0,15.0,,,0 HCPCS,84106,Test for porphobilinogen,,,5.53,18.43,8 HCPCS,84110,Assay of porphobilinogen,,,8.02,15.19,8 HCPCS,84112,Eval amniotic fluid protein,,,93.2,285.29,8 HCPCS,84112,HC POC AMNISURE,202.0,202.0,,,0 HCPCS,84119,Test urine for porphyrins,,,11.89,24.05,8 HCPCS,84120,Assay of urine porphyrins,,,13.97,26.52,8 HCPCS,84126,Assay of feces porphyrins,,,37.15,109.72,8 HCPCS,84132,Assay of serum potassium,,,4.52,8.94,8 HCPCS,84132,HC POC POTASSIUM,28.0,28.0,,,0 HCPCS,84132,HC POTASSIUM LEVEL,19.0,19.0,,,0 HCPCS,84133,Assay of urine potassium,,,4.49,16.55,8 HCPCS,84133,HC POTASSIUM URINE,13.0,13.0,,,0 HCPCS,84134,Assay of prealbumin,,,13.86,57.62,8 HCPCS,84134,HC PRE ALBUMIN,45.0,45.0,,,0 HCPCS,84135,Assay of pregnanediol,,,20.21,82.42,8 HCPCS,84138,Assay of pregnanetriol,,,20.0,72.44,8 HCPCS,84140,Assay of pregnenolone,,,19.64,37.21,8 HCPCS,84143,Assay of 17-hydroxypregneno,,,21.67,84.63,8 HCPCS,84144,Assay of progesterone,,,19.82,43.19,8 HCPCS,84144,HC PROGESTERONE LEVEL,64.0,64.0,,,0 HCPCS,84145,HC PROCALCITONIN,50.0,50.0,,,0 HCPCS,84145,Procalcitonin (PCT),,,25.86,64.19,8 HCPCS,84146,Assay of prolactin,,,18.41,40.2,8 HCPCS,84146,HC PROLACTIN LEVEL,59.0,59.0,,,0 HCPCS,84150,Assay of prostaglandin,,,39.68,174.36,8 HCPCS,84152,Assay of psa complexed,,,17.47,79.21,8 HCPCS,84153,Assay of psa total,,,17.47,37.24,8 HCPCS,84153,HC PSA SCREENING,37.0,37.0,,,0 HCPCS,84153,HC PSA TOTAL,56.0,56.0,,,0 HCPCS,84154,Assay of psa free,,,17.47,76.43,8 HCPCS,84154,HC PSA FREE,54.0,54.0,,,0 HCPCS,84155,Assay of protein serum,,,3.49,14.66,8 HCPCS,84155,HC PROTEIN TOTAL SERUM,11.0,11.0,,,0 HCPCS,84156,Assay of protein urine,,,3.49,16.8,8 HCPCS,84156,HC PROTEIN URINE,13.0,13.0,,,0 HCPCS,84157,Assay of protein other,,,3.8,16.8,8 HCPCS,84157,HC ASSAY OF PROTEIN OTHER,13.0,13.0,,,0 HCPCS,84160,Assay of protein any source,,,5.33,14.4,8 HCPCS,84163,Pappa serum,,,13.7,27.09,8 HCPCS,84165,HC PROTEIN FRACTION SERUM,44.0,44.0,,,0 HCPCS,84165,Protein e-phoresis serum,,,10.2,47.1,8 HCPCS,84166,HC PROTEIN FRACTION UR,60.0,60.0,,,0 HCPCS,84166,Protein e-phoresis/urine/csf,,,16.94,77.45,8 HCPCS,84181,Western blot test,,,16.18,153.2,8 HCPCS,84182,Protein western blot test,,,25.97,52.58,8 HCPCS,84202,Assay RBC protoporphyrin,,,13.63,44.42,8 HCPCS,84203,Test RBC protoporphyrin,,,9.25,37.06,8 HCPCS,84206,Assay of proinsulin,,,25.36,62.5,8 HCPCS,84207,Assay of vitamin b-6,,,18.43,50.58,8 HCPCS,84210,Assay of pyruvate,,,13.76,55.57,8 HCPCS,84220,Assay of pyruvate kinase,,,8.97,117.04,8 HCPCS,84228,Assay of quinine,,,11.05,40.83,8 HCPCS,84233,Assay of estrogen,,,83.49,277.43,8 HCPCS,84234,Assay of progesterone,,,61.64,279.43,8 HCPCS,84235,Assay of endocrine hormone,,,67.67,225.38,8 HCPCS,84238,Assay nonendocrine receptor,,,22.38,65.83,8 HCPCS,84244,Assay of renin,,,8.16,39.58,8 HCPCS,84244,HC ASSAY OF RENIN,38.0,38.0,,,0 HCPCS,84252,Assay of vitamin b-2,,,19.23,46.76,8 HCPCS,84255,Assay of selenium,,,18.02,45.95,8 HCPCS,84255,HC SELENIUM LEVEL,64.0,64.0,,,0 HCPCS,84260,Assay of serotonin,,,16.53,55.76,8 HCPCS,84270,Assay of sex hormone globul,,,20.64,76.83,8 HCPCS,84270,HC SEX BINDING HORMONE,54.0,54.0,,,0 HCPCS,84275,Assay of sialic acid,,,12.77,57.86,8 HCPCS,84285,Assay of silica,,,5.92,45.38,8 HCPCS,84295,Assay of serum sodium,,,4.57,18.85,8 HCPCS,84295,HC POC SODIUM,13.0,13.0,,,0 HCPCS,84295,HC SODIUM,13.0,13.0,,,0 HCPCS,84300,Assay of urine sodium,,,4.81,18.85,8 HCPCS,84300,HC SODIUM URINE,14.0,14.0,,,0 HCPCS,84302,Assay of sweat sodium,,,4.62,27.72,8 HCPCS,84305,Assay of somatomedin,,,20.2,47.07,8 HCPCS,84305,HC IGF1,36.0,36.0,,,0 HCPCS,84307,Assay of somatostatin,,,17.37,74.85,8 HCPCS,84311,HC CHOLESTEROL FLUID,20.0,20.0,,,0 HCPCS,84311,Spectrophotometry,,,7.7,74.08,8 HCPCS,84315,Body fluid specific gravity,,,3.12,10.38,8 HCPCS,84375,Chromatogram assay sugars,,,17.36,70.2,8 HCPCS,84376,Sugars single qual,,,5.23,59.57,8 HCPCS,84377,Sugars multiple qual,,,5.23,23.67,8 HCPCS,84378,Sugars single quant,,,10.95,49.62,8 HCPCS,84379,Sugars multiple quant,,,10.95,49.62,8 HCPCS,84392,Assay of urine sulfate,,,5.22,20.45,8 HCPCS,84393,Tau phosphorylated ea,,,18.51,232.06,7 HCPCS,84394,Total tau,,,18.51,232.06,7 HCPCS,84402,Assay of free testosterone,,,24.2,78.19,8 HCPCS,84402,HC 36170 ASSAY OF TESTOSTERONE FREE QUEST,10.57,10.57,,,0 HCPCS,84402,HC FREE TESTOSTERONE,55.0,55.0,,,0 HCPCS,84403,Assay of total testosterone,,,24.52,52.13,8 HCPCS,84403,HC 15983 ASSAY OF TESTOSTERONE TOTAL QUEST,8.0,8.0,,,0 HCPCS,84403,HC 36170 ASSAY OF TESTOSTERONE TOTAL QUEST,8.0,8.0,,,0 HCPCS,84403,HC TESTOSTERONE,72.0,72.0,,,0 HCPCS,84410,Testosterone bioavailable,,,48.72,227.78,8 HCPCS,84425,Assay of vitamin b-1,,,20.17,68.79,8 HCPCS,84425,HC LAB THIAMIN VITAMIN B LEVEL,48.0,48.0,,,0 HCPCS,84430,Assay of thiocyanate,,,11.05,20.93,8 HCPCS,84430,HC THIOCYANATE,33.0,33.0,,,0 HCPCS,84431,Thromboxane urine,,,33.35,72.35,8 HCPCS,84432,Assay of thyroglobulin,,,12.0,28.91,8 HCPCS,84432,HC THYROGLOBULIN,40.0,40.0,,,0 HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,21.06,48.74,8 HCPCS,84436,Assay of total thyroxine,,,6.53,13.41,8 HCPCS,84436,HC THYROXINE TOTAL,17.0,17.0,,,0 HCPCS,84437,Assay of neonatal thyroxine,,,6.15,19.98,8 HCPCS,84439,Assay of free thyroxine,,,8.57,17.87,8 HCPCS,84439,HC FREE T4,27.0,27.0,,,0 HCPCS,84442,Assay of thyroid activity,,,14.04,63.65,8 HCPCS,84443,Assay thyroid stim hormone,,,15.96,34.26,8 HCPCS,84443,HC TSH,58.0,58.0,,,0 HCPCS,84445,Assay of tsi globulin,,,29.73,91.55,8 HCPCS,84445,HC THYROID STIMULATING IMMUNE GLOBULINS TSI,105.0,105.0,,,0 HCPCS,84446,Assay of vitamin e,,,13.47,51.51,8 HCPCS,84446,HC VITAMIN E LEVEL,37.0,37.0,,,0 HCPCS,84449,Assay of transcortin,,,17.1,88.39,8 HCPCS,84450,HC AST,15.0,15.0,,,0 HCPCS,84450,Transferase (AST) (SGOT),,,4.92,10.42,8 HCPCS,84460,Alanine amino (ALT) (SGPT),,,5.04,20.93,8 HCPCS,84460,HC ALT,16.0,16.0,,,0 HCPCS,84466,Assay of transferrin,,,12.12,50.24,8 HCPCS,84466,HC TRANSFERRIN,36.0,36.0,,,0 HCPCS,84478,Assay of triglycerides,,,5.45,23.06,8 HCPCS,84478,HC TRIGLYCERIDE,18.0,18.0,,,0 HCPCS,84479,Assay of thyroid (t3 or t4),,,6.15,12.35,8 HCPCS,84480,Assay triiodothyronine (t3),,,13.47,55.49,8 HCPCS,84480,HC TOTAL T3,43.0,43.0,,,0 HCPCS,84481,Free assay (FT-3),,,16.09,34.26,8 HCPCS,84481,HC FREE T3,52.0,52.0,,,0 HCPCS,84482,T3 reverse,,,14.97,91.21,8 HCPCS,84484,Assay of troponin quant,,,11.85,22.45,8 HCPCS,84484,HC TROPONIN,30.0,30.0,,,0 HCPCS,84485,Assay duodenal fluid trypsin,,,6.84,32.35,8 HCPCS,84488,Test feces for trypsin,,,6.94,31.44,8 HCPCS,84490,Assay of feces for trypsin,,,9.43,32.74,8 HCPCS,84510,Assay of tyrosine,,,10.1,44.8,8 HCPCS,84512,Assay of troponin qual,,,9.59,33.13,8 HCPCS,84520,Assay of urea nitrogen,,,3.75,15.78,8 HCPCS,84520,HC BUN,12.0,12.0,,,0 HCPCS,84525,Urea nitrogen semi-quant,,,4.87,16.22,8 HCPCS,84540,Assay of urine/urea-n,,,5.28,20.45,8 HCPCS,84540,HC UREA NITRO 24 HR UR,13.0,13.0,,,0 HCPCS,84540,HC UREA NITRO RANDOM UR,13.0,13.0,,,0 HCPCS,84545,HC UREA CLEARANCE,17.0,17.0,,,0 HCPCS,84545,Urea-N clearance test,,,6.84,28.47,8 HCPCS,84550,Assay of blood/uric acid,,,4.29,8.94,8 HCPCS,84550,HC URIC ACID,13.0,13.0,,,0 HCPCS,84560,Assay of urine/uric acid,,,4.83,18.85,8 HCPCS,84560,HC URIC ACID OTHER,14.0,14.0,,,0 HCPCS,84560,"HC URIC ACID OTHER, 24 HR",14.0,14.0,,,0 HCPCS,84577,Assay of feces/urobilinogen,,,15.96,35.04,8 HCPCS,84578,Test urine urobilinogen,,,4.25,13.98,8 HCPCS,84580,Assay of urine urobilinogen,,,9.07,30.54,8 HCPCS,84583,Assay of urine urobilinogen,,,5.75,19.98,8 HCPCS,84585,Assay of urine vma,,,14.73,56.13,8 HCPCS,84585,HC VMA URINE,44.0,44.0,,,0 HCPCS,84586,Assay of vip,,,33.56,63.59,8 HCPCS,84588,Assay of vasopressin,,,32.24,61.09,8 HCPCS,84590,Assay of vitamin a,,,11.03,40.77,8 HCPCS,84590,HC VITAMIN A LEVEL,31.0,31.0,,,0 HCPCS,84591,Assay Of Nos Vitamin,,,16.21,49.97,8 HCPCS,84597,Assay of vitamin k,,,13.03,41.63,8 HCPCS,84600,Assay of volatiles,,,16.25,69.24,8 HCPCS,84620,Xylose tolerance test,,,12.26,51.0,8 HCPCS,84630,Assay of zinc,,,10.82,42.54,8 HCPCS,84630,HC ZINC LEVEL,32.0,32.0,,,0 HCPCS,84681,Assay of c-peptide,,,19.77,81.49,8 HCPCS,84681,HC C PEPTIDE,57.0,57.0,,,0 HCPCS,84702,Chorionic gonadotropin test,,,7.03,27.09,8 HCPCS,84702,HC HCG BETA SUBUNIT,38.0,38.0,,,0 HCPCS,84703,Chorionic gonadotropin assay,,,7.14,29.34,8 HCPCS,84703,HC POC HCG QUAL URINE,22.0,22.0,,,0 HCPCS,84704,Hcg free betachain test,,,13.7,27.52,8 HCPCS,84830,Ovulation tests,,,12.07,43.19,8 HCPCS,85002,Bleeding time test,,,4.58,19.44,8 HCPCS,85004,Automated diff wbc count,,,6.15,19.98,8 HCPCS,85007,Bl smear w/diff wbc count,,,3.61,21.57,8 HCPCS,85007,HC BLOOD SMEAR MANUAL DIFFERENTIAL,16.0,16.0,,,0 HCPCS,85008,Bl smear w/o diff wbc count,,,3.26,12.42,8 HCPCS,85008,HC BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT,16.0,16.0,,,0 HCPCS,85009,Manual diff wbc count b-coat,,,4.82,12.42,8 HCPCS,85013,Spun microhematocrit,,,5.82,12.6,8 HCPCS,85014,HC HEMATOCRIT,14.0,14.0,,,0 HCPCS,85014,Hematocrit,,,2.25,4.47,8 HCPCS,85018,HC HEMOGLOBIN,16.0,16.0,,,0 HCPCS,85018,HC SPLIT HEMOGLOBIN,16.0,16.0,,,0 HCPCS,85018,Hemoglobin,,,2.25,4.47,8 HCPCS,85025,Complete cbc w/auto diff wbc,,,7.38,16.39,8 HCPCS,85025,HC CBC AUTO COMPLETE DIFFERENTIAL,26.0,26.0,,,0 HCPCS,85027,Complete cbc automated,,,6.15,12.97,8 HCPCS,85027,HC CBC PLATELET NO DIFFERENTIAL,19.0,19.0,,,0 HCPCS,85032,Manual cell count each,,,4.09,18.55,8 HCPCS,85041,Automated rbc count,,,2.87,12.97,8 HCPCS,85044,Manual reticulocyte count,,,4.09,17.73,8 HCPCS,85045,Automated reticulocyte count,,,3.79,16.25,8 HCPCS,85046,HC RETIC CT W RETIC HGB,12.0,12.0,,,0 HCPCS,85046,Reticyte/hgb concentrate,,,5.29,16.72,8 HCPCS,85048,Automated leukocyte count,,,2.41,10.28,8 HCPCS,85048,HC WBC AUTOMATED,8.0,8.0,,,0 HCPCS,85049,Automated platelet count,,,4.26,24.63,8 HCPCS,85049,HC PLATELET CT AUTOMATED,18.0,18.0,,,0 HCPCS,85055,HC LAB RETICULATED PLATELET,38.0,38.0,,,0 HCPCS,85055,Reticulated platelet assay,,,29.11,64.33,8 HCPCS,85060,Blood smear interpretation,,,22.32,117.04,5 HCPCS,85097,Bone marrow interpretation,,,44.26,1445.01,8 HCPCS,85097,HC BONE MARROW SMEAR INTERP,583.0,583.0,,,0 HCPCS,85130,Chromogenic substrate assay,,,9.94,21.4,8 HCPCS,85170,Blood clot retraction,,,8.89,29.34,8 HCPCS,85175,Blood clot lysis time,,,11.18,36.67,8 HCPCS,85210,Clot factor ii prothrom spec,,,12.33,51.35,8 HCPCS,85210,HC FACTOR II ACTIVITY,31.0,31.0,,,0 HCPCS,85220,Blooc clot factor v test,,,16.77,68.29,8 HCPCS,85220,HC FACTOR V ACTIVITY,52.0,52.0,,,0 HCPCS,85230,Clot factor vii proconvertin,,,17.01,69.07,8 HCPCS,85230,HC FACTOR VII ACTIVITY,52.0,52.0,,,0 HCPCS,85240,Clot factor viii ahg 1 stage,,,17.01,71.77,8 HCPCS,85240,HC FACTOR VIII ACTIVITY,52.0,52.0,,,0 HCPCS,85244,Clot factor viii reltd antgn,,,19.4,87.94,8 HCPCS,85245,Clot factor viii vw ristoctn,,,21.79,90.09,8 HCPCS,85246,Clot factor viii vw antigen,,,21.79,80.64,8 HCPCS,85246,HC VW FACTOR ANTIGEN,60.0,60.0,,,0 HCPCS,85247,Clot factor viii multimetric,,,21.79,161.94,8 HCPCS,85250,Clot factor ix ptc/chrstmas,,,18.09,75.39,8 HCPCS,85250,HC FACTOR IX ACTIVITY,56.0,56.0,,,0 HCPCS,85260,Clot factor x stuart-power,,,17.01,65.73,8 HCPCS,85260,HC FACTOR X ACTIVITY,52.0,52.0,,,0 HCPCS,85270,Clot factor xi pta,,,17.01,69.07,8 HCPCS,85270,HC FACTOR XI ACTIVITY,47.0,47.0,,,0 HCPCS,85280,Clot factor xii hageman,,,18.38,75.5,8 HCPCS,85280,HC FACTOR XII ACTIVITY,46.0,46.0,,,0 HCPCS,85290,Clot factor xiii fibrin stab,,,15.52,163.76,8 HCPCS,85291,Clot factor xiii fibrin scrn,,,8.65,30.48,8 HCPCS,85292,Clot factor fletcher fact,,,17.98,62.91,8 HCPCS,85293,Clot factor wght kininogen,,,17.98,62.91,8 HCPCS,85300,Antithrombin iii activity,,,11.26,47.14,8 HCPCS,85300,HC ANTITHROMBIN III ACTIVITY,35.0,35.0,,,0 HCPCS,85301,Antithrombin iii antigen,,,10.27,46.54,8 HCPCS,85302,Clot inhibit prot c antigen,,,11.41,113.15,8 HCPCS,85303,Clot inhibit prot c activity,,,13.15,54.44,8 HCPCS,85303,HC PROTEIN C ACTIVITY,40.0,40.0,,,0 HCPCS,85305,Clot inhibit prot s total,,,11.03,103.68,8 HCPCS,85306,Clot inhibit prot s free,,,14.55,50.0,8 HCPCS,85306,HC PROTEIN S ACTIVITY,34.0,34.0,,,0 HCPCS,85307,Assay Activated Protein C,,,14.55,67.77,8 HCPCS,85307,HC ACTIVATED PROTEIN C APC RESISTANCE ASSAY,38.0,38.0,,,0 HCPCS,85335,Factor inhibitor test,,,12.23,199.16,8 HCPCS,85337,Thrombomodulin,,,16.41,44.88,8 HCPCS,85345,Coagulation time lee & white,,,4.46,18.55,8 HCPCS,85347,Coagulation time activated,,,4.07,184.72,8 HCPCS,85347,HC POC ACT,25.0,25.0,,,0 HCPCS,85347,HC POC TEG COAGULATION TIME ACTIVATED,20.0,20.0,,,0 HCPCS,85348,Coagulation time otr method,,,4.27,16.04,8 HCPCS,85360,Euglobulin lysis,,,7.99,36.2,8 HCPCS,85362,Fibrin degradation products,,,6.55,27.21,8 HCPCS,85362,HC FDP FSP,17.0,17.0,,,0 HCPCS,85366,Fibrinogen test,,,21.15,144.83,8 HCPCS,85370,Fibrinogen test,,,11.81,29.12,8 HCPCS,85378,Fibrin degrade semiquant,,,9.23,27.97,8 HCPCS,85379,Fibrin degradation quant,,,9.67,39.79,8 HCPCS,85379,HC D DIMER QUANT,29.0,29.0,,,0 HCPCS,85380,Fibrin degradj d-dimer,,,9.67,38.97,8 HCPCS,85384,Fibrinogen activity,,,9.23,33.49,8 HCPCS,85384,HC FIBRINOGEN LEVEL,25.0,25.0,,,0 HCPCS,85384,HC POC TEG FIBRINOGEN ACTIVITY,47.0,47.0,,,0 HCPCS,85385,Fibrinogen antigen,,,13.74,36.57,8 HCPCS,85390,Fibrinolysins screen i&r,,,14.71,1206.94,8 HCPCS,85390,HC POC TEG LY30 FIBRINOLYSINS SCREEN I&R,32.0,32.0,,,0 HCPCS,85396,Clotting assay whole blood,,,12.85,22.54,5 HCPCS,85397,Clotting funct activity,,,29.32,162.64,8 HCPCS,85397,HC CLOTTING FUNCT ACTIVITY EACH ANALYTE,62.0,62.0,,,0 HCPCS,85400,Fibrinolytic plasmin,,,7.32,30.48,8 HCPCS,85410,Fibrinolytic antiplasmin,,,7.32,30.48,8 HCPCS,85415,Fibrinolytic plasminogen,,,16.33,212.09,8 HCPCS,85420,Fibrinolytic plasminogen,,,6.2,69.97,8 HCPCS,85421,Fibrinolytic plasminogen,,,9.67,29.03,8 HCPCS,85441,Heinz bodies direct,,,3.99,18.08,8 HCPCS,85445,Heinz bodies induced,,,6.48,29.35,8 HCPCS,85460,HC FETAL CELL KLEIBETKE,22.0,22.0,,,0 HCPCS,85460,Hemoglobin fetal,,,7.34,30.37,8 HCPCS,85461,Hemoglobin fetal,,,8.89,28.57,8 HCPCS,85475,Hemolysin acid,,,8.43,30.48,8 HCPCS,85520,HC DOAC SCREEN HEPARIN ASSAY,35.0,35.0,,,0 HCPCS,85520,HC IIA HEPARIN ASSAY,53.0,53.0,,,0 HCPCS,85520,HC LMW HEPARIN ASSAY,35.0,35.0,,,0 HCPCS,85520,HC XA HEPARIN ASSAY,35.0,35.0,,,0 HCPCS,85520,Heparin assay,,,12.44,47.14,8 HCPCS,85525,HC HEPARIN NEUTRALIZATION,27.0,27.0,,,0 HCPCS,85525,Heparin neutralization,,,11.25,25.09,8 HCPCS,85530,Heparin-protamine tolerance,,,12.44,61.05,8 HCPCS,85536,Iron Stain Peripheral Blood,,,6.54,27.84,8 HCPCS,85540,Wbc alkaline phosphatase,,,8.17,37.04,8 HCPCS,85547,RBC mechanical fragility,,,8.17,30.48,8 HCPCS,85549,Muramidase,,,12.56,33.75,8 HCPCS,85555,RBC osmotic fragility,,,7.1,28.8,8 HCPCS,85557,RBC osmotic fragility,,,12.69,85.93,8 HCPCS,85576,Blood platelet aggregation,,,23.66,121.75,8 HCPCS,85576,HC P2Y12 ANTI-PLATELET EFFECT,105.0,105.0,,,0 HCPCS,85576,HC PLATELET AGGREGATION,69.0,69.0,,,0 HCPCS,85576,HC PLATELET AGGREGATION ASPIRIN EFFECT,71.0,71.0,,,0 HCPCS,85576,HC PLATELET FUNCTION ASSAY,59.0,59.0,,,0 HCPCS,85576,HC POC TEG PLATELET AGGREGATION IN VITRO EACH AGENT,121.0,121.0,,,0 HCPCS,85597,Phospholipid pltlt neutraliz,,,14.0,32.36,8 HCPCS,85598,Hexagnal phosph pltlt neutrl,,,14.0,32.36,8 HCPCS,85610,HC PROTIME,21.0,21.0,,,0 HCPCS,85610,HC SPLIT PROTIME,21.0,21.0,,,0 HCPCS,85610,Prothrombin time,,,4.08,7.72,8 HCPCS,85611,HC PT MIXING STUDIES EA,10.0,10.0,,,0 HCPCS,85611,Prothrombin test,,,3.74,20.71,8 HCPCS,85612,Viper venom prothrombin time,,,16.62,38.46,8 HCPCS,85613,HC LUPUS ANTICOAG LA1 OR LA2,27.0,27.0,,,0 HCPCS,85613,Russell viper venom diluted,,,9.1,37.73,8 HCPCS,85635,Reptilase test,,,9.36,19.98,8 HCPCS,85651,Rbc sed rate nonautomated,,,4.06,7.69,8 HCPCS,85652,HC AUTO SED RATE,16.0,16.0,,,0 HCPCS,85652,Rbc sed rate automated,,,2.57,22.16,8 HCPCS,85660,HC SICKLE CELL,32.0,32.0,,,0 HCPCS,85660,RBC sickle cell test,,,5.23,47.17,8 HCPCS,85670,HC THROMBIN TIME PLASMA,9.0,9.0,,,0 HCPCS,85670,Thrombin time plasma,,,5.48,48.81,8 HCPCS,85675,Thrombin time titer,,,6.51,29.47,8 HCPCS,85705,Thromboplastin inhibition,,,9.15,36.62,8 HCPCS,85730,HC PTT,21.0,21.0,,,0 HCPCS,85730,Thromboplastin time partial,,,5.71,11.91,8 HCPCS,85732,HC PTT MIX STUDIES EACH,18.0,18.0,,,0 HCPCS,85732,Thromboplastin time partial,,,6.15,24.82,8 HCPCS,85810,Blood viscosity examination,,,11.09,50.24,8 HCPCS,85810,HC VISCOSITY,34.0,34.0,,,0 HCPCS,86000,Agglutinins febrile antigen,,,6.63,30.07,8 HCPCS,86001,Allergen Specific Igg,,,7.43,19.48,8 HCPCS,86003,Allergen specific IgE,,,4.96,24.24,8 HCPCS,86003,HC ALLERGEN SPECIFIC,33.0,33.0,,,0 HCPCS,86005,Allergen specific IgE,,,7.57,34.3,8 HCPCS,86008,Allg spec ige recomb ea,,,17.03,62.5,8 HCPCS,86008,HC ALLG SPEC IGE RECOMB EA,58.0,58.0,,,0 HCPCS,86015,Actin antibody each,,,11.45,25.77,8 HCPCS,86021,WBC antibody identification,,,14.3,74.5,8 HCPCS,86022,HC HEP DEP PLATELET AB,226.0,226.0,,,0 HCPCS,86022,Platelet antibodies,,,17.45,61.53,8 HCPCS,86023,Immunoglobulin assay,,,11.84,53.65,8 HCPCS,86036,Anca screen each antibody,,,11.45,26.93,8 HCPCS,86036,HC ANCA SCREEN ANTIBODY,69.0,69.0,,,0 HCPCS,86037,Anca titer each antibody,,,11.45,26.93,8 HCPCS,86038,Antinuclear antibodies,,,11.49,61.99,8 HCPCS,86038,HC ANA HEP2 SUBSTRATE,100.0,100.0,,,0 HCPCS,86038,HC ANA SCREEN,100.0,100.0,,,0 HCPCS,86039,Antinuclear antibodies (ANA),,,10.6,47.54,8 HCPCS,86039,HC ANA TITER PATTERN,77.0,77.0,,,0 HCPCS,86041,Acetylcholn rcptr bndng antb,,,18.4,38.19,7 HCPCS,86042,Acetylcholn rcptr blckg antb,,,18.4,38.19,7 HCPCS,86043,Acetylcholn rcptr modlg antb,,,12.05,25.02,7 HCPCS,86051,Aquaporin-4 antb elisa,,,10.95,25.77,8 HCPCS,86052,Aquaporin-4 antb cba each,,,11.45,26.93,8 HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,15.35,67.91,8 HCPCS,86060,Antistreptolysin o titer,,,6.94,30.51,8 HCPCS,86060,HC ASO LEVEL,52.0,52.0,,,0 HCPCS,86063,Antistreptolysin o screen,,,5.48,19.98,8 HCPCS,86077,Phys blood bank serv xmatch,,,27.82,51.88,8 HCPCS,86078,Phys blood bank serv reactj,,,45.14,305.56,8 HCPCS,86079,Phys blood bank serv authrj,,,45.43,178.65,8 HCPCS,86140,C-reactive protein,,,4.92,10.42,8 HCPCS,86140,HC C REACTIVE PROTEIN,34.0,34.0,,,0 HCPCS,86141,C-reactive protein hs,,,12.3,26.82,8 HCPCS,86141,HC C REACTIVE PROTEIN ULTRASENSITIVE,118.0,118.0,,,0 HCPCS,86146,Beta-2 glycoprotein antibody,,,15.31,45.81,8 HCPCS,86146,HC BETA 2 GLYCOPROTEIN I ANTIBODY EACH,121.0,121.0,,,0 HCPCS,86147,Cardiolipin antibody ea ig,,,17.47,45.81,8 HCPCS,86147,HC ANTICARDIOLIPIN ANTIBODY,188.0,188.0,,,0 HCPCS,86148,Anti-phospholipid antibody,,,15.27,69.18,8 HCPCS,86152,Cell enumeration & id,,,238.24,1058.23,8 HCPCS,86153,Cell enumeration phys interp,,,30.82,30.82,1 HCPCS,86155,Chemotaxis assay,,,15.19,68.84,8 HCPCS,86156,Cold agglutinin screen,,,7.67,51.87,8 HCPCS,86157,Cold agglutinin titer,,,7.66,30.1,8 HCPCS,86157,HC COLD AGGLUTININ TITER,52.0,52.0,,,0 HCPCS,86160,Complement antigen,,,11.4,47.23,8 HCPCS,86160,HC C3 COMPLEMENT AG,81.0,81.0,,,0 HCPCS,86160,HC C4 COMPLEMENT AG,81.0,81.0,,,0 HCPCS,86161,Complement/function activity,,,11.4,59.42,8 HCPCS,86162,Complement total (ch50),,,8.41,36.58,8 HCPCS,86162,HC COMPLEMENT TOTAL HEMOLYTIC CH50,42.0,42.0,,,0 HCPCS,86171,Complement fixation each,,,9.51,43.11,8 HCPCS,86200,Ccp antibody,,,12.3,42.04,8 HCPCS,86200,HC CYCLIC CITRULLINATED PEPTIDE AB,72.0,72.0,,,0 HCPCS,86215,Deoxyribonuclease antibody,,,9.61,23.85,8 HCPCS,86225,Dna antibody native,,,13.05,71.99,8 HCPCS,86225,HC ANTI DNA ANTIBODY,112.0,112.0,,,0 HCPCS,86226,Dna antibody single strand,,,11.5,50.22,8 HCPCS,86231,Ema each ig class,,,11.49,27.03,8 HCPCS,86231,HC ENDOMYSIAL ANTIBODY EACH IG CLASS,116.0,116.0,,,0 HCPCS,86235,HC NUCLEAR ANTIGEN ANTIBODY EACH,44.0,44.0,,,0 HCPCS,86235,Nuclear antigen antibody,,,16.47,32.27,8 HCPCS,86255,Fluorescent antibody screen,,,11.45,45.23,8 HCPCS,86255,HC SMOOTH MUSCLE ANTIBODY,69.0,69.0,,,0 HCPCS,86256,Fluorescent antibody titer,,,11.45,60.64,8 HCPCS,86256,HC MITOCHONDRIAL ANTIBODY TITER,90.0,90.0,,,0 HCPCS,86258,Dgp antibody each ig class,,,11.45,25.77,8 HCPCS,86258,HC GLIADIN DGP ANTIBODY EACH IG CLASS,89.0,89.0,,,0 HCPCS,86277,Growth hormone antibody,,,14.95,67.79,8 HCPCS,86280,Hemagglutination inhibition,,,7.78,35.28,8 HCPCS,86294,Immunoassay tumor qual,,,24.29,68.57,8 HCPCS,86300,HC CANCER ANTIGEN 15 3,179.0,179.0,,,0 HCPCS,86300,Immunoassay tumor ca 15-3,,,19.77,114.34,8 HCPCS,86301,HC CANCER ANTIGEN 19 9,179.0,179.0,,,0 HCPCS,86301,Immunoassay tumor ca 19-9,,,19.77,114.34,8 HCPCS,86304,HC CANCER ANTIGEN 125,196.0,196.0,,,0 HCPCS,86304,Immunoassay tumor ca 125,,,19.77,114.34,8 HCPCS,86305,Human epididymis protein 4,,,19.77,89.64,8 HCPCS,86308,HC MONONUCLEOSIS SCREEN,50.0,50.0,,,0 HCPCS,86308,Heterophile antibody screen,,,4.92,29.08,8 HCPCS,86309,Heterophile antibody titer,,,6.15,27.84,8 HCPCS,86310,Heterophile antibody absrbj,,,7.0,31.74,8 HCPCS,86316,HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE,52.0,52.0,,,0 HCPCS,86316,Immunoassay tumor other,,,19.77,37.66,8 HCPCS,86317,HC 0070070 IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS QUEST,15.42,15.42,,,0 HCPCS,86317,Immunoassay infectious agent,,,3.76,26.98,8 HCPCS,86318,Immunoassay infectious agent,,,17.19,55.73,8 HCPCS,86320,Serum immunoelectrophoresis,,,28.42,96.54,8 HCPCS,86325,Other immunoelectrophoresis,,,21.97,96.34,8 HCPCS,86327,Immunoelectrophoresis assay,,,28.42,28.42,1 HCPCS,86328,Ia nfct ab sarscov2 covid19,,,38.41,81.5,8 HCPCS,86329,Immunodiffusion nes,,,13.35,50.14,8 HCPCS,86331,Immunodiffusion ouchterlony,,,11.38,80.52,8 HCPCS,86332,Immune complex assay,,,23.15,141.42,8 HCPCS,86334,HC IMMUNOELECTROPHORESIS SERUM,135.0,135.0,,,0 HCPCS,86334,Immunofix e-phoresis serum,,,21.22,95.55,8 HCPCS,86335,HC IMMUNOELECTROPHORESIS UR,204.0,204.0,,,0 HCPCS,86335,Immunfix e-phorsis/urine/csf,,,27.88,127.88,8 HCPCS,86336,HC INHIBIN A MATERNAL,39.0,39.0,,,0 HCPCS,86336,Inhibin A,,,14.81,67.13,8 HCPCS,86337,Insulin antibodies,,,20.34,43.45,8 HCPCS,86340,Intrinsic factor antibody,,,14.12,27.14,8 HCPCS,86341,HC 0037933 ISLET CELL ANTIBODY QUEST,37.16,37.16,,,0 HCPCS,86341,Islet cell antibody,,,21.9,42.43,8 HCPCS,86343,Leukocyte histamine release,,,11.84,53.65,8 HCPCS,86344,Leukocyte phagocytosis,,,9.87,34.37,8 HCPCS,86352,Cell function assay w/stim,,,129.07,585.15,8 HCPCS,86352,HC CELLULAR FUNCTION ASSAY,991.0,991.0,,,0 HCPCS,86353,Lymphocyte transformation,,,46.58,253.39,8 HCPCS,86355,B cells total count,,,35.84,134.62,8 HCPCS,86355,HC B CELL TOTAL CT,210.0,210.0,,,0 HCPCS,86356,HC MONONUCLEAR CELL ANT QUANT,195.0,195.0,,,0 HCPCS,86356,Mononuclear cell antigen,,,25.44,123.17,8 HCPCS,86357,HC NATURAL KILLER TOTAL,141.0,141.0,,,0 HCPCS,86357,Nk cells total count,,,35.84,109.1,8 HCPCS,86359,HC ALLO CD 3 ENUMERATION,318.0,318.0,,,0 HCPCS,86359,HC T CELL TOTAL COUNT,243.0,243.0,,,0 HCPCS,86359,T cells total count,,,35.84,156.45,8 HCPCS,86360,HC CD4 AND CD8 ABS CT W RATIO,262.0,262.0,,,0 HCPCS,86360,T cell absolute count/ratio,,,44.63,167.14,8 HCPCS,86361,HC ABSOLUTE CD4 COUNT,140.0,140.0,,,0 HCPCS,86361,T cell absolute count,,,25.44,89.49,8 HCPCS,86362,Mog-igg1 antb cba each,,,11.45,26.93,8 HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,15.35,67.91,8 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE EACH IG CLASS,87.0,87.0,,,0 HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,10.95,25.77,8 HCPCS,86366,Muscle-specific kinase antb,,,18.4,38.19,7 HCPCS,86367,HC ALLO STEM CELLS TOTAL CD34,284.9,284.9,,,0 HCPCS,86367,HC AUTO STEM CELLS TOTAL CD34,491.0,491.0,,,0 HCPCS,86367,HC STEM CELL TOTAL CT,326.0,326.0,,,0 HCPCS,86367,Stem cells total count,,,73.89,229.98,8 HCPCS,86376,HC ANTI THYROID,119.0,119.0,,,0 HCPCS,86376,Microsomal antibody each,,,13.82,32.4,8 HCPCS,86381,HC MITOCHONDRIAL ANTIBODY EACH,116.0,116.0,,,0 HCPCS,86381,Mitochondrial antibody each,,,24.18,56.87,8 HCPCS,86382,Neutralization test viral,,,16.06,103.57,8 HCPCS,86384,Nitroblue tetrazolium dye,,,12.93,253.43,8 HCPCS,86386,Nuclear matrix protein 22,,,20.69,40.83,8 HCPCS,86403,Particle agglut antbdy scrn,,,10.96,48.43,8 HCPCS,86406,Particle agglut antbdy titr,,,10.11,45.79,8 HCPCS,86408,Neutrlzg antb sarscov2 scr,,,35.78,75.83,8 HCPCS,86409,Neutrlzg antb sarscov2 titer,,,67.59,143.3,8 HCPCS,86413,Sars-cov-2 antb quantitative,,,42.13,92.57,8 HCPCS,86430,Rheumatoid factor test qual,,,5.83,24.4,8 HCPCS,86431,HC RHEUMATOID FACTOR QUANT,50.0,50.0,,,0 HCPCS,86431,Rheumatoid factor quant,,,5.39,29.08,8 HCPCS,86480,HC LAB TB TEST QUANTIFERON GOLD,205.0,205.0,,,0 HCPCS,86480,Tb test cell immun measure,,,58.88,131.56,8 HCPCS,86481,Tb ag response t-cell susp,,,34.37,180.0,8 HCPCS,86485,Skin test candida,,,16.72,61.99,8 HCPCS,86486,Skin test nos antigen,,,5.63,51.88,4 HCPCS,86490,Coccidioidomycosis skin test,,,68.39,68.39,1 HCPCS,86510,Histoplasmosis skin test,,,6.51,66.99,8 HCPCS,86580,HC TB TESTING,108.0,108.0,,,0 HCPCS,86580,TB intradermal test,,,8.85,69.28,8 HCPCS,86581,Strptcs pneum antb serot ia,,,92.03,180.12,7 HCPCS,86590,Streptokinase antibody,,,12.03,25.62,8 HCPCS,86592,HC IDM STS MI BLOOD,13.0,13.0,,,0 HCPCS,86592,HC RPR,37.0,37.0,,,0 HCPCS,86592,HC VDRL/RPR QUALITATIVE CSF,13.0,13.0,,,0 HCPCS,86592,Syphilis test non-trep qual,,,4.06,8.94,8 HCPCS,86593,HC RPR TITER,40.0,40.0,,,0 HCPCS,86593,Syphilis test non-trep quant,,,4.18,23.56,8 HCPCS,86596,Voltage-gtd ca chnl antb ea,,,11.45,41.1,8 HCPCS,86602,Antinomyces antibody,,,9.67,43.83,8 HCPCS,86603,Adenovirus antibody,,,12.23,94.79,8 HCPCS,86606,Aspergillus antibody,,,14.3,61.69,8 HCPCS,86609,Bacterium antibody,,,12.24,55.45,8 HCPCS,86611,Bartonella Antibody,,,9.67,25.01,8 HCPCS,86612,Blastomyces antibody,,,12.26,49.9,8 HCPCS,86612,HC 0070070 ANTIBODY BLASTOMYCES QUEST,6.73,6.73,,,0 HCPCS,86615,Bordetella antibody,,,12.53,104.32,8 HCPCS,86617,Lyme disease antibody,,,9.41,27.88,8 HCPCS,86618,HC LYME DISEASE ANTIBODY,139.0,139.0,,,0 HCPCS,86618,Lyme disease antibody,,,6.1,30.65,8 HCPCS,86619,Borrelia antibody,,,12.71,57.24,8 HCPCS,86622,Brucella antibody,,,8.48,38.46,8 HCPCS,86625,Campylobacter antibody,,,12.46,56.51,8 HCPCS,86628,Candida antibody,,,11.41,51.72,8 HCPCS,86631,Chlamydia antibody,,,8.29,21.28,8 HCPCS,86632,Chlamydia igm antibody,,,8.88,22.82,8 HCPCS,86635,Coccidioides antibody,,,10.9,27.04,8 HCPCS,86638,Q fever antibody,,,11.51,34.35,8 HCPCS,86641,Cryptococcus antibody,,,13.69,57.24,8 HCPCS,86644,CMV antibody,,,6.41,25.9,8 HCPCS,86644,HC CMV SCREEN,117.0,117.0,,,0 HCPCS,86644,HC IDM ANTI CMV MI BLOOD,49.0,49.0,,,0 HCPCS,86645,Cmv antibody igm,,,16.01,87.23,8 HCPCS,86645,HC CMV IGM QUALITATIVE,136.0,136.0,,,0 HCPCS,86648,Diphtheria antibody,,,14.36,27.38,8 HCPCS,86651,Encephalitis californ antbdy,,,12.53,56.8,8 HCPCS,86652,Encephaltis east eqne anbdy,,,12.53,56.8,8 HCPCS,86653,Encephaltis st louis antbody,,,12.53,56.8,8 HCPCS,86654,Encephaltis west eqne antbdy,,,12.53,56.8,8 HCPCS,86658,Enterovirus antibody,,,5.92,23.45,8 HCPCS,86663,Epstein-barr antibody,,,12.46,67.94,8 HCPCS,86663,HC EB VIRUS EARLY AG,105.0,105.0,,,0 HCPCS,86664,Epstein-barr nuclear antigen,,,14.53,80.4,8 HCPCS,86664,HC EB VIRUS EBNA,125.0,125.0,,,0 HCPCS,86665,Epstein-barr capsid vca,,,17.23,94.2,8 HCPCS,86665,HC EBV AB IGG OR IGM EA,147.0,147.0,,,0 HCPCS,86666,Ehrlichia Antibody,,,9.67,78.58,8 HCPCS,86668,Francisella tularensis,,,13.45,44.8,8 HCPCS,86671,Fungus nes antibody,,,11.64,22.05,8 HCPCS,86674,Giardia lamblia antibody,,,13.98,57.24,8 HCPCS,86677,Helicobacter pylori antibody,,,16.01,76.2,8 HCPCS,86682,Helminth antibody,,,12.36,56.03,8 HCPCS,86684,Hemophilus influenza antibdy,,,10.73,28.51,8 HCPCS,86687,HC IDM ANTI HTLV I MI BLOOD,12.0,12.0,,,0 HCPCS,86687,Htlv-i antibody,,,5.28,16.36,8 HCPCS,86688,HC IDM ANTI HTLV II MI BLOOD,47.0,47.0,,,0 HCPCS,86688,Htlv-ii antibody,,,5.28,25.2,8 HCPCS,86689,HC HTLV OR HIV ANTIBODY CONFIRMATORY TEST,182.0,182.0,,,0 HCPCS,86689,Htlv/hiv confirmj antibody,,,18.38,125.06,8 HCPCS,86692,Hepatitis delta agent antbdy,,,16.3,57.24,8 HCPCS,86694,Herpes simplex nes antbdy,,,13.67,74.78,8 HCPCS,86695,HC HERPES IGG TP1,108.0,108.0,,,0 HCPCS,86695,Herpes simplex type 1 test,,,12.53,69.24,8 HCPCS,86696,HC HERPES IGG TP2,102.0,102.0,,,0 HCPCS,86696,Herpes simplex type 2 test,,,18.38,140.81,8 HCPCS,86698,Histoplasma antibody,,,6.27,24.82,8 HCPCS,86701,Hiv-1antibody,,,8.45,125.06,8 HCPCS,86702,Hiv-2 antibody,,,12.84,125.07,8 HCPCS,86703,HC HIV QUICK TEST,85.0,85.0,,,0 HCPCS,86703,HC IDM ANTI HIV MI BLOOD,47.0,47.0,,,0 HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,6.41,24.68,8 HCPCS,86704,HC HEP B CORE ANTIBODY,93.0,93.0,,,0 HCPCS,86704,HC IDM ANTI HBC MI BLOOD,41.0,41.0,,,0 HCPCS,86704,Hep b core antibody total,,,6.41,21.69,8 HCPCS,86705,HC HEP B CORE AB IGM,90.0,90.0,,,0 HCPCS,86705,Hep b core antibody igm,,,11.18,52.97,8 HCPCS,86706,HC HEP B SURFACE AB,82.0,82.0,,,0 HCPCS,86706,HC IDM HBSAG MI BLOOD,36.0,36.0,,,0 HCPCS,86706,Hep b surface antibody,,,6.41,19.33,8 HCPCS,86707,Hepatitis be antibody,,,10.01,20.83,8 HCPCS,86708,HC HEP A ANTIBODY,72.0,72.0,,,0 HCPCS,86708,Hepatitis a antibody,,,11.77,56.63,8 HCPCS,86709,HC ANTI HAV IGM,85.0,85.0,,,0 HCPCS,86709,Hepatitis a igm antibody,,,10.7,49.27,8 HCPCS,86710,Influenza virus antibody,,,10.27,24.39,8 HCPCS,86711,John cunningham antibody,,,16.05,59.29,8 HCPCS,86713,Legionella antibody,,,14.54,57.24,8 HCPCS,86717,Leishmania antibody,,,11.64,52.74,8 HCPCS,86720,Leptospira antibody,,,15.39,56.8,8 HCPCS,86723,Listeria monocytogenes,,,12.53,56.8,8 HCPCS,86727,Lymph choriomeningitis ab,,,12.23,55.41,8 HCPCS,86732,Mucormycosis antibody,,,14.25,56.8,8 HCPCS,86735,HC MUMPS IGG AB,105.0,105.0,,,0 HCPCS,86735,Mumps antibody,,,12.4,34.35,8 HCPCS,86738,HC MYCOPLASMA ANTIBODY,108.0,108.0,,,0 HCPCS,86738,Mycoplasma antibody,,,12.58,33.09,8 HCPCS,86741,Neisseria meningitidis,,,12.53,56.8,8 HCPCS,86744,Nocardia antibody,,,15.19,56.8,8 HCPCS,86747,Parvovirus antibody,,,7.07,27.05,8 HCPCS,86750,Malaria antibody,,,12.53,56.8,8 HCPCS,86753,HC IDM CHAGAS MI BLOOD,42.0,42.0,,,0 HCPCS,86753,Protozoa antibody nos,,,11.77,32.71,8 HCPCS,86756,Respiratory virus antibody,,,15.1,55.49,8 HCPCS,86757,Rickettsia Antibody,,,18.38,37.65,8 HCPCS,86759,Rotavirus antibody,,,17.32,56.8,8 HCPCS,86762,HC RUBELLA ANTIBODY IGG,101.0,101.0,,,0 HCPCS,86762,Rubella antibody,,,13.67,65.04,8 HCPCS,86765,HC RUBEOLA IGG,117.0,117.0,,,0 HCPCS,86765,Rubeola antibody,,,12.24,74.78,8 HCPCS,86768,Salmonella antibody,,,12.53,56.8,8 HCPCS,86769,HC SARS-COV-2 COVID-19 ANTIBODY,60.0,60.0,,,0 HCPCS,86769,Sars-cov-2 covid-19 antibody,,,35.78,75.83,8 HCPCS,86771,Shigella antibody,,,23.26,56.8,8 HCPCS,86774,Tetanus antibody,,,11.94,26.64,8 HCPCS,86777,HC TOXOPLASMOSIS AB,117.0,117.0,,,0 HCPCS,86777,Toxoplasma antibody,,,13.67,74.78,8 HCPCS,86778,HC TOXOPLASMA ANTIBODY,117.0,117.0,,,0 HCPCS,86778,Toxoplasma antibody igm,,,13.69,74.78,8 HCPCS,86780,HC SYPHILIS IGG AB,94.0,94.0,,,0 HCPCS,86780,Treponema pallidum,,,12.58,60.56,8 HCPCS,86784,Trichinella antibody,,,11.93,54.1,8 HCPCS,86787,HC VARICELLA ZOS IGG,109.0,109.0,,,0 HCPCS,86787,Varicella-zoster antibody,,,12.24,65.24,8 HCPCS,86788,West nile virus ab igm,,,16.01,51.03,8 HCPCS,86789,West Nile Virus Antibody,,,13.67,48.52,8 HCPCS,86790,Virus antibody nos,,,12.24,23.18,8 HCPCS,86793,Yersinia antibody,,,12.53,56.8,8 HCPCS,86794,Zika virus igm antibody,,,16.01,57.24,8 HCPCS,86800,HC THYROGLOBULIN ANTIBODY,74.0,74.0,,,0 HCPCS,86800,Thyroglobulin antibody,,,8.67,28.64,8 HCPCS,86803,HC HEPATITIS C AB DX,108.0,108.0,,,0 HCPCS,86803,HC HEPATITIS C AB SCR,108.0,108.0,,,0 HCPCS,86803,HC IDM ANTI HCV MI BLOOD,48.0,48.0,,,0 HCPCS,86803,Hepatitis c ab test,,,13.56,26.82,8 HCPCS,86804,Hep c ab test confirm,,,14.72,66.71,8 HCPCS,86805,Lymphocytotoxicity assay,,,118.42,341.12,8 HCPCS,86806,Lymphocytotoxicity assay,,,45.21,204.96,8 HCPCS,86807,Cytotoxic antibody screening,,,74.72,170.45,8 HCPCS,86808,Cytotoxic antibody screening,,,28.2,127.82,8 HCPCS,86812,HC HLA B27,143.0,143.0,,,0 HCPCS,86812,Hla typing a b or c,,,24.52,91.9,8 HCPCS,86813,Hla typing a b or c,,,55.1,239.99,8 HCPCS,86816,Hla typing dr/dq,,,28.66,100.14,8 HCPCS,86817,Hla typing dr/dq,,,100.83,239.99,8 HCPCS,86821,Lymphocyte culture mixed,,,34.73,243.18,8 HCPCS,86825,Hla x-math non-cytotoxic,,,104.02,353.53,8 HCPCS,86826,Hla x-match noncytotoxc addl,,,33.18,65.75,8 HCPCS,86828,HC ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL,160.0,160.0,,,0 HCPCS,86828,Hla class i&ii antibody qual,,,60.98,184.14,8 HCPCS,86829,Hla class i/ii antibody qual,,,60.98,127.82,8 HCPCS,86830,Hla class i phenotype qual,,,90.74,220.98,8 HCPCS,86831,Hla class ii phenotype qual,,,77.79,298.05,8 HCPCS,86832,HC ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL,809.0,809.0,,,0 HCPCS,86832,Hla class i high defin qual,,,261.04,582.75,8 HCPCS,86833,HC ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL,815.0,815.0,,,0 HCPCS,86833,Hla class ii high defin qual,,,229.2,586.44,8 HCPCS,86834,Hla class i semiquant panel,,,339.68,1540.0,8 HCPCS,86835,Hla class ii semiquant panel,,,306.81,1390.97,8 HCPCS,86850,HC ANTIBODY SCREEN,56.0,56.0,,,0 HCPCS,86850,HC IDM ANTIBODY SCREEN MI BLOOD,56.0,56.0,,,0 HCPCS,86850,RBC antibody screen,,,9.28,93.46,8 HCPCS,86860,HC ANTIBODY ELUTION VERSITI,44.0,44.0,,,0 HCPCS,86860,HC ELUTION,62.23,62.23,,,0 HCPCS,86860,RBC antibody elution,,,26.69,305.56,8 HCPCS,86870,HC ANTIBODY IDENTIFICATION,331.0,331.0,,,0 HCPCS,86870,HC ANTIBODY IDENTIFICATION VERSITI,107.0,107.0,,,0 HCPCS,86870,RBC antibody identification,,,36.66,642.88,8 HCPCS,86880,Coombs test direct,,,5.12,105.8,8 HCPCS,86880,HC 3009 ANTIGLOBULIN VERSITI,29.0,29.0,,,0 HCPCS,86880,HC ANTIGLOBULIN DIRECT,71.0,71.0,,,0 HCPCS,86885,Coombs test indirect qual,,,5.43,305.56,8 HCPCS,86886,Coombs test indirect titer,,,4.92,305.56,8 HCPCS,86886,HC ANTIBODY TITER,69.88,69.88,,,0 HCPCS,86890,Autologous blood process,,,83.88,307.65,8 HCPCS,86891,Autologous blood op salvage,,,118.48,1445.01,8 HCPCS,86900,Blood typing serologic abo,,,2.84,238.63,8 HCPCS,86900,HC ABO,127.0,127.0,,,0 HCPCS,86900,HC ABO VERSITI,16.0,16.0,,,0 HCPCS,86900,HC IDM ABO MI BLOOD,127.0,127.0,,,0 HCPCS,86901,Blood typing serologic rh(d),,,2.84,66.99,8 HCPCS,86901,HC IDM RH MI BLOOD,37.0,37.0,,,0 HCPCS,86901,HC RH TYPING VERSITI,16.0,16.0,,,0 HCPCS,86902,Blood type antigen donor ea,,,6.03,642.88,8 HCPCS,86902,HC AGCHGV1 BLOOD TYPE ANTIGEN DONOR EA VERSITI,306.0,306.0,,,0 HCPCS,86902,HC AGCHGV2 BLOOD TYPE ANTIGEN DONOR EA VERSITI,306.0,306.0,,,0 HCPCS,86902,HC AGCHGV3 BLOOD TYPE ANTIGEN DONOR EA VERSITI,306.0,306.0,,,0 HCPCS,86902,HC AGCHGV4 BLOOD TYPE ANTIGEN DONOR EA VERSITI,306.0,306.0,,,0 HCPCS,86904,Blood typing patient serum,,,12.82,105.8,8 HCPCS,86905,Blood typing rbc antigens,,,3.64,642.88,8 HCPCS,86905,HC ANTIGEN TESTING ANTIGLOBULIN,331.0,331.0,,,0 HCPCS,86905,HC ANTIGEN TYPE PT VERSITI,40.0,40.0,,,0 HCPCS,86906,Bld typing serologic rh phnt,,,7.36,67.16,8 HCPCS,86906,HC RH PHENOTYPE VERSITI,57.0,57.0,,,0 HCPCS,86910,Blood typing paternity test,,,21.7,79.99,5 HCPCS,86911,Blood typing antigen system,,,18.77,68.72,5 HCPCS,86920,Compatibility test spin,,,17.37,305.56,8 HCPCS,86920,HC CROSSMATCH IMMEDIATE SPIN,169.0,169.0,,,0 HCPCS,86921,Compatibility test incubate,,,17.37,305.56,8 HCPCS,86922,Compatibility test antiglob,,,31.67,305.56,8 HCPCS,86922,HC CROSSMATCH ANTIGLOBULIN,169.0,169.0,,,0 HCPCS,86923,Compatibility test electric,,,21.21,305.56,8 HCPCS,86923,HC ELECTRONIC CROSSMATCH,169.0,169.0,,,0 HCPCS,86927,Plasma fresh frozen,,,16.72,305.56,8 HCPCS,86930,Frozen blood prep,,,98.83,361.7,8 HCPCS,86931,Frozen blood thaw,,,74.2,305.56,8 HCPCS,86932,Frozen blood freeze/thaw,,,37.22,307.65,8 HCPCS,86940,Hemolysins/agglutinins auto,,,8.33,30.48,8 HCPCS,86941,HC ISOHEMAGGLUTININS,54.0,54.0,,,0 HCPCS,86941,Hemolysins/agglutinins,,,11.5,30.48,8 HCPCS,86945,Blood product/irradiation,,,24.64,90.13,8 HCPCS,86945,HC IRRADIATION,38.54,38.54,,,0 HCPCS,86950,Leukacyte transfusion,,,64.23,305.56,8 HCPCS,86960,HC VOLUME REDUCTION BLOOD OR PRODUCT,35.76,35.76,,,0 HCPCS,86960,Vol reduction of blood/prod,,,22.18,305.56,8 HCPCS,86965,Pooling blood platelets,,,27.57,305.56,8 HCPCS,86970,Rbc pretx incubatj w/chemicl,,,24.64,105.8,8 HCPCS,86971,Rbc pretx incubatj w/enzymes,,,19.65,305.56,8 HCPCS,86972,Rbc pretx incubatj w/density,,,34.61,305.56,8 HCPCS,86975,Rbc serum pretx incubj drugs,,,26.69,801.21,8 HCPCS,86976,Rbc serum pretx id dilution,,,28.82,108.16,8 HCPCS,86977,Rbc serum pretx incubj/inhib,,,29.62,305.56,8 HCPCS,86978,HC ALLO DIFF RBC ABSORPTION VERSITI,133.0,133.0,,,0 HCPCS,86978,Rbc pretreatment serum,,,29.62,105.8,8 HCPCS,86985,HC VOLUME BLOOD PROD ALIQUOTING,67.51,67.51,,,0 HCPCS,86985,Split blood or products,,,21.7,305.56,8 HCPCS,86999,Transfusion procedure,,,28.82,51.88,3 HCPCS,87003,Small animal inoculation,,,16.0,72.52,8 HCPCS,87015,HC AFB CONCENTRATION,14.0,14.0,,,0 HCPCS,87015,Specimen infect agnt concntj,,,5.17,12.02,8 HCPCS,87040,Blood culture for bacteria,,,9.8,40.89,8 HCPCS,87040,HC CULTURE BLOOD,62.0,62.0,,,0 HCPCS,87045,Feces culture aerobic bact,,,8.97,37.28,8 HCPCS,87046,Stool cultr aerobic bact ea,,,8.97,24.81,8 HCPCS,87070,Culture othr specimn aerobic,,,8.19,35.01,8 HCPCS,87070,HC CULTURE AEROBIC,53.0,53.0,,,0 HCPCS,87070,HC CULTURE CSF,53.0,53.0,,,0 HCPCS,87070,HC CULTURE TISSUE,53.0,53.0,,,0 HCPCS,87070,HC STERILITY CHECK,53.0,53.0,,,0 HCPCS,87071,Culture aerobic quant other,,,9.4,25.94,8 HCPCS,87071,HC CULTURE QUANTITATIVE,40.0,40.0,,,0 HCPCS,87073,Culture Bacteria Anaerobic,,,9.18,40.68,8 HCPCS,87075,Cultr bacteria except blood,,,9.0,37.73,8 HCPCS,87075,HC CULTURE ANAEROBIC,57.0,57.0,,,0 HCPCS,87076,Culture anaerobe ident each,,,7.68,51.35,8 HCPCS,87076,HC ID CULT ANAER EA ISOLATE,79.0,79.0,,,0 HCPCS,87077,Culture Aerobic Identify,,,7.68,44.44,8 HCPCS,87077,HC ID CULT AEROB EA ISOLATE,67.0,67.0,,,0 HCPCS,87081,Culture screen only,,,6.3,26.23,8 HCPCS,87081,HC BACTERIA CULTURE SCREEN,40.0,40.0,,,0 HCPCS,87081,HC CULTURE LEGIONELLA,18.0,18.0,,,0 HCPCS,87081,HC STAPH AUREUS SCREEN,18.0,18.0,,,0 HCPCS,87084,Culture of specimen by kit,,,11.89,48.73,8 HCPCS,87086,HC CULTURE URINE,50.0,50.0,,,0 HCPCS,87086,Urine culture/colony count,,,7.67,32.81,8 HCPCS,87088,Urine bacteria culture,,,7.69,16.39,8 HCPCS,87101,HC CULT FUNGUS HAIR SKIN OR NAILS,46.0,46.0,,,0 HCPCS,87101,Skin fungi culture,,,7.32,30.37,8 HCPCS,87102,Fungus isolation culture,,,7.99,33.49,8 HCPCS,87102,HC CULTURE FUNGUS,51.0,51.0,,,0 HCPCS,87103,Blood fungus culture,,,19.44,36.83,8 HCPCS,87103,HC CULT BLOOD FUNGUS,54.0,54.0,,,0 HCPCS,87106,Fungi identification yeast,,,9.8,40.89,8 HCPCS,87106,HC ID CULT YEAST,62.0,62.0,,,0 HCPCS,87107,Fungi identification mold,,,9.8,56.73,8 HCPCS,87107,HC ID CULT MOLD,83.0,83.0,,,0 HCPCS,87109,HC CULT MYCOPLASMA,85.0,85.0,,,0 HCPCS,87109,Mycoplasma,,,14.62,60.78,8 HCPCS,87110,Chlamydia culture,,,18.62,77.49,8 HCPCS,87116,HC ACID FAST CULTURE,65.0,65.0,,,0 HCPCS,87116,HC CULT BLOOD AFB,65.0,65.0,,,0 HCPCS,87116,Mycobacteria culture,,,10.26,42.99,8 HCPCS,87118,Mycobacteric identification,,,13.88,47.13,8 HCPCS,87140,Culture type immunofluoresc,,,5.29,23.98,8 HCPCS,87143,Culture typing glc/hplc,,,11.89,22.54,8 HCPCS,87147,Culture type immunologic,,,4.92,18.95,8 HCPCS,87147,HC CULT TYPING IMUN METHOD EA,28.0,28.0,,,0 HCPCS,87149,Dna/rna direct probe,,,19.05,86.38,8 HCPCS,87150,Dna/rna amplified probe,,,33.34,151.13,8 HCPCS,87152,Culture Type Pulse Field Gel,,,7.35,22.54,8 HCPCS,87153,Dna/rna sequencing,,,109.59,496.82,8 HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,207.16,487.16,8 HCPCS,87154,HC CUL TYP ID BLD PTHGN 6+ TRGT,480.0,480.0,,,0 HCPCS,87158,Culture typing added method,,,7.35,22.54,8 HCPCS,87164,Dark field examination,,,10.2,46.24,8 HCPCS,87166,Dark field examination,,,10.74,30.48,8 HCPCS,87168,HC MACRO EXAM ARTHROPOD,11.0,11.0,,,0 HCPCS,87168,Macroscopic Exam Arthropod,,,4.06,19.23,8 HCPCS,87169,HC MACRO EXAM PARASITE,32.0,32.0,,,0 HCPCS,87169,Macroscopic exam parasite,,,4.09,36.02,8 HCPCS,87172,HC PINWORM PREP,36.0,36.0,,,0 HCPCS,87172,Pinworm Exam,,,4.06,23.46,8 HCPCS,87176,HC TISSUE HOMOGENIZATION FOR CULTURE,34.0,34.0,,,0 HCPCS,87176,Tissue homogenization cultr,,,5.59,23.06,8 HCPCS,87177,HC OVA AND PARASITES,54.0,54.0,,,0 HCPCS,87177,Ova and parasites smears,,,8.46,35.63,8 HCPCS,87181,HC MIC E TEST EACH,15.0,15.0,,,0 HCPCS,87181,Microbe susceptible diffuse,,,4.51,10.32,8 HCPCS,87183,Sc std carbapenem resist gen,,,35.09,63.16,3 HCPCS,87184,HC SUSCEPTIBILITY DISK METHOD,42.0,42.0,,,0 HCPCS,87184,Microbe susceptible disk,,,7.11,27.21,8 HCPCS,87185,HC SUSCEPTIBILITY STUDY ENZYME,20.0,20.0,,,0 HCPCS,87185,Microbe susceptible enzyme,,,4.51,13.34,8 HCPCS,87186,HC MIC TEST,53.0,53.0,,,0 HCPCS,87186,HC YEAST ANTIFUNGAL MIC,53.0,53.0,,,0 HCPCS,87186,Microbe susceptible mic,,,8.22,34.58,8 HCPCS,87187,Microbe susceptible mlc,,,25.44,72.31,8 HCPCS,87188,Microbe suscept macrobroth,,,6.31,28.59,8 HCPCS,87190,Microbe suscept mycobacteri,,,6.94,24.33,8 HCPCS,87197,Bactericidal level serum,,,14.27,50.96,8 HCPCS,87205,HC GRAM STAIN,25.0,25.0,,,0 HCPCS,87205,Smear gram stain,,,4.06,16.73,8 HCPCS,87206,HC ACID FAST SMEAR,31.0,31.0,,,0 HCPCS,87206,HC CALCOFLO WHITE STAIN,31.0,31.0,,,0 HCPCS,87206,Smear fluorescent/acid stai,,,5.12,22.67,8 HCPCS,87207,HC PARASITEMIA LEVEL,28.0,28.0,,,0 HCPCS,87207,Smear special stain,,,5.69,53.81,8 HCPCS,87209,HC TRICHROME STAIN,101.0,101.0,,,0 HCPCS,87209,Smear complex stain,,,17.08,72.16,8 HCPCS,87210,HC WET MOUNT INFECTIOUS AGENTS,68.0,68.0,,,0 HCPCS,87210,Smear wet mount saline/ink,,,5.53,47.66,8 HCPCS,87220,HC KOH TISSUE SLIDE,25.0,25.0,,,0 HCPCS,87220,Tissue exam for fungi,,,4.06,37.33,8 HCPCS,87230,Assay toxin or antitoxin,,,18.75,78.48,8 HCPCS,87250,Virus inoculate eggs/animal,,,18.58,84.25,8 HCPCS,87252,HC VIRAL CULTURE,144.0,144.0,,,0 HCPCS,87252,Virus inoculation tissue,,,24.77,102.64,8 HCPCS,87253,Virus inoculate tissue addl,,,19.19,79.63,8 HCPCS,87254,HC VIRAL SHELL W STAIN,111.0,111.0,,,0 HCPCS,87254,Virus inoculation shell via,,,18.58,79.5,8 HCPCS,87255,Genet virus isolate hsv,,,32.17,145.85,8 HCPCS,87260,Adenovirus ag if,,,13.71,51.62,8 HCPCS,87265,Pertussis ag if,,,11.38,51.62,8 HCPCS,87267,Enterovirus antibody dfa,,,12.75,51.62,8 HCPCS,87269,Giardia ag if,,,12.93,38.48,8 HCPCS,87270,Chlamydia trachomatis ag if,,,11.38,51.62,8 HCPCS,87271,Cytomegalovirus dfa,,,12.75,51.62,8 HCPCS,87272,Cryptosporidium ag if,,,11.38,38.48,8 HCPCS,87273,Herpes simplex 2 ag if,,,11.38,51.62,8 HCPCS,87274,Herpes simplex 1 ag if,,,11.38,51.62,8 HCPCS,87275,Influenza b ag if,,,11.64,51.62,8 HCPCS,87276,Influenza a ag if,,,15.27,51.62,8 HCPCS,87278,HC LEGIONELLA PNEUMOPHILA DFA,53.0,53.0,,,0 HCPCS,87278,Legion pneumophilia ag if,,,14.82,38.49,8 HCPCS,87279,Parainfluenza ag if,,,15.61,51.62,8 HCPCS,87280,Respiratory syncytial ag if,,,12.75,51.62,8 HCPCS,87281,Pneumocystis carinii ag if,,,11.38,38.48,8 HCPCS,87283,Rubeola ag if,,,29.43,109.44,8 HCPCS,87285,Treponema pallidum ag if,,,11.57,51.62,8 HCPCS,87290,Varicella zoster ag if,,,12.75,38.49,8 HCPCS,87299,Antibody detection nos if,,,15.3,51.62,8 HCPCS,87300,Ag detection polyval if,,,11.38,51.62,8 HCPCS,87301,Adenovirus ag ia,,,11.38,51.62,8 HCPCS,87305,Aspergillus ag ia,,,11.38,137.74,8 HCPCS,87320,Chylmd trach ag ia,,,14.25,51.62,8 HCPCS,87324,Clostridium ag ia,,,11.38,38.49,8 HCPCS,87324,HC C DIFF TOXIN SCREEN,59.0,59.0,,,0 HCPCS,87327,Cryptococcus neoform ag ia,,,12.75,51.62,8 HCPCS,87328,Cryptosporidium ag ia,,,13.13,38.49,8 HCPCS,87328,HC O AND P SCR CRYPTOSPORIDIUM EIA,59.0,59.0,,,0 HCPCS,87329,Giardia ag ia,,,11.38,38.49,8 HCPCS,87329,HC O AND P SCR GIARDIA EIA,59.0,59.0,,,0 HCPCS,87332,Cytomegalovirus ag ia,,,11.38,51.62,8 HCPCS,87335,E coli 0157 ag ia,,,12.03,51.62,8 HCPCS,87336,Entamoeb hist dispr ag ia,,,15.2,51.62,8 HCPCS,87337,Entamoeb hist group ag ia,,,11.38,51.62,8 HCPCS,87338,HC IAAD EIA HPYLORI STOOL,75.0,75.0,,,0 HCPCS,87338,Hpylori stool ia,,,13.66,50.46,8 HCPCS,87339,H pylori ag ia,,,15.2,51.62,8 HCPCS,87340,HC HEP B SURF ANTIGEN,87.0,87.0,,,0 HCPCS,87340,Hepatitis b surface ag ia,,,9.81,56.55,8 HCPCS,87341,HC HEP B SURFACE AG NEUTRALIZATION,50.0,50.0,,,0 HCPCS,87341,Hepatitis b surface ag ia,,,9.81,151.85,8 HCPCS,87350,Hepatitis be ag ia,,,10.95,20.75,8 HCPCS,87380,Hepatitis delta ag ia,,,17.44,56.36,8 HCPCS,87385,Histoplasma capsul ag ia,,,12.59,101.36,8 HCPCS,87389,HC HIV-1 AG W/HIV-1 & HIV-2 AB DIAGNOSTIC,204.0,204.0,,,0 HCPCS,87389,HC HIV-1 AG W/HIV-1 & HIV-2 AB SCREEN,166.0,166.0,,,0 HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,22.88,146.27,8 HCPCS,87390,Hiv-1 ag ia,,,22.86,60.86,8 HCPCS,87391,Hiv-2 ag ia,,,20.81,43.95,8 HCPCS,87400,Influenza a/b ag ia,,,13.42,52.97,8 HCPCS,87420,Resp syncytial ag ia,,,13.21,38.48,8 HCPCS,87425,Rotavirus ag ia,,,11.38,38.48,8 HCPCS,87426,Coronavirus ag ia,,,30.0,63.59,8 HCPCS,87426,HC POC IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS,88.0,88.0,,,0 HCPCS,87427,Shiga-like toxin ag ia,,,11.38,38.48,8 HCPCS,87428,"HC LAB COVID, INFLUENZA A/B",99.0,99.0,,,0 HCPCS,87428,HC POC IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B,99.0,99.0,,,0 HCPCS,87428,Sarscov & inf vir a&b ag ia,,,53.99,126.52,8 HCPCS,87430,Strep a ag ia,,,15.97,51.62,8 HCPCS,87449,Ag detect nos ia mult,,,11.38,112.1,8 HCPCS,87449,HC C. DIFFICILE ANTIGEN EIA,30.0,30.0,,,0 HCPCS,87451,Ag detect polyval ia mult,,,9.98,41.29,8 HCPCS,87467,Hepatitis b surface ag quan,,,14.3,45.58,8 HCPCS,87468,Anaplsma phgcytophlm amp prb,,,33.34,77.14,8 HCPCS,87469,Babesia microti amp prb,,,33.34,77.14,8 HCPCS,87471,Bartonella dna amp probe,,,33.34,151.13,8 HCPCS,87472,Bartonella dna quant,,,40.7,184.48,8 HCPCS,87475,Lyme dis dna dir probe,,,19.05,86.38,8 HCPCS,87476,Lyme dis dna amp probe,,,33.34,151.13,8 HCPCS,87478,Borrelia miyamotoi amp prb,,,33.34,77.14,8 HCPCS,87480,Candida dna dir probe,,,19.05,86.38,8 HCPCS,87481,Candida dna amp probe,,,33.34,151.13,8 HCPCS,87482,Candida dna quant,,,52.95,179.84,8 HCPCS,87483,Cns dna amp probe type 12-25,,,395.94,1795.1,8 HCPCS,87483,HC CNS DNA AMP PROBE TYPE 12-25,1232.0,1232.0,,,0 HCPCS,87484,Ehrlicha chaffeensis amp prb,,,33.34,77.14,8 HCPCS,87485,Chylmd pneum dna dir probe,,,19.05,86.38,8 HCPCS,87486,Chylmd pneum dna amp probe,,,33.34,151.13,8 HCPCS,87487,Chylmd pneum dna quant,,,40.7,184.48,8 HCPCS,87490,Chylmd trach dna dir probe,,,21.61,86.38,8 HCPCS,87491,Chylmd trach dna amp probe,,,24.03,63.16,8 HCPCS,87491,HC CHLAMYDIA PCR RNA,131.0,131.0,,,0 HCPCS,87491,HC CHLAMYDIA PCR RNA-ALINITY,127.0,127.0,,,0 HCPCS,87492,Chylmd trach dna quant,,,50.8,150.55,8 HCPCS,87493,C diff amplified probe,,,35.41,105.32,8 HCPCS,87493,HC C DIFF AMPLIFIED PROBE TECH,162.0,162.0,,,0 HCPCS,87494,Chlmy trch&neisra gonor mult,,,70.18,126.32,3 HCPCS,87494,HC IADNA CHLMYD TRCHMTS&NEISRA GONORR MULT AMP PRB,175.0,175.0,,,0 HCPCS,87495,Cytomeg dna dir probe,,,28.53,86.38,8 HCPCS,87496,Cytomeg dna amp probe,,,33.34,151.13,8 HCPCS,87497,Cytomeg dna quant,,,40.7,250.75,8 HCPCS,87497,HC CMV QUANT,351.0,351.0,,,0 HCPCS,87498,Enterovirus probe&revrs trns,,,33.34,105.32,8 HCPCS,87498,HC ENTEROVIRUS PCR,162.0,162.0,,,0 HCPCS,87500,Vanomycin dna amp probe,,,33.34,151.13,8 HCPCS,87501,Influenza dna amp prob 1+,,,48.74,221.01,8 HCPCS,87502,HC FLU RT PCR 2 TYPES,311.0,311.0,,,0 HCPCS,87502,Influenza dna amp probe,,,91.01,281.92,8 HCPCS,87503,Influenza dna amp prob addl,,,27.76,68.9,8 HCPCS,87505,Nfct agent detection gi,,,121.88,552.53,8 HCPCS,87506,HC LAB ENTERIC PATH PCR VERIGENE,335.0,335.0,,,0 HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,105.45,473.38,8 HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,395.94,1795.1,8 HCPCS,87510,Gardner vag dna dir probe,,,19.05,86.38,8 HCPCS,87511,Gardner vag dna amp probe,,,33.34,151.13,8 HCPCS,87512,Gardner vag dna quant,,,39.67,179.84,8 HCPCS,87513,H pylri clrthmcn rst amp prb,,,35.09,65.99,7 HCPCS,87516,HC IDM HBV RNA MI BLOOD,45.0,45.0,,,0 HCPCS,87516,Hepatitis b dna amp probe,,,5.28,63.16,8 HCPCS,87517,HC HBV QUANT PCR,364.0,364.0,,,0 HCPCS,87517,Hepatitis b dna quant,,,40.7,259.97,8 HCPCS,87520,Hepatitis c rna dir probe,,,29.66,86.38,8 HCPCS,87521,HC IDM HCV RNA MI BLOOD,45.0,45.0,,,0 HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,6.41,63.16,8 HCPCS,87522,HC HCV QUANT PCR,309.0,309.0,,,0 HCPCS,87522,Hepatitis c revrs trnscrpj,,,40.7,221.54,8 HCPCS,87523,Hepatitis d quantification,,,42.84,88.91,7 HCPCS,87525,Hepatitis g dna dir probe,,,28.31,86.38,8 HCPCS,87526,Hepatitis g dna amp probe,,,37.3,151.13,8 HCPCS,87527,Hepatitis g dna quant,,,39.67,179.84,8 HCPCS,87528,Hsv dna dir probe,,,19.05,86.38,8 HCPCS,87529,HC HSV 1 OR 2 DNA PROBE,162.0,162.0,,,0 HCPCS,87529,Hsv dna amp probe,,,33.34,126.39,8 HCPCS,87530,Hsv dna quant,,,40.7,184.48,8 HCPCS,87531,Hhv-6 dna dir probe,,,49.24,104.4,8 HCPCS,87532,Hhv-6 dna amp probe,,,33.34,151.13,8 HCPCS,87533,Hhv-6 dna quant,,,39.67,265.18,8 HCPCS,87534,Hiv-1 dna dir probe,,,20.82,86.38,8 HCPCS,87535,HC IDM HIV1 RNA MI BLOOD,45.0,45.0,,,0 HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,5.28,63.16,8 HCPCS,87536,HC HIV 1 QUANT RNA PCR,446.0,446.0,,,0 HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,80.85,319.31,8 HCPCS,87537,Hiv-2 dna dir probe,,,20.82,86.38,8 HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,33.34,151.13,8 HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,55.69,184.48,8 HCPCS,87540,Legion pneumo dna dir prob,,,19.05,86.38,8 HCPCS,87541,Legion pneumo dna amp prob,,,33.34,151.13,8 HCPCS,87542,Legion pneumo dna quant,,,39.67,179.84,8 HCPCS,87550,Mycobacteria dna dir probe,,,19.05,86.38,8 HCPCS,87551,Mycobacteria dna amp probe,,,45.83,382.84,8 HCPCS,87552,Mycobacteria dna quant,,,40.7,184.48,8 HCPCS,87555,M.tuberculo dna dir probe,,,25.54,86.38,8 HCPCS,87556,M.tuberculo dna amp probe,,,39.6,336.87,8 HCPCS,87557,M.tuberculo dna quant,,,40.7,184.48,8 HCPCS,87560,M.avium-intra dna dir prob,,,25.93,86.38,8 HCPCS,87561,M.avium-intra dna amp prob,,,33.34,151.13,8 HCPCS,87562,M.avium-intra dna quant,,,40.7,184.48,8 HCPCS,87563,HC MYCOPLASMA GENITALIUM AMP PROBE -ALINITY,179.0,179.0,,,0 HCPCS,87563,HC MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,184.0,184.0,,,0 HCPCS,87563,M. genitalium amp probe,,,33.34,87.14,8 HCPCS,87564,HC IADNA MTB RIFAMPIN RESISTANCE AMP PRB TQ,104.0,104.0,,,0 HCPCS,87564,Mtb rifampin rst amp prb tq,,,76.77,144.35,7 HCPCS,87580,M.pneumon dna dir probe,,,19.05,86.38,8 HCPCS,87581,M.pneumon dna amp probe,,,33.34,112.67,8 HCPCS,87582,M.pneumon dna quant,,,102.52,544.72,8 HCPCS,87590,N.gonorrhoeae dna dir prob,,,25.54,86.38,8 HCPCS,87591,HC GONOCOCCUS PCR RNA,131.0,131.0,,,0 HCPCS,87591,HC GONOCOCCUS PCR-ALINITY,131.0,131.0,,,0 HCPCS,87591,N.gonorrhoeae dna amp prob,,,23.2,63.16,8 HCPCS,87592,N.gonorrhoeae dna quant,,,40.7,184.48,8 HCPCS,87593,Orthopoxvirus amp prb each,,,51.31,92.36,4 HCPCS,87594,Pneumcysts jirovecii amp prb,,,35.09,65.99,7 HCPCS,87623,Hpv low-risk types,,,33.34,151.13,8 HCPCS,87624,HC HPV HIGH RISK SCREEN,184.0,184.0,,,0 HCPCS,87624,Hpv high-risk types,,,33.34,122.98,8 HCPCS,87625,Hpv types 16 & 18 only,,,38.52,255.93,8 HCPCS,87626,HC IADNA HPV SEP RPRT HI-RSK TYP&HI-RSK POOLD RSLTS,176.0,176.0,,,0 HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,70.2,132.0,7 HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,679.77,1223.59,3 HCPCS,87631,Resp virus 3-5 targets,,,135.5,552.53,8 HCPCS,87632,Resp virus 6-11 targets,,,207.16,919.23,8 HCPCS,87633,HC RESP VIRUS 12 TO 25 TARGETS,1093.0,1093.0,,,0 HCPCS,87633,Resp virus 12-25 targets,,,395.94,781.9,8 HCPCS,87634,Rsv dna/rna amp probe,,,66.69,302.32,8 HCPCS,87635,HC NON HTP NOVEL SARS-COV-2 COVID-19 AMP PRB,217.5,217.5,,,0 HCPCS,87635,HC NOVEL COVID-19 DETECT AGENT DNA QUANT,217.5,217.5,,,0 HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,43.56,92.36,8 HCPCS,87636,Sarscov2 & inf a&b amp prb,,,121.1,256.73,8 HCPCS,87637,HC IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ,294.29,294.29,,,0 HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,121.1,256.73,8 HCPCS,87640,Staph a dna amp probe,,,33.34,151.13,8 HCPCS,87641,HC MRSA AMPLIFIED PROBE,125.0,125.0,,,0 HCPCS,87641,Mr-staph dna amp probe,,,33.34,151.13,8 HCPCS,87650,Strep a dna dir probe,,,19.05,86.38,8 HCPCS,87651,HC LAB GRP A STREP DNA PCR,74.0,74.0,,,0 HCPCS,87651,Strep a dna amp probe,,,33.34,151.13,8 HCPCS,87652,Strep a dna quant,,,39.67,179.84,8 HCPCS,87653,HC GRP B STREP DNA PCR,162.0,162.0,,,0 HCPCS,87653,Strep b dna amp probe,,,33.34,105.32,8 HCPCS,87660,Trichomonas vagin dir probe,,,19.05,86.38,8 HCPCS,87661,HC TRICHOMONAS PCR,184.0,184.0,,,0 HCPCS,87661,HC TRICHOMONAS PCR - ALINITY,179.0,179.0,,,0 HCPCS,87661,Trichomonas vaginalis amplif,,,33.34,131.54,8 HCPCS,87662,Zika virus dna/rna amp probe,,,48.74,221.01,8 HCPCS,87797,Detect agent nos dna dir,,,28.53,86.38,8 HCPCS,87798,Detect agent nos dna amp,,,33.34,120.66,8 HCPCS,87798,HC DETECT AGENT NOS DNA AMP,116.0,116.0,,,0 HCPCS,87798,HC IDM WNV RNA MI BLOOD,45.0,45.0,,,0 HCPCS,87799,Detect agent nos dna quant,,,40.7,187.08,8 HCPCS,87799,HC ADENOVIRUS PCR QUANT,108.0,108.0,,,0 HCPCS,87799,HC BMT HHV7 VIRACOR,247.5,247.5,,,0 HCPCS,87799,HC BMT HHV8 VIRACOR,247.5,247.5,,,0 HCPCS,87799,HC EBV PCR,283.0,283.0,,,0 HCPCS,87800,Detect agnt mult dna direc,,,41.49,172.76,8 HCPCS,87801,Detect agnt mult dna ampli,,,66.69,420.8,8 HCPCS,87801,HC DNA AMP PROBE MULTI ORGANISM,480.0,480.0,,,0 HCPCS,87802,Strep b assay w/optic,,,12.09,51.62,8 HCPCS,87803,Clostridium toxin a w/optic,,,15.2,51.62,8 HCPCS,87804,HC LAB INFLUENZA EIA A OR B,48.0,48.0,,,0 HCPCS,87804,Influenza assay w/optic,,,15.72,41.81,8 HCPCS,87806,Hiv antigen w/hiv antibodies,,,31.13,79.26,8 HCPCS,87807,Rsv assay w/optic,,,12.45,51.62,8 HCPCS,87808,HC LAB TRICHOMONAS OSOM,59.0,59.0,,,0 HCPCS,87808,Trichomonas assay w/optic,,,14.53,38.49,8 HCPCS,87809,Adenovirus assay w/optic,,,20.67,51.62,8 HCPCS,87810,Chylmd trach assay w/optic,,,29.43,63.52,8 HCPCS,87811,Sars-cov-2 covid19 w/optic,,,35.14,74.48,8 HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,74.48,134.06,3 HCPCS,87850,N. gonorrhoeae assay w/optic,,,23.33,51.62,8 HCPCS,87880,HC RAPID STREP SCREEN,59.0,59.0,,,0 HCPCS,87880,Strep a assay w/optic,,,15.7,44.62,8 HCPCS,87899,Agent nos assay w/optic,,,15.27,39.09,8 HCPCS,87899,HC CRYPTOCOCCUS ANTIGEN,62.0,62.0,,,0 HCPCS,87899,HC HIV1 P24 AG,59.0,59.0,,,0 HCPCS,87899,HC LEGIONELLA AG UR,59.0,59.0,,,0 HCPCS,87899,HC MALARIA AG,59.0,59.0,,,0 HCPCS,87899,HC PNEUMO AG URINE,55.0,55.0,,,0 HCPCS,87900,Phenotype infect agent drug,,,123.83,561.4,8 HCPCS,87901,Genotype dna hiv reverse t,,,244.58,1108.81,8 HCPCS,87902,Genotype dna/rna hep c,,,244.58,638.62,8 HCPCS,87903,Phenotype dna hiv w/culture,,,464.23,2104.63,8 HCPCS,87904,Phenotype dna hiv w/clt add,,,24.77,112.29,8 HCPCS,87905,Sialidase enzyme assay,,,9.1,22.0,8 HCPCS,87906,Genotype dna/rna hiv,,,122.29,554.4,8 HCPCS,87910,Genotype cytomegalovirus,,,244.58,1108.81,8 HCPCS,87912,Genotype dna hepatitis b,,,244.58,1108.81,8 HCPCS,87913,Nfct agt gntyp alys sarscov2,,,0.01,463.41,4 HCPCS,88000,Autopsy (necropsy) gross,,,182.71,702.04,5 HCPCS,88005,Autopsy (necropsy) gross,,,213.21,819.19,5 HCPCS,88007,Autopsy (necropsy) gross,,,223.18,857.5,5 HCPCS,88012,Autopsy (necropsy) gross,,,182.71,702.04,5 HCPCS,88014,Autopsy (necropsy) gross,,,167.46,643.38,5 HCPCS,88016,Autopsy (necropsy) gross,,,233.45,896.94,5 HCPCS,88020,Autopsy (necropsy) complete,,,314.69,1209.1,5 HCPCS,88025,Autopsy (necropsy) complete,,,304.42,1169.63,5 HCPCS,88027,Autopsy (necropsy) complete,,,324.66,1247.39,5 HCPCS,88028,Autopsy (necropsy) complete,,,182.71,702.04,5 HCPCS,88029,Autopsy (necropsy) complete,,,182.71,702.04,5 HCPCS,88036,Limited autopsy,,,91.21,350.43,5 HCPCS,88037,Limited autopsy,,,81.24,312.13,5 HCPCS,88040,Forensic autopsy (necropsy),,,507.37,1949.39,5 HCPCS,88045,Coroners autopsy (necropsy),,,50.74,194.95,5 HCPCS,88104,Cytopath fl nongyn smears,,,37.22,96.07,8 HCPCS,88106,Cytopath fl nongyn filter,,,28.82,139.73,8 HCPCS,88108,Cytopath concentrate tech,,,37.22,114.76,8 HCPCS,88108,HC CYTOPATHOLOGY NONGYN,118.0,118.0,,,0 HCPCS,88112,Cytopath cell enhance tech,,,34.95,247.92,8 HCPCS,88112,HC CYTO NONGYN SELECTIVE W INTERP,234.0,234.0,,,0 HCPCS,88120,Cytp urne 3-5 probes ea spec,,,169.76,1822.07,8 HCPCS,88121,Cytp urine 3-5 probes cmptr,,,169.76,1575.29,8 HCPCS,88121,HC CYTP INSITU HYBRID URINE SPEC 3-5 PROBES CPRT EA,1074.0,1074.0,,,0 HCPCS,88125,Forensic cytopathology,,,12.96,93.46,8 HCPCS,88130,Sex chromatin identification,,,17.08,60.09,8 HCPCS,88140,Sex chromatin identification,,,7.59,31.34,8 HCPCS,88141,Cytopath c/v interpret,,,20.74,54.1,5 HCPCS,88142,Cytopath c/v thin layer,,,19.25,119.49,8 HCPCS,88142,HC THIN PREP DIAGNOSTIC WO INTERP,114.0,114.0,,,0 HCPCS,88142,HC THIN PREP SCREEN WO INTERP,114.0,114.0,,,0 HCPCS,88143,Cytopath c/v thin layer redo,,,21.89,87.24,8 HCPCS,88147,Cytopath c/v automated,,,25.93,91.01,8 HCPCS,88148,Cytopath c/v auto rescreen,,,16.44,45.48,8 HCPCS,88150,Cytopath c/v manual,,,16.44,45.48,8 HCPCS,88152,Cytopath c/v auto redo,,,25.93,49.75,8 HCPCS,88153,Cytopath c/v redo,,,22.83,45.48,8 HCPCS,88155,Cytopath c/v index add-on,,,13.92,26.37,8 HCPCS,88160,Cytopath smear other source,,,28.82,156.57,8 HCPCS,88160,HC CYTO NONGYN SMEAR,147.0,147.0,,,0 HCPCS,88161,Cytopath smear other source,,,28.82,126.21,8 HCPCS,88162,Cytopath smear other source,,,51.92,189.29,8 HCPCS,88164,Cytopath tbs c/v manual,,,16.44,61.24,8 HCPCS,88165,Cytopath tbs c/v redo,,,25.93,76.0,8 HCPCS,88166,Cytopath tbs c/v auto redo,,,16.44,45.48,8 HCPCS,88167,Cytopath tbs c/v select,,,16.44,45.48,8 HCPCS,88172,Cytp dx eval fna 1st ea site,,,18.24,305.56,8 HCPCS,88172,HC FNA IMMEDIATE READ,148.0,148.0,,,0 HCPCS,88173,Cytopath eval fna report,,,51.92,194.44,8 HCPCS,88173,HC CYTO FNA INTERP AND REPORT,186.0,186.0,,,0 HCPCS,88174,Cytopath c/v auto in fluid,,,24.1,92.0,8 HCPCS,88175,Cytopath c/v auto fluid redo,,,25.28,118.68,8 HCPCS,88175,HC PAP DIAGNOSTIC AUTO,114.0,114.0,,,0 HCPCS,88175,HC PAP SCREEN AUTO,114.0,114.0,,,0 HCPCS,88177,Cytp fna eval ea addl,,,7.04,23.67,5 HCPCS,88177,HC CYTO FNA IMMEDIATE ADDTL EVAL,21.0,21.0,,,0 HCPCS,88182,Cell marker study,,,51.92,259.14,8 HCPCS,88184,Flowcytometry/ tc 1 marker,,,65.21,642.88,8 HCPCS,88184,HC FETAL CELL FLOW CYTOMETRY,289.0,289.0,,,0 HCPCS,88184,HC FLOW CYTO 1ST MARKER,289.0,289.0,,,0 HCPCS,88185,Flowcytometry/tc add-on,,,20.82,85.84,5 HCPCS,88185,HC FLOW CYTO EA ADD MKR,81.0,81.0,,,0 HCPCS,88187,Flowcytometry/read 2-8,,,32.83,129.63,5 HCPCS,88188,Flowcytometry/read 9-15,,,53.96,94.65,5 HCPCS,88189,Flowcytometry/read 16 & >,,,51.38,90.13,5 HCPCS,88199,Cytopathology procedure,,,51.92,93.46,3 HCPCS,88230,HC TISSUE CULT LYMPHOCYTE,517.0,517.0,,,0 HCPCS,88230,Tissue culture lymphocyte,,,110.67,330.9,8 HCPCS,88233,HC TISSUE CULT SOLID TISSUE,711.0,711.0,,,0 HCPCS,88233,Tissue culture skin/biopsy,,,133.69,413.63,8 HCPCS,88235,HC TISSUE CULT AMNIO FLUID,647.0,647.0,,,0 HCPCS,88235,Tissue culture placenta,,,142.79,413.63,8 HCPCS,88237,HC TISSUE CULT BONE MARROW,569.0,569.0,,,0 HCPCS,88237,Tissue culture bone marrow,,,136.56,330.9,8 HCPCS,88239,HC TISSUE CULT SOLID TUMOR,711.0,711.0,,,0 HCPCS,88239,Tissue culture tumor,,,140.14,442.49,8 HCPCS,88240,Cell cryopreserve/storage,,,12.42,145.72,8 HCPCS,88240,HC CRYOPRESERVATION EA,135.0,135.0,,,0 HCPCS,88241,Frozen cell preparation,,,11.49,35.66,8 HCPCS,88245,Chromosome analysis 20-25,,,164.51,342.39,8 HCPCS,88248,Chromosome analysis 50-100,,,164.51,690.71,8 HCPCS,88249,Chromosome analysis 100,,,164.51,729.93,8 HCPCS,88261,Chromosome analysis 5,,,251.12,761.24,8 HCPCS,88261,HC CHROM ANALYSIS 5 CELL 1 KARYOTYPE,707.0,707.0,,,0 HCPCS,88262,Chromosome analysis 15-20,,,119.22,467.68,8 HCPCS,88262,HC CHROM ANALYSIS 15 TO 20 CELL 2 KARYOTYPES,805.0,805.0,,,0 HCPCS,88263,Chromosome analysis 45,,,142.78,570.56,8 HCPCS,88264,Chromosome analysis 20-25,,,137.38,467.68,8 HCPCS,88264,HC CHROM ANALYSIS 20 TO 25 CELLS,799.0,799.0,,,0 HCPCS,88267,Chromosome analys placenta,,,179.14,340.2,8 HCPCS,88267,HC CHROM ANALYSIS AMNIO FLUID 15 CELL 1 KARYOTYPE,585.0,585.0,,,0 HCPCS,88269,Chromosome analys amniotic,,,164.98,312.59,8 HCPCS,88269,HC CHROM ANALYSIS AMNIO FLUID 6 TO 12 CELL 1 KARYOTYPE,466.0,466.0,,,0 HCPCS,88271,Cytogenetics dna probe,,,20.35,77.13,8 HCPCS,88271,HC MOL CYTO DNA PROB EA,132.0,132.0,,,0 HCPCS,88272,Cytogenetics 3-5,,,38.67,176.79,8 HCPCS,88273,Cytogenetics 10-30,,,33.07,241.1,8 HCPCS,88273,HC FISH ANALYSIS 10 TO 30 CELL,377.0,377.0,,,0 HCPCS,88274,Cytogenetics 25-99,,,40.26,209.74,8 HCPCS,88274,HC INTER FISH 25 TO 99 CELL,369.0,369.0,,,0 HCPCS,88275,Cytogenetics 100-300,,,48.63,180.79,8 HCPCS,88275,HC INTER FISH 100 TO 300 CELL,310.0,310.0,,,0 HCPCS,88280,Chromosome karyotype study,,,31.8,94.17,8 HCPCS,88280,HC ADDTL KARYOTYPE EA STUDY,147.0,147.0,,,0 HCPCS,88283,Chromosome banding study,,,65.17,254.76,8 HCPCS,88285,Chromosome count additional,,,25.56,325.68,8 HCPCS,88285,HC SUSPECTED MOSAIC,147.0,147.0,,,0 HCPCS,88289,Chromosome study additional,,,32.71,148.28,8 HCPCS,88291,Cyto/molecular report,,,24.4,42.8,5 HCPCS,88299,Cytogenetic study,,,51.92,93.46,3 HCPCS,88300,HC SURG PATH LEVEL I,64.0,64.0,,,0 HCPCS,88300,Surgical path gross,,,10.32,68.75,8 HCPCS,88302,HC SURG PATH LEVEL II,121.0,121.0,,,0 HCPCS,88302,Tissue exam by pathologist,,,22.93,128.64,8 HCPCS,88304,HC SURG PATH LEVEL III,144.0,144.0,,,0 HCPCS,88304,Tissue exam by pathologist,,,27.62,153.28,8 HCPCS,88305,HC SURG PATH LEVEL IV,234.0,234.0,,,0 HCPCS,88305,Tissue exam by pathologist,,,30.55,247.94,8 HCPCS,88307,HC SURG PATH LEVEL V,390.0,390.0,,,0 HCPCS,88307,Tissue exam by pathologist,,,165.82,642.88,8 HCPCS,88309,HC SURG PATH LEVEL VI,652.0,652.0,,,0 HCPCS,88309,Tissue exam by pathologist,,,259.09,1445.01,8 HCPCS,88311,Decalcify tissue,,,7.39,30.23,5 HCPCS,88311,HC DECALCIFICATION PROCEDURE,31.0,31.0,,,0 HCPCS,88312,HC SPECIAL STAIN GROUP I,218.0,218.0,,,0 HCPCS,88312,Special stains group 1,,,51.92,231.39,8 HCPCS,88313,HC SPECIAL STAIN GROUP II,195.0,195.0,,,0 HCPCS,88313,Special stains group 2,,,61.35,238.63,8 HCPCS,88314,Histochemical stains add-on,,,61.64,175.8,5 HCPCS,88319,Enzyme histochemistry,,,95.71,1445.01,8 HCPCS,88319,HC SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS,652.0,652.0,,,0 HCPCS,88321,Microslide consultation,,,37.22,95.02,8 HCPCS,88323,HC PATH CONSULT REFERRED MATERIAL,105.0,105.0,,,0 HCPCS,88323,Microslide consultation,,,24.69,171.79,8 HCPCS,88325,Comprehensive review of data,,,123.77,544.21,8 HCPCS,88329,HC PATH CONSULT INTROPERATIVE,71.0,71.0,,,0 HCPCS,88329,Path consult introp,,,32.63,105.8,8 HCPCS,88331,HC FROZEN SECTION,148.0,148.0,,,0 HCPCS,88331,Path consult intraop 1 bloc,,,36.13,305.56,8 HCPCS,88332,HC ADDTL FROZEN SECTION,71.0,71.0,,,0 HCPCS,88332,Path consult intraop addl,,,21.76,68.75,5 HCPCS,88333,HC PATH CONSULT INTROPERATIVE CYTO EXAM,652.0,652.0,,,0 HCPCS,88333,Intraop cyto path consult 1,,,28.21,1445.01,8 HCPCS,88334,HC PATH CONSULT INTROPERATIVE CYTO EXAM ADDTL,71.0,71.0,,,0 HCPCS,88334,Intraop cyto path consult 2,,,17.01,68.64,5 HCPCS,88341,HC IMMUNOCHEMICAL AB STAIN ADDTL,186.0,186.0,,,0 HCPCS,88341,Immunohisto antb addl slide,,,51.32,196.8,5 HCPCS,88342,HC IMMUNOCHEMICAL AB STAIN INITIAL,177.0,177.0,,,0 HCPCS,88342,Immunohisto antb 1st stain,,,57.83,305.56,8 HCPCS,88344,HC IHC EA MULTIPLEX AB STN,289.0,289.0,,,0 HCPCS,88344,Immunohisto antibody slide,,,112.28,642.88,8 HCPCS,88346,HC FLUORESCENT STAIN EACH AB DIRECT,336.0,336.0,,,0 HCPCS,88346,Immunofluor antb 1st stain,,,46.64,305.56,8 HCPCS,88348,Electron microscopy,,,326.67,1445.01,8 HCPCS,88348,HC ELECTRON MICROSCOPY DIAG,914.0,914.0,,,0 HCPCS,88350,HC IF PER SPECIMEN EA ADD ANTIBODY STN,103.0,103.0,,,0 HCPCS,88350,Immunofluor antb addl stain,,,42.38,77.18,5 HCPCS,88355,Analysis skeletal muscle,,,53.19,305.56,8 HCPCS,88356,Analysis nerve,,,51.92,273.8,8 HCPCS,88358,Analysis tumor,,,77.09,305.56,8 HCPCS,88360,HC MORPH IHC EA AB STAIN,188.0,188.0,,,0 HCPCS,88360,Tumor immunohistochem/manual,,,67.8,305.56,8 HCPCS,88361,Tumor immunohistochem/comput,,,66.04,642.88,8 HCPCS,88362,Nerve teasing preparations,,,105.5,1445.01,8 HCPCS,88363,Xm archive tissue molec anal,,,12.36,51.88,8 HCPCS,88364,HC IN SITU HYB ADDTL PROBE,232.0,232.0,,,0 HCPCS,88364,Insitu hybridization (fish),,,90.38,245.97,5 HCPCS,88365,HC ISH INITIAL SINGLE PROBE,290.0,290.0,,,0 HCPCS,88365,Insitu hybridization (fish),,,121.23,305.56,8 HCPCS,88366,Insitu hybridization (fish),,,169.76,612.98,8 HCPCS,88367,Insitu hybridization auto,,,71.03,642.88,8 HCPCS,88368,HC MORPH ISH INITIAL PROBE,432.0,432.0,,,0 HCPCS,88368,Insitu hybridization manual,,,88.97,642.88,8 HCPCS,88369,HC MORPH ISH ADDTL PROBE,432.0,432.0,,,0 HCPCS,88369,M/phmtrc alysishquant/semiq,,,78.65,458.77,5 HCPCS,88371,Protein western blot tissue,,,21.12,95.71,5 HCPCS,88372,Protein analysis w/probe,,,24.91,97.96,5 HCPCS,88373,M/phmtrc alys ishquant/semiq,,,38.42,161.14,5 HCPCS,88374,M/phmtrc alys ishquant/semiq,,,169.76,933.01,8 HCPCS,88375,Optical endomicroscpy interp,,,22.47,43.88,5 HCPCS,88377,HC M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB,366.0,366.0,,,0 HCPCS,88377,M/phmtrc alys ishquant/semiq,,,169.76,1078.37,8 HCPCS,88380,Microdissection laser,,,62.28,448.02,5 HCPCS,88381,Microdissection manual,,,156.53,304.23,5 HCPCS,88387,Tiss exam molecular study,,,6.8,23.67,5 HCPCS,88388,Tiss ex molecul study add-on,,,12.08,12.08,1 HCPCS,88399,Surgical pathology procedure,,,51.92,93.46,3 HCPCS,88720,Bilirubin total transcut,,,4.77,20.9,8 HCPCS,88720,HC BILIMETER TRANSCUTANEOUS,14.0,14.0,,,0 HCPCS,88738,Hgb quant transcutaneous,,,4.77,21.61,8 HCPCS,88740,HC TRANSCUTANEOUS CARBOXYHEMOGLOBIN,15.0,15.0,,,0 HCPCS,88740,Transcutaneous carboxyhb,,,8.9,21.61,8 HCPCS,88741,Transcutaneous methb,,,8.9,21.61,8 HCPCS,89049,Chct for mal hyperthermia,,,58.58,305.56,8 HCPCS,89050,Body fluid cell count,,,4.48,18.8,8 HCPCS,89050,HC CELL CT MISC BODY FLUID,32.0,32.0,,,0 HCPCS,89050,HC EOSINOPHIL SMR UR,32.0,32.0,,,0 HCPCS,89051,Body fluid cell count,,,5.32,21.99,8 HCPCS,89051,HC CELL CT W DIFF FLUID,37.0,37.0,,,0 HCPCS,89055,Leukocyte assessment fecal,,,4.06,23.17,8 HCPCS,89060,Exam synovial fluid crystals,,,6.96,89.08,8 HCPCS,89060,HC CRYSTALS,82.0,82.0,,,0 HCPCS,89125,Specimen fat stain,,,5.59,18.61,8 HCPCS,89160,Exam feces for meat fibers,,,4.61,15.88,8 HCPCS,89190,Nasal smear for eosinophils,,,5.5,2725.39,8 HCPCS,89220,Sputum specimen collection,,,15.89,305.56,8 HCPCS,89230,Collect sweat for test,,,2.4,93.46,8 HCPCS,89230,HC SWEAT CHLORIDE COLLECTION,135.0,135.0,,,0 HCPCS,89240,Pathology lab procedure,,,51.92,93.46,3 HCPCS,89250,Cultr oocyte/embryo <4 days,,,169.76,3275.68,8 HCPCS,89251,Cultr oocyte/embryo <4 days,,,169.76,3407.53,8 HCPCS,89253,Embryo hatching,,,101.85,305.56,8 HCPCS,89254,Oocyte identification,,,101.85,305.56,8 HCPCS,89255,Prepare embryo for transfer,,,51.92,227.41,8 HCPCS,89257,Sperm identification,,,38.91,202.16,8 HCPCS,89258,Cryopreservation embryo(s),,,390.06,1445.01,8 HCPCS,89259,Cryopreservation sperm,,,101.85,305.56,8 HCPCS,89260,Sperm isolation simple,,,38.91,93.46,8 HCPCS,89261,Sperm isolation complex,,,38.91,93.46,8 HCPCS,89264,Identify sperm tissue,,,51.92,239.87,8 HCPCS,89268,Insemination of oocytes,,,101.85,305.56,8 HCPCS,89272,Extended culture of oocytes,,,415.64,1445.01,8 HCPCS,89280,Assist oocyte fertilization,,,445.3,1445.01,8 HCPCS,89281,Assist oocyte fertilization,,,101.85,624.77,8 HCPCS,89290,Biopsy oocyte polar body,,,101.85,628.52,8 HCPCS,89291,Biopsy oocyte polar body,,,101.85,790.61,8 HCPCS,89300,Semen analysis w/huhner,,,9.35,30.48,8 HCPCS,89310,Semen analysis w/count,,,8.18,37.06,8 HCPCS,89320,Semen anal vol/count/mot,,,11.69,51.9,8 HCPCS,89321,Semen anal sperm detection,,,11.45,51.9,8 HCPCS,89322,Semen anal strict criteria,,,14.73,66.73,8 HCPCS,89325,Sperm antibody test,,,10.14,45.98,8 HCPCS,89329,Sperm evaluation test,,,18.61,90.28,8 HCPCS,89330,Evaluation cervical mucus,,,9.86,42.62,8 HCPCS,89331,Retrograde ejaculation anal,,,18.61,80.64,8 HCPCS,89335,Cryopreserve testicular tiss,,,38.91,106.3,8 HCPCS,89337,Cryopreservation oocyte(s),,,101.85,413.84,8 HCPCS,89342,Storage/year embryo(s),,,101.85,305.56,8 HCPCS,89343,Storage/year sperm/semen,,,101.85,305.56,8 HCPCS,89344,Storage/year reprod tissue,,,94.96,305.56,8 HCPCS,89346,Storage/year oocyte(s),,,169.76,316.45,8 HCPCS,89352,Thawing cryopresrved embryo,,,8.46,305.56,8 HCPCS,89353,Thawing cryopresrved sperm,,,8.46,93.46,8 HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,8.46,305.56,8 HCPCS,89356,Thawing cryopresrved oocyte,,,6.03,305.56,8 HCPCS,89398,Unlisted reprod med lab proc,,,51.92,93.46,3 HCPCS,90281,Human ig im,,,96.98,111.53,4 HCPCS,90283,Human ig iv,,,75.85,87.23,4 HCPCS,90284,Human ig sc,,,15.17,17.45,4 HCPCS,90287,Botulinum antitoxin,,,532.0,611.8,4 HCPCS,90288,Botulism ig iv,,,48705.0,56010.75,4 HCPCS,90291,Cmv ig iv,,,1791.99,2060.79,4 HCPCS,90296,Diphtheria antitoxin,,,341.19,392.37,4 HCPCS,90371,Hep b ig im,,,135.59,246.51,7 HCPCS,90375,Rabies ig im/sc,,,276.49,506.13,7 HCPCS,90376,Rabies ig heat treated,,,352.44,634.39,7 HCPCS,90377,Rabies ig ht&sol human im/sc,,,243.2,467.46,7 HCPCS,90378,Rsv mab im 50mg,,,436.75,2135.63,7 HCPCS,90380,HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 0.5ML IM USE,742.5,742.5,,,0 HCPCS,90380,Rsv monoc antb seasn .5ml im,,,633.99,729.09,4 HCPCS,90381,HC VACCINE RSV MONOCLONAL ANTB SEASONAL DOSE 1 ML IM USE,742.5,742.5,,,0 HCPCS,90381,Rsv monoc antb seasnl 1ml im,,,633.99,729.09,4 HCPCS,90382,Rsv monoc antb seasn .7ml im,,,567.12,652.19,4 HCPCS,90384,Rh ig full-dose im,,,84.49,97.16,4 HCPCS,90385,Rh ig minidose im,,,30.44,144.0,7 HCPCS,90386,Rh ig iv,,,173.14,199.11,4 HCPCS,90389,Tetanus ig im,,,662.15,761.47,4 HCPCS,90393,Vaccina ig im,,,51.0,58.65,4 HCPCS,90396,Varicella-zoster ig im,,,2326.37,4495.92,7 HCPCS,90460,HC VACCINE ADMIN THRU 18YR INITIAL,81.0,81.0,,,0 HCPCS,90460,HC VFC VACCINE ADMIN THRU 18YR INITIAL,23.03,23.03,,,0 HCPCS,90460,Im admin 1st/only component,,,34.14,59.88,4 HCPCS,90461,HC VACCINE ADMIN THRU 18YR EA ADDL,30.28,30.28,,,0 HCPCS,90461,HC VFC VACCINE ADMIN THRU 18YR EA ADDL,23.03,23.03,,,0 HCPCS,90461,Im admin each addl component,,,19.3,33.86,4 HCPCS,90471,HC ADMIN HEP B VACCINE,66.0,66.0,,,0 HCPCS,90471,HC ADMIN INFLUENZA VACCINE,70.0,70.0,,,0 HCPCS,90471,HC ADMIN PNEUMONIA VACCINE,83.0,83.0,,,0 HCPCS,90471,HC ED HEP B VACCINE ADMIN,74.0,74.0,,,0 HCPCS,90471,HC ED INFLUENZA VACCINE ADMIN,70.0,70.0,,,0 HCPCS,90471,HC ED PNEUMOCOCCAL VACCINE ADMIN,70.0,70.0,,,0 HCPCS,90471,HC ED VACCINE ADMIN SINGLE,82.0,82.0,,,0 HCPCS,90471,HC PNEUMOCOCCAL VACCINE ADMIN,70.0,70.0,,,0 HCPCS,90471,HC VACCINE ADMIN SINGLE,70.0,70.0,,,0 HCPCS,90471,HC VFC ADMIN FLU VACCINE,23.03,23.03,,,0 HCPCS,90471,HC VFC ADMIN OF PNEUMO VACCINE,23.03,23.03,,,0 HCPCS,90471,HC VFC VACCINE ADMIN SINGLE,23.03,23.03,,,0 HCPCS,90471,Immunization admin,,,36.74,129.13,7 HCPCS,90472,HC ED VACCINE ADMIN EACH ADDTL,60.56,60.56,,,0 HCPCS,90472,HC VACCINE ADMIN EACH ADDTL,18.0,18.0,,,0 HCPCS,90472,HC VFC VACCINE ADMIN EACH ADDTL,23.03,23.03,,,0 HCPCS,90472,Immunization admin each add,,,14.95,26.23,4 HCPCS,90473,HC VACCINE ADMIN INTRANASAL/ORAL SINGLE,66.0,66.0,,,0 HCPCS,90473,HC VFC VACCINE ADMIN INTRANASAL/ORAL SINGLE,23.03,23.03,,,0 HCPCS,90473,Immune admin oral/nasal,,,14.92,129.13,7 HCPCS,90474,Immune admin oral/nasal addl,,,12.85,22.54,4 HCPCS,90476,Adenovirus vaccine type 4,,,29.0,33.35,4 HCPCS,90477,Adenovirus vaccine type 7,,,29.0,33.35,4 HCPCS,90480,Admn sarscov2 vacc 1 dose,,,40.49,72.89,3 HCPCS,90480,HC ED IMM ADMN SARSCOV2 VACCINE SINGLE DOSE,80.0,80.0,,,0 HCPCS,90480,HC IMM ADMN SARSCOV2 VACCINE SINGLE DOSE,80.0,80.0,,,0 HCPCS,90581,Anthrax vaccine sc or im,,,112.86,129.79,4 HCPCS,90585,Bcg vaccine percut,,,201.4,231.61,4 HCPCS,90586,Bcg vaccine intravesical,,,201.4,231.61,4 HCPCS,90587,Dengue vacc quad 3 dose subq,,,75.24,86.53,4 HCPCS,90589,Chikungunya vaccine live im,,,313.5,360.53,4 HCPCS,90593,Chikungunya vacc recomb im,,,313.5,360.53,4 HCPCS,90619,Menacwy-tt vaccine im,,,195.9,225.29,4 HCPCS,90620,HC VACCINE MENB-4C VACC 2 DOSE IM,166.8,166.8,,,0 HCPCS,90620,Menb rp w/omv vaccine im,,,270.18,310.71,4 HCPCS,90621,Menb rlp vaccine im,,,236.2,271.63,4 HCPCS,90623,Menacwy-tt menb-fhbp vacc im,,,270.07,310.58,4 HCPCS,90625,Cholera vaccine live oral,,,332.31,382.16,4 HCPCS,90632,HC VACCINE HEP A ADULT IM,170.53,170.53,,,0 HCPCS,90632,Hepa vaccine adult im,,,92.56,106.44,4 HCPCS,90633,HC VACCINE HEP A PEDS IM,80.28,80.28,,,0 HCPCS,90633,Hepa vacc ped/adol 2 dose im,,,44.14,50.76,4 HCPCS,90634,Hepa vacc ped/adol 3 dose,,,29.8,34.27,4 HCPCS,90636,HC HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM,247.22,247.22,,,0 HCPCS,90636,Hep a/hep b vacc adult im,,,150.69,173.29,4 HCPCS,90644,Hib-mency vacc 6wk-18m0 im,,,27.88,32.06,4 HCPCS,90647,Hib prp-omp vacc 3 dose im,,,34.71,39.92,4 HCPCS,90648,HC VACCINE HIB PRP-T IM,26.81,26.81,,,0 HCPCS,90648,Hib prp-t vaccine 4 dose im,,,14.87,17.1,4 HCPCS,90649,4vhpv vaccine 3 dose im,,,182.45,209.82,4 HCPCS,90649,HC VACCINE HPV,378.17,378.17,,,0 HCPCS,90650,2vhpv vaccine 3 dose im,,,151.01,173.66,4 HCPCS,90651,9vhpv vaccine 3 dose im,,,350.53,403.11,4 HCPCS,90651,HC VACCINE HPV VIRUS 9 VAL IM,334.43,334.43,,,0 HCPCS,90653,HC VACCINE FLU ADJUVANT IM,89.0,89.0,,,0 HCPCS,90653,Iiv adjuvant vaccine im,,,83.49,96.01,4 HCPCS,90655,Iiv3 vacc no prsv 0.25 ml im,,,14.1,16.22,4 HCPCS,90656,HC VACCINE FLU PRESERVATIVE FREE AGE 3 OR OLDER,38.0,38.0,,,0 HCPCS,90656,Iiv3 vacc no prsv 0.5 ml im,,,22.35,25.7,4 HCPCS,90657,Iiv3 vaccine splt 0.25 ml im,,,10.93,12.57,4 HCPCS,90658,Iiv3 vaccine splt 0.5 ml im,,,21.86,25.14,4 HCPCS,90660,HC VACCINE FLU NASAL,65.51,65.51,,,0 HCPCS,90660,Laiv3 vaccine intranasal,,,28.87,33.2,4 HCPCS,90661,Cciiv3 vac no prsv 0.5 ml im,,,36.85,42.38,4 HCPCS,90662,HC VACCINE FLU SPLIT VIRUS PRESERVATIVE FREE,84.77,84.77,,,0 HCPCS,90662,Iiv no prsv increased ag im,,,83.5,96.03,4 HCPCS,90670,Pcv13 vaccine im,,,257.99,296.69,4 HCPCS,90671,HC PCV15 VACCINE FOR INTRAMUSCULAR USE,705.93,705.93,,,0 HCPCS,90671,Pcv15 vaccine im,,,261.15,300.32,4 HCPCS,90672,Laiv4 vaccine intranasal,,,27.79,31.96,4 HCPCS,90673,HC RIV3 VACCINE PRESERVATIVE FREE FOR IM USE,110.0,110.0,,,0 HCPCS,90673,Riv3 vaccine no preserv im,,,83.5,96.03,4 HCPCS,90674,Cciiv4 vac no prsv 0.5 ml im,,,34.17,39.3,4 HCPCS,90675,Rabies vaccine im,,,331.98,597.56,7 HCPCS,90676,Rabies vaccine id,,,86.1,426.35,7 HCPCS,90677,Pcv20 vaccine im,,,312.9,359.84,4 HCPCS,90678,HC VACCINE RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE,378.6,378.6,,,0 HCPCS,90678,Rsv vacc pref bivalent im,,,349.75,402.21,4 HCPCS,90679,HC VACCINE RSV VACC PREF RECOMBINANT ADJUVANTED FOR IM USE,355.49,355.49,,,0 HCPCS,90679,Rsv vacc pref recomb adjt im,,,349.24,401.63,4 HCPCS,90680,HC VACCINE ROTOVIRUS 3 DOSE,251.34,251.34,,,0 HCPCS,90680,Rv5 vacc 3 dose live oral,,,112.51,129.39,4 HCPCS,90681,Rv1 vacc 2 dose live oral,,,167.46,192.58,4 HCPCS,90682,HC VACCINE FLUBLOK PREFILLED SYRINGE,84.77,84.77,,,0 HCPCS,90682,Riv4 vacc recombinant dna im,,,73.4,84.41,4 HCPCS,90683,Rsv vacc mrna lipid nano im,,,330.6,380.19,4 HCPCS,90684,HC VACCINE PCV21 FOR INTRAMUSCULAR USE,430.0,430.0,,,0 HCPCS,90684,Pcv21 vaccine im,,,327.89,377.07,4 HCPCS,90685,Iiv4 vacc no prsv 0.25 ml im,,,21.64,24.89,4 HCPCS,90686,HC VACCINE FLU NO PRESERVATIVE 4 VAL 3 OR OLDER,35.37,35.37,,,0 HCPCS,90686,Iiv4 vacc no prsv 0.5 ml im,,,22.35,25.7,4 HCPCS,90687,Iiv4 vaccine splt 0.25 ml im,,,10.44,12.01,4 HCPCS,90688,Iiv4 vaccine splt 0.5 ml im,,,20.88,24.01,4 HCPCS,90690,HC TYPHOID VACCINE LIVE ORAL,151.8,151.8,,,0 HCPCS,90690,Typhoid vaccine oral,,,133.68,153.73,4 HCPCS,90691,HC TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM,151.8,151.8,,,0 HCPCS,90691,Typhoid vaccine im,,,175.45,201.77,4 HCPCS,90694,Vacc aiiv4 no prsrv 0.5ml im,,,77.36,88.96,4 HCPCS,90696,Dtap-ipv vaccine 4-6 yrs im,,,71.05,81.71,4 HCPCS,90696,HC VACCINE DTAP IPV KINRIX,110.96,110.96,,,0 HCPCS,90697,Dtap-ipv-hib-hepb vaccine im,,,177.69,204.34,4 HCPCS,90698,Dtap-ipv/hib vaccine im,,,136.15,156.57,4 HCPCS,90700,Dtap vaccine < 7 yrs im,,,33.31,38.31,4 HCPCS,90700,HC VACCINE DTAP,48.85,48.85,,,0 HCPCS,90702,Dt vaccine under 7 yrs im,,,75.06,86.32,4 HCPCS,90707,HC VACCINE MMR,129.12,129.12,,,0 HCPCS,90707,Mmr vaccine sc,,,108.1,124.32,4 HCPCS,90710,HC MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ,153.6,153.6,,,0 HCPCS,90710,Mmrv vaccine sc,,,316.53,364.01,4 HCPCS,90713,HC VACCINE POLIO SUBQ,66.25,66.25,,,0 HCPCS,90713,Poliovirus ipv sc/im,,,50.85,58.48,4 HCPCS,90714,HC VACCINE TETANUS DIPTHERIA TOXOID,70.91,70.91,,,0 HCPCS,90714,Td vacc no presv 7 yrs+ im,,,47.88,55.06,4 HCPCS,90715,HC VACCINE TDAP AGE 7 OR OLDER,90.05,90.05,,,0 HCPCS,90715,Tdap vaccine 7 yrs/> im,,,55.15,63.42,4 HCPCS,90716,HC VACCINE VARICELLA CHICKEN POX,216.73,216.73,,,0 HCPCS,90716,Var vaccine live subq,,,208.48,239.75,4 HCPCS,90717,HC YELLOW FEVER VACCINE LIVE SUBQ,244.6,244.6,,,0 HCPCS,90717,Yellow fever vaccine subq,,,268.08,308.29,4 HCPCS,90723,Dtap-hep b-ipv vaccine im,,,117.41,135.02,4 HCPCS,90723,HC VACCINE DTAP HEP B IPV IM,156.18,156.18,,,0 HCPCS,90732,HC VACCINE PNEUMOVAX SUBQ OR IM,158.27,158.27,,,0 HCPCS,90732,Ppsv23 vacc 2 yrs+ subq/im,,,133.48,153.5,4 HCPCS,90733,Mpsv4 vaccine subq,,,140.27,161.31,4 HCPCS,90734,HC VACCINE MENINGOCOCCAL CONJ,274.89,274.89,,,0 HCPCS,90734,Mcv4 menacwy vaccine im,,,189.95,218.44,4 HCPCS,90736,Hzv vaccine live subq,,,242.44,278.81,4 HCPCS,90738,Inactivated je vacc im,,,336.4,386.86,4 HCPCS,90739,HC VACCINE HEP B ADULT 2 DOSE SCHEDULE,82.2,82.2,,,0 HCPCS,90739,Hepb vacc 2 dose adult im,,,177.56,204.19,4 HCPCS,90740,Hepb vacc 3 dose immunsup im,,,212.8,244.72,4 HCPCS,90743,Hepb vacc 2 dose adolesc im,,,78.3,90.05,4 HCPCS,90744,HC HEP B VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM,32.41,32.41,,,0 HCPCS,90744,Hepb vacc 3 dose ped/adol im,,,31.67,36.42,4 HCPCS,90746,Hepb vaccine 3 dose adult im,,,78.3,90.05,4 HCPCS,90747,Hepb vacc 4 dose immunsup im,,,164.43,189.09,4 HCPCS,90748,Hib-hepb vaccine im,,,47.95,55.14,4 HCPCS,90750,HC HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX,234.18,234.18,,,0 HCPCS,90750,Hzv vacc recombinant im njx,,,245.68,282.53,4 HCPCS,90756,Cciiv4 vacc abx free im,,,32.38,37.24,4 HCPCS,90785,Psytx complex interactive,,,3.2,5.61,4 HCPCS,90791,HC PSYCHIATRIC DIAGNOSTIC EVALUATION,224.0,224.0,,,0 HCPCS,90791,Psych diagnostic evaluation,,,123.56,318.34,7 HCPCS,90792,Psych diag eval w/med srvcs,,,123.56,318.34,7 HCPCS,90832,HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES,224.0,224.0,,,0 HCPCS,90832,Psytx w pt 30 minutes,,,68.9,318.34,7 HCPCS,90833,Psytx w pt w e/m 30 min,,,18.64,32.69,4 HCPCS,90834,HC PSYOTHERAPY PATIENT &/ FAMILY 45 MINUTES,224.0,224.0,,,0 HCPCS,90834,Psytx w pt 45 minutes,,,123.56,318.34,7 HCPCS,90836,Psytx w pt w e/m 45 min,,,23.77,41.69,4 HCPCS,90837,HC PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES,233.0,233.0,,,0 HCPCS,90837,Psytx w pt 60 minutes,,,123.56,318.34,7 HCPCS,90838,Psytx w pt w e/m 60 min,,,31.49,55.23,4 HCPCS,90839,Psytx crisis initial 60 min,,,123.56,318.34,7 HCPCS,90840,Psytx crisis ea addl 30 min,,,14.77,25.91,4 HCPCS,90845,Psychoanalysis,,,123.56,318.34,7 HCPCS,90846,Family psytx w/o pt 50 min,,,123.56,318.34,7 HCPCS,90847,Family psytx w/pt 50 min,,,123.56,318.34,7 HCPCS,90849,Multiple family group psytx,,,123.56,318.34,7 HCPCS,90853,Group psychotherapy,,,68.9,182.2,7 HCPCS,90865,Narcosynthesis,,,123.56,318.34,7 HCPCS,90867,Tcranial magn stim tx plan,,,215.15,399.54,7 HCPCS,90868,Tcranial magn stim tx deli,,,215.15,399.54,7 HCPCS,90869,Tcran magn stim redetemine,,,124.61,387.26,7 HCPCS,90870,Electroconvulsive therapy,,,407.74,1540.17,7 HCPCS,90875,Psychophysiological therapy,,,30.19,52.96,4 HCPCS,90876,Psychophysiological therapy,,,66.79,117.16,4 HCPCS,90880,Hypnotherapy,,,101.22,216.74,7 HCPCS,90882,Environmental manipulation,,,92.51,162.27,4 HCPCS,90885,Psy evaluation of records,,,23.77,41.69,4 HCPCS,90887,Consultation with family,,,59.09,103.65,4 HCPCS,90889,Preparation of report,,,77.73,136.34,4 HCPCS,90899,Psychiatric service/therapy,,,37.33,67.2,3 HCPCS,90901,Biofeedback train any meth,,,16.21,68.72,7 HCPCS,90912,Bfb training 1st 15 min,,,37.13,101.58,7 HCPCS,90913,Bfb training ea addl 15 min,,,21.61,56.43,7 HCPCS,90935,HC HEMODIALYSIS ADULT/PEDS INPATIENT,939.0,939.0,,,0 HCPCS,90935,Hemodialysis one evaluation,,,541.79,1230.92,7 HCPCS,90937,Hemodialysis repeated eval,,,45.6,79.99,4 HCPCS,90940,Hemodialysis Access Study,,,63.59,111.55,4 HCPCS,90945,Dialysis one evaluation,,,415.76,1117.41,7 HCPCS,90945,HC IP PD DIALYSIS CCPD,310.0,310.0,,,0 HCPCS,90947,Dialysis repeated eval,,,53.31,93.52,4 HCPCS,90951,Esrd serv 4 visits p mo <2yr,,,450.31,789.9,4 HCPCS,90952,Esrd serv 2-3 vsts p mo <2yr,,,847.31,1486.28,4 HCPCS,90953,Esrd serv 1 visit p mo <2yrs,,,564.66,990.48,4 HCPCS,90954,Esrd serv 4 vsts p mo 2-11,,,388.65,681.74,4 HCPCS,90955,Esrd srv 2-3 vsts p mo 2-11,,,230.61,404.51,4 HCPCS,90956,Esrd srv 1 visit p mo 2-11,,,170.87,299.72,4 HCPCS,90957,Esrd srv 4 vsts p mo 12-19,,,315.4,553.25,4 HCPCS,90958,Esrd srv 2-3 vsts p mo 12-19,,,222.9,390.99,4 HCPCS,90959,Esrd serv 1 vst p mo 12-19,,,163.16,286.2,4 HCPCS,90960,Esrd srv 4 visits p mo 20+,,,161.88,283.96,4 HCPCS,90961,Esrd srv 2-3 vsts p mo 20+,,,141.95,249.0,4 HCPCS,90962,Esrd serv 1 visit p mo 20+,,,118.83,208.45,4 HCPCS,90963,Esrd home pt serv p mo <2yrs,,,269.16,472.14,4 HCPCS,90964,Esrd home pt serv p mo 2-11,,,240.88,422.53,4 HCPCS,90965,Esrd home pt serv p mo 12-19,,,637.02,1117.41,4 HCPCS,90966,Esrd home pt serv p mo 20+,,,141.33,247.91,4 HCPCS,90967,Esrd home pt serv p day <2,,,8.98,15.74,4 HCPCS,90968,Esrd home pt srv p day 2-11,,,7.7,13.51,4 HCPCS,90969,Esrd home pt srv p day 12-19,,,7.7,13.51,4 HCPCS,90970,Esrd home pt serv p day 20+,,,4.5,7.9,4 HCPCS,90989,Dialysis training complete,,,423.98,743.72,4 HCPCS,90993,Dialysis training incompl,,,91.86,161.14,4 HCPCS,90997,Hemoperfusion,,,37.26,65.35,4 HCPCS,91010,Esophagus motility study,,,196.58,669.27,7 HCPCS,91013,Esophgl motil w/stim/perfus,,,25.06,43.95,4 HCPCS,91020,Gastric motility studies,,,285.85,669.27,7 HCPCS,91022,Duodenal motility study,,,167.03,669.27,7 HCPCS,91030,Acid perfusion of esophagus,,,158.02,669.27,7 HCPCS,91034,Gastroesophageal reflux test,,,292.82,669.27,7 HCPCS,91034,HC GASTROESOPHO REFLX PROLON,714.0,714.0,,,0 HCPCS,91035,G-esoph reflx tst w/electrod,,,716.91,1540.17,7 HCPCS,91037,Esoph imped function test,,,197.85,387.26,7 HCPCS,91038,Esoph imped funct test > 1hr,,,371.82,1240.61,7 HCPCS,91038,"HC GERD TST W/ MUCOS IMPEDE ELECTROD,>1HR",1300.0,1300.0,,,0 HCPCS,91040,Esoph balloon distension tst,,,371.82,1195.56,7 HCPCS,91065,Breath hydrogen/methane test,,,215.15,391.64,7 HCPCS,91065,HC LAB HYDROGEN BREATH TEST,462.0,462.0,,,0 HCPCS,91110,Gi tract capsule endoscopy,,,903.72,3237.56,7 HCPCS,91111,Esophageal Capsule Endoscopy,,,903.72,2204.08,7 HCPCS,91112,Gi wireless capsule measure,,,903.72,3068.37,7 HCPCS,91113,Gi trc img intral colon i&r,,,926.61,1810.71,7 HCPCS,91117,Colon motility 6 hr study,,,211.82,387.26,7 HCPCS,91120,Rectal sensation test,,,679.65,1192.18,4 HCPCS,91122,Anal pressure record,,,249.25,437.21,4 HCPCS,91124,Rct snsatn tone&cmplianc std,,,215.15,387.26,3 HCPCS,91125,Anrct mano rct snsatn&balo,,,371.82,669.27,3 HCPCS,91132,Electrogastrography,,,215.15,387.26,7 HCPCS,91133,Electrogastrography W/Test,,,132.57,434.94,7 HCPCS,91200,Liver elastography,,,44.96,230.78,7 HCPCS,91299,Gastroenterology procedure,,,128.21,230.78,3 HCPCS,91304,Coronavirus vaccine 5,,,161.54,185.77,4 HCPCS,91318,Sarscov2 vac 3mcg trs-suc im,,,65.55,75.38,4 HCPCS,91319,Sarscv2 vac 10mcg trs-suc im,,,87.78,100.95,4 HCPCS,91320,Sarscv2 vac 30mcg trs-suc im,,,155.9,179.29,4 HCPCS,91321,HC MODERNA SARSCOV2 VACCINE 25 MCG/0.25 ML FOR IM USE,292.0,292.0,,,0 HCPCS,91321,Sarscov2 vac 25 mcg/.25ml im,,,147.06,169.12,4 HCPCS,91322,HC MODERNA SARSCOV2 VACCINE 50 MCG/0.5 ML FOR IM USE,292.0,292.0,,,0 HCPCS,91322,Sarscov2 vac 50 mcg/0.5ml im,,,161.65,185.9,4 HCPCS,92002,Eye exam new patient,,,104.51,238.78,7 HCPCS,92004,Eye exam new patient,,,104.51,238.78,7 HCPCS,92012,Eye exam establish patient,,,104.51,238.78,7 HCPCS,92014,Eye exam&tx estab pt 1/>vst,,,104.51,238.78,7 HCPCS,92015,Determine refractive state,,,10.27,18.02,4 HCPCS,92018,New eye exam & treatment,,,2368.94,8698.42,7 HCPCS,92019,Eye exam & treatment,,,2368.94,5618.04,7 HCPCS,92020,Special eye evaluation,,,98.06,238.63,7 HCPCS,92025,Corneal Topography,,,32.11,105.8,7 HCPCS,92060,Special eye evaluation,,,48.18,105.8,7 HCPCS,92065,Orthoptic/pleoptic training,,,65.53,114.95,4 HCPCS,92066,Orthop traing supvj phys/qhp,,,58.78,126.34,7 HCPCS,92071,Contact lens fitting for tx,,,28.26,49.58,4 HCPCS,92072,Fit contac lens for managmnt,,,112.42,197.19,4 HCPCS,92081,Visual field examination(s),,,32.11,105.8,7 HCPCS,92082,Visual field examination(s),,,48.18,105.8,7 HCPCS,92083,Visual field examination(s),,,66.16,238.63,7 HCPCS,92100,Serial tonometry exam(s),,,104.71,183.68,4 HCPCS,92132,Cmptr ophth dx img ant segmt,,,26.34,105.8,7 HCPCS,92133,Cmptr ophth img optic nerve,,,26.98,105.8,7 HCPCS,92134,Cptr ophth dx img post segmt,,,27.61,105.8,7 HCPCS,92136,Ophthalmic biometry,,,106.0,238.63,7 HCPCS,92137,Cptrz oph img pst sg rta oct,,,215.15,585.51,7 HCPCS,92145,Corneal hysteresis deter,,,14.77,105.8,7 HCPCS,92201,Opscpy extnd rta draw uni/bi,,,58.78,122.89,7 HCPCS,92202,Opscpy extnd on/mac draw,,,58.78,122.89,7 HCPCS,92227,Remote dx retinal imaging,,,26.34,105.8,7 HCPCS,92228,HC IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI,42.0,42.0,,,0 HCPCS,92228,Remote retinal imaging mgmt,,,24.4,66.99,7 HCPCS,92229,Img rta detc/mntr ds poc aly,,,58.78,124.36,7 HCPCS,92230,Eye exam with photos,,,258.44,669.27,7 HCPCS,92235,Fluorescein angrph uni/bi,,,76.45,387.26,7 HCPCS,92240,Icg angiography uni/bi,,,215.15,512.69,7 HCPCS,92242,Fluorescein icg angiography,,,215.15,544.25,7 HCPCS,92250,Eye exam with photos,,,79.66,238.63,7 HCPCS,92260,Ophthalmoscopy/dynamometry,,,27.82,66.99,7 HCPCS,92265,Eye muscle evaluation,,,58.78,122.81,7 HCPCS,92265,HC EMG EYE,157.0,157.0,,,0 HCPCS,92270,Electro-oculography,,,91.86,238.63,7 HCPCS,92273,Full field erg w/i&r,,,215.15,761.73,7 HCPCS,92274,Multifocal erg w/i&r,,,128.21,410.45,7 HCPCS,92283,Color vision examination,,,58.78,147.6,7 HCPCS,92284,Dark adaptation eye exam,,,90.58,801.21,7 HCPCS,92285,Eye photography,,,32.11,66.99,7 HCPCS,92286,Internal eye photography,,,29.55,238.63,7 HCPCS,92287,Internal eye photography,,,132.57,288.47,7 HCPCS,92310,Contact lens fitting,,,94.43,165.65,4 HCPCS,92311,Contact lens fitting,,,258.44,801.21,7 HCPCS,92312,Contact lens fitting,,,98.06,238.63,7 HCPCS,92313,Contact lens fitting,,,53.47,238.63,7 HCPCS,92314,Prescription of contact lens,,,97.65,171.28,4 HCPCS,92315,Rx cntact lens aphakia 1 eye,,,98.06,238.63,7 HCPCS,92316,Rx cntact lens aphakia 2 eye,,,53.47,238.63,7 HCPCS,92317,Rx corneoscleral cntact lens,,,27.82,66.99,7 HCPCS,92325,Modification of contact lens,,,98.06,238.63,7 HCPCS,92326,Replacement of contact lens,,,53.47,105.8,7 HCPCS,92340,Fit spectacles monofocal,,,39.18,68.72,4 HCPCS,92341,Fit spectacles bifocal,,,41.11,72.11,4 HCPCS,92342,Fit spectacles multifocal,,,43.04,75.5,4 HCPCS,92352,Fit aphakia spectcl monofocl,,,53.47,105.8,7 HCPCS,92353,Fit aphakia spectcl multifoc,,,53.47,105.8,7 HCPCS,92354,Fit spectacles single system,,,27.82,66.99,7 HCPCS,92355,Fit spectacles compound lens,,,27.82,66.99,7 HCPCS,92358,Aphakia prosth service temp,,,53.47,105.8,7 HCPCS,92370,Repair & adjust spectacles,,,34.05,59.72,4 HCPCS,92371,Repair & adjust spectacles,,,53.47,105.8,7 HCPCS,92499,Eye service or procedure,,,28.82,51.88,3 HCPCS,92502,Ear and throat examination,,,537.39,9651.58,7 HCPCS,92504,Ear microscopy examination,,,41.76,73.26,4 HCPCS,92507,HC ST SPEECH/LANGUAGE/VOICE THERAPY,213.0,213.0,,,0 HCPCS,92507,Speech/hearing therapy,,,72.17,135.45,11 HCPCS,92508,HC GROUP THERAPY,58.0,58.0,,,0 HCPCS,92508,Speech/hearing therapy,,,19.92,123.63,11 HCPCS,92511,HC NASOPHARYNGOSCOPY W/ENDOSCOPE,212.0,212.0,,,0 HCPCS,92511,Nasopharyngoscopy,,,143.33,358.0,7 HCPCS,92512,HC ST NASAL FUNCTION STUDIES,325.0,325.0,,,0 HCPCS,92512,Nasal function studies,,,215.15,399.54,7 HCPCS,92516,Facial nerve function test,,,124.61,387.26,7 HCPCS,92517,HC VEMP TEST I&R CERVICAL,678.0,678.0,,,0 HCPCS,92517,Vemp test i&r cervical,,,128.21,311.77,7 HCPCS,92518,Vemp test i&r ocular,,,128.21,311.77,7 HCPCS,92519,HC VEMP TST I&R CERVICAL&OCULAR,860.0,860.0,,,0 HCPCS,92519,Vemp tst i&r cervical&ocular,,,215.15,590.82,7 HCPCS,92520,Laryngeal function studies,,,98.06,238.63,11 HCPCS,92521,Evaluation of speech fluency,,,84.15,230.87,11 HCPCS,92521,HC ST SPEECH FLUENCY EVALUATION,157.0,157.0,,,0 HCPCS,92522,Evaluate speech production,,,66.16,194.45,11 HCPCS,92522,HC ST SPEECH SOUND PROD EVALUATION,140.0,140.0,,,0 HCPCS,92523,HC ST SPEECH COMP/EXPRESS EVAL,299.0,299.0,,,0 HCPCS,92523,Speech sound lang comprehen,,,126.93,392.38,11 HCPCS,92524,Behavral qualit analys voice,,,60.4,190.48,11 HCPCS,92524,HC ST BEHAVORIAL QUALITATIVE EVAL,133.0,133.0,,,0 HCPCS,92526,HC OT FEEDING/SWALLOWING TREATMENT,214.0,214.0,,,0 HCPCS,92526,HC ST FEEDING/SWALLOWING TREATMENT,214.0,214.0,,,0 HCPCS,92526,Oral function therapy,,,66.79,145.46,11 HCPCS,92531,Spontaneous nystagmus study,,,18.64,32.69,4 HCPCS,92532,HC POSITIONAL NYSTAGMUS TEST,39.0,39.0,,,0 HCPCS,92532,Positional nystagmus test,,,21.2,37.19,4 HCPCS,92533,Caloric vestibular test,,,30.19,52.96,4 HCPCS,92534,Optokinetic nystagmus test,,,23.12,40.55,4 HCPCS,92537,Caloric vstblr test w/rec,,,15.41,230.78,7 HCPCS,92537,HC CALORIC BITHERMAL,871.0,871.0,,,0 HCPCS,92538,Caloric vstblr test w/rec,,,215.15,783.07,7 HCPCS,92538,HC CALORIC MONOTHERMAL,871.0,871.0,,,0 HCPCS,92540,Basic vestibular evaluation,,,215.15,665.55,7 HCPCS,92540,HC BASIC VESTIBULAR EVALUATION,815.0,815.0,,,0 HCPCS,92541,HC SPONTANEOUS NYSTAGMUS,213.0,213.0,,,0 HCPCS,92541,Spontaneous nystagmus test,,,6.42,238.63,7 HCPCS,92542,Positional nystagmus test,,,5.14,238.63,7 HCPCS,92544,HC OPTOKINETIC NYSTAGMUS,258.0,258.0,,,0 HCPCS,92544,Optokinetic nystagmus test,,,4.5,230.78,7 HCPCS,92545,HC OSCILLATING TRACKING,371.0,371.0,,,0 HCPCS,92545,Oscillating tracking test,,,3.84,387.26,7 HCPCS,92546,HC SINUSIODAL ROTATION TEST,598.0,598.0,,,0 HCPCS,92546,Sinusoidal rotational test,,,128.21,279.43,7 HCPCS,92547,Supplemental electrical test,,,8.98,15.74,4 HCPCS,92548,Posturography,,,132.57,238.63,7 HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,132.57,243.57,7 HCPCS,92550,HC TYMPANOMETRY AND REFLEX THRESH,170.0,170.0,,,0 HCPCS,92550,Tympanometry & reflex thresh,,,124.61,387.26,7 HCPCS,92551,HC SCREENING PURETONE AIR,109.0,109.0,,,0 HCPCS,92551,Pure tone hearing test air,,,56.42,98.97,4 HCPCS,92552,HC PURETONE AUDIOMETRY AIR ONLY,159.0,159.0,,,0 HCPCS,92552,Pure tone audiometry air,,,81.62,238.63,7 HCPCS,92553,Audiometry air & bone,,,128.21,340.41,7 HCPCS,92553,HC PURETONE AUDIOMETRY AIR AND BONE,378.0,378.0,,,0 HCPCS,92555,HC SPEECH AUDIOLMETRY THRESHOLD,144.0,144.0,,,0 HCPCS,92555,Speech threshold audiometry,,,58.78,129.64,7 HCPCS,92556,HC THRESHOLD WITH SPEECH RECOGNITION,225.5,225.5,,,0 HCPCS,92556,Speech audiometry complete,,,58.78,203.07,7 HCPCS,92557,Comprehensive hearing test,,,128.21,380.51,7 HCPCS,92557,HC COMPREHENSIVE AUDIOGRAM,384.5,384.5,,,0 HCPCS,92558,Evoked auditory test qual,,,17.99,31.56,4 HCPCS,92562,Loudness balance test,,,84.15,387.26,7 HCPCS,92563,Tone decay hearing test,,,37.22,98.03,7 HCPCS,92565,Stenger test pure tone,,,28.26,105.8,7 HCPCS,92567,HC TYMPANOMETRY,144.5,144.5,,,0 HCPCS,92567,Tympanometry,,,37.22,143.16,7 HCPCS,92568,Acoustic refl threshold tst,,,27.82,66.99,7 HCPCS,92570,Acoustic immitance testing,,,124.61,230.78,7 HCPCS,92571,Filtered speech hearing test,,,37.22,86.76,7 HCPCS,92572,Staggered spondaic word test,,,57.17,230.78,7 HCPCS,92575,Sensorineural acuity test,,,37.22,185.94,7 HCPCS,92576,Synthetic sentence test,,,37.22,116.06,7 HCPCS,92577,Stenger test speech,,,27.61,669.27,7 HCPCS,92579,HC VISUAL REINFORCE AUDIOMETRY,462.5,462.5,,,0 HCPCS,92579,Visual audiometry (vra),,,215.15,387.26,7 HCPCS,92582,Conditioning play audiometry,,,128.21,380.51,7 HCPCS,92582,HC CONDITIONED PLAY AUDIOGRAM,462.5,462.5,,,0 HCPCS,92583,Select picture audiometry,,,58.78,160.01,7 HCPCS,92584,Electrocochleography,,,128.21,505.79,7 HCPCS,92584,HC ELECTROCOCHLEOGRAPHY,393.0,393.0,,,0 HCPCS,92587,Evoked auditory test limited,,,146.24,387.26,7 HCPCS,92587,HC OTOACOUSTIC EMISSION LIMITED,314.0,314.0,,,0 HCPCS,92588,Evoked auditory tst complete,,,7.08,669.27,7 HCPCS,92590,Hearing aid exam one ear,,,62.3,109.28,4 HCPCS,92591,Hearing aid exam both ears,,,79.01,138.59,4 HCPCS,92592,Hearing aid check one ear,,,25.06,43.95,4 HCPCS,92593,Hearing aid check both ears,,,40.47,70.99,4 HCPCS,92594,Electro hearng aid test one,,,23.77,41.69,4 HCPCS,92595,Electro hearng aid tst both,,,50.74,89.0,4 HCPCS,92596,Ear protector evaluation,,,37.22,131.84,7 HCPCS,92597,HC ST VOICE PROSTHETIC EVALUATION,292.0,292.0,,,0 HCPCS,92597,Oral speech device eval,,,46.25,127.03,11 HCPCS,92601,Cochlear implt f/up exam <7,,,128.21,1007.39,7 HCPCS,92601,HC DX ANALYSIS COCHLEAR IMPLANT AGE 7 OR UNDER WITH PROG,564.5,564.5,,,0 HCPCS,92602,HC REPROGRAM COCHLEAR IMPLANT AGE 6 OR UNDER,473.5,473.5,,,0 HCPCS,92602,Reprogram cochlear implt 7/>,,,128.21,709.9,7 HCPCS,92603,Cochlear implt f/up exam 7/>,,,128.21,640.35,7 HCPCS,92603,HC DX ANALYSIS COCHLEAR IMPLANT AGE 7 OR OLDER WITH PROG,538.5,538.5,,,0 HCPCS,92604,HC REPROGRAM COCHLEAR IMPLANT AGE 7 OR OLDER,453.5,453.5,,,0 HCPCS,92604,Reprogram cochlear implt 7/>,,,128.21,702.85,7 HCPCS,92605,Ex for nonspeech device rx,,,50.74,123.63,8 HCPCS,92605,HC ST EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR,684.0,684.0,,,0 HCPCS,92606,Non-speech device service,,,55.88,123.63,8 HCPCS,92607,Ex for speech device rx 1hr,,,107.5,210.71,11 HCPCS,92607,HC ST EVAL SPCH GEN DEVICE 1ST HR,618.0,618.0,,,0 HCPCS,92608,Ex for speech device rx addl,,,46.91,123.63,11 HCPCS,92608,HC ST EVAL SPCH GEN DEVICE ADDTL 30 MIN,323.0,323.0,,,0 HCPCS,92609,HC ST THERAP SVCS SPCH GEN DEVICE,222.0,222.0,,,0 HCPCS,92609,Use of speech device service,,,98.05,176.92,11 HCPCS,92610,Evaluate swallowing function,,,56.61,123.63,11 HCPCS,92610,HC OT ORAL/PHARY SWALLOWING EVALU,333.0,333.0,,,0 HCPCS,92610,HC ST ORAL/PHARY SWALLOWING EVALU,333.0,333.0,,,0 HCPCS,92611,HC ST MOTION FLUOR EVAL SWLNG FUNCJ C/V REC,438.0,438.0,,,0 HCPCS,92611,Motion fluoroscopy/swallow,,,66.79,163.89,11 HCPCS,92612,Endoscopy swallow (fees) vid,,,53.37,446.23,11 HCPCS,92612,HC ST FIBEROPT ENDO EVAL OF SWALLOW,528.0,528.0,,,0 HCPCS,92613,Endoscopy swallow (fees) i&r,,,20.55,123.63,8 HCPCS,92614,Laryngoscopic sensory vid,,,53.44,308.76,11 HCPCS,92615,Laryngoscopic sensory i&r,,,17.99,123.63,8 HCPCS,92616,Fees w/laryngeal sense test,,,80.86,434.94,11 HCPCS,92617,Fees w/laryngeal sense i&r,,,22.47,39.42,4 HCPCS,92618,Ex for nonspeech dev rx add,,,17.36,123.63,8 HCPCS,92620,Auditory function 60 min,,,124.61,230.78,7 HCPCS,92621,Auditory function + 15 min,,,17.36,30.45,4 HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,128.21,309.22,7 HCPCS,92623,Dx aly aud oi snd prcsr each,,,10.46,18.35,4 HCPCS,92625,Tinnitus assessment,,,124.61,230.78,7 HCPCS,92626,Eval aud rehab status,,,107.5,298.63,11 HCPCS,92626,HC EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR,253.0,253.0,,,0 HCPCS,92627,Eval aud status rehab add-on,,,18.64,123.63,8 HCPCS,92630,Aud rehab pre-ling hear loss,,,107.5,123.63,4 HCPCS,92633,Aud rehab postling hear loss,,,107.5,123.63,4 HCPCS,92640,Aud brainstem implt programg,,,124.61,230.78,7 HCPCS,92650,Aep scr auditory potential,,,24.89,43.65,4 HCPCS,92650,HC AEP SCR AUDITORY POTENTIAL,308.0,308.0,,,0 HCPCS,92651,Aep hearing status deter i&r,,,177.73,387.26,7 HCPCS,92651,HC AEP HEARING STATUS DETER I&R,476.0,476.0,,,0 HCPCS,92652,Aep thrshld est mlt freq i&r,,,215.15,590.82,7 HCPCS,92652,HC AEP THRSHLD EST MLT FREQ I&R,735.0,735.0,,,0 HCPCS,92653,Aep neurodiagnostic i&r,,,215.15,590.82,7 HCPCS,92653,HC AEP NEURODIAGNOSTIC I&R,648.0,648.0,,,0 HCPCS,92700,Ent procedure/service,,,28.82,51.88,3 HCPCS,92920,HC ANGIOPLASTY INITIAL,5795.0,5795.0,,,0 HCPCS,92920,Prq cardiac angioplast 1 art,,,5153.63,10207.97,7 HCPCS,92924,HC ATHERECTOMY INITIAL,8087.0,8087.0,,,0 HCPCS,92924,Prq card angio/athrect 1 art,,,5997.32,20704.82,7 HCPCS,92928,HC BM PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH,10571.0,10571.0,,,0 HCPCS,92928,HC DE PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH,10571.0,10571.0,,,0 HCPCS,92928,Prq card stent w/angio 1 vsl,,,9400.83,20704.82,7 HCPCS,92930,HC PRQ TCAT PLMT NTRAC ST 2+LES,54797.0,54797.0,,,0 HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,18265.72,32878.29,3 HCPCS,92933,HC DE PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH,12931.0,12931.0,,,0 HCPCS,92933,Prq card stent/ath/angio,,,9400.83,32878.29,7 HCPCS,92937,HC BM PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL,10571.0,10571.0,,,0 HCPCS,92937,HC DE PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL,10571.0,10571.0,,,0 HCPCS,92937,Prq revasc byp graft 1 vsl,,,9400.83,20704.82,7 HCPCS,92941,HC BM PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL,10571.0,10571.0,,,0 HCPCS,92941,HC DE PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL,10571.0,10571.0,,,0 HCPCS,92941,Prq card revasc mi 1 vsl,,,9562.07,16773.0,4 HCPCS,92943,HC BM PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL,10571.0,10571.0,,,0 HCPCS,92943,HC DE PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL,10571.0,10571.0,,,0 HCPCS,92943,Prq card revasc chronic 1vsl,,,9671.74,20704.82,7 HCPCS,92945,HC PRQ TRL RVS CH OCC ANT&RTRGR,34508.0,34508.0,,,0 HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,11502.68,20704.82,3 HCPCS,92950,HC CARDIOPLUMONARY RESUSCITATION,352.0,352.0,,,0 HCPCS,92950,HC CTH CPR,308.0,308.0,,,0 HCPCS,92950,HC ED CPR,308.0,308.0,,,0 HCPCS,92950,HC TX CPR,308.0,308.0,,,0 HCPCS,92950,Heart/lung resuscitation cpr,,,215.15,399.54,7 HCPCS,92953,HC TEMP TRANSCUTANEOUS PACING,667.0,667.0,,,0 HCPCS,92953,Temporary external pacing,,,471.94,1185.42,7 HCPCS,92960,Cardioversion electric ext,,,550.93,1185.42,7 HCPCS,92960,HC CARDIOVERSION,879.0,879.0,,,0 HCPCS,92960,"HC CARDIOVERSION, ELECTIVE;EXTERN",1006.0,1006.0,,,0 HCPCS,92960,HC ED CARDIOVERSION,879.0,879.0,,,0 HCPCS,92961,Cardioversion electric int,,,471.94,1185.42,7 HCPCS,92972,HC PERQ TRLUML CORONRY LITHOTRP,2503.0,2503.0,,,0 HCPCS,92972,Perq trluml coronry lithotrp,,,41.07,72.05,4 HCPCS,92973,HC MECHANICAL THROMBECTOMY CORONARY,808.0,808.0,,,0 HCPCS,92973,Prq coronary mech thrombect,,,72.57,127.31,4 HCPCS,92974,Cath place cardio brachytx,,,65.53,114.95,4 HCPCS,92977,Dissolve clot heart vessel,,,273.99,480.61,4 HCPCS,92978,Endoluminl ivus oct c 1st,,,2486.32,4361.29,4 HCPCS,92978,HC INTRAVAS IMAGE CORO IVUS/OCT INITIAL VESSEL,3572.0,3572.0,,,0 HCPCS,92979,Endoluminl ivus oct c ea,,,168.31,295.23,4 HCPCS,92979,HC INTRAVAS IMAGE CORO IVUS/OCT ADDTL VESSEL,2013.0,2013.0,,,0 HCPCS,92986,HC VALVULOPLASTY AORTIC VALVE,8060.0,8060.0,,,0 HCPCS,92986,Revision of aortic valve,,,4731.01,10207.97,7 HCPCS,92987,HC VALVULOPLASTY MITRAL VALVE,10381.0,10381.0,,,0 HCPCS,92987,Revision of mitral valve,,,9562.07,20704.82,7 HCPCS,92990,HC VALVULOPLASTY PULMONARY VALVE,8087.0,8087.0,,,0 HCPCS,92990,Revision of pulmonary valve,,,3063.76,20704.82,7 HCPCS,92997,HC PULMONARY ARTERY ANGIO SINGLE VESSEL,8087.0,8087.0,,,0 HCPCS,92997,Pul art balloon repr percut,,,1365.04,20704.82,7 HCPCS,92998,Pul art balloon repr percut,,,667.34,1170.59,4 HCPCS,93000,Electrocardiogram complete,,,18.39,32.26,4 HCPCS,93005,Electrocardiogram tracing,,,31.48,105.8,7 HCPCS,93005,HC EKG COMPUTER,160.0,160.0,,,0 HCPCS,93010,Electrocardiogram report,,,3.84,6.74,4 HCPCS,93015,Cardiovascular stress test,,,138.74,243.37,4 HCPCS,93016,Cardiovascular stress test,,,10.27,18.02,4 HCPCS,93017,Cardiovascular stress test,,,215.15,387.26,3 HCPCS,93017,HC STRESS TEST MAXIMUM,923.5,923.5,,,0 HCPCS,93018,Cardiovascular stress test,,,7.08,12.42,4 HCPCS,93024,Cardiac drug stress test,,,98.93,801.21,7 HCPCS,93025,Microvolt t-wave assess,,,128.21,399.98,7 HCPCS,93040,Rhythm ECG with report,,,23.12,40.55,4 HCPCS,93041,Rhythm ecg tracing,,,10.27,105.8,7 HCPCS,93042,Rhythm ecg report,,,2.58,4.52,4 HCPCS,93050,Art pressure waveform analys,,,16.06,51.88,7 HCPCS,93145,Interrog crtd sins bat ip wo,,,128.21,230.78,3 HCPCS,93146,Interrog crtd sins bat ip w/,,,128.21,230.78,3 HCPCS,93150,Therapy activation ipnss,,,94.73,191.65,7 HCPCS,93151,Interrog&prgrmg ipnss,,,94.73,191.65,7 HCPCS,93152,Interrog&prgrmg ipnss polysm,,,306.03,591.3,7 HCPCS,93153,Interrog w/o prgrmg ipnss,,,94.73,191.65,7 HCPCS,93224,Ecg monit/reprt up to 48 hrs,,,165.72,290.7,4 HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,106.88,238.63,7 HCPCS,93225,HC HOLTER HOOK-UP,304.0,304.0,,,0 HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,58.78,188.24,7 HCPCS,93226,HC HOLTER SCAN ONLY,304.0,304.0,,,0 HCPCS,93227,Ecg monit/reprt up to 48 hrs,,,14.13,24.79,4 HCPCS,93228,Remote 30 day ecg rev/report,,,12.21,21.42,4 HCPCS,93229,Remote 30 day ecg tech supp,,,371.82,2288.57,7 HCPCS,93242,Ext ecg>48hr<7d recording,,,37.22,75.59,7 HCPCS,93242,HC EXTERNAL ECG>48HR<7D RECORDING,215.5,215.5,,,0 HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,70.9,238.63,7 HCPCS,93244,Ext ecg>48hr<7d rev&interpj,,,8.44,14.81,4 HCPCS,93246,Ext ecg>7d<15d recording,,,37.22,124.36,7 HCPCS,93246,HC EXTERNAL ECG>7D<15D RECORDING,270.0,270.0,,,0 HCPCS,93247,Ext ecg>7d<15d scan a/r,,,132.57,250.11,7 HCPCS,93248,Ext ecg>7d<15d rev&interpj,,,9.34,16.39,4 HCPCS,93260,HC PDE IMPLANT SUBCUTANEOUS LEAD,109.5,109.5,,,0 HCPCS,93260,Prgrmg dev eval impltbl sys,,,37.19,67.57,7 HCPCS,93261,HC INTERROGATION LEAD DEFIBRILL,88.5,88.5,,,0 HCPCS,93261,Interrogate subq defib,,,37.19,67.57,7 HCPCS,93264,HC REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D,133.5,133.5,,,0 HCPCS,93264,Rem mntr wrls p-art prs snr,,,37.19,75.08,7 HCPCS,93268,ECG record/review,,,370.02,649.06,4 HCPCS,93270,HC EKG-SINGLE EVENT ECG RECORDING,138.0,138.0,,,0 HCPCS,93270,Remote 30 day ecg rev/report,,,37.19,75.11,7 HCPCS,93271,Ecg/monitoring and analysis,,,94.73,538.61,7 HCPCS,93272,Ecg/review interpret only,,,11.56,20.29,4 HCPCS,93278,ECG/signal-averaged,,,32.75,105.8,7 HCPCS,93279,HC PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP,124.0,124.0,,,0 HCPCS,93279,Pm device progr eval sngl,,,37.19,75.11,7 HCPCS,93280,HC PDE IMPLANT DUAL LEAD,124.0,124.0,,,0 HCPCS,93280,Pm device progr eval dual,,,37.19,75.11,7 HCPCS,93281,HC PDE MULTIPLE LEAD PACEMAKER,124.0,124.0,,,0 HCPCS,93281,Pm device progr eval multi,,,37.19,74.37,7 HCPCS,93282,HC PDE SINGLE LEAD TRANS DEFIB,124.0,124.0,,,0 HCPCS,93282,Prgrmg eval implantable dfb,,,37.19,75.11,7 HCPCS,93283,HC PDE DUAL LEAD TRANS DEFIB,124.0,124.0,,,0 HCPCS,93283,Prgrmg eval implantable dfb,,,37.19,75.11,7 HCPCS,93284,HC PDE MULTIPLE LEAD TRANS DEFIB,124.0,124.0,,,0 HCPCS,93284,Prgrmg eval implantable dfb,,,37.19,86.76,7 HCPCS,93285,Ilr device eval progr,,,28.91,66.94,7 HCPCS,93286,HC PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,150.0,150.0,,,0 HCPCS,93286,Peri-px pacemaker device evl,,,21.83,38.3,4 HCPCS,93287,HC PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,109.0,109.0,,,0 HCPCS,93287,Peri-px device eval & prgr,,,24.4,42.8,4 HCPCS,93288,HC INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,88.0,88.0,,,0 HCPCS,93288,Pm device eval in person,,,37.19,75.11,7 HCPCS,93289,HC IDE ANALYSIS HEART RHYTHM DATA ELEMENT,100.0,100.0,,,0 HCPCS,93289,Interrog device eval heart,,,35.97,66.94,7 HCPCS,93290,HC INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON,130.0,130.0,,,0 HCPCS,93290,Icm device eval,,,17.36,66.94,7 HCPCS,93291,HC INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON,89.0,89.0,,,0 HCPCS,93291,Ilr device interrogate,,,26.98,51.88,7 HCPCS,93292,Wcd device interrogate,,,19.92,66.94,7 HCPCS,93293,Pm phone r-strip device eval,,,37.19,120.55,7 HCPCS,93294,Pm device interrogate remote,,,17.36,30.45,4 HCPCS,93295,Dev interrog remote 1/2/mlt,,,34.69,60.85,4 HCPCS,93296,HC REM INTERROG PM/LDLS PM/IDS <90 D PHYS/QHP,146.0,146.0,,,0 HCPCS,93296,Pm/icd remote tech serv,,,37.19,83.39,7 HCPCS,93297,HC REM INTERROG SCRMS <30 D PHYS/QHP,64.0,64.0,,,0 HCPCS,93297,Icm device interrogat remote,,,12.85,66.94,7 HCPCS,93298,HC REM INTERROG ICPMS <30 D PHYS/QHP,64.0,64.0,,,0 HCPCS,93298,Ilr device interrogat remote,,,13.49,66.94,7 HCPCS,93303,Echo transthoracic,,,544.45,1621.85,7 HCPCS,93303,HC ECHO COMPLETE CARDIAC ANOMALY,1187.0,1187.0,,,0 HCPCS,93304,Echo transthoracic,,,349.23,980.01,7 HCPCS,93304,HC ECHO LIMITED CARDIAC ANOMALY,497.0,497.0,,,0 HCPCS,93306,HC ECHO COMP WITH DOPPLER & COLOR FLOW,1169.0,1169.0,,,0 HCPCS,93306,Tte w/doppler complete,,,544.45,980.01,3 HCPCS,93307,Tte w/o doppler complete,,,153.52,427.94,7 HCPCS,93308,HC ECHO-LIMITED OR FOLLOW-UP,525.5,525.5,,,0 HCPCS,93308,Tte f-up or lmtd,,,237.74,743.65,7 HCPCS,93312,Echo transesophageal,,,544.45,1460.89,7 HCPCS,93312,HC ECHO TRANSESOPHAGEAL,1192.0,1192.0,,,0 HCPCS,93313,Echo transesophageal,,,544.45,980.01,7 HCPCS,93314,Echo transesophageal,,,262.72,460.84,4 HCPCS,93315,Echo transesophageal,,,544.45,1621.85,7 HCPCS,93315,HC TRANSESOPHAGEAL ECHO CARD ANOMALY,1161.5,1161.5,,,0 HCPCS,93316,Echo transesophageal,,,544.45,980.01,7 HCPCS,93317,Echo transesophageal,,,170.87,299.72,4 HCPCS,93318,Echo Transesophageal Intraop,,,192.08,980.01,7 HCPCS,93319,3d echo img cgen car anomal,,,54.65,95.86,4 HCPCS,93319,HC 3D ECHO OF THE HEART,499.5,499.5,,,0 HCPCS,93320,HC ECHO DOPPLER COMPLETE,134.0,134.0,,,0 HCPCS,93321,Doppler echo exam heart,,,37.72,66.16,4 HCPCS,93321,HC ECHO DOPPLER LIMITED,56.0,56.0,,,0 HCPCS,93325,Doppler color flow add-on,,,45.2,79.28,4 HCPCS,93325,HC ECHO COLOR FLOW STUDY,70.0,70.0,,,0 HCPCS,93350,HC ECHO STRESS,843.0,843.0,,,0 HCPCS,93350,Stress tte only,,,465.95,980.01,7 HCPCS,93351,Stress tte complete,,,544.45,980.01,3 HCPCS,93352,Admin ecg contrast agent,,,81.2,142.43,4 HCPCS,93352,HC ECHO STRESS CONTRAST AGENT,114.5,114.5,,,0 HCPCS,93355,Echo transesophageal (tee),,,95.7,167.88,4 HCPCS,93355,HC TEE GUIDE PERQ STRUCTURAL INTERVENTION,682.0,682.0,,,0 HCPCS,93356,HC MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH,488.0,488.0,,,0 HCPCS,93356,Myocrd strain img spckl trck,,,15.63,27.42,4 HCPCS,93451,HC RIGHT HEART CATH,7935.0,7935.0,,,0 HCPCS,93451,Right heart cath,,,3230.27,7029.33,7 HCPCS,93452,HC LEFT HEART CATH,7935.0,7935.0,,,0 HCPCS,93452,Left hrt cath w/ventrclgrphy,,,1056.73,5814.49,7 HCPCS,93453,HC RIGHT & LEFT HEART CATH,7851.0,7851.0,,,0 HCPCS,93453,R&l hrt cath w/ventriclgrphy,,,1354.15,5814.49,7 HCPCS,93454,Coronary artery angio s&i,,,3230.27,7098.88,7 HCPCS,93454,HC CORONARY ANGIOGRAPHY,4551.0,4551.0,,,0 HCPCS,93455,Coronary art/grft angio s&i,,,3230.27,8166.05,7 HCPCS,93455,HC CORONARY ANGIOGRAPHY WITH BYPASS GRAFT,5234.0,5234.0,,,0 HCPCS,93456,HC RIGHT HEART CATH WITH CORONARY ANGIO,10699.0,10699.0,,,0 HCPCS,93456,R hrt coronary artery angio,,,3230.27,13916.02,7 HCPCS,93457,HC RIGHT HEART CATH WITH CORO/GRAFT ANGIO,9606.0,9606.0,,,0 HCPCS,93457,R hrt art/grft angio,,,1523.75,5814.49,7 HCPCS,93458,HC LEFT HEART CATH WITH CORONARY ANGIO,8684.0,8684.0,,,0 HCPCS,93458,L hrt artery/ventricle angio,,,3230.27,13547.32,7 HCPCS,93459,HC LEFT HEART CATH WITH CORO/GRAFT ANGIO,9369.0,9369.0,,,0 HCPCS,93459,L hrt art/grft angio,,,3230.27,14614.52,7 HCPCS,93460,HC RIGHT & LEFT HEART CATH WITH CORONARY ANGIO,9601.0,9601.0,,,0 HCPCS,93460,R&l hrt art/ventricle angio,,,3230.27,14976.71,7 HCPCS,93461,HC RIGHT & LEFT HEART CATH WITH CORO/GRAFT ANGIO,10285.0,10285.0,,,0 HCPCS,93461,R&l hrt art/ventricle angio,,,3230.27,16043.85,7 HCPCS,93462,HC LEFT HEART CATH BY TRANSEPTAL PUNCTURE,5552.0,5552.0,,,0 HCPCS,93462,L hrt cath trnsptl puncture,,,4007.33,7029.33,4 HCPCS,93463,Drug admin & hemodynmic meas,,,276.93,485.76,4 HCPCS,93463,HC ADMIN PHARM AGENT,281.0,281.0,,,0 HCPCS,93464,Exercise w/hemodynamic meas,,,380.91,668.16,4 HCPCS,93464,HC PHYSIOLOGIC EXERCISE STUDY,894.0,894.0,,,0 HCPCS,93503,HC INSERTION FLOW DIRECTED CATHETER FOR MONITORING,1869.0,1869.0,,,0 HCPCS,93503,Insert/place heart catheter,,,670.76,2823.29,7 HCPCS,93505,Biopsy of heart lining,,,1842.39,5663.03,7 HCPCS,93505,HC ENDOCARDIAC BIOPSY,2290.0,2290.0,,,0 HCPCS,93563,HC CONGENITAL SELECTIVE CORONARY ANGIOGRAPHY,502.0,502.0,,,0 HCPCS,93563,Inject congenital card cath,,,596.08,1045.59,4 HCPCS,93564,Inject hrt congntl art/grft,,,25.71,45.09,4 HCPCS,93565,HC CONGENITAL LV OR LA GRAM,395.0,395.0,,,0 HCPCS,93565,Inject l ventr/atrial angio,,,450.27,789.83,4 HCPCS,93566,HC CONGENITAL RV OR RA GRAM,517.0,517.0,,,0 HCPCS,93566,Inject r ventr/atrial angio,,,597.47,1048.04,4 HCPCS,93567,HC SUPRAVALVULAR AORTOGRAPHY,327.0,327.0,,,0 HCPCS,93567,Inject suprvlv aortography,,,319.56,560.54,4 HCPCS,93568,HC PULMONARY ANGIOGRAPHY,688.0,688.0,,,0 HCPCS,93568,Inject pulm art hrt cath,,,611.99,1073.5,4 HCPCS,93569,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI,668.0,668.0,,,0 HCPCS,93571,HC FRACTIONAL FLOW RESERVE 1ST VESSEL,5595.0,5595.0,,,0 HCPCS,93571,Heart flow reserve measure,,,4478.0,7854.94,4 HCPCS,93572,HC FRACTIONAL FLOW RESERVE ADDTL,4793.0,4793.0,,,0 HCPCS,93572,Heart flow reserve measure,,,3336.65,5852.88,4 HCPCS,93573,HC NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI,1336.0,1336.0,,,0 HCPCS,93574,HC NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY,668.0,668.0,,,0 HCPCS,93575,HC NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA,668.0,668.0,,,0 HCPCS,93580,HC ATRIAL SEPTAL CLOSURE,13515.0,13515.0,,,0 HCPCS,93580,Transcath closure of asd,,,8597.54,32878.29,7 HCPCS,93581,HC VENTRICULAR SEPTAL CLOSURE,25891.0,25891.0,,,0 HCPCS,93581,Transcath closure of vsd,,,14493.6,32878.29,7 HCPCS,93582,Perq transcath closure pda,,,3508.67,32878.29,7 HCPCS,93584,HC VNGRPH CHD ANOM/PERSIST SVC,463.0,463.0,,,0 HCPCS,93584,Vngrph chd anom/persist svc,,,16.67,29.23,4 HCPCS,93585,HC VNGRPH CHD AZYGS/HEMIAZYGS,948.0,948.0,,,0 HCPCS,93585,Vngrph chd azygs/hemiazygs,,,15.5,27.19,4 HCPCS,93586,Vngrph chd coronary sinus,,,19.76,34.66,4 HCPCS,93587,HC VNGRPH CHD VNVN CLTRL AT/ABV,948.0,948.0,,,0 HCPCS,93587,Vngrph chd vnvn cltrl at/abv,,,29.06,50.98,4 HCPCS,93588,Vngrph chd vnvn cltrl below,,,29.46,51.67,4 HCPCS,93590,HC PERQ TRANSCATH CLS MITRAL,41990.0,41990.0,,,0 HCPCS,93590,Perq transcath cls mitral,,,15841.57,32878.29,7 HCPCS,93591,Perq transcath cls aortic,,,15841.57,32878.29,7 HCPCS,93592,Perq transcath closure each,,,181.16,317.78,4 HCPCS,93593,HC R HRT CATH CHD NML NT CNJ,2777.0,2777.0,,,0 HCPCS,93593,R hrt cath chd nml nt cnj,,,3230.27,6616.36,7 HCPCS,93594,HC R HRT CATH CHD ABNL NT CNJ,2754.0,2754.0,,,0 HCPCS,93594,R hrt cath chd abnl nt cnj,,,3230.27,6616.36,7 HCPCS,93595,HC L HRT CATH CHD NM/ABN NT CNJ,8860.0,8860.0,,,0 HCPCS,93595,L hrt cath chd nm/abn nt cnj,,,3230.27,6616.36,7 HCPCS,93596,HC R&L HRT CATH CHD NML NT CNJ,4166.0,4166.0,,,0 HCPCS,93596,R&l hrt cath chd nml nt cnj,,,3230.27,6616.36,7 HCPCS,93597,HC R&L HRT CATH CHD ABNL NT CNJ,4166.0,4166.0,,,0 HCPCS,93597,R&l hrt cath chd abnl nt cnj,,,3230.27,6616.36,7 HCPCS,93598,HC CAR OUTP MEAS DRG CATH CHD,517.0,517.0,,,0 HCPCS,93600,Bundle of His recording,,,148.39,13988.91,7 HCPCS,93602,Intra-atrial recording,,,84.15,13988.91,7 HCPCS,93603,Right ventricular recording,,,127.19,2183.69,7 HCPCS,93609,HC VENT OR ATRIAL MAP TACHY,2273.0,2273.0,,,0 HCPCS,93609,Map tachycardia add-on,,,2021.94,3546.73,4 HCPCS,93610,Intra-atrial pacing,,,102.12,13988.91,7 HCPCS,93612,HC INTRAVENTRICULAR PACING,10461.0,10461.0,,,0 HCPCS,93612,Intraventricular pacing,,,118.2,13988.91,7 HCPCS,93613,Electrophys map 3d add-on,,,4291.06,7527.03,4 HCPCS,93613,HC 3D MAPPING FOR EP,4825.0,4825.0,,,0 HCPCS,93615,Esophageal recording,,,18.64,2183.69,7 HCPCS,93616,Esophageal recording,,,32.75,2183.69,7 HCPCS,93618,HC INDUC ARRHYTH BY HEART RHYTHM PACING,2242.0,2242.0,,,0 HCPCS,93618,Heart rhythm pacing,,,275.58,2183.69,7 HCPCS,93619,Electrophysiology evaluation,,,550.53,13988.91,7 HCPCS,93619,HC COMPREHENSIVE EP WO INDUCTION,10211.0,10211.0,,,0 HCPCS,93620,Electrophysiology evaluation,,,6011.46,13988.91,7 HCPCS,93620,HC COMPREHENSIVE EP WITH INDUCTION,14102.0,14102.0,,,0 HCPCS,93621,Electrophysiology evaluation,,,5220.48,9157.35,4 HCPCS,93621,HC LA PACING & RECORDING FROM CORONARY SINUS,12248.0,12248.0,,,0 HCPCS,93622,Electrophysiology evaluation,,,107.27,188.16,4 HCPCS,93622,HC COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC,4264.0,4264.0,,,0 HCPCS,93623,HC STIMULATION POST DRUG INFUSION,3967.0,3967.0,,,0 HCPCS,93623,Stimulation pacing heart,,,2863.87,5023.57,4 HCPCS,93624,Electrophysiologic study,,,127.19,13988.91,7 HCPCS,93631,Heart pacing mapping,,,246.66,432.68,4 HCPCS,93640,Evaluation heart device,,,502.35,881.19,4 HCPCS,93641,Electrophysiology evaluation,,,517.76,908.21,4 HCPCS,93641,HC ICD LEAD & GENERATOR EVALUATION,2853.0,2853.0,,,0 HCPCS,93642,Electrophysiology evaluation,,,1150.45,2183.69,7 HCPCS,93642,HC ICD EVALUATION WITH PROGRAMMING,2063.0,2063.0,,,0 HCPCS,93644,Electrophysiology evaluation,,,105.35,184.81,4 HCPCS,93650,Ablate heart dysrhythm focus,,,4260.69,13988.91,7 HCPCS,93650,HC ABLATION AV NODE,4791.0,4791.0,,,0 HCPCS,93653,Ep & ablate supravent arrhyt,,,12655.7,46878.96,7 HCPCS,93653,HC COMPRE EP EVAL ABLTJ 3D MAPG TX SVT,27433.0,27433.0,,,0 HCPCS,93654,Ep & ablate ventric tachy,,,16362.74,46878.96,7 HCPCS,93654,HC COMPRE EP EVAL ABLTJ 3D MAPG TX VT,22290.0,22290.0,,,0 HCPCS,93655,Ablate arrhythmia add on,,,3322.13,5827.42,4 HCPCS,93655,HC ABLATION 2ND SEPERATE SITE SVT/VT,3735.0,3735.0,,,0 HCPCS,93656,HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION,37856.0,37856.0,,,0 HCPCS,93656,Tx atrial fib pulm vein isol,,,14039.35,46878.96,7 HCPCS,93657,HC ABLATION 2ND SITE POST PVI AFIB,3735.0,3735.0,,,0 HCPCS,93657,Tx l/r atrial fib addl,,,201.72,353.84,4 HCPCS,93660,HC TILT TABLE,688.0,688.0,,,0 HCPCS,93660,Tilt table evaluation,,,235.28,669.27,7 HCPCS,93662,HC INTRACARDIAC ECHO,3919.0,3919.0,,,0 HCPCS,93662,Intracardiac Ecg (Ice),,,1868.94,3278.34,4 HCPCS,93668,HC PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION,160.0,160.0,,,0 HCPCS,93668,Peripheral Vascular Rehab,,,34.69,105.8,7 HCPCS,93701,Bioimpedance cv analysis,,,32.11,238.63,7 HCPCS,93702,Bis xtracell fluid analysis,,,128.21,393.24,7 HCPCS,93702,HC BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT,235.0,235.0,,,0 HCPCS,93724,Analyze pacemaker system,,,50.74,550.86,7 HCPCS,93740,Temperature gradient studies,,,2.58,230.78,7 HCPCS,93745,Set-up cardiovert-defibrill,,,247.71,550.86,7 HCPCS,93750,HC INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS,443.0,443.0,,,0 HCPCS,93750,Interrogation vad in person,,,94.73,187.86,7 HCPCS,93770,Measure venous pressure,,,1.28,2.25,4 HCPCS,93784,Ambulatory BP monitoring,,,97.65,171.28,4 HCPCS,93786,Ambulatory BP recording,,,53.96,238.63,7 HCPCS,93788,Ambulatory BP analysis,,,9.63,238.63,7 HCPCS,93790,Review/report BP recording,,,8.98,15.74,4 HCPCS,93792,Pt/caregiver trainj home inr,,,97.3,170.67,4 HCPCS,93793,Anticoag mgmt pt warfarin,,,9.66,16.95,4 HCPCS,93797,Cardiac rehab,,,108.07,231.2,7 HCPCS,93797,HC CARDIAC REHAB II WO EKG,265.0,265.0,,,0 HCPCS,93798,Cardiac rehab/monitor,,,108.07,231.2,7 HCPCS,93798,HC CARDIAC REHAB II WITH EKG,265.0,265.0,,,0 HCPCS,93799,Cardiovascular procedure,,,128.21,230.78,3 HCPCS,93799,HC ADENOSINE CHALLENGE,1274.0,1274.0,,,0 HCPCS,93799,HC ANGIOGRAPHY CORONARY W/ IFR W/O ADM PHARM STRESS AGENT,18333.0,18333.0,,,0 HCPCS,93799,HC ASPIRATION THROMBECTOMY CORONARY,1725.0,1725.0,,,0 HCPCS,93799,"HC BALLOON ANGIOPLASTY PREV PLACED UNDER DEPLOYED STENT W/O STENOSIS, OCCLUSION OR HEMODYNAMIC SIGNIFICANCE",9462.0,9462.0,,,0 HCPCS,93799,HC CARDIAC IV DRUG INFUSION,11037.0,11037.0,,,0 HCPCS,93799,HC CARDIOMEMS RECALIBRATION,235.0,235.0,,,0 HCPCS,93799,HC DFR/FFR W/O BASE PROCEDURE,3575.0,3575.0,,,0 HCPCS,93799,HC FFR RESERVE,7844.0,7844.0,,,0 HCPCS,93799,HC PROC FRAC FLOW RES (FFR) W/O ADENOSINE,6140.0,6140.0,,,0 HCPCS,93799,HC RFR INITIAL & ADDTL CORONARY ARTERIES,18333.0,18333.0,,,0 HCPCS,93880,Extracranial bilat study,,,237.74,427.94,3 HCPCS,93880,HC US CAROTID DOPPLER COMPLETE BILATERAL,332.5,332.5,,,0 HCPCS,93882,Extracranial uni/ltd study,,,104.17,330.14,7 HCPCS,93882,HC US CAROTID DUPLEX LIMITED OR UNILATERAL,336.0,336.0,,,0 HCPCS,93886,HC US TRANSCRANIAL DOPPLER COMPLETE,377.0,377.0,,,0 HCPCS,93886,Intracranial complete study,,,237.74,488.26,7 HCPCS,93888,HC US TRANSCRANIAL DOPPLER LIMITED,274.0,274.0,,,0 HCPCS,93888,Intracranial limited study,,,104.17,431.94,7 HCPCS,93892,Tcd emboli detect w/o inj,,,104.17,856.37,7 HCPCS,93893,Tcd emboli detect w/inj,,,104.17,912.73,7 HCPCS,93896,Vsrctv std tcd icr art compl,,,155.33,272.47,4 HCPCS,93897,Emboli detcj wo iv mbubb njx,,,205.6,360.65,4 HCPCS,93898,Ven-artl shunt det mbubb njx,,,212.54,372.82,4 HCPCS,93922,HC US ART PHYSIO EXAM LIMITED,271.5,271.5,,,0 HCPCS,93922,Upr/l xtremity art 2 levels,,,132.57,254.62,7 HCPCS,93923,HC US ART PHYSIO EXAM COMPLETE,312.5,312.5,,,0 HCPCS,93923,Upr/lxtr art stdy 3+ lvls,,,173.79,387.26,7 HCPCS,93924,HC US ART PHYSIO EXAM W EXERCISE,312.5,312.5,,,0 HCPCS,93924,Lwr xtr vasc stdy bilat,,,159.11,387.26,7 HCPCS,93925,HC US ART DOPPLER LOW EXTREMITY COMPLETE BILATERAL,819.0,819.0,,,0 HCPCS,93925,Lower extremity study,,,237.74,427.94,7 HCPCS,93926,HC US ART DOPPLER LOW EXTREMITY LIMITED OR UNILATERAL,812.0,812.0,,,0 HCPCS,93926,Lower extremity study,,,104.17,456.49,7 HCPCS,93930,HC US ART DOPPLER UP EXTREMITY COMPLETE BILATERAL,728.5,728.5,,,0 HCPCS,93930,Upper extremity study,,,210.05,427.94,7 HCPCS,93931,HC US ART DOPPLER UP EXTREMITY LIMITED OR UNILATERAL,636.0,636.0,,,0 HCPCS,93931,Upper extremity study,,,104.17,320.79,7 HCPCS,93970,Extremity study,,,237.74,427.94,3 HCPCS,93970,HC US EXTREMITY DOPPLER COMPLETE BILATERAL,967.0,967.0,,,0 HCPCS,93971,Extremity study,,,104.17,187.51,3 HCPCS,93971,HC US VENOUS EXTREMITY LIMITED OR UNILATERAL,775.5,775.5,,,0 HCPCS,93975,HC US ABD RETRO ART/VEN DOP COMPLETE,960.5,960.5,,,0 HCPCS,93975,Vascular study,,,237.74,427.94,3 HCPCS,93976,HC US DUPLEX ABD PELV RETRO LIMITED,773.5,773.5,,,0 HCPCS,93976,Vascular study,,,104.17,496.78,7 HCPCS,93978,HC US DUPLEX AORTA IVC ILI BYPASS COMPLETE,949.5,949.5,,,0 HCPCS,93978,Vascular study,,,237.74,427.94,3 HCPCS,93979,HC US DUPLEX AORTA IVC BYPASS LIMITED,1010.5,1010.5,,,0 HCPCS,93979,Vascular study,,,104.17,360.48,7 HCPCS,93980,Penile vascular study,,,104.17,308.41,7 HCPCS,93981,Penile vascular study,,,93.79,187.51,7 HCPCS,93985,Dup-scan hemo compl bi std,,,237.74,520.58,7 HCPCS,93985,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD,508.0,508.0,,,0 HCPCS,93986,Dup-scan hemo compl uni std,,,104.17,250.39,7 HCPCS,93986,HC DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD,227.0,227.0,,,0 HCPCS,93990,Doppler flow testing,,,104.17,483.06,7 HCPCS,93990,HC US HEMODIAL ACCESS DUPLEX DOPPLER,280.5,280.5,,,0 HCPCS,93998,Noninvas vasc dx study proc,,,28.82,51.88,3 HCPCS,94002,HC JET VENTILATOR INITIAL DAY,1194.0,1194.0,,,0 HCPCS,94002,HC OSCILLATOR VENTILATOR INITIAL DAY,1194.0,1194.0,,,0 HCPCS,94002,HC VENTILATOR INITIAL DAY,1039.0,1039.0,,,0 HCPCS,94002,Vent mgmt inpat init day,,,415.68,1108.02,7 HCPCS,94003,HC JET VENTILATOR SUBSEQUENT DAY,1194.0,1194.0,,,0 HCPCS,94003,HC OSCILLATOR VENTILATOR SUBSEQUENT DAY,1194.0,1194.0,,,0 HCPCS,94003,HC VENTILATOR SUBSEQUENT DAY,1039.0,1039.0,,,0 HCPCS,94003,Vent mgmt inpat subq day,,,415.68,1108.02,7 HCPCS,94004,Vent Mgmt NF per day,,,20.55,36.05,4 HCPCS,94005,Home Vent mgmt Supervision,,,66.79,117.16,4 HCPCS,94010,Breathing capacity test,,,67.72,387.26,7 HCPCS,94010,HC SPIROMETRY,170.0,170.0,,,0 HCPCS,94011,Spirometry up to 2 yrs old,,,124.61,230.78,7 HCPCS,94012,Spirmtry w/brnchdil inf-2 yr,,,215.15,399.54,7 HCPCS,94013,Meas lung vol thru 2 yrs,,,371.82,715.23,7 HCPCS,94014,Patient recorded spirometry,,,61.66,801.21,7 HCPCS,94015,Patient recorded spirometry,,,56.52,387.26,7 HCPCS,94016,Review patient spirometry,,,11.56,43.54,7 HCPCS,94060,Evaluation of wheezing,,,149.92,669.27,7 HCPCS,94060,HC SPIROMETRY PRE & POST,343.0,343.0,,,0 HCPCS,94070,Evaluation of wheezing,,,56.52,669.27,7 HCPCS,94070,HC BRONCHOPROVACTION,393.0,393.0,,,0 HCPCS,94150,HC TV VC INSP EFFORT,170.0,170.0,,,0 HCPCS,94150,Vital capacity test,,,12.56,230.78,7 HCPCS,94200,Lung function test (MBC/MVV),,,36.63,105.8,7 HCPCS,94375,Respiratory flow volume loop,,,44.96,387.26,7 HCPCS,94450,Hypoxia response curve,,,89.3,230.78,7 HCPCS,94452,Hast w/report,,,78.35,238.63,7 HCPCS,94453,Hast w/oxygen titrate,,,110.48,238.63,7 HCPCS,94610,HC INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP,634.0,634.0,,,0 HCPCS,94610,Surfactant Admin Thru Tube,,,158.92,392.74,7 HCPCS,94617,Exercise tst brncspsm,,,132.57,329.76,7 HCPCS,94618,HC PULMONARY STRESS TESTING,504.0,504.0,,,0 HCPCS,94618,Pulmonary stress testing,,,132.57,329.76,7 HCPCS,94619,Exercise tst brncspsm wo ecg,,,58.78,124.36,7 HCPCS,94621,HC METABOLIC STRESS TEST B,948.0,948.0,,,0 HCPCS,94621,Pulm stress test/complex,,,286.2,669.27,7 HCPCS,94625,HC OP PULM REHAB WO CONT OXIMTRY MNTR,231.0,231.0,,,0 HCPCS,94625,Phy/qhp op pulm rhb w/o mntr,,,58.78,127.02,7 HCPCS,94626,Phy/qhp op pulm rhb w/mntr,,,58.78,127.02,7 HCPCS,94640,Airway inhalation treatment,,,34.92,392.74,7 HCPCS,94640,HC AIRWAY INHALATION TREATMENT,367.0,367.0,,,0 HCPCS,94640,HC ED AIRWAY INHALATION TREATMENT,376.0,376.0,,,0 HCPCS,94642,Aerosol inhalation treatment,,,59.49,392.74,7 HCPCS,94642,HC PENTAMIDINE TREATMENT,290.0,290.0,,,0 HCPCS,94644,Cbt 1st hour,,,80.4,238.63,7 HCPCS,94644,HC CBT 1ST HOUR,217.0,217.0,,,0 HCPCS,94645,Cbt each addl hour,,,83.71,146.84,4 HCPCS,94645,HC CBT EACH ADDTL HOUR,141.0,141.0,,,0 HCPCS,94660,HC BIPAP/CPAP,432.0,432.0,,,0 HCPCS,94660,Pos airway pressure cpap,,,160.33,392.74,7 HCPCS,94662,Neg press ventilation cnp,,,415.68,729.16,4 HCPCS,94664,Evaluate pt use of inhaler,,,158.92,392.74,7 HCPCS,94667,Chest wall manipulation,,,98.06,238.63,7 HCPCS,94667,HC PERCUSSION & POST DRAINAGE,114.0,114.0,,,0 HCPCS,94668,Chest wall manipulation,,,26.34,238.63,7 HCPCS,94668,HC PERCUSSION & POST DRAINAGE SUBSEQUENT,114.0,114.0,,,0 HCPCS,94669,HC MECHANICAL CHEST WALL OSCILLATION,192.0,192.0,,,0 HCPCS,94669,Mechanical chest wall oscill,,,158.92,392.74,7 HCPCS,94680,Exhaled air analysis o2,,,80.28,230.78,7 HCPCS,94681,Exhaled air analysis o2/co2,,,79.66,669.27,7 HCPCS,94681,HC METABOLIC CART PROFILE,323.0,323.0,,,0 HCPCS,94690,Exhaled air analysis,,,58.78,151.0,7 HCPCS,94726,HC PLETHYSMOGRAPHY,374.0,374.0,,,0 HCPCS,94726,Pulm funct tst plethysmograp,,,163.74,669.27,7 HCPCS,94727,HC GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL,474.0,474.0,,,0 HCPCS,94727,Pulm function test by gas,,,53.96,387.26,7 HCPCS,94728,Pulm funct test oscillometry,,,48.82,230.78,7 HCPCS,94729,Co/membane diffuse capacity,,,52.1,91.39,4 HCPCS,94729,HC C.O. DIFFUSION,119.0,119.0,,,0 HCPCS,94760,Measure blood oxygen level,,,5.79,10.15,4 HCPCS,94761,HC OXIMETRY MULTIPLE,116.0,116.0,,,0 HCPCS,94761,Measure blood oxygen level,,,53.94,94.61,4 HCPCS,94762,HC NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR,327.0,327.0,,,0 HCPCS,94762,"HC NONINVASV OXYGEN SATUT, CONTINUOUS",327.0,327.0,,,0 HCPCS,94762,Measure blood oxygen level,,,84.45,230.78,7 HCPCS,94772,Breath recording infant,,,371.82,715.23,7 HCPCS,94775,Ped home apnea rec hk-up,,,124.61,230.78,7 HCPCS,94776,Ped home apnea rec downld,,,68.79,230.78,7 HCPCS,94780,Car seat/bed test 60 min,,,27.82,66.99,7 HCPCS,94780,HC CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN,161.0,161.0,,,0 HCPCS,94781,Car seat/bed test + 30 min,,,30.19,52.96,4 HCPCS,94781,HC CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN,80.0,80.0,,,0 HCPCS,94799,HC CAPNOGRAPHY DAILY UNLISTED,225.0,225.0,,,0 HCPCS,94799,HC CBT VELETRI DAILY CHARGE,2146.0,2146.0,,,0 HCPCS,94799,HC PULMONARY COMPLIANCE STUDY UNLISTED,172.0,172.0,,,0 HCPCS,94799,Pulmonary service/procedure,,,128.21,230.78,3 HCPCS,95004,Percut allergy skin tests,,,258.44,1540.17,7 HCPCS,95012,Exhaled Nitric Oxide Meas,,,27.82,66.99,7 HCPCS,95017,Perq & icut allg test venoms,,,27.82,51.88,7 HCPCS,95018,Perq&ic allg test drugs/biol,,,27.82,66.99,7 HCPCS,95024,Icut allergy test drug/bug,,,53.47,105.8,7 HCPCS,95027,Icut allergy titrate-airborn,,,27.82,51.88,7 HCPCS,95028,Icut allergy test-delayed,,,24.4,66.99,7 HCPCS,95044,Allergy patch tests,,,258.44,1540.17,7 HCPCS,95052,Photo patch test,,,27.82,105.8,7 HCPCS,95056,Photosensitivity tests,,,53.47,238.63,7 HCPCS,95060,Eye allergy tests,,,64.24,238.63,7 HCPCS,95065,Nose allergy test,,,37.22,79.99,7 HCPCS,95070,Bronchial allergy tests,,,55.88,669.27,7 HCPCS,95070,HC METHACHOLINE INHALATION,666.0,666.0,,,0 HCPCS,95076,Ingest challenge ini 120 min,,,371.82,715.23,7 HCPCS,95079,Ingest challenge addl 60 min,,,58.45,102.53,4 HCPCS,95115,Immunotherapy one injection,,,34.09,83.98,7 HCPCS,95117,HC ALLERGEN INJECTION MULTIPLE,106.0,106.0,,,0 HCPCS,95117,Immunotherapy injections,,,34.09,83.98,7 HCPCS,95120,Immunotherapy one injection,,,12.21,21.42,4 HCPCS,95125,Immunotherapy 2/> injections,,,14.77,25.91,4 HCPCS,95130,Immntx 1 sting insect,,,21.2,37.19,4 HCPCS,95131,Immntx 2 sting insects,,,26.98,47.32,4 HCPCS,95132,Immntx 3 sting insects,,,32.11,56.33,4 HCPCS,95133,Immntx 4 sting insects,,,39.18,68.72,4 HCPCS,95134,Immntx 5 sting insects,,,46.25,81.12,4 HCPCS,95144,Antigen therapy services,,,34.09,83.98,7 HCPCS,95145,Antigen therapy services,,,34.09,83.98,7 HCPCS,95146,Antigen therapy services,,,34.09,83.98,7 HCPCS,95147,Antigen therapy services,,,52.14,129.13,7 HCPCS,95148,Antigen therapy services,,,52.14,129.13,7 HCPCS,95149,Antigen therapy services,,,52.14,129.13,7 HCPCS,95165,Antigen therapy services,,,34.09,83.98,7 HCPCS,95170,Antigen therapy services,,,34.09,83.98,7 HCPCS,95180,Rapid desensitization,,,258.44,801.21,7 HCPCS,95199,Allergy immunology services,,,28.82,51.88,3 HCPCS,95249,Cont gluc mntr pt prov eqp,,,58.78,175.69,7 HCPCS,95250,Glucose monitoring cont,,,132.66,501.42,7 HCPCS,95251,Gluc monitor cont phys i&r,,,21.83,38.3,4 HCPCS,95700,Eeg cont rec w/vid eeg tech,,,215.15,565.39,7 HCPCS,95700,HC VEEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS,864.5,864.5,,,0 HCPCS,95705,Eeg w/o vid 2-12 hr unmntr,,,215.15,565.39,7 HCPCS,95706,Eeg wo vid 2-12hr intmt mntr,,,215.15,565.39,7 HCPCS,95706,HC EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR,864.5,864.5,,,0 HCPCS,95707,Eeg w/o vid 2-12hr cont mntr,,,215.15,565.39,7 HCPCS,95707,HC EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR,864.5,864.5,,,0 HCPCS,95708,Eeg wo vid ea 12-26hr unmntr,,,371.82,1084.8,7 HCPCS,95709,Eeg w/o vid ea 12-26hr intmt,,,371.82,1084.8,7 HCPCS,95709,HC EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR,1657.0,1657.0,,,0 HCPCS,95710,Eeg w/o vid ea 12-26hr cont,,,371.82,1084.8,7 HCPCS,95711,Veeg 2-12 hr unmonitored,,,215.15,565.39,7 HCPCS,95712,HC VEEG BY TECH 2-12 HR INTERMITTENT MONITORING,864.5,864.5,,,0 HCPCS,95712,Veeg 2-12 hr intmt mntr,,,322.32,669.27,7 HCPCS,95713,HC VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING,1657.0,1657.0,,,0 HCPCS,95713,Veeg 2-12 hr cont mntr,,,371.82,1084.8,7 HCPCS,95714,HC VEEG BY TECH EA INCR 12-26 HR UNMONITORED,1326.5,1326.5,,,0 HCPCS,95714,Veeg ea 12-26 hr unmntr,,,371.82,1084.8,7 HCPCS,95715,HC VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR,1657.0,1657.0,,,0 HCPCS,95715,Veeg ea 12-26hr intmt mntr,,,371.82,1084.8,7 HCPCS,95716,HC VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR,3103.5,3103.5,,,0 HCPCS,95716,Veeg ea 12-26hr cont mntr,,,855.65,2030.44,7 HCPCS,95717,Eeg phys/qhp 2-12 hr w/o vid,,,37.69,66.11,4 HCPCS,95718,Eeg phys/qhp 2-12 hr w/veeg,,,54.71,95.97,4 HCPCS,95719,Eeg phys/qhp ea incr w/o vid,,,61.59,108.04,4 HCPCS,95720,Eeg phy/qhp ea incr w/veeg,,,85.04,149.18,4 HCPCS,95721,Eeg phy/qhp>36<60 hr w/o vid,,,87.34,153.2,4 HCPCS,95722,Eeg phy/qhp>36<60 hr w/veeg,,,104.79,183.82,4 HCPCS,95723,Eeg phy/qhp>60<84 hr w/o vid,,,108.93,191.07,4 HCPCS,95724,Eeg phy/qhp>60<84 hr w/veeg,,,134.21,235.43,4 HCPCS,95725,Eeg phy/qhp>84 hr w/o vid,,,125.47,220.09,4 HCPCS,95726,Eeg phy/qhp>84 hr w/veeg,,,169.62,297.54,4 HCPCS,95782,HC POLYSOM UNDER 6 YRS 4 ADDL PARAM ATTND,6839.0,6839.0,,,0 HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,855.65,4337.19,7 HCPCS,95783,HC POLYSOM UNDER 6 YRS W/CPAP/BILVL VENT 4 ADDL PARAM ATTND,7616.0,7616.0,,,0 HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,855.65,3235.11,7 HCPCS,95800,HC SLEEP STUDY UNATTENDED,237.0,237.0,,,0 HCPCS,95800,Slp stdy unattended,,,215.15,401.13,7 HCPCS,95801,Slp stdy unatnd w/anal,,,58.78,131.84,7 HCPCS,95803,Actigraphy testing,,,58.78,308.76,7 HCPCS,95805,HC MULTIPLE SLEEP LATENCY TEST,5143.0,5143.0,,,0 HCPCS,95805,Multiple sleep latency test,,,855.65,2622.0,7 HCPCS,95806,HC PORTABLE HOME SLEEP TESTING,595.5,595.5,,,0 HCPCS,95806,Sleep study unatt&resp efft,,,195.93,387.26,7 HCPCS,95807,HC SLEEP STUDY ATTENDED LIMITED,1463.0,1463.0,,,0 HCPCS,95807,Sleep study attended,,,371.82,821.04,7 HCPCS,95808,Polysom any age 1-3> param,,,855.65,1754.47,7 HCPCS,95810,HC POLYSOM 6 YRS OR OLDER 4 ADDL PARAM ATTND,3825.5,3825.5,,,0 HCPCS,95810,Polysom 6/> yrs 4/> param,,,855.65,1540.17,3 HCPCS,95811,HC POLYSOM 6 YRS OR OLDER W/CPAP/BILVL VENT 4 ADDL PARAM ATTND,3825.5,3825.5,,,0 HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,855.65,2139.02,7 HCPCS,95812,Eeg 41-60 minutes,,,215.15,583.84,7 HCPCS,95812,HC EEG 41 TO 60 MINUTES,798.0,798.0,,,0 HCPCS,95813,Eeg over 1 hour,,,215.15,583.84,7 HCPCS,95813,HC EEG 61 TO 119 MINUTES,958.0,958.0,,,0 HCPCS,95816,Eeg awake and drowsy,,,215.15,780.34,7 HCPCS,95816,HC EEG AWAKE/DROWSY,665.0,665.0,,,0 HCPCS,95819,Eeg awake and asleep,,,215.15,737.76,7 HCPCS,95819,HC EEG AWAKE AND ASLEEP,665.0,665.0,,,0 HCPCS,95822,Eeg coma or sleep only,,,215.15,1008.48,7 HCPCS,95822,HC EEG COMA OR SLEEP ONLY,1002.0,1002.0,,,0 HCPCS,95824,Eeg cerebral death only,,,112.42,669.27,7 HCPCS,95829,HC ELECTROCORTICOGRAM INTRAOP,88.0,88.0,,,0 HCPCS,95829,Surgery electrocorticogram,,,2860.56,5017.76,4 HCPCS,95830,Insert electrodes for EEG,,,280.73,492.43,4 HCPCS,95836,Ecog impltd brn npgt <=30 d,,,37.19,112.19,7 HCPCS,95851,Range of motion measurements,,,6.87,38.3,7 HCPCS,95852,Range of motion measurements,,,5.2,36.05,7 HCPCS,95857,Cholinesterase challenge,,,215.15,399.54,7 HCPCS,95860,HC MUSCLE TEST ONE LIMB,259.0,259.0,,,0 HCPCS,95860,Muscle test one limb,,,127.83,238.63,7 HCPCS,95861,HC MUSCLE TEST 2 LIMBS,390.0,390.0,,,0 HCPCS,95861,Muscle test 2 limbs,,,132.57,288.47,7 HCPCS,95863,Muscle test 3 limbs,,,128.21,375.22,7 HCPCS,95864,HC MUSCLE TEST 4 LIMBS,477.0,477.0,,,0 HCPCS,95864,Muscle test 4 limbs,,,128.21,438.36,7 HCPCS,95865,HC MUSCLE TEST LARYNX,310.0,310.0,,,0 HCPCS,95865,Muscle test larynx,,,111.78,238.63,7 HCPCS,95866,Muscle test hemidiaphragm,,,122.7,230.78,7 HCPCS,95867,HC MUSCLE TEST CRAN NERV UNILATERAL,701.0,701.0,,,0 HCPCS,95867,Muscle test cran nerv unilat,,,99.57,387.26,7 HCPCS,95868,HC MUSCLE TEST CRAN NERV BILATERAL,921.0,921.0,,,0 HCPCS,95868,Muscle test cran nerve bilat,,,128.47,387.26,7 HCPCS,95869,HC MUSCLE TEST THOR PARASPINAL,701.0,701.0,,,0 HCPCS,95869,Muscle test thor paraspinal,,,129.77,387.26,7 HCPCS,95870,HC MUSCLE TEST NONPARASPINAL,259.0,259.0,,,0 HCPCS,95870,Muscle test nonparaspinal,,,74.25,238.63,7 HCPCS,95872,Muscle test one fiber,,,76.45,387.26,7 HCPCS,95873,Guide nerv destr elec stim,,,96.36,169.03,4 HCPCS,95874,Guide nerv destr needle emg,,,97.65,171.28,4 HCPCS,95874,HC NEEDLE EMG GUID W/CHEMODENERVATION,84.0,84.0,,,0 HCPCS,95875,Limb exercise test,,,105.35,230.78,7 HCPCS,95885,HC NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED,94.0,94.0,,,0 HCPCS,95885,Musc tst done w/nerv tst lim,,,71.95,126.21,4 HCPCS,95886,HC MUSC TEST DONE WITH NERVE TEST COMPLETE,246.0,246.0,,,0 HCPCS,95886,Musc test done w/n test comp,,,80.93,141.97,4 HCPCS,95887,HC MUSC TEST DONE WITH NERVE TEST NONEXT,130.0,130.0,,,0 HCPCS,95887,Musc tst done w/n tst nonext,,,77.09,135.23,4 HCPCS,95905,Motor &/ sens nrve cndj test,,,211.71,801.21,7 HCPCS,95907,HC NERVE CONDUCTION STUDIES 1-2 STUDIES,489.0,489.0,,,0 HCPCS,95907,Nvr cndj tst 1-2 studies,,,79.01,387.26,7 HCPCS,95908,HC NERVE CONDUCTION STUDIES 3-4 STUDIES,908.0,908.0,,,0 HCPCS,95908,Nrv cndj tst 3-4 studies,,,104.71,387.26,7 HCPCS,95909,HC NERVE CONDUCTION STUDIES 5-6 STUDIES,908.0,908.0,,,0 HCPCS,95909,Nrv cndj tst 5-6 studies,,,123.97,387.26,7 HCPCS,95910,HC NERVE CONDUCTION STUDIES 7-8 STUDIES,908.0,908.0,,,0 HCPCS,95910,Nrv cndj test 7-8 studies,,,161.88,669.27,7 HCPCS,95911,Nrv cndj test 9-10 studies,,,181.81,669.27,7 HCPCS,95912,Nrv cndj test 11-12 studies,,,181.16,669.27,7 HCPCS,95913,Nrv cndj test 13/> studies,,,197.85,669.27,7 HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,132.57,255.24,7 HCPCS,95921,Autonomic nrv parasym inervj,,,71.95,230.78,7 HCPCS,95922,Autonomic nrv adrenrg inervj,,,93.15,238.63,7 HCPCS,95923,Autonomic nrv syst funj test,,,132.57,301.98,7 HCPCS,95924,Ans parasymp & symp w/tilt,,,113.05,387.26,7 HCPCS,95925,HC EMG SER UPPER LIMB,733.0,733.0,,,0 HCPCS,95925,Somatosensory testing,,,201.06,387.26,7 HCPCS,95926,Somatosensory testing,,,193.99,387.26,7 HCPCS,95927,Somatosensory testing,,,200.41,387.26,7 HCPCS,95928,C motor evoked uppr limbs,,,240.88,1540.17,7 HCPCS,95928,HC CENT MOTOR EVOK POT UPPER LIMB,1927.0,1927.0,,,0 HCPCS,95929,C motor evoked lwr limbs,,,251.8,669.27,7 HCPCS,95930,Visual evoked potential test,,,215.15,525.12,7 HCPCS,95933,Blink reflex test,,,58.78,143.09,7 HCPCS,95937,Neuromuscular junction test,,,86.08,230.78,7 HCPCS,95938,HC SOMATOSENSORY UPPER AND LOWER LIMB,1082.0,1082.0,,,0 HCPCS,95938,Somatosensory testing,,,657.09,1540.17,7 HCPCS,95939,C motor evoked upr&lwr limbs,,,115.9,1540.17,7 HCPCS,95939,HC C MOTOR EVOKD UPPER AND LOWER LIMB,2040.0,2040.0,,,0 HCPCS,95940,HC INTRAOP NEURO MON PER 15 MIN,238.0,238.0,,,0 HCPCS,95940,Ionm in operatng room 15 min,,,17.99,31.56,4 HCPCS,95954,EEG monitoring/giving drugs,,,371.82,1040.05,7 HCPCS,95955,EEG during surgery,,,290.37,509.34,4 HCPCS,95955,HC EEG IOM,1035.0,1035.0,,,0 HCPCS,95957,EEG digital analysis,,,362.94,636.64,4 HCPCS,95958,EEG monitoring/function test,,,641.1,1540.17,7 HCPCS,95958,HC EEG HEMISPHERIC FUNCTION/WADA,2093.0,2093.0,,,0 HCPCS,95961,Electrode stimulation brain,,,259.53,1540.17,7 HCPCS,95962,Electrode stim brain add-on,,,159.3,279.43,4 HCPCS,95965,Meg spontaneous,,,855.65,5413.29,7 HCPCS,95966,Meg evoked single,,,855.65,2713.41,7 HCPCS,95967,Meg evoked each addl,,,1356.72,2379.86,4 HCPCS,95970,Analyze neurostim no prog,,,98.06,238.63,7 HCPCS,95970,HC ANALYZE NEUROSTIM NO PROG,380.0,380.0,,,0 HCPCS,95971,Analyze neurostim simple,,,94.73,187.86,7 HCPCS,95972,Analyze neurostim complex,,,94.73,187.86,7 HCPCS,95976,Alys smpl cn npgt prgrmg,,,37.19,112.19,7 HCPCS,95976,HC ELEC ALYS IMPLT SMPL CN NPGT PRGRMG,54.0,54.0,,,0 HCPCS,95977,Alys cplx cn npgt prgrmg,,,94.73,354.87,7 HCPCS,95977,HC ELEC ALYS IMPLT CPLX CN NPGT PRGRMG,154.0,154.0,,,0 HCPCS,95980,Io anal gast n-stim init,,,22.47,39.42,4 HCPCS,95981,Io anal gast n-stim subsq,,,53.47,105.8,7 HCPCS,95982,Io ga n-stim subsq w/reprog,,,34.46,66.94,7 HCPCS,95983,Alys brn npgt prgrmg 15 min,,,63.96,170.51,7 HCPCS,95984,Alys brn npgt prgrmg addl 15,,,24.19,42.44,4 HCPCS,95990,Spin/brain pump refil & main,,,273.99,592.41,7 HCPCS,95991,Spin/brain pump refil & main,,,226.5,550.53,7 HCPCS,95992,Canalith repositioning proc,,,27.61,54.04,7 HCPCS,95992,HC OT CANALITH REPOSITIONING PROC,130.0,130.0,,,0 HCPCS,95992,HC PT CANALITH REPOSITIONING PROC,145.0,145.0,,,0 HCPCS,95999,Neurological procedure,,,128.21,230.78,3 HCPCS,96000,Motion analysis video/3d,,,174.09,669.27,7 HCPCS,96001,Motion test w/ft press meas,,,222.9,1540.17,7 HCPCS,96002,Dynamic surface emg,,,39.81,387.26,7 HCPCS,96004,Phys review of motion tests,,,65.53,114.95,4 HCPCS,96041,Genetic counseling svc ea 30,,,52.35,91.83,4 HCPCS,96041,HC GENETIC COUNSELING 30 MIN,154.0,154.0,,,0 HCPCS,96105,Assessment of aphasia,,,78.35,169.54,11 HCPCS,96105,HC ST ASSESSMENT OF APHASIA,420.0,420.0,,,0 HCPCS,96110,Developmental screen w/score,,,16.7,123.63,8 HCPCS,96110,HC DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM,29.0,29.0,,,0 HCPCS,96112,Devel tst phys/qhp 1st hr,,,107.5,410.45,11 HCPCS,96113,Devel tst phys/qhp ea addl,,,107.5,123.63,4 HCPCS,96116,HC NEUROBEHAVORIAL STATUS EX 1ST HOUR,906.0,906.0,,,0 HCPCS,96116,Neurobehavioral status exam,,,215.15,399.54,7 HCPCS,96125,Cognitive test by hc pro,,,97.0,178.47,11 HCPCS,96125,HC ST COGNITIVE PERFORM PER HOUR,234.0,234.0,,,0 HCPCS,96127,Brief emotional/behav assmt,,,10.27,66.99,7 HCPCS,96127,HC BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT,82.0,82.0,,,0 HCPCS,96130,Psycl tst eval phys/qhp 1st,,,215.15,410.45,7 HCPCS,96132,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR,1529.0,1529.0,,,0 HCPCS,96132,Nrpsyc tst eval phys/qhp 1st,,,233.99,669.27,7 HCPCS,96133,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR,765.0,765.0,,,0 HCPCS,96136,HC PSYL/NRPSYCL TST PHYS/QHP 2+ TST 1ST 30 MIN,367.0,367.0,,,0 HCPCS,96136,Psycl/nrpsyc tst phy/qhp 1st,,,29.55,238.63,7 HCPCS,96137,HC PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN,178.0,178.0,,,0 HCPCS,96138,HC PSYCHL/NRPSYCL TST TECH 2+TST 1ST 30 MIN,330.0,330.0,,,0 HCPCS,96138,Psycl/nrpsyc tech 1st,,,29.55,801.21,7 HCPCS,96139,HC PSYCHL/NRPSYCL TST TECH 2+TST EA ADDL 30 MIN,85.0,85.0,,,0 HCPCS,96146,HC PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT,96.0,96.0,,,0 HCPCS,96146,Psycl/nrpsyc tst auto result,,,28.82,51.88,7 HCPCS,96156,HC HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT,125.0,125.0,,,0 HCPCS,96156,Hlth bhv assmt/reassessment,,,100.02,182.2,7 HCPCS,96158,HC HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN,130.0,130.0,,,0 HCPCS,96158,Hlth bhv ivntj indiv 1st 30,,,100.02,318.34,7 HCPCS,96159,HC HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN,41.0,41.0,,,0 HCPCS,96159,Hlth bhv ivntj indiv ea addl,,,27.12,47.58,4 HCPCS,96160,HC PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM,62.0,62.0,,,0 HCPCS,96160,Pt-focused hlth risk assmt,,,24.74,67.2,7 HCPCS,96161,Caregiver health risk assmt,,,24.74,67.2,7 HCPCS,96161,HC CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM,62.0,62.0,,,0 HCPCS,96164,Hlth bhv ivntj grp 1st 30,,,34.79,67.2,7 HCPCS,96165,Hlth bhv ivntj grp ea addl,,,5.05,8.87,4 HCPCS,96167,Hlth bhv ivntj fam 1st 30,,,34.79,67.2,7 HCPCS,96168,Hlth bhv ivntj fam ea addl,,,29.88,52.41,4 HCPCS,96170,Hlth bhv ivntj fam wo pt 1st,,,100.66,176.57,4 HCPCS,96171,Hlth bhv ivntj fam w/o pt ea,,,36.77,64.5,4 HCPCS,96202,Mlt fam grp bhv train 1st 60,,,9.53,30.92,7 HCPCS,96203,Mlt fam grp bhv train ea add,,,2.08,9.4,7 HCPCS,96360,HC ED IV HYDRATION INFUSION INITIAL HOUR,261.0,261.0,,,0 HCPCS,96360,HC IV HYDRATION INFUSION INITIAL HOUR,261.0,261.0,,,0 HCPCS,96360,Hydration iv infusion init,,,144.28,381.49,7 HCPCS,96361,HC ED IV HYDRATE ADDTL HOURS,86.0,86.0,,,0 HCPCS,96361,HC IV HYDRATE ADDTL HOURS,86.0,86.0,,,0 HCPCS,96361,Hydrate iv infusion add-on,,,46.66,145.28,7 HCPCS,96365,HC ED IV INFUSION THERAPY UP TO 1 HR,404.0,404.0,,,0 HCPCS,96365,HC ED OBS IV INF THER/PROPH/DIAG INIT TO 1 HR,561.0,561.0,,,0 HCPCS,96365,HC IV INFUSION THERAPY UP TO 1 HR,384.0,384.0,,,0 HCPCS,96365,Ther/proph/diag iv inf init,,,150.59,381.49,7 HCPCS,96366,HC ED IV INFUSION THERAPY EACH ADDTL HR,164.0,164.0,,,0 HCPCS,96366,HC IV INFUSION THERAPY EACH ADDTL HR,178.0,178.0,,,0 HCPCS,96366,Ther/proph/diag iv inf addon,,,46.66,169.06,7 HCPCS,96367,HC ED IV INFUSION ADDTL SEQUENTUAL UP TO 1 HR,236.0,236.0,,,0 HCPCS,96367,HC IV INFUSION ADDTL SEQUENTUAL UP TO 1 HR,254.0,254.0,,,0 HCPCS,96367,Tx/proph/dg addl seq iv inf,,,71.74,245.01,7 HCPCS,96368,HC ED IV CONCURRENT INFUSION,235.0,235.0,,,0 HCPCS,96368,HC IV CONCURRENT INFUSION,235.0,235.0,,,0 HCPCS,96368,Ther/diag concurrent inf,,,135.76,238.14,4 HCPCS,96369,Sc ther infusion up to 1 hr,,,176.25,381.49,7 HCPCS,96370,Sc ther infusion addl hr,,,34.09,83.98,7 HCPCS,96371,Sc ther infusion reset pump,,,52.14,129.13,7 HCPCS,96372,HC ADMIN OF INJECTION SUBQ OR IM,139.0,139.0,,,0 HCPCS,96372,HC ED ADMIN OF INJECTION SUBQ OR IM,160.0,160.0,,,0 HCPCS,96372,HC OTH ADMIN OF INJECTION SUBQ OR IM,133.5,133.5,,,0 HCPCS,96372,Ther/proph/diag inj sc/im,,,71.74,129.13,7 HCPCS,96373,Ther/proph/diag inj ia,,,176.25,381.49,7 HCPCS,96374,HC ED IV PUSH SINGLE OR INITIAL SUBSTANCE,266.0,266.0,,,0 HCPCS,96374,HC IV PUSH SINGLE OR INITIAL SUBSTANCE,263.0,263.0,,,0 HCPCS,96374,Ther/proph/diag inj iv push,,,117.07,381.49,7 HCPCS,96375,HC ED IV PUSH EACH ADDTL NEW SUBSTANCE,213.0,213.0,,,0 HCPCS,96375,HC IV PUSH EACH ADDTL NEW SUBSTANCE,213.0,213.0,,,0 HCPCS,96375,Tx/pro/dx inj new drug addon,,,46.66,219.65,7 HCPCS,96376,HC ED IV PUSH SAME DRUG 30 MIN AFTER,209.0,209.0,,,0 HCPCS,96376,HC IV PUSH SAME DRUG 30 MIN AFTER,209.0,209.0,,,0 HCPCS,96376,Tx/pro/dx inj same drug adon,,,114.19,200.3,4 HCPCS,96377,Applicaton on-body injector,,,46.66,83.98,3 HCPCS,96377,HC APPLICATION OF BODY INJECTOR,198.0,198.0,,,0 HCPCS,96379,HC UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS,347.0,347.0,,,0 HCPCS,96379,Ther/prop/diag inj/inf proc,,,46.66,83.98,3 HCPCS,96380,Admn rsv monoc antb im cnsl,,,22.65,39.73,4 HCPCS,96381,1 admn rsv monoc antb im njx,,,19.55,34.29,4 HCPCS,96381,HC ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,90.0,90.0,,,0 HCPCS,96381,HC ED ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,90.0,90.0,,,0 HCPCS,96381,HC VFC ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,23.03,23.03,,,0 HCPCS,96381,HC VFC ED ADMN RSV MONOCLONAL ANTB SEASONAL DOSE IM NJX,23.03,23.03,,,0 HCPCS,96401,Chemo anti-neopl sq/im,,,71.74,304.05,7 HCPCS,96401,HC CHEMO SUBQ/IM NONHORMONE ANTINEOP,289.0,289.0,,,0 HCPCS,96401,HC ED CHEMO SUBQ/IM NONHORMONE ANTINEOP,289.0,289.0,,,0 HCPCS,96402,Chemo hormon antineopl sq/im,,,71.74,293.41,7 HCPCS,96402,HC CHEMO SUBQ/IM HORMONAL ANTINEO,278.0,278.0,,,0 HCPCS,96405,Chemo intralesional up to 7,,,52.14,129.13,7 HCPCS,96406,Chemo intralesional over 7,,,176.25,381.49,7 HCPCS,96409,Chemo iv push sngl drug,,,191.74,592.41,7 HCPCS,96409,HC CHEMO IV PUSH SINGLE / INITIAL,319.0,319.0,,,0 HCPCS,96411,Chemo iv push addl drug,,,71.74,305.75,7 HCPCS,96411,HC CHEMO IV PUSH EA ADDTL DRUG,254.0,254.0,,,0 HCPCS,96413,Chemo iv infusion 1 hr,,,200.83,592.41,7 HCPCS,96413,HC CHEMO IV INFUSION INITIAL DRUG 1 HOUR,526.0,526.0,,,0 HCPCS,96415,Chemo iv infusion addl hr,,,71.74,203.07,7 HCPCS,96415,HC CHEMO IV INFUSION INITIAL DRUG ADDTL HOUR,216.0,216.0,,,0 HCPCS,96416,Chemo prolong infuse w/pump,,,273.99,592.41,7 HCPCS,96417,Chemo iv infus each addl seq,,,71.74,388.21,7 HCPCS,96417,HC CHEMO IV INFUSION EACH SEQUENTUAL DRUG,353.0,353.0,,,0 HCPCS,96420,Chemo ia push tecnique,,,273.99,592.41,7 HCPCS,96420,HC CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ,728.0,728.0,,,0 HCPCS,96422,Chemo ia infusion up to 1 hr,,,176.25,592.41,7 HCPCS,96423,Chemo ia infuse each addl hr,,,34.09,83.98,7 HCPCS,96425,Chemotherapy infusion method,,,273.99,592.41,7 HCPCS,96440,Chemotherapy intracavitary,,,273.99,592.41,7 HCPCS,96446,Chemotx admn prtl cavity,,,329.12,604.7,7 HCPCS,96450,Chemotherapy into cns,,,133.47,592.41,7 HCPCS,96450,HC CHEMOTX ADMN CNS REQ SPINAL PUNCTURE,980.0,980.0,,,0 HCPCS,96450,HC INTRATHECAL ADMIN CHEMOTHER,778.0,778.0,,,0 HCPCS,96521,Refill/maint portable pump,,,176.25,381.49,7 HCPCS,96522,Refill/maint pump/resvr syst,,,176.25,381.49,7 HCPCS,96523,HC IRRIGATION IMPLANTED DEVICE,93.0,93.0,,,0 HCPCS,96523,Irrig drug delivery device,,,53.47,105.8,7 HCPCS,96542,Chemotherapy injection,,,176.25,592.41,7 HCPCS,96549,Chemotherapy unspecified,,,46.66,83.98,3 HCPCS,96549,HC CHEMOTHERAPY UNSPECIFIED,248.0,248.0,,,0 HCPCS,96567,Photodynamic tx skin,,,150.12,359.84,7 HCPCS,96570,Photodynmc tx 30 min add-on,,,21.83,38.3,4 HCPCS,96571,Photodynamic tx addl 15 min,,,10.27,18.02,4 HCPCS,96573,Pdt dstr prmlg les phys/qhp,,,199.91,530.39,7 HCPCS,96574,Dbrdmt prmlg les w/pdt,,,199.91,530.39,7 HCPCS,96900,Ultraviolet light therapy,,,27.82,66.99,7 HCPCS,96902,Trichogram,,,11.56,20.29,4 HCPCS,96904,Whole Body Photography,,,112.42,197.19,4 HCPCS,96910,Photochemotherapy with UV-B,,,53.47,105.8,7 HCPCS,96912,Photochemotherapy with UV-A,,,53.47,105.8,7 HCPCS,96913,Photochemotherapy uv-a or b,,,286.88,729.1,7 HCPCS,96920,Laser tx skin < 250 sq cm,,,150.12,359.84,7 HCPCS,96921,Laser tx skin 250-500 sq cm,,,150.12,359.84,7 HCPCS,96922,Laser tx skin >500 sq cm,,,150.12,729.1,7 HCPCS,96931,Rcm celulr subcelulr img skn,,,289.72,508.21,4 HCPCS,96932,Rcm celulr subcelulr img skn,,,187.57,329.03,4 HCPCS,96933,Rcm celulr subcelulr img skn,,,23.12,40.55,4 HCPCS,96934,Rcm celulr subcelulr img skn,,,149.03,261.42,4 HCPCS,96935,Rcm celulr subcelulr img skn,,,62.95,110.42,4 HCPCS,96936,Rcm celulr subcelulr img skn,,,21.83,38.3,4 HCPCS,96999,Dermatological procedure,,,199.91,359.84,3 HCPCS,97010,Hot or cold packs therapy,,,6.42,123.63,8 HCPCS,97012,HC PT TRACTION MECHANICAL,128.0,128.0,,,0 HCPCS,97012,Mechanical traction therapy,,,12.85,123.63,11 HCPCS,97014,Electric stimulation therapy,,,16.7,123.63,8 HCPCS,97014,HC OT ELECTRIC STIM UNATTENDED,63.0,63.0,,,0 HCPCS,97014,HC PT ELECTRIC STIM UNATTENDED,63.0,63.0,,,0 HCPCS,97016,HC OT VASOPNEUMATIC,54.0,54.0,,,0 HCPCS,97016,HC PT VASOPNEUMATIC,54.0,54.0,,,0 HCPCS,97016,Vasopneumatic device therapy,,,12.05,123.63,11 HCPCS,97018,HC OT PARAFFIN BATH,14.0,14.0,,,0 HCPCS,97018,HC PT PARAFFIN BATH THERAPY,14.0,14.0,,,0 HCPCS,97018,Paraffin bath therapy,,,6.11,123.63,11 HCPCS,97020,Microwave therapy,,,107.5,123.63,4 HCPCS,97022,HC OT WHIRLPOOL,73.0,73.0,,,0 HCPCS,97022,HC PT WHIRLPOOL,73.0,73.0,,,0 HCPCS,97022,Whirlpool therapy,,,14.9,123.63,11 HCPCS,97024,Diathermy eg microwave,,,6.96,123.63,11 HCPCS,97026,Infrared therapy,,,6.35,123.63,11 HCPCS,97028,Ultraviolet therapy,,,7.7,123.63,11 HCPCS,97032,Electrical stimulation,,,14.22,123.63,11 HCPCS,97032,HC OT ELECTRICAL STIM MANUAL PER 15 MIN,67.0,67.0,,,0 HCPCS,97032,HC PT ELECTRICAL STIM MANUAL PER 15 MIN,67.0,67.0,,,0 HCPCS,97033,Electric current therapy,,,18.21,123.63,11 HCPCS,97033,HC OT IONTOPHORESIS PER 15 MIN,139.0,139.0,,,0 HCPCS,97033,HC PT IONTOPHORESIS PER 15 MIN,139.0,139.0,,,0 HCPCS,97034,Contrast bath therapy,,,13.49,123.63,11 HCPCS,97035,HC OT ULTRASOUND PER 15 MIN,77.0,77.0,,,0 HCPCS,97035,HC PT ULTRASOUND PER 15 MIN,77.0,77.0,,,0 HCPCS,97035,Ultrasound therapy,,,8.98,123.63,11 HCPCS,97036,Hydrotherapy,,,34.09,123.63,11 HCPCS,97037,Appl modality 1+lllt po pain,,,37.22,123.63,11 HCPCS,97039,Physical therapy treatment,,,107.5,123.63,4 HCPCS,97110,HC OT THERAPEUTIC PROC PER 15 MIN,63.0,63.0,,,0 HCPCS,97110,HC PT THERAPEUTIC PROC PER 15 MIN,63.0,63.0,,,0 HCPCS,97110,Therapeutic exercises,,,27.91,123.63,11 HCPCS,97112,HC OT NEUROMUSCULAR RE-EDUCATION PER 15 MIN,75.0,75.0,,,0 HCPCS,97112,HC PT NEUROMUSCULAR RE-EDUCATION PER 15 MIN,75.0,75.0,,,0 HCPCS,97112,Neuromuscular reeducation,,,31.41,123.63,11 HCPCS,97113,Aquatic therapy/exercises,,,36.58,123.63,11 HCPCS,97113,HC PT AQUATIC THERAPY (PER UNIT),72.0,72.0,,,0 HCPCS,97116,Gait training therapy,,,25.06,123.63,11 HCPCS,97116,HC PT GAIT TRAINING PER 15 MIN,72.0,72.0,,,0 HCPCS,97124,HC PT MASSAGE PER 15 MIN,50.0,50.0,,,0 HCPCS,97124,Massage therapy,,,24.4,123.63,11 HCPCS,97127,Ther ivntj w/focus cog funcj,,,107.5,123.63,4 HCPCS,97129,HC OT THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES,52.0,52.0,,,0 HCPCS,97129,HC ST THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES,52.0,52.0,,,0 HCPCS,97129,Ther ivntj 1st 15 min,,,19.52,123.63,11 HCPCS,97130,HC OT THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES,51.0,51.0,,,0 HCPCS,97130,HC ST THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES,51.0,51.0,,,0 HCPCS,97130,Ther ivntj ea addl 15 min,,,18.29,123.63,11 HCPCS,97139,Physical medicine procedure,,,107.5,123.63,4 HCPCS,97140,HC OT MANUAL THERAPY PER 15 MIN,75.0,75.0,,,0 HCPCS,97140,HC PT MANUAL THERAPY PER 15 MIN,75.0,75.0,,,0 HCPCS,97140,Manual therapy 1/> regions,,,26.34,123.63,11 HCPCS,97150,Group therapeutic procedures,,,12.21,123.63,11 HCPCS,97150,HC OT THERAPEUTIC PROCEDURE GROUP,70.0,70.0,,,0 HCPCS,97150,HC PT THERAPEUTIC PROCEDURE GROUP,70.0,70.0,,,0 HCPCS,97151,Bhv id assmt by phys/qhp,,,57.45,182.2,11 HCPCS,97152,Bhv id suprt assmt by 1 tech,,,57.45,182.2,11 HCPCS,97153,Adaptive behavior tx by tech,,,57.45,182.2,11 HCPCS,97154,Grp adapt bhv tx by tech,,,37.33,123.63,11 HCPCS,97155,Adapt behavior tx phys/qhp,,,57.45,318.34,11 HCPCS,97156,Fam adapt bhv tx gdn phy/qhp,,,37.33,123.63,11 HCPCS,97157,Mult fam adapt bhv tx gdn,,,37.33,123.63,11 HCPCS,97158,Grp adapt bhv tx by phy/qhp,,,37.33,123.63,11 HCPCS,97161,HC PT LOW COMPLEX EVALUATION,182.0,182.0,,,0 HCPCS,97161,Pt eval low complex 20 min,,,62.95,173.66,11 HCPCS,97162,HC PT MOD COMPLEX EVALUATION,191.0,191.0,,,0 HCPCS,97162,Pt eval mod complex 30 min,,,62.95,173.66,11 HCPCS,97163,HC PT HIGH COMPLEX EVALUATION,195.0,195.0,,,0 HCPCS,97163,Pt eval high complex 45 min,,,62.95,169.02,11 HCPCS,97164,HC PT RE EVALUATION,115.0,115.0,,,0 HCPCS,97164,Pt re-eval est plan care,,,46.9,119.65,11 HCPCS,97165,HC OT LOW COMPLEX EVALUATION,226.0,226.0,,,0 HCPCS,97165,Ot eval low complex 30 min,,,58.45,173.41,11 HCPCS,97166,HC OT MOD COMPLEX EVALUATION,230.0,230.0,,,0 HCPCS,97166,Ot eval mod complex 45 min,,,58.45,173.41,11 HCPCS,97167,HC OT HIGH COMPLEX EVALUATION,242.0,242.0,,,0 HCPCS,97167,Ot eval high complex 60 min,,,58.45,178.31,11 HCPCS,97168,HC OT RE EVALUATION,150.0,150.0,,,0 HCPCS,97168,Ot re-eval est plan care,,,41.76,117.68,11 HCPCS,97169,Athletic trn eval low cmplx,,,63.59,123.63,8 HCPCS,97170,Athletic trn eval mod cmplx,,,63.59,123.63,8 HCPCS,97171,Athletic trn eval high cmplx,,,63.59,123.63,8 HCPCS,97172,Athletic trn re-eval plan cr,,,31.49,123.63,8 HCPCS,97504,Orthotic training,,,107.5,123.63,4 HCPCS,97520,Prosthetic training,,,107.5,123.63,4 HCPCS,97530,HC OT THERAPEUTIC FUNCTIONAL ACTIVITY,73.0,73.0,,,0 HCPCS,97530,HC PT THERAPEUTIC FUNCTIONAL ACTIVITY,73.0,73.0,,,0 HCPCS,97530,Therapeutic activities,,,33.37,123.63,11 HCPCS,97532,Cognitive Skills Development,,,107.5,123.63,4 HCPCS,97533,HC OT SENSORY INTEGRAT PER UNIT,134.0,134.0,,,0 HCPCS,97533,Sensory Integration,,,24.4,123.63,11 HCPCS,97535,HC OT ADL/SELFCARE/HMETRN PER UNIT,97.0,97.0,,,0 HCPCS,97535,HC PT ADL/SELFCARE/HMETRN PER UNIT,97.0,97.0,,,0 HCPCS,97535,Self care mngment training,,,30.96,123.63,11 HCPCS,97537,Community/work reintegration,,,25.06,123.63,11 HCPCS,97537,HC OT COMMUN/WORK REINTEGR / UNIT,69.0,69.0,,,0 HCPCS,97542,HC OT WHEELCHAIR MGT EA 15 MINUTES,65.0,65.0,,,0 HCPCS,97542,HC PT WHEELCHAIR MGT EA 15 MINUTES,65.0,65.0,,,0 HCPCS,97542,Wheelchair mngment training,,,25.71,123.63,11 HCPCS,97545,Work hardening,,,107.5,273.8,8 HCPCS,97546,Work hardening add-on,,,62.3,123.63,8 HCPCS,97550,Caregiver traing 1st 30 min,,,21.7,71.59,7 HCPCS,97550,HC CAREGIVER TRAINING STRATEGIES&TQ 1ST 30 MINUTES,129.0,129.0,,,0 HCPCS,97551,Caregiver traing ea addl 15,,,9.3,37.69,7 HCPCS,97551,HC CAREGIVER TRAINING STRATEGIES&TQ EA ADDL 15 MIN,63.0,63.0,,,0 HCPCS,97552,Group caregiver training,,,9.53,29.23,7 HCPCS,97552,HC GROUP CAREGIVER TRAINING STRATEGIES & TECHNIQUE,53.0,53.0,,,0 HCPCS,97597,HC DEBRIDEMENT OPEN WOUND 20 SQ CM<,211.0,211.0,,,0 HCPCS,97597,HC ED DEBRIDEMENT 20 SQ CM OR LESS,184.0,184.0,,,0 HCPCS,97597,HC OT DEBRIDEMENT 20 SQ CM OR LESS,213.0,213.0,,,0 HCPCS,97597,HC OTH DEBRIDEMENT 20 SQ CM OR LESS,184.0,184.0,,,0 HCPCS,97597,HC PT DEBRIDEMENT 20 SQ CM OR LESS,184.0,184.0,,,0 HCPCS,97597,Rmvl devital tis 20 cm/<,,,112.51,359.84,7 HCPCS,97598,HC DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,49.0,49.0,,,0 HCPCS,97598,HC RMVL DEVITAL TIS ADDL 20CM,169.0,169.0,,,0 HCPCS,97598,Rmvl devital tis addl 20cm/<,,,120.09,210.65,4 HCPCS,97602,HC OT NON-SELECTIVE DEBRIDEMENT,211.0,211.0,,,0 HCPCS,97602,HC RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS,214.0,214.0,,,0 HCPCS,97602,Wound(s) care non-selective,,,150.12,359.84,7 HCPCS,97605,HC ED NEG PRSR WOUND 50CM OR LESS,308.0,308.0,,,0 HCPCS,97605,HC NEG PRESS WOUND TX LESS THAN OR EQUAL TO 50 SQ CM WITH DME,266.0,266.0,,,0 HCPCS,97605,HC OT NEG PRESS WOUND TX LESS THAN OR EQUAL TO 50 SQ CM WITH DME,452.0,452.0,,,0 HCPCS,97605,HC OTH NEG PRESS WOUND TX LESS THAN OR EQUAL TO 50 SQ CM WITH DME,410.0,410.0,,,0 HCPCS,97605,Neg press wound tx <=50 cm,,,189.78,359.84,7 HCPCS,97606,HC NEG PRESS WOUND TX GREATER THAN 50 SQ CM WITH DME,547.0,547.0,,,0 HCPCS,97606,HC OT NEG PRESS WOUND TX GREATER THAN 50 SQ CM WITH DME,714.0,714.0,,,0 HCPCS,97606,HC TX NEG PRESS WOUND TX GREATER THAN 50 SQ CM WITH DME,433.0,433.0,,,0 HCPCS,97606,Neg press wound tx >50 cm,,,286.88,729.1,7 HCPCS,97607,HC NEG PRESS WOUND TX LESS THAN OR EQUAL TO 50 SQ CM WITH DISP,351.0,351.0,,,0 HCPCS,97607,HC NEG PRESSURE WOUND THERAPY NON DME 50 SQ CM,477.0,477.0,,,0 HCPCS,97608,Neg press wound tx >50 cm,,,286.88,729.1,7 HCPCS,97610,HC LOW FREQ NON CONTR/THERMAL,578.0,578.0,,,0 HCPCS,97610,Low frequency non-thermal us,,,150.12,359.84,7 HCPCS,97750,HC OT PHYS PERFORM/FCE PER UNIT,79.0,79.0,,,0 HCPCS,97750,HC PT PHYS PERFORM/FCE PER UNIT,79.0,79.0,,,0 HCPCS,97750,Physical performance test,,,29.55,123.63,11 HCPCS,97755,Assistive technology assess,,,23.77,123.63,11 HCPCS,97755,HC OT ASSIST TECH ASSMNT EA 15 MIN,126.0,126.0,,,0 HCPCS,97760,HC OT ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS,83.0,83.0,,,0 HCPCS,97760,HC PT ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS,83.0,83.0,,,0 HCPCS,97760,Orthotic mgmt and training,,,39.18,123.63,11 HCPCS,97761,HC OT PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,70.0,70.0,,,0 HCPCS,97761,HC PT PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS,70.0,70.0,,,0 HCPCS,97761,Prosthetic training,,,30.19,69.16,7 HCPCS,97763,HC OT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,57.0,57.0,,,0 HCPCS,97763,HC PT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,57.0,57.0,,,0 HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,49.15,98.33,7 HCPCS,97799,Physical medicine procedure,,,107.5,123.63,4 HCPCS,97802,HC MNT INITIAL ASSMT EA 15 MINUTE,41.0,41.0,,,0 HCPCS,97802,HC VIRTUAL MNT INITIAL ASSMT EA 15 MINUTES,45.0,45.0,,,0 HCPCS,97802,Medical nutrition indiv in,,,26.32,51.8,7 HCPCS,97803,HC MNT REASSESSMENT EA 15 MINUTES,41.0,41.0,,,0 HCPCS,97803,HC VIRTUAL MNT REASSESSMENT EA 15 MINUTES,45.0,45.0,,,0 HCPCS,97803,Med nutrition indiv subseq,,,21.51,51.0,7 HCPCS,97804,HC MNT GROUP EACH 30 MINUTES,40.0,40.0,,,0 HCPCS,97804,HC VIRTUAL MNT GROUP EACH 30 MINUTES,37.0,37.0,,,0 HCPCS,97804,Medical nutrition group,,,12.08,21.74,7 HCPCS,97810,Acupunct w/o stimul 15 min,,,19.48,51.88,7 HCPCS,97811,Acupunct w/o stimul addl 15m,,,14.12,24.76,4 HCPCS,97813,Acupunct w/stimul 15 min,,,18.81,51.88,7 HCPCS,97814,Acupunct w/stimul addl 15m,,,14.78,25.92,4 HCPCS,98000,Synch audio-video new sf 15,,,19.42,34.06,4 HCPCS,98001,Synch audio-video new low 30,,,29.13,51.09,4 HCPCS,98002,Synch audio-video new mod 45,,,44.73,78.46,4 HCPCS,98003,Synch audio-video new hi 60,,,57.56,100.97,4 HCPCS,98004,Synch audio-video est sf 10,,,15.61,27.38,4 HCPCS,98005,Synch audio-video est low 20,,,24.62,43.19,4 HCPCS,98006,Synch audio-video est mod 30,,,35.36,62.03,4 HCPCS,98007,Synch audio-video est hi 40,,,45.42,79.67,4 HCPCS,98008,Synch audio-only new sf 15,,,18.03,31.63,4 HCPCS,98009,Synch audio-only new low 30,,,27.39,48.05,4 HCPCS,98010,Synch audio-only new mod 45,,,41.26,72.38,4 HCPCS,98011,Synch audio-only new high 60,,,52.71,92.46,4 HCPCS,98012,Synch audio-only est sf 10,,,13.87,24.33,4 HCPCS,98013,Synch audio-only est low 20,,,22.19,38.92,4 HCPCS,98014,Synch audio-only est mod 30,,,31.55,55.35,4 HCPCS,98015,Synch audio-only est high 40,,,44.38,77.84,4 HCPCS,98016,Brief comunicaj tech-bsd svc,,,5.89,10.34,4 HCPCS,98925,HC OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS,58.0,58.0,,,0 HCPCS,98925,Osteopath manj 1-2 regions,,,21.51,42.35,7 HCPCS,98926,Osteopath manj 3-4 regions,,,21.51,42.35,7 HCPCS,98927,Osteopath manj 5-6 regions,,,21.51,42.35,7 HCPCS,98928,Osteopath manj 7-8 regions,,,21.51,42.35,7 HCPCS,98929,Osteopath manj 9-10 regions,,,21.51,42.35,7 HCPCS,98940,Chiropract manj 1-2 regions,,,21.51,42.35,7 HCPCS,98941,Chiropract manj 3-4 regions,,,21.51,42.35,7 HCPCS,98942,Chiropractic manj 5 regions,,,21.51,42.35,7 HCPCS,98943,Chiropract manj xtrspinl 1/>,,,17.99,31.56,4 HCPCS,98960,Self-mgmt educ & train 1 pt,,,49.46,86.76,4 HCPCS,98961,Self-mgmt educ/train 2-4 pt,,,23.77,41.69,4 HCPCS,98962,Self-mgmt educ/train 5-8 pt,,,17.36,30.45,4 HCPCS,98966,HC NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN,36.0,36.0,,,0 HCPCS,98966,Hc pro phone call 5-10 min,,,8.35,18.94,7 HCPCS,98967,HC NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN,73.0,73.0,,,0 HCPCS,98967,Hc pro phone call 11-20 min,,,14.77,35.8,7 HCPCS,98968,HC NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN,109.0,109.0,,,0 HCPCS,98968,Hc pro phone call 21-30 min,,,21.2,52.92,7 HCPCS,98970,Qnhp ol dig e/m svc 5-10min,,,10.25,29.03,7 HCPCS,98971,Qnhp ol dig em svc 11-20min,,,19.37,58.06,7 HCPCS,98972,Qnhp ol dig e/m svc 21+ min,,,28.75,87.08,7 HCPCS,98975,Rem ther mntr 1st setup&edu,,,132.66,271.14,7 HCPCS,98976,Rem ther mntr dev sply resp,,,37.19,84.97,7 HCPCS,98977,Rem ther mntr dv sply mscskl,,,37.19,84.97,7 HCPCS,98978,Rem ther mntr dev sply cbt,,,37.19,76.94,7 HCPCS,98979,Rtm tx mgmt 1st 10 min,,,11.34,20.41,3 HCPCS,98980,Rem ther mntr 1st 20 min,,,25.5,61.07,7 HCPCS,98981,Rem ther mntr ea addl 20 min,,,22.92,46.67,7 HCPCS,98984,Rtm dev sply resp sys 2-15 d,,,37.19,66.94,3 HCPCS,98985,Rtm dev sply mscsk sys 2-15d,,,37.19,66.94,3 HCPCS,98986,Rtm dev sply cbt 2-15 d,,,37.19,66.94,3 HCPCS,99000,Specimen handling office-lab,,,6.42,11.27,4 HCPCS,99001,HC STAT COURIER LAB HANDLING FEE,35.0,35.0,,,0 HCPCS,99001,Specimen handling pt-lab,,,14.78,25.93,4 HCPCS,99002,Device handling phys/qhp,,,8.35,14.65,4 HCPCS,99050,Medical services after hrs,,,21.2,37.19,4 HCPCS,99056,Med service out of office,,,19.92,34.95,4 HCPCS,99058,Office emergency care,,,25.71,45.09,4 HCPCS,99060,Out of office emerg med serv,,,28.26,49.58,4 HCPCS,99091,Collect/review data from pt,,,26.98,47.32,4 HCPCS,99151,HC CON SED SAME PHYS/QHP 1ST 15<5,140.0,140.0,,,0 HCPCS,99151,Mod sed same phys/qhp <5 yrs,,,104.71,183.68,4 HCPCS,99152,HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,122.0,122.0,,,0 HCPCS,99152,Mod sed same phys/qhp 5/>yrs,,,75.8,132.96,4 HCPCS,99153,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,86.0,86.0,,,0 HCPCS,99153,Mod sed same phys/qhp ea,,,19.92,34.95,4 HCPCS,99155,Mod sed oth phys/qhp <5 yrs,,,35.97,63.1,4 HCPCS,99156,Mod sed oth phys/qhp 5/>yrs,,,22.47,39.42,4 HCPCS,99157,Mod sed other phys/qhp ea,,,17.36,30.45,4 HCPCS,99170,Anogenital exam child w imag,,,149.25,362.6,7 HCPCS,99172,Ocular Function Screen,,,25.71,45.09,4 HCPCS,99173,Visual acuity screen,,,5.14,9.02,4 HCPCS,99174,Ocular instrumnt screen bil,,,15.41,27.04,4 HCPCS,99175,Induction of vomiting,,,28.26,49.58,4 HCPCS,99183,Hyperbaric oxygen therapy,,,50.1,87.88,4 HCPCS,99188,HC APPLY TOPICAL FLUORIDE,56.0,56.0,,,0 HCPCS,99195,HC THERAPUTIC PHLEBOTOMY,295.0,295.0,,,0 HCPCS,99195,Phlebotomy,,,132.57,376.99,7 HCPCS,99202,Office/outpatient visit new,,,70.65,123.94,4 HCPCS,99203,Office/outpatient visit new,,,78.02,136.86,4 HCPCS,99204,Office/outpatient visit new,,,78.02,136.86,4 HCPCS,99205,Office/outpatient visit new,,,152.24,267.05,4 HCPCS,99211,Office/outpatient visit est,,,59.15,103.75,4 HCPCS,99212,Office/outpatient visit est,,,59.16,103.78,4 HCPCS,99213,HC TX EST PT OV LOW COMPLEX,488.0,488.0,,,0 HCPCS,99213,Office/outpatient visit est,,,64.66,113.42,4 HCPCS,99214,Office/outpatient visit est,,,92.73,162.66,4 HCPCS,99215,HC EST PT OV HIGH COMPLEX,196.0,196.0,,,0 HCPCS,99215,Office/outpatient visit est,,,91.63,160.72,4 HCPCS,99221,Initial hospital care,,,48.82,85.64,4 HCPCS,99222,Initial hospital care,,,67.43,118.28,4 HCPCS,99223,Initial hospital care,,,101.49,178.03,4 HCPCS,99231,Subsequent hospital care,,,18.64,32.69,4 HCPCS,99232,Subsequent hospital care,,,35.97,63.1,4 HCPCS,99233,Subsequent hospital care,,,52.02,91.25,4 HCPCS,99234,Observ/hosp same date,,,64.88,113.8,4 HCPCS,99235,Observ/hosp same date,,,84.15,147.6,4 HCPCS,99236,Observ/hosp same date,,,107.27,188.16,4 HCPCS,99238,Hospital discharge day,,,44.32,77.74,4 HCPCS,99239,Hospital discharge day,,,65.53,114.95,4 HCPCS,99242,Office consultation,,,65.5,114.9,4 HCPCS,99243,Office consultation,,,93.79,164.52,4 HCPCS,99244,Office consultation,,,125.9,220.85,4 HCPCS,99245,Office consultation,,,147.73,259.14,4 HCPCS,99252,Inpatient consultation,,,33.4,58.59,4 HCPCS,99253,Inpatient consultation,,,53.96,94.65,4 HCPCS,99254,Inpatient consultation,,,79.01,138.59,4 HCPCS,99255,Inpatient consultation,,,92.51,162.27,4 HCPCS,99281,Emergency dept visit,,,60.16,151.24,7 HCPCS,99281,HC ED VISIT CATEGORY 1,140.0,140.0,,,0 HCPCS,99282,Emergency dept visit,,,109.29,275.39,7 HCPCS,99282,HC ED VISIT CATEGORY 2,514.0,514.0,,,0 HCPCS,99283,Emergency dept visit,,,197.32,489.59,7 HCPCS,99283,HC ED VISIT CATEGORY 3,682.0,682.0,,,0 HCPCS,99284,Emergency dept visit,,,325.92,748.37,7 HCPCS,99284,HC ED VISIT CATEGORY 4,1325.0,1325.0,,,0 HCPCS,99285,Emergency dept visit,,,479.18,1068.1,7 HCPCS,99285,HC ED VISIT CATEGORY 5,1815.0,1815.0,,,0 HCPCS,99291,Critical care first hour,,,673.72,1481.5,7 HCPCS,99291,HC ED VISIT CRITICAL CARE 30 TO 74 MIN,4094.0,4094.0,,,0 HCPCS,99292,Critical care addl 30 min,,,65.53,114.95,4 HCPCS,99304,Nursing facility care init,,,53.31,93.52,4 HCPCS,99305,Nursing facility care init,,,75.8,132.96,4 HCPCS,99306,Nursing facility care init,,,93.79,164.52,4 HCPCS,99307,Nursing fac care subseq,,,28.91,50.7,4 HCPCS,99308,Nursing fac care subseq,,,45.6,79.99,4 HCPCS,99309,Nursing fac care subseq,,,59.74,104.79,4 HCPCS,99310,Nursing fac care subseq,,,85.43,149.86,4 HCPCS,99315,Nursing fac discharge day,,,45.6,79.99,4 HCPCS,99316,Nursing fac discharge day,,,61.66,108.16,4 HCPCS,99341,Home visit new patient,,,30.19,52.96,4 HCPCS,99342,Home visit new patient,,,39.81,69.84,4 HCPCS,99344,Home visit new patient,,,99.57,174.65,4 HCPCS,99345,Home visit new patient,,,120.12,210.7,4 HCPCS,99347,Home visit est patient,,,31.49,55.23,4 HCPCS,99348,Home visit est patient,,,45.6,79.99,4 HCPCS,99349,Home visit est patient,,,73.21,128.42,4 HCPCS,99350,Home visit est patient,,,97.65,171.28,4 HCPCS,99358,Prolong service w/o contact,,,58.45,102.53,4 HCPCS,99359,Prolong serv w/o contact add,,,28.91,50.7,4 HCPCS,99360,Physician standby services,,,29.55,51.83,4 HCPCS,99366,Team conf w/pat by hc prof,,,21.83,38.3,4 HCPCS,99367,Team conf w/o pat by phys,,,26.98,47.32,4 HCPCS,99368,Team conf w/o pat by hc pro,,,17.99,31.56,4 HCPCS,99374,Home health care supervision,,,52.02,91.25,4 HCPCS,99375,Home health care supervision,,,71.95,126.21,4 HCPCS,99377,Hospice care supervision,,,52.02,91.25,4 HCPCS,99378,Hospice care supervision,,,71.95,126.21,4 HCPCS,99379,Nursing fac care supervision,,,52.02,91.25,4 HCPCS,99380,Nursing fac care supervision,,,71.95,126.21,4 HCPCS,99381,HC INITIAL PREVENTIVE MEDICINE NEW PATIENT,311.0,311.0,,,0 HCPCS,99381,Init pm e/m new pat infant,,,91.53,160.55,4 HCPCS,99382,HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS,311.0,311.0,,,0 HCPCS,99382,Init pm e/m new pat 1-4 yrs,,,91.54,160.57,4 HCPCS,99383,HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS,311.0,311.0,,,0 HCPCS,99383,Prev visit new age 5-11,,,73.51,128.94,4 HCPCS,99384,HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR,311.0,311.0,,,0 HCPCS,99384,Prev visit new age 12-17,,,84.79,148.73,4 HCPCS,99385,HC INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS,311.0,311.0,,,0 HCPCS,99385,Prev visit new age 18-39,,,66.31,116.32,4 HCPCS,99386,HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS,311.0,311.0,,,0 HCPCS,99386,Prev visit new age 40-64,,,71.73,125.82,4 HCPCS,99387,HC INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>,311.0,311.0,,,0 HCPCS,99387,Init pm e/m new pat 65+ yrs,,,128.47,225.35,4 HCPCS,99391,HC PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y,271.0,271.0,,,0 HCPCS,99391,Per pm reeval est pat infant,,,78.02,136.86,4 HCPCS,99392,HC PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS,271.0,271.0,,,0 HCPCS,99392,Prev visit est age 1-4,,,73.97,129.75,4 HCPCS,99393,HC PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS,271.0,271.0,,,0 HCPCS,99393,Prev visit est age 5-11,,,67.59,118.55,4 HCPCS,99394,HC PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS,271.0,271.0,,,0 HCPCS,99394,Prev visit est age 12-17,,,73.51,128.94,4 HCPCS,99395,HC PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS,271.0,271.0,,,0 HCPCS,99395,Prev visit est age 18-39,,,64.53,113.19,4 HCPCS,99396,HC PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS,271.0,271.0,,,0 HCPCS,99396,Prev visit est age 40-64,,,64.19,112.6,4 HCPCS,99397,HC PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER,271.0,271.0,,,0 HCPCS,99397,Per pm reeval est pat 65+ yr,,,69.91,122.62,4 HCPCS,99401,HC LACTATION COUNSELING 15 MINUTE,186.0,186.0,,,0 HCPCS,99401,Preventive counseling indiv,,,90.89,159.44,4 HCPCS,99402,HC LACTATION COUNSELING 30 MINUTE,207.0,207.0,,,0 HCPCS,99402,Preventive counseling indiv,,,101.01,177.18,4 HCPCS,99403,HC LACTATION COUNSELING 45 MINUTE,228.0,228.0,,,0 HCPCS,99403,Preventive counseling indiv,,,111.1,194.88,4 HCPCS,99404,HC LACTATION COUNSELING 60 MINUTE,249.0,249.0,,,0 HCPCS,99404,Preventive counseling indiv,,,121.19,212.59,4 HCPCS,99406,Behav chng smoking 3-10 min,,,24.74,67.2,7 HCPCS,99406,HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,41.0,41.0,,,0 HCPCS,99407,Behav chng smoking > 10 min,,,24.74,67.2,7 HCPCS,99407,HC TOBACCO USE CESSATION INTENSIVE >10 MINUTES,83.0,83.0,,,0 HCPCS,99408,Audit/dast 15-30 min,,,19.27,33.81,4 HCPCS,99409,Audit/dast over 30 min,,,35.34,61.99,4 HCPCS,99411,Preventive counseling group,,,19.27,33.81,4 HCPCS,99412,Preventive counseling group,,,21.83,38.3,4 HCPCS,99415,Prolong clincl staff svc,,,16.06,28.16,4 HCPCS,99416,Prolong clincl staff svc add,,,8.35,14.65,4 HCPCS,99418,Prolng ip/obs e/m ea 15 min,,,12.85,22.54,4 HCPCS,99421,Ol dig e/m svc 5-10 min,,,17.01,29.83,4 HCPCS,99422,Ol dig e/m svc 11-20 min,,,34.93,61.27,4 HCPCS,99423,Ol dig e/m svc 21+ min,,,55.61,97.55,4 HCPCS,99424,Prin care mgmt phys 1st 30,,,37.9,66.48,4 HCPCS,99425,Prin care mgmt phys ea addl,,,29.08,51.01,4 HCPCS,99426,Prin care mgmt staff 1st 30,,,97.33,182.2,7 HCPCS,99427,Prin care mgmt staff ea addl,,,28.21,49.48,4 HCPCS,99437,Chrnc care mgmt phys ea addl,,,30.42,53.36,4 HCPCS,99439,Chrnc care mgmt svc ea addl,,,22.22,38.99,4 HCPCS,99445,Rem mntr physiol param 2-15,,,37.19,66.94,3 HCPCS,99453,Rem mntr physiol param setup,,,132.66,349.74,7 HCPCS,99454,Rem mntr physiol param dev,,,37.19,112.19,7 HCPCS,99458,Rem physiol mntr ea addl 20,,,41.82,73.36,4 HCPCS,99459,Pelvic examination,,,26.36,46.23,4 HCPCS,99460,Init nb em per day hosp,,,104.51,238.78,7 HCPCS,99461,Init nb em per day non-fac,,,82.87,145.36,4 HCPCS,99463,Same day nb discharge,,,104.51,238.78,7 HCPCS,99464,Attendance at delivery,,,37.89,66.46,4 HCPCS,99465,HC DELIVERY/BIRTHING ROOM RESUSCITATION,1052.0,1052.0,,,0 HCPCS,99465,Nb resuscitation,,,471.94,1185.42,7 HCPCS,99466,Ped crit care transport,,,114.98,201.69,4 HCPCS,99467,Ped crit care transport addl,,,59.09,103.65,4 HCPCS,99473,Self-meas bp pt educaj/train,,,28.82,51.88,7 HCPCS,99474,Self-meas bp 2 readg bid 30d,,,11.49,20.15,4 HCPCS,99483,Assmt & care pln pt cog imp,,,101.22,225.89,7 HCPCS,99484,Care mgmt svc bhvl hlth cond,,,37.33,95.45,7 HCPCS,99485,Suprv interfacilty transport,,,37.26,65.35,4 HCPCS,99486,Suprv interfac trnsport addl,,,32.11,56.33,4 HCPCS,99487,Cmplx chron care w/o pt vsit,,,68.9,318.34,7 HCPCS,99489,Cmplx chron care addl 30 min,,,50.1,87.88,4 HCPCS,99490,Chron care mgmt srvc 20 min,,,68.9,182.2,7 HCPCS,99492,1st psyc collab care mgmt,,,101.22,225.89,7 HCPCS,99493,Sbsq psyc collab care mgmt,,,101.22,225.89,7 HCPCS,99495,HC TRANSITIONAL CARE MANAGE SRVC 14 DAY DC,399.5,399.5,,,0 HCPCS,99495,Trans care mgmt 14 day disch,,,104.51,238.78,7 HCPCS,99496,HC TRANSITIONAL CARE MANAGE SRVC 7 DAY DC,399.5,399.5,,,0 HCPCS,99496,Trans care mgmt 7 day disch,,,104.51,238.78,7 HCPCS,99497,Advncd care plan 30 min,,,68.9,182.2,7 HCPCS,99498,Advncd care plan addl 30 min,,,34.69,60.85,4 HCPCS,99605,HC MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT,33.0,33.0,,,0 HCPCS,99606,HC MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT,33.0,33.0,,,0 HCPCS,99607,HC MEDICATION THERAPY EACH ADDITIONAL 15 MIN,33.0,33.0,,,0 HCPCS,A0021,Outside state ambulance serv,,,12.21,21.42,4 HCPCS,A0160,Noner transport case worker,,,0.65,1.14,4 HCPCS,A0225,Neonatal emergency transport,,,695.07,1219.24,4 HCPCS,A0380,Basic life support mileage,,,10.27,18.02,4 HCPCS,A0382,Basic support routine suppls,,,14.13,24.79,4 HCPCS,A0384,Bls defibrillation supplies,,,71.31,125.09,4 HCPCS,A0390,Advanced life support mileag,,,10.27,18.02,4 HCPCS,A0392,Als defibrillation supplies,,,71.31,125.09,4 HCPCS,A0394,Als IV drug therapy supplies,,,34.05,59.72,4 HCPCS,A0396,Als esophageal intub suppls,,,56.52,99.14,4 HCPCS,A0398,Als routine disposble suppls,,,14.13,24.79,4 HCPCS,A0422,Ambulance 02 life sustaining,,,52.66,92.38,4 HCPCS,A0425,Ground mileage,,,9.33,18.02,7 HCPCS,A0426,Als 1,,,327.09,925.14,7 HCPCS,A0427,ALS1-emergency,,,517.89,972.45,7 HCPCS,A0428,bls,,,272.57,813.58,7 HCPCS,A0429,BLS-emergency,,,436.12,843.99,7 HCPCS,A2004,Miscellaneous M <46.50 and A >=77.50,,,13.26,15.25,4 HCPCS,A4206,1 CC sterile syringe&needle,,,0.66,1.16,4 HCPCS,A4208,3 CC sterile syringe&needle,,,0.53,0.93,4 HCPCS,A4209,5+ CC sterile syringe&needle,,,0.53,0.93,4 HCPCS,A4210,Nonneedle injection device,,,599.62,1051.81,4 HCPCS,A4212,Non coring needle or stylet,,,10.92,19.16,4 HCPCS,A4213,20+ CC syringe only,,,1.08,1.89,4 HCPCS,A4216,"Sterile water/saline, 10 ml",,,2.16,3.8,4 HCPCS,A4217,"Sterile water/saline, 500 ml",,,6.7,11.75,4 HCPCS,A4221,Supp non-insulin inf cath/wk,,,34.72,60.9,4 HCPCS,A4222,Infusion supplies with pump,,,65.84,115.49,4 HCPCS,A4224,Supply insulin inf cath/wk,,,34.72,60.9,4 HCPCS,A4225,Sup/ext insulin inf pump syr,,,4.65,8.17,4 HCPCS,A4233,Alkalin batt for glucose mon,,,0.9,1.59,4 HCPCS,A4234,J-cell batt for glucose mon,,,4.22,7.39,4 HCPCS,A4235,Lithium batt for glucose mon,,,1.78,3.12,4 HCPCS,A4236,Silvr oxide batt glucose mon,,,2.08,3.65,4 HCPCS,A4244,Alcohol or peroxide per pint,,,1.28,2.25,4 HCPCS,A4245,Alcohol wipes per box,,,4.99,8.75,4 HCPCS,A4246,Betadine/phisohex solution,,,3.84,6.74,4 HCPCS,A4247,Betadine/iodine swabs/wipes,,,0.46,0.81,4 HCPCS,A4250,Urine reagent strips/tablets,,,118.28,207.47,4 HCPCS,A4253,Blood glucose/reagent strips,,,80.55,141.29,4 HCPCS,A4255,Glucose monitor platforms,,,8.05,14.12,4 HCPCS,A4256,Calibrator solution/chips,,,18.25,32.02,4 HCPCS,A4257,Replace lensshield cartridge,,,25.41,44.57,4 HCPCS,A4258,Lancet device each,,,3.78,6.64,4 HCPCS,A4259,Lancets per box,,,11.64,20.41,4 HCPCS,A4262,Temporary tear duct plug,,,0.65,1.14,4 HCPCS,A4263,Permanent tear duct plug,,,51.38,90.13,4 HCPCS,A4265,Paraffin,,,6.77,11.88,4 HCPCS,A4267,Male condom,,,0.65,1.14,4 HCPCS,A4269,Spermicide,,,1.28,2.25,4 HCPCS,A4280,Brst prsths adhsv attchmnt,,,10.59,18.57,4 HCPCS,A4284,Replcmnt breast pump shield,,,22.47,39.42,4 HCPCS,A4305,Drug delivery system >=50 ML,,,16.7,29.29,4 HCPCS,A4306,Drug delivery system <=50 ml,,,23.12,40.55,4 HCPCS,A4310,Insert tray w/o bag/cath,,,15.4,27.01,4 HCPCS,A4311,Catheter w/o bag 2-way latex,,,29.53,51.81,4 HCPCS,A4312,Cath w/o bag 2-way silicone,,,35.94,63.04,4 HCPCS,A4313,Catheter w/bag 3-way,,,31.38,55.04,4 HCPCS,A4314,Cath w/drainage 2-way latex,,,50.39,88.39,4 HCPCS,A4315,Cath w/drainage 2-way silcne,,,52.57,92.21,4 HCPCS,A4316,Cath w/drainage 3-way,,,56.58,99.25,4 HCPCS,A4320,Irrigation tray,,,9.8,17.19,4 HCPCS,A4322,Irrigation syringe,,,6.06,10.64,4 HCPCS,A4326,Male external catheter,,,18.65,32.72,4 HCPCS,A4327,Fem urinary collect dev cup,,,88.89,155.93,4 HCPCS,A4328,Fem urinary collect pouch,,,20.72,36.35,4 HCPCS,A4330,Stool collection pouch,,,14.98,26.28,4 HCPCS,A4331,Extension drainage tubing,,,9.21,16.16,4 HCPCS,A4332,Lube sterile packet,,,0.23,0.4,4 HCPCS,A4333,Urinary cath anchor device,,,4.39,7.71,4 HCPCS,A4334,Urinary cath leg strap,,,9.8,17.19,4 HCPCS,A4336,Urethral insert,,,2.86,5.03,4 HCPCS,A4338,Indwelling catheter latex,,,35.1,61.57,4 HCPCS,A4340,Indwelling catheter special,,,53.78,94.33,4 HCPCS,A4344,Cath indw foley 2 way silicn,,,31.9,55.96,4 HCPCS,A4346,Cath indw foley 3 way,,,39.01,68.44,4 HCPCS,A4349,Disposable male external cat,,,2.58,4.52,4 HCPCS,A4351,Straight tip urine catheter,,,1.3,2.29,4 HCPCS,A4352,Coude tip urinary catheter,,,1.4,2.45,4 HCPCS,A4353,Intermittent urinary cath,,,10.38,18.2,4 HCPCS,A4354,Cath insertion tray w/bag,,,20.3,35.62,4 HCPCS,A4355,Bladder irrigation tubing,,,17.76,31.15,4 HCPCS,A4356,Ext ureth clmp or compr dvc,,,90.91,159.46,4 HCPCS,A4357,Bedside drainage bag,,,8.13,14.26,4 HCPCS,A4358,Urinary leg or abdomen bag,,,11.7,20.53,4 HCPCS,A4360,Disposable ext urethral dev,,,0.96,1.68,4 HCPCS,A4361,Ostomy face plate,,,20.78,36.46,4 HCPCS,A4362,Solid skin barrier,,,7.36,12.9,4 HCPCS,A4363,"Ostomy clamp, replacement",,,4.02,7.05,4 HCPCS,A4364,"Adhesive, liquid or equal",,,13.53,23.72,4 HCPCS,A4366,Ostomy vent,,,2.58,4.52,4 HCPCS,A4367,Ostomy belt,,,14.38,25.23,4 HCPCS,A4368,Ostomy filter,,,0.85,1.48,4 HCPCS,A4369,Skin barrier liquid per oz,,,15.46,27.12,4 HCPCS,A4371,Skin barrier powder per oz,,,14.22,24.94,4 HCPCS,A4372,Skin barrier solid 4x4 equiv,,,8.35,14.65,4 HCPCS,A4373,Skin barrier with flange,,,14.11,24.75,4 HCPCS,A4375,Drainable plastic pch w fcpl,,,34.22,60.02,4 HCPCS,A4376,Drainable rubber pch w fcplt,,,94.83,166.34,4 HCPCS,A4377,Drainable plstic pch w/o fp,,,8.55,15.0,4 HCPCS,A4378,Drainable rubber pch w/o fp,,,61.25,107.44,4 HCPCS,A4379,Urinary plastic pouch w fcpl,,,29.92,52.49,4 HCPCS,A4380,Urinary rubber pouch w fcplt,,,74.36,130.44,4 HCPCS,A4381,Urinary plastic pouch w/o fp,,,9.21,16.16,4 HCPCS,A4382,Urinary hvy plstc pch w/o fp,,,49.04,86.02,4 HCPCS,A4383,Urinary rubber pouch w/o fp,,,56.16,98.51,4 HCPCS,A4384,Ostomy faceplt/silicone ring,,,19.15,33.59,4 HCPCS,A4385,Ost skn barrier sld ext wear,,,8.96,15.72,4 HCPCS,A4387,Ost clsd pouch w att st barr,,,4.48,7.85,4 HCPCS,A4388,Drainable pch w ex wear barr,,,8.47,14.86,4 HCPCS,A4389,Drainable pch w st wear barr,,,14.04,24.62,4 HCPCS,A4390,Drainable pch ex wear convex,,,16.76,29.41,4 HCPCS,A4391,Urinary pouch w ex wear barr,,,15.75,27.62,4 HCPCS,A4392,Urinary pouch w st wear barr,,,16.53,29.0,4 HCPCS,A4393,Urine pch w ex wear bar conv,,,15.98,28.04,4 HCPCS,A4394,Ostomy pouch liq deodorant,,,4.08,7.15,4 HCPCS,A4395,Ostomy pouch solid deodorant,,,0.09,0.15,4 HCPCS,A4396,Peristomal hernia supprt blt,,,80.65,141.47,4 HCPCS,A4398,Ostomy irrigation bag,,,53.14,93.22,4 HCPCS,A4399,Ostomy irrig cone/cath w brs,,,19.7,34.56,4 HCPCS,A4400,Ostomy irrigation set,,,93.9,164.71,4 HCPCS,A4402,Lubricant per ounce,,,3.7,6.5,4 HCPCS,A4404,Ostomy ring each,,,4.23,7.42,4 HCPCS,A4405,Nonpectin based ostomy paste,,,5.57,9.76,4 HCPCS,A4406,Pectin based ostomy paste,,,10.51,18.43,4 HCPCS,A4407,"Ext wear ost skn barr <=4sq""",,,16.5,28.95,4 HCPCS,A4408,"Ext wear ost skn barr >4sq""",,,16.78,29.44,4 HCPCS,A4409,Ost skn barr convex <=4 sq i,,,11.72,20.56,4 HCPCS,A4410,Ost skn barr extnd >4 sq,,,17.66,30.97,4 HCPCS,A4411,Ost skn barr extnd =4sq,,,10.16,17.83,4 HCPCS,A4412,Ost pouch drain high output,,,11.01,19.31,4 HCPCS,A4413,2 pc drainable ost pouch,,,12.32,21.61,4 HCPCS,A4414,Ost sknbar w/o conv<=4 sq in,,,9.05,15.88,4 HCPCS,A4415,Ost skn barr w/o conv >4 sqi,,,11.11,19.48,4 HCPCS,A4416,Ost pch clsd w barrier/filtr,,,4.98,8.73,4 HCPCS,A4417,Ost pch w bar/bltinconv/fltr,,,7.4,12.97,4 HCPCS,A4418,Ost pch clsd w/o bar w filtr,,,3.39,5.95,4 HCPCS,A4419,Ost pch for bar w flange/flt,,,2.99,5.24,4 HCPCS,A4422,Ost pouch absorbent material,,,0.23,0.4,4 HCPCS,A4423,Ost pch for bar w lk fl/fltr,,,2.99,5.24,4 HCPCS,A4424,Ost pch drain w bar & filter,,,8.5,14.9,4 HCPCS,A4425,Ost pch drain for barrier fl,,,5.9,10.35,4 HCPCS,A4426,Ost pch drain 2 piece system,,,5.14,9.02,4 HCPCS,A4427,Ost pch drain/barr lk flng/f,,,5.57,9.76,4 HCPCS,A4428,Urine ost pouch w faucet/tap,,,12.91,22.64,4 HCPCS,A4429,Urine ost pouch w bltinconv,,,16.43,28.82,4 HCPCS,A4430,Ost urine pch w b/bltin conv,,,16.76,29.41,4 HCPCS,A4431,Ost pch urine w barrier/tapv,,,9.93,17.41,4 HCPCS,A4432,Os pch urine w bar/fange/tap,,,6.93,12.16,4 HCPCS,A4433,Urine ost pch bar w lock fln,,,7.36,12.9,4 HCPCS,A4434,Ost pch urine w lock flng/ft,,,17.1,30.0,4 HCPCS,A4435,1pc ost pch drain hgh output,,,11.49,20.15,4 HCPCS,A4450,Non-waterproof tape,,,0.16,0.28,4 HCPCS,A4452,Waterproof tape,,,0.71,1.24,4 HCPCS,A4455,Adhesive remover per ounce,,,3.52,6.18,4 HCPCS,A4456,"Adhesive remover, wipes",,,0.43,0.75,4 HCPCS,A4461,Surgicl dress hold non-reuse,,,6.56,11.51,4 HCPCS,A4463,Surgical dress holder reuse,,,26.52,46.52,4 HCPCS,A4465,Non-elastic extremity binder,,,11.56,20.29,4 HCPCS,A4467,"HC BELT, STRAP, SLEEVE, GARMENT, OR COVERING, ANY TYPE",1186.78,1186.78,,,0 HCPCS,A4470,Gravlee jet washer,,,8.35,14.65,4 HCPCS,A4480,Vabra aspirator,,,6.42,11.27,4 HCPCS,A4481,Tracheostoma filter,,,0.73,1.29,4 HCPCS,A4490,Above knee surgical stocking,,,8.35,14.65,4 HCPCS,A4495,Thigh length surg stocking,,,8.35,14.65,4 HCPCS,A4500,Below knee surgical stocking,,,6.42,11.27,4 HCPCS,A4510,Full length surg stocking,,,15.41,27.04,4 HCPCS,A4550,Surgical trays,,,37.89,66.46,4 HCPCS,A4554,Disposable underpads,,,3.84,6.74,4 HCPCS,A4556,"Electrodes, pair",,,24.19,42.44,4 HCPCS,A4557,"Lead wires, pair",,,18.44,32.35,4 HCPCS,A4558,Conductive gel or paste,,,10.87,19.07,4 HCPCS,A4559,Coupling gel or paste,,,0.19,0.33,4 HCPCS,A4561,"Pessary rubber, any type",,,40.86,71.67,4 HCPCS,A4562,"Pessary, non rubber,any type",,,101.48,178.01,4 HCPCS,A4563,Vag inser rectal control sys,,,1680.58,3025.04,3 HCPCS,A4565,Slings,,,15.34,26.91,4 HCPCS,A4570,Splint,,,22.47,39.42,4 HCPCS,A4590,Special casting material,,,50.1,87.88,4 HCPCS,A4593,Neuromod sti sys adj rehab,,,52.81,95.06,3 HCPCS,A4595,TENS suppl 2 lead per month,,,17.79,31.2,4 HCPCS,A4602,Replace lithium battery 1.5v,,,7.4,12.97,4 HCPCS,A4604,Tubing with heating element,,,69.61,122.11,4 HCPCS,A4605,Trach suction cath close sys,,,32.68,57.33,4 HCPCS,A4608,Transtracheal oxygen cath,,,99.87,175.19,4 HCPCS,A4614,Hand-held PEFR meter,,,36.86,64.66,4 HCPCS,A4615,Cannula nasal,,,1.44,2.53,4 HCPCS,A4616,Tubing (oxygen) per foot,,,0.13,0.23,4 HCPCS,A4617,Mouth piece,,,0.45,0.78,4 HCPCS,A4618,Breathing circuits,,,17.71,31.06,4 HCPCS,A4619,Face tent,,,3.54,6.21,4 HCPCS,A4620,Variable concentration mask,,,1.25,2.2,4 HCPCS,A4623,Tracheostomy inner cannula,,,13.04,22.87,4 HCPCS,A4624,Tracheal suction tube,,,4.44,7.8,4 HCPCS,A4625,Trach care kit for new trach,,,13.79,24.2,4 HCPCS,A4626,Tracheostomy cleaning brush,,,5.4,9.46,4 HCPCS,A4627,Spacer bag/reservoir,,,35.8,62.8,4 HCPCS,A4628,Oropharyngeal suction cath,,,7.44,13.05,4 HCPCS,A4629,Tracheostomy care kit,,,9.24,16.22,4 HCPCS,A4630,Repl bat t.e.n.s. own by pt,,,10.57,18.55,4 HCPCS,A4633,Uvl replacement bulb,,,81.76,143.42,4 HCPCS,A4635,Underarm crutch pad,,,8.67,15.21,4 HCPCS,A4636,Handgrip for cane etc,,,5.29,9.28,4 HCPCS,A4637,Repl tip cane/crutch/walker,,,2.95,5.18,4 HCPCS,A4639,Infrared ht sys replcmnt pad,,,57.24,100.41,4 HCPCS,A4640,Alternating pressure pad,,,97.99,171.89,4 HCPCS,A4642,In111 satumomab,,,1423.75,1637.31,4 HCPCS,A4648,HC SU-GOLD FIDUCIAL MARKERS,72.2,72.2,,,0 HCPCS,A4660,Sphyg/bp app w cuff and stet,,,16.7,29.29,4 HCPCS,A4663,Dialysis blood pressure cuff,,,32.75,57.44,4 HCPCS,A4670,"Automatic bp monitor, dial",,,83.52,146.5,4 HCPCS,A4680,"Activated carbon filter, ea",,,84.8,148.74,4 HCPCS,A4690,"Dialyzer, each",,,840.23,1473.86,4 HCPCS,A4750,Art or venous blood tubing,,,16.06,28.16,4 HCPCS,A4772,Blood glucose test strips,,,34.05,59.72,4 HCPCS,A4773,Occult blood test strips,,,21.2,37.19,4 HCPCS,A4802,Protamine sulfate per 50 mg,,,18.07,31.69,4 HCPCS,A4927,Non-sterile gloves,,,5.14,9.02,4 HCPCS,A4929,"Tourniquet for dialysis, ea",,,0.65,1.14,4 HCPCS,A4930,"Sterile, gloves per pair",,,1.28,2.25,4 HCPCS,A5051,Pouch clsd w barr attached,,,4.16,7.3,4 HCPCS,A5052,Clsd ostomy pouch w/o barr,,,6.13,10.75,4 HCPCS,A5053,Clsd ostomy pouch faceplate,,,3.45,6.05,4 HCPCS,A5054,Clsd ostomy pouch w/flange,,,2.71,4.75,4 HCPCS,A5055,Stoma cap,,,4.06,7.13,4 HCPCS,A5056,1 pc ost pouch w filter,,,10.43,18.3,4 HCPCS,A5057,1 pc ost pou w built-in conv,,,19.14,33.57,4 HCPCS,A5061,Pouch drainable w barrier at,,,6.69,11.73,4 HCPCS,A5062,Drnble ostomy pouch w/o barr,,,8.25,14.47,4 HCPCS,A5063,Drain ostomy pouch w/flange,,,4.5,7.9,4 HCPCS,A5071,Urinary pouch w/barrier,,,11.56,20.29,4 HCPCS,A5072,Urinary pouch w/o barrier,,,4.76,8.35,4 HCPCS,A5073,Urinary pouch on barr w/flng,,,6.11,10.72,4 HCPCS,A5081,"Stoma plug or seal, any type",,,5.62,9.86,4 HCPCS,A5082,Continent stoma catheter,,,23.69,41.56,4 HCPCS,A5083,Stoma absorptive cover,,,1.27,2.22,4 HCPCS,A5093,Ostomy accessory convex inse,,,2.92,5.12,4 HCPCS,A5102,"Expired, orthopedic, length of stay is 14 days or more",,,54.15,94.99,4 HCPCS,A5105,Urinary suspensory,,,81.24,142.51,4 HCPCS,A5112,Urinary leg bag,,,68.98,120.99,4 HCPCS,A5113,Latex leg strap,,,9.38,16.46,4 HCPCS,A5114,Foam/fabric leg strap,,,15.16,26.59,4 HCPCS,A5120,"Skin barrier, wipe or swab",,,0.38,0.67,4 HCPCS,A5121,Solid skin barrier 6x6,,,18.86,33.09,4 HCPCS,A5122,Solid skin barrier 8x8,,,31.05,54.46,4 HCPCS,A5126,Disk/foam pad +or- adhesive,,,2.22,3.89,4 HCPCS,A5131,Appliance cleaner,,,16.15,28.32,4 HCPCS,A5200,Percutaneous catheter anchor,,,22.54,39.54,4 HCPCS,A5500,Diab shoe for density insert,,,126.69,222.24,4 HCPCS,A5501,Diabetic custom molded shoe,,,380.03,666.61,4 HCPCS,A5503,Diabetic shoe w/roller/rockr,,,62.49,109.61,4 HCPCS,A5504,Diabetic shoe with wedge,,,62.49,109.61,4 HCPCS,A5505,Diab shoe w/metatarsal bar,,,62.49,109.61,4 HCPCS,A5506,Diabetic shoe w/off set heel,,,62.49,109.61,4 HCPCS,A5512,Multi den insert direct form,,,51.68,90.65,4 HCPCS,A5513,Multi den insert custom mold,,,77.13,135.3,4 HCPCS,A6010,Collagen based wound filler,,,38.35,67.28,4 HCPCS,A6011,Collagen gel/paste wound fil,,,3.48,6.11,4 HCPCS,A6021,Collagen dressing <=16 sq in,,,41.88,73.46,4 HCPCS,A6022,Collagen drsg>16<=48 sq in,,,41.88,73.46,4 HCPCS,A6023,Collagen dressing >48 sq in,,,379.21,665.18,4 HCPCS,A6024,Collagen dsg wound filler,,,12.33,21.63,4 HCPCS,A6025,"Silicone gel sheet, each",,,50.86,89.22,4 HCPCS,A6154,Wound pouch each,,,28.09,49.27,4 HCPCS,A6196,Alginate dressing <=16 sq in,,,10.47,18.37,4 HCPCS,A6197,Alginate drsg >16 <=48 sq in,,,32.75,57.44,4 HCPCS,A6199,Alginate drsg wound filler,,,10.53,18.47,4 HCPCS,A6203,Composite drsg <= 16 sq in,,,5.35,9.38,4 HCPCS,A6204,Composite drsg >16<=48 sq in,,,12.4,21.75,4 HCPCS,A6206,Contact layer <= 16 sq in,,,5.79,10.15,4 HCPCS,A6207,Contact layer >16<= 48 sq in,,,14.61,25.62,4 HCPCS,A6209,Foam drsg <=16 sq in w/o bdr,,,14.9,26.14,4 HCPCS,A6210,Foam drg >16<=48 sq in w/o b,,,39.7,69.63,4 HCPCS,A6210,HC IOPLEX IODOPHOR FOAM,100.01,100.01,,,0 HCPCS,A6211,Foam drg > 48 sq in w/o brdr,,,81.22,142.47,4 HCPCS,A6212,Foam drg <=16 sq in w/border,,,19.35,33.94,4 HCPCS,A6213,Foam drg >16<=48 sq in w/bdr,,,27.61,48.44,4 HCPCS,A6214,Foam drg > 48 sq in w/border,,,20.5,35.96,4 HCPCS,A6216,Non-sterile gauze<=16 sq in,,,0.09,0.15,4 HCPCS,A6218,Non-sterile gauze > 48 sq in,,,0.65,1.14,4 HCPCS,A6219,Gauze <= 16 sq in w/border,,,2.03,3.57,4 HCPCS,A6220,Gauze >16 <=48 sq in w/bordr,,,2.69,4.73,4 HCPCS,A6222,Gauze <=16 in no w/sal w/o b,,,4.23,7.42,4 HCPCS,A6223,Gauze >16<=48 no w/sal w/o b,,,4.83,8.46,4 HCPCS,A6224,Gauze > 48 in no w/sal w/o b,,,7.2,12.63,4 HCPCS,A6228,Gauze <= 16 sq in water/sal,,,2.58,4.52,4 HCPCS,A6229,Gauze >16<=48 sq in watr/sal,,,7.2,12.63,4 HCPCS,A6230,Gauze > 48 sq in water/salne,,,3.84,6.74,4 HCPCS,A6231,Hydrogel dsg<=16 sq in,,,5.72,10.03,4 HCPCS,A6232,Hydrogel dsg>16<=48 sq in,,,13.67,23.98,4 HCPCS,A6233,Hydrogel dressing >48 sq in,,,38.21,67.02,4 HCPCS,A6234,Hydrocolld drg <=16 w/o bdr,,,10.5,18.41,4 HCPCS,A6235,Hydrocolld drg >16<=48 w/o b,,,33.51,58.78,4 HCPCS,A6236,Hydrocolld drg > 48 in w/o b,,,54.31,95.27,4 HCPCS,A6237,Hydrocolld drg <=16 in w/bdr,,,11.22,19.68,4 HCPCS,A6238,Hydrocolld drg >16<=48 w/bdr,,,20.45,35.88,4 HCPCS,A6240,Hydrocolld drg filler paste,,,24.39,42.78,4 HCPCS,A6241,Hydrocolloid drg filler dry,,,5.13,8.99,4 HCPCS,A6242,Hydrogel drg <=16 in w/o bdr,,,12.07,21.17,4 HCPCS,A6243,Hydrogel drg >16<=48 w/o bdr,,,24.55,43.06,4 HCPCS,A6244,Hydrogel drg >48 in w/o bdr,,,78.27,137.3,4 HCPCS,A6245,Hydrogel drg <= 16 in w/bdr,,,14.48,25.39,4 HCPCS,A6246,Hydrogel drg >16<=48 in w/b,,,19.79,34.72,4 HCPCS,A6247,Hydrogel drg > 48 sq in w/b,,,47.39,83.12,4 HCPCS,A6248,Hydrogel drsg gel filler,,,11.66,20.45,4 HCPCS,A6251,Absorpt drg <=16 sq in w/o b,,,3.97,6.97,4 HCPCS,A6252,Absorpt drg >16 <=48 w/o bdr,,,6.5,11.41,4 HCPCS,A6253,Absorpt drg > 48 sq in w/o b,,,12.61,22.11,4 HCPCS,A6254,Absorpt drg <=16 sq in w/bdr,,,2.4,4.21,4 HCPCS,A6255,Absorpt drg >16<=48 in w/bdr,,,6.05,10.61,4 HCPCS,A6257,Transparent film <= 16 sq in,,,1.15,2.01,4 HCPCS,A6258,Transparent film >16<=48 in,,,8.59,15.08,4 HCPCS,A6259,Transparent film > 48 sq in,,,21.8,38.24,4 HCPCS,A6260,Wound cleanser any type/size,,,0.09,0.15,4 HCPCS,A6266,Impreg gauze no h20/sal/yard,,,3.83,6.72,4 HCPCS,A6402,Sterile gauze <= 16 sq in,,,0.23,0.4,4 HCPCS,A6403,Sterile gauze>16 <= 48 sq in,,,0.85,1.48,4 HCPCS,A6404,Sterile gauze > 48 sq in,,,0.65,1.14,4 HCPCS,A6407,"Packing strips, non-impreg",,,3.73,6.54,4 HCPCS,A6410,Sterile eye pad,,,0.75,1.31,4 HCPCS,A6412,Occlusive eye patch,,,0.65,1.14,4 HCPCS,A6441,"Pad band w>=3"" <5""/yd",,,1.36,2.39,4 HCPCS,A6442,"Conform band n/s w<3""/yd",,,0.31,0.55,4 HCPCS,A6443,"Conform band n/s w>=3""<5""/yd",,,0.55,0.97,4 HCPCS,A6444,"Conform band n/s w>=5""/yd",,,1.1,1.93,4 HCPCS,A6445,"Conform band s w <3""/yd",,,0.65,1.14,4 HCPCS,A6446,"Conform band s w>=3"" <5""/yd",,,0.81,1.43,4 HCPCS,A6447,"Conform band s w >=5""/yd",,,1.36,2.39,4 HCPCS,A6448,"Lt compres band <3""/yd",,,2.3,4.04,4 HCPCS,A6449,"Lt compres band >=3"" <5""/yd",,,3.49,6.13,4 HCPCS,A6450,"Lt compres band >=5""/yd",,,3.49,6.13,4 HCPCS,A6451,"Mod compres band w>=3""<5""/yd",,,3.49,6.13,4 HCPCS,A6452,"High compres band w>=3""<5""yd",,,11.77,20.65,4 HCPCS,A6453,"Self-adher band w <3""/yd",,,1.24,2.17,4 HCPCS,A6454,"Self-adher band w>=3"" <5""/yd",,,1.55,2.73,4 HCPCS,A6455,"Self-adher band >=5""/yd",,,2.77,4.86,4 HCPCS,A6456,"Zinc paste band w >=3""<5""/yd",,,2.52,4.43,4 HCPCS,A6457,Tubular dressing,,,2.26,3.96,4 HCPCS,A6460,Arg II ext com/sup/acc misc,,,14.4,16.56,4 HCPCS,A6461,Enzyme cartridge enteral nut,,,14.4,16.56,4 HCPCS,A6520,G com garmnt glove nghttime,,,126.45,227.61,3 HCPCS,A6521,G com garmnt glove nght cust,,,501.75,903.15,3 HCPCS,A6522,G com garment arm nighttime,,,307.26,553.07,3 HCPCS,A6523,G com garment arm nght custm,,,729.02,1312.24,3 HCPCS,A6524,G com garmnt lwr leg/ft nght,,,383.34,690.01,3 HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,773.9,1393.02,3 HCPCS,A6526,G com garmt full leg/ft nght,,,693.06,1247.51,3 HCPCS,A6527,G garmt full leg/ft nght cus,,,1274.45,2294.01,3 HCPCS,A6528,G com garment bra nighttime,,,666.42,1199.56,3 HCPCS,A6529,G com garmt bra night custm,,,1053.04,1895.47,3 HCPCS,A6530,Compression stocking bk18-30,,,39.07,70.33,3 HCPCS,A6531,Compression stocking bk30-40,,,61.66,151.21,7 HCPCS,A6532,Compression stocking bk40-50,,,86.88,213.07,7 HCPCS,A6533,Gc stocking thighlngth 18-30,,,54.86,98.75,3 HCPCS,A6534,Gc stocking thighlngth 30-40,,,62.65,112.77,3 HCPCS,A6535,Gc stocking thighlngth 40-50,,,72.13,129.83,3 HCPCS,A6536,Gc stocking full lngth 18-30,,,73.95,133.11,3 HCPCS,A6537,Gc stocking full lngth 30-40,,,87.67,157.81,3 HCPCS,A6538,Gc stocking full lngth 40-50,,,102.65,184.77,3 HCPCS,A6539,Gc stocking waistlngth 18-30,,,97.86,176.15,3 HCPCS,A6540,Gc stocking waistlngth 30-40,,,116.68,210.02,3 HCPCS,A6541,Gc stocking waistlngth 40-50,,,138.21,248.78,3 HCPCS,A6544,Gc stocking garter belt,,,38.9,70.02,3 HCPCS,A6545,Grad comp non-elastic BK,,,121.41,297.76,7 HCPCS,A6548,Acces cust grad silic band,,,20.86,37.55,3 HCPCS,A6550,Neg pres wound ther drsg set,,,44.59,78.22,4 HCPCS,A6552,Grad com stocking bk 30-40,,,57.97,104.35,3 HCPCS,A6553,G com stcking bk 30-40 custm,,,226.38,407.48,3 HCPCS,A6554,Grad com stocking bk 40+,,,79.72,143.5,3 HCPCS,A6555,G com stcking bk 40+ custm,,,226.38,407.48,3 HCPCS,A6556,G com stcking thgh18-30 cust,,,310.25,558.45,3 HCPCS,A6557,G com stcking thgh30-40 cust,,,310.25,558.45,3 HCPCS,A6558,G com stcking thgh 40+ cust,,,320.17,576.31,3 HCPCS,A6562,G com stckng waist18-30 cust,,,1015.37,1827.67,3 HCPCS,A6563,G com stckng waist30-40 cust,,,1015.37,1827.67,3 HCPCS,A6564,G com stckng waist 40+ cust,,,1093.78,1968.8,3 HCPCS,A6565,Grad comp gauntlet custom,,,175.45,315.81,3 HCPCS,A6566,Grad com garment neck/head,,,254.75,458.55,3 HCPCS,A6567,G com garment neck/head cust,,,800.42,1440.76,3 HCPCS,A6568,G com garment torso/shldr,,,166.26,299.27,3 HCPCS,A6569,G com garmnt torso/shdr cust,,,946.74,1704.13,3 HCPCS,A6570,Grad com garment genital,,,113.28,203.9,3 HCPCS,A6571,G com garment genital custm,,,680.84,1225.51,3 HCPCS,A6572,Grad com garment toe caps,,,105.11,189.2,3 HCPCS,A6573,Grad com garmnt toe cap cust,,,249.43,448.97,3 HCPCS,A6574,Custom gradient sleev/glov,,,317.99,572.38,3 HCPCS,A6575,Gradient comp sleev/glov,,,103.05,185.49,3 HCPCS,A6576,Custom grad com sleeve med,,,195.16,351.29,3 HCPCS,A6577,Custom grad cm sleeve heavy,,,161.53,290.75,3 HCPCS,A6578,Gradient comp sleeve,,,79.55,143.19,3 HCPCS,A6579,Custom grad com glove med,,,313.26,563.87,3 HCPCS,A6580,Custom grad com glove heavy,,,310.96,559.73,3 HCPCS,A6581,Gradient comp glove,,,72.99,131.38,3 HCPCS,A6582,Gradient comp gauntlet,,,48.68,87.62,3 HCPCS,A6583,Grad com wrap w straps bk,,,160.13,288.23,3 HCPCS,A6585,Grad com wrap w straps ak,,,189.6,341.28,3 HCPCS,A6586,Grad com wrap w straps leg,,,558.59,1005.46,3 HCPCS,A6587,Grad com wrap w straps foot,,,73.17,131.71,3 HCPCS,A6588,Grad com wrap w straps arm,,,243.87,438.97,3 HCPCS,A6589,Grad com wrap w straps bra,,,96.27,173.29,3 HCPCS,A6594,G comp bandge liner lwr extr,,,35.05,63.09,3 HCPCS,A6595,G comp bandge liner upr extr,,,34.48,62.06,3 HCPCS,A6596,G comp bandge conform gauze,,,0.18,0.32,3 HCPCS,A6597,G comp bandage long stretch,,,1.55,2.79,3 HCPCS,A6598,G comp bandage med stretch,,,0.75,1.35,3 HCPCS,A6599,G comp bandage short stretch,,,1.7,3.06,3 HCPCS,A6600,G com bandge hgh dn foam sht,,,3.07,5.53,3 HCPCS,A6601,G com bandge hgh dn foam pad,,,3.45,6.21,3 HCPCS,A6602,G com bandge hgh dn foamroll,,,5.03,9.05,3 HCPCS,A6603,G com bandge low dn foamchnl,,,2.36,4.25,3 HCPCS,A6604,G com bandge low dn foam flt,,,1.38,2.48,3 HCPCS,A6605,G com bandage padded foam,,,1.57,2.83,3 HCPCS,A6606,G com bandage padded textile,,,4.67,8.41,3 HCPCS,A6607,G com bandage tub protct lyr,,,1.25,2.25,3 HCPCS,A6608,G com bandage tub protct pad,,,5.21,9.38,3 HCPCS,A6610,G com stcking bk 18-30 custm,,,226.38,407.48,3 HCPCS,A7000,Disposable canister for pump,,,14.77,25.91,4 HCPCS,A7001,Nondisposable pump canister,,,65.9,115.6,4 HCPCS,A7002,Tubing used w suction pump,,,7.62,13.36,4 HCPCS,A7003,Nebulizer administration set,,,91.7,160.85,4 HCPCS,A7004,Disposable nebulizer sml vol,,,2.2,3.86,4 HCPCS,A7005,Nondisposable nebulizer set,,,80.55,141.29,4 HCPCS,A7006,Filtered nebulizer admin set,,,13.82,24.24,4 HCPCS,A7007,Lg vol nebulizer disposable,,,6.08,10.67,4 HCPCS,A7008,Disposable nebulizer prefill,,,21.92,38.46,4 HCPCS,A7009,Nebulizer reservoir bottle,,,83.79,146.97,4 HCPCS,A7010,Disposable corrugated tubing,,,28.05,49.21,4 HCPCS,A7012,Nebulizer water collec devic,,,4.86,8.52,4 HCPCS,A7013,Disposable compressor filter,,,1.02,1.79,4 HCPCS,A7014,Compressor nondispos filter,,,5.92,10.38,4 HCPCS,A7015,Aerosol mask used w nebulize,,,9.66,16.95,4 HCPCS,A7016,Nebulizer dome & mouthpiece,,,14.44,25.33,4 HCPCS,A7017,Nebulizer not used w oxygen,,,216.37,379.53,4 HCPCS,A7018,Water distilled w/nebulizer,,,0.6,1.06,4 HCPCS,A7020,"Interface, cough stim device",,,28.85,50.61,4 HCPCS,A7025,Replace chest compress vest,,,86.68,152.04,4 HCPCS,A7026,Replace chst cmprss sys hose,,,57.28,100.48,4 HCPCS,A7027,Combination oral/nasal mask,,,214.11,375.58,4 HCPCS,A7028,Repl oral cushion combo mask,,,60.47,106.08,4 HCPCS,A7029,Repl nasal pillow comb mask,,,26.99,47.35,4 HCPCS,A7030,CPAP full face mask,,,154.88,271.68,4 HCPCS,A7031,Replacement facemask interfa,,,58.58,102.76,4 HCPCS,A7032,Replacement nasal cushion,,,32.26,56.58,4 HCPCS,A7033,Replacement nasal pillows,,,27.15,47.62,4 HCPCS,A7034,Nasal application device,,,98.06,172.01,4 HCPCS,A7035,Pos airway press headgear,,,32.16,56.42,4 HCPCS,A7036,Pos airway press chinstrap,,,18.99,33.3,4 HCPCS,A7037,Pos airway pressure tubing,,,20.82,36.52,4 HCPCS,A7038,Pos airway pressure filter,,,3.63,6.37,4 HCPCS,A7039,"Filter, non disposable w pap",,,10.99,19.27,4 HCPCS,A7040,One way chest drain valve,,,80.59,141.36,4 HCPCS,A7041,Water seal drain container,,,151.47,265.7,4 HCPCS,A7044,PAP oral interface,,,152.54,267.57,4 HCPCS,A7045,Repl exhalation port for PAP,,,22.45,39.39,4 HCPCS,A7046,"Repl water chamber, PAP dev",,,24.03,42.16,4 HCPCS,A7047,Resp suction oral interface,,,240.93,422.61,4 HCPCS,A7048,Vacuum drain bottle/tube kit,,,84.34,147.95,4 HCPCS,A7501,Tracheostoma valve w diaphra,,,209.25,367.06,4 HCPCS,A7502,Replacement diaphragm/fplate,,,99.49,174.52,4 HCPCS,A7503,HMES filter holder or cap,,,22.61,39.66,4 HCPCS,A7504,Tracheostoma HMES filter,,,1.36,2.39,4 HCPCS,A7505,HMES or trach valve housing,,,9.34,16.39,4 HCPCS,A7506,HMES/trachvalve adhesivedisk,,,0.66,1.16,4 HCPCS,A7507,Integrated filter & holder,,,4.95,8.68,4 HCPCS,A7508,Housing & Integrated Adhesiv,,,5.7,10.01,4 HCPCS,A7509,Heat & moisture exchange sys,,,2.81,4.92,4 HCPCS,A7520,Trach/laryn tube non-cuffed,,,94.62,165.97,4 HCPCS,A7521,Trach/laryn tube cuffed,,,93.72,164.39,4 HCPCS,A7522,Trach/laryn tube stainless,,,89.99,157.86,4 HCPCS,A7524,Tracheostoma stent/stud/bttn,,,154.25,270.57,4 HCPCS,A7525,Tracheostomy mask,,,4.11,7.21,4 HCPCS,A7526,Tracheostomy tube collar,,,6.75,11.83,4 HCPCS,A7527,Trach/laryn tube plug/stop,,,7.14,12.52,4 HCPCS,A8000,"HC HELMET, PROTECTIVE, SOFT, PREFABRICATED, INCLUDES ALL COMPONENTS AND ACCESSORIES",1186.76,1186.76,,,0 HCPCS,A8000,Soft protect helmet prefab,,,305.59,536.05,4 HCPCS,A8001,"HC HELMET, PROTECTIVE, HARD, PREFABRICATED, INCLUDES ALL COMPONENTS AND ACCESSORIES",1186.78,1186.78,,,0 HCPCS,A8001,Hard protect helmet prefab,,,305.59,536.05,4 HCPCS,A9154,"Artificial saliva, 1 ml",,,0.37,0.43,4 HCPCS,A9283,"HC FOOT PRESSURE OFF LOADING/SUPPORTIVE DEVICE, ANY TYPE, EACH",1186.78,1186.78,,,0 HCPCS,A9500,Tc99m sestamibi,,,108.89,125.22,4 HCPCS,A9502,Tc99m tetrofosmin,,,136.8,157.32,4 HCPCS,A9503,Tc99m medronate,,,13.26,15.25,4 HCPCS,A9504,Tc99m apcitide,,,425.0,488.75,4 HCPCS,A9505,Tl201 thallium,,,33.31,38.31,4 HCPCS,A9506,Tc-99m graphite crucible,,,316.2,591.48,7 HCPCS,A9507,In111 capromab,,,1730.29,5156.52,7 HCPCS,A9508,"I131 iodobenguate, dx",,,753.92,1715.42,7 HCPCS,A9509,Iodine I-123 sod iodide mil,,,1844.67,2121.37,4 HCPCS,A9510,Tc99m disofenin,,,71.4,82.11,4 HCPCS,A9512,Tc99m pertechnetate,,,1.73,1.99,4 HCPCS,A9513,Lutetium lu 177 dotatat ther,,,311.13,630.37,7 HCPCS,A9515,Choline c-11,,,2516.43,5865.0,7 HCPCS,A9516,Iodine I-123 sod iodide mic,,,108.36,124.61,4 HCPCS,A9517,"I131 iodide cap, rx",,,24.07,43.33,7 HCPCS,A9520,Tc99 tilmanocept diag 0.5mci,,,674.81,776.03,4 HCPCS,A9521,Tc99m exametazime,,,1748.25,2010.49,4 HCPCS,A9524,"I131 serum albumin, dx",,,381.23,438.41,4 HCPCS,A9526,Nitrogen n-13 ammonia,,,672.18,773.01,4 HCPCS,A9528,"Iodine i-131 iodide cap, dx",,,199.47,229.39,4 HCPCS,A9529,"I131 iodide sol, dx",,,6.49,7.46,4 HCPCS,A9531,I131 max 100uci,,,0.6,0.69,4 HCPCS,A9532,"I125 serum albumin, dx",,,22.31,844.31,7 HCPCS,A9536,Tc99m depreotide,,,1190.0,1368.5,4 HCPCS,A9537,Tc99m mebrofenin,,,56.42,64.88,4 HCPCS,A9538,Tc99m pyrophosphate,,,65.33,75.13,4 HCPCS,A9539,Tc99m pentetate,,,31.96,36.75,4 HCPCS,A9540,Tc99m maa,,,30.6,35.19,4 HCPCS,A9541,Tc99m sulfur colloid,,,272.71,313.62,4 HCPCS,A9542,"In111 ibritumomab, dx",,,3570.0,4105.5,4 HCPCS,A9543,"Y90 ibritumomab, rx",,,56824.55,102284.19,7 HCPCS,A9547,In111 oxyquinoline,,,831.46,2469.14,7 HCPCS,A9548,In111 pentetate,,,745.62,1342.12,7 HCPCS,A9551,Tc99m succimer,,,611.41,1187.87,7 HCPCS,A9552,F18 fdg,,,321.26,369.45,4 HCPCS,A9553,Cr51 chromate,,,575.28,3452.33,7 HCPCS,A9554,"I125 iothalamate, dx",,,38.25,1169.35,7 HCPCS,A9555,Rb82 rubidium,,,521.12,599.29,4 HCPCS,A9556,Ga67 gallium,,,137.72,158.38,4 HCPCS,A9557,Tc99m bicisate,,,775.52,4300.6,7 HCPCS,A9558,Xe133 xenon 10mci,,,260.2,299.23,4 HCPCS,A9559,Co57 cyano,,,74.72,85.93,4 HCPCS,A9560,Tc99m labeled rbc,,,95.27,109.56,4 HCPCS,A9561,Tc99m oxidronate,,,44.88,51.61,4 HCPCS,A9562,Tc99m mertiatide,,,790.27,908.81,4 HCPCS,A9563,P32 na phosphate,,,278.24,500.83,7 HCPCS,A9564,P32 chromic phosphate,,,296.28,340.72,4 HCPCS,A9568,Technetium tc99m arcitumomab,,,1105.0,1270.75,4 HCPCS,A9569,Technetium TC-99m auto WBC,,,934.13,2010.49,7 HCPCS,A9570,Indium In-111 auto WBC,,,1103.19,4938.28,7 HCPCS,A9571,Indium IN-111 auto platelet,,,4294.16,4938.28,4 HCPCS,A9572,Indium In-111 pentetreotide,,,2000.94,4539.51,7 HCPCS,A9573,"Inj, gadopiclenol, 1 ml",,,3.54,4.07,4 HCPCS,A9575,Inj gadoterate meglumi 0.1ml,,,0.12,0.14,4 HCPCS,A9576,Inj prohance multipack,,,1.47,1.69,4 HCPCS,A9577,Inj multihance,,,1.81,2.08,4 HCPCS,A9578,Inj multihance multipack,,,1.78,2.05,4 HCPCS,A9581,Gadoxetate disodium inj,,,15.26,17.55,4 HCPCS,A9582,Iodine I-123 iobenguane,,,2317.5,5992.17,7 HCPCS,A9583,Gadofosveset trisodium inj,,,17.86,20.54,4 HCPCS,A9584,Iodine i-123 ioflupane,,,1387.74,3040.42,7 HCPCS,A9585,Gadobutrol injection,,,0.27,0.31,4 HCPCS,A9586,Florbetapir F18,,,1825.64,3351.73,7 HCPCS,A9587,Gallium ga-68,,,49.63,89.33,7 HCPCS,A9588,Fluciclovine f-18,,,322.27,606.03,7 HCPCS,A9589,Insti hexaminolevulinate hcl,,,1478.08,1699.79,4 HCPCS,A9590,Iodine i-131 iobenguane 1mci,,,326.8,375.82,4 HCPCS,A9595,"Piflu f-18, dia 1 millicurie",,,346.49,721.46,7 HCPCS,A9596,Gallium illuccix 1 millicure,,,478.52,1211.94,7 HCPCS,A9600,Sr89 strontium,,,3825.0,7463.4,7 HCPCS,A9601,Flortaucipir inj 1 millicuri,,,357.0,667.8,7 HCPCS,A9603,"Inj, pafolacianine, 0.1 mg",,,135.47,155.79,4 HCPCS,A9604,Sm 153 lexidronam,,,3159.8,19099.82,7 HCPCS,A9606,Radium ra223 dichloride ther,,,172.4,326.79,7 HCPCS,A9607,Lutetium lu 177 vipivotide,,,253.36,481.17,7 HCPCS,A9611,"Flurpiridaz f18, diag, 1 mci",,,53.69,954.0,7 HCPCS,A9615,"Inj, pegulicianine, 1 mg",,,36.09,67.51,7 HCPCS,A9697,"Inj, magtrace per study dose",,,1254.0,2257.2,3 HCPCS,A9800,Gallium locametz 1 millicuri,,,362.5,718.01,7 HCPCS,B4034,Enter feed supkit syr by day,,,5.37,9.42,4 HCPCS,B4035,Enteral feed supp pump per d,,,9.49,16.65,4 HCPCS,B4036,Enteral feed sup kit grav by,,,7.36,12.9,4 HCPCS,B4081,Enteral ng tubing w/ stylet,,,26.98,47.32,4 HCPCS,B4082,Enteral ng tubing w/o stylet,,,19.03,33.37,4 HCPCS,B4083,Enteral stomach tube levine,,,2.81,4.92,4 HCPCS,B4087,"Gastro/jejuno tube, std",,,47.0,82.44,4 HCPCS,B4088,"Gastro/jejuno tube, low-pro",,,54.25,95.16,4 HCPCS,B4149,EF blenderized foods,,,2.46,4.31,4 HCPCS,B4150,Ef complet w/intact nutrient,,,1.08,1.89,4 HCPCS,B4152,Ef calorie dense>/=1.5kcal,,,0.9,1.59,4 HCPCS,B4153,Ef hydrolyzed/amino acids,,,4.34,7.61,4 HCPCS,B4154,Ef spec metabolic noninherit,,,1.72,3.01,4 HCPCS,B4155,Ef incomplete/modular,,,3.04,5.32,4 HCPCS,B4164,Parenteral 50% dextrose solu,,,35.15,61.66,4 HCPCS,B4168,Parenteral sol amino acid 3.,,,51.26,89.92,4 HCPCS,B4172,Parenteral sol amino acid 5.,,,82.87,145.36,4 HCPCS,B4176,Parenteral sol amino acid 7-,,,99.19,174.0,4 HCPCS,B4178,Parenteral sol amino acid >,,,119.04,208.82,4 HCPCS,B4180,Parenteral sol carb > 50%,,,50.47,88.54,4 HCPCS,B4185,Parenteral sol 10 gm lipids,,,7.78,13.64,4 HCPCS,B4189,Parenteral sol amino acid &,,,367.81,645.18,4 HCPCS,B4193,Parenteral sol 52-73 gm prot,,,475.27,833.68,4 HCPCS,B4197,Parenteral sol 74-100 gm pro,,,578.61,1014.96,4 HCPCS,B4199,Parenteral sol > 100gm prote,,,661.17,1159.78,4 HCPCS,B4216,Parenteral nutrition additiv,,,15.96,28.0,4 HCPCS,B4220,Parenteral supply kit premix,,,16.55,29.03,4 HCPCS,B4222,Parenteral supply kit homemi,,,20.42,35.81,4 HCPCS,B4224,Parenteral administration ki,,,51.72,90.72,4 HCPCS,B5000,Parenteral sol renal-amirosy,,,0.14,0.25,4 HCPCS,B5100,Parenteral solution hepatic,,,0.37,0.64,4 HCPCS,B9002,Enter nutr inf pump any type,,,1106.26,1940.51,4 HCPCS,B9004,Parenteral infus pump portab,,,5221.0,9158.24,4 HCPCS,B9006,Parenteral infus pump statio,,,5221.0,9158.24,4 HCPCS,C1716,"Brachytx, non-str, Gold-198",,,242.17,924.43,7 HCPCS,C1717,"Brachytx, non-str,hdr ir-192",,,278.96,643.48,7 HCPCS,C1717,HC SU-IRIDIUM 192 SEED,527.1,527.1,,,0 HCPCS,C1719,"Brachytx, NS, Non-HDRIr-192",,,60.56,1635.66,7 HCPCS,C1751,HC SU-CATHETER 4.0FR PIC VENOUS,504.38,504.38,,,0 HCPCS,C1751,HC SU-CATHETER PIC 5.0FR,327.59,327.59,,,0 HCPCS,C1757,HC FLOWTRIEVER SYSTEM,42949.97,42949.97,,,0 HCPCS,C1769,HC SU-WIRE GUIDE FIXED CORE .015I,121.21,121.21,,,0 HCPCS,C1887,HC CATHETER VERT 7FR,234.24,234.24,,,0 HCPCS,C1889,HC SPACEOAR HYDROGEL,10128.83,10128.83,,,0 HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,17771.01,51830.86,7 HCPCS,C2634,"Brachytx, non-str, HA, I-125",,,174.06,378.42,7 HCPCS,C2635,"Brachytx, non-str, HA, P-103",,,46.0,192.15,7 HCPCS,C2636,"Brachy linear, non-str,P-103",,,33.38,160.92,7 HCPCS,C2638,"Brachytx, stranded, I-125",,,35.26,163.45,7 HCPCS,C2639,"Brachytx, non-stranded,I-125",,,36.64,198.39,7 HCPCS,C2639,HC SU- EYEPLAQ HIGH NONSTRAND,402.88,402.88,,,0 HCPCS,C2640,"Brachytx, stranded, P-103",,,88.26,229.9,7 HCPCS,C2641,"Brachytx, non-stranded,P-103",,,64.48,205.48,7 HCPCS,C2642,"Brachytx, stranded, C-131",,,119.11,275.09,7 HCPCS,C2643,"Brachytx, non-stranded,C-131",,,99.8,185.85,7 HCPCS,C2645,"Brachytx planar, p-103",,,4.69,14.73,7 HCPCS,C5271,HC LOW COST SKIN SUB TRNK ARMS LEGS 1ST 25 SQ CM OR LESS,1112.0,1112.0,,,0 HCPCS,C5271,Low cost skin substitute app,,,438.5,769.19,4 HCPCS,C5273,Low cost skin substitute app,,,1381.8,2423.84,4 HCPCS,C5275,Low cost skin substitute app,,,438.5,769.19,4 HCPCS,C5277,Low cost skin substitute app,,,438.5,769.19,4 HCPCS,C7500,Deb bone 20 cm2 w/drug dev,,,1683.79,1936.36,4 HCPCS,C7501,Perc bx breast lesions stero,,,1683.79,1936.36,4 HCPCS,C7502,Perc bx breast lesions mr,,,1683.79,1936.36,4 HCPCS,C7503,Open exc cerv node(s) w/ id,,,3782.45,4349.82,4 HCPCS,C7504,Perq cvt&ls inj vert bodies,,,4926.6,5665.59,4 HCPCS,C7505,Perq ls&cvt inj vert bodies,,,4926.6,5665.59,4 HCPCS,C7506,Fusion of finger joints,,,4926.6,5665.59,4 HCPCS,C7507,Perq thor&lumb vert aug,,,10101.92,11617.21,4 HCPCS,C7508,Perq lumb&thor vert aug,,,10101.92,11617.21,4 HCPCS,C7509,Dx bronch w/ navigation,,,2218.92,2551.76,4 HCPCS,C7510,Bronch/lavag w/ navigation,,,2218.92,2551.76,4 HCPCS,C7511,Bronch/bpsy(s) w/ navigation,,,2218.92,2551.76,4 HCPCS,C7512,Bronch/bpsy(s) w/ ebus,,,2218.92,2551.76,4 HCPCS,C7513,Cath/angio dialcir w/aplasty,,,2266.94,2606.98,4 HCPCS,C7514,Cath/angio dial cir w/stents,,,2266.94,2606.98,4 HCPCS,C7515,Cath/angio dial cir w/embol,,,2266.94,2606.98,4 HCPCS,C7516,Cor angio w/ ivus or oct,,,3653.4,4201.41,4 HCPCS,C7517,Cor angio w/ilic/fem angio,,,3653.4,4201.41,4 HCPCS,C7518,Cor/gft angio w/ ivus or oct,,,3653.4,4201.41,4 HCPCS,C7519,Cor/gft angio w/ flow resrv,,,3653.4,4201.41,4 HCPCS,C7520,Cor/gft angio w/ilic/fem ang,,,3653.4,4201.41,4 HCPCS,C7521,R hrt angio w/ ivus or oct,,,3653.4,4201.41,4 HCPCS,C7522,R hrt angio w/flow resrv,,,3653.4,4201.41,4 HCPCS,C7523,L hrt angio w/ ivus or oct,,,3653.4,4201.41,4 HCPCS,C7524,L hrt angio w/flow resrv,,,3653.4,4201.41,4 HCPCS,C7525,L hrt gft ang w/ ivus or oct,,,3653.4,4201.41,4 HCPCS,C7526,L hrt gft ang w/flow resrv,,,3653.4,4201.41,4 HCPCS,C7527,R&l hrt angio w/ ivus or oct,,,3653.4,4201.41,4 HCPCS,C7528,R&l hrt angio w/flow resrv,,,3653.4,4201.41,4 HCPCS,C7529,R&l hrt gft ang w/flow resrv,,,3653.4,4201.41,4 HCPCS,C7530,Cath/aplasty dial cir w/stnt,,,7189.37,8267.78,4 HCPCS,C7531,Angio fem/pop w/ us,,,8606.55,9897.53,4 HCPCS,C7532,Angio w/ us non-coronary,,,8303.88,9549.46,4 HCPCS,C7533,Ptca w/ plcmt brachytx dev,,,8676.16,9977.58,4 HCPCS,C7534,Fem/pop revasc w/arthr & us,,,15836.38,18211.84,4 HCPCS,C7535,Fem/pop revasc w/stent & us,,,15698.7,18053.51,4 HCPCS,C7537,Insrt atril pm w/l vent lead,,,15853.1,18231.07,4 HCPCS,C7538,Insrt vent pm w/l vent lead,,,15809.4,18180.81,4 HCPCS,C7539,Insrt a & v pm w/l vent lead,,,16111.66,18528.41,4 HCPCS,C7540,Rmv&rplc pm dul w/l vnt lead,,,15837.58,18213.22,4 HCPCS,C7541,Ercp w/ pancreatoscopy,,,3569.14,4104.51,4 HCPCS,C7542,Ercp w/bx & pancreatoscopy,,,3569.14,4104.51,4 HCPCS,C7543,"Ercp w/otomy, pancreatoscopy",,,3569.14,4104.51,4 HCPCS,C7544,Ercp rmv calc pancreatoscopy,,,3569.14,4104.51,4 HCPCS,C7545,Exch bil cath w/ rmv calculi,,,3569.14,4104.51,4 HCPCS,C7546,Rep nph/urt cath w/dil stric,,,2349.54,2701.97,4 HCPCS,C7547,Cnvrt neph cath w/ dil stric,,,2722.84,3131.27,4 HCPCS,C7548,Exch neph cath w/ dil stric,,,2349.54,2701.97,4 HCPCS,C7549,Chge urtr stent w/ dil stric,,,2349.54,2701.97,4 HCPCS,C7550,Cysto w/ bx(s) w/ blue light,,,2349.54,2701.97,4 HCPCS,C7551,Exc neuroma w/ implnt nv end,,,4131.54,4751.27,4 HCPCS,C7552,R hrt art/grft ang hrt flow,,,3653.4,4201.41,4 HCPCS,C7553,R&l hrt art/vent ang drg ad,,,3653.4,4201.41,4 HCPCS,C7554,Cystureth blu li cyst fl img,,,1331.38,1531.09,4 HCPCS,C7555,Rmvl thyrd w/autotran parath,,,6719.58,7727.52,4 HCPCS,C7556,Bronch lavage w/ebus,,,2160.02,2484.02,4 HCPCS,C7557,Cor angio/vent w/ffr,,,3482.88,4005.31,4 HCPCS,C7560,Ercp remove forgn body&endo,,,2480.53,2852.61,4 HCPCS,C7561,Dbrd bone w prep&insr rx dev,,,1595.44,1834.76,4 HCPCS,C7900,"Hopd mntl hlt, 15-29 min",,,37.19,67.2,7 HCPCS,C7901,"Hopd mntl hlt, 30-60 min",,,95.05,182.2,7 HCPCS,C7903,"Hopd mntl hlt, grp",,,32.4,67.2,7 HCPCS,C8001,3d anat seg imaging preop,,,94.39,230.78,7 HCPCS,C8002,"Prep skin cell susp, automtd",,,6699.95,12728.28,7 HCPCS,C8003,Imp extar knee shck absrb,,,17470.77,34577.9,7 HCPCS,C8004,Sim ang w/prs cath rad emb,,,11502.68,20704.82,3 HCPCS,C8006,Inst pleu-perit shnt w pump,,,6450.54,11610.97,3 HCPCS,C8007,Opn mplnt hpgls ns ary ps gn,,,30746.74,55344.12,3 HCPCS,C8008,Rv/rpl hpgls ns inc cnt pg,,,11102.63,19984.73,3 HCPCS,C8009,Rmv hpgls ns ary and pg,,,3403.86,6126.95,3 HCPCS,C8011,Opn mplnt hpgls ns ary rec,,,30746.74,55344.12,3 HCPCS,C8012,Rv/rpl hpgls ns ary rec,,,11102.63,19984.73,3 HCPCS,C8013,Rmv hpls ns ary rec,,,3403.86,6126.95,3 HCPCS,C8014,"Cysto, litho, w suct sheath",,,5342.52,9616.53,3 HCPCS,C8900,"Mra w/cont, abd",,,256.47,625.71,7 HCPCS,C8901,"Mra w/o cont, abd",,,218.64,427.94,7 HCPCS,C8902,"Mra w/o fol w/cont, abd",,,347.62,724.07,7 HCPCS,C8903,"Mri w/cont, breast, uni",,,174.77,449.88,7 HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,347.62,1491.85,7 HCPCS,C8906,"Mri w/cont, breast, bi",,,347.62,724.07,7 HCPCS,C8908,HC MRI BREAST WITHOUT & WITH CONTRAST W/CAD BILATERAL,2823.0,2823.0,,,0 HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,347.62,1473.62,7 HCPCS,C8909,"MRA w/cont, chest",,,256.47,625.71,7 HCPCS,C8910,"MRA w/o cont, chest",,,218.64,427.94,7 HCPCS,C8911,"MRA w/o fol w/cont, chest",,,347.62,724.07,7 HCPCS,C8912,"Mra w/cont, lwr ext",,,347.62,724.07,7 HCPCS,C8913,"Mra w/o cont, lwr ext",,,218.64,427.94,7 HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,347.62,724.07,7 HCPCS,C8918,"MRA w/cont, pelvis",,,256.47,625.71,7 HCPCS,C8919,"MRA w/o cont, pelvis",,,218.64,427.94,7 HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,347.62,724.07,7 HCPCS,C8921,HC ECHO COMP CARD ANOMALY WITH CONTRAST,1365.5,1365.5,,,0 HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,644.08,1405.98,7 HCPCS,C8922,HC ECHO LMT CARDIAC ANOMALY WITH CONTRAST,1119.0,1119.0,,,0 HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,644.08,1405.98,7 HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,644.08,1405.98,7 HCPCS,C8924,"2d tte w or w/o fol w/con,fu",,,347.62,733.55,7 HCPCS,C8924,HC ECHOCARDIOGRAM LIMITED CONTRAST,1046.5,1046.5,,,0 HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,644.08,1405.98,7 HCPCS,C8925,HC ECHO TRANSESOPHAGEAL WITH CONTRAST,1227.0,1227.0,,,0 HCPCS,C8926,HC TRANSESOPHAGEAL ECHO CARD ANOMALY WITH CONTRAST,2091.0,2091.0,,,0 HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,644.08,1405.98,7 HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,644.08,1405.98,7 HCPCS,C8928,HC ECHO STRESS WITH CONTRAST,1210.0,1210.0,,,0 HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,644.08,1405.98,7 HCPCS,C8929,HC ECHOCARDIOGRAM COMPLETE CONTRAST,1823.5,1823.5,,,0 HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,644.08,1405.98,7 HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,644.08,1405.98,7 HCPCS,C8931,"MRA, w/dye, spinal canal",,,347.62,724.07,7 HCPCS,C8932,"MRA, w/o dye, spinal canal",,,218.64,427.94,7 HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,347.62,724.07,7 HCPCS,C8934,"MRA, w/dye, upper extremity",,,256.47,625.71,7 HCPCS,C8935,"MRA, w/o dye, upper extr",,,218.64,427.94,7 HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,347.62,724.07,7 HCPCS,C8937,HC CAD BREAST MRI,440.0,440.0,,,0 HCPCS,C8957,"Prolonged iv inf, req pump",,,211.94,480.61,7 HCPCS,C9046,Cocaine hcl nasal solution,,,1.72,1.98,4 HCPCS,C9047,"Injection, caplacizumab-yhdp",,,794.83,1510.5,7 HCPCS,C9067,Gallium ga-68 dotatoc,,,3.61,8.89,7 HCPCS,C9088,"Instill, bupivac and meloxic",,,0.77,0.89,4 HCPCS,C9089,"Bupivacaine implant, 1 mg",,,0.85,0.98,4 HCPCS,C9101,"Inj, oliceridine 0.1 mg",,,1.32,1.52,4 HCPCS,C9144,"Inj, bupivacaine (posimir)",,,0.49,0.56,4 HCPCS,C9145,"Inj, aponvie, 1 mg",,,1.9,2.19,4 HCPCS,C9174,"Datopotamab deruxtecan, 1 mg",,,49.89,57.37,4 HCPCS,C9175,"Inj, treosulfan, 50 mg",,,31.11,35.78,4 HCPCS,C9248,"Inj, clevidipine butyrate",,,3.6,4.14,4 HCPCS,C9250,Artiss fibrin sealant,,,145.67,262.21,7 HCPCS,C9254,"Injection, lacosamide",,,0.2,0.23,4 HCPCS,C9257,Bevacizumab injection,,,1.87,3.37,7 HCPCS,C9293,"Injection, glucarpidase",,,419.98,808.39,7 HCPCS,C9460,"Injection, cangrelor",,,20.28,36.5,7 HCPCS,C9462,"Injection, delafloxacin",,,0.48,0.55,4 HCPCS,C9482,Sotalol hydrochloride IV,,,24.63,28.32,4 HCPCS,C9488,Conivaptan HCL,,,45.46,52.28,4 HCPCS,C9600,Perc drug-el cor stent sing,,,9562.07,20704.82,7 HCPCS,C9602,Perc d-e cor stent ather s,,,14493.6,32878.29,7 HCPCS,C9604,Perc d-e cor revasc t cabg s,,,9562.07,20704.82,7 HCPCS,C9606,Perc d-e cor revasc w AMI s,,,14493.6,25423.5,4 HCPCS,C9607,Perc d-e cor revasc chro sin,,,14493.6,32878.29,7 HCPCS,C9725,Place endorectal app,,,646.18,1667.9,7 HCPCS,C9727,Insert palate implants,,,1005.11,2782.81,7 HCPCS,C9728,"Place device/marker, non pro",,,1031.91,2482.48,7 HCPCS,C9733,HC NON-OPHTHALMIC FLUORESCENT VASCULAR ANGIOGRAPHY,1178.0,1178.0,,,0 HCPCS,C9733,Non-ophthalmic FVA,,,221.48,625.71,7 HCPCS,C9734,"U/s trtmt, not leiomyomata",,,12792.51,23026.52,3 HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,4718.32,9616.53,7 HCPCS,C9740,Cysto impl 4 or more,,,9432.42,20020.02,7 HCPCS,C9751,"Microwave bronch, 3d, ebus",,,14200.02,24908.52,4 HCPCS,C9754,"Perc av fistula, direct",,,6504.05,29191.14,8 HCPCS,C9755,Rf magnetic-guide av fistula,,,6504.05,29191.14,8 HCPCS,C9757,Spine/lumbar disk surgery,,,11925.76,26584.61,11 HCPCS,C9758,Interatrial shunt IDE,,,15921.13,30722.2,7 HCPCS,C9761,"Cysto, litho, vacuum kidney",,,89.65,16978.36,7 HCPCS,C9762,Cardiac MRI seg dys strain,,,544.45,980.01,3 HCPCS,C9763,Cardiac MRI seg dys stress,,,544.45,980.01,3 HCPCS,C9764,HC REVASC INTRAVASC LITHOTRIPSY,10150.0,10150.0,,,0 HCPCS,C9764,Revasc intravasc lithotripsy,,,72.05,20704.82,7 HCPCS,C9765,HC REVASC INTRA LITHOTRIP-STENT,26279.0,26279.0,,,0 HCPCS,C9765,Revasc intra lithotrip-stent,,,185.26,32878.29,7 HCPCS,C9766,Revasc intra lithotrip-ather,,,142.45,32878.29,7 HCPCS,C9767,Revasc lithotrip-stent-ather,,,306.58,32878.29,7 HCPCS,C9772,Revasc lithotrip tibi/perone,,,193.54,22437.08,11 HCPCS,C9773,Revasc lithotr-stent tib/per,,,345.99,35888.8,11 HCPCS,C9774,Revasc lithotr-ather tib/per,,,350.9,35888.8,11 HCPCS,C9775,Revasc lith-sten-ath tib/per,,,352.1,35888.8,11 HCPCS,C9777,Esophag mucosal integ add-on,,,2921.21,6914.9,7 HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,3985.39,8972.03,7 HCPCS,C9779,ESD endoscopy or colonoscopy,,,2453.16,6914.9,7 HCPCS,C9780,Insert cv cath inf & sup app,,,8046.55,14483.79,7 HCPCS,C9781,Arthro/shoul surg; w/spacer,,,12792.51,23026.52,7 HCPCS,C9783,Blind cor sinus reducer impl,,,11502.68,20704.82,3 HCPCS,C9785,Endo outlet restrict w/tube,,,10591.61,19064.9,3 HCPCS,C9789,Instill pharm renal pelvis,,,1219.59,2195.26,7 HCPCS,C9793,Pre-plan 3d model w/ccta,,,855.65,2069.84,7 HCPCS,C9796,Rpr intst excl anrect fist,,,2765.68,4978.22,3 HCPCS,C9797,Vasc emb/occ w/prs cath,,,18265.72,32878.29,3 HCPCS,C9806,HC SU AMBIT PAIN PUMP,959.29,959.29,,,0 HCPCS,C9901,Endo defect closure GI tract,,,10591.61,19064.9,3 HCPCS,D0120,Periodic oral evaluation,,,10.27,238.78,7 HCPCS,D0140,Limit oral eval problm focus,,,17.99,238.78,7 HCPCS,D0145,"Oral evaluation, pt < 3yrs",,,16.7,29.29,4 HCPCS,D0150,Comprehensve oral evaluation,,,132.66,882.44,7 HCPCS,D0160,Extensv oral eval prob focus,,,37.26,238.78,7 HCPCS,D0170,"Re-eval,est pt,problem focus",,,12.21,238.78,7 HCPCS,D0171,Re-eval post-op visit,,,132.66,238.78,3 HCPCS,D0180,Comp periodontal evaluation,,,20.55,238.78,7 HCPCS,D0191,Assessment of a patient,,,132.66,238.78,3 HCPCS,D0210,Intraor complete film series,,,75.16,427.94,7 HCPCS,D0220,Intraoral periapical first,,,14.77,156.08,7 HCPCS,D0230,Intraoral periapical ea add,,,13.49,23.67,4 HCPCS,D0240,Intraoral occlusal film,,,86.71,882.44,7 HCPCS,D0250,Extraoral 2d project image,,,86.71,882.44,7 HCPCS,D0251,Extraoral posterior image,,,58.68,156.08,7 HCPCS,D0270,Dental bitewing single image,,,86.71,882.44,7 HCPCS,D0272,Dental bitewings two images,,,86.71,882.44,7 HCPCS,D0273,Bitewings - three images,,,28.91,427.94,7 HCPCS,D0274,Bitewings four images,,,237.74,882.44,7 HCPCS,D0277,Vert bitewings 7 to 8 images,,,237.74,882.44,7 HCPCS,D0310,Dental saliography,,,224.84,427.94,7 HCPCS,D0320,Dental tmj arthrogram incl i,,,237.74,697.49,7 HCPCS,D0321,Other tmj images by report,,,86.71,156.08,3 HCPCS,D0322,Dental tomographic survey,,,104.17,566.78,7 HCPCS,D0330,Panoramic image,,,70.01,427.94,7 HCPCS,D0340,2d cephalometric image,,,79.01,156.08,7 HCPCS,D0350,Oral/facial photo images,,,37.89,156.08,7 HCPCS,D0364,Cone beam ct capt & interp,,,104.17,187.51,3 HCPCS,D0365,Cone beam ct interprete man,,,104.17,187.51,3 HCPCS,D0366,Cone beam ct interprete max,,,104.17,187.51,3 HCPCS,D0367,Cone beam ct interp both jaw,,,104.17,187.51,3 HCPCS,D0368,Cone beam ct interprete TMJ,,,104.17,187.51,3 HCPCS,D0369,Max MRI capture & interprete,,,104.17,187.51,3 HCPCS,D0370,Max ultrasound capt & interp,,,104.17,187.51,3 HCPCS,D0371,Sialoendoscopy capt & interp,,,86.71,156.08,3 HCPCS,D0380,Cone beam ct capture limited,,,104.17,187.51,3 HCPCS,D0381,Cone beam ct capt mandible,,,104.17,187.51,3 HCPCS,D0382,Cone beam ct capt maxilla,,,104.17,187.51,3 HCPCS,D0383,Cone beam ct both jaws,,,104.17,187.51,3 HCPCS,D0384,Cone beam ct capture TMJ,,,104.17,187.51,3 HCPCS,D0385,Max MRI image capture,,,104.17,187.51,3 HCPCS,D0386,Max ultrasound image capture,,,104.17,187.51,3 HCPCS,D0393,Trtmnt simulation 3d image,,,86.71,156.08,3 HCPCS,D0394,Digital sub 2 or more images,,,86.71,156.08,3 HCPCS,D0395,Fusion 2 or more 3d images,,,86.71,156.08,3 HCPCS,D0415,Collection of microorganisms,,,27.61,48.44,4 HCPCS,D0416,Viral culture,,,40.47,70.99,4 HCPCS,D0417,Collect & prep saliva sample,,,36.63,64.25,4 HCPCS,D0418,Analysis of saliva sample,,,37.89,66.46,4 HCPCS,D0425,Caries susceptibility test,,,23.77,41.69,4 HCPCS,D0431,Diag tst detect mucos abnorm,,,37.89,66.46,4 HCPCS,D0460,Pulp vitality test,,,503.07,1159.49,7 HCPCS,D0470,Diagnostic casts,,,82.87,145.36,4 HCPCS,D0472,"Gross exam, prep & report",,,52.02,91.25,4 HCPCS,D0473,"Micro exam, prep & report",,,109.84,192.67,4 HCPCS,D0474,Micro w exam of surg margins,,,123.34,216.35,4 HCPCS,D0475,Decalcification procedure,,,66.16,116.06,4 HCPCS,D0476,Spec stains for microorganis,,,64.24,112.68,4 HCPCS,D0477,Spec stains not for microorg,,,88.01,154.38,4 HCPCS,D0478,Immunohistochemical stains,,,80.28,140.83,4 HCPCS,D0479,Tissue in-situ hybridization,,,123.34,216.35,4 HCPCS,D0480,Cytopath smear prep & report,,,75.8,132.96,4 HCPCS,D0481,Electron microscopy,,,283.93,498.04,4 HCPCS,D0482,Direct immunofluorescence,,,94.43,165.65,4 HCPCS,D0483,Indirect immunofluorescence,,,94.43,165.65,4 HCPCS,D0484,Consult slides prep elsewher,,,141.95,249.0,4 HCPCS,D0485,Consult inc prep of slides,,,195.93,343.69,4 HCPCS,D0486,Access of transep cytol samp,,,91.22,160.01,4 HCPCS,D0600,Non-ionizing diag proc,,,503.07,1159.49,7 HCPCS,D0701,Fracture of lower extremity M >=61.50,,,86.71,156.08,3 HCPCS,D0702,Fracture of lower extremity M >=52.50 and M <61.50,,,86.71,156.08,3 HCPCS,D0703,Fracture of lower extremity M >=41.50 and M <52.50,,,86.71,156.08,3 HCPCS,D0705,Extra oral post radio image,,,86.71,156.08,3 HCPCS,D0706,Intraoral occlus radio image,,,86.71,156.08,3 HCPCS,D0707,Intraoral periap radio image,,,86.71,156.08,3 HCPCS,D0708,Intraoral bite radio image,,,86.71,156.08,3 HCPCS,D0709,Intraoral cmplt radio images,,,86.71,156.08,3 HCPCS,D1110,Dental prophylaxis adult,,,43.04,238.78,7 HCPCS,D1120,Dental prophylaxis child,,,29.55,51.83,4 HCPCS,D1206,Topical fluoride varnish,,,26.98,47.32,4 HCPCS,D1310,Nutri counsel-control caries,,,21.2,37.19,4 HCPCS,D1320,Tobacco counseling,,,23.12,40.55,4 HCPCS,D1330,Oral hygiene instruction,,,28.91,50.7,4 HCPCS,D1351,Dental sealant per tooth,,,23.12,40.55,4 HCPCS,D1352,"Prev resin rest, perm tooth",,,30.19,52.96,4 HCPCS,D1510,Space maintainer fxd unilat,,,503.07,1159.49,7 HCPCS,D1515,Fixed bilat space maintainer,,,503.07,882.44,4 HCPCS,D1516,"Fixed bilat space maint, max",,,644.16,2714.64,7 HCPCS,D1517,"Fixed bilat space maint, man",,,644.16,2714.64,7 HCPCS,D1520,Remove unilat space maintain,,,503.07,1159.49,7 HCPCS,D1525,Remove bilat space maintain,,,503.07,882.44,4 HCPCS,D1526,"Remove bilat space main, max",,,644.16,2714.64,7 HCPCS,D1527,"Remove bilat space main, man",,,644.16,2714.64,7 HCPCS,D1575,"Dist space maint, fixed unil",,,503.07,1159.49,7 HCPCS,D2140,Amalgam one surface permanen,,,33.4,1159.49,7 HCPCS,D2150,Amalgam two surfaces permane,,,43.66,1159.49,7 HCPCS,D2160,Amalgam three surfaces perma,,,52.66,1159.49,7 HCPCS,D2161,Amalgam 4 or > surfaces perm,,,64.24,1159.49,7 HCPCS,D2330,Resin one surface-anterior,,,41.76,1159.49,7 HCPCS,D2331,Resin two surfaces-anterior,,,53.31,1159.49,7 HCPCS,D2332,Resin three surfaces-anterio,,,64.88,1159.49,7 HCPCS,D2335,Resin 4/> surf or w incis an,,,77.09,1159.49,7 HCPCS,D2390,Ant resin-based cmpst crown,,,85.43,1159.49,7 HCPCS,D2391,Post 1 srfc resinbased cmpst,,,48.82,1159.49,7 HCPCS,D2392,Post 2 srfc resinbased cmpst,,,63.59,1159.49,7 HCPCS,D2393,Post 3 srfc resinbased cmpst,,,79.01,1159.49,7 HCPCS,D2394,Post >=4srfc resinbase cmpst,,,97.0,1159.49,7 HCPCS,D2410,Dental gold foil one surface,,,89.3,1159.49,7 HCPCS,D2420,Dental gold foil two surface,,,148.39,1159.49,7 HCPCS,D2430,Dental gold foil three surfa,,,257.59,1159.49,7 HCPCS,D2510,Dental inlay metalic 1 surf,,,235.75,1159.49,7 HCPCS,D2520,Dental inlay metallic 2 surf,,,267.24,1159.49,7 HCPCS,D2530,Dental inlay metl 3/more sur,,,308.35,1159.49,7 HCPCS,D2542,Dental onlay metallic 2 surf,,,302.57,1159.49,7 HCPCS,D2543,Dental onlay metallic 3 surf,,,316.04,1159.49,7 HCPCS,D2544,Dental onlay metl 4/more sur,,,328.89,1159.49,7 HCPCS,D2610,Inlay porcelain/ceramic 1 su,,,277.51,1159.49,7 HCPCS,D2620,Inlay porcelain/ceramic 2 su,,,292.92,1159.49,7 HCPCS,D2630,Dental onlay porc 3/more sur,,,311.55,1159.49,7 HCPCS,D2642,Dental onlay porcelin 2 surf,,,303.2,1159.49,7 HCPCS,D2643,Dental onlay porcelin 3 surf,,,326.97,1159.49,7 HCPCS,D2644,Dental onlay porc 4/more sur,,,346.89,1159.49,7 HCPCS,D2650,Inlay composite/resin one su,,,182.41,1159.49,7 HCPCS,D2651,Inlay composite/resin two su,,,217.1,1159.49,7 HCPCS,D2652,Dental inlay resin 3/mre sur,,,228.02,1159.49,7 HCPCS,D2662,Dental onlay resin 2 surface,,,197.85,1159.49,7 HCPCS,D2663,Dental onlay resin 3 surface,,,233.18,1159.49,7 HCPCS,D2664,Dental onlay resin 4/mre sur,,,249.9,1159.49,7 HCPCS,D2710,Crown resin-based indirect,,,140.69,1159.49,7 HCPCS,D2712,Crown 3/4 resin-based compos,,,140.69,1159.49,7 HCPCS,D2720,Crown resin w/ high noble me,,,346.89,1159.49,7 HCPCS,D2721,Crown resin w/ base metal,,,325.06,1159.49,7 HCPCS,D2722,Crown resin w/ noble metal,,,332.09,1159.49,7 HCPCS,D2740,Crown porcelain/ceramic subs,,,355.88,1159.49,7 HCPCS,D2750,Crown porcelain w/ h noble m,,,350.74,1159.49,7 HCPCS,D2751,Crown porcelain fused base m,,,326.97,1159.49,7 HCPCS,D2752,Crown porcelain w/ noble met,,,334.68,1159.49,7 HCPCS,D2780,Crown 3/4 cast hi noble met,,,336.61,1159.49,7 HCPCS,D2781,Crown 3/4 cast base metal,,,316.69,1159.49,7 HCPCS,D2782,Crown 3/4 cast noble metal,,,327.6,1159.49,7 HCPCS,D2783,Crown 3/4 porcelain/ceramic,,,346.25,1159.49,7 HCPCS,D2790,Crown full cast high noble m,,,339.18,1159.49,7 HCPCS,D2791,Crown full cast base metal,,,321.18,1159.49,7 HCPCS,D2792,Crown full cast noble metal,,,326.97,1159.49,7 HCPCS,D2794,Crown-titanium,,,346.89,1159.49,7 HCPCS,D2799,Provisional crown,,,140.69,1159.49,7 HCPCS,D2910,Recement inlay onlay or part,,,28.26,1159.49,7 HCPCS,D2915,Recement cast or prefab post,,,28.26,1159.49,7 HCPCS,D2920,Re-cement or re-bond crown,,,28.91,1159.49,7 HCPCS,D2930,Prefab stnlss steel crwn pri,,,79.01,1159.49,7 HCPCS,D2931,Prefab stnlss steel crown pe,,,89.3,1159.49,7 HCPCS,D2932,Prefabricated resin crown,,,95.09,1159.49,7 HCPCS,D2933,Prefab stainless steel crown,,,108.56,1159.49,7 HCPCS,D2934,Prefab steel crown primary,,,108.56,1159.49,7 HCPCS,D2940,Protective restoration,,,30.19,1159.49,7 HCPCS,D2950,Core build-up incl any pins,,,75.16,1159.49,7 HCPCS,D2951,Tooth pin retention,,,16.7,1159.49,7 HCPCS,D2952,Post and core cast + crown,,,118.83,1159.49,7 HCPCS,D2953,Each addtnl cast post,,,59.09,103.65,4 HCPCS,D2954,Prefab post/core + crown,,,95.09,1159.49,7 HCPCS,D2955,Post removal,,,73.21,128.42,4 HCPCS,D2957,Each addtnl prefab post,,,47.54,1159.49,7 HCPCS,D2960,Laminate labial veneer,,,229.96,1159.49,7 HCPCS,D2961,Lab labial veneer resin,,,260.82,1159.49,7 HCPCS,D2962,Lab labial veneer porcelain,,,283.3,1159.49,7 HCPCS,D2971,Add proc construct new crown,,,45.6,1159.49,7 HCPCS,D2975,Coping,,,138.74,1159.49,7 HCPCS,D3110,Pulp cap direct,,,23.77,1159.49,7 HCPCS,D3120,Pulp cap indirect,,,19.27,1159.49,7 HCPCS,D3220,Therapeutic pulpotomy,,,48.82,1159.49,7 HCPCS,D3221,Gross pulpal debridement,,,53.31,1159.49,7 HCPCS,D3222,Part pulp for apexogenesis,,,49.46,1159.49,7 HCPCS,D3230,Pulpal therapy anterior prim,,,51.38,1159.49,7 HCPCS,D3240,Pulpal therapy posterior pri,,,63.59,1159.49,7 HCPCS,D3310,"End thxpy, anterior tooth",,,202.34,1159.49,7 HCPCS,D3320,"End thxpy, bicuspid tooth",,,247.31,1159.49,7 HCPCS,D3330,"End thxpy, molar",,,307.06,1159.49,7 HCPCS,D3331,Non-surg tx root canal obs,,,79.01,1159.49,7 HCPCS,D3332,Incomplete endodontic tx,,,150.32,1159.49,7 HCPCS,D3333,Internal root repair,,,69.37,1159.49,7 HCPCS,D3346,Retreat root canal anterior,,,269.79,1159.49,7 HCPCS,D3347,Retreat root canal bicuspid,,,316.69,1159.49,7 HCPCS,D3348,Retreat root canal molar,,,392.49,1159.49,7 HCPCS,D3351,Apexification/recalc initial,,,114.98,1159.49,7 HCPCS,D3352,Apexification/recalc interim,,,51.38,1159.49,7 HCPCS,D3353,Apexification/recalc final,,,158.67,1159.49,7 HCPCS,D3410,Apicoectomy - anterior,,,228.02,1159.49,7 HCPCS,D3421,Root surgery bicuspid,,,253.74,1159.49,7 HCPCS,D3425,Root surgery molar,,,287.14,1159.49,7 HCPCS,D3426,Root surgery ea add root,,,97.0,170.14,4 HCPCS,D3430,Retrograde filling,,,71.31,1159.49,7 HCPCS,D3450,Root amputation,,,148.39,1159.49,7 HCPCS,D3460,Endodontic endosseous implan,,,503.07,1159.49,7 HCPCS,D3470,Intentional replantation,,,283.3,1159.49,7 HCPCS,D3910,Isolation- tooth w rubb dam,,,39.81,1159.49,7 HCPCS,D3920,Tooth splitting,,,113.05,1159.49,7 HCPCS,D3950,Canal prep/fitting of dowel,,,51.38,1159.49,7 HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,177.94,5946.37,7 HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,79.01,5946.37,7 HCPCS,D4212,Gingivectomy/plasty rest,,,3303.54,5946.37,3 HCPCS,D4230,Ana crown exp 4 or> per quad,,,249.9,5946.37,7 HCPCS,D4231,Ana crown exp 1-3 per quad,,,118.83,2782.81,7 HCPCS,D4240,Gingival flap proc w/ planin,,,225.48,5946.37,7 HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,131.03,2782.81,7 HCPCS,D4245,Apically positioned flap,,,166.38,2782.81,7 HCPCS,D4249,Crown lengthen hard tissue,,,247.31,1159.49,7 HCPCS,D4260,Osseous surgery 4 or more,,,503.07,10617.38,7 HCPCS,D4261,Osseous surg 1 to 3 teeth,,,202.34,5946.37,7 HCPCS,D4263,Bone replce graft first site,,,503.07,1159.49,7 HCPCS,D4264,Bone replce graft each add,,,503.07,882.44,4 HCPCS,D4266,Guided tiss regen resorble,,,138.74,2782.81,7 HCPCS,D4267,Guided tiss regen nonresorb,,,177.94,2782.81,7 HCPCS,D4268,Surgical revision procedure,,,503.07,1159.49,7 HCPCS,D4270,Pedicle soft tissue graft pr,,,503.07,2782.81,7 HCPCS,D4273,Auto tissue graft 1st tooth,,,503.07,2782.81,7 HCPCS,D4274,Mesial/distal wedge proc,,,185.65,1159.49,7 HCPCS,D4275,Non-auto graft 1st tooth,,,245.38,2782.81,7 HCPCS,D4276,Con tissue w dble ped graft,,,366.78,2782.81,7 HCPCS,D4277,Soft tissue graft firsttooth,,,1546.0,2782.81,3 HCPCS,D4341,Periodontal scaling & root,,,75.16,1159.49,7 HCPCS,D4342,Periodontal scaling 1-3teeth,,,43.66,1159.49,7 HCPCS,D4355,Full mouth debridement,,,503.07,1159.49,7 HCPCS,D4381,Localized delivery antimicro,,,503.07,1159.49,7 HCPCS,D4910,Periodontal maint procedures,,,46.25,1159.49,7 HCPCS,D4920,Unscheduled dressing change,,,33.4,1159.49,7 HCPCS,D4921,Gingival irrigation per quad,,,132.66,238.78,3 HCPCS,D4999,Unspecified periodontal proc,,,236.0,424.8,3 HCPCS,D5110,Dentures complete maxillary,,,434.26,761.74,4 HCPCS,D5120,Dentures complete mandible,,,434.26,761.74,4 HCPCS,D5130,Dentures immediat maxillary,,,473.43,830.46,4 HCPCS,D5140,Dentures immediat mandible,,,473.43,830.46,4 HCPCS,D5211,Dentures maxill part resin,,,366.78,643.38,4 HCPCS,D5212,Dentures mand part resin,,,425.91,747.1,4 HCPCS,D5213,Dentures maxill part metal,,,479.87,841.74,4 HCPCS,D5214,Dentures mandibl part metal,,,479.87,841.74,4 HCPCS,D5225,Maxillary part denture flex,,,366.78,643.38,4 HCPCS,D5226,Mandibular part denture flex,,,425.91,747.1,4 HCPCS,D5281,Removable partial denture,,,280.07,491.28,4 HCPCS,D5410,Dentures adjust cmplt maxil,,,23.77,41.69,4 HCPCS,D5411,Dentures adjust cmplt mand,,,23.77,41.69,4 HCPCS,D5421,Dentures adjust part maxill,,,23.77,41.69,4 HCPCS,D5422,Dentures adjust part mandbl,,,23.77,41.69,4 HCPCS,D5520,Replace denture teeth complt,,,39.81,69.84,4 HCPCS,D5630,Rep partial denture clasp,,,67.43,118.28,4 HCPCS,D5640,Replace part denture teeth,,,43.66,76.59,4 HCPCS,D5650,Add tooth to partial denture,,,59.09,103.65,4 HCPCS,D5660,Add clasp to partial denture,,,71.31,125.09,4 HCPCS,D5670,Replc tth&acrlc on mtl frmwk,,,174.73,306.5,4 HCPCS,D5671,Replc tth&acrlc mandibular,,,174.73,306.5,4 HCPCS,D5710,Dentures rebase cmplt maxil,,,176.02,308.76,4 HCPCS,D5711,Dentures rebase cmplt mand,,,168.31,295.23,4 HCPCS,D5720,Dentures rebase part maxill,,,166.38,291.85,4 HCPCS,D5721,Dentures rebase part mandbl,,,166.38,291.85,4 HCPCS,D5730,Denture reln cmplt maxil ch,,,99.57,174.65,4 HCPCS,D5731,Denture reln cmplt mand chr,,,99.57,174.65,4 HCPCS,D5740,Denture reln part maxil chr,,,91.22,160.01,4 HCPCS,D5741,Denture reln part mand chr,,,91.22,160.01,4 HCPCS,D5750,Denture reln cmplt max lab,,,132.97,233.24,4 HCPCS,D5751,Denture reln cmplt mand lab,,,132.97,233.24,4 HCPCS,D5760,Denture reln part maxil lab,,,131.03,229.85,4 HCPCS,D5761,Denture reln part mand lab,,,131.03,229.85,4 HCPCS,D5810,Denture interm cmplt maxill,,,210.07,368.49,4 HCPCS,D5811,Denture interm cmplt mandbl,,,225.48,395.52,4 HCPCS,D5820,Denture interm part maxill,,,162.52,285.09,4 HCPCS,D5821,Denture interm part mandbl,,,172.15,301.98,4 HCPCS,D5850,Denture tiss conditn maxill,,,41.76,73.26,4 HCPCS,D5851,Denture tiss condtin mandbl,,,41.76,73.26,4 HCPCS,D5911,Facial moulage sectional,,,503.07,1159.49,7 HCPCS,D5912,Facial moulage complete,,,503.07,1159.49,7 HCPCS,D5913,Nasal prosthesis,,,2319.68,4068.99,4 HCPCS,D5914,Auricular prosthesis,,,2319.68,4068.99,4 HCPCS,D5915,Orbital prosthesis,,,3138.71,5505.67,4 HCPCS,D5916,Ocular prosthesis,,,837.04,1468.27,4 HCPCS,D5931,Surgical obturator,,,1248.81,2190.57,4 HCPCS,D5932,Postsurgical obturator,,,2335.73,4097.14,4 HCPCS,D5934,Mandibular flange prosthesis,,,2128.88,3734.3,4 HCPCS,D5935,Mandibular denture prosth,,,1852.65,3249.76,4 HCPCS,D5936,Temp obturator prosthesis,,,2080.69,3649.78,4 HCPCS,D5937,Trismus appliance,,,261.47,458.64,4 HCPCS,D5951,Feeding aid,,,339.82,596.09,4 HCPCS,D5952,Pediatric speech aid,,,1103.64,1935.91,4 HCPCS,D5953,Adult speech aid,,,2096.77,3677.99,4 HCPCS,D5954,Superimposed prosthesis,,,1942.59,3407.53,4 HCPCS,D5955,Palatal lift prosthesis,,,1796.76,3151.74,4 HCPCS,D5982,Surgical stent,,,176.02,308.76,4 HCPCS,D5983,Radiation applicator,,,503.07,1159.49,7 HCPCS,D5984,Radiation shield,,,503.07,1159.49,7 HCPCS,D5985,Radiation cone locator,,,503.07,1159.49,7 HCPCS,D5986,Fluoride applicator,,,39.81,69.84,4 HCPCS,D5987,Commissure splint,,,503.07,1159.49,7 HCPCS,D5988,Surgical splint,,,118.83,1159.49,7 HCPCS,D5991,Vesiculobullous disease carr,,,45.6,79.99,4 HCPCS,D6010,Odontics endosteal implant,,,725.24,1272.16,4 HCPCS,D6012,Endosteal implant,,,685.43,1202.33,4 HCPCS,D6040,Odontics eposteal implant,,,2496.33,4378.86,4 HCPCS,D6050,Odontics transosteal implnt,,,1862.28,3266.66,4 HCPCS,D6055,Implant connecting bar,,,217.76,381.98,4 HCPCS,D6056,Prefabricated abutment,,,150.32,263.67,4 HCPCS,D6057,Custom abutment,,,186.3,326.8,4 HCPCS,D6058,Abutment supported crown,,,417.56,732.45,4 HCPCS,D6059,Abutment supported mtl crown,,,411.77,722.29,4 HCPCS,D6060,Abutment supported mtl crown,,,389.29,682.86,4 HCPCS,D6061,Abutment supported mtl crown,,,397.63,697.49,4 HCPCS,D6062,Abutment supported mtl crown,,,395.71,694.12,4 HCPCS,D6063,Abutment supported mtl crown,,,344.95,605.08,4 HCPCS,D6064,Abutment supported mtl crown,,,360.38,632.16,4 HCPCS,D6065,Implant supported crown,,,411.13,721.18,4 HCPCS,D6066,Implant supported mtl crown,,,400.22,702.04,4 HCPCS,D6067,Implant supported mtl crown,,,388.65,681.74,4 HCPCS,D6068,Abutment supported retainer,,,414.33,726.79,4 HCPCS,D6069,Abutment supported retainer,,,411.77,722.29,4 HCPCS,D6070,Abutment supported retainer,,,389.29,682.86,4 HCPCS,D6071,Abutment supported retainer,,,397.63,697.49,4 HCPCS,D6072,Abutment supported retainer,,,402.12,705.36,4 HCPCS,D6073,Abutment supported retainer,,,367.44,644.54,4 HCPCS,D6074,Abutment supported retainer,,,390.56,685.09,4 HCPCS,D6075,Implant supported retainer,,,411.13,721.18,4 HCPCS,D6076,Implant supported retainer,,,400.22,702.04,4 HCPCS,D6077,Implant supported retainer,,,388.65,681.74,4 HCPCS,D6080,Implant maintenance,,,34.05,59.72,4 HCPCS,D6091,Repl semi/precision attach,,,164.45,288.47,4 HCPCS,D6092,Recement supp crown,,,32.11,56.33,4 HCPCS,D6093,Recement supp part denture,,,50.1,87.88,4 HCPCS,D6094,Abut support crown titanium,,,326.97,573.54,4 HCPCS,D6190,Radio/surgical implant index,,,73.21,128.42,4 HCPCS,D6194,Abut support retainer titani,,,336.61,590.46,4 HCPCS,D6205,Pontic-indirect resin based,,,206.2,361.7,4 HCPCS,D6210,Prosthodont high noble metal,,,314.75,552.12,4 HCPCS,D6211,Bridge base metal cast,,,294.86,517.22,4 HCPCS,D6212,Bridge noble metal cast,,,307.06,538.61,4 HCPCS,D6214,Pontic titanium,,,316.69,555.52,4 HCPCS,D6240,Bridge porcelain high noble,,,310.92,545.39,4 HCPCS,D6241,Bridge porcelain base metal,,,287.14,503.68,4 HCPCS,D6242,Bridge porcelain nobel metal,,,303.2,531.84,4 HCPCS,D6245,Bridge porcelain/ceramic,,,321.18,563.39,4 HCPCS,D6250,Bridge resin w/high noble,,,307.06,538.61,4 HCPCS,D6251,Bridge resin base metal,,,283.3,496.94,4 HCPCS,D6252,Bridge resin w/noble metal,,,292.28,512.69,4 HCPCS,D6253,Provisional pontic,,,132.33,232.13,4 HCPCS,D6545,Dental retainr cast metl,,,131.03,229.85,4 HCPCS,D6548,Porcelain/ceramic retainer,,,143.88,252.39,4 HCPCS,D6600,Porcelain/ceramic inlay 2srf,,,259.53,455.24,4 HCPCS,D6601,Porc/ceram inlay >= 3 surfac,,,272.37,477.77,4 HCPCS,D6602,Cst hgh nble mtl inlay 2 srf,,,277.51,486.78,4 HCPCS,D6603,Cst hgh nble mtl inlay >=3sr,,,305.13,535.23,4 HCPCS,D6604,Cst bse mtl inlay 2 surfaces,,,271.73,476.64,4 HCPCS,D6605,Cst bse mtl inlay >= 3 surfa,,,288.43,505.94,4 HCPCS,D6606,Cast noble metal inlay 2 sur,,,267.24,468.76,4 HCPCS,D6607,Cst noble mtl inlay >=3 surf,,,296.78,520.59,4 HCPCS,D6608,Onlay porc/crmc 2 surfaces,,,282.01,494.68,4 HCPCS,D6609,Onlay porc/crmc >=3 surfaces,,,294.21,516.07,4 HCPCS,D6610,Onlay cst hgh nbl mtl 2 srfc,,,299.34,525.08,4 HCPCS,D6611,Onlay cst hgh nbl mtl >=3srf,,,327.6,574.66,4 HCPCS,D6612,Onlay cst base mtl 2 surface,,,297.41,521.7,4 HCPCS,D6613,Onlay cst base mtl >=3 surfa,,,310.92,545.39,4 HCPCS,D6614,Onlay cst nbl mtl 2 surfaces,,,291.63,511.55,4 HCPCS,D6615,Onlay cst nbl mtl >=3 surfac,,,302.57,530.74,4 HCPCS,D6624,Inlay titanium,,,277.51,486.78,4 HCPCS,D6634,Onlay titanium,,,291.63,511.55,4 HCPCS,D6710,Crown-indirect resin based,,,297.41,521.7,4 HCPCS,D6720,Retain crown resin w hi nble,,,346.89,608.49,4 HCPCS,D6721,Crown resin w/base metal,,,328.89,576.91,4 HCPCS,D6722,Crown resin w/noble metal,,,334.68,587.08,4 HCPCS,D6740,Crown porcelain/ceramic,,,364.23,638.91,4 HCPCS,D6750,Crown porcelain high noble,,,355.24,623.13,4 HCPCS,D6751,Crown porcelain base metal,,,331.48,581.46,4 HCPCS,D6752,Crown porcelain noble metal,,,339.18,594.96,4 HCPCS,D6780,Crown 3/4 high noble metal,,,334.68,587.08,4 HCPCS,D6781,Crown 3/4 cast based metal,,,334.68,587.08,4 HCPCS,D6782,Crown 3/4 cast noble metal,,,310.92,545.39,4 HCPCS,D6783,Crown 3/4 porcelain/ceramic,,,344.95,605.08,4 HCPCS,D6790,Crown full high noble metal,,,342.39,600.59,4 HCPCS,D6791,Crown full base metal cast,,,325.06,570.19,4 HCPCS,D6792,Crown full noble metal cast,,,336.61,590.46,4 HCPCS,D6793,Provisional retainer crown,,,140.69,246.79,4 HCPCS,D6794,Crown titanium,,,336.61,590.46,4 HCPCS,D6920,Dental connector bar,,,503.07,1159.49,7 HCPCS,D6930,Recement/bond part denture,,,41.76,73.26,4 HCPCS,D6940,Stress breaker,,,94.43,165.65,4 HCPCS,D6950,Precision attachment,,,182.41,319.98,4 HCPCS,D6985,Pediatric partial denture fx,,,158.67,278.32,4 HCPCS,D7111,Extraction coronal remnants,,,503.07,1159.49,7 HCPCS,D7140,Extraction erupted tooth/exr,,,503.07,1159.49,7 HCPCS,D7210,Rem imp tooth w mucoper flp,,,503.07,2782.81,7 HCPCS,D7220,Impact tooth remov soft tiss,,,503.07,1159.49,7 HCPCS,D7230,Impact tooth remov part bony,,,503.07,1159.49,7 HCPCS,D7240,Impact tooth remov comp bony,,,503.07,1159.49,7 HCPCS,D7241,Impact tooth rem bony w/comp,,,503.07,1159.49,7 HCPCS,D7250,Tooth root removal,,,503.07,1159.49,7 HCPCS,D7251,Coronectomy,,,158.67,2782.81,7 HCPCS,D7260,Oral antral fistula closure,,,503.07,1159.49,7 HCPCS,D7261,Primary closure sinus perf,,,503.07,1159.49,7 HCPCS,D7270,Tooth reimplantation,,,148.39,1159.49,7 HCPCS,D7272,Tooth transplantation,,,197.85,1159.49,7 HCPCS,D7280,Exposure of unerupted tooth,,,138.74,1159.49,7 HCPCS,D7282,Mobilize erupted/malpos toot,,,69.37,121.68,4 HCPCS,D7283,Place device impacted tooth,,,59.09,103.65,4 HCPCS,D7285,Biopsy of oral tissue hard,,,277.51,486.78,4 HCPCS,D7286,Biopsy of oral tissue soft,,,118.83,208.45,4 HCPCS,D7287,Exfoliative cytolog collect,,,47.54,83.39,4 HCPCS,D7288,Brush biopsy,,,47.54,83.39,4 HCPCS,D7290,Repositioning of teeth,,,118.83,208.45,4 HCPCS,D7291,Transseptal fiberotomy,,,503.07,1159.49,7 HCPCS,D7292,Screw retained plate,,,190.14,333.53,4 HCPCS,D7293,Temp anchorage dev w flap,,,118.83,208.45,4 HCPCS,D7294,Temp anchorage dev w/o flap,,,98.93,173.54,4 HCPCS,D7310,Alveoplasty w/ extraction,,,79.01,2782.81,7 HCPCS,D7311,Alveoloplasty w/extract 1-3,,,69.37,2782.81,7 HCPCS,D7320,Alveoplasty w/o extraction,,,128.47,2782.81,7 HCPCS,D7321,Alveoloplasty not w/extracts,,,108.56,2782.81,7 HCPCS,D7340,Vestibuloplasty ridge extens,,,544.75,10617.38,7 HCPCS,D7350,Vestibuloplasty exten graft,,,1584.78,10617.38,7 HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,237.68,2782.81,7 HCPCS,D7411,Excision benign lesion>1.25c,,,376.44,2782.81,7 HCPCS,D7412,Excision benign lesion compl,,,416.27,2782.81,7 HCPCS,D7413,Excision malig lesion<=1.25c,,,277.51,2782.81,7 HCPCS,D7414,Excision malig lesion>1.25cm,,,416.27,2782.81,7 HCPCS,D7415,Excision malig les complicat,,,465.73,2782.81,7 HCPCS,D7440,Malig tumor exc to 1.25 cm,,,376.44,5946.37,7 HCPCS,D7441,Malig tumor > 1.25 cm,,,555.02,5946.37,7 HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,237.68,5946.37,7 HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,325.06,5946.37,7 HCPCS,D7460,Rem nonodonto cyst to 1.25cm,,,237.68,1159.49,7 HCPCS,D7461,Rem nonodonto cyst > 1.25 cm,,,325.06,1159.49,7 HCPCS,D7465,Lesion destruction,,,128.47,225.35,4 HCPCS,D7471,Rem exostosis any site,,,294.21,5946.37,7 HCPCS,D7472,Removal of torus palatinus,,,350.1,1159.49,7 HCPCS,D7473,Remove torus mandibularis,,,330.19,1159.49,7 HCPCS,D7485,Surg reduct osseoustuberosit,,,294.21,10617.38,7 HCPCS,D7490,Maxilla or mandible resectio,,,2377.49,4170.39,4 HCPCS,D7510,I&d absc intraoral soft tiss,,,85.43,1270.05,7 HCPCS,D7511,Incision/drain abscess intra,,,128.47,1270.05,7 HCPCS,D7520,I&d abscess extraoral,,,405.99,1270.05,7 HCPCS,D7521,Incision/drain abscess extra,,,445.82,1270.05,7 HCPCS,D7530,Removal fb skin/areolar tiss,,,146.47,1159.49,7 HCPCS,D7540,Removal of fb reaction,,,161.88,1159.49,7 HCPCS,D7550,Removal of sloughed off bone,,,100.86,1159.49,7 HCPCS,D7560,Maxillary sinusotomy,,,802.35,1407.42,4 HCPCS,D7610,Maxilla open reduct simple,,,1297.63,2276.2,4 HCPCS,D7620,Clsd reduct simpl maxilla fx,,,973.21,1707.13,4 HCPCS,D7630,Open red simpl mandible fx,,,1687.55,2960.17,4 HCPCS,D7640,Clsd red simpl mandible fx,,,1070.85,1878.4,4 HCPCS,D7650,Open red simp malar/zygom fx,,,811.32,1423.16,4 HCPCS,D7660,Clsd red simp malar/zygom fx,,,477.93,838.34,4 HCPCS,D7670,Closd rductn splint alveolus,,,373.21,5946.37,7 HCPCS,D7671,Alveolus open reduction,,,703.42,10617.38,7 HCPCS,D7680,Reduct simple facial bone fx,,,2433.38,4268.43,4 HCPCS,D7710,Maxilla open reduct compound,,,1525.04,2675.11,4 HCPCS,D7720,Clsd reduct compd maxilla fx,,,1070.85,1878.4,4 HCPCS,D7730,Open reduct compd mandble fx,,,2206.61,3870.66,4 HCPCS,D7740,Clsd reduct compd mandble fx,,,1092.07,1915.61,4 HCPCS,D7750,Open red comp malar/zygma fx,,,1388.19,2435.04,4 HCPCS,D7760,Clsd red comp malar/zygma fx,,,556.96,976.98,4 HCPCS,D7770,Open reduc compd alveolus fx,,,754.81,10617.38,7 HCPCS,D7771,Alveolus clsd reduc stblz te,,,582.64,5946.37,7 HCPCS,D7780,Reduct compnd facial bone fx,,,3244.72,5691.61,4 HCPCS,D7810,Tmj open reduct-dislocation,,,1427.4,2503.83,4 HCPCS,D7820,Closed tmp manipulation,,,233.82,410.15,4 HCPCS,D7830,Tmj manipulation under anest,,,133.62,234.38,4 HCPCS,D7840,Removal of tmj condyle,,,1945.79,3413.15,4 HCPCS,D7850,Tmj meniscectomy,,,1679.86,2946.67,4 HCPCS,D7852,Tmj repair of joint disc,,,1923.96,3374.86,4 HCPCS,D7854,Tmj excisn of joint membrane,,,1984.99,3481.9,4 HCPCS,D7856,Tmj cutting of a muscle,,,1408.75,2471.12,4 HCPCS,D7858,Tmj reconstruction,,,4014.94,7042.68,4 HCPCS,D7860,Tmj cutting into joint,,,1711.32,3001.86,4 HCPCS,D7865,Tmj reshaping components,,,2757.79,4837.5,4 HCPCS,D7870,Tmj aspiration joint fluid,,,91.22,160.01,4 HCPCS,D7871,Lysis + lavage w catheters,,,182.41,319.98,4 HCPCS,D7872,Tmj diagnostic arthroscopy,,,972.56,1705.99,4 HCPCS,D7873,Tmj arthroscopy lysis adhesn,,,1171.08,2054.21,4 HCPCS,D7874,Tmj arthroscopy disc reposit,,,1679.86,5868.42,7 HCPCS,D7875,Tmj arthroscopy synovectomy,,,1840.45,3228.37,4 HCPCS,D7876,Tmj arthroscopy discectomy,,,1984.35,3480.79,4 HCPCS,D7877,Tmj arthroscopy debridement,,,1751.17,3071.77,4 HCPCS,D7880,Occlusal orthotic appliance,,,219.05,384.24,4 HCPCS,D7910,Dent sutur recent wnd to 5cm,,,130.39,228.72,4 HCPCS,D7911,Dental suture wound to 5 cm,,,324.41,569.05,4 HCPCS,D7912,Suture complicate wnd > 5 cm,,,583.94,1024.29,4 HCPCS,D7920,Dental skin graft,,,957.16,1678.97,4 HCPCS,D7940,Reshaping bone orthognathic,,,503.07,1159.49,7 HCPCS,D7941,Bone cutting ramus closed,,,2437.23,4275.19,4 HCPCS,D7943,Cutting ramus open w/graft,,,2238.73,3927.0,4 HCPCS,D7944,Bone cutting segmented,,,1995.27,3499.93,4 HCPCS,D7945,Bone cutting body mandible,,,2655.0,4657.19,4 HCPCS,D7946,Reconstruction maxilla total,,,3289.03,5769.35,4 HCPCS,D7947,Reconstruct maxilla segment,,,2766.14,4852.14,4 HCPCS,D7948,Reconstruct midface no graft,,,3590.33,6297.87,4 HCPCS,D7949,Reconstruct midface w/graft,,,4675.97,8202.2,4 HCPCS,D7950,Mandible graft,,,5898.54,10617.38,3 HCPCS,D7953,Bone replacement graft,,,67.43,118.28,4 HCPCS,D7960,Frenulectomy/frenectomy,,,108.56,190.43,4 HCPCS,D7963,Frenuloplasty,,,177.94,312.13,4 HCPCS,D7970,Excision hyperplastic tissue,,,158.67,278.32,4 HCPCS,D7971,Excision pericoronal gingiva,,,59.09,103.65,4 HCPCS,D7972,Surg redct fibrous tuberosit,,,222.25,389.86,4 HCPCS,D7980,Sialolithotomy,,,249.9,438.36,4 HCPCS,D7982,Sialodochoplasty,,,590.35,1035.55,4 HCPCS,D7983,Closure of salivary fistula,,,566.58,993.84,4 HCPCS,D7990,Emergency tracheotomy,,,487.58,855.28,4 HCPCS,D7991,Dental coronoidectomy,,,1189.07,2085.77,4 HCPCS,D7997,Appliance removal,,,91.22,160.01,4 HCPCS,D7998,Intraoral place of fix dev,,,396.34,695.23,4 HCPCS,D9110,Tx dental pain minor proc,,,46.9,82.27,4 HCPCS,D9120,Fix partial denture section,,,52.66,92.38,4 HCPCS,D9210,Dent anesthesia w/o surgery,,,17.36,30.45,4 HCPCS,D9211,Regional block anesthesia,,,19.27,33.81,4 HCPCS,D9212,Trigeminal block anesthesia,,,30.19,52.96,4 HCPCS,D9215,Local anesthesia,,,14.13,24.79,4 HCPCS,D9230,Analgesia,,,28.91,50.7,4 HCPCS,D9248,Sedation (non-iv),,,42.4,74.37,4 HCPCS,D9310,Dental consultation,,,97.0,170.14,4 HCPCS,D9410,Dental house call,,,111.14,194.95,4 HCPCS,D9420,Hospital/asc call,,,179.23,314.39,4 HCPCS,D9440,Office visit after hours,,,60.4,105.95,4 HCPCS,D9450,Case presentation tx plan,,,30.19,52.96,4 HCPCS,D9910,Dent appl desensitizing med,,,21.2,37.19,4 HCPCS,D9911,Appl desensitizing resin,,,29.55,51.83,4 HCPCS,D9930,Treatment of complications,,,503.07,1159.49,7 HCPCS,D9940,Dental occlusal guard,,,503.07,882.44,4 HCPCS,D9941,Fabrication athletic guard,,,60.4,105.95,4 HCPCS,D9942,Repair/reline occlusal guard,,,72.57,127.31,4 HCPCS,D9944,"Occ guard, hard, full arch",,,644.16,2714.64,7 HCPCS,D9945,"Occ guard, soft, full arch",,,644.16,2714.64,7 HCPCS,D9946,"Occ guard, hard, part arch",,,644.16,2714.64,7 HCPCS,D9950,Occlusion analysis,,,503.07,1159.49,7 HCPCS,D9951,Limited occlusal adjustment,,,503.07,1159.49,7 HCPCS,D9952,Complete occlusal adjustment,,,503.07,1159.49,7 HCPCS,D9970,Enamel microabrasion,,,26.98,47.32,4 HCPCS,D9971,Odontoplasty 1-2 teeth,,,35.34,61.99,4 HCPCS,D9972,Extrnl bleaching per arch,,,121.42,212.98,4 HCPCS,D9973,Extrnl bleaching per tooth,,,19.92,34.95,4 HCPCS,D9974,Intrnl bleaching per tooth,,,106.0,185.94,4 HCPCS,E0100,Cane adjust/fixed with tip,,,35.68,62.59,4 HCPCS,E0105,Cane adjust/fixed quad/3 pro,,,96.42,169.13,4 HCPCS,E0110,Crutch forearm pair,,,131.42,230.52,4 HCPCS,E0111,Crutch forearm each,,,106.1,186.1,4 HCPCS,E0112,Crutch underarm pair wood,,,62.68,109.94,4 HCPCS,E0113,Crutch underarm each wood,,,42.11,73.86,4 HCPCS,E0114,Crutch underarm pair no wood,,,85.82,150.55,4 HCPCS,E0116,Crutch underarm each no wood,,,55.28,96.97,4 HCPCS,E0117,Underarm springassist crutch,,,38.38,67.32,4 HCPCS,E0130,Walker rigid adjust/fixed ht,,,81.72,143.35,4 HCPCS,E0135,Walker folding adjust/fixed,,,82.02,143.88,4 HCPCS,E0140,Walker w trunk support,,,53.2,93.32,4 HCPCS,E0141,Rigid wheeled walker adj/fix,,,84.22,147.74,4 HCPCS,E0143,Walker folding wheeled w/o s,,,84.22,147.74,4 HCPCS,E0144,Enclosed walker w rear seat,,,45.92,80.56,4 HCPCS,E0147,Walker variable wheel resist,,,683.49,1198.92,4 HCPCS,E0148,Heavyduty walker no wheels,,,147.36,258.49,4 HCPCS,E0149,Heavy duty wheeled walker,,,20.95,36.75,4 HCPCS,E0153,Forearm crutch platform atta,,,117.52,206.15,4 HCPCS,E0154,Walker platform attachment,,,86.52,151.77,4 HCPCS,E0155,"Walker wheel attachment,pair",,,37.22,65.3,4 HCPCS,E0156,Walker seat attachment,,,27.52,48.27,4 HCPCS,E0157,Walker crutch attachment,,,105.3,184.71,4 HCPCS,E0158,Walker leg extenders set of4,,,39.95,70.07,4 HCPCS,E0159,Brake for wheeled walker,,,27.34,47.96,4 HCPCS,E0160,Sitz type bath or equipment,,,52.89,92.78,4 HCPCS,E0161,Sitz bath/equipment w/faucet,,,44.96,78.87,4 HCPCS,E0162,Sitz bath chair,,,278.77,488.99,4 HCPCS,E0163,Commode chair with fixed arm,,,93.13,163.37,4 HCPCS,E0165,Commode chair with detacharm,,,21.78,38.2,4 HCPCS,E0167,Commode chair pail or pan,,,20.2,35.43,4 HCPCS,E0168,Heavyduty/wide commode chair,,,206.93,362.97,4 HCPCS,E0170,Commode chair electric,,,291.69,511.66,4 HCPCS,E0171,Commode chair non-electric,,,54.68,95.92,4 HCPCS,E0175,Commode chair foot rest,,,131.99,231.52,4 HCPCS,E0181,Press pad alternating w/ pum,,,26.98,47.32,4 HCPCS,E0182,"Replace pump, alt press pad",,,39.68,69.61,4 HCPCS,E0184,Dry pressure mattress,,,272.0,477.12,4 HCPCS,E0185,Gel pressure mattress pad,,,290.97,510.39,4 HCPCS,E0186,Air pressure mattress,,,33.61,58.95,4 HCPCS,E0187,Water pressure mattress,,,39.64,69.54,4 HCPCS,E0188,Synthetic sheepskin pad,,,45.12,79.15,4 HCPCS,E0189,Lambswool sheepskin pad,,,85.52,150.02,4 HCPCS,E0191,"HC HEEL OR ELBOW PROTECTOR, EACH",1186.76,1186.76,,,0 HCPCS,E0191,Protector heel or elbow,,,19.92,34.95,4 HCPCS,E0193,Powered air flotation bed,,,1266.64,2221.83,4 HCPCS,E0194,Air fluidized bed,,,6113.17,10723.23,4 HCPCS,E0196,Gel pressure mattress,,,58.96,103.42,4 HCPCS,E0197,Air pressure pad for mattres,,,32.84,57.6,4 HCPCS,E0198,Water pressure pad for mattr,,,42.64,74.8,4 HCPCS,E0199,Dry pressure pad for mattres,,,50.91,89.31,4 HCPCS,E0200,Heat lamp without stand,,,134.27,235.53,4 HCPCS,E0201,Penile contractur devic manu,,,146.52,263.74,3 HCPCS,E0202,Phototherapy light w/ photom,,,124.75,218.83,4 HCPCS,E0205,Heat lamp with stand,,,328.69,576.55,4 HCPCS,E0210,Electric heat pad standard,,,65.04,114.09,4 HCPCS,E0215,Electric heat pad moist,,,119.99,210.47,4 HCPCS,E0217,Water circ heat pad w pump,,,840.91,1475.06,4 HCPCS,E0225,Hydrocollator unit,,,658.26,1154.67,4 HCPCS,E0235,Paraffin bath unit portable,,,31.53,55.32,4 HCPCS,E0236,Pump for water circulating p,,,74.93,131.43,4 HCPCS,E0239,Hydrocollator unit portable,,,761.9,1336.46,4 HCPCS,E0241,Bath tub wall rail,,,39.18,68.72,4 HCPCS,E0242,Bath tub rail floor,,,88.01,154.38,4 HCPCS,E0243,Toilet rail,,,70.01,122.81,4 HCPCS,E0244,Toilet seat raised,,,53.31,93.52,4 HCPCS,E0245,Tub stool or bench,,,87.37,153.25,4 HCPCS,E0246,Transfer tub rail attachment,,,119.48,209.59,4 HCPCS,E0249,Pad water circulating heat u,,,168.72,295.95,4 HCPCS,E0250,Hosp bed fixed ht w/ mattres,,,104.82,183.87,4 HCPCS,E0251,Hosp bed fixd ht w/o mattres,,,101.76,178.5,4 HCPCS,E0255,Hospital bed var ht w/ mattr,,,106.08,186.08,4 HCPCS,E0256,Hospital bed var ht w/o matt,,,102.59,179.96,4 HCPCS,E0260,Hosp bed semi-electr w/ matt,,,106.08,186.08,4 HCPCS,E0261,Hosp bed semi-electr w/o mat,,,106.08,186.08,4 HCPCS,E0265,Hosp bed total electr w/ mat,,,246.03,431.56,4 HCPCS,E0266,Hosp bed total elec w/o matt,,,214.05,375.48,4 HCPCS,E0271,Mattress innerspring,,,218.81,383.81,4 HCPCS,E0272,Mattress foam rubber,,,246.8,432.92,4 HCPCS,E0275,Bed pan standard,,,24.35,42.71,4 HCPCS,E0276,Bed pan fracture,,,21.66,38.0,4 HCPCS,E0277,Powered pres-redu air mattrs,,,321.52,563.98,4 HCPCS,E0280,Bed cradle,,,55.15,96.74,4 HCPCS,E0290,Hosp bed fx ht w/o rails w/m,,,100.59,176.44,4 HCPCS,E0291,Hosp bed fx ht w/o rail w/o,,,77.01,135.09,4 HCPCS,E0292,Hosp bed var ht no sr w/matt,,,104.16,182.71,4 HCPCS,E0293,Hosp bed var ht no sr no mat,,,98.27,172.37,4 HCPCS,E0294,Hosp bed semi-elect w/ mattr,,,106.08,186.08,4 HCPCS,E0295,Hosp bed semi-elect w/o matt,,,106.08,186.08,4 HCPCS,E0296,Hosp bed total elect w/ matt,,,191.96,336.72,4 HCPCS,E0297,Hosp bed total elect w/o mat,,,169.37,297.09,4 HCPCS,E0300,Enclosed ped crib hosp grade,,,427.73,750.28,4 HCPCS,E0301,"HD hosp bed, 350-600 lbs",,,281.53,493.84,4 HCPCS,E0302,Ex hd hosp bed > 600 lbs,,,805.94,1413.71,4 HCPCS,E0303,Hosp bed hvy dty xtra wide,,,286.56,502.65,4 HCPCS,E0304,Hosp bed xtra hvy dty x wide,,,850.67,1492.18,4 HCPCS,E0305,Rails bed side half length,,,18.84,33.04,4 HCPCS,E0310,Rails bed side full length,,,191.84,336.51,4 HCPCS,E0316,Bed safety enclosure,,,299.1,524.65,4 HCPCS,E0325,Urinal male jug-type,,,15.89,27.86,4 HCPCS,E0326,Urinal female jug-type,,,17.39,30.5,4 HCPCS,E0371,Nonpower mattress overlay,,,321.52,563.98,4 HCPCS,E0372,Powered air mattress overlay,,,321.52,563.98,4 HCPCS,E0373,Nonpowered pressure mattress,,,321.52,563.98,4 HCPCS,E0424,Stationary compressed gas 02,,,126.35,221.63,4 HCPCS,E0431,Portable gaseous 02,,,30.9,54.21,4 HCPCS,E0433,Portable liquid oxygen sys,,,64.69,113.47,4 HCPCS,E0434,Portable liquid 02,,,30.9,54.21,4 HCPCS,E0439,Stationary liquid 02,,,126.35,221.63,4 HCPCS,E0441,"Stationary o2 contents, gas",,,94.43,165.65,4 HCPCS,E0442,"Stationary o2 contents, liq",,,94.43,165.65,4 HCPCS,E0443,"Portable 02 contents, gas",,,84.8,148.74,4 HCPCS,E0444,"Portable 02 contents, liquid",,,84.8,148.74,4 HCPCS,E0462,Rocking bed w/ or w/o side r,,,493.58,865.79,4 HCPCS,E0465,Home vent invasive interface,,,1902.03,3336.39,4 HCPCS,E0466,Home vent non-invasive inter,,,1902.03,3336.39,4 HCPCS,E0470,RAD w/o backup non-inv intfc,,,191.04,335.1,4 HCPCS,E0471,RAD w/backup non inv intrfc,,,480.87,843.5,4 HCPCS,E0472,RAD w backup invasive intrfc,,,746.37,1309.22,4 HCPCS,E0480,Percussor elect/pneum home m,,,74.42,130.55,4 HCPCS,E0482,Cough stimulating device,,,819.43,1437.39,4 HCPCS,E0483,Chest compression gen system,,,2118.47,3716.04,4 HCPCS,E0484,Non-elec oscillatory pep dvc,,,73.6,129.11,4 HCPCS,E0500,Ippb all types,,,218.71,383.65,4 HCPCS,E0550,Humidif extens supple w ippb,,,84.93,148.97,4 HCPCS,E0560,Humidifier supplemental w/ i,,,278.98,489.37,4 HCPCS,E0561,Humidifier nonheated w PAP,,,134.37,235.69,4 HCPCS,E0562,Humidifier heated used w PAP,,,238.1,417.66,4 HCPCS,E0565,Compressor air power source,,,75.66,132.72,4 HCPCS,E0570,Nebulizer with compression,,,85.91,150.7,4 HCPCS,E0572,Aerosol compressor adjust pr,,,54.94,96.37,4 HCPCS,E0574,Ultrasonic generator w svneb,,,77.16,135.36,4 HCPCS,E0575,Nebulizer ultrasonic,,,204.8,359.24,4 HCPCS,E0580,Nebulizer for use w/ regulat,,,230.23,403.85,4 HCPCS,E0585,Nebulizer w/ compressor & he,,,53.81,94.38,4 HCPCS,E0600,Suction pump portab hom modl,,,77.55,136.03,4 HCPCS,E0601,Cont airway pressure device,,,73.59,129.09,4 HCPCS,E0602,Manual breast pump,,,58.82,103.18,4 HCPCS,E0605,Vaporizer room type,,,52.65,92.36,4 HCPCS,E0606,Drainage board postural,,,41.44,72.69,4 HCPCS,E0607,Blood glucose monitor home,,,49.39,86.64,4 HCPCS,E0610,Pacemaker monitr audible/vis,,,473.95,831.36,4 HCPCS,E0615,Pacemaker monitr digital/vis,,,865.95,1518.98,4 HCPCS,E0617,Automatic ext defibrillator,,,605.85,1062.73,4 HCPCS,E0618,Apnea monitor,,,474.86,832.97,4 HCPCS,E0620,Cap bld skin piercing laser,,,174.21,305.59,4 HCPCS,E0621,Patient lift sling or seat,,,150.38,263.79,4 HCPCS,E0627,"Seat lift mech, electric any",,,472.8,829.35,4 HCPCS,E0629,"Seat lift mech, non-electric",,,467.21,819.54,4 HCPCS,E0630,Patient lift hydraulic,,,103.68,181.86,4 HCPCS,E0635,Patient lift electric,,,201.81,354.0,4 HCPCS,E0636,PT support & positioning sys,,,1743.0,3057.44,4 HCPCS,E0639,Moveable patient lift system,,,222.27,389.88,4 HCPCS,E0640,Fixed patient lift system,,,222.27,389.88,4 HCPCS,E0650,Pneuma compresor non-segment,,,1219.84,2139.75,4 HCPCS,E0651,Pneum compressor segmental,,,1830.08,3210.18,4 HCPCS,E0652,Pneum compres w/cal pressure,,,10563.99,18530.49,4 HCPCS,E0655,Pneumatic appliance half arm,,,215.08,377.27,4 HCPCS,E0656,Segmental pneumatic trunk,,,115.14,201.97,4 HCPCS,E0657,Segmental pneumatic chest,,,108.16,189.73,4 HCPCS,E0660,Pneumatic appliance full leg,,,318.33,558.38,4 HCPCS,E0665,Pneumatic appliance full arm,,,249.74,438.07,4 HCPCS,E0666,Pneumatic appliance half leg,,,275.19,482.71,4 HCPCS,E0667,Seg pneumatic appl full leg,,,645.18,1131.73,4 HCPCS,E0668,Seg pneumatic appl full arm,,,748.44,1312.85,4 HCPCS,E0669,Seg pneumatic appli half leg,,,360.71,632.73,4 HCPCS,E0670,Seg pneum int legs/trunk,,,2504.87,4393.84,4 HCPCS,E0671,Pressure pneum appl full leg,,,827.66,1451.81,4 HCPCS,E0672,Pressure pneum appl full arm,,,643.07,1128.02,4 HCPCS,E0673,Pressure pneum appl half leg,,,534.37,937.34,4 HCPCS,E0675,Pneumatic compression device,,,766.28,1344.15,4 HCPCS,E0691,Uvl pnl 2 sq ft or less,,,1790.57,3140.87,4 HCPCS,E0692,Uvl sys panel 4 ft,,,2248.48,3944.1,4 HCPCS,E0693,Uvl sys panel 6 ft,,,2771.75,4861.97,4 HCPCS,E0694,Uvl md cabinet sys 6 ft,,,8822.19,15475.16,4 HCPCS,E0705,Transfer device,,,79.37,139.22,4 HCPCS,E0720,Tens two lead,,,127.74,224.07,4 HCPCS,E0730,Tens four lead,,,129.07,226.41,4 HCPCS,E0731,Conductive garment for tens/,,,156.49,274.49,4 HCPCS,E0736,Transcut tibial nerv stimula,,,49.45,89.01,3 HCPCS,E0738,Upper extremity rehab,,,2039.64,3671.35,3 HCPCS,E0739,Rehab sys active assist rt,,,1597.66,2875.79,3 HCPCS,E0740,Non-implant pelv flr e-stim,,,104.21,182.79,4 HCPCS,E0744,Neuromuscular stim for scoli,,,155.1,272.06,4 HCPCS,E0745,Neuromuscular stim for shock,,,151.61,265.94,4 HCPCS,E0762,Trans elec jt stim dev sys,,,186.22,326.66,4 HCPCS,E0765,Nerve stimulator for tx n&v,,,167.64,294.06,4 HCPCS,E0776,Iv pole,,,246.57,432.52,4 HCPCS,E0779,Amb infusion pump mechanical,,,31.99,56.11,4 HCPCS,E0780,Mech amb infusion pump <8hrs,,,20.33,35.66,4 HCPCS,E0781,External ambulatory infus pu,,,415.18,728.27,4 HCPCS,E0784,Ext amb infusn pump insulin,,,748.61,1313.15,4 HCPCS,E0785,Replacement impl pump cathet,,,941.56,1651.61,4 HCPCS,E0791,Parenteral infusion pump sta,,,493.23,865.19,4 HCPCS,E0840,Tract frame attach headboard,,,124.09,217.67,4 HCPCS,E0849,Cervical pneum trac equip,,,102.7,180.15,4 HCPCS,E0850,Traction stand free standing,,,177.93,312.11,4 HCPCS,E0855,Cervical traction equipment,,,100.14,175.66,4 HCPCS,E0856,Cervic collar w air bladders,,,30.66,53.79,4 HCPCS,E0860,Tract equip cervical tract,,,67.88,119.07,4 HCPCS,E0870,Tract frame attach footboard,,,231.78,406.57,4 HCPCS,E0880,Trac stand free stand extrem,,,250.16,438.82,4 HCPCS,E0890,Traction frame attach pelvic,,,203.91,357.68,4 HCPCS,E0900,Trac stand free stand pelvic,,,217.02,380.67,4 HCPCS,E0910,Trapeze bar attached to bed,,,20.11,35.28,4 HCPCS,E0911,Hd trapeze bar attach to bed,,,73.13,128.27,4 HCPCS,E0912,Hd trapeze bar free standing,,,143.92,252.45,4 HCPCS,E0920,Fracture frame attached to b,,,78.16,137.1,4 HCPCS,E0930,Fracture frame free standing,,,77.35,135.69,4 HCPCS,E0935,Cont pas motion exercise dev,,,45.33,79.51,4 HCPCS,E0940,Trapeze bar free standing,,,37.43,65.65,4 HCPCS,E0941,Gravity assisted traction de,,,73.51,128.95,4 HCPCS,E0942,Cervical head harness/halter,,,39.54,69.36,4 HCPCS,E0944,Pelvic belt/harness/boot,,,77.68,136.25,4 HCPCS,E0945,Belt/harness extremity,,,82.42,144.57,4 HCPCS,E0946,Fracture frame dual w cross,,,100.22,175.8,4 HCPCS,E0947,Fracture frame attachmnts pe,,,1027.21,1801.84,4 HCPCS,E0948,Fracture frame attachmnts ce,,,993.55,1742.8,4 HCPCS,E0950,Tray,,,133.03,233.35,4 HCPCS,E0951,Loop heel,,,23.39,41.03,4 HCPCS,E0952,"Toe loop/holder, each",,,27.52,48.27,4 HCPCS,E0955,Cushioned headrest,,,25.43,44.61,4 HCPCS,E0956,W/c lateral trunk/hip suppor,,,135.93,238.44,4 HCPCS,E0957,W/c medial thigh support,,,207.27,363.57,4 HCPCS,E0958,Whlchr att- conv 1 arm drive,,,72.49,127.16,4 HCPCS,E0959,Amputee adapter,,,73.15,128.32,4 HCPCS,E0960,W/c shoulder harness/straps,,,129.87,227.82,4 HCPCS,E0961,Wheelchair brake extension,,,34.89,61.2,4 HCPCS,E0966,Wheelchair head rest extensi,,,125.46,220.08,4 HCPCS,E0967,Man wc rim/projection rep ea,,,126.17,221.32,4 HCPCS,E0968,Wheelchair commode seat,,,35.58,62.41,4 HCPCS,E0969,Wheelchair narrowing device,,,312.11,547.48,4 HCPCS,E0971,Wheelchair anti-tipping devi,,,52.02,91.25,4 HCPCS,E0973,W/ch access det adj armrest,,,91.97,161.32,4 HCPCS,E0974,W/ch access anti-rollback,,,129.51,227.17,4 HCPCS,E0978,"W/c acc,saf belt pelv strap",,,43.13,75.66,4 HCPCS,E0980,Wheelchair safety vest,,,63.68,111.71,4 HCPCS,E0981,"Seat upholstery, replacement",,,69.49,121.89,4 HCPCS,E0982,"Back upholstery, replacement",,,75.2,131.91,4 HCPCS,E0983,Add pwr joystick,,,477.26,837.17,4 HCPCS,E0984,Add pwr tiller,,,323.58,567.59,4 HCPCS,E0985,W/c seat lift mechanism,,,38.91,68.25,4 HCPCS,E0986,Man w/c push-rim powr system,,,969.29,1700.25,4 HCPCS,E0988,Lever-activated wheel drive,,,596.5,1046.34,4 HCPCS,E0990,Wheelchair elevating leg res,,,122.84,215.48,4 HCPCS,E0992,Wheelchair solid seat insert,,,141.83,248.79,4 HCPCS,E0994,Wheelchair arm rest,,,35.12,61.61,4 HCPCS,E0995,"Wc calf rest, pad replacemnt",,,44.64,78.3,4 HCPCS,E1002,Pwr seat tilt,,,619.61,1086.88,4 HCPCS,E1003,Pwr seat recline,,,725.23,1272.14,4 HCPCS,E1004,Pwr seat recline mech,,,797.14,1398.29,4 HCPCS,E1005,Pwr seat recline pwr,,,872.0,1529.59,4 HCPCS,E1006,Pwr seat combo w/o shear,,,1075.16,1885.97,4 HCPCS,E1007,Pwr seat combo w/shear,,,1334.61,2341.07,4 HCPCS,E1008,Pwr seat combo pwr shear,,,1368.93,2401.27,4 HCPCS,E1010,Add pwr leg elevation,,,186.02,326.3,4 HCPCS,E1012,Ctr mount pwr elev leg rest,,,186.02,326.3,4 HCPCS,E1014,Reclining back add ped w/c,,,72.78,127.67,4 HCPCS,E1015,Shock absorber for man w/c,,,217.08,380.78,4 HCPCS,E1016,Shock absorber for power w/c,,,207.27,363.57,4 HCPCS,E1020,Residual limb support system,,,31.39,55.06,4 HCPCS,E1028,W/c manual swingaway,,,22.86,40.1,4 HCPCS,E1029,W/c vent tray fixed,,,62.68,109.94,4 HCPCS,E1030,W/c vent tray gimbaled,,,195.78,343.41,4 HCPCS,E1031,Rollabout chair with casters,,,75.14,131.8,4 HCPCS,E1035,Patient transfer system <300,,,1022.99,1794.44,4 HCPCS,E1036,Patient transfer system >300,,,1503.48,2637.28,4 HCPCS,E1037,"Transport chair, ped size",,,193.11,338.74,4 HCPCS,E1038,Transport chair pt wt<=300lb,,,25.0,43.86,4 HCPCS,E1039,Transport chair pt wt >300lb,,,57.5,100.86,4 HCPCS,E1050,Whelchr fxd full length arms,,,202.93,355.96,4 HCPCS,E1060,Wheelchair detachable arms,,,251.21,440.65,4 HCPCS,E1070,Wheelchair detachable foot r,,,218.27,382.87,4 HCPCS,E1083,Hemi-wheelchair fixed arms,,,156.9,275.23,4 HCPCS,E1084,Hemi-wheelchair detachable a,,,169.93,298.08,4 HCPCS,E1087,Wheelchair lightwt fixed arm,,,252.13,442.27,4 HCPCS,E1088,Wheelchair lightweight det a,,,255.36,447.94,4 HCPCS,E1092,Wheelchair wide w/ leg rests,,,217.67,381.81,4 HCPCS,E1093,Wheelchair wide w/ foot rest,,,187.7,329.25,4 HCPCS,E1100,Whchr s-recl fxd arm leg res,,,206.82,362.79,4 HCPCS,E1110,Wheelchair semi-recl detach,,,202.56,355.32,4 HCPCS,E1150,Wheelchair standard w/ leg r,,,162.54,285.11,4 HCPCS,E1160,Wheelchair fixed arms,,,123.29,216.27,4 HCPCS,E1161,Manual adult wc w tiltinspac,,,471.47,827.01,4 HCPCS,E1170,Whlchr ampu fxd arm leg rest,,,178.0,312.23,4 HCPCS,E1171,Wheelchair amputee w/o leg r,,,159.72,280.16,4 HCPCS,E1172,Wheelchair amputee detach ar,,,195.21,342.42,4 HCPCS,E1180,Wheelchair amputee w/ foot r,,,201.91,354.18,4 HCPCS,E1190,Wheelchair amputee w/ leg re,,,233.3,409.24,4 HCPCS,E1195,Wheelchair amputee heavy dut,,,212.77,373.22,4 HCPCS,E1200,Wheelchair amputee fixed arm,,,173.37,304.11,4 HCPCS,E1221,Wheelchair spec size w foot,,,84.94,148.99,4 HCPCS,E1222,Wheelchair spec size w/ leg,,,135.06,236.91,4 HCPCS,E1223,Wheelchair spec size w foot,,,125.34,219.87,4 HCPCS,E1224,Wheelchair spec size w/ leg,,,141.35,247.95,4 HCPCS,E1225,Manual semi-reclining back,,,69.07,121.16,4 HCPCS,E1226,Manual fully reclining back,,,645.39,1132.08,4 HCPCS,E1227,Wheelchair spec sz spec ht a,,,552.96,969.96,4 HCPCS,E1228,Wheelchair spec sz spec ht b,,,55.84,97.96,4 HCPCS,E1230,Power operated vehicle,,,3830.94,6719.92,4 HCPCS,E1232,Folding ped wc tilt-in-space,,,426.14,747.5,4 HCPCS,E1233,Rig ped wc tltnspc w/o seat,,,441.5,774.44,4 HCPCS,E1234,Fld ped wc tltnspc w/o seat,,,384.39,674.27,4 HCPCS,E1235,Rigid ped wc adjustable,,,370.15,649.29,4 HCPCS,E1236,Folding ped wc adjustable,,,326.54,572.79,4 HCPCS,E1237,Rgd ped wc adjstabl w/o seat,,,329.4,577.81,4 HCPCS,E1238,Fld ped wc adjstabl w/o seat,,,326.54,572.79,4 HCPCS,E1240,Whchr litwt det arm leg rest,,,188.12,329.99,4 HCPCS,E1270,Wheelchair lightweight leg r,,,133.7,234.53,4 HCPCS,E1280,Whchr h-duty det arm leg res,,,243.91,427.85,4 HCPCS,E1295,Wheelchair heavy duty fixed,,,242.03,424.55,4 HCPCS,E1296,Wheelchair special seat heig,,,832.74,1460.72,4 HCPCS,E1297,Wheelchair special seat dept,,,208.45,365.65,4 HCPCS,E1298,Wheelchair spec seat depth/w,,,717.57,1258.7,4 HCPCS,E1310,Whirlpool non-portable,,,3637.18,6380.05,4 HCPCS,E1353,Oxygen supplies regulator,,,56.44,99.0,4 HCPCS,E1355,Oxygen supplies stand/rack,,,42.52,74.59,4 HCPCS,E1372,Oxy suppl heater for nebuliz,,,235.76,413.55,4 HCPCS,E1390,Oxygen concentrator,,,126.35,221.63,4 HCPCS,E1391,"Oxygen concentrator, dual",,,126.35,221.63,4 HCPCS,E1392,Portable oxygen concentrator,,,64.69,113.47,4 HCPCS,E1405,O2/water vapor enrich w/heat,,,180.15,316.01,4 HCPCS,E1406,O2/water vapor enrich w/o he,,,137.13,240.53,4 HCPCS,E1700,Jaw motion rehab system,,,58.43,102.49,4 HCPCS,E1701,Repl cushions for jaw motion,,,17.96,31.5,4 HCPCS,E1702,Repl measr scales jaw motion,,,38.21,67.02,4 HCPCS,E1800,Adjust elbow ext/flex device,,,244.1,428.18,4 HCPCS,E1801,Sps elbow device,,,245.84,431.24,4 HCPCS,E1802,Adjst forearm pro/sup device,,,651.23,1142.33,4 HCPCS,E1805,Adjust wrist ext/flex device,,,251.76,441.61,4 HCPCS,E1806,Sps wrist device,,,201.77,353.94,4 HCPCS,E1810,Adjust knee ext/flex device,,,248.24,435.44,4 HCPCS,E1811,Sps knee device,,,255.59,448.34,4 HCPCS,E1812,Knee ext/flex w act res ctrl,,,171.34,300.55,4 HCPCS,E1815,Adjust ankle ext/flex device,,,251.76,441.61,4 HCPCS,E1816,Sps ankle device,,,259.61,455.39,4 HCPCS,E1818,Sps forearm device,,,265.05,464.93,4 HCPCS,E1820,Soft interface material,,,159.8,280.31,4 HCPCS,E1821,Replacement interface spsd,,,209.7,367.84,4 HCPCS,E1825,Adjust finger ext/flex devc,,,251.76,441.61,4 HCPCS,E1830,Adjust toe ext/flex device,,,251.76,441.61,4 HCPCS,E1831,Static str toe dev ext/flex,,,131.66,230.94,4 HCPCS,E1840,Adj shoulder ext/flex device,,,723.73,1269.51,4 HCPCS,E1841,Static str shldr dev rom adj,,,902.64,1583.34,4 HCPCS,E1905,Vr cbt therapy,,,674.77,1214.59,3 HCPCS,E2000,Gastric suction pump hme mdl,,,98.75,173.22,4 HCPCS,E2100,Bld glucose monitor w voice,,,108.29,189.95,4 HCPCS,E2101,Bld glucose monitor w lance,,,375.73,659.08,4 HCPCS,E2104,Glucose monitor w cartridge,,,54.52,98.14,3 HCPCS,E2120,Pulse gen sys tx endolymp fl,,,564.96,991.0,4 HCPCS,E2201,"Man w/ch acc seat w>=20""<24""",,,530.95,931.35,4 HCPCS,E2202,Seat width 24-27 in,,,786.77,1380.09,4 HCPCS,E2203,Frame depth less than 22 in,,,735.3,1289.81,4 HCPCS,E2204,Frame depth 22 to 25 in,,,1312.19,2301.74,4 HCPCS,E2205,"Manual wc accessory, handrim",,,61.05,107.09,4 HCPCS,E2206,Man wc whl lock comp repl ea,,,66.29,116.29,4 HCPCS,E2207,Crutch and cane holder,,,80.74,141.63,4 HCPCS,E2208,Cylinder tank carrier,,,134.55,236.01,4 HCPCS,E2209,Arm trough each,,,148.24,260.03,4 HCPCS,E2210,Wheelchair bearings,,,9.96,17.47,4 HCPCS,E2211,Pneumatic propulsion tire,,,57.97,101.68,4 HCPCS,E2212,Pneumatic prop tire tube,,,11.17,19.6,4 HCPCS,E2213,Pneumatic prop tire insert,,,51.95,91.13,4 HCPCS,E2214,Pneumatic caster tire each,,,56.93,99.87,4 HCPCS,E2215,Pneumatic caster tire tube,,,17.94,31.48,4 HCPCS,E2219,Foam caster tire any size ea,,,73.62,129.13,4 HCPCS,E2220,"Solid propuls tire, repl, ea",,,48.22,84.58,4 HCPCS,E2221,"Solid caster tire repl, each",,,47.45,83.24,4 HCPCS,E2222,"Solid caster integ whl, repl",,,39.24,68.84,4 HCPCS,E2224,Propulsion whl excl tire rep,,,157.02,275.44,4 HCPCS,E2225,Caster wheel excludes tire,,,32.88,57.67,4 HCPCS,E2226,Caster fork replacement only,,,70.08,122.94,4 HCPCS,E2227,Gear reduction drive wheel,,,372.79,653.91,4 HCPCS,E2228,"Mwc acc, wheelchair brake",,,167.25,293.38,4 HCPCS,E2231,Solid seat support base,,,246.38,432.18,4 HCPCS,E2310,Electro connect btw control,,,181.42,318.24,4 HCPCS,E2311,Electro connect btw 2 sys,,,366.11,642.21,4 HCPCS,E2312,Mini-prop remote joystick,,,401.84,704.88,4 HCPCS,E2313,"PWC harness, expand control",,,63.86,112.01,4 HCPCS,E2321,Hand interface joystick,,,246.51,432.4,4 HCPCS,E2322,Mult mech switches,,,232.91,408.55,4 HCPCS,E2323,Special joystick handle,,,113.53,199.15,4 HCPCS,E2324,Chin cup interface,,,74.95,131.48,4 HCPCS,E2325,Sip and puff interface,,,222.6,390.47,4 HCPCS,E2326,Breath tube kit,,,58.38,102.41,4 HCPCS,E2327,Head control interface mech,,,435.42,763.78,4 HCPCS,E2328,Head/extremity control inter,,,821.85,1441.63,4 HCPCS,E2329,Head control nonproportional,,,296.78,520.59,4 HCPCS,E2330,Head control proximity switc,,,569.83,999.55,4 HCPCS,E2340,W/c wdth 20-23 in seat frame,,,714.08,1252.58,4 HCPCS,E2341,W/c wdth 24-27 in seat frame,,,1071.22,1879.04,4 HCPCS,E2342,W/c dpth 20-21 in seat frame,,,892.69,1565.89,4 HCPCS,E2343,W/c dpth 22-25 in seat frame,,,1428.32,2505.44,4 HCPCS,E2351,Electronic SGD interface,,,1180.43,2070.61,4 HCPCS,E2359,Gr34 sealed leadacid battery,,,299.73,525.77,4 HCPCS,E2360,22nf nonsealed leadacid,,,168.8,296.1,4 HCPCS,E2361,22nf sealed leadacid battery,,,201.07,352.71,4 HCPCS,E2362,Gr24 nonsealed leadacid,,,157.05,275.48,4 HCPCS,E2363,Gr24 sealed leadacid battery,,,262.8,460.99,4 HCPCS,E2364,U1nonsealed leadacid battery,,,162.65,285.3,4 HCPCS,E2365,U1 sealed leadacid battery,,,134.22,235.44,4 HCPCS,E2366,"Battery charger, single mode",,,279.3,489.92,4 HCPCS,E2367,"Battery charger, dual mode",,,544.62,955.33,4 HCPCS,E2368,Pwr wc drivewheel motor repl,,,74.45,130.59,4 HCPCS,E2369,Pwr wc drivewheel gear repl,,,70.4,123.49,4 HCPCS,E2370,Pwr wc dr wh motor/gear comb,,,90.45,158.67,4 HCPCS,E2371,Gr27 sealed leadacid battery,,,248.52,435.93,4 HCPCS,E2373,Hand/chin ctrl spec joystick,,,132.17,231.84,4 HCPCS,E2374,Hand/chin ctrl std joystick,,,83.6,146.65,4 HCPCS,E2375,Non-expandable controller,,,117.25,205.68,4 HCPCS,E2376,"Expandable controller, repl",,,207.7,364.33,4 HCPCS,E2377,"Expandable controller, initl",,,76.94,134.96,4 HCPCS,E2378,Pw actuator replacement,,,96.24,168.82,4 HCPCS,E2381,Pneum drive wheel tire,,,111.41,195.42,4 HCPCS,E2382,"Tube, pneum wheel drive tire",,,30.47,53.45,4 HCPCS,E2383,"Insert, pneum wheel drive",,,229.64,402.81,4 HCPCS,E2384,Pneumatic caster tire,,,113.15,198.48,4 HCPCS,E2385,"Tube, pneumatic caster tire",,,73.11,128.25,4 HCPCS,E2386,Foam filled drive wheel tire,,,180.22,316.14,4 HCPCS,E2387,Foam filled caster tire,,,91.74,160.92,4 HCPCS,E2388,Foam drive wheel tire,,,79.58,139.59,4 HCPCS,E2389,Foam caster tire,,,44.48,78.02,4 HCPCS,E2390,Solid drive wheel tire,,,68.86,120.78,4 HCPCS,E2391,Solid caster tire,,,32.0,56.13,4 HCPCS,E2392,"Solid caster tire, integrate",,,78.92,138.44,4 HCPCS,E2394,Drive wheel excludes tire,,,103.0,180.68,4 HCPCS,E2395,Caster wheel excludes tire,,,80.22,140.71,4 HCPCS,E2396,Caster fork,,,88.87,155.89,4 HCPCS,E2397,"Pwc acc, lith-based battery",,,786.07,1378.86,4 HCPCS,E2402,Neg press wound therapy pump,,,1149.14,2015.72,4 HCPCS,E2500,SGD digitized pre-rec <=8min,,,779.22,1366.84,4 HCPCS,E2502,SGD prerec msg >8min <=20min,,,2382.8,4179.72,4 HCPCS,E2504,SGD prerec msg>20min <=40min,,,3143.23,5513.61,4 HCPCS,E2506,SGD prerec msg > 40 min,,,4608.95,8084.65,4 HCPCS,E2508,SGD spelling phys contact,,,7126.96,12501.52,4 HCPCS,E2510,SGD w multi methods msg/accs,,,13486.82,23657.48,4 HCPCS,E2601,Gen w/c cushion wdth < 22 in,,,66.85,117.27,4 HCPCS,E2602,Gen w/c cushion wdth >=22 in,,,149.21,261.74,4 HCPCS,E2603,Skin protect wc cus wd <22in,,,179.7,315.22,4 HCPCS,E2604,Skin protect wc cus wd>=22in,,,250.02,438.56,4 HCPCS,E2605,Position wc cush wdth <22 in,,,365.16,640.53,4 HCPCS,E2606,Position wc cush wdth>=22 in,,,610.91,1071.6,4 HCPCS,E2607,Skin pro/pos wc cus wd <22in,,,359.37,630.37,4 HCPCS,E2608,Skin pro/pos wc cus wd>=22in,,,448.83,787.3,4 HCPCS,E2611,Gen use back cush wdth <22in,,,254.76,446.88,4 HCPCS,E2612,Gen use back cush wdth>=22in,,,527.57,925.42,4 HCPCS,E2613,Position back cush wd <22in,,,539.99,947.21,4 HCPCS,E2614,Position back cush wd>=22in,,,829.63,1455.27,4 HCPCS,E2615,Pos back post/lat wdth <22in,,,606.69,1064.21,4 HCPCS,E2616,Pos back post/lat wdth>=22in,,,844.41,1481.19,4 HCPCS,E2619,Replace cover w/c seat cush,,,81.94,143.73,4 HCPCS,E2620,WC planar back cush wd <22in,,,658.94,1155.85,4 HCPCS,E2621,WC planar back cush wd>=22in,,,796.09,1396.43,4 HCPCS,E2622,Adj skin pro w/c cus wd<22in,,,519.75,911.71,4 HCPCS,E2623,Adj skin pro wc cus wd>=22in,,,657.27,1152.93,4 HCPCS,E2624,Adj skin pro/pos cus<22in,,,528.16,926.45,4 HCPCS,E2625,Adj skin pro/pos wc cus>=22,,,653.65,1146.57,4 HCPCS,E2626,Seo mobile arm sup att to wc,,,1111.77,1950.18,4 HCPCS,E2627,Arm supp att to wc rancho ty,,,1622.24,2845.61,4 HCPCS,E2628,Mobile arm supports reclinin,,,1286.53,2256.73,4 HCPCS,E2629,Friction dampening arm supp,,,1600.38,2807.25,4 HCPCS,E2630,Monosuspension arm/hand supp,,,1128.15,1978.91,4 HCPCS,E2631,Elevat proximal arm support,,,468.52,821.84,4 HCPCS,E2632,Offset/lat rocker arm w/ela,,,294.21,516.07,4 HCPCS,E2633,Mobile arm support supinator,,,240.32,421.54,4 HCPCS,G0008,Admin influenza virus vac,,,34.09,83.98,7 HCPCS,G0009,Admin pneumococcal vaccine,,,34.09,83.98,7 HCPCS,G0010,Admin hepatitis b vaccine,,,34.09,83.98,7 HCPCS,G0011,"Hiv prep counsel, md 15-30m",,,12.01,21.07,4 HCPCS,G0012,Injection of hiv prep drug,,,9.7,129.13,7 HCPCS,G0013,"Hiv prep counsel, clin staff",,,19.76,67.2,7 HCPCS,G0017,Crisis psychotherapy 60m,,,58.9,103.32,4 HCPCS,G0018,Crisis psychotherapy add 30m,,,30.62,53.71,4 HCPCS,G0019,Comm hlth intg svs sdoh 60mn,,,100.6,182.2,7 HCPCS,G0022,Comm hlth intg svs add 30 m,,,29.46,51.67,4 HCPCS,G0023,HC PRINCIPAL ILLNESS NAVIGATION 60 MINUTES PER MONTH,137.0,137.0,,,0 HCPCS,G0023,Pin service 60m per month,,,100.6,182.2,7 HCPCS,G0024,HC PRINCIPAL ILLNESS NAVIGATION ADDITIONAL 30 MINUTES PER MONTH,45.0,45.0,,,0 HCPCS,G0024,Pin srv add 30 min pr m,,,29.46,51.67,4 HCPCS,G0027,Semen analysis,,,6.5,27.24,7 HCPCS,G0101,CA screen;pelvic/breast exam,,,68.9,182.2,7 HCPCS,G0102,Prostate ca screening; dre,,,24.4,42.8,4 HCPCS,G0103,PSA Screening,,,19.31,48.35,7 HCPCS,G0104,CA screen;flexi sigmoidscope,,,240.12,1667.9,7 HCPCS,G0105,Colorectal scrn; hi risk ind,,,860.99,1667.9,7 HCPCS,G0108,Diab manage trn per indiv,,,55.84,126.76,7 HCPCS,G0108,HC DIAB INST INDIVIDUAL PER 30 MIN,108.0,108.0,,,0 HCPCS,G0109,Diab manage trn ind/group,,,15.44,71.42,7 HCPCS,G0117,Glaucoma scrn hgh risk direc,,,27.82,51.88,7 HCPCS,G0118,Glaucoma scrn hgh risk direc,,,27.82,66.99,7 HCPCS,G0121,Colon ca scrn not hi rsk ind,,,860.99,1667.9,7 HCPCS,G0123,Screen cerv/vag thin layer,,,20.26,87.24,7 HCPCS,G0124,Screen c/v thin layer by MD,,,30.84,54.1,4 HCPCS,G0127,Trim nail(s),,,53.47,105.8,7 HCPCS,G0128,CORF skilled nursing service,,,14.13,24.79,4 HCPCS,G0130,Single energy x-ray study,,,41.76,187.51,7 HCPCS,G0136,Adm of soc dtr assess 5-15 m,,,32.4,67.2,7 HCPCS,G0138,Iv cipaglucosidase alfa-atga,,,634.42,1141.96,3 HCPCS,G0140,Nav srv peer sup 60 min pr m,,,100.6,182.2,7 HCPCS,G0141,"Scr c/v cyto,autosys and md",,,30.84,54.1,4 HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,27.05,87.24,7 HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,43.97,92.0,7 HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,26.49,118.68,7 HCPCS,G0146,Nav srv peer sup add 30 pr m,,,29.46,51.67,4 HCPCS,G0147,"Scr c/v cyto, automated sys",,,18.54,45.48,7 HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,25.93,57.49,7 HCPCS,G0151,"HHCP-serv of pt,ea 15 min",,,107.5,123.63,4 HCPCS,G0152,"HHCP-serv of ot,ea 15 min",,,107.5,123.63,4 HCPCS,G0153,"HHCP-svs of s/l path,ea 15mn",,,107.5,123.63,4 HCPCS,G0166,"Extrnl counterpulse, per tx",,,132.57,418.12,7 HCPCS,G0166,HC EXTERNAL COUNTERPULSATION,334.0,334.0,,,0 HCPCS,G0168,Wound closure by adhesive,,,153.52,269.28,4 HCPCS,G0175,"Opps service,sched team conf",,,325.92,748.37,7 HCPCS,G0179,MD recertification HHA PT,,,44.32,77.74,4 HCPCS,G0180,MD certification HHA patient,,,51.38,90.13,4 HCPCS,G0181,Home health care supervision,,,77.09,135.23,4 HCPCS,G0182,Hospice care supervision,,,79.01,138.59,4 HCPCS,G0183,Software meas of cardiac vol,,,86.71,156.08,3 HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,454.73,986.44,11 HCPCS,G0235,PET not otherwise specified,,,398.33,717.0,3 HCPCS,G0237,HC THERAP PROS ACTIVE EXERCISE,163.0,163.0,,,0 HCPCS,G0237,Therapeutic procd strg endur,,,27.82,51.88,7 HCPCS,G0238,HC THER 6 MIN WALK WITH REPORT,100.0,100.0,,,0 HCPCS,G0238,"Oth resp proc, indiv",,,27.82,51.88,7 HCPCS,G0239,HC THERAPEUTIC PROC 2 OR MORE,60.0,60.0,,,0 HCPCS,G0239,"Oth resp proc, group",,,27.82,66.99,7 HCPCS,G0245,Initial foot exam pt lops,,,104.51,238.78,7 HCPCS,G0246,Followup eval of foot pt lop,,,104.51,238.78,7 HCPCS,G0247,Routine footcare pt w lops,,,150.12,359.84,7 HCPCS,G0248,Demonstrate use home inr mon,,,132.66,348.19,7 HCPCS,G0249,Provide INR test mater/equip,,,132.66,349.29,7 HCPCS,G0250,MD INR test revie inter mgmt,,,4.5,7.9,4 HCPCS,G0252,PET imaging initial dx,,,37.26,65.35,4 HCPCS,G0257,HC HEMODIALYSIS ADULT OUTPATIENT,939.0,939.0,,,0 HCPCS,G0257,Unsched dialysis ESRD pt hos,,,666.17,1230.92,7 HCPCS,G0260,Inj for sacroiliac jt anesth,,,703.34,4572.08,11 HCPCS,G0268,Removal of impacted wax md,,,51.38,90.13,4 HCPCS,G0269,HC PLACE VESSEL CLOSURE DEVICE,1032.5,1032.5,,,0 HCPCS,G0270,MNT subs tx for change dx,,,22.04,42.8,7 HCPCS,G0271,Group MNT 2 or more 30 mins,,,12.08,21.74,7 HCPCS,G0276,Pild/placebo control clin tr,,,4745.33,13014.22,11 HCPCS,G0277,HC HYPERBARIC O2 EACH 30 MINUTES,619.0,619.0,,,0 HCPCS,G0277,"Hbot, full body chamber, 30m",,,127.97,246.81,7 HCPCS,G0278,HC ILIAC FEMORAL ANGIO WITH HEART CATH,1469.0,1469.0,,,0 HCPCS,G0278,"Iliac art angio,cardiac cath",,,659.58,1156.98,4 HCPCS,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS BILATERAL,256.5,256.5,,,0 HCPCS,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,128.5,128.5,,,0 HCPCS,G0279,"Tomosynthesis, mammo",,,11.59,146.37,7 HCPCS,G0281,Elec stim unattend for press,,,11.73,22.54,7 HCPCS,G0282,HC PT ELEC STIM (UNATT) WOUND CARE,81.0,81.0,,,0 HCPCS,G0283,Elec stim other than wound,,,12.18,123.63,11 HCPCS,G0288,HC CT RECONSTRUCTION AORTA FOR SURGERY,271.5,271.5,,,0 HCPCS,G0288,"Recon, CTA for surg plan",,,133.29,233.81,4 HCPCS,G0289,"Arthro, loose body + chondro",,,48.18,84.51,4 HCPCS,G0293,"Non-cov surg proc,clin trial",,,27.82,66.99,7 HCPCS,G0294,"Non-cov proc, clinical trial",,,27.82,66.99,7 HCPCS,G0296,Visit to determ ldct elig,,,68.9,182.2,7 HCPCS,G0302,Pre-op service LVRS complete,,,371.82,1486.9,7 HCPCS,G0303,Pre-op service LVRS 10-15dos,,,124.61,387.26,7 HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,371.82,1486.9,7 HCPCS,G0305,Post op service LVRS min 6,,,371.82,1486.9,7 HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.77,33.43,7 HCPCS,G0307,CBC without platelet,,,6.47,19.98,7 HCPCS,G0316,Prolong inpt eval add15 m,,,12.02,21.08,4 HCPCS,G0317,Prolong nursin fac eval 15m,,,12.02,21.08,4 HCPCS,G0318,Prolong home eval add 15m,,,11.2,19.64,4 HCPCS,G0323,Care manage beh svs 20mins,,,37.19,67.2,7 HCPCS,G0328,Fecal blood scrn immunoassay,,,18.05,53.05,7 HCPCS,G0329,Electromagntic tx for ulcers,,,10.0,23.67,7 HCPCS,G0330,Facility svs dental rehab,,,2158.37,5946.37,7 HCPCS,G0337,Hospice evaluation preelecti,,,35.34,61.99,4 HCPCS,G0372,Md service required for pmd,,,4.5,7.9,4 HCPCS,G0378,HC BURN OBSERVATION PER HOUR CARVE OUT,362.0,362.0,,,0 HCPCS,G0378,HC HOSPITAL OBSERVATION PER HOUR,104.0,104.0,,,0 HCPCS,G0378,HC HOSPITAL OBSERVATION PER HOUR CARVE OUT,104.0,104.0,,,0 HCPCS,G0378,HC INTERMEDIATE OBSERVATION PER HR,106.0,106.0,,,0 HCPCS,G0378,HC INTERMEDIATE OBSERVATION PER HR CARVE OUT,106.0,106.0,,,0 HCPCS,G0378,HC OBSTETRIC OBSERVATION PER HOUR,89.0,89.0,,,0 HCPCS,G0378,HC OBSTETRIC OBSERVATION PER HOUR CARVE OUT,89.0,89.0,,,0 HCPCS,G0378,HC PEDS INTERMEDIATE OBSERVATION PER HR,204.0,204.0,,,0 HCPCS,G0378,HC PEDS INTERMEDIATE OBSERVATION PER HR CARVE OUT,204.0,204.0,,,0 HCPCS,G0378,HC PEDS OBSERVATION PER HOUR,205.0,205.0,,,0 HCPCS,G0378,HC PEDS OBSERVATION PER HOUR CARVE OUT,205.0,205.0,,,0 HCPCS,G0378,Hospital observation per hr,,,68.33,119.86,4 HCPCS,G0379,Direct refer hospital observ,,,479.18,1068.1,7 HCPCS,G0380,Lev 1 hosp type B ED visit,,,74.06,146.38,7 HCPCS,G0381,Lev 2 hosp type B ED visit,,,74.1,166.6,7 HCPCS,G0382,Lev 3 hosp type B ED visit,,,122.56,308.28,7 HCPCS,G0383,Lev 4 hosp type B ED visit,,,175.05,474.04,7 HCPCS,G0384,Lev 5 hosp type B ED visit,,,360.71,736.64,7 HCPCS,G0390,HC ED TRAUMA CENTER 1 ACTIVATION LEVEL 1 PRE NOTIFICATION,9613.0,9613.0,,,0 HCPCS,G0390,HC ED TRAUMA CENTER 1 ACTIVATION LEVEL 2 PRE NOTIFICATION,7805.0,7805.0,,,0 HCPCS,G0390,HC ED TRAUMA CENTER 3 ACTIVATION LEVEL 1 PRE NOTIFICATION,7706.0,7706.0,,,0 HCPCS,G0390,HC ED TRAUMA CENTER 3 ACTIVATION LEVEL 2 PRE NOTIFICATION,5154.0,5154.0,,,0 HCPCS,G0390,Trauma Respons w/hosp criti,,,1328.12,7869.39,7 HCPCS,G0396,Alcohol/subs interv 15-30mn,,,24.74,67.2,7 HCPCS,G0397,Alcohol/subs interv >30 min,,,123.56,318.34,7 HCPCS,G0398,Home sleep test/type 2 porta,,,124.61,387.26,7 HCPCS,G0399,Home sleep test/type 3 porta,,,215.15,410.91,7 HCPCS,G0400,Home sleep test/type 4 porta,,,124.61,387.26,7 HCPCS,G0402,HC INITIAL PREVENTIVE EXAM,339.0,339.0,,,0 HCPCS,G0402,Initial preventive exam,,,104.51,238.78,7 HCPCS,G0403,EKG for initial prevent exam,,,30.84,54.1,4 HCPCS,G0404,EKG tracing for initial prev,,,15.41,51.88,7 HCPCS,G0404,HC EKG TRACING INITIAL PREV EXAM,60.0,60.0,,,0 HCPCS,G0405,EKG interpret & report preve,,,3.84,6.74,4 HCPCS,G0406,Inpt/tele follow up 15,,,18.64,32.69,4 HCPCS,G0407,Inpt/tele follow up 25,,,35.97,63.1,4 HCPCS,G0408,Inpt/tele follow up 35,,,52.02,91.25,4 HCPCS,G0409,CORF related serv 15 mins ea,,,19.27,33.81,4 HCPCS,G0412,Open tx iliac spine uni/bil,,,7230.12,13014.22,3 HCPCS,G0413,Pelvic ring fracture uni/bil,,,1193.64,13014.22,7 HCPCS,G0414,Pelvic ring fx treat int fix,,,7230.12,13014.22,3 HCPCS,G0415,Open tx post pelvic fxcture,,,3260.23,5868.42,3 HCPCS,G0416,"Prostate biopsy, any mthd",,,357.16,956.7,7 HCPCS,G0420,Ed svc CKD ind per session,,,52.66,207.36,7 HCPCS,G0421,Ed svc CKD grp per session,,,11.56,49.93,7 HCPCS,G0422,HC INTENS CARDIAC REHAB W/WO EKG WITH EXERCISE,356.0,356.0,,,0 HCPCS,G0422,Intens cardiac rehab w/exerc,,,108.07,231.2,7 HCPCS,G0423,HC INTENS CARDIAC REHAB W/WO EKG WITHOUT EXERCISE,356.0,356.0,,,0 HCPCS,G0423,Intens cardiac rehab no exer,,,108.07,231.2,7 HCPCS,G0425,Inpt/ed teleconsult30,,,48.82,85.64,4 HCPCS,G0426,Inpt/ed teleconsult50,,,67.43,118.28,4 HCPCS,G0427,Inpt/ed teleconsult70,,,101.49,178.03,4 HCPCS,G0429,Dermal filler injection(s),,,93.79,3700.55,7 HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,19.57,113.49,7 HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,18.29,57.24,7 HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,11.98,51.62,7 HCPCS,G0438,"HC PPPS, INITIAL VISIT",311.0,311.0,,,0 HCPCS,G0438,"PPPS, initial visit",,,145.17,302.35,7 HCPCS,G0439,"HC PPPS, SUBSEQ VISIT",271.0,271.0,,,0 HCPCS,G0439,"PPPS, subseq visit",,,107.91,237.89,7 HCPCS,G0442,Annual alcohol screen 15 min,,,24.74,67.2,7 HCPCS,G0443,Brief alcohol misuse counsel,,,68.9,182.2,7 HCPCS,G0444,Depression Screen annual,,,24.74,67.2,7 HCPCS,G0445,High inten beh couns STD 30m,,,68.9,182.2,7 HCPCS,G0446,Intens behave ther cardio dx,,,24.74,67.2,7 HCPCS,G0447,Behavior counsel obesity 15m,,,68.9,182.2,7 HCPCS,G0451,Devlopment test interpt&rep,,,68.9,182.2,7 HCPCS,G0452,Molecular pathology interpr,,,8.98,15.74,4 HCPCS,G0453,Cont intraop neuro monitor,,,17.99,31.56,4 HCPCS,G0454,MD document visit by NPP,,,4.5,7.9,4 HCPCS,G0455,Fecal microbiota prep instil,,,258.44,1667.9,7 HCPCS,G0458,LDR Prostate Brachy comp rat,,,3387.58,5942.22,8 HCPCS,G0459,Telehealth inpt pharm mgmt,,,10.92,19.16,4 HCPCS,G0460,Autologous PRP for ulcers,,,1399.9,3700.55,7 HCPCS,G0463,HC HOSPITAL OUTPT CLINIC VISIT,156.5,156.5,,,0 HCPCS,G0463,HC OBSTETRIC EST PT VISIT,594.0,594.0,,,0 HCPCS,G0463,Hospital outpt clinic visit,,,73.29,238.78,7 HCPCS,G0465,Autolog prp diab wound ulcer,,,2227.93,3908.05,4 HCPCS,G0465,HC AUTOLOGOUS PRP FOR DIABETIC CHRONIC WOUND/ULCERS PER TREATMENT,2195.0,2195.0,,,0 HCPCS,G0471,Ven blood coll snf/hha,,,8.95,20.41,7 HCPCS,G0472,Hep c screen high risk/other,,,35.82,83.43,7 HCPCS,G0473,Group behave couns 2-10,,,37.33,120.85,7 HCPCS,G0475,Hiv combination assay,,,24.08,79.26,7 HCPCS,G0476,Hpv combo assay ca screen,,,35.09,151.13,7 HCPCS,G0480,Drug test def 1-7 classes,,,114.43,250.88,7 HCPCS,G0480,HC 6MAM EXPANDED CONF,118.0,118.0,,,0 HCPCS,G0480,HC ALPRAZOLAM LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC AMITRIPTYLINE LEVEL,131.0,131.0,,,0 HCPCS,G0480,HC AMPHETAMINES CONFIRMATION,118.0,118.0,,,0 HCPCS,G0480,HC AMPHETAMINES MECONIUM CONF,63.0,63.0,,,0 HCPCS,G0480,HC ANTIDEPRESSANTS NOS,106.0,106.0,,,0 HCPCS,G0480,HC BARBITURATES CONFIRMATION,131.0,131.0,,,0 HCPCS,G0480,HC BENZO EXPANDED CONFIRMATION,118.0,118.0,,,0 HCPCS,G0480,HC BLOOD ETHANOL LEVEL,131.0,131.0,,,0 HCPCS,G0480,HC BUPRENORPHINE LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC CANNABINOIDS CONFIRMATION,131.0,131.0,,,0 HCPCS,G0480,HC CANNABIS MECONIUM CONF,63.0,63.0,,,0 HCPCS,G0480,HC CITALOPRAM LEVEL,133.0,133.0,,,0 HCPCS,G0480,HC CLONAZEPAM LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC COCAINE MECONIUM CONF,63.0,63.0,,,0 HCPCS,G0480,HC COCAINE METABOLITES CONF,118.0,118.0,,,0 HCPCS,G0480,HC COCAINE METABOLITES LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC CODEINE MORPHINE LEVEL,135.0,135.0,,,0 HCPCS,G0480,HC DIAZEPAM LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2,118.0,118.0,,,0 HCPCS,G0480,HC DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2,118.0,118.0,,,0 HCPCS,G0480,HC DRUG SCREEN  ALCOHOLS  W CONF,12.5,12.5,,,0 HCPCS,G0480,HC DRUG SCREEN  AMPHETAMINES  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  BENZODIAZEPINES  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  BUPRENORPHINE  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  CANNABINOIDS  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  COCAINE  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  FENTANYL  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  GABAPENTIN  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  HEROIN MET  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  MDMA  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  METHADONE  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  METHYLPHENIDATE  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  OPIATES  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  OXYCODONE  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  PREGABALIN  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG SCREEN  TRAMADOL  W CONF,7.5,7.5,,,0 HCPCS,G0480,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3,118.0,118.0,,,0 HCPCS,G0480,HC ETHANOL CONFIRMATION,131.0,131.0,,,0 HCPCS,G0480,HC ETHANOL VITREOUS HUMOR,131.0,131.0,,,0 HCPCS,G0480,HC FENTANYL CONFIRMATION,118.0,118.0,,,0 HCPCS,G0480,HC FLUOXETINE LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC ISOPROPANOL LEVEL,131.0,131.0,,,0 HCPCS,G0480,HC LORAZEPAM LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC MECONIUM DRUG SCREENING FENTANYL,106.0,106.0,,,0 HCPCS,G0480,HC METHADONE CONF,118.0,118.0,,,0 HCPCS,G0480,HC METHADONE LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC METHADONE MECONIUM CONF,63.0,63.0,,,0 HCPCS,G0480,HC METHANOL LEVEL,131.0,131.0,,,0 HCPCS,G0480,HC METHYLPHENIDATE CONF,131.0,131.0,,,0 HCPCS,G0480,HC NICOTINE ASSAY,131.0,131.0,,,0 HCPCS,G0480,HC NORTRIPTYLINE LEVEL,131.0,131.0,,,0 HCPCS,G0480,HC OLANZAPINE,131.0,131.0,,,0 HCPCS,G0480,HC OPIATES EXPANDED CONF,131.0,131.0,,,0 HCPCS,G0480,HC OPIATES MECONIUM CONF,63.0,63.0,,,0 HCPCS,G0480,HC OXYCODONE EXPANDED CONF,118.0,118.0,,,0 HCPCS,G0480,HC OXYCODONE LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC OXYCODONE MECONIUM CONF,63.0,63.0,,,0 HCPCS,G0480,HC PENTOBARBITAL LEVEL,131.0,131.0,,,0 HCPCS,G0480,HC PHOSPHATIDYLETHANOL (PETH) DRUG SCREEN QUANT,133.0,133.0,,,0 HCPCS,G0480,HC QUETIAPINE BLD LEVEL,131.0,131.0,,,0 HCPCS,G0480,HC SERTRALINE LEVEL,118.0,118.0,,,0 HCPCS,G0480,HC SUBSTANCE ANALYSIS QUAL,129.0,129.0,,,0 HCPCS,G0480,HC SUBSTANCE ANALYSIS QUANT,129.0,129.0,,,0 HCPCS,G0480,HC TOXIC ALCOHOLS,142.0,142.0,,,0 HCPCS,G0480,HC TRAMADOL CONF,118.0,118.0,,,0 HCPCS,G0480,HC TRAZODONE,106.0,106.0,,,0 HCPCS,G0480,HC VOLATILE SCREEN,131.0,131.0,,,0 HCPCS,G0481,Drug test def 8-14 classes,,,156.59,326.11,7 HCPCS,G0482,Drug test def 15-21 classes,,,198.74,413.95,7 HCPCS,G0483,Drug test def 22+ classes,,,246.92,514.27,7 HCPCS,G0498,Chemo extend iv infus w/pump,,,273.99,592.41,7 HCPCS,G0498,HC CHEMO EXTEND IV INFUS W/PUMP,861.0,861.0,,,0 HCPCS,G0499,Hepb screen high risk indiv,,,28.27,50.89,3 HCPCS,G0500,Mod sedat endo service >5yrs,,,98.28,172.4,4 HCPCS,G0506,Comp asses care plan ccm svc,,,54.6,95.78,4 HCPCS,G0508,Crit care telehea consult 60,,,86.08,151.0,4 HCPCS,G0509,Crit care telehea consult 50,,,82.87,145.36,4 HCPCS,G0511,Ccm/bhi by rhc/fqhc 20min mo,,,60.58,106.26,4 HCPCS,G0512,Cocm by rhc/fqhc 60 min mo,,,148.84,261.08,4 HCPCS,G0513,"Prolong prev svcs, first 30m",,,37.37,65.55,4 HCPCS,G0514,"Prolong prev svcs, addl 30m",,,37.37,65.55,4 HCPCS,G0516,"Insert drug del implant, >4",,,445.12,1036.1,7 HCPCS,G0517,Remove drug implant,,,445.12,1036.1,7 HCPCS,G0518,Remove w insert drug implant,,,445.12,1036.1,7 HCPCS,G0537,Risk ascvd tst once pr 12 mo,,,31.93,67.2,7 HCPCS,G0538,Ascvd rsk mng clin stf pr mo,,,99.15,182.2,7 HCPCS,G0539,Initial care training 30 m,,,20.11,70.69,7 HCPCS,G0540,Train for caregiver add 15,,,8.32,37.4,7 HCPCS,G0541,No pt prsnt train initial 30,,,20.11,51.88,7 HCPCS,G0542,No pt prsnt train add 15,,,8.32,14.59,4 HCPCS,G0543,Group train w/o patient,,,15.26,51.88,7 HCPCS,G0544,Post d/c phone follow up,,,99.15,182.2,7 HCPCS,G0545,Inherent visit to inpt,,,13.18,23.12,4 HCPCS,G0546,Phone/internet ehr assess,,,5.21,9.13,4 HCPCS,G0547,Phone/internet svs 11-20 m,,,10.75,18.86,4 HCPCS,G0548,Phone/inter svs 21-30 m,,,16.29,28.58,4 HCPCS,G0549,Phone/inter for treat>31m,,,22.19,38.92,4 HCPCS,G0550,Phone/inter for dx/treat >5m,,,9.02,15.82,4 HCPCS,G0551,Phn/intr svs fr dx treat 30m,,,10.75,18.86,4 HCPCS,G0552,Supply of digital device,,,132.66,242.32,7 HCPCS,G0553,Monthly tx for dmht 20mins,,,132.66,242.32,7 HCPCS,G0554,Add 20 m of monthly tx,,,20.11,35.27,4 HCPCS,G0555,Replacment pt electronic sys,,,855.65,1912.96,7 HCPCS,G0556,Adv prim care mgmt lvl 1,,,31.93,67.2,7 HCPCS,G0557,Adv prim care mgmt lvl 2,,,31.93,67.2,7 HCPCS,G0558,Adv prim care mgmt lvl 3,,,99.15,182.2,7 HCPCS,G0559,Unrelat prac follow up visit,,,2.78,4.88,4 HCPCS,G0560,Safety plan interven,,,5.55,70.6,7 HCPCS,G0562,Complex simulation w/pet-ct,,,1902.28,3667.43,7 HCPCS,G0563,Sbrt w/positron emission del,,,3170.15,7051.88,7 HCPCS,G0566,3d bn img algor drvd fr mri,,,128.21,230.78,3 HCPCS,G0567,Screening Hep C detect,,,35.09,63.16,3 HCPCS,G0568,"Int psych care mng, 1 cal mo",,,101.22,182.2,3 HCPCS,G0569,"Subs psych care mng, subs mo",,,101.22,182.2,3 HCPCS,G0570,"Care manage serv, pr cal mo",,,37.33,67.2,3 HCPCS,G0659,Drug test def simple all cl,,,62.14,152.52,7 HCPCS,G2000,Blinded conv. Tx MDD clin tr,,,371.82,1374.48,7 HCPCS,G2011,Alcohol/sub abuse assess,,,28.82,51.88,7 HCPCS,G2061,Qual nonMD est pt 5-10m,,,15.63,27.42,4 HCPCS,G2062,Qual nonMD est pt 11-20m,,,27.57,48.37,4 HCPCS,G2063,Qual nonMD est pt 21>min,,,42.75,74.98,4 HCPCS,G2082,Visit esketamine 56m or less,,,828.49,1844.16,7 HCPCS,G2083,"Visit esketamine, > 56m",,,1210.59,2897.46,7 HCPCS,G2086,Off base opioid tx 70min,,,167.3,318.34,7 HCPCS,G2087,"Off base opioid tx, 60 m",,,167.3,318.34,7 HCPCS,G2088,"Off base opioid tx, add30",,,44.59,78.21,4 HCPCS,G2212,Prolong outpt/office vis,,,13.33,23.39,4 HCPCS,G2213,Initiat med assist tx in er,,,24.44,42.87,4 HCPCS,G2214,Init/sub psych care m 1st 30,,,95.36,182.2,7 HCPCS,G2250,"Remot img sub by pt, non e/m",,,7.11,14.24,7 HCPCS,G2251,"Brief chkin, 5-10, non-e/m",,,6.67,19.53,7 HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,10.23,41.65,7 HCPCS,G3002,Chronic pain mgmt 30 mins,,,34.8,61.04,4 HCPCS,G3003,Chronic pain mgmt addl 15m,,,13.68,23.99,4 HCPCS,G6001,Echo guidance radiotherapy,,,39.81,69.84,4 HCPCS,G6002,Stereoscopic x-ray guidance,,,100.86,176.92,4 HCPCS,G6003,Radiation treatment delivery,,,346.25,607.36,4 HCPCS,G6004,Radiation treatment delivery,,,262.72,460.84,4 HCPCS,G6005,Radiation treatment delivery,,,262.1,459.75,4 HCPCS,G6006,Radiation treatment delivery,,,262.1,459.75,4 HCPCS,G6007,Radiation treatment delivery,,,540.88,948.77,4 HCPCS,G6008,Radiation treatment delivery,,,361.66,634.39,4 HCPCS,G6009,Radiation treatment delivery,,,360.38,632.16,4 HCPCS,G6010,Radiation treatment delivery,,,359.1,629.9,4 HCPCS,G6011,Radiation treatment delivery,,,524.18,919.48,4 HCPCS,G6012,Radiation treatment delivery,,,478.57,839.47,4 HCPCS,G6013,Radiation treatment delivery,,,479.23,840.63,4 HCPCS,G6014,Radiation treatment delivery,,,479.87,841.74,4 HCPCS,G6015,Radiation tx delivery imrt,,,626.31,1098.63,4 HCPCS,G6016,Delivery comp imrt,,,624.41,1095.28,4 HCPCS,G9143,Warfarin respon genetic test,,,296.39,519.9,4 HCPCS,G9157,Transesoph doppl cardiac mon,,,23.77,41.69,4 HCPCS,J0120,Tetracyclin injection,,,18.23,20.96,4 HCPCS,J0121,"Inj., omadacycline, 1 mg",,,4.16,7.54,7 HCPCS,J0122,"Inj., eravacycline, 1 mg",,,1.34,2.49,7 HCPCS,J0129,Abatacept injection,,,45.86,82.55,7 HCPCS,J0130,Abciximab injection,,,1375.15,1581.42,4 HCPCS,J0131,Acetaminophen injection,,,0.06,0.07,4 HCPCS,J0132,Acetylcysteine injection,,,0.38,0.44,4 HCPCS,J0133,Acyclovir injection,,,0.03,0.03,4 HCPCS,J0134,Inj acetaminophen -fresenius,,,0.06,0.07,4 HCPCS,J0136,"Inj, acetaminophen (b braun)",,,0.05,0.06,4 HCPCS,J0137,"Inj, acetaminophen (hikma)",,,0.05,0.06,4 HCPCS,J0138,"Injection, acetaminoph 10 mg",,,0.09,0.26,7 HCPCS,J0153,Adenosine inj 1mg,,,0.47,0.54,4 HCPCS,J0165,Inj epinephrine nos 0.1 mg,,,0.6,0.69,4 HCPCS,J0166,Inj epinephrine (bpi),,,2.37,2.73,4 HCPCS,J0167,Inj epinephrine (hospira),,,0.76,0.87,4 HCPCS,J0168,Epinephrine (intl med sys),,,2.26,2.6,4 HCPCS,J0169,Inj epinephrine (adrenalin),,,1.37,1.58,4 HCPCS,J0172,"Inj, aducanumab-avwa, 2 mg",,,6.2,7.13,4 HCPCS,J0175,"Inj, donanemab-azbt, 2 mg",,,4.16,7.5,7 HCPCS,J0177,"Inj, aflibercept hd, 1 mg",,,298.68,537.63,7 HCPCS,J0178,Aflibercept injection,,,743.6,1338.49,7 HCPCS,J0179,"Inj, brolucizumab-dbll, 1 mg",,,359.26,647.48,7 HCPCS,J0180,Agalsidase beta injection,,,232.72,418.9,7 HCPCS,J0184,"Inj, amisulpride, 1 mg",,,9.57,17.22,7 HCPCS,J0185,"Inj., aprepitant, 1 mg",,,1.59,2.86,7 HCPCS,J0190,Inj biperiden lactate/5 mg,,,3.75,4.31,4 HCPCS,J0200,Alatrofloxacin mesylate,,,17.03,19.58,4 HCPCS,J0202,"Injection, alemtuzumab",,,2532.8,4580.89,7 HCPCS,J0205,Alglucerase injection,,,40.44,46.51,4 HCPCS,J0206,Inj allopurinol sodium 1 mg,,,4.07,7.33,7 HCPCS,J0207,Amifostine,,,1092.84,1256.77,4 HCPCS,J0208,Inj sodium thiosulfate 100mg,,,93.16,174.2,7 HCPCS,J0209,"Inj, sod thiosulfate (hope)",,,0.82,1.51,7 HCPCS,J0210,Methyldopate hcl injection,,,40.8,46.92,4 HCPCS,J0211,"Inj, nithiodote, 3mg / 125mg",,,2.0,3.9,7 HCPCS,J0215,Alefacept,,,40.07,46.08,4 HCPCS,J0216,"Inj, alfentanil hcl, 500mcg",,,2.66,3.06,4 HCPCS,J0217,Inj velmanase alfa-tycv 1 mg,,,479.19,862.54,7 HCPCS,J0218,Inj olipudase alfa-rpcp 1mg,,,404.95,728.9,7 HCPCS,J0219,Inj aval alfa-nqpt 4mg,,,83.8,151.1,7 HCPCS,J0220,Alglucosidase alfa injection,,,198.9,228.74,4 HCPCS,J0221,Lumizyme injection,,,211.13,380.03,7 HCPCS,J0222,"Inj., patisiran, 0.1 mg",,,101.03,181.85,7 HCPCS,J0223,Inj givosiran 0.5 mg,,,120.92,217.65,7 HCPCS,J0224,"Inj. lumasiran, 0.5 mg",,,336.97,606.55,7 HCPCS,J0225,"Inj, vutrisiran, 1 mg",,,5012.6,9022.68,7 HCPCS,J0248,"Inj, remdesivir, 1 mg?",,,6.98,13.52,7 HCPCS,J0256,Alpha 1 proteinase inhibitor,,,5.13,9.24,7 HCPCS,J0257,Glassia injection,,,5.58,10.05,7 HCPCS,J0270,Alprostadil for injection,,,10.48,12.05,4 HCPCS,J0275,Alprostadil urethral suppos,,,27.18,31.26,4 HCPCS,J0278,Amikacin sulfate injection,,,0.64,0.74,4 HCPCS,J0280,Aminophyllin 250 MG inj,,,8.61,9.9,4 HCPCS,J0281,Inj aminocaproic acid 1 gram,,,1.55,1.78,4 HCPCS,J0282,Amiodarone HCl,,,0.53,0.61,4 HCPCS,J0283,"Inj, amiodarone (nexterone)",,,2.71,3.12,4 HCPCS,J0285,Amphotericin B,,,35.41,40.72,4 HCPCS,J0287,Amphotericin b lipid complex,,,10.69,12.29,4 HCPCS,J0288,Ampho b cholesteryl sulfate,,,13.6,15.64,4 HCPCS,J0289,Amphotericin b liposome inj,,,19.84,35.72,7 HCPCS,J0290,Ampicillin 500 MG inj,,,0.51,0.59,4 HCPCS,J0291,"Inj., plazomicin, 5 mg",,,3.52,6.33,7 HCPCS,J0295,Ampicillin sodium per 1.5 gm,,,1.55,1.78,4 HCPCS,J0300,Amobarbital 125 MG inj,,,186.93,214.97,4 HCPCS,J0330,Succinycholine chloride inj,,,0.84,0.97,4 HCPCS,J0348,Anidulafungin injection,,,0.5,0.58,4 HCPCS,J0349,"Inj, rezafungin, 1 mg",,,11.0,19.8,7 HCPCS,J0350,Injection anistreplase 30 u,,,2410.24,2771.78,4 HCPCS,J0360,Hydralazine hcl injection,,,5.38,6.19,4 HCPCS,J0364,Apomorphine hydrochloride,,,35.41,40.72,4 HCPCS,J0365,"Aprotonin, 10,000 kiu",,,2.75,3.16,4 HCPCS,J0380,Inj metaraminol bitartrate,,,1.14,1.31,4 HCPCS,J0390,Chloroquine injection,,,17.61,20.25,4 HCPCS,J0391,"Inj, artesunate, 1mg",,,49.87,93.29,7 HCPCS,J0395,Arbutamine HCl injection,,,163.2,187.68,4 HCPCS,J0400,Aripiprazole injection,,,0.73,0.84,4 HCPCS,J0401,Inj aripiprazole ext rel 1mg,,,7.46,13.43,7 HCPCS,J0402,"Inj, abilify asimtufii, 1 mg",,,6.18,11.13,7 HCPCS,J0456,Azithromycin,,,2.71,3.12,4 HCPCS,J0457,"Injection, aztreonam, 100 mg",,,2.77,3.19,4 HCPCS,J0461,Atropine sulfate injection,,,0.07,0.08,4 HCPCS,J0470,Dimecaprol injection,,,54.55,62.73,4 HCPCS,J0475,Baclofen 10 mg injection,,,182.45,334.99,7 HCPCS,J0476,Baclofen intrathecal trial,,,69.74,80.2,4 HCPCS,J0480,Basiliximab,,,4848.79,8829.09,7 HCPCS,J0485,Belatacept injection,,,3.88,6.99,7 HCPCS,J0490,Belimumab injection,,,58.12,104.93,7 HCPCS,J0491,Inj anifrolumab-fnia 1mg,,,18.51,33.31,7 HCPCS,J0500,Dicyclomine injection,,,12.12,13.94,4 HCPCS,J0515,Inj benztropine mesylate,,,17.92,20.61,4 HCPCS,J0517,"Inj., benralizumab, 1 mg",,,165.56,298.01,7 HCPCS,J0520,Bethanechol chloride inject,,,4.78,5.5,4 HCPCS,J0558,PenG benzathine/procaine inj,,,18.02,35.14,7 HCPCS,J0561,Penicillin g benzathine inj,,,30.41,58.67,7 HCPCS,J0565,"Inj, bezlotoxumab, 10 mg",,,39.82,71.68,7 HCPCS,J0567,"Inj., cerliponase alfa 1 mg",,,119.58,222.08,7 HCPCS,J0571,Buprenorphine oral 1mg,,,0.27,0.31,4 HCPCS,J0572,Bupren/nal up to 3mg bupreno,,,4.0,4.6,4 HCPCS,J0573,Bupren/nal 3.1 to 6mg bupren,,,7.91,9.1,4 HCPCS,J0574,Bupren/nal 6.1 to 10mg bupre,,,7.91,9.1,4 HCPCS,J0575,Bupren/nal over 10mg bupreno,,,15.83,18.2,4 HCPCS,J0577,"Inj, brixadi, 7 days or less",,,430.58,775.04,7 HCPCS,J0578,"Inj brixadi, more than 7 day",,,1722.3,3100.15,7 HCPCS,J0583,Bivalirudin,,,0.17,0.2,4 HCPCS,J0584,"Injection, burosumab-twza 1m",,,499.74,924.07,7 HCPCS,J0585,"Injection,onabotulinumtoxina",,,6.51,11.71,7 HCPCS,J0586,Abobotulinumtoxina,,,8.95,16.1,7 HCPCS,J0587,"Inj, rimabotulinumtoxinb",,,13.29,23.92,7 HCPCS,J0588,Incobotulinumtoxin a,,,5.28,9.51,7 HCPCS,J0589,Inj daxibotulinumtoxina-lanm,,,3.07,5.52,7 HCPCS,J0591,"Inj deoxycholic acid, 1 mg",,,15.3,17.6,4 HCPCS,J0592,Buprenorphine hydrochloride,,,4.29,4.93,4 HCPCS,J0593,"Inj., lanadelumab-flyo, 1 mg",,,88.22,158.79,7 HCPCS,J0594,Busulfan injection,,,1.03,2.2,7 HCPCS,J0595,Butorphanol tartrate 1 mg,,,5.24,6.03,4 HCPCS,J0596,"Injection, ruconest",,,37.83,68.1,7 HCPCS,J0597,"C-1 esterase, berinert",,,78.73,142.67,7 HCPCS,J0598,"C-1 esterase, cinryze",,,66.75,120.16,7 HCPCS,J0599,"Inj., haegarda 10 units",,,12.34,14.19,4 HCPCS,J0600,Edetate calcium disodium inj,,,6189.49,11141.08,7 HCPCS,J0601,Sevelamer carbonate 20 mg,,,0.01,0.01,4 HCPCS,J0602,Sevelamer carbonate pdr 20mg,,,0.05,0.06,4 HCPCS,J0603,Sevelamer hydrochloride 20mg,,,0.09,0.1,4 HCPCS,J0604,"Cinacalcet, esrd on dialysis",,,0.02,0.02,4 HCPCS,J0605,Sucroferric oxyhydroxide 5mg,,,0.18,0.21,4 HCPCS,J0606,"Inj, etelcalcetide, 0.1 mg",,,2.47,4.84,7 HCPCS,J0607,Lanthanum carbonate oral 5mg,,,0.04,0.05,4 HCPCS,J0608,Lanthanum carbonate pwdr 5mg,,,0.06,0.07,4 HCPCS,J0609,Ferric citrate orl 3 mg iron,,,0.11,0.13,4 HCPCS,J0612,Calcium glucon (fresenius),,,0.04,0.05,4 HCPCS,J0613,Calcium glucon (wg critical),,,0.08,0.09,4 HCPCS,J0615,"Calcium acetate, oral, 23 mg",,,0.02,0.02,4 HCPCS,J0616,Inj metoprolol tartrate 1 mg,,,0.14,0.16,4 HCPCS,J0618,"Inj, calcium chloride, 2 mg",,,0.03,0.03,4 HCPCS,J0620,Calcium glycer & lact/10 ML,,,13.09,15.05,4 HCPCS,J0630,Calcitonin salmon injection,,,816.0,938.4,4 HCPCS,J0636,Inj calcitriol per 0.1 mcg,,,1.01,1.16,4 HCPCS,J0637,Caspofungin acetate,,,2.35,2.7,4 HCPCS,J0638,Canakinumab injection,,,146.32,281.77,7 HCPCS,J0640,Leucovorin calcium injection,,,4.1,4.72,4 HCPCS,J0641,Levoleucovorin injection,,,0.04,0.05,4 HCPCS,J0642,"Injection, khapzory, 0.5 mg",,,1.16,1.33,4 HCPCS,J0650,"Inj, levothyroxine nos 10mcg",,,7.99,9.19,4 HCPCS,J0651,"Inj, levothyroxine, freskabi",,,6.84,12.3,7 HCPCS,J0652,"Inj, levothyroxine, hikma",,,5.33,6.13,4 HCPCS,J0665,"Inj, bupivacaine, nos, 0.5mg",,,0.01,0.01,4 HCPCS,J0666,"Inj, bupivacaine liposome",,,1.45,2.62,7 HCPCS,J0668,"Instill, bupivac and meloxic",,,0.85,1.52,3 HCPCS,J0670,Inj mepivacaine HCL/10 ml,,,3.97,4.57,4 HCPCS,J0687,Inj cefazolin (wg crit care),,,1.04,1.2,4 HCPCS,J0688,"Inj cefazolin sodium, hikma",,,0.95,1.09,4 HCPCS,J0689,"Inj cefazolin sodium, baxter",,,1.38,1.59,4 HCPCS,J0690,Cefazolin sodium injection,,,0.87,1.0,4 HCPCS,J0691,Inj lefamulin 1 mg,,,0.7,0.81,4 HCPCS,J0692,Cefepime hcl for injection,,,1.28,1.47,4 HCPCS,J0694,Cefoxitin sodium injection,,,5.33,6.13,4 HCPCS,J0695,Inj ceftolozane tazobactam,,,9.47,18.07,7 HCPCS,J0696,Ceftriaxone sodium injection,,,0.5,0.58,4 HCPCS,J0697,Sterile cefuroxime injection,,,2.38,2.74,4 HCPCS,J0698,Cefotaxime sodium injection,,,10.0,11.5,4 HCPCS,J0699,"Inj, cefiderocol, 10 mg",,,2.49,4.59,7 HCPCS,J0701,Inj. cefepime hcl (baxter),,,6.09,7.0,4 HCPCS,J0702,Betamethasone acet&sod phosp,,,7.15,8.22,4 HCPCS,J0703,"Inj, cefepime hcl (b braun)",,,5.27,6.06,4 HCPCS,J0706,Caffeine citrate injection,,,1.23,1.41,4 HCPCS,J0710,Cephapirin sodium injection,,,1.39,1.6,4 HCPCS,J0712,Ceftaroline fosamil inj,,,4.39,7.9,7 HCPCS,J0713,Inj ceftazidime per 500 mg,,,1.7,1.96,4 HCPCS,J0714,Ceftazidime and avibactam,,,108.91,197.58,7 HCPCS,J0715,Ceftizoxime sodium / 500 MG,,,5.54,6.37,4 HCPCS,J0716,Centruroides immune f(ab),,,5351.02,6153.67,4 HCPCS,J0717,Certolizumab pegol inj 1mg,,,3.44,6.2,7 HCPCS,J0720,Chloramphenicol sodium injec,,,49.62,57.06,4 HCPCS,J0725,Chorionic gonadotropin/1000u,,,18.17,20.9,4 HCPCS,J0735,Clonidine hydrochloride,,,18.34,21.09,4 HCPCS,J0736,"Inj, clindamycin phosp 300mg",,,1.73,1.99,4 HCPCS,J0737,"Inj, clindamycin (baxter)",,,1.78,2.05,4 HCPCS,J0739,"Injection, cabotegravir 1 mg",,,7.29,13.13,7 HCPCS,J0740,Cidofovir injection,,,535.74,964.32,7 HCPCS,J0741,"Inj, cabote rilpivir 2mg 3mg",,,24.52,44.4,7 HCPCS,J0742,Inj imip 4 cilas 4 releb 2mg,,,2.71,3.12,4 HCPCS,J0743,Cilastatin sodium injection,,,7.24,8.33,4 HCPCS,J0744,Ciprofloxacin iv,,,2.41,2.77,4 HCPCS,J0745,Inj codeine phosphate /30 MG,,,1.29,1.48,4 HCPCS,J0750,"Hiv prep, ftc/tdf 200/300mg",,,0.45,2.07,7 HCPCS,J0751,"Hiv prep, ftc/taf 200/25mg",,,71.43,128.57,7 HCPCS,J0770,Colistimethate sodium inj,,,11.82,13.59,4 HCPCS,J0775,"Collagenase, clost hist inj",,,78.3,140.94,7 HCPCS,J0780,Prochlorperazine injection,,,2.62,3.01,4 HCPCS,J0791,Inj crizanlizumab-tmca 5mg,,,129.94,233.89,7 HCPCS,J0795,Corticorelin ovine triflutal,,,9.31,10.71,4 HCPCS,J0801,Inj. acthar gel to 40 units,,,4133.45,7440.21,7 HCPCS,J0802,"Inj. (ani), up to 40 units",,,3674.68,6614.42,7 HCPCS,J0834,Cosyntropin cortrosyn inj,,,29.08,33.44,4 HCPCS,J0840,Crotalidae poly immune fab,,,1906.91,3432.43,7 HCPCS,J0841,Inj crotalidae im f(ab')2 eq,,,1083.54,1246.07,4 HCPCS,J0850,Cytomegalovirus imm IV /vial,,,1858.82,3345.88,7 HCPCS,J0870,"Injection, imetelstat, 1 mg",,,59.17,107.16,7 HCPCS,J0872,Daptomycin (xellia) unrefrig,,,0.05,0.06,4 HCPCS,J0873,"Inj, daptomycin (xellia)",,,0.04,0.05,4 HCPCS,J0874,"Inj, daptomycin (baxter)",,,0.06,0.07,4 HCPCS,J0875,"Injection, dalbavancin",,,11.29,20.33,7 HCPCS,J0877,"Inj, daptomycin (hospira)",,,0.06,0.07,4 HCPCS,J0878,Daptomycin injection,,,0.03,0.03,4 HCPCS,J0879,"Difelikefalin, esrd on dialy",,,0.24,0.28,4 HCPCS,J0881,"Darbepoetin alfa, non-esrd",,,2.92,5.26,7 HCPCS,J0882,"Darbepoetin alfa, esrd use",,,2.92,5.26,7 HCPCS,J0883,Argatroban nonesrd use 1mg,,,0.77,1.56,7 HCPCS,J0884,Argatroban esrd dialysis 1mg,,,0.77,0.89,4 HCPCS,J0885,"Epoetin alfa, non-esrd",,,6.88,12.38,7 HCPCS,J0887,Epoetin beta esrd use,,,1.47,1.69,4 HCPCS,J0888,Epoetin beta non esrd,,,1.47,1.69,4 HCPCS,J0889,Daprodustat oral 1mg esrd,,,3.99,4.59,4 HCPCS,J0890,Peginesatide injection,,,11.02,12.67,4 HCPCS,J0891,Argatroban nonesrd (accord),,,1.82,4.65,7 HCPCS,J0892,Argatroban dialysis (accord),,,4.04,4.65,4 HCPCS,J0893,"Inj, decitabine (sun pharma)",,,0.81,0.93,4 HCPCS,J0894,Decitabine injection,,,1.65,1.9,4 HCPCS,J0895,Deferoxamine mesylate inj,,,9.36,10.76,4 HCPCS,J0896,Inj luspatercept-aamt 0.25mg,,,43.51,78.33,7 HCPCS,J0897,Denosumab injection,,,30.1,54.18,7 HCPCS,J0898,Argatroban nonesrd (auromed),,,1.5,1.73,4 HCPCS,J0899,"Argatroban dialysis, auromed",,,1.5,1.73,4 HCPCS,J0901,Vadadustat oral 1mg for esrd,,,0.14,0.16,4 HCPCS,J0911,Inst tauro 1.35mg/hep 100u,,,4.21,9.78,7 HCPCS,J0945,Brompheniramine maleate inj,,,0.74,0.85,4 HCPCS,J1000,Depo-estradiol cypionate inj,,,48.68,55.98,4 HCPCS,J1010,"Inj, methylpred acetate 1 mg",,,0.12,0.14,4 HCPCS,J1050,Medroxyprogesterone acetate,,,0.55,0.63,4 HCPCS,J1071,Inj testosterone cypionate,,,0.03,0.03,4 HCPCS,J1072,"Inj, testosterone, azmiro",,,1.3,2.33,7 HCPCS,J1095,"Injection, dexamethasone 9%",,,1.17,1.35,4 HCPCS,J1096,Dexametha opth insert 0.1 mg,,,90.02,162.03,7 HCPCS,J1097,Phenylep ketorolac opth soln,,,96.31,173.35,7 HCPCS,J1100,Dexamethasone sodium phos,,,0.12,0.14,4 HCPCS,J1110,Inj dihydroergotamine mesylt,,,100.74,115.85,4 HCPCS,J1120,Acetazolamid sodium injectio,,,17.88,20.56,4 HCPCS,J1130,Inj diclofenac sodium 0.5mg,,,0.21,0.24,4 HCPCS,J1160,Digoxin injection,,,4.15,4.77,4 HCPCS,J1162,Digoxin immune fab (ovine),,,5156.07,9689.98,7 HCPCS,J1163,"Inj, diltiazem hcl, 0.5 mg",,,0.04,0.05,4 HCPCS,J1165,Phenytoin sodium injection,,,0.68,0.78,4 HCPCS,J1171,"Inj, hydromorphone, 0.1 mg",,,0.09,0.1,4 HCPCS,J1180,Dyphylline injection,,,8.07,9.28,4 HCPCS,J1190,Dexrazoxane hcl injection,,,33.3,74.59,7 HCPCS,J1200,Diphenhydramine hcl injectio,,,0.94,1.08,4 HCPCS,J1201,Inj. cetirizine hcl 0.5mg,,,17.02,30.88,7 HCPCS,J1202,Miglustat oral 65 mg,,,34.19,39.32,4 HCPCS,J1203,"Inj, cipaglucosidase, 5 mg",,,93.19,173.34,7 HCPCS,J1205,Chlorothiazide sodium inj,,,41.91,48.2,4 HCPCS,J1212,Dimethyl sulfoxide 50% 50 ML,,,748.88,1347.98,7 HCPCS,J1230,Methadone injection,,,23.78,27.35,4 HCPCS,J1240,Dimenhydrinate injection,,,8.03,9.23,4 HCPCS,J1245,Dipyridamole injection,,,4.01,4.61,4 HCPCS,J1250,Inj dobutamine HCL/250 mg,,,8.28,9.52,4 HCPCS,J1260,Dolasetron mesylate,,,5.98,6.88,4 HCPCS,J1265,Dopamine injection,,,0.68,0.78,4 HCPCS,J1267,Doripenem injection,,,0.81,0.93,4 HCPCS,J1270,"Injection, doxercalciferol",,,0.39,0.45,4 HCPCS,J1271,Inj doxycycline hyclate 1 mg,,,0.12,0.14,4 HCPCS,J1290,Ecallantide injection,,,595.94,1072.7,7 HCPCS,J1299,"Inj, eculizumab, 2 mg",,,44.2,79.56,7 HCPCS,J1301,"Injection, edaravone, 1 mg",,,6.46,22.48,7 HCPCS,J1302,"Inj, sutimlimab-jome, 10 mg",,,18.79,35.36,7 HCPCS,J1303,"Inj., ravulizumab-cwvz 10 mg",,,226.92,408.46,7 HCPCS,J1304,Inj tofersen intrathec 1 mg,,,161.2,296.67,7 HCPCS,J1305,"Inj, evinacumab-dgnb, 5mg",,,196.91,355.74,7 HCPCS,J1306,"Injection, inclisiran, 1 mg",,,12.82,23.23,7 HCPCS,J1307,"Inj, crovalimab-akkz, 10 mg",,,530.7,992.72,7 HCPCS,J1308,"Inj, famotidine, 0.25 mg",,,0.01,0.01,4 HCPCS,J1320,Amitriptyline injection,,,2.24,2.58,4 HCPCS,J1322,"Elosulfase alfa, injection",,,318.37,575.13,7 HCPCS,J1323,"Inj, elranatamab-bcmm, 1 mg",,,192.3,346.47,7 HCPCS,J1324,Enfuvirtide injection,,,0.68,0.78,4 HCPCS,J1325,Epoprostenol injection,,,16.81,19.33,4 HCPCS,J1326,"Inj, zolbetuximab-clzb, 2 mg",,,33.92,61.06,7 HCPCS,J1327,Eptifibatide injection,,,3.87,12.47,7 HCPCS,J1330,Ergonovine maleate injection,,,4.87,5.6,4 HCPCS,J1335,Ertapenem injection,,,9.36,10.76,4 HCPCS,J1364,Erythro lactobionate /500 MG,,,77.89,89.57,4 HCPCS,J1380,Estradiol valerate 10 MG inj,,,8.0,9.2,4 HCPCS,J1410,Inj estrogen conjugate 25 MG,,,401.5,722.71,7 HCPCS,J1426,"Injection, casimersen, 10 mg",,,163.2,299.11,7 HCPCS,J1427,Inj. viltolarsen,,,57.53,66.16,4 HCPCS,J1428,"Inj, eteplirsen, 10 mg",,,163.2,301.36,7 HCPCS,J1429,Inj golodirsen 10 mg,,,163.2,187.68,4 HCPCS,J1430,Ethanolamine oleate 100 mg,,,539.12,985.09,7 HCPCS,J1434,"Inj, focinvez, 1mg",,,2.46,4.42,7 HCPCS,J1435,Injection estrone per 1 MG,,,0.17,0.2,4 HCPCS,J1436,Etidronate disodium inj,,,68.71,79.02,4 HCPCS,J1437,Inj. fe derisomaltose 10 mg,,,19.67,37.94,7 HCPCS,J1438,Etanercept injection,,,1040.09,1196.1,4 HCPCS,J1439,Inj ferric carboxymaltos 1mg,,,1.13,2.04,7 HCPCS,J1442,Inj filgrastim excl biosimil,,,1.01,1.81,7 HCPCS,J1443,Inj ferric pyrophosphate cit,,,0.03,0.03,4 HCPCS,J1444,Fe pyro cit pow 0.1 mg iron,,,0.03,0.03,4 HCPCS,J1445,Inj triferic avnu 0.1mg iron,,,0.18,0.21,4 HCPCS,J1447,Inj tbo filgrastim 1 microg,,,0.24,0.42,7 HCPCS,J1448,"Injection, trilaciclib, 1mg",,,5.46,9.83,7 HCPCS,J1449,Inj eflapegrastim-xnst 0.1mg,,,21.91,69.41,7 HCPCS,J1450,Fluconazole,,,2.34,2.69,4 HCPCS,J1451,"Fomepizole, 15 mg",,,6.18,14.82,7 HCPCS,J1452,Intraocular Fomivirsen na,,,850.0,977.5,4 HCPCS,J1453,Fosaprepitant injection,,,0.12,0.14,4 HCPCS,J1454,"Inj fosnetupitant, palonoset",,,503.85,906.93,7 HCPCS,J1455,Foscarnet sodium injection,,,16.17,18.6,4 HCPCS,J1456,"Inj, fosaprepitant (teva)",,,0.04,1.35,7 HCPCS,J1457,Gallium nitrate injection,,,2.04,2.35,4 HCPCS,J1458,Galsulfase injection,,,524.58,946.74,7 HCPCS,J1459,Inj IVIG privigen 500 mg,,,51.22,92.19,7 HCPCS,J1460,Gamma globulin 1 CC inj,,,48.87,87.97,7 HCPCS,J1551,Inj cutaquig 100 mg,,,14.03,25.25,7 HCPCS,J1552,"Inj, alyglo, 500 mg",,,121.54,218.78,7 HCPCS,J1554,Inj. asceniv,,,509.14,916.45,7 HCPCS,J1555,"Inj cuvitru, 100 mg",,,18.15,32.66,7 HCPCS,J1556,"Inj, imm glob bivigam, 500mg",,,80.18,146.23,7 HCPCS,J1557,Gammaplex injection,,,64.82,119.29,7 HCPCS,J1558,"Inj. xembify, 100 mg",,,15.24,27.44,7 HCPCS,J1559,Hizentra injection,,,14.66,26.79,7 HCPCS,J1560,Gamma globulin > 10 CC inj,,,162.52,292.53,7 HCPCS,J1561,Gamunex-c/gammaked,,,49.01,88.23,7 HCPCS,J1562,"Vivaglobin, inj",,,12.24,14.08,4 HCPCS,J1566,"Immune globulin, powder",,,80.96,145.73,7 HCPCS,J1568,Octagam injection,,,47.06,84.7,7 HCPCS,J1569,Gammagard liquid injection,,,49.3,88.75,7 HCPCS,J1570,Ganciclovir sodium injection,,,41.11,47.28,4 HCPCS,J1571,HepaGam B IM injection,,,65.61,118.1,7 HCPCS,J1572,Flebogamma injection,,,54.0,163.33,7 HCPCS,J1573,"Hepagam B intravenous, inj",,,65.61,118.1,7 HCPCS,J1574,"Inj, ganciclovir (exela)",,,51.0,58.65,4 HCPCS,J1575,Hyqvia 100mg immuneglobulin,,,18.35,33.02,7 HCPCS,J1576,"Inj, panzyga, 500 mg",,,71.35,128.42,7 HCPCS,J1580,Garamycin gentamicin inj,,,2.71,3.12,4 HCPCS,J1595,Injection glatiramer acetate,,,63.75,73.31,4 HCPCS,J1596,"Inj, glycopyrrolate, 0.1 mg",,,0.45,0.52,4 HCPCS,J1597,"Inj glycopyrrolate, glyrx-pf",,,1.63,1.87,4 HCPCS,J1598,Inj glycopyrrolate fres kabi,,,1.92,2.21,4 HCPCS,J1599,"Ivig non-lyophilized, NOS",,,151.98,174.78,4 HCPCS,J1600,Gold sodium thiomaleate inj,,,14.88,17.11,4 HCPCS,J1602,Golimumab for iv use 1mg,,,11.04,19.86,7 HCPCS,J1610,Glucagon hydrochloride/1 mg,,,117.33,233.66,7 HCPCS,J1611,"Inj glucagon hcl, fresenius",,,129.28,232.71,7 HCPCS,J1620,Gonadorelin hydroch/ 100 mcg,,,180.72,207.83,4 HCPCS,J1626,Granisetron hcl injection,,,0.23,0.26,4 HCPCS,J1627,"Inj, granisetron, xr, 0.1 mg",,,3.22,5.92,7 HCPCS,J1628,"Inj., guselkumab, 1 mg",,,66.92,120.46,7 HCPCS,J1630,Haloperidol injection,,,0.87,1.0,4 HCPCS,J1631,Haloperidol decanoate inj,,,4.86,5.59,4 HCPCS,J1632,"Inj., brexanolone, 1 mg",,,75.99,87.39,4 HCPCS,J1640,"Hemin, 1 mg",,,35.45,64.48,7 HCPCS,J1642,Inj heparin sodium per 10 u,,,0.02,0.02,4 HCPCS,J1643,"Inj heparin, pfizer, 1000u",,,3.12,3.59,4 HCPCS,J1644,Inj heparin sodium per 1000u,,,0.23,0.26,4 HCPCS,J1645,Dalteparin sodium,,,18.72,21.53,4 HCPCS,J1650,Inj enoxaparin sodium,,,0.59,0.68,4 HCPCS,J1652,Fondaparinux sodium,,,0.75,0.86,4 HCPCS,J1655,Tinzaparin sodium injection,,,4.46,5.13,4 HCPCS,J1670,Tetanus immune globulin inj,,,595.02,1071.03,7 HCPCS,J1700,Hydrocortisone acetate inj,,,1.1,1.27,4 HCPCS,J1710,Hydrocortisone sodium ph inj,,,4.98,5.73,4 HCPCS,J1720,Hydrocortisone sodium succ i,,,22.0,25.3,4 HCPCS,J1726,"Makena, 10 mg",,,20.62,23.71,4 HCPCS,J1729,Inj hydroxyprogst capoat nos,,,13.91,16.0,4 HCPCS,J1730,Diazoxide injection,,,110.01,126.51,4 HCPCS,J1738,Inj. meloxicam 1 mg,,,3.2,3.68,4 HCPCS,J1740,Ibandronate sodium injection,,,31.96,36.75,4 HCPCS,J1741,Ibuprofen injection,,,3.16,5.85,7 HCPCS,J1742,Ibutilide fumarate injection,,,175.89,357.2,7 HCPCS,J1743,Idursulfase injection,,,570.04,1026.08,7 HCPCS,J1744,Icatibant injection,,,71.33,82.03,4 HCPCS,J1745,Infliximab not biosimil 10mg,,,31.48,56.66,7 HCPCS,J1746,"Inj., ibalizumab-uiyk, 10 mg",,,79.51,143.12,7 HCPCS,J1747,"Inj, spesolimab-sbzo, 1 mg",,,65.73,118.31,7 HCPCS,J1748,"Inj, zymfentra, 10 mg",,,273.21,314.19,4 HCPCS,J1749,"Inj, iloprost, 0.1 mcg",,,5.93,6.82,4 HCPCS,J1750,Inj iron dextran,,,18.71,34.19,7 HCPCS,J1756,Iron sucrose injection,,,0.23,0.26,4 HCPCS,J1786,Imuglucerase injection,,,43.33,77.99,7 HCPCS,J1790,Droperidol injection,,,5.56,6.39,4 HCPCS,J1800,Propranolol injection,,,9.94,11.43,4 HCPCS,J1805,"Inj, esmolol hcl, 10mg",,,0.29,0.33,4 HCPCS,J1806,Inj esmolol hcl wg crit care,,,0.43,0.49,4 HCPCS,J1811,Fiasp for insulin pump use,,,8.05,9.26,4 HCPCS,J1812,Inj. Insulin (fiasp),,,1.48,1.7,4 HCPCS,J1813,Lyumjev for insulin pump use,,,15.85,18.23,4 HCPCS,J1814,Inj. insulin (lyumjev),,,1.4,1.61,4 HCPCS,J1815,Insulin injection,,,0.23,0.26,4 HCPCS,J1817,Insulin for insulin pump use,,,3.36,3.86,4 HCPCS,J1823,"Inj. inebilizumab-cdon, 1 mg",,,510.65,919.17,7 HCPCS,J1826,Interferon Beta-1A inj,,,2202.64,2533.04,4 HCPCS,J1830,Interferon beta-1b / .25 MG,,,724.77,833.49,4 HCPCS,J1833,"Injection, isavuconazonium",,,1.03,1.85,7 HCPCS,J1835,Itraconazole injection,,,44.67,51.37,4 HCPCS,J1836,"Inj, metronidazole, 10 mg",,,0.03,0.03,4 HCPCS,J1885,Ketorolac tromethamine inj,,,0.29,0.51,7 HCPCS,J1920,"Inj, labetalol hcl, 5mg",,,0.4,0.46,4 HCPCS,J1921,"Inj labetalol hcl hikma, 5mg",,,1.43,1.64,4 HCPCS,J1930,Lanreotide injection,,,37.43,67.37,7 HCPCS,J1931,Laronidase injection,,,41.39,74.68,7 HCPCS,J1932,"Inj, lanreotide, (cipla) 1mg",,,20.33,36.59,7 HCPCS,J1938,"Inj, furosemide, 1 mg",,,0.02,0.02,4 HCPCS,J1939,"Inj, bumetanide, 0.5 mg",,,0.63,0.72,4 HCPCS,J1941,"Inj, furoscix, 20 mg",,,241.6,277.84,4 HCPCS,J1943,"Inj., aristada initio, 1 mg",,,3.38,6.23,7 HCPCS,J1944,Aripirazole lauroxil 1 mg,,,3.46,6.4,7 HCPCS,J1945,Lepirudin,,,549.01,631.36,4 HCPCS,J1950,Leuprolide acetate /3.75 mg,,,1802.65,3314.27,7 HCPCS,J1951,Inj fensolvi 0.25 mg,,,145.31,261.56,7 HCPCS,J1952,"Leuprolide inj, camcevi, 1mg",,,42.06,75.71,7 HCPCS,J1953,Levetiracetam injection,,,0.05,0.06,4 HCPCS,J1954,Leuprolide depot cipla 7.5mg,,,229.07,1237.12,7 HCPCS,J1955,Inj levocarnitine per 1 gm,,,25.21,28.99,4 HCPCS,J1956,Levofloxacin injection,,,2.03,2.33,4 HCPCS,J1960,Levorphanol tartrate inj,,,0.38,0.44,4 HCPCS,J1961,"Inj, lenacapavir, 1 mg",,,22.86,41.28,7 HCPCS,J1980,Hyoscyamine sulfate inj,,,55.08,63.34,4 HCPCS,J1990,Chlordiazepoxide injection,,,22.24,25.58,4 HCPCS,J2003,"Inj, lidocaine hcl, 1 mg",,,0.01,0.01,4 HCPCS,J2004,"Inj, lidocaine w epinephrine",,,0.01,0.01,4 HCPCS,J2010,Lincomycin injection,,,5.82,6.69,4 HCPCS,J2020,Linezolid injection,,,3.6,4.14,4 HCPCS,J2021,"Inj, linezolid (hospira)",,,6.58,7.57,4 HCPCS,J2060,Lorazepam injection,,,1.36,1.56,4 HCPCS,J2062,Loxapine for inhalation 1 mg,,,15.3,17.6,4 HCPCS,J2150,Mannitol injection,,,2.32,2.67,4 HCPCS,J2170,Mecasermin injection,,,374.98,431.23,4 HCPCS,J2175,Meperidine hydrochl /100 MG,,,16.29,18.73,4 HCPCS,J2180,Meperidine/promethazine inj,,,4.01,4.61,4 HCPCS,J2182,"Injection, mepolizumab, 1mg",,,32.28,58.11,7 HCPCS,J2183,Inj meropenem (wg crit care),,,1.69,1.94,4 HCPCS,J2184,"Inj, meropenem (b. braun)",,,2.15,2.47,4 HCPCS,J2185,Meropenem,,,0.45,0.52,4 HCPCS,J2186,"Inj., meropenem, vaborbactam",,,2.22,4.0,7 HCPCS,J2210,Methylergonovin maleate inj,,,22.89,26.32,4 HCPCS,J2212,Methylnaltrexone injection,,,1.45,1.67,4 HCPCS,J2246,"Inj, micafungin (baxter)",,,0.53,0.61,4 HCPCS,J2247,"Inj, micafungin (par pharm)",,,0.37,0.43,4 HCPCS,J2248,Micafungin sodium injection,,,0.32,0.37,4 HCPCS,J2249,"Inj, remimazolam, 1 mg",,,2.24,2.58,4 HCPCS,J2250,Inj midazolam hydrochloride,,,0.17,0.2,4 HCPCS,J2251,Inj midazolam (wg crit care),,,0.18,0.21,4 HCPCS,J2252,Inj midazolam in 0.8% nacl,,,0.07,0.08,4 HCPCS,J2260,Inj milrinone lactate / 5 mg,,,1.46,1.68,4 HCPCS,J2265,Minocycline hydrochloride,,,2.64,4.92,7 HCPCS,J2267,"Inj, mirikizumab-mrkz, 1 mg",,,32.66,58.78,7 HCPCS,J2270,Morphine sulfate injection,,,4.72,5.43,4 HCPCS,J2272,"Inj, morphine (fresenius)",,,8.44,9.71,4 HCPCS,J2274,In morphine preservativ free,,,11.2,12.88,4 HCPCS,J2277,"Inj, motixafortide, 0.25 mg",,,26.17,47.66,7 HCPCS,J2278,Ziconotide injection,,,10.51,19.43,7 HCPCS,J2280,"Inj, moxifloxacin 100 mg",,,9.04,10.4,4 HCPCS,J2281,Inj moxifloxacin (fres kabi),,,8.05,9.26,4 HCPCS,J2290,"Inj, nafcillin sodium, 20 mg",,,0.06,0.07,4 HCPCS,J2300,Inj nalbuphine hydrochloride,,,3.65,4.2,4 HCPCS,J2305,"Inj, nitroglycerin, 5 mg",,,1.47,1.69,4 HCPCS,J2312,"Inj naloxone hcl nos, 0.01mg",,,0.07,0.08,4 HCPCS,J2313,"Inj, naloxone (zimhi) 0.01mg",,,0.02,0.02,4 HCPCS,J2315,"Naltrexone, depot form",,,4.4,8.14,7 HCPCS,J2320,Nandrolone decanoate 50 MG,,,3.96,4.55,4 HCPCS,J2323,Natalizumab injection,,,24.41,43.93,7 HCPCS,J2325,Nesiritide injection,,,71.98,82.78,4 HCPCS,J2326,"Inj, nusinersen, 0.1mg",,,1243.54,2400.21,7 HCPCS,J2327,Inj risankizumab-rzaa 1 mg,,,14.53,26.16,7 HCPCS,J2329,"Inj ublituximab-xiiy, 1 mg",,,72.24,130.03,7 HCPCS,J2350,"Injection, ocrelizumab, 1 mg",,,60.97,109.75,7 HCPCS,J2351,Inj ocrelizumab 1mg hya-ocsq,,,48.06,86.51,7 HCPCS,J2353,"Octreotide injection, depot",,,208.1,374.57,7 HCPCS,J2354,"Octreotide inj, non-depot",,,0.63,0.72,4 HCPCS,J2355,Oprelvekin injection,,,449.58,517.02,4 HCPCS,J2356,"Inj tezepelumab-ekko, 1mg",,,17.92,32.26,7 HCPCS,J2357,Omalizumab injection,,,42.09,83.86,7 HCPCS,J2358,Olanzapine long-acting inj,,,3.03,3.48,4 HCPCS,J2359,"Inj. olanzapine, 0.5mg",,,0.94,1.08,4 HCPCS,J2360,Orphenadrine injection,,,9.8,11.27,4 HCPCS,J2371,Inj phenylephrine hcl 20 mcg,,,0.01,0.01,4 HCPCS,J2372,"Inj, biorphen, 20 micrograms",,,0.17,0.2,4 HCPCS,J2373,"Inj, immphentiv, 20 mcg",,,0.13,0.15,4 HCPCS,J2401,Chloroprocaine hcl injection,,,0.04,0.05,4 HCPCS,J2402,Chloroprocaine (clorotekal),,,0.31,0.36,4 HCPCS,J2403,"Chloroprocaine opht gel, 1mg",,,0.62,0.71,4 HCPCS,J2404,"Inj, nicardipine 0.1 mg",,,0.09,0.1,4 HCPCS,J2405,Ondansetron hcl injection,,,0.1,0.12,4 HCPCS,J2406,"Injection, oritavancin 10 mg",,,42.97,85.34,7 HCPCS,J2407,"Injection, oritavancin",,,29.6,53.51,7 HCPCS,J2410,Oxymorphone hcl injection,,,3.19,3.67,4 HCPCS,J2425,Palifermin injection,,,37.27,69.64,7 HCPCS,J2426,Paliperidone palmitate inj,,,15.43,27.78,7 HCPCS,J2427,"Inj, invega hafyera/trinza",,,13.26,23.87,7 HCPCS,J2428,"Inj, erzofri, 1 mg",,,15.87,28.57,7 HCPCS,J2430,Pamidronate disodium /30 mg,,,39.84,45.82,4 HCPCS,J2440,Papaverin hcl injection,,,38.25,43.99,4 HCPCS,J2460,Oxytetracycline injection,,,0.94,1.08,4 HCPCS,J2468,"Inj, palonosetron (avyxa)",,,55.23,99.41,7 HCPCS,J2469,Palonosetron hcl,,,0.46,0.53,4 HCPCS,J2470,Inj pantoprazole sodium 40mg,,,1.93,2.22,4 HCPCS,J2471,Inj pantoprazole(hikma) 40mg,,,6.63,7.62,4 HCPCS,J2472,"Inj, pantoprazole sodium chl",,,8.99,10.34,4 HCPCS,J2501,Paricalcitol,,,0.7,0.81,4 HCPCS,J2502,"Inj, pasireotide long acting",,,585.07,1110.07,7 HCPCS,J2503,Pegaptanib sodium injection,,,755.86,869.24,4 HCPCS,J2504,"Pegademase bovine, 25 iu",,,354.08,407.19,4 HCPCS,J2506,Inj pegfilgrast ex bio 0.5mg,,,60.6,257.82,7 HCPCS,J2507,Pegloticase injection,,,3776.18,7072.81,7 HCPCS,J2508,Pegunigalsidase alfa-iwxj,,,225.66,406.2,7 HCPCS,J2510,Penicillin g procaine inj,,,46.87,53.9,4 HCPCS,J2513,Pentastarch 10% solution,,,13.52,15.55,4 HCPCS,J2515,Pentobarbital sodium inj,,,19.3,61.95,7 HCPCS,J2540,Penicillin g potassium inj,,,0.91,1.05,4 HCPCS,J2543,Piperacillin/tazobactam,,,1.15,1.32,4 HCPCS,J2545,Pentamidine non-comp unit,,,85.48,98.3,4 HCPCS,J2547,"Injection, peramivir",,,1.62,3.02,7 HCPCS,J2550,Promethazine hcl injection,,,2.98,3.43,4 HCPCS,J2560,Phenobarbital sodium inj,,,28.39,32.65,4 HCPCS,J2561,"Inj, sezaby, 1 mg",,,1.12,2.01,7 HCPCS,J2562,Plerixafor injection,,,28.49,142.58,7 HCPCS,J2590,Oxytocin injection,,,1.43,1.64,4 HCPCS,J2597,Inj desmopressin acetate,,,4.04,4.65,4 HCPCS,J2598,"Inj, vasopressin, 1 unit",,,1.3,1.5,4 HCPCS,J2599,Inj vasopressin (am reg) 1 u,,,0.49,0.56,4 HCPCS,J2601,"Inj, vasopressin (baxter)",,,1.75,3.51,7 HCPCS,J2650,Prednisolone acetate inj,,,0.55,0.63,4 HCPCS,J2670,Totazoline hcl injection,,,3.51,4.04,4 HCPCS,J2675,Inj progesterone per 50 MG,,,0.65,0.75,4 HCPCS,J2679,Inj fluphenazine hcl 1.25 mg,,,7.71,8.87,4 HCPCS,J2680,Fluphenazine decanoate 25 MG,,,7.82,8.99,4 HCPCS,J2690,Procainamide hcl injection,,,201.65,531.65,7 HCPCS,J2700,Oxacillin sodium injeciton,,,0.85,0.98,4 HCPCS,J2704,"Inj, propofol, 10 mg",,,0.09,0.1,4 HCPCS,J2710,Neostigmine methylslfte inj,,,0.82,0.94,4 HCPCS,J2720,Inj protamine sulfate/10 MG,,,1.7,1.96,4 HCPCS,J2724,Protein C concentrate,,,1.56,27.13,7 HCPCS,J2725,Inj protirelin per 250 mcg,,,21.83,25.1,4 HCPCS,J2730,Pralidoxime chloride inj,,,88.43,101.69,4 HCPCS,J2760,Phentolaine mesylate inj,,,288.62,520.93,7 HCPCS,J2765,Metoclopramide hcl injection,,,1.03,1.18,4 HCPCS,J2770,Quinupristin/dalfopristin,,,475.33,546.63,4 HCPCS,J2777,"Inj, faricimab-svoa, 0.1mg",,,32.38,58.29,7 HCPCS,J2778,Ranibizumab injection,,,51.09,108.73,7 HCPCS,J2779,"Inj, susvimo 0.1 mg",,,74.8,134.63,7 HCPCS,J2781,"Inj, pegcetacoplan, 1mg",,,147.27,268.1,7 HCPCS,J2782,Inj avacincaptad pegol 0.1mg,,,103.2,185.77,7 HCPCS,J2783,Rasburicase,,,387.45,697.42,7 HCPCS,J2785,Regadenoson injection,,,3.0,3.45,4 HCPCS,J2786,"Injection, reslizumab, 1mg",,,10.97,21.11,7 HCPCS,J2787,Riboflavin 5?phos opth<=3ml,,,2325.6,2674.44,4 HCPCS,J2788,Rho d immune globulin 50 mcg,,,28.91,33.25,4 HCPCS,J2790,HC INJECTION RHO D IMMUNE GLOBULIN FULL DOSE,247.06,247.06,,,0 HCPCS,J2790,Rho d immune globulin inj,,,85.53,98.36,4 HCPCS,J2791,Rhophylac injection,,,5.15,5.92,4 HCPCS,J2792,"Rho(D) immune globulin h, sd",,,31.93,64.42,7 HCPCS,J2793,Rilonacept injection,,,27.64,31.79,4 HCPCS,J2794,"Risperidone, long acting",,,11.1,19.99,7 HCPCS,J2795,Ropivacaine HCl injection,,,0.06,0.07,4 HCPCS,J2797,"Inj., rolapitant, 0.5 mg",,,0.9,1.04,4 HCPCS,J2798,"Inj., perseris, 0.5 mg",,,12.2,21.97,7 HCPCS,J2799,"Inj, uzedy, 1 mg",,,26.02,47.13,7 HCPCS,J2800,Methocarbamol injection,,,4.97,5.72,4 HCPCS,J2801,"Inj, rykindo, 0.5 mg",,,12.54,23.45,7 HCPCS,J2802,"Inj, romiplostim 1 microgram",,,11.41,20.91,7 HCPCS,J2804,"Inj, rifampin, 1 mg",,,0.16,0.18,4 HCPCS,J2805,Sincalide injection,,,141.1,162.27,4 HCPCS,J2810,Inj theophylline per 40 MG,,,0.4,0.46,4 HCPCS,J2820,Sargramostim injection,,,58.21,112.45,7 HCPCS,J2840,Inj sebelipase alfa 1 mg,,,520.71,971.28,7 HCPCS,J2850,Inj secretin synthetic human,,,42.14,77.4,7 HCPCS,J2860,"Injection, siltuximab",,,168.07,313.32,7 HCPCS,J2865,Inj sulfameth/trim 5 mg/1 mg,,,0.05,0.06,4 HCPCS,J2910,Aurothioglucose injeciton,,,24.99,28.74,4 HCPCS,J2916,Na ferric gluconate complex,,,2.26,2.6,4 HCPCS,J2919,"Inj, methylpred sod succ 5mg",,,0.27,0.31,4 HCPCS,J2940,Somatrem injection,,,44.94,51.68,4 HCPCS,J2941,Somatropin injection,,,158.56,182.34,4 HCPCS,J2950,Promazine hcl injection,,,0.88,1.01,4 HCPCS,J2993,Reteplase injection,,,3081.45,3543.67,4 HCPCS,J2995,Inj streptokinase /250000 IU,,,79.69,91.64,4 HCPCS,J2997,Alteplase recombinant,,,97.7,177.46,7 HCPCS,J2998,Inj plasminogen tvmh 1mg,,,37.0,69.16,7 HCPCS,J3000,Streptomycin injection,,,32.54,37.42,4 HCPCS,J3010,Fentanyl citrate injeciton,,,1.0,1.15,4 HCPCS,J3030,Sumatriptan succinate / 6 MG,,,37.74,43.4,4 HCPCS,J3031,"Inj., fremanezumab-vfrm 1 mg",,,3.43,3.94,4 HCPCS,J3032,Inj. eptinezumab-jjmr 1 mg,,,20.6,37.98,7 HCPCS,J3055,Inj talquetamab-tgvs 0.25 mg,,,75.13,138.1,7 HCPCS,J3060,"Inj, taliglucerace alfa 10 u",,,42.61,76.82,7 HCPCS,J3070,Pentazocine injection,,,104.3,119.95,4 HCPCS,J3090,Inj tedizolid phosphate,,,1.99,3.75,7 HCPCS,J3095,Telavancin injection,,,7.48,13.47,7 HCPCS,J3101,Tenecteplase injection,,,178.43,391.36,7 HCPCS,J3105,Terbutaline sulfate inj,,,2.85,3.28,4 HCPCS,J3110,Teriparatide injection,,,47.34,54.44,4 HCPCS,J3111,Inj. romosozumab-aqqg 1 mg,,,12.46,22.92,7 HCPCS,J3121,Inj testostero enanthate 1mg,,,0.06,0.07,4 HCPCS,J3145,Testosterone undecanoate 1mg,,,2.07,3.87,7 HCPCS,J3230,Chlorpromazine hcl injection,,,28.09,32.3,4 HCPCS,J3240,Thyrotropin injection,,,2158.66,3885.59,7 HCPCS,J3241,Inj. teprotumumab-trbw 10 mg,,,372.64,683.82,7 HCPCS,J3243,Tigecycline injection,,,0.53,0.61,4 HCPCS,J3244,Inj. tigecycline (accord),,,2.55,2.93,4 HCPCS,J3245,"Inj., tildrakizumab, 1 mg",,,124.27,223.69,7 HCPCS,J3246,Tirofiban hcl,,,3.56,4.09,4 HCPCS,J3247,Inj secukinumab intrav 1mg,,,18.23,32.82,7 HCPCS,J3250,Trimethobenzamide hcl inj,,,55.42,63.73,4 HCPCS,J3260,Tobramycin sulfate injection,,,2.55,2.93,4 HCPCS,J3262,Tocilizumab injection,,,5.41,9.73,7 HCPCS,J3263,"Inj, toripalimab-tpzi, 1 mg",,,40.89,73.61,7 HCPCS,J3265,Injection torsemide 10 mg/ml,,,3.03,3.48,4 HCPCS,J3280,Thiethylperazine maleate inj,,,3.88,4.46,4 HCPCS,J3285,Treprostinil injection,,,54.74,98.53,7 HCPCS,J3299,Inj xipere 1 mg,,,47.77,85.99,7 HCPCS,J3300,Triamcinolone A inj PRS-free,,,19.19,34.53,7 HCPCS,J3301,Triamcinolone acet inj nos,,,0.89,1.02,4 HCPCS,J3302,Triamcinolone diacetate inj,,,0.29,0.33,4 HCPCS,J3303,Triamcinolone hexacetonl inj,,,8.29,9.53,4 HCPCS,J3304,Inj triamcinolone ace xr 1mg,,,18.9,34.7,7 HCPCS,J3305,Inj trimetrexate glucoronate,,,158.19,181.92,4 HCPCS,J3310,Perphenazine injeciton,,,6.38,7.34,4 HCPCS,J3315,Triptorelin pamoate,,,466.36,839.46,7 HCPCS,J3316,"Inj., triptorelin xr 3.75 mg",,,3819.93,6875.88,7 HCPCS,J3320,Spectinomycn di-hcl inj,,,30.16,34.68,4 HCPCS,J3350,Urea injection,,,75.55,86.88,4 HCPCS,J3355,"Urofollitropin, 75 iu",,,127.65,146.8,4 HCPCS,J3357,"Ustekinumab sub cu inj, 1 mg",,,289.09,332.45,4 HCPCS,J3358,"Ustekinumab, iv inject, 1 mg",,,11.36,20.44,7 HCPCS,J3360,Diazepam injection,,,6.4,7.36,4 HCPCS,J3364,Urokinase 5000 IU injection,,,8.81,10.13,4 HCPCS,J3365,"Urokinase 250,000 IU inj",,,440.45,506.52,4 HCPCS,J3373,"Inj, vancomycin hcl, 10 mg",,,0.03,0.03,4 HCPCS,J3374,"Inj, vancomycin (mylan) 10mg",,,0.13,0.15,4 HCPCS,J3375,Inj vancomycin (xellia) 10mg,,,0.14,0.16,4 HCPCS,J3380,"Injection, vedolizumab",,,21.62,38.92,7 HCPCS,J3385,Velaglucerase alfa,,,392.84,707.12,7 HCPCS,J3396,Verteporfin injection,,,11.37,20.47,7 HCPCS,J3397,"Inj., vestronidase alfa-vjbk",,,277.03,524.76,7 HCPCS,J3400,Triflupromazine hcl inj,,,11.05,12.71,4 HCPCS,J3410,Hydroxyzine hcl injection,,,17.57,20.21,4 HCPCS,J3411,Thiamine hcl 100 mg,,,1.85,2.13,4 HCPCS,J3415,Pyridoxine hcl 100 mg,,,13.28,15.27,4 HCPCS,J3420,Vitamin b12 injection,,,0.98,1.13,4 HCPCS,J3424,Inj hydroxocobalamin iv 25mg,,,5.09,9.8,7 HCPCS,J3425,"Inj, hydroxocobalamin",,,0.01,0.01,4 HCPCS,J3430,Vitamin k phytonadione inj,,,2.95,3.39,4 HCPCS,J3465,"Injection, voriconazole",,,0.81,0.93,4 HCPCS,J3470,Hyaluronidase injection,,,32.74,37.65,4 HCPCS,J3471,"Ovine, up to 999 usp units",,,0.52,0.6,4 HCPCS,J3472,"Ovine, 1000 USP units",,,143.0,164.45,4 HCPCS,J3473,Hyaluronidase recombinant,,,0.38,0.44,4 HCPCS,J3475,Inj magnesium sulfate,,,0.52,0.6,4 HCPCS,J3480,Inj potassium chloride,,,0.18,0.21,4 HCPCS,J3485,Zidovudine,,,1.51,2.72,7 HCPCS,J3486,Ziprasidone mesylate,,,3.26,3.75,4 HCPCS,J3489,Zoledronic acid 1mg,,,5.4,6.21,4 HCPCS,J3520,Edetate disodium per 150 mg,,,1.27,1.46,4 HCPCS,J7030,Normal saline solution infus,,,2.37,2.73,4 HCPCS,J7040,Normal saline solution infus,,,1.43,1.64,4 HCPCS,J7042,5% dextrose/normal saline,,,1.41,1.62,4 HCPCS,J7050,Normal saline solution infus,,,0.74,0.85,4 HCPCS,J7060,5% dextrose/water,,,2.1,2.42,4 HCPCS,J7070,D5w infusion,,,3.16,3.63,4 HCPCS,J7100,Dextran 40 infusion,,,67.89,78.07,4 HCPCS,J7110,Dextran 75 infusion,,,15.07,17.33,4 HCPCS,J7120,Ringers lactate infusion,,,2.55,2.93,4 HCPCS,J7121,5% dextrose in lac ringers,,,8.14,9.36,4 HCPCS,J7131,Hypertonic saline sol,,,0.17,0.2,4 HCPCS,J7165,"Inj, human-lans, per i.u",,,1.73,3.69,7 HCPCS,J7168,Prothrombin complex kcentra,,,2.01,3.62,7 HCPCS,J7169,"Inj andexxa, 10 mg",,,127.5,236.1,7 HCPCS,J7170,"Inj., emicizumab-kxwh 0.5 mg",,,58.03,104.46,7 HCPCS,J7171,"Inj, adzynma, 10 iu",,,36.21,65.19,7 HCPCS,J7172,"Inj marstacim-hncq, 0.5 mg",,,51.19,92.14,7 HCPCS,J7175,"Inj, factor x, (human), 1iu",,,9.95,17.92,7 HCPCS,J7177,"Inj., fibryga, 1 mg",,,1.23,2.22,7 HCPCS,J7178,Human fibrinogen conc inj,,,1.49,2.68,7 HCPCS,J7179,Vonvendi inj 1 iu vwf:rco,,,1.81,3.26,7 HCPCS,J7180,Factor XIII anti-hem factor,,,11.19,20.22,7 HCPCS,J7181,Factor xiii recomb a-subunit,,,18.98,34.41,7 HCPCS,J7182,Factor viii recomb novoeight,,,1.44,2.6,7 HCPCS,J7183,Wilate injection,,,1.32,2.39,7 HCPCS,J7185,Xyntha inj,,,1.37,2.47,7 HCPCS,J7186,Antihemophilic viii/vwf comp,,,1.27,2.28,7 HCPCS,J7187,"Humate-P, inj",,,1.54,2.76,7 HCPCS,J7188,Factor viii recomb obizur,,,3.24,5.82,7 HCPCS,J7189,Factor viia,,,2.75,4.99,7 HCPCS,J7190,Factor viii,,,1.17,2.24,7 HCPCS,J7191,Factor viii (porcine),,,1.87,9.83,7 HCPCS,J7192,Factor viii recombinant nos,,,1.58,2.84,7 HCPCS,J7193,Factor ix non-recombinant,,,1.39,2.53,7 HCPCS,J7194,Factor ix complex,,,1.75,3.14,7 HCPCS,J7195,Factor ix recombinant nos,,,1.86,3.36,7 HCPCS,J7196,Antithrombin recombinant,,,143.31,164.81,4 HCPCS,J7197,Antithrombin iii injection,,,4.17,7.51,7 HCPCS,J7198,Anti-inhibitor,,,2.45,4.4,7 HCPCS,J7200,Factor ix recombinan rixubis,,,1.63,3.09,7 HCPCS,J7201,Factor ix alprolix recomb,,,3.71,6.68,7 HCPCS,J7202,Factor ix idelvion inj,,,5.51,9.91,7 HCPCS,J7203,Factor ix recomb gly rebinyn,,,4.67,8.41,7 HCPCS,J7204,Inj recombin esperoct per iu,,,2.3,4.13,7 HCPCS,J7205,Factor viii fc fusion recomb,,,2.51,4.64,7 HCPCS,J7207,Factor viii pegylated recomb,,,2.12,3.81,7 HCPCS,J7208,Inj. jivi 1 iu,,,2.75,4.96,7 HCPCS,J7209,Factor viii nuwiq recomb 1iu,,,1.22,2.2,7 HCPCS,J7210,"Inj, afstyla, 1 i.u.",,,1.62,2.91,7 HCPCS,J7211,"Inj, kovaltry, 1 i.u.",,,1.6,2.87,7 HCPCS,J7212,Factor viia recomb sevenfact,,,2.19,3.95,7 HCPCS,J7213,"Inj, ixinity, 1 i.u.",,,1.94,3.49,7 HCPCS,J7214,Altuviiio per factor viii iu,,,4.63,8.34,7 HCPCS,J7294,Seg acet and eth estr yearly,,,2468.96,2839.3,4 HCPCS,J7295,Eth estr and eton monthly,,,125.17,143.95,4 HCPCS,J7296,"Kyleena, 19.5 mg",,,1238.93,1424.77,4 HCPCS,J7297,"Liletta, 52 mg",,,950.37,1092.93,4 HCPCS,J7298,HC IUD MIRENA,1472.55,1472.55,,,0 HCPCS,J7298,"Mirena, 52 mg",,,1238.93,1424.77,4 HCPCS,J7300,Intraut copper contraceptive,,,1161.1,1335.27,4 HCPCS,J7301,"Skyla, 13.5 mg",,,1031.61,1186.35,4 HCPCS,J7304,Contraceptive hormone patch,,,41.53,47.76,4 HCPCS,J7307,Etonogestrel implant system,,,1238.93,1424.77,4 HCPCS,J7308,Aminolevulinic acid hcl top,,,389.28,700.7,7 HCPCS,J7309,"Methyl aminolevulinate, top",,,80.53,92.61,4 HCPCS,J7310,Ganciclovir long act implant,,,16320.0,18768.0,4 HCPCS,J7311,Fluocinolone acetonide implt,,,338.8,609.85,7 HCPCS,J7312,Dexamethasone intra implant,,,203.66,366.58,7 HCPCS,J7313,Fluocinol acet intravit imp,,,516.41,929.53,7 HCPCS,J7314,"Inj., yutiq, 0.01 mg",,,529.89,953.8,7 HCPCS,J7315,Ophthalmic mitomycin,,,438.6,504.39,4 HCPCS,J7316,"Inj, ocriplasmin, 0.125 mg",,,1007.42,1158.53,4 HCPCS,J7318,"Inj, durolane 1 mg",,,6.24,11.23,7 HCPCS,J7320,"Genvisc 850, inj, 1mg",,,3.81,7.19,7 HCPCS,J7321,Hyalgan/supartz inj per dose,,,76.16,87.58,4 HCPCS,J7322,Hymovis injection 1 mg,,,18.1,32.64,7 HCPCS,J7323,Euflexxa inj per dose,,,98.14,176.65,7 HCPCS,J7324,Orthovisc inj per dose,,,100.33,180.6,7 HCPCS,J7325,Synvisc or Synvisc-One,,,6.02,10.84,7 HCPCS,J7326,Gel-one,,,533.59,960.47,7 HCPCS,J7327,Monovisc inj per dose,,,548.52,1017.5,7 HCPCS,J7328,Gel-syn injection 0.1 mg,,,0.58,1.05,7 HCPCS,J7329,"Inj, trivisc 1 mg",,,3.04,6.5,7 HCPCS,J7330,Cultured chondrocytes implnt,,,67138.44,77209.21,4 HCPCS,J7331,"Synojoynt, inj., 1 mg",,,5.82,6.69,4 HCPCS,J7332,"Inj., triluron, 1 mg",,,10.43,18.77,7 HCPCS,J7336,Capsaicin 8% patch,,,3.51,6.32,7 HCPCS,J7340,Carbidopa levodopa ent 100ml,,,244.5,440.09,7 HCPCS,J7342,Ciprofloxacin otic susp 6 mg,,,28.88,33.21,4 HCPCS,J7345,"Aminolevulinic acid, 10% gel",,,1.85,3.33,7 HCPCS,J7351,Inj bimatoprost itc imp 1mcg,,,213.76,384.76,7 HCPCS,J7352,"Afamelanotide implant, 1 mg",,,2943.42,5298.16,7 HCPCS,J7354,"Cantharidin top, applicator",,,694.86,1251.37,7 HCPCS,J7355,Inj travoprost intra impl,,,196.75,354.14,7 HCPCS,J7356,Inj foscarb/foslevodopa 5 mg,,,0.7,0.81,4 HCPCS,J7402,Mometasone sinus sinuva,,,11.34,20.42,7 HCPCS,J7500,Azathioprine oral 50mg,,,2.22,2.55,4 HCPCS,J7501,Azathioprine parenteral,,,254.76,458.56,7 HCPCS,J7502,Cyclosporine oral 100 mg,,,2.15,2.47,4 HCPCS,J7503,Tacrol envarsus ex rel oral,,,1.9,2.19,4 HCPCS,J7504,Lymphocyte immune globulin,,,5202.28,9988.13,7 HCPCS,J7505,Monoclonal antibodies,,,1112.45,1279.32,4 HCPCS,J7507,Tacrolimus imme rel oral 1mg,,,0.16,0.18,4 HCPCS,J7508,Tacrol astagraf ex rel oral,,,0.61,0.7,4 HCPCS,J7509,Methylprednisolone oral,,,0.24,0.28,4 HCPCS,J7510,Prednisolone oral per 5 mg,,,0.28,0.32,4 HCPCS,J7511,Antithymocyte globuln rabbit,,,1033.99,1904.02,7 HCPCS,J7512,Prednisone ir or dr oral 1mg,,,0.01,0.01,4 HCPCS,J7513,"Daclizumab, parenteral",,,506.48,582.45,4 HCPCS,J7514,Mycophenol (myhibbin) 100 mg,,,2.23,2.56,4 HCPCS,J7515,Cyclosporine oral 25 mg,,,0.8,0.92,4 HCPCS,J7516,Cyclosporin parenteral 250mg,,,75.43,86.74,4 HCPCS,J7517,Mycophenolate mofetil oral,,,0.16,0.18,4 HCPCS,J7518,Mycophenolic acid,,,0.38,0.44,4 HCPCS,J7519,Inj. mycophenolate mofetil,,,0.43,0.49,4 HCPCS,J7520,"Sirolimus, oral",,,0.99,1.14,4 HCPCS,J7521,Tacrolim granules oral susp,,,1.3,1.5,4 HCPCS,J7525,Tacrolimus injection,,,268.18,482.72,7 HCPCS,J7527,Oral everolimus,,,2.06,2.37,4 HCPCS,J7601,Ensifentrine inh 3 mg,,,54.08,62.19,4 HCPCS,J7604,Acetylcysteine comp unit,,,0.22,0.25,4 HCPCS,J7605,Arformoterol non-comp unit,,,0.82,0.94,4 HCPCS,J7606,"Formoterol fumarate, inh",,,2.04,2.35,4 HCPCS,J7607,Levalbuterol comp con,,,2.55,2.93,4 HCPCS,J7608,Acetylcysteine non-comp unit,,,9.23,10.61,4 HCPCS,J7609,Albuterol comp unit,,,0.51,0.59,4 HCPCS,J7610,Albuterol comp con,,,1.23,1.41,4 HCPCS,J7611,Albuterol non-comp con,,,0.17,0.2,4 HCPCS,J7612,Levalbuterol non-comp con,,,0.31,0.36,4 HCPCS,J7613,Albuterol non-comp unit,,,0.08,0.09,4 HCPCS,J7614,Levalbuterol non-comp unit,,,0.09,0.1,4 HCPCS,J7615,Levalbuterol comp unit,,,2.09,2.4,4 HCPCS,J7620,Albuterol ipratrop non-comp,,,0.21,0.24,4 HCPCS,J7622,Beclomethasone comp unit,,,0.03,0.03,4 HCPCS,J7624,Betamethasone comp unit,,,1.36,1.56,4 HCPCS,J7626,Budesonide non-comp unit,,,1.32,1.52,4 HCPCS,J7627,Budesonide comp unit,,,0.31,0.36,4 HCPCS,J7628,Bitolterol mesylate comp con,,,0.22,0.25,4 HCPCS,J7629,Bitolterol mesylate comp unt,,,0.18,0.21,4 HCPCS,J7631,Cromolyn sodium noncomp unit,,,0.3,0.35,4 HCPCS,J7632,Cromolyn sodium comp unit,,,0.69,0.79,4 HCPCS,J7633,Budesonide non-comp con,,,4.51,5.19,4 HCPCS,J7634,Budesonide comp con,,,4.44,5.11,4 HCPCS,J7635,Atropine comp con,,,0.12,0.14,4 HCPCS,J7636,Atropine comp unit,,,0.12,0.14,4 HCPCS,J7637,Dexamethasone comp con,,,0.13,0.15,4 HCPCS,J7638,Dexamethasone comp unit,,,0.13,0.15,4 HCPCS,J7639,Dornase alfa non-comp unit,,,57.24,65.83,4 HCPCS,J7640,Formoterol comp unit,,,1.59,1.83,4 HCPCS,J7641,Flunisolide comp unit,,,0.22,0.25,4 HCPCS,J7642,Glycopyrrolate comp con,,,1.1,1.27,4 HCPCS,J7643,Glycopyrrolate comp unit,,,0.76,0.87,4 HCPCS,J7644,Ipratropium bromide non-comp,,,0.41,0.47,4 HCPCS,J7645,Ipratropium bromide comp,,,0.05,0.06,4 HCPCS,J7647,Isoetharine comp con,,,1.74,2.0,4 HCPCS,J7648,Isoetharine non-comp con,,,1.74,2.0,4 HCPCS,J7649,Isoetharine non-comp unit,,,1.74,2.0,4 HCPCS,J7650,Isoetharine comp unit,,,0.14,0.16,4 HCPCS,J7657,Isoproterenol comp con,,,2.17,2.5,4 HCPCS,J7658,Isoproterenol non-comp con,,,2.17,2.5,4 HCPCS,J7659,Isoproterenol non-comp unit,,,2.17,2.5,4 HCPCS,J7660,Isoproterenol comp unit,,,2.17,2.5,4 HCPCS,J7665,Mannitol for inhaler,,,6.71,7.72,4 HCPCS,J7667,Metaproterenol comp con,,,1.37,1.58,4 HCPCS,J7668,Metaproterenol non-comp con,,,1.37,1.58,4 HCPCS,J7669,Metaproterenol non-comp unit,,,0.45,0.52,4 HCPCS,J7670,Metaproterenol comp unit,,,0.43,0.49,4 HCPCS,J7674,"Methacholine chloride, neb",,,1.79,2.06,4 HCPCS,J7676,Pentamidine comp unit dose,,,103.34,118.84,4 HCPCS,J7677,Revefenacin inh non-com 1mcg,,,0.2,0.23,4 HCPCS,J7680,Terbutaline sulf comp con,,,12.07,13.88,4 HCPCS,J7681,Terbutaline sulf comp unit,,,12.07,13.88,4 HCPCS,J7682,Tobramycin non-comp unit,,,15.0,17.25,4 HCPCS,J7683,Triamcinolone comp con,,,0.59,0.68,4 HCPCS,J7684,Triamcinolone comp unit,,,0.59,0.68,4 HCPCS,J7685,Tobramycin comp unit,,,56.43,64.89,4 HCPCS,J7686,"Treprostinil, non-comp unit",,,830.35,954.9,4 HCPCS,J8501,Oral aprepitant,,,2.82,3.24,4 HCPCS,J8510,Oral busulfan,,,10.12,161.13,7 HCPCS,J8515,"Cabergoline, oral 0.25mg",,,1.6,1.84,4 HCPCS,J8522,"Capecitabine, oral, 50 mg",,,0.06,0.14,7 HCPCS,J8530,Cyclophosphamide oral 25 MG,,,2.06,2.37,4 HCPCS,J8540,Oral dexamethasone,,,0.02,0.02,4 HCPCS,J8541,"Oral, hemady, 0.25 mg",,,0.37,0.43,4 HCPCS,J8560,Etoposide oral 50 mg,,,78.62,158.5,7 HCPCS,J8562,Oral fludarabine phosphate,,,78.68,90.48,4 HCPCS,J8565,Gefitinib oral,,,143.01,164.46,4 HCPCS,J8600,Melphalan oral 2 MG,,,9.34,10.74,4 HCPCS,J8610,Methotrexate oral 2.5 MG,,,0.21,0.24,4 HCPCS,J8611,Oral methotrexate (jylamvo),,,16.47,29.64,7 HCPCS,J8612,Oral methotrexate (xatmep),,,22.92,41.25,7 HCPCS,J8650,Nabilone oral,,,39.98,45.98,4 HCPCS,J8655,Netupitant palonosetron oral,,,424.97,853.27,7 HCPCS,J8670,"Rolapitant, oral, 1mg",,,1.62,1.86,4 HCPCS,J8700,Temozolomide,,,0.37,0.43,4 HCPCS,J8705,Topotecan oral,,,125.33,225.6,7 HCPCS,J9000,Doxorubicin hcl injection,,,2.83,3.25,4 HCPCS,J9015,Aldesleukin injection,,,3338.87,7108.38,7 HCPCS,J9017,Arsenic trioxide injection,,,6.08,6.99,4 HCPCS,J9019,Erwinaze injection,,,411.15,472.82,4 HCPCS,J9020,"Asparaginase, nos",,,62.13,71.45,4 HCPCS,J9021,"Inj, aspara, rylaze, 0.1 mg",,,57.39,105.66,7 HCPCS,J9022,"Inj, atezolizumab,10 mg",,,94.46,173.78,7 HCPCS,J9023,"Injection, avelumab, 10 mg",,,104.08,195.54,7 HCPCS,J9024,Inj atezolizumb 5mg hya-tqjs,,,32.55,58.6,7 HCPCS,J9025,Azacitidine injection,,,0.22,0.25,4 HCPCS,J9026,"Inj, tarlatamab-dlle, 1 mg",,,1612.42,2902.36,7 HCPCS,J9027,Clofarabine injection,,,15.27,29.24,7 HCPCS,J9028,"Inj, nogapendekin pmln, 1mcg",,,94.31,169.75,7 HCPCS,J9030,Bcg live intravesical 1mg,,,3.24,6.08,7 HCPCS,J9032,"Injection, belinostat, 10mg",,,54.0,98.0,7 HCPCS,J9033,"Inj., treanda 1 mg",,,1.92,5.33,7 HCPCS,J9034,"Inj., bendeka 1 mg",,,12.53,22.56,7 HCPCS,J9035,Bevacizumab injection,,,74.82,134.68,7 HCPCS,J9036,Inj. belrapzo/bendamustine,,,11.6,20.88,7 HCPCS,J9038,Inj axatilimab-csfr 0.1 mg,,,53.55,101.63,7 HCPCS,J9039,"Injection, blinatumomab",,,169.36,311.22,7 HCPCS,J9040,Bleomycin sulfate injection,,,21.69,24.94,4 HCPCS,J9041,Bortezomib injection,,,1.65,1.9,4 HCPCS,J9042,Brentuximab vedotin inj,,,268.27,502.57,7 HCPCS,J9043,Cabazitaxel injection,,,233.73,420.71,7 HCPCS,J9045,Carboplatin injection,,,2.19,2.52,4 HCPCS,J9046,"Inj, bortezomib, dr. reddy's",,,3.46,53.73,7 HCPCS,J9047,"Injection, carfilzomib, 1 mg",,,57.17,108.52,7 HCPCS,J9048,"Inj, bortezomib freseniuskab",,,6.97,53.73,7 HCPCS,J9049,"Inj, bortezomib, hospira",,,1.6,1.84,4 HCPCS,J9050,Carmustine injection,,,180.2,432.02,7 HCPCS,J9051,"Inj, bortezomib (maia)",,,3.49,4.01,4 HCPCS,J9052,"Inj, carmustine (accord)",,,249.9,287.39,4 HCPCS,J9054,Inj bortezomib boruzu 0.1 mg,,,24.75,44.54,7 HCPCS,J9055,Cetuximab injection,,,81.43,147.0,7 HCPCS,J9056,"Inj, bendamustine, 1 mg",,,29.12,53.84,7 HCPCS,J9057,"Inj., copanlisib, 1 mg",,,89.31,102.71,4 HCPCS,J9060,Cisplatin 10 mg injection,,,2.02,2.32,4 HCPCS,J9061,"Inj, amivantamab-vmjw",,,23.05,41.79,7 HCPCS,J9063,"Inj, elahere, 1 mg",,,71.99,129.58,7 HCPCS,J9065,Inj cladribine per 1 mg,,,8.19,14.74,7 HCPCS,J9071,Inj cyclophosphamd auromedic,,,0.49,0.93,7 HCPCS,J9072,Inj cyclophos dr.reddy's 5mg,,,8.92,16.06,7 HCPCS,J9073,Inj cyclophosphamd (ingenus),,,0.5,1.38,7 HCPCS,J9074,"Inj, cyclophosphamd, sandoz",,,3.44,6.19,7 HCPCS,J9075,"Inj, cyclophosphamide, nos",,,0.58,1.04,7 HCPCS,J9076,"Inj, cyclophos (baxter) 5mg",,,4.39,7.9,7 HCPCS,J9098,Cytarabine liposome inj,,,604.66,695.36,4 HCPCS,J9100,Cytarabine hcl 100 mg inj,,,0.84,0.97,4 HCPCS,J9118,Inj. calaspargase pegol-mknl,,,85.0,154.42,7 HCPCS,J9119,"Inj., cemiplimab-rwlc, 1 mg",,,29.67,53.4,7 HCPCS,J9120,Dactinomycin injection,,,307.41,553.34,7 HCPCS,J9130,Dacarbazine 100 mg inj,,,3.96,4.55,4 HCPCS,J9144,"Daratumumab, hyaluronidase",,,56.73,102.69,7 HCPCS,J9145,"Injection, daratumumab 10 mg",,,72.47,132.79,7 HCPCS,J9150,Daunorubicin injection,,,20.51,23.59,4 HCPCS,J9151,Daunorubicin citrate inj,,,234.6,269.79,4 HCPCS,J9153,"Inj daunorubicin, cytarabine",,,264.72,491.19,7 HCPCS,J9155,Degarelix injection,,,4.48,8.07,7 HCPCS,J9165,Diethylstilbestrol injection,,,12.89,14.82,4 HCPCS,J9171,Docetaxel injection,,,0.39,0.45,4 HCPCS,J9172,"Docetaxel (ingenus), 1 mg",,,46.29,83.32,7 HCPCS,J9173,"Inj., durvalumab, 10 mg",,,87.95,158.31,7 HCPCS,J9174,"Inj, docetaxel (beizray) 1mg",,,46.81,84.25,7 HCPCS,J9175,Elliotts b solution per ml,,,10.4,11.96,4 HCPCS,J9176,"Injection, elotuzumab, 1mg",,,8.17,14.74,7 HCPCS,J9177,Inj enfort vedo-ejfv 0.25mg,,,36.66,65.98,7 HCPCS,J9178,"Inj, epirubicin hcl, 2 mg",,,1.65,1.9,4 HCPCS,J9179,Eribulin mesylate injection,,,59.98,124.81,7 HCPCS,J9181,Etoposide injection,,,1.35,1.55,4 HCPCS,J9185,Fludarabine phosphate inj,,,74.35,85.5,4 HCPCS,J9190,Fluorouracil injection,,,1.78,2.05,4 HCPCS,J9196,Inj gemcitabine hcl (accord),,,5.49,6.31,4 HCPCS,J9198,"Inj. infugem, 100 mg",,,38.76,44.57,4 HCPCS,J9200,Floxuridine injection,,,4281.23,7913.69,7 HCPCS,J9201,Gemcitabine hcl injection,,,3.07,3.53,4 HCPCS,J9202,Goserelin acetate implant,,,761.85,876.13,4 HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,,,245.54,445.27,7 HCPCS,J9204,"Inj mogamulizumab-kpkc, 1 mg",,,257.87,465.36,7 HCPCS,J9205,Inj irinotecan liposome 1 mg,,,65.86,118.55,7 HCPCS,J9206,Irinotecan injection,,,1.45,1.67,4 HCPCS,J9207,Ixabepilone injection,,,139.75,251.56,7 HCPCS,J9208,Ifosfamide injection,,,24.38,28.04,4 HCPCS,J9209,Mesna injection,,,1.38,1.59,4 HCPCS,J9210,"Inj., emapalumab-lzsg, 1 mg",,,392.78,707.0,7 HCPCS,J9211,Idarubicin hcl injection,,,38.45,44.22,4 HCPCS,J9212,Interferon alfacon-1 inj,,,9.85,11.33,4 HCPCS,J9213,Interferon alfa-2a inj,,,42.82,49.24,4 HCPCS,J9214,Interferon alfa-2b inj,,,31.35,36.05,4 HCPCS,J9215,Interferon alfa-n3 inj,,,30.72,35.33,4 HCPCS,J9216,Interferon gamma 1-b inj,,,8628.84,9923.17,4 HCPCS,J9217,Leuprolide acetate suspnsion,,,160.34,288.62,7 HCPCS,J9218,Leuprolide acetate injeciton,,,51.42,59.13,4 HCPCS,J9219,Leuprolide acetate implant,,,5001.7,5751.96,4 HCPCS,J9220,Indigotindisulfonate sod 1mg,,,9.3,16.74,7 HCPCS,J9223,"Inj. lurbinectedin, 0.1 mg",,,213.9,388.71,7 HCPCS,J9225,Vantas implant,,,4971.34,5717.04,4 HCPCS,J9226,Supprelin LA implant,,,37491.97,67485.55,7 HCPCS,J9227,Inj. isatuximab-irfc 10 mg,,,85.99,158.69,7 HCPCS,J9228,Ipilimumab injection,,,190.34,342.78,7 HCPCS,J9229,Inj inotuzumab ozogam 0.1 mg,,,2799.87,5171.59,7 HCPCS,J9230,Mechlorethamine hcl inj,,,315.9,363.29,4 HCPCS,J9245,Inj melphalan hydrochl 50 MG,,,104.9,188.82,7 HCPCS,J9246,"Inj., evomela, 1 mg",,,18.03,32.48,7 HCPCS,J9248,Inj melphalan (hepzato) 1 mg,,,801.48,1442.66,7 HCPCS,J9249,"Inj, melphalan (apotex) 1 mg",,,62.33,116.6,7 HCPCS,J9260,Methotrexate sodium inj,,,2.35,2.7,4 HCPCS,J9261,Nelarabine injection,,,65.41,117.73,7 HCPCS,J9262,"Inj, omacetaxine mep, 0.01mg",,,3.88,4.46,4 HCPCS,J9263,Oxaliplatin,,,0.09,0.1,4 HCPCS,J9264,Paclitaxel protein bound,,,6.59,14.47,7 HCPCS,J9266,Pegaspargase injection,,,29496.67,53395.14,7 HCPCS,J9267,Paclitaxel injection,,,0.11,0.13,4 HCPCS,J9268,Pentostatin injection,,,2639.89,4856.38,7 HCPCS,J9269,Inj. tagraxofusp-erzs 10 mcg,,,357.52,643.54,7 HCPCS,J9270,Plicamycin (mithramycin) inj,,,83.93,96.52,4 HCPCS,J9271,Inj pembrolizumab,,,60.64,109.16,7 HCPCS,J9272,"Inj, dostarlimab-gxly, 10 mg",,,251.3,452.34,7 HCPCS,J9273,"Inj tisotu vedotin-tftv, 1mg",,,195.77,353.02,7 HCPCS,J9274,"Inj, tebentafusp-tebn, 1 mcg",,,225.28,410.41,7 HCPCS,J9276,"Inj zanidatamab-hrii, 2 mg",,,25.66,46.19,7 HCPCS,J9280,Mitomycin injection,,,29.34,61.39,7 HCPCS,J9281,Mitomycin instillation,,,329.4,593.89,7 HCPCS,J9285,"Inj, olaratumab, 10 mg",,,50.1,57.62,4 HCPCS,J9286,"Inj glofitamab gxbm, 2.5 mg",,,2864.68,5156.42,7 HCPCS,J9289,Inj nivolumab 2 mg hyaluron,,,26.48,50.65,7 HCPCS,J9292,"Inj, pemetrexed (avyxa) 10mg",,,73.67,132.61,7 HCPCS,J9293,Mitoxantrone hydrochl / 5 MG,,,29.7,53.46,7 HCPCS,J9294,"Inj pemetrexed, hospira 10mg",,,2.94,5.88,7 HCPCS,J9295,"Injection, necitumumab, 1 mg",,,5.73,10.32,7 HCPCS,J9296,Inj pemetrexed (accord) 10mg,,,9.74,17.52,7 HCPCS,J9297,Inj pemetrexed (sandoz) 10mg,,,1.25,1.44,4 HCPCS,J9298,Inj nivol relatlimab 3mg/1mg,,,205.11,369.92,7 HCPCS,J9299,"Injection, nivolumab",,,34.22,61.6,7 HCPCS,J9301,Obinutuzumab inj,,,81.42,152.03,7 HCPCS,J9302,Ofatumumab injection,,,61.54,112.02,7 HCPCS,J9303,Panitumumab injection,,,179.06,327.94,7 HCPCS,J9304,"Inj. pemetrexed, 10 mg",,,7.99,62.94,7 HCPCS,J9305,Pemetrexed injection,,,3.87,12.51,7 HCPCS,J9306,"Injection, pertuzumab, 1 mg",,,17.2,30.96,7 HCPCS,J9307,Pralatrexate injection,,,386.12,695.02,7 HCPCS,J9308,"Injection, ramucirumab",,,76.56,137.82,7 HCPCS,J9309,"Inj, polatuzumab vedotin 1mg",,,141.37,258.5,7 HCPCS,J9311,"Inj rituximab, hyaluronidase",,,36.39,65.5,7 HCPCS,J9312,"Inj., rituximab, 10 mg",,,73.28,131.9,7 HCPCS,J9313,"Inj., lumoxiti, 0.01 mg",,,22.51,42.11,7 HCPCS,J9314,Inj pemetrexed (teva) 10mg,,,3.93,19.77,7 HCPCS,J9316,"Pertuzu, trastuzu, 10 mg",,,59.9,107.81,7 HCPCS,J9317,Sacituzumab govitecan-hziy,,,37.63,67.75,7 HCPCS,J9318,Inj romidepsin non-lyo 0.1mg,,,29.59,60.46,7 HCPCS,J9319,Inj romidepsin lyophil 0.1mg,,,30.71,55.28,7 HCPCS,J9320,Streptozocin injection,,,1326.0,1524.9,4 HCPCS,J9321,Inj epcoritamab-bysp 0.16 mg,,,57.76,104.39,7 HCPCS,J9322,Inj pemetrexed (bluepoint),,,9.29,19.08,7 HCPCS,J9323,Inj pemetrexed ditromethamin,,,10.73,12.34,4 HCPCS,J9324,"Inj, pemrydi rtu, 10 mg",,,67.94,122.28,7 HCPCS,J9325,Inj talimogene laherparepvec,,,73.02,139.21,7 HCPCS,J9328,Temozolomide injection,,,10.41,18.73,7 HCPCS,J9329,"Inj, tislelizumab-jsgr",,,58.17,104.7,7 HCPCS,J9330,Temsirolimus injection,,,32.68,58.83,7 HCPCS,J9331,Inj sirolimus prot part 1 mg,,,87.72,163.85,7 HCPCS,J9332,Inj efgartigimod 2mg,,,32.55,58.6,7 HCPCS,J9333,Inj ronzanolixizum-noli 1 mg,,,23.59,42.46,7 HCPCS,J9334,Inj efgart-alfa 2mg hya-qvfc,,,34.26,61.66,7 HCPCS,J9341,Inj thiotepa (tepylute) 1 mg,,,37.88,43.56,4 HCPCS,J9342,Inj thiotepa nos 1 mg,,,4.93,14.61,7 HCPCS,J9345,"Inj, retifanlimab-dlwr, 1 mg",,,30.98,55.77,7 HCPCS,J9347,"Inj, tremelimumab-actl, 1 mg",,,146.49,264.41,7 HCPCS,J9348,"Inj. naxitamab-gqgk, 1 mg",,,684.9,1232.82,7 HCPCS,J9349,"Inj., tafasitamab-cxix",,,14.43,25.97,7 HCPCS,J9350,"Inj mosunetuzumab-axgb, 1 mg",,,674.5,1214.09,7 HCPCS,J9351,Topotecan injection,,,1.39,1.6,4 HCPCS,J9352,Injection trabectedin 0.1mg,,,397.52,738.86,7 HCPCS,J9353,"Inj. margetuximab-cmkb, 5 mg",,,52.35,101.6,7 HCPCS,J9354,"Inj, ado-trastuzumab emt 1mg",,,43.43,78.53,7 HCPCS,J9355,Trastuzumab injection,,,70.24,126.44,7 HCPCS,J9356,"Inj. herceptin hylecta, 10mg",,,58.34,105.02,7 HCPCS,J9357,Valrubicin injection,,,1247.05,2244.68,7 HCPCS,J9358,Inj fam-trastu deru-nxki 1mg,,,31.13,59.17,7 HCPCS,J9359,Inj lon tesirin-lpyl 0.075mg,,,224.92,407.89,7 HCPCS,J9360,Vinblastine sulfate inj,,,5.49,6.31,4 HCPCS,J9361,"Inj, efbemalenograstim alfa-",,,117.3,134.9,4 HCPCS,J9370,Vincristine sulfate 1 MG inj,,,8.16,9.38,4 HCPCS,J9376,"Inj pozelimab-bbfg, 1 mg",,,88.27,165.11,7 HCPCS,J9380,Inj teclistamab cqyv 0.5 mg,,,34.52,63.58,7 HCPCS,J9381,Inj teplizumab mzwv 5 mcg,,,39.07,70.59,7 HCPCS,J9382,Inj zenocutuzumab-zbco 1 mg,,,32.3,60.95,7 HCPCS,J9390,Vinorelbine tartrate inj,,,2.03,2.33,4 HCPCS,J9393,"Inj, fulvestrant (teva)",,,20.4,75.01,7 HCPCS,J9394,"Inj, fulvestrant (fresenius)",,,3.45,48.8,7 HCPCS,J9395,"Injection, Fulvestrant",,,7.24,8.33,4 HCPCS,J9400,"Inj, ziv-aflibercept, 1mg",,,8.28,15.61,7 HCPCS,J9600,Porfimer sodium injection,,,23789.46,27357.88,4 HCPCS,K0001,Standard wheelchair,,,41.36,72.54,4 HCPCS,K0002,Stnd hemi (low seat) whlchr,,,69.87,122.57,4 HCPCS,K0003,Lightweight wheelchair,,,60.75,106.57,4 HCPCS,K0004,High strength ltwt whlchr,,,72.98,128.02,4 HCPCS,K0005,Ultralightweight wheelchair,,,3683.99,6462.15,4 HCPCS,K0006,Heavy duty wheelchair,,,107.52,188.6,4 HCPCS,K0007,Extra heavy duty wheelchair,,,152.96,268.31,4 HCPCS,K0009,Other manual wheelchair/base,,,148.17,259.9,4 HCPCS,K0010,Stnd wt frame power whlchr,,,848.85,1488.99,4 HCPCS,K0011,Stnd wt pwr whlchr w control,,,1009.38,1770.57,4 HCPCS,K0012,Ltwt portbl power whlchr,,,619.17,1086.11,4 HCPCS,K0015,Detach non-adj ht armrst rep,,,26.02,45.64,4 HCPCS,K0017,Detach adjust armrest base,,,78.88,138.36,4 HCPCS,K0018,Detach adjust armrst upper,,,44.57,78.19,4 HCPCS,K0019,"Arm pad repl, each",,,23.72,41.61,4 HCPCS,K0020,Fixed adjust armrest pair,,,77.28,135.56,4 HCPCS,K0037,Hi mount flip-up ftrest repl,,,70.32,123.35,4 HCPCS,K0038,Leg strap each,,,39.4,69.12,4 HCPCS,K0039,Leg strap h style each,,,84.63,148.45,4 HCPCS,K0040,Adjustable angle footplate,,,91.3,160.15,4 HCPCS,K0041,Large size footplate each,,,80.89,141.9,4 HCPCS,K0042,Standard size ftplate rep ea,,,51.95,91.13,4 HCPCS,K0043,Ftrst lowr exten tube rep ea,,,32.08,56.27,4 HCPCS,K0044,Ftrst upr hanger brac rep ea,,,27.9,48.93,4 HCPCS,K0045,Ftrst compl assembly repl ea,,,91.77,160.98,4 HCPCS,K0046,Elev lgrst lwr exten repl ea,,,32.29,56.64,4 HCPCS,K0047,Elev legrst upr hangr rep ea,,,114.09,200.12,4 HCPCS,K0050,Ratchet assembly replacement,,,52.94,92.86,4 HCPCS,K0051,Cam rel asm ft/legrst rep ea,,,83.73,146.88,4 HCPCS,K0052,Swingaway detach ftrest repl,,,131.02,229.83,4 HCPCS,K0053,Elevate footrest articulate,,,147.36,258.49,4 HCPCS,K0056,Seat ht <17 or >=21 ltwt wc,,,165.54,290.38,4 HCPCS,K0065,Spoke protectors,,,83.41,146.3,4 HCPCS,K0069,Rr whl compl sol tire rep ea,,,168.8,296.1,4 HCPCS,K0070,Rr whl compl pne tire rep ea,,,27.9,48.93,4 HCPCS,K0071,Fr cstr comp pne tire rep ea,,,194.66,341.46,4 HCPCS,K0072,Fr cstr semi-pne tire rep ea,,,119.77,210.08,4 HCPCS,K0073,Caster pin lock each,,,63.25,110.94,4 HCPCS,K0077,Fr cstr asmb sol tire rep ea,,,95.63,167.75,4 HCPCS,K0098,"Drive belt for pwc, repl",,,43.05,75.52,4 HCPCS,K0105,Iv hanger,,,178.04,312.31,4 HCPCS,K0195,Elevating whlchair leg rests,,,18.44,32.35,4 HCPCS,K0455,Pump uninterrupted infusion,,,520.95,913.81,4 HCPCS,K0552,Sup/ext non-ins inf pump syr,,,4.65,8.17,4 HCPCS,K0601,Repl batt silver oxide 1.5 v,,,2.11,3.7,4 HCPCS,K0602,Repl batt silver oxide 3 v,,,11.91,20.9,4 HCPCS,K0603,Repl batt alkaline 1.5 v,,,1.08,1.89,4 HCPCS,K0604,Repl batt lithium 3.6 v,,,11.49,20.15,4 HCPCS,K0605,Repl batt lithium 4.5 v,,,27.46,48.16,4 HCPCS,K0607,Repl batt for aed,,,38.71,67.91,4 HCPCS,K0608,Repl garment for AED,,,241.51,423.64,4 HCPCS,K0609,Repl electrode for AED,,,1606.25,2817.55,4 HCPCS,K0672,Removable soft interface le,,,104.22,255.62,7 HCPCS,K0730,Ctrl dose inh drug deliv sys,,,343.51,602.57,4 HCPCS,K0733,12-24hr sealed lead acid,,,49.69,87.16,4 HCPCS,K0738,Portable gas oxygen system,,,64.69,113.47,4 HCPCS,K0800,Pov group 1 std up to 300lbs,,,1427.56,2504.11,4 HCPCS,K0801,POV group 1 hd 301-450 lbs,,,2591.51,4545.82,4 HCPCS,K0802,POV group 1 vhd 451-600 lbs,,,3559.02,6242.94,4 HCPCS,K0806,POV group 2 std up to 300lbs,,,2338.2,4101.48,4 HCPCS,K0807,POV group 2 hd 301-450 lbs,,,3623.61,6356.25,4 HCPCS,K0808,POV group 2 vhd 451-600 lbs,,,5601.5,9825.69,4 HCPCS,K0813,PWC gp 1 std port seat/back,,,457.69,802.84,4 HCPCS,K0814,PWC gp 1 std port cap chair,,,454.38,797.04,4 HCPCS,K0815,PWC gp 1 std seat/back,,,502.1,880.74,4 HCPCS,K0816,PWC gp 1 std cap chair,,,475.24,833.64,4 HCPCS,K0820,PWC gp 2 std port seat/back,,,463.38,812.82,4 HCPCS,K0821,PWC gp 2 std port cap chair,,,479.98,841.95,4 HCPCS,K0822,PWC gp 2 std seat/back,,,506.92,889.19,4 HCPCS,K0823,PWC gp 2 std cap chair,,,480.54,842.93,4 HCPCS,K0824,PWC gp 2 hd seat/back,,,723.88,1269.77,4 HCPCS,K0825,PWC gp 2 hd cap chair,,,660.67,1158.9,4 HCPCS,K0826,Pwc gp 2 vhd seat/back,,,1339.7,2349.99,4 HCPCS,K0827,Pwc gp vhd cap chair,,,1154.8,2025.66,4 HCPCS,K0828,PWC gp 2 xtra hd seat/back,,,1639.8,2876.4,4 HCPCS,K0829,PWC gp 2 xtra hd cap chair,,,1549.6,2718.19,4 HCPCS,K0835,PWC gp2 std sing pow opt s/b,,,600.77,1053.81,4 HCPCS,K0836,PWC gp2 std sing pow opt cap,,,623.13,1093.05,4 HCPCS,K0837,PWC gp 2 hd sing pow opt s/b,,,770.57,1351.66,4 HCPCS,K0838,PWC gp 2 hd sing pow opt cap,,,682.97,1198.01,4 HCPCS,K0839,PWC gp2 vhd sing pow opt s/b,,,1023.58,1795.48,4 HCPCS,K0840,PWC gp2 xhd sing pow opt s/b,,,1571.52,2756.63,4 HCPCS,K0841,PWC gp2 std mult pow opt s/b,,,677.04,1187.61,4 HCPCS,K0842,PWC gp2 std mult pow opt cap,,,676.05,1185.87,4 HCPCS,K0843,PWC gp2 hd mult pow opt s/b,,,802.53,1407.74,4 HCPCS,K0848,PWC gp 3 std seat/back,,,1361.38,2388.02,4 HCPCS,K0849,PWC gp 3 std cap chair,,,1308.89,2295.94,4 HCPCS,K0850,PWC gp 3 hd seat/back,,,1579.14,2770.01,4 HCPCS,K0851,PWC gp 3 hd cap chair,,,1518.36,2663.38,4 HCPCS,K0852,PWC gp 3 vhd seat/back,,,1824.61,3200.58,4 HCPCS,K0853,PWC gp 3 vhd cap chair,,,1874.33,3287.8,4 HCPCS,K0854,PWC gp 3 xhd seat/back,,,2483.09,4355.63,4 HCPCS,K0855,PWC gp 3 xhd cap chair,,,2345.65,4114.54,4 HCPCS,K0856,PWC gp3 std sing pow opt s/b,,,1461.27,2563.25,4 HCPCS,K0857,PWC gp3 std sing pow opt cap,,,1490.58,2614.65,4 HCPCS,K0858,PWC gp3 hd sing pow opt s/b,,,1813.05,3180.3,4 HCPCS,K0859,PWC gp3 hd sing pow opt cap,,,1729.08,3033.01,4 HCPCS,K0860,PWC gp3 vhd sing pow opt s/b,,,2590.14,4543.42,4 HCPCS,K0861,PWC gp3 std mult pow opt s/b,,,1463.64,2567.4,4 HCPCS,K0862,PWC gp3 hd mult pow opt s/b,,,1813.05,3180.3,4 HCPCS,K0863,PWC gp3 vhd mult pow opt s/b,,,2590.14,4543.42,4 HCPCS,K0864,PWC gp3 xhd mult pow opt s/b,,,3082.3,5406.73,4 HCPCS,L0112,Cranial cervical orthosis,,,1720.06,4218.72,7 HCPCS,L0113,Cranial cervical torticollis,,,350.47,859.57,7 HCPCS,L0120,Cerv flex n/adj foam pre ots,,,32.51,79.71,7 HCPCS,L0120,"HC CERVICAL, FLEXIBLE, NON-ADJUSTABLE, PREFABRICATED, OFF-THE-SHELF (FOAM",1186.78,1186.78,,,0 HCPCS,L0130,Flex thermoplastic collar mo,,,187.59,460.09,7 HCPCS,L0140,Cervical semi-rigid adjustab,,,73.56,180.4,7 HCPCS,L0150,Cerv semi-rig adj molded chn,,,131.54,322.62,7 HCPCS,L0150,"HC CERVICAL, SEMI-RIGID, ADJUSTABLE MOLDED CHIN CUP (PLASTIC COLLAR WITH MANDIBULAR/OCCIPITAL PIECE)",1186.78,1186.78,,,0 HCPCS,L0160,Cerv sr wire occ/man pre ots,,,192.08,471.09,7 HCPCS,L0170,Cervical collar molded to pt,,,988.11,2423.52,7 HCPCS,L0172,Cerv col sr foam 2pc pre ots,,,86.89,313.29,7 HCPCS,L0172,"HC CERVICAL, COLLAR, SEMI-RIGID THERMOPLASTIC FOAM, TWO-PIECE, PREFABRICATED, OFF-THE-SHE",1186.78,1186.78,,,0 HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,342.24,839.4,7 HCPCS,L0174,"HC CERVICAL, COLLAR, SEMI-RIGID, THERMOPLASTIC FOAM, TWO PIECE WITH TF",1186.78,1186.78,,,0 HCPCS,L0180,Cer post col occ/man sup adj,,,554.45,1359.9,7 HCPCS,L0190,Cerv collar supp adj cerv ba,,,653.92,1603.79,7 HCPCS,L0200,Cerv col supp adj bar & thor,,,758.49,1860.25,7 HCPCS,L0200,"HC CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJN",1186.78,1186.78,,,0 HCPCS,L0220,Thor rib belt custom fabrica,,,158.76,389.42,7 HCPCS,L0450,Tlso flex trunk/thor pre ots,,,123.17,489.81,7 HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,426.22,1045.38,7 HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,228.66,1045.38,7 HCPCS,L0456,"HC TLSO, FLEXIBLE, TRUNK SUPPORT, THORACIC REGION, RIGID POSTERIOR PAT",1186.76,1186.76,,,0 HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1222.31,2997.87,7 HCPCS,L0457,"HC TLSO, FLEXIBLE, TRUNK SUPPORT, THORACIC REGION, RIGID POSTERIOR PAF",1186.78,1186.78,,,0 HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,655.74,2997.87,7 HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1096.06,2688.22,7 HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1233.68,3025.8,7 HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1534.47,3763.5,7 HCPCS,L0464,"HC TLSO, TRIPLANAR CONTROL, MODULAR SEGMENTED SPINAL SYSTEM, FOUR RIGT",1186.78,1186.78,,,0 HCPCS,L0464,TLSO 4Mod sacro-scap pre,,,1826.79,4480.42,7 HCPCS,L0466,Tlso r fram soft ant pre cst,,,466.26,1143.59,7 HCPCS,L0467,Tlso r fram soft pre ots,,,256.45,1143.59,7 HCPCS,L0468,Tlso rig fram pelvic pre cst,,,584.34,1433.19,7 HCPCS,L0469,Tlso rig fram pelvic pre ots,,,326.76,1433.19,7 HCPCS,L0470,TLSO rigid frame pre subclav,,,808.59,1983.18,7 HCPCS,L0472,"HC TLSO, TRIPLANAR CONTROL, HYPEREXTENSION, RIGID ANTERIOR AND LATERAT",1186.78,1186.78,,,0 HCPCS,L0472,TLSO rigid frame hyperex pre,,,497.56,1220.31,7 HCPCS,L0480,TLSO rigid plastic custom fa,,,1856.29,4552.79,7 HCPCS,L0482,TLSO rigid lined custom fab,,,2073.49,5085.53,7 HCPCS,L0484,TLSO rigid plastic cust fab,,,2239.27,5492.17,7 HCPCS,L0486,"HC TLSO, TRIPLANAR CONTROL, TWO PIECE RIGID PLASTIC SHELL WITH INTERFD",1186.78,1186.78,,,0 HCPCS,L0486,TLSO rigidlined cust fab two,,,2514.79,6167.91,7 HCPCS,L0488,TLSO rigid lined pre one pie,,,1233.68,3025.8,7 HCPCS,L0490,TLSO rigid plastic pre one,,,347.64,852.63,7 HCPCS,L0491,TLSO 2 piece rigid shell,,,943.84,2314.89,7 HCPCS,L0492,TLSO 3 piece rigid shell,,,614.59,1507.41,7 HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,64.94,259.9,7 HCPCS,L0622,Sio flex pelvisacral custom,,,328.48,805.63,7 HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,116.41,209.54,3 HCPCS,L0625,Lo flex l1-below l5 pre ots,,,36.33,166.06,7 HCPCS,L0626,Lo sag rig pnl stays pre cst,,,95.79,234.96,7 HCPCS,L0627,"HC LUMBAR ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIT",1186.76,1186.76,,,0 HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,505.13,1238.88,7 HCPCS,L0628,Lso flex no ri stays pre ots,,,55.32,252.8,7 HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,199.05,488.21,7 HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1261.6,3094.25,7 HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,352.41,864.35,7 HCPCS,L0635,Lso sagit rigid panel prefab,,,1228.02,3011.87,7 HCPCS,L0636,Lso sagittal rigid panel cus,,,1666.22,4086.58,7 HCPCS,L0637,"HC LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, WITH RIGID ANTER",1186.78,1186.78,,,0 HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1592.13,3904.93,7 HCPCS,L0638,Lso sag-coronal panel custom,,,1620.91,3975.5,7 HCPCS,L0639,Lso s/c shell/panel prefab,,,1592.13,3904.93,7 HCPCS,L0640,Lso s/c shell/panel custom,,,1285.97,3154.0,7 HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,51.4,234.96,7 HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,271.08,1238.88,7 HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,106.8,488.21,7 HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,676.99,3094.25,7 HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,189.11,864.35,7 HCPCS,L0650,"HC LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, WITH RIGID ANTERF",1186.78,1186.78,,,0 HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,783.31,3904.93,7 HCPCS,L0651,LSO sag-co shell pnl pre ots,,,783.31,3904.93,7 HCPCS,L0700,Ctlso a-p-l control molded,,,2446.57,6000.55,7 HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2689.42,6596.23,7 HCPCS,L0720,Ctlso a-p-l control custom,,,2381.24,4286.23,3 HCPCS,L0810,"HC HALO PROCEDURE, CERVICAL HALO INCORPORATED INTO JACKET VEST",1186.78,1186.78,,,0 HCPCS,L0810,Halo cervical into jckt vest,,,3284.91,8056.66,7 HCPCS,L0820,Halo cervical into body jack,,,2584.02,6337.68,7 HCPCS,L0830,Halo cerv into milwaukee typ,,,3953.92,9697.59,7 HCPCS,L0859,"HC ADDITION TO HALO PROCEDURE, MAGNETIC RESONANCE IMAGE COMPATIBLE SYL",1186.78,1186.78,,,0 HCPCS,L0859,MRI compatible system,,,1399.89,3433.46,7 HCPCS,L0861,"HC ADDITION TO HALO PROCEDURE, REPLACEMENT LINER/INTERFACE MATERIAL",1186.78,1186.78,,,0 HCPCS,L0861,Halo repl liner/interface,,,264.89,649.68,7 HCPCS,L0970,Tlso corset front,,,131.34,322.13,7 HCPCS,L0972,Lso corset front,,,119.54,293.18,7 HCPCS,L0974,Tlso full corset,,,214.76,526.73,7 HCPCS,L0976,Lso full corset,,,183.75,450.65,7 HCPCS,L0978,Axillary crutch extension,,,231.25,567.21,7 HCPCS,L0980,Peroneal straps pair pre ots,,,20.99,51.52,7 HCPCS,L0982,Stocking sup grips 4 pre ots,,,19.23,47.13,7 HCPCS,L0984,Protect body sock ea pre ots,,,83.16,204.0,7 HCPCS,L0999,"HC ADDITION TO SPINAL ORTHOSIS, NOT OTHERWISE SPECIFIED",1186.78,1186.78,,,0 HCPCS,L1000,Ctlso milwauke initial model,,,2492.04,6112.12,7 HCPCS,L1005,Tension based scoliosis orth,,,3933.46,9647.38,7 HCPCS,L1010,Ctlso axilla sling,,,102.83,252.2,7 HCPCS,L1020,Kyphosis pad,,,132.43,324.82,7 HCPCS,L1025,Kyphosis pad floating,,,191.06,468.58,7 HCPCS,L1030,Lumbar bolster pad,,,96.23,235.98,7 HCPCS,L1040,Lumbar or lumbar rib pad,,,108.96,267.21,7 HCPCS,L1050,Sternal pad,,,123.31,302.42,7 HCPCS,L1060,Thoracic pad,,,133.1,326.43,7 HCPCS,L1070,Trapezius sling,,,137.88,338.15,7 HCPCS,L1080,Outrigger,,,64.3,157.72,7 HCPCS,L1085,Outrigger bil w/ vert extens,,,215.27,527.95,7 HCPCS,L1090,Lumbar sling,,,123.66,303.31,7 HCPCS,L1100,Ring flange plastic/leather,,,233.39,572.4,7 HCPCS,L1110,Ring flange plas/leather mol,,,391.31,959.74,7 HCPCS,L1120,Covers for upright each,,,46.74,114.62,7 HCPCS,L1200,Furnsh initial orthosis only,,,2199.24,5393.97,7 HCPCS,L1210,Lateral thoracic extension,,,300.68,737.47,7 HCPCS,L1220,Anterior thoracic extension,,,292.66,717.78,7 HCPCS,L1230,Milwaukee type superstructur,,,819.86,2010.86,7 HCPCS,L1240,Lumbar derotation pad,,,111.77,274.13,7 HCPCS,L1250,Anterior asis pad,,,97.2,238.33,7 HCPCS,L1260,Anterior thoracic derotation,,,115.91,284.28,7 HCPCS,L1270,Abdominal pad,,,101.86,249.78,7 HCPCS,L1280,Rib gusset (elastic) each,,,107.39,263.36,7 HCPCS,L1290,Lateral trochanteric pad,,,95.49,234.22,7 HCPCS,L1300,Body jacket mold to patient,,,2118.07,5194.9,7 HCPCS,L1310,Post-operative body jacket,,,2206.15,5410.91,7 HCPCS,L1499,"HC SPINAL ORTHOSIS, NOT OTHERWISE SPECIFIED",1186.76,1186.76,,,0 HCPCS,L1600,Ho flex frejka w/cov pre cst,,,158.37,388.4,7 HCPCS,L1610,Ho frejka cov only pre cst,,,67.26,164.96,7 HCPCS,L1620,"HC HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINTS, FLEXIBLE, (PAVLIK HE",1186.76,1186.76,,,0 HCPCS,L1620,Ho flex pavlik harns pre cst,,,193.1,473.64,7 HCPCS,L1630,Abduct control hip semi-flex,,,259.63,636.77,7 HCPCS,L1640,Pelv band/spread bar thigh c,,,581.79,1426.89,7 HCPCS,L1650,HO abduction hip adjustable,,,303.07,743.33,7 HCPCS,L1652,HO bi thighcuffs w sprdr bar,,,438.09,1074.47,7 HCPCS,L1660,HO abduction static plastic,,,222.08,544.72,7 HCPCS,L1680,Pelvic & hip control thigh c,,,1400.11,3433.99,7 HCPCS,L1681,Ho bilateral hip abduction,,,2303.12,4145.62,3 HCPCS,L1685,Post-op hip abduct custom fa,,,1366.86,3352.45,7 HCPCS,L1686,"HC HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINT, POSTOPERATIVE HIP ABT",1186.76,1186.76,,,0 HCPCS,L1686,HO post-op hip abduction,,,1151.56,2824.37,7 HCPCS,L1690,Combination bilateral HO,,,2376.51,5828.73,7 HCPCS,L1700,Leg perthes orth toronto typ,,,1912.04,4689.61,7 HCPCS,L1710,Legg perthes orth newington,,,2434.79,5971.64,7 HCPCS,L1720,Legg perthes orthosis trilat,,,1812.94,4446.46,7 HCPCS,L1730,Legg perthes orth scottish r,,,1530.52,3753.81,7 HCPCS,L1755,Legg perthes patten bottom t,,,2200.45,5396.92,7 HCPCS,L1810,Ko elastic with joints,,,126.52,310.28,7 HCPCS,L1812,Ko elastic w/joints pre ots,,,78.51,310.28,7 HCPCS,L1820,"HC KNEE ORTHOSIS, ELASTIC WITH CONDYLAR PADS AND JOINTS, WITH OR WITHT",1186.78,1186.78,,,0 HCPCS,L1820,Ko elas w/ condyle pads & jo,,,174.65,428.41,7 HCPCS,L1830,"HC KNEE ORTHOSIS, IMMOBILIZER, CANVAS LONGITUDINAL, PREFABRICATED, OFF-THE-SHELF",1186.78,1186.78,,,0 HCPCS,L1830,Ko immob canvas long pre ots,,,48.25,127.35,7 HCPCS,L1831,Knee orth pos locking joint,,,361.7,887.11,7 HCPCS,L1832,"HC KNEE ORTHOSIS, ADJUSTABLE KNEE JOINTS (UNICENTRIC OR POLYCENTRIC),T",1186.78,1186.78,,,0 HCPCS,L1832,Ko adj jnt pos r sup pre cst,,,846.51,2076.18,7 HCPCS,L1833,"HC KNEE ORTHOSIS, ADJUSTABLE KNEE JOINTS (UNICENTRIC OR POLYCENTRIC),F",1186.78,1186.78,,,0 HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,509.63,2076.18,7 HCPCS,L1834,Ko w/0 joint rigid molded to,,,892.02,2187.79,7 HCPCS,L1836,"HC KNEE ORTHOSIS, RIGID, WITHOUT JOINT(S), INCLUDES SOFT INTERFACE MAF",1186.78,1186.78,,,0 HCPCS,L1836,Ko rigid w/o joints pre ots,,,100.03,402.14,7 HCPCS,L1840,Ko derot ant cruciate custom,,,1155.72,2834.6,7 HCPCS,L1843,Ko single upright pre cst,,,1102.71,2704.51,7 HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1871.51,4590.14,7 HCPCS,L1845,Ko double upright pre cst,,,1029.48,2524.88,7 HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1437.92,3526.69,7 HCPCS,L1847,Ko dbl upright w/air pre cst,,,706.86,1733.69,7 HCPCS,L1848,Ko dbl upright w/air pre ots,,,706.86,1733.69,7 HCPCS,L1850,Ko swedish type pre ots,,,230.4,858.69,7 HCPCS,L1851,Ko single upright prefab ots,,,672.67,2704.51,7 HCPCS,L1852,Ko double upright prefab ots,,,641.72,2524.88,7 HCPCS,L1860,Ko supracondylar socket mold,,,1532.49,3758.65,7 HCPCS,L1900,Afo sprng wir drsflx calf bd,,,350.64,859.95,7 HCPCS,L1902,Afo ankle gauntlet pre ots,,,91.73,224.99,7 HCPCS,L1902,"HC ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, PREFABRICATED, OFF-THE-SHELF",1186.76,1186.76,,,0 HCPCS,L1904,Afo molded ankle gauntlet,,,554.72,1360.48,7 HCPCS,L1906,Afo multilig ank sup pre ots,,,138.2,338.95,7 HCPCS,L1907,AFO supramalleolar custom,,,691.55,1696.11,7 HCPCS,L1910,Afo sing bar clasp attach sh,,,344.65,845.27,7 HCPCS,L1920,Afo sing upright w/ adjust s,,,504.86,1238.22,7 HCPCS,L1930,Afo plastic,,,309.6,759.38,7 HCPCS,L1930,"HC ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",1186.76,1186.76,,,0 HCPCS,L1932,Afo rig ant tib prefab TCF/=,,,1096.64,2689.7,7 HCPCS,L1932,"HC ANKLE FOOT ORTHOTIC(AFO)RIGID ANTERIOR TIBIAL SECTION, TOTAL CARBOT",1186.78,1186.78,,,0 HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1096.64,1973.95,3 HCPCS,L1940,Afo molded to patient plasti,,,598.47,1467.84,7 HCPCS,L1945,Afo molded plas rig ant tib,,,1379.49,3383.36,7 HCPCS,L1945,"HC ANKLE FOOT ORTHOSIS, PLASTIC, RIGID ANTERIOR TIBIAL SECTION (FLOOR REACTION), CUSTOM FABRICATED",1186.76,1186.76,,,0 HCPCS,L1950,Afo spiral molded to pt plas,,,945.14,2318.1,7 HCPCS,L1951,AFO spiral prefabricated,,,1032.09,2531.35,7 HCPCS,L1952,Afo spiral prefab ots,,,1032.09,1857.76,3 HCPCS,L1960,Afo pos solid ank plastic mo,,,761.8,1868.42,7 HCPCS,L1970,Afo plastic molded w/ankle j,,,850.61,2086.24,7 HCPCS,L1970,"HC ANKLE FOOT ORTHOSIS, PLASTIC WITH ANKLE JOINT, CUSTOM FABRICATED",1186.78,1186.78,,,0 HCPCS,L1971,"AFO w/ankle joint, prefab",,,576.1,1412.94,7 HCPCS,L1980,Afo sing solid stirrup calf,,,496.21,1217.05,7 HCPCS,L1990,Afo doub solid stirrup calf,,,574.3,1408.55,7 HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1374.81,3371.9,7 HCPCS,L2005,KAFO sng/dbl mechanical act,,,5035.93,12351.39,7 HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1072.34,2630.04,7 HCPCS,L2020,Kafo dbl solid stirrup band/,,,1354.33,3321.63,7 HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1331.19,3264.93,7 HCPCS,L2034,Kafo pla sin up w/wo k/a cus,,,2496.59,6123.29,7 HCPCS,L2035,KAFO plastic pediatric size,,,212.91,522.16,7 HCPCS,L2036,Kafo plas doub free knee mol,,,2278.43,5588.15,7 HCPCS,L2037,Kafo plas sing free knee mol,,,2038.02,4998.53,7 HCPCS,L2038,Kafo w/o joint multi-axis an,,,1642.94,4029.54,7 HCPCS,L2040,Hkafo torsion bil rot straps,,,248.63,609.74,7 HCPCS,L2050,Hkafo torsion cable hip pelv,,,598.88,1468.81,7 HCPCS,L2060,Hkafo torsion ball bearing j,,,749.08,1837.21,7 HCPCS,L2070,Hkafo torsion unilat rot str,,,190.75,467.82,7 HCPCS,L2080,Hkafo unilat torsion cable,,,458.63,1124.85,7 HCPCS,L2090,Hkafo unilat torsion ball br,,,611.07,1498.71,7 HCPCS,L2106,Afo tib fx cast plaster mold,,,968.68,2375.84,7 HCPCS,L2108,Afo tib fx cast molded to pt,,,1412.85,3465.26,7 HCPCS,L2112,Afo tibial fracture soft,,,620.02,1520.66,7 HCPCS,L2114,Afo tib fx semi-rigid,,,776.59,1904.68,7 HCPCS,L2116,Afo tibial fracture rigid,,,947.2,2323.15,7 HCPCS,L2126,Kafo fem fx cast thermoplas,,,1569.24,3848.82,7 HCPCS,L2128,Kafo fem fx cast molded to p,,,1970.44,4832.79,7 HCPCS,L2132,Kafo femoral fx cast soft,,,1196.02,2933.42,7 HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1416.24,3473.54,7 HCPCS,L2136,HC KAFO FEMORAL FX CAST RIGID,1109.13,1109.13,,,0 HCPCS,L2136,Kafo femoral fx cast rigid,,,1549.86,3801.28,7 HCPCS,L2180,Plas shoe insert w ank joint,,,162.92,399.59,7 HCPCS,L2182,Drop lock knee,,,140.43,344.45,7 HCPCS,L2184,Limited motion knee joint,,,142.35,349.15,7 HCPCS,L2186,Adj motion knee jnt lerman t,,,189.31,464.27,7 HCPCS,L2188,Quadrilateral brim,,,344.15,844.04,7 HCPCS,L2190,Waist belt,,,104.83,257.09,7 HCPCS,L2192,Pelvic band & belt thigh fla,,,409.73,1004.9,7 HCPCS,L2200,"HC ADDITION TO LOWER EXTREMITY, LIMITED ANKLE MOTION, EACH JOINT",1186.78,1186.78,,,0 HCPCS,L2200,Limited ankle motion ea jnt,,,61.75,151.46,7 HCPCS,L2210,Dorsiflexion assist each joi,,,77.24,189.46,7 HCPCS,L2220,Dorsi & plantar flex ass/res,,,99.43,243.9,7 HCPCS,L2221,Ank mcrop plant & dorsi flex,,,1757.7,3163.86,3 HCPCS,L2230,Split flat caliper stirr & p,,,117.56,288.32,7 HCPCS,L2232,"Rocker bottom, contact AFO",,,119.38,292.77,7 HCPCS,L2240,Round caliper and plate atta,,,117.01,286.96,7 HCPCS,L2250,Foot plate molded stirrup at,,,410.5,1006.81,7 HCPCS,L2260,Reinforced solid stirrup,,,230.35,564.97,7 HCPCS,L2265,Long tongue stirrup,,,165.21,405.17,7 HCPCS,L2270,Varus/valgus strap padded/li,,,75.76,185.78,7 HCPCS,L2275,"HC ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION, PLASTIC MODIFICATION, PADDED/LINED",1186.78,1186.78,,,0 HCPCS,L2275,Plastic mod low ext pad/line,,,160.19,392.92,7 HCPCS,L2280,Molded inner boot,,,693.78,1701.61,7 HCPCS,L2300,Abduction bar jointed adjust,,,309.39,758.82,7 HCPCS,L2310,Abduction bar-straight,,,141.37,346.73,7 HCPCS,L2320,Non-molded lacer,,,237.08,581.39,7 HCPCS,L2330,Lacer molded to patient mode,,,451.21,1106.66,7 HCPCS,L2335,Anterior swing band,,,345.46,847.29,7 HCPCS,L2340,Pre-tibial shell molded to p,,,513.58,1259.62,7 HCPCS,L2350,Prosthetic type socket molde,,,1023.92,2511.32,7 HCPCS,L2360,Extended steel shank,,,63.37,155.45,7 HCPCS,L2370,Patten bottom,,,393.31,964.67,7 HCPCS,L2375,Torsion ank & half solid sti,,,151.22,370.86,7 HCPCS,L2380,Torsion straight knee joint,,,158.6,388.96,7 HCPCS,L2385,Straight knee joint heavy du,,,180.58,442.93,7 HCPCS,L2387,Add le poly knee custom kafo,,,234.6,575.39,7 HCPCS,L2390,Offset knee joint each,,,125.79,308.5,7 HCPCS,L2395,Offset knee joint heavy duty,,,179.8,440.99,7 HCPCS,L2397,Suspension sleeve lower ext,,,150.0,367.91,7 HCPCS,L2405,Knee joint drop lock ea jnt,,,107.14,262.8,7 HCPCS,L2415,Knee joint cam lock each joi,,,149.3,366.18,7 HCPCS,L2425,Knee disc/dial lock/adj flex,,,176.17,432.09,7 HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,176.17,432.09,7 HCPCS,L2492,Knee lift loop drop lock rin,,,144.15,353.5,7 HCPCS,L2500,Thi/glut/ischia wgt bearing,,,384.58,943.22,7 HCPCS,L2510,Th/wght bear quad-lat brim m,,,991.19,2430.99,7 HCPCS,L2520,Th/wght bear quad-lat brim c,,,660.58,1620.12,7 HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1400.77,3435.59,7 HCPCS,L2526,Th/wght bear nar m-l brim cu,,,787.09,1930.44,7 HCPCS,L2530,Thigh/wght bear lacer non-mo,,,294.73,722.9,7 HCPCS,L2540,Thigh/wght bear lacer molded,,,557.7,1367.83,7 HCPCS,L2550,Thigh/wght bear high roll cu,,,418.16,1025.56,7 HCPCS,L2570,Hip clevis type 2 posit jnt,,,547.34,1342.4,7 HCPCS,L2580,Pelvic control pelvic sling,,,533.32,1308.01,7 HCPCS,L2600,Hip clevis/thrust bearing fr,,,262.12,642.86,7 HCPCS,L2610,Hip clevis/thrust bearing lo,,,289.65,710.36,7 HCPCS,L2620,Pelvic control hip heavy dut,,,307.25,753.57,7 HCPCS,L2622,Hip joint adjustable flexion,,,391.07,959.15,7 HCPCS,L2624,"HC ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, ADJUSTABLEH",1186.78,1186.78,,,0 HCPCS,L2624,Hip adj flex ext abduct cont,,,479.52,1176.09,7 HCPCS,L2627,Plastic mold recipro hip & c,,,2626.58,6442.06,7 HCPCS,L2628,Metal frame recipro hip & ca,,,1925.23,4721.9,7 HCPCS,L2630,Pelvic control band & belt u,,,284.55,697.9,7 HCPCS,L2640,Pelvic control band & belt b,,,386.17,947.14,7 HCPCS,L2650,Pelv & thor control gluteal,,,170.06,417.09,7 HCPCS,L2660,Thoracic control thoracic ba,,,220.2,540.09,7 HCPCS,L2670,Thorac cont paraspinal uprig,,,196.02,480.76,7 HCPCS,L2680,Thorac cont lat support upri,,,179.82,441.06,7 HCPCS,L2750,Plating chrome/nickel pr bar,,,96.05,235.55,7 HCPCS,L2755,Carbon graphite lamination,,,160.58,393.83,7 HCPCS,L2760,Extension per extension per,,,69.82,171.24,7 HCPCS,L2768,Ortho sidebar disconnect,,,160.11,392.68,7 HCPCS,L2780,Non-corrosive finish,,,77.77,190.73,7 HCPCS,L2785,Drop lock retainer each,,,36.42,89.31,7 HCPCS,L2795,Knee control full kneecap,,,100.8,247.19,7 HCPCS,L2800,Knee cap medial or lateral p,,,123.76,303.53,7 HCPCS,L2810,Knee control condylar pad,,,100.38,246.19,7 HCPCS,L2820,"HC ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, BELOW KNEE SECTION",1186.76,1186.76,,,0 HCPCS,L2820,Soft interface below knee se,,,99.79,244.73,7 HCPCS,L2830,"HC ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, ABOVE KNEE SECTION",1186.76,1186.76,,,0 HCPCS,L2830,Soft interface above knee se,,,107.96,264.79,7 HCPCS,L2840,Tibial length sock fx or equ,,,53.02,129.97,7 HCPCS,L2850,Femoral lgth sock fx or equa,,,74.34,182.33,7 HCPCS,L2999,"HC LOWER EXTREMITY ORTHOSES, NOT OTHERWISE SPECIFIED",1186.76,1186.76,,,0 HCPCS,L3000,Ft insert ucb berkeley shell,,,386.06,946.86,7 HCPCS,L3001,Foot insert remov molded spe,,,162.56,398.69,7 HCPCS,L3002,Foot insert plastazote or eq,,,198.48,486.78,7 HCPCS,L3003,Foot insert silicone gel eac,,,214.11,525.1,7 HCPCS,L3010,Foot longitudinal arch suppo,,,214.11,525.1,7 HCPCS,L3020,Foot longitud/metatarsal sup,,,243.83,598.0,7 HCPCS,L3030,Foot arch support remov prem,,,93.77,229.98,7 HCPCS,L3031,Foot lamin/prepreg composite,,,150.51,369.18,7 HCPCS,L3040,Ft arch suprt premold longit,,,57.84,141.88,7 HCPCS,L3050,Foot arch supp premold metat,,,57.84,141.88,7 HCPCS,L3060,Foot arch supp longitud/meta,,,90.65,222.28,7 HCPCS,L3070,Arch suprt att to sho longit,,,39.08,95.82,7 HCPCS,L3080,Arch supp att to shoe metata,,,39.08,95.82,7 HCPCS,L3090,Arch supp att to shoe long/m,,,50.02,122.69,7 HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,53.16,130.36,7 HCPCS,L3140,Abduction rotation bar shoe,,,109.41,268.31,7 HCPCS,L3150,Abduct rotation bar w/o shoe,,,100.05,245.38,7 HCPCS,L3170,Foot plas heel stabi pre ots,,,62.52,153.32,7 HCPCS,L3201,Oxford w supinat/pronat inf,,,68.07,119.4,4 HCPCS,L3202,Oxford w/ supinat/pronator c,,,66.79,117.16,4 HCPCS,L3203,Oxford w/ supinator/pronator,,,64.88,113.8,4 HCPCS,L3204,Hightop w/ supp/pronator inf,,,64.88,113.8,4 HCPCS,L3206,Hightop w/ supp/pronator chi,,,67.43,118.28,4 HCPCS,L3207,Hightop w/ supp/pronator jun,,,68.73,120.55,4 HCPCS,L3208,Surgical boot each infant,,,35.97,63.1,4 HCPCS,L3209,Surgical boot each child,,,51.38,90.13,4 HCPCS,L3211,Surgical boot each junior,,,54.6,95.78,4 HCPCS,L3212,Benesch boot pair infant,,,75.8,132.96,4 HCPCS,L3213,Benesch boot pair child,,,91.86,161.14,4 HCPCS,L3214,Benesch boot pair junior,,,97.65,171.28,4 HCPCS,L3215,Orthopedic ftwear ladies oxf,,,123.97,217.47,4 HCPCS,L3216,Orthoped ladies shoes dpth i,,,150.32,263.67,4 HCPCS,L3217,Ladies shoes hightop depth i,,,162.52,285.09,4 HCPCS,L3219,Orthopedic mens shoes oxford,,,139.38,244.49,4 HCPCS,L3221,Orthopedic mens shoes dpth i,,,167.03,292.99,4 HCPCS,L3222,Mens shoes hightop depth inl,,,185.0,324.52,4 HCPCS,L3224,Woman's shoe oxford brace,,,83.04,203.67,7 HCPCS,L3225,Man's shoe oxford brace,,,90.7,222.46,7 HCPCS,L3230,Custom shoes depth inlay,,,217.76,381.98,4 HCPCS,L3250,Custom mold shoe remov prost,,,423.35,742.6,4 HCPCS,L3251,Shoe molded to pt silicone s,,,58.45,102.53,4 HCPCS,L3252,Shoe molded plastazote cust,,,231.9,406.78,4 HCPCS,L3253,Shoe molded plastazote cust,,,57.8,101.4,4 HCPCS,L3257,Orth foot add charge split s,,,41.76,73.26,4 HCPCS,L3260,Ambulatory surgical boot eac,,,23.77,41.69,4 HCPCS,L3260,"HC SURGICAL BOOT/SHOE, EACH",1186.78,1186.78,,,0 HCPCS,L3265,Plastazote sandal each,,,25.71,45.09,4 HCPCS,L3300,Sho lift taper to metatarsal,,,64.1,157.21,7 HCPCS,L3310,Shoe lift elev heel/sole neo,,,100.05,245.38,7 HCPCS,L3320,Shoe lift elev heel/sole cor,,,156.74,274.94,4 HCPCS,L3330,Lifts elevation metal extens,,,695.51,1705.84,7 HCPCS,L3332,Shoe lifts tapered to one-ha,,,90.65,222.28,7 HCPCS,L3334,Shoe lifts elevation heel /i,,,46.87,114.95,7 HCPCS,L3340,Shoe wedge sach,,,104.74,256.92,7 HCPCS,L3350,Shoe heel wedge,,,28.11,68.95,7 HCPCS,L3360,Shoe sole wedge outside sole,,,43.76,107.28,7 HCPCS,L3370,Shoe sole wedge between sole,,,60.96,149.5,7 HCPCS,L3380,Shoe clubfoot wedge,,,60.96,149.5,7 HCPCS,L3390,Shoe outflare wedge,,,60.96,149.5,7 HCPCS,L3400,Shoe metatarsal bar wedge ro,,,50.02,122.69,7 HCPCS,L3410,Shoe metatarsal bar between,,,114.09,279.82,7 HCPCS,L3420,Full sole/heel wedge btween,,,67.21,164.82,7 HCPCS,L3430,Sho heel count plast reinfor,,,196.94,483.02,7 HCPCS,L3440,Heel leather reinforced,,,93.77,229.98,7 HCPCS,L3450,Shoe heel sach cushion type,,,129.69,318.08,7 HCPCS,L3455,Shoe heel new leather standa,,,50.02,122.69,7 HCPCS,L3460,Shoe heel new rubber standar,,,42.22,103.55,7 HCPCS,L3465,Shoe heel thomas with wedge,,,71.94,176.42,7 HCPCS,L3470,Shoe heel thomas extend to b,,,76.57,187.77,7 HCPCS,L3480,Shoe heel pad & depress for,,,76.57,187.77,7 HCPCS,L3485,Shoe heel pad removable for,,,23.77,41.69,4 HCPCS,L3500,Ortho shoe add leather insol,,,35.93,88.14,7 HCPCS,L3510,Orthopedic shoe add rub insl,,,35.93,88.14,7 HCPCS,L3520,O shoe add felt w leath insl,,,39.08,95.82,7 HCPCS,L3530,Ortho shoe add half sole,,,39.08,95.82,7 HCPCS,L3540,Ortho shoe add full sole,,,62.52,153.32,7 HCPCS,L3550,O shoe add standard toe tap,,,10.99,26.97,7 HCPCS,L3560,O shoe add horseshoe toe tap,,,28.11,68.95,7 HCPCS,L3570,O shoe add instep extension,,,104.74,256.92,7 HCPCS,L3580,O shoe add instep velcro clo,,,79.7,195.5,7 HCPCS,L3590,O shoe convert to sof counte,,,65.66,161.02,7 HCPCS,L3595,Ortho shoe add march bar,,,51.54,126.44,7 HCPCS,L3600,Trans shoe calip plate exist,,,93.77,229.98,7 HCPCS,L3610,Trans shoe caliper plate new,,,123.48,302.83,7 HCPCS,L3620,Trans shoe solid stirrup exi,,,93.77,229.98,7 HCPCS,L3630,Trans shoe solid stirrup new,,,123.48,302.83,7 HCPCS,L3640,Shoe dennis browne splint bo,,,53.16,130.36,7 HCPCS,L3650,So 8 abd restraint pre ots,,,80.6,197.69,7 HCPCS,L3660,So 8 ab rstr can/web pre ots,,,115.57,283.45,7 HCPCS,L3670,"HC SHOULDER ORTHOSIS, ACROMIO/CLAVICULAR (CANVAS AND WEBBING TYPE), PREFABRICATED, OFF-THE-SHELF",1186.78,1186.78,,,0 HCPCS,L3670,So acro/clav can web pre ots,,,127.15,311.87,7 HCPCS,L3671,SO cap design w/o jnts CF,,,1007.79,2471.74,7 HCPCS,L3674,SO airplane w/wo joint CF,,,1322.06,3242.54,7 HCPCS,L3675,So vest canvas/web pre ots,,,196.31,481.45,7 HCPCS,L3677,So hard plas stabili pre cst,,,171.51,300.85,4 HCPCS,L3702,EO w/o joints CF,,,242.58,581.35,7 HCPCS,L3702,HC EO W/O JOINTS CF,421.48,421.48,,,0 HCPCS,L3710,Eo elas w/metal jnts pre ots,,,159.7,391.72,7 HCPCS,L3720,Forearm/arm cuffs free motio,,,764.22,1874.35,7 HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,1013.66,2486.1,7 HCPCS,L3740,Cuffs adj lock w/ active con,,,1201.78,2947.52,7 HCPCS,L3740,HC CUFFS ADJ LOCK W/ ACTIVE CON,1705.57,1705.57,,,0 HCPCS,L3760,"EO withjoint, Prefabricated",,,420.13,1006.85,7 HCPCS,L3760,HC EO WITH JNT PREFABRICATED,974.45,974.45,,,0 HCPCS,L3761,"Eo, adj lock joint prefab ot",,,559.36,1006.85,3 HCPCS,L3762,Eo rigid w/o joints pre ots,,,120.25,294.96,7 HCPCS,L3763,EWHO rigid w/o jnts CF,,,836.99,2421.24,7 HCPCS,L3763,HC EWHO RIGID WO JNTS CF,1092.25,1092.25,,,0 HCPCS,L3764,EWHO w/joint(s) CF,,,875.94,2148.35,7 HCPCS,L3764,HC EWHO W JOINTS CF,1143.06,1143.06,,,0 HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1434.15,4148.67,7 HCPCS,L3766,EWHFO w/joint(s) CF,,,1518.68,3724.76,7 HCPCS,L3806,HC WHFO W JOINTS CUSTOM FAB,662.98,662.98,,,0 HCPCS,L3806,WHFO w/joint(s) custom fab,,,508.03,1469.57,7 HCPCS,L3807,HC WHFO WO JOINTS PRE CST,871.42,871.42,,,0 HCPCS,L3807,Whfo w/o joints pre cst,,,279.67,685.92,7 HCPCS,L3808,HC WHFO RIGID WO JOINTS CF,519.91,519.91,,,0 HCPCS,L3808,"WHFO, rigid w/o joints",,,398.43,1152.5,7 HCPCS,L3809,HC WHFO WO JOINTS PRE OTS,364.94,364.94,,,0 HCPCS,L3809,Whfo w/o joints pre ots,,,279.67,685.92,7 HCPCS,L3900,HC HINGE EXT FLEX WRIST FIN CF,2425.8,2425.8,,,0 HCPCS,L3900,Hinge extension/flex wrist/f,,,1373.73,3261.33,7 HCPCS,L3901,Hinge ext/flex wrist finger,,,2374.53,5823.86,7 HCPCS,L3904,Whfo electric custom fitted,,,3775.23,9259.34,7 HCPCS,L3905,HC WHO W NONTORSION JNTS CF,1447.42,1447.42,,,0 HCPCS,L3905,Who w/nontorsion jnt(s) cf,,,840.98,1996.49,7 HCPCS,L3906,HC WHO WO JOINTS CF,739.67,739.67,,,0 HCPCS,L3906,Who w/o joints cf,,,566.79,1639.64,7 HCPCS,L3908,HC WHO COCKUP NONMOLDE OTS,107.02,107.02,,,0 HCPCS,L3908,Who cock-up nonmolde pre ots,,,82.0,237.21,7 HCPCS,L3912,Hfo flexion glove pre ots,,,117.84,289.01,7 HCPCS,L3913,HC HFO WO JOINTS CF,395.28,395.28,,,0 HCPCS,L3913,HFO w/o joints CF,,,302.9,876.25,7 HCPCS,L3915,Who nontorsion jnts pre cst,,,594.54,1458.21,7 HCPCS,L3916,Who nontorsion jnts pre ots,,,594.54,1458.21,7 HCPCS,L3917,Metacarp fx orthosis pre cst,,,118.11,289.67,7 HCPCS,L3918,Metacarp fx orthosis pre ots,,,118.11,289.67,7 HCPCS,L3919,HC HO WO JOINTS CF,395.28,395.28,,,0 HCPCS,L3919,HO w/o joints CF,,,302.9,742.92,7 HCPCS,L3921,HC HFO W JOINTS CF,468.85,468.85,,,0 HCPCS,L3921,HFO w/joint(s) CF,,,359.28,881.15,7 HCPCS,L3923,Hfo without joints pre cst,,,108.04,264.95,7 HCPCS,L3924,HC HFO WITHOUT JOINTS OTS,336.63,336.63,,,0 HCPCS,L3924,Hfo without joints pre ots,,,108.04,312.51,7 HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,73.47,155.14,7 HCPCS,L3927,Fo pip dip no jt spr pre ots,,,39.15,96.05,7 HCPCS,L3929,Hfo nontorsion jnts pre cst,,,102.16,250.53,7 HCPCS,L3930,Hfo nontorsion jnts pre ots,,,102.16,250.53,7 HCPCS,L3931,WHFO nontorsion joint prefab,,,233.2,571.93,7 HCPCS,L3933,FO w/o joints CF,,,238.64,690.31,7 HCPCS,L3933,HC FO WO JOINTS CF,311.42,311.42,,,0 HCPCS,L3935,FO nontorsion joint CF,,,247.07,605.99,7 HCPCS,L3960,"HC SHOULDER ELBOW WRIST HAND ORTHOSIS, ABDUCTION POSITIONING, AIRPLANT",1186.76,1186.76,,,0 HCPCS,L3960,Sewho airplan desig abdu pos,,,892.05,2187.9,7 HCPCS,L3961,Sewho cap design w/o jnts cf,,,1879.17,4608.95,7 HCPCS,L3962,Sewho erbs palsey design abd,,,806.8,1978.82,7 HCPCS,L3967,Sewho airplane w/o jnts cf,,,2218.63,5441.55,7 HCPCS,L3971,Sewho cap design w/jnt(s) cf,,,2106.0,5165.31,7 HCPCS,L3973,Sewho airplane w/jnt(s) cf,,,2218.63,5441.55,7 HCPCS,L3975,Sewhfo cap design w/o jnt cf,,,1879.17,4608.95,7 HCPCS,L3976,Sewhfo airplane w/o jnts cf,,,1879.17,4608.95,7 HCPCS,L3977,Sewhfo cap desgn w/jnt(s) cf,,,2106.0,5165.31,7 HCPCS,L3978,Sewhfo airplane w/jnt(s) cf,,,2218.63,5441.55,7 HCPCS,L3980,"HC UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",1186.78,1186.78,,,0 HCPCS,L3980,Up ext fx orthos humeral nos,,,432.69,1061.22,7 HCPCS,L3981,Ue fx orth shoul cap forearm,,,1125.8,2761.17,7 HCPCS,L3982,"HC UPPER EXTREMITY FRACTURE ORTHOSIS, RADIUS/ULNAR, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",1186.76,1186.76,,,0 HCPCS,L3982,Upper ext fx orthosis rad/ul,,,439.35,1077.58,7 HCPCS,L3984,"HC UPPER EXTREMITY FRACTURE ORTHOSIS, WRIST, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT",1186.78,1186.78,,,0 HCPCS,L3984,Upper ext fx orthosis wrist,,,387.03,949.23,7 HCPCS,L3995,Sock fracture or equal each,,,45.92,112.68,7 HCPCS,L4000,Repl girdle milwaukee orth,,,1623.97,3983.01,7 HCPCS,L4010,Replace trilateral socket br,,,987.07,2420.93,7 HCPCS,L4020,Replace quadlat socket brim,,,1185.74,2908.18,7 HCPCS,L4030,Replace socket brim cust fit,,,753.5,1848.07,7 HCPCS,L4040,Replace molded thigh lacer,,,510.29,1251.55,7 HCPCS,L4045,Replace non-molded thigh lac,,,376.94,924.5,7 HCPCS,L4050,Replace molded calf lacer,,,505.37,1239.56,7 HCPCS,L4055,Replace non-molded calf lace,,,307.2,753.46,7 HCPCS,L4060,Replace high roll cuff,,,399.32,979.41,7 HCPCS,L4070,Replace prox & dist upright,,,323.39,793.17,7 HCPCS,L4080,Repl met band kafo-afo prox,,,122.09,299.4,7 HCPCS,L4090,Repl met band kafo-afo calf/,,,103.88,254.71,7 HCPCS,L4100,Repl leath cuff kafo prox th,,,124.81,306.08,7 HCPCS,L4110,Repl leath cuff kafo-afo cal,,,97.45,238.99,7 HCPCS,L4130,Replace pretibial shell,,,589.05,1444.75,7 HCPCS,L4205,Ortho dvc repair per 15 min,,,29.92,53.86,3 HCPCS,L4350,Ankle control ortho pre ots,,,36.78,214.02,7 HCPCS,L4350,"HC ANKLE CONTROL ORTHOSIS, STIRRUP STYLE, RIGID, INCLUDES ANY TYPE INF",1186.78,1186.78,,,0 HCPCS,L4360,"HC WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WIT",1186.78,1186.78,,,0 HCPCS,L4360,Pneumat walking boot pre cst,,,318.18,780.37,7 HCPCS,L4361,"HC WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITF",1186.78,1186.78,,,0 HCPCS,L4361,Pneuma/vac walk boot pre ots,,,318.18,780.37,7 HCPCS,L4370,Pneum full leg splnt pre ots,,,289.25,709.44,7 HCPCS,L4386,"HC WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHO",1186.78,1186.78,,,0 HCPCS,L4386,Non-pneum walk boot pre cst,,,194.86,477.91,7 HCPCS,L4387,"HC WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOF",1186.78,1186.78,,,0 HCPCS,L4387,Non-pneum walk boot pre ots,,,194.86,477.91,7 HCPCS,L4392,Replace AFO soft interface,,,28.91,70.89,7 HCPCS,L4394,Replace foot drop spint,,,21.09,51.77,7 HCPCS,L4396,"HC STATIC OR DYNAMIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MA",1186.78,1186.78,,,0 HCPCS,L4396,Static or dynami afo pre cst,,,206.23,505.83,7 HCPCS,L4397,"HC STATIC OR DYNAMIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MAF",1186.78,1186.78,,,0 HCPCS,L4397,Static or dynami afo pre ots,,,206.23,505.83,7 HCPCS,L4398,Foot drop splint pre ots,,,94.92,232.83,7 HCPCS,L4398,"HC FOOT DROP SPLINT, RECUMBENT POSITIONING DEVICE, PREFABRICATED, OFF-THE-SHELF",1186.78,1186.78,,,0 HCPCS,L4631,"Afo, walk boot type, cus fab",,,1811.67,4443.39,7 HCPCS,L5000,Sho insert w arch toe filler,,,705.71,1730.83,7 HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1971.82,4836.18,7 HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,3089.2,7576.75,7 HCPCS,L5050,Ank symes mold sckt sach ft,,,3374.0,8275.23,7 HCPCS,L5060,Symes met fr leath socket ar,,,4159.16,10200.95,7 HCPCS,L5100,Molded socket shin sach foot,,,3359.56,8239.83,7 HCPCS,L5105,Plast socket jts/thgh lacer,,,4741.07,11628.18,7 HCPCS,L5150,Mold sckt ext knee shin sach,,,5270.94,12927.77,7 HCPCS,L5160,Mold socket bent knee shin s,,,5787.25,14194.07,7 HCPCS,L5200,Kne sing axis fric shin sach,,,4476.02,10978.05,7 HCPCS,L5210,No knee/ankle joints w/ ft b,,,3553.95,8716.57,7 HCPCS,L5220,No knee joint with artic ali,,,3914.91,9601.94,7 HCPCS,L5230,Fem focal defic constant fri,,,5871.76,14401.43,7 HCPCS,L5250,Hip canad sing axi cons fric,,,6884.81,16886.04,7 HCPCS,L5270,Tilt table locking hip sing,,,7671.01,18814.35,7 HCPCS,L5280,Hemipelvect canad sing axis,,,7456.53,18288.21,7 HCPCS,L5301,Bk mold socket sach ft endo,,,3299.01,8091.31,7 HCPCS,L5312,"Knee disart, SACH ft, endo",,,5197.83,12748.46,7 HCPCS,L5321,Ak open end sach,,,4399.13,10789.47,7 HCPCS,L5331,Hip disart canadian sach ft,,,6443.12,15802.76,7 HCPCS,L5341,Hemipelvectomy canadian sach,,,6848.94,16798.05,7 HCPCS,L5400,Postop dress & 1 cast chg bk,,,1964.57,4818.4,7 HCPCS,L5410,Postop dsg bk ea add cast ch,,,542.75,1331.18,7 HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,2481.17,6085.44,7 HCPCS,L5430,Postop dsg ak ea add cast ch,,,673.51,1651.85,7 HCPCS,L5450,HC BELOW KNEE POST SURGICAL APPLICAT NON-WEIGHT BEARING RIGID DRESSING,1186.78,1186.78,,,0 HCPCS,L5450,Postop app non-wgt bear dsg,,,582.35,1428.32,7 HCPCS,L5460,HC ABOVE KNEE POST SURGICAL APPLICAT NON-WEIGHT BEARING RIGID DRESSING,1186.78,1186.78,,,0 HCPCS,L5460,Postop app non-wgt bear dsg,,,763.82,1873.38,7 HCPCS,L5500,Init bk ptb plaster direct,,,1815.83,4453.66,7 HCPCS,L5505,Init ak ischal plstr direct,,,2554.38,6265.0,7 HCPCS,L5510,Prep BK ptb plaster molded,,,2168.42,5318.34,7 HCPCS,L5520,Perp BK ptb thermopls direct,,,1943.72,4767.28,7 HCPCS,L5530,"HC PREPARATORY, BELOW KNEE 'PTB' TYPE SOCKET, NON-ALIGNABLE SYSTEM, PL",1186.76,1186.76,,,0 HCPCS,L5530,Prep BK ptb thermopls molded,,,2555.15,6266.86,7 HCPCS,L5535,Prep BK ptb open end socket,,,2381.94,5842.05,7 HCPCS,L5540,Prep BK ptb laminated socket,,,2522.82,6187.6,7 HCPCS,L5560,Prep AK ischial plast molded,,,2874.62,7050.43,7 HCPCS,L5570,Prep AK ischial direct form,,,2789.92,6842.68,7 HCPCS,L5580,Prep AK ischial thermo mold,,,3462.71,8492.75,7 HCPCS,L5585,Prep AK ischial open end,,,4055.09,9945.72,7 HCPCS,L5590,Prep AK ischial laminated,,,3610.21,8854.55,7 HCPCS,L5595,Hip disartic sach thermopls,,,5641.82,13837.41,7 HCPCS,L5600,Hip disart sach laminat mold,,,6421.23,15748.97,7 HCPCS,L5610,Above knee hydracadence,,,3096.92,7595.65,7 HCPCS,L5611,Ak 4 bar link w/fric swing,,,1972.47,4837.79,7 HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3000.26,7358.57,7 HCPCS,L5614,4-bar link above knee w/swng,,,2077.88,5096.32,7 HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6927.99,12470.38,3 HCPCS,L5616,Ak univ multiplex sys frict,,,1809.06,4437.02,7 HCPCS,L5617,AK/BK self-aligning unit ea,,,688.96,1689.76,7 HCPCS,L5618,Test socket symes,,,411.43,1009.09,7 HCPCS,L5620,Test socket below knee,,,365.04,895.29,7 HCPCS,L5622,Test socket knee disarticula,,,491.79,1206.15,7 HCPCS,L5624,Test socket above knee,,,491.61,1205.74,7 HCPCS,L5626,Test socket hip disarticulat,,,778.27,1908.84,7 HCPCS,L5628,Test socket hemipelvectomy,,,788.11,1932.94,7 HCPCS,L5629,Below knee acrylic socket,,,389.06,954.24,7 HCPCS,L5630,Syme typ expandabl wall sckt,,,676.01,1657.98,7 HCPCS,L5631,Ak/knee disartic acrylic soc,,,537.91,1319.31,7 HCPCS,L5632,Symes type ptb brim design s,,,331.54,813.17,7 HCPCS,L5634,Symes type poster opening so,,,414.62,1016.91,7 HCPCS,L5636,Symes type medial opening so,,,316.91,777.29,7 HCPCS,L5637,Below knee total contact,,,471.56,1156.58,7 HCPCS,L5637,"HC ADDITION TO LOWER EXTREMITY, BELOW KNEE, TOTAL CONTACT",1186.76,1186.76,,,0 HCPCS,L5638,Below knee leather socket,,,794.39,1948.35,7 HCPCS,L5639,Below knee wood socket,,,1372.6,3366.5,7 HCPCS,L5640,Knee disarticulat leather so,,,902.21,2212.82,7 HCPCS,L5642,Above knee leather socket,,,836.32,2051.2,7 HCPCS,L5643,Hip flex inner socket ext fr,,,2466.73,6049.97,7 HCPCS,L5644,Above knee wood socket,,,723.09,1773.48,7 HCPCS,L5645,Bk flex inner socket ext fra,,,1199.56,2942.11,7 HCPCS,L5646,Below knee cushion socket,,,760.2,1864.48,7 HCPCS,L5647,Below knee suction socket,,,973.84,2388.49,7 HCPCS,L5648,Above knee cushion socket,,,898.23,2203.04,7 HCPCS,L5649,Isch containmt/narrow m-l so,,,3018.14,7402.44,7 HCPCS,L5650,Tot contact ak/knee disart s,,,597.66,1465.84,7 HCPCS,L5651,Ak flex inner socket ext fra,,,1751.06,4294.76,7 HCPCS,L5652,Suction susp ak/knee disart,,,533.75,1309.09,7 HCPCS,L5653,Knee disart expand wall sock,,,832.81,2042.52,7 HCPCS,L5654,Socket insert symes,,,482.77,1184.03,7 HCPCS,L5655,Socket insert below knee,,,348.56,854.89,7 HCPCS,L5656,Socket insert knee articulat,,,529.54,1298.76,7 HCPCS,L5657,Add low ext man aut vol any,,,306.32,551.38,3 HCPCS,L5658,Socket insert above knee,,,558.94,1370.93,7 HCPCS,L5661,Multi-durometer symes,,,801.96,1966.9,7 HCPCS,L5665,Multi-durometer below knee,,,712.97,1748.67,7 HCPCS,L5666,Below knee cuff suspension,,,94.4,231.54,7 HCPCS,L5668,Bk molded distal cushion,,,140.62,344.91,7 HCPCS,L5668,"HC ADDITION TO LOWER EXTREMITY, BELOW KNEE, MOLDED DISTAL CUSHION",1186.76,1186.76,,,0 HCPCS,L5670,Bk molded supracondylar susp,,,332.2,814.75,7 HCPCS,L5671,Bk/ak locking mechanism,,,608.96,1493.52,7 HCPCS,L5672,Bk removable medial brim sus,,,439.6,1078.16,7 HCPCS,L5673,Socket insert w lock mech,,,967.82,2373.68,7 HCPCS,L5676,Bk knee joints single axis p,,,443.63,1088.06,7 HCPCS,L5677,Bk knee joints polycentric p,,,679.42,1666.41,7 HCPCS,L5678,Bk joint covers pair,,,48.61,119.21,7 HCPCS,L5679,"HC ADDITION TO LOWER EXTREMITY, BELOW KNEE/ABOVE KNEE, CUSTOM FABRICAM",1186.76,1186.76,,,0 HCPCS,L5679,Socket insert w/o lock mech,,,806.49,1978.06,7 HCPCS,L5680,Bk thigh lacer non-molded,,,372.63,913.93,7 HCPCS,L5681,Intl custm cong/latyp insert,,,1619.74,3972.64,7 HCPCS,L5682,Bk thigh lacer glut/ischia m,,,765.63,1877.84,7 HCPCS,L5683,Initial custom socket insert,,,1619.74,3972.64,7 HCPCS,L5684,Bk fork strap,,,58.93,144.52,7 HCPCS,L5685,Below knee sus/seal sleeve,,,157.74,386.86,7 HCPCS,L5685,"HC ADDITION TO LOWER EXTREMITY PROSTHESIS, BELOW KNEE, SUSPENSION/SEAH",1186.76,1186.76,,,0 HCPCS,L5686,Bk back check,,,70.87,173.79,7 HCPCS,L5688,Bk waist belt webbing,,,75.28,184.58,7 HCPCS,L5688,"HC ADDITION TO LOWER EXTREMITY, BELOW KNEE, WAIST BELT, WEBBING",1186.78,1186.78,,,0 HCPCS,L5690,Bk waist belt padded and lin,,,153.65,376.84,7 HCPCS,L5692,Ak pelvic control belt light,,,162.67,398.99,7 HCPCS,L5692,"HC ADDITION TO LOWER EXTREMITY, ABOVE KNEE, PELVIC CONTROL BELT, LIGHT",1109.13,1109.13,,,0 HCPCS,L5694,Ak pelvic control belt pad/l,,,222.1,544.72,7 HCPCS,L5695,Ak sleeve susp neoprene/equa,,,199.65,489.68,7 HCPCS,L5696,Ak/knee disartic pelvic join,,,241.17,591.54,7 HCPCS,L5697,Ak/knee disartic pelvic band,,,114.53,280.91,7 HCPCS,L5698,Ak/knee disartic silesian ba,,,146.92,360.34,7 HCPCS,L5699,Shoulder harness,,,251.1,615.87,7 HCPCS,L5700,Replace socket below knee,,,3776.99,9263.61,7 HCPCS,L5701,Replace socket above knee,,,4685.7,11492.38,7 HCPCS,L5702,Replace socket hip,,,5905.61,14484.39,7 HCPCS,L5703,Symes ankle w/o (sach) foot,,,3106.52,7619.21,7 HCPCS,L5704,Custom shape cover bk,,,770.11,1888.77,7 HCPCS,L5705,Custom shape cover ak,,,1411.9,3462.86,7 HCPCS,L5706,Custom shape cvr knee disart,,,1377.12,3377.62,7 HCPCS,L5707,Custom shape cvr hip disart,,,1850.21,4537.91,7 HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,440.31,1079.93,7 HCPCS,L5711,Knee-shin exo mnl lock ultra,,,738.97,1812.45,7 HCPCS,L5712,Knee-shin exo frict swg & st,,,527.52,1293.83,7 HCPCS,L5714,Knee-shin exo variable frict,,,536.75,1316.47,7 HCPCS,L5716,Knee-shin exo mech stance ph,,,1061.36,2603.14,7 HCPCS,L5718,Knee-shin exo frct swg & sta,,,1134.92,2783.58,7 HCPCS,L5722,Knee-shin pneum swg frct exo,,,1380.15,3385.01,7 HCPCS,L5724,Knee-shin exo fluid swing ph,,,2127.27,5217.44,7 HCPCS,L5726,Knee-shin ext jnts fld swg e,,,2532.6,6211.62,7 HCPCS,L5728,Knee-shin fluid swg & stance,,,2967.93,7279.29,7 HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1634.07,4007.83,7 HCPCS,L5781,Lower limb pros vacuum pump,,,4926.9,12083.97,7 HCPCS,L5782,HD low limb pros vacuum pump,,,5194.06,12739.17,7 HCPCS,L5783,Add low ext mec limb vol sys,,,3150.07,5670.13,3 HCPCS,L5785,Exoskeletal bk ultralt mater,,,636.06,1560.03,7 HCPCS,L5790,Exoskeletal ak ultra-light m,,,917.99,2251.53,7 HCPCS,L5795,Exoskel hip ultra-light mate,,,1314.46,3223.9,7 HCPCS,L5810,Endoskel knee-shin mnl lock,,,700.33,1717.69,7 HCPCS,L5811,Endo knee-shin mnl lck ultra,,,966.47,2370.4,7 HCPCS,L5812,Endo knee-shin frct swg & st,,,727.31,1783.79,7 HCPCS,L5814,Endo knee-shin hydral swg ph,,,4573.12,11216.24,7 HCPCS,L5816,Endo knee-shin polyc mch sta,,,1041.16,2553.58,7 HCPCS,L5818,Endo knee-shin frct swg & st,,,1175.67,2883.49,7 HCPCS,L5822,Endo knee-shin pneum swg frc,,,2156.75,5289.74,7 HCPCS,L5824,Endo knee-shin fluid swing p,,,2038.76,5000.36,7 HCPCS,L5826,Miniature knee joint,,,3845.42,9431.47,7 HCPCS,L5827,Endo knee shin single axis,,,7159.66,12887.39,3 HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3628.49,8899.38,7 HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2446.57,6000.55,7 HCPCS,L5840,Multi-axial knee/shin system,,,4801.96,11777.5,7 HCPCS,L5841,Addition endoskletl knee-shi,,,2814.38,5065.88,3 HCPCS,L5845,Knee-shin sys stance flexion,,,2207.05,5413.11,7 HCPCS,L5848,Knee-shin sys hydraul stance,,,1324.12,3247.59,7 HCPCS,L5850,Endo ak/hip knee extens assi,,,156.61,384.13,7 HCPCS,L5855,Mech hip extension assist,,,378.09,927.31,7 HCPCS,L5856,Elec knee-shin swing/stance,,,29559.78,72499.82,7 HCPCS,L5857,Elec knee-shin swing only,,,10488.92,25725.64,7 HCPCS,L5858,Stance phase only,,,22885.05,56128.99,7 HCPCS,L5859,Knee-shin pro flex/ext cont,,,17866.14,43819.36,7 HCPCS,L5910,Endo below knee alignable sy,,,443.39,1087.46,7 HCPCS,L5910,"HC ADDITION, ENDOSKELETAL SYSTEM, BELOW KNEE, ALIGNABLE SYSTEM",1186.76,1186.76,,,0 HCPCS,L5920,Endo ak/hip alignable system,,,649.58,1593.18,7 HCPCS,L5925,Above knee manual lock,,,411.36,1008.92,7 HCPCS,L5926,Endoskel posit rotat unit,,,791.74,1425.13,3 HCPCS,L5930,High activity knee frame,,,4144.66,10165.39,7 HCPCS,L5940,Endo bk ultra-light material,,,614.1,1506.16,7 HCPCS,L5950,Endo ak ultra-light material,,,952.47,2336.1,7 HCPCS,L5960,Endo hip ultra-light materia,,,1424.19,3493.0,7 HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5877.61,14415.72,7 HCPCS,L5962,Below knee flex cover system,,,719.6,1764.93,7 HCPCS,L5964,Above knee flex cover system,,,1380.34,3385.47,7 HCPCS,L5966,Hip flexible cover system,,,1778.12,4361.08,7 HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4474.62,10974.65,7 HCPCS,L5970,Foot external keel sach foot,,,267.47,655.98,7 HCPCS,L5971,"SACH foot, replacement",,,267.47,655.98,7 HCPCS,L5972,Flexible keel foot,,,487.23,1195.0,7 HCPCS,L5973,Ank-foot sys dors-plant flex,,,21739.52,53319.43,7 HCPCS,L5974,Foot single axis ankle/foot,,,285.29,699.68,7 HCPCS,L5975,Combo ankle/foot prosthesis,,,570.86,1400.1,7 HCPCS,L5976,Energy storing foot,,,723.64,1774.83,7 HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,383.44,940.48,7 HCPCS,L5979,Multi-axial ankle/ft prosth,,,3070.11,7529.89,7 HCPCS,L5980,Flex foot system,,,4677.59,11472.48,7 HCPCS,L5981,Flex-walk sys low ext prosth,,,4201.6,10305.08,7 HCPCS,L5982,Exoskeletal axial rotation u,,,789.31,1935.85,7 HCPCS,L5984,Endoskeletal axial rotation,,,791.74,1941.9,7 HCPCS,L5985,Lwr ext dynamic prosth pylon,,,347.73,852.79,7 HCPCS,L5986,Multi-axial rotation unit,,,955.08,2342.41,7 HCPCS,L5987,Shank ft w vert load pylon,,,8858.1,21725.88,7 HCPCS,L5988,Vertical shock reducing pylo,,,2459.87,6033.19,7 HCPCS,L5990,User adjustable heel height,,,2233.87,5478.9,7 HCPCS,L5991,Low pros ext osseo connector,,,11755.04,21159.07,3 HCPCS,L5992,Low prosth foot shell repl,,,127.11,228.8,3 HCPCS,L5999,"HC LOWER EXTREMITY PROSTHESIS, NOT OTHERWISE SPECIFIED",1186.78,1186.78,,,0 HCPCS,L6000,Part hand thumb rem,,,3032.56,5319.46,4 HCPCS,L6010,Part hand little/ring,,,3374.73,5919.67,4 HCPCS,L6020,Part hand no fingers,,,3146.39,5519.15,4 HCPCS,L6026,Part hand myo exclu term dev,,,5356.25,13136.99,7 HCPCS,L6028,Part handfng endoskel molded,,,2287.49,4117.48,3 HCPCS,L6029,Test interface part handfing,,,378.71,681.68,3 HCPCS,L6030,External frame part handfing,,,706.16,1271.09,3 HCPCS,L6031,Rep interface handfng molded,,,1535.2,2763.36,3 HCPCS,L6032,Part handfng ultralite tcf/=,,,377.39,679.3,3 HCPCS,L6033,Part handfing acrylic,,,453.48,816.26,3 HCPCS,L6034,Part hand finger distal amp,,,457.5,823.5,3 HCPCS,L6035,Prosthetic digit mechanical,,,1614.12,2905.42,3 HCPCS,L6036,Prosthetic thumb mechanical,,,1614.12,2905.42,3 HCPCS,L6037,Postop dsg cast chg handfing,,,1743.91,3139.04,3 HCPCS,L6038,Multiax rotation attachment,,,369.71,665.48,3 HCPCS,L6039,Passive custom digit/thumb,,,2375.71,4276.28,3 HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,3060.84,7507.15,7 HCPCS,L6055,Wrst mold sock w/exp interfa,,,3904.27,9575.76,7 HCPCS,L6100,Elb mold sock flex hinge pad,,,3097.46,7597.03,7 HCPCS,L6110,Elbow mold sock suspension t,,,3276.91,8037.12,7 HCPCS,L6120,Elbow mold doub splt soc ste,,,3706.2,9090.01,7 HCPCS,L6130,Elbow stump activated lock h,,,3910.12,9590.17,7 HCPCS,L6200,Elbow mold outsid lock hinge,,,4027.88,9878.98,7 HCPCS,L6205,Elbow molded w/ expand inter,,,5556.38,13627.86,7 HCPCS,L6250,Elbow inter loc elbow forarm,,,3962.73,9719.2,7 HCPCS,L6300,Shlder disart int lock elbow,,,5465.7,13405.46,7 HCPCS,L6310,Shoulder passive restor comp,,,4953.47,12149.11,7 HCPCS,L6320,Shoulder passive restor cap,,,2581.59,6331.76,7 HCPCS,L6350,Thoracic intern lock elbow,,,5988.72,14688.24,7 HCPCS,L6360,Thoracic passive restor comp,,,5199.26,12751.95,7 HCPCS,L6370,Thoracic passive restor cap,,,3015.22,7395.24,7 HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1743.91,4277.22,7 HCPCS,L6382,Postop dsg cast chg elb dis/,,,2076.05,5091.83,7 HCPCS,L6384,Postop dsg cast chg shlder/t,,,2626.33,6441.43,7 HCPCS,L6386,Postop ea cast chg & realign,,,575.71,1411.97,7 HCPCS,L6388,"HC IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF RIGID DRESSING ONLY",1186.76,1186.76,,,0 HCPCS,L6388,Postop applicat rigid dsg on,,,633.99,1554.94,7 HCPCS,L6400,Below elbow prosth tiss shap,,,3350.67,8218.06,7 HCPCS,L6450,Elb disart prosth tiss shap,,,4379.16,10740.56,7 HCPCS,L6500,Above elbow prosth tiss shap,,,4300.25,10546.98,7 HCPCS,L6550,Shldr disar prosth tiss shap,,,5569.71,13660.54,7 HCPCS,L6570,Scap thorac prosth tiss shap,,,6217.85,15250.2,7 HCPCS,L6580,Wrist/elbow bowden cable mol,,,2486.04,6097.4,7 HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,2087.94,5120.96,7 HCPCS,L6584,Elbow fair lead cable molded,,,3091.67,7582.73,7 HCPCS,L6586,Elbow fair lead cable dir fo,,,2754.87,6756.73,7 HCPCS,L6588,Shdr fair lead cable molded,,,4387.49,10760.98,7 HCPCS,L6590,Shdr fair lead cable direct,,,3823.85,9378.58,7 HCPCS,L6600,Polycentric hinge pair,,,279.3,684.99,7 HCPCS,L6605,Single pivot hinge pair,,,287.48,705.04,7 HCPCS,L6610,Flexible metal hinge pair,,,271.77,666.54,7 HCPCS,L6611,"Additional switch, ext power",,,506.97,1243.37,7 HCPCS,L6615,Disconnect locking wrist uni,,,263.8,647.0,7 HCPCS,L6616,Disconnect insert locking wr,,,79.41,194.74,7 HCPCS,L6620,Flexion/extension wrist unit,,,461.17,1131.09,7 HCPCS,L6621,Flex/ext wrist w/wo friction,,,2816.5,6907.88,7 HCPCS,L6623,Spring-ass rot wrst w/ latch,,,878.53,2154.71,7 HCPCS,L6624,Flex/ext/rotation wrist unit,,,4637.39,11373.88,7 HCPCS,L6625,Rotation wrst w/ cable lock,,,651.11,1596.96,7 HCPCS,L6628,Quick disconn hook adapter o,,,700.86,1718.97,7 HCPCS,L6629,Lamination collar w/ couplin,,,238.81,585.7,7 HCPCS,L6630,Stainless steel any wrist,,,351.8,862.82,7 HCPCS,L6632,Latex suspension sleeve each,,,79.54,195.07,7 HCPCS,L6635,Lift assist for elbow,,,254.26,623.63,7 HCPCS,L6637,Nudge control elbow lock,,,497.8,1220.9,7 HCPCS,L6638,Elec lock on manual pw elbow,,,3079.31,7552.45,7 HCPCS,L6640,Shoulder abduction joint pai,,,414.58,1016.83,7 HCPCS,L6641,Excursion amplifier pulley t,,,241.41,592.1,7 HCPCS,L6642,Excursion amplifier lever ty,,,354.94,870.57,7 HCPCS,L6645,Shoulder flexion-abduction j,,,448.35,1099.64,7 HCPCS,L6646,Multipo locking shoulder jnt,,,3883.7,9525.36,7 HCPCS,L6647,Shoulder lock actuator,,,639.39,1568.23,7 HCPCS,L6648,Ext pwrd shlder lock/unlock,,,4005.49,9824.01,7 HCPCS,L6650,Shoulder universal joint,,,486.29,1192.68,7 HCPCS,L6655,Standard control cable extra,,,94.34,231.37,7 HCPCS,L6660,Heavy duty control cable,,,126.24,309.61,7 HCPCS,L6665,Teflon or equal cable lining,,,56.38,138.26,7 HCPCS,L6670,Hook to hand cable adapter,,,58.71,143.99,7 HCPCS,L6672,Harness chest/shlder saddle,,,269.43,660.85,7 HCPCS,L6675,Harness figure of 8 sing con,,,147.02,360.61,7 HCPCS,L6676,Harness figure of 8 dual con,,,153.82,377.27,7 HCPCS,L6677,UE triple control harness,,,365.26,895.84,7 HCPCS,L6680,Test sock wrist disart/bel e,,,378.71,928.86,7 HCPCS,L6682,Test sock elbw disart/above,,,418.71,1026.97,7 HCPCS,L6684,Test socket shldr disart/tho,,,568.98,1395.54,7 HCPCS,L6686,Suction socket,,,844.29,2070.74,7 HCPCS,L6687,Frame typ socket bel elbow/w,,,706.16,1731.95,7 HCPCS,L6688,Frame typ sock above elb/dis,,,781.53,1916.82,7 HCPCS,L6689,Frame typ socket shoulder di,,,931.44,2284.52,7 HCPCS,L6690,Frame typ sock interscap-tho,,,1096.63,2689.68,7 HCPCS,L6691,Removable insert each,,,432.88,1061.69,7 HCPCS,L6692,Silicone gel insert or equal,,,787.53,1931.51,7 HCPCS,L6693,Lockingelbow forearm cntrbal,,,3495.85,8574.06,7 HCPCS,L6694,Elbow socket ins use w/lock,,,967.82,2373.68,7 HCPCS,L6695,Elbow socket ins use w/o lck,,,806.49,1978.06,7 HCPCS,L6696,Cus elbo skt in for con/atyp,,,1619.74,3972.64,7 HCPCS,L6697,Cus elbo skt in not con/atyp,,,1619.74,3972.64,7 HCPCS,L6698,Below/above elbow lock mech,,,608.96,1493.52,7 HCPCS,L6700,Ue add ext power myoel,,,29510.19,53118.34,3 HCPCS,L6703,"Term dev, passive hand mitt",,,430.7,1056.34,7 HCPCS,L6704,"Term dev, sport/rec/work att",,,831.35,2039.03,7 HCPCS,L6706,Term dev mech hook vol open,,,515.91,1265.36,7 HCPCS,L6707,Term dev mech hook vol close,,,1825.05,4476.15,7 HCPCS,L6708,Term dev mech hand vol open,,,1206.42,2958.9,7 HCPCS,L6709,Term dev mech hand vol close,,,1712.21,4199.47,7 HCPCS,L6711,"Ped term dev, hook, vol open",,,827.85,2030.39,7 HCPCS,L6712,"Ped term dev, hook, vol clos",,,1524.28,3738.52,7 HCPCS,L6713,"Ped term dev, hand, vol open",,,1923.74,4718.25,7 HCPCS,L6714,"Ped term dev, hand, vol clos",,,1629.4,3996.31,7 HCPCS,L6715,"Term device, multi art digit",,,3887.6,9534.91,7 HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2896.15,7103.16,7 HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2496.64,6123.43,7 HCPCS,L6805,Term dev modifier wrist unit,,,472.26,1158.28,7 HCPCS,L6810,Term dev precision pinch dev,,,251.06,615.73,7 HCPCS,L6880,Elec hand ind art digits,,,29420.21,72157.49,7 HCPCS,L6881,Term dev auto grasp feature,,,5034.12,12346.93,7 HCPCS,L6882,Microprocessor control uplmb,,,3818.61,9365.73,7 HCPCS,L6883,Replc sockt below e/w disa,,,2446.07,5999.3,7 HCPCS,L6884,Replc sockt above elbow disa,,,3346.77,8208.46,7 HCPCS,L6885,Replc sockt shldr dis/interc,,,5199.26,12751.95,7 HCPCS,L6890,Prefab glove for term device,,,245.93,603.19,7 HCPCS,L6895,Custom glove for term device,,,822.33,2016.85,7 HCPCS,L6900,Hand restorat thumb/1 finger,,,2387.98,5856.87,7 HCPCS,L6905,Hand restoration multiple fi,,,2363.43,5796.7,7 HCPCS,L6910,Hand restoration no fingers,,,2323.42,5698.55,7 HCPCS,L6915,Hand restoration replacmnt g,,,998.28,2448.4,7 HCPCS,L6920,Wrist disarticul switch ctrl,,,10315.01,25299.13,7 HCPCS,L6925,Wrist disart myoelectronic c,,,11019.87,27027.84,7 HCPCS,L6930,Below elbow switch control,,,9934.8,24366.51,7 HCPCS,L6935,Below elbow myoelectronic ct,,,10968.08,26900.87,7 HCPCS,L6940,Elbow disarticulation switch,,,12829.08,31465.22,7 HCPCS,L6945,Elbow disart myoelectronic c,,,14312.5,35103.58,7 HCPCS,L6950,Above elbow switch control,,,12805.28,31406.89,7 HCPCS,L6955,Above elbow myoelectronic ct,,,14850.1,36422.13,7 HCPCS,L6960,Shldr disartic switch contro,,,15621.74,38314.68,7 HCPCS,L6965,Shldr disartic myoelectronic,,,18506.37,45389.67,7 HCPCS,L6970,Interscapular-thor switch ct,,,19809.02,48584.63,7 HCPCS,L6975,Interscap-thor myoelectronic,,,21834.21,53551.67,7 HCPCS,L7007,Adult electric hand,,,4497.55,11030.9,7 HCPCS,L7008,Pediatric electric hand,,,6974.35,17105.66,7 HCPCS,L7009,Adult electric hook,,,4601.53,11285.96,7 HCPCS,L7040,Prehensile actuator,,,3745.35,9186.03,7 HCPCS,L7045,Pediatric electric hook,,,1978.79,4853.28,7 HCPCS,L7170,Electronic elbow hosmer swit,,,7406.87,18166.46,7 HCPCS,L7180,Electronic elbow sequential,,,47919.99,117531.02,7 HCPCS,L7181,Electronic elbo simultaneous,,,49338.18,121009.27,7 HCPCS,L7185,Electron elbow adolescent sw,,,7787.04,19098.86,7 HCPCS,L7186,Electron elbow child switch,,,13091.11,32107.86,7 HCPCS,L7190,Elbow adolescent myoelectron,,,10332.65,25342.41,7 HCPCS,L7191,Elbow child myoelectronic ct,,,13769.77,33772.4,7 HCPCS,L7259,Electronic wrist rotator any,,,5046.41,12377.06,7 HCPCS,L7360,Six volt bat otto bock/eq ea,,,325.76,798.95,7 HCPCS,L7362,Battery chrgr six volt otto,,,355.87,872.83,7 HCPCS,L7364,Twelve volt battery utah/equ,,,629.69,1544.37,7 HCPCS,L7366,Battery chrgr 12 volt utah/e,,,865.98,2123.96,7 HCPCS,L7367,Replacemnt lithium ionbatter,,,479.42,1175.81,7 HCPCS,L7368,Lithium ion battery charger,,,621.46,1524.21,7 HCPCS,L7400,"Add ue prost be/wd, ultlite",,,377.39,925.6,7 HCPCS,L7401,Add ue prost a/e ultlite mat,,,422.45,1036.13,7 HCPCS,L7402,Add ue prost s/d ultlite mat,,,456.27,1119.04,7 HCPCS,L7403,Add UE prost b/e acrylic,,,453.48,1112.21,7 HCPCS,L7404,Add UE prost a/e acrylic,,,684.45,1678.69,7 HCPCS,L7405,Add UE prost s/d acrylic,,,895.08,2195.28,7 HCPCS,L7406,Add to upp extr user adj mec,,,3150.07,5670.13,3 HCPCS,L7520,Repair prosthesis per 15 min,,,40.67,73.21,3 HCPCS,L7700,Pros soc insert gasket/seal,,,184.22,331.6,3 HCPCS,L7900,Male vacuum erection system,,,513.92,901.49,4 HCPCS,L8000,Mastectomy bra,,,52.13,127.86,7 HCPCS,L8001,Breast prosthesis bra & form,,,154.49,378.86,7 HCPCS,L8002,Brst prsth bra & bilat form,,,203.15,498.25,7 HCPCS,L8015,Ext breastprosthesis garment,,,73.81,181.02,7 HCPCS,L8020,Mastectomy form,,,278.4,682.84,7 HCPCS,L8030,Breast prosthes w/o adhesive,,,430.39,1055.6,7 HCPCS,L8031,Breast prosthesis w adhesive,,,430.39,1055.6,7 HCPCS,L8032,Reusable nipple prosthesis,,,48.23,118.25,7 HCPCS,L8035,Custom breast prosthesis,,,4511.21,11064.43,7 HCPCS,L8040,Nasal prosthesis,,,3052.75,7487.28,7 HCPCS,L8041,Midfacial prosthesis,,,3679.2,9023.79,7 HCPCS,L8042,Orbital prosthesis,,,4133.93,10139.06,7 HCPCS,L8043,Upper facial prosthesis,,,4630.01,11355.82,7 HCPCS,L8044,Hemi-facial prosthesis,,,5126.08,12572.44,7 HCPCS,L8045,Auricular prosthesis,,,4014.06,9845.07,7 HCPCS,L8046,Partial facial prosthesis,,,3307.18,8111.32,7 HCPCS,L8047,Nasal septal prosthesis,,,1694.92,4157.03,7 HCPCS,L8300,Truss single w/ standard pad,,,103.28,253.26,7 HCPCS,L8310,Truss double w/ standard pad,,,182.95,448.73,7 HCPCS,L8320,Truss addition to std pad wa,,,75.9,186.19,7 HCPCS,L8330,Truss add to std pad scrotal,,,60.44,148.22,7 HCPCS,L8400,Sheath below knee,,,19.27,47.24,7 HCPCS,L8410,Sheath above knee,,,25.36,62.17,7 HCPCS,L8415,Sheath upper limb,,,26.24,64.35,7 HCPCS,L8417,Pros sheath/sock w gel cushn,,,92.62,227.15,7 HCPCS,L8420,"HC PROSTHETIC SOCK, MULTIPLE PLY, BELOW KNEE, EACH",1186.78,1186.78,,,0 HCPCS,L8420,Prosthetic sock multi ply BK,,,25.68,62.97,7 HCPCS,L8430,"HC PROSTHETIC SOCK, MULTIPLE PLY, ABOVE KNEE, EACH",1186.78,1186.78,,,0 HCPCS,L8430,Prosthetic sock multi ply AK,,,29.09,71.32,7 HCPCS,L8435,Pros sock multi ply upper lm,,,27.64,67.79,7 HCPCS,L8440,"HC PROSTHETIC SHRINKER, BELOW KNEE, EACH",1186.78,1186.78,,,0 HCPCS,L8440,Shrinker below knee,,,57.4,140.78,7 HCPCS,L8460,"HC PROSTHETIC SHRINKER, ABOVE KNEE, EACH",1186.78,1186.78,,,0 HCPCS,L8460,Shrinker above knee,,,81.59,200.12,7 HCPCS,L8465,"HC PROSTHETIC SHRINKER, UPPER LIMB, EACH",1186.76,1186.76,,,0 HCPCS,L8465,Shrinker upper limb,,,75.41,184.97,7 HCPCS,L8470,"HC PROSTHETIC SOCK, SINGLE PLY, FITTING, BELOW KNEE, EACH",1186.78,1186.78,,,0 HCPCS,L8470,Pros sock single ply BK,,,8.17,20.03,7 HCPCS,L8480,Pros sock single ply AK,,,11.27,27.6,7 HCPCS,L8485,Pros sock single ply upper l,,,15.17,37.21,7 HCPCS,L8500,Artificial larynx,,,810.32,1987.41,7 HCPCS,L8501,Tracheostomy speaking valve,,,147.88,362.69,7 HCPCS,L8507,Trach-esoph voice pros pt in,,,51.55,126.47,7 HCPCS,L8509,HC INHEALTH ADVANTAGE SOFT 20FR 6MM,1751.85,1751.85,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 16FR 10MM,1145.44,1145.44,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 16FR 12MM,1145.44,1145.44,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 16FR 16MM,1145.44,1145.44,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 16FR 4MM,1145.44,1145.44,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 16FR 6MM,1145.46,1145.46,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 16FR 8MM,1145.46,1145.46,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 20FR 10MM,1145.44,1145.44,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 20FR 14MM,1145.44,1145.44,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 20FR 4MM,1145.44,1145.44,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 20FR 6MM,1145.44,1145.44,,,0 HCPCS,L8509,HC INHEALTH CLASSIC INDW 20FR 8MM,1145.44,1145.44,,,0 HCPCS,L8509,HC INHEALTH DUALVALVE LF 20FR 10MM,2243.0,2243.0,,,0 HCPCS,L8509,HC INHEALTH DUALVALVE NS 20FR 10MM,2106.0,2106.0,,,0 HCPCS,L8509,HC INHEALTH DUALVALVE NS 20FR 6MM,2106.0,2106.0,,,0 HCPCS,L8509,HC INHEALTH DUALVALVE NS 20FR 8MM,2106.0,2106.0,,,0 HCPCS,L8509,Trach-esoph voice pros md in,,,134.48,329.81,7 HCPCS,L8510,Voice amplifier,,,311.17,763.22,7 HCPCS,L8511,Indwelling trach insert,,,89.55,219.6,7 HCPCS,L8512,Gel cap for trach voice pros,,,2.68,6.57,7 HCPCS,L8513,Trach pros cleaning device,,,6.41,15.67,7 HCPCS,L8514,Repl trach puncture dilator,,,116.13,284.81,7 HCPCS,L8515,Gel cap app device for trach,,,77.74,190.61,7 HCPCS,L8600,Implant breast silicone/eq,,,1425.22,2500.0,4 HCPCS,L8603,Collagen imp urinary 2.5 ml,,,749.55,1314.81,4 HCPCS,L8605,Inj bulking agent anal canal,,,3151.98,5528.95,4 HCPCS,L8606,Synthetic implnt urinary 1ml,,,3956.57,6940.3,4 HCPCS,L8607,Inj vocal cord bulking agent,,,73.85,129.55,4 HCPCS,L8609,Artificial cornea,,,11217.72,19677.2,4 HCPCS,L8610,Ocular implant,,,1170.36,2052.96,4 HCPCS,L8612,Aqueous shunt prosthesis,,,1362.66,2390.28,4 HCPCS,L8613,Ossicular implant,,,585.09,1026.32,4 HCPCS,L8614,Cochlear device,,,44018.66,77213.93,4 HCPCS,L8615,Coch implant headset replace,,,555.35,1362.06,7 HCPCS,L8616,Coch implant microphone repl,,,129.34,317.19,7 HCPCS,L8617,Coch implant trans coil repl,,,112.98,277.08,7 HCPCS,L8618,Coch implant tran cable repl,,,32.29,79.21,7 HCPCS,L8619,Coch imp ext proc/contr rplc,,,10350.06,25385.1,7 HCPCS,L8621,Repl zinc air battery,,,0.77,1.84,7 HCPCS,L8622,Repl alkaline battery,,,0.4,0.97,7 HCPCS,L8623,"Lith ion batt cid,non-earlvl",,,79.65,195.35,7 HCPCS,L8624,"Lith ion batt cid, ear level",,,198.57,487.04,7 HCPCS,L8625,Charger coch impl/aoi battry,,,232.57,418.63,3 HCPCS,L8627,CID ext speech process repl,,,8784.91,21546.31,7 HCPCS,L8628,CID ext controller repl,,,1565.13,3838.76,7 HCPCS,L8629,CID transmit coil and cable,,,220.48,540.79,7 HCPCS,L8630,Metacarpophalangeal implant,,,768.93,1348.79,4 HCPCS,L8631,MCP joint repl 2 pc or more,,,3787.39,6643.54,4 HCPCS,L8641,Metatarsal joint implant,,,599.21,1051.08,4 HCPCS,L8642,Hallux implant,,,535.78,939.83,4 HCPCS,L8658,Interphalangeal joint spacer,,,522.43,916.41,4 HCPCS,L8659,Interphalangeal joint repl,,,3322.36,5827.82,4 HCPCS,L8670,"Vascular graft, synthetic",,,952.86,1671.43,4 HCPCS,L8679,Imp neurosti pls gn any type,,,14752.72,25878.01,4 HCPCS,L8680,Implt neurostim elctr each,,,445.18,780.9,4 HCPCS,L8681,Pt prgrm for implt neurostim,,,1404.38,3444.45,7 HCPCS,L8682,Implt neurostim radiofq rec,,,10540.51,18489.3,4 HCPCS,L8683,Radiofq trsmtr for implt neu,,,6635.61,16274.83,7 HCPCS,L8684,Radiof trsmtr implt scrl neu,,,1041.21,2553.75,7 HCPCS,L8685,Implt nrostm pls gen sng rec,,,12671.79,22227.82,4 HCPCS,L8686,Implt nrostm pls gen sng non,,,8085.76,14183.39,4 HCPCS,L8687,Implt nrostm pls gen dua rec,,,16491.49,28928.02,4 HCPCS,L8688,Implt nrostm pls gen dua non,,,10523.02,18458.62,4 HCPCS,L8689,External recharg sys intern,,,2124.03,5209.52,7 HCPCS,L8690,"Aud osseo dev, int/ext comp",,,16251.94,28507.83,4 HCPCS,L8691,Osseointegrated snd proc rpl,,,2120.58,8053.21,7 HCPCS,L8693,"Aud osseo dev, abutment",,,1867.13,4579.44,7 HCPCS,L8694,Aoi transducer/actuator repl,,,1162.87,2093.17,3 HCPCS,L8695,External recharg sys extern,,,20.53,50.36,7 HCPCS,L8696,Ext antenna phren nerve stim,,,266.86,654.52,7 HCPCS,L8701,Pow ue rom dev ewh uprt cust,,,34970.13,62946.23,3 HCPCS,L8702,Pow ue rom dev ewhf uprt cus,,,68801.71,123843.08,3 HCPCS,M0201,Covid-19 vaccine home admin,,,35.94,100.17,7 HCPCS,M0249,Adm tocilizu covid-19 1st,,,439.36,1232.08,7 HCPCS,M0250,Adm tocilizu covid-19 2nd,,,439.36,1232.08,7 HCPCS,P2028,Cephalin floculation test,,,4.7,8.91,4 HCPCS,P2029,Congo red blood test,,,4.7,8.91,4 HCPCS,P2031,Hair analysis,,,4.7,4.7,1 HCPCS,P2033,Blood thymol turbidity,,,4.7,8.91,4 HCPCS,P2038,Blood mucoprotein,,,4.7,21.67,8 HCPCS,P3000,Screen pap by tech w md supv,,,16.44,45.48,8 HCPCS,P3001,Screening pap smear by phys,,,20.74,54.1,5 HCPCS,P7001,Culture bacterial urine,,,15.84,60.85,5 HCPCS,P9010,HC LTOWB LOW TITER GROUP O POS WHOLE BLOOD,1549.0,1549.0,,,0 HCPCS,P9010,Whole blood for transfusion,,,37.54,341.71,8 HCPCS,P9011,Blood split unit,,,53.67,280.51,8 HCPCS,P9011,HC BLOOD PLATELET PHERSIS LEUKORED LG VOL SPLIT UNIT,525.83,525.83,,,0 HCPCS,P9011,HC FFP BLOOD SPLIT UNIT,28.0,28.0,,,0 HCPCS,P9011,HC PLATELETS PHERESIS PATH REDU SPLIT UNIT,446.0,446.0,,,0 HCPCS,P9011,HC RBC BLOOD SPLIT UNIT,672.0,672.0,,,0 HCPCS,P9011,HC RBC IRRADIATED BLOOD SPLIT UNIT,183.0,183.0,,,0 HCPCS,P9012,Cryoprecipitate each unit,,,7.68,141.91,8 HCPCS,P9012,HC BLOOD CRYOPRECIPITATE EACH,138.51,138.51,,,0 HCPCS,P9016,HC BLOOD RBC LEUKORED EACH,672.0,672.0,,,0 HCPCS,P9016,Rbc leukocytes reduced,,,184.91,613.38,8 HCPCS,P9017,Plasma 1 donor frz w/in 8 hr,,,64.95,154.76,8 HCPCS,P9019,"Platelets, each unit",,,53.17,165.93,8 HCPCS,P9020,Plaelet rich plasma unit,,,129.1,1007.62,8 HCPCS,P9021,Red blood cells unit,,,73.58,271.03,8 HCPCS,P9022,HC BLOOD RBC WASHED EACH,701.53,701.53,,,0 HCPCS,P9022,HC WASHED RBC LEUKORED IRR,726.53,726.53,,,0 HCPCS,P9022,Washed red blood cells unit,,,165.73,700.3,8 HCPCS,P9023,"Frozen plasma, pooled, sd",,,0.82,100.73,8 HCPCS,P9031,Platelets leukocytes reduced,,,136.58,259.67,8 HCPCS,P9032,"Platelets, irradiated",,,46.62,707.35,8 HCPCS,P9033,Platelets leukoreduced irrad,,,147.49,343.58,8 HCPCS,P9034,"Platelets, pheresis",,,308.96,708.73,8 HCPCS,P9035,HC BLOOD PLATELET PHERSIS LEUKORED LG VOL EACH,1462.0,1462.0,,,0 HCPCS,P9035,Platelet pheres leukoreduced,,,511.59,1455.16,8 HCPCS,P9036,Platelet pheresis irradiated,,,468.03,1708.43,8 HCPCS,P9037,HC BLOOD PLT PH LEUKORED IRR EACH,1313.28,1313.28,,,0 HCPCS,P9037,Plate pheres leukoredu irrad,,,680.61,1576.4,8 HCPCS,P9038,RBC irradiated,,,13.03,376.56,8 HCPCS,P9039,RBC deglycerolized,,,198.97,659.67,8 HCPCS,P9040,HC BLOOD RBC LEUKORED IRR EACH,672.0,672.0,,,0 HCPCS,P9040,RBC leukoreduced irradiated,,,265.41,611.39,8 HCPCS,P9041,"Albumin (human),5%, 50ml",,,10.62,38.47,8 HCPCS,P9043,"Plasma protein fract,5%,50ml",,,8.11,84.8,8 HCPCS,P9044,Cryoprecipitatereducedplasma,,,62.06,237.69,8 HCPCS,P9044,HC BLOOD PLASMA CRYO RED EACH,120.56,120.56,,,0 HCPCS,P9044,HC LIQUID PLASMA IRRADIATED,288.0,288.0,,,0 HCPCS,P9045,"Albumin (human), 5%, 250 ml",,,47.49,95.54,8 HCPCS,P9046,"Albumin (human), 25%, 20 ml",,,21.33,38.39,8 HCPCS,P9047,"Albumin (human), 25%, 50ml",,,45.9,95.98,8 HCPCS,P9048,"Plasmaprotein fract,5%,250ml",,,35.32,199.28,8 HCPCS,P9050,"Granulocytes, pheresis unit",,,779.12,779.12,1 HCPCS,P9051,"Blood, l/r, cmv-neg",,,151.58,355.12,8 HCPCS,P9052,HC BLOOD PLT HLA LEUKORED APH EACH,2116.13,2116.13,,,0 HCPCS,P9052,"Platelets, hla-m, l/r, unit",,,493.94,1274.51,8 HCPCS,P9053,"Plt, pher, l/r cmv-neg, irr",,,503.45,1064.41,8 HCPCS,P9054,"Blood, l/r, froz/degly/wash",,,137.57,477.34,8 HCPCS,P9055,"Plt, aph/pher, l/r, cmv-neg",,,183.7,725.79,8 HCPCS,P9056,"Blood, l/r, irradiated",,,84.55,213.91,8 HCPCS,P9057,HC BLOOD RBC DEGLYCEROLIZED EACH,649.0,649.0,,,0 HCPCS,P9057,"RBC, frz/deg/wsh, l/r, irrad",,,203.41,760.84,8 HCPCS,P9058,"RBC, l/r, cmv-neg, irrad",,,71.9,448.92,8 HCPCS,P9059,HC HB PLASMA FRESH FROZEN 8-24 HOURS,120.56,120.56,,,0 HCPCS,P9059,"Plasma, frz between 8-24hour",,,55.84,132.79,8 HCPCS,P9060,Fr frz plasma donor retested,,,13.68,115.52,8 HCPCS,P9070,Pathogen reduced plasma pool,,,55.78,700.0,8 HCPCS,P9071,Pathogen reduced plasma sing,,,72.31,530.06,7 HCPCS,P9073,HC PLATELETS PHERESIS PATH REDU,1603.13,1603.13,,,0 HCPCS,P9073,"Platelets, pathogen reduced",,,607.43,1961.13,8 HCPCS,P9100,Pathogen test for platelets,,,45.64,105.8,8 HCPCS,P9603,One-way allow prorated miles,,,1.05,1.05,1 HCPCS,P9604,One-way allow prorated trip,,,6.42,11.27,5 HCPCS,P9612,Catheterize for urine spec,,,3.87,16.81,8 HCPCS,P9615,Urine specimen collect mult,,,5.37,9.42,5 HCPCS,Q0035,Cardiokymography,,,21.2,66.99,7 HCPCS,Q0084,Chemotherapy by infusion,,,182.41,319.98,4 HCPCS,Q0091,Obtaining screen pap smear,,,12.36,51.88,7 HCPCS,Q0092,Set up port xray equipment,,,45.6,79.99,4 HCPCS,Q0111,Wet mounts/ w preparations,,,10.48,33.37,7 HCPCS,Q0112,Potassium hydroxide preps,,,5.83,18.39,7 HCPCS,Q0113,Pinworm examinations,,,4.27,23.29,7 HCPCS,Q0114,Fern test,,,9.74,37.39,7 HCPCS,Q0114,HC LAB FERN TEST,24.0,24.0,,,0 HCPCS,Q0115,Post-coital mucous exam,,,24.3,45.0,7 HCPCS,Q0138,"Ferumoxytol, non-esrd",,,0.32,0.67,7 HCPCS,Q0139,"Ferumoxytol, esrd use",,,0.32,0.67,7 HCPCS,Q0144,"Azithromycin dihydrate, oral",,,5.53,9.71,4 HCPCS,Q0155,Dronabinol (syndros) 0.1 mg,,,3.31,3.81,4 HCPCS,Q0161,Chlorpromazine hcl 5mg oral,,,0.33,0.38,4 HCPCS,Q0162,Ondansetron oral,,,0.01,0.01,4 HCPCS,Q0163,Diphenhydramine HCl 50mg,,,0.45,0.78,4 HCPCS,Q0164,Prochlorperazine maleate 5mg,,,0.07,0.12,4 HCPCS,Q0166,Granisetron HCl 1 mg oral,,,5.92,10.38,4 HCPCS,Q0167,Dronabinol 2.5mg oral,,,7.18,12.59,4 HCPCS,Q0169,Promethazine HCl 12.5mg oral,,,0.05,0.08,4 HCPCS,Q0173,Trimethobenzamide HCl 250mg,,,1.28,2.25,4 HCPCS,Q0174,Thiethylperazine maleate10mg,,,1.28,2.25,4 HCPCS,Q0175,Perphenazine 4mg oral,,,4.27,7.5,4 HCPCS,Q0177,Hydroxyzine pamoate 25mg,,,0.5,0.89,4 HCPCS,Q0180,Dolasetron mesylate oral,,,205.14,359.85,4 HCPCS,Q0224,"Inj, pemivibart, 4500 mg",,,6477.18,7448.76,4 HCPCS,Q0249,Tocilizumab for covid-19,,,6.77,7.79,4 HCPCS,Q0477,Pwr module pt cable lvad rpl,,,955.35,1719.63,3 HCPCS,Q0478,HC SU-HW CONTROLLER AC ADAPTER 1430US,5005.8,5005.8,,,0 HCPCS,Q0478,"Power adapter, combo vad",,,226.28,554.94,7 HCPCS,Q0479,HC HM MOBILE POWER UNIT 107754,31229.6,31229.6,,,0 HCPCS,Q0479,"Power module combo vad, rep",,,13653.79,26605.6,7 HCPCS,Q0480,"driver pneumatic vad, rep",,,110901.76,199623.17,3 HCPCS,Q0481,HC SU HW CONTROLLER 1420,22934.24,22934.24,,,0 HCPCS,Q0481,HC SU-HM3 SYSTEM CONTROLLER,21470.35,21470.35,,,0 HCPCS,Q0481,HC SU-HMII SYSTEM CONTROLLER 106762,21362.72,21362.72,,,0 HCPCS,Q0481,HC SU-HW CONTROLLER KIT,21213.59,21213.59,,,0 HCPCS,Q0481,"microprcsr cu elec vad, rep",,,11813.24,32206.95,7 HCPCS,Q0482,"microprcsr cu combo vad, rep",,,5604.34,13745.44,7 HCPCS,Q0483,"monitor elec vad, rep",,,23087.32,56625.16,7 HCPCS,Q0484,monitor elec or comb vad rep,,,4483.48,10996.39,7 HCPCS,Q0485,HC SU-HM3 MODULAR CABLE 106525US,21362.72,21362.72,,,0 HCPCS,Q0485,"monitor cable elec vad, rep",,,432.9,1061.74,7 HCPCS,Q0486,mon cable elec/pneum vad rep,,,360.28,883.63,7 HCPCS,Q0487,"leads any type vad, rep only",,,420.31,1030.84,7 HCPCS,Q0489,HC SU-HW BATTERY CHARGER 1600US,23812.57,23812.57,,,0 HCPCS,Q0489,"pwr pck base combo vad, rep",,,20015.46,49090.92,7 HCPCS,Q0490,"emr pwr source elec vad, rep",,,865.78,2123.39,7 HCPCS,Q0491,emr pwr source combo vad rep,,,1361.1,3338.27,7 HCPCS,Q0492,"emr pwr cbl elec vad, rep",,,109.67,268.97,7 HCPCS,Q0493,"emr pwr cbl combo vad, rep",,,312.22,765.75,7 HCPCS,Q0494,"emr hd pmp elec/combo, rep",,,264.19,647.94,7 HCPCS,Q0495,HC SU-HM BATTERY CHARGER 1440,25295.98,25295.98,,,0 HCPCS,Q0495,"charger elec/combo vad, rep",,,5143.47,19812.94,7 HCPCS,Q0496,"battery elec/combo vad, rep",,,1846.09,4527.83,7 HCPCS,Q0497,HC SU-HM 14 VOLT BATTERY CLIP 2865,4955.74,4955.74,,,0 HCPCS,Q0497,"bat clps elec/comb vad, rep",,,576.44,3652.6,7 HCPCS,Q0498,HC SU- HM HOLSTER VEST 104226,1903.07,1903.07,,,0 HCPCS,Q0498,HC SU-HM GOGEAR VEST 104231,1903.07,1903.07,,,0 HCPCS,Q0498,HC SU-HW PATIENT PACK 1475,2271.92,2271.92,,,0 HCPCS,Q0498,HC SU-HW SHOULDER PACK 2060US,2405.57,2405.57,,,0 HCPCS,Q0498,"holster elec/combo vad, rep",,,632.48,1622.58,7 HCPCS,Q0499,HC SU HM CONSOLIDATION BAG LEFT 106449,1480.76,1480.76,,,0 HCPCS,Q0499,HC SU HM CONSOLIDATION BAG RIGHT 104233,1480.76,1480.76,,,0 HCPCS,Q0499,HC SU-HW WAIST PACK 2050US,2271.92,2271.92,,,0 HCPCS,Q0499,belt/vest elec/combo vad rep,,,205.51,1512.24,7 HCPCS,Q0500,"filters elec/combo vad, rep",,,37.58,92.17,7 HCPCS,Q0501,HC SU-HM SHOWER BAG,1802.4,1802.4,,,0 HCPCS,Q0501,SU HC HW SHOWER BAG 2000US,1603.71,1603.71,,,0 HCPCS,Q0501,"shwr cov elec/combo vad, rep",,,628.84,1488.92,7 HCPCS,Q0502,"mobility cart pneum vad, rep",,,800.65,1963.67,7 HCPCS,Q0503,battery pneum vad replacemnt,,,1601.2,3927.19,7 HCPCS,Q0504,"pwr adpt pneum vad, rep veh",,,844.96,2072.35,7 HCPCS,Q0506,HC HM BATTERY 11V BACKUP PCTRL 106128,2405.57,2405.57,,,0 HCPCS,Q0506,HC SU-HM 14 VOLT LI-ION BATTERY 2465,2815.76,2815.76,,,0 HCPCS,Q0506,HC SU-HW BATTERY 1650DE,3754.35,3754.35,,,0 HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,1051.71,2417.19,7 HCPCS,Q0508,HC SU HM GOGEAR ACCESSORY KIT 106129,817.89,817.89,,,0 HCPCS,Q0508,HC SU HW ALARM ADAPTER 1450,1470.07,1470.07,,,0 HCPCS,Q0508,HC SU-DAILY VAD DRIVELINE MGT SYSTEM,138.7,138.7,,,0 HCPCS,Q0508,HC SU-HM TRAVEL CASE 1260,769.78,769.78,,,0 HCPCS,Q0508,HC SU-HW CONTROLLER DC ADAPTER 1440,8631.4,8631.4,,,0 HCPCS,Q0508,HC SU-HW TRAVEL BAG,285.04,285.04,,,0 HCPCS,Q0508,HC SU-WEEKLEY VAD DRIVELINE MGT SYSTEM,158.3,158.3,,,0 HCPCS,Q0515,Sermorelin acetate injection,,,1.87,2.15,4 HCPCS,Q2004,Bladder calculi irrig sol,,,190.18,333.59,4 HCPCS,Q2009,Fosphenytoin inj pe,,,0.66,3.21,7 HCPCS,Q2017,"Teniposide, 50 mg",,,2545.87,2927.75,4 HCPCS,Q2028,"Inj, sculptra, 0.5mg",,,0.66,3.89,7 HCPCS,Q2034,Agriflu vaccine,,,12.39,14.25,4 HCPCS,Q2035,"Afluria vacc, 3 yrs & >, im",,,18.24,20.98,4 HCPCS,Q2036,"Flulaval vacc, 3 yrs & >, im",,,8.58,9.87,4 HCPCS,Q2037,"Fluvirin vacc, 3 yrs & >, im",,,17.69,20.34,4 HCPCS,Q2038,"Fluzone vacc, 3 yrs & >, im",,,12.05,13.86,4 HCPCS,Q2039,"Influenza virus vaccine, nos",,,12.38,14.24,4 HCPCS,Q2043,Sipuleucel-t auto cd54+,,,55932.43,100678.37,7 HCPCS,Q2049,Imported Lipodox inj,,,298.74,562.65,7 HCPCS,Q2050,Doxorubicin inj 10mg,,,113.41,209.89,7 HCPCS,Q3014,HC TELEHEALTH FACILITY FEE,82.0,82.0,,,0 HCPCS,Q3027,Inj beta interferon im 1 mcg,,,73.42,84.43,4 HCPCS,Q3028,Inj beta interferon sq 1 mcg,,,42.46,48.83,4 HCPCS,Q4001,Cast sup body cast plaster,,,87.19,152.95,4 HCPCS,Q4002,Cast sup body cast fiberglas,,,329.49,577.97,4 HCPCS,Q4003,Cast sup shoulder cast plstr,,,62.62,109.84,4 HCPCS,Q4004,Cast sup shoulder cast fbrgl,,,216.77,380.24,4 HCPCS,Q4005,Cast sup long arm adult plst,,,23.09,40.5,4 HCPCS,Q4006,Cast sup long arm adult fbrg,,,52.0,91.22,4 HCPCS,Q4007,Cast sup long arm ped plster,,,11.55,20.25,4 HCPCS,Q4008,Cast sup long arm ped fbrgls,,,25.98,45.57,4 HCPCS,Q4009,Cast sup sht arm adult plstr,,,15.43,27.06,4 HCPCS,Q4010,Cast sup sht arm adult fbrgl,,,34.69,60.85,4 HCPCS,Q4011,Cast sup sht arm ped plaster,,,7.68,13.47,4 HCPCS,Q4012,Cast sup sht arm ped fbrglas,,,17.37,30.48,4 HCPCS,Q4013,Cast sup gauntlet plaster,,,28.05,49.21,4 HCPCS,Q4014,Cast sup gauntlet fiberglass,,,47.3,82.97,4 HCPCS,Q4015,Cast sup gauntlet ped plster,,,14.05,24.64,4 HCPCS,Q4016,Cast sup gauntlet ped fbrgls,,,23.65,41.49,4 HCPCS,Q4017,Cast sup lng arm splint plst,,,16.21,28.43,4 HCPCS,Q4018,Cast sup lng arm splint fbrg,,,25.86,45.36,4 HCPCS,Q4019,Cast sup lng arm splnt ped p,,,8.12,14.24,4 HCPCS,Q4020,Cast sup lng arm splnt ped f,,,12.96,22.74,4 HCPCS,Q4021,Cast sup sht arm splint plst,,,12.0,21.06,4 HCPCS,Q4022,Cast sup sht arm splint fbrg,,,21.66,38.0,4 HCPCS,Q4023,Cast sup sht arm splnt ped p,,,6.04,10.59,4 HCPCS,Q4024,Cast sup sht arm splnt ped f,,,10.85,19.03,4 HCPCS,Q4025,Cast sup hip spica plaster,,,67.3,118.06,4 HCPCS,Q4026,Cast sup hip spica fiberglas,,,210.17,368.66,4 HCPCS,Q4027,Cast sup hip spica ped plstr,,,33.66,59.04,4 HCPCS,Q4028,Cast sup hip spica ped fbrgl,,,105.14,184.43,4 HCPCS,Q4029,Cast sup long leg plaster,,,51.46,90.28,4 HCPCS,Q4030,Cast sup long leg fiberglass,,,135.52,237.72,4 HCPCS,Q4031,Cast sup lng leg ped plaster,,,25.72,45.11,4 HCPCS,Q4032,Cast sup lng leg ped fbrgls,,,67.75,118.84,4 HCPCS,Q4033,Cast sup lng leg cylinder pl,,,48.03,84.25,4 HCPCS,Q4034,Cast sup lng leg cylinder fb,,,119.4,209.45,4 HCPCS,Q4035,Cast sup lngleg cylndr ped p,,,23.99,42.08,4 HCPCS,Q4036,Cast sup lngleg cylndr ped f,,,59.73,104.77,4 HCPCS,Q4037,Cast sup shrt leg plaster,,,29.27,51.35,4 HCPCS,Q4038,Cast sup shrt leg fiberglass,,,73.37,128.71,4 HCPCS,Q4039,Cast sup shrt leg ped plster,,,14.69,25.76,4 HCPCS,Q4040,Cast sup shrt leg ped fbrgls,,,36.67,64.33,4 HCPCS,Q4041,Cast sup lng leg splnt plstr,,,35.62,62.48,4 HCPCS,Q4042,Cast sup lng leg splnt fbrgl,,,60.8,106.65,4 HCPCS,Q4043,Cast sup lng leg splnt ped p,,,17.82,31.26,4 HCPCS,Q4044,Cast sup lng leg splnt ped f,,,30.41,53.35,4 HCPCS,Q4045,Cast sup sht leg splnt plstr,,,20.66,36.25,4 HCPCS,Q4046,Cast sup sht leg splnt fbrgl,,,33.26,58.34,4 HCPCS,Q4047,Cast sup sht leg splnt ped p,,,10.31,18.08,4 HCPCS,Q4048,Cast sup sht leg splnt ped f,,,16.61,29.14,4 HCPCS,Q4049,"Finger splint, static",,,3.74,6.57,4 HCPCS,Q4074,Iloprost non-comp unit dose,,,164.91,189.65,4 HCPCS,Q4081,"Epoetin alfa, 100 units ESRD",,,0.8,0.92,4 HCPCS,Q4101,Apligraf,,,31.45,223.19,7 HCPCS,Q4102,Oasis wound matrix,,,12.14,223.19,7 HCPCS,Q4104,Integra bmwd,,,71.05,223.19,7 HCPCS,Q4105,Integra drt or omnigraft,,,91.32,223.19,7 HCPCS,Q4106,Dermagraft,,,46.64,53.64,4 HCPCS,Q4107,Graftjacket,,,124.0,283.14,7 HCPCS,Q4108,Integra matrix,,,67.42,223.19,7 HCPCS,Q4110,Primatrix,,,67.87,223.19,7 HCPCS,Q4111,Gammagraft,,,7.38,223.19,7 HCPCS,Q4112,Cymetra injectable,,,904.99,1040.74,4 HCPCS,Q4113,Graftjacket xpress,,,762.88,877.31,4 HCPCS,Q4114,Integra flowable wound matri,,,1600.44,1840.51,4 HCPCS,Q4115,Alloskin,,,15.72,223.19,7 HCPCS,Q4116,Alloderm,,,32.29,223.19,7 HCPCS,Q4121,Theraskin,,,50.69,223.19,7 HCPCS,Q4123,Alloskin,,,45.47,223.19,7 HCPCS,Q4132,Grafix core,,,92.55,223.19,7 HCPCS,Q4133,Grafix prime,,,124.0,223.19,7 HCPCS,Q4133,HC GRAFIXPL PRIME 16.0MM DISC (2),1099.56,1099.56,,,0 HCPCS,Q4137,"Amnioexcel or biodexcel, 1cm",,,104.52,223.19,7 HCPCS,Q4138,"Biodfence dryflex, 1cm",,,104.19,223.19,7 HCPCS,Q4140,Biodfence 1cm,,,124.0,223.19,7 HCPCS,Q4141,"Alloskin ac, 1 cm",,,67.19,223.19,7 HCPCS,Q4143,"Repriza, 1cm",,,35.2,223.19,7 HCPCS,Q4145,"Epifix, inj, 1mg",,,20.21,23.24,4 HCPCS,Q4147,Architect ecm px fx 1 sq cm,,,48.56,223.19,7 HCPCS,Q4148,"Neox 1k, 1cm",,,124.0,223.19,7 HCPCS,Q4149,"Excellagen, 0.1 cc",,,147.9,170.09,4 HCPCS,Q4150,Allowrap ds or dry 1 sq cm,,,88.06,223.19,7 HCPCS,Q4151,"Amnioband, guardian 1 sq cm",,,124.0,223.19,7 HCPCS,Q4152,Dermapure 1 square cm,,,47.12,223.19,7 HCPCS,Q4153,"Dermavest, plurivest sq cm",,,112.7,223.19,7 HCPCS,Q4154,Biovance 1 square cm,,,124.0,223.19,7 HCPCS,Q4155,Neoxflo or clarixflo 1 mg,,,28.34,32.59,4 HCPCS,Q4156,Neox 100 1 square cm,,,68.85,223.19,7 HCPCS,Q4157,Revitalon 1 square cm,,,124.0,223.19,7 HCPCS,Q4158,Marigen 1 square cm,,,68.82,223.19,7 HCPCS,Q4159,Affinity1 square cm,,,124.0,280.66,7 HCPCS,Q4160,Nushield 1 square cm,,,124.0,632.5,7 HCPCS,Q4161,Bio-connekt per square cm,,,124.0,1973.65,7 HCPCS,Q4162,Amnio bio and woundex flow,,,1870.0,2150.5,4 HCPCS,Q4163,Amnio bio and woundex sq cm,,,124.0,223.19,7 HCPCS,Q4164,"Helicoll, per square cm",,,124.0,1958.28,7 HCPCS,Q4165,"Keramatrix, per square cm",,,45.25,223.19,7 HCPCS,Q4166,"Cytal, per square centimeter",,,21.63,223.19,7 HCPCS,Q4167,"Truskin, per sq centimeter",,,102.8,223.19,7 HCPCS,Q4168,"Amnioband, 1 mg",,,17.7,20.36,4 HCPCS,Q4169,"Artacent wound, per sq cm",,,124.0,2650.03,7 HCPCS,Q4170,"Cygnus, per sq cm",,,43.12,223.19,7 HCPCS,Q4171,"Interfyl, 1 mg",,,11.01,12.66,4 HCPCS,Q4173,Palingen or palingen xplus,,,124.0,425.51,7 HCPCS,Q4174,Palingen or promatrx,,,1269.9,1460.39,4 HCPCS,Q4175,Miroderm,,,70.27,223.19,7 HCPCS,Q4176,"Neopatch, per sq centimeter",,,124.0,223.19,7 HCPCS,Q4177,"Floweramnioflo, 0.1 cc",,,153.0,175.95,4 HCPCS,Q4178,"Floweramniopatch, per sq cm",,,96.62,223.19,7 HCPCS,Q4180,"Revita, per sq cm",,,124.0,1300.88,7 HCPCS,Q4182,"Transcyte, per sq centimeter",,,40.12,223.19,7 HCPCS,Q4183,"Surgigraft, 1 sq cm",,,85.0,223.19,7 HCPCS,Q4184,"Cellesta, 1 sq cm",,,83.06,223.19,7 HCPCS,Q4186,Epifix 1 sq cm,,,124.0,223.19,7 HCPCS,Q4186,HC EPIFIX 1 SQ CM,443.55,443.55,,,0 HCPCS,Q4187,Epicord 1 sq cm,,,124.0,288.65,7 HCPCS,Q4187,HC EPICORD 1 SQ CM,443.55,443.55,,,0 HCPCS,Q4188,Amnioarmor 1 sq cm,,,124.0,581.89,7 HCPCS,Q4189,"Artacent ac, 1 mg",,,21.27,24.46,4 HCPCS,Q4190,Artacent ac 1 sq cm,,,124.0,223.19,7 HCPCS,Q4191,Restorigin 1 sq cm,,,124.0,871.69,7 HCPCS,Q4193,Coll-e-derm 1 sq cm,,,124.0,2044.5,7 HCPCS,Q4194,Novachor 1 sq cm,,,124.0,856.6,7 HCPCS,Q4195,Puraply 1 sq cm,,,111.99,223.19,7 HCPCS,Q4196,Puraply am 1 sq cm,,,102.26,223.19,7 HCPCS,Q4197,Puraply xt 1 sq cm,,,73.72,223.19,7 HCPCS,Q4201,Matrion 1 sq cm,,,82.22,223.19,7 HCPCS,Q4203,"Derma-gide, 1 sq cm",,,124.0,1039.89,7 HCPCS,Q4204,Xwrap 1 sq cm,,,124.0,4504.8,7 HCPCS,Q4205,Membrane graft or wrap sq cm,,,124.0,1420.66,7 HCPCS,Q4206,Fluid flow or fluid gf 1 cc,,,2448.0,2815.2,4 HCPCS,Q4208,Novafix per sq cm,,,124.0,469.2,7 HCPCS,Q4213,"Ascent, 0.5 mg",,,58.6,67.39,4 HCPCS,Q4217,Woundfix biowound plus xplus,,,124.0,379.5,7 HCPCS,Q4218,Surgicord per sq cm,,,124.0,223.19,7 HCPCS,Q4219,Surgigraft dual per sq cm,,,124.0,1173.0,7 HCPCS,Q4221,Amniowrap2 per sq cm,,,124.0,2340.25,7 HCPCS,Q4222,"Progenamatrix, per sq cm",,,124.0,223.19,7 HCPCS,Q4226,Myown harv prep proc sq cm,,,1224.0,1407.6,4 HCPCS,Q4227,Amniocore per sq cm,,,124.0,1390.76,7 HCPCS,Q4229,Cogenex amnio memb per sq cm,,,124.0,394.2,7 HCPCS,Q5098,"Inj ustekinumab-srlf, 1 mg",,,11.55,20.79,7 HCPCS,Q5099,"Inj ustekinumab-stba, 1 mg",,,2.38,5.54,7 HCPCS,Q5100,"Inj ustekinumab-kfce, 1 mg",,,3.14,5.92,7 HCPCS,Q5101,Inj filgrastim gcsf biosimil,,,0.32,0.64,7 HCPCS,Q5103,"Injection, inflectra",,,19.06,49.88,7 HCPCS,Q5104,"Injection, renflexis",,,24.97,47.91,7 HCPCS,Q5105,Inj Retacrit esrd on dialysi,,,0.77,0.89,4 HCPCS,Q5106,Inj Retacrit non-esrd use,,,7.69,14.34,7 HCPCS,Q5107,Inj mvasi 10 mg,,,24.53,44.16,7 HCPCS,Q5108,"Injection, fulphila",,,67.02,123.76,7 HCPCS,Q5110,Nivestym,,,0.23,0.58,7 HCPCS,Q5111,"Injection, udenyca 0.5 mg",,,141.18,268.44,7 HCPCS,Q5112,Inj ontruzant 10 mg,,,17.86,37.78,7 HCPCS,Q5113,Inj herzuma 10 mg,,,54.94,98.9,7 HCPCS,Q5114,Inj ogivri 10 mg,,,31.94,57.5,7 HCPCS,Q5115,Inj truxima 10 mg,,,27.99,62.21,7 HCPCS,Q5116,"Inj., trazimera, 10 mg",,,13.03,28.92,7 HCPCS,Q5117,"Inj., kanjinti, 10 mg",,,41.28,108.94,7 HCPCS,Q5118,"Inj., zirabev, 10 mg",,,23.59,46.6,7 HCPCS,Q5119,"Inj ruxience, 10 mg",,,16.16,29.09,7 HCPCS,Q5120,Inj pegfilgrastim-bmez 0.5mg,,,25.94,237.77,7 HCPCS,Q5121,"Inj. avsola, 10 mg",,,20.39,55.49,7 HCPCS,Q5122,"Inj, nyvepria",,,136.91,246.44,7 HCPCS,Q5123,"Inj. riabni, 10 mg",,,18.53,33.36,7 HCPCS,Q5124,"Inj. byooviz, 0.1 mg",,,60.8,433.75,7 HCPCS,Q5125,"Inj, releuko 1 mcg",,,0.31,0.56,7 HCPCS,Q5126,Inj alymsys 10 mg,,,40.8,143.9,7 HCPCS,Q5127,"Inj, stimufend, 0.5 mg",,,143.67,273.42,7 HCPCS,Q5128,"Inj, cimerli, 0.1 mg",,,82.53,148.55,7 HCPCS,Q5129,"Inj, vegzelma, 10 mg",,,23.65,48.21,7 HCPCS,Q5130,"Inj, fylnetra, 0.5 mg",,,105.11,189.2,7 HCPCS,Q5133,"Inj, tofidence, 1 mg",,,5.01,9.02,7 HCPCS,Q5135,"Inj, tyenne, 1 mg",,,4.06,7.3,7 HCPCS,Q5136,"Inj. denosumab-bbdz, 1 mg",,,27.27,49.8,7 HCPCS,Q5137,"Inj, wezlana, sub cu, 1 mg",,,63.11,72.58,4 HCPCS,Q5138,"Inj, wezlana, iv, 1 mg",,,2.35,12.79,7 HCPCS,Q5142,"Inj adalimumab-ryvk, 1 mg",,,13.23,15.21,4 HCPCS,Q5144,"Inj, idacio, 1 mg",,,22.92,26.36,4 HCPCS,Q5146,"Inj, hercessi, 10 mg",,,32.46,90.92,7 HCPCS,Q5147,"Inj, aflibercept-ayyh, 1 mg",,,803.26,1445.86,7 HCPCS,Q5148,"Inj, nyposi 1 mcg",,,0.53,1.86,7 HCPCS,Q5151,"Inj, eculizumab-aagh, 2 mg",,,31.05,57.2,7 HCPCS,Q5152,"Inj, eculizumab-aeeb, 2 mg?",,,39.92,74.1,7 HCPCS,Q9950,Inj sulf hexa lipid microsph,,,19.29,22.18,4 HCPCS,Q9951,"LOCM >= 400 mg/ml iodine,1ml",,,0.22,0.25,4 HCPCS,Q9953,"Inj fe-based mr contrast,1ml",,,65.56,75.39,4 HCPCS,Q9955,"Inj perflexane lip micros,ml",,,13.77,15.84,4 HCPCS,Q9956,"Inj octafluoropropane mic,ml",,,42.75,49.16,4 HCPCS,Q9957,"Inj perflutren lip micros,ml",,,42.75,49.16,4 HCPCS,Q9958,"HOCM <=149 mg/ml iodine, 1ml",,,0.13,0.23,4 HCPCS,Q9960,"HOCM 200-249mg/ml iodine,1ml",,,0.28,0.49,4 HCPCS,Q9961,"HOCM 250-299mg/ml iodine,1ml",,,0.45,0.78,4 HCPCS,Q9963,"HOCM 350-399mg/ml iodine,1ml",,,0.37,0.64,4 HCPCS,Q9965,"LOCM 100-199mg/ml iodine,1ml",,,1.87,2.15,4 HCPCS,Q9966,"LOCM 200-299mg/ml iodine,1ml",,,0.46,0.53,4 HCPCS,Q9967,"LOCM 300-399mg/ml iodine,1ml",,,0.16,0.18,4 HCPCS,Q9968,Visualization adjunct,,,2.75,19.57,7 HCPCS,Q9969,Non-HEU TC-99M add-on/dose,,,9.8,17.19,4 HCPCS,Q9982,flutemetamol f18 diagnostic,,,1944.01,3753.6,7 HCPCS,Q9983,florbetaben f18 diagnostic,,,1584.67,3988.2,7 HCPCS,Q9991,Buprenorph xr 100 mg or less,,,2051.14,3722.68,7 HCPCS,Q9992,Buprenorphine xr over 100 mg,,,2051.14,3722.68,7 HCPCS,Q9996,Ustekinumab- ttwe sub cu inj,,,47.03,54.08,4 HCPCS,Q9997,Ustekinumab-ttwe iv inj 1 mg,,,8.55,15.39,7 HCPCS,Q9998,Ustekinumab-aekn inj,,,10.53,18.95,7 HCPCS,Q9999,Inj ustekinumab-aauz 1 mg,,,13.15,23.68,7 HCPCS,R0070,Transport portable x-ray,,,148.39,260.29,4 HCPCS,R0076,Transport portable EKG,,,59.09,103.65,4 HCPCS,S0012,"Butorphanal tartrate, nasal spray, 25 mg",,,172.4,302.42,4 HCPCS,S0014,"Tacrine HCl, 10mg",,,5.23,9.17,4 HCPCS,S0021,"Injection, cefoperazone sodium, 1 g",,,15.3,17.6,4 HCPCS,S0023,"Injection, cimetidine HCl, 300 mg",,,2.44,2.81,4 HCPCS,S0034,"Injection, ofloxacin, 400 mg",,,22.44,25.81,4 HCPCS,S0040,"Injection, ticarcillin disodium and clavulanate potassium, 3.1 g",,,13.6,15.64,4 HCPCS,S0074,"Injection, cefotetan disodium, 500 mg",,,12.35,14.2,4 HCPCS,S0078,"Injection, fosphenytoin sodium, 750 mg",,,39.24,45.13,4 HCPCS,S0080,"Injection, pentamidine isethonate, 300 mg",,,99.65,114.6,4 HCPCS,S0081,"Injection, piperacillin sodium, 500 mg",,,1.78,2.05,4 HCPCS,S0090,"Sildenafil citrate, 25 mg",,,132.19,231.87,4 HCPCS,S0091,"Granisetron HCl, 1mg (for circumstances falling under the Medicare Statute, use Q0166)",,,105.62,185.27,4 HCPCS,S0092,"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)",,,85.09,97.85,4 HCPCS,S0093,"Injection, morphine sulfate, 500mg (loding dose for infusion pump)",,,11.09,12.75,4 HCPCS,S0104,"Zidovudine, oral, 100 mg",,,3.61,6.33,4 HCPCS,S0106,"Buproprion HCl sustained release tablit, 150 mg, per bottle of 60 tablets",,,207.62,364.19,4 HCPCS,S0108,"Mercaptopuine, oral, 50 mg",,,7.32,12.85,4 HCPCS,S0109,"Methadone, oral, 5 mg",,,0.69,1.22,4 HCPCS,S0122,"Injection, menotropins, 75 IU",,,257.51,296.14,4 HCPCS,S0126,"Injection, follitropin alfa, 75 IU",,,246.34,283.29,4 HCPCS,S0128,"Injection, follitropin beta, 75 IU",,,221.85,255.13,4 HCPCS,S0132,"Injection, ganirelix acetate, 250 mcg",,,191.61,220.35,4 HCPCS,S0136,"Clozapine, 25 mg",,,2.37,4.15,4 HCPCS,S0138,"Finasteride, 5 mg",,,5.61,9.83,4 HCPCS,S0139,"Minoxidil, 10 mg",,,2.3,4.04,4 HCPCS,S0140,"Saquinavir, 200 mg",,,2.58,4.52,4 HCPCS,S0145,"pegylated interferon alfa-2a, 180 mcg/ ml",,,1135.69,1306.04,4 HCPCS,S0156,"Exemestane, 25 mg",,,18.7,32.81,4 HCPCS,S0157,"Becaplermin gel 0.01%, 0.5 gm",,,72.67,127.47,4 HCPCS,S0160,"Dextoamphetamine sulfate, 5 mg",,,5.19,9.1,4 HCPCS,S0169,Calcitrol,,,1.65,2.89,4 HCPCS,S0170,"Anastrozole, oral, 1 mg",,,24.13,42.32,4 HCPCS,S0172,"Chlorambucil, oral, 2 mg",,,43.54,76.38,4 HCPCS,S0174,"Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)",,,154.75,271.46,4 HCPCS,S0175,"Flutamide, oral, 125 mg",,,3.73,6.54,4 HCPCS,S0176,"Hydroxyurea, oral, 500 mg",,,2.29,4.01,4 HCPCS,S0177,"Levamisole HCl, oral, 50 mg",,,7.08,12.42,4 HCPCS,S0178,"Lomustine, oral, 10 mg",,,133.39,233.98,4 HCPCS,S0179,"Megestrol acetate, oral, 20 mg",,,1.18,2.07,4 HCPCS,S0182,"Procarbazine HCl, oral, 50 mg",,,175.29,307.48,4 HCPCS,S0183,"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)",,,1.08,1.89,4 HCPCS,S0187,"Tamoxifen citrate, oral, 10 mg",,,3.39,5.95,4 HCPCS,S0189,"testosterone pellet, 75 mg",,,107.24,123.33,4 HCPCS,S0190,"Mitepristone, oral, 200 mg",,,36.55,42.03,4 HCPCS,S0191,"Misoprostol, oral, 200 mcg",,,2.54,4.45,4 HCPCS,S1040,"HC CRANIAL REMOLDING ORTHOSIS, PEDIATRIC, RIGID, WITH SOFT INTERFACE",1186.76,1186.76,,,0 HCPCS,S9437,HC VIRTUAL PRENATAL CLASS- REFRESHER,80.0,80.0,,,0 HCPCS,S9438,HC CESAREAN BIRTH CLASS NON PHY,70.0,70.0,,,0 HCPCS,S9438,HC VIRTUAL CESAREAN BIRTH CLASS NON PHY,70.0,70.0,,,0 HCPCS,S9442,HC PRENATAL CLASS-COMPREHENSIVE,170.0,170.0,,,0 HCPCS,S9442,HC VIRTUAL PRENATAL CLASS-COMPREHENSIVE,170.0,170.0,,,0 HCPCS,S9443,HC LACTATION CLASS NONPHYSICIAN,80.0,80.0,,,0 HCPCS,S9443,HC VIRTUAL LACTATION CLASSS NONPHYSICIAN,80.0,80.0,,,0 HCPCS,T2101,HC DONOR BREAST MILK PER ML,0.75,0.75,,,0 HCPCS,U0001,2019 nCoV diagnostic P,,,30.49,64.66,7 HCPCS,U0002,COVID-19 lab test non-CDC,,,43.56,92.36,7 HCPCS,V2020,Vision svcs frames purchases,,,92.1,225.89,7 HCPCS,V2100,Lens spher single plano 4.00,,,56.92,139.61,7 HCPCS,V2101,Single visn sphere 4.12-7.00,,,54.69,134.12,7 HCPCS,V2102,Singl visn sphere 7.12-20.00,,,94.55,231.92,7 HCPCS,V2103,Spherocylindr 4.00d/12-2.00d,,,47.91,117.47,7 HCPCS,V2104,Spherocylindr 4.00d/2.12-4d,,,49.39,121.14,7 HCPCS,V2105,Spherocylinder 4.00d/4.25-6d,,,58.75,144.05,7 HCPCS,V2106,Spherocylinder 4.00d/>6.00d,,,65.08,159.61,7 HCPCS,V2107,Spherocylinder 4.25d/12-2d,,,57.95,142.14,7 HCPCS,V2108,Spherocylinder 4.25d/2.12-4d,,,58.11,142.51,7 HCPCS,V2109,Spherocylinder 4.25d/4.25-6d,,,80.93,198.5,7 HCPCS,V2110,Spherocylinder 4.25d/over 6d,,,65.36,160.26,7 HCPCS,V2111,Spherocylindr 7.25d/.25-2.25,,,79.21,194.26,7 HCPCS,V2112,Spherocylindr 7.25d/2.25-4d,,,89.48,219.45,7 HCPCS,V2113,Spherocylindr 7.25d/4.25-6d,,,90.49,221.89,7 HCPCS,V2114,Spherocylinder over 12.00d,,,107.21,262.97,7 HCPCS,V2115,Lens lenticular bifocal,,,108.06,265.03,7 HCPCS,V2118,Lens aniseikonic single,,,117.59,288.4,7 HCPCS,V2121,"Lenticular lens, single",,,106.04,260.05,7 HCPCS,V2200,Lens spher bifoc plano 4.00d,,,64.1,157.21,7 HCPCS,V2201,Lens sphere bifocal 4.12-7.0,,,68.68,168.41,7 HCPCS,V2202,Lens sphere bifocal 7.12-20.,,,85.14,208.77,7 HCPCS,V2203,Lens sphcyl bifocal 4.00d/.1,,,66.01,161.87,7 HCPCS,V2204,Lens sphcy bifocal 4.00d/2.1,,,67.92,166.62,7 HCPCS,V2205,Lens sphcy bifocal 4.00d/4.2,,,75.31,184.68,7 HCPCS,V2206,Lens sphcy bifocal 4.00d/ove,,,88.39,216.82,7 HCPCS,V2207,Lens sphcy bifocal 4.25-7d/.,,,74.72,183.26,7 HCPCS,V2208,Lens sphcy bifocal 4.25-7/2.,,,73.42,180.07,7 HCPCS,V2209,Lens sphcy bifocal 4.25-7/4.,,,86.19,211.39,7 HCPCS,V2210,Lens sphcy bifocal 4.25-7/ov,,,92.87,227.75,7 HCPCS,V2211,Lens sphcy bifo 7.25-12/.25-,,,90.41,221.73,7 HCPCS,V2212,Lens sphcyl bifo 7.25-12/2.2,,,94.64,232.13,7 HCPCS,V2213,Lens sphcyl bifo 7.25-12/4.2,,,99.51,244.05,7 HCPCS,V2214,Lens sphcyl bifocal over 12.,,,104.0,255.07,7 HCPCS,V2215,Lens lenticular bifocal,,,129.85,318.45,7 HCPCS,V2218,Lens aniseikonic bifocal,,,132.32,324.55,7 HCPCS,V2219,Lens bifocal seg width over,,,61.04,149.73,7 HCPCS,V2220,Lens bifocal add over 3.25d,,,54.22,132.96,7 HCPCS,V2221,"Lenticular lens, bifocal",,,108.14,265.22,7 HCPCS,V2300,Lens sphere trifocal 4.00d,,,87.62,214.92,7 HCPCS,V2301,Lens sphere trifocal 4.12-7.,,,107.47,263.55,7 HCPCS,V2302,Lens sphere trifocal 7.12-20,,,100.39,246.22,7 HCPCS,V2303,Lens sphcy trifocal 4.0/.12-,,,84.34,206.89,7 HCPCS,V2304,Lens sphcy trifocal 4.0/2.25,,,85.32,209.29,7 HCPCS,V2305,Lens sphcy trifocal 4.0/4.25,,,95.32,233.78,7 HCPCS,V2306,Lens sphcyl trifocal 4.00/>6,,,98.15,240.71,7 HCPCS,V2307,Lens sphcy trifocal 4.25-7/.,,,93.45,229.2,7 HCPCS,V2308,Lens sphc trifocal 4.25-7/2.,,,101.93,249.98,7 HCPCS,V2309,Lens sphc trifocal 4.25-7/4.,,,106.67,261.59,7 HCPCS,V2310,Lens sphc trifocal 4.25-7/>6,,,111.41,273.27,7 HCPCS,V2311,Lens sphc trifo 7.25-12/.25-,,,128.65,315.48,7 HCPCS,V2312,Lens sphc trifo 7.25-12/2.25,,,117.92,289.23,7 HCPCS,V2313,Lens sphc trifo 7.25-12/4.25,,,128.72,315.7,7 HCPCS,V2314,Lens sphcyl trifocal over 12,,,131.58,322.68,7 HCPCS,V2315,Lens lenticular trifocal,,,146.08,358.28,7 HCPCS,V2318,Lens aniseikonic trifocal,,,179.58,440.43,7 HCPCS,V2319,Lens trifocal seg width > 28,,,81.07,198.79,7 HCPCS,V2320,Lens trifocal add over 3.25d,,,85.52,209.73,7 HCPCS,V2321,"Lenticular lens, trifocal",,,143.98,353.12,7 HCPCS,V2410,Lens variab asphericity sing,,,125.88,308.74,7 HCPCS,V2430,Lens variable asphericity bi,,,133.24,326.83,7 HCPCS,V2500,Contact lens pmma spherical,,,112.64,276.28,7 HCPCS,V2501,Cntct lens pmma-toric/prism,,,159.84,392.06,7 HCPCS,V2502,Contact lens pmma bifocal,,,216.59,531.25,7 HCPCS,V2503,Cntct lens pmma color vision,,,209.19,513.06,7 HCPCS,V2510,Cntct gas permeable sphericl,,,150.2,368.39,7 HCPCS,V2511,Cntct toric prism ballast,,,222.63,546.01,7 HCPCS,V2512,Cntct lens gas permbl bifocl,,,256.25,628.53,7 HCPCS,V2513,Contact lens extended wear,,,258.16,633.16,7 HCPCS,V2520,Contact lens hydrophilic,,,149.66,367.06,7 HCPCS,V2521,Cntct lens hydrophilic toric,,,296.38,726.92,7 HCPCS,V2522,Cntct lens hydrophil bifocl,,,216.89,531.96,7 HCPCS,V2523,Cntct lens hydrophil extend,,,227.73,558.47,7 HCPCS,V2524,Cntct lens hydrophil photoch,,,171.49,308.68,3 HCPCS,V2530,Contact lens gas impermeable,,,364.07,892.91,7 HCPCS,V2531,Contact lens gas permeable,,,666.71,1635.2,7 HCPCS,V2623,Plastic eye prosth custom,,,1154.43,2831.39,7 HCPCS,V2624,Polishing artifical eye,,,74.53,182.79,7 HCPCS,V2625,Enlargemnt of eye prosthesis,,,590.24,1447.69,7 HCPCS,V2626,Reduction of eye prosthesis,,,244.25,599.06,7 HCPCS,V2627,Scleral cover shell,,,1751.05,4294.73,7 HCPCS,V2628,Fabrication & fitting,,,372.48,913.55,7 HCPCS,V2630,Anter chamber intraocul lens,,,203.75,357.41,4 HCPCS,V2631,Iris support intraoclr lens,,,203.75,357.41,4 HCPCS,V2632,Post chmbr intraocular lens,,,203.75,357.41,4 HCPCS,V2700,Balance lens,,,54.9,134.63,7 HCPCS,V2710,Glass/plastic slab off prism,,,89.99,220.74,7 HCPCS,V2715,Prism lens/es,,,17.65,43.25,7 HCPCS,V2718,Fresnell prism press-on lens,,,38.11,93.43,7 HCPCS,V2730,Special base curve,,,31.9,78.25,7 HCPCS,V2744,Tint photochromatic lens/es,,,21.83,53.48,7 HCPCS,V2745,"Tint, any color/solid/grad",,,12.57,30.83,7 HCPCS,V2750,Anti-reflective coating,,,24.5,60.09,7 HCPCS,V2755,UV lens/es,,,20.51,50.32,7 HCPCS,V2760,Scratch resistant coating,,,28.28,49.6,4 HCPCS,V2761,Mirror coating,,,21.2,37.19,4 HCPCS,V2762,"Polarization, any lens",,,102.64,180.04,4 HCPCS,V2770,Occluder lens/es,,,23.89,58.59,7 HCPCS,V2780,Oversize lens/es,,,15.34,37.64,7 HCPCS,V2782,"Lens, 1.54-1.65 p/1.60-1.79g",,,79.26,194.41,7 HCPCS,V2783,"Lens, >= 1.66 p/>=1.80 g",,,89.39,219.25,7 HCPCS,V2784,Lens polycarb or equal,,,58.13,142.57,7 HCPCS,V5008,Hearing screening,,,72.57,127.31,4 HCPCS,V5010,Assessment for hearing aid,,,95.09,166.81,4 HCPCS,V5011,Hearing aid fitting/checking,,,148.39,260.29,4 HCPCS,V5014,Hearing aid repair/modifying,,,179.23,314.39,4 HCPCS,V5020,Conformity evaluation,,,83.52,146.5,4 HCPCS,V5030,Body-worn hearing aid air,,,1317.55,2311.14,4 HCPCS,V5040,Body-worn hearing aid bone,,,1001.47,1756.71,4 HCPCS,V5050,Hearing aid monaural in ear,,,1157.58,2030.53,4 HCPCS,V5060,Behind ear hearing aid,,,967.44,1697.0,4 HCPCS,V5070,Glasses air conduction,,,537.68,943.16,4 HCPCS,V5080,Glasses bone conduction,,,1350.94,2369.71,4 HCPCS,V5100,Body-worn bilat hearing aid,,,2167.41,3801.9,4 HCPCS,V5110,Hearing aid dispensing fee,,,488.85,857.5,4 HCPCS,V5120,Body-worn binaur hearing aid,,,1894.41,3323.02,4 HCPCS,V5130,In ear binaural hearing aid,,,2015.84,3536.02,4 HCPCS,V5140,Behind ear binaur hearing ai,,,2096.12,3676.85,4 HCPCS,V5150,Glasses binaural hearing aid,,,2238.09,3925.87,4 HCPCS,V5160,Dispensing fee binaural,,,585.23,1026.56,4 HCPCS,V5190,Glasses cros hearing aid,,,1539.8,2700.99,4 HCPCS,V5200,Cros hearing aid dispens fee,,,484.36,849.63,4 HCPCS,V5230,Glasses bicros hearing aid,,,1679.86,2946.67,4 HCPCS,V5240,Dispensing fee bicros,,,501.7,880.05,4 HCPCS,V5264,HC EAR MOLD/INSERT,215.36,215.36,,,0 HCPCS,V5275,HC EAR MOLD IMPRESSION,70.16,70.16,,,0 MS-DRG,1,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,243215.31,853302.37,19 MS-DRG,10,Pancreas Transplant,,,62835.92,180540.18,19 MS-DRG,100,Seizures With Mcc,,,17508.76,48729.77,19 MS-DRG,101,Seizures Without Mcc,,,8560.83,22709.36,19 MS-DRG,102,Headaches With Mcc,,,10449.57,29348.7,19 MS-DRG,103,Headaches Without Mcc,,,7987.2,26862.64,19 MS-DRG,11,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,47940.57,144069.42,19 MS-DRG,113,Orbital Procedures With Cc/Mcc,,,21093.3,63422.3,19 MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,12457.71,41890.4,19 MS-DRG,115,Extraocular Procedures Except Orbit,,,14031.51,38617.99,19 MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,16395.25,45491.69,19 MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,10138.09,33352.85,19 MS-DRG,12,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,37228.49,143930.14,19 MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,10816.41,29268.56,19 MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,7550.27,19770.68,19 MS-DRG,123,Neurological Eye Disorders,,,7661.02,29233.8,19 MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,12199.01,33474.72,19 MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,7394.53,19317.8,19 MS-DRG,13,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,25684.94,100852.42,19 MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,19526.42,54597.07,19 MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,9535.91,28997.03,19 MS-DRG,137,Mouth Procedures With Cc/Mcc,,,13670.72,37568.82,19 MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,8418.93,22296.74,19 MS-DRG,139,Salivary Gland Procedures,,,11442.82,33896.02,19 MS-DRG,14,Allogeneic Bone Marrow Transplant,,,104730.81,486950.24,19 MS-DRG,140,Major Head And Neck Procedures With Mcc,,,37655.03,116684.49,19 MS-DRG,141,Major Head And Neck Procedures With Cc,,,19622.46,89059.32,19 MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,14563.61,65859.61,19 MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,33167.22,107972.85,19 MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,15744.61,46778.95,19 MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,11153.84,36573.58,19 MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,19071.32,53273.66,19 MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,11752.56,34150.2,19 MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,7648.04,28384.22,19 MS-DRG,149,Dysequilibrium,,,7254.37,22524.23,19 MS-DRG,150,Epistaxis With Mcc,,,12271.69,44226.74,19 MS-DRG,151,Epistaxis Without Mcc,,,7102.09,22158.63,19 MS-DRG,152,Otitis Media And Uri With Mcc,,,10979.94,29744.08,19 MS-DRG,153,Otitis Media And Uri Without Mcc,,,7138.43,18573.07,19 MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,14278.96,39337.57,19 MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,8681.09,29494.94,19 MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,6730.92,17388.03,19 MS-DRG,157,Dental And Oral Diseases With Mcc,,,15605.32,71608.18,19 MS-DRG,158,Dental And Oral Diseases With Cc,,,8623.12,26751.22,19 MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,6881.47,19136.37,19 MS-DRG,16,Autologous Bone Marrow Transplant With Cc/Mcc,,,52055.48,309816.97,19 MS-DRG,163,Major Chest Procedures With Mcc,,,39528.2,112761.82,19 MS-DRG,164,Major Chest Procedures With Cc,,,22589.24,70647.18,19 MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,17313.23,56496.86,19 MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,33090.22,94692.99,19 MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,16354.58,50438.4,19 MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,12573.64,41810.32,19 MS-DRG,17,Autologous Bone Marrow Transplant Without Cc/Mcc,,,47751.96,158508.74,19 MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,26503.42,75135.32,19 MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,12635.94,36399.49,19 MS-DRG,176,Pulmonary Embolism Without Mcc,,,7716.39,20856.41,19 MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,14272.04,39317.44,19 MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,9195.89,26413.48,19 MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,7283.79,20591.79,19 MS-DRG,18,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,235795.85,1086476.66,19 MS-DRG,180,Respiratory Neoplasms With Mcc,,,16031.0,45584.67,19 MS-DRG,181,Respiratory Neoplasms With Cc,,,10017.83,28363.33,19 MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,7273.41,18965.56,19 MS-DRG,183,Major Chest Trauma With Mcc,,,13988.25,38492.19,19 MS-DRG,184,Major Chest Trauma With Cc,,,9958.13,26914.87,19 MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,7556.33,21368.25,19 MS-DRG,186,Pleural Effusion With Mcc,,,14235.7,39211.77,19 MS-DRG,187,Pleural Effusion With Cc,,,9309.23,24885.7,19 MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,6956.74,18520.08,19 MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,11440.23,31082.59,19 MS-DRG,19,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,62480.32,205120.56,19 MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,10335.36,27869.67,19 MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,8045.17,23067.4,19 MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,6306.11,16925.38,19 MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,12123.74,33070.23,19 MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,7724.18,20276.4,19 MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,6189.31,15813.02,19 MS-DRG,196,Interstitial Lung Disease With Mcc,,,17079.62,47481.84,19 MS-DRG,197,Interstitial Lung Disease With Cc,,,8963.15,29063.19,19 MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,6948.09,19171.19,19 MS-DRG,199,Pneumothorax With Mcc,,,16014.56,44384.65,19 MS-DRG,2,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,98794.65,314193.68,19 MS-DRG,20,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,68832.65,255705.2,19 MS-DRG,200,Pneumothorax With Cc,,,10262.68,27658.32,19 MS-DRG,201,Pneumothorax Without Cc/Mcc,,,6938.57,17991.87,19 MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,9154.36,24435.33,19 MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,6548.36,16857.16,19 MS-DRG,204,Respiratory Signs And Symptoms,,,7737.15,21852.23,19 MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,16593.38,46455.14,19 MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,8893.93,23678.02,19 MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,56424.76,192073.99,19 MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,24533.35,69157.13,19 MS-DRG,209,Complex Aortic Arch Procedures,,,98682.17,334687.98,19 MS-DRG,21,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,46553.65,186903.41,19 MS-DRG,212,Concomitant Aortic And Mitral Valve Procedures,,,94834.61,330795.25,19 MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,50127.81,143585.26,19 MS-DRG,215,Other Heart Assist System Implant,,,86899.83,261276.19,19 MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,85392.65,285725.9,19 MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,57641.24,191450.73,19 MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,57641.24,165434.15,19 MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,67184.43,207505.64,19 MS-DRG,22,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,28242.48,120772.21,19 MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,46891.08,154170.33,19 MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,44359.5,131841.08,19 MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,43556.59,172363.11,19 MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,28001.09,101921.36,19 MS-DRG,23,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,50330.27,156861.82,19 MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,73687.3,213090.57,19 MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,53205.34,190907.56,19 MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,66898.05,192352.77,19 MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,48014.98,139403.71,19 MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,51526.84,147653.62,19 MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,36993.15,114302.89,19 MS-DRG,239,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc,,,43334.23,123829.68,19 MS-DRG,24,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,34597.4,121848.11,19 MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,25414.13,71718.41,19 MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,12729.38,34831.42,19 MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,28375.72,92969.46,19 MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,19188.13,61778.85,19 MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,16390.06,57663.28,19 MS-DRG,245,Aicd Generator Procedures,,,40225.55,127481.78,19 MS-DRG,25,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,40089.72,134717.11,19 MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,19634.57,71253.03,19 MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,13681.97,44693.31,19 MS-DRG,252,Other Vascular Procedures With Mcc,,,30932.4,131311.84,19 MS-DRG,253,Other Vascular Procedures With Cc,,,23208.73,71844.95,19 MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,16166.83,51879.89,19 MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,24089.5,67866.42,19 MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,15441.79,53819.3,19 MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,10201.25,27673.92,19 MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,27937.06,79055.05,19 MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,18246.78,50875.91,19 MS-DRG,26,Craniotomy And Endovascular Intracranial Procedures With Cc,,,27652.41,100364.96,19 MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,28894.85,116444.25,19 MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,17108.18,63746.11,19 MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,14853.45,57739.88,19 MS-DRG,263,Vein Ligation And Stripping,,,27204.24,79717.46,19 MS-DRG,264,Other Circulatory System O.R. Procedures,,,29654.49,84049.3,19 MS-DRG,265,Aicd Lead Procedures,,,32056.3,105486.79,19 MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,53774.64,171781.64,19 MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,41942.12,144163.43,19 MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,60259.34,173047.55,19 MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,37290.78,106255.46,19 MS-DRG,27,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,22579.72,90723.66,19 MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,46402.24,149908.52,19 MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,31520.74,94912.35,19 MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,22840.15,69317.11,19 MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,36445.48,103797.33,19 MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,29231.41,86124.1,19 MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,62443.98,209587.8,19 MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,52720.82,202752.89,19 MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,40710.93,157537.3,19 MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,48910.47,154149.44,19 MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,31954.21,90736.81,19 MS-DRG,28,Spinal Procedures With Mcc,,,52735.53,151168.47,19 MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,14630.23,40359.06,19 MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,8703.59,27419.74,19 MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,7007.79,23791.63,19 MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,17889.45,60361.73,19 MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,6740.44,22813.23,19 MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,5933.2,15069.54,19 MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,19896.73,55673.92,19 MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,10010.04,31998.4,19 MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,24165.64,94142.86,19 MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,15519.66,42945.5,19 MS-DRG,29,Spinal Procedures With Cc Or Spinal Neurostimulators,,,30268.79,89191.63,19 MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,8795.3,28627.95,19 MS-DRG,291,Heart Failure And Shock With Mcc,,,11858.98,32300.33,19 MS-DRG,292,Heart Failure And Shock With Cc,,,8097.08,21360.79,19 MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,5648.55,14240.53,19 MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,,,0 MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,,,0 MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,14265.12,48875.04,19 MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,6236.89,16497.11,19 MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,4689.04,15149.63,19 MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,14877.68,41078.63,19 MS-DRG,3,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,184392.71,654894.86,19 MS-DRG,30,Spinal Procedures Without Cc/Mcc,,,19744.45,65295.55,19 MS-DRG,300,Peripheral Vascular Disorders With Cc,,,9987.55,26858.24,19 MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,6978.37,22252.64,19 MS-DRG,302,Atherosclerosis With Mcc,,,11104.53,41852.1,19 MS-DRG,303,Atherosclerosis Without Mcc,,,6576.05,19233.86,19 MS-DRG,304,Hypertension With Mcc,,,11047.42,38763.68,19 MS-DRG,305,Hypertension Without Mcc,,,7284.65,20167.0,19 MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,14385.38,53937.68,19 MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,8652.54,29334.77,19 MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,11168.55,30292.57,19 MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,7116.8,19355.73,19 MS-DRG,31,Ventricular Shunt Procedures With Mcc,,,39516.95,137951.77,19 MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,5649.42,14881.52,19 MS-DRG,311,Angina Pectoris,,,6824.36,20664.91,19 MS-DRG,312,Syncope And Collapse,,,8292.62,24286.06,19 MS-DRG,313,Chest Pain,,,6980.97,20501.26,19 MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,18792.73,52463.51,19 MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,9086.01,27054.15,19 MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,6653.05,17161.6,19 MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,58603.34,168231.94,19 MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,21708.46,60942.41,19 MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,39364.67,112286.3,19 MS-DRG,32,Ventricular Shunt Procedures With Cc,,,19188.99,59184.86,19 MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,21562.24,82555.19,19 MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,24291.96,84651.27,19 MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,16005.04,58934.17,19 MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,38192.32,145040.86,19 MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,28014.07,95633.1,19 MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,28528.0,80773.47,19 MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,43902.67,126029.84,19 MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,21898.81,67241.91,19 MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,14614.66,44362.53,19 MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,40520.59,115647.66,19 MS-DRG,33,Ventricular Shunt Procedures Without Cc/Mcc,,,15138.97,54115.25,19 MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,21492.16,60473.15,19 MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,15312.01,44320.75,19 MS-DRG,332,Rectal Resection With Mcc,,,32077.93,91096.59,19 MS-DRG,333,Rectal Resection With Cc,,,21016.3,66740.52,19 MS-DRG,334,Rectal Resection Without Cc/Mcc,,,14922.67,52325.57,19 MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,31647.06,89843.63,19 MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,18996.05,53054.77,19 MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,14032.38,45271.3,19 MS-DRG,34,Carotid Artery Stent Procedures With Mcc,,,34240.94,97386.58,19 MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,23097.98,74867.21,19 MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,13770.22,43081.2,19 MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,11014.55,40104.2,19 MS-DRG,347,Anal And Stomal Procedures With Mcc,,,20613.12,94679.06,19 MS-DRG,348,Anal And Stomal Procedures With Cc,,,12075.29,32976.81,19 MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,8283.96,30838.94,19 MS-DRG,35,Carotid Artery Stent Procedures With Cc,,,21434.19,60144.84,19 MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,22311.51,62696.05,19 MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,13941.53,41455.17,19 MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,10855.35,40964.22,19 MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,25859.71,87610.86,19 MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,15307.69,45525.48,19 MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,12388.49,38436.39,19 MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,38758.17,110522.58,19 MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,20871.81,58509.44,19 MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,12846.18,46942.6,19 MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,30502.39,94940.2,19 MS-DRG,36,Carotid Artery Stent Procedures Without Cc/Mcc,,,17560.68,48880.73,19 MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,21640.11,73582.4,19 MS-DRG,368,Major Esophageal Disorders With Mcc,,,14524.68,40285.26,19 MS-DRG,369,Major Esophageal Disorders With Cc,,,9405.27,29212.91,19 MS-DRG,37,Extracranial Procedures With Mcc,,,29234.87,82829.04,19 MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,6814.85,20114.77,19 MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,16092.43,45462.8,19 MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,9585.23,25688.3,19 MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,7044.99,20334.13,19 MS-DRG,374,Digestive Malignancy With Mcc,,,19255.61,53809.56,19 MS-DRG,375,Digestive Malignancy With Cc,,,11217.0,30433.46,19 MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,8748.58,23255.33,19 MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,16567.42,45992.37,19 MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,9236.55,27677.4,19 MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,6205.74,20407.25,19 MS-DRG,38,Extracranial Procedures With Cc,,,14790.29,43558.22,19 MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,17728.53,55577.64,19 MS-DRG,381,Complicated Peptic Ulcer With Cc,,,10125.98,27260.79,19 MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,7678.32,20852.93,19 MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,12697.37,34738.33,19 MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,8147.26,21506.72,19 MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,14441.62,39810.57,19 MS-DRG,386,Inflammatory Bowel Disease With Cc,,,9198.48,27116.82,19 MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,6646.13,18547.93,19 MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,13528.83,37156.2,19 MS-DRG,389,Gastrointestinal Obstruction With Cc,,,7584.88,19871.32,19 MS-DRG,39,Extracranial Procedures Without Cc/Mcc,,,10921.97,42078.42,19 MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,5458.21,14226.93,19 MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,11724.88,31910.35,19 MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,7496.63,19614.69,19 MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,14588.7,40238.29,19 MS-DRG,394,Other Digestive System Diagnoses With Cc,,,8847.21,24212.94,19 MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,6366.67,19547.23,19 MS-DRG,397,Appendix Procedures With Mcc,,,21472.26,60255.54,19 MS-DRG,398,Appendix Procedures With Cc,,,13847.22,40051.97,19 MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,10655.49,33708.0,19 MS-DRG,4,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,120594.32,348500.39,19 MS-DRG,40,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,34158.74,97147.56,19 MS-DRG,402,Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,,,35537.01,101155.54,19 MS-DRG,405,"Pancreas, Liver And Shunt Procedures With Mcc",,,48082.47,137637.45,19 MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,25844.14,94174.19,19 MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,19955.56,62541.38,19 MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,31601.2,134135.64,19 MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,19589.58,82966.05,19 MS-DRG,41,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,19774.73,63234.28,19 MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,14488.34,53140.33,19 MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,29331.77,83110.83,19 MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,18942.41,52898.77,19 MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,15118.21,42221.18,19 MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,31575.25,94014.03,19 MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,18632.66,54160.52,19 MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,12546.82,41973.97,19 MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,21398.72,60041.68,19 MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,15387.29,46973.94,19 MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,12568.45,41886.92,19 MS-DRG,42,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,15699.62,54839.48,19 MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,30229.85,116538.26,19 MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,15784.41,55918.86,19 MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,12860.03,46152.21,19 MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,36683.41,113533.4,19 MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,19681.29,60128.45,19 MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,13732.15,46145.25,19 MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,96107.33,277292.73,19 MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,63207.09,181619.54,19 MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,49393.25,141449.18,19 MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,78702.89,226681.0,19 MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,50648.66,145099.89,19 MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,17780.44,51305.38,19 MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,9889.78,26573.93,19 MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,6916.08,17926.46,19 MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,16642.7,48878.52,19 MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,10537.82,31409.97,19 MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,8134.28,26416.96,19 MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,14856.05,45180.77,19 MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,8029.59,23255.42,19 MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,6127.88,17040.28,19 MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,16279.31,69849.83,19 MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,9103.31,26145.38,19 MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,6805.33,20776.33,19 MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,15208.19,46643.16,19 MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,10220.29,27535.04,19 MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,7909.33,23203.2,19 MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,58560.95,168108.66,19 MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,37443.06,106698.27,19 MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,46863.4,134092.42,19 MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,28701.04,81276.67,19 MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,175164.0,175164.0,1 MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,119798.0,153885.74,3 MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,98566.0,115876.62,3 MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,73458.03,211429.04,19 MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,52344.46,150472.58,19 MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,36852.99,143167.61,19 MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,132417.0,132417.0,1 MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,55894.83,92032.54,4 MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,48536.7,154410.58,19 MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,23765.92,83178.44,19 MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,50063.78,151398.76,19 MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,27700.0,82677.05,19 MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,16530.22,47189.81,19 MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,45788.81,130967.55,19 MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,31263.77,88729.04,19 MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,24527.3,69139.52,19 MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,26994.86,98039.07,19 MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,17143.97,52015.69,19 MS-DRG,471,Cervical Spinal Fusion With Mcc,,,42529.59,121489.8,19 MS-DRG,472,Cervical Spinal Fusion With Cc,,,26241.27,74123.7,19 MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,21873.72,61422.96,19 MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,37893.83,111513.91,19 MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,20440.94,57256.48,19 MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,10962.63,29696.89,19 MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,30640.83,86917.53,19 MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,22028.59,61873.32,19 MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,16834.77,46769.81,19 MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,25948.83,88749.44,19 MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,18873.19,56636.13,19 MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,14862.97,43411.98,19 MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,24734.08,69740.84,19 MS-DRG,485,Knee Procedures With Principal Diagnosis Of Infection With Mcc,,,28672.49,81193.64,19 MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,18843.77,52611.95,19 MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,14302.32,39405.5,19 MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,16056.09,44675.9,19 MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,10414.09,28603.58,19 MS-DRG,492,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc",,,32518.32,92377.24,19 MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,22693.93,72955.66,19 MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,18111.81,50483.42,19 MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,32121.19,97286.99,19 MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,16358.91,58774.0,19 MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,11205.76,38568.7,19 MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,26852.96,76792.69,19 MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,18183.62,57102.7,19 MS-DRG,5,Liver Transplant With Mcc Or Intestinal Transplant,,,89958.33,322637.22,19 MS-DRG,500,Soft Tissue Procedures With Mcc,,,28133.47,115424.06,19 MS-DRG,501,Soft Tissue Procedures With Cc,,,15876.13,47628.53,19 MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,12396.28,40180.8,19 MS-DRG,503,Foot Procedures With Mcc,,,24900.2,70223.91,19 MS-DRG,504,Foot Procedures With Cc,,,16923.89,48509.44,19 MS-DRG,505,Foot Procedures Without Cc/Mcc,,,16262.87,45106.74,19 MS-DRG,506,Major Thumb Or Joint Procedures,,,12424.83,33945.79,19 MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,16380.54,45448.92,19 MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,13854.14,38102.21,19 MS-DRG,509,Arthroscopy,,,,,0 MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,26884.98,75995.6,19 MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,18742.55,59620.09,19 MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,15074.08,50755.25,19 MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,14372.4,39609.29,19 MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,9596.48,25721.01,19 MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,28324.68,130643.32,19 MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,18731.3,62207.13,19 MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,14047.08,42308.23,19 MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,33086.76,94030.24,19 MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,18057.3,57228.05,19 MS-DRG,52,Spinal Disorders And Injuries With Cc/Mcc,,,16422.93,45572.2,19 MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,13676.78,45375.76,19 MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,25584.58,105006.3,19 MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,19073.92,59898.64,19 MS-DRG,53,Spinal Disorders And Injuries Without Cc/Mcc,,,9223.57,30348.0,19 MS-DRG,533,Fractures Of Femur With Mcc,,,14315.3,39443.24,19 MS-DRG,534,Fractures Of Femur Without Mcc,,,7725.91,20717.14,19 MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,11843.41,32255.04,19 MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,7738.88,20319.17,19 MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,9008.14,42343.05,19 MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,6983.56,21354.32,19 MS-DRG,539,Osteomyelitis With Mcc,,,17793.42,49557.53,19 MS-DRG,54,Nervous System Neoplasms With Mcc,,,13962.29,38416.71,19 MS-DRG,540,Osteomyelitis With Cc,,,11967.14,32614.83,19 MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,7564.11,19810.94,19 MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,16035.32,66667.4,19 MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,9645.79,34916.21,19 MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,7280.33,25939.95,19 MS-DRG,545,Connective Tissue Disorders With Mcc,,,22223.26,73115.83,19 MS-DRG,546,Connective Tissue Disorders With Cc,,,10730.76,35769.27,19 MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,7986.33,29073.63,19 MS-DRG,548,Septic Arthritis With Mcc,,,17457.72,48581.33,19 MS-DRG,549,Septic Arthritis With Cc,,,11196.24,30373.08,19 MS-DRG,55,Nervous System Neoplasms Without Mcc,,,9573.12,33147.42,19 MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,8314.25,21992.3,19 MS-DRG,551,Medical Back Problems With Mcc,,,15253.18,42496.25,19 MS-DRG,552,Medical Back Problems Without Mcc,,,9068.7,24432.3,19 MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,11967.14,32868.87,19 MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,7933.56,20885.27,19 MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,12187.76,43819.36,19 MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,7937.88,24700.4,19 MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,13616.21,45191.22,19 MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,8479.5,22472.86,19 MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,16886.68,66232.17,19 MS-DRG,56,Degenerative Nervous System Disorders With Mcc,,,20851.05,63356.14,19 MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,10494.56,28332.61,19 MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,7706.87,20285.39,19 MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,13078.92,35847.88,19 MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,8499.4,24251.24,19 MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,14106.78,51047.73,19 MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,9182.04,24515.85,19 MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,7234.47,18852.34,19 MS-DRG,57,Degenerative Nervous System Disorders Without Mcc,,,11961.08,46664.05,19 MS-DRG,570,Skin Debridement With Mcc,,,26198.01,73997.9,19 MS-DRG,571,Skin Debridement With Cc,,,15369.12,42507.72,19 MS-DRG,572,Skin Debridement Without Cc/Mcc,,,10669.33,28840.84,19 MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,57434.45,180058.05,19 MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,30786.18,87340.22,19 MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,16299.21,45212.41,19 MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,43156.86,158630.61,19 MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,23685.45,101733.34,19 MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,14650.13,50532.41,19 MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,28771.12,81480.47,19 MS-DRG,58,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,15542.16,43010.92,19 MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,15702.22,59076.92,19 MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,13237.25,57064.4,19 MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,17420.51,110305.7,19 MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,15671.07,99741.71,19 MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,19272.92,88982.72,19 MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,17442.14,77638.78,19 MS-DRG,59,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,11487.81,40368.82,19 MS-DRG,592,Skin Ulcers With Mcc,,,17495.79,48692.03,19 MS-DRG,593,Skin Ulcers With Cc,,,11015.41,29847.24,19 MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,8251.09,21808.64,19 MS-DRG,595,Major Skin Disorders With Mcc,,,19099.87,72492.58,19 MS-DRG,596,Major Skin Disorders Without Mcc,,,10117.33,27235.64,19 MS-DRG,597,Malignant Breast Disorders With Mcc,,,15175.31,47391.76,19 MS-DRG,598,Malignant Breast Disorders With Cc,,,10539.55,28463.44,19 MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,7408.38,19358.06,19 MS-DRG,6,Liver Transplant Without Mcc,,,40870.99,124118.29,19 MS-DRG,60,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,8709.64,26618.91,19 MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,9763.46,26206.59,19 MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,5985.98,15221.76,19 MS-DRG,602,Cellulitis With Mcc,,,13048.64,36914.81,19 MS-DRG,603,Cellulitis Without Mcc,,,8286.56,21911.79,19 MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,13488.16,37037.95,19 MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,8676.77,23046.51,19 MS-DRG,606,Minor Skin Disorders With Mcc,,,13843.76,38808.95,19 MS-DRG,607,Minor Skin Disorders Without Mcc,,,8593.71,22804.97,19 MS-DRG,61,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,24606.03,82482.07,19 MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,19715.03,84463.25,19 MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,12858.3,51538.67,19 MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,30924.61,87742.77,19 MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,16933.4,47056.64,19 MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,13022.68,35684.34,19 MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,25733.39,72646.81,19 MS-DRG,62,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,15954.86,51695.35,19 MS-DRG,620,O.R. Procedures For Obesity With Cc,,,14597.35,43749.72,19 MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,13802.23,39804.76,19 MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,31545.83,89549.26,19 MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,16272.39,45134.42,19 MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,11582.98,31497.73,19 MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,26881.52,75985.53,19 MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,13724.36,46503.88,19 MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,12244.0,38526.91,19 MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,32995.91,93766.06,19 MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,19602.56,54818.48,19 MS-DRG,63,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,12897.23,51308.87,19 MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,13379.15,38366.75,19 MS-DRG,637,Diabetes With Mcc,,,13181.88,36147.29,19 MS-DRG,638,Diabetes With Cc,,,8505.46,22548.34,19 MS-DRG,639,Diabetes Without Cc/Mcc,,,6126.15,15629.35,19 MS-DRG,64,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,18150.75,52022.65,19 MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,12307.16,33972.63,19 MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,7484.52,19579.47,19 MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,13055.56,60058.81,19 MS-DRG,643,Endocrine Disorders With Mcc,,,14993.62,41415.78,19 MS-DRG,644,Endocrine Disorders With Cc,,,9619.84,25788.94,19 MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,7398.86,19330.38,19 MS-DRG,65,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,9492.65,32471.94,19 MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,41428.19,267372.95,19 MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,32814.22,170702.26,19 MS-DRG,652,Kidney Transplant,,,28693.25,212763.27,19 MS-DRG,653,Major Bladder Procedures With Mcc,,,45710.94,130741.11,19 MS-DRG,654,Major Bladder Procedures With Cc,,,24971.15,92022.4,19 MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,19064.4,81883.18,19 MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,28297.85,99957.58,19 MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,16584.73,55776.11,19 MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,14177.73,48749.69,19 MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,22735.46,63928.89,19 MS-DRG,66,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,6672.95,24627.28,19 MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,12186.9,33253.89,19 MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,9709.82,28826.42,19 MS-DRG,662,Minor Bladder Procedures With Mcc,,,27239.71,77027.16,19 MS-DRG,663,Minor Bladder Procedures With Cc,,,13904.33,47548.44,19 MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,9809.32,34599.36,19 MS-DRG,665,Prostatectomy With Mcc,,,27756.24,78529.2,19 MS-DRG,666,Prostatectomy With Cc,,,15886.51,44012.28,19 MS-DRG,667,Prostatectomy Without Cc/Mcc,,,10322.38,27831.93,19 MS-DRG,668,Transurethral Procedures With Mcc,,,26015.45,73467.02,19 MS-DRG,669,Transurethral Procedures With Cc,,,14179.46,46496.92,19 MS-DRG,67,Precerebral Occlusion Without Infarction With Mcc,,,13458.75,42639.0,19 MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,9207.14,27743.56,19 MS-DRG,671,Urethral Procedures With Cc/Mcc,,,16281.91,62447.37,19 MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,10091.37,27160.16,19 MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,37103.9,105712.0,19 MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,20985.15,58839.04,19 MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,14952.95,42182.88,19 MS-DRG,68,Precerebral Occlusion Without Infarction Without Mcc,,,8230.32,25341.06,19 MS-DRG,682,Renal Failure With Mcc,,,13565.17,37767.87,19 MS-DRG,683,Renal Failure With Cc,,,8328.95,22035.08,19 MS-DRG,684,Renal Failure Without Cc/Mcc,,,5945.32,15518.7,19 MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,16357.18,68620.73,19 MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,9817.1,28920.43,19 MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,7589.2,23822.97,19 MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,10790.46,29193.08,19 MS-DRG,69,Transient Ischemia Without Thrombolytic,,,7662.75,25386.33,19 MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,7755.32,20366.97,19 MS-DRG,693,Urinary Stones With Mcc,,,12384.16,33827.54,19 MS-DRG,694,Urinary Stones Without Mcc,,,7514.8,19667.53,19 MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,10647.7,28777.94,19 MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,6712.75,17335.2,19 MS-DRG,697,Urethral Stricture,,,10076.67,27117.38,19 MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,15065.43,41624.6,19 MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,9533.32,25537.34,19 MS-DRG,7,Lung Transplant,,,112797.11,325826.25,19 MS-DRG,70,Other Cerebrovascular Disorders With Mcc,,,15155.41,49383.39,19 MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,6720.54,19056.29,19 MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,18058.17,77001.6,19 MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,14025.45,45734.39,19 MS-DRG,709,Penis Procedures With Cc/Mcc,,,20885.65,58549.7,19 MS-DRG,71,Other Cerebrovascular Disorders With Cc,,,9628.49,26754.7,19 MS-DRG,710,Penis Procedures Without Cc/Mcc,,,12874.73,35254.11,19 MS-DRG,711,Testes Procedures With Cc/Mcc,,,18780.61,52428.28,19 MS-DRG,712,Testes Procedures Without Cc/Mcc,,,10266.14,27668.39,19 MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,13758.97,37825.45,19 MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,9900.16,31643.25,19 MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,20108.7,72360.26,19 MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,13478.65,47433.54,19 MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,17108.18,47564.87,19 MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,12372.05,33792.32,19 MS-DRG,72,Other Cerebrovascular Disorders Without Cc/Mcc,,,7294.17,21514.49,19 MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,16409.09,45531.94,19 MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,10638.18,28750.26,19 MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,6424.64,21967.13,19 MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,10876.11,31664.14,19 MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,6998.27,18648.91,19 MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,13581.61,37309.68,19 MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,7770.03,20409.74,19 MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,9911.41,29098.0,19 MS-DRG,73,Cranial And Peripheral Nerve Disorders With Mcc,,,14631.96,40364.09,19 MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,6565.67,19665.61,19 MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,19180.34,53590.67,19 MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,12392.82,42280.37,19 MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,31678.21,104644.18,19 MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,18579.89,55111.07,19 MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,13457.02,39794.32,19 MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,31750.02,90143.03,19 MS-DRG,74,Cranial And Peripheral Nerve Disorders Without Mcc,,,9670.02,28676.7,19 MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,16408.23,55347.84,19 MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,13090.17,41249.74,19 MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,16626.26,46163.46,19 MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,11486.08,32771.38,19 MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,18480.39,51555.23,19 MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,10593.19,35786.68,19 MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,15780.95,43705.33,19 MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,8189.66,34400.9,19 MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,12754.47,51859.0,19 MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,22966.47,64600.66,19 MS-DRG,75,Viral Meningitis With Cc/Mcc,,,17341.78,48244.18,19 MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,13520.18,37131.04,19 MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,16685.96,53457.18,19 MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,10163.19,27368.98,19 MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,9061.78,24166.12,19 MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,13140.35,36026.52,19 MS-DRG,758,"Infections, Female Reproductive System With Cc",,,9221.84,24631.58,19 MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,6492.99,18485.26,19 MS-DRG,76,Viral Meningitis Without Cc/Mcc,,,7891.16,20761.98,19 MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,9468.43,25348.64,19 MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,5687.49,14425.4,19 MS-DRG,768,Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C,,,10023.02,26961.39,19 MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,15371.71,42515.27,19 MS-DRG,77,Hypertensive Encephalopathy With Mcc,,,,,0 MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,9426.9,25227.87,19 MS-DRG,776,Postpartum And Post Abortion Diagnoses Without O.R. Procedures,,,6415.99,16472.21,19 MS-DRG,779,Abortion Without D&C,,,8030.46,21167.06,19 MS-DRG,78,Hypertensive Encephalopathy With Cc,,,,,0 MS-DRG,783,Cesarean Section With Sterilization With Mcc,,,21993.12,61770.17,19 MS-DRG,784,Cesarean Section With Sterilization With Cc,,,9923.52,26672.05,19 MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,9038.42,24098.19,19 MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,14532.16,30490.75,19 MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,9839.05,22113.37,19 MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,8447.07,20215.75,19 MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,16344.2,114960.97,19 MS-DRG,79,Hypertensive Encephalopathy Without Cc/Mcc,,,14586.2,16774.13,2 MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,52174.88,211868.43,19 MS-DRG,791,Prematurity With Major Problems,,,35870.12,102124.2,19 MS-DRG,792,Prematurity Without Major Problems,,,21942.07,61621.73,19 MS-DRG,793,Full Term Neonate With Major Problems,,,31998.4,104906.89,19 MS-DRG,794,Neonate With Other Significant Problems,,,5828.65,37133.56,19 MS-DRG,795,Normal Newborn,,,2480.18,5026.96,19 MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,10848.43,29361.65,19 MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,9407.0,25170.0,19 MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,9032.36,24080.58,19 MS-DRG,799,Splenic Procedures With Mcc,,,39935.71,113946.85,19 MS-DRG,8,Simultaneous Pancreas And Kidney Transplant,,,49242.71,141011.4,19 MS-DRG,80,Nontraumatic Stupor And Coma With Mcc,,,16411.69,45539.49,19 MS-DRG,800,Splenic Procedures With Cc,,,25058.53,70684.34,19 MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,17267.37,64776.75,19 MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,35222.08,100239.72,19 MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,16834.77,46769.81,19 MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,12483.66,44136.21,19 MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,10088.78,27152.61,19 MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,7275.14,18970.59,19 MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,6259.43,12162.18,19 MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,19854.33,60358.25,19 MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,11704.11,31849.97,19 MS-DRG,81,Nontraumatic Stupor And Coma Without Mcc,,,8500.26,31754.67,19 MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders,,,9806.72,26332.39,19 MS-DRG,811,Red Blood Cell Disorders With Mcc,,,12901.56,35332.1,19 MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,8695.8,24049.29,19 MS-DRG,813,Coagulation Disorders,,,13948.45,44453.06,19 MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,19151.79,58202.97,19 MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,9524.67,25512.18,19 MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,6219.59,17001.98,19 MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,20491.99,57404.92,19 MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,10780.94,29165.4,19 MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,8191.39,21635.03,19 MS-DRG,82,Traumatic Stupor And Coma >1 Hour With Mcc,,,20526.6,70319.89,19 MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,51493.97,156614.6,19 MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,20119.95,68185.5,19 MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,11168.55,47235.08,19 MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,40419.36,132816.01,19 MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,20353.55,64961.29,19 MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,12426.56,54390.32,19 MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,41224.0,117693.17,19 MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,20748.09,82401.98,19 MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,15492.84,56594.35,19 MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,28091.94,113045.94,19 MS-DRG,83,Traumatic Stupor And Coma >1 Hour With Cc,,,12828.01,37687.78,19 MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,13772.82,37865.71,19 MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,11155.57,30254.83,19 MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,6994.81,18155.41,19 MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,5275.65,13156.13,19 MS-DRG,834,Acute Leukemia With Mcc,,,48250.32,256930.82,19 MS-DRG,835,Acute Leukemia With Cc,,,18797.92,123972.05,19 MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,11302.66,35511.61,19 MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,42318.48,140935.73,19 MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,18811.76,62903.5,19 MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,13244.18,36328.44,19 MS-DRG,84,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,9021.12,24167.67,19 MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,28739.97,106503.5,19 MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,14866.43,49957.9,19 MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,9493.52,31820.83,19 MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,18010.58,50657.76,19 MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,11284.49,35090.31,19 MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,8119.57,27482.42,19 MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,23181.91,65227.14,19 MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,12070.09,32914.23,19 MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,8100.54,21370.85,19 MS-DRG,849,Radiotherapy,,,24194.19,88011.28,19 MS-DRG,85,Traumatic Stupor And Coma <1 Hour With Mcc,,,20408.06,57934.87,19 MS-DRG,850,Acute Leukemia With Other Procedures,,,75673.81,225545.22,19 MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,43480.45,124254.88,19 MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,18039.13,50272.08,19 MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,13705.33,37669.46,19 MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,40107.02,114445.02,19 MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,19279.84,53880.01,19 MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,12802.92,35045.28,19 MS-DRG,86,Traumatic Stupor And Coma <1 Hour With Cc,,,12022.51,32775.85,19 MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,16530.22,45884.18,19 MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,9385.37,25107.1,19 MS-DRG,864,Fever And Inflammatory Conditions,,,8431.91,22334.48,19 MS-DRG,865,Viral Illness With Mcc,,,13714.85,37697.14,19 MS-DRG,866,Viral Illness Without Mcc,,,8275.31,21879.08,19 MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,18861.94,78749.5,19 MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,9672.62,30031.15,19 MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,7064.89,29421.82,19 MS-DRG,87,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,8665.52,23013.8,19 MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,60552.65,186847.7,19 MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,17558.08,48873.18,19 MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,9605.13,25746.17,19 MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,34190.76,97240.65,19 MS-DRG,88,Concussion With Mcc,,,12447.32,57969.69,19 MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,9059.19,25351.51,19 MS-DRG,881,Depressive Neuroses,,,8892.2,23672.99,19 MS-DRG,882,Neuroses Except Depressive,,,10042.06,38871.62,19 MS-DRG,883,Disorders Of Personality And Impulse Control,,,17764.0,49471.99,19 MS-DRG,884,Organic Disturbances And Intellectual Disability,,,14671.76,40479.83,19 MS-DRG,885,Psychoses,,,12836.66,35143.4,19 MS-DRG,886,Behavioral And Developmental Disorders,,,18707.07,52214.42,19 MS-DRG,887,Other Mental Disorder Diagnoses,,,10016.97,26943.78,19 MS-DRG,89,Concussion With Cc,,,10256.63,32228.21,19 MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,6088.94,15521.17,19 MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,12999.32,35616.41,19 MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,15850.17,43906.61,19 MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,8389.52,22211.2,19 MS-DRG,90,Concussion Without Cc/Mcc,,,7873.86,30086.86,19 MS-DRG,901,Wound Debridements For Injuries With Mcc,,,37060.64,105586.2,19 MS-DRG,902,Wound Debridements For Injuries With Cc,,,17315.82,64021.18,19 MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,10870.92,35570.8,19 MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,32531.3,92414.98,19 MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,13585.93,39265.07,19 MS-DRG,906,Hand Procedures For Injuries,,,17746.7,55041.43,19 MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,33969.26,96596.56,19 MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,18014.04,50199.11,19 MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,12109.03,33027.45,19 MS-DRG,91,Other Disorders Of Nervous System With Mcc,,,15946.21,53760.1,19 MS-DRG,913,Traumatic Injury With Mcc,,,14894.12,41126.44,19 MS-DRG,914,Traumatic Injury Without Mcc,,,8412.88,24630.76,19 MS-DRG,915,Allergic Reactions With Mcc,,,15300.77,45027.57,19 MS-DRG,916,Allergic Reactions Without Mcc,,,6516.35,16764.07,19 MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,14321.35,39460.85,19 MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,8167.16,21564.58,19 MS-DRG,919,Complications Of Treatment With Mcc,,,16591.65,49957.9,19 MS-DRG,92,Other Disorders Of Nervous System With Cc,,,9602.53,27371.0,19 MS-DRG,920,Complications Of Treatment With Cc,,,9423.44,28244.95,19 MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,6707.56,20901.68,19 MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,15887.37,107492.35,19 MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,9556.68,29630.73,19 MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,185476.81,862776.54,19 MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,62809.96,180464.7,19 MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,28617.98,81035.13,19 MS-DRG,93,Other Disorders Of Nervous System Without Cc/Mcc,,,7641.12,24797.89,19 MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,34444.26,97977.84,19 MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,19877.69,55618.56,19 MS-DRG,935,Non-Extensive Burns,,,18574.7,51829.48,19 MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,32145.42,91292.84,19 MS-DRG,94,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,31201.48,101802.97,19 MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,20970.44,58796.26,19 MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,18295.23,51016.81,19 MS-DRG,945,Rehabilitation With Cc/Mcc,,,14150.04,49860.41,19 MS-DRG,946,Rehabilitation Without Cc/Mcc,,,10673.66,28853.42,19 MS-DRG,947,Signs And Symptoms With Mcc,,,11734.4,33293.66,19 MS-DRG,948,Signs And Symptoms Without Mcc,,,7677.46,26023.51,19 MS-DRG,949,Aftercare With Cc/Mcc,,,11044.83,29932.78,19 MS-DRG,95,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,23066.83,86263.38,19 MS-DRG,950,Aftercare Without Cc/Mcc,,,6182.38,15792.89,19 MS-DRG,951,Other Factors Influencing Health Status,,,5562.03,13988.93,19 MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,58989.22,262982.31,19 MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,33309.11,162338.8,19 MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,66679.16,223024.35,19 MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,37210.32,106021.47,19 MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,26223.96,74073.38,19 MS-DRG,96,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,23066.83,64892.52,19 MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,24404.44,83049.61,19 MS-DRG,964,Other Multiple Significant Trauma With Cc,,,14011.61,38560.12,19 MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,8888.74,23662.92,19 MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,53713.21,196053.77,19 MS-DRG,97,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,32000.93,90872.67,19 MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,23570.38,66356.83,19 MS-DRG,974,Hiv With Major Related Condition With Mcc,,,25721.28,75525.29,19 MS-DRG,975,Hiv With Major Related Condition With Cc,,,11955.89,32582.12,19 MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,8561.69,22711.88,19 MS-DRG,977,Hiv With Or Without Other Related Condition,,,11979.25,32650.05,19 MS-DRG,98,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,20607.06,57739.55,19 MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,41345.13,154616.01,19 MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,22022.53,64477.31,19 MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,15581.09,48826.29,19 MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,30414.14,115371.83,19 MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,14971.99,44999.71,19 MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,11127.02,31497.01,19 MS-DRG,99,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,12539.03,46173.1,19 MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0 MS-DRG,999,Ungroupable,,,,,0 NDC,0054-3532-44,LORAZEPAM 2 MG/ML PO CONC [4571],42.22,42.22,,,0 NDC,0054-8175-25,DEXAMETHASONE 4 MG PO TABS [2327],98.91,98.91,,,0 NDC,0121-0431-30,MAGNESIUM HYDROXIDE 400 MG/5ML PO SUSP [28836],3.98,3.98,,,0 NDC,0121-0581-04,HALOPERIDOL LACTATE 2 MG/ML PO CONC [3585],20.34,20.34,,,0 NDC,0121-0747-00,SUCRALFATE 1 GM/10ML PO SUSP [11441],25.5,25.5,,,0 NDC,0143-9519-10,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN [111224],31.76,31.76,,,0 NDC,0186-0372-28,BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT INH AERO [81737],70.0,70.0,,,0 NDC,0406-0552-23,OXYCODONE HCL 5 MG PO TABS [10814],15.26,15.26,,,0 NDC,0406-8003-30,MORPHINE SULFATE (CONCENTRATE) 20 MG/ML PO SOLN [10655],80.29,80.29,,,0 NDC,0555-0899-02,ESTRADIOL 0.5 MG PO TABS [12491],13.84,13.84,,,0 NDC,0574-7050-12,BISACODYL 10 MG REC SUPP [1080],6.85,6.85,,,0 NDC,0904-6369-61,AMLODIPINE BESYLATE 2.5 MG PO TABS [9070],39.72,39.72,,,0 NDC,0904-6615-61,DIVALPROEX SODIUM 125 MG PO CSDR [126883],156.02,156.02,,,0 NDC,0904-6666-61,GABAPENTIN 300 MG PO CAPS [18308],69.5,69.5,,,0 NDC,0904-6718-39,GUAIFENESIN ER 600 MG PO TB12 [37651],3.98,3.98,,,0 NDC,0904-6798-61,LISINOPRIL 10 MG PO TABS [10449],38.28,38.28,,,0 NDC,0904-6861-90,DIVALPROEX SODIUM 500 MG PO TAB DR [2553],22.14,22.14,,,0 NDC,0904-6950-61,LEVOTHYROXINE SODIUM 50 MCG PO TABS [4421],28.92,28.92,,,0 NDC,0904-6956-61,LEVOTHYROXINE SODIUM 150 MCG PO TABS [4425],40.93,40.93,,,0 NDC,0904-7057-61,METHOCARBAMOL 500 MG PO TABS [4971],6.87,6.87,,,0 NDC,0904-7124-61,LEVETIRACETAM 500 MG PO TABS [26817],71.42,71.42,,,0 NDC,0904-7125-61,LEVETIRACETAM 750 MG PO TABS [26818],12.32,12.32,,,0 NDC,0904-7245-68,LACOSAMIDE 100 MG PO TABS [93298],193.6,193.6,,,0 NDC,0904-7252-61,SENNA 8.6 MG PO TABS [18138],49.03,49.03,,,0 NDC,0904-7306-61,CARVEDILOL 6.25 MG PO TABS [15747],43.26,43.26,,,0 NDC,20555-03300,CHOLECALCIFEROL 25 MCG (1000 UT) PO TABS [76950],19.9,19.9,,,0 NDC,25021-682-20,KETAMINE HCL 10 MG/ML IJ SOLN [4236],25.57,25.57,,,0 NDC,43598-478-01,SEVELAMER CARBONATE 0.8 G PO PACK [95420],37.09,37.09,,,0 NDC,44567-611-01,MIDAZOLAM-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN [161453],2214.9,2214.9,,,0 NDC,50268-585-11,PANTOPRAZOLE SODIUM 20 MG PO TBEC [26224],13.7,13.7,,,0 NDC,50268-639-11,PANTOPRAZOLE SODIUM 40 MG PO TBEC [26225],59.04,59.04,,,0 NDC,50268-685-11,PROCHLORPERAZINE MALEATE 10 MG PO TABS [6582],10.1,10.1,,,0 NDC,50268-745-11,SUCRALFATE 1 GM/10ML PO SUSP [11441],272.07,272.07,,,0 NDC,50268-756-11,TORSEMIDE 20 MG PO TABS [18293],40.8,40.8,,,0 NDC,50580-457-11,ACETAMINOPHEN 500 MG PO TABS [102],10.61,10.61,,,0 NDC,51672-1310-1,BETAMETHASONE DIPROPIONATE AUG 0.05 % EXT CREA [9175],170.9,170.9,,,0 NDC,55150-194-10,ESMOLOL HCL 100 MG/10ML IV SOLN [82387],23.42,23.42,,,0 NDC,60687-156-95,PHENYTOIN 50 MG PO CHEW [11018],141.1,141.1,,,0 NDC,60687-396-11,HYDROCODONE-ACETAMINOPHEN 5-325 MG PO TABS [34505],7.44,7.44,,,0 NDC,60687-431-99,POLYETHYLENE GLYCOL 3350 17 G PO PACK [25424],81.13,81.13,,,0 NDC,60687-593-11,HYDROCHLOROTHIAZIDE 25 MG PO TABS [3720],33.9,33.9,,,0 NDC,60687-677-11,ALLOPURINOL 100 MG PO TABS [310],34.2,34.2,,,0 NDC,60687-841-11,PHENYTOIN SODIUM EXTENDED 100 MG PO CAPS [6257],51.6,51.6,,,0 NDC,63323-186-10,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN [154940],22.79,22.79,,,0 NDC,63739-486-10,HYDROXYZINE HCL 25 MG PO TABS [3774],33.5,33.5,,,0 NDC,65862-192-01,FLUOXETINE HCL 10 MG PO CAPS [10069],36.78,36.78,,,0 NDC,65862-895-10,LANSOPRAZOLE 15 MG PO TBDD [154927],55.38,55.38,,,0 NDC,68084-270-11,RISPERIDONE 0.25 MG PO TABS [25519],67.9,67.9,,,0 NDC,68084-299-11,TAMSULOSIN HCL 0.4 MG PO CAPS [97848],41.88,41.88,,,0