code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries APC,0763,"Inj, bupivacaine liposome",,,,,0 APC,0764,Ketorolac tromethamine inj,,,,,0 APC,0790,"Inj, methylpred acetate 1 mg",,,,,0 APC,0792,"Inj, glycopyrrolate, 0.1 mg",,,,,0 APC,1514,New Technology - Level 14 ($1201- $1300),,,,,0 APC,1559,New Technology - Level 22 ($2001-$2500),,,,,0 APC,1576,"New Technology - Level 39 ($15,001-$20,000)",,,,,0 APC,2038,"Gen, neuro, clo loop, rechg",,,,,0 APC,2039,"Gen, neuro, imp led, ex cntr",,,,,0 APC,2040,"Endo, single, urinary tract",,,,,0 APC,2050,Cath coronary drug-delivery,,,,,0 APC,2051,Cath renal denerv radiofreq,,,,,0 APC,2055,"Tissue marker, detectable",,,,,0 APC,2616,"Brachytx, non-str,Yttrium-90",,,,,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,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,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,5231,Level 1 ICD 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,5621,Level 1 Radiation Therapy,,,,,0 APC,5622,Level 2 Radiation Therapy,,,,,0 APC,5623,Level 3 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,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,5771,Cardiac Rehabilitation,,,,,0 APC,5781,Resuscitation and Cardioversion,,,,,0 APC,5791,Pulmonary Treatment,,,,,0 APC,5823,Level 3 Health and Behavior Services,,,,,0 APC,5871,Dental Procedures,,,,,0 APC,9096,Inj retacrit esrd on dialysi,,,,,0 APC,9501,Platelet pheres leukoreduced,,,,,0 APC,9522,RBC leukoreduced irradiated,,,,,0 APC,9530,Plate pheres leukoredu irrad,,,,,0 APC,9533,"RBC, l/r, cmv-neg, irrad",,,,,0 APC,9536,Platelets pheresis path redu,,,,,0 APC,N700,Non-OPPS Clinic Services,,,,,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,N900,Non-covered Services,,,,,0 APC,N901,"Anesthesia, bundled",,,,,0 APC,N902,Packaged Services,,,,,0 APC,N903,Influenza Vaccines & Pneumococcal Pneumonia Vaccines,,,,,0 APC,N905,Not Recognized by OPPS,,,,,0 CDM,1002000001,HC R&B: BH RESIDENTIAL CHEMICAL DEPENDENCY,887.0,887.0,,,0 CDM,1110000001,HC R&B PRIVATE ROOM DAILY,3077.0,3077.0,,,0 CDM,1200000002,HC GENERAL ROOM WITH TELEMETRY DAILY,5549.0,5549.0,,,0 CDM,1200000003,HC R&B SEMI-PRIVATE ROOM DAILY - SNF,3350.0,3350.0,,,0 CDM,1200000004,HC R&B SEMI-PRIVATE ROOM DAILY - SWING,3350.0,3350.0,,,0 CDM,1210000001,HC R&B SEMI-PRIVATE ROOM DAILY - MED/SURG,4894.0,4894.0,,,0 CDM,1220000001,HC OB SEMI-PRIVATE ROOM DAILY,5199.0,5199.0,,,0 CDM,1220000002,HC R&B HIGH RISK OB SEMI-PRIVATE,6398.0,6398.0,,,0 CDM,1230000001,HC SEMI-PRIVATE PED ROOM DAILY,4852.0,4852.0,,,0 CDM,1240000001,HC R&B SEMI-PRIVATE ROOM DAILY - BH ADOLESCENT,3963.0,3963.0,,,0 CDM,1240000002,HC R&B SEMI-PRIVATE ROOM DAILY - BH ADULT,5873.0,5873.0,,,0 CDM,1240000003,HC R&B SEMI-PRIVATE ROOM DAILY - BH GERIATRIC,2501.0,2501.0,,,0 CDM,1250000001,HC HOSPICE SEMI-PRIVATE ROOM DAILY,3350.0,3350.0,,,0 CDM,1260000001,HC R&B SEMI-PRIVATE ROOM DAILY - BH CHEMICAL,3614.0,3614.0,,,0 CDM,1270000001,HC SEMI-PRIVATE ONCOLOGY ROOM DAILY,3350.0,3350.0,,,0 CDM,1280000003,HC R&B SEMI-PRIVATE ROOM DAILY - REHAB,4349.0,4349.0,,,0 CDM,1610000001,HC R&B HOSPITAL AT HOME,4335.0,4335.0,,,0 CDM,1710000001,HC NURSERY 1 ROOM DAILY,3699.0,3699.0,,,0 CDM,1710000002,HC NICU 1 ROOM DAILY,3699.0,3699.0,,,0 CDM,1720000001,HC NURSERY 2 ROOM DAILY,9119.0,9119.0,,,0 CDM,1720000002,HC NICU 2 ROOM DAILY,9119.0,9119.0,,,0 CDM,1730000001,HC NURSERY 3 ROOM DAILY,12375.0,12375.0,,,0 CDM,1730000002,HC NICU 3 ROOM DAILY,12375.0,12375.0,,,0 CDM,1740000002,HC NICU 4 ROOM DAILY,15299.0,15299.0,,,0 CDM,1910000001,HC R&B - SUBACUTE LEVEL 1,1789.0,1789.0,,,0 CDM,1920000001,HC R&B - SUBACUTE LEVEL 2,2042.0,2042.0,,,0 CDM,1930000001,HC R&B - SUBACUTE LEVEL 3,2554.0,2554.0,,,0 CDM,1940000001,HC R&B - SUBACUTE LEVEL 4,2680.0,2680.0,,,0 CDM,2000000001,HC ICU ROOM DAILY,9996.0,9996.0,,,0 CDM,2010000001,HC ICU SURG ROOM DAILY,12381.0,12381.0,,,0 CDM,2020000001,HC ICU MEDICAL ROOM DAILY,10085.0,10085.0,,,0 CDM,2030000001,HC ICU PED ROOM DAILY,10297.0,10297.0,,,0 CDM,2060000001,HC INTERMEDIATE ICU ROOM DAILY,6756.0,6756.0,,,0 CDM,2060000002,HC R&B PRIVATE INTERMEDIATE PCU ROOM DAILY,4603.0,4603.0,,,0 CDM,2060000003,HC R&B INTERMEDIATE ICU ROOM DAILY OB HIGH RISK,6398.0,6398.0,,,0 CDM,2100000001,HC ICU CARD ROOM DAILY,10309.0,10309.0,,,0 CDM,2140000001,HC INTERMEDIATE CCU ROOM DAILY,6756.0,6756.0,,,0 CDM,2400000001,HC R&B - REHAB ALL INCLUSIVE,2095.0,2095.0,,,0 CDM,2500000001,HC 2% XYLOCAINE JELLY,45.0,45.0,,,0 CDM,255Q996701,HC IV CONTRAST ISOVUE 300/100 ML,2.0,2.0,,,0 CDM,2609636001,"HC IV INF HYDRATION, 30-60 MIN",699.0,699.0,,,0 CDM,2609636101,"HC IV INF HYDRATION, EA ADDL HR",249.0,249.0,,,0 CDM,2609636501,"HC IV INF NON-CHEMO, THER/PROPH/DIAG, INITIAL, TO 1 HR",847.5,847.5,,,0 CDM,2609636601,"HC IV INF NON-CHEMO, THER/PROPH/DIAG, EA ADD HOUR",249.0,249.0,,,0 CDM,2609636701,"HC IV INF NON-CHEMO, THER/PROPH/DIAG, SEQUENTIAL, NEW DRUG, TO 1 HR",241.5,241.5,,,0 CDM,2609636801,"HC IV INF NON-CHEMO, THER/PROPH/DIAG, CONCURRENT",247.0,247.0,,,0 CDM,2609636901,"HC SC INF W/ PUMP, NON-CHEMO, THER/PROPH, INITIAL, TO 1 HR",978.0,978.0,,,0 CDM,2609637001,"HC SC INF, NON-CHEMO, THER/PROPH, EA ADDL HOUR",406.0,406.0,,,0 CDM,2609637101,"HC SC INF, NON-CHEMO, THER/PROPH, ADDL PUMP W/ NEW SITE",986.0,986.0,,,0 CDM,2609637201,"HC INJ NON-CHEMO, THER/PROPH/DIAG, SUBQ/IM",238.0,238.0,,,0 CDM,2609637301,"HC INJ NON-CHEMO, THER/PROPH/DIAG, INTRA-ARTERIAL",255.0,255.0,,,0 CDM,2609637401,"HC INJ NON-CHEMO, THER/PROPH/DIAG, IV PUSH, SGL/INITIAL DRUG",441.5,441.5,,,0 CDM,2609637501,"HC INJ NON-CHEMO, THER/PROPH/DIAG, EA IV PUSH, SEQUENTIAL, NEW DRUG",301.0,301.0,,,0 CDM,2609637601,"HC INJ NON-CHEMO, THER/PROPH/DIAG, EA IV PUSH, SEQUENTIAL, SAME DRUG",300.0,300.0,,,0 CDM,2609637701,HC APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION,206.5,206.5,,,0 CDM,2609652101,"HC REFILL/MAINT, PORTABLE PUMP",992.0,992.0,,,0 CDM,2609652301,HC IRRIG IMPLANTED DRUG DELIVERY DEVICE,282.0,282.0,,,0 CDM,260M022001,HC TIXAGEVIMAB AND CILGAVIMAB INFUSION,1233.0,1233.0,,,0 CDM,260M022201,HC BEBTELOVIMAB ADMIN W/ POST ADMIN MONITOR,1549.0,1549.0,,,0 CDM,260M024301,HC CASIRIVI AND IMDEVI INFUSION,1233.0,1233.0,,,0 CDM,260M024501,HC BAMLAN AND ETESEV INFUSION,1233.0,1233.0,,,0 CDM,260M024701,HC SOTROVIMAB INFUSION,1233.0,1233.0,,,0 CDM,260M024901,HC TOCILIZUMAB 1ST DOSE INFUSION,1754.0,1754.0,,,0 CDM,260M025001,HC TOCILIZUMAB 2ND DOSE INFUSION,1754.0,1754.0,,,0 CDM,2700000001,HC SUPPLY CHARGE (FROM INTERFACE),462.0,462.0,,,0 CDM,2700000045,HC NEEDLE IV BUTTERFLY 21GX.75 SAFETY BUTTON,443.0,443.0,,,0 CDM,270A426601,HC SUPPLY DIAPHRAGM,260.0,260.0,,,0 CDM,270A464901,HC SPACEOAR GEL SUPPLY,32834.0,32834.0,,,0 CDM,270C171501,HC BRACHYTHERAPY NEEDLE,149.0,149.0,,,0 CDM,270S498901,HC SUPPLY CONTRACEPT IUD,866.0,866.0,,,0 CDM,271Q403802,HC SYS CAST TOT CONTACT BOOT,707.0,707.0,,,0 CDM,271V504002,HC SUPPLY MONAURAL BODY WORN BONE CONDUCT - V5040,18784.5,18784.5,,,0 CDM,271V505002,HC SUPPLY HEARING AID IN EAR MONAURAL - V5050,1569.5,1569.5,,,0 CDM,271V506002,HC SUPPLY HEARING AID BEHIND EAR MONAURAL - V5060,1510.0,1510.0,,,0 CDM,271V513002,HC SUPPLY HEARING AID IN EAR BINAURAL - V5130,2926.0,2926.0,,,0 CDM,271V514002,HC SUPPLY HEARING AID BEHIND EAR BINAURAL - V5140,2814.0,2814.0,,,0 CDM,271V517102,HC HEARING AID CROS ITE MONAURAL - V5171,3355.0,3355.0,,,0 CDM,271V517202,HC HEARING AID CROS ITC MONAURAL - V5172,3355.0,3355.0,,,0 CDM,271V518102,HC HEARING AID CROS BTE MONAURAL - V5181,3355.0,3355.0,,,0 CDM,271V521102,HC LEVEL 2 HEARING AID CROS ITE/ITE BINAURAL - V5211,7946.5,7946.5,,,0 CDM,271V521103,HC LEVEL Iá HEARING AID CROS ITE/ITE BINAURAL - V5211,5256.0,5256.0,,,0 CDM,271V521104,HC LEVEL 3 HEARING AID CROS ITE/ITE BINAURAL - V5211,7367.0,7367.0,,,0 CDM,271V521105,HC LEVEL 5 HEARING AID CROS ITE/ITE BINAURAL - V5211,9101.0,9101.0,,,0 CDM,271V521202,HC LEVEL 2 HEARING AID CROS ITE/ITC BINAURAL - V5212,7944.5,7944.5,,,0 CDM,271V521203,HC LEVEL I HEARING AID CROS ITE/ITC BINAURAL - V5212,5376.0,5376.0,,,0 CDM,271V521204,HC LEVEL 3 HEARING AID CROS ITE/ITC BINAURAL - V5212,7452.0,7452.0,,,0 CDM,271V521205,HC LEVEL 5 HEARING AID CROS ITE/ITC BINAURAL - V5212,9025.0,9025.0,,,0 CDM,271V521302,HC LEVEL 2 HEARING AID CROS ITE/BTE BINAURAL - V5213,8054.5,8054.5,,,0 CDM,271V521303,HC LEVEL I HEARING AID CROS ITE/BTE BINAURAL - V5213,5385.0,5385.0,,,0 CDM,271V521304,HC LEVEL 3 HEARING AID CROS ITE/BTE BINAURAL - V5213,7592.0,7592.0,,,0 CDM,271V521305,HC LEVEL 5 HEARING AID CROS ITE/BTE BINAURAL - V5213,9399.0,9399.0,,,0 CDM,271V521402,HC LEVEL 2 HEARING AID CROS ITC/ITC BINAURAL - V5214,7944.5,7944.5,,,0 CDM,271V521403,HC LEVEL I HEARING AID CROS ITC/ITC BINAURAL - V5214,5376.0,5376.0,,,0 CDM,271V521404,HC LEVEL 3 HEARING AID CROS ITC/ITC BINAURAL - V5214,7452.0,7452.0,,,0 CDM,271V521405,HC LEVEL 5 HEARING AID CROS ITC/ITC BINAURAL - V5214,9025.0,9025.0,,,0 CDM,271V521502,HC LEVEL 2 HEARING AID CROS ITC/BTE BINAURAL - V5215,8054.5,8054.5,,,0 CDM,271V521503,HC LEVEL I HEARING AID CROS ITC/BTE BINAURAL - V5215,5385.0,5385.0,,,0 CDM,271V521504,HC LEVEL 3 HEARING AID CROS ITC/BTE BINAURAL - V5215,7592.0,7592.0,,,0 CDM,271V521505,HC LEVEL 5 HEARING AID CROS ITC/BTE BINAURAL - V52154,9399.0,9399.0,,,0 CDM,271V522102,HC LEVEL 2 HEARING AID CROS BTE/BTE BINAURAL - V5221,8054.5,8054.5,,,0 CDM,271V522103,HC LEVEL I HEARING AID CROS BTE/BTE BINAURAL - V5221,5385.0,5385.0,,,0 CDM,271V522104,HC LEVEL 3 HEARING AID CROS BTE/BTE BINAURAL - V5221,7592.0,7592.0,,,0 CDM,271V522105,HC LEVEL 5 HEARING AID CROS BTE/BTE BINAURAL - V5221,9399.0,9399.0,,,0 CDM,271V524202,HC SUPPLY HEARING AID ALOG CIC MONAURAL - V5242,1857.0,1857.0,,,0 CDM,271V524302,HC SUPPLY HEARING AID ALOG ITC MONAURAL - V5243,1421.0,1421.0,,,0 CDM,271V524802,HC SUPPLY HEARING AID ALOG CIC BINAURAL - V5248,3715.0,3715.0,,,0 CDM,271V524902,HC SUPPLY HEARING AID ALOG ITC BINAURAL - V5249,2841.0,2841.0,,,0 CDM,271V525402,HC LEVEL 2á HEARING AID DIGIT CIC MONAURAL - V5254,3571.0,3571.0,,,0 CDM,271V525403,HC LEVEL 1 HEARING AID DIGIT CIC MONAURAL - V5254,2155.0,2155.0,,,0 CDM,271V525404,HC LEVEL 3 HEARING AID DIGIT CIC MONAURAL - V5254,4199.0,4199.0,,,0 CDM,271V525405,HC LEVEL 5 HEARING AID DIGIT CIC MONAURAL - V5254,5903.0,5903.0,,,0 CDM,271V525502,HC SUPPLY HEARING AID DIGIT ITC MONAURAL - V5255,1683.0,1683.0,,,0 CDM,271V525602,HC LEVEL 2 HEARING AID DIGIT BTE MONAURAL - V5256,3437.0,3437.0,,,0 CDM,271V525603,HC LEVEL 1 HEARING AID DIGIT BTE MONAURAL - V5256,1901.0,1901.0,,,0 CDM,271V525604,HC LEVEL 3 HEARING AID DIGIT BTE MONAURAL - V5256,4012.0,4012.0,,,0 CDM,271V525605,HC LEVEL 5 HEARING AID DIGIT BTE MONAURAL - V5256,5746.0,5746.0,,,0 CDM,271V525702,HC LEVEL 2 HEARING AID DIGIT BTE MONAURAL - V5257,3355.0,3355.0,,,0 CDM,271V525703,HC LEVEL 1 HEARING AID DIGIT BTE MONAURAL - V5257,2030.0,2030.0,,,0 CDM,271V525704,HC LEVEL 3 HEARING AID DIGIT BTE MONAURAL - V5257,4237.0,4237.0,,,0 CDM,271V525705,HC LEVEL 5 HEARING AID DIGIT BTE MONAURAL - V5257,6044.0,6044.0,,,0 CDM,271V525802,HC LEVEL 2 HEARING AID DIGIT CIC BINAURAL - V5258,7142.0,7142.0,,,0 CDM,271V525803,HC LEVEL 1 HEARING AID DIGIT CIC BINAURAL - V5258,4310.0,4310.0,,,0 CDM,271V525804,HC LEVEL 3 HEARING AID DIGIT CIC BINAURAL - V5258,8398.0,8398.0,,,0 CDM,271V525805,HC LEVEL 5 HEARING AID DIGIT CIC BINAURAL - V5258,11807.0,11807.0,,,0 CDM,271V525902,HC LEVEL 2 HEARING AID DIGIT CIC BINAURAL - V5259,3508.0,3508.0,,,0 CDM,271V525903,HC LEVEL 1á HEARING AID DIGIT CIC BINAURAL - V5259,2021.0,2021.0,,,0 CDM,271V525904,HC LEVEL 3 HEARING AID DIGIT CIC BINAURAL - V5259,4097.0,4097.0,,,0 CDM,271V525905,HC LEVEL 5 HEARING AID DIGIT CIC BINAURAL - V5259,5670.0,5670.0,,,0 CDM,271V526002,HC LEVEL 2 HEARING AID DIGIT ITE BINAURAL - V5260,6874.0,6874.0,,,0 CDM,271V526003,HC LEVEL 1á HEARING AID DIGIT ITE BINAURAL - V5260,3802.0,3802.0,,,0 CDM,271V526004,HC LEVEL 3 HEARING AID DIGIT ITE BINAURAL - V5260,8024.0,8024.0,,,0 CDM,271V526005,HC LEVEL 5 HEARING AID DIGIT ITE BINAURAL - V5260,11492.0,11492.0,,,0 CDM,271V526102,HC LEVEL 2 HEARING AID DIGIT BTE BINAURAL - V5261,5942.0,5942.0,,,0 CDM,271V526103,HC LEVEL 1á HEARING AID DIGIT BTE BINAURAL - V5261,4061.0,4061.0,,,0 CDM,271V526104,HC LEVEL 3 HEARING AID DIGIT BTE BINAURAL - V5261,8475.0,8475.0,,,0 CDM,271V526105,HC LEVEL 5 HEARING AID DIGIT BTE BINAURAL - V5261,12087.0,12087.0,,,0 CDM,271V526502,HC SUPPLY EAR MOLD/INSERT DISPOSABLE - V5265,58.0,58.0,,,0 CDM,2720000002,HC SUPPLY ADHESIVE DERMABOND,795.0,795.0,,,0 CDM,2720000007,HC SUPPLY BOWL AUTOTRANS SYS CEL SVR HI SPD LW STD 125ML LF,1745.0,1745.0,,,0 CDM,2720000008,HC SUPPLY PUMP CENTRIFUGAL HD BIOLINE ROTAFLOW BEG-RF-32 32ML STRL,5513.0,5513.0,,,0 CDM,2720000009,HC SUPPLY CANNULA VEN/ART BIO-MEDICUS W/ INTRO,4641.0,4641.0,,,0 CDM,2720000010,HC SUPPLY CANNULA IV QUICKDRAW BARBED INSRT INTRO,5877.0,5877.0,,,0 CDM,2720000011,HC SUPPLY BLD PMP LIFESPARC PROTECKDUO,189898.0,189898.0,,,0 CDM,272A200202,HC SUPPLY CHARGE SKIN SUB(TOTAL 7 SC) MIRRAGEN PER SQ CM,1960.0,1960.0,,,0 CDM,272A200203,HC SUPPLY CHARGE SKIN SUB (TOTAL 26 SC) MIRRAGEN PER SQ CM,1094.0,1094.0,,,0 CDM,272A200204,HC SUPPLY CHARGE SKIN SUB(TOTAL 3 SC) MIRRAGEN PER SQ CM,4116.0,4116.0,,,0 CDM,272A200205,HC SUPPLY CHARGE SKIN SUB(TOTAL 12 SC) MIRRAGEN PER SQ CM,1913.0,1913.0,,,0 CDM,272A200702,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) RESTRATA PER SQ CM,2661.0,2661.0,,,0 CDM,272A200703,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) RESTRATA PER SQ CM,1928.0,1928.0,,,0 CDM,272A200704,HC SUPPLY CHARGE SKIN SUB (TOT SZ 13 SC) RESTRATA PER SQ CM,1922.0,1922.0,,,0 CDM,272A200705,HC SUPPLY CHARGE SKIN SUB (TOTAL SZ 19 SC '2.5X7.5') RESTRATA PER SQ CM,1915.0,1915.0,,,0 CDM,272A200706,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) RESTRATA PER SQ CM,1987.0,1987.0,,,0 CDM,272A200707,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) RESTRATA PER SQ CM,1077.0,1077.0,,,0 CDM,272A200708,HC SUPPLY CHARGE SKIN SUB (TOTAL SZ 125 SC) RESTRATA PER SQ CM,823.0,823.0,,,0 CDM,272C172801,HC DISPOSABLE BRACHY CATHETERS (# OF CATHETERS),15901.0,15901.0,,,0 CDM,272C175103,HC SUPPLY PS1753272 PICC SNGL 4FR,3607.0,3607.0,,,0 CDM,272C175104,HC SUPPLY PS1753273 PICC DBL 5FR,3407.0,3407.0,,,0 CDM,272C175105,HC SUPPLY PS1790314 PICC TRPL 5FR,3640.0,3640.0,,,0 CDM,272C175106,HC SUPPLY PS1806966 POWERGLIDE MIDLINE 18G 8CM,1836.0,1836.0,,,0 CDM,272C175107,HC SUPPLY PS1817234 POWERGLIDE MIDLINE 20G 8CM,1300.0,1300.0,,,0 CDM,272C175108,HC SUPPLY PS1817235 POWERGLIDE MIDLINE 20G 10CM,1300.0,1300.0,,,0 CDM,272C175109,HC SUPPLY PS1817236 POWERGLIDE MIDLINE 18G 8CM,1300.0,1300.0,,,0 CDM,272C175110,HC SUPPLY PS1820843 MIDLINE DBL 4FR,2927.0,2927.0,,,0 CDM,272C175111,HC SUPPLY PS1822337 MIDLINE SNGL 3FR,2501.0,2501.0,,,0 CDM,272C175112,HC SUPPLY PS1828298 POWERGLIDE MIDLINE 18G 10CM,2019.0,2019.0,,,0 CDM,272C175113,HC SUPPLY PS1828844 POWERGLIDE MIDLINE 18G 8CM,2019.0,2019.0,,,0 CDM,272C175114,HC SUPPLY PS1829511 POWERGLIDE MIDLINE 20G 8CM,2019.0,2019.0,,,0 CDM,272C175115,HC SUPPLY PS1832685 POWERGLIDE MIDLINE 20G 10CM,2019.0,2019.0,,,0 CDM,272C175116,HC SUPPLY PS1838106 MST MIDLINE DBL 4FR,3406.0,3406.0,,,0 CDM,272C175117,HC SUPPLY PS1838107 MST MIDLINE SNGL 3FR,2981.0,2981.0,,,0 CDM,272C175118,HC SUPPLY PS1838110 PICC SNGL 3FR,4439.0,4439.0,,,0 CDM,272C175119,HC SUPPLY PS1838111 PICC DBL 4FR,4555.0,4555.0,,,0 CDM,272C175120,HC SUPPLY PS1838112 PICC TRPL 5FR,4853.0,4853.0,,,0 CDM,272C176902,HC SUPPLY GW VASC ACSS AVALON ELITE,630.0,630.0,,,0 CDM,272L184302,"HC SUPPLY KNEE ORTHOSIS, SINGLE UPRIGHT, THIGH AND CALF, WITH ADJUSTAB - L1843",1153.0,1153.0,,,0 CDM,272L193202,"HC SUPPLY AFO, RIGID ANTERIOR TIBIAL SECTION, TOTAL CARBON FIBER OR EQ - L1932",1148.0,1148.0,,,0 CDM,272L197002,"HC SUPPLY ANKLE FOOT ORTHOSIS, PLASTIC WITH ANKLE JOINT, CUSTOM FABRIC - L1970",981.0,981.0,,,0 CDM,272L869301,HC 272 SHELL CODE W/HCPCS OSSEOINTEGRATED AUDITORY DEV ABUTMENT REPL ONLY,14253.0,14253.0,,,0 CDM,274A551202,HC SUPPLY DIABETIC SHOE INSERT 35/40 DUROMETER PREFAB - A5512,39.0,39.0,,,0 CDM,274A653002,HC SUPPLY GRADIENT COMPRESSION STOCKING BELOW KNEE 18-30 MMHG - A6530,758.0,758.0,,,0 CDM,274A653102,HC SUPPLY DME GRADIENT COMPRESSION STOCKING BELOW KNEE 30-40 MMHG,468.0,468.0,,,0 CDM,274A653202,HC SUPPLY DME GRADIENT COMPRESSION STOCKING BELOW KNEE 40-50 MMHG,660.0,660.0,,,0 CDM,274A653302,HC SUPPLY DME GRADIENT COMPRESSION STOCKING THIGH LENGTH 18-30 MMHG,2825.0,2825.0,,,0 CDM,274A653402,HC SUPPLY DME GRADIENT COMPRESSION STOCKING THIGH LENGTH 30-40 MMHG,636.0,636.0,,,0 CDM,274A653502,HC SUPPLY DME GRADIENT COMPRESSION STOCKING THIGH LENGTH 40-50 MMHG,993.0,993.0,,,0 CDM,274A653602,HC SUPPLY DME GRADIENT COMPRESSION STOCKING FULL LENGTH/CHAP STYLE 18-30 MMHG,2825.0,2825.0,,,0 CDM,274A653702,HC SUPPLY DME GRADIENT COMPRESSION STOCKING FULL LENGTH/CHAP STYLE 30-40 MMHG,636.0,636.0,,,0 CDM,274A653802,HC SUPPLY DME GRADIENT COMPRESSION STOCKING FULL LENGTH/CHAP STYLE 40-50 MMHG,993.0,993.0,,,0 CDM,274A653902,HC SUPPLY DME GRADIENT COMPRESSION STOCKING WAIST LENGTH 18-30 MMHG,2825.0,2825.0,,,0 CDM,274A654002,HC SUPPLY DME GRADIENT COMPRESSION STOCKING WAIST LENGTH 30-40 MMHG,636.0,636.0,,,0 CDM,274A654102,HC SUPPLY DME GRADIENT COMPRESSION STOCKING WAIST LENGTH 40-50 MMHG,993.0,993.0,,,0 CDM,274A654202,HC SUPPLY DME GRADIENT COMPRESSION STOCKING CUSTOM,55.0,55.0,,,0 CDM,274A654402,HC SUPPLY DME GRADIENT COMPRESSION STOCKING GARTER BELT,532.0,532.0,,,0 CDM,274A654902,"HC SUPPLY DME GRADIENT COMPRESSION GARMENT, NOS, FOR DAYTIME USE, EACH",2825.0,2825.0,,,0 CDM,274A800002,HC SUPPLY HELMET PROTECT SOFT PREFAB - A8000,683.0,683.0,,,0 CDM,274A928202,HC SUPPLY DME WIG ANY TYPE EACH,620.0,620.0,,,0 CDM,274L017202,HC SUPPLY CERVICAL COLLAR SEMI-RIGID THERMOPLASTIC FOAM TWO-PIECE - L0172,238.0,238.0,,,0 CDM,274L017402,HC SUPPLY CERVICAL COLLAR SEMI-RIGID THERMOPLASTIC FOAM TWO PIECE THOR EXT - L0174,329.0,329.0,,,0 CDM,274L019002,HC SUPPLY CERVICAL COLLAR MULTI POST OCCIP/MANDIP SUPPORTS - L0190,672.0,672.0,,,0 CDM,274L048602,"HC SUPPLY TLSO, TRIPLANAR CONTROL, TWO PIECE RIGID PLASTIC SHELL CUSTOM - L0486",16450.0,16450.0,,,0 CDM,274L063702,"HC SUPPLY LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, WITH RIGID - L0637",255.0,255.0,,,0 CDM,274L081001,"HC 274 SHELL CODE W/ HCPCS HALO PROCEDURE, CERVICAL HALO INCORPORATED INTO JACKET VEST",23423.0,23423.0,,,0 CDM,274L081002,HC SUPPLY PROCEDURE CERVICAL HALO INCORP INTO JACKET VEST,23423.0,23423.0,,,0 CDM,274L097602,HC SUPPLY LUMBAR SACRAL ORTHOSIS FULL CORSET - L0976,255.0,255.0,,,0 CDM,274L122002,HC SUPPLY THORACIC LUMBAR SACRAL ORTHOSIS ANTERIOR THORACIC EXTENSION - L1220,265.0,265.0,,,0 CDM,274L162002,"HC SUPPLY HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINTS, FLEXIBLE - L1620",173.0,173.0,,,0 CDM,274L168002,"HC SUPPLY HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINTS, DYNAMIC, PELV - L1680",1682.0,1682.0,,,0 CDM,274L185002,"HC SUPPLY KNEE ORTHOSIS, SWEDISH TYPE, PREFABRICATED, OFF-THE-SHELF - L1850",301.0,301.0,,,0 CDM,274L190602,"HC SUPPLY ANKLE FOOT ORTHOSIS, MULTILIGAMENTOUS ANKLE SUPPORT, PREFABR - L1906",1079.0,1079.0,,,0 CDM,274L193002,"HC SUPPLY ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, PREFABRICATE - L1930",282.0,282.0,,,0 CDM,274L195102,HC SUPPLY ANKLE FOOT ORTHOSIS SPIRAL PREFAB - L1951,1079.0,1079.0,,,0 CDM,274L196002,HC SUPPLY ANKLE FOOT ORTHOSIS POSTERIOR SOLID ANKLE CUSTOM - L1960,663.0,663.0,,,0 CDM,274L220002,HC SUPPLY LEO ADDITION LIMITED ANKLE MOTION - L2200,57.0,57.0,,,0 CDM,274L223202,HC SUPPLY LEO ROCKER BOTTOM FOR TOTAL CONTACT AFO CUSTOM - L2232,124.0,124.0,,,0 CDM,274L227502,"HC SUPPLY ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION, PLASTI - L2275",155.0,155.0,,,0 CDM,274L234002,HC SUPPLY LEO ADDITION ROUND CALIPER AND PLATE ATTACHMENT - L2340,652.0,652.0,,,0 CDM,274L240502,HC SUPPLY KNEE JNT ADDITION DROP LOCK EACH - L2405,111.0,111.0,,,0 CDM,274L262402,"HC SUPPLY ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, ADJ - L2624",498.0,498.0,,,0 CDM,274L282002,HC SUPPLY LEO ADDITION SOFT INTERFACE BELOW KNEE SECTION - L2820,105.0,105.0,,,0 CDM,274L283002,HC SUPPLY LEO ADDITION SOFT INTERFACE ABOVE KNEE SECTION - L2830,117.0,117.0,,,0 CDM,274L284002,HC SUPPLY LEO ADDITION TIBIAL LENGTH SOCK FRACTURE OR EQUAL EACH - L2840,66.0,66.0,,,0 CDM,274L300202,HC SUPPLY FOOT INSERT REMOVABLE MOLDED TO PT PLASTAZOTE OR EQUAL EACH - L3002,207.0,207.0,,,0 CDM,274L317002,HC SUPPLY DME FOOT PLASTIC SILICONE OR EQUAL HEEL STAB PREFAB OTS EA,1103.0,1103.0,,,0 CDM,274L321602,HC SUPPLY LADIES SHOE DEPTH INLAY EACH - L3216,63.0,63.0,,,0 CDM,274L322102,HC SUPPLY MENS SHOE DEPTH INLAY EACH - L3221,70.0,70.0,,,0 CDM,274L326001,"HC 274 SHELL CODE W/ HCPCS SURGICAL BOOT/SHOE, EACH",95.0,95.0,,,0 CDM,274L326002,HC SUPPLY POST OP SHOE/BOOT,95.0,95.0,,,0 CDM,274L330002,HC SUPPLY LIFT ELEVATION HEEL TAPERED TO METATARSALS PER IN - L3300,67.0,67.0,,,0 CDM,274L367002,"HC SUPPLY SHOULDER ORTHOSIS, ACROMIO/CLAVICULAR (CANVAS AND WEBBING) - L3670",167.0,167.0,,,0 CDM,274L367102,"HC SUPPLY SHOULDER ORTHOSIS, SHOULDER JOINT DESIGN, WITHOUT JOINTS, MA - L3671",1006.0,1006.0,,,0 CDM,274L370202,"HC SUPPLY ELBOW ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE - L3702",328.0,328.0,,,0 CDM,274L372002,"HC SUPPLY ELBOW ORTHOSIS, DOUBLE UPRIGHT WITH FOREARM/ARM CUFFS, FREE - L3720",1908.0,1908.0,,,0 CDM,274L373002,HC SUPPLY ELBOW ORTHOSIS DBL UPRT W/ FOREARM/ARM CUFFS FLEX ASST CUST-L3740,1177.0,1177.0,,,0 CDM,274L374002,"HC SUPPLY ELBOW ORTHOSIS, DOUBLE UPRIGHT WITH FOREARM/ARM CUFFS, ADJ - L3740",2590.0,2590.0,,,0 CDM,274L376002,"HC SUPPLY ELBOW ORTHOSIS (EO), WITH ADJUST POSIT LOCK JNT - L3760",297.0,297.0,,,0 CDM,274L376302,"HC SUPPLY ELBOW WRIST HAND ORTHOSIS, RIGID, W/O JNTS - L3763",2224.0,2224.0,,,0 CDM,274L380602,"HC SUPPLY WRIST HAND FINGER ORTHOSIS, 1+ NONTORSION - L3806",1260.0,1260.0,,,0 CDM,274L380802,"HC SUPPLY WRIST HAND FINGER ORTHOSIS, RIGID W/O JNTS - L3808",798.0,798.0,,,0 CDM,274L380902,"HC SUPPLY WRIST HAND FINGER ORTHOSIS, WITHOUT JOINT(S), PREFAB - L3809",292.0,292.0,,,0 CDM,274L390602,"HC SUPPLY WRIST HAND ORTHOSIS, W/O JNTS, MAY INCLUDE SOFT - L3906",474.0,474.0,,,0 CDM,274L390802,"HC SUPPLY WRIST HAND ORTHOSIS, WRIST EXTENSION CONTROL COCK-UP, NON MO",101.0,101.0,,,0 CDM,274L391202,"HC SUPPLY HAND FINGER ORTHOSIS, FLEXION GLOVE ELAS FING CONT - L3912",240.0,240.0,,,0 CDM,274L391302,"HC SUPPLY HAND FINGER ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT CUST",663.0,663.0,,,0 CDM,274L391902,"HC SUPPLY HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE, S",989.0,989.0,,,0 CDM,274L392102,"HC SUPPLY HAND FINGER ORTHOSIS, INCLUDES ONE OR MORE NONTORSION JOINTS",1070.0,1070.0,,,0 CDM,274L392402,"HC SUPPLY HAND FINGER ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT OTS",320.0,320.0,,,0 CDM,274L392502,"HC SUPPLY FINGER ORTHOSIS, PROXIMAL INTERPHALANGEAL (PIP) NON TORSION",279.0,279.0,,,0 CDM,274L392702,"HC SUPPLY FINGER ORTHOSIS, PROXIMAL INTERPHALANGEAL (PIP)/DISTAL INTER",189.0,189.0,,,0 CDM,274L392902,"HC SUPPLY FINGER ORTHOSIS, NONTORSION JNT PREFAB ADJ - L3929",275.0,275.0,,,0 CDM,274L393302,"HC SUPPLY FINGER ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE,",403.0,403.0,,,0 CDM,274L393502,"HC SUPPLY FINGER ORTHOSIS, NONTORSION JOINT, MAY INCLUDE SOFT INTERFAC",905.0,905.0,,,0 CDM,274L398002,"HC SUPPLY UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL, PREFABRICATED, I",360.0,360.0,,,0 CDM,274L400202,HC SUPPLY REPLACMNT STRAP ANY ORTHOSIS ANY LENGTH ANY TYPE,30.0,30.0,,,0 CDM,274L436002,"HC SUPPLY WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINT",352.0,352.0,,,0 CDM,274L545002,"HC SUPPLY IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF NON",521.0,521.0,,,0 CDM,274L800002,HC SUPPLY DME BREAST PROSTHESIS MASTECTOMY BRA,944.0,944.0,,,0 CDM,274L801002,HC SUPPLY DME BREAST PROSTHESIS MASTECTOMY SLEEVE,254.0,254.0,,,0 CDM,274L801502,HC SUPPLY DME EXT BREAST PROSTHESIS GARMENT WITH MASTECTOMY FORM POST,1301.0,1301.0,,,0 CDM,274L802002,HC SUPPLY DME BREAST PROSTHESIS MASTECTOMY FORM,3873.0,3873.0,,,0 CDM,274L803002,HC SUPPLY DME BREAST PROSTHESIS SILICONE OR EQUAL,5602.0,5602.0,,,0 CDM,274L803202,HC SUPPLY DME NIPPLE PROSTHESIS,851.0,851.0,,,0 CDM,274L844002,"HC SUPPLY PROSTHETIC SHRINKER, BELOW KNEE, EACH",67.0,67.0,,,0 CDM,274L846002,"HC SUPPLY PROSTHETIC SHRINKER, ABOVE KNEE, EACH",93.0,93.0,,,0 CDM,274L849901,HC 272 SHELL CODE W/HCPCS UNLISTED PROCEDURE FOR MISC PROSTHETIC SERVICES,606.0,606.0,,,0 CDM,274L850001,HC 274 SHELL CODE W/HCPCS ARTIFICIAL LARYNX ANY TYPE,8698.0,8698.0,,,0 CDM,274L861702,HC SUPPLY TRANS COIL FOR COCHLEAR IMPLANT DEV RPLC - L8617,1236.0,1236.0,,,0 CDM,274L861802,HC SUPPLY TRANSMITTER CABLE FOR USE WITH COCHLEAR IMPLANT DEVICE OR AU,501.0,501.0,,,0 CDM,274L861902,"HC SUPPLY COCHLEAR IMPLNT, EXT SPEECH PROCESSOR_CONT RPLCMT - L8619",50714.0,50714.0,,,0 CDM,274S842002,HC SUPPLY DME GP AID SLEEVE AND GLOVE COMBO CUSTOM,2181.0,2181.0,,,0 CDM,274S842102,HC SUPPLY DME GP AID SLEEVE AND GLOVE COMBO PREFAB,1818.0,1818.0,,,0 CDM,274S842202,HC SUPPLY DME GP AID SLEEVE CUSTOM MEDIUM WEIGHT,1130.0,1130.0,,,0 CDM,274S842302,HC SUPPLY DME GP AID SLEEVE CUSTOM HEAVY WEIGHT,1545.0,1545.0,,,0 CDM,274S842402,HC SUPPLY DME GP AID SLEEVE PREFAB,1818.0,1818.0,,,0 CDM,274S842502,HC SUPPLY DME GP AID GLOVE CUSTOM MEDIUM WEIGHT,2181.0,2181.0,,,0 CDM,274S842602,HC SUPPLY DME GP AID GLOVE CUSTOM HEAVY WEIGHT,2181.0,2181.0,,,0 CDM,274S842702,HC SUPPLY DME GP AID GLOVE PREFAB,1453.0,1453.0,,,0 CDM,274S842802,HC SUPPLY DME GP AID GAUNTLET PREFAB,1431.0,1431.0,,,0 CDM,274S842902,HC SUPPLY DME GP EXTERIOR WRAP,2167.0,2167.0,,,0 CDM,274S843002,HC SUPPLY DME PADDING FOR COMPRESSION BANDAGE ROLL,77.0,77.0,,,0 CDM,274S843102,HC SUPPLY DME COMPRESSION BANDAGE ROLL,1022.0,1022.0,,,0 CDM,2780000003,HC SUPPLY PUMP BLD CENTRIMAG,77006.0,77006.0,,,0 CDM,2780000004,HC SUPPLY CATH JUG CRESCENT DL LUM,20107.0,20107.0,,,0 CDM,278A202502,"HC SUPPLY CHARGE SKIN SUB (TOT SZ 8) MIRO3D, PER CUBIC CM",1066.29,1066.29,,,0 CDM,278C171701,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE HDR IR-192,1818.0,1818.0,,,0 CDM,278C171702,HC BRACHYTHERAPY SOURCE NON-STRANDED HDR IR-192,1818.0,1818.0,,,0 CDM,278C171902,HC BRACHYTHERAPY SOURCE NON-STRANDED LDR IR-192,125.0,125.0,,,0 CDM,278C261601,HC BRACHYTHERAPY SOURCE NON-STRANDED LDR IR-192,149085.0,149085.0,,,0 CDM,278C261602,HC BRACHYTHERAPY SOURCE NON-STRANDED Y-90,149085.0,149085.0,,,0 CDM,278C263801,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE STRANDED I-125,588.0,588.0,,,0 CDM,278C263802,HC BRACHYTHERAPY SOURCE STRANDED I-125,588.0,588.0,,,0 CDM,278C263901,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE NON-STRANDED I-125,714.0,714.0,,,0 CDM,278C263902,HC BRACHYTHERAPY SOURCE NON-STRANDED I-125,714.0,714.0,,,0 CDM,278C264001,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE STRANDED PD-103,380.0,380.0,,,0 CDM,278C264002,HC BRACHYTHERAPY SOURCE STRANDED P-103,380.0,380.0,,,0 CDM,278C264101,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE NON-STRANDED PD-103,380.0,380.0,,,0 CDM,278C264102,HC BRACHYTHERAPY SOURCE NON-STRANDED P-103,380.0,380.0,,,0 CDM,278C935202,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 CM) NEURAGEN PER CM LENGTH,7878.0,7878.0,,,0 CDM,278C935203,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 CM) NEURAGEN PER CM LENGTH,6784.0,6784.0,,,0 CDM,278C935302,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 CM) NEURAWRAP PER CM LENGTH,1362.0,1362.0,,,0 CDM,278C935303,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 CM) NEURAWRAP PER CM LENGTH,1362.0,1362.0,,,0 CDM,278C935402,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935403,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935404,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935405,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935406,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935407,HC SUPPLY CHARGE SKIN SUB (TOT SZ 108 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935408,HC SUPPLY CHARGE SKIN SUB (TOT SZ 112 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935409,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935410,HC SUPPLY CHARGE SKIN SUB (TOT SZ 144 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935411,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935412,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 SC) VERITAS PER SQ CM,91.0,91.0,,,0 CDM,278C935502,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 HALF CM) NEUROMATRIX PER 0.5 CM LENGTH,979.0,979.0,,,0 CDM,278C935602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 10 SC) TENOGLIDE PER SQ CM,4142.0,4142.0,,,0 CDM,278C935802,HC SUPPLY CHARGE SKIN SUB (TOT SZ 15 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935803,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935804,HC SUPPLY CHARGE SKIN SUB (TOT SZ 30 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935805,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935806,HC SUPPLY CHARGE SKIN SUB (TOT SZ 112 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935807,HC SUPPLY CHARGE SKIN SUB (TOT SZ 120 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935808,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935809,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935810,HC SUPPLY CHARGE SKIN SUB (TOT SZ 144 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935811,HC SUPPLY CHARGE SKIN SUB (TOT SZ 192 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935812,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935813,HC SUPPLY CHARGE SKIN SUB (TOT SZ 238 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935814,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935815,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935817,HC SUPPLY CHARGE SKIN SUB (TOT SZ 640 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,96.0,96.0,,,0 CDM,278C935818,HC SUPPLY CHARGE SKIN SUB (TOT SZ 650 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935819,HC SUPPLY CHARGE SKIN SUB (TOT SZ 800 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935820,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1000 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935821,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1200 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C935822,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2000 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 CDM,278C936002,HC SUPPLY CHARGE SKIN SUB (TOT SZ 60 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,83.0,83.0,,,0 CDM,278C936003,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,83.0,83.0,,,0 CDM,278C936004,HC SUPPLY CHARGE SKIN SUB (TOT SZ 600 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,72.0,72.0,,,0 CDM,278C936005,HC SUPPLY CHARGE SKIN SUB (TOT SZ 640 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,83.0,83.0,,,0 CDM,278C936006,HC SUPPLY CHARGE SKIN SUB (TOT SZ 800 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,72.0,72.0,,,0 CDM,278C936007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1000 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,83.0,83.0,,,0 CDM,278C936008,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1200 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,165.0,165.0,,,0 CDM,278C936009,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1300 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,41.0,41.0,,,0 CDM,278C936102,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 CM) NEUROMEND PER 0.5 CM LENGTH,403.0,403.0,,,0 CDM,278C936103,HC SUPPLY CHARGE SKIN SUB (TOT SZ 10 HALF CM) NEUROMEND PER 0.5 CM LENGTH,403.0,403.0,,,0 CDM,278C936302,HC SUPPLY CHARGE SKIN SUB (TOT SZ 125 SC) INTEGRA BMWD PER SQ CM,733.0,733.0,,,0 CDM,278C936402,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 CDM,278C936403,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 CDM,278C936404,HC SUPPLY CHARGE SKIN SUB (TOT SZ 150 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 CDM,278C936405,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 CDM,278C936406,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 SC) PERMACOL PER SQ CM,201.0,201.0,,,0 CDM,278C936407,HC SUPPLY CHARGE SKIN SUB (TOT SZ 504 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 CDM,278C936408,HC SUPPLY CHARGE SKIN SUB (TOT SZ 600 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 CDM,278C936409,HC SUPPLY CHARGE SKIN SUB (TOT SZ 800 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 CDM,278C936410,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1120 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 CDM,278Q300101,HC I-125 IOTREX - 2 ML,116716.0,116716.0,,,0 CDM,278Q410102,HC SUPPLY CHARGE SKIN SUB (TOT SZ 44 SC) APLIGRAF PER SQ CM,262.0,262.0,,,0 CDM,278Q410202,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) OASIS PER SQ CM,1050.0,1050.0,,,0 CDM,278Q410203,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) OASIS PER SQ CM,2097.0,2097.0,,,0 CDM,278Q410204,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) OASIS PER SQ CM,271.0,271.0,,,0 CDM,278Q410205,HC SUPPLY CHARGE SKIN SUB (TOT SZ 140 SC) OASIS PER SQ CM,271.0,271.0,,,0 CDM,278Q410402,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) INTEGRA BMWD PER SQ CM,829.0,829.0,,,0 CDM,278Q410403,HC SUPPLY CHARGE SKIN SUB (TOT SZ 125 SC) INTEGRA BMWD PER SQ CM,267.0,267.0,,,0 CDM,278Q410404,HC SUPPLY CHARGE SKIN SUB (TOT SZ 250 SC) INTEGRA BMWD PER SQ CM,137.0,137.0,,,0 CDM,278Q410405,HC SUPPLY CHARGE SKIN SUB (TOT SZ 258 SC) INTEGRA BMWD PER SQ CM,222.0,222.0,,,0 CDM,278Q410406,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) INTEGRA BMWD PER SQ CM,164.0,164.0,,,0 CDM,278Q410502,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) INTEGRA DRT PER SQ CM,853.0,853.0,,,0 CDM,278Q410503,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) INTEGRA DRT PER SQ CM,720.0,720.0,,,0 CDM,278Q410504,HC SUPPLY CHARGE SKIN SUB (TOT SZ 491 SC) INTEGRA DRT PER SQ CM,236.0,236.0,,,0 CDM,278Q410505,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1681 SC) INTEGRA DRT PER SQ CM,236.0,236.0,,,0 CDM,278Q410602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 38 SC) DERMAGRAFT PER SQ CM,114.0,114.0,,,0 CDM,278Q410603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 40 SC) DERMAGRAFT PER SQ CM,114.0,114.0,,,0 CDM,278Q410702,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 CDM,278Q410703,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 CDM,278Q410704,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 CDM,278Q410705,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 CDM,278Q410706,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 CDM,278Q410707,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 CDM,278Q410708,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 CDM,278Q410709,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 CDM,278Q410802,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 CDM,278Q410803,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 CDM,278Q410804,HC SUPPLY CHARGE SKIN SUB (TOT SZ 125 SC) INTEGRA MATRIX PER SQ CM,267.0,267.0,,,0 CDM,278Q410805,HC SUPPLY CHARGE SKIN SUB (TOT SZ 125 SC) INTEGRA MATRIX THIN PER SQ CM,238.0,238.0,,,0 CDM,278Q410806,HC SUPPLY CHARGE SKIN SUB (TOT SZ 130 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 CDM,278Q410807,HC SUPPLY CHARGE SKIN SUB (TOT SZ 250 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 CDM,278Q410808,HC SUPPLY CHARGE SKIN SUB (TOT SZ 258 SC) INTEGRA MATRIX PER SQ CM,196.0,196.0,,,0 CDM,278Q410809,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 CDM,278Q411002,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) PRIMATRIX PER SQ CM,1230.0,1230.0,,,0 CDM,278Q411003,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 CDM,278Q411004,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) PRIMATRIX PER SQ CM,620.0,620.0,,,0 CDM,278Q411005,HC SUPPLY CHARGE SKIN SUB (TOT SZ 10 SC) PRIMATRIX PER SQ CM,2114.0,2114.0,,,0 CDM,278Q411006,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) PRIMATRIX PER SQ CM,502.0,502.0,,,0 CDM,278Q411007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) PRIMATRIX PER SQ CM,648.0,648.0,,,0 CDM,278Q411008,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 CDM,278Q411009,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 CDM,278Q411010,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 CDM,278Q411011,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 CDM,278Q411012,HC SUPPLY CHARGE SKIN SUB (TOT SZ 102 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 CDM,278Q411013,HC SUPPLY CHARGE SKIN SUB (TOT SZ 120 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 CDM,278Q411014,HC SUPPLY CHARGE SKIN SUB (TOT SZ 250 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 CDM,278Q411015,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 CDM,278Q411602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411604,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411605,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) ALLODERM PER SQ CM,261.0,261.0,,,0 CDM,278Q411606,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411607,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411608,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) ALLODERM PER SQ CM,261.0,261.0,,,0 CDM,278Q411609,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411610,HC SUPPLY CHARGE SKIN SUB (TOT SZ 60 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411611,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411612,HC SUPPLY CHARGE SKIN SUB (TOT SZ 72 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411613,HC SUPPLY CHARGE SKIN SUB (TOT SZ 77 SC) ALLODERM PER SQ CM,282.0,282.0,,,0 CDM,278Q411614,HC SUPPLY CHARGE SKIN SUB (TOT SZ 84 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411615,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411616,HC SUPPLY CHARGE SKIN SUB (TOT SZ 77 SC) ALLODERM MEDIUM PER SQ CM,202.0,202.0,,,0 CDM,278Q411617,HC SUPPLY CHARGE SKIN SUB (TOT SZ 108 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411618,HC SUPPLY CHARGE SKIN SUB (TOT SZ 112 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411619,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) ALLODERM PER SQ CM,275.0,275.0,,,0 CDM,278Q411620,HC SUPPLY CHARGE SKIN SUB (TOT SZ 132 SC) ALLODERM PER SQ CM,282.0,282.0,,,0 CDM,278Q411621,HC SUPPLY CHARGE SKIN SUB (TOT SZ 144 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411622,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411623,HC SUPPLY CHARGE SKIN SUB (TOT SZ 164 SC) ALLODERM PER SQ CM,282.0,282.0,,,0 CDM,278Q411624,HC SUPPLY CHARGE SKIN SUB (TOT SZ 168 SC) ALLODERM PER SQ CM,210.0,210.0,,,0 CDM,278Q411625,HC SUPPLY CHARGE SKIN SUB (TOT SZ 132 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411626,HC SUPPLY CHARGE SKIN SUB (TOT SZ 192 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411627,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411628,HC SUPPLY CHARGE SKIN SUB (TOT SZ 164 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411629,HC SUPPLY CHARGE SKIN SUB (TOT SZ 240 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411630,HC SUPPLY CHARGE SKIN SUB (TOT SZ 280 SC) ALLODERM PER SQ CM,202.0,202.0,,,0 CDM,278Q411631,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411632,HC SUPPLY CHARGE SKIN SUB (TOT SZ 328 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411633,HC SUPPLY CHARGE SKIN SUB (TOT SZ 640 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411634,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3201 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 CDM,278Q411702,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) HYALOMATRIX PER SQ CM,1315.0,1315.0,,,0 CDM,278Q411703,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) HYALOMATRIX PER SQ CM,97.0,97.0,,,0 CDM,278Q411704,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) HYALOMATRIX PER SQ CM,221.0,221.0,,,0 CDM,278Q411705,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 SC) HYALOMATRIX PER SQ CM,162.0,162.0,,,0 CDM,278Q411706,HC SUPPLY CHARGE SKIN SUB (TOT SZ 360 SC) HYALOMATRIX PER SQ CM,70.0,70.0,,,0 CDM,278Q412102,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) THERASKIN PER SQ CM,2534.0,2534.0,,,0 CDM,278Q412103,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) THERASKIN PER SQ CM,1311.0,1311.0,,,0 CDM,278Q412104,HC SUPPLY CHARGE SKIN SUB (TOT SZ 13 SC) THERASKIN PER SQ CM,686.0,686.0,,,0 CDM,278Q412105,HC SUPPLY CHARGE SKIN SUB (TOT SZ 26 SC) THERASKIN PER SQ CM,417.0,417.0,,,0 CDM,278Q412106,HC SUPPLY CHARGE SKIN SUB (TOT SZ 39 SC) THERASKIN PER SQ CM,282.0,282.0,,,0 CDM,278Q412107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 40 SC) THERASKIN PER SQ CM,103.0,103.0,,,0 CDM,278Q412108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 116 SC) THERASKIN PER SQ CM,242.0,242.0,,,0 CDM,278Q412202,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 CDM,278Q412203,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) DERMACELL PER SQ CM,626.0,626.0,,,0 CDM,278Q412204,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) DERMACELL PER SQ CM,601.0,601.0,,,0 CDM,278Q412205,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) DERMACELL PER SQ CM,602.0,602.0,,,0 CDM,278Q412206,HC SUPPLY CHARGE SKIN SUB (TOT SZ 42 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 CDM,278Q412207,HC SUPPLY CHARGE SKIN SUB (TOT SZ 45 SC) DERMACELL PER SQ CM,602.0,602.0,,,0 CDM,278Q412208,HC SUPPLY CHARGE SKIN SUB (TOT SZ 72 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 CDM,278Q412209,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) DERMACELL PER SQ CM,266.0,266.0,,,0 CDM,278Q412210,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) DERMACELL PER SQ CM,229.0,229.0,,,0 CDM,278Q412211,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 CDM,278Q412212,HC SUPPLY CHARGE SKIN SUB (TOT SZ 180 SC) DERMACELL PER SQ CM,187.0,187.0,,,0 CDM,278Q412213,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 CDM,278Q412214,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 CDM,278Q412402,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) OASIS ULTRA PER SQ CM,58.0,58.0,,,0 CDM,278Q412403,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) OASIS ULTRA PER SQ CM,58.0,58.0,,,0 CDM,278Q412404,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) OASIS ULTRA PER SQ CM,58.0,58.0,,,0 CDM,278Q412405,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) OASIS ULTRA PER SQ CM,111.0,111.0,,,0 CDM,278Q412406,HC SUPPLY CHARGE SKIN SUB (TOT SZ 140 SC) OASIS ULTRA PER SQ CM,22.0,22.0,,,0 CDM,278Q412502,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 SC) ARTHROFLEX PER SQ CM,1620.0,1620.0,,,0 CDM,278Q412503,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) ARTHROFLEX PER SQ CM,1178.0,1178.0,,,0 CDM,278Q412504,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) ARTHROFLEX PER SQ CM,751.0,751.0,,,0 CDM,278Q412505,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) ARTHROFLEX PER SQ CM,323.0,323.0,,,0 CDM,278Q412602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 CDM,278Q412603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 CDM,278Q412604,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 CDM,278Q412605,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 CDM,278Q412606,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 CDM,278Q412802,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412803,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) FLEX HD/MATRIX HD PER SQ CM,698.0,698.0,,,0 CDM,278Q412804,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412805,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412806,HC SUPPLY CHARGE SKIN SUB (TOT SZ 10 SC) FLEX HD/MATRIX HD PER SQ CM,220.0,220.0,,,0 CDM,278Q412807,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) FLEX HD/MATRIX HD PER SQ CM,620.0,620.0,,,0 CDM,278Q412808,HC SUPPLY CHARGE SKIN SUB (TOT SZ 20 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412809,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412810,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412811,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412812,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412813,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412814,HC SUPPLY CHARGE SKIN SUB (TOT SZ 40 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412815,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) FLEX HD/MATRIX HD PER SQ CM,214.0,214.0,,,0 CDM,278Q412816,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412817,HC SUPPLY CHARGE SKIN SUB (TOT SZ 72 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412818,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) FLEX HD/MATRIX HD PER SQ CM,230.0,230.0,,,0 CDM,278Q412819,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) FLEX HD/MATRIX HD PER SQ CM,361.0,361.0,,,0 CDM,278Q412820,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412821,HC SUPPLY CHARGE SKIN SUB (TOT SZ 135 SC) FLEX HD/MATRIX HD PER SQ CM,137.0,137.0,,,0 CDM,278Q412822,HC SUPPLY CHARGE SKIN SUB (TOT SZ 144 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412823,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412824,HC SUPPLY CHARGE SKIN SUB (TOT SZ 170 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412825,HC SUPPLY CHARGE SKIN SUB (TOT SZ 192 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412826,HC SUPPLY CHARGE SKIN SUB (TOT SZ 220 SC) FLEX HD/MATRIX HD PER SQ CM,581.0,581.0,,,0 CDM,278Q412827,HC SUPPLY CHARGE SKIN SUB (TOT SZ 240 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412828,HC SUPPLY CHARGE SKIN SUB (TOT SZ 286 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412829,HC SUPPLY CHARGE SKIN SUB (TOT SZ 288 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412830,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) FLEX HD/MATRIX HD PER SQ CM,220.0,220.0,,,0 CDM,278Q412831,HC SUPPLY CHARGE SKIN SUB (TOT SZ 360 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412832,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412833,HC SUPPLY CHARGE SKIN SUB (TOT SZ 418 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412834,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) FLEX HD/MATRIX HD PER SQ CM,211.0,211.0,,,0 CDM,278Q412835,HC SUPPLY CHARGE SKIN SUB (TOT SZ 504 SC) FLEX HD/MATRIX HD PER SQ CM,244.0,244.0,,,0 CDM,278Q412836,HC SUPPLY CHARGE SKIN SUB (TOT SZ 598 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 CDM,278Q412837,HC SUPPLY CHARGE SKIN SUB (TOT SZ 840 SC) FLEX HD/MATRIX HD PER SQ CM,146.0,146.0,,,0 CDM,278Q413002,HC SUPPLY CHARGE SKIN SUB (TOT SZ 250 SC) STRATTICE PER SQ CM,2334.0,2334.0,,,0 CDM,278Q413003,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 CDM,278Q413004,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) STRATTICE PER SQ CM,234.0,234.0,,,0 CDM,278Q413005,HC SUPPLY CHARGE SKIN SUB (TOT SZ 60 SC) STRATTICE PER SQ CM,249.0,249.0,,,0 CDM,278Q413006,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 CDM,278Q413007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 CDM,278Q413008,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) STRATTICE PER SQ CM,197.0,197.0,,,0 CDM,278Q413009,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 CDM,278Q413010,HC SUPPLY CHARGE SKIN SUB (TOT SZ 176 SC) STRATTICE PER SQ CM,143.0,143.0,,,0 CDM,278Q413011,HC SUPPLY CHARGE SKIN SUB (TOT SZ 220 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 CDM,278Q413012,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 CDM,278Q413013,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 CDM,278Q413014,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 CDM,278Q413015,HC SUPPLY CHARGE SKIN SUB (TOT SZ 450 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 CDM,278Q413016,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 CDM,278Q413017,HC SUPPLY CHARGE SKIN SUB (TOT SZ 600 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 CDM,278Q413018,HC SUPPLY CHARGE SKIN SUB (TOT SZ 800 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 CDM,278Q413019,HC SUPPLY CHARGE SKIN SUB (TOT SZ 900 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 CDM,278Q413020,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1000 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 CDM,278Q413202,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) GRAFIX CORE/GRAFIXPL CORE PER SQ CM,420.0,420.0,,,0 CDM,278Q413203,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) GRAFIX CORE/GRAFIXPL CORE PER SQ CM,420.0,420.0,,,0 CDM,278Q413204,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) GRAFIX CORE/GRAFIXPL CORE PER SQ CM,420.0,420.0,,,0 CDM,278Q413205,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) GRAFIX CORE/GRAFIXPL CORE PER SQ CM,975.0,975.0,,,0 CDM,278Q413302,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,2013.0,2013.0,,,0 CDM,278Q413303,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 CDM,278Q413304,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,2011.0,2011.0,,,0 CDM,278Q413305,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 CDM,278Q413306,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 CDM,278Q413307,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 CDM,278Q413308,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 CDM,278Q413309,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 CDM,278Q413310,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 CDM,278Q413311,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 CDM,278Q413312,HC SUPPLY CHARGE SKIN SUB (TOT SZ 113 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 CDM,278Q413402,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) HMATRIX PER SQ CM,300.0,300.0,,,0 CDM,278Q413403,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) HMATRIX PER SQ CM,130.0,130.0,,,0 CDM,278Q413602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 CDM,278Q413603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 CDM,278Q413604,HC SUPPLY CHARGE SKIN SUB (TOT SZ 77 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 CDM,278Q413605,HC SUPPLY CHARGE SKIN SUB (TOT SZ 126 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 CDM,278Q413606,HC SUPPLY CHARGE SKIN SUB (TOT SZ 240 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 CDM,278Q413702,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,2386.0,2386.0,,,0 CDM,278Q413703,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,1302.0,1302.0,,,0 CDM,278Q413704,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,1916.0,1916.0,,,0 CDM,278Q413705,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,561.0,561.0,,,0 CDM,278Q413706,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,561.0,561.0,,,0 CDM,278Q413707,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,2053.0,2053.0,,,0 CDM,278Q413708,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,555.0,555.0,,,0 CDM,278Q413709,HC SUPPLY CHARGE SKIN SUB (TOT SZ 20 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,561.0,561.0,,,0 CDM,278Q413710,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,400.0,400.0,,,0 CDM,278Q413711,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,523.0,523.0,,,0 CDM,278Q413712,HC SUPPLY CHARGE SKIN SUB (TOT SZ 40 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,561.0,561.0,,,0 CDM,278Q414002,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) BIODFENCE PER SQ CM,708.0,708.0,,,0 CDM,278Q414003,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) BIODFENCE PER SQ CM,708.0,708.0,,,0 CDM,278Q414004,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) BIODFENCE PER SQ CM,708.0,708.0,,,0 CDM,278Q414005,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) BIODFENCE PER SQ CM,708.0,708.0,,,0 CDM,278Q414006,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) BIODFENCE PER SQ CM,1643.0,1643.0,,,0 CDM,278Q414007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) BIODFENCE PER SQ CM,1221.0,1221.0,,,0 CDM,278Q414008,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) BIODFENCE PER SQ CM,1654.0,1654.0,,,0 CDM,278Q414202,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) XCM BIOLOGIC PER SQ CM,86.0,86.0,,,0 CDM,278Q414203,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) XCM BIOLOGIC PER SQ CM,86.0,86.0,,,0 CDM,278Q414204,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) XCM BIOLOGIC PER SQ CM,86.0,86.0,,,0 CDM,278Q414802,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) NEOX CORD/CLARIX CORD 1K PER SQ CM,729.0,729.0,,,0 CDM,278Q414803,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) NEOX CORD/CLARIX CORD 1K PER SQ CM,1694.0,1694.0,,,0 CDM,278Q414804,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) NEOX CORD/CLARIX CORD 1K PER SQ CM,729.0,729.0,,,0 CDM,278Q414805,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) NEOX CORD/CLARIX CORD 1K PER SQ CM,1271.0,1271.0,,,0 CDM,278Q414806,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) NEOX CORD/CLARIX CORD PER SQ CM,729.0,729.0,,,0 CDM,278Q414807,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) NEOX CORD/CLARIX CORD PER SQ CM,729.0,729.0,,,0 CDM,278Q414808,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) NEOX CORD/CLARIX CORD PER SQ CM,1270.0,1270.0,,,0 CDM,278Q414809,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) NEOX CORD/CLARIX CORD PER SQ CM,729.0,729.0,,,0 CDM,278Q415002,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) ALLOWRAP DS PER SQ CM,1694.0,1694.0,,,0 CDM,278Q415003,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) ALLOWRAP DS PER SQ CM,1401.0,1401.0,,,0 CDM,278Q415004,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) ALLOWRAP DS PER SQ CM,1322.0,1322.0,,,0 CDM,278Q415005,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) ALLOWRAP DS PER SQ CM,729.0,729.0,,,0 CDM,278Q415102,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1 SC) AMNIOBAND/GUARDIAN PER SQ CM,1317.0,1317.0,,,0 CDM,278Q415103,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) AMNIOBAND/GUARDIAN PER SQ CM,1053.0,1053.0,,,0 CDM,278Q415104,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) AMNIOBAND/GUARDIAN PER SQ CM,1534.0,1534.0,,,0 CDM,278Q415105,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) AMNIOBAND/GUARDIAN PER SQ CM,1826.0,1826.0,,,0 CDM,278Q415106,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) AMNIOBAND/GUARDIAN PER SQ CM,1271.0,1271.0,,,0 CDM,278Q415107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) AMNIOBAND/GUARDIAN PER SQ CM,1017.0,1017.0,,,0 CDM,278Q415108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) AMNIOBAND/GUARDIAN PER SQ CM,762.0,762.0,,,0 CDM,278Q415109,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) AMNIOBAND/GUARDIAN PER SQ CM,528.0,528.0,,,0 CDM,278Q415110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) AMNIOBAND/GUARDIAN PER SQ CM,915.0,915.0,,,0 CDM,278Q415111,HC SUPPLY CHARGE SKIN SUB (TOT SZ 30 SC) AMNIOBAND/GUARDIAN PER SQ CM,1345.0,1345.0,,,0 CDM,278Q415112,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) AMNIOBAND/GUARDIAN PER SQ CM,528.0,528.0,,,0 CDM,278Q415202,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) DERMAPURE PER SQ CM,826.0,826.0,,,0 CDM,278Q415203,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) DERMAPURE PER SQ CM,317.0,317.0,,,0 CDM,278Q415402,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) BIOVANCE PER SQ CM,2146.0,2146.0,,,0 CDM,278Q415602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 CDM,278Q415603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 CDM,278Q415604,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) NEOX 100/CLARIX 100 PER SQ CM,847.0,847.0,,,0 CDM,278Q415605,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 CDM,278Q415606,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 CDM,278Q415607,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 CDM,278Q415608,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 CDM,278Q415802,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) KERECIS OMEGA3 PER SQ CM,1988.0,1988.0,,,0 CDM,278Q415803,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) KERECIS OMEGA3 PER SQ CM,1277.0,1277.0,,,0 CDM,278Q415804,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) KERECIS OMEGA3 PER SQ CM,1798.0,1798.0,,,0 CDM,278Q415805,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) KERECIS OMEGA3 PER SQ CM,466.0,466.0,,,0 CDM,278Q415806,HC SUPPLY CHARGE SKIN SUB (TOT SZ 19 SC) KERECIS OMEGA3 PER SQ CM,420.0,420.0,,,0 CDM,278Q415807,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) KERECIS OMEGA3 PER SQ CM,475.0,475.0,,,0 CDM,278Q415808,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) KERECIS OMEGA3 PER SQ CM,371.0,371.0,,,0 CDM,278Q415809,HC SUPPLY CHARGE SKIN SUB (TOT SZ 38 SC) KERECIS OMEGA3 PER SQ CM,490.0,490.0,,,0 CDM,278Q415810,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) KERECIS OMEGA3 PER SQ CM,274.0,274.0,,,0 CDM,278Q415811,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) KERECIS OMEGA3 PER SQ CM,443.0,443.0,,,0 CDM,278Q415812,HC SUPPLY CHARGE SKIN SUB (TOT SZ 140 SC) KERECIS OMEGA3 PER SQ CM,402.0,402.0,,,0 CDM,278Q415813,HC SUPPLY CHARGE SKIN SUB (TOT SZ 56 SC) MARIGEN EXPANSE PRE-MESHED PER SQ CM,311.0,311.0,,,0 CDM,278Q415814,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) KERECIS OMEGA3 PER SQ CM,642.68,642.68,,,0 CDM,278Q415902,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) AFFINITY PER SQ CM,778.0,778.0,,,0 CDM,278Q415903,HC SUPPLY CHARGE SKIN SUB (TOT SZ 7 SC) AFFINITY PER SQ CM,778.0,778.0,,,0 CDM,278Q416002,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) NUSHIELD PER SQ CM,1167.0,1167.0,,,0 CDM,278Q416003,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) NUSHIELD PER SQ CM,443.0,443.0,,,0 CDM,278Q416004,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) NUSHIELD PER SQ CM,443.0,443.0,,,0 CDM,278Q416005,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) NUSHIELD PER SQ CM,847.0,847.0,,,0 CDM,278Q416006,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) NUSHIELD PER SQ CM,659.0,659.0,,,0 CDM,278Q416007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) NUSHIELD PER SQ CM,443.0,443.0,,,0 CDM,278Q416008,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) NUSHIELD PER SQ CM,844.43,844.43,,,0 CDM,278Q416602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416604,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416605,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416606,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416607,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416608,HC SUPPLY CHARGE SKIN SUB (TOT SZ 90 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416609,HC SUPPLY CHARGE SKIN SUB (TOT SZ 108 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416610,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416611,HC SUPPLY CHARGE SKIN SUB (TOT SZ 150 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416612,HC SUPPLY CHARGE SKIN SUB (TOT SZ 161 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416613,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416614,HC SUPPLY CHARGE SKIN SUB (TOT SZ 452 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416615,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) CYTAL PER SQ CM,320.0,320.0,,,0 CDM,278Q416616,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1290 SC) CYTAL PER SQ CM,35.0,35.0,,,0 CDM,278Q417002,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) CYGNUS PER SQ CM,447.0,447.0,,,0 CDM,278Q417602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) NEOPATCH/THERION PER SQ CM,1265.0,1265.0,,,0 CDM,278Q417603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) NEOPATCH/THERION PER SQ CM,1491.0,1491.0,,,0 CDM,278Q417604,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 SC) NEOPATCH/THERION PER SQ CM,1256.0,1256.0,,,0 CDM,278Q417605,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) NEOPATCH/THERION PER SQ CM,1242.0,1242.0,,,0 CDM,278Q417606,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) NEOPATCH/THERION PER SQ CM,1033.0,1033.0,,,0 CDM,278Q417607,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) NEOPATCH/THERION PER SQ CM,1102.0,1102.0,,,0 CDM,278Q417608,HC SUPPLY CHARGE SKIN SUB (TOT SZ 30 SC) NEOPATCH/THERION PER SQ CM,1099.0,1099.0,,,0 CDM,278Q418602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418604,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418605,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418606,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418607,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418608,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) EPIFIX PER SQ CM,1064.0,1064.0,,,0 CDM,278Q418609,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418610,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418611,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418612,HC SUPPLY CHARGE SKIN SUB (TOT SZ 30 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418613,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 CDM,278Q418702,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) EPICORD PER SQ CM,3919.0,3919.0,,,0 CDM,278Q418703,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) EPICORD PER SQ CM,997.0,997.0,,,0 CDM,278Q418704,HC SUPPLY CHARGE SKIN SUB (TOT SZ 15 SC) EPICORD PER SQ CM,1880.0,1880.0,,,0 CDM,278Q418802,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) AMNIOARMOR PER SQ CM,2033.0,2033.0,,,0 CDM,278Q418803,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) AMNIOARMOR PER SQ CM,875.0,875.0,,,0 CDM,278Q419302,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) COLL-E-DERM PER SQ CM,304.0,304.0,,,0 CDM,278Q419303,HC SUPPLY CHARGE SKIN SUB (TOT SZ 20 SC) COLL-E-DERM PER SQ CM,610.0,610.0,,,0 CDM,278Q419304,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) COLL-E-DERM PER SQ CM,304.0,304.0,,,0 CDM,278Q419305,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) COLL-E-DERM PER SQ CM,967.0,967.0,,,0 CDM,278Q419306,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) COLL-E-DERM PER SQ CM,705.0,705.0,,,0 CDM,278Q419307,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) COLL-E-DERM PER SQ CM,353.0,353.0,,,0 CDM,278Q419502,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) PURAPLY PER SQ CM,931.0,931.0,,,0 CDM,278Q419503,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) PURAPLY PER SQ CM,1030.0,1030.0,,,0 CDM,278Q419504,HC SUPPLY CHARGE SKIN SUB (TOT SZ 54 SC) PURAPLY PER SQ CM,411.0,411.0,,,0 CDM,278Q419602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) PURAPLY AM PER SQ CM,2033.0,2033.0,,,0 CDM,278Q419603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) PURAPLY AM PER SQ CM,1337.0,1337.0,,,0 CDM,278Q419604,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) PURAPLY AM PER SQ CM,1012.0,1012.0,,,0 CDM,278Q419605,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) PURAPLY AM PER SQ CM,994.0,994.0,,,0 CDM,278Q419606,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) PURAPLY AM PER SQ CM,298.0,298.0,,,0 CDM,278Q419607,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) PURAPLY AM PER SQ CM,939.0,939.0,,,0 CDM,278Q419608,HC SUPPLY CHARGE SKIN SUB (TOT SZ 54 SC) PURAPLY AM PER SQ CM,994.0,994.0,,,0 CDM,278Q419609,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) PURAPLY AM PER SQ CM,298.0,298.0,,,0 CDM,278Q419802,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) GENESIS AMNIO PER SQ CM,847.0,847.0,,,0 CDM,278Q419902,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) CYGNUS MATRIX PER SQ CM,1087.0,1087.0,,,0 CDM,278Q419903,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) CYGNUS MATRIX PER SQ CM,776.0,776.0,,,0 CDM,278Q419904,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) CYGNUS MATRIX PER SQ CM,278.0,278.0,,,0 CDM,278Q419905,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) CYGNUS MATRIX PER SQ CM,278.0,278.0,,,0 CDM,278Q420102,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) MATRION PER SQ CM,517.0,517.0,,,0 CDM,278Q420103,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) MATRION PER SQ CM,517.0,517.0,,,0 CDM,278Q420104,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) MATRION PER SQ CM,517.0,517.0,,,0 CDM,278Q420105,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) MATRION PER SQ CM,517.0,517.0,,,0 CDM,278Q420502,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 CDM,278Q420503,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 CDM,278Q420504,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 CDM,278Q420505,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 CDM,278Q420506,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 CDM,278Q422602,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) MYOWN SKIN INCL PREP PER SQ CM,922.0,922.0,,,0 CDM,278Q422603,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) MYOWN SKIN INCL PREP PER SQ CM,922.0,922.0,,,0 CDM,278Q422604,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 SC) MYOWN SKIN INCL PREP PER SQ CM,922.0,922.0,,,0 CDM,278Q422605,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 SC) MYOWN SKIN INCL PREP PER SQ CM,922.0,922.0,,,0 CDM,278Q422702,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) AMNIOCORE PER SQ CM,537.0,537.0,,,0 CDM,278Q422703,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) AMNIOCORE PER SQ CM,2530.0,2530.0,,,0 CDM,278Q422704,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) AMNIOCORE PER SQ CM,2530.0,2530.0,,,0 CDM,278Q422705,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) AMNIOCORE PER SQ CM,537.0,537.0,,,0 CDM,278Q422706,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) AMNIOCORE PER SQ CM,537.0,537.0,,,0 CDM,278Q422707,HC SUPPLY CHARGE SKIN SUB (TOT SZ 54 SC) AMNIOCORE PER SQ CM,497.0,497.0,,,0 CDM,278Q422708,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) AMNIOCORE PER SQ CM,434.0,434.0,,,0 CDM,278Q423502,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) AMNIOREPAIR/ALTIPLY PER SQ CM,454.0,454.0,,,0 CDM,278Q423503,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) AMNIOREPAIR/ALTIPLY PER SQ CM,454.0,454.0,,,0 CDM,278Q423504,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) AMNIOREPAIR/ALTIPLY PER SQ CM,454.0,454.0,,,0 CDM,278V279002,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1 EA) AMNIOTIC MMBRN SURG RECON PER PROC,454.0,454.0,,,0 CDM,2800662T01,HC SCALP COOL 1ST MEASURE & CAP CALIBRATION,3956.0,3956.0,,,0 CDM,3000000001,HC LAB SPECIMEN COLLECTION CONTRACT,54.0,54.0,,,0 CDM,3000000002,HC LAB CLIENT SPECIAL TRIP FEE,451.0,451.0,,,0 CDM,3000086U01,HC BLOOD CULT ORG ID 6 OR GREATER TARGETS RRNA FISH,807.0,807.0,,,0 CDM,3003641501,"HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE",21.5,21.5,,,0 CDM,3003641601,HC CHG COLLECTION CAPILLARY BLOOD SPECIMEN - DRAW CHARGE,161.0,161.0,,,0 CDM,3003641603,HC CHG COLLECTION CAPILLARY BLOOD SPECIMEN - RESPIRATORY,161.0,161.0,,,0 CDM,3003659101,HC COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,324.0,324.0,,,0 CDM,3003659201,HC COLLECT BLOOD FROM CATHETER VENOUS NOS,324.0,324.0,,,0 CDM,3003660001,HC WITHDRAWAL OF ARTERIAL BLOOD,211.0,211.0,,,0 CDM,3008028501,HC VORICONAZOLE LEVEL,155.0,155.0,,,0 CDM,3008112001,HC GENE ANALYSIS - IDH1 VARIANTS,1097.0,1097.0,,,0 CDM,3008112101,HC GENE ANALYSIS - IDH2 VARIANTS,1097.0,1097.0,,,0 CDM,3008116201,HC GENE ANALYSIS - BRCA1 VARIANTS,2359.0,2359.0,,,0 CDM,3008116301,HC GENE ANALYSIS - BRCA1 FULL SEQUENCE,2482.0,2482.0,,,0 CDM,3008117001,HC GENE ANALYSIS - ABL1 VARIANTS,675.5,675.5,,,0 CDM,3008120601,HC GENE ANALYSIS - BCR/ABL1 MAJOR BREAK,261.0,261.0,,,0 CDM,3008120701,HC GENE ANALYSIS - BCR/ABL1 MINOR BREAK,1079.0,1079.0,,,0 CDM,3008120702,HC BCR-ABL1 MINOR QUANT PCR REFLEX - ARUP,1058.0,1058.0,,,0 CDM,3008120801,HC GENE ANALYSIS - BCR/ABL1 OTHER BREAK,797.0,797.0,,,0 CDM,3008120802,HC DIAGNOSTIC QUAL BCR-ABL1 ASSAY W/RFLX P190 OR P210 QUANT ASSAYS - ARUP,277.0,277.0,,,0 CDM,3008121001,HC GENE ANALYSIS - BRAF V600E MUTATION,1990.0,1990.0,,,0 CDM,3008121701,HC GENE ANALYSIS - BRCA2 FAMILIAL VARIANT,1990.0,1990.0,,,0 CDM,3008121801,HC GENE ANALYSIS - CEBPA FULL SEQUENCE,1972.0,1972.0,,,0 CDM,3008121901,HC GENE ANALYSIS - CALR EXON 9 VARIANT,329.0,329.0,,,0 CDM,3008121902,HC CALRETICULIN (CALR) MUTATION ANALYSIS (CSI) - ARUP,840.0,840.0,,,0 CDM,3008122001,HC CFTR GENE ANALYSIS COMMON VARIANTS - CYSTIC FIBROSIS DIAGNOSTIC STDY,340.0,340.0,,,0 CDM,3008122501,HC GENE ANALYSIS - CYP2C19 VARIANT,276.0,276.0,,,0 CDM,3008122502,HC CYTOCHROME P450 2C19 MUTATION,276.0,276.0,,,0 CDM,3008122503,HC CYTOCHROME P450 2C19 GENOTYPE (CYP2C19 VARIANT) - ARUP,546.0,546.0,,,0 CDM,3008122601,HC GENE ANALYSIS - CYP2D6 VARIANTS,428.0,428.0,,,0 CDM,3008122701,HC GENE ANALYSIS - CYP2D9 VARIANTS,165.0,165.0,,,0 CDM,3008122801,HC GENE ANALYSIS - MICROARRAY VARIANTS,9221.0,9221.0,,,0 CDM,3008122901,HC GENE ANALYSIS - SNP VARIANTS,1101.5,1101.5,,,0 CDM,3008123501,HC GENE ANALYSIS - EGFR VARIANTS,2665.0,2665.0,,,0 CDM,3008124001,HC F2 GENE ANALYSIS 20210G >A VARIANT - PROTHROMBIN GENE MUTATION,1127.0,1127.0,,,0 CDM,3008124002,HC FACTOR 2 GENE MUTATION,1040.0,1040.0,,,0 CDM,3008124101,HC F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT - FACTOR V LEIDEN,1127.0,1127.0,,,0 CDM,3008124301,"HC FMR1 GENE DETECTION - CHROMOSOME ANALYSIS, FRAG X DNA",217.0,217.0,,,0 CDM,3008124302,HC FRAGILE X COMPREHENSIVE (CHILDREN),220.0,220.0,,,0 CDM,3008124303,HC FMR1 (FRAG X DNA) WITH REFLEX TO METHYLATION ANALYSIS - ARUP,399.0,399.0,,,0 CDM,3008124401,HC GENE ANALYSIS - FMR1 ALLELES,361.0,361.0,,,0 CDM,3008124402,HC FRAGILE X STATUS - ARUP,1784.0,1784.0,,,0 CDM,3008124501,HC GENE ANALYSIS - FLT3 VARIANTS,327.0,327.0,,,0 CDM,3008124502,HC FLT3 MUTATION PCR,327.0,327.0,,,0 CDM,3008124601,HC GENE ANALYSIS - FLT3 / TKD VARIANTS,327.0,327.0,,,0 CDM,3008125001,HC GENE ANALYSIS - G6PC VARIANTS,310.0,310.0,,,0 CDM,3008125201,HC GENE ANALYSIS - GJB2 MUTATION,604.0,604.0,,,0 CDM,3008125601,HC HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS - HEMOCHROMATOSIS MUT,181.0,181.0,,,0 CDM,3008125701,HC HBA1/HBA2 GENE - GENE TEST BETA-THALASSEMIA,391.0,391.0,,,0 CDM,3008125901,HC GENE ANALYSIS - HBA1/HBA2 VARIANTS,2468.0,2468.0,,,0 CDM,3008125902,HC ALPHA THALASSEMIA HBA1 & HBA2 SEQ - ARUP,1963.0,1963.0,,,0 CDM,3008126101,HC GENE ANALYSIS - IGH B CELL REARRANGEMENT,2779.0,2779.0,,,0 CDM,3008126301,HC GENE ANALYSIS - IGH VARIABLE REGION SOMATIC MUTATION,596.0,596.0,,,0 CDM,3008126501,HC COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC - ADDITIONAL CHARGE,4840.0,4840.0,,,0 CDM,3008126502,HC CHIMERISM PRE TRANSPLANT RECIPIENT,4840.0,4840.0,,,0 CDM,3008126601,HC CHIMERISM W/COMP TO BASELINE -PRETRANSPLANT ANALYSIS - DONOR,4840.0,4840.0,,,0 CDM,3008126602,HC CHIMERISM PRE TRANSPLANT DONOR 2,4840.0,4840.0,,,0 CDM,3008126701,HC CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION - ADDITIONAL CHARGE,4974.0,4974.0,,,0 CDM,3008126702,HC CHIMERISM POST TXP SINGLE,4469.0,4469.0,,,0 CDM,3008126801,HC CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA - ADDITIONAL CHARGE,1979.0,1979.0,,,0 CDM,3008126802,HC CHIMERISM POST TXP SEP,4593.0,4593.0,,,0 CDM,3008127001,HC GENE ANALYSIS - JAK2 V617F VARIANT,1234.0,1234.0,,,0 CDM,3008127101,HC GENE ANALYSIS - HTT ALLELES,359.0,359.0,,,0 CDM,3008127201,HC GENE ANALYSIS - KIT SEQUENCE,427.0,427.0,,,0 CDM,3008127202,HC KIT MUTATIONS IN AML,551.0,551.0,,,0 CDM,3008127301,HC GENE ANALYSIS - KIT VARIANTS,662.0,662.0,,,0 CDM,3008127601,HC GENE ANALYSIS - KRAS ADDITIONAL VARIANTS,494.0,494.0,,,0 CDM,3008128701,HC GENE ANALYSIS - MGMT PROMOTER METHYLATION,502.5,502.5,,,0 CDM,3008128801,HC GENE ANALYSIS - MLH1 PROMOTER METHYLATION,593.0,593.0,,,0 CDM,3008129101,HC MTHFR MUTATION PCR,1127.0,1127.0,,,0 CDM,3008129102,HC MTHFR C665C>T AND C1286A>C PCR,1120.0,1120.0,,,0 CDM,3008130101,HC GENE ANALYSIS - MICROSATELLITE INSTABILITY,751.0,751.0,,,0 CDM,3008130201,HC GENE ANALYSIS - MECP2 FULL SEQUENCE,865.0,865.0,,,0 CDM,3008130501,HC GENE ANALYSIS - MYD88 VARIANTS,892.0,892.0,,,0 CDM,3008131001,HC NPM1 MUTATION PCR,556.5,556.5,,,0 CDM,3008131101,HC GENE ANALYSIS - NRAS VARIANTS,1991.0,1991.0,,,0 CDM,3008131401,HC GENE ANALYSIS - PDGFRA VARIANTS,802.0,802.0,,,0 CDM,3008131501,HC GENE ANALYSIS - APLM3G:PML/RARA T(15:17) BREAKPOINTS,1917.0,1917.0,,,0 CDM,3008132701,HC GENE ANALYSIS - SEPT9 PROMOTER METHYLATION,622.0,622.0,,,0 CDM,3008133101,HC SNRPN/UBE3A METHYLATION ANALYSIS - PRADER-WILLI PANEL,210.0,210.0,,,0 CDM,3008133201,HC GENE ANALYSIS - SERPINA1 VARIANTS,14.0,14.0,,,0 CDM,3008133501,HC TPMT VARIANTS - TPMT AND NUDT15 GENETICS - ARUP,314.0,314.0,,,0 CDM,3008134001,HC GENE ANALYSIS - TRB VARIANTS,590.0,590.0,,,0 CDM,3008134201,HC GENE ANALYSIS - TRG T CELL VARIANTS,2779.0,2779.0,,,0 CDM,3008135001,HC GENE ANALYSIS - UGT1A1 VARIANT,293.0,293.0,,,0 CDM,3008137001,HC HLA TYPING - BONE MARROW TRANS,3152.0,3152.0,,,0 CDM,3008137002,HC HLA TYPING - SOLID ORGAN TRANS,3152.0,3152.0,,,0 CDM,3008137003,HC HLA TYPING BY SSP PCR,3152.0,3152.0,,,0 CDM,3008137202,HC HLA TYPING MISCELLANEOUS,801.0,801.0,,,0 CDM,3008137203,HC HLA PLATELET TYPING,744.0,744.0,,,0 CDM,3008137301,HC HLA TYPING - CLASS I ONE LOCUS,590.0,590.0,,,0 CDM,3008137302,HC HLA A TYPING MISCELLANEOUS,590.0,590.0,,,0 CDM,3008137303,HC HLA C TYPING MISCELLANEOUS,590.0,590.0,,,0 CDM,3008137401,HC HLA TYPING - B27,792.0,792.0,,,0 CDM,3008137402,HC HLA B27 ANTIGEN,792.0,792.0,,,0 CDM,3008137501,HC HLA TYPING - CLASS II DRB1 DRB3 DRB4 DRB5 DQB1,1587.0,1587.0,,,0 CDM,3008137601,HC HLA TYPING - CLASS II ONE LOCUS,590.0,590.0,,,0 CDM,3008137602,HC HLA DQA TYPING MISCELLANEOUS,590.0,590.0,,,0 CDM,3008137603,HC HLA DQB TYPING MISCELLANEOUS,590.0,590.0,,,0 CDM,3008137604,HC HLA DPB TYPING,590.0,590.0,,,0 CDM,3008137801,HC HLA TYPING - CLASS 1 AND CLASS II ALLELES,3258.0,3258.0,,,0 CDM,3008138001,HC HLA TYPING - CLASS 1 ONE LOCUS,940.0,940.0,,,0 CDM,3008138101,HC HLA B5701,592.0,592.0,,,0 CDM,3008138201,HC HLA TYPING - CLASS II DRB1 DRB3 DQB1 DQA1 DPB1 DPA12,540.0,540.0,,,0 CDM,3008138301,HC HLA TYPING - CLASS II ALLELE GROUP,474.0,474.0,,,0 CDM,3008140001,HC GENE ANALYSIS - PAI1GN 4G 5G POLYMORPHISM,275.0,275.0,,,0 CDM,3008140102,HC GENE ANALYSIS - LEVEL 2,394.0,394.0,,,0 CDM,3008140201,HC GENE ANALYSIS - LEVEL 3,626.0,626.0,,,0 CDM,3008140301,HC GENE ANALYSIS - LEVEL 4,560.0,560.0,,,0 CDM,3008140401,HC GENE ANALYSIS - LEVEL 5,979.0,979.0,,,0 CDM,3008140501,HC GENE ANALYSIS - LEVEL 6,849.0,849.0,,,0 CDM,3008140602,HC GENE ANALYSIS - LEVEL 7,819.0,819.0,,,0 CDM,3008140701,HC GENE ANALYSIS - LEVEL 8,807.0,807.0,,,0 CDM,3008145501,HC GENE SEQUENCE PANEL,15673.0,15673.0,,,0 CDM,3008147901,HC GENE ANALYSIS - UNLISTED PROCEDURE,786.0,786.0,,,0 CDM,3008201601,HC ASSAY ACYLCARNITINES QUAL,182.0,182.0,,,0 CDM,3008210401,HC ALPHA-1-ANTITRYPSIN PHENOTYPE,117.0,117.0,,,0 CDM,3008280501,HC BLOOD GAS - ABG W 02 SAT,672.0,672.0,,,0 CDM,3008280502,HC BLOOD GAS - CBG W 02 SAT,672.0,672.0,,,0 CDM,3008351905,HC MUSK AUTOANTIBODY,156.0,156.0,,,0 CDM,3008366401,HC LAMELLAR BODIES,224.0,224.0,,,0 CDM,3008439302,"HC PHOSPHO-TAU(181) - ALZHEMIER'S DISEASE MARKERS, CSF - ARUP",1320.0,1320.0,,,0 CDM,3008439402,"HC TOTAL TAU - ALZHEMIER'S DISEASE MARKERS, CSF - ARUP",1320.0,1320.0,,,0 CDM,3008685001,HC RBC ANTIBODY SCREEN - ANTIBODY SCREEN,211.5,211.5,,,0 CDM,3008686001,"HC RBC ANTIBODY ELUTION - ELUTION & ANTIBODY IDENTIFICATION, RBC",852.0,852.0,,,0 CDM,3008687001,HC RBC ANTIBODY IDENTIFICATION - ANTIBODY IDENTIFICATION,531.5,531.5,,,0 CDM,3008688002,HC DIRECT COOMBS (ANTIGLOBULIN TEST),177.0,177.0,,,0 CDM,3008688501,"HC ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL - COOMBS TEST, IND",749.0,749.0,,,0 CDM,3008688502,"HC ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL - COOMBS TEST, IND - WEAK D",749.0,749.0,,,0 CDM,3008688601,HC ANTIHUMAN GLOBULIN INDIRECT EA ANTIBODY TITER - ANTIBODY TITER,753.0,753.0,,,0 CDM,3008689001,HC RBC AUTOLOGOUS UNUSED,1791.0,1791.0,,,0 CDM,3008689002,HC RBC FROZEN AUTOLOGOUS UNUSED,1038.0,1038.0,,,0 CDM,3008689003,HC WHOLE BLOOD AUTOLOGOUS UNUSED,1038.0,1038.0,,,0 CDM,3008689004,HC PLASMA AUTOLOGOUS UNUSED,1038.0,1038.0,,,0 CDM,3008689101,HC AUTOLOGOUS BLOOD SALVAGE INTRA/POST-OP NON-INF,2224.0,2224.0,,,0 CDM,3008690002,HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE,158.0,158.0,,,0 CDM,3008690004,HC BLOOD TYPING SEROLOGIC ABO - BLOOD GROUP,105.0,105.0,,,0 CDM,3008690101,HC BLOOD TYPING SEROLOGIC RH (D) - CORD BLOOD TYPE,93.5,93.5,,,0 CDM,3008690102,HC BLOOD TYPING SEROLOGIC RH (D) - BLOOD TYPE,73.5,73.5,,,0 CDM,3008690103,HC BLOOD TYPING SEROLOGIC RH (D) - BLOOD TYPE REF LAB,93.5,93.5,,,0 CDM,3008690201,"HC BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH - BLOOD TYPING, ANTIGEN",232.5,232.5,,,0 CDM,3008690202,"HC BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EA - BLOOD TYPING, ANTIGEN REFRD",232.5,232.5,,,0 CDM,3008690401,"HC BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT - BLOOD TYPING, PAT",170.0,170.0,,,0 CDM,3008690501,"HC BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH - BLOOD TYPING, RBC",188.5,188.5,,,0 CDM,3008690502,HC PATIENT RBC PHENOTYPE REFERRED,736.5,736.5,,,0 CDM,3008690601,HC BLOOD TYPING - RH PHENOTYPE COMPLETE,170.0,170.0,,,0 CDM,3008692001,HC CROSSMATCH - IMMEDIATE SPIN,428.0,428.0,,,0 CDM,3008692201,HC CROSSMATCH - ANTIHUMAN GLOBULIN,242.0,242.0,,,0 CDM,3008692202,HC CROSSMATCH - ANTIHUMAN GLOBULIN REF LAB,445.0,445.0,,,0 CDM,3008692301,HC BLOOD COMPATIBILITY - CROSSMATCH -COMPUTER,211.5,211.5,,,0 CDM,3008692701,HC FFP THAWING - EACH,749.0,749.0,,,0 CDM,3008696001,HC BLOOD PRODUCT VOLUME REDUCTION EACH,865.0,865.0,,,0 CDM,3008696002,HC VOLUME REDUCTION-PLATELET,865.0,865.0,,,0 CDM,3008697001,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT,345.0,345.0,,,0 CDM,3008697101,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT ENZYME,150.0,150.0,,,0 CDM,3008697201,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT SEPARATION,458.0,458.0,,,0 CDM,3008697501,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT DRUG,1364.0,1364.0,,,0 CDM,3008697701,"HC RBC PRETREATMENT,SERUM INHIB",749.0,749.0,,,0 CDM,3008697801,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT ABSORPTION,341.0,341.0,,,0 CDM,3008698501,HC BLOOD COMPONENT UNIT SPLITTING - EACH,712.0,712.0,,,0 CDM,3008699901,HC TRANFUSION MEDICINE UNLISTED PROCEDURE,741.5,741.5,,,0 CDM,3008699902,HC MONOCYTE MONOLAYER ASSAY (MMA) - ONEBLOOD,2227.0,2227.0,,,0 CDM,3008720901,HC MICROBIOLOGY - O&P STAIN,90.0,90.0,,,0 CDM,3008763601,HC SARS-COV2 + INFLUENZA A AND B PCR MULTIPLEX,708.0,708.0,,,0 CDM,3008763701,HC SARS-COV2 + INFLUENZA A AND B + RSV PCR MULTIPLEX,807.0,807.0,,,0 CDM,3008763702,"HC COVID-19, FLU A, FLU B, RSV PCR",750.0,750.0,,,0 CDM,3008905001,"HC CELL COUNT,MISC BODY FLUIDS - BODY FLUID CELL COUNT",258.5,258.5,,,0 CDM,3008905003,HC CELL COUNT AND DIFFERENTIAL CSF,258.5,258.5,,,0 CDM,3008905102,HC BODY FLUID CELL COUNT W DIFF - BODY FLUID CELL COUNT W/DIFF,583.0,583.0,,,0 CDM,3008905501,"HC LEUKOCYTE COUNT,FECAL - FECAL LEUKOCYTES",172.0,172.0,,,0 CDM,3008906001,"HC EXAM,SYNOVIAL FLUID CRYSTALS - SYNOVIAL FLUID CRYSTAL",162.0,162.0,,,0 CDM,3008906002,"HC CRYSTALS, BODY FLUID",315.0,315.0,,,0 CDM,3008906003,"HC FERN TEST, AMNIOTIC FLUID",149.0,149.0,,,0 CDM,3008919001,HC NASAL SMEAR FOR EOSINOPHILS - EOSINOPHIL SMEAR,414.0,414.0,,,0 CDM,3008919002,HC SMEAR FOR EOSINOPHILS - EOSINOPHIL SMEAR,159.0,159.0,,,0 CDM,3008931001,"HC SEMEN ANALYSIS,MOTIL & COUNT W/O HUHNER - SEMEN ANALYSIS MOTILITY",226.0,226.0,,,0 CDM,3008932101,"HC SEMEN ANALYSIS, PRESENCE - SEMEN ANALYSIS PRESENCE AND MOTILITY",656.0,656.0,,,0 CDM,3009900101,HC SPECIMEN HANDLING FEE,123.0,123.0,,,0 CDM,300G045201,HC MOLECULAR PATH PHYSICIAN INTERPRETATION,299.0,299.0,,,0 CDM,300P910001,HC PLATELET PATHOGEN TESTING PER UNIT,450.0,450.0,,,0 CDM,300P960301,HC TRAVEL ALLOWANCE PRORATED MILETRAVELED,1.0,1.0,,,0 CDM,300P960401,HC TRAVEL ALLOWANCE PRORATED TRIP CHARGE,43.0,43.0,,,0 CDM,300P961201,HC CATHETERIZATION FOR SPECIMEN COLLECTION,255.0,255.0,,,0 CDM,300P961501,HC CATHETERIZATION FOR SPECIMEN COLLECTION MULTIPLE PATIENTS,19.0,19.0,,,0 CDM,3018004701,HC BASIC METABOLIC PANEL CALCIUM IONIZED,1217.5,1217.5,,,0 CDM,3018004801,HC BASIC METABOLIC PANEL CALCIUM TOTAL,285.0,285.0,,,0 CDM,3018005001,HC GENERAL HEALTH PANEL - BUNDLED CHARGE,1425.0,1425.0,,,0 CDM,3018005101,HC ELECTROLYTE PANEL - BUNDLED CHARGE,252.0,252.0,,,0 CDM,3018005301,HC COMPREHENSIVE METABOLIC PANEL - CMP,414.0,414.0,,,0 CDM,3018005501,HC OBSTETRIC PANEL - BUNDLED CHARGE,723.0,723.0,,,0 CDM,3018006101,HC LIPID PANEL - BUNDLED CHARGE,306.0,306.0,,,0 CDM,3018006102,HC LIPID PROFILE BY NMR - NMR LIPOMED PROFILE - ARUP,63.0,63.0,,,0 CDM,3018006103,HC LIPID PROFILE CARDIO IQ,295.5,295.5,,,0 CDM,3018006104,HC LIPID PANEL - CARDIO IQ - QWDL,59.0,59.0,,,0 CDM,3018006105,HC LIPID PROFILE- LIPOPROTEIN ELECTROPHORESIS - ARUP,96.5,96.5,,,0 CDM,3018006901,HC RENAL FUNCTION PANEL - BUNDLED CHARGE,469.0,469.0,,,0 CDM,3018007401,"HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE",1160.0,1160.0,,,0 CDM,3018007601,HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE,397.0,397.0,,,0 CDM,3018008101,HC OBSTETRIC PANEL W HIV,1016.0,1016.0,,,0 CDM,3018014301,HC ACETAMINOPHEN (TYLENOL) LEVEL,589.0,589.0,,,0 CDM,3018014501,HC DRUG ASSAY - ADALIMUMAB,365.0,365.0,,,0 CDM,3018014502,HC DRUG ASSAY - ADALIMUMAB - ARUP,906.0,906.0,,,0 CDM,3018015001,HC AMIKACIN LEVEL,448.0,448.0,,,0 CDM,3018015005,HC AMIKACIN LEVEL - ARUP,53.0,53.0,,,0 CDM,3018015101,HC AMIODARONE LEVEL,107.0,107.0,,,0 CDM,3018015102,HC AMIODARONE LEVEL - ARUP,77.0,77.0,,,0 CDM,3018015501,HC DRUG ASSAY - CAFFEINE,113.0,113.0,,,0 CDM,3018015601,HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL,400.5,400.5,,,0 CDM,3018015602,HC CARBAMAZEPINE LEVEL TOTAL - CARBAMAZEPINE FREE AND TOTAL - ARUP,59.0,59.0,,,0 CDM,3018015701,"HC ASSAY OF ASSAY CARBAMAZEPINE, FREE - CARBAMAZEPINE FREE",288.0,288.0,,,0 CDM,3018015702,HC CARBAMAZEPINE LEVEL FREE - CARBAMAZEPINE FREE AND TOTAL -ARUP,54.0,54.0,,,0 CDM,3018015801,HC ASSAY OF CYCLOSPORINE - CYCLOSPORINE,349.5,349.5,,,0 CDM,3018015901,HC CLOZAPINE (CLOZARIL) LEVEL,103.0,103.0,,,0 CDM,3018015902,HC CLOZAPINE (CLOZARIL) LEVEL - ARUP,96.0,96.0,,,0 CDM,3018016201,HC DIGOXIN LEVEL TOTAL,404.0,404.0,,,0 CDM,3018016402,HC VALPROIC ACID LEVEL TOTAL,418.0,418.0,,,0 CDM,3018016403,HC DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL - VALPROIC ACID FREE,130.0,130.0,,,0 CDM,3018016404,HC VALPROIC ACID LEVEL TOTAL QWDL,42.0,42.0,,,0 CDM,3018016405,HC VALPROIC ACID TOTAL - VALPROIC ACID FREE AND TOTAL - ARUP,130.0,130.0,,,0 CDM,3018016406,HC VALPROIC ACID LEVEL TOTAL - ARUP,71.0,71.0,,,0 CDM,3018016501,HC VALPROIC ACID LEVEL FREE ARUP,139.0,139.0,,,0 CDM,3018016502,HC VALPROIC ACID FREE - VALPROIC ACID FREE AND TOTAL - ARUP,130.0,130.0,,,0 CDM,3018016701,HC FELBAMATE,107.0,107.0,,,0 CDM,3018016801,HC ASSAY OF ETHOSUXIMIDE - ETHOSUXIMIDE LEVEL,94.0,94.0,,,0 CDM,3018016802,HC ETHOSUXIMIDE LEVEL - ARUP,72.0,72.0,,,0 CDM,3018016901,HC EVEROLIMUS (AFINITOR) LEVEL,161.0,161.0,,,0 CDM,3018016902,HC EVEROLIMUS (AFINITOR) LEVEL - ARUP,210.0,210.0,,,0 CDM,3018017002,HC ASSAY OF GENTAMICIN - GENTAMICIN RANDOM,493.0,493.0,,,0 CDM,3018017101,HC DRUG ASSAY - GABAPENTIN/NEURONTIN,107.0,107.0,,,0 CDM,3018017102,HC GABAPENTIN (NEURONTIN) LEVEL - ARUP,99.0,99.0,,,0 CDM,3018017301,HC ASSAY OF HALOPERIDOL - HALOPERIDOL LEVEL,113.0,113.0,,,0 CDM,3018017501,HC ASSAY OF DRUG - LAMOTRIGINE/LAMICTAL LEVEL,92.0,92.0,,,0 CDM,3018017502,HC LAMOTRIGINE (LAMICTAL) LEVEL - ARUP,42.0,42.0,,,0 CDM,3018017601,HC ASSAY OF LIDOCAINE - LIDOCAINE LEVEL,115.0,115.0,,,0 CDM,3018017602,HC LIDOCAINE LEVEL - ARUP,116.0,116.0,,,0 CDM,3018017701,HC LEVETIRACETAM (KEPPRA) LEVEL,949.0,949.0,,,0 CDM,3018017702,HC LEVETIRACETAM (KEPPRA) LEVEL - QWDL,198.0,198.0,,,0 CDM,3018017703,HC LEVETIRACETAM (KEPPRA) LEVEL - ARUP,63.0,63.0,,,0 CDM,3018017801,HC LITHIUM LEVEL,644.0,644.0,,,0 CDM,3018017803,HC LITHIUM LEVEL - ARUP,45.0,45.0,,,0 CDM,3018017901,HC DRUG THERAPEUTIC LEVEL - SALICYLATE LEVEL SERUM,437.0,437.0,,,0 CDM,3018018001,HC DRUG ASSAY - MYCOPHENOLIC ACID,122.0,122.0,,,0 CDM,3018018002,HC MYCOPHENOLIC ACID LEVEL - ARUP,101.0,101.0,,,0 CDM,3018018101,HC FLECAINIDE (TAMBOCOR) LEVEL,107.0,107.0,,,0 CDM,3018018102,HC FLECAINIDE (TAMBOCOR) LEVEL - ARUP,121.0,121.0,,,0 CDM,3018018301,HC ASSAY OF DRUG - OXCARBAZEPINE/TRILEPTAL LEVEL,107.0,107.0,,,0 CDM,3018018302,HC OXCARBAZEPINE (TRILEPTAL) LEVEL - ARUP,84.0,84.0,,,0 CDM,3018018401,HC PHENOBARBITAL LEVEL,418.5,418.5,,,0 CDM,3018018402,HC PHENOBARBITAL LEVEL - ARUP,47.0,47.0,,,0 CDM,3018018403,HC PHENOBARBITAL LEVEL - PRIMIDONE AND METABOLITE - ARUP,34.0,34.0,,,0 CDM,3018018502,HC PHENYTOIN LEVEL TOTAL,411.0,411.0,,,0 CDM,3018018504,HC PHENYTOIN LEVEL TOTAL - ARUP,68.0,68.0,,,0 CDM,3018018601,HC PHENYTOIN LEVEL FREE,435.0,435.0,,,0 CDM,3018018603,HC PHENYTOIN LEVEL FREE - ARUP,70.0,70.0,,,0 CDM,3018018701,HC POSACONAZOLE DRUG ASSAY,211.0,211.0,,,0 CDM,3018018702,HC POSACONAZOLE LEVEL QUANT - ARUP,292.0,292.0,,,0 CDM,3018018801,HC PRIMIDONE LEVEL - ARUP,51.0,51.0,,,0 CDM,3018018802,HC PRIMIDONE LEVEL - PRIMIDONE AND METABOLITE - ARUP,37.0,37.0,,,0 CDM,3018018901,HC ITRACONAZOLE LEVEL,177.0,177.0,,,0 CDM,3018018902,HC ITRACONAZOLE LEVEL - ARUP,239.0,239.0,,,0 CDM,3018019201,HC ASSAY OF PROCAINAMIDE W METABOLITES - PROCAINAMIDE + NAPA,103.0,103.0,,,0 CDM,3018019202,HC PROCAINAMIDE LEVEL + NAPA - ARUP,155.0,155.0,,,0 CDM,3018019203,HC PROCAINAMIDE LEVEL AND NAPA - MAYO,924.0,924.0,,,0 CDM,3018019301,HC LEFLUNOMIDE,190.0,190.0,,,0 CDM,3018019302,HC LEFLUNOMIDE LEVEL - ARUP,316.0,316.0,,,0 CDM,3018019501,HC SIROLIMUS LEVEL,447.5,447.5,,,0 CDM,3018019502,HC SIROLIMUS LEVEL - ARUP,108.0,108.0,,,0 CDM,3018019701,HC TACROLIMUS LEVEL IMMUNOASSAY,838.0,838.0,,,0 CDM,3018019702,HC TACROLIMUS (TMS) - ARUP,76.5,76.5,,,0 CDM,3018019703,HC TACROLIMUS HIGHLY SENSITIVE LC/MS/MS - QWDL,137.5,137.5,,,0 CDM,3018019801,HC THEOPHYLLINE LEVEL,387.0,387.0,,,0 CDM,3018019802,HC THEOPHYLLINE LEVEL - ARUP,78.0,78.0,,,0 CDM,3018019901,HC DRUG ASSAY - TIAGABINE/GABITRIL,193.0,193.0,,,0 CDM,3018019902,HC DRUG SCREEN QUANT - TIAGABINE LEVEL,193.0,193.0,,,0 CDM,3018019903,HC TIAGABINE (GABITRIL) LEVEL - ARUP,365.0,365.0,,,0 CDM,3018020002,HC TOBRAMYCIN LEVEL,592.0,592.0,,,0 CDM,3018020101,HC ASSAY OF TOPIRAMATE - TOPIRAMATE LEVEL,102.0,102.0,,,0 CDM,3018020102,HC TOPIRAMATE LEVEL - ARUP,110.0,110.0,,,0 CDM,3018020202,HC VANCOMYCIN LEVEL,474.5,474.5,,,0 CDM,3018020301,HC DRUG ASSAY - ZONISAMIDE,161.0,161.0,,,0 CDM,3018020302,HC ZONISAMIDE LEVEL- ARUP,177.0,177.0,,,0 CDM,3018020401,HC DRUG THERAPEUTIC LEVEL - METHOTREXATE LEVEL,1064.0,1064.0,,,0 CDM,3018022002,"HC HYDROXYCHLOROQUINE LEVEL, BLOOD - ARUP",915.0,915.0,,,0 CDM,3018023001,HC DRUG ASSAY - INFLIXIMAB,488.0,488.0,,,0 CDM,3018023002,HC DRUG ASSAY - INFLIXIMAB - ARUP,906.0,906.0,,,0 CDM,3018023501,HC THERAPEUTIC DRUG ASSAY - LACOSAMIDE LEVEL,211.0,211.0,,,0 CDM,3018023502,HC LACOSAMIDE LEVEL - ARUP,374.0,374.0,,,0 CDM,3018028001,HC DRUG ASSAY VEDOLIZUMAB,829.0,829.0,,,0 CDM,3018028501,HC DRUG ASSAY - VORICONAZOLE,155.0,155.0,,,0 CDM,3018028502,HC VORICONAZOLE LEVEL - ARUP,223.0,223.0,,,0 CDM,3018029903,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - METHOTREXATE LEVEL,577.0,577.0,,,0 CDM,3018029905,HC DRUG ASSAY THERAPEUTIC - UNLISTED - DIGITOXIN LEVEL,149.0,149.0,,,0 CDM,3018029913,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - DISOPYRAMIDE LEVEL,98.5,98.5,,,0 CDM,3018029914,HC DRUG ASSAY THERAPEUTIC - UNLISTED - COUMADIN LEVEL,149.0,149.0,,,0 CDM,3018029915,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - FLECAINIDE LEVEL,98.5,98.5,,,0 CDM,3018029918,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - AMIODARONE LEVEL,98.5,98.5,,,0 CDM,3018029919,HC ASSAY OF DRUG - THIOPURINE METABOLITES LEVEL,191.5,191.5,,,0 CDM,3018029920,HC ASSAY OF DRUG - VORICONAZOLE LEVEL,122.5,122.5,,,0 CDM,3018029921,HC DRUG ASSAY - 5 FLUOROCYTOSINE,168.0,168.0,,,0 CDM,3018029922,HC DRUG ASSAY - DEXAMETHASONE,142.0,142.0,,,0 CDM,3018029923,HC DRUG ASSAY - DIGITOXIN,150.5,150.5,,,0 CDM,3018029924,HC DRUG ASSAY - INFLIXIMAB ACTIVITY,149.0,149.0,,,0 CDM,3018029925,HC DRUG ASSAY - ITRACONAZOLE,133.5,133.5,,,0 CDM,3018029926,HC DRUG ASSAY - UNLISTED,182.0,182.0,,,0 CDM,3018029927,HC DRUG ASSAY - LEFLUNOMIDE,140.0,140.0,,,0 CDM,3018029928,HC DRUG ASSAY - MEXILETINE,136.0,136.0,,,0 CDM,3018029929,HC DRUG ASSAY - PROPAFENONE,154.5,154.5,,,0 CDM,3018029930,HC DRUG ASSAY - SINEMET,289.0,289.0,,,0 CDM,3018029931,HC DRUG ASSAY - SOTALOL,163.0,163.0,,,0 CDM,3018029932,HC DRUG ASSAY - SULFONAMIDES,157.0,157.0,,,0 CDM,3018029933,HC DRUG ASSAY - USTEKINUMAB,149.0,149.0,,,0 CDM,3018029934,HC DRUG SCREEN QUANT - PROPAFENONE LEVEL,149.0,149.0,,,0 CDM,3018029935,HC DEXAMETHASONE LEVEL - ARUP,290.0,290.0,,,0 CDM,3018029936,HC DIGITOXIN LEVEL - ARUP,382.0,382.0,,,0 CDM,3018029937,HC 5 FLUOROCYTOSINE LEVEL - ARUP,448.0,448.0,,,0 CDM,3018029938,HC SOTALOL LEVEL - ARUP,458.0,458.0,,,0 CDM,3018029939,HC THIOPURINE METABOLITES LEVEL RBC - ARUP,541.0,541.0,,,0 CDM,3018029940,HC METHOTREXATE LEVEL SENSITIVE - ARUP,152.0,152.0,,,0 CDM,3018030505,HC DRUG TEST PRSMV DIR OPT OBS - TOXICOLOGY SCREEN URINE,1175.0,1175.0,,,0 CDM,3018030601,HC DRUG SCREEN OPTICAL INSTRUMENT READ URINE,1175.0,1175.0,,,0 CDM,3018030701,HC CANNABINOID SCREEN URINE,387.0,387.0,,,0 CDM,3018030702,HC BENZODIAZEPINE LEVEL URINE QUAL,437.0,437.0,,,0 CDM,3018030703,HC DRUG TEST PRSMV CHEM ANLYZR - COCAINE URINE QUAL,437.0,437.0,,,0 CDM,3018030705,HC OPIATE QUAL URINE,437.0,437.0,,,0 CDM,3018030706,HC OXYCODONE SCREEN URINE,437.0,437.0,,,0 CDM,3018030707,HC DRUG TEST PRSMV CHEM ANLYZR - PHENCYCLIDINE (PCP) SCREEN UR,1339.0,1339.0,,,0 CDM,3018030712,HC DRUG TEST PRSMV CHEM ANLYZR - POCT TRICYCLIC ANTIDEPRESSANTS,437.0,437.0,,,0 CDM,3018030714,HC METHADONE SCREEN URINE,437.0,437.0,,,0 CDM,3018030715,HC AMPHETAMINE LEVEL QUAL URINE,437.0,437.0,,,0 CDM,3018030719,"HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL, EMERGENCY",1339.0,1339.0,,,0 CDM,3018030720,HC TRAMADOL LEVEL SCREEN URINE - ARUP,68.0,68.0,,,0 CDM,3018030721,HC DRUG TEST PRSMV CHEM ANLYZR - LSD SCREEN URINE,1403.0,1403.0,,,0 CDM,3018030723,HC DRUG TEST PRSMV CHEM ANLYZR - ACETAMINOPHEN/TYLENOL LEVEL,589.0,589.0,,,0 CDM,3018030724,HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL LEVEL,1339.0,1339.0,,,0 CDM,3018030725,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL CHAIN OF CUSTODY,1339.0,1339.0,,,0 CDM,3018030726,HC DRUG TEST PRSMV CHEM ANLYZR - BREAST MILK,1339.0,1339.0,,,0 CDM,3018030727,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE MECONIUM,228.0,228.0,,,0 CDM,3018030728,HC DRUG TEST PRSMV CHEM ANLYZR - NICOTINE SCREEN URINE,1339.0,1339.0,,,0 CDM,3018030729,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE,1477.0,1477.0,,,0 CDM,3018030730,HC DRUG SCREEN 9 TARGETS WITH CONFIRMATION/QUANTITATION URINE - ARUP,1339.0,1339.0,,,0 CDM,3018030731,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL UMBILICAL,228.0,228.0,,,0 CDM,3018030732,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL URINE,1477.0,1477.0,,,0 CDM,3018030733,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE MECONIUM AND CONFIRM,1339.0,1339.0,,,0 CDM,3018030734,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE 9 AND CONFIRM,1339.0,1339.0,,,0 CDM,3018030735,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE 7 AND CONFIRM,1339.0,1339.0,,,0 CDM,3018030736,"HC TOXICOLOGY SCREEN URINE, 10 DRUG CLASSES",1477.0,1477.0,,,0 CDM,3018030737,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL SERUM AND CONFIRM,228.0,228.0,,,0 CDM,3018030738,HC DRUG TEST PRSMV CHEM ANLYZR - ETHYL GLUCURONIDE SCREEN URINE,163.5,163.5,,,0 CDM,3018030739,HC DRUG TEST PRSMV CHEM ANLYZR - SALICYLATE LEVEL SERUM,437.0,437.0,,,0 CDM,3018030740,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL TRANSPLANT,1403.0,1403.0,,,0 CDM,3018030741,HC DRUG SCREEN QUANT - HEROIN LEVEL,252.0,252.0,,,0 CDM,3018030742,HC DRUG SCREEN QUANT - TOXICOLOGY SCREEN BREAST MILK,1040.5,1040.5,,,0 CDM,3018030743,HC DRUG SCREEN QUANT - LYSERGIC ACID DIETHYLAMIDE URINE,227.0,227.0,,,0 CDM,3018030744,HC DRUG SCREEN QUANT - ANABOLIC STEROIDS SCREEN URINE,297.0,297.0,,,0 CDM,3018030745,HC DRUG SCREEN QUANT - GAMMA HYDROXYBUTYRATE,353.0,353.0,,,0 CDM,3018030746,HC DRUG SCREEN QUANT - BARBITURATES SCREEN URINE,437.0,437.0,,,0 CDM,3018030747,HC DRUG SCREEN QUANT - METHADONE SCREEN URINE,1339.0,1339.0,,,0 CDM,3018030748,HC DRUG SCREEN QUANT - FLUNITRAZEPAM LEVEL,337.0,337.0,,,0 CDM,3018030749,HC NEO/MATERNAL TOXICOLOGY SCREEN 8 DRUG CLASSES,1151.0,1151.0,,,0 CDM,3018030750,HC DRUG TEST PRSMV CHEM ANLYXR - FENTANYL QUALITATIVE URINE,437.0,437.0,,,0 CDM,3018030751,HC COTININE URINE SCREEN - ARUP,93.0,93.0,,,0 CDM,3018030752,HC URINE BARBITURATES SCREEN,404.0,404.0,,,0 CDM,3018030756,HC TRANSPLANT TOXICOLOGY SCREEN 9 TARGETS,1295.0,1295.0,,,0 CDM,3018030757,HC NEO/MATERNAL TOXICOLOGY SCREEN 9 TARGETS,1295.0,1295.0,,,0 CDM,3018030759,"HC TOXICOLOGY SCREEN URINE, 9 DRUG CLASSES",1329.0,1329.0,,,0 CDM,3018030760,HC URINE FENTANYL SCREEN,404.0,404.0,,,0 CDM,3018030762,HC MECONIUM DRUG SCREEN - ARUP,126.0,126.0,,,0 CDM,3018030763,HC ETHYL GLUCURONIDE SCREEN WITH REFLEX CONFIRMATION - ARUP,63.0,63.0,,,0 CDM,3018030764,HC DRUG SCREEN 7 WITH REFLEX CONFIRMATION URINE - ARUP,104.0,104.0,,,0 CDM,3018030765,HC DRUG SCREEN 9 WITH REFLEX CONFIRMATION URINE - ARUP,113.0,113.0,,,0 CDM,3018030766,HC DOA ALCOHOL URINE SCREEN WITH REFLEX TO CONFIRM - ARUP,98.0,98.0,,,0 CDM,3018030767,HC DRUG SCREEN PANEL 9 WITH REFLEX CONFIRMATION SERUM OR PLASMA - ARUP,151.0,151.0,,,0 CDM,3018030768,HC FLUNITRAZEPAM (ROHYPNOL) - ARUP,653.0,653.0,,,0 CDM,3018030769,HC GAMMA HYDROXYBUTYRIC (GHB) ACID SCREEN SERUM /PLASMA - ARUP,681.0,681.0,,,0 CDM,3018030770,HC TAPENTADOL SCREEN URINE WITH REFLEX - ARUP,68.0,68.0,,,0 CDM,3018030772,HC COTININE LEVEL URINE - ARUP,85.0,85.0,,,0 CDM,3018030773,HC TRICYCLIC LEVEL (ANTIDEPRESSANTS) URINE,407.0,407.0,,,0 CDM,3018030774,"HC FENTANYL SCREEN WITH REFLEX, URINE - ARUP",64.0,64.0,,,0 CDM,3018032001,HC DRUG SCREEN QUANTITATIVE ALCOHOLS - ETHANOL URINE,103.0,103.0,,,0 CDM,3018032005,HC DRUG SCREEN QUANTITATIVE ALCOHOLS - ALCOHOLS,116.0,116.0,,,0 CDM,3018032006,HC DRUG SCREEN QUANTITATIVE ALCOHOLS - ISOPROPANOL,115.0,115.0,,,0 CDM,3018032007,HC DRUG SCREEN QUANTITATIVE ALCOHOLS - METHANOL,115.0,115.0,,,0 CDM,3018032008,HC ISOPROPYL ALCOHOL LEVEL - ARUP,94.0,94.0,,,0 CDM,3018032009,HC METHANOL LEVEL - ARUP,94.0,94.0,,,0 CDM,3018032010,HC ALCOHOL LEVEL URINE QUANT - ARUP,94.0,94.0,,,0 CDM,3018032011,HC VOLATILES SCREEN - ARUP,94.0,94.0,,,0 CDM,3018032101,HC DRUG TEST DEFIN - ALCOHOL BIOMARKERS,238.0,238.0,,,0 CDM,3018032102,HC DRUG DEFINITIVE EVAL - PHOSPHATIDYLETHANOL,238.0,238.0,,,0 CDM,3018032103,HC ETHYL GLUCURONIDE AND ETHYL SULFATE URINE QUANTITATIVE - ARUP,167.0,167.0,,,0 CDM,3018032104,HC PHOSPHATIDYLETHANOL (PETH) - ARUP,405.0,405.0,,,0 CDM,3018032105,"HC ETHYL GLUCURONIDE, CORDTISS, QUAL - ARUP",239.0,239.0,,,0 CDM,3018032301,HC ALKALOIDS NOT OTHERWISE SPECIFIED - NICOTINE SCREEN URINE,115.0,115.0,,,0 CDM,3018032302,HC NICOTINE AND METABOLITES QUANT URINE - ARUP,140.0,140.0,,,0 CDM,3018032304,"HC ALKALOIDS NOT OTHERWISE SPECIFIED - COTININE, URINE",115.0,115.0,,,0 CDM,3018032306,HC NICOTINE AND METABOLITES QUANT - ARUP,128.0,128.0,,,0 CDM,3018032307,HC ALKALOIDS NOT OTHERWISE SPECIFIED - LSD URINE,115.0,115.0,,,0 CDM,3018032308,HC DRUG DEFINITIVE EVAL - LYSERGIC ACID DIETHYLAMIDE CONFIRMATION URINE,115.0,115.0,,,0 CDM,3018032309,HC NICOTINE AND METABOLITES URINE - ARUP,130.0,130.0,,,0 CDM,3018032310,HC NICOTINE AND METABOLITES PLASMA - ARUP,117.0,117.0,,,0 CDM,3018032311,HC NICOTINE AND METABOLITES - DRUG DETECTION PANEL AND THC MECONIUM - ARUP,84.0,84.0,,,0 CDM,3018032312,HC DRUG ID ALKALOIDS NOT OTHERWISE SPECIFIED - ALKALOIDS NOS SCREEN URINE,115.0,115.0,,,0 CDM,3018032313,HC ALKALOIDS - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,108.0,108.0,,,0 CDM,3018032314,HC ALKALOIDS DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 CDM,3018032315,"HC KRATOM, CORDTISS, QUAL - ARUP",597.0,597.0,,,0 CDM,3018032401,"HC DRUG SCREEN QUANT AMPHETAMINES 1 OR 2 - AMPHETAMINE, BLOOD, QUANT",176.0,176.0,,,0 CDM,3018032402,HC DRUG SCREEN QUANT AMPHETAMINES 1 OR 2 - BUNDLED CHARGE,185.0,185.0,,,0 CDM,3018032403,HC DRUG DEFINITIVE EVAL - AMPHETAMINES QUANTITATION URINE,179.0,179.0,,,0 CDM,3018032404,HC AMPHETAMINE BLOOD QUANT - ARUP,126.0,126.0,,,0 CDM,3018032501,HC DRUG SCREEN QUANT AMPHETAMINES 3 OR 4 - BUNDLED CHARGE,87.0,87.0,,,0 CDM,3018032502,HC AMPHETAMINE QUANT - AMPHETAMINE URINE CONFIRMATION - ARUP,65.0,65.0,,,0 CDM,3018032503,HC AMPHETAMINES DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,26.0,26.0,,,0 CDM,3018032504,HC AMPHETAMINES DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,21.0,21.0,,,0 CDM,3018032601,HC DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE - BUNDLED CHARGE,223.0,223.0,,,0 CDM,3018032602,HC DRUG DEFINITIVE EVAL - AMPHETAMINES CONFIRMATION SERUM,223.0,223.0,,,0 CDM,3018032603,HC AMPHETAMINES - DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL- ARUP,84.0,84.0,,,0 CDM,3018032604,HC AMPHETAMINES - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,78.0,78.0,,,0 CDM,3018032905,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - IBUPROFEN,179.0,179.0,,,0 CDM,3018032906,HC IBUPROFEN LEVEL - ARUP,261.0,261.0,,,0 CDM,3018033201,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - FLUOXETINE/PROZAC,299.0,299.0,,,0 CDM,3018033202,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - PAROXETINE,249.0,249.0,,,0 CDM,3018033203,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - SERTRALINE,249.0,249.0,,,0 CDM,3018033204,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - ESCITALOPRAM,249.0,249.0,,,0 CDM,3018033205,HC DRUG DEFINITIVE EVAL - PAROXETINE LEVEL,246.0,246.0,,,0 CDM,3018033206,HC DRUG DEFINITIVE EVAL - SERTRALINE LEVEL,179.0,179.0,,,0 CDM,3018033207,HC DRUG DEFINITIVE EVAL - ESCITALOPRAM LEVEL,326.0,326.0,,,0 CDM,3018033208,HC SEROTONERGIC CLASS - ANTIDEPRESSANT PANEL QUANT UR - ARUP,299.0,299.0,,,0 CDM,3018033502,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - AMITRIPTYLINE LVL,113.0,113.0,,,0 CDM,3018033503,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - DESIPRAMINE LVL,113.0,113.0,,,0 CDM,3018033504,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - DOXEPIN&NORDOX,113.0,113.0,,,0 CDM,3018033505,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - IMIPRAMINE LEVEL,113.0,113.0,,,0 CDM,3018033506,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - NORTRIPTYLINE LVL,113.0,113.0,,,0 CDM,3018033509,HC ANTIDEPRESSANTS TRICYCLIC/CYCLICALS 1-2 DESIPRAMINE LVL,122.0,122.0,,,0 CDM,3018033513,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - CLOMIPRAMINE/ANAFRANIL LVL,107.0,107.0,,,0 CDM,3018033514,HC DRUG DEFINITIVE EVAL - DESIPRAMINE LEVEL,113.0,113.0,,,0 CDM,3018033515,HC DRUG DEFINITIVE EVAL - DOXEPIN LEVEL,122.0,122.0,,,0 CDM,3018033516,HC DRUG DEFINITIVE EVAL - IMIPRAMINE LEVEL,113.0,113.0,,,0 CDM,3018033517,HC DRUG DEFINITIVE EVAL - NORTRIPTYLINE LEVEL,97.0,97.0,,,0 CDM,3018033518,HC AMITRIPTYLINE AND NORTRIPTYLINE SP LEVEL - ARUP,124.0,124.0,,,0 CDM,3018033519,HC NORTRIPTYLINE LEVEL - ARUP,72.0,72.0,,,0 CDM,3018033701,HC ANTIDEP TRICYCLIC/CYCLICALS 6+ TRICYCLIC ANTIDEP - BUNDLED CHARGE,140.0,140.0,,,0 CDM,3018033707,HC TRICYCLIC - ANTIDEPRESSANT PANEL QUANT URINE - ARUP,299.0,299.0,,,0 CDM,3018033801,HC ANTIDEP TRICYCLIC UNLISTED - BUPROPION BUNDLED CHARGE,174.0,174.0,,,0 CDM,3018033802,HC ANTIDEP TRICYCLIC UNLISTED - TRAZODONE/DESYREL BUNDLED CHARGE,107.0,107.0,,,0 CDM,3018033803,HC TRAZODONE DESYREL LEVEL - ARUP,80.0,80.0,,,0 CDM,3018033804,HC ADDITIONAL ANTIDEPRESSANTS - ANTIDEPRESSANT PANEL QUANT URINE - ARUP,299.0,299.0,,,0 CDM,3018033905,HC ANTIEPILEPTICS NOS 1-3 - BUNDLED CHARGE,211.0,211.0,,,0 CDM,3018033906,HC ANTIEPILEPTICS NOS 1-3 CLOBAZAM - BUNDLED CHARGE,211.0,211.0,,,0 CDM,3018033907,HC ANTIEPILEPTICS NOS 1-3 FELBAMATE / FELBATOL - BUNDLED CHARGE,211.0,211.0,,,0 CDM,3018033908,HC ANTIEPILEPTICS NOS 1-3 LACOSAMIDE - BUNDLED CHARGE,211.0,211.0,,,0 CDM,3018033909,HC ANTIEPILEPTICS NOS 1-3 RUFINAMIDE - BUNDLED CHARGE,281.0,281.0,,,0 CDM,3018033910,HC COBAZAM (ONFI) LEVEL - ARUP,529.0,529.0,,,0 CDM,3018033911,HC PERAMPANEL QUANT SERUM OR PLASMA - ARUP,840.0,840.0,,,0 CDM,3018034215,HC ANTIPSYCHOTICS NOS 1-3 - BUNDLED CHARGE,185.0,185.0,,,0 CDM,3018034216,HC ANTIPSYCHOTICS NOS 1-3 QUETIAPINE / SEROQUEL - BUNDLED CHARGE,185.0,185.0,,,0 CDM,3018034217,HC ANTIPSYCHOTICS NOS 1-3 RISPERIDONE - BUNDLED CHARGE,146.0,146.0,,,0 CDM,3018034218,HC ANTIPSYCHOTICS NOS 1-3 ZIPRASIDONE / GEODON - BUNDLED CHARGE,227.0,227.0,,,0 CDM,3018034219,HC DRUG DEFINITIVE EVAL - CHLORPROMAZINE LEVEL,174.0,174.0,,,0 CDM,3018034220,HC DRUG DEFINITIVE EVAL - OLANZAPINE LEVEL,182.0,182.0,,,0 CDM,3018034221,HC DRUG DEFINITIVE EVAL - ARIPIPRAZOLE LEVEL,146.0,146.0,,,0 CDM,3018034222,HC QUETIAPINE (SEROQUEL) LEVEL - ARUP,309.0,309.0,,,0 CDM,3018034223,HC ZIPRASIDONE (GEODON) LEVEL - ARUP,410.0,410.0,,,0 CDM,3018034224,HC ARIPIPRAZOLE LEVEL AND METABOLITE (ABILIFY) SERUM OR PLASMA - ARUP,199.0,199.0,,,0 CDM,3018034501,HC DRUG SCREENING BARBITURATES - BARBITURATE URINE QUANT,157.0,157.0,,,0 CDM,3018034503,HC DRUG SCREENING BARBITURATES - BARBITURATE MECONIUM QUANT,165.0,165.0,,,0 CDM,3018034504,HC DRUG SCREENING BARBITURATES - PENTOBARBITAL URINE QUANT,101.0,101.0,,,0 CDM,3018034505,HC DRUG DEFINITIVE EVAL - BARBITURATES QUANTITATION,157.0,157.0,,,0 CDM,3018034506,HC BARBITURATE URINE CONFIRMATION - ARUP,277.0,277.0,,,0 CDM,3018034507,HC BARBITURATES BLOOD QUANT - ARUP,246.0,246.0,,,0 CDM,3018034508,HC PENTOBARBITAL LEVEL SERUM OR PLASMA - ARUP,157.0,157.0,,,0 CDM,3018034510,HC BARBITURATES DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,18.0,18.0,,,0 CDM,3018034511,HC BARBITURATES DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,15.0,15.0,,,0 CDM,3018034601,HC DRUG SCREENING BENZODIAZEPINES 1-12 - BENZODIAZEPINE URINE QUANT,128.0,128.0,,,0 CDM,3018034604,HC DRUG SCREENING BENZODIAZEPINES 1-12 BENZODIAZEPINE - BUNDLED CHARGE,149.0,149.0,,,0 CDM,3018034607,HC DRUG SCREENING BENZODIAZEPINES 1-12 - ALPRAZOLAM / XANAX URINE QUANT,138.0,138.0,,,0 CDM,3018034608,HC DRUG SCREENING BENZODIAZEPINES 1-12 - BENZODIAZEPINE MECONIUM QUANT,196.0,196.0,,,0 CDM,3018034609,HC DRUG SCREENING BENZODIAZEPINES 1-12 - CHLORDIAZEPOXIDE / LIBRIUM QUANT,151.0,151.0,,,0 CDM,3018034610,HC DRUG SCREENING BENZODIAZEPINES 1-12 - CLONAZEPAM / KLONOPIN QUANT,120.0,120.0,,,0 CDM,3018034611,HC DRUG SCREENING BENZODIAZEPINES 1-12 - LORAZEPAM / ATIVAN QUANT,194.0,194.0,,,0 CDM,3018034612,HC DRUG DEFINITIVE EVAL - FLUNITRAZEPAM CONFIRMATION,143.0,143.0,,,0 CDM,3018034613,HC DRUG DEFINITIVE EVAL - DIAZEPAM LEVEL,122.0,122.0,,,0 CDM,3018034614,HC DRUG DEFINITIVE EVAL - BENZODIAZEPINES CONFIRMATION SERUM,143.0,143.0,,,0 CDM,3018034615,HC BENZODIAZEPINE LEVEL URINE QUANT - ARUP,130.0,130.0,,,0 CDM,3018034616,HC CLONAZEPAM LEVEL - ARUP,124.0,124.0,,,0 CDM,3018034617,HC ALPRAZOLAM (XANAX) LEVEL - ARUP,124.0,124.0,,,0 CDM,3018034618,HC BENZODIAZEPINE LEVEL QUANT SERUM OR PLASMA - ARUP,147.0,147.0,,,0 CDM,3018034619,HC LORAZEPAM (ATIVAN) LEVEL - ARUP,133.0,133.0,,,0 CDM,3018034620,HC FLUNITRAZEPAM LEVEL AND METABOLITE CONFIRMATION SERUM OR PLASMA - ARUP,661.0,661.0,,,0 CDM,3018034621,HC BENZODIAZEPINES DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,98.0,98.0,,,0 CDM,3018034622,HC BENZODIAZEPINES DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,79.0,79.0,,,0 CDM,3018034701,HC DRUG SCREENING BENZODIAZEPINES 13+ BENZODIAZEPINE - BUNDLED CHARGE,446.0,446.0,,,0 CDM,3018034704,HC DRUG ID BENZODIAZEPINES 13+ BENZODIAZEPINE URINE,446.0,446.0,,,0 CDM,3018034705,HC BENZODIAZEPINES-DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL-ARUP,84.0,84.0,,,0 CDM,3018034706,HC BENZODIAZEPINES - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,78.0,78.0,,,0 CDM,3018034801,HC DRUG SCREENING BUPRENORPHINE,178.0,178.0,,,0 CDM,3018034802,HC BUPRENORPHINE MECONIUM CONFIRMATION,197.0,197.0,,,0 CDM,3018034804,HC BUPRENORPHINE & METABOLITES QUANT URINE - ARUP,151.0,151.0,,,0 CDM,3018034805,HC BUPRENORPHINE LEVEL & METABOLITES QUANT SERUM OR PLASMA - ARUP,246.0,246.0,,,0 CDM,3018034806,HC BUPRENORPHINE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,18.0,18.0,,,0 CDM,3018034807,HC BUPRENORPHINE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,15.0,15.0,,,0 CDM,3018034901,HC DRUG SCREENING CANNABINOIDS NATURAL - CANNABINOID CONFIRMATION UR,110.0,110.0,,,0 CDM,3018034902,HC DRUG SCREENING CANNABINOIDS NATURAL - CANNABINOID CONFIRMATION,168.0,168.0,,,0 CDM,3018034903,HC DRUG DEFINITIVE EVAL - THC CONFIRMATION MECONIUM,159.0,159.0,,,0 CDM,3018034904,HC DRUG DEFINITIVE EVAL - THC UMBILICAL CORD,159.0,159.0,,,0 CDM,3018034906,HC THC (CANNABINOID) METABOLITE QUANT URINE - ARUP,84.0,84.0,,,0 CDM,3018034907,HC THC (CANNABINOID) CONFIRMATION SERUM OR PLASMA - ARUP,126.0,126.0,,,0 CDM,3018034908,"HC THC MARIJUANA METABOLITE DEFINITIVE, CORDTISS, QUAL - ARUP",210.0,210.0,,,0 CDM,3018034909,"HC THC MARIJUANA METABOLITE DEFINITIVE, MECONIUM, QUAL - ARUP",210.0,210.0,,,0 CDM,3018034910,HC THC - DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL - ARUP,210.0,210.0,,,0 CDM,3018034911,HC MARIJUANA CONFIRMATION MEC - ARUP,210.0,210.0,,,0 CDM,3018035201,HC DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE - BUNDLED CHARGE,532.0,532.0,,,0 CDM,3018035301,HC DRUG SCREENING COCAINE - COCAINE URINE CONF,128.0,128.0,,,0 CDM,3018035302,"HC DRUG SCREENING COCAINE - COCAINE, BLOOD, QUANTITATIVE",128.0,128.0,,,0 CDM,3018035303,HC DRUG SCREENING COCAINE - COCAINE MECONIUM CONF,169.0,169.0,,,0 CDM,3018035304,HC COCAINE BLOOD QUANT - ARUP,205.0,205.0,,,0 CDM,3018035305,HC COCAINE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL-ARUP,36.0,36.0,,,0 CDM,3018035306,HC COCAINE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,28.0,28.0,,,0 CDM,3018035401,HC DRUG SCREENING FENTANYL - FENTANYL URINE,206.0,206.0,,,0 CDM,3018035402,HC DRUG SCREENING FENTANYL - FENTANYL,206.0,206.0,,,0 CDM,3018035403,HC FENTANYL AND METABOLITE URINE QUANT - ARUP,172.0,172.0,,,0 CDM,3018035404,HC FENTANYL AND METABOLITE QUANT SERUM OR PLASMA - ARUP,289.0,289.0,,,0 CDM,3018035405,HC FENTANYL DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL-ARUP,8.0,8.0,,,0 CDM,3018035406,HC FENTANYL DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 CDM,3018035501,HC DEFINITIVE DRUG ASSAY - GABAPENTIN NON-BLOOD,607.0,607.0,,,0 CDM,3018035502,HC CLOMIPRAMINE (ANAFRANIL) LEVEL - ARUP,122.0,122.0,,,0 CDM,3018035503,HC GABAPENTIN - DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL - ARUP,84.0,84.0,,,0 CDM,3018035504,HC GABAPENTIN - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,78.0,78.0,,,0 CDM,3018035505,HC GABAPENTIN NON-BLOOD DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL-ARUP,8.0,8.0,,,0 CDM,3018035506,HC GABAPENTIN NON-BLOOD DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 CDM,3018035601,"HC HEROIN - HEROIN METABOLITES, FREE, CONFIRMATION, SERUM/PLASMA - ARUP",525.0,525.0,,,0 CDM,3018035602,HC DRUG DEFINITIVE EVAL - HEROIN CONFIRMATION URINE,466.0,466.0,,,0 CDM,3018035603,HC HEROIN METABOLITE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 CDM,3018035604,HC HEROIN METABOLITE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 CDM,3018035701,HC DRUG DEFINITIVE EVAL - KETAMINE LEVEL,254.0,254.0,,,0 CDM,3018035801,HC DRUG SCREENING METHADONE - METHADONE & METABOLITE LEVEL,170.0,170.0,,,0 CDM,3018035802,HC DRUG SCREENING METHADONE - METHADONE & METABOLITE LEVEL MECONIUM,148.0,148.0,,,0 CDM,3018035803,HC DRUG DEFINITIVE EVAL - METHADONE QUANTITATION URINE,169.0,169.0,,,0 CDM,3018035804,HC METHADONE LEVEL SERUM/PLASMA - ARUP,256.0,256.0,,,0 CDM,3018035805,HC METHADONE LEVEL SERUM - QWDL,210.0,210.0,,,0 CDM,3018035806,HC METHADONE & METABOLITES LEVEL URINE CONFIRMATION - ARUP,151.0,151.0,,,0 CDM,3018035807,HC METHADONE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,18.0,18.0,,,0 CDM,3018035808,HC METHADONE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,15.0,15.0,,,0 CDM,3018035901,HC MDMA (ECSTACY) URINE,87.0,87.0,,,0 CDM,3018035902,HC DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,293.0,293.0,,,0 CDM,3018035903,HC METHAMPHETAMINE QUANT - AMPHETAMINE URINE CONFIRMATION - ARUP,65.0,65.0,,,0 CDM,3018035904,HC MDMA/ECSTASY DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 CDM,3018035905,HC MDMA/ECSTASY DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 CDM,3018036001,HC METHYLPHENIDATE AND METABOLITE LEVEL,223.0,223.0,,,0 CDM,3018036002,HC DRUG DEFINITIVE EVAL - METHYLPHENIDATE LEVEL,223.0,223.0,,,0 CDM,3018036003,HC METHYLPHENIDATE AND METABOLITE LEVEL URINE - ARUP,281.0,281.0,,,0 CDM,3018036004,HC METHYLPHENIDATE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 CDM,3018036101,"HC DRUG SCREENING OPIATES 1 OR MORE - OPIATE,QUANTITATIVE,UR CONF",114.0,114.0,,,0 CDM,3018036102,HC DRUG SCREENING OPIATES 1 OR MORE - BUNDLED CHARGE,139.0,139.0,,,0 CDM,3018036103,HC DRUG DEFINITIVE EVAL - OPIATES CONFIRMATION MECONIUM,136.0,136.0,,,0 CDM,3018036104,HC OPIATE LEVEL QUANT URINE CONFIRMATION - ARUP,53.0,53.0,,,0 CDM,3018036105,HC OPIATE LEVEL BLOOD QUANT - ARUP,1050.0,1050.0,,,0 CDM,3018036106,"HC OPIATES - HEROIN METABOLITES, FREE, CONFIRMATION, SERUM/PLASMA - ARUP",525.0,525.0,,,0 CDM,3018036107,HC OPIATES DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,54.0,54.0,,,0 CDM,3018036108,HC OPIATES DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,43.0,43.0,,,0 CDM,3018036201,HC MEPERIDINE (DEMEROL) LEVEL,206.0,206.0,,,0 CDM,3018036202,HC MEPERIDINE LEVEL & METABOLITE QUANT URINE - ARUP,776.0,776.0,,,0 CDM,3018036203,"HC OPIOIDS, OPIATE ANALOGS DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP",18.0,18.0,,,0 CDM,3018036204,"HC OPIOIDS, OPIATE ANALOGS DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL ARUP",15.0,15.0,,,0 CDM,3018036401,HC OPIATE 5+ MECONIUM CONFIRMATION,194.0,194.0,,,0 CDM,3018036402,HC OPIATE 5+ CONFIRMATION,194.0,194.0,,,0 CDM,3018036403,HC DRUG DETECTION PANEL UMBILICAL CORD TISSUE QUAL - ARUP,335.0,335.0,,,0 CDM,3018036404,HC OPIATE - DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL - ARUP,84.0,84.0,,,0 CDM,3018036405,HC OPIATES - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,78.0,78.0,,,0 CDM,3018036501,HC DRUG SCREENING OXYCODONE - CONFIRMATION,197.0,197.0,,,0 CDM,3018036502,HC OXYCODONE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,26.0,26.0,,,0 CDM,3018036503,HC OXYCODONE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,28.0,28.0,,,0 CDM,3018036601,HC DRUG SCREENING PREGABALIN - CONFIRMATION,138.0,138.0,,,0 CDM,3018036602,HC PREGABALIN LEVEL URINE - ARUP,189.0,189.0,,,0 CDM,3018036701,HC DRUG SCREENING PROPOXYPHENE - PROPOXYPHENE SCREEN URINE,187.0,187.0,,,0 CDM,3018036702,HC DRUG SCREENING PROPOXYPHENE - QUETIAPINE / SEROQUEL SCREEN URINE,187.0,187.0,,,0 CDM,3018036703,HC DRUG DEFINITIVE EVAL - QUETIAPINE LEVEL,187.0,187.0,,,0 CDM,3018036704,HC DRUG DEFINITIVE EVAL - PROPOXYPHENE LEVEL,187.0,187.0,,,0 CDM,3018036705,HC PROPOXYPHENE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 CDM,3018036706,"HC PROPOXYPHENE AND METABOLITE, URINE, QUANT - ARUP",641.0,641.0,,,0 CDM,3018036805,HC DRUG DEFINITIVE EVAL - AMBIEN LEVEL,178.0,178.0,,,0 CDM,3018036806,HC ZOLPIDEM LEVEL URINE QUANT - ARUP,189.0,189.0,,,0 CDM,3018036807,HC SEDATIVE HYPNOTICS DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 CDM,3018036808,HC SEDATIVE HYPNOTICS DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 CDM,3018036901,HC DRUG ID SKELETAL MUSCLE RELAXANTS 1 OR 2 - MEPROBAMATE LEVEL,289.0,289.0,,,0 CDM,3018036902,HC DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2 - BUNDLED CHARGE,99.0,99.0,,,0 CDM,3018037201,HC DRUG SCREENING TAPENTADOL - BUNDLED CHARGE,201.0,201.0,,,0 CDM,3018037202,HC TAPENTADOL & METABOLITE LEVEL URINE QUANT - ARUP,268.0,268.0,,,0 CDM,3018037203,HC TAPENTADOL DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 CDM,3018037204,HC TAPENTADOL DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 CDM,3018037301,HC TRAMADOL LEVEL URINE,251.0,251.0,,,0 CDM,3018037302,HC TRAMADOL & METABOLITE LEVEL URINE QUANT - ARUP,175.0,175.0,,,0 CDM,3018037303,HC TRAMADOL DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,26.0,26.0,,,0 CDM,3018037304,HC TRAMADOL DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,21.0,21.0,,,0 CDM,3018037505,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3 - METFORMIN LEVEL,280.0,280.0,,,0 CDM,3018037506,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3 - BUNDLED CHARGE,280.0,280.0,,,0 CDM,3018037507,HC METFORMIN LEVEL QUANT SERUM OR PLASMA - ARUP,505.0,505.0,,,0 CDM,3018037508,HC CARBIDOPA & LEVODOPA (SINEMET) LEVEL QUANT - ARUP,1075.0,1075.0,,,0 CDM,3018037703,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7+ - DIURETICS BUNDLED CHARGE,288.0,288.0,,,0 CDM,3018037704,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7+ - SULFONYLUREA HYPOGLY BUNDLED CHARGE,282.0,282.0,,,0 CDM,3018037705,"HC HYPOGLYCEMIA PANEL (SULFONYLUREAS), SERUM OR PLASMA - ARUP",554.0,554.0,,,0 CDM,3018037706,HC DIURETIC SCREEN URINE - ARUP,499.0,499.0,,,0 CDM,3018037707,HC SULFONYLUREA HYPOGLYCEMIA PANEL URINE - ARUP,373.0,373.0,,,0 CDM,3018105001,HC URINE VOLUME MEASUREMENT TIMED SPECIMEN,33.0,33.0,,,0 CDM,3018126901,HC ALPHA GLOBIN HBA2 SEQUENCING AND DELETION,293.0,293.0,,,0 CDM,3018144201,HC NOONAN SPECTRUM DISORDERS 12+ GENES,11368.0,11368.0,,,0 CDM,3018151301,HC BACTERIAL VAGINOSIS RNA MARKERS QUALITATIVE,97.0,97.0,,,0 CDM,3018151302,HC BACTERIAL VAGINOSIS - SURESWAB BACTERIAL VAGINOSIS (BV) TMA 10016 - QDID,508.0,508.0,,,0 CDM,3018151303,HC BACTERIAL VAGINOSIS BY TMA - ARUP,400.0,400.0,,,0 CDM,3018151304,HC BACTERIAL VAGINOSIS SURESWAB DNA QUANT PCR - QDID,558.0,558.0,,,0 CDM,3018200901,HC KETONE BODIES SERUM QUALITATIVE - ACETONE,143.0,143.0,,,0 CDM,3018201002,HC KETONE BODIES SERUM QUANTITATIVE - BETA HYDROXYBUTYRATE,397.0,397.0,,,0 CDM,3018201004,"HC ACETONE, SERUM/PLASMA, QUANT - ARUP",89.0,89.0,,,0 CDM,3018201301,HC ACETYLCHOLINESTERASE ASSAY - ACETYLCHOLINESTERASE,64.0,64.0,,,0 CDM,3018201601,HC ASSAY ACYLCARNITINES QUAL,182.0,182.0,,,0 CDM,3018201701,"HC ACYLCARNITINES,QUANT,EACH SPEC - ACYLCARNITINES, PLASMA, QUANT",211.0,211.0,,,0 CDM,3018201703,HC ACYLCARNITINES QUANT PLASMA - ARUP,458.0,458.0,,,0 CDM,3018201704,HC ACYLCARNITINES QUANT - CARNITINE PANEL - ARUP,316.0,316.0,,,0 CDM,3018202401,HC ASSAY OF ACTH - ACTH,169.0,169.0,,,0 CDM,3018202402,HC ACTH LEVEL,673.0,673.0,,,0 CDM,3018202403,HC ACTH LEVEL - ARUP,30.0,30.0,,,0 CDM,3018202404,HC ACTH LEVEL PLASMA - QWDL,105.0,105.0,,,0 CDM,3018204001,HC ALBUMIN LEVEL,49.0,49.0,,,0 CDM,3018204003,HC ALBUMIN LEVEL SERUM - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP,26.5,26.5,,,0 CDM,3018204004,HC ALBUMIN LEVEL ARUP OLIGOCLONAL BAND,29.5,29.5,,,0 CDM,3018204005,HC ALBUMIN LEVEL SERUM - OLIGOCLONAL BAND PROFILE - ARUP,24.0,24.0,,,0 CDM,3018204201,HC ASSAY OF URINE ALBUMIN - ALBUMIN BODY FLUID,92.0,92.0,,,0 CDM,3018204203,HC ALBUMIN CSF IGG SYNTH -ARUP,42.0,42.0,,,0 CDM,3018204204,HC ALBUMIN CSF IGG OLIGOCLONAL BAND PROFILE - ARUP,41.0,41.0,,,0 CDM,3018204205,HC ALBUMIN CSF - ARUP,30.0,30.0,,,0 CDM,3018204206,HC IMMUNOGLOBULIN G CSF INDEX - ARUP,59.0,59.0,,,0 CDM,3018204207,HC ALBUMIN BODY FLUID - ARUP,34.0,34.0,,,0 CDM,3018204208,HC ALBUMIN BODY FLUID,102.0,102.0,,,0 CDM,3018204209,HC ALBUMIN BODY FLUID - IMMUNOGLOBULIN G/ ALBUMIN RATIO CSF - ARUP,59.0,59.0,,,0 CDM,3018204210,HC ALBUMIN LEVEL CSF - OLIGOCLONAL BAND PROFILE - ARUP,38.0,38.0,,,0 CDM,3018204211,HC ALBUMIN LEVEL CSF - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP,32.0,32.0,,,0 CDM,3018204301,"HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN 24HR URINE",241.0,241.0,,,0 CDM,3018204302,"HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE",241.0,241.0,,,0 CDM,3018204303,"HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN / CREATININE URINE RATIO",431.0,431.0,,,0 CDM,3018204304,HC MICROALBUMIN 24 HOUR URINE MG/L,416.0,416.0,,,0 CDM,3018204305,HC ALBUMIN LEVEL - ALBUMIN / CREATININE RATIO URINE - ARUP,20.0,20.0,,,0 CDM,3018204307,HC MICROALBUMIN LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE MG/L,416.5,416.5,,,0 CDM,3018204310,HC CREATININE LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE - QWDL,24.0,24.0,,,0 CDM,3018207701,HC ETHANOL LEVEL,503.0,503.0,,,0 CDM,3018207702,HC DRUG LEVEL - ALCOHOL LEVEL CHAIN OF CUSTODY,503.0,503.0,,,0 CDM,3018208501,HC ASSAY OF ALDOLASE - ALDOLASE,54.5,54.5,,,0 CDM,3018208502,HC ALDOLASE LEVEL - ARUP,21.0,21.0,,,0 CDM,3018208801,"HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE",86.5,86.5,,,0 CDM,3018208802,HC ALDOSTERONE LEVEL - ARUP,86.5,86.5,,,0 CDM,3018208803,HC ALDOSTERONE LEVEL - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP,72.0,72.0,,,0 CDM,3018208804,HC ALDOSTERONE 24 HOUR URINE - ARUP,51.0,51.0,,,0 CDM,3018208805,HC ALDOSTERONE INTERNAL SAMPLING - ARUP,48.0,48.0,,,0 CDM,3018210301,HC ALPHA-1-ANTITRYPSIN TOTAL,418.5,418.5,,,0 CDM,3018210302,HC ALPHA 1 ANTITRYPSIN STOOL - ARUP,256.0,256.0,,,0 CDM,3018210303,HC ALPHA-1-ANTITRYPSIN - ALPHA-1-ANTITRYPSIN,419.0,419.0,,,0 CDM,3018210304,HC A1A GENOTYPE WITH REFLEX TO PHENOTYPE - ARUP,210.0,210.0,,,0 CDM,3018210305,HC ALPHA-1-ANTITRYPSIN - ARUP,38.0,38.0,,,0 CDM,3018210306,HC ALPHA 1 ANTITRYPSIN PHENOTYPE - ARUP,109.0,109.0,,,0 CDM,3018210307,HC ALPHA-1-ANTITRYPSIN TOTAL - A1A PHENOTYPE - ARUP,49.0,49.0,,,0 CDM,3018210308,HC ALPHA-1-ANTITRYPSIN TOTAL - AIA GENOTYPE - ARUP,195.0,195.0,,,0 CDM,3018210402,HC ALPHA 1 ANTITRYPSIN PHENOTYPE - ARUP,121.0,121.0,,,0 CDM,3018210403,HC ALPHA 1 ANTITRYPSIN PHENOTYPE - A1A PHENOTYPE - ARUP,53.0,53.0,,,0 CDM,3018210501,HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER,341.5,341.5,,,0 CDM,3018210502,HC ALPHA FETOPROTEIN MATERNAL SERUM - ARUP,84.5,84.5,,,0 CDM,3018210504,HC INTEGRATED SCREEN 2ND TRIMESTER - AFP,314.0,314.0,,,0 CDM,3018210505,HC MATERNAL QUAD SCREEN - AFP,314.0,314.0,,,0 CDM,3018210506,HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER SERUM - ARUP,80.0,80.0,,,0 CDM,3018210507,"HC ALPHA FETOPROTEIN, TUMOR MARKER - QWDL",60.0,60.0,,,0 CDM,3018210601,"HC ALPHA-FETOPROTEIN; AMNIOTIC - ALPHA-FETOPROTEIN, AMNIOTIC FLUID",117.0,117.0,,,0 CDM,3018210701,"HC ALPHA-FETOPROTEIN L3 - ALPHA FETOPROTEIN, L3 PERCENT",327.0,327.0,,,0 CDM,3018210702,HC ALPHA FETOPROTEIN (AFP) TOTAL AND L3 PERCENT - ARUP,416.0,416.0,,,0 CDM,3018210703,HC AFP TOTAL & L3 PERCENT-HEPATOCELLULAR CARCINOMA TUMOR MARKER PANEL-ARUP,420.0,420.0,,,0 CDM,3018210801,HC ASSAY OF ALUMINUM - ALUMINUM LEVEL,94.0,94.0,,,0 CDM,3018210802,HC ALUMINUM LEVEL - ARUP,58.0,58.0,,,0 CDM,3018212801,"HC AMINO ACIDS, MULTIPLE QUAL - AMINO ACIDS, QUALITATIVE, URINE",182.0,182.0,,,0 CDM,3018212802,"HC ASSAY AMINO ACIDS, MULTIPLE QUAL - AMINO ACIDS, QUALITATIVE",182.0,182.0,,,0 CDM,3018213101,"HC AMINO ACIDS, SINGLE QUANTITATION - CYSTINE URINE QUANTITATIVE",193.0,193.0,,,0 CDM,3018213102,HC PHENYLALANINE LEVEL,165.0,165.0,,,0 CDM,3018213103,"HC ASSAY AMINO ACIDS, SINGLE QUANTITATION - CYSTINE 24 HR URINE",191.0,191.0,,,0 CDM,3018213104,"HC ASSAY AMINO ACIDS, SINGLE QUANTITATION - CYSTINE RANDOM URINE",191.0,191.0,,,0 CDM,3018213105,HC ASSAY AMINO ACIDS SINGLE QUANTITATION - LEUCINE,191.0,191.0,,,0 CDM,3018213106,HC ASSAY AMINO ACIDS SINGLE QUANTITATION - ISOLEUCINE,191.0,191.0,,,0 CDM,3018213107,HC ASSAY AMINO ACIDS SINGLE QUANTITATION - VALINE,191.0,191.0,,,0 CDM,3018213108,HC LEUCINE - MAPLE SYRUP URINE DISEASE (MSUD) AMINO ACIDS,214.0,214.0,,,0 CDM,3018213109,HC ISOLEUCINE - MAPLE SYRUP URINE DISEASE (MSUD) AMINO ACIDS,214.0,214.0,,,0 CDM,3018213110,HC VALINE - MAPLE SYRUP URINE DISEASE (MSUD) AMINO ACIDS,214.0,214.0,,,0 CDM,3018213111,HC CYSTINE URINE QUANTITATIVE ARUP,286.0,286.0,,,0 CDM,3018213112,HC PHENYLALANINE LEVEL - PHENYLALANINE AND TYROSINE - ARUP,268.0,268.0,,,0 CDM,3018213501,"HC ASSAY, AMINOLEVULINIC ACID - AMINOLEVULINIC ACID 24HR",131.0,131.0,,,0 CDM,3018213502,HC AMINOLEVULINIC ACID URINE 24 HOUR - ARUP,211.0,211.0,,,0 CDM,3018213601,HC AMINO ACIDS 2 TO 5 QUANT - AMINO ACIDS,696.0,696.0,,,0 CDM,3018213901,"HC AMINO ACIDS, 6+ QUANT - AMINO ACID QUANT,URINE",226.0,226.0,,,0 CDM,3018213902,"HC AMINO ACIDS, 6+ QUANT - AMINO ACIDS, PLASMA",226.0,226.0,,,0 CDM,3018213903,HC AMINO ACIDS 6+ QUANT - AMINO ACIDS CSF,226.0,226.0,,,0 CDM,3018213904,HC AMINO ACID QUANT URINE - ARUP,436.0,436.0,,,0 CDM,3018213905,HC AMINO ACIDS CSF - ARUP,526.0,526.0,,,0 CDM,3018213906,"HC AMINO ACIDS, 6+ QUANT PLASMA - ARUP",294.0,294.0,,,0 CDM,3018214001,HC AMMONIA LEVEL,310.0,310.0,,,0 CDM,3018215001,HC ASSAY OF AMYLASE - AMYLASE BODY FLUID,258.0,258.0,,,0 CDM,3018215002,"HC ASSAY OF AMYLASE - AMYLASE,RANDOM",221.0,221.0,,,0 CDM,3018215004,"HC ASSAY OF AMYLASE - AMYLASE,TIMED URINE",207.0,207.0,,,0 CDM,3018215005,HC AMYLASE LEVEL,201.5,201.5,,,0 CDM,3018215006,HC ASSAY OF AMYLASE - POCT AMYLASE,258.0,258.0,,,0 CDM,3018215007,HC SALIVARY AMYLASE ISOENZYME - AMYLASE ISOENZYMES - ARUP,47.5,47.5,,,0 CDM,3018215008,HC SALIVARY AMYLASE ISOENZYME - AMYLASE ISOENZYMES - ARUP,53.0,53.0,,,0 CDM,3018215009,HC AMYLASE URINE RANDOM,371.0,371.0,,,0 CDM,3018215010,HC PANCREATIC AMYLASE ISOENZYME - AMYLASE ISOENZYMES - ARUP,53.0,53.0,,,0 CDM,3018215701,HC ASSAY OF ANDROSTENEDIONE - ANDROSTENEDIONE,130.0,130.0,,,0 CDM,3018215702,HC ANDROSTENEDIONE LEVEL - ARUP,101.0,101.0,,,0 CDM,3018216401,HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERTING ENZYME,89.5,89.5,,,0 CDM,3018216402,HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERT ENZYME CSF,98.0,98.0,,,0 CDM,3018216403,HC ANGIOTENSIN CONVERT ENZYME CSF - ARUP,84.0,84.0,,,0 CDM,3018216601,HC ANTI-MULLERIAN HORMONE (AMH) ASSAY,190.0,190.0,,,0 CDM,3018217201,HC ASSAY OF APOLIPOPROTEIN - LIPOPROTEIN A (LPA),65.0,65.0,,,0 CDM,3018217202,HC APOLIPOPROTEIN B100,68.0,68.0,,,0 CDM,3018217203,HC FIBROSURE ASH - APOLIPORPOTEIN A-1,109.5,109.5,,,0 CDM,3018217204,HC ASSAY OF APOLIPOPROTEIN - EACH,86.0,86.0,,,0 CDM,3018217205,HC APOLIPOPROTEIN A1 - ARUP,46.0,46.0,,,0 CDM,3018217206,HC APOLIPOPROTEIN B 100 - ARUP,46.0,46.0,,,0 CDM,3018217207,HC LIPOPROTEIN A - CARDIO IQ - QWDL,93.0,93.0,,,0 CDM,3018217208,"HC APOLIPOPROTEIN E - B-AMYLOID RATIO, APOE ISOFORM, CSF - QUEST",1406.0,1406.0,,,0 CDM,3018217502,"HC ASSAY OF ARSENIC - ARSENIC,FRACTIONATION,UR",46.0,46.0,,,0 CDM,3018217503,HC ASSAY OF ARSENIC - ARSENIC RANDOM URINE,99.0,99.0,,,0 CDM,3018217504,HC ARSENIC URINE HEAVY METALS PANEL 3- ARUP,55.0,55.0,,,0 CDM,3018217505,HC ARSENIC LEVEL,61.0,61.0,,,0 CDM,3018217506,HC HEAVY METALS URINE,61.0,61.0,,,0 CDM,3018217507,HC HEAVY METALS,61.0,61.0,,,0 CDM,3018217508,HC ARSENIC FRACTIONATIONED URINE - ARUP,99.0,99.0,,,0 CDM,3018217509,HC ARSENIC LEVEL BLOOD - ARUP,50.0,50.0,,,0 CDM,3018217510,HC ARSENIC URINE - HEAVY METALS PANEL 3 - ARUP,58.0,58.0,,,0 CDM,3018217511,HC ARSENIC FRACTIONATION URINE REFLEX - ARUP,366.0,366.0,,,0 CDM,3018217512,HC ARSENIC LEVEL URINE RANDOM - ARUP,55.0,55.0,,,0 CDM,3018218001,HC ASSAY OF ASCORBIC ACID - VITAMIN C,115.0,115.0,,,0 CDM,3018218002,HC VITAMIN C (ASCORBIC ACID) LEVEL - ARUP,76.0,76.0,,,0 CDM,3018223201,HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN CSF,68.0,68.0,,,0 CDM,3018223202,HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN,151.5,151.5,,,0 CDM,3018223203,HC BETA 2 MICROGLOBULIN URINE,150.0,150.0,,,0 CDM,3018223204,HC BETA 2 MICROGLOBULIN CSF - ARUP,57.0,57.0,,,0 CDM,3018223205,HC BETA 2 MICROGLOBULIN SERUM - ARUP,46.0,46.0,,,0 CDM,3018223206,HC BETA 2 MICROGLOBULIN URINE - ARUP,81.0,81.0,,,0 CDM,3018223402,"HC ABETA42 - ALZHEMIER'S DISEASE MARKERS, CSF - ARUP",1320.0,1320.0,,,0 CDM,3018223901,"HC BILE ACIDS, TOTAL - BILE ACIDS, TOTAL",419.0,419.0,,,0 CDM,3018224702,HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID,58.5,58.5,,,0 CDM,3018224703,HC BILIRUBIN TOTAL,93.0,93.0,,,0 CDM,3018224704,HC BILIRUBIN TOTAL - BILIRUBIN NEONATAL,81.0,81.0,,,0 CDM,3018224708,HC BILIRUBIN TOTAL BODY FLUID - ARUP,36.0,36.0,,,0 CDM,3018224801,HC BILIRUBIN DIRECT,105.0,105.0,,,0 CDM,3018226101,HC ASSAY BIOTINIDASE - BIOTINIDASE LEVEL,131.0,131.0,,,0 CDM,3018226102,HC BIOTINIDASE LEVEL - ARUP,140.0,140.0,,,0 CDM,3018227001,"HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD",92.0,92.0,,,0 CDM,3018227101,HC OCCULT BLOOD GASTRIC / DUODENUM,162.0,162.0,,,0 CDM,3018227102,HC ASSAY OCCULT BLOOD - OCCULT BLOOD PEROXIDASE OTHER SOURCE,162.0,162.0,,,0 CDM,3018227201,HC OCCULT BLOOD - OCCULT BLOOD STOOL,119.0,119.0,,,0 CDM,3018227202,HC POC FECAL OCCULT BLOOD STOOL,111.0,111.0,,,0 CDM,3018227401,HC OCCULT BLOOD - 1 TO 3 SIMULTANEOUS TESTS POC,337.0,337.0,,,0 CDM,3018227402,HC OCCULT BLOOD FECES SCREENING SPECIMEN #1,337.0,337.0,,,0 CDM,3018227403,HC OCCULT BLOOD FECES DIAGNOSTIC SPECIMEN #1,337.0,337.0,,,0 CDM,3018227404,"HC OCCULT BLOOD BY IMMUNOASSAY, FECES",337.0,337.0,,,0 CDM,3018227405,"HC OCCULT BLOOD BY IMMUNOASSAY, FECES - ARUP",113.0,113.0,,,0 CDM,3018230001,HC ASSAY OF CADMIUM - CADMIUM 24 HR URINE,99.0,99.0,,,0 CDM,3018230002,HC CADMIUM LEVEL BLOOD - ARUP,99.0,99.0,,,0 CDM,3018230003,HC CADMIUM LEVEL - PANEL 4 BLOOD ARUP,58.0,58.0,,,0 CDM,3018230004,"HC CADMIUM LEVEL, RANDOM URINE - ARUP",59.0,59.0,,,0 CDM,3018230601,HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY,424.5,424.5,,,0 CDM,3018230602,HC VITAMIN D2 AND D3 25 HYDROXY LEVEL - ARUP,142.5,142.5,,,0 CDM,3018230603,HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY - ARUP,47.0,47.0,,,0 CDM,3018230801,HC ASSAY OF CALCITONIN - CALCITONIN,97.0,97.0,,,0 CDM,3018230802,HC CALCITONIN - ARUP,84.0,84.0,,,0 CDM,3018231001,HC CALCIUM TOTAL LEVEL,92.0,92.0,,,0 CDM,3018231002,"HC ASSAY OF CALCIUM, TOTAL - POCT CALCIUM, TOTAL",83.0,83.0,,,0 CDM,3018231004,"HC ASSAY OF CALCIUM, TOTAL - ADDITIONAL CHARGE",83.0,83.0,,,0 CDM,3018231006,HC CALCIUM LEVEL TOTAL - PTH INTACT WITH CALCIUM - ARUP,21.5,21.5,,,0 CDM,3018233001,"HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED",264.5,264.5,,,0 CDM,3018233002,HC CALCIUM IONIZED - QWDL,72.5,72.5,,,0 CDM,3018233003,"HC CALCIUM, IONIZED - ARUP",67.0,67.0,,,0 CDM,3018234001,HC CALCIUM RANDOM URINE,254.5,254.5,,,0 CDM,3018234002,HC CALCIUM TIMED URINE,258.5,258.5,,,0 CDM,3018234003,HC CALCIUM 24 HR URINE CALCULI RISK - ARUP,30.0,30.0,,,0 CDM,3018234004,HC CALCIUM 24 HR URINE STONE RISK - ARUP,21.0,21.0,,,0 CDM,3018234005,"HC CALCIUM SUPERSATURATION PROFILE, URINE - ARUP",31.0,31.0,,,0 CDM,3018234006,HC CALCIUM RANDOM URINE - CALCIUM/CREATININE URINE RATIO,236.5,236.5,,,0 CDM,3018234007,HC CALCIUM TOTAL URINE - ARUP,34.0,34.0,,,0 CDM,3018234008,HC CALCIUM - KIDNEY STONE RISK PANEL URINE - ARUP,20.0,20.0,,,0 CDM,3018234009,HC CALCIUM RANDOM URINE - ARUP,34.0,34.0,,,0 CDM,3018235501,HC CALCULUS ASSAY - KIDNEY STONE ANALYSIS QUAL,82.0,82.0,,,0 CDM,3018236001,HC CALCULUS ANALYSIS - KIDNEY STONE ANALYSIS QUANT,57.0,57.0,,,0 CDM,3018236501,"HC CALCULUS ASSAY,INFRARED SPECTR - KIDNEY STONE ANALYSIS",92.0,92.0,,,0 CDM,3018236502,HC ASSAY CALCULUS INFRARED SPECTR - KIDNEY STONE ANALYSIS QUANT,92.0,92.0,,,0 CDM,3018237301,HC ASSAY CARBOHYDRATE DEF TRANSFERRIN - CARBOHYDRATE DEFICIENT TRANS,486.0,486.0,,,0 CDM,3018237302,HC CARBOHYDRATE DEFICIENT TRANSFERRIN FOR ALCOHOL USE - ARUP,457.0,457.0,,,0 CDM,3018237303,HC CARBOHYDRATE DEFICIENT TRANSFERRIN (CDT) - ARUP,1224.0,1224.0,,,0 CDM,3018237401,HC CO2 TOTAL BLOOD,58.5,58.5,,,0 CDM,3018237402,HC ASSAY URINE CARBON DIOXIDE - CO2 TOTAL,59.0,59.0,,,0 CDM,3018237403,HC CARBON DIOXIDE (CO2) TOTAL URINE - ARUP,38.0,38.0,,,0 CDM,3018237501,HC ASSAY BLOOD CARBON MONOXIDE - CARBOXYHEMOGLOBIN,135.0,135.0,,,0 CDM,3018237502,"HC CARBOXYHEMOGLOBIN QUANT, CO-OX, WHOLE BLOOD - ARUP",325.0,325.0,,,0 CDM,3018237801,HC CARCINOEMBRYONIC ANTIGEN (CEA),477.5,477.5,,,0 CDM,3018237802,HC CARCINOEMBRYONIC ANTIGEN FLUID,479.5,479.5,,,0 CDM,3018237803,HC CARCINOEMBRYONIC ANTIGEN (CEA) (QWDL),59.0,59.0,,,0 CDM,3018237804,HC CARCINOEMBRYONIC ANTIGEN (CEA) (ARUP),47.0,47.0,,,0 CDM,3018237805,HC CARCINOEMBRYONIC ANTIGEN (CEA) FLUID - ARUP,74.0,74.0,,,0 CDM,3018237901,HC ASSAY OF CARNITINE - CARNITINE,129.0,129.0,,,0 CDM,3018237902,HC CARNITINE TOTAL AND FREE QUANT - CARNITINE PANEL - ARUP,316.0,316.0,,,0 CDM,3018237903,HC CARNITINE TOTAL AND FREE - ARUP,130.0,130.0,,,0 CDM,3018238001,"HC ASSAY OF CAROTENE - CAROTENE, SERUM",95.0,95.0,,,0 CDM,3018238002,HC CAROTENE LEVEL SERUM - ARUP,64.0,64.0,,,0 CDM,3018238401,"HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINE 24 HR URINE",84.5,84.5,,,0 CDM,3018238402,"HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINES FRACTIONATED PL",95.0,95.0,,,0 CDM,3018238403,"HC CATECHOLAMINES, FRACTIONATED, BY LC-MS/MS - ARUP",105.0,105.0,,,0 CDM,3018238404,"HC CATECHOLAMINES, FRACTIONATED, URINE 24 HOUR - QWDL",71.0,71.0,,,0 CDM,3018238405,"HC CATECHOLAMINES, FRACTIONATED, PLASMA - ARUP",117.0,117.0,,,0 CDM,3018239001,HC ASSAY OF CERULOPLASMIN - CERULOPLASMIN,262.0,262.0,,,0 CDM,3018239002,HC CERULOPLASMIN LEVEL,241.0,241.0,,,0 CDM,3018239003,HC CERULOPLASMIN LEVEL - ARUP,30.0,30.0,,,0 CDM,3018239701,HC CHEMILUMINESCENT ASSAY - INTERLEUKIN-6,193.0,193.0,,,0 CDM,3018239702,HC CHEMILUMINESCENT ASSAY - IGF BINDING PROTEIN 3,139.5,139.5,,,0 CDM,3018239703,HC CHEMILUMINESCENT ASSAY - PITUITARY GLYCOPROTEIN,141.5,141.5,,,0 CDM,3018239704,HC CHEMILUMINESCENT ASSAY - MISCELLANEOUS,227.0,227.0,,,0 CDM,3018239705,HC CHEMILUMINESCENT ASSAY - LEPTIN QUANT,141.5,141.5,,,0 CDM,3018239706,HC CHEMILUMINESCENT ASSAY - VASCULAR ENDOTHELIAL GROWTH FACTOR,141.5,141.5,,,0 CDM,3018239707,HC IGF BINDING PROTEIN 3 - ARUP,78.0,78.0,,,0 CDM,3018239708,HC CHEMILUMINESCENT ASSAY - ANTIBODIES TO INFLIXIMAB QUANT - ARUP,332.0,332.0,,,0 CDM,3018239709,HC CHEMILUMINESCENT ASSAY - ANTIBODIES TO ADALIMUMAB QUANT - ARUP,332.0,332.0,,,0 CDM,3018243501,HC CHLORIDE BLOOD,129.0,129.0,,,0 CDM,3018243502,HC CHLORIDE BLOOD POC,129.0,129.0,,,0 CDM,3018243601,HC CHLORIDE URINE TIMED,256.0,256.0,,,0 CDM,3018243604,"HC CHLORIDE SUPERSATURATION PROFILE, URINE - ARUP",30.0,30.0,,,0 CDM,3018243605,HC CHLORIDE URINE CALCULI RISK ASSESSMENT - ARUP,28.0,28.0,,,0 CDM,3018243606,HC CHLORIDE URINE RANDOM,256.0,256.0,,,0 CDM,3018243607,HC CHLORIDE URINE 24 HOUR TIMED,268.0,268.0,,,0 CDM,3018243801,HC ASSAY OTHER FLUID CHLORIDES - CHLORIDE BODY FLUID,83.0,83.0,,,0 CDM,3018243804,HC ASSAY OTHER FLUID CHLORIDES - ADDITIONAL CHARGE,97.0,97.0,,,0 CDM,3018243805,HC CHLORIDE LEVEL STOOL - ARUP,56.0,56.0,,,0 CDM,3018244101,HC TEST FOR CHLOROHYDROCARBONS - POLYCHLORINATED BIPHENYLS,273.0,273.0,,,0 CDM,3018244102,HC POLYCHLORINATED BIPHENYLS - ARUP,513.0,513.0,,,0 CDM,3018246501,"HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID",70.5,70.5,,,0 CDM,3018246502,"HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL",93.0,93.0,,,0 CDM,3018248002,"HC ASSAY, SERUM CHOLINESTERASE - PSEUDOCHOLINESTERASE PHENOTYPE",115.0,115.0,,,0 CDM,3018248003,"HC ASSAY, SERUM CHOLINESTERASE - CHOLINESTERASE",107.0,107.0,,,0 CDM,3018248004,HC CHOLINESTERASE WHOLE BLOOD,107.0,107.0,,,0 CDM,3018248005,HC CHOLINESTERASE,44.0,44.0,,,0 CDM,3018248201,"HC ASSAY, RBC CHOLINESTERASE - CHOLINESTERASE, RBC",101.0,101.0,,,0 CDM,3018249501,HC ASSAY OF CHROMIUM - CHROMIUM LEVEL,99.0,99.0,,,0 CDM,3018249502,HC CHROMIUM LEVEL - ARUP,59.0,59.0,,,0 CDM,3018250701,HC ASSAY OF CITRATE - CITRATE 24 HOUR URINE,97.0,97.0,,,0 CDM,3018250702,HC CITRATE - STONE RISK PANEL - ARUP,98.0,98.0,,,0 CDM,3018250703,HC CITRATE URINE CALCULI RISK ASSESSMENT - ARUP,138.0,138.0,,,0 CDM,3018250704,HC ASSAY OF CITRATE - CITRATE BLOOD,153.0,153.0,,,0 CDM,3018250705,HC CITRATE 24 HOUR URINE - ARUP,55.0,55.0,,,0 CDM,3018250706,HC CITRIC ACID - KIDNEY STONE RISK PANEL URINE - ARUP,91.0,91.0,,,0 CDM,3018250707,HC CITRIC ACID - SUPERSATURATION PROFILE - ARUP,142.0,142.0,,,0 CDM,3018252301,HC ASSAY FOR COLLAGEN CROSS LINKS - COLLAGEN TYPE I CROSSLINK,182.0,182.0,,,0 CDM,3018252302,"HC ASSAY FOR COLLAGEN CROSS LINKS - N-TELOPEPTIDE, URINE",120.0,120.0,,,0 CDM,3018252303,HC N-TELOPEPTIDE,170.0,170.0,,,0 CDM,3018252304,HC DEOXYPYRIDINOLINE CROSSLINKS URINE,170.0,170.0,,,0 CDM,3018252305,"HC C-TELOPEPTIDE, BETA-CROSS -LINKED, SERUM - ARUP",168.0,168.0,,,0 CDM,3018252306,"HC N-TELOPEPTIDE, CROSS-LINKED, SERUM - ARUP",399.0,399.0,,,0 CDM,3018252307,HC N TELOPEPTIDE URINE - ARUP,93.0,93.0,,,0 CDM,3018252501,HC ASSAY OF COPPER - COPPER LIVER TISSUE,151.5,151.5,,,0 CDM,3018252503,HC ASSAY OF COPPER - COPPER RANDOM URINE,49.0,49.0,,,0 CDM,3018252504,"HC ASSAY OF COPPER - COPPER, SERUM",47.0,47.0,,,0 CDM,3018252505,HC COPPER LIVER TISSUE - ARUP,437.0,437.0,,,0 CDM,3018253002,"HC CORTISOL, FREE - CORTISOL, FREE",78.0,78.0,,,0 CDM,3018253003,"HC CORTISOL, FREE - CORTISOL, URINE, FREE",70.5,70.5,,,0 CDM,3018253004,HC CORTISOL FREE - ARUP,127.0,127.0,,,0 CDM,3018253005,HC CORTISOL FREE URINE - ARUP,78.0,78.0,,,0 CDM,3018253301,HC CORTISOL TOTAL,109.0,109.0,,,0 CDM,3018253302,HC TOTAL CORTISOL - ACTH STIMULATION BASELINE,320.5,320.5,,,0 CDM,3018253303,HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES,320.5,320.5,,,0 CDM,3018253304,HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR,320.5,320.5,,,0 CDM,3018253305,HC TOTAL CORTISOL AM - QWDL,83.0,83.0,,,0 CDM,3018253306,HC TOTAL CORTISOL - CORTISOL PM,320.5,320.5,,,0 CDM,3018253307,HC TOTAL CORTISOL - ACTH STIMULATION 90 MINUTES,320.5,320.5,,,0 CDM,3018253308,HC CORTISOL SALIVA,320.5,320.5,,,0 CDM,3018253309,HC CORTISOL SALIVARY - ARUP,133.0,133.0,,,0 CDM,3018253310,HC CORTISOL TOTAL - QWDL,76.0,76.0,,,0 CDM,3018253311,HC CORTISOL TOTAL - ARUP,74.0,74.0,,,0 CDM,3018253312,HC CORTISOL INTERNAL SAMPLING - ARUP,36.0,36.0,,,0 CDM,3018254001,HC ASSAY OF CREATINE - CREATINE,101.5,101.5,,,0 CDM,3018254002,HC CREATINE LEVEL URINE,100.0,100.0,,,0 CDM,3018254003,HC CREATINE LEVEL - ARUP,252.0,252.0,,,0 CDM,3018254004,HC CREATINE LEVEL URINE - ARUP,253.0,253.0,,,0 CDM,3018254202,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC - PARALDEHYDE,164.0,164.0,,,0 CDM,3018254203,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC ACYLGLYCINES URINE,353.0,353.0,,,0 CDM,3018254204,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC COENZYME Q10,199.0,199.0,,,0 CDM,3018254205,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC DIHYDROTESTOSTERONE,164.0,164.0,,,0 CDM,3018254206,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,539.5,539.5,,,0 CDM,3018254207,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC PARATHYROID HORMONE RELATED PEPTIDE,161.0,161.0,,,0 CDM,3018254208,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC PORPHYRINS PLASMA FRACTIONATED,164.0,164.0,,,0 CDM,3018254209,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC SULFONYLUREA HYPOGLYCEMICS,164.0,164.0,,,0 CDM,3018254210,HC ACYLGLYCINES QUANT URINE - ARUP,702.0,702.0,,,0 CDM,3018254211,HC OMEGA 3 AND 6 FATTY ACIDS - QST,210.0,210.0,,,0 CDM,3018254212,HC COENZYME Q10 TOTAL - ARUP,273.0,273.0,,,0 CDM,3018254213,HC N-METHYLHISTAMINE URINE 24 HOUR - ARUP,478.0,478.0,,,0 CDM,3018254214,HC PORPHYRINS FRACTIONATED PLASMA - PORPHYRINS TOTAL WITH REFLEX - ARUP,718.0,718.0,,,0 CDM,3018254215,HC PTH-RELATED PEPTIDE - ARUP,126.0,126.0,,,0 CDM,3018254216,"HC FATTY ACIDS PROFILE, ESSENTIAL - ARUP",725.5,725.5,,,0 CDM,3018254217,"HC APOLIPOPROTEIN E (APOE) ISOFORM, CSF - QUEST",2099.0,2099.0,,,0 CDM,3018254218,"HC BETA-AMYLOID 42 - B-AMYLOID RATIO, APOE ISOFORM, CSF - QUEST",1607.0,1607.0,,,0 CDM,3018254219,"HC BETA-AMYLOID 40 - B-AMYLOID RATIO, APOE ISOFORM, CSF - QUEST",1607.0,1607.0,,,0 CDM,3018254220,HC OMEGACHECK - QDID,147.0,147.0,,,0 CDM,3018255001,HC CK (CPK) TOTAL,92.0,92.0,,,0 CDM,3018255002,HC CK (CPK) TOTAL - ARUP,43.0,43.0,,,0 CDM,3018255006,HC CREATINE KINASE (CK) TOTAL,111.0,111.0,,,0 CDM,3018255007,HC CREATINE KINASE (CK) TOTAL - ARUP,36.0,36.0,,,0 CDM,3018255008,HC CREATINE KINASE (CPK) TOTAL - CK ISOENZYMES - ARUP,24.0,24.0,,,0 CDM,3018255201,HC CPK ISOENZYMES,103.0,103.0,,,0 CDM,3018255202,HC CREATINE KINASE ISOENZYMES - CK ISOENZYMES - ARUP,51.0,51.0,,,0 CDM,3018255301,"HC CREATINE, MB FRACTION - CK TOTAL AND CKMB",94.0,94.0,,,0 CDM,3018255302,"HC CREATINE, MB FRACTION - CKMB",94.0,94.0,,,0 CDM,3018255303,"HC CREATINE, MB FRACTION - CKMB - ARUP",72.0,72.0,,,0 CDM,3018256501,HC CREATININE LEVEL,92.0,92.0,,,0 CDM,3018256504,"HC CREATININE, EGFR - CYSTATIN, CREATININE, EGFR - ARUP",38.0,38.0,,,0 CDM,3018257001,HC CREATININE LEVEL RANDOM URINE,201.0,201.0,,,0 CDM,3018257002,HC CREATININE TIMED URINE,207.0,207.0,,,0 CDM,3018257003,HC ASSAY OF URINE CREATININE - POCT CREATININE,207.0,207.0,,,0 CDM,3018257004,"HC ASSAY OF URINE CREATININE - CREATININE, URINE, 24 HOUR",207.0,207.0,,,0 CDM,3018257005,HC CREATININE LEVEL BODY FLUID,209.0,209.0,,,0 CDM,3018257006,HC CREATININE LEVEL - CALCIUM/CREATININE URINE RATIO,350.0,350.0,,,0 CDM,3018257007,HC CREATININE LEVEL URINE 12 HOUR,350.0,350.0,,,0 CDM,3018257008,HC CREATININE LEVEL URINE 8 HOUR,350.0,350.0,,,0 CDM,3018257009,HC CREATININE LEVEL RANDOM URINE - QWDL,20.0,20.0,,,0 CDM,3018257010,HC CREATININE LEVEL BODY FLUID - ARUP,34.0,34.0,,,0 CDM,3018257011,HC CREATININE LEVEL - ALBUMIN / CREATININE RATIO URINE - ARUP,18.0,18.0,,,0 CDM,3018257013,HC CREATININE LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE MG/L,302.5,302.5,,,0 CDM,3018257015,HC CREATININE LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE MG/MMOL,302.5,302.5,,,0 CDM,3018257016,HC CREATININE LEVEL-MICROALBUMIN/CREATININE RATIO RANDOM URINE MG/DL,302.5,302.5,,,0 CDM,3018257017,HC CREATININE LEVEL URINE 24 HOUR,302.5,302.5,,,0 CDM,3018257018,HC CREATININE LEVEL - PROTEIN/CREATININE RATIO URINE,257.0,257.0,,,0 CDM,3018257019,HC CREATININE LEVEL - PROTEIN/CREATININE RATIO URINE - QWDL,25.0,25.0,,,0 CDM,3018257020,HC CREATININE LEVEL URINE - ARUP,26.0,26.0,,,0 CDM,3018257501,HC CREATININE CLEARANCE URINE 24 HOUR,446.0,446.0,,,0 CDM,3018258501,HC ASSAY OF CRYOFIBRINOGEN - CRYOFIBRINOGEN,28.0,28.0,,,0 CDM,3018258502,HC CRYOFIBRINOGEN LEVEL - ARUP,28.0,28.0,,,0 CDM,3018259501,HC ASSAY OF CRYOGLOBULIN - CRYOGLOBULIN,371.0,371.0,,,0 CDM,3018260001,HC ASSAY OF CYANIDE - CYANIDE LEVEL,157.0,157.0,,,0 CDM,3018260002,HC CYANIDE LEVEL - ARUP,357.0,357.0,,,0 CDM,3018260701,HC VITAMIN B12 LEVEL,262.0,262.0,,,0 CDM,3018260702,HC VITAMIN B12 - QWDL,63.0,63.0,,,0 CDM,3018260801,HC B-12 BINDING CAPACITY - B-12 BINDING CAPACITY,69.0,69.0,,,0 CDM,3018260802,HC VITAMIN B12 BINDING CAPACITY - ARUP,92.0,92.0,,,0 CDM,3018261001,HC CYSTATIN C,563.0,563.0,,,0 CDM,3018261002,"HC CYSTATIN C, WITH REFLEX - ARUP",182.0,182.0,,,0 CDM,3018261003,"HC CYSTATIN - CYSTATIN, CREATININE, EGFR - ARUP",136.0,136.0,,,0 CDM,3018262601,HC DEHYDROEPIANDROSTERONE - DHEA,101.0,101.0,,,0 CDM,3018262602,HC DEHYDROEPIANDROSTERONE (DHEA) - ARUP,63.0,63.0,,,0 CDM,3018262701,HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE,782.0,782.0,,,0 CDM,3018262702,HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - QWDL,42.0,42.0,,,0 CDM,3018262703,HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - ARUP,46.0,46.0,,,0 CDM,3018263301,HC DESOXYCORTICOSTERONE - DEOXYCORTICOSTERONE,140.0,140.0,,,0 CDM,3018263401,HC DEOXYCORTISOL - 11-DEOXYCORTISOL,122.0,122.0,,,0 CDM,3018263403,HC 11 DEOXYCORTISOL - ARUP,134.0,134.0,,,0 CDM,3018263802,HC CHOLINESTERASE AND DIBUCAINE NUMBER,70.0,70.0,,,0 CDM,3018264201,HC DIHYDROTESTOSTERONE,134.0,134.0,,,0 CDM,3018264202,HC 5 A DIHYDROTESTOSTERONE - ARUP,84.0,84.0,,,0 CDM,3018265201,"HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1",182.0,182.0,,,0 CDM,3018265202,"HC VITAMIN D 1,25 DIHYDROXY - ARUP",64.0,64.0,,,0 CDM,3018265301,"HC PANCREATIC ELASTASE, FECAL, QUANT",162.0,162.0,,,0 CDM,3018265302,HC PANCREATIC ELASTASE STOOL QUANT - ARUP,231.0,231.0,,,0 CDM,3018265701,HC ENZYME ACTIVITY NOS,360.0,360.0,,,0 CDM,3018265702,HC ENZYME ACTIVITY NOS ALPHA GALACTOSIDASE,248.0,248.0,,,0 CDM,3018265703,HC ENZYME ACTIVITY NOS DISACCHARIDASE TISSUE,197.0,197.0,,,0 CDM,3018265704,HC ENZYME ACTIVITY NOS LYSOSOMAL ACID LIPASE,487.0,487.0,,,0 CDM,3018265705,HC ENZYME ACTIVITY NOS THIOPURINE METHYLTRANSFERASE,327.0,327.0,,,0 CDM,3018265706,HC ENZYME ACTIVITY NOS UROPORPHYRINOGEN 1 SYNTHASE PBG,248.0,248.0,,,0 CDM,3018265707,HC ARYLSULFATASE A WHITE BLOOD CELLS,591.0,591.0,,,0 CDM,3018265708,HC PORPHOBILINOGEN DEAMINASE RED BLOOD CELL,161.0,161.0,,,0 CDM,3018265709,HC PORPHOBILINOGEN DEAMINASE RBC - ARUP,295.0,295.0,,,0 CDM,3018265710,HC ALPHA GALACTOSIDASE - ARUP,1333.0,1333.0,,,0 CDM,3018265711,HC ENZYME ACTIVITY NOS LYSOSOMAL ACID LIPASE - ARUP,924.0,924.0,,,0 CDM,3018265712,HC TISSUE DISACCHARIDASE - ARUP,337.0,337.0,,,0 CDM,3018266401,HC ELECTROPHORETIC TEST - IMMUNOFIXATION ELECTROPHORESIS,331.0,331.0,,,0 CDM,3018266403,HC MUCOPOLYSACCHARIDES URINE,119.0,119.0,,,0 CDM,3018266404,HC CHYLOMICRONS FLUID,113.0,113.0,,,0 CDM,3018266801,HC ASSAY OF ERYTHROPOIETIN - ERYTHROPOIETIN,105.0,105.0,,,0 CDM,3018266802,HC ERYTHROPOIETIN LEVEL - ARUP,34.0,34.0,,,0 CDM,3018267001,HC ASSAY OF ESTRADIOL - ESTRADIOL,700.0,700.0,,,0 CDM,3018267002,HC ESTRADIOL LEVEL PEDIATRICS,403.0,403.0,,,0 CDM,3018267003,HC ESTRADIOL LEVEL - FEMALE ADULT PREMENOPAUSE - ARUP,51.0,51.0,,,0 CDM,3018267101,"HC ASSAY OF ESTROGENS - ESTROGENS, FRACTIONATED",97.0,97.0,,,0 CDM,3018267102,HC ESTROGENS FRACTIONATED - ARUP,51.0,51.0,,,0 CDM,3018267201,HC ASSAY OF ESTROGEN - ESTROGENS TOTAL,321.0,321.0,,,0 CDM,3018267202,HC ESTROGENS TOTAL - QWDL,119.0,119.0,,,0 CDM,3018267701,HC ASSAY OF ESTRIOL - ADDITIONAL CHARGE,99.0,99.0,,,0 CDM,3018267702,HC ASSAY OF ESTRIOL - UNCONJUGATED ESTRIOL 3,68.0,68.0,,,0 CDM,3018267703,HC ESTRIOL LEVEL - ARUP,56.0,56.0,,,0 CDM,3018267705,HC MATERNAL QUAD SCREEN - ESTRIOL,110.0,110.0,,,0 CDM,3018267902,HC ASSAY OF ESTRONE - ESTRONE,93.5,93.5,,,0 CDM,3018267903,HC ESTRONE LEVEL - ARUP,105.0,105.0,,,0 CDM,3018268102,HC ESTRADIOL FREE - ARUP,517.0,517.0,,,0 CDM,3018269301,HC ASSAY OF ETHYLENE GLYCOL - ETHYLENE GLYCOL,117.0,117.0,,,0 CDM,3018270501,HC FECAL FAT QUAL,304.0,304.0,,,0 CDM,3018270502,HC FECAL FAT QUAL - ARUP,76.0,76.0,,,0 CDM,3018271001,"HC FATS/LIPIDS, FECES, QUANTITATIVE - FECAL FAT QUANTITATIVE",74.0,74.0,,,0 CDM,3018271002,HC FECAL FAT OR LIPIDS QUANTITATIVE,74.0,74.0,,,0 CDM,3018271003,HC FECAL FAT QUANT - QST,161.0,161.0,,,0 CDM,3018272501,"HC ASSAY OF BLOOD FATTY ACIDS - FATTY ACIDS, FREE",90.5,90.5,,,0 CDM,3018272502,HC FATTY ACIDS FREE - ARUP,127.0,127.0,,,0 CDM,3018272601,"HC LONG CHAIN FATTY ACIDS - FATTY ACIDS, LONG CHAIN",292.0,292.0,,,0 CDM,3018272602,"HC LONG CHAIN FATTY ACIDS - FATTY ACIDS PROFILE, PEROXISOMAL",292.0,292.0,,,0 CDM,3018272603,HC VERY LONG BRANCH CHAIN FATTY ACIDS - ARUP,510.0,510.0,,,0 CDM,3018272801,HC FERRITIN LEVEL,288.0,288.0,,,0 CDM,3018272802,HC NON-ALCOHOLIC FATTY LIVER DISEASE PANEL - FERRITIN,142.0,142.0,,,0 CDM,3018272803,HC FERRITIN LEVEL - QWDL,62.5,62.5,,,0 CDM,3018272804,"HC FERRITIN LEVEL - IRON, TIBC, FERRITIN PANEL - QWDL",31.0,31.0,,,0 CDM,3018272805,HC FERRITIN - LIVER FIBROSIS FIBROMETER NAFLD - ARUP,308.0,308.0,,,0 CDM,3018272806,HC FERRITIN LEVEL - QWDL,21.0,21.0,,,0 CDM,3018272807,HC FERRITIN LEVEL - ARUP,38.0,38.0,,,0 CDM,3018273101,HC FETAL FIBRONECTIN,1029.0,1029.0,,,0 CDM,3018274601,HC FOLATE LEVEL SERUM,347.0,347.0,,,0 CDM,3018274602,HC FOLATE LEVEL SERUM - QWDL,64.0,64.0,,,0 CDM,3018274701,HC FOLATE RBC LEVEL,270.5,270.5,,,0 CDM,3018274702,HC FOLATE RBC LEVEL - ARUP,51.0,51.0,,,0 CDM,3018276001,HC ASSAY OF GALACTOSE - GALACTOSE,134.0,134.0,,,0 CDM,3018277501,HC ASSAY GALACTOSE TRANSFERASE - GALACTOSE-1-PHOSPHATE TRANSFERASE,266.0,266.0,,,0 CDM,3018277503,HC GALACTOSE 1 PHOSPHATE TRANSFERASE - ARUP,516.0,516.0,,,0 CDM,3018277701,HC GALECTIN 3,237.0,237.0,,,0 CDM,3018277702,HC GALECTIN 3 - ARUP,424.0,424.0,,,0 CDM,3018278401,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IMMUNOGLOBULINS",555.0,555.0,,,0 CDM,3018278402,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGG",400.0,400.0,,,0 CDM,3018278403,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGM",216.0,216.0,,,0 CDM,3018278404,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGA",251.0,251.0,,,0 CDM,3018278405,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGG 1, 2, 3, AND 4",216.0,216.0,,,0 CDM,3018278406,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - CELIAC PANEL RFX",216.0,216.0,,,0 CDM,3018278407,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - CELIAC REFLEX PNL",216.0,216.0,,,0 CDM,3018278408,HC IGG LEVEL SERUM/CSF IGG SYNTH - ARUP,50.5,50.5,,,0 CDM,3018278409,HC IMMUNOGLOBULIN D,216.0,216.0,,,0 CDM,3018278410,HC IMMUNOGLOBULIN G CSF,216.0,216.0,,,0 CDM,3018278411,HC IMMUNOGLOBULIN M CSF,216.0,216.0,,,0 CDM,3018278412,HC IMMUNOGLOBULIN A CSF,216.0,216.0,,,0 CDM,3018278413,HC IMMUNOGLOBULIN G - IGG,216.0,216.0,,,0 CDM,3018278414,HC IMMUNOGLOBULIN M - IGM,216.0,216.0,,,0 CDM,3018278415,HC IMMUNOGLOBULIN A - IGA,216.0,216.0,,,0 CDM,3018278416,HC IGG LEVEL SERUM/CSF OLIGOCLONAL BAND PROFILE - ARUP,49.0,49.0,,,0 CDM,3018278417,HC GAMMAGLOBULIN G (IGG) - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,30.0,30.0,,,0 CDM,3018278418,HC GAMMAGLOBULIN A (IGA) - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,30.0,30.0,,,0 CDM,3018278419,HC GAMMAGLOBULIN M (IGM) - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,30.0,30.0,,,0 CDM,3018278420,HC IMMUNOGLOBULIN G (IGG) CSF,281.0,281.0,,,0 CDM,3018278421,HC IMMUNOGLOBULIN G (IGG) CSF - ARUP,30.0,30.0,,,0 CDM,3018278422,HC IMMUNOGLOBULIN M (IGM) - IMMUNOGLOBULINS IGG IGA IGM QUANTITATIVE - ARUP,25.0,25.0,,,0 CDM,3018278423,HC IMMUNOGLOBULIN G (IGG) - IMMUNOGLOBULINS IGG IGA IGM QUANTITATIVE - ARUP,25.0,25.0,,,0 CDM,3018278424,"HC IMMUNOGLOBULIN A (IGA) - IMMUNOGLOBULINS IGG, IGA, IGM - ARUP",25.0,25.0,,,0 CDM,3018278425,HC IMMUNOGLOBULIN A (IGA) CSF - ARUP,98.0,98.0,,,0 CDM,3018278426,HC IMMUNOGLOBULIN M (IGM) CSF - ARUP,98.0,98.0,,,0 CDM,3018278427,HC IMMUNOGLOBULIN G (IGG) - IMMUNOGLOBULINS CSF QUANT - ARUP,75.0,75.0,,,0 CDM,3018278428,HC IMMUNOGLOBULIN M (IGM) - IMMUNOGLOBULINS CSF QUANT - ARUP,75.0,75.0,,,0 CDM,3018278429,HC IMMUNOGLOBULIN A (IGA) - IMMUNOGLOBULINS CSF QUANT - ARUP,75.0,75.0,,,0 CDM,3018278430,HC IMMUNOGLOBULIN A (IGA) - CELIAC DISEASE REFLEX CASCADE - ARUP,76.0,76.0,,,0 CDM,3018278431,HC IMMUNOGLOBULIN D SERUM - ARUP,95.0,95.0,,,0 CDM,3018278432,HC IMMUNOGLOBULIN G(IGG)-IMMUNOGLOBULINS CRYOPRECIPITINS REFLEX SERUM- ARUP,50.0,50.0,,,0 CDM,3018278433,HC IMMUNOGLOBULIN M(IGM)-IMMUNOGLOBULINS CRYOPRECIPITINS REFLEX SERUM- ARUP,50.0,50.0,,,0 CDM,3018278434,HC IMMUNOGLOBULIN A(IGA)-IMMUNOGLOBULINS CRYOPRECIPITINS REFLEX SERUM- ARUP,50.0,50.0,,,0 CDM,3018278435,HC IMMUNOGLOBULIN G (IGG) - QWDL,31.0,31.0,,,0 CDM,3018278436,HC IMMUNOGLOBULIN G (IGG) - ARUP,25.0,25.0,,,0 CDM,3018278437,HC IMMUNOGLOBULIN G (IGG),350.5,350.5,,,0 CDM,3018278438,HC IMMUNOGLOBULIN M (IGM) - QWDL,31.0,31.0,,,0 CDM,3018278439,HC IMMUNOGLOBULIN M (IGM) - ARUP,25.0,25.0,,,0 CDM,3018278440,HC IMMUNOGLOBULIN G (IGG) - IMMUNOGLOBULIN G ALBUMIN RATIO CSF - ARUP,10.0,10.0,,,0 CDM,3018278441,HC IMMUNOGLOBULIN A (IGA),204.0,204.0,,,0 CDM,3018278442,HC IMMUNOGLOBULIN A (IGA) - QWDL,27.0,27.0,,,0 CDM,3018278443,HC IMMUNOGLOBULIN A (IGA) - ARUP,25.0,25.0,,,0 CDM,3018278444,HC IMMUNOGLOBULIN G (IGG) CSF - OLIGOCLONAL BAND PROFILE - ARUP,45.0,45.0,,,0 CDM,3018278445,HC IMMUNOGLOBULIN G (IGG) - OLIGOCLONAL BAND PROFILE CSF - ARUP,28.0,28.0,,,0 CDM,3018278446,HC IMMUNOGLOBULIN G (IGG) - OLIGOCLONAL BAND PROFILE SERUM - ARUP,45.0,45.0,,,0 CDM,3018278447,HC TOTAL IMMUNOGLOBULIN A WITH SUBCLASSES 1 - 2 (ARUP),113.0,113.0,,,0 CDM,3018278448,HC IGG - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP,39.0,39.0,,,0 CDM,3018278501,HC IMMUNOGLOBULIN E - IGE,277.0,277.0,,,0 CDM,3018278503,HC IMMUNOGLOBULIN E (IGE) - ARUP,34.0,34.0,,,0 CDM,3018278701,"HC IGG1, 2, 3 OR 4, EACH - IGG 1",68.5,68.5,,,0 CDM,3018278702,"HC IGG1, 2, 3 OR 4, EACH - IGG 2",107.0,107.0,,,0 CDM,3018278703,"HC IGG1, 2, 3 OR 4, EACH - IGG 3",107.0,107.0,,,0 CDM,3018278704,"HC IGG1, 2, 3 OR 4, EACH - IGG 4",396.5,396.5,,,0 CDM,3018278705,HC IGG SUBCLASSES 1-4,107.0,107.0,,,0 CDM,3018278706,HC IMMUNOGLOBULIN A SUBCLASSES,107.0,107.0,,,0 CDM,3018278707,"HC ASSAY IGA1, 2, 3 OR 4, EACH - IGA 1",107.0,107.0,,,0 CDM,3018278708,"HC ASSAY IGA1, 2, 3 OR 4, EACH - IGA 2",107.0,107.0,,,0 CDM,3018278709,HC IMMUNOGLOBULIN G SUBCLASS 1 (IGG1),179.0,179.0,,,0 CDM,3018278710,HC IMMUNOGLOBULIN G SUBCLASSES 1 - 4 (ARUP),168.0,168.0,,,0 CDM,3018278711,HC IMMUNOGLOBULIN G SUBCLASS 2 (IGG2),179.0,179.0,,,0 CDM,3018278712,HC IMMUNOGLOBULIN G SUBCLASS 3 (IGG3),179.0,179.0,,,0 CDM,3018278713,HC IMMUNOGLOBULIN G SUBCLASS 4 (IGG4),179.0,179.0,,,0 CDM,3018278714,HC IMMUNOGLOBULIN G SUBCLASSES 1 - 4,179.0,179.0,,,0 CDM,3018278715,HC IMMUNOGLOBULIN G SUBCLASS 4 (IGG4) (ARUP),42.0,42.0,,,0 CDM,3018278716,HC IMMUNOGLOBULIN A SUBCLASSES 1 - 2 WITH TOTAL IGA (ARUP),98.0,98.0,,,0 CDM,3018280001,HC BLOOD PH - PH VENOUS,280.0,280.0,,,0 CDM,3018280002,HC BLOOD PH - PH CORD,280.0,280.0,,,0 CDM,3018280003,HC BLOOD PH - PH RT,280.0,280.0,,,0 CDM,3018280004,HC RT PH CORD BLOOD,258.0,258.0,,,0 CDM,3018280005,HC PH ARTERIAL,258.0,258.0,,,0 CDM,3018280006,HC PH VENOUS,258.0,258.0,,,0 CDM,3018280007,HC POC CORD ARTERIAL PH,258.0,258.0,,,0 CDM,3018280008,HC POC CORD VENOUS PH,258.0,258.0,,,0 CDM,3018280009,HC POC ARTERIAL PH,258.0,258.0,,,0 CDM,3018280010,HC POC VENOUS PH,258.0,258.0,,,0 CDM,3018280301,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS ARTERIAL",717.0,717.0,,,0 CDM,3018280302,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS CORD VENOUS",717.0,717.0,,,0 CDM,3018280304,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS VENOUS",717.0,717.0,,,0 CDM,3018280305,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS CORD ARTERIAL",717.0,717.0,,,0 CDM,3018280306,"HC BLOOD GASES: PH, PO2 & PCO2 - POCT ARTERIAL BLOOD GAS",717.0,717.0,,,0 CDM,3018280309,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS ARTERIAL RT",717.0,717.0,,,0 CDM,3018280314,HC BLOOD GAS ARTERIAL W/ CO-OX,664.0,664.0,,,0 CDM,3018280318,HC BLOOD GAS VENOUS WITH CO-OX LYTES,664.0,664.0,,,0 CDM,3018280327,HC POC BLOOD GAS ANALYSIS,717.0,717.0,,,0 CDM,3018281001,"HC BLOOD GASES, O2 SAT ONLY - OXYGEN SATURATION, ARTERIAL",331.0,331.0,,,0 CDM,3018281003,"HC BLOOD GASES, O2 SAT ONLY - OXYGEN SATURATION, ARTERIAL RT",331.0,331.0,,,0 CDM,3018282001,HC HEMOGLOBIN-OXYGEN AFFINITY - HEMOGLOBIN-OXYGEN AFFINITY,71.0,71.0,,,0 CDM,3018294101,HC ASSAY OF GASTRIN - GASTRIN,93.0,93.0,,,0 CDM,3018294102,HC GASTRIN LEVEL - ARUP,62.0,62.0,,,0 CDM,3018294301,HC ASSAY OF GLUCAGON - GLUCAGON,103.0,103.0,,,0 CDM,3018294302,HC GLUCAGON LEVEL - ARUP,95.0,95.0,,,0 CDM,3018294501,"HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE CSF",241.0,241.0,,,0 CDM,3018294502,HC GLUCOSE BODY FLUID,152.5,152.5,,,0 CDM,3018294504,"HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE URINE RANDOM",56.0,56.0,,,0 CDM,3018294506,HC GLUCOSE BODY FLUID - ARUP,29.5,29.5,,,0 CDM,3018294701,"HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER",54.5,54.5,,,0 CDM,3018294703,HC GLUCOSE LEVEL FASTING,55.0,55.0,,,0 CDM,3018294704,HC GLUCOSE LEVEL,93.0,93.0,,,0 CDM,3018294706,"HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE",55.0,55.0,,,0 CDM,3018294707,HC FIBROSURE ASH - GLUCOSE,68.0,68.0,,,0 CDM,3018294708,HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - GLUCOSE,67.5,67.5,,,0 CDM,3018294709,HC GLUCOSE LEVEL - LIVER FIBROSIS FIBROMETER NAFLD - ARUP,93.0,93.0,,,0 CDM,3018295001,HC GLUCOSE TOLERANCE TEST (GTT) 1 HOUR SPECIMEN,136.5,136.5,,,0 CDM,3018295002,HC GLUCOSE TEST - LTT FASTING,151.0,151.0,,,0 CDM,3018295004,HC GLUCOSE TEST - LTT 2 HR,151.0,151.0,,,0 CDM,3018295007,HC GLUCOSE TEST - POST GLUCOSE DOSE,151.0,151.0,,,0 CDM,3018295101,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 2 HOUR GTT",387.0,387.0,,,0 CDM,3018295102,HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS,512.0,512.0,,,0 CDM,3018295103,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 3 HOUR GTT",535.0,535.0,,,0 CDM,3018295104,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 4 HOUR GTT",535.0,535.0,,,0 CDM,3018295105,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 5 HOUR GTT",535.0,535.0,,,0 CDM,3018295106,HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS6 HOUR GTT,535.0,535.0,,,0 CDM,3018295107,HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS,535.0,535.0,,,0 CDM,3018295108,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 3 HOUR OB GTT",535.0,535.0,,,0 CDM,3018295109,"HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS, 3 HOUR LTT",535.0,535.0,,,0 CDM,3018295110,"HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS, 2 HOUR LTT",535.0,535.0,,,0 CDM,3018295201,HC GLUCOSE TOLERANCE TEST (GTT) 3 HOUR SPECIMEN,129.0,129.0,,,0 CDM,3018295202,HC GLUCOSE TOLERANCE TEST (GTT) 4 HOUR SPECIMEN,129.0,129.0,,,0 CDM,3018295204,HC GLUCOSE TOLERANCE TEST (GTT) EACH ADDITIONAL SPECIMEN,109.5,109.5,,,0 CDM,3018295205,HC GLUCOSE TOLERANCE TEST (GTT) 1/2 HOUR SPECIMEN,129.0,129.0,,,0 CDM,3018295206,HC LACTOSE TOLERANCE 3 HOUR,129.0,129.0,,,0 CDM,3018295207,HC LACTOSE TOLERANCE TEST (LTT) EACH ADDITIONAL SPECIMEN,129.0,129.0,,,0 CDM,3018295501,HC ASSAY OF G6PD ENZYME - GLUCOSE 6 PHOSPHATE DEHYDROGENASE,62.0,62.0,,,0 CDM,3018295502,HC GLUCOSE 6 PHOSPHATE DEHYDROGENASE - ARUP,72.0,72.0,,,0 CDM,3018296201,HC GLUCOSE BLOOD TEST WITH DEVICE - POCT GLUCOSE,42.0,42.0,,,0 CDM,3018297701,HC GAMMA GT LEVEL,92.0,92.0,,,0 CDM,3018297703,HC LIVER FIBROSIS PANEL - GGT,81.5,81.5,,,0 CDM,3018297704,HC GAMMA GT - ARUP,40.5,40.5,,,0 CDM,3018297705,HC GGT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP,90.0,90.0,,,0 CDM,3018297801,HC GLUTATHIONE,166.0,166.0,,,0 CDM,3018297802,HC GLUTATHIONE TOTAL - ARUP,286.0,286.0,,,0 CDM,3018298504,HC GLYCATED PROTEIN - FRUCTOSAMINE,105.0,105.0,,,0 CDM,3018298505,HC FRUCTOSAMINE LEVEL - ARUP,45.0,45.0,,,0 CDM,3018300101,HC GONADOTROPIN (FSH) - FSH,486.0,486.0,,,0 CDM,3018300103,HC FOLLICLE STIMULATING HORMONE (FSH) - QWDL,27.0,27.0,,,0 CDM,3018300104,HC FOLLICLE STIMULATING HORMONE (FSH) - ARUP,42.0,42.0,,,0 CDM,3018300201,HC LUTEINIZING HORMONE LEVEL,363.5,363.5,,,0 CDM,3018300203,HC LUTEINIZING HORMONE LEVEL PEDIATRIC - ARUP,231.0,231.0,,,0 CDM,3018300205,HC LUTEINIZING HORMONE LEVEL - QWDL,27.0,27.0,,,0 CDM,3018300206,HC LUTEINIZING HORMONE LEVEL - ARUP,40.0,40.0,,,0 CDM,3018300301,HC ASSAY GROWTH HORMONE (HGH) - GROWTH HORMONE,179.5,179.5,,,0 CDM,3018301001,HC HAPTOGLOBIN LEVEL,406.0,406.0,,,0 CDM,3018301002,HC FIBROSURE ASH - HAPTOGLOBIN,111.5,111.5,,,0 CDM,3018301003,HC HAPTOGLOBIN LEVEL - ARUP,41.0,41.0,,,0 CDM,3018301301,"HC H. PYLORI;BREATH TEST, NON-ISOTOPE - H PYLORI BREATH TEST",256.0,256.0,,,0 CDM,3018301302,HC HELICOBACTER PYLORI BREATH TEST PEDIATRICS (3-17Y),201.0,201.0,,,0 CDM,3018301303,HC H PYLORI C-13 BREATH TEST,1135.0,1135.0,,,0 CDM,3018301304,HC H PYLORI BREATH TEST - ARUP,256.0,256.0,,,0 CDM,3018301401,HC H PYLORI DRUG ADMIN FOR C-13 BREATH TEST,57.0,57.0,,,0 CDM,3018301801,"HC QUANTITATIVE SCREEN, METALS - COBALT",110.0,110.0,,,0 CDM,3018301806,"HC QUANTITATIVE SCREEN, METALS - THALLIUM, SERUM",148.0,148.0,,,0 CDM,3018301810,"HC QUANTITATIVE SCREEN, METALS - OTHER",246.0,246.0,,,0 CDM,3018301811,"HC QUANTITATIVE SCREEN, METALS - IODINE",150.0,150.0,,,0 CDM,3018301812,HC COBALT LEVEL WHOLE BLOOD,110.0,110.0,,,0 CDM,3018301813,HC IODINE LEVEL URINE,148.0,148.0,,,0 CDM,3018301814,HC THALLIUM LEVEL URINE,148.0,148.0,,,0 CDM,3018301815,HC COBALT LEVEL SERUM/PLASMA - ARUP,84.0,84.0,,,0 CDM,3018301816,"HC BERYLLIUM LEVEL, QUANTITATIVE, SERUM OR PLASMA - ARUP",331.0,331.0,,,0 CDM,3018301817,"HC BISMUTH LEVEL, QUANTITATIVE, WHOLE BLOOD - ARUP",111.0,111.0,,,0 CDM,3018301818,"HC THALLIUM LEVEL, QUANTITATIVE, WHOLE BLOOD - ARUP",97.0,97.0,,,0 CDM,3018301819,HC TITANIUM LEVEL QUANT SERUM OR PLASMA - ARUP,525.0,525.0,,,0 CDM,3018301821,HC IODINE LEVEL QUANT RANDOM OR 24HR URINE - ARUP,121.0,121.0,,,0 CDM,3018301822,HC COBALT LEVEL WHOLE BLOOD - ARUP,84.0,84.0,,,0 CDM,3018301823,"HC COBALT LEVEL, QUANTITATIVE, WHOLE BLOOD - ARUP",84.0,84.0,,,0 CDM,3018301824,"HC IODINE LEVEL, QUANTITATIVE, SERUM - ARUP",126.0,126.0,,,0 CDM,3018302001,HC HEMOGLOBIN ELECTROPHORESIS,384.5,384.5,,,0 CDM,3018302002,HC HEMOGLOBIN ELECTROPHORESIS,388.5,388.5,,,0 CDM,3018302003,HC HEMOGLOBIN S QUANTITATION,388.5,388.5,,,0 CDM,3018302004,HC HEMOGLOBIN ELECTROPHORESIS BY ISOELECTRIC FOCUSING,388.5,388.5,,,0 CDM,3018302005,HC CAPILLARY HEMOGLOBIN ELECTROPHORESIS - ARUP,124.0,124.0,,,0 CDM,3018302101,HC HEMOGLOBIN F EVALUATION BY HPLC W/REFLEX - ARUP,101.0,101.0,,,0 CDM,3018302102,"HC HEMOGLOBIN CHROMOTOGRAPHY - HEMOGLOBIN,FETAL",120.0,120.0,,,0 CDM,3018302103,HC HEMOGLOBIN A2 AND F BY COLUMN CHROMATOGRAPHY W/REFLEX - ARUP,121.0,121.0,,,0 CDM,3018302104,HC HEMOGLOBIN S EVALUATION BY HPLC W/REFLEX - ARUP,121.0,121.0,,,0 CDM,3018302105,HC HEMOGLOBIN FRACTIONATION & QUANTITATION BY HPLC WITH REFLEX - ARUP,101.0,101.0,,,0 CDM,3018303001,HC HEMOGLOBIN FETAL CHEMICAL,57.0,57.0,,,0 CDM,3018303301,HC HEMOGLOBIN CHROMOTOGRAPHY - FETAL QUAL,354.0,354.0,,,0 CDM,3018303302,HC FETAL HEMOGLOBIN FECES,371.0,371.0,,,0 CDM,3018303601,HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C,309.0,309.0,,,0 CDM,3018303603,HC GLYCOSYLATED HEMOGLOBIN TEST - GLYCATED HEMOGLOBIN REFERRED,290.5,290.5,,,0 CDM,3018303701,"HC GLYCOSYLATED HEMOGLOBIN, HOME DEVICE - POCT GLYCOSYLATED HEMOGLOBIN",51.0,51.0,,,0 CDM,3018305001,"HC BLOOD METHEMOGLOBIN, QUANT - METHEMOGLOBIN",84.0,84.0,,,0 CDM,3018305101,HC ASSAY OF PLASMA HEMOGLOBIN - HEMOGLOBIN PLASMA,254.0,254.0,,,0 CDM,3018306801,HC HEMOGLOBIN UNSTABLE SCREEN,228.0,228.0,,,0 CDM,3018306802,HC HEMOGLOBIN UNSTABLE SCREEN ORL,228.0,228.0,,,0 CDM,3018306901,HC ASSAY OF URINE HEMOGLOBIN - HEMOGLOBIN (BODY FLUID),34.0,34.0,,,0 CDM,3018306902,HC HEMOGLOBIN URINE - ARUP,73.0,73.0,,,0 CDM,3018307001,HC HEMOSIDERIN LEVEL QUALITATIVE URINE,345.0,345.0,,,0 CDM,3018307002,"HC HEMOSIDERIN, URINE - ARUP",51.0,51.0,,,0 CDM,3018308001,HC ASSAY OF B HEXOSAMINIDASE - TAY-SACHS SCREEN,248.0,248.0,,,0 CDM,3018308801,HC ASSAY OF HISTAMINE - HISTAMINE,115.0,115.0,,,0 CDM,3018309001,HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL,403.5,403.5,,,0 CDM,3018309002,HC HOMOCYSTEINE LEVEL,403.5,403.5,,,0 CDM,3018309003,HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL URINE,403.5,403.5,,,0 CDM,3018309004,HC HOMOCYSTEINE LEVEL - ARUP,103.5,103.5,,,0 CDM,3018309005,HC HOMOCYSTEINE LEVEL - QWDL,124.0,124.0,,,0 CDM,3018315001,HC ASSAY OF FOR HVA - HOMOVANILLIC ACID URINE,97.0,97.0,,,0 CDM,3018315002,HC HOMOVANILLIC ACID (HVA) URINE - ARUP,70.0,70.0,,,0 CDM,3018349101,HC ASSAY OF CORTICOSTEROIDS - 17 OH CORTICOSTEROIDS,146.0,146.0,,,0 CDM,3018349102,"HC ASSAY OF CORTICOSTEROIDS - 17-HYDROXYCORTICOSTEROIDS, URINE, 24 HOUR",146.0,146.0,,,0 CDM,3018349103,HC 17 OH CORTICOSTEROIDS URINE - ARUP,213.0,213.0,,,0 CDM,3018349701,"HC ASSAY OF 5-HIAA - 5 HIAA QUANT,24HR URINE",102.0,102.0,,,0 CDM,3018349702,HC 5 HIAA QUANT URINE RANDOM - ARUP,72.0,72.0,,,0 CDM,3018349801,HC ASSAY OF PROGESTERONE 17-D - 17-HYDROXYPROGESTERONE,168.5,168.5,,,0 CDM,3018349803,HC 17 HYDROXYPROGESTERONE - ARUP,63.0,63.0,,,0 CDM,3018351601,HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY IGA,157.5,157.5,,,0 CDM,3018351602,HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY IGG,157.5,157.5,,,0 CDM,3018351604,"HC IMMUNOASSAY NONANTIBODY - ANTI-SMOOTH MUSCLE ANTIBODY, IGG",118.0,118.0,,,0 CDM,3018351607,HC IMMUNOASSAY NONANTIBODY - ANTIMULLERIAN HORMONE (AMH),99.0,99.0,,,0 CDM,3018351608,"HC IMMUNOASSAY NONANTIBODY - MITOCHONDRIAL ANTIBODIES, M2",62.0,62.0,,,0 CDM,3018351609,"HC IMMUNOASSAY NONANTIBODY - CELIAC DISEASE - TISSUE TRANSGLUTAMINASE, EACH",157.5,157.5,,,0 CDM,3018351610,"HC IMMUNOASSAY NONANTIBODY - CELIAC DISEASE - DEAMINATED GLIADIN PEPTIDE, EACH",157.5,157.5,,,0 CDM,3018351611,HC IMMUNOASSAY NONINFECTIOUS ANALYTE,83.0,83.0,,,0 CDM,3018351612,HC SERINE PROTEASE 3 ANTIBODY IGG,189.5,189.5,,,0 CDM,3018351613,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - HISTONE ANTIBODY,62.5,62.5,,,0 CDM,3018351614,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - ACETYLCHOLINE RECEPTOR ANTIBODY,73.5,73.5,,,0 CDM,3018351615,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - GLUTAMIC ACID DECARBOXYLASE ANTIBODY,118.0,118.0,,,0 CDM,3018351616,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - AMPHIPHYSIN ANTIBODY IGG,159.5,159.5,,,0 CDM,3018351617,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - AQUAPORIN 4 RECEPTOR ANTIBODY,179.0,179.0,,,0 CDM,3018351618,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - CENTROMERE ANTIBODY IGG,65.0,65.0,,,0 CDM,3018351619,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - CHROMATIN ANTIBODY IGG,99.0,99.0,,,0 CDM,3018351620,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - GLOMERULAR BASEMENT MEMBRANE ANTIBODY IGG,174.5,174.5,,,0 CDM,3018351621,HC MYELOPEROXIDASE ANTIBODY IGG,189.5,189.5,,,0 CDM,3018351622,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - GM1 GANGLIOSIDE ANTIBODY,96.0,96.0,,,0 CDM,3018351623,HC MOTOR NEUROPATHY PROFILE,118.0,118.0,,,0 CDM,3018351624,HC ACETYLCHOLINE RECEPTOR MODULATING AB,118.0,118.0,,,0 CDM,3018351625,HC NEURONAL NUCLEAR AB IGG IMMUNOBLOT CSF,118.0,118.0,,,0 CDM,3018351626,HC SENSORIMOTOR NEUROPATHY PANEL,36.5,36.5,,,0 CDM,3018351627,HC NEURONAL NUCLEAR ANTIBODIES (HU RI YO AMPHIPHYSIN),118.0,118.0,,,0 CDM,3018351628,HC CYTOKERATIN ANTIBODY,64.0,64.0,,,0 CDM,3018351629,HC ENDOMYSIAL ANTIBODY IGA,118.0,118.0,,,0 CDM,3018351631,HC ACETYLCHOLINE MODULATING ANTIBODY,87.0,87.0,,,0 CDM,3018351632,HC IMMUNOASSAY ANALYTE - 21 HYDROXYLASE,206.0,206.0,,,0 CDM,3018351638,HC NEURONAL NUCLEAR ANTIBODIES IGG BY IMMUNOBLOT,147.0,147.0,,,0 CDM,3018351641,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - ENDOMYSIAL IGA ANTIBODY,58.0,58.0,,,0 CDM,3018351642,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY - ARUP,78.5,78.5,,,0 CDM,3018351643,HC IMMUNOASSAY ANALYTE - RIBOSOMAL P ABY,118.0,118.0,,,0 CDM,3018351644,HC IMMUNOASSAY ANALYTE - NEURONAL NUC ABY IGG,118.0,118.0,,,0 CDM,3018351646,"HC IMMUNOASSAY ANALYTE - ANTI-SMOOTH MUSCLE ANTIBODY, IGG W/TITER",118.0,118.0,,,0 CDM,3018351647,HC SERINE PROTEASE 3 ANTIBODY IGG - ARUP,45.0,45.0,,,0 CDM,3018351648,HC MYELOPEROXIDASE ANTIBODY IGG - ARUP,45.0,45.0,,,0 CDM,3018351649,HC ANCA SERINE PROTEASE 3 ANTIBODY (PRE) - (ARUP),59.0,59.0,,,0 CDM,3018351650,HC ANCA MYELOPEROXIDASE ANTIBODY (MPO) - (ARUP),59.0,59.0,,,0 CDM,3018351651,HC HEAT SHOCK PROTEIN 70 IGG - ARUP,537.0,537.0,,,0 CDM,3018351652,HC ANTIMULLERIAN HORMONE LEVEL (AMH) - ARUP,189.0,189.0,,,0 CDM,3018351653,HC MYELOPEROXIDASE (MPO) IGG,322.0,322.0,,,0 CDM,3018351654,HC MYELOPEROXIDASE (MPO) IGG - ARUP,55.0,55.0,,,0 CDM,3018351655,HC SERINE PROTEASE 3 (PR3) IGG - ARUP,55.0,55.0,,,0 CDM,3018351656,HC PHOSPHATIDYLSERINE & PROTHROMBIN IGG - NON-CRITERIA APS - ARUP,185.0,185.0,,,0 CDM,3018351657,HC PHOSPHATIDYLSERINE & PROTHROMBIN IGM - NON-CRITERIA APS - ARUP,185.0,185.0,,,0 CDM,3018351658,HC SERINE PROTEASE 3 (PR3) IGG - ANCA ASSOCIATED VASCULITIS PROFILE - ARUP,54.0,54.0,,,0 CDM,3018351659,HC MYELOPEROXIDASE (MPO) IGG - ANCA ASSOCIATED VASCULITIS PROFILE - ARUP,54.0,54.0,,,0 CDM,3018351660,HC ASIALO GM1 IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 CDM,3018351661,HC GM1 IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 CDM,3018351662,HC GM2 IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 CDM,3018351663,HC GD1A IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 CDM,3018351664,HC GD1B IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 CDM,3018351665,HC GQ1B IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 CDM,3018351666,HC 21 HYDROXYLASE AUTOANTIBODY - ARUP,220.0,220.0,,,0 CDM,3018351667,HC ACHR BLOCKING ANTIBODY - ACETYLCHOLINE RECEPTOR AB RFLX PANEL - ARUP,81.0,81.0,,,0 CDM,3018351668,HC BULLOUS PEMPHIGOID ANTIGENS IGG - ARUP,739.0,739.0,,,0 CDM,3018351669,HC CELIAC DISEASE REFLEX CASCADE - ARUP,164.0,164.0,,,0 CDM,3018351670,HC CENTROMERE IGG - ARUP,59.0,59.0,,,0 CDM,3018351671,HC CHROMATIN IGG,182.0,182.0,,,0 CDM,3018351672,HC 3-HYDROXY-3-METHYLGLUTARYL COENZYME A REDUCTASE (HMGCR) IGG- ARUP,566.0,566.0,,,0 CDM,3018351673,HC MI2 (NUCLEAR HELICASE PROTEIN)-DEMATOMYOSITIS AUTOANTIBODY PANEL - ARUP,75.0,75.0,,,0 CDM,3018351674,HC P155/140 - DEMATOMYOSITIS AUTOANTIBODY PANEL - ARUP,75.0,75.0,,,0 CDM,3018351675,HC GM1 IGG - GANGLIOSIDE GM1 ANTIBODIES IGG/IGM - ARUP,112.0,112.0,,,0 CDM,3018351676,HC GM1 IGM - GANGLIOSIDE GM1 ANTIBODIES IGG/IGM - ARUP,112.0,112.0,,,0 CDM,3018351677,HC GM1 IGG - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 CDM,3018351678,HC GM1 IGM - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 CDM,3018351679,HC GD1B IGG - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 CDM,3018351680,HC GD1B IGM- GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 CDM,3018351681,HC GQ1 IGG - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 CDM,3018351682,HC GQ1 IGM - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 CDM,3018351683,HC EJ (GLYCYL TRNA SYNTHETASE) - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 CDM,3018351684,HC MI2 (NUCLEAR HELICASE PROTEIN) - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 CDM,3018351685,HC OJ (ISOLEUCYL TRNA SYNTHETASE) - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 CDM,3018351686,HC P155/140 - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 CDM,3018351687,HC PL12 (ALANYL TRNA SYNTHETASE) - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 CDM,3018351688,HC PL7 (THREONYL TRNA SYNTHETASE) DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 CDM,3018351689,HC SRP(SIGNAL RECOGNITION PARTICLE)-DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 CDM,3018351690,HC HISTONE IGG - ARUP,46.0,46.0,,,0 CDM,3018351691,HC DESMOGLIEN 1 - DESMOGLIEN 1 & 3 IGG - ARUP,370.0,370.0,,,0 CDM,3018351692,HC DESMOGLIEN 3 - DESMOGLIEN 1 & 3 IGG - ARUP,370.0,370.0,,,0 CDM,3018351693,HC MYELIN ASSOCIATED GLYCOPROTEIN IGM - ARUP,84.0,84.0,,,0 CDM,3018351694,HC ACETYLCHOLINE BINDING ANTIBODY - MYASTHENIA GRAVIS PANEL - ARUP,119.0,119.0,,,0 CDM,3018351695,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY- MYASTHENIA GRAVIS PANEL - ARUP,119.0,119.0,,,0 CDM,3018351696,HC SERINE PROTEASE 3 (PR3) IGG - MYELOPEROXIDASE / PROTEASE 3 AB - ARUP,55.0,55.0,,,0 CDM,3018351697,HC MYELOPEROXIDASE (MPO) IGG - MYELOPEROXIDASE / PROTEASE 3 AB - ARUP,55.0,55.0,,,0 CDM,3018351698,HC EJ (GLYCYL TRNA SYNTHETASE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 CDM,3018351699,HC KU ANTIBODY - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 CDM,30183516A1,HC MI2 (NUCLEAR HELICASE PROTEIN) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 CDM,30183516A2,HC OJ (ISOLEUCYL TRNA SYNTHETASE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 CDM,30183516A3,HC P155/140 ANTIBODY - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 CDM,30183516A4,HC PL12 (ALANYL TRNA SYNTHETASE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 CDM,30183516A5,HC PL7 (THREONYL TRNA SYNTHETASE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 CDM,30183516A6,HC SRP (SIGNAL RECOGNITION PARTICLE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 CDM,30183516A7,HC SERINE PROTEASE 3 (PR3) IGG - MPO AND PR3 ANTIBODIES W/ RFLX ANCA- ARUP,55.0,55.0,,,0 CDM,30183516A8,HC MYELOPEROXIDASE (MPO) IGG - MPO AND PR3 ANTIBODIES W/ RFLX ANCA - ARUP,55.0,55.0,,,0 CDM,30183516A9,HC GASTRIC PARIETAL IGG - ARUP,83.0,83.0,,,0 CDM,30183516B1,HC BASEMENT MEMBRANE IGG - PEMPHIGOID ANTIBODY PANEL - ARUP,39.0,39.0,,,0 CDM,30183516B2,HC BASEMENT MEMBRANE IGA - PEMPHIGOID ANTIBODY PANEL - ARUP,39.0,39.0,,,0 CDM,30183516B3,HC RF IGG - RHEUMATOID FACTOR (RF) IGA IGG IGM - ARUP,433.0,433.0,,,0 CDM,30183516B4,HC RNA POLYMERASE III IGG - ARUP,117.0,117.0,,,0 CDM,30183516B5,HC MAG IGM ELISA - SENSORY NEUROPATHY PANEL - ARUP,126.0,126.0,,,0 CDM,30183516B6,HC SGPG IGM - SENSORY NEUROPATHY PANEL - ARUP,126.0,126.0,,,0 CDM,30183516B7,HC SOLUBLE LIVER ANTIGEN IGG - ARUP,60.0,60.0,,,0 CDM,30183516B8,HC CARBAMYLATED PROTEIN IGG - RHEUMATOID ARTHRITIS PANEL - ARUP,111.0,111.0,,,0 CDM,30183516B9,HC CARBAMYLATED PROTEIN (CARP) IGG - RHEUMATOID ARTHRITIS PANEL - ARUP,111.0,111.0,,,0 CDM,30183516C1,HC CENTROMERE IGG -CONNECTIVE TISSUE DISEASES PROFILE - ARUP,45.0,45.0,,,0 CDM,30183516C2,HC RIBOSOMAL P ANTIBODY - CONNECTIVE TISSUE DISEASES PROFILE - ARUP,45.0,45.0,,,0 CDM,30183516C3,HC TISSUE TRANSGLUTAMINASE IGG - QWDL,139.0,139.0,,,0 CDM,30183516C4,HC TISSUE TRANSGLUTAMINASE IGA - QWDL,115.0,115.0,,,0 CDM,30183516C5,HC GLOMERULAR BASEMENT MEMBRANE (GBM) IGG,293.0,293.0,,,0 CDM,30183516C6,HC GLOMERULAR BASEMENT MEMBRANE (GBM) IGG BY MULTIPLEX BEAD ASSAY - ARUP,84.0,84.0,,,0 CDM,30183516C7,HC GLIADIN DEAMIDATED IGA - QWDL,47.0,47.0,,,0 CDM,30183516C8,HC ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY - ARUP,147.0,147.0,,,0 CDM,30183516C9,HC RF IGA - RHEUMATOID FACTOR (RF) IGA IGG IGM - ARUP,88.0,88.0,,,0 CDM,30183516D1,HC RF IGM - RHEUMATOID FACTOR (RF) IGA IGG IGM - ARUP,88.0,88.0,,,0 CDM,30183516D2,HC PHOSPHOLIPASE A2 RECEPTOR (PLA2R) IGG BY ELISA - ARUP,339.0,339.0,,,0 CDM,30183516D3,HC COLLAGEN TYPE VII IGG BY ELISA - ARUP,409.0,409.0,,,0 CDM,3018351904,HC RIA IMMUNOASSAY NONINFECTIOUS ANALYTE,96.0,96.0,,,0 CDM,3018351906,HC INSULIN LIKE GROWTH FACTOR BINDING PROTEIN 2,156.0,156.0,,,0 CDM,3018351907,HC INSULIN LIKE GROWTH FACTOR BINDING PROTEIN 1,156.0,156.0,,,0 CDM,3018351908,HC ACETYLCHOLINE RECEPTOR BINDING AB - ARUP,156.0,156.0,,,0 CDM,3018351909,HC PANCREATIC POLYPEPTIDE,156.0,156.0,,,0 CDM,3018351910,HC VOLTAGE GATED POTASSIUM CHANNEL ANTIBODY,156.0,156.0,,,0 CDM,3018351911,HC VOLTAGE GATED CALCIUM CHANNEL ANTIBODY,156.0,156.0,,,0 CDM,3018351912,HC 21 HYDROXYLASE ANTIBODY,156.0,156.0,,,0 CDM,3018351913,HC TRYPSIN LEVEL,156.0,156.0,,,0 CDM,3018351914,HC RIA IMMUNOASSAY ACETYLCHOLINE RECEPTOR BLOCKING ABY,156.0,156.0,,,0 CDM,3018351915,HC RIA IMMUNOASSAY ACETYLCHOLINE RECEPTOR MODULATING ABY,156.0,156.0,,,0 CDM,3018351916,HC RIA IMMUNOASSAY ALPHA MELANOCYTE STIMULATING HORMONE,156.0,156.0,,,0 CDM,3018351918,HC RIA IMMUNOASSAY IGE BINDING PROTEIN,156.0,156.0,,,0 CDM,3018351921,HC RIA IMMUNOASSAY MISCELLANEOUS,156.0,156.0,,,0 CDM,3018351922,HC RIA IMMUNOASSAY MYASTHENIA GRAVIS ABY,156.0,156.0,,,0 CDM,3018351926,HC RIA IMMUNOASSAY PROCOLLAGEN TYPE 1 INTACT N TERMINAL PROPEPTIDE,156.0,156.0,,,0 CDM,3018351927,HC RIA IMMUNOASSAY THYROID ABY,156.0,156.0,,,0 CDM,3018351929,HC RIA IMMUNOASSAY TRYPSIN LIKE,156.0,156.0,,,0 CDM,3018351930,HC VOLTAGE GATED POTASSIUM CHANNEL ANTIBODY CSF - ARUP,810.0,810.0,,,0 CDM,3018351931,HC ACHR BINDING ANTIBODY - ACETYLCHOLINE RECEPTOR AB RFLX PANEL - ARUP,129.0,129.0,,,0 CDM,3018351933,HC VOLTAGE GATED POTASSIUM CHNL AB-AUTOIMMUNE ENCEPHALITIS EXTND PNL-ARUP,451.0,451.0,,,0 CDM,3018351934,HC MELANOCYTE STIMULATING HORMONE BETA - ARUP,755.0,755.0,,,0 CDM,3018351935,HC IGF BINDING PROTEIN 1 - ARUP,513.0,513.0,,,0 CDM,3018351936,HC IGF BINDING PROTEIN 2 - ARUP,409.0,409.0,,,0 CDM,3018351937,HC MELANOCYTE STIMULATION HORMONE ALPHA - ARUP,755.0,755.0,,,0 CDM,3018351938,HC STRIATED MUSCLE IGG - MYASTHENIA GRAVIS PANEL - ARUP,191.0,191.0,,,0 CDM,3018351939,HC PANCREATIC POLYPEPTIDE - ARUP,366.0,366.0,,,0 CDM,3018351940,HC PROCOLLAGEN TYPE 1 PROPEPTIDE - ARUP,433.0,433.0,,,0 CDM,3018351941,HC TRYPSIN SERUM - ARUP,114.0,114.0,,,0 CDM,3018351942,HC VOLTAGE GATED POTASSIUM CHANNEL REFLEX - ARUP,810.0,810.0,,,0 CDM,3018351943,HC VOLTAGE GATED POTASSIUM CHANNEL ANTIBODY - ARUP,810.0,810.0,,,0 CDM,3018351944,HC VOLTAGE GATED POTASSIUM CHNL AB-AUTOIMMUNE NEURO DISEASE RFLX PNL-ARUP,347.0,347.0,,,0 CDM,3018351945,HC VOLTAGE GATE POTASSIUM CHANNEL-AUTOIMMUNE ENCEPHALITIS RFLX PNL CSF-ARUP,428.0,428.0,,,0 CDM,3018351946,HC ACETYLCHOLINE RECEPTOR BINDING ANTIBODY - ARUP,84.0,84.0,,,0 CDM,3018352005,HC IMMUNOASSAY NONINFECTIOUS ANALYTE QUANT,88.0,88.0,,,0 CDM,3018352006,HC IMMUNOASSAY QUANT NOS NONAB - CAFFEINE,93.0,93.0,,,0 CDM,3018352007,HC IMMUNOASSAY QUANT NOS NONAB - COMPLEMENT C3A,93.0,93.0,,,0 CDM,3018352008,HC IMMUNOASSAY QUANT NOS NONAB - OTHER,93.0,93.0,,,0 CDM,3018352010,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 6,93.0,93.0,,,0 CDM,3018352011,HC IMMUNOASSAY QUANT NOS NONAB - NEPHROCHK - TIMP-2 IGFBP-7,93.0,93.0,,,0 CDM,3018352012,HC IMMUNOASSAY QUANT NOS NONAB - TSH RECPT,93.0,93.0,,,0 CDM,3018352013,HC IMMUNOASSAY QUANT NOS NONAB - KAPPA LIGHT CHN URINE,93.0,93.0,,,0 CDM,3018352014,HC IMMUNOASSAY QUANT NOS NONAB - LAMBDA LIGHT CHN URINE,129.0,129.0,,,0 CDM,3018352015,HC ALPHA SUBUNIT OF PITUITARY GLYCOPROTEIN,93.0,93.0,,,0 CDM,3018352016,HC CYTOKINE PANEL,269.5,269.5,,,0 CDM,3018352017,HC PANCREATIC ELASTASE FECES,93.0,93.0,,,0 CDM,3018352018,HC LEPTIN LEVEL,93.0,93.0,,,0 CDM,3018352019,HC INTERFERON ALPHA LEVEL,93.0,93.0,,,0 CDM,3018352020,HC PROTHROMBIN FRAGMENT 1.2,93.0,93.0,,,0 CDM,3018352021,HC SUBSTANCE P,172.5,172.5,,,0 CDM,3018352022,HC ADIPONECTIN - ARUP,346.5,346.5,,,0 CDM,3018352023,HC MAG ANTIBODY,93.0,93.0,,,0 CDM,3018352024,HC MAG-SGPG ANTIBODY IGM,93.0,93.0,,,0 CDM,3018352025,HC INHIBIN B,93.0,93.0,,,0 CDM,3018352026,HC INTERLEUKIN 2 LEVEL,93.0,93.0,,,0 CDM,3018352027,HC TRYPTASE,93.0,93.0,,,0 CDM,3018352029,HC IMMUNOASSAY ANALYTE QUANT - INHIBIN B,93.0,93.0,,,0 CDM,3018352031,HC INTERFERON GAMMA - ARUP,357.0,357.0,,,0 CDM,3018352032,HC ADAMTS13 ANTIBODY - ARUP,1050.0,1050.0,,,0 CDM,3018352033,HC 14-3-3 ETA PROTEIN - QST,454.0,454.0,,,0 CDM,3018352034,"HC INTERFERON GAMMA - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352035,"HC INTERLEUKIN 1 BETA - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352036,HC IMMUNOASSAY ANALYTE QUANT - PANCREATIC ELASTASE FECAL,93.0,93.0,,,0 CDM,3018352037,"HC INTERLEUKIN 10 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352038,HC IMMUNOASSAY ANALYTE QUANT - LEPTIN,93.0,93.0,,,0 CDM,3018352039,"HC INTERLEUKIN 12 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352040,"HC INTERLEUKIN 13 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352041,"HC INTERLEUKIN 17 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352042,"HC INTERLEUKIN 2 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352043,"HC INTERLEUKIN 2 RECEPTOR, SOLUBLE - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352044,"HC INTERLEUKIN 4 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352045,"HC INTERLEUKIN 5 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352046,"HC INTERLEUKIN 8 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352047,"HC TUMOR NECROSIS FACTOR ALPHA - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352048,HC HUMAN ANTI-MOUSE ANTIBODY (HAMA) - ARUP,835.0,835.0,,,0 CDM,3018352049,HC IMMUNOASSAY ANALYTE QUANT - PANCA IGG,93.0,93.0,,,0 CDM,3018352050,HC INSULIN-LIKE GROWTH FACTOR 2 - ARUP,315.0,315.0,,,0 CDM,3018352052,HC INTERLEUKIN 1 BETA - ARUP,357.0,357.0,,,0 CDM,3018352053,HC INTERLEUKIN 10 - ARUP,357.0,357.0,,,0 CDM,3018352054,HC INTERLEUKIN 2 - ARUP,357.0,357.0,,,0 CDM,3018352055,HC LEPTIN LEVEL QUANT - ARUP,252.0,252.0,,,0 CDM,3018352056,"HC MYELIN-ASSOCIATED GLYCOPROTEIN (MAG) IGM, EIA - QDID",392.0,392.0,,,0 CDM,3018352057,HC VON WILLEBRAND FACTOR COLLAGEN BINDING - ARUP,727.0,727.0,,,0 CDM,3018352058,"HC TRANSFORMING GROWTH FACTOR BETA, SERUM - ARUP",588.0,588.0,,,0 CDM,3018352059,HC IMMUNOASSAY ANALYTE QUANT - MODIFIED ASCA IGA,93.0,93.0,,,0 CDM,3018352060,"HC TRANSFORMING GROWTH FACTOR BETA, PLASMA - ARUP",588.0,588.0,,,0 CDM,3018352061,HC TUMOR NECROSIS FACTOR ALPHA SERUM - ARUP,358.0,358.0,,,0 CDM,3018352062,HC VASCULAR ENDOTHELIAL GROWTH FACTOR - ARUP,357.0,357.0,,,0 CDM,3018352063,"HC TRANSFORMING GROWTH FACTOR BETA 1, PLASMA - ARUP",588.0,588.0,,,0 CDM,3018352064,"HC INTERFERON GAMMA - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352065,"HC INTERLEUKIN 1 BETA - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352066,"HC INTERLEUKIN 10 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352067,"HC INTERLEUKIN 12 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352068,"HC INTERLEUKIN 13 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352069,"HC INTERLEUKIN 17 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352070,"HC INTERLEUKIN 2 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352071,"HC INTERLEUKIN 2 RECEPTOR, SOLUBLE - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352072,"HC INTERLEUKIN 4 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352073,"HC INTERLEUKIN 5 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352074,"HC INTERLEUKIN 8 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352075,"HC TUMOR NECROSIS FACTOR ALPHA - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018352076,HC ALPHA SUBUNIT OF PITUITARY GLYCOPROTEIN - ARUP,378.0,378.0,,,0 CDM,3018352077,HC INHIBIN B - ARUP,294.0,294.0,,,0 CDM,3018352078,HC INTERLEUKIN 2 RECEPTOR BY MAFD - ARUP,210.0,210.0,,,0 CDM,3018352080,HC PROTHROMBIN FRAGMENT 1.2 - QWDL,511.0,511.0,,,0 CDM,3018352081,HC TSH RECEPTOR ANTIBODY - ARUP,130.0,130.0,,,0 CDM,3018352082,HC TRYPTASE LEVEL - ARUP,105.0,105.0,,,0 CDM,3018352083,HC MUTATED CITRULLINATED VIMENTIN ANTIBODY - ARUP,569.0,569.0,,,0 CDM,3018352084,HC BETA-AMYLOID - ALZHEIMER DISEASE EVALUATION CSF - MAYO,1121.0,1121.0,,,0 CDM,3018352085,HC TOTAL-TAU - ALZHEIMER DISEASE EVALUATION CSF - MAYO,1121.0,1121.0,,,0 CDM,3018352086,HC P-TAU181 - ALZHEIMER DISEASE EVALUATION CSF - MAYO,1121.0,1121.0,,,0 CDM,3018352087,"HC PHOSPHO-TAU 217, PLASMA - MAYO",2099.0,2099.0,,,0 CDM,3018352088,"HC PHOSPHO TAU - ADMARK P-TAU/T-TAU/ABETA42, SYMPTOMATIC, CSF - QUEST",1190.0,1190.0,,,0 CDM,3018352089,"HC TOTAL TAU - ADMARK P-TAU/T-TAU/ABETA42, SYMPTOMATIC, CSF - QUEST",1190.0,1190.0,,,0 CDM,3018352090,"HC AB42 PEPTIDE - ADMARK P-TAU/T-TAU/ABETA42, SYMPTOMATIC, CSF - QUEST",1190.0,1190.0,,,0 CDM,3018352091,HC 14-3-3 ETA PROTEIN BY ELISA - ARUP,179.0,179.0,,,0 CDM,3018352092,HC MUTATED CITRULLINATED VIMENTIN (MCV) ANTIBODY - QST,430.0,430.0,,,0 CDM,3018352093,HC SFLT-1 - PREECLAMPSIA RISK ASSESSMENT (SFLT-1/PIGF RATIO) - ARUP,627.0,627.0,,,0 CDM,3018352094,HC PIGF - PREECLAMPSIA RISK ASSESSMENT (SFLT-1/PIGF RATIO) - ARUP,627.0,627.0,,,0 CDM,3018352101,HC IMMUNOGLOBULIN LIGHT CHAINS FREE EACH,456.0,456.0,,,0 CDM,3018352102,HC KAPPA LIGHT CHAINS - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP [3018352101],60.0,60.0,,,0 CDM,3018352103,HC LAMBDA LIGHT CHAINS - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,60.0,60.0,,,0 CDM,3018352104,"HC KAPPA/LAMBDA IMMUNOGLOBULIN LIGHT CHAINS - IMMUNOFIXATION WITH FLC, URINE - ARUP",124.0,124.0,,,0 CDM,3018352105,HC KAPPA LIGHT CHAINS - KAPPA LAMBDA QUANTITATIVE,420.0,420.0,,,0 CDM,3018352106,HC LAMBDA LIGHT CHAINS - KAPPA LAMBDA QUANTITATIVE,420.0,420.0,,,0 CDM,3018352107,HC KAPPA LIGHT CHAINS - IMMUNOFIXATION WITH FREE LIGHT CHAINS URINE - ARUP,116.0,116.0,,,0 CDM,3018352128,"HC KAPPA - KAPPA/LAMBDA LIGHT CHAINS FREE WITH RATIO, SERUM - QWDL",306.0,306.0,,,0 CDM,3018352130,"HC LAMBDA - KAPPA/LAMBDA LIGHT CHAINS FREE WITH RATIO, SERUM - QWDL",306.0,306.0,,,0 CDM,3018352501,HC INSULIN LEVEL TOTAL FASTING,496.0,496.0,,,0 CDM,3018352502,HC INSULIN LEVEL TOTAL,496.0,496.0,,,0 CDM,3018352504,HC INSULIN LEVEL TOTAL RANDOM - ARUP,34.0,34.0,,,0 CDM,3018352505,HC INSULIN LEVEL TOTAL - INSULIN LEVEL FREE AND TOTAL - ARUP,44.0,44.0,,,0 CDM,3018352506,HC INSULIN LEVEL TOTAL - QWDL,38.0,38.0,,,0 CDM,3018352507,HC INSULIN LEVEL TOTAL (FASTING) - ARUP,34.0,34.0,,,0 CDM,3018352701,"HC ASSAY OF INSULIN,FREE - INSULIN, FREE",71.0,71.0,,,0 CDM,3018352702,HC INSULIN LEVEL FREE - INSULIN LEVEL FREE AND TOTAL - ARUP,51.0,51.0,,,0 CDM,3018352901,HC INTERLEUKIN-6 (IL-6),709.0,709.0,,,0 CDM,3018352902,HC INTERLEUKIN 6 - ARUP,273.0,273.0,,,0 CDM,3018352903,"HC INTERLEUKIN 6 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 CDM,3018352904,"HC INTERLEUKIN 6 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 CDM,3018354001,"HC ASSAY OF IRON - IRON,LIVER TISSUE",120.5,120.5,,,0 CDM,3018354002,HC IRON LEVEL,208.0,208.0,,,0 CDM,3018354003,HC IRON LEVEL - IRON + TRANSFERRIN + TIBC,193.0,193.0,,,0 CDM,3018354004,HC IRON LEVEL TOTAL - IRON AND TIBC - ARUP,45.0,45.0,,,0 CDM,3018354005,HC IRON LEVEL TOTAL - IRON AND TIBC - QWDL,15.0,15.0,,,0 CDM,3018354007,HC IRON LEVEL,193.0,193.0,,,0 CDM,3018354008,HC IRON LEVEL - ARUP,30.0,30.0,,,0 CDM,3018355001,HC TOTAL IRON BINDING CAPACITY,255.0,255.0,,,0 CDM,3018355003,"HC TOTAL IRON BINDING CAPACITY (TIBC) - IRON, TIBC, FERRITIN PANEL - QWDL",19.0,19.0,,,0 CDM,3018358601,HC 17 KETOSTEROIDS URINE,110.0,110.0,,,0 CDM,3018358602,HC 17 KETOSTEROIDS URINE - ARUP,126.0,126.0,,,0 CDM,3018360501,HC ASSAY OF LACTIC ACID - LACTATE CSF,303.0,303.0,,,0 CDM,3018360502,HC LACTIC ACID LEVEL,387.0,387.0,,,0 CDM,3018360503,HC ASSAY OF LACTIC ACID - POCT LACTIC ACID (LACTATE),303.0,303.0,,,0 CDM,3018360509,HC LACTIC ACID LEVEL - SURGICAL LAB,427.0,427.0,,,0 CDM,3018360510,HC LACTIC ACID LEVEL REFLEX,427.0,427.0,,,0 CDM,3018360511,HC LACTIC ACID LEVEL - ARTERIAL BLOOD GAS,427.0,427.0,,,0 CDM,3018360512,HC LACTIC ACID LEVEL - ARTERIAL BLOOD GAS,427.0,427.0,,,0 CDM,3018360513,HC LACTIC ACID LEVEL - CAPILLARY BLOOD GAS WITH COOX/GLU/LYTES/LAC,427.0,427.0,,,0 CDM,3018360514,HC LACTIC ACID LEVEL - CAPILLARY BLOOD GAS WITH COOX/GLU/LYTES/LAC/TBIL,427.0,427.0,,,0 CDM,3018360515,HC LACTIC ACID LEVEL - VENOUS BLOOD GAS WITH COOX/GLU/LYTES/LAC,427.0,427.0,,,0 CDM,3018360516,HC LACTIC ACID LEVEL - VENOUS BLOOD GAS WITH COOX/GLU/LYTES/LAC/TBIL,427.0,427.0,,,0 CDM,3018360517,HC LACTIC ACID LEVEL - MIXED VENOUS BLOOD GAS WITH COOX/GLU/LYTES/LAC,427.0,427.0,,,0 CDM,3018360518,HC LACTIC ACID LEVEL - MIXED VENOUS BLOOD GAS WITH COOX/GLU/LYTES/LAC/TBIL,427.0,427.0,,,0 CDM,3018360519,HC POC LACTATE LEVEL ARTERIAL,427.0,427.0,,,0 CDM,3018360520,HC POC LACTATE LEVEL VENOUS,427.0,427.0,,,0 CDM,3018360521,HC LACTIC ACID LEVEL CSF,429.0,429.0,,,0 CDM,3018361501,HC LACTATE DEHYDROGENASE (LDH) FLUID,263.0,263.0,,,0 CDM,3018361502,HC LD (LDH) TOTAL,263.0,263.0,,,0 CDM,3018361503,"HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE, CSF",89.0,89.0,,,0 CDM,3018361504,HC LD (LDH) TOTAL - ARUP,33.5,33.5,,,0 CDM,3018361505,HC LD (LDH) TOTAL BODY FLUID - ARUP,39.5,39.5,,,0 CDM,3018361508,HC LACTATE DEHYDROGENASE TOTAL,101.0,101.0,,,0 CDM,3018361509,HC LACTATE DEHYDROGENASE TOTAL - LACTATE DEHYDROGENASE ISOENZYMES - ARUP,24.0,24.0,,,0 CDM,3018361510,HC LD 1 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP,24.0,24.0,,,0 CDM,3018362501,HC ASSAY OF LDH ISOENZYMES - LACTATE DEHYDROGENASE ISOENZMS,109.0,109.0,,,0 CDM,3018362502,"HC LD (LDH) ISOENZYMES, LDH ISOENZYMES - ARUP",56.0,56.0,,,0 CDM,3018362503,HC LD 2 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP,52.0,52.0,,,0 CDM,3018363001,HC LACTOFERRIN FECAL,324.5,324.5,,,0 CDM,3018363002,HC LACTOFERRIN FECAL - ARUP,120.0,120.0,,,0 CDM,3018363201,HC LACTOGEN HUMAN PLACENTAL - HUMAN CHORIONIC SOMATOMAMMOTROPIN,650.0,650.0,,,0 CDM,3018363202,HC HUMAN PLACENTAL LACTOGEN (HPL) - ARUP,613.0,613.0,,,0 CDM,3018365501,HC LEAD URINE HEAVY METALS PANEL 3- ARUP,59.5,59.5,,,0 CDM,3018365503,HC LEAD BLOOD HEAVY METALS PANEL 3- ARUP,79.0,79.0,,,0 CDM,3018365504,HC LEAD CAPILLARY - ARUP,80.0,80.0,,,0 CDM,3018365505,HC LEAD BLOOD HEAVY METALS PANEL 4 - ARUP,31.0,31.0,,,0 CDM,3018365506,HC LEAD VENOUS - ARUP,27.0,27.0,,,0 CDM,3018365507,HC LEAD INDUSTRIAL EXPOSURE - ARUP,53.0,53.0,,,0 CDM,3018365508,HC LEAD - QWDL,41.0,41.0,,,0 CDM,3018365509,HC LEAD URINE - ARUP,47.0,47.0,,,0 CDM,3018365510,HC LEAD URINE - HEAVY METALS PANEL 3 - ARUP,37.0,37.0,,,0 CDM,3018369001,HC LIPASE LEVEL,206.5,206.5,,,0 CDM,3018369002,HC ASSAY OF LIPASE - LIPASE BODY FLUID,66.0,66.0,,,0 CDM,3018369501,HC LIPOPROTEIN SMALL A,90.0,90.0,,,0 CDM,3018369502,HC LIPOPROTEIN SMALL A PANEL COMPONENT,90.0,90.0,,,0 CDM,3018369503,HC LIPOPROTEIN SMALL A - CARDIO IQ - QWDL,63.0,63.0,,,0 CDM,3018369801,HC ASSAY LIPOPROTEIN PLA2 - LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,93.0,93.0,,,0 CDM,3018369802,HC LIPOPROTEIN-PLA2 (PLAC) ACTIVITY - ARUP,294.0,294.0,,,0 CDM,3018370001,"HC LIPOPRO BLOOD, ELECTROPHOR/ QUANT - LIPOPROTEIN ELECTROPHORESIS",68.0,68.0,,,0 CDM,3018370002,HC LIPOPROTEIN ELECTROPHORESIS - ARUP,194.0,194.0,,,0 CDM,3018370101,"HC LIPOPROTEIN BLOOD, HIGH RES FRACTION/ QUANT - LIPOPROTEIN SUBCLASS",167.0,167.0,,,0 CDM,3018370102,HC HIGH DENSITY LIPOPROTEIN SUBCLASSES,129.0,129.0,,,0 CDM,3018370401,"HC LIPOPROTEIN, BLOOD, BY NMR SPECT - LIPOPROTEIN NMR",129.0,129.0,,,0 CDM,3018370402,HC LIPOPROTEIN BLOOD BY NMR SPECT - LIPOPROTEIN,129.0,129.0,,,0 CDM,3018370403,HC LIPOPROTEIN - NMR LIPOMED PROFILE - ARUP,97.0,97.0,,,0 CDM,3018370404,HC LIPOPROTEIN BY NMR SPECT - CARDIO IQ - QWDL,151.0,151.0,,,0 CDM,3018371801,"HC ASSAY OF BLOOD LIPOPROTEIN,HDL CHOLEST - HDL CHOLESTEROL",182.0,182.0,,,0 CDM,3018372101,"HC ASSAY OF BLOOD LIPOPROTEIN,LDL CHOLEST - LDL CHOLESTEROL DIRECT",121.0,121.0,,,0 CDM,3018373501,HC MAGNESIUM LEVEL,96.5,96.5,,,0 CDM,3018373502,HC MAGNESIUM URINE RANDOM,180.0,180.0,,,0 CDM,3018373504,HC ASSAY OF MAGNESIUM - MAGNESIUM RBC,76.5,76.5,,,0 CDM,3018373505,HC CVICU IONIZED MAGNESIUM POC,101.0,101.0,,,0 CDM,3018373506,HC ASSAY OF MAGNESIUM - MAGNESIUM IONIZED,244.5,244.5,,,0 CDM,3018373507,"HC MAGNESIUM SUPERSATURATION PROFILE, URINE - ARUP",40.5,40.5,,,0 CDM,3018373508,"HC MAGNESIUM, URINE - ARUP",43.5,43.5,,,0 CDM,3018373509,HC MAGNESIUM TIMED URINE,180.0,180.0,,,0 CDM,3018373510,HC MAGNESIUM URINE CALCULI RISK ASSESSMENT - ARUP,39.0,39.0,,,0 CDM,3018373511,"HC MAGNESIUM - SUPERSATURATION PROFILE, URINE - ARUP",34.0,34.0,,,0 CDM,3018373512,HC MAGNESIUM RBC - ARUP,101.0,101.0,,,0 CDM,3018378501,HC ASSAY OF MANGANESE - MANGANESE,97.0,97.0,,,0 CDM,3018378502,"HC ASSAY OF MANGANESE - MANGANESE, WHOLE BLOOD",93.0,93.0,,,0 CDM,3018378504,HC MANGANESE LEVEL SERUM - ARUP,68.0,68.0,,,0 CDM,3018378505,HC MANGANESE LEVEL WHOLE BLOOD - ARUP,68.0,68.0,,,0 CDM,3018378901,HC MASS SPECTROMETRY NONDRUG ANALYTE,197.0,197.0,,,0 CDM,3018378902,HC SILVER LEVEL,111.0,111.0,,,0 CDM,3018378903,HC ASSAY MASS SPECTROMETRY NONDRUG ANALYTE - IODINE URINE,111.0,111.0,,,0 CDM,3018378904,HC BILE ACIDS FRACTIONATED AND TOTAL - ARUP,252.0,252.0,,,0 CDM,3018378905,HC BACTERIAL ID BY MALDI-TOF MS - ARUP,199.0,199.0,,,0 CDM,3018378906,HC FUNGAL ID BY MALDI-TOF MS - ARUP,286.0,286.0,,,0 CDM,3018378907,HC AFB ID BY MALDI-TOF MS - ARUP,286.0,286.0,,,0 CDM,3018382501,HC MERCURY URINE HEAVY METALS PANEL 3- ARUP,67.5,67.5,,,0 CDM,3018382503,HC MERCURY BLOOD HEAVY METALS PANEL 3 - ARUP,87.0,87.0,,,0 CDM,3018382504,HC MERCURY BLOOD - ARUP,30.0,30.0,,,0 CDM,3018382505,HC MERCURY BLOOD HEAVY METALS PANEL 4 BLOOD - ARUP,41.0,41.0,,,0 CDM,3018382506,HC MERCURY URINE - HEAVY METALS PANEL 3 - ARUP,50.0,50.0,,,0 CDM,3018383501,HC ASSAY OF METANEPHRINES - METANEPHRINES 24HR URINE,77.5,77.5,,,0 CDM,3018383502,HC ASSAY OF METANEPHRINES - METANEPHRINE PLASMA,64.0,64.0,,,0 CDM,3018383504,HC ASSAY OF METANEPHRINES - METANEPHRINES 24HR URINE FRACTIONATED,74.5,74.5,,,0 CDM,3018383505,HC METANEPHRINES URINE 24 HOUR - ARUP,93.0,93.0,,,0 CDM,3018386402,"HC MUCOPOLYSACCHARIDES - MUCOPOLYSACCHARIDES, QUANTITATIVE",224.0,224.0,,,0 CDM,3018387301,"HC MYELIN BASIC PROTEIN,CSF - MYELIN BASIC PROTEIN CSF",107.0,107.0,,,0 CDM,3018387302,HC MYELIN BASIC PROTEIN CSF - ARUP,99.0,99.0,,,0 CDM,3018387401,HC ASSAY OF MYOGLOBIN - MYOGLOBIN SERUM,95.0,95.0,,,0 CDM,3018387402,HC ASSAY OF MYOGLOBIN - MYOGLOBIN URINE QUANTITATIVE,457.0,457.0,,,0 CDM,3018387403,HC MYOGLOBIN URINE SCREEN,402.0,402.0,,,0 CDM,3018387404,HC MYOGLOBIN URINE QUANT - ARUP,53.0,53.0,,,0 CDM,3018387601,HC MYELOPEROXIDASE,32.0,32.0,,,0 CDM,3018388001,HC N-TERMINAL PRO-BNP,544.0,544.0,,,0 CDM,3018388004,HC B-TYPE NATRIUETIC PEPTIDE (BNP),553.0,553.0,,,0 CDM,3018388301,"HC NEPHELOMETRY, NOT SPECIFIED - IMMUNOGLOBULIN FREE LT CHAINS BLOOD",133.5,133.5,,,0 CDM,3018388302,"HC NEPHELOMETRY, NOT SPECIFIED - KAPPA / LAMBDA LIGHT CHAINS, URINE",133.5,133.5,,,0 CDM,3018388303,HC NEPHELOMETRY ALPHA 2 MACROGLOBULIN,109.5,109.5,,,0 CDM,3018388304,"HC NEPHELOMETRY, NOT SPECIFIED - KAPPA / LAMBDA LIGHT CHAINS QUAL",499.5,499.5,,,0 CDM,3018388305,"HC NEPHELOMETRY, NOT SPECIFIED - KAPPA / LAMBDA LIGHT CHAINS QUANT",126.0,126.0,,,0 CDM,3018388306,HC NEPHELOMETRY RETINOL BINDING PROTEIN,94.5,94.5,,,0 CDM,3018388307,HC FIBROSURE ASH - NEPHELOMETRY - ALPHA 2 MACROGLOBULIN QUANTITATIVE,143.5,143.5,,,0 CDM,3018388308,"HC ASSAY NEPHELOMETRY, NOT SPECIFIED - EACH",133.5,133.5,,,0 CDM,3018388309,HC A2 MACROGLOBULIN-LIVER FIBROSIS CHRONIC VIRAL HEP FIBROMETER PNL-ARUP,170.0,170.0,,,0 CDM,3018388310,HC RETINOL BINDING PROTEIN - ARUP,71.0,71.0,,,0 CDM,3018388501,HC ASSAY OF NICKEL - NICKEL 24 HR URINE,99.0,99.0,,,0 CDM,3018388502,HC NICKEL LEVEL,99.0,99.0,,,0 CDM,3018388503,HC NICKEL LEVEL - ARUP,68.0,68.0,,,0 CDM,3018391501,HC NUCLEOTIDASE 5,99.0,99.0,,,0 CDM,3018391502,HC NUCLEOTIDASE 5 - ARUP,59.0,59.0,,,0 CDM,3018391601,HC OLIGOCLONAL BANDS IN CSF AND SERUM - ARUP,239.0,239.0,,,0 CDM,3018391602,HC OLIGOCLONAL BANDS CSF & SERUM - ARUP,223.0,223.0,,,0 CDM,3018391603,HC OLIGOCLONAL BABDS IN CSF AND SERUM - ARUP,239.0,239.0,,,0 CDM,3018391604,HC OLIGOCLONAL BANDS NUMBER CSF - OLIGOCLONAL BAND PROFILE - ARUP,133.0,133.0,,,0 CDM,3018391801,HC ASSAY ORGANIC ACIDS QUANTITATIVE - ORGANIC ACIDS URINE,263.0,263.0,,,0 CDM,3018391802,HC ORGANIC ACIDS URINE QUANT - ARUP,475.0,475.0,,,0 CDM,3018391803,HC ASSAY ORGANIC ACIDS QUANTITATIVE - GAMMA HYDROXYBUTYRATE BLOOD SCREEN,263.0,263.0,,,0 CDM,3018391901,HC ASSAY ORGANIC ACIDS QUALITATIVE - ORGANIC ACID ANALYSIS,807.0,807.0,,,0 CDM,3018391902,HC ASSAY ORGANIC ACIDS QUALITATIVE - ORGANIC ACID ANALYSIS URINE,807.0,807.0,,,0 CDM,3018392101,"HC ASSAY SNGL ORGANIC ACID, QUANTITATIVE - METHYLMALONIC ACID, SERUM",101.0,101.0,,,0 CDM,3018392102,HC ASSAY SNGL ORGANIC ACID QUANTITATIVE - METHYLMALONIC ACID URINE,262.0,262.0,,,0 CDM,3018392103,HC OROTIC ACID URINE,101.0,101.0,,,0 CDM,3018392104,HC METHYLMALONIC ACID LEVEL SERUM - ARUP,55.0,55.0,,,0 CDM,3018393001,HC OSMOLALITY SERUM/PLASMA,310.5,310.5,,,0 CDM,3018393002,HC OSMOLALITY SERUM / PLASMA - ARUP,55.0,55.0,,,0 CDM,3018393003,HC OSMOLALITY SERUM - QWDL,37.0,37.0,,,0 CDM,3018393501,HC OSMOLALITY URINE,348.0,348.0,,,0 CDM,3018393502,HC OSMOLALITY URINE - ARUP,54.0,54.0,,,0 CDM,3018393701,HC ASSAY OF OSTEOCALCIN - OSTEOCALCIN,146.0,146.0,,,0 CDM,3018393702,HC OSTEOCALCIN - ARUP,156.0,156.0,,,0 CDM,3018394501,HC ASSAY OF OXALATE - OXALATE 24HR URINE,102.0,102.0,,,0 CDM,3018394502,"HC OXALATE SUPERSATURATION PROFILE, URINE - ARUP",79.0,79.0,,,0 CDM,3018394503,"HC OXALATE CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",72.0,72.0,,,0 CDM,3018394504,HC OXALATE KIDNEY STONE RISK PANEL URINE - ARUP,51.0,51.0,,,0 CDM,3018394505,HC OXALATE URINE 24 HOUR - ARUP,87.0,87.0,,,0 CDM,3018394506,HC OXALIC ACID - KIDNEY STONE RISK PANEL URINE - ARUP,47.0,47.0,,,0 CDM,3018394507,"HC OXALATE - SUPERSATURATION PROFILE, URINE - ARUP",74.0,74.0,,,0 CDM,3018395101,HC DES GAMMA CARBOXY PROTHROMBIN,306.0,306.0,,,0 CDM,3018395102,HC DCP PROTHROMBIN - HEPATOCELLULAR CARCINOMA TUMOR MARKER PANEL - ARUP,420.0,420.0,,,0 CDM,3018397001,HC PTH INTACT,494.0,494.0,,,0 CDM,3018397002,HC PTH INTRAOPERATIVE,735.5,735.5,,,0 CDM,3018397003,HC PTH INTACT FNA - ARUP,182.5,182.5,,,0 CDM,3018397004,HC PTH INTACT WITHOUT CALCIUM - QWDL,175.0,175.0,,,0 CDM,3018397005,HC PTH INTACT - PTH INTACT WITH CALCIUM - ARUP,172.0,172.0,,,0 CDM,3018397006,HC PTH INTACT - ARUP,42.0,42.0,,,0 CDM,3018398601,HC PH BODY FLUID,308.0,308.0,,,0 CDM,3018398603,HC PH BODY FLUID NOS - PH STOOL,272.0,272.0,,,0 CDM,3018398604,HC PH BODY FLUID NOS - POCT GASTRIC PH,83.0,83.0,,,0 CDM,3018398606,HC PH URINE PEDIATRIC CHEMOTHERAPY,308.0,308.0,,,0 CDM,3018398607,HC PH - SUPERSATURATION PROFILE URINE - ARUP,20.0,20.0,,,0 CDM,3018398608,"HC PH - CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",18.0,18.0,,,0 CDM,3018398609,HC PH - SUPERSATURATION PROFILE - ARUP,18.0,18.0,,,0 CDM,3018399202,HC ASSAY FOR PHENCYCLIDINE - PHENCYCLIDINE LEVEL,195.0,195.0,,,0 CDM,3018399203,HC PCP CONFIRMATION MECONIUM,195.0,195.0,,,0 CDM,3018399204,HC PHENCYCLIDINE CONFIRMATION SERUM,195.0,195.0,,,0 CDM,3018399205,HC PHENCYCLIDINE QUANTITATION URINE,195.0,195.0,,,0 CDM,3018399206,HC PHENCYCLIDINE (PCP) LEVEL URINE CONF - ARUP,173.0,173.0,,,0 CDM,3018399207,HC PHENCYCLIDINE (PCP) LEVEL QUANT SERUM - ARUP,289.0,289.0,,,0 CDM,3018399208,HC PHENCYCLIDINE PCP DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 CDM,3018399209,HC PHENCYCLIDINE PCP DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 CDM,3018399301,HC CALPROTECTIN FECAL - ARUP,170.0,170.0,,,0 CDM,3018399302,HC CALPROTECTIN,170.0,170.0,,,0 CDM,3018399303,HC CALPROTECTIN FECAL,524.0,524.0,,,0 CDM,3018399304,HC CALPROTECTIN STOOL - ARUP,252.0,252.0,,,0 CDM,3018403001,HC ASSAY OF BLOOD PKU - PHENYLALANINE,35.0,35.0,,,0 CDM,3018406001,"HC ASSAY PHOSPHATASE ACID, TOTAL - ACID PHOSPHATASE, TOTAL",92.0,92.0,,,0 CDM,3018406002,HC ACID PHOSPHATASE TOTAL - ARUP,51.0,51.0,,,0 CDM,3018406601,HC ASSAY PHOSPHATASE ACID PROSTATIC - PROSTATIC ACID PHOSPHATASE,95.0,95.0,,,0 CDM,3018406602,HC PROSTATIC ACID PHOSPHATASE - ARUP,57.0,57.0,,,0 CDM,3018407501,HC ALKALINE PHOSPHATASE LEVEL,93.0,93.0,,,0 CDM,3018407503,HC ALKALINE PHOSPHATASE - ARUP,25.0,25.0,,,0 CDM,3018408001,HC ALKALINE PHOSPHATASE ISOENZYMES ARUP,70.5,70.5,,,0 CDM,3018408002,"HC ASSAY ALKAL PHOSPHATASE,ISOENZYMES - ALKALINE PHOSPHATASE,ISOENZYMES BONE",70.5,70.5,,,0 CDM,3018408003,HC ALKALINE PHOSPHOTASE BONE SPECIFIC - ARUP,126.0,126.0,,,0 CDM,3018408701,HC PHOSPHOHEXOSE ISOMERASE,224.0,224.0,,,0 CDM,3018410004,HC PHOSPHORUS,92.0,92.0,,,0 CDM,3018410501,HC ASSAY OF URINE PHOSPHORUS - PHOSPHORUS RANDOM URINE,219.0,219.0,,,0 CDM,3018410502,HC ASSAY OF URINE PHOSPHORUS - PORPHYRINS FRACTIONATED URINE,32.0,32.0,,,0 CDM,3018410504,HC PHOSPHORUS URINE CALCULI RISK ASSESSMENT - ARUP,20.0,20.0,,,0 CDM,3018410505,HC PHOSPHORUS URINE 24 HOUR,242.0,242.0,,,0 CDM,3018410506,"HC PHOSPHORUS - SUPERSATURATION PROFILE, URINE - ARUP",30.0,30.0,,,0 CDM,3018410507,HC PHOSPHOURUS URINE - ARUP,31.0,31.0,,,0 CDM,3018411001,HC PORPHOBILINOGEN URINE,124.0,124.0,,,0 CDM,3018411002,HC ASSAY PORPHOBILINOGEN TIMED URINE,124.0,124.0,,,0 CDM,3018411003,HC PORPHOBILINOGEN URINE - ARUP,138.0,138.0,,,0 CDM,3018411201,HC CERVICOVAGINAL FLUID EXAM - AFP QUAL,1097.0,1097.0,,,0 CDM,3018412001,HC FRACTIONATED PORPHYRINS URINE,124.0,124.0,,,0 CDM,3018412002,HC ASSAY FRACTIONATED PORPHYRINS TIMED URINE,124.0,124.0,,,0 CDM,3018412003,HC FRACTIONATED PORPHYRINS URINE - ARUP,120.0,120.0,,,0 CDM,3018412601,HC FRACTIONATED PORPHYRINS FECAL,275.0,275.0,,,0 CDM,3018413201,HC POTASSIUM LEVEL,92.0,92.0,,,0 CDM,3018413302,HC ASSAY OF URINE POTASSIUM - POTASSIUM DIALYSATE,26.0,26.0,,,0 CDM,3018413303,HC POTASSIUM RANDOM URINE,227.5,227.5,,,0 CDM,3018413304,HC POTASSIUM TIMED URINE,26.0,26.0,,,0 CDM,3018413307,HC POTASSIUM URINE 24 HOUR,212.0,212.0,,,0 CDM,3018413309,"HC POTASSIUM - CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",23.0,23.0,,,0 CDM,3018413310,"HC POTASSIUM - SUPERSATURATION PROFILE, URINE - ARUP",24.0,24.0,,,0 CDM,3018413401,HC PREALBUMIN,444.0,444.0,,,0 CDM,3018413402,HC PREALBUMIN - ARUP,41.0,41.0,,,0 CDM,3018414001,HC ASSAY OF PREGNENOLONE - PREGNENOLONE,122.0,122.0,,,0 CDM,3018414003,HC PREGNENOLONE LEVEL - ARUP,122.0,122.0,,,0 CDM,3018414301,HC ASSAY OF 17-HYDROXYPREGNENOLONE - 17-HYDROXYPREGNENOLONE,122.0,122.0,,,0 CDM,3018414303,HC 17-HYDROXYPREGNENOLONE - ARUP,127.0,127.0,,,0 CDM,3018414401,HC ASSAY OF PROGESTERONE - PROGESTERONE,263.5,263.5,,,0 CDM,3018414402,HC PROGESTERONE LEVEL,435.0,435.0,,,0 CDM,3018414403,HC PROGESTERONE LEVEL - QWDL,39.0,39.0,,,0 CDM,3018414404,HC PROGESTERONE LEVEL - ARUP,101.0,101.0,,,0 CDM,3018414501,HC PROCALCITONIN LEVEL,561.0,561.0,,,0 CDM,3018414502,HC PROCALCITONIN LEVEL - ARUP,335.0,335.0,,,0 CDM,3018414601,HC PROLACTIN,626.0,626.0,,,0 CDM,3018414602,HC PROLACTIN - ARUP,53.0,53.0,,,0 CDM,3018414603,HC PROLACTIN - QWDL,46.0,46.0,,,0 CDM,3018414604,HC MACROPROLACTIN - ARUP,122.5,122.5,,,0 CDM,3018415001,"HC ASSAY OF PROSTAGLANDIN - PROSTAGLANDIN E2, PLASMA",302.0,302.0,,,0 CDM,3018415002,"HC ASSAY OF PROSTAGLANDIN - PROSTAGLANDIN D2, PLASMA",302.0,302.0,,,0 CDM,3018415201,"HC PROSTATE SPECIFIC ANTIGEN, COMPLEXED - PSA, COMPLEXED",287.0,287.0,,,0 CDM,3018415301,HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL,310.0,310.0,,,0 CDM,3018415302,"HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE",310.0,310.0,,,0 CDM,3018415303,"HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASENSITIVE",312.5,312.5,,,0 CDM,3018415304,HC PSA SCREEN,415.0,415.0,,,0 CDM,3018415305,"HC ASSAY PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA ULTRA SENSITIVE",312.5,312.5,,,0 CDM,3018415306,HC PSA TOTAL - ARUP,78.5,78.5,,,0 CDM,3018415307,HC PSA TOTAL SCREENING - ARUP,54.0,54.0,,,0 CDM,3018415308,HC PSA TOTAL DIAGNOSTIC,424.0,424.0,,,0 CDM,3018415309,HC PSA TOTAL HEALTH FAIR,424.0,424.0,,,0 CDM,3018415310,HC PSA TOTAL SCREENING,385.0,385.0,,,0 CDM,3018415311,HC PSA ULTRASENSITIVE - ARUP,83.0,83.0,,,0 CDM,3018415401,HC PSA FREE,504.0,504.0,,,0 CDM,3018415402,HC PSA FREE - ARUP,36.0,36.0,,,0 CDM,3018415403,"HC PROSTATE SPECIFIC ANTIGEN, FREE - PSA TOTAL AND FREE",423.5,423.5,,,0 CDM,3018415501,HC PROTEIN TOTAL,93.0,93.0,,,0 CDM,3018415502,HC PROTEIN TOT XCPT REFRACTOMETRY SERUM - ADDITIONAL CHARGE,18.0,18.0,,,0 CDM,3018415503,HC PROTEIN TOTAL - MONOCLONAL PROTEIN STUDY SERUM - ARUP,70.5,70.5,,,0 CDM,3018415504,HC PROTEIN TOTAL - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,18.0,18.0,,,0 CDM,3018415505,HC PROTEIN TOTAL - PROTEIN ELECTROPHORESIS REFLEX IFE/IG - ARUP,18.5,18.5,,,0 CDM,3018415506,"HC PROTEIN TOTAL - PROTEIN ELECTROPHORESIS, SERUM - ARUP",18.5,18.5,,,0 CDM,3018415507,HC PROTEIN TOTAL - PROTEIN ELECTROPHORESIS REFLEX IFE - ARUP,42.0,42.0,,,0 CDM,3018415508,HC PROTEIN ELECTROPHORESIS SERUM - QWDL,58.0,58.0,,,0 CDM,3018415601,HC PROTEIN RANDOM URINE,163.5,163.5,,,0 CDM,3018415602,HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN TIMED URINE,164.0,164.0,,,0 CDM,3018415603,HC PROTEIN RANDOM URINE - QWDL,35.5,35.5,,,0 CDM,3018415605,HC PROTEIN TOT XCPT REFRACTOMETRY URINE - BENCE JONES PROTOCOL,19.0,19.0,,,0 CDM,3018415606,HC PROTEIN TOTAL URINE IMMUNOFIXATION WITH FLC - ARUP,25.5,25.5,,,0 CDM,3018415607,HC PROTEIN URINE 12 HOUR,281.0,281.0,,,0 CDM,3018415608,HC PROTEIN URINE 8 HOUR,281.0,281.0,,,0 CDM,3018415609,HC PROTEIN URINE 24 HOUR,281.0,281.0,,,0 CDM,3018415610,HC PROTEIN LEVEL - PROTEIN/CREATININE RATIO URINE,282.0,282.0,,,0 CDM,3018415611,HC PROTEIN TOTAL - IMMUNOFIXATION WITH FREE LIGHT CHAINS URINE - ARUP,24.0,24.0,,,0 CDM,3018415612,HC PROTEIN URINE - PROTEIN/CREATININE RATIO - QWDL,19.0,19.0,,,0 CDM,3018415613,HC PROTEIN TOTAL - IMMUNOFIXATION URINE - ARUP,28.0,28.0,,,0 CDM,3018415614,"HC TOTAL PROTEIN - MONOCLONAL PROTEIN STUDY, URINE - ARUP",21.0,21.0,,,0 CDM,3018415701,HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - PROTEIN CSF,166.0,166.0,,,0 CDM,3018415702,HC PROTEIN TOTAL BODY FLUID,178.5,178.5,,,0 CDM,3018415703,HC PROTEIN TOTAL BODY FLUID - ARUP,29.0,29.0,,,0 CDM,3018415704,HC TOTAL PROTEIN CSF,284.0,284.0,,,0 CDM,3018415705,HC TOTAL PROTEIN - PROTEIN ELECTROPHORESIS CSF - ARUP,16.0,16.0,,,0 CDM,3018416001,HC PROTEIN ELECTROPHORESIS TOTAL,28.0,28.0,,,0 CDM,3018416002,HC PROTEIN TOTAL BY REFRACTOMETRY ANY SOURCE,28.0,28.0,,,0 CDM,3018416301,"HC PREG ASSOC PLAS PRO-A(PAPP-A), SERUM - PREGNANCY-ASSOCIATED PLASMA",162.0,162.0,,,0 CDM,3018416302,"HC PAPP-A, MATERNAL SCREENING, INTEGRATED, NT, SPECIMEN #1 - ARUP",189.0,189.0,,,0 CDM,3018416501,HC PROTEIN ELECTROPHORESIS SERUM,303.5,303.5,,,0 CDM,3018416502,HC PROTEIN ELECTROPHORESIS -MONOCLONAL PROTEIN STUDY SERUM - ARUP,54.5,54.5,,,0 CDM,3018416503,HC PROTEIN ELECTROPHORESIS SERUM - QWDL,62.0,62.0,,,0 CDM,3018416504,HC PROTEIN ELECTROPHORESIS - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,54.5,54.5,,,0 CDM,3018416505,HC PROTEIN ELECTROPHORESIS REFLEX IFE/IG - ARUP,56.5,56.5,,,0 CDM,3018416506,"HC PROTEIN ELECTROPHORESIS, SERUM - ARUP",52.5,52.5,,,0 CDM,3018416601,HC PROTEIN E-PHORESIS/URINE/CSF - PROTEIN ELECTROPHORESIS URINE,589.5,589.5,,,0 CDM,3018416602,HC PE CSF - PROTEIN ELECTROPHORESIS CSF - ARUP,70.0,70.0,,,0 CDM,3018416603,"HC PROTEIN ELECTROPHORESIS, URINE, 24 HOUR",613.0,613.0,,,0 CDM,3018416604,"HC PROTEIN ELECTROPHORESIS, URINE RANDOM",613.0,613.0,,,0 CDM,3018416605,"HC PROTEIN ELECTROPHORESIS - MONOCLONAL PROTEIN STUDY, URINE - ARUP",104.0,104.0,,,0 CDM,3018418101,"HC PROTEIN, WESTERN BLOT TEST - HSV WESTERN BLOT",254.0,254.0,,,0 CDM,3018418103,"HC ASSAY PROTEIN, WESTERN BLOT TEST - MISCELLANEOUS",254.0,254.0,,,0 CDM,3018418104,HC MAG ANTIBODY WITH REFLEX - QDID,466.0,466.0,,,0 CDM,3018418202,"HC PROTEIN, WESTERN BLOT TEST, W BAND ID - HEAT SHOCK PROTEIN 70, IGG",88.0,88.0,,,0 CDM,3018418203,"HC PROTEIN, WESTERN BLOT TEST, W BAND ID",27.0,27.0,,,0 CDM,3018418208,HC PROTEIN WESTERN BLOT TEST W BAND ID AMPHIPHYSIN AB IGG,88.0,88.0,,,0 CDM,3018418209,"HC ASSAY PROTEIN, WESTERN BLOT TEST, W BAND ID - IMMUNOLOGICAL PROBE",88.0,88.0,,,0 CDM,3018418210,HC PROTEIN WESTERN BLOT AMPHIPHYSIN AB IGG,88.0,88.0,,,0 CDM,3018418211,HC PRION PROTEIN RT QUIC - 14 3 3 PROTEIN CSF - ARUP,133.0,133.0,,,0 CDM,3018418212,HC NEURONAL NUCLEAR ANTIBODIES CSF REFLEX - ARUP,141.0,141.0,,,0 CDM,3018418213,HC AMPHIPHYSIN ANTIBODY IGG -ARUP,575.0,575.0,,,0 CDM,3018418214,HC MDA5 (CADM-140) - DERMATOMYOSITIS AUTOANTIBODY PANEL,189.0,189.0,,,0 CDM,3018418215,HC NXP2 (NUCLEAR MATRIX PROTEIN 2) - DERMATOMYOSITIS AUTOANTIBODY PANEL,189.0,189.0,,,0 CDM,3018418216,HC SAE1 (SUMO ACTIVATING ENZYME) -DERMATOMYOSITIS AUTOANTIBODY PANEL,189.0,189.0,,,0 CDM,3018418217,HC TIF1 GAMMA (155 KDA) - DERMATOMYOSITIS AUTOANTIBODY PANEL,189.0,189.0,,,0 CDM,3018418218,HC MDA5 (CADM 140) - DERMATOMYOSITIS POLYMYOSITIS PANEL,156.0,156.0,,,0 CDM,3018418219,HC NXP2 (NUCLEAR MATRIC PROTEIN 2) - DERMATOMYOSITIS POLYMYOSITIS PANEL,156.0,156.0,,,0 CDM,3018418220,HC SAE1 (SUMO ACTIVATING ENZYME) - DERMATOMYOSITIS POLYMYOSITIS PANEL,156.0,156.0,,,0 CDM,3018418221,HC TIF1 GAMMA (155 KDA) - DERMATOMYOSITIS POLYMYOSITIS PANEL,156.0,156.0,,,0 CDM,3018418222,HC LIVER CYTOSOLIC TYPE 1 IGG - ARUP,505.0,505.0,,,0 CDM,3018418223,HC MDA5 (CADM 140) - EXTENDED MYOSITIS PANEL - ARUP,146.0,146.0,,,0 CDM,3018418224,HC NXP2 (NUCLEAR MATRIX PROTEIN) - EXTENDED MYOSITIS PANEL - ARUP,146.0,146.0,,,0 CDM,3018418225,HC SAE1 (SUMO ACTIVATING ENZYME) - EXTENDED MYOSITIS PANEL - ARUP,146.0,146.0,,,0 CDM,3018418226,HC TIF1 GAMMA (155 KDA) - EXTENDED MYOSITIS PANEL - ARUP,146.0,146.0,,,0 CDM,3018418227,HC HU IGG - NEURONAL NUCLEAR ANTIBODIES IGG IMMUNOBLOT BLOT - ARUP,141.0,141.0,,,0 CDM,3018418228,HC RI IGG - NEURONAL NUCLEAR ANTIBODIES IGG IMMUNOBLOT BLOT - ARUP,141.0,141.0,,,0 CDM,3018418229,HC TR/DNER IGG - NEURONAL NUCLEAR ANTIBODIES IGG IMMUNOBLOT BLOT - ARUP,141.0,141.0,,,0 CDM,3018418230,HC YO IGG - NEURONAL NUCLEAR ANTIBODIES IGG IMMUNOBLOT BLOT - ARUP,141.0,141.0,,,0 CDM,3018418231,HC NEURONAL ANTIBODY (AMPHIPHYSIN) -PARANEOPLASTIC REFLEX PANEL - ARUP,253.0,253.0,,,0 CDM,3018418232,HC SOX1 IGG IMMUNOBLOT - PARANEOPLASTIC REFLEX PANEL - ARUP,253.0,253.0,,,0 CDM,3018418233,HC HU IGG - CSF NEURONAL NUCLEAR ANTIBODIES IGG IB CSF - ARUP,142.0,142.0,,,0 CDM,3018418234,HC RI IGG CSF - NEURONAL NUCLEAR ANTIBODIES IGG IB CSF - ARUP,142.0,142.0,,,0 CDM,3018418235,HC TR/DNER IGG CSF - NEURONAL NUCLEAR ANTIBODIES IGG IB - ARUP,142.0,142.0,,,0 CDM,3018418236,HC YO IGG CSF - NEURONAL NUCLEAR ANTIBODIES IGG IB CSF - ARUP,142.0,142.0,,,0 CDM,3018418237,HC SOX1 IGG IB CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,551.0,551.0,,,0 CDM,3018418238,HC AMPHIPHYSIN IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,551.0,551.0,,,0 CDM,3018418239,HC AMPHIPHYSIN ANTIBODY-AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,575.0,575.0,,,0 CDM,3018418240,HC SOX1 IGG IB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF,575.0,575.0,,,0 CDM,3018418241,"HC AMPHIPHYSIN AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",477.0,477.0,,,0 CDM,3018418242,"HC SOX1 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL , SERUM - ARUP",477.0,477.0,,,0 CDM,3018418243,"HC MA2/TA AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",477.0,477.0,,,0 CDM,3018420202,HC ASSAY RBC PROTOPORPHYRIN - ZINC PROTOPORPHYRIN,162.0,162.0,,,0 CDM,3018420203,HC ERYTHROCYTE PORPHYRIN FREE,123.0,123.0,,,0 CDM,3018420204,HC RBC PHOTOPORPHYRIN INDUSTRIAL EXPOSURE - ARUP,62.0,62.0,,,0 CDM,3018420205,HC ERYTHROCYTE PORPHYRIN FREE - ARUP,253.0,253.0,,,0 CDM,3018420206,"HC ZINC PROTOPORPHYRIN (ZPP), WHOLE BLOOD - ARUP",68.0,68.0,,,0 CDM,3018420601,HC ASSAY OF PROINSULIN - PROINSULIN,113.0,113.0,,,0 CDM,3018420602,HC PROINSULIN - ARUP,136.0,136.0,,,0 CDM,3018420701,HC ASSAY OF VITAMIN B-6 - VITAMIN B6,84.5,84.5,,,0 CDM,3018420702,HC VITAMIN B6 - ARUP,34.0,34.0,,,0 CDM,3018421001,HC ASSAY OF PYRUVATE - PYRUVIC ACID,111.0,111.0,,,0 CDM,3018421002,HC PYRUVIC ACID CSF,111.0,111.0,,,0 CDM,3018421003,HC PYRUVATE LEVEL - ARUP,118.0,118.0,,,0 CDM,3018422001,HC ASSAY OF PYRUVATE KINASE - PYRUVATE KINASE,135.0,135.0,,,0 CDM,3018422002,HC PYRUVATE KINASE - ARUP,148.0,148.0,,,0 CDM,3018423804,HC ASSAY NON-ENDOCRINE RECEPTOR - SOLUBLE TRANSFERRIN,97.0,97.0,,,0 CDM,3018423805,"HC ASSAY, NON-ENDOCRINE RECEPTOR - OTHER",97.0,97.0,,,0 CDM,3018423806,HC SOLUBLE TRANSFERRIN RECEPTOR - ARUP,80.0,80.0,,,0 CDM,3018424401,HC RENIN DIRECT LEVEL - ARUP,473.0,473.0,,,0 CDM,3018424402,HC RENIN LEVEL,336.0,336.0,,,0 CDM,3018424403,HC RENIN DIRECT LEVEL,554.0,554.0,,,0 CDM,3018424404,HC RENIN ACTIVITY - ARUP,304.5,304.5,,,0 CDM,3018424405,HC RENIN ACTIVITY - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP,296.5,296.5,,,0 CDM,3018425201,HC ASSAY OF VITAMIN B-2 - VITAMIN B2,161.0,161.0,,,0 CDM,3018425202,HC VITAMIN B2 - ARUP,139.0,139.0,,,0 CDM,3018425501,HC ASSAY OF SELENIUM - SELENIUM SERUM,82.5,82.5,,,0 CDM,3018425502,HC SELENIUM LEVEL,82.5,82.5,,,0 CDM,3018425503,HC SELENIUM SERUM - ARUP,55.0,55.0,,,0 CDM,3018426001,HC ASSAY OF SEROTONIN - SEROTONIN SERUM,134.0,134.0,,,0 CDM,3018426003,HC ASSAY OF SEROTONIN - SEROTONIN WHOLE BLOOD,134.0,134.0,,,0 CDM,3018427001,HC ASSAY OF SEX HORMONE BINDING GLOBULIN - SEX HORMONE BINDING GLOBULIN,504.0,504.0,,,0 CDM,3018427003,HC SEX HORMONE BINDING GLOBULIN - TESTOSTERONE FREE AND TOTAL ADULT MALE,316.0,316.0,,,0 CDM,3018427004,HC SEX HORMONE BINDING GLOBULIN - TESTOSTERONE FREE & TOTAL MALE ADULT-ARUP,59.0,59.0,,,0 CDM,3018427005,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE BIOAVAILABLE & SHBG ADULT MALE,465.0,465.0,,,0 CDM,3018427006,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE BIOAVAIL/SHBG ADULT MALE-ARUP,59.0,59.0,,,0 CDM,3018427007,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE FREE (DIALYSIS) TOTAL(MS)-QWDL,79.0,79.0,,,0 CDM,3018427008,HC SEX HORMONE BINDING GLOBULIN,465.0,465.0,,,0 CDM,3018427009,HC SEX HORMONE BINDING GLOBULIN - ARUP,34.0,34.0,,,0 CDM,3018427010,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE BIOAVAILABLE FEMALE/CHILD-ARUP,47.0,47.0,,,0 CDM,3018427011,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE FREE & TOTAL FEMALE/CHILD-ARUP,47.0,47.0,,,0 CDM,3018427012,HC SEX HORMONE BINDING GLOBULIN - TESTOSTERONE TOTAL FEMALE/CHILD - ARUP,33.0,33.0,,,0 CDM,3018427501,HC ASSAY OF SIALIC ACID - LIPID ASSOCIATED SIALIC ACID (LASA),42.0,42.0,,,0 CDM,3018429501,HC SODIUM LEVEL,92.0,92.0,,,0 CDM,3018430001,HC SODIUM LEVEL URINE RANDOM,238.0,238.0,,,0 CDM,3018430002,HC SODIUM TIMED URINE,257.5,257.5,,,0 CDM,3018430003,HC ASSAY OF URINE SODIUM - SODIUM 24 HOUR URINE,27.0,27.0,,,0 CDM,3018430004,HC ASSAY OF URINE SODIUM - ADDITIONAL CHARGE,27.0,27.0,,,0 CDM,3018430006,HC SODIUM URINE - ARUP,38.0,38.0,,,0 CDM,3018430007,"HC SODIUM - CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",25.0,25.0,,,0 CDM,3018430008,"HC SODIUM - SUPERSATURATION PROFILE, URINE - ARUP",25.0,25.0,,,0 CDM,3018430201,HC SODIUM BODY FLUID,84.0,84.0,,,0 CDM,3018430202,HC SODIUM RANDOM URINE,95.0,95.0,,,0 CDM,3018430204,HC SODIUM BODY FLUID - ARUP,39.0,39.0,,,0 CDM,3018430205,HC SODIUM STOOL - ARUP,61.0,61.0,,,0 CDM,3018430501,HC ASSAY OF SOMATOMEDIN - INSULIN-LIKE GROWTH FACTOR,72.5,72.5,,,0 CDM,3018430502,HC INSULIN LIKE GROWTH FACTOR (IGF) 1 - ARUP,42.0,42.0,,,0 CDM,3018430701,HC ASSAY OF SOMATOSTATIN - SOMATOSTATIN,402.0,402.0,,,0 CDM,3018430702,HC SOMATOSTATIN - ARUP,678.0,678.0,,,0 CDM,3018431101,HC SPECTROPHOTOMETRY - PORPHYRIN TOTAL,103.0,103.0,,,0 CDM,3018431102,HC SPECTROPHOTOMETRY ANALYTE,132.0,132.0,,,0 CDM,3018431103,HC SPECTROPHOTOMETRY - CHOLESTEROL TOTAL BODY FLUID,137.0,137.0,,,0 CDM,3018431104,HC ARYLSULFATASE A URINE,137.0,137.0,,,0 CDM,3018431105,HC ADENOSINE DEAMINASE PLEURAL FLUID,137.0,137.0,,,0 CDM,3018431106,HC CHYMOTRYPSIN FECES,137.0,137.0,,,0 CDM,3018431107,HC PORPHYRIN TOTAL - ARUP,82.0,82.0,,,0 CDM,3018431108,HC CHOLESTEROL LEVEL BODY FLUID - ARUP,41.0,41.0,,,0 CDM,3018431109,HC CHYMOTRYPSIN STOOL - ARUP,474.0,474.0,,,0 CDM,3018431111,HC ASSAY SPECTROPHOTOMETRY - HEMOGLOBIN FREE,137.0,137.0,,,0 CDM,3018431112,"HC ADENOSINE DEAMINASE, PERICARDIAL FLUID - ARUP",146.0,146.0,,,0 CDM,3018431501,HC BODY FLUID SPECIFIC GRAVITY - SPECIFIC GRAVITY BODY FLUID,84.0,84.0,,,0 CDM,3018437601,HC REDUCING SUBSTANCES STOOL,95.0,95.0,,,0 CDM,3018437602,HC REDUCING SUBSTANCES STOOL - ARUP,57.0,57.0,,,0 CDM,3018437801,"HC ASSAY SUGARS SINGLE QUANTITATIVE, EACH SPECIMEN",546.0,546.0,,,0 CDM,3018437802,HC REDUCING SUBSTANCES SINGLE QUANT,546.0,546.0,,,0 CDM,3018437803,HC 15 ANHYDROGLUCITOL LEVEL,546.0,546.0,,,0 CDM,3018437804,"HC 1,5 ANHYDROGLUCITOL QUANT",507.0,507.0,,,0 CDM,3018437805,"HC 1,5 ANHYDROGLUCITOL QUANT - ARUP",159.0,159.0,,,0 CDM,3018437806,HC GALACTOSE-1-PHOSPHATE IN RED BLOOD CELLS - ARUP,465.0,465.0,,,0 CDM,3018439201,"HC ASSAY OF URINE SULFATE - SULFATE, URINE",31.0,31.0,,,0 CDM,3018439202,HC SULFATE - SUPERSATURATION PROFILE - ARUP,28.0,28.0,,,0 CDM,3018440201,HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE,125.0,125.0,,,0 CDM,3018440202,HC TESTOSTERONE FREE WOMEN AND CHILDREN,102.5,102.5,,,0 CDM,3018440301,HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE,626.0,626.0,,,0 CDM,3018440302,HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE AND TOTAL MALE ADULT,363.0,363.0,,,0 CDM,3018440303,HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE FEMALE OR CHILD,424.5,424.5,,,0 CDM,3018440304,HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE FREE & TOTAL MALE ADULT - ARUP,59.0,59.0,,,0 CDM,3018440305,"HC TESTOSTERONE TOTAL LEVEL- TESTOSTERONE, BIOAVAILABLE & SHBG ADULT MALE",562.0,562.0,,,0 CDM,3018440306,HC TESTOSTERONE TOTAL LEVEL,609.5,609.5,,,0 CDM,3018440307,HC TESTOSTERONE LEVEL - NG/ML,609.5,609.5,,,0 CDM,3018440308,HC TESTOSTERONE LEVEL TOTAL ADULT MALE - QWDL,38.0,38.0,,,0 CDM,3018440309,HC TESTOSTERONE LEVEL ADULT MALE - ARUP,25.0,25.0,,,0 CDM,3018440310,HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE BIOAVAILABLE FEMALE/CHILD - ARUP,57.0,57.0,,,0 CDM,3018440311,HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE & TOTAL FEMALE/CHILD - ARUP,57.0,57.0,,,0 CDM,3018440312,HC TESTOSTERONE LEVEL TOTAL FEMALE/CHILD - ARUP,39.0,39.0,,,0 CDM,3018440313,HC TESTOSTERONE LEVEL TOTAL - MASS SPEC - QWDL,46.0,46.0,,,0 CDM,3018440314,HC TESTOSTERONE TOTAL - BIOAVAIL & SEX HORMONE BIND GLOB MALE - ARUP,101.0,101.0,,,0 CDM,3018442501,HC ASSAY OF VITAMIN B-1 - VITAMIN B1,98.0,98.0,,,0 CDM,3018442502,"HC ASSAY OF VITAMIN B-1 - VITAMIN B1, WHOLE BLOOD",99.0,99.0,,,0 CDM,3018442503,HC VITAMIN B1 LEVEL FOR DEFICIENCY,99.0,99.0,,,0 CDM,3018442504,HC VITAMIN B1 - ARUP,68.0,68.0,,,0 CDM,3018442505,HC VITAMIN B1 WHOLE BLOOD - ARUP,42.0,42.0,,,0 CDM,3018443001,HC THIOCYANATE LEVEL,188.0,188.0,,,0 CDM,3018443004,HC THIOCYANATE LEVEL - ARUP,445.0,445.0,,,0 CDM,3018443101,HC 11 DEHYDRO THROMBOXANE B2 URINE,519.0,519.0,,,0 CDM,3018443201,HC ASSAY OF THYROGLOBULIN - THYROGLOBULIN,103.0,103.0,,,0 CDM,3018443202,HC THYROGLOBULIN BY LC/MS,100.0,100.0,,,0 CDM,3018443203,HC THYROGLOBULIN BY CIA,100.0,100.0,,,0 CDM,3018443204,HC THYROGLOBULIN CIA - ARUP,46.0,46.0,,,0 CDM,3018443205,HC THYROGLOBULIN LC - ARUP,252.0,252.0,,,0 CDM,3018443301,HC ASSAY THIOPURIN S-MTHYLTRNSFRS (TPMT),327.0,327.0,,,0 CDM,3018443302,HC THIOPURIN S-METHYLTRANSFERASE (TPMT) RBC - ARUP,358.0,358.0,,,0 CDM,3018443601,HC THYROXINE T4 TOTAL,202.0,202.0,,,0 CDM,3018443602,HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) RIA,206.5,206.5,,,0 CDM,3018443603,HC T4 THYROID PANEL WITH FTI - ARUP,39.0,39.0,,,0 CDM,3018443604,HC THYROID T4 - ARUP,40.5,40.5,,,0 CDM,3018443605,HC THYROXINE T4 TOTAL - ARUP,34.0,34.0,,,0 CDM,3018443701,"HC ASSAY OF NEONATAL THYROXINE - T4, NEONATAL",85.0,85.0,,,0 CDM,3018443702,"HC ASSAY OF NEONATAL THYROXINE - T4, NEONATAL WITH ELUTION",292.0,292.0,,,0 CDM,3018443901,HC T4 FREE - THYROXINE FREE,474.0,474.0,,,0 CDM,3018443902,HC T4 FREE BY DIALYSIS - ARUP,296.5,296.5,,,0 CDM,3018443903,HC T4 FREE REFLEX FROM TSH CASCADE,465.0,465.0,,,0 CDM,3018443904,HC T4 FREE,465.0,465.0,,,0 CDM,3018444201,HC ASSAY OF THYROXINE BNDNG GLOBULIN - THYROXINE BINDING GLOBULIN,101.0,101.0,,,0 CDM,3018444202,HC THYROXINE BINDNG GLOBULIN - ARUP,69.0,69.0,,,0 CDM,3018444301,HC THYROID STIMULATING HORMONE,560.0,560.0,,,0 CDM,3018444303,HC TSH LEVEL,550.0,550.0,,,0 CDM,3018444304,HC TSH LEVEL 3RD GENERATION - ARUP,61.0,61.0,,,0 CDM,3018444305,HC TSH LEVEL - TSH CASCADE,550.0,550.0,,,0 CDM,3018444306,HC TSH LEVEL - TSH REFLEX FREE T4,550.0,550.0,,,0 CDM,3018444307,HC TSH LEVEL 30 MINUTES - THYROID RELEASING HORMONE STIMULATION PANEL,550.0,550.0,,,0 CDM,3018444308,HC TSH LEVEL 60 MINUTES - THYROID RELEASING HORMONE STIMULATION PANEL,550.0,550.0,,,0 CDM,3018444309,HC TSH LEVEL BASELINE - THYROID RELEASING HORMONE STIMULATION PANEL,550.0,550.0,,,0 CDM,3018444310,HC TSH LEVEL - ARUP,44.0,44.0,,,0 CDM,3018444311,HC TSH LEVEL 3RD GENERATION,520.0,520.0,,,0 CDM,3018444501,HC ASSAY OF THYROID STIM IMMUNOGLOBULINS (TSI) - THYROID STIMULATING IM,120.0,120.0,,,0 CDM,3018444502,HC THYROID STIMULATING IMMUNOGLOBULINS (TSI) - ARUP,122.0,122.0,,,0 CDM,3018444601,HC ASSAY OF VITAMIN E - VITAMIN E (TOCOPHEROL),65.0,65.0,,,0 CDM,3018444602,HC VITAMIN E (TOCOPHEROL) - ARUP,55.0,55.0,,,0 CDM,3018445001,HC AST (SGOT) SERUM/PLASMA,93.0,93.0,,,0 CDM,3018445004,HC LIVER FIBROSIS PANEL - AST,68.5,68.5,,,0 CDM,3018445005,HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - AST,77.0,77.0,,,0 CDM,3018445006,HC ASPARTATE AMINOTRANSFERASE (AST)- LIVER FIBROSIS FIBROMETER NAFLD - ARUP,109.0,109.0,,,0 CDM,3018445007,HC AST - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP,64.0,64.0,,,0 CDM,3018446001,HC ALT (SPGT) SERUM/PLASMA,92.0,92.0,,,0 CDM,3018446004,HC LIVER FIBROSIS PANEL - ALT,66.5,66.5,,,0 CDM,3018446005,HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - ALT,78.5,78.5,,,0 CDM,3018446006,HC ALANINE AMINOTRANSFERASE (ALT) - LIVER FIBROSIS FIBROMETER NAFLD - ARUP,111.0,111.0,,,0 CDM,3018446007,HC ALT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP,66.0,66.0,,,0 CDM,3018446601,HC TRANSFERRIN LEVEL,363.0,363.0,,,0 CDM,3018446602,HC TRANSFERRIN LEVEL - QWDL,33.0,33.0,,,0 CDM,3018446603,HC TRANSFERRIN LEVEL - IRON + TRANSFERRIN + TIBC,598.0,598.0,,,0 CDM,3018447801,HC TRIGLYCERIDES,72.0,72.0,,,0 CDM,3018447802,HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID,93.0,93.0,,,0 CDM,3018447804,"HC TRIGLYCERIDES, BODY FLUID - ARUP",27.5,27.5,,,0 CDM,3018447901,HC THYROID HORM UPTAKE/THYR HORM BINDING RATIO - T3 UPTAKE,47.0,47.0,,,0 CDM,3018447902,HC THYROID HORM UPTAKE/THYR HORM BINDING RATIO - T3 UPTAKE AND FTI,32.0,32.0,,,0 CDM,3018447904,HC T3 UPTAKE - ARUP,25.0,25.0,,,0 CDM,3018447905,HC T3 UPTAKE - THYROID PANEL WITH FTI- ARUP,28.0,28.0,,,0 CDM,3018448001,"HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE)",341.0,341.0,,,0 CDM,3018448101,HC T3 FREE,453.5,453.5,,,0 CDM,3018448102,"HC T3, FREE - ARUP",69.5,69.5,,,0 CDM,3018448103,HC T3 FREE - QWDL,69.0,69.0,,,0 CDM,3018448201,HC TRIIODOTHYRONINE T3 REVERSE - T3 REVERSE,71.0,71.0,,,0 CDM,3018448202,HC TRIIODOTHYRONINE (T3) REVERSE - ARUP,59.0,59.0,,,0 CDM,3018448401,HC TROPONIN T HIGH SENSITIVITY,519.0,519.0,,,0 CDM,3018448402,"HC ASSAY OF TROPONIN, QUANT - TROPONIN I",304.0,304.0,,,0 CDM,3018448404,HC TROPONIN T QUANT HIGH SENSITIVITY,502.0,502.0,,,0 CDM,3018448405,HC POC TROPONIN I,502.0,502.0,,,0 CDM,3018448501,HC TRYPSIN DUODENAL FLUID,55.0,55.0,,,0 CDM,3018451001,HC ASSAY TYROSINE - TYROSINE,165.0,165.0,,,0 CDM,3018451002,HC TYROSINE - ARUP,197.0,197.0,,,0 CDM,3018451003,HC TYROSINE LEVEL - PHENYLALANINE AND TYROSINE - ARUP,124.0,124.0,,,0 CDM,3018452001,HC BLOOD UREA NITROGEN - BUN,92.0,92.0,,,0 CDM,3018452004,"HC ASSAY UREA NITROGEN, QUAN - POCT UREA (BUN)",77.0,77.0,,,0 CDM,3018452005,HC UREA NITROGEN BODY FLUID,77.5,77.5,,,0 CDM,3018452007,HC BUN - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP,50.0,50.0,,,0 CDM,3018454001,HC UREA NITROGEN URINE TIMED,280.0,280.0,,,0 CDM,3018454002,HC UREA NITROGEN URINE RANDOM,236.0,236.0,,,0 CDM,3018454003,"HC UREA NITROGEN, URINE - ARUP",34.0,34.0,,,0 CDM,3018455001,HC URIC ACID LEVEL,76.5,76.5,,,0 CDM,3018455002,HC URIC ACID LEVEL - ARUP,31.0,31.0,,,0 CDM,3018456002,"HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID BODY FLUID",85.0,85.0,,,0 CDM,3018456003,HC URIC ACID LEVEL URINE 24 HOUR,27.0,27.0,,,0 CDM,3018456004,HC URIC ACID LEVEL URINE 24 HOUR,272.0,272.0,,,0 CDM,3018456005,"HC URIC ACID SUPERSATURATION PROFILE, URINE - ARUP",27.0,27.0,,,0 CDM,3018456006,HC URIC ACID - STONE RISK PANEL - ARUP,18.0,18.0,,,0 CDM,3018456007,HC URIC ACID URINE RANDOM,252.0,252.0,,,0 CDM,3018456008,HC URIC ACID LEVEL BODY FLUID,79.0,79.0,,,0 CDM,3018456009,HC URIC ACID LEVEL BODY FLUID - ARUP,31.0,31.0,,,0 CDM,3018456010,"HC URIC ACID - CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",25.0,25.0,,,0 CDM,3018456011,HC URIC ACID - KIDNEY STONE RISK PANEL URINE - ARUP,17.0,17.0,,,0 CDM,3018456012,HC URIC ACID LEVEL URINE 24 HOUR - ARUP,31.0,31.0,,,0 CDM,3018458501,HC ASSAY OF URINE VMA - VMA TIMED URINE,103.0,103.0,,,0 CDM,3018458502,"HC ASSAY OF URINE VMA - VMA, URINE",103.0,103.0,,,0 CDM,3018458503,HC VANILLYLMANDELIC ACID (VMA) URINE - ARUP,63.0,63.0,,,0 CDM,3018458601,HC ASSAY OF VIP - VASOACTIVE INTESTINAL PEPTIDE (VIP),120.0,120.0,,,0 CDM,3018458602,HC VASOACTIVE INTESTINAL PEPTIDE (VIP) - ARUP,160.0,160.0,,,0 CDM,3018458801,HC ASSAY OF VASOPRESSIN - ARGININE VASOPRESSIN HORMONE,113.0,113.0,,,0 CDM,3018458802,HC ARGININE VASOPRESSIN HORMONE - ARUP,126.0,126.0,,,0 CDM,3018459001,HC ASSAY OF VITAMIN A - VITAMIN A,61.5,61.5,,,0 CDM,3018459002,HC VITAMIN A - ARUP,34.0,34.0,,,0 CDM,3018459101,HC ASSAY OF NOS VITAMIN - NIACIN (VITAMIN B3),211.0,211.0,,,0 CDM,3018459102,HC ASSAY OF NOS VITAMIN - PANTOTHENIC ACID (VITAMIN B5),211.0,211.0,,,0 CDM,3018459103,HC ASSAY OF NOS VITAMIN - BIOTIN (VITAMIN B7),208.0,208.0,,,0 CDM,3018459104,HC ASSAY OF NOS VITAMIN - NONSPECIFIED VITAMIN,208.0,208.0,,,0 CDM,3018459105,HC NIACIN (VITAMIN B3) - ARUP,337.0,337.0,,,0 CDM,3018459106,HC VITAMIN B5 (PANTOTHENIC ACID) LEVEL - ARUP,335.0,335.0,,,0 CDM,3018459107,HC VITAMIN B7 (BIOTIN) LEVEL - ARUP,407.0,407.0,,,0 CDM,3018459701,HC ASSAY OF VITAMIN K - VITAMIN K,91.0,91.0,,,0 CDM,3018459702,HC VITAMIN K - ARUP,127.0,127.0,,,0 CDM,3018460001,HC ASSAY OF VOLATILES - VOLATILE COMPOUNDS,297.0,297.0,,,0 CDM,3018460002,HC PROPYLENE GLYCOL LEVEL,258.0,258.0,,,0 CDM,3018460003,HC HYDROCARBON AND OXYGENATED VOLATILES,258.0,258.0,,,0 CDM,3018460004,HC PROPYLENE GLYCOL - ARUP,555.0,555.0,,,0 CDM,3018463001,HC ASSAY OF ZINC - ZINC,57.5,57.5,,,0 CDM,3018463002,"HC ASSAY OF ZINC - ZINC, WHOLE BLOOD",69.5,69.5,,,0 CDM,3018463003,HC ASSAY OF ZINC - ZINC RBC,86.5,86.5,,,0 CDM,3018463004,HC ASSAY OF ZINC - ZINC URINE,59.0,59.0,,,0 CDM,3018463005,HC ZINC LEVEL RBC - ARUP,193.0,193.0,,,0 CDM,3018463006,HC ZINC WHOLE BLOOD - ARUP,87.0,87.0,,,0 CDM,3018468101,HC ASSAY OF C-PEPTIDE - C-PEPTIDE,421.0,421.0,,,0 CDM,3018468103,HC C PEPTIDE LEVEL - QWDL,93.0,93.0,,,0 CDM,3018468104,HC C PEPTIDE LEVEL - ARUP,42.0,42.0,,,0 CDM,3018470201,"HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD",408.0,408.0,,,0 CDM,3018470202,HC BETA HCG TUMOR MARKER CSF,97.0,97.0,,,0 CDM,3018470204,"HC CHORIONIC GONADOTROPIN, QUANT - HCG TUMOR MARKER",336.0,336.0,,,0 CDM,3018470206,HC HCG QUANT TUMOR MARKER CSF - ARUP,74.0,74.0,,,0 CDM,3018470207,HC HCG QUANTITATIVE TUMOR MARKER BLOOD,529.0,529.0,,,0 CDM,3018470208,HC MATERNAL QUAD SCREEN - HCG QUANTITATIVE,98.0,98.0,,,0 CDM,3018470209,"HC ASSAY CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD POC",470.0,470.0,,,0 CDM,3018470210,HC HCG QUANTITATIVE TUMOR MARKER BLOOD - ARUP,59.0,59.0,,,0 CDM,3018470211,HC HCG QUANTITATIVE,717.0,717.0,,,0 CDM,3018470301,HC HCG PREGNANCY URINE QUAL,481.0,481.0,,,0 CDM,3018470302,"HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE SERUM PLASMA",458.0,458.0,,,0 CDM,3018470303,HC PREGNANCY URINE POINT OF CARE,272.5,272.5,,,0 CDM,3018470401,HC CHORIONIC GONADOTROPIN - HCG FREE BETA CHAIN,80.0,80.0,,,0 CDM,3018499901,HC CLINICAL CHEMISTRY TEST - OSMOLALITY STOOL,113.0,113.0,,,0 CDM,3018499903,HC CLINICAL CHEMISTRY TEST - ADDITIONAL CHARGE,185.0,185.0,,,0 CDM,3018499904,HC CHEMISTRY NONSPECIFIED ANALYTE,11.0,11.0,,,0 CDM,3018499905,HC POTASSIUM LEVEL FECES,185.0,185.0,,,0 CDM,3018499906,HC POTASSIUM LEVEL FLUID,87.0,87.0,,,0 CDM,3018499907,HC POTASSIUM BODY FLUID ARUP,45.0,45.0,,,0 CDM,3018499908,HC POTASSIUM STOOL ARUP,61.0,61.0,,,0 CDM,3018499909,HC OSMOLALITY STOOL - ARUP,96.0,96.0,,,0 CDM,3018499910,HC POTASSIUM STOOL - ARUP,59.0,59.0,,,0 CDM,3018499911,HC POTASSIUM BODY FLUID - ARUP,42.0,42.0,,,0 CDM,3018633502,"HC IMMUNFIX E-PHORSIS URINE - IMMUNOFIXATION WITH FLC, URINE - ARUP",211.0,211.0,,,0 CDM,3018633504,HC IMMUNFIX EPHORESIS BETA 2 TRANSFERRIN,609.0,609.0,,,0 CDM,3018634102,HC ZINC TRANSPORTERS 8 AB,359.0,359.0,,,0 CDM,3018634103,HC ZINC TRANSPROTER 8 ANTIBODY - ARUP,861.0,861.0,,,0 CDM,3018636401,"HC TISSUE TRANSGLUTAMINASE ANTIBODY, IGG",284.0,284.0,,,0 CDM,3018636402,"HC TISSUE TRANSGLUTAMINASE ANTIBODY, IGA",284.0,284.0,,,0 CDM,3018636403,HC TISSUE TRANSGLUTAMINASE IGA - CELIAC CASCADE SCREEN,263.0,263.0,,,0 CDM,3018636406,HC TISSUE TRANSGLUTAMINASE IGA WITH REFLEX TITER - ARUP,30.0,30.0,,,0 CDM,3018636407,HC TISSUE TRANSGLUTAMINASE IGG,263.0,263.0,,,0 CDM,3018636408,HC TISSUE TRANSGLUTAMINASE IGG - ARUP,63.0,63.0,,,0 CDM,3018636409,HC TISSUE TRANSGLUTAMINASE IGA,263.0,263.0,,,0 CDM,3018636410,HC TISSUE TRANSGLUTAMINASE IGA - ARUP,30.0,30.0,,,0 CDM,3018643102,HC RHEUMATOID FACTOR - RHEUMATOID ARTHRITIS PANEL - ARUP,55.0,55.0,,,0 CDM,3018678705,HC VARICELLA ZOSTER IGG,379.5,379.5,,,0 CDM,3018872001,HC BILIRUBIN TOTAL TRANSCUTANEOUS,129.0,129.0,,,0 CDM,3018873801,HC HEMOGLOBIN TOTAL TRANSCUTANEOUS PER DAY,165.0,165.0,,,0 CDM,3018923001,HC CHLORIDE - SWEAT COLLECTION BY IONTOPHORESIS,1147.0,1147.0,,,0 CDM,301G048001,HC DRUG ID PANEL 1 - 7 CLASSES PER DAY,353.0,353.0,,,0 CDM,3020202U01,HC BIOFIRE RESP PNL 22 TARGETS INCLUDING SARSCOV2,3067.0,3067.0,,,0 CDM,3020225U01,HC RESP PNL 21 TARGETS INCLUDING SARSCOV2,1728.0,1728.0,,,0 CDM,3023820803,HC BONE MARROW REINFUSION,2750.0,2750.0,,,0 CDM,3023820804,HC ALLOGENIC STEM CELL INFUSION,2514.0,2514.0,,,0 CDM,3023820805,HC CORD BLOOD THAW HPC,2751.0,2751.0,,,0 CDM,3023820902,HC CORD BLOOD WASH HPC LAB,2751.0,2751.0,,,0 CDM,3023821201,HC MANUAL RBC DEPLETION,5153.0,5153.0,,,0 CDM,3023821202,HC AUTOMATED RBC DEPLETION LAB,1098.0,1098.0,,,0 CDM,3023821401,HC PLASMA DEPLETION,615.0,615.0,,,0 CDM,3028137201,HC HLA TYPING-PLATELET TRANSFUSION,801.0,801.0,,,0 CDM,3028351602,HC FIBRILLARIN ANTIBODY IGG -SYSTEMIC SCLEROSIS PANEL - ARUP,175.0,175.0,,,0 CDM,3028351603,"HC PM SCL-100 ANTIBODY, IGG - SYSTEMIC SCLEROSIS PANEL - ARUP",185.0,185.0,,,0 CDM,3028351604,HC FIBRILLARIN (U3 RNP) IGG - SYSTEMIC SCLEROSIS PANEL - ARUP,111.0,111.0,,,0 CDM,3028351605,"HC TITIN AB - ACHR, TITIN, STM AB REFLEX PANEL - ARUP",105.0,105.0,,,0 CDM,3028351606,HC PROTHROMBIN IGG - NON-CRITERIA APS - ARUP,175.0,175.0,,,0 CDM,3028354006,HC IRON LEVEL LIVER TISSUE - ARUP,437.0,437.0,,,0 CDM,3028416502,HC PROTEIN ELECTROPHORESIS - MONCLONAL PROTEIN STUDY SERUM - ARUP,118.0,118.0,,,0 CDM,3028600001,HC AGGLUTININS; FEBRILE - FEBRILE AGGLUTININS,130.0,130.0,,,0 CDM,3028600002,HC FRANCISELLA TULARENIS ANTIBODY - ARUP,155.0,155.0,,,0 CDM,3028600104,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, BAKER'S YEAST IGG",23.0,23.0,,,0 CDM,3028600105,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, BARLEY IGG",23.0,23.0,,,0 CDM,3028600106,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, BEEF IGG",23.0,23.0,,,0 CDM,3028600107,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, CHICKEN IGG",23.0,23.0,,,0 CDM,3028600108,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, CHOCOLATE IGG",23.0,23.0,,,0 CDM,3028600110,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, CORN IGG",23.0,23.0,,,0 CDM,3028600111,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, EGG WHITE IGG",23.0,23.0,,,0 CDM,3028600112,HC ALLERGY TEST EGG YOLK IGG - ARUP,75.0,75.0,,,0 CDM,3028600114,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, LETTUCE IGG",23.0,23.0,,,0 CDM,3028600115,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, MALT IGG",23.0,23.0,,,0 CDM,3028600116,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, MILK (COW'S) IGG",23.0,23.0,,,0 CDM,3028600118,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, OAT IGG",23.0,23.0,,,0 CDM,3028600121,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, ORANGE IGG",23.0,23.0,,,0 CDM,3028600122,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, PEANUT IGG",23.0,23.0,,,0 CDM,3028600123,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, PORK IGG",23.0,23.0,,,0 CDM,3028600126,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, RYE IGG",23.0,23.0,,,0 CDM,3028600127,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, SOYBEAN IGG",23.0,23.0,,,0 CDM,3028600138,"HC ALLERGEN SPEC IGG QUANT,EACH",23.0,23.0,,,0 CDM,3028600139,"HC ALLERGEN SPEC IGG QUANT,EACH - TOMATO",23.0,23.0,,,0 CDM,3028600140,"HC ALLERGEN SPEC IGG QUANT,EACH - WHEAT",23.0,23.0,,,0 CDM,3028600141,"HC ALLERGEN SPEC IGG QUANT,EACH - WHITE POTATO",23.0,23.0,,,0 CDM,3028600142,"HC ALLERGEN SPEC IGG QUANT,EACH - ASPERGILLUS FUMIGATUS",23.0,23.0,,,0 CDM,3028600143,"HC ALLERGEN SPEC IGG QUANT,EACH - AUREOBASIDIUM PULLULANS",23.0,23.0,,,0 CDM,3028600144,"HC ALLERGEN SPEC IGG QUANT,EACH - CANDIDA ALBICANS",23.0,23.0,,,0 CDM,3028600145,"HC ALLERGEN SPEC IGG QUANT,EACH - FUSARIUM MONILIFORME",75.0,75.0,,,0 CDM,3028600146,"HC ALLERGEN SPEC IGG QUANT,EACH - PENICILLIUM NOTATUM",23.0,23.0,,,0 CDM,3028600147,"HC ALLERGEN SPEC IGG QUANT,EACH - PHOMA BETAE",23.0,23.0,,,0 CDM,3028600148,HC ALLERGY TEST PEANUT IGG - ARUP,75.0,75.0,,,0 CDM,3028600149,HC ALLERGY TEST CASEIN (COW'S MILK) IGG - ARUP,75.0,75.0,,,0 CDM,3028600150,HC ALLERGY TEST PENICILLIUM NOTATUM IGG - ARUP,75.0,75.0,,,0 CDM,3028600151,HC ALLERGY TEST PHOMA BETAE IGG - ARUP,75.0,75.0,,,0 CDM,3028600152,HC ALLERGY TEST AUREOBASIDIUM PULLULANS IGG - ARUP,75.0,75.0,,,0 CDM,3028600153,HC ALLERGY TEST CANDIDA ALBICANS IGG - ARUP,75.0,75.0,,,0 CDM,3028600154,HC ALLERGY TEST FUSARIUM MONILIFORME IGG - ARUP,75.0,75.0,,,0 CDM,3028600303,HC ALLERGY TEST ALMONDS IGE,96.0,96.0,,,0 CDM,3028600304,HC ALLERGY TEST ALMONDS IGE - ARUP,21.0,21.0,,,0 CDM,3028600305,HC ALLERGY TEST APPLE IGE,96.0,96.0,,,0 CDM,3028600306,HC ALLERGEN SPEC IGE - ALLERGEN APRICOT IGE,21.0,21.0,,,0 CDM,3028600307,HC ALLERGY TEST APPLE IGE - ARUP,21.0,21.0,,,0 CDM,3028600308,"HC ALLERGEN SPEC IGE - ALLERGEN ASH, WHITE IGE",21.0,21.0,,,0 CDM,3028600309,HC ALLERGEN SPEC IGE - ALLERGEN ASPARAGUS IGE,21.0,21.0,,,0 CDM,302860030A,HC ALLERGEN SPEC IGE - ALLERGEN ANIMAL: PARAKEET FEATHERS IGE,21.0,21.0,,,0 CDM,302860030B,HC ALLERGY TEST PARAKEET FEATHERS IGE - ARUP,21.0,21.0,,,0 CDM,302860030C,HC ALLERGY TEST ASPARAGUS IGE - ARUP,21.0,21.0,,,0 CDM,302860030D,HC ALLERGY TEST RABBIT EPITHELIUM IGE - ARUP,21.0,21.0,,,0 CDM,302860030E,HC ALLERGY TEST AVOCADO IGE - ARUP,21.0,21.0,,,0 CDM,302860030F,HC ALLERGY TEST CABBAGE IGE - ARUP,21.0,21.0,,,0 CDM,302860030G,HC ALLERGY TEST COW MILK WITH REFLEX IGE,96.0,96.0,,,0 CDM,302860030H,HC ALLERGY TEST DOG DANDER IGE - ARUP,21.0,21.0,,,0 CDM,302860030I,HC ALLERGY TEST CRANBERRY IGE - ARUP,21.0,21.0,,,0 CDM,302860030J,HC ALLERGY TEST GINGER IGE - ARUP,21.0,21.0,,,0 CDM,302860030K,HC ALLERGY TEST NUTMEG IGE - ARUP,21.0,21.0,,,0 CDM,302860030L,HC ALLERGY TEST CAT HAIR DANDER IGE - ARUP,21.0,21.0,,,0 CDM,302860030M,"HC ALLERGY TEST PEPPER, GREEN BELL IGE - ARUP",21.0,21.0,,,0 CDM,302860030N,HC ALLERGY TEST CANTALOUPE IGE - ARUP,21.0,21.0,,,0 CDM,302860030O,HC ALLERGY TEST CINNAMON IGE - ARUP,21.0,21.0,,,0 CDM,302860030P,"HC ALLERGY TEST PEPPER, BLACK IGE - ARUP",21.0,21.0,,,0 CDM,302860030Q,HC ALLERGY TEST BLUEBERRY IGE - ARUP,21.0,21.0,,,0 CDM,302860030R,HC ALLERGY TEST MITES BLOMIA TROPICALIS IGE - ARUP,21.0,21.0,,,0 CDM,302860030S,HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE - ARUP,21.0,21.0,,,0 CDM,302860030T,HC ALLERGY TEST RASPBERRY IGE - ARUP,21.0,21.0,,,0 CDM,302860030U,HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE - ARUP,21.0,21.0,,,0 CDM,302860030V,HC ALLERGY TEST BLACKBERRY IGE - ARUP,21.0,21.0,,,0 CDM,302860030W,HC ALLERGY TEST ASPERGILLUS NIGER IGE - ARUP,21.0,21.0,,,0 CDM,302860030X,HC ALLERGY TEST APRICOT IGE - ARUP,21.0,21.0,,,0 CDM,302860030Y,HC ALLERGY TEST PENICILLIN V IGE - ARUP,21.0,21.0,,,0 CDM,302860030Z,HC ALLERGY TEST GRAPE IGE - ARUP,21.0,21.0,,,0 CDM,3028600310,HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE,96.0,96.0,,,0 CDM,3028600311,HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE,21.0,21.0,,,0 CDM,3028600312,HC ALLERGEN SPEC IGE - ALLERGEN AVOCADO IGE,21.0,21.0,,,0 CDM,3028600313,HC ALLERGY TEST BANANA IGE,96.0,96.0,,,0 CDM,3028600314,HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE,21.0,21.0,,,0 CDM,3028600315,HC ALLERGEN SPEC IGE - ALLERGEN BAYBERRY/SWEET GALE IGE,21.0,21.0,,,0 CDM,3028600316,HC ALLERGY TEST BANANA IGE - ARUP,21.0,21.0,,,0 CDM,3028600317,"HC ALLERGEN SPEC IGE - ALLERGEN BEAN, GREEN IGE",21.0,21.0,,,0 CDM,3028600318,HC ALLERGY TEST BAYBERRY/SWEET GALE IGE - ARUP,21.0,21.0,,,0 CDM,3028600319,"HC ALLERGEN SPEC IGE - ALLERGEN BEAN, LIMA IGE",103.0,103.0,,,0 CDM,302860031A,HC ALLERGY TEST PHOMA BETAE IGE - ARUP,21.0,21.0,,,0 CDM,302860031B,HC ALLERGY TEST GERMAN COCKROACH IGE,96.0,96.0,,,0 CDM,302860031C,"HC ALLERGEN SPEC IGE - ALLERGEN INSECT: COCKROACH, ORIENTAL",103.0,103.0,,,0 CDM,302860031D,HC ALLERGY TEST GERMAN COCKROACH IGE - ARUP,21.0,21.0,,,0 CDM,302860031E,HC ALLERGY TEST MUSTARD IGE - ARUP,21.0,21.0,,,0 CDM,302860031F,HC ALLERGY TEST RHIZOPUS NIGRICANS IGE - ARUP,21.0,21.0,,,0 CDM,302860031G,HC ALLERGEN SPEC IGE - ALLERGEN VENOM: EUROPEAN PAPER WASP,21.0,21.0,,,0 CDM,302860031H,HC ALLERGY TEST SPINACH IGE - ARUP,21.0,21.0,,,0 CDM,302860031I,HC ALLERGY TEST PEACH IGE - ARUP,21.0,21.0,,,0 CDM,302860031J,HC ALLERGY TEST ONION IGE - ARUP,21.0,21.0,,,0 CDM,302860031K,HC ALLERGY TEST LEMON IGE - ARUP,21.0,21.0,,,0 CDM,302860031L,HC ALLERGY TEST MUSHROOM IGE - ARUP,21.0,21.0,,,0 CDM,302860031M,HC ALLERGY TEST MACADAMIA NUT IGE - ARUP,21.0,21.0,,,0 CDM,302860031N,HC ALLERGY TEST WHITE BEAN IGE - ARUP,21.0,21.0,,,0 CDM,302860031O,HC ALLERGY TEST BARLEY IGE- ARUP,21.0,21.0,,,0 CDM,302860031P,HC ALLERGY TEST BUCKWHEAT IGE - ARUP,21.0,21.0,,,0 CDM,302860031Q,HC ALLERGY TEST CARROT IGE - ARUP,21.0,21.0,,,0 CDM,302860031R,HC ALLERGY TEST COFFEE IGE - ARUP,21.0,21.0,,,0 CDM,302860031S,HC ALLERGY TEST COCONUT IGE - ARUP,21.0,21.0,,,0 CDM,302860031T,HC ALLERGY TEST LAMB IGE - ARUP,21.0,21.0,,,0 CDM,302860031U,HC ALLERGY TEST FOOD RYE IGE - ARUP,21.0,21.0,,,0 CDM,302860031V,HC ALLERGY TEST TEA IGE - ARUP,21.0,21.0,,,0 CDM,302860031W,HC ALLERGY TEST TURKEY IGE - ARUP,21.0,21.0,,,0 CDM,302860031X,HC ALLERGY TEST CASHEW IGE - ARUP,21.0,21.0,,,0 CDM,302860031Y,HC ALLERGY TEST PEANUT IGE - ARUP,21.0,21.0,,,0 CDM,302860031Z,"HC ALLERGY TEST BEAN, GREEN IGE - ARUP",21.0,21.0,,,0 CDM,3028600320,HC ALLERGY TEST BEECH AMERICAN IGE,96.0,96.0,,,0 CDM,3028600321,HC ALLERGY TEST BEEF IGE,96.0,96.0,,,0 CDM,3028600322,HC ALLERGY TEST BEEF IGE - ARUP,21.0,21.0,,,0 CDM,3028600323,HC ALLERGY TEST BERMUDA GRASS IGE,96.0,96.0,,,0 CDM,3028600324,HC ALLERGY TEST BIRCH TREE IGE,96.0,96.0,,,0 CDM,3028600325,HC ALLERGEN SPEC IGE - ALLERGEN BLACKBERRY IGE,21.0,21.0,,,0 CDM,3028600326,HC ALLERGY TEST BIRCH TREE IGE - ARUP,21.0,21.0,,,0 CDM,3028600327,HC ALLERGEN SPEC IGE - ALLERGEN BLUEBERRY IGE,21.0,21.0,,,0 CDM,3028600328,HC ALLERGEN SPEC IGE - ALLERGEN BOTRYTIS CINEREA IGE,103.0,103.0,,,0 CDM,3028600329,HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE,21.0,21.0,,,0 CDM,302860032A,HC ALLERGY TEST BOTRYTIS CINEREA IGE - ARUP,21.0,21.0,,,0 CDM,302860032B,HC ALLERGY TEST BERMUDA GRASS IGE - ARUP,21.0,21.0,,,0 CDM,302860032C,HC ALLERGY TEST OYSTER IGE - ARUP,21.0,21.0,,,0 CDM,302860032D,"HC ALLERGY TEST ASH, WHITE IGE - ARUP",21.0,21.0,,,0 CDM,302860032E,HC ALLERGY TEST HAZELNUT TREE IGE - ARUP,21.0,21.0,,,0 CDM,302860032F,"HC ALLERGY TEST CEDAR, MOUNTAIN IGE",96.0,96.0,,,0 CDM,302860032G,"HC ALLERGY TEST OAK, WHITE IGE - ARUP",21.0,21.0,,,0 CDM,302860032H,"HC ALLERGY TEST SYCAMORE, AMERICAN IGE - ARUP",21.0,21.0,,,0 CDM,302860032I,"HC ALLERGY TEST WILLOW, BLACK IGE - ARUP",21.0,21.0,,,0 CDM,302860032J,"HC ALLERGY TEST FESCUE, MEADOW IGE",96.0,96.0,,,0 CDM,302860032K,HC ALLERGY TEST NAVY BEAN IGE - ARUP,21.0,21.0,,,0 CDM,302860032L,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: RJUG R 1 WALNUT,21.0,21.0,,,0 CDM,302860032M,HC ALLERGY TEST WALNUT JUGLANS REGIA IGE - ARUP,21.0,21.0,,,0 CDM,302860032N,HC ALLERGY TEST FUSARIUM MONILIFORME IGE - ARUP,21.0,21.0,,,0 CDM,302860032O,HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE - ARUP,21.0,21.0,,,0 CDM,302860032P,"HC ALLERGY TEST REDTOP, BENTGRASS IGE - ARUP",21.0,21.0,,,0 CDM,302860032Q,"HC ALLERGY TEST CEDAR, RED IGE - ARUP",21.0,21.0,,,0 CDM,302860032R,HC ALLERGY TEST ELM TREE IGE - ARUP,21.0,21.0,,,0 CDM,302860032S,HC ALLERGY TEST COCKLEBUR IGE - ARUP,21.0,21.0,,,0 CDM,302860032T,HC ALLERGY TEST CYPRESS ITALIAN IGE - ARUP,21.0,21.0,,,0 CDM,302860032U,HC ALLERGY TEST MUGWORT IGE - ARUP,21.0,21.0,,,0 CDM,302860032V,"HC ALLERGY TEST RAGWEED, FALSE IGE - ARUP",21.0,21.0,,,0 CDM,302860032W,HC ALLERGY TEST EUROPEAN PAPER WASP IGE - ARUP,21.0,21.0,,,0 CDM,302860032X,"HC ALLERGY TEST THISTLE, RUSSIAN IGE - ARUP",21.0,21.0,,,0 CDM,302860032Y,HC ALLERGY TEST COW HAIR/DANDER IGE - ARUP,21.0,21.0,,,0 CDM,302860032Z,HC ALLERGY TEST BROCCOLI IGE - ARUP,21.0,21.0,,,0 CDM,3028600330,HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE,21.0,21.0,,,0 CDM,3028600331,"HC ALLERGEN SPEC IGE - ALLERGEN BROME, SMOOTH IGE",21.0,21.0,,,0 CDM,3028600332,HC ALLERGEN SPEC IGE - ALLERGEN BROMELAIN IGE,103.0,103.0,,,0 CDM,3028600333,HC ALLERGEN SPEC IGE - ALLERGEN BUCKWHEAT IGE,21.0,21.0,,,0 CDM,3028600334,HC ALLERGY TEST GUINEA PIG EPITHELIUM IGE - ARUP,21.0,21.0,,,0 CDM,3028600335,HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE,21.0,21.0,,,0 CDM,3028600336,HC ALLERGY TEST CANDIDA ALBICANS IGE - ARUP,21.0,21.0,,,0 CDM,3028600337,HC ALLERGY TEST CANDIDA ALBICANS IGE,96.0,96.0,,,0 CDM,3028600338,HC ALLERGEN SPEC IGE - ALLERGEN CANTALOUPE IGE,21.0,21.0,,,0 CDM,3028600339,HC ALLERGY TEST CHICKEN FEATHERS IGE - ARUP,21.0,21.0,,,0 CDM,302860033A,HC ALLERGY TEST GOOSE FEATHERS IGE - ARUP,21.0,21.0,,,0 CDM,302860033B,"HC ALLERGY TEST COCKROACH, AMERICAN IGE - ARUP",21.0,21.0,,,0 CDM,302860033C,HC ALLERGY TEST FIRE ANT (INVICTA) IGE - ARUP,21.0,21.0,,,0 CDM,302860033D,HC ALLERGY TEST HONEYBEE IGE - ARUP,21.0,21.0,,,0 CDM,302860033E,HC ALLERGY TEST PINE TREE AUSTRALIAN IGE - ARUP,21.0,21.0,,,0 CDM,302860033F,"HC ALLERGY TEST HORNET, YELLOW IGE - ARUP",21.0,21.0,,,0 CDM,302860033G,HC ALLERGY TEST CEPHALOSPORIUM ACRE IGE - ARUP,21.0,21.0,,,0 CDM,302860033H,HC ALLERGY TEST MOUSE EPIPHELIUM IGE,96.0,96.0,,,0 CDM,302860033I,HC ALLERGY TEST MOSQUITO IGE - ARUP,21.0,21.0,,,0 CDM,302860033J,"HC ALLERGY TEST MARSHELDER, ROUGH IGE - ARUP",21.0,21.0,,,0 CDM,302860033K,"HC ALLERGY TEST CYPRESS,BALD (WHITE) IGE - ARUP",21.0,21.0,,,0 CDM,302860033L,"HC ALLERGY TEST DOCKWEED, YELLOW IGE - ARUP",21.0,21.0,,,0 CDM,302860033M,"HC ALLERGY TEST HORNET, WHITE FACE IGE - ARUP",21.0,21.0,,,0 CDM,302860033N,HC ALLERGY TEST BRAZIL NUT IGE - ARUP,21.0,21.0,,,0 CDM,302860033O,HC ALLERGY TEST MAPLE TREE BOX ELDER IGE - ARUP,21.0,21.0,,,0 CDM,302860033P,HC ALLERGY TEST GARLIC IGE - ARUP,21.0,21.0,,,0 CDM,302860033Q,HC ALLERGY TEST SUMMER SQUASH IGE - ARUP,69.0,69.0,,,0 CDM,302860033R,HC ALLERGY TEST CHERRY IGE - ARUP,21.0,21.0,,,0 CDM,302860033S,HC ALLERGY TEST HICKORY TREE WHITE (SHAGBARK) IGE - ARUP,91.0,91.0,,,0 CDM,302860033T,HC ALLERGY TEST PINEAPPLE IGE - ARUP,21.0,21.0,,,0 CDM,302860033U,HC ALLERGY TEST CUCUMBER IGE - ARUP,21.0,21.0,,,0 CDM,302860033V,HC ALLERGY TEST LATEX IGE - ARUP,21.0,21.0,,,0 CDM,302860033W,HC ALLERGY TEST DRUG AMOXICILLIN IGE - ARUP,21.0,21.0,,,0 CDM,302860033X,HC ALLERGY TEST ALTERNARIA ALTERNATA IGE - ARUP,21.0,21.0,,,0 CDM,302860033Y,HC ALLERGY TEST MUCOR RACEMOSUS IGE,96.0,96.0,,,0 CDM,302860033Z,HC ALLERGY TEST RJUG R 1 WALNUT IGE ARUP,21.0,21.0,,,0 CDM,3028600340,HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE,21.0,21.0,,,0 CDM,3028600341,HC ALLERGEN SPEC IGE - ALLERGEN CASEIN IGE,103.0,103.0,,,0 CDM,3028600342,HC ALLERGY TEST CASHEW IGE,96.0,96.0,,,0 CDM,3028600343,HC ALLERGY TEST SWEET CHESTNUT IGE- ARUP,21.0,21.0,,,0 CDM,3028600344,HC ALLERGY TEST CAT HAIR DANDER IGE,96.0,96.0,,,0 CDM,3028600345,HC ALLERGY TEST CATFISH IGE - ARUP,21.0,21.0,,,0 CDM,3028600346,"HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, RED IGE",21.0,21.0,,,0 CDM,3028600347,HC ALLERGEN SPEC IGE - ALLERGEN CELERY IGE,21.0,21.0,,,0 CDM,3028600348,HC ALLERGEN SPEC IGE - ALLERGEN CEPHALOSPORIUM ACRE IGE,21.0,21.0,,,0 CDM,3028600349,HC ALLERGY TEST TILAPIA IGE - ARUP,21.0,21.0,,,0 CDM,302860034A,HC ALLERGY TEST PISTACHIO IGE - ARUP,21.0,21.0,,,0 CDM,302860034B,"HC ALLERGY TEST PINE NUT, PIGNOLES IGE - ARUP",21.0,21.0,,,0 CDM,302860034C,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CATFISH,21.0,21.0,,,0 CDM,302860034D,HC ALLERGY TEST GRAPEFRUIT IGE - ARUP,21.0,21.0,,,0 CDM,302860034E,HC ALLERGY TEST PEAR IGE- ARUP,21.0,21.0,,,0 CDM,302860034F,HC ALLERGY TEST CHICKPEA IGE - ARUP,21.0,21.0,,,0 CDM,302860034G,HC ALLERGY TEST MACKEREL IGE- ARUP,21.0,21.0,,,0 CDM,302860034H,HC ALLERGY TEST TREE MULBERRY (MORUS ALBA) IGE - ARUP,21.0,21.0,,,0 CDM,302860034I,HC ALLERGY TEST GOLDENROD IGE - ARUP,21.0,21.0,,,0 CDM,302860034J,"HC ALLERGY TEST PINE, WHITE IGE - ARUP",21.0,21.0,,,0 CDM,302860034K,HC ALLERGY TEST GREEN PEA IGE - ARUP,21.0,21.0,,,0 CDM,302860034L,HC ALLERGY TEST ORCHARD GRASS IGE - ARUP,21.0,21.0,,,0 CDM,302860034M,HC ALLERGY TEST RICE IGE - ARUP,21.0,21.0,,,0 CDM,302860034N,HC ALLERGY TEST EPICOCCUM PURPURASCEN IGE - ARUP,21.0,21.0,,,0 CDM,302860034O,HC ALLERGY TEST STEMPHYLIUM BOTRYOSUM IGE - ARUP,21.0,21.0,,,0 CDM,302860034P,HC ALLERGY TEST SCALE WEED IGE - ARUP,21.0,21.0,,,0 CDM,302860034Q,HC ALLERGY TEST HORSE DANDER IGE - ARUP,21.0,21.0,,,0 CDM,302860034R,HC ALLERGY TEST WALNUT TREE IGE - ARUP,21.0,21.0,,,0 CDM,302860034S,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: TILAPIA,21.0,21.0,,,0 CDM,302860034T,HC ALLERGY TEST MITES BLOMIA TROPICALIS IGE,96.0,96.0,,,0 CDM,302860034V,HC ALLERGY TEST SHRIMP IGE - ARUP,21.0,21.0,,,0 CDM,3028600351,"HC ALLERGEN SPEC IGE - ALLERGEN CHEESE, CHEDDAR IGE",21.0,21.0,,,0 CDM,3028600352,"HC ALLERGEN SPEC IGE - ALLERGEN CHERRY, BING IGE",21.0,21.0,,,0 CDM,3028600353,HC ALLERGY TEST CHICKEN IGE,96.0,96.0,,,0 CDM,3028600354,HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN FEATHERS IGE,21.0,21.0,,,0 CDM,3028600357,HC ALLERGEN SPEC IGE - ALLERGEN CINNAMON IGE,21.0,21.0,,,0 CDM,3028600358,HC ALLERGY TEST CLADOSPORIUM HERBARUM IGE,96.0,96.0,,,0 CDM,3028600359,HC ALLERGY TEST CLAMS IGE,96.0,96.0,,,0 CDM,302860035A,HC ALLERGY TEST CLAMS IGE - ARUP,21.0,21.0,,,0 CDM,302860035B,"HC ALLERGY TEST GUM, SWEET IGE - ARUP",21.0,21.0,,,0 CDM,302860035E,HC ALLERGY TEST WHEY IGE - ARUP,21.0,21.0,,,0 CDM,302860035P,HC ALLERGY TEST RAGWEED SHORT/COMMON IGE - ARUP,21.0,21.0,,,0 CDM,302860035Q,HC ALLERGY TEST WESTERN RAGWEED IGE - ARUP,21.0,21.0,,,0 CDM,302860035T,HC ALLERGY TEST KIWI FRUIT IGE - ARUP,21.0,21.0,,,0 CDM,302860035U,HC ALLERGY TEST CELERY IGE - ARUP,21.0,21.0,,,0 CDM,3028600360,HC ALLERGY TEST CODFISH IGE - ARUP,21.0,21.0,,,0 CDM,3028600361,HC ALLERGEN SPEC IGE - ALLERGEN COCKLEBUR IGE,21.0,21.0,,,0 CDM,3028600362,"HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE",21.0,21.0,,,0 CDM,3028600363,HC ALLERGY TEST COCONUT IGE,96.0,96.0,,,0 CDM,3028600364,HC ALLERGY TEST CODFISH IGE,96.0,96.0,,,0 CDM,3028600365,HC ALLERGEN SPEC IGE - ALLERGEN COFFEE IGE,21.0,21.0,,,0 CDM,3028600366,HC ALLERGY TEST CORN IGE,96.0,96.0,,,0 CDM,3028600367,"HC ALLERGEN SPEC IGE - ALLERGEN CORN POLLEN, CULTIVATED IGE",103.0,103.0,,,0 CDM,3028600368,HC ALLERGEN SPEC IGE - ALLERGEN COTTON LINTERS IGE,103.0,103.0,,,0 CDM,3028600369,HC ALLERGY TEST COTTONWOOD TREE IGE,50.0,50.0,,,0 CDM,302860036A,HC ALLERGY TEST OLIVE TREE IGE - ARUP,20.0,20.0,,,0 CDM,302860036B,HC ALLERGY TEST COTTONWOOD TREE IGE - ARUP,21.0,21.0,,,0 CDM,302860036C,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO,21.0,21.0,,,0 CDM,302860036D,"HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES",21.0,21.0,,,0 CDM,302860036E,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: GRAPEFRUIT,21.0,21.0,,,0 CDM,302860036F,HC ALLERGY TEST CORN IGE - ARUP,21.0,21.0,,,0 CDM,302860036G,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEAR,21.0,21.0,,,0 CDM,302860036H,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CHICKPEA,21.0,21.0,,,0 CDM,302860036I,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWEET CHESTNUT,21.0,21.0,,,0 CDM,302860036J,HC ALLERGY TEST CORN SMUT IGE - ARUP,96.0,96.0,,,0 CDM,302860036Q,"HC ALLERGEN SPEC IGE - ALLERGEN FOOD: NGAL D 2 OVALBUMIN, EGG IGE",103.0,103.0,,,0 CDM,302860036R,"HC ALLERGEN SPEC IGE - ALLERGEN FOOD: NGAL D 1 OVOMUCOID, EGG IGE",103.0,103.0,,,0 CDM,302860036U,HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE,21.0,21.0,,,0 CDM,302860036V,"HC ALLERGY TEST MULBERRY, RED IGE - ARUP",21.0,21.0,,,0 CDM,302860036Y,HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE - ARUP,21.0,21.0,,,0 CDM,3028600370,HC ALLERGEN SPEC IGE - ALLERGEN COW EPITHELIA/DANDER IGE,21.0,21.0,,,0 CDM,3028600371,HC ALLERGY TEST CRAB IGE,96.0,96.0,,,0 CDM,3028600372,HC ALLERGEN SPEC IGE - ALLERGEN CRANBERRY IGE,21.0,21.0,,,0 CDM,3028600373,HC ALLERGY TEST CRAB IGE - ARUP,21.0,21.0,,,0 CDM,3028600374,HC ALLERGEN SPEC IGE - ALLERGEN CUCUMBER IGE,21.0,21.0,,,0 CDM,3028600375,HC ALLERGEN SPEC IGE - ALLERGEN CURVULARIA LUNATA IGE,103.0,103.0,,,0 CDM,3028600376,"HC ALLERGEN SPEC IGE - ALLERGEN CYPRESS,BALD (WHITE) IGE",21.0,21.0,,,0 CDM,3028600377,HC ALLERGEN SPEC IGE - ALLERGEN WEED: DANDELION IGE,103.0,103.0,,,0 CDM,3028600378,HC ALLERGY TEST CURVULARIA LUNATA IGE - ARUP,21.0,21.0,,,0 CDM,302860037A,HC ALLERGY TEST MAPLE SUGAR TREE IGE - ARUP,69.0,69.0,,,0 CDM,302860037L,HC ALLERGEN SPEC IGE - ALLERGEN TREE: ITALIAN/MED/FUNERAL CYPRESS,103.0,103.0,,,0 CDM,302860037P,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEA (PISUM SATIVUM) IGE,103.0,103.0,,,0 CDM,302860037S,HC ALLERGY TEST ALTERNARIA ALTERNATA IGE,96.0,96.0,,,0 CDM,302860037Y,HC ALLERGEN SPEC IGE - AUREOBASIDIUM PULLULANS IGE,21.0,21.0,,,0 CDM,302860037Z,HC ALLERGY TEST AUREOBASIDIUM PULLULANS IGE - ARUP,21.0,21.0,,,0 CDM,3028600381,"HC ALLERGEN SPEC IGE - ALLERGEN DOCKWEED, YELLOW IGE",21.0,21.0,,,0 CDM,3028600382,HC ALLERGY TEST EGG YOLK IGE - ARUP,21.0,21.0,,,0 CDM,3028600383,HC ALLERGY TEST EGG YOLK IGE,96.0,96.0,,,0 CDM,3028600384,HC ALLERGY TEST EGG WHOLE IGE,58.5,58.5,,,0 CDM,3028600385,HC ALLERGY TEST EGG WHOLE IGE - ARUP,21.0,21.0,,,0 CDM,3028600386,HC ALLERGY TEST ELM TREE IGE,96.0,96.0,,,0 CDM,3028600387,HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE,96.0,96.0,,,0 CDM,3028600388,HC ALLERGEN SPEC IGE - ALLERGEN EPICOCCUM PURPURASCEN IGE,21.0,21.0,,,0 CDM,3028600389,HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE - ARUP,21.0,21.0,,,0 CDM,302860038A,HC ALLERGY TEST BAHIA GRASS IGE,96.0,96.0,,,0 CDM,302860038B,HC ALLERGY TEST BAHIA GRASS IGE - ARUP,21.0,21.0,,,0 CDM,302860038E,HC ALLERGEN SPEC IGE - ALLERGEN CHEESE MOLD IGE,21.0,21.0,,,0 CDM,302860038G,HC ALLERGY TEST CHEESE MOLD IGE - ARUP,21.0,21.0,,,0 CDM,302860038L,"HC ALLERGY TEST CEDAR, MOUNTAIN IGE - ARUP",21.0,21.0,,,0 CDM,302860038P,"HC ALLERGY TEST CHEESE, CHEDDAR IGE - ARUP",21.0,21.0,,,0 CDM,302860038R,HC ALLERGY TEST CHOCOLATE IGE,96.0,96.0,,,0 CDM,302860038S,HC ALLERGY TEST CHOCOLATE IGE - ARUP,21.0,21.0,,,0 CDM,302860038U,HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE,96.0,96.0,,,0 CDM,302860038V,HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE,96.0,96.0,,,0 CDM,302860038Z,HC ALLERGY TEST DOG DANDER IGE,96.0,96.0,,,0 CDM,3028600391,"HC ALLERGY TEST FENNEL, DOG IGE - ARUP",21.0,21.0,,,0 CDM,3028600392,"HC ALLERGEN SPEC IGE - ALLERGEN FENNEL, DOG IGE",21.0,21.0,,,0 CDM,3028600393,"HC ALLERGY TEST FESCUE, MEADOW IGE - ARUP",21.0,21.0,,,0 CDM,3028600395,HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE,21.0,21.0,,,0 CDM,3028600396,HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE,21.0,21.0,,,0 CDM,3028600397,HC ALLERGY TEST FLOUNDER IGE - ARUP,21.0,21.0,,,0 CDM,3028600398,HC ALLERGEN SPEC IGE - ALLERGEN GARLIC IGE,21.0,21.0,,,0 CDM,302860039B,HC ALLERGY TEST EGG WHITE IGE,96.0,96.0,,,0 CDM,302860039C,HC ALLERGY TEST EGG WHITE IGE - ARUP,21.0,21.0,,,0 CDM,302860039J,HC ALLERGEN SPEC IGE - ALLERGEN GREEN PEA,21.0,21.0,,,0 CDM,302860039K,HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE,96.0,96.0,,,0 CDM,302860039M,HC ALLERGEN SPEC IGE - ALLERGEN HORMODENDRUM HORDEI,103.0,103.0,,,0 CDM,302860039N,HC ALLERGY TEST HORMODENDRUM (CLADOSPORIUM) IGE - ARUP,21.0,21.0,,,0 CDM,302860039Q,HC ALLERGY TEST JOHNSON GRASS IGE,96.0,96.0,,,0 CDM,302860039R,HC ALLERGY TEST JOHNSON GRASS IGE - ARUP,21.0,21.0,,,0 CDM,302860039X,"HC ALLERGEN SPEC IGE - ALLERGEN MAPLE,RED IGE",99.5,99.5,,,0 CDM,30286003A4,HC ALLERGY TEST GIANT RAGWEED IGE - ARUP,69.0,69.0,,,0 CDM,30286003A5,HC ALLERGY TEST WESTERN WATER HEMP (AMARANTHUS SPP) IGE - ARUP,69.0,69.0,,,0 CDM,30286003A9,HC ALLERGY TEST PENICILLIUM NOTATUM IGE - ARUP,21.0,21.0,,,0 CDM,30286003AA,HC ALLERGY TEST COW MILK IGE,96.0,96.0,,,0 CDM,30286003AE,HC ALLERGEN SPEC IGE - ALLERGEN NUTS PANEL,103.0,103.0,,,0 CDM,30286003AG,HC ALLERGY TEST OAK TREE RED IGE,96.0,96.0,,,0 CDM,30286003AH,"HC ALLERGEN SPEC IGE - ALLERGEN OAK,WHITE IGE",21.0,21.0,,,0 CDM,30286003AI,HC ALLERGY TEST OAK TREE RED IGE - ARUP,96.0,96.0,,,0 CDM,30286003AK,HC ALLERGY TEST ORANGE IGE - ARUP,21.0,21.0,,,0 CDM,30286003AL,HC ALLERGEN SPEC IGE - ALLERGEN ORCHARD GRASS IGE,21.0,21.0,,,0 CDM,30286003AP,HC ALLERGY TEST PECAN TREE IGE,96.0,96.0,,,0 CDM,30286003AQ,HC ALLERGY TEST PENICILLIUM NOTATUM IGE,96.0,96.0,,,0 CDM,30286003AR,HC ALLERGEN SPEC IGE - ALLERGEN BETA LACTOGLOBULIN,103.0,103.0,,,0 CDM,30286003AT,HC ALLERGY TEST PERCH IGE - ARUP,69.0,69.0,,,0 CDM,30286003AU,HC ALLERGEN SPEC IGE - ALLERGEN PERCH IGE,21.0,21.0,,,0 CDM,30286003AY,"HC ALLERGY TEST POTATO, WHITE IGE - ARUP",21.0,21.0,,,0 CDM,30286003AZ,"HC ALLERGY TEST POTATO, WHITE IGE",96.0,96.0,,,0 CDM,30286003B0,"HC ALLERGY TEST RAGWEED, GIANT IGE",96.0,96.0,,,0 CDM,30286003B1,HC ALLERGEN SPEC IGE - ALLERGEN HORSE DANDER IGE,21.0,21.0,,,0 CDM,30286003B2,HC ALLERGY TEST MOUSE EPITHELIUM IGE - ARUP,21.0,21.0,,,0 CDM,30286003B3,HC ALLERGY TEST PEACH IGE,96.0,96.0,,,0 CDM,30286003B4,HC ALLERGEN SPEC IGE - ALLERGEN RASPBERRY IGE,21.0,21.0,,,0 CDM,30286003B5,HC ALLERGY TEST STRAWBERRY IGE,96.0,96.0,,,0 CDM,30286003B6,HC ALLERGEN SPEC IGE - ALLERGEN: MOSQUITO IGE,21.0,21.0,,,0 CDM,30286003B7,HC ALLERGY TEST STRAWBERRY IGE - ARUP,21.0,21.0,,,0 CDM,30286003BK,"HC ALLERGEN SPEC IGE - ALLERGEN SAGEBRUSH, COMMON IGE",103.0,103.0,,,0 CDM,30286003BM,"HC ALLERGEN SPEC IGE - ALLERGEN SCALE, WEED IGE",21.0,21.0,,,0 CDM,30286003BO,HC ALLERGEN SPEC IGE - ALLERGEN SEAFOOD PANEL,103.0,103.0,,,0 CDM,30286003BP,HC ALLERGEN SPEC IGE - ALLERGEN SEASONAL INHALANTS PANEL,103.0,103.0,,,0 CDM,30286003BU,HC ALLERGEN SPEC IGE - ALLERGEN STEMPHYLIUM BOTRYOSUM IGE,21.0,21.0,,,0 CDM,30286003BW,"HC ALLERGEN SPEC IGE - ALLERGEN SUGAR, CANE IGE",103.0,103.0,,,0 CDM,30286003BY,HC ALLERGEN SPEC IGE - ALLERGEN SUMMER SQUASH IGE,21.0,21.0,,,0 CDM,30286003BZ,"HC ALLERGEN SPEC IGE - ALLERGEN SYCAMORE, AMERICAN IGE",21.0,21.0,,,0 CDM,30286003C0,HC ALLERGEN SPEC IGE - ALLERGEN GINGER IGE,21.0,21.0,,,0 CDM,30286003C3,HC ALLERGY TEST PEANUT IGE,96.0,96.0,,,0 CDM,30286003C4,HC ALLERGEN SPEC IGE - STACHYBOTRYS IGE,103.0,103.0,,,0 CDM,30286003C5,HC ALLERGY TEST SUNFLOWER SEED IGE - ARUP,21.0,21.0,,,0 CDM,30286003C7,HC ALLERGEN SPEC IGE - ALLERGEN DRUG: AMOXICILLOYL IGE,21.0,21.0,,,0 CDM,30286003CB,HC ALLERGY TEST TIMOTHY GRASS IGE,96.0,96.0,,,0 CDM,30286003CE,HC ALLERGEN SPEC IGE - ALLERGEN WHEAT SMUT IGE,103.0,103.0,,,0 CDM,30286003CF,HC ALLERGY TEST WHEAT IGE - ARUP,21.0,21.0,,,0 CDM,30286003CG,"HC ALLERGEN SPEC IGE - ALLERGEN WILLOW, BLACK IGE",21.0,21.0,,,0 CDM,30286003CK,"HC ALLERGEN SPEC IGE - LATEX, IGE",21.0,21.0,,,0 CDM,30286003D0,HC ALLERGY TEST GLUTEN IGE,96.0,96.0,,,0 CDM,30286003D1,HC ALLERGY TEST GLUTEN IGE - ARUP,21.0,21.0,,,0 CDM,30286003D2,HC ALLERGY TEST PECAN NUT IGE - ARUP,21.0,21.0,,,0 CDM,30286003D3,HC ALLERGY TEST PECAN NUT IGE,96.0,96.0,,,0 CDM,30286003D4,HC ALLERGY TEST PECAN TREE IGE - ARUP,21.0,21.0,,,0 CDM,30286003D5,HC ALLERGEN SPEC IGE - ALLERGEN SUNFLOWER SEED IGE,103.0,103.0,,,0 CDM,30286003D9,HC ALLERGY TEST JUNE GRASS IGE - ARUP,21.0,21.0,,,0 CDM,30286003DA,HC ALLERGY TEST JUNE GRASS IGE,96.0,96.0,,,0 CDM,30286003DB,HC ALLERGEN SPEC IGE - ALLERGEN EACH,21.0,21.0,,,0 CDM,30286003F1,HC ALLERGEN SPEC IGE - ALLERGEN KOCHIA IGE,103.0,103.0,,,0 CDM,30286003F2,HC ALLERGEN SPEC IGE - ALLERGEN MUGWORT IGE,21.0,21.0,,,0 CDM,30286003F3,HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIN V IGE,21.0,21.0,,,0 CDM,30286003F4,"HC ALLERGEN SPEC IGE - ALLERGEN REDTOP, BENTGRASS IGE",21.0,21.0,,,0 CDM,30286003F5,HC ALLERGY TEST PENICILLIN G IGE - ARUP,21.0,21.0,,,0 CDM,30286003F6,HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE,21.0,21.0,,,0 CDM,30286003F7,HC ALLERGY TEST YELLOW JACKET IGE - ARUP,21.0,21.0,,,0 CDM,30286003FF,HC ALLERGY TEST HOUSE DUST GREER IGE,96.0,96.0,,,0 CDM,30286003G0,HC ALLERGEN SPEC IGE - ALLERGEN WEED: GOLDENROD IGE,21.0,21.0,,,0 CDM,30286003G2,"HC ALLERGEN SPEC IGE - ALLERGEN MULLBERRY, RED IGE",21.0,21.0,,,0 CDM,30286003H0,HC ALLERGEN SPEC IGE - ALLERGEN GOOSE FEATHERS IGE,21.0,21.0,,,0 CDM,30286003H1,HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE,21.0,21.0,,,0 CDM,30286003H2,HC ALLERGEN SPEC IGE - ALLERGEN MUSHROOM IGE,21.0,21.0,,,0 CDM,30286003H4,HC ALLERGEN SPEC IGE - ALLERGEN RHIZOPUS NIGRICANS IGE,21.0,21.0,,,0 CDM,30286003H5,HC ALLERGEN SPEC IGE - ALLERGEN TEA IGE,21.0,21.0,,,0 CDM,30286003I0,HC ALLERGEN SPEC IGE - ALLERGEN GRAPE IGE,21.0,21.0,,,0 CDM,30286003I1,HC ALLERGY TEST LAMB'S QUARTER IGE,96.0,96.0,,,0 CDM,30286003I2,HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE,21.0,21.0,,,0 CDM,30286003I3,"HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, BLACK IGE",21.0,21.0,,,0 CDM,30286003I4,HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE,21.0,21.0,,,0 CDM,30286003I5,"HC ALLERGEN SPEC IGE - ALLERGEN THISTLE, RUSSIAN IGE",21.0,21.0,,,0 CDM,30286003I6,HC ALLERGY TEST MUSSEL IGE - ARUP,21.0,21.0,,,0 CDM,30286003I7,HC ALLERGY TEST LAMB'S QUARTER IGE - ARUP,21.0,21.0,,,0 CDM,30286003I8,HC ALLERGY TEST TIMOTHY GRASS IGE - ARUP,21.0,21.0,,,0 CDM,30286003J0,HC ALLERGY TEST HOUSE DUST STIER IGE,96.0,96.0,,,0 CDM,30286003J1,HC ALLERGEN SPEC IGE - ALLERGEN LEMON IGE,21.0,21.0,,,0 CDM,30286003J2,HC ALLERGEN SPEC IGE - ALLERGEN MUSTARD IGE,21.0,21.0,,,0 CDM,30286003J3,"HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, CHILI IGE",103.0,103.0,,,0 CDM,30286003J4,"HC ALLERGY TEST GRASS RYE, PERENNIAL IGE",21.0,21.0,,,0 CDM,30286003J5,"HC ALLERGY TEST PEPPER, CHILI IGE - ARUP",21.0,21.0,,,0 CDM,30286003J8,HC ALLERGY TEST HOUSE DUST GREER IGE - ARUP,21.0,21.0,,,0 CDM,30286003K0,HC ALLERGEN SPEC IGE - ALLERGEN GUINEA PIG EPITHELIUM IGE,21.0,21.0,,,0 CDM,30286003K2,HC ALLERGY TEST NETTLE WEED IGE,96.0,96.0,,,0 CDM,30286003K3,"HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE",21.0,21.0,,,0 CDM,30286003K4,HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE,21.0,21.0,,,0 CDM,30286003K5,HC ALLERGY TEST TOMATO IGE,96.0,96.0,,,0 CDM,30286003K6,HC ALLERGY TEST NETTLE WEED IGE - ARUP,21.0,21.0,,,0 CDM,30286003K7,HC ALLERGY TEST TOMATO IGE - ARUP,21.0,21.0,,,0 CDM,30286003L0,"HC ALLERGEN SPEC IGE - ALLERGEN GUM, SWEET IGE",21.0,21.0,,,0 CDM,30286003L1,HC ALLERGEN SPEC IGE - ALLERGEN LENTIL IGE,103.0,103.0,,,0 CDM,30286003L2,HC ALLERGEN SPEC IGE - ALLERGEN NUTMEG IGE,21.0,21.0,,,0 CDM,30286003L3,HC ALLERGEN SPEC IGE - ALLERGEN PHOMA BETAE IGE,21.0,21.0,,,0 CDM,30286003L4,HC ALLERGY TEST LENTIL IGE - ARUP,21.0,21.0,,,0 CDM,30286003M0,HC ALLERGY TEST HACKBERRY IGE - ARUP,20.0,20.0,,,0 CDM,30286003M2,"HC ALLERGY TEST OAK, LIVE/VIRGINIA IGE - ARUP",21.0,21.0,,,0 CDM,30286003M4,HC ALLERGY TEST TROUT IGE - ARUP,21.0,21.0,,,0 CDM,30286003M5,HC ALLERGEN SPEC IGE - ALLERGEN TROUT IGE,21.0,21.0,,,0 CDM,30286003N0,HC ALLERGY TEST LETTUCE IGE - ARUP,21.0,21.0,,,0 CDM,30286003N1,HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE,21.0,21.0,,,0 CDM,30286003N2,HC ALLERGY TEST OAT IGE,96.0,96.0,,,0 CDM,30286003N3,HC ALLERGY TEST SALMON IGE - ARUP,21.0,21.0,,,0 CDM,30286003N4,HC ALLERGY TEST SALMON IGE,96.0,96.0,,,0 CDM,30286003N5,HC ALLERGY TEST TUNA IGE,96.0,96.0,,,0 CDM,30286003N6,HC ALLERGY TEST TUNA IGE - ARUP,21.0,21.0,,,0 CDM,30286003O1,HC ALLERGEN SPEC IGE - ALLERGEN LIME IGE,103.0,103.0,,,0 CDM,30286003O2,HC ALLERGY TEST OAT IGE - ARUP,21.0,21.0,,,0 CDM,30286003O3,HC ALLERGY TEST PIGWEED ROUGH IGE,96.0,96.0,,,0 CDM,30286003O4,HC ALLERGY TEST LIME IGE - ARUP,21.0,21.0,,,0 CDM,30286003O5,HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE,21.0,21.0,,,0 CDM,30286003O6,HC ALLERGY TEST PIGWEED ROUGH IGE - ARUP,21.0,21.0,,,0 CDM,30286003OO,HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE - ARUP,21.0,21.0,,,0 CDM,30286003P0,HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE,58.5,58.5,,,0 CDM,30286003P1,HC ALLERGY TEST LOBSTER IGE,96.0,96.0,,,0 CDM,30286003P2,HC ALLERGY TEST LOBSTER IGE - ARUP,21.0,21.0,,,0 CDM,30286003P3,HC ALLERGY TEST PINE TREE AUSTRALIAN IGE,96.0,96.0,,,0 CDM,30286003P4,HC ALLERGY TEST VANILLA IGE - ARUP,21.0,21.0,,,0 CDM,30286003P5,HC ALLERGEN SPEC IGE - ALLERGEN VANILLA IGE,21.0,21.0,,,0 CDM,30286003P6,HC ALLERGY TEST CARELESS WEED IGE - ARUP,20.0,20.0,,,0 CDM,30286003PP,"HC ALLERGEN SPEC IGE - ALLERGEN YEAST, BAKER'S IGE",21.0,21.0,,,0 CDM,30286003Q1,HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE,21.0,21.0,,,0 CDM,30286003Q3,HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE,21.0,21.0,,,0 CDM,30286003Q4,HC ALLERGY TEST SCALLOP IGE,96.0,96.0,,,0 CDM,30286003Q5,HC ALLERGY TEST SCALLOP IGE - ARUP,21.0,21.0,,,0 CDM,30286003R0,"HC ALLERGEN SPEC IGE - ALLERGEN HICKORY, WHITE IGE",96.0,96.0,,,0 CDM,30286003R1,HC ALLERGEN SPEC IGE - ALLERGEN MACKEREL IGE,21.0,21.0,,,0 CDM,30286003R3,HC ALLERGY TEST SESAME SEED IGE - ARUP,21.0,21.0,,,0 CDM,30286003R4,HC ALLERGY TEST SESAME SEED IGE,96.0,96.0,,,0 CDM,30286003R5,HC ALLERGEN SPEC IGE - ALLERGEN WALNUT TREE IGE,21.0,21.0,,,0 CDM,30286003S1,HC ALLERGY TEST MALT IGE - TEST,21.0,21.0,,,0 CDM,30286003S2,HC ALLERGEN SPEC IGE - ALLERGEN ONION IGE,21.0,21.0,,,0 CDM,30286003S5,HC ALLERGY TEST WALNUT IGE,96.0,96.0,,,0 CDM,30286003S9,HC ALLERGY TEST MANGO IGE - ARUP,21.0,21.0,,,0 CDM,30286003SS,HC ALLERGY TEST PENICILLIN G IGE,96.0,96.0,,,0 CDM,30286003T0,HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: HOLLISTER IGE,103.0,103.0,,,0 CDM,30286003T1,HC ALLERGEN SPEC IGE - ALLERGEN MANGO IGE,21.0,21.0,,,0 CDM,30286003T2,HC ALLERGY TEST ORANGE IGE,96.0,96.0,,,0 CDM,30286003T3,HC ALLERGY TEST PORK IGE,96.0,96.0,,,0 CDM,30286003T4,HC ALLERGY TEST SHEEP SORREL (DOCK) IGE,96.0,96.0,,,0 CDM,30286003T5,HC ALLERGY TEST PORK IGE - ARUP,21.0,21.0,,,0 CDM,30286003T6,HC ALLERGY TEST SHEEP SORREL (DOCK) IGE - ARUP,21.0,21.0,,,0 CDM,30286003T9,HC ALLERGY TEST CHICKEN IGE - ARUP,21.0,21.0,,,0 CDM,30286003TT,HC ALLERGY TEST MUCOR RACEMOSUS IGE - ARUP,21.0,21.0,,,0 CDM,30286003U1,HC ALLERGY TEST MAPLE TREE BOX ELDER IGE,96.0,96.0,,,0 CDM,30286003U2,"HC ALLERGY TEST POTATO, SWEET IGE - ARUP",21.0,21.0,,,0 CDM,30286003U3,"HC ALLERGEN SPEC IGE - ALLERGEN POTATO, SWEET IGE",21.0,21.0,,,0 CDM,30286003U4,HC ALLERGY TEST SHRIMP IGE,96.0,96.0,,,0 CDM,30286003U5,HC ALLERGEN SPEC IGE - ALLERGEN WATERMELON IGE,21.0,21.0,,,0 CDM,30286003U6,HC ALLERGY TEST WATERMELON IGE - ARUP,21.0,21.0,,,0 CDM,30286003U7,"HC ALLERGY TEST PALM, QUEEN IGE - ARUP",21.0,21.0,,,0 CDM,30286003U8,HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA,21.0,21.0,,,0 CDM,30286003UU,HC ALLERGEN SPEC IGE - ALLERGEN KIWI FRUIT IGE,21.0,21.0,,,0 CDM,30286003V0,HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE,21.0,21.0,,,0 CDM,30286003V1,"HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE",21.0,21.0,,,0 CDM,30286003V3,"HC ALLERGEN SPEC IGE - ALLERGEN PRIVET, COMMON IGE",21.0,21.0,,,0 CDM,30286003V4,"HC ALLERGY TEST PRIVET, COMMON IGE - ARUP",21.0,21.0,,,0 CDM,30286003V5,HC ALLERGY TEST WHEAT IGE,96.0,96.0,,,0 CDM,30286003W0,HC ALLERGY TEST MELALEUCA IGE - ARUP,21.0,21.0,,,0 CDM,30286003W1,HC ALLERGEN SPEC IGE - ALLERGEN MELALEUCA IGE,103.0,103.0,,,0 CDM,30286003W2,HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE,21.0,21.0,,,0 CDM,30286003W3,HC ALLERGEN SPEC IGE - ALLERGEN RABBIT EPITHELIUM IGE,21.0,21.0,,,0 CDM,30286003W5,HC ALLERGY TEST CULTIVATED WHEAT POLLEN IGE - ARUP,20.0,20.0,,,0 CDM,30286003WW,HC ALLERGY TEST SWEET VERNAL GRASS IGE,96.0,96.0,,,0 CDM,30286003X0,HC ALLERGEN SPEC IGE - ALLERGEN HOPS IGE,103.0,103.0,,,0 CDM,30286003X1,HC ALLERGEN SPEC IGE - ALLERGEN MESQUITE IGE,103.0,103.0,,,0 CDM,30286003X2,"HC ALLERGEN SPEC IGE - ALLERGEN PALM, QUEEN IGE",21.0,21.0,,,0 CDM,30286003X5,HC ALLERGEN SPEC IGE - ALLERGEN WHEY IGE,21.0,21.0,,,0 CDM,30286003X7,HC ALLERGY TEST BROME GRASS IGE - ARUP,20.0,20.0,,,0 CDM,30286003Y0,"HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE",21.0,21.0,,,0 CDM,30286003Y1,"HC ALLERGEN SPEC IGE - ALLERGEN MILK, GOAT'S IGE",103.0,103.0,,,0 CDM,30286003Y2,HC ALLERGY TEST GOAT MILK IGE - ARUP,21.0,21.0,,,0 CDM,30286003Y3,"HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, FALSE IGE",21.0,21.0,,,0 CDM,30286003Y4,HC ALLERGY TEST SOYBEAN IGE,96.0,96.0,,,0 CDM,30286003Y5,HC ALLERGEN SPEC IGE - ALLERGEN WHITE BEAN IGE,21.0,21.0,,,0 CDM,30286003Y7,HC ALLERGY TEST SOYBEAN IGE - ARUP,21.0,21.0,,,0 CDM,30286003Y9,HC ALLERGEN SPEC IGE - ALLERGEN ANIMAL: MOUSE EPITHELIUM,103.0,103.0,,,0 CDM,30286003YY,"HC ALLERGY TEST OAK, LIVE/VIRGINIA IGE",96.0,96.0,,,0 CDM,30286003Z0,"HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE",21.0,21.0,,,0 CDM,30286003Z3,HC ALLERGY TEST RAGWEED SHORT/COMMON IGE,96.0,96.0,,,0 CDM,30286003Z4,HC ALLERGEN SPEC IGE - ALLERGEN SPINACH IGE,21.0,21.0,,,0 CDM,30286003Z5,"HC ALLERGY TEST PINE, WHITE IGE",96.0,96.0,,,0 CDM,3028600501,HC ALLERGEN SPEC IGE - MULTIALLERGEN SCREEN,5.0,5.0,,,0 CDM,3028600502,HC ALLERGEN SPEC IGE - FEATHER MIX IGE,5.0,5.0,,,0 CDM,3028600505,HC ALLERGEN SPEC IGE - PINE MIX IGE,5.0,5.0,,,0 CDM,3028600506,HC ALLERGY TEST FEATHER MIX IGE - ARUP,35.0,35.0,,,0 CDM,3028600801,HC ALLERGEN SPEC IGE - PURIFIED COMPONENT EACH,263.0,263.0,,,0 CDM,3028600802,HC ALLERGY TEST BETA LACTOGLOBULIN IGE,96.0,96.0,,,0 CDM,3028600803,HC ALLERGY TEST CASEIN IGE,263.0,263.0,,,0 CDM,3028600804,HC ALLERGY TEST OVALBUMIN EGG IGE,263.0,263.0,,,0 CDM,3028600805,HC ALLERGY TEST OVOMUCOID EGG IGE,263.0,263.0,,,0 CDM,3028600806,HC ALLERGEN SPEC IGE - EGG COMPONENT PANEL IGE,263.0,263.0,,,0 CDM,3028600807,HC ALLERGY TEST LACTALBUMIN IGE,263.0,263.0,,,0 CDM,3028600808,HC ALLERGEN SPEC IGE - MILK COMPONENT PANEL IGE,263.0,263.0,,,0 CDM,3028600809,HC ALLERGEN SPEC IGE - PEANUT COMPONENT PANEL IGE,263.0,263.0,,,0 CDM,3028600810,HC ALLERGY TEST OVALBUMIN EGG IGE - ARUP,21.0,21.0,,,0 CDM,3028600811,HC ALLERGY TEST OVOMUCOID EGG IGE - ARUP,21.0,21.0,,,0 CDM,3028600812,HC ALLERGY TEST LACTALBUMIN IGE - ARUP,21.0,21.0,,,0 CDM,3028600813,HC ALLERGY TEST BETA LACTOGLOBULIN IGE - ARUP,21.0,21.0,,,0 CDM,3028600814,HC ALLERGY TEST CASEIN IGE - ARUP,21.0,21.0,,,0 CDM,3028600815,HC ALLERGY TEST ALPHA GALACTOSE IGE - ARUP,155.0,155.0,,,0 CDM,3028600816,HC ALLERGY TEST CASHEW COMPONENT RANA O 3 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 CDM,3028600817,HC ALLERGY TEST HAZELNUT COMPONENT RCOR A 1 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 CDM,3028600818,HC ALLERGY TEST HAZELNUT COMPONENT RCOR A 8 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 CDM,3028600819,HC ALLERGY TEST HAZELNUT COMPONENT RCOR A 9 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 CDM,3028600820,HC ALLERGY TEST HAZELNUT COMPONENT RCOR A 14 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 CDM,3028600821,HC ALLERGY TEST WALNUT COMPONENT RJUG R 1 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 CDM,3028600822,HC ALLERGY TEST SEVERE PEANUT ARA H 1 IGE - PEANUT COMPONENT RFLX- ARUP,53.0,53.0,,,0 CDM,3028600823,HC ALLERGY TEST SEVERE PEANUT ARA H 2 IGE - PEANUT COMPONENT RFLX - ARUP,53.0,53.0,,,0 CDM,3028600824,HC ALLERGY TEST SEVERE PEANUT ARA H 3 IGE - PEANUT COMPONENT RFLX- ARUP,53.0,53.0,,,0 CDM,3028600825,HC ALLERGY TEST SEVERE PEANUT ARA H 9 IGE - PEANUT COMPONENT RFLX - ARUP,53.0,53.0,,,0 CDM,3028600826,HC ALLERGY TEST MILD PEANUT ARA H 8 IGE - PEANUT COMPONENT RFLX - ARUP,53.0,53.0,,,0 CDM,3028600827,HC ALLERGY TEST SEVERE PEANUT ARA H 6 IGE - PEANUT COMPONENT RFLX - ARUP,53.0,53.0,,,0 CDM,3028601501,"HC F-ACTIN (SMOOTH MUSCLE), IGG",406.0,406.0,,,0 CDM,3028601502,HC ANTI-SMOOTH MUSCLE ANTIBODY,406.0,406.0,,,0 CDM,3028601503,HC F ACTIN SMOOTH MUSCLE IGA - ARUP,267.0,267.0,,,0 CDM,3028601504,HC SMOOTH MUSCLE IGG,378.0,378.0,,,0 CDM,3028601505,HC F ACTIN SMOOTH MUSCLE IGG WITH REFLEX TITER - ARUP,46.0,46.0,,,0 CDM,3028602101,HC WBC ANTIBODY IDENTIFICATION - ANTI-NEUTROPHIL ANTIBODY,182.0,182.0,,,0 CDM,3028602103,HC WBC ANTIBODY IDENTIFICATION- ANTI-NEUTROPHIL ANTIBDY ANTIMYELOPEROXIDASE,182.0,182.0,,,0 CDM,3028602105,HC WBC ANTIBODY IDENTIFICATION - ANTI-NEUTROPHIL ANTIBODY PERINUCLEAR,182.0,182.0,,,0 CDM,3028602201,HC PLATELET ANTIBODIES - HEPARIN-INDUCED PLATELET ANTIBODY,722.5,722.5,,,0 CDM,3028602202,HC PLATELET ANTIBODY SCREEN INDIRECT,525.5,525.5,,,0 CDM,3028602203,HC SEROTONIN RELEASE ASSAY UNFRACTIONATED HEPARIN,716.5,716.5,,,0 CDM,3028602204,HC HEPARIN ANTIBODY,716.5,716.5,,,0 CDM,3028602205,HC SEROTONIN RELEASE UNFRACTIONATED HEPARIN - VERSITI,1620.0,1620.0,,,0 CDM,3028602206,HC SEROTONIN RELEASE UNFRACTIONATED HEPARIN - ARUP,566.0,566.0,,,0 CDM,3028602207,HC PLATELET PF4 ANTIBODY HEPARIN INDUCED - ARUP,189.0,189.0,,,0 CDM,3028602210,HC PLATELET HIT PF4 IGG WITH REFLEX SEROTONIN RELEASE ASSAY (ARUP),189.0,189.0,,,0 CDM,3028602211,HC HEPARIN-INDUCED PLATELET ANTIBODY,1327.0,1327.0,,,0 CDM,3028602212,HC PLATELET ANTIBODIES INDIRECT (ARUP),420.0,420.0,,,0 CDM,3028602213,HC PLATELET CROSSMATCH,931.0,931.0,,,0 CDM,3028602214,HC PLATELET CROSSMATCH - REFERRED,1325.0,1325.0,,,0 CDM,3028602215,HC PLATELET ANTIBODY SCREEN INDIRECT - ONEBLOOD,1506.0,1506.0,,,0 CDM,3028602301,"HC IMMUNOGLOBULIN ASSAY - PLATELET ANTIBODIES, DIRECT",166.0,166.0,,,0 CDM,3028602302,HC IMMUNOGLOBULIN ASSAY - PLATELET ASSOCIATED ANTIBODIES IDENTIFICATION,166.0,166.0,,,0 CDM,3028603601,HC ANTI NEUTROPHIL CYTO ANTIBY SCREEN,406.0,406.0,,,0 CDM,3028603602,HC ANCA - INFLAMMATORY BOWEL DISEASE PANEL - ARUP,79.0,79.0,,,0 CDM,3028603603,HC ANCA ASSOCIATED VASCULITIS PROFILE - ARUP,61.0,61.0,,,0 CDM,3028603604,"HC ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY, IGG BY IFA - ARUP",59.0,59.0,,,0 CDM,3028603605,HC ANTI NEUTROPHIL CYTOPLASMIC ANTIBODY (ANCA),376.0,376.0,,,0 CDM,3028603606,HC ANCA - ANCA ASSOCIATED VASCULITIS PROFILE - ARUP,56.0,56.0,,,0 CDM,3028603607,HC NEUTROPHIL CYTOPLASMIC ANTIBODY (ANCA) IGG IFA - ARUP,55.0,55.0,,,0 CDM,3028603701,"HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODIES, TITER, FA",615.0,615.0,,,0 CDM,3028603702,HC ANCA TITER AND PATTERN,569.0,569.0,,,0 CDM,3028603801,HC ANA (ANTINUCLEAR ANTIBODIES),247.0,247.0,,,0 CDM,3028603802,HC ANA - ANTINUCLEAR ANTIBODY WRFLX TITER - ARUP,50.5,50.5,,,0 CDM,3028603803,HC ANA IFA SCREEN W/RFLX - QWDL,25.0,25.0,,,0 CDM,3028603804,HC ANA REFLEXIVE PROFILE - ARUP,50.5,50.5,,,0 CDM,3028603805,HC ANA - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP,62.0,62.0,,,0 CDM,3028603901,HC ANA TITER - SYSTEMIC SCLEROSIS PANEL - ARUP,116.0,116.0,,,0 CDM,3028603902,HC ANA TITER,601.0,601.0,,,0 CDM,3028603903,HC ANA TITER - ANTINUCLEAR ANTIBODY HEP-2 IGG (RFLX) - ARUP,65.0,65.0,,,0 CDM,3028603904,HC ANA TITER - ANTINUCLEAR ANTIBODY HEP-2 IGG W REFLEX - ARUP,43.0,43.0,,,0 CDM,3028603905,HC ANA TITER - ANTINUCLEAR ABS TITER AND PATTERN REFLEX - QWDL,33.0,33.0,,,0 CDM,3028603906,HC ANA TITER - ANA IGG HEP-2 REFLEX - ARUP,21.0,21.0,,,0 CDM,3028603907,HC ANA TITER - ANTINUCLEAR ANTIBODY HEP-2 IGG - ARUP,61.0,61.0,,,0 CDM,3028603909,"HC ANA ANTIBODY, HEP-2, IGG - SYSTEMIC SCLEROSIS PANEL - ARUP",107.0,107.0,,,0 CDM,3028603910,HC ANA TITER - ANA TITER AND PATTERN REFLEX - QWDL,33.0,33.0,,,0 CDM,3028604101,HC ACETYLCHOLINE RECEPTOR BINDING ANTIBODY - ARUP,84.0,84.0,,,0 CDM,3028604102,HC ACHR BINDING ANTIBODY - ACETYLCHOLINE RECEPTOR AB W/REFLEX PANEL - ARUP,105.0,105.0,,,0 CDM,3028604103,"HC ACHR BINDING ANTIBODY - ACHR, TITIN, STM AB REFLEX PANEL - ARUP",169.0,169.0,,,0 CDM,3028604201,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY - ARUP,126.0,126.0,,,0 CDM,3028604202,HC ACHR BLOCKING ANTIBODY - ACETYLCHOLINE RECEPTOR AB W/REFLEX PANEL - ARUP,105.0,105.0,,,0 CDM,3028604203,"HC ACHR BLOCKING ANTIBODY - ACHR, TITIN, STM AB REFLEX PANEL - ARUP",169.0,169.0,,,0 CDM,3028604301,HC ACETYLCHOLINE REC (ACHR) MOD AB,147.0,147.0,,,0 CDM,3028605101,HC AQUAPORIN-4 RECEPTOR AB,441.0,441.0,,,0 CDM,3028605102,HC AQUAPORIN 4 RECEPTOR ANTIBODY WITH REFLEX - ARUP,327.0,327.0,,,0 CDM,3028605201,HC AQUAPORIN 4 REC AB CSF,64.0,64.0,,,0 CDM,3028605202,HC AQUAPORIN 4 RECEPTOR ANTIBODY CSF - ARUP,840.0,840.0,,,0 CDM,3028605203,HC - AQUAPHORIN - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 CDM,3028605204,HC NEUROMYELITIS OPTICA/AQPF IGG WITH REFLEX TO TITER SERUM - ARUP,735.0,735.0,,,0 CDM,3028605205,HC NMO / AQP4 IGG CSF - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028606001,HC ANTISTREPTOLYSIN O TITER - ANTISTREPTOLYSIN O TITER,430.0,430.0,,,0 CDM,3028606301,HC ANTISTREPTOLYSIN O SCREEN - ANTI-STREPTOLYSIN O,335.0,335.0,,,0 CDM,3028614001,HC CRP (C-REACTIVE PROTEIN) INFLAMMATORY,172.5,172.5,,,0 CDM,3028614002,HC C REACTIVE PROTEIN LEVEL MG/DL INFLAMMATORY,288.0,288.0,,,0 CDM,3028614003,HC C REACTIVE PROTEIN LEVEL MG/L INFLAMMATORY,288.5,288.5,,,0 CDM,3028614101,HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - CARDIAC,188.0,188.0,,,0 CDM,3028614102,HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - ARUP,93.5,93.5,,,0 CDM,3028614103,HC C REACTIVE PROTEIN HIGH SENSITIVITY (CARDIO) MG/DL,243.0,243.0,,,0 CDM,3028614104,HC C REACTIVE PROTEIN HIGH SENSITIVITY CARDIAC MG/L,241.0,241.0,,,0 CDM,3028614105,HC C REACTIVE PROTEIN HIGH SENSITIVITY (CARDIO) - ARUP,68.0,68.0,,,0 CDM,3028614601,"HC BETA 2 GLYCOPROTEIN I ANTIBODY,EA - BETA-2 GLYCOPROTEIN ABS",933.0,933.0,,,0 CDM,3028614602,"HC BETA 2 GLYCOPROTEIN I ANTIBODY,EA - BETA-2 GLYCOPROTEIN ABS IGA",40.0,40.0,,,0 CDM,3028614603,HC BETA-2 GLYCOPROTEIN ABS IGG - PHOSLIPID ARUP,77.0,77.0,,,0 CDM,3028614604,HC BETA-2 GLYCOPROTEIN ABS IGM - PHOSLIPID ARUP,77.0,77.0,,,0 CDM,3028614605,HC BETA-2 GLYCOPROTEIN ABS IGG - PHOSLIPID ARUP,77.0,77.0,,,0 CDM,3028614606,HC BETA-2 GLYCOPROTEIN ABS IGM - PHOSLIPID ARUP,77.0,77.0,,,0 CDM,3028614607,HC BETA 2 GLYCOPROTEIN 1 IGA - ARUP,63.0,63.0,,,0 CDM,3028614608,HC BETA 2 GLYCOPROTEIN 1 IGA - BETA 2 GLYCOPROTEIN 1 IGA IGG IGM - ARUP,63.0,63.0,,,0 CDM,3028614609,HC BETA 2 GLYCOPROTEIN 1 IGG - BETA 2 GLYCOPROTEIN 1 IGA IGG IGM - ARUP,63.0,63.0,,,0 CDM,3028614610,HC BETA 2 GLYCOPROTEIN 1 IGM - BETA 2 GLYCOPROTEIN 1 IGA IGG IGM - ARUP,63.0,63.0,,,0 CDM,3028614611,HC BETA 2 GLYCOPROTEIN 1 IGG - BETA 2 GLYCOPROTEIN 1 IGG IGM - ARUP,63.0,63.0,,,0 CDM,3028614612,HC BETA 2 GLYCOPROTEIN 1 IGM - BETA 2 GLYCOPROTEIN 1 IGG IGM - ARUP,63.0,63.0,,,0 CDM,3028614701,HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY,23.0,23.0,,,0 CDM,3028614702,HC CARDIOLIPIN ANTIBODY IGA ARUP,311.0,311.0,,,0 CDM,3028614703,HC CARDIOLIPIN ANTIBODY IGG ARUP,311.0,311.0,,,0 CDM,3028614704,HC CARDIOLIPIN ANTIBODY IGM ARUP,311.0,311.0,,,0 CDM,3028614705,HC CARDIOLIPIN ANTIBODY IGG - ARUP PHOSLIPID,77.0,77.0,,,0 CDM,3028614706,HC CARDIOLIPIN ANTIBODY IGM - ARUP PHOSLIPID,77.0,77.0,,,0 CDM,3028614707,HC CARDIOLIPIN ANTIBODY IGA - ARUP,49.0,49.0,,,0 CDM,3028614708,HC CARDIOLIPIN ANTIBODY IGG - ARUP,49.0,49.0,,,0 CDM,3028614709,HC CARDIOLIPIN ANTIBODY IGM - ARUP,42.0,42.0,,,0 CDM,3028614710,HC CARDIOLIPIN IGG - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP,72.0,72.0,,,0 CDM,3028614711,HC CARDIOLIPIN IGM - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP,72.0,72.0,,,0 CDM,3028614712,HC CARDIOLIPIN IGG - CARDIOLIPIN IGG IGM ANTIBODIES - ARUP,45.0,45.0,,,0 CDM,3028614713,HC CARDIOLIPIN IGM - CARDIOLIPIN IGG IGM ANTIBODIES - ARUP,45.0,45.0,,,0 CDM,3028614801,HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODIES,933.0,933.0,,,0 CDM,3028614802,HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODY IGG,30.0,30.0,,,0 CDM,3028614803,HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODY IGM,30.0,30.0,,,0 CDM,3028614804,HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODY IGA,30.0,30.0,,,0 CDM,3028614805,HC PHOSPHOLIPID ANTIBODY - PHOSPHOLIPID ANTIBODIES,30.0,30.0,,,0 CDM,3028614806,HC PHOSPHOLIPID IGG - PHOSPHATIDYLSERINE ANTIBODIES - ARUP,56.0,56.0,,,0 CDM,3028614807,HC PHOSPHOLIPID IGA - PHOSPHATIDYLSERINE ANTIBODIES - ARUP,56.0,56.0,,,0 CDM,3028614808,HC PHOSPHOLIPID IGM - PHOSPHATIDYLSERINE ANTIBODIES - ARUP,56.0,56.0,,,0 CDM,3028614809,HC PHOSPHATIDYLSERINE IGG - NON-CRITERIA APS - ARUP,256.0,256.0,,,0 CDM,3028614810,HC PHOSPHATIDYLSERINE IGM - NON-CRITERIA APS - ARUP,256.0,256.0,,,0 CDM,3028614811,HC PHOSPHOLIPID IGG - PHOSPHATIDYLSERINE ANTIBODIES IGG & IGM - ARUP,56.0,56.0,,,0 CDM,3028614812,HC PHOSPHOLIPID IGM - PHOSPHATIDYLSERINE ANTIBODIES IGG & IGM - ARUP,56.0,56.0,,,0 CDM,3028615601,HC COLD AGGLUTININ SCREEN - COLD AGGLUTININ SCREEN,241.0,241.0,,,0 CDM,3028615602,HC COLD AGGLUTININ SCREEN - COLD AGGLUTININ SCREEN REF LAB,241.0,241.0,,,0 CDM,3028615603,HC COLD AGGLUTININ SCREEN - ARUP,59.0,59.0,,,0 CDM,3028615701,"HC COLD AGGLUTININ, TITER - COLD AGGLUTININ TITER",84.0,84.0,,,0 CDM,3028616001,HC C4 COMPLEMENT,311.0,311.0,,,0 CDM,3028616002,HC C3 COMPLEMENT,311.0,311.0,,,0 CDM,3028616003,"HC COMPLEMENT, ANTIGEN - C2 COMPLEMENT",82.0,82.0,,,0 CDM,3028616004,"HC COMPLEMENT, ANTIGEN - C1 ESTERASE INHIBITOR COMPLEMENT",64.5,64.5,,,0 CDM,3028616005,"HC COMPLEMENT, ANTIGEN - C1 COMPLEMENT",304.5,304.5,,,0 CDM,3028616006,"HC COMPLEMENT, ANTIGEN - C5 COMPLEMENT",82.0,82.0,,,0 CDM,3028616007,"HC COMPLEMENT, ANTIGEN - COMPLEMENT",65.5,65.5,,,0 CDM,3028616010,"HC COMPLEMENT, ANTIGEN - C7 COMPLEMENT",304.5,304.5,,,0 CDM,3028616011,"HC COMPLEMENT, ANTIGEN - C8 COMPLEMENT",304.5,304.5,,,0 CDM,3028616012,"HC C1 ESTERASE INHIBITOR, ESTERASE INHIB PANEL - ARUP",50.0,50.0,,,0 CDM,3028616013,HC C4 LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP,39.0,39.0,,,0 CDM,3028616014,HC C4 COMPLEMENT - ARUP,41.5,41.5,,,0 CDM,3028616015,HC C3 LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP,39.0,39.0,,,0 CDM,3028616016,HC C3 COMPLEMENT COMPONENT C3C - QWDL,41.5,41.5,,,0 CDM,3028616017,HC C3 COMPLEMENT COMPONENT C4C - QWDL,41.5,41.5,,,0 CDM,3028616018,HC C3 COMPLEMENT - ARUP,50.0,50.0,,,0 CDM,3028616102,HC C1 ESTERASE INHIBITOR FUNCTIONAL - ARUP,62.0,62.0,,,0 CDM,3028616103,"HC COMPLEMENT/FUNCTION ACTIVITY - C1, FUNCTIONAL",113.0,113.0,,,0 CDM,3028616104,"HC C1 ESTERASE INHIBITOR, FUNCTIONAL, ESTERASE INHIB PANEL - ARUP",68.0,68.0,,,0 CDM,3028616201,"HC COMPLEMENT, TOTAL (CH50) - COMPLEMENT TOTAL",73.5,73.5,,,0 CDM,3028616202,HC COMPLEMENT TOTAL (CH50) - ARUP,63.0,63.0,,,0 CDM,3028617101,HC COMPLEMENT FIXATION - EACH ANTIGEN,54.0,54.0,,,0 CDM,3028620001,HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY,386.0,386.0,,,0 CDM,3028620002,HC CYCLIC CIRULLINATED PEPTIDE IGG/A - RHEUMATOID ARTHRITIS PANEL - ARUP,124.0,124.0,,,0 CDM,3028620003,HC CYCLIC CITRUL PEPTIDE (CCP) ANTIBODY - RHEUMATOID ARTHRITIS PANEL - ARUP,124.0,124.0,,,0 CDM,3028620004,HC CYCLIC CITRUL PEPTIDE (CCP) IGG & IGA - ARUP,76.0,76.0,,,0 CDM,3028620005,HC CYCLIC CITRULLINATED PEPTIDE IGG,410.5,410.5,,,0 CDM,3028621501,"HC DEOXYRIBONUCLEASE, ANTIBODY - ANTI DNASE B ANTIBODY",64.0,64.0,,,0 CDM,3028621502,HC ANTI DNASE B ANTIBODY - ARUP,44.0,44.0,,,0 CDM,3028622501,HC ANTI DNA DOUBLE STRANDED,345.0,345.0,,,0 CDM,3028622502,HC ANTI DNA DOUBLE STRANDED ANTIBODY - QWDL,77.0,77.0,,,0 CDM,3028622503,HC ANTI DNA DOUBLE STRANDED - ARUP,82.5,82.5,,,0 CDM,3028622504,HC DNA ANTIBODY DOUBLE STRANDED - QWDL,34.0,34.0,,,0 CDM,3028622505,HC DNA ANTIBODY DOUBLE STRANDED IGG W/REFLEX TO IFA TITER - ARUP,42.0,42.0,,,0 CDM,3028623101,HC ENDOMYSIAL IGG ANTIBODY,64.0,64.0,,,0 CDM,3028623103,HC ENDOMYSIAL IGA ANTIBODY TITER,161.0,161.0,,,0 CDM,3028623104,HC ENDOMYSIAL IGA ANTIBODY,161.0,161.0,,,0 CDM,3028623105,HC ENDOMYSIAL IGG - ARUP,176.0,176.0,,,0 CDM,3028623106,HC ENDOMYSIAL IGA - ARUP,72.0,72.0,,,0 CDM,3028623107,HC ENDOMYSIAL IGA BY IFA - CELIAC DISEASE REFLEX CASCADE - ARUP,72.0,72.0,,,0 CDM,3028623501,HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-A EXT NU AB,348.0,348.0,,,0 CDM,3028623502,HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-B EXT NUC AB,348.0,348.0,,,0 CDM,3028623503,HC NUCLEAR ANTIGEN ANTIBODY - ANTI JO-1 IGG,348.0,348.0,,,0 CDM,3028623504,HC SCLERODERMA SCL-70 IGG - SYSTEMIC SCLEROSIS PROFILE - ARUP,348.0,348.0,,,0 CDM,3028623505,HC NUCLEAR ANTIGEN ANTIBODY - RIBOSOMAL P PROTEIN ANTIBODY,113.0,113.0,,,0 CDM,3028623506,HC NUCLEAR ANTIGEN ANTIBODY - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES,59.0,59.0,,,0 CDM,3028623507,HC RNA POLYMERASE III IGG - SYSTEMIC SCLEROSIS PANEL - ARUP,332.0,332.0,,,0 CDM,3028623508,HC NUCLEAR ANTIGEN ANTIBODY - SMITH ANTIBODY,348.0,348.0,,,0 CDM,3028623509,HC PM1 ANTIBODY,332.0,332.0,,,0 CDM,3028623510,HC RIBONUCLEIC PROTEIN ANTIBODY,332.0,332.0,,,0 CDM,3028623511,HC SCLERODERMA (SCL-70) ANTIBODY- SYSTEMIC SCLEROSIS PANEL - ARUP,185.0,185.0,,,0 CDM,3028623512,HC SMITH ANTIBODY - SYSTEMIC SCLEROSIS PANEL - ARUP,185.0,185.0,,,0 CDM,3028623513,HC RNA POLYMERASE III IGG - SYSTEMIC SCLEROSIS PANEL - ARUP,185.0,185.0,,,0 CDM,3028623515,HC NUCLEAR ANTIGEN ANTIBODY - ENA PM1 ABY,332.0,332.0,,,0 CDM,3028623516,HC RIBOSOMAL P PROTEIN IGG - ARUP,72.0,72.0,,,0 CDM,3028623517,HC ANTI SMITH ANTIBODY,322.0,322.0,,,0 CDM,3028623518,HC RIBONUCLEIC PROTEIN (RNP) IGG,322.0,322.0,,,0 CDM,3028623519,HC SSA (RO) IGG,322.0,322.0,,,0 CDM,3028623520,HC SSB (LA) IGG,322.0,322.0,,,0 CDM,3028623521,HC SSB (LA) IGG - ARUP,59.0,59.0,,,0 CDM,3028623522,HC SSA52 (RO52) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES - ARUP,47.0,47.0,,,0 CDM,3028623523,HC SSA60 (RO60) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES - ARUP,47.0,47.0,,,0 CDM,3028623524,HC SSB (LA) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES ARUP,47.0,47.0,,,0 CDM,3028623525,HC SMITH ENA IGG - ENA ANTIBODIES - ARUP,47.0,47.0,,,0 CDM,3028623526,HC SMITH/RNP ENA IGG - ENA ANTIBODIES - ARUP,47.0,47.0,,,0 CDM,3028623527,HC SSB (LA) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES- ARUP,39.0,39.0,,,0 CDM,3028623528,HC SSA52 (RO52) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES- ARUP,39.0,39.0,,,0 CDM,3028623529,HC SSA60 (RO60) IGG- EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES- ARUP,39.0,39.0,,,0 CDM,3028623530,HC FIBRILLARIN U3 RNP IGG - ARUP,333.0,333.0,,,0 CDM,3028623531,HC JO1 IGG - DERMATOMYOSITIS POLYMYOSITIS PANEL - ARUP,96.0,96.0,,,0 CDM,3028623532,HC JO1 IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 CDM,3028623533,HC PMSCL 100 IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 CDM,3028623534,HC FIBRILLARIN (U3 RNP) IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 CDM,3028623535,HC SSA52 (RO52) ENA IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 CDM,3028623536,HC SSA60 (RO60) IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 CDM,3028623537,HC SMITH RNP IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 CDM,3028623538,HC PM/SCL 100 IGG IMMUNOBLOT - ARUP,273.0,273.0,,,0 CDM,3028623539,HC SCLERODERMA SCL70 ENA IGG - ARUP,59.0,59.0,,,0 CDM,3028623540,HC SMITH ENA IGG - ARUP,59.0,59.0,,,0 CDM,3028623541,HC SMITH RNP ENA IGG - ARUP,59.0,59.0,,,0 CDM,3028623542,HC SSA52 (RO52) ENA IGG - SSA RO ANTIBODY - ARUP,59.0,59.0,,,0 CDM,3028623543,HC SMITH/RNP ENA IGG - SYSTEMIC SCLEROSIS PANEL - ARUP,172.0,172.0,,,0 CDM,3028623544,HC PM/SCL 100 IGG - SYSTEMIC SCLEROSIS PANEL - ARUP,172.0,172.0,,,0 CDM,3028623545,HC SSA52 (RO52) IGG - CONNECTIVE TISSUE DISEASE PROFILE - ARUP,70.0,70.0,,,0 CDM,3028623546,HC SSA60 (RO60) IGG - CONNECTIVE TISSUE DISEASE PROFILE - ARUP,70.0,70.0,,,0 CDM,3028623547,HC SSB (LA) IGG - CONNECTIVE TISSUE DISEASE PANEL - ARUP,70.0,70.0,,,0 CDM,3028623548,HC JO1 IGG - CONNECT TISSUE DIS PROFILE - ARUP,70.0,70.0,,,0 CDM,3028623549,HC SCLERODERMA SCL-70 ANTIBODY - CONNECT TISSUE DIS PROFILE - ARUP,70.0,70.0,,,0 CDM,3028623550,HC SMITH ANTIBODY - CONNECTIVE TISSUE DIS PROFILE - ARUP,70.0,70.0,,,0 CDM,3028623551,HC JO1 IGG - ARUP,84.0,84.0,,,0 CDM,3028623552,HC SCLERODERMA SCL-70 ANTIBODY,322.0,322.0,,,0 CDM,3028625501,HC FLUORESCENT ANTIBODY; SCREEN - ANTI NEUTROPHIL CYTO ANTIBDY,222.5,222.5,,,0 CDM,3028625504,HC FLUORESCENT NONINFECTIOUS ANTIBODY - SCREEN EACH,84.5,84.5,,,0 CDM,3028625505,HC FLUORESCENT ANTIBODY; SCREEN - GLOMERULAR BASEMT MEMB IGG AB,89.5,89.5,,,0 CDM,3028625506,HC FLUORESCENT NONINFECTIOUS ANTIBODY - SMOOTH MUSCLE ANTIBODY,222.5,222.5,,,0 CDM,3028625507,HC FLUORESCENT NONINFECTIOUS ANTIBODY - STRIATED MUSCLE ANTIBODY,70.0,70.0,,,0 CDM,3028625508,HC FLUORESCENT NONINFECTIOUS ANTIBODY - MITOCHONDRIAL ANTIBODY,222.5,222.5,,,0 CDM,3028625509,HC N-METHYL-D-ASPARTATE RECEPTOR ANTIBODY,180.5,180.5,,,0 CDM,3028625510,HC N-METHYL-D-ASPARTATE RECEPTOR ANTIBODY CSF,210.5,210.5,,,0 CDM,3028625511,HC AQUAPORIN 4 RECEPTOR ANTIBODY CSF,213.0,213.0,,,0 CDM,3028625512,HC PARANEOPLASTIC ANTIBODIES PCCA/ANNA,81.0,81.0,,,0 CDM,3028625513,HC PARANEOPLASTIC ANTIBODIES PCCA/ANNA CSF,81.0,81.0,,,0 CDM,3028625514,HC PARIETAL CELL ANTIBODY,222.5,222.5,,,0 CDM,3028625516,HC FLUORESCENT ANTIBODY - EPIDERMAL ANTIBODY,89.5,89.5,,,0 CDM,3028625518,HC FLUORESCENT ANTIBODY - ENDOMYSIAL ANTIBODY,89.5,89.5,,,0 CDM,3028625520,HC FLUORESCENT ANTIBODY - MYOCARDIAL ANTIBODY,89.5,89.5,,,0 CDM,3028625523,HC FLUORESCENT ANTIBODY - PARIETAL CELL ANTIBODY,89.5,89.5,,,0 CDM,3028625525,HC FLUORESCENT ANTIBODY - RETICULIN ANTIBODY,89.5,89.5,,,0 CDM,3028625526,HC FLUORESCENT ANTIBODY - RETICULIN IGA ANTIBODY,89.5,89.5,,,0 CDM,3028625530,HC FLUORESCENT ANTIBODY - NEUROMYELITIS OPTICA,89.5,89.5,,,0 CDM,3028625531,HC N METHYL D ASPARTATE (NMDA) RECEPTOR IGG WITH REFLEX CSF - ARUP,492.0,492.0,,,0 CDM,3028625532,HC PARANEOPLASTIC ANTIBODIES (PCCA/ANNA) CSF - ARUP,130.0,130.0,,,0 CDM,3028625533,HC MGLUR1 IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 CDM,3028625534,HC AMPA RECEPTOR IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL -ARUP,295.0,295.0,,,0 CDM,3028625535,HC GABA BR IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 CDM,3028625536,HC CASPR2 IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 CDM,3028625537,HC LGI1 IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 CDM,3028625538,HC DPPX IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 CDM,3028625539,HC IGLONS IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 CDM,3028625540,HC GABA AR IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 CDM,3028625541,HC NMDA RECEPTOR IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL -ARUP,295.0,295.0,,,0 CDM,3028625542,HC GLOMERULAR BASEMENT MEMBRANE IGG - ARUP,252.0,252.0,,,0 CDM,3028625543,HC LGI1 IGG - LGI1 & CASPR2 ANTIBODIES SCREEN - ARUP,466.0,466.0,,,0 CDM,3028625544,HC CASPR2 IGG - LGI1 & CASPR2 ANTIBODIES SCREEN - ARUP,466.0,466.0,,,0 CDM,3028625545,HC MUSCLE SPECIFIC KINASE (MUSK) IGG - ARUP,1238.0,1238.0,,,0 CDM,3028625546,HC TITIN ANTIBODY - MYASTHENIA GRAVIS PANEL - ARUP,124.0,124.0,,,0 CDM,3028625547,HC N METHYL D ASPARTATE (NMDA) RECEPTOR IGG WITH REFLEX - ARUP,525.0,525.0,,,0 CDM,3028625548,HC PARANEOPLASTIC ANTIBODIES REFLEX TITER & WB - ARUP,130.0,130.0,,,0 CDM,3028625549,HC CV2.1 IGG IFA - PARANEOPLASTIC REFLEX PANEL - ARUP,104.0,104.0,,,0 CDM,3028625550,HC PCCA/ANNA IGG - PARANEOPLASTIC REFLEX PANEL - ARUP,104.0,104.0,,,0 CDM,3028625551,HC ANTI-PARIETAL CELL ANTIBODY,380.5,380.5,,,0 CDM,3028625552,HC PHOSPHOLIPASE A2 RECEPTOR IGG WITH REFLEX - ARUP,588.0,588.0,,,0 CDM,3028625553,HC PURKINJE CELL / NEURONAL NUCLEAR IGG - SENSORY NEUROPATHY PANEL - ARUP,132.0,132.0,,,0 CDM,3028625554,HC CASPR2 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625555,HC CV2.1 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625556,HC DPPX IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625557,HC GABA BR IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625558,HC ITPR1 IGG CSF -AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625559,HC LGI1 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625560,HC GABA AR IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625561,HC AMPA RECPTOR IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625562,HC IGLON5 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625563,HC NMDA RECEPTOR IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL -ARUP,227.0,227.0,,,0 CDM,3028625564,HC PCCA/ANNA IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625565,HC GABA BR IGG BY CBA IFA WITH REFLEX TO TITER CSF - ARUP,609.0,609.0,,,0 CDM,3028625566,HC MGLUR1 IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028625567,HC NMDA RECEPTOR IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028625568,HC AMPA RECEPTOR IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028625569,HC GABA BR IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028625570,HC CASPR2 IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028625571,HC LGI IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028625572,HC DPPX IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028625573,HC GABA AR IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028625574,HC IGLON5 IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 CDM,3028625575,HC STRIATED MUSCLE IGG WITH REFLEX - ARUP,51.0,51.0,,,0 CDM,3028625576,HC AMPA RECEPTOR IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625577,HC CASPR2 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625578,HC CV2.1 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625579,HC DPPX IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625580,HC GABA BR IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625581,HC IGLON5 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625582,HC LGI1 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625583,HC MGLUR1 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625584,HC NMDA RECEPTOR IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625585,HC PCCA/ANNA IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 CDM,3028625586,HC MGLUR1 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 CDM,3028625587,"HC STRIATED MUSCLE AB - ACHR, TITIN, STM AB REFLEX PANEL - ARUP",111.0,111.0,,,0 CDM,3028625588,"HC CV2 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625589,"HC PURKINJE CELL AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625590,"HC NMDA RECEPT AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625591,"HC GABA-BR AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625592,"HC AMPA RECEPT AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625593,"HC DPPX AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625594,"HC IGLON5 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625595,"HC MGLUR1 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625596,"HC CASPR2 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625597,"HC LGI1 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 CDM,3028625601,HC FLUORESCENT ANTIBODY; TITER - ANTIMITOCHONDRIAL AB,615.0,615.0,,,0 CDM,3028625602,HC ANTI-SMOOTH MUSCLE ANTIBODY TITER,615.0,615.0,,,0 CDM,3028625603,"HC FLUORESCENT ANTIBODY; TITER - ENDOMYSIAL ANTIBODY, IGA TITER",137.0,137.0,,,0 CDM,3028625604,HC FLUORESCENT ANTIBODY; TITER - DSDNA IGG,583.0,583.0,,,0 CDM,3028625605,HC FLUORESCENT NONINFECTIOUS ANTIBODY - TITER - EACH ANTIBODY,504.0,504.0,,,0 CDM,3028625606,HC AQUAPORIN 4 RECEPTOR ANTIBODY TITER CSF,337.0,337.0,,,0 CDM,3028625607,HC STRIATED MUSCLE IGG ANTIBODY TITER,583.0,583.0,,,0 CDM,3028625608,HC NEURONAL NUCLEAR ANTIBODY TITER,583.0,583.0,,,0 CDM,3028625609,HC NMDA RECEP AB TITER CHARGE,246.0,246.0,,,0 CDM,3028625610,HC RETICULIN IGA TITER,583.0,583.0,,,0 CDM,3028625611,HC PURKINJE CELL ANTIBODY TITER,583.0,583.0,,,0 CDM,3028625612,HC NEURONAL NUCLEAR AB TITER CSF,583.0,583.0,,,0 CDM,3028625613,HC PURKINJE CELL AB IGG TITER CSF,583.0,583.0,,,0 CDM,3028625614,HC ENDOMYSIAL ANTIBODY IGG,583.0,583.0,,,0 CDM,3028625615,HC NEUTROPHIL CYTOPLASMIC AB TITER AND PATTERN,583.0,583.0,,,0 CDM,3028625616,HC PARIETAL CELL ANTIBODY TITER,583.0,583.0,,,0 CDM,3028625618,HC FLUORESCENT ANTIBODY TITER - ENDOMYSIAL,583.0,583.0,,,0 CDM,3028625626,HC FLUORESCENT ANTIBODY TITER - NEUTROPHIL CYTOPLASMIC (ANCA),583.0,583.0,,,0 CDM,3028625627,HC FLUORESCENT ANTIBODY TITER - STRIATED MUSCLE,583.0,583.0,,,0 CDM,3028625628,HC N METHYL D ASPARTATE (NMDA) RECEPTOR - ARUP,602.0,602.0,,,0 CDM,3028625629,HC ANTI-MITOCHONDRIAL TITER,418.0,418.0,,,0 CDM,3028625630,HC PARIETAL CELL ANTIBODY TITER,569.0,569.0,,,0 CDM,3028625631,HC ANTI-SMOOTH MUSCLE ANTIBODY TITER - ARUP,142.0,142.0,,,0 CDM,3028625632,HC NEURONAL NUCLEAR (HU) ANTIBODY TITER CSF - ARUP,589.0,589.0,,,0 CDM,3028625633,HC PURKINJE CELL ANTIBODY TITER CSF - ARUP,449.0,449.0,,,0 CDM,3028625634,HC DOUBLE-STRANDED DNA (DSDNA) IGG IFA - ARUP,93.0,93.0,,,0 CDM,3028625635,HC PHOSPHOLIPASE A2 RECEPTOR IGG TITER - ARUP,986.0,986.0,,,0 CDM,3028625636,HC STRIATED MUSCLES IGG TITER - ARUP,190.0,190.0,,,0 CDM,3028625637,HC CASPR2 IGG IFA SERUM TITER - ARUP,876.0,876.0,,,0 CDM,3028625638,HC LGI1 IGG SERUM TITER BY IFA - ARUP,968.0,968.0,,,0 CDM,3028625639,HC NEURONAL NUCLEAR ANTIBODY ANNA IFA TITER IGG - ARUP,449.0,449.0,,,0 CDM,3028625640,HC PURKINJE CELL IGG TITER - ARUP,449.0,449.0,,,0 CDM,3028625641,HC NEUROMYELITIS OPTICA/AQP4 IGG TITER CSF - ARUP,709.0,709.0,,,0 CDM,3028625642,HC MOG IGG TITER SERUM - ARUP,1050.0,1050.0,,,0 CDM,3028625643,HC NEUROMYELITIS OPTICA/AQP4-IGG TITER SERUM - ARUP,708.0,708.0,,,0 CDM,3028625644,HC CV2.1 IGG TITER- ARUP,945.0,945.0,,,0 CDM,3028625645,HC AMPA RECEPTOR IGG TITER SERUM - ARUP,1050.0,1050.0,,,0 CDM,3028625646,HC GABA-B RECEPTOR IGG TITER SERUM - ARUP,1050.0,1050.0,,,0 CDM,3028625647,HC DPPX IGG TITER SERUM - ARUP,1175.0,1175.0,,,0 CDM,3028625648,HC GABA-A RECEPTOR IGG TITER SERUM - ARUP,2254.0,2254.0,,,0 CDM,3028625649,HC IGLON5 IGG TITER SERUM - ARUP,2582.0,2582.0,,,0 CDM,3028625650,HC MGLUR1 IGG TITER SERUM - ARUP,2023.0,2023.0,,,0 CDM,3028625651,HC AMPA RECEPTOR IGG TITER CSF - ARUP,1050.0,1050.0,,,0 CDM,3028625652,HC GABA-B RECEPTOR IGG TITER CSF - ARUP,1050.0,1050.0,,,0 CDM,3028625653,HC CASPR2 IGG TITER CSF - ARUP,876.0,876.0,,,0 CDM,3028625654,HC LGI1 IGG TITER BY IFA CSF - ARUP,967.0,967.0,,,0 CDM,3028625655,HC CV2.1 IGG TITER CSF - ARUP,945.0,945.0,,,0 CDM,3028625656,HC DPPX IGG TITER CSF - ARUP,1175.0,1175.0,,,0 CDM,3028625657,HC GABA-A RECEPTOR IGG TITER CSF - ARUP,2254.0,2254.0,,,0 CDM,3028625658,HC IGLON5 IGG TITER CSF - ARUP,2582.0,2582.0,,,0 CDM,3028625659,HC ITPR1 IGG TITER CSF - ARUP,3472.0,3472.0,,,0 CDM,3028625660,HC MGLUR1 IGG TITER CSF - ARUP,2023.0,2023.0,,,0 CDM,3028625661,HC THSD7A IGG TITER - ARUP,1113.0,1113.0,,,0 CDM,3028625662,HC MUSK IGG TITER SERUM - ARUP,945.0,945.0,,,0 CDM,3028625802,"HC GLIADIN ANTIBODY (DEAMIDATED), IGA",284.0,284.0,,,0 CDM,3028625803,"HC GLIADIN ANTIBODY (DEAMIDATED), IGG",284.0,284.0,,,0 CDM,3028625804,HC GLIADIN IGA - CELIAC CASCADE SCREEN,263.0,263.0,,,0 CDM,3028625805,HC GLIADIN IGA,263.0,263.0,,,0 CDM,3028625806,HC GLIADIN IGA - CELIAC COMPREHENSIVE PANEL,263.0,263.0,,,0 CDM,3028625807,HC GLIADIN IGG - CELIAC COMPREHENSIVE PANEL,263.0,263.0,,,0 CDM,3028625808,HC GLIADIN IGA - GLIADIN PEPTIDE ANTIBODIES IGA AND IGG - ARUP,42.0,42.0,,,0 CDM,3028625809,HC GLIADIN IGG - GLIADIN PEPTIDE ANTIBODIES IGA AND IGG - ARUP,42.0,42.0,,,0 CDM,3028625810,HC GLIADIN IGA PEPTIDE ANTIBODIES - ARUP,38.0,38.0,,,0 CDM,3028625811,HC GLIADIN IGG,263.0,263.0,,,0 CDM,3028625812,HC GLIADIN IGG PEPTIDE ANTIBODIES - ARUP,46.0,46.0,,,0 CDM,3028625813,"HC GLIADIN ANTIBODY (DEAMIDATED), IGA - CELIAC DISEASE REFLEX CASCADE -ARUP",38.0,38.0,,,0 CDM,3028625814,"HC GLIADIN ANTIBODY (DEAMIDATED), IGG - CELIAC DISEASE REFLEX CASCADE -ARUP",46.0,46.0,,,0 CDM,3028630001,HC CANCER ANTIGEN 15-3,399.0,399.0,,,0 CDM,3028630002,"HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 27.29",116.5,116.5,,,0 CDM,3028630003,HC CANCER ANTIGEN 15-3 - ARUP,57.0,57.0,,,0 CDM,3028630004,HC CANCER ANTIGEN 27.29 - ARUP,38.0,38.0,,,0 CDM,3028630101,HC CANCER ANTIGEN 19-9,353.5,353.5,,,0 CDM,3028630102,HC CANCER ANTIGEN 19-9 FLUID,353.5,353.5,,,0 CDM,3028630103,HC CANCER ANTIGIEN 19-9 BODY FLUID - ARUP,61.0,61.0,,,0 CDM,3028630104,HC CANCER ANTIGEN 19-9 - ARUP,46.0,46.0,,,0 CDM,3028630401,HC CA 125,525.0,525.0,,,0 CDM,3028630403,HC CA 125 - ARUP,92.0,92.0,,,0 CDM,3028630404,HC CA 125 - RISK OF OVARIAN MALIGNANCY ALGORITHM - ARUP,240.5,240.5,,,0 CDM,3028630405,HC CA 125 - QWDL,97.0,97.0,,,0 CDM,3028630501,HC EPIDIDYMIS PROTEIN 4,475.0,475.0,,,0 CDM,3028630502,HC HE4 - RISK OF OVARIAN MALIGNANCY ALGORITHM - ARUP,262.0,262.0,,,0 CDM,3028630503,HC HUMAN EPIDIDYMIS PROTEIN 4 (HE4) - ARUP,440.0,440.0,,,0 CDM,3028630801,HC MONONUCLEOSIS SCREEN,268.0,268.0,,,0 CDM,3028630901,"HC HETEROPHILE ANTIBODIES,TITER - HETEROPHILE",114.0,114.0,,,0 CDM,3028631601,HC IMMUNOASSAY TUMOR ANTIGEN - CHROMOGRANIN A,81.5,81.5,,,0 CDM,3028631602,HC NEURON SPECIFIC ENOLASE,92.5,92.5,,,0 CDM,3028631603,HC ALPHA FETOPROTEIN TUMOR MARKER CSF,75.0,75.0,,,0 CDM,3028631604,HC CHROMOGRANIN A - ARUP,105.0,105.0,,,0 CDM,3028631605,HC NEURON SPECIFIC ENOLASE - ARUP,136.0,136.0,,,0 CDM,3028631606,HC CYFRA 21-1 (CYTOKERATIN 19 FRAGMENT - ARUP,374.0,374.0,,,0 CDM,3028631701,"HC IMMUNOASSAY,INFECT AGENT,QUANT - RUBELLA ANTIBODY IGG",60.0,60.0,,,0 CDM,3028631702,"HC IMMUNOASSAY,INFECT AGENT,QUANT - TETANUS ANTIBODY, IGG",93.0,93.0,,,0 CDM,3028631704,"HC IMMUNOASSAY,INFECT AGENT,QUANT - STREP PNEUMONIAE ANTIBODY SEROTYPES",134.0,134.0,,,0 CDM,3028631705,"HC IMMUNOASSAY,INFECT AGENT,QUANT - OTHER",60.0,60.0,,,0 CDM,3028631706,HC CREUTZFELDT JACOB DISEASE CSF,52.0,52.0,,,0 CDM,3028631707,HC HAEMOPHILUS INFLUENZAE B ANTIBODY IGG,93.0,93.0,,,0 CDM,3028631708,HC DIPHTHERIA ANTIBODY,93.0,93.0,,,0 CDM,3028631711,"HC IMMUNOASSAY,INFECT AGENT,QUANT - DIPHTHERIA",60.0,60.0,,,0 CDM,3028631712,"HC IMMUNOASSAY,INFECT AGENT,QUANT - EPSTEIN BAR VIRUS IGM",60.0,60.0,,,0 CDM,3028631715,"HC IMMUNOASSAY,INFECT AGENT,QUANT - HAEMOPHILUS INFLUENZAE",60.0,60.0,,,0 CDM,3028631716,"HC IMMUNOASSAY,INFECT AGENT,QUANT - PNEUMOCOCCAL",60.0,60.0,,,0 CDM,3028631718,"HC IMMUNOASSAY,INFECT AGENT,QUANT - TETANUS",60.0,60.0,,,0 CDM,3028631719,"HC IMMUNOASSAY,INFECT AGENT,QUANT - TOXOPLASMA",60.0,60.0,,,0 CDM,3028631720,HC HEPATITIS B SURFACE ANTIBODY QUANT - QWDL,40.0,40.0,,,0 CDM,3028631721,HC CREUTZFELDT-JAKOB DISEASE - 14 3 3 PROTEIN CSF - ARUP,69.0,69.0,,,0 CDM,3028631722,HC ASPERGILLUS FUMIGATUS IGG - ARUP,252.0,252.0,,,0 CDM,3028631723,HC DIPHTHERIA IGG - ARUP,68.0,68.0,,,0 CDM,3028631724,"HC PNEUMO SEROTYPE 1 IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631725,HC PNEUMO SEROTYPE 10A IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631726,HC PNEUMO SEROTYPE 11A IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631727,HC PNEUMO SEROTYPE 12F IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631728,"HC PNEUMO SEROTYPE 14 IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631729,HC PNEUMO SEROTYPE 15B IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631730,HC PNEUMO SEROTYPE 17F IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631731,"HC PNEUMO SEROTYPE 18C IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631732,"HC PNEUMO SEROTYPE 19A IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631733,"HC PNEUMO SEROTYPE 19F IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631734,HC PNEUMO SEROTYPE 2 IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631735,HC PNEUMO SEROTYPE 20 IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631736,HC PNEUMO SEROTYPE 22F IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631737,"HC PNEUMO SEROTYPE 23F IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631738,"HC PNEUMO SEROTYPE 3 IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631739,HC PNEUMO SEROTYPE 33F IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631740,"HC PNEUMO SEROTYPE 4 IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631741,"HC PNEUMO SEROTYPE 5 IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631742,"HC PNEUMO SEROTYPE 6B IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631743,"HC PNEUMO SEROTYPE 7F IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631744,HC PNEUMO SEROTYPE 8 IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631745,HC PNEUMO SEROTYPE 9N IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 CDM,3028631746,"HC PNEUMO SEROTYPE 9V IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 CDM,3028631747,HC DIPHTHERIA IGG - DIPHTHERIA AND TETANUS ANTIBODIES IGG - ARUP,61.0,61.0,,,0 CDM,3028631748,HC TETANUS IGG - DIPHTHERIA AND TETANUS ANTIBODIES IGG - ARUP,61.0,61.0,,,0 CDM,3028631749,HC TETANUS IGG - ARUP,55.0,55.0,,,0 CDM,3028631750,HC HAEMOPHILUS INFLUENZAE B IGG - ARUP,52.0,52.0,,,0 CDM,3028631751,"HC PNEUMO SEROTYPE 1 IGG (P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631752,HC PNEUMO SEROTYPE 12F IGG (PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP,11.0,11.0,,,0 CDM,3028631753,"HC PNEUMO SEROTYPE 14 IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631754,"HC PNEUMO SEROTYPE 18C IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631755,"HC PNEUMO SEROTYPE 19F IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631756,"HC PNEUMO SEROTYPE 23F IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631757,"HC PNEUMO SEROTYPE 3 IGG (P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631758,"HC PNEUMO SEROTYPE 4 IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631759,"HC PNEUMO SEROTYPE 5 IGG (P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631760,"HC PNEUMO SEROTYPE 6B IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631761,"HC PNEUMO SEROTYPE 7F IGG (P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028631762,HC PNEUMO SEROTYPE 8 IGG (PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP,11.0,11.0,,,0 CDM,3028631763,HC PNEUMO SEROTYPE 9N IGG (PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP,11.0,11.0,,,0 CDM,3028631764,"HC PNEUMO SEROTYPE 9V IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 CDM,3028632901,HC IMMUNOASSAY IMMUNODIFFUSION - TEICHOIC ACID,97.0,97.0,,,0 CDM,3028632902,HC TEICHOIC ACID ANTIBODIES - ARUP,99.0,99.0,,,0 CDM,3028633103,HC IMMUNOASSAY GEL DIFFUSION EACH ANTIGEN OR ANTIBODY QUAL,110.0,110.0,,,0 CDM,3028633104,HC HYPERSENSITIVITY PNEUMONITIS 2 PANEL,99.0,99.0,,,0 CDM,3028633105,HC S VIRIDIS AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,23.0,23.0,,,0 CDM,3028633106,HC T CANDIDUS AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,23.0,23.0,,,0 CDM,3028633107,HC A PULLULANS AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 CDM,3028633108,HC M FAENI AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 CDM,3028633109,HC PIGEON SERUM AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 CDM,3028633110,HC S VIRIDIS AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 CDM,3028633111,HC T CANDIDUS AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 CDM,3028633201,HC IMMUNOASSAY IMMUNE COMPLEX ASSAY C1Q,103.0,103.0,,,0 CDM,3028633202,HC IMMUNOASSAY IMMUNE COMPLEX ASSAY RAJI CELL,103.0,103.0,,,0 CDM,3028633203,HC IMMUNE COMPLEX ASSAY - C1Q BINDING,103.0,103.0,,,0 CDM,3028633205,HC IMMUNE COMPLEX ASSAY - OTHER,103.0,103.0,,,0 CDM,3028633206,HC IMMUNOASSAY IMMUNE COMPLEX ASSAY C3B,103.0,103.0,,,0 CDM,3028633207,HC C1Q BINDING - ARUP,77.0,77.0,,,0 CDM,3028633208,HC CIRCULATING IMMUNE COMPLEX C3 FRAGMENTS - ARUP,617.0,617.0,,,0 CDM,3028633209,HC RAJI CELL - ARUP,618.0,618.0,,,0 CDM,3028633401,HC IMMUNOFIXATION ELECTROPHORESIS - BETA 2 TRANSFERRIN,116.0,116.0,,,0 CDM,3028633402,HC IMMUNOFIXATION ELECTROPHORESIS - EACH ANALYTE,804.0,804.0,,,0 CDM,3028633403,HC IMMUNOFIXATION ELECTROPHORESIS - MONOCLONAL PROTEIN STUDY SERUM - ARUP,58.0,58.0,,,0 CDM,3028633404,"HC IMMUNOFIXATION, SERUM - QWDL",66.5,66.5,,,0 CDM,3028633405,HC IMMUNOFIXATION ELECTROPHORESIS - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,58.0,58.0,,,0 CDM,3028633406,HC IMMUNOFIXATION ELECTROPHORESIS - ARUP,60.0,60.0,,,0 CDM,3028633407,HC IMMUNOFIX ELECTROPHORESIS BILL - ARUP,60.0,60.0,,,0 CDM,3028633408,HC IMMUNOFIXATION ADD ON SERUM,743.0,743.0,,,0 CDM,3028633409,HC IMMUNOFIXATION SERUM,743.0,743.0,,,0 CDM,3028633410,HC IMMUNOFIXATION ELECTROPHORESIS - ARUP,76.0,76.0,,,0 CDM,3028633411,HC IMMUNOFIXATION - ARUP,76.0,76.0,,,0 CDM,3028633412,HC IMMUNOFIXATION - SERUM - QWDL,89.0,89.0,,,0 CDM,3028633413,HC IMMUNOFIXATION SERUM - ARUP,76.0,76.0,,,0 CDM,3028633417,HC IMMUNOFIXATION ELECTROPHORESIS - MONOCLONAL PROTEIN STUDY SERUM - ARUP,118.0,118.0,,,0 CDM,3028633418,HC MONOCLONAL PROTEIN STUDY - SERUM - ARUP,118.0,118.0,,,0 CDM,3028633419,HC IMMUNOFIX ELECTROPHORESIS - MONOCLONAL PROTEIN EXTEND STUDY SERUM - ARUP,72.0,72.0,,,0 CDM,3028633502,HC IMMUNFIX E-PHORSIS/URINE/CSF - MONOCLONAL PROTEIN URINE,185.5,185.5,,,0 CDM,3028633503,HC IMMUNFIX E-PHORSIS/URINE/CSF - EACH ANALYTE,704.0,704.0,,,0 CDM,3028633504,HC IMMUNOFIXATION ELECTROPHORESIS 24 HOUR URINE,757.0,757.0,,,0 CDM,3028633505,HC IMMUNOFIXATION - IMMUNOFIXATION URINE - ARUP,220.0,220.0,,,0 CDM,3028633506,HC IMMUNOFIXATION URINE ADD ON,757.0,757.0,,,0 CDM,3028633507,HC IMMUNOFIXATION URINE,650.0,650.0,,,0 CDM,3028633508,HC BETA 2 TRANSFERRIN BODY FLUID - ARUP,294.0,294.0,,,0 CDM,3028633509,HC IMMUNOFIXATION - IMMUNOFIXATION WITH FREE LIGHT CHAINS URINE - ARUP,197.0,197.0,,,0 CDM,3028633510,"HC IMMUNOFIXATION - MONOCLONAL PROTEIN STUDY, URINE - ARUP",172.0,172.0,,,0 CDM,3028633601,HC INHIBIN A - ADDITIONAL CHARGE,135.0,135.0,,,0 CDM,3028633604,HC MATERNAL QUAD SCREEN - INHIBIB A,99.0,99.0,,,0 CDM,3028633605,HC INHIBIN A - ARUP,116.0,116.0,,,0 CDM,3028633701,HC INSULIN ANTIBODIES - INSULIN ANTIBODY,135.0,135.0,,,0 CDM,3028633702,HC INSULIN ANTIBODY - ARUP,110.0,110.0,,,0 CDM,3028634001,HC INTRINSIC FACTOR BLOCKING ANTIBODY - ARUP,84.0,84.0,,,0 CDM,3028634101,HC ISLET CELL ANTIBODY - ANTI-ISLET CELL AB,90.0,90.0,,,0 CDM,3028634102,HC GLUTAMIC ACID DECARBOXYLASE CSF,512.0,512.0,,,0 CDM,3028634103,HC INSULINOMA ANTIGEN 2 ANTIBODY,159.0,159.0,,,0 CDM,3028634104,HC GLUTAMIC ACID DECARBOXYLASE 65,159.0,159.0,,,0 CDM,3028634105,HC ISLET CELL CYTOPLASMIC IGG - ARUP,84.0,84.0,,,0 CDM,3028634106,HC GLUTAMIC ACID DECARBOXYLASE ANTIBODY CSF - ARUP,231.0,231.0,,,0 CDM,3028634107,HC GLUTAMIC ACID DECARBOXYLASE-AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL-ARUP,579.0,579.0,,,0 CDM,3028634108,HC ISLET ANTIGEN 2 (IA-2) AUTOANTIBODY - ARUP,273.0,273.0,,,0 CDM,3028634109,HC GLUTAMIC ACID DECAROXYLASE CSF-AUTOIMMUNE NEURO DISEASE PANEL RFLX-ARUP,444.0,444.0,,,0 CDM,3028634110,HC GLUTAMIC ACID DECARBOXYLASE-AUTOIMMUNE ENCEPHALITIS REFLEX PNL CSF-ARUP,549.0,549.0,,,0 CDM,3028634111,HC GLUTAMIC ACID DECARBOXYLASE-AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA CSF-ARUP,464.0,464.0,,,0 CDM,3028634112,HC GLUTAMIC ACID DECARBOXYLASE ANTIBODY - ARUP,147.0,147.0,,,0 CDM,3028634113,"HC GAD AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",385.0,385.0,,,0 CDM,3028635201,HC CELLULAR FUNCTION STIMULATION AND BIOMARKER ASSAY,397.0,397.0,,,0 CDM,3028635202,HC NEUTROPHIL OXIDATIVE BURST,396.0,396.0,,,0 CDM,3028635203,HC INTERFERON BETA NEUTRALIZING ANTIBODY,396.0,396.0,,,0 CDM,3028635204,HC TRANSPLANT IMMUNE CELL,396.0,396.0,,,0 CDM,3028635301,"HC LYMPHOCYTE TRANSFORMATION - LYMPHOCYTE CULTURE, PRIMED",614.0,614.0,,,0 CDM,3028635302,HC LYMPHOCYTE MITOGENS - ARUP,1050.0,1050.0,,,0 CDM,3028635501,"HC B CELLS, TOTAL COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP",92.0,92.0,,,0 CDM,3028635502,"HC B CELLS, TOTAL COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP",92.0,92.0,,,0 CDM,3028635503,"HC B CELLS, TOTAL - B CELL CD20 EXPRESSION BY FLOW, QUANT - ARUP",429.0,429.0,,,0 CDM,3028635601,HC MONONUCLEAR ANTIGEN QUANT,72.0,72.0,,,0 CDM,3028635602,HC CD57+ MONONUCLEAR CELL ANTIGEN QUANTITATIVE BY FLOW CYTOMETRY - ARUP,743.0,743.0,,,0 CDM,3028635603,HC FETAL HEMOGLOBIN DETERMINATION - ARUP,667.0,667.0,,,0 CDM,3028635604,"HC CD20 CELLS, QUANT - B CELL CD20 EXPRESSION BY FLOW, QUANT - ARUP",308.0,308.0,,,0 CDM,3028635605,"HC PNH, HIGH SENSITIVITY, RBC AND WBC - ARUP",220.0,220.0,,,0 CDM,3028635701,"HC NATURAL KILLER CELLS, TOTAL COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP",92.0,92.0,,,0 CDM,3028635702,"HC NATURAL KILLER CELLS, TOTAL COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP",92.0,92.0,,,0 CDM,3028635901,HC T CELLS TOTAL COUNT,65.0,65.0,,,0 CDM,3028635902,HC T CELL COUNT - LYMPHOCYTE SUBSET PANEL 3 - ARUP,72.0,72.0,,,0 CDM,3028635903,HC T CELL COUNT - LYMPHOCYTE SUBSET PANEL 4 - ARUP,94.0,94.0,,,0 CDM,3028635904,HC T CELL COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP,92.0,92.0,,,0 CDM,3028636001,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 3 - ARUP,67.5,67.5,,,0 CDM,3028636002,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 4 - ARUP,83.0,83.0,,,0 CDM,3028636003,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP,80.0,80.0,,,0 CDM,3028636004,HC CD4/CD8 COUNT,455.0,455.0,,,0 CDM,3028636005,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 3 - ARUP,82.0,82.0,,,0 CDM,3028636006,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 4 - ARUP,112.0,112.0,,,0 CDM,3028636007,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP,107.0,107.0,,,0 CDM,3028636102,HC LYMPHOCYTE SUBSET PANEL 2 - CD4 PERCENT AND ABSOLUTE - ARUP,148.0,148.0,,,0 CDM,3028636103,HC CD4 ABSOLUTE COUNT ONLY - LYMPHOCYTE SUBSET PANEL 1 - ARUP,169.0,169.0,,,0 CDM,3028636201,HC MOG-IGG IMMUNOFLUOR - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,275.0,275.0,,,0 CDM,3028636202,HC MYELIN OLIGODENTROCYTE GLYCOPROTEIN (MOG) IGG WITH REFLEX - ARUP,609.0,609.0,,,0 CDM,3028636404,HC TISSUE TRANSGLUTAMINASE IGG - CELIAC COMPREHENSIVE PANEL,263.0,263.0,,,0 CDM,3028636405,HC TISSUE TRANSGLUTAMINASE IGA - CELIAC COMPREHENSIVE PANEL,263.0,263.0,,,0 CDM,3028636406,HC TISSUE TRANSGLUTAMINASE IGG - CELIAC DISEASE REFLEX CASCADE - ARUP,63.0,63.0,,,0 CDM,3028636407,HC TISSUE TRANSGLUTAMINASE IGA - CELIAC DISEASE REFLEX CASCADE - ARUP,51.0,51.0,,,0 CDM,3028636602,HC MUSCLE-SPECIFIC KINASE (MUSK) IGG BY CBA-IFA WITH REFLEX - ARUP,1238.0,1238.0,,,0 CDM,3028636701,HC STEM CELL COUNT,997.0,997.0,,,0 CDM,3028637601,HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB,170.5,170.5,,,0 CDM,3028637602,HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY,59.0,59.0,,,0 CDM,3028637603,HC THYROID PEROXIDASE ANTIBODY,255.0,255.0,,,0 CDM,3028637604,HC LIVER KIDNEY MICROSOMAL ANTIBODY,255.0,255.0,,,0 CDM,3028637605,HC LIVER KIDNEY MICROSOME IGG - ARUP,59.0,59.0,,,0 CDM,3028637606,HC THYROID PEROXIDASE (TPO) ANTIBODY - THYROID ANTIBODIES - ARUP,30.0,30.0,,,0 CDM,3028637607,HC LIVER KIDNEY MICROSOME 1 IGG - ARUP,59.0,59.0,,,0 CDM,3028637608,HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODIES - QWDL,38.0,38.0,,,0 CDM,3028637609,HC THYROID PEROXIDASE ANTIBODY - QWDL,38.0,38.0,,,0 CDM,3028637610,HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY - ARUP,34.0,34.0,,,0 CDM,3028637611,HC THYROID PEROXIDASE ANTIBODY - ARUP,34.0,34.0,,,0 CDM,3028638103,HC MITOCHONDRIAL M2 ANTIBODIES - ARUP,42.0,42.0,,,0 CDM,3028638105,HC MITOCHONDRIAL M2 ANTIBODIES,301.0,301.0,,,0 CDM,3028638106,HC MITOCHONDRIAL ANTIBODY M2 IGG AB,406.0,406.0,,,0 CDM,3028638201,"HC NEUTRALIZATION TEST, VIRAL - RABIES ANTIBODY TITER",185.0,185.0,,,0 CDM,3028638202,HC NEUTRALIZATION TEST - OTHER,213.0,213.0,,,0 CDM,3028638203,HC RABIES ANTIBODY SCREEN - ARUP,306.0,306.0,,,0 CDM,3028640301,"HC PARTICLE AGGLUTINATION TEST, SCREEN - BACTERIAL ANTIGEN DETECTION",211.0,211.0,,,0 CDM,3028640302,"HC PARTICLE AGGLUTINATION TEST, SCREEN - CRYPTOCOCCAL ANTIGEN",331.0,331.0,,,0 CDM,3028640303,"HC PARTICLE AGGLUTINATION TEST, SCREEN - CRYPTOCOCCAL ANTIGEN CSF",315.0,315.0,,,0 CDM,3028640304,HC MONONUCLEOSIS SCREEN,315.0,315.0,,,0 CDM,3028640306,"HC PARTICLE AGGLUTINATION TST, SCRN - BACTRL ANTIGEN DETECT H. INFLUENZAE",315.0,315.0,,,0 CDM,3028640307,"HC PARTICLE AGGLUTINATION TST, SCRN - BACTERIAL ANTIGEN DETECT GRP B STREP",315.0,315.0,,,0 CDM,3028640308,"HC PARTICLE AGGLUTINATION TEST, SCREEN - CANDIDA",315.0,315.0,,,0 CDM,3028640311,"HC PARTICLE AGGLUTINATION TEST, SCREEN - MENINGITIS SCREEN",315.0,315.0,,,0 CDM,3028640312,HC CMV AB DONOR,103.0,103.0,,,0 CDM,3028640602,"HC PARTICLE AGGLUTINATION TEST, TITER - CRYPTOCOCCUS ANTIGEN TITER",319.0,319.0,,,0 CDM,3028640801,HC NEUTRALIZING ABY SARS-COV-2 SCREEN,185.0,185.0,,,0 CDM,3028640901,HC NEUTRALIZING ABY SARS-COV-2 TITER,380.0,380.0,,,0 CDM,3028641301,HC SARS-COV-2 ABY QUANT,262.0,262.0,,,0 CDM,3028643001,HC RHEUMATOID FACTOR TEST - RHEUMATOID FACTOR SCREEN,132.5,132.5,,,0 CDM,3028643002,HC RHEUMATOID FACTOR TEST - RHEUMATOID FACTOR,223.0,223.0,,,0 CDM,3028643101,"HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR",393.5,393.5,,,0 CDM,3028643102,"HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR, BODY FLUID",419.0,419.0,,,0 CDM,3028643103,"HC RHEUMATOID FACTOR, QUANT - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP",23.0,23.0,,,0 CDM,3028643104,HC RHEUMATOID FACTOR,223.5,223.5,,,0 CDM,3028643105,HC RHEUMATOID FACTOR - QWDL,22.0,22.0,,,0 CDM,3028643106,HC RHEUMATOID FACTOR - ARUP,34.0,34.0,,,0 CDM,3028643107,HC RHEUMATOID FACTOR TITER REFLEX,365.0,365.0,,,0 CDM,3028643108,HC RHEUMATOID FACTOR - LUPUS COMPREHENSIVE REFLEX PANEL - ARUP,20.0,20.0,,,0 CDM,3028648001,"HC TB TEST CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON",540.0,540.0,,,0 CDM,3028648002,HC QUANTIFERON TB PLUS - ARUP,181.0,181.0,,,0 CDM,3028648003,HC QUANTIFERON TB PLUS 4 TUBE - ARUP,147.0,147.0,,,0 CDM,3028648004,HC QUANTIFERON TB GOLD PLUS 1 TUBE - QWDL,210.0,210.0,,,0 CDM,3028658001,HC TB INTRADERMAL TEST,123.0,123.0,,,0 CDM,30286580PB,HC PBB TB INTRADERMAL TEST,123.0,123.0,,,0 CDM,3028658102,"HC STREPTOCOCCUS PNEUMONIA IGG, 14 SEROTYPES - ARUP",142.0,142.0,,,0 CDM,3028659201,HC VDRL CSF,152.5,152.5,,,0 CDM,3028659202,HC RPR QUAL,291.0,291.0,,,0 CDM,3028659203,HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL,171.0,171.0,,,0 CDM,3028659204,HC DONOR RPR SCREEN,27.0,27.0,,,0 CDM,3028659205,HC RPR QUAL W REFLEX TITER - ARUP,27.0,27.0,,,0 CDM,3028659206,HC RPR (MONITOR) W/REFL TITER - QWDL,21.5,21.5,,,0 CDM,3028659207,"HC VDRL WITH REFLEX TO TITER, CSF - ARUP",27.0,27.0,,,0 CDM,3028659208,"HC VDRL WITH REFLEX TO TITER, SERUM - ARUP",36.0,36.0,,,0 CDM,3028659210,HC VDRL CSF - ARUP,25.0,25.0,,,0 CDM,3028659211,HC RAPID PLASMA REAGIN (RPR) QUAL,293.0,293.0,,,0 CDM,3028659212,HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - ARUP,25.0,25.0,,,0 CDM,3028659213,HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - QWDL,15.0,15.0,,,0 CDM,3028659214,HC RAPID PLASMA REAGIN (RPR) DX WITH REFLEX TO TITER AND CONFIRMATORY -QWDL,15.0,15.0,,,0 CDM,3028659215,HC RAPID PLASMA REAGIN (RPR) WITH REFLEX - ARUP,25.0,25.0,,,0 CDM,3028659301,HC RPR TITER,261.0,261.0,,,0 CDM,3028659302,HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUANT - VDRL TITER,273.0,273.0,,,0 CDM,3028659305,HC VDRL TITER CSF,261.0,261.0,,,0 CDM,3028659306,HC VDRL TITER - ARUP,127.0,127.0,,,0 CDM,3028659307,HC VDRL TITER CSF - ARUP,98.0,98.0,,,0 CDM,3028659308,HC RPR TITER - ARUP,127.0,127.0,,,0 CDM,3028659601,HC VOLTAGE GATED CALCIUM CHANNEL AB,313.0,313.0,,,0 CDM,3028659602,HC VOLTAGE GATED CALCIUM CHANNEL ANTIBODY - ARUP,626.0,626.0,,,0 CDM,3028660301,"HC ADENOVIRUS, ANTIBODY - ADENOVIRUS ANTIBODIES",208.0,208.0,,,0 CDM,3028660302,"HC ADENOVIRUS, ANTIBODY - ADENOVIRUS ANTIBODY IGM",208.0,208.0,,,0 CDM,3028660303,"HC ADENOVIRUS, ANTIBODY - ADENOVIRUS ANTIBODIES",208.0,208.0,,,0 CDM,3028660304,HC ADENOVIRUS ANTIBODIES - ARUP,331.0,331.0,,,0 CDM,3028660601,HC ASPERGILLUS ANTIBODY - ASPERGILLUS ABS,95.0,95.0,,,0 CDM,3028660602,"HC HYPERSENSITIVITY PNEUMONITIS 1 - IMMUNOASSAY ANTIBODY - A FUMIGATUS #1, A FUMIGATUS #6",95.0,95.0,,,0 CDM,3028660603,"HC HYPERSENSITIVITY PNEUOMONITIS 2 - IMMUNOASSAY ANTIBODY - A FLAVUS #2, A FUMIGATUS #2, A FUMIGATUS #3",107.0,107.0,,,0 CDM,3028660604,HC FUNGAL ANTIBODIES - ASPERGILLUS,36.0,36.0,,,0 CDM,3028660606,HC ASPERGILLUS ANTIBODY - ASPERGILLUS ABS IMMUNODIFFUSION,92.0,92.0,,,0 CDM,3028660607,HC ASPERGILLUS ANTIBODY BY COMPLEMENT FIXATION - ARUP,46.0,46.0,,,0 CDM,3028660608,HC A FLAVUS AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,30.0,30.0,,,0 CDM,3028660609,HC A FUMIGATUS #2 AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,30.0,30.0,,,0 CDM,3028660610,HC A FUMIGATUS #3 AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,30.0,30.0,,,0 CDM,3028660611,HC ASPERGILLUS AB BY COMPLEMENT FIXATION - FUNGAL AB W/RFLX SERUM - ARUP,54.0,54.0,,,0 CDM,3028660612,HC ASPERGILLUS ANTIBODY BY IMMUNODIFFUSION - ARUP,47.0,47.0,,,0 CDM,3028660613,HC A FUMIGATUS #1 AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 CDM,3028660614,HC A FUMIGATUS #6 AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 CDM,3028660615,HC A FLAVUS AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 CDM,3028660616,HC A FUMIGATUS #2 AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 CDM,3028660617,HC A FUMIGATUS #3 AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 CDM,3028660903,HC BACTERIUM ANTIBODY - LISTERIA ANTIBODY,187.0,187.0,,,0 CDM,3028660904,HC BACTERIUM ANTIBODY - NEISSERIA GONORRHOEAE ANTIBODY,18.0,18.0,,,0 CDM,3028661101,"HC BARTONELLA, ANTIBODY - BARTONELLA AB PANEL",111.0,111.0,,,0 CDM,3028661102,HC BARTONELLA HENSELAE ANTIBODY,26.0,26.0,,,0 CDM,3028661103,HC BARTONELLA QUINTANA ANTIBODY,26.0,26.0,,,0 CDM,3028661104,HC BARTONELLA HENSELAE IGG - ARUP,47.0,47.0,,,0 CDM,3028661105,HC BARTONELLA QUINTANA IGM - ARUP,47.0,47.0,,,0 CDM,3028661106,HC BARTONELLA QUINTANA IGG - ARUP,47.0,47.0,,,0 CDM,3028661107,HC BARTONELLA HENSELAE IGM - ARUP,47.0,47.0,,,0 CDM,3028661108,HC BARTONELLA QUINTANA IGM - BARTONELLA AB PANEL - ARUP,48.0,48.0,,,0 CDM,3028661109,HC BARTONELLA HENSELAE IGG - BARTONELLA AB PANEL - ARUP,48.0,48.0,,,0 CDM,3028661110,HC BARTONELLA QUINTANA IGG - BARTONELLA AB PANEL - ARUP,48.0,48.0,,,0 CDM,3028661111,HC BARTONELLA HENSELAE IGM - BARTONELLA AB PANEL - ARUP,47.0,47.0,,,0 CDM,3028661201,"HC BLASTOMYCES, ANTIBODY - BLASTOMYCES ANTIBODIES",95.0,95.0,,,0 CDM,3028661202,HC FUNGAL ANTIBODIES - BLASTOMYCES,32.0,32.0,,,0 CDM,3028661203,HC BLASTOMYCES DERMATITIDIS AB EIA W/ RFLX TO IMMUNODIFFUSION SERUM - ARUP,58.0,58.0,,,0 CDM,3028661204,HC BLASTOMYCES ANTIBODY BY EIA - FUNGAL ANTIBODIES W/ REFLEX SERUM - ARUP,46.0,46.0,,,0 CDM,3028661205,HC BLASTOMYCES DERMATITIDIS ANTIBODIES IMMUNODIFFUSION SERUM - ARUP,52.0,52.0,,,0 CDM,3028661501,HC BORDETELLA ANTIBODY - BORDETELLA PERTUSSIS ANTIBODY,54.0,54.0,,,0 CDM,3028661502,HC BORDETELLA PERTUSSIS ANTIBODIES IGG & IGM,60.0,60.0,,,0 CDM,3028661503,HC BORDETELLA PERTUSSIS IGA IMMUNOBLOT,60.0,60.0,,,0 CDM,3028661504,HC BORDETELLA PERTUSSIS IGG IMMUNOBLOT,72.5,72.5,,,0 CDM,3028661505,HC BORDETELLA PERTUSSIS IGM IMMUNOBLOT,72.5,72.5,,,0 CDM,3028661506,HC BORDETELLA ANTIBODY IGA,60.0,60.0,,,0 CDM,3028661507,HC BORDETELLA PERTUSSIS ANTIBODY IGA BLOT - ARUP,105.0,105.0,,,0 CDM,3028661508,HC BORDETELLA PERTUSSIS IGG BLOT - ARUP,105.0,105.0,,,0 CDM,3028661509,HC BORDETELLA PERTUSSIS IGG - BORDETELLA PERTUSSIS IGG IGM AB - ARUP,50.0,50.0,,,0 CDM,3028661510,HC BORDETELLA PERTUSSIS IGM BLOT - ARUP,105.0,105.0,,,0 CDM,3028661701,"HC LYME DISEASE ANTIBODY, CONFIRMATORY - LYME DISEASE, WESTERN BLOT",36.0,36.0,,,0 CDM,3028661703,HC BORRELIA BURGDORFERI IMMUNOBLOT IGM,68.5,68.5,,,0 CDM,3028661704,HC BORRELIA BURGDORFERI ANTIBODY IMMUNOBLOT CSF,68.5,68.5,,,0 CDM,3028661705,HC BORRELIA BURGDORFERI IMMUNOBLOT IGG,75.5,75.5,,,0 CDM,3028661706,HC B. BURGDORFERI (LYME) IGM CSF,63.0,63.0,,,0 CDM,3028661707,HC B. BURGDORFERI (LYME) IGG - ARUP,63.0,63.0,,,0 CDM,3028661708,HC BORRELIA BUGDORFERI/LYME IGG BY IMMUNOBLOT - LYME ANTIBODIES - ARUP,51.5,51.5,,,0 CDM,3028661709,HC BORRELIA BUGDORFERI/LYME IGM BY IMMUNOBLOT - LYME ANTIBODIES - ARUP,51.5,51.5,,,0 CDM,3028661710,"HC B BURGDORFERI IGM - LYME STANDARD 2 TIER, 2ND TIER REFLEXED - ARUP",63.0,63.0,,,0 CDM,3028661711,"HC B BURGDORFERI IGG - LYME STANDARD 2 TIER, 2ND TIER REFLEXED - ARUP",63.0,63.0,,,0 CDM,3028661712,HC BORRELIA BURGDORFERI IGG BY IMMUNOBLOT REFLEX - ARUP,78.0,78.0,,,0 CDM,3028661713,HC BORRELIA BURGDORFERI IGM BY IMMUNOBLOT REFLEX - ARUP,78.0,78.0,,,0 CDM,3028661802,"HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP",244.0,244.0,,,0 CDM,3028661803,"HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT",88.0,88.0,,,0 CDM,3028662201,"HC BRUCELLA, ANTIBODY - BRUCELLA SPECIES ANTIBODY",88.0,88.0,,,0 CDM,3028662202,HC BRUCELLA SPECIES ANTIBODY TOTAL - ARUP,36.0,36.0,,,0 CDM,3028662203,HC BRUCELLA ANTIBODY - FEBRILE ANTIBODIES ID PANEL - ARUP,32.0,32.0,,,0 CDM,3028662501,"HC CAMPYLOBACTER, ANTIBODY - CAMPYLOBACTER JEJUNI ANTIBODY",268.0,268.0,,,0 CDM,3028662801,"HC CANDIDA, ANTIBODY - CANDIDA ANTIBODY",182.0,182.0,,,0 CDM,3028662802,HC CANDIDA IGA - CANDIDA ANTIBODIES IGA IGG IGM - ARUP,51.0,51.0,,,0 CDM,3028662803,HC CANDIDA IGG - CANDIDA ANTIBODIES IGA IGG IGM - ARUP,51.0,51.0,,,0 CDM,3028662804,HC CANDIDA IGM - CANDIDA ANTIBODIES IGA IGG IGM - ARUP,51.0,51.0,,,0 CDM,3028663101,HC C PSITTACI IGG TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,35.0,35.0,,,0 CDM,3028663102,HC C PSITTACI IGG TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,28.0,28.0,,,0 CDM,3028663103,HC LYMPHOGRANULOMA VENEREUM ANTIBODY,254.0,254.0,,,0 CDM,3028663104,"HC CHLAMYDIA, ANTIBODY - CHLAMYDIA TRACHOMATIS IGG",20.0,20.0,,,0 CDM,3028663105,HC C PNEUMONIAE IGG - CHLAMYDIA ANTIBODY PANEL IGG - ARUP,33.0,33.0,,,0 CDM,3028663106,HC C PSITTACI IGG - CHLAMYDIA ANTIBODY PANEL IGG - ARUP,33.0,33.0,,,0 CDM,3028663107,HC C TRACHOMATIS IGG - CHLAMYDIA ANTIBODY PANEL IGG - ARUP,33.0,33.0,,,0 CDM,3028663108,HC C PNEUMONIAE IGG TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,34.0,34.0,,,0 CDM,3028663109,HC C TRACHOMATIS IGG TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,34.0,34.0,,,0 CDM,3028663201,HC C PSITTACI IGM TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,37.0,37.0,,,0 CDM,3028663202,HC C PNEUMONIAE IGM TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,37.0,37.0,,,0 CDM,3028663203,HC C PSITTACI IGM TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,37.0,37.0,,,0 CDM,3028663204,HC C TRACHOMATIS IGM TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,37.0,37.0,,,0 CDM,3028663501,"HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES ANTIBODIES",93.0,93.0,,,0 CDM,3028663502,HC FUNGAL ANTIBODIES - COCCIDIOEDES,28.0,28.0,,,0 CDM,3028663503,"HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES COMP FIX",30.0,30.0,,,0 CDM,3028663505,"HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES IMMUNOASSAY",30.0,30.0,,,0 CDM,3028663506,"HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES IMMUNODIFFUSION",30.0,30.0,,,0 CDM,3028663507,HC COCCIDIOIDES BY COMPLEMENT FIXATION-COCCIDIOIDES AB PNL SERUM ELISA-ARUP,54.0,54.0,,,0 CDM,3028663508,HC COCCIDIOIDES BY IMMUNODIFFUSION - COCCIDIOIDES AB PNL SERUM ELISA - ARUP,54.0,54.0,,,0 CDM,3028663509,HC COCCIDIOIDES IGG - COCCIDIOIDES AB PNL SERUM ELISA - ARUP,54.0,54.0,,,0 CDM,3028663510,HC COCCIDIOIDES IGM - COCCIDIOIDES AB PNL SERUM ELISA - ARUP,54.0,54.0,,,0 CDM,3028663511,HC COCCIDIOIDES IGG BY ELISA - COCCIDIOIDES ANTIBODY REFLEX PANEL - ARUP,62.0,62.0,,,0 CDM,3028663512,HC COCCIDIOIDES IGM BY ELISA - COCCIDIOIDES ANTIBODY REFLEX PANEL - ARUP,62.0,62.0,,,0 CDM,3028663513,HC COCCIDIOIDES IGG BY ELISA - COCCIDIOIDES IGG IGM AB - ARUP,62.0,62.0,,,0 CDM,3028663514,HC COCCIDIOIDES IGM BY ELISA - COCCIDIOIDES IGG IGM AB - ARUP,62.0,62.0,,,0 CDM,3028663515,HC COCCIDIOIDES BY COMPLEMENT FIXATION - FUNGAL AB W/RFLX SERUM - ARUP,41.0,41.0,,,0 CDM,3028663516,HC COCCIDIOIDES ANTIBODY TITER COMPLEMENT FIXATION - ARUP,147.0,147.0,,,0 CDM,3028663517,HC COCCIDIOIDES ANTIBODY BY IMMUNODIFFUSION REFLEX - ARUP,51.0,51.0,,,0 CDM,3028663518,HC COCCIDIOIDES ANTIBODY BY COMPLEMENT FIXATION - ARUP,46.0,46.0,,,0 CDM,3028663801,HC Q FEVER ANTIBODY - Q FEVER ANTIBODY,153.0,153.0,,,0 CDM,3028663802,HC COXIELLA BURNETTI ANTIBODY IGG,140.0,140.0,,,0 CDM,3028663803,HC COXIELLA BURNETTI ANTIBODY IGG PHASE 1 TITER,147.0,147.0,,,0 CDM,3028663804,HC COXIELLA BURNETTI ANTIBODY IGG PHASE 2 TITER,147.0,147.0,,,0 CDM,3028663805,HC COXIELLA BURNETTI ANTIBODY IGM PHASE 1 TITER,147.0,147.0,,,0 CDM,3028663806,HC COXIELLA BURNETTI ANTIBODY IGM PHASE 2 TITER,147.0,147.0,,,0 CDM,3028663807,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 1 - Q FEVER ANTIBODY - ARUP,63.0,63.0,,,0 CDM,3028663808,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 2 - Q FEVER ANTIBODY - ARUP,63.0,63.0,,,0 CDM,3028663809,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 1 TITER - ARUP,138.0,138.0,,,0 CDM,3028663810,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 1 - Q FEVER IGG IGM AB RFLX - ARUP,63.0,63.0,,,0 CDM,3028663811,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 2 - Q FEVER IGG IGM AB RFLX - ARUP,63.0,63.0,,,0 CDM,3028663812,HC Q FEVER (COXIELLA BURNETII) IGM PHASE 1 - Q FEVER IGG IGM AB RFLX - ARUP,63.0,63.0,,,0 CDM,3028663813,HC Q FEVER (COXIELLA BURNETII) IGM PHASE 2 - Q FEVER IGG IGM AB RFLX - ARUP,63.0,63.0,,,0 CDM,3028663814,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 2 TITER - ARUP,138.0,138.0,,,0 CDM,3028663815,HC Q FEVER (COXIELLA BURNETII) IGM PHASE 1 TITER - ARUP,303.0,303.0,,,0 CDM,3028663816,HC Q FEVER (COXIELLA BURNETII) IGM PHASE 2 TITER - ARUP,303.0,303.0,,,0 CDM,3028664401,HC CMV ANTIBODY - CMV IGG,184.5,184.5,,,0 CDM,3028664402,HC CMV TESTING-COMPONENT,183.5,183.5,,,0 CDM,3028664403,HC CYTOMEGALOVIRUS (CMV) IGG - CMV ANTIBODIES IGG IGM - ARUP,39.0,39.0,,,0 CDM,3028664404,HC CYTOMEGALOVIRUS (CMV) IGG - ARUP,42.0,42.0,,,0 CDM,3028664405,HC CYTOMEGALOVIRUS (CMV) IGG - TORCH ANTIBODIES IGG - ARUP,45.0,45.0,,,0 CDM,3028664501,"HC CMV ANTIBODY, IGM - CMV IGM",210.0,210.0,,,0 CDM,3028664503,HC CYTOMEGALOVIRUS (CMV) IGM - CMV ANTIBODIES IGG IGM - ARUP,45.0,45.0,,,0 CDM,3028664504,HC CYTOMEGALOVIRUS (CMV) IGM - TORCH ANTIBODIES - ARUP,45.0,45.0,,,0 CDM,3028664505,HC CYTOMEGALOVIRUS (CMV) IGM - ARUP,42.0,42.0,,,0 CDM,3028665101,"HC ENCEPHALITIS CALIFORN ANTBDY - ENCEPHALITIS, CALIFORNIA ANTIBODY IGG",102.0,102.0,,,0 CDM,3028665102,"HC ENCEPHALITIS CALIFORN ANTBDY - ENCEPHALITIS, CALIFORNIA ANTIBODY IGM",132.0,132.0,,,0 CDM,3028665103,HC ENCEPHAL ANTIBODY CALIF - ADDITIONAL CHARGE,102.0,102.0,,,0 CDM,3028665104,HC ENCEPHALITIS ANTIBODY PANEL IGM CSF,132.0,132.0,,,0 CDM,3028665105,HC CALIFORNIA ENCEPHALITIS IGG - ARBOVIRUS PANEL IGG - ARUP,77.0,77.0,,,0 CDM,3028665107,HC CALIFORNIA ENCEPHALITIS IGG CSF- ARBOVIRUS PANEL IGG CSF - ARUP,153.0,153.0,,,0 CDM,3028665108,"HC CALIFORNIA ENCEPHALITIS IGM CSF - ARBOVIRUS PANEL, IGM CSF - ARUP",153.0,153.0,,,0 CDM,3028665109,HC CALIFORNIA ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,153.0,153.0,,,0 CDM,3028665201,"HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGG",102.0,102.0,,,0 CDM,3028665202,"HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGM",102.0,102.0,,,0 CDM,3028665203,HC ENCEPHAL ANTIBODY EAST EQU - ADDITIONAL CHARGE,102.0,102.0,,,0 CDM,3028665204,"HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGG CSF",102.0,102.0,,,0 CDM,3028665205,"HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGM CSF",102.0,102.0,,,0 CDM,3028665206,HC EASTERN EQUINE ENCEPHALITIS IGG - ARBOVIRUS PANEL IGG - ARUP,77.0,77.0,,,0 CDM,3028665207,HC EASTERN EQUINE ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,153.0,153.0,,,0 CDM,3028665208,HC EASTERN EQUINE ENCEPHALITIS IGG CSF - ARBOVIRUS PANEL IGG CSF - ARUP,153.0,153.0,,,0 CDM,3028665209,HC EASTERN EQUINE ENCEPHALITIS IGM CSF - ARBOVIRUS PANEL IGM CSF - ARUP,153.0,153.0,,,0 CDM,3028665301,"HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGG",102.0,102.0,,,0 CDM,3028665302,"HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM",102.0,102.0,,,0 CDM,3028665303,HC ENCEPHAL ANTIBODY ST LOUIS - ADDITIONAL CHARGE,102.0,102.0,,,0 CDM,3028665304,"HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGG CSF",102.0,102.0,,,0 CDM,3028665305,"HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM CSF",102.0,102.0,,,0 CDM,3028665306,HC ST LOUIS ENCEPHALITIS IGG - ARBOVIRUS PANEL IGG - ARUP,77.0,77.0,,,0 CDM,3028665307,HC ST LOUIS ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,153.0,153.0,,,0 CDM,3028665308,HC ST LOUIS ENCEPHALITIS IGG CSF - ARBOVIRUS PANEL IGG CSF - ARUP,153.0,153.0,,,0 CDM,3028665309,HC ST LOUIS ENCEPHALITIS IGM CSF - ARBOVIRUS PANEL IGM CSF - ARUP,153.0,153.0,,,0 CDM,3028665401,"HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGG",102.0,102.0,,,0 CDM,3028665402,"HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGM",102.0,102.0,,,0 CDM,3028665403,HC ENCEPHAL ANTIBODY WEST EQU - ADDITIONAL CHARGE,102.0,102.0,,,0 CDM,3028665404,"HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGG CSF",102.0,102.0,,,0 CDM,3028665405,"HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGM CSF",102.0,102.0,,,0 CDM,3028665406,HC WESTERN EQUINE ENCEPHALITIS IGG -ARBOVIRUS PANEL IGG - ARUP,77.0,77.0,,,0 CDM,3028665407,HC WESTERN EQUINE ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,153.0,153.0,,,0 CDM,3028665408,HC WESTERN EQUINE ENCEPHALITIS IGG CSF-ARBOVIRUS PANEL IGG CSF - ARUP,153.0,153.0,,,0 CDM,3028665409,HC WESTERN EQUINE ENCEPHALITIS IGM CSF-ARBOVIRUS PANEL IGM CSF - ARUP,153.0,153.0,,,0 CDM,3028665801,HC ENTEROVIRUS ANTIBODY - ENTEROVIRUS PANEL,33.0,33.0,,,0 CDM,3028665802,"HC ENTEROVIRUS ANTIBODY - POLIOVIRUS ANTIBODIES, TYPES 1, 2, AND 3",211.0,211.0,,,0 CDM,3028665803,HC ENTEROVIRUS ANTIBODY - ENTEROVIRUS PANEL COXSACKIE,52.0,52.0,,,0 CDM,3028665804,HC ENTEROVIRUS ANTIBODY - ENTEROVIRUS PANEL ECHOVIRUS,285.0,285.0,,,0 CDM,3028665805,HC COXSACKIE A VIRUS ANTIBODY,33.0,33.0,,,0 CDM,3028665806,HC ECHOVIRUS TYPE 6 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 CDM,3028665807,HC ECHOVIRUS TYPE 7 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 CDM,3028665808,HC ECHOVIRUS TYPE 11 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 CDM,3028665809,HC ECHOVIRUS TYPE 30 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 CDM,3028665810,HC ECHOVIRUS TYPE 9 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 CDM,3028665811,HC POLIO VIRUS TYPE 1 - POLIOVIRUS ANTIBODIES TYPES 1 AND 3 - ARUP,161.0,161.0,,,0 CDM,3028665812,HC POLIO VIRUS TYPE 3 - POLIOVIRUS ANTIBODIES TYPES 1 AND 3 - ARUP,161.0,161.0,,,0 CDM,3028666301,HC EPSTEIN BARR VIRUS EARLY IGG,511.0,511.0,,,0 CDM,3028666302,HC EBV - EARLY IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP,31.0,31.0,,,0 CDM,3028666303,HC EPSTEIN BARR VIRUS EARLY ANTIGEN IGG - ARUP,34.0,34.0,,,0 CDM,3028666401,HC EPSTEIN-BARR NUCLEAR ANTIGEN - EPSTEIN-BARR VIRUS NUCLEAR ANTIGEN AB,204.0,204.0,,,0 CDM,3028666402,"HC EBV - NUCLEAR AG, IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP",35.0,35.0,,,0 CDM,3028666403,HC EPSTEIN BARR VIRUS NUCLEAR ANTIGEN IGG - ARUP,34.0,34.0,,,0 CDM,3028666404,HC EPSTEIN BARR VIRUS NUCLEAR ANTIGEN-EPSTEIN BARR VIRUS ANTIBODY PNL1-ARUP,32.0,32.0,,,0 CDM,3028666501,"HC EPSTEIN-BARR CAPSID VCA, IGG",101.0,101.0,,,0 CDM,3028666502,"HC EPSTEIN-BARR CAPSID VCA, IGM",177.0,177.0,,,0 CDM,3028666503,HC EPSTEIN BARR VIRUS CAPSID VCA IGG - EBV ANTIBODY PANEL,180.5,180.5,,,0 CDM,3028666505,"HC EPSTEIN-BARR VIRUS VCA, IGG",165.0,165.0,,,0 CDM,3028666506,HC DONOR EBV VIRAL CAPSID ANTIGEN ANTIBODY IGG,47.0,47.0,,,0 CDM,3028666507,HC EBV VIRAL CAPSID AG (VCA) AB (IGG) - QWDL,48.5,48.5,,,0 CDM,3028666508,"HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGG - ARUP",41.5,41.5,,,0 CDM,3028666509,HC VCA IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP,44.0,44.0,,,0 CDM,3028666510,HC DONOR EBV VIRAL CAPSID ANTIGEN ANTIBODY IGM,47.0,47.0,,,0 CDM,3028666511,HC EBV VIRAL CAPSID AG (VCA) AB (IGM) - QWDL,53.0,53.0,,,0 CDM,3028666512,"HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGM - ARUP",41.5,41.5,,,0 CDM,3028666513,HC VCA IGM - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP,44.0,44.0,,,0 CDM,3028666514,HC EPSTEIN BARR VIRUS CAPSID VCA IGG - QWDL,42.0,42.0,,,0 CDM,3028666515,HC EPSTEIN BARR VIRUS CAPSID VCA IGG - ARUP,34.0,34.0,,,0 CDM,3028666516,HC EPSTEIN BARR VIRUS CAPSID VCA IGM - QWDL,41.0,41.0,,,0 CDM,3028666517,HC EPSTEIN BARR VIRUS CAPSID VCA IGM - ARUP,34.0,34.0,,,0 CDM,3028666518,HC EPSTEIN BARR VIRUS CAPSID VCA IGG-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP,38.0,38.0,,,0 CDM,3028666519,HC EPSTEIN BARR VIRUS CAPSID VCA IGM-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP,38.0,38.0,,,0 CDM,3028666520,HC EPSTEIN BARR VIRUS CAPSID VCA IGM - EBV ANTIBODY PANEL,180.5,180.5,,,0 CDM,3028666601,HC EHRLICHIA ANTIBODY - EHRLICHIA CHAFFEENSIS PANEL,115.0,115.0,,,0 CDM,3028666602,HC EHRLICHIA ANTIBODY - ANAPLASMA PHAGOCYTOPHILUM IGG,49.0,49.0,,,0 CDM,3028666603,HC EHRLICHIA ANTIBODY - ANAPLASMA PHAGOCYTOPHILUM IGM,49.0,49.0,,,0 CDM,3028666604,HC ANAPLASMA PHGOCYTOPHILUM IGG - ANAPLASMA PHAGOCYTOPHYLLIU IGG IGM - ARUP,149.0,149.0,,,0 CDM,3028666605,HC ANAPLASMA PHGOCYTOPHILUM IGM - ANAPLASMA PHAGOCYTOPHYLLIU IGG IGM - ARUP,149.0,149.0,,,0 CDM,3028666801,HC FRANCISELLA TULARENSIS - TULAREMIA ANTIBODY,138.0,138.0,,,0 CDM,3028667112,"HC FUNGUS, ANTIBODY - SACCHAROMYCES CEREVISIAE ANTIBODIES, IGG AND IGA",275.0,275.0,,,0 CDM,3028667113,HC S CEREVISIAE IGG/IGA - INFLAMMATORY BOWEL DISEASE PANEL - ARUP,80.0,80.0,,,0 CDM,3028667115,"HC FUNGUS, ANTIBODY - OTHER ORGANISM ANTIBODIES",61.0,61.0,,,0 CDM,3028667401,"HC GIARDIA LAMBLIA - GIARDIA LAMBLIA ANTIBODY, IFA",148.0,148.0,,,0 CDM,3028667402,HC GIARDIA LAMBLIA AB IGA,171.0,171.0,,,0 CDM,3028667403,HC G LAMBLIA AB IGM,171.0,171.0,,,0 CDM,3028667405,HC GIARDIA LAMBLIA AB IGG,171.0,171.0,,,0 CDM,3028667702,HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGG,540.0,540.0,,,0 CDM,3028667703,HC HELICOBACTER PYLORI IGG,418.5,418.5,,,0 CDM,3028668201,"HC HELMINTH, ANTIBODY - CYSTICERCOSIS ANTIBODY, IGG",103.0,103.0,,,0 CDM,3028668202,"HC HELMINTH, ANTIBODY - ECHINOCOCCUS ANTIBODY, IGG",107.0,107.0,,,0 CDM,3028668204,"HC HELMINTH, ANTIBODY - SCHISTOSOMA ANTIBODY, IGG",226.0,226.0,,,0 CDM,3028668205,"HC HELMINTH, ANTIBODY - TOXACARA ANTIBODY",256.0,256.0,,,0 CDM,3028668206,"HC HELMINTH, ANTIBODY - STRONGYLOIDES ANTIBODY, IGG",107.0,107.0,,,0 CDM,3028668207,HC STRONGYLOIDES IGG - ARUP,63.0,63.0,,,0 CDM,3028668208,HC TOXOCARA IGG - ARUP,379.0,379.0,,,0 CDM,3028668209,HC ECHINOCOCCUS IGG - ARUP,63.0,63.0,,,0 CDM,3028668210,HC SCHISTOSOMA IGG - ARUP,379.0,379.0,,,0 CDM,3028668901,HC HTLV/HIV CONFIRMATORY TEST - HIV-1 WESTERN BLOT,177.0,177.0,,,0 CDM,3028668902,HC HTLV 1 AND 2 ANTIBODY WESTERN BLOT,119.5,119.5,,,0 CDM,3028668903,HC HUMAN T-LYMPHOTROPIC VIRUS (HTLV) I AND II ANTIBODY WESTERN BLOT - ARUP,333.0,333.0,,,0 CDM,3028669201,"HC HEPATITIS, DELTA AGENT - HEPATITIS DELTA VIRUS",92.0,92.0,,,0 CDM,3028669202,HC HEPATITIS DELTA VIRUS - ARUP,60.0,60.0,,,0 CDM,3028669401,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGG AB",94.0,94.0,,,0 CDM,3028669402,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC ANTIBODY",89.5,89.5,,,0 CDM,3028669403,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGM AB",40.0,40.0,,,0 CDM,3028669404,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGG AB CSF",40.0,40.0,,,0 CDM,3028669405,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGM AB CSF",40.0,40.0,,,0 CDM,3028669406,HC HERPES SIMPLEX VIRUS (HSV) 1/2 IGG CSF - ARUP,78.0,78.0,,,0 CDM,3028669407,HC HERPES SIMPLEX VIRUS (HSV) TYPE 1/2 IGM CSF - ARUP,78.0,78.0,,,0 CDM,3028669408,HC HERPES SIMPLEX VIRUS (HSV) 1/2 COMBINED IGG - ARUP,55.0,55.0,,,0 CDM,3028669409,HC HERPES SIMPLEX VIRUS (HSV) TYPE 1/2 IGM - ARUP,40.0,40.0,,,0 CDM,3028669410,HC HERPES SIMPLEX VIRUS (HSV) 1/2 IGG - TORCH ANTIBODIES IGG - ARUP,45.0,45.0,,,0 CDM,3028669411,HC HERPES SIMPLEX VIRUS (HSV) 1/2 IGM - TORCH ANTIBODIES IGM - ARUP,39.0,39.0,,,0 CDM,3028669412,HC HERPES SIMPLEX VIRUS(HSV) 1/2 IGG W/ RFLX TYPE 1/2 GLYCO G SPECIFIC-ARUP,55.0,55.0,,,0 CDM,3028669413,HC HSV COMB IGG - HSV 1/2 IGG IGM W/ RFLX TYPE 1/2 GLYCO G SPECIFIC - ARUP,47.0,47.0,,,0 CDM,3028669414,HC HSV IGM - HSV 1/2 IGG IGM W/ RFLX TYPE 1/2 GLYCO G SPECIFIC - ARUP,47.0,47.0,,,0 CDM,3028669501,"HC HERPES SIMPLEX TEST, TYPE 1 IGG",469.0,469.0,,,0 CDM,3028669502,"HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGM ANTIBODY",87.0,87.0,,,0 CDM,3028669503,HC HERPES SIMPLEX 1 GLYCOPROTEIN G AB IGG,57.0,57.0,,,0 CDM,3028669504,HC HERPES SIMPLEX VIRUS 1 IGM AB TITER,43.0,43.0,,,0 CDM,3028669505,HC TYPE 1 IGG - HERPES SIMPLEX VIRUS 1/2 IGG TYPE SPECIFIC AB - QWDL,26.0,26.0,,,0 CDM,3028669506,HC TYPE 1 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP,50.0,50.0,,,0 CDM,3028669507,HC HSV 1 SPECIFIC IGG - HSV 1&2 IGG WITH REFLX TO HSV 2 INHIBITION - QDID,34.0,34.0,,,0 CDM,3028669508,HC HERPES SIMPLEX VIRUS TYPE 1 IGG - HSV 1 AND 2 ANTIBODY IGG,435.0,435.0,,,0 CDM,3028669509,HC HSV TYPE 1 IGG - HSV 1 GLYCOPROTEIN G IGG - ARUP,57.0,57.0,,,0 CDM,3028669510,"HC HSV 1 IGM - HSV 1&2 AB IGM, IFA WITH REFLEX TO TITER, SERUM - QDID",22.0,22.0,,,0 CDM,3028669511,HC HERPES SIMPLEX VIRUS TYPE 1 ANTIBODY IGM TITER - QDID,180.0,180.0,,,0 CDM,3028669512,HC HSV 1 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP,46.0,46.0,,,0 CDM,3028669601,HC HSV TYPE 2 IGG - HSV 2 GLYCOPROTEIN G IGG - ARUP,57.0,57.0,,,0 CDM,3028669602,"HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGM ANTIBODY",88.0,88.0,,,0 CDM,3028669603,HC HERPES SIMPLEX VIRUS 2 IGM AB TITER,43.0,43.0,,,0 CDM,3028669604,HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 1/2 IGG TYPE SPECIFIC AB - QWDL,54.0,54.0,,,0 CDM,3028669605,HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 2 GLYCOPROTEIN G AB IGG - ARUP,68.0,68.0,,,0 CDM,3028669606,HC TYPE 2 IGG - HERPES SIMPLEX VIRUS-2 IGG INHIBITION BY ELISA - ARUP,905.0,905.0,,,0 CDM,3028669607,HC TYPE 2 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP,74.0,74.0,,,0 CDM,3028669608,HC HERPES SIMPLEX VIRUS 2 SPECIFC IGG - HSV 1&2 IGG TYPE SPECIFIC AB - QWDL,87.0,87.0,,,0 CDM,3028669609,HC HSV 2 GLYCOPROTEIN G IGG - ARUP,55.0,55.0,,,0 CDM,3028669610,HC HERPES SIMPLEX VIRUS 2 GLYCOPROTEIN G IGG - ARUP,57.0,57.0,,,0 CDM,3028669611,HC HSV 2 IGG INHIBITION ELISA - ARUP,632.0,632.0,,,0 CDM,3028669612,HC HSV 2 IGG INHIBITION REFLEX - HSV 2 IGG INHIBITION RFLX - QDID,630.0,630.0,,,0 CDM,3028669613,HC HERPES SIMPLEX VIRUS 2 ANTIBODY IGM TITER - QDID,180.0,180.0,,,0 CDM,3028669614,HC HSV 2 SPECIFIC IGG - HSV 1&2 IGG WITH REFLX TO HSV 2 INHIBITION - QDID,50.0,50.0,,,0 CDM,3028669615,HC HERPES SIMPLEX VIRUS TYPE 2 IGG - HSV 1 AND 2 ANTIBODY IGG,435.0,435.0,,,0 CDM,3028669616,"HC HSV 2 IGM - HSV 1&2 AB IGM, IFA WITH REFLEX TO TITER, SERUM - QDID",33.0,33.0,,,0 CDM,3028669617,HC HSV 2 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP,68.0,68.0,,,0 CDM,3028669801,HC HISTOPLASMA - HISTOPLASMA ANTIBODIES,108.0,108.0,,,0 CDM,3028669802,HC FUNGAL ANTIBODIES - HISTOPLASMA,68.0,68.0,,,0 CDM,3028669803,HC HISTOPLASMA - HISTOPLASMA ANTIBODIES COMP FIX,25.0,25.0,,,0 CDM,3028669804,HC HISTOPLASMA ANTIBODIES IMMUNODIFFUSION - ARUP,50.0,50.0,,,0 CDM,3028669805,HC HISTOPLASMA ABS IMMUNODIFFUSION - HISTOPLASMA ABS BY CF AND ID - ARUP,46.0,46.0,,,0 CDM,3028669806,HC HISTOPLASMA MYCELIA ABS CF - HISTOPLASMA ABS BY CF AND ID - ARUP,46.0,46.0,,,0 CDM,3028669807,HC HISTOPLASMA YEAST ABS CF - HISTOPLASMA ABS BY CF AND ID - ARUP,46.0,46.0,,,0 CDM,3028669808,HC HISTOPLASMA MYCELIA AB BY COMPLEMENTFIXATION-FUNGAL AB W/RFLX SERUM-ARUP,50.0,50.0,,,0 CDM,3028669809,HC HISTOPLASMA YEAST AB BY COMPLEMENT FIXATION-FUNGAL AB W/RFLX SERUM-ARUP,50.0,50.0,,,0 CDM,3028669810,HC HISTOPLASMA MYCELIA ANTIBODIES - HISTOPLASMA ANTIBODIES BY CF - ARUP,45.0,45.0,,,0 CDM,3028669811,HC HISTOPLASMA YEAST ANTIBODIES - HISTOPLASMA ANTIBODIES BY CF - ARUP,45.0,45.0,,,0 CDM,3028670101,HC HIV-1 - HIV 1 ANTIBODY EIA,550.0,550.0,,,0 CDM,3028670103,"HC HIV 1 - HIV 1/2 AB DIFF, SUPPLEMENTAL - ARUP",157.0,157.0,,,0 CDM,3028670104,HC HIV 1 - HIV 1 AND 2 ANTIBODY DIFFERENTIATION,507.0,507.0,,,0 CDM,3028670105,HC HIV-1 - HIV 1/2 ANTIBODY DIFFERENTIATION - FOCUS SCREENING PROGRAM,507.0,507.0,,,0 CDM,3028670201,HC HIV-2 - HIV-2 ANTIBODIES,550.0,550.0,,,0 CDM,3028670202,"HC HIV 2 - HIV 1/2 AB DIFF, SUPPLEMENTAL - ARUP",190.0,190.0,,,0 CDM,3028670203,HC HIV 2 - HIV 1 AND 2 ANTIBODY DIFFERENTIATION,507.0,507.0,,,0 CDM,3028670204,HC HIV-2 - HIV 1/2 ANTIBODY DIFFERENTIATION - FOCUS SCREENING PROGRAM,507.0,507.0,,,0 CDM,3028670301,"HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN",103.0,103.0,,,0 CDM,3028670303,HC HIV 1+2 (DONOR),103.0,103.0,,,0 CDM,3028670401,HC HEPATITIS B CORE ANTIBODY TOTAL,174.0,174.0,,,0 CDM,3028670402,HC HBCORE AB ONEBLOOD CHARGE,80.5,80.5,,,0 CDM,3028670403,HC HEP B CORE AB DONOR,103.0,103.0,,,0 CDM,3028670404,HC DONOR HEPATITIS B CORE ANTIBODY TOTAL,78.0,78.0,,,0 CDM,3028670405,HC HEPATITIS B CORE ANTIBODY TOTAL - ARUP,58.0,58.0,,,0 CDM,3028670501,HC HEPATITIS B CORE ANTIBODY IGM,286.0,286.0,,,0 CDM,3028670504,HC DONOR HEP B COR AB IGM,31.0,31.0,,,0 CDM,3028670505,HC HEPATITIS B VIRUS CORE IGM - QWDL,34.0,34.0,,,0 CDM,3028670506,HC HEPATITIS B VIRUS CORE IGM - ARUP,36.5,36.5,,,0 CDM,3028670601,HC HEPATITIS B SURFACE ANTIBODY,333.0,333.0,,,0 CDM,3028670602,HC DONOR HEPATITIS B SURFACE ANTIBODY,71.0,71.0,,,0 CDM,3028670603,HC HEPATITIS B SURFACE ANTIBODY - ARUP,53.0,53.0,,,0 CDM,3028670604,HC HEPATITIS B SURFACE ANTIBODY QUAL - QWDL,54.0,54.0,,,0 CDM,3028670701,HC HEPATITIS BE AB TEST - HEPATITIS B E ANTIBODY,65.0,65.0,,,0 CDM,3028670702,HC HEPATITIS B E VIRUS ANTIBODY - ARUP,70.0,70.0,,,0 CDM,3028670801,HC HEPATITIS A ANTIBODY TOTAL,198.0,198.0,,,0 CDM,3028670802,"HC HEPATITIS A ANTIBODY, TOTAL - ARUP",35.5,35.5,,,0 CDM,3028670901,HC HEPATITIS A IGM,318.5,318.5,,,0 CDM,3028670904,HC HEPATITIS A IGM - QWDL,68.0,68.0,,,0 CDM,3028670905,HC HEPATITIS A IGM - ARUP,66.5,66.5,,,0 CDM,3028671001,HC INFLUENZA VIRUS - INFLUENZA TYPE A ANTIBODY IGG,57.5,57.5,,,0 CDM,3028671002,HC INFLUENZA VIRUS - INFLUENZA TYPE B ANTIBODY,57.5,57.5,,,0 CDM,3028671003,HC INFLUENZA VIRUS - INFLUENZA TYPE A&B ANTIBODIES,108.5,108.5,,,0 CDM,3028671004,"HC INFLUENZA VIRUS - INFLUENZA A ANTIBODY, IGM",57.5,57.5,,,0 CDM,3028671005,"HC INFLUENZA VIRUS - INFLUENZA B ANTIBODY, IGM",57.5,57.5,,,0 CDM,3028671006,HC INFLUENZA A VIRUS IGG - INFLUENZA TYPE A&B ANTIBODIES - ARUP,43.0,43.0,,,0 CDM,3028671007,HC INFLUENZA A VIRUS IGM - INFLUENZA TYPE A&B ANTIBODIES - ARUP,43.0,43.0,,,0 CDM,3028671008,HC INFLUENZA B VIRUS IGG - INFLUENZA TYPE A&B ANTIBODIES - ARUP,43.0,43.0,,,0 CDM,3028671009,HC INFLUENZA B VIRUS IGM - INFLUENZA TYPE A&B ANTIBODIES - ARUP,43.0,43.0,,,0 CDM,3028671101,HC JOHN CUNNINGHAM ANTIBODY,329.0,329.0,,,0 CDM,3028671102,HC JOHN CUNNINGHAM VIRUS ANTIBODY INHIBITION - ARUP,1.0,1.0,,,0 CDM,3028671103,"HC JC VIRUS ANTIBODY BY ELISA, SERUM, WITH REFLEX - ARUP",126.0,126.0,,,0 CDM,3028671301,HC LEGIONELLA - LEGIONELLA PNEUMOPHILA TOTL AB,93.0,93.0,,,0 CDM,3028671302,HC LEGIONELLA ANTIBODY IGM 1,57.0,57.0,,,0 CDM,3028671303,HC LEGIONELLA ANTIBODY IGM 1-6,27.0,27.0,,,0 CDM,3028671304,HC LEGIONELLA ANTIBODY IGG,27.0,27.0,,,0 CDM,3028671305,HC LEGIONELLA PNEUMONPHILA IGG IGA IGM TYPE 1 THRU 6 BY ELISA - ARUP,97.0,97.0,,,0 CDM,3028671707,HC LEISHMANIA AB - LEISHMANIA ANTIBODY,131.0,131.0,,,0 CDM,3028671708,HC LEISHMANIA IGG - ARUP,185.0,185.0,,,0 CDM,3028672001,HC LEPTOSPIRA - LEPTOSPIRA ANTIBODY,142.0,142.0,,,0 CDM,3028672002,HC LEPTOSPIRA IGM - ARUP,217.0,217.0,,,0 CDM,3028672701,HC LYMPH CHORIOMENINGITIS - LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY,129.0,129.0,,,0 CDM,3028672702,HC LCM VIRUS IGG - LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY - ARUP,84.0,84.0,,,0 CDM,3028672703,HC LCM VIRUS IGM - LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY - ARUP,84.0,84.0,,,0 CDM,3028673501,HC MUMPS - MUMPS IGG ANTIBODY,486.0,486.0,,,0 CDM,3028673502,HC MUMPS - MUMPS IGM ANTIBODY,61.0,61.0,,,0 CDM,3028673503,HC MUMPS IGG - QUALITATIVE,641.0,641.0,,,0 CDM,3028673504,HC MUMPS IGG - QUANTITATIVE,451.0,451.0,,,0 CDM,3028673505,HC MUMPS IGG - QWDL,41.0,41.0,,,0 CDM,3028673506,HC MUMPS IGG - ARUP,30.0,30.0,,,0 CDM,3028673507,HC MUMPS IGM - ARUP,42.0,42.0,,,0 CDM,3028673508,HC MUMPS IGG - MEASLES MUMPS IGG,641.0,641.0,,,0 CDM,3028673801,"HC MYCOPLASMA - MYCOPLASMA PNEUMONIAE ANTIBODY, IGM",284.0,284.0,,,0 CDM,3028673802,HC MYCOPLASMA PNEUMONIAE IGG,96.0,96.0,,,0 CDM,3028673803,"HC MYCOPLASMA - MYCOPLASMA PNEUMONIAE ANTIBODY, IGG AND IGM",70.0,70.0,,,0 CDM,3028673804,HC MYCOPLASMA PNEUMONIAE IGG - ARUP,46.0,46.0,,,0 CDM,3028673805,HC MYCOPLASMA PNEUMONIAE IGM - MYCOPLASMA PNEUMONIAE ANTIBODY G/M - ARUP,46.0,46.0,,,0 CDM,3028673806,HC MYCOPLASMA PNEUMONIAE IGG - MYCOPLASMA PNEUMONIAE ANTIBODY G/M - ARUP,46.0,46.0,,,0 CDM,3028673807,HC MYCOPLASMA PNEUMONIAE IGM - ARUP,46.0,46.0,,,0 CDM,3028674101,HC NEISSERIA MENINGITIDIS - NEISSERIA MENINGITIDIS ANTIBODIES,69.0,69.0,,,0 CDM,3028674701,"HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGG AND IGM",77.0,77.0,,,0 CDM,3028674703,"HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGG",32.5,32.5,,,0 CDM,3028674704,"HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGM",32.5,32.5,,,0 CDM,3028674705,HC PARVOVIRUS B19 IGG - ARUP,59.0,59.0,,,0 CDM,3028674706,HC PARVOVIRUS B19 IGM - ARUP,59.0,59.0,,,0 CDM,3028674707,HC PARVOVIRUS B19 IGG - PARVOVIRUS B19 IGG AND IGM - ARUP,59.0,59.0,,,0 CDM,3028674708,HC PARVOVIRUS B19 IGM - PARVOVIRUS B19 IGG AND IGM - ARUP,59.0,59.0,,,0 CDM,3028675301,"HC PROTOZOA, NOT ELSEWHERE - BABESIA MICROTI, IGG",132.0,132.0,,,0 CDM,3028675302,"HC PROTOZOA, NOT ELSEWHERE - BABESIA MICROTI, IGM",50.0,50.0,,,0 CDM,3028675303,"HC PROTOZOA, NOT ELSEWHERE - TRYPANOSOMA CRUZI ANTIBODY, IGG",103.0,103.0,,,0 CDM,3028675304,"HC PROTOZOA, NOT ELSEWHERE - TRYPANOSOMA CRUZI ANTIBODY, IGM",101.0,101.0,,,0 CDM,3028675305,"HC PROTOZOA, NOT ELSEWHERE - ANTIBODIES",128.0,128.0,,,0 CDM,3028675306,"HC PROTOZOA, NOT ELSEWHERE - E HISTOLYTICA, IGG",50.0,50.0,,,0 CDM,3028675307,HC AMOEBA ANTIBODY,50.0,50.0,,,0 CDM,3028675308,HC BABESIA MICROTI IGG -BABESIA IGG IGM AB - QWDL,126.0,126.0,,,0 CDM,3028675309,HC BABESIA MICROTI IGM -BABESIA IGG IGM AB - QWDL,126.0,126.0,,,0 CDM,3028675310,HC BABESIA MICROTI IGG -BABESIA IGG IGM AB - ARUP,68.0,68.0,,,0 CDM,3028675311,HC BABESIA MICROTI IGM -BABESIA IGG IGM AB - ARUP,68.0,68.0,,,0 CDM,3028675312,HC TRYPANOSOMA CRUZI IGG - ARUP,84.0,84.0,,,0 CDM,3028675313,HC E HISTOLYTICA IGG - ARUP,49.0,49.0,,,0 CDM,3028675701,HC RICKETTSIA - RICKETTSIA RICKETTSII ANTIBODY,101.0,101.0,,,0 CDM,3028675702,HC RICKETTSIA - RICKETTSIA TYPHI (TYPHUS FEVER) ANTIBODY,101.0,101.0,,,0 CDM,3028675703,HC RICKETTSIA - RICKETTSIA RICKETTSII ANTIBODY IGM,28.0,28.0,,,0 CDM,3028675704,HC RICKETTSIA RICKETTSII ANTIBODY IGM,101.0,101.0,,,0 CDM,3028675705,HC RICKETTSIA TYPHI ANTIBODY IGM,101.0,101.0,,,0 CDM,3028675708,HC RICKETTSIA - RICKETTSIA RICKETTSII ANTIBODY IGG AND IGM,28.0,28.0,,,0 CDM,3028675709,HC ROCKY MOUNTAIN SPOT FEVER IGG - ARUP,26.0,26.0,,,0 CDM,3028675710,HC ROCKY MOUNTAIN SPOT FEVER IGG - ROCKY MOUNTAIN SPOT FEVER IGG IGM - ARUP,53.0,53.0,,,0 CDM,3028675711,HC ROCKY MOUNTAIN SPOT FEVER IGM - ROCKY MOUNTAIN SPOT FEVER IGG IGM - ARUP,53.0,53.0,,,0 CDM,3028675712,HC ROCKY MOUNTAIN SPOTTED FEVER IGM - ARUP,53.0,53.0,,,0 CDM,3028675713,HC TYPHUS FEVER IGM - ARUP,69.0,69.0,,,0 CDM,3028675714,HC TYPHUS FEVER IGG - ARUP,63.0,63.0,,,0 CDM,3028675715,HC ROCKY MT SPOTTED FEVER IGG - FEBRILE ANTIBODIES ID PANEL - ARUP,69.0,69.0,,,0 CDM,3028675716,HC ROCKY MT SPOTTED FEVER IGM - FEBRILE ANTIBODIES ID PANEL - ARUP,69.0,69.0,,,0 CDM,3028675717,HC TYPHUS FEVER IGG - FEBRILE ANTIBODIES ID PANEL - ARUP,69.0,69.0,,,0 CDM,3028675718,HC TYPHUS FEVER IGM - FEBRILE ANTIBODIES ID PANEL - ARUP,69.0,69.0,,,0 CDM,3028676201,"HC RUBELLA - RUBELLA ANTIBODY, IGM",474.0,474.0,,,0 CDM,3028676202,HC RUBELLA IGG QUANTITATIVE,347.5,347.5,,,0 CDM,3028676203,HC RUBELLA AB IGG - ARUP,41.0,41.0,,,0 CDM,3028676204,HC IGG - RUBELLA IMMUNE STATUS - QWDL,41.0,41.0,,,0 CDM,3028676205,HC RUBELLA IGG QUALITATIVE,323.5,323.5,,,0 CDM,3028676206,HC RUBELLA IGG (IMMUNE STATUS) - QWDL,22.0,22.0,,,0 CDM,3028676207,HC RUBELLA IGG - ARUP,38.0,38.0,,,0 CDM,3028676208,HC RUBELLA IGG - TORCH ANTIBODIES IGG - ARUP,45.0,45.0,,,0 CDM,3028676209,HC RUBELLA IGM - TORCH ANTIBODIES IGM - ARUP,39.0,39.0,,,0 CDM,3028676210,HC RUBELLA IGM - ARUP,38.0,38.0,,,0 CDM,3028676501,HC RUBEOLA ANTIBODY IGG,723.0,723.0,,,0 CDM,3028676502,"HC RUBEOLA - RUBEOLA ANTIBODY, IGM",93.0,93.0,,,0 CDM,3028676503,"HC RUBEOLA (MEASLES) - MEASLES MUMPS, IGG",723.0,723.0,,,0 CDM,3028676504,"HC RUBEOLA ANTIBODY, IGG - ARUP",32.0,32.0,,,0 CDM,3028676505,HC MEASLES ANTIBODY (IGG) - QWDL,45.0,45.0,,,0 CDM,3028676506,HC RUBEOLA IGG - MEASLES - QWDL,42.0,42.0,,,0 CDM,3028676507,HC RUBEOLA (MEASLES) IGG - MEASLES MUMPS IGG,673.0,673.0,,,0 CDM,3028676508,HC RUBEOLA (MEASLES) IGG - QWDL,41.0,41.0,,,0 CDM,3028676509,HC RUBEOLA (MEASLES) IGG - ARUP,30.0,30.0,,,0 CDM,3028676510,HC RUBEOLA (MEASLES) IGM - ARUP,58.0,58.0,,,0 CDM,3028676511,HC RUBEOLA IGM - ARUP,58.0,58.0,,,0 CDM,3028676801,HC SALMONELLA - SALMONELLA ANTIBODY,161.0,161.0,,,0 CDM,3028676802,HC SALMONELLA ANTIBODIES - FEBRILE ANTIBODIES IDENTIFICATION PANEL - ARUP,46.0,46.0,,,0 CDM,3028676803,HC SALMONELLA TYPHY / PARATYPHI ANTIBODY - ARUP,53.0,53.0,,,0 CDM,3028676901,"HC SARS-COV-2 COVID-19 ANTIBODY - COVID-19 ANTIBODY TITER, IGG AND IGM",341.0,341.0,,,0 CDM,3028676902,HC COVID-19 SARS-COV-2 ANTIBODY,343.0,343.0,,,0 CDM,3028676903,HC COVID-19 SARS-COV-2 IGG SPIKE SEMI-QUANTITATIVE BY CIA - ARUP,140.0,140.0,,,0 CDM,3028676904,HC COVID-19 SARS-COV-2 IGG QUALITATIVE - QWDL,273.0,273.0,,,0 CDM,3028676905,HC COVID-19 SARS-COV-2 IGG QUALITATIVE - ARUP,115.0,115.0,,,0 CDM,3028677701,HC TOXOPLASMA - TOXOPLASMA GONDII IGG ANTIBODY,370.0,370.0,,,0 CDM,3028677703,HC TOXOPLASMA GONDII IGG - ARUP,47.0,47.0,,,0 CDM,3028677704,HC TOXOPLASMA GONDII IGG ELISA CSF - QDID,223.0,223.0,,,0 CDM,3028677705,HC TOXOPLASMA GONDII IGG ELISA CSF - ARUP,313.0,313.0,,,0 CDM,3028677706,HC TOXOPLASMA GONDII IGG - TORCH ANTIBODIES IGG - ARUP,45.0,45.0,,,0 CDM,3028677707,HC TOXOPLASMA GONDII IGG - TOXOPLASMA IGG IGM ANTIBODY - ARUP,44.0,44.0,,,0 CDM,3028677801,"HC TOXOPLASMA, IGM - TOXOPLASMA GONDII ANTIBODY, IGM",54.0,54.0,,,0 CDM,3028677802,HC TOXOPLASMA ANTIBODY IGM,54.0,54.0,,,0 CDM,3028677803,HC TOXOPLASMA ANTIBODY IGM CSF,54.0,54.0,,,0 CDM,3028677804,HC TOXOPLASMA GONDII IGM ELISA CSF - QDID,154.0,154.0,,,0 CDM,3028677805,HC TOXOPLASMA GONDII IGM - ARUP,42.0,42.0,,,0 CDM,3028677806,HC TOXOPLASMA GONDII IGM - TORCH ANTIBODIES IGM - ARUP,39.0,39.0,,,0 CDM,3028677807,HC TOXOPLASMA GONDII IGM - TOXOPLASMA IGG IGM ANTIBODY - ARUP,45.0,45.0,,,0 CDM,3028678001,HC TREPONEMA PALLIDUM CONFIRMATION,366.0,366.0,,,0 CDM,3028678002,"HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM",89.0,89.0,,,0 CDM,3028678003,HC ANTIBODY TREPONEMA PALLIDUM - DONOR TOTAL SYPHILIS,89.0,89.0,,,0 CDM,3028678004,HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM DONOR,103.0,103.0,,,0 CDM,3028678007,HC TREPONEMA PALLIDUM (SYPHILIS) ANTIBODY - ARUP,59.0,59.0,,,0 CDM,3028678008,HC TREPONEMA PALLIDUM ANTIBODY,338.0,338.0,,,0 CDM,3028678009,HC TREPONEMA PALLIDUM ANTIBODY - ARUP,45.0,45.0,,,0 CDM,3028678010,HC TREPONEMA PALLIDUM CONFIRMATION,340.0,340.0,,,0 CDM,3028678011,HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA - ARUP,55.0,55.0,,,0 CDM,3028678012,HC TREPONEMA PALLIDUM IGG BY ELISA - ARUP,93.0,93.0,,,0 CDM,3028678013,HC TREPONEMA PALLIDUM IGG BY IFA (FTA-ABS) - ARUP,45.0,45.0,,,0 CDM,3028678401,HC TRICHINELLA - TRICHINELLA ANTIBODY,235.0,235.0,,,0 CDM,3028678402,HC TRICHINELLA ANTIBODY - ARUP,298.0,298.0,,,0 CDM,3028678701,HC VARICELLA ZOSTER IGG,533.0,533.0,,,0 CDM,3028678702,HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGM,87.0,87.0,,,0 CDM,3028678703,"HC VARICELLA ZOSTER ANTIBODY, IGG - ARUP",32.0,32.0,,,0 CDM,3028678704,HC VARICELLA ZOSTER ANTIBODY (IGG) - QWDL,31.0,31.0,,,0 CDM,3028678706,HC VARICELLA ZOSTER IGG - QWDL,27.0,27.0,,,0 CDM,3028678707,HC VARICELLA ZOSTER IGG - ARUP,30.0,30.0,,,0 CDM,3028678708,HC VARICELLA ZOSTER IGM - ARUP,30.0,30.0,,,0 CDM,3028678709,HC VARICELLA ZOSTER IGM - VARICELLA ZOSTER IGG AND IGM - ARUP,30.0,30.0,,,0 CDM,3028678710,HC VARICELLA ZOSTER IGG - VZ IGG AND IGM - ARUP,30.0,30.0,,,0 CDM,3028678801,"HC WEST NILE VIRUS AB, IGM - WEST NILE ANTIBODIES, IGG AND IGM",59.0,59.0,,,0 CDM,3028678802,"HC WEST NILE VIRUS AB, IGM - WEST NILE VIRUS ANTIBODY, IGM",59.0,59.0,,,0 CDM,3028678803,HC WEST NILE VIRUS ANTIBODY CSF,59.0,59.0,,,0 CDM,3028678804,HC ENCEPHALITIS PANEL WEST NILE VIRUS ANTIBODY IGM CSF,104.0,104.0,,,0 CDM,3028678805,HC WEST NILE VIRUS IGG - WEST NILE VIRUS CSF - ARUP,54.0,54.0,,,0 CDM,3028678806,HC WEST NILE ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,195.0,195.0,,,0 CDM,3028678807,HC WEST NILE VIRUS IGM - WEST NILE VIRUS CSF - ARUP,54.0,54.0,,,0 CDM,3028678808,HC WEST NILE ENCEPHALITIS CSF - ARBOVIRUS PANEL IGM CSF - ARUP,195.0,195.0,,,0 CDM,3028678809,HC WEST NILE VIRUS IGM CSF - ARUP,72.0,72.0,,,0 CDM,3028678901,"HC WEST NILE VIRUS ANTIBODY - WEST NILE VIRUS ANTIBODY, IGG",107.0,107.0,,,0 CDM,3028678902,HC ENCEPHALITIS PANEL WEST NILE VIRUS ANTIBODY IGG CSF,107.0,107.0,,,0 CDM,3028678903,HC ENCEPHALITIS PANEL WEST NILE VIRUS ANTIBODY IGG,107.0,107.0,,,0 CDM,3028678904,HC ENCEPHALITIS PANEL WEST NILE VIRUS - ARBOVIRUS PANEL IGG - ARUP,83.0,83.0,,,0 CDM,3028678906,HC WEST NILE VIRUS IGG - WNV CSF - ARUP,68.0,68.0,,,0 CDM,3028679001,HC ANTIBODY NONSPECIFIC - OTHER,56.0,56.0,,,0 CDM,3028679003,HC ANTIBODY CHIKUNGUNYA IGG,161.0,161.0,,,0 CDM,3028679004,HC ANTIBODY CHIKUNGUNYA IGM,157.0,157.0,,,0 CDM,3028679005,HC ANTIBODY DENGUE FEVER IGG,135.0,135.0,,,0 CDM,3028679006,HC ANTIBODY HEPATITIS E IGG,62.0,62.0,,,0 CDM,3028679007,HC ANTIBODY HEPATITIS E IGM,62.0,62.0,,,0 CDM,3028679008,HC ANTIBODY HERPES VIRUS 6 IGG,62.0,62.0,,,0 CDM,3028679009,HC ANTIBODY HTLV I AND II,95.0,95.0,,,0 CDM,3028679010,HC ZIKA VIRUS IGM - VC,62.0,62.0,,,0 CDM,3028679011,HC ANTIBODY DENGUE FEVER IGM,62.0,62.0,,,0 CDM,3028679012,HC ANTIBODY HERPES VIRUS 6 IGM,243.0,243.0,,,0 CDM,3028679013,HC CHIKUNGUNYA ANTIBODY IGM TITER,62.0,62.0,,,0 CDM,3028679014,HC HTLV I/II FBC CHARGE,62.0,62.0,,,0 CDM,3028679019,HC ANTIBODY VIRUS NOT OTHERWISE SPECIFIED,62.0,62.0,,,0 CDM,3028679020,HC HTLV I/II DONOR,109.0,109.0,,,0 CDM,3028679021,HC CHIKUNGUNYA IGG - CHIKUNGUNYA ANTIBODIES IGG IGM - ARUP,182.0,182.0,,,0 CDM,3028679022,HC CHIKUNGUNYA IGM - CHIKUNGUNYA ANTIBODIES IGG IGM - ARUP,182.0,182.0,,,0 CDM,3028679023,HC CHIKUNGUNYA IGG - CHIKUNGUNYA AB IGG IGM WITH REFLEX - QDID,199.0,199.0,,,0 CDM,3028679024,HC CHIKUNGUNYA IGM - CHIKUNGUNYA AB IGG IGM WITH REFLEX - QDID,199.0,199.0,,,0 CDM,3028679025,HC CHIKUNGUNYA IGG TITER - QDID,199.0,199.0,,,0 CDM,3028679026,HC CHIKUNGUNYA IGG TITER REFLEX - QDID,199.0,199.0,,,0 CDM,3028679027,HC CHIKUNGUNYA IGM TITER REFLEX - QDID,199.0,199.0,,,0 CDM,3028679028,HC DENGUE FEVER IGG - DENGUE FEVER IGG IGM AB - ARUP,159.0,159.0,,,0 CDM,3028679029,HC DENGUE FEVER IGM - DENGUE FEVER IGG IGM AB - ARUP,159.0,159.0,,,0 CDM,3028679030,HC DENGUE FEVER IGM - ARUP,80.0,80.0,,,0 CDM,3028679031,HC HEPATITIS E IGG - ARUP,126.0,126.0,,,0 CDM,3028679032,HC HEPATITIS E IGM - ARUP,138.0,138.0,,,0 CDM,3028679033,HC HERPES VIRUS 6 IGG - ARUP,378.0,378.0,,,0 CDM,3028679034,HC HERPES VIRUS 6 IGM - ARUP,379.0,379.0,,,0 CDM,3028679035,HC HTLV I AND II ANTIBODY WITH REFLEX - ARUP,52.0,52.0,,,0 CDM,3028679301,"HC YERSINIA - YERSINIA ANTIBODY, IGA, IGM, IGG",191.0,191.0,,,0 CDM,3028679302,HC YERSENIA IGA - YERSINIA ANTIBODY WEST BLOT - ARUP,173.0,173.0,,,0 CDM,3028679303,HC YERSENIA IGG - YERSINIA ANTIBODY WEST BLOT - ARUP,173.0,173.0,,,0 CDM,3028679401,HC ANTIBODY ZIKA VIRUS IGM,178.0,178.0,,,0 CDM,3028679402,HC ZIKA VIRUS IGM - ARUP,358.0,358.0,,,0 CDM,3028680001,HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB,268.5,268.5,,,0 CDM,3028680002,HC THYROGLOBULIN ANTIBODY CSF,25.5,25.5,,,0 CDM,3028680003,HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB WITH REFLEX TO THYROGLOBULIN,46.0,46.0,,,0 CDM,3028680004,HC ANTI THYROGLOBULIN (ATHYG) ANTIBODY,268.5,268.5,,,0 CDM,3028680006,HC THYROGLOBULIN ANTIBODY - ARUP,27.0,27.0,,,0 CDM,3028680007,HC THYROGLOBULIN ANTIBODY WITH REFLEX - ARUP,27.0,27.0,,,0 CDM,3028680008,HC THYROGLOBULIN ANTIBODY - THYROID ANTIBODIES - ARUP,32.0,32.0,,,0 CDM,3028680301,HC HEPATITIS C ANTIBODY - HEPATITIS PANEL ACUTE,371.5,371.5,,,0 CDM,3028680303,HC HEPATITIS C AB TEST - HEPATITIS C AB DONOR,103.0,103.0,,,0 CDM,3028680304,"HC HEPATITUS C VIRUS ANTIBODY - HEPATITIS PANEL, ACUTE",425.0,425.0,,,0 CDM,3028680305,HC DONOR HEPATITIS C ANTIBODY,93.0,93.0,,,0 CDM,3028680306,HC HEPATITIS C ANTIBODY BY CIA WITH REFLEX - ARUP,69.0,69.0,,,0 CDM,3028680308,"HC HEPATITIS C AB W/REFL TO HCV RNA, QN, PCR - QWDL",67.0,67.0,,,0 CDM,3028680311,HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR- ARUP,42.0,42.0,,,0 CDM,3028680312,HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR - QWDL,30.0,30.0,,,0 CDM,3028680701,HC CYTOTOXIC ANTIBODY SCREEN PERCENT REACTIVE ANTIBODY,785.0,785.0,,,0 CDM,3028681201,"HC HLA TYPING, A,B,OR C /SINGLE - HLA-B27 ANTIGEN",47.0,47.0,,,0 CDM,3028681202,HC HLA B27 ANTIGEN - ARUP,114.0,114.0,,,0 CDM,3028681301,"HC HLA TYPING, A,B,OR C /MULTI - HLA A AND B PHENOTYPE",476.0,476.0,,,0 CDM,3028681302,"HC HLA TYPING CLASS I, MULTI ANTIGENS - PLATELET",354.5,354.5,,,0 CDM,3028681601,"HC HLA TYPING, DR/DQ,SINGLE ANTIGEN - HLA TYPING, DR/DQ, SINGLE ANTIGEN",222.0,222.0,,,0 CDM,3028682501,HC HLA FLOW CYTOMETRY CROSSMATCH - 1ST SAMPLE,569.0,569.0,,,0 CDM,3028682601,HC HLA FLOW CYTOMETRY CROSSMATCH ADDITIONAL,569.0,569.0,,,0 CDM,3028682801,HC HLA ANTIBODY SCREEN CLASS I AND CLASS II,1467.0,1467.0,,,0 CDM,3028683201,HC HLA AB ID CLASS I HD,1319.0,1319.0,,,0 CDM,3028683202,HC DONOR SPECIFIC ANTIBODY CLASS I UNDILUTED,676.5,676.5,,,0 CDM,3028683203,HC HLA DSA C1Q AB CLASS I,676.5,676.5,,,0 CDM,3028683206,HC HLA ID CLASS I TREATED,1319.0,1319.0,,,0 CDM,3028683207,HC HLA AB ID CLASS I UNDILUTED HD - POST TRANSPLANT ANTIBODY MONITORING,1319.0,1319.0,,,0 CDM,3028683301,HC HLA AB ID CLASS II HD,1289.5,1289.5,,,0 CDM,3028683302,HC DONOR SPECIFIC ANTIBODY CLASS II UNDILUTED,639.0,639.0,,,0 CDM,3028683303,HC HLA DSA C1Q AB CLASS II,2020.5,2020.5,,,0 CDM,3028683306,HC HLA ID CLASS II TREATED,1289.5,1289.5,,,0 CDM,3028683307,HC HLA AB ID CLASS II UNDILUTED HD - POST TRANSPLANT ANTIBODY MONITORING,1289.5,1289.5,,,0 CDM,3028683401,HC HLA CLASS I ANTIBODY TITER,2029.0,2029.0,,,0 CDM,3028683402,HC DONOR SPECIFIC ANTIBODY CLASS I 1:8 DILUTION,879.0,879.0,,,0 CDM,3028683501,HC HLA CLASS II ANTIBODY TITER,2023.0,2023.0,,,0 CDM,3028683502,HC DONOR SPECIFIC ANTIBODY CLASS II 1:8 DILUTION,879.0,879.0,,,0 CDM,3028684903,HC ANTIBODY PROCEDURE UNLISTED,264.0,264.0,,,0 CDM,3028684905,HC PROTHROMBIN IGG - NON-CRITERIA ANTIPHOSOPHOLIPID SYNDROME (APS) - ARUP,185.0,185.0,,,0 CDM,3028720902,HC TRICHROME STAIN - OVA AND PARASITE EXAM,83.0,83.0,,,0 CDM,3028720903,HC OVA AND PARASITE COMPLEX STAIN - O&P EXAM BODY FLUID OR URINE - ARUP,188.0,188.0,,,0 CDM,3028720904,HC OVA AND PARASITE COMPLEX STAIN - O&P FECAL - ARUP,68.0,68.0,,,0 CDM,3028738901,HC HIV1/2 ANTIBODY/ANTIGEN SCREEN,656.0,656.0,,,0 CDM,3028738902,HC DONOR HIV 1 & 2 ANTIGEN/ANTIBODY,607.0,607.0,,,0 CDM,3028738903,HC HIV 1 & 2 ANTIBODY/ANTIGEN WITH REFLEX DIFF -ARUP,63.0,63.0,,,0 CDM,3028738904,HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX HIV1WB - ARUP,63.0,63.0,,,0 CDM,3028738905,HC HIV 1 & 2 ANTIGEN/ANTIBODY 4TH GENERATION WITH REFLEX - QWDL,44.0,44.0,,,0 CDM,3028738906,HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP,63.0,63.0,,,0 CDM,3028742601,HC SARS COVID-19 AG BY IMMUNOASSAY,434.0,434.0,,,0 CDM,3028932501,HC SPERM ANTIBODIES,239.0,239.0,,,0 CDM,3028932502,HC SPERM ANTIBODIES ORL,239.0,239.0,,,0 CDM,302G043201,"HC HIV-1/HIV-2, SINGLE ASSAY - HIV 1 AND 2 SCREEN",473.0,473.0,,,0 CDM,302G047201,HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY HIGH RISK SCREEN,565.0,565.0,,,0 CDM,302U000301,HC SARS COV2 2019 DNA RNA AMP HIGH THROUGHPUT,379.5,379.5,,,0 CDM,3058240003,HC FACTOR 8 ACTIVITY - ARUP,84.0,84.0,,,0 CDM,3058500401,HC WBC COUNT W DIFF,102.0,102.0,,,0 CDM,3058500701,"HC BLOOD SMEAR,MICRO EXAM,MANUAL DIFF WBC - MANUAL DIFFERENTIAL",46.5,46.5,,,0 CDM,3058500702,HC MANUAL DIFFERENTIAL,84.0,84.0,,,0 CDM,3058500801,"HC BLOOD SMEAR,MICRO EXAM - SLIDE REVIEW",115.0,115.0,,,0 CDM,3058500802,HC BLOOD SMEAR EXAMINATION FOR MORPHOLOGY ONLY,107.0,107.0,,,0 CDM,3058501401,HC HEMATOCRIT,284.0,284.0,,,0 CDM,3058501402,HC HEMATOCRIT - HEMATOCRIT (BODY FLUID),162.0,162.0,,,0 CDM,3058501404,HC HEMATOCRIT - POCT HEMATOCRIT,284.0,284.0,,,0 CDM,3058501801,HC HEMOGLOBIN,162.0,162.0,,,0 CDM,3058502501,HC COMPLETE CBC & AUTO WBC DIFF,299.0,299.0,,,0 CDM,3058502701,HC CBC,214.0,214.0,,,0 CDM,3058503201,HC PLATELET COUNT MANUAL,23.0,23.0,,,0 CDM,3058504101,HC RED BLOOD CELL (RBC) COUNT - RED BLOOD CELL COUNT,123.0,123.0,,,0 CDM,3058504401,"HC RETICULOCYTE COUNT, MANUAL",216.0,216.0,,,0 CDM,3058504501,"HC RETICULOCYTE COUNT, AUTO - RETICULOCYTES",213.0,213.0,,,0 CDM,3058504601,"HC RETICULOCYTE COUNT, AUTO, W CELL PARAM - HEMOGLOBIN (PG) IN RETIC",304.0,304.0,,,0 CDM,3058504803,HC LEUKOCYTE (WBC) COUNT - WHITE BLOOD COUNT,175.0,175.0,,,0 CDM,3058504902,HC PLATELET COUNT,208.0,208.0,,,0 CDM,3058505501,HC RETICULATED PLATELET ASSAY,304.0,304.0,,,0 CDM,3058506001,HC PERIPHERAL BLOOD SMEAR INTERPRETATION,149.0,149.0,,,0 CDM,3058509702,HC BONE MARROW SMEAR INTERPRETATION,964.0,964.0,,,0 CDM,3058509703,"HC BONE MARROW,SMEAR INTERPRETATION - BONE MARROW SMEAR INTERP",592.0,592.0,,,0 CDM,3058509705,HC BONE MARROW DIFFERENTIAL,728.0,728.0,,,0 CDM,3058513001,HC CHROMOGENIC SUBSTRATE ASSAY FACTOR 10,699.0,699.0,,,0 CDM,3058513002,HC CHROMOGENIC SUBSTRATE ASSAY FUNGITELL 1 3 BETA D GLUCAN,1640.0,1640.0,,,0 CDM,3058513003,HC FACTOR 10 ACTIVITY CHROMOGENIC,646.0,646.0,,,0 CDM,3058513004,HC CHROMOGENIC SUBSTRATE ASSAY FACTOR 9 ANTIGEN,1464.0,1464.0,,,0 CDM,3058521001,HC CLOT FACTOR II PROTHROM SPEC - FACTOR 2 ACTIVITY,867.0,867.0,,,0 CDM,3058521002,HC FACTOR 2 ACTIVITY,802.0,802.0,,,0 CDM,3058521003,HC FACTOR 2 ACTIVITY - ARUP,181.0,181.0,,,0 CDM,3058522001,HC BLOOC CLOT FACTOR V TEST - FACTOR 5 ACTIVITY,962.0,962.0,,,0 CDM,3058522002,HC FACTOR 5 ACTIVITY,888.0,888.0,,,0 CDM,3058522003,HC FACTOR 5 ACTIVITY - ARUP,101.0,101.0,,,0 CDM,3058523001,HC CLOT FACTOR VII PROCONVERTIN - FACTOR 7 ACTIVITY,975.0,975.0,,,0 CDM,3058523002,HC FACTOR 7 ACTIVITY,900.0,900.0,,,0 CDM,3058523003,HC FACTOR 7 ACTIVITY - ARUP,127.0,127.0,,,0 CDM,3058524001,HC FACTOR 8 ACTIVITY,975.0,975.0,,,0 CDM,3058524003,HC FACTOR 8 ACTIVITY (ARUP),91.0,91.0,,,0 CDM,3058524004,HC FACTOR 8 ACTIVITY - VON WILLEBRAND PANEL (ARUP),90.0,90.0,,,0 CDM,3058524005,HC FACTOR 8 ACTIVITY - VON WILLEBRAND MULTIMERIC (ARUP),90.0,90.0,,,0 CDM,3058524401,HC CLOT FACTOR VIII RELTD ANTGN - VON WILLEBRAND MULTIMERIC,251.0,251.0,,,0 CDM,3058524501,HC CLOT FACTOR VIII VW RISTOCTN - FACTOR VIII RISTOCETIN COFACTR,1303.0,1303.0,,,0 CDM,3058524502,HC VON WILLEBRAND RISTOCETIN FACTOR ACIVITY - VON WILLEBRAND PANEL- (ARUP),105.0,105.0,,,0 CDM,3058524503,HC VON WILLEBRAND RISTOCETIN FACTOR ACIVITY - VON WILLEBRAND MULTIMERIC PANEL(ARUP),123.0,123.0,,,0 CDM,3058524504,HC FACTOR 8 RISTOCETIN COFACTOR - ARUP,109.0,109.0,,,0 CDM,3058524601,HC CLOT FACTOR VIII VW ANTIGEN - FACTOR 8 CARRIER PANEL,1191.0,1191.0,,,0 CDM,3058524602,HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND SCREEN,1191.0,1191.0,,,0 CDM,3058524603,HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND ANTIGEN,1191.0,1191.0,,,0 CDM,3058524604,HC VON WILLEBRAND FACTOR ANTIGEN - VON WILLEBRAND PANEL- (ARUP),115.0,115.0,,,0 CDM,3058524605,HC VON WILLEBRAND FACTOR ANTIGEN - VON WILLEBRAND MULTIMERIC PANEL(ARUP),123.0,123.0,,,0 CDM,3058524606,HC VON WILLEBRAND FACTOR (VWF) ANTIGEN - ARUP,101.0,101.0,,,0 CDM,3058524701,HC CLOT FACTOR VIII VWF MULTIMETRIC ANALYSIS,344.0,344.0,,,0 CDM,3058524702,HC CLOT FACTOR VIII VWF MULTIMETRIC ANALYSIS - VON WILLEBRAND MULTIMERIC PANEL(ARUP),123.0,123.0,,,0 CDM,3058524703,HC VON WILLEBRAND FACTOR (VWF) MULTIMERIC ANALYSIS,328.0,328.0,,,0 CDM,3058524704,HC VON WILLEBRAND FACTOR (VWF) MULTIMERIC ANALYSIS - ARUP,155.0,155.0,,,0 CDM,3058525001,HC CLOT FACTOR IX PTC/CHRSTMAS - FACTOR 9 ACTIVITY,909.0,909.0,,,0 CDM,3058525002,HC FACTOR 9 ACTIVITY,840.0,840.0,,,0 CDM,3058525003,HC FACTOR 9 ACTIVITY -ARUP,157.0,157.0,,,0 CDM,3058526001,HC CLOT FACTOR X STUART-POWER - FACTOR 10 ACTIVITY,1036.0,1036.0,,,0 CDM,3058526002,HC FACTOR 10 ACTIVITY - ARUP,118.0,118.0,,,0 CDM,3058527001,HC CLOT FACTOR XI PTA - FACTOR 11 ACTIVITY,909.0,909.0,,,0 CDM,3058527002,HC FACTOR 11 ACTIVITY,840.0,840.0,,,0 CDM,3058527003,HC FACTOR 11 ACTIVITY - ARUP,203.0,203.0,,,0 CDM,3058528001,HC CLOT FACTOR XII HAGEMAN - FACTOR 12 ACTIVITY,1120.0,1120.0,,,0 CDM,3058528002,HC FACTOR 12 ACTIVITY,1035.0,1035.0,,,0 CDM,3058528003,HC FACTOR 12 ACTIVITY - ARUP,190.0,190.0,,,0 CDM,3058529001,HC CLOT FACTOR XIII FIBRIN STAB - FACTOR 13 ACTIVITY,87.0,87.0,,,0 CDM,3058529101,HC FACTOR 13 SOLUBILITY SCREEN,436.0,436.0,,,0 CDM,3058530001,HC ANTITHROMBIN III,584.0,584.0,,,0 CDM,3058530003,HC ANTITHROMBIN III - INPATIENT,540.0,540.0,,,0 CDM,3058530004,HC ANTITHROMBIN III - ARUP,117.0,117.0,,,0 CDM,3058530101,HC ANTITHROMBIN III ANTIGEN,504.0,504.0,,,0 CDM,3058530102,HC ANTITHROMBIN III ANTIGEN - ARUP,89.0,89.0,,,0 CDM,3058530201,"HC CLOT INHIB PROTEIN C,ANTIGEN - PROTEIN C ANTIGEN TOTAL",688.0,688.0,,,0 CDM,3058530202,HC PROTEIN C ANTIGEN TOTAL - ARUP,59.0,59.0,,,0 CDM,3058530203,HC PROTEIN C ANTIGEN TOTAL - PROTEIN C AND S ANTIGEN PANEL - ARUP,69.0,69.0,,,0 CDM,3058530301,"HC CLOT INHIB PROTEIN C,ACTIV - PROTEIN C ACTIVITY",865.0,865.0,,,0 CDM,3058530302,HC PROTEIN C ACTIVITY - ARUP,110.0,110.0,,,0 CDM,3058530502,"HC CLOT INHIB PROTEIN S,TOTAL - PROTEIN S ANTIGEN TOTAL",852.0,852.0,,,0 CDM,3058530503,HC PROTEIN S ANTIGEN TOTAL - ARUP,76.0,76.0,,,0 CDM,3058530504,HC PROTEIN S ANTIGEN TOTAL - PROTEIN C AND S ANTIGEN PANEL - ARUP,66.0,66.0,,,0 CDM,3058530601,"HC CLOT INHIB PROTEIN S,FREE - PROTEIN S ACTIVITY",849.0,849.0,,,0 CDM,3058530602,"HC CLOT INHIB PROTEIN S,FREE - PROTEIN S ANTIGEN FREE",897.0,897.0,,,0 CDM,3058530603,HC PROTEIN S ACTIVITY - ARUP,127.0,127.0,,,0 CDM,3058530604,HC PROTEIN S ANTIGEN FREE - ARUP,186.0,186.0,,,0 CDM,3058530701,HC ACTIVATED PROT C (APC) RESISTNCE ASSAY - APC RESISTANCE,536.0,536.0,,,0 CDM,3058530702,HC ACTIVATED PROTEIN C (APC) RESISTANCE - APC RESISTANCE PANEL - ARUP,89.0,89.0,,,0 CDM,3058533501,HC FACTOR INHIBITOR,1212.0,1212.0,,,0 CDM,3058533502,HC FACTOR 8 INHIBITOR HUMAN,1026.0,1026.0,,,0 CDM,3058533503,HC FACTOR 9 INHIBITOR,1026.0,1026.0,,,0 CDM,3058534701,"HC COAGULATION TIME, ACTIVATED - ACTIVATED CLOTTING TIME",301.0,301.0,,,0 CDM,3058534702,"HC COAGULATION TIME, ACTIVATED - POCT ACTIVATED CLOTTING TIME",312.0,312.0,,,0 CDM,3058534703,HC ACTIVATED CLOT TIME POINT OF CARE C,312.0,312.0,,,0 CDM,3058534704,HC HEPARIN DOSE RESPONSE BASELINE POC,312.0,312.0,,,0 CDM,3058534705,HC KAOLIN CLOT TIME WITH REFLEX,312.0,312.0,,,0 CDM,3058534706,HC KAOLIN CLOT TIME - LUPUS ANTICOAGULANT SCREEN,554.0,554.0,,,0 CDM,3058534707,HC CITRATED R TIME - ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS,301.0,301.0,,,0 CDM,3058534708,HC CITRATED K TIME - ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS,301.0,301.0,,,0 CDM,3058534709,HC HEPARINASE R TIME - ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS,301.0,301.0,,,0 CDM,3058534710,HC CITRATED R ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS SURGICAL LAB,52.0,52.0,,,0 CDM,3058534711,HC CITRATED K ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS SURGICAL LAB,52.0,52.0,,,0 CDM,3058534712,HC HEPARINASE R ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS SURGICAL LAB,52.0,52.0,,,0 CDM,3058534713,HC LYSIS R ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS LYSIS,64.0,64.0,,,0 CDM,3058534714,HC LYSIS R ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS LYSIS SRUGICAL LAB,64.0,64.0,,,0 CDM,3058534715,HC KAOLIN R ACTIVATED CLOTTING TIME - KAOLIN WITH HEPARINASE SURGICAL LAB,73.0,73.0,,,0 CDM,3058534716,HC KAOLIN K ACTIVATED CLOTTING TIME - KAOLIN WITH HEPARINASE SURGICAL LAB,73.0,73.0,,,0 CDM,3058534739,HC MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS SURGICAL LAB,306.0,306.0,,,0 CDM,3058536201,"HC FIBRIN DEGRAD PRODUCTS, AGGLUTINATION - FIBRIN SPLIT PRODUCTS",437.0,437.0,,,0 CDM,3058536202,HC FIBRIN SPLITS PRODUCTS - ARUP,169.0,169.0,,,0 CDM,3058537801,"HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUAL - D-DIMER,SEMIQUANT",95.5,95.5,,,0 CDM,3058537901,HC D-DIMER QUANTITATIVE,622.0,622.0,,,0 CDM,3058538001,"HC FIBRIN DEGRADPRODUCTS,D-DIMER, ULTRASENS - D-DIMER, RAPID",500.0,500.0,,,0 CDM,3058538401,HC FIBRINOGEN QUANTITATIVE,248.5,248.5,,,0 CDM,3058538403,HC FIBRINOGEN (SURGICAL LAB),448.0,448.0,,,0 CDM,3058538404,HC FIBRINOGEN QUANTITATIVE - SPECIAL COAG FIBRINOGEN,248.5,248.5,,,0 CDM,3058538405,HC FIBRINOGEN QUANTITATIVE - GLOBAL HEMOSTASIS (SURGICAL LAB),132.0,132.0,,,0 CDM,3058538406,HC FIBRINOGEN QUANTITATIVE - GLOBAL HEMOSTASIS,248.5,248.5,,,0 CDM,3058538407,HC FIBRINOGEN LEVEL QUANT - SURGICAL LAB,417.0,417.0,,,0 CDM,3058538501,"HC FIBRINOGEN, ANTIGEN - FIBRINOGEN ANTIGEN",135.0,135.0,,,0 CDM,3058538502,HC FIBRINOGEN ANTIGEN - ARUP,200.0,200.0,,,0 CDM,3058539001,HC SPECIAL COAGULATION INTERPRETATION AND REPORT,252.0,252.0,,,0 CDM,3058539701,HC ADAMTS13 ACTIVITY,2529.0,2529.0,,,0 CDM,3058539702,HC CLOTTING ASSAY - FUNCTIONAL ACTIVITY ASSAY - EACH ANALYTE,2529.0,2529.0,,,0 CDM,3058539703,HC ADAMTS13 ACTIVITY - ARUP,477.0,477.0,,,0 CDM,3058541001,HC ALPHA 2 ANTIPLASMIN,709.0,709.0,,,0 CDM,3058541501,HC PLASMINOGEN ACTIVATOR INHIBITOR,727.0,727.0,,,0 CDM,3058541502,HC TISSUE PLASMINOGEN ACTIVATOR ANTIGEN,760.0,760.0,,,0 CDM,3058542001,HC FIBRINOLYTIC PLASMINOGEN - PLASMINOGEN ACTIVITY,801.0,801.0,,,0 CDM,3058542002,HC PLASMINOGEN ACTIVITY - ARUP,87.0,87.0,,,0 CDM,3058546001,HC FETAL HEMOGLOBIN BY KLEIHAUER BETKE STAIN ON MATERNAL BLOOD - CFD,903.0,903.0,,,0 CDM,3058546101,"HC HEMOGLOBIN FETAL,ROSETTE - FETAL BLEED SCREEN",149.0,149.0,,,0 CDM,3058552001,HC HEPARIN ASSAY - LOW MOLECULAR WGT HEPARIN,673.0,673.0,,,0 CDM,3058552002,"HC HEPARIN ANTI XA ASSAY, UNFRACTIONATED",672.0,672.0,,,0 CDM,3058552003,HC HEPARIN PROTAMINE TITRATION POC,589.5,589.5,,,0 CDM,3058552004,HC HEPARIN LEVEL ANTI XA HYBRID,624.0,624.0,,,0 CDM,3058552005,HC HEPARIN LEVEL - ANTI XA LOW MOLECULAR WEIGHT HEPARIN - ARUP,294.0,294.0,,,0 CDM,3058552006,HC HEPARIN ANTI-XA QUALITATIVE REFLEXED - ARUP,189.0,189.0,,,0 CDM,3058552501,HC HEPARIN NEUTRALIZATION,182.0,182.0,,,0 CDM,3058552502,HC HEPARIN NEUTRALIZATN - HEPARINASE,182.0,182.0,,,0 CDM,3058552503,HC HEPARIN NEUTRALIZATN - PTT-D HEPARIN REFLEX BILL (ARUP),126.0,126.0,,,0 CDM,3058552504,HC HEPARIN NEUTRALIZATION - GLOBAL HEMOSTASIS,182.0,182.0,,,0 CDM,3058552505,HC HEPARIN NEUTRALIZATION - PLATELET MAPPING POC,246.0,246.0,,,0 CDM,3058552506,HC HEPARIN NEUTRALIZATION - PLATELET MAPPING,246.0,246.0,,,0 CDM,3058552507,HC HEPARIN NEUTRALIZATION - PLATELET MAPPING SURGICAL LAB,246.0,246.0,,,0 CDM,3058552508,HC HEPARIN NEUTRALIZATION - GLOBAL HEMOSTASIS SURGICAL LAB,149.0,149.0,,,0 CDM,3058552509,HC HEPARIN NEUTRALIZATION - KAOLIN WITH HEPARINASE SURGICAL LAB,203.0,203.0,,,0 CDM,3058553601,HC IRON STAIN PERIPHERAL BLOOD,51.0,51.0,,,0 CDM,3058554001,HC WBC ALKALINE PHOSPHATASE - LEUKOCYTE ALKALINE PHOSPHATASE,169.0,169.0,,,0 CDM,3058554002,HC LEUKOCYTE ALKALINE PHOSPHATASE - ARUP,250.0,250.0,,,0 CDM,3058554901,"HC MURAMIDASE - LYSOZYME, SERUM",99.0,99.0,,,0 CDM,3058554902,"HC MURAMIDASE - LYSOZYME, URINE",99.0,99.0,,,0 CDM,3058554903,HC LYSOZYME SERUM - ARUP,70.0,70.0,,,0 CDM,3058555502,HC RBC OSMOTIC FRAGILITY - OSMOTIC FRAGILITY RBC,194.0,194.0,,,0 CDM,3058555701,HC RBC OSMOTIC FRAGILITY - OSMOTIC FRAGILITY RBC INCUBATED,224.0,224.0,,,0 CDM,3058557601,HC BLOOD PLATELET AGGREGATION - PLATELET FUNCTION PANEL,574.0,574.0,,,0 CDM,3058557602,HC BLOOD PLATELET AGGREGATION - P2Y12 PROFILE,502.0,502.0,,,0 CDM,3058557603,HC BLOOD PLATELET AGGREGATION - POCT PLATELET AGGREGATION,574.0,574.0,,,0 CDM,3058557604,HC BLOOD PLATELET AGGREGATION - ASPIRIN,427.0,427.0,,,0 CDM,3058557605,HC BLOOD PLATELET AGGREGATION - RISTOCETIN,427.0,427.0,,,0 CDM,3058557606,HC BLOOD PLATELET AGGREGATION - COLLAGEN,427.0,427.0,,,0 CDM,3058557607,HC BLOOD PLATELET AGGREGATION - THROMBIN,427.0,427.0,,,0 CDM,3058557608,HC PLATELET FUNCTION EPINEPHRINE,427.0,427.0,,,0 CDM,3058557609,HC COLLAGEN - PLATELET AGGREGATION,427.0,427.0,,,0 CDM,3058557610,HC RISTOCETIN AGGREGATION,427.0,427.0,,,0 CDM,3058557611,HC DIAGNOSTIC PLATELET AGGREGATION,427.0,427.0,,,0 CDM,3058557612,HC PLATELET FUNCTION ASPIRIN,427.0,427.0,,,0 CDM,3058557613,HC PLATELET FUNCTION ANALYSIS ADP,427.0,427.0,,,0 CDM,3058557614,HC CITRATED MA AGGREGATION - GLOBAL HEMOSTASIS,427.0,427.0,,,0 CDM,3058557615,HC RAPID TEG MA AGGREGATION- GLOBAL HEMOSTASIS,427.0,427.0,,,0 CDM,3058557616,HC ARACHADONIC ACID - PLATELET AGGREGATION,397.0,397.0,,,0 CDM,3058557617,HC RISTOCETIN HIGH - PLATELET AGGREGATION,397.0,397.0,,,0 CDM,3058557618,HC RISTOCETIN LOW - PLATELET AGGREGATION,397.0,397.0,,,0 CDM,3058557619,HC PLATELET FUNCTION ASPIRIN,559.0,559.0,,,0 CDM,3058557620,HC PLATELET FUNCTION ANALYSIS ADP,477.0,477.0,,,0 CDM,3058557621,HC RISTOCETIN HIGH - RISTOCETIN AGGREGATION HI/LO,228.0,228.0,,,0 CDM,3058557622,HC RISTOCETIN LOW - RISTOCETIN AGGREGATION HI/LO,228.0,228.0,,,0 CDM,3058557623,HC ADP/PGE1 - P2Y12 PLATELET FUNCTION,491.0,491.0,,,0 CDM,3058557624,HC ISO-TRAP - P2Y12 PLATELET FUNCTION,491.0,491.0,,,0 CDM,3058557625,HC KAOLIN MA HEPARINASE PLATELET AGGREGATION - PLATELET MAPPING POC,459.0,459.0,,,0 CDM,3058557626,HC ACTF MA PLATELET AGGREGATION - PLATELET MAPPING POC,459.0,459.0,,,0 CDM,3058557627,HC ADP MA PLATELET AGGREGATION - PLATELET MAPPING POC,459.0,459.0,,,0 CDM,3058557628,HC AA MA PLATELET AGGREGATION - PLATELET MAPPING POC,459.0,459.0,,,0 CDM,3058557629,HC KAOLIN MA HEPARINASE PLATELET AGGREGATION - PLATELET MAPPING,459.0,459.0,,,0 CDM,3058557630,HC ACTF MA PLATELET AGGREGATION - PLATELET MAPPING,459.0,459.0,,,0 CDM,3058557631,HC ADP MA PLATELET AGGREGATION - PLATELET MAPPING,459.0,459.0,,,0 CDM,3058557632,HC AA MA PLATELET AGGREGATION - PLATELET MAPPING,459.0,459.0,,,0 CDM,3058557633,HC KAOLIN MA HEPARINASE PLATELET AGGREGATION - PLATELET MAPPING SURGICALLAB,459.0,459.0,,,0 CDM,3058557634,HC ACTF MA PLATELET AGGREGATION - PLATELET MAPPING SURGICAL LAB,459.0,459.0,,,0 CDM,3058557635,HC ADP MA PLATELET AGGREGATION - PLATELET MAPPING SURGICAL LAB,459.0,459.0,,,0 CDM,3058557636,HC AA MA PLATELET AGGREGATION - PLATELET MAPPING SURGICAL LAB,459.0,459.0,,,0 CDM,3058557637,HC CITRATED MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS,306.0,306.0,,,0 CDM,3058557638,HC RAPID TEG MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS,306.0,306.0,,,0 CDM,3058557640,HC RAPID TEG MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS SURGICAL LAB,306.0,306.0,,,0 CDM,3058557641,HC LYSIS CRT MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS LYSIS,372.0,372.0,,,0 CDM,3058557642,HC LYSIS CFF MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS LYSIS,372.0,372.0,,,0 CDM,3058557643,HC LYSIS CRT MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS LYSIS SURGICAL LAB,372.0,372.0,,,0 CDM,3058557644,HC LYSIS CFF MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS LYSIS SURGICAL LAB,372.0,372.0,,,0 CDM,3058557645,HC KAOLIN MA PLATELET AGGREGATION - KAOLIN WITH HEPARINASE SURGICAL LAB,422.0,422.0,,,0 CDM,3058559701,"HC PHOSPHOLIPID NEUTRALIZATION,PLATELET - PLATELET NEUTRALIZATION",68.0,68.0,,,0 CDM,3058559801,HC PHOSPHOLIPID NEUTRALIZATION - HEXAGONAL PHOSPHOLIPID,534.0,534.0,,,0 CDM,3058559802,HC HEXAGONAL PHOSPHOLIPID NEUTRAL (STACLOT LUPUS ANTICOAGULANT),390.0,390.0,,,0 CDM,3058559803,HC HEXAGONAL PHOSPHOLIPID NEUTRAL - ARUP,223.0,223.0,,,0 CDM,3058559804,HC HEXAGONAL PHOSPHOLIPID NEUTRAL REFLEX - ARUP,223.0,223.0,,,0 CDM,3058561001,HC PROTHROMBIN TIME INR,254.0,254.0,,,0 CDM,3058561002,HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY,109.0,109.0,,,0 CDM,3058561003,HC PROTHROMBIN TIME INR COUMADIN CLINIC,87.5,87.5,,,0 CDM,3058561004,HC PROTHROMBIN TIME - PROTIME DILUTION PROTOCOL,155.0,155.0,,,0 CDM,3058561006,HC PROTHROMBIN TIME - SURGICAL LAB,261.0,261.0,,,0 CDM,3058561007,HC PROTHROMBIN TIME INR - SPECIAL COAG,264.0,264.0,,,0 CDM,3058561008,HC PROTHROMBIN TIME INR - ARUP INHIB SCRN,47.5,47.5,,,0 CDM,3058561009,HC PROTHROMBIN TIME INR - ARUP PHOSLIPID,19.5,19.5,,,0 CDM,3058561010,HC PROTHROMBIN TIME INR - LUPUS ANTICOAGULANT PANEL WITH REFLEX -ARUP,26.0,26.0,,,0 CDM,3058561012,HC PROTHROMBIN TIME SPECIAL COAGULATION - INHIBITOR SCREEN,264.0,264.0,,,0 CDM,3058561013,HC PROTHROMBIN TIME - PT AND PTT PANEL,250.5,250.5,,,0 CDM,3058561014,HC PROTHROMBIN TIME -ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP,21.0,21.0,,,0 CDM,3058561015,HC PROTHROMBIN TIME INHIBITOR ASSAY PT WITH REFLEX TO PT 1:1 MIX - ARUP,64.0,64.0,,,0 CDM,3058561016,HC POC PROTHROMBIN TIME INR,268.0,268.0,,,0 CDM,3058561101,"HC PROTHROMBIN TEST,SUBSTI,FRACTN - EQUAL MIX,PT/INR",318.0,318.0,,,0 CDM,3058561102,HC PROTHROMBIN TIME INR - INHIB SCRN - ARUP,70.0,70.0,,,0 CDM,3058561103,HC PROTHROMBIN TIME 1:1 MIX,293.0,293.0,,,0 CDM,3058561106,HC PROTHROMBIN TIME INHIBITOR SCREEN 1:1 MIX - ARUP,64.0,64.0,,,0 CDM,3058561301,"HC RUSSELL VIPER VENOM, DILUTED - DRVVT (DILUTE RUSSEL VV TIME)",751.0,751.0,,,0 CDM,3058561302,"HC RUSSELL VIPER VENOM, DILUTED - DRVVT (DILUTE RUSSEL VV TIME) - PHOSLIPID ARUP",372.0,372.0,,,0 CDM,3058561303,"HC RUSSELL VIPER VENOM, DILUTED - LUPUS ANTICOAGULANT PANEL W/REFLEX -ARUP",61.0,61.0,,,0 CDM,3058561304,HC DILUTED RUSSEL VIPER VENOM (DRVVT) - 1:1 MIX - ARUP,53.0,53.0,,,0 CDM,3058561305,HC DILUTED RUSSEL VIPER VENOM (DRVVT) - CONFIRMATION - ARUP,93.0,93.0,,,0 CDM,3058561306,HC DRVVT CONFIRMATION - ARUP,93.0,93.0,,,0 CDM,3058561307,HC DILUTED RUSSEL VIPER VENOM (DRVVT) - LUPUS ANTICOAGULANT SCREEN,346.0,346.0,,,0 CDM,3058561308,HC DILUTED RUSSELL VIPER VENOM (DRVTT),693.0,693.0,,,0 CDM,3058561309,HC DILUTED RUSSEL VIPER VENOM (DRVVT) - ARUP,53.0,53.0,,,0 CDM,3058561310,HC DRVVT - ANTIPHOSPHOLIPID SYNDROME REFLX PANEL - ARUP,61.0,61.0,,,0 CDM,3058563501,HC REPTILASE TIME,689.0,689.0,,,0 CDM,3058565101,"HC RBC SED RATE, NONAUTO - SEDIMENTATION RATE, MANUAL",236.0,236.0,,,0 CDM,3058565201,"HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED",150.0,150.0,,,0 CDM,3058566001,HC RBC SICKLE CELL TEST - SICKLE CELL SCREEN,169.0,169.0,,,0 CDM,3058566002,HC SICKLE CELL SCREEN-BLOOD UNIT,119.5,119.5,,,0 CDM,3058566003,HC SICKLE CELL SOLUBILITY BILL - ARUP,101.0,101.0,,,0 CDM,3058567001,"HC THROMBIN TIME, PLASMA - THROMBIN TIME",437.0,437.0,,,0 CDM,3058567003,HC THROMBIN TIME - ARUP,62.0,62.0,,,0 CDM,3058567004,HC THROMBIN TIME 1:1 MIX - ARUP,90.0,90.0,,,0 CDM,3058567005,HC THROMBIN TIME - ARUP,62.0,62.0,,,0 CDM,3058573001,HC APTT,264.0,264.0,,,0 CDM,3058573002,HC THROMBOPLAS TIME PARTIAL - PTT CRRT SYSTEM,179.0,179.0,,,0 CDM,3058573003,HC APTT LUPUS SENSITIVE,307.0,307.0,,,0 CDM,3058573004,HC THROMBOPLAS TIME PARTIAL - APTT - PHOSLIPID ARUP,29.0,29.0,,,0 CDM,3058573005,HC APTT CRRT SYSTEM,307.0,307.0,,,0 CDM,3058573006,HC SPECIAL COAG APTT,118.5,118.5,,,0 CDM,3058573007,"HC APTT, HEPZYME TREATED",115.0,115.0,,,0 CDM,3058573008,HC APTT (SURGICAL LAB),332.0,332.0,,,0 CDM,3058573010,HC APTT - INHIBITOR ASSAY PTT WITH REFLEX (ARUP),48.0,48.0,,,0 CDM,3058573011,HC APTT - LUPUS ANTICOAGULANT PANEL WITH REFLEX - ARUP,38.5,38.5,,,0 CDM,3058573012,"HC APTT, INHIBITOR SCREEN, 1-HOUR (RFLX) (ARUP)",42.0,42.0,,,0 CDM,3058573013,HC APTT-D 1:1 MIX BILL (ARUP),45.0,45.0,,,0 CDM,3058573014,HC APTT-D HEPARIN REFLEX BILL (ARUP),49.0,49.0,,,0 CDM,3058573015,HC APTT - LUPUS ANTICOAGULANT SCREEN,584.0,584.0,,,0 CDM,3058573016,HC ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) LUPUS SENS-INHIBITOR SCREEN,543.0,543.0,,,0 CDM,3058573017,HC ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) - PT AND PTT PANEL,307.0,307.0,,,0 CDM,3058573018,HC APTT - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP,38.0,38.0,,,0 CDM,3058573202,HC THROMBOPLAS TIME PART PLASMA FRAC - PTT MIXING STUDY,619.0,619.0,,,0 CDM,3058573203,HC LUPUS ANTICOAGULANT PTT 1 TO 1 MIX,575.0,575.0,,,0 CDM,3058573204,HC ACTIVATED PARTIAL THROMBOPLASTIN TIME 1 TO 1 MIX,575.0,575.0,,,0 CDM,3058573205,"HC KAOLIN CLOT TIME, 1:1 MIX REFLEXED",575.0,575.0,,,0 CDM,3058573206,HC APTT 1:1 MIX INHIBITOR SCREEN ASSAY (REFLX) (ARUP),73.0,73.0,,,0 CDM,3058573207,HC APTT 1:1 MIX INHIBITOR SCREEN 1-HOUR (REFLX) (ARUP),48.0,48.0,,,0 CDM,3058573208,HC INHIBITOR SCREEN CHARGE,338.0,338.0,,,0 CDM,3058573210,HC PTT INHIBITOR SCREEN 1:1 MIX - ARUP,68.0,68.0,,,0 CDM,3058573211,HC PTT 1:1 MIX LUPUS SENSITIVE REFLEX,338.0,338.0,,,0 CDM,3058581001,"HC BLOOD VISCOSITY EXAMINATION - VISCOSITY, SERUM",93.0,93.0,,,0 CDM,3058581002,HC VISCOSITY SERUM - ARUP,47.0,47.0,,,0 CDM,3058607701,HC BB PHYS.CONSULT INTERP&RP,123.0,123.0,,,0 CDM,3058607801,HC PHYSICIAN TRANSFUSION REACTION INTERP & REPORT,659.0,659.0,,,0 CDM,3058874001,"HC CARBOXYHEMOGLOBIN, TRANSCUTANEOUS, PER DAY",35.0,35.0,,,0 CDM,3058932201,"HC SEMEN ANALYSIS,COMPLETE - SEMEN ANALYSIS VOLUME, COUNT, MOTILITY, DIFFERENTIAL",1097.0,1097.0,,,0 CDM,3058932202,HC SEMEN ANALYSIS,1013.0,1013.0,,,0 CDM,3068151302,HC BACTERIAL VAGINOSIS TMA 10119 -SURESWAB BACTI VAGINOSIS/VAGINITIS -QDID,1308.0,1308.0,,,0 CDM,3068151303,HC BACTERIAL VAGINOSIS TMA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,749.0,749.0,,,0 CDM,3068151304,HC BACTERIAL VAGINOSIS - VAGINAL PATHOGEN DNA PANEL - ARUP,464.0,464.0,,,0 CDM,3068603701,HC ANTI-NEUTROPHIL CYTOPLASMIC TITER,615.0,615.0,,,0 CDM,3068701501,HC CONCENTRATION - PNEUMOCYSTIS SMEAR BY DFA - ARUP,71.5,71.5,,,0 CDM,3068701502,HC INFECTIOUS AGENT CONCENTRATION FECES,57.0,57.0,,,0 CDM,3068701503,HC AFB CONCENTRATION,51.5,51.5,,,0 CDM,3068701504,HC PARASITOLOGY STAIN FECES,56.5,56.5,,,0 CDM,3068701505,HC VIROLOGY ORGANISM CONCENTRATION,57.0,57.0,,,0 CDM,3068701506,HC MALARIA SMEAR THICK PREP,120.0,120.0,,,0 CDM,3068701507,HC CONCENTRATION - (ARUP),52.0,52.0,,,0 CDM,3068701508,HC NAOH-NALC DIGESTION-DECONTAMINATION CONCENTRATION - ARUP,97.0,97.0,,,0 CDM,3068701509,HC SPECIMEN CONCENTRATION BODY FLUID CULTURE,99.0,99.0,,,0 CDM,3068701510,HC CONCENTRATION - MICROSPORIDIA STAIN - ARUP,44.0,44.0,,,0 CDM,3068701511,HC PNEUMOCYSTIS JIROVECII CONC - P JIROVECII DFA W/REFLEX TO PCR - ARUP,55.0,55.0,,,0 CDM,3068701512,HC SPECIMEN CONCENTRATION AFB CULTURE,181.0,181.0,,,0 CDM,3068701513,HC BLOOD PARASITE SMEAR THICK PREP,181.0,181.0,,,0 CDM,3068701514,HC PNEUMOCYSTIS JIROVECII CONC - P JIROVECII DFA - ARUP,55.0,55.0,,,0 CDM,3068701515,HC SPECIMEN CONCENTRATION - SPINAL FLUID CULTURE,98.0,98.0,,,0 CDM,3068704001,HC CULTURE BLOOD,738.0,738.0,,,0 CDM,3068704501,HC MICROBIOLOGY - CULTURE STOOL - SALMONELLA SHIGELLA,348.0,348.0,,,0 CDM,3068704502,HC SALMONELLA SHIGELLA - STOOL CULTURE - ARUP,65.0,65.0,,,0 CDM,3068704601,"HC STOOL CULTURE, ADDL PATHOGENS - CAMPYLOBACTER CULTURE, STOOL",159.0,159.0,,,0 CDM,3068704602,"HC STOOL CULTURE, ADDL PATHOGENS - YERSINIA CULTURE, STOOL",159.0,159.0,,,0 CDM,3068704603,"HC STOOL CULTURE, ADDL PATHOGENS - ADDITIONAL PATHOGEN CULTURE, STOOL",159.0,159.0,,,0 CDM,3068704604,HC VIBRIO STOOL CULTURE REFLEXED,159.0,159.0,,,0 CDM,3068704605,HC CAMPYLOBACTER - STOOL CULTURE - ARUP,65.0,65.0,,,0 CDM,3068704606,HC YERSINIA STOOL CULTURE - ARUP,169.0,169.0,,,0 CDM,3068704607,HC E COLI - STOOL CULTURE - ARUP,65.0,65.0,,,0 CDM,3068704608,HC YERSINIA STOOL CULTURE REFLEX,148.0,148.0,,,0 CDM,3068707001,HC MICROBIOLOGY - CULTURE AEROBIC,297.5,297.5,,,0 CDM,3068707002,HC HELICOBACTER PYLORI CULTURE,275.0,275.0,,,0 CDM,3068707003,HC PERITONEAL FLUID CULTURE,275.0,275.0,,,0 CDM,3068707004,HC SURGICAL CULTURE,493.0,493.0,,,0 CDM,3068707005,HC NOSE OR NP CULTURE,275.0,275.0,,,0 CDM,3068707006,HC CYSTIC FIBROSIS THROAT CULTURE,275.0,275.0,,,0 CDM,3068707007,HC THROAT CULTURE COMPREHENSIVE,275.0,275.0,,,0 CDM,3068707008,HC CULTURE BODY FLUID,275.0,275.0,,,0 CDM,3068707009,HC BRONCHIAL BRUSH CULTURE,275.0,275.0,,,0 CDM,3068707010,HC CYSTIC FIBROSIS CULTURE BRONCHWASH,275.0,275.0,,,0 CDM,3068707011,HC BRONCHIAL LAVAGE CULTURE,276.5,276.5,,,0 CDM,3068707012,HC CATH TIP CULTURE,297.5,297.5,,,0 CDM,3068707013,HC CSF CULTURE WITH GRAM STAIN,297.5,297.5,,,0 CDM,3068707014,HC EAR CULTURE,360.5,360.5,,,0 CDM,3068707015,HC ENVIRONMENTAL CULTURE,85.0,85.0,,,0 CDM,3068707016,HC ENVIRONMENTAL CULTURE,275.0,275.0,,,0 CDM,3068707017,HC CORNEA CULTURE,275.0,275.0,,,0 CDM,3068707018,HC EYE CULTURE,360.5,360.5,,,0 CDM,3068707019,HC GENITAL CULTURE,297.5,297.5,,,0 CDM,3068707020,HC BACTERIA FOR ID,275.0,275.0,,,0 CDM,3068707021,HC CYSTIC FIBROSIS SPUTUM CULTURE,275.0,275.0,,,0 CDM,3068707022,HC SPUTUM CULTURE,465.0,465.0,,,0 CDM,3068707023,HC FINE NEEDLE ASPIRATE CULTURE,275.0,275.0,,,0 CDM,3068707024,HC PLACENTA CULTURE,275.0,275.0,,,0 CDM,3068707025,HC SINUS CULTURE,297.5,297.5,,,0 CDM,3068707026,HC ABSCESS CULTURE,275.0,275.0,,,0 CDM,3068707027,HC CULTURE WOUND DRAINAGE-SUPERFICIAL,493.0,493.0,,,0 CDM,3068707028,HC WOUND CULTURE STERNUM,297.5,297.5,,,0 CDM,3068707029,HC WOUND CULTURE WITH ANAEROBES,297.5,297.5,,,0 CDM,3068707030,HC BONE CULTURE,297.5,297.5,,,0 CDM,3068707031,HC BONE MARROW CULTURE,275.0,275.0,,,0 CDM,3068707032,HC CRYOBANKS CULTURE,85.0,85.0,,,0 CDM,3068707033,HC HELIOBACTER PYLORI CULTURE - ARUP,117.0,117.0,,,0 CDM,3068707101,HC MICROBIOLOGY - CULTURE AEROBIC QUANT,546.0,546.0,,,0 CDM,3068707102,HC CULTURE BRONCH WASH QUANTITATIVE,236.0,236.0,,,0 CDM,3068707103,HC TISSUE CULTURE QUANTITATIVE,236.0,236.0,,,0 CDM,3068707501,HC MICROBIOLOGY - CULTURE ANAEROBIC,105.5,105.5,,,0 CDM,3068707502,HC ANAEROBIC BACTERIA ID,264.0,264.0,,,0 CDM,3068707503,HC CLOSTRIDIUM DIFFICILE CULTURE - ARUP,160.0,160.0,,,0 CDM,3068707504,HC ANEROBIC CULTURE - ARUP,237.0,237.0,,,0 CDM,3068707601,HC MICROBIOLOGY - CULTURE ANAEROBIC ADDITIONAL ID METHOD,172.0,172.0,,,0 CDM,3068707602,HC ANAEROBIC CULTURE IDENTIFICATION - ARUP,253.0,253.0,,,0 CDM,3068707702,HC BACTERIA IDENTIFICATION AEROBIC,109.5,109.5,,,0 CDM,3068707703,HC ORGANISM IDENTIFICATION AEROBIC ARUP,80.0,80.0,,,0 CDM,3068708101,HC BACTERIA CULTURE SCREEN - LEGIONELLA CULTURE,116.0,116.0,,,0 CDM,3068708102,HC NOCARDIA CULTURE,789.0,789.0,,,0 CDM,3068708103,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE E COLI 157 CULTURE,187.0,187.0,,,0 CDM,3068708104,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE PATHOGEN CULTURE,391.0,391.0,,,0 CDM,3068708105,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE MRSA CULTURE,415.0,415.0,,,0 CDM,3068708106,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE NOCARDIA CULTURE,187.0,187.0,,,0 CDM,3068708107,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE VRE CULTURE,187.0,187.0,,,0 CDM,3068708108,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE GC CULTURE,187.0,187.0,,,0 CDM,3068708109,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE GROUP B STREP CULTURE,344.0,344.0,,,0 CDM,3068708110,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE GROUP A STREP CULTURE,187.0,187.0,,,0 CDM,3068708111,HC FLUOROQUINOLONE RESISTANT ORGANISM CULTURE,187.0,187.0,,,0 CDM,3068708112,HC ACANTHAMOEBA AND NAEGLERIA CULTURE,97.0,97.0,,,0 CDM,3068708113,HC ACANTHAMOEBA AND NAEGLERIA CULTURE CSF,187.0,187.0,,,0 CDM,3068708114,HC ACTINOMYCES CULTURE,187.0,187.0,,,0 CDM,3068708115,HC CARBAPENEMASE RESISTANT ENTEROBACTERIACEAE CULTURE,187.0,187.0,,,0 CDM,3068708116,HC VANCOMYCIN-RESISTANT ENTEROCOCCUS (VRE) CULTURE,318.0,318.0,,,0 CDM,3068708117,HC VIBRIO CULTURE STOOL - ARUP,169.0,169.0,,,0 CDM,3068708118,HC VANCOMYCIN-RESISTANT ENTEROCOCCUS (VRE) CULTURE - ARUP,169.0,169.0,,,0 CDM,3068708119,HC ACANTHAMOEBA& NAEGLERIA CULTURE CSF-ARUP,230.0,230.0,,,0 CDM,3068708120,HC LEGIONELLA CULTURE - ARUP,105.0,105.0,,,0 CDM,3068708121,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE YERSINIA CULTURE,187.0,187.0,,,0 CDM,3068708122,HC STREP THROAT A CULTURE,173.0,173.0,,,0 CDM,3068708123,HC FLUOROQUINOLONE CULTURE (RESISTANT ORGANISM) - ARUP,169.0,169.0,,,0 CDM,3068708124,HC SHIGA TOXIN 1 AND 2 CULTURE STOOL REFLEXED,173.0,173.0,,,0 CDM,3068708125,HC ACANTHAMOEBA AND NAEGLERIA CULTURE - ARUP,60.0,60.0,,,0 CDM,3068708126,HC HELICOBACTER PYLORI CULTURE - MAYO,477.0,477.0,,,0 CDM,3068708601,HC CULTURE URINE QUANTITATIVE,398.5,398.5,,,0 CDM,3068708801,HC MICROBIOLOGY - CULTURE URINE PRESUMPTIVE ID,382.0,382.0,,,0 CDM,3068710101,"HC CULTURE FUNGI-SKIN HAIR NAILS - FUNGAL CULTURE, CUTANEOUS",260.5,260.5,,,0 CDM,3068710201,HC MICROBIOLOGY - CULTURE FUNGUS,642.0,642.0,,,0 CDM,3068710202,HC MICROBIOLOGY - CULTURE FUNGUS SEND OUT,300.0,300.0,,,0 CDM,3068710203,HC FUNGAL CULTURE,593.5,593.5,,,0 CDM,3068710204,HC FUNGAL CULTURE - ARUP,174.0,174.0,,,0 CDM,3068710205,HC CANDIDA AURIS CULTURE REFLEX,235.0,235.0,,,0 CDM,3068710301,HC FUNGUS BLOOD CULTURE,555.0,555.0,,,0 CDM,3068710302,HC FUNGUS BLOOD CULTURE - ARUP,148.0,148.0,,,0 CDM,3068710601,HC MICROBIOLOGY - YEAST ID,145.0,145.0,,,0 CDM,3068710701,"HC FUNGUS IDENTIFICATION, MOLD - FUNGAL IDENTIFICATION, MOLD",119.0,119.0,,,0 CDM,3068710901,HC MYCOPLASMA CULTURE - MYCOPLASMA / UREAPLASMA CULTURE,135.0,135.0,,,0 CDM,3068710902,HC MYCOPLASMA / UREAPLASMA CULTURE - ARUP,152.0,152.0,,,0 CDM,3068711001,HC MICROBIOLOGY - CULTURE CHLAMYDIA,129.0,129.0,,,0 CDM,3068711601,HC AFB CULTURE,700.0,700.0,,,0 CDM,3068711602,HC BLOOD CULTURE ACID FAST BACTERIA,291.0,291.0,,,0 CDM,3068711603,HC AFB CULTURE - AFB CULTURE REFLEX TO MTBRIF PCR - ARUP,134.0,134.0,,,0 CDM,3068711604,"HC AFB CULTURE - AFB CULTURE, BLOOD - ARUP",148.0,148.0,,,0 CDM,3068711605,HC AFB CULTURE - ARUP,134.0,134.0,,,0 CDM,3068711801,HC MYCOBACTERIA IDENTIFICATION - MYCOBACTERIA IDENTIFICATION,271.5,271.5,,,0 CDM,3068714001,"HC CULTURE TYPING, FLUORESCENT - HERPES SIMPLEX TYPING",33.0,33.0,,,0 CDM,3068714002,"HC CULTURE TYPING, FLUORESCENT - TYPING EACH",94.0,94.0,,,0 CDM,3068714003,HC CHLAMYDIA TRACHOMATIS CULTURE - ARUP,39.0,39.0,,,0 CDM,3068714004,HC HERPES SIMPLEX VIRUS (HSV) TYPING - ARUP,88.0,88.0,,,0 CDM,3068714701,HC MICROBIOLOGY - SEROTYPING,419.0,419.0,,,0 CDM,3068714702,HC MICROBIOLOGY - SEROTYPING MRSA PBP2,149.0,149.0,,,0 CDM,3068714703,HC MICROBIOLOGY - SEROTYPING BETA STREP,165.0,165.0,,,0 CDM,3068714704,HC MICROBIOLOGY - SEROTYPING SALMONELLA,534.0,534.0,,,0 CDM,3068714708,HC MICROBIOLOGY - SEROTYPING SPECIATION,92.0,92.0,,,0 CDM,3068714709,HC MICROBIOLOGY - SEROTYPING AGGLUTINATION GROUPING,92.0,92.0,,,0 CDM,3068714901,HC MICROBIOLOGY - DNA DIRECT PROBE EACH,628.0,628.0,,,0 CDM,3068714902,HC BLOOD CULTURE NUCLEIC ACID TEST GRAM POS ORGS,109.0,109.0,,,0 CDM,3068714903,HC MYCOBACTERIUM GORDONAE DNA PROBE,109.0,109.0,,,0 CDM,3068714904,HC BLOOD CULTURE GRAM POS RESISTANCE,109.0,109.0,,,0 CDM,3068714905,HC MYCOBACTERIUM TB DNA PROBE,109.0,109.0,,,0 CDM,3068714906,HC MYCOBACTERIUM AVIUM DNA PROBE,109.0,109.0,,,0 CDM,3068714907,HC BLOOD CULTURE GRAM NET RESISTANCE,628.0,628.0,,,0 CDM,3068715001,HC MICROBIOLOGY - DNA AMPLIFIED PROBE EACH,162.0,162.0,,,0 CDM,3068715002,HC MICROBIOLOGY - DNA AMPLIFIED PROBE ACINETOBACTER BAUMANNII,162.0,162.0,,,0 CDM,3068715003,HC MICROBIOLOGY - DNA AMPLIFIED PROBE BACILLUS CEREUS GROUP,162.0,162.0,,,0 CDM,3068715004,HC MICROBIOLOGY - DNA AMPLIFIED PROBE CANDIDA ALBICANS,162.0,162.0,,,0 CDM,3068715005,HC MICROBIOLOGY - DNA AMPLIFIED PROBE CANDIDA KRUSEI,162.0,162.0,,,0 CDM,3068715006,HC MICROBIOLOGY - DNA AMPLIFIED PROBE CANDIDA PARAPSILOSIS,162.0,162.0,,,0 CDM,3068715007,HC MICROBIOLOGY - DNA AMPLIFIED PROBE CARBAPENEM RESIST ENTEROBACTERIACEAE,177.0,177.0,,,0 CDM,3068715008,HC MICROBIOLOGY - DNA AMPLIFIED PROBE ID BY NAAT EA ORG,162.0,162.0,,,0 CDM,3068715009,HC MICROBIOLOGY - DNA AMPLIFIED PROBE IMP GENE,162.0,162.0,,,0 CDM,3068715010,HC MICROBIOLOGY - DNA AMPLIFIED PROBE KLEBSIELLA OXYTOCA,162.0,162.0,,,0 CDM,3068715011,HC MICROBIOLOGY - DNA AMPLIFIED PROBE MRSA,162.0,162.0,,,0 CDM,3068715012,HC MICROBIOLOGY - DNA AMPLIFIED PROBE PROTEUS,145.0,145.0,,,0 CDM,3068715013,HC CRE PCR #1,164.0,164.0,,,0 CDM,3068715014,HC CRE PCR #2,164.0,164.0,,,0 CDM,3068715015,HC CRE PCR #3,164.0,164.0,,,0 CDM,3068715016,HC MICROBIOLOGY - DNA AMPLIFIED PROBE BLD CULTURE EACH ID#1,1081.0,1081.0,,,0 CDM,3068715301,HC FUNGAL/YEAST ID DNA/RNA SEQUENCE,532.0,532.0,,,0 CDM,3068715302,HC MICROORGANISM IDENTIFICATION - NGS,1108.0,1108.0,,,0 CDM,3068715401,HC BLOOD PATHOGEN GRAM NEG ID RESISTANCE PCR 6 + TARGETS,1073.0,1073.0,,,0 CDM,3068715402,HC BLOOD PATHOGEN GRAM POS ID RESISTANCE PCR 6 + TARGETS,1171.0,1171.0,,,0 CDM,3068715403,HC BLOOD PATHOGEN FUNGAL ID RESISTANCE PCR 6 + TARGETS,799.0,799.0,,,0 CDM,3068715801,HC MICROBIOLOGY - CULTURE TYPING OTHER,126.0,126.0,,,0 CDM,3068715803,HC MICROBIOLOGY - CULTURE TYPING OTHER CATALASE,126.0,126.0,,,0 CDM,3068715805,HC MICROBIOLOGY - CULTURE TYPING OTHER INDOLE,126.0,126.0,,,0 CDM,3068715806,HC MICROBIOLOGY - CULTURE TYPING OTHER GERM TUBE,126.0,126.0,,,0 CDM,3068716901,HC ARTHROPOD AND PARASITE IDENTIFICATION MACROSCOPIC,80.5,80.5,,,0 CDM,3068716902,HC ARTHROPOD AND PARASITE IDENTIFICATION MACROSCOPIC - ARUP,84.0,84.0,,,0 CDM,3068717201,HC PINWORM EXAM - PINWORM PREP,318.0,318.0,,,0 CDM,3068717202,HC PINWORM EXAM - ARUP,77.0,77.0,,,0 CDM,3068717601,HC TISSUE HOMOGENIZATION FOR CULTURE,102.0,102.0,,,0 CDM,3068717602,HC TISSUE HOMOGENIZATION FOR CULTURE - ARUP,79.0,79.0,,,0 CDM,3068717701,HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION,249.5,249.5,,,0 CDM,3068717702,HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION DIRECT,74.0,74.0,,,0 CDM,3068717704,"HC O&P SMEARS, CONC, ID - CRYPTOSPROIDIA & COCCIDIA EXAM, FECES - ARUP",66.0,66.0,,,0 CDM,3068717705,"HC OVA & PARASITE DIR SMEARS, CONC, ID - O&P EXAM BODY FLUID/URINE - ARUP",40.0,40.0,,,0 CDM,3068717706,HC OVA AND PARASITE EXAMINATION - OVA AND PARISITE FECAL - ARUP,34.0,34.0,,,0 CDM,3068718101,HC SUSCEPTIBILITY E-TEST PER AGENT,207.0,207.0,,,0 CDM,3068718102,HC MIC SENSITIVITY (E-TEST),207.0,207.0,,,0 CDM,3068718103,HC MICROBIOLOGY - SUSCEPTIBILITY EPSILOMETER TEST/E-TEST,92.0,92.0,,,0 CDM,3068718401,HC SUSCEPTIBILITY KIRBY BAUER SINGLE ANTIBIOTIC,147.0,147.0,,,0 CDM,3068718402,HC SUSCEPTIBILITY KIRBY BAUER MULTIPLE ANTIBIOTICS,313.0,313.0,,,0 CDM,3068718501,HC MICROBIOLOGY - CULTURE SUSCEPTIBILITY ENZYME,83.0,83.0,,,0 CDM,3068718601,HC SUSCEPTIBILITY MIC GRAM NEGATIVE,354.0,354.0,,,0 CDM,3068718602,HC SUSCEPTIBILITY MIC MICRODILUTION GRAM NEGATIVE,798.5,798.5,,,0 CDM,3068718603,HC SUSCEPTIBILITY MIC URINE,149.0,149.0,,,0 CDM,3068718604,HC SUSCEPTIBILITY MIC MOLD,149.0,149.0,,,0 CDM,3068718605,HC SUSCEPTIBILITY MIC MICRODILUTION YEAST,1669.0,1669.0,,,0 CDM,3068718606,HC SUSCEPTIBILITY MIC MICRODILUTION GRAM POSITIVE,389.0,389.0,,,0 CDM,3068718607,HC SUSCEPTIBILITY MIC GRAM POSITIVE,374.5,374.5,,,0 CDM,3068718608,HC SUSCEPTIBILITY MIC MICRODILUTION CEFIDEROCOL,590.0,590.0,,,0 CDM,3068718609,HC SUSCEPTIBILITY MIC HAEMOPHILUS,374.5,374.5,,,0 CDM,3068718610,HC SUSCEPTIBILITY MIC STREPTOCOCCUS,374.5,374.5,,,0 CDM,3068718611,HC SUSCEPTIBILITY MIC YEAST,358.0,358.0,,,0 CDM,3068718701,HC MINIMAL BACTERICIDAL CONC,149.0,149.0,,,0 CDM,3068718801,"HC ANTIBIOTIC SENS,MACROBROTH,EACH",421.0,421.0,,,0 CDM,3068719001,HC ANTIBIOTIC SENS - MYCOBACTERIA,473.0,473.0,,,0 CDM,3068719002,HC MYCOBACTERIA SUSCEPT PROPORTIONAL METHOD EA,473.0,473.0,,,0 CDM,3068719701,"HC BACTERICIDAL LEVEL, SERUM - BACTERICIDAL TITER SERUM",399.0,399.0,,,0 CDM,3068719702,HC ANTIMICROBIAL BACTERICIDAL ASSAYS - ARUP,456.0,456.0,,,0 CDM,3068720501,"HC MICROBIOLOGY - SMEAR - BACTERIA, FUNGI, CELL TYPE",69.0,69.0,,,0 CDM,3068720502,HC EOSINOPHILS SMEAR URINE,154.5,154.5,,,0 CDM,3068720503,HC GRAM STAIN,196.0,196.0,,,0 CDM,3068720504,HC MICROBIOLOGY - FUNGAL STAIN,110.0,110.0,,,0 CDM,3068720505,HC DFT - DIFFERENTIAL BRONCHIAL LAVAGE/WASH,110.0,110.0,,,0 CDM,3068720506,HC BRONCHIAL WASH DIFFERENTIAL,101.0,101.0,,,0 CDM,3068720507,HC EOSINOPHILS SMEAR URINE - EOSINOPHILS COUNT % URINE,196.0,196.0,,,0 CDM,3068720508,HC EOSINOPHILS SMEAR URINE - EOSINOPHILS PRESENCE IN URINE,196.0,196.0,,,0 CDM,3068720601,"HC SMEAR,FLUOR STAIN,INTERP - AFB STAIN",256.0,256.0,,,0 CDM,3068720602,"HC FUNGAL STAIN, FLUORESCENT",134.0,134.0,,,0 CDM,3068720605,"HC SMEAR,FLUOR STAIN,INTERP - CRYPTOSPORIDIUM",134.0,134.0,,,0 CDM,3068720606,HC AFB STAIN ONLY - ARUP,55.0,55.0,,,0 CDM,3068720607,"HC FUNGAL STAIN, KOH WITH CALCOFLUOR WHITE - ARUP",89.0,89.0,,,0 CDM,3068720701,"HC SMEAR,INCLUSION BODIES/PARASITES,INTERP - MALARIA SMEAR",196.0,196.0,,,0 CDM,3068720702,HC AMOEBA SCREEN CSF,211.0,211.0,,,0 CDM,3068720703,HC MICROSPORIDIA FECES,122.0,122.0,,,0 CDM,3068720704,HC TZANCK SMEAR,47.0,47.0,,,0 CDM,3068720705,HC FECES PARSITOLOGY STAIN - PARASITE STAIN,44.0,44.0,,,0 CDM,3068720706,HC AMOEBA SCREEN CSF,1011.0,1011.0,,,0 CDM,3068720707,HC MODIFIED TRICHROME - MICROSPORIDIA STAIN - ARUP,39.0,39.0,,,0 CDM,3068720708,HC AMOEBA GEIMSA STAIN - ACANTHAMOEBA AND NAEGLERIA CULTURE CSF - ARUP,208.0,208.0,,,0 CDM,3068720709,HC MALARIA RAPID SCREEN WITH GIEMSA - ARUP,813.0,813.0,,,0 CDM,3068720710,"HC INCLUSION BODY STAIN - CRYPTOSPORIDIA & COCCIDIA EXAM, FECES - ARUP",45.0,45.0,,,0 CDM,3068720711,HC PARASITE BLOOD SMEAR,181.0,181.0,,,0 CDM,3068720712,HC PARASITE BLOOD SMEAR - ARUP,379.0,379.0,,,0 CDM,3068721001,HC WET PREP GENITAL,188.0,188.0,,,0 CDM,3068721002,"HC SMEAR,STAIN,WET MNT,INTERP - POCT FERN TEST, SALIVA",184.0,184.0,,,0 CDM,3068722001,HC TISSUE EXAM BY KOH - KOH PREP,91.0,91.0,,,0 CDM,3068722002,HC FUNGAL (KOH) STAIN,105.0,105.0,,,0 CDM,3068723001,"HC ASSAY, TOXIN OR ANTITOXIN - CLOSTRIDIUM DIFFICILE TOXINS TISSUE CULT",273.0,273.0,,,0 CDM,3068723002,HC CLOSTRIDIUM DIFFICILE CYTOTOXIN CELL ASSAY - ARUP,118.0,118.0,,,0 CDM,3068725201,HC MICROBIOLOGY - CULTURE VIRUS TISSUE,403.0,403.0,,,0 CDM,3068725202,HC MICROBIOLOGY - CULTURE VIRUS TISSUE CYTOMEGALOVIRUS,80.0,80.0,,,0 CDM,3068725203,HC VIRAL CULTURE NONRESPIRATORY - ARUP,190.0,190.0,,,0 CDM,3068725204,HC VIRAL CULTURE RESPIRATORY - ARUP,252.0,252.0,,,0 CDM,3068725205,HC ANTIVIRAL SUSCEPTIBILITY CULTURE (HSV ACYCLOVIR) - ARUP,816.0,816.0,,,0 CDM,3068725301,HC MICROBIOLOGY - CULTURE VIRUS ADDITIONAL STUDY,94.0,94.0,,,0 CDM,3068725303,HC ANTIVIRAL SUSCEPTIBILITY CULTURE ADDITIONAL STUDY (HSV ACYCLOVIR) - ARUP,47.0,47.0,,,0 CDM,3068725304,HC HERPES SIMPLEX VIRUS (HSV) CULTURE - ARUP,119.0,119.0,,,0 CDM,3068725401,HC MICROBIOLOGY - VIRUS IMMUNO ID,65.0,65.0,,,0 CDM,3068725402,HC CYTOMEGALOVIRUS (CMV) CULTURE RAPID - ARUP,288.0,288.0,,,0 CDM,3068725403,HC VARICELLA ZOSTER VIRUS CULTURE - ARUP,288.0,288.0,,,0 CDM,3068725502,HC HERPES SIMPLEX VIRUS CULTURE - ARUP,119.0,119.0,,,0 CDM,3068725503,HC HERPES SIMPLEX VIRUS (HSV) WITH REFLEX TO HSV TYPING CULTURE - ARUP,119.0,119.0,,,0 CDM,3068726004,HC ADENOVIRUS DFA - RESPIRATORY VIRUSES DFA WITH REFLEX - ARUP,28.0,28.0,,,0 CDM,3068727001,"HC CHYLMD TRACH AG, DFA - CHLAMYDIA TRACHOMATIS ANTIGEN",281.0,281.0,,,0 CDM,3068727301,"HC HERPES SIMPLEX TYPE 2 AG, DFA",97.0,97.0,,,0 CDM,3068727302,HC HERPES SIMPLEX VIRUS 2 - VZV AND HSV DFA W/ RFLX TO CULTURE - ARUP,47.0,47.0,,,0 CDM,3068727401,"HC HERPES SIMPLEX TYPE 1 AG, DFA",636.0,636.0,,,0 CDM,3068727402,HC HERPES SIMPLEX VIRUS 1 - VZV AND HSV DFA W/ RFLX TO CULTURE - ARUP,167.0,167.0,,,0 CDM,3068727501,"HC INFLUENZA B AG, DFA",57.0,57.0,,,0 CDM,3068727601,"HC INFLUENZA A AG, DFA",57.0,57.0,,,0 CDM,3068727801,"HC LEGION PNEUMO AG, DFA - LEGIONELLA PNEUMOPHILIA ANTIGEN",83.0,83.0,,,0 CDM,3068727802,HC IMMUNOFLUOR - LEGIONELLA PNEUMOPHILIA ANTIGEN URINE,73.0,73.0,,,0 CDM,3068727803,HC LEGIONELLA PNEUMOPHILA DFA - ARUP,155.0,155.0,,,0 CDM,3068727901,HC PARAINFLUENZA AG BY DFA,2.0,2.0,,,0 CDM,3068728001,"HC RESP SYNCYTIAL AG, DFA",254.0,254.0,,,0 CDM,3068728101,"HC PNEUMOCYSTIS CARINII AG, DFA - PNEUMOCYSTIS SMEAR BY DFA",188.0,188.0,,,0 CDM,3068728102,"HC PNEUMOCYSTIS JIROVECII AG, DFA - (ARUP)",108.0,108.0,,,0 CDM,3068728103,HC PNEUMOCYSTIS JIROVECII DFA - P JIROVECII DFA W/REFLEX TO PCR - ARUP,99.0,99.0,,,0 CDM,3068729001,HC VARICELLA DFA - VZV AND HSV DFA WITH CULTURE IF INDICATED - ARUP,540.0,540.0,,,0 CDM,3068729902,HC AG DETECTION IMMUNOFLOUR EA ORG,254.0,254.0,,,0 CDM,3068730101,HC IAAD IA QUAL/SEMIQUAN MULTIPLE STEP - ADENOVIRUS ENTERIC TYPE 40/41,261.0,261.0,,,0 CDM,3068730501,HC IAAD IA QUAL/SEMIQUAN MULTIPLE STEP ASPERGILLUS - ASPERGILLUS GALACT,1292.0,1292.0,,,0 CDM,3068730502,HC ASPERGILLUS GALACTOMANNAN ANTIGEN,1193.0,1193.0,,,0 CDM,3068730503,HC ASPERGILLUS GALACTOMANNAN ANTIGEN BRONCH,164.0,164.0,,,0 CDM,3068730504,HC ASPERGILLUS GALACTOMANNAN ANTIGEN - ARUP,252.0,252.0,,,0 CDM,3068730505,HC ASPERGILLUS GALACTOMANNAN ANTIGEN BRONCH - ARUP,252.0,252.0,,,0 CDM,3068732401,HC CLOSTRIDIOIDES DIFFICILE TOXINS EIA,160.5,160.5,,,0 CDM,3068732402,HC CLOSTRIDIOIDES DIFFICILE TOXINS EIA,224.0,224.0,,,0 CDM,3068732701,HC MICROBIOLOGY - IMMUNOASSAY CRYPTOCOCCAL AG,155.0,155.0,,,0 CDM,3068732703,HC CRYPTOCOCCAL ANTIGEN CSF - ARUP,114.0,114.0,,,0 CDM,3068732801,HC CRYPTOSPORIDIUM - OVA AND PARASITE ANTIGEN SCREEN,211.0,211.0,,,0 CDM,3068732802,HC CRYPTOSPORIDIUM ANTIGEN STOOL - ARUP,63.0,63.0,,,0 CDM,3068732901,HC GIARDIA LAMBLIA - OVA AND PARASITE ANTIGEN SCREEN,211.0,211.0,,,0 CDM,3068732902,HC GIARDIA ANTIGEN STOOL - ARUP,64.0,64.0,,,0 CDM,3068733601,HC IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP - ENTAMOEBA HYSTOLYTICA EIA,211.0,211.0,,,0 CDM,3068733701,HC IAAD IA ENTAMOEBA HISTOLYTICA GRP - ENTAMOEBA HYSTOLYTICA GRP EIA,45.0,45.0,,,0 CDM,3068733702,HC ENTAMOEBA HISTOLYTICA ANTIGEN - ARUP,94.0,94.0,,,0 CDM,3068733801,HC HELICOBACTER PYLORI ANTIGEN STOOL,461.0,461.0,,,0 CDM,3068733802,HC HELICOBACTER PYLORI ANTIGEN STOOL,377.5,377.5,,,0 CDM,3068733803,HC HELICOBACTER PYLORI ANTIGEN STOOL - ARUP,168.0,168.0,,,0 CDM,3068734001,HC HEPATITIS B SURFACE ANTIGEN,308.0,308.0,,,0 CDM,3068734003,HC HEPATITIS B SURFACE ANTIGEN (HBSAG) DONOR,308.0,308.0,,,0 CDM,3068734004,HC HEPATITIS B VIRUS SURFACE ANTIGEN - HEPATITIS PANEL ACUTE,416.0,416.0,,,0 CDM,3068734005,HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION - ARUP,61.0,61.0,,,0 CDM,3068734006,HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX CONFIRMATION - QWDL,61.0,61.0,,,0 CDM,3068734101,HC IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION - HEPATITIS B SURFACE,116.0,116.0,,,0 CDM,3068734102,HC HEPATITIS B SURFACE ANTIGEN CONFIRMATION - ARUP,105.0,105.0,,,0 CDM,3068735001,HC IAAD IA HEPATITIS BE ANTIGEN - HEPATITIS B E ANTIGEN,62.5,62.5,,,0 CDM,3068735002,HC HEAPATITIS B E ANTIGEN - ARUP,66.0,66.0,,,0 CDM,3068738501,HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN URINE,132.0,132.0,,,0 CDM,3068738502,"HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN, SERUM",177.0,177.0,,,0 CDM,3068738503,HC HISTOPLASM ANTIGEN URINE - ARUP,252.0,252.0,,,0 CDM,3068738504,HC HISTOPLASMA ANTIGEN SERUM - ARUP,289.0,289.0,,,0 CDM,3068738908,HC HIV 1/2 ANTIBODY/ANTIGEN SCREEN - FOCUS SCREENING PROGRAM,656.0,656.0,,,0 CDM,3068740001,HC MICROBIOLOGY - IMMUNOASSAY INFLUENZA A,250.0,250.0,,,0 CDM,3068740002,HC MICROBIOLOGY - IMMUNOASSAY INFLUENZA B,250.0,250.0,,,0 CDM,3068742001,HC IAAD IA RESPIRATORY SYNCTIAL VIRUS - RSV RAPID ANTIGEN SCREEN,371.0,371.0,,,0 CDM,3068742501,HC IAAD IA ROTAVIRUS - ROTAVIRUS ANTIGEN STOOL,190.0,190.0,,,0 CDM,3068742502,HC ROTAVIRUS ANTIGEN STOOL,210.0,210.0,,,0 CDM,3068742503,HC ROTAVIRUS ANTIGEN EIA STOOL - ARUP,61.0,61.0,,,0 CDM,3068742701,"HC IAAD IA SHIGA-LIKE TOXIN - SHIGA-LIKE TOXIN ANTIGEN, EIA",103.0,103.0,,,0 CDM,3068742702,"HC IAAD IA SHIGA-LIKE TOXIN - SHIGA-LIKE TOXIN ANTIGEN, FECES",103.0,103.0,,,0 CDM,3068742703,HC SHIGA-LIKE TOXIN ANTIGEN EIA STOOL,95.0,95.0,,,0 CDM,3068742704,HC SHIGA-LIKE TOXIN ANTIGEN EIA STOOL - ARUP,78.0,78.0,,,0 CDM,3068742801,HC SARS-COV-2 ATGN DETECT IMMUNOASSAY QUAL / SEMIQUANT PLUS FLU A AND B,115.0,115.0,,,0 CDM,3068743001,HC MICROBIOLOGY - IMMUNOASSAY GROUP A STREP,266.0,266.0,,,0 CDM,3068744901,HC LEGIONELLA ANTIGEN URINE,111.0,111.0,,,0 CDM,3068744902,"HC IAAD IA MULT STEP METHOD NOS EACH ORGANISM - STREP PNEUMO AG, UR",111.0,111.0,,,0 CDM,3068744903,HC CLOSTRIDIUM DIFFICILE AG TOXINS EIA,80.0,80.0,,,0 CDM,3068744904,HC CAMPYLOBACTER AG TOXINS EIA - ARUP,123.0,123.0,,,0 CDM,3068744905,"HC 1,3 BETA D-GLUCAN (FUNGITELL)",260.0,260.0,,,0 CDM,3068744906,HC BLASTOMYCES ANTIGEN,111.0,111.0,,,0 CDM,3068744907,"HC BLASTOMYCES DERMATITIDIS ANTIGEN, URINE (ARUP)",220.5,220.5,,,0 CDM,3068744908,HC COCCIDIOIDES ANTIGEN BY EIA (ARUP),327.0,327.0,,,0 CDM,3068744909,"HC 1,3 BETA-D-GLUCAN (FUNGITELL) (ARUP)",277.0,277.0,,,0 CDM,3068744910,HC CAMPYLOBACTER ANTIGEN STOOL - ARUP,169.0,169.0,,,0 CDM,3068744911,HC BLASTOMYCES DERMATITIDIS ANTIGEN URINE - ARUP,335.0,335.0,,,0 CDM,3068744912,HC BLASTOMYCES DERMATITIDIS ANTIGEN SERUM OR PLASMA - ARUP,474.0,474.0,,,0 CDM,3068744913,HC COCCIDIOIDES ANTIGEN EIA - ARUP,474.0,474.0,,,0 CDM,3068744914,HC LEGIONELLA ANTIGEN URINE - ARUP,72.0,72.0,,,0 CDM,3068744915,HC LEGIONELLA PNEUMOPHILA ANTIGEN URINE - ARUP,72.0,72.0,,,0 CDM,3068746801,HC ANAPLASMA PHAGOCYTOPHILUM AMP PROBE,430.0,430.0,,,0 CDM,3068746802,HC ANAPLASMA PHAGOCYTOPHILUM PCR - EHRLICHIA & ANAPLASMA SPECIES PCR - ARUP,188.0,188.0,,,0 CDM,3068746803,HC ANAPLASMA PHAGOCYTOPHILUM PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 CDM,3068746804,HC ANAPLASMA PHAGOCYTOPHILUM PCR QUAL - QDID,886.0,886.0,,,0 CDM,3068746901,HC BABESIA MICROTI AMP PROBE,633.0,633.0,,,0 CDM,3068746902,HC BABESIA MICROTI PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 CDM,3068747101,"HC BARTONELLA, DNA, AMP PROBE - BARTONELLA, DNA, AMP PROBE",430.0,430.0,,,0 CDM,3068747103,HC BARTONELLA DNA QUALITATIVE PCR - ARUP,815.0,815.0,,,0 CDM,3068747104,HC BARTONELLA DNA QUALITATIVE PCR - QDID,920.0,920.0,,,0 CDM,3068747601,"HC LYME DIS, DNA, AMP PROBE - LYME DISEASE (BORRELIA BURGDORFERI), PCR",167.0,167.0,,,0 CDM,3068747602,"HC DNA/RNA AMP PROBE - LYME DISEASE (BORRELIA BURGDORFERI), PCR CSF",113.0,113.0,,,0 CDM,3068747603,HC LYME DISEASE (BORRELIA BURGDORFERI) PCR - ARUP,210.0,210.0,,,0 CDM,3068747801,HC BORRELIA MIYAMOTOI AMP PROBE,633.0,633.0,,,0 CDM,3068748001,"HC CANDIDA, DNA, DIR PROBE - CANDIDA DNA PROBE",110.0,110.0,,,0 CDM,3068748101,"HC CANDIDA, DNA, AMP PROBE - CANDIDA DNA, PCR",373.0,373.0,,,0 CDM,3068748102,HC CANDIDA RNA BY TMA 10119,235.5,235.5,,,0 CDM,3068748103,HC CANDIDA RNA BY TMA 10120,99.0,99.0,,,0 CDM,3068748104,HC CANDIDA RNA BY TMA 10121,311.0,311.0,,,0 CDM,3068748105,HC CANDIDA DNA PCR - VAGINAL PATHOGEN DNA PANEL,345.0,345.0,,,0 CDM,3068748106,HC CANDIDA DNA PCR - VAGINAL PATHOGEN DNA PANEL,345.0,345.0,,,0 CDM,3068748107,HC CANDIDA AURIS PCR - ARUP,1154.0,1154.0,,,0 CDM,3068748108,HC CANDIDA GLABRATA BY TMA 10119 -SURESWAB BACTI VAGINOSIS/VAGINITIS -QDID,322.0,322.0,,,0 CDM,3068748109,HC CANDIDA GLABRATA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 CDM,3068748110,HC CANDIDA GLABRATA - VAGINAL PATHOGEN DNA PANEL - ARUP,114.0,114.0,,,0 CDM,3068748111,HC CANDIDA GLABRATA - SURESWAB CANDIDIASIS PCR - QDID,315.0,315.0,,,0 CDM,3068748112,HC CANDIDA SPECIES - SURESWAB CANDIDIASIS PCR - QDID,315.0,315.0,,,0 CDM,3068748113,HC CANDIDA SPECIES BY TMA 10119- SURESWAB BACTI VAGINOSIS/VAGINITIS -QDID,322.0,322.0,,,0 CDM,3068748114,HC CANDIDA SPECIES - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 CDM,3068748115,HC CANDIDA SPECIES BY TMA - VAGINAL PATHOGEN DNA PANEL - ARUP,114.0,114.0,,,0 CDM,3068748116,HC CANDIDA GLABRATA - CANDIDA AND TRICHOMONAS BY TMA - ARUP,133.0,133.0,,,0 CDM,3068748117,HC CANDIDA SPECIES - CANDIDA AND TRICHOMONAS BY TMA - ARUP,133.0,133.0,,,0 CDM,3068748118,HC CANDIDA AURIS PCR SCREENING,521.0,521.0,,,0 CDM,3068748119,HC C ALBICANS - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 CDM,3068748120,HC C GLABRATA - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 CDM,3068748121,HC C PARAPSILOSIS COMPLEX - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 CDM,3068748122,HC C TROPICALIS - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 CDM,3068748123,HC C KRUSEI - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 CDM,3068748124,HC C DUBLINIENSIS - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 CDM,3068748301,HC MICROBIOLOGY - DNA AMP PROBE 12-25 TARGETS,2733.0,2733.0,,,0 CDM,3068748302,HC MENINGITIS ENCEPHALITIS PCR PANEL CSF - ARUP,1365.0,1365.0,,,0 CDM,3068748401,HC EHRLICHIA CHAFEENSIS AMP PROBE,403.0,403.0,,,0 CDM,3068748402,HC EHRLICHIA CHAFFEENSIS PCR - EHRLICHIA & ANAPLASMA SPECIES PCR - ARUP,188.0,188.0,,,0 CDM,3068748403,HC EHRLICHIA CHAFFEENSIS PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 CDM,3068748404,HC EHRLICHIA CHAFFEENSIS DNA PCR QUAL - QDID,755.0,755.0,,,0 CDM,3068748601,"HC CHYLMD PNEUM, DNA, AMP PROBE - CHLAMYDIA PNEUMONIAE DNA PROBE, AMP",347.0,347.0,,,0 CDM,3068748603,HC CHLAMYDIA PNEUMONIAE PCR - ARUP,386.0,386.0,,,0 CDM,3068749101,HC CHLAMYDIA TRACHOMATIS DNA PROBE AMPLIFIED,380.0,380.0,,,0 CDM,3068749103,"HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR TMA",378.0,378.0,,,0 CDM,3068749104,HC CHLAMYDIA TRACHOMATIS RNA BY TMA 10120,198.0,198.0,,,0 CDM,3068749105,HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - QWDL,83.0,83.0,,,0 CDM,3068749106,HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - ARUP,42.0,42.0,,,0 CDM,3068749107,HC CHLAMYDIA TRACHOMATIS-C TRACHOMATIS & N GONNORRHOEAE BY TMA W/ RFLX-ARUP,42.0,42.0,,,0 CDM,3068749108,HC CHLAMYDIA TRACHOMATIS BY TMA - ARUP,63.0,63.0,,,0 CDM,3068749109,HC CHLAMYDIA TRACHOMATIS - SEXUALLY TRANSMITTED DISEASE PANEL 1 - ARUP,119.0,119.0,,,0 CDM,3068749110,HC CHLAMYDIA TRACHOMATIS CONFIRMATION TMA - ARUP,62.0,62.0,,,0 CDM,3068749111,HC C TRACHOMATIS TMA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 CDM,3068749112,"HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA UROGENITAL - QDID",79.0,79.0,,,0 CDM,3068749113,"HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID",73.0,73.0,,,0 CDM,3068749301,HC CLOSTRIDIOIDES DIFFICILE TOXIN TCBD GENE PCR,844.0,844.0,,,0 CDM,3068749302,HC CLOSTRIDIOIDES DIFFICILE TCDB GENE PCR STOOL - ARUP,441.0,441.0,,,0 CDM,3068749601,"HC CYTOMEG, DNA, AMP PROBE - CYTOMEGALOVIRUS DNA PROBE, AMPLIFIED",730.0,730.0,,,0 CDM,3068749602,HC CYTOMEGALOVIRUS (CMV) PCR URINE,730.0,730.0,,,0 CDM,3068749603,HC CONGENITAL CYTOMEGALOVIRUS PCR,734.0,734.0,,,0 CDM,3068749604,HC CYTOMEGALOVIRUS (CMV) PCR QUAL - ARUP,211.0,211.0,,,0 CDM,3068749605,HC CYTOMEGALOVIRUS (CMV) PCR QUAL - QDID,369.0,369.0,,,0 CDM,3068749606,HC CYTOMEGALOVIRUS (CMV) PCR QUAL SALIVA - ARUP,386.0,386.0,,,0 CDM,3068749607,HC CONGENITAL CYTOMEGALOVIRUS (CMV) PCR URINE CONFIRMATION,730.0,730.0,,,0 CDM,3068749701,HC CMV QUANT PCR,413.5,413.5,,,0 CDM,3068749702,HC CYTOMEGALOVIRUS PCR QUANTITATIVE FLUID,126.0,126.0,,,0 CDM,3068749703,HC CYTOMEGALOVIRUS QUANT NAAT - ARUP,293.5,293.5,,,0 CDM,3068749705,HC CYTOMEGALOVIRUS (CMV) PCR QUANT FLUID - QDID,407.0,407.0,,,0 CDM,3068749801,"HC ENTEROVIRUS PROBE&REVRS TRNS - ENTEROVIRUS DNA PROBE, AMPLIFIED",714.0,714.0,,,0 CDM,3068749802,HC ENTEROVIRUS PCR FECES,295.0,295.0,,,0 CDM,3068749803,HC ENTEROVIRUS PCR QUAL - ARUP,337.0,337.0,,,0 CDM,3068749804,HC ENTEROVIRUS PCR QUAL STOOL - QDID,731.0,731.0,,,0 CDM,3068749805,HC ENTEROVIRUS PCR QUAL,340.0,340.0,,,0 CDM,3068750001,HC MICROBIOLODY - AMP PROBE VRE,160.0,160.0,,,0 CDM,3068750101,HC MICROBIOLOGY - AMP PROBE CORONAVIRUS,1057.0,1057.0,,,0 CDM,3068750501,HC GASTROINTESTINAL PARASITE PANELY BY PCR 5 TARGETS - ARUP,972.0,972.0,,,0 CDM,3068750502,HC MICROBIOLOGY AMP PROBE - GI PATHOGEN 3-5 TARGETS,477.0,477.0,,,0 CDM,3068750503,HC GASTROINTESTINAL VIRAL PCR PANEL STOOL - 5 TARGETS,460.0,460.0,,,0 CDM,3068750504,HC GASTROINTESTINAL PARASITE PANEL PCR 3 TARGETS,477.0,477.0,,,0 CDM,3068750505,HC GASTROINTESTINAL PARASITE PCR PANEL STOOL - 5 TARGETS - ARUP,903.0,903.0,,,0 CDM,3068750601,HC GASTROINTESTINAL BACTERIAL PCR PANEL STOOL - 6 -11 TARGETS,1318.0,1318.0,,,0 CDM,3068750701,HC IADNA-DNA/RNA PROBE TQ 12-25 - GASTROINTESTINAL PANEL,1043.0,1043.0,,,0 CDM,3068750703,HC GASTROINTESTINAL PATHOGENS PANEL PCR STOOL - 21 TARGETS - ARUP,2007.0,2007.0,,,0 CDM,3068750704,HC GASTROINTESTINAL PATHOGENS PANEL PCR STOOL - 22 TARGETS - MAYO,1995.0,1995.0,,,0 CDM,3068751001,"HC GARDNER VAG DNA DIR PROBE - GARDNERELLA VAGINALIS DNA PROBE, DIRECT",110.0,110.0,,,0 CDM,3068751201,"HC GARDNER VAG DNA QUANT - GARDNERELLA VAGINALIS DNA PROBE, QUANT",84.0,84.0,,,0 CDM,3068751601,"HC HEPATITIS B , DNA, AMP PROBE",201.0,201.0,,,0 CDM,3068751701,"HC HEPATITIS B , DNA, QUANT - HEPATITIS B DNA, ULTRAQUANTITATIVE, PCR",122.0,122.0,,,0 CDM,3068751702,"HC HEPATITIS B , DNA, QUANT - HEPATITIS B DNA PROBE, DIRECT",1438.0,1438.0,,,0 CDM,3068751703,HC HEPATITIS B DNA BY QUANT NAAT - HEPATITIS BE DNA PROBE DIRECT - ARUP,403.0,403.0,,,0 CDM,3068751704,HC HEPATITIS B PCR QUANTITATIVE - HEPATITIS B DNA QUATITATIVE PCR,833.0,833.0,,,0 CDM,3068752101,HC IADNA HEPATITIS C AMPLIFIED PROBE&REVERSE TRANSCR,114.0,114.0,,,0 CDM,3068752102,HC HEPATITIS C VIRUS NAT FBC CHARGE,187.0,187.0,,,0 CDM,3068752103,HC HEPATITIS C VIRUS NAT DONOR,103.0,103.0,,,0 CDM,3068752201,HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR,1465.0,1465.0,,,0 CDM,3068752202,HC HEPATITIS C DNA/RNA QUANT W/ REVERSE TRANSCRIPTION,206.0,206.0,,,0 CDM,3068752205,HC HEPATITIS C QUANT NAAT - ARUP,294.0,294.0,,,0 CDM,3068752206,HC HEPATITIS C BY QUANT NAAT WITH REFLEX GENOTYPE - ARUP,294.0,294.0,,,0 CDM,3068752207,HC HEPATITIS C QUANT PCR - QWDL,407.0,407.0,,,0 CDM,3068752301,HC HEPATITIS D DELTA QUANT,92.0,92.0,,,0 CDM,3068752901,HC HSV QUAL PCR,934.0,934.0,,,0 CDM,3068752902,HC HERPES SIMPLEX VIRUS 1 & 2 PCR QUALITATIVE,137.0,137.0,,,0 CDM,3068752903,"HC SURESWAB, HERPES SIMPLEX VIRUS TYPE 1 AND 2 MRNA, TMA - QDID",904.0,904.0,,,0 CDM,3068752904,HC HSV 1 PCR - HSV PCR QUAL NONBLOOD,983.0,983.0,,,0 CDM,3068752905,HC HSV 2 PCR - HSV PCR QUAL NONBLOOD,983.0,983.0,,,0 CDM,3068752907,HC HSV 1 PCR QUAL - HSV 1 AND 2 SUBTYPE BY PCR - ARUP,357.0,357.0,,,0 CDM,3068752908,HC HSV 2 PCR QUAL - HSV 1 AND 2 SUBTYPE BY PCR - ARUP,357.0,357.0,,,0 CDM,3068752909,HC HSV 1 PCR QUAL - HSV 1 AND 2 SURESWAB BY TMA - QDID,189.0,189.0,,,0 CDM,3068752910,HC HSV 2 PCR QUAL - HSV 1 AND 2 SURESWAB BY TMA - QDID,189.0,189.0,,,0 CDM,3068752911,"HC HSV-1 - T PALLIDUM, HSV-1, HSV-2 BY PCR - ARUP",305.0,305.0,,,0 CDM,3068752912,"HC HSV-2 - T PALLIDUM, HSV-1, HSV-2 BY PCR - ARUP",305.0,305.0,,,0 CDM,3068753001,"HC HSV, DNA, QUANT - HSV DNA, QUANTITATIVE",451.0,451.0,,,0 CDM,3068753002,HC HERPES SIMPLEX VIRUS (HSV) 1/2 PCR - QDID,941.0,941.0,,,0 CDM,3068753201,"HC HHV-6, DNA, AMP PROBE - HHV-6 DNA PROBE, AMPLIFIED",347.0,347.0,,,0 CDM,3068753202,HC HERPES VIRUS 6 (HHV-6) DNA PCR QUAL - QDID,679.0,679.0,,,0 CDM,3068753301,"HC HHV-6, DNA, QUANT - HHV-6 DNA PROBE, QUANTITATIVE",233.0,233.0,,,0 CDM,3068753303,HC HERPES VIRUS 6 PCR QUANT - CSF - VC,518.0,518.0,,,0 CDM,3068753304,HC HERPES VIRUS 6 PCR QUANT - SERUM - VC,518.0,518.0,,,0 CDM,3068753305,HC HERPES VIRUS 6 PCR QUANT - PLASMA - VC,518.0,518.0,,,0 CDM,3068753306,HC HERPES VIRUS 6 PCR QUANT - WB - VC,518.0,518.0,,,0 CDM,3068753307,HC HERPES VIRUS 6 PCR QUANT - ARUP,664.0,664.0,,,0 CDM,3068753501,"HC HIV-1 PROBE&REVERSE TRNSCRPJ - HIV-1 DNA PROBE, AMPLIFIED",190.0,190.0,,,0 CDM,3068753502,HC HIV NAT ONEBLOOD CHARGE,212.0,212.0,,,0 CDM,3068753503,HC HIV NAT DONOR,109.0,109.0,,,0 CDM,3068753504,HC HIV-1 - HIV-1/HIV-2 QUALITATIVE NAAT - ARUP,267.0,267.0,,,0 CDM,3068753505,HC HIV 1 RNA PCR QUAL TMA - QDID,1050.0,1050.0,,,0 CDM,3068753506,HC HIV 1 RNA PCR QUAL TMA - QWDL,1050.0,1050.0,,,0 CDM,3068753508,HC HIV-1 PCR QUALITATIVE - FOCUS SCREENING PROGRAM,1322.0,1322.0,,,0 CDM,3068753601,HC HIV 1 RNA QUANT PCR - QDID,315.0,315.0,,,0 CDM,3068753603,"HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, ULTRASENSITIVE QUANT, PCR",177.0,177.0,,,0 CDM,3068753604,HC HIV 1 PCR QUANTITATIVE,1322.0,1322.0,,,0 CDM,3068753605,"HC HIV 1 BY QUANTITATIVE NAAT, PLASMA (ARUP)",340.0,340.0,,,0 CDM,3068753606,HC HIV 1 QUANT PCR - QDID,406.0,406.0,,,0 CDM,3068753801,"HC HIV-2 PROBE&REVRSE TRNSCRIPJ - HIV-2 DNA PROBE, AMPLIFIED",421.0,421.0,,,0 CDM,3068753802,HC HIV 2 PCR QUAL - QDID,866.0,866.0,,,0 CDM,3068753803,HC HIV-2 - HIV-1/HIV-2 QUALITATIVE NAAT - ARUP,267.0,267.0,,,0 CDM,3068754101,HC LEGIONELLA SPECIES BY QUALITATIVE PCR,227.0,227.0,,,0 CDM,3068754102,HC LEGIONELLA PNEUMOPHILA PCR - LEGIONELLA SPECIES QUALITATIVE PCR - ARUP,178.0,178.0,,,0 CDM,3068755001,HC MYCOBACTERIA DNA PROBE,600.0,600.0,,,0 CDM,3068755101,"HC MYCOBACTERIA, DNA, AMP PROBE - MYCOBACTERIA DNA PROBE, AMPLIFIED",249.0,249.0,,,0 CDM,3068755601,"HC M TUBERCULOSIS COMPLEX, DNA PCR AMPLIFIED",177.5,177.5,,,0 CDM,3068755602,HC DNA/RNA AMP PROBE - M. TUBERCULOSIS CSF,248.0,248.0,,,0 CDM,3068755603,HC MYCOBACTERIUM TUBERCULOSIS DNA PROBE DIRECT,210.0,210.0,,,0 CDM,3068755604,HC MYCOBACTERIUM TUBERCULOSIS PCR - DIRECT M TUBERCULOSIS RIFAMPIN - ARUP,320.0,320.0,,,0 CDM,3068756001,"HC M.AVIUM-INTRA, DNA, DIR PROB - M. AVIUM-INTRA DNA PROBE, DIRECT",97.0,97.0,,,0 CDM,3068756301,HC M GENITALIUM AMP PROBE,187.0,187.0,,,0 CDM,3068756302,HC MYCOPLASMA GENITALIUM - UREAPLASMA AND MYCOPLASMA SPECIES BY PCR - ARUP,204.0,204.0,,,0 CDM,3068756401,"HC M TUBERCULOSIS COMPLEX AND RIFAMPIN RESISTANCE, DNA PCR AMPLIFIED",465.0,465.0,,,0 CDM,3068756402,"HC M TUBERCULOSIS COMPLEX AND RIFAMPIN RESISTANCE, DNA PCR AMPLIFIED - ARUP",557.0,557.0,,,0 CDM,3068758101,HC MYCOPLASMA PNEUMONIAE PCR,294.0,294.0,,,0 CDM,3068758103,HC MYCOPLASMA PNEUMONIAE PCR - ARUP,231.0,231.0,,,0 CDM,3068759101,HC NEISSERIA GONORRHOEA DNA PROBE,378.0,378.0,,,0 CDM,3068759102,HC GC DNA TMA,194.0,194.0,,,0 CDM,3068759103,"HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR REFER",378.0,378.0,,,0 CDM,3068759104,HC NEISSERIA GONORRHOEAE RNA BY TMA 10120,198.0,198.0,,,0 CDM,3068759105,HC NEISSERIA GONORRHEA DNA AMPLIFIED PROBE,380.0,380.0,,,0 CDM,3068759106,HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - QWDL,126.0,126.0,,,0 CDM,3068759107,HC NEISSERIA GONNORRHOEAE-CHLAMYDIA T & N GONNORRHOEAE BY TMA W/ RFLX-QWDL,42.0,42.0,,,0 CDM,3068759108,HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - ARUP,42.0,42.0,,,0 CDM,3068759109,HC NEISSERIA GONNORRHOEAE BY TMA - ARUP,63.0,63.0,,,0 CDM,3068759110,HC NEISSERIA GONORRHOEAE BY TMA-SEXUALLY TRANSMITTED DISEASE PANEL 1-ARUP,119.0,119.0,,,0 CDM,3068759111,HC NEISSERIA GONORRHOEAE CONFIRMATION TMA - ARUP,62.0,62.0,,,0 CDM,3068759112,HC N GONORRHOEAE TMA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 CDM,3068759114,"HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID",73.0,73.0,,,0 CDM,3068759115,"HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA THROAT - QDID",88.0,88.0,,,0 CDM,3068759301,HC ORTHOPOXVIRUS AMP PRB EACH,418.0,418.0,,,0 CDM,3068759302,HC MONKEYPOX (ORTHOPOXVIRUS) DNA PCR - ARUP,358.0,358.0,,,0 CDM,3068759303,"HC MONKEYPOX VIRUS PCR QUAL - MONKEYPOX, ORTHOPOXVIRUS DNA PCR - QDID",210.0,210.0,,,0 CDM,3068759401,HC PNEUMOCYSTIS JIROVECCI DNA PCR AMPLIFIED,1063.0,1063.0,,,0 CDM,3068759402,HC PNEUMOCYSTIS JIROVECII DNA PCR AMPLIFIED - ARUP,796.0,796.0,,,0 CDM,3068762401,"HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP",115.0,115.0,,,0 CDM,3068762402,HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV HIGH RISK PCR,415.0,415.0,,,0 CDM,3068762403,"HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, DIRECT",115.0,115.0,,,0 CDM,3068762404,HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE SUREPATH - ARUP,231.0,231.0,,,0 CDM,3068762405,HC PAP SMEAR+HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 SUREPATH - ARUP,231.0,231.0,,,0 CDM,3068762406,HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE THIN PREP- ARUP,231.0,231.0,,,0 CDM,3068762407,HC HUMAN PAPOLLOMAVIRUS (HPV) NUCLEIC ACID AMPLIFICATION HIGH RISK - ARUP,231.0,231.0,,,0 CDM,3068762408,"HC HPV HIGH RISK SCREEN BY TMA, THIN PREP, WITH REFLEX - ARUP",159.0,159.0,,,0 CDM,3068762501,HC MICROBIOLOGY - AMP PROBE HPV 16/18,145.0,145.0,,,0 CDM,3068762502,"HC HPV GENOTYPE 16 + 18/45 BY TMA, THIN PREP - ARUP",189.0,189.0,,,0 CDM,3068762602,HC HUMAN PAPILLOMAVIRUS (HPV) HIGH RISK WITH 16/18 GENOTYPE BY PCR SUREPATH- ARUP,219.0,219.0,,,0 CDM,3068762603,HC HUMAN PAPILLOMAVIRUS (HPV) HIGH RISK WITH 16/18 GENOTYPE BY PCR THINPREP - ARUP,219.0,219.0,,,0 CDM,3068763101,HC MICROBIOLOGY - AMP PROBE RESP 3-5 TARGETS,578.0,578.0,,,0 CDM,3068763102,HC RESPIRATORY VIRUS MINI PANEL PCR - 3 TARGETS - ARUP,630.0,630.0,,,0 CDM,3068763201,HC IADNA RESPIRATRY PROBE & REV TRNSCR 6-11 TARGET - ADDITIONAL CHARGE,30.0,30.0,,,0 CDM,3068763202,HC RESPIRATORY VIRAL PANEL PCR - ARUP,2309.0,2309.0,,,0 CDM,3068763301,HC IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET - ADDITIONAL CHARGE,2081.5,2081.5,,,0 CDM,3068763302,HC IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET - PANEL COMP CHARGE,2081.5,2081.5,,,0 CDM,3068763303,HC RESPIRATORY PANEL - 14 TARGETS,1319.0,1319.0,,,0 CDM,3068763401,HC MICROBIOLOGY - AMP PROBE RSV,198.0,198.0,,,0 CDM,3068763402,HC RSV PCR,184.0,184.0,,,0 CDM,3068763501,HC COVID-19 SARS-COV-2 AMPLIFIED PROBE,343.0,343.0,,,0 CDM,3068763503,HC COVID-19 SARS-COV-2 RT PCR (VC),343.0,343.0,,,0 CDM,3068763504,HC COVID-19 SARS-COV-2 NAA (LABCORP),343.0,343.0,,,0 CDM,3068763505,HC COVID-19 SARS-COV-2 (MAWD),343.0,343.0,,,0 CDM,3068763506,HC COVID-19 SARS-COV-2 RNA QUALITATIVE NAAT (QST) (MF),343.0,343.0,,,0 CDM,3068763507,HC COVID-19 SARS-COV-2 BY NAA (ARUP),273.0,273.0,,,0 CDM,3068763601,"HC COVID-19, FLU A, FLU B PCR",467.0,467.0,,,0 CDM,3068764001,HC STAPH AUREUS PCR - MRSA AND STAPH AUREUS PCR SCREEN NARES,582.0,582.0,,,0 CDM,3068764002,"HC STAPH A, DNA, AMP PROBE - STAPH A DNA PROBE, AMPLIFICATION COMPONENT",582.0,582.0,,,0 CDM,3068764101,HC MRSA PCR - MRSA AND STAPH AUREUS PCR SCREEN NARES,582.0,582.0,,,0 CDM,3068764103,HC MRSA RAPID SCREEN PCR NARES,344.0,344.0,,,0 CDM,3068765101,"HC STREP A, DNA, AMP PROBE - STREP A DNA PROBE, AMPLIFICATION",555.0,555.0,,,0 CDM,3068765102,HC STREP A DNA PROBE AMPLIFICATION THROAT,555.0,555.0,,,0 CDM,3068765201,"HC STREP A, DNA, QUANT - STREP A DNA, QUANTITATIVE",118.0,118.0,,,0 CDM,3068765301,HC STREP B DNA PCR PROBE,769.0,769.0,,,0 CDM,3068765302,HC STREP B DNA PCR AMPLIFIED PROBE ANTENATAL,769.0,769.0,,,0 CDM,3068766001,"HC TRICHOMONAS VAGIN, DIR PROBE - TRICHOMONAS VAGINALIS DNA PROBE",110.0,110.0,,,0 CDM,3068766101,HC MICROBIOLOGY - AMP PROBE TRICHOMONAS,373.0,373.0,,,0 CDM,3068766102,HC TRICHOMONAS VAGINALIS BY TMA,161.0,161.0,,,0 CDM,3068766103,HC TRICHOMONAS RNA BY TMA 10119,467.0,467.0,,,0 CDM,3068766104,HC TRICHOMONAS RNA BY TMA 10120,198.0,198.0,,,0 CDM,3068766105,HC TRICHOMONAS VAGINALIS PCR - VAGINAL PATHOGEN DNA PANEL,345.0,345.0,,,0 CDM,3068766106,HC TRICHOMONAS VAGINALIS PCR PROBE,316.0,316.0,,,0 CDM,3068766107,HC TRICHOMONAS VAGINALIS PCR - VAGINAL PATHOGEN DNA PANEL,343.5,343.5,,,0 CDM,3068766108,HC TRICHOMONAS VAGINALIS - SEXUALLY TRANSMITTED DISEASE PANEL 1 - ARUP,119.0,119.0,,,0 CDM,3068766109,HC TRICHOMONAS VAGINALIS BY TMA - ARUP,231.0,231.0,,,0 CDM,3068766110,HC TRICHOMONAS VAGINALIS - VAGINAL PATHOGEN DNA PANEL - ARUP,114.0,114.0,,,0 CDM,3068766111,HC TRICHOMONAS VAGINALIS TMA 10119-SURESWAB BACTI VAGINOSIS/VAGINITIS -QDID,322.0,322.0,,,0 CDM,3068766112,HC TRICHOMONAS VAG TMA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 CDM,3068766113,HC TRICHOMONAS VAGINALIS - CANDIDA AND TRICHOMONAS BY TMA - ARUP,133.0,133.0,,,0 CDM,3068766114,HC TRICHOMONAS VAGINALIS RNA TMA QUAL MALES - QDID,161.0,161.0,,,0 CDM,3068766201,HC MICROBIOLOGY - AMP PROBE ZIKA VIRUS,219.0,219.0,,,0 CDM,3068766202,HC ZIKA VIRUS PCR URINE - VC,430.0,430.0,,,0 CDM,3068766203,HC ZIKA VIRUS PCR PLASMA - VC,430.0,430.0,,,0 CDM,3068766204,HC ZIKA VIRUS PCR SERUM - VC,430.0,430.0,,,0 CDM,3068779801,"HC DETECT AGENT NOS, DNA, AMP - WEST NILE VIRUS CSF",120.0,120.0,,,0 CDM,3068779802,"HC DETECT AGENT NOS, DNA, AMP - BORDETELLA PERTUSSIS PCR",219.0,219.0,,,0 CDM,3068779804,"HC DETECT AGENT NOS, DNA, AMP",633.0,633.0,,,0 CDM,3068779805,HC WEST NILE VIRUS NAT FBC CHARGE,101.0,101.0,,,0 CDM,3068779806,HC CHIKUNGUNYA PCR QUALITATIVE,577.0,577.0,,,0 CDM,3068779807,HC MYCOBACTERIA TB COMPLEX PCR,227.0,227.0,,,0 CDM,3068779808,HC BORDETELLA PCR FLUID.,101.0,101.0,,,0 CDM,3068779809,HC EPSTEIN BARR VIRUS PCR QUALITATIVE,194.0,194.0,,,0 CDM,3068779810,HC JC VIRUS PCR,243.0,243.0,,,0 CDM,3068779811,HC TOXOPLASMA PCR,241.0,241.0,,,0 CDM,3068779812,HC WEST NILE VIRUS PCR,363.0,363.0,,,0 CDM,3068779813,HC VARICELLA ZOSTER VIRUS PCR.,194.0,194.0,,,0 CDM,3068779814,HC HTLV 1 AND 2 PCR,278.0,278.0,,,0 CDM,3068779815,HC PARVOVIRUS B19 DNA PCR,101.0,101.0,,,0 CDM,3068779816,HC HERPES VIRUS 8 PCR,511.0,511.0,,,0 CDM,3068779817,HC ANAPLASMA PHAGOCYTOPHILUM PCR,430.0,430.0,,,0 CDM,3068779818,HC TROPHERYMA WHIPPLEI PCR,380.0,380.0,,,0 CDM,3068779819,HC EHRLICHIA PCR,403.0,403.0,,,0 CDM,3068779820,HC HUMAN METAPNEUMOVIRUS PCR FLUID,486.0,486.0,,,0 CDM,3068779821,HC NOROVIRUS PCR,599.0,599.0,,,0 CDM,3068779823,HC LEGIONELLA PCR QUALITATIVE - LEGIONELLA SP AMPLIFIED PROBE,227.0,227.0,,,0 CDM,3068779825,HC AMPLIFIED NUCLEIC ACID PROBE QUALITATIVE- ADENOVIRUS NONBLOOD PCR,1152.0,1152.0,,,0 CDM,3068779826,HC DNA/RNA AMP PROBE - ADENOVIRUS,773.0,773.0,,,0 CDM,3068779827,HC DNA/RNA AMP PROBE - PARVOVIRUS B19/HUMAN,136.0,136.0,,,0 CDM,3068779829,HC DNA/RNA AMP PROBE - BORDETELLA PARAPERTUSSIS,92.0,92.0,,,0 CDM,3068779830,"HC VARICELLA ZOSTER VIRUS RT-PCR QUAL, NONBLOOD",949.0,949.0,,,0 CDM,3068779831,HC WEST NILE VIRUS NAT DONOR,109.0,109.0,,,0 CDM,3068779832,HC MTB RIFAMPIN PCR - DIRECT M. TUBERCULOSIS RIFAMPIN,210.0,210.0,,,0 CDM,3068779833,HC MYCOBACTERIUM TUBERCULOSIS DNA PROBE DIRECT,210.0,210.0,,,0 CDM,3068779834,HC ADENOVIRUS PCR QUAL NONBLOOD - ARUP,756.0,756.0,,,0 CDM,3068779835,HC NOROVIRUS 1 QUAL - NOROVIRUS GROUPS 1 AND 2 BY PCR - ARUP,273.0,273.0,,,0 CDM,3068779836,HC NOROVIRUS 2 QUAL - NOROVIRUS GROUPS 1 AND 2 BY PCR - ARUP,273.0,273.0,,,0 CDM,3068779837,HC ADENOVIRUS QUANT/QUAL PCR BLOOD,294.0,294.0,,,0 CDM,3068779838,HC ACANTHAMOEBA SPECIES - AMOEBA DETECTION PCR,588.0,588.0,,,0 CDM,3068779839,HC BALAMUTHIA MANDRILLARIS - AMOEBA DETECTION PCR,588.0,588.0,,,0 CDM,3068779840,HC NAEGLERIA FOWLERI - AMOEBA DETECTION PCR,588.0,588.0,,,0 CDM,3068779841,HC PNEUMOCYSTIS JIROVECII PCR,1068.0,1068.0,,,0 CDM,3068779842,HC PNEUMOCYSTIS JIROVECII PCR - ARUP,840.0,840.0,,,0 CDM,3068779843,HC WEST NILE VIRUS PCR QUAL - ARUP,571.0,571.0,,,0 CDM,3068779844,HC MTB RIFAMPIN PCR - DIRECT M. TUBERCULOSIS RIFAMPIN - ARUP,269.0,269.0,,,0 CDM,3068779845,HC ADENOVIRUS BY QUAL PCR - ARUP,757.0,757.0,,,0 CDM,3068779846,HC CHIKUNGUNYA PCR QUAL - QDID,1251.0,1251.0,,,0 CDM,3068779847,HC EHRLICHIA EWINGII/CANIS PCR - EHRLICHIA & ANAPLASMA SPECIES PCR - ARUP,188.0,188.0,,,0 CDM,3068779848,HC EHRLICHIA MURIS-LIKE PCR - EHRLICHIA & ANAPLASMA SPECIES PCR - ARUP,188.0,188.0,,,0 CDM,3068779849,HC EPSTEIN BARR VIRUS PCR QUAL - ARUP,210.0,210.0,,,0 CDM,3068779850,HC HERPES VIRUS 8 PCR QUAL - QDID,1085.0,1085.0,,,0 CDM,3068779851,HC HTLV 1 PCR - HTLV 1 & 2 PCR - QDID,254.0,254.0,,,0 CDM,3068779852,HC HTLV 2 PCR - HTLV 1 & 2 PCR - QDID,254.0,254.0,,,0 CDM,3068779853,HC JC VIRUS PCR QUAL - ARUP,315.0,315.0,,,0 CDM,3068779854,HC PAROVIRUS B19 PCR QUAL - ARUP,210.0,210.0,,,0 CDM,3068779855,HC BABESIA SPECIES PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 CDM,3068779856,HC EHRLICHIA EWINGII/CANIS PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 CDM,3068779857,HC EHRLICHIA MURIS LIKE PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 CDM,3068779858,HC TOXOPLASMA GONDII PCR QUAL - ARUP,386.0,386.0,,,0 CDM,3068779859,HC LEGIONELLA SPECIES PCR - LEGIONELLA SPECIES QUALITATIVE PCR - ARUP,178.0,178.0,,,0 CDM,3068779860,HC TROPHERYMA WHIPPLEI (WHIPPLE DISEASE) PCR QUAL - QDID,756.0,756.0,,,0 CDM,3068779861,HC TROPHERYMA WHIPPLEI (WHIPPLE DISEASE) PCR QUAL - ARUP,525.0,525.0,,,0 CDM,3068779862,HC MYCOPLASMA HOMINIS - UREAPLASMA AND MYCOPLASMA SPECIES BY PCR - ARUP,204.0,204.0,,,0 CDM,3068779863,HC UREAPLASMA PARVUM - UREAPLASMA AND MYCOPLASMA SPECIES BY PCR - ARUP,204.0,204.0,,,0 CDM,3068779864,HC UREAPLASMA UREALYTICUM - UREAPLASMA AND MYCOPLASMA SPECIES BY PCR - ARUP,204.0,204.0,,,0 CDM,3068779865,HC VARICELLA ZOSTER VIRUS PCR QUAL - ARUP,231.0,231.0,,,0 CDM,3068779866,HC MALARIA P. FALCIPARUM PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 CDM,3068779867,HC MALARIA P. KNOWLESI PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 CDM,3068779868,HC MALARIA P. MALARIAE PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 CDM,3068779869,HC MALARIA P. OVALE PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 CDM,3068779870,HC MALARIA P. VIVAX PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 CDM,3068779871,HC MUMPS VIRUS PCR QUAL - ARUP,609.0,609.0,,,0 CDM,3068779872,HC BORDETELLA PARAPERTUSSIS PCR - BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR,134.0,134.0,,,0 CDM,3068779873,HC BORDETELLA PERTUSSIS PCR - BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR,134.0,134.0,,,0 CDM,3068779874,HC BORDETELLA PARAPERTUSSIS PCR-BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR,134.0,134.0,,,0 CDM,3068779875,HC BORDETELLA PERTUSSIS PCR -BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR,134.0,134.0,,,0 CDM,3068779876,HC BORDETELLA PERTUSSIS PCR -BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR - ARUP,147.0,147.0,,,0 CDM,3068779877,HC BORDETELLA PARAPERTUSSIS PCR-BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR-ARUP,147.0,147.0,,,0 CDM,3068779878,HC BORDETELLA PERTUSSIS PCR,230.0,230.0,,,0 CDM,3068779879,"HC MEASLES (RUBEOLA) QUALITATIVE PCR, NP/THROAT - QUEST",1322.0,1322.0,,,0 CDM,3068779880,HC MEASLES - MEASLES VIRUS BY QUAL NAAT - ARUP,328.0,328.0,,,0 CDM,3068779881,HC MEASLES VACCINE STRAIN - MEASLES VIRUS BY QUAL NAAT - ARUP,328.0,328.0,,,0 CDM,3068779883,"HC TREPONEMA PALLIDUM - T PALLIDUM, HSV-1, HSV-2 BY PCR - ARUP",305.0,305.0,,,0 CDM,3068779901,HC BK VIRUS PCR QUANT BLOOD,834.0,834.0,,,0 CDM,3068779902,HC EPSTEIN BARR VIRUS (EBV) PCR QUANTITATIVE/QUALITATIVE,878.0,878.0,,,0 CDM,3068779903,HC BK VIRUS PCR QUANT/QUAL URINE - ARUP,475.0,475.0,,,0 CDM,3068779904,HC BK VIRUS PCR QUANT PLASMA - ARUP,378.5,378.5,,,0 CDM,3068779905,HC EPSTEIN BARR VIRUS (EBV) QUANT NAAT PLASMA - ARUP,392.0,392.0,,,0 CDM,3068779906,HC EPSTEIN BARR VIRUS PCR QUANT CSF,252.0,252.0,,,0 CDM,3068779910,HC NUCLEIC ACID PROBE QUANTITATIVE - EPSTEIN BARR VIRUS PCR,938.5,938.5,,,0 CDM,3068779911,HC NUCLEIC ACID PROBE QUANTITATIVE - ADENOVIRUS PCR BLOOD,325.5,325.5,,,0 CDM,3068779912,HC ADENOVIRUS QUANT PCR - ARUP,735.0,735.0,,,0 CDM,3068779913,HC BK VIRUS PCR QUANT URINE,1281.0,1281.0,,,0 CDM,3068779914,HC BK VIRUS DNA QUANT RT-PCR PLASMA - QWDL,429.5,429.5,,,0 CDM,3068780001,"HC DETECT AGENT, MULT ORGS, DNA, DIR - C. TRACHOMATIS / N. GONORRHOEAE",43.0,43.0,,,0 CDM,3068780102,"HC DETECT AGENT, MULT ORGS, DNA, AMP - MULTIPLE ORGANISMS",747.0,747.0,,,0 CDM,3068780103,HC BACTERIAL VAGINOSIS PCR - VAGINAL PATHOGEN DNA PANEL,690.0,690.0,,,0 CDM,3068780104,HC BACTERIAL VAGINOSIS PCR - VAGINAL PATHOGEN DNA PANEL,690.0,690.0,,,0 CDM,3068780105,HC BORRELIA SPECIES (LYME DISEASE) ON TICK BY PCR - ARUP,1063.0,1063.0,,,0 CDM,3068780201,"HC STREP B ANTIGEN,IMMUN,DIR OBS",68.0,68.0,,,0 CDM,3068780401,"HC DETECT AGENT,IMMUN,DIR OBS,INFLUENZA - RAPID FLU",445.0,445.0,,,0 CDM,3068780601,HC RAPID HIV ANTIBODY/ANTIGEN SCREEN,285.0,285.0,,,0 CDM,3068780701,HC MICROBIOLOGY - IMMUNOASSAY RSV AG,371.0,371.0,,,0 CDM,3068788001,"HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION",289.5,289.5,,,0 CDM,3068788003,"HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION, POC",294.0,294.0,,,0 CDM,3068789903,HC AGENT NOS ASSAY W/OPTIC - CAMPYLOBACTER,121.0,121.0,,,0 CDM,3068789904,HC AGENT NOS ASSAY W/OPTIC - CRYPTOCOCCAL,132.0,132.0,,,0 CDM,3068789906,HC AGENT NOS ASSAY W/OPTIC - LEGIONELLA,239.0,239.0,,,0 CDM,3068789907,HC AGENT NOS ASSAY W/OPTIC - SHIGELLA,132.0,132.0,,,0 CDM,3068789908,HC AGENT NOS ASSAY W/OPTIC - STREP PNEUMO,239.0,239.0,,,0 CDM,3068789909,HC AGENT NOS ASSAY W/OPTIC - UNLISTED ORGANISM,224.0,224.0,,,0 CDM,3068789910,HC STREPTOCOCCUS PNEUMONIAE ANTIGEN URINE,223.0,223.0,,,0 CDM,3068789912,HC STREPTOCOCCUS PNEUMONIAE ANTIGEN URINE - ARUP,151.0,151.0,,,0 CDM,3068789913,HC MALARIA SMEAR - RAPID SCREEN (WITH GIEMSA) - ARUP,593.0,593.0,,,0 CDM,3068790001,HC MICROBIOLOGY - SUSCEPTIBILITY PHENOTYPE HIV,692.0,692.0,,,0 CDM,3068790002,HC CYTOMEGALOVIRUS (CMV) ANTIVIRAL RESISTANCE PHENOTYPE - ARUP,1165.0,1165.0,,,0 CDM,3068790101,HC MICROBIOLOGY - GENOTYPE BY NA - HIV1,530.0,530.0,,,0 CDM,3068790201,HC HEPATITIS C GENOTYPE,1513.0,1513.0,,,0 CDM,3068790202,HC HEPATITIS C NS3 DRUG RESISTANCE GENOTYPE,314.0,314.0,,,0 CDM,3068790203,HC HCV NS5A GENOTYPE,314.0,314.0,,,0 CDM,3068790204,HC HEPATITIS C HIGH RESOLUTION GENOTYPE - ARUP,840.0,840.0,,,0 CDM,3068790205,HC HCV NS5A DRUG RESISTANCE GENOTYPE - ARUP,179.0,179.0,,,0 CDM,3068790206,HC HEPATITIS C GENOTYPE - ARUP,337.0,337.0,,,0 CDM,3068790207,HC HCV NS3 DRUG RESISTANCE GENOTYPE - QDID,2646.0,2646.0,,,0 CDM,3068790301,HC MICROBIOLOGY - NA PHENOTYPE DRUG RESIST 1-10 HIV1,1224.0,1224.0,,,0 CDM,3068790302,HC HIV-1 PHENOTYPE 10 DRUG SUSCEPT - HIV-1 PHENOSENSE - ARUP,2797.0,2797.0,,,0 CDM,3068790401,HC MICROBIOLOGY - NA PHENOTYPE DRUG RESIST EA ADD HIV1,716.0,716.0,,,0 CDM,3068790402,HC HIV-1 PHENOTYPE 12 DRUG SUSCEPT - HIV-1 PHENOSENSE - ARUP,149.0,149.0,,,0 CDM,3068790501,HC IA SIALIDASE ENZYME ASSAY POC,83.0,83.0,,,0 CDM,3068790601,HC MICROBIOLOGY - NA GENOTYPE HIV1 OTHER REGION,326.0,326.0,,,0 CDM,3068791001,HC CYTOMEGALOVIRUS (CMV) ANTIVIRAL RESISTANCE - ARUP,2300.0,2300.0,,,0 CDM,3068791201,HC MICROBIOLOGY - NA GENOTYPE HEP B VIRUS,666.0,666.0,,,0 CDM,3068791202,HC HEPATITIS B GENOTYPE - ARUP,1226.0,1226.0,,,0 CDM,3068799901,HC MICROBIOLOGY - UNLISTED PROCEDURE,1059.0,1059.0,,,0 CDM,3078100001,HC URINALYSIS W MICROSCOPIC NON-AUTO,65.0,65.0,,,0 CDM,3078100101,HC URINALYSIS AUTO WITH MICROSCOPIC,292.0,292.0,,,0 CDM,3078100201,"HC URINALYSIS, NON-AUTO W/O MICROSCPY",103.0,103.0,,,0 CDM,3078100202,"HC URINALYSIS, NON-AUTO W/O MICROSCPY - POC",61.0,61.0,,,0 CDM,3078100203,"HC URINALYSIS, NON-AUTO W/O MICROSCPY - ACETONE QUAL",61.0,61.0,,,0 CDM,3078100210,"HC URINALYSIS, NON-AUTO W/O MICROSCPY - PROTEIN",103.0,103.0,,,0 CDM,3078100211,"HC URINALYSIS, NON-AUTO W/O MICROSCPY - SPECIFIC GRAVITY",61.0,61.0,,,0 CDM,30781002PB,HC PBB URINALYSIS NONAUTO W/O SCOPE,85.0,85.0,,,0 CDM,3078100301,HC URINALYSIS DIPSTICK,196.0,196.0,,,0 CDM,3078100302,"HC URINALYSIS, AUTO, W/O SCOPE - POCT KETONE, URINE",122.0,122.0,,,0 CDM,3078100303,"HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - PH",150.0,150.0,,,0 CDM,3078100304,"HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - SPECIFIC GRAVITY",122.0,122.0,,,0 CDM,3078100305,"HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - OCCULT BLOOD",119.5,119.5,,,0 CDM,3078100306,"HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - ALBUMIN",122.0,122.0,,,0 CDM,3078100307,HC URINALYSIS POINT OF CARE,151.5,151.5,,,0 CDM,3078100308,HC BILE URINE,151.5,151.5,,,0 CDM,3078100309,HC GLUCOSE URINE QUALITATIVE,196.0,196.0,,,0 CDM,3078100310,HC UROBILINOGEN QUALITATIVE,196.0,196.0,,,0 CDM,3078100311,"HC URINALYSIS, AUTO W/O MICROSCPY - SPECIFIC GRAVITY QUAL",151.5,151.5,,,0 CDM,3078100314,HC UROBILINOGEN QUALITATIVE URINE,119.5,119.5,,,0 CDM,3078100504,"HC URINALYSIS - REDUCING SUBSTANCE, URINE",78.0,78.0,,,0 CDM,3078101501,HC URINALYSIS MICROSCOPIC ONLY,74.0,74.0,,,0 CDM,3078102501,HC URINE PREGNANCY TEST - PREGNANCY URINE,256.0,256.0,,,0 CDM,3078102502,HC URINE PREGNANCY TEST - PREGNANCY URINE - POC,256.0,256.0,,,0 CDM,3100035U01,HC NEURO CSF PRION PRTN QUAL,986.0,986.0,,,0 CDM,3100035U02,HC NEURO PRION PROTEIN - 14 3 3 PROTEIN CSF - ARUP,2480.0,2480.0,,,0 CDM,3100037U01,"HC PLA: TARGETED GENOMIC SEQ, DNA ANALYSIS 324 GENES (F1CDX)",5912.0,5912.0,,,0 CDM,3100058U01,"HC PLA: MERKEL CELL CARC A/B, SERUM, QUANT",3788.0,3788.0,,,0 CDM,3100058U02,HC MERKEL CELL CARCINOMA ANTIBODIES - ARUP,1390.0,1390.0,,,0 CDM,3100059U02,HC MERKEL POLYOMAVIRUS VP1 CAPSID ANTIBODY - ARUP,1318.0,1318.0,,,0 CDM,3100086U01,"HC PLA: INF DISEASE ID, RDNA FISH, 6+ TARGETS (ACCELERATE PHENOTEST)",927.0,927.0,,,0 CDM,3100141U01,HC PLA: INF DISEASE DNA 20 TAR GRAM-POSITIVE (EPLEX RP2),2153.0,2153.0,,,0 CDM,3100142U01,HC PLA: INF DISEASE DNA 21 TAR GRAM-NEGATIVE (EPLEX RP2),2204.0,2204.0,,,0 CDM,3100152U01,HC ORGANISM NGS KARIUS,4177.0,4177.0,,,0 CDM,3100152U02,HC MICROBIAL CELL-FREE DNA BY SEQUENCING (KARIUS TEST)- ARUP,8875.0,8875.0,,,0 CDM,3100202U01,HC PLA: INF DISEASE DNA/RNA 22 TAR QUAL RT-PCR (BIOFIRE RP2.1),3960.0,3960.0,,,0 CDM,3100202U02,HC RESPIRATORY PANEL BIOFIRE - 22 TARGETS,2072.0,2072.0,,,0 CDM,3100223U01,HC RESP VIRUS PNL 22 TARGETS INCLUDE SARS-COV-2 QUAL,1545.0,1545.0,,,0 CDM,3100224U01,HC MT SINAI LAB TEST SARS-COV-2 ABY W/ TITER IF PERFORMED,309.0,309.0,,,0 CDM,3100225U01,HC PLA: INF DISEASE DNA/RNA 21 TAR QUAL RT-PCR (EPLEX RP2),1988.0,1988.0,,,0 CDM,3100225U02,HC RESPIRATORY PANEL GENMARK - 21 TARGETS,1978.0,1978.0,,,0 CDM,3100226U01,HC SURROGATE VIR NEUT TEST SARS-COV-2 ELISA PLASMA/SERUM,1051.0,1051.0,,,0 CDM,3100240U01,HC RESP VIRUS PNL 3 TARGETS SARS-COV-2 FLU A FLU B QUAL,530.0,530.0,,,0 CDM,3100241U01,HC RESP VIRUS PNL 4 TARGETS SARS-COV-2 FLU A FLU B RSV QUAL,530.0,530.0,,,0 CDM,3100279U02,HC VON WILLEBRAND FACTOR (VWF) COLLAGEN III BINDING - ARUP,827.0,827.0,,,0 CDM,3100358U02,HC BETA-AMYLOID RATIO (1-42/1-40) CSF - MAYO,2099.0,2099.0,,,0 CDM,3103821001,"HC TRANS PREP CELLS,SPEC CELL DEPLETION",5153.0,5153.0,,,0 CDM,3103821101,"HC TRANS PREP CELLS,TUMOR CELL DEPLETE",5153.0,5153.0,,,0 CDM,3103821301,"HC TRANS PREP CELLS,PLATELET DEPLETION",5153.0,5153.0,,,0 CDM,3108112001,HC MOLECULAR PATHOLOGY - IDH1 GENE ANALYSIS,1097.0,1097.0,,,0 CDM,3108112002,HC IDH1 VARIANTS - IDH1/IDH2 MUTATIONAL ANALYSIS,1013.0,1013.0,,,0 CDM,3108112101,HC MOLECULAR PATHOLOGY - IDH2 GENE ANALYSIS,1097.0,1097.0,,,0 CDM,3108112102,HC IDH2 VARIANTS - IDH1/IDH2 MUTATIONAL ANALYSIS,1013.0,1013.0,,,0 CDM,3108116201,HC MOLECULAR PATHOLOGY - BRCA1 VARIANTS,2359.0,2359.0,,,0 CDM,3108116202,HC BRCA 1&2 SEQUENCING - ARUP,2191.0,2191.0,,,0 CDM,3108116301,HC MOLECULAR PATHOLOGY - BRCA1 FULL SEQUENCE,2877.0,2877.0,,,0 CDM,3108117001,HC MOLECULAR PATHOLOGY - ABL1 GENE ANALYSIS KINASE DOMAIN VAR,578.0,578.0,,,0 CDM,3108117002,HC BCR ABL1 MUTATION ANALYSIS BY NGS - ARUP,3112.0,3112.0,,,0 CDM,3108120601,HC MOLECULAR PATHOLOGY - BCR/ABL1 GENE ANALYSIS,256.0,256.0,,,0 CDM,3108120602,HC MOLECULAR PATHOLOGY - BCR/ABL T(9;22),256.0,256.0,,,0 CDM,3108120603,HC MOLECULAR PATHOLOGY - TIER 2 UNLISTED,256.0,256.0,,,0 CDM,3108120604,HC BCR/ABL T(9-22) PCR QUANTITATIVE,256.0,256.0,,,0 CDM,3108120605,HC BCR-ABL1 MAJOR QUANTITATIVE PCR - ARUP,1024.0,1024.0,,,0 CDM,3108120606,HC BCR-ABL1 MAJOR QUANT PCR REFLEX - ARUP,1024.0,1024.0,,,0 CDM,3108120607,HC BCR-ABL1 MAJOR - BCR-ABL1 QUAL W/ REFLEX TO MAJOR OR MINOR QUANT - ARUP,676.0,676.0,,,0 CDM,3108120701,HC MOLECULAR PATHOLOGY - BCR/ABL1 T922 GENE ANALYSIS,239.0,239.0,,,0 CDM,3108120702,HC BCR-ABL1 MINOR - BCR-ABL1 QUAL W/ REFLEX TO MAJOR OR MINOR QUANT - ARUP,676.0,676.0,,,0 CDM,3108120703,HC BCR/ABL T922 QNT MINOR BREAKPOINT,239.0,239.0,,,0 CDM,3108120801,"HC MOLECULAR PATHOLOGY - BCR/ABL1 (T(9;22)), QUAL OR QUANT",795.0,795.0,,,0 CDM,3108120802,HC BCR-ABL1 MICRO - BCR-ABL1 QUAL W/ REFLEX TO MAJOR OR MINOR QUANT - ARUP,676.0,676.0,,,0 CDM,3108121001,HC MOLECULAR PATHOLOGY - BRAF GENE ANALYSIS,1990.0,1990.0,,,0 CDM,3108121002,HC BRAF MUTATIONAL ANALYSIS,1837.0,1837.0,,,0 CDM,3108121801,HC MOLECULAR PATHOLOGY - CEBPA FULL GENE SEQUENCE,1972.0,1972.0,,,0 CDM,3108121901,"HC CALR GENE ANALYSIS, COMMON, EXON 9 - MPN JAK2 REFLEX PANEL",1429.0,1429.0,,,0 CDM,3108122001,HC MOLECULAR PATHOLOGY - CFTR COMMON VARIANTS - CYSTIC FIBROSIS DIAG STDY,188.0,188.0,,,0 CDM,3108122401,HC CYSTIC FIBROSIS TRANSMEM GENE INTRON POLY T,895.0,895.0,,,0 CDM,3108122501,"HC MOLECULAR PATHOLOGY - CYP2C19 ANALYSIS, COMMON VARIANTS",276.0,276.0,,,0 CDM,3108122701,HC GENE ANALYSIS - CYP2D9 VARIANTS,205.0,205.0,,,0 CDM,3108122801,HC MOLECULAR PATHOLOGY - CYTOGENOMIC MICROARRAY COPY NUMBER VARIANTS,9221.0,9221.0,,,0 CDM,3108122901,"HC MOLECULAR PATHOLOGY - CYTOGENOMIC MICROARRAY ANALYSIS, CNV & SNP",1094.0,1094.0,,,0 CDM,3108122902,HC CYTOGENOMIC INV PRB ARRAYFFPE TISSUE POC - ARUP,2017.0,2017.0,,,0 CDM,3108123201,HC MOLECULAR PATHOLOGY - DPYD GENE ANALYSIS,448.0,448.0,,,0 CDM,3108123202,HC DIHYDROPYRIMIDINE DEHYDROGENASE (DPYD) - ARUP,1155.0,1155.0,,,0 CDM,3108123501,HC MOLECULAR PATHOLOGY - EGFR GENE ANALYSIS,2665.0,2665.0,,,0 CDM,3108123502,HC EGFR GENE ANALYSIS,2665.0,2665.0,,,0 CDM,3108124001,HC MOLECULAR PATHOLOGY - 20210G F2 >A VARIANT - PROTHROMBIN GENE MUTATION,1127.0,1127.0,,,0 CDM,3108124003,HC FACTOR 2 GENE MUTATION - ARUP,201.0,201.0,,,0 CDM,3108124005,HC FACTOR 2 GENE MUTATION - QWDL,406.0,406.0,,,0 CDM,3108124101,HC MOLECULAR PATHOLOGY - F5 COAG FCTR V ANAL LEIDEN VARIANT - FCTR V LEIDEN,1127.0,1127.0,,,0 CDM,3108124102,HC FACTOR 5 LEIDEN,1040.0,1040.0,,,0 CDM,3108124104,HC FACTOR 5 LEIDEN - QWDL,366.0,366.0,,,0 CDM,3108124105,HC FACTOR 5 LEIDEN - ARUP,189.0,189.0,,,0 CDM,3108124301,"HC MOLECULAR PATHOLOGY - FMR1 ANALYSIS, ABNORMAL ALLELE DETECTION",220.0,220.0,,,0 CDM,3108124401,"HC MOLECULAR PATHOLOGY - FMR1 ANALYSIS, CHARAC OF ALLELES",361.0,361.0,,,0 CDM,3108124501,HC MOLECULAR PATHOLOGY - FLT3 GENE ANALYSIS,327.0,327.0,,,0 CDM,3108124601,HC MOLECULAR PATHOLOGY - FLT3 / TKD VARIANT GENE ANALYSIS,327.0,327.0,,,0 CDM,3108124602,HC FLT3 ITD AND TKD MUTATION DETECTION - ARUP,1030.0,1030.0,,,0 CDM,3108124701,HC MOLECULAR PATHOLOGY - G6PD GENE ANAL COM VAR,1212.0,1212.0,,,0 CDM,3108125001,"HC MOLECULAR PATHOLOGY - G6PC GENE ANALYSIS, COMMON VARIANTS",1168.0,1168.0,,,0 CDM,3108125201,HC MOLECULAR PATHOLOGY - GJB2 FULL GENE SEQUENCE,604.0,604.0,,,0 CDM,3108125501,HC HEXA GENE ANALYSIS COMMON VARIANTS,160.0,160.0,,,0 CDM,3108125601,HC MOLECULAR PATHOLOGY - HFE HEMOCHROMATOSIS CMN VAR - HEMOCHROMATOSIS MUT,181.0,181.0,,,0 CDM,3108125602,HC HEMOCHROMATOSIS (HFE) 3 MUTATION - ARUP,294.0,294.0,,,0 CDM,3108125701,"HC MOLECULAR PATHOLOGY - HBA2/HBA2 ANALYSIS, COMMON DELETIONS/VARIANT",391.0,391.0,,,0 CDM,3108125901,HC MOLECULAR PATHOLOGY - HBA1/HBA1 FULL GENE SEQUENCE,717.0,717.0,,,0 CDM,3108126101,HC MOLECULAR PATHOLOGY - IGH GENE ANALYSIS,2759.0,2759.0,,,0 CDM,3108126102,HC B CELL CLONALITY NGS,2759.0,2759.0,,,0 CDM,3108126301,HC MOLECULAR PATHOLOGY - IGH@ VARIABLE REGION SOMATIC MUTATION ANAL,596.0,596.0,,,0 CDM,3108126401,HC IGK GENE REARRANGEMENT ANALYSIS,838.0,838.0,,,0 CDM,3108126501,HC MOLECULAR PATHOLOGY - STR MARKERS SPECIMEN ANALYSIS,4840.0,4840.0,,,0 CDM,3108126502,HC CHIMERISM PRE TRANSPLANT DONOR,4469.0,4469.0,,,0 CDM,3108126503,HC CHIMERISM PRE TRANSPLANT RECIPIENT,4469.0,4469.0,,,0 CDM,3108126601,HC CHIMERISM PRE TRANSPLANT DONOR 2,4469.0,4469.0,,,0 CDM,3108126901,HC MOLECULAR PATHOLOGY - ALPHA GLOBIN HBA2 SEQUENCING AND DELETION,293.0,293.0,,,0 CDM,3108127001,HC MOLECULAR PATHOLOGY - JAK2 / V617F MUTATION GENE ANALYSIS,1214.0,1214.0,,,0 CDM,3108127002,HC JAK2 GENE V617F MUTATION QUANTITATIVE - ARUP,588.0,588.0,,,0 CDM,3108127003,HC JAK2 GENE V617F QUALITATIVE WITH REFLEX JAK2 EXON 12 - ARUP,525.0,525.0,,,0 CDM,3108127004,HC JAK2 GENE V617F QUALITATIVE WITH REFLEX CALR AND MPL - ARUP,525.0,525.0,,,0 CDM,3108127005,HC JAK2 GENE V617F MUTATION QUALITATIVE - ARUP,525.0,525.0,,,0 CDM,3108127006,HC JAK2 EXON 14 V617F POINT MUTATION,1144.0,1144.0,,,0 CDM,3108127101,"HC MOLECULAR PATHOLOGY - HUNTINGTON (HTT) GENE ANAL, EVAL ABNORM ALLELES",359.0,359.0,,,0 CDM,3108127102,HC HUNTINGTON DISEASE (HD) MUTATION BY PCR - ARUP,900.0,900.0,,,0 CDM,3108127201,HC MOLECULAR PATHOLOGY - KIT SEQUENCE,551.0,551.0,,,0 CDM,3108127301,HC MOLECULAR PATHOLOGY - KIT D816 VARIANT(S),1696.0,1696.0,,,0 CDM,3108127501,HC MOLECULAR PATHOLOGY - KRAS GENE ANALYSIS,1977.0,1977.0,,,0 CDM,3108127502,HC MOLECULAR PATHOLOGY - KRAS GENE VARIANTS,1977.0,1977.0,,,0 CDM,3108127503,HC KRAS GENE ANALYSIS,1990.0,1990.0,,,0 CDM,3108127504,HC KRAS MUTATIONAL ANALYSIS,1837.0,1837.0,,,0 CDM,3108127601,HC MOLECULAR PATHOLOGY - KRAS ADDITIONAL VAR GENE ANALYSIS,431.0,431.0,,,0 CDM,3108127901,HC JAK2 TARGETED SEQUENCE EXONS 12-15 - MPN JAK2 REFLEX PANEL,2287.0,2287.0,,,0 CDM,3108127902,HC JAK2 EXON 12 MUTATION PCR - ARUP,840.0,840.0,,,0 CDM,3108128301,HC INTERFERON LAMBDA 3 GENE ANALYSIS,534.0,534.0,,,0 CDM,3108128701,HC MOLECULAR PATHOLOGY - MGMT PROMOTER METHYLATION ANALYSIS,535.0,535.0,,,0 CDM,3108128801,HC MOLECULAR PATHOLOGY - MLH1 GENE ANALYSIS,590.0,590.0,,,0 CDM,3108129101,HC MOLECULAR PATHOLOGY - MTHFR VARIANTS,1120.0,1120.0,,,0 CDM,3108129102,HC MTHFR MUTATION PCR - ARUP,210.0,210.0,,,0 CDM,3108130101,HC MOLECULAR PATHOLOGY - MICROSATELLITE INSTABILITY GENE ANALYSIS,751.0,751.0,,,0 CDM,3108130201,HC MOLECULAR PATHOLOGY - MECP2 FULL GENE SEQUENCE,865.0,865.0,,,0 CDM,3108130501,"HC MOLECULAR PATHOLOGY - MYD88 GENE ANALYSIS, L265P VARIANT",892.0,892.0,,,0 CDM,3108130504,HC MOLECULAR PATHOLOGY - MYD88,892.0,892.0,,,0 CDM,3108130601,HC NUDT15 VARIANTS - TPMT AND NUDT15 GENETICS - ARUP,525.0,525.0,,,0 CDM,3108131001,"HC MOLECULAR PATHOLOGY - NPM1 ANALYSIS, EXON 12 VARIANTS",556.5,556.5,,,0 CDM,3108131101,HC MOLECULAR PATHOLOGY - NRAS / VAR EXON 2&3 GENE ANALYSIS,1991.0,1991.0,,,0 CDM,3108131401,"HC MOLECULAR PATHOLOGY - PDGFRA (GIST) GENE ANAL, TARGET SEQ ANAL",802.0,802.0,,,0 CDM,3108131501,HC MOLECULAR PATHOLOGY - PMR/RARALPHA COMMON BREAKPOINTS,1475.0,1475.0,,,0 CDM,3108131502,HC PML-RARA DETECTION BY RT-PCR QUANTITATIVE - ARUP,1372.0,1372.0,,,0 CDM,3108132201,HC PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT,303.0,303.0,,,0 CDM,3108132701,HC MOLECULAR PATHOLOGY - SEPT9 METHYLATION ANALYSIS,622.0,622.0,,,0 CDM,3108132901,HC MOLECULAR PATHOLOGY - SMN1/SMN2 GENE ANALYSIS,511.0,511.0,,,0 CDM,3108132902,"HC SPINAL MUSCULAR ATROPHY (SMA), COPY NUMBER ANALYSIS- ARUP",840.0,840.0,,,0 CDM,3108133101,HC MOLECULAR PATHOLOGY - SNRPN/UBE3A METHYLATION ANALYSIS,275.0,275.0,,,0 CDM,3108133201,"HC MOLECULAR PATHOLOGY - SERPINA1 ANALYSIS, COMMON VARIANTS",282.0,282.0,,,0 CDM,3108133202,HC ALPHA 1 ANTITRYPSIN GENOTYPE (SERPINA1) - A1A GENOTYPE - ARUP,633.0,633.0,,,0 CDM,3108133501,HC MOLECULAR PATHOLOGY - TPMT COMMON VARIANTS,382.0,382.0,,,0 CDM,3108133803,HC MPL MUTATION DETECTION BY CAPILLARY ELECTROPHORESIS - ARUP,1415.0,1415.0,,,0 CDM,3108133901,"HC MPL GENE SEQUENCE ANALYSIS, EXON 10 - MPN JAK2 REFLEX PANEL",2287.0,2287.0,,,0 CDM,3108134001,HC MOLECULAR PATHOLOGY - TRB GENE ANALYSIS,590.0,590.0,,,0 CDM,3108134201,HC MOLECULAR PATHOLOGY - GENE ANALYSIS - TRG T CELL VARIANTS,2762.0,2762.0,,,0 CDM,3108134202,HC T CELL CLONALITY NGS,2759.0,2759.0,,,0 CDM,3108135001,"HC MOLECULAR PATHOLOGY - UGT1A1 ANALYSIS, COMMON VARIANTS",293.0,293.0,,,0 CDM,3108135002,HC UGT1A1 GENOTYPING - ARUP,975.0,975.0,,,0 CDM,3108136301,HC HEMOGLOBIN SUBUNIT BETA - HBB DEL/DUP VARIANT,1073.0,1073.0,,,0 CDM,3108136401,HC HEMOGLOBIN SUBUNIT BETA - HBB FULL GENE SEQUENCE,763.0,763.0,,,0 CDM,3108137403,HC ANKLYOSING SPONDYLITIS (HLAB27) GENOTYPING - ARUP,500.0,500.0,,,0 CDM,3108137404,HC HLA-B27 ANTIGEN,736.0,736.0,,,0 CDM,3108137501,HC HLA DR TYPING MISC,1587.0,1587.0,,,0 CDM,3108137601,"HC HLA CLASS II LOCUS, LOW RESOLUTION",590.0,590.0,,,0 CDM,3108137602,HC HLA TYPING DQ GENOTYPE CELIAC DISEASE,590.0,590.0,,,0 CDM,3108138001,"HC HLA CLASS I ONE LOCUS, HIGH RESOLUTION",1858.0,1858.0,,,0 CDM,3108138101,"HC HLA CLASS I TYPING ALLELE, HIGH RESOLUTION",592.0,592.0,,,0 CDM,3108138201,"HC HLA CLASS II ONE LOCUS, HIGH RESOLUTION",656.0,656.0,,,0 CDM,3108138301,"HC HLA CLASS II TYPING, 1 ALLELE, HIGH RESOLUTION",474.0,474.0,,,0 CDM,3108140001,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 1,324.0,324.0,,,0 CDM,3108140002,HC MOLECULAR PATHOLOGY LEVEL 1,326.0,326.0,,,0 CDM,3108140003,HC MOLECULAR PATHOLOGY - SERPINE1 4G VARIANT,326.0,326.0,,,0 CDM,3108140102,"HC APOLIPOPROTEIN E (APOE) GENOTYPING, CARDIOVASCULAR RISK - ARUP",357.0,357.0,,,0 CDM,3108140103,HC MOLECULAR PATHOLOGY - EML4/ALK TRANSLOCATION/INVERSION ANALYSIS,335.0,335.0,,,0 CDM,3108140104,"HC MOLECULAR PATHOLOGY - NOD2 ANALYSIS, COMMON VARIANTS",335.0,335.0,,,0 CDM,3108140105,HC MOLECULAR PATHOLOGY - RUNX1/RUNX1T1 ANALYSIS,335.0,335.0,,,0 CDM,3108140106,HC MOLECULAR PATHOLOGY - WT1 GENE EXPRESSION,335.0,335.0,,,0 CDM,3108140107,"HC APOLIPOPROTEIN E (APOE) GENOTYPING, ALZHEIMER DISEASE RISK - ARUP",357.0,357.0,,,0 CDM,3108140201,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 3,626.0,626.0,,,0 CDM,3108140202,HC MPL CODON 515 MUTATION - ARUP,1416.0,1416.0,,,0 CDM,3108140301,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 4,581.0,581.0,,,0 CDM,3108140302,HC MOLECULAR PATHOLOGY - JANUS KINASE (JAK2) EXON 12-14 MUTATION,581.0,581.0,,,0 CDM,3108140303,HC MOLECULAR PATHOLOGY - RBC GENOTYPE,581.0,581.0,,,0 CDM,3108140304,HC MOLECULAR PATHOLOGY - MOLECULAR PHENOTYPE,581.0,581.0,,,0 CDM,3108140305,HC MOLECULAR PATHOLOGY - DNMT3A MUTATION ANALYSIS,581.0,581.0,,,0 CDM,3108140306,HC RBC GENOTYPE - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,403.0,403.0,,,0 CDM,3108140401,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 5,674.0,674.0,,,0 CDM,3108140402,HC TIER 2 LEVEL 5 - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,597.0,597.0,,,0 CDM,3108140501,HC MOLECULAR PATHOLOGY - MEN TYPE 2A,821.0,821.0,,,0 CDM,3108140502,HC MEN TYPE 2A - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,655.0,655.0,,,0 CDM,3108140503,"HC SPRED1 FULL GENE SEQUENCE - NEUROFIBROMATOSIS 1, LS PANEL - ARUP",2866.0,2866.0,,,0 CDM,3108140504,"HC PSEN1 GENE - EARLY-ONSET ALZHEIMER'S PANEL, SEQUENCING - ARUP",2951.0,2951.0,,,0 CDM,3108140601,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 7,819.0,819.0,,,0 CDM,3108140602,HC MOLECULAR PATHOLOGY - UBE3A GENE ANALYSIS,819.0,819.0,,,0 CDM,3108140603,HC CADASIL (NOTCH3) FULL GENE SEQUENCING - ARUP,3779.0,3779.0,,,0 CDM,3108140604,HC UBE3A GENE ANALYSIS - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,615.0,615.0,,,0 CDM,3108140605,"HC APP, PSEN2 GENES - EARLY-ONSET ALZHEIMER'S PANEL, SEQUENCING - ARUP",2770.0,2770.0,,,0 CDM,3108140702,HC GENE ANALYSIS - LEVEL 8 - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,1840.0,1840.0,,,0 CDM,3108140801,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 9,1806.0,1806.0,,,0 CDM,3108140802,HC MOLECULAR PATHOLOGY LEVEL 9,1806.0,1806.0,,,0 CDM,3108140803,HC GENE ANALYSIS - LEVEL 9 - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,4348.0,4348.0,,,0 CDM,3108140804,"HC NF1 FULL GENE SEQUENCE - NEUROFIBROMATOSIS 1, LS PANEL - ARUP",2866.0,2866.0,,,0 CDM,3108141001,HC MOLECULAR PATHOLOGY - AORTIC DYSFUNCTION,2673.0,2673.0,,,0 CDM,3108141301,HC MOLECULAR PATHOLOGY - CARDIAC ION CHANNELOPATHIES,3101.0,3101.0,,,0 CDM,3108141401,HC MOLECULAR PATHOLOGY - CARDIAC ION CHANNELOPATHIES KCNH2 KCNQ1,3101.0,3101.0,,,0 CDM,3108141402,HC CARDIAC ION KCNH2 KCNQ1 - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,1272.0,1272.0,,,0 CDM,3108141501,HC MOLECULAR PATHOLOGY - EXOME SEQUENCE,6296.0,6296.0,,,0 CDM,3108141601,HC EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME,4445.0,4445.0,,,0 CDM,3108142001,HC MOLECULAR PATHOLOGY - FETAL CHROMOSOME ANEUPLOIDY,783.0,783.0,,,0 CDM,3108142002,HC FETAL ANEUPLOIDY -NIPT FETAL ANEUPLOIDY SCREENING W MICRODELETIONS -ARUP,1154.0,1154.0,,,0 CDM,3108142201,HC MOLECULAR PATHOLOGY - FETAL CHROMOSOME MICRODELETIONS,2312.0,2312.0,,,0 CDM,3108142202,HC FETAL MICRODELETIONS -NIPT FETAL ANEUPLOIDY SCREEN W MICRODELETIONS-ARUP,1154.0,1154.0,,,0 CDM,3108143201,HC GENOMIC SEQUENCE ANALYSIS PANEL-HEREDITARY BREAST CANCER RLTD DISORDERS,4120.0,4120.0,,,0 CDM,3108143901,HC HRDTRY CARDMYPY GENE PANEL,3101.0,3101.0,,,0 CDM,3108144201,"HC GENOMIC SEQUENCE ANALYSIS PANEL - NOONAN SPECTRUM DISORDERS,12+ GENE SEQ",11368.0,11368.0,,,0 CDM,3108144301,HC MOLECULAR PATHOLOGY - SEVERE DISORDER,12985.0,12985.0,,,0 CDM,3108144501,HC MOLECULAR PATHOLOGY - SOLID ORGAN SEQUENCE VARIANTS,14452.0,14452.0,,,0 CDM,3108144502,HC SOLID TUMOR PROFILING BY NGS 50 GENES NON-LUNG DNA ANALYSIS,13426.0,13426.0,,,0 CDM,3108144503,HC SOLID TUMOR PROFILING BY NGS 50 GENES LUNG DNA ANALYSIS,13426.0,13426.0,,,0 CDM,3108144901,HC TARG GEN SEQ 5-50 GENES SO NEO RNA ANAL,6713.0,6713.0,,,0 CDM,3108144902,HC SOLID TUMOR PROFILING BY NGS 50 GENES NON-LUNG RNA ANALYSIS,6713.0,6713.0,,,0 CDM,3108144903,HC SOLID TUMOR PROFILING BY NGS 50 GENES LUNG RNA ANALYSIS,6713.0,6713.0,,,0 CDM,3108145001,HC MOLECULAR PATHOLOGY - HEMATOLYMPHOID SEQUENCE VARIANTS,3115.5,3115.5,,,0 CDM,3108145501,HC MOLECULAR PATHOLOGY - NEOPLASM SEQUENCE VARIANTS,15569.0,15569.0,,,0 CDM,3108145502,HC MOLECULAR PATHOLOGY - LUNG NEOPLASM SEQUENCE VARIANTS,15673.0,15673.0,,,0 CDM,3108145503,HC HEMATOPOIETIC TUMOR PROFILING BY NGS 75 GENES,14464.0,14464.0,,,0 CDM,3108145504,HC COMPREHENSIVE GENOMIC TUMOR PROFILING BY NGS 500 GENES,14464.0,14464.0,,,0 CDM,3108147901,HC MOLECULAR PATHOLOGY - TIER 2 UNLISTED,324.0,324.0,,,0 CDM,3108147902,HC NEUROFIBROMATOSIS 1 PCR,756.0,756.0,,,0 CDM,3108147903,HC Y CHROMOSOME MICRODELETION,756.0,756.0,,,0 CDM,3108147907,HC MOLECULAR PATHOLOGY UNLISTED PX - HUNTINGTON HTT,756.0,756.0,,,0 CDM,3108147908,HC MOLECULAR PATHOLOGY UNLISTED PX - IRRITABLE BOWEL DISEASE,756.0,756.0,,,0 CDM,3108147909,HC MOLECULAR PATHOLOGY UNLISTED PX - PANCROGEN CYST FLUID,756.0,756.0,,,0 CDM,3108147910,HC MOLECULAR PATHOLOGY UNLISTED PX - PCA3/KLK3 RATIO,756.0,756.0,,,0 CDM,3108147911,HC MOLECULAR PATHOLOGY UNLISTED PX - TIER 2 UNLISTED,756.0,756.0,,,0 CDM,3108147912,HC GAMMA GLOBIN (HBG1 AND HBG2) SEQUENCING - ARUP,2805.0,2805.0,,,0 CDM,3108147913,HC TIER 2 UNLISTED - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,590.0,590.0,,,0 CDM,3108147914,"HC SPRED1, NF1 DEL/DUP - NEUROFIBROMATOSIS 1, LS PANEL - ARUP",2866.0,2866.0,,,0 CDM,3108150301,HC MOLECULAR PATHOLOGY MAAA - OVARIAN ONCOLOGY,597.0,597.0,,,0 CDM,3108150302,HC MALIGNANCY RISK ASSESSMENT PELVIC MASS OVA1 PLUS - ARUP,1868.0,1868.0,,,0 CDM,3108150801,HC FTL CGEN ABNOR TWO PROTEINS,288.0,288.0,,,0 CDM,3108150802,HC MATERNAL SCREENING SEQUENTIAL 1 - ARUP,257.0,257.0,,,0 CDM,3108151101,"HC FETAL CONGENITAL ABNORM PANEL, MATERNAL SERUM",209.0,209.0,,,0 CDM,3108151102,HC MATERNAL SERUM SCREEN QUAD TEST - ARUP,179.0,179.0,,,0 CDM,3108151103,HC MATERNAL SERUM SCREEN SEQUENTIAL SPECIMEN 2 - ARUP,456.0,456.0,,,0 CDM,3108151501,"HC BACTERIAL VAGINOSIS AND VAGINITIS, DNA PCR",1373.0,1373.0,,,0 CDM,3108153901,HC MOLECULAR PATHOLOGY MAAA - PROSTATE ONCOLOGY,1075.0,1075.0,,,0 CDM,3108153902,HC PROSTATE SPECIFIC KALLIKREIN 4K SCORE - ARUP,2507.0,2507.0,,,0 CDM,3108615201,HC IMMUNOLOGIC SELECTION CELL ENUMERATION AND ID,821.0,821.0,,,0 CDM,3108818701,HC FLOW CYTOMETRY LEUK/LYMPH PHENO 2-8 MARKERS - ARUP,161.0,161.0,,,0 CDM,3108818901,HC FLOW CYTOMETRY LEUK/LYMPH 16 OR MORE MARKERS - ARUP,194.0,194.0,,,0 CDM,3108823001,"HC TISSUE CULTURE, LYMPHOCYTE - CHROMOSOME ANALYSIS",397.0,397.0,,,0 CDM,3108823003,HC TISSUE CULTURE LYMPHOCYTE - CHROMOS WHOLE BLD CONSTITUTIONAL - ARUP,627.0,627.0,,,0 CDM,3108823301,"HC TISSUE CULTURE, SKIN OR SOLID TISSUE BIOPSY - CHROMOSOME ANALYSIS",178.0,178.0,,,0 CDM,3108823302,HC CHROMOSOME PRODUCTS OF CONCEPTION,177.0,177.0,,,0 CDM,3108823501,"HC TISSUE CULTURE, AMNIOTIC FLD OR CVS - CHROMOSOME ANALYSIS",457.0,457.0,,,0 CDM,3108823502,HC CHROMOSOME CHORIONIC VILLI,457.0,457.0,,,0 CDM,3108823701,"HC TISSUE CULTURE NEOPLASTIC DISORDER - CHROMOSOME ANALYSIS - BONE MARROW, BLOOD CELLS",280.0,280.0,,,0 CDM,3108823702,HC CHROMOSOME LEUKEMIC BLOOD,314.0,314.0,,,0 CDM,3108823901,HC TISSUE CULTURE NEOPLASTIC DISORDER - CHROMOSOME ANALYSIS - SOLID TUMOR,164.0,164.0,,,0 CDM,3108823902,HC CHROMOSOME TUMOR,184.0,184.0,,,0 CDM,3108824001,HC CRYOPRESERVE AND STORE EA CELL LINE,569.0,569.0,,,0 CDM,3108824801,HC CHROMOSOME ANALYSIS 50-100 CELLS,919.0,919.0,,,0 CDM,3108824901,HC CHROMOSOME ANALYSIS 100 CELLS,919.0,919.0,,,0 CDM,3108826101,HC PATHOLOGY - CHROM ANALYSIS 5 CELL KAROTYPE BANDING,319.5,319.5,,,0 CDM,3108826201,HC PATHOLOGY - 15 - 20 CELL 2 KAROTYPE BANDING,246.0,246.0,,,0 CDM,3108826202,HC 15-20 CELL 2 KARYO BAND -CHROMOSOME WHOLE BLD CONSTITUTIONAL - ARUP,675.0,675.0,,,0 CDM,3108826701,HC PATHOLOGY - CHROM ANALYSIS 15 CELLS 1 KARYOTYPE WITH BANDING AMNIOTIC FLD OR CVS,315.0,315.0,,,0 CDM,3108826901,HC CHROMOSOME ANALYSIS IN SITU AMNIOTIC FL,962.0,962.0,,,0 CDM,3108827101,"HC CYTOGENETICS, DNA PROBE - ALK, FISH",138.0,138.0,,,0 CDM,3108827103,"HC CYTOGENETICS, DNA PROBE - FISH",2.0,2.0,,,0 CDM,3108827104,"HC CYTOGENETICS DNA PROBE, EACH - DIGEORGE SYMDROME",194.0,194.0,,,0 CDM,3108827201,"HC CYTOGENETICS, DNA PROBE - CHROM IN SITU HYBRID 3-5 CELLS",216.0,216.0,,,0 CDM,3108827301,"HC CYTOGENETICS, DNA PROBE - CHROM IN SITU HYBRID 10-30 CELLS",324.0,324.0,,,0 CDM,3108827302,HC WILLIAMS SYNDROME,324.0,324.0,,,0 CDM,3108827303,HC DIGEORGE SYNDROME,324.0,324.0,,,0 CDM,3108827401,HC PATHOLOGY - INTERPHASE IN SITU HYBRID 25 - 99 CELL ANALYSIS,145.0,145.0,,,0 CDM,3108827502,HC PATHOLOGY - INTERPHASE IN SITU HYBRID 100-300 CELL ANALYSIS,3.0,3.0,,,0 CDM,3108827503,HC PRENATAL INSIGHT BY FISH AMNIOTIC FLUID,134.0,134.0,,,0 CDM,3108828001,HC PATHOLOGY - CHROM ANALYSIS ADDITIONAL KARYOTYPE,110.0,110.0,,,0 CDM,3108828501,HC PATHOLOGY - CHROM ANALYSIS ADDITIONAL CELLS COUNTED,138.0,138.0,,,0 CDM,3108828901,HC PATHOLOGY - CHROM ANALYSIS ADDITIONAL HIGH RES,843.0,843.0,,,0 CDM,3108829101,HC PATHOLOGY - GENETIC STUDY INTERP & REPORT,79.0,79.0,,,0 CDM,3108829102,HC CYTOGENETICS INTERPRETATION AND REPORT - AMNIOTIC FLUID,79.0,79.0,,,0 CDM,3108829105,HC CYTOGENETICS INTERPRETATION AND REPORT - AMNIO PRENATAL INSIGHT,79.0,79.0,,,0 CDM,3108829106,HC CYTOGENETICS INTERPRETATION AND REPORT - DIGEORGE SYNDROME,95.0,95.0,,,0 CDM,3108831401,HC SURGICAL PATHOLOGY HISTOCHEMICAL STAIN ON FROZEN TISSUE,790.0,790.0,,,0 CDM,3108832901,HC PATHOLOGY - INTRAOP CONSULT,170.0,170.0,,,0 CDM,3108833301,HC PATHOLOGY - INTRAOP CONSULT INITIAL SITE PREP EXAM,428.0,428.0,,,0 CDM,3108834401,HC PATHOLOGY - IMMUNOCYTOCHEM MULTIPLEX ABY STAIN,733.0,733.0,,,0 CDM,3108834801,HC PATHOLOGY - ELECTRON MICROSCOPY,672.0,672.0,,,0 CDM,3108835001,HC PATHOLOGY - IMMUNOFLUOR ADDITIONAL SINGLE ABY STAIN,124.0,124.0,,,0 CDM,3108836001,HC IMMUNOHISTOCHEMISTRY (IHC) MANUAL MORPHOMETRIC ANALYSIS EACH ANTIBODY,910.0,910.0,,,0 CDM,3108836002,HC ESTROGEN RECEPTOR SEMIQUANTITATIVE,419.0,419.0,,,0 CDM,3108836003,HC PROGESTERONE RECEPTOR SEMIQUANTITATIVE,419.0,419.0,,,0 CDM,3108836004,HC MIB1 SEMIQUANTITATIVE,419.0,419.0,,,0 CDM,3108836101,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPUTER ASSIST,311.0,311.0,,,0 CDM,3108836102,HC PATHOLOGY - ER/PR MORPH ANALYSIS IHC STAIN SGL ABY QUANT/QUAL COMP ASST,350.0,350.0,,,0 CDM,3108836103,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPUTER ER,350.0,350.0,,,0 CDM,3108836104,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPUTER PR,350.0,350.0,,,0 CDM,3108836105,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPTR HER2,350.0,350.0,,,0 CDM,3108836106,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPTR TUMOR,350.0,350.0,,,0 CDM,3108836201,HC PATHOLOGY - NERVE TEASING PREPARATIONS,546.0,546.0,,,0 CDM,3108836301,HC EXAMINATION AND SELECTION OF ARCHIVED TISSUE FOR MOLECULAR ANALYSIS,115.0,115.0,,,0 CDM,3108836401,HC IN SITU HYBRIDIZATION EACH ADDITIONAL SINGLE PROBE STAIN,549.0,549.0,,,0 CDM,3108836501,HC IN SITU HYBRIDIZATION INITIAL SINGLE PROBE STAIN,549.0,549.0,,,0 CDM,3108836502,HC EBER BY ISH,339.0,339.0,,,0 CDM,3108836503,HC PATHOLOGY - INSITU HYB INITIAL STAIN - HPV,339.0,339.0,,,0 CDM,3108836701,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB INITIAL STAIN COMPUTER ASSIST,1464.0,1464.0,,,0 CDM,3108836801,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB INITIAL STAIN MANUAL,1464.0,1464.0,,,0 CDM,3108836901,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB ADDITIONAL STAIN MANUAL,2351.0,2351.0,,,0 CDM,3108837301,"HC PATHOLOGY-MORPH ANALYSIS IN SITU,PER SPCMN,EA ADDL PROBE STAIN COMP ASST",135.0,135.0,,,0 CDM,3108837401,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB MULTIPLX STAIN COMPUTER ASSIST,2.0,2.0,,,0 CDM,3108837702,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB MANUAL EACH MULTIPLEX STAIN PROCEDURE,420.0,420.0,,,0 CDM,3108838001,HC PATHOLOGY - MICRODISSECTION LASER CAPTURE,1516.0,1516.0,,,0 CDM,3108838101,HC PATHOLOGY - MICRODISSECTION MANUAL,284.5,284.5,,,0 CDM,3108839901,HC PATHOLOGY - UNLISTED SURGICAL PATHOLOGY PROCEDURE,250.0,250.0,,,0 CDM,3118810401,"HC CTYOPATHOLOGY SMEARS AND INTERPRETATION, FLUIDS",469.0,469.0,,,0 CDM,3118810801,"HC CYTOPATHOLOGY CONCENTRATION, SMEARS, AND INTERPRETATION, FLUIDS",1309.0,1309.0,,,0 CDM,3118811201,HC LAB CYTOPATH CELL ENHANCE TECH - ANAL PAP,1118.0,1118.0,,,0 CDM,3118811202,HC CYTO-WASHING,250.0,250.0,,,0 CDM,3118811203,HC CYTO-BRUSH WASHINGS,250.0,250.0,,,0 CDM,3118811204,"HC CYTOPATH CELL ENHANCE TECH - LAB CYTOPATH, CELL ENHANCE TECH INTERM",858.0,858.0,,,0 CDM,3118811205,"HC CYTOPATH CELL ENHANCE TECH - LAB CYTOPATH, CELL ENHANCE TECH CMPLX",858.0,858.0,,,0 CDM,3118812001,"HC CYTP URNE 3-5 PROBES EA SPEC - LAB CYTOPATH, INSITU HYB URINE SPEC",591.0,591.0,,,0 CDM,3118812101,"HC CYTP URINE 3-5 PROBES CMPTR - LAB CYTOPATH, INSITU HYB URINE SPEC",849.0,849.0,,,0 CDM,3118814101,HC PAP SMEAR PATHOLOGIST INTERPRETATION NO ALT CODE,35.0,35.0,,,0 CDM,3118814102,HC PAP SMEAR SCREENING MANUAL PATHOLOGIST INTERPRETATION ALT CODE G0124,33.0,33.0,,,0 CDM,3118814103,HC PAP SMEAR SCREENING IMAGED PATHOLOGIST INTERPRETATION ALT CODE G0141,35.0,35.0,,,0 CDM,3118814201,HC PAP SMEAR DIAGNOSTIC MANUAL NO ALT CODE,180.0,180.0,,,0 CDM,3118814202,HC PAP SMEAR SCREENING MANUAL ALT CODE G0123,180.0,180.0,,,0 CDM,3118816001,"HC CYTOPATHOLOGY SMEARS, INTERPRETATION, ANY OTHER SOURCE",515.0,515.0,,,0 CDM,3118816101,"HC CYTOPATHOLOGY SMEARS, PREPARATION AND INTERPRETATION, ANY OTHER SOURCE",617.0,617.0,,,0 CDM,3118816402,HC CYTOPATH PAPSM - PAP MAN SCRN PHY SPV BETHES DIAG,46.0,46.0,,,0 CDM,3118816501,HC CYTOPATH TBS C/V REDO - LAB CYTOPATH TBS CERV/VAG REDO,287.0,287.0,,,0 CDM,3118817201,HC FINE NEEDLE ASPIRATION IMMEDIATE EVALUATION FOR ADEQUACY FIRST SITE,1094.0,1094.0,,,0 CDM,3118817301,HC FINE NEEDLE ASPIRATION INTERPRETATION AND REPORT,1095.0,1095.0,,,0 CDM,3118817302,HC CYTOPATH EVAL FNA REPORT - LAB INTERPRETATION OF FNA SMEAR ADDL SITE,1239.0,1239.0,,,0 CDM,3118817501,"HC CYTOPATH C/V AUTO FLUID - PAPSM THIN LAYER,INTER DIAG NO ALT CODE",537.0,537.0,,,0 CDM,3118817502,HC PAP SMEAR DIAGNOSTIC IMAGED NO ALT CODE,537.0,537.0,,,0 CDM,3118817503,HC PAP SMEAR SCREENING IMAGED ALT CODE G0145,537.0,537.0,,,0 CDM,3118817701,HC FINE NEEDLE ASPIRATION IMMEDIATE EVALUATION FOR ADEQUACY EACH ADDL SITE,1094.0,1094.0,,,0 CDM,3118818201,"HC FLOWCYTOMETRY/ TECH COMPONENT, CELL CYCLE OR DNA ANALYSIS",618.0,618.0,,,0 CDM,3118818405,HC FLOW CYTOMETRY FIRST MARKER,413.0,413.0,,,0 CDM,3118818406,HC REFERENCE FETAL HEMOGLOBIN QUANTITATIVE,401.0,401.0,,,0 CDM,3118818407,HC NATURAL KILLER CELL FUNCTION ASSAY,229.0,229.0,,,0 CDM,3118818408,HC LYMPHOCYTE SUBSETS,284.0,284.0,,,0 CDM,3118818415,"HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - FLOWCYTOMETRY",814.5,814.5,,,0 CDM,3118818417,"HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - IMMUNOPHENOTYPE",814.5,814.5,,,0 CDM,3118818418,"HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - LYMPHOBLASTIC LYMPHOMA",814.5,814.5,,,0 CDM,3118818419,HC B CELL CD20 EXPRESSION FIRST MARKER - ARUP,388.0,388.0,,,0 CDM,3118818420,HC RBC BAND 3 PROTEIN REDUCTION - ARUP,464.0,464.0,,,0 CDM,3118818421,HC LYMPHOCYTE SUBSETS FIRST MARKER,233.0,233.0,,,0 CDM,3118818422,HC PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH) FIRST MARKER,588.0,588.0,,,0 CDM,3118818423,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 35 MARKERS - ARUP,72.0,72.0,,,0 CDM,3118818424,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 10 MARKERS - ARUP,103.0,103.0,,,0 CDM,3118818425,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 11 MARKERS - ARUP,108.0,108.0,,,0 CDM,3118818426,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 12 MARKERS - ARUP,103.0,103.0,,,0 CDM,3118818427,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 13 MARKERS - ARUP,99.0,99.0,,,0 CDM,3118818428,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 14 MARKERS - ARUP,96.0,96.0,,,0 CDM,3118818429,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 15 MARKERS - ARUP,94.0,94.0,,,0 CDM,3118818430,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 16 MARKERS - ARUP,91.0,91.0,,,0 CDM,3118818431,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 17 MARKERS - ARUP,90.0,90.0,,,0 CDM,3118818432,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 18 MARKERS - ARUP,88.0,88.0,,,0 CDM,3118818433,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 19 MARKERS - ARUP,85.0,85.0,,,0 CDM,3118818434,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 20 MARKERS - ARUP,84.0,84.0,,,0 CDM,3118818435,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 21 MARKERS - ARUP,83.0,83.0,,,0 CDM,3118818436,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 22 MARKERS - ARUP,81.0,81.0,,,0 CDM,3118818437,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 23 MARKERS - ARUP,80.0,80.0,,,0 CDM,3118818438,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 24 MARKERS - ARUP,79.0,79.0,,,0 CDM,3118818439,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 25 MARKERS - ARUP,74.0,74.0,,,0 CDM,3118818440,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 26 MARKERS - ARUP,78.0,78.0,,,0 CDM,3118818441,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 27 MARKERS - ARUP,77.0,77.0,,,0 CDM,3118818442,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 28 MARKERS - ARUP,76.0,76.0,,,0 CDM,3118818443,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 29 MARKERS - ARUP,76.0,76.0,,,0 CDM,3118818444,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 30 MARKERS - ARUP,75.0,75.0,,,0 CDM,3118818445,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 31 MARKERS - ARUP,74.0,74.0,,,0 CDM,3118818446,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 32 MARKERS - ARUP,74.0,74.0,,,0 CDM,3118818447,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 33 MARKERS - ARUP,73.0,73.0,,,0 CDM,3118818448,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 34 MARKERS - ARUP,73.0,73.0,,,0 CDM,3118818449,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 5 MARKERS - ARUP,169.0,169.0,,,0 CDM,3118818450,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 6 MARKERS - ARUP,150.0,150.0,,,0 CDM,3118818451,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 7 MARKERS - ARUP,136.0,136.0,,,0 CDM,3118818452,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 8 MARKERS - ARUP,127.0,127.0,,,0 CDM,3118818453,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 9 MARKERS - ARUP,118.0,118.0,,,0 CDM,3118818454,HC FLOW CYTOMETRY ANALYSIS FIRST MARKER - MAWD,588.0,588.0,,,0 CDM,3118818501,"HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - LAB FLOWCYTOMETRY/TECH CMP",345.0,345.0,,,0 CDM,3118818502,"HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - BUNDLED CHARGE",94.5,94.5,,,0 CDM,3118818503,HC PNH ADDITIONAL MARKERS,2260.0,2260.0,,,0 CDM,3118818504,HC LYMPHOCYTE SUBSETS ADDITIONAL MARKERS,580.5,580.5,,,0 CDM,3118818505,HC FLOW CYTOMETRY EACH ADDITIONAL MARKER,358.0,358.0,,,0 CDM,3118818506,"HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - LAB FLOWCYTOMETRY/TECH CMP",175.0,175.0,,,0 CDM,3118818507,HC LYMPHOCYTE SUBSETS ADDITIONAL MARKERS,639.0,639.0,,,0 CDM,3118818508,HC PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH) ADDITIONAL MARKERS,544.0,544.0,,,0 CDM,3118818509,HC B CELL CD20 EXPRESSION ADDITIONAL MARKER - ARUP,388.0,388.0,,,0 CDM,3118818510,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 34 ADDITIONAL MARKERS - ARUP,72.0,72.0,,,0 CDM,3118818511,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 9 ADDITIONAL MARKERS - ARUP,103.0,103.0,,,0 CDM,3118818512,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 10 ADDITIONAL MARKERS - ARUP,108.0,108.0,,,0 CDM,3118818513,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 11 ADDITIONAL MARKERS - ARUP,103.0,103.0,,,0 CDM,3118818514,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 12 ADDITIONAL MARKERS - ARUP,99.0,99.0,,,0 CDM,3118818515,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 13 ADDITIONAL MARKERS - ARUP,96.0,96.0,,,0 CDM,3118818516,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 14 ADDITIONAL MARKERS - ARUP,94.0,94.0,,,0 CDM,3118818517,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 15 ADDITIONAL MARKERS - ARUP,91.0,91.0,,,0 CDM,3118818518,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 16 ADDITIONAL MARKERS - ARUP,90.0,90.0,,,0 CDM,3118818519,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 17 ADDITIONAL MARKERS - ARUP,88.0,88.0,,,0 CDM,3118818520,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 18 ADDITIONAL MARKERS - ARUP,85.0,85.0,,,0 CDM,3118818521,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 19 ADDITIONAL MARKERS - ARUP,84.0,84.0,,,0 CDM,3118818522,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 20 ADDITIONAL MARKERS - ARUP,83.0,83.0,,,0 CDM,3118818523,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 21 ADDITIONAL MARKERS - ARUP,81.0,81.0,,,0 CDM,3118818524,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 22 ADDITIONAL MARKERS - ARUP,80.0,80.0,,,0 CDM,3118818525,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 23 ADDITIONAL MARKERS - ARUP,79.0,79.0,,,0 CDM,3118818526,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 24 ADDITIONAL MARKERS - ARUP,74.0,74.0,,,0 CDM,3118818527,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 25 ADDITIONAL MARKERS - ARUP,78.0,78.0,,,0 CDM,3118818528,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 26 ADDITIONAL MARKERS - ARUP,77.0,77.0,,,0 CDM,3118818529,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 27 ADDITIONAL MARKERS - ARUP,76.0,76.0,,,0 CDM,3118818530,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 28 ADDITIONAL MARKERS - ARUP,76.0,76.0,,,0 CDM,3118818531,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 29 ADDITIONAL MARKERS - ARUP,75.0,75.0,,,0 CDM,3118818532,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 30 ADDITIONAL MARKERS - ARUP,74.0,74.0,,,0 CDM,3118818533,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 31 ADDITIONAL MARKERS - ARUP,74.0,74.0,,,0 CDM,3118818534,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 32 ADDITIONAL MARKERS - ARUP,73.0,73.0,,,0 CDM,3118818535,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 33 ADDITIONAL MARKERS - ARUP,73.0,73.0,,,0 CDM,3118818536,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 4 ADDITIONAL MARKERS - ARUP,169.0,169.0,,,0 CDM,3118818537,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 5 ADDITIONAL MARKERS - ARUP,150.0,150.0,,,0 CDM,3118818538,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 6 ADDITIONAL MARKERS - ARUP,136.0,136.0,,,0 CDM,3118818539,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 7 ADDITIONAL MARKERS - ARUP,127.0,127.0,,,0 CDM,3118818540,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 8 ADDITIONAL MARKERS - ARUP,118.0,118.0,,,0 CDM,3118818801,HC FLOW CYTOMETRY LEUK/LYMPH PHENO 9-15 MARKERS - ARUP,154.0,154.0,,,0 CDM,3118823302,HC TISSUE CULTURE - CHROMOSIME ANALYSIS PRODUCTS OF CONCEPTION - ARUP,947.0,947.0,,,0 CDM,3118826202,HC CHROMOSOME COUNT - CHROMOSOME ANALYSIS PRODUCTS OF CONCEPTION - ARUP,844.0,844.0,,,0 CDM,3118826401,HC PATHOLOGY - CHROM ANALYSIS 20 - 25 CELL,323.0,323.0,,,0 CDM,3118829901,HC CYTOGENETICS UNLIST PROC,250.0,250.0,,,0 CDM,311G012401,HC CYTOPATH CERV/VAG THIN LAYER INTERPRET - PAP TEST,118.5,118.5,,,0 CDM,311P300001,HC PAP SMEAR SCREENING,84.0,84.0,,,0 CDM,3128144501,HC MOLECULAR PATHOLOGY - OVARIAN PROFILE GENE ANALYSIS,2139.0,2139.0,,,0 CDM,3128830001,HC SURGICAL PATHOLOGY LEVEL I GROSS ONLY,316.0,316.0,,,0 CDM,3128830201,HC SURGICAL PATHOLOGY LEVEL II,641.0,641.0,,,0 CDM,3128830401,"HC SURG PATH,LEVEL III - LAB SURG PATH,LEVEL III",926.0,926.0,,,0 CDM,3128830501,HC SURGICAL PATHOLOGY LEVEL IV,1200.0,1200.0,,,0 CDM,3128830701,HC SURGICAL PATHOLOGY LEVEL V,1384.0,1384.0,,,0 CDM,3128830901,HC SURGICAL PATHOLOGY LEVEL VI,1653.0,1653.0,,,0 CDM,3128831105,HC SURGICAL PATHOLOGY DECALCIFY TISSUE,260.0,260.0,,,0 CDM,3128831201,"HC SPECIAL STAINS,GROUP I - LAB SPECIAL STAINS,GROUP I",302.0,302.0,,,0 CDM,3128831202,HC SURGICAL PATHOLOGY SPECIAL STAIN GROUP I MICROORGANISMS,579.0,579.0,,,0 CDM,3128831204,"HC SPECIAL STAINS,GROUP I - LAB SPECIAL STAINS,GROUP I - CRYPTOSPORIDIUM",302.0,302.0,,,0 CDM,3128831301,"HC SPECIAL STAINS,GROUP II - LAB SPECIAL STAINS,GROUP II",326.0,326.0,,,0 CDM,3128831302,HC SURGICAL PATHOLOGY SPECIAL STAIN GROUP II EXCEPT MICROORGANISMS,657.0,657.0,,,0 CDM,3128831303,HC IRON STAIN,589.0,589.0,,,0 CDM,3128831304,HC PATHOLOGY SPECIAL STAINS GROUP II - ARKANA,80.0,80.0,,,0 CDM,3128831901,HC SURGICAL PATHOLOGY SPECIAL STAIN FOR ENZYME CONSTITUENTS,654.0,654.0,,,0 CDM,3128831903,HC PEROXIDASE STAIN,712.0,712.0,,,0 CDM,3128832101,HC SURGICAL PATHOLOGY CONSULT ON SLIDES PREPARED ELSEWHERE,306.0,306.0,,,0 CDM,3128832301,HC MICROSLIDE CONSULT W SLIDE PREP - LAB MICROSLIDE CONSULT W SLD PREP,339.0,339.0,,,0 CDM,3128832501,HC COMPREHENSIVE PATHOLOGY CONSULT,749.0,749.0,,,0 CDM,3128833101,"HC PATHOLOGY CONSULT IN SURGERY, FROZEN SECTION BLOCK",655.0,655.0,,,0 CDM,3128833201,"HC PATHOLOGY CONSULT IN SURGERY, EACH ADDITIONAL FROZEN SECTION BLOCK",469.0,469.0,,,0 CDM,3128833401,"HC PATHOLOGY CONSULT IN SURGERY, EACH ADDITIONAL CYTOLOGIC EXAMINATION",226.0,226.0,,,0 CDM,3128833402,HC PATHOLOGY CONSULT IN SURGERY - TOUCH PREP DISTINCT SITE,226.0,226.0,,,0 CDM,3128834101,HC IMMUNOHISTOCHEMISTRY (IHC) EACH ADDITIONAL ANTIBODY,892.0,892.0,,,0 CDM,3128834201,HC IMMUNOHISTOCHEMISTRY (IHC) FIRST ANTIBODY,892.0,892.0,,,0 CDM,3128834202,HC IMMUNOHISTOCHEMISTRY - INITIAL SINGLE ANTIBODY STAIN PROCEDURE - ARKANA,75.0,75.0,,,0 CDM,3128834203,HC IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE - SINGLE ABY,460.0,460.0,,,0 CDM,3128834204,HC IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE - HER2/NEU,460.0,460.0,,,0 CDM,3128834206,HC IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE - TUMOR PROT P53/TP53,460.0,460.0,,,0 CDM,3128834602,"HC IMMUNOFLUORESCENT STUDY,INDIRECT - ANTIBODY EACH",223.0,223.0,,,0 CDM,3128834603,HC SKIN ANTIBODY,250.0,250.0,,,0 CDM,3128834604,HC IMMUNOFLOURESCENCE - INITIAL SINGLE ANTIBODY STAIN PROCEDURE - ARKANA,72.0,72.0,,,0 CDM,3128834605,HC BASEMENT MEMBRANE ANTIBODY 1ST IIF - PEMPHIGOID ANTIBODY PANEL - AP,670.0,670.0,,,0 CDM,3128835001,"HC IMMUNOFLUORESCENT STUDY,INDIRECT ADDITIONAL SINGLE ABY STAIN",59.0,59.0,,,0 CDM,3128835002,HC BASEMENT MEMBRANE AB ADDITIONAL IIF - PEMPHIGOID ANTIBODY PANEL - ARUP,510.0,510.0,,,0 CDM,3128836005,HC PDL1 22C3 IMMUNOHISTOCHEMISTRY (IHC) WITH TUMOR PROPORTION SCORE - ARUP,1196.0,1196.0,,,0 CDM,3128837701,"HC HER2NEU FISH, BREAST TISSUE",1990.0,1990.0,,,0 CDM,3128837702,HC HER2 NEU NON-BREAST TISSUE,473.0,473.0,,,0 CDM,3128837703,HC ALK1 GENE REARRANGEMENT BY FISH,473.0,473.0,,,0 CDM,312G041601,"HC SURGICAL PATHOLOGY PROSTATE NEEDLE BIOPSY, ANY NUMBER OF SPECIMENS",14550.0,14550.0,,,0 CDM,3207001501,"HC CISTERNOGRAPHY,POS CONTRAST - FL CISTERNOGRAM",14343.0,14343.0,,,0 CDM,3207003001,HC X-RAY EYE FOR FOREIGN BODY,598.0,598.0,,,0 CDM,3207010001,HC X-RAY JAW <4 VW,1134.0,1134.0,,,0 CDM,3207011001,HC X-RAY JAW 4+ VW,1147.0,1147.0,,,0 CDM,3207013001,HC X-RAY MASTOIDS 3+ VW,1257.0,1257.0,,,0 CDM,3207014001,HC X-RAY FACIAL BONES <3 VW,751.0,751.0,,,0 CDM,3207015001,HC X-RAY FACIAL BONES 3+ VW,1368.0,1368.0,,,0 CDM,3207016001,HC X-RAY NASAL BONES,838.0,838.0,,,0 CDM,3207017001,HC X-RAY TEAR DUCT,4613.0,4613.0,,,0 CDM,3207020001,HC X-RAY ORBITS,1351.0,1351.0,,,0 CDM,3207021001,HC X-RAY SINUSES <3 VW - XR SINUSES WATERS VIEW ONLY,693.0,693.0,,,0 CDM,3207021002,HC X-RAY SINUSES <3 VW - XR PARANASAL SINUSES 1-2 VIEWS,693.0,693.0,,,0 CDM,3207022001,HC X-RAY SINUSES 3+ VW,1224.0,1224.0,,,0 CDM,3207025001,HC X-RAY SKULL <4 VW,1093.0,1093.0,,,0 CDM,3207026001,HC X-RAY SKULL 4+ VW,1370.0,1370.0,,,0 CDM,3207031001,HC X-RAY TEETH PARTIAL,331.0,331.0,,,0 CDM,3207032001,HC FULL MOUTH X-RAY OF TEETH - XR TEETH FULL MOUTH,399.0,399.0,,,0 CDM,3207032802,HC X-RAY TMJ UNILAT,1436.0,1436.0,,,0 CDM,3207033001,HC X-RAY TMJ BILAT,1436.0,1436.0,,,0 CDM,3207035501,HC PANORAMIC X-RAY OF JAWS,1147.0,1147.0,,,0 CDM,3207036001,HC X-RAY NECK SOFT TISSUE,708.0,708.0,,,0 CDM,3207037101,"HC SPEECH EVALUATION, COMPLEX",1783.0,1783.0,,,0 CDM,3207110001,HC X-RAY RIBS 2 VW UNILAT,842.0,842.0,,,0 CDM,3207111001,HC X-RAY RIBS 3 VW BILAT,1219.0,1219.0,,,0 CDM,3207112001,HC X-RAY STERNUM 2+ VW,865.0,865.0,,,0 CDM,3207113001,HC X-RAY STERNO-CLAVICLUAR JT,878.0,878.0,,,0 CDM,3207202001,HC X-RAY SPINE ONE VIEW,555.0,555.0,,,0 CDM,3207204002,HC RADEX SPINE CERVICAL 2 OR 3 VIEWS,947.0,947.0,,,0 CDM,3207205001,HC RADEX SPINE CERVICAL 4 OR 5 VIEWS,1165.0,1165.0,,,0 CDM,3207205201,HC RADEX SPINE CERVICAL 6 OR MORE VIEWS,1165.0,1165.0,,,0 CDM,3207207001,HC X-RAY THORACIC SPINE 2 VW,709.0,709.0,,,0 CDM,3207207201,HC X-RAY THORACIC SPINE+SWIM 3 VW,849.0,849.0,,,0 CDM,3207207401,HC X-RAY THORACIC SPINE 4 VW,1368.0,1368.0,,,0 CDM,3207208001,HC RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS,585.0,585.0,,,0 CDM,3207208101,HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,751.0,751.0,,,0 CDM,3207208202,HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,923.0,923.0,,,0 CDM,3207208301,HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,923.0,923.0,,,0 CDM,3207208401,HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,923.0,923.0,,,0 CDM,3207210001,HC X-RAY LUMBAR SPINE 2/3 VW,1063.0,1063.0,,,0 CDM,3207211001,HC X-RAY LUMBAR SPINE 4 VW,1368.0,1368.0,,,0 CDM,3207211401,HC X-RAY LUMBAR SPINE 6+ VW,1368.0,1368.0,,,0 CDM,3207212001,HC X-RAY LUMBAR SPINE FLEX/EXTEN,1063.0,1063.0,,,0 CDM,3207217001,HC X-RAY PELVIS 1/2 VW,730.0,730.0,,,0 CDM,3207219001,HC X-RAY PELVIS 3+ VW,903.0,903.0,,,0 CDM,3207220001,HC X-RAY SACROILIAC JTS <3 VW,536.0,536.0,,,0 CDM,3207220201,HC X-RAY SACROILIAC JTS 3+ VW,911.0,911.0,,,0 CDM,3207222001,HC X-RAY SACRUM/COCCYX 2+ VW,820.0,820.0,,,0 CDM,3207224001,HC MYELOGRAPHY CERV SPINE,14343.0,14343.0,,,0 CDM,3207225501,HC MYELOGRAPHY THORAX SPINE - FL THORACIC SPINE MYELOGRAM,14343.0,14343.0,,,0 CDM,3207226501,HC MYELOGRAPHY LUMBAR SPINE,14343.0,14343.0,,,0 CDM,3207227004,HC MYELOGRAPHY OF ENTIRE SPINE,14343.0,14343.0,,,0 CDM,3207228501,HC X-RAY C/T DISK SUPERV/INTERPRET - CERVICAL SPINE DISCOGRAM,12758.0,12758.0,,,0 CDM,3207228504,"HC X-RAY,C/T,DISK,SUPERV/INTERPRET - IR DISCOGRAM CHARGE",12758.0,12758.0,,,0 CDM,3207229501,HC DISCOGRAPHY LUMBAR SPINE,2024.0,2024.0,,,0 CDM,3207300001,HC X-RAY CLAVICLE,724.0,724.0,,,0 CDM,3207301001,HC X-RAY SCAPULA,723.0,723.0,,,0 CDM,3207302002,HC X-RAY SHOULDER 1 VW,687.0,687.0,,,0 CDM,3207303002,HC X-RAY SHOULDER 2+ VW,792.0,792.0,,,0 CDM,3207305001,HC X-RAY AC JTS,868.0,868.0,,,0 CDM,3207306002,HC X-RAY HUMERUS,723.0,723.0,,,0 CDM,3207307002,HC X-RAY ELBOW 2 VW,689.0,689.0,,,0 CDM,3207308002,HC X-RAY ELBOW 3+ VW,752.0,752.0,,,0 CDM,3207309001,HC X-RAY FOREARM 2 VW,696.0,696.0,,,0 CDM,3207309201,"HC X-RAY ARM, INFANT",723.0,723.0,,,0 CDM,3207310001,HC X-RAY WRIST 2 VW,709.0,709.0,,,0 CDM,3207311001,HC X-RAY WRIST 3+ VW,730.0,730.0,,,0 CDM,3207312001,HC X-RAY HAND 2 VW,622.0,622.0,,,0 CDM,3207313001,HC X-RAY HAND 3+ VW,751.0,751.0,,,0 CDM,3207314002,HC X-RAY EXAM OF FINGER(S),469.0,469.0,,,0 CDM,3207350101,HC RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,832.0,832.0,,,0 CDM,3207350201,HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,1004.0,1004.0,,,0 CDM,3207350301,HC RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,1757.0,1757.0,,,0 CDM,3207352101,HC RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,2184.0,2184.0,,,0 CDM,3207352201,HC X-RAY EXAM HIPS BI 3-4 VWS - XR HIPS BILAT 3-4 VW W/ OR W/O PELVIS,758.0,758.0,,,0 CDM,3207352301,HC RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,2184.0,2184.0,,,0 CDM,3207355101,HC RADIOLOGIC EXAMINATION FEMUR 1 VIEW,773.0,773.0,,,0 CDM,3207355201,HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,773.0,773.0,,,0 CDM,3207356001,HC X-RAY KNEE 1 OR 2 VIEW,769.0,769.0,,,0 CDM,3207356201,HC X-RAY KNEE 3 VIEW,769.0,769.0,,,0 CDM,3207356401,HC X-RAY KNEE 4+ VIEW,946.0,946.0,,,0 CDM,3207356501,HC X-RAY KNEE BILAT STANDING,850.0,850.0,,,0 CDM,3207359001,"HC X-RAY TIB + FIB, 2VW",723.0,723.0,,,0 CDM,3207359201,"HC X-RAY LEG, INFANT",743.0,743.0,,,0 CDM,3207360001,HC X-RAY ANKLE 2 VW,745.0,745.0,,,0 CDM,3207361001,HC X-RAY ANKLE 3+ VW,935.0,935.0,,,0 CDM,3207361501,HC ARTHROGRAM OF ANKLE - XR ANKLE ARTHROGRAM LEFT,2615.0,2615.0,,,0 CDM,3207361502,HC ARTHROGRAM OF ANKLE - XR ANKLE ARTHROGRAM,2615.0,2615.0,,,0 CDM,3207362001,HC X-RAY FOOT 2 VW,712.0,712.0,,,0 CDM,3207363001,HC X-RAY FOOT 3+ VW,743.0,743.0,,,0 CDM,3207365001,HC X-RAY HEEL,712.0,712.0,,,0 CDM,3207366001,HC X-RAY TOE(S),469.0,469.0,,,0 CDM,3207401802,HC RADIOLOGIC EXAM ABDOMEN 1 VIEW,887.0,887.0,,,0 CDM,3207401901,HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS,1091.0,1091.0,,,0 CDM,3207402101,HC RADIOLOGIC EXAM ABDOMEN 3+ VIEWS,1091.0,1091.0,,,0 CDM,3207402201,HC RADIOLOGIC EXAM COMPLETE ACUTE ABD SERIES W/CHEST,1091.0,1091.0,,,0 CDM,3207419001,HC X-RAY PERITONEUM - XR GUIDED PERITONEOGRAM W CONTRAST,9687.0,9687.0,,,0 CDM,3207421001,HC RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY,1175.0,1175.0,,,0 CDM,3207422001,HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY,1175.0,1175.0,,,0 CDM,3207423001,HC RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY,1783.0,1783.0,,,0 CDM,3207424001,HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,2079.0,2079.0,,,0 CDM,3207424601,HC RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,2461.0,2461.0,,,0 CDM,3207424801,HC CXR SM BOWEL W/MLT IMG,2778.0,2778.0,,,0 CDM,3207425001,HC RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,1608.0,1608.0,,,0 CDM,3207427001,HC RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,1873.0,1873.0,,,0 CDM,3207428001,HC RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,2125.0,2125.0,,,0 CDM,3207428301,HC THERAPEUTIC ENEMA FO RINTUSSUSCEPTION,1331.0,1331.0,,,0 CDM,3207429001,HC XR CHOLECYSTOGRAM,1506.0,1506.0,,,0 CDM,3207430001,HC X-RAY OPER CHOLANGIOGRAM,1623.0,1623.0,,,0 CDM,3207430101,HC X-RAY OPER CHOLANGIO ADDNL SET,484.0,484.0,,,0 CDM,3207432801,HC X-RAY FOR BILE DUCT ENDOSCOPY,1948.0,1948.0,,,0 CDM,3207432901,HC X-RAY FOR PANCREAS ENDOSCOPY,1948.0,1948.0,,,0 CDM,3207433001,HC X-RAY BILE/PANCREAS ENDOSCOPY,2285.0,2285.0,,,0 CDM,3207434002,HC INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I,1106.0,1106.0,,,0 CDM,3207435501,"HC PLACEMENT ENTEROCLYSIS TUBE, PERC S&I",918.0,918.0,,,0 CDM,3207436001,"HC X-RAY GUIDE, GI DILATION",986.0,986.0,,,0 CDM,3207440001,HC X-RAY IV PYELOGRAM (IVP),3774.0,3774.0,,,0 CDM,3207441001,HC XR IVP INFUS/DRIP/BOLUS,2082.0,2082.0,,,0 CDM,3207441501,HC X-RAY IV PYELOGRAM+TOMOGRAPHY,3130.0,3130.0,,,0 CDM,3207442001,HC X-RAY RETROGRADE PYELOGRAM,1395.0,1395.0,,,0 CDM,3207443001,"HC X-RAY CYSTOGRAM, MIN 3 VIEW",1061.0,1061.0,,,0 CDM,3207444501,HC X-RAY PENIS - XR PENIS,2183.0,2183.0,,,0 CDM,3207445001,HC X-RAY URETHROCYSTOGRAM,1601.0,1601.0,,,0 CDM,3207445501,HC X-RAY URETHROCYSTOGRAM+VOIDING,1647.0,1647.0,,,0 CDM,3207447001,HC X-RAY RENAL CYST XLUMBAR+CONTRST,962.0,962.0,,,0 CDM,3207474001,HC X-RAY HYSTEROSALPINGOGRAM,852.0,852.0,,,0 CDM,3207474201,HC FALLOPIAN TUBE DILATION,2264.0,2264.0,,,0 CDM,3207477501,HC X-RAY PERINEOGRAM,1873.0,1873.0,,,0 CDM,3207580101,HC LYMPHANGIO EXTREM UNILAT - IR LYMPHANGIOGRAM EXTREMITY,4106.0,4106.0,,,0 CDM,3207580102,HC LYMPHANGIO EXTREM UNILAT - IR LYMPHANGIOGRAM EXTREMITY LEFT CHG,4106.0,4106.0,,,0 CDM,3207580104,HC LYMPHANGIO EXTREM UNILAT - IR LYMPHANGIOGRAM EXTREMITY RIGHT CHG,4106.0,4106.0,,,0 CDM,3207580301,HC LYMPHANGIO EXTREM BILAT - IR LYMPHANGIOGRAM EXTREMITY,6362.0,6362.0,,,0 CDM,3207580302,HC LYMPHANGIO EXTREM BILAT - IR LYMPHANGIOGRAM EXTREMITY BILATERAL CHG,6362.0,6362.0,,,0 CDM,3207580501,HC LYMPHANG PELV/ABD UNI,21142.0,21142.0,,,0 CDM,3207580502,HC LYMPHANGIO ABD/PELV UNILAT - IR LYMPHANGIOGRAM ABDOMEN PELVIS LT CHG,21142.0,21142.0,,,0 CDM,3207580504,HC LYMPHANGIO ABD/PELV UNILAT - IR LYMPHANGIOGRAM ABDOMEN PELVIS RT CHG,21142.0,21142.0,,,0 CDM,3207580702,HC LYMPHANGIO ABD/PELV BILAT,19837.0,19837.0,,,0 CDM,3207580901,HC NONVASCULAR SHUNTOGRAM,2183.0,2183.0,,,0 CDM,3207581001,HC SPLENOPORTOGRAM,57389.0,57389.0,,,0 CDM,3207582007,HC XR VENOGRAM EXTREM UNILAT,2713.0,2713.0,,,0 CDM,3207582201,HC XR VENOGRAM EXTREM BILAT,4155.0,4155.0,,,0 CDM,3207582501,HC XR VENOGRAM INFER VENA CAVA,8780.0,8780.0,,,0 CDM,3207582701,HC XR VENOGRAM SUPER VENA CAVA,8847.0,8847.0,,,0 CDM,3207583101,HC XR VENOGRAM RENAL UNILAT,5260.0,5260.0,,,0 CDM,3207583301,HC XR VENOGRAM RENAL BILAT,10913.0,10913.0,,,0 CDM,3207586001,HC XR VENOGRAM SINUS/JUGULAR,5445.0,5445.0,,,0 CDM,3207587001,HC XR VENOGRAM SUPER SAG SINUS,5445.0,5445.0,,,0 CDM,3207588501,HC XR TRANSHEPATIC PORTO W HEMO EVL,9198.0,9198.0,,,0 CDM,3207589401,HC TRANSCATHETER RX EMBOLIZATN,10931.0,10931.0,,,0 CDM,3207590101,HC XR REMOVE CVA DEVICE OBSTRUCT,2352.0,2352.0,,,0 CDM,3207590201,HC REMOVAL INTRALUM OBSTR MATERIAL,5605.0,5605.0,,,0 CDM,3207595601,HC ENDOVASC REPAIR THOR AORTA SUPV AND INTERP,2851.0,2851.0,,,0 CDM,3207595701,HC ENDOVASC REPAIR THOR AORTA EXCL SUBCLAVIAN,2439.0,2439.0,,,0 CDM,3207597001,HC VASCULAR BIOPSY,14801.0,14801.0,,,0 CDM,3207600004,HC FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,1097.0,1097.0,,,0 CDM,3207601002,HC X-RAY NOSE-RECTUM CHILD F.B.,696.0,696.0,,,0 CDM,3207608005,"HC X-RAY FISTULA,ABSCESS,SINUS TRACT",1118.0,1118.0,,,0 CDM,3207609801,HC XR EXAM BREAST SPECIMEN,486.0,486.0,,,0 CDM,3207610001,HC X-RAY TOMOGRAM,1940.0,1940.0,,,0 CDM,3207612001,HC CINERADIOGRAPHY/VIDEORADIOGRAPHY,1281.0,1281.0,,,0 CDM,3207649601,HC UNLISTED FLUOROSCOPIC PROCEDURE,1862.0,1862.0,,,0 CDM,3207700101,"HC FLUOROGUIDE CNTRL VEN ACCESS,PLACE,REPLACE,REMOVE",1137.0,1137.0,,,0 CDM,3207700201,HC FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT,1606.0,1606.0,,,0 CDM,3207700293,HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED BIOPSY/ASP/INJ,1606.0,1606.0,,,0 CDM,3207700301,HC FLUORSCOPIC GUIDANCE SPINAL INJECTION,1078.0,1078.0,,,0 CDM,3207705301,HC MAMMARY DUCTOGRAM SINGLE - MAMMO BREAST DUCTOGRAM,1041.0,1041.0,,,0 CDM,3207705402,HC MAMMARY DUCTOGRAM MULTIPLE - MAMMO BREAST DUCTOGRAM MULTIPLE,1658.0,1658.0,,,0 CDM,3207707101,HC X-RAY STRESS VIEW - XR ELBOW LEFT STRESS W CONTRALATERAL JOINT,1621.0,1621.0,,,0 CDM,3207707201,HC X-RAYS FOR BONE AGE,659.0,659.0,,,0 CDM,3207707301,"HC X-RAYS, BONE LENGTH STUDIES",1400.0,1400.0,,,0 CDM,3207707401,"HC X-RAYS, BONE SURVEY, LIMITED",1199.0,1199.0,,,0 CDM,3207707501,"HC X-RAYS, BONE SURVEY COMPLETE",2891.0,2891.0,,,0 CDM,3207707601,"HC X-RAYS, BONE SURVEY, INFANT",871.0,871.0,,,0 CDM,3207708002,"HC DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON",1749.0,1749.0,,,0 CDM,3207708101,"HC DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN",868.0,868.0,,,0 CDM,3207708501,HC DXA BONE DENSITY STUDY AXIAL SKELETON,3419.0,3419.0,,,0 CDM,3207708601,HC VERTEBRAL FRACTURE ASSESSMENT VIA DXA,1749.0,1749.0,,,0 CDM,3207709101,HC TBS TECHNICAL CALCULATION ONLY,281.0,281.0,,,0 CDM,3217590102,HC REMOVE CVA DEVICE OBSTRUCT - IR CATHETER OBSTRUCTION REMOVAL CHG,2352.0,2352.0,,,0 CDM,3227304001,HC ARTHROGRAM OF SHOULDER,1705.0,1705.0,,,0 CDM,3227308501,HC ARTHROGRAM OF ELBOW,1177.0,1177.0,,,0 CDM,3227311502,HC ARTHROGRAM OF WRIST,1411.0,1411.0,,,0 CDM,3227352501,HC ARTHROGRAM OF HIP,2252.0,2252.0,,,0 CDM,3227358001,HC ARTHROGRAM OF KNEE JOINT,3260.0,3260.0,,,0 CDM,3237436301,"HC PERCUT TRANSHEPAT DILAT,BILE DUCT STRICT",7387.0,7387.0,,,0 CDM,3237442504,HC X-RAY ANTEGRADE PYELOGRAM TUBE,1230.0,1230.0,,,0 CDM,3237448503,HC DILATION URETERS/URETHRA RS&I,2311.0,2311.0,,,0 CDM,3237560001,HC SP ANGIO THORACIC AORTA,4944.0,4944.0,,,0 CDM,3237560501,HC ANGIO AORTOGRAM THOR SERIAL,7807.0,7807.0,,,0 CDM,3237562501,HC ANGIO AORTOGRAM ABD SERIAL,7103.0,7103.0,,,0 CDM,3237563001,HC ANGIO AORTOBIFEMORAL W CATH,8614.0,8614.0,,,0 CDM,3237570501,HC ANGIO SPINAL SELECTV,3965.0,3965.0,,,0 CDM,3237571001,HC ANGIO EXTREMITY UNILAT,3020.0,3020.0,,,0 CDM,3237571601,HC ANGIO EXTERMITY BILAT,8444.0,8444.0,,,0 CDM,3237572601,HC ANGIO VISCERAL SELECTV/SUBSELEC,7353.0,7353.0,,,0 CDM,3237573102,HC ANGIO ADRENAL UNILAT SELECT - IR ANGIOGRAM ADRENAL SELECTIVE LT CHG,5260.0,5260.0,,,0 CDM,3237573104,HC ANGIO ADRENAL UNILAT SELECT - IR ANGIOGRAM ADRENAL SELECTIVE RT CHG,5260.0,5260.0,,,0 CDM,3237573105,HC ANGIO ADRENAL UNILAT SELECT - IR ANGIOGRAM ADRENAL SELECTIVE S&I UNILAT,5260.0,5260.0,,,0 CDM,3237573302,HC ANGIO ADRENAL BILAT SELECT,6772.0,6772.0,,,0 CDM,3237573601,HC ANGIO PELVIS,7231.0,7231.0,,,0 CDM,3237574101,HC ANGIO PULMON UNILAT SELECT,5093.0,5093.0,,,0 CDM,3237574302,HC ANGIO PULMON BILAT SELECT,7269.0,7269.0,,,0 CDM,3237574601,HC PULMONARY ANGIOGRAPHY NONSELECTIVE,6516.0,6516.0,,,0 CDM,3237575601,HC ANGIO INTERN MAMMARY,4072.0,4072.0,,,0 CDM,3237577401,HC ANGIO EA ADDNL SELECTV VESSEL,3883.0,3883.0,,,0 CDM,3237582007,HC VENOGRAM EXTREM UNILAT,2713.0,2713.0,,,0 CDM,3237582201,HC VENOGRAM EXTREM BILAT,4155.0,4155.0,,,0 CDM,3237582501,HC VENOGRAM INFER VENA CAVA,8780.0,8780.0,,,0 CDM,3237582701,HC VENOGRAM SUPER VENA CAVA,8847.0,8847.0,,,0 CDM,3237583101,HC VENOGRAM RENAL UNILAT,5260.0,5260.0,,,0 CDM,3237583301,HC VENOGRAM RENAL BILAT,10913.0,10913.0,,,0 CDM,3237584002,HC VENOGRAM ADRENAL UNILAT - IR VENOGRAM ADRENAL SELECTIVE LEFT CHG,33603.0,33603.0,,,0 CDM,3237584004,HC VENOGRAM ADRENAL UNILAT - IR VENOGRAM ADRENAL SELECTIVE RIGHT CHG,33603.0,33603.0,,,0 CDM,3237584201,HC VENOGRAM ADRENAL BILAT,57977.0,57977.0,,,0 CDM,3237586001,HC VENOGRAM SINUS/JUGULAR,5445.0,5445.0,,,0 CDM,3237587001,HC VENOGRAM SUPER SAG SINUS,5445.0,5445.0,,,0 CDM,3237587201,HC VENOGRAM EPIDURAL,4930.0,4930.0,,,0 CDM,3237588002,HC VENOGRAM ORBITAL - IR VENOGRAM ORBITAL BILATERAL CHG,10836.0,10836.0,,,0 CDM,3237588004,HC VENOGRAM ORBITAL - IR VENOGRAM ORBITAL LEFT CHG,10836.0,10836.0,,,0 CDM,3237588006,HC VENOGRAM ORBITAL - IR VENOGRAM ORBITAL RIGHT CHG,10836.0,10836.0,,,0 CDM,3237588702,HC PERCUT XHEPATIC PORTOGRAM,5097.0,5097.0,,,0 CDM,3237588901,HC VENOGRAM HEPATIC W HEMODYNAMICS,10815.0,10815.0,,,0 CDM,3237589101,HC VENOGRAM HEPATIC,10815.0,10815.0,,,0 CDM,3237589301,HC VENOUS SAMPLING BY CATHETER,14801.0,14801.0,,,0 CDM,3237589801,HC ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS,1184.0,1184.0,,,0 CDM,3237598401,HC CHANGE PERCUT TUBE/DRAIN CATH W CONTRAST MONIT,2049.0,2049.0,,,0 CDM,3247104502,HC RADIOLOGIC EXAM CHEST SINGLE VIEW,777.0,777.0,,,0 CDM,3247104606,HC RADIOLOGIC EXAM CHEST 2 VIEWS,777.0,777.0,,,0 CDM,3247104701,HC XR CHEST 2V W AP LORDOTIC,777.0,777.0,,,0 CDM,3247104803,HC RADIOLOGIC EXAM CHEST 4+ VIEWS,957.0,957.0,,,0 CDM,3247110101,"HC X-RAY RIBS, CHEST 3+ VW",992.0,992.0,,,0 CDM,3247111101,"HC X-RAY RIBS, CHEST 4+ VW",1271.0,1271.0,,,0 CDM,3319640101,"HC INJ CHEMO, NON-HORMONAL ANTI-NEOPL, SUBQ/IM",510.0,510.0,,,0 CDM,3319640201,"HC INJ CHEMO, HORMONAL ANTI-NEOPL, SUBQ/IM",1423.0,1423.0,,,0 CDM,3319640501,"HC INJ CHEMO, INTRALESIONAL, <8 LESIONS",4208.0,4208.0,,,0 CDM,3319640601,"HC INJ CHEMO, INTRALESIONAL, 8+ LESIONS",4208.0,4208.0,,,0 CDM,3319640901,"HC INJ CHEMO, IV PUSH, SGL/INITIAL DRUG",1711.5,1711.5,,,0 CDM,3319641101,"HC INJ CHEMO, IV PUSH, EA ADDL DRUG",1423.0,1423.0,,,0 CDM,3319642001,"HC INJ CHEMO, IA PUSH",845.0,845.0,,,0 CDM,3319644001,"HC INJ CHEMO, PLEURAL CAVITY, W/ THORACENTESIS",4208.0,4208.0,,,0 CDM,3319644601,"HC INJ CHEMO, PERITONEAL CAVITY, VIA PORT/CATH",859.5,859.5,,,0 CDM,3319645001,"HC INJ CHEMO, CNS, W/ SPINAL PUNCTURE",1998.0,1998.0,,,0 CDM,3319654201,"HC INJ CHEMO, SUBARACHND/INTRAVENTR VIA SC RSVR, SGL/MULT",908.0,908.0,,,0 CDM,3319654901,"HC CHEMOTHERAPY, UNSPECIFIED PROCEDURE",414.0,414.0,,,0 CDM,3337701401,HC CT GUIDANCE RADIATION THERAPY FIELD PLACEMENT,4681.0,4681.0,,,0 CDM,3337728001,HC TR SIMULATION SIMPLE,7157.0,7157.0,,,0 CDM,3337728501,HC TR SIMULATION INTERMEDIATE,8218.0,8218.0,,,0 CDM,3337729001,HC TR SIMULATION COMPLEX,9167.0,9167.0,,,0 CDM,3337729301,HC TR SIMULATION RESPIRATORY MOTION,1661.0,1661.0,,,0 CDM,3337729501,HC 3D RXTHPY PLAN W/ HISTOGM,17569.0,17569.0,,,0 CDM,3337730002,"HC RADIATION THERAPY,DOSIMETRY PLAN",1717.0,1717.0,,,0 CDM,3337730101,HC RADIATION THERAPY INTENSITY MODULATED THERAPY PLAN - IMRT,33520.0,33520.0,,,0 CDM,3337730601,HC RADIATION THERAPY - TELETHERAPY ISODOSE PLAN SIMPLE,3773.0,3773.0,,,0 CDM,3337730701,HC RADIATION THERAPY - TELETHERAPY ISODOSE PLAN COMPLEX,7112.0,7112.0,,,0 CDM,3337731601,HC RADIATION THERAPY - BRACHYTHERAPY ISODOSE PLAN SIMPLE,4288.0,4288.0,,,0 CDM,3337731701,HC RADIATION THERAPY - BRACHYTHERAPY ISODOSE PLAN INTERMEDIATE,6750.0,6750.0,,,0 CDM,3337731801,HC RADIATION THERAPY - BRACHYTHERAPY ISODOSE PLAN COMPLEX,9331.0,9331.0,,,0 CDM,3337732101,HC TR SPECIAL PORT PLAN,5339.0,5339.0,,,0 CDM,3337733101,HC TR SPECIAL DOSIMETRY W DEVICE,2810.0,2810.0,,,0 CDM,3337733201,HC TR TREATMENT DEVICE SIMPLE,1533.0,1533.0,,,0 CDM,3337733301,HC TR TREATMENT DEVICE INTERMEDIATE,2350.0,2350.0,,,0 CDM,3337733401,HC TR TREATMENT DEVICE COMPLEX,4132.0,4132.0,,,0 CDM,3337733601,HC TR PHYSICS CONSULT PER WEEK,1646.0,1646.0,,,0 CDM,3337733801,HC TR TREATMENT DEVICE MLC FOR IMRT PER PLAN,11887.0,11887.0,,,0 CDM,3337737001,HC TR PHYSICS CONSULT SPECIAL,2567.0,2567.0,,,0 CDM,3337737101,HC TR SRS 1 SESSION MULTI COBALT 60,136731.0,136731.0,,,0 CDM,3337737201,HC TR SRS 1 SESSION LINAC,35795.0,35795.0,,,0 CDM,3337737301,HC TR SBRT PER SESSION MAX OF 5,48664.0,48664.0,,,0 CDM,3337738501,HC TR IMRT SIMPLE,5516.0,5516.0,,,0 CDM,3337738502,HC TR IMRT SIMPLE BID,5516.0,5516.0,,,0 CDM,3337738601,HC TR IMRT COMPLEX,7171.0,7171.0,,,0 CDM,3337738602,HC TR IMRT COMPLEX BID,7171.0,7171.0,,,0 CDM,3337738701,HC GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR,1224.0,1224.0,,,0 CDM,3337740101,HC RADIATION TREATMENT DELIVERY SUPERFICIAL PER DAY,1308.0,1308.0,,,0 CDM,3337740201,HC TR DELIVERY >=1 MEV SIMPLE,1345.0,1345.0,,,0 CDM,3337740701,HC RAD TX DELIVERY INTERMEDIATE,1601.0,1601.0,,,0 CDM,3337740702,HC RAD TX DELIVERY INTERMEDIATE BID,1601.0,1601.0,,,0 CDM,3337741201,HC TR DELIVERY >=1 MEV COMPLEX,2217.0,2217.0,,,0 CDM,3337741202,HC TR DELIVERY >=1 MEV COMPLEX BID,2217.0,2217.0,,,0 CDM,3337741701,HC TR PORT FILM PER 5 FRACTIONS,659.0,659.0,,,0 CDM,3337741702,HC TR THERAPEUTIC RADIOLOGY PORT IMAGES(S) ADDL,659.0,659.0,,,0 CDM,3337742401,HC TR IORT XRAY SINGLE,16497.0,16497.0,,,0 CDM,3337747001,HC SPECIAL RADIATION TREATMENT,6334.0,6334.0,,,0 CDM,3337775001,HC INFUSION OF RADIOELEMENT,1900.0,1900.0,,,0 CDM,3337776101,HC BRACHYTHERAPY INTRACAVITARY SIMPLE,29398.0,29398.0,,,0 CDM,3337776201,HC BRACHYTHERAPY INTRACAVITARY INTERMEDIATE,33921.0,33921.0,,,0 CDM,3337776301,HC BRACHYTHERAPY INTRACAVITARY COMPLEX,38442.0,38442.0,,,0 CDM,3337777101,HC HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL,16988.0,16988.0,,,0 CDM,3337777801,HC CB INTERSTITIAL APPLICATION COMPLEX,12930.0,12930.0,,,0 CDM,3337778901,HC CB: SURFACE APPLICATION LDR RADIONUCLIDE SOURCE,1298.0,1298.0,,,0 CDM,3337779001,"HC CB SUPERVISION HANDLING, LOADING",1550.0,1550.0,,,0 CDM,333G600101,HC ULTRASONIC IMAGE GUIDANCE,167.0,167.0,,,0 CDM,3359599101,"HC REFILL/MAINT IMPLANTED PUMP, SPINE/BRAIN, BY PHYSICIAN",2133.0,2133.0,,,0 CDM,3359641301,"HC IV INF, CHEMO, SGL/INITIAL DRUG, TO 1 HR",1415.5,1415.5,,,0 CDM,3359641501,"HC IV INF, CHEMO, SGL/INITIAL DRUG, EA ADDL HR",388.0,388.0,,,0 CDM,3359641601,"HC IV INF BY PUMP, CHEMO, 8+ HOURS W/O FOLLOW-UP",2777.0,2777.0,,,0 CDM,3359641701,"HC IV INF, CHEMO, EA SEQUENTIAL, TO 1 HR",241.5,241.5,,,0 CDM,3359642201,"HC IA INF, CHEMO, TO 1 HR",1485.0,1485.0,,,0 CDM,3359642301,"HC IA INF, CHEMO, EA ADDL HR",383.5,383.5,,,0 CDM,3359642501,"HC IA INF BY PUMP, CHEMO, 8+ HOURS W/O FOLLOW-UP",1559.0,1559.0,,,0 CDM,3359652201,"HC REFILL/MAINT IMPLANTED PUMP, SYSTEMIC",1831.0,1831.0,,,0 CDM,335G049801,"HC IV INF BY EXT PUMP, CHEMO, 8+ HOURS W/FOLLOW-UP",2361.0,2361.0,,,0 CDM,3417801201,HC THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,3071.0,3071.0,,,0 CDM,3417801301,HC THYROID IMAGING WITH VASCULAR FLOW,7557.0,7557.0,,,0 CDM,3417801401,HC THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,2907.0,2907.0,,,0 CDM,3417801801,HC THYROID MET IMAGING BODY,5291.0,5291.0,,,0 CDM,3417807001,HC PARATHYROID PLANAR IMAGING,2347.0,2347.0,,,0 CDM,3417807101,HC PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,2347.0,2347.0,,,0 CDM,3417807201,HC PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT,3047.0,3047.0,,,0 CDM,3417810201,"HC BONE MARROW IMAGING, LTD",3132.0,3132.0,,,0 CDM,3417811102,HC PLASMA VOLUME MULTIPLE,8343.0,8343.0,,,0 CDM,3417812102,HC RED CELL MASS MULTIPLE,3171.0,3171.0,,,0 CDM,3417814002,HC NM RED CELL SEQUESTRATION,2294.0,2294.0,,,0 CDM,3417819502,HC LYMPHATICS & LYMPH GLANDS IMAGING,4212.0,4212.0,,,0 CDM,3417820201,HC LIVER IMAGING WITH FLOW,9811.0,9811.0,,,0 CDM,3417821501,HC LIVER AND SPLEEN IMAGING,3875.0,3875.0,,,0 CDM,3417821601,"HC LIVER & SPLEEN IMAGE, FLOW",7557.0,7557.0,,,0 CDM,3417822601,HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,3212.0,3212.0,,,0 CDM,3417822702,HC HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,4327.0,4327.0,,,0 CDM,3417823101,HC SALIVARY GLAND IMG W/SERIAL IMG,1722.0,1722.0,,,0 CDM,3417825801,"HC ESOPHAGEAL MOTILITY STUDY, IMAGING",2778.0,2778.0,,,0 CDM,3417826201,HC GASTROESOPHAGEAL REFLUX EXAM,4160.0,4160.0,,,0 CDM,3417826401,HC GASTRIC EMPTYING IMAGING STUDY,4505.0,4505.0,,,0 CDM,3417826701,"HC BREATH TEST,ACQUIRE/ANALYZE",2039.0,2039.0,,,0 CDM,3417826801,"HC BREATH TEST,ANALYZE",2039.0,2039.0,,,0 CDM,3417827801,HC ACUTE GI BLOOD LOSS IMAGING,4032.0,4032.0,,,0 CDM,3417829001,HC BOWEL IMAGING,4010.0,4010.0,,,0 CDM,3417829101,HC LEVEEN/SHUNT PATENCY EXAM,2694.0,2694.0,,,0 CDM,3417830001,"HC BONE IMAGING, LIMITED AREA",3367.0,3367.0,,,0 CDM,3417830501,"HC BONE IMAGING, MULTIPLE AREAS",3880.0,3880.0,,,0 CDM,3417830601,"HC BONE IMAGING, WHOLE BODY",4169.0,4169.0,,,0 CDM,3417831501,"HC BONE IMAGING, 3 PHASE",4646.0,4646.0,,,0 CDM,3417844501,"HC VASCULAR FLOW IMAGING,NONCARDIAC - NM VESSELS FLOW",3397.0,3397.0,,,0 CDM,3417845108,HC HT MUSCLE IMAGE SPECT SING - NM HEART PERFUSION SPECT STRESS,6238.0,6238.0,,,0 CDM,3417845201,HC MYOCARDIAL SPECT MULTIPLE STUDIES,6238.0,6238.0,,,0 CDM,3417845301,HC MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,6238.0,6238.0,,,0 CDM,3417845401,HC MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,6238.0,6238.0,,,0 CDM,3417846601,HC HEART INFARCT IMAGE,3041.0,3041.0,,,0 CDM,3417846901,HC HEART INFARCT IMAGE SPECT,3973.0,3973.0,,,0 CDM,3417847201,"HC GATED HEART, PLANAR SINGLE",4274.0,4274.0,,,0 CDM,3417847301,"HC GATED HEART, MULTIPLE",4274.0,4274.0,,,0 CDM,3417848101,HC HEART FIRST PASS SINGLE - NM HEART BLOOD POOL FIRST PASS,5548.0,5548.0,,,0 CDM,3417848301,HC HEART FIRST PASS MULTIPLE - NM HEART BLOOD POOL FIRST PASS MULTIPLE,5548.0,5548.0,,,0 CDM,3417849601,HC HEART FIRST PASS ADD-ON,3197.0,3197.0,,,0 CDM,3417857906,HC LUNG VENTILATION IMAGING - NM LUNG VENTILATION,3530.0,3530.0,,,0 CDM,3417858001,HC LUNG PERFUSION IMAGING,4195.0,4195.0,,,0 CDM,3417858201,HC PULMONARY VENTILATION & PERFUSION IMAGING,7061.0,7061.0,,,0 CDM,3417859701,HC QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,3317.0,3317.0,,,0 CDM,3417859801,HC QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGING,6638.0,6638.0,,,0 CDM,3417860101,HC BRAIN IMAGING < 4 STATIC VIEWS W VASCULAR FLOW,3282.0,3282.0,,,0 CDM,3417860601,HC BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,4261.0,4261.0,,,0 CDM,3417863001,HC CSF FLUID SCAN CISTERNOGRAPHY,5498.0,5498.0,,,0 CDM,3417864501,HC CSF SHUNT EVALUATION,3868.0,3868.0,,,0 CDM,3417865001,HC CSF LEAKAGE IMAGING - NM BRAIN CEREBROSPINAL FLUID LEAK,4656.0,4656.0,,,0 CDM,3417870101,HC RENAL IMAGING WITH FLOW,7557.0,7557.0,,,0 CDM,3417870701,HC RENAL FLOW/FUNCT IMAGING,4818.0,4818.0,,,0 CDM,3417870803,"HC RENAL FLOW/FUNCT IMAGE,PHARM RX",4818.0,4818.0,,,0 CDM,3417870901,"HC RENAL FLOW/FUNCT IMAGE,COMBO,PHARM",4818.0,4818.0,,,0 CDM,3417872501,HC RENAL FUNCTION STUDY,1687.0,1687.0,,,0 CDM,3417874001,HC URETERAL REFLUX STUDY - NM CYSTOGRAM REFLUX,3209.0,3209.0,,,0 CDM,3417876101,HC NM TESTICULAR IMG W/ VASCULAR FLOW,2444.0,2444.0,,,0 CDM,3417880001,HC RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,1401.0,1401.0,,,0 CDM,3417880102,HC RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D,1401.0,1401.0,,,0 CDM,3417880203,HC RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING,4785.0,4785.0,,,0 CDM,3417880301,HC RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING,4785.0,4785.0,,,0 CDM,3417880401,HC RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,4785.0,4785.0,,,0 CDM,3417883001,HC LOCATE TUMOR SPECT USING CT IMAGE SINGLE DAY IMAGING,4785.0,4785.0,,,0 CDM,3427776701,HC TR HDR SKIN <2CM OR 1 CH,6010.0,6010.0,,,0 CDM,3427776801,HC TR HDR SKIN >2CM OR 2+CH,10187.0,10187.0,,,0 CDM,3427777001,HC CB REMOTE AFTERLOAD 1 CHANNEL,13472.0,13472.0,,,0 CDM,3427777201,HC CB REMOTE AFTERLOAD >12 CHANNELS,18484.0,18484.0,,,0 CDM,3427880801,HC NM INJ ISOTOPE LOCALIZATION ONLY,1326.0,1326.0,,,0 CDM,3427900503,"HC NUCLEAR THERAPY, ORAL",2390.0,2390.0,,,0 CDM,3427910101,"HC NUCLEAR THERAPY, IV",2447.0,2447.0,,,0 CDM,3427940301,HC RADIOPHARMACEUTICAL THERAPY,12930.0,12930.0,,,0 CDM,3427944501,"HC NUCLEAR THERAPY, INTRA-ARTERIAL",1128.0,1128.0,,,0 CDM,3500042T01,"HC CERBRAL PERFUSION STUDY, CT W/ CONTRAST",7865.0,7865.0,,,0 CDM,3507637601,HC CT 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,1308.0,1308.0,,,0 CDM,3507637701,HC CT 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,2598.0,2598.0,,,0 CDM,3507638001,"HC CT SCAN,LIMITED/LOCALIZED F/U STUDY",1990.5,1990.5,,,0 CDM,3507649701,HC ANGIOGRAM IMAGING LARGE VESSEL OCCLUSION - AI LVO INTERP,9140.0,9140.0,,,0 CDM,3507649702,HC CT WHOLE BODY LOW DOSE MYELOMA W/O CONTRAST,9309.0,9309.0,,,0 CDM,3507701101,HC CT GUIDANCE STEREOTACTIC LOCALIZATION,5892.0,5892.0,,,0 CDM,3507701243,HC CT GUIDANCE NEEDLE PLACEMENT,3584.5,3584.5,,,0 CDM,3507701310,HC CT GUIDANCE TISSUE ABLATION,3584.5,3584.5,,,0 CDM,3517045001,"HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL",4178.0,4178.0,,,0 CDM,3517046001,HC CT SCAN HEAD CONTRAST,6126.0,6126.0,,,0 CDM,3517047001,HC CT SCAN HEAD COMBO,7338.0,7338.0,,,0 CDM,3517048001,"HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O",6138.5,6138.5,,,0 CDM,3517048101,HC CT SCAN ORBIT/SELLA/POST FOSSA/EAR CONTRAST,6335.0,6335.0,,,0 CDM,3517048201,HC CT SCAN SKULL COMBO,7838.0,7838.0,,,0 CDM,3517048602,"HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST",3723.0,3723.0,,,0 CDM,3517048702,"HC CT SCAN, FACE/JAW CONTRAST",5944.0,5944.0,,,0 CDM,3517048802,HC CT SCANS FACE/JAW COMBO,6228.5,6228.5,,,0 CDM,3517049001,"HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST",4934.0,4934.0,,,0 CDM,3517049101,HC CT NECK TISSUE CONTRAST,8325.5,8325.5,,,0 CDM,3517049201,HC CT NECK TISSUE COMBO,8325.5,8325.5,,,0 CDM,3517049602,"HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS",10371.5,10371.5,,,0 CDM,3517049802,"HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS",12301.0,12301.0,,,0 CDM,3527125001,"HC CT SCAN,THORAX,W/O CONTRAST",4805.5,4805.5,,,0 CDM,3527126002,HC CAT SCAN OF CHEST CONTRAST,7597.0,7597.0,,,0 CDM,3527127001,HC CAT SCAN OF CHEST COMBO,8146.5,8146.5,,,0 CDM,3527127101,HC LDCT FOR LUNG CA SCREEN,986.0,986.0,,,0 CDM,3527127501,"HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC",10465.0,10465.0,,,0 CDM,3527212501,"HC CT SCAN,CERVICAL SPINE,W/O CONTRAST",5271.0,5271.0,,,0 CDM,3527212601,HC CT SCAN CERV SPINE CONTRAST,5659.0,5659.0,,,0 CDM,3527212701,HC CT SCAN CERV SP COMBO,5713.5,5713.5,,,0 CDM,3527212801,"HC CT SCAN,THORACIC SPINE,W/O CONTRAST",5266.5,5266.5,,,0 CDM,3527212901,HC CT SCAN DORSAL SP CONTRAST,5657.0,5657.0,,,0 CDM,3527213001,HC CT SCAN DORSAL SP COMBO,5713.5,5713.5,,,0 CDM,3527213101,"HC CT SCAN,LUMBAR SPINE,W/O CONTRAST",5266.5,5266.5,,,0 CDM,3527213201,HC CT SCAN LUMBAR SP CONTRAST,5656.5,5656.5,,,0 CDM,3527213301,HC CT SCAN LUMBAR SP COMBO,5713.5,5713.5,,,0 CDM,3527219101,"HC CT ANGIO, PELVIS, COMBO, INCL IMAGE PROC",11197.0,11197.0,,,0 CDM,3527219201,"HC CT SCAN,PELVIS,W/O CONTRAST",4799.0,4799.0,,,0 CDM,3527219301,HC CT SCAN OF PELVIS CONTRAST,7343.5,7343.5,,,0 CDM,3527219401,HC CT SCAN OF PELVIS COMBO,8123.5,8123.5,,,0 CDM,3527320010,"HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST",3058.5,3058.5,,,0 CDM,3527320112,HC CT SCAN OF ARM CONTRAST,4145.5,4145.5,,,0 CDM,3527320209,HC CT SCAN OF ARM COMBO,5138.5,5138.5,,,0 CDM,3527320601,"HC CT ANGIO,UPPER EXTREM,COMBO",8063.0,8063.0,,,0 CDM,3527370013,"HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - LOWER EXTREMITY WO IV CONTRAST",3058.5,3058.5,,,0 CDM,3527370107,HC CT SCAN OF LEG CONTRAST,4258.5,4258.5,,,0 CDM,3527370205,HC CT SCAN OF LEG COMBO,5138.5,5138.5,,,0 CDM,3527370601,"HC CT ANGIO,LOWER EXTREM,COMBO,IMAGE PRC",8063.0,8063.0,,,0 CDM,3527415001,"HC CT SCAN,ABDOMEN,W/O CONTRAST",5106.5,5106.5,,,0 CDM,3527416001,HC CT SCAN OF ABDOMEN CONTRAST,7770.0,7770.0,,,0 CDM,3527417001,HC CT SCAN OF ABDOMEN W/WO CONT,9007.5,9007.5,,,0 CDM,3527417401,HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES,14948.0,14948.0,,,0 CDM,3527417501,"HC CT ANGIO, ABD, COMBO,INCL IMAGE PROC",13462.5,13462.5,,,0 CDM,3527417601,"HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST",7961.5,7961.5,,,0 CDM,3527417701,"HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST",12149.0,12149.0,,,0 CDM,3527417801,"HC CT SCAN,ABDOMEN AND PELVIS,COMBO",16101.0,16101.0,,,0 CDM,3527426101,HC CT COLONOGRAPHY DX - CT COLONOGRAPHY DIAGNOSTIC WO CONTRAST,7044.0,7044.0,,,0 CDM,3527426201,HC CT COLONOGRAPHY DX W/DYE - CT COLONOGRAPHY W/ & W/O CONT DIAGNOSTIC,11904.5,11904.5,,,0 CDM,3527426301,"HC CT COLONOGRAPHY INC IMAGE PROCESS, SCREENING",3543.5,3543.5,,,0 CDM,3527557101,HC CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM,8713.0,8713.0,,,0 CDM,3527557201,HC CT HEART CONTRAST EVAL CARDIAC STRUCT/MORPH,7260.5,7260.5,,,0 CDM,3527557301,HC CT HRT W/3D IMAGE CONGEN - CT HRT STRUCT MORPH CONG HRT DIS W/ CONT,8487.0,8487.0,,,0 CDM,3527557401,HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,11191.5,11191.5,,,0 CDM,3527563501,"HC CT ANGIO AORTOBIFEMORAL, COMBO",10211.0,10211.0,,,0 CDM,3527707801,HC CT BONE DENSITY STUDY AXIAL,1621.0,1621.0,,,0 CDM,3600000020,HC OR CARD - LEVEL 1 FIRST 30 MINUTES,8344.0,8344.0,,,0 CDM,3600000021,HC OR CARD - LEVEL 1 EACH ADDL MINUTE,132.0,132.0,,,0 CDM,3600000022,HC OR CARD - LEVEL 2 FIRST 30 MINUTES,11349.0,11349.0,,,0 CDM,3600000023,HC OR CARD - LEVEL 2 EACH ADDL MINUTE,146.0,146.0,,,0 CDM,3600000024,HC OR CARD - LEVEL 3 FIRST 30 MINUTES,12851.0,12851.0,,,0 CDM,3600000025,HC OR CARD - LEVEL 3 EACH ADDL MINUTE,152.0,152.0,,,0 CDM,3600000026,HC OR CARD - LEVEL 4 FIRST 30 MINUTES,15254.0,15254.0,,,0 CDM,3600000027,HC OR CARD - LEVEL 4 EACH ADDL MINUTE,164.0,164.0,,,0 CDM,3600000028,HC OR CARD - LEVEL 5 FIRST 30 MINUTES,17521.0,17521.0,,,0 CDM,3600000029,HC OR CARD - LEVEL 5 EACH ADDL MINUTE,173.0,173.0,,,0 CDM,3600000030,HC OR ENT - LEVEL 1 FIRST 30 MINUTES,5039.0,5039.0,,,0 CDM,3600000031,HC OR ENT - LEVEL 1 EACH ADDL MINUTE,116.0,116.0,,,0 CDM,3600000032,HC OR ENT - LEVEL 2 FIRST 30 MINUTES,6241.0,6241.0,,,0 CDM,3600000033,HC OR ENT - LEVEL 2 EACH ADDL MINUTE,121.0,121.0,,,0 CDM,3600000034,HC OR ENT - LEVEL 3 FIRST 30 MINUTES,8044.0,8044.0,,,0 CDM,3600000035,HC OR ENT - LEVEL 3 EACH ADDL MINUTE,131.0,131.0,,,0 CDM,3600000036,HC OR ENT - LEVEL 4 FIRST 30 MINUTES,10147.0,10147.0,,,0 CDM,3600000037,HC OR ENT - LEVEL 4 EACH ADDL MINUTE,139.0,139.0,,,0 CDM,3600000038,HC OR ENT - LEVEL 5 FIRST 30 MINUTES,13752.0,13752.0,,,0 CDM,3600000039,HC OR ENT - LEVEL 5 EACH ADDL MINUTE,157.0,157.0,,,0 CDM,3600000040,HC OR GENERAL - LEVEL 1 FIRST 30 MINUTES,7442.0,7442.0,,,0 CDM,3600000041,HC OR GENERAL - LEVEL 1 EACH ADDL MINUTE,128.0,128.0,,,0 CDM,3600000042,HC OR GENERAL - LEVEL 2 FIRST 30 MINUTES,10748.0,10748.0,,,0 CDM,3600000043,HC OR GENERAL - LEVEL 2 EACH ADDL MINUTE,143.0,143.0,,,0 CDM,3600000044,HC OR GENERAL - LEVEL 3 FIRST 30 MINUTES,12550.0,12550.0,,,0 CDM,3600000045,HC OR GENERAL - LEVEL 3 EACH ADDL MINUTE,151.0,151.0,,,0 CDM,3600000046,HC OR GENERAL - LEVEL 4 FIRST 30 MINUTES,14353.0,14353.0,,,0 CDM,3600000047,HC OR GENERAL - LEVEL 4 EACH ADDL MINUTE,159.0,159.0,,,0 CDM,3600000048,HC OR GENERAL - LEVEL 5 FIRST 30 MINUTES,16756.0,16756.0,,,0 CDM,3600000049,HC OR GENERAL - LEVEL 5 EACH ADDL MINUTE,170.0,170.0,,,0 CDM,3600000050,HC OR GYN - LEVEL 1 FIRST 30 MINUTES,6541.0,6541.0,,,0 CDM,3600000051,HC OR GYN - LEVEL 1 EACH ADDL MINUTE,123.0,123.0,,,0 CDM,3600000052,HC OR GYN - LEVEL 2 FIRST 30 MINUTES,9546.0,9546.0,,,0 CDM,3600000053,HC OR GYN - LEVEL 2 EACH ADDL MINUTE,137.0,137.0,,,0 CDM,3600000054,HC OR GYN - LEVEL 3 FIRST 30 MINUTES,13452.0,13452.0,,,0 CDM,3600000055,HC OR GYN - LEVEL 3 EACH ADDL MINUTE,155.0,155.0,,,0 CDM,3600000056,HC OR GYN - LEVEL 4 FIRST 30 MINUTES,14954.0,14954.0,,,0 CDM,3600000057,HC OR GYN - LEVEL 4 EACH ADDL MINUTE,162.0,162.0,,,0 CDM,3600000058,HC OR GYN - LEVEL 5 FIRST 30 MINUTES,17057.0,17057.0,,,0 CDM,3600000059,HC OR GYN - LEVEL 5 EACH ADDL MINUTE,172.0,172.0,,,0 CDM,3600000060,HC OR NEURO - LEVEL 1 FIRST 30 MINUTES,9245.0,9245.0,,,0 CDM,3600000061,HC OR NEURO - LEVEL 1 EACH ADDL MINUTE,135.0,135.0,,,0 CDM,3600000062,HC OR NEURO - LEVEL 2 FIRST 30 MINUTES,13150.0,13150.0,,,0 CDM,3600000063,HC OR NEURO - LEVEL 2 EACH ADDL MINUTE,153.0,153.0,,,0 CDM,3600000064,HC OR NEURO - LEVEL 3 FIRST 30 MINUTES,15554.0,15554.0,,,0 CDM,3600000065,HC OR NEURO - LEVEL 3 EACH ADDL MINUTE,165.0,165.0,,,0 CDM,3600000066,HC OR NEURO - LEVEL 4 FIRST 30 MINUTES,16456.0,16456.0,,,0 CDM,3600000067,HC OR NEURO - LEVEL 4 EACH ADDL MINUTE,169.0,169.0,,,0 CDM,3600000068,HC OR NEURO - LEVEL 5 FIRST 30 MINUTES,17658.0,17658.0,,,0 CDM,3600000069,HC OR NEURO - LEVEL 5 EACH ADDL MINUTE,175.0,175.0,,,0 CDM,3600000070,HC OR OPTH - LEVEL 1 FIRST 30 MINUTES,5641.0,5641.0,,,0 CDM,3600000071,HC OR OPTH - LEVEL 1 EACH ADDL MINUTE,119.0,119.0,,,0 CDM,3600000072,HC OR OPTH - LEVEL 2 FIRST 30 MINUTES,7143.0,7143.0,,,0 CDM,3600000073,HC OR OPTH - LEVEL 2 EACH ADDL MINUTE,126.0,126.0,,,0 CDM,3600000074,HC OR OPTH - LEVEL 3 FIRST 30 MINUTES,8944.0,8944.0,,,0 CDM,3600000075,HC OR OPTH - LEVEL 3 EACH ADDL MINUTE,134.0,134.0,,,0 CDM,3600000076,HC OR OPTH - LEVEL 4 FIRST 30 MINUTES,11048.0,11048.0,,,0 CDM,3600000077,HC OR OPTH - LEVEL 4 EACH ADDL MINUTE,145.0,145.0,,,0 CDM,3600000078,HC OR OPTH - LEVEL 5 FIRST 30 MINUTES,12250.0,12250.0,,,0 CDM,3600000079,HC OR OPTH - LEVEL 5 EACH ADDL MINUTE,150.0,150.0,,,0 CDM,3600000080,HC OR ORTHO - LEVEL 1 FIRST 30 MINUTES,8645.0,8645.0,,,0 CDM,3600000081,HC OR ORTHO - LEVEL 1 EACH ADDL MINUTE,133.0,133.0,,,0 CDM,3600000082,HC OR ORTHO - LEVEL 2 FIRST 30 MINUTES,11648.0,11648.0,,,0 CDM,3600000083,HC OR ORTHO - LEVEL 2 EACH ADDL MINUTE,147.0,147.0,,,0 CDM,3600000084,HC OR ORTHO - LEVEL 3 FIRST 30 MINUTES,14652.0,14652.0,,,0 CDM,3600000085,HC OR ORTHO - LEVEL 3 EACH ADDL MINUTE,160.0,160.0,,,0 CDM,3600000086,HC OR ORTHO - LEVEL 4 FIRST 30 MINUTES,16156.0,16156.0,,,0 CDM,3600000087,HC OR ORTHO - LEVEL 4 EACH ADDL MINUTE,168.0,168.0,,,0 CDM,3600000088,HC OR ORTHO - LEVEL 5 FIRST 30 MINUTES,17957.0,17957.0,,,0 CDM,3600000089,HC OR ORTHO - LEVEL 5 EACH ADDL MINUTE,176.0,176.0,,,0 CDM,3600000090,HC OR ROBOT - LEVEL 1 FIRST 30 MINUTES,68946.0,68946.0,,,0 CDM,3600000091,HC OR ROBOT - LEVEL 1 EACH ADDL MINUTE,177.0,177.0,,,0 CDM,3600000092,HC OR ROBOT - LEVEL 2 FIRST 30 MINUTES,71437.0,71437.0,,,0 CDM,3600000093,HC OR ROBOT - LEVEL 2 EACH ADDL MINUTE,178.0,178.0,,,0 CDM,3600000094,HC OR ROBOT - LEVEL 3 FIRST 30 MINUTES,73930.0,73930.0,,,0 CDM,3600000095,HC OR ROBOT - LEVEL 3 EACH ADDL MINUTE,179.0,179.0,,,0 CDM,3600000096,HC OR ROBOT - LEVEL 4 FIRST 30 MINUTES,76421.0,76421.0,,,0 CDM,3600000097,HC OR ROBOT - LEVEL 4 EACH ADDL MINUTE,181.0,181.0,,,0 CDM,3600000098,HC OR ROBOT - LEVEL 5 FIRST 30 MINUTES,78913.0,78913.0,,,0 CDM,3600000099,HC OR ROBOT - LEVEL 5 EACH ADDL MINUTE,182.0,182.0,,,0 CDM,36000000A1,HC OR UROL - LEVEL 1 FIRST 30 MINUTES,5339.0,5339.0,,,0 CDM,36000000A2,HC OR UROL - LEVEL 1 EACH ADDL MINUTE,118.0,118.0,,,0 CDM,36000000A3,HC OR UROL - LEVEL 2 FIRST 30 MINUTES,6842.0,6842.0,,,0 CDM,36000000A4,HC OR UROL - LEVEL 2 EACH ADDL MINUTE,124.0,124.0,,,0 CDM,36000000A5,HC OR UROL - LEVEL 3 FIRST 30 MINUTES,7743.0,7743.0,,,0 CDM,36000000A6,HC OR UROL - LEVEL 3 EACH ADDL MINUTE,129.0,129.0,,,0 CDM,36000000A7,HC OR UROL - LEVEL 4 FIRST 30 MINUTES,10447.0,10447.0,,,0 CDM,36000000A8,HC OR UROL - LEVEL 4 EACH ADDL MINUTE,140.0,140.0,,,0 CDM,36000000A9,HC OR UROL - LEVEL 5 FIRST 30 MINUTES,11949.0,11949.0,,,0 CDM,36000000B1,HC OR UROL - LEVEL 5 EACH ADDL MINUTE,148.0,148.0,,,0 CDM,36000000C3,HC OR OB - LEVEL 1 FIRST 30 MINUTES,4739.0,4739.0,,,0 CDM,36000000C4,HC OR OB - LEVEL 1 EACH ADDL MINUTE,115.0,115.0,,,0 CDM,36000000C5,HC OR OB - LEVEL 2 FIRST 30 MINUTES,5941.0,5941.0,,,0 CDM,36000000C6,HC OR OB - LEVEL 2 EACH ADDL MINUTE,120.0,120.0,,,0 CDM,36000000C7,HC OR OB - LEVEL 3 FIRST 30 MINUTES,9846.0,9846.0,,,0 CDM,36000000C8,HC OR OB - LEVEL 3 EACH ADDL MINUTE,138.0,138.0,,,0 CDM,36000000C9,HC OR OB - LEVEL 4 FIRST 30 MINUTES,14052.0,14052.0,,,0 CDM,36000000D1,HC OR OB - LEVEL 4 EACH ADDL MINUTE,158.0,158.0,,,0 CDM,36000000D2,HC OR OB - LEVEL 5 FIRST 30 MINUTES,15854.0,15854.0,,,0 CDM,36000000D3,HC OR OB - LEVEL 5 EACH ADDL MINUTE,166.0,166.0,,,0 CDM,3600483T01,HC CATH TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH,68439.0,68439.0,,,0 CDM,3600484T01,HC CATH TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE,62838.0,62838.0,,,0 CDM,3600569T01,HC CCL TTVR PERQ APPR INIT PROSTHESIS,69276.0,69276.0,,,0 CDM,3600570T01,HC CCL TTVR PERQ APPR EA ADDL PROSTHESIS,16359.0,16359.0,,,0 CDM,3600796T01,HC TRANSCATH INS DUAL-CHAMB LEADLESS PACEMKR RT ATRIAL COMP,31557.0,31557.0,,,0 CDM,3603336101,HC REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH,29488.0,29488.0,,,0 CDM,3603336201,HC REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH,51046.0,51046.0,,,0 CDM,3603336301,HC REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH,106940.0,106940.0,,,0 CDM,3603341801,HC TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS,60780.0,60780.0,,,0 CDM,3603341901,HC TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS,37340.0,37340.0,,,0 CDM,3603388001,HC ENDOVASC TAA REPR INCL SUBCL,77238.0,77238.0,,,0 CDM,3603388101,HC ENDOVASC TAA REW/O SUBCL,89210.0,89210.0,,,0 CDM,3603389401,HC ENDOVASC STENT REP THRC/AA ACRS MAJ SIDE BRN,13765.0,13765.0,,,0 CDM,3603389501,HC ENDOVASC STENT REP THRC/AA X CRSG MAJ SIDE BRN,10945.0,10945.0,,,0 CDM,3603389701,HC PERC TRANSLUM ANGIOPLASTY NTARIVE/RECUR COA,13409.0,13409.0,,,0 CDM,3603390001,HC PERC PULM ART REVASC NORM INIT UNI,12449.0,12449.0,,,0 CDM,3603390101,HC PERC PULM ART REVASC NORM INIT BIL,12449.0,12449.0,,,0 CDM,3603390201,HC PERC PULM ART REVASC ABN INIT UNI,20145.0,20145.0,,,0 CDM,3603390301,HC PERC PULM ART REVASC ABN INIT BIL,12449.0,12449.0,,,0 CDM,3603394601,HC ECMO/ECLS INITIATION VENO-VENUS,17654.0,17654.0,,,0 CDM,3603394701,HC ECMO/ECLS INITIATION VENO_ARTERIAL,13252.0,13252.0,,,0 CDM,3603394801,HC ECMO/ECLS DAILY MANAGEMENT VENOUS,4820.0,4820.0,,,0 CDM,3603394901,HC ECMO/ECLS DAILY MANAGEMENT ARTERIAL,4820.0,4820.0,,,0 CDM,3603396601,HC ECMO/ECLS PERIPH CANNULA REM PRQ 6+ YRS,9125.0,9125.0,,,0 CDM,3603399001,HC INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY,6967.0,6967.0,,,0 CDM,3603399201,HC REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION,6967.0,6967.0,,,0 CDM,3603399301,HC REPOSITION VAD W/IMAGING DIFFERENT SESSION,6967.0,6967.0,,,0 CDM,3603399501,HC INSERT PERQ VAD R HRT VENOUS,27737.0,27737.0,,,0 CDM,3603470101,HC CCL EVASC RPR A-AO NON-RUPTRE,81182.0,81182.0,,,0 CDM,3603470501,HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT,14560.0,14560.0,,,0 CDM,3603470701,HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT,81182.0,81182.0,,,0 CDM,3603470801,HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT,100190.0,100190.0,,,0 CDM,3603470901,HC PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR,16469.0,16469.0,,,0 CDM,3603471001,HC DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL,89210.0,89210.0,,,0 CDM,3603471101,HC DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL,16469.0,16469.0,,,0 CDM,3603471201,HC TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I,9793.0,9793.0,,,0 CDM,3603471701,HC EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,27840.0,27840.0,,,0 CDM,3603471801,HC ENDOVASC REPAIR ILIAC ART SEPARATE PROCEDURE NON-RUPTURE UNILAT,29102.0,29102.0,,,0 CDM,3603481201,HC OPN FEM ART EXPOS DLVR EVASC PROSTH UNI,9045.0,9045.0,,,0 CDM,3603483401,HC CCL OPN BRACH ART EXPOS LT,8224.0,8224.0,,,0 CDM,3603535501,HC THROMBOENDARTERECTOMY W/ W/O PATCH GRAFT ILIOFEMORAL,93671.0,93671.0,,,0 CDM,3603537101,HC THROMBOENDARTECTMY FEMORAL COMMON,93671.0,93671.0,,,0 CDM,3604942501,HC INSERT ABDOMEN-VENOUS SHUNT,12011.0,12011.0,,,0 CDM,36100000002,HC BEDSIDE BRONCHOSCOPY,6568.0,6568.0,,,0 CDM,3610000001,HC MINOR SURGICAL PROCEDURE OTHER,2056.0,2056.0,,,0 CDM,3610000003,"HC DENTAL PROCEDURE, PER 30 MIN",4200.0,4200.0,,,0 CDM,3610075T01,HC TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL,26772.0,26772.0,,,0 CDM,3610076T01,HC TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL,13386.0,13386.0,,,0 CDM,3610200T01,HC PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL,15329.0,15329.0,,,0 CDM,3610201T01,HC PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS,20972.0,20972.0,,,0 CDM,3610213T01,HC INJ PARAVERT FACET CERV/THOR W/ US GUIDANCE,7680.0,7680.0,,,0 CDM,3610216T01,HC INJ PARAVERT FACET LUMB/SACR W/ US GUIDANCE,7680.0,7680.0,,,0 CDM,3610232T01,HC INJ PLATELET RICH PLASMA,4759.0,4759.0,,,0 CDM,3610234T01,HC TRLUML PERIP ATHRC RENAL ART,93709.0,93709.0,,,0 CDM,3610235T01,HC TRLUML PERIP ATHRC VISCERAL - IR ATHERECTOMY EA ADDL VISCERAL ARTERY,3639.0,3639.0,,,0 CDM,3610237T01,HC TRLUML PERIP ATHRC BRCHIOCPH,93709.0,93709.0,,,0 CDM,3610238T01,"HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH",24172.0,24172.0,,,0 CDM,3610275T01,HC PILD/MILD LUMBAR DECOMPRESS LSS,21719.0,21719.0,,,0 CDM,3610338T01,HC TRANSCATH RENAL SYMP DENERV UNI,53176.0,53176.0,,,0 CDM,3610339T01,HC TRANSCATH RENAL SYMP DENERV BIL,53176.0,53176.0,,,0 CDM,3610408T01,"HC INS/REPL CCM SYSTEM, PULSE GEN W/ TV ELECTRODES",27737.0,27737.0,,,0 CDM,3610409T01,HC INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY,21063.0,21063.0,,,0 CDM,3610410T01,HC INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY,8096.0,8096.0,,,0 CDM,3610411T01,HC INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY,8096.0,8096.0,,,0 CDM,3610412T01,HC REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY,8439.0,8439.0,,,0 CDM,3610413T01,HC REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE,8439.0,8439.0,,,0 CDM,3610414T01,HC RMVL & RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY,21063.0,21063.0,,,0 CDM,3610415T01,HC REPOS CARDIAC MODULJ TRANSVENOUS ELECTRODE,1812.0,1812.0,,,0 CDM,3610416T01,HC RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR,3067.0,3067.0,,,0 CDM,3610417T01,HC PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM,132.0,132.0,,,0 CDM,3610418T01,HC INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM,132.0,132.0,,,0 CDM,3610424T01,HC INSRT/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE,18878.0,18878.0,,,0 CDM,3610427T01,HC INS/REPL NEUROSTIM SYS CSA PULSE GEN,58056.0,58056.0,,,0 CDM,3610428T01,HC REM NEUROSTIM SYS CSA PULSE GEN,3688.0,3688.0,,,0 CDM,3610686T01,HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,71999.0,71999.0,,,0 CDM,3611000501,HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,2494.0,2494.0,,,0 CDM,3611000601,HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,2495.0,2495.0,,,0 CDM,3611000701,HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION,2494.0,2494.0,,,0 CDM,3611000801,HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL,1126.0,1126.0,,,0 CDM,3611000901,HC FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION,2494.0,2494.0,,,0 CDM,3611001001,HC FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL,2495.0,2495.0,,,0 CDM,3611002101,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,1433.0,1433.0,,,0 CDM,3611003001,HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,2495.0,2495.0,,,0 CDM,3611003501,HC PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE,3226.0,3226.0,,,0 CDM,3611003601,HC PLACE INT DVC SOFT TISSUE ADD,1614.0,1614.0,,,0 CDM,3611004001,HC ACNE SURGERY OF SKIN ABCESS,621.0,621.0,,,0 CDM,3611006001,HC DRAIN SKIN ABSCESS SIMPLE,822.0,822.0,,,0 CDM,3611006101,HC DRAIN SKIN ABSCESS COMPLIC,1305.0,1305.0,,,0 CDM,3611008001,HC DRAIN PILONIDAL CYST SIMPL,2372.0,2372.0,,,0 CDM,3611008101,HC DRAIN PILONIDAL CYST COMPLIC,2372.0,2372.0,,,0 CDM,3611012001,HC REMOVE FOREIGN BODY SIMPLE,2305.0,2305.0,,,0 CDM,3611012101,HC REMOVE FOREIGN BODY COMPLIC,9255.0,9255.0,,,0 CDM,3611014001,HC DRAINAGE OF HEMATOMA/FLUID,5498.0,5498.0,,,0 CDM,3611016001,HC PUNCTURE DRAINAGE OF LESION,1540.0,1540.0,,,0 CDM,3611018001,"HC COMPLEX DRAINAGE, WOUND",9131.0,9131.0,,,0 CDM,3611100001,"HC DEBRIDEMENT, INFECTED SKIN, UP TO 10% BSA",2541.0,2541.0,,,0 CDM,3611101201,HC DEBRIDE ASSOC OPEN FX/DISLO SKIN/MUS/BONE,7146.0,7146.0,,,0 CDM,3611104201,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM",2391.0,2391.0,,,0 CDM,3611104301,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,=<20 SQ CM",1992.0,1992.0,,,0 CDM,3611104401,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,=<20 SQ CM",5498.0,5498.0,,,0 CDM,3611104501,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM",1280.0,1280.0,,,0 CDM,3611104601,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,EACH ADD 20 SQ CM",1992.0,1992.0,,,0 CDM,3611104701,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,EACH ADD 20 SQ CM",5498.0,5498.0,,,0 CDM,3611105501,"HC TRIM HYPERKERATOTIC SKIN LESION, ONE",923.0,923.0,,,0 CDM,3611105601,"HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4",923.0,923.0,,,0 CDM,3611105701,"HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,>4",923.0,923.0,,,0 CDM,3611110201,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,699.0,699.0,,,0 CDM,3611110301,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,311.0,311.0,,,0 CDM,3611110401,HC PUNCH BIOPSY SKIN SINGLE LESION,699.0,699.0,,,0 CDM,3611110501,HC PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,599.0,599.0,,,0 CDM,3611110601,HC INCISIONAL BIOPSY SKIN SINGLE LESION,1280.0,1280.0,,,0 CDM,3611110701,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,908.0,908.0,,,0 CDM,3611120001,"HC REMOVAL OF SKIN TAGS, UP TO 15",622.0,622.0,,,0 CDM,3611120101,"HC REMOVAL OF SKIN TAGS, EACH ADDL 10",1242.0,1242.0,,,0 CDM,3611130001,"HC SHAV SKIN LES < 0.5 CM TRUNK,ARM,LEG",1301.0,1301.0,,,0 CDM,3611130101,"HC SHAV SKIN LES 0.6 TO 1.0 CM TRUNK,ARM,LEG",629.0,629.0,,,0 CDM,3611130201,"HC SHAV SKIN LES 1.1 TO 2.0 CM TRUNK,ARM,LEG",629.0,629.0,,,0 CDM,3611130301,"HC SHAVE SKIN LESION TRUNK,ARM,LEG>2.1 CM",1301.0,1301.0,,,0 CDM,3611130501,HC SHAVE SKIN LES SNHF<0.5CM,678.0,678.0,,,0 CDM,3611130601,HC SHAVE SKIN LES SNHF.6-1CM,678.0,678.0,,,0 CDM,3611130701,HC SHAVE SKIN LESION SNHF 1.1-2 CM,678.0,678.0,,,0 CDM,3611130801,HC SHAVE SKIN LESION REMAINDER BODY >2.1 CM,1198.0,1198.0,,,0 CDM,3611131001,"HC SHAV SKIN LES <0.5 CM FACE,FACIAL",678.0,678.0,,,0 CDM,3611131101,HC SHAVE SKIN LES 0.6-1.0 CM,678.0,678.0,,,0 CDM,3611131201,"HC SHAV SKIN LES 1.1 TO 2.0 CM FACE,FACIAL",1305.0,1305.0,,,0 CDM,3611131301,"HC SHAV SKIN LES >2.1 CM FACE,FACIAL",1305.0,1305.0,,,0 CDM,3611140001,HC EXC TR-EXT BENIGN+MRG<0.5CM,3570.0,3570.0,,,0 CDM,3611140101,"HC EXC SKIN BENIG 0.6-1 CM TRUNK,ARM,LEG",2052.0,2052.0,,,0 CDM,3611140201,"HC EXC SKIN BENIG 1.1-2 CM TRUNK,ARM,LEG",3570.0,3570.0,,,0 CDM,3611140301,"HC EXC SKIN BENIG 2.1-3 CM TRUNK,ARM,LEG",3570.0,3570.0,,,0 CDM,3611140401,"HC EXC SKIN BENIG 3.1-4 CM TRUNK,ARM,LEG",8248.0,8248.0,,,0 CDM,3611140601,"HC EXC SKIN BENIG >4 CM TRUNK,ARM,LEG",8248.0,8248.0,,,0 CDM,3611142001,HC EXCISION BENIGN LES W/ MARG SNHFG <0.5 CM,6901.0,6901.0,,,0 CDM,3611142101,HC EXC SKIN BENIG 0.6-1 CM REMAINDR BODY,2986.0,2986.0,,,0 CDM,3611142201,HC EXC SKIN BENIG 1.1-2 CM REMAINDR BODY,6901.0,6901.0,,,0 CDM,3611142301,HC EXC BENIGN LES REMAINDER BODY 2.1-3.0 CM,6901.0,6901.0,,,0 CDM,3611142401,HC EXC SKIN BENIG 3.1-4 CM REMAINDR BODY,6901.0,6901.0,,,0 CDM,3611142601,HC EXC SKIN BENIG >4 CM REMAINDR BODY,11888.0,11888.0,,,0 CDM,3611144002,HC EXC BENIGN LESION FACE/FACIAL <0.5 CM,2156.0,2156.0,,,0 CDM,3611144102,"HC EXC SKIN BENIG 0.6-1 CM FACE,FACIAL",3823.0,3823.0,,,0 CDM,3611144202,HC EXC BENIGN LESION FACE/FACIAL 1.1-2.0 CM,2156.0,2156.0,,,0 CDM,3611144302,HC EXC BENIGN LESION FACE/FACIAL 2.1-3.0 CM,4876.0,4876.0,,,0 CDM,3611144402,HC EXC BENIGN LESION FACE/FACIAL 3.1-4.0 CM,4876.0,4876.0,,,0 CDM,3611144602,HC EXC BENIGN LESION FACE/FACIAL <4.0 CM,8220.0,8220.0,,,0 CDM,3611145001,"HC EXC SWEAT GLAND LESION, SIMP/INTERM REP",7905.0,7905.0,,,0 CDM,3611145101,"HC EXC SWEAT GLAND LESION, COMPLEX REP",7905.0,7905.0,,,0 CDM,3611146201,"HC REM SWEAT GLAND LESION, SIMP/INTERM REP",7905.0,7905.0,,,0 CDM,3611146301,"HC REM SWEAT GLAND LESION, COMPLEX REP",7905.0,7905.0,,,0 CDM,3611147001,"HC EXC SWEAT GLAND LES PERINEAL,SIMP/INTERM REP",7905.0,7905.0,,,0 CDM,3611147101,"HC EXC SWEAT GLAND LES PERINEAL,COMPLEX REP",7905.0,7905.0,,,0 CDM,3611160001,HC EXC MAL LES T/A/L <0.5 CM,4802.0,4802.0,,,0 CDM,3611160101,"HC EXC SKIN MALIG 0.6-1 CM TRUNK,ARM,LEG",4802.0,4802.0,,,0 CDM,3611160201,HC EXCISION MALIGNANT LES W/ MARG TAL 1.1-2.0 CM,2761.0,2761.0,,,0 CDM,3611160301,"HC EXC SKIN MALIG 2.1-3 CM TRUNK,ARM,LEG",4802.0,4802.0,,,0 CDM,3611160401,"HC EXC SKIN MALIG 3.1-4 CM TRUNK,ARM,LEG",4802.0,4802.0,,,0 CDM,3611160601,"HC EXC SKIN MALIG >4 CM TRUNK,ARM,LEG",11095.0,11095.0,,,0 CDM,3611162001,HC EXC MALIG LESION REMAINDER BODY <0.5 CM,7638.0,7638.0,,,0 CDM,3611162101,HC EXC MLGNT LESION 0.6-1CM,3306.0,3306.0,,,0 CDM,3611162201,HC EXC MLGNT LESION 1.1-2 CM,3306.0,3306.0,,,0 CDM,3611162301,HC EXC MALIG LESION REMAINDER BODY 2.1-3.0 CM,7638.0,7638.0,,,0 CDM,3611162401,HC EXC SKIN MALIG 3.1-4 CM REMAINDR BODY,7638.0,7638.0,,,0 CDM,3611162601,HC EXC SKIN MALIG >4 CM REMAINDR BODY,13159.0,13159.0,,,0 CDM,3611164002,HC EXC MALIG LESION FACE/FACIAL <0.5 CM,3113.0,3113.0,,,0 CDM,3611164102,HC EXC MALIG LESION FACE/FACIAL 0.6-1.0 CM,3113.0,3113.0,,,0 CDM,3611164201,HC EXC MALIG LESION FACE/FACIAL 1.1-2.0 CM,3113.0,3113.0,,,0 CDM,3611164301,HC PBD EX: EXCISION MALIGNANT LES W/ MARG FEENL 2.1-3.0 CM,7192.0,7192.0,,,0 CDM,3611164401,"HC EXC SKIN MALIG 3.1-4 CM FACE,FACIAL",7192.0,7192.0,,,0 CDM,3611164601,HC EXC MALIG LESION FACE/FACIAL >4.0 CM,12390.0,12390.0,,,0 CDM,3611171901,HC TRIM NAIL(S),220.0,220.0,,,0 CDM,3611172001,"HC DEBRIDEMENT OF NAIL(S), 1-5",220.0,220.0,,,0 CDM,3611172101,"HC DEBRIDEMENT OF NAILS, 6 OR MORE",220.0,220.0,,,0 CDM,3611173001,HC REMOVAL OF NAIL PLATE,699.0,699.0,,,0 CDM,3611173201,HC REMOVAL OF NAIL PLATE EACH ADDL,699.0,699.0,,,0 CDM,3611174001,HC DRAIN BLOOD FROM UNDER NAIL,536.0,536.0,,,0 CDM,3611175001,HC REMOVAL OF NAIL BED,1280.0,1280.0,,,0 CDM,3611175501,HC BIOPSY NAIL UNIT,2525.0,2525.0,,,0 CDM,3611176001,HC RECONSTRUC OF NAIL BED,1977.0,1977.0,,,0 CDM,3611176501,"HC EXCISION OF NAIL FOLD, TOE",741.0,741.0,,,0 CDM,3611177201,HC REMV PILONIDAL LESION COMPLIC,18341.0,18341.0,,,0 CDM,3611190001,HC INJ INTRALESIONAL UP TO 7,1035.0,1035.0,,,0 CDM,3611190101,HC INJ INTRALESIONAL >7 LESIONS,1035.0,1035.0,,,0 CDM,3611195001,HC SUBCUT INJ FILLING MATERIAL <1CC,611.0,611.0,,,0 CDM,3611195101,HC SUBCUT INJ FILLING MATERIAL 1.1-5.0 CC,1804.0,1804.0,,,0 CDM,3611195201,HC SUBCUT INJ FILLING MATERIAL 5.1-10.0CC,1804.0,1804.0,,,0 CDM,3611195401,HC SUBCUT INJ FILLING MATERIAL >10.0 CC,1804.0,1804.0,,,0 CDM,3611198001,HC IMPLANT SUBQ HORMONE PELLET,1024.0,1024.0,,,0 CDM,3611198101,HC INSERT DRUG DELIVERY IMPLANT,5685.0,5685.0,,,0 CDM,3611198201,HC REMOVE DRUG DELIVERY IMPLANT,1340.0,1340.0,,,0 CDM,3611198301,HC REPLACE DRUG DELIVERY IMPLANT,1340.0,1340.0,,,0 CDM,3611200101,HC RESUPERF WND BODY <2.5CM,800.0,800.0,,,0 CDM,3611200201,HC RESUP NPTERF WND BODY 2.6-7.5 CM,800.0,800.0,,,0 CDM,3611200401,HC RESUPERF WND BODY 7.6-12.5 CM,800.0,800.0,,,0 CDM,3611200501,HC RESUPERF WND BODY 12.6-20 CM,1652.0,1652.0,,,0 CDM,3611200601,HC RESUPERF WND BODY 20.1-30 CM,1652.0,1652.0,,,0 CDM,3611200701,HC RESUPERF WND BODY >30 CM,800.0,800.0,,,0 CDM,3611201101,HC RESUPERF WND FACE <2.5 CM,751.0,751.0,,,0 CDM,3611201301,HC RESUPERF WND FACE 2.6-5 CM,751.0,751.0,,,0 CDM,3611201401,HC RESUPERF WND FACE 5.1-7.5 CM,751.0,751.0,,,0 CDM,3611201501,HC RESUPERF WND FACE 7.6-12.5 CM,751.0,751.0,,,0 CDM,3611201601,HC RESUPERF WND FACE 12.6-20 CM,1551.0,1551.0,,,0 CDM,3611201701,HC RESUPERF WND FACE 20.1-30 CM,1551.0,1551.0,,,0 CDM,3611201801,HC RESUPERF WND FACE >30 CM,751.0,751.0,,,0 CDM,3611202001,HC CLOSURE SUPERF WND DEHIS SIMPLE,4034.0,4034.0,,,0 CDM,3611202101,HC SUPERFICIAL WOUND DEHISCENCE W/ PACKING,1305.0,1305.0,,,0 CDM,3611203101,"HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM",1245.0,1245.0,,,0 CDM,3611203201,"HC LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM",1305.0,1305.0,,,0 CDM,36112032PB,"HC LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM",1305.0,1305.0,,,0 CDM,3611203401,"HC LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5 CM",1245.0,1245.0,,,0 CDM,3611203501,"HC LAYR CLOS WND TRUNK,ARM,LEG 12.6-20 CM",1245.0,1245.0,,,0 CDM,3611203601,"HC LAYR CLOS WND TRUNK,ARM,LEG 20.1-30 CM",1938.0,1938.0,,,0 CDM,3611203701,"HC LAYR CLOS WND TRUNK,ARM,LEG >30 CM",5760.0,5760.0,,,0 CDM,3611204101,HC LAYR CLOS WND REST BODY <2.5 CM,1271.0,1271.0,,,0 CDM,3611204201,HC LAYR CLOS WND REST BODY 2.6-7.5 CM,1271.0,1271.0,,,0 CDM,3611204401,HC LAYR CLOS WND REST BODY 7.6-12.5 CM,1925.0,1925.0,,,0 CDM,3611204501,HC LAYR CLOS WND REST BODY 12.6-20 CM,1977.0,1977.0,,,0 CDM,3611204601,HC LAYR CLOS WND REST BODY 20.1-30 CM,1977.0,1977.0,,,0 CDM,3611204701,HC LAYR CLOS WND REST BODY >30 CM,6465.0,6465.0,,,0 CDM,3611205101,"HC LAYR CLOS WND FACE,FACIAL <2.5 CM",1277.0,1277.0,,,0 CDM,3611205201,"HC LAYR CLOS WND FACE,FACIAL 2.5-5 CM",1277.0,1277.0,,,0 CDM,3611205301,"HC LAYR CLOS WND FACE,FACIAL 5.1-7.5 CM",1277.0,1277.0,,,0 CDM,3611205401,"HC LAYR CLOS WND FACE,FACIAL 7.6-12.5 CM",1277.0,1277.0,,,0 CDM,3611205501,"HC LAYR CLOS WND FACE,FACIAL 12.6-20 CM",1277.0,1277.0,,,0 CDM,3611205601,"HC LAYR CLOS WND FACE,FACIAL 20.1-30 CM",1277.0,1277.0,,,0 CDM,3611205701,"HC LAYR CLOS WND FACE,FACIAL >30 CM",1277.0,1277.0,,,0 CDM,3611310001,HC REP COMPL TRUNK 1.1-2.5 CM,4055.0,4055.0,,,0 CDM,3611310101,HC REP COMPL TRUNK 2.6-7.5 CM,4055.0,4055.0,,,0 CDM,3611310201,HC REP COMPL TRUNK EACH ADDL 5 OR LESS CM,4175.0,4175.0,,,0 CDM,3611312001,"HC RECMPL WND SCALP,EXTR 1.1-2.5 CM",1977.0,1977.0,,,0 CDM,3611312101,"HC RECMPL WND SCALP,EXTR 2.6-7.5 CM",1977.0,1977.0,,,0 CDM,3611312201,"HC REP,SKIN,SCALP/EXTREM+5 CM/<",426.0,426.0,,,0 CDM,3611313101,"HC RECMPL WND HEAD,FAC,HAND 1.1-2.5 CM",1305.0,1305.0,,,0 CDM,3611313201,"HC RECMPL WND HEAD,FAC,HAND 2.6-7.5 CM",1977.0,1977.0,,,0 CDM,3611313301,"HC REPR,FACE,GENITAL,HAND,FT+5 CMCM/<",3020.0,3020.0,,,0 CDM,3611315101,"HC RECMPL WND LID,NOS,EAR 1.1-2.5 CM",1977.0,1977.0,,,0 CDM,3611315201,"HC RECMPL WND LID,NOS,EAR 2.5-7.5 CM",1977.0,1977.0,,,0 CDM,3611315301,"HC RECMPL WND LID,NOS,EAR EACH ADDL 5 OR LESS CM",2837.0,2837.0,,,0 CDM,3611316001,HC SURGICAL WOUND CLOSURE SECONDARY EXTENSIVE OR COMPLEX,15359.0,15359.0,,,0 CDM,3611404001,"HC TISSUE TRANSFER FCCMNAGH, <10 SQCM",12007.0,12007.0,,,0 CDM,3611500201,"HC WOUND PREP,TRUNK/ARM/LG 1ST 100 CM OR 1% PEDS",8126.0,8126.0,,,0 CDM,3611500301,"HC WOUND PREP, TRUNK/ARM/LG EA ADDL 100 CM OR 1% PEDS",8126.0,8126.0,,,0 CDM,3611500401,HC WOUND PREP FACE/NECK/HAND/FOOT/GEN 1ST 100 CM OR 1% PEDS,5290.0,5290.0,,,0 CDM,3611500501,HC WOUND PREP FACE/NECK/HAND/FOOT/GEN ADDL 100 CM OR 1% PEDS,2217.0,2217.0,,,0 CDM,3611510001,"HC SPLIT GRFT TRUNK,ARM,LEG <100 SQCM",10645.0,10645.0,,,0 CDM,3611511001,HC EPIDRM AUTOGRFT TRNK/ARM/LEG <100 SQCM,6465.0,6465.0,,,0 CDM,3611511501,HC EPI AUTOGRFT FACE/NCK/HND/FT/GEN <100 SQCM,6465.0,6465.0,,,0 CDM,3611524001,HC SKIN FULL GRAFT FACE/GEN/HF <21 SQ CM,8886.0,8886.0,,,0 CDM,3611526001,"HC FULL THICK GRFT NOS,EAR,LID,LIP <20 SQCM",5499.0,5499.0,,,0 CDM,3611527101,HC APP SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM,6445.0,6445.0,,,0 CDM,3611527102,HC APP LOW COST SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM,6445.0,6445.0,,,0 CDM,3611527201,HC APP SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM,6501.0,6501.0,,,0 CDM,3611527202,HC APP LOW COST SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM,6501.0,6501.0,,,0 CDM,3611527301,HC APP SKN SUB GRFT T/A/L AREA/>100SCM 1ST 100SCM,11928.0,11928.0,,,0 CDM,3611527302,HC APP LOW COST SKN SUB GRFT T/A/L AREA/>100SCM 1ST 100SCM,11928.0,11928.0,,,0 CDM,3611527401,HC APP SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM,6501.0,6501.0,,,0 CDM,3611527402,HC APP LOW COST SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM,6501.0,6501.0,,,0 CDM,3611527501,HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM,6501.0,6501.0,,,0 CDM,3611527502,HC SUB LOW COST GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM,6501.0,6501.0,,,0 CDM,3611527601,HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM,6501.0,6501.0,,,0 CDM,3611527602,HC SUB LOW COST GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM,6501.0,6501.0,,,0 CDM,3611527701,HC SUB GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM,6501.0,6501.0,,,0 CDM,3611527702,HC SUB LOW COST GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM,6501.0,6501.0,,,0 CDM,3611527801,HC SUB GRFT F/S/N/H/F/G/M/D />100SCM ADL 100SCM,6501.0,6501.0,,,0 CDM,3611527802,HC SUB LOW COST GRFT F/S/N/H/F/G/M/D />100SCM ADL 100SCM,6501.0,6501.0,,,0 CDM,3611583001,"HC EXCISE EXCESS SKIN TISSUE,ABDOMEN",32799.0,32799.0,,,0 CDM,3611583201,"HC EXCISE EXCESS SKIN TISSUE,THIGH",8950.0,8950.0,,,0 CDM,3611583901,"HC EXC EXCESS SKIN TISSUE, OTHER",10030.0,10030.0,,,0 CDM,3611585101,HC REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA,4052.0,4052.0,,,0 CDM,3611585301,HC REM SUTURES OR STAPLES NOT REQ ANES W/ E/M,220.0,220.0,,,0 CDM,3611585401,HC REM SUTURE & STAPLES NOT REQ ANES W/ E/M,312.0,312.0,,,0 CDM,3611600001,HC INITIAL RX BURN(S) 1ST DEGREE,672.0,672.0,,,0 CDM,3611602001,HC DRESS/DEBRID SMALL BURN NO ANES,699.0,699.0,,,0 CDM,3611602501,HC DRESS/DEBRID MED BURN NO ANESTH,699.0,699.0,,,0 CDM,3611603001,HC DRESS/DEBRID LARGE BURN NO ANESTH,1280.0,1280.0,,,0 CDM,3611603501,HC ESCHAROTOMY INIT INCISION,1305.0,1305.0,,,0 CDM,3611603601,HC ESCHAROTOMY EA ADDL INCISION,936.0,936.0,,,0 CDM,3611700001,"HC DESTRUC BENIGN/PREMAL,FIRST LESION",659.0,659.0,,,0 CDM,3611700301,"HC DESTRUC BENIGN/PREMAL,2-14 LESIONS",114.0,114.0,,,0 CDM,3611700401,"HC DESTRUC BENIGN/HCEMAL,15+ LESIONS",114.0,114.0,,,0 CDM,3611710601,HC DESTRUC CUT/VASC <10 SQCM,1305.0,1305.0,,,0 CDM,3611710701,HC DESTRUC CUT/VASC 10-50 SQCM,1977.0,1977.0,,,0 CDM,3611710801,HC DESTRUC CUT/VASC >50 SQCM,6465.0,6465.0,,,0 CDM,3611711001,HC DESTRUCTION BENIGN LESIONS UP TO 14,977.0,977.0,,,0 CDM,3611711101,HC DESTRUCTION BENIGN LESIONS 15 OR MORE,977.0,977.0,,,0 CDM,3611725001,HC CHEM CAUTERY GRANULATN TISSUE,699.0,699.0,,,0 CDM,3611726001,"HC DESTR MALIG TRUNK, EXTREM <0.6 CM",608.0,608.0,,,0 CDM,3611726101,HC DST DKN LES T/A/L 0.6-1 CM,608.0,608.0,,,0 CDM,3611726201,"HC DESTR MALIG TRUNK, EXTREM 1.1-2 CM",608.0,608.0,,,0 CDM,3611726301,"HC DESTR MALIG TRUNK, EXTREM 2.1-3 CM",608.0,608.0,,,0 CDM,3611726401,"HC DESTR MALIG TRUNK, EXTREM 3.1-4 CM",1254.0,1254.0,,,0 CDM,3611726601,"HC DESTR MALIG TRUNK, EXTREM >4.0 CM",1254.0,1254.0,,,0 CDM,3611727001,"HC DESTR MALIG SCAL, NCK, HAND <0.6 CM",621.0,621.0,,,0 CDM,3611727101,"HC DESTR MALIG SCAL, NCK, HAND 0.6 - 1 CM",621.0,621.0,,,0 CDM,3611727201,"HC DESTR MALIG SCAL, NCK, HAND 1.1-2 CM",621.0,621.0,,,0 CDM,3611727301,"HC DESTR MALIG SCAL, NCK, HAND 2.1-3 CM",1198.0,1198.0,,,0 CDM,3611727401,"HC DESTR MALIG SCAL, NCK, HAND 3.1-4 CM",1198.0,1198.0,,,0 CDM,3611727601,"HC DESTR MALIG SCAL, NCK, HAND >4 CM",1198.0,1198.0,,,0 CDM,3611728001,"HC DESTR MALIG FACE, NOSE, LIP <0.6 CM",621.0,621.0,,,0 CDM,3611728101,"HC DESTR MALIG FACE, NOSE, LIP 0.6-1 CM",1198.0,1198.0,,,0 CDM,3611728201,"HC DESTR MALIG FACE, NOSE, LIP 1.1-2 CM",1198.0,1198.0,,,0 CDM,3611728301,"HC DESTR MALIG FACE, NOSE, LIP 2.1-3 CM",1198.0,1198.0,,,0 CDM,3611728401,"HC DESTR MALIG FACE, NOSE, LIP 3.1-4 CM",1813.0,1813.0,,,0 CDM,3611728601,"HC DESTR MALIG FACE, NOSE, LIP >4 CM",1813.0,1813.0,,,0 CDM,3611731101,HC MOHS TUMOR REMOVE H/N/H/F/G 1ST STAGE UP TO 5 TISSUE BLOCKS,1977.0,1977.0,,,0 CDM,3611731201,HC MOHS TUMOR REMOVE H/N/H/F/G EA ADDL STAGE UP TO 5 TISSUE BLOCKS,2837.0,2837.0,,,0 CDM,3611731301,HC MOHS TUMOR REMOVE T/A/L 1ST STAGE UP TO 5 TISSUE BLOCKS,1977.0,1977.0,,,0 CDM,3611731401,HC MOHS TUMOR REMOVE T/A/L EA ADDL STAGE UP TO 5 TISSUE BLOCKS,2837.0,2837.0,,,0 CDM,3611731501,HC MOHS TUMOR REMOVE ANY STAGE EA ADDL BLOCK >5 TISSUE BLOCKS,2837.0,2837.0,,,0 CDM,3611900001,HC PUNC/ASPIR BREAST CYST,2426.0,2426.0,,,0 CDM,3611900101,"HC PUCT/ASPIR BREAST CYST,EACH ADDN",820.0,820.0,,,0 CDM,3611902001,HC EXPLO/DRAIN BREAST ABSCESS,5311.0,5311.0,,,0 CDM,3611903001,HC INJECT DUCTOGRAM/GALACTOGRAM,637.0,637.0,,,0 CDM,3611908101,HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE,11910.0,11910.0,,,0 CDM,3611908201,HC BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE,9071.0,9071.0,,,0 CDM,3611908301,HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE,11720.0,11720.0,,,0 CDM,3611908401,HC BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE,9071.0,9071.0,,,0 CDM,3611908501,HC BX BREAST W DEVICE 1ST LESION MAGNETIC RES GUIDE,12049.0,12049.0,,,0 CDM,3611908601,HC BX BREAST W DEVICE ADDL LESION MAGNET RES GUIDE,7879.0,7879.0,,,0 CDM,3611912501,HC EXCISE BREAST LES W XRAY MARKER,13958.0,13958.0,,,0 CDM,3611928101,HC PERQ DEVICE PLACEMT BREAST LOC 1ST LES W GUIDNCE,5391.0,5391.0,,,0 CDM,3611928201,HC PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCE,4055.0,4055.0,,,0 CDM,3611928301,HC PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GUID,2349.0,2349.0,,,0 CDM,3611928401,HC PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC,7357.0,7357.0,,,0 CDM,3611928501,HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,5405.0,5405.0,,,0 CDM,3611928601,HC PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,4055.0,4055.0,,,0 CDM,3611928701,HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID,5405.0,5405.0,,,0 CDM,3611928801,HC PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID,3522.0,3522.0,,,0 CDM,3611929601,HC PLACE POSTOP BREAST CATH FOR RAD,33657.0,33657.0,,,0 CDM,3611949901,HC BREAST SURGERY PROCEDURE UNLISTED,11919.0,11919.0,,,0 CDM,3612010301,"HC EXPLORE WOUND,EXTREMITY",7556.0,7556.0,,,0 CDM,36120103PB,"HC EXPLORE WOUND,EXTREMITY",7556.0,7556.0,,,0 CDM,3612020601,"HC NEEDLE BIOPSY,MUSCLE",4238.0,4238.0,,,0 CDM,3612022001,"HC BONE BIOPSY,TROCAR/NEEDLE SUPERF",4451.0,4451.0,,,0 CDM,3612022501,"HC BONE BIOPSY,TROCAR/NEEDLE DEEP",9490.0,9490.0,,,0 CDM,3612024001,"HC BX BONE BIOPSY,EXCISIONAL SUPERF",7130.0,7130.0,,,0 CDM,36120240PB,"HC BONE BIOPSY,EXCISIONAL SUPERF",7130.0,7130.0,,,0 CDM,3612024501,"HC BONE BIOPSY OPEN ,TROCAR/NEEDLE DEEP",10959.0,10959.0,,,0 CDM,3612050001,HC INJECT SINUS TRACT THERAPUTIC,5107.0,5107.0,,,0 CDM,3612050101,HC INJECT SINUS TRACT FOR DX W XRAY,561.0,561.0,,,0 CDM,3612052001,HC REMOVAL OF FOREIGN BODY,6645.0,6645.0,,,0 CDM,3612052501,HC REMOVAL OF FOREIGN BODY COMPLICATED,11573.0,11573.0,,,0 CDM,3612052601,HC INJECT CARPAL TUNNEL,1350.0,1350.0,,,0 CDM,3612052701,HC INJECT ENZYME PALMAR FASCIAL CORD,985.0,985.0,,,0 CDM,3612055001,HC INJECT TENDON SHEATH/LIGAMENT,1222.0,1222.0,,,0 CDM,3612055101,HC INJECT TENDON ORIGIN/INSERT,1222.0,1222.0,,,0 CDM,3612055201,"HC INJECT TRIGGER POINT, 1 OR 2",1222.0,1222.0,,,0 CDM,3612055301,"HC INJECT TRIGGER POINTS, > 3",1222.0,1222.0,,,0 CDM,36120553PB,"HC INJECT TRIGGER POINTS, > 3",1222.0,1222.0,,,0 CDM,3612056001,HC DRY NEEDLING 1-2 MUSCLES,301.0,301.0,,,0 CDM,3612056101,HC DRY NEEDLING 3 OR MORE MUSCLES,329.0,329.0,,,0 CDM,3612060001,HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,1242.0,1242.0,,,0 CDM,3612060401,HC ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,1242.0,1242.0,,,0 CDM,3612060501,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,1242.0,1242.0,,,0 CDM,3612060601,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,2941.0,2941.0,,,0 CDM,3612061001,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,1242.0,1242.0,,,0 CDM,3612061101,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US,1242.0,1242.0,,,0 CDM,3612061201,HC ASPIRAT/INJECTION GANGLION CYST(S),985.0,985.0,,,0 CDM,3612065001,HC INSRT WIRE/PIN W/ TRACTION,10690.0,10690.0,,,0 CDM,3612066001,HC APPLY CRANIAL TONGS/CALIPER/FRAME INCLUDING REMOVAL,5258.0,5258.0,,,0 CDM,3612066501,HC REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL,3209.0,3209.0,,,0 CDM,3612068001,HC REMOVAL DEEP IMPLANT,19063.0,19063.0,,,0 CDM,3612069401,HC REMOVE EXTERN BONE FIX DEV W ANESTH,14100.0,14100.0,,,0 CDM,3612095001,HC MONITOR INTERSITIAL FLUID PRESSURE COMPART SYNDROME,4732.0,4732.0,,,0 CDM,3612098201,HC ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,25255.0,25255.0,,,0 CDM,3612098301,HC ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD,23643.0,23643.0,,,0 CDM,3612101101,HC EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ < 2CM,10051.0,10051.0,,,0 CDM,3612131501,"HC CLOSED RX NOSE FRACTURE, W/O STABILIZATION",5107.0,5107.0,,,0 CDM,3612132001,HC CLOSED RX NOSE FX W STABILIZATN,10326.0,10326.0,,,0 CDM,3612133701,HC CLOSED RX NASAL SEPTAL FRACTURE,10326.0,10326.0,,,0 CDM,3612134501,HC CLOSED RX NASOMAXILLARY COMPLEX FRACT W/ INTERDENTAL WIRE FIXATION,5107.0,5107.0,,,0 CDM,3612140001,HC CLOSED RX ORBIT FRACT W/O MANIP,1707.0,1707.0,,,0 CDM,3612140101,HC CLOSED RX ORBIT FRACT W/ MANIP,5107.0,5107.0,,,0 CDM,3612142101,HC CLOSED RX PALAT MAXILLARY FRACT W/ INTERDENTAL WIRE FIX,10326.0,10326.0,,,0 CDM,3612143101,HC CLOSED RX CRANIOFACIAL SEPARATION W/ INTERDENTAL WIRE FIX,14816.0,14816.0,,,0 CDM,3612144001,HC CLOSED RX DENTAL RIDGE FX,10326.0,10326.0,,,0 CDM,3612145001,HC CLOSED RX MANDIBLE FX W/O MANIPULATN,1707.0,1707.0,,,0 CDM,3612145101,HC CLOSED RX MANDIBLE FX+MANIPULATN,20804.0,20804.0,,,0 CDM,3612145301,HC PBB CLOSED RX MANDIBLE FX+DENTAL FIX,19198.0,19198.0,,,0 CDM,3612148001,HC REDUCE TEMPOROMANDIBL DISLOC,1206.0,1206.0,,,0 CDM,3612148501,"HC REDUCE TEMPOROMANDIBL DISLOC,COMP",5107.0,5107.0,,,0 CDM,3612150101,HC I&D DEEP ABSC/HEMATOMA NECK/CHEST,11999.0,11999.0,,,0 CDM,3612155001,HC BIOPSY SOFT TISSUE NECK/CHEST,4778.0,4778.0,,,0 CDM,3612155201,HC EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ 3+CM,15065.0,15065.0,,,0 CDM,3612182001,HC CLOSED RX STERNUM FX,777.0,777.0,,,0 CDM,3612192001,HC US BX SOFT TISSUE BACK/FLANK,5046.0,5046.0,,,0 CDM,3612192501,"HC BIOPSY SOFT TISSUE BACK,DEEP",5311.0,5311.0,,,0 CDM,3612231001,HC CLOSED TREAT VERT BODY FRACT,777.0,777.0,,,0 CDM,3612231501,HC CLOSED TREAT VERT BODY FRACT/DISLOC W/ CAST/BRACE MANIP,10690.0,10690.0,,,0 CDM,3612251001,HC PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC,10737.0,10737.0,,,0 CDM,3612251101,HC PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL,11067.0,11067.0,,,0 CDM,3612251201,HC VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL,10737.0,10737.0,,,0 CDM,3612251301,HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,14565.0,14565.0,,,0 CDM,3612251401,HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,23879.0,23879.0,,,0 CDM,3612251501,HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,14565.0,14565.0,,,0 CDM,36122551PB,"HC ARTHRODESIS ANT INTERBODY INC DISCECTOMY, CERVICAL BELOW C2",19516.0,19516.0,,,0 CDM,3612261001,HC THORACIC SPINE FUSION POSTERIOR,22608.0,22608.0,,,0 CDM,3612261401,HC THORACIC SPINE FUSION POSTERIOR ADDL INTERSPACE,8875.0,8875.0,,,0 CDM,3612303001,HC I&D DEEP ABSC/HEMATOMA SHOULDER,25273.0,25273.0,,,0 CDM,3612306501,HC BIOPSY SOFT TISSUE SHOULDER AREA SUPERFICIAL,5311.0,5311.0,,,0 CDM,3612333001,HC REMOVE FB SUBQ SHOULDER,2349.0,2349.0,,,0 CDM,3612333301,HC REMOVE FB DEEP SUBFASCIAL/INTRAMUSCULAR SHOULDER,8950.0,8950.0,,,0 CDM,3612335001,HC INJ PROC SHOULDER ARTHROGRAPHY/CT/MRI,723.0,723.0,,,0 CDM,3612341001,"HC REPAIR ROTATOR CUFF,ACUTE",18298.0,18298.0,,,0 CDM,3612343001,HC REPAIR BICEPS LONG TENDON,14843.0,14843.0,,,0 CDM,3612350001,HC CLOSED RX CLAVICLE FX W/O MANIPULATN,685.0,685.0,,,0 CDM,3612350501,"HC CLOSED RX CLAVICLE FX,MANIPULATN",5258.0,5258.0,,,0 CDM,3612351501,HC OPEN TREATMENT CLAVICULAR FRACTURE INTERNAL FX,36505.0,36505.0,,,0 CDM,3612352001,HC CLOSED RX STERNO-CLAV DISLOC,5258.0,5258.0,,,0 CDM,3612352501,"HC CLOSED RX STERN-CLAV DISLOC,MANIP",777.0,777.0,,,0 CDM,3612354001,HC CLOSED RX A-C JT DISLOC,777.0,777.0,,,0 CDM,3612354501,"HC CLOSED RX A-C JT DISLOC,MANIPULATN",777.0,777.0,,,0 CDM,3612355001,HC OPEN RX A-C JT DISLOC,23643.0,23643.0,,,0 CDM,3612357001,HC CLOSED RX SCAPULA FX W/O MANIPULATN,777.0,777.0,,,0 CDM,3612357501,"HC CLOSED RX SCAPULA FX,MANIPULATN",5258.0,5258.0,,,0 CDM,3612360001,HC CLOSED RX PROX HUMERUS FRACTURE,777.0,777.0,,,0 CDM,3612360501,"HC CLOSED RX PROX HUMERUS FX,MANIP",5258.0,5258.0,,,0 CDM,3612362001,HC CLOSED RX GR TUBEROSITY HUM FX,777.0,777.0,,,0 CDM,3612362501,HC CLOSED RX GR TUBEROSITY HUM FX W/ MANIP,5258.0,5258.0,,,0 CDM,3612365001,HC CLOSED RX SHLDR DISLOCATION,1764.0,1764.0,,,0 CDM,3612365501,"HC CLOSED RX SHLDR DISLOC,ANESTHESIA",5258.0,5258.0,,,0 CDM,3612366501,"HC CLOSED RX SHLDR DISLOC,GR TUB FX",2078.0,2078.0,,,0 CDM,3612367501,"HC CLOSED RX SHLDR DISLOC,PROX HUM FX",5258.0,5258.0,,,0 CDM,3612370001,HC MANIPULATN SHLDR JT W ANESTHESIA,11453.0,11453.0,,,0 CDM,3612393001,HC I&D UPPER ARM/ELBOW DEEP ABSC/HEMATOMA,8950.0,8950.0,,,0 CDM,3612393101,HC INCIS/DRAIN ARM/ELBOW INFECT BURSA,5311.0,5311.0,,,0 CDM,3612407101,HC EXC ARM/ELBOW LES SC 3 CM/>,7690.0,7690.0,,,0 CDM,3612410501,HC EXCISION OLECRANON BURSA,14925.0,14925.0,,,0 CDM,3612420001,HC REMOVE FB UPPER ARM/ELBOW SUBQ,5311.0,5311.0,,,0 CDM,3612420101,HC REMOVE FB UPPER ARM/ELBOW DEEP SUBFASCIAL/INTRAMUSC,8950.0,8950.0,,,0 CDM,3612422001,HC INJECTION FOR ELBOW ARTHROGRAM,723.0,723.0,,,0 CDM,3612434001,HC REPAIR OF BICEPS TENDON AT ELBOW,17999.0,17999.0,,,0 CDM,3612434101,HC REPAIR TEND/MUSC UPR ARM/ELB EACH,23643.0,23643.0,,,0 CDM,3612434201,"HC REINSERTION RUPT BI/TRICEPS TENDON, DISTAL",32115.0,32115.0,,,0 CDM,3612435701,HC TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,10690.0,10690.0,,,0 CDM,3612450001,HC CLOSED RX HUMERUS SHAFT FX W/O MANIPULATN,777.0,777.0,,,0 CDM,3612450501,"HC CLOSED RX MID HUMERUS FX,MANIPULATN",1184.0,1184.0,,,0 CDM,3612453001,HC CLOSED RX HUMERAL SUPRACONDYLAR FX,777.0,777.0,,,0 CDM,3612453501,"HC CLOSED RX HUM SUPRACONDYLR FX,MANIPU",5258.0,5258.0,,,0 CDM,3612456001,HC CLOSED RX HUMER EPICONDYLR FX W/O MANIP,777.0,777.0,,,0 CDM,3612456501,"HC CLOSED RX HUMER EPICONDYLR FX,MANIP",5258.0,5258.0,,,0 CDM,3612457501,HC OPEN TX HUMEROUS EPICONDYLAR FX,27431.0,27431.0,,,0 CDM,3612457601,HC CLOSED RX HUMER CONDYLR FX W/O MANIP,777.0,777.0,,,0 CDM,3612457701,"HC CLOSED RX HUMER CONDYLR FX,MANIP",5258.0,5258.0,,,0 CDM,3612460001,HC CLOSED RX ELBOW DISLOCATION,777.0,777.0,,,0 CDM,3612460501,"HC CLOSED RX ELBOW DISLOCATN,ANESTHESIA",6055.0,6055.0,,,0 CDM,3612462001,HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW,5258.0,5258.0,,,0 CDM,3612464001,"HC CLOSED RX RADIAL HEAD DISLOC,CHILD",777.0,777.0,,,0 CDM,3612465001,HC CLOSED RX RADIAL HEAD/NECK FX W/O MANIP,777.0,777.0,,,0 CDM,3612465501,"HC CLOSED RX RADIAL HEAD/NECK FX,MANIP",3415.0,3415.0,,,0 CDM,3612466601,HC OPEN TX RADIAL HEAD/NECK FX PROSTHETIC,27431.0,27431.0,,,0 CDM,3612467001,HC CLOSED TX ULNAR FRACTURE PROX END W/O MANIPULATE,777.0,777.0,,,0 CDM,3612467501,HC CLOSED TX ULNAR FRACTURE PROX END W MANIPULATION,5258.0,5258.0,,,0 CDM,3612499901,HC UPPER ARM/ELBOW SURGERY UNLISTED,777.0,777.0,,,0 CDM,3612500001,"HC INCIS TENDON SHEATH,RADIAL STYLOID",9363.0,9363.0,,,0 CDM,3612502801,HC I&D FOREARM/WRIST DEEP ABSC/HEMATOMA,10690.0,10690.0,,,0 CDM,3612503101,HC I&D FOREARM/WRIST BURSA,5258.0,5258.0,,,0 CDM,3612510101,HC WRIST JOINT EXPLORATION,10690.0,10690.0,,,0 CDM,3612511101,HC EXCIS PRIMARY GANGLION WRIST,12151.0,12151.0,,,0 CDM,3612511801,"HC EXCIS SYNOV WRIST,EXTENS TENDON",10371.0,10371.0,,,0 CDM,3612524601,HC INJECTION FOR WRIST ARTHROGRAM,723.0,723.0,,,0 CDM,3612524801,HC REMOVE FOREARM/WRIST FOREIGN BODY,44271.0,44271.0,,,0 CDM,3612525901,HC MANIPULATE WRIST W/ANESTHES,5258.0,5258.0,,,0 CDM,3612526001,HC REPAIR FOREARM TENDON/MUSCLE EACH,10690.0,10690.0,,,0 CDM,3612527001,HC REPAIR FOREARM/WRIST EXTENSOR TENDON/MUSCLE EACH,10690.0,10690.0,,,0 CDM,3612532001,HC OPEN REPAIR WRIST JOINT,17310.0,17310.0,,,0 CDM,3612539001,"HC OSTEOPLASTY,RADIUS OR ULNA,SHORTEN",23643.0,23643.0,,,0 CDM,3612540001,HC REPAIR NONUNION RADIUS OR ULNA,27794.0,27794.0,,,0 CDM,3612544701,HC REPAIR INTERCARP/CARP-METACARP JT,18840.0,18840.0,,,0 CDM,3612550001,HC CLOSED RX RADIAL SHAFT FX,777.0,777.0,,,0 CDM,3612550501,"HC CLOSED RX RADIAL SHAFT FX,MANIPULATN",5258.0,5258.0,,,0 CDM,3612551501,HC RADIAL SHAFT OPEN TREATMENT,23643.0,23643.0,,,0 CDM,3612552001,HC CLOSED RX RADIAL SHAFT FX W/DISLOCATION,5258.0,5258.0,,,0 CDM,3612553001,HC CLOSED RX ULNA SHAFT FX,777.0,777.0,,,0 CDM,3612553501,"HC CLOSED RX ULNA SHAFT FX,MANIPULATN",777.0,777.0,,,0 CDM,3612554501,HC OPEN TREATMENT OF ULNAR SHAFT FRACTURE,17282.0,17282.0,,,0 CDM,3612556001,HC CLOSED RX RAD/ULNA SHAFT FX,1050.0,1050.0,,,0 CDM,3612556501,"HC CLOSED RX RAD/ULNA SHAFT FX,MANIP",5258.0,5258.0,,,0 CDM,3612557501,HC OPEN TX RADIAL & ULNAR SHAFT FX FIX RADIUS AND ULNA,23643.0,23643.0,,,0 CDM,3612560001,HC CLOSED RX DIST RAD/ULNA FX,911.0,911.0,,,0 CDM,36125600PB,HC CLOSED RX DIST RAD/ULNA FX,911.0,911.0,,,0 CDM,3612560501,"HC CLOSED RX DIST RAD/ULNA FX,MANIPUL",2530.0,2530.0,,,0 CDM,3612560701,"HC OPEN RX DISTAL RADIUS FX, EXTRA-ARTICULAR",29092.0,29092.0,,,0 CDM,3612560801,"HC OPEN RX DISTAL RADIUS FX, INTRA-ARTICULAR, 2 FRAG",26158.0,26158.0,,,0 CDM,3612560901,"HC OPEN RX DISTAL RADIUS FX, INTRA-ARTICULAR, 3+ FRAG",27924.0,27924.0,,,0 CDM,3612562201,HC CLOSED RX CARPAL SCAPH FX W/O MANIP,777.0,777.0,,,0 CDM,3612562401,HC CLOSED RX CARPAL SCAPH FX W/ MANIP,5258.0,5258.0,,,0 CDM,3612563001,HC CLOSED RX CARPAL FX,777.0,777.0,,,0 CDM,3612563501,"HC CLOSED RX CARPAL FX,MAIPULATN",5258.0,5258.0,,,0 CDM,3612565001,HC CLOSED RX ULNA STYLOID FX,777.0,777.0,,,0 CDM,3612565201,HC OPEN RX ULNAR STYLOID FX,18947.0,18947.0,,,0 CDM,3612566001,HC CLOSED TREAT WRIST DISLOCATION,777.0,777.0,,,0 CDM,3612567501,HC CLOSED RX RADIO-ULNA DISLOCATION,777.0,777.0,,,0 CDM,3612568001,HC CLOSED RX NAVIC/LUNATE FX/DISLOC,777.0,777.0,,,0 CDM,3612569001,HC CLOSED RX LUNATE DISLOCATION,5258.0,5258.0,,,0 CDM,3612601001,"HC DRAIN FINGER ABSCESS,SIMPLE",994.0,994.0,,,0 CDM,3612601101,"HC DRAIN FINGER ABSCESS,COMPLICATED",5311.0,5311.0,,,0 CDM,3612603401,HC INCISION BONE CORTEX HAND/FINGER,4322.0,4322.0,,,0 CDM,3612605501,HC INCISE FINGER TENDON SHEATH,9270.0,9270.0,,,0 CDM,3612611101,"HC EXC TUMOR/VASC MALF SOFT TISS SUBQ, 1.5+ CM",8190.0,8190.0,,,0 CDM,3612611301,HC EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5+CM,5311.0,5311.0,,,0 CDM,3612611601,HC EXC HAND/FINGER TUMOR <1.5CM,5311.0,5311.0,,,0 CDM,3612616001,"HC EXCIS TENDON SHEATH LESION, HAND/FINGER",12749.0,12749.0,,,0 CDM,3612621001,"HC EXCIS BENIGN BONE LESN,PHALANX",5258.0,5258.0,,,0 CDM,3612623601,HC PARTIAL EXC DISTAL PHALANX FINGER,6246.0,6246.0,,,0 CDM,3612634001,"HC MANIPULATE FINGER JT W/ ANESTH,EACH",4730.0,4730.0,,,0 CDM,3612635001,"HC REP/ADV FLEXOR TENDON NOT ZONE 2 W/O FREE GRAFT, EA",10690.0,10690.0,,,0 CDM,3612635601,"HC REPAIR FLEX TENDON,ZONE 2,HAND",10725.0,10725.0,,,0 CDM,3612641801,"HC REPAIR EXTEN TENDON,DORSUM FINGR,EA",6238.0,6238.0,,,0 CDM,3612643401,"HC REPAIR EXTEN TENDON,DIST,OPEN,GRFT",10690.0,10690.0,,,0 CDM,3612644001,"HC TENOLYSIS FLEXOR TENDON PALM/FINGER, EA TENDON",7823.0,7823.0,,,0 CDM,3612644501,"HC TENOLYSIS EXT TENDON,HAND/FINGER,EA",10690.0,10690.0,,,0 CDM,3612648001,HC TRANSPLANT HAND TENDON,8796.0,8796.0,,,0 CDM,3612652501,HC RELEASE I-P JT CONTRACTURE,7132.0,7132.0,,,0 CDM,3612654001,"HC FIX COLLAT LIG,MC-P JT,I-P JT",12071.0,12071.0,,,0 CDM,3612660001,HC CLOSED RX METACARPAL FX,777.0,777.0,,,0 CDM,3612660501,"HC CLOSED RX METACARPAL FX,MANIP",777.0,777.0,,,0 CDM,3612660701,HC CLOSED TX METACARPAL FX W/ MANIP & EXT FIX EA BONE,11784.0,11784.0,,,0 CDM,3612660801,"HC CLOSED RX METACARPAL FX,PERCUT",10690.0,10690.0,,,0 CDM,3612661501,HC OPEN TX METACARPAL FRACTURE SINGLE EA BONE,20073.0,20073.0,,,0 CDM,3612664101,"HC TREAT THUMB DISLOC,MANIPULATN",777.0,777.0,,,0 CDM,3612664501,"HC TREAT THUMB FX/DISLOC,MANIP",5258.0,5258.0,,,0 CDM,3612667001,"HC CLOSED RX, CARPOMETACAR DISLOC,NON-THUMB",777.0,777.0,,,0 CDM,3612667501,"HC CLOSED RX C-MC DISLOC,ANESTH",5258.0,5258.0,,,0 CDM,3612670001,HC CLOSED RX MC-P DISLOC,942.0,942.0,,,0 CDM,3612670501,"HC CLOSED RX MC-P DISLOC,ANESTH",5258.0,5258.0,,,0 CDM,3612672001,HC CLOSE RX PROX/MID FING SHFT FX,777.0,777.0,,,0 CDM,3612672501,"HC CLOSE RX PROX/MID FING SHFT FX,MANIP",1586.0,1586.0,,,0 CDM,3612672701,HC PERCUT RX PROX/MID FING SHFT FX,15653.0,15653.0,,,0 CDM,3612673501,HC OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA,18129.0,18129.0,,,0 CDM,3612674001,HC CLOSE RX FINGR ARTICULAR FX,777.0,777.0,,,0 CDM,3612674201,"HC CLOSE RX FINGR ARTICULAR FX,MANIP",3026.0,3026.0,,,0 CDM,3612675001,HC CLOSE RX DIST FINGR FX,773.0,773.0,,,0 CDM,3612675501,"HC CLOSE RX DIST FINGR FX,MANIPULATN",777.0,777.0,,,0 CDM,3612676501,"HC OPEN TX DISTAL PHALANGEAL FX, EA",8342.0,8342.0,,,0 CDM,36126765PB,HC OPEN TX DISTAL PHALANGEAL FRACTURE EACH,8342.0,8342.0,,,0 CDM,3612677001,HC CLOSED RX IP JT DISLOCATION,1261.0,1261.0,,,0 CDM,3612677501,"HC CLOSED RX IP JT DISLOCATION,ANESTH",1461.0,1461.0,,,0 CDM,3612685001,HC FUSION MC-P JT,16085.0,16085.0,,,0 CDM,3612686001,"HC ARTHRODESIS IP JOINT, W/WO INT FIX",15452.0,15452.0,,,0 CDM,3612699001,"HC INCIS/DRAIN PELVIS/HIP,DEEP ABSCESS",10690.0,10690.0,,,0 CDM,3612704001,"HC BX SOFT TISSUES,PELV/HIP,SUPERFICL",5311.0,5311.0,,,0 CDM,3612704101,"HC BX SOFT TISSUES,PELV/HIP,DEEP",5311.0,5311.0,,,0 CDM,3612708601,HC REMOVE FB PELVIS/HIP SUBQ,8950.0,8950.0,,,0 CDM,3612708701,HC REMOVE FB PELVIS/HIP DEEP SUBFASC/INTRAMUSC,10690.0,10690.0,,,0 CDM,3612709301,HC INJECTION HIP ARTHROGRAM,3343.0,3343.0,,,0 CDM,3612709501,"HC INJECTION HIP ARTHROGRAM,ANESTH",2198.0,2198.0,,,0 CDM,3612709601,"HC INJECTION,SACROILIAC JOINT",3343.0,3343.0,,,0 CDM,3612719701,HC CLOSED RX PELVIC RING FX/DISLOC/DIAST/SUBLUX W/O MANIP,777.0,777.0,,,0 CDM,3612719801,HC CLOSED RX PELVIC RING FX/DISLOC/DIAST/SUBLUX W/ MANIP + ANES,777.0,777.0,,,0 CDM,3612720001,HC CLOSED RX COCCYGEAL FX,777.0,777.0,,,0 CDM,3612722001,HC CLOSED RX ACETABULAR FX,777.0,777.0,,,0 CDM,3612722201,HC CLOSED RX ACETABULAR FX W/ MANIP,1116.0,1116.0,,,0 CDM,3612723001,HC CLOSED RX PROX/NECK FEMUR FX,777.0,777.0,,,0 CDM,3612723201,HC CLOSED RX PROX/NECK FEMUR FX W/ MANIP,6883.0,6883.0,,,0 CDM,3612723801,HC CLOSED RX I/P/S TROCHANTERIC FEM FX W/O MANIP,5258.0,5258.0,,,0 CDM,3612724001,HC CLOSED RX I/P/S TROCHANTERIC FEM FX W/ MANIP,7544.0,7544.0,,,0 CDM,3612724601,HC CLOSED RX GR TROCHANTERIC FX W/O MANIP,777.0,777.0,,,0 CDM,3612725001,HC CLOSED RX TRAUMATIC HIP DISLOCATN,1763.0,1763.0,,,0 CDM,3612725201,"HC CLOSED RX TRAUMA HIP DISLOC,ANESTH",4727.0,4727.0,,,0 CDM,3612725601,HC CLOSED RX SPONTANEOUS HIP DISLOC,777.0,777.0,,,0 CDM,3612725701,"HC CLOSED RX SPONT HIP DISLOC,ANESTH",2026.0,2026.0,,,0 CDM,3612726501,HC CLOSED RX POST HIP ARTHRPLAS DISLOC,1785.0,1785.0,,,0 CDM,3612726601,"HC CLOSED RX POST HIP FIX DISLOC,ANESTH",5460.0,5460.0,,,0 CDM,3612726701,HC CLOSED RX PROX/HEAD FEM FX W/O MANIP,10690.0,10690.0,,,0 CDM,3612726801,HC CLOSED RX PROX/HEAD FEM FX W/ MANIP,15337.0,15337.0,,,0 CDM,3612729901,HC PELVIS/HIP JOINT SURGERY UNLISTED,19435.0,19435.0,,,0 CDM,3612730101,"HC INCIS/DRAIN THIGH/KNEE ABSCESS,DEEP",8950.0,8950.0,,,0 CDM,3612730601,HC TENOTOMY ADDUCT/HAMSTR 1 TEND PERC,3491.0,3491.0,,,0 CDM,3612730701,HC TENOTOMY ADDUCT/HAMSTR MULT TEND PERC,3491.0,3491.0,,,0 CDM,3612732301,"HC BX THIGH/KNEE SOFT TISSUES,SUPERF",8396.0,8396.0,,,0 CDM,3612734701,HC REMOVE KNEE CYST/GANGLION,10725.0,10725.0,,,0 CDM,3612736901,HC NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE,723.0,723.0,,,0 CDM,3612740501,"HC REPAIR PRIMARY TORN LIG/CAPSULE, KNEE, COLLATERAL",15028.0,15028.0,,,0 CDM,3612742801,"HC LIGAMENT RECONST KNEE, INTRA-ARTIC (OPEN)",46544.0,46544.0,,,0 CDM,3612744601,HC KNEE ARTHROPLASTY CONDYLE/PLATEAU MEDIAL OR LATERAL COMPTMNT,55651.0,55651.0,,,0 CDM,3612750001,HC CLOSED RX FEM SHAFT FX W/O MANIP,777.0,777.0,,,0 CDM,3612750101,HC CLOSED RX CONDYLAR FX,777.0,777.0,,,0 CDM,3612750201,HC CLOSED RX FEMUR SHAFT FX+MANIP,9955.0,9955.0,,,0 CDM,3612750301,HC CLOSED RX SUPRCON/TRNSCON FEM FX W/ MANIP,5258.0,5258.0,,,0 CDM,3612750801,HC CLOSED RX FEM FX DISTAL/MED/LAT CONDYL W/O MANIP,777.0,777.0,,,0 CDM,3612751001,"HC CLOSED RX FEMUR,DISTAL+MANIP",5258.0,5258.0,,,0 CDM,3612751601,HC CLOSED RX DIST FEM EPIPHYSIS W/O MANIP,777.0,777.0,,,0 CDM,3612751701,HC CLOSED RX DIST FEM EPIPHYSIS+MANIP,5258.0,5258.0,,,0 CDM,3612752001,HC CLOSED RX PATELLAR FX W/O MANIP,777.0,777.0,,,0 CDM,3612753001,HC CLOSED RX TIBIAL PLATEAU FX,777.0,777.0,,,0 CDM,3612753201,HC CLOSED RX TIB PLAT FX+MANIP,10690.0,10690.0,,,0 CDM,3612753801,HC CLOSED RX INTERCON/TUBEROS FX KNEE,777.0,777.0,,,0 CDM,3612755001,HC CLOSED RX KNEE DISLOCATN,777.0,777.0,,,0 CDM,3612755201,HC CLOSED RX KNEE DISLOC+ANESTH,7006.0,7006.0,,,0 CDM,3612756001,HC CLOSED RX KNEECAP DISLOCATN,777.0,777.0,,,0 CDM,3612756201,HC CLOSED RX KNEECAP DISLOC+ANESTH,777.0,777.0,,,0 CDM,3612757001,HC MANIPULATN KNEE JT+ANESTHESIA,10356.0,10356.0,,,0 CDM,3612759401,"HC AMPUTATION THIGH-FEMUR, 2NDRY CLOSE/REV",10690.0,10690.0,,,0 CDM,3612760301,HC DRAIN LOWER LEG DEEP ABSC/HEMATOMA,8950.0,8950.0,,,0 CDM,3612760501,"HC TENOTOMY ACHILLES TENDON PERC, LOC ANES",1683.0,1683.0,,,0 CDM,3612762601,HC EXPLOR ANKLE JT+TENOSYNOVECTOMY,10690.0,10690.0,,,0 CDM,3612763001,HC EXCIS LESN TENDON SHEALTH LEG/ANKLE,8833.0,8833.0,,,0 CDM,3612764801,HC XRG: ANKLE ARTHROGRAM LT,723.0,723.0,,,0 CDM,3612765001,"HC REPAIR ACHILLES TENDON,PRIMARY",20122.0,20122.0,,,0 CDM,3612765201,HC REPAIR/GRAFT ACHILLES TENDON,23304.0,23304.0,,,0 CDM,3612765801,"HC REPAIR FLEX LEG TENDON,PRIM,EA",8392.0,8392.0,,,0 CDM,3612768501,HC LEG ANKLE TENDON LENGTH,13546.0,13546.0,,,0 CDM,3612768701,HC GASTROCNEMIUS RECESSION,9162.0,9162.0,,,0 CDM,3612769101,HC XFER SINGLE DEEP LOW LEG TENDON,10655.0,10655.0,,,0 CDM,3612769501,"HC REPAIR 1 COLLAT ANKLE LIGMNT,PRIMARY",12089.0,12089.0,,,0 CDM,3612769601,"HC REP PRIMARY DISRUPT LIG ANKLE, BOTH COLL LIG",23643.0,23643.0,,,0 CDM,3612769801,"HC REPAIR COLLAT ANKLE LIGMNT,SECONDARY",15459.0,15459.0,,,0 CDM,3612770501,HC OSTEOTOMY TIBIA,24234.0,24234.0,,,0 CDM,3612772601,HC REPAIR FIBULA NONUNION/MALUNION W INT FIXATION,23643.0,23643.0,,,0 CDM,3612775001,HC CLOSED RX TIBIA SHAFT FX,777.0,777.0,,,0 CDM,3612775201,"HC CLOSED RX TIBIA SHAFT FX,MANIPULATN",5258.0,5258.0,,,0 CDM,3612776001,HC CLOSED RX MED MALLEOLUS FX,777.0,777.0,,,0 CDM,3612776201,"HC CLOSED RX MED MALLEOLUS FX,MANIP",5258.0,5258.0,,,0 CDM,3612776601,HC OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE,20970.0,20970.0,,,0 CDM,3612776701,HC CLOSED RX POST MALLEOL FX W/O MANIP,777.0,777.0,,,0 CDM,3612776801,HC CLOSED RX POST MALLEOL FX W/ MANIP,5258.0,5258.0,,,0 CDM,3612778001,HC CLOSED RX PROX FIB/SHAFT FX W/O MANIP,777.0,777.0,,,0 CDM,3612778101,HC CLOSED RX PROX FIB/SHAFT FX W/ MANIP,7121.0,7121.0,,,0 CDM,3612778601,HC CLOSED RX DIST FIBULA FX,777.0,777.0,,,0 CDM,3612778801,"HC CLOSED RX DIST FIBULA FX,MANIP",3116.0,3116.0,,,0 CDM,3612779201,HC OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS,26180.0,26180.0,,,0 CDM,3612780801,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANIP,777.0,777.0,,,0 CDM,3612781001,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MANIP,5258.0,5258.0,,,0 CDM,3612781401,HC OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE,23808.0,23808.0,,,0 CDM,3612781601,HC CLOSED RX TRIMALLEOLAR FX,777.0,777.0,,,0 CDM,3612781801,"HC CLOSED RX TRIMALLEOLAR FX,MANIP",5258.0,5258.0,,,0 CDM,3612782201,HC OPEN TX TRIMALLEOLAR ANKLE FX W/O FIX PST LIP,26224.0,26224.0,,,0 CDM,3612782401,HC CLOSED RX WEIGHT BEAR DIST TIB W/O MANIP,777.0,777.0,,,0 CDM,3612782501,"HC CLOSED RX WEIGHT BEAR DIST TIB,MANIP",7867.0,7867.0,,,0 CDM,3612782701,HC OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY,23135.0,23135.0,,,0 CDM,3612782901,HC OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPT,12596.0,12596.0,,,0 CDM,3612783001,HC CLOSED RX HCOX TIB/FIB DISLOC,777.0,777.0,,,0 CDM,3612783101,HC CLSD TX PROX TIB/FIB JNT DISLOC W/ ANESTH,10690.0,10690.0,,,0 CDM,3612784001,HC CLOSED RX ANKLE DISLOCATN,777.0,777.0,,,0 CDM,3612784201,"HC CLOSED RX ANKLE DISLOCATN,ANESTH",14962.0,14962.0,,,0 CDM,3612787001,HC ANKLE ARTHRODESIS OPEN,27129.0,27129.0,,,0 CDM,3612800101,HC I&D BURSA FOOT,5311.0,5311.0,,,0 CDM,3612800501,HC DEEP INCIS FOOT BONE INFECTN,10690.0,10690.0,,,0 CDM,3612800801,HC INCISION OF FOOT/TOE FASCIA,9074.0,9074.0,,,0 CDM,3612801001,HC INCISION SUBCUT TOE TENDON,4270.0,4270.0,,,0 CDM,3612801101,"HC INCISION SUBCUT TOE TENDON,>1",4270.0,4270.0,,,0 CDM,36128011PB,"HC INCISION SUBCUT TOE TENDON,>1",4270.0,4270.0,,,0 CDM,3612803501,HC TARSAL TUNNEL RELEASE,8833.0,8833.0,,,0 CDM,3612803901,HC EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ 1.5+CM,15444.0,15444.0,,,0 CDM,3612804101,HC EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5+CM,13071.0,13071.0,,,0 CDM,3612804301,HC EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM,8963.0,8963.0,,,0 CDM,3612808001,"HC EXCIS INTERDIGITAL NEUROMA,EA",11317.0,11317.0,,,0 CDM,3612809001,HC REMOVAL OF FOOT LESION (CYST/GANG),13270.0,13270.0,,,0 CDM,3612810001,HC REMV TALUS/HEEL BENIGN BONE LESN,10690.0,10690.0,,,0 CDM,3612811001,HC PART EXCIS 5TH METATARSAL HEAD,12599.0,12599.0,,,0 CDM,3612811101,HC FULL EXCIS 1ST METATARSAL HEAD,12923.0,12923.0,,,0 CDM,3612811901,HC REMOVAL OF HEEL SPUR,12711.0,12711.0,,,0 CDM,3612812001,HC PART REMV TALUS OR CALCANEUS,10413.0,10413.0,,,0 CDM,3612812201,HC PART REMV OTHR TARSAL/METATARSAL,11270.0,11270.0,,,0 CDM,3612812401,HC PART REMV PHALANX OF TOE,8796.0,8796.0,,,0 CDM,3612819001,"HC REMV FOOT FOREIGN BODY,SUBCUTANEOUS",2349.0,2349.0,,,0 CDM,3612819201,"HC PBB REMV FOOT FOREIGN BODY,DEEP",9074.0,9074.0,,,0 CDM,3612819301,"HC REMV FOOT FOREIGN BODY,COMPLEX",5311.0,5311.0,,,0 CDM,3612820001,"HC REPAIR FOOT, FLEXOR TENDON W/O GRFT, EA",12111.0,12111.0,,,0 CDM,3612823201,HC TENOTOMY OPEN FLEXOR TOE,5258.0,5258.0,,,0 CDM,3612825001,HC DIVISN PLANTAR FASCIA/MUSCLE,10690.0,10690.0,,,0 CDM,3612828001,"HC SYNDACTYLIZATION, TOES",10690.0,10690.0,,,0 CDM,3612828501,"HC REPAIR OF HAMMERTOE,ONE",11433.0,11433.0,,,0 CDM,3612828801,HC REMOVAL FOOT BONE SPUR,10690.0,10690.0,,,0 CDM,3612828901,HC REPAIR HALLUX RIGIDUS,11918.0,11918.0,,,0 CDM,3612829101,HC HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT,17781.0,17781.0,,,0 CDM,3612829201,"HC CORRECT BUNION,KELLER/MCBRIDE/MAYO",12832.0,12832.0,,,0 CDM,3612829601,"HC CORRECT BUNION,METATARSAL OSTEOTOMY",16136.0,16136.0,,,0 CDM,3612829701,"HC CORRECT BUNION,LAPIDUS TYPE",20041.0,20041.0,,,0 CDM,3612829801,"HC CORRECT BUNION,PHALANX OSTEOTOMY",10936.0,10936.0,,,0 CDM,3612829901,HC BUNION CORR DOUBLE OSTEOTOMY,18522.0,18522.0,,,0 CDM,3612830001,HC OSTEOTOMY HEEL BONE,9824.0,9824.0,,,0 CDM,3612830401,HC OSTEOTOMY MIDTARSAL BONES,5086.0,5086.0,,,0 CDM,3612830501,"HC OSTEOTOMY MIDTARSAL,AUTOGRAFT",9434.0,9434.0,,,0 CDM,3612830801,HC OSTEOTOMY METATARSAL (NOT 1ST),9466.0,9466.0,,,0 CDM,3612831001,"HC OSTEOTOMY PROX PHALANX,1ST TOE",10025.0,10025.0,,,0 CDM,3612831301,"HC RECONSTRUC TOE DEFORM,SOFT TISSUE",10690.0,10690.0,,,0 CDM,3612831501,"HC REMOV SESAMOID BONE,1ST TOE",10690.0,10690.0,,,0 CDM,3612832201,HC METATARSAL REPAIR OPEN,21343.0,21343.0,,,0 CDM,3612840001,HC CLOSED RX CALC FX W/O MANIP,777.0,777.0,,,0 CDM,3612840501,HC CLOSED RX CALC FX W/ MANIP,777.0,777.0,,,0 CDM,3612841501,HC OPEN TREATMENT CALCANEAL FRACTURE,43436.0,43436.0,,,0 CDM,3612843001,HC CLOSED RX TALUS FX W/O MANIP,777.0,777.0,,,0 CDM,3612843501,"HC CLOSED RX TALUS FX,MANIP",5258.0,5258.0,,,0 CDM,3612844501,HC OPEN TREATMENT TALUS FRACTURE,23643.0,23643.0,,,0 CDM,3612845001,"HC CLOSED RX TARSAL FX,EACH",777.0,777.0,,,0 CDM,3612845501,HC CLOSED RX TARSAL FX W/ MANIP EACH,5258.0,5258.0,,,0 CDM,3612846501,HC OPEN TX TARSAL FRACTURE XCP TALUS &CALCANEUS EA,23643.0,23643.0,,,0 CDM,3612847001,HC CLOSED RX METATARSAL FX W/O MANIP EACH,777.0,777.0,,,0 CDM,3612847501,"HC CLOSED RX METATARSAL FX,MANIP",777.0,777.0,,,0 CDM,3612848501,HC OPEN TREATMENT METATARSAL FRACTURE EACH,20421.0,20421.0,,,0 CDM,3612849001,HC CLOSED RX BIG TOE W/O MANIP,777.0,777.0,,,0 CDM,3612849501,"HC CLOSED RX BIG TOE FX,MANIP",777.0,777.0,,,0 CDM,3612851001,HC CLOSED RX TOE FX,698.0,698.0,,,0 CDM,3612851501,"HC CLOSED RX TOE FX,MANIPULATN",777.0,777.0,,,0 CDM,3612853001,HC CLOSED RX SESAMOID FX,777.0,777.0,,,0 CDM,3612854001,HC CLOSED RX TARSAL DISLOCATION,777.0,777.0,,,0 CDM,3612854501,"HC CLOSED RX TARSAL DISLOC,ANESTH",10690.0,10690.0,,,0 CDM,3612857001,HC CLOSED RX TALOTARSAL DISLOC,777.0,777.0,,,0 CDM,3612857501,"HC CLOSED RX TALOTARSAL DISLOC,ANESTH",10690.0,10690.0,,,0 CDM,3612860001,HC CLOSED RX TAR-METATAR DISLOCATION,777.0,777.0,,,0 CDM,3612860501,"HC CLOSED RX TAR-METATAR DISLOC,ANESTH",777.0,777.0,,,0 CDM,3612861501,HC OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION,15348.0,15348.0,,,0 CDM,3612863001,HC CLOSED RX MT-PHAL TOE DISLOCATION,777.0,777.0,,,0 CDM,3612863501,"HC CLOSED RX MT-PHAL TOE DISLOC,ANESTH",5258.0,5258.0,,,0 CDM,3612866001,"HC CLOSED RX I-P JT,TOE DISLOCATION",1161.0,1161.0,,,0 CDM,3612866501,"HC CLOSED RX I-P JT,TOE DISLOC,ANESTH",1347.0,1347.0,,,0 CDM,3612872501,"HC FUSION FOOT BONES,SUBTALAR",23327.0,23327.0,,,0 CDM,3612874001,"HC FUSION FOOT BONE,MIDTARSAL,1 JT",15459.0,15459.0,,,0 CDM,3612875001,"HC FUSION BIG TOE,MT-P JT",17370.0,17370.0,,,0 CDM,3612875501,"HC FUSION BIG TOE,I-P JOINT",11418.0,11418.0,,,0 CDM,3612882001,"HC AMPUTATION TOE,MT-P JT",12209.0,12209.0,,,0 CDM,3612882501,"HC AMPUTATION TOE, INTERPHAL JNT",12331.0,12331.0,,,0 CDM,3612889901,"HC UNLISTED PROCEDURE, FOOT/TOES",11310.0,11310.0,,,0 CDM,3612905501,"HC APPLY SHOULDER CAST,SPICA",910.0,910.0,,,0 CDM,3612906501,HC APPLY LONG ARM CAST,910.0,910.0,,,0 CDM,3612907501,HC APPLY FOREARM CAST,910.0,910.0,,,0 CDM,3612908501,HC APPLY HAND/WRIST CAST,534.0,534.0,,,0 CDM,3612908601,"HC APPLY CAST,FINGER (CONTRACTURE)",534.0,534.0,,,0 CDM,3612910501,HC APPLY LONG ARM SPLINT,786.0,786.0,,,0 CDM,3612912501,"HC APPLY FOREARM SPLINT,STATIC",755.0,755.0,,,0 CDM,3612912601,"HC APPLY FOREARM SPLINT,DYNAMIC",657.0,657.0,,,0 CDM,3612913001,"HC APPLY FINGER SPLINT,STATIC",531.0,531.0,,,0 CDM,3612913101,"HC APPLY FINGER SPLINT,DYNAMIC",797.0,797.0,,,0 CDM,3612924001,HC STRAPPING SHOULDER BY PHYSICIAN,311.0,311.0,,,0 CDM,3612926001,HC STRAPPING ELBOW/WRIST BY PHYSICIAN,313.0,313.0,,,0 CDM,3612928001,HC STRAPPING OF HAND OR FINGER,313.0,313.0,,,0 CDM,3612934501,HC APPLY LONG LEG CAST,910.0,910.0,,,0 CDM,3612935501,"HC APPLY LONG LEG CAST,WALKER",910.0,910.0,,,0 CDM,3612940501,HC APPLY SHORT LEG CAST,910.0,910.0,,,0 CDM,3612942501,"HC APPLY SHORT LEG CAST,WALKER",910.0,910.0,,,0 CDM,3612950501,HC APPLY LONG LEG SPLINT,670.0,670.0,,,0 CDM,3612951501,HC APPLY LOWER LEG SPLINT,823.0,823.0,,,0 CDM,3612952001,HC STRAPPING HIP BY PHYSICIAN,376.5,376.5,,,0 CDM,3612953001,HC STRAPPING OF KNEE,313.0,313.0,,,0 CDM,3612954001,HC STRAPPING; ANKLE &/OR FOOT,235.0,235.0,,,0 CDM,3612955001,HC STRAPPING OF TOES,274.5,274.5,,,0 CDM,3612958001,HC STRAPPING UNNA BOOT,330.0,330.0,,,0 CDM,3612958101,HC APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE,363.0,363.0,,,0 CDM,3612970501,HC REMV/REVISN FULL ARM/LEG CAST,910.0,910.0,,,0 CDM,3612971001,HC REMV SHOULD/HIP MIN/RISS JKT,910.0,910.0,,,0 CDM,3612973001,HC WINDOWING OF CAST,534.0,534.0,,,0 CDM,3612974001,HC WEDGING OF CAST,910.0,910.0,,,0 CDM,3612979901,HC CAST/STRAP PROCEDURE UNLISTED,534.0,534.0,,,0 CDM,3612980501,"HC SHLDR ARTHROSCOP,DIAGNOSTIC",10690.0,10690.0,,,0 CDM,3612980701,"HC SHLDR ARTHROSCOP,SURG,REPAIR,SLAP LESION",12019.0,12019.0,,,0 CDM,3612982201,"HC SHLDR ARTHROSCOP,PART DEBRIDE",14857.0,14857.0,,,0 CDM,3612982301,"HC SHLDR ARTHROSCOP,EXTEN DEBRIDE",12032.0,12032.0,,,0 CDM,3612982401,HC SHOULDER ARTHROSCOPY CLAVICULECTOMY,10266.0,10266.0,,,0 CDM,3612982501,"HC SHLDR ARTHROSCOP,LYSE ADHESNS",13999.0,13999.0,,,0 CDM,3612982601,"HC SHLDR ARTHROSCOP,PART ACROMIOPLAS",10851.0,10851.0,,,0 CDM,3612982701,"HC SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR",16817.0,16817.0,,,0 CDM,3612982801,HC ARTHROSCOPY SHOULDER SURGICAL BICEPS TENODESIS,10750.0,10750.0,,,0 CDM,3612984401,"HC WRIST ARTHROSCOP,PART SYNOVECT",10690.0,10690.0,,,0 CDM,3612984601,"HC WRIST ARTHROSCOP,EXCIS TRIANG CART",10690.0,10690.0,,,0 CDM,3612984801,"HC WRIST ARTHROSCOP,RELEASE XVERS LIG",11182.0,11182.0,,,0 CDM,3612987001,HC KNEE ARTHROSCOPY DIAG W/WO BX,12781.0,12781.0,,,0 CDM,3612987401,"HC KNEE SCOPE,REMV LOOSE BODY",13179.0,13179.0,,,0 CDM,3612987501,"HC KNEE SCOPE,PART SYNOVECT",11584.0,11584.0,,,0 CDM,3612987601,"HC KNEE SCOPE,FULL SYNOVECT",14182.0,14182.0,,,0 CDM,3612987701,"HC KNEE SCOPE,SHAVE ARTICULAR CART",10690.0,10690.0,,,0 CDM,3612987901,HC KNEE ARTHROSCOPY ABRASION ARTHROPLASTY OR MULTI DRILL,12781.0,12781.0,,,0 CDM,3612988001,"HC KNEE SCOPE,SINGLE MENISECTOMY",19729.0,19729.0,,,0 CDM,3612988101,"HC KNEE SCOPE,MED/LAT MENISECTOMY",18284.0,18284.0,,,0 CDM,3612988201,HC KNEE ARTHROSCOPY W/ MENISCUS REPAIR,11597.0,11597.0,,,0 CDM,3612988401,"HC KNEE SCOPE,LYSIS OF ADHESNS",10690.0,10690.0,,,0 CDM,3612988801,"HC KNEE SCOPE,AID ANT CRUCIATE REPAIR",20422.0,20422.0,,,0 CDM,3612989301,"HC ANKLE SCOPE,PLANTAR FASCIOTOMY",14567.0,14567.0,,,0 CDM,3612989501,"HC ANKLE SCOPE,PART SYNOVECTOMY",10690.0,10690.0,,,0 CDM,3612989701,"HC ARTHROSCOPY ANKLE, SIMPLE DEBRIDEMENT",10690.0,10690.0,,,0 CDM,3612989801,"HC ANKLE SCOPE,EXTENS DEBRIDEMNT",13055.0,13055.0,,,0 CDM,3613000001,HC DRN ABSC/HEMTMA NASAL INTERN APRCH,799.0,799.0,,,0 CDM,3613002001,HC DRN ABSC/HEMTMA NASAL SEPTUM,1707.0,1707.0,,,0 CDM,3613010001,HC INTRANASAL BIOPSY,8544.0,8544.0,,,0 CDM,36130100PB,HC INTRANASAL BIOPSY,8544.0,8544.0,,,0 CDM,3613011701,HC EXCIS/DEST INTRANAS LESION; INT APP,11456.0,11456.0,,,0 CDM,3613030001,HC REMOVE NASAL FOREIGN BODY,416.0,416.0,,,0 CDM,3613031001,"HC REMV NASAL FOR BODY,GEN ANESTH",10178.0,10178.0,,,0 CDM,3613032001,"HC REMV NASAL FOR BODY,LAT RHINOTOMY",4965.0,4965.0,,,0 CDM,3613052001,HC REPAIR OF NASAL SEPTUM,9459.0,9459.0,,,0 CDM,3613056001,HC RELEASE OF NASAL ADHESIONS,1707.0,1707.0,,,0 CDM,3613080201,HC ABLATE SOFT TISS INF TURBINATES UNI/BIL INTRAMURAL,4088.0,4088.0,,,0 CDM,3613090101,"HC CTRL NOSEBLEED,ANTER,SIMPLE",953.0,953.0,,,0 CDM,3613090301,"HC CTRL NOSEBLEED,ANTER,COMPLEX",885.0,885.0,,,0 CDM,3613090501,"HC CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT",882.0,882.0,,,0 CDM,3613090601,"HC CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT SUBSEQ",799.0,799.0,,,0 CDM,3613099901,HC NASAL SURG PROC UNLISTED,5285.0,5285.0,,,0 CDM,3613102001,HC EXPLORATION MAXILLARY SINUS; INTRANASAL,10326.0,10326.0,,,0 CDM,3613123101,"HC NASAL ENDOSCOPY,DX",1772.0,1772.0,,,0 CDM,3613123701,"HC NASAL/SINUS ENDOSCOPY,BX/RMV POLYP/DEBRID",8611.0,8611.0,,,0 CDM,3613123801,"HC PBB NASAL/SINUS ENDOSCOPY,W/CONTROL NASAL HEM",5647.0,5647.0,,,0 CDM,3613124001,"HC NASAL/SINUS ENDOSCOPY,RMV CONCHA BULL",4832.0,4832.0,,,0 CDM,3613125301,HC NASAL/SINUS ENDO TOTAL W/ TISS REM,10285.0,10285.0,,,0 CDM,3613125501,HC NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY,7552.0,7552.0,,,0 CDM,3613125601,"HC NASAL/SINUS ENDOSCOPY,OPEN MAXILL SINUS",7067.0,7067.0,,,0 CDM,3613126701,"HC NASAL/SINUS ENDOSCOPY,RMV TISS MAXILL SINUS",8827.0,8827.0,,,0 CDM,3613127601,HC NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS,9477.0,9477.0,,,0 CDM,3613128701,"HC NASAL/SINUS ENDOSCOPY,SPHENOIDOTOMY",12122.0,12122.0,,,0 CDM,3613128801,"HC NASAL/SINUS ENDOSCOPY,REMV TISS SPHENOID",12802.0,12802.0,,,0 CDM,3613129601,HC NASAL/SINUS ENDO DIL FRONTAL,21982.0,21982.0,,,0 CDM,3613150001,HC INSERT EMERGENCY ENDOTRACH AIRWAY,1108.0,1108.0,,,0 CDM,3613150201,HC TRACH TUBE CHANGE,799.0,799.0,,,0 CDM,3613150501,HC LARYNGOSCOPY INDIRECT DIAGNOSTIC,583.0,583.0,,,0 CDM,3613151001,HC LARYNGOSCOPY INDIRECT W/BIOPSY,10117.0,10117.0,,,0 CDM,3613151101,HC LARYNGOSCOPY INDIR RMV FOREIGN BODY,621.0,621.0,,,0 CDM,3613153001,HC LARYNGOSCOPY DIR OPERATIVE RMV FOREIGN BODY,5647.0,5647.0,,,0 CDM,3613157501,"HC LARYNGOSCOPY,FLEX FIBER,DIAGNOSTIC",909.0,909.0,,,0 CDM,3613157701,HC LARYNGOSCOPY FLEX RMV FOREIGN BODY,1418.0,1418.0,,,0 CDM,3613157901,"HC LARYNGOSCOPY,FLEX/RIGID+STROBOSCOPY",2107.0,2107.0,,,0 CDM,3613160001,"HC TRACHEOSTOMY PLANNED, SEP PROC",8332.0,8332.0,,,0 CDM,3613160301,HC TRACHEOSTOMY,5107.0,5107.0,,,0 CDM,3613160501,HC EMERGENCY TRACHEOSTOMY CRICOTHYROID MEM,1475.0,1475.0,,,0 CDM,3613162401,"HC BRONCHOSCOPY,DIAGNOSTIC W LAVAGE",6946.0,6946.0,,,0 CDM,3613163501,HC BRONCH RIG/FLEX RMV FOREIGN BODY W/ FLUOR IF NEEDED,5647.0,5647.0,,,0 CDM,3613164501,HC BRONCH W/THER ASPIR TRACHBRNCL TREE 1ST,6946.0,6946.0,,,0 CDM,3613240001,HC NEEDLE BIOPSY PLEURA,5243.0,5243.0,,,0 CDM,3613240801,"HC PERCUT BX, LUNG/MEDIASTINUM INCLUDES GUIDANCE",8620.0,8620.0,,,0 CDM,3613255001,HC INSERTION INDWELLING TUNNELED PLEURAL CATHETER,13191.0,13191.0,,,0 CDM,3613255101,HC TUBE THORACOSTOMY INCLUDES WATER SEAL,3010.0,3010.0,,,0 CDM,3613255201,HC REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,2649.0,2649.0,,,0 CDM,3613255301,"HC PERC PLACE INTRA-THORACIC INTERSTIT RAD THERAPY GUIDE, 1/MULT",4767.0,4767.0,,,0 CDM,3613255401,HC THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,2471.0,2471.0,,,0 CDM,3613255501,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,2955.0,2955.0,,,0 CDM,3613255601,HC PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,2802.0,2802.0,,,0 CDM,3613255701,HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING,1133.0,1133.0,,,0 CDM,3613256001,HC PBB CHEMICAL PLEURODESIS FOR PERSISTENT PNEUMOTHORAX,2040.0,2040.0,,,0 CDM,3613256101,"HC INSTILL VIA CHEST TUBE AGENT FOR FIBRINOLYSIS, 1ST DAY",2040.0,2040.0,,,0 CDM,3613256201,"HC INSTILL VIA CHEST TUBE AGENT FOR FIBRINOLYSIS, SUBSEQUENT",2040.0,2040.0,,,0 CDM,3613299801,"HC PERQ RADIOFREQ ABLATION TX, PUL TUMOR",27849.0,27849.0,,,0 CDM,3613299901,HC PLEURAL TUNNELED CATHETER EXCHANGE SAME ACCESS,1812.0,1812.0,,,0 CDM,3613301601,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,5267.0,5267.0,,,0 CDM,3613301701,HC PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY,2730.0,2730.0,,,0 CDM,3613301901,HC PERICARDIO DRAIN INDWELLING CATH PERQ W/CT GUIDANCE,16180.0,16180.0,,,0 CDM,3613321001,HC INSER HEART TEMP PACER ONE CHMBR,27737.0,27737.0,,,0 CDM,3613321201,HC EP INSERT PULSE GENER ONE CHMBR,27737.0,27737.0,,,0 CDM,3613321301,HC INSERT PULSE GENER DUAL CHMBR,27737.0,27737.0,,,0 CDM,3613321401,HC UPGRADE OF PACEMAKER SYSTEM,27737.0,27737.0,,,0 CDM,3613321501,HC RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE,27737.0,27737.0,,,0 CDM,3613321601,HC INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,27737.0,27737.0,,,0 CDM,3613321701,HC INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,27737.0,27737.0,,,0 CDM,3613321801,HC RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB,27737.0,27737.0,,,0 CDM,3613322001,HC RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB,12998.0,12998.0,,,0 CDM,3613322101,HC EP INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS,27737.0,27737.0,,,0 CDM,3613322201,HC RELOCATION OF SKIN POCKET FOR PACEMAKER,27737.0,27737.0,,,0 CDM,3613322301,HC RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR,27737.0,27737.0,,,0 CDM,3613322501,HC INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN,27737.0,27737.0,,,0 CDM,3613322601,HC REPOSIT PREV IMPLANTED CARDIAC ELECTRODE,10805.0,10805.0,,,0 CDM,3613322701,HC REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD,27737.0,27737.0,,,0 CDM,3613322901,HC REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD,27737.0,27737.0,,,0 CDM,3613323001,HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS,27737.0,27737.0,,,0 CDM,3613323101,HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS,27737.0,27737.0,,,0 CDM,3613323301,HC REMV PERM PACER GENERATOR,27737.0,27737.0,,,0 CDM,3613323401,"HC REMV TRANSVEN PACER ELECTRODE,1 LEAD",27737.0,27737.0,,,0 CDM,3613323501,"HC REMV TRANSVEN PACER ELECTRODE,2 LEAD",27737.0,27737.0,,,0 CDM,3613324001,HC INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD,27737.0,27737.0,,,0 CDM,3613324101,HC REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY,27737.0,27737.0,,,0 CDM,3613324401,HC RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ,27737.0,27737.0,,,0 CDM,3613324901,HC INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR,27737.0,27737.0,,,0 CDM,3613326201,HC RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD,27737.0,27737.0,,,0 CDM,3613326301,HC RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD,27737.0,27737.0,,,0 CDM,3613326401,HC RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD,27737.0,27737.0,,,0 CDM,3613327201,HC EP RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,27737.0,27737.0,,,0 CDM,3613327301,HC EP REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB,27737.0,27737.0,,,0 CDM,3613328501,HC INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,5047.0,5047.0,,,0 CDM,3613328601,HC REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,3618.0,3618.0,,,0 CDM,3613337001,HC TCAT PLMT & RMVL CEPD PERQ,3587.0,3587.0,,,0 CDM,3613399901,HC CARDIAC SURG PROCEDURE UNLIST,2040.0,2040.0,,,0 CDM,3613471301,HC PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT,14542.0,14542.0,,,0 CDM,3613518401,HC REPAIR CONGENITAL AV FISTULA EXTREMITY,12920.0,12920.0,,,0 CDM,3613522601,HC REP BLOOD VES LWR EXTREM DIRECT,4606.0,4606.0,,,0 CDM,3613587501,"HC THROMBECTOMY A-V GRAFT, EXC HEMODIALYSIS",5042.0,5042.0,,,0 CDM,3613600001,HC PLACE NEEDLE IN VEIN,348.0,348.0,,,0 CDM,3613600201,HC INJECTION RX EXTREMITY PSEUDOANEURYSM,1773.0,1773.0,,,0 CDM,3613600501,"HC INJECTION PROC,EXTREMITY,VENOGRAPHY",486.0,486.0,,,0 CDM,3613601001,"HC PLACE CATH IN VEIN,SVC,IVC",2346.0,2346.0,,,0 CDM,3613601101,"HC PLACE CATH IN VEIN,SELECT",1936.0,1936.0,,,0 CDM,3613601201,"HC PLACE CATH IN VEIN,SUBSELECT",3307.0,3307.0,,,0 CDM,3613601301,"HC PLACE CATH IN RT HRT,MAIN PULM ART",2374.0,2374.0,,,0 CDM,3613601401,HC PLACE CATH IN LT/RT PULM ART,2280.0,2280.0,,,0 CDM,3613601501,HC PLACE CATH IN SUBSEGMT PULM ART,2576.0,2576.0,,,0 CDM,3613610001,HC PLACE CATH CAROT/VERT ART,360.0,360.0,,,0 CDM,3613614001,HC INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,1928.0,1928.0,,,0 CDM,3613616001,HC PLACE CATH AORTA VIA TRANSLUMBAR,1460.0,1460.0,,,0 CDM,3613620001,HC PLACE CATH AORTA,2214.0,2214.0,,,0 CDM,3613621501,"HC PLACE CATH SELECTIVE ART,NECK",3634.0,3634.0,,,0 CDM,3613621601,"HC PLACE CATH SUBSELECT ART,NECK",4609.0,4609.0,,,0 CDM,3613621701,"HC PLACE CATH SUBSUBSELECT ART,NECK",4340.0,4340.0,,,0 CDM,3613621801,"HC PLACE CATH ADDN SUBSELEC ART,NECK",905.0,905.0,,,0 CDM,3613622101,HC NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART,14035.0,14035.0,,,0 CDM,3613622201,HC SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART,14905.0,14905.0,,,0 CDM,3613622301,HC SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,14905.0,14905.0,,,0 CDM,3613622401,HC SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART,24374.0,24374.0,,,0 CDM,3613622501,HC SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,14905.0,14905.0,,,0 CDM,3613622601,HC SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY,24374.0,24374.0,,,0 CDM,3613622701,HC SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,14901.0,14901.0,,,0 CDM,3613622801,HC SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT,14905.0,14905.0,,,0 CDM,3613624501,"HC PLACE CATH SELECT ART,ABD/PEL",1875.0,1875.0,,,0 CDM,3613624601,"HC PLACE CATH SUBSELECT ART,ABD/PEL",4543.0,4543.0,,,0 CDM,3613624701,"HC PLACE CATH SUBSUBSELECT ART,ABD/PEL",4507.0,4507.0,,,0 CDM,3613624801,"HC PLACE CATH ADDN SUBSEL ART,ABD/PEL",905.0,905.0,,,0 CDM,3613625101,HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UNI,18397.0,18397.0,,,0 CDM,3613625201,HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BILAT,27595.0,27595.0,,,0 CDM,3613625301,HC SUPSLCTV CATH 2ND+ORD RENL&ACCES ARTERY/S&I UNI,18397.0,18397.0,,,0 CDM,3613625401,HC SUPSLCTV CATH 2ND+ORD RENL&ACCES ARTER/S&I BILAT,27595.0,27595.0,,,0 CDM,3613626001,HC INSRT ARTERIAL INFUS PUMP,18001.0,18001.0,,,0 CDM,3613629901,HC VESSEL INJECTION PROCEDURE UNLISTED,1406.0,1406.0,,,0 CDM,3613647001,HC INJECTION SCLEROSANT SINGLE INCMPTNT VEIN,387.0,387.0,,,0 CDM,3613647101,"HC INJECTION THERAPY VEIN,MULT VEINS",2567.0,2567.0,,,0 CDM,3613647401,HC ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS,6164.0,6164.0,,,0 CDM,3613647501,"HC ENDOVENOUS RF, 1ST VEIN",13659.0,13659.0,,,0 CDM,3613647601,"HC ENDOVENOUS RF, VEIN ADD-ON",11070.0,11070.0,,,0 CDM,3613647801,"HC ENDOVENOUS LASER, 1ST VEIN",10805.0,10805.0,,,0 CDM,3613647901,HC ENDOVENOUS LASER VEIN ADDON,11070.0,11070.0,,,0 CDM,3613648101,HC PERCUT PORTAL VEIN CATH,6777.0,6777.0,,,0 CDM,3613650001,HC VENOUS SELECT SAMPLING W CATH,1586.0,1586.0,,,0 CDM,3613651001,HC CATH UMBIL VEIN NEWBORN,883.0,883.0,,,0 CDM,3613651101,"HC THER APHERESIS,WHITE BLOOD CELLS",6302.0,6302.0,,,0 CDM,3613651102,HC LEUKODEPLETION THERAPUTIC BY VENDOR,6302.0,6302.0,,,0 CDM,3613651201,"HC THER APHERESIS,RED BLOOD CELLS",3771.0,3771.0,,,0 CDM,3613651202,HC RBC DEPLETION BY VENDOR,3771.0,3771.0,,,0 CDM,3613651301,HC PLATELET DEPLETION BY VENDOR,13988.0,13988.0,,,0 CDM,3613651302,HC THERAPEUTIC APHERESIS - PLATELET DEPLETION,13988.0,13988.0,,,0 CDM,3613651401,"HC THER APHERESIS,PLASMA PHERESIS",8053.0,8053.0,,,0 CDM,3613651402,HC THERAPEUTIC PLASMA EXCHANGE BY VENDOR,8053.0,8053.0,,,0 CDM,3613652201,HC PHOTOPHERESIS,19092.0,19092.0,,,0 CDM,3613655501,HC INSERT NON-TUNNEL CV CATH < 5 Y/O,10805.0,10805.0,,,0 CDM,3613655601,HC INSERT NON-TUNNEL CV CATH,3777.0,3777.0,,,0 CDM,3613655701,HC INSERT TUNNELED CV CATH W/O PORT OR PUMP < 5 Y/O,18001.0,18001.0,,,0 CDM,3613655801,HC INSERT TUNNELED CV CATH W/O PORT OR PUMP,9393.0,9393.0,,,0 CDM,3613656001,HC INSERT TUNNELED CV CATH WITH PORT <5 Y/O,10805.0,10805.0,,,0 CDM,3613656101,HC INSERT TUNNELED CV CATH WITH PORT,9393.0,9393.0,,,0 CDM,3613656301,HC INSERT TUNNELED CV CATH WITH PUMP,7517.0,7517.0,,,0 CDM,3613656501,"HC INSERT TUNNELED CV CATH W 2 ACCESS SITES, W/O PUMP OR PORT",10805.0,10805.0,,,0 CDM,3613656601,"HC INSERT TUNNELED CV CATH W 2 ACCESS SITES, W/ PUMP OR PORT",18001.0,18001.0,,,0 CDM,3613656801,HC INSERT PICC W/O SUB-Q PORT <5 Y/O,5307.0,5307.0,,,0 CDM,3613656901,HC INSERTION PICC W/O IMG GDN 5 YR/>,4186.0,4186.0,,,0 CDM,3613657001,HC INSERT PICC W/ SUB-Q PORT <5 Y/O,10805.0,10805.0,,,0 CDM,3613657101,HC INSERT PICC W/ SUB-Q PORT,9158.0,9158.0,,,0 CDM,3613657201,HC INSERTION PICC W/RS&I < 5 YR,2265.0,2265.0,,,0 CDM,3613657301,HC INSERTION PICC W/RS&I 5 YR/>,5307.0,5307.0,,,0 CDM,3613657501,HC REPAIR CV CATH W/O SUBQ PORT OR PUMP,2040.0,2040.0,,,0 CDM,3613657601,HC REPAIR CV CATH W SUBQ PORT OR PUMP,5307.0,5307.0,,,0 CDM,3613657801,HC REPLACE TUNNELED CTR VAD W/SUBQ PORT/PUMP,13885.0,13885.0,,,0 CDM,3613658001,HC REPLACE NON-TUNNELED CVC COMP W/O SUBQ PORT/PUMP,3268.0,3268.0,,,0 CDM,3613658101,HC REPLACE TUNNELED CVC COMP W/O SUBQ PORT/PUMP,7050.0,7050.0,,,0 CDM,3613658201,HC REPLACE TUNNELED CTR VAD COMP W/SUBQ PORT,6968.0,6968.0,,,0 CDM,3613658301,HC REPLACE TUNNELED CTR VAD COMP W/SUBQ PUMP,18001.0,18001.0,,,0 CDM,3613658401,HC REPLACE PICC COMP W/ S&I,4013.0,4013.0,,,0 CDM,3613658501,HC REPLACE PERIPH CTR VAD COMP W/ SUBQ PORT,15352.0,15352.0,,,0 CDM,3613658901,HC REMOVAL TUNNELED CV CATH W/O SUBQ PORT OR PUMP,5535.0,5535.0,,,0 CDM,3613659001,HC REMOVAL TUNNELED CV CATH W SUBQ PORT OR PUMP,3480.0,3480.0,,,0 CDM,3613659301,HC DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH,902.0,902.0,,,0 CDM,3613659501,HC MECH REMOV PERICATH OBSTR CV DEV VIA VEN ACCESS,3130.0,3130.0,,,0 CDM,3613659601,HC MECH REMOV INTRALUM OBSTR CV DEV THRU LUMEN,3475.0,3475.0,,,0 CDM,3613659701,HC REPOSITION VENOUS CATHETER,4195.0,4195.0,,,0 CDM,3613659801,"HC CONTRAST INJ CENT VEN CATH, INC FLOURO",1397.0,1397.0,,,0 CDM,3613662001,"HC INSERT CATH,ART,PERCUT,SHORTTERM",491.0,491.0,,,0 CDM,3613662501,"HC INSERT CATH,ART,CUTDOWN",15504.0,15504.0,,,0 CDM,3613666001,"HC CATH, UMBILICAL ARTERY",1932.0,1932.0,,,0 CDM,3613668001,"HC INSERT NEEDLE,INTRAOSSEOUS INFUSN",1001.0,1001.0,,,0 CDM,3613686001,HC EXT CANNULA DECLOTT WO BALLOON CATH,16035.0,16035.0,,,0 CDM,3613686101,HC CANN DECLOT W/BALL CATH,18001.0,18001.0,,,0 CDM,3613690101,HC INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I,3784.0,3784.0,,,0 CDM,3613690201,HC INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP,30551.0,30551.0,,,0 CDM,3613690301,HC INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT,38139.0,38139.0,,,0 CDM,3613690401,HC PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH,15347.0,15347.0,,,0 CDM,3613690501,HC PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP,42688.0,42688.0,,,0 CDM,3613690601,HC PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT,50645.0,50645.0,,,0 CDM,3613690701,HC TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I,22830.0,22830.0,,,0 CDM,3613690801,HC STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR,35282.0,35282.0,,,0 CDM,3613690901,HC DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I,46236.0,46236.0,,,0 CDM,3613718201,HC INSERT TRANSVEN INTRAHEP PORTOSYS SHUNT,15779.0,15779.0,,,0 CDM,3613718301,HC REVIS TRANSVEN INTRAHEP PORTOSYS SHUNT,15779.0,15779.0,,,0 CDM,3613718401,HC PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,12419.0,12419.0,,,0 CDM,3613718501,HC PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ,13395.0,13395.0,,,0 CDM,3613718601,HC SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL,10218.0,10218.0,,,0 CDM,3613718701,"HC PERCUT MECH THROMBECTOMY, VENOUS",14546.0,14546.0,,,0 CDM,3613718801,"HC PERCUT MECH THROMBECTOMY, VENOUS, REPEAT",14612.0,14612.0,,,0 CDM,3613719101,HC INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,9950.0,9950.0,,,0 CDM,3613719301,HC RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,18789.0,18789.0,,,0 CDM,3613719501,"HC THROMBOLYSIS, CERBRAL, IV INF",2211.0,2211.0,,,0 CDM,3613719701,HC PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING,14959.0,14959.0,,,0 CDM,3613720001,HC TRANSCATHETER BIOPSY,3222.0,3222.0,,,0 CDM,3613721101,HC THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,5277.0,5277.0,,,0 CDM,3613721201,HC THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,5277.0,5277.0,,,0 CDM,3613721301,HC THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX,11781.0,11781.0,,,0 CDM,3613721401,HC CESSATION THROMBOLYTIC THRPY W/CATHETER REMOVAL,11781.0,11781.0,,,0 CDM,3613721501,HC TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ,37996.0,37996.0,,,0 CDM,3613721601,HC TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ,35998.0,35998.0,,,0 CDM,3613721801,HC TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,35998.0,35998.0,,,0 CDM,3613722001,"HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY, INITIAL VESSEL",26850.0,26850.0,,,0 CDM,3613722101,"HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY/STENT, INITIAL VESSEL",63562.0,63562.0,,,0 CDM,3613722201,"HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY, EA ADD VESSEL",21751.0,21751.0,,,0 CDM,3613722301,"HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY/STENT, EA ADD VESSEL",52535.0,52535.0,,,0 CDM,3613722401,"HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY",26536.0,26536.0,,,0 CDM,3613722501,"HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/ATHERECTOMY",47145.0,47145.0,,,0 CDM,3613722601,"HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/STENT",63244.0,63244.0,,,0 CDM,3613722701,"HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/STENT/ATHERECTOMY",83860.0,83860.0,,,0 CDM,3613722801,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY INITIAL",26497.0,26497.0,,,0 CDM,3613722901,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/ATHERECTOMY INITIAL",47117.0,47117.0,,,0 CDM,3613723001,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT INITIAL",63212.0,63212.0,,,0 CDM,3613723101,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT/ATHERECTOMY INIT",83829.0,83829.0,,,0 CDM,3613723201,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY EA ADD",21399.0,21399.0,,,0 CDM,3613723301,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/ATHERECTOMY EA ADD",39944.0,39944.0,,,0 CDM,3613723401,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT EA ADD",52181.0,52181.0,,,0 CDM,3613723501,HC CCL TIB/PER REVASC STNT AND ARTHRECTOMY ADDL,76080.0,76080.0,,,0 CDM,3613723601,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL,26772.0,26772.0,,,0 CDM,3613723701,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL,13387.0,13387.0,,,0 CDM,3613723801,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,35282.0,35282.0,,,0 CDM,3613723901,HC OPEN/PERQ PLACEMT INTRAVASC STENT SAME EA ADDL,26958.0,26958.0,,,0 CDM,3613724101,HC VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,46236.0,46236.0,,,0 CDM,3613724201,HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,46236.0,46236.0,,,0 CDM,3613724301,HC VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,46221.0,46221.0,,,0 CDM,3613724401,HC VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,46236.0,46236.0,,,0 CDM,3613724601,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART,25205.0,25205.0,,,0 CDM,3613724701,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART,23061.0,23061.0,,,0 CDM,3613724801,HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,36149.0,36149.0,,,0 CDM,3613724901,HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,35917.0,35917.0,,,0 CDM,3613725201,HC INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,11105.0,11105.0,,,0 CDM,3613725301,HC INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,11105.0,11105.0,,,0 CDM,3613760901,HC LIGATION/BIOPSY TEMPORAL ARTERY,14755.0,14755.0,,,0 CDM,3613776501,HC PHLEB VEINS - EXTREM - TO 20,10805.0,10805.0,,,0 CDM,36137765PB,HC PHLEB VEINS - EXTREM - TO 20,10805.0,10805.0,,,0 CDM,3613776601,HC PHLEB VEINS - EXTREM 20+,10805.0,10805.0,,,0 CDM,3613779901,HC VASCULAR SURGERY PROCEDURE UNLIST,10994.0,10994.0,,,0 CDM,3613802001,HC I&D CONJUNCTIVA CYST,3057.0,3057.0,,,0 CDM,3613820601,"HC PROG CELL HARVEST,TRANSPLANT,AUTOLOGOUS",13706.0,13706.0,,,0 CDM,3613822001,HC DIAGNOSTIC BONE MARROW ASPIRATIONS,5059.0,5059.0,,,0 CDM,3613822101,HC DIAGNOSTIC BONE MARROW BIOPSIES,5059.0,5059.0,,,0 CDM,3613822201,HC DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,8714.0,8714.0,,,0 CDM,3613824201,HC ALLOGENEIC LYMPHOCYTE INFUSIONS,7250.0,7250.0,,,0 CDM,3613850001,"HC BIOPSY/REMOVAL LYMPH NODES, SUPERFICIAL",12458.0,12458.0,,,0 CDM,3613850501,"HC NEEDLE BIOPSY, LYMPH NODE(S)",4436.0,4436.0,,,0 CDM,3613852501,"HC BIOPSY/EXCISION AXILLARY NODE, DEEP",13626.0,13626.0,,,0 CDM,3613879001,HC INJECTION FOR LYMPHATIC XRAY,2020.0,2020.0,,,0 CDM,3613879201,HC IDENTIFY SENTINEL NODE,1426.0,1426.0,,,0 CDM,3613879401,HC ACCESS THORACIC LYMPH DUCT,1569.0,1569.0,,,0 CDM,3614049001,HC BIOPSY OF LIP,733.0,733.0,,,0 CDM,3614065001,"HC REPAIR LIP,FULL THICK,VERMILION",1707.0,1707.0,,,0 CDM,3614065201,"HC REPAIR LIP,<1/2 VERT HEIGHT",1707.0,1707.0,,,0 CDM,3614065401,HC REPAIR LIP >1/2 VERT HEIGHT/COMPLEX,5107.0,5107.0,,,0 CDM,3614080001,"HC DRAIN MOUTH ABSC/CYST/HEMATOMA,SIMPL",1145.0,1145.0,,,0 CDM,3614080101,"HC DRAIN MOUTH ABSC/CYST/HEMATOMA,COMP",1707.0,1707.0,,,0 CDM,3614080401,HC REMV FB MOUTH VESTIBULE SIMPL,2782.0,2782.0,,,0 CDM,3614080501,HC REMV FB MOUTH VESTIBULE COMP,1540.0,1540.0,,,0 CDM,3614080801,HC BIOPSY OF MOUTH LESION,1707.0,1707.0,,,0 CDM,36140808PB,HC BIOPSY OF MOUTH LESION,1707.0,1707.0,,,0 CDM,3614081201,"HC EXCIS MOUTH MUCOSA/SUB,SIMPL REPAIR",13799.0,13799.0,,,0 CDM,36140812PB,"HC EXCIS MOUTH MUCOSA/SUB,SIMPL REPAIR",13799.0,13799.0,,,0 CDM,3614083001,HC REPAIR MOUTH VESTIBULE <2.6 CM,404.0,404.0,,,0 CDM,3614083101,HC REPAIR MOUTH VESTIBULE >2.5 CM/COMPLEX,1707.0,1707.0,,,0 CDM,3614100001,HC I&D MOUTH/TONG ABSC/HEMAT LINGUAL,1707.0,1707.0,,,0 CDM,3614100501,"HC I&D MOUTH/TONG INTRA,SUBLING,SUPERF",799.0,799.0,,,0 CDM,3614100701,"HC I&D MOUTH/TONG INTRA,SUBMENTAL",5107.0,5107.0,,,0 CDM,3614100801,HC I&D MOUTH/TONG SUBMANDIB,10326.0,10326.0,,,0 CDM,3614100901,"HC PBB I&D MOUTH/TONG INTRA,MASTICATOR",1707.0,1707.0,,,0 CDM,3614101001,HC INC LINGUAL FRENUM (FRENOTOMY),5107.0,5107.0,,,0 CDM,3614110001,"HC BIOPSY TONGUE,ANTER 2/3",1707.0,1707.0,,,0 CDM,36141100PB,"HC BIOPSY TONGUE,ANTER 2/3",1707.0,1707.0,,,0 CDM,3614110501,"HC BIOPSY TONGUE,POSTER 1/3",7645.0,7645.0,,,0 CDM,3614111201,"HC EXC TONGUE LESION W/ CLOSURE, ANT 2/3",12468.0,12468.0,,,0 CDM,3614111301,"HC EXC TONGUE LESION W/ CLOSURE, POST 1/3",16324.0,16324.0,,,0 CDM,3614125001,"HC REPAIR TONGUE LACER,<2.6 CM",784.0,784.0,,,0 CDM,3614125101,"HC REPAIR TONGUE LACER,POST 1/3",799.0,799.0,,,0 CDM,3614125201,"HC REPAIR TONGUE LACER,2.6 CM+/COMPLX",2672.0,2672.0,,,0 CDM,3614180001,HC DRAINAGE OF GUM LESION,1026.0,1026.0,,,0 CDM,3614180501,HC REMV FB DENTOALV STRUCT SOFT TISSUE,5107.0,5107.0,,,0 CDM,3614189901,HC DENTAL SURGERY PROCEDURE,799.0,799.0,,,0 CDM,3614200001,HC DRAIN ABSC PALATE/UVULA,1161.0,1161.0,,,0 CDM,3614210001,HC BIOPSY PALATE/UVULA,2833.0,2833.0,,,0 CDM,3614218001,HC REPAIR PALATE LACER <2 CM,1707.0,1707.0,,,0 CDM,3614218201,HC REPAIR PALATE LACER >2.0 CM/COMPLEX,19198.0,19198.0,,,0 CDM,3614230001,HC DRAIN SALIVARY GLAND SIMPLE,5662.0,5662.0,,,0 CDM,3614233001,HC REMOVAL OF SALIVARY STONE,7143.0,7143.0,,,0 CDM,3614240001,"HC BIOPSY SALIVARY GLAND,NEEDLE",2859.0,2859.0,,,0 CDM,3614270001,HC INC/DRAIN PERITONSIL ABSCESS,1383.0,1383.0,,,0 CDM,3614280001,HC BIOPSY OF OROPHARYNX,7729.0,7729.0,,,0 CDM,3614280901,HC REMOVE PHARYNX FOREIGN BODY,1024.0,1024.0,,,0 CDM,3614281001,"HC EXCISION BRACH CLFT CYST,SUPERFICIAL",10326.0,10326.0,,,0 CDM,3614282001,"HC REMOVE TONSILS/ADENOIDS,<12 Y/O",19198.0,19198.0,,,0 CDM,3614282101,"HC REMOVE TONSILS/ADENOIDS,12+ Y/O",10326.0,10326.0,,,0 CDM,3614282601,"HC REMOVAL OF TONSILS,12+ Y/O",11581.0,11581.0,,,0 CDM,3614283001,HC REMOVAL OF ADENOID PRIMARY <12 YRS,10326.0,10326.0,,,0 CDM,3614283101,"HC PBB REMOVAL ADENOIDS,PRIMARY,12+ Y/O",10326.0,10326.0,,,0 CDM,3614283601,"HC REMOVAL ADENOIDS,SECOND,12+ Y/O",10326.0,10326.0,,,0 CDM,3614296001,"HC CONTROL THROAT BLEED,SIMPLE",2159.0,2159.0,,,0 CDM,3614321501,HC ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY,5627.0,5627.0,,,0 CDM,3614323501,HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC,3055.0,3055.0,,,0 CDM,3614323601,HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION,6102.0,6102.0,,,0 CDM,3614323611,HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM,6131.0,6131.0,,,0 CDM,3614323901,HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE,3055.0,3055.0,,,0 CDM,3614324502,HC EGD DILATION GASTRIC/DUODENAL STRICTURE - EGD,6131.0,6131.0,,,0 CDM,3614324601,HC EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE,6881.0,6881.0,,,0 CDM,3614324701,HC EGD FLEXIBLE FOREIGN BODY REMOVAL,3055.0,3055.0,,,0 CDM,3614325101,HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH,4674.0,4674.0,,,0 CDM,3614325501,HC EGD TRANSORAL CONTROL BLEEDING ANY METHOD,5499.0,5499.0,,,0 CDM,3614345001,HC ESOPHAGUS DILATION UNGUIDED SOUND/BOUGIE,3055.0,3055.0,,,0 CDM,3614375201,HC PLACEMENT NG/OG TUBE BY PHYSICIAN,686.0,686.0,,,0 CDM,3614375301,"HC GASTRIC INTUBATION/ASPIRATION, THERAPEUTIC",962.0,962.0,,,0 CDM,3614376101,HC REPOSITION NASO/ORO GASTRIC FEEDING TUBE THRU DUO,4616.0,4616.0,,,0 CDM,3614376201,HC PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,1005.0,1005.0,,,0 CDM,3614436002,HC ENDOSCOPY UPPER SMALL INTESTINE - ENTEROSCOPY,5598.0,5598.0,,,0 CDM,3614436103,"HC SMALL BOWEL ENDOSCOPY,BIOPSY - ENTEROSCOPY",5661.0,5661.0,,,0 CDM,3614436501,"HC SB ENDOSCOPY,RMVL LESN,FORCEPS/CAUT - ENDO, SMALL BOWEL",6131.0,6131.0,,,0 CDM,3614450001,HC INTRO LONG GI TUBE,3055.0,3055.0,,,0 CDM,3614500501,HC I&D ABSC RECTUM,3914.0,3914.0,,,0 CDM,3614502001,HC I&D DEEP SUPRALEVATOR PELVIRCT/RETRORCT ABSC,2974.0,2974.0,,,0 CDM,3614510001,HC BX ANORECTAL WALL ANAL APPROACH,12079.0,12079.0,,,0 CDM,3614530001,"HC PROCTOSIGMOIDOSCOPY,RIGID,DIAGNOS",7698.0,7698.0,,,0 CDM,3614530501,"HC PROCTOSIGMOIDOSCOPY,BIOPSY",3914.0,3914.0,,,0 CDM,3614530701,HC PROCTOSIGMOIDOSCOPY RIGID RMV FOREIGN BODY,10559.0,10559.0,,,0 CDM,3614530801,"HC PROCTOSIGMOIDOSCOPY,REMV LESN - ENDOSCOPY SIGMOID",9222.0,9222.0,,,0 CDM,3614530901,"HC PROCTOSIGMOIDOSCOPY,REMV,LESN,SNARE - ENDOSCOPY SIGMOID",3914.0,3914.0,,,0 CDM,3614531501,"HC PROCTOSIGMOIDOSCOPY,REMV MULT LESN - ENDOSCOPY SIGMOID",3914.0,3914.0,,,0 CDM,3614533001,HC SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD - ENDOSCOPY SIGMOID,2996.0,2996.0,,,0 CDM,3614533101,"HC SIGMOIDOSCOPY,BIOPSY - ENDOSCOPY SIGMOID",2996.0,2996.0,,,0 CDM,3614533201,HC SIGMOIDOSCOPY FLEX RMV FOREIGN BODY,3914.0,3914.0,,,0 CDM,3614533301,HC SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS - ENDOSCOPY SIGMOID,2996.0,2996.0,,,0 CDM,3614533801,"HC SIGMOIDOSCOPY,REMV LESN,SNARE - ENDOSCOPY SIGMOID",5015.0,5015.0,,,0 CDM,3614537801,HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD,2996.0,2996.0,,,0 CDM,3614538001,HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE,3914.0,3914.0,,,0 CDM,3614538101,HC COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST,3914.0,3914.0,,,0 CDM,3614538201,HC COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD,3914.0,3914.0,,,0 CDM,3614538501,HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ,3914.0,3914.0,,,0 CDM,3614538601,HC COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT - COLONOSCOPY,4729.0,4729.0,,,0 CDM,3614538801,HC COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES,3803.0,3803.0,,,0 CDM,3614591501,HC RMV FECAL IMPACTION OR FOREIGN BODY W/ ANESTH,3914.0,3914.0,,,0 CDM,3614604001,HC I&D PERIRECTAL ABSCESS,3914.0,3914.0,,,0 CDM,3614605001,"HC I&D PERIANAL ABSCESS,SUPERFICIAL",3059.0,3059.0,,,0 CDM,3614608301,HC INCISE EXTERNAL HEMORRHOID,3606.0,3606.0,,,0 CDM,3614622101,HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS,3967.0,3967.0,,,0 CDM,3614632001,"HC EXCISION THROMBOSED HEMORRHOID, EXTERNAL",3914.0,3914.0,,,0 CDM,3614660001,HC ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,281.0,281.0,,,0 CDM,3614660601,HC ANOSCOPY AND BIOPSY,9246.0,9246.0,,,0 CDM,3614660801,HC ANOSCOPY RMV FOREIGN BODY,2005.0,2005.0,,,0 CDM,3614661001,"HC ANOSCOPY,REMOVE LESN,FORCEPS/CAUTER - ENDOSCOPY, ANUS",12495.0,12495.0,,,0 CDM,3614661101,"HC ANOSCOPY,REMOVE LESN,SNARE - ENDOSCOPY, ANUS",2996.0,2996.0,,,0 CDM,3614661201,"HC ANOSCOPY,REMOVE LESIONS - ENDOSCOPY, ANUS",9222.0,9222.0,,,0 CDM,3614690001,"HC DESTRUCT,ANAL LESN(S),SIMPLE,CHEM",1305.0,1305.0,,,0 CDM,3614691001,"HC DEST ANAL LESION SIMPLE, ELECTRODESICCATION",11261.0,11261.0,,,0 CDM,3614691601,"HC CRYOSURGERY, ANAL LESION(S)",678.0,678.0,,,0 CDM,3614691701,"HC LASER SURGERY, ANAL LESION(S)",9246.0,9246.0,,,0 CDM,3614692201,HC SURG EXCISION OF ANAL LESION(S),12529.0,12529.0,,,0 CDM,3614692401,HC DESTRUCTION ANAL LESION(S) EXTENSIVE,8471.0,8471.0,,,0 CDM,3614700001,HC NEEDLE BIOPSY LIVER,4348.0,4348.0,,,0 CDM,3614700101,HC CT BX LIVER NEEDLE W MAJOR PROCEDURE,2985.0,2985.0,,,0 CDM,3614738201,"HC ABLAT,OPEN,1+ LIVER TUMOR(S),PERCUT RF",27849.0,27849.0,,,0 CDM,3614738301,HC ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION,19100.0,19100.0,,,0 CDM,3614749001,"HC CHOLECYSTOSTOMY,PERCUTANEOUS, COMPLETE",3769.0,3769.0,,,0 CDM,3614753101,HC NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS,4041.0,4041.0,,,0 CDM,3614753201,HC NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS,6094.0,6094.0,,,0 CDM,3614753301,HC PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL,11458.0,11458.0,,,0 CDM,3614753401,HC PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT,13561.0,13561.0,,,0 CDM,3614753501,HC CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH,13561.0,13561.0,,,0 CDM,3614753601,HC EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I,6199.0,6199.0,,,0 CDM,3614753701,HC REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I,6199.0,6199.0,,,0 CDM,3614753801,HC PLMT BILE DUCT STENT PRQ EXISTING ACCESS,8136.0,8136.0,,,0 CDM,3614753901,HC PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH,8136.0,8136.0,,,0 CDM,3614754001,HC PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH,8136.0,8136.0,,,0 CDM,3614754101,HC PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW,12009.0,12009.0,,,0 CDM,3614754201,HC BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT,4041.0,4041.0,,,0 CDM,3614754301,HC ENDOLUMINAL BX BILIARY TREE PRQ ANY METH SNG/MLT,4848.0,4848.0,,,0 CDM,3614754401,HC REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I,6387.0,6387.0,,,0 CDM,3614755201,HC BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH,10212.0,10212.0,,,0 CDM,3614755301,"HC BILIARY ENDOSCOPY PERCUT,BIOPSY",10212.0,10212.0,,,0 CDM,3614755401,"HC BILIARY ENDOSCOPY,PERCUT,W/REM, STONE(S)",15029.0,15029.0,,,0 CDM,3614755501,"HC BILIARY ENDOSCOPY PERCUT,DIL STRICT",7022.0,7022.0,,,0 CDM,3614755601,"HC BILIARY ENDOSCOPY PERCUT,DIL+STENT",8651.0,8651.0,,,0 CDM,3614756201,HC LAPAROSCOPY SURG CHOLECYSTECTOMY,19100.0,19100.0,,,0 CDM,3614756301,"HC LAPAROSCOPY, CHOLECYSTECTOMY W/ CHOLANGIO, SURG",28085.0,28085.0,,,0 CDM,3614810201,HC NEEDLE BIOPSY OF PANCREAS,5243.0,5243.0,,,0 CDM,3614908201,HC ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,5243.0,5243.0,,,0 CDM,3614908301,HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE,3190.0,3190.0,,,0 CDM,3614908401,HC PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,3055.0,3055.0,,,0 CDM,3614918001,"HC PERCUT BIOPSY, ABDOMINAL MASS",5243.0,5243.0,,,0 CDM,3614918501,HC SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID,3870.0,3870.0,,,0 CDM,3614940001,HC AIR/CONTRAST INJECT INTO ABDOMEN,2190.0,2190.0,,,0 CDM,3614940201,HC REMOVE PERITONEAL FOREIGN BODY,9557.0,9557.0,,,0 CDM,3614940501,HC IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,2899.0,2899.0,,,0 CDM,3614940601,HC IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ,7790.0,7790.0,,,0 CDM,3614940701,HC IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL,5311.0,5311.0,,,0 CDM,3614941101,"HC PLACE INTERST RAD THER GUIDE, INTRAABD/INTRAPELV/RETROPER,1+,PERC",6208.0,6208.0,,,0 CDM,3614941801,HC INSERTION TUNNEL INTRAPERITONEAL CATH W IMAGE GUIDANCE,7219.0,7219.0,,,0 CDM,3614941901,HC INSERTION TUNNEL INTRAPERITONEAL CATH W SUBQ PORT,18001.0,18001.0,,,0 CDM,3614942101,HC INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN,15320.0,15320.0,,,0 CDM,3614942201,HC REMOVAL TUNNELED INTRAPERITONEAL CATHETER,3266.0,3266.0,,,0 CDM,3614942301,HC DRAINAGE CATHETER EXCHANGE,7794.0,7794.0,,,0 CDM,3614942401,"HC CONTRAST INJ,ABSCESS/CYST VIA CATH TUBE",684.0,684.0,,,0 CDM,3614942701,HC INJECT ABDOMINAL-VENOUS SHUNT,538.0,538.0,,,0 CDM,3614942801,HC LIGATION OF ABD-VENOUS SHUNT,2452.0,2452.0,,,0 CDM,3614942901,HC REMOVAL OF ABD-VENOUS SHUNT,10805.0,10805.0,,,0 CDM,3614944001,HC INSERT GASTROSTOMY TUBE PERCUTANEOUS,3907.0,3907.0,,,0 CDM,3614944101,HC INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS,3666.0,3666.0,,,0 CDM,3614944201,HC INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS,3185.0,3185.0,,,0 CDM,3614944601,HC CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,3660.0,3660.0,,,0 CDM,3614945001,HC REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,2929.0,2929.0,,,0 CDM,3614945101,HC REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS,3666.0,3666.0,,,0 CDM,3614945201,HC REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,1660.0,1660.0,,,0 CDM,3614946001,HC OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE,3666.0,3666.0,,,0 CDM,3614946501,HC CONTRAST INJECTION PERCUTANEOUOS RADIOLOGIC EVAL GI TUBE,1099.0,1099.0,,,0 CDM,3614950501,"HC PBB REPAIR ING HERNIA,5+Y/O,REDUCIBL",22786.0,22786.0,,,0 CDM,3615020001,"HC BIOPSY OF KIDNEY,PERCUTANEOUS",5039.0,5039.0,,,0 CDM,3615038201,"HC CHANGE URETER STENT, PERCUT",6881.0,6881.0,,,0 CDM,3615038401,"HC REMOVE URETER STENT, PERCUT",6016.0,6016.0,,,0 CDM,3615038501,HC CHANGE URETERAL STENT VIA TRANSURETH,6759.0,6759.0,,,0 CDM,3615038601,HC REMOVE URETERAL STENT VIA TRANSURETH,6759.0,6759.0,,,0 CDM,3615038701,HC RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH,6704.0,6704.0,,,0 CDM,3615038901,HC REMOVE RENAL TUBE W/FLUORO,4812.0,4812.0,,,0 CDM,3615039001,HC PERCUT DRAIN/INJECT RENAL CYST,5178.0,5178.0,,,0 CDM,3615043001,HC NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS,1385.0,1385.0,,,0 CDM,3615043101,HC NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS,1454.0,1454.0,,,0 CDM,3615043201,HC PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,9271.0,9271.0,,,0 CDM,3615043301,HC PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I,5666.0,5666.0,,,0 CDM,3615043401,HC CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ,9102.0,9102.0,,,0 CDM,3615043501,HC EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I,3481.0,3481.0,,,0 CDM,3615043601,HC PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG,11168.0,11168.0,,,0 CDM,3615043701,HC PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS,11605.0,11605.0,,,0 CDM,3615059201,HC PERC RADIOFREQ ABLATE RENAL TUMOR,27849.0,27849.0,,,0 CDM,3615059301,HC ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY,27192.0,27192.0,,,0 CDM,3615060601,HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC,5870.0,5870.0,,,0 CDM,3615068401,"HC INJECT INDWELL CATH,URETER X-RAY",474.0,474.0,,,0 CDM,3615068801,HC CHANGE OF URETEROSTOMY TUBE VIA ILEAL CONDUIT,8904.0,8904.0,,,0 CDM,3615069001,HC INJECT RETROGRADE/CONDUIT X-RAY,366.0,366.0,,,0 CDM,3615069301,HC PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT,7166.0,7166.0,,,0 CDM,3615069401,HC PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH,7166.0,7166.0,,,0 CDM,3615069501,HC PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH,7166.0,7166.0,,,0 CDM,3615070501,HC URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,11026.0,11026.0,,,0 CDM,3615070601,HC BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I,6148.0,6148.0,,,0 CDM,3615110001,HC BLADDER ASPIRATION BY NEEDLE,789.0,789.0,,,0 CDM,3615110101,HC BLADDER ASPIRATION BY TROCAR/INTRACATH,3473.0,3473.0,,,0 CDM,3615110201,HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,2493.0,2493.0,,,0 CDM,3615160001,HC INJECTION FOR BLADDER X-RAY,445.0,445.0,,,0 CDM,3615161001,HC INJECT FOR RETROGRADE URETHOCYSTO,354.0,354.0,,,0 CDM,3615170001,HC IRRIGATION OF BLADDER,1140.0,1140.0,,,0 CDM,3615170101,"HC INSERT,NON-INDWELLING BLADDER CATHETER",285.0,285.0,,,0 CDM,3615170201,"HC INSERT,TEMP INDWELLING BLAD CATH,SIMPLE",285.0,285.0,,,0 CDM,3615170301,"HC INSERT,TEMP INDWELLING BLAD CATH,COMP",526.0,526.0,,,0 CDM,3615170501,"HC CHANGE OF BLADDER TUBE,SIMPLE",1906.0,1906.0,,,0 CDM,3615171001,"HC CHANGE OF BLADDER TUBE,COMPLICATED",5551.0,5551.0,,,0 CDM,3615172001,HC INSTILL ANTICANCER AGENT IN BLADDER,1005.0,1005.0,,,0 CDM,3615172501,HC SIMPLE CYSTOMETROGRAM,1005.0,1005.0,,,0 CDM,3615172601,HC COMPLEX CYSTOMETROGRAM,1005.0,1005.0,,,0 CDM,3615172701,HC COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,2171.0,2171.0,,,0 CDM,3615172801,HC COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,2171.0,2171.0,,,0 CDM,3615172901,HC COMPLEX CYSTOMETROGRAM W/VOID PRESS&URETHRAL PROFILE,2171.0,2171.0,,,0 CDM,3615178501,"HC ANAL/URINARY MUSCLE STUDY,NEEDLE",1005.0,1005.0,,,0 CDM,3615179801,"HC MEAS,POST-VOID RES,US,NON-IMAGING",369.0,369.0,,,0 CDM,3615199201,HC LAPAROSCOPY SLING OP STRESS INCONTINENCE,16944.0,16944.0,,,0 CDM,36152000PB,HC CYSTOURETHROSCOPY,2171.0,2171.0,,,0 CDM,3615200101,HC CYSTOURETHROSCOPY W/IRRIG & EVAC CLOTS,9742.0,9742.0,,,0 CDM,3615200501,"HC CYSTOURETHROSCOPY,URETER CATHETER",6759.0,6759.0,,,0 CDM,3615220401,"HC CYSTOURETHROSCOPY,BIOPSY",13051.0,13051.0,,,0 CDM,36152204PB,"HC CYSTOURETHROSCOPY,BIOPSY",13051.0,13051.0,,,0 CDM,3615228101,"HC CYSTOSCOPY,DIL URETHRAL STRICTURE",6759.0,6759.0,,,0 CDM,3615231001,"HC CYSTOSCOPY,REMV CALCULUS,SIMPLE",7480.0,7480.0,,,0 CDM,36152310PB,"HC CYSTOSCOPY,REMV CALCULUS,SIMPLE",7480.0,7480.0,,,0 CDM,3615231501,"HC CYSTOSCOPY,REMV CALCULUS,COMPLIC",12629.0,12629.0,,,0 CDM,3615231801,"HC REMOVE BLADDER STONE,>2.5 CM",18164.0,18164.0,,,0 CDM,3615244101,HC CYSTO INSERT PROST ADJBL IMPLNT SINGLE,5841.0,5841.0,,,0 CDM,3615244201,HC CYSTO INSERT PROST ADJBL IMPLNT EA ADDL,2828.0,2828.0,,,0 CDM,3615264701,"HC LASER COAGULATION SURGERY PROSTATE, COMPLETE",16654.0,16654.0,,,0 CDM,3615264801,"HC LASER VAPORIZATION SURGERY PROSTATE, COMPLETE",23198.0,23198.0,,,0 CDM,3615302001,HC MEATOTOMY NON-INFANT,6759.0,6759.0,,,0 CDM,3615360001,HC DILATE URETHRA STRICTURE MALE INIT,557.0,557.0,,,0 CDM,3615360101,HC DILATE URETHRA STRICTURE MALE SUBS,326.0,326.0,,,0 CDM,3615366001,HC DILATE URETHRA W/ SUPP FEMALE INIT,457.0,457.0,,,0 CDM,3615366101,HC DILATE URETHRA W/ SUPP FEMALE SUBS,326.0,326.0,,,0 CDM,3615389901,HC UROLOGY SURGERY PROCEDURE UNLISTED,6200.0,6200.0,,,0 CDM,3615405001,"HC DESTR PENIS LESN,SIMPL,CHEMICAL",1305.0,1305.0,,,0 CDM,3615405501,"HC DESTR PENIS LESN,SIMPL,ELEC-DESSIC",6465.0,6465.0,,,0 CDM,3615405601,"HC DESTR PENIS LESN,SIMPL,CRYOSURG",678.0,678.0,,,0 CDM,3615405701,"HC DESTR PENIS LESN,SIMPL,LASER SURG",6465.0,6465.0,,,0 CDM,3615406001,"HC DESTR PENIS LESN,SIMPL,SURG EXCIS",6465.0,6465.0,,,0 CDM,3615410001,HC BIOPSY PENIS SEPARATE PROCEDURE,4876.0,4876.0,,,0 CDM,3615415001,HC CIRCUMCISION W/ CLAMP OR DEVICE,6759.0,6759.0,,,0 CDM,3615416001,"HC CIRCUMCISION,SURG EXCISION NOT CLAMP/DEV/DORSAL SLIT - NEONATE",1533.0,1533.0,,,0 CDM,3615416101,"HC CIRCUMCISION,OTHR >28 DAYS OLD",12815.0,12815.0,,,0 CDM,3615416201,HC LYSIS/EXCIS POST CIRCUMCISION ADHESIONS,3669.0,3669.0,,,0 CDM,3615416301,HC REPAIR INCOMPLETE CIRCUMCISION,6962.0,6962.0,,,0 CDM,3615416401,HC FRENULOTOMY OF PENIS,6759.0,6759.0,,,0 CDM,3615420001,HC INJ PEYRONIE DISEASE,1005.0,1005.0,,,0 CDM,3615422001,"HC IRRIGAT CORPUS CAVERN,PRIAPISM",1170.0,1170.0,,,0 CDM,3615423501,"HC INJECT CORPORA CAVERN,PHARM AGNT",723.0,723.0,,,0 CDM,3615445001,HC FORESKIN MANIP LYSIS ADHESIONS,1005.0,1005.0,,,0 CDM,3615470001,"HC INCIS/DRAIN SCROTUM/TESTIS,EPIDIDYM",6759.0,6759.0,,,0 CDM,3615500001,"HC DRAINAGE OF HYDROCELE,TUNICA",5439.0,5439.0,,,0 CDM,3615510001,HC DRAINAGE SCROTAL WALL ABSCESS,7742.0,7742.0,,,0 CDM,3615512001,HC REMV FB IN SCROTUM,6759.0,6759.0,,,0 CDM,3615525001,HC VASECTOMY,5140.0,5140.0,,,0 CDM,3615570001,"HC BIOPSY OF PROSTATE,NEEDLE/PUNCH",10241.0,10241.0,,,0 CDM,3615570601,HC BIOPSY OF PROSTATE GUIDED SATURATION SAMPLING,12742.0,12742.0,,,0 CDM,3615587401,HC TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX,17510.0,17510.0,,,0 CDM,3615587501,"HC PERCUT/NEEDLE INSERT,PROSTATE,RADIOISOT",13010.0,13010.0,,,0 CDM,3615587602,"HC PLACE RADIOTHER DEVICE/MARKER, PROSTATE",5837.0,5837.0,,,0 CDM,3615592001,HC PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL,14647.0,14647.0,,,0 CDM,3615640501,HC I&D OF VULVA/PERINEUM ABSCESS,1799.0,1799.0,,,0 CDM,3615642001,HC I&D BARTHOLIN GLAND ABSCESS,1467.0,1467.0,,,0 CDM,3615644001,HC MARSUP BARTHOLIN GLAND CYST,9904.0,9904.0,,,0 CDM,3615650101,"HC DESTRUCTION,LESION(S),VULVA,SIMPLE",11453.0,11453.0,,,0 CDM,36156501PB,"HC DESTRUCTION,LESION(S),VULVA,SIMPLE",11453.0,11453.0,,,0 CDM,3615651501,"HC DESTRUCTION,LESION(S),VULVA;EXTENSIVE",11453.0,11453.0,,,0 CDM,3615660501,"HC BIOPSY VULVA/PERINEUM,ONE LESION",5854.0,5854.0,,,0 CDM,36156605PB,"HC BIOPSY VULVA/PERINEUM,ONE LESN",5854.0,5854.0,,,0 CDM,3615660601,"HC BX,VULVA/PERINEUM,ADDL LESION",3473.0,3473.0,,,0 CDM,3615682001,"HC COLPOSCOPY,VULVA",818.0,818.0,,,0 CDM,3615682101,"HC COLPOSCOPY,VULVA,W/BIOPSY(S)",1065.0,1065.0,,,0 CDM,3615710001,"HC BIOPSY OF VAGINA,SIMPLE",4947.0,4947.0,,,0 CDM,3615715501,"HC INSERT,UTERINE TANDEMS &/OR VAG OVOIDS",3940.0,3940.0,,,0 CDM,3615715601,HC INSERT VAGINAL RADIATION DEVICE,2037.0,2037.0,,,0 CDM,3615716001,HC FIT/INSERT INTRAVAG SUPPORT DEVICE,642.0,642.0,,,0 CDM,3615717001,HC FITTING OF DIAPHRAGM/CAP,642.0,642.0,,,0 CDM,3615718001,HC TREAT VAGINAL BLEEDING,642.0,642.0,,,0 CDM,3615728801,HC SLING OP STRESS INCONTINENCE,22431.0,22431.0,,,0 CDM,3615741501,HC VAGINAL RMV IMPACTED FOREIGN BODY W/ ANESTH,9904.0,9904.0,,,0 CDM,3615742101,"HC COLPOSCOPY,ENTIRE VAGINA,W/BIOPSY(S)",2392.0,2392.0,,,0 CDM,3615745201,"HC COLPOSCOPY,CERVIX W/ADJ VAGINA",2732.0,2732.0,,,0 CDM,3615745401,"HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG",1440.0,1440.0,,,0 CDM,3615745501,"HC COLPOSCOPY,CERVIX W/ADJ VAGINA,W/BX",4546.0,4546.0,,,0 CDM,3615745601,"HC COLPOSCOPY,CERVIX W/ADJ VAGINA, CURETTAG",1085.0,1085.0,,,0 CDM,3615746001,"HC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX",9904.0,9904.0,,,0 CDM,3615746101,"HC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP CONIZ",9904.0,9904.0,,,0 CDM,3615750001,"HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION",2718.0,2718.0,,,0 CDM,3615750501,HC ENDOCERVICAL CURETTAGE,2392.0,2392.0,,,0 CDM,3615751101,HC CRYOCAUTERY OF CERVIX,1065.0,1065.0,,,0 CDM,3615752001,HC CONIZATION OF CERVIX COLD KNIFE LASER,12476.0,12476.0,,,0 CDM,3615752201,"HC CONIZATION CERVIX,LOOP ELECTRD",11717.0,11717.0,,,0 CDM,3615810001,HC BIOPSY OF UTERUS LINING,1247.0,1247.0,,,0 CDM,36158100PB,HC BIOPSY OF UTERUS LINING,1247.0,1247.0,,,0 CDM,3615811001,HC ENDOMET BIOPSY DONE W/COLPOSCOPY,923.0,923.0,,,0 CDM,3615812001,"HC DILATION/CURETTAGE,DIAGNOSTIC",13338.0,13338.0,,,0 CDM,3615830001,HC INSERT INTRAUTERINE DEVICE,6221.0,6221.0,,,0 CDM,3615830101,HC REMOVE INTRAUTERINE DEVICE,1065.0,1065.0,,,0 CDM,3615834001,HC CATH/INJECT HYSTEROSALPINGOGRAM,345.0,345.0,,,0 CDM,3615834501,"HC REOPEN FALLOPIAN TUBE,TRANSCERV CATH",4214.0,4214.0,,,0 CDM,3615835301,"HC ENDOMETRIAL ABLATION, THERMAL",16644.0,16644.0,,,0 CDM,3615835601,"HC ENDOMETRIAL ABLATION, CRYO",16644.0,16644.0,,,0 CDM,3615855201,"HC LAP,VAG HYST,UTERUS 250GMS/<,SALP-OOPH",37283.0,37283.0,,,0 CDM,3615855801,"HC HYSTEROSCOPY,W/ENDO BX",16619.0,16619.0,,,0 CDM,3615856301,"HC HYSTEROSCOPY,W/ENDOMETRIAL ABLATION",21078.0,21078.0,,,0 CDM,3615857101,HC LAPAROSCOPY W TOT HYSTERECTUTERUS <=250 GRAM W TUBE/OVARY,40638.0,40638.0,,,0 CDM,3615866101,"HC LAP,RMV ADNEXAL STRUCTURE",29577.0,29577.0,,,0 CDM,3615866201,"HC LAP,FULGURATE/EXCISE LESIONS",23112.0,23112.0,,,0 CDM,3615867001,HC OVIDUCT FULGURATION LAP,19100.0,19100.0,,,0 CDM,3615900001,"HC AMNIOCENTESIS,DIAGNOSTIC",1846.0,1846.0,,,0 CDM,3615901501,HC CHORION VILLUS BIOPSY,2392.0,2392.0,,,0 CDM,3615907001,HC TRANSABDOM AMNIOINFUS W/ US,2433.0,2433.0,,,0 CDM,3615920001,HC INSERT CERVICAL DILATOR,1128.0,1128.0,,,0 CDM,3615941201,HC ANTEPARTUM HEAD MANIPULATION,1757.0,1757.0,,,0 CDM,3616010001,"HC BIOPSY OF THYROID,PERCUT",2495.0,2495.0,,,0 CDM,3616030001,HC ASPIRATION AND/OR INJECTION THYROID CYST,2349.0,2349.0,,,0 CDM,3616069901,HC ENDOCRINE SURGERY PROC UNLISTED,19100.0,19100.0,,,0 CDM,3616105501,HC CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION,909.0,909.0,,,0 CDM,3616107001,HC BRAIN SHUNT TUBE/RESERV INJECTN,909.0,909.0,,,0 CDM,36161107PB,"HC TWIST HOLE SKULL,IMPLANT CATH/DEVICE",1001.0,1001.0,,,0 CDM,3616162301,"HC ENDOVASC TEMP BALLOON OCCLUS,HEAD/NCK",11586.0,11586.0,,,0 CDM,3616162401,"HC PERM OCCLUSION/EMBOLIZATION,PERCUT,CNS",14035.0,14035.0,,,0 CDM,3616162601,HC PERCUT CATH OCCLUSN NON CNS LESN,14482.0,14482.0,,,0 CDM,3616163001,HC INTRACRANIAL BALLOON ANGIOPLASTY,27595.0,27595.0,,,0 CDM,3616163501,HC INTRACRANIAL BALLOON ANGIOPLSTY W/STENT,48707.0,48707.0,,,0 CDM,3616164001,"HC BALLOON DILATION INTRACRANIAL VASOSPASM, INIT",9353.0,9353.0,,,0 CDM,3616164101,"HC BALLOON DILATION INTRACRANIAL VASOSPASM, EA ADDL",3130.0,3130.0,,,0 CDM,3616164501,HC PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL,13395.0,13395.0,,,0 CDM,3616165001,HC EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST,13395.0,13395.0,,,0 CDM,3616165101,HC EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL,10716.0,10716.0,,,0 CDM,3616171001,HC OCCLN CAROTID EMBOLIZATION,14035.0,14035.0,,,0 CDM,3616171501,HC MRI GUIDED FOCUSED US STEREO LESION ABLATE,168209.0,168209.0,,,0 CDM,3616178301,HC STEREOTACTIC COMP ASSIST PROC SPINAL,9317.0,9317.0,,,0 CDM,3616225201,HC CSF SHUNT REPROGRAM,2779.0,2779.0,,,0 CDM,3616226301,HC EPIDURAL LYSIS MULT SESSIONS 2 OR MORE DAYS,3108.0,3108.0,,,0 CDM,3616226401,HC PERC LYSIS EPI ADHESIONS,3343.0,3343.0,,,0 CDM,3616226701,HC PERCUT ASPIRATION VERTEBRAL DISC,2349.0,2349.0,,,0 CDM,3616226801,HC PERCUT DRAIN SPINAL CORD CYST,3107.0,3107.0,,,0 CDM,3616226901,HC PERCUT NEEDLE BIOPSY SPINAL CORD,5243.0,5243.0,,,0 CDM,3616227001,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE,1154.0,1154.0,,,0 CDM,3616227201,HC THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF,1962.0,1962.0,,,0 CDM,3616227301,"HC INJ,LUMB EPIDUR,BLOOD/CLOT PATCH",2632.0,2632.0,,,0 CDM,3616228401,HC INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR,997.0,997.0,,,0 CDM,3616228701,"HC DISKECTOMY,PERCUTANEOUS LUMBAR",6863.0,6863.0,,,0 CDM,3616229001,"HC INJECT DISKOGRAM,LUMBAR,EA LEVEL",3343.0,3343.0,,,0 CDM,3616229101,"HC INJ,CERV/THORAC,FOR DISKOGRAPHY",598.0,598.0,,,0 CDM,3616230201,HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL,4791.0,4791.0,,,0 CDM,3616230301,HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC,4787.0,4787.0,,,0 CDM,3616230401,HC MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL,5357.0,5357.0,,,0 CDM,3616230501,HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS,5815.0,5815.0,,,0 CDM,3616232001,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,2632.0,2632.0,,,0 CDM,3616232101,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,2632.0,2632.0,,,0 CDM,3616232201,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,2632.0,2632.0,,,0 CDM,3616232301,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,2632.0,2632.0,,,0 CDM,3616232501,HC INJ INTERL W/CATH W/IMG,3107.0,3107.0,,,0 CDM,3616232701,HC INJECT INTERLAMINAR LUMB/SAC,3108.0,3108.0,,,0 CDM,3616232801,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,2012.0,2012.0,,,0 CDM,3616232901,HC THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT,1962.0,1962.0,,,0 CDM,3616235501,HC REMOVE SPINAL CANAL CATHETER,10830.0,10830.0,,,0 CDM,3616236201,HC INSERT/REPLACE INFUSION PUMP PROGRAMMABLE,21730.0,21730.0,,,0 CDM,3616236501,HC REMOVE INFUSION DEVICE/PUMP,15774.0,15774.0,,,0 CDM,3616236701,HC PAIN INFUSION PUMP ANALYSIS WITHOUT REPROGAMMING OR REFILL,1031.0,1031.0,,,0 CDM,3616236801,HC ANALYZE INFUSN PUMP+REPROGRAM,1094.0,1094.0,,,0 CDM,3616237001,HC ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP,1266.0,1266.0,,,0 CDM,3616304501,HC LAMINECTOMY CERVCAL SINGLE,28269.0,28269.0,,,0 CDM,3616305501,HC DECOMPRESS SPINAL CORD SINGLE SEG THORACIC,44052.0,44052.0,,,0 CDM,3616305601,"HC DECOMPRESS SPINAL CORD,1 SEG",44052.0,44052.0,,,0 CDM,3616305701,HC DECOMPRESS SPINAL CORD SINGLE SEG ADDITIONAL LUMBAR/THORACIC,3108.0,3108.0,,,0 CDM,3616365001,"HC PERCUT IMPLNT NEUROELECT,EPIDURAL",23503.0,23503.0,,,0 CDM,3616365501,HC SURGE IMPLANT NEUROELECT EPIDURAL,22562.0,22562.0,,,0 CDM,3616366101,HC REMOVAL NS ELECTRODE PERC,6628.0,6628.0,,,0 CDM,3616366201,HC REMOVE SPINAL NEUROSTIM ELECTRODE PLATE/PADDLE,12580.0,12580.0,,,0 CDM,3616366301,HC REVISION SPINAL NEUROSTIM ELECTRODE PERC ARRAY INC FLUORO,21982.0,21982.0,,,0 CDM,3616366401,HC REVISION SPINAL NEUROSTIM ELECTRODE PLATE/PADDLE INC FLUORO,37773.0,37773.0,,,0 CDM,3616368501,HC IMPLANT SPINAL NEUROSTIM/RECEIVER,23076.0,23076.0,,,0 CDM,3616368801,HC REVISE/REMOVE SPINAL NEUROSTIM/RECEIVER,15550.0,15550.0,,,0 CDM,3616440001,HC INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH,1222.0,1222.0,,,0 CDM,3616440501,HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE,1222.0,1222.0,,,0 CDM,3616440801,HC INJECTION AA&/STRD VAGUS NERVE,985.0,985.0,,,0 CDM,3616441501,HC INJECTION AA&/STRD BRACHIAL PLEXUS,3107.0,3107.0,,,0 CDM,3616441701,HC INJECTION AA&/STRD AXILLARY NERVE,3107.0,3107.0,,,0 CDM,3616441801,"HC INJECT NERV BLCK,SUPRASCAP N.",2956.0,2956.0,,,0 CDM,3616442001,HC INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL,2632.0,2632.0,,,0 CDM,3616442101,HC INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL,3343.0,3343.0,,,0 CDM,3616442501,HC INJECTION AA&/STRD ILIOINGUINAL IH NERVES,2632.0,2632.0,,,0 CDM,3616443001,HC INJECTION AA&/STRD PUDENDAL NERVE,3343.0,3343.0,,,0 CDM,3616443501,"HC PBB INJECT NERV BLCK,PARACERVICAL",2397.0,2397.0,,,0 CDM,3616444501,HC INJECTION AA&/STRD SCIATIC NERVE,2632.0,2632.0,,,0 CDM,3616444601,HC INJ ANES/STER SCIATIC CONT CATH INFUSION,2674.0,2674.0,,,0 CDM,3616444701,HC INJECTION AA&/STRD FEMORAL NERVE,2632.0,2632.0,,,0 CDM,3616444901,HC INJ ANES/STER LUMB PLEXUS CONT CATH INFUSION,2674.0,2674.0,,,0 CDM,3616445001,HC INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH,2632.0,2632.0,,,0 CDM,3616445101,HC INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG,2632.0,2632.0,,,0 CDM,3616445401,HC INJECTION AA&/STRD GENICULAR NERVE BRANCHES INCLUDING GUIDANCE,2632.0,2632.0,,,0 CDM,3616445501,HC INJECT ANES/STEROID PLANTAR COMMON DIGITAL NERVE,985.0,985.0,,,0 CDM,3616446101,HC PARAVERTEBRAL BLOCK THORACIC SINGLE INJECTION INCLUDING GUIDANCE,2632.0,2632.0,,,0 CDM,3616446201,HC PARAVERTEBRAL BLOCK THORACIC ADDITIONAL INJECTION INCLUDING GUIDANCE,2632.0,2632.0,,,0 CDM,3616446301,HC PARAVERTEBRAL BLOCK THORACIC CONTINUOUS INFUSION BY CATH INCL GUIDANCE,2632.0,2632.0,,,0 CDM,3616447901,"HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE ,1 LEVEL",3343.0,3343.0,,,0 CDM,3616448001,"HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE ,EA ADD LEVEL",1658.0,1658.0,,,0 CDM,3616448301,"HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL",3343.0,3343.0,,,0 CDM,3616448401,"HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,EA ADD LEVEL",3343.0,3343.0,,,0 CDM,3616448601,HC TAP BLOCK UNILATERAL BY INJECTION(S),7938.0,7938.0,,,0 CDM,3616448801,HC TAP BLOCK BILATERAL BY INJECTION(S),8108.0,8108.0,,,0 CDM,3616449001,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 1ST LEVEL",3343.0,3343.0,,,0 CDM,3616449101,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 2ND LEVEL",3343.0,3343.0,,,0 CDM,3616449201,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, ADD LEVEL",3343.0,3343.0,,,0 CDM,3616449301,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL",3343.0,3343.0,,,0 CDM,3616449401,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 2ND LEVEL",3343.0,3343.0,,,0 CDM,3616449501,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, ADD LEVEL",3343.0,3343.0,,,0 CDM,3616450501,"HC INJECT NERV BLCK,SPHENOPALAT GANGLN",1222.0,1222.0,,,0 CDM,3616451001,"HC INJECT NERV BLCK,STELLATE GANGLION",3343.0,3343.0,,,0 CDM,3616451701,"HC N BLOCK INJ, HYPOGAS PLXS",3343.0,3343.0,,,0 CDM,3616452001,"HC INJECT NERV BLCK,PARAVERT SYMPATH",3343.0,3343.0,,,0 CDM,3616453001,"HC INJECT NERV BLCK,CELIAC PLEXUS",3343.0,3343.0,,,0 CDM,3616455501,HC PERC IMPLNT NEUROST PERPH,12465.0,12465.0,,,0 CDM,3616456101,HC PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING,23503.0,23503.0,,,0 CDM,3616456601,"HC POST TIBIAL NEUROSTIMULATION,PERC NEEDLE ELECTRODE",985.0,985.0,,,0 CDM,3616458501,HC REVISE/REMOVE NEUROELECTRODE,14817.0,14817.0,,,0 CDM,3616460001,HC DEST BY NEUROLYTIC AGNT TRIGEM NRV SUPORB INFRAORB BRNCH,3343.0,3343.0,,,0 CDM,3616460501,HC DSTR NROLYTC AGNT 2ND/3RD DIVISION BRANCHES AT FORAMEN OVALE,6863.0,6863.0,,,0 CDM,3616461001,HC DSTR NROLYTC AGNT 2ND/3RD DIVISION BRANCHES AT FORAMEN OVALE W/ GUIDANCE,6863.0,6863.0,,,0 CDM,3616461101,HC CHEMODENERV SALIVARY GLANDS BIL,969.0,969.0,,,0 CDM,3616461202,"HC CHEMODENERVATION FACIAL NERVE, UNI",389.0,389.0,,,0 CDM,3616461501,HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,893.0,893.0,,,0 CDM,3616461601,HC CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,1191.0,1191.0,,,0 CDM,3616462001,"HC DEST,INTERCOSTAL,NEUROLYTIC",3343.0,3343.0,,,0 CDM,3616462401,HC DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG,6863.0,6863.0,,,0 CDM,3616462501,HC DSTR RADIOFREQ ABLATION SACROILIAC JOINT NERVES WITH IMAGING GUIDANCE,6863.0,6863.0,,,0 CDM,3616463001,HC DEST BY NEUROLYTIC AGNT PUDENDAL NERVE,5675.0,5675.0,,,0 CDM,3616463301,HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,6863.0,6863.0,,,0 CDM,3616463401,HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,6863.0,6863.0,,,0 CDM,3616463501,HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,6863.0,6863.0,,,0 CDM,3616463601,HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,6863.0,6863.0,,,0 CDM,3616464002,HC DESTRUCT BY NEURO AGENT; OTHER PERIPH NERVE,3343.0,3343.0,,,0 CDM,3616464201,HC CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,1272.0,1272.0,,,0 CDM,3616464301,HC CHEMODENERVATION ADDITIONAL EXTREMITY 1-4 MUSCLE,634.0,634.0,,,0 CDM,3616464401,HC CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES,1798.0,1798.0,,,0 CDM,3616464501,HC CHEMODENERVATION 1 EXTREMITY EA ADDL EXTREMITY 5 OR MORE MUSCLES,433.0,433.0,,,0 CDM,3616464601,HC CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES,2151.0,2151.0,,,0 CDM,3616464701,HC CHEMODENERVATION OF TRUNK MUSCLES >5 MUSCLES,2397.0,2397.0,,,0 CDM,3616468001,HC DESTRUCT BY NEURO AGENT CELIAC PLEXUS,3107.0,3107.0,,,0 CDM,3616468101,HC INJECTION TREATMENT OF NERVE,3107.0,3107.0,,,0 CDM,3616470801,"HC NEUROPLASTY OTHER ARM/LEG NERVE,OPEN",11940.0,11940.0,,,0 CDM,3616471801,HC REVISE ULNAR NERVE AT ELBOW,14130.0,14130.0,,,0 CDM,3616471901,HC REVISE ULNAR NERVE AT WRIST,7306.0,7306.0,,,0 CDM,3616472101,HC REVISE MEDIAN N/CARPAL TUNNEL SURG,12087.0,12087.0,,,0 CDM,3616478201,HC EXCISE HAND/FOOT NEUROMA,10751.0,10751.0,,,0 CDM,3616478301,"HC EXCISE HAND/FOOT NEUROMA,EACH ADDNL",5358.0,5358.0,,,0 CDM,3616483101,HC REPAIR OF DIGIT NERVE,6650.0,6650.0,,,0 CDM,3616499901,HC NERVOUS SYSTEM SURGERY UNLISTED,1222.0,1222.0,,,0 CDM,3616520501,"HC REMV F.B.,EYE,SUPERF CONJUNC",426.0,426.0,,,0 CDM,3616521001,HC EYE RMV FOREIGN BODY CONJ/SUBCONJ/SCLER NONPERFORATING,1024.0,1024.0,,,0 CDM,3616522001,"HC REMV F.B.,EYE,CORNEA,NO SLIT",999.0,999.0,,,0 CDM,3616522201,"HC REMV F.B.,EYE,CORNEA,SLIT LAMP",308.0,308.0,,,0 CDM,3616523501,"HC REMOVAL,FB,INTRAOCULAR,ANT CHAMBER/LENS",7839.0,7839.0,,,0 CDM,3616542601,HC EXC EYE LESION WITH GRAFT 65426,17580.0,17580.0,,,0 CDM,3616698401,HC XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,9892.0,9892.0,,,0 CDM,3616698601,HC EXCHANGE INTRAOCULAR LENS,13331.0,13331.0,,,0 CDM,3616700501,HC PARTIAL REMOVAL OF VITREOUS (ANTERIOR APP),11147.0,11147.0,,,0 CDM,3616770001,HC I&D EYELID BLEPHAROTOMY,988.0,988.0,,,0 CDM,3616771501,HC INCISION OF EYELID FOLD,15716.0,15716.0,,,0 CDM,3616780001,"HC EXCISION CHALAZION, SINGLE 67800",988.0,988.0,,,0 CDM,3616781002,HC INC BIOPSY EYELID SKIN & LID MARGIN,896.0,896.0,,,0 CDM,3616793002,"HC SUTURE EYELID WOUND, PARTIAL THICK",6434.0,6434.0,,,0 CDM,3616793502,"HC SUTURE EYELID WOUND, FULL THICK",6434.0,6434.0,,,0 CDM,3616793801,"HC REMOVE EYELID FOREIGN BODY,EMBEDDED",988.0,988.0,,,0 CDM,3616885001,HC INJECTION FOR TEAR SAC X-RAY,1050.0,1050.0,,,0 CDM,3616900001,"HC DRAIN EXT EAR ABSC/BLOOD,SIMPLE",2349.0,2349.0,,,0 CDM,3616900501,"HC DRAIN EXT EAR ABSC/BLOOD,COMPLIC",5311.0,5311.0,,,0 CDM,3616902001,HC DRAIN EXT AUD CANAL ABSC,2349.0,2349.0,,,0 CDM,3616910001,HC BIOPSY OF EXTERNAL EAR,733.0,733.0,,,0 CDM,3616910501,HC BX BIOPSY OF EXT AUDITORY CANAL,10130.0,10130.0,,,0 CDM,36169105PB,HC BIOPSY OF EXT AUDITORY CANAL,10130.0,10130.0,,,0 CDM,3616914501,HC REMV EXT CANAL SOFT TISSUE LESN,9749.0,9749.0,,,0 CDM,36169145PB,HC REMV EXT CANAL SOFT TISSUE LESN,9749.0,9749.0,,,0 CDM,3616920001,HC REMV EXT CANAL FOREIGN BODY,593.0,593.0,,,0 CDM,3616920501,"HC REMV EXT CANAL F.B.,GEN ANESTH",5311.0,5311.0,,,0 CDM,3616920901,HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,220.0,220.0,,,0 CDM,3616921001,HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT,220.0,220.0,,,0 CDM,3616921002,HC REMOVAL OF IMPACTED WAX MD & AUD FUNC TEST,220.0,220.0,,,0 CDM,3616942001,HC INCISION EARDRUM ASP & EUST TUBE INF,643.0,643.0,,,0 CDM,3616942101,"HC INCISION EARDRUM,ASPIR,GEN ANESTH",10326.0,10326.0,,,0 CDM,3616943301,"HC CREATE EARDRUM OPENING,LOC/TOP ANESTH",1426.0,1426.0,,,0 CDM,3616943601,"HC CREATE EARDRUM OPENING,GEN ANESTH",7768.0,7768.0,,,0 CDM,3619251101,HC NASOPHARYNGOSCOPY,318.0,318.0,,,0 CDM,3619656701,HC PHOTODYNAMIC THER DEST PREMALG SKIN LES PER DAY,621.0,621.0,,,0 CDM,3619759701,HC DEBRIDEMENT OPEN WOUND 20 SQ CM<,440.0,440.0,,,0 CDM,3619759801,HC DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,442.5,442.5,,,0 CDM,3619760201,"HC WOUND DEBRIDEMNT, NON-SELECTIVE, EA",392.0,392.0,,,0 CDM,3619760501,HC NEGATIVE PRESSURE WOUND THERAPY DME 50 SQ CM,742.0,742.0,,,0 CDM,3619760701,HC NEG PRESSURE WOUND THERAPY NON DME 50 SQ CM,1437.0,1437.0,,,0 CDM,361C978901,HC INSTILL ANTINEOPLASTIC PHARM RENAL PELVIS W/IMG & VOL MEAS,9269.0,9269.0,,,0 CDM,361G012101,HC COLON CA SCRN NOT HI RSK IND,5407.0,5407.0,,,0 CDM,361G016801,HC WOUND CLOSURE BY ADHESIVE,662.0,662.0,,,0 CDM,361G026001,HC INJ FOR SACROILIAC JT ANESTH,3710.0,3710.0,,,0 CDM,361G026901,HC OCCLUSIVE DEVICE IN VEIN ART,1417.0,1417.0,,,0 CDM,3623820501,"HC PROG CELL HARVEST,TRANSPLANT,ALLOGENIC - TRANSPLANT",13706.0,13706.0,,,0 CDM,3623823201,HC BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS,13706.0,13706.0,,,0 CDM,3623824001,HC TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR,5361.0,5361.0,,,0 CDM,3623824102,HC TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR,5361.0,5361.0,,,0 CDM,3623824201,HC ALLOGENEIC LYMPHOCYTE INFUSIONS - TRANSPLANT,9651.0,9651.0,,,0 CDM,3623824301,HC TRNSPLJ HEMATOPOIETIC CELL BOOST,2751.0,2751.0,,,0 CDM,3700000001,HC GENERAL ANESTHESIA TIME - INITIAL 30 MINUTES,2387.0,2387.0,,,0 CDM,3700000002,HC GENERAL ANESTHESIA TIME - EACH ADDL MINUTE,41.0,41.0,,,0 CDM,3700000003,HC REGIONAL ANESTHESIA TIME - INITIAL 30 MINUTES,2795.0,2795.0,,,0 CDM,3700000004,HC REGIONAL ANESTHESIA TIME - EACH ADDL MINUTE,41.0,41.0,,,0 CDM,3700000005,HC MONITORED ANESTHESIA CARE ANESTHESIA TIME - INITIAL 30 MINUTES,1324.0,1324.0,,,0 CDM,3700000006,HC MONITORED ANESTHESIA CARE ANESTHESIA TIME - EACH ADDL MINUTE,41.0,41.0,,,0 CDM,3700000007,HC ANES LABOR EPIDURAL,1445.0,1445.0,,,0 CDM,3700000012,HC MODERATE SEDATION TIME - INITIAL 15 MINUTES 5/> YEARS,436.0,436.0,,,0 CDM,3700000013,HC MODERATE SEDATION TIME - EACH ADDITIONAL 15 MINUTES,436.0,436.0,,,0 CDM,3700000014,HC AN EPIDURAL BLOCK CHARGE,3321.0,3321.0,,,0 CDM,3706444701,"HC INJ,ANES AGENT,FEMORAL NERVE,SINGLE",2632.0,2632.0,,,0 CDM,3709915101,HC MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,436.0,436.0,,,0 CDM,3709915201,HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,436.0,436.0,,,0 CDM,3709915202,HC MOD SED SAME PHYS/QHP INIT 15 MINS 5/> YRS GI ONLY,436.0,436.0,,,0 CDM,3709915301,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,436.0,436.0,,,0 CDM,3709915501,HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,397.0,397.0,,,0 CDM,3709915601,HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,439.0,439.0,,,0 CDM,3709915701,HC MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,115.0,115.0,,,0 CDM,3908694501,HC BLOOD PRODUCT IRRADIATION - EACH,490.0,490.0,,,0 CDM,3908696001,HC BOOD UNIT VOLUME REDUCTION EACH UNIT,865.0,865.0,,,0 CDM,3908696501,HC POOLING BLOOD PRODUCTS,712.0,712.0,,,0 CDM,390C950701,HC PLASMA COVID-19 CONVALESCENT ABYS,4230.0,4230.0,,,0 CDM,390P901001,HC WHOLE BLOOD UNIT,1399.0,1399.0,,,0 CDM,390P901002,"HC WHOLE BLOOD, AUTO",1399.0,1399.0,,,0 CDM,390P901101,HC BLOOD PRODUCT - SPLIT UNIT,2089.0,2089.0,,,0 CDM,390P901102,HC BLOOD SPLIT UNIT NEO LR RBC,525.0,525.0,,,0 CDM,390P901103,HC BLOOD SPLIT UNIT NEO LR WHOLE BLOOD,1438.0,1438.0,,,0 CDM,390P901104,HC BLOOD SPLIT UNIT NEO FFP FROZEN WITHIN 8HR,717.0,717.0,,,0 CDM,390P901105,HC BLOOD SPLIT UNIT NEO LR PLATELET PHERESIS,10707.0,10707.0,,,0 CDM,390P901201,HC BLOOD PRODUCT - CRYOPRECIPITATE UNIT,522.0,522.0,,,0 CDM,390P901601,HC BLOOD PRODUCT - RBC LEUKO REDUCED UNIT,1364.0,1364.0,,,0 CDM,390P901602,HC RBC LEUKOCYTES REDUCED AUTOLOGOUS,807.0,807.0,,,0 CDM,390P901701,HC BLOOD PRODUCT - FRESH FROZEN PLASMA 8HR UNIT,747.0,747.0,,,0 CDM,390P901901,"HC PLATELETS, EACH UNIT",666.0,666.0,,,0 CDM,390P902101,HC RED BLOOD CELLS EACH UNIT,1284.0,1284.0,,,0 CDM,390P902104,HC RBC UNIT ADSOL,1284.0,1284.0,,,0 CDM,390P902201,HC WASHED RED BLOOD CELLS EACH UNIT,3542.0,3542.0,,,0 CDM,390P902601,HC CRYOPRECIPITATE PATHOGEN REDUCED PRCFC PER DONOR,2151.0,2151.0,,,0 CDM,390P903101,HC BLOOD PRODUCT - PLATELETS LEUKO REDUCED UNIT,5150.5,5150.5,,,0 CDM,390P903102,HC PLATELETS LEUKOCYTES REDUCED LVDS,9745.0,9745.0,,,0 CDM,390P903201,HC PLATELETS IRRADIATED EACH UNIT,1063.5,1063.5,,,0 CDM,390P903301,HC BLOOD PRODUCT - PLATELETS LEUKO REDUCED IRRADIATED UNIT,5645.5,5645.5,,,0 CDM,390P903302,HC PLATELETS LEUKOREDUCED IRRAD LVDS,10523.0,10523.0,,,0 CDM,390P903401,HC PLATELET PHERESIS UNIT,2471.0,2471.0,,,0 CDM,390P903501,HC BLOOD PRODUCT - PLATELET PHERESIS LEUKO REDUCED UNIT,6066.0,6066.0,,,0 CDM,390P903502,HC PLATELET PHERES LEUKOREDUCED LVDS,9745.0,9745.0,,,0 CDM,390P903701,HC BLOOD PRODUCT - PLATELET PHERESIS LEUKO REDUCED IRRADIATED UNIT,6953.0,6953.0,,,0 CDM,390P903702,HC PLATE PHERES LEUKOREDU IRRAD LVDS,10707.0,10707.0,,,0 CDM,390P903901,HC RBC DEGLYC UNIT,4073.0,4073.0,,,0 CDM,390P904001,HC BLOOD PRODUCT - RBC LEUKO REDUCED IRRADIATED UNIT,2034.5,2034.5,,,0 CDM,390P904401,HC PLASMA CRYOPRECIP REDUCED UNIT,1350.0,1350.0,,,0 CDM,390P905001,HC GRANULOCYTE PHERESIS UNIT,2599.0,2599.0,,,0 CDM,390P905101,HC WB/RBC LEUKOREDUCE CMV NEG UNIT,1979.0,1979.0,,,0 CDM,390P905201,HC BLOOD PRODUCT - PLATELET PHERESIS HLA MATCH LEUKO REDUCED,9592.0,9592.0,,,0 CDM,390P905202,HC PLATELETS HLA-M L/R UNIT LVDS,10428.0,10428.0,,,0 CDM,390P905301,HC PLATELET PHERESIS LEUKOREDUCE CMV NEG IRRAD UNIT,4172.0,4172.0,,,0 CDM,390P905302,HC PLATELET PHERESIS LEUKOREDUCE CMV NEG IRRAD UNIT LVDS,4172.0,4172.0,,,0 CDM,390P905401,HC WB/RBC LEUKOREDUCE FRZ DEGLYC WASHED UNIT,2898.0,2898.0,,,0 CDM,390P905501,HC PLATELET PHERESIS LEUKOREDUCE CMV NEG,4477.0,4477.0,,,0 CDM,390P905502,HC PLATELET PHERESIS LEUKOREDUCE CMV NEG LVDS,4477.0,4477.0,,,0 CDM,390P905601,HC WHOLE BLOOD LEUKOREDUCE IRRAD UNIT,1438.0,1438.0,,,0 CDM,390P905701,HC RBC FRZ DEGLYC WASHED LEUKOREDUCE IRRAD UNIT,4599.0,4599.0,,,0 CDM,390P905801,HC RBC LEUKOREDUCE CMV NEG IRRAD UNIT,2274.0,2274.0,,,0 CDM,390P905901,HC BLOOD PRODUCT - FRESH FROZEN PLASMA 24H UNIT,717.0,717.0,,,0 CDM,390P905902,"HC PLASMA, CONVALESCENT COVID, FRZ BETWEEN 8-24HOUR",4230.0,4230.0,,,0 CDM,390P906001,HC PLASMA FRZ DONOR RETEST UNIT,608.0,608.0,,,0 CDM,390P907301,HC BLOOD PRODUCT - PLATELET PHERESIS PATHOGEN REDUCED,10700.0,10700.0,,,0 CDM,390P909901,HC PLASMA COVID CONVALESCENT,75.0,75.0,,,0 CDM,3913643001,HC BLOOD TRANSFUSION SERVICE,2045.0,2045.0,,,0 CDM,3913646001,HC INTRAUTERINE TRANSFUSION FETAL,2751.0,2751.0,,,0 CDM,4009222701,HC IMG RETINA W/REMOTE REVIEW CLIN STAFF UNI/BIL,120.0,120.0,,,0 CDM,4009222801,HC IMG RETINA W/REMOTE REVIEW PHSYCIAN UNI/BIL,120.0,120.0,,,0 CDM,4017705302,"HC MAMMARY DUCTOGRAM, SINGLE",1041.0,1041.0,,,0 CDM,4017705401,"HC MAMMARY DUCTOGRAM, MULTIPLE - MAMMO BREAST DUCTOGRAM MULTIPLE RIGHT",1658.0,1658.0,,,0 CDM,4017705402,"HC MAMMARY DUCTOGRAM, MULTIPLE - MAMMO BREAST DUCTOGRAM MULTIPLE",1658.0,1658.0,,,0 CDM,4017706101,HC DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,341.0,341.0,,,0 CDM,4017706201,HC DIGITAL BREAST TOMOSYNTHESIS BILATERAL,341.0,341.0,,,0 CDM,4017706505,HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,1303.0,1303.0,,,0 CDM,4017706602,HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,1510.0,1510.0,,,0 CDM,401G027901,HC MA TOMOSYNTHESIS DIAG ADD ON,213.0,213.0,,,0 CDM,4027598901,"HC RAD GUIDED,PERCUT DRAINAGE,W/CATH PLACE",2989.0,2989.0,,,0 CDM,4027637601,HC US 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,1308.0,1308.0,,,0 CDM,4027637701,HC US 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,2598.0,2598.0,,,0 CDM,4027650602,"HC US, HEAD, REAL TIME",1267.0,1267.0,,,0 CDM,4027651201,"HC US, EYE B-SCAN",736.0,736.0,,,0 CDM,4027653603,"HC US, HEAD/NECK TISSUES,REAL TIME",1126.0,1126.0,,,0 CDM,4027660401,"HC US, CHEST,REAL TIME",959.0,959.0,,,0 CDM,4027664102,HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE,789.0,789.0,,,0 CDM,4027664201,HC US BREAST UNI REAL TIME WITH IMAGE LIMITED,751.0,751.0,,,0 CDM,4027670001,"HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE",2465.0,2465.0,,,0 CDM,4027670501,"HC US, ABDOMEN LIMITED",1659.0,1659.0,,,0 CDM,4027670601,HC US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,1663.0,1663.0,,,0 CDM,4027677002,"HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE",1487.0,1487.0,,,0 CDM,4027677502,"HC US, RETROPERITNL ABD, LTD",1487.0,1487.0,,,0 CDM,4027677601,"HC US,TRANSPLANTED KIDNEY, REAL TIME/ DOPPLER",1827.0,1827.0,,,0 CDM,4027680001,"HC US, SPINAL CANAL & CONTENTS",865.0,865.0,,,0 CDM,4027680101,"HC US, OB < 14 WKS, SINGLE FETUS",1763.0,1763.0,,,0 CDM,4027680201,"HC US, OB < 14 WKS, ADD'L FETUS",282.0,282.0,,,0 CDM,4027680501,"HC US, OB >/= 14 WKS, SNGL FETUS",1257.0,1257.0,,,0 CDM,4027681001,"HC US, OB >/= 14 WKS, ADDL FETUS",785.0,785.0,,,0 CDM,4027681101,"HC US,PREG UTER,FET & MAT,+ DETL FET EXM",1511.0,1511.0,,,0 CDM,4027681201,"HC US,PREG UTER,FET & MAT,+ DETL FET,ADDL",282.0,282.0,,,0 CDM,4027681301,"HC US,PREG UTER,NUCHAL MEAS, 1ST TRIMEST, SINGLETON",517.0,517.0,,,0 CDM,40276813PB,"HC US,PREG UTER,NUCHAL MEAS, 1ST TRIMEST, SINGLETON",517.0,517.0,,,0 CDM,4027681401,"HC US,PREG UTER,NUCHAL MEAS, 1ST TRI,ADDL GEST",284.0,284.0,,,0 CDM,40276814PB,"HC US,PREG UTER,NUCHAL MEAS, 1ST TRI,ADDL GEST",284.0,284.0,,,0 CDM,4027681501,"HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES",436.0,436.0,,,0 CDM,4027681601,"HC US,PREGNANT UTERUS,F/U,TRANSABD APP",1005.0,1005.0,,,0 CDM,4027681701,"HC US,PREGNANT UTERUS,TRANSVAGINAL",1199.0,1199.0,,,0 CDM,4027681801,HC FETAL BIOPHYSICAL PROFILE,2183.0,2183.0,,,0 CDM,4027681901,"HC FETAL BIOPHYS PROF,W/O NST",952.0,952.0,,,0 CDM,4027682001,HC DOPPLER FETAL UMBILICAL ARTERY,1257.0,1257.0,,,0 CDM,4027682101,HC DOPPLER FETAL MID CEREBRAL ARTERY,2183.0,2183.0,,,0 CDM,4027682501,HC SONO FETAL HEART,4785.0,4785.0,,,0 CDM,4027682601,HC SONO FETAL HEART F/U,1339.0,1339.0,,,0 CDM,4027682701,HC SONO FETAL HEART DOPPLER,1532.0,1532.0,,,0 CDM,4027682801,HC SONO FETAL HRT DOPPL F/U - US FETAL HEART DOPPLER FOLLOW UP,1150.0,1150.0,,,0 CDM,4027683002,"HC ECHOGRAPHY,TRANSVAGINAL",1539.0,1539.0,,,0 CDM,4027683101,"HC SONO EXAM, HYSTEROSONOGRAPHY",1460.0,1460.0,,,0 CDM,4027685601,"HC ECHO,PELVIC (NONOBSTETRIC)",1880.0,1880.0,,,0 CDM,4027685701,HC SONO PELVIS LIMITED,597.0,597.0,,,0 CDM,4027687001,"HC ECHO,SCROTUM & CONTENTS",1438.0,1438.0,,,0 CDM,4027687201,"HC ECHO,TRANSRECTAL",2551.0,2551.0,,,0 CDM,4027687301,"HC ECHO,TRANSRECTAL,PROSTATE VOL",2033.0,2033.0,,,0 CDM,4027688121,HC US COMPLETE JOINT REAL TIME W IMAGE DOCUMENTATION,2183.0,2183.0,,,0 CDM,4027688202,HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG,1102.0,1102.0,,,0 CDM,4027688501,HC US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ,1014.0,1014.0,,,0 CDM,4027688603,HC US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ,656.0,656.0,,,0 CDM,4027693202,HC ECHO GUIDE ENDOMYOCARDIAL BIOPSY IMG S&I,1313.0,1313.0,,,0 CDM,4027693604,HC US ECHO GUIDE 4 ARTERY RPR - US GUIDE PSEUDOANEUR/AV FISTULA TRT,5305.0,5305.0,,,0 CDM,4027693701,"HC US GUIDE, VASCULAR ACCESS",957.0,957.0,,,0 CDM,4027694010,"HC US GUIDE, TISSUE ABLATION",1748.0,1748.0,,,0 CDM,4027694232,HC SONO GUIDE NEEDLE BIOPSY,1679.0,1679.0,,,0 CDM,4027694601,HC SONO GUIDE AMNIOCENTESIS,1678.0,1678.0,,,0 CDM,4027696501,HC SONO GUIDE RADIOELEMT APPLIC,1678.0,1678.0,,,0 CDM,4027698101,HC US ELASTOGRAPHY,710.0,710.0,,,0 CDM,4027699802,"HC ULTRASONIC GUIDANCE, INTRAOPERATIVE",3022.0,3022.0,,,0 CDM,4029120001,HC LIVER ELASTOGRAPH W INTERP,833.0,833.0,,,0 CDM,4029388801,HC INTRACRANIAL LIMITED STUDY - US HEAD DOPPLER LIMITED,1575.0,1575.0,,,0 CDM,4029397601,HC VASCULAR STUDY - US ABDOMEN DOPPLER LIMITED,1621.0,1621.0,,,0 CDM,4037706302,HC SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,341.0,341.0,,,0 CDM,4037706702,HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,784.0,784.0,,,0 CDM,4047845901,HC MYOCRD IMG PET METAB EVAL SINGLE STUDY,6951.0,6951.0,,,0 CDM,4047849101,HC HEART IMAGE (PET) SINGLE - NM PET MYOCARDIAL PERFUSION SINGLE,6951.0,6951.0,,,0 CDM,4047849201,HC HEART IMAGE (PET) MULTIPLE - NM PET MYOCARDIAL PERFUSION MULTIPLE,6951.0,6951.0,,,0 CDM,4047860802,HC BRAIN IMAGING PET METABOLIC,6951.0,6951.0,,,0 CDM,4047860901,HC BRAIN IMAGING PET PERFUSION,6951.0,6951.0,,,0 CDM,4047881101,HC PET IMAGING LIMITED AREA CHEST HEAD/NECK,6951.0,6951.0,,,0 CDM,4047881201,HC PET IMAGING SKULL TO THIGH,7135.0,7135.0,,,0 CDM,4047881301,HC PET IMAGING WHOLE BODY,7330.0,7330.0,,,0 CDM,4047881401,HC PET IMAGING CT FOR ATTENUATION LIMITED AREA,6951.0,6951.0,,,0 CDM,4047881501,HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,7135.0,7135.0,,,0 CDM,4047881601,HC PET IMAGING FOR CT ATTENUATION WHOLE BODY,7330.0,7330.0,,,0 CDM,4109400201,"HC RT VENT MGMT, INPATIENT, INITIAL DAY",3308.0,3308.0,,,0 CDM,4109400203,HC RT HIGH FREQ OSCILLATION INTITAL DAY,3308.0,3308.0,,,0 CDM,4109400204,"HC RT VENT MGMT, NEONATE INPATIENT, INITIAL DAY",3308.0,3308.0,,,0 CDM,4109400301,"HC RT VENT MGMT, INPATIENT, SUBQ DAY",3307.0,3307.0,,,0 CDM,4109400303,HC RT HIGH FREQ OSCILLAT SUBSEQ DAY,3307.0,3307.0,,,0 CDM,4109400304,"HC RT VENT MGMT, NEONATE INPATIENT, SUBQ DAY",3307.0,3307.0,,,0 CDM,4109461001,HC INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP,782.0,782.0,,,0 CDM,4109464001,HC RT INHALATION TREATMENT,368.0,368.0,,,0 CDM,4109464002,HC RT MDI/DPI,368.0,368.0,,,0 CDM,4109464003,HC RT INDUCED SPUTUM,368.0,368.0,,,0 CDM,4109464004,HC RT HAND HELD NEBULIZER,368.0,368.0,,,0 CDM,4109464201,HC RT PENTAMADINE TX,688.0,688.0,,,0 CDM,4109464401,"HC CONTINUOUS INHALATION TX, 1ST HR",699.0,699.0,,,0 CDM,4109464501,"HC CONTINUOUS INHALATION TX, EACH ADD HR",699.0,699.0,,,0 CDM,4109466001,HC RT CPAP NON-EMERGENT,2238.0,2238.0,,,0 CDM,4109466006,HC RT BIPAP NON-EMERGENT,2238.0,2238.0,,,0 CDM,4109466401,"HC DEMO &/OR EVAL,PT USE,AEROSOL DEVICE",536.0,536.0,,,0 CDM,4109466701,"HC CHEST WALL MANIPULATION,INITIAL",233.0,233.0,,,0 CDM,4109466801,"HC CHEST WALL MANIPULATION,SUBSEQUENT",304.0,304.0,,,0 CDM,4109466901,HC MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION,166.0,166.0,,,0 CDM,4109477201,"HC BREATH RECORDING, INFANT",1595.0,1595.0,,,0 CDM,410G023701,HC THERAPEUTIC PROCD STRG ENDUR,282.0,282.0,,,0 CDM,410G023801,"HC OTH RESP PROC, INDIV",282.0,282.0,,,0 CDM,410G023901,"HC OTH RESP PROC, GROUP",282.0,282.0,,,0 CDM,4139918301,HC HYPERBARIC OXYGEN THERAPY (HBO) PER 30 MIN,1575.0,1575.0,,,0 CDM,4202920001,HC STRAPPING OF CHEST,378.5,378.5,,,0 CDM,4202924001,HC PT APPLY STRAPPING SHOULDER,304.0,304.0,,,0 CDM,4202926001,HC PT STRAPPING OF ELBOW OR WRIST,306.0,306.0,,,0 CDM,4202928001,HC PT STRAPPING OF HAND OR FINGER,306.0,306.0,,,0 CDM,4202952001,HC PT STRAPPING HIP,368.0,368.0,,,0 CDM,4202953001,HC PT STRAPPING OF KNEE,306.0,306.0,,,0 CDM,4202954001,HC PT STRAPPING; ANKLE &/OR FOOT,229.5,229.5,,,0 CDM,4202955001,HC PT STRAPPING OF TOES,268.0,268.0,,,0 CDM,4202958001,HC PT STRAPPING UNNA BOOT,322.5,322.5,,,0 CDM,4202958101,HC PT APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE,355.5,355.5,,,0 CDM,4202958401,HC APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FINGER,514.5,514.5,,,0 CDM,4209090101,"HC PT BIOFEEDBACK TRAINING,ANY MODALITY",353.0,353.0,,,0 CDM,4209091201,HC PT BIOFEED PERINEAL / RECTAL INIT 15 MIN,494.5,494.5,,,0 CDM,4209091301,HC BIOFEED PERINEAL / RECTAL ADDITIONAL 15 MIN,470.0,470.0,,,0 CDM,4209585101,"HC PT RANGE MOTION MEASURE,EACH EXTREM",145.5,145.5,,,0 CDM,4209599201,"HC CANALITH REPOSITIONING PROCEDURE, PER DAY",293.0,293.0,,,0 CDM,4209701001,HC PT HOT OR COLD PACKS THERAPY,168.0,168.0,,,0 CDM,4209701201,HC MECHANICAL TRACTION THERAPY,205.5,205.5,,,0 CDM,4209701401,HC PT ELECTRIC STIMULATION THERAPY UNATTENDED,169.5,169.5,,,0 CDM,4209701601,HC PT VASOPNEUMATIC DEVICE THERAPY,389.0,389.0,,,0 CDM,4209701801,HC PT PARAFFIN BATH THERAPY,124.0,124.0,,,0 CDM,4209702201,HC PT WHIRLPOOL THERAPY,191.5,191.5,,,0 CDM,4209702601,HC PT INFRARED THERAPY,300.0,300.0,,,0 CDM,4209703201,HC PT ELECTRICAL STIMULATION EACH 15 MINUTES,240.5,240.5,,,0 CDM,4209703301,HC PT IONTOPHORESIS EACH 15 MINUTES,188.5,188.5,,,0 CDM,4209703401,HC CONTRAST BATH THERAPY,221.0,221.0,,,0 CDM,4209703501,HC PT ULTRASOUND THERAPY,125.0,125.0,,,0 CDM,4209711001,HC PT THERAPEUTIC EXERCISES,217.0,217.0,,,0 CDM,4209711201,"HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN",213.0,213.0,,,0 CDM,4209711301,HC PT AQUATIC THERAPY/EXERCISES,165.5,165.5,,,0 CDM,4209711601,HC GAIT TRAINING THERAPY,215.0,215.0,,,0 CDM,4209712401,HC PT MASSAGE THERAPY,186.0,186.0,,,0 CDM,4209712901,HC PT-COGNITIVE SKILLS DEV INIT 15 MIN,174.0,174.0,,,0 CDM,4209712902,HC PT COGNITIVE SKILLS DEV INIT 15 MIN PEDS,174.0,174.0,,,0 CDM,4209714001,"HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN",230.5,230.5,,,0 CDM,4209715001,HC PT GROUP THERAPEUTIC PROCEDURES,193.5,193.5,,,0 CDM,4209753001,HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,211.5,211.5,,,0 CDM,4209753301,HC PT SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,150.5,150.5,,,0 CDM,4209753501,HC PT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,252.5,252.5,,,0 CDM,4209753701,HC PT COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN,373.0,373.0,,,0 CDM,4209754201,"HC PT WHEELCHAIR MNGEMENT TRAINING, EA 15 MIN",189.0,189.0,,,0 CDM,4209754501,"HC PT WORK HARDENING/CONDN,0-2 HR",415.0,415.0,,,0 CDM,4209754601,"HC PT WORK HARDENING/CONDN,EA ADDNL HR",219.0,219.0,,,0 CDM,4209755001,HC PT CAREGIVER TRAINING 1ST 30 MIN W/O PT,415.0,415.0,,,0 CDM,4209755101,HC PT CAREGIVER TRAINING EA ADD 15 MIN W/O PT,206.0,206.0,,,0 CDM,4209759701,HC PT DEBRIDEMENT OPEN WOUND 20 SQ CM<,429.5,429.5,,,0 CDM,4209759801,HC PT DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,432.5,432.5,,,0 CDM,4209760201,"HC PT WOUND DEBRIDEMNT, NON-SELECTIVE, EA",383.5,383.5,,,0 CDM,4209760501,HC PT NEGATIVE PRESSURE WOUND THERAPY DME 50 SQ CM,1403.5,1403.5,,,0 CDM,4209775001,HC PT PHYSICAL PERFORMANCE TEST,179.5,179.5,,,0 CDM,4209776001,"HC PT ORTHOTIC MGMT AND TRAINING, EACH 15 MIN",173.5,173.5,,,0 CDM,4209776301,HC PT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,178.0,178.0,,,0 CDM,4209779901,HC PT GROUP THERAPY WELLNESS,117.0,117.0,,,0 CDM,4249716101,HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,799.0,799.0,,,0 CDM,4249716201,HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS,905.5,905.5,,,0 CDM,4249716301,HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS,989.0,989.0,,,0 CDM,4249716401,HC PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS,1107.0,1107.0,,,0 CDM,4302912501,"HC OT APPLY FOREARM SPLINT,STATIC",737.5,737.5,,,0 CDM,4302913001,"HC OT APPLY FINGER SPLINT,STATIC",518.5,518.5,,,0 CDM,4302913101,"HC OT APPLY FINGER SPLINT,DYNAMIC",778.5,778.5,,,0 CDM,4302924001,HC OT APPLY STRAPPING SHOULDER,304.0,304.0,,,0 CDM,4302928001,HC OT STRAPPING OF HAND OR FINGER,306.0,306.0,,,0 CDM,4302953001,HC OT STRAPPING OF KNEE,306.0,306.0,,,0 CDM,4302954001,HC OT STRAPPING; ANKLE &/OR FOOT,229.5,229.5,,,0 CDM,4302955001,HC OT STRAPPING OF TOES,268.0,268.0,,,0 CDM,4302958101,HC OT APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE,355.5,355.5,,,0 CDM,4302958401,HC OT APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FINGER,514.5,514.5,,,0 CDM,4309090101,"HC OT BIOFEEDBACK TRAINING,ANY MODALITY",353.0,353.0,,,0 CDM,4309091201,HC OT BIOFEED PERINEAL / RECTAL INIT 15 MIN,494.5,494.5,,,0 CDM,4309091301,HC OT BIOFEED PERINEAL / RECTAL ADDITIONAL 15 MIN,470.0,470.0,,,0 CDM,4309599202,"HC OT CANALITH REPOSITIONING PROCEDURE, PER DAY",293.0,293.0,,,0 CDM,4309701001,HC OT HOT OR COLD PACKS THERAPY,168.0,168.0,,,0 CDM,4309701401,HC OT ELECTRIC STIMULATION THERAPY UNATTENDED,169.5,169.5,,,0 CDM,4309701601,HC OT VASOPNEUMATIC DEVICE THERAPY,389.0,389.0,,,0 CDM,4309701801,HC OT PARAFFIN BATH THERAPY,124.0,124.0,,,0 CDM,4309702201,HC OT WHIRLPOOL THERAPY,191.5,191.5,,,0 CDM,4309702601,HC OT INFRARED THERAPY,300.0,300.0,,,0 CDM,4309703201,HC OT ELECTRICAL STIMULATION EACH 15 MINUTES,240.5,240.5,,,0 CDM,4309703301,HC OT IONTOPHORESIS EACH 15 MINUTES,188.5,188.5,,,0 CDM,4309703501,HC OT ULTRASOUND THERAPY,125.0,125.0,,,0 CDM,4309711001,HC OT THERAPEUTIC EXERCISES,217.0,217.0,,,0 CDM,4309711201,"HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN",213.0,213.0,,,0 CDM,4309711301,HC OT AQUATIC THERAPY/EXERCISES,165.5,165.5,,,0 CDM,4309712401,HC OT MASSAGE THERAPY,186.0,186.0,,,0 CDM,4309712901,HC OT COGNITIVE SKILLS DEV INIT 15 MIN,174.0,174.0,,,0 CDM,4309713001,HC OT COGNITIVE SKILLS DEV ADDITIONAL 15 MIN,151.5,151.5,,,0 CDM,4309714001,"HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN",230.5,230.5,,,0 CDM,4309715001,HC OT GROUP THERAPEUTIC PROCEDURES,193.5,193.5,,,0 CDM,4309753001,HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,211.5,211.5,,,0 CDM,4309753301,HC OT SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,150.5,150.5,,,0 CDM,4309753501,HC OT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,252.5,252.5,,,0 CDM,4309753701,HC OT COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN,373.0,373.0,,,0 CDM,4309754201,"HC OT WHEELCHAIR MNGEMENT TRAINING, EA 15 MIN",189.0,189.0,,,0 CDM,4309754501,"HC OT WORK HARDENING/CONDN,0-2 HR",415.0,415.0,,,0 CDM,4309754601,"HC OT WORK HARDENING/CONDN,EA ADDNL HR",219.0,219.0,,,0 CDM,4309755001,HC OT CAREGIVER TRAINING 1ST 30 MIN W/O PT,415.0,415.0,,,0 CDM,4309755101,HC OT CAREGIVER TRAINING EA ADD 15 MIN W/O PT,206.0,206.0,,,0 CDM,4309755201,HC OT GROUP CAREGIVER TRAINING W/O PT,156.0,156.0,,,0 CDM,4309760201,"HC OT WOUND DEBRIDEMNT, NON-SELECTIVE, EA",383.5,383.5,,,0 CDM,4309775001,HC OT PHYSICAL PERFORMANCE TEST,179.5,179.5,,,0 CDM,4309776001,"HC OT ORTHOTIC MGMT AND TRAINING, EACH 15 MIN",173.5,173.5,,,0 CDM,4309776301,HC OT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,178.0,178.0,,,0 CDM,4349716501,HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS,783.0,783.0,,,0 CDM,4349716601,HC OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS,871.0,871.0,,,0 CDM,4349716701,HC OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS,949.0,949.0,,,0 CDM,4349716801,HC OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS,1116.0,1116.0,,,0 CDM,4409250701,"HC SPEECH/HEARING THERAPY, INDIVIDUAL",730.5,730.5,,,0 CDM,4409250801,"HC SPEECH/HEARING THERAPY, GROUP",320.5,320.5,,,0 CDM,4409252001,HC LARYNGEAL FUNCTION STUDIES,789.5,789.5,,,0 CDM,4409252601,HC ORAL FUNCTION THERAPY,428.5,428.5,,,0 CDM,4409260601,"HC THER SRVC(S),NON-SPEECH GEN DEV, W/PROG",1126.0,1126.0,,,0 CDM,4409260901,"HC THER SRVC, SPEECH GEN DEV USE, W/PROG",1218.5,1218.5,,,0 CDM,4409703201,HC SLP ELECTRICAL STIMULATION EACH 15 MINUTES,240.5,240.5,,,0 CDM,4409712901,HC SLP COGNITIVE SKILLS DEV INIT 15 MIN,174.0,174.0,,,0 CDM,4409713001,HC SLP COGNITIVE SKILLS DEV ADDITIONAL 15 MIN,151.5,151.5,,,0 CDM,4409753301,HC SLP SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,150.5,150.5,,,0 CDM,4409755001,HC ST CAREGIVER TRAINING 1ST 30 MIN W/O PT,415.0,415.0,,,0 CDM,4409755101,HC ST CAREGIVER TRAINING EA ADD 15 MIN W/O PT,206.0,206.0,,,0 CDM,4449252101,HC EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER),799.0,799.0,,,0 CDM,4449252201,HC EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE,780.5,780.5,,,0 CDM,4449252301,HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION,1481.0,1481.0,,,0 CDM,4449252401,HC BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE,799.0,799.0,,,0 CDM,4449259701,HC EVAL VOICE PROSTH DEVICE,857.0,857.0,,,0 CDM,4449260701,"HC EVAL,SPEECH-GEN AUG/ALT COMM DEV,1ST HR",739.5,739.5,,,0 CDM,4449261001,"HC EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION",845.5,845.5,,,0 CDM,4449261101,"HC EVAL,SWALLOW FUNCTION,CINE/VIDEO RECORD",1050.0,1050.0,,,0 CDM,4449261201,"HC ENDOSCOPIC EVAL,SWALLOW,CINE/VIDEO",1114.5,1114.5,,,0 CDM,4449610501,HC ASSESSMENT OF APHASIA,887.0,887.0,,,0 CDM,4449612501,HC STANDARDIZED COGNITIVE PERFORMANCE TESTING,885.0,885.0,,,0 CDM,4500000001,HC EMERGENCY DEPARTMENT SEXUAL ASSAULT EXAM,1395.0,1395.0,,,0 CDM,4509928101,HC EMERGENCY DEPARTMENT VISIT LEVEL 1,460.0,460.0,,,0 CDM,4509928103,HC EMERGENCY DEPT VISIT LEFT BEFORE SEEING PROVIDER,413.0,413.0,,,0 CDM,4509928201,HC EMERGENCY DEPARTMENT VISIT LEVEL 2,631.0,631.0,,,0 CDM,4509928301,HC EMERGENCY DEPARTMENT VISIT LEVEL 3,1455.0,1455.0,,,0 CDM,4509928401,HC EMERGENCY DEPARTMENT VISIT LEVEL 4,3392.0,3392.0,,,0 CDM,4509928501,HC EMERGENCY DEPARTMENT VISIT LEVEL 5,6054.0,6054.0,,,0 CDM,4509929101,"HC CRITICAL CARE, E/M 30-74 MINUTES",7214.0,7214.0,,,0 CDM,4509929201,"HC CRITICAL CARE, ADDL 30 MIN",1512.0,1512.0,,,0 CDM,4609401002,HC BREATHING CAPACITY TEST,832.0,832.0,,,0 CDM,4609406001,HC EVAL OF BRONCHOSPASM,1252.0,1252.0,,,0 CDM,4609407001,"HC EVAL OF BRONCHOSPASM,PROLONGED",1565.0,1565.0,,,0 CDM,4609415002,HC VITAL CAPACITY TEST,439.0,439.0,,,0 CDM,4609420001,HC LUNG FUNCTION TEST (MBC/MVV),165.0,165.0,,,0 CDM,4609437501,HC RESPIRATORY FLOW VOLUME LOOP,540.0,540.0,,,0 CDM,4609445201,HC HIGH ALTITUDE SIMULATION TEST,433.0,433.0,,,0 CDM,4609445301,HC HIGH ALTITUDE SIMULATION TEST WITH O2 TITRATION,433.0,433.0,,,0 CDM,4609461701,HC EXERCISE BRONCHOSPASM PRE/POST SPIROMETRY WITH PULSE OX AND ECG,530.0,530.0,,,0 CDM,4609461801,HC PULMONARY STRESS TEST - SIMPLE,1655.0,1655.0,,,0 CDM,4609461901,HC EXERCISE BRONCHOSPASM PRE/POST SPIROMETRY WITH PULSE OX,404.0,404.0,,,0 CDM,4609462101,HC CARDIOPULMONARY EXERCISE TESTING,2195.0,2195.0,,,0 CDM,4609469001,HC OXYGEN UPTAKE INDIRECT EVAL - RESTING - SEPARATE PROCEDURE,151.0,151.0,,,0 CDM,4609472601,HC PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST,406.0,406.0,,,0 CDM,4609472701,HC GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL,496.0,496.0,,,0 CDM,4609472801,HC AIRWAY RESISTANCE OSCILLOMETRY,1921.0,1921.0,,,0 CDM,4609472901,HC DIFFUSING CAPACITY,397.0,397.0,,,0 CDM,4609476001,HC RT NONINVASV OXYGEN SATUR;SINGLE,146.0,146.0,,,0 CDM,4609476101,"HC NONINVASV OXYGEN SATUR,MULTIPLE",581.0,581.0,,,0 CDM,4609476201,HC NONINVASV OXYGEN SATUT CONTINUOUS,383.0,383.0,,,0 CDM,4609478001,HC CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN,486.0,486.0,,,0 CDM,4609478101,HC CAR SEAT/BED TESTNG W/INTERP & REPORT +30MIN,243.0,243.0,,,0 CDM,470V501101,HC FITTING FEE PER HEARING AID,213.0,213.0,,,0 CDM,4719251701,"HC VESTIBULAR EVOKED MYOGENIC POTENTIAL, CERVICAL",1177.0,1177.0,,,0 CDM,4719251901,"HC VESTIBULAR EVOKED MYOGENIC POTENTIAL, CERVICAL & OCULAR",2357.0,2357.0,,,0 CDM,4719253701,HC CALORIC VESTIBULAR TEST W/REC BI BITHERMAL,446.0,446.0,,,0 CDM,4719253801,HC CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL,446.0,446.0,,,0 CDM,4719254001,HC BASIC VESTIBULAR EVAL,2050.0,2050.0,,,0 CDM,4719254101,HC SPONTANEOUS NYSTAGMUS TEST,511.0,511.0,,,0 CDM,4719254401,HC OPTOKINETIC NYSTAGMUS TEST,511.0,511.0,,,0 CDM,4719254501,HC OSCILLATING TRACKING TEST,451.0,451.0,,,0 CDM,4719254701,HC SUPPLEMENTAL ELECTRICAL TEST,900.0,900.0,,,0 CDM,4719255001,HC TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS,444.0,444.0,,,0 CDM,4719255101,"HC PURE TONE HEARING TEST, AIR",143.0,143.0,,,0 CDM,4719255201,"HC PURE TONE AUDIOMETRY, AIR",223.0,223.0,,,0 CDM,4719255301,"HC AUDIOMETRY, AIR & BONE",331.0,331.0,,,0 CDM,4719255501,HC SPEECH THRESHOLD AUDIOMETRY,119.0,119.0,,,0 CDM,4719255601,"HC SPEECH AUDIOMETRY, COMPLETE",139.0,139.0,,,0 CDM,4719255701,HC COMPREHENSIVE HEARING TEST,465.0,465.0,,,0 CDM,4719255801,HC INFANT HEARING AND SCREENING,407.0,407.0,,,0 CDM,4719256701,HC TYMPANOMETRY,224.0,224.0,,,0 CDM,4719257001,HC ACOUSTIC IMMIT TEST TYMPANOMETRY/ACOUST REFLEX/DECAY,667.0,667.0,,,0 CDM,4719257901,HC VISUAL AUDIOMETRY (VRA),223.0,223.0,,,0 CDM,4719258201,HC CONDITIONING PLAY AUDIOMETRY,238.0,238.0,,,0 CDM,4719258301,HC SELECT PICTURE AUDIOMETRY,224.0,224.0,,,0 CDM,4719258401,HC ELECTROCOCHLEOGRAPHY,1090.0,1090.0,,,0 CDM,4719258701,"HC EVOKED AUDITORY TEST,LIMITED",417.0,417.0,,,0 CDM,4719258801,"HC EVOKED AUDITORY TEST,COMPREHSV",671.0,671.0,,,0 CDM,4719260101,"HC DX ANAL COCHLEAR IMP,PT <7 YRS,W/PROG",975.0,975.0,,,0 CDM,4719260201,"HC DX ANAL COCHLEAR IMP,PT <7 YRS,REPROG",783.0,783.0,,,0 CDM,4719260301,"HC DX ANAL COCHLEAR IMP,PT >7 YRS,W/PROG",975.0,975.0,,,0 CDM,4719260401,"HC DX ANAL COCHLEAR IMP,PT >7 YRS,REPROG",783.0,783.0,,,0 CDM,4719262001,"HC AUDITORY FUNCTION, 60 MIN",562.0,562.0,,,0 CDM,4719262101,"HC AUDITORY FUNCTION, + 15 MIN",113.0,113.0,,,0 CDM,4719262501,HC TINNITUS ASSESSMENT,378.0,378.0,,,0 CDM,4719265001,"HC AUD: AUDITORY EVOKED POTENTIALS, HEARING STATUS DETERMINATION AUTOMATED",739.0,739.0,,,0 CDM,4719265101,"HC AUD: AUDITORY EVOKED POTENTIALS, HEARING STATUS DETERMINATION MANUAL",1177.0,1177.0,,,0 CDM,4719265201,HC AUDITORY EVOKED POTENTIAL THRESHOLD EST AT MULT FREQ W/ INTERP AND RPT,2371.0,2371.0,,,0 CDM,4719265301,HC AUDITORY EVOKED POTENTIAL NEURODIAGNOSTIC WITH INTERP AND REPORT,2177.0,2177.0,,,0 CDM,4800273T01,HC IN PERSON DEVICE INTERROG CRTD SINUS BAROREFLEX SYS W/ PROG,530.0,530.0,,,0 CDM,4800502T01,HC CORONARY FRACT FLOW RESRV CTA DATA PREP AND TRANSMIT,589.0,589.0,,,0 CDM,4800503T01,HC CORONARY FRACT FLOW RESRV ANALYSIS AND MODELING,7699.0,7699.0,,,0 CDM,4800571T01,HC INS/REPL ICDS W/ SUBSTERNAL ELECTRODE,57586.0,57586.0,,,0 CDM,4800573T01,HC REM SUBSTERNAL IMP DEFIB ELECTRODE,8495.0,8495.0,,,0 CDM,4800577T01,HC EVAL ICD W/ SUBSTERNAL ELECTRODE,6520.0,6520.0,,,0 CDM,4800580T01,HC REM SUBSTERNAL IMP DEFIB PULSE GEN ONLY,8495.0,8495.0,,,0 CDM,4800826T01,HC PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP,351.0,351.0,,,0 CDM,4807558001,HC NON-INVAS EST C-FFR SFTW ANAL CTA,7699.0,7699.0,,,0 CDM,4809295001,HC HEART/LUNG RESUSCITATION (CPR),1773.0,1773.0,,,0 CDM,4809296001,"HC CARDIOVERSION, ELECTIVE;EXTERN",1655.0,1655.0,,,0 CDM,4809302501,HC MICROVOLT T-WAVE ALTERNANS - T WAVE ALTERNANS,1014.0,1014.0,,,0 CDM,4809326003,HC PRGRMG DEV EVAL IMPLTBL SYS - CARD DEVICE IN CLINIC SUBQ ICD W/ PROG,307.0,307.0,,,0 CDM,4809326004,HC PRGRMG DEV EVAL IMPLTBL SYS - CARD DEVICE INPATIENT SUBQ ICD W/ PROG,307.0,307.0,,,0 CDM,4809326005,HC EP PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM,307.0,307.0,,,0 CDM,4809326102,HC INTERROGATE SUBQ DEFIB - CARD DEVICE IN CLINIC - SUBQ ICD,256.0,256.0,,,0 CDM,4809326103,HC INTERROGATE SUBQ DEFIB - CARD DEVICE INPATIENT - SUBQ ICD,256.0,256.0,,,0 CDM,4809326104,HC EP INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB,256.0,256.0,,,0 CDM,4809327904,HC PM DEVICE PROGR EVAL SNGL - CARD DEVICE IN CLINIC PCMKR SING CHAMBER,288.0,288.0,,,0 CDM,4809327905,HC PM DEVICE PROGR EVAL SNGL - CARD DEVICE INPATIENT PCMKR W/ PROG,288.0,288.0,,,0 CDM,4809327906,HC EP PROGRAM EVAL IMPLANTABLE IN PRSN 1 LD PACEMAKER,288.0,288.0,,,0 CDM,4809328006,HC PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER,27737.0,27737.0,,,0 CDM,4809328103,HC PM DEVICE PROGR EVAL MULTI - CARD DEVICE IN CLINIC PCMKR BIV CHAMBER,329.0,329.0,,,0 CDM,4809328104,HC PM DEVICE PROGR EVAL MULTI - CARD DEVICE INPATIENT PCMKR BIV CHAMBER,329.0,329.0,,,0 CDM,4809328105,HC EP PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER,329.0,329.0,,,0 CDM,4809328204,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE IN CLINIC ICD SING CHAMBER,234.0,234.0,,,0 CDM,4809328205,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE INPATIENT ICD SING CHAMBER,234.0,234.0,,,0 CDM,4809328206,HC EP PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB,234.0,234.0,,,0 CDM,4809328301,HC EP PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB,292.0,292.0,,,0 CDM,4809328304,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE IN CLINIC ICD DUAL CHAMBER,292.0,292.0,,,0 CDM,4809328305,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE INPATIENT ICD DUAL CHAMBER,292.0,292.0,,,0 CDM,4809328402,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE INPATIENT ICD BIV CHAMBER,300.0,300.0,,,0 CDM,4809328403,HC EP PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB,300.0,300.0,,,0 CDM,4809328404,HC PRGRMG EVAL IMPLANTABLE DFB - CARDIAC DEVICE CLINIC ICD BIV CHAMBER,300.0,300.0,,,0 CDM,4809328503,HC ILR DEVICE EVAL PROGR - CARD DEVICE IN CLINIC LOOP RECORDER (ILR),185.0,185.0,,,0 CDM,4809328504,HC ILR DEVICE EVAL PROGR - CARD DEVICE INPATIENT LOOP RECORDER (ILR),185.0,185.0,,,0 CDM,4809328505,HC EP PROGRAM EVAL IMPLANTABLE DEV IN PRSN ILR SYSTEM,185.0,185.0,,,0 CDM,4809328602,HC PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,27737.0,27737.0,,,0 CDM,4809328603,HC EP PERI-PX EVAL&PROGRAM IN PRSN PACEMAKER SYSTEM,27737.0,27737.0,,,0 CDM,4809328702,HC PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,27737.0,27737.0,,,0 CDM,4809328805,HC INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,27737.0,27737.0,,,0 CDM,4809328903,HC INTERROG DEVICE EVAL HEART - CARD DEVICE IN CLINIC - ICD,270.0,270.0,,,0 CDM,4809328904,HC INTERROG DEVICE EVAL HEART - CARD DEVICE INPATIENT - ICD,270.0,270.0,,,0 CDM,4809328905,HC EP INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB,270.0,270.0,,,0 CDM,4809329001,HC EP INTERROGATION EVAL IN PERSON ICPM,270.0,270.0,,,0 CDM,4809329105,HC ILR DEVICE INTERROGATE - CARD DEVICE IN CLINIC - LOOP RECORDER (ILR),177.0,177.0,,,0 CDM,4809329106,HC ILR DEVICE INTERROGATE - CARD DEVICE INPATIENT - LOOP RECORDER (ILR),177.0,177.0,,,0 CDM,4809329107,HC EP INTERROGATION EVALUATION IN PERSON ILR SYSTEM,177.0,177.0,,,0 CDM,4809329302,HC PM PHONE R-STRIP DEVICE EVAL - CARD DEVICE TTM - ICD,270.0,270.0,,,0 CDM,4809329402,HC PM DEVICE INTERROGATE REMOTE - CARD DEVICE REMOTE - PACEMAKER,162.0,162.0,,,0 CDM,4809329403,HC PM DEVICE INTERROGATE REMOTE - CARD DEVICE REMOTE ALERT - PACEMAKER,162.0,162.0,,,0 CDM,4809329602,HC PM/ICD REMOTE TECH SERV - CARD DEVICE REMOTE - ICD,258.0,258.0,,,0 CDM,4809329603,HC EP INTERROGATION REMOTE 7 YO, IM",269.0,269.0,,,0 CDM,6369073201PB,HC PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,490.0,490.0,,,0 CDM,6369073901PB,HC HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE,193.0,193.0,,,0 CDM,6369074601PB,HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE,348.0,348.0,,,0 CDM,636J051701,HC INJ BENRALIZUMAB 1MG,1092.0,1092.0,,,0 CDM,636J278801,HC RHIG MICRHOGAM UF PLUS PFS 50 MCG NDC 00562780601,476.0,476.0,,,0 CDM,636J278802,HC RHIG MICRHOGAM UF+ PFS 5 NDC 00562780605,476.0,476.0,,,0 CDM,636J278803,HC RHIG MICRHOGAM UF PLUS SYG 25 NDC 00562780625,476.0,476.0,,,0 CDM,636J279001,HC RHO(D) RHOGAM 300MCG NDC 00562780501,982.5,982.5,,,0 CDM,636J279002,HC RHO(D) HYPERRHO S/D 300MCG NDC 13533063102,901.0,901.0,,,0 CDM,636J279003,HC RHO(D) RHOGAM 300MCG NDC 00562780505,1516.0,1516.0,,,0 CDM,636J279004,HC RHO(D) HYPERRHO S/D 300MCG NDC 13533063111,897.5,897.5,,,0 CDM,636J279101,HC RHIG RHOPHYLAC 300MCG/2ML NDC 44206030010,85.0,85.0,,,0 CDM,636J279102,HC RHIG RHOPHYLAC 300MCG/2ML NDC 44206030001,85.0,85.0,,,0 CDM,636J903001,HC INJ BCG LIVE INTRAVESICAL INSTILLATION 1MG,5193.0,5193.0,,,0 CDM,636P904701PB,"HC ALBUMIN (HUMAN), 25%, 50ML",254.0,254.0,,,0 CDM,636Q511501,HC INJ RITUXIMAB BIOSIMILAR / TRUXIMA 10MG,203.0,203.0,,,0 CDM,7002944501,HC APPLY RIGID LEG CAST,588.0,588.0,,,0 CDM,7002970001,HC CAST REMOVAL,910.0,910.0,,,0 CDM,7100000003,HC PACU RECOVERY PHASE 1 - INITIAL 30 MINUTES,1703.0,1703.0,,,0 CDM,7100000004,HC PACU RECOVERY PHASE 1 - EACH ADDL MIN,42.0,42.0,,,0 CDM,7100000005,HC PACU RECOVERY PHASE 2 - INITIAL 30 MINUTES,811.0,811.0,,,0 CDM,7100000006,HC PACU RECOVERY PHASE 2 - EACH ADDL MIN,24.0,24.0,,,0 CDM,7200000001,HC L&D MINOR SURGICAL PROCEDURE OTHER,1088.0,1088.0,,,0 CDM,7205902001,HC FETAL CONTRACTN STRESS TEST,2380.0,2380.0,,,0 CDM,7205902501,HC FETAL NON-STRESS TEST,976.0,976.0,,,0 CDM,7205905001,HC FETAL MONITOR W/REPORT,2406.0,2406.0,,,0 CDM,7205940901,"HC OBSTETRICAL CARE,VAG DELIVERY ROUTINE",5632.0,5632.0,,,0 CDM,7205940902,"HC OBSTETRICAL CARE,VAG DELIVERY COMPLEX",9486.0,9486.0,,,0 CDM,7205951401,HC CESAREAN DELIVERY ONLY,5696.0,5696.0,,,0 CDM,7225941401,HC DELIVER PLACENTA,5632.0,5632.0,,,0 CDM,7229946501,HC DELIVERY/BIRTHING ROOM RESUSCITATION,4077.0,4077.0,,,0 CDM,7230000001,"HC CIRCUMCISION,OTHR,NEWBORN",1533.0,1533.0,,,0 CDM,7309300502,"HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD",832.0,832.0,,,0 CDM,7309304101,"HC RHYTHM ECG, TRACING",404.0,404.0,,,0 CDM,730G040401,HC EEG INIT PREVENT EXAM,231.0,231.0,,,0 CDM,7319322502,"HC EXT ECG RECORD CONTIN 48 HR, RECORD - HOLTER MONITOR - 24 HOUR",972.0,972.0,,,0 CDM,7319322503,"HC EXT ECG RECORD CONTIN 48 HR, RECORD - HOLTER MONITOR - 48 HOUR",972.0,972.0,,,0 CDM,7319322601,HC ECG MONIT/REPRT UP TO 48 HRS - HOLTER MONITOR - 24 HOUR,1551.0,1551.0,,,0 CDM,7319322602,HC ECG MONIT/REPRT UP TO 48 HRS - HOLTER MONITOR - 48 HOUR,1551.0,1551.0,,,0 CDM,7319324201,HC ECG RECORDING >48 HOURS <7 DAYS - HOLTER RECORDING - 2 DAYS TO 7 DAYS,404.0,404.0,,,0 CDM,7319324301,HC ECG ANALYSIS/RPT >48 HRS <7 DAYS - HOLTER REC ANALYSIS/RPT - 2 -7 DAYS,819.0,819.0,,,0 CDM,7319324601,HC ECG RECORDING >7 DAYS <15 DAYS - HOLTER RECORDING - 7 DAYS TO 15 DAYS,404.0,404.0,,,0 CDM,7319324701,HC ECG ANALYSIS/RPT >7 DAYS <15 DAYS - HOLTER REC ANALYSIS/RPT - 7-15 DAYS,819.0,819.0,,,0 CDM,7319327001,"HC EXT ECG,PT DEMAND EVENT, SYMPT MEMORY LOOP, RECORD",331.0,331.0,,,0 CDM,7319327101,"HC EXT ECG,PT DEMAND EVENT, SYMPT MEMORY LOOP, TRANSMIT",729.0,729.0,,,0 CDM,7329322901,HC XTRNL MOBILE CV TELE W/TECH SUPPORT 30 DAYS,449.0,449.0,,,0 CDM,7409570001,HC EEG CONT REC W/VIDEO & EDUC 8+ CHAN TECH,1097.0,1097.0,,,0 CDM,7409570501,"HC EEG, W/O VID, 2 - 12HRS UNMONITORED",1921.0,1921.0,,,0 CDM,7409570601,HC EEG W/O VID 2-12HRS INT MON,1921.0,1921.0,,,0 CDM,7409570701,"HC EEG, W/O VID, 2 - 12HRS CONTINUOUS MONITOR",1921.0,1921.0,,,0 CDM,7409570801,"HC EEG 12-26 HR W/O VIDEO, TECH UNMONITORED",3542.0,3542.0,,,0 CDM,7409570901,HC EEG W/O VID 12-26HRS INT MON,3542.0,3542.0,,,0 CDM,7409571001,HC EEG W/O VID 12-26HRS RT MON,3542.0,3542.0,,,0 CDM,7409571101,HC VEEG BY TECH 2-12 HR UNMONITORED,1921.0,1921.0,,,0 CDM,7409571201,"HC EEG 2-12 HR W/VIDEO, TECH, INTERMIT MON",1097.0,1097.0,,,0 CDM,7409571301,"HC EEG 2-12 HR W/VIDEO, TECH, REAL-TIME MON",2106.0,2106.0,,,0 CDM,7409571401,HC EEG W/ VID 12-26HRS UNMON,3542.0,3542.0,,,0 CDM,7409571501,"HC EEG 12-26 HR W/VIDEO, TECH, INTERMIT MON",2106.0,2106.0,,,0 CDM,7409571601,"HC EEG 12-26 HR W/VIDEO, TECH, REALTIME MON",3940.0,3940.0,,,0 CDM,7409578201,HC SLEEP POLYSOM 4/+ <6 YRS,8093.0,8093.0,,,0 CDM,7409578301,HC SLEEP POLYSOM 4/+ <6 YRS WITH CPAP,5897.0,5897.0,,,0 CDM,74095800PB,"HC SLEEP STUDY, UNATTENDED, RECORD HEART RATE/O2 SAT/RESP ANAL/SLEEP TIME",4308.0,4308.0,,,0 CDM,7409580501,HC MULTIPLE SLEEP LATENCY TEST,7888.0,7888.0,,,0 CDM,74095805PB,HC MULTIPLE SLEEP LATENCY TEST,7888.0,7888.0,,,0 CDM,7409581001,HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,8626.0,8626.0,,,0 CDM,74095810PB,HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,8626.0,8626.0,,,0 CDM,7409581101,HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,9861.0,9861.0,,,0 CDM,74095811PB,HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,9861.0,9861.0,,,0 CDM,7409581201,"HC EEG,EXTENDED MONITORING,41-60 MINUTES",3876.0,3876.0,,,0 CDM,7409581301,HC EEG EXTENDED MONITORING 61-119 MINUTES,7765.0,7765.0,,,0 CDM,7409581601,"HC EEG,W/AWAKE & DROWSY RECORD",3470.0,3470.0,,,0 CDM,7409581901,"HC EEG,W/AWAKE & ASLEEP RECORD",2168.0,2168.0,,,0 CDM,74095819PB,"HC EEG,W/AWAKE & ASLEEP RECORD",2168.0,2168.0,,,0 CDM,7409582201,"HC EEG,COMA/SLEEP RECORD ONLY",3470.0,3470.0,,,0 CDM,7409582401,HC EEG EVAL CEREBRAL DEATH,3470.0,3470.0,,,0 CDM,7409582901,HC SURGERY ELECTROCORTICOGRAM,7760.0,7760.0,,,0 CDM,7409593801,HC SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMBS,5204.0,5204.0,,,0 CDM,7409593901,HC CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LIMB,2407.0,2407.0,,,0 CDM,7409595502,HC EEG DURING SURGERY,3145.0,3145.0,,,0 CDM,7409595701,HC EEG DIGITAL ANALYSIS,2587.0,2587.0,,,0 CDM,7409595801,HC WADA W/EEG ADULT,3317.0,3317.0,,,0 CDM,7409596101,HC FUNCT CORTICAL AND SUBCORTICAL MAPPING INITIAL HR,2529.0,2529.0,,,0 CDM,7500000001,HC GI/ENDO - LEVEL 1 FIRST 5 MINUTES,1747.0,1747.0,,,0 CDM,7500000002,HC GI/ENDO - LEVEL 1 EACH ADDL MINUTE,129.0,129.0,,,0 CDM,7500000003,HC GI/ENDO - LEVEL 2 FIRST 5 MINUTES,2521.0,2521.0,,,0 CDM,7500000004,HC GI/ENDO - LEVEL 2 EACH ADDL MINUTE,153.0,153.0,,,0 CDM,7500000005,HC GI/ENDO - LEVEL 3 FIRST 5 MINUTES,3224.0,3224.0,,,0 CDM,7500000006,HC GI/ENDO - LEVEL 3 EACH ADDL MINUTE,175.0,175.0,,,0 CDM,7500000007,HC GI/ENDO - LEVEL 4 FIRST 5 MINUTES,3962.0,3962.0,,,0 CDM,7500000008,HC GI/ENDO - LEVEL 4 EACH ADDL MINUTE,198.0,198.0,,,0 CDM,7500000009,HC GI/ENDO - LEVEL 5 FIRST 5 MINUTES,4700.0,4700.0,,,0 CDM,7500000010,HC GI/ENDO - LEVEL 5 EACH ADDL MINUTE,221.0,221.0,,,0 CDM,75000000B1,HC OR ENDO - LEVEL 3 EACH ADDL MINUTE,175.0,175.0,,,0 CDM,75000000B2,HC OR ENDO - LEVEL 1 FIRST 5 MINUTES,1747.0,1747.0,,,0 CDM,75000000B3,HC OR ENDO - LEVEL 1 EACH ADDL MINUTE,129.0,129.0,,,0 CDM,75000000B4,HC OR ENDO - LEVEL 2 FIRST 5 MINUTES,2521.0,2521.0,,,0 CDM,75000000B5,HC OR ENDO - LEVEL 2 EACH ADDL MINUTE,153.0,153.0,,,0 CDM,75000000B6,HC OR ENDO - LEVEL 3 FIRST 5 MINUTES,3224.0,3224.0,,,0 CDM,75000000B8,HC OR ENDO - LEVEL 4 FIRST 5 MINUTES,3962.0,3962.0,,,0 CDM,75000000B9,HC OR ENDO - LEVEL 4 EACH ADDL MINUTE,198.0,198.0,,,0 CDM,75000000C1,HC OR ENDO - LEVEL 5 FIRST 5 MINUTES,4700.0,4700.0,,,0 CDM,75000000C2,HC OR ENDO - LEVEL 5 EACH ADDL MINUTE,221.0,221.0,,,0 CDM,75043215PB,HC ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY,5627.0,5627.0,,,0 CDM,7504323601,HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION - EGD,6102.0,6102.0,,,0 CDM,7504346001,"HC ESOPHAGOGASTRIC TAMPONADE,BALLOON - MINNESOTA TUBE INSERTION",8793.0,8793.0,,,0 CDM,7610780T01,HC INSTILLATION FECAL MICROBIOTA SSP,385.0,385.0,,,0 CDM,762G037803,HC OBSERVATION CARVE-OUT,335.0,335.0,,,0 CDM,762G037804,HC OBSERVATION CARVE-OUT - CARDIOLOGY,335.0,335.0,,,0 CDM,762G037805,HC OBSERVATION CARVE-OUT - RESPIRATORY,335.0,335.0,,,0 CDM,762G037806,HC OBSERVATION CARVE-OUT - SURGICAL,335.0,335.0,,,0 CDM,762G037809,HC OBSERVATION CARVE-OUT - G.I.,335.0,335.0,,,0 CDM,762G037810,HC OBSERVATION CARVE-OUT - RADIOLOGY,335.0,335.0,,,0 CDM,762G037811,HC OBSERVATION CARVE-OUT - INFUSION,335.0,335.0,,,0 CDM,762G037812,HC OBSERVATION CARVE-OUT - RECOVERY TIME,335.0,335.0,,,0 CDM,762G037813,HC OBSERVATION CARVE-OUT - REVENUE INTEGRITY,335.0,335.0,,,0 CDM,762G037814,HC OBSERVATION CARVE-OUT - PT OT ST,335.0,335.0,,,0 CDM,762G037901,HC DIRECT REFER HOSPITAL OBSERV,315.0,315.0,,,0 CDM,770G010101,HC CA SCREEN;PELVIC/BREAST EXAM,698.0,698.0,,,0 CDM,770Q009101,HC OBTAINING SCREEN PAP SMEAR,80.0,80.0,,,0 CDM,7710001A01,"HC SARS-COV-2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML, 1ST DOSE",69.0,69.0,,,0 CDM,7710002A01,"HC SARS-COV-2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML, 2ND DOSE",69.0,69.0,,,0 CDM,7710003A01,"HC SARS-COV-2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML, 3RD DOSE",69.0,69.0,,,0 CDM,7710004A01,"HC SARS-COV-2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML, BOOSTER DOSE",79.0,79.0,,,0 CDM,7710011A01,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 100MCG/0.5ML, 1ST DOSE",69.0,69.0,,,0 CDM,7710012A01,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 100MCG/0.5ML, 2ND DOSE",69.0,69.0,,,0 CDM,7710013A01,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 100MCG/0.5ML, 3RD DOSE",69.0,69.0,,,0 CDM,7710041A01,HC SARS-COV2 VACCINE ADMIN (NOVAVAX) 5MCG/0.5ML 1ST DOSE,79.0,79.0,,,0 CDM,7710042A01,HC SARS-COV2 VACCINE ADMIN (NOVAVAX) 5MCG/0.5ML 2ND DOSE,79.0,79.0,,,0 CDM,7710044A01,HC SARS-COV2 VACCINE ADMIN (NOVAVAX) 5MCG/0.5ML BOOSTER DOSE,79.0,79.0,,,0 CDM,7710051A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/TRS-SUCR1 1ST DOSE,74.0,74.0,,,0 CDM,7710052A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/TRS-SUCR2 2ND DOSE,74.0,74.0,,,0 CDM,7710053A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/TRS-SUCR3 3RD DOSE,111.0,111.0,,,0 CDM,7710054A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/TRS-SUCRB BOOSTER DOSE,74.0,74.0,,,0 CDM,7710064A01,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 50MCG/0.25ML, BOOSTER DOSE",79.0,79.0,,,0 CDM,7710071A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML TRS-SUCR 1ST DOSE,74.0,74.0,,,0 CDM,7710072A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML TRS-SUCR 2ND DOSE,74.0,74.0,,,0 CDM,7710073A01,HC SARS-COV2 VACCINE ADMIN PFIZER 10MCG/0.2ML TRS-SUCR 3RD DOSE,74.0,74.0,,,0 CDM,7710074A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML TRS-SUCR BOOSTER DOSE,74.0,74.0,,,0 CDM,7710081A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML TRS-SUCR 1ST DOSE,78.0,78.0,,,0 CDM,7710082A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML TRS-SUCR 2ND DOSE,78.0,78.0,,,0 CDM,7710083A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML TRS-SUCR 3RD DOSE,74.0,74.0,,,0 CDM,7710094A01,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 50MCG/0.5ML, BOOSTER DOSE",238.0,238.0,,,0 CDM,7710111A01,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML, 1ST DOSE",74.0,74.0,,,0 CDM,7710112A01,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML, 2ND DOSE",74.0,74.0,,,0 CDM,7710121A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML BIV 1ST DOSE,74.0,74.0,,,0 CDM,7710124A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML BIV ADDL DOSE,79.0,79.0,,,0 CDM,7710134A01,HC SARS-COV2 VACCINE ADMIN (MODERNA) 50MCG/0.5ML BIV ADDL DOSE,79.0,79.0,,,0 CDM,7710141A01,HC SARS-COV2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML BIV 1ST DOSE,74.0,74.0,,,0 CDM,7710142A01,HC SARS-COV2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML BIV 2ND DOSE,74.0,74.0,,,0 CDM,7710144A01,HC SARS-COV2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML BIV ADDL DOSE,79.0,79.0,,,0 CDM,7710151A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML BIV 1ST DOSE,74.0,74.0,,,0 CDM,7710154A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML BIV ADDL DOSE,79.0,79.0,,,0 CDM,7710171A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML BIV 1ST DOSE,69.0,69.0,,,0 CDM,7710172A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML BIV 2ND DOSE,69.0,69.0,,,0 CDM,7710173A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML BIV 3RD DOSE,69.0,69.0,,,0 CDM,7710174A01,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML BIV ADDL DOSE,79.0,79.0,,,0 CDM,7719046001,"HC IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID",282.0,282.0,,,0 CDM,7719047101,"HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID",266.0,266.0,,,0 CDM,7719047102,"HC IMMUNIZ ADMIN, INFLUENZA",266.0,266.0,,,0 CDM,7719047103,"HC IMMUNIZ ADMIN, PNEUMOCOCCAL",266.0,266.0,,,0 CDM,7719047201,"HC IMMUNIZ,ADMIN,EACH ADDL",129.0,129.0,,,0 CDM,7719047301,HC IMMUNE ADMIN ORAL/NASAL 1 VAC,63.0,63.0,,,0 CDM,7719047401,HC IMMUNE ADMIN ORAL/NASAL EA ADDL VAC,63.0,63.0,,,0 CDM,7719048001,HC SARS-COV2 VACCINE ADMIN 1 DOSE,74.0,74.0,,,0 CDM,771G001001,HC ADMIN HEPATITIS B VACCINE,282.0,282.0,,,0 CDM,780Q301402,HC TELEHEALTH FACILITY FEE,128.0,128.0,,,0 CDM,7905059001,HC FRAGMENT KIDNEY STONE/ ESWL,22747.0,22747.0,,,0 CDM,8009094501,HC DIALYSIS - PERITONEAL INPATIENT W/ SINGLE EVAL,2793.0,2793.0,,,0 CDM,8009094502,HC DIALYSIS - PERITONEAL INPATIENT EXCHANGE FLUSH,2793.0,2793.0,,,0 CDM,8009099701,HC HEMOPERFUSION,3090.0,3090.0,,,0 CDM,8019093501,HC INPT HEMODIALYSIS PROCEDURE W/ PHYS/QHP SNGL EVALUATION,5894.0,5894.0,,,0 CDM,8019093502,HC HEMODIALYSIS PROCEDURE INPATIENT HD W/ SINGLE EVALUATION,5894.0,5894.0,,,0 CDM,8019093503,HC HEMODIALYSIS PROCEDURE INPATIENT CRRT W/ SINGLE EVALUATION,5894.0,5894.0,,,0 CDM,8019093701,"HC HEMODIALYSIS, W/ REPEATED EVALS",3297.0,3297.0,,,0 CDM,8100000001,HC BONE MARROW PROCUREMENT,47094.0,47094.0,,,0 CDM,8100000002,HC CORNEAL TISSUE 6447 (3404),42404.0,42404.0,,,0 CDM,8100000003,HC ALLOGRAFT SFTIS AMNIOGRAFT AMNIOTIC MEM 2.5X2CM,10093.0,10093.0,,,0 CDM,8100000004,HC ALLOGRAFT SFTIS AMNIOGRAFT AMNIOTIC MEM 1.5X1CM,7164.0,7164.0,,,0 CDM,8100000005,HC CORNEA HALF MOON (C0301AL),4259.0,4259.0,,,0 CDM,8100000006,HC CORNEA HUMAN IN OPTISOL GS (3172748527),32248.0,32248.0,,,0 CDM,8100000007,HC PKP CORNEA (GRAFTPKP),42404.0,42404.0,,,0 CDM,8103823001,HC BONE MARROW COLLECTION,13706.0,13706.0,,,0 CDM,8110000001,HC LIVING DONOR - KIDNEY,20000.0,20000.0,,,0 CDM,8120000001,HC CADAVER DONOR - HEART,145000.0,145000.0,,,0 CDM,8120000002,HC CADAVER DONOR - KIDNEY,60000.0,60000.0,,,0 CDM,8120000003,HC CADAVER DONOR - LIVER,90000.0,90000.0,,,0 CDM,8120000004,HC CADAVER DONOR - LUNG,130000.0,130000.0,,,0 CDM,8120000005,HC CADAVER DONOR - PANCREAS,60000.0,60000.0,,,0 CDM,8150000001,HC BONE MARROW DONOR SEARCH TESTING,33732.0,33732.0,,,0 CDM,8150000002,HC BONE MARROW ACQUISITION,7386.0,7386.0,,,0 CDM,8193820701,HC ALLO CRYPRESERV STEM CELLS,5153.0,5153.0,,,0 CDM,8193820702,HC BONE MARROW CRYOPRESERVATION,5153.0,5153.0,,,0 CDM,8193820801,HC AUTO STEM CELL REINFUSION,2751.0,2751.0,,,0 CDM,8193820802,HC CORD BLOOD THAW HPC - DONOR,2572.0,2572.0,,,0 CDM,8193820901,HC CORDBLOOD WASH HPC,2859.0,2859.0,,,0 CDM,8193821201,HC AUTOMATED RBC DEPLETION,1098.0,1098.0,,,0 CDM,8193821501,HC CD34 ENRICHMENT LVL 2,46999.0,46999.0,,,0 CDM,8193821502,HC CD34 ENRICHMENT LVL 1,31331.0,31331.0,,,0 CDM,8219093501,HC HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION,5894.0,5894.0,,,0 CDM,8219099901,HC DIALYSIS PROCEDURE,5495.0,5495.0,,,0 CDM,829G025701,HC UNSCHED DIALYSIS ESRD PT HOS,5223.0,5223.0,,,0 CDM,8319094501,HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - PERITONEAL DIALYSIS,2793.0,2793.0,,,0 CDM,8619596501,HC MEG SPONTANEOUS BRAIN ACTIVITY,21054.0,21054.0,,,0 CDM,8619596601,HC MEG EVOKED FIELD SINGLE,7534.0,7534.0,,,0 CDM,8619596701,HC MEG EVOKED EACH ADDITIONAL FIELD,7534.0,7534.0,,,0 CDM,8713822501,HC CAR-T THERAPY HRVG BLD DRV T LMPHCYT PR DAY,13706.0,13706.0,,,0 CDM,8723822601,HC CAR-T THERAPY PREPJ BLD DRV T LMPHCYT F/TRNS,1538.0,1538.0,,,0 CDM,8733822701,HC CAR-T THERAPY RECEIPT & PREP CAR-T CELLS F/ADMN,5361.0,5361.0,,,0 CDM,8743822801,HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION,5153.0,5153.0,,,0 CDM,8819094501,HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - MISCELLANEOUS DIALYSIS,2793.0,2793.0,,,0 CDM,9009079101,HC PSYCHIATRIC DIAGNOSTIC EVALUATION,971.5,971.5,,,0 CDM,9009079201,HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,971.0,971.0,,,0 CDM,900G221401,HC INIT/SUB PSYCH CARE MGMT INIT MONTHLY 1ST 30 MIN,284.0,284.0,,,0 CDM,900H201201,"HC BEHAV HLTH DAY TREAT, PER HR",975.0,975.0,,,0 CDM,9019087001,HC ELECTROCONVULSIVE THERAPY,1577.0,1577.0,,,0 CDM,904G017601,HC BH ACTIVITY THERAPY PER SESSION,671.0,671.0,,,0 CDM,9050000001,HC BH IOP PER DIEM PSYCHIATRIC,1217.0,1217.0,,,0 CDM,9060000001,HC BH IOP PER DIEM CHEMICAL,1215.0,1215.0,,,0 CDM,906H001501,HC BH IOP PER DIEM DRUG & ALCOHOL,1215.0,1215.0,,,0 CDM,9120000001,HC BH PHP LESS INTENSE FULL DAY,3587.0,3587.0,,,0 CDM,9120000002,HC BH PHP LESS INTENSE HALF DAY,1183.0,1183.0,,,0 CDM,9130000001,HC BH PHP INTENSE FULL DAY,3587.0,3587.0,,,0 CDM,9149078501,HC PSYCHOTHERAPY COMPLEX INTERACTIVE,876.0,876.0,,,0 CDM,9149083201,HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES,971.0,971.0,,,0 CDM,9149083401,HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES,388.0,388.0,,,0 CDM,9149083701,HC PSYCHOTHERAPY W/ PT 60 MINUTES,524.0,524.0,,,0 CDM,9149615801,HC BH INTERVENT INDIVIDUAL INIT 30 MIN,124.0,124.0,,,0 CDM,9149615901,HC BH INTERVENT INDIVIDUAL ADDL 15 MIN,134.0,134.0,,,0 CDM,9149715301,HC ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN,543.0,543.0,,,0 CDM,9149715501,HC ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN,543.0,543.0,,,0 CDM,914H003101,HC MH HEALTH ASSESS BY NON-MD,589.0,589.0,,,0 CDM,914H003201,HC MH SVC PLAN DEV BY NON-MD,589.0,589.0,,,0 CDM,914H201401,"HC BH SKILLS TRAINING & DEVELOPMENT, PER 15 MIN",225.0,225.0,,,0 CDM,914H201901,"HC THER BEHAV SVC, PER 15 MIN",357.0,357.0,,,0 CDM,9159085301,"HC GROUP PSYCHOTHERAPY, IOP/PHP",450.0,450.0,,,0 CDM,9159085302,"HC GROUP PSYCHOTHERAPY, VIRTUAL/IN-PERSON",427.0,427.0,,,0 CDM,9159616401,HC BH INTERVENT GROUP INIT 30 MIN,33.0,33.0,,,0 CDM,9159715401,"HC ABT GROUP TREAT BY PROTOCOL, TECH, 15 MIN",191.0,191.0,,,0 CDM,9159715801,HC GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN,191.0,191.0,,,0 CDM,9169084701,HC FAMILY PSYCHOTHERAPY W/ PT 50 MIN,971.5,971.5,,,0 CDM,9169084901,HC MULTIP FAMILY-GROUP PSYCHOTHERAPY,971.5,971.5,,,0 CDM,9169616701,HC BH INTERVENT FAMILY W/ PATIENT INIT 30 MIN,151.0,151.0,,,0 CDM,9169617001,HC BH INTERVENT FAMILY W/O PATIENT INIT 30 MIN,449.0,449.0,,,0 CDM,9169715601,HC ADAPT BHV TX PRTCL MODIF PHYS/QHP EA 15 MIN FAM,191.0,191.0,,,0 CDM,9169715701,"HC ABT MULTI-FAM GRP W/O PT, 15 MIN",93.0,93.0,,,0 CDM,9189612702,HC BRIEF BEHAVIOR ASSESS W/SCORING/DOC PER INSTRUMENT,111.0,111.0,,,0 CDM,9189613001,HC PSYCH TEST EVAL BY PHYS 1ST HR,864.0,864.0,,,0 CDM,9189613201,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR,922.0,922.0,,,0 CDM,9189613801,HC PSYCL/NRPSYCL TST TECH 2+ TST 1ST 30 MIN,790.0,790.0,,,0 CDM,9189613901,HC PSYCL/NRPSYC TST TECH EA,790.0,790.0,,,0 CDM,9189615601,HC BH ASSESSMENT/REASSESSMENT,128.0,128.0,,,0 CDM,9189715101,HC BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN,543.0,543.0,,,0 CDM,9189715201,HC BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN,543.0,543.0,,,0 CDM,9200358T01,HC BIOELEC IMPEDANCE ANALYSIS WHOLE BODY SCAN,231.0,231.0,,,0 CDM,9200598T01,HC NONCONTRACT RT FLUOR IMG 1ST ANAT SITE,1119.0,1119.0,,,0 CDM,9200599T01,HC NONCONTRACT RT FLUOR IMG EA ADDL ANAT SITE,1119.0,1119.0,,,0 CDM,9205174101,HC COMPLEX UROFLOWMETRY,526.0,526.0,,,0 CDM,9205179701,HC VOIDING PRESS STUDY INTRA-ABDOMINAL VOID,1043.0,1043.0,,,0 CDM,9205902001,HC FETAL CONTRACTION STRESS TEST,2380.0,2380.0,,,0 CDM,9205902501,HC FETAL NON-STRESS TEST CLINIC,976.0,976.0,,,0 CDM,9209106501,HC BREATH HYDROGEN/METHANE TEST,1426.0,1426.0,,,0 CDM,9209227401,HC ELECTRORETINOGRAPHY W/ INTERP AND RPT MULTIFOCAL,530.0,530.0,,,0 CDM,9209250401,HC BINOCULAR MICROSCOPY EAR,590.0,590.0,,,0 CDM,9209388601,HC TRANSCRAN DOPPLER INTRACRAN ART,2306.0,2306.0,,,0 CDM,9209399801,HC UNL NONINV VASC DX STUDY,179.0,179.0,,,0 CDM,9209525001,HC CONT GLUC MNTR >72HR,863.0,863.0,,,0 CDM,92095250PB,HC CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT,863.0,863.0,,,0 CDM,9209580002,HC UNATTENDED SLEEP STUDY W/ PERIPH ART TONE,4308.0,4308.0,,,0 CDM,9209580101,HC UNATTENDED SLEEP STUDY W/ RESP ANAL,819.0,819.0,,,0 CDM,9209580501,HC MULTIPLE SLEEP LATENCY TEST W/ SCORING,7888.0,7888.0,,,0 CDM,9209580601,"HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF",4308.0,4308.0,,,0 CDM,9209581002,HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,8626.0,8626.0,,,0 CDM,9209581102,HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,9861.0,9861.0,,,0 CDM,9209587301,HC ESTIM GUIDANCE FOR CHEMODENERVATION,752.0,752.0,,,0 CDM,9209587401,HC NEEDLE EMG GUIDANCE FOR CHEMODENERVATION,338.0,338.0,,,0 CDM,9209592801,HC TRANSCRAN MTR STIM UPPER 95928,6679.0,6679.0,,,0 CDM,9209592901,HC TRANSCRAN MTR STIM LOWER 95929,3542.0,3542.0,,,0 CDM,9209594001,HC IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES,269.0,269.0,,,0 CDM,9209594101,HC IONM REMOTE/NEARBY/>1 PATIENT IN OR PER HOUR,1594.0,1594.0,,,0 CDM,9209597001,HC ELEC ANAL IMP NEUROSTIM NPGT W/O PROG,326.0,326.0,,,0 CDM,9209597101,"HC ANALYZE IMP NEUROSTIM W/PROGRAM, SIMPLE",326.0,326.0,,,0 CDM,9209597201,HC ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,964.0,964.0,,,0 CDM,92095972PB,HC ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,964.0,964.0,,,0 CDM,9209597601,HC ELEC ANAL IMP NEURSTM NPGT SIM CRN NRV W/PRG,111.0,111.0,,,0 CDM,9209597701,HC ELEC ANAL IMP NEURO CPLX NPGT W/PROG,314.0,314.0,,,0 CDM,9209600001,HC PT MOTION ANALYSIS VIDEO/3D,3542.0,3542.0,,,0 CDM,920G039801,HC HOME SLEEP TEST TYPE II,1303.0,1303.0,,,0 CDM,920G039902,HC HOME SLEEP TEST TYPE III,888.0,888.0,,,0 CDM,920G040001,HC HOME SLEEP STUDY TYPE 4,819.0,819.0,,,0 CDM,9213721701,HC VASC TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE,37615.0,37615.0,,,0 CDM,9219388003,"HC DUPLEX SCAN EXTRACRANIAL,BILAT",2576.0,2576.0,,,0 CDM,9219388201,"HC DUPLEX SCAN EXTRACRANIAL,LIMITED",1475.0,1475.0,,,0 CDM,9219389301,"HC TRANSCRAN DOPP INTRACRAN, EMBOLI W/INJ",827.0,827.0,,,0 CDM,9219392203,HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL,1400.0,1400.0,,,0 CDM,9219392301,HC NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVELS,1733.0,1733.0,,,0 CDM,9219392401,"HC NON-INVASIVE LOWER EXTREM ART STRESS/REST, COMPLETE,BILATERAL",1307.0,1307.0,,,0 CDM,9219392502,HC DUPLEX LO EXTREM ART BILAT,2222.0,2222.0,,,0 CDM,9219392602,HC DUPLEX LO EXTREM ART UNILAT/LTD,1648.0,1648.0,,,0 CDM,9219393003,HC DUPLEX UP EXTREM ART BILAT,2174.0,2174.0,,,0 CDM,9219393101,HC DUPLEX UP EXTREM ART UNILAT/LTD,1648.0,1648.0,,,0 CDM,9219397001,"HC DUPLEX EXTREM VENOUS,BILAT",2249.0,2249.0,,,0 CDM,9219397006,"HC VASC DUPLEX EXTREM VENOUS,BILAT",2249.0,2249.0,,,0 CDM,9219397102,"HC DUPLEX EXTREM VENOUS,UNI OR LTD - US DOPPLER VENOUS ARM",1988.0,1988.0,,,0 CDM,9219397104,"HC DUPLEX EXTREM VENOUS,UNI OR LTD - CV US DOPPLER VENOUS LEG",1988.0,1988.0,,,0 CDM,9219397107,"HC DUPLEX EXTREM VENOUS,UNI OR LTD - UPPER EXTREM SUPERFICIAL VEIN MAP",1988.0,1988.0,,,0 CDM,9219397108,"HC DUPLEX EXTREM VENOUS,UNI OR LTD - LOWER EXTREM SUPERFICIAL VEIN MAP",1988.0,1988.0,,,0 CDM,9219397502,HC VASCULAR STUDY - RENAL ARTERY DUPLEX,2064.0,2064.0,,,0 CDM,9219397503,HC VASCULAR STUDY - SUPERIOR MESENTERIC ARTERY DUPLEX,2064.0,2064.0,,,0 CDM,9219397504,"HC VASC DUPLEX ABD/PEL VASC STUDY,COMPLETE",2064.0,2064.0,,,0 CDM,9219397601,HC VASCULAR STUDY - US ABDOMEN DOPPLER LIMITED,1621.0,1621.0,,,0 CDM,9219397602,HC VASCULAR STUDY - US RENAL ARTERY STENOSIS HYPERTENSION LIMITED,1621.0,1621.0,,,0 CDM,9219397801,"HC DUPLEX LARGE VESSEL(S),COMPLETE",1808.0,1808.0,,,0 CDM,9219397901,"HC DUPLEX LARGE VESSEL(S),LIMITED",1235.0,1235.0,,,0 CDM,9219398001,HC VASCULAR STUDY - PENILE DUPLEX,790.0,790.0,,,0 CDM,9219398101,"HC PENILE VASCULAR STUDY,LTD OR F/U - US PENIS DOPPLER LIMITED",1368.0,1368.0,,,0 CDM,9219398501,"HC VASC DUPLEX PREOP ART/VEN DIALYSIS SHUNT PLANNING STUDY,COMPLETE BILAT",1670.0,1670.0,,,0 CDM,9219398601,"HC VASC DUPLEX PREOP ART/VEN DIALYSIS SHUNT PLANNING STUDY,COMPLETE UNILAT",790.0,790.0,,,0 CDM,9219399001,HC DUPLEX HEMODIALYSIS ACCESS,1308.0,1308.0,,,0 CDM,9225178401,HC ANAL/URINARY MUSCLE STUDY,526.0,526.0,,,0 CDM,9229586001,"HC EMG, NEEDLE, ONE LIMB",1244.0,1244.0,,,0 CDM,9229586101,"HC EMG, NEEDLE, TWO LIMBS",1422.0,1422.0,,,0 CDM,9229586301,"HC EMG, NEEDLE, 3 LIMBS - EMG 3 LIMBS",1156.0,1156.0,,,0 CDM,9229586401,"HC EMG, NEEDLE, 4 LIMBS",2009.0,2009.0,,,0 CDM,9229586501,HC EMG LARYNX,545.0,545.0,,,0 CDM,9229586701,"HC EMG,NEEDLE,CRANIAL NERVE SUPP MUS,UNILAT",1053.0,1053.0,,,0 CDM,9229586802,"HC EMG, NEEDLE, HEAD OR NECK",636.0,636.0,,,0 CDM,9229586901,"HC EMG,NEEDLE,THOR PARASPIN MUS,EXC T1/T12 - EMG THORACIC/PARASPINAL",911.0,911.0,,,0 CDM,9229587002,"HC EMG,1 EXTREM,NONPARASPINAL",819.0,819.0,,,0 CDM,9229588501,HC NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED,355.0,355.0,,,0 CDM,92295885PB,HC NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED,355.0,355.0,,,0 CDM,9229588601,HC NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE,495.0,495.0,,,0 CDM,92295886PB,HC NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE,495.0,495.0,,,0 CDM,9229588701,HC NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION,391.0,391.0,,,0 CDM,92295887PB,HC NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION,391.0,391.0,,,0 CDM,9229590701,HC MOTOR &/SENS 1-2 NRV CNDJ PRECONF ELTRODE LIMB,543.0,543.0,,,0 CDM,92295907PB,HC MOTOR &/SENS 1-2 NRV CNDJ PRECONF ELTRODE LIMB,543.0,543.0,,,0 CDM,9229590801,HC MOTOR &/SENS 3-4 NRV CNDJ PRECONF ELTRODE LIMB,1199.0,1199.0,,,0 CDM,92295908PB,HC MOTOR &/SENS 3-4 NRV CNDJ PRECONF ELTRODE LIMB,1199.0,1199.0,,,0 CDM,9229590901,HC MOTOR &/SENS 5-6 NRV CNDJ PRECONF ELTRODE LIMB,1280.0,1280.0,,,0 CDM,92295909PB,HC MOTOR &/SENS 5-6 NRV CNDJ PRECONF ELTRODE LIMB,1280.0,1280.0,,,0 CDM,9229591001,HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB,1181.0,1181.0,,,0 CDM,92295910PB,HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB,1181.0,1181.0,,,0 CDM,9229591101,HC MOTOR &/SENS 9-10 NRV CNDJ PRECONF ELTRODE LIMB,2007.0,2007.0,,,0 CDM,92295911PB,HC MOTOR &/SENS 9-10 NRV CNDJ PRECONF ELTRODE LIMB,2007.0,2007.0,,,0 CDM,9229591201,HC MOTOR &/SENS 11-12 NRV CNDJ PRECONF ELTRODE LIMB,2404.0,2404.0,,,0 CDM,92295912PB,HC MOTOR &/SENS 11-12 NRV CNDJ PRECONF ELTRODE LIMB,2404.0,2404.0,,,0 CDM,9229591301,HC MOTOR &/SENS 13/> NRV CNDJ PRECONF ELTRODE LIMB,3462.0,3462.0,,,0 CDM,92295913PB,HC MOTOR &/SENS 13/> NRV CNDJ PRECONF ELTRODE LIMB,3462.0,3462.0,,,0 CDM,92295921PB,"HC TEST AUTO NERV SYS,CARDIOVAGAL INNER",1014.0,1014.0,,,0 CDM,92295923PB,"HC TEST AUTO NERV SYS,SUDOMOTOR",819.0,819.0,,,0 CDM,9229592501,HC EMG SSEP UPPER EXTREMITY,2810.0,2810.0,,,0 CDM,9229592601,"HC SOMATOSENSORY TEST,LOWER LIMBS",2810.0,2810.0,,,0 CDM,9229593001,HC VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R,3090.0,3090.0,,,0 CDM,9229593701,HC NEUROMUSCULAR JUNCTION TEST,1403.0,1403.0,,,0 CDM,9249507001,"HC BRONCHIAL ALLERGY TESTS,DRUGS",3542.0,3542.0,,,0 CDM,92495070PB,"HC BRONCHIAL ALLERGY TESTS,DRUGS",3542.0,3542.0,,,0 CDM,92495117PB,"HC IMMUNOTHERAPY, 2+ INJECTIONS",291.0,291.0,,,0 CDM,9400000001,HC WELLNESS LMT MASSAGE,44.0,44.0,,,0 CDM,9400000002,HC WELLNESS INDIVIDUAL THERAPY,120.0,120.0,,,0 CDM,9400000003,HC WELLNESS GROUP THERAPY,95.0,95.0,,,0 CDM,9400663T01,HC SCALP COOL PLMT MNTR RMVL,411.0,411.0,,,0 CDM,9409091201,HC BIOFEED PERINEAL / RECTAL INIT 15 MIN,506.0,506.0,,,0 CDM,9409511701,"HC IMMUNOTHERAPY, 2+ INJECTIONS",291.0,291.0,,,0 CDM,9409599001,HC SPINE/BRAIN PUMP REFIL & MAIN,2551.0,2551.0,,,0 CDM,9409604101,HC GENETIC COUNSELING EA 30 MIN,344.0,344.0,,,0 CDM,9409615601,HC BH ASSESSMENT CLINICAL INTERVIEW,128.0,128.0,,,0 CDM,9409615801,HC BH INTERVENTION FACE TO FACE INITIAL 30 MIN,124.0,124.0,,,0 CDM,9409616701,HC BH PT INTERVENTION FACE TO FACE W/FAMILY INITIAL 30 MIN,151.0,151.0,,,0 CDM,94096910PB,HC PHOTOCHEMOTHERAPY WITH UV-B,214.0,214.0,,,0 CDM,9409691201,HC PHOTOCHEMOTHERAPY WITH UV-A (PUVA),190.0,190.0,,,0 CDM,9409691301,HC PHOTOCHEMOTHERAPY UV-A OR B,1198.0,1198.0,,,0 CDM,9409779901,HC PT INDIVIDUAL THERAPY WELLNESS,120.0,120.0,,,0 CDM,9409781001,HC ACUPUNCTURE W/O ELEC STIM INITIAL 15 MIN,235.0,235.0,,,0 CDM,9409781101,HC ACUPUNCTURE REINSERT W/O ELEC STIM EA ADDL 15 MIN,196.0,196.0,,,0 CDM,9409781301,HC ACUPUNCTURE W/ ELEC STIM INITIAL 15 MIN,273.0,273.0,,,0 CDM,9409781401,HC ACUPUNCTURE REINSERT W/ ELEC STIM EA ADDL 15 MIN,235.0,235.0,,,0 CDM,9409919501,HC THERAPEUTIC PHLEBOTOMY (SEPARATE PROCEDURE),2818.0,2818.0,,,0 CDM,9409919502,HC PEDIATRIC THERAPTEUTIC PHLEBOTOMY,773.0,773.0,,,0 CDM,9409960501,HC MEDICATION THERAPY MGMT 15 MINUTES NEW PATIENT,219.0,219.0,,,0 CDM,9409960601,HC MEDICATION THERAPY MGMT 15 MINUTES EST PATIENT,219.0,219.0,,,0 CDM,9409960701,HC MEDICATION THERAPY MGMT ADDITIONA 15 MINUTES,219.0,219.0,,,0 CDM,9420000001,HC DIET ASSESSMENT BRIEF,23.0,23.0,,,0 CDM,9420000003,HC DIET ASSESSMENT 31 TO 60 MINUTES,272.0,272.0,,,0 CDM,9429755001,HC BH CAREGIVER TRAIN INIT 30 MIN,415.0,415.0,,,0 CDM,9429755101,HC BH CAREGIVER TRAIN EA ADD 15 MIN,206.0,206.0,,,0 CDM,9429780201,"HC MED NUTR THER, 1ST, INDIV, EA 15 MIN",106.0,106.0,,,0 CDM,9429780301,"HC MED NUTR THER, SUBSQ, INDIV, EA 15 MIN",124.0,124.0,,,0 CDM,9429780401,"HC MED NUTR THER, GROUP, EA 30 MIN",79.0,79.0,,,0 CDM,9429940601,HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,618.0,618.0,,,0 CDM,9429940701,HC TOBACCO USE CESSATION INTENSIVE >10 MINUTES,1088.0,1088.0,,,0 CDM,942G010801,HC DIAB MANAGE TRN PER INDIV,247.0,247.0,,,0 CDM,942G010901,HC DIAB MANAGE TRN IND/GROUP,103.0,103.0,,,0 CDM,942G027001,HC MNT SUBS TX FOR CHANGE DX,2.0,2.0,,,0 CDM,9430000001,HC CARD REHAB PHASE 1 INPATIENT,242.0,242.0,,,0 CDM,9439379701,HC OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR,242.0,242.0,,,0 CDM,9439379801,HC OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING,301.0,301.0,,,0 CDM,943G042201,HC INTENSIVE CARDIAC REHAB W/ EXERCISE,710.0,710.0,,,0 CDM,943G042301,HC INTENSIVE CARDIAC REHAB W/O EXERCISE,710.0,710.0,,,0 CDM,9489462501,HC PULMONARY REHAB W/O OXI MONITOR PER SESSION,372.0,372.0,,,0 CDM,9489462601,HC PULMONARY REHAB W/ OXI MONITOR PER SESSION,372.0,372.0,,,0 CDM,9970000001,HC MAINTENANCE CARDIAC REHAB,110.0,110.0,,,0 CDM,9970000002,HC MAINTENANCE PULMONARY REHAB,73.0,73.0,,,0 CDM,9999919901,HC MUSIC TX - ASSESS THERAPY BENEFIT PER 15 MIN,158.0,158.0,,,0 CDM,9999919902,HC MUSIC TX - NEONATE PER 15 MIN,153.0,153.0,,,0 CDM,9999919903,HC MUSIC TX Çô SESSION W/ FAMILY AND PATIENT,151.0,151.0,,,0 CDM,9999919904,HC MUSIC TX Çô SESSION W/ FAMILY ONLY,154.0,154.0,,,0 CDM,9999919905,HC MUSIC TX - PEDIATRIC GROUP THERAPY PER 15 MIN,65.0,65.0,,,0 CDM,9999919906,HC MUSIC TX - PEDIATRIC INDIVID THERAPY PER 15 MIN,136.0,136.0,,,0 CDM,999P300101,HC PATHOLOGIST INTERPRETATION SCREENING,116.0,116.0,,,0 CDM,PS1262543,HC NEEDLE PLACMNT GLD MRKR 17GAX20CM 1.2X3MM POUCH 3,1867.0,1867.0,,,0 CDM,PS1262555,HC NEEDLE PLACMNT GLD MRKR 17GAX20CM 1.2X3MM POUCH 1,1520.0,1520.0,,,0 CDM,PS1764938,HC BRACE KNE X-ACT ROM SWVL AND SNP UNIV,643.0,643.0,,,0 CDM,PS1785846,HC COLLAR CERV VISTA 637 LWR LSO,1475.0,1475.0,,,0 CDM,PS1785847,HC COLLAR CERV VISTA 464 LWR TLSO,1475.0,1475.0,,,0 CDM,PS1814755,HC IMPLANT SPACEROAR HYDRGL 10ML RDTPY TRMT PROST CNCR,28054.0,28054.0,,,0 CDM,PS1820620,HC UNIT THPT HOT COLD JETSTREAM COMBO W/ KNE SHLD BLKT NSTRL,1054.0,1054.0,,,0 CDM,PS1828901,HC BRACE KNE FORM FIT SHT ROM LG,396.0,396.0,,,0 CDM,PS1831725,HC ORTHOSIS C.A.S.H. HNGD PEC/PUBIC PD STD 36IN LWR RIB 36IN LF,527.0,527.0,,,0 CDM,PS1831726,HC ORTHOSIS C.A.S.H. HNGD PEC/PUBIC PD STD 42IN LWR RIB 42IN LF,527.0,527.0,,,0 CDM,PS1833844,HC BRACE KNE POSTOP ROM FULL FOAM BLK SM/MD 28IN,396.0,396.0,,,0 CDM,PS1834169,HC NEEDLE BRACHY FLEXINEEDLE 15G W/ STY STRL,1499.0,1499.0,,,0 CDM,PS1836805,HC TUBE GD F/ILO,845.0,845.0,,,0 CDM,PS1842311,HC FIDUCIAL MRKR NDL GLD 18GAX20CM 1X3MM,90.0,90.0,,,0 CDM,PS1845130,HC IMPLANT VUE SPACEOAR HYDROGEL RDTPY TRMT PROST CANCER,16317.0,16317.0,,,0 CDM,PS1845599,HC COLLAR CERV VISTA MULTIPOST,396.0,396.0,,,0 CDM,PS1858372,HC CATH BRACHY ADMIN C1728,677.0,677.0,,,0 HCPCS,0001A,"HC SARS-COV-2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML, 1ST DOSE",69.0,69.0,,,0 HCPCS,0001U,Rbc dna hea 35 ag 11 bld grp,,,720.0,1908.0,7 HCPCS,0002A,"HC SARS-COV-2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML, 2ND DOSE",69.0,69.0,,,0 HCPCS,0002M,Liver dis 10 assays w/ash,,,503.4,1334.01,7 HCPCS,0002U,Onc clrct 3 ur metab alg plp,,,25.0,66.25,7 HCPCS,0003A,"HC SARS-COV-2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML, 3RD DOSE",69.0,69.0,,,0 HCPCS,0003M,Liver dis 10 assays w/nash,,,503.4,1334.01,7 HCPCS,0003U,Onc ovar 5 prtn ser alg scor,,,950.0,2517.5,7 HCPCS,0004A,"HC SARS-COV-2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML, BOOSTER DOSE",79.0,79.0,,,0 HCPCS,0004M,Scoliosis dna alys,,,79.0,209.35,7 HCPCS,0005U,Onco prst8 3 gene ur alg,,,760.0,2014.0,7 HCPCS,0006M,Onc hep gene risk classifier,,,150.0,397.5,7 HCPCS,0007M,Onc gastro 51 gene nomogram,,,375.0,993.75,7 HCPCS,0007U,Rx test prsmv ur w/def conf,,,114.43,303.24,7 HCPCS,0008U,Hpylori detcj abx rstnc dna,,,597.91,1584.46,7 HCPCS,0009U,Onc brst ca erbb2 amp/nonamp,,,107.0,283.55,7 HCPCS,0010U,Nfct ds strn typ whl gen seq,,,427.26,1132.24,7 HCPCS,0011A,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 100MCG/0.5ML, 1ST DOSE",69.0,69.0,,,0 HCPCS,0011M,Onc prst8 ca mrna 12 gen alg,,,760.0,2014.0,7 HCPCS,0011U,Rx mntr lc-ms/ms oral fluid,,,114.43,303.24,7 HCPCS,0012A,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 100MCG/0.5ML, 2ND DOSE",69.0,69.0,,,0 HCPCS,0012M,Onc mrna 5 gen rsk urthl ca,,,760.0,2014.0,7 HCPCS,0013A,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 100MCG/0.5ML, 3RD DOSE",69.0,69.0,,,0 HCPCS,0013M,Onc mrna 5 gen recr urthl ca,,,760.0,2014.0,7 HCPCS,0015M,Adrnl cortcl tum bchm asy 25,,,1305.37,3459.23,7 HCPCS,0016M,Onc bladder mrna 209 gen alg,,,3489.63,9247.52,7 HCPCS,0016U,Onc hmtlmf neo rna bcr/abl1,,,163.96,434.49,7 HCPCS,0017M,Onc dlbcl mrna 20 genes alg,,,2510.21,6652.06,7 HCPCS,0017U,Onc hmtlmf neo jak2 mut dna,,,91.66,242.9,7 HCPCS,0018M,Trnsplj rnl meas cd154+cll,,,640.73,1697.93,7 HCPCS,0018U,Onc thyr 10 microrna seq alg,,,3002.09,7955.54,7 HCPCS,0019M,Cv ds plasma alys prtn bmrk,,,712.4,1887.86,7 HCPCS,0019U,Onc rna tiss predict alg,,,3675.0,9738.75,7 HCPCS,0021U,Onc prst8 detcj 8 autoantb,,,760.0,2014.0,7 HCPCS,0022U,Trgt gen seq dna&rna 23 gene,,,1950.0,5167.5,7 HCPCS,0023U,Onc aml dna detcj/nondetcj,,,248.51,658.55,7 HCPCS,0024U,Glyca nuc mr spectrsc quan,,,34.19,90.6,7 HCPCS,0025U,Tenofovir liq chrom ur quan,,,114.43,303.24,7 HCPCS,0026U,Onc thyr dna&mrna 112 genes,,,3600.0,9540.0,7 HCPCS,0027U,Jak2 gene trgt seq alys,,,121.91,323.06,7 HCPCS,0029U,Rx metab advrs trgt seq alys,,,742.27,1967.02,7 HCPCS,0030U,Rx metab warf trgt seq alys,,,134.13,355.44,7 HCPCS,0031U,Cyp1a2 gene,,,174.81,463.25,7 HCPCS,0032U,Comt gene,,,174.81,463.25,7 HCPCS,0034U,Tpmt nudt15 genes,,,466.17,1235.35,7 HCPCS,0035U,HC NEURO CSF PRION PRTN QUAL,986.0,986.0,,,0 HCPCS,0035U,HC NEURO PRION PROTEIN - 14 3 3 PROTEIN CSF - ARUP,2480.0,2480.0,,,0 HCPCS,0035U,Neuro csf prion prtn qual,,,540.99,1433.62,7 HCPCS,0036U,Xome tum & nml spec seq alys,,,4780.0,12667.0,7 HCPCS,0037U,"HC PLA: TARGETED GENOMIC SEQ, DNA ANALYSIS 324 GENES (F1CDX)",5912.0,5912.0,,,0 HCPCS,0037U,Trgt gen seq dna 324 genes,,,3500.0,9275.0,7 HCPCS,0038U,Vitamin d srm microsamp quan,,,29.6,78.44,7 HCPCS,0039U,Dna antb 2strand hi avidity,,,13.74,36.41,7 HCPCS,0040U,Bcr/abl1 gene major bp quan,,,409.9,1086.23,7 HCPCS,0041A,HC SARS-COV2 VACCINE ADMIN (NOVAVAX) 5MCG/0.5ML 1ST DOSE,79.0,79.0,,,0 HCPCS,0041U,B brgdrferi antb 5 prtn igm,,,17.21,45.61,7 HCPCS,0042A,HC SARS-COV2 VACCINE ADMIN (NOVAVAX) 5MCG/0.5ML 2ND DOSE,79.0,79.0,,,0 HCPCS,0042T,"HC CERBRAL PERFUSION STUDY, CT W/ CONTRAST",7865.0,7865.0,,,0 HCPCS,0042U,B brgdrferi antb 12 prtn igg,,,17.21,45.61,7 HCPCS,0043U,Tbrf b grp antb 4 prtn igm,,,14.86,39.38,7 HCPCS,0044A,HC SARS-COV2 VACCINE ADMIN (NOVAVAX) 5MCG/0.5ML BOOSTER DOSE,79.0,79.0,,,0 HCPCS,0044U,Tbrf b grp antb 4 prtn igg,,,14.86,39.38,7 HCPCS,0045U,Onc brst dux carc is 12 gene,,,3873.0,10263.45,7 HCPCS,0046U,Flt3 gene itd variants quan,,,407.43,1079.69,7 HCPCS,0047U,Onc prst8 mrna 17 gene alg,,,3873.0,10263.45,7 HCPCS,0048U,Onc sld org neo dna 468 gene,,,2919.6,7736.94,7 HCPCS,0049U,Npm1 gene analysis quan,,,407.43,1079.69,7 HCPCS,0050U,Trgt gen seq dna 194 genes,,,2916.6,7728.99,7 HCPCS,0051A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/TRS-SUCR1 1ST DOSE,74.0,74.0,,,0 HCPCS,0051U,Rx mntr lc-ms/ms ur 31 pnl,,,246.92,654.34,7 HCPCS,0052A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/TRS-SUCR2 2ND DOSE,74.0,74.0,,,0 HCPCS,0052U,Lpoprtn bld w/5 maj classes,,,33.86,89.73,7 HCPCS,0053A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/TRS-SUCR3 3RD DOSE,111.0,111.0,,,0 HCPCS,0054A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/TRS-SUCRB BOOSTER DOSE,74.0,74.0,,,0 HCPCS,0054U,Rx mntr 14+ drugs & sbsts,,,198.74,526.66,7 HCPCS,0055U,Card hrt trnspl 96 dna seq,,,3240.0,8586.0,7 HCPCS,0058U,HC MERKEL CELL CARCINOMA ANTIBODIES - ARUP,1390.0,1390.0,,,0 HCPCS,0058U,"HC PLA: MERKEL CELL CARC A/B, SERUM, QUANT",3788.0,3788.0,,,0 HCPCS,0058U,Onc merkel cll carc srm quan,,,322.96,855.84,7 HCPCS,0059U,HC MERKEL POLYOMAVIRUS VP1 CAPSID ANTIBODY - ARUP,1318.0,1318.0,,,0 HCPCS,0059U,Onc merkel cll carc srm +/-,,,322.96,855.84,7 HCPCS,0060U,Twn zyg gen seq alys chrms2,,,759.05,2011.48,7 HCPCS,0061U,Tc meas 5 bmrk sfdi m-s alys,,,25.1,66.52,7 HCPCS,0062U,Ai sle igg&igm alys 80 bmrk,,,380.72,1008.91,7 HCPCS,0063U,Neuro autism 32 amines alg,,,750.0,1987.5,7 HCPCS,0064A,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 50MCG/0.25ML, BOOSTER DOSE",79.0,79.0,,,0 HCPCS,0064U,Antb tp total&rpr ia qual,,,31.33,83.02,7 HCPCS,0065U,Syfls tst nontreponemal antb,,,18.09,47.94,7 HCPCS,0067U,Onc brst imhchem prfl 4 bmrk,,,1897.0,5027.05,7 HCPCS,0068U,Candida species pnl amp prb,,,142.63,377.97,7 HCPCS,0069U,Onc clrct microrna mir-31-3p,,,380.0,1007.0,7 HCPCS,0070U,Cyp2d6 gen com&slct rar vrnt,,,676.37,1792.38,7 HCPCS,0071A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML TRS-SUCR 1ST DOSE,74.0,74.0,,,0 HCPCS,0071T,Us leiomyomata ablate <200,,,3380.46,8958.23,7 HCPCS,0071U,Cyp2d6 full gene sequence,,,600.0,1590.0,7 HCPCS,0072A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML TRS-SUCR 2ND DOSE,74.0,74.0,,,0 HCPCS,0072T,Us leiomyomata ablate >200,,,3380.46,8958.23,7 HCPCS,0072U,Cyp2d6 gen cyp2d6-2d7 hybrid,,,450.91,1194.91,7 HCPCS,0073A,HC SARS-COV2 VACCINE ADMIN PFIZER 10MCG/0.2ML TRS-SUCR 3RD DOSE,74.0,74.0,,,0 HCPCS,0073U,Cyp2d6 gen cyp2d7-2d6 hybrid,,,450.91,1194.91,7 HCPCS,0074A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML TRS-SUCR BOOSTER DOSE,74.0,74.0,,,0 HCPCS,0074U,Cyp2d6 nonduplicated gene,,,450.91,1194.91,7 HCPCS,0075T,HC TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL,26772.0,26772.0,,,0 HCPCS,0075U,Cyp2d6 5' gene dup/mlt,,,450.91,1194.91,7 HCPCS,0076T,HC TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL,13386.0,13386.0,,,0 HCPCS,0076U,Cyp2d6 3' gene dup/mlt,,,450.91,1194.91,7 HCPCS,0077U,Ig paraprotein qual bld/ur,,,43.43,115.09,7 HCPCS,0080U,Onc lng 5 clin rsk factr alg,,,3520.0,9328.0,7 HCPCS,0081A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML TRS-SUCR 1ST DOSE,78.0,78.0,,,0 HCPCS,0082A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML TRS-SUCR 2ND DOSE,78.0,78.0,,,0 HCPCS,0082U,Rx test def 90+ rx/sbsts ur,,,246.92,654.34,7 HCPCS,0083A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML TRS-SUCR 3RD DOSE,74.0,74.0,,,0 HCPCS,0083U,Onc rspse chemo cntrst tomog,,,167.35,443.48,7 HCPCS,0084U,Rbc dna gnotyp 10 bld groups,,,720.0,1908.0,7 HCPCS,0086U,HC BLOOD CULT ORG ID 6 OR GREATER TARGETS RRNA FISH,807.0,807.0,,,0 HCPCS,0086U,"HC PLA: INF DISEASE ID, RDNA FISH, 6+ TARGETS (ACCELERATE PHENOTEST)",927.0,927.0,,,0 HCPCS,0086U,Nfct ds bact&fng org id 6+,,,200.0,530.0,7 HCPCS,0087U,Crd hrt trnspl mrna 1283 gen,,,3159.42,8372.46,7 HCPCS,0088U,Trnsplj kdn algrft rej 1494,,,3159.42,8372.46,7 HCPCS,0089U,Onc mlnma prame & linc00518,,,760.0,2014.0,7 HCPCS,0090U,Onc cutan mlnma mrna 23 gene,,,1950.0,5167.5,7 HCPCS,0092U,Onc lng 3 prtn bmrk plsm alg,,,2488.0,6593.2,7 HCPCS,0093U,Rx mntr 65 com drugs urine,,,62.14,164.67,7 HCPCS,0094A,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 50MCG/0.5ML, BOOSTER DOSE",238.0,238.0,,,0 HCPCS,0094U,Genome rapid sequence alys,,,7582.2,20092.83,7 HCPCS,0095U,Inflm ee elisa alys alg,,,771.98,2045.75,7 HCPCS,0096U,Hpv hi risk types male urine,,,35.09,92.99,7 HCPCS,0101T,Extracorp shockwv tx hi enrg,,,257.59,682.61,7 HCPCS,0101U,Hered colon ca do 15 genes,,,1743.95,4621.47,7 HCPCS,0102T,Extracorp shockwv tx anesth,,,3416.88,9054.74,7 HCPCS,0102U,Hered brst ca rltd do 17 gen,,,1303.95,3455.47,7 HCPCS,0103U,Hered ova ca pnl 24 genes,,,1743.95,4621.47,7 HCPCS,0105U,Neph ckd mult eclia tum nec,,,950.0,2517.5,7 HCPCS,0106T,Touch Quant Sensory Test,,,39.0,103.36,7 HCPCS,0106U,Gstr emptg 7 timed brth spec,,,874.49,2317.4,7 HCPCS,0107T,Vibrate Quant Sensory Test,,,39.0,103.36,7 HCPCS,0107U,C diff tox ag detcj ia stool,,,16.0,42.4,7 HCPCS,0108T,Cool Quant Sensory Test,,,61.6,163.25,7 HCPCS,0108U,Gi barrett esoph 9 prtn bmrk,,,4950.0,13117.5,7 HCPCS,0109T,Heat Quant Sensory Test,,,39.0,103.36,7 HCPCS,0109U,Id aspergillus dna 4 species,,,142.63,377.97,7 HCPCS,0110T,Nos Quant Sensory Test,,,138.94,368.19,7 HCPCS,0110U,Rx mntr 1+oral onc rx&sbsts,,,27.11,71.84,7 HCPCS,0111A,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML, 1ST DOSE",74.0,74.0,,,0 HCPCS,0111U,Onc colon ca kras&nras alys,,,682.29,1808.07,7 HCPCS,0112A,"HC SARS-COV-2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML, 2ND DOSE",74.0,74.0,,,0 HCPCS,0112U,Iadi 16s&18s rrna genes,,,356.13,943.74,7 HCPCS,0113U,Onc prst8 pca3&tmprss2-erg,,,760.0,2014.0,7 HCPCS,0114U,Gi barretts esoph vim&ccna1,,,1938.01,5135.73,7 HCPCS,0115U,Respir iadna 18 viral&2 bact,,,275.35,729.68,7 HCPCS,0116U,Rx mntr nzm ia 35+oral flu,,,246.92,654.34,7 HCPCS,0117U,Pain mgmt 11 endogenous anal,,,840.65,2227.72,7 HCPCS,0118U,Trnsplj don-drv cll-fr dna,,,2753.25,7296.11,7 HCPCS,0119U,Crd ceramides liq chrom plsm,,,83.76,221.96,7 HCPCS,0120U,Onc b cll lymphm mrna 58 gen,,,2510.21,6652.06,7 HCPCS,0121A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML BIV 1ST DOSE,74.0,74.0,,,0 HCPCS,0121U,Sc dis vcam-1 whole blood,,,509.2,1349.38,7 HCPCS,0122U,Sc dis p-selectin whl blood,,,526.23,1394.51,7 HCPCS,0123U,Mchnl fragility rbc prflg,,,357.63,947.72,7 HCPCS,0124A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 30MCG/0.3ML BIV ADDL DOSE,79.0,79.0,,,0 HCPCS,0129U,Hered brst ca rltd do panel,,,1303.95,3455.47,7 HCPCS,0130U,Hered colon ca do mrna pnl,,,584.9,1549.98,7 HCPCS,0133U,Hered prst8 ca rltd do 11,,,690.29,1829.27,7 HCPCS,0134A,HC SARS-COV2 VACCINE ADMIN (MODERNA) 50MCG/0.5ML BIV ADDL DOSE,79.0,79.0,,,0 HCPCS,0134U,Hered pan ca mrna pnl 18 gen,,,748.39,1983.23,7 HCPCS,0136U,Atm mrna seq alys,,,407.43,1079.69,7 HCPCS,0137U,Palb2 mrna seq alys,,,282.88,749.63,7 HCPCS,0138U,Brca1 brca2 mrna seq alys,,,468.33,1241.07,7 HCPCS,0140U,Nfct ds fungi dna 15 trgt,,,156.75,415.39,7 HCPCS,0141A,HC SARS-COV2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML BIV 1ST DOSE,74.0,74.0,,,0 HCPCS,0141U,HC PLA: INF DISEASE DNA 20 TAR GRAM-POSITIVE (EPLEX RP2),2153.0,2153.0,,,0 HCPCS,0141U,Nfct ds bact&fng gram pos,,,156.75,415.39,7 HCPCS,0142A,HC SARS-COV2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML BIV 2ND DOSE,74.0,74.0,,,0 HCPCS,0142U,HC PLA: INF DISEASE DNA 21 TAR GRAM-NEGATIVE (EPLEX RP2),2204.0,2204.0,,,0 HCPCS,0142U,Nfct ds bact&fng gram neg,,,156.75,415.39,7 HCPCS,0144A,HC SARS-COV2 VACCINE ADMIN (MODERNA) 25MCG/0.25ML BIV ADDL DOSE,79.0,79.0,,,0 HCPCS,0151A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML BIV 1ST DOSE,74.0,74.0,,,0 HCPCS,0152U,HC MICROBIAL CELL-FREE DNA BY SEQUENCING (KARIUS TEST)- ARUP,8875.0,8875.0,,,0 HCPCS,0152U,HC ORGANISM NGS KARIUS,4177.0,4177.0,,,0 HCPCS,0152U,Nfct bct fng prst dna >1000,,,2126.2,5634.43,7 HCPCS,0153U,Onc breast mrna 101 genes,,,3159.42,8372.46,7 HCPCS,0154A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 10MCG/0.2ML BIV ADDL DOSE,79.0,79.0,,,0 HCPCS,0154U,Fgfr3 gene analysis,,,482.14,1277.67,7 HCPCS,0155U,Pik3ca gene analysis,,,274.83,728.3,7 HCPCS,0156U,Copy number sequence alys,,,1740.0,4611.0,7 HCPCS,0157U,Apc mrna seq alys,,,282.88,749.63,7 HCPCS,0158U,Mlh1 mrna seq alys,,,282.88,749.63,7 HCPCS,0159U,Msh2 mrna seq alys,,,282.88,749.63,7 HCPCS,0160U,Msh6 mrna seq alys,,,282.88,749.63,7 HCPCS,0161U,Pms2 mrna seq alys,,,282.88,749.63,7 HCPCS,0162U,Hered colon ca trgt mrna pnl,,,486.54,1289.33,7 HCPCS,0164U,Gi ibs ia anti-cdtb&vinculin,,,112.02,296.85,7 HCPCS,0165U,Peanut allg spec asmt 64 epi,,,463.76,1228.96,7 HCPCS,0166U,Liver ds 10 biochem asy srm,,,503.4,1334.01,7 HCPCS,0169U,Nudt15&tpmt gene com vrnt,,,466.17,1235.35,7 HCPCS,0170U,Neuro asd rna next gen seq,,,1950.0,5167.5,7 HCPCS,0171A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML BIV 1ST DOSE,69.0,69.0,,,0 HCPCS,0171U,Trgt gen seq alys pnl dna 23,,,1519.06,4025.51,7 HCPCS,0172A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML BIV 2ND DOSE,69.0,69.0,,,0 HCPCS,0172U,Onc sld tum alys brca1 brca2,,,3030.0,8029.5,7 HCPCS,0173A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML BIV 3RD DOSE,69.0,69.0,,,0 HCPCS,0173U,Psyc gen alys panel 14 genes,,,466.17,1235.35,7 HCPCS,0174A,HC SARS-COV2 VACCINE ADMIN (PFIZER) 3MCG/0.2ML BIV ADDL DOSE,79.0,79.0,,,0 HCPCS,0174U,Onc solid tumor 30 prtn trgt,,,1305.37,3459.23,7 HCPCS,0175U,Psyc gen alys panel 15 genes,,,1336.09,3540.64,7 HCPCS,0176U,Cdtb&vinculin igg antb ia,,,64.19,170.1,7 HCPCS,0177U,Onc brst ca dna pik3ca 11,,,274.83,728.3,7 HCPCS,0178U,Peanut allg asmt epi clin rx,,,459.86,1218.63,7 HCPCS,0179U,Onc nonsm cll lng ca alys 23,,,1943.21,5149.51,7 HCPCS,0180U,Abo gnotyp abo 7 exons,,,274.83,728.3,7 HCPCS,0181U,Co gnotyp aqp1 exon 1,,,185.2,490.78,7 HCPCS,0182U,Crom gnotyp cd55 exons 1-10,,,301.35,798.58,7 HCPCS,0183U,Di gnotyp slc4a1 exon 19,,,185.2,490.78,7 HCPCS,0184T,Exc rectal tumor endoscopic,,,6339.71,16800.23,7 HCPCS,0184U,Do gnotyp art4 exon 2,,,185.2,490.78,7 HCPCS,0185U,Fut1 gnotyp fut1 exon 4,,,185.2,490.78,7 HCPCS,0186U,Fut2 gnotyp fut2 exon 2,,,185.2,490.78,7 HCPCS,0187U,Fy gnotyp ackr1 exons 1-2,,,274.83,728.3,7 HCPCS,0188U,Ge gnotyp gypc exons 1-4,,,274.83,728.3,7 HCPCS,0189U,Gypa gnotyp ntrns 1 5 exon 2,,,274.83,728.3,7 HCPCS,0190U,Gypb gnotyp ntrns 1 5 seux 3,,,274.83,728.3,7 HCPCS,0191U,In gnotyp cd44 exons 2 3 6,,,274.83,728.3,7 HCPCS,0192U,Jk gnotyp slc14a1 exon 9,,,274.83,728.3,7 HCPCS,0193U,Jr gnotyp abcg2 exons 2-26,,,282.88,749.63,7 HCPCS,0194U,Kel gnotyp kel exon 8,,,185.2,490.78,7 HCPCS,0195U,Klf1 targeted sequencing,,,375.25,994.41,7 HCPCS,0196U,Lu gnotyp bcam exon 3,,,185.2,490.78,7 HCPCS,0197U,Lw gnotyp icam4 exon 1,,,185.2,490.78,7 HCPCS,0198T,Ocular blood flow measure,,,138.94,368.19,7 HCPCS,0198U,Rhd&rhce gntyp rhd1-10&rhce5,,,282.88,749.63,7 HCPCS,0199U,Sc gnotyp ermap exons 4 12,,,274.83,728.3,7 HCPCS,0200T,HC PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL,15329.0,15329.0,,,0 HCPCS,0200T,Perq sacral augmt unilat inj,,,7577.51,20080.41,7 HCPCS,0200U,Xk gnotyp xk exons 1-3,,,274.83,728.3,7 HCPCS,0201T,HC PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS,20972.0,20972.0,,,0 HCPCS,0201T,Perq sacral augmt bilat inj,,,7577.51,20080.41,7 HCPCS,0201U,Yt gnotyp ache exon 2,,,185.2,490.78,7 HCPCS,0202T,Post vert arthrplst 1 lumbar,,,13407.17,35528.99,7 HCPCS,0202U,HC BIOFIRE RESP PNL 22 TARGETS INCLUDING SARSCOV2,3067.0,3067.0,,,0 HCPCS,0202U,HC PLA: INF DISEASE DNA/RNA 22 TAR QUAL RT-PCR (BIOFIRE RP2.1),3960.0,3960.0,,,0 HCPCS,0202U,HC RESPIRATORY PANEL BIOFIRE - 22 TARGETS,2072.0,2072.0,,,0 HCPCS,0202U,Nfct ds 22 trgt sars-cov-2,,,416.78,1104.47,7 HCPCS,0203U,Ai ibd mrna xprsn prfl 17,,,760.0,2014.0,7 HCPCS,0205U,Oph amd alys 3 gene variants,,,47.0,124.55,7 HCPCS,0206U,Neuro alzheimer cell aggregj,,,2215.4,5870.81,7 HCPCS,0207T,Clear eyelid gland w/heat,,,138.94,368.19,7 HCPCS,0208T,Audiometry air only,,,39.0,103.36,7 HCPCS,0209T,Audiometry air & bone,,,39.0,103.36,7 HCPCS,0209U,Cytog const alys interrog,,,787.15,2085.95,7 HCPCS,0210T,Speech audiometry threshold,,,39.0,103.36,7 HCPCS,0210U,Syphilis tst antb ia quan,,,18.63,49.37,7 HCPCS,0211T,Speech audiom thresh & recog,,,39.0,103.36,7 HCPCS,0211U,Onc pan-tum dna&rna gnrj seq,,,8455.0,22405.75,7 HCPCS,0212T,Compre audiometry evaluation,,,134.37,356.08,7 HCPCS,0212U,Rare ds gen dna alys proband,,,5475.2,14509.28,7 HCPCS,0213T,HC INJ PARAVERT FACET CERV/THOR W/ US GUIDANCE,7680.0,7680.0,,,0 HCPCS,0213T,Njx paravert w/us cer/thor,,,923.64,2447.64,7 HCPCS,0213U,Rare ds gen dna alys ea comp,,,2709.95,7181.37,7 HCPCS,0214U,Rare ds xom dna alys proband,,,5224.6,13845.19,7 HCPCS,0215U,Rare ds xom dna alys ea comp,,,2574.65,6822.82,7 HCPCS,0216T,HC INJ PARAVERT FACET LUMB/SACR W/ US GUIDANCE,7680.0,7680.0,,,0 HCPCS,0216T,Njx paravert w/us lumb/sac,,,923.64,2447.64,7 HCPCS,0216U,Neuro inh ataxia dna 12 com,,,1537.02,4073.1,7 HCPCS,0217U,Neuro inh ataxia dna 51 gene,,,2198.35,5825.63,7 HCPCS,0218U,Neuro musc dys dmd seq alys,,,2279.0,6039.35,7 HCPCS,0219T,Plmt post facet implt cerv,,,13407.17,35528.99,7 HCPCS,0219U,Nfct agt hiv gnrj seq alys,,,725.0,1921.25,7 HCPCS,0220T,Plmt post facet implt thor,,,13407.17,35528.99,7 HCPCS,0220U,Onc brst ca ai assmt 12 feat,,,706.25,1871.56,7 HCPCS,0221T,Plmt post facet implt lumb,,,7577.51,20080.41,7 HCPCS,0221U,Abo gnotyp next gnrj seq abo,,,274.83,728.3,7 HCPCS,0222U,Rhd&rhce gntyp next gnrj seq,,,282.88,749.63,7 HCPCS,0223U,HC RESP VIRUS PNL 22 TARGETS INCLUDE SARS-COV-2 QUAL,1545.0,1545.0,,,0 HCPCS,0223U,Nfct ds 22 trgt sars-cov-2,,,416.78,1104.47,7 HCPCS,0224U,Antibody sars-cov-2 titer(s),,,51.43,136.29,7 HCPCS,0224U,HC MT SINAI LAB TEST SARS-COV-2 ABY W/ TITER IF PERFORMED,309.0,309.0,,,0 HCPCS,0225U,HC PLA: INF DISEASE DNA/RNA 21 TAR QUAL RT-PCR (EPLEX RP2),1988.0,1988.0,,,0 HCPCS,0225U,HC RESP PNL 21 TARGETS INCLUDING SARSCOV2,1728.0,1728.0,,,0 HCPCS,0225U,HC RESPIRATORY PANEL GENMARK - 21 TARGETS,1978.0,1978.0,,,0 HCPCS,0225U,Nfct ds dna&rna 21 sarscov2,,,416.78,1104.47,7 HCPCS,0226U,HC SURROGATE VIR NEUT TEST SARS-COV-2 ELISA PLASMA/SERUM,1051.0,1051.0,,,0 HCPCS,0226U,Svnt sarscov2 elisa plsm srm,,,42.28,112.04,7 HCPCS,0227U,Rx asy prsmv 30+rx/metablt,,,62.14,164.67,7 HCPCS,0228U,Onc prst8 ma molec prfl alg,,,173.03,458.53,7 HCPCS,0229U,Bcat1 promoter mthyltn alys,,,384.0,1017.6,7 HCPCS,0230U,Ar full sequence analysis,,,301.35,798.58,7 HCPCS,0231U,Cacna1a full gene analysis,,,846.27,2242.62,7 HCPCS,0232T,HC INJ PLATELET RICH PLASMA,4759.0,4759.0,,,0 HCPCS,0232T,Njx platelet plasma,,,466.5,1236.24,7 HCPCS,0232U,Cstb full gene analysis,,,274.83,728.3,7 HCPCS,0233U,Fxn gene analysis,,,274.83,728.3,7 HCPCS,0234T,HC TRLUML PERIP ATHRC RENAL ART,93709.0,93709.0,,,0 HCPCS,0234T,Trluml perip athrc renal art,,,12055.35,31946.69,7 HCPCS,0234U,Mecp2 full gene analysis,,,527.87,1398.86,7 HCPCS,0235T,HC TRLUML PERIP ATHRC VISCERAL - IR ATHERECTOMY EA ADDL VISCERAL ARTERY,3639.0,3639.0,,,0 HCPCS,0235U,Pten full gene analysis,,,600.0,1590.0,7 HCPCS,0236T,Trluml perip athrc abd aorta,,,12055.35,31946.69,7 HCPCS,0236U,Smn1&smn2 full gene analysis,,,602.7,1597.16,7 HCPCS,0237T,HC TRLUML PERIP ATHRC BRCHIOCPH,93709.0,93709.0,,,0 HCPCS,0237T,Trluml perip athrc brchiocph,,,12055.35,31946.69,7 HCPCS,0237U,Car ion chnlpthy gen seq pnl,,,584.9,1549.98,7 HCPCS,0238T,"HC TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH",24172.0,24172.0,,,0 HCPCS,0238T,Trluml perip athrc iliac art,,,19143.34,50729.86,7 HCPCS,0238U,Onc lnch syn gen dna seq aly,,,584.9,1549.98,7 HCPCS,0239U,Trgt gen seq alys pnl 311+,,,3500.0,9275.0,7 HCPCS,0240U,HC RESP VIRUS PNL 3 TARGETS SARS-COV-2 FLU A FLU B QUAL,530.0,530.0,,,0 HCPCS,0241U,HC RESP VIRUS PNL 4 TARGETS SARS-COV-2 FLU A FLU B RSV QUAL,530.0,530.0,,,0 HCPCS,0242U,Trgt gen seq alys pnl 55-74,,,5000.0,13250.0,7 HCPCS,0243U,Ob pe biochem assay pgf alg,,,64.41,170.69,7 HCPCS,0244U,Onc solid orgn dna 257 genes,,,3500.0,9275.0,7 HCPCS,0245U,Onc thyr mut alys 10 gen&37,,,1266.07,3355.09,7 HCPCS,0246U,Rbc dna gnotyp 16 bld groups,,,720.0,1908.0,7 HCPCS,0247U,Ob prtrm brth ibp4 shbg meas,,,750.0,1987.5,7 HCPCS,0248U,Onc brn sphrd cll 12 rx pnl,,,3033.86,8039.73,7 HCPCS,0249U,Onc brst alys 32 phsprtn alg,,,2219.13,5880.69,7 HCPCS,0250U,Onc sld org neo dna 505 gene,,,2919.6,7736.94,7 HCPCS,0251U,Hepcidin-25 elisa serum/plsm,,,17.27,45.77,7 HCPCS,0252U,Ftl aneuploidy str alys dna,,,759.05,2011.48,7 HCPCS,0253T,Insert aqueous drain device,,,4316.45,11438.58,7 HCPCS,0253U,Rprdtve med rna gen prfl 238,,,3159.42,8372.46,7 HCPCS,0254U,Reprdtve med alys 24 chrmsm,,,759.05,2011.48,7 HCPCS,0255U,Andrology infertility assmt,,,31.6,83.74,7 HCPCS,0256U,Tma/tmao prfl ms/ms ur alg,,,159.95,423.87,7 HCPCS,0257U,Vlcad leuk nzm actv whl bld,,,712.47,1888.05,7 HCPCS,0258U,Ai psor mrna 50-100 gen alg,,,3675.0,9738.75,7 HCPCS,0259U,Neph ckd nuc mrs meas gfr,,,52.71,139.68,7 HCPCS,0260U,Rare ds id opt genome mapg,,,1263.53,3348.35,7 HCPCS,0261U,Onc clrct ca img alys w/ai,,,2513.25,6660.11,7 HCPCS,0262U,Onc sld tum rt-pcr 7 gen,,,3200.0,8480.0,7 HCPCS,0263T,Im b1 mrw cel ther cmpl,,,4548.36,12053.15,7 HCPCS,0263U,Neuro asd meas 16 c metblt,,,750.0,1987.5,7 HCPCS,0264T,Im b1 mrw cel ther xcl hrvst,,,4548.36,12053.15,7 HCPCS,0264U,Rare ds id opt genome mapg,,,1263.53,3348.35,7 HCPCS,0265T,Im b1 mrw cel ther hrvst onl,,,4548.36,12053.15,7 HCPCS,0265U,Rar do whl gn&mtcdrl dna als,,,5475.8,14510.87,7 HCPCS,0266U,Unxpl cnst hrtbl do gn xprsn,,,3200.0,8480.0,7 HCPCS,0267U,Rare do id opt gen mapg&seq,,,6739.33,17859.22,7 HCPCS,0268U,Hem ahus gen seq alys 15 gen,,,608.17,1611.65,7 HCPCS,0269U,Hem aut dm cgen trmbctpna 14,,,608.17,1611.65,7 HCPCS,0270U,Hem cgen coagj do 20 genes,,,608.17,1611.65,7 HCPCS,0271U,Hem cgen neutropenia 23 gen,,,608.17,1611.65,7 HCPCS,0272U,Hem genetic bld do 51 genes,,,608.17,1611.65,7 HCPCS,0273T,HC IN PERSON DEVICE INTERROG CRTD SINUS BAROREFLEX SYS W/ PROG,530.0,530.0,,,0 HCPCS,0273U,Hem gen hyprfibrnlysis 8 gen,,,608.17,1611.65,7 HCPCS,0274T,Perq lamot/lam crv/thrc,,,7577.51,20080.41,7 HCPCS,0274U,Hem gen pltlt do 43 genes,,,608.17,1611.65,7 HCPCS,0275T,HC PILD/MILD LUMBAR DECOMPRESS LSS,21719.0,21719.0,,,0 HCPCS,0275U,Hem heprn nduc trmbctpna srm,,,18.37,48.68,7 HCPCS,0276U,Hem inh thrombocytopenia 23,,,2448.56,6488.68,7 HCPCS,0277U,Hem gen pltlt funcj do 31,,,608.17,1611.65,7 HCPCS,0278T,Tempr,,,134.37,356.08,7 HCPCS,0278U,Hem gen thrombosis 12 genes,,,608.17,1611.65,7 HCPCS,0279U,HC VON WILLEBRAND FACTOR (VWF) COLLAGEN III BINDING - ARUP,827.0,827.0,,,0 HCPCS,0279U,Hem vw factor&clgn iii bndg,,,11.53,30.55,7 HCPCS,0280U,Hem vw factor&clgn iv bndg,,,17.27,45.77,7 HCPCS,0281U,Hem vwd propeptide ag lvl,,,17.27,45.77,7 HCPCS,0282U,Rbc dna gntyp 12 bld grp gen,,,720.0,1908.0,7 HCPCS,0283U,Vw factor type 2b eval plsm,,,18.4,48.76,7 HCPCS,0284U,Vw factor type 2n eval plsm,,,17.27,45.77,7 HCPCS,0285U,Onc rsps radj cll fr dna tox,,,443.31,1174.77,7 HCPCS,0286U,Cep72 nudt15&tpmt gene alys,,,134.13,355.44,7 HCPCS,0287U,Onc thyr dna&mrna 112 genes,,,3600.0,9540.0,7 HCPCS,0288U,Onc lung mrna quan pcr 11&3,,,3873.0,10263.45,7 HCPCS,0289U,Neuro alzheimer mrna 24 gen,,,760.0,2014.0,7 HCPCS,0290U,Pain mgmt mrna gen xprsn 36,,,760.0,2014.0,7 HCPCS,0291U,Psyc mood do mrna 144 genes,,,1755.0,4650.75,7 HCPCS,0292U,Psyc strs do mrna 72 genes,,,1755.0,4650.75,7 HCPCS,0293U,Psyc suicidal idea mrna 54,,,760.0,2014.0,7 HCPCS,0295U,Onc brst dux carc 7 proteins,,,5435.0,14402.75,7 HCPCS,0296U,Onc orl&/orop ca 20 mlc feat,,,1950.0,5167.5,7 HCPCS,0297U,Onc pan tum whl gen seq dna,,,2919.6,7736.94,7 HCPCS,0298U,Onc pan tum whl trns seq rna,,,2919.6,7736.94,7 HCPCS,0299U,Onc pan tum whl gen opt mapg,,,1863.22,4937.53,7 HCPCS,0300U,Onc pan tum whl gen seq&opt,,,4183.13,11085.29,7 HCPCS,0301U,Iadna bartonella ddpcr,,,262.72,696.21,7 HCPCS,0302U,Iadna brtnla ddpcr flwg liq,,,361.37,957.63,7 HCPCS,0303U,Hem rbc ads whl bld hypoxic,,,2201.62,5834.29,7 HCPCS,0304U,Hem rbc ads whl bld normoxic,,,2075.8,5500.87,7 HCPCS,0305U,Hem rbc fnclty&dfrm shr strs,,,662.58,1755.84,7 HCPCS,0306U,Onc mrd nxt-gnrj alys 1st,,,3878.45,10277.89,7 HCPCS,0307U,Onc mrd nxt-gnrj alys sbsq,,,794.49,2105.4,7 HCPCS,0308U,Crd cad alys 3 prtn plsm alg,,,390.75,1035.49,7 HCPCS,0309U,Crd cv ds aly 4 prtn plm alg,,,390.75,1035.49,7 HCPCS,0310U,Ped vsclts kd alys 3 bmrks,,,390.75,1035.49,7 HCPCS,0311U,Nfct ds bct quan antmcrb sc,,,8.08,21.41,7 HCPCS,0312U,Ai ds sle alys 8 igg autoant,,,840.65,2227.72,7 HCPCS,0313U,Onc pncrs dna&mrna seq 74,,,3600.0,9540.0,7 HCPCS,0314U,Onc cutan mlnma mrna 35 gene,,,1950.0,5167.5,7 HCPCS,0315U,Onc cutan sq cll ca mrna 40,,,8500.0,22525.0,7 HCPCS,0316U,B brgdrferi lyme ds ospa evl,,,18.66,49.45,7 HCPCS,0317U,Onc lung ca 4-prb fish assay,,,2030.0,5379.5,7 HCPCS,0318U,Ped whl gen mthyltn alys 50+,,,1770.48,4691.77,7 HCPCS,0319U,Neph rna pretrnspl perph bld,,,2650.0,7022.5,7 HCPCS,0320U,Neph rna psttrnspl perph bld,,,2650.0,7022.5,7 HCPCS,0321U,Iadna gu pthgn 20bct&fng org,,,634.84,1682.33,7 HCPCS,0322U,Neuro asd meas 14 acyl carn,,,750.0,1987.5,7 HCPCS,0323U,Iadna cns pthgn next gen seq,,,2126.2,5634.43,7 HCPCS,0326U,Trgt gen seq alys pnl 83+,,,5000.0,13250.0,7 HCPCS,0327U,Ftl aneuploidy trsmy dna seq,,,795.0,2106.75,7 HCPCS,0328U,Drug assay 120+ rx&metablt,,,114.43,303.24,7 HCPCS,0329U,Onc neo xome&trns seq alys,,,3437.98,9110.65,7 HCPCS,0330T,Tear film img uni/bi w/i&r,,,39.0,103.36,7 HCPCS,0330U,Iadna vag pthgn panel 27 org,,,416.78,1104.47,7 HCPCS,0331T,Heart symp image plnr,,,1351.97,3582.73,7 HCPCS,0331U,Onc hl neo opt gen mapping,,,1863.22,4937.53,7 HCPCS,0332T,Heart symp image plnr spect,,,1351.97,3582.73,7 HCPCS,0332U,Onc pan tum gen prflg 8 dna,,,1142.06,3026.46,7 HCPCS,0333U,Onc lvr surveilanc hcc cfdna,,,662.32,1755.15,7 HCPCS,0334U,Onc sld orgn tgsa dna 84/+,,,3500.0,9275.0,7 HCPCS,0335T,Extraosseous joint stblztion,,,7577.51,20080.41,7 HCPCS,0335U,Rare ds whl gen seq fetal,,,5224.6,13845.19,7 HCPCS,0336U,Rare ds whl gen seq bld/slv,,,2574.65,6822.82,7 HCPCS,0337U,Onc plsm cell do&myeloma id,,,2435.0,6452.75,7 HCPCS,0338T,HC TRANSCATH RENAL SYMP DENERV UNI,53176.0,53176.0,,,0 HCPCS,0338T,Trnscth renal symp denrv unl,,,5943.58,15750.49,7 HCPCS,0338U,Onc sld tum crcg tum cl slct,,,2435.0,6452.75,7 HCPCS,0339T,HC TRANSCATH RENAL SYMP DENERV BIL,53176.0,53176.0,,,0 HCPCS,0339T,Trnscth renal symp denrv bil,,,5943.58,15750.49,7 HCPCS,0339U,Onc prst8 mrna hoxc6 & dlx1,,,760.0,2014.0,7 HCPCS,0340U,Onc pan ca alys mrd plasma,,,3590.0,9513.5,7 HCPCS,0341U,Ftl aneup dna seq cmpr alys,,,1900.2,5035.53,7 HCPCS,0342T,Thxp apheresis w/hdl delip,,,4548.36,12053.15,7 HCPCS,0343U,Onc prst8 xom aly 442 sncrna,,,760.0,2014.0,7 HCPCS,0344U,Hep nafld semiq evl 28 lipid,,,792.17,2099.25,7 HCPCS,0345T,HC CATH TRANSCATH MITRAL VALVE REPAIR VIA CORONARY SINUS,62838.0,62838.0,,,0 HCPCS,0345U,Psyc genom alys pnl 15 gen,,,1336.09,3540.64,7 HCPCS,0347T,Ins bone device for rsa,,,61.6,163.25,7 HCPCS,0347U,Rx metab/pcx dna 16 gen alys,,,1336.09,3540.64,7 HCPCS,0348T,RSA spine exam,,,109.17,289.31,11 HCPCS,0348U,Rx metab/pcx dna 25 gen alys,,,742.27,1967.02,7 HCPCS,0349T,RSA upper extr exam,,,109.17,289.31,11 HCPCS,0349U,Rx metab/pcx dna 27gen rx ia,,,742.27,1967.02,7 HCPCS,0350T,RSA lower extr exam,,,90.88,240.83,11 HCPCS,0350U,Rx metab/pcx dna 27 gen alys,,,1336.09,3540.64,7 HCPCS,0351U,Nfct ds bct/viral trail ip10,,,260.5,690.32,7 HCPCS,0352T,Oct brst/node i&r per spec,,,1651.41,1651.41,4 HCPCS,0354T,Oct breast surg cavity i&r,,,1651.41,1651.41,4 HCPCS,0355U,Apol1 risk variants,,,137.0,363.05,7 HCPCS,0356U,Onc orop 17 dna ddpcr alg,,,1800.0,4770.0,7 HCPCS,0358T,HC BIOELEC IMPEDANCE ANALYSIS WHOLE BODY SCAN,231.0,231.0,,,0 HCPCS,0358U,HC BETA-AMYLOID RATIO (1-42/1-40) CSF - MAYO,2099.0,2099.0,,,0 HCPCS,0358U,Neuro alys b-amyl 1-42&1-40,,,260.5,690.32,7 HCPCS,0359U,Onc prst8 ca alys all psa,,,760.0,2014.0,7 HCPCS,0360U,Onc lung elisa 7 autoant alg,,,840.65,2227.72,7 HCPCS,0362U,Onc pap thyr ca rna 82&10,,,3600.0,9540.0,7 HCPCS,0363U,Onc urthl mrna 5 gen alg,,,760.0,2014.0,7 HCPCS,0364U,Onc hl neo gen seq alys alg,,,2007.25,5319.21,7 HCPCS,0365U,Onc bldr 10 prb bldr ca,,,897.0,2377.05,7 HCPCS,0366U,Onc bldr 10 prb recr bldr ca,,,897.0,2377.05,7 HCPCS,0367U,Onc bldr 10 flwg trurl rescj,,,902.18,2390.78,7 HCPCS,0371U,Iadna gu pthgn semiq dna16&1,,,416.78,1104.47,7 HCPCS,0372U,Nfct ds gu pthgn arg detcj,,,416.78,1104.47,7 HCPCS,0375U,Onc ovrn bchm asy 7 prtn alg,,,897.0,2377.05,7 HCPCS,0376U,Onc prst8 ca img alys 128,,,706.25,1871.56,7 HCPCS,0377U,Cv ds quan advsrm/plsm lprtn,,,47.58,126.09,7 HCPCS,0378U,Rfc1 repeat xpnsj vrnt alys,,,137.0,363.05,7 HCPCS,0379T,Vis field assmnt tech suppt,,,39.0,103.36,7 HCPCS,0379U,Tgsap sl or neo dna523&rna55,,,3288.51,8714.55,7 HCPCS,0381U,Maple syrup ur ds mntr quan,,,44.12,116.92,7 HCPCS,0382U,Hyprphenylalninmia mntr quan,,,51.64,136.85,7 HCPCS,0383U,Tyrosinemia typ i mntr quan,,,52.05,137.93,7 HCPCS,0384U,Neph ckd rsk hi stg kdn ds,,,750.0,1987.5,7 HCPCS,0385U,Neph ckd alg rsk dbtc kdn ds,,,390.75,1035.49,7 HCPCS,0387U,Onc mlnma ambra1&amlo,,,948.5,2513.52,7 HCPCS,0388U,Onc nonsm cll lng ca 37 gen,,,3500.0,9275.0,7 HCPCS,0389U,Ped fbrl kd ifi27&mcemp1 rna,,,70.2,186.03,7 HCPCS,0390U,Ob pe kdr eng&rbp4 ia alg,,,64.41,170.69,7 HCPCS,0391U,Onc sld tum dna&rna 437 gen,,,3600.0,9540.0,7 HCPCS,0392U,Rx metab genrx ia 16 genes,,,1336.09,3540.64,7 HCPCS,0393U,Neu prksn msfl ?-syncln prtn,,,540.99,1433.62,7 HCPCS,0394U,Pfas 16 pfas compnd lc ms/ms,,,198.74,526.66,7 HCPCS,0395U,Onc lng multiomics plsm alg,,,797.45,2113.24,7 HCPCS,0398U,Gi baret esph dna mthyln aly,,,1755.0,4650.75,7 HCPCS,0399U,Neuro cere folate defncy srm,,,300.0,795.0,7 HCPCS,0401U,Crd c hrt ds 9 gen 12 vrnts,,,489.68,1297.65,7 HCPCS,0402T,Collagen crosslinking cornea,,,2482.76,6579.31,7 HCPCS,0402U,Nfct agt sti mult amp prb tq,,,142.63,377.97,7 HCPCS,0403U,Onc prst8 mrna 18 gen dre ur,,,760.0,2014.0,7 HCPCS,0404U,Onc brst semiq meas thym kn,,,322.96,855.84,7 HCPCS,0405U,Onc pncrtc 59 mthltn blk mrk,,,1770.48,4691.77,7 HCPCS,0406U,Onc lung flow cytmtry 5 mrk,,,760.0,2014.0,7 HCPCS,0407U,Neph dbtc ckd mult eclia alg,,,950.0,2517.5,7 HCPCS,0408T,"HC INS/REPL CCM SYSTEM, PULSE GEN W/ TV ELECTRODES",27737.0,27737.0,,,0 HCPCS,0408T,Insj/rplc cardiac modulj sys,,,32778.73,86863.64,7 HCPCS,0408U,Iaad blk ac wv bsnsr sarscv2,,,14.13,37.44,7 HCPCS,0409T,HC INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY,21063.0,21063.0,,,0 HCPCS,0409T,Insj/rplc car modulj pls gn,,,23228.5,61555.52,7 HCPCS,0409U,Onc sld tum dna 80 & rna 36,,,2919.6,7736.94,7 HCPCS,0410T,HC INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY,8096.0,8096.0,,,0 HCPCS,0410T,Insj/rplc car modulj atr elt,,,8641.82,22900.81,7 HCPCS,0410U,Onc pncrtc dna whl gn seq 5-,,,1160.0,3074.0,7 HCPCS,0411T,HC INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY,8096.0,8096.0,,,0 HCPCS,0411T,Insj/rplc car modulj vnt elt,,,8641.82,22900.81,7 HCPCS,0411U,Psyc genom alys pnl 15 gen,,,1336.09,3540.64,7 HCPCS,0412T,HC REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY,8439.0,8439.0,,,0 HCPCS,0412T,Rmvl cardiac modulj pls gen,,,3902.43,10341.44,7 HCPCS,0412U,Beta amyloid a?42/40 imprcip,,,750.0,1987.5,7 HCPCS,0413T,HC REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE,8439.0,8439.0,,,0 HCPCS,0413T,Rmvl car modulj tranvns elt,,,3902.43,10341.44,7 HCPCS,0413U,Onc hl neo opt gen mapg dna,,,1263.53,3348.35,7 HCPCS,0414T,HC RMVL & RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY,21063.0,21063.0,,,0 HCPCS,0414T,Rmvl & rpl car modulj pls gn,,,23228.5,61555.52,7 HCPCS,0414U,Onc lng aug alg aly whl sld8,,,706.25,1871.56,7 HCPCS,0415T,HC REPOS CARDIAC MODULJ TRANSVENOUS ELECTRODE,1812.0,1812.0,,,0 HCPCS,0415T,Repos car modulj tranvns elt,,,655.08,1735.96,7 HCPCS,0415U,Cv ds acs bld alg 5 yr score,,,390.75,1035.49,7 HCPCS,0416T,HC RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR,3067.0,3067.0,,,0 HCPCS,0416T,Reloc skin pocket pls gen,,,2154.64,5709.8,7 HCPCS,0417T,HC PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM,132.0,132.0,,,0 HCPCS,0417U,Rare ds alys 335 nuc genes,,,2842.53,7532.7,7 HCPCS,0418T,HC INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM,132.0,132.0,,,0 HCPCS,0418U,Onc brst aug alg aly whl sl8,,,706.25,1871.56,7 HCPCS,0419T,Dstrj neurofibroma xtnsv,,,771.8,2045.26,7 HCPCS,0419U,Nrpsyc gen seq vrnt aly 13,,,1336.09,3540.64,7 HCPCS,0420T,Dstrj neurofibroma xtnsv,,,771.8,2045.26,7 HCPCS,0420U,Onc urthl mrna xprsn 6 snp,,,1328.32,3520.05,7 HCPCS,0422T,Tactile breast img uni/bi,,,90.88,240.83,11 HCPCS,0422U,Onc pan solid tum alys dna,,,1943.21,5149.51,7 HCPCS,0423U,Psyc genomic alys pnl 26 gen,,,416.78,1104.47,7 HCPCS,0424T,HC INSRT/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE,18878.0,18878.0,,,0 HCPCS,0424U,Onc prst8 xom alys 53 sncrna,,,760.0,2014.0,7 HCPCS,0425U,Genom rpd seq alys ea cmprtr,,,4094.39,10850.13,7 HCPCS,0426U,Genome ultra-rapid seq alys,,,7582.2,20092.83,7 HCPCS,0427T,HC INS/REPL NEUROSTIM SYS CSA PULSE GEN,58056.0,58056.0,,,0 HCPCS,0427U,Monocyte dstrbj wdth whl bld,,,4.48,11.87,7 HCPCS,0428T,HC REM NEUROSTIM SYS CSA PULSE GEN,3688.0,3688.0,,,0 HCPCS,0429U,Hpv orop swab 14 hi-risk typ,,,35.09,92.99,7 HCPCS,0430U,Gi malabs aat calpro pncrtc,,,61.54,163.08,7 HCPCS,0431U,Gly rcptr alpha1 igg srm/csf,,,36.57,96.91,7 HCPCS,0432U,Klhl11 antb sr/csf asy qual,,,36.57,96.91,7 HCPCS,0433U,Onc prst8 5 dna reg mrk pcr,,,760.0,2014.0,7 HCPCS,0434U,Rx metab advrs vrnt alys 25,,,416.78,1104.47,7 HCPCS,0435U,Onc chemo rx cytox csc 14 rx,,,3033.86,8039.73,7 HCPCS,0436U,Onc lng plsm alys 388 prtn,,,1504.24,3986.24,7 HCPCS,0437U,Psyc anxiety do mrna 15 bmrk,,,760.0,2014.0,7 HCPCS,0438U,Rx metab advrs vrnt alys 33,,,416.78,1104.47,7 HCPCS,0439U,Crd chd dna alys 5 snp 3 dna,,,854.0,2263.1,7 HCPCS,0440T,Abltj perc uxtr/perph nrv,,,2039.19,5403.85,7 HCPCS,0440U,Crd chd dna alys 10 snp 6dna,,,854.0,2263.1,7 HCPCS,0441T,Abltj perc lxtr/perph nrv,,,2039.19,5403.85,7 HCPCS,0441U,Nfct ds bct fngl/viral semiq,,,444.08,1176.81,7 HCPCS,0442U,Nfct ds respir nfctj mxa&crp,,,41.38,109.66,7 HCPCS,0443U,Neurflmnt lt chn ultrsens ia,,,116.23,308.01,7 HCPCS,0444U,Onc sld orgn neo tgsap 361,,,2919.6,7736.94,7 HCPCS,0445U,Abeta42 & ptau181 eclia csf,,,260.5,690.32,7 HCPCS,0446U,Ai ds sle alys 10 cytokine,,,840.65,2227.72,7 HCPCS,0447T,Rmvl impltbl glucose sensor,,,209.52,555.22,7 HCPCS,0447U,Ai ds sle alys 11 cytokine,,,840.65,2227.72,7 HCPCS,0449T,Insj aqueous drain dev 1st,,,5556.93,14725.85,7 HCPCS,0452U,Onc bldr mthyl penk lte-qmsp,,,192.0,508.8,7 HCPCS,0453U,Onc clrct ca cfdna qpcr asy,,,192.0,508.8,7 HCPCS,0454U,U rare ds id opt genome mapg,,,1263.53,3348.35,7 HCPCS,0455U,Nfct agt sti mult amp prb ur,,,142.63,377.97,7 HCPCS,0457U,Pfas 9 cmpnd lcms/ms pls/sr,,,198.74,526.66,7 HCPCS,0458U,Onc brst ca s100 a8&a9 elisa,,,260.5,690.32,7 HCPCS,0459U,Abeta42 & ttau eclia csf,,,260.5,690.32,7 HCPCS,0460U,Onc whl bld/bucc rtpcr 24gen,,,917.08,2430.26,7 HCPCS,0461U,Onc rxgenom alys rtpcr 24gen,,,917.08,2430.26,7 HCPCS,0462U,Melatonin lvl tst slp std7/9,,,17.27,45.77,7 HCPCS,0463U,Onc crvx mrna genxprsn 14bmk,,,760.0,2014.0,7 HCPCS,0464T,Visual ep test for glaucoma,,,134.37,356.08,7 HCPCS,0464U,Onc clrct scr qrtsa dna mrk,,,591.92,1568.59,7 HCPCS,0465U,Onc urthl carc dna qmsp 2gen,,,1938.01,5135.73,7 HCPCS,0466U,Crd cad dna gwas 564856 snp,,,345.43,915.39,7 HCPCS,0467U,Onc bldr dna ngs 60gen&aneup,,,1519.06,4025.51,7 HCPCS,0468U,Hep nash mir34a5p ?2m ykl40,,,251.7,667.0,7 HCPCS,0469U,Rare ds whl gen seq ftl samp,,,1197.94,3174.54,7 HCPCS,0470U,Onc orop detcj mrd 8 dna hpv,,,597.91,1584.46,7 HCPCS,0471U,Onc clrc ca 35 vrn kras&nras,,,760.0,2014.0,7 HCPCS,0472U,Ca vi psp&sp1 antb sj?gren,,,27.9,73.93,7 HCPCS,0473U,Onc sld tum bld/slv 648 gene,,,4500.0,11925.0,7 HCPCS,0474U,Hered pan ca gsap 88gene ngs,,,1303.95,3455.47,7 HCPCS,0475U,Hered prst8 ca gsap 23 genes,,,1303.95,3455.47,7 HCPCS,0476U,Rx metab psyc 14gen&cyp2d6,,,416.78,1104.47,7 HCPCS,0477U,Rx metab psy 14&cyp2d6 gn-rx,,,416.78,1104.47,7 HCPCS,0478U,Onc nsclc dna&rna dpcr 9 gen,,,552.99,1465.42,7 HCPCS,0479T,Fxjl abl lsr 1st 100 sq cm,,,771.8,2045.26,7 HCPCS,0479U,Tau phosphorylated ptau217,,,17.27,45.77,7 HCPCS,0480U,Nfct ds csf metag ngs alys,,,2126.2,5634.43,7 HCPCS,0481T,Njx autol wbc concentrate,,,466.5,1236.24,7 HCPCS,0481U,Idh1 idh2&tert promoter ngs,,,674.24,1786.74,7 HCPCS,0482U,Ob pe biochem asy sfit1&pigf,,,128.82,341.37,7 HCPCS,0483T,HC CATH TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH,68439.0,68439.0,,,0 HCPCS,0483U,Nfct ds ng gyra s91f pt mut,,,35.09,92.99,7 HCPCS,0484T,HC CATH TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE,62838.0,62838.0,,,0 HCPCS,0484U,Nfct ds mgen 23s rrna pt mut,,,35.09,92.99,7 HCPCS,0485T,Oct mid ear i&r unilateral,,,39.0,103.36,7 HCPCS,0485U,Onc sol tum cfdna&rna ngs gm,,,3649.48,9671.12,7 HCPCS,0486T,Oct mid ear i&r bilateral,,,39.0,103.36,7 HCPCS,0486U,Onc pan sol tum ngs cfctdna,,,1644.25,4357.26,7 HCPCS,0487U,Onc sol tum cfcdna tgsap 84,,,2919.6,7736.94,7 HCPCS,0490U,Onc cutan/uveal mlnma cd146,,,2435.0,6452.75,7 HCPCS,0491U,Onc sol tum ctc slct er prtn,,,2435.0,6452.75,7 HCPCS,0492U,Onc sol tum ctc slctn pd-l1,,,2435.0,6452.75,7 HCPCS,0493U,Trnspl med quan dd-cfdna ngs,,,2753.25,7296.11,7 HCPCS,0494U,Rbc ag ftl rhd gene alys ngs,,,759.05,2011.48,7 HCPCS,0495U,Onc prst8 alys crcg plsm prt,,,760.0,2014.0,7 HCPCS,0496U,Onc clrct cfdna 8/7 genes,,,485.86,1287.53,7 HCPCS,0497U,Onc prst8 mrna rt-pcr 6 gene,,,3873.0,10263.45,7 HCPCS,0498U,Onc clrct ngs mut detc 43gen,,,1345.31,3565.07,7 HCPCS,0499U,Onc clrct&lng dna ngs 8gene,,,597.91,1584.46,7 HCPCS,0500U,Autoinflam ds vexas synd dna,,,175.4,464.81,7 HCPCS,0502T,HC CORONARY FRACT FLOW RESRV CTA DATA PREP AND TRANSMIT,589.0,589.0,,,0 HCPCS,0502U,Hpv e6/e7 mrk hi-rsk typ crv,,,35.09,92.99,7 HCPCS,0503T,HC CORONARY FRACT FLOW RESRV ANALYSIS AND MODELING,7699.0,7699.0,,,0 HCPCS,0503U,Neuro alz ds ?amyl&tau prtn,,,750.0,1987.5,7 HCPCS,0504U,Nfct ds uti id 17 path orgs,,,416.78,1104.47,7 HCPCS,0505T,Ev fempop artl revsc,,,12055.35,31946.69,7 HCPCS,0505U,Nfct ds vag infctj id 32orgs,,,679.77,1801.39,7 HCPCS,0506T,Mac pgmt opt dns meas hfp,,,61.6,163.25,7 HCPCS,0506U,Gi barretts esophgl cell 89,,,1938.01,5135.73,7 HCPCS,0507T,Near ifr 2img mibmn glnd i&r,,,61.6,163.25,7 HCPCS,0507U,Onc ovr dna whole gen w/5hmc,,,1160.0,3074.0,7 HCPCS,0509T,Pattern erg w/i&r,,,225.48,597.53,7 HCPCS,0510T,Rmvl sinus tarsi implant,,,3416.88,9054.74,7 HCPCS,0510U,Onc pncrtc ca alg alys 16gen,,,473.91,1255.86,7 HCPCS,0511T,Rmvl&rinsj sinus tarsi implt,,,7577.51,20080.41,7 HCPCS,0511U,Onc sol tum 3dmicroenvir 36+,,,3033.86,8039.73,7 HCPCS,0512T,Esw integ wnd hlg 1st wnd,,,209.52,555.22,7 HCPCS,0512U,Onc prst8 alys dgtz img msi,,,706.25,1871.56,7 HCPCS,0513U,Onc prst8 alg alys msi&hrd,,,706.25,1871.56,7 HCPCS,0514U,Gi ibd ia quan deter adl lvl,,,38.57,102.21,7 HCPCS,0515T,Insj wcs lv compl sys,,,23228.5,61555.52,7 HCPCS,0515U,Gi ibd ia quan deter ifx lvl,,,38.57,102.21,7 HCPCS,0516T,Insj wcs lv eltrd only,,,10914.8,28924.22,7 HCPCS,0516U,Rx metab rxgenomic gnotyp 40,,,416.78,1104.47,7 HCPCS,0517T,Insj wcs lv pg compnt,,,10914.8,28924.22,7 HCPCS,0517U,Ther rx mntr 80+ psyactiv rx,,,246.92,654.34,7 HCPCS,0518T,Rmvl pg compnt wcs,,,3902.43,10341.44,7 HCPCS,0518U,Ther rx mntr 90+ pn&mtl hlth,,,246.92,654.34,7 HCPCS,0519T,Rmvl & rplcmt pg compnt wcs,,,10914.8,28924.22,7 HCPCS,0519U,Ther rx mntr meds p/d/a 110+,,,246.92,654.34,7 HCPCS,0520T,Rmvl&rplcmt pg wcs new eltrd,,,10914.8,28924.22,7 HCPCS,0520U,Ther rx mntr 200+ rx/sbsts,,,246.92,654.34,7 HCPCS,0521U,Rf iga&igm ccp antb sr-a ia,,,51.8,137.27,7 HCPCS,0522U,Ca vi psp&sp1 antb cl semiql,,,260.5,690.32,7 HCPCS,0523T,HC INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING,11779.0,11779.0,,,0 HCPCS,0523U,Onc soltum dna ngs snv 22gen,,,1352.09,3583.04,7 HCPCS,0524T,Ev cath dir chem abltj w/img,,,3297.29,8737.82,7 HCPCS,0524U,Ob pe sflt-1/plgf ia srm/pls,,,128.82,341.37,7 HCPCS,0525T,HC INSRT/REPLCE ISCHEMIA MON SYS COMPLETE,27737.0,27737.0,,,0 HCPCS,0525T,Insj/rplcmt compl iims,,,20114.58,53303.64,7 HCPCS,0525U,Onc sphrd cell cul 11-rx pnl,,,3033.86,8039.73,7 HCPCS,0526T,HC INSRT/REPLCE ISCHEMIA MON SYS ELECTRODE,27737.0,27737.0,,,0 HCPCS,0526T,Insj/rplcmt iims eltrd only,,,8641.82,22900.81,7 HCPCS,0527T,HC INSRT/REPLCE ISCHEMIA MON SYS IMPLNT MONITOR,27737.0,27737.0,,,0 HCPCS,0527T,Insj/rplcmt iims implt mntr,,,8641.82,22900.81,7 HCPCS,0527U,Hsv 1&2 vzv amp prb tq pthgn,,,142.63,377.97,7 HCPCS,0528T,HC PROG EVAL ADJUST ISCHEMIA MON SYS W/ REPORT,27737.0,27737.0,,,0 HCPCS,0528U,Lrt iad 18bct/8vir&7arg rna,,,634.84,1682.33,7 HCPCS,0529T,HC INTERROGATE ISCHEMIA MON DEVICE W/ REPORT,27737.0,27737.0,,,0 HCPCS,0530T,HC REMV ISCHEMIA MON SYS COMPLETE,27737.0,27737.0,,,0 HCPCS,0530T,Removal complete iims,,,3902.43,10341.44,7 HCPCS,0530U,Onc pan-sol tum ctdna 77 gen,,,2919.6,7736.94,7 HCPCS,0531T,HC REMV ISCHEMIA MON SYS ELECTRODE,27737.0,27737.0,,,0 HCPCS,0531T,Removal iims electrode only,,,3902.43,10341.44,7 HCPCS,0532T,HC REMV ISCHEMIA MON SYS IMPLNT MONITOR,27737.0,27737.0,,,0 HCPCS,0532T,Removal iims implt mntr only,,,3902.43,10341.44,7 HCPCS,0532U,Rare ds whlgen&mitochdrl dna,,,5031.2,13332.68,7 HCPCS,0533U,Rx metab advrs gnotyp 16gens,,,416.78,1104.47,7 HCPCS,0535U,Pfas lc-ms/ms plsm/srm quan,,,62.14,164.67,7 HCPCS,0536U,Rbcag ftl rhd pcr alys exon4,,,192.0,508.8,7 HCPCS,0537U,Onc clrct ca cfdna >2500 dmr,,,1495.0,3961.75,7 HCPCS,0538U,Onc sol tum ngts ffpe 600gen,,,2989.55,7922.31,7 HCPCS,0539U,Onc sol tumor cfctdna 152gen,,,3288.51,8714.55,7 HCPCS,0540U,Trnsplj med quan dd-cfdna,,,2753.25,7296.11,7 HCPCS,0541T,Myocardial imaging mcg,,,389.68,1032.65,7 HCPCS,0543U,Onc sol tum ngs dna 517 gens,,,2989.55,7922.31,7 HCPCS,0545U,Achr antb id imfluor livecll,,,37.73,99.98,7 HCPCS,0546U,Ldns lrp4 antb imflr livecll,,,37.73,99.98,7 HCPCS,0547T,B1 matrl qual tst mcrind tib,,,447.25,447.25,4 HCPCS,0547U,Neurflmnt lt chn cleia plsm,,,116.23,308.01,7 HCPCS,0548U,Gfap cleia plasma,,,116.23,308.01,7 HCPCS,0549U,Onc urthl dna mthyltd rt pcr,,,760.0,2014.0,7 HCPCS,0553U,Repr med pga embry te strux,,,759.05,2011.48,7 HCPCS,0554T,B1 str & fx rsk analysis,,,66.27,66.27,4 HCPCS,0554U,Repr med pga 24chrm te bx qc,,,759.05,2011.48,7 HCPCS,0555T,B1 str&fx rsk transmis data,,,29.19,80.04,11 HCPCS,0555U,Repr med pga embryonic te qc,,,759.05,2011.48,7 HCPCS,0556T,B1 str & fx rsk assessment,,,249.17,660.29,11 HCPCS,0556U,Nfct ds p-s dna&rna 12 trgts,,,142.63,377.97,7 HCPCS,0557T,B1 str & fx rsk i&r,,,16.56,16.56,4 HCPCS,0557U,Nfct ds bv dna mrk vag fluid,,,262.99,696.92,7 HCPCS,0558T,Ct scan f/biomchn ct alys,,,90.88,240.83,11 HCPCS,0558U,Onc clrct elisa bf7 ag serum,,,20.81,55.15,7 HCPCS,0559T,Antmc mdl 3d print 1st cmpnt,,,95.03,368.19,11 HCPCS,0559U,Onc brs quan elisa bf9ag srm,,,20.81,55.15,7 HCPCS,0560U,Onc mrd gsa cfdna baseline,,,3878.45,10277.89,7 HCPCS,0561T,Antmc guide 3d print 1st gd,,,95.03,368.19,11 HCPCS,0561U,Onc mrd gsa cfdna subsequent,,,794.49,2105.4,7 HCPCS,0562U,Onc sol tum tgsa 33gens snvs,,,597.91,1584.46,7 HCPCS,0563T,Evac meibomian glnd heat bi,,,61.6,163.25,7 HCPCS,0563U,Nfct ds pthgn-sna 11vir&4bct,,,416.78,1104.47,7 HCPCS,0564U,Nfct ds pthgn-sna 10vir&4bct,,,416.78,1104.47,7 HCPCS,0565U,Onc hcc ngs detc 6626epigalt,,,1160.0,3074.0,7 HCPCS,0566U,Onc lng qpcr-bsd alys 13dmrs,,,416.78,1104.47,7 HCPCS,0567U,Rare ds whl gen seq srs&lrs,,,5031.2,13332.68,7 HCPCS,0568U,Neurol dementia ?amyl ptau,,,897.0,2377.05,7 HCPCS,0569T,HC CCL TTVR PERQ APPR INIT PROSTHESIS,69276.0,69276.0,,,0 HCPCS,0570T,HC CCL TTVR PERQ APPR EA ADDL PROSTHESIS,16359.0,16359.0,,,0 HCPCS,0570U,Neurol tbi alys gfap&uch-l1,,,260.5,690.32,7 HCPCS,0571T,HC INS/REPL ICDS W/ SUBSTERNAL ELECTRODE,57586.0,57586.0,,,0 HCPCS,0571T,Insj/rplcmt icds ss eltrd,,,32778.73,86863.64,7 HCPCS,0571U,Onc sol tum dna80&rna10g ngs,,,2919.6,7736.94,7 HCPCS,0572T,Insertion ss dfb electrode,,,8641.82,22900.81,7 HCPCS,0573T,HC REM SUBSTERNAL IMP DEFIB ELECTRODE,8495.0,8495.0,,,0 HCPCS,0573T,Removal ss dfb electrode,,,3902.43,10341.44,7 HCPCS,0574T,Repos prev ss impl dfb eltrd,,,3902.43,10341.44,7 HCPCS,0575U,Trnsplj med lar rtpcr 4genes,,,380.0,1007.0,7 HCPCS,0576U,Trnsplj med lar quan ddcfdna,,,3240.0,8586.0,7 HCPCS,0577T,HC EVAL ICD W/ SUBSTERNAL ELECTRODE,6520.0,6520.0,,,0 HCPCS,0577U,Onc ovr serum alys 39 gps,,,246.92,654.34,7 HCPCS,0578U,Onc cutan mln rna qpcr 10gen,,,3873.0,10263.45,7 HCPCS,0579U,Nfro dbtc ckd elisa apoa4,,,390.75,1035.49,7 HCPCS,0580T,HC REM SUBSTERNAL IMP DEFIB PULSE GEN ONLY,8495.0,8495.0,,,0 HCPCS,0580T,Rmvl ss impl dfb pg only,,,3902.43,10341.44,7 HCPCS,0580U,Bbrgdrferi antb detc 24rprtn,,,17.21,45.61,7 HCPCS,0581T,Abltj mal brst tum perq crtx,,,4088.81,10835.33,7 HCPCS,0581U,Trnspl med antb nohla 39trgt,,,325.8,863.37,7 HCPCS,0582T,Trurl abltj mal prst8 tiss,,,13777.65,36510.77,7 HCPCS,0582U,Rare ds rpd whlgen dna vrnts,,,7582.2,20092.83,7 HCPCS,0583T,Tmpst auto tube dlvr sys,,,1620.29,4293.76,7 HCPCS,0583U,Rare ds rpd whlgen cmptr dna,,,3791.1,10046.41,7 HCPCS,0584U,Neuro csf prion prtn qual,,,540.99,1433.62,7 HCPCS,0585U,Tgsap so neo cfdna 521 genes,,,2919.6,7736.94,7 HCPCS,0586U,Onc mrna gen xprsn 216 genes,,,2919.6,7736.94,7 HCPCS,0587T,Perq impltj/rplcmt isdns ptn,,,6655.18,17636.24,7 HCPCS,0587U,Ther rx mntr 60-150rx&metabl,,,114.43,303.24,7 HCPCS,0588T,Revision/removal isdns ptn,,,3650.91,9674.91,7 HCPCS,0588U,Nfct ds bct/vir 32genes mrna,,,760.0,2014.0,7 HCPCS,0589U,Pfas24cmpnd hi-perf lc-ms/ms,,,198.74,526.66,7 HCPCS,0591U,Onc prst8 ca 3prtns plsm srm,,,760.0,2014.0,7 HCPCS,0592U,Onc hl neo dna tgs 417 genes,,,2919.6,7736.94,7 HCPCS,0593U,Nfct ds gu pthgn dna 46trgt,,,634.84,1682.33,7 HCPCS,0594T,Osteot hum xtrnl lngth dev,,,7577.51,20080.41,7 HCPCS,0595U,Nfct ds tfp vctrbrn&zoonotic,,,262.99,696.92,7 HCPCS,0596T,Temp fml iu vlv-pmp 1st insj,,,728.17,1929.66,7 HCPCS,0597T,Temp fml iu valve-pmp rplcmt,,,728.17,1929.66,7 HCPCS,0598T,HC NONCONTRACT RT FLUOR IMG 1ST ANAT SITE,1119.0,1119.0,,,0 HCPCS,0598T,Ncntc r-t fluor wnd img 1st,,,225.48,597.53,11 HCPCS,0598U,Gi ibs igg antb 18food items,,,300.0,795.0,7 HCPCS,0599T,HC NONCONTRACT RT FLUOR IMG EA ADDL ANAT SITE,1119.0,1119.0,,,0 HCPCS,0599U,Onc pncrtc ca mult ia serum,,,897.0,2377.05,7 HCPCS,0600T,Ire abltj 1+tum organ perq,,,11100.51,29416.36,7 HCPCS,0601T,Ire abltj 1+tumors open,,,11100.51,29416.36,7 HCPCS,0602T,Transdermal gfr measurements,,,342.26,342.26,4 HCPCS,0603T,Transdermal gfr monitoring,,,863.67,863.67,4 HCPCS,0604T,Rem oct rta dev setup&educaj,,,197.08,197.08,4 HCPCS,0605T,Rem oct rta techl sprt min 8,,,61.63,61.63,4 HCPCS,0606T,Rem oct rta phys/qhp ea 30d,,,49.23,49.23,4 HCPCS,0609T,Mrs disc pain acquisj data,,,249.17,660.29,11 HCPCS,0610T,Mrs disc pain transmis data,,,291.84,291.84,4 HCPCS,0611T,Mrs disc pain alg alys data,,,249.17,660.29,11 HCPCS,0612T,Mrs discogenic pain i&r,,,48.04,48.04,4 HCPCS,0614T,Rmvl&rplcmt ss impl dfb pg,,,23228.5,61555.52,7 HCPCS,0615T,Eye mvmt alys w/o calbrj i&r,,,138.94,368.19,7 HCPCS,0621T,Trabeculostomy interno laser,,,4316.45,11438.58,7 HCPCS,0627T,Perq njx algc fluor lmbr 1st,,,13407.17,35528.99,7 HCPCS,0629T,Perq njx algc ct lmbr 1st,,,13407.17,35528.99,7 HCPCS,0632T,Perq tcat us abltj nrv p-art,,,19143.34,50729.86,7 HCPCS,0633T,Ct breast w/3d uni c-,,,109.17,289.31,11 HCPCS,0634T,Ct breast w/3d uni c+,,,183.17,485.39,11 HCPCS,0635T,Ct breast w/3d uni c-/c+,,,183.17,485.39,11 HCPCS,0636T,Ct breast w/3d bi c-,,,249.17,660.29,11 HCPCS,0637T,Ct breast w/3d bi c+,,,364.32,965.45,11 HCPCS,0638T,Ct breast w/3d bi c-/c+,,,364.32,965.45,11 HCPCS,0639T,Wrls skn snr anisotropy meas,,,142.95,142.95,4 HCPCS,0640T,Ncntc nr ifr spctrsc wnd,,,39.0,103.36,7 HCPCS,0644T,HC TRANCATH RMVL/DBLK INTRCARD MASS SUCTION DVC PERQ,31285.0,31285.0,,,0 HCPCS,0644T,Tcat rmvl/dblk icar mas perq,,,5943.58,15750.49,7 HCPCS,0645T,Tcat impltj c sins rdctj dev,,,19143.34,50729.86,7 HCPCS,0647T,Insj gtube perq mag gastrpxy,,,2003.87,5310.27,7 HCPCS,0648T,Quan mr alys tiss w/o mri,,,391.22,2574.59,11 HCPCS,0651T,Mag ctrld capsule endoscopy,,,947.15,2509.94,7 HCPCS,0652T,Egd flx transnasal dx br/wa,,,2003.87,5310.27,7 HCPCS,0653T,Egd flx transnasal bx 1/ml,,,2003.87,5310.27,7 HCPCS,0654T,Egd flx transnasal tube/cath,,,4026.19,10669.4,7 HCPCS,0655T,Tprnl focal abltj mal prst8,,,5599.21,14837.91,7 HCPCS,0656T,Vrt bdy tethering ant,,,18310.2,48522.02,7 HCPCS,0657T,Vrt bdy tethering ant 8+ seg,,,18310.2,48522.02,7 HCPCS,0658T,Elec impd spectrsc 1+skn les,,,61.6,163.25,11 HCPCS,0660T,Implt ant sgm io nbio rx sys,,,4316.45,11438.58,7 HCPCS,0661T,Rmvl&Rimpltj ant sgm implt,,,4316.45,11438.58,7 HCPCS,0662T,HC SCALP COOL 1ST MEASURE & CAP CALIBRATION,3956.0,3956.0,,,0 HCPCS,0663T,HC SCALP COOL PLMT MNTR RMVL,411.0,411.0,,,0 HCPCS,0671T,Insj ant sgm aq drg dev 1+,,,5556.93,14725.85,7 HCPCS,0673T,Abltj b9 thyr ndul perq lasr,,,1724.73,4570.53,7 HCPCS,0674T,Laps insj nw/rpcmt prm isdss,,,32224.05,85393.72,7 HCPCS,0675T,Laps insj nw/rpcmt isdss 1ld,,,11636.08,30835.62,7 HCPCS,0677T,Laps repos lead isdss 1st ld,,,11100.51,29416.36,7 HCPCS,0679T,Laps rmvl lead isdss,,,11100.51,29416.36,7 HCPCS,0680T,Insj/rplcmt pg only isdss,,,20259.13,53686.7,7 HCPCS,0681T,Rlcj pulse gen only isdss,,,3650.91,9674.91,7 HCPCS,0682T,Removal pulse gen only isdss,,,3650.91,9674.91,7 HCPCS,0686T,HC HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN,71999.0,71999.0,,,0 HCPCS,0686T,Histotripsy mal hepatcel tis,,,21250.85,94804.84,11 HCPCS,0689T,Quan us tis charac w/o dx us,,,90.88,240.83,11 HCPCS,0691T,Auto alys xst ct std vrt fx,,,14.4,14.4,4 HCPCS,0692T,Therapeutic ultrafiltration,,,1626.39,4309.93,7 HCPCS,0693T,Compre ful bdy 3d mtn alys,,,358.26,949.39,11 HCPCS,0697T,Quan mr tis wo mri mlt orgn,,,399.5,2574.59,11 HCPCS,0699T,Njx pst chmbr eye medication,,,2410.01,6386.53,7 HCPCS,0700T,Molec fluor img sus nev 1st,,,60.49,60.49,4 HCPCS,0701T,Molec fluor img sus nev ea,,,17.87,17.87,4 HCPCS,0707T,Njx b1 sub mtrl sbchdrl dfct,,,3416.88,9054.74,7 HCPCS,0712T,N-nvs artl plaq alys quan,,,225.48,597.53,7 HCPCS,0714T,Tprnl lsr ablt b9 prst8 hypr,,,5599.21,14837.91,7 HCPCS,0716T,Car acous wavfrm rec cad rsk,,,61.6,163.25,7 HCPCS,0717T,Adrc ther prtl rc tear,,,3700.64,9806.69,7 HCPCS,0718T,Adrc ther prtl rc tear njx,,,3700.64,9806.69,7 HCPCS,0721T,Quan ct tiss charac w/o ct,,,664.9,1761.99,11 HCPCS,0723T,Qmrcp w/o dx mri sm anat ses,,,971.54,2574.59,11 HCPCS,0731T,Augmnt ai-based fcl phnt a/r,,,61.6,163.25,7 HCPCS,0736T,Colonic lavage 35+l water,,,134.37,356.08,7 HCPCS,0737T,Xenograft impltj artclr surf,,,13407.17,35528.99,7 HCPCS,0740T,Rem auton alg nsln cal setup,,,61.6,163.25,7 HCPCS,0743T,B1 str & fx rsk vrt fx assmt,,,249.17,660.29,11 HCPCS,0744T,Insj bioprostc vlv fem vn,,,5810.88,15398.82,7 HCPCS,0764T,Asstv alg ecg rsk asmt cncrt,,,138.94,368.19,7 HCPCS,0765T,Asstv alg ecg rsk asmt prev,,,138.94,368.19,7 HCPCS,0766T,Tc mag stimj pn 1st tx 1nrv,,,225.48,597.53,7 HCPCS,0778T,Smmg cncrnt appl imu snr,,,134.37,356.08,11 HCPCS,0779T,Gi myoelectrical actv study,,,389.68,1032.65,7 HCPCS,0780T,HC INSTILLATION FECAL MICROBIOTA SSP,385.0,385.0,,,0 HCPCS,0780T,Instlj fecal microbiota ssp,,,138.94,368.19,7 HCPCS,0783T,Tc auriculr neurostimulation,,,134.37,356.08,7 HCPCS,0784T,Ins/rplmt eltrd ra spi nstim,,,11636.08,30835.62,7 HCPCS,0785T,Revj/rmvl nea spi w/nstim,,,3650.91,9674.91,7 HCPCS,0786T,Insj/rplcmt prq ra sac nstim,,,11636.08,30835.62,7 HCPCS,0787T,Revj/rmvl nea sac w/nstim,,,3650.91,9674.91,7 HCPCS,0790T,Revj rplcmt/rmvl vrt tethrg,,,18310.2,48522.02,7 HCPCS,0793T,Prq tcat thrm ablt nrv p-art,,,19143.34,50729.86,7 HCPCS,0794T,Pt spec alg rx-onc tx option,,,61.6,163.25,7 HCPCS,0795T,HC TRANSCATH INS DUAL-CHAMB LEADLESS PACEMKR W/ IMG COMP SYS,31557.0,31557.0,,,0 HCPCS,0795T,Tcat ins 2chmbr ldls pm cmpl,,,20114.58,53303.64,7 HCPCS,0796T,HC TRANSCATH INS DUAL-CHAMB LEADLESS PACEMKR RT ATRIAL COMP,31557.0,31557.0,,,0 HCPCS,0796T,Tcat ins 2chmbr ldls pm ra,,,20114.58,53303.64,7 HCPCS,0797T,Tcat ins 2chmbr ldls pm rv,,,20114.58,53303.64,7 HCPCS,0798T,Tcat rmv 2chmbr ldls pm cmpl,,,3297.29,8737.82,7 HCPCS,0799T,Tcat rmvl 2chmbr ldls pm ra,,,3297.29,8737.82,7 HCPCS,0800T,Tcat rmvl 2chmbr ldls pm rv,,,3297.29,8737.82,7 HCPCS,0801T,Tcat rmv&rpl 2chmbr ldls pm,,,20114.58,53303.64,7 HCPCS,0802T,Tcat rmv&rpl2chmb ldls pm ra,,,20114.58,53303.64,7 HCPCS,0803T,Tcat rmv&rpl2chmb ldls pm rv,,,20114.58,53303.64,7 HCPCS,0807T,Pulm tiss vntj alys prev ct,,,225.48,597.53,11 HCPCS,0808T,Pulm tiss vntj alys w/ct,,,225.48,597.53,11 HCPCS,0811T,Rem mlt day uroflow setup,,,139.03,368.43,7 HCPCS,0812T,Rem mlt day uroflow dev sply,,,134.37,356.08,7 HCPCS,0813T,Egd vol adjmt bariatric balo,,,947.15,2509.94,7 HCPCS,0816T,Opn insj/rplcmt ins ptn subq,,,20259.13,53686.7,7 HCPCS,0817T,Opn insj/rplcmt ins ptn subf,,,20259.13,53686.7,7 HCPCS,0818T,Revj/rmvl ins ptn subq,,,3650.91,9674.91,7 HCPCS,0819T,Revj/rmvl ins ptn subf,,,3650.91,9674.91,7 HCPCS,0823T,HC TRANSCATH INS LEADLESS RIGHT ATRIAL PACEMAKER W/IMG,97103.0,97103.0,,,0 HCPCS,0823T,Tcat ins 1chmbr ldls pm ra,,,20114.58,53303.64,7 HCPCS,0824T,Tcat rmv 1chmbr ldls pm ra,,,3297.29,8737.82,7 HCPCS,0825T,Tcat rmv&rpl1chmb ldls pm ra,,,20114.58,53303.64,7 HCPCS,0826T,HC PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP,351.0,351.0,,,0 HCPCS,0857T,Opto-acoustic img breast uni,,,109.17,289.31,11 HCPCS,0861T,Rmvl pg wcs lv both compnt,,,3902.43,10341.44,7 HCPCS,0862T,Rlcj pg wcs lv battery only,,,2154.64,5709.8,7 HCPCS,0863T,Rlcj pg wcs lv trnsmtr only,,,2154.64,5709.8,7 HCPCS,0864T,Low ntsty eswt corpus cvrnsm,,,260.91,691.42,7 HCPCS,0865T,Quan mri alys brn w/o dx mri,,,249.17,660.29,11 HCPCS,0866T,HC QUANTITATIVE MRI ALYS BRAIN W/DX MRI,7765.0,7765.0,,,0 HCPCS,0866T,Quan mri alys brn w/dx mri,,,249.17,660.29,11 HCPCS,0867T,Tpla b9 prst8 hyprplsa>=50ml,,,5599.21,14837.91,7 HCPCS,0868T,Hi-res gastric ep mapping,,,389.68,1032.65,7 HCPCS,0869T,Njx b1 sub mtrl hw fixj aug,,,3416.88,9054.74,7 HCPCS,0881T,Cryotherapy oral cavity,,,466.5,1236.24,7 HCPCS,0884T,Esphgsc flx 1st tndsc dilat,,,6339.71,16800.23,7 HCPCS,0885T,Colsc flx 1st tndsc dilat,,,6339.71,16800.23,7 HCPCS,0886T,Sgmdsc flx 1st tndsc dilat,,,6339.71,16800.23,7 HCPCS,0888T,Histotripsy mal renal tissue,,,17887.96,47403.1,11 HCPCS,0893T,N-invas assmt bld oxygnation,,,138.94,368.19,7 HCPCS,0897T,N-invas augmnt arrhyt alys,,,896.76,2376.43,7 HCPCS,0898T,N-invas prst8 cancer est map,,,896.76,2376.43,7 HCPCS,0902T,Qtc ntrvl augmnt alg aly ecg,,,138.94,368.19,7 HCPCS,0904T,Ecg alg 12 ld rdcd trcg only,,,61.6,163.25,7 HCPCS,0906T,Coms ther 1st appl<=50 sq cm,,,209.52,555.22,7 HCPCS,0908T,Opn imp int nstm sys vgs nrv,,,32224.05,85393.72,7 HCPCS,0909T,Rplcmt int nstim sys vgs nrv,,,32224.05,85393.72,7 HCPCS,0910T,Rmvl int nstim sys vagus nrv,,,3650.91,9674.91,7 HCPCS,0911T,Elec aly nstm sys vgs nrv wo,,,61.6,163.25,7 HCPCS,0913T,HC PERQ TCAT THER RX DELIVER NTRAC BALLOON 1ST MAJ COR ART W/IMG,30443.0,30443.0,,,0 HCPCS,0913T,Prq tcat ther rx ntrac balo1,,,12055.35,31946.69,7 HCPCS,0914T,HC PERQ TCAT THER RX DELIVER NTRAC BALLOON SEPARATE,15221.0,15221.0,,,0 HCPCS,0915T,Insj perm ccm-d sys pg&eltrd,,,32778.73,86863.64,7 HCPCS,0916T,Insj perm ccm-d sys pg only,,,23228.5,61555.52,7 HCPCS,0917T,Insj perm ccm-d sys 1 lead,,,8641.82,22900.81,7 HCPCS,0918T,Insj perm ccm-d sys dual ld,,,8641.82,22900.81,7 HCPCS,0919T,Rmvl perm ccm-d sys pg only,,,3902.43,10341.44,7 HCPCS,0920T,Rmvl perm ccm-d sys 1 pac ld,,,3902.43,10341.44,7 HCPCS,0921T,Rmvl perm ccm-d sys 1 dfb ld,,,3902.43,10341.44,7 HCPCS,0922T,Rmvl perm ccm-d sys dual ld,,,3902.43,10341.44,7 HCPCS,0923T,Rmvl&rplcmt perm ccm-d pg,,,23228.5,61555.52,7 HCPCS,0924T,Rpos prv ccm-d trnsvns eltrd,,,655.08,1735.96,7 HCPCS,0925T,Rlcj skin pocket ccm-d pg,,,2154.64,5709.8,7 HCPCS,0933T,Tcat impl wrls l atr prs snr,,,3385.48,8971.52,7 HCPCS,0944T,3d cntr simula trgt lvr les,,,249.17,660.29,11 HCPCS,0946T,Ortho impl mvmt alys pair ct,,,109.17,289.31,11 HCPCS,0950T,Abltj b9 prst8 tissue hifu,,,9885.63,26196.91,7 HCPCS,0957T,Rev s-sclp eltr ra rcvr&tlmt,,,1679.19,4449.86,7 HCPCS,0958T,Rmv s-sclp eltr ra rcvr&tlmt,,,3416.88,9054.74,7 HCPCS,0959T,Rmv/rplc magnet coil assem,,,1724.73,4570.53,7 HCPCS,0962T,Asstv alg alys acous&ecg rec,,,138.94,368.19,7 HCPCS,0963T,Anosc sbmcsl njx bulking agt,,,1249.63,3311.51,7 HCPCS,0964T,I&cust prep jaw xpnsj 1arch,,,3462.26,9175.0,7 HCPCS,0965T,I&cst prp jw xpn dl arch non,,,3462.26,9175.0,7 HCPCS,0966T,I&cst prp jw xpn dl arch fxd,,,3462.26,9175.0,7 HCPCS,0967T,Tranal ins tmp clrc anst dev,,,1249.63,3311.51,7 HCPCS,0970T,Ablt b9 brst tum perq lsr ea,,,4088.81,10835.33,7 HCPCS,0971T,Ablt mal brst tum pq lsr uni,,,4088.81,10835.33,7 HCPCS,0973T,Slctv nzmtc dbrdmt t/a/l 1st,,,424.52,1124.97,7 HCPCS,0975T,Slctv nzmtc dbrdmt s/n/hf 1,,,424.52,1124.97,7 HCPCS,0977T,Upr gi bld detcj snr capsule,,,947.15,2509.94,7 HCPCS,0981T,Tcat impl wrls ivc snr,,,19143.34,50729.86,7 HCPCS,0982T,Rem mntr impl ivc snr set-up,,,139.03,368.43,7 HCPCS,0989T,Revj/rmvl ins ptn subq&subf,,,3650.91,9674.91,7 HCPCS,0991T,Cysto lo-nrg lithtrp&mcrsphr,,,9885.63,26196.91,7 HCPCS,0992T,N-invas assmt car rsk w/o ct,,,249.17,660.29,7 HCPCS,0993T,N-invas assmt car rsk w/ct,,,249.17,660.29,7 HCPCS,0996T,Ins&sclr fix caps bag prosth,,,2410.01,6386.53,7 HCPCS,10005,Fna bx w/us gdn 1st les,,,739.49,1959.64,7 HCPCS,10005,HC FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION,2494.0,2494.0,,,0 HCPCS,10006,HC FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL,2495.0,2495.0,,,0 HCPCS,10007,Fna bx w/fluor gdn 1st les,,,739.49,1959.64,7 HCPCS,10007,HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION,2494.0,2494.0,,,0 HCPCS,10008,HC FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL,1126.0,1126.0,,,0 HCPCS,10009,Fna bx w/ct gdn 1st les,,,739.49,1959.64,7 HCPCS,10009,HC FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION,2494.0,2494.0,,,0 HCPCS,10010,HC FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL,2495.0,2495.0,,,0 HCPCS,10011,Fna bx w/mr gdn 1st les,,,739.49,1959.64,7 HCPCS,10021,Fna w/o image,,,424.52,1124.97,7 HCPCS,10021,HC FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION,1433.0,1433.0,,,0 HCPCS,10030,Guide cathet fluid drainage,,,739.49,1959.64,7 HCPCS,10030,HC IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE,2495.0,2495.0,,,0 HCPCS,10035,HC PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE,3226.0,3226.0,,,0 HCPCS,10035,Perq dev soft tiss 1st imag,,,739.49,1959.64,7 HCPCS,10036,HC PLACE INT DVC SOFT TISSUE ADD,1614.0,1614.0,,,0 HCPCS,1003T,Arthrp 1st crp/mtcrpl prostc,,,13407.17,35528.99,7 HCPCS,10040,Acne surgery,,,209.52,555.22,7 HCPCS,10040,HC ACNE SURGERY OF SKIN ABCESS,621.0,621.0,,,0 HCPCS,1004T,Elec alys s-scl eeg wo prgrm,,,138.94,368.19,7 HCPCS,10060,Drainage of skin abscess,,,209.52,555.22,7 HCPCS,10060,HC DRAIN SKIN ABSCESS SIMPLE,822.0,822.0,,,0 HCPCS,10061,Drainage of skin abscess,,,424.52,1124.97,7 HCPCS,10061,HC DRAIN SKIN ABSCESS COMPLIC,1305.0,1305.0,,,0 HCPCS,10080,Drainage of pilonidal cyst,,,739.49,1959.64,7 HCPCS,10080,HC DRAIN PILONIDAL CYST SIMPL,2372.0,2372.0,,,0 HCPCS,10081,Drainage of pilonidal cyst,,,739.49,1959.64,7 HCPCS,10081,HC DRAIN PILONIDAL CYST COMPLIC,2372.0,2372.0,,,0 HCPCS,1008T,Rem mntr s-scl eeg sys setup,,,139.03,368.43,7 HCPCS,1010T,Cptr oph alys monoc eye mvmt,,,138.94,368.19,7 HCPCS,10120,HC REMOVE FOREIGN BODY SIMPLE,2305.0,2305.0,,,0 HCPCS,10120,Remove foreign body,,,424.52,1124.97,7 HCPCS,10121,HC REMOVE FOREIGN BODY COMPLIC,9255.0,9255.0,,,0 HCPCS,10121,Remove foreign body,,,1724.73,4570.53,7 HCPCS,1012T,Mtrz ab ntrno trph scl/tr mw,,,4316.45,11438.58,7 HCPCS,1013T,Lap srg imp/rpl eso nea&pg/r,,,20259.13,53686.7,7 HCPCS,10140,Drainage of hematoma/fluid,,,1724.73,4570.53,7 HCPCS,10140,HC DRAINAGE OF HEMATOMA/FLUID,5498.0,5498.0,,,0 HCPCS,1014T,Lap rv/rmv eso sph nstm eltr,,,11636.08,30835.62,7 HCPCS,1015T,Rev/rmv lw esoph sphnc npg/r,,,3650.91,9674.91,7 HCPCS,10160,HC PUNCTURE DRAINAGE OF LESION,1540.0,1540.0,,,0 HCPCS,10160,Puncture drainage of lesion,,,424.52,1124.97,7 HCPCS,1017T,Elec aly npgs esoph sbsq w/o,,,61.6,163.25,7 HCPCS,10180,Complex drainage wound,,,3033.33,8038.33,7 HCPCS,10180,"HC COMPLEX DRAINAGE, WOUND",9131.0,9131.0,,,0 HCPCS,1019T,Lymphovenous bypass per xtr,,,6934.19,18375.6,7 HCPCS,1020T,Raman spectroscopy 1+skn les,,,61.6,163.25,7 HCPCS,1021T,Active thrc irrigation spx,,,655.08,1735.96,7 HCPCS,1025T,Alt elec fld dos&dlv sim mdl,,,140.36,371.95,7 HCPCS,11000,Debride infected skin,,,424.52,1124.97,7 HCPCS,11000,"HC DEBRIDEMENT, INFECTED SKIN, UP TO 10% BSA",2541.0,2541.0,,,0 HCPCS,11010,Debride skin at fx site,,,739.49,1959.64,7 HCPCS,11011,Debride skin musc at fx site,,,739.49,1959.64,7 HCPCS,11012,Deb skin bone at fx site,,,3033.33,8038.33,7 HCPCS,11012,HC DEBRIDE ASSOC OPEN FX/DISLO SKIN/MUS/BONE,7146.0,7146.0,,,0 HCPCS,11042,Deb subq tissue 20 sq cm/<,,,424.52,1124.97,7 HCPCS,11042,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM",2391.0,2391.0,,,0 HCPCS,11043,Deb musc/fascia 20 sq cm/<,,,771.8,2045.26,7 HCPCS,11043,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,=<20 SQ CM",1992.0,1992.0,,,0 HCPCS,11044,Deb bone 20 sq cm/<,,,1724.73,4570.53,7 HCPCS,11044,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,=<20 SQ CM",5498.0,5498.0,,,0 HCPCS,11045,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM",1280.0,1280.0,,,0 HCPCS,11046,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,EACH ADD 20 SQ CM",1992.0,1992.0,,,0 HCPCS,11047,"HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,EACH ADD 20 SQ CM",5498.0,5498.0,,,0 HCPCS,11055,"HC TRIM HYPERKERATOTIC SKIN LESION, ONE",923.0,923.0,,,0 HCPCS,11055,Trim skin lesion,,,209.52,555.22,7 HCPCS,11056,"HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4",923.0,923.0,,,0 HCPCS,11056,Trim skin lesions 2 to 4,,,209.52,555.22,7 HCPCS,11057,"HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,>4",923.0,923.0,,,0 HCPCS,11057,Trim skin lesions over 4,,,209.52,555.22,7 HCPCS,11102,HC TANGENTIAL BIOPSY SKIN SINGLE LESION,699.0,699.0,,,0 HCPCS,11102,Tangntl bx skin single les,,,424.52,1124.97,7 HCPCS,11103,HC TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,311.0,311.0,,,0 HCPCS,11104,HC PUNCH BIOPSY SKIN SINGLE LESION,699.0,699.0,,,0 HCPCS,11104,Punch bx skin single lesion,,,424.52,1124.97,7 HCPCS,11105,HC PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION,599.0,599.0,,,0 HCPCS,11106,HC INCISIONAL BIOPSY SKIN SINGLE LESION,1280.0,1280.0,,,0 HCPCS,11106,Incal bx skn single les,,,771.8,2045.26,7 HCPCS,11107,HC INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION,908.0,908.0,,,0 HCPCS,11200,"HC REMOVAL OF SKIN TAGS, UP TO 15",622.0,622.0,,,0 HCPCS,11200,Removal of skin tags 2.1 CM",1301.0,1301.0,,,0 HCPCS,11303,Shave skin lesion >2.0 cm,,,424.52,1124.97,7 HCPCS,11305,HC SHAVE SKIN LES SNHF<0.5CM,678.0,678.0,,,0 HCPCS,11305,Shave skin lesion 0.5 cm/<,,,209.52,555.22,7 HCPCS,11306,HC SHAVE SKIN LES SNHF.6-1CM,678.0,678.0,,,0 HCPCS,11306,Shave skin lesion 0.6-1.0 cm,,,209.52,555.22,7 HCPCS,11307,HC SHAVE SKIN LESION SNHF 1.1-2 CM,678.0,678.0,,,0 HCPCS,11307,Shave skin lesion 1.1-2.0 cm,,,209.52,555.22,7 HCPCS,11308,HC SHAVE SKIN LESION REMAINDER BODY >2.1 CM,1198.0,1198.0,,,0 HCPCS,11308,Shave skin lesion >2.0 cm,,,424.52,1124.97,7 HCPCS,11310,"HC SHAV SKIN LES <0.5 CM FACE,FACIAL",678.0,678.0,,,0 HCPCS,11310,Shave skin lesion 0.5 cm/<,,,209.52,555.22,7 HCPCS,11311,HC SHAVE SKIN LES 0.6-1.0 CM,678.0,678.0,,,0 HCPCS,11311,Shave skin lesion 0.6-1.0 cm,,,209.52,555.22,7 HCPCS,11312,"HC SHAV SKIN LES 1.1 TO 2.0 CM FACE,FACIAL",1305.0,1305.0,,,0 HCPCS,11312,Shave skin lesion 1.1-2.0 cm,,,424.52,1124.97,7 HCPCS,11313,"HC SHAV SKIN LES >2.1 CM FACE,FACIAL",1305.0,1305.0,,,0 HCPCS,11313,Shave skin lesion >2.0 cm,,,424.52,1124.97,7 HCPCS,11400,Exc tr-ext b9+marg 0.5 cm<,,,739.49,1959.64,7 HCPCS,11400,HC EXC TR-EXT BENIGN+MRG<0.5CM,3570.0,3570.0,,,0 HCPCS,11401,Exc tr-ext b9+marg 0.6-1 cm,,,424.52,1124.97,7 HCPCS,11401,"HC EXC SKIN BENIG 0.6-1 CM TRUNK,ARM,LEG",2052.0,2052.0,,,0 HCPCS,11402,Exc tr-ext b9+marg 1.1-2 cm,,,739.49,1959.64,7 HCPCS,11402,"HC EXC SKIN BENIG 1.1-2 CM TRUNK,ARM,LEG",3570.0,3570.0,,,0 HCPCS,11403,Exc tr-ext b9+marg 2.1-3cm/<,,,739.49,1959.64,7 HCPCS,11403,"HC EXC SKIN BENIG 2.1-3 CM TRUNK,ARM,LEG",3570.0,3570.0,,,0 HCPCS,11404,Exc tr-ext b9+marg 3.1-4 cm,,,1724.73,4570.53,7 HCPCS,11404,"HC EXC SKIN BENIG 3.1-4 CM TRUNK,ARM,LEG",8248.0,8248.0,,,0 HCPCS,11406,Exc tr-ext b9+marg >4.0 cm,,,1724.73,4570.53,7 HCPCS,11406,"HC EXC SKIN BENIG >4 CM TRUNK,ARM,LEG",8248.0,8248.0,,,0 HCPCS,11420,Exc h-f-nk-sp b9+marg 0.5/<,,,1724.73,4570.53,7 HCPCS,11420,HC EXCISION BENIGN LES W/ MARG SNHFG <0.5 CM,6901.0,6901.0,,,0 HCPCS,11421,Exc h-f-nk-sp b9+marg 0.6-1,,,739.49,1959.64,7 HCPCS,11421,HC EXC SKIN BENIG 0.6-1 CM REMAINDR BODY,2986.0,2986.0,,,0 HCPCS,11422,Exc h-f-nk-sp b9+marg 1.1-2,,,1724.73,4570.53,7 HCPCS,11422,HC EXC SKIN BENIG 1.1-2 CM REMAINDR BODY,6901.0,6901.0,,,0 HCPCS,11423,Exc h-f-nk-sp b9+marg 2.1-3,,,1724.73,4570.53,7 HCPCS,11423,HC EXC BENIGN LES REMAINDER BODY 2.1-3.0 CM,6901.0,6901.0,,,0 HCPCS,11424,Exc h-f-nk-sp b9+marg 3.1-4,,,1724.73,4570.53,7 HCPCS,11424,HC EXC SKIN BENIG 3.1-4 CM REMAINDR BODY,6901.0,6901.0,,,0 HCPCS,11426,Exc h-f-nk-sp b9+marg >4 cm,,,3033.33,8038.33,7 HCPCS,11426,HC EXC SKIN BENIG >4 CM REMAINDR BODY,11888.0,11888.0,,,0 HCPCS,11440,Exc face-mm b9+marg 0.5 cm/<,,,739.49,1959.64,7 HCPCS,11440,HC EXC BENIGN LESION FACE/FACIAL <0.5 CM,2156.0,2156.0,,,0 HCPCS,11441,Exc face-mm b9+marg 0.6-1 cm,,,739.49,1959.64,7 HCPCS,11441,"HC EXC SKIN BENIG 0.6-1 CM FACE,FACIAL",3823.0,3823.0,,,0 HCPCS,11442,Exc face-mm b9+marg 1.1-2 cm,,,739.49,1959.64,7 HCPCS,11442,HC EXC BENIGN LESION FACE/FACIAL 1.1-2.0 CM,2156.0,2156.0,,,0 HCPCS,11443,Exc face-mm b9+marg 2.1-3 cm,,,1724.73,4570.53,7 HCPCS,11443,HC EXC BENIGN LESION FACE/FACIAL 2.1-3.0 CM,4876.0,4876.0,,,0 HCPCS,11444,Exc face-mm b9+marg 3.1-4 cm,,,1724.73,4570.53,7 HCPCS,11444,HC EXC BENIGN LESION FACE/FACIAL 3.1-4.0 CM,4876.0,4876.0,,,0 HCPCS,11446,Exc face-mm b9+marg >4 cm,,,3033.33,8038.33,7 HCPCS,11446,HC EXC BENIGN LESION FACE/FACIAL <4.0 CM,8220.0,8220.0,,,0 HCPCS,11450,"HC EXC SWEAT GLAND LESION, SIMP/INTERM REP",7905.0,7905.0,,,0 HCPCS,11450,Removal sweat gland lesion,,,3033.33,8038.33,7 HCPCS,11451,"HC EXC SWEAT GLAND LESION, COMPLEX REP",7905.0,7905.0,,,0 HCPCS,11451,Removal sweat gland lesion,,,3033.33,8038.33,7 HCPCS,11462,"HC REM SWEAT GLAND LESION, SIMP/INTERM REP",7905.0,7905.0,,,0 HCPCS,11462,Removal sweat gland lesion,,,3033.33,8038.33,7 HCPCS,11463,"HC REM SWEAT GLAND LESION, COMPLEX REP",7905.0,7905.0,,,0 HCPCS,11463,Removal sweat gland lesion,,,3033.33,8038.33,7 HCPCS,11470,"HC EXC SWEAT GLAND LES PERINEAL,SIMP/INTERM REP",7905.0,7905.0,,,0 HCPCS,11470,Removal sweat gland lesion,,,3033.33,8038.33,7 HCPCS,11471,"HC EXC SWEAT GLAND LES PERINEAL,COMPLEX REP",7905.0,7905.0,,,0 HCPCS,11471,Removal sweat gland lesion,,,3033.33,8038.33,7 HCPCS,11600,Exc tr-ext mal+marg 0.5 cm/<,,,739.49,1959.64,7 HCPCS,11600,HC EXC MAL LES T/A/L <0.5 CM,4802.0,4802.0,,,0 HCPCS,11601,Exc tr-ext mal+marg 0.6-1 cm,,,739.49,1959.64,7 HCPCS,11601,"HC EXC SKIN MALIG 0.6-1 CM TRUNK,ARM,LEG",4802.0,4802.0,,,0 HCPCS,11602,Exc tr-ext mal+marg 1.1-2 cm,,,424.52,1124.97,7 HCPCS,11602,HC EXCISION MALIGNANT LES W/ MARG TAL 1.1-2.0 CM,2761.0,2761.0,,,0 HCPCS,11603,Exc tr-ext mal+marg 2.1-3 cm,,,739.49,1959.64,7 HCPCS,11603,"HC EXC SKIN MALIG 2.1-3 CM TRUNK,ARM,LEG",4802.0,4802.0,,,0 HCPCS,11604,Exc tr-ext mal+marg 3.1-4 cm,,,739.49,1959.64,7 HCPCS,11604,"HC EXC SKIN MALIG 3.1-4 CM TRUNK,ARM,LEG",4802.0,4802.0,,,0 HCPCS,11606,Exc tr-ext mal+marg >4 cm,,,1724.73,4570.53,7 HCPCS,11606,"HC EXC SKIN MALIG >4 CM TRUNK,ARM,LEG",11095.0,11095.0,,,0 HCPCS,11620,Exc h-f-nk-sp mal+marg 0.5/<,,,1724.73,4570.53,7 HCPCS,11620,HC EXC MALIG LESION REMAINDER BODY <0.5 CM,7638.0,7638.0,,,0 HCPCS,11621,Exc s/n/h/f/g mal+mrg 0.6-1,,,739.49,1959.64,7 HCPCS,11621,HC EXC MLGNT LESION 0.6-1CM,3306.0,3306.0,,,0 HCPCS,11622,Exc s/n/h/f/g mal+mrg 1.1-2,,,739.49,1959.64,7 HCPCS,11622,HC EXC MLGNT LESION 1.1-2 CM,3306.0,3306.0,,,0 HCPCS,11623,Exc s/n/h/f/g mal+mrg 2.1-3,,,1724.73,4570.53,7 HCPCS,11623,HC EXC MALIG LESION REMAINDER BODY 2.1-3.0 CM,7638.0,7638.0,,,0 HCPCS,11624,Exc s/n/h/f/g mal+mrg 3.1-4,,,1724.73,4570.53,7 HCPCS,11624,HC EXC SKIN MALIG 3.1-4 CM REMAINDR BODY,7638.0,7638.0,,,0 HCPCS,11626,Exc s/n/h/f/g mal+mrg >4 cm,,,3033.33,8038.33,7 HCPCS,11626,HC EXC SKIN MALIG >4 CM REMAINDR BODY,13159.0,13159.0,,,0 HCPCS,11640,Exc f/e/e/n/l mal+mrg 0.5cm<,,,739.49,1959.64,7 HCPCS,11640,HC EXC MALIG LESION FACE/FACIAL <0.5 CM,3113.0,3113.0,,,0 HCPCS,11641,Exc f/e/e/n/l mal+mrg 0.6-1,,,739.49,1959.64,7 HCPCS,11641,HC EXC MALIG LESION FACE/FACIAL 0.6-1.0 CM,3113.0,3113.0,,,0 HCPCS,11642,Exc f/e/e/n/l mal+mrg 1.1-2,,,739.49,1959.64,7 HCPCS,11642,HC EXC MALIG LESION FACE/FACIAL 1.1-2.0 CM,3113.0,3113.0,,,0 HCPCS,11643,Exc f/e/e/n/l mal+mrg 2.1-3,,,1724.73,4570.53,7 HCPCS,11643,HC PBD EX: EXCISION MALIGNANT LES W/ MARG FEENL 2.1-3.0 CM,7192.0,7192.0,,,0 HCPCS,11644,Exc f/e/e/n/l mal+mrg 3.1-4,,,1724.73,4570.53,7 HCPCS,11644,"HC EXC SKIN MALIG 3.1-4 CM FACE,FACIAL",7192.0,7192.0,,,0 HCPCS,11646,Exc f/e/e/n/l mal+mrg >4 cm,,,3033.33,8038.33,7 HCPCS,11646,HC EXC MALIG LESION FACE/FACIAL >4.0 CM,12390.0,12390.0,,,0 HCPCS,11719,HC TRIM NAIL(S),220.0,220.0,,,0 HCPCS,11719,Trim nail(s) any number,,,61.6,163.25,7 HCPCS,11720,Debride nail 1-5,,,61.6,163.25,7 HCPCS,11720,"HC DEBRIDEMENT OF NAIL(S), 1-5",220.0,220.0,,,0 HCPCS,11721,Debride nail 6 or more,,,61.6,163.25,7 HCPCS,11721,"HC DEBRIDEMENT OF NAILS, 6 OR MORE",220.0,220.0,,,0 HCPCS,11730,HC REMOVAL OF NAIL PLATE,699.0,699.0,,,0 HCPCS,11730,Removal of nail plate,,,209.52,555.22,7 HCPCS,11732,HC REMOVAL OF NAIL PLATE EACH ADDL,699.0,699.0,,,0 HCPCS,11740,Drain blood from under nail,,,138.94,368.19,7 HCPCS,11740,HC DRAIN BLOOD FROM UNDER NAIL,536.0,536.0,,,0 HCPCS,11750,HC REMOVAL OF NAIL BED,1280.0,1280.0,,,0 HCPCS,11750,Removal of nail bed,,,424.52,1124.97,7 HCPCS,11755,Biopsy nail unit,,,739.49,1959.64,7 HCPCS,11755,HC BIOPSY NAIL UNIT,2525.0,2525.0,,,0 HCPCS,11760,HC RECONSTRUC OF NAIL BED,1977.0,1977.0,,,0 HCPCS,11760,Repair of nail bed,,,771.8,2045.26,7 HCPCS,11762,Reconstruction of nail bed,,,2154.64,5709.8,7 HCPCS,11765,Excision of nail fold toe,,,424.52,1124.97,7 HCPCS,11765,"HC EXCISION OF NAIL FOLD, TOE",741.0,741.0,,,0 HCPCS,11770,Remove pilonidal cyst simple,,,3033.33,8038.33,7 HCPCS,11771,Remove pilonidal cyst exten,,,3033.33,8038.33,7 HCPCS,11772,HC REMV PILONIDAL LESION COMPLIC,18341.0,18341.0,,,0 HCPCS,11772,Remove pilonidal cyst compl,,,3033.33,8038.33,7 HCPCS,11900,HC INJ INTRALESIONAL UP TO 7,1035.0,1035.0,,,0 HCPCS,11900,Inject skin lesions <=w 7,,,209.52,555.22,7 HCPCS,11901,HC INJ INTRALESIONAL >7 LESIONS,1035.0,1035.0,,,0 HCPCS,11901,Inject skin lesions >7,,,209.52,555.22,7 HCPCS,11920,Correct skin color 6.0 cm/<,,,771.8,2045.26,7 HCPCS,11921,Correct skn color 6.1-20.0cm,,,771.8,2045.26,7 HCPCS,11950,HC SUBCUT INJ FILLING MATERIAL <1CC,611.0,611.0,,,0 HCPCS,11950,Tx contour defects 1 cc/<,,,209.52,555.22,7 HCPCS,11951,HC SUBCUT INJ FILLING MATERIAL 1.1-5.0 CC,1804.0,1804.0,,,0 HCPCS,11951,Tx contour defects 1.1-5.0cc,,,771.8,2045.26,7 HCPCS,11952,HC SUBCUT INJ FILLING MATERIAL 5.1-10.0CC,1804.0,1804.0,,,0 HCPCS,11952,Tx contour defects 5.1-10cc,,,771.8,2045.26,7 HCPCS,11954,HC SUBCUT INJ FILLING MATERIAL >10.0 CC,1804.0,1804.0,,,0 HCPCS,11954,Tx contour defects >10.0 cc,,,771.8,2045.26,7 HCPCS,11960,Insert tissue expander(s),,,3700.64,9806.69,7 HCPCS,11970,Replace tissue expander,,,7577.51,20080.41,7 HCPCS,11971,Remove tissue expander(s),,,3033.33,8038.33,7 HCPCS,11976,Remove contraceptive capsule,,,739.49,1959.64,7 HCPCS,11980,HC IMPLANT SUBQ HORMONE PELLET,1024.0,1024.0,,,0 HCPCS,11980,Implant hormone pellet(s),,,466.5,1236.24,7 HCPCS,11981,HC INSERT DRUG DELIVERY IMPLANT,5685.0,5685.0,,,0 HCPCS,11981,Insert drug implant device,,,138.94,368.19,7 HCPCS,11982,HC REMOVE DRUG DELIVERY IMPLANT,1340.0,1340.0,,,0 HCPCS,11982,Remove drug implant device,,,466.5,1236.24,7 HCPCS,11983,HC REPLACE DRUG DELIVERY IMPLANT,1340.0,1340.0,,,0 HCPCS,11983,Remove/insert drug implant,,,466.5,1236.24,7 HCPCS,12001,HC RESUPERF WND BODY <2.5CM,800.0,800.0,,,0 HCPCS,12001,Rpr s/n/ax/gen/trnk 2.5cm/<,,,209.52,555.22,7 HCPCS,12002,HC RESUP NPTERF WND BODY 2.6-7.5 CM,800.0,800.0,,,0 HCPCS,12002,Rpr s/n/ax/gen/trnk2.6-7.5cm,,,209.52,555.22,7 HCPCS,12004,HC RESUPERF WND BODY 7.6-12.5 CM,800.0,800.0,,,0 HCPCS,12004,Rpr s/n/ax/gen/trk7.6-12.5cm,,,209.52,555.22,7 HCPCS,12005,HC RESUPERF WND BODY 12.6-20 CM,1652.0,1652.0,,,0 HCPCS,12005,Rpr s/n/a/gen/trk12.6-20.0cm,,,424.52,1124.97,7 HCPCS,12006,HC RESUPERF WND BODY 20.1-30 CM,1652.0,1652.0,,,0 HCPCS,12006,Rpr s/n/a/gen/trk20.1-30.0cm,,,424.52,1124.97,7 HCPCS,12007,HC RESUPERF WND BODY >30 CM,800.0,800.0,,,0 HCPCS,12007,Rpr s/n/ax/gen/trnk >30.0 cm,,,209.52,555.22,7 HCPCS,12011,HC RESUPERF WND FACE <2.5 CM,751.0,751.0,,,0 HCPCS,12011,Rpr f/e/e/n/l/m 2.5 cm/<,,,209.52,555.22,7 HCPCS,12013,HC RESUPERF WND FACE 2.6-5 CM,751.0,751.0,,,0 HCPCS,12013,Rpr f/e/e/n/l/m 2.6-5.0 cm,,,209.52,555.22,7 HCPCS,12014,HC RESUPERF WND FACE 5.1-7.5 CM,751.0,751.0,,,0 HCPCS,12014,Rpr f/e/e/n/l/m 5.1-7.5 cm,,,209.52,555.22,7 HCPCS,12015,HC RESUPERF WND FACE 7.6-12.5 CM,751.0,751.0,,,0 HCPCS,12015,Rpr f/e/e/n/l/m 7.6-12.5 cm,,,209.52,555.22,7 HCPCS,12016,HC RESUPERF WND FACE 12.6-20 CM,1551.0,1551.0,,,0 HCPCS,12016,Rpr fe/e/en/l/m 12.6-20.0 cm,,,424.52,1124.97,7 HCPCS,12017,HC RESUPERF WND FACE 20.1-30 CM,1551.0,1551.0,,,0 HCPCS,12017,Rpr fe/e/en/l/m 20.1-30.0 cm,,,424.52,1124.97,7 HCPCS,12018,HC RESUPERF WND FACE >30 CM,751.0,751.0,,,0 HCPCS,12018,Rpr f/e/e/n/l/m >30.0 cm,,,209.52,555.22,7 HCPCS,12020,Closure of split wound,,,771.8,2045.26,7 HCPCS,12020,HC CLOSURE SUPERF WND DEHIS SIMPLE,4034.0,4034.0,,,0 HCPCS,12021,Closure of split wound,,,424.52,1124.97,7 HCPCS,12021,HC SUPERFICIAL WOUND DEHISCENCE W/ PACKING,1305.0,1305.0,,,0 HCPCS,12031,"HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM",1245.0,1245.0,,,0 HCPCS,12031,Intmd rpr s/a/t/ext 2.5 cm/<,,,424.52,1124.97,7 HCPCS,12032,"HC LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM",1305.0,1305.0,,,0 HCPCS,12032,Intmd rpr s/a/t/ext 2.6-7.5,,,424.52,1124.97,7 HCPCS,12034,"HC LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5 CM",1245.0,1245.0,,,0 HCPCS,12034,Intmd rpr s/tr/ext 7.6-12.5,,,424.52,1124.97,7 HCPCS,12035,"HC LAYR CLOS WND TRUNK,ARM,LEG 12.6-20 CM",1245.0,1245.0,,,0 HCPCS,12035,Intmd rpr s/a/t/ext 12.6-20,,,424.52,1124.97,7 HCPCS,12036,"HC LAYR CLOS WND TRUNK,ARM,LEG 20.1-30 CM",1938.0,1938.0,,,0 HCPCS,12036,Intmd rpr s/a/t/ext 20.1-30,,,771.8,2045.26,7 HCPCS,12037,"HC LAYR CLOS WND TRUNK,ARM,LEG >30 CM",5760.0,5760.0,,,0 HCPCS,12037,Intmd rpr s/tr/ext >30.0 cm,,,2154.64,5709.8,7 HCPCS,12041,HC LAYR CLOS WND REST BODY <2.5 CM,1271.0,1271.0,,,0 HCPCS,12041,Intmd rpr n-hf/genit 2.5cm/<,,,424.52,1124.97,7 HCPCS,12042,HC LAYR CLOS WND REST BODY 2.6-7.5 CM,1271.0,1271.0,,,0 HCPCS,12042,Intmd rpr n-hf/genit2.6-7.5,,,424.52,1124.97,7 HCPCS,12044,HC LAYR CLOS WND REST BODY 7.6-12.5 CM,1925.0,1925.0,,,0 HCPCS,12044,Intmd rpr n-hf/genit7.6-12.5,,,771.8,2045.26,7 HCPCS,12045,HC LAYR CLOS WND REST BODY 12.6-20 CM,1977.0,1977.0,,,0 HCPCS,12045,Intmd rpr n-hf/genit12.6-20,,,771.8,2045.26,7 HCPCS,12046,HC LAYR CLOS WND REST BODY 20.1-30 CM,1977.0,1977.0,,,0 HCPCS,12046,Intmd rpr n-hf/genit20.1-30,,,771.8,2045.26,7 HCPCS,12047,HC LAYR CLOS WND REST BODY >30 CM,6465.0,6465.0,,,0 HCPCS,12047,Intmd rpr n-hf/genit >30.0cm,,,2154.64,5709.8,7 HCPCS,12051,"HC LAYR CLOS WND FACE,FACIAL <2.5 CM",1277.0,1277.0,,,0 HCPCS,12051,Intmd rpr face/mm 2.5 cm/<,,,424.52,1124.97,7 HCPCS,12052,"HC LAYR CLOS WND FACE,FACIAL 2.5-5 CM",1277.0,1277.0,,,0 HCPCS,12052,Intmd rpr face/mm 2.6-5.0 cm,,,424.52,1124.97,7 HCPCS,12053,"HC LAYR CLOS WND FACE,FACIAL 5.1-7.5 CM",1277.0,1277.0,,,0 HCPCS,12053,Intmd rpr face/mm 5.1-7.5 cm,,,424.52,1124.97,7 HCPCS,12054,"HC LAYR CLOS WND FACE,FACIAL 7.6-12.5 CM",1277.0,1277.0,,,0 HCPCS,12054,Intmd rpr face/mm 7.6-12.5cm,,,424.52,1124.97,7 HCPCS,12055,"HC LAYR CLOS WND FACE,FACIAL 12.6-20 CM",1277.0,1277.0,,,0 HCPCS,12055,Intmd rpr face/mm 12.6-20 cm,,,424.52,1124.97,7 HCPCS,12056,"HC LAYR CLOS WND FACE,FACIAL 20.1-30 CM",1277.0,1277.0,,,0 HCPCS,12056,Intmd rpr face/mm 20.1-30.0,,,424.52,1124.97,7 HCPCS,12057,"HC LAYR CLOS WND FACE,FACIAL >30 CM",1277.0,1277.0,,,0 HCPCS,12057,Intmd rpr face/mm >30.0 cm,,,424.52,1124.97,7 HCPCS,13100,Cmplx rpr trunk 1.1-2.5 cm,,,771.8,2045.26,7 HCPCS,13100,HC REP COMPL TRUNK 1.1-2.5 CM,4055.0,4055.0,,,0 HCPCS,13101,Cmplx rpr trunk 2.6-7.5 cm,,,771.8,2045.26,7 HCPCS,13101,HC REP COMPL TRUNK 2.6-7.5 CM,4055.0,4055.0,,,0 HCPCS,13102,HC REP COMPL TRUNK EACH ADDL 5 OR LESS CM,4175.0,4175.0,,,0 HCPCS,13120,Cmplx rpr s/a/l 1.1-2.5 cm,,,424.52,1124.97,7 HCPCS,13120,"HC RECMPL WND SCALP,EXTR 1.1-2.5 CM",1977.0,1977.0,,,0 HCPCS,13121,Cmplx rpr s/a/l 2.6-7.5 cm,,,424.52,1124.97,7 HCPCS,13121,"HC RECMPL WND SCALP,EXTR 2.6-7.5 CM",1977.0,1977.0,,,0 HCPCS,13122,"HC REP,SKIN,SCALP/EXTREM+5 CM/<",426.0,426.0,,,0 HCPCS,13131,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,424.52,1124.97,7 HCPCS,13131,"HC RECMPL WND HEAD,FAC,HAND 1.1-2.5 CM",1305.0,1305.0,,,0 HCPCS,13132,Cmplx rpr f/c/c/m/n/ax/g/h/f,,,424.52,1124.97,7 HCPCS,13132,"HC RECMPL WND HEAD,FAC,HAND 2.6-7.5 CM",1977.0,1977.0,,,0 HCPCS,13133,"HC REPR,FACE,GENITAL,HAND,FT+5 CMCM/<",3020.0,3020.0,,,0 HCPCS,13151,Cmplx rpr e/n/e/l 1.1-2.5 cm,,,771.8,2045.26,7 HCPCS,13151,"HC RECMPL WND LID,NOS,EAR 1.1-2.5 CM",1977.0,1977.0,,,0 HCPCS,13152,Cmplx rpr e/n/e/l 2.6-7.5 cm,,,771.8,2045.26,7 HCPCS,13152,"HC RECMPL WND LID,NOS,EAR 2.5-7.5 CM",1977.0,1977.0,,,0 HCPCS,13153,"HC RECMPL WND LID,NOS,EAR EACH ADDL 5 OR LESS CM",2837.0,2837.0,,,0 HCPCS,13160,HC SURGICAL WOUND CLOSURE SECONDARY EXTENSIVE OR COMPLEX,15359.0,15359.0,,,0 HCPCS,13160,Late closure of wound,,,3700.64,9806.69,7 HCPCS,14000,Tis trnfr trunk 10 sq cm/<,,,2154.64,5709.8,7 HCPCS,14001,Tis trnfr trunk 10.1-30sqcm,,,2154.64,5709.8,7 HCPCS,14020,Tis trnfr s/a/l 10 sq cm/<,,,2154.64,5709.8,7 HCPCS,14021,Tis trnfr s/a/l 10.1-30 sqcm,,,2154.64,5709.8,7 HCPCS,14040,"HC TISSUE TRANSFER FCCMNAGH, <10 SQCM",12007.0,12007.0,,,0 HCPCS,14040,Tis trnfr f/c/c/m/n/a/g/h/f,,,2154.64,5709.8,7 HCPCS,14041,Tis trnfr f/c/c/m/n/a/g/h/f,,,2154.64,5709.8,7 HCPCS,14060,Tis trnfr e/n/e/l 10 sq cm/<,,,2154.64,5709.8,7 HCPCS,14061,Tis trnfr e/n/e/l10.1-30sqcm,,,2154.64,5709.8,7 HCPCS,14301,Tis trnfr any 30.1-60 sq cm,,,3700.64,9806.69,7 HCPCS,14350,Filleted finger/toe flap,,,2154.64,5709.8,7 HCPCS,15002,"HC WOUND PREP,TRUNK/ARM/LG 1ST 100 CM OR 1% PEDS",8126.0,8126.0,,,0 HCPCS,15002,Wound prep trk/arm/leg,,,771.8,2045.26,7 HCPCS,15003,"HC WOUND PREP, TRUNK/ARM/LG EA ADDL 100 CM OR 1% PEDS",8126.0,8126.0,,,0 HCPCS,15004,HC WOUND PREP FACE/NECK/HAND/FOOT/GEN 1ST 100 CM OR 1% PEDS,5290.0,5290.0,,,0 HCPCS,15004,Wound prep f/n/hf/g,,,424.52,1124.97,7 HCPCS,15005,HC WOUND PREP FACE/NECK/HAND/FOOT/GEN ADDL 100 CM OR 1% PEDS,2217.0,2217.0,,,0 HCPCS,15011,Hrv skn cll ssp agrft 1st 25,,,2154.64,5709.8,7 HCPCS,15015,App skn cl ssp agrft t/a/l 1,,,2154.64,5709.8,7 HCPCS,15017,App skn cll ssp f/n/g/hf 1st,,,2154.64,5709.8,7 HCPCS,15040,Harvest cultured skin graft,,,2154.64,5709.8,7 HCPCS,15050,Skin pinch graft,,,771.8,2045.26,7 HCPCS,15100,"HC SPLIT GRFT TRUNK,ARM,LEG <100 SQCM",10645.0,10645.0,,,0 HCPCS,15100,Skin splt grft trnk/arm/leg,,,2154.64,5709.8,7 HCPCS,15110,Epidrm autogrft trnk/arm/leg,,,2154.64,5709.8,7 HCPCS,15110,HC EPIDRM AUTOGRFT TRNK/ARM/LEG <100 SQCM,6465.0,6465.0,,,0 HCPCS,15115,Epidrm a-grft face/nck/hf/g,,,2154.64,5709.8,7 HCPCS,15115,HC EPI AUTOGRFT FACE/NCK/HND/FT/GEN <100 SQCM,6465.0,6465.0,,,0 HCPCS,15120,Skn splt a-grft fac/nck/hf/g,,,3700.64,9806.69,7 HCPCS,15130,Derm autograft trnk/arm/leg,,,2154.64,5709.8,7 HCPCS,15135,Derm autograft face/nck/hf/g,,,3700.64,9806.69,7 HCPCS,15150,Cult skin grft t/arm/leg,,,2154.64,5709.8,7 HCPCS,15155,Cult skin graft f/n/hf/g,,,3700.64,9806.69,7 HCPCS,15200,Skin full graft trunk,,,2154.64,5709.8,7 HCPCS,15220,Skin full graft sclp/arm/leg,,,2154.64,5709.8,7 HCPCS,15240,HC SKIN FULL GRAFT FACE/GEN/HF <21 SQ CM,8886.0,8886.0,,,0 HCPCS,15240,Skin full grft face/genit/hf,,,2154.64,5709.8,7 HCPCS,15260,"HC FULL THICK GRFT NOS,EAR,LID,LIP <20 SQCM",5499.0,5499.0,,,0 HCPCS,15260,Skin full graft een & lips,,,2154.64,5709.8,7 HCPCS,15271,HC APP LOW COST SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM,6445.0,6445.0,,,0 HCPCS,15271,HC APP SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM,6445.0,6445.0,,,0 HCPCS,15271,Skin sub graft trnk/arm/leg,,,771.8,2045.26,7 HCPCS,15272,HC APP LOW COST SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM,6501.0,6501.0,,,0 HCPCS,15272,HC APP SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM,6501.0,6501.0,,,0 HCPCS,15273,HC APP LOW COST SKN SUB GRFT T/A/L AREA/>100SCM 1ST 100SCM,11928.0,11928.0,,,0 HCPCS,15273,HC APP SKN SUB GRFT T/A/L AREA/>100SCM 1ST 100SCM,11928.0,11928.0,,,0 HCPCS,15273,Skin sub grft t/arm/lg child,,,2154.64,5709.8,7 HCPCS,15274,HC APP LOW COST SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM,6501.0,6501.0,,,0 HCPCS,15274,HC APP SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM,6501.0,6501.0,,,0 HCPCS,15275,HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM,6501.0,6501.0,,,0 HCPCS,15275,HC SUB LOW COST GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM,6501.0,6501.0,,,0 HCPCS,15275,Skin sub graft face/nk/hf/g,,,771.8,2045.26,7 HCPCS,15276,HC SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM,6501.0,6501.0,,,0 HCPCS,15276,HC SUB LOW COST GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM,6501.0,6501.0,,,0 HCPCS,15277,HC SUB GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM,6501.0,6501.0,,,0 HCPCS,15277,HC SUB LOW COST GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM,6501.0,6501.0,,,0 HCPCS,15277,Skn sub grft f/n/hf/g child,,,2154.64,5709.8,7 HCPCS,15278,HC SUB GRFT F/S/N/H/F/G/M/D />100SCM ADL 100SCM,6501.0,6501.0,,,0 HCPCS,15278,HC SUB LOW COST GRFT F/S/N/H/F/G/M/D />100SCM ADL 100SCM,6501.0,6501.0,,,0 HCPCS,15570,Skin pedicle flap trunk,,,2154.64,5709.8,7 HCPCS,15572,Skin pedicle flap arms/legs,,,3700.64,9806.69,7 HCPCS,15574,Pedcle fh/ch/ch/m/n/ax/g/h/f,,,2154.64,5709.8,7 HCPCS,15576,Pedicle e/n/e/l/ntroral,,,2154.64,5709.8,7 HCPCS,15600,Delay flap trunk,,,3700.64,9806.69,7 HCPCS,15610,Delay flap arms/legs,,,2154.64,5709.8,7 HCPCS,15620,Delay flap f/c/c/n/ax/g/h/f,,,2154.64,5709.8,7 HCPCS,15630,Delay flap eye/nos/ear/lip,,,2154.64,5709.8,7 HCPCS,15650,Transfer skin pedicle flap,,,2154.64,5709.8,7 HCPCS,15730,Mdfc flap w/prsrv vasc pedcl,,,3700.64,9806.69,7 HCPCS,15731,Forehead Flap w/Vasc Pedicle,,,3700.64,9806.69,7 HCPCS,15733,Musc myoq/fscq flp h&n pedcl,,,3700.64,9806.69,7 HCPCS,15734,Muscle-skin graft trunk,,,3700.64,9806.69,7 HCPCS,15736,Muscle-skin graft arm,,,2154.64,5709.8,7 HCPCS,15738,Muscle-skin graft leg,,,3700.64,9806.69,7 HCPCS,15740,Island pedicle flap graft,,,2154.64,5709.8,7 HCPCS,15750,Neurovascular pedicle flap,,,3700.64,9806.69,7 HCPCS,15760,Composite skin graft,,,2154.64,5709.8,7 HCPCS,15769,Grfg autol soft tiss dir exc,,,3700.64,9806.69,7 HCPCS,15770,Derma-fat-fascia graft,,,3700.64,9806.69,7 HCPCS,15771,Grfg autol fat lipo 50 cc/<,,,3700.64,9806.69,7 HCPCS,15773,Grfg autol fat lipo 25 cc/<,,,2154.64,5709.8,7 HCPCS,15775,Hair trnspl 1-15 punch grfts,,,424.52,1124.97,7 HCPCS,15776,Hair trnspl >15 punch grafts,,,424.52,1124.97,7 HCPCS,15780,Dermabrasion total face,,,3033.33,8038.33,7 HCPCS,15781,Dermabrasion segmental face,,,739.49,1959.64,7 HCPCS,15782,Dermabrasion other than face,,,3033.33,8038.33,7 HCPCS,15783,Dermabrasion suprfl any site,,,424.52,1124.97,7 HCPCS,15786,Abrasion lesion single,,,209.52,555.22,7 HCPCS,15788,Chemical peel face epiderm,,,424.52,1124.97,7 HCPCS,15789,Chemical peel face dermal,,,771.8,2045.26,7 HCPCS,15792,Chemical peel nonfacial,,,771.8,2045.26,7 HCPCS,15793,Chemical peel nonfacial,,,424.52,1124.97,7 HCPCS,15820,Revision of lower eyelid,,,2154.64,5709.8,7 HCPCS,15821,Revision of lower eyelid,,,2154.64,5709.8,7 HCPCS,15822,Revision of upper eyelid,,,2154.64,5709.8,7 HCPCS,15823,Revision of upper eyelid,,,2154.64,5709.8,7 HCPCS,15824,Removal of forehead wrinkles,,,2154.64,5709.8,7 HCPCS,15825,Removal of neck wrinkles,,,3700.64,9806.69,7 HCPCS,15826,Removal of brow wrinkles,,,3700.64,9806.69,7 HCPCS,15828,Removal of face wrinkles,,,3700.64,9806.69,7 HCPCS,15829,Removal of skin wrinkles,,,3700.64,9806.69,7 HCPCS,15830,Exc Skin Abd,,,6934.19,18375.6,7 HCPCS,15830,"HC EXCISE EXCESS SKIN TISSUE,ABDOMEN",32799.0,32799.0,,,0 HCPCS,15832,Excise excessive skin thigh,,,3033.33,8038.33,7 HCPCS,15832,"HC EXCISE EXCESS SKIN TISSUE,THIGH",8950.0,8950.0,,,0 HCPCS,15833,Excise excessive skin leg,,,3033.33,8038.33,7 HCPCS,15834,Excise excessive skin hip,,,3033.33,8038.33,7 HCPCS,15835,Excise excessive skin buttck,,,3033.33,8038.33,7 HCPCS,15836,Excise excessive skin arm,,,3033.33,8038.33,7 HCPCS,15837,Excise excess skin arm/hand,,,3033.33,8038.33,7 HCPCS,15838,Excise excess skin fat pad,,,3033.33,8038.33,7 HCPCS,15839,Excise excess skin & tissue,,,3033.33,8038.33,7 HCPCS,15839,"HC EXC EXCESS SKIN TISSUE, OTHER",10030.0,10030.0,,,0 HCPCS,15840,Nerve palsy fascial graft,,,3700.64,9806.69,7 HCPCS,15841,Nerve palsy muscle graft,,,3700.64,9806.69,7 HCPCS,15842,Nerve palsy microsurg graft,,,2154.64,5709.8,7 HCPCS,15845,Skin and muscle repair face,,,3700.64,9806.69,7 HCPCS,15851,HC REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA,4052.0,4052.0,,,0 HCPCS,15851,Remove sutures diff surgeon,,,2154.64,5709.8,7 HCPCS,15852,Dressing change not for burn,,,771.8,2045.26,7 HCPCS,15853,HC REM SUTURES OR STAPLES NOT REQ ANES W/ E/M,220.0,220.0,,,0 HCPCS,15854,HC REM SUTURE & STAPLES NOT REQ ANES W/ E/M,312.0,312.0,,,0 HCPCS,15860,Test for blood flow in graft,,,466.5,1236.24,7 HCPCS,15876,Suction lipectomy head&neck,,,3700.64,9806.69,7 HCPCS,15877,Suction lipectomy trunk,,,3700.64,9806.69,7 HCPCS,15878,Suction lipectomy upr extrem,,,2154.64,5709.8,7 HCPCS,15879,Suction lipectomy lwr extrem,,,3700.64,9806.69,7 HCPCS,15920,Removal of tail bone ulcer,,,3033.33,8038.33,7 HCPCS,15922,Removal of tail bone ulcer,,,3700.64,9806.69,7 HCPCS,15931,Remove sacrum pressure sore,,,3033.33,8038.33,7 HCPCS,15933,Remove sacrum pressure sore,,,3033.33,8038.33,7 HCPCS,15934,Remove sacrum pressure sore,,,3700.64,9806.69,7 HCPCS,15935,Remove sacrum pressure sore,,,3700.64,9806.69,7 HCPCS,15936,Remove sacrum pressure sore,,,2154.64,5709.8,7 HCPCS,15937,Remove sacrum pressure sore,,,2154.64,5709.8,7 HCPCS,15940,Remove hip pressure sore,,,3033.33,8038.33,7 HCPCS,15941,Remove hip pressure sore,,,3033.33,8038.33,7 HCPCS,15944,Remove hip pressure sore,,,3700.64,9806.69,7 HCPCS,15945,Remove hip pressure sore,,,2154.64,5709.8,7 HCPCS,15946,Remove hip pressure sore,,,2154.64,5709.8,7 HCPCS,15950,Remove thigh pressure sore,,,1724.73,4570.53,7 HCPCS,15951,Remove thigh pressure sore,,,3033.33,8038.33,7 HCPCS,15952,Remove thigh pressure sore,,,2154.64,5709.8,7 HCPCS,15953,Remove thigh pressure sore,,,3700.64,9806.69,7 HCPCS,15956,Remove thigh pressure sore,,,2154.64,5709.8,7 HCPCS,15958,Remove thigh pressure sore,,,3700.64,9806.69,7 HCPCS,15999,Removal of pressure sore,,,739.49,1959.64,7 HCPCS,16000,HC INITIAL RX BURN(S) 1ST DEGREE,672.0,672.0,,,0 HCPCS,16000,Initial treatment of burn(s),,,209.52,555.22,7 HCPCS,16020,Dress/debrid p-thick burn s,,,209.52,555.22,7 HCPCS,16020,HC DRESS/DEBRID SMALL BURN NO ANES,699.0,699.0,,,0 HCPCS,16025,Dress/debrid p-thick burn m,,,209.52,555.22,7 HCPCS,16025,HC DRESS/DEBRID MED BURN NO ANESTH,699.0,699.0,,,0 HCPCS,16030,Dress/debrid p-thick burn l,,,424.52,1124.97,7 HCPCS,16030,HC DRESS/DEBRID LARGE BURN NO ANESTH,1280.0,1280.0,,,0 HCPCS,16035,HC ESCHAROTOMY INIT INCISION,1305.0,1305.0,,,0 HCPCS,16035,Incision of burn scab initi,,,424.52,1124.97,7 HCPCS,16036,HC ESCHAROTOMY EA ADDL INCISION,936.0,936.0,,,0 HCPCS,17000,Destruct premalg lesion,,,209.52,555.22,7 HCPCS,17000,"HC DESTRUC BENIGN/PREMAL,FIRST LESION",659.0,659.0,,,0 HCPCS,17003,"HC DESTRUC BENIGN/PREMAL,2-14 LESIONS",114.0,114.0,,,0 HCPCS,17004,Destroy premal lesions 15/>,,,424.52,1124.97,7 HCPCS,17004,"HC DESTRUC BENIGN/HCEMAL,15+ LESIONS",114.0,114.0,,,0 HCPCS,17106,Destruction of skin lesions,,,424.52,1124.97,7 HCPCS,17106,HC DESTRUC CUT/VASC <10 SQCM,1305.0,1305.0,,,0 HCPCS,17107,Destruction of skin lesions,,,771.8,2045.26,7 HCPCS,17107,HC DESTRUC CUT/VASC 10-50 SQCM,1977.0,1977.0,,,0 HCPCS,17108,Destruction of skin lesions,,,2154.64,5709.8,7 HCPCS,17108,HC DESTRUC CUT/VASC >50 SQCM,6465.0,6465.0,,,0 HCPCS,17110,Destruct b9 lesion 1-14,,,209.52,555.22,7 HCPCS,17110,HC DESTRUCTION BENIGN LESIONS UP TO 14,977.0,977.0,,,0 HCPCS,17111,Destruct lesion 15 or more,,,209.52,555.22,7 HCPCS,17111,HC DESTRUCTION BENIGN LESIONS 15 OR MORE,977.0,977.0,,,0 HCPCS,17250,Chemical cautery tissue,,,209.52,555.22,7 HCPCS,17250,HC CHEM CAUTERY GRANULATN TISSUE,699.0,699.0,,,0 HCPCS,17260,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17260,"HC DESTR MALIG TRUNK, EXTREM <0.6 CM",608.0,608.0,,,0 HCPCS,17261,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17261,HC DST DKN LES T/A/L 0.6-1 CM,608.0,608.0,,,0 HCPCS,17262,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17262,"HC DESTR MALIG TRUNK, EXTREM 1.1-2 CM",608.0,608.0,,,0 HCPCS,17263,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17263,"HC DESTR MALIG TRUNK, EXTREM 2.1-3 CM",608.0,608.0,,,0 HCPCS,17264,Destruction of skin lesions,,,424.52,1124.97,7 HCPCS,17264,"HC DESTR MALIG TRUNK, EXTREM 3.1-4 CM",1254.0,1254.0,,,0 HCPCS,17266,Destruction of skin lesions,,,424.52,1124.97,7 HCPCS,17266,"HC DESTR MALIG TRUNK, EXTREM >4.0 CM",1254.0,1254.0,,,0 HCPCS,17270,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17270,"HC DESTR MALIG SCAL, NCK, HAND <0.6 CM",621.0,621.0,,,0 HCPCS,17271,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17271,"HC DESTR MALIG SCAL, NCK, HAND 0.6 - 1 CM",621.0,621.0,,,0 HCPCS,17272,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17272,"HC DESTR MALIG SCAL, NCK, HAND 1.1-2 CM",621.0,621.0,,,0 HCPCS,17273,Destruction of skin lesions,,,424.52,1124.97,7 HCPCS,17273,"HC DESTR MALIG SCAL, NCK, HAND 2.1-3 CM",1198.0,1198.0,,,0 HCPCS,17274,Destruction of skin lesions,,,424.52,1124.97,7 HCPCS,17274,"HC DESTR MALIG SCAL, NCK, HAND 3.1-4 CM",1198.0,1198.0,,,0 HCPCS,17276,Destruction of skin lesions,,,424.52,1124.97,7 HCPCS,17276,"HC DESTR MALIG SCAL, NCK, HAND >4 CM",1198.0,1198.0,,,0 HCPCS,17280,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17280,"HC DESTR MALIG FACE, NOSE, LIP <0.6 CM",621.0,621.0,,,0 HCPCS,17281,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17281,"HC DESTR MALIG FACE, NOSE, LIP 0.6-1 CM",1198.0,1198.0,,,0 HCPCS,17282,Destruction of skin lesions,,,209.52,555.22,7 HCPCS,17282,"HC DESTR MALIG FACE, NOSE, LIP 1.1-2 CM",1198.0,1198.0,,,0 HCPCS,17283,Destruction of skin lesions,,,424.52,1124.97,7 HCPCS,17283,"HC DESTR MALIG FACE, NOSE, LIP 2.1-3 CM",1198.0,1198.0,,,0 HCPCS,17284,Destruction of skin lesions,,,771.8,2045.26,7 HCPCS,17284,"HC DESTR MALIG FACE, NOSE, LIP 3.1-4 CM",1813.0,1813.0,,,0 HCPCS,17286,Destruction of skin lesions,,,771.8,2045.26,7 HCPCS,17286,"HC DESTR MALIG FACE, NOSE, LIP >4 CM",1813.0,1813.0,,,0 HCPCS,17311,HC MOHS TUMOR REMOVE H/N/H/F/G 1ST STAGE UP TO 5 TISSUE BLOCKS,1977.0,1977.0,,,0 HCPCS,17311,Mohs 1 stage h/n/hf/g,,,771.8,2045.26,7 HCPCS,17312,HC MOHS TUMOR REMOVE H/N/H/F/G EA ADDL STAGE UP TO 5 TISSUE BLOCKS,2837.0,2837.0,,,0 HCPCS,17313,HC MOHS TUMOR REMOVE T/A/L 1ST STAGE UP TO 5 TISSUE BLOCKS,1977.0,1977.0,,,0 HCPCS,17313,Mohs 1 stage t/a/l,,,771.8,2045.26,7 HCPCS,17314,HC MOHS TUMOR REMOVE T/A/L EA ADDL STAGE UP TO 5 TISSUE BLOCKS,2837.0,2837.0,,,0 HCPCS,17315,HC MOHS TUMOR REMOVE ANY STAGE EA ADDL BLOCK >5 TISSUE BLOCKS,2837.0,2837.0,,,0 HCPCS,17340,Cryotherapy of skin,,,61.6,163.25,7 HCPCS,17360,Skin peel therapy,,,209.52,555.22,7 HCPCS,17380,Hair removal by electrolysis,,,771.8,2045.26,7 HCPCS,17999,Skin tissue procedure,,,209.52,555.22,7 HCPCS,19000,Drainage of breast lesion,,,739.49,1959.64,7 HCPCS,19000,HC PUNC/ASPIR BREAST CYST,2426.0,2426.0,,,0 HCPCS,19001,"HC PUCT/ASPIR BREAST CYST,EACH ADDN",820.0,820.0,,,0 HCPCS,19020,HC EXPLO/DRAIN BREAST ABSCESS,5311.0,5311.0,,,0 HCPCS,19020,Incision of breast lesion,,,1724.73,4570.53,7 HCPCS,19030,HC INJECT DUCTOGRAM/GALACTOGRAM,637.0,637.0,,,0 HCPCS,19081,Bx breast 1st lesion strtctc,,,1724.73,4570.53,7 HCPCS,19081,HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE,11910.0,11910.0,,,0 HCPCS,19082,HC BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE,9071.0,9071.0,,,0 HCPCS,19083,Bx breast 1st lesion us imag,,,1724.73,4570.53,7 HCPCS,19083,HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE,11720.0,11720.0,,,0 HCPCS,19084,HC BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE,9071.0,9071.0,,,0 HCPCS,19085,Bx breast 1st lesion mr imag,,,1724.73,4570.53,7 HCPCS,19085,HC BX BREAST W DEVICE 1ST LESION MAGNETIC RES GUIDE,12049.0,12049.0,,,0 HCPCS,19086,HC BX BREAST W DEVICE ADDL LESION MAGNET RES GUIDE,7879.0,7879.0,,,0 HCPCS,19100,Bx breast percut w/o image,,,1724.73,4570.53,7 HCPCS,19101,Biopsy of breast open,,,4088.81,10835.33,7 HCPCS,19105,Cryosurg ablate fa each,,,4088.81,10835.33,7 HCPCS,19110,Nipple exploration,,,4088.81,10835.33,7 HCPCS,19112,Excise breast duct fistula,,,4088.81,10835.33,7 HCPCS,19120,Removal of breast lesion,,,4088.81,10835.33,7 HCPCS,19125,Excision breast lesion,,,4088.81,10835.33,7 HCPCS,19125,HC EXCISE BREAST LES W XRAY MARKER,13958.0,13958.0,,,0 HCPCS,19281,HC PERQ DEVICE PLACEMT BREAST LOC 1ST LES W GUIDNCE,5391.0,5391.0,,,0 HCPCS,19281,Perq device breast 1st imag,,,1724.73,4570.53,7 HCPCS,19282,HC PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCE,4055.0,4055.0,,,0 HCPCS,19283,HC PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GUID,2349.0,2349.0,,,0 HCPCS,19283,Perq dev breast 1st strtctc,,,739.49,1959.64,7 HCPCS,19284,HC PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC,7357.0,7357.0,,,0 HCPCS,19285,HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG,5405.0,5405.0,,,0 HCPCS,19285,Perq dev breast 1st us imag,,,739.49,1959.64,7 HCPCS,19286,HC PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE,4055.0,4055.0,,,0 HCPCS,19287,HC PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID,5405.0,5405.0,,,0 HCPCS,19287,Perq dev breast 1st mr guide,,,739.49,1959.64,7 HCPCS,19288,HC PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID,3522.0,3522.0,,,0 HCPCS,19296,HC PLACE POSTOP BREAST CATH FOR RAD,33657.0,33657.0,,,0 HCPCS,19296,Place po breast cath for rad,,,8535.3,22618.54,7 HCPCS,19298,Place breast rad tube/caths,,,14391.16,38136.57,7 HCPCS,19300,Removal of Breast Tissue,,,4088.81,10835.33,7 HCPCS,19301,Partial Mastectomy,,,4088.81,10835.33,7 HCPCS,19302,P-Mastectomy w/LN Removal,,,6934.19,18375.6,7 HCPCS,19303,Mast simple complete,,,6934.19,18375.6,7 HCPCS,19307,Mast mod rad,,,6934.19,18375.6,7 HCPCS,19316,Suspension of breast,,,6934.19,18375.6,7 HCPCS,19318,Reduction of large breast,,,6934.19,18375.6,7 HCPCS,19325,Enlarge breast with implant,,,8535.3,22618.54,7 HCPCS,19328,Removal of breast implant,,,4088.81,10835.33,7 HCPCS,19330,Removal of implant material,,,4088.81,10835.33,7 HCPCS,19340,Immediate breast prosthesis,,,8535.3,22618.54,7 HCPCS,19342,Delayed breast prosthesis,,,8535.3,22618.54,7 HCPCS,19350,Breast reconstruction,,,4088.81,10835.33,7 HCPCS,19355,Correct inverted nipple(s),,,4088.81,10835.33,7 HCPCS,19357,Breast reconstruction,,,14391.16,38136.57,7 HCPCS,19370,Surgery of breast capsule,,,4088.81,10835.33,7 HCPCS,19371,Removal of breast capsule,,,4088.81,10835.33,7 HCPCS,19380,Revise breast reconstruction,,,6934.19,18375.6,7 HCPCS,19396,Design custom breast implant,,,4088.81,10835.33,7 HCPCS,19499,Breast surgery procedure,,,4088.81,10835.33,7 HCPCS,19499,HC BREAST SURGERY PROCEDURE UNLISTED,11919.0,11919.0,,,0 HCPCS,20100,Explore wound neck,,,563.21,1492.5,7 HCPCS,20101,Explore wound chest,,,2154.64,5709.8,7 HCPCS,20102,Explore wound abdomen,,,2154.64,5709.8,7 HCPCS,20103,Explore wound extremity,,,1724.73,4570.53,7 HCPCS,20103,"HC EXPLORE WOUND,EXTREMITY",7556.0,7556.0,,,0 HCPCS,20150,Excise epiphyseal bar,,,3416.88,9054.74,7 HCPCS,20200,Muscle biopsy,,,1724.73,4570.53,7 HCPCS,20205,Deep muscle biopsy,,,3033.33,8038.33,7 HCPCS,20206,"HC NEEDLE BIOPSY,MUSCLE",4238.0,4238.0,,,0 HCPCS,20206,Needle biopsy muscle,,,1724.73,4570.53,7 HCPCS,20220,Bone biopsy trocar/needle,,,1724.73,4570.53,7 HCPCS,20220,"HC BONE BIOPSY,TROCAR/NEEDLE SUPERF",4451.0,4451.0,,,0 HCPCS,20225,Bone biopsy trocar/needle,,,1724.73,4570.53,7 HCPCS,20225,"HC BONE BIOPSY,TROCAR/NEEDLE DEEP",9490.0,9490.0,,,0 HCPCS,20240,Bone biopsy open superficial,,,3033.33,8038.33,7 HCPCS,20240,"HC BONE BIOPSY,EXCISIONAL SUPERF",7130.0,7130.0,,,0 HCPCS,20240,"HC BX BONE BIOPSY,EXCISIONAL SUPERF",7130.0,7130.0,,,0 HCPCS,20245,Bone biopsy open deep,,,3033.33,8038.33,7 HCPCS,20245,"HC BONE BIOPSY OPEN ,TROCAR/NEEDLE DEEP",10959.0,10959.0,,,0 HCPCS,20250,Open bone biopsy,,,3416.88,9054.74,7 HCPCS,20251,Open bone biopsy,,,7577.51,20080.41,7 HCPCS,20500,HC INJECT SINUS TRACT THERAPUTIC,5107.0,5107.0,,,0 HCPCS,20500,Injection of sinus tract,,,1620.29,4293.76,7 HCPCS,20501,HC INJECT SINUS TRACT FOR DX W XRAY,561.0,561.0,,,0 HCPCS,20520,HC REMOVAL OF FOREIGN BODY,6645.0,6645.0,,,0 HCPCS,20520,Removal of foreign body,,,1724.73,4570.53,7 HCPCS,20525,HC REMOVAL OF FOREIGN BODY COMPLICATED,11573.0,11573.0,,,0 HCPCS,20525,Removal of foreign body,,,3033.33,8038.33,7 HCPCS,20526,HC INJECT CARPAL TUNNEL,1350.0,1350.0,,,0 HCPCS,20526,Ther injection carp tunnel,,,320.54,849.44,7 HCPCS,20527,HC INJECT ENZYME PALMAR FASCIAL CORD,985.0,985.0,,,0 HCPCS,20527,Inj dupuytren cord w/enzyme,,,320.54,849.44,7 HCPCS,20550,HC INJECT TENDON SHEATH/LIGAMENT,1222.0,1222.0,,,0 HCPCS,20550,Inj tendon sheath/ligament,,,320.54,849.44,7 HCPCS,20551,HC INJECT TENDON ORIGIN/INSERT,1222.0,1222.0,,,0 HCPCS,20551,Inj tendon origin/insertion,,,320.54,849.44,7 HCPCS,20552,"HC INJECT TRIGGER POINT, 1 OR 2",1222.0,1222.0,,,0 HCPCS,20552,Inj trigger point 1/2 muscl,,,320.54,849.44,7 HCPCS,20553,"HC INJECT TRIGGER POINTS, > 3",1222.0,1222.0,,,0 HCPCS,20553,Inject trigger points 3/>,,,320.54,849.44,7 HCPCS,20555,Place ndl musc/tis for rt,,,3416.88,9054.74,7 HCPCS,20560,HC DRY NEEDLING 1-2 MUSCLES,301.0,301.0,,,0 HCPCS,20561,HC DRY NEEDLING 3 OR MORE MUSCLES,329.0,329.0,,,0 HCPCS,20600,Drain/inj joint/bursa w/o us,,,320.54,849.44,7 HCPCS,20600,HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US,1242.0,1242.0,,,0 HCPCS,20604,Drain/inj joint/bursa w/us,,,320.54,849.44,7 HCPCS,20604,HC ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT,1242.0,1242.0,,,0 HCPCS,20605,Drain/inj joint/bursa w/o us,,,320.54,849.44,7 HCPCS,20605,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US,1242.0,1242.0,,,0 HCPCS,20606,Drain/inj joint/bursa w/us,,,737.14,1953.41,7 HCPCS,20606,HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US,2941.0,2941.0,,,0 HCPCS,20610,Drain/inj joint/bursa w/o us,,,320.54,849.44,7 HCPCS,20610,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US,1242.0,1242.0,,,0 HCPCS,20611,Drain/inj joint/bursa w/us,,,320.54,849.44,7 HCPCS,20611,HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US,1242.0,1242.0,,,0 HCPCS,20612,Aspirate/inj ganglion cyst,,,320.54,849.44,7 HCPCS,20612,HC ASPIRAT/INJECTION GANGLION CYST(S),985.0,985.0,,,0 HCPCS,20615,Treatment of bone cyst,,,739.49,1959.64,7 HCPCS,20650,HC INSRT WIRE/PIN W/ TRACTION,10690.0,10690.0,,,0 HCPCS,20650,Insert and remove bone pin,,,3416.88,9054.74,7 HCPCS,20660,Apply rem fixation device,,,1679.19,4449.86,7 HCPCS,20660,HC APPLY CRANIAL TONGS/CALIPER/FRAME INCLUDING REMOVAL,5258.0,5258.0,,,0 HCPCS,20661,Application of head brace,,,1679.19,4449.86,7 HCPCS,20662,Application of pelvis brace,,,1679.19,4449.86,7 HCPCS,20663,Application of thigh brace,,,3416.88,9054.74,7 HCPCS,20664,Application of halo,,,1679.19,4449.86,7 HCPCS,20665,HC REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL,3209.0,3209.0,,,0 HCPCS,20665,Removal of fixation device,,,466.5,1236.24,7 HCPCS,20670,Removal of support implant,,,1724.73,4570.53,7 HCPCS,20680,HC REMOVAL DEEP IMPLANT,19063.0,19063.0,,,0 HCPCS,20680,Removal of support implant,,,3033.33,8038.33,7 HCPCS,20690,Apply bone fixation device,,,7577.51,20080.41,7 HCPCS,20692,Apply bone fixation device,,,13407.17,35528.99,7 HCPCS,20693,Adjust bone fixation device,,,7577.51,20080.41,7 HCPCS,20694,HC REMOVE EXTERN BONE FIX DEV W ANESTH,14100.0,14100.0,,,0 HCPCS,20694,Remove bone fixation device,,,1679.19,4449.86,7 HCPCS,20697,Comp ext fixate strut change,,,1679.19,4449.86,7 HCPCS,20802,Replantation arm complete,,,18310.2,48522.02,7 HCPCS,20805,Replant forearm complete,,,18310.2,48522.02,7 HCPCS,20808,Replantation hand complete,,,18310.2,48522.02,7 HCPCS,20816,Replantation digit complete,,,1679.19,4449.86,7 HCPCS,20822,Replantation digit complete,,,1679.19,4449.86,7 HCPCS,20824,Replantation thumb complete,,,1679.19,4449.86,7 HCPCS,20827,Replantation thumb complete,,,1679.19,4449.86,7 HCPCS,20838,Replantation foot complete,,,18310.2,48522.02,7 HCPCS,20900,Removal of bone for graft,,,7577.51,20080.41,7 HCPCS,20902,Removal of bone for graft,,,7577.51,20080.41,7 HCPCS,20910,Remove cartilage for graft,,,771.8,2045.26,7 HCPCS,20912,Remove cartilage for graft,,,3700.64,9806.69,7 HCPCS,20920,Removal of fascia for graft,,,2154.64,5709.8,7 HCPCS,20922,Removal of fascia for graft,,,2154.64,5709.8,7 HCPCS,20924,Removal of tendon for graft,,,7577.51,20080.41,7 HCPCS,20950,Fluid pressure muscle,,,739.49,1959.64,7 HCPCS,20950,HC MONITOR INTERSITIAL FLUID PRESSURE COMPART SYNDROME,4732.0,4732.0,,,0 HCPCS,20955,Fibula bone graft microvasc,,,7577.51,20080.41,7 HCPCS,20956,Iliac bone graft microvasc,,,7577.51,20080.41,7 HCPCS,20957,Mt bone graft microvasc,,,7577.51,20080.41,7 HCPCS,20962,Other bone graft microvasc,,,7577.51,20080.41,7 HCPCS,20969,Bone/skin graft microvasc,,,7577.51,20080.41,7 HCPCS,20970,Bone/skin graft iliac crest,,,7577.51,20080.41,7 HCPCS,20972,Bone/skin graft metatarsal,,,7577.51,20080.41,7 HCPCS,20973,Bone/skin graft great toe,,,7577.51,20080.41,7 HCPCS,20974,Electrical bone stimulation,,,52.34,138.7,7 HCPCS,20982,Ablate bone tumor(s) perq,,,18310.2,48522.02,7 HCPCS,20982,HC ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE,25255.0,25255.0,,,0 HCPCS,20983,Ablate bone tumor(s) perq,,,7577.51,20080.41,7 HCPCS,20983,HC ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD,23643.0,23643.0,,,0 HCPCS,20999,Musculoskeletal surgery,,,257.59,682.61,7 HCPCS,21010,Incision of jaw joint,,,3462.26,9175.0,7 HCPCS,21011,Exc face les sc <2 cm,,,1724.73,4570.53,7 HCPCS,21011,HC EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ < 2CM,10051.0,10051.0,,,0 HCPCS,21012,Exc face les sbq 2 cm/>,,,1724.73,4570.53,7 HCPCS,21013,Exc face tum deep < 2 cm,,,1724.73,4570.53,7 HCPCS,21014,Exc face tum deep 2 cm/>,,,3033.33,8038.33,7 HCPCS,21015,Resect face/scalp tum < 2 cm,,,3033.33,8038.33,7 HCPCS,21016,Resect face/scalp tum 2 cm/>,,,3033.33,8038.33,7 HCPCS,21025,Excision of bone lower jaw,,,6181.95,16382.18,7 HCPCS,21026,Excision of facial bone(s),,,6181.95,16382.18,7 HCPCS,21029,Contour of face bone lesion,,,3462.26,9175.0,7 HCPCS,21030,Excise max/zygoma b9 tumor,,,6181.95,16382.18,7 HCPCS,21031,Remove exostosis mandible,,,3462.26,9175.0,7 HCPCS,21032,Remove exostosis maxilla,,,3462.26,9175.0,7 HCPCS,21034,Excise max/zygoma mal tumor,,,6181.95,16382.18,7 HCPCS,21040,Excise mandible lesion,,,3462.26,9175.0,7 HCPCS,21044,Removal of jaw bone lesion,,,6181.95,16382.18,7 HCPCS,21045,Extensive jaw surgery,,,6181.95,16382.18,7 HCPCS,21046,Remove mandible cyst complex,,,6181.95,16382.18,7 HCPCS,21047,Excise lwr jaw cyst w/repair,,,6181.95,16382.18,7 HCPCS,21048,Remove maxilla cyst complex,,,6181.95,16382.18,7 HCPCS,21049,Excis uppr jaw cyst w/repair,,,6181.95,16382.18,7 HCPCS,21050,Removal of jaw joint,,,6181.95,16382.18,7 HCPCS,21060,Remove jaw joint cartilage,,,6181.95,16382.18,7 HCPCS,21070,Remove coronoid process,,,6181.95,16382.18,7 HCPCS,21073,Mnpj of tmj w/anesth,,,1620.29,4293.76,7 HCPCS,21076,Prepare face/oral prosthesis,,,1620.29,4293.76,7 HCPCS,21077,Prepare face/oral prosthesis,,,6181.95,16382.18,7 HCPCS,21079,Prepare face/oral prosthesis,,,3462.26,9175.0,7 HCPCS,21080,Prepare face/oral prosthesis,,,3462.26,9175.0,7 HCPCS,21081,Prepare face/oral prosthesis,,,6181.95,16382.18,7 HCPCS,21082,Prepare face/oral prosthesis,,,3462.26,9175.0,7 HCPCS,21083,Prepare face/oral prosthesis,,,3462.26,9175.0,7 HCPCS,21084,Prepare face/oral prosthesis,,,3462.26,9175.0,7 HCPCS,21085,Prepare face/oral prosthesis,,,247.34,655.44,7 HCPCS,21086,Prepare face/oral prosthesis,,,3462.26,9175.0,7 HCPCS,21087,Prepare face/oral prosthesis,,,6181.95,16382.18,7 HCPCS,21088,Prepare face/oral prosthesis,,,3462.26,9175.0,7 HCPCS,21089,Prepare face/oral prosthesis,,,247.34,655.44,7 HCPCS,21100,Maxillofacial fixation,,,6181.95,16382.18,7 HCPCS,21110,Interdental fixation,,,1620.29,4293.76,7 HCPCS,21120,Reconstruction of chin,,,6181.95,16382.18,7 HCPCS,21121,Reconstruction of chin,,,3462.26,9175.0,7 HCPCS,21122,Reconstruction of chin,,,6181.95,16382.18,7 HCPCS,21123,Reconstruction of chin,,,3462.26,9175.0,7 HCPCS,21125,Augmentation lower jaw bone,,,6181.95,16382.18,7 HCPCS,21127,Augmentation lower jaw bone,,,6181.95,16382.18,7 HCPCS,21137,Reduction of forehead,,,3462.26,9175.0,7 HCPCS,21138,Reduction of forehead,,,6181.95,16382.18,7 HCPCS,21139,Reduction of forehead,,,6181.95,16382.18,7 HCPCS,21141,Lefort i-1 piece w/o graft,,,6181.95,16382.18,7 HCPCS,21142,Lefort i-2 piece w/o graft,,,6181.95,16382.18,7 HCPCS,21143,Lefort i-3/> piece w/o graft,,,6181.95,16382.18,7 HCPCS,21145,Lefort i-1 piece w/ graft,,,6181.95,16382.18,7 HCPCS,21146,Lefort i-2 piece w/ graft,,,6181.95,16382.18,7 HCPCS,21147,Lefort i-3/> piece w/ graft,,,6181.95,16382.18,7 HCPCS,21150,Lefort ii anterior intrusion,,,6181.95,16382.18,7 HCPCS,21151,Lefort ii w/bone grafts,,,6181.95,16382.18,7 HCPCS,21154,Lefort iii w/o lefort i,,,6181.95,16382.18,7 HCPCS,21155,Lefort iii w/ lefort i,,,6181.95,16382.18,7 HCPCS,21159,Lefort iii w/fhdw/o lefort i,,,6181.95,16382.18,7 HCPCS,21160,Lefort iii w/fhd w/ lefort i,,,6181.95,16382.18,7 HCPCS,21172,Reconstruct orbit/forehead,,,6181.95,16382.18,7 HCPCS,21175,Reconstruct orbit/forehead,,,6181.95,16382.18,7 HCPCS,21179,Reconstruct entire forehead,,,6181.95,16382.18,7 HCPCS,21180,Reconstruct entire forehead,,,6181.95,16382.18,7 HCPCS,21181,Contour cranial bone lesion,,,6181.95,16382.18,7 HCPCS,21182,Reconstruct cranial bone,,,6181.95,16382.18,7 HCPCS,21183,Reconstruct cranial bone,,,6181.95,16382.18,7 HCPCS,21184,Reconstruct cranial bone,,,6181.95,16382.18,7 HCPCS,21188,Reconstruction of midface,,,6181.95,16382.18,7 HCPCS,21193,Reconst lwr jaw w/o graft,,,6181.95,16382.18,7 HCPCS,21194,Reconst lwr jaw w/graft,,,6181.95,16382.18,7 HCPCS,21195,Reconst lwr jaw w/o fixation,,,6181.95,16382.18,7 HCPCS,21196,Reconst lwr jaw w/fixation,,,6181.95,16382.18,7 HCPCS,21198,Reconstr lwr jaw segment,,,6181.95,16382.18,7 HCPCS,21199,Reconstr Lwr Jaw W/Advance,,,6181.95,16382.18,7 HCPCS,21206,Reconstruct upper jaw bone,,,6181.95,16382.18,7 HCPCS,21208,Augmentation of facial bones,,,6181.95,16382.18,7 HCPCS,21209,Reduction of facial bones,,,6181.95,16382.18,7 HCPCS,21210,Face bone graft,,,6181.95,16382.18,7 HCPCS,21215,Lower jaw bone graft,,,6181.95,16382.18,7 HCPCS,21230,Rib cartilage graft,,,6181.95,16382.18,7 HCPCS,21235,Ear cartilage graft,,,6181.95,16382.18,7 HCPCS,21240,Reconstruction of jaw joint,,,6181.95,16382.18,7 HCPCS,21242,Reconstruction of jaw joint,,,6181.95,16382.18,7 HCPCS,21244,Reconstruction of lower jaw,,,6181.95,16382.18,7 HCPCS,21245,Reconstruction of jaw,,,6181.95,16382.18,7 HCPCS,21246,Reconstruction of jaw,,,6181.95,16382.18,7 HCPCS,21247,Reconstruct lower jaw bone,,,6181.95,16382.18,7 HCPCS,21248,Reconstruction of jaw,,,6181.95,16382.18,7 HCPCS,21249,Reconstruction of jaw,,,6181.95,16382.18,7 HCPCS,21255,Reconstruct lower jaw bone,,,6181.95,16382.18,7 HCPCS,21256,Reconstruction of orbit,,,6181.95,16382.18,7 HCPCS,21260,Revise eye sockets,,,6181.95,16382.18,7 HCPCS,21261,Revise eye sockets,,,6181.95,16382.18,7 HCPCS,21263,Revise eye sockets,,,6181.95,16382.18,7 HCPCS,21267,Revise eye sockets,,,6181.95,16382.18,7 HCPCS,21268,Revise eye sockets,,,6181.95,16382.18,7 HCPCS,21270,Augmentation cheek bone,,,6181.95,16382.18,7 HCPCS,21275,Revision orbitofacial bones,,,6181.95,16382.18,7 HCPCS,21280,Revision of eyelid,,,3462.26,9175.0,7 HCPCS,21282,Revision of eyelid,,,3462.26,9175.0,7 HCPCS,21295,Revision of jaw muscle/bone,,,1620.29,4293.76,7 HCPCS,21296,Revision of jaw muscle/bone,,,3462.26,9175.0,7 HCPCS,21299,Cranio/maxillofacial surgery,,,247.34,655.44,7 HCPCS,21315,Closed tx nose fx w/o stablj,,,1620.29,4293.76,7 HCPCS,21315,"HC CLOSED RX NOSE FRACTURE, W/O STABILIZATION",5107.0,5107.0,,,0 HCPCS,21320,Closed tx nose fx w/ stablj,,,3462.26,9175.0,7 HCPCS,21320,HC CLOSED RX NOSE FX W STABILIZATN,10326.0,10326.0,,,0 HCPCS,21325,Open tx nose fx uncomplicatd,,,3462.26,9175.0,7 HCPCS,21330,Open tx nose fx w/skele fixj,,,6181.95,16382.18,7 HCPCS,21335,Open tx nose & septal fx,,,3462.26,9175.0,7 HCPCS,21336,Open tx septal fx w/wo stabj,,,3416.88,9054.74,7 HCPCS,21337,Closed tx septal&nose fx,,,3462.26,9175.0,7 HCPCS,21337,HC CLOSED RX NASAL SEPTAL FRACTURE,10326.0,10326.0,,,0 HCPCS,21338,Open nasoethmoid fx w/o fixj,,,6181.95,16382.18,7 HCPCS,21339,Open nasoethmoid fx w/ fixj,,,6181.95,16382.18,7 HCPCS,21340,Perq tx nasoethmoid fx,,,3462.26,9175.0,7 HCPCS,21343,Open tx dprsd front sinus fx,,,6181.95,16382.18,7 HCPCS,21344,Open tx compl front sinus fx,,,6181.95,16382.18,7 HCPCS,21345,Closed tx nose/jaw fx,,,1620.29,4293.76,7 HCPCS,21345,HC CLOSED RX NASOMAXILLARY COMPLEX FRACT W/ INTERDENTAL WIRE FIXATION,5107.0,5107.0,,,0 HCPCS,21346,Opn tx nasomax fx w/fixj,,,6181.95,16382.18,7 HCPCS,21347,Opn tx nasomax fx multple,,,6181.95,16382.18,7 HCPCS,21348,Opn tx nasomax fx w/graft,,,6181.95,16382.18,7 HCPCS,21355,Perq tx malar fracture,,,3462.26,9175.0,7 HCPCS,21356,Opn tx dprsd zygomatic arch,,,6181.95,16382.18,7 HCPCS,21360,Opn tx dprsd malar fracture,,,6181.95,16382.18,7 HCPCS,21365,Opn tx complx malar fx,,,6181.95,16382.18,7 HCPCS,21366,Opn tx complx malar w/grft,,,6181.95,16382.18,7 HCPCS,21385,Opn tx orbit fx transantral,,,6181.95,16382.18,7 HCPCS,21386,Opn tx orbit fx periorbital,,,6181.95,16382.18,7 HCPCS,21387,Opn tx orbit fx combined,,,6181.95,16382.18,7 HCPCS,21390,Opn tx orbit periorbtl implt,,,6181.95,16382.18,7 HCPCS,21395,Opn tx orbit periorbt w/grft,,,6181.95,16382.18,7 HCPCS,21400,Closed tx orbit w/o manipulj,,,563.21,1492.5,7 HCPCS,21400,HC CLOSED RX ORBIT FRACT W/O MANIP,1707.0,1707.0,,,0 HCPCS,21401,Closed tx orbit w/manipulj,,,1620.29,4293.76,7 HCPCS,21401,HC CLOSED RX ORBIT FRACT W/ MANIP,5107.0,5107.0,,,0 HCPCS,21406,Opn tx orbit fx w/o implant,,,6181.95,16382.18,7 HCPCS,21407,Opn tx orbit fx w/implant,,,6181.95,16382.18,7 HCPCS,21408,Opn tx orbit fx w/bone grft,,,6181.95,16382.18,7 HCPCS,21421,HC CLOSED RX PALAT MAXILLARY FRACT W/ INTERDENTAL WIRE FIX,10326.0,10326.0,,,0 HCPCS,21421,Treat mouth roof fracture,,,3462.26,9175.0,7 HCPCS,21422,Treat mouth roof fracture,,,6181.95,16382.18,7 HCPCS,21423,Treat mouth roof fracture,,,6181.95,16382.18,7 HCPCS,21431,HC CLOSED RX CRANIOFACIAL SEPARATION W/ INTERDENTAL WIRE FIX,14816.0,14816.0,,,0 HCPCS,21431,Treat craniofacial fracture,,,6181.95,16382.18,7 HCPCS,21432,Treat craniofacial fracture,,,6181.95,16382.18,7 HCPCS,21433,Treat craniofacial fracture,,,6181.95,16382.18,7 HCPCS,21435,Treat craniofacial fracture,,,6181.95,16382.18,7 HCPCS,21436,Treat craniofacial fracture,,,6181.95,16382.18,7 HCPCS,21440,HC CLOSED RX DENTAL RIDGE FX,10326.0,10326.0,,,0 HCPCS,21440,Treat dental ridge fracture,,,3462.26,9175.0,7 HCPCS,21445,Treat dental ridge fracture,,,6181.95,16382.18,7 HCPCS,21450,HC CLOSED RX MANDIBLE FX W/O MANIPULATN,1707.0,1707.0,,,0 HCPCS,21450,Treat lower jaw fracture,,,563.21,1492.5,7 HCPCS,21451,HC CLOSED RX MANDIBLE FX+MANIPULATN,20804.0,20804.0,,,0 HCPCS,21451,Treat lower jaw fracture,,,1620.29,4293.76,7 HCPCS,21452,Treat lower jaw fracture,,,6181.95,16382.18,7 HCPCS,21453,HC PBB CLOSED RX MANDIBLE FX+DENTAL FIX,19198.0,19198.0,,,0 HCPCS,21453,Treat lower jaw fracture,,,6181.95,16382.18,7 HCPCS,21454,Treat lower jaw fracture,,,6181.95,16382.18,7 HCPCS,21461,Treat lower jaw fracture,,,6181.95,16382.18,7 HCPCS,21462,Treat lower jaw fracture,,,6181.95,16382.18,7 HCPCS,21465,Treat lower jaw fracture,,,6181.95,16382.18,7 HCPCS,21470,Treat lower jaw fracture,,,6181.95,16382.18,7 HCPCS,21480,HC REDUCE TEMPOROMANDIBL DISLOC,1206.0,1206.0,,,0 HCPCS,21480,Reset dislocated jaw,,,257.59,682.61,7 HCPCS,21485,"HC REDUCE TEMPOROMANDIBL DISLOC,COMP",5107.0,5107.0,,,0 HCPCS,21485,Reset dislocated jaw,,,1620.29,4293.76,7 HCPCS,21490,Repair dislocated jaw,,,3462.26,9175.0,7 HCPCS,21497,Interdental wiring,,,1620.29,4293.76,7 HCPCS,21499,Head surgery procedure,,,247.34,655.44,7 HCPCS,21501,Drain neck/chest lesion,,,3033.33,8038.33,7 HCPCS,21501,HC I&D DEEP ABSC/HEMATOMA NECK/CHEST,11999.0,11999.0,,,0 HCPCS,21502,Drain chest lesion,,,3416.88,9054.74,7 HCPCS,21510,Drainage of bone lesion,,,3416.88,9054.74,7 HCPCS,21550,Biopsy of neck/chest,,,1724.73,4570.53,7 HCPCS,21550,HC BIOPSY SOFT TISSUE NECK/CHEST,4778.0,4778.0,,,0 HCPCS,21552,Exc neck les sc 3 cm/>,,,3033.33,8038.33,7 HCPCS,21552,HC EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ 3+CM,15065.0,15065.0,,,0 HCPCS,21554,Exc neck tum deep 5 cm/>,,,3033.33,8038.33,7 HCPCS,21555,Exc neck les sc < 3 cm,,,1724.73,4570.53,7 HCPCS,21556,Exc neck tum deep < 5 cm,,,3033.33,8038.33,7 HCPCS,21557,Resect neck thorax tumor<5cm,,,3033.33,8038.33,7 HCPCS,21558,Resect neck tumor 5 cm/>,,,3033.33,8038.33,7 HCPCS,21600,Partial removal of rib,,,7577.51,20080.41,7 HCPCS,21601,Exc chest wall tumor w/ribs,,,3033.33,8038.33,7 HCPCS,21602,Exc ch wal tum w/o lymphadec,,,7577.51,20080.41,7 HCPCS,21603,Exc ch wal tum w/lymphadec,,,7577.51,20080.41,7 HCPCS,21610,Partial removal of rib,,,3416.88,9054.74,7 HCPCS,21615,Removal of rib,,,7577.51,20080.41,7 HCPCS,21616,Removal of rib and nerves,,,7577.51,20080.41,7 HCPCS,21620,Partial removal of sternum,,,3416.88,9054.74,7 HCPCS,21627,Sternal debridement,,,3416.88,9054.74,7 HCPCS,21630,Extensive sternum surgery,,,7577.51,20080.41,7 HCPCS,21685,Hyoid myotomy & suspension,,,6181.95,16382.18,7 HCPCS,21700,Revision of neck muscle,,,7577.51,20080.41,7 HCPCS,21705,Revision of neck muscle/rib,,,7577.51,20080.41,7 HCPCS,21720,Revision of neck muscle,,,3416.88,9054.74,7 HCPCS,21725,Revision of neck muscle,,,739.49,1959.64,7 HCPCS,21740,Reconstruction of sternum,,,7577.51,20080.41,7 HCPCS,21742,Repair stern/nuss w/o scope,,,3416.88,9054.74,7 HCPCS,21743,Repair sternum/nuss w/scope,,,3416.88,9054.74,7 HCPCS,21750,Repair of sternum separation,,,7577.51,20080.41,7 HCPCS,21811,Optx of rib fx w/fixj scope,,,7577.51,20080.41,7 HCPCS,21812,Treatment of rib fracture,,,7577.51,20080.41,7 HCPCS,21813,Treatment of rib fracture,,,1679.19,4449.86,7 HCPCS,21820,HC CLOSED RX STERNUM FX,777.0,777.0,,,0 HCPCS,21820,Treat sternum fracture,,,257.59,682.61,7 HCPCS,21825,Treat sternum fracture,,,7577.51,20080.41,7 HCPCS,21899,Neck/chest surgery procedure,,,247.34,655.44,7 HCPCS,21920,Biopsy soft tissue of back,,,1724.73,4570.53,7 HCPCS,21920,HC US BX SOFT TISSUE BACK/FLANK,5046.0,5046.0,,,0 HCPCS,21925,Biopsy soft tissue of back,,,1724.73,4570.53,7 HCPCS,21925,"HC BIOPSY SOFT TISSUE BACK,DEEP",5311.0,5311.0,,,0 HCPCS,21930,Exc back les sc < 3 cm,,,1724.73,4570.53,7 HCPCS,21931,Exc back les sc 3 cm/>,,,1724.73,4570.53,7 HCPCS,21932,Exc back tum deep < 5 cm,,,3033.33,8038.33,7 HCPCS,21933,Exc back tum deep 5 cm/>,,,3033.33,8038.33,7 HCPCS,21935,Resect back tum < 5 cm,,,3033.33,8038.33,7 HCPCS,21936,Resect back tum 5 cm/>,,,3033.33,8038.33,7 HCPCS,22010,I&d p-spine c/t/cerv-thor,,,7577.51,20080.41,7 HCPCS,22015,I&d abscess p-spine l/s/ls,,,7577.51,20080.41,7 HCPCS,22100,Remove part of neck vertebra,,,7577.51,20080.41,7 HCPCS,22101,Remove part thorax vertebra,,,7577.51,20080.41,7 HCPCS,22102,Remove part lumbar vertebra,,,7577.51,20080.41,7 HCPCS,22110,Remove part of neck vertebra,,,7577.51,20080.41,7 HCPCS,22112,Remove part thorax vertebra,,,7577.51,20080.41,7 HCPCS,22114,Remove part lumbar vertebra,,,7577.51,20080.41,7 HCPCS,22206,Incis spine 3 column thorac,,,7577.51,20080.41,7 HCPCS,22207,Incis spine 3 column lumbar,,,7577.51,20080.41,7 HCPCS,22210,Incis 1 vertebral seg cerv,,,7577.51,20080.41,7 HCPCS,22212,Incis 1 vertebral seg thorac,,,7577.51,20080.41,7 HCPCS,22214,Incis 1 vertebral seg lumbar,,,7577.51,20080.41,7 HCPCS,22220,Incis w/discectomy cervical,,,7577.51,20080.41,7 HCPCS,22222,Incis w/discectomy thoracic,,,7577.51,20080.41,7 HCPCS,22224,Incis w/discectomy lumbar,,,7577.51,20080.41,7 HCPCS,22310,Closed tx vert fx w/o manj,,,257.59,682.61,7 HCPCS,22310,HC CLOSED TREAT VERT BODY FRACT,777.0,777.0,,,0 HCPCS,22315,Closed tx vert fx w/manj,,,3416.88,9054.74,7 HCPCS,22315,HC CLOSED TREAT VERT BODY FRACT/DISLOC W/ CAST/BRACE MANIP,10690.0,10690.0,,,0 HCPCS,22318,Treat odontoid fx w/o graft,,,13407.17,35528.99,7 HCPCS,22319,Treat odontoid fx w/graft,,,13407.17,35528.99,7 HCPCS,22325,Treat spine fracture,,,13407.17,35528.99,7 HCPCS,22326,Treat neck spine fracture,,,13407.17,35528.99,7 HCPCS,22327,Treat thorax spine fracture,,,13407.17,35528.99,7 HCPCS,22505,Manipulation of spine,,,1679.19,4449.86,7 HCPCS,22510,HC PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC,10737.0,10737.0,,,0 HCPCS,22510,Perq cervicothoracic inject,,,3416.88,9054.74,7 HCPCS,22511,HC PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL,11067.0,11067.0,,,0 HCPCS,22511,Perq lumbosacral injection,,,3416.88,9054.74,7 HCPCS,22512,HC VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL,10737.0,10737.0,,,0 HCPCS,22513,HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION,14565.0,14565.0,,,0 HCPCS,22513,Perq vertebral augmentation,,,7577.51,20080.41,7 HCPCS,22514,HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR,23879.0,23879.0,,,0 HCPCS,22514,Perq vertebral augmentation,,,7577.51,20080.41,7 HCPCS,22515,HC PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH,14565.0,14565.0,,,0 HCPCS,22532,Lat thorax spine fusion,,,13407.17,35528.99,7 HCPCS,22533,Lat lumbar spine fusion,,,18310.2,48522.02,7 HCPCS,22548,Neck spine fusion,,,13407.17,35528.99,7 HCPCS,22551,"HC ARTHRODESIS ANT INTERBODY INC DISCECTOMY, CERVICAL BELOW C2",19516.0,19516.0,,,0 HCPCS,22551,Neck spine fuse&remov bel c2,,,13407.17,35528.99,7 HCPCS,22554,Neck spine fusion,,,13407.17,35528.99,7 HCPCS,22556,Thorax spine fusion,,,18310.2,48522.02,7 HCPCS,22586,Prescrl fuse w/ instr l5-s1,,,18310.2,48522.02,7 HCPCS,22590,Spine & skull spinal fusion,,,13407.17,35528.99,7 HCPCS,22595,Neck spinal fusion,,,13407.17,35528.99,7 HCPCS,22600,Neck spine fusion,,,18310.2,48522.02,7 HCPCS,22610,HC THORACIC SPINE FUSION POSTERIOR,22608.0,22608.0,,,0 HCPCS,22610,Thorax spine fusion,,,18310.2,48522.02,7 HCPCS,22612,Lumbar spine fusion,,,18310.2,48522.02,7 HCPCS,22614,HC THORACIC SPINE FUSION POSTERIOR ADDL INTERSPACE,8875.0,8875.0,,,0 HCPCS,22800,Post fusion <=6 vert seg,,,18310.2,48522.02,7 HCPCS,22802,Post fusion 7-12 vert seg,,,18310.2,48522.02,7 HCPCS,22804,Post fusion 13/> vert seg,,,18310.2,48522.02,7 HCPCS,22808,Ant fusion 2-3 vert seg,,,18310.2,48522.02,7 HCPCS,22810,Ant fusion 4-7 vert seg,,,18310.2,48522.02,7 HCPCS,22812,Ant fusion 8/> vert seg,,,18310.2,48522.02,7 HCPCS,22818,Kyphectomy 1-2 segments,,,18310.2,48522.02,7 HCPCS,22819,Kyphectomy 3 or more,,,18310.2,48522.02,7 HCPCS,22830,Exploration of spinal fusion,,,7577.51,20080.41,7 HCPCS,22836,Ant thrc vrt body tethrg <7,,,18310.2,48522.02,7 HCPCS,22837,Ant thrc vrt body tethrg 8+,,,18310.2,48522.02,7 HCPCS,22838,Rev rplc/rmv thrc vrt tethrg,,,18310.2,48522.02,7 HCPCS,22849,Reinsert spinal fixation,,,13407.17,35528.99,7 HCPCS,22850,Remove spine fixation device,,,7577.51,20080.41,7 HCPCS,22852,Remove spine fixation device,,,7577.51,20080.41,7 HCPCS,22855,Remove spine fixation device,,,7577.51,20080.41,7 HCPCS,22856,Cerv artific diskectomy,,,18310.2,48522.02,7 HCPCS,22857,Lumbar Artif Diskectomy,,,18310.2,48522.02,7 HCPCS,22861,Revise cerv artific disc,,,18310.2,48522.02,7 HCPCS,22862,Revise Lumbar Artif Disc,,,18310.2,48522.02,7 HCPCS,22864,Remove cerv artif disc,,,7577.51,20080.41,7 HCPCS,22865,Remove Lumb Artif Disc,,,7577.51,20080.41,7 HCPCS,22867,Insj stablj dev w/dcmprn,,,18310.2,48522.02,7 HCPCS,22869,Insj stablj dev w/o dcmprn,,,13407.17,35528.99,7 HCPCS,22899,Spine surgery procedure,,,257.59,682.61,7 HCPCS,22900,Exc abdl tum deep < 5 cm,,,3033.33,8038.33,7 HCPCS,22901,Exc abdl tum deep 5 cm/>,,,3033.33,8038.33,7 HCPCS,22902,Exc abd les sc < 3 cm,,,1724.73,4570.53,7 HCPCS,22903,Exc abd les sc 3 cm/>,,,3033.33,8038.33,7 HCPCS,22904,Radical resect abd tumor<5cm,,,3033.33,8038.33,7 HCPCS,22905,Rad resect abd tumor 5 cm/>,,,3033.33,8038.33,7 HCPCS,22999,Abdomen surgery procedure,,,257.59,682.61,7 HCPCS,23000,Removal of calcium deposits,,,3033.33,8038.33,7 HCPCS,23020,Release shoulder joint,,,3416.88,9054.74,7 HCPCS,23030,Drain shoulder lesion,,,3033.33,8038.33,7 HCPCS,23030,HC I&D DEEP ABSC/HEMATOMA SHOULDER,25273.0,25273.0,,,0 HCPCS,23031,Drain shoulder bursa,,,3033.33,8038.33,7 HCPCS,23035,Drain shoulder bone lesion,,,1679.19,4449.86,7 HCPCS,23040,Exploratory shoulder surgery,,,3416.88,9054.74,7 HCPCS,23044,Exploratory shoulder surgery,,,3416.88,9054.74,7 HCPCS,23065,Biopsy shoulder tissues,,,1724.73,4570.53,7 HCPCS,23065,HC BIOPSY SOFT TISSUE SHOULDER AREA SUPERFICIAL,5311.0,5311.0,,,0 HCPCS,23066,Biopsy shoulder tissues,,,3033.33,8038.33,7 HCPCS,23071,Exc shoulder les sc 3 cm/>,,,1724.73,4570.53,7 HCPCS,23073,Exc shoulder tum deep 5 cm/>,,,3033.33,8038.33,7 HCPCS,23075,Exc shoulder les sc < 3 cm,,,1724.73,4570.53,7 HCPCS,23076,Exc shoulder tum deep < 5 cm,,,3033.33,8038.33,7 HCPCS,23077,Resect shoulder tumor < 5 cm,,,3033.33,8038.33,7 HCPCS,23078,Resect shoulder tumor 5 cm/>,,,3033.33,8038.33,7 HCPCS,23100,Biopsy of shoulder joint,,,3416.88,9054.74,7 HCPCS,23101,Shoulder joint surgery,,,3416.88,9054.74,7 HCPCS,23105,Remove shoulder joint lining,,,7577.51,20080.41,7 HCPCS,23106,Incision of collarbone joint,,,3416.88,9054.74,7 HCPCS,23107,Explore treat shoulder joint,,,7577.51,20080.41,7 HCPCS,23120,Partial removal collar bone,,,3416.88,9054.74,7 HCPCS,23125,Removal of collar bone,,,3416.88,9054.74,7 HCPCS,23130,Remove shoulder bone part,,,3416.88,9054.74,7 HCPCS,23140,Removal of bone lesion,,,3416.88,9054.74,7 HCPCS,23145,Removal of bone lesion,,,3416.88,9054.74,7 HCPCS,23146,Removal of bone lesion,,,7577.51,20080.41,7 HCPCS,23150,Removal of humerus lesion,,,3416.88,9054.74,7 HCPCS,23155,Removal of humerus lesion,,,7577.51,20080.41,7 HCPCS,23156,Removal of humerus lesion,,,7577.51,20080.41,7 HCPCS,23170,Remove collar bone lesion,,,3416.88,9054.74,7 HCPCS,23172,Remove shoulder blade lesion,,,3416.88,9054.74,7 HCPCS,23174,Remove humerus lesion,,,7577.51,20080.41,7 HCPCS,23180,Remove collar bone lesion,,,7577.51,20080.41,7 HCPCS,23182,Remove shoulder blade lesion,,,7577.51,20080.41,7 HCPCS,23184,Remove humerus lesion,,,7577.51,20080.41,7 HCPCS,23190,Partial removal of scapula,,,3416.88,9054.74,7 HCPCS,23195,Removal of head of humerus,,,7577.51,20080.41,7 HCPCS,23200,Resect clavicle tumor,,,7577.51,20080.41,7 HCPCS,23210,Resect scapula tumor,,,7577.51,20080.41,7 HCPCS,23220,Resect prox humerus tumor,,,7577.51,20080.41,7 HCPCS,23330,HC REMOVE FB SUBQ SHOULDER,2349.0,2349.0,,,0 HCPCS,23330,Remove shoulder foreign body,,,1724.73,4570.53,7 HCPCS,23333,HC REMOVE FB DEEP SUBFASCIAL/INTRAMUSCULAR SHOULDER,8950.0,8950.0,,,0 HCPCS,23333,Remove shoulder fb deep,,,3033.33,8038.33,7 HCPCS,23334,Shoulder prosthesis removal,,,7577.51,20080.41,7 HCPCS,23335,Shoulder prosthesis removal,,,7577.51,20080.41,7 HCPCS,23350,HC INJ PROC SHOULDER ARTHROGRAPHY/CT/MRI,723.0,723.0,,,0 HCPCS,23395,Muscle transfer shoulder/arm,,,7577.51,20080.41,7 HCPCS,23397,Muscle transfers,,,7577.51,20080.41,7 HCPCS,23400,Fixation of shoulder blade,,,7577.51,20080.41,7 HCPCS,23405,Incision of tendon & muscle,,,7577.51,20080.41,7 HCPCS,23406,Incise tendon(s) & muscle(s),,,7577.51,20080.41,7 HCPCS,23410,"HC REPAIR ROTATOR CUFF,ACUTE",18298.0,18298.0,,,0 HCPCS,23410,Repair rotator cuff acute,,,7577.51,20080.41,7 HCPCS,23412,Repair rotator cuff chronic,,,7577.51,20080.41,7 HCPCS,23415,Release of shoulder ligament,,,7577.51,20080.41,7 HCPCS,23420,Repair of shoulder,,,7577.51,20080.41,7 HCPCS,23430,HC REPAIR BICEPS LONG TENDON,14843.0,14843.0,,,0 HCPCS,23430,Repair biceps tendon,,,7577.51,20080.41,7 HCPCS,23440,Remove/transplant tendon,,,7577.51,20080.41,7 HCPCS,23450,Repair shoulder capsule,,,7577.51,20080.41,7 HCPCS,23455,Repair shoulder capsule,,,7577.51,20080.41,7 HCPCS,23460,Repair shoulder capsule,,,7577.51,20080.41,7 HCPCS,23462,Repair shoulder capsule,,,7577.51,20080.41,7 HCPCS,23465,Repair shoulder capsule,,,7577.51,20080.41,7 HCPCS,23466,Repair shoulder capsule,,,7577.51,20080.41,7 HCPCS,23470,Reconstruct shoulder joint,,,13407.17,35528.99,7 HCPCS,23472,Reconstruct shoulder joint,,,18310.2,48522.02,7 HCPCS,23473,Revis reconst shoulder joint,,,13407.17,35528.99,7 HCPCS,23474,Revis reconst shoulder joint,,,13407.17,35528.99,7 HCPCS,23480,Revision of collar bone,,,7577.51,20080.41,7 HCPCS,23485,Revision of collar bone,,,13407.17,35528.99,7 HCPCS,23490,Reinforce clavicle,,,7577.51,20080.41,7 HCPCS,23491,Reinforce shoulder bones,,,13407.17,35528.99,7 HCPCS,23500,HC CLOSED RX CLAVICLE FX W/O MANIPULATN,685.0,685.0,,,0 HCPCS,23500,Treat clavicle fracture,,,257.59,682.61,7 HCPCS,23505,"HC CLOSED RX CLAVICLE FX,MANIPULATN",5258.0,5258.0,,,0 HCPCS,23505,Treat clavicle fracture,,,1679.19,4449.86,7 HCPCS,23515,HC OPEN TREATMENT CLAVICULAR FRACTURE INTERNAL FX,36505.0,36505.0,,,0 HCPCS,23515,Treat clavicle fracture,,,7577.51,20080.41,7 HCPCS,23520,HC CLOSED RX STERNO-CLAV DISLOC,5258.0,5258.0,,,0 HCPCS,23520,Treat clavicle dislocation,,,1679.19,4449.86,7 HCPCS,23525,"HC CLOSED RX STERN-CLAV DISLOC,MANIP",777.0,777.0,,,0 HCPCS,23525,Treat clavicle dislocation,,,257.59,682.61,7 HCPCS,23530,Treat clavicle dislocation,,,7577.51,20080.41,7 HCPCS,23532,Treat clavicle dislocation,,,7577.51,20080.41,7 HCPCS,23540,HC CLOSED RX A-C JT DISLOC,777.0,777.0,,,0 HCPCS,23540,Treat clavicle dislocation,,,257.59,682.61,7 HCPCS,23545,"HC CLOSED RX A-C JT DISLOC,MANIPULATN",777.0,777.0,,,0 HCPCS,23545,Treat clavicle dislocation,,,257.59,682.61,7 HCPCS,23550,HC OPEN RX A-C JT DISLOC,23643.0,23643.0,,,0 HCPCS,23550,Treat clavicle dislocation,,,7577.51,20080.41,7 HCPCS,23552,Treat clavicle dislocation,,,7577.51,20080.41,7 HCPCS,23570,HC CLOSED RX SCAPULA FX W/O MANIPULATN,777.0,777.0,,,0 HCPCS,23570,Treat shoulder blade fx,,,257.59,682.61,7 HCPCS,23575,"HC CLOSED RX SCAPULA FX,MANIPULATN",5258.0,5258.0,,,0 HCPCS,23575,Treat shoulder blade fx,,,1679.19,4449.86,7 HCPCS,23585,Treat scapula fracture,,,7577.51,20080.41,7 HCPCS,23600,HC CLOSED RX PROX HUMERUS FRACTURE,777.0,777.0,,,0 HCPCS,23600,Treat humerus fracture,,,257.59,682.61,7 HCPCS,23605,"HC CLOSED RX PROX HUMERUS FX,MANIP",5258.0,5258.0,,,0 HCPCS,23605,Treat humerus fracture,,,1679.19,4449.86,7 HCPCS,23615,Treat humerus fracture,,,13407.17,35528.99,7 HCPCS,23616,Treat humerus fracture,,,18310.2,48522.02,7 HCPCS,23620,HC CLOSED RX GR TUBEROSITY HUM FX,777.0,777.0,,,0 HCPCS,23620,Treat humerus fracture,,,257.59,682.61,7 HCPCS,23625,HC CLOSED RX GR TUBEROSITY HUM FX W/ MANIP,5258.0,5258.0,,,0 HCPCS,23625,Treat humerus fracture,,,1679.19,4449.86,7 HCPCS,23630,Treat humerus fracture,,,7577.51,20080.41,7 HCPCS,23650,HC CLOSED RX SHLDR DISLOCATION,1764.0,1764.0,,,0 HCPCS,23650,Treat shoulder dislocation,,,257.59,682.61,7 HCPCS,23655,"HC CLOSED RX SHLDR DISLOC,ANESTHESIA",5258.0,5258.0,,,0 HCPCS,23655,Treat shoulder dislocation,,,1679.19,4449.86,7 HCPCS,23660,Treat shoulder dislocation,,,7577.51,20080.41,7 HCPCS,23665,"HC CLOSED RX SHLDR DISLOC,GR TUB FX",2078.0,2078.0,,,0 HCPCS,23665,Treat dislocation/fracture,,,1679.19,4449.86,7 HCPCS,23670,Treat dislocation/fracture,,,7577.51,20080.41,7 HCPCS,23675,"HC CLOSED RX SHLDR DISLOC,PROX HUM FX",5258.0,5258.0,,,0 HCPCS,23675,Treat dislocation/fracture,,,1679.19,4449.86,7 HCPCS,23680,Treat dislocation/fracture,,,13407.17,35528.99,7 HCPCS,23700,Fixation of shoulder,,,1679.19,4449.86,7 HCPCS,23700,HC MANIPULATN SHLDR JT W ANESTHESIA,11453.0,11453.0,,,0 HCPCS,23800,Fusion of shoulder joint,,,7577.51,20080.41,7 HCPCS,23802,Fusion of shoulder joint,,,13407.17,35528.99,7 HCPCS,23900,Amputation of arm & girdle,,,13407.17,35528.99,7 HCPCS,23920,Amputation at shoulder joint,,,13407.17,35528.99,7 HCPCS,23921,Amputation follow-up surgery,,,2154.64,5709.8,7 HCPCS,23929,Shoulder surgery procedure,,,257.59,682.61,7 HCPCS,23930,Drainage of arm lesion,,,3033.33,8038.33,7 HCPCS,23930,HC I&D UPPER ARM/ELBOW DEEP ABSC/HEMATOMA,8950.0,8950.0,,,0 HCPCS,23931,Drainage of arm bursa,,,1724.73,4570.53,7 HCPCS,23931,HC INCIS/DRAIN ARM/ELBOW INFECT BURSA,5311.0,5311.0,,,0 HCPCS,23935,Drain arm/elbow bone lesion,,,3416.88,9054.74,7 HCPCS,24000,Exploratory elbow surgery,,,3416.88,9054.74,7 HCPCS,24006,Release elbow joint,,,3416.88,9054.74,7 HCPCS,24065,Biopsy arm/elbow soft tissue,,,1724.73,4570.53,7 HCPCS,24066,Biopsy arm/elbow soft tissue,,,3033.33,8038.33,7 HCPCS,24071,Exc arm/elbow les sc 3 cm/>,,,3033.33,8038.33,7 HCPCS,24071,HC EXC ARM/ELBOW LES SC 3 CM/>,7690.0,7690.0,,,0 HCPCS,24073,Ex arm/elbow tum deep 5 cm/>,,,3033.33,8038.33,7 HCPCS,24075,Exc arm/elbow les sc < 3 cm,,,1724.73,4570.53,7 HCPCS,24076,Ex arm/elbow tum deep < 5 cm,,,3033.33,8038.33,7 HCPCS,24077,Resect arm/elbow tum < 5 cm,,,3033.33,8038.33,7 HCPCS,24079,Resect arm/elbow tum 5 cm/>,,,3033.33,8038.33,7 HCPCS,24100,Biopsy elbow joint lining,,,3416.88,9054.74,7 HCPCS,24101,Explore/treat elbow joint,,,3416.88,9054.74,7 HCPCS,24102,Remove elbow joint lining,,,3416.88,9054.74,7 HCPCS,24105,HC EXCISION OLECRANON BURSA,14925.0,14925.0,,,0 HCPCS,24105,Removal of elbow bursa,,,3416.88,9054.74,7 HCPCS,24110,Remove humerus lesion,,,3416.88,9054.74,7 HCPCS,24115,Remove/graft bone lesion,,,7577.51,20080.41,7 HCPCS,24116,Remove/graft bone lesion,,,7577.51,20080.41,7 HCPCS,24120,Remove elbow lesion,,,3416.88,9054.74,7 HCPCS,24125,Remove/graft bone lesion,,,3416.88,9054.74,7 HCPCS,24126,Remove/graft bone lesion,,,7577.51,20080.41,7 HCPCS,24130,Removal of head of radius,,,3416.88,9054.74,7 HCPCS,24134,Removal of arm bone lesion,,,7577.51,20080.41,7 HCPCS,24136,Remove radius bone lesion,,,3416.88,9054.74,7 HCPCS,24138,Remove elbow bone lesion,,,7577.51,20080.41,7 HCPCS,24140,Partial removal of arm bone,,,3416.88,9054.74,7 HCPCS,24145,Partial removal of radius,,,7577.51,20080.41,7 HCPCS,24147,Partial removal of elbow,,,3416.88,9054.74,7 HCPCS,24149,Radical resection of elbow,,,7577.51,20080.41,7 HCPCS,24150,Resect distal humerus tumor,,,7577.51,20080.41,7 HCPCS,24152,Resect radius tumor,,,7577.51,20080.41,7 HCPCS,24155,Removal of elbow joint,,,3416.88,9054.74,7 HCPCS,24160,Remove elbow joint implant,,,3416.88,9054.74,7 HCPCS,24164,Remove radius head implant,,,3416.88,9054.74,7 HCPCS,24200,HC REMOVE FB UPPER ARM/ELBOW SUBQ,5311.0,5311.0,,,0 HCPCS,24200,Removal of arm foreign body,,,1724.73,4570.53,7 HCPCS,24201,HC REMOVE FB UPPER ARM/ELBOW DEEP SUBFASCIAL/INTRAMUSC,8950.0,8950.0,,,0 HCPCS,24201,Removal of arm foreign body,,,3033.33,8038.33,7 HCPCS,24220,HC INJECTION FOR ELBOW ARTHROGRAM,723.0,723.0,,,0 HCPCS,24300,Manipulate elbow w/anesth,,,1679.19,4449.86,7 HCPCS,24301,Muscle/tendon transfer,,,7577.51,20080.41,7 HCPCS,24305,Arm tendon lengthening,,,3416.88,9054.74,7 HCPCS,24310,Revision of arm tendon,,,3416.88,9054.74,7 HCPCS,24320,Repair of arm tendon,,,7577.51,20080.41,7 HCPCS,24330,Revision of arm muscles,,,7577.51,20080.41,7 HCPCS,24331,Revision of arm muscles,,,7577.51,20080.41,7 HCPCS,24332,Tenolysis triceps,,,3416.88,9054.74,7 HCPCS,24340,HC REPAIR OF BICEPS TENDON AT ELBOW,17999.0,17999.0,,,0 HCPCS,24340,Repair of biceps tendon,,,7577.51,20080.41,7 HCPCS,24341,HC REPAIR TEND/MUSC UPR ARM/ELB EACH,23643.0,23643.0,,,0 HCPCS,24341,Repair arm tendon/muscle,,,7577.51,20080.41,7 HCPCS,24342,"HC REINSERTION RUPT BI/TRICEPS TENDON, DISTAL",32115.0,32115.0,,,0 HCPCS,24342,Repair of ruptured tendon,,,7577.51,20080.41,7 HCPCS,24343,Repr elbow lat ligmnt w/tiss,,,3416.88,9054.74,7 HCPCS,24344,Reconstruct elbow lat ligmnt,,,7577.51,20080.41,7 HCPCS,24345,Repr elbw med ligmnt w/tissu,,,7577.51,20080.41,7 HCPCS,24346,Reconstruct elbow med ligmnt,,,13407.17,35528.99,7 HCPCS,24357,HC TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS,10690.0,10690.0,,,0 HCPCS,24357,Repair elbow perc,,,3416.88,9054.74,7 HCPCS,24358,Repair elbow w/deb open,,,3416.88,9054.74,7 HCPCS,24359,Repair elbow deb/attch open,,,3416.88,9054.74,7 HCPCS,24360,Reconstruct elbow joint,,,7577.51,20080.41,7 HCPCS,24361,Reconstruct elbow joint,,,18310.2,48522.02,7 HCPCS,24362,Reconstruct elbow joint,,,13407.17,35528.99,7 HCPCS,24363,Replace elbow joint,,,18310.2,48522.02,7 HCPCS,24365,Reconstruct head of radius,,,13407.17,35528.99,7 HCPCS,24366,Reconstruct head of radius,,,13407.17,35528.99,7 HCPCS,24370,Revise reconst elbow joint,,,13407.17,35528.99,7 HCPCS,24371,Revise reconst elbow joint,,,18310.2,48522.02,7 HCPCS,24400,Revision of humerus,,,7577.51,20080.41,7 HCPCS,24410,Revision of humerus,,,13407.17,35528.99,7 HCPCS,24420,Revision of humerus,,,7577.51,20080.41,7 HCPCS,24430,Repair of humerus,,,13407.17,35528.99,7 HCPCS,24435,Repair humerus with graft,,,13407.17,35528.99,7 HCPCS,24470,Revision of elbow joint,,,3416.88,9054.74,7 HCPCS,24495,Decompression of forearm,,,7577.51,20080.41,7 HCPCS,24498,Reinforce humerus,,,13407.17,35528.99,7 HCPCS,24500,HC CLOSED RX HUMERUS SHAFT FX W/O MANIPULATN,777.0,777.0,,,0 HCPCS,24500,Treat humerus fracture,,,257.59,682.61,7 HCPCS,24505,"HC CLOSED RX MID HUMERUS FX,MANIPULATN",1184.0,1184.0,,,0 HCPCS,24505,Treat humerus fracture,,,1679.19,4449.86,7 HCPCS,24515,Treat humerus fracture,,,13407.17,35528.99,7 HCPCS,24516,Treat humerus fracture,,,13407.17,35528.99,7 HCPCS,24530,HC CLOSED RX HUMERAL SUPRACONDYLAR FX,777.0,777.0,,,0 HCPCS,24530,Treat humerus fracture,,,257.59,682.61,7 HCPCS,24535,"HC CLOSED RX HUM SUPRACONDYLR FX,MANIPU",5258.0,5258.0,,,0 HCPCS,24535,Treat humerus fracture,,,1679.19,4449.86,7 HCPCS,24538,Treat humerus fracture,,,7577.51,20080.41,7 HCPCS,24545,Treat humerus fracture,,,13407.17,35528.99,7 HCPCS,24546,Treat humerus fracture,,,13407.17,35528.99,7 HCPCS,24560,HC CLOSED RX HUMER EPICONDYLR FX W/O MANIP,777.0,777.0,,,0 HCPCS,24560,Treat humerus fracture,,,257.59,682.61,7 HCPCS,24565,"HC CLOSED RX HUMER EPICONDYLR FX,MANIP",5258.0,5258.0,,,0 HCPCS,24565,Treat humerus fracture,,,1679.19,4449.86,7 HCPCS,24566,Treat humerus fracture,,,1679.19,4449.86,7 HCPCS,24575,HC OPEN TX HUMEROUS EPICONDYLAR FX,27431.0,27431.0,,,0 HCPCS,24575,Treat humerus fracture,,,13407.17,35528.99,7 HCPCS,24576,HC CLOSED RX HUMER CONDYLR FX W/O MANIP,777.0,777.0,,,0 HCPCS,24576,Treat humerus fracture,,,257.59,682.61,7 HCPCS,24577,"HC CLOSED RX HUMER CONDYLR FX,MANIP",5258.0,5258.0,,,0 HCPCS,24577,Treat humerus fracture,,,1679.19,4449.86,7 HCPCS,24579,Treat humerus fracture,,,13407.17,35528.99,7 HCPCS,24582,Treat humerus fracture,,,7577.51,20080.41,7 HCPCS,24586,Treat elbow fracture,,,13407.17,35528.99,7 HCPCS,24587,Treat elbow fracture,,,13407.17,35528.99,7 HCPCS,24600,HC CLOSED RX ELBOW DISLOCATION,777.0,777.0,,,0 HCPCS,24600,Treat elbow dislocation,,,257.59,682.61,7 HCPCS,24605,"HC CLOSED RX ELBOW DISLOCATN,ANESTHESIA",6055.0,6055.0,,,0 HCPCS,24605,Treat elbow dislocation,,,1679.19,4449.86,7 HCPCS,24615,Treat elbow dislocation,,,7577.51,20080.41,7 HCPCS,24620,HC CLOSED RX MONTEGGIA FX/DISLOC ELBOW,5258.0,5258.0,,,0 HCPCS,24620,Treat elbow fracture,,,1679.19,4449.86,7 HCPCS,24635,Treat elbow fracture,,,7577.51,20080.41,7 HCPCS,24640,"HC CLOSED RX RADIAL HEAD DISLOC,CHILD",777.0,777.0,,,0 HCPCS,24640,Treat elbow dislocation,,,257.59,682.61,7 HCPCS,24650,HC CLOSED RX RADIAL HEAD/NECK FX W/O MANIP,777.0,777.0,,,0 HCPCS,24650,Treat radius fracture,,,257.59,682.61,7 HCPCS,24655,"HC CLOSED RX RADIAL HEAD/NECK FX,MANIP",3415.0,3415.0,,,0 HCPCS,24655,Treat radius fracture,,,1679.19,4449.86,7 HCPCS,24665,Treat radius fracture,,,7577.51,20080.41,7 HCPCS,24666,HC OPEN TX RADIAL HEAD/NECK FX PROSTHETIC,27431.0,27431.0,,,0 HCPCS,24666,Treat radius fracture,,,13407.17,35528.99,7 HCPCS,24670,HC CLOSED TX ULNAR FRACTURE PROX END W/O MANIPULATE,777.0,777.0,,,0 HCPCS,24670,Treat ulnar fracture,,,257.59,682.61,7 HCPCS,24675,HC CLOSED TX ULNAR FRACTURE PROX END W MANIPULATION,5258.0,5258.0,,,0 HCPCS,24675,Treat ulnar fracture,,,1679.19,4449.86,7 HCPCS,24685,Treat ulnar fracture,,,7577.51,20080.41,7 HCPCS,24800,Fusion of elbow joint,,,7577.51,20080.41,7 HCPCS,24802,Fusion/graft of elbow joint,,,13407.17,35528.99,7 HCPCS,24900,Amputation of upper arm,,,13407.17,35528.99,7 HCPCS,24920,Amputation of upper arm,,,13407.17,35528.99,7 HCPCS,24925,Amputation follow-up surgery,,,3416.88,9054.74,7 HCPCS,24930,Amputation follow-up surgery,,,7577.51,20080.41,7 HCPCS,24931,Amputate upper arm & implant,,,13407.17,35528.99,7 HCPCS,24935,Revision of amputation,,,7577.51,20080.41,7 HCPCS,24940,Revision of upper arm,,,13407.17,35528.99,7 HCPCS,24999,HC UPPER ARM/ELBOW SURGERY UNLISTED,777.0,777.0,,,0 HCPCS,24999,Upper arm/elbow surgery,,,257.59,682.61,7 HCPCS,25000,"HC INCIS TENDON SHEATH,RADIAL STYLOID",9363.0,9363.0,,,0 HCPCS,25000,Incision of tendon sheath,,,1679.19,4449.86,7 HCPCS,25001,Incise flexor carpi radialis,,,3416.88,9054.74,7 HCPCS,25020,Decompress forearm 1 space,,,1679.19,4449.86,7 HCPCS,25023,Decompress forearm 1 space,,,3416.88,9054.74,7 HCPCS,25024,Decompress forearm 2 spaces,,,3416.88,9054.74,7 HCPCS,25025,Decompress forearm 2 spaces,,,1679.19,4449.86,7 HCPCS,25028,Drainage of forearm lesion,,,3416.88,9054.74,7 HCPCS,25028,HC I&D FOREARM/WRIST DEEP ABSC/HEMATOMA,10690.0,10690.0,,,0 HCPCS,25031,Drainage of forearm bursa,,,1679.19,4449.86,7 HCPCS,25031,HC I&D FOREARM/WRIST BURSA,5258.0,5258.0,,,0 HCPCS,25035,Treat forearm bone lesion,,,7577.51,20080.41,7 HCPCS,25040,Explore/treat wrist joint,,,3416.88,9054.74,7 HCPCS,25065,Biopsy forearm soft tissues,,,1724.73,4570.53,7 HCPCS,25066,Biopsy forearm soft tissues,,,3033.33,8038.33,7 HCPCS,25071,Exc forearm les sc 3 cm/>,,,1724.73,4570.53,7 HCPCS,25073,Exc forearm tum deep 3 cm/>,,,3033.33,8038.33,7 HCPCS,25075,Exc forearm les sc < 3 cm,,,1724.73,4570.53,7 HCPCS,25076,Exc forearm tum deep < 3 cm,,,1724.73,4570.53,7 HCPCS,25077,Resect forearm/wrist tum<3cm,,,3033.33,8038.33,7 HCPCS,25078,Resect forarm/wrist tum 3cm>,,,3033.33,8038.33,7 HCPCS,25085,Incision of wrist capsule,,,3416.88,9054.74,7 HCPCS,25100,Biopsy of wrist joint,,,3416.88,9054.74,7 HCPCS,25101,Explore/treat wrist joint,,,3416.88,9054.74,7 HCPCS,25101,HC WRIST JOINT EXPLORATION,10690.0,10690.0,,,0 HCPCS,25105,Remove wrist joint lining,,,3416.88,9054.74,7 HCPCS,25107,Remove wrist joint cartilage,,,3416.88,9054.74,7 HCPCS,25109,Excise tendon forearm/wrist,,,3416.88,9054.74,7 HCPCS,25110,Remove wrist tendon lesion,,,1679.19,4449.86,7 HCPCS,25111,HC EXCIS PRIMARY GANGLION WRIST,12151.0,12151.0,,,0 HCPCS,25111,Remove wrist tendon lesion,,,1679.19,4449.86,7 HCPCS,25112,Reremove wrist tendon lesion,,,1679.19,4449.86,7 HCPCS,25115,Remove wrist/forearm lesion,,,1679.19,4449.86,7 HCPCS,25116,Remove wrist/forearm lesion,,,3416.88,9054.74,7 HCPCS,25118,Excise wrist tendon sheath,,,1679.19,4449.86,7 HCPCS,25118,"HC EXCIS SYNOV WRIST,EXTENS TENDON",10371.0,10371.0,,,0 HCPCS,25119,Partial removal of ulna,,,3416.88,9054.74,7 HCPCS,25120,Removal of forearm lesion,,,3416.88,9054.74,7 HCPCS,25125,Remove/graft forearm lesion,,,1679.19,4449.86,7 HCPCS,25126,Remove/graft forearm lesion,,,3416.88,9054.74,7 HCPCS,25130,Removal of wrist lesion,,,3416.88,9054.74,7 HCPCS,25135,Remove & graft wrist lesion,,,7577.51,20080.41,7 HCPCS,25136,Remove & graft wrist lesion,,,7577.51,20080.41,7 HCPCS,25145,Remove forearm bone lesion,,,3416.88,9054.74,7 HCPCS,25150,Partial removal of ulna,,,3416.88,9054.74,7 HCPCS,25151,Partial removal of radius,,,3416.88,9054.74,7 HCPCS,25170,Resect radius/ulnar tumor,,,7577.51,20080.41,7 HCPCS,25210,Removal of wrist bone,,,3416.88,9054.74,7 HCPCS,25215,Removal of wrist bones,,,3416.88,9054.74,7 HCPCS,25230,Partial removal of radius,,,3416.88,9054.74,7 HCPCS,25240,Partial removal of ulna,,,3416.88,9054.74,7 HCPCS,25246,HC INJECTION FOR WRIST ARTHROGRAM,723.0,723.0,,,0 HCPCS,25248,HC REMOVE FOREARM/WRIST FOREIGN BODY,44271.0,44271.0,,,0 HCPCS,25248,Remove forearm foreign body,,,1679.19,4449.86,7 HCPCS,25250,Removal of wrist prosthesis,,,1679.19,4449.86,7 HCPCS,25251,Removal of wrist prosthesis,,,3416.88,9054.74,7 HCPCS,25259,HC MANIPULATE WRIST W/ANESTHES,5258.0,5258.0,,,0 HCPCS,25259,Manipulate wrist w/anesthes,,,1679.19,4449.86,7 HCPCS,25260,HC REPAIR FOREARM TENDON/MUSCLE EACH,10690.0,10690.0,,,0 HCPCS,25260,Repair forearm tendon/muscle,,,3416.88,9054.74,7 HCPCS,25263,Repair forearm tendon/muscle,,,7577.51,20080.41,7 HCPCS,25265,Repair forearm tendon/muscle,,,3416.88,9054.74,7 HCPCS,25270,HC REPAIR FOREARM/WRIST EXTENSOR TENDON/MUSCLE EACH,10690.0,10690.0,,,0 HCPCS,25270,Repair forearm tendon/muscle,,,3416.88,9054.74,7 HCPCS,25272,Repair forearm tendon/muscle,,,3416.88,9054.74,7 HCPCS,25274,Repair forearm tendon/muscle,,,3416.88,9054.74,7 HCPCS,25275,Repair forearm tendon sheath,,,3416.88,9054.74,7 HCPCS,25280,Revise wrist/forearm tendon,,,3416.88,9054.74,7 HCPCS,25290,Incise wrist/forearm tendon,,,3416.88,9054.74,7 HCPCS,25295,Release wrist/forearm tendon,,,3416.88,9054.74,7 HCPCS,25300,Fusion of tendons at wrist,,,3416.88,9054.74,7 HCPCS,25301,Fusion of tendons at wrist,,,3416.88,9054.74,7 HCPCS,25310,Transplant forearm tendon,,,3416.88,9054.74,7 HCPCS,25312,Transplant forearm tendon,,,3416.88,9054.74,7 HCPCS,25315,Revise palsy hand tendon(s),,,7577.51,20080.41,7 HCPCS,25316,Revise palsy hand tendon(s),,,7577.51,20080.41,7 HCPCS,25320,HC OPEN REPAIR WRIST JOINT,17310.0,17310.0,,,0 HCPCS,25320,Repair/revise wrist joint,,,7577.51,20080.41,7 HCPCS,25332,Revise wrist joint,,,3416.88,9054.74,7 HCPCS,25335,Realignment of hand,,,3416.88,9054.74,7 HCPCS,25337,Reconstruct ulna/radioulnar,,,7577.51,20080.41,7 HCPCS,25350,Revision of radius,,,7577.51,20080.41,7 HCPCS,25355,Revision of radius,,,3416.88,9054.74,7 HCPCS,25360,Revision of ulna,,,7577.51,20080.41,7 HCPCS,25365,Revise radius & ulna,,,13407.17,35528.99,7 HCPCS,25370,Revise radius or ulna,,,3416.88,9054.74,7 HCPCS,25375,Revise radius & ulna,,,3416.88,9054.74,7 HCPCS,25390,"HC OSTEOPLASTY,RADIUS OR ULNA,SHORTEN",23643.0,23643.0,,,0 HCPCS,25390,Shorten radius or ulna,,,7577.51,20080.41,7 HCPCS,25391,Lengthen radius or ulna,,,13407.17,35528.99,7 HCPCS,25392,Shorten radius & ulna,,,7577.51,20080.41,7 HCPCS,25393,Lengthen radius & ulna,,,7577.51,20080.41,7 HCPCS,25394,Repair carpal bone shorten,,,3416.88,9054.74,7 HCPCS,25400,HC REPAIR NONUNION RADIUS OR ULNA,27794.0,27794.0,,,0 HCPCS,25400,Repair radius or ulna,,,7577.51,20080.41,7 HCPCS,25405,Repair/graft radius or ulna,,,7577.51,20080.41,7 HCPCS,25415,Repair radius & ulna,,,7577.51,20080.41,7 HCPCS,25420,Repair/graft radius & ulna,,,7577.51,20080.41,7 HCPCS,25425,Repair/graft radius or ulna,,,7577.51,20080.41,7 HCPCS,25426,Repair/graft radius & ulna,,,3416.88,9054.74,7 HCPCS,25430,Vasc graft into carpal bone,,,3416.88,9054.74,7 HCPCS,25431,Repair nonunion carpal bone,,,7577.51,20080.41,7 HCPCS,25440,Repair/graft wrist bone,,,7577.51,20080.41,7 HCPCS,25441,Reconstruct wrist joint,,,13407.17,35528.99,7 HCPCS,25442,Reconstruct wrist joint,,,18310.2,48522.02,7 HCPCS,25443,Reconstruct wrist joint,,,7577.51,20080.41,7 HCPCS,25444,Reconstruct wrist joint,,,13407.17,35528.99,7 HCPCS,25445,Reconstruct wrist joint,,,7577.51,20080.41,7 HCPCS,25446,Wrist replacement,,,18310.2,48522.02,7 HCPCS,25447,HC REPAIR INTERCARP/CARP-METACARP JT,18840.0,18840.0,,,0 HCPCS,25447,Repair wrist joints,,,3416.88,9054.74,7 HCPCS,25448,Arthrp ntrcrpl/crp/mtcrp ssp,,,3416.88,9054.74,7 HCPCS,25449,Remove wrist joint implant,,,7577.51,20080.41,7 HCPCS,25450,Revision of wrist joint,,,3416.88,9054.74,7 HCPCS,25455,Revision of wrist joint,,,3416.88,9054.74,7 HCPCS,25490,Reinforce radius,,,7577.51,20080.41,7 HCPCS,25491,Reinforce ulna,,,13407.17,35528.99,7 HCPCS,25492,Reinforce radius and ulna,,,3416.88,9054.74,7 HCPCS,25500,HC CLOSED RX RADIAL SHAFT FX,777.0,777.0,,,0 HCPCS,25500,Treat fracture of radius,,,257.59,682.61,7 HCPCS,25505,"HC CLOSED RX RADIAL SHAFT FX,MANIPULATN",5258.0,5258.0,,,0 HCPCS,25505,Treat fracture of radius,,,1679.19,4449.86,7 HCPCS,25515,HC RADIAL SHAFT OPEN TREATMENT,23643.0,23643.0,,,0 HCPCS,25515,Treat fracture of radius,,,7577.51,20080.41,7 HCPCS,25520,HC CLOSED RX RADIAL SHAFT FX W/DISLOCATION,5258.0,5258.0,,,0 HCPCS,25520,Treat fracture of radius,,,1679.19,4449.86,7 HCPCS,25525,Treat fracture of radius,,,7577.51,20080.41,7 HCPCS,25526,Treat fracture of radius,,,7577.51,20080.41,7 HCPCS,25530,HC CLOSED RX ULNA SHAFT FX,777.0,777.0,,,0 HCPCS,25530,Treat fracture of ulna,,,257.59,682.61,7 HCPCS,25535,"HC CLOSED RX ULNA SHAFT FX,MANIPULATN",777.0,777.0,,,0 HCPCS,25535,Treat fracture of ulna,,,257.59,682.61,7 HCPCS,25545,HC OPEN TREATMENT OF ULNAR SHAFT FRACTURE,17282.0,17282.0,,,0 HCPCS,25545,Treat fracture of ulna,,,7577.51,20080.41,7 HCPCS,25560,HC CLOSED RX RAD/ULNA SHAFT FX,1050.0,1050.0,,,0 HCPCS,25560,Treat fracture radius & ulna,,,257.59,682.61,7 HCPCS,25565,"HC CLOSED RX RAD/ULNA SHAFT FX,MANIP",5258.0,5258.0,,,0 HCPCS,25565,Treat fracture radius & ulna,,,1679.19,4449.86,7 HCPCS,25574,Treat fracture radius & ulna,,,7577.51,20080.41,7 HCPCS,25575,HC OPEN TX RADIAL & ULNAR SHAFT FX FIX RADIUS AND ULNA,23643.0,23643.0,,,0 HCPCS,25575,Treat fracture radius/ulna,,,7577.51,20080.41,7 HCPCS,25600,HC CLOSED RX DIST RAD/ULNA FX,911.0,911.0,,,0 HCPCS,25600,Treat fracture radius/ulna,,,257.59,682.61,7 HCPCS,25605,"HC CLOSED RX DIST RAD/ULNA FX,MANIPUL",2530.0,2530.0,,,0 HCPCS,25605,Treat fracture radius/ulna,,,1679.19,4449.86,7 HCPCS,25606,Treat Fx Distal Radial,,,3416.88,9054.74,7 HCPCS,25607,"HC OPEN RX DISTAL RADIUS FX, EXTRA-ARTICULAR",29092.0,29092.0,,,0 HCPCS,25607,Treat Fx Rad Extra-Articul,,,7577.51,20080.41,7 HCPCS,25608,"HC OPEN RX DISTAL RADIUS FX, INTRA-ARTICULAR, 2 FRAG",26158.0,26158.0,,,0 HCPCS,25608,Treat Fx Rad Intra-Articul,,,7577.51,20080.41,7 HCPCS,25609,"HC OPEN RX DISTAL RADIUS FX, INTRA-ARTICULAR, 3+ FRAG",27924.0,27924.0,,,0 HCPCS,25609,Treat Fx Radial 3+ Frag,,,7577.51,20080.41,7 HCPCS,25622,HC CLOSED RX CARPAL SCAPH FX W/O MANIP,777.0,777.0,,,0 HCPCS,25622,Treat wrist bone fracture,,,257.59,682.61,7 HCPCS,25624,HC CLOSED RX CARPAL SCAPH FX W/ MANIP,5258.0,5258.0,,,0 HCPCS,25624,Treat wrist bone fracture,,,1679.19,4449.86,7 HCPCS,25628,Treat wrist bone fracture,,,7577.51,20080.41,7 HCPCS,25630,HC CLOSED RX CARPAL FX,777.0,777.0,,,0 HCPCS,25630,Treat wrist bone fracture,,,257.59,682.61,7 HCPCS,25635,"HC CLOSED RX CARPAL FX,MAIPULATN",5258.0,5258.0,,,0 HCPCS,25635,Treat wrist bone fracture,,,1679.19,4449.86,7 HCPCS,25645,Treat wrist bone fracture,,,3416.88,9054.74,7 HCPCS,25650,HC CLOSED RX ULNA STYLOID FX,777.0,777.0,,,0 HCPCS,25650,Treat wrist bone fracture,,,257.59,682.61,7 HCPCS,25651,Pin ulnar styloid fracture,,,3416.88,9054.74,7 HCPCS,25652,HC OPEN RX ULNAR STYLOID FX,18947.0,18947.0,,,0 HCPCS,25652,Treat fracture ulnar styloid,,,7577.51,20080.41,7 HCPCS,25660,HC CLOSED TREAT WRIST DISLOCATION,777.0,777.0,,,0 HCPCS,25660,Treat wrist dislocation,,,257.59,682.61,7 HCPCS,25670,Treat wrist dislocation,,,7577.51,20080.41,7 HCPCS,25671,Pin radioulnar dislocation,,,3416.88,9054.74,7 HCPCS,25675,HC CLOSED RX RADIO-ULNA DISLOCATION,777.0,777.0,,,0 HCPCS,25675,Treat wrist dislocation,,,257.59,682.61,7 HCPCS,25676,Treat wrist dislocation,,,7577.51,20080.41,7 HCPCS,25680,HC CLOSED RX NAVIC/LUNATE FX/DISLOC,777.0,777.0,,,0 HCPCS,25680,Treat wrist fracture,,,257.59,682.61,7 HCPCS,25685,Treat wrist fracture,,,7577.51,20080.41,7 HCPCS,25690,HC CLOSED RX LUNATE DISLOCATION,5258.0,5258.0,,,0 HCPCS,25690,Treat wrist dislocation,,,1679.19,4449.86,7 HCPCS,25695,Treat wrist dislocation,,,7577.51,20080.41,7 HCPCS,25800,Fusion of wrist joint,,,7577.51,20080.41,7 HCPCS,25805,Fusion/graft of wrist joint,,,7577.51,20080.41,7 HCPCS,25810,Fusion/graft of wrist joint,,,13407.17,35528.99,7 HCPCS,25820,Fusion of hand bones,,,7577.51,20080.41,7 HCPCS,25825,Fuse hand bones with graft,,,7577.51,20080.41,7 HCPCS,25830,Fusion radioulnar jnt/ulna,,,7577.51,20080.41,7 HCPCS,25900,Amputation of forearm,,,7577.51,20080.41,7 HCPCS,25905,Amputation of forearm,,,7577.51,20080.41,7 HCPCS,25907,Amputation follow-up surgery,,,3416.88,9054.74,7 HCPCS,25909,Amputation follow-up surgery,,,7577.51,20080.41,7 HCPCS,25915,Amputation of forearm,,,7577.51,20080.41,7 HCPCS,25920,Amputate hand at wrist,,,3416.88,9054.74,7 HCPCS,25922,Amputate hand at wrist,,,1679.19,4449.86,7 HCPCS,25924,Amputation follow-up surgery,,,3416.88,9054.74,7 HCPCS,25927,Amputation of hand,,,3416.88,9054.74,7 HCPCS,25929,Amputation follow-up surgery,,,2154.64,5709.8,7 HCPCS,25931,Amputation follow-up surgery,,,3416.88,9054.74,7 HCPCS,25999,Forearm or wrist surgery,,,257.59,682.61,7 HCPCS,26010,Drainage of finger abscess,,,209.52,555.22,7 HCPCS,26010,"HC DRAIN FINGER ABSCESS,SIMPLE",994.0,994.0,,,0 HCPCS,26011,Drainage of finger abscess,,,1724.73,4570.53,7 HCPCS,26011,"HC DRAIN FINGER ABSCESS,COMPLICATED",5311.0,5311.0,,,0 HCPCS,26020,Drain hand tendon sheath,,,3416.88,9054.74,7 HCPCS,26025,Drainage of palm bursa,,,3416.88,9054.74,7 HCPCS,26030,Drainage of palm bursas,,,3416.88,9054.74,7 HCPCS,26034,HC INCISION BONE CORTEX HAND/FINGER,4322.0,4322.0,,,0 HCPCS,26034,Treat hand bone lesion,,,1679.19,4449.86,7 HCPCS,26035,Decompress fingers/hand,,,3416.88,9054.74,7 HCPCS,26037,Decompress fingers/hand,,,3416.88,9054.74,7 HCPCS,26040,Release palm contracture,,,1679.19,4449.86,7 HCPCS,26045,Release palm contracture,,,3416.88,9054.74,7 HCPCS,26055,HC INCISE FINGER TENDON SHEATH,9270.0,9270.0,,,0 HCPCS,26055,Incise finger tendon sheath,,,1679.19,4449.86,7 HCPCS,26060,Incision of finger tendon,,,1679.19,4449.86,7 HCPCS,26070,Explore/treat hand joint,,,1679.19,4449.86,7 HCPCS,26075,Explore/treat finger joint,,,3416.88,9054.74,7 HCPCS,26080,Explore/treat finger joint,,,1679.19,4449.86,7 HCPCS,26100,Biopsy hand joint lining,,,3416.88,9054.74,7 HCPCS,26105,Biopsy finger joint lining,,,3416.88,9054.74,7 HCPCS,26110,Biopsy finger joint lining,,,1679.19,4449.86,7 HCPCS,26111,Exc hand les sc 1.5 cm/>,,,1724.73,4570.53,7 HCPCS,26111,"HC EXC TUMOR/VASC MALF SOFT TISS SUBQ, 1.5+ CM",8190.0,8190.0,,,0 HCPCS,26113,Exc hand tum deep 1.5 cm/>,,,1724.73,4570.53,7 HCPCS,26113,HC EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5+CM,5311.0,5311.0,,,0 HCPCS,26115,Exc hand les sc < 1.5 cm,,,1724.73,4570.53,7 HCPCS,26116,Exc hand tum deep < 1.5 cm,,,1724.73,4570.53,7 HCPCS,26116,HC EXC HAND/FINGER TUMOR <1.5CM,5311.0,5311.0,,,0 HCPCS,26117,Rad resect hand tumor < 3 cm,,,3033.33,8038.33,7 HCPCS,26118,Rad resect hand tumor 3 cm/>,,,3033.33,8038.33,7 HCPCS,26121,Release palm contracture,,,3416.88,9054.74,7 HCPCS,26123,Release palm contracture,,,3416.88,9054.74,7 HCPCS,26130,Remove wrist joint lining,,,3416.88,9054.74,7 HCPCS,26135,Revise finger joint each,,,3416.88,9054.74,7 HCPCS,26140,Revise finger joint each,,,1679.19,4449.86,7 HCPCS,26145,Tendon excision palm/finger,,,1679.19,4449.86,7 HCPCS,26160,"HC EXCIS TENDON SHEATH LESION, HAND/FINGER",12749.0,12749.0,,,0 HCPCS,26160,Remove tendon sheath lesion,,,1679.19,4449.86,7 HCPCS,26170,Removal of palm tendon each,,,1679.19,4449.86,7 HCPCS,26180,Removal of finger tendon,,,1679.19,4449.86,7 HCPCS,26185,Remove finger bone,,,1679.19,4449.86,7 HCPCS,26200,Remove hand bone lesion,,,1679.19,4449.86,7 HCPCS,26205,Remove/graft bone lesion,,,7577.51,20080.41,7 HCPCS,26210,"HC EXCIS BENIGN BONE LESN,PHALANX",5258.0,5258.0,,,0 HCPCS,26210,Removal of finger lesion,,,1679.19,4449.86,7 HCPCS,26215,Remove/graft finger lesion,,,3416.88,9054.74,7 HCPCS,26230,Partial removal of hand bone,,,3416.88,9054.74,7 HCPCS,26235,Partial removal finger bone,,,1679.19,4449.86,7 HCPCS,26236,HC PARTIAL EXC DISTAL PHALANX FINGER,6246.0,6246.0,,,0 HCPCS,26236,Partial removal finger bone,,,1679.19,4449.86,7 HCPCS,26250,Extensive hand surgery,,,3416.88,9054.74,7 HCPCS,26260,Resect prox finger tumor,,,3416.88,9054.74,7 HCPCS,26262,Resect distal finger tumor,,,1679.19,4449.86,7 HCPCS,26320,Removal of implant from hand,,,1724.73,4570.53,7 HCPCS,26340,"HC MANIPULATE FINGER JT W/ ANESTH,EACH",4730.0,4730.0,,,0 HCPCS,26340,Manipulate finger w/anesth,,,1679.19,4449.86,7 HCPCS,26341,Manipulat palm cord post inj,,,257.59,682.61,7 HCPCS,26350,"HC REP/ADV FLEXOR TENDON NOT ZONE 2 W/O FREE GRAFT, EA",10690.0,10690.0,,,0 HCPCS,26350,Repair finger/hand tendon,,,3416.88,9054.74,7 HCPCS,26352,Repair/graft hand tendon,,,7577.51,20080.41,7 HCPCS,26356,"HC REPAIR FLEX TENDON,ZONE 2,HAND",10725.0,10725.0,,,0 HCPCS,26356,Repair finger/hand tendon,,,3416.88,9054.74,7 HCPCS,26357,Repair finger/hand tendon,,,3416.88,9054.74,7 HCPCS,26358,Repair/graft hand tendon,,,7577.51,20080.41,7 HCPCS,26370,Repair finger/hand tendon,,,3416.88,9054.74,7 HCPCS,26372,Repair/graft hand tendon,,,7577.51,20080.41,7 HCPCS,26373,Repair finger/hand tendon,,,3416.88,9054.74,7 HCPCS,26390,Revise hand/finger tendon,,,7577.51,20080.41,7 HCPCS,26392,Repair/graft hand tendon,,,7577.51,20080.41,7 HCPCS,26410,Repair hand tendon,,,1679.19,4449.86,7 HCPCS,26412,Repair/graft hand tendon,,,3416.88,9054.74,7 HCPCS,26415,Excision hand/finger tendon,,,3416.88,9054.74,7 HCPCS,26416,Graft hand or finger tendon,,,3416.88,9054.74,7 HCPCS,26418,"HC REPAIR EXTEN TENDON,DORSUM FINGR,EA",6238.0,6238.0,,,0 HCPCS,26418,Repair finger tendon,,,1679.19,4449.86,7 HCPCS,26420,Repair/graft finger tendon,,,3416.88,9054.74,7 HCPCS,26426,Repair finger/hand tendon,,,3416.88,9054.74,7 HCPCS,26428,Repair/graft finger tendon,,,3416.88,9054.74,7 HCPCS,26432,Repair finger tendon,,,1679.19,4449.86,7 HCPCS,26433,Repair finger tendon,,,3416.88,9054.74,7 HCPCS,26434,"HC REPAIR EXTEN TENDON,DIST,OPEN,GRFT",10690.0,10690.0,,,0 HCPCS,26434,Repair/graft finger tendon,,,3416.88,9054.74,7 HCPCS,26437,Realignment of tendons,,,3416.88,9054.74,7 HCPCS,26440,"HC TENOLYSIS FLEXOR TENDON PALM/FINGER, EA TENDON",7823.0,7823.0,,,0 HCPCS,26440,Release palm/finger tendon,,,1679.19,4449.86,7 HCPCS,26442,Release palm & finger tendon,,,3416.88,9054.74,7 HCPCS,26445,"HC TENOLYSIS EXT TENDON,HAND/FINGER,EA",10690.0,10690.0,,,0 HCPCS,26445,Release hand/finger tendon,,,3416.88,9054.74,7 HCPCS,26449,Release forearm/hand tendon,,,3416.88,9054.74,7 HCPCS,26450,Incision of palm tendon,,,3416.88,9054.74,7 HCPCS,26455,Incision of finger tendon,,,1679.19,4449.86,7 HCPCS,26460,Incise hand/finger tendon,,,1679.19,4449.86,7 HCPCS,26471,Fusion of finger tendons,,,3416.88,9054.74,7 HCPCS,26474,Fusion of finger tendons,,,1679.19,4449.86,7 HCPCS,26476,Tendon lengthening,,,3416.88,9054.74,7 HCPCS,26477,Tendon shortening,,,3416.88,9054.74,7 HCPCS,26478,Lengthening of hand tendon,,,3416.88,9054.74,7 HCPCS,26479,Shortening of hand tendon,,,3416.88,9054.74,7 HCPCS,26480,HC TRANSPLANT HAND TENDON,8796.0,8796.0,,,0 HCPCS,26480,Transplant hand tendon,,,3416.88,9054.74,7 HCPCS,26483,Transplant/graft hand tendon,,,3416.88,9054.74,7 HCPCS,26485,Transplant palm tendon,,,3416.88,9054.74,7 HCPCS,26489,Transplant/graft palm tendon,,,3416.88,9054.74,7 HCPCS,26490,Revise thumb tendon,,,3416.88,9054.74,7 HCPCS,26492,Tendon transfer with graft,,,3416.88,9054.74,7 HCPCS,26494,Hand tendon/muscle transfer,,,3416.88,9054.74,7 HCPCS,26496,Revise thumb tendon,,,3416.88,9054.74,7 HCPCS,26497,Finger tendon transfer,,,3416.88,9054.74,7 HCPCS,26498,Finger tendon transfer,,,3416.88,9054.74,7 HCPCS,26499,Revision of finger,,,3416.88,9054.74,7 HCPCS,26500,Hand tendon reconstruction,,,7577.51,20080.41,7 HCPCS,26502,Hand tendon reconstruction,,,3416.88,9054.74,7 HCPCS,26508,Release thumb contracture,,,3416.88,9054.74,7 HCPCS,26510,Thumb tendon transfer,,,3416.88,9054.74,7 HCPCS,26516,Fusion of knuckle joint,,,3416.88,9054.74,7 HCPCS,26517,Fusion of knuckle joints,,,3416.88,9054.74,7 HCPCS,26518,Fusion of knuckle joints,,,7577.51,20080.41,7 HCPCS,26520,Release knuckle contracture,,,3416.88,9054.74,7 HCPCS,26525,HC RELEASE I-P JT CONTRACTURE,7132.0,7132.0,,,0 HCPCS,26525,Release finger contracture,,,1679.19,4449.86,7 HCPCS,26530,Revise knuckle joint,,,7577.51,20080.41,7 HCPCS,26531,Revise knuckle with implant,,,7577.51,20080.41,7 HCPCS,26535,Revise finger joint,,,3416.88,9054.74,7 HCPCS,26536,Revise/implant finger joint,,,7577.51,20080.41,7 HCPCS,26540,"HC FIX COLLAT LIG,MC-P JT,I-P JT",12071.0,12071.0,,,0 HCPCS,26540,Repair hand joint,,,3416.88,9054.74,7 HCPCS,26541,Repair hand joint with graft,,,3416.88,9054.74,7 HCPCS,26542,Repair hand joint with graft,,,3416.88,9054.74,7 HCPCS,26545,Reconstruct finger joint,,,3416.88,9054.74,7 HCPCS,26546,Repair nonunion hand,,,7577.51,20080.41,7 HCPCS,26548,Reconstruct finger joint,,,3416.88,9054.74,7 HCPCS,26550,Construct thumb replacement,,,3416.88,9054.74,7 HCPCS,26551,Great toe-hand transfer,,,7577.51,20080.41,7 HCPCS,26553,Single transfer toe-hand,,,7577.51,20080.41,7 HCPCS,26554,Double transfer toe-hand,,,7577.51,20080.41,7 HCPCS,26555,Positional change of finger,,,7577.51,20080.41,7 HCPCS,26556,Toe joint transfer,,,7577.51,20080.41,7 HCPCS,26560,Repair of web finger,,,1679.19,4449.86,7 HCPCS,26561,Repair of web finger,,,3416.88,9054.74,7 HCPCS,26562,Repair of web finger,,,3416.88,9054.74,7 HCPCS,26565,Correct metacarpal flaw,,,3416.88,9054.74,7 HCPCS,26567,Correct finger deformity,,,3416.88,9054.74,7 HCPCS,26568,Lengthen metacarpal/finger,,,7577.51,20080.41,7 HCPCS,26580,Repair hand deformity,,,3416.88,9054.74,7 HCPCS,26587,Reconstruct extra finger,,,3416.88,9054.74,7 HCPCS,26590,Repair finger deformity,,,1679.19,4449.86,7 HCPCS,26591,Repair muscles of hand,,,3416.88,9054.74,7 HCPCS,26593,Release muscles of hand,,,3416.88,9054.74,7 HCPCS,26596,Excision constricting tissue,,,3416.88,9054.74,7 HCPCS,26600,HC CLOSED RX METACARPAL FX,777.0,777.0,,,0 HCPCS,26600,Treat metacarpal fracture,,,257.59,682.61,7 HCPCS,26605,"HC CLOSED RX METACARPAL FX,MANIP",777.0,777.0,,,0 HCPCS,26605,Treat metacarpal fracture,,,257.59,682.61,7 HCPCS,26607,HC CLOSED TX METACARPAL FX W/ MANIP & EXT FIX EA BONE,11784.0,11784.0,,,0 HCPCS,26607,Treat metacarpal fracture,,,3416.88,9054.74,7 HCPCS,26608,"HC CLOSED RX METACARPAL FX,PERCUT",10690.0,10690.0,,,0 HCPCS,26608,Treat metacarpal fracture,,,3416.88,9054.74,7 HCPCS,26615,HC OPEN TX METACARPAL FRACTURE SINGLE EA BONE,20073.0,20073.0,,,0 HCPCS,26615,Treat metacarpal fracture,,,3416.88,9054.74,7 HCPCS,26641,"HC TREAT THUMB DISLOC,MANIPULATN",777.0,777.0,,,0 HCPCS,26641,Treat thumb dislocation,,,257.59,682.61,7 HCPCS,26645,"HC TREAT THUMB FX/DISLOC,MANIP",5258.0,5258.0,,,0 HCPCS,26645,Treat thumb fracture,,,1679.19,4449.86,7 HCPCS,26650,Treat thumb fracture,,,3416.88,9054.74,7 HCPCS,26665,Treat thumb fracture,,,3416.88,9054.74,7 HCPCS,26670,"HC CLOSED RX, CARPOMETACAR DISLOC,NON-THUMB",777.0,777.0,,,0 HCPCS,26670,Treat hand dislocation,,,257.59,682.61,7 HCPCS,26675,"HC CLOSED RX C-MC DISLOC,ANESTH",5258.0,5258.0,,,0 HCPCS,26675,Treat hand dislocation,,,1679.19,4449.86,7 HCPCS,26676,Pin hand dislocation,,,3416.88,9054.74,7 HCPCS,26685,Treat hand dislocation,,,3416.88,9054.74,7 HCPCS,26686,Treat hand dislocation,,,3416.88,9054.74,7 HCPCS,26700,HC CLOSED RX MC-P DISLOC,942.0,942.0,,,0 HCPCS,26700,Treat knuckle dislocation,,,257.59,682.61,7 HCPCS,26705,"HC CLOSED RX MC-P DISLOC,ANESTH",5258.0,5258.0,,,0 HCPCS,26705,Treat knuckle dislocation,,,1679.19,4449.86,7 HCPCS,26706,Pin knuckle dislocation,,,3416.88,9054.74,7 HCPCS,26715,Treat knuckle dislocation,,,3416.88,9054.74,7 HCPCS,26720,HC CLOSE RX PROX/MID FING SHFT FX,777.0,777.0,,,0 HCPCS,26720,Treat finger fracture each,,,257.59,682.61,7 HCPCS,26725,"HC CLOSE RX PROX/MID FING SHFT FX,MANIP",1586.0,1586.0,,,0 HCPCS,26725,Treat finger fracture each,,,257.59,682.61,7 HCPCS,26727,HC PERCUT RX PROX/MID FING SHFT FX,15653.0,15653.0,,,0 HCPCS,26727,Treat finger fracture each,,,3416.88,9054.74,7 HCPCS,26735,HC OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA,18129.0,18129.0,,,0 HCPCS,26735,Treat finger fracture each,,,3416.88,9054.74,7 HCPCS,26740,HC CLOSE RX FINGR ARTICULAR FX,777.0,777.0,,,0 HCPCS,26740,Treat finger fracture each,,,257.59,682.61,7 HCPCS,26742,"HC CLOSE RX FINGR ARTICULAR FX,MANIP",3026.0,3026.0,,,0 HCPCS,26742,Treat finger fracture each,,,1679.19,4449.86,7 HCPCS,26746,Treat finger fracture each,,,3416.88,9054.74,7 HCPCS,26750,HC CLOSE RX DIST FINGR FX,773.0,773.0,,,0 HCPCS,26750,Treat finger fracture each,,,257.59,682.61,7 HCPCS,26755,"HC CLOSE RX DIST FINGR FX,MANIPULATN",777.0,777.0,,,0 HCPCS,26755,Treat finger fracture each,,,257.59,682.61,7 HCPCS,26756,Pin finger fracture each,,,3416.88,9054.74,7 HCPCS,26765,HC OPEN TX DISTAL PHALANGEAL FRACTURE EACH,8342.0,8342.0,,,0 HCPCS,26765,"HC OPEN TX DISTAL PHALANGEAL FX, EA",8342.0,8342.0,,,0 HCPCS,26765,Treat finger fracture each,,,3416.88,9054.74,7 HCPCS,26770,HC CLOSED RX IP JT DISLOCATION,1261.0,1261.0,,,0 HCPCS,26770,Treat finger dislocation,,,257.59,682.61,7 HCPCS,26775,"HC CLOSED RX IP JT DISLOCATION,ANESTH",1461.0,1461.0,,,0 HCPCS,26775,Treat finger dislocation,,,292.08,774.0,7 HCPCS,26776,Pin finger dislocation,,,3416.88,9054.74,7 HCPCS,26785,Treat finger dislocation,,,3416.88,9054.74,7 HCPCS,26820,Thumb fusion with graft,,,7577.51,20080.41,7 HCPCS,26841,Fusion of thumb,,,7577.51,20080.41,7 HCPCS,26842,Thumb fusion with graft,,,7577.51,20080.41,7 HCPCS,26843,Fusion of hand joint,,,7577.51,20080.41,7 HCPCS,26844,Fusion/graft of hand joint,,,7577.51,20080.41,7 HCPCS,26850,Fusion of knuckle,,,7577.51,20080.41,7 HCPCS,26850,HC FUSION MC-P JT,16085.0,16085.0,,,0 HCPCS,26852,Fusion of knuckle with graft,,,7577.51,20080.41,7 HCPCS,26860,Fusion of finger joint,,,3416.88,9054.74,7 HCPCS,26860,"HC ARTHRODESIS IP JOINT, W/WO INT FIX",15452.0,15452.0,,,0 HCPCS,26862,Fusion/graft of finger joint,,,3416.88,9054.74,7 HCPCS,26910,Amputate metacarpal bone,,,3416.88,9054.74,7 HCPCS,26951,Amputation of finger/thumb,,,3416.88,9054.74,7 HCPCS,26952,Amputation of finger/thumb,,,3416.88,9054.74,7 HCPCS,26989,Hand/finger surgery,,,257.59,682.61,7 HCPCS,26990,Drainage of pelvis lesion,,,3416.88,9054.74,7 HCPCS,26990,"HC INCIS/DRAIN PELVIS/HIP,DEEP ABSCESS",10690.0,10690.0,,,0 HCPCS,26991,Drainage of pelvis bursa,,,1679.19,4449.86,7 HCPCS,26992,Drainage of bone lesion,,,3416.88,9054.74,7 HCPCS,27000,Incision of hip tendon,,,1679.19,4449.86,7 HCPCS,27001,Incision of hip tendon,,,3416.88,9054.74,7 HCPCS,27003,Incision of hip tendon,,,7577.51,20080.41,7 HCPCS,27005,Incision of hip tendon,,,3416.88,9054.74,7 HCPCS,27006,Incision of hip tendons,,,3416.88,9054.74,7 HCPCS,27025,Incision of hip/thigh fascia,,,3416.88,9054.74,7 HCPCS,27027,Buttock fasciotomy,,,7577.51,20080.41,7 HCPCS,27030,Drainage of hip joint,,,7577.51,20080.41,7 HCPCS,27033,Exploration of hip joint,,,7577.51,20080.41,7 HCPCS,27035,Denervation of hip joint,,,3416.88,9054.74,7 HCPCS,27036,Excision of hip joint/muscle,,,7577.51,20080.41,7 HCPCS,27040,Biopsy of soft tissues,,,1724.73,4570.53,7 HCPCS,27040,"HC BX SOFT TISSUES,PELV/HIP,SUPERFICL",5311.0,5311.0,,,0 HCPCS,27041,Biopsy of soft tissues,,,1724.73,4570.53,7 HCPCS,27041,"HC BX SOFT TISSUES,PELV/HIP,DEEP",5311.0,5311.0,,,0 HCPCS,27043,Exc hip pelvis les sc 3 cm/>,,,3033.33,8038.33,7 HCPCS,27045,Exc hip/pelv tum deep 5 cm/>,,,3033.33,8038.33,7 HCPCS,27047,Exc hip/pelvis les sc < 3 cm,,,3033.33,8038.33,7 HCPCS,27048,Exc hip/pelv tum deep < 5 cm,,,3033.33,8038.33,7 HCPCS,27049,Resect hip/pelv tum < 5 cm,,,3033.33,8038.33,7 HCPCS,27050,Biopsy of sacroiliac joint,,,1679.19,4449.86,7 HCPCS,27052,Biopsy of hip joint,,,1679.19,4449.86,7 HCPCS,27054,Removal of hip joint lining,,,3416.88,9054.74,7 HCPCS,27057,Buttock fasciotomy w/dbrdmt,,,1679.19,4449.86,7 HCPCS,27059,Resect hip/pelv tum 5 cm/>,,,3033.33,8038.33,7 HCPCS,27060,Removal of ischial bursa,,,7577.51,20080.41,7 HCPCS,27062,Remove femur lesion/bursa,,,3416.88,9054.74,7 HCPCS,27065,Remove hip bone les super,,,7577.51,20080.41,7 HCPCS,27066,Remove hip bone les deep,,,3416.88,9054.74,7 HCPCS,27067,Remove/graft hip bone lesion,,,7577.51,20080.41,7 HCPCS,27070,Part remove hip bone super,,,3416.88,9054.74,7 HCPCS,27071,Part removal hip bone deep,,,3416.88,9054.74,7 HCPCS,27075,Resect hip tumor,,,7577.51,20080.41,7 HCPCS,27076,Resect hip tum incl acetabul,,,7577.51,20080.41,7 HCPCS,27077,Resect hip tum w/innom bone,,,7577.51,20080.41,7 HCPCS,27078,Rsect hip tum incl femur,,,7577.51,20080.41,7 HCPCS,27080,Removal of tail bone,,,3416.88,9054.74,7 HCPCS,27086,HC REMOVE FB PELVIS/HIP SUBQ,8950.0,8950.0,,,0 HCPCS,27086,Remove hip foreign body,,,3033.33,8038.33,7 HCPCS,27087,HC REMOVE FB PELVIS/HIP DEEP SUBFASC/INTRAMUSC,10690.0,10690.0,,,0 HCPCS,27087,Remove hip foreign body,,,3416.88,9054.74,7 HCPCS,27090,Removal of hip prosthesis,,,7577.51,20080.41,7 HCPCS,27091,Removal of hip prosthesis,,,13407.17,35528.99,7 HCPCS,27093,HC INJECTION HIP ARTHROGRAM,3343.0,3343.0,,,0 HCPCS,27095,"HC INJECTION HIP ARTHROGRAM,ANESTH",2198.0,2198.0,,,0 HCPCS,27096,"HC INJECTION,SACROILIAC JOINT",3343.0,3343.0,,,0 HCPCS,27097,Revision of hip tendon,,,3416.88,9054.74,7 HCPCS,27098,Transfer tendon to pelvis,,,3416.88,9054.74,7 HCPCS,27100,Transfer of abdominal muscle,,,7577.51,20080.41,7 HCPCS,27105,Transfer of spinal muscle,,,3416.88,9054.74,7 HCPCS,27110,Transfer of iliopsoas muscle,,,7577.51,20080.41,7 HCPCS,27111,Transfer of iliopsoas muscle,,,3416.88,9054.74,7 HCPCS,27120,Reconstruction of hip socket,,,13407.17,35528.99,7 HCPCS,27122,Reconstruction of hip socket,,,7577.51,20080.41,7 HCPCS,27125,Partial hip replacement,,,13407.17,35528.99,7 HCPCS,27130,Total hip arthroplasty,,,13407.17,35528.99,7 HCPCS,27132,Total hip arthroplasty,,,13407.17,35528.99,7 HCPCS,27134,Revise hip joint replacement,,,13407.17,35528.99,7 HCPCS,27137,Revise hip joint replacement,,,13407.17,35528.99,7 HCPCS,27138,Revise hip joint replacement,,,13407.17,35528.99,7 HCPCS,27140,Transplant femur ridge,,,7577.51,20080.41,7 HCPCS,27146,Incision of hip bone,,,7577.51,20080.41,7 HCPCS,27147,Revision of hip bone,,,7577.51,20080.41,7 HCPCS,27151,Incision of hip bones,,,7577.51,20080.41,7 HCPCS,27156,Revision of hip bones,,,7577.51,20080.41,7 HCPCS,27158,Revision of pelvis,,,7577.51,20080.41,7 HCPCS,27161,Incision of neck of femur,,,7577.51,20080.41,7 HCPCS,27165,Incision/fixation of femur,,,7577.51,20080.41,7 HCPCS,27170,Repair/graft femur head/neck,,,7577.51,20080.41,7 HCPCS,27175,Treat slipped epiphysis,,,3416.88,9054.74,7 HCPCS,27176,Treat slipped epiphysis,,,3416.88,9054.74,7 HCPCS,27177,Treat slipped epiphysis,,,3416.88,9054.74,7 HCPCS,27178,Treat slipped epiphysis,,,3416.88,9054.74,7 HCPCS,27179,Revise head/neck of femur,,,7577.51,20080.41,7 HCPCS,27181,Treat slipped epiphysis,,,7577.51,20080.41,7 HCPCS,27185,Revision of femur epiphysis,,,3416.88,9054.74,7 HCPCS,27187,Reinforce hip bones,,,7577.51,20080.41,7 HCPCS,27197,Clsd tx pelvic ring fx,,,257.59,682.61,7 HCPCS,27197,HC CLOSED RX PELVIC RING FX/DISLOC/DIAST/SUBLUX W/O MANIP,777.0,777.0,,,0 HCPCS,27198,Clsd tx pelvic ring fx,,,257.59,682.61,7 HCPCS,27198,HC CLOSED RX PELVIC RING FX/DISLOC/DIAST/SUBLUX W/ MANIP + ANES,777.0,777.0,,,0 HCPCS,27200,HC CLOSED RX COCCYGEAL FX,777.0,777.0,,,0 HCPCS,27200,Treat tail bone fracture,,,257.59,682.61,7 HCPCS,27202,Treat tail bone fracture,,,3416.88,9054.74,7 HCPCS,27220,HC CLOSED RX ACETABULAR FX,777.0,777.0,,,0 HCPCS,27220,Treat hip socket fracture,,,257.59,682.61,7 HCPCS,27222,HC CLOSED RX ACETABULAR FX W/ MANIP,1116.0,1116.0,,,0 HCPCS,27222,Treat hip socket fracture,,,257.59,682.61,7 HCPCS,27226,Treat hip wall fracture,,,7577.51,20080.41,7 HCPCS,27227,Treat hip fracture(s),,,7577.51,20080.41,7 HCPCS,27228,Treat hip fracture(s),,,7577.51,20080.41,7 HCPCS,27230,HC CLOSED RX PROX/NECK FEMUR FX,777.0,777.0,,,0 HCPCS,27230,Treat thigh fracture,,,257.59,682.61,7 HCPCS,27232,HC CLOSED RX PROX/NECK FEMUR FX W/ MANIP,6883.0,6883.0,,,0 HCPCS,27232,Treat thigh fracture,,,1679.19,4449.86,7 HCPCS,27235,Treat thigh fracture,,,7577.51,20080.41,7 HCPCS,27236,Treat thigh fracture,,,7577.51,20080.41,7 HCPCS,27238,HC CLOSED RX I/P/S TROCHANTERIC FEM FX W/O MANIP,5258.0,5258.0,,,0 HCPCS,27238,Treat thigh fracture,,,1679.19,4449.86,7 HCPCS,27240,HC CLOSED RX I/P/S TROCHANTERIC FEM FX W/ MANIP,7544.0,7544.0,,,0 HCPCS,27240,Treat thigh fracture,,,1679.19,4449.86,7 HCPCS,27244,Treat thigh fracture,,,7577.51,20080.41,7 HCPCS,27245,Treat thigh fracture,,,7577.51,20080.41,7 HCPCS,27246,HC CLOSED RX GR TROCHANTERIC FX W/O MANIP,777.0,777.0,,,0 HCPCS,27246,Treat thigh fracture,,,257.59,682.61,7 HCPCS,27248,Treat thigh fracture,,,7577.51,20080.41,7 HCPCS,27250,HC CLOSED RX TRAUMATIC HIP DISLOCATN,1763.0,1763.0,,,0 HCPCS,27250,Treat hip dislocation,,,257.59,682.61,7 HCPCS,27252,"HC CLOSED RX TRAUMA HIP DISLOC,ANESTH",4727.0,4727.0,,,0 HCPCS,27252,Treat hip dislocation,,,1679.19,4449.86,7 HCPCS,27253,Treat hip dislocation,,,3416.88,9054.74,7 HCPCS,27254,Treat hip dislocation,,,7577.51,20080.41,7 HCPCS,27256,HC CLOSED RX SPONTANEOUS HIP DISLOC,777.0,777.0,,,0 HCPCS,27256,Treat hip dislocation,,,257.59,682.61,7 HCPCS,27257,"HC CLOSED RX SPONT HIP DISLOC,ANESTH",2026.0,2026.0,,,0 HCPCS,27257,Treat hip dislocation,,,1679.19,4449.86,7 HCPCS,27258,Treat hip dislocation,,,3416.88,9054.74,7 HCPCS,27259,Treat hip dislocation,,,3416.88,9054.74,7 HCPCS,27265,HC CLOSED RX POST HIP ARTHRPLAS DISLOC,1785.0,1785.0,,,0 HCPCS,27265,Treat hip dislocation,,,257.59,682.61,7 HCPCS,27266,"HC CLOSED RX POST HIP FIX DISLOC,ANESTH",5460.0,5460.0,,,0 HCPCS,27266,Treat hip dislocation,,,1679.19,4449.86,7 HCPCS,27267,Cltx thigh fx,,,3416.88,9054.74,7 HCPCS,27267,HC CLOSED RX PROX/HEAD FEM FX W/O MANIP,10690.0,10690.0,,,0 HCPCS,27268,Cltx thigh fx w/mnpj,,,1679.19,4449.86,7 HCPCS,27268,HC CLOSED RX PROX/HEAD FEM FX W/ MANIP,15337.0,15337.0,,,0 HCPCS,27269,Optx thigh fx,,,7577.51,20080.41,7 HCPCS,27275,Manipulation of hip joint,,,1679.19,4449.86,7 HCPCS,27278,Arthrd si jt prq wo tfxj dev,,,18310.2,48522.02,7 HCPCS,27279,Arthrodesis sacroiliac joint,,,18310.2,48522.02,7 HCPCS,27280,Fusion of sacroiliac joint,,,18310.2,48522.02,7 HCPCS,27282,Fusion of pubic bones,,,3416.88,9054.74,7 HCPCS,27284,Fusion of hip joint,,,13407.17,35528.99,7 HCPCS,27286,Fusion of hip joint,,,13407.17,35528.99,7 HCPCS,27290,Amputation of leg at hip,,,18310.2,48522.02,7 HCPCS,27295,Amputation of leg at hip,,,18310.2,48522.02,7 HCPCS,27299,HC PELVIS/HIP JOINT SURGERY UNLISTED,19435.0,19435.0,,,0 HCPCS,27299,Pelvis/hip joint surgery,,,257.59,682.61,7 HCPCS,27301,Drain thigh/knee lesion,,,3033.33,8038.33,7 HCPCS,27301,"HC INCIS/DRAIN THIGH/KNEE ABSCESS,DEEP",8950.0,8950.0,,,0 HCPCS,27303,Drainage of bone lesion,,,3416.88,9054.74,7 HCPCS,27305,Incise thigh tendon & fascia,,,3416.88,9054.74,7 HCPCS,27306,HC TENOTOMY ADDUCT/HAMSTR 1 TEND PERC,3491.0,3491.0,,,0 HCPCS,27306,Incision of thigh tendon,,,3416.88,9054.74,7 HCPCS,27307,HC TENOTOMY ADDUCT/HAMSTR MULT TEND PERC,3491.0,3491.0,,,0 HCPCS,27307,Incision of thigh tendons,,,3416.88,9054.74,7 HCPCS,27310,Exploration of knee joint,,,3416.88,9054.74,7 HCPCS,27323,Biopsy thigh soft tissues,,,1724.73,4570.53,7 HCPCS,27323,"HC BX THIGH/KNEE SOFT TISSUES,SUPERF",8396.0,8396.0,,,0 HCPCS,27324,Biopsy thigh soft tissues,,,3033.33,8038.33,7 HCPCS,27325,Neurectomy hamstring,,,2039.19,5403.85,7 HCPCS,27326,Neurectomy popliteal,,,2039.19,5403.85,7 HCPCS,27327,Exc thigh/knee les sc < 3 cm,,,1724.73,4570.53,7 HCPCS,27328,Exc thigh/knee tum deep <5cm,,,3033.33,8038.33,7 HCPCS,27329,Resect thigh/knee tum < 5 cm,,,3033.33,8038.33,7 HCPCS,27330,Biopsy knee joint lining,,,3416.88,9054.74,7 HCPCS,27331,Explore/treat knee joint,,,3416.88,9054.74,7 HCPCS,27332,Removal of knee cartilage,,,3416.88,9054.74,7 HCPCS,27333,Removal of knee cartilage,,,3416.88,9054.74,7 HCPCS,27334,Remove knee joint lining,,,3416.88,9054.74,7 HCPCS,27335,Remove knee joint lining,,,7577.51,20080.41,7 HCPCS,27337,Exc thigh/knee les sc 3 cm/>,,,3033.33,8038.33,7 HCPCS,27339,Exc thigh/knee tum dep 5cm/>,,,3033.33,8038.33,7 HCPCS,27340,Removal of kneecap bursa,,,3416.88,9054.74,7 HCPCS,27345,Removal of knee cyst,,,3416.88,9054.74,7 HCPCS,27347,HC REMOVE KNEE CYST/GANGLION,10725.0,10725.0,,,0 HCPCS,27347,Remove knee cyst,,,3416.88,9054.74,7 HCPCS,27350,Removal of kneecap,,,7577.51,20080.41,7 HCPCS,27355,Remove femur lesion,,,3416.88,9054.74,7 HCPCS,27356,Remove femur lesion/graft,,,13407.17,35528.99,7 HCPCS,27357,Remove femur lesion/graft,,,7577.51,20080.41,7 HCPCS,27360,Partial removal leg bone(s),,,3416.88,9054.74,7 HCPCS,27364,Resect thigh/knee tum 5 cm/>,,,3033.33,8038.33,7 HCPCS,27365,Resect femur/knee tumor,,,3416.88,9054.74,7 HCPCS,27369,HC NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE,723.0,723.0,,,0 HCPCS,27372,Removal of foreign body,,,3033.33,8038.33,7 HCPCS,27380,Repair of kneecap tendon,,,7577.51,20080.41,7 HCPCS,27381,Repair/graft kneecap tendon,,,7577.51,20080.41,7 HCPCS,27385,Repair of thigh muscle,,,7577.51,20080.41,7 HCPCS,27386,Repair/graft of thigh muscle,,,7577.51,20080.41,7 HCPCS,27390,Incision of thigh tendon,,,3416.88,9054.74,7 HCPCS,27391,Incision of thigh tendons,,,3416.88,9054.74,7 HCPCS,27392,Incision of thigh tendons,,,3416.88,9054.74,7 HCPCS,27393,Lengthening of thigh tendon,,,7577.51,20080.41,7 HCPCS,27394,Lengthening of thigh tendons,,,7577.51,20080.41,7 HCPCS,27395,Lengthening of thigh tendons,,,3416.88,9054.74,7 HCPCS,27396,Transplant of thigh tendon,,,7577.51,20080.41,7 HCPCS,27397,Transplants of thigh tendons,,,7577.51,20080.41,7 HCPCS,27400,Revise thigh muscles/tendons,,,7577.51,20080.41,7 HCPCS,27403,Repair of knee cartilage,,,7577.51,20080.41,7 HCPCS,27405,"HC REPAIR PRIMARY TORN LIG/CAPSULE, KNEE, COLLATERAL",15028.0,15028.0,,,0 HCPCS,27405,Repair of knee ligament,,,7577.51,20080.41,7 HCPCS,27407,Repair of knee ligament,,,7577.51,20080.41,7 HCPCS,27409,Repair of knee ligaments,,,7577.51,20080.41,7 HCPCS,27412,Autochondrocyte implant knee,,,7577.51,20080.41,7 HCPCS,27415,Osteochondral knee allograft,,,13407.17,35528.99,7 HCPCS,27416,Osteochondral knee autograft,,,7577.51,20080.41,7 HCPCS,27418,Repair degenerated kneecap,,,7577.51,20080.41,7 HCPCS,27420,Revision of unstable kneecap,,,7577.51,20080.41,7 HCPCS,27422,Revision of unstable kneecap,,,7577.51,20080.41,7 HCPCS,27424,Revision/removal of kneecap,,,7577.51,20080.41,7 HCPCS,27425,Lat retinacular release open,,,3416.88,9054.74,7 HCPCS,27427,Reconstruction knee,,,7577.51,20080.41,7 HCPCS,27428,"HC LIGAMENT RECONST KNEE, INTRA-ARTIC (OPEN)",46544.0,46544.0,,,0 HCPCS,27428,Reconstruction knee,,,13407.17,35528.99,7 HCPCS,27429,Reconstruction knee,,,13407.17,35528.99,7 HCPCS,27430,Revision of thigh muscles,,,7577.51,20080.41,7 HCPCS,27435,Incision of knee joint,,,3416.88,9054.74,7 HCPCS,27437,Revise kneecap,,,7577.51,20080.41,7 HCPCS,27438,Revise kneecap with implant,,,13407.17,35528.99,7 HCPCS,27440,Revision of knee joint,,,13407.17,35528.99,7 HCPCS,27441,Revision of knee joint,,,13407.17,35528.99,7 HCPCS,27442,Revision of knee joint,,,13407.17,35528.99,7 HCPCS,27443,Revision of knee joint,,,13407.17,35528.99,7 HCPCS,27446,HC KNEE ARTHROPLASTY CONDYLE/PLATEAU MEDIAL OR LATERAL COMPTMNT,55651.0,55651.0,,,0 HCPCS,27446,Revision of knee joint,,,13407.17,35528.99,7 HCPCS,27447,Total knee arthroplasty,,,13407.17,35528.99,7 HCPCS,27448,Incision of thigh,,,7577.51,20080.41,7 HCPCS,27450,Incision of thigh,,,7577.51,20080.41,7 HCPCS,27454,Realignment of thigh bone,,,7577.51,20080.41,7 HCPCS,27455,Realignment of knee,,,7577.51,20080.41,7 HCPCS,27457,Realignment of knee,,,7577.51,20080.41,7 HCPCS,27458,Osteot femur imed lngth dev,,,7577.51,20080.41,7 HCPCS,27465,Shortening of thigh bone,,,7577.51,20080.41,7 HCPCS,27466,Lengthening of thigh bone,,,7577.51,20080.41,7 HCPCS,27470,Repair of thigh,,,7577.51,20080.41,7 HCPCS,27472,Repair/graft of thigh,,,7577.51,20080.41,7 HCPCS,27475,Surgery to stop leg growth,,,7577.51,20080.41,7 HCPCS,27477,Surgery to stop leg growth,,,7577.51,20080.41,7 HCPCS,27479,Surgery to stop leg growth,,,7577.51,20080.41,7 HCPCS,27485,Surgery to stop leg growth,,,7577.51,20080.41,7 HCPCS,27486,Revise/replace knee joint,,,13407.17,35528.99,7 HCPCS,27487,Revise/replace knee joint,,,18310.2,48522.02,7 HCPCS,27488,Removal of knee prosthesis,,,13407.17,35528.99,7 HCPCS,27495,Reinforce thigh,,,7577.51,20080.41,7 HCPCS,27496,Decompression of thigh/knee,,,3416.88,9054.74,7 HCPCS,27497,Decompression of thigh/knee,,,3416.88,9054.74,7 HCPCS,27498,Decompression of thigh/knee,,,1679.19,4449.86,7 HCPCS,27499,Decompression of thigh/knee,,,7577.51,20080.41,7 HCPCS,27500,HC CLOSED RX FEM SHAFT FX W/O MANIP,777.0,777.0,,,0 HCPCS,27500,Treatment of thigh fracture,,,257.59,682.61,7 HCPCS,27501,HC CLOSED RX CONDYLAR FX,777.0,777.0,,,0 HCPCS,27501,Treatment of thigh fracture,,,257.59,682.61,7 HCPCS,27502,HC CLOSED RX FEMUR SHAFT FX+MANIP,9955.0,9955.0,,,0 HCPCS,27502,Treatment of thigh fracture,,,1679.19,4449.86,7 HCPCS,27503,HC CLOSED RX SUPRCON/TRNSCON FEM FX W/ MANIP,5258.0,5258.0,,,0 HCPCS,27503,Treatment of thigh fracture,,,1679.19,4449.86,7 HCPCS,27506,Treatment of thigh fracture,,,7577.51,20080.41,7 HCPCS,27507,Treatment of thigh fracture,,,7577.51,20080.41,7 HCPCS,27508,HC CLOSED RX FEM FX DISTAL/MED/LAT CONDYL W/O MANIP,777.0,777.0,,,0 HCPCS,27508,Treatment of thigh fracture,,,257.59,682.61,7 HCPCS,27509,Treatment of thigh fracture,,,7577.51,20080.41,7 HCPCS,27510,"HC CLOSED RX FEMUR,DISTAL+MANIP",5258.0,5258.0,,,0 HCPCS,27510,Treatment of thigh fracture,,,1679.19,4449.86,7 HCPCS,27511,Treatment of thigh fracture,,,13407.17,35528.99,7 HCPCS,27513,Treatment of thigh fracture,,,13407.17,35528.99,7 HCPCS,27514,Treatment of thigh fracture,,,13407.17,35528.99,7 HCPCS,27516,HC CLOSED RX DIST FEM EPIPHYSIS W/O MANIP,777.0,777.0,,,0 HCPCS,27516,Treat thigh fx growth plate,,,257.59,682.61,7 HCPCS,27517,HC CLOSED RX DIST FEM EPIPHYSIS+MANIP,5258.0,5258.0,,,0 HCPCS,27517,Treat thigh fx growth plate,,,1679.19,4449.86,7 HCPCS,27519,Treat thigh fx growth plate,,,7577.51,20080.41,7 HCPCS,27520,HC CLOSED RX PATELLAR FX W/O MANIP,777.0,777.0,,,0 HCPCS,27520,Treat kneecap fracture,,,257.59,682.61,7 HCPCS,27524,Treat kneecap fracture,,,7577.51,20080.41,7 HCPCS,27530,HC CLOSED RX TIBIAL PLATEAU FX,777.0,777.0,,,0 HCPCS,27530,Treat knee fracture,,,257.59,682.61,7 HCPCS,27532,HC CLOSED RX TIB PLAT FX+MANIP,10690.0,10690.0,,,0 HCPCS,27532,Treat knee fracture,,,3416.88,9054.74,7 HCPCS,27535,Treat knee fracture,,,7577.51,20080.41,7 HCPCS,27536,Treat knee fracture,,,7577.51,20080.41,7 HCPCS,27538,HC CLOSED RX INTERCON/TUBEROS FX KNEE,777.0,777.0,,,0 HCPCS,27538,Treat knee fracture(s),,,257.59,682.61,7 HCPCS,27540,Treat knee fracture,,,7577.51,20080.41,7 HCPCS,27550,HC CLOSED RX KNEE DISLOCATN,777.0,777.0,,,0 HCPCS,27550,Treat knee dislocation,,,257.59,682.61,7 HCPCS,27552,HC CLOSED RX KNEE DISLOC+ANESTH,7006.0,7006.0,,,0 HCPCS,27552,Treat knee dislocation,,,1679.19,4449.86,7 HCPCS,27556,Treat knee dislocation,,,7577.51,20080.41,7 HCPCS,27557,Treat knee dislocation,,,7577.51,20080.41,7 HCPCS,27558,Treat knee dislocation,,,7577.51,20080.41,7 HCPCS,27560,HC CLOSED RX KNEECAP DISLOCATN,777.0,777.0,,,0 HCPCS,27560,Treat kneecap dislocation,,,257.59,682.61,7 HCPCS,27562,HC CLOSED RX KNEECAP DISLOC+ANESTH,777.0,777.0,,,0 HCPCS,27562,Treat kneecap dislocation,,,257.59,682.61,7 HCPCS,27566,Treat kneecap dislocation,,,7577.51,20080.41,7 HCPCS,27570,Fixation of knee joint,,,1679.19,4449.86,7 HCPCS,27570,HC MANIPULATN KNEE JT+ANESTHESIA,10356.0,10356.0,,,0 HCPCS,27580,Fusion of knee,,,13407.17,35528.99,7 HCPCS,27590,Amputate leg at thigh,,,3416.88,9054.74,7 HCPCS,27591,Amputate leg at thigh,,,3416.88,9054.74,7 HCPCS,27592,Amputate leg at thigh,,,3416.88,9054.74,7 HCPCS,27594,Amputation follow-up surgery,,,3416.88,9054.74,7 HCPCS,27594,"HC AMPUTATION THIGH-FEMUR, 2NDRY CLOSE/REV",10690.0,10690.0,,,0 HCPCS,27596,Amputation follow-up surgery,,,3416.88,9054.74,7 HCPCS,27598,Amputate lower leg at knee,,,3416.88,9054.74,7 HCPCS,27599,Leg surgery procedure,,,257.59,682.61,7 HCPCS,27600,Decompression of lower leg,,,3416.88,9054.74,7 HCPCS,27601,Decompression of lower leg,,,3416.88,9054.74,7 HCPCS,27602,Decompression of lower leg,,,3416.88,9054.74,7 HCPCS,27603,Drain lower leg lesion,,,3033.33,8038.33,7 HCPCS,27603,HC DRAIN LOWER LEG DEEP ABSC/HEMATOMA,8950.0,8950.0,,,0 HCPCS,27604,Drain lower leg bursa,,,3416.88,9054.74,7 HCPCS,27605,"HC TENOTOMY ACHILLES TENDON PERC, LOC ANES",1683.0,1683.0,,,0 HCPCS,27605,Incision of achilles tendon,,,1679.19,4449.86,7 HCPCS,27606,Incision of achilles tendon,,,3416.88,9054.74,7 HCPCS,27607,Treat lower leg bone lesion,,,3416.88,9054.74,7 HCPCS,27610,Explore/treat ankle joint,,,3416.88,9054.74,7 HCPCS,27612,Exploration of ankle joint,,,3416.88,9054.74,7 HCPCS,27613,Biopsy lower leg soft tissue,,,1724.73,4570.53,7 HCPCS,27614,Biopsy lower leg soft tissue,,,3033.33,8038.33,7 HCPCS,27615,Resect leg/ankle tum < 5 cm,,,3033.33,8038.33,7 HCPCS,27616,Resect leg/ankle tum 5 cm/>,,,3033.33,8038.33,7 HCPCS,27618,Exc leg/ankle tum < 3 cm,,,1724.73,4570.53,7 HCPCS,27619,Exc leg/ankle tum deep <5 cm,,,3033.33,8038.33,7 HCPCS,27620,Explore/treat ankle joint,,,3416.88,9054.74,7 HCPCS,27625,Remove ankle joint lining,,,3416.88,9054.74,7 HCPCS,27626,HC EXPLOR ANKLE JT+TENOSYNOVECTOMY,10690.0,10690.0,,,0 HCPCS,27626,Remove ankle joint lining,,,3416.88,9054.74,7 HCPCS,27630,HC EXCIS LESN TENDON SHEALTH LEG/ANKLE,8833.0,8833.0,,,0 HCPCS,27630,Removal of tendon lesion,,,3416.88,9054.74,7 HCPCS,27632,Exc leg/ankle les sc 3 cm/>,,,3033.33,8038.33,7 HCPCS,27634,Exc leg/ankle tum dep 5 cm/>,,,3033.33,8038.33,7 HCPCS,27635,Remove lower leg bone lesion,,,3416.88,9054.74,7 HCPCS,27637,Remove/graft leg bone lesion,,,7577.51,20080.41,7 HCPCS,27638,Remove/graft leg bone lesion,,,7577.51,20080.41,7 HCPCS,27640,Partial removal of tibia,,,3416.88,9054.74,7 HCPCS,27641,Partial removal of fibula,,,3416.88,9054.74,7 HCPCS,27645,Resect tibia tumor,,,3416.88,9054.74,7 HCPCS,27646,Resect fibula tumor,,,3416.88,9054.74,7 HCPCS,27647,Resect talus/calcaneus tum,,,3416.88,9054.74,7 HCPCS,27648,HC XRG: ANKLE ARTHROGRAM LT,723.0,723.0,,,0 HCPCS,27650,"HC REPAIR ACHILLES TENDON,PRIMARY",20122.0,20122.0,,,0 HCPCS,27650,Repair achilles tendon,,,7577.51,20080.41,7 HCPCS,27652,HC REPAIR/GRAFT ACHILLES TENDON,23304.0,23304.0,,,0 HCPCS,27652,Repair/graft achilles tendon,,,7577.51,20080.41,7 HCPCS,27654,Repair of achilles tendon,,,7577.51,20080.41,7 HCPCS,27656,Repair leg fascia defect,,,3416.88,9054.74,7 HCPCS,27658,"HC REPAIR FLEX LEG TENDON,PRIM,EA",8392.0,8392.0,,,0 HCPCS,27658,Repair of leg tendon each,,,3416.88,9054.74,7 HCPCS,27659,Repair of leg tendon each,,,7577.51,20080.41,7 HCPCS,27664,Repair of leg tendon each,,,7577.51,20080.41,7 HCPCS,27665,Repair of leg tendon each,,,7577.51,20080.41,7 HCPCS,27675,Repair lower leg tendons,,,3416.88,9054.74,7 HCPCS,27676,Repair lower leg tendons,,,7577.51,20080.41,7 HCPCS,27680,Release of lower leg tendon,,,3416.88,9054.74,7 HCPCS,27681,Release of lower leg tendons,,,3416.88,9054.74,7 HCPCS,27685,HC LEG ANKLE TENDON LENGTH,13546.0,13546.0,,,0 HCPCS,27685,Revision of lower leg tendon,,,3416.88,9054.74,7 HCPCS,27686,Revise lower leg tendons,,,3416.88,9054.74,7 HCPCS,27687,HC GASTROCNEMIUS RECESSION,9162.0,9162.0,,,0 HCPCS,27687,Revision of calf tendon,,,3416.88,9054.74,7 HCPCS,27690,Revise lower leg tendon,,,7577.51,20080.41,7 HCPCS,27691,HC XFER SINGLE DEEP LOW LEG TENDON,10655.0,10655.0,,,0 HCPCS,27691,Revise lower leg tendon,,,7577.51,20080.41,7 HCPCS,27695,"HC REPAIR 1 COLLAT ANKLE LIGMNT,PRIMARY",12089.0,12089.0,,,0 HCPCS,27695,Repair of ankle ligament,,,7577.51,20080.41,7 HCPCS,27696,"HC REP PRIMARY DISRUPT LIG ANKLE, BOTH COLL LIG",23643.0,23643.0,,,0 HCPCS,27696,Repair of ankle ligaments,,,7577.51,20080.41,7 HCPCS,27698,"HC REPAIR COLLAT ANKLE LIGMNT,SECONDARY",15459.0,15459.0,,,0 HCPCS,27698,Repair of ankle ligament,,,7577.51,20080.41,7 HCPCS,27700,Revision of ankle joint,,,7577.51,20080.41,7 HCPCS,27703,Reconstruction ankle joint,,,18310.2,48522.02,7 HCPCS,27704,Removal of ankle implant,,,3416.88,9054.74,7 HCPCS,27705,HC OSTEOTOMY TIBIA,24234.0,24234.0,,,0 HCPCS,27705,Incision of tibia,,,7577.51,20080.41,7 HCPCS,27707,Incision of fibula,,,3416.88,9054.74,7 HCPCS,27709,Incision of tibia & fibula,,,13407.17,35528.99,7 HCPCS,27712,Realignment of lower leg,,,13407.17,35528.99,7 HCPCS,27713,Osteot tibia imed lngth dev,,,7577.51,20080.41,7 HCPCS,27715,Revision of lower leg,,,13407.17,35528.99,7 HCPCS,27720,Repair of tibia,,,7577.51,20080.41,7 HCPCS,27722,Repair/graft of tibia,,,7577.51,20080.41,7 HCPCS,27724,Repair/graft of tibia,,,7577.51,20080.41,7 HCPCS,27725,Repair of lower leg,,,7577.51,20080.41,7 HCPCS,27726,HC REPAIR FIBULA NONUNION/MALUNION W INT FIXATION,23643.0,23643.0,,,0 HCPCS,27726,Repair fibula nonunion,,,7577.51,20080.41,7 HCPCS,27727,Repair of lower leg,,,3416.88,9054.74,7 HCPCS,27730,Repair of tibia epiphysis,,,3416.88,9054.74,7 HCPCS,27732,Repair of fibula epiphysis,,,3416.88,9054.74,7 HCPCS,27734,Repair lower leg epiphyses,,,3416.88,9054.74,7 HCPCS,27740,Repair of leg epiphyses,,,3416.88,9054.74,7 HCPCS,27742,Repair of leg epiphyses,,,3416.88,9054.74,7 HCPCS,27745,Reinforce tibia,,,7577.51,20080.41,7 HCPCS,27750,HC CLOSED RX TIBIA SHAFT FX,777.0,777.0,,,0 HCPCS,27750,Treatment of tibia fracture,,,257.59,682.61,7 HCPCS,27752,"HC CLOSED RX TIBIA SHAFT FX,MANIPULATN",5258.0,5258.0,,,0 HCPCS,27752,Treatment of tibia fracture,,,1679.19,4449.86,7 HCPCS,27756,Treatment of tibia fracture,,,7577.51,20080.41,7 HCPCS,27758,Treatment of tibia fracture,,,13407.17,35528.99,7 HCPCS,27759,Treatment of tibia fracture,,,13407.17,35528.99,7 HCPCS,27760,Cltx medial ankle fx,,,257.59,682.61,7 HCPCS,27760,HC CLOSED RX MED MALLEOLUS FX,777.0,777.0,,,0 HCPCS,27762,Cltx med ankle fx w/mnpj,,,1679.19,4449.86,7 HCPCS,27762,"HC CLOSED RX MED MALLEOLUS FX,MANIP",5258.0,5258.0,,,0 HCPCS,27766,HC OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE,20970.0,20970.0,,,0 HCPCS,27766,Optx medial ankle fx,,,7577.51,20080.41,7 HCPCS,27767,Cltx post ankle fx,,,257.59,682.61,7 HCPCS,27767,HC CLOSED RX POST MALLEOL FX W/O MANIP,777.0,777.0,,,0 HCPCS,27768,Cltx post ankle fx w/mnpj,,,1679.19,4449.86,7 HCPCS,27768,HC CLOSED RX POST MALLEOL FX W/ MANIP,5258.0,5258.0,,,0 HCPCS,27769,Optx post ankle fx,,,7577.51,20080.41,7 HCPCS,27780,HC CLOSED RX PROX FIB/SHAFT FX W/O MANIP,777.0,777.0,,,0 HCPCS,27780,Treatment of fibula fracture,,,257.59,682.61,7 HCPCS,27781,HC CLOSED RX PROX FIB/SHAFT FX W/ MANIP,7121.0,7121.0,,,0 HCPCS,27781,Treatment of fibula fracture,,,1679.19,4449.86,7 HCPCS,27784,Treatment of fibula fracture,,,7577.51,20080.41,7 HCPCS,27786,HC CLOSED RX DIST FIBULA FX,777.0,777.0,,,0 HCPCS,27786,Treatment of ankle fracture,,,257.59,682.61,7 HCPCS,27788,"HC CLOSED RX DIST FIBULA FX,MANIP",3116.0,3116.0,,,0 HCPCS,27788,Treatment of ankle fracture,,,257.59,682.61,7 HCPCS,27792,HC OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS,26180.0,26180.0,,,0 HCPCS,27792,Treatment of ankle fracture,,,7577.51,20080.41,7 HCPCS,27808,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANIP,777.0,777.0,,,0 HCPCS,27808,Treatment of ankle fracture,,,257.59,682.61,7 HCPCS,27810,HC CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MANIP,5258.0,5258.0,,,0 HCPCS,27810,Treatment of ankle fracture,,,1679.19,4449.86,7 HCPCS,27814,HC OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE,23808.0,23808.0,,,0 HCPCS,27814,Treatment of ankle fracture,,,7577.51,20080.41,7 HCPCS,27816,HC CLOSED RX TRIMALLEOLAR FX,777.0,777.0,,,0 HCPCS,27816,Treatment of ankle fracture,,,257.59,682.61,7 HCPCS,27818,"HC CLOSED RX TRIMALLEOLAR FX,MANIP",5258.0,5258.0,,,0 HCPCS,27818,Treatment of ankle fracture,,,1679.19,4449.86,7 HCPCS,27822,HC OPEN TX TRIMALLEOLAR ANKLE FX W/O FIX PST LIP,26224.0,26224.0,,,0 HCPCS,27822,Treatment of ankle fracture,,,7577.51,20080.41,7 HCPCS,27823,Treatment of ankle fracture,,,7577.51,20080.41,7 HCPCS,27824,HC CLOSED RX WEIGHT BEAR DIST TIB W/O MANIP,777.0,777.0,,,0 HCPCS,27824,Treat lower leg fracture,,,257.59,682.61,7 HCPCS,27825,"HC CLOSED RX WEIGHT BEAR DIST TIB,MANIP",7867.0,7867.0,,,0 HCPCS,27825,Treat lower leg fracture,,,1679.19,4449.86,7 HCPCS,27826,Treat lower leg fracture,,,7577.51,20080.41,7 HCPCS,27827,HC OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY,23135.0,23135.0,,,0 HCPCS,27827,Treat lower leg fracture,,,13407.17,35528.99,7 HCPCS,27828,Treat lower leg fracture,,,13407.17,35528.99,7 HCPCS,27829,HC OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPT,12596.0,12596.0,,,0 HCPCS,27829,Treat lower leg joint,,,7577.51,20080.41,7 HCPCS,27830,HC CLOSED RX HCOX TIB/FIB DISLOC,777.0,777.0,,,0 HCPCS,27830,Treat lower leg dislocation,,,257.59,682.61,7 HCPCS,27831,HC CLSD TX PROX TIB/FIB JNT DISLOC W/ ANESTH,10690.0,10690.0,,,0 HCPCS,27831,Treat lower leg dislocation,,,3416.88,9054.74,7 HCPCS,27832,Treat lower leg dislocation,,,7577.51,20080.41,7 HCPCS,27840,HC CLOSED RX ANKLE DISLOCATN,777.0,777.0,,,0 HCPCS,27840,Treat ankle dislocation,,,257.59,682.61,7 HCPCS,27842,"HC CLOSED RX ANKLE DISLOCATN,ANESTH",14962.0,14962.0,,,0 HCPCS,27842,Treat ankle dislocation,,,1679.19,4449.86,7 HCPCS,27846,Treat ankle dislocation,,,7577.51,20080.41,7 HCPCS,27848,Treat ankle dislocation,,,7577.51,20080.41,7 HCPCS,27860,Fixation of ankle joint,,,3416.88,9054.74,7 HCPCS,27870,Fusion of ankle joint open,,,13407.17,35528.99,7 HCPCS,27870,HC ANKLE ARTHRODESIS OPEN,27129.0,27129.0,,,0 HCPCS,27871,Fusion of tibiofibular joint,,,13407.17,35528.99,7 HCPCS,27880,Amputation of lower leg,,,7577.51,20080.41,7 HCPCS,27881,Amputation of lower leg,,,3416.88,9054.74,7 HCPCS,27882,Amputation of lower leg,,,3416.88,9054.74,7 HCPCS,27884,Amputation follow-up surgery,,,3416.88,9054.74,7 HCPCS,27886,Amputation follow-up surgery,,,3416.88,9054.74,7 HCPCS,27888,Amputation of foot at ankle,,,3416.88,9054.74,7 HCPCS,27889,Amputation of foot at ankle,,,7577.51,20080.41,7 HCPCS,27892,Decompression of leg,,,3416.88,9054.74,7 HCPCS,27893,Decompression of leg,,,7577.51,20080.41,7 HCPCS,27894,Decompression of leg,,,3416.88,9054.74,7 HCPCS,27899,Leg/ankle surgery procedure,,,257.59,682.61,7 HCPCS,28001,Drainage of bursa of foot,,,1724.73,4570.53,7 HCPCS,28001,HC I&D BURSA FOOT,5311.0,5311.0,,,0 HCPCS,28002,Treatment of foot infection,,,1679.19,4449.86,7 HCPCS,28003,Treatment of foot infection,,,3416.88,9054.74,7 HCPCS,28005,HC DEEP INCIS FOOT BONE INFECTN,10690.0,10690.0,,,0 HCPCS,28005,Treat foot bone lesion,,,3416.88,9054.74,7 HCPCS,28008,HC INCISION OF FOOT/TOE FASCIA,9074.0,9074.0,,,0 HCPCS,28008,Incision of foot fascia,,,3416.88,9054.74,7 HCPCS,28010,HC INCISION SUBCUT TOE TENDON,4270.0,4270.0,,,0 HCPCS,28010,Incision of toe tendon,,,1679.19,4449.86,7 HCPCS,28011,"HC INCISION SUBCUT TOE TENDON,>1",4270.0,4270.0,,,0 HCPCS,28011,Incision of toe tendons,,,1679.19,4449.86,7 HCPCS,28020,Exploration of foot joint,,,3416.88,9054.74,7 HCPCS,28022,Exploration of foot joint,,,3416.88,9054.74,7 HCPCS,28024,Exploration of toe joint,,,1679.19,4449.86,7 HCPCS,28035,Decompression of tibia nerve,,,2039.19,5403.85,7 HCPCS,28035,HC TARSAL TUNNEL RELEASE,8833.0,8833.0,,,0 HCPCS,28039,Exc foot/toe tum sc 1.5 cm/>,,,3033.33,8038.33,7 HCPCS,28039,HC EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ 1.5+CM,15444.0,15444.0,,,0 HCPCS,28041,Exc foot/toe tum dep 1.5cm/>,,,3033.33,8038.33,7 HCPCS,28041,HC EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5+CM,13071.0,13071.0,,,0 HCPCS,28043,Exc foot/toe tum sc < 1.5 cm,,,1724.73,4570.53,7 HCPCS,28043,HC EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM,8963.0,8963.0,,,0 HCPCS,28045,Exc foot/toe tum deep <1.5cm,,,3033.33,8038.33,7 HCPCS,28046,Resect foot/toe tumor < 3 cm,,,3033.33,8038.33,7 HCPCS,28047,Resect foot/toe tumor 3 cm/>,,,3033.33,8038.33,7 HCPCS,28050,Biopsy of foot joint lining,,,3416.88,9054.74,7 HCPCS,28052,Biopsy of foot joint lining,,,3416.88,9054.74,7 HCPCS,28054,Biopsy of toe joint lining,,,3416.88,9054.74,7 HCPCS,28055,Neurectomy foot,,,2039.19,5403.85,7 HCPCS,28060,Partial removal foot fascia,,,3416.88,9054.74,7 HCPCS,28062,Removal of foot fascia,,,3416.88,9054.74,7 HCPCS,28070,Removal of foot joint lining,,,7577.51,20080.41,7 HCPCS,28072,Removal of foot joint lining,,,3416.88,9054.74,7 HCPCS,28080,"HC EXCIS INTERDIGITAL NEUROMA,EA",11317.0,11317.0,,,0 HCPCS,28080,Removal of foot lesion,,,1679.19,4449.86,7 HCPCS,28086,Excise foot tendon sheath,,,3416.88,9054.74,7 HCPCS,28088,Excise foot tendon sheath,,,3416.88,9054.74,7 HCPCS,28090,HC REMOVAL OF FOOT LESION (CYST/GANG),13270.0,13270.0,,,0 HCPCS,28090,Removal of foot lesion,,,1679.19,4449.86,7 HCPCS,28092,Removal of toe lesions,,,1679.19,4449.86,7 HCPCS,28100,HC REMV TALUS/HEEL BENIGN BONE LESN,10690.0,10690.0,,,0 HCPCS,28100,Removal of ankle/heel lesion,,,3416.88,9054.74,7 HCPCS,28102,Remove/graft foot lesion,,,7577.51,20080.41,7 HCPCS,28103,Remove/graft foot lesion,,,7577.51,20080.41,7 HCPCS,28104,Removal of foot lesion,,,3416.88,9054.74,7 HCPCS,28106,Remove/graft foot lesion,,,7577.51,20080.41,7 HCPCS,28107,Remove/graft foot lesion,,,7577.51,20080.41,7 HCPCS,28108,Removal of toe lesions,,,1679.19,4449.86,7 HCPCS,28110,HC PART EXCIS 5TH METATARSAL HEAD,12599.0,12599.0,,,0 HCPCS,28110,Part removal of metatarsal,,,3416.88,9054.74,7 HCPCS,28111,HC FULL EXCIS 1ST METATARSAL HEAD,12923.0,12923.0,,,0 HCPCS,28111,Part removal of metatarsal,,,3416.88,9054.74,7 HCPCS,28112,Part removal of metatarsal,,,3416.88,9054.74,7 HCPCS,28113,Part removal of metatarsal,,,3416.88,9054.74,7 HCPCS,28114,Removal of metatarsal heads,,,3416.88,9054.74,7 HCPCS,28116,Revision of foot,,,3416.88,9054.74,7 HCPCS,28118,Removal of heel bone,,,3416.88,9054.74,7 HCPCS,28119,HC REMOVAL OF HEEL SPUR,12711.0,12711.0,,,0 HCPCS,28119,Removal of heel spur,,,3416.88,9054.74,7 HCPCS,28120,HC PART REMV TALUS OR CALCANEUS,10413.0,10413.0,,,0 HCPCS,28120,Part removal of ankle/heel,,,3416.88,9054.74,7 HCPCS,28122,HC PART REMV OTHR TARSAL/METATARSAL,11270.0,11270.0,,,0 HCPCS,28122,Partial removal of foot bone,,,3416.88,9054.74,7 HCPCS,28124,HC PART REMV PHALANX OF TOE,8796.0,8796.0,,,0 HCPCS,28124,Partial removal of toe,,,3416.88,9054.74,7 HCPCS,28126,Partial removal of toe,,,3416.88,9054.74,7 HCPCS,28130,Removal of ankle bone,,,7577.51,20080.41,7 HCPCS,28140,Removal of metatarsal,,,3416.88,9054.74,7 HCPCS,28150,Removal of toe,,,3416.88,9054.74,7 HCPCS,28153,Partial removal of toe,,,3416.88,9054.74,7 HCPCS,28160,Partial removal of toe,,,3416.88,9054.74,7 HCPCS,28171,Resect tarsal tumor,,,3416.88,9054.74,7 HCPCS,28173,Resect metatarsal tumor,,,3416.88,9054.74,7 HCPCS,28175,Resect phalanx of toe tumor,,,1679.19,4449.86,7 HCPCS,28190,"HC REMV FOOT FOREIGN BODY,SUBCUTANEOUS",2349.0,2349.0,,,0 HCPCS,28190,Removal of foot foreign body,,,739.49,1959.64,7 HCPCS,28192,"HC PBB REMV FOOT FOREIGN BODY,DEEP",9074.0,9074.0,,,0 HCPCS,28192,Removal of foot foreign body,,,1724.73,4570.53,7 HCPCS,28193,"HC REMV FOOT FOREIGN BODY,COMPLEX",5311.0,5311.0,,,0 HCPCS,28193,Removal of foot foreign body,,,1724.73,4570.53,7 HCPCS,28200,"HC REPAIR FOOT, FLEXOR TENDON W/O GRFT, EA",12111.0,12111.0,,,0 HCPCS,28200,Repair of foot tendon,,,3416.88,9054.74,7 HCPCS,28202,Repair/graft of foot tendon,,,7577.51,20080.41,7 HCPCS,28208,Repair of foot tendon,,,3416.88,9054.74,7 HCPCS,28210,Repair/graft of foot tendon,,,7577.51,20080.41,7 HCPCS,28220,Release of foot tendon,,,1679.19,4449.86,7 HCPCS,28222,Release of foot tendons,,,3416.88,9054.74,7 HCPCS,28225,Release of foot tendon,,,3416.88,9054.74,7 HCPCS,28226,Release of foot tendons,,,3416.88,9054.74,7 HCPCS,28230,Incision of foot tendon(s),,,1679.19,4449.86,7 HCPCS,28232,HC TENOTOMY OPEN FLEXOR TOE,5258.0,5258.0,,,0 HCPCS,28232,Incision of toe tendon,,,1679.19,4449.86,7 HCPCS,28234,Incision of foot tendon,,,1679.19,4449.86,7 HCPCS,28238,Revision of foot tendon,,,7577.51,20080.41,7 HCPCS,28240,Release of big toe,,,3416.88,9054.74,7 HCPCS,28250,HC DIVISN PLANTAR FASCIA/MUSCLE,10690.0,10690.0,,,0 HCPCS,28250,Revision of foot fascia,,,3416.88,9054.74,7 HCPCS,28260,Release of midfoot joint,,,3416.88,9054.74,7 HCPCS,28261,Revision of foot tendon,,,1679.19,4449.86,7 HCPCS,28262,Revision of foot and ankle,,,7577.51,20080.41,7 HCPCS,28264,Release of midfoot joint,,,1679.19,4449.86,7 HCPCS,28270,Release of foot contracture,,,3416.88,9054.74,7 HCPCS,28272,Release of toe joint each,,,1679.19,4449.86,7 HCPCS,28280,Fusion of toes,,,3416.88,9054.74,7 HCPCS,28280,"HC SYNDACTYLIZATION, TOES",10690.0,10690.0,,,0 HCPCS,28285,"HC REPAIR OF HAMMERTOE,ONE",11433.0,11433.0,,,0 HCPCS,28285,Repair of hammertoe,,,3416.88,9054.74,7 HCPCS,28286,Repair of hammertoe,,,3416.88,9054.74,7 HCPCS,28288,HC REMOVAL FOOT BONE SPUR,10690.0,10690.0,,,0 HCPCS,28288,Partial removal of foot bone,,,3416.88,9054.74,7 HCPCS,28289,Corrj halux rigdus w/o implt,,,3416.88,9054.74,7 HCPCS,28289,HC REPAIR HALLUX RIGIDUS,11918.0,11918.0,,,0 HCPCS,28291,Corrj halux rigdus w/implt,,,7577.51,20080.41,7 HCPCS,28291,HC HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT,17781.0,17781.0,,,0 HCPCS,28292,Correction hallux valgus,,,3416.88,9054.74,7 HCPCS,28292,"HC CORRECT BUNION,KELLER/MCBRIDE/MAYO",12832.0,12832.0,,,0 HCPCS,28295,Correction hallux valgus,,,3416.88,9054.74,7 HCPCS,28296,Correction hallux valgus,,,3416.88,9054.74,7 HCPCS,28296,"HC CORRECT BUNION,METATARSAL OSTEOTOMY",16136.0,16136.0,,,0 HCPCS,28297,Correction hallux valgus,,,13407.17,35528.99,7 HCPCS,28297,"HC CORRECT BUNION,LAPIDUS TYPE",20041.0,20041.0,,,0 HCPCS,28298,Correction hallux valgus,,,7577.51,20080.41,7 HCPCS,28298,"HC CORRECT BUNION,PHALANX OSTEOTOMY",10936.0,10936.0,,,0 HCPCS,28299,Correction hallux valgus,,,7577.51,20080.41,7 HCPCS,28299,HC BUNION CORR DOUBLE OSTEOTOMY,18522.0,18522.0,,,0 HCPCS,28300,HC OSTEOTOMY HEEL BONE,9824.0,9824.0,,,0 HCPCS,28300,Incision of heel bone,,,7577.51,20080.41,7 HCPCS,28302,Incision of ankle bone,,,7577.51,20080.41,7 HCPCS,28304,HC OSTEOTOMY MIDTARSAL BONES,5086.0,5086.0,,,0 HCPCS,28304,Incision of midfoot bones,,,7577.51,20080.41,7 HCPCS,28305,"HC OSTEOTOMY MIDTARSAL,AUTOGRAFT",9434.0,9434.0,,,0 HCPCS,28305,Incise/graft midfoot bones,,,7577.51,20080.41,7 HCPCS,28306,Incision of metatarsal,,,7577.51,20080.41,7 HCPCS,28307,Incision of metatarsal,,,7577.51,20080.41,7 HCPCS,28308,HC OSTEOTOMY METATARSAL (NOT 1ST),9466.0,9466.0,,,0 HCPCS,28308,Incision of metatarsal,,,3416.88,9054.74,7 HCPCS,28309,Incision of metatarsals,,,7577.51,20080.41,7 HCPCS,28310,"HC OSTEOTOMY PROX PHALANX,1ST TOE",10025.0,10025.0,,,0 HCPCS,28310,Revision of big toe,,,7577.51,20080.41,7 HCPCS,28312,Revision of toe,,,3416.88,9054.74,7 HCPCS,28313,"HC RECONSTRUC TOE DEFORM,SOFT TISSUE",10690.0,10690.0,,,0 HCPCS,28313,Repair deformity of toe,,,3416.88,9054.74,7 HCPCS,28315,"HC REMOV SESAMOID BONE,1ST TOE",10690.0,10690.0,,,0 HCPCS,28315,Removal of sesamoid bone,,,3416.88,9054.74,7 HCPCS,28320,Repair of foot bones,,,13407.17,35528.99,7 HCPCS,28322,HC METATARSAL REPAIR OPEN,21343.0,21343.0,,,0 HCPCS,28322,Repair of metatarsals,,,7577.51,20080.41,7 HCPCS,28340,Resect enlarged toe tissue,,,3416.88,9054.74,7 HCPCS,28341,Resect enlarged toe,,,3416.88,9054.74,7 HCPCS,28344,Repair extra toe(s),,,3416.88,9054.74,7 HCPCS,28345,Repair webbed toe(s),,,1679.19,4449.86,7 HCPCS,28360,Reconstruct cleft foot,,,7577.51,20080.41,7 HCPCS,28400,HC CLOSED RX CALC FX W/O MANIP,777.0,777.0,,,0 HCPCS,28400,Treatment of heel fracture,,,257.59,682.61,7 HCPCS,28405,HC CLOSED RX CALC FX W/ MANIP,777.0,777.0,,,0 HCPCS,28405,Treatment of heel fracture,,,257.59,682.61,7 HCPCS,28406,Treatment of heel fracture,,,7577.51,20080.41,7 HCPCS,28415,HC OPEN TREATMENT CALCANEAL FRACTURE,43436.0,43436.0,,,0 HCPCS,28415,Treat heel fracture,,,7577.51,20080.41,7 HCPCS,28420,Treat/graft heel fracture,,,13407.17,35528.99,7 HCPCS,28430,HC CLOSED RX TALUS FX W/O MANIP,777.0,777.0,,,0 HCPCS,28430,Treatment of ankle fracture,,,257.59,682.61,7 HCPCS,28435,"HC CLOSED RX TALUS FX,MANIP",5258.0,5258.0,,,0 HCPCS,28435,Treatment of ankle fracture,,,1679.19,4449.86,7 HCPCS,28436,Treatment of ankle fracture,,,7577.51,20080.41,7 HCPCS,28445,HC OPEN TREATMENT TALUS FRACTURE,23643.0,23643.0,,,0 HCPCS,28445,Treat ankle fracture,,,7577.51,20080.41,7 HCPCS,28446,Osteochondral talus autogrft,,,7577.51,20080.41,7 HCPCS,28450,"HC CLOSED RX TARSAL FX,EACH",777.0,777.0,,,0 HCPCS,28450,Treat midfoot fracture each,,,257.59,682.61,7 HCPCS,28455,HC CLOSED RX TARSAL FX W/ MANIP EACH,5258.0,5258.0,,,0 HCPCS,28455,Treat midfoot fracture each,,,1679.19,4449.86,7 HCPCS,28456,Treat midfoot fracture,,,7577.51,20080.41,7 HCPCS,28465,HC OPEN TX TARSAL FRACTURE XCP TALUS &CALCANEUS EA,23643.0,23643.0,,,0 HCPCS,28465,Treat midfoot fracture each,,,7577.51,20080.41,7 HCPCS,28470,HC CLOSED RX METATARSAL FX W/O MANIP EACH,777.0,777.0,,,0 HCPCS,28470,Treat metatarsal fracture,,,257.59,682.61,7 HCPCS,28475,"HC CLOSED RX METATARSAL FX,MANIP",777.0,777.0,,,0 HCPCS,28475,Treat metatarsal fracture,,,257.59,682.61,7 HCPCS,28476,Treat metatarsal fracture,,,3416.88,9054.74,7 HCPCS,28485,HC OPEN TREATMENT METATARSAL FRACTURE EACH,20421.0,20421.0,,,0 HCPCS,28485,Treat metatarsal fracture,,,7577.51,20080.41,7 HCPCS,28490,HC CLOSED RX BIG TOE W/O MANIP,777.0,777.0,,,0 HCPCS,28490,Treat big toe fracture,,,257.59,682.61,7 HCPCS,28495,"HC CLOSED RX BIG TOE FX,MANIP",777.0,777.0,,,0 HCPCS,28495,Treat big toe fracture,,,257.59,682.61,7 HCPCS,28496,Treat big toe fracture,,,3416.88,9054.74,7 HCPCS,28505,Treat big toe fracture,,,3416.88,9054.74,7 HCPCS,28510,HC CLOSED RX TOE FX,698.0,698.0,,,0 HCPCS,28510,Treatment of toe fracture,,,257.59,682.61,7 HCPCS,28515,"HC CLOSED RX TOE FX,MANIPULATN",777.0,777.0,,,0 HCPCS,28515,Treatment of toe fracture,,,257.59,682.61,7 HCPCS,28525,Treat toe fracture,,,3416.88,9054.74,7 HCPCS,28530,HC CLOSED RX SESAMOID FX,777.0,777.0,,,0 HCPCS,28530,Treat sesamoid bone fracture,,,257.59,682.61,7 HCPCS,28531,Treat sesamoid bone fracture,,,7577.51,20080.41,7 HCPCS,28540,HC CLOSED RX TARSAL DISLOCATION,777.0,777.0,,,0 HCPCS,28540,Treat foot dislocation,,,257.59,682.61,7 HCPCS,28545,"HC CLOSED RX TARSAL DISLOC,ANESTH",10690.0,10690.0,,,0 HCPCS,28545,Treat foot dislocation,,,3416.88,9054.74,7 HCPCS,28546,Treat foot dislocation,,,1679.19,4449.86,7 HCPCS,28555,Repair foot dislocation,,,7577.51,20080.41,7 HCPCS,28570,HC CLOSED RX TALOTARSAL DISLOC,777.0,777.0,,,0 HCPCS,28570,Treat foot dislocation,,,257.59,682.61,7 HCPCS,28575,"HC CLOSED RX TALOTARSAL DISLOC,ANESTH",10690.0,10690.0,,,0 HCPCS,28575,Treat foot dislocation,,,3416.88,9054.74,7 HCPCS,28576,Treat foot dislocation,,,7577.51,20080.41,7 HCPCS,28585,Repair foot dislocation,,,7577.51,20080.41,7 HCPCS,28600,HC CLOSED RX TAR-METATAR DISLOCATION,777.0,777.0,,,0 HCPCS,28600,Treat foot dislocation,,,257.59,682.61,7 HCPCS,28605,"HC CLOSED RX TAR-METATAR DISLOC,ANESTH",777.0,777.0,,,0 HCPCS,28605,Treat foot dislocation,,,257.59,682.61,7 HCPCS,28606,Treat foot dislocation,,,3416.88,9054.74,7 HCPCS,28615,HC OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION,15348.0,15348.0,,,0 HCPCS,28615,Repair foot dislocation,,,7577.51,20080.41,7 HCPCS,28630,HC CLOSED RX MT-PHAL TOE DISLOCATION,777.0,777.0,,,0 HCPCS,28630,Treat toe dislocation,,,257.59,682.61,7 HCPCS,28635,"HC CLOSED RX MT-PHAL TOE DISLOC,ANESTH",5258.0,5258.0,,,0 HCPCS,28635,Treat toe dislocation,,,1679.19,4449.86,7 HCPCS,28636,Treat toe dislocation,,,3416.88,9054.74,7 HCPCS,28645,Repair toe dislocation,,,3416.88,9054.74,7 HCPCS,28660,"HC CLOSED RX I-P JT,TOE DISLOCATION",1161.0,1161.0,,,0 HCPCS,28660,Treat toe dislocation,,,257.59,682.61,7 HCPCS,28665,"HC CLOSED RX I-P JT,TOE DISLOC,ANESTH",1347.0,1347.0,,,0 HCPCS,28665,Treat toe dislocation,,,292.08,774.0,7 HCPCS,28666,Treat toe dislocation,,,3416.88,9054.74,7 HCPCS,28675,Repair of toe dislocation,,,3416.88,9054.74,7 HCPCS,28705,Fusion of foot bones,,,18310.2,48522.02,7 HCPCS,28715,Fusion of foot bones,,,13407.17,35528.99,7 HCPCS,28725,Fusion of foot bones,,,13407.17,35528.99,7 HCPCS,28725,"HC FUSION FOOT BONES,SUBTALAR",23327.0,23327.0,,,0 HCPCS,28730,Fusion of foot bones,,,13407.17,35528.99,7 HCPCS,28735,Fusion of foot bones,,,13407.17,35528.99,7 HCPCS,28737,Revision of foot bones,,,13407.17,35528.99,7 HCPCS,28740,Fusion of foot bones,,,7577.51,20080.41,7 HCPCS,28740,"HC FUSION FOOT BONE,MIDTARSAL,1 JT",15459.0,15459.0,,,0 HCPCS,28750,Fusion of big toe joint,,,7577.51,20080.41,7 HCPCS,28750,"HC FUSION BIG TOE,MT-P JT",17370.0,17370.0,,,0 HCPCS,28755,Fusion of big toe joint,,,7577.51,20080.41,7 HCPCS,28755,"HC FUSION BIG TOE,I-P JOINT",11418.0,11418.0,,,0 HCPCS,28760,Fusion of big toe joint,,,7577.51,20080.41,7 HCPCS,28800,Amputation of midfoot,,,3416.88,9054.74,7 HCPCS,28805,Amputation thru metatarsal,,,3416.88,9054.74,7 HCPCS,28810,Amputation toe & metatarsal,,,3416.88,9054.74,7 HCPCS,28820,Amputation of toe,,,3416.88,9054.74,7 HCPCS,28820,"HC AMPUTATION TOE,MT-P JT",12209.0,12209.0,,,0 HCPCS,28825,"HC AMPUTATION TOE, INTERPHAL JNT",12331.0,12331.0,,,0 HCPCS,28825,Partial amputation of toe,,,3416.88,9054.74,7 HCPCS,28890,Hi enrgy eswt plantar fascia,,,1679.19,4449.86,7 HCPCS,28899,Foot/toes surgery procedure,,,257.59,682.61,7 HCPCS,28899,"HC UNLISTED PROCEDURE, FOOT/TOES",11310.0,11310.0,,,0 HCPCS,29000,Application of body cast,,,292.08,774.0,7 HCPCS,29010,Application of body cast,,,292.08,774.0,7 HCPCS,29015,Application of body cast,,,292.08,774.0,7 HCPCS,29035,Application of body cast,,,292.08,774.0,7 HCPCS,29040,Application of body cast,,,292.08,774.0,7 HCPCS,29044,Application of body cast,,,169.7,449.69,7 HCPCS,29046,Application of body cast,,,292.08,774.0,7 HCPCS,29049,Application of figure eight,,,292.08,774.0,7 HCPCS,29055,Application of shoulder cast,,,292.08,774.0,7 HCPCS,29055,"HC APPLY SHOULDER CAST,SPICA",910.0,910.0,,,0 HCPCS,29058,Application of shoulder cast,,,292.08,774.0,7 HCPCS,29065,Application of long arm cast,,,292.08,774.0,7 HCPCS,29065,HC APPLY LONG ARM CAST,910.0,910.0,,,0 HCPCS,29075,Application of forearm cast,,,292.08,774.0,7 HCPCS,29075,HC APPLY FOREARM CAST,910.0,910.0,,,0 HCPCS,29085,Apply hand/wrist cast,,,169.7,449.69,7 HCPCS,29085,HC APPLY HAND/WRIST CAST,534.0,534.0,,,0 HCPCS,29086,Apply finger cast,,,169.7,449.69,7 HCPCS,29086,"HC APPLY CAST,FINGER (CONTRACTURE)",534.0,534.0,,,0 HCPCS,29105,Apply long arm splint,,,169.7,449.69,7 HCPCS,29105,HC APPLY LONG ARM SPLINT,786.0,786.0,,,0 HCPCS,29125,Apply forearm splint,,,138.94,368.19,7 HCPCS,29125,"HC APPLY FOREARM SPLINT,STATIC",755.0,755.0,,,0 HCPCS,29125,"HC OT APPLY FOREARM SPLINT,STATIC",737.5,737.5,,,0 HCPCS,29126,Apply forearm splint,,,138.94,368.19,7 HCPCS,29126,"HC APPLY FOREARM SPLINT,DYNAMIC",657.0,657.0,,,0 HCPCS,29130,Application of finger splint,,,138.94,368.19,7 HCPCS,29130,"HC APPLY FINGER SPLINT,STATIC",531.0,531.0,,,0 HCPCS,29130,"HC OT APPLY FINGER SPLINT,STATIC",518.5,518.5,,,0 HCPCS,29131,Application of finger splint,,,61.6,163.25,7 HCPCS,29131,"HC APPLY FINGER SPLINT,DYNAMIC",797.0,797.0,,,0 HCPCS,29131,"HC OT APPLY FINGER SPLINT,DYNAMIC",778.5,778.5,,,0 HCPCS,29200,HC STRAPPING OF CHEST,378.5,378.5,,,0 HCPCS,29200,Strapping of chest,,,169.7,449.69,7 HCPCS,29240,HC OT APPLY STRAPPING SHOULDER,304.0,304.0,,,0 HCPCS,29240,HC PT APPLY STRAPPING SHOULDER,304.0,304.0,,,0 HCPCS,29240,HC STRAPPING SHOULDER BY PHYSICIAN,311.0,311.0,,,0 HCPCS,29240,Strapping of shoulder,,,138.94,368.19,7 HCPCS,29260,HC PT STRAPPING OF ELBOW OR WRIST,306.0,306.0,,,0 HCPCS,29260,HC STRAPPING ELBOW/WRIST BY PHYSICIAN,313.0,313.0,,,0 HCPCS,29260,Strapping of elbow or wrist,,,61.6,163.25,7 HCPCS,29280,HC OT STRAPPING OF HAND OR FINGER,306.0,306.0,,,0 HCPCS,29280,HC PT STRAPPING OF HAND OR FINGER,306.0,306.0,,,0 HCPCS,29280,HC STRAPPING OF HAND OR FINGER,313.0,313.0,,,0 HCPCS,29280,Strapping of hand or finger,,,61.6,163.25,7 HCPCS,29305,Application of hip cast,,,292.08,774.0,7 HCPCS,29325,Application of hip casts,,,292.08,774.0,7 HCPCS,29345,Application of long leg cast,,,292.08,774.0,7 HCPCS,29345,HC APPLY LONG LEG CAST,910.0,910.0,,,0 HCPCS,29355,Application of long leg cast,,,292.08,774.0,7 HCPCS,29355,"HC APPLY LONG LEG CAST,WALKER",910.0,910.0,,,0 HCPCS,29358,Apply long leg cast brace,,,292.08,774.0,7 HCPCS,29365,Application of long leg cast,,,292.08,774.0,7 HCPCS,29405,Apply short leg cast,,,292.08,774.0,7 HCPCS,29405,HC APPLY SHORT LEG CAST,910.0,910.0,,,0 HCPCS,29425,Apply short leg cast,,,292.08,774.0,7 HCPCS,29425,"HC APPLY SHORT LEG CAST,WALKER",910.0,910.0,,,0 HCPCS,29435,Apply short leg cast,,,292.08,774.0,7 HCPCS,29440,Addition of walker to cast,,,169.7,449.69,7 HCPCS,29445,Apply rigid leg cast,,,292.08,774.0,7 HCPCS,29445,HC APPLY RIGID LEG CAST,588.0,588.0,,,0 HCPCS,29450,Application of leg cast,,,169.7,449.69,7 HCPCS,29505,Application long leg splint,,,169.7,449.69,7 HCPCS,29505,HC APPLY LONG LEG SPLINT,670.0,670.0,,,0 HCPCS,29515,Application lower leg splint,,,169.7,449.69,7 HCPCS,29515,HC APPLY LOWER LEG SPLINT,823.0,823.0,,,0 HCPCS,29520,HC PT STRAPPING HIP,368.0,368.0,,,0 HCPCS,29520,HC STRAPPING HIP BY PHYSICIAN,376.5,376.5,,,0 HCPCS,29520,Strapping of hip,,,138.94,368.19,7 HCPCS,29530,HC OT STRAPPING OF KNEE,306.0,306.0,,,0 HCPCS,29530,HC PT STRAPPING OF KNEE,306.0,306.0,,,0 HCPCS,29530,HC STRAPPING OF KNEE,313.0,313.0,,,0 HCPCS,29530,Strapping of knee,,,138.94,368.19,7 HCPCS,29540,HC OT STRAPPING; ANKLE &/OR FOOT,229.5,229.5,,,0 HCPCS,29540,HC PT STRAPPING; ANKLE &/OR FOOT,229.5,229.5,,,0 HCPCS,29540,HC STRAPPING; ANKLE &/OR FOOT,235.0,235.0,,,0 HCPCS,29540,Strapping of ankle and/or ft,,,169.7,449.69,7 HCPCS,29550,HC OT STRAPPING OF TOES,268.0,268.0,,,0 HCPCS,29550,HC PT STRAPPING OF TOES,268.0,268.0,,,0 HCPCS,29550,HC STRAPPING OF TOES,274.5,274.5,,,0 HCPCS,29550,Strapping of toes,,,61.6,163.25,7 HCPCS,29580,Application of paste boot,,,169.7,449.69,7 HCPCS,29580,HC PT STRAPPING UNNA BOOT,322.5,322.5,,,0 HCPCS,29580,HC STRAPPING UNNA BOOT,330.0,330.0,,,0 HCPCS,29581,Apply multlay comprs lwr leg,,,169.7,449.69,7 HCPCS,29581,HC APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE,363.0,363.0,,,0 HCPCS,29581,HC OT APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE,355.5,355.5,,,0 HCPCS,29581,HC PT APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE,355.5,355.5,,,0 HCPCS,29584,Appl multlay comprs arm/hand,,,169.7,449.69,7 HCPCS,29584,HC APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FINGER,514.5,514.5,,,0 HCPCS,29584,HC OT APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FINGER,514.5,514.5,,,0 HCPCS,29700,HC CAST REMOVAL,910.0,910.0,,,0 HCPCS,29700,Removal/revision of cast,,,292.08,774.0,7 HCPCS,29705,HC REMV/REVISN FULL ARM/LEG CAST,910.0,910.0,,,0 HCPCS,29705,Removal/revision of cast,,,292.08,774.0,7 HCPCS,29710,HC REMV SHOULD/HIP MIN/RISS JKT,910.0,910.0,,,0 HCPCS,29710,Removal/revision of cast,,,292.08,774.0,7 HCPCS,29720,Repair of body cast,,,169.7,449.69,7 HCPCS,29730,HC WINDOWING OF CAST,534.0,534.0,,,0 HCPCS,29730,Windowing of cast,,,169.7,449.69,7 HCPCS,29740,HC WEDGING OF CAST,910.0,910.0,,,0 HCPCS,29740,Wedging of cast,,,292.08,774.0,7 HCPCS,29750,Wedging of clubfoot cast,,,292.08,774.0,7 HCPCS,29799,Casting/strapping procedure,,,169.7,449.69,7 HCPCS,29799,HC CAST/STRAP PROCEDURE UNLISTED,534.0,534.0,,,0 HCPCS,29800,Jaw arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29804,Jaw arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29805,"HC SHLDR ARTHROSCOP,DIAGNOSTIC",10690.0,10690.0,,,0 HCPCS,29805,Shoulder arthroscopy dx,,,3416.88,9054.74,7 HCPCS,29806,Shoulder arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29807,"HC SHLDR ARTHROSCOP,SURG,REPAIR,SLAP LESION",12019.0,12019.0,,,0 HCPCS,29807,Shoulder arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29819,Shoulder arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29820,Shoulder arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29821,Shoulder arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29822,"HC SHLDR ARTHROSCOP,PART DEBRIDE",14857.0,14857.0,,,0 HCPCS,29822,Shoulder arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29823,"HC SHLDR ARTHROSCOP,EXTEN DEBRIDE",12032.0,12032.0,,,0 HCPCS,29823,Shoulder arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29824,HC SHOULDER ARTHROSCOPY CLAVICULECTOMY,10266.0,10266.0,,,0 HCPCS,29824,Shoulder arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29825,"HC SHLDR ARTHROSCOP,LYSE ADHESNS",13999.0,13999.0,,,0 HCPCS,29825,Shoulder arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29826,"HC SHLDR ARTHROSCOP,PART ACROMIOPLAS",10851.0,10851.0,,,0 HCPCS,29827,Arthroscop rotator cuff repr,,,7577.51,20080.41,7 HCPCS,29827,"HC SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR",16817.0,16817.0,,,0 HCPCS,29828,Arthroscopy biceps tenodesis,,,7577.51,20080.41,7 HCPCS,29828,HC ARTHROSCOPY SHOULDER SURGICAL BICEPS TENODESIS,10750.0,10750.0,,,0 HCPCS,29830,Elbow arthroscopy,,,3416.88,9054.74,7 HCPCS,29834,Elbow arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29835,Elbow arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29836,Elbow arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29837,Elbow arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29838,Elbow arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29840,Wrist arthroscopy,,,3416.88,9054.74,7 HCPCS,29843,Wrist arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29844,"HC WRIST ARTHROSCOP,PART SYNOVECT",10690.0,10690.0,,,0 HCPCS,29844,Wrist arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29845,Wrist arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29846,"HC WRIST ARTHROSCOP,EXCIS TRIANG CART",10690.0,10690.0,,,0 HCPCS,29846,Wrist arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29847,Wrist arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29848,"HC WRIST ARTHROSCOP,RELEASE XVERS LIG",11182.0,11182.0,,,0 HCPCS,29848,Wrist endoscopy/surgery,,,1679.19,4449.86,7 HCPCS,29850,Knee arthroscopy/surgery,,,1679.19,4449.86,7 HCPCS,29851,Knee arthroscopy/surgery,,,1679.19,4449.86,7 HCPCS,29855,Tibial arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29856,Tibial arthroscopy/surgery,,,13407.17,35528.99,7 HCPCS,29860,Hip arthroscopy dx,,,7577.51,20080.41,7 HCPCS,29861,Hip arthro w/fb removal,,,7577.51,20080.41,7 HCPCS,29862,Hip arthr0 w/debridement,,,7577.51,20080.41,7 HCPCS,29863,Hip arthr0 w/synovectomy,,,3416.88,9054.74,7 HCPCS,29866,Autgrft implnt knee w/scope,,,7577.51,20080.41,7 HCPCS,29867,Allgrft implnt knee w/scope,,,13407.17,35528.99,7 HCPCS,29868,Meniscal trnspl knee w/scpe,,,7577.51,20080.41,7 HCPCS,29870,HC KNEE ARTHROSCOPY DIAG W/WO BX,12781.0,12781.0,,,0 HCPCS,29870,Knee arthroscopy dx,,,3416.88,9054.74,7 HCPCS,29871,Knee arthroscopy/drainage,,,3416.88,9054.74,7 HCPCS,29873,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29874,"HC KNEE SCOPE,REMV LOOSE BODY",13179.0,13179.0,,,0 HCPCS,29874,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29875,"HC KNEE SCOPE,PART SYNOVECT",11584.0,11584.0,,,0 HCPCS,29875,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29876,"HC KNEE SCOPE,FULL SYNOVECT",14182.0,14182.0,,,0 HCPCS,29876,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29877,"HC KNEE SCOPE,SHAVE ARTICULAR CART",10690.0,10690.0,,,0 HCPCS,29877,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29879,HC KNEE ARTHROSCOPY ABRASION ARTHROPLASTY OR MULTI DRILL,12781.0,12781.0,,,0 HCPCS,29879,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29880,"HC KNEE SCOPE,SINGLE MENISECTOMY",19729.0,19729.0,,,0 HCPCS,29880,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29881,"HC KNEE SCOPE,MED/LAT MENISECTOMY",18284.0,18284.0,,,0 HCPCS,29881,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29882,HC KNEE ARTHROSCOPY W/ MENISCUS REPAIR,11597.0,11597.0,,,0 HCPCS,29882,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29883,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29884,"HC KNEE SCOPE,LYSIS OF ADHESNS",10690.0,10690.0,,,0 HCPCS,29884,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29885,Knee arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29886,Knee arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29887,Knee arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29888,"HC KNEE SCOPE,AID ANT CRUCIATE REPAIR",20422.0,20422.0,,,0 HCPCS,29888,Knee arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29889,Knee arthroscopy/surgery,,,13407.17,35528.99,7 HCPCS,29891,Ankle arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29892,Ankle arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29893,"HC ANKLE SCOPE,PLANTAR FASCIOTOMY",14567.0,14567.0,,,0 HCPCS,29893,Scope plantar fasciotomy,,,3416.88,9054.74,7 HCPCS,29894,Ankle arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29895,Ankle arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29895,"HC ANKLE SCOPE,PART SYNOVECTOMY",10690.0,10690.0,,,0 HCPCS,29897,Ankle arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29897,"HC ARTHROSCOPY ANKLE, SIMPLE DEBRIDEMENT",10690.0,10690.0,,,0 HCPCS,29898,Ankle arthroscopy/surgery,,,3416.88,9054.74,7 HCPCS,29898,"HC ANKLE SCOPE,EXTENS DEBRIDEMNT",13055.0,13055.0,,,0 HCPCS,29899,Ankle arthroscopy/surgery,,,7577.51,20080.41,7 HCPCS,29900,Mcp joint arthroscopy dx,,,3416.88,9054.74,7 HCPCS,29901,Mcp joint arthroscopy surg,,,3416.88,9054.74,7 HCPCS,29902,Mcp joint arthroscopy surg,,,1679.19,4449.86,7 HCPCS,29904,Subtalar arthro w/fb rmvl,,,3416.88,9054.74,7 HCPCS,29905,Subtalar arthro w/exc,,,7577.51,20080.41,7 HCPCS,29906,Subtalar arthro w/deb,,,3416.88,9054.74,7 HCPCS,29907,Subtalar arthro w/fusion,,,13407.17,35528.99,7 HCPCS,29914,Hip arthro w/femoroplasty,,,7577.51,20080.41,7 HCPCS,29915,Hip arthro acetabuloplasty,,,7577.51,20080.41,7 HCPCS,29916,Hip arthro w/labral repair,,,7577.51,20080.41,7 HCPCS,29999,Arthroscopy of joint,,,257.59,682.61,7 HCPCS,30000,Drainage of nose lesion,,,247.34,655.44,7 HCPCS,30000,HC DRN ABSC/HEMTMA NASAL INTERN APRCH,799.0,799.0,,,0 HCPCS,30020,Drainage of nose lesion,,,563.21,1492.5,7 HCPCS,30020,HC DRN ABSC/HEMTMA NASAL SEPTUM,1707.0,1707.0,,,0 HCPCS,30100,HC INTRANASAL BIOPSY,8544.0,8544.0,,,0 HCPCS,30100,Intranasal biopsy,,,1620.29,4293.76,7 HCPCS,30110,Removal of nose polyp(s),,,1620.29,4293.76,7 HCPCS,30115,Removal of nose polyp(s),,,3462.26,9175.0,7 HCPCS,30117,HC EXCIS/DEST INTRANAS LESION; INT APP,11456.0,11456.0,,,0 HCPCS,30117,Removal of intranasal lesion,,,3462.26,9175.0,7 HCPCS,30118,Removal of intranasal lesion,,,3462.26,9175.0,7 HCPCS,30120,Revision of nose,,,3462.26,9175.0,7 HCPCS,30124,Removal of nose lesion,,,1620.29,4293.76,7 HCPCS,30125,Removal of nose lesion,,,6181.95,16382.18,7 HCPCS,30130,Excise inferior turbinate,,,3462.26,9175.0,7 HCPCS,30140,Resect inferior turbinate,,,3462.26,9175.0,7 HCPCS,30150,Partial removal of nose,,,6181.95,16382.18,7 HCPCS,30160,Removal of nose,,,6181.95,16382.18,7 HCPCS,30200,Injection treatment of nose,,,563.21,1492.5,7 HCPCS,30210,Nasal sinus therapy,,,1620.29,4293.76,7 HCPCS,30220,Insert nasal septal button,,,1620.29,4293.76,7 HCPCS,30300,HC REMOVE NASAL FOREIGN BODY,416.0,416.0,,,0 HCPCS,30300,Remove nasal foreign body,,,138.94,368.19,7 HCPCS,30310,"HC REMV NASAL FOR BODY,GEN ANESTH",10178.0,10178.0,,,0 HCPCS,30310,Remove nasal foreign body,,,3462.26,9175.0,7 HCPCS,30320,"HC REMV NASAL FOR BODY,LAT RHINOTOMY",4965.0,4965.0,,,0 HCPCS,30320,Remove nasal foreign body,,,1620.29,4293.76,7 HCPCS,30400,Reconstruction of nose,,,6181.95,16382.18,7 HCPCS,30410,Reconstruction of nose,,,6181.95,16382.18,7 HCPCS,30420,Reconstruction of nose,,,6181.95,16382.18,7 HCPCS,30430,Revision of nose,,,6181.95,16382.18,7 HCPCS,30435,Revision of nose,,,6181.95,16382.18,7 HCPCS,30450,Revision of nose,,,6181.95,16382.18,7 HCPCS,30460,Revision of nose,,,6181.95,16382.18,7 HCPCS,30462,Revision of nose,,,6181.95,16382.18,7 HCPCS,30465,Repair Nasal Stenosis,,,6181.95,16382.18,7 HCPCS,30468,Rpr nsl vlv collapse w/implt,,,6181.95,16382.18,7 HCPCS,30469,Rpr nsl vlv collapse w/rmdlg,,,6181.95,16382.18,7 HCPCS,30520,HC REPAIR OF NASAL SEPTUM,9459.0,9459.0,,,0 HCPCS,30520,Repair of nasal septum,,,3462.26,9175.0,7 HCPCS,30540,Repair nasal defect,,,6181.95,16382.18,7 HCPCS,30545,Repair nasal defect,,,6181.95,16382.18,7 HCPCS,30560,HC RELEASE OF NASAL ADHESIONS,1707.0,1707.0,,,0 HCPCS,30560,Release of nasal adhesions,,,563.21,1492.5,7 HCPCS,30580,Repair upper jaw fistula,,,6181.95,16382.18,7 HCPCS,30600,Repair mouth/nose fistula,,,6181.95,16382.18,7 HCPCS,30620,Intranasal reconstruction,,,6181.95,16382.18,7 HCPCS,30630,Repair nasal septum defect,,,3462.26,9175.0,7 HCPCS,30801,Ablate inf turbinate superf,,,1620.29,4293.76,7 HCPCS,30802,Ablate inf turbinate submuc,,,1620.29,4293.76,7 HCPCS,30802,HC ABLATE SOFT TISS INF TURBINATES UNI/BIL INTRAMURAL,4088.0,4088.0,,,0 HCPCS,30901,Control of nosebleed,,,138.94,368.19,7 HCPCS,30901,"HC CTRL NOSEBLEED,ANTER,SIMPLE",953.0,953.0,,,0 HCPCS,30903,Control of nosebleed,,,138.94,368.19,7 HCPCS,30903,"HC CTRL NOSEBLEED,ANTER,COMPLEX",885.0,885.0,,,0 HCPCS,30905,Control of nosebleed,,,138.94,368.19,7 HCPCS,30905,"HC CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT",882.0,882.0,,,0 HCPCS,30906,"HC CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT SUBSEQ",799.0,799.0,,,0 HCPCS,30906,Repeat control of nosebleed,,,247.34,655.44,7 HCPCS,30915,Ligation nasal sinus artery,,,3297.29,8737.82,7 HCPCS,30920,Ligation upper jaw artery,,,3297.29,8737.82,7 HCPCS,30930,Ther fx nasal inf turbinate,,,3462.26,9175.0,7 HCPCS,30999,HC NASAL SURG PROC UNLISTED,5285.0,5285.0,,,0 HCPCS,30999,Nasal surgery procedure,,,247.34,655.44,7 HCPCS,31000,Irrigation maxillary sinus,,,247.34,655.44,7 HCPCS,31002,Irrigation sphenoid sinus,,,1620.29,4293.76,7 HCPCS,31020,Exploration maxillary sinus,,,3462.26,9175.0,7 HCPCS,31020,HC EXPLORATION MAXILLARY SINUS; INTRANASAL,10326.0,10326.0,,,0 HCPCS,31030,Exploration maxillary sinus,,,6181.95,16382.18,7 HCPCS,31032,Explore sinus remove polyps,,,6181.95,16382.18,7 HCPCS,31040,Exploration behind upper jaw,,,6181.95,16382.18,7 HCPCS,31050,Exploration sphenoid sinus,,,6181.95,16382.18,7 HCPCS,31051,Sphenoid sinus surgery,,,6181.95,16382.18,7 HCPCS,31070,Exploration of frontal sinus,,,6181.95,16382.18,7 HCPCS,31075,Exploration of frontal sinus,,,6181.95,16382.18,7 HCPCS,31080,Removal of frontal sinus,,,6181.95,16382.18,7 HCPCS,31081,Removal of frontal sinus,,,6181.95,16382.18,7 HCPCS,31084,Removal of frontal sinus,,,6181.95,16382.18,7 HCPCS,31085,Removal of frontal sinus,,,6181.95,16382.18,7 HCPCS,31086,Removal of frontal sinus,,,6181.95,16382.18,7 HCPCS,31087,Removal of frontal sinus,,,6181.95,16382.18,7 HCPCS,31090,Exploration of sinuses,,,6181.95,16382.18,7 HCPCS,31200,Removal of ethmoid sinus,,,6181.95,16382.18,7 HCPCS,31201,Removal of ethmoid sinus,,,1620.29,4293.76,7 HCPCS,31205,Removal of ethmoid sinus,,,3462.26,9175.0,7 HCPCS,31231,"HC NASAL ENDOSCOPY,DX",1772.0,1772.0,,,0 HCPCS,31231,Nasal endoscopy dx,,,208.45,552.38,7 HCPCS,31235,Nasal/sinus endoscopy dx,,,1858.71,4925.58,7 HCPCS,31237,"HC NASAL/SINUS ENDOSCOPY,BX/RMV POLYP/DEBRID",8611.0,8611.0,,,0 HCPCS,31237,Nasal/sinus endoscopy surg,,,1858.71,4925.58,7 HCPCS,31238,"HC PBB NASAL/SINUS ENDOSCOPY,W/CONTROL NASAL HEM",5647.0,5647.0,,,0 HCPCS,31238,Nasal/sinus endoscopy surg,,,1858.71,4925.58,7 HCPCS,31239,Nasal/sinus endoscopy surg,,,3893.43,10317.6,7 HCPCS,31240,"HC NASAL/SINUS ENDOSCOPY,RMV CONCHA BULL",4832.0,4832.0,,,0 HCPCS,31240,Nasal/sinus endoscopy surg,,,1858.71,4925.58,7 HCPCS,31241,Nsl/sins ndsc w/artery lig,,,1858.71,4925.58,7 HCPCS,31242,Nsl/sinus ndsc rf abltj pnn,,,6181.95,16382.18,7 HCPCS,31243,Nsl/sinus ndsc cryoabltj pnn,,,6181.95,16382.18,7 HCPCS,31253,HC NASAL/SINUS ENDO TOTAL W/ TISS REM,10285.0,10285.0,,,0 HCPCS,31253,Nsl/sins ndsc total,,,7369.96,19530.38,7 HCPCS,31254,Revision of ethmoid sinus,,,7369.96,19530.38,7 HCPCS,31255,HC NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY,7552.0,7552.0,,,0 HCPCS,31255,Removal of ethmoid sinus,,,7369.96,19530.38,7 HCPCS,31256,Exploration maxillary sinus,,,3893.43,10317.6,7 HCPCS,31256,"HC NASAL/SINUS ENDOSCOPY,OPEN MAXILL SINUS",7067.0,7067.0,,,0 HCPCS,31257,Nsl/sins ndsc tot w/sphendt,,,7369.96,19530.38,7 HCPCS,31259,Nsl/sins ndsc sphn tiss rmvl,,,7369.96,19530.38,7 HCPCS,31267,Endoscopy maxillary sinus,,,7369.96,19530.38,7 HCPCS,31267,"HC NASAL/SINUS ENDOSCOPY,RMV TISS MAXILL SINUS",8827.0,8827.0,,,0 HCPCS,31276,HC NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS,9477.0,9477.0,,,0 HCPCS,31276,Sinus endoscopy surgical,,,7369.96,19530.38,7 HCPCS,31287,"HC NASAL/SINUS ENDOSCOPY,SPHENOIDOTOMY",12122.0,12122.0,,,0 HCPCS,31287,Nasal/sinus endoscopy surg,,,7369.96,19530.38,7 HCPCS,31288,"HC NASAL/SINUS ENDOSCOPY,REMV TISS SPHENOID",12802.0,12802.0,,,0 HCPCS,31288,Nasal/sinus endoscopy surg,,,7369.96,19530.38,7 HCPCS,31292,Nasal/sinus endoscopy surg,,,7369.96,19530.38,7 HCPCS,31293,Nasal/sinus endoscopy surg,,,7369.96,19530.38,7 HCPCS,31294,Nasal/sinus endoscopy surg,,,7369.96,19530.38,7 HCPCS,31295,Sinus endo w/balloon dil,,,7369.96,19530.38,7 HCPCS,31296,HC NASAL/SINUS ENDO DIL FRONTAL,21982.0,21982.0,,,0 HCPCS,31296,Sinus endo w/balloon dil,,,7369.96,19530.38,7 HCPCS,31297,Sinus endo w/balloon dil,,,7369.96,19530.38,7 HCPCS,31298,Nsl/sins ndsc w/sins dilat,,,7369.96,19530.38,7 HCPCS,31299,Sinus surgery procedure,,,247.34,655.44,7 HCPCS,31300,Removal of larynx lesion,,,3462.26,9175.0,7 HCPCS,31400,Revision of larynx,,,6181.95,16382.18,7 HCPCS,31420,Removal of epiglottis,,,6181.95,16382.18,7 HCPCS,31500,HC INSERT EMERGENCY ENDOTRACH AIRWAY,1108.0,1108.0,,,0 HCPCS,31500,Insert emergency airway,,,247.34,655.44,7 HCPCS,31502,Change of windpipe airway,,,247.34,655.44,7 HCPCS,31502,HC TRACH TUBE CHANGE,799.0,799.0,,,0 HCPCS,31505,Diagnostic laryngoscopy,,,208.45,552.38,7 HCPCS,31505,HC LARYNGOSCOPY INDIRECT DIAGNOSTIC,583.0,583.0,,,0 HCPCS,31510,HC LARYNGOSCOPY INDIRECT W/BIOPSY,10117.0,10117.0,,,0 HCPCS,31510,Laryngoscopy with biopsy,,,3893.43,10317.6,7 HCPCS,31511,HC LARYNGOSCOPY INDIR RMV FOREIGN BODY,621.0,621.0,,,0 HCPCS,31511,Remove foreign body larynx,,,208.45,552.38,7 HCPCS,31512,Removal of larynx lesion,,,3893.43,10317.6,7 HCPCS,31525,Dx laryngoscopy excl nb,,,1858.71,4925.58,7 HCPCS,31526,Dx laryngoscopy w/oper scope,,,1858.71,4925.58,7 HCPCS,31527,Laryngoscopy for treatment,,,3893.43,10317.6,7 HCPCS,31528,Laryngoscopy and dilation,,,3893.43,10317.6,7 HCPCS,31529,Laryngoscopy and dilation,,,3893.43,10317.6,7 HCPCS,31530,HC LARYNGOSCOPY DIR OPERATIVE RMV FOREIGN BODY,5647.0,5647.0,,,0 HCPCS,31530,Laryngoscopy w/fb removal,,,1858.71,4925.58,7 HCPCS,31531,Laryngoscopy w/fb & op scope,,,3893.43,10317.6,7 HCPCS,31535,Laryngoscopy w/biopsy,,,3893.43,10317.6,7 HCPCS,31536,Laryngoscopy w/bx & op scope,,,3893.43,10317.6,7 HCPCS,31540,Laryngoscopy w/exc of tumor,,,3893.43,10317.6,7 HCPCS,31541,Larynscop w/tumr exc + scope,,,3893.43,10317.6,7 HCPCS,31545,Remove vc lesion w/scope,,,3893.43,10317.6,7 HCPCS,31546,Remove vc lesion scope/graft,,,7369.96,19530.38,7 HCPCS,31551,Laryngoplasty laryngeal sten,,,6181.95,16382.18,7 HCPCS,31552,Laryngoplasty laryngeal sten,,,6181.95,16382.18,7 HCPCS,31553,Laryngoplasty laryngeal sten,,,6181.95,16382.18,7 HCPCS,31554,Laryngoplasty laryngeal sten,,,6181.95,16382.18,7 HCPCS,31560,Laryngoscop w/arytenoidectom,,,7369.96,19530.38,7 HCPCS,31561,Larynscop remve cart + scop,,,7369.96,19530.38,7 HCPCS,31570,Laryngoscope w/vc inj,,,3893.43,10317.6,7 HCPCS,31571,Laryngoscop w/vc inj + scope,,,3893.43,10317.6,7 HCPCS,31572,Largsc w/laser dstrj les,,,3893.43,10317.6,7 HCPCS,31573,Largsc w/ther injection,,,1858.71,4925.58,7 HCPCS,31574,Largsc w/njx augmentation,,,1858.71,4925.58,7 HCPCS,31575,Diagnostic laryngoscopy,,,208.45,552.38,7 HCPCS,31575,"HC LARYNGOSCOPY,FLEX FIBER,DIAGNOSTIC",909.0,909.0,,,0 HCPCS,31576,Laryngoscopy with biopsy,,,1858.71,4925.58,7 HCPCS,31577,HC LARYNGOSCOPY FLEX RMV FOREIGN BODY,1418.0,1418.0,,,0 HCPCS,31578,Largsc w/removal lesion,,,3893.43,10317.6,7 HCPCS,31579,"HC LARYNGOSCOPY,FLEX/RIGID+STROBOSCOPY",2107.0,2107.0,,,0 HCPCS,31580,Laryngoplasty laryngeal web,,,6181.95,16382.18,7 HCPCS,31584,Laryngoplasty fx rdctj fixj,,,6181.95,16382.18,7 HCPCS,31587,Laryngoplasty cricoid split,,,6181.95,16382.18,7 HCPCS,31590,Reinnervate larynx,,,6181.95,16382.18,7 HCPCS,31591,Laryngoplasty medialization,,,6181.95,16382.18,7 HCPCS,31592,Cricotracheal resection,,,6181.95,16382.18,7 HCPCS,31599,Larynx surgery procedure,,,247.34,655.44,7 HCPCS,31600,"HC TRACHEOSTOMY PLANNED, SEP PROC",8332.0,8332.0,,,0 HCPCS,31600,Incision of windpipe,,,3462.26,9175.0,7 HCPCS,31601,Incision of windpipe,,,6181.95,16382.18,7 HCPCS,31603,HC TRACHEOSTOMY,5107.0,5107.0,,,0 HCPCS,31603,Incision of windpipe,,,1620.29,4293.76,7 HCPCS,31605,HC EMERGENCY TRACHEOSTOMY CRICOTHYROID MEM,1475.0,1475.0,,,0 HCPCS,31605,Incision of windpipe,,,247.34,655.44,7 HCPCS,31610,Incision of windpipe,,,6181.95,16382.18,7 HCPCS,31611,Surgery/speech prosthesis,,,3462.26,9175.0,7 HCPCS,31612,Puncture/clear windpipe,,,3462.26,9175.0,7 HCPCS,31613,Repair windpipe opening,,,3462.26,9175.0,7 HCPCS,31614,Repair windpipe opening,,,6181.95,16382.18,7 HCPCS,31615,Visualization of windpipe,,,563.21,1492.5,7 HCPCS,31622,Dx bronchoscope/wash,,,1858.71,4925.58,7 HCPCS,31623,Dx bronchoscope/brush,,,1858.71,4925.58,7 HCPCS,31624,Dx bronchoscope/lavage,,,1858.71,4925.58,7 HCPCS,31624,"HC BRONCHOSCOPY,DIAGNOSTIC W LAVAGE",6946.0,6946.0,,,0 HCPCS,31625,Bronchoscopy w/biopsy(s),,,1858.71,4925.58,7 HCPCS,31626,Bronchoscopy w/markers,,,7369.96,19530.38,7 HCPCS,31628,Bronchoscopy/lung bx each,,,3893.43,10317.6,7 HCPCS,31629,Bronchoscopy/needle bx each,,,3893.43,10317.6,7 HCPCS,31630,Bronchoscopy dilate/fx repr,,,3893.43,10317.6,7 HCPCS,31631,Bronchoscopy dilate w/stent,,,7369.96,19530.38,7 HCPCS,31634,Bronch w/balloon occlusion,,,7369.96,19530.38,7 HCPCS,31635,Bronchoscopy w/fb removal,,,1858.71,4925.58,7 HCPCS,31635,HC BRONCH RIG/FLEX RMV FOREIGN BODY W/ FLUOR IF NEEDED,5647.0,5647.0,,,0 HCPCS,31636,Bronchoscopy bronch stents,,,7369.96,19530.38,7 HCPCS,31638,Bronchoscopy revise stent,,,7369.96,19530.38,7 HCPCS,31640,Bronchoscopy w/tumor excise,,,3893.43,10317.6,7 HCPCS,31641,Bronchoscopy treat blockage,,,3893.43,10317.6,7 HCPCS,31643,Diag bronchoscope/catheter,,,1858.71,4925.58,7 HCPCS,31645,Bronchoscopy clear airways,,,1858.71,4925.58,7 HCPCS,31645,HC BRONCH W/THER ASPIR TRACHBRNCL TREE 1ST,6946.0,6946.0,,,0 HCPCS,31647,Bronchial valve init insert,,,7369.96,19530.38,7 HCPCS,31648,Bronchial valve remov init,,,3893.43,10317.6,7 HCPCS,31649,Bronchial valve remov addl,,,1858.71,4925.58,7 HCPCS,31652,Bronch ebus samplng 1/2 node,,,3893.43,10317.6,7 HCPCS,31653,Bronch ebus samplng 3/> node,,,3893.43,10317.6,7 HCPCS,31660,Bronch thermoplsty 1 lobe,,,7369.96,19530.38,7 HCPCS,31661,Bronch thermoplsty 2/> lobes,,,7369.96,19530.38,7 HCPCS,31720,Clearance of airways,,,228.67,605.98,7 HCPCS,31730,Intro windpipe wire/tube,,,1858.71,4925.58,7 HCPCS,31750,Repair of windpipe,,,6181.95,16382.18,7 HCPCS,31755,Repair of windpipe,,,6181.95,16382.18,7 HCPCS,31785,Remove windpipe lesion,,,6181.95,16382.18,7 HCPCS,31820,Closure of windpipe lesion,,,3462.26,9175.0,7 HCPCS,31825,Repair of windpipe defect,,,3462.26,9175.0,7 HCPCS,31830,Revise windpipe scar,,,3462.26,9175.0,7 HCPCS,31899,Airways surgical procedure,,,208.45,552.38,7 HCPCS,32400,HC NEEDLE BIOPSY PLEURA,5243.0,5243.0,,,0 HCPCS,32400,Needle biopsy chest lining,,,1724.73,4570.53,7 HCPCS,32408,Core ndl bx lng/med perq,,,1724.73,4570.53,7 HCPCS,32408,"HC PERCUT BX, LUNG/MEDIASTINUM INCLUDES GUIDANCE",8620.0,8620.0,,,0 HCPCS,32550,HC INSERTION INDWELLING TUNNELED PLEURAL CATHETER,13191.0,13191.0,,,0 HCPCS,32550,Insert pleural cath,,,3738.94,9908.18,7 HCPCS,32551,HC TUBE THORACOSTOMY INCLUDES WATER SEAL,3010.0,3010.0,,,0 HCPCS,32551,Insertion of chest tube,,,1643.86,4356.22,7 HCPCS,32552,HC REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF,2649.0,2649.0,,,0 HCPCS,32552,Remove lung catheter,,,655.08,1735.96,7 HCPCS,32553,"HC PERC PLACE INTRA-THORACIC INTERSTIT RAD THERAPY GUIDE, 1/MULT",4767.0,4767.0,,,0 HCPCS,32553,Ins mark thor for rt perq,,,1445.42,3830.36,7 HCPCS,32554,Aspirate pleura w/o imaging,,,655.08,1735.96,7 HCPCS,32554,HC THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING,2471.0,2471.0,,,0 HCPCS,32555,Aspirate pleura w/ imaging,,,655.08,1735.96,7 HCPCS,32555,HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING,2955.0,2955.0,,,0 HCPCS,32556,HC PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING,2802.0,2802.0,,,0 HCPCS,32556,Insert cath pleura w/o image,,,2003.87,5310.27,7 HCPCS,32557,HC PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING,1133.0,1133.0,,,0 HCPCS,32557,Insert cath pleura w/ image,,,1643.86,4356.22,7 HCPCS,32560,HC PBB CHEMICAL PLEURODESIS FOR PERSISTENT PNEUMOTHORAX,2040.0,2040.0,,,0 HCPCS,32560,Treat pleurodesis w/agent,,,655.08,1735.96,7 HCPCS,32561,"HC INSTILL VIA CHEST TUBE AGENT FOR FIBRINOLYSIS, 1ST DAY",2040.0,2040.0,,,0 HCPCS,32561,Lyse chest fibrin init day,,,655.08,1735.96,7 HCPCS,32562,"HC INSTILL VIA CHEST TUBE AGENT FOR FIBRINOLYSIS, SUBSEQUENT",2040.0,2040.0,,,0 HCPCS,32562,Lyse chest fibrin subq day,,,655.08,1735.96,7 HCPCS,32601,Thoracoscopy diagnostic,,,6313.22,16730.03,7 HCPCS,32604,Thoracoscopy wbx sac,,,11100.51,29416.36,7 HCPCS,32606,Thoracoscopy w/bx med space,,,6313.22,16730.03,7 HCPCS,32607,Thoracoscopy w/bx infiltrate,,,11100.51,29416.36,7 HCPCS,32608,Thoracoscopy w/bx nodule,,,11100.51,29416.36,7 HCPCS,32609,Thoracoscopy w/bx pleura,,,6313.22,16730.03,7 HCPCS,32960,Therapeutic pneumothorax,,,655.08,1735.96,7 HCPCS,32994,Ablate pulm tumor perq crybl,,,11100.51,29416.36,7 HCPCS,32998,"HC PERQ RADIOFREQ ABLATION TX, PUL TUMOR",27849.0,27849.0,,,0 HCPCS,32998,Perq rf ablate tx pul tumor,,,6313.22,16730.03,7 HCPCS,32999,Chest surgery procedure,,,655.08,1735.96,7 HCPCS,32999,HC PLEURAL TUNNELED CATHETER EXCHANGE SAME ACCESS,1812.0,1812.0,,,0 HCPCS,33016,HC PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED,5267.0,5267.0,,,0 HCPCS,33016,Pericardiocentesis w/imaging,,,1643.86,4356.22,7 HCPCS,33017,HC PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY,2730.0,2730.0,,,0 HCPCS,33019,HC PERICARDIO DRAIN INDWELLING CATH PERQ W/CT GUIDANCE,16180.0,16180.0,,,0 HCPCS,33206,HC INSER HART PACER XVENOUS ATRIAL,27737.0,27737.0,,,0 HCPCS,33206,Insert heart pm atrial,,,10914.8,28924.22,7 HCPCS,33207,HC INSER HART PACER XVENOUS VENTR,27737.0,27737.0,,,0 HCPCS,33207,Insert heart pm ventricular,,,10914.8,28924.22,7 HCPCS,33208,HC INSER HART PACER XVENOUS ATR/VENTR,27737.0,27737.0,,,0 HCPCS,33208,HC INSERT HART PACER XVENOUS ATR/VENTR,27737.0,27737.0,,,0 HCPCS,33208,Insrt heart pm atrial & vent,,,10914.8,28924.22,7 HCPCS,33210,HC CCL INSER HEART TEMP PACER ONE CHMBR,27737.0,27737.0,,,0 HCPCS,33210,HC INSER HEART TEMP PACER ONE CHMBR,27737.0,27737.0,,,0 HCPCS,33210,Insert electrd/pm cath sngl,,,8641.82,22900.81,7 HCPCS,33211,Insert card electrodes dual,,,8641.82,22900.81,7 HCPCS,33212,HC EP INSERT PULSE GENER ONE CHMBR,27737.0,27737.0,,,0 HCPCS,33212,Insert pulse gen sngl lead,,,8641.82,22900.81,7 HCPCS,33213,HC CCL INSERT PULSE GENER DUAL CHMBR,27737.0,27737.0,,,0 HCPCS,33213,HC INSERT PULSE GENER DUAL CHMBR,27737.0,27737.0,,,0 HCPCS,33213,Insert pulse gen dual leads,,,10914.8,28924.22,7 HCPCS,33214,HC CCL UPGRADE OF PACEMAKER SYSTEM,27737.0,27737.0,,,0 HCPCS,33214,HC UPGRADE OF PACEMAKER SYSTEM,27737.0,27737.0,,,0 HCPCS,33214,Upgrade of pacemaker system,,,10914.8,28924.22,7 HCPCS,33215,HC CCL RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE,27737.0,27737.0,,,0 HCPCS,33215,HC RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE,27737.0,27737.0,,,0 HCPCS,33215,Reposition pacing-defib lead,,,3297.29,8737.82,7 HCPCS,33216,HC CCL INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,27737.0,27737.0,,,0 HCPCS,33216,HC INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,27737.0,27737.0,,,0 HCPCS,33216,Insert 1 electrode pm-defib,,,8641.82,22900.81,7 HCPCS,33217,HC CCL INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,27737.0,27737.0,,,0 HCPCS,33217,HC INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB,27737.0,27737.0,,,0 HCPCS,33217,Insert 2 electrode pm-defib,,,8641.82,22900.81,7 HCPCS,33218,HC CCL RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB,27737.0,27737.0,,,0 HCPCS,33218,HC RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB,27737.0,27737.0,,,0 HCPCS,33218,Repair lead pace-defib one,,,3902.43,10341.44,7 HCPCS,33220,HC CCL RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB,12988.0,12988.0,,,0 HCPCS,33220,HC RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB,12998.0,12998.0,,,0 HCPCS,33220,Repair lead pace-defib dual,,,3902.43,10341.44,7 HCPCS,33221,HC EP INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS,27737.0,27737.0,,,0 HCPCS,33221,Insert pulse gen mult leads,,,20114.58,53303.64,7 HCPCS,33222,HC CCL RELOCATION OF SKIN POCKET FOR PACEMAKER,27737.0,27737.0,,,0 HCPCS,33222,HC RELOCATION OF SKIN POCKET FOR PACEMAKER,27737.0,27737.0,,,0 HCPCS,33222,Relocation pocket pacemaker,,,2154.64,5709.8,7 HCPCS,33223,HC CCL RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR,27737.0,27737.0,,,0 HCPCS,33223,HC RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR,27737.0,27737.0,,,0 HCPCS,33223,Relocate pocket for defib,,,2154.64,5709.8,7 HCPCS,33224,HC INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN,27737.0,27737.0,,,0 HCPCS,33224,Insert pacing lead & connect,,,10914.8,28924.22,7 HCPCS,33225,HC CCL INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN,27737.0,27737.0,,,0 HCPCS,33225,HC INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN,27737.0,27737.0,,,0 HCPCS,33226,HC CCL REPOSIT PREV IMPLANTED CARDIAC ELECTRODE,10805.0,10805.0,,,0 HCPCS,33226,HC REPOSIT PREV IMPLANTED CARDIAC ELECTRODE,10805.0,10805.0,,,0 HCPCS,33226,Reposition l ventric lead,,,3297.29,8737.82,7 HCPCS,33227,HC CCL REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD,27737.0,27737.0,,,0 HCPCS,33227,HC REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD,27737.0,27737.0,,,0 HCPCS,33227,Remove&replace pm gen singl,,,8641.82,22900.81,7 HCPCS,33228,HC REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS,27737.0,27737.0,,,0 HCPCS,33228,Remv&replc pm gen dual lead,,,10914.8,28924.22,7 HCPCS,33229,HC CCL REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD,27737.0,27737.0,,,0 HCPCS,33229,HC REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD,27737.0,27737.0,,,0 HCPCS,33229,Remv&replc pm gen mult leads,,,20114.58,53303.64,7 HCPCS,33230,HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS,27737.0,27737.0,,,0 HCPCS,33230,Insrt pulse gen w/dual leads,,,23228.5,61555.52,7 HCPCS,33231,HC EP INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS,27737.0,27737.0,,,0 HCPCS,33231,Insrt pulse gen w/mult leads,,,32778.73,86863.64,7 HCPCS,33233,HC CCL REMV PERM PACER GENERATOR,27737.0,27737.0,,,0 HCPCS,33233,HC REMV PERM PACER GENERATOR,27737.0,27737.0,,,0 HCPCS,33233,Removal of pm generator,,,8641.82,22900.81,7 HCPCS,33234,"HC CCL REMV TRANSVEN PACER ELECTRODE,1 LEAD",27737.0,27737.0,,,0 HCPCS,33234,"HC REMV TRANSVEN PACER ELECTRODE,1 LEAD",27737.0,27737.0,,,0 HCPCS,33234,Removal of pacemaker system,,,3902.43,10341.44,7 HCPCS,33235,"HC CCL REMV TRANSVEN PACER ELECTRODE,2 LEAD",27737.0,27737.0,,,0 HCPCS,33235,"HC REMV TRANSVEN PACER ELECTRODE,2 LEAD",27737.0,27737.0,,,0 HCPCS,33235,Removal pacemaker electrode,,,3902.43,10341.44,7 HCPCS,33240,HC CCL INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD,27737.0,27737.0,,,0 HCPCS,33240,HC INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD,27737.0,27737.0,,,0 HCPCS,33240,Insrt pulse gen w/singl lead,,,23228.5,61555.52,7 HCPCS,33241,HC CCL REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY,27737.0,27737.0,,,0 HCPCS,33241,HC REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY,27737.0,27737.0,,,0 HCPCS,33241,Remove pulse generator,,,3902.43,10341.44,7 HCPCS,33244,HC CCL RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ,27737.0,27737.0,,,0 HCPCS,33244,HC RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ,27737.0,27737.0,,,0 HCPCS,33244,Remove elctrd transvenously,,,3902.43,10341.44,7 HCPCS,33249,HC CCL INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR,27737.0,27737.0,,,0 HCPCS,33249,HC INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR,27737.0,27737.0,,,0 HCPCS,33249,Insj/rplcmt defib w/lead(s),,,32778.73,86863.64,7 HCPCS,33262,HC CCL RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD,27737.0,27737.0,,,0 HCPCS,33262,HC RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD,27737.0,27737.0,,,0 HCPCS,33262,Rmvl& replc pulse gen 1 lead,,,23228.5,61555.52,7 HCPCS,33263,HC CCL RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD,27737.0,27737.0,,,0 HCPCS,33263,HC RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD,27737.0,27737.0,,,0 HCPCS,33263,Rmvl & rplcmt dfb gen 2 lead,,,23228.5,61555.52,7 HCPCS,33264,HC CCL RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD,27737.0,27737.0,,,0 HCPCS,33264,HC RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD,27737.0,27737.0,,,0 HCPCS,33264,Rmvl & rplcmt dfb gen mlt ld,,,32778.73,86863.64,7 HCPCS,33270,HC INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD,27737.0,27737.0,,,0 HCPCS,33270,Ins/rep subq defibrillator,,,32778.73,86863.64,7 HCPCS,33271,HC INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,27737.0,27737.0,,,0 HCPCS,33271,Insj subq impltbl dfb elctrd,,,8641.82,22900.81,7 HCPCS,33272,HC EP RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE,27737.0,27737.0,,,0 HCPCS,33272,Rmvl of subq defibrillator,,,3902.43,10341.44,7 HCPCS,33273,HC EP REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB,27737.0,27737.0,,,0 HCPCS,33273,Repos prev impltbl subq dfb,,,3902.43,10341.44,7 HCPCS,33274,HC TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG,27737.0,27737.0,,,0 HCPCS,33274,Tcat insj/rpl perm ldls pm,,,20114.58,53303.64,7 HCPCS,33275,HC TCAT REMOVE PERM LEADLESS PACEMAKER RV W/IMG,27737.0,27737.0,,,0 HCPCS,33275,Tcat rmvl perm ldls pm,,,3297.29,8737.82,7 HCPCS,33276,HC INSERT PHRENIC NERVE STIMULATOR SYSTEM,80034.0,80034.0,,,0 HCPCS,33278,HC REM PHRENIC NSERVE STIMULATOR SYSTEM,5956.0,5956.0,,,0 HCPCS,33278,Rmvl phrnc nrv stim sys,,,3650.91,9674.91,7 HCPCS,33279,Rmvl phrnc nrv stim transvns,,,3650.91,9674.91,7 HCPCS,33280,Rmvl phrnc nrv stim pg only,,,3650.91,9674.91,7 HCPCS,33281,Reposg phrnc nrv stim trnsvn,,,3650.91,9674.91,7 HCPCS,33285,HC INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG,5047.0,5047.0,,,0 HCPCS,33285,Insj subq car rhythm mntr,,,8641.82,22900.81,7 HCPCS,33286,HC REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR,3618.0,3618.0,,,0 HCPCS,33286,Rmvl subq car rhythm mntr,,,739.49,1959.64,7 HCPCS,33287,HC REMOVE & REPLACE PHRENIC NERVE STIM PULSE GENERATOR,43741.0,43741.0,,,0 HCPCS,33287,Rmv&rplcmt phrnc nrv stim pg,,,32224.05,85393.72,7 HCPCS,33288,Rmv&rplcmt phrnc nrv stim ld,,,11636.08,30835.62,7 HCPCS,33289,HC RHC W/PLC PRESSURE SENSOR,15033.0,15033.0,,,0 HCPCS,33340,HC PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT,27737.0,27737.0,,,0 HCPCS,33361,HC CCL REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH,29488.0,29488.0,,,0 HCPCS,33361,HC REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH,29488.0,29488.0,,,0 HCPCS,33362,HC CCL REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH,51046.0,51046.0,,,0 HCPCS,33362,HC REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH,51046.0,51046.0,,,0 HCPCS,33363,HC CCL REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH,106940.0,106940.0,,,0 HCPCS,33363,HC REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH,106940.0,106940.0,,,0 HCPCS,33364,HC CATH REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH,47561.0,47561.0,,,0 HCPCS,33365,HC CATH REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH,75717.0,75717.0,,,0 HCPCS,33367,HC CATH REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH,47561.0,47561.0,,,0 HCPCS,33368,HC CATH REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH,47561.0,47561.0,,,0 HCPCS,33369,HC CATH REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH,47561.0,47561.0,,,0 HCPCS,33370,HC TCAT PLMT & RMVL CEPD PERQ,3587.0,3587.0,,,0 HCPCS,33418,HC CCL TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS,60780.0,60780.0,,,0 HCPCS,33418,HC TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS,60780.0,60780.0,,,0 HCPCS,33419,HC CCL TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS,37340.0,37340.0,,,0 HCPCS,33419,HC TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS,37340.0,37340.0,,,0 HCPCS,33477,HC CATH TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH,47561.0,47561.0,,,0 HCPCS,33741,"HC CATH ATRIAL SEPTOSTOMY,XVENOUS,BALLOON",25114.0,25114.0,,,0 HCPCS,33880,HC ENDOVASC TAA REPR INCL SUBCL,77238.0,77238.0,,,0 HCPCS,33881,HC ENDOVASC TAA REW/O SUBCL,89210.0,89210.0,,,0 HCPCS,33894,HC ENDOVASC STENT REP THRC/AA ACRS MAJ SIDE BRN,13765.0,13765.0,,,0 HCPCS,33895,HC ENDOVASC STENT REP THRC/AA X CRSG MAJ SIDE BRN,10945.0,10945.0,,,0 HCPCS,33897,HC PERC TRANSLUM ANGIOPLASTY NTARIVE/RECUR COA,13409.0,13409.0,,,0 HCPCS,33900,HC PERC PULM ART REVASC NORM INIT UNI,12449.0,12449.0,,,0 HCPCS,33900,Perq p-art revsc 1 nm nt uni,,,12055.35,31946.69,7 HCPCS,33901,HC PERC PULM ART REVASC NORM INIT BIL,12449.0,12449.0,,,0 HCPCS,33901,Perq p-art revsc 1 nm nt bi,,,12055.35,31946.69,7 HCPCS,33902,HC PERC PULM ART REVASC ABN INIT UNI,20145.0,20145.0,,,0 HCPCS,33902,Perq p-art revsc 1 abnor uni,,,19143.34,50729.86,7 HCPCS,33903,HC PERC PULM ART REVASC ABN INIT BIL,12449.0,12449.0,,,0 HCPCS,33903,Perq p-art revsc 1 abnor bi,,,12055.35,31946.69,7 HCPCS,33946,HC ECMO/ECLS INITIATION VENO-VENUS,17654.0,17654.0,,,0 HCPCS,33947,HC ECMO/ECLS INITIATION VENO_ARTERIAL,13252.0,13252.0,,,0 HCPCS,33948,HC ECMO/ECLS DAILY MANAGEMENT VENOUS,4820.0,4820.0,,,0 HCPCS,33949,HC ECMO/ECLS DAILY MANAGEMENT ARTERIAL,4820.0,4820.0,,,0 HCPCS,33966,HC ECMO/ECLS PERIPH CANNULA REM PRQ 6+ YRS,9125.0,9125.0,,,0 HCPCS,33967,HC INSERT INTRA-AORTIC BALLOON ASST DEVICE,6967.0,6967.0,,,0 HCPCS,33968,HC RMV AORTIC BALLOON DEVICE,6967.0,6967.0,,,0 HCPCS,33975,"HC INSERT EXTRACORPOREAL VAD, SGL VENTRICLE",6967.0,6967.0,,,0 HCPCS,33990,HC CCL INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY,6967.0,6967.0,,,0 HCPCS,33990,HC INSJ PERQ VAD W/IMAGING ARTERY ACCESS ONLY,6967.0,6967.0,,,0 HCPCS,33991,HC CATH INSJ PERQ VAD TRNSPTAL W/IMAGE ART&VENOUS ACCESS,27737.0,27737.0,,,0 HCPCS,33992,HC CCL REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION,6967.0,6967.0,,,0 HCPCS,33992,HC REMOVAL PERCUTANEOUS VAD DIFFERENT SESSION,6967.0,6967.0,,,0 HCPCS,33993,HC REPOSITION VAD W/IMAGING DIFFERENT SESSION,6967.0,6967.0,,,0 HCPCS,33995,HC INSERT PERQ VAD R HRT VENOUS,27737.0,27737.0,,,0 HCPCS,33999,Cardiac surgery procedure,,,655.08,1735.96,7 HCPCS,33999,HC CARDIAC CATH LAB PROCEDURE UNLIST,2040.0,2040.0,,,0 HCPCS,33999,HC CARDIAC SURG PROCEDURE UNLIST,2040.0,2040.0,,,0 HCPCS,34101,Removal of artery clot,,,5810.88,15398.82,7 HCPCS,34111,Removal of arm artery clot,,,5810.88,15398.82,7 HCPCS,34201,Removal of artery clot,,,5810.88,15398.82,7 HCPCS,34203,Removal of leg artery clot,,,5810.88,15398.82,7 HCPCS,34421,Removal of vein clot,,,3297.29,8737.82,7 HCPCS,34471,Removal of vein clot,,,655.08,1735.96,7 HCPCS,34490,Removal of vein clot,,,3297.29,8737.82,7 HCPCS,34501,Repair valve femoral vein,,,5810.88,15398.82,7 HCPCS,34510,Transposition of vein valve,,,5810.88,15398.82,7 HCPCS,34520,Cross-over vein graft,,,5810.88,15398.82,7 HCPCS,34530,Leg vein fusion,,,3297.29,8737.82,7 HCPCS,34701,HC CCL EVASC RPR A-AO NON-RUPTRE,81182.0,81182.0,,,0 HCPCS,34705,HC EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT,14560.0,14560.0,,,0 HCPCS,34707,HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT,81182.0,81182.0,,,0 HCPCS,34708,HC EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT,100190.0,100190.0,,,0 HCPCS,34709,HC PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR,16469.0,16469.0,,,0 HCPCS,34710,HC DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL,89210.0,89210.0,,,0 HCPCS,34711,HC DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL,16469.0,16469.0,,,0 HCPCS,34712,HC TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I,9793.0,9793.0,,,0 HCPCS,34713,HC PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT,14542.0,14542.0,,,0 HCPCS,34717,HC EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI,27840.0,27840.0,,,0 HCPCS,34718,HC ENDOVASC REPAIR ILIAC ART SEPARATE PROCEDURE NON-RUPTURE UNILAT,29102.0,29102.0,,,0 HCPCS,34812,HC OPN FEM ART EXPOS DLVR EVASC PROSTH UNI,9045.0,9045.0,,,0 HCPCS,34834,HC CCL OPN BRACH ART EXPOS LT,8224.0,8224.0,,,0 HCPCS,35011,Repair defect of artery,,,5810.88,15398.82,7 HCPCS,35045,Repair defect of arm artery,,,5810.88,15398.82,7 HCPCS,35180,Repair blood vessel lesion,,,1643.86,4356.22,7 HCPCS,35184,HC REPAIR CONGENITAL AV FISTULA EXTREMITY,12920.0,12920.0,,,0 HCPCS,35184,Repair blood vessel lesion,,,3297.29,8737.82,7 HCPCS,35188,Repair blood vessel lesion,,,5810.88,15398.82,7 HCPCS,35190,Repair blood vessel lesion,,,5810.88,15398.82,7 HCPCS,35201,Repair blood vessel lesion,,,5810.88,15398.82,7 HCPCS,35206,Repair blood vessel lesion,,,3297.29,8737.82,7 HCPCS,35207,Repair blood vessel lesion,,,3297.29,8737.82,7 HCPCS,35226,HC REP BLOOD VES LWR EXTREM DIRECT,4606.0,4606.0,,,0 HCPCS,35226,Repair blood vessel lesion,,,739.49,1959.64,7 HCPCS,35231,Repair blood vessel lesion,,,3297.29,8737.82,7 HCPCS,35236,Repair blood vessel lesion,,,5810.88,15398.82,7 HCPCS,35256,Repair blood vessel lesion,,,5810.88,15398.82,7 HCPCS,35261,Repair blood vessel lesion,,,3297.29,8737.82,7 HCPCS,35266,Repair blood vessel lesion,,,5810.88,15398.82,7 HCPCS,35286,Repair blood vessel lesion,,,5810.88,15398.82,7 HCPCS,35321,Rechanneling of artery,,,5810.88,15398.82,7 HCPCS,35355,HC THROMBOENDARTERECTOMY W/ W/O PATCH GRAFT ILIOFEMORAL,93671.0,93671.0,,,0 HCPCS,35371,HC THROMBOENDARTECTMY FEMORAL COMMON,93671.0,93671.0,,,0 HCPCS,35372,Rechanneling of artery,,,5810.88,15398.82,7 HCPCS,35800,Explore neck vessels,,,5810.88,15398.82,7 HCPCS,35860,Explore limb vessels,,,3297.29,8737.82,7 HCPCS,35875,"HC THROMBECTOMY A-V GRAFT, EXC HEMODIALYSIS",5042.0,5042.0,,,0 HCPCS,35875,Removal of clot in graft,,,5810.88,15398.82,7 HCPCS,35876,Removal of clot in graft,,,5810.88,15398.82,7 HCPCS,35879,Revise graft w/vein,,,5810.88,15398.82,7 HCPCS,35881,Revise graft w/vein,,,5810.88,15398.82,7 HCPCS,35883,Revise Graft w/Nonauto Graft,,,5810.88,15398.82,7 HCPCS,35884,Revise graft w/vein,,,5810.88,15398.82,7 HCPCS,35903,Excision graft extremity,,,3297.29,8737.82,7 HCPCS,36000,HC PLACE NEEDLE IN VEIN,348.0,348.0,,,0 HCPCS,36002,HC INJECTION RX EXTREMITY PSEUDOANEURYSM,1773.0,1773.0,,,0 HCPCS,36002,Pseudoaneurysm injection trt,,,655.08,1735.96,7 HCPCS,36005,"HC INJECTION PROC,EXTREMITY,VENOGRAPHY",486.0,486.0,,,0 HCPCS,36010,"HC PLACE CATH IN VEIN,SVC,IVC",2346.0,2346.0,,,0 HCPCS,36011,"HC PLACE CATH IN VEIN,SELECT",1936.0,1936.0,,,0 HCPCS,36012,"HC PLACE CATH IN VEIN,SUBSELECT",3307.0,3307.0,,,0 HCPCS,36013,"HC PLACE CATH IN RT HRT,MAIN PULM ART",2374.0,2374.0,,,0 HCPCS,36014,HC PLACE CATH IN LT/RT PULM ART,2280.0,2280.0,,,0 HCPCS,36015,HC PLACE CATH IN SUBSEGMT PULM ART,2576.0,2576.0,,,0 HCPCS,36100,HC PLACE CATH CAROT/VERT ART,360.0,360.0,,,0 HCPCS,36140,HC INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY,1928.0,1928.0,,,0 HCPCS,36160,HC PLACE CATH AORTA VIA TRANSLUMBAR,1460.0,1460.0,,,0 HCPCS,36200,HC PLACE CATH AORTA,2214.0,2214.0,,,0 HCPCS,36215,"HC PLACE CATH SELECTIVE ART,NECK",3634.0,3634.0,,,0 HCPCS,36216,"HC PLACE CATH SUBSELECT ART,NECK",4609.0,4609.0,,,0 HCPCS,36217,"HC PLACE CATH SUBSUBSELECT ART,NECK",4340.0,4340.0,,,0 HCPCS,36218,"HC PLACE CATH ADDN SUBSELEC ART,NECK",905.0,905.0,,,0 HCPCS,36221,HC NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART,14035.0,14035.0,,,0 HCPCS,36221,Place cath thoracic aorta,,,3297.29,8737.82,7 HCPCS,36222,HC SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART,14905.0,14905.0,,,0 HCPCS,36222,Place cath carotid/inom art,,,3297.29,8737.82,7 HCPCS,36223,HC SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART,14905.0,14905.0,,,0 HCPCS,36223,Place cath carotid/inom art,,,5810.88,15398.82,7 HCPCS,36224,HC SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART,24374.0,24374.0,,,0 HCPCS,36224,Place cath carotd art,,,5810.88,15398.82,7 HCPCS,36225,HC SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY,14905.0,14905.0,,,0 HCPCS,36225,Place cath subclavian art,,,3297.29,8737.82,7 HCPCS,36226,HC SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY,24374.0,24374.0,,,0 HCPCS,36226,Place cath vertebral art,,,5810.88,15398.82,7 HCPCS,36227,HC SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC,14901.0,14901.0,,,0 HCPCS,36228,HC SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT,14905.0,14905.0,,,0 HCPCS,36245,"HC PLACE CATH SELECT ART,ABD/PEL",1875.0,1875.0,,,0 HCPCS,36246,"HC PLACE CATH SUBSELECT ART,ABD/PEL",4543.0,4543.0,,,0 HCPCS,36247,"HC PLACE CATH SUBSUBSELECT ART,ABD/PEL",4507.0,4507.0,,,0 HCPCS,36248,"HC PLACE CATH ADDN SUBSEL ART,ABD/PEL",905.0,905.0,,,0 HCPCS,36251,HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UNI,18397.0,18397.0,,,0 HCPCS,36251,Ins cath ren art 1st unilat,,,3297.29,8737.82,7 HCPCS,36252,HC SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BILAT,27595.0,27595.0,,,0 HCPCS,36252,Ins cath ren art 1st bilat,,,3297.29,8737.82,7 HCPCS,36253,HC SUPSLCTV CATH 2ND+ORD RENL&ACCES ARTERY/S&I UNI,18397.0,18397.0,,,0 HCPCS,36253,Ins cath ren art 2nd+ unilat,,,5810.88,15398.82,7 HCPCS,36254,HC SUPSLCTV CATH 2ND+ORD RENL&ACCES ARTER/S&I BILAT,27595.0,27595.0,,,0 HCPCS,36254,Ins cath ren art 2nd+ bilat,,,3297.29,8737.82,7 HCPCS,36260,HC INSRT ARTERIAL INFUS PUMP,18001.0,18001.0,,,0 HCPCS,36260,Insertion of infusion pump,,,5810.88,15398.82,7 HCPCS,36261,Revision of infusion pump,,,3902.43,10341.44,7 HCPCS,36262,Removal of infusion pump,,,3902.43,10341.44,7 HCPCS,36299,HC VESSEL INJECTION PROCEDURE UNLISTED,1406.0,1406.0,,,0 HCPCS,36415,"HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE",21.5,21.5,,,0 HCPCS,36415,Routine venipuncture,,,9.34,24.75,7 HCPCS,36416,HC CHG COLLECTION CAPILLARY BLOOD SPECIMEN - DRAW CHARGE,161.0,161.0,,,0 HCPCS,36416,HC CHG COLLECTION CAPILLARY BLOOD SPECIMEN - RESPIRATORY,161.0,161.0,,,0 HCPCS,36420,Vein access cutdown < 1 yr,,,138.94,368.19,7 HCPCS,36425,Vein access cutdown > 1 yr,,,466.5,1236.24,7 HCPCS,36430,Blood transfusion service,,,460.71,1220.88,7 HCPCS,36430,HC BLOOD TRANSFUSION SERVICE,2045.0,2045.0,,,0 HCPCS,36440,Bl push transfuse 2 yr/<,,,460.71,1220.88,7 HCPCS,36450,Bl exchange/transfuse nb,,,460.71,1220.88,7 HCPCS,36455,Bl exchange/transfuse non-nb,,,460.71,1220.88,7 HCPCS,36456,Prtl exchange transfuse nb,,,460.71,1220.88,7 HCPCS,36460,HC INTRAUTERINE TRANSFUSION FETAL,2751.0,2751.0,,,0 HCPCS,36460,Transfusion service fetal,,,460.71,1220.88,7 HCPCS,36465,Njx noncmpnd sclrsnt 1 vein,,,2154.64,5709.8,7 HCPCS,36466,Njx noncmpnd sclrsnt mlt vn,,,2154.64,5709.8,7 HCPCS,36468,Injection(s) spider veins,,,424.52,1124.97,7 HCPCS,36470,HC INJECTION SCLEROSANT SINGLE INCMPTNT VEIN,387.0,387.0,,,0 HCPCS,36470,Injection therapy of vein,,,424.52,1124.97,7 HCPCS,36471,"HC INJECTION THERAPY VEIN,MULT VEINS",2567.0,2567.0,,,0 HCPCS,36471,Injection therapy of veins,,,424.52,1124.97,7 HCPCS,36473,Endovenous mchnchem 1st vein,,,3297.29,8737.82,7 HCPCS,36474,HC ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS,6164.0,6164.0,,,0 HCPCS,36475,Endovenous rf 1st vein,,,3297.29,8737.82,7 HCPCS,36475,"HC ENDOVENOUS RF, 1ST VEIN",13659.0,13659.0,,,0 HCPCS,36476,"HC ENDOVENOUS RF, VEIN ADD-ON",11070.0,11070.0,,,0 HCPCS,36478,Endovenous laser 1st vein,,,3297.29,8737.82,7 HCPCS,36478,"HC ENDOVENOUS LASER, 1ST VEIN",10805.0,10805.0,,,0 HCPCS,36479,HC ENDOVENOUS LASER VEIN ADDON,11070.0,11070.0,,,0 HCPCS,36481,HC PERCUT PORTAL VEIN CATH,6777.0,6777.0,,,0 HCPCS,36482,Endoven ther chem adhes 1st,,,5810.88,15398.82,7 HCPCS,36500,HC VENOUS SELECT SAMPLING W CATH,1586.0,1586.0,,,0 HCPCS,36510,HC CATH UMBIL VEIN NEWBORN,883.0,883.0,,,0 HCPCS,36511,Apheresis wbc,,,1626.39,4309.93,7 HCPCS,36511,HC LEUKODEPLETION THERAPUTIC BY VENDOR,6302.0,6302.0,,,0 HCPCS,36511,"HC THER APHERESIS,WHITE BLOOD CELLS",6302.0,6302.0,,,0 HCPCS,36512,Apheresis rbc,,,1626.39,4309.93,7 HCPCS,36512,HC RBC DEPLETION BY VENDOR,3771.0,3771.0,,,0 HCPCS,36512,"HC THER APHERESIS,RED BLOOD CELLS",3771.0,3771.0,,,0 HCPCS,36513,Apheresis platelets,,,460.71,1220.88,7 HCPCS,36513,HC PLATELET DEPLETION BY VENDOR,13988.0,13988.0,,,0 HCPCS,36513,HC THERAPEUTIC APHERESIS - PLATELET DEPLETION,13988.0,13988.0,,,0 HCPCS,36514,Apheresis plasma,,,1626.39,4309.93,7 HCPCS,36514,"HC THER APHERESIS,PLASMA PHERESIS",8053.0,8053.0,,,0 HCPCS,36514,HC THERAPEUTIC PLASMA EXCHANGE BY VENDOR,8053.0,8053.0,,,0 HCPCS,36516,Apheresis selective,,,4548.36,12053.15,7 HCPCS,36522,HC PHOTOPHERESIS,19092.0,19092.0,,,0 HCPCS,36522,Photopheresis,,,4548.36,12053.15,7 HCPCS,36555,HC INSERT NON-TUNNEL CV CATH < 5 Y/O,10805.0,10805.0,,,0 HCPCS,36555,Insert non-tunnel cv cath,,,3297.29,8737.82,7 HCPCS,36556,HC INSERT NON-TUNNEL CV CATH,3777.0,3777.0,,,0 HCPCS,36556,Insert non-tunnel cv cath,,,3297.29,8737.82,7 HCPCS,36557,HC INSERT TUNNELED CV CATH W/O PORT OR PUMP < 5 Y/O,18001.0,18001.0,,,0 HCPCS,36557,Insert tunneled cv cath,,,5810.88,15398.82,7 HCPCS,36558,HC INSERT TUNNELED CV CATH W/O PORT OR PUMP,9393.0,9393.0,,,0 HCPCS,36558,Insert tunneled cv cath,,,3297.29,8737.82,7 HCPCS,36560,HC INSERT TUNNELED CV CATH WITH PORT <5 Y/O,10805.0,10805.0,,,0 HCPCS,36560,Insert tunneled cv cath,,,3297.29,8737.82,7 HCPCS,36561,HC INSERT TUNNELED CV CATH WITH PORT,9393.0,9393.0,,,0 HCPCS,36561,Insert tunneled cv cath,,,3297.29,8737.82,7 HCPCS,36563,HC INSERT TUNNELED CV CATH WITH PUMP,7517.0,7517.0,,,0 HCPCS,36563,Insert tunneled cv cath,,,5810.88,15398.82,7 HCPCS,36565,"HC INSERT TUNNELED CV CATH W 2 ACCESS SITES, W/O PUMP OR PORT",10805.0,10805.0,,,0 HCPCS,36565,Insert tunneled cv cath,,,3297.29,8737.82,7 HCPCS,36566,"HC INSERT TUNNELED CV CATH W 2 ACCESS SITES, W/ PUMP OR PORT",18001.0,18001.0,,,0 HCPCS,36566,Insert tunneled cv cath,,,5810.88,15398.82,7 HCPCS,36568,HC INSERT PICC W/O SUB-Q PORT <5 Y/O,5307.0,5307.0,,,0 HCPCS,36568,Insert picc cath,,,1643.86,4356.22,7 HCPCS,36569,HC INSERTION PICC W/O IMG GDN 5 YR/>,4186.0,4186.0,,,0 HCPCS,36569,Insert picc cath,,,1643.86,4356.22,7 HCPCS,36570,HC INSERT PICC W/ SUB-Q PORT <5 Y/O,10805.0,10805.0,,,0 HCPCS,36570,Insert picvad cath,,,3297.29,8737.82,7 HCPCS,36571,HC INSERT PICC W/ SUB-Q PORT,9158.0,9158.0,,,0 HCPCS,36571,Insert picvad cath,,,3297.29,8737.82,7 HCPCS,36572,HC INSERTION PICC W/RS&I < 5 YR,2265.0,2265.0,,,0 HCPCS,36572,Insj picc rs&i <5 yr,,,655.08,1735.96,7 HCPCS,36573,HC INSERTION PICC W/RS&I 5 YR/>,5307.0,5307.0,,,0 HCPCS,36573,Insj picc rs&i 5 yr+,,,1643.86,4356.22,7 HCPCS,36575,HC REPAIR CV CATH W/O SUBQ PORT OR PUMP,2040.0,2040.0,,,0 HCPCS,36575,Repair tunneled cv cath,,,655.08,1735.96,7 HCPCS,36576,HC REPAIR CV CATH W SUBQ PORT OR PUMP,5307.0,5307.0,,,0 HCPCS,36576,Repair tunneled cv cath,,,1643.86,4356.22,7 HCPCS,36578,HC REPLACE TUNNELED CTR VAD W/SUBQ PORT/PUMP,13885.0,13885.0,,,0 HCPCS,36578,Replace tunneled cv cath,,,3297.29,8737.82,7 HCPCS,36580,HC REPLACE NON-TUNNELED CVC COMP W/O SUBQ PORT/PUMP,3268.0,3268.0,,,0 HCPCS,36580,Replace cvad cath,,,1643.86,4356.22,7 HCPCS,36581,HC REPLACE TUNNELED CVC COMP W/O SUBQ PORT/PUMP,7050.0,7050.0,,,0 HCPCS,36581,Replace tunneled cv cath,,,3297.29,8737.82,7 HCPCS,36582,HC REPLACE TUNNELED CTR VAD COMP W/SUBQ PORT,6968.0,6968.0,,,0 HCPCS,36582,Replace tunneled cv cath,,,3297.29,8737.82,7 HCPCS,36583,HC REPLACE TUNNELED CTR VAD COMP W/SUBQ PUMP,18001.0,18001.0,,,0 HCPCS,36583,Replace tunneled cv cath,,,5810.88,15398.82,7 HCPCS,36584,HC REPLACE PICC COMP W/ S&I,4013.0,4013.0,,,0 HCPCS,36584,Replace picc cath,,,1643.86,4356.22,7 HCPCS,36585,HC REPLACE PERIPH CTR VAD COMP W/ SUBQ PORT,15352.0,15352.0,,,0 HCPCS,36585,Replace picvad cath,,,3297.29,8737.82,7 HCPCS,36589,HC REMOVAL TUNNELED CV CATH W/O SUBQ PORT OR PUMP,5535.0,5535.0,,,0 HCPCS,36589,Removal tunneled cv cath,,,655.08,1735.96,7 HCPCS,36590,HC REMOVAL TUNNELED CV CATH W SUBQ PORT OR PUMP,3480.0,3480.0,,,0 HCPCS,36590,Removal tunneled cv cath,,,1643.86,4356.22,7 HCPCS,36591,Draw blood off venous device,,,138.94,368.19,7 HCPCS,36591,HC COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE,324.0,324.0,,,0 HCPCS,36592,Collect blood from picc,,,138.94,368.19,7 HCPCS,36592,HC COLLECT BLOOD FROM CATHETER VENOUS NOS,324.0,324.0,,,0 HCPCS,36593,Declot vascular device,,,344.93,914.07,7 HCPCS,36593,HC DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH,902.0,902.0,,,0 HCPCS,36595,HC MECH REMOV PERICATH OBSTR CV DEV VIA VEN ACCESS,3130.0,3130.0,,,0 HCPCS,36595,Mech remov tunneled cv cath,,,3297.29,8737.82,7 HCPCS,36596,HC MECH REMOV INTRALUM OBSTR CV DEV THRU LUMEN,3475.0,3475.0,,,0 HCPCS,36596,Mech remov tunneled cv cath,,,1643.86,4356.22,7 HCPCS,36597,HC REPOSITION VENOUS CATHETER,4195.0,4195.0,,,0 HCPCS,36597,Reposition venous catheter,,,1643.86,4356.22,7 HCPCS,36598,"HC CONTRAST INJ CENT VEN CATH, INC FLOURO",1397.0,1397.0,,,0 HCPCS,36598,Inj w/fluor eval cv device,,,222.12,588.62,7 HCPCS,36600,HC WITHDRAWAL OF ARTERIAL BLOOD,211.0,211.0,,,0 HCPCS,36600,Withdrawal of arterial blood,,,138.94,368.19,7 HCPCS,36620,"HC INSERT CATH,ART,PERCUT,SHORTTERM",491.0,491.0,,,0 HCPCS,36625,"HC INSERT CATH,ART,CUTDOWN",15504.0,15504.0,,,0 HCPCS,36640,Insertion catheter artery,,,3297.29,8737.82,7 HCPCS,36660,"HC CATH, UMBILICAL ARTERY",1932.0,1932.0,,,0 HCPCS,36680,"HC INSERT NEEDLE,INTRAOSSEOUS INFUSN",1001.0,1001.0,,,0 HCPCS,36680,Insert needle bone cavity,,,466.5,1236.24,7 HCPCS,36800,Insertion of cannula,,,5810.88,15398.82,7 HCPCS,36810,Insertion of cannula,,,3297.29,8737.82,7 HCPCS,36815,Insertion of cannula,,,5810.88,15398.82,7 HCPCS,36818,Av fuse uppr arm cephalic,,,5810.88,15398.82,7 HCPCS,36819,Av fuse uppr arm basilic,,,5810.88,15398.82,7 HCPCS,36820,Av fusion/forearm vein,,,5810.88,15398.82,7 HCPCS,36821,Av fusion direct any site,,,3297.29,8737.82,7 HCPCS,36825,Artery-vein autograft,,,5810.88,15398.82,7 HCPCS,36830,Artery-vein nonautograft,,,5810.88,15398.82,7 HCPCS,36831,Open thrombect av fistula,,,5810.88,15398.82,7 HCPCS,36832,Av fistula revision open,,,5810.88,15398.82,7 HCPCS,36833,Av fistula revision,,,5810.88,15398.82,7 HCPCS,36835,Artery to vein shunt,,,3297.29,8737.82,7 HCPCS,36836,Prq av fstl crtj uxtr 1 acs,,,19143.34,50729.86,7 HCPCS,36837,Prq av fstl crt uxtr sep acs,,,19143.34,50729.86,7 HCPCS,36838,Dist revas ligation hemo,,,5810.88,15398.82,7 HCPCS,36860,External cannula declotting,,,1643.86,4356.22,7 HCPCS,36860,HC EXT CANNULA DECLOTT WO BALLOON CATH,16035.0,16035.0,,,0 HCPCS,36861,Cannula declotting,,,5810.88,15398.82,7 HCPCS,36861,HC CANN DECLOT W/BALL CATH,18001.0,18001.0,,,0 HCPCS,36901,HC INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I,3784.0,3784.0,,,0 HCPCS,36901,Intro cath dialysis circuit,,,1643.86,4356.22,7 HCPCS,36902,HC INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP,30551.0,30551.0,,,0 HCPCS,36902,Intro cath dialysis circuit,,,5943.58,15750.49,7 HCPCS,36903,HC INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT,38139.0,38139.0,,,0 HCPCS,36903,Intro cath dialysis circuit,,,12055.35,31946.69,7 HCPCS,36904,HC PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH,15347.0,15347.0,,,0 HCPCS,36904,Thrmbc/nfs dialysis circuit,,,5943.58,15750.49,7 HCPCS,36905,HC PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP,42688.0,42688.0,,,0 HCPCS,36905,Thrmbc/nfs dialysis circuit,,,12055.35,31946.69,7 HCPCS,36906,HC PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT,50645.0,50645.0,,,0 HCPCS,36906,Thrmbc/nfs dialysis circuit,,,19143.34,50729.86,7 HCPCS,36907,HC TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I,22830.0,22830.0,,,0 HCPCS,36908,HC STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR,35282.0,35282.0,,,0 HCPCS,36909,HC DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I,46236.0,46236.0,,,0 HCPCS,37182,HC INSERT TRANSVEN INTRAHEP PORTOSYS SHUNT,15779.0,15779.0,,,0 HCPCS,37182,Insert hepatic shunt (tips),,,19143.34,50729.86,7 HCPCS,37183,HC REVIS TRANSVEN INTRAHEP PORTOSYS SHUNT,15779.0,15779.0,,,0 HCPCS,37183,Remove hepatic shunt (tips),,,5943.58,15750.49,7 HCPCS,37184,HC PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST,12419.0,12419.0,,,0 HCPCS,37184,Prim art m-thrmbc 1st vsl,,,19143.34,50729.86,7 HCPCS,37185,HC PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ,13395.0,13395.0,,,0 HCPCS,37186,HC SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL,10218.0,10218.0,,,0 HCPCS,37187,"HC PERCUT MECH THROMBECTOMY, VENOUS",14546.0,14546.0,,,0 HCPCS,37187,Venous mech thrombectomy,,,12055.35,31946.69,7 HCPCS,37188,"HC PERCUT MECH THROMBECTOMY, VENOUS, REPEAT",14612.0,14612.0,,,0 HCPCS,37188,Venous m-thrombectomy add-on,,,3297.29,8737.82,7 HCPCS,37191,HC INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I,9950.0,9950.0,,,0 HCPCS,37191,Ins endovas vena cava filtr,,,5810.88,15398.82,7 HCPCS,37192,Redo endovas vena cava filtr,,,3297.29,8737.82,7 HCPCS,37193,HC RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I,18789.0,18789.0,,,0 HCPCS,37193,Rem endovas vena cava filter,,,3297.29,8737.82,7 HCPCS,37195,"HC THROMBOLYSIS, CERBRAL, IV INF",2211.0,2211.0,,,0 HCPCS,37195,Thrombolytic therapy stroke,,,344.93,914.07,7 HCPCS,37197,HC PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING,14959.0,14959.0,,,0 HCPCS,37197,Remove intrvas foreign body,,,3297.29,8737.82,7 HCPCS,37200,HC TRANSCATHETER BIOPSY,3222.0,3222.0,,,0 HCPCS,37200,Transcatheter biopsy,,,5810.88,15398.82,7 HCPCS,37211,HC THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX,5277.0,5277.0,,,0 HCPCS,37211,Thrombolytic art therapy,,,5810.88,15398.82,7 HCPCS,37212,HC THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX,5277.0,5277.0,,,0 HCPCS,37212,Thrombolytic venous therapy,,,3297.29,8737.82,7 HCPCS,37213,HC THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX,11781.0,11781.0,,,0 HCPCS,37213,Thromblytic art/ven therapy,,,3297.29,8737.82,7 HCPCS,37214,Cessj therapy cath removal,,,3297.29,8737.82,7 HCPCS,37214,HC CESSATION THROMBOLYTIC THRPY W/CATHETER REMOVAL,11781.0,11781.0,,,0 HCPCS,37215,HC TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ,37996.0,37996.0,,,0 HCPCS,37216,HC TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ,35998.0,35998.0,,,0 HCPCS,37217,HC CATH TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE,37615.0,37615.0,,,0 HCPCS,37217,HC VASC TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE,37615.0,37615.0,,,0 HCPCS,37218,HC TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE,35998.0,35998.0,,,0 HCPCS,37220,"HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY, INITIAL VESSEL",26850.0,26850.0,,,0 HCPCS,37221,"HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY/STENT, INITIAL VESSEL",63562.0,63562.0,,,0 HCPCS,37222,"HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY, EA ADD VESSEL",21751.0,21751.0,,,0 HCPCS,37223,"HC REVASCULARIZE ILIAC ARTERY,ANGIOPLASTY/STENT, EA ADD VESSEL",52535.0,52535.0,,,0 HCPCS,37224,"HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY",26536.0,26536.0,,,0 HCPCS,37225,"HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/ATHERECTOMY",47145.0,47145.0,,,0 HCPCS,37226,"HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/STENT",63244.0,63244.0,,,0 HCPCS,37227,"HC REVASCULARIZE FEM/POP ARTERY,ANGIOPLASTY/STENT/ATHERECTOMY",83860.0,83860.0,,,0 HCPCS,37228,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY INITIAL",26497.0,26497.0,,,0 HCPCS,37229,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/ATHERECTOMY INITIAL",47117.0,47117.0,,,0 HCPCS,37230,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT INITIAL",63212.0,63212.0,,,0 HCPCS,37231,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT/ATHERECTOMY INIT",83829.0,83829.0,,,0 HCPCS,37232,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY EA ADD",21399.0,21399.0,,,0 HCPCS,37233,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/ATHERECTOMY EA ADD",39944.0,39944.0,,,0 HCPCS,37234,"HC REVASCULARIZE TIBIAL/PERON ARTERY,ANGIOPLASTY/STENT EA ADD",52181.0,52181.0,,,0 HCPCS,37235,HC CCL TIB/PER REVASC STNT AND ARTHRECTOMY ADDL,76080.0,76080.0,,,0 HCPCS,37236,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL,26772.0,26772.0,,,0 HCPCS,37236,Open/perq place stent 1st,,,12055.35,31946.69,7 HCPCS,37237,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL,13387.0,13387.0,,,0 HCPCS,37238,HC OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST,35282.0,35282.0,,,0 HCPCS,37238,Open/perq place stent same,,,12055.35,31946.69,7 HCPCS,37239,HC OPEN/PERQ PLACEMT INTRAVASC STENT SAME EA ADDL,26958.0,26958.0,,,0 HCPCS,37241,HC VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I,46236.0,46236.0,,,0 HCPCS,37241,Vasc embolize/occlude venous,,,12055.35,31946.69,7 HCPCS,37242,HC VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I,46236.0,46236.0,,,0 HCPCS,37242,Vasc embolize/occlude artery,,,19143.34,50729.86,7 HCPCS,37243,HC VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT,46221.0,46221.0,,,0 HCPCS,37243,Vasc embolize/occlude organ,,,12055.35,31946.69,7 HCPCS,37244,HC VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE,46236.0,46236.0,,,0 HCPCS,37244,Vasc embolize/occlude bleed,,,12055.35,31946.69,7 HCPCS,37246,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART,25205.0,25205.0,,,0 HCPCS,37246,Trluml balo angiop 1st art,,,5943.58,15750.49,7 HCPCS,37247,HC TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART,23061.0,23061.0,,,0 HCPCS,37248,HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN,36149.0,36149.0,,,0 HCPCS,37248,Trluml balo angiop 1st vein,,,5943.58,15750.49,7 HCPCS,37249,HC TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN,35917.0,35917.0,,,0 HCPCS,37252,HC INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL,11105.0,11105.0,,,0 HCPCS,37253,HC INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL,11105.0,11105.0,,,0 HCPCS,37254,Revsc evasc ivt angio sf 1st,,,5943.58,15750.49,7 HCPCS,37256,Revsc evasc ivt angio cplx 1,,,5943.58,15750.49,7 HCPCS,37258,Revsc evasc ivt stent sf 1st,,,12055.35,31946.69,7 HCPCS,37260,Revsc evasc ivt st cplx 1st,,,12055.35,31946.69,7 HCPCS,37263,Revsc evasc fpvt angio sf 1,,,5943.58,15750.49,7 HCPCS,37265,Revsc evsc fpvt angio cplx 1,,,5943.58,15750.49,7 HCPCS,37267,Revsc evsc fpvt stent sf 1st,,,12055.35,31946.69,7 HCPCS,37269,Revsc evasc fpvt st cplx 1st,,,12055.35,31946.69,7 HCPCS,37271,Revsc evsc fpvt athrc sf 1st,,,19143.34,50729.86,7 HCPCS,37273,Revsc evsc fpvt athrc cplx 1,,,19143.34,50729.86,7 HCPCS,37275,Rvsc evsc fpvt st athrc sf 1,,,19143.34,50729.86,7 HCPCS,37277,Rvsc evsc fpvt st athr cpx 1,,,19143.34,50729.86,7 HCPCS,37280,Revsc evsc tpvt angio sf 1st,,,12055.35,31946.69,7 HCPCS,37282,Rvsc evsc tpvt angio cplx 1,,,12055.35,31946.69,7 HCPCS,37284,Revsc evasc tpvt st sf 1st,,,19143.34,50729.86,7 HCPCS,37286,Revsc evasc tpvt st cplx 1st,,,19143.34,50729.86,7 HCPCS,37288,Revsc evsc tpvt athrc sf 1st,,,19143.34,50729.86,7 HCPCS,37290,Revsc evsc tpvt athrc cplx 1,,,19143.34,50729.86,7 HCPCS,37292,Rvsc evsc tpvt st athrc sf 1,,,19143.34,50729.86,7 HCPCS,37294,Rvsc evsc tpvt st athr cpx 1,,,19143.34,50729.86,7 HCPCS,37296,Revsc evasc imvt angio sf 1,,,12055.35,31946.69,7 HCPCS,37298,Revsc evsc imvt angio cplx 1,,,12055.35,31946.69,7 HCPCS,37501,Vascular endoscopy procedure,,,655.08,1735.96,7 HCPCS,37565,Ligation of neck vein,,,3297.29,8737.82,7 HCPCS,37600,Ligation of neck artery,,,3297.29,8737.82,7 HCPCS,37605,Ligation of neck artery,,,3297.29,8737.82,7 HCPCS,37606,Ligation of neck artery,,,3297.29,8737.82,7 HCPCS,37607,Ligation of a-v fistula,,,3297.29,8737.82,7 HCPCS,37609,HC LIGATION/BIOPSY TEMPORAL ARTERY,14755.0,14755.0,,,0 HCPCS,37609,Temporal artery procedure,,,1724.73,4570.53,7 HCPCS,37615,Ligation of neck artery,,,3297.29,8737.82,7 HCPCS,37617,Ligation of abdomen artery,,,5810.88,15398.82,7 HCPCS,37619,Ligation of inf vena cava,,,5810.88,15398.82,7 HCPCS,37650,Revision of major vein,,,3297.29,8737.82,7 HCPCS,37700,Revise leg vein,,,3297.29,8737.82,7 HCPCS,37718,Ligate/strip short leg vein,,,3297.29,8737.82,7 HCPCS,37722,Ligate/strip long leg vein,,,3297.29,8737.82,7 HCPCS,37735,Removal of leg veins/lesion,,,3297.29,8737.82,7 HCPCS,37760,Ligate leg veins radical,,,3297.29,8737.82,7 HCPCS,37761,Ligate leg veins open,,,3297.29,8737.82,7 HCPCS,37765,HC PHLEB VEINS - EXTREM - TO 20,10805.0,10805.0,,,0 HCPCS,37765,Stab phleb veins xtr 10-20,,,3297.29,8737.82,7 HCPCS,37766,HC PHLEB VEINS - EXTREM 20+,10805.0,10805.0,,,0 HCPCS,37766,Phleb veins - extrem 20+,,,3297.29,8737.82,7 HCPCS,37780,Revision of leg vein,,,3297.29,8737.82,7 HCPCS,37785,Ligate/divide/excise vein,,,3297.29,8737.82,7 HCPCS,37790,Penile venous occlusion,,,3681.06,9754.82,7 HCPCS,37799,HC VASCULAR SURGERY PROCEDURE UNLIST,10994.0,10994.0,,,0 HCPCS,37799,Vascular surgery procedure,,,655.08,1735.96,7 HCPCS,38120,Laparoscopy splenectomy,,,11100.51,29416.36,7 HCPCS,38129,Laparoscope proc spleen,,,6313.22,16730.03,7 HCPCS,38205,"HC PROG CELL HARVEST,TRANSPLANT,ALLOGENIC - TRANSPLANT",13706.0,13706.0,,,0 HCPCS,38206,"HC PROG CELL HARVEST,TRANSPLANT,AUTOLOGOUS",13706.0,13706.0,,,0 HCPCS,38206,Harvest auto stem cells,,,1626.39,4309.93,7 HCPCS,38207,Cryopreserve stem cells,,,460.71,1220.88,7 HCPCS,38207,HC ALLO CRYPRESERV STEM CELLS,5153.0,5153.0,,,0 HCPCS,38207,HC BONE MARROW CRYOPRESERVATION,5153.0,5153.0,,,0 HCPCS,38208,HC ALLOGENIC STEM CELL INFUSION,2514.0,2514.0,,,0 HCPCS,38208,HC AUTO STEM CELL REINFUSION,2751.0,2751.0,,,0 HCPCS,38208,HC BONE MARROW REINFUSION,2750.0,2750.0,,,0 HCPCS,38208,HC CORD BLOOD THAW HPC,2751.0,2751.0,,,0 HCPCS,38208,HC CORD BLOOD THAW HPC - DONOR,2572.0,2572.0,,,0 HCPCS,38208,Thaw preserved stem cells,,,460.71,1220.88,7 HCPCS,38209,HC CORD BLOOD WASH HPC LAB,2751.0,2751.0,,,0 HCPCS,38209,HC CORDBLOOD WASH HPC,2859.0,2859.0,,,0 HCPCS,38209,Wash harvest stem cells,,,460.71,1220.88,7 HCPCS,38210,"HC TRANS PREP CELLS,SPEC CELL DEPLETION",5153.0,5153.0,,,0 HCPCS,38210,T-cell depletion of harvest,,,460.71,1220.88,7 HCPCS,38211,"HC TRANS PREP CELLS,TUMOR CELL DEPLETE",5153.0,5153.0,,,0 HCPCS,38211,Tumor cell deplete of harvst,,,460.71,1220.88,7 HCPCS,38212,HC AUTOMATED RBC DEPLETION,1098.0,1098.0,,,0 HCPCS,38212,HC AUTOMATED RBC DEPLETION LAB,1098.0,1098.0,,,0 HCPCS,38212,HC MANUAL RBC DEPLETION,5153.0,5153.0,,,0 HCPCS,38212,Rbc depletion of harvest,,,460.71,1220.88,7 HCPCS,38213,"HC TRANS PREP CELLS,PLATELET DEPLETION",5153.0,5153.0,,,0 HCPCS,38213,Platelet deplete of harvest,,,460.71,1220.88,7 HCPCS,38214,HC PLASMA DEPLETION,615.0,615.0,,,0 HCPCS,38214,Volume deplete of harvest,,,460.71,1220.88,7 HCPCS,38215,HC CD34 ENRICHMENT LVL 1,31331.0,31331.0,,,0 HCPCS,38215,HC CD34 ENRICHMENT LVL 2,46999.0,46999.0,,,0 HCPCS,38215,Harvest stem cell concentrte,,,460.71,1220.88,7 HCPCS,38220,Bone marrow aspiration,,,1724.73,4570.53,7 HCPCS,38220,HC DIAGNOSTIC BONE MARROW ASPIRATIONS,5059.0,5059.0,,,0 HCPCS,38221,Bone marrow biopsy,,,1724.73,4570.53,7 HCPCS,38221,HC DIAGNOSTIC BONE MARROW BIOPSIES,5059.0,5059.0,,,0 HCPCS,38222,Dx bone marrow bx & aspir,,,3033.33,8038.33,7 HCPCS,38222,HC DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS,8714.0,8714.0,,,0 HCPCS,38225,HC CAR-T THERAPY HRVG BLD DRV T LMPHCYT PR DAY,13706.0,13706.0,,,0 HCPCS,38226,HC CAR-T THERAPY PREPJ BLD DRV T LMPHCYT F/TRNS,1538.0,1538.0,,,0 HCPCS,38227,HC CAR-T THERAPY RECEIPT & PREP CAR-T CELLS F/ADMN,5361.0,5361.0,,,0 HCPCS,38228,Car-t admn autologous,,,344.93,914.07,7 HCPCS,38228,HC CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION,5153.0,5153.0,,,0 HCPCS,38230,Bone marrow harvest allogen,,,1626.39,4309.93,7 HCPCS,38230,HC BONE MARROW COLLECTION,13706.0,13706.0,,,0 HCPCS,38232,Bone marrow harvest autolog,,,4548.36,12053.15,7 HCPCS,38232,HC BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS,13706.0,13706.0,,,0 HCPCS,38240,HC TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR,5361.0,5361.0,,,0 HCPCS,38241,HC TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR,5361.0,5361.0,,,0 HCPCS,38241,Transplt autol hct/donor,,,1626.39,4309.93,7 HCPCS,38242,HC ALLOGENEIC LYMPHOCYTE INFUSIONS,7250.0,7250.0,,,0 HCPCS,38242,HC ALLOGENEIC LYMPHOCYTE INFUSIONS - TRANSPLANT,9651.0,9651.0,,,0 HCPCS,38242,Transplt allo lymphocytes,,,1626.39,4309.93,7 HCPCS,38243,HC TRNSPLJ HEMATOPOIETIC CELL BOOST,2751.0,2751.0,,,0 HCPCS,38243,Transplj hematopoietic boost,,,1626.39,4309.93,7 HCPCS,38300,Drainage lymph node lesion,,,3033.33,8038.33,7 HCPCS,38305,Drainage lymph node lesion,,,3033.33,8038.33,7 HCPCS,38308,Incision of lymph channels,,,4088.81,10835.33,7 HCPCS,38500,Biopsy/removal lymph nodes,,,4088.81,10835.33,7 HCPCS,38500,"HC BIOPSY/REMOVAL LYMPH NODES, SUPERFICIAL",12458.0,12458.0,,,0 HCPCS,38505,"HC NEEDLE BIOPSY, LYMPH NODE(S)",4436.0,4436.0,,,0 HCPCS,38505,Needle biopsy lymph nodes,,,1724.73,4570.53,7 HCPCS,38510,Biopsy/removal lymph nodes,,,4088.81,10835.33,7 HCPCS,38520,Biopsy/removal lymph nodes,,,4088.81,10835.33,7 HCPCS,38525,Biopsy/removal lymph nodes,,,4088.81,10835.33,7 HCPCS,38525,"HC BIOPSY/EXCISION AXILLARY NODE, DEEP",13626.0,13626.0,,,0 HCPCS,38530,Biopsy/removal lymph nodes,,,4088.81,10835.33,7 HCPCS,38531,Open bx/exc inguinofem nodes,,,4088.81,10835.33,7 HCPCS,38542,Explore deep node(s) neck,,,6313.22,16730.03,7 HCPCS,38550,Removal neck/armpit lesion,,,4088.81,10835.33,7 HCPCS,38555,Removal neck/armpit lesion,,,6934.19,18375.6,7 HCPCS,38562,Removal pelvic lymph nodes,,,8535.3,22618.54,7 HCPCS,38570,Laparoscopy lymph node biop,,,6313.22,16730.03,7 HCPCS,38571,Laparoscopy lymphadenectomy,,,11100.51,29416.36,7 HCPCS,38572,Laparoscopy lymphadenectomy,,,11100.51,29416.36,7 HCPCS,38573,Laps pelvic lymphadec,,,11100.51,29416.36,7 HCPCS,38589,Laparoscope proc lymphatic,,,6313.22,16730.03,7 HCPCS,38700,Removal of lymph nodes neck,,,6934.19,18375.6,7 HCPCS,38720,Removal of lymph nodes neck,,,6934.19,18375.6,7 HCPCS,38740,Remove armpit lymph nodes,,,6313.22,16730.03,7 HCPCS,38745,Remove armpit lymph nodes,,,6313.22,16730.03,7 HCPCS,38760,Remove groin lymph nodes,,,6934.19,18375.6,7 HCPCS,38790,HC INJECTION FOR LYMPHATIC XRAY,2020.0,2020.0,,,0 HCPCS,38792,HC IDENTIFY SENTINEL NODE,1426.0,1426.0,,,0 HCPCS,38792,Ra tracer id of sentinl node,,,417.47,1106.3,7 HCPCS,38794,HC ACCESS THORACIC LYMPH DUCT,1569.0,1569.0,,,0 HCPCS,38999,Blood/lymph system procedure,,,460.71,1220.88,7 HCPCS,39401,Mediastinoscpy w/medstnl bx,,,6313.22,16730.03,7 HCPCS,39402,Mediastinoscpy w/lmph nod bx,,,6313.22,16730.03,7 HCPCS,40490,Biopsy of lip,,,247.34,655.44,7 HCPCS,40490,HC BIOPSY OF LIP,733.0,733.0,,,0 HCPCS,40500,Partial excision of lip,,,3462.26,9175.0,7 HCPCS,40510,Partial excision of lip,,,3462.26,9175.0,7 HCPCS,40520,Partial excision of lip,,,3462.26,9175.0,7 HCPCS,40525,Reconstruct lip with flap,,,3462.26,9175.0,7 HCPCS,40527,Reconstruct lip with flap,,,6181.95,16382.18,7 HCPCS,40530,Partial removal of lip,,,3462.26,9175.0,7 HCPCS,40650,"HC REPAIR LIP,FULL THICK,VERMILION",1707.0,1707.0,,,0 HCPCS,40650,Repair lip,,,563.21,1492.5,7 HCPCS,40652,"HC REPAIR LIP,<1/2 VERT HEIGHT",1707.0,1707.0,,,0 HCPCS,40652,Repair lip,,,563.21,1492.5,7 HCPCS,40654,HC REPAIR LIP >1/2 VERT HEIGHT/COMPLEX,5107.0,5107.0,,,0 HCPCS,40654,Repair lip,,,1620.29,4293.76,7 HCPCS,40700,Repair cleft lip/nasal,,,6181.95,16382.18,7 HCPCS,40701,Repair cleft lip/nasal,,,6181.95,16382.18,7 HCPCS,40702,Repair cleft lip/nasal,,,6181.95,16382.18,7 HCPCS,40720,Repair cleft lip/nasal,,,3462.26,9175.0,7 HCPCS,40761,Repair cleft lip/nasal,,,6181.95,16382.18,7 HCPCS,40799,Lip surgery procedure,,,247.34,655.44,7 HCPCS,40800,Drainage of mouth lesion,,,739.49,1959.64,7 HCPCS,40800,"HC DRAIN MOUTH ABSC/CYST/HEMATOMA,SIMPL",1145.0,1145.0,,,0 HCPCS,40801,Drainage of mouth lesion,,,563.21,1492.5,7 HCPCS,40801,"HC DRAIN MOUTH ABSC/CYST/HEMATOMA,COMP",1707.0,1707.0,,,0 HCPCS,40804,HC REMV FB MOUTH VESTIBULE SIMPL,2782.0,2782.0,,,0 HCPCS,40804,Removal foreign body mouth,,,947.15,2509.94,7 HCPCS,40805,HC REMV FB MOUTH VESTIBULE COMP,1540.0,1540.0,,,0 HCPCS,40805,Removal foreign body mouth,,,563.21,1492.5,7 HCPCS,40806,Incision of lip fold,,,563.21,1492.5,7 HCPCS,40808,Biopsy of mouth lesion,,,563.21,1492.5,7 HCPCS,40808,HC BIOPSY OF MOUTH LESION,1707.0,1707.0,,,0 HCPCS,40810,Excision of mouth lesion,,,3462.26,9175.0,7 HCPCS,40812,Excise/repair mouth lesion,,,1620.29,4293.76,7 HCPCS,40812,"HC EXCIS MOUTH MUCOSA/SUB,SIMPL REPAIR",13799.0,13799.0,,,0 HCPCS,40814,Excise/repair mouth lesion,,,3462.26,9175.0,7 HCPCS,40816,Excision of mouth lesion,,,3462.26,9175.0,7 HCPCS,40818,Excise oral mucosa for graft,,,563.21,1492.5,7 HCPCS,40819,Excise lip or cheek fold,,,1620.29,4293.76,7 HCPCS,40820,Treatment of mouth lesion,,,3462.26,9175.0,7 HCPCS,40830,HC REPAIR MOUTH VESTIBULE <2.6 CM,404.0,404.0,,,0 HCPCS,40830,Repair mouth laceration,,,247.34,655.44,7 HCPCS,40831,HC REPAIR MOUTH VESTIBULE >2.5 CM/COMPLEX,1707.0,1707.0,,,0 HCPCS,40831,Repair mouth laceration,,,563.21,1492.5,7 HCPCS,40840,Reconstruction of mouth,,,6181.95,16382.18,7 HCPCS,40842,Reconstruction of mouth,,,6181.95,16382.18,7 HCPCS,40843,Reconstruction of mouth,,,6181.95,16382.18,7 HCPCS,40844,Reconstruction of mouth,,,6181.95,16382.18,7 HCPCS,40845,Reconstruction of mouth,,,6181.95,16382.18,7 HCPCS,40899,Mouth surgery procedure,,,247.34,655.44,7 HCPCS,41000,Drainage of mouth lesion,,,563.21,1492.5,7 HCPCS,41000,HC I&D MOUTH/TONG ABSC/HEMAT LINGUAL,1707.0,1707.0,,,0 HCPCS,41005,Drainage of mouth lesion,,,247.34,655.44,7 HCPCS,41005,"HC I&D MOUTH/TONG INTRA,SUBLING,SUPERF",799.0,799.0,,,0 HCPCS,41006,Drainage of mouth lesion,,,1620.29,4293.76,7 HCPCS,41007,Drainage of mouth lesion,,,1620.29,4293.76,7 HCPCS,41007,"HC I&D MOUTH/TONG INTRA,SUBMENTAL",5107.0,5107.0,,,0 HCPCS,41008,Drainage of mouth lesion,,,3462.26,9175.0,7 HCPCS,41008,HC I&D MOUTH/TONG SUBMANDIB,10326.0,10326.0,,,0 HCPCS,41009,Drainage of mouth lesion,,,563.21,1492.5,7 HCPCS,41009,"HC PBB I&D MOUTH/TONG INTRA,MASTICATOR",1707.0,1707.0,,,0 HCPCS,41010,HC INC LINGUAL FRENUM (FRENOTOMY),5107.0,5107.0,,,0 HCPCS,41010,Incision of tongue fold,,,1620.29,4293.76,7 HCPCS,41015,Drainage of mouth lesion,,,563.21,1492.5,7 HCPCS,41016,Drainage of mouth lesion,,,6181.95,16382.18,7 HCPCS,41017,Drainage of mouth lesion,,,3462.26,9175.0,7 HCPCS,41018,Drainage of mouth lesion,,,1620.29,4293.76,7 HCPCS,41019,Place needles h&n for rt,,,6181.95,16382.18,7 HCPCS,41100,Biopsy of tongue,,,563.21,1492.5,7 HCPCS,41100,"HC BIOPSY TONGUE,ANTER 2/3",1707.0,1707.0,,,0 HCPCS,41105,Biopsy of tongue,,,3462.26,9175.0,7 HCPCS,41105,"HC BIOPSY TONGUE,POSTER 1/3",7645.0,7645.0,,,0 HCPCS,41108,Biopsy of floor of mouth,,,1724.73,4570.53,7 HCPCS,41110,Excision of tongue lesion,,,3462.26,9175.0,7 HCPCS,41112,Excision of tongue lesion,,,3462.26,9175.0,7 HCPCS,41112,"HC EXC TONGUE LESION W/ CLOSURE, ANT 2/3",12468.0,12468.0,,,0 HCPCS,41113,Excision of tongue lesion,,,3462.26,9175.0,7 HCPCS,41113,"HC EXC TONGUE LESION W/ CLOSURE, POST 1/3",16324.0,16324.0,,,0 HCPCS,41114,Excision of tongue lesion,,,3462.26,9175.0,7 HCPCS,41115,Excision of tongue fold,,,1620.29,4293.76,7 HCPCS,41116,Excision of mouth lesion,,,3462.26,9175.0,7 HCPCS,41120,Partial removal of tongue,,,6181.95,16382.18,7 HCPCS,41250,"HC REPAIR TONGUE LACER,<2.6 CM",784.0,784.0,,,0 HCPCS,41250,Repair tongue laceration,,,466.5,1236.24,7 HCPCS,41251,"HC REPAIR TONGUE LACER,POST 1/3",799.0,799.0,,,0 HCPCS,41251,Repair tongue laceration,,,247.34,655.44,7 HCPCS,41252,"HC REPAIR TONGUE LACER,2.6 CM+/COMPLX",2672.0,2672.0,,,0 HCPCS,41252,Repair tongue laceration,,,247.34,655.44,7 HCPCS,41510,Tongue to lip surgery,,,3462.26,9175.0,7 HCPCS,41512,Tongue suspension,,,6181.95,16382.18,7 HCPCS,41520,Reconstruction tongue fold,,,3462.26,9175.0,7 HCPCS,41530,Tongue base vol reduction,,,3462.26,9175.0,7 HCPCS,41599,Tongue and mouth surgery,,,247.34,655.44,7 HCPCS,41800,Drainage of gum lesion,,,138.94,368.19,7 HCPCS,41800,HC DRAINAGE OF GUM LESION,1026.0,1026.0,,,0 HCPCS,41805,HC REMV FB DENTOALV STRUCT SOFT TISSUE,5107.0,5107.0,,,0 HCPCS,41805,Removal foreign body gum,,,1620.29,4293.76,7 HCPCS,41806,Removal foreign body jawbone,,,1620.29,4293.76,7 HCPCS,41820,Excision gum each quadrant,,,3462.26,9175.0,7 HCPCS,41821,Excision of gum flap,,,1620.29,4293.76,7 HCPCS,41822,Excision of gum lesion,,,1620.29,4293.76,7 HCPCS,41823,Excision of gum lesion,,,6181.95,16382.18,7 HCPCS,41825,Excision of gum lesion,,,3462.26,9175.0,7 HCPCS,41826,Excision of gum lesion,,,3462.26,9175.0,7 HCPCS,41827,Excision of gum lesion,,,6181.95,16382.18,7 HCPCS,41828,Excision of gum lesion,,,1620.29,4293.76,7 HCPCS,41830,Removal of gum tissue,,,3462.26,9175.0,7 HCPCS,41850,Treatment of gum lesion,,,1620.29,4293.76,7 HCPCS,41870,Gum graft,,,1620.29,4293.76,7 HCPCS,41872,Repair gum,,,3462.26,9175.0,7 HCPCS,41874,Repair tooth socket,,,3462.26,9175.0,7 HCPCS,41899,Dental surgery procedure,,,247.34,655.44,7 HCPCS,41899,HC DENTAL SURGERY PROCEDURE,799.0,799.0,,,0 HCPCS,42000,Drainage mouth roof lesion,,,247.34,655.44,7 HCPCS,42000,HC DRAIN ABSC PALATE/UVULA,1161.0,1161.0,,,0 HCPCS,42100,Biopsy roof of mouth,,,1620.29,4293.76,7 HCPCS,42100,HC BIOPSY PALATE/UVULA,2833.0,2833.0,,,0 HCPCS,42104,Excision lesion mouth roof,,,3462.26,9175.0,7 HCPCS,42106,Excision lesion mouth roof,,,3462.26,9175.0,7 HCPCS,42107,Excision lesion mouth roof,,,6181.95,16382.18,7 HCPCS,42120,Remove palate/lesion,,,6181.95,16382.18,7 HCPCS,42140,Excision of uvula,,,3462.26,9175.0,7 HCPCS,42145,Repair palate pharynx/uvula,,,6181.95,16382.18,7 HCPCS,42160,Treatment mouth roof lesion,,,3462.26,9175.0,7 HCPCS,42180,HC REPAIR PALATE LACER <2 CM,1707.0,1707.0,,,0 HCPCS,42180,Repair palate,,,563.21,1492.5,7 HCPCS,42182,HC REPAIR PALATE LACER >2.0 CM/COMPLEX,19198.0,19198.0,,,0 HCPCS,42182,Repair palate,,,6181.95,16382.18,7 HCPCS,42200,Reconstruct cleft palate,,,6181.95,16382.18,7 HCPCS,42205,Reconstruct cleft palate,,,3462.26,9175.0,7 HCPCS,42210,Reconstruct cleft palate,,,6181.95,16382.18,7 HCPCS,42215,Reconstruct cleft palate,,,6181.95,16382.18,7 HCPCS,42220,Reconstruct cleft palate,,,6181.95,16382.18,7 HCPCS,42225,Reconstruct cleft palate,,,6181.95,16382.18,7 HCPCS,42226,Lengthening of palate,,,6181.95,16382.18,7 HCPCS,42227,Lengthening of palate,,,6181.95,16382.18,7 HCPCS,42235,Repair palate,,,6181.95,16382.18,7 HCPCS,42260,Repair nose to lip fistula,,,6181.95,16382.18,7 HCPCS,42280,Preparation palate mold,,,563.21,1492.5,7 HCPCS,42281,Insertion palate prosthesis,,,6181.95,16382.18,7 HCPCS,42299,Palate/uvula surgery,,,247.34,655.44,7 HCPCS,42300,Drainage of salivary gland,,,1620.29,4293.76,7 HCPCS,42300,HC DRAIN SALIVARY GLAND SIMPLE,5662.0,5662.0,,,0 HCPCS,42305,Drainage of salivary gland,,,3462.26,9175.0,7 HCPCS,42310,Drainage of salivary gland,,,563.21,1492.5,7 HCPCS,42320,Drainage of salivary gland,,,563.21,1492.5,7 HCPCS,42330,HC REMOVAL OF SALIVARY STONE,7143.0,7143.0,,,0 HCPCS,42330,Removal of salivary stone,,,3462.26,9175.0,7 HCPCS,42335,Removal of salivary stone,,,3462.26,9175.0,7 HCPCS,42340,Removal of salivary stone,,,3462.26,9175.0,7 HCPCS,42400,Biopsy of salivary gland,,,739.49,1959.64,7 HCPCS,42400,"HC BIOPSY SALIVARY GLAND,NEEDLE",2859.0,2859.0,,,0 HCPCS,42405,Biopsy of salivary gland,,,1620.29,4293.76,7 HCPCS,42408,Excision of salivary cyst,,,3462.26,9175.0,7 HCPCS,42409,Drainage of salivary cyst,,,3462.26,9175.0,7 HCPCS,42410,Excise parotid gland/lesion,,,6181.95,16382.18,7 HCPCS,42415,Excise parotid gland/lesion,,,6181.95,16382.18,7 HCPCS,42420,Excise parotid gland/lesion,,,6181.95,16382.18,7 HCPCS,42425,Excise parotid gland/lesion,,,6181.95,16382.18,7 HCPCS,42440,Excise submaxillary gland,,,6181.95,16382.18,7 HCPCS,42450,Excise sublingual gland,,,6181.95,16382.18,7 HCPCS,42500,Repair salivary duct,,,6181.95,16382.18,7 HCPCS,42505,Repair salivary duct,,,6181.95,16382.18,7 HCPCS,42507,Parotid duct diversion,,,6181.95,16382.18,7 HCPCS,42509,Parotid duct diversion,,,6181.95,16382.18,7 HCPCS,42510,Parotid duct diversion,,,3462.26,9175.0,7 HCPCS,42600,Closure of salivary fistula,,,3462.26,9175.0,7 HCPCS,42650,Dilation of salivary duct,,,1620.29,4293.76,7 HCPCS,42660,Dilation of salivary duct,,,563.21,1492.5,7 HCPCS,42665,Ligation of salivary duct,,,3462.26,9175.0,7 HCPCS,42699,Salivary surgery procedure,,,247.34,655.44,7 HCPCS,42700,Drainage of tonsil abscess,,,247.34,655.44,7 HCPCS,42700,HC INC/DRAIN PERITONSIL ABSCESS,1383.0,1383.0,,,0 HCPCS,42720,Drainage of throat abscess,,,3462.26,9175.0,7 HCPCS,42725,Drainage of throat abscess,,,6181.95,16382.18,7 HCPCS,42800,Biopsy of throat,,,1620.29,4293.76,7 HCPCS,42800,HC BIOPSY OF OROPHARYNX,7729.0,7729.0,,,0 HCPCS,42804,Biopsy of upper nose/throat,,,3462.26,9175.0,7 HCPCS,42806,Biopsy of upper nose/throat,,,3462.26,9175.0,7 HCPCS,42808,Excise pharynx lesion,,,3462.26,9175.0,7 HCPCS,42809,HC REMOVE PHARYNX FOREIGN BODY,1024.0,1024.0,,,0 HCPCS,42809,Remove pharynx foreign body,,,466.5,1236.24,7 HCPCS,42810,Excision of neck cyst,,,3462.26,9175.0,7 HCPCS,42810,"HC EXCISION BRACH CLFT CYST,SUPERFICIAL",10326.0,10326.0,,,0 HCPCS,42815,Excision of neck cyst,,,6181.95,16382.18,7 HCPCS,42820,"HC REMOVE TONSILS/ADENOIDS,<12 Y/O",19198.0,19198.0,,,0 HCPCS,42820,Remove tonsils and adenoids,,,6181.95,16382.18,7 HCPCS,42821,"HC REMOVE TONSILS/ADENOIDS,12+ Y/O",10326.0,10326.0,,,0 HCPCS,42821,Remove tonsils and adenoids,,,3462.26,9175.0,7 HCPCS,42825,Removal of tonsils,,,6181.95,16382.18,7 HCPCS,42826,"HC REMOVAL OF TONSILS,12+ Y/O",11581.0,11581.0,,,0 HCPCS,42826,Removal of tonsils,,,3462.26,9175.0,7 HCPCS,42830,HC REMOVAL OF ADENOID PRIMARY <12 YRS,10326.0,10326.0,,,0 HCPCS,42830,Removal of adenoids,,,3462.26,9175.0,7 HCPCS,42831,"HC PBB REMOVAL ADENOIDS,PRIMARY,12+ Y/O",10326.0,10326.0,,,0 HCPCS,42831,Removal of adenoids,,,3462.26,9175.0,7 HCPCS,42835,Removal of adenoids,,,3462.26,9175.0,7 HCPCS,42836,"HC REMOVAL ADENOIDS,SECOND,12+ Y/O",10326.0,10326.0,,,0 HCPCS,42836,Removal of adenoids,,,3462.26,9175.0,7 HCPCS,42842,Extensive surgery of throat,,,6181.95,16382.18,7 HCPCS,42844,Extensive surgery of throat,,,6181.95,16382.18,7 HCPCS,42860,Excision of tonsil tags,,,3462.26,9175.0,7 HCPCS,42870,Excision of lingual tonsil,,,6181.95,16382.18,7 HCPCS,42890,Partial removal of pharynx,,,6181.95,16382.18,7 HCPCS,42892,Revision of pharyngeal walls,,,6181.95,16382.18,7 HCPCS,42900,Repair throat wound,,,1620.29,4293.76,7 HCPCS,42950,Reconstruction of throat,,,6181.95,16382.18,7 HCPCS,42955,Surgical opening of throat,,,1620.29,4293.76,7 HCPCS,42960,Control throat bleeding,,,563.21,1492.5,7 HCPCS,42960,"HC CONTROL THROAT BLEED,SIMPLE",2159.0,2159.0,,,0 HCPCS,42962,Control throat bleeding,,,3462.26,9175.0,7 HCPCS,42970,Control nose/throat bleeding,,,247.34,655.44,7 HCPCS,42972,Control nose/throat bleeding,,,3462.26,9175.0,7 HCPCS,42975,Dise eval slp do brth flx dx,,,1858.71,4925.58,7 HCPCS,42999,Throat surgery procedure,,,247.34,655.44,7 HCPCS,43020,Incision of esophagus,,,1620.29,4293.76,7 HCPCS,43030,Throat muscle surgery,,,6181.95,16382.18,7 HCPCS,43130,Removal of esophagus pouch,,,6181.95,16382.18,7 HCPCS,43180,Esophagoscopy rigid trnso,,,6181.95,16382.18,7 HCPCS,43191,Esophagoscopy rigid trnso dx,,,2003.87,5310.27,7 HCPCS,43192,Esophagoscp rig trnso inject,,,2003.87,5310.27,7 HCPCS,43193,Esophagoscp rig trnso biopsy,,,2003.87,5310.27,7 HCPCS,43194,Esophagoscp rig trnso rem fb,,,2003.87,5310.27,7 HCPCS,43195,Esophagoscopy rigid balloon,,,4026.19,10669.4,7 HCPCS,43196,Esophagoscp guide wire dilat,,,2003.87,5310.27,7 HCPCS,43197,Esophagoscopy flex dx brush,,,947.15,2509.94,7 HCPCS,43198,Esophagosc flex trnsn biopsy,,,947.15,2509.94,7 HCPCS,43200,Esophagoscopy flexible brush,,,947.15,2509.94,7 HCPCS,43201,Esoph scope w/submucous inj,,,2003.87,5310.27,7 HCPCS,43202,Esophagoscopy flex biopsy,,,2003.87,5310.27,7 HCPCS,43204,Esoph scope w/sclerosis inj,,,2003.87,5310.27,7 HCPCS,43205,Esophagus endoscopy/ligation,,,2003.87,5310.27,7 HCPCS,43206,Esoph optical endomicroscopy,,,2003.87,5310.27,7 HCPCS,43210,Egd esophagogastrc fndoplsty,,,11100.51,29416.36,7 HCPCS,43211,Esophagoscop mucosal resect,,,2003.87,5310.27,7 HCPCS,43212,Esophagoscop stent placement,,,6339.71,16800.23,7 HCPCS,43213,Esophagoscopy retro balloon,,,2003.87,5310.27,7 HCPCS,43214,Esophagosc dilate balloon 30,,,2003.87,5310.27,7 HCPCS,43215,Esophagoscopy flex remove fb,,,2003.87,5310.27,7 HCPCS,43215,HC ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY,5627.0,5627.0,,,0 HCPCS,43216,Esophagoscopy lesion removal,,,2003.87,5310.27,7 HCPCS,43217,Esophagoscopy snare les remv,,,2003.87,5310.27,7 HCPCS,43220,Esophagoscopy balloon <30mm,,,2003.87,5310.27,7 HCPCS,43226,Esoph endoscopy dilation,,,2003.87,5310.27,7 HCPCS,43227,Esophagoscopy control bleed,,,2003.87,5310.27,7 HCPCS,43229,Esophagoscopy lesion ablate,,,4026.19,10669.4,7 HCPCS,43231,Esophagoscop ultrasound exam,,,2003.87,5310.27,7 HCPCS,43232,Esophagoscopy w/us needle bx,,,2003.87,5310.27,7 HCPCS,43233,Egd balloon dil esoph30 mm/>,,,2003.87,5310.27,7 HCPCS,43235,Egd diagnostic brush wash,,,947.15,2509.94,7 HCPCS,43235,HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC,3055.0,3055.0,,,0 HCPCS,43236,HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION,6102.0,6102.0,,,0 HCPCS,43236,HC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION - EGD,6102.0,6102.0,,,0 HCPCS,43236,Uppr gi scope w/submuc inj,,,947.15,2509.94,7 HCPCS,43237,Endoscopic us exam esoph,,,2003.87,5310.27,7 HCPCS,43238,Egd us fine needle bx/aspir,,,2003.87,5310.27,7 HCPCS,43239,Egd biopsy single/multiple,,,947.15,2509.94,7 HCPCS,43239,HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE,3055.0,3055.0,,,0 HCPCS,43240,Egd w/transmural drain cyst,,,6339.71,16800.23,7 HCPCS,43241,Egd tube/cath insertion,,,2003.87,5310.27,7 HCPCS,43242,Egd us fine needle bx/aspir,,,2003.87,5310.27,7 HCPCS,43243,Egd injection varices,,,2003.87,5310.27,7 HCPCS,43244,Egd varices ligation,,,2003.87,5310.27,7 HCPCS,43245,Egd dilate stricture,,,2003.87,5310.27,7 HCPCS,43245,HC EGD DILATION GASTRIC/DUODENAL STRICTURE - EGD,6131.0,6131.0,,,0 HCPCS,43246,Egd place gastrostomy tube,,,2003.87,5310.27,7 HCPCS,43246,HC EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE,6881.0,6881.0,,,0 HCPCS,43247,Egd remove foreign body,,,947.15,2509.94,7 HCPCS,43247,HC EGD FLEXIBLE FOREIGN BODY REMOVAL,3055.0,3055.0,,,0 HCPCS,43248,Egd guide wire insertion,,,947.15,2509.94,7 HCPCS,43249,Esoph egd dilation <30 mm,,,2003.87,5310.27,7 HCPCS,43249,HC EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM,6131.0,6131.0,,,0 HCPCS,43250,Egd cautery tumor polyp,,,2003.87,5310.27,7 HCPCS,43251,Egd remove lesion snare,,,2003.87,5310.27,7 HCPCS,43251,HC EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH,4674.0,4674.0,,,0 HCPCS,43252,Egd optical endomicroscopy,,,2003.87,5310.27,7 HCPCS,43253,Egd us transmural injxn/mark,,,2003.87,5310.27,7 HCPCS,43254,Egd endo mucosal resection,,,2003.87,5310.27,7 HCPCS,43255,Egd control bleeding any,,,2003.87,5310.27,7 HCPCS,43255,HC EGD TRANSORAL CONTROL BLEEDING ANY METHOD,5499.0,5499.0,,,0 HCPCS,43257,Egd w/thrml txmnt gerd,,,4026.19,10669.4,7 HCPCS,43259,Egd us exam duodenum/jejunum,,,2003.87,5310.27,7 HCPCS,43260,Ercp w/specimen collection,,,4026.19,10669.4,7 HCPCS,43261,Endo cholangiopancreatograph,,,4026.19,10669.4,7 HCPCS,43262,Endo cholangiopancreatograph,,,4026.19,10669.4,7 HCPCS,43263,Ercp sphincter pressure meas,,,2003.87,5310.27,7 HCPCS,43264,Ercp remove duct calculi,,,4026.19,10669.4,7 HCPCS,43265,Ercp lithotripsy calculi,,,6339.71,16800.23,7 HCPCS,43266,Egd endoscopic stent place,,,6339.71,16800.23,7 HCPCS,43270,Egd lesion ablation,,,2003.87,5310.27,7 HCPCS,43274,Ercp duct stent placement,,,6339.71,16800.23,7 HCPCS,43275,Ercp remove forgn body duct,,,2003.87,5310.27,7 HCPCS,43276,Ercp stent exchange w/dilate,,,6339.71,16800.23,7 HCPCS,43277,Ercp ea duct/ampulla dilate,,,4026.19,10669.4,7 HCPCS,43278,Ercp lesion ablate w/dilate,,,4026.19,10669.4,7 HCPCS,43280,Laparoscopy fundoplasty,,,11100.51,29416.36,7 HCPCS,43281,Lap paraesophag hern repair,,,11100.51,29416.36,7 HCPCS,43282,Lap paraesoph her rpr w/mesh,,,11100.51,29416.36,7 HCPCS,43284,Laps esophgl sphnctr agmntj,,,11100.51,29416.36,7 HCPCS,43285,Rmvl esophgl sphnctr dev,,,6313.22,16730.03,7 HCPCS,43289,Laparoscope proc esoph,,,6313.22,16730.03,7 HCPCS,43290,Egd flx trnsorl dplmnt balo,,,2003.87,5310.27,7 HCPCS,43291,Egd flx trnsorl rmvl balo,,,947.15,2509.94,7 HCPCS,43420,Repair esophagus opening,,,3462.26,9175.0,7 HCPCS,43450,Dilate esophagus 1/mult pass,,,947.15,2509.94,7 HCPCS,43450,HC ESOPHAGUS DILATION UNGUIDED SOUND/BOUGIE,3055.0,3055.0,,,0 HCPCS,43453,Dilate esophagus,,,2003.87,5310.27,7 HCPCS,43460,"HC ESOPHAGOGASTRIC TAMPONADE,BALLOON - MINNESOTA TUBE INSERTION",8793.0,8793.0,,,0 HCPCS,43497,Transorl lwr esophgl myotomy,,,6339.71,16800.23,7 HCPCS,43499,Esophagus surgery procedure,,,947.15,2509.94,7 HCPCS,43510,Surgical opening of stomach,,,947.15,2509.94,7 HCPCS,43647,Lap impl electrode antrum,,,11636.08,30835.62,7 HCPCS,43648,Lap revise/remv eltrd antrum,,,11100.51,29416.36,7 HCPCS,43651,Laparoscopy vagus nerve,,,6313.22,16730.03,7 HCPCS,43652,Laparoscopy vagus nerve,,,6313.22,16730.03,7 HCPCS,43653,Laparoscopy gastrostomy,,,6313.22,16730.03,7 HCPCS,43659,Laparoscope proc stom,,,6313.22,16730.03,7 HCPCS,43752,HC PLACEMENT NG/OG TUBE BY PHYSICIAN,686.0,686.0,,,0 HCPCS,43752,Nasal/orogastric w/tube plmt,,,466.5,1236.24,7 HCPCS,43753,"HC GASTRIC INTUBATION/ASPIRATION, THERAPEUTIC",962.0,962.0,,,0 HCPCS,43753,Tx gastro intub w/asp,,,225.48,597.53,7 HCPCS,43754,Dx gastr intub w/asp spec,,,225.48,597.53,7 HCPCS,43755,Dx gastr intub w/asp specs,,,134.37,356.08,7 HCPCS,43756,Dx duod intub w/asp spec,,,947.15,2509.94,7 HCPCS,43757,Dx duod intub w/asp specs,,,947.15,2509.94,7 HCPCS,43761,HC REPOSITION NASO/ORO GASTRIC FEEDING TUBE THRU DUO,4616.0,4616.0,,,0 HCPCS,43761,Reposition gastrostomy tube,,,260.91,691.42,7 HCPCS,43762,HC PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC,1005.0,1005.0,,,0 HCPCS,43762,Rplc gtube no revj trc,,,260.91,691.42,7 HCPCS,43763,Rplc gtube revj gstrst trc,,,260.91,691.42,7 HCPCS,43770,Lap place gastr adj device,,,11100.51,29416.36,7 HCPCS,43772,Lap rmvl gastr adj device,,,4026.19,10669.4,7 HCPCS,43773,Lap replace gastr adj device,,,6313.22,16730.03,7 HCPCS,43774,Lap rmvl gastr adj all parts,,,4026.19,10669.4,7 HCPCS,43830,Place gastrostomy tube,,,2003.87,5310.27,7 HCPCS,43831,Place gastrostomy tube,,,947.15,2509.94,7 HCPCS,43840,Repair of stomach lesion,,,4026.19,10669.4,7 HCPCS,43870,Repair stomach opening,,,4026.19,10669.4,7 HCPCS,43886,Revise gastric port open,,,3700.64,9806.69,7 HCPCS,43887,Remove gastric port open,,,2154.64,5709.8,7 HCPCS,43888,Change gastric port open,,,3700.64,9806.69,7 HCPCS,43889,Gstr rstcv px trnsorl esg,,,11100.51,29416.36,7 HCPCS,43999,Stomach surgery procedure,,,947.15,2509.94,7 HCPCS,44100,Biopsy of bowel,,,947.15,2509.94,7 HCPCS,44180,Lap enterolysis,,,6313.22,16730.03,7 HCPCS,44186,Lap jejunostomy,,,6313.22,16730.03,7 HCPCS,44238,Laparoscope proc intestine,,,6313.22,16730.03,7 HCPCS,44300,Open bowel to skin,,,2003.87,5310.27,7 HCPCS,44312,Revision of ileostomy,,,3700.64,9806.69,7 HCPCS,44314,Revision of ileostomy,,,3700.64,9806.69,7 HCPCS,44340,Revision of colostomy,,,3700.64,9806.69,7 HCPCS,44345,Revision of colostomy,,,3700.64,9806.69,7 HCPCS,44346,Revision of colostomy,,,3700.64,9806.69,7 HCPCS,44360,HC ENDOSCOPY UPPER SMALL INTESTINE - ENTEROSCOPY,5598.0,5598.0,,,0 HCPCS,44360,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44361,"HC SMALL BOWEL ENDOSCOPY,BIOPSY - ENTEROSCOPY",5661.0,5661.0,,,0 HCPCS,44361,Small bowel endoscopy/biopsy,,,2003.87,5310.27,7 HCPCS,44363,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44364,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44365,"HC SB ENDOSCOPY,RMVL LESN,FORCEPS/CAUT - ENDO, SMALL BOWEL",6131.0,6131.0,,,0 HCPCS,44365,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44366,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44369,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44370,Small Bowel Endoscopy/Stent,,,6339.71,16800.23,7 HCPCS,44372,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44373,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44376,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44377,Small bowel endoscopy/biopsy,,,2003.87,5310.27,7 HCPCS,44378,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44379,S Bowel Endoscope W/Stent,,,6339.71,16800.23,7 HCPCS,44380,Small bowel endoscopy br/wa,,,947.15,2509.94,7 HCPCS,44381,Small bowel endoscopy br/wa,,,2003.87,5310.27,7 HCPCS,44382,Small bowel endoscopy,,,947.15,2509.94,7 HCPCS,44384,Small bowel endoscopy,,,2003.87,5310.27,7 HCPCS,44385,Endoscopy of bowel pouch,,,971.14,2573.51,7 HCPCS,44386,Endoscopy bowel pouch/biop,,,971.14,2573.51,7 HCPCS,44388,Colonoscopy thru stoma spx,,,971.14,2573.51,7 HCPCS,44389,Colonoscopy with biopsy,,,1249.63,3311.51,7 HCPCS,44390,Colonoscopy for foreign body,,,971.14,2573.51,7 HCPCS,44391,Colonoscopy for bleeding,,,1249.63,3311.51,7 HCPCS,44392,Colonoscopy & polypectomy,,,1249.63,3311.51,7 HCPCS,44394,Colonoscopy w/snare,,,1249.63,3311.51,7 HCPCS,44401,Colonoscopy with ablation,,,1249.63,3311.51,7 HCPCS,44402,Colonoscopy w/stent plcmt,,,6339.71,16800.23,7 HCPCS,44403,Colonoscopy w/resection,,,1249.63,3311.51,7 HCPCS,44404,Colonoscopy w/injection,,,1249.63,3311.51,7 HCPCS,44405,Colonoscopy w/dilation,,,1249.63,3311.51,7 HCPCS,44406,Colonoscopy w/ultrasound,,,1249.63,3311.51,7 HCPCS,44407,Colonoscopy w/ndl aspir/bx,,,1249.63,3311.51,7 HCPCS,44408,Colonoscopy w/decompression,,,971.14,2573.51,7 HCPCS,44500,HC INTRO LONG GI TUBE,3055.0,3055.0,,,0 HCPCS,44500,Intro gastrointestinal tube,,,947.15,2509.94,7 HCPCS,44602,Suture small intestine,,,4026.19,10669.4,7 HCPCS,44799,Unlisted px small intestine,,,947.15,2509.94,7 HCPCS,44950,Appendectomy,,,6760.47,17915.26,7 HCPCS,44970,Laparoscopy appendectomy,,,6313.22,16730.03,7 HCPCS,44979,Laparoscope proc app,,,6313.22,16730.03,7 HCPCS,45000,Drainage of pelvic abscess,,,1249.63,3311.51,7 HCPCS,45005,Drainage of rectal abscess,,,1249.63,3311.51,7 HCPCS,45005,HC I&D ABSC RECTUM,3914.0,3914.0,,,0 HCPCS,45020,Drainage of rectal abscess,,,2898.56,7681.2,7 HCPCS,45020,HC I&D DEEP SUPRALEVATOR PELVIRCT/RETRORCT ABSC,2974.0,2974.0,,,0 HCPCS,45100,Biopsy of rectum,,,2898.56,7681.2,7 HCPCS,45100,HC BX ANORECTAL WALL ANAL APPROACH,12079.0,12079.0,,,0 HCPCS,45108,Removal of anorectal lesion,,,2898.56,7681.2,7 HCPCS,45150,Excision of rectal stricture,,,1249.63,3311.51,7 HCPCS,45160,Excision of rectal lesion,,,2898.56,7681.2,7 HCPCS,45171,Exc rect tum transanal part,,,2898.56,7681.2,7 HCPCS,45172,Exc rect tum transanal full,,,2898.56,7681.2,7 HCPCS,45190,Destruction rectal tumor,,,2898.56,7681.2,7 HCPCS,45300,"HC PROCTOSIGMOIDOSCOPY,RIGID,DIAGNOS",7698.0,7698.0,,,0 HCPCS,45300,Proctosigmoidoscopy dx,,,971.14,2573.51,7 HCPCS,45303,Proctosigmoidoscopy dilate,,,1249.63,3311.51,7 HCPCS,45305,"HC PROCTOSIGMOIDOSCOPY,BIOPSY",3914.0,3914.0,,,0 HCPCS,45305,Proctosigmoidoscopy w/bx,,,1249.63,3311.51,7 HCPCS,45307,HC PROCTOSIGMOIDOSCOPY RIGID RMV FOREIGN BODY,10559.0,10559.0,,,0 HCPCS,45307,Proctosigmoidoscopy fb,,,2898.56,7681.2,7 HCPCS,45308,"HC PROCTOSIGMOIDOSCOPY,REMV LESN - ENDOSCOPY SIGMOID",9222.0,9222.0,,,0 HCPCS,45308,Proctosigmoidoscopy removal,,,2898.56,7681.2,7 HCPCS,45309,"HC PROCTOSIGMOIDOSCOPY,REMV,LESN,SNARE - ENDOSCOPY SIGMOID",3914.0,3914.0,,,0 HCPCS,45309,Proctosigmoidoscopy removal,,,1249.63,3311.51,7 HCPCS,45315,"HC PROCTOSIGMOIDOSCOPY,REMV MULT LESN - ENDOSCOPY SIGMOID",3914.0,3914.0,,,0 HCPCS,45315,Proctosigmoidoscopy removal,,,1249.63,3311.51,7 HCPCS,45317,Proctosigmoidoscopy bleed,,,1249.63,3311.51,7 HCPCS,45320,Proctosigmoidoscopy ablate,,,2898.56,7681.2,7 HCPCS,45321,Proctosigmoidoscopy volvul,,,2898.56,7681.2,7 HCPCS,45327,Proctosigmoidoscopy W/Stent,,,6339.71,16800.23,7 HCPCS,45330,Diagnostic sigmoidoscopy,,,971.14,2573.51,7 HCPCS,45330,HC SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD - ENDOSCOPY SIGMOID,2996.0,2996.0,,,0 HCPCS,45331,"HC SIGMOIDOSCOPY,BIOPSY - ENDOSCOPY SIGMOID",2996.0,2996.0,,,0 HCPCS,45331,Sigmoidoscopy and biopsy,,,971.14,2573.51,7 HCPCS,45332,HC SIGMOIDOSCOPY FLEX RMV FOREIGN BODY,3914.0,3914.0,,,0 HCPCS,45332,Sigmoidoscopy w/fb removal,,,1249.63,3311.51,7 HCPCS,45333,HC SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS - ENDOSCOPY SIGMOID,2996.0,2996.0,,,0 HCPCS,45333,Sigmoidoscopy & polypectomy,,,971.14,2573.51,7 HCPCS,45334,Sigmoidoscopy for bleeding,,,1249.63,3311.51,7 HCPCS,45335,Sigmoidoscopy w/submuc inj,,,971.14,2573.51,7 HCPCS,45337,Sigmoidoscopy & decompress,,,971.14,2573.51,7 HCPCS,45338,"HC SIGMOIDOSCOPY,REMV LESN,SNARE - ENDOSCOPY SIGMOID",5015.0,5015.0,,,0 HCPCS,45338,Sigmoidoscopy w/tumr remove,,,1249.63,3311.51,7 HCPCS,45340,Sig w/tndsc balloon dilation,,,1249.63,3311.51,7 HCPCS,45341,Sigmoidoscopy W/Ultrasound,,,971.14,2573.51,7 HCPCS,45342,Sigmoidoscopy W/Us Guide Bx,,,1249.63,3311.51,7 HCPCS,45346,Sigmoidoscopy w/ablation,,,1249.63,3311.51,7 HCPCS,45347,Sigmoidoscopy w/plcmt stent,,,6339.71,16800.23,7 HCPCS,45349,Sigmoidoscopy w/resection,,,2898.56,7681.2,7 HCPCS,45350,Sgmdsc w/band ligation,,,1249.63,3311.51,7 HCPCS,45378,Diagnostic colonoscopy,,,971.14,2573.51,7 HCPCS,45378,HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD,2996.0,2996.0,,,0 HCPCS,45379,Colonoscopy w/fb removal,,,1249.63,3311.51,7 HCPCS,45380,Colonoscopy and biopsy,,,1249.63,3311.51,7 HCPCS,45380,HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE,3914.0,3914.0,,,0 HCPCS,45381,Colonoscopy submucous njx,,,1249.63,3311.51,7 HCPCS,45381,HC COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST,3914.0,3914.0,,,0 HCPCS,45382,Colonoscopy w/control bleed,,,1249.63,3311.51,7 HCPCS,45382,HC COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD,3914.0,3914.0,,,0 HCPCS,45384,Colonoscopy w/lesion removal,,,1249.63,3311.51,7 HCPCS,45385,Colonoscopy w/lesion removal,,,1249.63,3311.51,7 HCPCS,45385,HC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ,3914.0,3914.0,,,0 HCPCS,45386,Colonoscopy w/balloon dilat,,,1249.63,3311.51,7 HCPCS,45386,HC COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT - COLONOSCOPY,4729.0,4729.0,,,0 HCPCS,45388,Colonoscopy w/ablation,,,1249.63,3311.51,7 HCPCS,45388,HC COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES,3803.0,3803.0,,,0 HCPCS,45389,Colonoscopy w/stent plcmt,,,6339.71,16800.23,7 HCPCS,45390,Colonoscopy w/resection,,,2898.56,7681.2,7 HCPCS,45391,Colonoscopy w/endoscope us,,,1249.63,3311.51,7 HCPCS,45392,Colonoscopy w/endoscopic fnb,,,1249.63,3311.51,7 HCPCS,45393,Colonoscopy w/decompression,,,1249.63,3311.51,7 HCPCS,45398,Colonoscopy w/band ligation,,,1249.63,3311.51,7 HCPCS,45399,Unlisted procedure colon,,,971.14,2573.51,7 HCPCS,45499,Laparoscope proc rectum,,,6313.22,16730.03,7 HCPCS,45500,Repair of rectum,,,2898.56,7681.2,7 HCPCS,45505,Repair of rectum,,,2898.56,7681.2,7 HCPCS,45520,Treatment of rectal prolapse,,,971.14,2573.51,7 HCPCS,45541,Correct rectal prolapse,,,2898.56,7681.2,7 HCPCS,45560,Repair of rectocele,,,2898.56,7681.2,7 HCPCS,45900,Reduction of rectal prolapse,,,971.14,2573.51,7 HCPCS,45905,Dilation of anal sphincter,,,1249.63,3311.51,7 HCPCS,45910,Dilation of rectal narrowing,,,1249.63,3311.51,7 HCPCS,45915,HC RMV FECAL IMPACTION OR FOREIGN BODY W/ ANESTH,3914.0,3914.0,,,0 HCPCS,45915,Remove rectal obstruction,,,1249.63,3311.51,7 HCPCS,45990,Surg dx exam anorectal,,,2898.56,7681.2,7 HCPCS,45999,Rectum surgery procedure,,,971.14,2573.51,7 HCPCS,46020,Placement of seton,,,2898.56,7681.2,7 HCPCS,46030,Removal of rectal marker,,,1249.63,3311.51,7 HCPCS,46040,HC I&D PERIRECTAL ABSCESS,3914.0,3914.0,,,0 HCPCS,46040,Incision of rectal abscess,,,1249.63,3311.51,7 HCPCS,46045,Incision of rectal abscess,,,2898.56,7681.2,7 HCPCS,46050,"HC I&D PERIANAL ABSCESS,SUPERFICIAL",3059.0,3059.0,,,0 HCPCS,46050,Incision of anal abscess,,,971.14,2573.51,7 HCPCS,46060,Incision of rectal abscess,,,2898.56,7681.2,7 HCPCS,46070,Incision of anal septum,,,2898.56,7681.2,7 HCPCS,46080,Incision of anal sphincter,,,2898.56,7681.2,7 HCPCS,46083,HC INCISE EXTERNAL HEMORRHOID,3606.0,3606.0,,,0 HCPCS,46083,Incise external hemorrhoid,,,260.91,691.42,7 HCPCS,46200,Removal of anal fissure,,,2898.56,7681.2,7 HCPCS,46220,Excise anal ext tag/papilla,,,1249.63,3311.51,7 HCPCS,46221,HC HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS,3967.0,3967.0,,,0 HCPCS,46221,Ligation of hemorrhoid(s),,,971.14,2573.51,7 HCPCS,46230,Removal of anal tags,,,2898.56,7681.2,7 HCPCS,46250,Remove ext hem groups 2+,,,2898.56,7681.2,7 HCPCS,46255,Remove int/ext hem 1 group,,,2898.56,7681.2,7 HCPCS,46257,Remove in/ex hem grp & fiss,,,2898.56,7681.2,7 HCPCS,46258,Remove in/ex hem grp w/fistu,,,2898.56,7681.2,7 HCPCS,46260,Remove in/ex hem groups 2+,,,2898.56,7681.2,7 HCPCS,46261,Remove in/ex hem grps & fiss,,,2898.56,7681.2,7 HCPCS,46262,Remove in/ex hem grps w/fist,,,2898.56,7681.2,7 HCPCS,46270,Remove anal fist subq,,,2898.56,7681.2,7 HCPCS,46275,Remove anal fist inter,,,2898.56,7681.2,7 HCPCS,46280,Remove anal fist complex,,,2898.56,7681.2,7 HCPCS,46285,Remove anal fist 2 stage,,,2898.56,7681.2,7 HCPCS,46288,Repair anal fistula,,,2898.56,7681.2,7 HCPCS,46320,"HC EXCISION THROMBOSED HEMORRHOID, EXTERNAL",3914.0,3914.0,,,0 HCPCS,46320,Removal of hemorrhoid clot,,,1249.63,3311.51,7 HCPCS,46500,Injection into hemorrhoid(s),,,971.14,2573.51,7 HCPCS,46505,Chemodenervation anal musc,,,1249.63,3311.51,7 HCPCS,46600,Diagnostic anoscopy spx,,,138.94,368.19,7 HCPCS,46600,HC ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD,281.0,281.0,,,0 HCPCS,46601,Diagnostic anoscopy,,,466.5,1236.24,7 HCPCS,46604,Anoscopy and dilation,,,1249.63,3311.51,7 HCPCS,46606,Anoscopy and biopsy,,,1249.63,3311.51,7 HCPCS,46606,HC ANOSCOPY AND BIOPSY,9246.0,9246.0,,,0 HCPCS,46607,Diagnostic anoscopy & biopsy,,,1249.63,3311.51,7 HCPCS,46608,Anoscopy remove for body,,,971.14,2573.51,7 HCPCS,46608,HC ANOSCOPY RMV FOREIGN BODY,2005.0,2005.0,,,0 HCPCS,46610,Anoscopy remove lesion,,,2898.56,7681.2,7 HCPCS,46610,"HC ANOSCOPY,REMOVE LESN,FORCEPS/CAUTER - ENDOSCOPY, ANUS",12495.0,12495.0,,,0 HCPCS,46611,Anoscopy,,,971.14,2573.51,7 HCPCS,46611,"HC ANOSCOPY,REMOVE LESN,SNARE - ENDOSCOPY, ANUS",2996.0,2996.0,,,0 HCPCS,46612,Anoscopy remove lesions,,,2898.56,7681.2,7 HCPCS,46612,"HC ANOSCOPY,REMOVE LESIONS - ENDOSCOPY, ANUS",9222.0,9222.0,,,0 HCPCS,46614,Anoscopy control bleeding,,,1249.63,3311.51,7 HCPCS,46615,Anoscopy,,,2898.56,7681.2,7 HCPCS,46700,Repair of anal stricture,,,2898.56,7681.2,7 HCPCS,46706,Repr of anal fistula w/glue,,,2898.56,7681.2,7 HCPCS,46707,Repair anorectal fist w/plug,,,2898.56,7681.2,7 HCPCS,46750,Repair of anal sphincter,,,2898.56,7681.2,7 HCPCS,46753,Reconstruction of anus,,,2898.56,7681.2,7 HCPCS,46754,Removal of suture from anus,,,2898.56,7681.2,7 HCPCS,46760,Repair of anal sphincter,,,2898.56,7681.2,7 HCPCS,46761,Repair of anal sphincter,,,2898.56,7681.2,7 HCPCS,46900,Destruction anal lesion(s),,,424.52,1124.97,7 HCPCS,46900,"HC DESTRUCT,ANAL LESN(S),SIMPLE,CHEM",1305.0,1305.0,,,0 HCPCS,46910,Destruction anal lesion(s),,,2154.64,5709.8,7 HCPCS,46910,"HC DEST ANAL LESION SIMPLE, ELECTRODESICCATION",11261.0,11261.0,,,0 HCPCS,46916,Cryosurgery anal lesion(s),,,209.52,555.22,7 HCPCS,46916,"HC CRYOSURGERY, ANAL LESION(S)",678.0,678.0,,,0 HCPCS,46917,"HC LASER SURGERY, ANAL LESION(S)",9246.0,9246.0,,,0 HCPCS,46917,Laser surgery anal lesions,,,2898.56,7681.2,7 HCPCS,46922,Excision of anal lesion(s),,,2898.56,7681.2,7 HCPCS,46922,HC SURG EXCISION OF ANAL LESION(S),12529.0,12529.0,,,0 HCPCS,46924,Destruction anal lesion(s),,,2898.56,7681.2,7 HCPCS,46924,HC DESTRUCTION ANAL LESION(S) EXTENSIVE,8471.0,8471.0,,,0 HCPCS,46930,Destroy internal hemorrhoids,,,1249.63,3311.51,7 HCPCS,46940,Treatment of anal fissure,,,2898.56,7681.2,7 HCPCS,46942,Treatment of anal fissure,,,971.14,2573.51,7 HCPCS,46945,Remove by ligat int hem grp,,,2898.56,7681.2,7 HCPCS,46946,Remove by ligat int hem grps,,,2898.56,7681.2,7 HCPCS,46947,Hemorrhoidopexy by stapling,,,2898.56,7681.2,7 HCPCS,46948,Int hrhc tranal dartlzj 2+,,,2898.56,7681.2,7 HCPCS,46999,Anus surgery procedure,,,971.14,2573.51,7 HCPCS,47000,HC NEEDLE BIOPSY LIVER,4348.0,4348.0,,,0 HCPCS,47000,Needle biopsy of liver,,,1724.73,4570.53,7 HCPCS,47001,HC CT BX LIVER NEEDLE W MAJOR PROCEDURE,2985.0,2985.0,,,0 HCPCS,47370,Laparo ablate liver tumor rf,,,11100.51,29416.36,7 HCPCS,47371,Laparo ablate liver cryosurg,,,11100.51,29416.36,7 HCPCS,47379,Laparoscope procedure liver,,,6313.22,16730.03,7 HCPCS,47382,"HC ABLAT,OPEN,1+ LIVER TUMOR(S),PERCUT RF",27849.0,27849.0,,,0 HCPCS,47382,Percut ablate liver rf,,,6313.22,16730.03,7 HCPCS,47383,HC ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION,19100.0,19100.0,,,0 HCPCS,47383,Perq abltj lvr cryoablation,,,11100.51,29416.36,7 HCPCS,47384,Abltj ire liver 1+ tum perq,,,11100.51,29416.36,7 HCPCS,47399,Liver surgery procedure,,,739.49,1959.64,7 HCPCS,47490,"HC CHOLECYSTOSTOMY,PERCUTANEOUS, COMPLETE",3769.0,3769.0,,,0 HCPCS,47490,Incision of gallbladder,,,3738.94,9908.18,7 HCPCS,47531,HC NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS,4041.0,4041.0,,,0 HCPCS,47531,Injection for cholangiogram,,,3738.94,9908.18,7 HCPCS,47532,HC NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS,6094.0,6094.0,,,0 HCPCS,47532,Injection for cholangiogram,,,3738.94,9908.18,7 HCPCS,47533,HC PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL,11458.0,11458.0,,,0 HCPCS,47533,Plmt biliary drainage cath,,,3738.94,9908.18,7 HCPCS,47534,HC PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT,13561.0,13561.0,,,0 HCPCS,47534,Plmt biliary drainage cath,,,3738.94,9908.18,7 HCPCS,47535,Conversion ext bil drg cath,,,3738.94,9908.18,7 HCPCS,47535,HC CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH,13561.0,13561.0,,,0 HCPCS,47536,Exchange biliary drg cath,,,3738.94,9908.18,7 HCPCS,47536,HC EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I,6199.0,6199.0,,,0 HCPCS,47537,HC REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I,6199.0,6199.0,,,0 HCPCS,47537,Removal biliary drg cath,,,947.15,2509.94,7 HCPCS,47538,HC PLMT BILE DUCT STENT PRQ EXISTING ACCESS,8136.0,8136.0,,,0 HCPCS,47538,Perq plmt bile duct stent,,,6313.22,16730.03,7 HCPCS,47539,HC PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH,8136.0,8136.0,,,0 HCPCS,47539,Perq plmt bile duct stent,,,6313.22,16730.03,7 HCPCS,47540,HC PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH,8136.0,8136.0,,,0 HCPCS,47540,Perq plmt bile duct stent,,,6313.22,16730.03,7 HCPCS,47541,HC PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW,12009.0,12009.0,,,0 HCPCS,47541,Plmt access bil tree sm bwl,,,6760.47,17915.26,7 HCPCS,47542,HC BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT,4041.0,4041.0,,,0 HCPCS,47543,HC ENDOLUMINAL BX BILIARY TREE PRQ ANY METH SNG/MLT,4848.0,4848.0,,,0 HCPCS,47544,HC REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I,6387.0,6387.0,,,0 HCPCS,47552,Biliary endo perq dx w/speci,,,6760.47,17915.26,7 HCPCS,47552,HC BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH,10212.0,10212.0,,,0 HCPCS,47553,Biliary endoscopy thru skin,,,6760.47,17915.26,7 HCPCS,47553,"HC BILIARY ENDOSCOPY PERCUT,BIOPSY",10212.0,10212.0,,,0 HCPCS,47554,Biliary endoscopy thru skin,,,11100.51,29416.36,7 HCPCS,47554,"HC BILIARY ENDOSCOPY,PERCUT,W/REM, STONE(S)",15029.0,15029.0,,,0 HCPCS,47555,Biliary endoscopy thru skin,,,6760.47,17915.26,7 HCPCS,47555,"HC BILIARY ENDOSCOPY PERCUT,DIL STRICT",7022.0,7022.0,,,0 HCPCS,47556,Biliary endoscopy thru skin,,,11100.51,29416.36,7 HCPCS,47556,"HC BILIARY ENDOSCOPY PERCUT,DIL+STENT",8651.0,8651.0,,,0 HCPCS,47562,HC LAPAROSCOPY SURG CHOLECYSTECTOMY,19100.0,19100.0,,,0 HCPCS,47562,Laparoscopic cholecystectomy,,,6313.22,16730.03,7 HCPCS,47563,"HC LAPAROSCOPY, CHOLECYSTECTOMY W/ CHOLANGIO, SURG",28085.0,28085.0,,,0 HCPCS,47563,Laparo cholecystectomy/graph,,,6313.22,16730.03,7 HCPCS,47564,Laparo cholecystectomy/explr,,,11100.51,29416.36,7 HCPCS,47579,Laparoscope proc biliary,,,6313.22,16730.03,7 HCPCS,47999,Bile tract surgery procedure,,,947.15,2509.94,7 HCPCS,48102,HC NEEDLE BIOPSY OF PANCREAS,5243.0,5243.0,,,0 HCPCS,48102,Needle biopsy pancreas,,,1724.73,4570.53,7 HCPCS,48999,Pancreas surgery procedure,,,739.49,1959.64,7 HCPCS,49010,Exploration behind abdomen,,,6760.47,17915.26,7 HCPCS,49082,Abd paracentesis,,,947.15,2509.94,7 HCPCS,49082,HC ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE,5243.0,5243.0,,,0 HCPCS,49083,Abd paracentesis w/imaging,,,947.15,2509.94,7 HCPCS,49083,HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE,3190.0,3190.0,,,0 HCPCS,49084,HC PERITONEAL LAVAGE W/WO IMAGING GUIDANCE,3055.0,3055.0,,,0 HCPCS,49084,Peritoneal lavage,,,947.15,2509.94,7 HCPCS,49180,Biopsy abdominal mass,,,1724.73,4570.53,7 HCPCS,49180,"HC PERCUT BIOPSY, ABDOMINAL MASS",5243.0,5243.0,,,0 HCPCS,49185,HC SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID,3870.0,3870.0,,,0 HCPCS,49185,Sclerotx fluid collection,,,1724.73,4570.53,7 HCPCS,49250,Excision of umbilicus,,,3738.94,9908.18,7 HCPCS,49255,Removal of omentum,,,6760.47,17915.26,7 HCPCS,49320,Diag laparo separate proc,,,6313.22,16730.03,7 HCPCS,49321,Laparoscopy biopsy,,,6313.22,16730.03,7 HCPCS,49322,Laparoscopy aspiration,,,6313.22,16730.03,7 HCPCS,49323,Laparo drain lymphocele,,,6313.22,16730.03,7 HCPCS,49324,Lap insert tunnel ip cath,,,6313.22,16730.03,7 HCPCS,49325,Lap Revision Perm IP Cath,,,6313.22,16730.03,7 HCPCS,49329,Laparo proc abdm/per/oment,,,6313.22,16730.03,7 HCPCS,49400,HC AIR/CONTRAST INJECT INTO ABDOMEN,2190.0,2190.0,,,0 HCPCS,49402,HC REMOVE PERITONEAL FOREIGN BODY,9557.0,9557.0,,,0 HCPCS,49402,Remove foreign body adbomen,,,3738.94,9908.18,7 HCPCS,49405,HC IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ,2899.0,2899.0,,,0 HCPCS,49405,Image cath fluid colxn visc,,,1724.73,4570.53,7 HCPCS,49406,HC IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ,7790.0,7790.0,,,0 HCPCS,49406,Image cath fluid peri/retro,,,1724.73,4570.53,7 HCPCS,49407,HC IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL,5311.0,5311.0,,,0 HCPCS,49407,Image cath fluid trns/vgnl,,,1724.73,4570.53,7 HCPCS,49411,"HC PLACE INTERST RAD THER GUIDE, INTRAABD/INTRAPELV/RETROPER,1+,PERC",6208.0,6208.0,,,0 HCPCS,49411,Ins mark abd/pel for rt perq,,,1445.42,3830.36,7 HCPCS,49418,HC INSERTION TUNNEL INTRAPERITONEAL CATH W IMAGE GUIDANCE,7219.0,7219.0,,,0 HCPCS,49418,Insert tun ip cath perc,,,3738.94,9908.18,7 HCPCS,49419,HC INSERTION TUNNEL INTRAPERITONEAL CATH W SUBQ PORT,18001.0,18001.0,,,0 HCPCS,49419,Insert tun ip cath w/port,,,5810.88,15398.82,7 HCPCS,49421,HC INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN,15320.0,15320.0,,,0 HCPCS,49421,Ins tun ip cath for dial opn,,,3738.94,9908.18,7 HCPCS,49422,HC REMOVAL TUNNELED INTRAPERITONEAL CATHETER,3266.0,3266.0,,,0 HCPCS,49422,Remove tunneled ip cath,,,3297.29,8737.82,7 HCPCS,49423,Exchange drainage catheter,,,2003.87,5310.27,7 HCPCS,49423,HC DRAINAGE CATHETER EXCHANGE,7794.0,7794.0,,,0 HCPCS,49424,"HC CONTRAST INJ,ABSCESS/CYST VIA CATH TUBE",684.0,684.0,,,0 HCPCS,49425,HC INSERT ABDOMEN-VENOUS SHUNT,12011.0,12011.0,,,0 HCPCS,49426,Revise abdomen-venous shunt,,,3738.94,9908.18,7 HCPCS,49427,HC INJECT ABDOMINAL-VENOUS SHUNT,538.0,538.0,,,0 HCPCS,49428,HC LIGATION OF ABD-VENOUS SHUNT,2452.0,2452.0,,,0 HCPCS,49429,HC REMOVAL OF ABD-VENOUS SHUNT,10805.0,10805.0,,,0 HCPCS,49429,Removal of shunt,,,3297.29,8737.82,7 HCPCS,49436,Embedded IP Cath Exit-Site,,,2003.87,5310.27,7 HCPCS,49440,HC INSERT GASTROSTOMY TUBE PERCUTANEOUS,3907.0,3907.0,,,0 HCPCS,49440,Place gastrostomy tube perc,,,2003.87,5310.27,7 HCPCS,49441,HC INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS,3666.0,3666.0,,,0 HCPCS,49441,Place duod/jej tube perc,,,2003.87,5310.27,7 HCPCS,49442,HC INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS,3185.0,3185.0,,,0 HCPCS,49442,Place cecostomy tube perc,,,1249.63,3311.51,7 HCPCS,49446,Change g-tube to g-j perc,,,2003.87,5310.27,7 HCPCS,49446,HC CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,3660.0,3660.0,,,0 HCPCS,49450,HC REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS,2929.0,2929.0,,,0 HCPCS,49450,Replace g/c tube perc,,,947.15,2509.94,7 HCPCS,49451,HC REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS,3666.0,3666.0,,,0 HCPCS,49451,Replace duod/jej tube perc,,,947.15,2509.94,7 HCPCS,49452,HC REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS,1660.0,1660.0,,,0 HCPCS,49452,Replace g-j tube perc,,,947.15,2509.94,7 HCPCS,49460,Fix g/colon tube w/device,,,947.15,2509.94,7 HCPCS,49460,HC OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE,3666.0,3666.0,,,0 HCPCS,49465,Fluoro exam of g/colon tube,,,249.17,660.29,7 HCPCS,49465,HC CONTRAST INJECTION PERCUTANEOUOS RADIOLOGIC EVAL GI TUBE,1099.0,1099.0,,,0 HCPCS,49491,Rpr hern preemie reduc,,,6313.22,16730.03,7 HCPCS,49492,Rpr ing hern premie blocked,,,3738.94,9908.18,7 HCPCS,49495,Rpr ing hernia baby reduc,,,3738.94,9908.18,7 HCPCS,49496,Rpr ing hernia baby blocked,,,3738.94,9908.18,7 HCPCS,49500,Rpr ing hernia init reduce,,,6760.47,17915.26,7 HCPCS,49501,Rpr ing hernia init blocked,,,3738.94,9908.18,7 HCPCS,49505,"HC PBB REPAIR ING HERNIA,5+Y/O,REDUCIBL",22786.0,22786.0,,,0 HCPCS,49505,Prp i/hern init reduc >5 yr,,,3738.94,9908.18,7 HCPCS,49507,Prp i/hern init block >5 yr,,,3738.94,9908.18,7 HCPCS,49520,Rerepair ing hernia reduce,,,3738.94,9908.18,7 HCPCS,49521,Rerepair ing hernia blocked,,,6760.47,17915.26,7 HCPCS,49525,Repair ing hernia sliding,,,3738.94,9908.18,7 HCPCS,49540,Repair lumbar hernia,,,6313.22,16730.03,7 HCPCS,49550,Rpr rem hernia init reduce,,,3738.94,9908.18,7 HCPCS,49553,Rpr fem hernia init blocked,,,3738.94,9908.18,7 HCPCS,49555,Rerepair fem hernia reduce,,,3738.94,9908.18,7 HCPCS,49557,Rerepair fem hernia blocked,,,3738.94,9908.18,7 HCPCS,49591,Rpr aa hrn 1st < 3 cm rdc,,,3738.94,9908.18,7 HCPCS,49592,Rpr aa hrn 1st < 3 ncr/strn,,,6313.22,16730.03,7 HCPCS,49593,Rpr aa hrn 1st 3-10 rdc,,,6760.47,17915.26,7 HCPCS,49594,Rpr aa hrn 1st 3-10 ncr/strn,,,6313.22,16730.03,7 HCPCS,49595,Rpr aa hrn 1st > 10 rdc,,,6760.47,17915.26,7 HCPCS,49600,Repair umbilical lesion,,,3738.94,9908.18,7 HCPCS,49613,Rpr aa hrn rcr < 3 rdc,,,3738.94,9908.18,7 HCPCS,49614,Rpr aa hrn rcr < 3 ncr/strn,,,6313.22,16730.03,7 HCPCS,49615,Rpr aa hrn rcr 3-10 rdc,,,6760.47,17915.26,7 HCPCS,49650,Lap ing hernia repair init,,,6313.22,16730.03,7 HCPCS,49651,Lap ing hernia repair recur,,,6313.22,16730.03,7 HCPCS,49659,Laparo proc hernia repair,,,6313.22,16730.03,7 HCPCS,49999,Abdomen surgery procedure,,,947.15,2509.94,7 HCPCS,50020,Renal abscess open drain,,,2182.94,5784.8,7 HCPCS,50080,Removal of kidney stone,,,9885.63,26196.91,7 HCPCS,50081,Removal of kidney stone,,,9885.63,26196.91,7 HCPCS,50200,"HC BIOPSY OF KIDNEY,PERCUTANEOUS",5039.0,5039.0,,,0 HCPCS,50200,Renal biopsy perq,,,1724.73,4570.53,7 HCPCS,50382,Change ureter stent percut,,,2182.94,5784.8,7 HCPCS,50382,"HC CHANGE URETER STENT, PERCUT",6881.0,6881.0,,,0 HCPCS,50384,"HC REMOVE URETER STENT, PERCUT",6016.0,6016.0,,,0 HCPCS,50384,Remove ureter stent percut,,,2182.94,5784.8,7 HCPCS,50385,Change stent via transureth,,,2182.94,5784.8,7 HCPCS,50385,HC CHANGE URETERAL STENT VIA TRANSURETH,6759.0,6759.0,,,0 HCPCS,50386,HC REMOVE URETERAL STENT VIA TRANSURETH,6759.0,6759.0,,,0 HCPCS,50386,Remove stent via transureth,,,2182.94,5784.8,7 HCPCS,50387,Change nephroureteral cath,,,2182.94,5784.8,7 HCPCS,50387,HC RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH,6704.0,6704.0,,,0 HCPCS,50389,HC REMOVE RENAL TUBE W/FLUORO,4812.0,4812.0,,,0 HCPCS,50389,Remove renal tube w/fluoro,,,728.17,1929.66,7 HCPCS,50390,Drainage of kidney lesion,,,739.49,1959.64,7 HCPCS,50390,HC PERCUT DRAIN/INJECT RENAL CYST,5178.0,5178.0,,,0 HCPCS,50391,Instll rx agnt into rnal tub,,,260.91,691.42,7 HCPCS,50396,Measure kidney pressure,,,728.17,1929.66,7 HCPCS,50430,HC NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS,1385.0,1385.0,,,0 HCPCS,50430,Njx px nfrosgrm &/urtrgrm,,,728.17,1929.66,7 HCPCS,50431,HC NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS,1454.0,1454.0,,,0 HCPCS,50431,Njx px nfrosgrm &/urtrgrm,,,728.17,1929.66,7 HCPCS,50432,HC PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I,9271.0,9271.0,,,0 HCPCS,50432,Plmt nephrostomy catheter,,,2182.94,5784.8,7 HCPCS,50433,HC PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I,5666.0,5666.0,,,0 HCPCS,50433,Plmt nephroureteral catheter,,,3681.06,9754.82,7 HCPCS,50434,Convert nephrostomy catheter,,,2182.94,5784.8,7 HCPCS,50434,HC CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ,9102.0,9102.0,,,0 HCPCS,50435,Exchange nephrostomy cath,,,2182.94,5784.8,7 HCPCS,50435,HC EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I,3481.0,3481.0,,,0 HCPCS,50436,Dilat xst trc ndurlgc px,,,3681.06,9754.82,7 HCPCS,50436,HC PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG,11168.0,11168.0,,,0 HCPCS,50437,Dilat xst trc new access rcs,,,3681.06,9754.82,7 HCPCS,50437,HC PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS,11605.0,11605.0,,,0 HCPCS,50541,Laparo ablate renal cyst,,,11100.51,29416.36,7 HCPCS,50542,Laparo ablate renal mass,,,11100.51,29416.36,7 HCPCS,50543,Laparo partial nephrectomy,,,11100.51,29416.36,7 HCPCS,50544,Laparoscopy pyeloplasty,,,11100.51,29416.36,7 HCPCS,50549,Laparoscope proc renal,,,6313.22,16730.03,7 HCPCS,50551,Kidney endoscopy,,,5599.21,14837.91,7 HCPCS,50553,Kidney endoscopy,,,5599.21,14837.91,7 HCPCS,50555,Kidney endoscopy & biopsy,,,9885.63,26196.91,7 HCPCS,50557,Kidney endoscopy & treatment,,,9885.63,26196.91,7 HCPCS,50561,Kidney endoscopy & treatment,,,5599.21,14837.91,7 HCPCS,50562,Renal scope w/tumor resect,,,9885.63,26196.91,7 HCPCS,50570,Kidney endoscopy,,,3681.06,9754.82,7 HCPCS,50572,Kidney endoscopy,,,728.17,1929.66,7 HCPCS,50574,Kidney endoscopy & biopsy,,,3681.06,9754.82,7 HCPCS,50575,Kidney endoscopy,,,5599.21,14837.91,7 HCPCS,50576,Kidney endoscopy & treatment,,,9885.63,26196.91,7 HCPCS,50580,Kidney endoscopy & treatment,,,5599.21,14837.91,7 HCPCS,50590,Fragmenting of kidney stone,,,3681.06,9754.82,7 HCPCS,50590,HC FRAGMENT KIDNEY STONE/ ESWL,22747.0,22747.0,,,0 HCPCS,50592,HC PERC RADIOFREQ ABLATE RENAL TUMOR,27849.0,27849.0,,,0 HCPCS,50592,Perc rf ablate renal tumor,,,6313.22,16730.03,7 HCPCS,50593,HC ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY,27192.0,27192.0,,,0 HCPCS,50593,Perc cryo ablate renal tum,,,11100.51,29416.36,7 HCPCS,50606,HC ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC,5870.0,5870.0,,,0 HCPCS,50684,"HC INJECT INDWELL CATH,URETER X-RAY",474.0,474.0,,,0 HCPCS,50686,Measure ureter pressure,,,134.37,356.08,7 HCPCS,50688,Change of ureter tube/stent,,,2182.94,5784.8,7 HCPCS,50688,HC CHANGE OF URETEROSTOMY TUBE VIA ILEAL CONDUIT,8904.0,8904.0,,,0 HCPCS,50690,HC INJECT RETROGRADE/CONDUIT X-RAY,366.0,366.0,,,0 HCPCS,50693,HC PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT,7166.0,7166.0,,,0 HCPCS,50693,Plmt ureteral stent prq,,,3681.06,9754.82,7 HCPCS,50694,HC PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH,7166.0,7166.0,,,0 HCPCS,50694,Plmt ureteral stent prq,,,3681.06,9754.82,7 HCPCS,50695,HC PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH,7166.0,7166.0,,,0 HCPCS,50695,Plmt ureteral stent prq,,,3681.06,9754.82,7 HCPCS,50705,HC URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I,11026.0,11026.0,,,0 HCPCS,50706,HC BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I,6148.0,6148.0,,,0 HCPCS,50727,Revise ureter,,,3681.06,9754.82,7 HCPCS,50945,Laparoscopy ureterolithotomy,,,6313.22,16730.03,7 HCPCS,50947,Laparo New Ureter/Bladder,,,11100.51,29416.36,7 HCPCS,50948,Laparo New Ureter/Bladder,,,11100.51,29416.36,7 HCPCS,50949,Laparoscope proc ureter,,,6313.22,16730.03,7 HCPCS,50951,Endoscopy of ureter,,,3681.06,9754.82,7 HCPCS,50953,Endoscopy of ureter,,,3681.06,9754.82,7 HCPCS,50955,Ureter endoscopy & biopsy,,,5599.21,14837.91,7 HCPCS,50957,Ureter endoscopy & treatment,,,5599.21,14837.91,7 HCPCS,50961,Ureter endoscopy & treatment,,,5599.21,14837.91,7 HCPCS,50970,Ureter endoscopy,,,3681.06,9754.82,7 HCPCS,50972,Ureter endoscopy & catheter,,,3681.06,9754.82,7 HCPCS,50974,Ureter endoscopy & biopsy,,,5599.21,14837.91,7 HCPCS,50976,Ureter endoscopy & treatment,,,5599.21,14837.91,7 HCPCS,50980,Ureter endoscopy & treatment,,,5599.21,14837.91,7 HCPCS,51020,Incise & treat bladder,,,3681.06,9754.82,7 HCPCS,51040,Incise & drain bladder,,,2182.94,5784.8,7 HCPCS,51045,Incise bladder/drain ureter,,,2182.94,5784.8,7 HCPCS,51050,Removal of bladder stone,,,5599.21,14837.91,7 HCPCS,51060,Removal of ureter stone,,,2182.94,5784.8,7 HCPCS,51065,Remove ureter calculus,,,3681.06,9754.82,7 HCPCS,51080,Drainage of bladder abscess,,,3033.33,8038.33,7 HCPCS,51100,Drain bladder by needle,,,260.91,691.42,7 HCPCS,51100,HC BLADDER ASPIRATION BY NEEDLE,789.0,789.0,,,0 HCPCS,51101,Drain bladder by trocar/cath,,,896.76,2376.43,7 HCPCS,51101,HC BLADDER ASPIRATION BY TROCAR/INTRACATH,3473.0,3473.0,,,0 HCPCS,51102,Drain bl w/cath insertion,,,2182.94,5784.8,7 HCPCS,51102,HC ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER,2493.0,2493.0,,,0 HCPCS,51500,Removal of bladder cyst,,,6313.22,16730.03,7 HCPCS,51520,Removal of bladder lesion,,,3681.06,9754.82,7 HCPCS,51535,Repair of ureter lesion,,,3681.06,9754.82,7 HCPCS,51600,HC INJECTION FOR BLADDER X-RAY,445.0,445.0,,,0 HCPCS,51610,HC INJECT FOR RETROGRADE URETHOCYSTO,354.0,354.0,,,0 HCPCS,51700,HC IRRIGATION OF BLADDER,1140.0,1140.0,,,0 HCPCS,51700,Irrigation of bladder,,,260.91,691.42,7 HCPCS,51701,"HC INSERT,NON-INDWELLING BLADDER CATHETER",285.0,285.0,,,0 HCPCS,51701,Insert bladder catheter,,,138.94,368.19,7 HCPCS,51702,"HC INSERT,TEMP INDWELLING BLAD CATH,SIMPLE",285.0,285.0,,,0 HCPCS,51702,Insert temp bladder cath,,,138.94,368.19,7 HCPCS,51703,"HC INSERT,TEMP INDWELLING BLAD CATH,COMP",526.0,526.0,,,0 HCPCS,51703,Insert bladder cath complex,,,134.37,356.08,7 HCPCS,51705,Change of bladder tube,,,260.91,691.42,7 HCPCS,51705,"HC CHANGE OF BLADDER TUBE,SIMPLE",1906.0,1906.0,,,0 HCPCS,51710,Change of bladder tube,,,728.17,1929.66,7 HCPCS,51710,"HC CHANGE OF BLADDER TUBE,COMPLICATED",5551.0,5551.0,,,0 HCPCS,51715,Endoscopic injection/implant,,,3681.06,9754.82,7 HCPCS,51720,HC INSTILL ANTICANCER AGENT IN BLADDER,1005.0,1005.0,,,0 HCPCS,51720,Treatment of bladder lesion,,,728.17,1929.66,7 HCPCS,51725,HC SIMPLE CYSTOMETROGRAM,1005.0,1005.0,,,0 HCPCS,51725,Simple cystometrogram,,,260.91,691.42,7 HCPCS,51726,Complex cystometrogram,,,260.91,691.42,7 HCPCS,51726,HC COMPLEX CYSTOMETROGRAM,1005.0,1005.0,,,0 HCPCS,51727,Cystometrogram w/up,,,728.17,1929.66,7 HCPCS,51727,HC COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE,2171.0,2171.0,,,0 HCPCS,51728,Cystometrogram w/vp,,,728.17,1929.66,7 HCPCS,51728,HC COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES,2171.0,2171.0,,,0 HCPCS,51729,Cystometrogram w/vp&up,,,728.17,1929.66,7 HCPCS,51729,HC COMPLEX CYSTOMETROGRAM W/VOID PRESS&URETHRAL PROFILE,2171.0,2171.0,,,0 HCPCS,51736,Urine flow measurement,,,138.94,368.19,7 HCPCS,51741,Electro-uroflowmetry first,,,225.48,597.53,7 HCPCS,51741,HC COMPLEX UROFLOWMETRY,526.0,526.0,,,0 HCPCS,51784,Anal/urinary muscle study,,,134.37,356.08,7 HCPCS,51784,HC ANAL/URINARY MUSCLE STUDY,526.0,526.0,,,0 HCPCS,51785,Anal/urinary muscle study,,,260.91,691.42,7 HCPCS,51785,"HC ANAL/URINARY MUSCLE STUDY,NEEDLE",1005.0,1005.0,,,0 HCPCS,51792,Urinary reflex study,,,61.6,163.25,7 HCPCS,51797,HC VOIDING PRESS STUDY INTRA-ABDOMINAL VOID,1043.0,1043.0,,,0 HCPCS,51798,"HC MEAS,POST-VOID RES,US,NON-IMAGING",369.0,369.0,,,0 HCPCS,51798,Us urine capacity measure,,,61.6,163.25,7 HCPCS,51840,Attach bladder/urethra,,,5223.95,13843.48,7 HCPCS,51845,Repair bladder neck,,,5223.95,13843.48,7 HCPCS,51860,Repair of bladder wound,,,9885.63,26196.91,7 HCPCS,51880,Repair of bladder opening,,,3681.06,9754.82,7 HCPCS,51990,Laparo urethral suspension,,,6313.22,16730.03,7 HCPCS,51992,HC LAPAROSCOPY SLING OP STRESS INCONTINENCE,16944.0,16944.0,,,0 HCPCS,51992,Laparo sling operation,,,6313.22,16730.03,7 HCPCS,51999,Laparoscope proc bla,,,6313.22,16730.03,7 HCPCS,52000,Cystoscopy,,,728.17,1929.66,7 HCPCS,52000,HC CYSTOURETHROSCOPY,2171.0,2171.0,,,0 HCPCS,52001,Cystoscopy removal of clots,,,3681.06,9754.82,7 HCPCS,52001,HC CYSTOURETHROSCOPY W/IRRIG & EVAC CLOTS,9742.0,9742.0,,,0 HCPCS,52005,Cystoscopy & ureter catheter,,,2182.94,5784.8,7 HCPCS,52005,"HC CYSTOURETHROSCOPY,URETER CATHETER",6759.0,6759.0,,,0 HCPCS,52007,Cystoscopy and biopsy,,,3681.06,9754.82,7 HCPCS,52010,Cystoscopy & duct catheter,,,728.17,1929.66,7 HCPCS,52204,Cystoscopy w/biopsy(s),,,2182.94,5784.8,7 HCPCS,52204,"HC CYSTOURETHROSCOPY,BIOPSY",13051.0,13051.0,,,0 HCPCS,52214,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52224,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52234,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52235,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52240,Cystoscopy and treatment,,,5599.21,14837.91,7 HCPCS,52250,Cystoscopy and radiotracer,,,3681.06,9754.82,7 HCPCS,52260,Cystoscopy and treatment,,,2182.94,5784.8,7 HCPCS,52265,Cystoscopy and treatment,,,2182.94,5784.8,7 HCPCS,52270,Cystoscopy & revise urethra,,,2182.94,5784.8,7 HCPCS,52275,Cystoscopy & revise urethra,,,2182.94,5784.8,7 HCPCS,52276,Cystoscopy and treatment,,,2182.94,5784.8,7 HCPCS,52277,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52281,Cystoscopy and treatment,,,2182.94,5784.8,7 HCPCS,52281,"HC CYSTOSCOPY,DIL URETHRAL STRICTURE",6759.0,6759.0,,,0 HCPCS,52282,Cystoscopy implant stent,,,3681.06,9754.82,7 HCPCS,52283,Cystoscopy and treatment,,,2182.94,5784.8,7 HCPCS,52284,Cysto rx balo cath urtl strx,,,5599.21,14837.91,7 HCPCS,52285,Cystoscopy and treatment,,,728.17,1929.66,7 HCPCS,52287,Cystoscopy chemodenervation,,,2182.94,5784.8,7 HCPCS,52290,Cystoscopy and treatment,,,2182.94,5784.8,7 HCPCS,52300,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52301,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52305,Cystoscopy and treatment,,,5599.21,14837.91,7 HCPCS,52310,Cystoscopy and treatment,,,2182.94,5784.8,7 HCPCS,52310,"HC CYSTOSCOPY,REMV CALCULUS,SIMPLE",7480.0,7480.0,,,0 HCPCS,52315,Cystoscopy and treatment,,,2182.94,5784.8,7 HCPCS,52315,"HC CYSTOSCOPY,REMV CALCULUS,COMPLIC",12629.0,12629.0,,,0 HCPCS,52317,Remove bladder stone,,,3681.06,9754.82,7 HCPCS,52318,"HC REMOVE BLADDER STONE,>2.5 CM",18164.0,18164.0,,,0 HCPCS,52318,Remove bladder stone,,,3681.06,9754.82,7 HCPCS,52320,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52325,Cystoscopy stone removal,,,5599.21,14837.91,7 HCPCS,52327,Cystoscopy inject material,,,5599.21,14837.91,7 HCPCS,52330,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52332,Cystoscopy and treatment,,,3681.06,9754.82,7 HCPCS,52334,Create passage to kidney,,,3681.06,9754.82,7 HCPCS,52341,Cysto W/Ureter Stricture Tx,,,3681.06,9754.82,7 HCPCS,52342,Cysto W/Up Stricture Tx,,,3681.06,9754.82,7 HCPCS,52343,Cysto W/Renal Stricture Tx,,,3681.06,9754.82,7 HCPCS,52344,Cysto/uretero stricture tx,,,3681.06,9754.82,7 HCPCS,52345,Cysto/Uretero W/Up Stricture,,,3681.06,9754.82,7 HCPCS,52346,Cystouretero W/Renal Strict,,,5599.21,14837.91,7 HCPCS,52351,Cystouretero & or pyeloscope,,,3681.06,9754.82,7 HCPCS,52352,Cystouretero w/stone remove,,,3681.06,9754.82,7 HCPCS,52353,Cystouretero W/Lithotripsy,,,5599.21,14837.91,7 HCPCS,52354,Cystouretero W/Biopsy,,,5599.21,14837.91,7 HCPCS,52355,Cystouretero W/Excise Tumor,,,5599.21,14837.91,7 HCPCS,52356,Cysto/uretero w/lithotripsy,,,5599.21,14837.91,7 HCPCS,52400,Cystouretero W/Congen Repr,,,3681.06,9754.82,7 HCPCS,52402,Cystourethro cut ejacul duct,,,3681.06,9754.82,7 HCPCS,52441,HC CYSTO INSERT PROST ADJBL IMPLNT SINGLE,5841.0,5841.0,,,0 HCPCS,52442,HC CYSTO INSERT PROST ADJBL IMPLNT EA ADDL,2828.0,2828.0,,,0 HCPCS,52443,Cysto 1st trurl prst8 comis,,,9885.63,26196.91,7 HCPCS,52450,Incision of prostate,,,3681.06,9754.82,7 HCPCS,52500,Revision of bladder neck,,,3681.06,9754.82,7 HCPCS,52597,Trurl rbtc wtrjt rescj prst8,,,9885.63,26196.91,7 HCPCS,52601,Prostatectomy (TURP),,,5599.21,14837.91,7 HCPCS,52630,Remove prostate regrowth,,,5599.21,14837.91,7 HCPCS,52640,Relieve bladder contracture,,,3681.06,9754.82,7 HCPCS,52647,"HC LASER COAGULATION SURGERY PROSTATE, COMPLETE",16654.0,16654.0,,,0 HCPCS,52648,"HC LASER VAPORIZATION SURGERY PROSTATE, COMPLETE",23198.0,23198.0,,,0 HCPCS,52648,Laser surgery of prostate,,,5599.21,14837.91,7 HCPCS,52649,Prostate laser enucleation,,,5599.21,14837.91,7 HCPCS,52700,Drainage of prostate abscess,,,3681.06,9754.82,7 HCPCS,53000,Incision of urethra,,,2182.94,5784.8,7 HCPCS,53010,Incision of urethra,,,5599.21,14837.91,7 HCPCS,53020,HC MEATOTOMY NON-INFANT,6759.0,6759.0,,,0 HCPCS,53020,Incision of urethra,,,2182.94,5784.8,7 HCPCS,53025,Incision of urethra,,,2182.94,5784.8,7 HCPCS,53040,Drainage of urethra abscess,,,3681.06,9754.82,7 HCPCS,53060,Drainage of urethra abscess,,,2182.94,5784.8,7 HCPCS,53080,Drainage of urinary leakage,,,728.17,1929.66,7 HCPCS,53085,Drainage of urinary leakage,,,2182.94,5784.8,7 HCPCS,53200,Biopsy of urethra,,,2182.94,5784.8,7 HCPCS,53210,Removal of urethra,,,3681.06,9754.82,7 HCPCS,53215,Removal of urethra,,,5599.21,14837.91,7 HCPCS,53220,Treatment of urethra lesion,,,3681.06,9754.82,7 HCPCS,53230,Removal of urethra lesion,,,5599.21,14837.91,7 HCPCS,53235,Removal of urethra lesion,,,5599.21,14837.91,7 HCPCS,53240,Surgery for urethra pouch,,,3681.06,9754.82,7 HCPCS,53250,Removal of urethra gland,,,3681.06,9754.82,7 HCPCS,53260,Treatment of urethra lesion,,,3681.06,9754.82,7 HCPCS,53265,Treatment of urethra lesion,,,2182.94,5784.8,7 HCPCS,53270,Removal of urethra gland,,,3681.06,9754.82,7 HCPCS,53275,Repair of urethra defect,,,3681.06,9754.82,7 HCPCS,53400,Revise urethra stage 1,,,5599.21,14837.91,7 HCPCS,53405,Revise urethra stage 2,,,5599.21,14837.91,7 HCPCS,53410,Reconstruction of urethra,,,5599.21,14837.91,7 HCPCS,53420,Reconstruct urethra stage 1,,,5599.21,14837.91,7 HCPCS,53425,Reconstruct urethra stage 2,,,5599.21,14837.91,7 HCPCS,53430,Reconstruction of urethra,,,5599.21,14837.91,7 HCPCS,53431,Reconstruct urethra/bladder,,,5599.21,14837.91,7 HCPCS,53440,Male sling procedure,,,13777.65,36510.77,7 HCPCS,53442,Remove/revise male sling,,,5599.21,14837.91,7 HCPCS,53444,Insert tandem cuff,,,21643.86,57356.22,7 HCPCS,53445,Insert uro/ves nck sphincter,,,21643.86,57356.22,7 HCPCS,53446,Remove uro sphincter,,,5599.21,14837.91,7 HCPCS,53447,Remove/replace ur sphincter,,,21643.86,57356.22,7 HCPCS,53449,Repair uro sphincter,,,9885.63,26196.91,7 HCPCS,53450,Revision of urethra,,,3681.06,9754.82,7 HCPCS,53451,Tprnl balo cntnc dev bi,,,13777.65,36510.77,7 HCPCS,53452,Tprnl balo cntnc dev uni,,,9885.63,26196.91,7 HCPCS,53453,Tprnl balo cntnc dev rmvl ea,,,3681.06,9754.82,7 HCPCS,53454,Tprnl balo cntnc dev adjmt,,,260.91,691.42,7 HCPCS,53460,Revision of urethra,,,3681.06,9754.82,7 HCPCS,53500,Urethrlys transvag w/ scope,,,3681.06,9754.82,7 HCPCS,53502,Repair of urethra injury,,,3681.06,9754.82,7 HCPCS,53505,Repair of urethra injury,,,5599.21,14837.91,7 HCPCS,53510,Repair of urethra injury,,,5599.21,14837.91,7 HCPCS,53515,Repair of urethra injury,,,5599.21,14837.91,7 HCPCS,53520,Repair of urethra defect,,,5599.21,14837.91,7 HCPCS,53600,Dilate urethra stricture,,,260.91,691.42,7 HCPCS,53600,HC DILATE URETHRA STRICTURE MALE INIT,557.0,557.0,,,0 HCPCS,53601,Dilate urethra stricture,,,138.94,368.19,7 HCPCS,53601,HC DILATE URETHRA STRICTURE MALE SUBS,326.0,326.0,,,0 HCPCS,53605,Dilate urethra stricture,,,3681.06,9754.82,7 HCPCS,53620,Dilate urethra stricture,,,728.17,1929.66,7 HCPCS,53621,Dilate urethra stricture,,,260.91,691.42,7 HCPCS,53660,Dilation of urethra,,,134.37,356.08,7 HCPCS,53660,HC DILATE URETHRA W/ SUPP FEMALE INIT,457.0,457.0,,,0 HCPCS,53661,Dilation of urethra,,,138.94,368.19,7 HCPCS,53661,HC DILATE URETHRA W/ SUPP FEMALE SUBS,326.0,326.0,,,0 HCPCS,53665,Dilation of urethra,,,2182.94,5784.8,7 HCPCS,53850,Prostatic microwave thermotx,,,3681.06,9754.82,7 HCPCS,53852,Prostatic rf thermotx,,,3681.06,9754.82,7 HCPCS,53854,Trurl dstrj prst8 tiss rf wv,,,3681.06,9754.82,7 HCPCS,53855,Insert prost urethral stent,,,2182.94,5784.8,7 HCPCS,53860,Transurethral rf treatment,,,2182.94,5784.8,7 HCPCS,53865,Cysto insj dev ischmc rmdlg,,,9885.63,26196.91,7 HCPCS,53866,Cathj rmvl dev ischmc rmdlg,,,260.91,691.42,7 HCPCS,53899,HC UROLOGY SURGERY PROCEDURE UNLISTED,6200.0,6200.0,,,0 HCPCS,53899,Urology surgery procedure,,,260.91,691.42,7 HCPCS,54000,Slitting of prepuce,,,3681.06,9754.82,7 HCPCS,54001,Slitting of prepuce,,,2182.94,5784.8,7 HCPCS,54015,Drain penis lesion,,,1724.73,4570.53,7 HCPCS,54050,Destruction penis lesion(s),,,424.52,1124.97,7 HCPCS,54050,"HC DESTR PENIS LESN,SIMPL,CHEMICAL",1305.0,1305.0,,,0 HCPCS,54055,Destruction penis lesion(s),,,2154.64,5709.8,7 HCPCS,54055,"HC DESTR PENIS LESN,SIMPL,ELEC-DESSIC",6465.0,6465.0,,,0 HCPCS,54056,Cryosurgery penis lesion(s),,,209.52,555.22,7 HCPCS,54056,"HC DESTR PENIS LESN,SIMPL,CRYOSURG",678.0,678.0,,,0 HCPCS,54057,"HC DESTR PENIS LESN,SIMPL,LASER SURG",6465.0,6465.0,,,0 HCPCS,54057,Laser surg penis lesion(s),,,2154.64,5709.8,7 HCPCS,54060,Excision of penis lesion(s),,,2154.64,5709.8,7 HCPCS,54060,"HC DESTR PENIS LESN,SIMPL,SURG EXCIS",6465.0,6465.0,,,0 HCPCS,54065,Destruction penis lesion(s),,,2154.64,5709.8,7 HCPCS,54100,Biopsy of penis,,,1724.73,4570.53,7 HCPCS,54100,HC BIOPSY PENIS SEPARATE PROCEDURE,4876.0,4876.0,,,0 HCPCS,54105,Biopsy of penis,,,3033.33,8038.33,7 HCPCS,54110,Treatment of penis lesion,,,3681.06,9754.82,7 HCPCS,54111,Treat penis lesion graft,,,5599.21,14837.91,7 HCPCS,54112,Treat penis lesion graft,,,9885.63,26196.91,7 HCPCS,54115,Treatment of penis lesion,,,3033.33,8038.33,7 HCPCS,54120,Partial removal of penis,,,3681.06,9754.82,7 HCPCS,54150,Circumcision w/regionl block,,,2182.94,5784.8,7 HCPCS,54150,HC CIRCUMCISION W/ CLAMP OR DEVICE,6759.0,6759.0,,,0 HCPCS,54160,Circumcision neonate,,,728.17,1929.66,7 HCPCS,54160,"HC CIRCUMCISION,SURG EXCISION NOT CLAMP/DEV/DORSAL SLIT - NEONATE",1533.0,1533.0,,,0 HCPCS,54161,Circum 28 days or older,,,2182.94,5784.8,7 HCPCS,54161,"HC CIRCUMCISION,OTHR >28 DAYS OLD",12815.0,12815.0,,,0 HCPCS,54162,HC LYSIS/EXCIS POST CIRCUMCISION ADHESIONS,3669.0,3669.0,,,0 HCPCS,54162,Lysis penil circumic lesion,,,2182.94,5784.8,7 HCPCS,54163,HC REPAIR INCOMPLETE CIRCUMCISION,6962.0,6962.0,,,0 HCPCS,54163,Repair of circumcision,,,2182.94,5784.8,7 HCPCS,54164,Frenulotomy of penis,,,2182.94,5784.8,7 HCPCS,54164,HC FRENULOTOMY OF PENIS,6759.0,6759.0,,,0 HCPCS,54200,HC INJ PEYRONIE DISEASE,1005.0,1005.0,,,0 HCPCS,54200,Treatment of penis lesion,,,260.91,691.42,7 HCPCS,54205,Treatment of penis lesion,,,5599.21,14837.91,7 HCPCS,54220,"HC IRRIGAT CORPUS CAVERN,PRIAPISM",1170.0,1170.0,,,0 HCPCS,54220,Treatment of penis lesion,,,260.91,691.42,7 HCPCS,54231,Dynamic cavernosometry,,,260.91,691.42,7 HCPCS,54235,"HC INJECT CORPORA CAVERN,PHARM AGNT",723.0,723.0,,,0 HCPCS,54235,Penile injection,,,260.91,691.42,7 HCPCS,54240,Penis study,,,225.48,597.53,7 HCPCS,54250,Penis study,,,260.91,691.42,7 HCPCS,54300,Revision of penis,,,3681.06,9754.82,7 HCPCS,54304,Revision of penis,,,3681.06,9754.82,7 HCPCS,54308,Reconstruction of urethra,,,5599.21,14837.91,7 HCPCS,54312,Reconstruction of urethra,,,3681.06,9754.82,7 HCPCS,54316,Reconstruction of urethra,,,9885.63,26196.91,7 HCPCS,54318,Reconstruction of urethra,,,3681.06,9754.82,7 HCPCS,54322,Reconstruction of urethra,,,3681.06,9754.82,7 HCPCS,54324,Reconstruction of urethra,,,3681.06,9754.82,7 HCPCS,54326,Reconstruction of urethra,,,3681.06,9754.82,7 HCPCS,54328,Revise penis/urethra,,,3681.06,9754.82,7 HCPCS,54332,Revise penis/urethra,,,3681.06,9754.82,7 HCPCS,54336,Revise penis/urethra,,,3681.06,9754.82,7 HCPCS,54340,Secondary urethral surgery,,,3681.06,9754.82,7 HCPCS,54344,Secondary urethral surgery,,,9885.63,26196.91,7 HCPCS,54348,Secondary urethral surgery,,,5599.21,14837.91,7 HCPCS,54352,Reconstruct urethra/penis,,,5599.21,14837.91,7 HCPCS,54360,Penis plastic surgery,,,3681.06,9754.82,7 HCPCS,54380,Repair penis,,,2182.94,5784.8,7 HCPCS,54385,Repair penis,,,2182.94,5784.8,7 HCPCS,54400,Insert semi-rigid prosthesis,,,13777.65,36510.77,7 HCPCS,54401,Insert self-contd prosthesis,,,21643.86,57356.22,7 HCPCS,54405,Insert multi-comp penis pros,,,21643.86,57356.22,7 HCPCS,54406,Remove muti-comp penis pros,,,3681.06,9754.82,7 HCPCS,54408,Repair multi-comp penis pros,,,5599.21,14837.91,7 HCPCS,54410,Remove/replace penis prosth,,,21643.86,57356.22,7 HCPCS,54411,Remov/replc penis pros comp,,,21643.86,57356.22,7 HCPCS,54415,Remove self-contd penis pros,,,3681.06,9754.82,7 HCPCS,54416,Remv/repl penis contain pros,,,21643.86,57356.22,7 HCPCS,54417,Remv/replc penis pros compl,,,21643.86,57356.22,7 HCPCS,54420,Revision of penis,,,3681.06,9754.82,7 HCPCS,54435,Revision of penis,,,3681.06,9754.82,7 HCPCS,54437,Repair corporeal tear,,,3681.06,9754.82,7 HCPCS,54440,Repair of penis,,,3681.06,9754.82,7 HCPCS,54450,HC FORESKIN MANIP LYSIS ADHESIONS,1005.0,1005.0,,,0 HCPCS,54450,Preputial stretching,,,260.91,691.42,7 HCPCS,54500,Biopsy of testis,,,3033.33,8038.33,7 HCPCS,54505,Biopsy of testis,,,3681.06,9754.82,7 HCPCS,54512,Excise Lesion Testis,,,3681.06,9754.82,7 HCPCS,54520,Removal of testis,,,3681.06,9754.82,7 HCPCS,54522,Orchiectomy partial,,,3681.06,9754.82,7 HCPCS,54530,Removal of testis,,,3738.94,9908.18,7 HCPCS,54535,Extensive testis surgery,,,3681.06,9754.82,7 HCPCS,54550,Exploration for testis,,,3738.94,9908.18,7 HCPCS,54560,Exploration for testis,,,2182.94,5784.8,7 HCPCS,54600,Reduce testis torsion,,,3681.06,9754.82,7 HCPCS,54620,Suspension of testis,,,3681.06,9754.82,7 HCPCS,54640,Suspension of testis,,,3738.94,9908.18,7 HCPCS,54650,Orchiopexy (Fowler-Stephens),,,3738.94,9908.18,7 HCPCS,54660,Revision of testis,,,5599.21,14837.91,7 HCPCS,54670,Repair testis injury,,,3681.06,9754.82,7 HCPCS,54680,Relocation of testis(es),,,3681.06,9754.82,7 HCPCS,54690,Laparoscopy orchiectomy,,,6313.22,16730.03,7 HCPCS,54692,Laparoscopy orchiopexy,,,6313.22,16730.03,7 HCPCS,54699,Laparoscope proc testis,,,6313.22,16730.03,7 HCPCS,54700,Drainage of scrotum,,,2182.94,5784.8,7 HCPCS,54700,"HC INCIS/DRAIN SCROTUM/TESTIS,EPIDIDYM",6759.0,6759.0,,,0 HCPCS,54800,Biopsy of epididymis,,,1724.73,4570.53,7 HCPCS,54830,Remove epididymis lesion,,,3681.06,9754.82,7 HCPCS,54840,Remove epididymis lesion,,,2182.94,5784.8,7 HCPCS,54860,Removal of epididymis,,,3681.06,9754.82,7 HCPCS,54861,Removal of epididymis,,,3681.06,9754.82,7 HCPCS,54865,Explore Epididymis,,,3681.06,9754.82,7 HCPCS,54900,Fusion of spermatic ducts,,,2182.94,5784.8,7 HCPCS,54901,Fusion of spermatic ducts,,,3681.06,9754.82,7 HCPCS,55000,Drainage of hydrocele,,,739.49,1959.64,7 HCPCS,55000,"HC DRAINAGE OF HYDROCELE,TUNICA",5439.0,5439.0,,,0 HCPCS,55040,Removal of hydrocele,,,3738.94,9908.18,7 HCPCS,55041,Removal of hydroceles,,,3738.94,9908.18,7 HCPCS,55060,Repair of hydrocele,,,3681.06,9754.82,7 HCPCS,55100,Drainage of scrotum abscess,,,1724.73,4570.53,7 HCPCS,55100,HC DRAINAGE SCROTAL WALL ABSCESS,7742.0,7742.0,,,0 HCPCS,55110,Explore scrotum,,,3681.06,9754.82,7 HCPCS,55120,HC REMV FB IN SCROTUM,6759.0,6759.0,,,0 HCPCS,55120,Removal of scrotum lesion,,,2182.94,5784.8,7 HCPCS,55150,Removal of scrotum,,,3681.06,9754.82,7 HCPCS,55175,Revision of scrotum,,,3681.06,9754.82,7 HCPCS,55180,Revision of scrotum,,,5599.21,14837.91,7 HCPCS,55200,Incision of sperm duct,,,3681.06,9754.82,7 HCPCS,55250,HC VASECTOMY,5140.0,5140.0,,,0 HCPCS,55250,Removal of sperm duct(s),,,2182.94,5784.8,7 HCPCS,55400,Repair of sperm duct,,,3681.06,9754.82,7 HCPCS,55500,Removal of hydrocele,,,3681.06,9754.82,7 HCPCS,55520,Removal of sperm cord lesion,,,3681.06,9754.82,7 HCPCS,55530,Revise spermatic cord veins,,,3681.06,9754.82,7 HCPCS,55535,Revise spermatic cord veins,,,6760.47,17915.26,7 HCPCS,55540,Revise hernia & sperm veins,,,3738.94,9908.18,7 HCPCS,55550,Laparo ligate spermatic vein,,,6313.22,16730.03,7 HCPCS,55559,Laparo proc spermatic cord,,,6313.22,16730.03,7 HCPCS,55600,Incise sperm duct pouch,,,2182.94,5784.8,7 HCPCS,55680,Remove sperm pouch lesion,,,3681.06,9754.82,7 HCPCS,55700,"HC BIOPSY OF PROSTATE,NEEDLE/PUNCH",10241.0,10241.0,,,0 HCPCS,55705,Biopsy of prostate,,,3681.06,9754.82,7 HCPCS,55706,HC BIOPSY OF PROSTATE GUIDED SATURATION SAMPLING,12742.0,12742.0,,,0 HCPCS,55706,Prostate saturation sampling,,,3681.06,9754.82,7 HCPCS,55707,Bx prst8 trct us guided,,,3681.06,9754.82,7 HCPCS,55708,Bx prst8 trct us w/mri fus 1,,,3681.06,9754.82,7 HCPCS,55709,Bx prst8 tprnl us guided,,,3681.06,9754.82,7 HCPCS,55710,Bx prst8 tprn us w/mri fus 1,,,3681.06,9754.82,7 HCPCS,55711,Bx prst8 trct mri-us 1st,,,3681.06,9754.82,7 HCPCS,55712,Bx prst8 tprnl mri-us 1st,,,3681.06,9754.82,7 HCPCS,55713,Bx prst8 in-bore ct/mri bx 1,,,5599.21,14837.91,7 HCPCS,55714,Bx prst8 in-bore ct/mri 1,,,5599.21,14837.91,7 HCPCS,55720,Drainage of prostate abscess,,,3681.06,9754.82,7 HCPCS,55725,Drainage of prostate abscess,,,3681.06,9754.82,7 HCPCS,55860,Surgical exposure prostate,,,5599.21,14837.91,7 HCPCS,55866,Laparo radical prostatectomy,,,11100.51,29416.36,7 HCPCS,55867,Laps surg prst8ect smpl stot,,,11100.51,29416.36,7 HCPCS,55868,Lap srg prst8ct lymph nod bx,,,11100.51,29416.36,7 HCPCS,55869,Lap srg prst8ct bi pl lmphad,,,11100.51,29416.36,7 HCPCS,55870,Electroejaculation,,,961.83,2548.86,7 HCPCS,55873,Cryoablate Prostate,,,9885.63,26196.91,7 HCPCS,55874,HC TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX,17510.0,17510.0,,,0 HCPCS,55874,Tprnl plmt biodegrdabl matrl,,,5599.21,14837.91,7 HCPCS,55875,"HC PERCUT/NEEDLE INSERT,PROSTATE,RADIOISOT",13010.0,13010.0,,,0 HCPCS,55875,Transperi needle place pros,,,5599.21,14837.91,7 HCPCS,55876,"HC PLACE RADIOTHER DEVICE/MARKER, PROSTATE",5837.0,5837.0,,,0 HCPCS,55876,Place rt device/marker pros,,,1445.42,3830.36,7 HCPCS,55877,Abltj ire prst8 1+ tum perq,,,11100.51,29416.36,7 HCPCS,55880,Abltj mal prst8 tiss hifu,,,9885.63,26196.91,7 HCPCS,55882,Ablt trurl prst8 tis trnsdcr,,,13777.65,36510.77,7 HCPCS,55899,Genital surgery procedure,,,260.91,691.42,7 HCPCS,55920,HC PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL,14647.0,14647.0,,,0 HCPCS,55920,Place needles pelvic for rt,,,5223.95,13843.48,7 HCPCS,55970,Sex transformation m to f,,,5223.95,13843.48,7 HCPCS,55980,Sex transformation f to m,,,3681.06,9754.82,7 HCPCS,56405,HC I&D OF VULVA/PERINEUM ABSCESS,1799.0,1799.0,,,0 HCPCS,56405,I & D of vulva/perineum,,,318.22,843.29,7 HCPCS,56420,Drainage of gland abscess,,,211.12,559.48,7 HCPCS,56420,HC I&D BARTHOLIN GLAND ABSCESS,1467.0,1467.0,,,0 HCPCS,56440,HC MARSUP BARTHOLIN GLAND CYST,9904.0,9904.0,,,0 HCPCS,56440,Surgery for vulva lesion,,,3380.46,8958.23,7 HCPCS,56441,Lysis of labial lesion(s),,,3380.46,8958.23,7 HCPCS,56442,Hymenotomy,,,3380.46,8958.23,7 HCPCS,56501,Destroy vulva lesions sim,,,2154.64,5709.8,7 HCPCS,56501,"HC DESTRUCTION,LESION(S),VULVA,SIMPLE",11453.0,11453.0,,,0 HCPCS,56515,Destroy vulva lesion/s compl,,,2154.64,5709.8,7 HCPCS,56515,"HC DESTRUCTION,LESION(S),VULVA;EXTENSIVE",11453.0,11453.0,,,0 HCPCS,56605,Biopsy of vulva/perineum,,,961.83,2548.86,7 HCPCS,56605,"HC BIOPSY VULVA/PERINEUM,ONE LESION",5854.0,5854.0,,,0 HCPCS,56605,"HC BIOPSY VULVA/PERINEUM,ONE LESN",5854.0,5854.0,,,0 HCPCS,56606,"HC BX,VULVA/PERINEUM,ADDL LESION",3473.0,3473.0,,,0 HCPCS,56620,Partial removal of vulva,,,3380.46,8958.23,7 HCPCS,56625,Complete removal of vulva,,,3380.46,8958.23,7 HCPCS,56630,Extensive vulva surgery,,,5223.95,13843.48,7 HCPCS,56700,Partial removal of hymen,,,3380.46,8958.23,7 HCPCS,56740,Remove vagina gland lesion,,,3380.46,8958.23,7 HCPCS,56800,Repair of vagina,,,3380.46,8958.23,7 HCPCS,56805,Repair clitoris,,,3380.46,8958.23,7 HCPCS,56810,Repair of perineum,,,3380.46,8958.23,7 HCPCS,56820,Exam of vulva w/scope,,,211.12,559.48,7 HCPCS,56820,"HC COLPOSCOPY,VULVA",818.0,818.0,,,0 HCPCS,56821,Exam/biopsy of vulva w/scope,,,318.22,843.29,7 HCPCS,56821,"HC COLPOSCOPY,VULVA,W/BIOPSY(S)",1065.0,1065.0,,,0 HCPCS,57000,Exploration of vagina,,,3380.46,8958.23,7 HCPCS,57010,Drainage of pelvic abscess,,,3380.46,8958.23,7 HCPCS,57020,Drainage of pelvic fluid,,,5223.95,13843.48,7 HCPCS,57022,I & d vaginal hematoma pp,,,3033.33,8038.33,7 HCPCS,57023,I & d vag hematoma non-ob,,,3033.33,8038.33,7 HCPCS,57061,Destroy vag lesions simple,,,3380.46,8958.23,7 HCPCS,57065,Destroy vag lesions complex,,,3380.46,8958.23,7 HCPCS,57100,Biopsy of vagina,,,961.83,2548.86,7 HCPCS,57100,"HC BIOPSY OF VAGINA,SIMPLE",4947.0,4947.0,,,0 HCPCS,57105,Biopsy of vagina,,,3380.46,8958.23,7 HCPCS,57106,Remove vagina wall partial,,,3380.46,8958.23,7 HCPCS,57107,Remove vagina tissue part,,,3380.46,8958.23,7 HCPCS,57109,Vaginectomy partial w/nodes,,,3380.46,8958.23,7 HCPCS,57120,Closure of vagina,,,5223.95,13843.48,7 HCPCS,57130,Remove vagina lesion,,,3380.46,8958.23,7 HCPCS,57135,Remove vagina lesion,,,3380.46,8958.23,7 HCPCS,57150,Treat vagina infection,,,61.6,163.25,7 HCPCS,57155,"HC INSERT,UTERINE TANDEMS &/OR VAG OVOIDS",3940.0,3940.0,,,0 HCPCS,57155,Insert uteri tandem/ovoids,,,5223.95,13843.48,7 HCPCS,57156,HC INSERT VAGINAL RADIATION DEVICE,2037.0,2037.0,,,0 HCPCS,57156,Ins vag brachytx device,,,318.22,843.29,7 HCPCS,57160,HC FIT/INSERT INTRAVAG SUPPORT DEVICE,642.0,642.0,,,0 HCPCS,57160,Insert pessary/other device,,,211.12,559.48,7 HCPCS,57170,Fitting of diaphragm/cap,,,211.12,559.48,7 HCPCS,57170,HC FITTING OF DIAPHRAGM/CAP,642.0,642.0,,,0 HCPCS,57180,HC TREAT VAGINAL BLEEDING,642.0,642.0,,,0 HCPCS,57180,Treat vaginal bleeding,,,211.12,559.48,7 HCPCS,57200,Repair of vagina,,,3380.46,8958.23,7 HCPCS,57210,Repair vagina/perineum,,,3380.46,8958.23,7 HCPCS,57220,Revision of urethra,,,5223.95,13843.48,7 HCPCS,57230,Repair of urethral lesion,,,3380.46,8958.23,7 HCPCS,57240,Repair bladder & vagina,,,5223.95,13843.48,7 HCPCS,57250,Repair rectum & vagina,,,5223.95,13843.48,7 HCPCS,57260,Repair of vagina,,,5223.95,13843.48,7 HCPCS,57265,Extensive repair of vagina,,,5223.95,13843.48,7 HCPCS,57268,Repair of bowel bulge,,,5223.95,13843.48,7 HCPCS,57282,Colpopexy extraperitoneal,,,7743.78,20521.03,7 HCPCS,57283,Colpopexy intraperitoneal,,,7743.78,20521.03,7 HCPCS,57284,Repair paravag defect open,,,5223.95,13843.48,7 HCPCS,57285,Repair paravag defect vag,,,7743.78,20521.03,7 HCPCS,57287,Revise/Remove Sling Repair,,,3380.46,8958.23,7 HCPCS,57288,HC SLING OP STRESS INCONTINENCE,22431.0,22431.0,,,0 HCPCS,57288,Repair bladder defect,,,5223.95,13843.48,7 HCPCS,57289,Repair bladder & vagina,,,7743.78,20521.03,7 HCPCS,57291,Construction of vagina,,,5223.95,13843.48,7 HCPCS,57292,Construct vagina with graft,,,5223.95,13843.48,7 HCPCS,57295,Revise vag graft via vagina,,,3380.46,8958.23,7 HCPCS,57300,Repair rectum-vagina fistula,,,3380.46,8958.23,7 HCPCS,57310,Repair urethrovaginal lesion,,,7743.78,20521.03,7 HCPCS,57320,Repair bladder-vagina lesion,,,5223.95,13843.48,7 HCPCS,57330,Repair bladder-vagina lesion,,,7743.78,20521.03,7 HCPCS,57335,Repair vagina,,,5223.95,13843.48,7 HCPCS,57400,Dilation of vagina,,,3380.46,8958.23,7 HCPCS,57410,Pelvic examination,,,3380.46,8958.23,7 HCPCS,57415,HC VAGINAL RMV IMPACTED FOREIGN BODY W/ ANESTH,9904.0,9904.0,,,0 HCPCS,57415,Remove vaginal foreign body,,,3380.46,8958.23,7 HCPCS,57420,Exam of vagina w/scope,,,318.22,843.29,7 HCPCS,57421,Exam/biopsy of vag w/scope,,,961.83,2548.86,7 HCPCS,57421,"HC COLPOSCOPY,ENTIRE VAGINA,W/BIOPSY(S)",2392.0,2392.0,,,0 HCPCS,57423,Repair paravag defect lap,,,11100.51,29416.36,7 HCPCS,57425,Laparoscopy surg colpopexy,,,11100.51,29416.36,7 HCPCS,57426,Revise prosth vag graft lap,,,7743.78,20521.03,7 HCPCS,57452,Exam of cervix w/scope,,,211.12,559.48,7 HCPCS,57452,"HC COLPOSCOPY,CERVIX W/ADJ VAGINA",2732.0,2732.0,,,0 HCPCS,57454,Bx/curett of cervix w/scope,,,318.22,843.29,7 HCPCS,57454,"HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG",1440.0,1440.0,,,0 HCPCS,57455,Biopsy of cervix w/scope,,,318.22,843.29,7 HCPCS,57455,"HC COLPOSCOPY,CERVIX W/ADJ VAGINA,W/BX",4546.0,4546.0,,,0 HCPCS,57456,Endocerv curettage w/scope,,,318.22,843.29,7 HCPCS,57456,"HC COLPOSCOPY,CERVIX W/ADJ VAGINA, CURETTAG",1085.0,1085.0,,,0 HCPCS,57460,Bx of cervix w/scope leep,,,3380.46,8958.23,7 HCPCS,57460,"HC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX",9904.0,9904.0,,,0 HCPCS,57461,Conz of cervix w/scope leep,,,3380.46,8958.23,7 HCPCS,57461,"HC COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP CONIZ",9904.0,9904.0,,,0 HCPCS,57500,Biopsy of cervix,,,961.83,2548.86,7 HCPCS,57500,"HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION",2718.0,2718.0,,,0 HCPCS,57505,Endocervical curettage,,,961.83,2548.86,7 HCPCS,57505,HC ENDOCERVICAL CURETTAGE,2392.0,2392.0,,,0 HCPCS,57510,Cauterization of cervix,,,3380.46,8958.23,7 HCPCS,57511,Cryocautery of cervix,,,318.22,843.29,7 HCPCS,57511,HC CRYOCAUTERY OF CERVIX,1065.0,1065.0,,,0 HCPCS,57513,Laser surgery of cervix,,,3380.46,8958.23,7 HCPCS,57520,Conization of cervix,,,3380.46,8958.23,7 HCPCS,57520,HC CONIZATION OF CERVIX COLD KNIFE LASER,12476.0,12476.0,,,0 HCPCS,57522,Conization of cervix,,,3380.46,8958.23,7 HCPCS,57522,"HC CONIZATION CERVIX,LOOP ELECTRD",11717.0,11717.0,,,0 HCPCS,57530,Removal of cervix,,,5223.95,13843.48,7 HCPCS,57550,Removal of residual cervix,,,5223.95,13843.48,7 HCPCS,57555,Remove cervix/repair vagina,,,5223.95,13843.48,7 HCPCS,57556,Remove cervix repair bowel,,,5223.95,13843.48,7 HCPCS,57558,D&C oF Cervical Stump,,,3380.46,8958.23,7 HCPCS,57700,Revision of cervix,,,3380.46,8958.23,7 HCPCS,57720,Revision of cervix,,,3380.46,8958.23,7 HCPCS,57800,Dilation of cervical canal,,,3380.46,8958.23,7 HCPCS,58100,Biopsy of uterus lining,,,211.12,559.48,7 HCPCS,58100,HC BIOPSY OF UTERUS LINING,1247.0,1247.0,,,0 HCPCS,58110,HC ENDOMET BIOPSY DONE W/COLPOSCOPY,923.0,923.0,,,0 HCPCS,58120,Dilation and curettage,,,3380.46,8958.23,7 HCPCS,58120,"HC DILATION/CURETTAGE,DIAGNOSTIC",13338.0,13338.0,,,0 HCPCS,58145,Myomectomy vag method,,,3380.46,8958.23,7 HCPCS,58260,Vaginal hysterectomy,,,5223.95,13843.48,7 HCPCS,58262,Vag hyst including t/o,,,5223.95,13843.48,7 HCPCS,58263,Vag hyst w/t/o & vag repair,,,5223.95,13843.48,7 HCPCS,58270,Vag hyst w/enterocele repair,,,5223.95,13843.48,7 HCPCS,58290,Vag hyst complex,,,7743.78,20521.03,7 HCPCS,58291,Vag hyst incl t/o complex,,,5223.95,13843.48,7 HCPCS,58292,Vag hyst t/o & repair compl,,,7743.78,20521.03,7 HCPCS,58294,Vag hyst w/enterocele compl,,,5223.95,13843.48,7 HCPCS,58300,HC INSERT INTRAUTERINE DEVICE,6221.0,6221.0,,,0 HCPCS,58301,HC REMOVE INTRAUTERINE DEVICE,1065.0,1065.0,,,0 HCPCS,58301,Remove intrauterine device,,,318.22,843.29,7 HCPCS,58321,Artificial insemination,,,318.22,843.29,7 HCPCS,58322,Artificial insemination,,,211.12,559.48,7 HCPCS,58323,Sperm washing,,,211.12,559.48,7 HCPCS,58340,HC CATH/INJECT HYSTEROSALPINGOGRAM,345.0,345.0,,,0 HCPCS,58345,"HC REOPEN FALLOPIAN TUBE,TRANSCERV CATH",4214.0,4214.0,,,0 HCPCS,58345,Reopen fallopian tube,,,3380.46,8958.23,7 HCPCS,58346,Insert heyman uteri capsule,,,5223.95,13843.48,7 HCPCS,58350,Reopen fallopian tube,,,5223.95,13843.48,7 HCPCS,58353,Endometr ablate thermal,,,5223.95,13843.48,7 HCPCS,58353,"HC ENDOMETRIAL ABLATION, THERMAL",16644.0,16644.0,,,0 HCPCS,58356,Endometrial cryoablation,,,5223.95,13843.48,7 HCPCS,58356,"HC ENDOMETRIAL ABLATION, CRYO",16644.0,16644.0,,,0 HCPCS,58541,Lsh uterus 250 g or less,,,11100.51,29416.36,7 HCPCS,58542,Lsh w/t/o ut 250 g or less,,,11100.51,29416.36,7 HCPCS,58543,LSH Uterus Above 250 g,,,11100.51,29416.36,7 HCPCS,58544,LSH w/t/o Uterus Above 250 g,,,11100.51,29416.36,7 HCPCS,58545,Laparoscopic myomectomy,,,6313.22,16730.03,7 HCPCS,58546,Laparo-myomectomy complex,,,11100.51,29416.36,7 HCPCS,58550,Laparo-asst vag hysterectomy,,,6313.22,16730.03,7 HCPCS,58552,"HC LAP,VAG HYST,UTERUS 250GMS/<,SALP-OOPH",37283.0,37283.0,,,0 HCPCS,58552,Laparo-vag hyst incl t/o,,,11100.51,29416.36,7 HCPCS,58553,Laparo-vag hyst complex,,,11100.51,29416.36,7 HCPCS,58554,Laparo-vag hyst w/t/o compl,,,11100.51,29416.36,7 HCPCS,58555,Hysteroscopy dx sep proc,,,3380.46,8958.23,7 HCPCS,58558,"HC HYSTEROSCOPY,W/ENDO BX",16619.0,16619.0,,,0 HCPCS,58558,Hysteroscopy biopsy,,,3380.46,8958.23,7 HCPCS,58559,Hysteroscopy lysis,,,5223.95,13843.48,7 HCPCS,58560,Hysteroscopy resect septum,,,5223.95,13843.48,7 HCPCS,58561,Hysteroscopy remove myoma,,,5223.95,13843.48,7 HCPCS,58562,Hysteroscopy remove fb,,,3380.46,8958.23,7 HCPCS,58563,"HC HYSTEROSCOPY,W/ENDOMETRIAL ABLATION",21078.0,21078.0,,,0 HCPCS,58563,Hysteroscopy ablation,,,5223.95,13843.48,7 HCPCS,58565,Hysteroscopy sterilization,,,5223.95,13843.48,7 HCPCS,58570,Tlh uterus 250 g or less,,,11100.51,29416.36,7 HCPCS,58571,HC LAPAROSCOPY W TOT HYSTERECTUTERUS <=250 GRAM W TUBE/OVARY,40638.0,40638.0,,,0 HCPCS,58571,Tlh w/t/o 250 g or less,,,11100.51,29416.36,7 HCPCS,58572,Tlh uterus over 250 g,,,11100.51,29416.36,7 HCPCS,58573,Tlh w/t/o uterus over 250 g,,,11100.51,29416.36,7 HCPCS,58578,Laparo proc uterus,,,6313.22,16730.03,7 HCPCS,58579,Hysteroscope procedure,,,211.12,559.48,7 HCPCS,58580,Transcrv abltj utrn fibrd rf,,,7743.78,20521.03,7 HCPCS,58600,Division of fallopian tube,,,3380.46,8958.23,7 HCPCS,58615,Occlude fallopian tube(s),,,3380.46,8958.23,7 HCPCS,58660,Laparoscopy lysis,,,6313.22,16730.03,7 HCPCS,58661,"HC LAP,RMV ADNEXAL STRUCTURE",29577.0,29577.0,,,0 HCPCS,58661,Laparoscopy remove adnexa,,,6313.22,16730.03,7 HCPCS,58662,"HC LAP,FULGURATE/EXCISE LESIONS",23112.0,23112.0,,,0 HCPCS,58662,Laparoscopy excise lesions,,,6313.22,16730.03,7 HCPCS,58670,HC OVIDUCT FULGURATION LAP,19100.0,19100.0,,,0 HCPCS,58670,Laparoscopy tubal cautery,,,6313.22,16730.03,7 HCPCS,58671,Laparoscopy tubal block,,,6313.22,16730.03,7 HCPCS,58672,Laparoscopy fimbrioplasty,,,6313.22,16730.03,7 HCPCS,58673,Laparoscopy salpingostomy,,,11100.51,29416.36,7 HCPCS,58674,Laps abltj uterine fibroids,,,11100.51,29416.36,7 HCPCS,58679,Laparo proc oviduct-ovary,,,6313.22,16730.03,7 HCPCS,58770,Create new tubal opening,,,3380.46,8958.23,7 HCPCS,58800,Drainage of ovarian cyst(s),,,3380.46,8958.23,7 HCPCS,58805,Drainage of ovarian cyst(s),,,3380.46,8958.23,7 HCPCS,58820,Drain ovary abscess open,,,3380.46,8958.23,7 HCPCS,58900,Biopsy of ovary(s),,,3380.46,8958.23,7 HCPCS,58920,Partial removal of ovary(s),,,7743.78,20521.03,7 HCPCS,58925,Removal of ovarian cyst(s),,,5223.95,13843.48,7 HCPCS,58970,Retrieval of oocyte,,,961.83,2548.86,7 HCPCS,58974,Transfer of embryo,,,961.83,2548.86,7 HCPCS,58976,Transfer of embryo,,,318.22,843.29,7 HCPCS,58999,Genital surgery procedure,,,211.12,559.48,7 HCPCS,59000,Amniocentesis diagnostic,,,961.83,2548.86,7 HCPCS,59000,"HC AMNIOCENTESIS,DIAGNOSTIC",1846.0,1846.0,,,0 HCPCS,59001,Amniocentesis therapeutic,,,318.22,843.29,7 HCPCS,59012,Fetal cord puncture prenatal,,,318.22,843.29,7 HCPCS,59015,Chorion biopsy,,,961.83,2548.86,7 HCPCS,59015,HC CHORION VILLUS BIOPSY,2392.0,2392.0,,,0 HCPCS,59020,Fetal contract stress test,,,211.12,559.48,7 HCPCS,59020,HC FETAL CONTRACTION STRESS TEST,2380.0,2380.0,,,0 HCPCS,59020,HC FETAL CONTRACTN STRESS TEST,2380.0,2380.0,,,0 HCPCS,59025,Fetal non-stress test,,,211.12,559.48,7 HCPCS,59025,HC FETAL NON-STRESS TEST,976.0,976.0,,,0 HCPCS,59025,HC FETAL NON-STRESS TEST CLINIC,976.0,976.0,,,0 HCPCS,59030,Fetal scalp blood sample,,,318.22,843.29,7 HCPCS,59050,HC FETAL MONITOR W/REPORT,2406.0,2406.0,,,0 HCPCS,59070,HC TRANSABDOM AMNIOINFUS W/ US,2433.0,2433.0,,,0 HCPCS,59070,Transabdom amnioinfus w/us,,,318.22,843.29,7 HCPCS,59072,Umbilical cord occlud w/us,,,318.22,843.29,7 HCPCS,59074,Fetal fluid drainage w/us,,,318.22,843.29,7 HCPCS,59076,Fetal shunt placement w/us,,,318.22,843.29,7 HCPCS,59100,Remove uterus lesion,,,5223.95,13843.48,7 HCPCS,59150,Treat ectopic pregnancy,,,6313.22,16730.03,7 HCPCS,59151,Treat ectopic pregnancy,,,6313.22,16730.03,7 HCPCS,59160,D & c after delivery,,,3380.46,8958.23,7 HCPCS,59200,HC INSERT CERVICAL DILATOR,1128.0,1128.0,,,0 HCPCS,59200,Insert cervical dilator,,,318.22,843.29,7 HCPCS,59300,Episiotomy or vaginal repair,,,3380.46,8958.23,7 HCPCS,59320,Revision of cervix,,,3380.46,8958.23,7 HCPCS,59409,"HC OBSTETRICAL CARE,VAG DELIVERY COMPLEX",9486.0,9486.0,,,0 HCPCS,59409,"HC OBSTETRICAL CARE,VAG DELIVERY ROUTINE",5632.0,5632.0,,,0 HCPCS,59409,Obstetrical care,,,3380.46,8958.23,7 HCPCS,59412,Antepartum manipulation,,,3380.46,8958.23,7 HCPCS,59412,HC ANTEPARTUM HEAD MANIPULATION,1757.0,1757.0,,,0 HCPCS,59414,Deliver placenta,,,3380.46,8958.23,7 HCPCS,59414,HC DELIVER PLACENTA,5632.0,5632.0,,,0 HCPCS,59514,HC CESAREAN DELIVERY ONLY,5696.0,5696.0,,,0 HCPCS,59612,Vbac delivery only,,,3380.46,8958.23,7 HCPCS,59812,Treatment of miscarriage,,,3380.46,8958.23,7 HCPCS,59820,Care of miscarriage,,,3380.46,8958.23,7 HCPCS,59821,Treatment of miscarriage,,,3380.46,8958.23,7 HCPCS,59840,Abortion,,,3380.46,8958.23,7 HCPCS,59841,Abortion,,,3380.46,8958.23,7 HCPCS,59866,Abortion (mpr),,,318.22,843.29,7 HCPCS,59870,Evacuate mole of uterus,,,3380.46,8958.23,7 HCPCS,59871,Remove cerclage suture,,,3380.46,8958.23,7 HCPCS,59897,Fetal invas px w/us,,,211.12,559.48,7 HCPCS,59898,Laparo proc ob care/deliver,,,6313.22,16730.03,7 HCPCS,59899,Maternity care procedure,,,211.12,559.48,7 HCPCS,60000,Drain thyroid/tongue cyst,,,1620.29,4293.76,7 HCPCS,60100,Biopsy of thyroid,,,739.49,1959.64,7 HCPCS,60100,"HC BIOPSY OF THYROID,PERCUT",2495.0,2495.0,,,0 HCPCS,60200,Remove thyroid lesion,,,6313.22,16730.03,7 HCPCS,60210,Partial thyroid excision,,,6313.22,16730.03,7 HCPCS,60212,Partial thyroid excision,,,6313.22,16730.03,7 HCPCS,60220,Partial removal of thyroid,,,6313.22,16730.03,7 HCPCS,60225,Partial removal of thyroid,,,6313.22,16730.03,7 HCPCS,60240,Removal of thyroid,,,6313.22,16730.03,7 HCPCS,60252,Removal of thyroid,,,6181.95,16382.18,7 HCPCS,60260,Repeat thyroid surgery,,,6181.95,16382.18,7 HCPCS,60271,Removal of thyroid,,,6181.95,16382.18,7 HCPCS,60280,Remove thyroid duct lesion,,,6313.22,16730.03,7 HCPCS,60281,Remove thyroid duct lesion,,,6313.22,16730.03,7 HCPCS,60300,Aspir/inj thyroid cyst,,,739.49,1959.64,7 HCPCS,60300,HC ASPIRATION AND/OR INJECTION THYROID CYST,2349.0,2349.0,,,0 HCPCS,60500,Explore parathyroid glands,,,6181.95,16382.18,7 HCPCS,60502,Re-explore parathyroids,,,6181.95,16382.18,7 HCPCS,60520,Removal of thymus gland,,,6181.95,16382.18,7 HCPCS,60659,Laparo proc endocrine,,,6313.22,16730.03,7 HCPCS,60660,Abltj 1/+thyr ndul 1lobe prq,,,1724.73,4570.53,7 HCPCS,60699,Endocrine surgery procedure,,,6313.22,16730.03,7 HCPCS,60699,HC ENDOCRINE SURGERY PROC UNLISTED,19100.0,19100.0,,,0 HCPCS,61000,Remove cranial cavity fluid,,,737.14,1953.41,7 HCPCS,61001,Remove cranial cavity fluid,,,737.14,1953.41,7 HCPCS,61020,Remove brain cavity fluid,,,923.64,2447.64,7 HCPCS,61026,Injection into brain canal,,,737.14,1953.41,7 HCPCS,61050,Remove brain canal fluid,,,320.54,849.44,7 HCPCS,61055,HC CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION,909.0,909.0,,,0 HCPCS,61055,Injection into brain canal,,,320.54,849.44,7 HCPCS,61070,Brain canal shunt procedure,,,737.14,1953.41,7 HCPCS,61070,HC BRAIN SHUNT TUBE/RESERV INJECTN,909.0,909.0,,,0 HCPCS,61107,"HC TWIST HOLE SKULL,IMPLANT CATH/DEVICE",1001.0,1001.0,,,0 HCPCS,61330,Decompress eye socket,,,3462.26,9175.0,7 HCPCS,61623,Endovasc tempory vessel occl,,,12055.35,31946.69,7 HCPCS,61623,"HC ENDOVASC TEMP BALLOON OCCLUS,HEAD/NCK",11586.0,11586.0,,,0 HCPCS,61624,"HC PERM OCCLUSION/EMBOLIZATION,PERCUT,CNS",14035.0,14035.0,,,0 HCPCS,61624,Transcath occlusion cns,,,19143.34,50729.86,7 HCPCS,61626,HC PERCUT CATH OCCLUSN NON CNS LESN,14482.0,14482.0,,,0 HCPCS,61626,Transcath occlusion non-cns,,,12055.35,31946.69,7 HCPCS,61630,HC INTRACRANIAL BALLOON ANGIOPLASTY,27595.0,27595.0,,,0 HCPCS,61635,HC INTRACRANIAL BALLOON ANGIOPLSTY W/STENT,48707.0,48707.0,,,0 HCPCS,61640,"HC BALLOON DILATION INTRACRANIAL VASOSPASM, INIT",9353.0,9353.0,,,0 HCPCS,61641,"HC BALLOON DILATION INTRACRANIAL VASOSPASM, EA ADDL",3130.0,3130.0,,,0 HCPCS,61645,HC PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL,13395.0,13395.0,,,0 HCPCS,61650,HC EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST,13395.0,13395.0,,,0 HCPCS,61651,HC EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL,10716.0,10716.0,,,0 HCPCS,61710,HC OCCLN CAROTID EMBOLIZATION,14035.0,14035.0,,,0 HCPCS,61715,HC MRI GUIDED FOCUSED US STEREO LESION ABLATE,168209.0,168209.0,,,0 HCPCS,61715,Mrgfus strtctc ablt trgt icr,,,11636.08,30835.62,7 HCPCS,61770,Incise skull for treatment,,,3567.41,9453.64,7 HCPCS,61783,HC STEREOTACTIC COMP ASSIST PROC SPINAL,9317.0,9317.0,,,0 HCPCS,61790,Treat trigeminal nerve,,,2039.19,5403.85,7 HCPCS,61791,Treat trigeminal tract,,,2039.19,5403.85,7 HCPCS,61880,Revise/remove neuroelectrode,,,3650.91,9674.91,7 HCPCS,61885,Insrt/redo neurostim 1 array,,,32224.05,85393.72,7 HCPCS,61886,Implant neurostim arrays,,,32224.05,85393.72,7 HCPCS,61888,Revise/remove neuroreceiver,,,11636.08,30835.62,7 HCPCS,61891,Rev/rplcmt sk-mnt crnl nstm,,,32224.05,85393.72,7 HCPCS,61892,Rmv sk-mnt crnl nstm pg/rcvr,,,3416.88,9054.74,7 HCPCS,62000,Treat skull fracture,,,3462.26,9175.0,7 HCPCS,62194,Replace/irrigate catheter,,,2039.19,5403.85,7 HCPCS,62225,Replace/irrigate catheter,,,3567.41,9453.64,7 HCPCS,62252,HC CSF SHUNT REPROGRAM,2779.0,2779.0,,,0 HCPCS,62263,Epidural lysis mult sessions,,,923.64,2447.64,7 HCPCS,62263,HC EPIDURAL LYSIS MULT SESSIONS 2 OR MORE DAYS,3108.0,3108.0,,,0 HCPCS,62264,Epidural lysis on single day,,,923.64,2447.64,7 HCPCS,62264,HC PERC LYSIS EPI ADHESIONS,3343.0,3343.0,,,0 HCPCS,62267,HC PERCUT ASPIRATION VERTEBRAL DISC,2349.0,2349.0,,,0 HCPCS,62267,Interdiscal perq aspir dx,,,739.49,1959.64,7 HCPCS,62268,Drain spinal cord cyst,,,923.64,2447.64,7 HCPCS,62268,HC PERCUT DRAIN SPINAL CORD CYST,3107.0,3107.0,,,0 HCPCS,62269,HC PERCUT NEEDLE BIOPSY SPINAL CORD,5243.0,5243.0,,,0 HCPCS,62269,Needle biopsy spinal cord,,,1724.73,4570.53,7 HCPCS,62270,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE,1154.0,1154.0,,,0 HCPCS,62270,Spinal fluid tap diagnostic,,,737.14,1953.41,7 HCPCS,62272,Drain cerebro spinal fluid,,,737.14,1953.41,7 HCPCS,62272,HC THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF,1962.0,1962.0,,,0 HCPCS,62273,"HC INJ,LUMB EPIDUR,BLOOD/CLOT PATCH",2632.0,2632.0,,,0 HCPCS,62273,Inject epidural patch,,,737.14,1953.41,7 HCPCS,62280,Treat spinal cord lesion,,,923.64,2447.64,7 HCPCS,62281,Treat spinal cord lesion,,,923.64,2447.64,7 HCPCS,62282,Treat spinal canal lesion,,,923.64,2447.64,7 HCPCS,62284,HC INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR,997.0,997.0,,,0 HCPCS,62287,"HC DISKECTOMY,PERCUTANEOUS LUMBAR",6863.0,6863.0,,,0 HCPCS,62287,Percutaneous diskectomy,,,2039.19,5403.85,7 HCPCS,62290,"HC INJECT DISKOGRAM,LUMBAR,EA LEVEL",3343.0,3343.0,,,0 HCPCS,62291,"HC INJ,CERV/THORAC,FOR DISKOGRAPHY",598.0,598.0,,,0 HCPCS,62292,Injection into disk lesion,,,2039.19,5403.85,7 HCPCS,62294,Injection into spinal artery,,,923.64,2447.64,7 HCPCS,62302,HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL,4791.0,4791.0,,,0 HCPCS,62302,Myelography lumbar injection,,,818.63,2169.37,7 HCPCS,62303,HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC,4787.0,4787.0,,,0 HCPCS,62303,Myelography lumbar injection,,,818.63,2169.37,7 HCPCS,62304,HC MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL,5357.0,5357.0,,,0 HCPCS,62304,Myelography lumbar injection,,,818.63,2169.37,7 HCPCS,62305,HC MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS,5815.0,5815.0,,,0 HCPCS,62305,Myelography lumbar injection,,,818.63,2169.37,7 HCPCS,62320,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN,2632.0,2632.0,,,0 HCPCS,62320,Njx interlaminar crv/thrc,,,737.14,1953.41,7 HCPCS,62321,HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN,2632.0,2632.0,,,0 HCPCS,62321,Njx interlaminar crv/thrc,,,737.14,1953.41,7 HCPCS,62322,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN,2632.0,2632.0,,,0 HCPCS,62322,Njx interlaminar lmbr/sac,,,923.64,2447.64,7 HCPCS,62323,HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN,2632.0,2632.0,,,0 HCPCS,62323,Njx interlaminar lmbr/sac,,,737.14,1953.41,7 HCPCS,62324,Njx interlaminar crv/thrc,,,923.64,2447.64,7 HCPCS,62325,HC INJ INTERL W/CATH W/IMG,3107.0,3107.0,,,0 HCPCS,62325,Njx interlaminar crv/thrc,,,923.64,2447.64,7 HCPCS,62326,Njx interlaminar lmbr/sac,,,923.64,2447.64,7 HCPCS,62327,HC INJECT INTERLAMINAR LUMB/SAC,3108.0,3108.0,,,0 HCPCS,62327,Njx interlaminar lmbr/sac,,,923.64,2447.64,7 HCPCS,62328,Dx lmbr spi pnxr w/fluor/ct,,,737.14,1953.41,7 HCPCS,62328,HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT,2012.0,2012.0,,,0 HCPCS,62329,HC THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT,1962.0,1962.0,,,0 HCPCS,62329,Ther spi pnxr csf fluor/ct,,,737.14,1953.41,7 HCPCS,62330,Dcmprn prq rmv lig flv 1lmbr,,,7577.51,20080.41,7 HCPCS,62351,Implant spinal canal cath,,,7577.51,20080.41,7 HCPCS,62355,HC REMOVE SPINAL CANAL CATHETER,10830.0,10830.0,,,0 HCPCS,62355,Remove spinal canal catheter,,,2039.19,5403.85,7 HCPCS,62360,Insert spine infusion device,,,18821.93,49878.12,7 HCPCS,62361,Implant spine infusion pump,,,18821.93,49878.12,7 HCPCS,62362,HC INSERT/REPLACE INFUSION PUMP PROGRAMMABLE,21730.0,21730.0,,,0 HCPCS,62362,Implant spine infusion pump,,,18821.93,49878.12,7 HCPCS,62365,HC REMOVE INFUSION DEVICE/PUMP,15774.0,15774.0,,,0 HCPCS,62365,Remove spine infusion device,,,3567.41,9453.64,7 HCPCS,62367,HC PAIN INFUSION PUMP ANALYSIS WITHOUT REPROGAMMING OR REFILL,1031.0,1031.0,,,0 HCPCS,62368,HC ANALYZE INFUSN PUMP+REPROGRAM,1094.0,1094.0,,,0 HCPCS,62370,HC ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP,1266.0,1266.0,,,0 HCPCS,62380,Ndsc dcmprn 1 ntrspc lumbar,,,7577.51,20080.41,7 HCPCS,63001,Remove spine lamina 1/2 crvl,,,7577.51,20080.41,7 HCPCS,63003,Remove spine lamina 1/2 thrc,,,7577.51,20080.41,7 HCPCS,63005,Remove spine lamina 1/2 lmbr,,,7577.51,20080.41,7 HCPCS,63011,Remove spine lamina 1/2 scrl,,,7577.51,20080.41,7 HCPCS,63012,Remove lamina/facets lumbar,,,7577.51,20080.41,7 HCPCS,63015,Remove spine lamina >2 crvcl,,,7577.51,20080.41,7 HCPCS,63016,Remove spine lamina >2 thrc,,,7577.51,20080.41,7 HCPCS,63017,Remove spine lamina >2 lmbr,,,7577.51,20080.41,7 HCPCS,63020,Neck spine disk surgery,,,7577.51,20080.41,7 HCPCS,63030,Low back disk surgery,,,7577.51,20080.41,7 HCPCS,63040,Laminotomy single cervical,,,7577.51,20080.41,7 HCPCS,63042,Laminotomy single lumbar,,,7577.51,20080.41,7 HCPCS,63045,HC LAMINECTOMY CERVCAL SINGLE,28269.0,28269.0,,,0 HCPCS,63045,Remove spine lamina 1 crvl,,,7577.51,20080.41,7 HCPCS,63046,Remove spine lamina 1 thrc,,,7577.51,20080.41,7 HCPCS,63047,Remove spine lamina 1 lmbr,,,7577.51,20080.41,7 HCPCS,63055,Decompress spinal cord thrc,,,7577.51,20080.41,7 HCPCS,63055,HC DECOMPRESS SPINAL CORD SINGLE SEG THORACIC,44052.0,44052.0,,,0 HCPCS,63056,Decompress spinal cord lmbr,,,7577.51,20080.41,7 HCPCS,63056,"HC DECOMPRESS SPINAL CORD,1 SEG",44052.0,44052.0,,,0 HCPCS,63057,HC DECOMPRESS SPINAL CORD SINGLE SEG ADDITIONAL LUMBAR/THORACIC,3108.0,3108.0,,,0 HCPCS,63064,Decompress spinal cord thrc,,,7577.51,20080.41,7 HCPCS,63075,Neck spine disk surgery,,,7577.51,20080.41,7 HCPCS,63265,Excise intraspinl lesion crv,,,7577.51,20080.41,7 HCPCS,63266,Excise intrspinl lesion thrc,,,7577.51,20080.41,7 HCPCS,63267,Excise intrspinl lesion lmbr,,,7577.51,20080.41,7 HCPCS,63268,Excise intrspinl lesion scrl,,,7577.51,20080.41,7 HCPCS,63600,Remove spinal cord lesion,,,2039.19,5403.85,7 HCPCS,63610,Stimulation of spinal cord,,,2039.19,5403.85,7 HCPCS,63650,"HC PERCUT IMPLNT NEUROELECT,EPIDURAL",23503.0,23503.0,,,0 HCPCS,63650,Implant neuroelectrodes,,,6655.18,17636.24,7 HCPCS,63655,HC SURGE IMPLANT NEUROELECT EPIDURAL,22562.0,22562.0,,,0 HCPCS,63655,Implant neuroelectrodes,,,20259.13,53686.7,7 HCPCS,63661,HC REMOVAL NS ELECTRODE PERC,6628.0,6628.0,,,0 HCPCS,63661,Remove spine eltrd perq aray,,,2039.19,5403.85,7 HCPCS,63662,HC REMOVE SPINAL NEUROSTIM ELECTRODE PLATE/PADDLE,12580.0,12580.0,,,0 HCPCS,63662,Remove spine eltrd plate,,,3650.91,9674.91,7 HCPCS,63663,HC REVISION SPINAL NEUROSTIM ELECTRODE PERC ARRAY INC FLUORO,21982.0,21982.0,,,0 HCPCS,63663,Revise spine eltrd perq aray,,,6655.18,17636.24,7 HCPCS,63664,HC REVISION SPINAL NEUROSTIM ELECTRODE PLATE/PADDLE INC FLUORO,37773.0,37773.0,,,0 HCPCS,63664,Revise spine eltrd plate,,,11636.08,30835.62,7 HCPCS,63685,HC IMPLANT SPINAL NEUROSTIM/RECEIVER,23076.0,23076.0,,,0 HCPCS,63685,Insrt/redo spine n generator,,,32224.05,85393.72,7 HCPCS,63688,HC REVISE/REMOVE SPINAL NEUROSTIM/RECEIVER,15550.0,15550.0,,,0 HCPCS,63688,Revise/remove neuroreceiver,,,3650.91,9674.91,7 HCPCS,63744,Revision of spinal shunt,,,3567.41,9453.64,7 HCPCS,63746,Removal of spinal shunt,,,2039.19,5403.85,7 HCPCS,64400,HC INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH,1222.0,1222.0,,,0 HCPCS,64400,N block inj trigeminal,,,320.54,849.44,7 HCPCS,64405,HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE,1222.0,1222.0,,,0 HCPCS,64405,N block inj occipital,,,320.54,849.44,7 HCPCS,64408,HC INJECTION AA&/STRD VAGUS NERVE,985.0,985.0,,,0 HCPCS,64408,N block inj vagus,,,320.54,849.44,7 HCPCS,64415,HC INJECTION AA&/STRD BRACHIAL PLEXUS,3107.0,3107.0,,,0 HCPCS,64415,N block inj brachial plexus,,,923.64,2447.64,7 HCPCS,64416,N block cont infuse b plex,,,923.64,2447.64,7 HCPCS,64417,HC INJECTION AA&/STRD AXILLARY NERVE,3107.0,3107.0,,,0 HCPCS,64417,N block inj axillary,,,923.64,2447.64,7 HCPCS,64418,"HC INJECT NERV BLCK,SUPRASCAP N.",2956.0,2956.0,,,0 HCPCS,64418,N block inj suprascapular,,,737.14,1953.41,7 HCPCS,64420,HC INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL,2632.0,2632.0,,,0 HCPCS,64420,N block inj intercost sng,,,737.14,1953.41,7 HCPCS,64421,HC INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL,3343.0,3343.0,,,0 HCPCS,64421,N block inj intercost mlt,,,923.64,2447.64,7 HCPCS,64425,HC INJECTION AA&/STRD ILIOINGUINAL IH NERVES,2632.0,2632.0,,,0 HCPCS,64425,N block inj ilio-ing/hypogi,,,737.14,1953.41,7 HCPCS,64430,HC INJECTION AA&/STRD PUDENDAL NERVE,3343.0,3343.0,,,0 HCPCS,64430,N block inj pudendal,,,923.64,2447.64,7 HCPCS,64435,"HC PBB INJECT NERV BLCK,PARACERVICAL",2397.0,2397.0,,,0 HCPCS,64435,N block inj paracervical,,,737.14,1953.41,7 HCPCS,64445,HC INJECTION AA&/STRD SCIATIC NERVE,2632.0,2632.0,,,0 HCPCS,64445,N block inj sciatic sng,,,737.14,1953.41,7 HCPCS,64446,HC INJ ANES/STER SCIATIC CONT CATH INFUSION,2674.0,2674.0,,,0 HCPCS,64446,N blk inj sciatic cont inf,,,923.64,2447.64,7 HCPCS,64447,"HC INJ,ANES AGENT,FEMORAL NERVE,SINGLE",2632.0,2632.0,,,0 HCPCS,64447,HC INJECTION AA&/STRD FEMORAL NERVE,2632.0,2632.0,,,0 HCPCS,64447,N block inj fem single,,,737.14,1953.41,7 HCPCS,64448,N block inj fem cont inf,,,923.64,2447.64,7 HCPCS,64449,HC INJ ANES/STER LUMB PLEXUS CONT CATH INFUSION,2674.0,2674.0,,,0 HCPCS,64449,N block inj lumbar plexus,,,923.64,2447.64,7 HCPCS,64450,HC INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH,2632.0,2632.0,,,0 HCPCS,64450,N block other peripheral,,,737.14,1953.41,7 HCPCS,64451,HC INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG,2632.0,2632.0,,,0 HCPCS,64451,Njx aa&/strd nrv nrvtg si jt,,,737.14,1953.41,7 HCPCS,64454,HC INJECTION AA&/STRD GENICULAR NERVE BRANCHES INCLUDING GUIDANCE,2632.0,2632.0,,,0 HCPCS,64454,Njx aa&/strd gnclr nrv brnch,,,737.14,1953.41,7 HCPCS,64455,HC INJECT ANES/STEROID PLANTAR COMMON DIGITAL NERVE,985.0,985.0,,,0 HCPCS,64455,N block inj plantar digit,,,320.54,849.44,7 HCPCS,64461,HC PARAVERTEBRAL BLOCK THORACIC SINGLE INJECTION INCLUDING GUIDANCE,2632.0,2632.0,,,0 HCPCS,64461,Pvb thoracic single inj site,,,737.14,1953.41,7 HCPCS,64462,HC PARAVERTEBRAL BLOCK THORACIC ADDITIONAL INJECTION INCLUDING GUIDANCE,2632.0,2632.0,,,0 HCPCS,64463,HC PARAVERTEBRAL BLOCK THORACIC CONTINUOUS INFUSION BY CATH INCL GUIDANCE,2632.0,2632.0,,,0 HCPCS,64463,Pvb thoracic cont infusion,,,737.14,1953.41,7 HCPCS,64479,"HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE ,1 LEVEL",3343.0,3343.0,,,0 HCPCS,64479,Inj foramen epidural c/t,,,923.64,2447.64,7 HCPCS,64480,"HC INJECT ANES/STEROID FORAMEN CERV/THORACIC W IMG GUIDE ,EA ADD LEVEL",1658.0,1658.0,,,0 HCPCS,64483,"HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL",3343.0,3343.0,,,0 HCPCS,64483,Inj foramen epidural l/s,,,923.64,2447.64,7 HCPCS,64484,"HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,EA ADD LEVEL",3343.0,3343.0,,,0 HCPCS,64486,HC TAP BLOCK UNILATERAL BY INJECTION(S),7938.0,7938.0,,,0 HCPCS,64488,HC TAP BLOCK BILATERAL BY INJECTION(S),8108.0,8108.0,,,0 HCPCS,64490,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 1ST LEVEL",3343.0,3343.0,,,0 HCPCS,64490,Inj paravert f jnt c/t 1 lev,,,923.64,2447.64,7 HCPCS,64491,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 2ND LEVEL",3343.0,3343.0,,,0 HCPCS,64492,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, ADD LEVEL",3343.0,3343.0,,,0 HCPCS,64493,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL",3343.0,3343.0,,,0 HCPCS,64493,Inj paravert f jnt l/s 1 lev,,,923.64,2447.64,7 HCPCS,64494,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 2ND LEVEL",3343.0,3343.0,,,0 HCPCS,64495,"HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, ADD LEVEL",3343.0,3343.0,,,0 HCPCS,64505,"HC INJECT NERV BLCK,SPHENOPALAT GANGLN",1222.0,1222.0,,,0 HCPCS,64505,N block spenopalatine gangl,,,320.54,849.44,7 HCPCS,64510,"HC INJECT NERV BLCK,STELLATE GANGLION",3343.0,3343.0,,,0 HCPCS,64510,N block stellate ganglion,,,923.64,2447.64,7 HCPCS,64517,"HC N BLOCK INJ, HYPOGAS PLXS",3343.0,3343.0,,,0 HCPCS,64517,N block inj hypogas plxs,,,923.64,2447.64,7 HCPCS,64520,"HC INJECT NERV BLCK,PARAVERT SYMPATH",3343.0,3343.0,,,0 HCPCS,64520,N block lumbar/thoracic,,,923.64,2447.64,7 HCPCS,64530,"HC INJECT NERV BLCK,CELIAC PLEXUS",3343.0,3343.0,,,0 HCPCS,64530,N block inj celiac pelus,,,923.64,2447.64,7 HCPCS,64553,Implant neuroelectrodes,,,11636.08,30835.62,7 HCPCS,64555,HC PERC IMPLNT NEUROST PERPH,12465.0,12465.0,,,0 HCPCS,64555,Implant neuroelectrodes,,,6655.18,17636.24,7 HCPCS,64561,HC PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING,23503.0,23503.0,,,0 HCPCS,64561,Implant neuroelectrodes,,,6655.18,17636.24,7 HCPCS,64566,"HC POST TIBIAL NEUROSTIMULATION,PERC NEEDLE ELECTRODE",985.0,985.0,,,0 HCPCS,64566,Neuroeltrd stim post tibial,,,320.54,849.44,7 HCPCS,64567,Perq elec nrv field stimj cn,,,947.15,2509.94,7 HCPCS,64569,Revise/repl vagus n eltrd,,,11636.08,30835.62,7 HCPCS,64570,Remove vagus n eltrd,,,3567.41,9453.64,7 HCPCS,64575,Implant neuroelectrodes,,,11636.08,30835.62,7 HCPCS,64580,Implant neuroelectrodes,,,20259.13,53686.7,7 HCPCS,64581,Implant neuroelectrodes,,,6655.18,17636.24,7 HCPCS,64582,Opn mpltj hpglsl nstm ary pg,,,32224.05,85393.72,7 HCPCS,64583,Rev/rplct hpglsl nstm ary pg,,,11636.08,30835.62,7 HCPCS,64584,Rmvl hpglsl nstim ary pg,,,3567.41,9453.64,7 HCPCS,64585,HC REVISE/REMOVE NEUROELECTRODE,14817.0,14817.0,,,0 HCPCS,64585,Revise/remove neuroelectrode,,,3650.91,9674.91,7 HCPCS,64590,Insrt/redo pn/gastr stimul,,,20259.13,53686.7,7 HCPCS,64595,Revise/rmv pn/gastr stimul,,,3650.91,9674.91,7 HCPCS,64596,Ins/rplcmt prq eltrd ra pn 1,,,11636.08,30835.62,7 HCPCS,64598,Revj/rmvl nea pn w/int nstim,,,3650.91,9674.91,7 HCPCS,64600,HC DEST BY NEUROLYTIC AGNT TRIGEM NRV SUPORB INFRAORB BRNCH,3343.0,3343.0,,,0 HCPCS,64600,Injection treatment of nerve,,,923.64,2447.64,7 HCPCS,64605,HC DSTR NROLYTC AGNT 2ND/3RD DIVISION BRANCHES AT FORAMEN OVALE,6863.0,6863.0,,,0 HCPCS,64605,Injection treatment of nerve,,,2039.19,5403.85,7 HCPCS,64610,HC DSTR NROLYTC AGNT 2ND/3RD DIVISION BRANCHES AT FORAMEN OVALE W/ GUIDANCE,6863.0,6863.0,,,0 HCPCS,64610,Injection treatment of nerve,,,2039.19,5403.85,7 HCPCS,64611,Chemodenerv saliv glands,,,320.54,849.44,7 HCPCS,64611,HC CHEMODENERV SALIVARY GLANDS BIL,969.0,969.0,,,0 HCPCS,64612,Destroy nerve face muscle,,,320.54,849.44,7 HCPCS,64612,"HC CHEMODENERVATION FACIAL NERVE, UNI",389.0,389.0,,,0 HCPCS,64615,Chemodenerv musc migraine,,,320.54,849.44,7 HCPCS,64615,HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE,893.0,893.0,,,0 HCPCS,64616,Chemodenerv musc neck dyston,,,320.54,849.44,7 HCPCS,64616,HC CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA,1191.0,1191.0,,,0 HCPCS,64617,Chemodener muscle larynx emg,,,737.14,1953.41,7 HCPCS,64620,"HC DEST,INTERCOSTAL,NEUROLYTIC",3343.0,3343.0,,,0 HCPCS,64620,Injection treatment of nerve,,,923.64,2447.64,7 HCPCS,64624,Dstrj nulyt agt gnclr nrv,,,2039.19,5403.85,7 HCPCS,64624,HC DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG,6863.0,6863.0,,,0 HCPCS,64625,HC DSTR RADIOFREQ ABLATION SACROILIAC JOINT NERVES WITH IMAGING GUIDANCE,6863.0,6863.0,,,0 HCPCS,64625,Rf abltj nrv nrvtg si jt,,,2039.19,5403.85,7 HCPCS,64628,Trml dstrj ios bvn 1st 2 l/s,,,13407.17,35528.99,7 HCPCS,64630,HC DEST BY NEUROLYTIC AGNT PUDENDAL NERVE,5675.0,5675.0,,,0 HCPCS,64630,Injection treatment of nerve,,,923.64,2447.64,7 HCPCS,64632,N block inj common digit,,,320.54,849.44,7 HCPCS,64633,Destroy cerv/thor facet jnt,,,2039.19,5403.85,7 HCPCS,64633,HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA,6863.0,6863.0,,,0 HCPCS,64634,HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA,6863.0,6863.0,,,0 HCPCS,64635,Destroy lumb/sac facet jnt,,,2039.19,5403.85,7 HCPCS,64635,HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL,6863.0,6863.0,,,0 HCPCS,64636,HC DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL,6863.0,6863.0,,,0 HCPCS,64640,HC DESTRUCT BY NEURO AGENT; OTHER PERIPH NERVE,3343.0,3343.0,,,0 HCPCS,64640,Injection treatment of nerve,,,923.64,2447.64,7 HCPCS,64642,Chemodenerv 1 extremity 1-4,,,737.14,1953.41,7 HCPCS,64642,HC CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE,1272.0,1272.0,,,0 HCPCS,64643,HC CHEMODENERVATION ADDITIONAL EXTREMITY 1-4 MUSCLE,634.0,634.0,,,0 HCPCS,64644,Chemodenerv 1 extrem 5/> mus,,,737.14,1953.41,7 HCPCS,64644,HC CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES,1798.0,1798.0,,,0 HCPCS,64645,HC CHEMODENERVATION 1 EXTREMITY EA ADDL EXTREMITY 5 OR MORE MUSCLES,433.0,433.0,,,0 HCPCS,64646,Chemodenerv trunk musc 1-5,,,737.14,1953.41,7 HCPCS,64646,HC CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES,2151.0,2151.0,,,0 HCPCS,64647,Chemodenerv trunk musc 6/>,,,737.14,1953.41,7 HCPCS,64647,HC CHEMODENERVATION OF TRUNK MUSCLES >5 MUSCLES,2397.0,2397.0,,,0 HCPCS,64650,Chemodenerv eccrine glands,,,320.54,849.44,7 HCPCS,64653,Chemodenerv eccrine glands,,,320.54,849.44,7 HCPCS,64655,Revj/rplcmt bat mod sys lead,,,3650.91,9674.91,7 HCPCS,64656,Revj/rplcmt bat mod sys pg,,,32224.05,85393.72,7 HCPCS,64657,Rmvl bat modulj sys tot sys,,,3567.41,9453.64,7 HCPCS,64658,Rmvl bat modul sys lead only,,,3650.91,9674.91,7 HCPCS,64659,Rmvl bat modulj sys pg only,,,3650.91,9674.91,7 HCPCS,64680,HC DESTRUCT BY NEURO AGENT CELIAC PLEXUS,3107.0,3107.0,,,0 HCPCS,64680,Injection treatment of nerve,,,923.64,2447.64,7 HCPCS,64681,HC INJECTION TREATMENT OF NERVE,3107.0,3107.0,,,0 HCPCS,64681,Injection treatment of nerve,,,923.64,2447.64,7 HCPCS,64702,Revise finger/toe nerve,,,2039.19,5403.85,7 HCPCS,64704,Revise hand/foot nerve,,,2039.19,5403.85,7 HCPCS,64708,"HC NEUROPLASTY OTHER ARM/LEG NERVE,OPEN",11940.0,11940.0,,,0 HCPCS,64708,Revise arm/leg nerve,,,2039.19,5403.85,7 HCPCS,64712,Revision of sciatic nerve,,,2039.19,5403.85,7 HCPCS,64713,Revision of arm nerve(s),,,2039.19,5403.85,7 HCPCS,64714,Revise low back nerve(s),,,2039.19,5403.85,7 HCPCS,64716,Revision of cranial nerve,,,2039.19,5403.85,7 HCPCS,64718,HC REVISE ULNAR NERVE AT ELBOW,14130.0,14130.0,,,0 HCPCS,64718,Revise ulnar nerve at elbow,,,2039.19,5403.85,7 HCPCS,64719,HC REVISE ULNAR NERVE AT WRIST,7306.0,7306.0,,,0 HCPCS,64719,Revise ulnar nerve at wrist,,,2039.19,5403.85,7 HCPCS,64721,Carpal tunnel surgery,,,2039.19,5403.85,7 HCPCS,64721,HC REVISE MEDIAN N/CARPAL TUNNEL SURG,12087.0,12087.0,,,0 HCPCS,64722,Relieve pressure on nerve(s),,,2039.19,5403.85,7 HCPCS,64726,Release foot/toe nerve,,,2039.19,5403.85,7 HCPCS,64728,Dcmprn median nrv carpl tunl,,,2039.19,5403.85,7 HCPCS,64732,Incision of brow nerve,,,2039.19,5403.85,7 HCPCS,64734,Incision of cheek nerve,,,2039.19,5403.85,7 HCPCS,64736,Incision of chin nerve,,,2039.19,5403.85,7 HCPCS,64738,Incision of jaw nerve,,,2039.19,5403.85,7 HCPCS,64740,Incision of tongue nerve,,,2039.19,5403.85,7 HCPCS,64742,Incision of facial nerve,,,2039.19,5403.85,7 HCPCS,64744,Incise nerve back of head,,,2039.19,5403.85,7 HCPCS,64746,Incise diaphragm nerve,,,2039.19,5403.85,7 HCPCS,64763,Incise hip/thigh nerve,,,2039.19,5403.85,7 HCPCS,64766,Incise hip/thigh nerve,,,2039.19,5403.85,7 HCPCS,64771,Sever cranial nerve,,,2039.19,5403.85,7 HCPCS,64772,Incision of spinal nerve,,,2039.19,5403.85,7 HCPCS,64774,Remove skin nerve lesion,,,2039.19,5403.85,7 HCPCS,64776,Remove digit nerve lesion,,,2039.19,5403.85,7 HCPCS,64782,HC EXCISE HAND/FOOT NEUROMA,10751.0,10751.0,,,0 HCPCS,64782,Remove limb nerve lesion,,,2039.19,5403.85,7 HCPCS,64783,"HC EXCISE HAND/FOOT NEUROMA,EACH ADDNL",5358.0,5358.0,,,0 HCPCS,64784,Remove nerve lesion,,,2039.19,5403.85,7 HCPCS,64786,Remove sciatic nerve lesion,,,3567.41,9453.64,7 HCPCS,64788,Remove skin nerve lesion,,,2039.19,5403.85,7 HCPCS,64790,Removal of nerve lesion,,,2039.19,5403.85,7 HCPCS,64792,Removal of nerve lesion,,,3567.41,9453.64,7 HCPCS,64795,Biopsy of nerve,,,2039.19,5403.85,7 HCPCS,64802,Sympathectomy cervical,,,2039.19,5403.85,7 HCPCS,64804,Remove sympathetic nerves,,,2039.19,5403.85,7 HCPCS,64820,Sympathectomy digital artery,,,2039.19,5403.85,7 HCPCS,64821,Remove sympathetic nerves,,,3416.88,9054.74,7 HCPCS,64822,Remove sympathetic nerves,,,3416.88,9054.74,7 HCPCS,64823,Sympathectomy supfc palmar,,,3416.88,9054.74,7 HCPCS,64831,HC REPAIR OF DIGIT NERVE,6650.0,6650.0,,,0 HCPCS,64831,Repair of digit nerve,,,2039.19,5403.85,7 HCPCS,64834,Repair of hand or foot nerve,,,3567.41,9453.64,7 HCPCS,64835,Repair of hand or foot nerve,,,3567.41,9453.64,7 HCPCS,64836,Repair of hand or foot nerve,,,3567.41,9453.64,7 HCPCS,64857,Repair arm/leg nerve,,,3567.41,9453.64,7 HCPCS,64858,Repair sciatic nerve,,,2039.19,5403.85,7 HCPCS,64861,Repair of arm nerves,,,2039.19,5403.85,7 HCPCS,64862,Repair of low back nerves,,,3567.41,9453.64,7 HCPCS,64865,Repair of facial nerve,,,3567.41,9453.64,7 HCPCS,64893,Nerve graft arm/leg >4 cm,,,3567.41,9453.64,7 HCPCS,64999,HC NERVOUS SYSTEM SURGERY UNLISTED,1222.0,1222.0,,,0 HCPCS,64999,Nervous system surgery,,,320.54,849.44,7 HCPCS,65091,Revise eye,,,4105.48,10879.51,7 HCPCS,65093,Revise eye with implant,,,4105.48,10879.51,7 HCPCS,65101,Removal of eye,,,4105.48,10879.51,7 HCPCS,65103,Remove eye/insert implant,,,4105.48,10879.51,7 HCPCS,65105,Remove eye/attach implant,,,4105.48,10879.51,7 HCPCS,65110,Removal of eye,,,4105.48,10879.51,7 HCPCS,65112,Remove eye/revise socket,,,4105.48,10879.51,7 HCPCS,65114,Remove eye/revise socket,,,4105.48,10879.51,7 HCPCS,65125,Revise ocular implant,,,2482.76,6579.31,7 HCPCS,65130,Insert ocular implant,,,4105.48,10879.51,7 HCPCS,65135,Insert ocular implant,,,4105.48,10879.51,7 HCPCS,65140,Attach ocular implant,,,4105.48,10879.51,7 HCPCS,65150,Revise ocular implant,,,4105.48,10879.51,7 HCPCS,65155,Reinsert ocular implant,,,4105.48,10879.51,7 HCPCS,65175,Removal of ocular implant,,,4105.48,10879.51,7 HCPCS,65205,"HC REMV F.B.,EYE,SUPERF CONJUNC",426.0,426.0,,,0 HCPCS,65205,Remove foreign body from eye,,,138.94,368.19,7 HCPCS,65210,HC EYE RMV FOREIGN BODY CONJ/SUBCONJ/SCLER NONPERFORATING,1024.0,1024.0,,,0 HCPCS,65210,Remove foreign body from eye,,,466.5,1236.24,7 HCPCS,65220,"HC REMV F.B.,EYE,CORNEA,NO SLIT",999.0,999.0,,,0 HCPCS,65220,Remove foreign body from eye,,,466.5,1236.24,7 HCPCS,65222,"HC REMV F.B.,EYE,CORNEA,SLIT LAMP",308.0,308.0,,,0 HCPCS,65222,Remove foreign body from eye,,,138.94,368.19,7 HCPCS,65235,"HC REMOVAL,FB,INTRAOCULAR,ANT CHAMBER/LENS",7839.0,7839.0,,,0 HCPCS,65235,Remove foreign body from eye,,,2410.01,6386.53,7 HCPCS,65260,Remove foreign body from eye,,,2410.01,6386.53,7 HCPCS,65265,Remove foreign body from eye,,,2410.01,6386.53,7 HCPCS,65270,Repair of eye wound,,,2482.76,6579.31,7 HCPCS,65272,Repair of eye wound,,,2482.76,6579.31,7 HCPCS,65275,Repair of eye wound,,,4105.48,10879.51,7 HCPCS,65280,Repair of eye wound,,,5556.93,14725.85,7 HCPCS,65285,Repair of eye wound,,,5556.93,14725.85,7 HCPCS,65286,Repair of eye wound,,,2410.01,6386.53,7 HCPCS,65290,Repair of eye socket wound,,,4105.48,10879.51,7 HCPCS,65400,Removal of eye lesion,,,1041.02,2758.7,7 HCPCS,65410,Biopsy of cornea,,,2482.76,6579.31,7 HCPCS,65420,Removal of eye lesion,,,2482.76,6579.31,7 HCPCS,65426,HC EXC EYE LESION WITH GRAFT 65426,17580.0,17580.0,,,0 HCPCS,65426,Removal of eye lesion,,,2482.76,6579.31,7 HCPCS,65430,Corneal smear,,,466.5,1236.24,7 HCPCS,65435,Curette/treat cornea,,,1041.02,2758.7,7 HCPCS,65436,Curette/treat cornea,,,2482.76,6579.31,7 HCPCS,65450,Treatment of corneal lesion,,,331.46,878.37,7 HCPCS,65600,Revision of cornea,,,2482.76,6579.31,7 HCPCS,65710,Corneal transplant,,,5556.93,14725.85,7 HCPCS,65730,Corneal transplant,,,4316.45,11438.58,7 HCPCS,65750,Corneal transplant,,,5556.93,14725.85,7 HCPCS,65755,Corneal transplant,,,4316.45,11438.58,7 HCPCS,65756,Corneal trnspl endothelial,,,4316.45,11438.58,7 HCPCS,65772,Correction of astigmatism,,,1041.02,2758.7,7 HCPCS,65775,Correction of astigmatism,,,2482.76,6579.31,7 HCPCS,65778,Cover eye w/membrane,,,1041.02,2758.7,7 HCPCS,65779,Cover eye w/membrane suture,,,4105.48,10879.51,7 HCPCS,65780,Ocular reconst transplant,,,4105.48,10879.51,7 HCPCS,65781,Ocular reconst transplant,,,5556.93,14725.85,7 HCPCS,65782,Ocular reconst transplant,,,4105.48,10879.51,7 HCPCS,65785,Impltj ntrstrml crnl rng seg,,,4316.45,11438.58,7 HCPCS,65800,Drainage of eye,,,2410.01,6386.53,7 HCPCS,65810,Drainage of eye,,,2410.01,6386.53,7 HCPCS,65815,Drainage of eye,,,2410.01,6386.53,7 HCPCS,65820,Relieve inner eye pressure,,,4316.45,11438.58,7 HCPCS,65850,Incision of eye,,,2410.01,6386.53,7 HCPCS,65855,Trabeculoplasty laser surg,,,574.35,1522.03,7 HCPCS,65860,Incise inner eye adhesions,,,574.35,1522.03,7 HCPCS,65865,Incise inner eye adhesions,,,2410.01,6386.53,7 HCPCS,65870,Incise inner eye adhesions,,,2410.01,6386.53,7 HCPCS,65875,Incise inner eye adhesions,,,2410.01,6386.53,7 HCPCS,65880,Incise inner eye adhesions,,,4316.45,11438.58,7 HCPCS,65900,Remove eye lesion,,,2410.01,6386.53,7 HCPCS,65920,Remove implant of eye,,,2410.01,6386.53,7 HCPCS,65930,Remove blood clot from eye,,,2410.01,6386.53,7 HCPCS,66020,Injection treatment of eye,,,2410.01,6386.53,7 HCPCS,66030,Injection treatment of eye,,,2410.01,6386.53,7 HCPCS,66130,Remove eye lesion,,,2482.76,6579.31,7 HCPCS,66150,Glaucoma surgery,,,4316.45,11438.58,7 HCPCS,66155,Glaucoma surgery,,,4316.45,11438.58,7 HCPCS,66160,Glaucoma surgery,,,2410.01,6386.53,7 HCPCS,66170,Glaucoma surgery,,,2410.01,6386.53,7 HCPCS,66172,Incision of eye,,,2410.01,6386.53,7 HCPCS,66174,Translum dil eye canal,,,4316.45,11438.58,7 HCPCS,66175,Trnslum dil eye canal w/stnt,,,5556.93,14725.85,7 HCPCS,66179,Aqueous shunt eye w/o graft,,,5556.93,14725.85,7 HCPCS,66180,Aqueous shunt eye w/graft,,,5556.93,14725.85,7 HCPCS,66183,Insert ant drainage device,,,4316.45,11438.58,7 HCPCS,66184,Revision of aqueous shunt,,,2410.01,6386.53,7 HCPCS,66185,Revise aqueous shunt eye,,,2410.01,6386.53,7 HCPCS,66225,Repair/graft eye lesion,,,5556.93,14725.85,7 HCPCS,66250,Follow-up surgery of eye,,,2482.76,6579.31,7 HCPCS,66500,Incision of iris,,,2410.01,6386.53,7 HCPCS,66505,Incision of iris,,,2410.01,6386.53,7 HCPCS,66600,Remove iris and lesion,,,4316.45,11438.58,7 HCPCS,66605,Removal of iris,,,2410.01,6386.53,7 HCPCS,66625,Removal of iris,,,2410.01,6386.53,7 HCPCS,66630,Removal of iris,,,2410.01,6386.53,7 HCPCS,66635,Removal of iris,,,2410.01,6386.53,7 HCPCS,66680,Repair iris & ciliary body,,,2410.01,6386.53,7 HCPCS,66682,Repair iris & ciliary body,,,2410.01,6386.53,7 HCPCS,66700,Destruction ciliary body,,,2410.01,6386.53,7 HCPCS,66710,Ciliary transsleral therapy,,,2482.76,6579.31,7 HCPCS,66711,Ciliary endoscopic ablation,,,2410.01,6386.53,7 HCPCS,66720,Destruction ciliary body,,,2482.76,6579.31,7 HCPCS,66740,Destruction ciliary body,,,2482.76,6579.31,7 HCPCS,66761,Revision of iris,,,574.35,1522.03,7 HCPCS,66762,Revision of iris,,,574.35,1522.03,7 HCPCS,66770,Removal of inner eye lesion,,,574.35,1522.03,7 HCPCS,66820,Incision secondary cataract,,,2410.01,6386.53,7 HCPCS,66821,After cataract laser surgery,,,574.35,1522.03,7 HCPCS,66825,Reposition intraocular lens,,,2410.01,6386.53,7 HCPCS,66830,Removal of lens lesion,,,2410.01,6386.53,7 HCPCS,66840,Removal of lens material,,,2410.01,6386.53,7 HCPCS,66850,Removal of lens material,,,2410.01,6386.53,7 HCPCS,66852,Removal of lens material,,,4316.45,11438.58,7 HCPCS,66920,Extraction of lens,,,2410.01,6386.53,7 HCPCS,66930,Extraction of lens,,,4316.45,11438.58,7 HCPCS,66940,Extraction of lens,,,2410.01,6386.53,7 HCPCS,66982,Cataract surgery complex,,,2410.01,6386.53,7 HCPCS,66983,Cataract surg w/iol 1 stage,,,2410.01,6386.53,7 HCPCS,66984,Cataract surg w/iol 1 stage,,,2410.01,6386.53,7 HCPCS,66984,HC XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP,9892.0,9892.0,,,0 HCPCS,66985,Insert lens prosthesis,,,2410.01,6386.53,7 HCPCS,66986,Exchange lens prosthesis,,,2410.01,6386.53,7 HCPCS,66986,HC EXCHANGE INTRAOCULAR LENS,13331.0,13331.0,,,0 HCPCS,66987,Xcapsl ctrc rmvl cplx w/ecp,,,4316.45,11438.58,7 HCPCS,66988,Xcapsl ctrc rmvl w/ecp,,,4316.45,11438.58,7 HCPCS,66989,Xcpsl ctrc rmvl cplx insj 1+,,,5556.93,14725.85,7 HCPCS,66991,Xcapsl ctrc rmvl insj 1+,,,5556.93,14725.85,7 HCPCS,66999,Eye surgery procedure,,,2410.01,6386.53,7 HCPCS,67005,HC PARTIAL REMOVAL OF VITREOUS (ANTERIOR APP),11147.0,11147.0,,,0 HCPCS,67005,Partial removal of eye fluid,,,2410.01,6386.53,7 HCPCS,67010,Partial removal of eye fluid,,,2410.01,6386.53,7 HCPCS,67015,Release of eye fluid,,,2410.01,6386.53,7 HCPCS,67025,Replace eye fluid,,,2410.01,6386.53,7 HCPCS,67028,Injection eye drug,,,344.93,914.07,7 HCPCS,67030,Incise inner eye strands,,,2410.01,6386.53,7 HCPCS,67031,Laser surgery eye strands,,,574.35,1522.03,7 HCPCS,67036,Removal of inner eye fluid,,,4316.45,11438.58,7 HCPCS,67039,Laser treatment of retina,,,4316.45,11438.58,7 HCPCS,67040,Laser treatment of retina,,,4316.45,11438.58,7 HCPCS,67041,Vit for macular pucker,,,4316.45,11438.58,7 HCPCS,67042,Vit for macular hole,,,4316.45,11438.58,7 HCPCS,67043,Vit for membrane dissect,,,4316.45,11438.58,7 HCPCS,67101,Repair detached retina crtx,,,2410.01,6386.53,7 HCPCS,67105,Repair detached retina pc,,,574.35,1522.03,7 HCPCS,67107,Repair detached retina,,,4316.45,11438.58,7 HCPCS,67108,Repair detached retina,,,4316.45,11438.58,7 HCPCS,67110,Repair detached retina,,,2410.01,6386.53,7 HCPCS,67113,Repair retinal detach cplx,,,5556.93,14725.85,7 HCPCS,67115,Release encircling material,,,4316.45,11438.58,7 HCPCS,67120,Remove eye implant material,,,2410.01,6386.53,7 HCPCS,67121,Remove eye implant material,,,2410.01,6386.53,7 HCPCS,67141,Treatment of retina,,,331.46,878.37,7 HCPCS,67145,Treatment of retina,,,574.35,1522.03,7 HCPCS,67208,Treatment of retinal lesion,,,331.46,878.37,7 HCPCS,67210,Treatment of retinal lesion,,,574.35,1522.03,7 HCPCS,67218,Treatment of retinal lesion,,,4105.48,10879.51,7 HCPCS,67220,Treatment of choroid lesion,,,574.35,1522.03,7 HCPCS,67221,Ocular Photodynamic Ther,,,574.35,1522.03,7 HCPCS,67227,Dstrj extensive retinopathy,,,4105.48,10879.51,7 HCPCS,67228,Treatment x10sv retinopathy,,,574.35,1522.03,7 HCPCS,67229,Tr retinal les preterm inf,,,574.35,1522.03,7 HCPCS,67250,Reinforce eye wall,,,2482.76,6579.31,7 HCPCS,67255,Reinforce/graft eye wall,,,4316.45,11438.58,7 HCPCS,67299,Eye surgery procedure,,,2410.01,6386.53,7 HCPCS,67311,Revise eye muscle,,,2482.76,6579.31,7 HCPCS,67312,Revise two eye muscles,,,4105.48,10879.51,7 HCPCS,67314,Revise eye muscle,,,2482.76,6579.31,7 HCPCS,67316,Revise two eye muscles,,,2482.76,6579.31,7 HCPCS,67318,Revise eye muscle(s),,,2482.76,6579.31,7 HCPCS,67343,Release eye tissue,,,2482.76,6579.31,7 HCPCS,67345,Destroy nerve of eye muscle,,,331.46,878.37,7 HCPCS,67346,Biopsy eye muscle,,,4105.48,10879.51,7 HCPCS,67399,Unlisted px extraocular musc,,,331.46,878.37,7 HCPCS,67400,Explore/biopsy eye socket,,,4105.48,10879.51,7 HCPCS,67405,Explore/drain eye socket,,,2482.76,6579.31,7 HCPCS,67412,Explore/treat eye socket,,,2482.76,6579.31,7 HCPCS,67413,Explore/treat eye socket,,,2482.76,6579.31,7 HCPCS,67414,Explr/decompress eye socket,,,4105.48,10879.51,7 HCPCS,67415,Aspiration orbital contents,,,2482.76,6579.31,7 HCPCS,67420,Explore/treat eye socket,,,4105.48,10879.51,7 HCPCS,67430,Explore/treat eye socket,,,4105.48,10879.51,7 HCPCS,67440,Explore/drain eye socket,,,4105.48,10879.51,7 HCPCS,67445,Explr/decompress eye socket,,,4105.48,10879.51,7 HCPCS,67450,Explore/biopsy eye socket,,,4105.48,10879.51,7 HCPCS,67500,Inject/treat eye socket,,,331.46,878.37,7 HCPCS,67505,Inject/treat eye socket,,,331.46,878.37,7 HCPCS,67515,Inject/treat eye socket,,,331.46,878.37,7 HCPCS,67516,Sprchoroidal spc njx rx agt,,,344.93,914.07,7 HCPCS,67550,Insert eye socket implant,,,4105.48,10879.51,7 HCPCS,67560,Revise eye socket implant,,,4105.48,10879.51,7 HCPCS,67570,Decompress optic nerve,,,4105.48,10879.51,7 HCPCS,67599,Orbit surgery procedure,,,331.46,878.37,7 HCPCS,67700,Drainage of eyelid abscess,,,331.46,878.37,7 HCPCS,67700,HC I&D EYELID BLEPHAROTOMY,988.0,988.0,,,0 HCPCS,67710,Incision of eyelid,,,1041.02,2758.7,7 HCPCS,67715,HC INCISION OF EYELID FOLD,15716.0,15716.0,,,0 HCPCS,67715,Incision of eyelid fold,,,2482.76,6579.31,7 HCPCS,67800,"HC EXCISION CHALAZION, SINGLE 67800",988.0,988.0,,,0 HCPCS,67800,Remove eyelid lesion,,,331.46,878.37,7 HCPCS,67801,Remove eyelid lesions,,,1041.02,2758.7,7 HCPCS,67805,Remove eyelid lesions,,,331.46,878.37,7 HCPCS,67808,Remove eyelid lesion(s),,,2482.76,6579.31,7 HCPCS,67810,Biopsy eyelid & lid margin,,,331.46,878.37,7 HCPCS,67810,HC INC BIOPSY EYELID SKIN & LID MARGIN,896.0,896.0,,,0 HCPCS,67820,Revise eyelashes,,,138.94,368.19,7 HCPCS,67825,Revise eyelashes,,,331.46,878.37,7 HCPCS,67830,Revise eyelashes,,,1041.02,2758.7,7 HCPCS,67835,Revise eyelashes,,,2482.76,6579.31,7 HCPCS,67840,Remove eyelid lesion,,,1041.02,2758.7,7 HCPCS,67850,Treat eyelid lesion,,,1041.02,2758.7,7 HCPCS,67875,Closure of eyelid by suture,,,1041.02,2758.7,7 HCPCS,67880,Revision of eyelid,,,2482.76,6579.31,7 HCPCS,67882,Revision of eyelid,,,2482.76,6579.31,7 HCPCS,67900,Repair brow defect,,,2482.76,6579.31,7 HCPCS,67901,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67902,Repair eyelid defect,,,4105.48,10879.51,7 HCPCS,67903,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67904,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67906,Repair eyelid defect,,,4105.48,10879.51,7 HCPCS,67908,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67909,Revise eyelid defect,,,2482.76,6579.31,7 HCPCS,67911,Revise eyelid defect,,,2482.76,6579.31,7 HCPCS,67912,Correction eyelid w/implant,,,2482.76,6579.31,7 HCPCS,67914,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67915,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67916,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67917,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67921,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67922,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67923,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67924,Repair eyelid defect,,,2482.76,6579.31,7 HCPCS,67930,"HC SUTURE EYELID WOUND, PARTIAL THICK",6434.0,6434.0,,,0 HCPCS,67930,Repair eyelid wound,,,2482.76,6579.31,7 HCPCS,67935,"HC SUTURE EYELID WOUND, FULL THICK",6434.0,6434.0,,,0 HCPCS,67935,Repair eyelid wound,,,2482.76,6579.31,7 HCPCS,67938,"HC REMOVE EYELID FOREIGN BODY,EMBEDDED",988.0,988.0,,,0 HCPCS,67938,Remove eyelid foreign body,,,331.46,878.37,7 HCPCS,67950,Revision of eyelid,,,2482.76,6579.31,7 HCPCS,67961,Revision of eyelid,,,2482.76,6579.31,7 HCPCS,67966,Revision of eyelid,,,2482.76,6579.31,7 HCPCS,67971,Reconstruction of eyelid,,,2482.76,6579.31,7 HCPCS,67973,Reconstruction of eyelid,,,2482.76,6579.31,7 HCPCS,67974,Reconstruction of eyelid,,,4105.48,10879.51,7 HCPCS,67975,Reconstruction of eyelid,,,2482.76,6579.31,7 HCPCS,67999,Revision of eyelid,,,331.46,878.37,7 HCPCS,68020,HC I&D CONJUNCTIVA CYST,3057.0,3057.0,,,0 HCPCS,68020,Incise/drain eyelid lining,,,1041.02,2758.7,7 HCPCS,68040,Treatment of eyelid lesions,,,331.46,878.37,7 HCPCS,68100,Biopsy of eyelid lining,,,2482.76,6579.31,7 HCPCS,68110,Remove eyelid lining lesion,,,2482.76,6579.31,7 HCPCS,68115,Remove eyelid lining lesion,,,2482.76,6579.31,7 HCPCS,68130,Remove eyelid lining lesion,,,2482.76,6579.31,7 HCPCS,68135,Remove eyelid lining lesion,,,2482.76,6579.31,7 HCPCS,68200,Treat eyelid by injection,,,466.5,1236.24,7 HCPCS,68320,Revise/graft eyelid lining,,,2482.76,6579.31,7 HCPCS,68325,Revise/graft eyelid lining,,,4105.48,10879.51,7 HCPCS,68326,Revise/graft eyelid lining,,,4105.48,10879.51,7 HCPCS,68328,Revise/graft eyelid lining,,,2482.76,6579.31,7 HCPCS,68330,Revise eyelid lining,,,2410.01,6386.53,7 HCPCS,68335,Revise/graft eyelid lining,,,4105.48,10879.51,7 HCPCS,68340,Separate eyelid adhesions,,,2482.76,6579.31,7 HCPCS,68360,Revise eyelid lining,,,4105.48,10879.51,7 HCPCS,68362,Revise eyelid lining,,,2482.76,6579.31,7 HCPCS,68371,Harvest eye tissue alograft,,,2482.76,6579.31,7 HCPCS,68399,Eyelid lining surgery,,,331.46,878.37,7 HCPCS,68400,Incise/drain tear gland,,,1041.02,2758.7,7 HCPCS,68420,Incise/drain tear sac,,,2482.76,6579.31,7 HCPCS,68440,Incise tear duct opening,,,331.46,878.37,7 HCPCS,68500,Removal of tear gland,,,4105.48,10879.51,7 HCPCS,68505,Partial removal tear gland,,,4105.48,10879.51,7 HCPCS,68510,Biopsy of tear gland,,,2482.76,6579.31,7 HCPCS,68520,Removal of tear sac,,,4105.48,10879.51,7 HCPCS,68525,Biopsy of tear sac,,,2482.76,6579.31,7 HCPCS,68530,Clearance of tear duct,,,331.46,878.37,7 HCPCS,68540,Remove tear gland lesion,,,2482.76,6579.31,7 HCPCS,68550,Remove tear gland lesion,,,4105.48,10879.51,7 HCPCS,68700,Repair tear ducts,,,2482.76,6579.31,7 HCPCS,68705,Revise tear duct opening,,,331.46,878.37,7 HCPCS,68720,Create tear sac drain,,,4105.48,10879.51,7 HCPCS,68745,Create tear duct drain,,,4105.48,10879.51,7 HCPCS,68750,Create tear duct drain,,,4105.48,10879.51,7 HCPCS,68760,Close tear duct opening,,,331.46,878.37,7 HCPCS,68761,Close tear duct opening,,,331.46,878.37,7 HCPCS,68770,Close tear system fistula,,,2482.76,6579.31,7 HCPCS,68801,Dilate tear duct opening,,,466.5,1236.24,7 HCPCS,68810,Probe nasolacrimal duct,,,331.46,878.37,7 HCPCS,68811,Probe nasolacrimal duct,,,2482.76,6579.31,7 HCPCS,68815,Probe nasolacrimal duct,,,2482.76,6579.31,7 HCPCS,68816,Probe nl duct w/balloon,,,2482.76,6579.31,7 HCPCS,68840,Explore/irrigate tear ducts,,,331.46,878.37,7 HCPCS,68841,Insj rx elut implt lac canal,,,2482.76,6579.31,7 HCPCS,68850,HC INJECTION FOR TEAR SAC X-RAY,1050.0,1050.0,,,0 HCPCS,68899,Tear duct system surgery,,,331.46,878.37,7 HCPCS,69000,Drain external ear lesion,,,739.49,1959.64,7 HCPCS,69000,"HC DRAIN EXT EAR ABSC/BLOOD,SIMPLE",2349.0,2349.0,,,0 HCPCS,69005,Drain external ear lesion,,,1724.73,4570.53,7 HCPCS,69005,"HC DRAIN EXT EAR ABSC/BLOOD,COMPLIC",5311.0,5311.0,,,0 HCPCS,69020,Drain outer ear canal lesion,,,739.49,1959.64,7 HCPCS,69020,HC DRAIN EXT AUD CANAL ABSC,2349.0,2349.0,,,0 HCPCS,69100,Biopsy of external ear,,,247.34,655.44,7 HCPCS,69100,HC BIOPSY OF EXTERNAL EAR,733.0,733.0,,,0 HCPCS,69105,Biopsy of external ear canal,,,1620.29,4293.76,7 HCPCS,69105,HC BIOPSY OF EXT AUDITORY CANAL,10130.0,10130.0,,,0 HCPCS,69105,HC BX BIOPSY OF EXT AUDITORY CANAL,10130.0,10130.0,,,0 HCPCS,69110,Remove external ear partial,,,3033.33,8038.33,7 HCPCS,69120,Removal of external ear,,,6181.95,16382.18,7 HCPCS,69140,Remove ear canal lesion(s),,,6181.95,16382.18,7 HCPCS,69145,HC REMV EXT CANAL SOFT TISSUE LESN,9749.0,9749.0,,,0 HCPCS,69145,Remove ear canal lesion(s),,,3033.33,8038.33,7 HCPCS,69150,Extensive ear canal surgery,,,6181.95,16382.18,7 HCPCS,69200,Clear outer ear canal,,,138.94,368.19,7 HCPCS,69200,HC REMV EXT CANAL FOREIGN BODY,593.0,593.0,,,0 HCPCS,69205,Clear outer ear canal,,,1724.73,4570.53,7 HCPCS,69205,"HC REMV EXT CANAL F.B.,GEN ANESTH",5311.0,5311.0,,,0 HCPCS,69209,HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT,220.0,220.0,,,0 HCPCS,69209,Remove impacted ear wax uni,,,61.6,163.25,7 HCPCS,69210,HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT,220.0,220.0,,,0 HCPCS,69210,HC REMOVAL OF IMPACTED WAX MD & AUD FUNC TEST,220.0,220.0,,,0 HCPCS,69210,Remove impacted ear wax uni,,,61.6,163.25,7 HCPCS,69220,Clean out mastoid cavity,,,209.52,555.22,7 HCPCS,69222,Clean out mastoid cavity,,,563.21,1492.5,7 HCPCS,69300,Revise external ear,,,3462.26,9175.0,7 HCPCS,69310,Rebuild outer ear canal,,,6181.95,16382.18,7 HCPCS,69320,Rebuild outer ear canal,,,6181.95,16382.18,7 HCPCS,69399,Outer ear surgery procedure,,,247.34,655.44,7 HCPCS,69420,HC INCISION EARDRUM ASP & EUST TUBE INF,643.0,643.0,,,0 HCPCS,69420,Incision of eardrum,,,247.34,655.44,7 HCPCS,69421,"HC INCISION EARDRUM,ASPIR,GEN ANESTH",10326.0,10326.0,,,0 HCPCS,69421,Incision of eardrum,,,3462.26,9175.0,7 HCPCS,69424,Remove ventilating tube,,,3462.26,9175.0,7 HCPCS,69433,Create eardrum opening,,,563.21,1492.5,7 HCPCS,69433,"HC CREATE EARDRUM OPENING,LOC/TOP ANESTH",1426.0,1426.0,,,0 HCPCS,69436,Create eardrum opening,,,1620.29,4293.76,7 HCPCS,69436,"HC CREATE EARDRUM OPENING,GEN ANESTH",7768.0,7768.0,,,0 HCPCS,69440,Exploration of middle ear,,,3462.26,9175.0,7 HCPCS,69450,Eardrum revision,,,3462.26,9175.0,7 HCPCS,69501,Mastoidectomy,,,6181.95,16382.18,7 HCPCS,69502,Mastoidectomy,,,6181.95,16382.18,7 HCPCS,69505,Remove mastoid structures,,,6181.95,16382.18,7 HCPCS,69511,Extensive mastoid surgery,,,6181.95,16382.18,7 HCPCS,69530,Extensive mastoid surgery,,,6181.95,16382.18,7 HCPCS,69540,Remove ear lesion,,,1620.29,4293.76,7 HCPCS,69550,Remove ear lesion,,,6181.95,16382.18,7 HCPCS,69552,Remove ear lesion,,,6181.95,16382.18,7 HCPCS,69601,Mastoid surgery revision,,,6181.95,16382.18,7 HCPCS,69602,Mastoid surgery revision,,,6181.95,16382.18,7 HCPCS,69603,Mastoid surgery revision,,,6181.95,16382.18,7 HCPCS,69604,Mastoid surgery revision,,,6181.95,16382.18,7 HCPCS,69610,Repair of eardrum,,,1620.29,4293.76,7 HCPCS,69620,Repair of eardrum,,,3462.26,9175.0,7 HCPCS,69631,Repair eardrum structures,,,6181.95,16382.18,7 HCPCS,69632,Rebuild eardrum structures,,,6181.95,16382.18,7 HCPCS,69633,Rebuild eardrum structures,,,6181.95,16382.18,7 HCPCS,69635,Repair eardrum structures,,,6181.95,16382.18,7 HCPCS,69636,Rebuild eardrum structures,,,6181.95,16382.18,7 HCPCS,69637,Rebuild eardrum structures,,,6181.95,16382.18,7 HCPCS,69641,Revise middle ear & mastoid,,,6181.95,16382.18,7 HCPCS,69642,Revise middle ear & mastoid,,,6181.95,16382.18,7 HCPCS,69643,Revise middle ear & mastoid,,,6181.95,16382.18,7 HCPCS,69644,Revise middle ear & mastoid,,,6181.95,16382.18,7 HCPCS,69645,Revise middle ear & mastoid,,,6181.95,16382.18,7 HCPCS,69646,Revise middle ear & mastoid,,,6181.95,16382.18,7 HCPCS,69650,Release middle ear bone,,,3462.26,9175.0,7 HCPCS,69660,Revise middle ear bone,,,6181.95,16382.18,7 HCPCS,69661,Revise middle ear bone,,,6181.95,16382.18,7 HCPCS,69662,Revise middle ear bone,,,6181.95,16382.18,7 HCPCS,69666,Repair middle ear structures,,,3462.26,9175.0,7 HCPCS,69667,Repair middle ear structures,,,3462.26,9175.0,7 HCPCS,69670,Remove mastoid air cells,,,6181.95,16382.18,7 HCPCS,69676,Remove middle ear nerve,,,3462.26,9175.0,7 HCPCS,69700,Close mastoid fistula,,,1620.29,4293.76,7 HCPCS,69705,Nps surg dilat eust tube uni,,,6181.95,16382.18,7 HCPCS,69706,Nps surg dilat eust tube bi,,,6181.95,16382.18,7 HCPCS,69711,Remove/repair hearing aid,,,3462.26,9175.0,7 HCPCS,69714,Implant Temple Bone W/Stimul,,,13407.17,35528.99,7 HCPCS,69716,Impltj oi implt skl tc esp,,,13407.17,35528.99,7 HCPCS,69717,Temple Bone Implant Revision,,,7577.51,20080.41,7 HCPCS,69719,Revj/rplcmt oi implt tc esp,,,13407.17,35528.99,7 HCPCS,69720,Release facial nerve,,,6181.95,16382.18,7 HCPCS,69725,Release facial nerve,,,6181.95,16382.18,7 HCPCS,69726,Rmvl oi implt skl perq esp,,,3416.88,9054.74,7 HCPCS,69727,Rmvl oi implt skl tc esp,,,3416.88,9054.74,7 HCPCS,69728,Rmv ntr oi imp sktc esp>=100,,,3416.88,9054.74,7 HCPCS,69729,Impl oi implt sk tc esp>=100,,,13407.17,35528.99,7 HCPCS,69730,Rplc oi implt sk tc esp>=100,,,13407.17,35528.99,7 HCPCS,69740,Repair facial nerve,,,6181.95,16382.18,7 HCPCS,69745,Repair facial nerve,,,6181.95,16382.18,7 HCPCS,69799,Middle ear surgery procedure,,,247.34,655.44,7 HCPCS,69801,Incise inner ear,,,1620.29,4293.76,7 HCPCS,69805,Explore inner ear,,,6181.95,16382.18,7 HCPCS,69806,Explore inner ear,,,6181.95,16382.18,7 HCPCS,69905,Remove inner ear,,,6181.95,16382.18,7 HCPCS,69910,Remove inner ear & mastoid,,,6181.95,16382.18,7 HCPCS,69915,Incise inner ear nerve,,,3462.26,9175.0,7 HCPCS,69930,Implant cochlear device,,,34432.09,91245.05,7 HCPCS,69949,Inner ear surgery procedure,,,247.34,655.44,7 HCPCS,69955,Release facial nerve,,,6181.95,16382.18,7 HCPCS,69960,Release inner ear canal,,,6181.95,16382.18,7 HCPCS,69970,Remove inner ear lesion,,,6181.95,16382.18,7 HCPCS,69979,Temporal bone surgery,,,247.34,655.44,7 HCPCS,70010,Contrast x-ray of brain,,,364.32,1454.41,16 HCPCS,70015,Contrast x-ray of brain,,,818.63,2169.37,16 HCPCS,70015,"HC CISTERNOGRAPHY,POS CONTRAST - FL CISTERNOGRAM",14343.0,14343.0,,,0 HCPCS,70030,HC X-RAY EYE FOR FOREIGN BODY,598.0,598.0,,,0 HCPCS,70030,X-ray eye for foreign body,,,89.53,240.83,16 HCPCS,70100,HC X-RAY JAW <4 VW,1134.0,1134.0,,,0 HCPCS,70100,X-ray exam of jaw <4views,,,89.53,240.83,16 HCPCS,70110,HC X-RAY JAW 4+ VW,1147.0,1147.0,,,0 HCPCS,70110,X-ray exam of jaw 4/> views,,,109.17,289.31,16 HCPCS,70120,X-ray exam of mastoids,,,89.53,289.31,16 HCPCS,70130,HC X-RAY MASTOIDS 3+ VW,1257.0,1257.0,,,0 HCPCS,70130,X-ray exam of mastoids,,,89.53,289.31,16 HCPCS,70134,X-ray exam of middle ear,,,89.53,1512.12,16 HCPCS,70140,HC X-RAY FACIAL BONES <3 VW,751.0,751.0,,,0 HCPCS,70140,X-ray exam of facial bones,,,89.53,240.83,16 HCPCS,70150,HC X-RAY FACIAL BONES 3+ VW,1368.0,1368.0,,,0 HCPCS,70150,X-ray exam of facial bones,,,109.17,289.31,16 HCPCS,70160,HC X-RAY NASAL BONES,838.0,838.0,,,0 HCPCS,70160,X-ray exam of nasal bones,,,89.53,240.83,16 HCPCS,70170,HC X-RAY TEAR DUCT,4613.0,4613.0,,,0 HCPCS,70170,X-ray exam of tear duct,,,249.17,773.96,16 HCPCS,70190,X-ray exam of eye sockets,,,89.53,240.83,16 HCPCS,70200,HC X-RAY ORBITS,1351.0,1351.0,,,0 HCPCS,70200,X-ray exam of eye sockets,,,89.53,289.31,16 HCPCS,70210,HC X-RAY SINUSES <3 VW - XR PARANASAL SINUSES 1-2 VIEWS,693.0,693.0,,,0 HCPCS,70210,HC X-RAY SINUSES <3 VW - XR SINUSES WATERS VIEW ONLY,693.0,693.0,,,0 HCPCS,70210,X-ray exam of sinuses,,,89.53,240.83,16 HCPCS,70220,HC X-RAY SINUSES 3+ VW,1224.0,1224.0,,,0 HCPCS,70220,X-ray exam of sinuses,,,89.53,240.83,16 HCPCS,70240,X-ray exam pituitary saddle,,,89.53,240.83,16 HCPCS,70250,HC X-RAY SKULL <4 VW,1093.0,1093.0,,,0 HCPCS,70250,X-ray exam of skull,,,89.53,289.31,16 HCPCS,70260,HC X-RAY SKULL 4+ VW,1370.0,1370.0,,,0 HCPCS,70260,X-ray exam of skull,,,109.17,289.31,16 HCPCS,70300,X-ray exam of teeth,,,66.55,240.83,16 HCPCS,70310,HC X-RAY TEETH PARTIAL,331.0,331.0,,,0 HCPCS,70310,X-ray exam of teeth,,,66.55,660.29,16 HCPCS,70320,Full mouth x-ray of teeth,,,66.55,660.29,16 HCPCS,70320,HC FULL MOUTH X-RAY OF TEETH - XR TEETH FULL MOUTH,399.0,399.0,,,0 HCPCS,70328,HC X-RAY TMJ UNILAT,1436.0,1436.0,,,0 HCPCS,70328,X-ray exam of jaw joint,,,89.53,240.83,16 HCPCS,70330,HC X-RAY TMJ BILAT,1436.0,1436.0,,,0 HCPCS,70330,X-ray exam of jaw joints,,,89.53,240.83,16 HCPCS,70332,X-ray exam of jaw joint,,,249.17,826.11,16 HCPCS,70336,"HC MRI, TMJ",4888.0,4888.0,,,0 HCPCS,70336,Magnetic image jaw joint,,,249.17,717.64,16 HCPCS,70350,X-ray head for orthodontia,,,89.53,240.83,16 HCPCS,70355,HC PANORAMIC X-RAY OF JAWS,1147.0,1147.0,,,0 HCPCS,70355,Panoramic x-ray of jaws,,,66.55,240.83,16 HCPCS,70360,HC X-RAY NECK SOFT TISSUE,708.0,708.0,,,0 HCPCS,70360,X-ray exam of neck,,,89.53,240.83,16 HCPCS,70370,Throat x-ray & fluoroscopy,,,90.88,381.43,16 HCPCS,70371,"HC SPEECH EVALUATION, COMPLEX",1783.0,1783.0,,,0 HCPCS,70371,Speech evaluation complex,,,244.59,660.29,16 HCPCS,70373,Contrast x-ray of larynx,,,496.32,773.96,5 HCPCS,70380,X-ray exam of salivary gland,,,89.53,240.83,16 HCPCS,70390,X-ray exam of salivary duct,,,249.17,773.96,16 HCPCS,70450,Ct head/brain w/o dye,,,109.17,307.89,16 HCPCS,70450,"HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL",4178.0,4178.0,,,0 HCPCS,70460,Ct head/brain w/dye,,,183.17,606.2,16 HCPCS,70460,HC CT SCAN HEAD CONTRAST,6126.0,6126.0,,,0 HCPCS,70470,Ct head/brain w/o & w/dye,,,183.17,682.65,16 HCPCS,70470,HC CT SCAN HEAD COMBO,7338.0,7338.0,,,0 HCPCS,70471,Cta h&n c+ w/noncontrast img,,,364.32,965.45,7 HCPCS,70473,Ct cere prfu aly c+wo ct/cta,,,183.17,485.39,7 HCPCS,70480,Ct orbit/ear/fossa w/o dye,,,109.17,307.89,16 HCPCS,70480,"HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O",6138.5,6138.5,,,0 HCPCS,70481,Ct orbit/ear/fossa w/dye,,,183.17,606.2,16 HCPCS,70481,HC CT SCAN ORBIT/SELLA/POST FOSSA/EAR CONTRAST,6335.0,6335.0,,,0 HCPCS,70482,Ct orbit/ear/fossa w/o&w/dye,,,183.17,682.65,16 HCPCS,70482,HC CT SCAN SKULL COMBO,7838.0,7838.0,,,0 HCPCS,70486,Ct maxillofacial w/o dye,,,109.17,307.89,16 HCPCS,70486,"HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST",3723.0,3723.0,,,0 HCPCS,70487,Ct maxillofacial w/dye,,,183.17,606.2,16 HCPCS,70487,"HC CT SCAN, FACE/JAW CONTRAST",5944.0,5944.0,,,0 HCPCS,70488,Ct maxillofacial w/o & w/dye,,,183.17,682.65,16 HCPCS,70488,HC CT SCANS FACE/JAW COMBO,6228.5,6228.5,,,0 HCPCS,70490,Ct soft tissue neck w/o dye,,,109.17,307.89,16 HCPCS,70490,"HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST",4934.0,4934.0,,,0 HCPCS,70491,Ct soft tissue neck w/dye,,,183.17,606.2,16 HCPCS,70491,HC CT NECK TISSUE CONTRAST,8325.5,8325.5,,,0 HCPCS,70492,Ct sft tsue nck w/o & w/dye,,,183.17,682.65,16 HCPCS,70492,HC CT NECK TISSUE COMBO,8325.5,8325.5,,,0 HCPCS,70496,Ct angiography head,,,183.17,710.78,16 HCPCS,70496,"HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS",10371.5,10371.5,,,0 HCPCS,70498,Ct angiography neck,,,183.17,710.78,16 HCPCS,70498,"HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS",12301.0,12301.0,,,0 HCPCS,70540,"HC MRI, FACE, NECK",7700.5,7700.5,,,0 HCPCS,70540,Mri orbit/face/neck w/o dye,,,249.17,717.64,16 HCPCS,70542,"HC MRI, FACE, NECK W/CONTRAST",8142.0,8142.0,,,0 HCPCS,70542,Mri Orbit/Face/Neck W/Dye,,,364.32,1038.29,16 HCPCS,70543,"HC MRI, FACE, NECK, COMBO",8396.0,8396.0,,,0 HCPCS,70543,Mri orbt/fac/nck w/o &w/dye,,,364.32,1200.02,16 HCPCS,70544,HC MRA HEAD W/O CONTRAST,3866.5,3866.5,,,0 HCPCS,70544,Mr Angiography Head W/O Dye,,,249.17,717.64,16 HCPCS,70545,HC MRA HEAD W/ CONTRAST,4799.0,4799.0,,,0 HCPCS,70545,Mr Angiography Head W/Dye,,,364.32,1038.29,16 HCPCS,70546,"HC MR ANGIO, HEAD, COMBO",6233.0,6233.0,,,0 HCPCS,70546,Mr angiograph head w/o&w/dye,,,364.32,1200.02,16 HCPCS,70547,HC MRA NECK W/O CONTRAST,3866.5,3866.5,,,0 HCPCS,70547,Mr Angiography Neck W/O Dye,,,249.17,717.64,16 HCPCS,70548,HC MRA NECK W/ CONTRAST,4799.0,4799.0,,,0 HCPCS,70548,Mr Angiography Neck W/Dye,,,364.32,1038.29,16 HCPCS,70549,"HC MR ANGIO, NECK, COMBO",6233.0,6233.0,,,0 HCPCS,70549,Mr angiograph neck w/o&w/dye,,,364.32,1200.02,16 HCPCS,70551,HC MRI BRAIN,6534.0,6534.0,,,0 HCPCS,70551,Mri brain stem w/o dye,,,249.17,717.64,16 HCPCS,70552,HC MRI BRAIN CONTRAST,7432.0,7432.0,,,0 HCPCS,70552,Mri brain stem w/dye,,,364.32,1038.29,16 HCPCS,70553,HC MRI BRAIN COMBO,9027.0,9027.0,,,0 HCPCS,70553,Mri brain stem w/o & w/dye,,,364.32,1200.02,16 HCPCS,70554,Fmri brain by tech,,,249.17,717.64,16 HCPCS,70554,HC FUNCTIONAL MRI BRAIN BY TECH,7173.0,7173.0,,,0 HCPCS,70555,Fmri brain by phys/psych,,,249.17,717.64,16 HCPCS,70555,HC FUNCTIONAL MRI BRAIN BY PHYS/PSYCH,7173.0,7173.0,,,0 HCPCS,70557,Mri brain w/o dye,,,394.93,1512.12,16 HCPCS,70558,Mri brain w/dye,,,183.17,1038.29,16 HCPCS,70559,Mri brain w/o & w/dye,,,183.17,1200.02,16 HCPCS,71010,Chest x-ray 1 view frontal,,,89.53,139.6,5 HCPCS,71015,Chest x-ray stereo frontal,,,89.53,139.6,5 HCPCS,71020,Chest x-ray 2vw frontal&latl,,,89.53,139.6,5 HCPCS,71021,Chest x-ray frnt lat lordotc,,,89.53,139.6,5 HCPCS,71022,Chest x-ray frnt lat oblique,,,89.53,139.6,5 HCPCS,71023,Chest x-ray and fluoroscopy,,,244.59,381.43,5 HCPCS,71030,Chest x-ray 4/> views,,,141.9,221.27,5 HCPCS,71034,Chest x-ray&fluoro 4/> views,,,244.59,381.43,5 HCPCS,71035,Chest x-ray special views,,,89.53,139.6,5 HCPCS,71045,HC RADIOLOGIC EXAM CHEST SINGLE VIEW,777.0,777.0,,,0 HCPCS,71045,X-ray exam chest 1 view,,,90.88,240.83,11 HCPCS,71046,HC RADIOLOGIC EXAM CHEST 2 VIEWS,777.0,777.0,,,0 HCPCS,71046,X-ray exam chest 2 views,,,90.88,240.83,11 HCPCS,71047,HC XR CHEST 2V W AP LORDOTIC,777.0,777.0,,,0 HCPCS,71047,X-ray exam chest 3 views,,,90.88,240.83,11 HCPCS,71048,HC RADIOLOGIC EXAM CHEST 4+ VIEWS,957.0,957.0,,,0 HCPCS,71048,X-ray exam chest 4+ views,,,109.17,289.31,11 HCPCS,71100,HC X-RAY RIBS 2 VW UNILAT,842.0,842.0,,,0 HCPCS,71100,X-ray exam ribs uni 2 views,,,89.53,240.83,16 HCPCS,71101,"HC X-RAY RIBS, CHEST 3+ VW",992.0,992.0,,,0 HCPCS,71101,X-ray exam unilat ribs/chest,,,109.17,289.31,16 HCPCS,71110,HC X-RAY RIBS 3 VW BILAT,1219.0,1219.0,,,0 HCPCS,71110,X-ray exam ribs bil 3 views,,,109.17,289.31,16 HCPCS,71111,"HC X-RAY RIBS, CHEST 4+ VW",1271.0,1271.0,,,0 HCPCS,71111,X-ray exam ribs/chest4/> vws,,,109.17,289.31,16 HCPCS,71120,HC X-RAY STERNUM 2+ VW,865.0,865.0,,,0 HCPCS,71120,X-ray exam breastbone 2/>vws,,,89.53,240.83,16 HCPCS,71130,HC X-RAY STERNO-CLAVICLUAR JT,878.0,878.0,,,0 HCPCS,71130,X-ray strenoclavic jt 3/>vws,,,89.53,240.83,16 HCPCS,71250,Ct thorax w/o dye,,,109.17,307.89,16 HCPCS,71250,"HC CT SCAN,THORAX,W/O CONTRAST",4805.5,4805.5,,,0 HCPCS,71260,Ct thorax w/dye,,,183.17,606.2,16 HCPCS,71260,HC CAT SCAN OF CHEST CONTRAST,7597.0,7597.0,,,0 HCPCS,71270,Ct thorax w/o & w/dye,,,183.17,682.65,16 HCPCS,71270,HC CAT SCAN OF CHEST COMBO,8146.5,8146.5,,,0 HCPCS,71271,Ct thorax lung cancer scr c-,,,109.17,289.31,11 HCPCS,71271,HC LDCT FOR LUNG CA SCREEN,986.0,986.0,,,0 HCPCS,71275,Ct angiography chest,,,183.17,710.78,16 HCPCS,71275,"HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC",10465.0,10465.0,,,0 HCPCS,71550,"HC MRI, CHEST",5406.5,5406.5,,,0 HCPCS,71550,Mri chest w/o dye,,,249.17,717.64,16 HCPCS,71551,"HC MRI, CHEST, W/CONTRAST",5849.0,5849.0,,,0 HCPCS,71551,Mri Chest W/Dye,,,665.83,2169.37,16 HCPCS,71552,"HC MRI, CHEST, COMBO",6295.0,6295.0,,,0 HCPCS,71552,Mri chest w/o & w/dye,,,364.32,1200.02,16 HCPCS,71555,HC MRA CHEST W/ CONTRAST,7490.5,7490.5,,,0 HCPCS,71555,HC MRA CHEST WO CONTRAST,4559.0,4559.0,,,0 HCPCS,71555,Mri angio chest w or w/o dye,,,536.72,536.72,4 HCPCS,72010,X-ray exam of spine,,,141.9,221.27,5 HCPCS,72020,HC X-RAY SPINE ONE VIEW,555.0,555.0,,,0 HCPCS,72020,X-ray exam of spine 1 view,,,89.53,240.83,16 HCPCS,72040,HC RADEX SPINE CERVICAL 2 OR 3 VIEWS,947.0,947.0,,,0 HCPCS,72040,X-ray exam neck spine 2-3 vw,,,89.53,240.83,16 HCPCS,72050,HC RADEX SPINE CERVICAL 4 OR 5 VIEWS,1165.0,1165.0,,,0 HCPCS,72050,X-ray exam neck spine 4/5vws,,,109.17,289.31,16 HCPCS,72052,HC RADEX SPINE CERVICAL 6 OR MORE VIEWS,1165.0,1165.0,,,0 HCPCS,72052,X-ray exam neck spine 6/>vws,,,109.17,289.31,16 HCPCS,72069,X-ray exam of trunk spine,,,89.53,139.6,5 HCPCS,72070,HC X-RAY THORACIC SPINE 2 VW,709.0,709.0,,,0 HCPCS,72070,X-ray exam thorac spine 2vws,,,89.53,289.31,16 HCPCS,72072,HC X-RAY THORACIC SPINE+SWIM 3 VW,849.0,849.0,,,0 HCPCS,72072,X-ray exam thorac spine 3vws,,,109.17,289.31,16 HCPCS,72074,HC X-RAY THORACIC SPINE 4 VW,1368.0,1368.0,,,0 HCPCS,72074,X-ray exam thorac spine4/>vw,,,89.53,289.31,16 HCPCS,72080,HC RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS,585.0,585.0,,,0 HCPCS,72080,X-ray exam thoracolmb 2/> vw,,,89.53,240.83,16 HCPCS,72081,HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW,751.0,751.0,,,0 HCPCS,72081,X-ray exam entire spi 1 vw,,,90.88,240.83,11 HCPCS,72082,HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW,923.0,923.0,,,0 HCPCS,72082,X-ray exam entire spi 2/3 vw,,,109.17,289.31,11 HCPCS,72083,HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW,923.0,923.0,,,0 HCPCS,72083,X-ray exam entire spi 4/5 vw,,,109.17,289.31,11 HCPCS,72084,HC RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW,923.0,923.0,,,0 HCPCS,72084,X-ray exam entire spi 6/> vw,,,109.17,289.31,11 HCPCS,72090,X-ray exam of trunk spine,,,89.53,139.6,5 HCPCS,72100,HC X-RAY LUMBAR SPINE 2/3 VW,1063.0,1063.0,,,0 HCPCS,72100,X-ray exam l-s spine 2/3 vws,,,89.53,289.31,16 HCPCS,72110,HC X-RAY LUMBAR SPINE 4 VW,1368.0,1368.0,,,0 HCPCS,72110,X-ray exam l-2 spine 4/>vws,,,109.17,289.31,16 HCPCS,72114,HC X-RAY LUMBAR SPINE 6+ VW,1368.0,1368.0,,,0 HCPCS,72114,X-ray exam l-s spine bending,,,109.17,289.31,16 HCPCS,72120,HC X-RAY LUMBAR SPINE FLEX/EXTEN,1063.0,1063.0,,,0 HCPCS,72120,X-ray bend only l-s spine,,,109.17,289.31,16 HCPCS,72125,Ct neck spine w/o dye,,,109.17,307.89,16 HCPCS,72125,"HC CT SCAN,CERVICAL SPINE,W/O CONTRAST",5271.0,5271.0,,,0 HCPCS,72126,Ct neck spine w/dye,,,364.32,965.45,16 HCPCS,72126,HC CT SCAN CERV SPINE CONTRAST,5659.0,5659.0,,,0 HCPCS,72127,Ct neck spine w/o & w/dye,,,183.17,682.65,16 HCPCS,72127,HC CT SCAN CERV SP COMBO,5713.5,5713.5,,,0 HCPCS,72128,Ct chest spine w/o dye,,,109.17,307.89,16 HCPCS,72128,"HC CT SCAN,THORACIC SPINE,W/O CONTRAST",5266.5,5266.5,,,0 HCPCS,72129,Ct chest spine w/dye,,,183.17,606.2,16 HCPCS,72129,HC CT SCAN DORSAL SP CONTRAST,5657.0,5657.0,,,0 HCPCS,72130,Ct chest spine w/o & w/dye,,,183.17,682.65,16 HCPCS,72130,HC CT SCAN DORSAL SP COMBO,5713.5,5713.5,,,0 HCPCS,72131,Ct lumbar spine w/o dye,,,109.17,307.89,16 HCPCS,72131,"HC CT SCAN,LUMBAR SPINE,W/O CONTRAST",5266.5,5266.5,,,0 HCPCS,72132,Ct lumbar spine w/dye,,,364.32,965.45,16 HCPCS,72132,HC CT SCAN LUMBAR SP CONTRAST,5656.5,5656.5,,,0 HCPCS,72133,Ct lumbar spine w/o & w/dye,,,183.17,682.65,16 HCPCS,72133,HC CT SCAN LUMBAR SP COMBO,5713.5,5713.5,,,0 HCPCS,72141,"HC MRI, CERV SPINE",7772.0,7772.0,,,0 HCPCS,72141,Mri neck spine w/o dye,,,249.17,717.64,16 HCPCS,72142,"HC MRI, CERV SPINE CONTRAST",8884.0,8884.0,,,0 HCPCS,72142,Mri neck spine w/dye,,,364.32,1038.29,16 HCPCS,72146,"HC MRI, DORSAL SPINE",6963.5,6963.5,,,0 HCPCS,72146,Mri chest spine w/o dye,,,249.17,717.64,16 HCPCS,72147,"HC MRI, DORSAL SPINE CONTRAST",10987.0,10987.0,,,0 HCPCS,72147,Mri chest spine w/dye,,,364.32,1038.29,16 HCPCS,72148,"HC MRI, LUMBAR SPINE",7373.5,7373.5,,,0 HCPCS,72148,Mri lumbar spine w/o dye,,,249.17,717.64,16 HCPCS,72149,"HC MRI, LUMBAR SPINE CONTRAST",11633.0,11633.0,,,0 HCPCS,72149,Mri lumbar spine w/dye,,,364.32,1038.29,16 HCPCS,72156,"HC MRI, CERV SPINE COMBO",9991.5,9991.5,,,0 HCPCS,72156,Mri neck spine w/o & w/dye,,,364.32,1200.02,16 HCPCS,72157,"HC MRI, DORSAL SPINE COMBO",10987.0,10987.0,,,0 HCPCS,72157,Mri chest spine w/o & w/dye,,,364.32,1200.02,16 HCPCS,72158,"HC MRI, LUMBAR SPINE COMBO",11633.0,11633.0,,,0 HCPCS,72158,Mri lumbar spine w/o & w/dye,,,364.32,1200.02,16 HCPCS,72159,HC MRA SPINAL CANAL W/ CONTRAST,1940.0,1940.0,,,0 HCPCS,72159,HC MRA SPINAL CANAL W/O CONTRAST,1940.0,1940.0,,,0 HCPCS,72159,Mr angio spine w/o&w/dye,,,552.02,552.02,4 HCPCS,72170,HC X-RAY PELVIS 1/2 VW,730.0,730.0,,,0 HCPCS,72170,X-ray exam of pelvis,,,89.53,289.31,16 HCPCS,72190,HC X-RAY PELVIS 3+ VW,903.0,903.0,,,0 HCPCS,72190,X-ray exam of pelvis,,,89.53,289.31,16 HCPCS,72191,Ct angiograph pelv w/o&w/dye,,,183.17,710.78,16 HCPCS,72191,"HC CT ANGIO, PELVIS, COMBO, INCL IMAGE PROC",11197.0,11197.0,,,0 HCPCS,72192,Ct pelvis w/o dye,,,109.17,307.89,16 HCPCS,72192,"HC CT SCAN,PELVIS,W/O CONTRAST",4799.0,4799.0,,,0 HCPCS,72193,Ct pelvis w/dye,,,183.17,606.2,16 HCPCS,72193,HC CT SCAN OF PELVIS CONTRAST,7343.5,7343.5,,,0 HCPCS,72194,Ct pelvis w/o & w/dye,,,183.17,682.65,16 HCPCS,72194,HC CT SCAN OF PELVIS COMBO,8123.5,8123.5,,,0 HCPCS,72195,"HC MRI, PELVIS, W/O CONTRAST",5518.0,5518.0,,,0 HCPCS,72195,Mri Pelvis W/O Dye,,,249.17,717.64,16 HCPCS,72196,"HC MRI, PELVIS W/CONTRAST",8706.0,8706.0,,,0 HCPCS,72196,Mri pelvis w/dye,,,364.32,1038.29,16 HCPCS,72197,"HC MRI, PELVIS, COMBO",8706.0,8706.0,,,0 HCPCS,72197,Mri pelvis w/o & w/dye,,,364.32,1200.02,16 HCPCS,72198,HC MR ANGIO PELVIS(MRA),5035.5,5035.5,,,0 HCPCS,72198,HC MRA PELVIS W/ CONTRAST,5035.5,5035.5,,,0 HCPCS,72198,HC MRA PELVIS W/O CONTRAST,5035.5,5035.5,,,0 HCPCS,72198,Mr angio pelvis w/o & w/dye,,,539.78,539.78,4 HCPCS,72200,HC X-RAY SACROILIAC JTS <3 VW,536.0,536.0,,,0 HCPCS,72200,X-ray exam si joints,,,89.53,289.31,16 HCPCS,72202,HC X-RAY SACROILIAC JTS 3+ VW,911.0,911.0,,,0 HCPCS,72202,X-ray exam si joints 3/> vws,,,89.53,289.31,16 HCPCS,72220,HC X-RAY SACRUM/COCCYX 2+ VW,820.0,820.0,,,0 HCPCS,72220,X-ray exam sacrum tailbone,,,89.53,240.83,16 HCPCS,72240,HC MYELOGRAPHY CERV SPINE,14343.0,14343.0,,,0 HCPCS,72240,Myelography neck spine,,,818.63,2169.37,16 HCPCS,72255,HC MYELOGRAPHY THORAX SPINE - FL THORACIC SPINE MYELOGRAM,14343.0,14343.0,,,0 HCPCS,72255,Myelography thoracic spine,,,818.63,2169.37,16 HCPCS,72265,HC MYELOGRAPHY LUMBAR SPINE,14343.0,14343.0,,,0 HCPCS,72265,Myelography l-s spine,,,818.63,2169.37,16 HCPCS,72270,HC MYELOGRAPHY OF ENTIRE SPINE,14343.0,14343.0,,,0 HCPCS,72270,Myelogphy 2/> spine regions,,,818.63,2169.37,16 HCPCS,72285,Discography cerv/thor spine,,,2039.19,6721.73,16 HCPCS,72285,HC X-RAY C/T DISK SUPERV/INTERPRET - CERVICAL SPINE DISCOGRAM,12758.0,12758.0,,,0 HCPCS,72285,"HC X-RAY,C/T,DISK,SUPERV/INTERPRET - IR DISCOGRAM CHARGE",12758.0,12758.0,,,0 HCPCS,72295,HC DISCOGRAPHY LUMBAR SPINE,2024.0,2024.0,,,0 HCPCS,72295,X-ray of lower spine disk,,,2039.19,6721.73,16 HCPCS,73000,HC X-RAY CLAVICLE,724.0,724.0,,,0 HCPCS,73000,X-ray exam of collar bone,,,89.53,240.83,16 HCPCS,73010,HC X-RAY SCAPULA,723.0,723.0,,,0 HCPCS,73010,X-ray exam of shoulder blade,,,89.53,289.31,16 HCPCS,73020,HC X-RAY SHOULDER 1 VW,687.0,687.0,,,0 HCPCS,73020,X-ray exam of shoulder,,,89.53,240.83,16 HCPCS,73030,HC X-RAY SHOULDER 2+ VW,792.0,792.0,,,0 HCPCS,73030,X-ray exam of shoulder,,,89.53,240.83,16 HCPCS,73040,Contrast x-ray of shoulder,,,364.32,965.45,16 HCPCS,73040,HC ARTHROGRAM OF SHOULDER,1705.0,1705.0,,,0 HCPCS,73050,HC X-RAY AC JTS,868.0,868.0,,,0 HCPCS,73050,X-ray exam of shoulders,,,89.53,240.83,16 HCPCS,73060,HC X-RAY HUMERUS,723.0,723.0,,,0 HCPCS,73060,X-ray exam of humerus,,,89.53,240.83,16 HCPCS,73070,HC X-RAY ELBOW 2 VW,689.0,689.0,,,0 HCPCS,73070,X-ray exam of elbow,,,89.53,240.83,16 HCPCS,73080,HC X-RAY ELBOW 3+ VW,752.0,752.0,,,0 HCPCS,73080,X-ray exam of elbow,,,89.53,240.83,16 HCPCS,73085,Contrast x-ray of elbow,,,364.32,965.45,16 HCPCS,73085,HC ARTHROGRAM OF ELBOW,1177.0,1177.0,,,0 HCPCS,73090,HC X-RAY FOREARM 2 VW,696.0,696.0,,,0 HCPCS,73090,X-ray exam of forearm,,,89.53,240.83,16 HCPCS,73092,"HC X-RAY ARM, INFANT",723.0,723.0,,,0 HCPCS,73092,X-ray exam of arm infant,,,109.17,289.31,16 HCPCS,73100,HC X-RAY WRIST 2 VW,709.0,709.0,,,0 HCPCS,73100,X-ray exam of wrist,,,89.53,240.83,16 HCPCS,73110,HC X-RAY WRIST 3+ VW,730.0,730.0,,,0 HCPCS,73110,X-ray exam of wrist,,,89.53,240.83,16 HCPCS,73115,Contrast x-ray of wrist,,,364.32,965.45,16 HCPCS,73115,HC ARTHROGRAM OF WRIST,1411.0,1411.0,,,0 HCPCS,73120,HC X-RAY HAND 2 VW,622.0,622.0,,,0 HCPCS,73120,X-ray exam of hand,,,89.53,289.31,16 HCPCS,73130,HC X-RAY HAND 3+ VW,751.0,751.0,,,0 HCPCS,73130,X-ray exam of hand,,,89.53,240.83,16 HCPCS,73140,HC X-RAY EXAM OF FINGER(S),469.0,469.0,,,0 HCPCS,73140,X-ray exam of finger(s),,,89.53,240.83,16 HCPCS,73200,Ct upper extremity w/o dye,,,109.17,307.89,16 HCPCS,73200,"HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST",3058.5,3058.5,,,0 HCPCS,73201,Ct upper extremity w/dye,,,364.32,965.45,16 HCPCS,73201,HC CT SCAN OF ARM CONTRAST,4145.5,4145.5,,,0 HCPCS,73202,Ct uppr extremity w/o&w/dye,,,183.17,682.65,16 HCPCS,73202,HC CT SCAN OF ARM COMBO,5138.5,5138.5,,,0 HCPCS,73206,Ct angio upr extrm w/o&w/dye,,,183.17,710.78,16 HCPCS,73206,"HC CT ANGIO,UPPER EXTREM,COMBO",8063.0,8063.0,,,0 HCPCS,73218,"HC MRI, UPPER EXTREMITY W/O CONTRAST",7090.0,7090.0,,,0 HCPCS,73218,Mri Upper Extremity W/O Dye,,,249.17,717.64,16 HCPCS,73219,"HC MRI, UPPER EXTREMITY W/CONTRAST",11185.0,11185.0,,,0 HCPCS,73219,"HC MRI, UPPER EXTREMITY W/CONTRAST - MR HAND W IV CONTRAST",11185.0,11185.0,,,0 HCPCS,73219,"HC MRI, UPPER EXTREMITY W/CONTRAST - MR UPPER EXTREMITY W IV CONTRAST",11185.0,11185.0,,,0 HCPCS,73219,Mri Upper Extremity W/Dye,,,364.32,1038.29,16 HCPCS,73220,HC MRI UPPER EXTREMITY COMBO,11185.0,11185.0,,,0 HCPCS,73220,Mri uppr extremity w/o&w/dye,,,364.32,1200.02,16 HCPCS,73221,"HC MRI, JOINT UPPER EXTREM",7175.5,7175.5,,,0 HCPCS,73221,Mri joint upr extrem w/o dye,,,249.17,717.64,16 HCPCS,73222,"HC MRI, JOINT UPPER EXTREM W/CONTRAST",8109.5,8109.5,,,0 HCPCS,73222,Mri joint upr extrem w/dye,,,665.83,2169.37,16 HCPCS,73223,"HC MRI, JOINT UPPER EXTREM COMBO",10535.0,10535.0,,,0 HCPCS,73223,Mri joint upr extr w/o&w/dye,,,364.32,1200.02,16 HCPCS,73225,HC MRA UPPER EXTREM W/ CONTRAST,2636.5,2636.5,,,0 HCPCS,73225,HC MRA UPPER EXTREM W/O CONTRAST,2636.5,2636.5,,,0 HCPCS,73225,Mr angio upr extr w/o&w/dye,,,558.14,558.14,4 HCPCS,73500,X-ray exam of hip,,,89.53,139.6,5 HCPCS,73501,HC RADEX HIP UNILATERAL WITH PELVIS 1 VIEW,832.0,832.0,,,0 HCPCS,73501,X-ray exam hip uni 1 view,,,90.88,240.83,11 HCPCS,73502,HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS,1004.0,1004.0,,,0 HCPCS,73502,X-ray exam hip uni 2-3 views,,,90.88,240.83,11 HCPCS,73503,HC RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS,1757.0,1757.0,,,0 HCPCS,73503,X-ray exam hip uni 4/> views,,,109.17,289.31,11 HCPCS,73510,X-ray exam of hip,,,89.53,139.6,5 HCPCS,73520,X-ray exam of hips,,,141.9,221.27,5 HCPCS,73521,HC RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS,2184.0,2184.0,,,0 HCPCS,73521,X-ray exam hips bi 2 views,,,109.17,289.31,11 HCPCS,73522,HC X-RAY EXAM HIPS BI 3-4 VWS - XR HIPS BILAT 3-4 VW W/ OR W/O PELVIS,758.0,758.0,,,0 HCPCS,73522,X-ray exam hips bi 3-4 views,,,109.17,289.31,11 HCPCS,73523,HC RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS,2184.0,2184.0,,,0 HCPCS,73523,X-ray exam hips bi 5/> views,,,109.17,289.31,11 HCPCS,73525,Contrast x-ray of hip,,,364.32,965.45,16 HCPCS,73525,HC ARTHROGRAM OF HIP,2252.0,2252.0,,,0 HCPCS,73540,X-ray exam of pelvis & hips,,,89.53,139.6,5 HCPCS,73550,X-ray exam of thigh,,,89.53,139.6,5 HCPCS,73551,HC RADIOLOGIC EXAMINATION FEMUR 1 VIEW,773.0,773.0,,,0 HCPCS,73551,X-ray exam of femur 1,,,90.88,240.83,11 HCPCS,73552,HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS,773.0,773.0,,,0 HCPCS,73552,X-ray exam of femur 2/>,,,90.88,240.83,11 HCPCS,73560,HC X-RAY KNEE 1 OR 2 VIEW,769.0,769.0,,,0 HCPCS,73560,X-ray exam of knee 1 or 2,,,89.53,240.83,16 HCPCS,73562,HC X-RAY KNEE 3 VIEW,769.0,769.0,,,0 HCPCS,73562,X-ray exam of knee 3,,,89.53,240.83,16 HCPCS,73564,HC X-RAY KNEE 4+ VIEW,946.0,946.0,,,0 HCPCS,73564,X-ray exam knee 4 or more,,,89.53,289.31,16 HCPCS,73565,HC X-RAY KNEE BILAT STANDING,850.0,850.0,,,0 HCPCS,73565,X-ray exam of knees,,,89.53,240.83,16 HCPCS,73580,Contrast x-ray of knee joint,,,364.32,965.45,16 HCPCS,73580,HC ARTHROGRAM OF KNEE JOINT,3260.0,3260.0,,,0 HCPCS,73590,"HC X-RAY TIB + FIB, 2VW",723.0,723.0,,,0 HCPCS,73590,X-ray exam of lower leg,,,89.53,240.83,16 HCPCS,73592,"HC X-RAY LEG, INFANT",743.0,743.0,,,0 HCPCS,73592,X-ray exam of leg infant,,,89.53,240.83,16 HCPCS,73600,HC X-RAY ANKLE 2 VW,745.0,745.0,,,0 HCPCS,73600,X-ray exam of ankle,,,89.53,240.83,16 HCPCS,73610,HC X-RAY ANKLE 3+ VW,935.0,935.0,,,0 HCPCS,73610,X-ray exam of ankle,,,89.53,240.83,16 HCPCS,73615,Contrast x-ray of ankle,,,364.32,965.45,16 HCPCS,73615,HC ARTHROGRAM OF ANKLE - XR ANKLE ARTHROGRAM,2615.0,2615.0,,,0 HCPCS,73615,HC ARTHROGRAM OF ANKLE - XR ANKLE ARTHROGRAM LEFT,2615.0,2615.0,,,0 HCPCS,73620,HC X-RAY FOOT 2 VW,712.0,712.0,,,0 HCPCS,73620,X-ray exam of foot,,,89.53,240.83,16 HCPCS,73630,HC X-RAY FOOT 3+ VW,743.0,743.0,,,0 HCPCS,73630,X-ray exam of foot,,,89.53,240.83,16 HCPCS,73650,HC X-RAY HEEL,712.0,712.0,,,0 HCPCS,73650,X-ray exam of heel,,,89.53,240.83,16 HCPCS,73660,HC X-RAY TOE(S),469.0,469.0,,,0 HCPCS,73660,X-ray exam of toe(s),,,89.53,240.83,16 HCPCS,73700,Ct lower extremity w/o dye,,,109.17,307.89,16 HCPCS,73700,"HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - LOWER EXTREMITY WO IV CONTRAST",3058.5,3058.5,,,0 HCPCS,73701,Ct lower extremity w/dye,,,183.17,606.2,16 HCPCS,73701,HC CT SCAN OF LEG CONTRAST,4258.5,4258.5,,,0 HCPCS,73702,Ct lwr extremity w/o&w/dye,,,183.17,682.65,16 HCPCS,73702,HC CT SCAN OF LEG COMBO,5138.5,5138.5,,,0 HCPCS,73706,Ct angio lwr extr w/o&w/dye,,,183.17,710.78,16 HCPCS,73706,"HC CT ANGIO,LOWER EXTREM,COMBO,IMAGE PRC",8063.0,8063.0,,,0 HCPCS,73718,"HC MRI, LOWER EXTREM",7818.5,7818.5,,,0 HCPCS,73718,Mri Lower Extremity W/O Dye,,,249.17,717.64,16 HCPCS,73719,"HC MRI, LOWER EXTREM W/CONTRAST",12336.0,12336.0,,,0 HCPCS,73719,Mri Lower Extremity W/Dye,,,364.32,1038.29,16 HCPCS,73720,HC MRI LWR EXTREMITY W/O&W/DYE - MR LOWER EXTREMITY W AND WO IV CONT,12336.0,12336.0,,,0 HCPCS,73720,Mri lwr extremity w/o&w/dye,,,364.32,1200.02,16 HCPCS,73721,"HC MRI LOWER EXTREMITY JOINT, W/O CONTRAST",7481.0,7481.0,,,0 HCPCS,73721,Mri jnt of lwr extre w/o dye,,,249.17,717.64,16 HCPCS,73722,"HC MRI, JOINT OF LEG W/CONTRAST",8398.0,8398.0,,,0 HCPCS,73722,Mri Joint Of Lwr Extr W/Dye,,,665.83,2169.37,16 HCPCS,73723,"HC MRI, JOINT OF LEG. COMBO - MR LOWER EXTREMITY W AND WO IV CONTRAST",10978.5,10978.5,,,0 HCPCS,73723,Mri joint lwr extr w/o&w/dye,,,364.32,1200.02,16 HCPCS,73725,HC MRA LOWER EXTREMITY W/O CONTRAST,3581.0,3581.0,,,0 HCPCS,73725,HC MRA LOWER EXTRM W/ CONTRAST,3581.0,3581.0,,,0 HCPCS,73725,Mr ang lwr ext w or w/o dye,,,538.56,538.56,4 HCPCS,74000,X-ray exam of abdomen,,,89.53,139.6,5 HCPCS,74010,X-ray exam of abdomen,,,89.53,139.6,5 HCPCS,74018,HC RADIOLOGIC EXAM ABDOMEN 1 VIEW,887.0,887.0,,,0 HCPCS,74018,X-ray exam abdomen 1 view,,,90.88,240.83,11 HCPCS,74019,HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS,1091.0,1091.0,,,0 HCPCS,74019,X-ray exam abdomen 2 views,,,109.17,289.31,11 HCPCS,74020,X-ray exam of abdomen,,,89.53,139.6,5 HCPCS,74021,HC RADIOLOGIC EXAM ABDOMEN 3+ VIEWS,1091.0,1091.0,,,0 HCPCS,74021,X-ray exam abdomen 3+ views,,,109.17,289.31,11 HCPCS,74022,HC RADIOLOGIC EXAM COMPLETE ACUTE ABD SERIES W/CHEST,1091.0,1091.0,,,0 HCPCS,74022,X-ray exam series abdomen,,,109.17,289.31,16 HCPCS,74150,Ct abdomen w/o dye,,,109.17,307.89,16 HCPCS,74150,"HC CT SCAN,ABDOMEN,W/O CONTRAST",5106.5,5106.5,,,0 HCPCS,74160,Ct abdomen w/dye,,,183.17,606.2,16 HCPCS,74160,HC CT SCAN OF ABDOMEN CONTRAST,7770.0,7770.0,,,0 HCPCS,74170,Ct abdomen w/o & w/dye,,,183.17,682.65,16 HCPCS,74170,HC CT SCAN OF ABDOMEN W/WO CONT,9007.5,9007.5,,,0 HCPCS,74174,Ct angio abd&pelv w/o&w/dye,,,364.32,965.45,16 HCPCS,74174,HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES,14948.0,14948.0,,,0 HCPCS,74175,Ct angio abdom w/o & w/dye,,,183.17,710.78,16 HCPCS,74175,"HC CT ANGIO, ABD, COMBO,INCL IMAGE PROC",13462.5,13462.5,,,0 HCPCS,74176,Ct abd & pelvis w/o contrast,,,249.17,660.29,16 HCPCS,74176,"HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST",7961.5,7961.5,,,0 HCPCS,74177,Ct abd & pelv w/contrast,,,364.32,965.45,16 HCPCS,74177,"HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST",12149.0,12149.0,,,0 HCPCS,74178,Ct abd & pelv 1/> regns,,,364.32,965.45,16 HCPCS,74178,"HC CT SCAN,ABDOMEN AND PELVIS,COMBO",16101.0,16101.0,,,0 HCPCS,74181,"HC MRI, ABDOMEN (MRI)",6171.5,6171.5,,,0 HCPCS,74181,Mri abdomen w/o dye,,,249.17,717.64,16 HCPCS,74182,"HC MRI, ABDOMEN W/CONTRAST",6550.5,6550.5,,,0 HCPCS,74182,Mri Abdomen W/Dye,,,364.32,1038.29,16 HCPCS,74183,"HC MRI, ABDOMEN, COMBO",6935.5,6935.5,,,0 HCPCS,74183,Mri abdomen w/o & w/dye,,,364.32,1200.02,16 HCPCS,74185,HC MR ANGIO ABDOMEN (MRA),3597.0,3597.0,,,0 HCPCS,74185,HC MR ANGIO ABDOMEN (MRA) W/ CONTRAST,3597.0,3597.0,,,0 HCPCS,74185,HC MR ANGIO ABDOMEN (MRA) W/O CONTRAST,3597.0,3597.0,,,0 HCPCS,74185,Mri angio abdom w orw/o dye,,,543.46,543.46,4 HCPCS,74190,HC X-RAY PERITONEUM - XR GUIDED PERITONEOGRAM W CONTRAST,9687.0,9687.0,,,0 HCPCS,74190,X-ray exam of peritoneum,,,570.61,1798.35,16 HCPCS,74210,Contrst x-ray exam of throat,,,158.99,485.39,16 HCPCS,74210,HC RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY,1175.0,1175.0,,,0 HCPCS,74220,Contrast x-ray esophagus,,,158.99,485.39,16 HCPCS,74220,HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY,1175.0,1175.0,,,0 HCPCS,74221,X-ray xm esophagus 2cntrst,,,183.17,485.39,11 HCPCS,74230,Cine/vid x-ray throat/esoph,,,158.99,485.39,16 HCPCS,74230,HC RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY,1783.0,1783.0,,,0 HCPCS,74240,HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY,2079.0,2079.0,,,0 HCPCS,74240,X-ray upper gi delay w/o kub,,,183.17,485.39,16 HCPCS,74241,X-ray upper gi delay w/kub,,,236.1,368.16,5 HCPCS,74245,X-ray upper gi&small intest,,,236.1,368.16,5 HCPCS,74246,Contrst x-ray uppr gi tract,,,183.17,485.39,16 HCPCS,74246,HC RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY,2461.0,2461.0,,,0 HCPCS,74247,Contrst x-ray uppr gi tract,,,236.1,368.16,5 HCPCS,74248,HC CXR SM BOWEL W/MLT IMG,2778.0,2778.0,,,0 HCPCS,74249,Contrst x-ray uppr gi tract,,,236.1,368.16,5 HCPCS,74250,HC RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY,1608.0,1608.0,,,0 HCPCS,74250,X-ray exam of small bowel,,,158.99,485.39,16 HCPCS,74251,X-ray exam of small bowel,,,183.17,485.39,16 HCPCS,74260,X-ray exam of small bowel,,,158.99,247.94,5 HCPCS,74261,Ct colonography dx,,,109.17,307.89,16 HCPCS,74261,HC CT COLONOGRAPHY DX - CT COLONOGRAPHY DIAGNOSTIC WO CONTRAST,7044.0,7044.0,,,0 HCPCS,74262,Ct colonography dx w/dye,,,183.17,606.2,16 HCPCS,74262,HC CT COLONOGRAPHY DX W/DYE - CT COLONOGRAPHY W/ & W/O CONT DIAGNOSTIC,11904.5,11904.5,,,0 HCPCS,74263,Ct colonography screening,,,249.17,1122.39,11 HCPCS,74263,"HC CT COLONOGRAPHY INC IMAGE PROCESS, SCREENING",3543.5,3543.5,,,0 HCPCS,74270,Contrast x-ray exam of colon,,,183.17,485.39,16 HCPCS,74270,HC RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY,1873.0,1873.0,,,0 HCPCS,74280,Contrast x-ray exam of colon,,,183.17,485.39,16 HCPCS,74280,HC RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY,2125.0,2125.0,,,0 HCPCS,74283,Contrast x-ray exam of colon,,,183.17,485.39,16 HCPCS,74283,HC THERAPEUTIC ENEMA FO RINTUSSUSCEPTION,1331.0,1331.0,,,0 HCPCS,74290,Contrast x-ray gallbladder,,,158.99,485.39,16 HCPCS,74290,HC XR CHOLECYSTOGRAM,1506.0,1506.0,,,0 HCPCS,74291,"Contrast x-rays, gallbladder",,,158.99,247.94,5 HCPCS,74300,HC X-RAY OPER CHOLANGIOGRAM,1623.0,1623.0,,,0 HCPCS,74301,HC X-RAY OPER CHOLANGIO ADDNL SET,484.0,484.0,,,0 HCPCS,74305,X-ray bile ducts/pancreas,,,496.32,773.96,5 HCPCS,74320,Contrast x-ray of bile ducts,,,1153.24,1798.35,5 HCPCS,74328,HC X-RAY FOR BILE DUCT ENDOSCOPY,1948.0,1948.0,,,0 HCPCS,74329,HC X-RAY FOR PANCREAS ENDOSCOPY,1948.0,1948.0,,,0 HCPCS,74330,HC X-RAY BILE/PANCREAS ENDOSCOPY,2285.0,2285.0,,,0 HCPCS,74340,HC INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I,1106.0,1106.0,,,0 HCPCS,74355,"HC PLACEMENT ENTEROCLYSIS TUBE, PERC S&I",918.0,918.0,,,0 HCPCS,74360,"HC X-RAY GUIDE, GI DILATION",986.0,986.0,,,0 HCPCS,74363,"HC PERCUT TRANSHEPAT DILAT,BILE DUCT STRICT",7387.0,7387.0,,,0 HCPCS,74400,Contrst x-ray urinary tract,,,183.17,627.13,16 HCPCS,74400,HC X-RAY IV PYELOGRAM (IVP),3774.0,3774.0,,,0 HCPCS,74410,Contrst x-ray urinary tract,,,183.17,627.13,16 HCPCS,74410,HC XR IVP INFUS/DRIP/BOLUS,2082.0,2082.0,,,0 HCPCS,74415,Contrst x-ray urinary tract,,,183.17,627.13,16 HCPCS,74415,HC X-RAY IV PYELOGRAM+TOMOGRAPHY,3130.0,3130.0,,,0 HCPCS,74420,Contrst x-ray urinary tract,,,364.32,965.45,16 HCPCS,74420,HC X-RAY RETROGRADE PYELOGRAM,1395.0,1395.0,,,0 HCPCS,74425,Contrst x-ray urinary tract,,,364.32,965.45,16 HCPCS,74425,HC X-RAY ANTEGRADE PYELOGRAM TUBE,1230.0,1230.0,,,0 HCPCS,74430,Contrast x-ray bladder,,,364.32,965.45,16 HCPCS,74430,"HC X-RAY CYSTOGRAM, MIN 3 VIEW",1061.0,1061.0,,,0 HCPCS,74440,X-ray male genital tract,,,249.17,660.29,16 HCPCS,74445,HC X-RAY PENIS - XR PENIS,2183.0,2183.0,,,0 HCPCS,74445,X-ray exam of penis,,,109.17,627.13,16 HCPCS,74450,HC X-RAY URETHROCYSTOGRAM,1601.0,1601.0,,,0 HCPCS,74450,X-ray urethra/bladder,,,249.17,660.29,16 HCPCS,74455,HC X-RAY URETHROCYSTOGRAM+VOIDING,1647.0,1647.0,,,0 HCPCS,74455,X-ray urethra/bladder,,,249.17,660.29,16 HCPCS,74470,HC X-RAY RENAL CYST XLUMBAR+CONTRST,962.0,962.0,,,0 HCPCS,74470,X-ray exam of kidney lesion,,,394.93,1798.35,16 HCPCS,74475,"X-ray control, cath insert",,,1880.93,2933.12,5 HCPCS,74480,"X-ray control, cath insert",,,1880.93,2933.12,5 HCPCS,74485,HC DILATION URETERS/URETHRA RS&I,2311.0,2311.0,,,0 HCPCS,74485,X-ray guide gu dilation,,,1880.93,5784.8,16 HCPCS,74710,X-ray measurement of pelvis,,,141.9,221.27,5 HCPCS,74712,"HC MRI SINGLE FETAL - FETUS, PLACENTA, PELVIC",5464.0,5464.0,,,0 HCPCS,74712,Mri fetal sngl/1st gestation,,,249.17,660.29,11 HCPCS,74740,HC X-RAY HYSTEROSALPINGOGRAM,852.0,852.0,,,0 HCPCS,74740,X-ray female genital tract,,,249.17,773.96,16 HCPCS,74742,HC FALLOPIAN TUBE DILATION,2264.0,2264.0,,,0 HCPCS,74775,HC X-RAY PERINEOGRAM,1873.0,1873.0,,,0 HCPCS,74775,X-ray exam of perineum,,,194.58,660.29,16 HCPCS,75557,Cardiac mri for morph,,,249.17,717.64,16 HCPCS,75557,HC CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST,5816.5,5816.5,,,0 HCPCS,75559,Cardiac mri w/stress img,,,394.93,1512.12,16 HCPCS,75559,HC CARDIAC MRI W/STRESS - MRI CARD MORPH & FUNCT WO IV CONT W STRESS,9687.0,9687.0,,,0 HCPCS,75561,Cardiac mri for morph w/dye,,,364.32,1200.02,16 HCPCS,75561,HC CARDIAC MRI W/W/O CONTRAST & FURTHER SEQ,7448.5,7448.5,,,0 HCPCS,75563,Card mri w/stress img & dye,,,818.63,2808.5,16 HCPCS,75563,HC CARDIAC MRI W/W/O CONTRAST W STRESS,7450.0,7450.0,,,0 HCPCS,75565,HC CARDIAC MRI FOR VELOCITY FLOW MAPPING,571.0,571.0,,,0 HCPCS,75571,Ct hrt w/o dye w/ca test,,,34.52,240.83,16 HCPCS,75571,HC CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM,8713.0,8713.0,,,0 HCPCS,75572,Ct hrt w/3d image,,,346.6,965.45,16 HCPCS,75572,HC CT HEART CONTRAST EVAL CARDIAC STRUCT/MORPH,7260.5,7260.5,,,0 HCPCS,75573,Ct hrt w/3d image congen,,,346.6,965.45,16 HCPCS,75573,HC CT HRT W/3D IMAGE CONGEN - CT HRT STRUCT MORPH CONG HRT DIS W/ CONT,8487.0,8487.0,,,0 HCPCS,75574,Ct angio hrt w/3d image,,,346.6,965.45,16 HCPCS,75574,HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST,11191.5,11191.5,,,0 HCPCS,75580,HC NON-INVAS EST C-FFR SFTW ANAL CTA,7699.0,7699.0,,,0 HCPCS,75580,N-invas est c ffr sw aly cta,,,896.76,2376.43,11 HCPCS,75600,Contrast exam thoracic aorta,,,3297.29,8737.82,16 HCPCS,75600,HC SP ANGIO THORACIC AORTA,4944.0,4944.0,,,0 HCPCS,75605,Contrast exam thoracic aorta,,,4022.33,15398.82,16 HCPCS,75605,HC ANGIO AORTOGRAM THOR SERIAL,7807.0,7807.0,,,0 HCPCS,75625,Contrast exam abdominl aorta,,,3297.29,8737.82,16 HCPCS,75625,HC ANGIO AORTOGRAM ABD SERIAL,7103.0,7103.0,,,0 HCPCS,75630,HC ANGIO AORTOBIFEMORAL W CATH,8614.0,8614.0,,,0 HCPCS,75630,X-ray aorta leg arteries,,,3297.29,8737.82,16 HCPCS,75635,Ct Angio Abdominal Arteries,,,183.17,710.78,16 HCPCS,75635,"HC CT ANGIO AORTOBIFEMORAL, COMBO",10211.0,10211.0,,,0 HCPCS,75658,Artery x-rays arm,,,4022.33,6272.41,5 HCPCS,75705,Artery x-rays spine,,,5810.88,15398.82,16 HCPCS,75705,HC ANGIO SPINAL SELECTV,3965.0,3965.0,,,0 HCPCS,75710,Artery x-rays arm/leg,,,3297.29,8737.82,16 HCPCS,75710,HC ANGIO EXTREMITY UNILAT,3020.0,3020.0,,,0 HCPCS,75716,Artery x-rays arms/legs,,,3297.29,8737.82,16 HCPCS,75716,HC ANGIO EXTERMITY BILAT,8444.0,8444.0,,,0 HCPCS,75726,Artery x-rays abdomen,,,5810.88,15398.82,16 HCPCS,75726,HC ANGIO VISCERAL SELECTV/SUBSELEC,7353.0,7353.0,,,0 HCPCS,75731,Artery x-rays adrenal gland,,,1041.37,8737.82,16 HCPCS,75731,HC ANGIO ADRENAL UNILAT SELECT - IR ANGIOGRAM ADRENAL SELECTIVE LT CHG,5260.0,5260.0,,,0 HCPCS,75731,HC ANGIO ADRENAL UNILAT SELECT - IR ANGIOGRAM ADRENAL SELECTIVE RT CHG,5260.0,5260.0,,,0 HCPCS,75731,HC ANGIO ADRENAL UNILAT SELECT - IR ANGIOGRAM ADRENAL SELECTIVE S&I UNILAT,5260.0,5260.0,,,0 HCPCS,75733,Artery x-rays adrenals,,,3297.29,8737.82,16 HCPCS,75733,HC ANGIO ADRENAL BILAT SELECT,6772.0,6772.0,,,0 HCPCS,75736,Artery x-rays pelvis,,,4022.33,15398.82,16 HCPCS,75736,HC ANGIO PELVIS,7231.0,7231.0,,,0 HCPCS,75741,Artery x-rays lung,,,3297.29,8737.82,16 HCPCS,75741,HC ANGIO PULMON UNILAT SELECT,5093.0,5093.0,,,0 HCPCS,75743,Artery x-rays lungs,,,3297.29,8737.82,16 HCPCS,75743,HC ANGIO PULMON BILAT SELECT,7269.0,7269.0,,,0 HCPCS,75746,Artery x-rays lung,,,1291.03,8737.82,16 HCPCS,75746,HC PULMONARY ANGIOGRAPHY NONSELECTIVE,6516.0,6516.0,,,0 HCPCS,75756,Artery x-rays chest,,,1291.03,8737.82,16 HCPCS,75756,HC ANGIO INTERN MAMMARY,4072.0,4072.0,,,0 HCPCS,75774,HC ANGIO EA ADDNL SELECTV VESSEL,3883.0,3883.0,,,0 HCPCS,75791,"Angiography, arteriovenous shunt",,,1291.03,2013.21,5 HCPCS,75801,HC LYMPHANGIO EXTREM UNILAT - IR LYMPHANGIOGRAM EXTREMITY,4106.0,4106.0,,,0 HCPCS,75801,HC LYMPHANGIO EXTREM UNILAT - IR LYMPHANGIOGRAM EXTREMITY LEFT CHG,4106.0,4106.0,,,0 HCPCS,75801,HC LYMPHANGIO EXTREM UNILAT - IR LYMPHANGIOGRAM EXTREMITY RIGHT CHG,4106.0,4106.0,,,0 HCPCS,75801,Lymph vessel x-ray arm/leg,,,496.32,1735.96,16 HCPCS,75803,HC LYMPHANGIO EXTREM BILAT - IR LYMPHANGIOGRAM EXTREMITY,6362.0,6362.0,,,0 HCPCS,75803,HC LYMPHANGIO EXTREM BILAT - IR LYMPHANGIOGRAM EXTREMITY BILATERAL CHG,6362.0,6362.0,,,0 HCPCS,75803,Lymph vessel x-ray arms/legs,,,1041.37,4356.22,16 HCPCS,75805,HC LYMPHANG PELV/ABD UNI,21142.0,21142.0,,,0 HCPCS,75805,HC LYMPHANGIO ABD/PELV UNILAT - IR LYMPHANGIOGRAM ABDOMEN PELVIS LT CHG,21142.0,21142.0,,,0 HCPCS,75805,HC LYMPHANGIO ABD/PELV UNILAT - IR LYMPHANGIOGRAM ABDOMEN PELVIS RT CHG,21142.0,21142.0,,,0 HCPCS,75805,Lymph vessel x-ray trunk,,,1153.24,8737.82,16 HCPCS,75807,HC LYMPHANGIO ABD/PELV BILAT,19837.0,19837.0,,,0 HCPCS,75807,Lymph vessel x-ray trunk,,,1153.24,8737.82,16 HCPCS,75809,HC NONVASCULAR SHUNTOGRAM,2183.0,2183.0,,,0 HCPCS,75809,Nonvascular shunt x-ray,,,109.17,289.31,16 HCPCS,75810,HC SPLENOPORTOGRAM,57389.0,57389.0,,,0 HCPCS,75810,Vein x-ray spleen/liver,,,1671.05,8737.82,16 HCPCS,75820,HC VENOGRAM EXTREM UNILAT,2713.0,2713.0,,,0 HCPCS,75820,HC XR VENOGRAM EXTREM UNILAT,2713.0,2713.0,,,0 HCPCS,75820,Vein x-ray arm/leg,,,1041.37,4356.22,16 HCPCS,75822,HC VENOGRAM EXTREM BILAT,4155.0,4155.0,,,0 HCPCS,75822,HC XR VENOGRAM EXTREM BILAT,4155.0,4155.0,,,0 HCPCS,75822,Vein x-ray arms/legs,,,1153.24,4356.22,16 HCPCS,75825,HC VENOGRAM INFER VENA CAVA,8780.0,8780.0,,,0 HCPCS,75825,HC XR VENOGRAM INFER VENA CAVA,8780.0,8780.0,,,0 HCPCS,75825,Vein x-ray trunk,,,3297.29,8737.82,16 HCPCS,75827,HC VENOGRAM SUPER VENA CAVA,8847.0,8847.0,,,0 HCPCS,75827,HC XR VENOGRAM SUPER VENA CAVA,8847.0,8847.0,,,0 HCPCS,75827,Vein x-ray chest,,,1041.37,4356.22,16 HCPCS,75831,HC VENOGRAM RENAL UNILAT,5260.0,5260.0,,,0 HCPCS,75831,HC XR VENOGRAM RENAL UNILAT,5260.0,5260.0,,,0 HCPCS,75831,Vein x-ray kidney,,,3297.29,8737.82,16 HCPCS,75833,HC VENOGRAM RENAL BILAT,10913.0,10913.0,,,0 HCPCS,75833,HC XR VENOGRAM RENAL BILAT,10913.0,10913.0,,,0 HCPCS,75833,Vein x-ray kidneys,,,3297.29,8737.82,16 HCPCS,75840,HC VENOGRAM ADRENAL UNILAT - IR VENOGRAM ADRENAL SELECTIVE LEFT CHG,33603.0,33603.0,,,0 HCPCS,75840,HC VENOGRAM ADRENAL UNILAT - IR VENOGRAM ADRENAL SELECTIVE RIGHT CHG,33603.0,33603.0,,,0 HCPCS,75840,Vein x-ray adrenal gland,,,3297.29,8737.82,16 HCPCS,75842,HC VENOGRAM ADRENAL BILAT,57977.0,57977.0,,,0 HCPCS,75842,Vein x-ray adrenal glands,,,4022.33,7250.43,9 HCPCS,75860,HC VENOGRAM SINUS/JUGULAR,5445.0,5445.0,,,0 HCPCS,75860,HC XR VENOGRAM SINUS/JUGULAR,5445.0,5445.0,,,0 HCPCS,75860,Vein x-ray neck,,,1291.03,8737.82,16 HCPCS,75870,HC VENOGRAM SUPER SAG SINUS,5445.0,5445.0,,,0 HCPCS,75870,HC XR VENOGRAM SUPER SAG SINUS,5445.0,5445.0,,,0 HCPCS,75870,Vein x-ray skull,,,496.32,8737.82,16 HCPCS,75872,HC VENOGRAM EPIDURAL,4930.0,4930.0,,,0 HCPCS,75872,Vein x-ray skull epidural,,,655.08,2013.21,16 HCPCS,75880,HC VENOGRAM ORBITAL - IR VENOGRAM ORBITAL BILATERAL CHG,10836.0,10836.0,,,0 HCPCS,75880,HC VENOGRAM ORBITAL - IR VENOGRAM ORBITAL LEFT CHG,10836.0,10836.0,,,0 HCPCS,75880,HC VENOGRAM ORBITAL - IR VENOGRAM ORBITAL RIGHT CHG,10836.0,10836.0,,,0 HCPCS,75880,Vein x-ray eye socket,,,655.08,2013.21,16 HCPCS,75885,HC XR TRANSHEPATIC PORTO W HEMO EVL,9198.0,9198.0,,,0 HCPCS,75885,Vein x-ray liver w/hemodynam,,,3297.29,8737.82,16 HCPCS,75887,HC PERCUT XHEPATIC PORTOGRAM,5097.0,5097.0,,,0 HCPCS,75887,Vein x-ray liver w/o hemodyn,,,1291.03,8737.82,16 HCPCS,75889,HC VENOGRAM HEPATIC W HEMODYNAMICS,10815.0,10815.0,,,0 HCPCS,75889,Vein x-ray liver w/hemodynam,,,3297.29,8737.82,16 HCPCS,75891,HC VENOGRAM HEPATIC,10815.0,10815.0,,,0 HCPCS,75891,Vein x-ray liver,,,3297.29,8737.82,16 HCPCS,75893,HC VENOUS SAMPLING BY CATHETER,14801.0,14801.0,,,0 HCPCS,75893,Venous sampling by catheter,,,4022.33,15398.82,16 HCPCS,75894,HC TRANSCATHETER RX EMBOLIZATN,10931.0,10931.0,,,0 HCPCS,75898,Follow-up angiography,,,1291.03,8737.82,16 HCPCS,75898,HC ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS,1184.0,1184.0,,,0 HCPCS,75901,HC REMOVE CVA DEVICE OBSTRUCT - IR CATHETER OBSTRUCTION REMOVAL CHG,2352.0,2352.0,,,0 HCPCS,75901,HC XR REMOVE CVA DEVICE OBSTRUCT,2352.0,2352.0,,,0 HCPCS,75902,HC REMOVAL INTRALUM OBSTR MATERIAL,5605.0,5605.0,,,0 HCPCS,75945,Intravascular us,,,297.94,464.6,5 HCPCS,75956,HC ENDOVASC REPAIR THOR AORTA SUPV AND INTERP,2851.0,2851.0,,,0 HCPCS,75957,HC ENDOVASC REPAIR THOR AORTA EXCL SUBCLAVIAN,2439.0,2439.0,,,0 HCPCS,75970,HC VASCULAR BIOPSY,14801.0,14801.0,,,0 HCPCS,75978,Repair venous blockage,,,4444.24,6930.31,5 HCPCS,75984,HC CHANGE PERCUT TUBE/DRAIN CATH W CONTRAST MONIT,2049.0,2049.0,,,0 HCPCS,75989,"HC RAD GUIDED,PERCUT DRAINAGE,W/CATH PLACE",2989.0,2989.0,,,0 HCPCS,76000,Fluoroscope examination,,,244.59,660.29,16 HCPCS,76000,HC FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME,1097.0,1097.0,,,0 HCPCS,76010,HC X-RAY NOSE-RECTUM CHILD F.B.,696.0,696.0,,,0 HCPCS,76010,X-ray nose to rectum,,,89.53,240.83,16 HCPCS,76014,HC MR SAFTEY IMPLANT & FOREIGN BODY ASSMT CLIN STAFF 1ST 15 MIN,98.0,98.0,,,0 HCPCS,76014,Mr sfty implt&/fb asmt stf 1,,,30.2,80.04,11 HCPCS,76015,HC MR SAFTEY IMPLANT & FOREIGN BODY ASSMT CLIN STAFF EA ADD 30 MIN,49.0,49.0,,,0 HCPCS,76016,HC MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP,352.0,352.0,,,0 HCPCS,76016,Mr safety deter phys/qhp,,,90.88,240.83,11 HCPCS,76017,HC MR SAFETY MED PHYSICS XM CUSTOMIZATION PLNG&MNTR,967.0,967.0,,,0 HCPCS,76017,Mr sfty med physics xm cstmz,,,249.17,660.29,11 HCPCS,76018,HC MR SAFETY IMPLT ELECTRONICS PREP SUPV PHYS/QHP,367.0,367.0,,,0 HCPCS,76018,Mr safety implant elec prepj,,,99.28,263.09,11 HCPCS,76019,HC MR SAFETY IMPLANT POS/IMMOBL SUPV PHYS/QHP,238.0,238.0,,,0 HCPCS,76019,Mr safety implt pos&/immoblj,,,61.6,163.25,11 HCPCS,76080,"HC X-RAY FISTULA,ABSCESS,SINUS TRACT",1118.0,1118.0,,,0 HCPCS,76080,X-ray exam of fistula,,,394.93,1512.12,16 HCPCS,76098,HC XR EXAM BREAST SPECIMEN,486.0,486.0,,,0 HCPCS,76098,X-ray exam breast specimen,,,496.32,1512.12,16 HCPCS,76100,HC X-RAY TOMOGRAM,1940.0,1940.0,,,0 HCPCS,76100,X-ray exam of body section,,,109.17,289.31,16 HCPCS,76101,Complex body section x-ray,,,496.32,773.96,5 HCPCS,76102,Complex body section x-rays,,,496.32,773.96,5 HCPCS,76120,Cine/video x-rays,,,109.17,381.43,16 HCPCS,76120,HC CINERADIOGRAPHY/VIDEORADIOGRAPHY,1281.0,1281.0,,,0 HCPCS,76145,Med physic dos eval rad exps,,,215.68,1032.65,11 HCPCS,76376,HC CT 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,1308.0,1308.0,,,0 HCPCS,76376,HC MR 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,1308.0,1308.0,,,0 HCPCS,76376,HC US 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION,1308.0,1308.0,,,0 HCPCS,76377,HC CT 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,2598.0,2598.0,,,0 HCPCS,76377,HC MR 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,2598.0,2598.0,,,0 HCPCS,76377,HC US 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION,2598.0,2598.0,,,0 HCPCS,76380,CAT scan follow-up study,,,90.88,240.83,16 HCPCS,76380,"HC CT SCAN,LIMITED/LOCALIZED F/U STUDY",1990.5,1990.5,,,0 HCPCS,76390,HC MRI SPECTROSCOPY,4312.5,4312.5,,,0 HCPCS,76390,Mr spectroscopy,,,90.88,656.68,11 HCPCS,76391,HC MR ELASTOGRAPHY,6957.0,6957.0,,,0 HCPCS,76391,Mr elastography,,,249.17,660.29,11 HCPCS,76496,Fluoroscopic procedure,,,90.88,381.43,16 HCPCS,76496,HC UNLISTED FLUOROSCOPIC PROCEDURE,1862.0,1862.0,,,0 HCPCS,76497,Ct procedure,,,90.88,240.83,16 HCPCS,76497,HC ANGIOGRAM IMAGING LARGE VESSEL OCCLUSION - AI LVO INTERP,9140.0,9140.0,,,0 HCPCS,76497,HC CT WHOLE BODY LOW DOSE MYELOMA W/O CONTRAST,9309.0,9309.0,,,0 HCPCS,76498,HC MR BRACHYTHERAPY PLANNING,8380.0,8380.0,,,0 HCPCS,76498,HC MR BRAIN GAMMA KNIFE W/ CONTRAST,8380.0,8380.0,,,0 HCPCS,76498,HC MR BRAIN GAMMA KNIFE W/ W/O CONTRAST,8380.0,8380.0,,,0 HCPCS,76498,HC MR BRAIN GAMMA KNIFE W/O CONTRAST,8380.0,8380.0,,,0 HCPCS,76498,HC MR UNLISTED PPROCEDURE,8380.0,8380.0,,,0 HCPCS,76498,HC MR WHOLE BODY W/ CONTRAST,8380.0,8380.0,,,0 HCPCS,76498,HC MR WHOLE BODY W/ W/O CONTRAST,8380.0,8380.0,,,0 HCPCS,76498,HC MR WHOLE BODY W/O CONTRAST,8380.0,8380.0,,,0 HCPCS,76498,Mri procedure,,,90.88,717.64,16 HCPCS,76499,Radiographic procedure,,,89.53,240.83,16 HCPCS,76506,Echo exam of head,,,109.17,327.61,16 HCPCS,76506,"HC US, HEAD, REAL TIME",1267.0,1267.0,,,0 HCPCS,76510,Ophth us b & quant a,,,138.94,419.65,16 HCPCS,76511,Ophth us quant a only,,,109.17,327.61,16 HCPCS,76512,"HC US, EYE B-SCAN",736.0,736.0,,,0 HCPCS,76512,Ophth us b w/non-quant a,,,109.17,327.61,16 HCPCS,76513,Echo exam of eye water bath,,,109.17,327.61,16 HCPCS,76514,Echo exam of eye thickness,,,29.7,80.04,16 HCPCS,76516,Echo exam of eye,,,109.17,289.31,16 HCPCS,76519,Echo exam of eye,,,109.17,289.31,16 HCPCS,76529,Echo exam of eye,,,90.88,327.61,16 HCPCS,76536,"HC US, HEAD/NECK TISSUES,REAL TIME",1126.0,1126.0,,,0 HCPCS,76536,Us exam of head and neck,,,109.17,327.61,16 HCPCS,76604,"HC US, CHEST,REAL TIME",959.0,959.0,,,0 HCPCS,76604,Us exam chest,,,109.17,327.61,16 HCPCS,76641,HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE,789.0,789.0,,,0 HCPCS,76641,Ultrasound breast complete,,,109.17,289.31,11 HCPCS,76642,HC US BREAST UNI REAL TIME WITH IMAGE LIMITED,751.0,751.0,,,0 HCPCS,76642,Ultrasound breast limited,,,90.88,240.83,11 HCPCS,76645,Echo exam of breast(s),,,140.59,219.24,5 HCPCS,76700,"HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE",2465.0,2465.0,,,0 HCPCS,76700,Us exam abdom complete,,,109.17,327.61,16 HCPCS,76705,Echo exam of abdomen,,,109.17,327.61,16 HCPCS,76705,"HC US, ABDOMEN LIMITED",1659.0,1659.0,,,0 HCPCS,76706,HC US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA,1663.0,1663.0,,,0 HCPCS,76706,Us abdl aorta screen aaa,,,109.17,289.31,11 HCPCS,76770,"HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE",1487.0,1487.0,,,0 HCPCS,76770,Us exam abdo back wall comp,,,109.17,327.61,16 HCPCS,76775,"HC US, RETROPERITNL ABD, LTD",1487.0,1487.0,,,0 HCPCS,76775,Us exam abdo back wall lim,,,109.17,327.61,16 HCPCS,76776,"HC US,TRANSPLANTED KIDNEY, REAL TIME/ DOPPLER",1827.0,1827.0,,,0 HCPCS,76776,Us exam k transpl w/doppler,,,109.17,327.61,16 HCPCS,76800,"HC US, SPINAL CANAL & CONTENTS",865.0,865.0,,,0 HCPCS,76800,Us exam spinal canal,,,109.17,289.31,16 HCPCS,76801,"HC US, OB < 14 WKS, SINGLE FETUS",1763.0,1763.0,,,0 HCPCS,76801,Ob us < 14 wks single fetus,,,109.17,327.61,16 HCPCS,76802,"HC US, OB < 14 WKS, ADD'L FETUS",282.0,282.0,,,0 HCPCS,76805,"HC US, OB >/= 14 WKS, SNGL FETUS",1257.0,1257.0,,,0 HCPCS,76805,Ob us >/= 14 wks sngl fetus,,,109.17,327.61,16 HCPCS,76810,"HC US, OB >/= 14 WKS, ADDL FETUS",785.0,785.0,,,0 HCPCS,76811,"HC US,PREG UTER,FET & MAT,+ DETL FET EXM",1511.0,1511.0,,,0 HCPCS,76811,Ob us detailed sngl fetus,,,194.58,660.29,16 HCPCS,76812,"HC US,PREG UTER,FET & MAT,+ DETL FET,ADDL",282.0,282.0,,,0 HCPCS,76813,"HC US,PREG UTER,NUCHAL MEAS, 1ST TRIMEST, SINGLETON",517.0,517.0,,,0 HCPCS,76813,Ob us nuchal meas 1 gest,,,109.17,327.61,16 HCPCS,76814,"HC US,PREG UTER,NUCHAL MEAS, 1ST TRI,ADDL GEST",284.0,284.0,,,0 HCPCS,76815,"HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES",436.0,436.0,,,0 HCPCS,76815,Ob us limited fetus(s),,,109.17,327.61,16 HCPCS,76816,"HC US,PREGNANT UTERUS,F/U,TRANSABD APP",1005.0,1005.0,,,0 HCPCS,76816,Ob us follow-up per fetus,,,109.17,289.31,16 HCPCS,76817,"HC US,PREGNANT UTERUS,TRANSVAGINAL",1199.0,1199.0,,,0 HCPCS,76817,Transvaginal us obstetric,,,109.17,327.61,16 HCPCS,76818,Fetal biophys profile w/nst,,,109.17,327.61,16 HCPCS,76818,HC FETAL BIOPHYSICAL PROFILE,2183.0,2183.0,,,0 HCPCS,76819,Fetal biophys profil w/o nst,,,109.17,327.61,16 HCPCS,76819,"HC FETAL BIOPHYS PROF,W/O NST",952.0,952.0,,,0 HCPCS,76820,HC DOPPLER FETAL UMBILICAL ARTERY,1257.0,1257.0,,,0 HCPCS,76820,Umbilical artery echo,,,109.17,289.31,16 HCPCS,76821,HC DOPPLER FETAL MID CEREBRAL ARTERY,2183.0,2183.0,,,0 HCPCS,76821,Middle cerebral artery echo,,,109.17,289.31,16 HCPCS,76825,Echo exam of fetal heart,,,391.35,1512.12,16 HCPCS,76825,HC SONO FETAL HEART,4785.0,4785.0,,,0 HCPCS,76826,Echo exam of fetal heart,,,249.17,660.29,16 HCPCS,76826,HC SONO FETAL HEART F/U,1339.0,1339.0,,,0 HCPCS,76827,Echo exam of fetal heart,,,109.17,289.31,16 HCPCS,76827,HC SONO FETAL HEART DOPPLER,1532.0,1532.0,,,0 HCPCS,76828,Echo exam of fetal heart,,,109.17,289.31,16 HCPCS,76828,HC SONO FETAL HRT DOPPL F/U - US FETAL HEART DOPPLER FOLLOW UP,1150.0,1150.0,,,0 HCPCS,76830,"HC ECHOGRAPHY,TRANSVAGINAL",1539.0,1539.0,,,0 HCPCS,76830,Transvaginal us non-ob,,,109.17,327.61,16 HCPCS,76831,Echo exam uterus,,,249.17,660.29,16 HCPCS,76831,"HC SONO EXAM, HYSTEROSONOGRAPHY",1460.0,1460.0,,,0 HCPCS,76856,"HC ECHO,PELVIC (NONOBSTETRIC)",1880.0,1880.0,,,0 HCPCS,76856,Us exam pelvic complete,,,109.17,327.61,16 HCPCS,76857,HC SONO PELVIS LIMITED,597.0,597.0,,,0 HCPCS,76857,Us exam pelvic limited,,,109.17,289.31,16 HCPCS,76870,"HC ECHO,SCROTUM & CONTENTS",1438.0,1438.0,,,0 HCPCS,76870,Us exam scrotum,,,109.17,327.61,16 HCPCS,76872,"HC ECHO,TRANSRECTAL",2551.0,2551.0,,,0 HCPCS,76872,Us transrectal,,,109.17,327.61,16 HCPCS,76873,Echograp trans r pros study,,,109.17,464.6,16 HCPCS,76873,"HC ECHO,TRANSRECTAL,PROSTATE VOL",2033.0,2033.0,,,0 HCPCS,76881,HC US COMPLETE JOINT REAL TIME W IMAGE DOCUMENTATION,2183.0,2183.0,,,0 HCPCS,76881,Us xtr non-vasc complete,,,109.17,327.61,16 HCPCS,76882,HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG,1102.0,1102.0,,,0 HCPCS,76882,Us xtr non-vasc lmtd,,,109.17,289.31,16 HCPCS,76883,Us nrv&acc strux 1xtr compre,,,109.17,289.31,11 HCPCS,76885,HC US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ,1014.0,1014.0,,,0 HCPCS,76885,Us exam infant hips dynamic,,,90.88,240.83,16 HCPCS,76886,HC US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ,656.0,656.0,,,0 HCPCS,76886,Us exam infant hips static,,,90.88,240.83,16 HCPCS,76932,HC ECHO GUIDE ENDOMYOCARDIAL BIOPSY IMG S&I,1313.0,1313.0,,,0 HCPCS,76936,Echo guide for artery repair,,,204.61,597.53,16 HCPCS,76936,HC US ECHO GUIDE 4 ARTERY RPR - US GUIDE PSEUDOANEUR/AV FISTULA TRT,5305.0,5305.0,,,0 HCPCS,76937,"HC US GUIDE, VASCULAR ACCESS",957.0,957.0,,,0 HCPCS,76940,"HC US GUIDE, TISSUE ABLATION",1748.0,1748.0,,,0 HCPCS,76942,HC SONO GUIDE NEEDLE BIOPSY,1679.0,1679.0,,,0 HCPCS,76946,HC SONO GUIDE AMNIOCENTESIS,1678.0,1678.0,,,0 HCPCS,76965,HC SONO GUIDE RADIOELEMT APPLIC,1678.0,1678.0,,,0 HCPCS,76970,Ultrasound exam follow-up,,,140.59,219.24,5 HCPCS,76975,GI endoscopic ultrasound,,,249.17,660.29,16 HCPCS,76977,Us bone density measure,,,83.43,289.31,16 HCPCS,76978,Us trgt dyn mbubb 1st les,,,342.96,965.45,11 HCPCS,76981,HC US ELASTOGRAPHY,710.0,710.0,,,0 HCPCS,76981,Use parenchyma,,,109.17,289.31,11 HCPCS,76982,Use 1st target lesion,,,109.17,289.31,11 HCPCS,76998,"HC ULTRASONIC GUIDANCE, INTRAOPERATIVE",3022.0,3022.0,,,0 HCPCS,76999,Echo examination procedure,,,90.88,240.83,16 HCPCS,77001,"HC FLUOROGUIDE CNTRL VEN ACCESS,PLACE,REPLACE,REMOVE",1137.0,1137.0,,,0 HCPCS,77002,HC FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT,1606.0,1606.0,,,0 HCPCS,77002,HC NEEDLE LOCALIZATION BY XRAY - FL GUIDED BIOPSY/ASP/INJ,1606.0,1606.0,,,0 HCPCS,77003,HC FLUORSCOPIC GUIDANCE SPINAL INJECTION,1078.0,1078.0,,,0 HCPCS,77011,HC CT GUIDANCE STEREOTACTIC LOCALIZATION,5892.0,5892.0,,,0 HCPCS,77012,HC CT GUIDANCE NEEDLE PLACEMENT,3584.5,3584.5,,,0 HCPCS,77013,HC CT GUIDANCE TISSUE ABLATION,3584.5,3584.5,,,0 HCPCS,77014,HC CT GUIDANCE RADIATION THERAPY FIELD PLACEMENT,4681.0,4681.0,,,0 HCPCS,77021,HC MRI GUIDANCE NEEDLE PLACEMENT RS&I,5329.0,5329.0,,,0 HCPCS,77046,HC MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL,5364.5,5364.5,,,0 HCPCS,77046,Mri breast c- unilateral,,,249.17,660.29,11 HCPCS,77047,HC MRI BREAST WO CONTRAST BILATERAL,3857.0,3857.0,,,0 HCPCS,77047,Mri breast c- bilateral,,,249.17,660.29,11 HCPCS,77048,HC MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL,3606.0,3606.0,,,0 HCPCS,77048,HC MRI BREAST W/WO CONTRAST W/ CAD,3606.0,3606.0,,,0 HCPCS,77048,Mri breast c-+ w/cad uni,,,500.55,500.55,4 HCPCS,77049,HC MRI BREAST W/WO CONTRAST W/ CAD BILATERAL,12938.0,12938.0,,,0 HCPCS,77049,Mri breast c-+ w/cad bi,,,498.1,498.1,4 HCPCS,77051,Computer Dx Mammogram Add-on,,,11.75,18.33,5 HCPCS,77052,Computer Screening Mammogram Add-on,,,11.75,18.33,5 HCPCS,77053,HC MAMMARY DUCTOGRAM SINGLE - MAMMO BREAST DUCTOGRAM,1041.0,1041.0,,,0 HCPCS,77053,"HC MAMMARY DUCTOGRAM, SINGLE",1041.0,1041.0,,,0 HCPCS,77053,X-Ray of Mammary Duct,,,249.17,773.97,16 HCPCS,77054,HC MAMMARY DUCTOGRAM MULTIPLE - MAMMO BREAST DUCTOGRAM MULTIPLE,1658.0,1658.0,,,0 HCPCS,77054,"HC MAMMARY DUCTOGRAM, MULTIPLE - MAMMO BREAST DUCTOGRAM MULTIPLE",1658.0,1658.0,,,0 HCPCS,77054,"HC MAMMARY DUCTOGRAM, MULTIPLE - MAMMO BREAST DUCTOGRAM MULTIPLE RIGHT",1658.0,1658.0,,,0 HCPCS,77054,X-ray of mammary ducts,,,249.17,773.97,16 HCPCS,77055,"Mammogram, One Breast",,,87.42,136.31,5 HCPCS,77056,"Mammogram, Both Breasts",,,114.92,179.21,5 HCPCS,77057,"Mammogram, Screening",,,75.38,117.56,5 HCPCS,77061,Breast tomosynthesis uni,,,159.9,159.9,4 HCPCS,77061,HC DIGITAL BREAST TOMOSYNTHESIS UNILATERAL,341.0,341.0,,,0 HCPCS,77062,Breast tomosynthesis bi,,,204.63,204.63,4 HCPCS,77062,HC DIGITAL BREAST TOMOSYNTHESIS BILATERAL,341.0,341.0,,,0 HCPCS,77063,Breast tomosynthesis bi,,,23.68,62.75,11 HCPCS,77063,HC SCREENING DIGITAL BREAST TOMOSYNTHESIS BI,341.0,341.0,,,0 HCPCS,77065,Dx mammo incl cad uni,,,87.56,232.03,13 HCPCS,77065,HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI,1303.0,1303.0,,,0 HCPCS,77066,Dx mammo incl cad bi,,,112.53,298.2,13 HCPCS,77066,HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI,1510.0,1510.0,,,0 HCPCS,77067,HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD,784.0,784.0,,,0 HCPCS,77067,Scr mammo bi incl cad,,,87.36,231.5,13 HCPCS,77071,HC X-RAY STRESS VIEW - XR ELBOW LEFT STRESS W CONTRALATERAL JOINT,1621.0,1621.0,,,0 HCPCS,77071,X-Ray Stress View,,,89.53,240.83,16 HCPCS,77072,HC X-RAYS FOR BONE AGE,659.0,659.0,,,0 HCPCS,77072,X-Rays for Bone Age,,,89.53,289.31,16 HCPCS,77073,"HC X-RAYS, BONE LENGTH STUDIES",1400.0,1400.0,,,0 HCPCS,77073,X-rays bone length studies,,,89.53,289.31,16 HCPCS,77074,"HC X-RAYS, BONE SURVEY, LIMITED",1199.0,1199.0,,,0 HCPCS,77074,X-rays bone survey limited,,,109.17,289.31,16 HCPCS,77075,"HC X-RAYS, BONE SURVEY COMPLETE",2891.0,2891.0,,,0 HCPCS,77075,X-rays bone survey complete,,,109.17,289.31,16 HCPCS,77076,"HC X-RAYS, BONE SURVEY, INFANT",871.0,871.0,,,0 HCPCS,77076,X-rays bone survey infant,,,109.17,289.31,16 HCPCS,77077,Joint survey single view,,,89.53,289.31,16 HCPCS,77078,Ct bone density axial,,,90.88,240.83,16 HCPCS,77078,HC CT BONE DENSITY STUDY AXIAL,1621.0,1621.0,,,0 HCPCS,77080,Dxa bone density axial,,,109.17,289.31,16 HCPCS,77080,"HC DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON",1749.0,1749.0,,,0 HCPCS,77081,Dxa bone density/peripheral,,,79.95,240.83,16 HCPCS,77081,"HC DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN",868.0,868.0,,,0 HCPCS,77082,"DXA Bone Density, Vert Fx",,,89.53,139.6,5 HCPCS,77084,Magnetic image bone marrow,,,249.17,717.64,16 HCPCS,77085,Dxa bone density study,,,109.17,289.31,11 HCPCS,77085,HC DXA BONE DENSITY STUDY AXIAL SKELETON,3419.0,3419.0,,,0 HCPCS,77086,Fracture assessment via dxa,,,90.88,240.83,11 HCPCS,77086,HC VERTEBRAL FRACTURE ASSESSMENT VIA DXA,1749.0,1749.0,,,0 HCPCS,77089,Tbs dxa cal w/i&r fx risk,,,70.6,70.6,4 HCPCS,77090,Tbs techl prep&transmis data,,,90.88,240.83,11 HCPCS,77091,HC TBS TECHNICAL CALCULATION ONLY,281.0,281.0,,,0 HCPCS,77091,Tbs techl calculation only,,,90.88,240.83,11 HCPCS,77092,Tbs i&r fx rsk qhp,,,17.65,17.65,4 HCPCS,77280,HC TR SIMULATION SIMPLE,7157.0,7157.0,,,0 HCPCS,77280,Set radiation therapy field,,,140.36,371.95,7 HCPCS,77285,HC TR SIMULATION INTERMEDIATE,8218.0,8218.0,,,0 HCPCS,77285,Set radiation therapy field,,,391.01,1036.18,7 HCPCS,77290,HC TR SIMULATION COMPLEX,9167.0,9167.0,,,0 HCPCS,77290,Set radiation therapy field,,,391.01,1036.18,7 HCPCS,77293,HC TR SIMULATION RESPIRATORY MOTION,1661.0,1661.0,,,0 HCPCS,77295,3-d radiotherapy plan,,,1445.42,3830.36,7 HCPCS,77295,HC 3D RXTHPY PLAN W/ HISTOGM,17569.0,17569.0,,,0 HCPCS,77299,Radiation therapy planning,,,140.36,371.95,7 HCPCS,77300,"HC RADIATION THERAPY,DOSIMETRY PLAN",1717.0,1717.0,,,0 HCPCS,77300,Radiation therapy dose plan,,,140.36,371.95,7 HCPCS,77301,HC RADIATION THERAPY INTENSITY MODULATED THERAPY PLAN - IMRT,33520.0,33520.0,,,0 HCPCS,77301,Radiotherapy dose plan imrt,,,1445.42,3830.36,7 HCPCS,77306,HC RADIATION THERAPY - TELETHERAPY ISODOSE PLAN SIMPLE,3773.0,3773.0,,,0 HCPCS,77306,Telethx isodose plan simple,,,391.01,1036.18,7 HCPCS,77307,HC RADIATION THERAPY - TELETHERAPY ISODOSE PLAN COMPLEX,7112.0,7112.0,,,0 HCPCS,77307,Telethx isodose plan cplx,,,391.01,1036.18,7 HCPCS,77316,Brachytx isodose plan simple,,,391.01,1036.18,7 HCPCS,77316,HC RADIATION THERAPY - BRACHYTHERAPY ISODOSE PLAN SIMPLE,4288.0,4288.0,,,0 HCPCS,77317,Brachytx isodose intermed,,,391.01,1036.18,7 HCPCS,77317,HC RADIATION THERAPY - BRACHYTHERAPY ISODOSE PLAN INTERMEDIATE,6750.0,6750.0,,,0 HCPCS,77318,Brachytx isodose complex,,,391.01,1036.18,7 HCPCS,77318,HC RADIATION THERAPY - BRACHYTHERAPY ISODOSE PLAN COMPLEX,9331.0,9331.0,,,0 HCPCS,77321,HC TR SPECIAL PORT PLAN,5339.0,5339.0,,,0 HCPCS,77321,Special teletx port plan,,,391.01,1036.18,7 HCPCS,77331,HC TR SPECIAL DOSIMETRY W DEVICE,2810.0,2810.0,,,0 HCPCS,77331,Special radiation dosimetry,,,140.36,371.95,7 HCPCS,77332,HC TR TREATMENT DEVICE SIMPLE,1533.0,1533.0,,,0 HCPCS,77332,Radiation treatment aid(s),,,140.36,371.95,7 HCPCS,77333,HC TR TREATMENT DEVICE INTERMEDIATE,2350.0,2350.0,,,0 HCPCS,77333,Radiation treatment aid(s),,,140.36,371.95,7 HCPCS,77334,HC TR TREATMENT DEVICE COMPLEX,4132.0,4132.0,,,0 HCPCS,77334,Radiation treatment aid(s),,,391.01,1036.18,7 HCPCS,77336,HC TR PHYSICS CONSULT PER WEEK,1646.0,1646.0,,,0 HCPCS,77336,Radiation physics consult,,,140.36,371.95,7 HCPCS,77338,Design mlc device for imrt,,,391.01,1036.18,7 HCPCS,77338,HC TR TREATMENT DEVICE MLC FOR IMRT PER PLAN,11887.0,11887.0,,,0 HCPCS,77370,HC TR PHYSICS CONSULT SPECIAL,2567.0,2567.0,,,0 HCPCS,77370,Radiation physics consult,,,140.36,371.95,7 HCPCS,77371,HC TR SRS 1 SESSION MULTI COBALT 60,136731.0,136731.0,,,0 HCPCS,77371,Srs multisource,,,7691.42,20382.26,7 HCPCS,77372,HC TR SRS 1 SESSION LINAC,35795.0,35795.0,,,0 HCPCS,77372,Srs linear based,,,7691.42,20382.26,7 HCPCS,77373,HC TR SBRT PER SESSION MAX OF 5,48664.0,48664.0,,,0 HCPCS,77373,SBRT Delivery,,,1867.22,4948.15,7 HCPCS,77385,HC TR IMRT SIMPLE,5516.0,5516.0,,,0 HCPCS,77385,HC TR IMRT SIMPLE BID,5516.0,5516.0,,,0 HCPCS,77386,HC TR IMRT COMPLEX,7171.0,7171.0,,,0 HCPCS,77386,HC TR IMRT COMPLEX BID,7171.0,7171.0,,,0 HCPCS,77387,HC GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR,1224.0,1224.0,,,0 HCPCS,77399,External radiation dosimetry,,,140.36,371.95,7 HCPCS,77401,HC RADIATION TREATMENT DELIVERY SUPERFICIAL PER DAY,1308.0,1308.0,,,0 HCPCS,77402,HC TR DELIVERY >=1 MEV SIMPLE,1345.0,1345.0,,,0 HCPCS,77402,Radiation treatment delivery,,,106.55,282.35,7 HCPCS,77407,HC RAD TX DELIVERY INTERMEDIATE,1601.0,1601.0,,,0 HCPCS,77407,HC RAD TX DELIVERY INTERMEDIATE BID,1601.0,1601.0,,,0 HCPCS,77407,Radiation treatment delivery,,,402.77,1067.35,7 HCPCS,77412,HC TR DELIVERY >=1 MEV COMPLEX,2217.0,2217.0,,,0 HCPCS,77412,HC TR DELIVERY >=1 MEV COMPLEX BID,2217.0,2217.0,,,0 HCPCS,77412,Radiation treatment delivery,,,577.01,1529.07,7 HCPCS,77417,HC TR PORT FILM PER 5 FRACTIONS,659.0,659.0,,,0 HCPCS,77417,HC TR THERAPEUTIC RADIOLOGY PORT IMAGES(S) ADDL,659.0,659.0,,,0 HCPCS,77423,Neutron beam tx complex,,,577.01,1529.07,7 HCPCS,77424,HC TR IORT XRAY SINGLE,16497.0,16497.0,,,0 HCPCS,77424,Io rad tx delivery by x-ray,,,7691.42,20382.26,7 HCPCS,77425,Io rad tx deliver by elctrns,,,7691.42,20382.26,7 HCPCS,77436,Surf radj ther tx planning,,,39.0,103.36,7 HCPCS,77437,Surf radj ther supfc<=150kv,,,106.55,282.35,7 HCPCS,77438,Surf rad thr orthvlt>150-500,,,106.55,282.35,7 HCPCS,77470,HC SPECIAL RADIATION TREATMENT,6334.0,6334.0,,,0 HCPCS,77470,Special radiation treatment,,,577.01,1529.07,7 HCPCS,77520,Proton trmt simple w/o comp,,,577.01,1529.07,7 HCPCS,77600,Hyperthermia treatment,,,402.77,1067.35,7 HCPCS,77610,Hyperthermia treatment,,,577.01,1529.07,7 HCPCS,77615,Hyperthermia treatment,,,577.01,1529.07,7 HCPCS,77620,Hyperthermia treatment,,,577.01,1529.07,7 HCPCS,77750,HC INFUSION OF RADIOELEMENT,1900.0,1900.0,,,0 HCPCS,77750,Infuse radioactive materials,,,402.77,1067.35,7 HCPCS,77761,Apply intrcav radiat simple,,,577.01,1529.07,7 HCPCS,77761,HC BRACHYTHERAPY INTRACAVITARY SIMPLE,29398.0,29398.0,,,0 HCPCS,77762,Apply intrcav radiat interm,,,577.01,1529.07,7 HCPCS,77762,HC BRACHYTHERAPY INTRACAVITARY INTERMEDIATE,33921.0,33921.0,,,0 HCPCS,77763,HC BRACHYTHERAPY INTRACAVITARY COMPLEX,38442.0,38442.0,,,0 HCPCS,77767,HC TR HDR SKIN <2CM OR 1 CH,6010.0,6010.0,,,0 HCPCS,77767,Hdr rdncl skn surf brachytx,,,402.77,1067.35,7 HCPCS,77768,HC TR HDR SKIN >2CM OR 2+CH,10187.0,10187.0,,,0 HCPCS,77768,Hdr rdncl skn surf brachytx,,,402.77,1067.35,7 HCPCS,77770,HC CB REMOTE AFTERLOAD 1 CHANNEL,13472.0,13472.0,,,0 HCPCS,77771,HC HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL,16988.0,16988.0,,,0 HCPCS,77772,HC CB REMOTE AFTERLOAD >12 CHANNELS,18484.0,18484.0,,,0 HCPCS,77778,HC CB INTERSTITIAL APPLICATION COMPLEX,12930.0,12930.0,,,0 HCPCS,77789,Apply surf ldr radionuclide,,,106.55,282.35,7 HCPCS,77789,HC CB: SURFACE APPLICATION LDR RADIONUCLIDE SOURCE,1298.0,1298.0,,,0 HCPCS,77790,"HC CB SUPERVISION HANDLING, LOADING",1550.0,1550.0,,,0 HCPCS,77799,Radium/radioisotope therapy,,,106.55,282.35,7 HCPCS,78012,HC THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT,3071.0,3071.0,,,0 HCPCS,78012,Thyroid uptake measurement,,,219.18,1106.3,16 HCPCS,78013,HC THYROID IMAGING WITH VASCULAR FLOW,7557.0,7557.0,,,0 HCPCS,78013,Thyroid imaging w/blood flow,,,286.32,1106.3,16 HCPCS,78014,HC THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS,2907.0,2907.0,,,0 HCPCS,78014,Thyroid imaging w/blood flow,,,417.47,1106.3,16 HCPCS,78015,Thyroid met imaging,,,417.47,1106.3,16 HCPCS,78016,Thyroid met imaging/studies,,,417.47,1106.3,16 HCPCS,78018,HC THYROID MET IMAGING BODY,5291.0,5291.0,,,0 HCPCS,78018,Thyroid met imaging body,,,567.01,1502.58,16 HCPCS,78070,HC PARATHYROID PLANAR IMAGING,2347.0,2347.0,,,0 HCPCS,78070,Parathyroid planar imaging,,,417.47,1106.3,16 HCPCS,78071,HC PARATHYROID PLANAR IMAGING W/WO SUBTRACTION,2347.0,2347.0,,,0 HCPCS,78071,Parathyrd planar w/wo subtrj,,,417.47,1798.35,16 HCPCS,78072,HC PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT,3047.0,3047.0,,,0 HCPCS,78072,Parathyrd planar w/spect&ct,,,567.01,1798.35,16 HCPCS,78075,Adrenal cortex & medulla img,,,1351.97,3582.73,16 HCPCS,78099,Endocrine nuclear procedure,,,286.32,1106.3,16 HCPCS,78102,Bone marrow imaging ltd,,,417.47,1106.3,16 HCPCS,78102,"HC BONE MARROW IMAGING, LTD",3132.0,3132.0,,,0 HCPCS,78103,Bone marrow imaging mult,,,417.47,1106.3,16 HCPCS,78104,Bone marrow imaging body,,,417.47,1106.3,16 HCPCS,78110,Plasma volume single,,,883.56,3582.73,16 HCPCS,78111,HC PLASMA VOLUME MULTIPLE,8343.0,8343.0,,,0 HCPCS,78111,Plasma volume multiple,,,883.56,3582.73,16 HCPCS,78120,Red cell mass single,,,417.47,1377.82,16 HCPCS,78121,HC RED CELL MASS MULTIPLE,3171.0,3171.0,,,0 HCPCS,78121,Red cell mass multiple,,,567.01,1502.58,16 HCPCS,78122,Blood volume,,,567.01,1502.58,16 HCPCS,78130,Red cell survival study,,,417.47,1377.82,16 HCPCS,78135,Red cell survival kinetics,,,883.56,1377.82,5 HCPCS,78140,HC NM RED CELL SEQUESTRATION,2294.0,2294.0,,,0 HCPCS,78140,Red cell sequestration,,,417.47,1377.82,16 HCPCS,78185,Spleen imaging,,,417.47,1106.3,16 HCPCS,78190,Platelet survival kinetics,,,401.9,626.72,5 HCPCS,78191,Platelet survival,,,401.9,1106.3,16 HCPCS,78195,HC LYMPHATICS & LYMPH GLANDS IMAGING,4212.0,4212.0,,,0 HCPCS,78195,Lymph system imaging,,,540.7,1502.58,16 HCPCS,78199,Blood/lymph nuclear exam,,,417.47,1106.3,16 HCPCS,78201,Liver imaging,,,567.01,2044.56,16 HCPCS,78202,HC LIVER IMAGING WITH FLOW,9811.0,9811.0,,,0 HCPCS,78202,Liver imaging with flow,,,567.01,2044.56,16 HCPCS,78205,Liver imaging (3D),,,581.66,907.02,5 HCPCS,78206,Liver image (3d) with flow,,,581.66,907.02,5 HCPCS,78215,HC LIVER AND SPLEEN IMAGING,3875.0,3875.0,,,0 HCPCS,78215,Liver and spleen imaging,,,417.47,1106.3,16 HCPCS,78216,"HC LIVER & SPLEEN IMAGE, FLOW",7557.0,7557.0,,,0 HCPCS,78216,Liver & spleen image/flow,,,417.47,1106.3,16 HCPCS,78226,HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER,3212.0,3212.0,,,0 HCPCS,78226,Hepatobiliary system imaging,,,417.47,1106.3,16 HCPCS,78227,HC HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ,4327.0,4327.0,,,0 HCPCS,78227,Hepatobil syst image w/drug,,,567.01,1502.58,16 HCPCS,78230,Salivary gland imaging,,,417.47,1106.3,16 HCPCS,78231,HC SALIVARY GLAND IMG W/SERIAL IMG,1722.0,1722.0,,,0 HCPCS,78231,Serial salivary imaging,,,417.47,1106.3,16 HCPCS,78232,Salivary gland function exam,,,417.47,1106.3,16 HCPCS,78258,Esophageal motility study,,,417.47,1106.3,16 HCPCS,78258,"HC ESOPHAGEAL MOTILITY STUDY, IMAGING",2778.0,2778.0,,,0 HCPCS,78261,Gastric mucosa imaging,,,417.47,1106.3,16 HCPCS,78262,Gastroesophageal reflux exam,,,417.47,1106.3,16 HCPCS,78262,HC GASTROESOPHAGEAL REFLUX EXAM,4160.0,4160.0,,,0 HCPCS,78264,Gastric emptying imag study,,,417.47,1106.3,16 HCPCS,78264,HC GASTRIC EMPTYING IMAGING STUDY,4505.0,4505.0,,,0 HCPCS,78265,Gastric emptying imag study,,,417.47,1106.3,11 HCPCS,78266,Gastric emptying imag study,,,567.01,1502.58,11 HCPCS,78267,Breath tst attain/anal c-14,,,11.06,29.31,11 HCPCS,78267,"HC BREATH TEST,ACQUIRE/ANALYZE",2039.0,2039.0,,,0 HCPCS,78268,Breath test analysis c-14,,,94.41,250.19,11 HCPCS,78268,"HC BREATH TEST,ANALYZE",2039.0,2039.0,,,0 HCPCS,78270,Vit B-12 absorption exam,,,401.9,626.72,5 HCPCS,78271,Vit b-12 absrp exam int fac,,,401.9,626.72,5 HCPCS,78272,Vit b-12 absorp combined,,,401.9,626.72,5 HCPCS,78278,Acute GI blood loss imaging,,,417.47,1106.3,16 HCPCS,78278,HC ACUTE GI BLOOD LOSS IMAGING,4032.0,4032.0,,,0 HCPCS,78282,GI protein loss exam,,,417.47,1106.3,16 HCPCS,78290,HC BOWEL IMAGING,4010.0,4010.0,,,0 HCPCS,78290,Meckels divert exam,,,417.47,1106.3,16 HCPCS,78291,HC LEVEEN/SHUNT PATENCY EXAM,2694.0,2694.0,,,0 HCPCS,78291,Leveen/shunt patency exam,,,417.47,1106.3,16 HCPCS,78299,GI nuclear procedure,,,417.47,1106.3,16 HCPCS,78300,Bone imaging limited area,,,417.47,1106.3,16 HCPCS,78300,"HC BONE IMAGING, LIMITED AREA",3367.0,3367.0,,,0 HCPCS,78305,Bone imaging multiple areas,,,417.47,1106.3,16 HCPCS,78305,"HC BONE IMAGING, MULTIPLE AREAS",3880.0,3880.0,,,0 HCPCS,78306,Bone imaging whole body,,,417.47,1106.3,16 HCPCS,78306,"HC BONE IMAGING, WHOLE BODY",4169.0,4169.0,,,0 HCPCS,78315,Bone imaging 3 phase,,,417.47,1106.3,16 HCPCS,78315,"HC BONE IMAGING, 3 PHASE",4646.0,4646.0,,,0 HCPCS,78320,Bone imaging (3D),,,505.73,788.65,5 HCPCS,78350,Bone mineral single photon,,,38.56,38.56,4 HCPCS,78351,Bone mineral dual photon,,,26.93,26.93,4 HCPCS,78399,Musculoskeletal nuclear exam,,,417.47,1106.3,16 HCPCS,78414,Non-imaging heart function,,,567.01,1502.58,16 HCPCS,78428,Cardiac shunt imaging,,,417.47,1106.3,16 HCPCS,78429,Myocrd img pet 1 std w/ct,,,1493.26,3957.15,11 HCPCS,78430,Myocrd img pet rst/strs w/ct,,,1493.26,3957.15,11 HCPCS,78431,Myocrd img pet rst&strs ct,,,2300.33,6095.86,11 HCPCS,78432,Myocrd img pet 2rtracer,,,1584.83,4675.85,11 HCPCS,78433,Myocrd img pet 2rtracer ct,,,2300.33,6095.86,11 HCPCS,78445,"HC VASCULAR FLOW IMAGING,NONCARDIAC - NM VESSELS FLOW",3397.0,3397.0,,,0 HCPCS,78445,Vascular flow imaging,,,417.47,1106.3,16 HCPCS,78451,HC HT MUSCLE IMAGE SPECT SING - NM HEART PERFUSION SPECT STRESS,6238.0,6238.0,,,0 HCPCS,78451,Ht muscle image spect sing,,,1351.97,3582.73,16 HCPCS,78452,HC MYOCARDIAL SPECT MULTIPLE STUDIES,6238.0,6238.0,,,0 HCPCS,78452,Ht muscle image spect mult,,,1351.97,3582.73,16 HCPCS,78453,HC MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS,6238.0,6238.0,,,0 HCPCS,78453,Ht muscle image planar sing,,,1351.97,3582.73,16 HCPCS,78454,HC MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES,6238.0,6238.0,,,0 HCPCS,78454,Ht musc image planar mult,,,1351.97,3582.73,16 HCPCS,78456,Acute venous thrombus image,,,1153.24,3582.73,16 HCPCS,78457,Venous thrombosis imaging,,,496.32,2044.56,16 HCPCS,78458,Ven thrombosis images bilat,,,417.47,1106.3,16 HCPCS,78459,HC MYOCRD IMG PET METAB EVAL SINGLE STUDY,6951.0,6951.0,,,0 HCPCS,78459,Heart muscle imaging (PET),,,1351.97,3582.73,16 HCPCS,78466,HC HEART INFARCT IMAGE,3041.0,3041.0,,,0 HCPCS,78466,Heart infarct image,,,417.47,1106.3,16 HCPCS,78468,Heart infarct image (ef),,,567.01,1502.58,16 HCPCS,78469,HC HEART INFARCT IMAGE SPECT,3973.0,3973.0,,,0 HCPCS,78469,Heart infarct image (3D),,,567.01,2044.56,16 HCPCS,78472,Gated heart planar single,,,417.47,1106.3,16 HCPCS,78472,"HC GATED HEART, PLANAR SINGLE",4274.0,4274.0,,,0 HCPCS,78473,Gated heart multiple,,,417.47,1106.3,16 HCPCS,78473,"HC GATED HEART, MULTIPLE",4274.0,4274.0,,,0 HCPCS,78481,HC HEART FIRST PASS SINGLE - NM HEART BLOOD POOL FIRST PASS,5548.0,5548.0,,,0 HCPCS,78481,Heart first pass single,,,567.01,1502.58,16 HCPCS,78483,HC HEART FIRST PASS MULTIPLE - NM HEART BLOOD POOL FIRST PASS MULTIPLE,5548.0,5548.0,,,0 HCPCS,78483,Heart first pass multiple,,,567.01,2808.5,16 HCPCS,78491,HC HEART IMAGE (PET) SINGLE - NM PET MYOCARDIAL PERFUSION SINGLE,6951.0,6951.0,,,0 HCPCS,78491,Heart image (pet) single,,,1493.26,3957.15,16 HCPCS,78492,HC HEART IMAGE (PET) MULTIPLE - NM PET MYOCARDIAL PERFUSION MULTIPLE,6951.0,6951.0,,,0 HCPCS,78492,Heart image (pet) multiple,,,1493.26,3957.15,16 HCPCS,78494,Heart image spect,,,417.47,1106.3,16 HCPCS,78496,HC HEART FIRST PASS ADD-ON,3197.0,3197.0,,,0 HCPCS,78499,Cardiovascular nuclear exam,,,417.47,1106.3,16 HCPCS,78579,HC LUNG VENTILATION IMAGING - NM LUNG VENTILATION,3530.0,3530.0,,,0 HCPCS,78579,Lung ventilation imaging,,,417.47,1106.3,16 HCPCS,78580,HC LUNG PERFUSION IMAGING,4195.0,4195.0,,,0 HCPCS,78580,Lung perfusion imaging,,,417.47,1106.3,16 HCPCS,78582,HC PULMONARY VENTILATION & PERFUSION IMAGING,7061.0,7061.0,,,0 HCPCS,78582,Lung ventilat&perfus imaging,,,567.01,1502.58,16 HCPCS,78597,HC QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING,3317.0,3317.0,,,0 HCPCS,78597,Lung perfusion differential,,,417.47,1106.3,16 HCPCS,78598,HC QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGING,6638.0,6638.0,,,0 HCPCS,78598,Lung perf&ventilat diferentl,,,567.01,1502.58,16 HCPCS,78599,Respiratory nuclear exam,,,417.47,1106.3,16 HCPCS,78600,Brain image < 4 views,,,253.98,1106.3,16 HCPCS,78601,Brain image w/flow < 4 views,,,417.47,1298.04,16 HCPCS,78601,HC BRAIN IMAGING < 4 STATIC VIEWS W VASCULAR FLOW,3282.0,3282.0,,,0 HCPCS,78605,Brain image 4+ views,,,567.01,1502.58,16 HCPCS,78606,Brain image w/flow 4 + views,,,567.01,1502.58,16 HCPCS,78606,HC BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW,4261.0,4261.0,,,0 HCPCS,78607,Brain imaging (3D),,,1806.96,2817.77,5 HCPCS,78608,Brain imaging (PET),,,1493.26,3957.15,16 HCPCS,78608,HC BRAIN IMAGING PET METABOLIC,6951.0,6951.0,,,0 HCPCS,78609,HC BRAIN IMAGING PET PERFUSION,6951.0,6951.0,,,0 HCPCS,78610,Brain flow imaging only,,,567.01,1502.58,16 HCPCS,78630,Cerebrospinal fluid scan,,,567.01,1502.58,16 HCPCS,78630,HC CSF FLUID SCAN CISTERNOGRAPHY,5498.0,5498.0,,,0 HCPCS,78635,CSF ventriculography,,,567.01,1502.58,16 HCPCS,78645,CSF shunt evaluation,,,567.01,1502.58,16 HCPCS,78645,HC CSF SHUNT EVALUATION,3868.0,3868.0,,,0 HCPCS,78647,Cerebrospinal fluid scan,,,832.4,1298.04,5 HCPCS,78650,CSF leakage imaging,,,832.4,3582.73,16 HCPCS,78650,HC CSF LEAKAGE IMAGING - NM BRAIN CEREBROSPINAL FLUID LEAK,4656.0,4656.0,,,0 HCPCS,78660,Nuclear exam of tear flow,,,253.98,1106.3,16 HCPCS,78699,Nervous system nuclear exam,,,253.98,1106.3,16 HCPCS,78700,Kidney imaging morphol,,,417.47,1106.3,16 HCPCS,78701,HC RENAL IMAGING WITH FLOW,7557.0,7557.0,,,0 HCPCS,78701,Kidney imaging with flow,,,417.47,1106.3,16 HCPCS,78707,HC RENAL FLOW/FUNCT IMAGING,4818.0,4818.0,,,0 HCPCS,78707,K flow/funct image w/o drug,,,567.01,1502.58,16 HCPCS,78708,"HC RENAL FLOW/FUNCT IMAGE,PHARM RX",4818.0,4818.0,,,0 HCPCS,78708,K flow/funct image w/drug,,,567.01,1502.58,16 HCPCS,78709,"HC RENAL FLOW/FUNCT IMAGE,COMBO,PHARM",4818.0,4818.0,,,0 HCPCS,78709,K flow/funct image multiple,,,567.01,1502.58,16 HCPCS,78710,Kidney imaging (3D),,,651.05,1015.24,5 HCPCS,78725,HC RENAL FUNCTION STUDY,1687.0,1687.0,,,0 HCPCS,78725,Kidney function study,,,401.9,1106.3,16 HCPCS,78740,HC URETERAL REFLUX STUDY - NM CYSTOGRAM REFLUX,3209.0,3209.0,,,0 HCPCS,78740,Ureteral reflux study,,,417.47,1106.3,16 HCPCS,78761,HC NM TESTICULAR IMG W/ VASCULAR FLOW,2444.0,2444.0,,,0 HCPCS,78761,Testicular imaging w/flow,,,417.47,1106.3,16 HCPCS,78799,Genitourinary nuclear exam,,,417.47,1106.3,16 HCPCS,78800,HC RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING,1401.0,1401.0,,,0 HCPCS,78800,Tumor imaging limited area,,,417.47,1106.3,16 HCPCS,78801,HC RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D,1401.0,1401.0,,,0 HCPCS,78801,Tumor imaging mult areas,,,417.47,1106.3,16 HCPCS,78802,HC RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING,4785.0,4785.0,,,0 HCPCS,78802,Tumor imaging whole body,,,567.01,2044.56,16 HCPCS,78803,HC RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING,4785.0,4785.0,,,0 HCPCS,78803,Tumor imaging (3D),,,567.01,1599.4,16 HCPCS,78804,HC RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING,4785.0,4785.0,,,0 HCPCS,78804,Tumor imaging whole body,,,567.01,2817.77,16 HCPCS,78805,Abscess imaging ltd area,,,1025.66,1599.4,5 HCPCS,78806,Abscess imaging whole body,,,1025.66,1599.4,5 HCPCS,78807,Nuclear localization/abscess,,,1025.66,1599.4,5 HCPCS,78808,HC NM INJ ISOTOPE LOCALIZATION ONLY,1326.0,1326.0,,,0 HCPCS,78808,Iv inj ra drug dx study,,,401.9,1106.3,16 HCPCS,78811,HC PET IMAGING LIMITED AREA CHEST HEAD/NECK,6951.0,6951.0,,,0 HCPCS,78811,Pet image ltd area,,,1351.97,3582.73,16 HCPCS,78812,HC PET IMAGING SKULL TO THIGH,7135.0,7135.0,,,0 HCPCS,78812,Pet image skull-thigh,,,1493.26,3957.15,16 HCPCS,78813,HC PET IMAGING WHOLE BODY,7330.0,7330.0,,,0 HCPCS,78813,Pet image full body,,,1493.26,3957.15,16 HCPCS,78814,HC PET IMAGING CT FOR ATTENUATION LIMITED AREA,6951.0,6951.0,,,0 HCPCS,78814,Pet image w/ct lmtd,,,1493.26,3957.15,16 HCPCS,78815,HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH,7135.0,7135.0,,,0 HCPCS,78815,Pet image w/ct skull-thigh,,,1493.26,3957.15,16 HCPCS,78816,HC PET IMAGING FOR CT ATTENUATION WHOLE BODY,7330.0,7330.0,,,0 HCPCS,78816,Pet image w/ct full body,,,1493.26,3957.15,16 HCPCS,78830,HC LOCATE TUMOR SPECT USING CT IMAGE SINGLE DAY IMAGING,4785.0,4785.0,,,0 HCPCS,78830,Rp loclzj tum spect w/ct 1,,,1351.97,3582.73,11 HCPCS,78831,Rp loclzj tum spect 2 areas,,,1351.97,3582.73,11 HCPCS,78832,Rp loclzj tum spect w/ct 2,,,1493.26,3957.15,11 HCPCS,78999,Nuclear diagnostic exam,,,219.18,1106.3,16 HCPCS,79005,"HC NUCLEAR THERAPY, ORAL",2390.0,2390.0,,,0 HCPCS,79005,Nuclear rx oral admin,,,243.67,645.72,16 HCPCS,79101,"HC NUCLEAR THERAPY, IV",2447.0,2447.0,,,0 HCPCS,79101,Nuclear rx iv admin,,,243.67,645.72,16 HCPCS,79200,Nuclear rx intracav admin,,,243.67,868.35,16 HCPCS,79300,Nuclr rx interstit colloid,,,243.67,645.72,16 HCPCS,79403,HC RADIOPHARMACEUTICAL THERAPY,12930.0,12930.0,,,0 HCPCS,79403,Hematopoietic nuclear tx,,,243.67,868.35,16 HCPCS,79440,Nuclear rx intra-articular,,,243.67,868.35,16 HCPCS,79445,"HC NUCLEAR THERAPY, INTRA-ARTERIAL",1128.0,1128.0,,,0 HCPCS,79445,Nuclear rx intra-arterial,,,243.67,645.72,16 HCPCS,79999,Nuclear medicine therapy,,,243.67,645.72,16 HCPCS,80047,HC BASIC METABOLIC PANEL CALCIUM IONIZED,1217.5,1217.5,,,0 HCPCS,80047,Metabolic panel ionized ca,,,13.73,36.38,7 HCPCS,80048,HC BASIC METABOLIC PANEL CALCIUM TOTAL,285.0,285.0,,,0 HCPCS,80048,Metabolic panel total ca,,,8.46,22.42,7 HCPCS,80050,HC GENERAL HEALTH PANEL - BUNDLED CHARGE,1425.0,1425.0,,,0 HCPCS,80051,Electrolyte panel,,,7.01,18.58,7 HCPCS,80051,HC ELECTROLYTE PANEL - BUNDLED CHARGE,252.0,252.0,,,0 HCPCS,80053,Comprehen metabolic panel,,,10.56,27.98,7 HCPCS,80053,HC COMPREHENSIVE METABOLIC PANEL - CMP,414.0,414.0,,,0 HCPCS,80055,HC OBSTETRIC PANEL - BUNDLED CHARGE,723.0,723.0,,,0 HCPCS,80055,Obstetric panel,,,47.81,126.7,7 HCPCS,80061,HC LIPID PANEL - BUNDLED CHARGE,306.0,306.0,,,0 HCPCS,80061,HC LIPID PANEL - CARDIO IQ - QWDL,59.0,59.0,,,0 HCPCS,80061,HC LIPID PROFILE BY NMR - NMR LIPOMED PROFILE - ARUP,63.0,63.0,,,0 HCPCS,80061,HC LIPID PROFILE CARDIO IQ,295.5,295.5,,,0 HCPCS,80061,HC LIPID PROFILE- LIPOPROTEIN ELECTROPHORESIS - ARUP,96.5,96.5,,,0 HCPCS,80061,Lipid panel,,,13.39,35.48,7 HCPCS,80069,HC RENAL FUNCTION PANEL - BUNDLED CHARGE,469.0,469.0,,,0 HCPCS,80069,Renal function panel,,,8.68,23.0,7 HCPCS,80074,Acute hepatitis panel,,,47.63,126.22,7 HCPCS,80074,"HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE",1160.0,1160.0,,,0 HCPCS,80076,HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE,397.0,397.0,,,0 HCPCS,80076,Hepatic function panel,,,8.17,21.65,7 HCPCS,80081,HC OBSTETRIC PANEL W HIV,1016.0,1016.0,,,0 HCPCS,80081,Obstetric panel,,,74.86,198.38,7 HCPCS,80143,Drug assay acetaminophen,,,18.64,49.4,7 HCPCS,80143,HC ACETAMINOPHEN (TYLENOL) LEVEL,589.0,589.0,,,0 HCPCS,80145,Drug assay adalimumab,,,38.57,102.21,7 HCPCS,80145,HC DRUG ASSAY - ADALIMUMAB,365.0,365.0,,,0 HCPCS,80145,HC DRUG ASSAY - ADALIMUMAB - ARUP,906.0,906.0,,,0 HCPCS,80150,Assay of amikacin,,,15.08,39.96,7 HCPCS,80150,HC AMIKACIN LEVEL,448.0,448.0,,,0 HCPCS,80150,HC AMIKACIN LEVEL - ARUP,53.0,53.0,,,0 HCPCS,80151,Drug assay amiodarone,,,18.64,49.4,7 HCPCS,80151,HC AMIODARONE LEVEL,107.0,107.0,,,0 HCPCS,80151,HC AMIODARONE LEVEL - ARUP,77.0,77.0,,,0 HCPCS,80155,Drug assay caffeine,,,38.57,102.21,7 HCPCS,80155,HC DRUG ASSAY - CAFFEINE,113.0,113.0,,,0 HCPCS,80156,Assay carbamazepine total,,,14.57,38.61,7 HCPCS,80156,HC ASSAY OF CARBAMAZEPINE TOTAL - CARBAMAZEPINE TOTAL,400.5,400.5,,,0 HCPCS,80156,HC CARBAMAZEPINE LEVEL TOTAL - CARBAMAZEPINE FREE AND TOTAL - ARUP,59.0,59.0,,,0 HCPCS,80157,Assay carbamazepine free,,,13.25,35.11,7 HCPCS,80157,"HC ASSAY OF ASSAY CARBAMAZEPINE, FREE - CARBAMAZEPINE FREE",288.0,288.0,,,0 HCPCS,80157,HC CARBAMAZEPINE LEVEL FREE - CARBAMAZEPINE FREE AND TOTAL -ARUP,54.0,54.0,,,0 HCPCS,80158,Drug assay cyclosporine,,,18.05,47.83,7 HCPCS,80158,HC ASSAY OF CYCLOSPORINE - CYCLOSPORINE,349.5,349.5,,,0 HCPCS,80159,Drug assay clozapine,,,20.15,53.4,7 HCPCS,80159,HC CLOZAPINE (CLOZARIL) LEVEL,103.0,103.0,,,0 HCPCS,80159,HC CLOZAPINE (CLOZARIL) LEVEL - ARUP,96.0,96.0,,,0 HCPCS,80161,"Asy carbamazepin 10,11-epxid",,,18.64,49.4,7 HCPCS,80162,Assay of digoxin total,,,13.28,35.19,7 HCPCS,80162,HC DIGOXIN LEVEL TOTAL,404.0,404.0,,,0 HCPCS,80163,Assay of digoxin free,,,13.28,35.19,7 HCPCS,80164,Assay dipropylacetic acd tot,,,13.54,35.88,7 HCPCS,80164,HC DRUG SCREEN QUANT DIPROPYLACETIC ACID TOTAL - VALPROIC ACID FREE,130.0,130.0,,,0 HCPCS,80164,HC VALPROIC ACID LEVEL TOTAL,418.0,418.0,,,0 HCPCS,80164,HC VALPROIC ACID LEVEL TOTAL - ARUP,71.0,71.0,,,0 HCPCS,80164,HC VALPROIC ACID LEVEL TOTAL QWDL,42.0,42.0,,,0 HCPCS,80164,HC VALPROIC ACID TOTAL - VALPROIC ACID FREE AND TOTAL - ARUP,130.0,130.0,,,0 HCPCS,80165,Dipropylacetic acid free,,,13.54,35.88,7 HCPCS,80165,HC VALPROIC ACID FREE - VALPROIC ACID FREE AND TOTAL - ARUP,130.0,130.0,,,0 HCPCS,80165,HC VALPROIC ACID LEVEL FREE ARUP,139.0,139.0,,,0 HCPCS,80167,Drug assay felbamate,,,18.64,49.4,7 HCPCS,80167,HC FELBAMATE,107.0,107.0,,,0 HCPCS,80168,Assay of ethosuximide,,,16.34,43.3,7 HCPCS,80168,HC ASSAY OF ETHOSUXIMIDE - ETHOSUXIMIDE LEVEL,94.0,94.0,,,0 HCPCS,80168,HC ETHOSUXIMIDE LEVEL - ARUP,72.0,72.0,,,0 HCPCS,80169,Drug assay everolimus,,,13.73,36.38,7 HCPCS,80169,HC EVEROLIMUS (AFINITOR) LEVEL,161.0,161.0,,,0 HCPCS,80169,HC EVEROLIMUS (AFINITOR) LEVEL - ARUP,210.0,210.0,,,0 HCPCS,80170,Assay of gentamicin,,,16.38,43.41,7 HCPCS,80170,HC ASSAY OF GENTAMICIN - GENTAMICIN RANDOM,493.0,493.0,,,0 HCPCS,80171,Drug screen quant gabapentin,,,21.67,57.43,7 HCPCS,80171,HC DRUG ASSAY - GABAPENTIN/NEURONTIN,107.0,107.0,,,0 HCPCS,80171,HC GABAPENTIN (NEURONTIN) LEVEL - ARUP,99.0,99.0,,,0 HCPCS,80173,Assay Of Haloperidol,,,15.78,41.82,7 HCPCS,80173,HC ASSAY OF HALOPERIDOL - HALOPERIDOL LEVEL,113.0,113.0,,,0 HCPCS,80175,Drug screen quan lamotrigine,,,13.25,35.11,7 HCPCS,80175,HC ASSAY OF DRUG - LAMOTRIGINE/LAMICTAL LEVEL,92.0,92.0,,,0 HCPCS,80175,HC LAMOTRIGINE (LAMICTAL) LEVEL - ARUP,42.0,42.0,,,0 HCPCS,80176,Assay of lidocaine,,,14.69,38.93,7 HCPCS,80176,HC ASSAY OF LIDOCAINE - LIDOCAINE LEVEL,115.0,115.0,,,0 HCPCS,80176,HC LIDOCAINE LEVEL - ARUP,116.0,116.0,,,0 HCPCS,80177,Drug scrn quan levetiracetam,,,13.25,35.11,7 HCPCS,80177,HC LEVETIRACETAM (KEPPRA) LEVEL,949.0,949.0,,,0 HCPCS,80177,HC LEVETIRACETAM (KEPPRA) LEVEL - ARUP,63.0,63.0,,,0 HCPCS,80177,HC LEVETIRACETAM (KEPPRA) LEVEL - QWDL,198.0,198.0,,,0 HCPCS,80178,Assay of lithium,,,6.61,17.52,7 HCPCS,80178,HC LITHIUM LEVEL,644.0,644.0,,,0 HCPCS,80178,HC LITHIUM LEVEL - ARUP,45.0,45.0,,,0 HCPCS,80179,Drug assay salicylate,,,18.64,49.4,7 HCPCS,80179,HC DRUG THERAPEUTIC LEVEL - SALICYLATE LEVEL SERUM,437.0,437.0,,,0 HCPCS,80180,Drug scrn quan mycophenolate,,,18.05,47.83,7 HCPCS,80180,HC DRUG ASSAY - MYCOPHENOLIC ACID,122.0,122.0,,,0 HCPCS,80180,HC MYCOPHENOLIC ACID LEVEL - ARUP,101.0,101.0,,,0 HCPCS,80181,Drug assay flecainide,,,18.64,49.4,7 HCPCS,80181,HC FLECAINIDE (TAMBOCOR) LEVEL,107.0,107.0,,,0 HCPCS,80181,HC FLECAINIDE (TAMBOCOR) LEVEL - ARUP,121.0,121.0,,,0 HCPCS,80183,Drug scrn quant oxcarbazepin,,,13.25,35.11,7 HCPCS,80183,HC ASSAY OF DRUG - OXCARBAZEPINE/TRILEPTAL LEVEL,107.0,107.0,,,0 HCPCS,80183,HC OXCARBAZEPINE (TRILEPTAL) LEVEL - ARUP,84.0,84.0,,,0 HCPCS,80184,Assay of phenobarbital,,,15.3,40.54,7 HCPCS,80184,HC PHENOBARBITAL LEVEL,418.5,418.5,,,0 HCPCS,80184,HC PHENOBARBITAL LEVEL - ARUP,47.0,47.0,,,0 HCPCS,80184,HC PHENOBARBITAL LEVEL - PRIMIDONE AND METABOLITE - ARUP,34.0,34.0,,,0 HCPCS,80185,Assay of phenytoin total,,,13.25,35.11,7 HCPCS,80185,HC PHENYTOIN LEVEL TOTAL,411.0,411.0,,,0 HCPCS,80185,HC PHENYTOIN LEVEL TOTAL - ARUP,68.0,68.0,,,0 HCPCS,80186,Assay of phenytoin free,,,13.76,36.46,7 HCPCS,80186,HC PHENYTOIN LEVEL FREE,435.0,435.0,,,0 HCPCS,80186,HC PHENYTOIN LEVEL FREE - ARUP,70.0,70.0,,,0 HCPCS,80187,Drug assay posaconazole,,,27.11,71.84,7 HCPCS,80187,HC POSACONAZOLE DRUG ASSAY,211.0,211.0,,,0 HCPCS,80187,HC POSACONAZOLE LEVEL QUANT - ARUP,292.0,292.0,,,0 HCPCS,80188,Assay of primidone,,,16.59,43.96,7 HCPCS,80188,HC PRIMIDONE LEVEL - ARUP,51.0,51.0,,,0 HCPCS,80188,HC PRIMIDONE LEVEL - PRIMIDONE AND METABOLITE - ARUP,37.0,37.0,,,0 HCPCS,80189,Drug assay itraconzaole,,,27.11,71.84,7 HCPCS,80189,HC ITRACONAZOLE LEVEL,177.0,177.0,,,0 HCPCS,80189,HC ITRACONAZOLE LEVEL - ARUP,239.0,239.0,,,0 HCPCS,80190,Assay of procainamide,,,60.0,159.0,7 HCPCS,80192,Assay of procainamide,,,16.75,44.39,7 HCPCS,80192,HC ASSAY OF PROCAINAMIDE W METABOLITES - PROCAINAMIDE + NAPA,103.0,103.0,,,0 HCPCS,80192,HC PROCAINAMIDE LEVEL + NAPA - ARUP,155.0,155.0,,,0 HCPCS,80192,HC PROCAINAMIDE LEVEL AND NAPA - MAYO,924.0,924.0,,,0 HCPCS,80193,Drug assay leflunomide,,,38.57,102.21,7 HCPCS,80193,HC LEFLUNOMIDE,190.0,190.0,,,0 HCPCS,80193,HC LEFLUNOMIDE LEVEL - ARUP,316.0,316.0,,,0 HCPCS,80194,Assay of quinidine,,,14.6,38.69,7 HCPCS,80195,Assay of sirolimus,,,13.73,36.38,7 HCPCS,80195,HC SIROLIMUS LEVEL,447.5,447.5,,,0 HCPCS,80195,HC SIROLIMUS LEVEL - ARUP,108.0,108.0,,,0 HCPCS,80197,Assay of tacrolimus,,,13.73,36.38,7 HCPCS,80197,HC TACROLIMUS (TMS) - ARUP,76.5,76.5,,,0 HCPCS,80197,HC TACROLIMUS HIGHLY SENSITIVE LC/MS/MS - QWDL,137.5,137.5,,,0 HCPCS,80197,HC TACROLIMUS LEVEL IMMUNOASSAY,838.0,838.0,,,0 HCPCS,80198,Assay of theophylline,,,14.14,37.47,7 HCPCS,80198,HC THEOPHYLLINE LEVEL,387.0,387.0,,,0 HCPCS,80198,HC THEOPHYLLINE LEVEL - ARUP,78.0,78.0,,,0 HCPCS,80199,Drug screen quant tiagabine,,,27.11,71.84,7 HCPCS,80199,HC DRUG ASSAY - TIAGABINE/GABITRIL,193.0,193.0,,,0 HCPCS,80199,HC DRUG SCREEN QUANT - TIAGABINE LEVEL,193.0,193.0,,,0 HCPCS,80199,HC TIAGABINE (GABITRIL) LEVEL - ARUP,365.0,365.0,,,0 HCPCS,80200,Assay of tobramycin,,,16.13,42.74,7 HCPCS,80200,HC TOBRAMYCIN LEVEL,592.0,592.0,,,0 HCPCS,80201,Assay of topiramate,,,11.92,31.59,7 HCPCS,80201,HC ASSAY OF TOPIRAMATE - TOPIRAMATE LEVEL,102.0,102.0,,,0 HCPCS,80201,HC TOPIRAMATE LEVEL - ARUP,110.0,110.0,,,0 HCPCS,80202,Assay of vancomycin,,,13.54,35.88,7 HCPCS,80202,HC VANCOMYCIN LEVEL,474.5,474.5,,,0 HCPCS,80203,Drug screen quant zonisamide,,,13.25,35.11,7 HCPCS,80203,HC DRUG ASSAY - ZONISAMIDE,161.0,161.0,,,0 HCPCS,80203,HC ZONISAMIDE LEVEL- ARUP,177.0,177.0,,,0 HCPCS,80204,Drug assay methotrexate,,,38.57,102.21,7 HCPCS,80204,HC DRUG THERAPEUTIC LEVEL - METHOTREXATE LEVEL,1064.0,1064.0,,,0 HCPCS,80210,Drug assay rufinamide,,,27.11,71.84,7 HCPCS,80220,Drug asy hydroxychloroquine,,,18.64,49.4,7 HCPCS,80220,"HC HYDROXYCHLOROQUINE LEVEL, BLOOD - ARUP",915.0,915.0,,,0 HCPCS,80230,Drug assay infliximab,,,38.57,102.21,7 HCPCS,80230,HC DRUG ASSAY - INFLIXIMAB,488.0,488.0,,,0 HCPCS,80230,HC DRUG ASSAY - INFLIXIMAB - ARUP,906.0,906.0,,,0 HCPCS,80235,Drug assay lacosamide,,,27.11,71.84,7 HCPCS,80235,HC LACOSAMIDE LEVEL - ARUP,374.0,374.0,,,0 HCPCS,80235,HC THERAPEUTIC DRUG ASSAY - LACOSAMIDE LEVEL,211.0,211.0,,,0 HCPCS,80280,Drug assay vedolizumab,,,38.57,102.21,7 HCPCS,80280,HC DRUG ASSAY VEDOLIZUMAB,829.0,829.0,,,0 HCPCS,80285,Drug assay voriconazole,,,27.11,71.84,7 HCPCS,80285,HC DRUG ASSAY - VORICONAZOLE,155.0,155.0,,,0 HCPCS,80285,HC VORICONAZOLE LEVEL,155.0,155.0,,,0 HCPCS,80285,HC VORICONAZOLE LEVEL - ARUP,223.0,223.0,,,0 HCPCS,80299,HC 5 FLUOROCYTOSINE LEVEL - ARUP,448.0,448.0,,,0 HCPCS,80299,HC ASSAY OF DRUG - THIOPURINE METABOLITES LEVEL,191.5,191.5,,,0 HCPCS,80299,HC ASSAY OF DRUG - VORICONAZOLE LEVEL,122.5,122.5,,,0 HCPCS,80299,HC DEXAMETHASONE LEVEL - ARUP,290.0,290.0,,,0 HCPCS,80299,HC DIGITOXIN LEVEL - ARUP,382.0,382.0,,,0 HCPCS,80299,HC DRUG ASSAY - 5 FLUOROCYTOSINE,168.0,168.0,,,0 HCPCS,80299,HC DRUG ASSAY - DEXAMETHASONE,142.0,142.0,,,0 HCPCS,80299,HC DRUG ASSAY - DIGITOXIN,150.5,150.5,,,0 HCPCS,80299,HC DRUG ASSAY - INFLIXIMAB ACTIVITY,149.0,149.0,,,0 HCPCS,80299,HC DRUG ASSAY - ITRACONAZOLE,133.5,133.5,,,0 HCPCS,80299,HC DRUG ASSAY - LEFLUNOMIDE,140.0,140.0,,,0 HCPCS,80299,HC DRUG ASSAY - MEXILETINE,136.0,136.0,,,0 HCPCS,80299,HC DRUG ASSAY - PROPAFENONE,154.5,154.5,,,0 HCPCS,80299,HC DRUG ASSAY - SINEMET,289.0,289.0,,,0 HCPCS,80299,HC DRUG ASSAY - SOTALOL,163.0,163.0,,,0 HCPCS,80299,HC DRUG ASSAY - SULFONAMIDES,157.0,157.0,,,0 HCPCS,80299,HC DRUG ASSAY - UNLISTED,182.0,182.0,,,0 HCPCS,80299,HC DRUG ASSAY - USTEKINUMAB,149.0,149.0,,,0 HCPCS,80299,HC DRUG ASSAY THERAPEUTIC - UNLISTED - COUMADIN LEVEL,149.0,149.0,,,0 HCPCS,80299,HC DRUG ASSAY THERAPEUTIC - UNLISTED - DIGITOXIN LEVEL,149.0,149.0,,,0 HCPCS,80299,HC DRUG SCREEN QUANT - PROPAFENONE LEVEL,149.0,149.0,,,0 HCPCS,80299,HC METHOTREXATE LEVEL SENSITIVE - ARUP,152.0,152.0,,,0 HCPCS,80299,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - AMIODARONE LEVEL,98.5,98.5,,,0 HCPCS,80299,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - DISOPYRAMIDE LEVEL,98.5,98.5,,,0 HCPCS,80299,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - FLECAINIDE LEVEL,98.5,98.5,,,0 HCPCS,80299,HC QUANTITATION DRUG NOT ELSEWHERE SPECIFIED - METHOTREXATE LEVEL,577.0,577.0,,,0 HCPCS,80299,HC SOTALOL LEVEL - ARUP,458.0,458.0,,,0 HCPCS,80299,HC THIOPURINE METABOLITES LEVEL RBC - ARUP,541.0,541.0,,,0 HCPCS,80299,Quantitative assay drug,,,18.64,49.4,7 HCPCS,80305,Drug test prsmv dir opt obs,,,12.6,33.39,7 HCPCS,80305,HC DRUG TEST PRSMV DIR OPT OBS - TOXICOLOGY SCREEN URINE,1175.0,1175.0,,,0 HCPCS,80306,Drug test prsmv instrmnt,,,17.14,45.42,7 HCPCS,80306,HC DRUG SCREEN OPTICAL INSTRUMENT READ URINE,1175.0,1175.0,,,0 HCPCS,80307,Drug test prsmv chem anlyzr,,,62.14,164.67,7 HCPCS,80307,HC AMPHETAMINE LEVEL QUAL URINE,437.0,437.0,,,0 HCPCS,80307,HC BENZODIAZEPINE LEVEL URINE QUAL,437.0,437.0,,,0 HCPCS,80307,HC CANNABINOID SCREEN URINE,387.0,387.0,,,0 HCPCS,80307,HC COTININE LEVEL URINE - ARUP,85.0,85.0,,,0 HCPCS,80307,HC COTININE URINE SCREEN - ARUP,93.0,93.0,,,0 HCPCS,80307,HC DOA ALCOHOL URINE SCREEN WITH REFLEX TO CONFIRM - ARUP,98.0,98.0,,,0 HCPCS,80307,HC DRUG SCREEN 7 WITH REFLEX CONFIRMATION URINE - ARUP,104.0,104.0,,,0 HCPCS,80307,HC DRUG SCREEN 9 TARGETS WITH CONFIRMATION/QUANTITATION URINE - ARUP,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG SCREEN 9 WITH REFLEX CONFIRMATION URINE - ARUP,113.0,113.0,,,0 HCPCS,80307,HC DRUG SCREEN PANEL 9 WITH REFLEX CONFIRMATION SERUM OR PLASMA - ARUP,151.0,151.0,,,0 HCPCS,80307,HC DRUG SCREEN QUANT - ANABOLIC STEROIDS SCREEN URINE,297.0,297.0,,,0 HCPCS,80307,HC DRUG SCREEN QUANT - BARBITURATES SCREEN URINE,437.0,437.0,,,0 HCPCS,80307,HC DRUG SCREEN QUANT - FLUNITRAZEPAM LEVEL,337.0,337.0,,,0 HCPCS,80307,HC DRUG SCREEN QUANT - GAMMA HYDROXYBUTYRATE,353.0,353.0,,,0 HCPCS,80307,HC DRUG SCREEN QUANT - HEROIN LEVEL,252.0,252.0,,,0 HCPCS,80307,HC DRUG SCREEN QUANT - LYSERGIC ACID DIETHYLAMIDE URINE,227.0,227.0,,,0 HCPCS,80307,HC DRUG SCREEN QUANT - METHADONE SCREEN URINE,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG SCREEN QUANT - TOXICOLOGY SCREEN BREAST MILK,1040.5,1040.5,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYXR - FENTANYL QUALITATIVE URINE,437.0,437.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - ACETAMINOPHEN/TYLENOL LEVEL,589.0,589.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL LEVEL,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - BREAST MILK,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - COCAINE URINE QUAL,437.0,437.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL CHAIN OF CUSTODY,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE,1477.0,1477.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE 7 AND CONFIRM,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE 9 AND CONFIRM,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE MECONIUM,228.0,228.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE MECONIUM AND CONFIRM,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL SERUM AND CONFIRM,228.0,228.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL TRANSPLANT,1403.0,1403.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL UMBILICAL,228.0,228.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL URINE,1477.0,1477.0,,,0 HCPCS,80307,"HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL, EMERGENCY",1339.0,1339.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - ETHYL GLUCURONIDE SCREEN URINE,163.5,163.5,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - LSD SCREEN URINE,1403.0,1403.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - NICOTINE SCREEN URINE,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - PHENCYCLIDINE (PCP) SCREEN UR,1339.0,1339.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - POCT TRICYCLIC ANTIDEPRESSANTS,437.0,437.0,,,0 HCPCS,80307,HC DRUG TEST PRSMV CHEM ANLYZR - SALICYLATE LEVEL SERUM,437.0,437.0,,,0 HCPCS,80307,HC ETHYL GLUCURONIDE SCREEN WITH REFLEX CONFIRMATION - ARUP,63.0,63.0,,,0 HCPCS,80307,"HC FENTANYL SCREEN WITH REFLEX, URINE - ARUP",64.0,64.0,,,0 HCPCS,80307,HC FLUNITRAZEPAM (ROHYPNOL) - ARUP,653.0,653.0,,,0 HCPCS,80307,HC GAMMA HYDROXYBUTYRIC (GHB) ACID SCREEN SERUM /PLASMA - ARUP,681.0,681.0,,,0 HCPCS,80307,HC MECONIUM DRUG SCREEN - ARUP,126.0,126.0,,,0 HCPCS,80307,HC METHADONE SCREEN URINE,437.0,437.0,,,0 HCPCS,80307,HC NEO/MATERNAL TOXICOLOGY SCREEN 8 DRUG CLASSES,1151.0,1151.0,,,0 HCPCS,80307,HC NEO/MATERNAL TOXICOLOGY SCREEN 9 TARGETS,1295.0,1295.0,,,0 HCPCS,80307,HC OPIATE QUAL URINE,437.0,437.0,,,0 HCPCS,80307,HC OXYCODONE SCREEN URINE,437.0,437.0,,,0 HCPCS,80307,HC TAPENTADOL SCREEN URINE WITH REFLEX - ARUP,68.0,68.0,,,0 HCPCS,80307,"HC TOXICOLOGY SCREEN URINE, 10 DRUG CLASSES",1477.0,1477.0,,,0 HCPCS,80307,"HC TOXICOLOGY SCREEN URINE, 9 DRUG CLASSES",1329.0,1329.0,,,0 HCPCS,80307,HC TRAMADOL LEVEL SCREEN URINE - ARUP,68.0,68.0,,,0 HCPCS,80307,HC TRANSPLANT TOXICOLOGY SCREEN 9 TARGETS,1295.0,1295.0,,,0 HCPCS,80307,HC TRICYCLIC LEVEL (ANTIDEPRESSANTS) URINE,407.0,407.0,,,0 HCPCS,80307,HC URINE BARBITURATES SCREEN,404.0,404.0,,,0 HCPCS,80307,HC URINE FENTANYL SCREEN,404.0,404.0,,,0 HCPCS,80320,HC ALCOHOL LEVEL URINE QUANT - ARUP,94.0,94.0,,,0 HCPCS,80320,HC DRUG SCREEN QUANTITATIVE ALCOHOLS - ALCOHOLS,116.0,116.0,,,0 HCPCS,80320,HC DRUG SCREEN QUANTITATIVE ALCOHOLS - ETHANOL URINE,103.0,103.0,,,0 HCPCS,80320,HC DRUG SCREEN QUANTITATIVE ALCOHOLS - ISOPROPANOL,115.0,115.0,,,0 HCPCS,80320,HC DRUG SCREEN QUANTITATIVE ALCOHOLS - METHANOL,115.0,115.0,,,0 HCPCS,80320,HC ISOPROPYL ALCOHOL LEVEL - ARUP,94.0,94.0,,,0 HCPCS,80320,HC METHANOL LEVEL - ARUP,94.0,94.0,,,0 HCPCS,80320,HC VOLATILES SCREEN - ARUP,94.0,94.0,,,0 HCPCS,80321,HC DRUG DEFINITIVE EVAL - PHOSPHATIDYLETHANOL,238.0,238.0,,,0 HCPCS,80321,HC DRUG TEST DEFIN - ALCOHOL BIOMARKERS,238.0,238.0,,,0 HCPCS,80321,HC ETHYL GLUCURONIDE AND ETHYL SULFATE URINE QUANTITATIVE - ARUP,167.0,167.0,,,0 HCPCS,80321,"HC ETHYL GLUCURONIDE, CORDTISS, QUAL - ARUP",239.0,239.0,,,0 HCPCS,80321,HC PHOSPHATIDYLETHANOL (PETH) - ARUP,405.0,405.0,,,0 HCPCS,80323,HC ALKALOIDS - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,108.0,108.0,,,0 HCPCS,80323,HC ALKALOIDS DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 HCPCS,80323,"HC ALKALOIDS NOT OTHERWISE SPECIFIED - COTININE, URINE",115.0,115.0,,,0 HCPCS,80323,HC ALKALOIDS NOT OTHERWISE SPECIFIED - LSD URINE,115.0,115.0,,,0 HCPCS,80323,HC ALKALOIDS NOT OTHERWISE SPECIFIED - NICOTINE SCREEN URINE,115.0,115.0,,,0 HCPCS,80323,HC DRUG DEFINITIVE EVAL - LYSERGIC ACID DIETHYLAMIDE CONFIRMATION URINE,115.0,115.0,,,0 HCPCS,80323,HC DRUG ID ALKALOIDS NOT OTHERWISE SPECIFIED - ALKALOIDS NOS SCREEN URINE,115.0,115.0,,,0 HCPCS,80323,"HC KRATOM, CORDTISS, QUAL - ARUP",597.0,597.0,,,0 HCPCS,80323,HC NICOTINE AND METABOLITES - DRUG DETECTION PANEL AND THC MECONIUM - ARUP,84.0,84.0,,,0 HCPCS,80323,HC NICOTINE AND METABOLITES PLASMA - ARUP,117.0,117.0,,,0 HCPCS,80323,HC NICOTINE AND METABOLITES QUANT - ARUP,128.0,128.0,,,0 HCPCS,80323,HC NICOTINE AND METABOLITES QUANT URINE - ARUP,140.0,140.0,,,0 HCPCS,80323,HC NICOTINE AND METABOLITES URINE - ARUP,130.0,130.0,,,0 HCPCS,80324,HC AMPHETAMINE BLOOD QUANT - ARUP,126.0,126.0,,,0 HCPCS,80324,HC DRUG DEFINITIVE EVAL - AMPHETAMINES QUANTITATION URINE,179.0,179.0,,,0 HCPCS,80324,"HC DRUG SCREEN QUANT AMPHETAMINES 1 OR 2 - AMPHETAMINE, BLOOD, QUANT",176.0,176.0,,,0 HCPCS,80324,HC DRUG SCREEN QUANT AMPHETAMINES 1 OR 2 - BUNDLED CHARGE,185.0,185.0,,,0 HCPCS,80325,HC AMPHETAMINE QUANT - AMPHETAMINE URINE CONFIRMATION - ARUP,65.0,65.0,,,0 HCPCS,80325,HC AMPHETAMINES DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,21.0,21.0,,,0 HCPCS,80325,HC AMPHETAMINES DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,26.0,26.0,,,0 HCPCS,80325,HC DRUG SCREEN QUANT AMPHETAMINES 3 OR 4 - BUNDLED CHARGE,87.0,87.0,,,0 HCPCS,80326,HC AMPHETAMINES - DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL- ARUP,84.0,84.0,,,0 HCPCS,80326,HC AMPHETAMINES - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,78.0,78.0,,,0 HCPCS,80326,HC DRUG DEFINITIVE EVAL - AMPHETAMINES CONFIRMATION SERUM,223.0,223.0,,,0 HCPCS,80326,HC DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE - BUNDLED CHARGE,223.0,223.0,,,0 HCPCS,80329,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - IBUPROFEN,179.0,179.0,,,0 HCPCS,80329,HC IBUPROFEN LEVEL - ARUP,261.0,261.0,,,0 HCPCS,80332,HC DRUG DEFINITIVE EVAL - ESCITALOPRAM LEVEL,326.0,326.0,,,0 HCPCS,80332,HC DRUG DEFINITIVE EVAL - PAROXETINE LEVEL,246.0,246.0,,,0 HCPCS,80332,HC DRUG DEFINITIVE EVAL - SERTRALINE LEVEL,179.0,179.0,,,0 HCPCS,80332,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - ESCITALOPRAM,249.0,249.0,,,0 HCPCS,80332,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - FLUOXETINE/PROZAC,299.0,299.0,,,0 HCPCS,80332,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - PAROXETINE,249.0,249.0,,,0 HCPCS,80332,HC DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 - SERTRALINE,249.0,249.0,,,0 HCPCS,80332,HC SEROTONERGIC CLASS - ANTIDEPRESSANT PANEL QUANT UR - ARUP,299.0,299.0,,,0 HCPCS,80335,HC AMITRIPTYLINE AND NORTRIPTYLINE SP LEVEL - ARUP,124.0,124.0,,,0 HCPCS,80335,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - AMITRIPTYLINE LVL,113.0,113.0,,,0 HCPCS,80335,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - CLOMIPRAMINE/ANAFRANIL LVL,107.0,107.0,,,0 HCPCS,80335,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - DESIPRAMINE LVL,113.0,113.0,,,0 HCPCS,80335,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - DOXEPIN&NORDOX,113.0,113.0,,,0 HCPCS,80335,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - IMIPRAMINE LEVEL,113.0,113.0,,,0 HCPCS,80335,HC ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 - NORTRIPTYLINE LVL,113.0,113.0,,,0 HCPCS,80335,HC ANTIDEPRESSANTS TRICYCLIC/CYCLICALS 1-2 DESIPRAMINE LVL,122.0,122.0,,,0 HCPCS,80335,HC DRUG DEFINITIVE EVAL - DESIPRAMINE LEVEL,113.0,113.0,,,0 HCPCS,80335,HC DRUG DEFINITIVE EVAL - DOXEPIN LEVEL,122.0,122.0,,,0 HCPCS,80335,HC DRUG DEFINITIVE EVAL - IMIPRAMINE LEVEL,113.0,113.0,,,0 HCPCS,80335,HC DRUG DEFINITIVE EVAL - NORTRIPTYLINE LEVEL,97.0,97.0,,,0 HCPCS,80335,HC NORTRIPTYLINE LEVEL - ARUP,72.0,72.0,,,0 HCPCS,80337,HC ANTIDEP TRICYCLIC/CYCLICALS 6+ TRICYCLIC ANTIDEP - BUNDLED CHARGE,140.0,140.0,,,0 HCPCS,80337,HC TRICYCLIC - ANTIDEPRESSANT PANEL QUANT URINE - ARUP,299.0,299.0,,,0 HCPCS,80338,HC ADDITIONAL ANTIDEPRESSANTS - ANTIDEPRESSANT PANEL QUANT URINE - ARUP,299.0,299.0,,,0 HCPCS,80338,HC ANTIDEP TRICYCLIC UNLISTED - BUPROPION BUNDLED CHARGE,174.0,174.0,,,0 HCPCS,80338,HC ANTIDEP TRICYCLIC UNLISTED - TRAZODONE/DESYREL BUNDLED CHARGE,107.0,107.0,,,0 HCPCS,80338,HC TRAZODONE DESYREL LEVEL - ARUP,80.0,80.0,,,0 HCPCS,80339,HC ANTIEPILEPTICS NOS 1-3 - BUNDLED CHARGE,211.0,211.0,,,0 HCPCS,80339,HC ANTIEPILEPTICS NOS 1-3 CLOBAZAM - BUNDLED CHARGE,211.0,211.0,,,0 HCPCS,80339,HC ANTIEPILEPTICS NOS 1-3 FELBAMATE / FELBATOL - BUNDLED CHARGE,211.0,211.0,,,0 HCPCS,80339,HC ANTIEPILEPTICS NOS 1-3 LACOSAMIDE - BUNDLED CHARGE,211.0,211.0,,,0 HCPCS,80339,HC ANTIEPILEPTICS NOS 1-3 RUFINAMIDE - BUNDLED CHARGE,281.0,281.0,,,0 HCPCS,80339,HC COBAZAM (ONFI) LEVEL - ARUP,529.0,529.0,,,0 HCPCS,80339,HC PERAMPANEL QUANT SERUM OR PLASMA - ARUP,840.0,840.0,,,0 HCPCS,80342,HC ANTIPSYCHOTICS NOS 1-3 - BUNDLED CHARGE,185.0,185.0,,,0 HCPCS,80342,HC ANTIPSYCHOTICS NOS 1-3 QUETIAPINE / SEROQUEL - BUNDLED CHARGE,185.0,185.0,,,0 HCPCS,80342,HC ANTIPSYCHOTICS NOS 1-3 RISPERIDONE - BUNDLED CHARGE,146.0,146.0,,,0 HCPCS,80342,HC ANTIPSYCHOTICS NOS 1-3 ZIPRASIDONE / GEODON - BUNDLED CHARGE,227.0,227.0,,,0 HCPCS,80342,HC ARIPIPRAZOLE LEVEL AND METABOLITE (ABILIFY) SERUM OR PLASMA - ARUP,199.0,199.0,,,0 HCPCS,80342,HC DRUG DEFINITIVE EVAL - ARIPIPRAZOLE LEVEL,146.0,146.0,,,0 HCPCS,80342,HC DRUG DEFINITIVE EVAL - CHLORPROMAZINE LEVEL,174.0,174.0,,,0 HCPCS,80342,HC DRUG DEFINITIVE EVAL - OLANZAPINE LEVEL,182.0,182.0,,,0 HCPCS,80342,HC QUETIAPINE (SEROQUEL) LEVEL - ARUP,309.0,309.0,,,0 HCPCS,80342,HC ZIPRASIDONE (GEODON) LEVEL - ARUP,410.0,410.0,,,0 HCPCS,80345,HC BARBITURATE URINE CONFIRMATION - ARUP,277.0,277.0,,,0 HCPCS,80345,HC BARBITURATES BLOOD QUANT - ARUP,246.0,246.0,,,0 HCPCS,80345,HC BARBITURATES DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,15.0,15.0,,,0 HCPCS,80345,HC BARBITURATES DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,18.0,18.0,,,0 HCPCS,80345,HC DRUG DEFINITIVE EVAL - BARBITURATES QUANTITATION,157.0,157.0,,,0 HCPCS,80345,HC DRUG SCREENING BARBITURATES - BARBITURATE MECONIUM QUANT,165.0,165.0,,,0 HCPCS,80345,HC DRUG SCREENING BARBITURATES - BARBITURATE URINE QUANT,157.0,157.0,,,0 HCPCS,80345,HC DRUG SCREENING BARBITURATES - PENTOBARBITAL URINE QUANT,101.0,101.0,,,0 HCPCS,80345,HC PENTOBARBITAL LEVEL SERUM OR PLASMA - ARUP,157.0,157.0,,,0 HCPCS,80346,HC ALPRAZOLAM (XANAX) LEVEL - ARUP,124.0,124.0,,,0 HCPCS,80346,HC BENZODIAZEPINE LEVEL QUANT SERUM OR PLASMA - ARUP,147.0,147.0,,,0 HCPCS,80346,HC BENZODIAZEPINE LEVEL URINE QUANT - ARUP,130.0,130.0,,,0 HCPCS,80346,HC BENZODIAZEPINES DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,79.0,79.0,,,0 HCPCS,80346,HC BENZODIAZEPINES DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,98.0,98.0,,,0 HCPCS,80346,HC CLONAZEPAM LEVEL - ARUP,124.0,124.0,,,0 HCPCS,80346,HC DRUG DEFINITIVE EVAL - BENZODIAZEPINES CONFIRMATION SERUM,143.0,143.0,,,0 HCPCS,80346,HC DRUG DEFINITIVE EVAL - DIAZEPAM LEVEL,122.0,122.0,,,0 HCPCS,80346,HC DRUG DEFINITIVE EVAL - FLUNITRAZEPAM CONFIRMATION,143.0,143.0,,,0 HCPCS,80346,HC DRUG SCREENING BENZODIAZEPINES 1-12 - ALPRAZOLAM / XANAX URINE QUANT,138.0,138.0,,,0 HCPCS,80346,HC DRUG SCREENING BENZODIAZEPINES 1-12 - BENZODIAZEPINE MECONIUM QUANT,196.0,196.0,,,0 HCPCS,80346,HC DRUG SCREENING BENZODIAZEPINES 1-12 - BENZODIAZEPINE URINE QUANT,128.0,128.0,,,0 HCPCS,80346,HC DRUG SCREENING BENZODIAZEPINES 1-12 - CHLORDIAZEPOXIDE / LIBRIUM QUANT,151.0,151.0,,,0 HCPCS,80346,HC DRUG SCREENING BENZODIAZEPINES 1-12 - CLONAZEPAM / KLONOPIN QUANT,120.0,120.0,,,0 HCPCS,80346,HC DRUG SCREENING BENZODIAZEPINES 1-12 - LORAZEPAM / ATIVAN QUANT,194.0,194.0,,,0 HCPCS,80346,HC DRUG SCREENING BENZODIAZEPINES 1-12 BENZODIAZEPINE - BUNDLED CHARGE,149.0,149.0,,,0 HCPCS,80346,HC FLUNITRAZEPAM LEVEL AND METABOLITE CONFIRMATION SERUM OR PLASMA - ARUP,661.0,661.0,,,0 HCPCS,80346,HC LORAZEPAM (ATIVAN) LEVEL - ARUP,133.0,133.0,,,0 HCPCS,80347,HC BENZODIAZEPINES - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,78.0,78.0,,,0 HCPCS,80347,HC BENZODIAZEPINES-DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL-ARUP,84.0,84.0,,,0 HCPCS,80347,HC DRUG ID BENZODIAZEPINES 13+ BENZODIAZEPINE URINE,446.0,446.0,,,0 HCPCS,80347,HC DRUG SCREENING BENZODIAZEPINES 13+ BENZODIAZEPINE - BUNDLED CHARGE,446.0,446.0,,,0 HCPCS,80348,HC BUPRENORPHINE & METABOLITES QUANT URINE - ARUP,151.0,151.0,,,0 HCPCS,80348,HC BUPRENORPHINE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,15.0,15.0,,,0 HCPCS,80348,HC BUPRENORPHINE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,18.0,18.0,,,0 HCPCS,80348,HC BUPRENORPHINE LEVEL & METABOLITES QUANT SERUM OR PLASMA - ARUP,246.0,246.0,,,0 HCPCS,80348,HC BUPRENORPHINE MECONIUM CONFIRMATION,197.0,197.0,,,0 HCPCS,80348,HC DRUG SCREENING BUPRENORPHINE,178.0,178.0,,,0 HCPCS,80349,HC DRUG DEFINITIVE EVAL - THC CONFIRMATION MECONIUM,159.0,159.0,,,0 HCPCS,80349,HC DRUG DEFINITIVE EVAL - THC UMBILICAL CORD,159.0,159.0,,,0 HCPCS,80349,HC DRUG SCREENING CANNABINOIDS NATURAL - CANNABINOID CONFIRMATION,168.0,168.0,,,0 HCPCS,80349,HC DRUG SCREENING CANNABINOIDS NATURAL - CANNABINOID CONFIRMATION UR,110.0,110.0,,,0 HCPCS,80349,HC MARIJUANA CONFIRMATION MEC - ARUP,210.0,210.0,,,0 HCPCS,80349,HC THC (CANNABINOID) CONFIRMATION SERUM OR PLASMA - ARUP,126.0,126.0,,,0 HCPCS,80349,HC THC (CANNABINOID) METABOLITE QUANT URINE - ARUP,84.0,84.0,,,0 HCPCS,80349,HC THC - DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL - ARUP,210.0,210.0,,,0 HCPCS,80349,"HC THC MARIJUANA METABOLITE DEFINITIVE, CORDTISS, QUAL - ARUP",210.0,210.0,,,0 HCPCS,80349,"HC THC MARIJUANA METABOLITE DEFINITIVE, MECONIUM, QUAL - ARUP",210.0,210.0,,,0 HCPCS,80352,HC DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE - BUNDLED CHARGE,532.0,532.0,,,0 HCPCS,80353,HC COCAINE BLOOD QUANT - ARUP,205.0,205.0,,,0 HCPCS,80353,HC COCAINE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,28.0,28.0,,,0 HCPCS,80353,HC COCAINE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL-ARUP,36.0,36.0,,,0 HCPCS,80353,HC DRUG SCREENING COCAINE - COCAINE MECONIUM CONF,169.0,169.0,,,0 HCPCS,80353,HC DRUG SCREENING COCAINE - COCAINE URINE CONF,128.0,128.0,,,0 HCPCS,80353,"HC DRUG SCREENING COCAINE - COCAINE, BLOOD, QUANTITATIVE",128.0,128.0,,,0 HCPCS,80354,HC DRUG SCREENING FENTANYL - FENTANYL,206.0,206.0,,,0 HCPCS,80354,HC DRUG SCREENING FENTANYL - FENTANYL URINE,206.0,206.0,,,0 HCPCS,80354,HC FENTANYL AND METABOLITE QUANT SERUM OR PLASMA - ARUP,289.0,289.0,,,0 HCPCS,80354,HC FENTANYL AND METABOLITE URINE QUANT - ARUP,172.0,172.0,,,0 HCPCS,80354,HC FENTANYL DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 HCPCS,80354,HC FENTANYL DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL-ARUP,8.0,8.0,,,0 HCPCS,80355,HC CLOMIPRAMINE (ANAFRANIL) LEVEL - ARUP,122.0,122.0,,,0 HCPCS,80355,HC DEFINITIVE DRUG ASSAY - GABAPENTIN NON-BLOOD,607.0,607.0,,,0 HCPCS,80355,HC GABAPENTIN - DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL - ARUP,84.0,84.0,,,0 HCPCS,80355,HC GABAPENTIN - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,78.0,78.0,,,0 HCPCS,80355,HC GABAPENTIN NON-BLOOD DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 HCPCS,80355,HC GABAPENTIN NON-BLOOD DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL-ARUP,8.0,8.0,,,0 HCPCS,80356,HC DRUG DEFINITIVE EVAL - HEROIN CONFIRMATION URINE,466.0,466.0,,,0 HCPCS,80356,"HC HEROIN - HEROIN METABOLITES, FREE, CONFIRMATION, SERUM/PLASMA - ARUP",525.0,525.0,,,0 HCPCS,80356,HC HEROIN METABOLITE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 HCPCS,80356,HC HEROIN METABOLITE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 HCPCS,80357,HC DRUG DEFINITIVE EVAL - KETAMINE LEVEL,254.0,254.0,,,0 HCPCS,80358,HC DRUG DEFINITIVE EVAL - METHADONE QUANTITATION URINE,169.0,169.0,,,0 HCPCS,80358,HC DRUG SCREENING METHADONE - METHADONE & METABOLITE LEVEL,170.0,170.0,,,0 HCPCS,80358,HC DRUG SCREENING METHADONE - METHADONE & METABOLITE LEVEL MECONIUM,148.0,148.0,,,0 HCPCS,80358,HC METHADONE & METABOLITES LEVEL URINE CONFIRMATION - ARUP,151.0,151.0,,,0 HCPCS,80358,HC METHADONE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,15.0,15.0,,,0 HCPCS,80358,HC METHADONE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,18.0,18.0,,,0 HCPCS,80358,HC METHADONE LEVEL SERUM - QWDL,210.0,210.0,,,0 HCPCS,80358,HC METHADONE LEVEL SERUM/PLASMA - ARUP,256.0,256.0,,,0 HCPCS,80359,HC DRUG SCREENING METHYLENEDIOXYAMPHETAMINES,293.0,293.0,,,0 HCPCS,80359,HC MDMA (ECSTACY) URINE,87.0,87.0,,,0 HCPCS,80359,HC MDMA/ECSTASY DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 HCPCS,80359,HC MDMA/ECSTASY DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 HCPCS,80359,HC METHAMPHETAMINE QUANT - AMPHETAMINE URINE CONFIRMATION - ARUP,65.0,65.0,,,0 HCPCS,80360,HC DRUG DEFINITIVE EVAL - METHYLPHENIDATE LEVEL,223.0,223.0,,,0 HCPCS,80360,HC METHYLPHENIDATE AND METABOLITE LEVEL,223.0,223.0,,,0 HCPCS,80360,HC METHYLPHENIDATE AND METABOLITE LEVEL URINE - ARUP,281.0,281.0,,,0 HCPCS,80360,HC METHYLPHENIDATE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 HCPCS,80361,HC DRUG DEFINITIVE EVAL - OPIATES CONFIRMATION MECONIUM,136.0,136.0,,,0 HCPCS,80361,HC DRUG SCREENING OPIATES 1 OR MORE - BUNDLED CHARGE,139.0,139.0,,,0 HCPCS,80361,"HC DRUG SCREENING OPIATES 1 OR MORE - OPIATE,QUANTITATIVE,UR CONF",114.0,114.0,,,0 HCPCS,80361,HC OPIATE LEVEL BLOOD QUANT - ARUP,1050.0,1050.0,,,0 HCPCS,80361,HC OPIATE LEVEL QUANT URINE CONFIRMATION - ARUP,53.0,53.0,,,0 HCPCS,80361,"HC OPIATES - HEROIN METABOLITES, FREE, CONFIRMATION, SERUM/PLASMA - ARUP",525.0,525.0,,,0 HCPCS,80361,HC OPIATES DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,43.0,43.0,,,0 HCPCS,80361,HC OPIATES DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,54.0,54.0,,,0 HCPCS,80362,HC MEPERIDINE (DEMEROL) LEVEL,206.0,206.0,,,0 HCPCS,80362,HC MEPERIDINE LEVEL & METABOLITE QUANT URINE - ARUP,776.0,776.0,,,0 HCPCS,80362,"HC OPIOIDS, OPIATE ANALOGS DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL ARUP",15.0,15.0,,,0 HCPCS,80362,"HC OPIOIDS, OPIATE ANALOGS DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP",18.0,18.0,,,0 HCPCS,80364,HC DRUG DETECTION PANEL UMBILICAL CORD TISSUE QUAL - ARUP,335.0,335.0,,,0 HCPCS,80364,HC OPIATE - DRUG DETECTION PANEL & THC METABOLITE MECONIUM QUAL - ARUP,84.0,84.0,,,0 HCPCS,80364,HC OPIATE 5+ CONFIRMATION,194.0,194.0,,,0 HCPCS,80364,HC OPIATE 5+ MECONIUM CONFIRMATION,194.0,194.0,,,0 HCPCS,80364,HC OPIATES - DRUG DETECTION PANEL QUALITATIVE MECONIUM - ARUP,78.0,78.0,,,0 HCPCS,80365,HC DRUG SCREENING OXYCODONE - CONFIRMATION,197.0,197.0,,,0 HCPCS,80365,HC OXYCODONE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,28.0,28.0,,,0 HCPCS,80365,HC OXYCODONE DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,26.0,26.0,,,0 HCPCS,80366,HC DRUG SCREENING PREGABALIN - CONFIRMATION,138.0,138.0,,,0 HCPCS,80366,HC PREGABALIN LEVEL URINE - ARUP,189.0,189.0,,,0 HCPCS,80367,HC DRUG DEFINITIVE EVAL - PROPOXYPHENE LEVEL,187.0,187.0,,,0 HCPCS,80367,HC DRUG DEFINITIVE EVAL - QUETIAPINE LEVEL,187.0,187.0,,,0 HCPCS,80367,HC DRUG SCREENING PROPOXYPHENE - PROPOXYPHENE SCREEN URINE,187.0,187.0,,,0 HCPCS,80367,HC DRUG SCREENING PROPOXYPHENE - QUETIAPINE / SEROQUEL SCREEN URINE,187.0,187.0,,,0 HCPCS,80367,"HC PROPOXYPHENE AND METABOLITE, URINE, QUANT - ARUP",641.0,641.0,,,0 HCPCS,80367,HC PROPOXYPHENE DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 HCPCS,80368,HC DRUG DEFINITIVE EVAL - AMBIEN LEVEL,178.0,178.0,,,0 HCPCS,80368,HC SEDATIVE HYPNOTICS DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 HCPCS,80368,HC SEDATIVE HYPNOTICS DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 HCPCS,80368,HC ZOLPIDEM LEVEL URINE QUANT - ARUP,189.0,189.0,,,0 HCPCS,80369,HC DRUG ID SKELETAL MUSCLE RELAXANTS 1 OR 2 - MEPROBAMATE LEVEL,289.0,289.0,,,0 HCPCS,80369,HC DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2 - BUNDLED CHARGE,99.0,99.0,,,0 HCPCS,80372,HC DRUG SCREENING TAPENTADOL - BUNDLED CHARGE,201.0,201.0,,,0 HCPCS,80372,HC TAPENTADOL & METABOLITE LEVEL URINE QUANT - ARUP,268.0,268.0,,,0 HCPCS,80372,HC TAPENTADOL DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 HCPCS,80372,HC TAPENTADOL DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 HCPCS,80373,HC TRAMADOL & METABOLITE LEVEL URINE QUANT - ARUP,175.0,175.0,,,0 HCPCS,80373,HC TRAMADOL DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,21.0,21.0,,,0 HCPCS,80373,HC TRAMADOL DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,26.0,26.0,,,0 HCPCS,80373,HC TRAMADOL LEVEL URINE,251.0,251.0,,,0 HCPCS,80375,HC CARBIDOPA & LEVODOPA (SINEMET) LEVEL QUANT - ARUP,1075.0,1075.0,,,0 HCPCS,80375,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3 - BUNDLED CHARGE,280.0,280.0,,,0 HCPCS,80375,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3 - METFORMIN LEVEL,280.0,280.0,,,0 HCPCS,80375,HC METFORMIN LEVEL QUANT SERUM OR PLASMA - ARUP,505.0,505.0,,,0 HCPCS,80377,HC DIURETIC SCREEN URINE - ARUP,499.0,499.0,,,0 HCPCS,80377,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7+ - DIURETICS BUNDLED CHARGE,288.0,288.0,,,0 HCPCS,80377,HC DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7+ - SULFONYLUREA HYPOGLY BUNDLED CHARGE,282.0,282.0,,,0 HCPCS,80377,"HC HYPOGLYCEMIA PANEL (SULFONYLUREAS), SERUM OR PLASMA - ARUP",554.0,554.0,,,0 HCPCS,80377,HC SULFONYLUREA HYPOGLYCEMIA PANEL URINE - ARUP,373.0,373.0,,,0 HCPCS,80400,Acth stimulation panel,,,32.62,86.44,7 HCPCS,80402,Acth stimulation panel,,,86.96,230.44,7 HCPCS,80406,Acth stimulation panel,,,78.26,207.39,7 HCPCS,80408,Aldosterone suppression eval,,,125.5,332.58,7 HCPCS,80410,Calcitonin stimul panel,,,80.37,212.98,7 HCPCS,80412,CRH stimulation panel,,,801.62,2124.29,7 HCPCS,80414,Testosterone response,,,51.64,136.85,7 HCPCS,80415,Estradiol response panel,,,55.89,148.11,7 HCPCS,80416,Renin stimulation panel,,,209.32,554.7,7 HCPCS,80417,Renin stimulation panel,,,43.99,116.57,7 HCPCS,80418,Pituitary evaluation panel,,,579.48,1535.62,7 HCPCS,80420,Dexamethasone panel,,,161.88,428.98,7 HCPCS,80422,Glucagon tolerance panel,,,46.07,122.09,7 HCPCS,80424,Glucagon tolerance panel,,,50.5,133.82,7 HCPCS,80426,Gonadotropin hormone panel,,,148.41,393.29,7 HCPCS,80428,Growth hormone panel,,,66.7,176.76,7 HCPCS,80430,Growth hormone panel,,,129.33,342.72,7 HCPCS,80432,Insulin suppression panel,,,165.61,438.87,7 HCPCS,80434,Insulin tolerance panel,,,285.03,755.33,7 HCPCS,80435,Insulin tolerance panel,,,103.0,272.95,7 HCPCS,80436,Metyrapone panel,,,91.16,241.57,7 HCPCS,80438,TRH stimulation panel,,,50.41,133.59,7 HCPCS,80439,TRH stimulation panel,,,67.21,178.11,7 HCPCS,80503,Path clin consltj sf 5-20,,,54.42,144.21,7 HCPCS,80504,Path clin consltj mod 21-40,,,177.91,471.47,7 HCPCS,80505,Path clin consltj high 41-60,,,177.91,471.47,7 HCPCS,81000,HC URINALYSIS W MICROSCOPIC NON-AUTO,65.0,65.0,,,0 HCPCS,81000,Urinalysis nonauto w/scope,,,4.02,10.65,7 HCPCS,81001,HC URINALYSIS AUTO WITH MICROSCOPIC,292.0,292.0,,,0 HCPCS,81001,Urinalysis auto w/scope,,,3.17,8.4,7 HCPCS,81002,HC PBB URINALYSIS NONAUTO W/O SCOPE,85.0,85.0,,,0 HCPCS,81002,"HC URINALYSIS, NON-AUTO W/O MICROSCPY",103.0,103.0,,,0 HCPCS,81002,"HC URINALYSIS, NON-AUTO W/O MICROSCPY - ACETONE QUAL",61.0,61.0,,,0 HCPCS,81002,"HC URINALYSIS, NON-AUTO W/O MICROSCPY - POC",61.0,61.0,,,0 HCPCS,81002,"HC URINALYSIS, NON-AUTO W/O MICROSCPY - PROTEIN",103.0,103.0,,,0 HCPCS,81002,"HC URINALYSIS, NON-AUTO W/O MICROSCPY - SPECIFIC GRAVITY",61.0,61.0,,,0 HCPCS,81002,Urinalysis nonauto w/o scope,,,3.48,9.22,7 HCPCS,81003,HC BILE URINE,151.5,151.5,,,0 HCPCS,81003,HC GLUCOSE URINE QUALITATIVE,196.0,196.0,,,0 HCPCS,81003,HC URINALYSIS DIPSTICK,196.0,196.0,,,0 HCPCS,81003,HC URINALYSIS POINT OF CARE,151.5,151.5,,,0 HCPCS,81003,"HC URINALYSIS, AUTO W/O MICROSCPY - SPECIFIC GRAVITY QUAL",151.5,151.5,,,0 HCPCS,81003,"HC URINALYSIS, AUTO, W/O SCOPE - POCT KETONE, URINE",122.0,122.0,,,0 HCPCS,81003,"HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - ALBUMIN",122.0,122.0,,,0 HCPCS,81003,"HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - OCCULT BLOOD",119.5,119.5,,,0 HCPCS,81003,"HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - PH",150.0,150.0,,,0 HCPCS,81003,"HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - SPECIFIC GRAVITY",122.0,122.0,,,0 HCPCS,81003,HC UROBILINOGEN QUALITATIVE,196.0,196.0,,,0 HCPCS,81003,HC UROBILINOGEN QUALITATIVE URINE,119.5,119.5,,,0 HCPCS,81003,Urinalysis auto w/o scope,,,2.25,5.96,7 HCPCS,81005,"HC URINALYSIS - REDUCING SUBSTANCE, URINE",78.0,78.0,,,0 HCPCS,81005,Urinalysis,,,2.17,5.75,7 HCPCS,81007,Urine screen for bacteria,,,29.98,79.45,7 HCPCS,81015,HC URINALYSIS MICROSCOPIC ONLY,74.0,74.0,,,0 HCPCS,81015,Microscopic exam of urine,,,3.05,8.08,7 HCPCS,81020,Urinalysis glass test,,,4.7,12.46,7 HCPCS,81025,HC URINE PREGNANCY TEST - PREGNANCY URINE,256.0,256.0,,,0 HCPCS,81025,HC URINE PREGNANCY TEST - PREGNANCY URINE - POC,256.0,256.0,,,0 HCPCS,81025,Urine pregnancy test,,,8.61,22.82,7 HCPCS,81050,HC URINE VOLUME MEASUREMENT TIMED SPECIMEN,33.0,33.0,,,0 HCPCS,81050,Urinalysis volume measure,,,3.64,9.65,7 HCPCS,81105,Hpa-1 genotyping,,,122.22,323.88,7 HCPCS,81106,Hpa-2 genotyping,,,122.22,323.88,7 HCPCS,81107,Hpa-3 genotyping,,,122.22,323.88,7 HCPCS,81108,Hpa-4 genotyping,,,122.22,323.88,7 HCPCS,81109,Hpa-5 genotyping,,,122.22,323.88,7 HCPCS,81110,Hpa-6 genotyping,,,122.22,323.88,7 HCPCS,81111,Hpa-9 genotyping,,,122.22,323.88,7 HCPCS,81112,Hpa-15 genotyping,,,122.22,323.88,7 HCPCS,81120,HC GENE ANALYSIS - IDH1 VARIANTS,1097.0,1097.0,,,0 HCPCS,81120,HC IDH1 VARIANTS - IDH1/IDH2 MUTATIONAL ANALYSIS,1013.0,1013.0,,,0 HCPCS,81120,HC MOLECULAR PATHOLOGY - IDH1 GENE ANALYSIS,1097.0,1097.0,,,0 HCPCS,81120,Idh1 common variants,,,193.25,512.11,7 HCPCS,81121,HC GENE ANALYSIS - IDH2 VARIANTS,1097.0,1097.0,,,0 HCPCS,81121,HC IDH2 VARIANTS - IDH1/IDH2 MUTATIONAL ANALYSIS,1013.0,1013.0,,,0 HCPCS,81121,HC MOLECULAR PATHOLOGY - IDH2 GENE ANALYSIS,1097.0,1097.0,,,0 HCPCS,81121,Idh2 common variants,,,295.79,783.84,7 HCPCS,81161,DMD dup/delet analysis,,,279.0,739.35,7 HCPCS,81162,Brca1&2 seq & full dup/del,,,1824.88,4835.93,7 HCPCS,81162,HC BRCA 1&2 SEQUENCING - ARUP,2191.0,2191.0,,,0 HCPCS,81162,HC GENE ANALYSIS - BRCA1 VARIANTS,2359.0,2359.0,,,0 HCPCS,81162,HC MOLECULAR PATHOLOGY - BRCA1 VARIANTS,2359.0,2359.0,,,0 HCPCS,81163,Brca1&2 gene full seq alys,,,468.0,1240.2,7 HCPCS,81163,HC GENE ANALYSIS - BRCA1 FULL SEQUENCE,2482.0,2482.0,,,0 HCPCS,81163,HC MOLECULAR PATHOLOGY - BRCA1 FULL SEQUENCE,2877.0,2877.0,,,0 HCPCS,81164,Brca1&2 gen ful dup/del alys,,,584.23,1548.21,7 HCPCS,81165,Brca1 gene full seq alys,,,282.88,749.63,7 HCPCS,81166,Brca1 gene full dup/del alys,,,301.35,798.58,7 HCPCS,81167,Brca2 gene full dup/del alys,,,282.88,749.63,7 HCPCS,81168,Ccnd1/igh translocation alys,,,207.31,549.37,7 HCPCS,81170,Abl1 gene,,,300.0,795.0,7 HCPCS,81170,HC BCR ABL1 MUTATION ANALYSIS BY NGS - ARUP,3112.0,3112.0,,,0 HCPCS,81170,HC GENE ANALYSIS - ABL1 VARIANTS,675.5,675.5,,,0 HCPCS,81170,HC MOLECULAR PATHOLOGY - ABL1 GENE ANALYSIS KINASE DOMAIN VAR,578.0,578.0,,,0 HCPCS,81171,Aff2 gene detc abnor alleles,,,137.0,363.05,7 HCPCS,81172,Aff2 gene charac alleles,,,274.83,728.3,7 HCPCS,81173,Ar gene full gene sequence,,,301.35,798.58,7 HCPCS,81174,Ar gene known famil variant,,,185.2,490.78,7 HCPCS,81175,Asxl1 full gene sequence,,,676.5,1792.72,7 HCPCS,81176,Asxl1 gene target seq alys,,,241.9,641.04,7 HCPCS,81177,Atn1 gene detc abnor alleles,,,137.0,363.05,7 HCPCS,81178,Atxn1 gene detc abnor allele,,,137.0,363.05,7 HCPCS,81179,Atxn2 gene detc abnor allele,,,137.0,363.05,7 HCPCS,81180,Atxn3 gene detc abnor allele,,,137.0,363.05,7 HCPCS,81181,Atxn7 gene detc abnor allele,,,137.0,363.05,7 HCPCS,81182,Atxn8os gen detc abnor allel,,,137.0,363.05,7 HCPCS,81183,Atxn10 gene detc abnor allel,,,137.0,363.05,7 HCPCS,81184,Cacna1a gen detc abnor allel,,,137.0,363.05,7 HCPCS,81185,Cacna1a gene full gene seq,,,846.27,2242.62,7 HCPCS,81186,Cacna1a gen known famil vrnt,,,185.2,490.78,7 HCPCS,81187,Cnbp gene detc abnor allele,,,137.0,363.05,7 HCPCS,81188,Cstb gene detc abnor allele,,,137.0,363.05,7 HCPCS,81189,Cstb gene full gene sequence,,,274.83,728.3,7 HCPCS,81190,Cstb gene known famil vrnt,,,185.2,490.78,7 HCPCS,81191,Ntrk1 translocation analysis,,,207.31,549.37,7 HCPCS,81192,Ntrk2 translocation analysis,,,207.31,549.37,7 HCPCS,81193,Ntrk3 translocation analysis,,,207.31,549.37,7 HCPCS,81194,Ntrk translocation analysis,,,518.28,1373.44,7 HCPCS,81195,Cytog genom-wid alys hem mal,,,1863.22,4937.53,7 HCPCS,81200,Aspa gene,,,47.25,125.21,7 HCPCS,81201,Apc gene full sequence,,,780.0,2067.0,7 HCPCS,81202,Apc gene known fam variants,,,280.0,742.0,7 HCPCS,81203,Apc gene dup/delet variants,,,200.0,530.0,7 HCPCS,81204,Ar gene charac alleles,,,137.0,363.05,7 HCPCS,81205,Bckdhb gene,,,94.99,251.72,7 HCPCS,81206,Bcr/abl1 gene major bp,,,163.96,434.49,7 HCPCS,81206,HC BCR-ABL1 MAJOR - BCR-ABL1 QUAL W/ REFLEX TO MAJOR OR MINOR QUANT - ARUP,676.0,676.0,,,0 HCPCS,81206,HC BCR-ABL1 MAJOR QUANT PCR REFLEX - ARUP,1024.0,1024.0,,,0 HCPCS,81206,HC BCR-ABL1 MAJOR QUANTITATIVE PCR - ARUP,1024.0,1024.0,,,0 HCPCS,81206,HC BCR/ABL T(9-22) PCR QUANTITATIVE,256.0,256.0,,,0 HCPCS,81206,HC GENE ANALYSIS - BCR/ABL1 MAJOR BREAK,261.0,261.0,,,0 HCPCS,81206,HC MOLECULAR PATHOLOGY - BCR/ABL T(9;22),256.0,256.0,,,0 HCPCS,81206,HC MOLECULAR PATHOLOGY - BCR/ABL1 GENE ANALYSIS,256.0,256.0,,,0 HCPCS,81206,HC MOLECULAR PATHOLOGY - TIER 2 UNLISTED,256.0,256.0,,,0 HCPCS,81207,Bcr/abl1 gene minor bp,,,144.84,383.83,7 HCPCS,81207,HC BCR-ABL1 MINOR - BCR-ABL1 QUAL W/ REFLEX TO MAJOR OR MINOR QUANT - ARUP,676.0,676.0,,,0 HCPCS,81207,HC BCR-ABL1 MINOR QUANT PCR REFLEX - ARUP,1058.0,1058.0,,,0 HCPCS,81207,HC BCR/ABL T922 QNT MINOR BREAKPOINT,239.0,239.0,,,0 HCPCS,81207,HC GENE ANALYSIS - BCR/ABL1 MINOR BREAK,1079.0,1079.0,,,0 HCPCS,81207,HC MOLECULAR PATHOLOGY - BCR/ABL1 T922 GENE ANALYSIS,239.0,239.0,,,0 HCPCS,81208,Bcr/abl1 gene other bp,,,214.62,568.74,7 HCPCS,81208,HC BCR-ABL1 MICRO - BCR-ABL1 QUAL W/ REFLEX TO MAJOR OR MINOR QUANT - ARUP,676.0,676.0,,,0 HCPCS,81208,HC DIAGNOSTIC QUAL BCR-ABL1 ASSAY W/RFLX P190 OR P210 QUANT ASSAYS - ARUP,277.0,277.0,,,0 HCPCS,81208,HC GENE ANALYSIS - BCR/ABL1 OTHER BREAK,797.0,797.0,,,0 HCPCS,81208,"HC MOLECULAR PATHOLOGY - BCR/ABL1 (T(9;22)), QUAL OR QUANT",795.0,795.0,,,0 HCPCS,81209,Blm gene,,,39.31,104.17,7 HCPCS,81210,Braf gene,,,175.4,464.81,7 HCPCS,81210,HC BRAF MUTATIONAL ANALYSIS,1837.0,1837.0,,,0 HCPCS,81210,HC GENE ANALYSIS - BRAF V600E MUTATION,1990.0,1990.0,,,0 HCPCS,81210,HC MOLECULAR PATHOLOGY - BRAF GENE ANALYSIS,1990.0,1990.0,,,0 HCPCS,81212,Brca1&2 185&5385&6174 var,,,440.0,1166.0,7 HCPCS,81215,Brca1 gene known fam variant,,,375.25,994.41,7 HCPCS,81216,Brca2 gene full sequence,,,185.12,490.57,7 HCPCS,81217,Brca2 gene known fam variant,,,375.25,994.41,7 HCPCS,81217,HC GENE ANALYSIS - BRCA2 FAMILIAL VARIANT,1990.0,1990.0,,,0 HCPCS,81218,Cebpa gene full sequence,,,241.9,641.04,7 HCPCS,81218,HC GENE ANALYSIS - CEBPA FULL SEQUENCE,1972.0,1972.0,,,0 HCPCS,81218,HC MOLECULAR PATHOLOGY - CEBPA FULL GENE SEQUENCE,1972.0,1972.0,,,0 HCPCS,81219,Calr gene com variants,,,121.63,322.32,7 HCPCS,81219,"HC CALR GENE ANALYSIS, COMMON, EXON 9 - MPN JAK2 REFLEX PANEL",1429.0,1429.0,,,0 HCPCS,81219,HC CALRETICULIN (CALR) MUTATION ANALYSIS (CSI) - ARUP,840.0,840.0,,,0 HCPCS,81219,HC GENE ANALYSIS - CALR EXON 9 VARIANT,329.0,329.0,,,0 HCPCS,81220,Cftr gene com variants,,,556.6,1474.99,7 HCPCS,81220,HC CFTR GENE ANALYSIS COMMON VARIANTS - CYSTIC FIBROSIS DIAGNOSTIC STDY,340.0,340.0,,,0 HCPCS,81220,HC MOLECULAR PATHOLOGY - CFTR COMMON VARIANTS - CYSTIC FIBROSIS DIAG STDY,188.0,188.0,,,0 HCPCS,81221,Cftr gene known fam variants,,,97.22,257.63,7 HCPCS,81222,Cftr gene dup/delet variants,,,435.07,1152.94,7 HCPCS,81223,Cftr gene full sequence,,,499.0,1322.35,7 HCPCS,81224,Cftr gene intron poly t,,,168.75,447.19,7 HCPCS,81224,HC CYSTIC FIBROSIS TRANSMEM GENE INTRON POLY T,895.0,895.0,,,0 HCPCS,81225,Cyp2c19 gene com variants,,,291.36,772.1,7 HCPCS,81225,HC CYTOCHROME P450 2C19 GENOTYPE (CYP2C19 VARIANT) - ARUP,546.0,546.0,,,0 HCPCS,81225,HC CYTOCHROME P450 2C19 MUTATION,276.0,276.0,,,0 HCPCS,81225,HC GENE ANALYSIS - CYP2C19 VARIANT,276.0,276.0,,,0 HCPCS,81225,"HC MOLECULAR PATHOLOGY - CYP2C19 ANALYSIS, COMMON VARIANTS",276.0,276.0,,,0 HCPCS,81226,Cyp2d6 gene com variants,,,450.91,1194.91,7 HCPCS,81226,HC GENE ANALYSIS - CYP2D6 VARIANTS,428.0,428.0,,,0 HCPCS,81227,Cyp2c9 gene com variants,,,174.81,463.25,7 HCPCS,81227,HC GENE ANALYSIS - CYP2D9 VARIANTS,185.0,185.0,,,0 HCPCS,81228,Cytogen micrarray copy nmbr,,,900.0,2385.0,7 HCPCS,81228,HC GENE ANALYSIS - MICROARRAY VARIANTS,9221.0,9221.0,,,0 HCPCS,81228,HC MOLECULAR PATHOLOGY - CYTOGENOMIC MICROARRAY COPY NUMBER VARIANTS,9221.0,9221.0,,,0 HCPCS,81229,Cytogen m array copy no&snp,,,1160.0,3074.0,7 HCPCS,81229,HC CYTOGENOMIC INV PRB ARRAYFFPE TISSUE POC - ARUP,2017.0,2017.0,,,0 HCPCS,81229,HC GENE ANALYSIS - SNP VARIANTS,1101.5,1101.5,,,0 HCPCS,81229,"HC MOLECULAR PATHOLOGY - CYTOGENOMIC MICROARRAY ANALYSIS, CNV & SNP",1094.0,1094.0,,,0 HCPCS,81230,Cyp3a4 gene common variants,,,174.81,463.25,7 HCPCS,81231,Cyp3a5 gene common variants,,,174.81,463.25,7 HCPCS,81232,Dpyd gene common variants,,,174.81,463.25,7 HCPCS,81232,HC DIHYDROPYRIMIDINE DEHYDROGENASE (DPYD) - ARUP,1155.0,1155.0,,,0 HCPCS,81232,HC MOLECULAR PATHOLOGY - DPYD GENE ANALYSIS,448.0,448.0,,,0 HCPCS,81233,Btk gene common variants,,,175.4,464.81,7 HCPCS,81234,Dmpk gene detc abnor allele,,,137.0,363.05,7 HCPCS,81235,Egfr gene com variants,,,324.58,860.14,7 HCPCS,81235,HC EGFR GENE ANALYSIS,2665.0,2665.0,,,0 HCPCS,81235,HC GENE ANALYSIS - EGFR VARIANTS,2665.0,2665.0,,,0 HCPCS,81235,HC MOLECULAR PATHOLOGY - EGFR GENE ANALYSIS,2665.0,2665.0,,,0 HCPCS,81236,Ezh2 gene full gene sequence,,,282.88,749.63,7 HCPCS,81237,Ezh2 gene common variants,,,175.4,464.81,7 HCPCS,81238,F9 full gene sequence,,,600.0,1590.0,7 HCPCS,81239,Dmpk gene charac alleles,,,274.83,728.3,7 HCPCS,81240,F2 gene,,,65.69,174.08,7 HCPCS,81240,HC F2 GENE ANALYSIS 20210G >A VARIANT - PROTHROMBIN GENE MUTATION,1127.0,1127.0,,,0 HCPCS,81240,HC FACTOR 2 GENE MUTATION,1040.0,1040.0,,,0 HCPCS,81240,HC FACTOR 2 GENE MUTATION - ARUP,201.0,201.0,,,0 HCPCS,81240,HC FACTOR 2 GENE MUTATION - QWDL,406.0,406.0,,,0 HCPCS,81240,HC MOLECULAR PATHOLOGY - 20210G F2 >A VARIANT - PROTHROMBIN GENE MUTATION,1127.0,1127.0,,,0 HCPCS,81241,F5 gene,,,73.37,194.43,7 HCPCS,81241,HC F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT - FACTOR V LEIDEN,1127.0,1127.0,,,0 HCPCS,81241,HC FACTOR 5 LEIDEN,1040.0,1040.0,,,0 HCPCS,81241,HC FACTOR 5 LEIDEN - ARUP,189.0,189.0,,,0 HCPCS,81241,HC FACTOR 5 LEIDEN - QWDL,366.0,366.0,,,0 HCPCS,81241,HC MOLECULAR PATHOLOGY - F5 COAG FCTR V ANAL LEIDEN VARIANT - FCTR V LEIDEN,1127.0,1127.0,,,0 HCPCS,81242,Fancc gene,,,36.62,97.04,7 HCPCS,81243,Fmr1 gene detection,,,57.04,151.16,7 HCPCS,81243,HC FMR1 (FRAG X DNA) WITH REFLEX TO METHYLATION ANALYSIS - ARUP,399.0,399.0,,,0 HCPCS,81243,"HC FMR1 GENE DETECTION - CHROMOSOME ANALYSIS, FRAG X DNA",217.0,217.0,,,0 HCPCS,81243,HC FRAGILE X COMPREHENSIVE (CHILDREN),220.0,220.0,,,0 HCPCS,81243,"HC MOLECULAR PATHOLOGY - FMR1 ANALYSIS, ABNORMAL ALLELE DETECTION",220.0,220.0,,,0 HCPCS,81244,Fmr1 gene characterization,,,44.89,118.96,7 HCPCS,81244,HC FRAGILE X STATUS - ARUP,1784.0,1784.0,,,0 HCPCS,81244,HC GENE ANALYSIS - FMR1 ALLELES,361.0,361.0,,,0 HCPCS,81244,"HC MOLECULAR PATHOLOGY - FMR1 ANALYSIS, CHARAC OF ALLELES",361.0,361.0,,,0 HCPCS,81245,Flt3 gene,,,165.51,438.6,7 HCPCS,81245,HC FLT3 MUTATION PCR,327.0,327.0,,,0 HCPCS,81245,HC GENE ANALYSIS - FLT3 VARIANTS,327.0,327.0,,,0 HCPCS,81245,HC MOLECULAR PATHOLOGY - FLT3 GENE ANALYSIS,327.0,327.0,,,0 HCPCS,81246,Flt3 gene analysis,,,83.0,219.95,7 HCPCS,81246,HC FLT3 ITD AND TKD MUTATION DETECTION - ARUP,1030.0,1030.0,,,0 HCPCS,81246,HC GENE ANALYSIS - FLT3 / TKD VARIANTS,327.0,327.0,,,0 HCPCS,81246,HC MOLECULAR PATHOLOGY - FLT3 / TKD VARIANT GENE ANALYSIS,327.0,327.0,,,0 HCPCS,81247,G6pd gene alys cmn variant,,,174.81,463.25,7 HCPCS,81247,HC MOLECULAR PATHOLOGY - G6PD GENE ANAL COM VAR,1212.0,1212.0,,,0 HCPCS,81248,G6pd known familial variant,,,375.25,994.41,7 HCPCS,81249,G6pd full gene sequence,,,600.0,1590.0,7 HCPCS,81250,G6pc gene,,,58.49,155.0,7 HCPCS,81250,HC GENE ANALYSIS - G6PC VARIANTS,310.0,310.0,,,0 HCPCS,81250,"HC MOLECULAR PATHOLOGY - G6PC GENE ANALYSIS, COMMON VARIANTS",1168.0,1168.0,,,0 HCPCS,81251,Gba gene,,,47.25,125.21,7 HCPCS,81252,Gjb2 gene full sequence,,,101.12,267.97,7 HCPCS,81252,HC GENE ANALYSIS - GJB2 MUTATION,604.0,604.0,,,0 HCPCS,81252,HC MOLECULAR PATHOLOGY - GJB2 FULL GENE SEQUENCE,604.0,604.0,,,0 HCPCS,81253,Gjb2 gene known fam variants,,,61.52,163.03,7 HCPCS,81254,Gjb6 gene com variants,,,35.0,92.75,7 HCPCS,81255,HC HEXA GENE ANALYSIS COMMON VARIANTS,160.0,160.0,,,0 HCPCS,81255,Hexa gene,,,51.45,136.34,7 HCPCS,81256,HC HEMOCHROMATOSIS (HFE) 3 MUTATION - ARUP,294.0,294.0,,,0 HCPCS,81256,HC HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS - HEMOCHROMATOSIS MUT,181.0,181.0,,,0 HCPCS,81256,HC MOLECULAR PATHOLOGY - HFE HEMOCHROMATOSIS CMN VAR - HEMOCHROMATOSIS MUT,181.0,181.0,,,0 HCPCS,81256,Hfe gene,,,65.36,173.2,7 HCPCS,81257,HC HBA1/HBA2 GENE - GENE TEST BETA-THALASSEMIA,391.0,391.0,,,0 HCPCS,81257,"HC MOLECULAR PATHOLOGY - HBA2/HBA2 ANALYSIS, COMMON DELETIONS/VARIANT",391.0,391.0,,,0 HCPCS,81257,Hba1/hba2 gene,,,102.26,270.99,7 HCPCS,81258,Hba1/hba2 gene fam vrnt,,,375.25,994.41,7 HCPCS,81259,HC ALPHA THALASSEMIA HBA1 & HBA2 SEQ - ARUP,1963.0,1963.0,,,0 HCPCS,81259,HC GENE ANALYSIS - HBA1/HBA2 VARIANTS,2468.0,2468.0,,,0 HCPCS,81259,HC MOLECULAR PATHOLOGY - HBA1/HBA1 FULL GENE SEQUENCE,717.0,717.0,,,0 HCPCS,81259,Hba1/hba2 full gene sequence,,,600.0,1590.0,7 HCPCS,81260,Ikbkap gene,,,39.31,104.17,7 HCPCS,81261,HC B CELL CLONALITY NGS,2759.0,2759.0,,,0 HCPCS,81261,HC GENE ANALYSIS - IGH B CELL REARRANGEMENT,2779.0,2779.0,,,0 HCPCS,81261,HC MOLECULAR PATHOLOGY - IGH GENE ANALYSIS,2759.0,2759.0,,,0 HCPCS,81261,Igh gene rearrange amp meth,,,197.99,524.67,7 HCPCS,81262,Igh gene rearrang dir probe,,,68.55,181.66,7 HCPCS,81263,HC GENE ANALYSIS - IGH VARIABLE REGION SOMATIC MUTATION,596.0,596.0,,,0 HCPCS,81263,HC MOLECULAR PATHOLOGY - IGH@ VARIABLE REGION SOMATIC MUTATION ANAL,596.0,596.0,,,0 HCPCS,81263,Igh vari regional mutation,,,294.52,780.48,7 HCPCS,81264,HC IGK GENE REARRANGEMENT ANALYSIS,838.0,838.0,,,0 HCPCS,81264,Igk rearrangeabn clonal pop,,,172.73,457.73,7 HCPCS,81265,HC CHIMERISM PRE TRANSPLANT DONOR,4469.0,4469.0,,,0 HCPCS,81265,HC CHIMERISM PRE TRANSPLANT RECIPIENT,4654.5,4654.5,,,0 HCPCS,81265,HC COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC - ADDITIONAL CHARGE,4840.0,4840.0,,,0 HCPCS,81265,HC MOLECULAR PATHOLOGY - STR MARKERS SPECIMEN ANALYSIS,4840.0,4840.0,,,0 HCPCS,81265,Str markers specimen anal,,,233.07,617.64,7 HCPCS,81266,HC CHIMERISM PRE TRANSPLANT DONOR 2,4654.5,4654.5,,,0 HCPCS,81266,HC CHIMERISM W/COMP TO BASELINE -PRETRANSPLANT ANALYSIS - DONOR,4840.0,4840.0,,,0 HCPCS,81266,Str markers spec anal addl,,,304.81,807.75,7 HCPCS,81267,Chimerism anal no cell selec,,,207.46,549.77,7 HCPCS,81267,HC CHIMERISM POST TXP SINGLE,4469.0,4469.0,,,0 HCPCS,81267,HC CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION - ADDITIONAL CHARGE,4974.0,4974.0,,,0 HCPCS,81268,Chimerism anal w/cell select,,,260.79,691.09,7 HCPCS,81268,HC CHIMERISM POST TXP SEP,4593.0,4593.0,,,0 HCPCS,81268,HC CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA - ADDITIONAL CHARGE,1979.0,1979.0,,,0 HCPCS,81269,HC ALPHA GLOBIN HBA2 SEQUENCING AND DELETION,293.0,293.0,,,0 HCPCS,81269,HC MOLECULAR PATHOLOGY - ALPHA GLOBIN HBA2 SEQUENCING AND DELETION,293.0,293.0,,,0 HCPCS,81269,Hba1/hba2 gene dup/del vrnts,,,202.4,536.36,7 HCPCS,81270,HC GENE ANALYSIS - JAK2 V617F VARIANT,1234.0,1234.0,,,0 HCPCS,81270,HC JAK2 EXON 14 V617F POINT MUTATION,1144.0,1144.0,,,0 HCPCS,81270,HC JAK2 GENE V617F MUTATION QUALITATIVE - ARUP,525.0,525.0,,,0 HCPCS,81270,HC JAK2 GENE V617F MUTATION QUANTITATIVE - ARUP,588.0,588.0,,,0 HCPCS,81270,HC JAK2 GENE V617F QUALITATIVE WITH REFLEX CALR AND MPL - ARUP,525.0,525.0,,,0 HCPCS,81270,HC JAK2 GENE V617F QUALITATIVE WITH REFLEX JAK2 EXON 12 - ARUP,525.0,525.0,,,0 HCPCS,81270,HC MOLECULAR PATHOLOGY - JAK2 / V617F MUTATION GENE ANALYSIS,1214.0,1214.0,,,0 HCPCS,81270,Jak2 gene,,,91.66,242.9,7 HCPCS,81271,HC GENE ANALYSIS - HTT ALLELES,359.0,359.0,,,0 HCPCS,81271,HC HUNTINGTON DISEASE (HD) MUTATION BY PCR - ARUP,900.0,900.0,,,0 HCPCS,81271,"HC MOLECULAR PATHOLOGY - HUNTINGTON (HTT) GENE ANAL, EVAL ABNORM ALLELES",359.0,359.0,,,0 HCPCS,81271,Htt gene detc abnor alleles,,,137.0,363.05,7 HCPCS,81272,HC GENE ANALYSIS - KIT SEQUENCE,427.0,427.0,,,0 HCPCS,81272,HC KIT MUTATIONS IN AML,551.0,551.0,,,0 HCPCS,81272,HC MOLECULAR PATHOLOGY - KIT SEQUENCE,551.0,551.0,,,0 HCPCS,81272,Kit gene targeted seq analys,,,329.51,873.2,7 HCPCS,81273,HC GENE ANALYSIS - KIT VARIANTS,662.0,662.0,,,0 HCPCS,81273,HC MOLECULAR PATHOLOGY - KIT D816 VARIANT(S),1696.0,1696.0,,,0 HCPCS,81273,Kit gene analys d816 variant,,,124.87,330.91,7 HCPCS,81274,Htt gene charac alleles,,,274.83,728.3,7 HCPCS,81275,HC KRAS GENE ANALYSIS,1990.0,1990.0,,,0 HCPCS,81275,HC KRAS MUTATIONAL ANALYSIS,1837.0,1837.0,,,0 HCPCS,81275,HC MOLECULAR PATHOLOGY - KRAS GENE ANALYSIS,1977.0,1977.0,,,0 HCPCS,81275,HC MOLECULAR PATHOLOGY - KRAS GENE VARIANTS,1977.0,1977.0,,,0 HCPCS,81275,Kras gene variants exon 2,,,193.25,512.11,7 HCPCS,81276,HC GENE ANALYSIS - KRAS ADDITIONAL VARIANTS,494.0,494.0,,,0 HCPCS,81276,HC MOLECULAR PATHOLOGY - KRAS ADDITIONAL VAR GENE ANALYSIS,431.0,431.0,,,0 HCPCS,81276,Kras gene addl variants,,,193.25,512.11,7 HCPCS,81277,Cytogenomic neo microra alys,,,1160.0,3074.0,7 HCPCS,81278,Igh@/bcl2 translocation alys,,,207.31,549.37,7 HCPCS,81279,HC JAK2 EXON 12 MUTATION PCR - ARUP,840.0,840.0,,,0 HCPCS,81279,HC JAK2 TARGETED SEQUENCE EXONS 12-15 - MPN JAK2 REFLEX PANEL,2287.0,2287.0,,,0 HCPCS,81279,Jak2 gene trgt sequence alys,,,185.2,490.78,7 HCPCS,81283,HC INTERFERON LAMBDA 3 GENE ANALYSIS,534.0,534.0,,,0 HCPCS,81283,Ifnl3 gene,,,73.37,194.43,7 HCPCS,81284,Fxn gene detc abnor alleles,,,137.0,363.05,7 HCPCS,81285,Fxn gene charac alleles,,,274.83,728.3,7 HCPCS,81286,Fxn gene full gene sequence,,,274.83,728.3,7 HCPCS,81287,HC GENE ANALYSIS - MGMT PROMOTER METHYLATION,502.5,502.5,,,0 HCPCS,81287,HC MOLECULAR PATHOLOGY - MGMT PROMOTER METHYLATION ANALYSIS,535.0,535.0,,,0 HCPCS,81287,Mgmt gene methylation anal,,,124.64,330.3,7 HCPCS,81288,HC GENE ANALYSIS - MLH1 PROMOTER METHYLATION,593.0,593.0,,,0 HCPCS,81288,HC MOLECULAR PATHOLOGY - MLH1 GENE ANALYSIS,590.0,590.0,,,0 HCPCS,81288,Mlh1 gene,,,192.32,509.65,7 HCPCS,81289,Fxn gene known famil variant,,,185.2,490.78,7 HCPCS,81290,Mcoln1 gene,,,39.31,104.17,7 HCPCS,81291,HC MOLECULAR PATHOLOGY - MTHFR VARIANTS,1120.0,1120.0,,,0 HCPCS,81291,HC MTHFR C665C>T AND C1286A>C PCR,1120.0,1120.0,,,0 HCPCS,81291,HC MTHFR MUTATION PCR,1127.0,1127.0,,,0 HCPCS,81291,HC MTHFR MUTATION PCR - ARUP,210.0,210.0,,,0 HCPCS,81291,Mthfr gene,,,65.34,173.15,7 HCPCS,81292,Mlh1 gene full seq,,,675.4,1789.81,7 HCPCS,81293,Mlh1 gene known variants,,,331.0,877.15,7 HCPCS,81294,Mlh1 gene dup/delete variant,,,202.4,536.36,7 HCPCS,81295,Msh2 gene full seq,,,381.7,1011.5,7 HCPCS,81296,Msh2 gene known variants,,,337.73,894.98,7 HCPCS,81297,Msh2 gene dup/delete variant,,,213.3,565.24,7 HCPCS,81298,Msh6 gene full seq,,,641.85,1700.9,7 HCPCS,81299,Msh6 gene known variants,,,308.0,816.2,7 HCPCS,81300,Msh6 gene dup/delete variant,,,238.0,630.7,7 HCPCS,81301,HC GENE ANALYSIS - MICROSATELLITE INSTABILITY,751.0,751.0,,,0 HCPCS,81301,HC MOLECULAR PATHOLOGY - MICROSATELLITE INSTABILITY GENE ANALYSIS,751.0,751.0,,,0 HCPCS,81301,Microsatellite instability,,,348.56,923.68,7 HCPCS,81302,HC GENE ANALYSIS - MECP2 FULL SEQUENCE,865.0,865.0,,,0 HCPCS,81302,HC MOLECULAR PATHOLOGY - MECP2 FULL GENE SEQUENCE,865.0,865.0,,,0 HCPCS,81302,Mecp2 gene full seq,,,527.87,1398.86,7 HCPCS,81303,Mecp2 gene known variant,,,120.0,318.0,7 HCPCS,81304,Mecp2 gene dup/delet variant,,,150.0,397.5,7 HCPCS,81305,HC GENE ANALYSIS - MYD88 VARIANTS,892.0,892.0,,,0 HCPCS,81305,HC MOLECULAR PATHOLOGY - MYD88,892.0,892.0,,,0 HCPCS,81305,"HC MOLECULAR PATHOLOGY - MYD88 GENE ANALYSIS, L265P VARIANT",892.0,892.0,,,0 HCPCS,81305,Myd88 gene p.leu265pro vrnt,,,175.4,464.81,7 HCPCS,81306,HC NUDT15 VARIANTS - TPMT AND NUDT15 GENETICS - ARUP,525.0,525.0,,,0 HCPCS,81306,Nudt15 gene common variants,,,291.36,772.1,7 HCPCS,81307,Palb2 gene full gene seq,,,676.5,1792.72,7 HCPCS,81308,Palb2 gene known famil vrnt,,,301.35,798.58,7 HCPCS,81309,Pik3ca gene trgt seq alys,,,274.83,728.3,7 HCPCS,81310,"HC MOLECULAR PATHOLOGY - NPM1 ANALYSIS, EXON 12 VARIANTS",556.5,556.5,,,0 HCPCS,81310,HC NPM1 MUTATION PCR,556.5,556.5,,,0 HCPCS,81310,Npm1 gene,,,246.52,653.28,7 HCPCS,81311,HC GENE ANALYSIS - NRAS VARIANTS,1991.0,1991.0,,,0 HCPCS,81311,HC MOLECULAR PATHOLOGY - NRAS / VAR EXON 2&3 GENE ANALYSIS,1991.0,1991.0,,,0 HCPCS,81311,Nras gene variants exon 2&3,,,295.79,783.84,7 HCPCS,81312,Pabpn1 gene detc abnor allel,,,137.0,363.05,7 HCPCS,81313,Pca3/klk3 antigen,,,255.05,675.88,7 HCPCS,81314,HC GENE ANALYSIS - PDGFRA VARIANTS,802.0,802.0,,,0 HCPCS,81314,"HC MOLECULAR PATHOLOGY - PDGFRA (GIST) GENE ANAL, TARGET SEQ ANAL",802.0,802.0,,,0 HCPCS,81314,Pdgfra gene,,,329.51,873.2,7 HCPCS,81315,HC GENE ANALYSIS - APLM3G:PML/RARA T(15:17) BREAKPOINTS,1917.0,1917.0,,,0 HCPCS,81315,HC MOLECULAR PATHOLOGY - PMR/RARALPHA COMMON BREAKPOINTS,1475.0,1475.0,,,0 HCPCS,81315,HC PML-RARA DETECTION BY RT-PCR QUANTITATIVE - ARUP,1372.0,1372.0,,,0 HCPCS,81315,Pml/raralpha com breakpoints,,,207.31,549.37,7 HCPCS,81316,Pml/raralpha 1 breakpoint,,,207.31,549.37,7 HCPCS,81317,Pms2 gene full seq analysis,,,676.5,1792.72,7 HCPCS,81318,Pms2 known familial variants,,,331.0,877.15,7 HCPCS,81319,Pms2 gene dup/delet variants,,,203.5,539.28,7 HCPCS,81320,Plcg2 gene common variants,,,291.36,772.1,7 HCPCS,81321,Pten gene full sequence,,,600.0,1590.0,7 HCPCS,81322,HC PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT,303.0,303.0,,,0 HCPCS,81322,Pten gene known fam variant,,,46.6,123.49,7 HCPCS,81323,Pten gene dup/delet variant,,,300.0,795.0,7 HCPCS,81324,Pmp22 gene dup/delet,,,758.36,2009.65,7 HCPCS,81325,Pmp22 gene full sequence,,,769.58,2039.39,7 HCPCS,81326,Pmp22 gene known fam variant,,,46.6,123.49,7 HCPCS,81327,HC GENE ANALYSIS - SEPT9 PROMOTER METHYLATION,622.0,622.0,,,0 HCPCS,81327,HC MOLECULAR PATHOLOGY - SEPT9 METHYLATION ANALYSIS,622.0,622.0,,,0 HCPCS,81327,Sept9 methylation analysis,,,192.0,508.8,7 HCPCS,81328,Slco1b1 gene com variants,,,174.81,463.25,7 HCPCS,81329,HC MOLECULAR PATHOLOGY - SMN1/SMN2 GENE ANALYSIS,511.0,511.0,,,0 HCPCS,81329,"HC SPINAL MUSCULAR ATROPHY (SMA), COPY NUMBER ANALYSIS- ARUP",840.0,840.0,,,0 HCPCS,81329,Smn1 gene dos/deletion alys,,,137.0,363.05,7 HCPCS,81330,Smpd1 gene common variants,,,47.0,124.55,7 HCPCS,81331,HC MOLECULAR PATHOLOGY - SNRPN/UBE3A METHYLATION ANALYSIS,275.0,275.0,,,0 HCPCS,81331,HC SNRPN/UBE3A METHYLATION ANALYSIS - PRADER-WILLI PANEL,210.0,210.0,,,0 HCPCS,81331,Snrpn/ube3a gene,,,51.07,135.34,7 HCPCS,81332,HC ALPHA 1 ANTITRYPSIN GENOTYPE (SERPINA1) - A1A GENOTYPE - ARUP,633.0,633.0,,,0 HCPCS,81332,HC GENE ANALYSIS - SERPINA1 VARIANTS,14.0,14.0,,,0 HCPCS,81332,"HC MOLECULAR PATHOLOGY - SERPINA1 ANALYSIS, COMMON VARIANTS",282.0,282.0,,,0 HCPCS,81332,Serpina1 gene,,,43.65,115.67,7 HCPCS,81333,Tgfbi gene common variants,,,137.0,363.05,7 HCPCS,81334,Runx1 gene targeted seq alys,,,329.51,873.2,7 HCPCS,81335,HC MOLECULAR PATHOLOGY - TPMT COMMON VARIANTS,382.0,382.0,,,0 HCPCS,81335,HC TPMT VARIANTS - TPMT AND NUDT15 GENETICS - ARUP,314.0,314.0,,,0 HCPCS,81335,Tpmt gene com variants,,,174.81,463.25,7 HCPCS,81336,Smn1 gene full gene sequence,,,301.35,798.58,7 HCPCS,81337,Smn1 gen nown famil seq vrnt,,,185.2,490.78,7 HCPCS,81338,HC MPL MUTATION DETECTION BY CAPILLARY ELECTROPHORESIS - ARUP,1415.0,1415.0,,,0 HCPCS,81338,Mpl gene common variants,,,150.33,398.37,7 HCPCS,81339,"HC MPL GENE SEQUENCE ANALYSIS, EXON 10 - MPN JAK2 REFLEX PANEL",2287.0,2287.0,,,0 HCPCS,81339,Mpl gene seq alys exon 10,,,185.2,490.78,7 HCPCS,81340,HC GENE ANALYSIS - TRB VARIANTS,590.0,590.0,,,0 HCPCS,81340,HC MOLECULAR PATHOLOGY - TRB GENE ANALYSIS,590.0,590.0,,,0 HCPCS,81340,Trb@ gene rearrange amplify,,,208.92,553.64,7 HCPCS,81341,Trb@ gene rearrange dirprobe,,,49.59,131.41,7 HCPCS,81342,HC GENE ANALYSIS - TRG T CELL VARIANTS,2779.0,2779.0,,,0 HCPCS,81342,HC MOLECULAR PATHOLOGY - GENE ANALYSIS - TRG T CELL VARIANTS,2762.0,2762.0,,,0 HCPCS,81342,HC T CELL CLONALITY NGS,2759.0,2759.0,,,0 HCPCS,81342,Trg gene rearrangement anal,,,201.5,533.98,7 HCPCS,81343,Ppp2r2b gen detc abnor allel,,,137.0,363.05,7 HCPCS,81344,Tbp gene detc abnor alleles,,,137.0,363.05,7 HCPCS,81345,Tert gene targeted seq alys,,,185.2,490.78,7 HCPCS,81346,Tyms gene com variants,,,174.81,463.25,7 HCPCS,81347,Sf3b1 gene common variants,,,193.25,512.11,7 HCPCS,81348,Srsf2 gene common variants,,,175.4,464.81,7 HCPCS,81349,Cytog alys chrml abnr lw-ps,,,1197.94,3174.54,7 HCPCS,81350,HC GENE ANALYSIS - UGT1A1 VARIANT,293.0,293.0,,,0 HCPCS,81350,"HC MOLECULAR PATHOLOGY - UGT1A1 ANALYSIS, COMMON VARIANTS",293.0,293.0,,,0 HCPCS,81350,HC UGT1A1 GENOTYPING - ARUP,975.0,975.0,,,0 HCPCS,81350,Ugt1a1 gene,,,234.0,620.1,7 HCPCS,81351,Tp53 gene full gene sequence,,,641.85,1700.9,7 HCPCS,81352,Tp53 gene trgt sequence alys,,,329.51,873.2,7 HCPCS,81353,Tp53 gene known famil vrnt,,,308.0,816.2,7 HCPCS,81354,Cytog alys chrml abnor ogm,,,1263.53,3348.35,7 HCPCS,81355,Vkorc1 gene,,,88.2,233.73,7 HCPCS,81357,U2af1 gene common variants,,,193.25,512.11,7 HCPCS,81360,Zrsr2 gene common variants,,,193.25,512.11,7 HCPCS,81361,Hbb gene com variants,,,174.81,463.25,7 HCPCS,81362,Hbb gene known fam variant,,,375.25,994.41,7 HCPCS,81363,HC HEMOGLOBIN SUBUNIT BETA - HBB DEL/DUP VARIANT,1073.0,1073.0,,,0 HCPCS,81363,Hbb gene dup/del variants,,,202.4,536.36,7 HCPCS,81364,HC HEMOGLOBIN SUBUNIT BETA - HBB FULL GENE SEQUENCE,763.0,763.0,,,0 HCPCS,81364,Hbb full gene sequence,,,324.58,860.14,7 HCPCS,81370,HC HLA TYPING - BONE MARROW TRANS,3152.0,3152.0,,,0 HCPCS,81370,HC HLA TYPING - SOLID ORGAN TRANS,3152.0,3152.0,,,0 HCPCS,81370,HC HLA TYPING BY SSP PCR,3152.0,3152.0,,,0 HCPCS,81370,Hla i & ii typing lr,,,402.12,1065.62,7 HCPCS,81371,Hla i & ii type verify lr,,,404.52,1071.98,7 HCPCS,81372,HC HLA PLATELET TYPING,744.0,744.0,,,0 HCPCS,81372,HC HLA TYPING MISCELLANEOUS,801.0,801.0,,,0 HCPCS,81372,HC HLA TYPING-PLATELET TRANSFUSION,801.0,801.0,,,0 HCPCS,81372,Hla i typing complete lr,,,403.59,1069.51,7 HCPCS,81373,HC HLA A TYPING MISCELLANEOUS,590.0,590.0,,,0 HCPCS,81373,HC HLA C TYPING MISCELLANEOUS,590.0,590.0,,,0 HCPCS,81373,HC HLA TYPING - CLASS I ONE LOCUS,590.0,590.0,,,0 HCPCS,81373,Hla i typing 1 locus lr,,,127.43,337.69,7 HCPCS,81374,HC ANKLYOSING SPONDYLITIS (HLAB27) GENOTYPING - ARUP,500.0,500.0,,,0 HCPCS,81374,HC HLA B27 ANTIGEN,792.0,792.0,,,0 HCPCS,81374,HC HLA TYPING - B27,792.0,792.0,,,0 HCPCS,81374,HC HLA-B27 ANTIGEN,736.0,736.0,,,0 HCPCS,81374,Hla i typing 1 antigen lr,,,74.33,196.97,7 HCPCS,81375,HC HLA DR TYPING MISC,1587.0,1587.0,,,0 HCPCS,81375,HC HLA TYPING - CLASS II DRB1 DRB3 DRB4 DRB5 DQB1,1587.0,1587.0,,,0 HCPCS,81375,Hla ii typing ag equiv lr,,,220.74,584.96,7 HCPCS,81376,"HC HLA CLASS II LOCUS, LOW RESOLUTION",590.0,590.0,,,0 HCPCS,81376,HC HLA DPB TYPING,590.0,590.0,,,0 HCPCS,81376,HC HLA DQA TYPING MISCELLANEOUS,590.0,590.0,,,0 HCPCS,81376,HC HLA DQB TYPING MISCELLANEOUS,590.0,590.0,,,0 HCPCS,81376,HC HLA TYPING - CLASS II ONE LOCUS,590.0,590.0,,,0 HCPCS,81376,HC HLA TYPING DQ GENOTYPE CELIAC DISEASE,590.0,590.0,,,0 HCPCS,81376,Hla ii typing 1 locus lr,,,122.22,323.88,7 HCPCS,81377,Hla ii type 1 ag equiv lr,,,94.74,251.06,7 HCPCS,81378,HC HLA TYPING - CLASS 1 AND CLASS II ALLELES,3258.0,3258.0,,,0 HCPCS,81378,Hla i & ii typing hr,,,345.57,915.76,7 HCPCS,81379,Hla i typing complete hr,,,335.38,888.76,7 HCPCS,81380,"HC HLA CLASS I ONE LOCUS, HIGH RESOLUTION",1858.0,1858.0,,,0 HCPCS,81380,HC HLA TYPING - CLASS 1 ONE LOCUS,940.0,940.0,,,0 HCPCS,81380,Hla i typing 1 locus hr,,,177.25,469.71,7 HCPCS,81381,HC HLA B5701,592.0,592.0,,,0 HCPCS,81381,"HC HLA CLASS I TYPING ALLELE, HIGH RESOLUTION",592.0,592.0,,,0 HCPCS,81381,Hla i typing 1 allele hr,,,169.9,450.24,7 HCPCS,81382,"HC HLA CLASS II ONE LOCUS, HIGH RESOLUTION",656.0,656.0,,,0 HCPCS,81382,HC HLA TYPING - CLASS II DRB1 DRB3 DQB1 DQA1 DPB1 DPA12,540.0,540.0,,,0 HCPCS,81382,Hla ii typing 1 loc hr,,,123.68,327.75,7 HCPCS,81383,"HC HLA CLASS II TYPING, 1 ALLELE, HIGH RESOLUTION",474.0,474.0,,,0 HCPCS,81383,HC HLA TYPING - CLASS II ALLELE GROUP,474.0,474.0,,,0 HCPCS,81383,Hla ii typing 1 allele hr,,,109.13,289.19,7 HCPCS,81400,HC GENE ANALYSIS - PAI1GN 4G 5G POLYMORPHISM,275.0,275.0,,,0 HCPCS,81400,HC MOLECULAR PATHOLOGY - SERPINE1 4G VARIANT,326.0,326.0,,,0 HCPCS,81400,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 1,324.0,324.0,,,0 HCPCS,81400,HC MOLECULAR PATHOLOGY LEVEL 1,326.0,326.0,,,0 HCPCS,81400,Mopath procedure level 1,,,63.96,169.49,7 HCPCS,81401,"HC APOLIPOPROTEIN E (APOE) GENOTYPING, ALZHEIMER DISEASE RISK - ARUP",357.0,357.0,,,0 HCPCS,81401,"HC APOLIPOPROTEIN E (APOE) GENOTYPING, CARDIOVASCULAR RISK - ARUP",357.0,357.0,,,0 HCPCS,81401,HC GENE ANALYSIS - LEVEL 2,394.0,394.0,,,0 HCPCS,81401,HC MOLECULAR PATHOLOGY - EML4/ALK TRANSLOCATION/INVERSION ANALYSIS,335.0,335.0,,,0 HCPCS,81401,"HC MOLECULAR PATHOLOGY - NOD2 ANALYSIS, COMMON VARIANTS",335.0,335.0,,,0 HCPCS,81401,HC MOLECULAR PATHOLOGY - RUNX1/RUNX1T1 ANALYSIS,335.0,335.0,,,0 HCPCS,81401,HC MOLECULAR PATHOLOGY - WT1 GENE EXPRESSION,335.0,335.0,,,0 HCPCS,81401,Mopath procedure level 2,,,137.0,363.05,7 HCPCS,81402,HC GENE ANALYSIS - LEVEL 3,626.0,626.0,,,0 HCPCS,81402,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 3,626.0,626.0,,,0 HCPCS,81402,HC MPL CODON 515 MUTATION - ARUP,1416.0,1416.0,,,0 HCPCS,81402,Mopath procedure level 3,,,150.33,398.37,7 HCPCS,81403,HC GENE ANALYSIS - LEVEL 4,560.0,560.0,,,0 HCPCS,81403,HC MOLECULAR PATHOLOGY - DNMT3A MUTATION ANALYSIS,581.0,581.0,,,0 HCPCS,81403,HC MOLECULAR PATHOLOGY - JANUS KINASE (JAK2) EXON 12-14 MUTATION,581.0,581.0,,,0 HCPCS,81403,HC MOLECULAR PATHOLOGY - MOLECULAR PHENOTYPE,581.0,581.0,,,0 HCPCS,81403,HC MOLECULAR PATHOLOGY - RBC GENOTYPE,581.0,581.0,,,0 HCPCS,81403,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 4,581.0,581.0,,,0 HCPCS,81403,HC RBC GENOTYPE - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,403.0,403.0,,,0 HCPCS,81403,Mopath procedure level 4,,,185.2,490.78,7 HCPCS,81404,HC GENE ANALYSIS - LEVEL 5,979.0,979.0,,,0 HCPCS,81404,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 5,674.0,674.0,,,0 HCPCS,81404,HC TIER 2 LEVEL 5 - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,597.0,597.0,,,0 HCPCS,81404,Mopath procedure level 5,,,274.83,728.3,7 HCPCS,81405,HC GENE ANALYSIS - LEVEL 6,849.0,849.0,,,0 HCPCS,81405,HC MEN TYPE 2A - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,655.0,655.0,,,0 HCPCS,81405,HC MOLECULAR PATHOLOGY - MEN TYPE 2A,821.0,821.0,,,0 HCPCS,81405,"HC PSEN1 GENE - EARLY-ONSET ALZHEIMER'S PANEL, SEQUENCING - ARUP",2951.0,2951.0,,,0 HCPCS,81405,"HC SPRED1 FULL GENE SEQUENCE - NEUROFIBROMATOSIS 1, LS PANEL - ARUP",2866.0,2866.0,,,0 HCPCS,81405,Mopath procedure level 6,,,301.35,798.58,7 HCPCS,81406,"HC APP, PSEN2 GENES - EARLY-ONSET ALZHEIMER'S PANEL, SEQUENCING - ARUP",2770.0,2770.0,,,0 HCPCS,81406,HC CADASIL (NOTCH3) FULL GENE SEQUENCING - ARUP,3779.0,3779.0,,,0 HCPCS,81406,HC GENE ANALYSIS - LEVEL 7,819.0,819.0,,,0 HCPCS,81406,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 7,819.0,819.0,,,0 HCPCS,81406,HC MOLECULAR PATHOLOGY - UBE3A GENE ANALYSIS,819.0,819.0,,,0 HCPCS,81406,HC UBE3A GENE ANALYSIS - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,615.0,615.0,,,0 HCPCS,81406,Mopath procedure level 7,,,282.88,749.63,7 HCPCS,81407,HC GENE ANALYSIS - LEVEL 8,807.0,807.0,,,0 HCPCS,81407,HC GENE ANALYSIS - LEVEL 8 - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,1840.0,1840.0,,,0 HCPCS,81407,Mopath procedure level 8,,,846.27,2242.62,7 HCPCS,81408,HC GENE ANALYSIS - LEVEL 9 - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,4348.0,4348.0,,,0 HCPCS,81408,HC MOLECULAR PATHOLOGY - TIER 2 LEVEL 9,1806.0,1806.0,,,0 HCPCS,81408,HC MOLECULAR PATHOLOGY LEVEL 9,1806.0,1806.0,,,0 HCPCS,81408,"HC NF1 FULL GENE SEQUENCE - NEUROFIBROMATOSIS 1, LS PANEL - ARUP",2866.0,2866.0,,,0 HCPCS,81408,Mopath procedure level 9,,,2000.0,5300.0,7 HCPCS,81410,Aortic dysfunction/dilation,,,504.0,1335.6,7 HCPCS,81410,HC MOLECULAR PATHOLOGY - AORTIC DYSFUNCTION,2673.0,2673.0,,,0 HCPCS,81411,Aortic dysfunction/dilation,,,1350.19,3578.0,7 HCPCS,81412,Ashkenazi jewish assoc dis,,,2448.56,6488.68,7 HCPCS,81413,Car ion chnnlpath inc 10 gns,,,584.9,1549.98,7 HCPCS,81413,HC MOLECULAR PATHOLOGY - CARDIAC ION CHANNELOPATHIES,3101.0,3101.0,,,0 HCPCS,81414,Car ion chnnlpath inc 2 gns,,,584.9,1549.98,7 HCPCS,81414,HC CARDIAC ION KCNH2 KCNQ1 - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,1272.0,1272.0,,,0 HCPCS,81414,HC MOLECULAR PATHOLOGY - CARDIAC ION CHANNELOPATHIES KCNH2 KCNQ1,3101.0,3101.0,,,0 HCPCS,81415,Exome sequence analysis,,,4780.0,12667.0,7 HCPCS,81415,HC MOLECULAR PATHOLOGY - EXOME SEQUENCE,6296.0,6296.0,,,0 HCPCS,81416,Exome sequence analysis,,,12000.0,31800.0,7 HCPCS,81416,HC EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME,4445.0,4445.0,,,0 HCPCS,81417,Exome re-evaluation,,,320.0,848.0,7 HCPCS,81418,Rx metab gen seq alys pnl 6,,,917.08,2430.26,7 HCPCS,81419,Epilepsy gen seq alys panel,,,2448.56,6488.68,7 HCPCS,81420,Fetal chrmoml aneuploidy,,,759.05,2011.48,7 HCPCS,81420,HC FETAL ANEUPLOIDY -NIPT FETAL ANEUPLOIDY SCREENING W MICRODELETIONS -ARUP,1154.0,1154.0,,,0 HCPCS,81420,HC MOLECULAR PATHOLOGY - FETAL CHROMOSOME ANEUPLOIDY,783.0,783.0,,,0 HCPCS,81422,Fetal chrmoml microdeltj,,,759.05,2011.48,7 HCPCS,81422,HC FETAL MICRODELETIONS -NIPT FETAL ANEUPLOIDY SCREEN W MICRODELETIONS-ARUP,1154.0,1154.0,,,0 HCPCS,81422,HC MOLECULAR PATHOLOGY - FETAL CHROMOSOME MICRODELETIONS,2312.0,2312.0,,,0 HCPCS,81425,Genome sequence analysis,,,5031.2,13332.68,7 HCPCS,81426,Genome sequence analysis,,,2709.95,7181.37,7 HCPCS,81427,Genome re-evaluation,,,2337.65,6194.77,7 HCPCS,81430,Hearing loss sequence analys,,,1625.0,4306.25,7 HCPCS,81431,Hearing loss dup/del analys,,,679.57,1800.86,7 HCPCS,81432,HC GENOMIC SEQUENCE ANALYSIS PANEL-HEREDITARY BREAST CANCER RLTD DISORDERS,4120.0,4120.0,,,0 HCPCS,81432,Hrdtry brst ca-rlatd dsordrs,,,1303.95,3455.47,7 HCPCS,81434,Hereditary retinal disorders,,,597.91,1584.46,7 HCPCS,81435,Hereditary colon ca dsordrs,,,1303.95,3455.47,7 HCPCS,81437,Heredtry nurondcrn tum dsrdr,,,1303.95,3455.47,7 HCPCS,81439,HC HRDTRY CARDMYPY GENE PANEL,3101.0,3101.0,,,0 HCPCS,81439,Inherited cardmypthy 5 gns,,,584.9,1549.98,7 HCPCS,81440,Mitochondrial gene,,,3324.0,8808.6,7 HCPCS,81441,Ibmfs seq alys pnl 30 genes,,,2448.56,6488.68,7 HCPCS,81442,"HC GENOMIC SEQUENCE ANALYSIS PANEL - NOONAN SPECTRUM DISORDERS,12+ GENE SEQ",11368.0,11368.0,,,0 HCPCS,81442,HC NOONAN SPECTRUM DISORDERS 12+ GENES,11368.0,11368.0,,,0 HCPCS,81442,Noonan spectrum disorders,,,2143.6,5680.54,7 HCPCS,81443,Genetic tstg severe inh cond,,,2448.56,6488.68,7 HCPCS,81443,HC MOLECULAR PATHOLOGY - SEVERE DISORDER,12985.0,12985.0,,,0 HCPCS,81445,HC MOLECULAR PATHOLOGY - OVARIAN PROFILE GENE ANALYSIS,2139.0,2139.0,,,0 HCPCS,81445,HC MOLECULAR PATHOLOGY - SOLID ORGAN SEQUENCE VARIANTS,14452.0,14452.0,,,0 HCPCS,81445,HC SOLID TUMOR PROFILING BY NGS 50 GENES LUNG DNA ANALYSIS,13426.0,13426.0,,,0 HCPCS,81445,HC SOLID TUMOR PROFILING BY NGS 50 GENES NON-LUNG DNA ANALYSIS,13426.0,13426.0,,,0 HCPCS,81445,Targeted genomic seq analys,,,597.91,1584.46,7 HCPCS,81448,Hrdtry perph neurphy panel,,,584.9,1549.98,7 HCPCS,81449,HC SOLID TUMOR PROFILING BY NGS 50 GENES LUNG RNA ANALYSIS,6713.0,6713.0,,,0 HCPCS,81449,HC SOLID TUMOR PROFILING BY NGS 50 GENES NON-LUNG RNA ANALYSIS,6713.0,6713.0,,,0 HCPCS,81449,HC TARG GEN SEQ 5-50 GENES SO NEO RNA ANAL,6713.0,6713.0,,,0 HCPCS,81449,Tgsap so neo 5-50 rna alys,,,597.91,1584.46,7 HCPCS,81450,HC MOLECULAR PATHOLOGY - HEMATOLYMPHOID SEQUENCE VARIANTS,3115.5,3115.5,,,0 HCPCS,81450,Targeted genomic seq analys,,,759.53,2012.75,7 HCPCS,81451,Tgsap hl neo 5-50 rna alys,,,759.53,2012.75,7 HCPCS,81455,HC COMPREHENSIVE GENOMIC TUMOR PROFILING BY NGS 500 GENES,14464.0,14464.0,,,0 HCPCS,81455,HC GENE SEQUENCE PANEL,15673.0,15673.0,,,0 HCPCS,81455,HC HEMATOPOIETIC TUMOR PROFILING BY NGS 75 GENES,14464.0,14464.0,,,0 HCPCS,81455,HC MOLECULAR PATHOLOGY - LUNG NEOPLASM SEQUENCE VARIANTS,15673.0,15673.0,,,0 HCPCS,81455,HC MOLECULAR PATHOLOGY - NEOPLASM SEQUENCE VARIANTS,15569.0,15569.0,,,0 HCPCS,81455,Targeted genomic seq analys,,,2919.6,7736.94,7 HCPCS,81456,Tgsap so/hl 51/< rna alys,,,2919.6,7736.94,7 HCPCS,81457,So neo gsap dna mcrstl ins,,,896.87,2376.71,7 HCPCS,81458,So gsap dna cpy nmbr&mcrstl,,,1046.35,2772.83,7 HCPCS,81459,So neo gsap dna/dna&rna,,,2989.55,7922.31,7 HCPCS,81460,Whole mitochondrial genome,,,1287.0,3410.55,7 HCPCS,81462,So gsap cll fr dna/dna&rna,,,1195.83,3168.95,7 HCPCS,81463,So gsap cl fr cpy nmbr&mcrst,,,1345.31,3565.07,7 HCPCS,81464,So gsap cll fr mcrstl ins,,,3288.51,8714.55,7 HCPCS,81465,Whole mitochondrial genome,,,936.0,2480.4,7 HCPCS,81470,X-linked intellectual dblt,,,914.0,2422.1,7 HCPCS,81471,X-linked intellectual dblt,,,914.0,2422.1,7 HCPCS,81479,HC GAMMA GLOBIN (HBG1 AND HBG2) SEQUENCING - ARUP,2805.0,2805.0,,,0 HCPCS,81479,HC GENE ANALYSIS - UNLISTED PROCEDURE,786.0,786.0,,,0 HCPCS,81479,HC MOLECULAR PATHOLOGY - TIER 2 UNLISTED,324.0,324.0,,,0 HCPCS,81479,HC MOLECULAR PATHOLOGY UNLISTED PX - HUNTINGTON HTT,756.0,756.0,,,0 HCPCS,81479,HC MOLECULAR PATHOLOGY UNLISTED PX - IRRITABLE BOWEL DISEASE,756.0,756.0,,,0 HCPCS,81479,HC MOLECULAR PATHOLOGY UNLISTED PX - PANCROGEN CYST FLUID,756.0,756.0,,,0 HCPCS,81479,HC MOLECULAR PATHOLOGY UNLISTED PX - PCA3/KLK3 RATIO,756.0,756.0,,,0 HCPCS,81479,HC MOLECULAR PATHOLOGY UNLISTED PX - TIER 2 UNLISTED,756.0,756.0,,,0 HCPCS,81479,HC NEUROFIBROMATOSIS 1 PCR,756.0,756.0,,,0 HCPCS,81479,"HC SPRED1, NF1 DEL/DUP - NEUROFIBROMATOSIS 1, LS PANEL - ARUP",2866.0,2866.0,,,0 HCPCS,81479,HC TIER 2 UNLISTED - CARDIOMYOPATHY AND ARRHYTHMIA PANEL - ARUP,590.0,590.0,,,0 HCPCS,81479,HC Y CHROMOSOME MICRODELETION,756.0,756.0,,,0 HCPCS,81490,Autoimmune rheumatoid arthr,,,840.65,2227.72,7 HCPCS,81493,Cor artery disease mrna,,,1050.0,2782.5,7 HCPCS,81500,Onco (ovar) two proteins,,,260.5,690.32,7 HCPCS,81503,HC MALIGNANCY RISK ASSESSMENT PELVIC MASS OVA1 PLUS - ARUP,1868.0,1868.0,,,0 HCPCS,81503,HC MOLECULAR PATHOLOGY MAAA - OVARIAN ONCOLOGY,597.0,597.0,,,0 HCPCS,81503,Onco (ovar) five proteins,,,897.0,2377.05,7 HCPCS,81504,Oncology tissue of origin,,,520.0,1378.0,7 HCPCS,81506,Endo assay seven anal,,,68.92,182.64,7 HCPCS,81507,Fetal aneuploidy trisom risk,,,795.0,2106.75,7 HCPCS,81508,Ftl cgen abnor two proteins,,,54.3,143.89,7 HCPCS,81508,HC FTL CGEN ABNOR TWO PROTEINS,288.0,288.0,,,0 HCPCS,81508,HC MATERNAL SCREENING SEQUENTIAL 1 - ARUP,257.0,257.0,,,0 HCPCS,81509,Ftl cgen abnor 3 proteins,,,1487.37,3941.53,7 HCPCS,81510,Ftl cgen abnor three anal,,,55.54,147.18,7 HCPCS,81511,Ftl cgen abnor four anal,,,153.5,406.78,7 HCPCS,81511,"HC FETAL CONGENITAL ABNORM PANEL, MATERNAL SERUM",209.0,209.0,,,0 HCPCS,81511,HC MATERNAL SERUM SCREEN QUAD TEST - ARUP,179.0,179.0,,,0 HCPCS,81511,HC MATERNAL SERUM SCREEN SEQUENTIAL SPECIMEN 2 - ARUP,456.0,456.0,,,0 HCPCS,81512,Ftl cgen abnor five anal,,,69.52,184.23,7 HCPCS,81513,HC BACTERIAL VAGINOSIS - SURESWAB BACTERIAL VAGINOSIS (BV) TMA 10016 - QDID,508.0,508.0,,,0 HCPCS,81513,HC BACTERIAL VAGINOSIS - VAGINAL PATHOGEN DNA PANEL - ARUP,464.0,464.0,,,0 HCPCS,81513,HC BACTERIAL VAGINOSIS BY TMA - ARUP,400.0,400.0,,,0 HCPCS,81513,HC BACTERIAL VAGINOSIS RNA MARKERS QUALITATIVE,97.0,97.0,,,0 HCPCS,81513,HC BACTERIAL VAGINOSIS SURESWAB DNA QUANT PCR - QDID,558.0,558.0,,,0 HCPCS,81513,HC BACTERIAL VAGINOSIS TMA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,749.0,749.0,,,0 HCPCS,81513,HC BACTERIAL VAGINOSIS TMA 10119 -SURESWAB BACTI VAGINOSIS/VAGINITIS -QDID,1308.0,1308.0,,,0 HCPCS,81513,Nfct ds bv rna vag flu alg,,,142.63,377.97,7 HCPCS,81514,Nfct ds bv&vaginitis dna alg,,,262.99,696.92,7 HCPCS,81515,"HC BACTERIAL VAGINOSIS AND VAGINITIS, DNA PCR",1373.0,1373.0,,,0 HCPCS,81515,Nfct ds bv&vaginitis dna alg,,,262.99,696.92,7 HCPCS,81517,Liver ds alys 3 bmrk srm alg,,,176.19,466.9,7 HCPCS,81518,Onc brst mrna 11 genes,,,3873.0,10263.45,7 HCPCS,81519,Oncology breast mrna,,,3873.0,10263.45,7 HCPCS,81520,Onc breast mrna 58 genes,,,2510.21,6652.06,7 HCPCS,81521,Onc breast mrna 70 genes,,,3873.0,10263.45,7 HCPCS,81522,Onc breast mrna 12 genes,,,3873.0,10263.45,7 HCPCS,81523,Onc brst mrna 70 cnt 31 gene,,,3873.0,10263.45,7 HCPCS,81525,Oncology colon mrna,,,3116.0,8257.4,7 HCPCS,81528,Oncology colorectal scr,,,508.87,1348.51,7 HCPCS,81529,Onc cutan mlnma mrna 31 gene,,,7193.0,19061.45,7 HCPCS,81535,Oncology gynecologic,,,579.46,1535.57,7 HCPCS,81536,Oncology gynecologic,,,177.56,470.53,7 HCPCS,81538,Oncology lung,,,2871.0,7608.15,7 HCPCS,81539,HC MOLECULAR PATHOLOGY MAAA - PROSTATE ONCOLOGY,1075.0,1075.0,,,0 HCPCS,81539,HC PROSTATE SPECIFIC KALLIKREIN 4K SCORE - ARUP,2507.0,2507.0,,,0 HCPCS,81539,Oncology prostate prob score,,,760.0,2014.0,7 HCPCS,81540,Oncology tum unknown origin,,,3750.0,9937.5,7 HCPCS,81541,Onc prostate mrna 46 genes,,,3873.0,10263.45,7 HCPCS,81542,Onc prostate mrna 22 cnt gen,,,3873.0,10263.45,7 HCPCS,81546,"Onc thyr mrna 10,196 gen alg",,,3600.0,9540.0,7 HCPCS,81551,Onc prostate 3 genes,,,2030.0,5379.5,7 HCPCS,81552,Onc uveal mlnma mrna 15 gene,,,7776.0,20606.4,7 HCPCS,81554,Pulm ds ipf mrna 190 gen alg,,,5409.6,14335.44,7 HCPCS,81558,Trnspl rej kdn mrna qpcr 139,,,3240.0,8586.0,7 HCPCS,81560,Trnsplj pd lvr&bwl cd154+cll,,,640.73,1697.93,7 HCPCS,81595,Cardiology hrt trnspl mrna,,,3240.0,8586.0,7 HCPCS,81596,Nfct ds chrnc hcv 6 assays,,,72.19,191.3,7 HCPCS,82009,HC KETONE BODIES SERUM QUALITATIVE - ACETONE,143.0,143.0,,,0 HCPCS,82009,Test for acetone/ketones,,,4.52,11.98,7 HCPCS,82010,Acetone assay,,,8.17,21.65,7 HCPCS,82010,"HC ACETONE, SERUM/PLASMA, QUANT - ARUP",89.0,89.0,,,0 HCPCS,82010,HC KETONE BODIES SERUM QUANTITATIVE - BETA HYDROXYBUTYRATE,397.0,397.0,,,0 HCPCS,82013,Acetylcholinesterase assay,,,12.29,32.57,7 HCPCS,82013,HC ACETYLCHOLINESTERASE ASSAY - ACETYLCHOLINESTERASE,64.0,64.0,,,0 HCPCS,82016,Acylcarnitines qual,,,16.49,43.7,7 HCPCS,82016,HC ASSAY ACYLCARNITINES QUAL,182.0,182.0,,,0 HCPCS,82017,Acylcarnitines quant,,,16.87,44.71,7 HCPCS,82017,HC ACYLCARNITINES QUANT - CARNITINE PANEL - ARUP,316.0,316.0,,,0 HCPCS,82017,HC ACYLCARNITINES QUANT PLASMA - ARUP,458.0,458.0,,,0 HCPCS,82017,"HC ACYLCARNITINES,QUANT,EACH SPEC - ACYLCARNITINES, PLASMA, QUANT",211.0,211.0,,,0 HCPCS,82024,Assay of acth,,,38.62,102.34,7 HCPCS,82024,HC ACTH LEVEL,673.0,673.0,,,0 HCPCS,82024,HC ACTH LEVEL - ARUP,30.0,30.0,,,0 HCPCS,82024,HC ACTH LEVEL PLASMA - QWDL,105.0,105.0,,,0 HCPCS,82024,HC ASSAY OF ACTH - ACTH,169.0,169.0,,,0 HCPCS,82030,Assay of adp & amp,,,25.8,68.37,7 HCPCS,82040,Assay of serum albumin,,,4.95,13.12,7 HCPCS,82040,HC ALBUMIN LEVEL,49.0,49.0,,,0 HCPCS,82040,HC ALBUMIN LEVEL ARUP OLIGOCLONAL BAND,29.5,29.5,,,0 HCPCS,82040,HC ALBUMIN LEVEL SERUM - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP,26.5,26.5,,,0 HCPCS,82040,HC ALBUMIN LEVEL SERUM - OLIGOCLONAL BAND PROFILE - ARUP,24.0,24.0,,,0 HCPCS,82042,Assay of urine albumin,,,7.78,20.62,7 HCPCS,82042,HC ALBUMIN BODY FLUID,102.0,102.0,,,0 HCPCS,82042,HC ALBUMIN BODY FLUID - ARUP,34.0,34.0,,,0 HCPCS,82042,HC ALBUMIN BODY FLUID - IMMUNOGLOBULIN G/ ALBUMIN RATIO CSF - ARUP,59.0,59.0,,,0 HCPCS,82042,HC ALBUMIN CSF - ARUP,30.0,30.0,,,0 HCPCS,82042,HC ALBUMIN CSF IGG OLIGOCLONAL BAND PROFILE - ARUP,41.0,41.0,,,0 HCPCS,82042,HC ALBUMIN CSF IGG SYNTH -ARUP,42.0,42.0,,,0 HCPCS,82042,HC ALBUMIN LEVEL CSF - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP,32.0,32.0,,,0 HCPCS,82042,HC ALBUMIN LEVEL CSF - OLIGOCLONAL BAND PROFILE - ARUP,38.0,38.0,,,0 HCPCS,82042,HC ASSAY OF URINE ALBUMIN - ALBUMIN BODY FLUID,92.0,92.0,,,0 HCPCS,82042,HC IMMUNOGLOBULIN G CSF INDEX - ARUP,59.0,59.0,,,0 HCPCS,82043,HC ALBUMIN LEVEL - ALBUMIN / CREATININE RATIO URINE - ARUP,20.0,20.0,,,0 HCPCS,82043,HC CREATININE LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE - QWDL,24.0,24.0,,,0 HCPCS,82043,HC MICROALBUMIN 24 HOUR URINE MG/L,416.0,416.0,,,0 HCPCS,82043,HC MICROALBUMIN LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE MG/L,416.5,416.5,,,0 HCPCS,82043,"HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN / CREATININE URINE RATIO",431.0,431.0,,,0 HCPCS,82043,"HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN 24HR URINE",241.0,241.0,,,0 HCPCS,82043,"HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE",241.0,241.0,,,0 HCPCS,82043,Microalbumin quantitative,,,5.78,15.32,7 HCPCS,82044,Microalbumin semiquant,,,6.23,16.51,7 HCPCS,82045,Albumin ischemia modified,,,33.94,89.94,7 HCPCS,82075,Assay of breath ethanol,,,30.0,79.5,7 HCPCS,82077,Assay spec xcp ur&breath ia,,,17.27,45.77,7 HCPCS,82077,HC DRUG LEVEL - ALCOHOL LEVEL CHAIN OF CUSTODY,503.0,503.0,,,0 HCPCS,82077,HC ETHANOL LEVEL,503.0,503.0,,,0 HCPCS,82085,Assay of aldolase,,,9.71,25.73,7 HCPCS,82085,HC ALDOLASE LEVEL - ARUP,21.0,21.0,,,0 HCPCS,82085,HC ASSAY OF ALDOLASE - ALDOLASE,54.5,54.5,,,0 HCPCS,82088,Assay of aldosterone,,,40.75,107.99,7 HCPCS,82088,HC ALDOSTERONE 24 HOUR URINE - ARUP,51.0,51.0,,,0 HCPCS,82088,HC ALDOSTERONE INTERNAL SAMPLING - ARUP,48.0,48.0,,,0 HCPCS,82088,HC ALDOSTERONE LEVEL - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP,72.0,72.0,,,0 HCPCS,82088,HC ALDOSTERONE LEVEL - ARUP,86.5,86.5,,,0 HCPCS,82088,"HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE",86.5,86.5,,,0 HCPCS,82103,Alpha-1-antitrypsin total,,,13.44,35.62,7 HCPCS,82103,HC A1A GENOTYPE WITH REFLEX TO PHENOTYPE - ARUP,210.0,210.0,,,0 HCPCS,82103,HC ALPHA 1 ANTITRYPSIN PHENOTYPE - ARUP,109.0,109.0,,,0 HCPCS,82103,HC ALPHA 1 ANTITRYPSIN STOOL - ARUP,256.0,256.0,,,0 HCPCS,82103,HC ALPHA-1-ANTITRYPSIN - ALPHA-1-ANTITRYPSIN,419.0,419.0,,,0 HCPCS,82103,HC ALPHA-1-ANTITRYPSIN - ARUP,38.0,38.0,,,0 HCPCS,82103,HC ALPHA-1-ANTITRYPSIN TOTAL,418.5,418.5,,,0 HCPCS,82103,HC ALPHA-1-ANTITRYPSIN TOTAL - A1A PHENOTYPE - ARUP,49.0,49.0,,,0 HCPCS,82103,HC ALPHA-1-ANTITRYPSIN TOTAL - AIA GENOTYPE - ARUP,195.0,195.0,,,0 HCPCS,82104,Alpha-1-antitrypsin pheno,,,14.46,38.32,7 HCPCS,82104,HC ALPHA 1 ANTITRYPSIN PHENOTYPE - A1A PHENOTYPE - ARUP,53.0,53.0,,,0 HCPCS,82104,HC ALPHA 1 ANTITRYPSIN PHENOTYPE - ARUP,121.0,121.0,,,0 HCPCS,82104,HC ALPHA-1-ANTITRYPSIN PHENOTYPE,117.0,117.0,,,0 HCPCS,82105,Alpha-fetoprotein serum,,,16.77,44.44,7 HCPCS,82105,HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER,341.5,341.5,,,0 HCPCS,82105,HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER SERUM - ARUP,80.0,80.0,,,0 HCPCS,82105,HC ALPHA FETOPROTEIN MATERNAL SERUM - ARUP,84.5,84.5,,,0 HCPCS,82105,"HC ALPHA FETOPROTEIN, TUMOR MARKER - QWDL",60.0,60.0,,,0 HCPCS,82105,HC INTEGRATED SCREEN 2ND TRIMESTER - AFP,314.0,314.0,,,0 HCPCS,82105,HC MATERNAL QUAD SCREEN - AFP,314.0,314.0,,,0 HCPCS,82106,Alpha-fetoprotein amniotic,,,17.0,45.05,7 HCPCS,82106,"HC ALPHA-FETOPROTEIN; AMNIOTIC - ALPHA-FETOPROTEIN, AMNIOTIC FLUID",117.0,117.0,,,0 HCPCS,82107,Alpha-Fetoprotein L3,,,64.41,170.69,7 HCPCS,82107,HC AFP TOTAL & L3 PERCENT-HEPATOCELLULAR CARCINOMA TUMOR MARKER PANEL-ARUP,420.0,420.0,,,0 HCPCS,82107,HC ALPHA FETOPROTEIN (AFP) TOTAL AND L3 PERCENT - ARUP,416.0,416.0,,,0 HCPCS,82107,"HC ALPHA-FETOPROTEIN L3 - ALPHA FETOPROTEIN, L3 PERCENT",327.0,327.0,,,0 HCPCS,82108,Assay of aluminum,,,25.48,67.52,7 HCPCS,82108,HC ALUMINUM LEVEL - ARUP,58.0,58.0,,,0 HCPCS,82108,HC ASSAY OF ALUMINUM - ALUMINUM LEVEL,94.0,94.0,,,0 HCPCS,82120,Amines vaginal fluid qual,,,5.99,15.87,7 HCPCS,82127,Amino acid single qual,,,14.18,37.58,7 HCPCS,82128,Amino acids mult qual,,,13.87,36.76,7 HCPCS,82128,"HC AMINO ACIDS, MULTIPLE QUAL - AMINO ACIDS, QUALITATIVE, URINE",182.0,182.0,,,0 HCPCS,82128,"HC ASSAY AMINO ACIDS, MULTIPLE QUAL - AMINO ACIDS, QUALITATIVE",182.0,182.0,,,0 HCPCS,82131,Amino acids single quant,,,22.98,60.9,7 HCPCS,82131,"HC AMINO ACIDS, SINGLE QUANTITATION - CYSTINE URINE QUANTITATIVE",193.0,193.0,,,0 HCPCS,82131,HC ASSAY AMINO ACIDS SINGLE QUANTITATION - ISOLEUCINE,191.0,191.0,,,0 HCPCS,82131,HC ASSAY AMINO ACIDS SINGLE QUANTITATION - LEUCINE,191.0,191.0,,,0 HCPCS,82131,HC ASSAY AMINO ACIDS SINGLE QUANTITATION - VALINE,191.0,191.0,,,0 HCPCS,82131,"HC ASSAY AMINO ACIDS, SINGLE QUANTITATION - CYSTINE 24 HR URINE",191.0,191.0,,,0 HCPCS,82131,"HC ASSAY AMINO ACIDS, SINGLE QUANTITATION - CYSTINE RANDOM URINE",191.0,191.0,,,0 HCPCS,82131,HC CYSTINE URINE QUANTITATIVE ARUP,286.0,286.0,,,0 HCPCS,82131,HC ISOLEUCINE - MAPLE SYRUP URINE DISEASE (MSUD) AMINO ACIDS,214.0,214.0,,,0 HCPCS,82131,HC LEUCINE - MAPLE SYRUP URINE DISEASE (MSUD) AMINO ACIDS,214.0,214.0,,,0 HCPCS,82131,HC PHENYLALANINE LEVEL,165.0,165.0,,,0 HCPCS,82131,HC PHENYLALANINE LEVEL - PHENYLALANINE AND TYROSINE - ARUP,268.0,268.0,,,0 HCPCS,82131,HC VALINE - MAPLE SYRUP URINE DISEASE (MSUD) AMINO ACIDS,214.0,214.0,,,0 HCPCS,82135,Assay aminolevulinic acid,,,16.45,43.59,7 HCPCS,82135,HC AMINOLEVULINIC ACID URINE 24 HOUR - ARUP,211.0,211.0,,,0 HCPCS,82135,"HC ASSAY, AMINOLEVULINIC ACID - AMINOLEVULINIC ACID 24HR",131.0,131.0,,,0 HCPCS,82136,Amino acids quant 2-5,,,19.61,51.97,7 HCPCS,82136,HC AMINO ACIDS 2 TO 5 QUANT - AMINO ACIDS,696.0,696.0,,,0 HCPCS,82139,Amino acids quan 6 or more,,,16.87,44.71,7 HCPCS,82139,HC AMINO ACID QUANT URINE - ARUP,436.0,436.0,,,0 HCPCS,82139,HC AMINO ACIDS 6+ QUANT - AMINO ACIDS CSF,226.0,226.0,,,0 HCPCS,82139,HC AMINO ACIDS CSF - ARUP,526.0,526.0,,,0 HCPCS,82139,"HC AMINO ACIDS, 6+ QUANT - AMINO ACID QUANT,URINE",226.0,226.0,,,0 HCPCS,82139,"HC AMINO ACIDS, 6+ QUANT - AMINO ACIDS, PLASMA",226.0,226.0,,,0 HCPCS,82139,"HC AMINO ACIDS, 6+ QUANT PLASMA - ARUP",294.0,294.0,,,0 HCPCS,82140,Assay of ammonia,,,14.57,38.61,7 HCPCS,82140,HC AMMONIA LEVEL,310.0,310.0,,,0 HCPCS,82143,Amniotic fluid scan,,,9.35,24.78,7 HCPCS,82150,Assay of amylase,,,6.48,17.17,7 HCPCS,82150,HC AMYLASE LEVEL,201.5,201.5,,,0 HCPCS,82150,HC AMYLASE URINE RANDOM,371.0,371.0,,,0 HCPCS,82150,HC ASSAY OF AMYLASE - AMYLASE BODY FLUID,258.0,258.0,,,0 HCPCS,82150,"HC ASSAY OF AMYLASE - AMYLASE,RANDOM",221.0,221.0,,,0 HCPCS,82150,"HC ASSAY OF AMYLASE - AMYLASE,TIMED URINE",207.0,207.0,,,0 HCPCS,82150,HC ASSAY OF AMYLASE - POCT AMYLASE,258.0,258.0,,,0 HCPCS,82150,HC PANCREATIC AMYLASE ISOENZYME - AMYLASE ISOENZYMES - ARUP,53.0,53.0,,,0 HCPCS,82150,HC SALIVARY AMYLASE ISOENZYME - AMYLASE ISOENZYMES - ARUP,47.5,47.5,,,0 HCPCS,82154,Androstanediol glucuronide,,,28.83,76.4,7 HCPCS,82157,Assay of androstenedione,,,29.28,77.59,7 HCPCS,82157,HC ANDROSTENEDIONE LEVEL - ARUP,101.0,101.0,,,0 HCPCS,82157,HC ASSAY OF ANDROSTENEDIONE - ANDROSTENEDIONE,130.0,130.0,,,0 HCPCS,82160,Assay of androsterone,,,25.55,67.71,7 HCPCS,82163,Assay of angiotensin II,,,20.52,54.38,7 HCPCS,82164,Angiotensin I enzyme test,,,14.6,38.69,7 HCPCS,82164,HC ANGIOTENSIN CONVERT ENZYME CSF - ARUP,84.0,84.0,,,0 HCPCS,82164,HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERT ENZYME CSF,98.0,98.0,,,0 HCPCS,82164,HC ANGIOTENSIN I ENZYME TEST - ANGIOTENSIN CONVERTING ENZYME,89.5,89.5,,,0 HCPCS,82166,Assay anti-mullerian horm,,,38.62,102.34,7 HCPCS,82166,HC ANTI-MULLERIAN HORMONE (AMH) ASSAY,190.0,190.0,,,0 HCPCS,82172,Assay of apolipoprotein,,,21.09,55.89,7 HCPCS,82172,HC APOLIPOPROTEIN A1 - ARUP,46.0,46.0,,,0 HCPCS,82172,HC APOLIPOPROTEIN B 100 - ARUP,46.0,46.0,,,0 HCPCS,82172,HC APOLIPOPROTEIN B100,68.0,68.0,,,0 HCPCS,82172,"HC APOLIPOPROTEIN E - B-AMYLOID RATIO, APOE ISOFORM, CSF - QUEST",1406.0,1406.0,,,0 HCPCS,82172,HC ASSAY OF APOLIPOPROTEIN - EACH,86.0,86.0,,,0 HCPCS,82172,HC ASSAY OF APOLIPOPROTEIN - LIPOPROTEIN A (LPA),65.0,65.0,,,0 HCPCS,82172,HC FIBROSURE ASH - APOLIPORPOTEIN A-1,109.5,109.5,,,0 HCPCS,82172,HC LIPOPROTEIN A - CARDIO IQ - QWDL,93.0,93.0,,,0 HCPCS,82175,Assay of arsenic,,,18.97,50.27,7 HCPCS,82175,HC ARSENIC FRACTIONATION URINE REFLEX - ARUP,366.0,366.0,,,0 HCPCS,82175,HC ARSENIC FRACTIONATIONED URINE - ARUP,99.0,99.0,,,0 HCPCS,82175,HC ARSENIC LEVEL,61.0,61.0,,,0 HCPCS,82175,HC ARSENIC LEVEL BLOOD - ARUP,50.0,50.0,,,0 HCPCS,82175,HC ARSENIC LEVEL URINE RANDOM - ARUP,55.0,55.0,,,0 HCPCS,82175,HC ARSENIC URINE - HEAVY METALS PANEL 3 - ARUP,58.0,58.0,,,0 HCPCS,82175,HC ARSENIC URINE HEAVY METALS PANEL 3- ARUP,55.0,55.0,,,0 HCPCS,82175,HC ASSAY OF ARSENIC - ARSENIC RANDOM URINE,99.0,99.0,,,0 HCPCS,82175,"HC ASSAY OF ARSENIC - ARSENIC,FRACTIONATION,UR",46.0,46.0,,,0 HCPCS,82175,HC HEAVY METALS,61.0,61.0,,,0 HCPCS,82175,HC HEAVY METALS URINE,61.0,61.0,,,0 HCPCS,82180,Assay of ascorbic acid,,,9.89,26.21,7 HCPCS,82180,HC ASSAY OF ASCORBIC ACID - VITAMIN C,115.0,115.0,,,0 HCPCS,82180,HC VITAMIN C (ASCORBIC ACID) LEVEL - ARUP,76.0,76.0,,,0 HCPCS,82190,Atomic absorption,,,15.9,42.14,7 HCPCS,82232,Assay of beta-2 protein,,,16.18,42.88,7 HCPCS,82232,HC BETA 2 MICROGLOBULIN CSF - ARUP,57.0,57.0,,,0 HCPCS,82232,HC BETA 2 MICROGLOBULIN SERUM - ARUP,46.0,46.0,,,0 HCPCS,82232,HC BETA 2 MICROGLOBULIN URINE,150.0,150.0,,,0 HCPCS,82232,HC BETA 2 MICROGLOBULIN URINE - ARUP,81.0,81.0,,,0 HCPCS,82232,HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN,151.5,151.5,,,0 HCPCS,82232,HC BETA-2 PROTEIN - BETA 2 MICROGLOBULIN CSF,68.0,68.0,,,0 HCPCS,82233,Beta-amyloid 1-40 (abeta 40),,,128.92,341.64,7 HCPCS,82234,Beta-amyloid 1-42 (abeta 42),,,128.92,341.64,7 HCPCS,82234,"HC ABETA42 - ALZHEMIER'S DISEASE MARKERS, CSF - ARUP",1320.0,1320.0,,,0 HCPCS,82239,Bile acids total,,,17.12,45.37,7 HCPCS,82239,"HC BILE ACIDS, TOTAL - BILE ACIDS, TOTAL",419.0,419.0,,,0 HCPCS,82240,Bile acids cholylglycine,,,26.58,70.44,7 HCPCS,82247,Bilirubin total,,,5.02,13.3,7 HCPCS,82247,HC BILIRUBIN TOTAL,93.0,93.0,,,0 HCPCS,82247,HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID,58.5,58.5,,,0 HCPCS,82247,HC BILIRUBIN TOTAL - BILIRUBIN NEONATAL,81.0,81.0,,,0 HCPCS,82247,HC BILIRUBIN TOTAL BODY FLUID - ARUP,36.0,36.0,,,0 HCPCS,82248,Bilirubin direct,,,5.02,13.3,7 HCPCS,82248,HC BILIRUBIN DIRECT,105.0,105.0,,,0 HCPCS,82252,Fecal bilirubin test,,,4.56,12.08,7 HCPCS,82261,Assay of biotinidase,,,16.87,44.71,7 HCPCS,82261,HC ASSAY BIOTINIDASE - BIOTINIDASE LEVEL,131.0,131.0,,,0 HCPCS,82261,HC BIOTINIDASE LEVEL - ARUP,140.0,140.0,,,0 HCPCS,82270,"HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD",92.0,92.0,,,0 HCPCS,82270,Occult blood feces,,,4.38,11.61,7 HCPCS,82271,HC ASSAY OCCULT BLOOD - OCCULT BLOOD PEROXIDASE OTHER SOURCE,162.0,162.0,,,0 HCPCS,82271,HC OCCULT BLOOD GASTRIC / DUODENUM,162.0,162.0,,,0 HCPCS,82271,Occult blood other sources,,,5.32,14.1,7 HCPCS,82272,HC OCCULT BLOOD - OCCULT BLOOD STOOL,119.0,119.0,,,0 HCPCS,82272,HC POC FECAL OCCULT BLOOD STOOL,111.0,111.0,,,0 HCPCS,82272,Occult bld feces 1-3 tests,,,4.23,11.21,7 HCPCS,82274,Assay test for blood fecal,,,15.92,42.19,7 HCPCS,82274,HC OCCULT BLOOD - 1 TO 3 SIMULTANEOUS TESTS POC,337.0,337.0,,,0 HCPCS,82274,"HC OCCULT BLOOD BY IMMUNOASSAY, FECES",337.0,337.0,,,0 HCPCS,82274,"HC OCCULT BLOOD BY IMMUNOASSAY, FECES - ARUP",113.0,113.0,,,0 HCPCS,82274,HC OCCULT BLOOD FECES DIAGNOSTIC SPECIMEN #1,337.0,337.0,,,0 HCPCS,82274,HC OCCULT BLOOD FECES SCREENING SPECIMEN #1,337.0,337.0,,,0 HCPCS,82286,Assay of bradykinin,,,5.16,13.67,7 HCPCS,82300,Assay of cadmium,,,23.64,62.65,7 HCPCS,82300,HC ASSAY OF CADMIUM - CADMIUM 24 HR URINE,99.0,99.0,,,0 HCPCS,82300,HC CADMIUM LEVEL - PANEL 4 BLOOD ARUP,58.0,58.0,,,0 HCPCS,82300,HC CADMIUM LEVEL BLOOD - ARUP,99.0,99.0,,,0 HCPCS,82300,"HC CADMIUM LEVEL, RANDOM URINE - ARUP",59.0,59.0,,,0 HCPCS,82306,HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY,424.5,424.5,,,0 HCPCS,82306,HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY - ARUP,47.0,47.0,,,0 HCPCS,82306,HC VITAMIN D2 AND D3 25 HYDROXY LEVEL - ARUP,142.5,142.5,,,0 HCPCS,82306,Vitamin d 25 hydroxy,,,29.6,78.44,7 HCPCS,82308,Assay of calcitonin,,,26.79,70.99,7 HCPCS,82308,HC ASSAY OF CALCITONIN - CALCITONIN,97.0,97.0,,,0 HCPCS,82308,HC CALCITONIN - ARUP,84.0,84.0,,,0 HCPCS,82310,Assay of calcium,,,5.16,13.67,7 HCPCS,82310,"HC ASSAY OF CALCIUM, TOTAL - ADDITIONAL CHARGE",83.0,83.0,,,0 HCPCS,82310,"HC ASSAY OF CALCIUM, TOTAL - POCT CALCIUM, TOTAL",83.0,83.0,,,0 HCPCS,82310,HC CALCIUM LEVEL TOTAL - PTH INTACT WITH CALCIUM - ARUP,21.5,21.5,,,0 HCPCS,82310,HC CALCIUM TOTAL LEVEL,92.0,92.0,,,0 HCPCS,82330,Assay of calcium,,,13.68,36.25,7 HCPCS,82330,"HC ASSAY OF CALCIUM, IONIZED - CALCIUM IONIZED",264.5,264.5,,,0 HCPCS,82330,HC CALCIUM IONIZED - QWDL,72.5,72.5,,,0 HCPCS,82330,"HC CALCIUM, IONIZED - ARUP",67.0,67.0,,,0 HCPCS,82331,Calcium infusion test,,,13.34,35.35,7 HCPCS,82340,Assay of calcium in urine,,,6.03,15.98,7 HCPCS,82340,HC CALCIUM - KIDNEY STONE RISK PANEL URINE - ARUP,20.0,20.0,,,0 HCPCS,82340,HC CALCIUM 24 HR URINE CALCULI RISK - ARUP,30.0,30.0,,,0 HCPCS,82340,HC CALCIUM 24 HR URINE STONE RISK - ARUP,21.0,21.0,,,0 HCPCS,82340,HC CALCIUM RANDOM URINE,254.5,254.5,,,0 HCPCS,82340,HC CALCIUM RANDOM URINE - ARUP,34.0,34.0,,,0 HCPCS,82340,HC CALCIUM RANDOM URINE - CALCIUM/CREATININE URINE RATIO,236.5,236.5,,,0 HCPCS,82340,"HC CALCIUM SUPERSATURATION PROFILE, URINE - ARUP",31.0,31.0,,,0 HCPCS,82340,HC CALCIUM TIMED URINE,258.5,258.5,,,0 HCPCS,82340,HC CALCIUM TOTAL URINE - ARUP,34.0,34.0,,,0 HCPCS,82355,Calculus analysis qual,,,11.58,30.69,7 HCPCS,82355,HC CALCULUS ASSAY - KIDNEY STONE ANALYSIS QUAL,82.0,82.0,,,0 HCPCS,82360,Calculus assay quant,,,12.87,34.11,7 HCPCS,82360,HC CALCULUS ANALYSIS - KIDNEY STONE ANALYSIS QUANT,57.0,57.0,,,0 HCPCS,82365,Calculus spectroscopy,,,12.9,34.18,7 HCPCS,82365,HC ASSAY CALCULUS INFRARED SPECTR - KIDNEY STONE ANALYSIS QUANT,92.0,92.0,,,0 HCPCS,82365,"HC CALCULUS ASSAY,INFRARED SPECTR - KIDNEY STONE ANALYSIS",92.0,92.0,,,0 HCPCS,82370,X-ray assay calculus,,,12.52,33.18,7 HCPCS,82373,Assay c-d transfer measure,,,18.06,47.86,7 HCPCS,82373,HC ASSAY CARBOHYDRATE DEF TRANSFERRIN - CARBOHYDRATE DEFICIENT TRANS,486.0,486.0,,,0 HCPCS,82373,HC CARBOHYDRATE DEFICIENT TRANSFERRIN (CDT) - ARUP,1224.0,1224.0,,,0 HCPCS,82373,HC CARBOHYDRATE DEFICIENT TRANSFERRIN FOR ALCOHOL USE - ARUP,457.0,457.0,,,0 HCPCS,82374,Assay blood carbon dioxide,,,4.88,12.93,7 HCPCS,82374,HC ASSAY URINE CARBON DIOXIDE - CO2 TOTAL,59.0,59.0,,,0 HCPCS,82374,HC CARBON DIOXIDE (CO2) TOTAL URINE - ARUP,38.0,38.0,,,0 HCPCS,82374,HC CO2 TOTAL BLOOD,58.5,58.5,,,0 HCPCS,82375,Assay carboxyhb quant,,,12.32,32.65,7 HCPCS,82375,HC ASSAY BLOOD CARBON MONOXIDE - CARBOXYHEMOGLOBIN,135.0,135.0,,,0 HCPCS,82375,"HC CARBOXYHEMOGLOBIN QUANT, CO-OX, WHOLE BLOOD - ARUP",325.0,325.0,,,0 HCPCS,82376,Assay carboxyhb qual,,,14.07,37.29,7 HCPCS,82378,Carcinoembryonic antigen,,,18.96,50.24,7 HCPCS,82378,HC CARCINOEMBRYONIC ANTIGEN (CEA),477.5,477.5,,,0 HCPCS,82378,HC CARCINOEMBRYONIC ANTIGEN (CEA) (ARUP),47.0,47.0,,,0 HCPCS,82378,HC CARCINOEMBRYONIC ANTIGEN (CEA) (QWDL),59.0,59.0,,,0 HCPCS,82378,HC CARCINOEMBRYONIC ANTIGEN (CEA) FLUID - ARUP,74.0,74.0,,,0 HCPCS,82378,HC CARCINOEMBRYONIC ANTIGEN FLUID,479.5,479.5,,,0 HCPCS,82379,Assay of carnitine,,,16.87,44.71,7 HCPCS,82379,HC ASSAY OF CARNITINE - CARNITINE,129.0,129.0,,,0 HCPCS,82379,HC CARNITINE TOTAL AND FREE - ARUP,130.0,130.0,,,0 HCPCS,82379,HC CARNITINE TOTAL AND FREE QUANT - CARNITINE PANEL - ARUP,316.0,316.0,,,0 HCPCS,82380,Assay of carotene,,,9.22,24.43,7 HCPCS,82380,"HC ASSAY OF CAROTENE - CAROTENE, SERUM",95.0,95.0,,,0 HCPCS,82380,HC CAROTENE LEVEL SERUM - ARUP,64.0,64.0,,,0 HCPCS,82382,Assay urine catecholamines,,,27.3,72.34,7 HCPCS,82383,Assay blood catecholamines,,,29.08,77.06,7 HCPCS,82384,Assay three catecholamines,,,25.25,66.91,7 HCPCS,82384,"HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINE 24 HR URINE",84.5,84.5,,,0 HCPCS,82384,"HC ASSAY, THREE CATECHOLAMINES - CATECHOLAMINES FRACTIONATED PL",95.0,95.0,,,0 HCPCS,82384,"HC CATECHOLAMINES, FRACTIONATED, BY LC-MS/MS - ARUP",105.0,105.0,,,0 HCPCS,82384,"HC CATECHOLAMINES, FRACTIONATED, PLASMA - ARUP",117.0,117.0,,,0 HCPCS,82384,"HC CATECHOLAMINES, FRACTIONATED, URINE 24 HOUR - QWDL",71.0,71.0,,,0 HCPCS,82387,Assay of cathepsin-d,,,18.06,47.86,7 HCPCS,82390,Assay of ceruloplasmin,,,10.74,28.46,7 HCPCS,82390,HC ASSAY OF CERULOPLASMIN - CERULOPLASMIN,262.0,262.0,,,0 HCPCS,82390,HC CERULOPLASMIN LEVEL,241.0,241.0,,,0 HCPCS,82390,HC CERULOPLASMIN LEVEL - ARUP,30.0,30.0,,,0 HCPCS,82397,Chemiluminescent assay,,,14.12,37.42,7 HCPCS,82397,HC CHEMILUMINESCENT ASSAY - ANTIBODIES TO ADALIMUMAB QUANT - ARUP,332.0,332.0,,,0 HCPCS,82397,HC CHEMILUMINESCENT ASSAY - ANTIBODIES TO INFLIXIMAB QUANT - ARUP,332.0,332.0,,,0 HCPCS,82397,HC CHEMILUMINESCENT ASSAY - IGF BINDING PROTEIN 3,139.5,139.5,,,0 HCPCS,82397,HC CHEMILUMINESCENT ASSAY - INTERLEUKIN-6,193.0,193.0,,,0 HCPCS,82397,HC CHEMILUMINESCENT ASSAY - LEPTIN QUANT,141.5,141.5,,,0 HCPCS,82397,HC CHEMILUMINESCENT ASSAY - MISCELLANEOUS,227.0,227.0,,,0 HCPCS,82397,HC CHEMILUMINESCENT ASSAY - PITUITARY GLYCOPROTEIN,141.5,141.5,,,0 HCPCS,82397,HC CHEMILUMINESCENT ASSAY - VASCULAR ENDOTHELIAL GROWTH FACTOR,141.5,141.5,,,0 HCPCS,82397,HC IGF BINDING PROTEIN 3 - ARUP,78.0,78.0,,,0 HCPCS,82415,Assay of chloramphenicol,,,12.67,33.58,7 HCPCS,82435,Assay of blood chloride,,,4.6,12.19,7 HCPCS,82435,HC CHLORIDE BLOOD,129.0,129.0,,,0 HCPCS,82435,HC CHLORIDE BLOOD POC,129.0,129.0,,,0 HCPCS,82436,Assay of urine chloride,,,5.75,15.24,7 HCPCS,82436,"HC CHLORIDE SUPERSATURATION PROFILE, URINE - ARUP",30.0,30.0,,,0 HCPCS,82436,HC CHLORIDE URINE 24 HOUR TIMED,268.0,268.0,,,0 HCPCS,82436,HC CHLORIDE URINE CALCULI RISK ASSESSMENT - ARUP,28.0,28.0,,,0 HCPCS,82436,HC CHLORIDE URINE RANDOM,256.0,256.0,,,0 HCPCS,82436,HC CHLORIDE URINE TIMED,256.0,256.0,,,0 HCPCS,82438,Assay other fluid chlorides,,,5.0,13.25,7 HCPCS,82438,HC ASSAY OTHER FLUID CHLORIDES - ADDITIONAL CHARGE,97.0,97.0,,,0 HCPCS,82438,HC ASSAY OTHER FLUID CHLORIDES - CHLORIDE BODY FLUID,83.0,83.0,,,0 HCPCS,82438,HC CHLORIDE LEVEL STOOL - ARUP,56.0,56.0,,,0 HCPCS,82441,HC POLYCHLORINATED BIPHENYLS - ARUP,513.0,513.0,,,0 HCPCS,82441,HC TEST FOR CHLOROHYDROCARBONS - POLYCHLORINATED BIPHENYLS,273.0,273.0,,,0 HCPCS,82441,Test for chlorohydrocarbons,,,6.01,15.93,7 HCPCS,82465,Assay bld/serum cholesterol,,,4.35,11.53,7 HCPCS,82465,"HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID",70.5,70.5,,,0 HCPCS,82465,"HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL",93.0,93.0,,,0 HCPCS,82480,Assay serum cholinesterase,,,7.87,20.86,7 HCPCS,82480,"HC ASSAY, SERUM CHOLINESTERASE - CHOLINESTERASE",107.0,107.0,,,0 HCPCS,82480,"HC ASSAY, SERUM CHOLINESTERASE - PSEUDOCHOLINESTERASE PHENOTYPE",115.0,115.0,,,0 HCPCS,82480,HC CHOLINESTERASE,44.0,44.0,,,0 HCPCS,82480,HC CHOLINESTERASE WHOLE BLOOD,107.0,107.0,,,0 HCPCS,82482,Assay rbc cholinesterase,,,9.81,26.0,7 HCPCS,82482,"HC ASSAY, RBC CHOLINESTERASE - CHOLINESTERASE, RBC",101.0,101.0,,,0 HCPCS,82485,Assay chondroitin sulfate,,,20.65,54.72,7 HCPCS,82495,Assay of chromium,,,20.28,53.74,7 HCPCS,82495,HC ASSAY OF CHROMIUM - CHROMIUM LEVEL,99.0,99.0,,,0 HCPCS,82495,HC CHROMIUM LEVEL - ARUP,59.0,59.0,,,0 HCPCS,82507,Assay of citrate,,,27.8,73.67,7 HCPCS,82507,HC ASSAY OF CITRATE - CITRATE 24 HOUR URINE,97.0,97.0,,,0 HCPCS,82507,HC ASSAY OF CITRATE - CITRATE BLOOD,153.0,153.0,,,0 HCPCS,82507,HC CITRATE - STONE RISK PANEL - ARUP,98.0,98.0,,,0 HCPCS,82507,HC CITRATE 24 HOUR URINE - ARUP,55.0,55.0,,,0 HCPCS,82507,HC CITRATE URINE CALCULI RISK ASSESSMENT - ARUP,138.0,138.0,,,0 HCPCS,82507,HC CITRIC ACID - KIDNEY STONE RISK PANEL URINE - ARUP,91.0,91.0,,,0 HCPCS,82507,HC CITRIC ACID - SUPERSATURATION PROFILE - ARUP,142.0,142.0,,,0 HCPCS,82523,Collagen crosslinks,,,18.68,49.5,7 HCPCS,82523,HC ASSAY FOR COLLAGEN CROSS LINKS - COLLAGEN TYPE I CROSSLINK,182.0,182.0,,,0 HCPCS,82523,"HC ASSAY FOR COLLAGEN CROSS LINKS - N-TELOPEPTIDE, URINE",120.0,120.0,,,0 HCPCS,82523,"HC C-TELOPEPTIDE, BETA-CROSS -LINKED, SERUM - ARUP",168.0,168.0,,,0 HCPCS,82523,HC DEOXYPYRIDINOLINE CROSSLINKS URINE,170.0,170.0,,,0 HCPCS,82523,HC N TELOPEPTIDE URINE - ARUP,93.0,93.0,,,0 HCPCS,82523,HC N-TELOPEPTIDE,170.0,170.0,,,0 HCPCS,82523,"HC N-TELOPEPTIDE, CROSS-LINKED, SERUM - ARUP",399.0,399.0,,,0 HCPCS,82525,Assay of copper,,,12.41,32.89,7 HCPCS,82525,HC ASSAY OF COPPER - COPPER LIVER TISSUE,151.5,151.5,,,0 HCPCS,82525,HC ASSAY OF COPPER - COPPER RANDOM URINE,49.0,49.0,,,0 HCPCS,82525,"HC ASSAY OF COPPER - COPPER, SERUM",47.0,47.0,,,0 HCPCS,82525,HC COPPER LIVER TISSUE - ARUP,437.0,437.0,,,0 HCPCS,82528,Assay of corticosterone,,,22.52,59.68,7 HCPCS,82530,Cortisol free,,,16.71,44.28,7 HCPCS,82530,HC CORTISOL FREE - ARUP,127.0,127.0,,,0 HCPCS,82530,HC CORTISOL FREE URINE - ARUP,78.0,78.0,,,0 HCPCS,82530,"HC CORTISOL, FREE - CORTISOL, FREE",78.0,78.0,,,0 HCPCS,82530,"HC CORTISOL, FREE - CORTISOL, URINE, FREE",70.5,70.5,,,0 HCPCS,82533,HC CORTISOL INTERNAL SAMPLING - ARUP,36.0,36.0,,,0 HCPCS,82533,HC CORTISOL SALIVA,320.5,320.5,,,0 HCPCS,82533,HC CORTISOL SALIVARY - ARUP,133.0,133.0,,,0 HCPCS,82533,HC CORTISOL TOTAL,109.0,109.0,,,0 HCPCS,82533,HC CORTISOL TOTAL - ARUP,74.0,74.0,,,0 HCPCS,82533,HC CORTISOL TOTAL - QWDL,76.0,76.0,,,0 HCPCS,82533,HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR,320.5,320.5,,,0 HCPCS,82533,HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES,320.5,320.5,,,0 HCPCS,82533,HC TOTAL CORTISOL - ACTH STIMULATION 90 MINUTES,320.5,320.5,,,0 HCPCS,82533,HC TOTAL CORTISOL - ACTH STIMULATION BASELINE,320.5,320.5,,,0 HCPCS,82533,HC TOTAL CORTISOL - CORTISOL PM,320.5,320.5,,,0 HCPCS,82533,HC TOTAL CORTISOL AM - QWDL,83.0,83.0,,,0 HCPCS,82533,Total cortisol,,,16.3,43.2,7 HCPCS,82540,Assay of creatine,,,4.64,12.3,7 HCPCS,82540,HC ASSAY OF CREATINE - CREATINE,101.5,101.5,,,0 HCPCS,82540,HC CREATINE LEVEL - ARUP,252.0,252.0,,,0 HCPCS,82540,HC CREATINE LEVEL URINE,100.0,100.0,,,0 HCPCS,82540,HC CREATINE LEVEL URINE - ARUP,253.0,253.0,,,0 HCPCS,82542,Col chromotography qual/quan,,,24.09,63.84,7 HCPCS,82542,HC ACYLGLYCINES QUANT URINE - ARUP,702.0,702.0,,,0 HCPCS,82542,"HC APOLIPOPROTEIN E (APOE) ISOFORM, CSF - QUEST",2099.0,2099.0,,,0 HCPCS,82542,"HC BETA-AMYLOID 40 - B-AMYLOID RATIO, APOE ISOFORM, CSF - QUEST",1607.0,1607.0,,,0 HCPCS,82542,"HC BETA-AMYLOID 42 - B-AMYLOID RATIO, APOE ISOFORM, CSF - QUEST",1607.0,1607.0,,,0 HCPCS,82542,HC COENZYME Q10 TOTAL - ARUP,273.0,273.0,,,0 HCPCS,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC,539.5,539.5,,,0 HCPCS,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC - PARALDEHYDE,164.0,164.0,,,0 HCPCS,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC ACYLGLYCINES URINE,353.0,353.0,,,0 HCPCS,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC COENZYME Q10,199.0,199.0,,,0 HCPCS,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC DIHYDROTESTOSTERONE,164.0,164.0,,,0 HCPCS,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC PARATHYROID HORMONE RELATED PEPTIDE,161.0,161.0,,,0 HCPCS,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC PORPHYRINS PLASMA FRACTIONATED,164.0,164.0,,,0 HCPCS,82542,HC COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC SULFONYLUREA HYPOGLYCEMICS,164.0,164.0,,,0 HCPCS,82542,"HC FATTY ACIDS PROFILE, ESSENTIAL - ARUP",725.5,725.5,,,0 HCPCS,82542,HC N-METHYLHISTAMINE URINE 24 HOUR - ARUP,478.0,478.0,,,0 HCPCS,82542,HC OMEGA 3 AND 6 FATTY ACIDS - QST,210.0,210.0,,,0 HCPCS,82542,HC OMEGACHECK - QDID,147.0,147.0,,,0 HCPCS,82542,HC PORPHYRINS FRACTIONATED PLASMA - PORPHYRINS TOTAL WITH REFLEX - ARUP,718.0,718.0,,,0 HCPCS,82542,HC PTH-RELATED PEPTIDE - ARUP,126.0,126.0,,,0 HCPCS,82550,Assay of ck (cpk),,,6.51,17.25,7 HCPCS,82550,HC CK (CPK) TOTAL,92.0,92.0,,,0 HCPCS,82550,HC CK (CPK) TOTAL - ARUP,43.0,43.0,,,0 HCPCS,82550,HC CREATINE KINASE (CK) TOTAL,111.0,111.0,,,0 HCPCS,82550,HC CREATINE KINASE (CK) TOTAL - ARUP,36.0,36.0,,,0 HCPCS,82550,HC CREATINE KINASE (CPK) TOTAL - CK ISOENZYMES - ARUP,24.0,24.0,,,0 HCPCS,82552,Assay of cpk in blood,,,13.39,35.48,7 HCPCS,82552,HC CPK ISOENZYMES,103.0,103.0,,,0 HCPCS,82552,HC CREATINE KINASE ISOENZYMES - CK ISOENZYMES - ARUP,51.0,51.0,,,0 HCPCS,82553,Creatine mb fraction,,,11.55,30.61,7 HCPCS,82553,"HC CREATINE, MB FRACTION - CK TOTAL AND CKMB",94.0,94.0,,,0 HCPCS,82553,"HC CREATINE, MB FRACTION - CKMB",94.0,94.0,,,0 HCPCS,82553,"HC CREATINE, MB FRACTION - CKMB - ARUP",72.0,72.0,,,0 HCPCS,82554,Creatine isoforms,,,11.87,31.46,7 HCPCS,82565,Assay of creatinine,,,5.12,13.57,7 HCPCS,82565,HC CREATININE LEVEL,92.0,92.0,,,0 HCPCS,82565,"HC CREATININE, EGFR - CYSTATIN, CREATININE, EGFR - ARUP",38.0,38.0,,,0 HCPCS,82570,Assay of urine creatinine,,,5.18,13.73,7 HCPCS,82570,"HC ASSAY OF URINE CREATININE - CREATININE, URINE, 24 HOUR",207.0,207.0,,,0 HCPCS,82570,HC ASSAY OF URINE CREATININE - POCT CREATININE,207.0,207.0,,,0 HCPCS,82570,HC CREATININE LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE MG/MMOL,302.5,302.5,,,0 HCPCS,82570,HC CREATININE LEVEL - ALBUMIN / CREATININE RATIO URINE - ARUP,18.0,18.0,,,0 HCPCS,82570,HC CREATININE LEVEL - CALCIUM/CREATININE URINE RATIO,350.0,350.0,,,0 HCPCS,82570,HC CREATININE LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE MG/L,302.5,302.5,,,0 HCPCS,82570,HC CREATININE LEVEL - PROTEIN/CREATININE RATIO URINE,257.0,257.0,,,0 HCPCS,82570,HC CREATININE LEVEL - PROTEIN/CREATININE RATIO URINE - QWDL,25.0,25.0,,,0 HCPCS,82570,HC CREATININE LEVEL BODY FLUID,209.0,209.0,,,0 HCPCS,82570,HC CREATININE LEVEL BODY FLUID - ARUP,34.0,34.0,,,0 HCPCS,82570,HC CREATININE LEVEL RANDOM URINE,201.0,201.0,,,0 HCPCS,82570,HC CREATININE LEVEL RANDOM URINE - QWDL,20.0,20.0,,,0 HCPCS,82570,HC CREATININE LEVEL URINE - ARUP,26.0,26.0,,,0 HCPCS,82570,HC CREATININE LEVEL URINE 12 HOUR,350.0,350.0,,,0 HCPCS,82570,HC CREATININE LEVEL URINE 24 HOUR,302.5,302.5,,,0 HCPCS,82570,HC CREATININE LEVEL URINE 8 HOUR,350.0,350.0,,,0 HCPCS,82570,HC CREATININE LEVEL-MICROALBUMIN/CREATININE RATIO RANDOM URINE MG/DL,302.5,302.5,,,0 HCPCS,82570,HC CREATININE TIMED URINE,207.0,207.0,,,0 HCPCS,82575,Creatinine clearance test,,,9.46,25.07,7 HCPCS,82575,HC CREATININE CLEARANCE URINE 24 HOUR,446.0,446.0,,,0 HCPCS,82585,Assay of cryofibrinogen,,,14.14,37.47,7 HCPCS,82585,HC ASSAY OF CRYOFIBRINOGEN - CRYOFIBRINOGEN,28.0,28.0,,,0 HCPCS,82585,HC CRYOFIBRINOGEN LEVEL - ARUP,28.0,28.0,,,0 HCPCS,82595,Assay of cryoglobulin,,,6.47,17.15,7 HCPCS,82595,HC ASSAY OF CRYOGLOBULIN - CRYOGLOBULIN,371.0,371.0,,,0 HCPCS,82600,Assay of cyanide,,,19.4,51.41,7 HCPCS,82600,HC ASSAY OF CYANIDE - CYANIDE LEVEL,157.0,157.0,,,0 HCPCS,82600,HC CYANIDE LEVEL - ARUP,357.0,357.0,,,0 HCPCS,82607,HC VITAMIN B12 - QWDL,63.0,63.0,,,0 HCPCS,82607,HC VITAMIN B12 LEVEL,262.0,262.0,,,0 HCPCS,82607,Vitamin B-12,,,15.08,39.96,7 HCPCS,82608,B-12 binding capacity,,,14.32,37.95,7 HCPCS,82608,HC B-12 BINDING CAPACITY - B-12 BINDING CAPACITY,69.0,69.0,,,0 HCPCS,82608,HC VITAMIN B12 BINDING CAPACITY - ARUP,92.0,92.0,,,0 HCPCS,82610,Cystatin c,,,18.52,49.08,7 HCPCS,82610,"HC CYSTATIN - CYSTATIN, CREATININE, EGFR - ARUP",136.0,136.0,,,0 HCPCS,82610,HC CYSTATIN C,563.0,563.0,,,0 HCPCS,82610,"HC CYSTATIN C, WITH REFLEX - ARUP",182.0,182.0,,,0 HCPCS,82615,Test for urine cystines,,,9.55,25.31,7 HCPCS,82626,Dehydroepiandrosterone,,,25.27,66.97,7 HCPCS,82626,HC DEHYDROEPIANDROSTERONE (DHEA) - ARUP,63.0,63.0,,,0 HCPCS,82626,HC DEHYDROEPIANDROSTERONE - DHEA,101.0,101.0,,,0 HCPCS,82627,Dehydroepiandrosterone,,,22.23,58.91,7 HCPCS,82627,HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - ARUP,46.0,46.0,,,0 HCPCS,82627,HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - QWDL,42.0,42.0,,,0 HCPCS,82627,HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE,782.0,782.0,,,0 HCPCS,82633,Desoxycorticosterone,,,30.98,82.1,7 HCPCS,82633,HC DESOXYCORTICOSTERONE - DEOXYCORTICOSTERONE,140.0,140.0,,,0 HCPCS,82634,Deoxycortisol,,,29.28,77.59,7 HCPCS,82634,HC 11 DEOXYCORTISOL - ARUP,134.0,134.0,,,0 HCPCS,82634,HC DEOXYCORTISOL - 11-DEOXYCORTISOL,122.0,122.0,,,0 HCPCS,82638,Assay of dibucaine number,,,12.25,32.46,7 HCPCS,82638,HC CHOLINESTERASE AND DIBUCAINE NUMBER,70.0,70.0,,,0 HCPCS,82642,Dihydrotestosterone,,,29.28,77.59,7 HCPCS,82642,HC 5 A DIHYDROTESTOSTERONE - ARUP,84.0,84.0,,,0 HCPCS,82642,HC DIHYDROTESTOSTERONE,134.0,134.0,,,0 HCPCS,82652,"HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1",182.0,182.0,,,0 HCPCS,82652,"HC VITAMIN D 1,25 DIHYDROXY - ARUP",64.0,64.0,,,0 HCPCS,82652,Vit d 1 25-dihydroxy,,,38.5,102.02,7 HCPCS,82653,El-1 fecal quantitative,,,22.97,60.87,7 HCPCS,82653,HC PANCREATIC ELASTASE STOOL QUANT - ARUP,231.0,231.0,,,0 HCPCS,82653,"HC PANCREATIC ELASTASE, FECAL, QUANT",162.0,162.0,,,0 HCPCS,82656,Pancreatic elastase fecal,,,11.53,30.55,7 HCPCS,82657,Enzyme cell activity,,,22.17,58.75,7 HCPCS,82657,HC ALPHA GALACTOSIDASE - ARUP,1333.0,1333.0,,,0 HCPCS,82657,HC ARYLSULFATASE A WHITE BLOOD CELLS,591.0,591.0,,,0 HCPCS,82657,HC ENZYME ACTIVITY NOS,360.0,360.0,,,0 HCPCS,82657,HC ENZYME ACTIVITY NOS ALPHA GALACTOSIDASE,248.0,248.0,,,0 HCPCS,82657,HC ENZYME ACTIVITY NOS DISACCHARIDASE TISSUE,197.0,197.0,,,0 HCPCS,82657,HC ENZYME ACTIVITY NOS LYSOSOMAL ACID LIPASE,487.0,487.0,,,0 HCPCS,82657,HC ENZYME ACTIVITY NOS LYSOSOMAL ACID LIPASE - ARUP,924.0,924.0,,,0 HCPCS,82657,HC ENZYME ACTIVITY NOS THIOPURINE METHYLTRANSFERASE,327.0,327.0,,,0 HCPCS,82657,HC ENZYME ACTIVITY NOS UROPORPHYRINOGEN 1 SYNTHASE PBG,248.0,248.0,,,0 HCPCS,82657,HC PORPHOBILINOGEN DEAMINASE RBC - ARUP,295.0,295.0,,,0 HCPCS,82657,HC PORPHOBILINOGEN DEAMINASE RED BLOOD CELL,161.0,161.0,,,0 HCPCS,82657,HC TISSUE DISACCHARIDASE - ARUP,337.0,337.0,,,0 HCPCS,82658,Enzyme cell activity ra,,,44.03,116.68,7 HCPCS,82664,Electrophoretic test,,,61.5,162.98,7 HCPCS,82664,HC CHYLOMICRONS FLUID,113.0,113.0,,,0 HCPCS,82664,HC ELECTROPHORETIC TEST - IMMUNOFIXATION ELECTROPHORESIS,331.0,331.0,,,0 HCPCS,82664,HC MUCOPOLYSACCHARIDES URINE,119.0,119.0,,,0 HCPCS,82668,Assay of erythropoietin,,,18.79,49.79,7 HCPCS,82668,HC ASSAY OF ERYTHROPOIETIN - ERYTHROPOIETIN,105.0,105.0,,,0 HCPCS,82668,HC ERYTHROPOIETIN LEVEL - ARUP,34.0,34.0,,,0 HCPCS,82670,Assay of estradiol,,,27.94,74.04,7 HCPCS,82670,HC ASSAY OF ESTRADIOL - ESTRADIOL,700.0,700.0,,,0 HCPCS,82670,HC ESTRADIOL LEVEL - FEMALE ADULT PREMENOPAUSE - ARUP,51.0,51.0,,,0 HCPCS,82670,HC ESTRADIOL LEVEL PEDIATRICS,403.0,403.0,,,0 HCPCS,82671,Assay of estrogens,,,32.3,85.59,7 HCPCS,82671,"HC ASSAY OF ESTROGENS - ESTROGENS, FRACTIONATED",97.0,97.0,,,0 HCPCS,82671,HC ESTROGENS FRACTIONATED - ARUP,51.0,51.0,,,0 HCPCS,82672,Assay of estrogen,,,21.7,57.5,7 HCPCS,82672,HC ASSAY OF ESTROGEN - ESTROGENS TOTAL,321.0,321.0,,,0 HCPCS,82672,HC ESTROGENS TOTAL - QWDL,119.0,119.0,,,0 HCPCS,82677,Assay of estriol,,,24.18,64.08,7 HCPCS,82677,HC ASSAY OF ESTRIOL - ADDITIONAL CHARGE,99.0,99.0,,,0 HCPCS,82677,HC ASSAY OF ESTRIOL - UNCONJUGATED ESTRIOL 3,68.0,68.0,,,0 HCPCS,82677,HC ESTRIOL LEVEL - ARUP,56.0,56.0,,,0 HCPCS,82677,HC MATERNAL QUAD SCREEN - ESTRIOL,110.0,110.0,,,0 HCPCS,82679,Assay of estrone,,,24.95,66.12,7 HCPCS,82679,HC ASSAY OF ESTRONE - ESTRONE,93.5,93.5,,,0 HCPCS,82679,HC ESTRONE LEVEL - ARUP,105.0,105.0,,,0 HCPCS,82681,Assay dir meas fr estradiol,,,27.94,74.04,7 HCPCS,82681,HC ESTRADIOL FREE - ARUP,517.0,517.0,,,0 HCPCS,82693,Assay of ethylene glycol,,,14.9,39.48,7 HCPCS,82693,HC ASSAY OF ETHYLENE GLYCOL - ETHYLENE GLYCOL,117.0,117.0,,,0 HCPCS,82696,Assay of etiocholanolone,,,26.24,69.54,7 HCPCS,82705,Fats/lipids feces qual,,,5.1,13.51,7 HCPCS,82705,HC FECAL FAT QUAL,304.0,304.0,,,0 HCPCS,82705,HC FECAL FAT QUAL - ARUP,76.0,76.0,,,0 HCPCS,82710,Fats/lipids feces quant,,,16.8,44.52,7 HCPCS,82710,"HC FATS/LIPIDS, FECES, QUANTITATIVE - FECAL FAT QUANTITATIVE",74.0,74.0,,,0 HCPCS,82710,HC FECAL FAT OR LIPIDS QUANTITATIVE,74.0,74.0,,,0 HCPCS,82710,HC FECAL FAT QUANT - QST,161.0,161.0,,,0 HCPCS,82715,Assay of fecal fat,,,22.97,60.87,7 HCPCS,82725,Assay of blood fatty acids,,,18.77,49.74,7 HCPCS,82725,"HC ASSAY OF BLOOD FATTY ACIDS - FATTY ACIDS, FREE",90.5,90.5,,,0 HCPCS,82725,HC FATTY ACIDS FREE - ARUP,127.0,127.0,,,0 HCPCS,82726,"HC LONG CHAIN FATTY ACIDS - FATTY ACIDS PROFILE, PEROXISOMAL",292.0,292.0,,,0 HCPCS,82726,"HC LONG CHAIN FATTY ACIDS - FATTY ACIDS, LONG CHAIN",292.0,292.0,,,0 HCPCS,82726,HC VERY LONG BRANCH CHAIN FATTY ACIDS - ARUP,510.0,510.0,,,0 HCPCS,82726,Long chain fatty acids,,,19.75,52.34,7 HCPCS,82728,Assay of ferritin,,,13.63,36.12,7 HCPCS,82728,HC FERRITIN - LIVER FIBROSIS FIBROMETER NAFLD - ARUP,308.0,308.0,,,0 HCPCS,82728,HC FERRITIN LEVEL,288.0,288.0,,,0 HCPCS,82728,HC FERRITIN LEVEL - ARUP,38.0,38.0,,,0 HCPCS,82728,"HC FERRITIN LEVEL - IRON, TIBC, FERRITIN PANEL - QWDL",31.0,31.0,,,0 HCPCS,82728,HC FERRITIN LEVEL - QWDL,35.0,35.0,,,0 HCPCS,82728,HC NON-ALCOHOLIC FATTY LIVER DISEASE PANEL - FERRITIN,142.0,142.0,,,0 HCPCS,82731,Assay of fetal fibronectin,,,64.41,170.69,7 HCPCS,82731,HC FETAL FIBRONECTIN,1029.0,1029.0,,,0 HCPCS,82735,Assay of fluoride,,,18.54,49.13,7 HCPCS,82746,Assay of folic acid serum,,,14.7,38.96,7 HCPCS,82746,HC FOLATE LEVEL SERUM,347.0,347.0,,,0 HCPCS,82746,HC FOLATE LEVEL SERUM - QWDL,64.0,64.0,,,0 HCPCS,82747,Assay of folic acid rbc,,,17.65,46.77,7 HCPCS,82747,HC FOLATE RBC LEVEL,270.5,270.5,,,0 HCPCS,82747,HC FOLATE RBC LEVEL - ARUP,51.0,51.0,,,0 HCPCS,82757,Assay of semen fructose,,,17.34,45.95,7 HCPCS,82759,Assay of rbc galactokinase,,,21.48,56.92,7 HCPCS,82760,Assay of galactose,,,11.2,29.68,7 HCPCS,82760,HC ASSAY OF GALACTOSE - GALACTOSE,134.0,134.0,,,0 HCPCS,82775,Assay galactose transferase,,,21.07,55.84,7 HCPCS,82775,HC ASSAY GALACTOSE TRANSFERASE - GALACTOSE-1-PHOSPHATE TRANSFERASE,266.0,266.0,,,0 HCPCS,82775,HC GALACTOSE 1 PHOSPHATE TRANSFERASE - ARUP,516.0,516.0,,,0 HCPCS,82776,Galactose transferase test,,,11.74,31.11,7 HCPCS,82777,Galectin-3,,,44.25,117.26,7 HCPCS,82777,HC GALECTIN 3,237.0,237.0,,,0 HCPCS,82777,HC GALECTIN 3 - ARUP,424.0,424.0,,,0 HCPCS,82784,Assay iga/igd/igg/igm each,,,9.3,24.64,7 HCPCS,82784,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - CELIAC PANEL RFX",216.0,216.0,,,0 HCPCS,82784,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - CELIAC REFLEX PNL",216.0,216.0,,,0 HCPCS,82784,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGA",251.0,251.0,,,0 HCPCS,82784,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGG",400.0,400.0,,,0 HCPCS,82784,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGG 1, 2, 3, AND 4",216.0,216.0,,,0 HCPCS,82784,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IGM",216.0,216.0,,,0 HCPCS,82784,"HC ASSAY OF GAMMAGLOBULIN IGA, IGD, IGG, IGM, EACH - IMMUNOGLOBULINS",555.0,555.0,,,0 HCPCS,82784,HC GAMMAGLOBULIN A (IGA) - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,30.0,30.0,,,0 HCPCS,82784,HC GAMMAGLOBULIN G (IGG) - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,30.0,30.0,,,0 HCPCS,82784,HC GAMMAGLOBULIN M (IGM) - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,30.0,30.0,,,0 HCPCS,82784,HC IGG - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP,39.0,39.0,,,0 HCPCS,82784,HC IGG LEVEL SERUM/CSF IGG SYNTH - ARUP,50.5,50.5,,,0 HCPCS,82784,HC IGG LEVEL SERUM/CSF OLIGOCLONAL BAND PROFILE - ARUP,49.0,49.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN A (IGA),204.0,204.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN A (IGA) - ARUP,25.0,25.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN A (IGA) - CELIAC DISEASE REFLEX CASCADE - ARUP,76.0,76.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN A (IGA) - IMMUNOGLOBULINS CSF QUANT - ARUP,75.0,75.0,,,0 HCPCS,82784,"HC IMMUNOGLOBULIN A (IGA) - IMMUNOGLOBULINS IGG, IGA, IGM - ARUP",25.0,25.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN A (IGA) - QWDL,27.0,27.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN A (IGA) CSF - ARUP,98.0,98.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN A - IGA,216.0,216.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN A CSF,216.0,216.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN A(IGA)-IMMUNOGLOBULINS CRYOPRECIPITINS REFLEX SERUM- ARUP,50.0,50.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN D,216.0,216.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN D SERUM - ARUP,95.0,95.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG),350.5,350.5,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) - ARUP,25.0,25.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) - IMMUNOGLOBULIN G ALBUMIN RATIO CSF - ARUP,10.0,10.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) - IMMUNOGLOBULINS CSF QUANT - ARUP,75.0,75.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) - IMMUNOGLOBULINS IGG IGA IGM QUANTITATIVE - ARUP,25.0,25.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) - OLIGOCLONAL BAND PROFILE CSF - ARUP,28.0,28.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) - OLIGOCLONAL BAND PROFILE SERUM - ARUP,45.0,45.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) - QWDL,31.0,31.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) CSF,281.0,281.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) CSF - ARUP,30.0,30.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G (IGG) CSF - OLIGOCLONAL BAND PROFILE - ARUP,45.0,45.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G - IGG,216.0,216.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G CSF,216.0,216.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN G(IGG)-IMMUNOGLOBULINS CRYOPRECIPITINS REFLEX SERUM- ARUP,50.0,50.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN M (IGM) - ARUP,25.0,25.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN M (IGM) - IMMUNOGLOBULINS CSF QUANT - ARUP,75.0,75.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN M (IGM) - IMMUNOGLOBULINS IGG IGA IGM QUANTITATIVE - ARUP,25.0,25.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN M (IGM) - QWDL,31.0,31.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN M (IGM) CSF - ARUP,98.0,98.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN M - IGM,216.0,216.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN M CSF,216.0,216.0,,,0 HCPCS,82784,HC IMMUNOGLOBULIN M(IGM)-IMMUNOGLOBULINS CRYOPRECIPITINS REFLEX SERUM- ARUP,50.0,50.0,,,0 HCPCS,82784,HC TOTAL IMMUNOGLOBULIN A WITH SUBCLASSES 1 - 2 (ARUP),113.0,113.0,,,0 HCPCS,82785,Assay of ige,,,16.46,43.62,7 HCPCS,82785,HC IMMUNOGLOBULIN E (IGE) - ARUP,34.0,34.0,,,0 HCPCS,82785,HC IMMUNOGLOBULIN E - IGE,277.0,277.0,,,0 HCPCS,82787,"HC ASSAY IGA1, 2, 3 OR 4, EACH - IGA 1",107.0,107.0,,,0 HCPCS,82787,"HC ASSAY IGA1, 2, 3 OR 4, EACH - IGA 2",107.0,107.0,,,0 HCPCS,82787,HC IGG SUBCLASSES 1-4,107.0,107.0,,,0 HCPCS,82787,"HC IGG1, 2, 3 OR 4, EACH - IGG 1",68.5,68.5,,,0 HCPCS,82787,"HC IGG1, 2, 3 OR 4, EACH - IGG 2",107.0,107.0,,,0 HCPCS,82787,"HC IGG1, 2, 3 OR 4, EACH - IGG 3",107.0,107.0,,,0 HCPCS,82787,"HC IGG1, 2, 3 OR 4, EACH - IGG 4",396.5,396.5,,,0 HCPCS,82787,HC IMMUNOGLOBULIN A SUBCLASSES,107.0,107.0,,,0 HCPCS,82787,HC IMMUNOGLOBULIN A SUBCLASSES 1 - 2 WITH TOTAL IGA (ARUP),98.0,98.0,,,0 HCPCS,82787,HC IMMUNOGLOBULIN G SUBCLASS 1 (IGG1),179.0,179.0,,,0 HCPCS,82787,HC IMMUNOGLOBULIN G SUBCLASS 2 (IGG2),179.0,179.0,,,0 HCPCS,82787,HC IMMUNOGLOBULIN G SUBCLASS 3 (IGG3),179.0,179.0,,,0 HCPCS,82787,HC IMMUNOGLOBULIN G SUBCLASS 4 (IGG4),179.0,179.0,,,0 HCPCS,82787,HC IMMUNOGLOBULIN G SUBCLASS 4 (IGG4) (ARUP),42.0,42.0,,,0 HCPCS,82787,HC IMMUNOGLOBULIN G SUBCLASSES 1 - 4,179.0,179.0,,,0 HCPCS,82787,HC IMMUNOGLOBULIN G SUBCLASSES 1 - 4 (ARUP),168.0,168.0,,,0 HCPCS,82787,Igg 1 2 3 or 4 each,,,8.02,21.25,7 HCPCS,82800,Blood pH,,,11.0,29.15,7 HCPCS,82800,HC BLOOD PH - PH CORD,280.0,280.0,,,0 HCPCS,82800,HC BLOOD PH - PH RT,280.0,280.0,,,0 HCPCS,82800,HC BLOOD PH - PH VENOUS,280.0,280.0,,,0 HCPCS,82800,HC PH ARTERIAL,258.0,258.0,,,0 HCPCS,82800,HC PH VENOUS,258.0,258.0,,,0 HCPCS,82800,HC POC ARTERIAL PH,258.0,258.0,,,0 HCPCS,82800,HC POC CORD ARTERIAL PH,258.0,258.0,,,0 HCPCS,82800,HC POC CORD VENOUS PH,258.0,258.0,,,0 HCPCS,82800,HC POC VENOUS PH,258.0,258.0,,,0 HCPCS,82800,HC RT PH CORD BLOOD,258.0,258.0,,,0 HCPCS,82803,Blood gases any combination,,,26.07,69.09,7 HCPCS,82803,HC BLOOD GAS ARTERIAL W/ CO-OX,664.0,664.0,,,0 HCPCS,82803,HC BLOOD GAS VENOUS WITH CO-OX LYTES,664.0,664.0,,,0 HCPCS,82803,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS ARTERIAL",717.0,717.0,,,0 HCPCS,82803,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS ARTERIAL RT",717.0,717.0,,,0 HCPCS,82803,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS CORD ARTERIAL",717.0,717.0,,,0 HCPCS,82803,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS CORD VENOUS",717.0,717.0,,,0 HCPCS,82803,"HC BLOOD GASES: PH, PO2 & PCO2 - BLOOD GAS VENOUS",717.0,717.0,,,0 HCPCS,82803,"HC BLOOD GASES: PH, PO2 & PCO2 - POCT ARTERIAL BLOOD GAS",717.0,717.0,,,0 HCPCS,82803,HC POC BLOOD GAS ANALYSIS,717.0,717.0,,,0 HCPCS,82805,Blood gases w/o2 saturation,,,78.77,208.74,7 HCPCS,82805,HC BLOOD GAS - ABG W 02 SAT,672.0,672.0,,,0 HCPCS,82805,HC BLOOD GAS - CBG W 02 SAT,672.0,672.0,,,0 HCPCS,82810,Blood gases o2 sat only,,,9.77,25.89,7 HCPCS,82810,"HC BLOOD GASES, O2 SAT ONLY - OXYGEN SATURATION, ARTERIAL",331.0,331.0,,,0 HCPCS,82810,"HC BLOOD GASES, O2 SAT ONLY - OXYGEN SATURATION, ARTERIAL RT",331.0,331.0,,,0 HCPCS,82820,HC HEMOGLOBIN-OXYGEN AFFINITY - HEMOGLOBIN-OXYGEN AFFINITY,71.0,71.0,,,0 HCPCS,82820,Hemoglobin-oxygen affinity,,,13.34,35.35,7 HCPCS,82930,Gastric analy w/ph ea spec,,,6.71,17.78,7 HCPCS,82938,Gastrin test,,,17.69,46.88,7 HCPCS,82941,Assay of gastrin,,,17.63,46.72,7 HCPCS,82941,HC ASSAY OF GASTRIN - GASTRIN,93.0,93.0,,,0 HCPCS,82941,HC GASTRIN LEVEL - ARUP,62.0,62.0,,,0 HCPCS,82943,Assay of glucagon,,,14.29,37.87,7 HCPCS,82943,HC ASSAY OF GLUCAGON - GLUCAGON,103.0,103.0,,,0 HCPCS,82943,HC GLUCAGON LEVEL - ARUP,95.0,95.0,,,0 HCPCS,82945,Glucose Other Fluid,,,3.93,10.41,7 HCPCS,82945,"HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE CSF",241.0,241.0,,,0 HCPCS,82945,"HC ASSAY GLUCOSE, BODY FLUID - GLUCOSE URINE RANDOM",56.0,56.0,,,0 HCPCS,82945,HC GLUCOSE BODY FLUID,152.5,152.5,,,0 HCPCS,82945,HC GLUCOSE BODY FLUID - ARUP,29.5,29.5,,,0 HCPCS,82946,Glucagon tolerance test,,,17.77,47.09,7 HCPCS,82947,Assay glucose blood quant,,,3.93,10.41,7 HCPCS,82947,"HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE",55.0,55.0,,,0 HCPCS,82947,"HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER",54.5,54.5,,,0 HCPCS,82947,HC FIBROSURE ASH - GLUCOSE,68.0,68.0,,,0 HCPCS,82947,HC GLUCOSE LEVEL,93.0,93.0,,,0 HCPCS,82947,HC GLUCOSE LEVEL - LIVER FIBROSIS FIBROMETER NAFLD - ARUP,93.0,93.0,,,0 HCPCS,82947,HC GLUCOSE LEVEL FASTING,55.0,55.0,,,0 HCPCS,82947,HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - GLUCOSE,67.5,67.5,,,0 HCPCS,82948,Reagent strip/blood glucose,,,5.04,13.36,7 HCPCS,82950,Glucose test,,,4.75,12.59,7 HCPCS,82950,HC GLUCOSE TEST - LTT 2 HR,151.0,151.0,,,0 HCPCS,82950,HC GLUCOSE TEST - LTT FASTING,151.0,151.0,,,0 HCPCS,82950,HC GLUCOSE TEST - POST GLUCOSE DOSE,151.0,151.0,,,0 HCPCS,82950,HC GLUCOSE TOLERANCE TEST (GTT) 1 HOUR SPECIMEN,136.5,136.5,,,0 HCPCS,82951,Glucose tolerance test (GTT),,,12.87,34.11,7 HCPCS,82951,HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS,512.0,512.0,,,0 HCPCS,82951,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 2 HOUR GTT",387.0,387.0,,,0 HCPCS,82951,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 3 HOUR GTT",535.0,535.0,,,0 HCPCS,82951,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 3 HOUR OB GTT",535.0,535.0,,,0 HCPCS,82951,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 4 HOUR GTT",535.0,535.0,,,0 HCPCS,82951,"HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 5 HOUR GTT",535.0,535.0,,,0 HCPCS,82951,HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS6 HOUR GTT,535.0,535.0,,,0 HCPCS,82951,HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS,535.0,535.0,,,0 HCPCS,82951,"HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS, 2 HOUR LTT",535.0,535.0,,,0 HCPCS,82951,"HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS, 3 HOUR LTT",535.0,535.0,,,0 HCPCS,82952,GTT-added samples,,,3.92,10.39,7 HCPCS,82952,HC GLUCOSE TOLERANCE TEST (GTT) 1/2 HOUR SPECIMEN,129.0,129.0,,,0 HCPCS,82952,HC GLUCOSE TOLERANCE TEST (GTT) 3 HOUR SPECIMEN,129.0,129.0,,,0 HCPCS,82952,HC GLUCOSE TOLERANCE TEST (GTT) 4 HOUR SPECIMEN,129.0,129.0,,,0 HCPCS,82952,HC GLUCOSE TOLERANCE TEST (GTT) EACH ADDITIONAL SPECIMEN,109.5,109.5,,,0 HCPCS,82952,HC LACTOSE TOLERANCE 3 HOUR,129.0,129.0,,,0 HCPCS,82952,HC LACTOSE TOLERANCE TEST (LTT) EACH ADDITIONAL SPECIMEN,129.0,129.0,,,0 HCPCS,82955,Assay of g6pd enzyme,,,9.7,25.7,7 HCPCS,82955,HC ASSAY OF G6PD ENZYME - GLUCOSE 6 PHOSPHATE DEHYDROGENASE,62.0,62.0,,,0 HCPCS,82955,HC GLUCOSE 6 PHOSPHATE DEHYDROGENASE - ARUP,72.0,72.0,,,0 HCPCS,82960,Test for G6PD enzyme,,,6.05,16.03,7 HCPCS,82962,Glucose blood test,,,3.28,8.69,7 HCPCS,82962,HC GLUCOSE BLOOD TEST WITH DEVICE - POCT GLUCOSE,42.0,42.0,,,0 HCPCS,82963,Assay of glucosidase,,,21.48,56.92,7 HCPCS,82965,Assay of gdh enzyme,,,13.15,34.85,7 HCPCS,82977,Assay of GGT,,,7.2,19.08,7 HCPCS,82977,HC GAMMA GT - ARUP,40.5,40.5,,,0 HCPCS,82977,HC GAMMA GT LEVEL,92.0,92.0,,,0 HCPCS,82977,HC GGT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP,90.0,90.0,,,0 HCPCS,82977,HC LIVER FIBROSIS PANEL - GGT,81.5,81.5,,,0 HCPCS,82978,Assay of glutathione,,,15.45,40.94,7 HCPCS,82978,HC GLUTATHIONE,166.0,166.0,,,0 HCPCS,82978,HC GLUTATHIONE TOTAL - ARUP,286.0,286.0,,,0 HCPCS,82979,Assay rbc glutathione,,,9.44,25.02,7 HCPCS,82985,Assay of glycated protein,,,16.76,44.41,7 HCPCS,82985,HC FRUCTOSAMINE LEVEL - ARUP,45.0,45.0,,,0 HCPCS,82985,HC GLYCATED PROTEIN - FRUCTOSAMINE,105.0,105.0,,,0 HCPCS,83001,Assay of gonadotropin (fsh),,,18.58,49.24,7 HCPCS,83001,HC FOLLICLE STIMULATING HORMONE (FSH) - ARUP,42.0,42.0,,,0 HCPCS,83001,HC FOLLICLE STIMULATING HORMONE (FSH) - QWDL,27.0,27.0,,,0 HCPCS,83001,HC GONADOTROPIN (FSH) - FSH,486.0,486.0,,,0 HCPCS,83002,Assay of gonadotropin (lh),,,18.52,49.08,7 HCPCS,83002,HC LUTEINIZING HORMONE LEVEL,363.5,363.5,,,0 HCPCS,83002,HC LUTEINIZING HORMONE LEVEL - ARUP,40.0,40.0,,,0 HCPCS,83002,HC LUTEINIZING HORMONE LEVEL - QWDL,27.0,27.0,,,0 HCPCS,83002,HC LUTEINIZING HORMONE LEVEL PEDIATRIC - ARUP,231.0,231.0,,,0 HCPCS,83003,Assay growth hormone (hgh),,,16.67,44.18,7 HCPCS,83003,HC ASSAY GROWTH HORMONE (HGH) - GROWTH HORMONE,179.5,179.5,,,0 HCPCS,83006,Growth stimulation gene 2,,,75.6,200.34,7 HCPCS,83009,H pylori (c-13) blood,,,67.36,178.5,7 HCPCS,83010,Assay of haptoglobin quant,,,12.58,33.34,7 HCPCS,83010,HC FIBROSURE ASH - HAPTOGLOBIN,111.5,111.5,,,0 HCPCS,83010,HC HAPTOGLOBIN LEVEL,406.0,406.0,,,0 HCPCS,83010,HC HAPTOGLOBIN LEVEL - ARUP,41.0,41.0,,,0 HCPCS,83012,Assay of haptoglobins,,,26.89,71.26,7 HCPCS,83013,H pylori (c-13) breath,,,67.36,178.5,7 HCPCS,83013,HC H PYLORI BREATH TEST - ARUP,256.0,256.0,,,0 HCPCS,83013,HC H PYLORI C-13 BREATH TEST,1135.0,1135.0,,,0 HCPCS,83013,"HC H. PYLORI;BREATH TEST, NON-ISOTOPE - H PYLORI BREATH TEST",256.0,256.0,,,0 HCPCS,83013,HC HELICOBACTER PYLORI BREATH TEST PEDIATRICS (3-17Y),201.0,201.0,,,0 HCPCS,83014,H pylori drug admin,,,7.86,20.83,7 HCPCS,83014,HC H PYLORI DRUG ADMIN FOR C-13 BREATH TEST,57.0,57.0,,,0 HCPCS,83015,Heavy metal qual any anal,,,20.94,55.49,7 HCPCS,83018,"HC BERYLLIUM LEVEL, QUANTITATIVE, SERUM OR PLASMA - ARUP",331.0,331.0,,,0 HCPCS,83018,"HC BISMUTH LEVEL, QUANTITATIVE, WHOLE BLOOD - ARUP",111.0,111.0,,,0 HCPCS,83018,HC COBALT LEVEL SERUM/PLASMA - ARUP,84.0,84.0,,,0 HCPCS,83018,HC COBALT LEVEL WHOLE BLOOD,110.0,110.0,,,0 HCPCS,83018,HC COBALT LEVEL WHOLE BLOOD - ARUP,84.0,84.0,,,0 HCPCS,83018,"HC COBALT LEVEL, QUANTITATIVE, WHOLE BLOOD - ARUP",84.0,84.0,,,0 HCPCS,83018,HC IODINE LEVEL QUANT RANDOM OR 24HR URINE - ARUP,121.0,121.0,,,0 HCPCS,83018,HC IODINE LEVEL URINE,148.0,148.0,,,0 HCPCS,83018,"HC IODINE LEVEL, QUANTITATIVE, SERUM - ARUP",126.0,126.0,,,0 HCPCS,83018,"HC QUANTITATIVE SCREEN, METALS - COBALT",110.0,110.0,,,0 HCPCS,83018,"HC QUANTITATIVE SCREEN, METALS - IODINE",150.0,150.0,,,0 HCPCS,83018,"HC QUANTITATIVE SCREEN, METALS - OTHER",246.0,246.0,,,0 HCPCS,83018,"HC QUANTITATIVE SCREEN, METALS - THALLIUM, SERUM",148.0,148.0,,,0 HCPCS,83018,HC THALLIUM LEVEL URINE,148.0,148.0,,,0 HCPCS,83018,"HC THALLIUM LEVEL, QUANTITATIVE, WHOLE BLOOD - ARUP",97.0,97.0,,,0 HCPCS,83018,HC TITANIUM LEVEL QUANT SERUM OR PLASMA - ARUP,525.0,525.0,,,0 HCPCS,83018,Heavy metal quant each nes,,,21.96,58.19,7 HCPCS,83020,HC CAPILLARY HEMOGLOBIN ELECTROPHORESIS - ARUP,124.0,124.0,,,0 HCPCS,83020,HC HEMOGLOBIN ELECTROPHORESIS,656.0,656.0,,,0 HCPCS,83020,HC HEMOGLOBIN ELECTROPHORESIS BY ISOELECTRIC FOCUSING,388.5,388.5,,,0 HCPCS,83020,HC HEMOGLOBIN S QUANTITATION,388.5,388.5,,,0 HCPCS,83020,Hemoglobin electrophoresis,,,12.87,34.11,7 HCPCS,83021,HC HEMOGLOBIN A2 AND F BY COLUMN CHROMATOGRAPHY W/REFLEX - ARUP,121.0,121.0,,,0 HCPCS,83021,"HC HEMOGLOBIN CHROMOTOGRAPHY - HEMOGLOBIN,FETAL",120.0,120.0,,,0 HCPCS,83021,HC HEMOGLOBIN F EVALUATION BY HPLC W/REFLEX - ARUP,101.0,101.0,,,0 HCPCS,83021,HC HEMOGLOBIN FRACTIONATION & QUANTITATION BY HPLC WITH REFLEX - ARUP,101.0,101.0,,,0 HCPCS,83021,HC HEMOGLOBIN S EVALUATION BY HPLC W/REFLEX - ARUP,121.0,121.0,,,0 HCPCS,83021,Hemoglobin chromotography,,,18.06,47.86,7 HCPCS,83026,Hemoglobin copper sulfate,,,4.01,10.63,7 HCPCS,83030,Fetal hemoglobin chemical,,,10.74,28.46,7 HCPCS,83030,HC HEMOGLOBIN FETAL CHEMICAL,57.0,57.0,,,0 HCPCS,83033,Fetal hemoglobin assay qual,,,8.0,21.2,7 HCPCS,83033,HC FETAL HEMOGLOBIN FECES,371.0,371.0,,,0 HCPCS,83033,HC HEMOGLOBIN CHROMOTOGRAPHY - FETAL QUAL,354.0,354.0,,,0 HCPCS,83036,Glycosylated hemoglobin test,,,9.71,25.73,7 HCPCS,83036,HC GLYCOSYLATED HEMOGLOBIN TEST - GLYCATED HEMOGLOBIN REFERRED,290.5,290.5,,,0 HCPCS,83036,HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C,309.0,309.0,,,0 HCPCS,83037,Glycosylated hb home device,,,9.71,25.73,7 HCPCS,83037,"HC GLYCOSYLATED HEMOGLOBIN, HOME DEVICE - POCT GLYCOSYLATED HEMOGLOBIN",51.0,51.0,,,0 HCPCS,83045,Blood methemoglobin test,,,6.49,17.2,7 HCPCS,83050,Blood methemoglobin assay,,,8.2,21.73,7 HCPCS,83050,"HC BLOOD METHEMOGLOBIN, QUANT - METHEMOGLOBIN",84.0,84.0,,,0 HCPCS,83051,Assay of plasma hemoglobin,,,7.31,19.37,7 HCPCS,83051,HC ASSAY OF PLASMA HEMOGLOBIN - HEMOGLOBIN PLASMA,254.0,254.0,,,0 HCPCS,83060,Blood sulfhemoglobin assay,,,8.8,23.32,7 HCPCS,83065,Assay of hemoglobin heat,,,9.0,23.85,7 HCPCS,83068,HC HEMOGLOBIN UNSTABLE SCREEN,228.0,228.0,,,0 HCPCS,83068,HC HEMOGLOBIN UNSTABLE SCREEN ORL,228.0,228.0,,,0 HCPCS,83068,Hemoglobin stability screen,,,9.47,25.1,7 HCPCS,83069,Assay of urine hemoglobin,,,3.95,10.47,7 HCPCS,83069,HC ASSAY OF URINE HEMOGLOBIN - HEMOGLOBIN (BODY FLUID),34.0,34.0,,,0 HCPCS,83069,HC HEMOGLOBIN URINE - ARUP,73.0,73.0,,,0 HCPCS,83070,Assay of hemosiderin qual,,,4.75,12.59,7 HCPCS,83070,HC HEMOSIDERIN LEVEL QUALITATIVE URINE,345.0,345.0,,,0 HCPCS,83070,"HC HEMOSIDERIN, URINE - ARUP",51.0,51.0,,,0 HCPCS,83080,Assay of b hexosaminidase,,,16.87,44.71,7 HCPCS,83080,HC ASSAY OF B HEXOSAMINIDASE - TAY-SACHS SCREEN,248.0,248.0,,,0 HCPCS,83088,Assay of histamine,,,29.53,78.25,7 HCPCS,83088,HC ASSAY OF HISTAMINE - HISTAMINE,115.0,115.0,,,0 HCPCS,83090,Assay Of Homocystine,,,17.92,47.49,7 HCPCS,83090,HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL,403.5,403.5,,,0 HCPCS,83090,HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL URINE,403.5,403.5,,,0 HCPCS,83090,HC HOMOCYSTEINE LEVEL,403.5,403.5,,,0 HCPCS,83090,HC HOMOCYSTEINE LEVEL - ARUP,103.5,103.5,,,0 HCPCS,83090,HC HOMOCYSTEINE LEVEL - QWDL,124.0,124.0,,,0 HCPCS,83150,Assay of homovanillic acid,,,22.41,59.39,7 HCPCS,83150,HC ASSAY OF FOR HVA - HOMOVANILLIC ACID URINE,97.0,97.0,,,0 HCPCS,83150,HC HOMOVANILLIC ACID (HVA) URINE - ARUP,70.0,70.0,,,0 HCPCS,83491,Assay of corticosteroids 17,,,17.9,47.43,7 HCPCS,83491,HC 17 OH CORTICOSTEROIDS URINE - ARUP,213.0,213.0,,,0 HCPCS,83491,HC ASSAY OF CORTICOSTEROIDS - 17 OH CORTICOSTEROIDS,146.0,146.0,,,0 HCPCS,83491,"HC ASSAY OF CORTICOSTEROIDS - 17-HYDROXYCORTICOSTEROIDS, URINE, 24 HOUR",146.0,146.0,,,0 HCPCS,83497,Assay of 5-hiaa,,,12.9,34.18,7 HCPCS,83497,HC 5 HIAA QUANT URINE RANDOM - ARUP,72.0,72.0,,,0 HCPCS,83497,"HC ASSAY OF 5-HIAA - 5 HIAA QUANT,24HR URINE",102.0,102.0,,,0 HCPCS,83498,Assay of progesterone 17-d,,,27.17,72.0,7 HCPCS,83498,HC 17 HYDROXYPROGESTERONE - ARUP,63.0,63.0,,,0 HCPCS,83498,HC ASSAY OF PROGESTERONE 17-D - 17-HYDROXYPROGESTERONE,168.5,168.5,,,0 HCPCS,83500,Assay free hydroxyproline,,,22.65,60.02,7 HCPCS,83505,Assay total hydroxyproline,,,24.3,64.4,7 HCPCS,83516,HC 21 HYDROXYLASE AUTOANTIBODY - ARUP,220.0,220.0,,,0 HCPCS,83516,HC 3-HYDROXY-3-METHYLGLUTARYL COENZYME A REDUCTASE (HMGCR) IGG- ARUP,566.0,566.0,,,0 HCPCS,83516,HC ACETYLCHOLINE BINDING ANTIBODY - MYASTHENIA GRAVIS PANEL - ARUP,119.0,119.0,,,0 HCPCS,83516,HC ACETYLCHOLINE MODULATING ANTIBODY,87.0,87.0,,,0 HCPCS,83516,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY - ARUP,78.5,78.5,,,0 HCPCS,83516,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY- MYASTHENIA GRAVIS PANEL - ARUP,119.0,119.0,,,0 HCPCS,83516,HC ACETYLCHOLINE RECEPTOR MODULATING AB,118.0,118.0,,,0 HCPCS,83516,HC ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY - ARUP,147.0,147.0,,,0 HCPCS,83516,HC ACHR BLOCKING ANTIBODY - ACETYLCHOLINE RECEPTOR AB RFLX PANEL - ARUP,81.0,81.0,,,0 HCPCS,83516,HC ANCA MYELOPEROXIDASE ANTIBODY (MPO) - (ARUP),59.0,59.0,,,0 HCPCS,83516,HC ANCA SERINE PROTEASE 3 ANTIBODY (PRE) - (ARUP),59.0,59.0,,,0 HCPCS,83516,HC ANTIMULLERIAN HORMONE LEVEL (AMH) - ARUP,189.0,189.0,,,0 HCPCS,83516,HC ASIALO GM1 IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 HCPCS,83516,HC BASEMENT MEMBRANE IGA - PEMPHIGOID ANTIBODY PANEL - ARUP,39.0,39.0,,,0 HCPCS,83516,HC BASEMENT MEMBRANE IGG - PEMPHIGOID ANTIBODY PANEL - ARUP,39.0,39.0,,,0 HCPCS,83516,HC BULLOUS PEMPHIGOID ANTIGENS IGG - ARUP,739.0,739.0,,,0 HCPCS,83516,HC CARBAMYLATED PROTEIN (CARP) IGG - RHEUMATOID ARTHRITIS PANEL - ARUP,111.0,111.0,,,0 HCPCS,83516,HC CARBAMYLATED PROTEIN IGG - RHEUMATOID ARTHRITIS PANEL - ARUP,111.0,111.0,,,0 HCPCS,83516,HC CELIAC DISEASE REFLEX CASCADE - ARUP,164.0,164.0,,,0 HCPCS,83516,HC CENTROMERE IGG - ARUP,59.0,59.0,,,0 HCPCS,83516,HC CENTROMERE IGG -CONNECTIVE TISSUE DISEASES PROFILE - ARUP,45.0,45.0,,,0 HCPCS,83516,HC CHROMATIN IGG,182.0,182.0,,,0 HCPCS,83516,HC COLLAGEN TYPE VII IGG BY ELISA - ARUP,409.0,409.0,,,0 HCPCS,83516,HC CYTOKERATIN ANTIBODY,64.0,64.0,,,0 HCPCS,83516,HC DESMOGLIEN 1 - DESMOGLIEN 1 & 3 IGG - ARUP,370.0,370.0,,,0 HCPCS,83516,HC DESMOGLIEN 3 - DESMOGLIEN 1 & 3 IGG - ARUP,370.0,370.0,,,0 HCPCS,83516,HC EJ (GLYCYL TRNA SYNTHETASE) - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 HCPCS,83516,HC EJ (GLYCYL TRNA SYNTHETASE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 HCPCS,83516,HC ENDOMYSIAL ANTIBODY IGA,118.0,118.0,,,0 HCPCS,83516,HC FIBRILLARIN (U3 RNP) IGG - SYSTEMIC SCLEROSIS PANEL - ARUP,111.0,111.0,,,0 HCPCS,83516,HC FIBRILLARIN ANTIBODY IGG -SYSTEMIC SCLEROSIS PANEL - ARUP,175.0,175.0,,,0 HCPCS,83516,HC GASTRIC PARIETAL IGG - ARUP,83.0,83.0,,,0 HCPCS,83516,HC GD1A IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 HCPCS,83516,HC GD1B IGG - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 HCPCS,83516,HC GD1B IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 HCPCS,83516,HC GD1B IGM- GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 HCPCS,83516,HC GLIADIN DEAMIDATED IGA - QWDL,47.0,47.0,,,0 HCPCS,83516,HC GLOMERULAR BASEMENT MEMBRANE (GBM) IGG,293.0,293.0,,,0 HCPCS,83516,HC GLOMERULAR BASEMENT MEMBRANE (GBM) IGG BY MULTIPLEX BEAD ASSAY - ARUP,84.0,84.0,,,0 HCPCS,83516,HC GM1 IGG - GANGLIOSIDE GM1 ANTIBODIES IGG/IGM - ARUP,112.0,112.0,,,0 HCPCS,83516,HC GM1 IGG - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 HCPCS,83516,HC GM1 IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 HCPCS,83516,HC GM1 IGM - GANGLIOSIDE GM1 ANTIBODIES IGG/IGM - ARUP,112.0,112.0,,,0 HCPCS,83516,HC GM1 IGM - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 HCPCS,83516,HC GM2 IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 HCPCS,83516,HC GQ1 IGG - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 HCPCS,83516,HC GQ1 IGM - GANGLIOSIDE GM1/GD1B/GQ1B IGG/IGM ANTIBODIES - ARUP,112.0,112.0,,,0 HCPCS,83516,HC GQ1B IGG/IGM - GANGLIOSIDE ANTIBODIES COMBINED IGG/IGM - ARUP,67.0,67.0,,,0 HCPCS,83516,HC HEAT SHOCK PROTEIN 70 IGG - ARUP,537.0,537.0,,,0 HCPCS,83516,HC HISTONE IGG - ARUP,46.0,46.0,,,0 HCPCS,83516,HC IMMUNOASSAY ANALYTE - 21 HYDROXYLASE,206.0,206.0,,,0 HCPCS,83516,"HC IMMUNOASSAY ANALYTE - ANTI-SMOOTH MUSCLE ANTIBODY, IGG W/TITER",118.0,118.0,,,0 HCPCS,83516,HC IMMUNOASSAY ANALYTE - NEURONAL NUC ABY IGG,118.0,118.0,,,0 HCPCS,83516,HC IMMUNOASSAY ANALYTE - RIBOSOMAL P ABY,118.0,118.0,,,0 HCPCS,83516,"HC IMMUNOASSAY NONANTIBODY - ANTI-SMOOTH MUSCLE ANTIBODY, IGG",118.0,118.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONANTIBODY - ANTIMULLERIAN HORMONE (AMH),99.0,99.0,,,0 HCPCS,83516,"HC IMMUNOASSAY NONANTIBODY - CELIAC DISEASE - DEAMINATED GLIADIN PEPTIDE, EACH",157.5,157.5,,,0 HCPCS,83516,"HC IMMUNOASSAY NONANTIBODY - CELIAC DISEASE - TISSUE TRANSGLUTAMINASE, EACH",157.5,157.5,,,0 HCPCS,83516,HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY IGA,157.5,157.5,,,0 HCPCS,83516,HC IMMUNOASSAY NONANTIBODY - GLIADIN ANTIBODY IGG,157.5,157.5,,,0 HCPCS,83516,"HC IMMUNOASSAY NONANTIBODY - MITOCHONDRIAL ANTIBODIES, M2",62.0,62.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE,83.0,83.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - ACETYLCHOLINE RECEPTOR ANTIBODY,73.5,73.5,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - AMPHIPHYSIN ANTIBODY IGG,159.5,159.5,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - AQUAPORIN 4 RECEPTOR ANTIBODY,179.0,179.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - CENTROMERE ANTIBODY IGG,65.0,65.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - CHROMATIN ANTIBODY IGG,99.0,99.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - ENDOMYSIAL IGA ANTIBODY,58.0,58.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - GLOMERULAR BASEMENT MEMBRANE ANTIBODY IGG,174.5,174.5,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - GLUTAMIC ACID DECARBOXYLASE ANTIBODY,118.0,118.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - GM1 GANGLIOSIDE ANTIBODY,96.0,96.0,,,0 HCPCS,83516,HC IMMUNOASSAY NONINFECTIOUS ANALYTE - HISTONE ANTIBODY,62.5,62.5,,,0 HCPCS,83516,HC KU ANTIBODY - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 HCPCS,83516,HC MAG IGM ELISA - SENSORY NEUROPATHY PANEL - ARUP,126.0,126.0,,,0 HCPCS,83516,HC MI2 (NUCLEAR HELICASE PROTEIN) - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 HCPCS,83516,HC MI2 (NUCLEAR HELICASE PROTEIN) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 HCPCS,83516,HC MI2 (NUCLEAR HELICASE PROTEIN)-DEMATOMYOSITIS AUTOANTIBODY PANEL - ARUP,75.0,75.0,,,0 HCPCS,83516,HC MOTOR NEUROPATHY PROFILE,118.0,118.0,,,0 HCPCS,83516,HC MYELIN ASSOCIATED GLYCOPROTEIN IGM - ARUP,84.0,84.0,,,0 HCPCS,83516,HC MYELOPEROXIDASE (MPO) IGG,322.0,322.0,,,0 HCPCS,83516,HC MYELOPEROXIDASE (MPO) IGG - ANCA ASSOCIATED VASCULITIS PROFILE - ARUP,54.0,54.0,,,0 HCPCS,83516,HC MYELOPEROXIDASE (MPO) IGG - ARUP,55.0,55.0,,,0 HCPCS,83516,HC MYELOPEROXIDASE (MPO) IGG - MPO AND PR3 ANTIBODIES W/ RFLX ANCA - ARUP,55.0,55.0,,,0 HCPCS,83516,HC MYELOPEROXIDASE (MPO) IGG - MYELOPEROXIDASE / PROTEASE 3 AB - ARUP,55.0,55.0,,,0 HCPCS,83516,HC MYELOPEROXIDASE ANTIBODY IGG,189.5,189.5,,,0 HCPCS,83516,HC MYELOPEROXIDASE ANTIBODY IGG - ARUP,45.0,45.0,,,0 HCPCS,83516,HC NEURONAL NUCLEAR AB IGG IMMUNOBLOT CSF,118.0,118.0,,,0 HCPCS,83516,HC NEURONAL NUCLEAR ANTIBODIES (HU RI YO AMPHIPHYSIN),118.0,118.0,,,0 HCPCS,83516,HC NEURONAL NUCLEAR ANTIBODIES IGG BY IMMUNOBLOT,147.0,147.0,,,0 HCPCS,83516,HC OJ (ISOLEUCYL TRNA SYNTHETASE) - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 HCPCS,83516,HC OJ (ISOLEUCYL TRNA SYNTHETASE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 HCPCS,83516,HC P155/140 - DEMATOMYOSITIS AUTOANTIBODY PANEL - ARUP,75.0,75.0,,,0 HCPCS,83516,HC P155/140 - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 HCPCS,83516,HC P155/140 ANTIBODY - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 HCPCS,83516,HC PHOSPHATIDYLSERINE & PROTHROMBIN IGG - NON-CRITERIA APS - ARUP,185.0,185.0,,,0 HCPCS,83516,HC PHOSPHATIDYLSERINE & PROTHROMBIN IGM - NON-CRITERIA APS - ARUP,185.0,185.0,,,0 HCPCS,83516,HC PHOSPHOLIPASE A2 RECEPTOR (PLA2R) IGG BY ELISA - ARUP,339.0,339.0,,,0 HCPCS,83516,HC PL12 (ALANYL TRNA SYNTHETASE) - DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 HCPCS,83516,HC PL12 (ALANYL TRNA SYNTHETASE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 HCPCS,83516,HC PL7 (THREONYL TRNA SYNTHETASE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 HCPCS,83516,HC PL7 (THREONYL TRNA SYNTHETASE) DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 HCPCS,83516,"HC PM SCL-100 ANTIBODY, IGG - SYSTEMIC SCLEROSIS PANEL - ARUP",185.0,185.0,,,0 HCPCS,83516,HC PROTHROMBIN IGG - NON-CRITERIA APS - ARUP,175.0,175.0,,,0 HCPCS,83516,HC RF IGA - RHEUMATOID FACTOR (RF) IGA IGG IGM - ARUP,88.0,88.0,,,0 HCPCS,83516,HC RF IGG - RHEUMATOID FACTOR (RF) IGA IGG IGM - ARUP,433.0,433.0,,,0 HCPCS,83516,HC RF IGM - RHEUMATOID FACTOR (RF) IGA IGG IGM - ARUP,88.0,88.0,,,0 HCPCS,83516,HC RIBOSOMAL P ANTIBODY - CONNECTIVE TISSUE DISEASES PROFILE - ARUP,45.0,45.0,,,0 HCPCS,83516,HC RNA POLYMERASE III IGG - ARUP,117.0,117.0,,,0 HCPCS,83516,HC SENSORIMOTOR NEUROPATHY PANEL,36.5,36.5,,,0 HCPCS,83516,HC SERINE PROTEASE 3 (PR3) IGG - ANCA ASSOCIATED VASCULITIS PROFILE - ARUP,54.0,54.0,,,0 HCPCS,83516,HC SERINE PROTEASE 3 (PR3) IGG - ARUP,55.0,55.0,,,0 HCPCS,83516,HC SERINE PROTEASE 3 (PR3) IGG - MPO AND PR3 ANTIBODIES W/ RFLX ANCA- ARUP,55.0,55.0,,,0 HCPCS,83516,HC SERINE PROTEASE 3 (PR3) IGG - MYELOPEROXIDASE / PROTEASE 3 AB - ARUP,55.0,55.0,,,0 HCPCS,83516,HC SERINE PROTEASE 3 ANTIBODY IGG,189.5,189.5,,,0 HCPCS,83516,HC SERINE PROTEASE 3 ANTIBODY IGG - ARUP,45.0,45.0,,,0 HCPCS,83516,HC SGPG IGM - SENSORY NEUROPATHY PANEL - ARUP,126.0,126.0,,,0 HCPCS,83516,HC SOLUBLE LIVER ANTIGEN IGG - ARUP,60.0,60.0,,,0 HCPCS,83516,HC SRP (SIGNAL RECOGNITION PARTICLE) - EXTENDED MYOSITIS PANEL - ARUP,57.0,57.0,,,0 HCPCS,83516,HC SRP(SIGNAL RECOGNITION PARTICLE)-DERMATOMYOSITIS POLYMYOSITIS PANEL-ARUP,62.0,62.0,,,0 HCPCS,83516,HC TISSUE TRANSGLUTAMINASE IGA - QWDL,115.0,115.0,,,0 HCPCS,83516,HC TISSUE TRANSGLUTAMINASE IGG - QWDL,139.0,139.0,,,0 HCPCS,83516,"HC TITIN AB - ACHR, TITIN, STM AB REFLEX PANEL - ARUP",105.0,105.0,,,0 HCPCS,83516,Immunoassay nonantibody,,,11.53,30.55,7 HCPCS,83518,Immunoassay dipstick,,,9.64,25.55,7 HCPCS,83519,HC 21 HYDROXYLASE ANTIBODY,156.0,156.0,,,0 HCPCS,83519,HC ACETYLCHOLINE RECEPTOR BINDING AB - ARUP,156.0,156.0,,,0 HCPCS,83519,HC ACETYLCHOLINE RECEPTOR BINDING ANTIBODY - ARUP,84.0,84.0,,,0 HCPCS,83519,HC ACHR BINDING ANTIBODY - ACETYLCHOLINE RECEPTOR AB RFLX PANEL - ARUP,129.0,129.0,,,0 HCPCS,83519,HC IGF BINDING PROTEIN 1 - ARUP,513.0,513.0,,,0 HCPCS,83519,HC IGF BINDING PROTEIN 2 - ARUP,409.0,409.0,,,0 HCPCS,83519,HC INSULIN LIKE GROWTH FACTOR BINDING PROTEIN 1,156.0,156.0,,,0 HCPCS,83519,HC INSULIN LIKE GROWTH FACTOR BINDING PROTEIN 2,156.0,156.0,,,0 HCPCS,83519,HC MELANOCYTE STIMULATING HORMONE BETA - ARUP,755.0,755.0,,,0 HCPCS,83519,HC MELANOCYTE STIMULATION HORMONE ALPHA - ARUP,755.0,755.0,,,0 HCPCS,83519,HC MUSK AUTOANTIBODY,156.0,156.0,,,0 HCPCS,83519,HC PANCREATIC POLYPEPTIDE,156.0,156.0,,,0 HCPCS,83519,HC PANCREATIC POLYPEPTIDE - ARUP,366.0,366.0,,,0 HCPCS,83519,HC PROCOLLAGEN TYPE 1 PROPEPTIDE - ARUP,433.0,433.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY ACETYLCHOLINE RECEPTOR BLOCKING ABY,156.0,156.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY ACETYLCHOLINE RECEPTOR MODULATING ABY,156.0,156.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY ALPHA MELANOCYTE STIMULATING HORMONE,156.0,156.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY IGE BINDING PROTEIN,156.0,156.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY MISCELLANEOUS,156.0,156.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY MYASTHENIA GRAVIS ABY,156.0,156.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY NONINFECTIOUS ANALYTE,96.0,96.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY PROCOLLAGEN TYPE 1 INTACT N TERMINAL PROPEPTIDE,156.0,156.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY THYROID ABY,156.0,156.0,,,0 HCPCS,83519,HC RIA IMMUNOASSAY TRYPSIN LIKE,156.0,156.0,,,0 HCPCS,83519,HC STRIATED MUSCLE IGG - MYASTHENIA GRAVIS PANEL - ARUP,191.0,191.0,,,0 HCPCS,83519,HC TRYPSIN LEVEL,156.0,156.0,,,0 HCPCS,83519,HC TRYPSIN SERUM - ARUP,114.0,114.0,,,0 HCPCS,83519,HC VOLTAGE GATE POTASSIUM CHANNEL-AUTOIMMUNE ENCEPHALITIS RFLX PNL CSF-ARUP,428.0,428.0,,,0 HCPCS,83519,HC VOLTAGE GATED CALCIUM CHANNEL ANTIBODY,156.0,156.0,,,0 HCPCS,83519,HC VOLTAGE GATED POTASSIUM CHANNEL ANTIBODY,156.0,156.0,,,0 HCPCS,83519,HC VOLTAGE GATED POTASSIUM CHANNEL ANTIBODY - ARUP,810.0,810.0,,,0 HCPCS,83519,HC VOLTAGE GATED POTASSIUM CHANNEL ANTIBODY CSF - ARUP,810.0,810.0,,,0 HCPCS,83519,HC VOLTAGE GATED POTASSIUM CHANNEL REFLEX - ARUP,810.0,810.0,,,0 HCPCS,83519,HC VOLTAGE GATED POTASSIUM CHNL AB-AUTOIMMUNE ENCEPHALITIS EXTND PNL-ARUP,451.0,451.0,,,0 HCPCS,83519,HC VOLTAGE GATED POTASSIUM CHNL AB-AUTOIMMUNE NEURO DISEASE RFLX PNL-ARUP,347.0,347.0,,,0 HCPCS,83519,Ria nonantibody,,,18.4,48.76,7 HCPCS,83520,HC 14-3-3 ETA PROTEIN - QST,454.0,454.0,,,0 HCPCS,83520,HC 14-3-3 ETA PROTEIN BY ELISA - ARUP,179.0,179.0,,,0 HCPCS,83520,"HC AB42 PEPTIDE - ADMARK P-TAU/T-TAU/ABETA42, SYMPTOMATIC, CSF - QUEST",1190.0,1190.0,,,0 HCPCS,83520,HC ADAMTS13 ANTIBODY - ARUP,1050.0,1050.0,,,0 HCPCS,83520,HC ADIPONECTIN - ARUP,346.5,346.5,,,0 HCPCS,83520,HC ALPHA SUBUNIT OF PITUITARY GLYCOPROTEIN,93.0,93.0,,,0 HCPCS,83520,HC ALPHA SUBUNIT OF PITUITARY GLYCOPROTEIN - ARUP,378.0,378.0,,,0 HCPCS,83520,HC BETA-AMYLOID - ALZHEIMER DISEASE EVALUATION CSF - MAYO,1121.0,1121.0,,,0 HCPCS,83520,HC CYTOKINE PANEL,269.5,269.5,,,0 HCPCS,83520,HC HUMAN ANTI-MOUSE ANTIBODY (HAMA) - ARUP,835.0,835.0,,,0 HCPCS,83520,HC IMMUNOASSAY ANALYTE QUANT - INHIBIN B,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY ANALYTE QUANT - LEPTIN,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY ANALYTE QUANT - MODIFIED ASCA IGA,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY ANALYTE QUANT - PANCA IGG,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY ANALYTE QUANT - PANCREATIC ELASTASE FECAL,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY NONINFECTIOUS ANALYTE QUANT,88.0,88.0,,,0 HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB - CAFFEINE,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB - COMPLEMENT C3A,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB - INTERLEUKIN 6,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB - KAPPA LIGHT CHN URINE,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB - LAMBDA LIGHT CHN URINE,129.0,129.0,,,0 HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB - NEPHROCHK - TIMP-2 IGFBP-7,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB - OTHER,93.0,93.0,,,0 HCPCS,83520,HC IMMUNOASSAY QUANT NOS NONAB - TSH RECPT,93.0,93.0,,,0 HCPCS,83520,HC INHIBIN B,93.0,93.0,,,0 HCPCS,83520,HC INHIBIN B - ARUP,294.0,294.0,,,0 HCPCS,83520,HC INSULIN-LIKE GROWTH FACTOR 2 - ARUP,315.0,315.0,,,0 HCPCS,83520,HC INTERFERON ALPHA LEVEL,93.0,93.0,,,0 HCPCS,83520,HC INTERFERON GAMMA - ARUP,357.0,357.0,,,0 HCPCS,83520,"HC INTERFERON GAMMA - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERFERON GAMMA - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,HC INTERLEUKIN 1 BETA - ARUP,357.0,357.0,,,0 HCPCS,83520,"HC INTERLEUKIN 1 BETA - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 1 BETA - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,HC INTERLEUKIN 10 - ARUP,357.0,357.0,,,0 HCPCS,83520,"HC INTERLEUKIN 10 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 10 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 12 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 12 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 13 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 13 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 17 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 17 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,HC INTERLEUKIN 2 - ARUP,357.0,357.0,,,0 HCPCS,83520,"HC INTERLEUKIN 2 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 2 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,HC INTERLEUKIN 2 LEVEL,93.0,93.0,,,0 HCPCS,83520,HC INTERLEUKIN 2 RECEPTOR BY MAFD - ARUP,210.0,210.0,,,0 HCPCS,83520,"HC INTERLEUKIN 2 RECEPTOR, SOLUBLE - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 2 RECEPTOR, SOLUBLE - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 4 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 4 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 5 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 5 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 8 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC INTERLEUKIN 8 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,HC LEPTIN LEVEL,93.0,93.0,,,0 HCPCS,83520,HC LEPTIN LEVEL QUANT - ARUP,252.0,252.0,,,0 HCPCS,83520,HC MAG ANTIBODY,93.0,93.0,,,0 HCPCS,83520,HC MAG-SGPG ANTIBODY IGM,93.0,93.0,,,0 HCPCS,83520,HC MUTATED CITRULLINATED VIMENTIN (MCV) ANTIBODY - QST,430.0,430.0,,,0 HCPCS,83520,HC MUTATED CITRULLINATED VIMENTIN ANTIBODY - ARUP,569.0,569.0,,,0 HCPCS,83520,"HC MYELIN-ASSOCIATED GLYCOPROTEIN (MAG) IGM, EIA - QDID",392.0,392.0,,,0 HCPCS,83520,HC P-TAU181 - ALZHEIMER DISEASE EVALUATION CSF - MAYO,1121.0,1121.0,,,0 HCPCS,83520,HC PANCREATIC ELASTASE FECES,93.0,93.0,,,0 HCPCS,83520,"HC PHOSPHO TAU - ADMARK P-TAU/T-TAU/ABETA42, SYMPTOMATIC, CSF - QUEST",1190.0,1190.0,,,0 HCPCS,83520,"HC PHOSPHO-TAU 217, PLASMA - MAYO",2099.0,2099.0,,,0 HCPCS,83520,HC PIGF - PREECLAMPSIA RISK ASSESSMENT (SFLT-1/PIGF RATIO) - ARUP,627.0,627.0,,,0 HCPCS,83520,HC PROTHROMBIN FRAGMENT 1.2,93.0,93.0,,,0 HCPCS,83520,HC PROTHROMBIN FRAGMENT 1.2 - QWDL,511.0,511.0,,,0 HCPCS,83520,HC SFLT-1 - PREECLAMPSIA RISK ASSESSMENT (SFLT-1/PIGF RATIO) - ARUP,627.0,627.0,,,0 HCPCS,83520,HC SUBSTANCE P,172.5,172.5,,,0 HCPCS,83520,"HC TOTAL TAU - ADMARK P-TAU/T-TAU/ABETA42, SYMPTOMATIC, CSF - QUEST",1190.0,1190.0,,,0 HCPCS,83520,HC TOTAL-TAU - ALZHEIMER DISEASE EVALUATION CSF - MAYO,1121.0,1121.0,,,0 HCPCS,83520,"HC TRANSFORMING GROWTH FACTOR BETA 1, PLASMA - ARUP",588.0,588.0,,,0 HCPCS,83520,"HC TRANSFORMING GROWTH FACTOR BETA, PLASMA - ARUP",588.0,588.0,,,0 HCPCS,83520,"HC TRANSFORMING GROWTH FACTOR BETA, SERUM - ARUP",588.0,588.0,,,0 HCPCS,83520,HC TRYPTASE,93.0,93.0,,,0 HCPCS,83520,HC TRYPTASE LEVEL - ARUP,105.0,105.0,,,0 HCPCS,83520,HC TSH RECEPTOR ANTIBODY - ARUP,130.0,130.0,,,0 HCPCS,83520,"HC TUMOR NECROSIS FACTOR ALPHA - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83520,"HC TUMOR NECROSIS FACTOR ALPHA - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83520,HC TUMOR NECROSIS FACTOR ALPHA SERUM - ARUP,358.0,358.0,,,0 HCPCS,83520,HC VASCULAR ENDOTHELIAL GROWTH FACTOR - ARUP,357.0,357.0,,,0 HCPCS,83520,HC VON WILLEBRAND FACTOR COLLAGEN BINDING - ARUP,727.0,727.0,,,0 HCPCS,83520,Immunoassay quant nos nonab,,,17.27,45.77,7 HCPCS,83521,HC IMMUNOGLOBULIN LIGHT CHAINS FREE EACH,456.0,456.0,,,0 HCPCS,83521,"HC KAPPA - KAPPA/LAMBDA LIGHT CHAINS FREE WITH RATIO, SERUM - QWDL",306.0,306.0,,,0 HCPCS,83521,HC KAPPA LIGHT CHAINS - IMMUNOFIXATION WITH FREE LIGHT CHAINS URINE - ARUP,116.0,116.0,,,0 HCPCS,83521,HC KAPPA LIGHT CHAINS - KAPPA LAMBDA QUANTITATIVE,420.0,420.0,,,0 HCPCS,83521,HC KAPPA LIGHT CHAINS - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP [3018352101],60.0,60.0,,,0 HCPCS,83521,"HC KAPPA/LAMBDA IMMUNOGLOBULIN LIGHT CHAINS - IMMUNOFIXATION WITH FLC, URINE - ARUP",124.0,124.0,,,0 HCPCS,83521,"HC LAMBDA - KAPPA/LAMBDA LIGHT CHAINS FREE WITH RATIO, SERUM - QWDL",306.0,306.0,,,0 HCPCS,83521,HC LAMBDA LIGHT CHAINS - KAPPA LAMBDA QUANTITATIVE,420.0,420.0,,,0 HCPCS,83521,HC LAMBDA LIGHT CHAINS - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,60.0,60.0,,,0 HCPCS,83521,Ig light chains free each,,,17.27,45.77,7 HCPCS,83525,Assay of insulin,,,11.43,30.29,7 HCPCS,83525,HC INSULIN LEVEL TOTAL,496.0,496.0,,,0 HCPCS,83525,HC INSULIN LEVEL TOTAL (FASTING) - ARUP,34.0,34.0,,,0 HCPCS,83525,HC INSULIN LEVEL TOTAL - INSULIN LEVEL FREE AND TOTAL - ARUP,44.0,44.0,,,0 HCPCS,83525,HC INSULIN LEVEL TOTAL - QWDL,38.0,38.0,,,0 HCPCS,83525,HC INSULIN LEVEL TOTAL FASTING,496.0,496.0,,,0 HCPCS,83525,HC INSULIN LEVEL TOTAL RANDOM - ARUP,34.0,34.0,,,0 HCPCS,83527,Assay of insulin,,,12.95,34.32,7 HCPCS,83527,"HC ASSAY OF INSULIN,FREE - INSULIN, FREE",71.0,71.0,,,0 HCPCS,83527,HC INSULIN LEVEL FREE - INSULIN LEVEL FREE AND TOTAL - ARUP,51.0,51.0,,,0 HCPCS,83528,Assay of intrinsic factor,,,19.82,52.52,7 HCPCS,83529,Asay of interleukin-6 (il-6),,,17.27,45.77,7 HCPCS,83529,HC INTERLEUKIN 6 - ARUP,273.0,273.0,,,0 HCPCS,83529,"HC INTERLEUKIN 6 - CYTOKINE PANEL 13, CSF - ARUP",89.0,89.0,,,0 HCPCS,83529,"HC INTERLEUKIN 6 - CYTOKINE PANEL, SERUM - ARUP",89.0,89.0,,,0 HCPCS,83529,HC INTERLEUKIN-6 (IL-6),709.0,709.0,,,0 HCPCS,83540,Assay of iron,,,6.47,17.15,7 HCPCS,83540,"HC ASSAY OF IRON - IRON,LIVER TISSUE",120.5,120.5,,,0 HCPCS,83540,HC IRON LEVEL,200.5,200.5,,,0 HCPCS,83540,HC IRON LEVEL - ARUP,30.0,30.0,,,0 HCPCS,83540,HC IRON LEVEL - IRON + TRANSFERRIN + TIBC,193.0,193.0,,,0 HCPCS,83540,HC IRON LEVEL LIVER TISSUE - ARUP,437.0,437.0,,,0 HCPCS,83540,HC IRON LEVEL TOTAL - IRON AND TIBC - ARUP,45.0,45.0,,,0 HCPCS,83540,HC IRON LEVEL TOTAL - IRON AND TIBC - QWDL,15.0,15.0,,,0 HCPCS,83550,HC TOTAL IRON BINDING CAPACITY,255.0,255.0,,,0 HCPCS,83550,"HC TOTAL IRON BINDING CAPACITY (TIBC) - IRON, TIBC, FERRITIN PANEL - QWDL",19.0,19.0,,,0 HCPCS,83550,Iron binding test,,,8.74,23.16,7 HCPCS,83570,Assay of idh enzyme,,,8.85,23.45,7 HCPCS,83582,Assay of ketogenic steroids,,,15.47,41.0,7 HCPCS,83586,Assay 17- ketosteroids,,,12.8,33.92,7 HCPCS,83586,HC 17 KETOSTEROIDS URINE,110.0,110.0,,,0 HCPCS,83586,HC 17 KETOSTEROIDS URINE - ARUP,126.0,126.0,,,0 HCPCS,83593,Fractionation ketosteroids,,,28.5,75.52,7 HCPCS,83605,Assay of lactic acid,,,11.57,30.66,7 HCPCS,83605,HC ASSAY OF LACTIC ACID - LACTATE CSF,303.0,303.0,,,0 HCPCS,83605,HC ASSAY OF LACTIC ACID - POCT LACTIC ACID (LACTATE),303.0,303.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL,387.0,387.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL - ARTERIAL BLOOD GAS,427.0,427.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL - CAPILLARY BLOOD GAS WITH COOX/GLU/LYTES/LAC,427.0,427.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL - CAPILLARY BLOOD GAS WITH COOX/GLU/LYTES/LAC/TBIL,427.0,427.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL - MIXED VENOUS BLOOD GAS WITH COOX/GLU/LYTES/LAC,427.0,427.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL - MIXED VENOUS BLOOD GAS WITH COOX/GLU/LYTES/LAC/TBIL,427.0,427.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL - SURGICAL LAB,427.0,427.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL - VENOUS BLOOD GAS WITH COOX/GLU/LYTES/LAC,427.0,427.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL - VENOUS BLOOD GAS WITH COOX/GLU/LYTES/LAC/TBIL,427.0,427.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL CSF,429.0,429.0,,,0 HCPCS,83605,HC LACTIC ACID LEVEL REFLEX,427.0,427.0,,,0 HCPCS,83605,HC POC LACTATE LEVEL ARTERIAL,427.0,427.0,,,0 HCPCS,83605,HC POC LACTATE LEVEL VENOUS,427.0,427.0,,,0 HCPCS,83615,"HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE, CSF",89.0,89.0,,,0 HCPCS,83615,HC LACTATE DEHYDROGENASE (LDH) FLUID,263.0,263.0,,,0 HCPCS,83615,HC LACTATE DEHYDROGENASE TOTAL,101.0,101.0,,,0 HCPCS,83615,HC LACTATE DEHYDROGENASE TOTAL - LACTATE DEHYDROGENASE ISOENZYMES - ARUP,24.0,24.0,,,0 HCPCS,83615,HC LD (LDH) TOTAL,263.0,263.0,,,0 HCPCS,83615,HC LD (LDH) TOTAL - ARUP,33.5,33.5,,,0 HCPCS,83615,HC LD (LDH) TOTAL BODY FLUID - ARUP,39.5,39.5,,,0 HCPCS,83615,HC LD 1 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP,24.0,24.0,,,0 HCPCS,83615,Lactate (LD) (LDH) enzyme,,,6.04,16.01,7 HCPCS,83625,Assay of ldh enzymes,,,12.79,33.89,7 HCPCS,83625,HC ASSAY OF LDH ISOENZYMES - LACTATE DEHYDROGENASE ISOENZMS,109.0,109.0,,,0 HCPCS,83625,"HC LD (LDH) ISOENZYMES, LDH ISOENZYMES - ARUP",56.0,56.0,,,0 HCPCS,83625,HC LD 2 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP,52.0,52.0,,,0 HCPCS,83630,HC LACTOFERRIN FECAL,324.5,324.5,,,0 HCPCS,83630,HC LACTOFERRIN FECAL - ARUP,120.0,120.0,,,0 HCPCS,83630,Lactoferrin fecal (qual),,,19.7,52.2,7 HCPCS,83631,Lactoferrin fecal (quant),,,19.63,52.02,7 HCPCS,83632,HC HUMAN PLACENTAL LACTOGEN (HPL) - ARUP,613.0,613.0,,,0 HCPCS,83632,HC LACTOGEN HUMAN PLACENTAL - HUMAN CHORIONIC SOMATOMAMMOTROPIN,650.0,650.0,,,0 HCPCS,83632,Placental lactogen,,,20.22,53.58,7 HCPCS,83633,Test urine for lactose,,,11.25,29.81,7 HCPCS,83655,Assay of lead,,,12.11,32.09,7 HCPCS,83655,HC LEAD - QWDL,41.0,41.0,,,0 HCPCS,83655,HC LEAD BLOOD HEAVY METALS PANEL 3- ARUP,79.0,79.0,,,0 HCPCS,83655,HC LEAD BLOOD HEAVY METALS PANEL 4 - ARUP,31.0,31.0,,,0 HCPCS,83655,HC LEAD CAPILLARY - ARUP,80.0,80.0,,,0 HCPCS,83655,HC LEAD INDUSTRIAL EXPOSURE - ARUP,53.0,53.0,,,0 HCPCS,83655,HC LEAD URINE - ARUP,47.0,47.0,,,0 HCPCS,83655,HC LEAD URINE - HEAVY METALS PANEL 3 - ARUP,37.0,37.0,,,0 HCPCS,83655,HC LEAD URINE HEAVY METALS PANEL 3- ARUP,59.5,59.5,,,0 HCPCS,83655,HC LEAD VENOUS - ARUP,27.0,27.0,,,0 HCPCS,83661,L/s ratio fetal lung,,,21.99,58.27,7 HCPCS,83662,Foam stability fetal lung,,,18.91,50.11,7 HCPCS,83663,Fluoro polarize fetal lung,,,18.91,50.11,7 HCPCS,83664,HC LAMELLAR BODIES,224.0,224.0,,,0 HCPCS,83664,Lamellar bdy fetal lung,,,19.32,51.2,7 HCPCS,83670,Assay of lap enzyme,,,9.81,26.0,7 HCPCS,83690,Assay of lipase,,,6.89,18.26,7 HCPCS,83690,HC ASSAY OF LIPASE - LIPASE BODY FLUID,66.0,66.0,,,0 HCPCS,83690,HC LIPASE LEVEL,206.5,206.5,,,0 HCPCS,83695,Assay of lipoprotein(a),,,14.32,37.95,7 HCPCS,83695,HC LIPOPROTEIN SMALL A,90.0,90.0,,,0 HCPCS,83695,HC LIPOPROTEIN SMALL A - CARDIO IQ - QWDL,63.0,63.0,,,0 HCPCS,83695,HC LIPOPROTEIN SMALL A PANEL COMPONENT,90.0,90.0,,,0 HCPCS,83698,Assay Lipoprotein Pla2,,,46.31,122.72,7 HCPCS,83698,HC ASSAY LIPOPROTEIN PLA2 - LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2,93.0,93.0,,,0 HCPCS,83698,HC LIPOPROTEIN-PLA2 (PLAC) ACTIVITY - ARUP,294.0,294.0,,,0 HCPCS,83700,"HC LIPOPRO BLOOD, ELECTROPHOR/ QUANT - LIPOPROTEIN ELECTROPHORESIS",68.0,68.0,,,0 HCPCS,83700,HC LIPOPROTEIN ELECTROPHORESIS - ARUP,194.0,194.0,,,0 HCPCS,83700,Lipopro bld electrophoretic,,,11.26,29.84,7 HCPCS,83701,HC HIGH DENSITY LIPOPROTEIN SUBCLASSES,129.0,129.0,,,0 HCPCS,83701,"HC LIPOPROTEIN BLOOD, HIGH RES FRACTION/ QUANT - LIPOPROTEIN SUBCLASS",167.0,167.0,,,0 HCPCS,83701,Lipoprotein bld hr fraction,,,33.86,89.73,7 HCPCS,83704,HC LIPOPROTEIN BLOOD BY NMR SPECT - LIPOPROTEIN,129.0,129.0,,,0 HCPCS,83704,HC LIPOPROTEIN - NMR LIPOMED PROFILE - ARUP,97.0,97.0,,,0 HCPCS,83704,HC LIPOPROTEIN BY NMR SPECT - CARDIO IQ - QWDL,151.0,151.0,,,0 HCPCS,83704,"HC LIPOPROTEIN, BLOOD, BY NMR SPECT - LIPOPROTEIN NMR",129.0,129.0,,,0 HCPCS,83704,Lipoprotein bld quan part,,,34.19,90.6,7 HCPCS,83718,Assay of lipoprotein,,,8.19,21.7,7 HCPCS,83718,"HC ASSAY OF BLOOD LIPOPROTEIN,HDL CHOLEST - HDL CHOLESTEROL",182.0,182.0,,,0 HCPCS,83719,Assay of blood lipoprotein,,,12.75,33.79,7 HCPCS,83721,Assay of blood lipoprotein,,,10.5,27.82,7 HCPCS,83721,"HC ASSAY OF BLOOD LIPOPROTEIN,LDL CHOLEST - LDL CHOLESTEROL DIRECT",121.0,121.0,,,0 HCPCS,83722,Lipoprtn dir meas sd ldl chl,,,34.19,90.6,7 HCPCS,83727,Assay of lrh hormone,,,17.19,45.55,7 HCPCS,83735,Assay of magnesium,,,6.7,17.76,7 HCPCS,83735,HC ASSAY OF MAGNESIUM - MAGNESIUM IONIZED,244.5,244.5,,,0 HCPCS,83735,HC ASSAY OF MAGNESIUM - MAGNESIUM RBC,76.5,76.5,,,0 HCPCS,83735,HC CVICU IONIZED MAGNESIUM POC,101.0,101.0,,,0 HCPCS,83735,"HC MAGNESIUM - SUPERSATURATION PROFILE, URINE - ARUP",34.0,34.0,,,0 HCPCS,83735,HC MAGNESIUM LEVEL,96.5,96.5,,,0 HCPCS,83735,HC MAGNESIUM RBC - ARUP,101.0,101.0,,,0 HCPCS,83735,"HC MAGNESIUM SUPERSATURATION PROFILE, URINE - ARUP",40.5,40.5,,,0 HCPCS,83735,HC MAGNESIUM TIMED URINE,180.0,180.0,,,0 HCPCS,83735,HC MAGNESIUM URINE CALCULI RISK ASSESSMENT - ARUP,39.0,39.0,,,0 HCPCS,83735,HC MAGNESIUM URINE RANDOM,180.0,180.0,,,0 HCPCS,83735,"HC MAGNESIUM, URINE - ARUP",43.5,43.5,,,0 HCPCS,83775,Assay malate dehydrogenase,,,7.37,19.53,7 HCPCS,83785,Assay of manganese,,,26.65,70.62,7 HCPCS,83785,HC ASSAY OF MANGANESE - MANGANESE,97.0,97.0,,,0 HCPCS,83785,"HC ASSAY OF MANGANESE - MANGANESE, WHOLE BLOOD",93.0,93.0,,,0 HCPCS,83785,HC MANGANESE LEVEL SERUM - ARUP,68.0,68.0,,,0 HCPCS,83785,HC MANGANESE LEVEL WHOLE BLOOD - ARUP,68.0,68.0,,,0 HCPCS,83789,HC AFB ID BY MALDI-TOF MS - ARUP,286.0,286.0,,,0 HCPCS,83789,HC ASSAY MASS SPECTROMETRY NONDRUG ANALYTE - IODINE URINE,111.0,111.0,,,0 HCPCS,83789,HC BACTERIAL ID BY MALDI-TOF MS - ARUP,199.0,199.0,,,0 HCPCS,83789,HC BILE ACIDS FRACTIONATED AND TOTAL - ARUP,252.0,252.0,,,0 HCPCS,83789,HC FUNGAL ID BY MALDI-TOF MS - ARUP,286.0,286.0,,,0 HCPCS,83789,HC MASS SPECTROMETRY NONDRUG ANALYTE,197.0,197.0,,,0 HCPCS,83789,HC SILVER LEVEL,111.0,111.0,,,0 HCPCS,83789,Mass spectrometry qual/quan,,,24.11,63.89,7 HCPCS,83825,Assay of mercury,,,16.26,43.09,7 HCPCS,83825,HC MERCURY BLOOD - ARUP,30.0,30.0,,,0 HCPCS,83825,HC MERCURY BLOOD HEAVY METALS PANEL 3 - ARUP,87.0,87.0,,,0 HCPCS,83825,HC MERCURY BLOOD HEAVY METALS PANEL 4 BLOOD - ARUP,41.0,41.0,,,0 HCPCS,83825,HC MERCURY URINE - HEAVY METALS PANEL 3 - ARUP,50.0,50.0,,,0 HCPCS,83825,HC MERCURY URINE HEAVY METALS PANEL 3- ARUP,67.5,67.5,,,0 HCPCS,83835,Assay of metanephrines,,,16.94,44.89,7 HCPCS,83835,HC ASSAY OF METANEPHRINES - METANEPHRINE PLASMA,64.0,64.0,,,0 HCPCS,83835,HC ASSAY OF METANEPHRINES - METANEPHRINES 24HR URINE,77.5,77.5,,,0 HCPCS,83835,HC ASSAY OF METANEPHRINES - METANEPHRINES 24HR URINE FRACTIONATED,74.5,74.5,,,0 HCPCS,83835,HC METANEPHRINES URINE 24 HOUR - ARUP,93.0,93.0,,,0 HCPCS,83857,Assay of methemalbumin,,,10.74,28.46,7 HCPCS,83861,Microfluid analy tears,,,22.48,59.57,7 HCPCS,83864,"HC MUCOPOLYSACCHARIDES - MUCOPOLYSACCHARIDES, QUANTITATIVE",224.0,224.0,,,0 HCPCS,83864,Mucopolysaccharides,,,28.5,75.52,7 HCPCS,83872,Assay synovial fluid mucin,,,5.86,15.53,7 HCPCS,83873,Assay of csf protein,,,17.2,45.58,7 HCPCS,83873,HC MYELIN BASIC PROTEIN CSF - ARUP,99.0,99.0,,,0 HCPCS,83873,"HC MYELIN BASIC PROTEIN,CSF - MYELIN BASIC PROTEIN CSF",107.0,107.0,,,0 HCPCS,83874,Assay of myoglobin,,,12.92,34.24,7 HCPCS,83874,HC ASSAY OF MYOGLOBIN - MYOGLOBIN SERUM,95.0,95.0,,,0 HCPCS,83874,HC ASSAY OF MYOGLOBIN - MYOGLOBIN URINE QUANTITATIVE,457.0,457.0,,,0 HCPCS,83874,HC MYOGLOBIN URINE QUANT - ARUP,53.0,53.0,,,0 HCPCS,83874,HC MYOGLOBIN URINE SCREEN,402.0,402.0,,,0 HCPCS,83876,Assay myeloperoxidase,,,50.86,134.78,7 HCPCS,83876,HC MYELOPEROXIDASE,32.0,32.0,,,0 HCPCS,83880,Assay of natriuretic peptide,,,39.26,104.04,7 HCPCS,83880,HC B-TYPE NATRIUETIC PEPTIDE (BNP),553.0,553.0,,,0 HCPCS,83880,HC N-TERMINAL PRO-BNP,544.0,544.0,,,0 HCPCS,83883,Assay nephelometry not spec,,,13.6,36.04,7 HCPCS,83883,HC A2 MACROGLOBULIN-LIVER FIBROSIS CHRONIC VIRAL HEP FIBROMETER PNL-ARUP,170.0,170.0,,,0 HCPCS,83883,"HC ASSAY NEPHELOMETRY, NOT SPECIFIED - EACH",133.5,133.5,,,0 HCPCS,83883,HC FIBROSURE ASH - NEPHELOMETRY - ALPHA 2 MACROGLOBULIN QUANTITATIVE,143.5,143.5,,,0 HCPCS,83883,HC NEPHELOMETRY ALPHA 2 MACROGLOBULIN,109.5,109.5,,,0 HCPCS,83883,HC NEPHELOMETRY RETINOL BINDING PROTEIN,94.5,94.5,,,0 HCPCS,83883,"HC NEPHELOMETRY, NOT SPECIFIED - IMMUNOGLOBULIN FREE LT CHAINS BLOOD",133.5,133.5,,,0 HCPCS,83883,"HC NEPHELOMETRY, NOT SPECIFIED - KAPPA / LAMBDA LIGHT CHAINS QUAL",499.5,499.5,,,0 HCPCS,83883,"HC NEPHELOMETRY, NOT SPECIFIED - KAPPA / LAMBDA LIGHT CHAINS QUANT",126.0,126.0,,,0 HCPCS,83883,"HC NEPHELOMETRY, NOT SPECIFIED - KAPPA / LAMBDA LIGHT CHAINS, URINE",133.5,133.5,,,0 HCPCS,83883,HC RETINOL BINDING PROTEIN - ARUP,71.0,71.0,,,0 HCPCS,83884,Assay neurflmnt light chain,,,116.23,308.01,7 HCPCS,83885,Assay of nickel,,,24.51,64.95,7 HCPCS,83885,HC ASSAY OF NICKEL - NICKEL 24 HR URINE,99.0,99.0,,,0 HCPCS,83885,HC NICKEL LEVEL,99.0,99.0,,,0 HCPCS,83885,HC NICKEL LEVEL - ARUP,68.0,68.0,,,0 HCPCS,83915,Assay of nucleotidase,,,11.15,29.55,7 HCPCS,83915,HC NUCLEOTIDASE 5,99.0,99.0,,,0 HCPCS,83915,HC NUCLEOTIDASE 5 - ARUP,59.0,59.0,,,0 HCPCS,83916,HC OLIGOCLONAL BABDS IN CSF AND SERUM - ARUP,239.0,239.0,,,0 HCPCS,83916,HC OLIGOCLONAL BANDS CSF & SERUM - ARUP,223.0,223.0,,,0 HCPCS,83916,HC OLIGOCLONAL BANDS IN CSF AND SERUM - ARUP,239.0,239.0,,,0 HCPCS,83916,HC OLIGOCLONAL BANDS NUMBER CSF - OLIGOCLONAL BAND PROFILE - ARUP,133.0,133.0,,,0 HCPCS,83916,Oligoclonal bands,,,27.39,72.58,7 HCPCS,83918,HC ASSAY ORGANIC ACIDS QUANTITATIVE - GAMMA HYDROXYBUTYRATE BLOOD SCREEN,263.0,263.0,,,0 HCPCS,83918,HC ASSAY ORGANIC ACIDS QUANTITATIVE - ORGANIC ACIDS URINE,263.0,263.0,,,0 HCPCS,83918,HC ORGANIC ACIDS URINE QUANT - ARUP,475.0,475.0,,,0 HCPCS,83918,Organic acids total quant,,,23.6,62.54,7 HCPCS,83919,HC ASSAY ORGANIC ACIDS QUALITATIVE - ORGANIC ACID ANALYSIS,807.0,807.0,,,0 HCPCS,83919,HC ASSAY ORGANIC ACIDS QUALITATIVE - ORGANIC ACID ANALYSIS URINE,807.0,807.0,,,0 HCPCS,83919,Organic acids qual each,,,16.45,43.59,7 HCPCS,83921,HC ASSAY SNGL ORGANIC ACID QUANTITATIVE - METHYLMALONIC ACID URINE,262.0,262.0,,,0 HCPCS,83921,"HC ASSAY SNGL ORGANIC ACID, QUANTITATIVE - METHYLMALONIC ACID, SERUM",101.0,101.0,,,0 HCPCS,83921,HC METHYLMALONIC ACID LEVEL SERUM - ARUP,55.0,55.0,,,0 HCPCS,83921,HC OROTIC ACID URINE,101.0,101.0,,,0 HCPCS,83921,Organic acid single quant,,,21.21,56.21,7 HCPCS,83930,Assay of blood osmolality,,,6.61,17.52,7 HCPCS,83930,HC OSMOLALITY SERUM - QWDL,37.0,37.0,,,0 HCPCS,83930,HC OSMOLALITY SERUM / PLASMA - ARUP,55.0,55.0,,,0 HCPCS,83930,HC OSMOLALITY SERUM/PLASMA,310.5,310.5,,,0 HCPCS,83935,Assay of urine osmolality,,,6.82,18.07,7 HCPCS,83935,HC OSMOLALITY URINE,348.0,348.0,,,0 HCPCS,83935,HC OSMOLALITY URINE - ARUP,54.0,54.0,,,0 HCPCS,83937,Assay of osteocalcin,,,29.85,79.1,7 HCPCS,83937,HC ASSAY OF OSTEOCALCIN - OSTEOCALCIN,146.0,146.0,,,0 HCPCS,83937,HC OSTEOCALCIN - ARUP,156.0,156.0,,,0 HCPCS,83945,Assay of oxalate,,,14.45,38.29,7 HCPCS,83945,HC ASSAY OF OXALATE - OXALATE 24HR URINE,102.0,102.0,,,0 HCPCS,83945,"HC OXALATE - SUPERSATURATION PROFILE, URINE - ARUP",74.0,74.0,,,0 HCPCS,83945,"HC OXALATE CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",72.0,72.0,,,0 HCPCS,83945,HC OXALATE KIDNEY STONE RISK PANEL URINE - ARUP,51.0,51.0,,,0 HCPCS,83945,"HC OXALATE SUPERSATURATION PROFILE, URINE - ARUP",79.0,79.0,,,0 HCPCS,83945,HC OXALATE URINE 24 HOUR - ARUP,87.0,87.0,,,0 HCPCS,83945,HC OXALIC ACID - KIDNEY STONE RISK PANEL URINE - ARUP,47.0,47.0,,,0 HCPCS,83950,Oncoprotein her-2/neu,,,64.41,170.69,7 HCPCS,83951,HC DCP PROTHROMBIN - HEPATOCELLULAR CARCINOMA TUMOR MARKER PANEL - ARUP,420.0,420.0,,,0 HCPCS,83951,HC DES GAMMA CARBOXY PROTHROMBIN,306.0,306.0,,,0 HCPCS,83951,Oncoprotein dcp,,,64.41,170.69,7 HCPCS,83970,Assay of parathormone,,,41.28,109.39,7 HCPCS,83970,HC PTH INTACT,494.0,494.0,,,0 HCPCS,83970,HC PTH INTACT - ARUP,42.0,42.0,,,0 HCPCS,83970,HC PTH INTACT - PTH INTACT WITH CALCIUM - ARUP,172.0,172.0,,,0 HCPCS,83970,HC PTH INTACT FNA - ARUP,182.5,182.5,,,0 HCPCS,83970,HC PTH INTACT WITHOUT CALCIUM - QWDL,175.0,175.0,,,0 HCPCS,83970,HC PTH INTRAOPERATIVE,735.5,735.5,,,0 HCPCS,83986,Assay ph body fluid nos,,,3.58,9.49,7 HCPCS,83986,"HC PH - CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",18.0,18.0,,,0 HCPCS,83986,HC PH - SUPERSATURATION PROFILE - ARUP,18.0,18.0,,,0 HCPCS,83986,HC PH - SUPERSATURATION PROFILE URINE - ARUP,20.0,20.0,,,0 HCPCS,83986,HC PH BODY FLUID,308.0,308.0,,,0 HCPCS,83986,HC PH BODY FLUID NOS - PH STOOL,272.0,272.0,,,0 HCPCS,83986,HC PH BODY FLUID NOS - POCT GASTRIC PH,83.0,83.0,,,0 HCPCS,83986,HC PH URINE PEDIATRIC CHEMOTHERAPY,308.0,308.0,,,0 HCPCS,83987,Exhaled breath condensate,,,3.58,9.49,7 HCPCS,83992,HC ASSAY FOR PHENCYCLIDINE - PHENCYCLIDINE LEVEL,195.0,195.0,,,0 HCPCS,83992,HC PCP CONFIRMATION MECONIUM,195.0,195.0,,,0 HCPCS,83992,HC PHENCYCLIDINE (PCP) LEVEL QUANT SERUM - ARUP,289.0,289.0,,,0 HCPCS,83992,HC PHENCYCLIDINE (PCP) LEVEL URINE CONF - ARUP,173.0,173.0,,,0 HCPCS,83992,HC PHENCYCLIDINE CONFIRMATION SERUM,195.0,195.0,,,0 HCPCS,83992,HC PHENCYCLIDINE PCP DEFINITIVE - DRUG DETECT PNL CORDTISS QUAL-ARUP,7.0,7.0,,,0 HCPCS,83992,HC PHENCYCLIDINE PCP DEFINITIVE - DRUG DETECT PNL MECONIUM QUAL - ARUP,8.0,8.0,,,0 HCPCS,83992,HC PHENCYCLIDINE QUANTITATION URINE,195.0,195.0,,,0 HCPCS,83993,Assay for calprotectin fecal,,,19.63,52.02,7 HCPCS,83993,HC CALPROTECTIN,170.0,170.0,,,0 HCPCS,83993,HC CALPROTECTIN FECAL,524.0,524.0,,,0 HCPCS,83993,HC CALPROTECTIN FECAL - ARUP,170.0,170.0,,,0 HCPCS,83993,HC CALPROTECTIN STOOL - ARUP,252.0,252.0,,,0 HCPCS,84030,Assay of blood pku,,,5.5,14.58,7 HCPCS,84030,HC ASSAY OF BLOOD PKU - PHENYLALANINE,35.0,35.0,,,0 HCPCS,84035,Assay of phenylketones,,,3.98,10.55,7 HCPCS,84060,Assay acid phosphatase,,,7.64,20.25,7 HCPCS,84060,HC ACID PHOSPHATASE TOTAL - ARUP,51.0,51.0,,,0 HCPCS,84060,"HC ASSAY PHOSPHATASE ACID, TOTAL - ACID PHOSPHATASE, TOTAL",92.0,92.0,,,0 HCPCS,84066,Assay prostate phosphatase,,,9.66,25.6,7 HCPCS,84066,HC ASSAY PHOSPHATASE ACID PROSTATIC - PROSTATIC ACID PHOSPHATASE,95.0,95.0,,,0 HCPCS,84066,HC PROSTATIC ACID PHOSPHATASE - ARUP,57.0,57.0,,,0 HCPCS,84075,Assay alkaline phosphatase,,,5.18,13.73,7 HCPCS,84075,HC ALKALINE PHOSPHATASE - ARUP,25.0,25.0,,,0 HCPCS,84075,HC ALKALINE PHOSPHATASE LEVEL,93.0,93.0,,,0 HCPCS,84078,Assay alkaline phosphatase,,,8.26,21.89,7 HCPCS,84080,Assay alkaline phosphatases,,,14.78,39.17,7 HCPCS,84080,HC ALKALINE PHOSPHATASE ISOENZYMES ARUP,70.5,70.5,,,0 HCPCS,84080,HC ALKALINE PHOSPHOTASE BONE SPECIFIC - ARUP,126.0,126.0,,,0 HCPCS,84080,"HC ASSAY ALKAL PHOSPHATASE,ISOENZYMES - ALKALINE PHOSPHATASE,ISOENZYMES BONE",70.5,70.5,,,0 HCPCS,84081,Assay phosphatidylglycerol,,,16.52,43.78,7 HCPCS,84085,Assay of rbc pg6d enzyme,,,9.44,25.02,7 HCPCS,84087,Assay phosphohexose enzymes,,,10.73,28.43,7 HCPCS,84087,HC PHOSPHOHEXOSE ISOMERASE,224.0,224.0,,,0 HCPCS,84100,Assay of phosphorus,,,4.74,12.56,7 HCPCS,84100,HC PHOSPHORUS,92.0,92.0,,,0 HCPCS,84105,Assay of urine phosphorus,,,5.78,15.32,7 HCPCS,84105,HC ASSAY OF URINE PHOSPHORUS - PHOSPHORUS RANDOM URINE,219.0,219.0,,,0 HCPCS,84105,HC ASSAY OF URINE PHOSPHORUS - PORPHYRINS FRACTIONATED URINE,32.0,32.0,,,0 HCPCS,84105,"HC PHOSPHORUS - SUPERSATURATION PROFILE, URINE - ARUP",30.0,30.0,,,0 HCPCS,84105,HC PHOSPHORUS URINE 24 HOUR,242.0,242.0,,,0 HCPCS,84105,HC PHOSPHORUS URINE CALCULI RISK ASSESSMENT - ARUP,20.0,20.0,,,0 HCPCS,84105,HC PHOSPHOURUS URINE - ARUP,31.0,31.0,,,0 HCPCS,84106,Test for porphobilinogen,,,5.82,15.42,7 HCPCS,84110,Assay of porphobilinogen,,,8.44,22.37,7 HCPCS,84110,HC ASSAY PORPHOBILINOGEN TIMED URINE,124.0,124.0,,,0 HCPCS,84110,HC PORPHOBILINOGEN URINE,124.0,124.0,,,0 HCPCS,84110,HC PORPHOBILINOGEN URINE - ARUP,138.0,138.0,,,0 HCPCS,84112,Eval amniotic fluid protein,,,98.11,259.99,7 HCPCS,84112,HC CERVICOVAGINAL FLUID EXAM - AFP QUAL,1097.0,1097.0,,,0 HCPCS,84119,Test urine for porphyrins,,,13.36,35.4,7 HCPCS,84120,Assay of urine porphyrins,,,14.71,38.98,7 HCPCS,84120,HC ASSAY FRACTIONATED PORPHYRINS TIMED URINE,124.0,124.0,,,0 HCPCS,84120,HC FRACTIONATED PORPHYRINS URINE,124.0,124.0,,,0 HCPCS,84120,HC FRACTIONATED PORPHYRINS URINE - ARUP,120.0,120.0,,,0 HCPCS,84126,Assay of feces porphyrins,,,39.11,103.64,7 HCPCS,84126,HC FRACTIONATED PORPHYRINS FECAL,275.0,275.0,,,0 HCPCS,84132,Assay of serum potassium,,,4.76,12.61,7 HCPCS,84132,HC POTASSIUM LEVEL,92.0,92.0,,,0 HCPCS,84133,Assay of urine potassium,,,4.73,12.53,7 HCPCS,84133,HC ASSAY OF URINE POTASSIUM - POTASSIUM DIALYSATE,26.0,26.0,,,0 HCPCS,84133,"HC POTASSIUM - CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",23.0,23.0,,,0 HCPCS,84133,"HC POTASSIUM - SUPERSATURATION PROFILE, URINE - ARUP",24.0,24.0,,,0 HCPCS,84133,HC POTASSIUM RANDOM URINE,227.5,227.5,,,0 HCPCS,84133,HC POTASSIUM TIMED URINE,26.0,26.0,,,0 HCPCS,84133,HC POTASSIUM URINE 24 HOUR,212.0,212.0,,,0 HCPCS,84134,Assay of prealbumin,,,14.59,38.66,7 HCPCS,84134,HC PREALBUMIN,444.0,444.0,,,0 HCPCS,84134,HC PREALBUMIN - ARUP,41.0,41.0,,,0 HCPCS,84135,Assay of pregnanediol,,,21.27,56.37,7 HCPCS,84138,Assay of pregnanetriol,,,21.05,55.78,7 HCPCS,84140,Assay of pregnenolone,,,20.67,54.78,7 HCPCS,84140,HC ASSAY OF PREGNENOLONE - PREGNENOLONE,122.0,122.0,,,0 HCPCS,84140,HC PREGNENOLONE LEVEL - ARUP,122.0,122.0,,,0 HCPCS,84143,Assay of 17-hydroxypregneno,,,22.81,60.45,7 HCPCS,84143,HC 17-HYDROXYPREGNENOLONE - ARUP,127.0,127.0,,,0 HCPCS,84143,HC ASSAY OF 17-HYDROXYPREGNENOLONE - 17-HYDROXYPREGNENOLONE,122.0,122.0,,,0 HCPCS,84144,Assay of progesterone,,,20.86,55.28,7 HCPCS,84144,HC ASSAY OF PROGESTERONE - PROGESTERONE,263.5,263.5,,,0 HCPCS,84144,HC PROGESTERONE LEVEL,435.0,435.0,,,0 HCPCS,84144,HC PROGESTERONE LEVEL - ARUP,101.0,101.0,,,0 HCPCS,84144,HC PROGESTERONE LEVEL - QWDL,39.0,39.0,,,0 HCPCS,84145,HC PROCALCITONIN LEVEL,561.0,561.0,,,0 HCPCS,84145,HC PROCALCITONIN LEVEL - ARUP,335.0,335.0,,,0 HCPCS,84145,Procalcitonin (PCT),,,27.22,72.13,7 HCPCS,84146,Assay of prolactin,,,19.38,51.36,7 HCPCS,84146,HC MACROPROLACTIN - ARUP,122.5,122.5,,,0 HCPCS,84146,HC PROLACTIN,626.0,626.0,,,0 HCPCS,84146,HC PROLACTIN - ARUP,53.0,53.0,,,0 HCPCS,84146,HC PROLACTIN - QWDL,46.0,46.0,,,0 HCPCS,84150,Assay of prostaglandin,,,41.77,110.69,7 HCPCS,84150,"HC ASSAY OF PROSTAGLANDIN - PROSTAGLANDIN D2, PLASMA",302.0,302.0,,,0 HCPCS,84150,"HC ASSAY OF PROSTAGLANDIN - PROSTAGLANDIN E2, PLASMA",302.0,302.0,,,0 HCPCS,84152,Assay of psa complexed,,,18.39,48.73,7 HCPCS,84152,"HC PROSTATE SPECIFIC ANTIGEN, COMPLEXED - PSA, COMPLEXED",287.0,287.0,,,0 HCPCS,84153,Assay of psa total,,,18.39,48.73,7 HCPCS,84153,"HC ASSAY PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA ULTRA SENSITIVE",312.5,312.5,,,0 HCPCS,84153,HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL,310.0,310.0,,,0 HCPCS,84153,"HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE",310.0,310.0,,,0 HCPCS,84153,"HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASENSITIVE",312.5,312.5,,,0 HCPCS,84153,HC PSA SCREEN,415.0,415.0,,,0 HCPCS,84153,HC PSA TOTAL - ARUP,78.5,78.5,,,0 HCPCS,84153,HC PSA TOTAL DIAGNOSTIC,424.0,424.0,,,0 HCPCS,84153,HC PSA TOTAL HEALTH FAIR,424.0,424.0,,,0 HCPCS,84153,HC PSA TOTAL SCREENING,385.0,385.0,,,0 HCPCS,84153,HC PSA TOTAL SCREENING - ARUP,54.0,54.0,,,0 HCPCS,84153,HC PSA ULTRASENSITIVE - ARUP,83.0,83.0,,,0 HCPCS,84154,Assay of psa free,,,18.39,48.73,7 HCPCS,84154,"HC PROSTATE SPECIFIC ANTIGEN, FREE - PSA TOTAL AND FREE",423.5,423.5,,,0 HCPCS,84154,HC PSA FREE,504.0,504.0,,,0 HCPCS,84154,HC PSA FREE - ARUP,36.0,36.0,,,0 HCPCS,84155,Assay of protein serum,,,3.67,9.73,7 HCPCS,84155,HC PROTEIN ELECTROPHORESIS SERUM - QWDL,58.0,58.0,,,0 HCPCS,84155,HC PROTEIN TOT XCPT REFRACTOMETRY SERUM - ADDITIONAL CHARGE,18.0,18.0,,,0 HCPCS,84155,HC PROTEIN TOTAL,93.0,93.0,,,0 HCPCS,84155,HC PROTEIN TOTAL - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,18.0,18.0,,,0 HCPCS,84155,HC PROTEIN TOTAL - MONOCLONAL PROTEIN STUDY SERUM - ARUP,70.5,70.5,,,0 HCPCS,84155,HC PROTEIN TOTAL - PROTEIN ELECTROPHORESIS REFLEX IFE - ARUP,42.0,42.0,,,0 HCPCS,84155,HC PROTEIN TOTAL - PROTEIN ELECTROPHORESIS REFLEX IFE/IG - ARUP,18.5,18.5,,,0 HCPCS,84155,"HC PROTEIN TOTAL - PROTEIN ELECTROPHORESIS, SERUM - ARUP",18.5,18.5,,,0 HCPCS,84156,Assay of protein urine,,,3.67,9.73,7 HCPCS,84156,HC PROTEIN LEVEL - PROTEIN/CREATININE RATIO URINE,282.0,282.0,,,0 HCPCS,84156,HC PROTEIN RANDOM URINE,163.5,163.5,,,0 HCPCS,84156,HC PROTEIN RANDOM URINE - QWDL,35.5,35.5,,,0 HCPCS,84156,HC PROTEIN TOT XCPT REFRACTOMETRY URINE - BENCE JONES PROTOCOL,19.0,19.0,,,0 HCPCS,84156,HC PROTEIN TOT XCPT REFRACTOMETRY URINE - PROTEIN TIMED URINE,164.0,164.0,,,0 HCPCS,84156,HC PROTEIN TOTAL - IMMUNOFIXATION URINE - ARUP,28.0,28.0,,,0 HCPCS,84156,HC PROTEIN TOTAL - IMMUNOFIXATION WITH FREE LIGHT CHAINS URINE - ARUP,24.0,24.0,,,0 HCPCS,84156,HC PROTEIN TOTAL URINE IMMUNOFIXATION WITH FLC - ARUP,25.5,25.5,,,0 HCPCS,84156,HC PROTEIN URINE - PROTEIN/CREATININE RATIO - QWDL,19.0,19.0,,,0 HCPCS,84156,HC PROTEIN URINE 12 HOUR,281.0,281.0,,,0 HCPCS,84156,HC PROTEIN URINE 24 HOUR,281.0,281.0,,,0 HCPCS,84156,HC PROTEIN URINE 8 HOUR,281.0,281.0,,,0 HCPCS,84156,"HC TOTAL PROTEIN - MONOCLONAL PROTEIN STUDY, URINE - ARUP",21.0,21.0,,,0 HCPCS,84157,Assay of protein other,,,4.0,10.6,7 HCPCS,84157,HC PROTEIN TOT XCPT REFRACTOMETRY OTH SRC - PROTEIN CSF,166.0,166.0,,,0 HCPCS,84157,HC PROTEIN TOTAL BODY FLUID,178.5,178.5,,,0 HCPCS,84157,HC PROTEIN TOTAL BODY FLUID - ARUP,29.0,29.0,,,0 HCPCS,84157,HC TOTAL PROTEIN - PROTEIN ELECTROPHORESIS CSF - ARUP,16.0,16.0,,,0 HCPCS,84157,HC TOTAL PROTEIN CSF,284.0,284.0,,,0 HCPCS,84160,Assay of protein any source,,,5.61,14.87,7 HCPCS,84160,HC PROTEIN ELECTROPHORESIS TOTAL,28.0,28.0,,,0 HCPCS,84160,HC PROTEIN TOTAL BY REFRACTOMETRY ANY SOURCE,28.0,28.0,,,0 HCPCS,84163,"HC PAPP-A, MATERNAL SCREENING, INTEGRATED, NT, SPECIMEN #1 - ARUP",189.0,189.0,,,0 HCPCS,84163,"HC PREG ASSOC PLAS PRO-A(PAPP-A), SERUM - PREGNANCY-ASSOCIATED PLASMA",162.0,162.0,,,0 HCPCS,84163,Pappa serum,,,15.05,39.88,7 HCPCS,84165,HC PROTEIN ELECTROPHORESIS - MONCLONAL PROTEIN STUDY SERUM - ARUP,118.0,118.0,,,0 HCPCS,84165,HC PROTEIN ELECTROPHORESIS - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,54.5,54.5,,,0 HCPCS,84165,HC PROTEIN ELECTROPHORESIS -MONOCLONAL PROTEIN STUDY SERUM - ARUP,54.5,54.5,,,0 HCPCS,84165,HC PROTEIN ELECTROPHORESIS REFLEX IFE/IG - ARUP,56.5,56.5,,,0 HCPCS,84165,HC PROTEIN ELECTROPHORESIS SERUM,303.5,303.5,,,0 HCPCS,84165,HC PROTEIN ELECTROPHORESIS SERUM - QWDL,62.0,62.0,,,0 HCPCS,84165,"HC PROTEIN ELECTROPHORESIS, SERUM - ARUP",52.5,52.5,,,0 HCPCS,84165,Protein e-phoresis serum,,,10.74,28.46,7 HCPCS,84166,HC PE CSF - PROTEIN ELECTROPHORESIS CSF - ARUP,70.0,70.0,,,0 HCPCS,84166,HC PROTEIN E-PHORESIS/URINE/CSF - PROTEIN ELECTROPHORESIS URINE,589.5,589.5,,,0 HCPCS,84166,"HC PROTEIN ELECTROPHORESIS - MONOCLONAL PROTEIN STUDY, URINE - ARUP",104.0,104.0,,,0 HCPCS,84166,"HC PROTEIN ELECTROPHORESIS, URINE RANDOM",613.0,613.0,,,0 HCPCS,84166,"HC PROTEIN ELECTROPHORESIS, URINE, 24 HOUR",613.0,613.0,,,0 HCPCS,84166,Protein e-phoresis/urine/csf,,,17.83,47.25,7 HCPCS,84181,"HC ASSAY PROTEIN, WESTERN BLOT TEST - MISCELLANEOUS",254.0,254.0,,,0 HCPCS,84181,HC MAG ANTIBODY WITH REFLEX - QDID,466.0,466.0,,,0 HCPCS,84181,"HC PROTEIN, WESTERN BLOT TEST - HSV WESTERN BLOT",254.0,254.0,,,0 HCPCS,84181,Western blot test,,,17.03,45.13,7 HCPCS,84182,"HC AMPHIPHYSIN AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",477.0,477.0,,,0 HCPCS,84182,HC AMPHIPHYSIN ANTIBODY IGG -ARUP,575.0,575.0,,,0 HCPCS,84182,HC AMPHIPHYSIN ANTIBODY-AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,575.0,575.0,,,0 HCPCS,84182,HC AMPHIPHYSIN IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,551.0,551.0,,,0 HCPCS,84182,"HC ASSAY PROTEIN, WESTERN BLOT TEST, W BAND ID - IMMUNOLOGICAL PROBE",88.0,88.0,,,0 HCPCS,84182,HC HU IGG - CSF NEURONAL NUCLEAR ANTIBODIES IGG IB CSF - ARUP,142.0,142.0,,,0 HCPCS,84182,HC HU IGG - NEURONAL NUCLEAR ANTIBODIES IGG IMMUNOBLOT BLOT - ARUP,141.0,141.0,,,0 HCPCS,84182,HC LIVER CYTOSOLIC TYPE 1 IGG - ARUP,505.0,505.0,,,0 HCPCS,84182,"HC MA2/TA AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",477.0,477.0,,,0 HCPCS,84182,HC MDA5 (CADM 140) - DERMATOMYOSITIS POLYMYOSITIS PANEL,156.0,156.0,,,0 HCPCS,84182,HC MDA5 (CADM 140) - EXTENDED MYOSITIS PANEL - ARUP,146.0,146.0,,,0 HCPCS,84182,HC MDA5 (CADM-140) - DERMATOMYOSITIS AUTOANTIBODY PANEL,189.0,189.0,,,0 HCPCS,84182,HC NEURONAL ANTIBODY (AMPHIPHYSIN) -PARANEOPLASTIC REFLEX PANEL - ARUP,253.0,253.0,,,0 HCPCS,84182,HC NEURONAL NUCLEAR ANTIBODIES CSF REFLEX - ARUP,141.0,141.0,,,0 HCPCS,84182,HC NXP2 (NUCLEAR MATRIC PROTEIN 2) - DERMATOMYOSITIS POLYMYOSITIS PANEL,156.0,156.0,,,0 HCPCS,84182,HC NXP2 (NUCLEAR MATRIX PROTEIN 2) - DERMATOMYOSITIS AUTOANTIBODY PANEL,189.0,189.0,,,0 HCPCS,84182,HC NXP2 (NUCLEAR MATRIX PROTEIN) - EXTENDED MYOSITIS PANEL - ARUP,146.0,146.0,,,0 HCPCS,84182,HC PRION PROTEIN RT QUIC - 14 3 3 PROTEIN CSF - ARUP,133.0,133.0,,,0 HCPCS,84182,HC PROTEIN WESTERN BLOT TEST W BAND ID AMPHIPHYSIN AB IGG,88.0,88.0,,,0 HCPCS,84182,HC PROTEIN WESTERN BLOT AMPHIPHYSIN AB IGG,88.0,88.0,,,0 HCPCS,84182,"HC PROTEIN, WESTERN BLOT TEST, W BAND ID",27.0,27.0,,,0 HCPCS,84182,"HC PROTEIN, WESTERN BLOT TEST, W BAND ID - HEAT SHOCK PROTEIN 70, IGG",88.0,88.0,,,0 HCPCS,84182,HC RI IGG - NEURONAL NUCLEAR ANTIBODIES IGG IMMUNOBLOT BLOT - ARUP,141.0,141.0,,,0 HCPCS,84182,HC RI IGG CSF - NEURONAL NUCLEAR ANTIBODIES IGG IB CSF - ARUP,142.0,142.0,,,0 HCPCS,84182,HC SAE1 (SUMO ACTIVATING ENZYME) - DERMATOMYOSITIS POLYMYOSITIS PANEL,156.0,156.0,,,0 HCPCS,84182,HC SAE1 (SUMO ACTIVATING ENZYME) - EXTENDED MYOSITIS PANEL - ARUP,146.0,146.0,,,0 HCPCS,84182,HC SAE1 (SUMO ACTIVATING ENZYME) -DERMATOMYOSITIS AUTOANTIBODY PANEL,189.0,189.0,,,0 HCPCS,84182,"HC SOX1 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL , SERUM - ARUP",477.0,477.0,,,0 HCPCS,84182,HC SOX1 IGG IB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF,575.0,575.0,,,0 HCPCS,84182,HC SOX1 IGG IB CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,551.0,551.0,,,0 HCPCS,84182,HC SOX1 IGG IMMUNOBLOT - PARANEOPLASTIC REFLEX PANEL - ARUP,253.0,253.0,,,0 HCPCS,84182,HC TIF1 GAMMA (155 KDA) - DERMATOMYOSITIS AUTOANTIBODY PANEL,189.0,189.0,,,0 HCPCS,84182,HC TIF1 GAMMA (155 KDA) - DERMATOMYOSITIS POLYMYOSITIS PANEL,156.0,156.0,,,0 HCPCS,84182,HC TIF1 GAMMA (155 KDA) - EXTENDED MYOSITIS PANEL - ARUP,146.0,146.0,,,0 HCPCS,84182,HC TR/DNER IGG - NEURONAL NUCLEAR ANTIBODIES IGG IMMUNOBLOT BLOT - ARUP,141.0,141.0,,,0 HCPCS,84182,HC TR/DNER IGG CSF - NEURONAL NUCLEAR ANTIBODIES IGG IB - ARUP,142.0,142.0,,,0 HCPCS,84182,HC YO IGG - NEURONAL NUCLEAR ANTIBODIES IGG IMMUNOBLOT BLOT - ARUP,141.0,141.0,,,0 HCPCS,84182,HC YO IGG CSF - NEURONAL NUCLEAR ANTIBODIES IGG IB CSF - ARUP,142.0,142.0,,,0 HCPCS,84182,Protein western blot test,,,29.21,77.41,7 HCPCS,84202,Assay RBC protoporphyrin,,,14.35,38.03,7 HCPCS,84202,HC ASSAY RBC PROTOPORPHYRIN - ZINC PROTOPORPHYRIN,162.0,162.0,,,0 HCPCS,84202,HC ERYTHROCYTE PORPHYRIN FREE,123.0,123.0,,,0 HCPCS,84202,HC ERYTHROCYTE PORPHYRIN FREE - ARUP,253.0,253.0,,,0 HCPCS,84202,HC RBC PHOTOPORPHYRIN INDUSTRIAL EXPOSURE - ARUP,62.0,62.0,,,0 HCPCS,84202,"HC ZINC PROTOPORPHYRIN (ZPP), WHOLE BLOOD - ARUP",68.0,68.0,,,0 HCPCS,84203,Test RBC protoporphyrin,,,9.74,25.81,7 HCPCS,84206,Assay of proinsulin,,,26.69,70.73,7 HCPCS,84206,HC ASSAY OF PROINSULIN - PROINSULIN,113.0,113.0,,,0 HCPCS,84206,HC PROINSULIN - ARUP,136.0,136.0,,,0 HCPCS,84207,Assay of vitamin b-6,,,28.1,74.46,7 HCPCS,84207,HC ASSAY OF VITAMIN B-6 - VITAMIN B6,84.5,84.5,,,0 HCPCS,84207,HC VITAMIN B6 - ARUP,34.0,34.0,,,0 HCPCS,84210,Assay of pyruvate,,,14.48,38.37,7 HCPCS,84210,HC ASSAY OF PYRUVATE - PYRUVIC ACID,111.0,111.0,,,0 HCPCS,84210,HC PYRUVATE LEVEL - ARUP,118.0,118.0,,,0 HCPCS,84210,HC PYRUVIC ACID CSF,111.0,111.0,,,0 HCPCS,84220,Assay of pyruvate kinase,,,9.44,25.02,7 HCPCS,84220,HC ASSAY OF PYRUVATE KINASE - PYRUVATE KINASE,135.0,135.0,,,0 HCPCS,84220,HC PYRUVATE KINASE - ARUP,148.0,148.0,,,0 HCPCS,84228,Assay of quinine,,,11.63,30.82,7 HCPCS,84233,Assay of estrogen,,,87.88,232.88,7 HCPCS,84234,Assay of progesterone,,,64.88,171.93,7 HCPCS,84235,Assay of endocrine hormone,,,71.23,188.76,7 HCPCS,84238,Assay nonendocrine receptor,,,36.57,96.91,7 HCPCS,84238,HC ASSAY NON-ENDOCRINE RECEPTOR - SOLUBLE TRANSFERRIN,97.0,97.0,,,0 HCPCS,84238,"HC ASSAY, NON-ENDOCRINE RECEPTOR - OTHER",97.0,97.0,,,0 HCPCS,84238,HC SOLUBLE TRANSFERRIN RECEPTOR - ARUP,80.0,80.0,,,0 HCPCS,84244,Assay of renin,,,21.99,58.27,7 HCPCS,84244,HC RENIN ACTIVITY - ARUP,304.5,304.5,,,0 HCPCS,84244,HC RENIN ACTIVITY - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP,296.5,296.5,,,0 HCPCS,84244,HC RENIN DIRECT LEVEL,554.0,554.0,,,0 HCPCS,84244,HC RENIN DIRECT LEVEL - ARUP,473.0,473.0,,,0 HCPCS,84244,HC RENIN LEVEL,336.0,336.0,,,0 HCPCS,84252,Assay of vitamin b-2,,,20.24,53.64,7 HCPCS,84252,HC ASSAY OF VITAMIN B-2 - VITAMIN B2,161.0,161.0,,,0 HCPCS,84252,HC VITAMIN B2 - ARUP,139.0,139.0,,,0 HCPCS,84255,Assay of selenium,,,25.53,67.65,7 HCPCS,84255,HC ASSAY OF SELENIUM - SELENIUM SERUM,82.5,82.5,,,0 HCPCS,84255,HC SELENIUM LEVEL,82.5,82.5,,,0 HCPCS,84255,HC SELENIUM SERUM - ARUP,55.0,55.0,,,0 HCPCS,84260,Assay of serotonin,,,30.98,82.1,7 HCPCS,84260,HC ASSAY OF SEROTONIN - SEROTONIN SERUM,134.0,134.0,,,0 HCPCS,84260,HC ASSAY OF SEROTONIN - SEROTONIN WHOLE BLOOD,134.0,134.0,,,0 HCPCS,84270,Assay of sex hormone globul,,,21.73,57.58,7 HCPCS,84270,HC ASSAY OF SEX HORMONE BINDING GLOBULIN - SEX HORMONE BINDING GLOBULIN,504.0,504.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN,465.0,465.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN - ARUP,34.0,34.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN - TESTOSTERONE FREE & TOTAL MALE ADULT-ARUP,59.0,59.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN - TESTOSTERONE FREE AND TOTAL ADULT MALE,316.0,316.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN - TESTOSTERONE TOTAL FEMALE/CHILD - ARUP,33.0,33.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE BIOAVAIL/SHBG ADULT MALE-ARUP,59.0,59.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE BIOAVAILABLE & SHBG ADULT MALE,465.0,465.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE BIOAVAILABLE FEMALE/CHILD-ARUP,47.0,47.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE FREE & TOTAL FEMALE/CHILD-ARUP,47.0,47.0,,,0 HCPCS,84270,HC SEX HORMONE BINDING GLOBULIN-TESTOSTERONE FREE (DIALYSIS) TOTAL(MS)-QWDL,79.0,79.0,,,0 HCPCS,84275,Assay of sialic acid,,,13.44,35.62,7 HCPCS,84275,HC ASSAY OF SIALIC ACID - LIPID ASSOCIATED SIALIC ACID (LASA),42.0,42.0,,,0 HCPCS,84285,Assay of silica,,,25.21,66.81,7 HCPCS,84295,Assay of serum sodium,,,4.81,12.75,7 HCPCS,84295,HC SODIUM LEVEL,92.0,92.0,,,0 HCPCS,84300,Assay of urine sodium,,,5.06,13.41,7 HCPCS,84300,HC ASSAY OF URINE SODIUM - ADDITIONAL CHARGE,27.0,27.0,,,0 HCPCS,84300,HC ASSAY OF URINE SODIUM - SODIUM 24 HOUR URINE,27.0,27.0,,,0 HCPCS,84300,"HC SODIUM - CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",25.0,25.0,,,0 HCPCS,84300,"HC SODIUM - SUPERSATURATION PROFILE, URINE - ARUP",25.0,25.0,,,0 HCPCS,84300,HC SODIUM LEVEL URINE RANDOM,238.0,238.0,,,0 HCPCS,84300,HC SODIUM TIMED URINE,257.5,257.5,,,0 HCPCS,84300,HC SODIUM URINE - ARUP,38.0,38.0,,,0 HCPCS,84302,Assay of sweat sodium,,,4.86,12.88,7 HCPCS,84302,HC SODIUM BODY FLUID,84.0,84.0,,,0 HCPCS,84302,HC SODIUM BODY FLUID - ARUP,39.0,39.0,,,0 HCPCS,84302,HC SODIUM RANDOM URINE,95.0,95.0,,,0 HCPCS,84302,HC SODIUM STOOL - ARUP,61.0,61.0,,,0 HCPCS,84305,Assay of somatomedin,,,21.26,56.34,7 HCPCS,84305,HC ASSAY OF SOMATOMEDIN - INSULIN-LIKE GROWTH FACTOR,72.5,72.5,,,0 HCPCS,84305,HC INSULIN LIKE GROWTH FACTOR (IGF) 1 - ARUP,42.0,42.0,,,0 HCPCS,84307,Assay of somatostatin,,,18.28,48.44,7 HCPCS,84307,HC ASSAY OF SOMATOSTATIN - SOMATOSTATIN,402.0,402.0,,,0 HCPCS,84307,HC SOMATOSTATIN - ARUP,678.0,678.0,,,0 HCPCS,84311,HC ADENOSINE DEAMINASE PLEURAL FLUID,137.0,137.0,,,0 HCPCS,84311,"HC ADENOSINE DEAMINASE, PERICARDIAL FLUID - ARUP",146.0,146.0,,,0 HCPCS,84311,HC ARYLSULFATASE A URINE,137.0,137.0,,,0 HCPCS,84311,HC ASSAY SPECTROPHOTOMETRY - HEMOGLOBIN FREE,137.0,137.0,,,0 HCPCS,84311,HC CHOLESTEROL LEVEL BODY FLUID - ARUP,41.0,41.0,,,0 HCPCS,84311,HC CHYMOTRYPSIN FECES,137.0,137.0,,,0 HCPCS,84311,HC CHYMOTRYPSIN STOOL - ARUP,474.0,474.0,,,0 HCPCS,84311,HC PORPHYRIN TOTAL - ARUP,82.0,82.0,,,0 HCPCS,84311,HC SPECTROPHOTOMETRY - CHOLESTEROL TOTAL BODY FLUID,137.0,137.0,,,0 HCPCS,84311,HC SPECTROPHOTOMETRY - PORPHYRIN TOTAL,103.0,103.0,,,0 HCPCS,84311,HC SPECTROPHOTOMETRY ANALYTE,132.0,132.0,,,0 HCPCS,84311,Spectrophotometry,,,8.1,21.46,7 HCPCS,84315,Body fluid specific gravity,,,3.28,8.69,7 HCPCS,84315,HC BODY FLUID SPECIFIC GRAVITY - SPECIFIC GRAVITY BODY FLUID,84.0,84.0,,,0 HCPCS,84375,Chromatogram assay sugars,,,39.0,103.35,7 HCPCS,84376,HC REDUCING SUBSTANCES STOOL,95.0,95.0,,,0 HCPCS,84376,HC REDUCING SUBSTANCES STOOL - ARUP,57.0,57.0,,,0 HCPCS,84376,Sugars single qual,,,5.5,14.58,7 HCPCS,84377,Sugars multiple qual,,,5.5,14.58,7 HCPCS,84378,"HC 1,5 ANHYDROGLUCITOL QUANT",507.0,507.0,,,0 HCPCS,84378,"HC 1,5 ANHYDROGLUCITOL QUANT - ARUP",159.0,159.0,,,0 HCPCS,84378,HC 15 ANHYDROGLUCITOL LEVEL,546.0,546.0,,,0 HCPCS,84378,"HC ASSAY SUGARS SINGLE QUANTITATIVE, EACH SPECIMEN",546.0,546.0,,,0 HCPCS,84378,HC GALACTOSE-1-PHOSPHATE IN RED BLOOD CELLS - ARUP,465.0,465.0,,,0 HCPCS,84378,HC REDUCING SUBSTANCES SINGLE QUANT,546.0,546.0,,,0 HCPCS,84378,Sugars single quant,,,11.53,30.55,7 HCPCS,84379,Sugars multiple quant,,,11.53,30.55,7 HCPCS,84392,Assay of urine sulfate,,,5.49,14.55,7 HCPCS,84392,"HC ASSAY OF URINE SULFATE - SULFATE, URINE",31.0,31.0,,,0 HCPCS,84392,HC SULFATE - SUPERSATURATION PROFILE - ARUP,28.0,28.0,,,0 HCPCS,84393,"HC PHOSPHO-TAU(181) - ALZHEMIER'S DISEASE MARKERS, CSF - ARUP",1320.0,1320.0,,,0 HCPCS,84393,Tau phosphorylated ea,,,128.92,341.64,7 HCPCS,84394,"HC TOTAL TAU - ALZHEMIER'S DISEASE MARKERS, CSF - ARUP",1320.0,1320.0,,,0 HCPCS,84394,Total tau,,,128.92,341.64,7 HCPCS,84402,Assay of free testosterone,,,25.47,67.5,7 HCPCS,84402,HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE,125.0,125.0,,,0 HCPCS,84402,HC TESTOSTERONE FREE WOMEN AND CHILDREN,102.5,102.5,,,0 HCPCS,84403,Assay of total testosterone,,,25.81,68.4,7 HCPCS,84403,HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE,626.0,626.0,,,0 HCPCS,84403,HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE FEMALE OR CHILD,424.5,424.5,,,0 HCPCS,84403,HC TESTOSTERONE LEVEL - NG/ML,609.5,609.5,,,0 HCPCS,84403,HC TESTOSTERONE LEVEL ADULT MALE - ARUP,25.0,25.0,,,0 HCPCS,84403,HC TESTOSTERONE LEVEL TOTAL - MASS SPEC - QWDL,46.0,46.0,,,0 HCPCS,84403,HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE & TOTAL FEMALE/CHILD - ARUP,57.0,57.0,,,0 HCPCS,84403,HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE AND TOTAL MALE ADULT,363.0,363.0,,,0 HCPCS,84403,HC TESTOSTERONE LEVEL TOTAL ADULT MALE - QWDL,38.0,38.0,,,0 HCPCS,84403,HC TESTOSTERONE LEVEL TOTAL FEMALE/CHILD - ARUP,39.0,39.0,,,0 HCPCS,84403,HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE BIOAVAILABLE FEMALE/CHILD - ARUP,57.0,57.0,,,0 HCPCS,84403,HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE FREE & TOTAL MALE ADULT - ARUP,59.0,59.0,,,0 HCPCS,84403,HC TESTOSTERONE TOTAL - BIOAVAIL & SEX HORMONE BIND GLOB MALE - ARUP,101.0,101.0,,,0 HCPCS,84403,HC TESTOSTERONE TOTAL LEVEL,609.5,609.5,,,0 HCPCS,84403,"HC TESTOSTERONE TOTAL LEVEL- TESTOSTERONE, BIOAVAILABLE & SHBG ADULT MALE",562.0,562.0,,,0 HCPCS,84410,Testosterone bioavailable,,,51.28,135.89,7 HCPCS,84425,Assay of vitamin b-1,,,21.23,56.26,7 HCPCS,84425,HC ASSAY OF VITAMIN B-1 - VITAMIN B1,98.0,98.0,,,0 HCPCS,84425,"HC ASSAY OF VITAMIN B-1 - VITAMIN B1, WHOLE BLOOD",99.0,99.0,,,0 HCPCS,84425,HC VITAMIN B1 - ARUP,68.0,68.0,,,0 HCPCS,84425,HC VITAMIN B1 LEVEL FOR DEFICIENCY,99.0,99.0,,,0 HCPCS,84425,HC VITAMIN B1 WHOLE BLOOD - ARUP,42.0,42.0,,,0 HCPCS,84430,Assay of thiocyanate,,,11.63,30.82,7 HCPCS,84430,HC THIOCYANATE LEVEL,188.0,188.0,,,0 HCPCS,84430,HC THIOCYANATE LEVEL - ARUP,445.0,445.0,,,0 HCPCS,84431,HC 11 DEHYDRO THROMBOXANE B2 URINE,519.0,519.0,,,0 HCPCS,84431,Thromboxane urine,,,35.11,93.04,7 HCPCS,84432,Assay of thyroglobulin,,,16.06,42.56,7 HCPCS,84432,HC ASSAY OF THYROGLOBULIN - THYROGLOBULIN,103.0,103.0,,,0 HCPCS,84432,HC THYROGLOBULIN BY CIA,100.0,100.0,,,0 HCPCS,84432,HC THYROGLOBULIN BY LC/MS,100.0,100.0,,,0 HCPCS,84432,HC THYROGLOBULIN CIA - ARUP,46.0,46.0,,,0 HCPCS,84432,HC THYROGLOBULIN LC - ARUP,252.0,252.0,,,0 HCPCS,84433,Asy thiopurin s-mthyltrnsfrs,,,22.17,58.75,7 HCPCS,84433,HC ASSAY THIOPURIN S-MTHYLTRNSFRS (TPMT),327.0,327.0,,,0 HCPCS,84433,HC THIOPURIN S-METHYLTRANSFERASE (TPMT) RBC - ARUP,358.0,358.0,,,0 HCPCS,84436,Assay of total thyroxine,,,6.87,18.21,7 HCPCS,84436,HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) RIA,206.5,206.5,,,0 HCPCS,84436,HC T4 THYROID PANEL WITH FTI - ARUP,39.0,39.0,,,0 HCPCS,84436,HC THYROID T4 - ARUP,40.5,40.5,,,0 HCPCS,84436,HC THYROXINE T4 TOTAL,202.0,202.0,,,0 HCPCS,84436,HC THYROXINE T4 TOTAL - ARUP,34.0,34.0,,,0 HCPCS,84437,Assay of neonatal thyroxine,,,6.47,17.15,7 HCPCS,84437,"HC ASSAY OF NEONATAL THYROXINE - T4, NEONATAL",85.0,85.0,,,0 HCPCS,84437,"HC ASSAY OF NEONATAL THYROXINE - T4, NEONATAL WITH ELUTION",292.0,292.0,,,0 HCPCS,84439,Assay of free thyroxine,,,9.02,23.9,7 HCPCS,84439,HC T4 FREE,465.0,465.0,,,0 HCPCS,84439,HC T4 FREE - THYROXINE FREE,474.0,474.0,,,0 HCPCS,84439,HC T4 FREE BY DIALYSIS - ARUP,296.5,296.5,,,0 HCPCS,84439,HC T4 FREE REFLEX FROM TSH CASCADE,465.0,465.0,,,0 HCPCS,84442,Assay of thyroid activity,,,14.78,39.17,7 HCPCS,84442,HC ASSAY OF THYROXINE BNDNG GLOBULIN - THYROXINE BINDING GLOBULIN,101.0,101.0,,,0 HCPCS,84442,HC THYROXINE BINDNG GLOBULIN - ARUP,69.0,69.0,,,0 HCPCS,84443,Assay thyroid stim hormone,,,16.8,44.52,7 HCPCS,84443,HC THYROID STIMULATING HORMONE,560.0,560.0,,,0 HCPCS,84443,HC TSH LEVEL,550.0,550.0,,,0 HCPCS,84443,HC TSH LEVEL - ARUP,44.0,44.0,,,0 HCPCS,84443,HC TSH LEVEL - TSH CASCADE,550.0,550.0,,,0 HCPCS,84443,HC TSH LEVEL - TSH REFLEX FREE T4,550.0,550.0,,,0 HCPCS,84443,HC TSH LEVEL 30 MINUTES - THYROID RELEASING HORMONE STIMULATION PANEL,550.0,550.0,,,0 HCPCS,84443,HC TSH LEVEL 3RD GENERATION,520.0,520.0,,,0 HCPCS,84443,HC TSH LEVEL 3RD GENERATION - ARUP,61.0,61.0,,,0 HCPCS,84443,HC TSH LEVEL 60 MINUTES - THYROID RELEASING HORMONE STIMULATION PANEL,550.0,550.0,,,0 HCPCS,84443,HC TSH LEVEL BASELINE - THYROID RELEASING HORMONE STIMULATION PANEL,550.0,550.0,,,0 HCPCS,84445,Assay of tsi globulin,,,50.86,134.78,7 HCPCS,84445,HC ASSAY OF THYROID STIM IMMUNOGLOBULINS (TSI) - THYROID STIMULATING IM,120.0,120.0,,,0 HCPCS,84445,HC THYROID STIMULATING IMMUNOGLOBULINS (TSI) - ARUP,122.0,122.0,,,0 HCPCS,84446,Assay of vitamin e,,,14.18,37.58,7 HCPCS,84446,HC ASSAY OF VITAMIN E - VITAMIN E (TOCOPHEROL),65.0,65.0,,,0 HCPCS,84446,HC VITAMIN E (TOCOPHEROL) - ARUP,55.0,55.0,,,0 HCPCS,84449,Assay of transcortin,,,18.0,47.7,7 HCPCS,84450,HC ASPARTATE AMINOTRANSFERASE (AST)- LIVER FIBROSIS FIBROMETER NAFLD - ARUP,109.0,109.0,,,0 HCPCS,84450,HC AST (SGOT) SERUM/PLASMA,93.0,93.0,,,0 HCPCS,84450,HC AST - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP,64.0,64.0,,,0 HCPCS,84450,HC LIVER FIBROSIS PANEL - AST,68.5,68.5,,,0 HCPCS,84450,HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - AST,77.0,77.0,,,0 HCPCS,84450,Transferase (AST) (SGOT),,,5.18,13.73,7 HCPCS,84460,Alanine amino (ALT) (SGPT),,,5.3,14.04,7 HCPCS,84460,HC ALANINE AMINOTRANSFERASE (ALT) - LIVER FIBROSIS FIBROMETER NAFLD - ARUP,111.0,111.0,,,0 HCPCS,84460,HC ALT (SPGT) SERUM/PLASMA,92.0,92.0,,,0 HCPCS,84460,HC ALT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP,66.0,66.0,,,0 HCPCS,84460,HC LIVER FIBROSIS PANEL - ALT,66.5,66.5,,,0 HCPCS,84460,HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - ALT,78.5,78.5,,,0 HCPCS,84466,Assay of transferrin,,,12.76,33.81,7 HCPCS,84466,HC TRANSFERRIN LEVEL,363.0,363.0,,,0 HCPCS,84466,HC TRANSFERRIN LEVEL - IRON + TRANSFERRIN + TIBC,598.0,598.0,,,0 HCPCS,84466,HC TRANSFERRIN LEVEL - QWDL,33.0,33.0,,,0 HCPCS,84478,Assay of triglycerides,,,5.74,15.21,7 HCPCS,84478,HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID,93.0,93.0,,,0 HCPCS,84478,HC TRIGLYCERIDES,72.0,72.0,,,0 HCPCS,84478,"HC TRIGLYCERIDES, BODY FLUID - ARUP",27.5,27.5,,,0 HCPCS,84479,Assay of thyroid (t3 or t4),,,6.47,17.15,7 HCPCS,84479,HC T3 UPTAKE - ARUP,25.0,25.0,,,0 HCPCS,84479,HC T3 UPTAKE - THYROID PANEL WITH FTI- ARUP,28.0,28.0,,,0 HCPCS,84479,HC THYROID HORM UPTAKE/THYR HORM BINDING RATIO - T3 UPTAKE,47.0,47.0,,,0 HCPCS,84479,HC THYROID HORM UPTAKE/THYR HORM BINDING RATIO - T3 UPTAKE AND FTI,32.0,32.0,,,0 HCPCS,84480,Assay triiodothyronine (t3),,,14.18,37.58,7 HCPCS,84480,"HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE)",341.0,341.0,,,0 HCPCS,84481,Free assay (FT-3),,,16.94,44.89,7 HCPCS,84481,HC T3 FREE,453.5,453.5,,,0 HCPCS,84481,HC T3 FREE - QWDL,69.0,69.0,,,0 HCPCS,84481,"HC T3, FREE - ARUP",69.5,69.5,,,0 HCPCS,84482,HC TRIIODOTHYRONINE (T3) REVERSE - ARUP,59.0,59.0,,,0 HCPCS,84482,HC TRIIODOTHYRONINE T3 REVERSE - T3 REVERSE,71.0,71.0,,,0 HCPCS,84482,T3 reverse,,,15.76,41.76,7 HCPCS,84484,Assay of troponin quant,,,12.47,33.05,7 HCPCS,84484,"HC ASSAY OF TROPONIN, QUANT - TROPONIN I",304.0,304.0,,,0 HCPCS,84484,HC POC TROPONIN I,502.0,502.0,,,0 HCPCS,84484,HC TROPONIN T HIGH SENSITIVITY,519.0,519.0,,,0 HCPCS,84484,HC TROPONIN T QUANT HIGH SENSITIVITY,502.0,502.0,,,0 HCPCS,84485,Assay duodenal fluid trypsin,,,7.2,19.08,7 HCPCS,84485,HC TRYPSIN DUODENAL FLUID,55.0,55.0,,,0 HCPCS,84488,Test feces for trypsin,,,7.3,19.34,7 HCPCS,84490,Assay of feces for trypsin,,,9.93,26.31,7 HCPCS,84510,Assay of tyrosine,,,10.63,28.17,7 HCPCS,84510,HC ASSAY TYROSINE - TYROSINE,165.0,165.0,,,0 HCPCS,84510,HC TYROSINE - ARUP,197.0,197.0,,,0 HCPCS,84510,HC TYROSINE LEVEL - PHENYLALANINE AND TYROSINE - ARUP,124.0,124.0,,,0 HCPCS,84512,Assay of troponin qual,,,10.09,26.74,7 HCPCS,84520,Assay of urea nitrogen,,,3.95,10.47,7 HCPCS,84520,"HC ASSAY UREA NITROGEN, QUAN - POCT UREA (BUN)",77.0,77.0,,,0 HCPCS,84520,HC BLOOD UREA NITROGEN - BUN,92.0,92.0,,,0 HCPCS,84520,HC BUN - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP,50.0,50.0,,,0 HCPCS,84520,HC UREA NITROGEN BODY FLUID,77.5,77.5,,,0 HCPCS,84525,Urea nitrogen semi-quant,,,5.13,13.59,7 HCPCS,84540,Assay of urine/urea-n,,,5.56,14.73,7 HCPCS,84540,HC UREA NITROGEN URINE RANDOM,236.0,236.0,,,0 HCPCS,84540,HC UREA NITROGEN URINE TIMED,280.0,280.0,,,0 HCPCS,84540,"HC UREA NITROGEN, URINE - ARUP",34.0,34.0,,,0 HCPCS,84545,Urea-N clearance test,,,7.2,19.08,7 HCPCS,84550,Assay of blood/uric acid,,,4.52,11.98,7 HCPCS,84550,HC URIC ACID LEVEL,76.5,76.5,,,0 HCPCS,84550,HC URIC ACID LEVEL - ARUP,31.0,31.0,,,0 HCPCS,84560,Assay of urine/uric acid,,,5.08,13.46,7 HCPCS,84560,"HC ASSAY OF URIC ACID, BLOOD, OTHER SOURCE - URIC ACID BODY FLUID",85.0,85.0,,,0 HCPCS,84560,"HC URIC ACID - CALCULI RISK ASSESSMENT, 24HR URINE - ARUP",25.0,25.0,,,0 HCPCS,84560,HC URIC ACID - KIDNEY STONE RISK PANEL URINE - ARUP,17.0,17.0,,,0 HCPCS,84560,HC URIC ACID - STONE RISK PANEL - ARUP,18.0,18.0,,,0 HCPCS,84560,HC URIC ACID LEVEL BODY FLUID,79.0,79.0,,,0 HCPCS,84560,HC URIC ACID LEVEL BODY FLUID - ARUP,31.0,31.0,,,0 HCPCS,84560,HC URIC ACID LEVEL URINE 24 HOUR,241.0,241.0,,,0 HCPCS,84560,HC URIC ACID LEVEL URINE 24 HOUR - ARUP,31.0,31.0,,,0 HCPCS,84560,"HC URIC ACID SUPERSATURATION PROFILE, URINE - ARUP",27.0,27.0,,,0 HCPCS,84560,HC URIC ACID URINE RANDOM,252.0,252.0,,,0 HCPCS,84577,Assay of feces/urobilinogen,,,16.8,44.52,7 HCPCS,84578,Test urine urobilinogen,,,4.47,11.85,7 HCPCS,84580,Assay of urine urobilinogen,,,9.55,25.31,7 HCPCS,84583,Assay of urine urobilinogen,,,6.05,16.03,7 HCPCS,84585,Assay of urine vma,,,15.5,41.08,7 HCPCS,84585,HC ASSAY OF URINE VMA - VMA TIMED URINE,103.0,103.0,,,0 HCPCS,84585,"HC ASSAY OF URINE VMA - VMA, URINE",103.0,103.0,,,0 HCPCS,84585,HC VANILLYLMANDELIC ACID (VMA) URINE - ARUP,63.0,63.0,,,0 HCPCS,84586,Assay of vip,,,35.33,93.62,7 HCPCS,84586,HC ASSAY OF VIP - VASOACTIVE INTESTINAL PEPTIDE (VIP),120.0,120.0,,,0 HCPCS,84586,HC VASOACTIVE INTESTINAL PEPTIDE (VIP) - ARUP,160.0,160.0,,,0 HCPCS,84588,Assay of vasopressin,,,33.94,89.94,7 HCPCS,84588,HC ARGININE VASOPRESSIN HORMONE - ARUP,126.0,126.0,,,0 HCPCS,84588,HC ASSAY OF VASOPRESSIN - ARGININE VASOPRESSIN HORMONE,113.0,113.0,,,0 HCPCS,84590,Assay of vitamin a,,,11.61,30.77,7 HCPCS,84590,HC ASSAY OF VITAMIN A - VITAMIN A,61.5,61.5,,,0 HCPCS,84590,HC VITAMIN A - ARUP,34.0,34.0,,,0 HCPCS,84591,Assay Of Nos Vitamin,,,17.06,45.21,7 HCPCS,84591,HC ASSAY OF NOS VITAMIN - BIOTIN (VITAMIN B7),208.0,208.0,,,0 HCPCS,84591,HC ASSAY OF NOS VITAMIN - NIACIN (VITAMIN B3),211.0,211.0,,,0 HCPCS,84591,HC ASSAY OF NOS VITAMIN - NONSPECIFIED VITAMIN,208.0,208.0,,,0 HCPCS,84591,HC ASSAY OF NOS VITAMIN - PANTOTHENIC ACID (VITAMIN B5),211.0,211.0,,,0 HCPCS,84591,HC NIACIN (VITAMIN B3) - ARUP,337.0,337.0,,,0 HCPCS,84591,HC VITAMIN B5 (PANTOTHENIC ACID) LEVEL - ARUP,335.0,335.0,,,0 HCPCS,84591,HC VITAMIN B7 (BIOTIN) LEVEL - ARUP,407.0,407.0,,,0 HCPCS,84597,Assay of vitamin k,,,13.72,36.36,7 HCPCS,84597,HC ASSAY OF VITAMIN K - VITAMIN K,91.0,91.0,,,0 HCPCS,84597,HC VITAMIN K - ARUP,127.0,127.0,,,0 HCPCS,84600,Assay of volatiles,,,17.11,45.34,7 HCPCS,84600,HC ASSAY OF VOLATILES - VOLATILE COMPOUNDS,297.0,297.0,,,0 HCPCS,84600,HC HYDROCARBON AND OXYGENATED VOLATILES,258.0,258.0,,,0 HCPCS,84600,HC PROPYLENE GLYCOL - ARUP,555.0,555.0,,,0 HCPCS,84600,HC PROPYLENE GLYCOL LEVEL,258.0,258.0,,,0 HCPCS,84620,Xylose tolerance test,,,12.91,34.21,7 HCPCS,84630,Assay of zinc,,,11.39,30.18,7 HCPCS,84630,HC ASSAY OF ZINC - ZINC,57.5,57.5,,,0 HCPCS,84630,HC ASSAY OF ZINC - ZINC RBC,86.5,86.5,,,0 HCPCS,84630,HC ASSAY OF ZINC - ZINC URINE,59.0,59.0,,,0 HCPCS,84630,"HC ASSAY OF ZINC - ZINC, WHOLE BLOOD",69.5,69.5,,,0 HCPCS,84630,HC ZINC LEVEL RBC - ARUP,193.0,193.0,,,0 HCPCS,84630,HC ZINC WHOLE BLOOD - ARUP,87.0,87.0,,,0 HCPCS,84681,Assay of c-peptide,,,20.81,55.15,7 HCPCS,84681,HC ASSAY OF C-PEPTIDE - C-PEPTIDE,421.0,421.0,,,0 HCPCS,84681,HC C PEPTIDE LEVEL - ARUP,42.0,42.0,,,0 HCPCS,84681,HC C PEPTIDE LEVEL - QWDL,93.0,93.0,,,0 HCPCS,84702,Chorionic gonadotropin test,,,15.05,39.88,7 HCPCS,84702,"HC ASSAY CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD POC",470.0,470.0,,,0 HCPCS,84702,HC BETA HCG TUMOR MARKER CSF,97.0,97.0,,,0 HCPCS,84702,"HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD",408.0,408.0,,,0 HCPCS,84702,"HC CHORIONIC GONADOTROPIN, QUANT - HCG TUMOR MARKER",336.0,336.0,,,0 HCPCS,84702,HC HCG QUANT TUMOR MARKER CSF - ARUP,74.0,74.0,,,0 HCPCS,84702,HC HCG QUANTITATIVE,717.0,717.0,,,0 HCPCS,84702,HC HCG QUANTITATIVE TUMOR MARKER BLOOD,529.0,529.0,,,0 HCPCS,84702,HC HCG QUANTITATIVE TUMOR MARKER BLOOD - ARUP,59.0,59.0,,,0 HCPCS,84702,HC MATERNAL QUAD SCREEN - HCG QUANTITATIVE,98.0,98.0,,,0 HCPCS,84703,Chorionic gonadotropin assay,,,7.52,19.93,7 HCPCS,84703,"HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE SERUM PLASMA",458.0,458.0,,,0 HCPCS,84703,HC HCG PREGNANCY URINE QUAL,481.0,481.0,,,0 HCPCS,84703,HC PREGNANCY URINE POINT OF CARE,272.5,272.5,,,0 HCPCS,84704,HC CHORIONIC GONADOTROPIN - HCG FREE BETA CHAIN,80.0,80.0,,,0 HCPCS,84704,Hcg free betachain test,,,15.29,40.52,7 HCPCS,84830,Ovulation tests,,,12.7,33.65,7 HCPCS,84999,HC CHEMISTRY NONSPECIFIED ANALYTE,11.0,11.0,,,0 HCPCS,84999,HC CLINICAL CHEMISTRY TEST - ADDITIONAL CHARGE,185.0,185.0,,,0 HCPCS,84999,HC CLINICAL CHEMISTRY TEST - OSMOLALITY STOOL,113.0,113.0,,,0 HCPCS,84999,HC OSMOLALITY STOOL - ARUP,96.0,96.0,,,0 HCPCS,84999,HC POTASSIUM BODY FLUID - ARUP,42.0,42.0,,,0 HCPCS,84999,HC POTASSIUM BODY FLUID ARUP,45.0,45.0,,,0 HCPCS,84999,HC POTASSIUM LEVEL FECES,185.0,185.0,,,0 HCPCS,84999,HC POTASSIUM LEVEL FLUID,87.0,87.0,,,0 HCPCS,84999,HC POTASSIUM STOOL - ARUP,59.0,59.0,,,0 HCPCS,84999,HC POTASSIUM STOOL ARUP,61.0,61.0,,,0 HCPCS,85002,Bleeding time test,,,4.82,12.77,7 HCPCS,85004,Automated diff wbc count,,,6.47,17.15,7 HCPCS,85004,HC WBC COUNT W DIFF,102.0,102.0,,,0 HCPCS,85007,Bl smear w/diff wbc count,,,3.8,10.07,7 HCPCS,85007,"HC BLOOD SMEAR,MICRO EXAM,MANUAL DIFF WBC - MANUAL DIFFERENTIAL",46.5,46.5,,,0 HCPCS,85007,HC MANUAL DIFFERENTIAL,84.0,84.0,,,0 HCPCS,85008,Bl smear w/o diff wbc count,,,3.43,9.09,7 HCPCS,85008,HC BLOOD SMEAR EXAMINATION FOR MORPHOLOGY ONLY,107.0,107.0,,,0 HCPCS,85008,"HC BLOOD SMEAR,MICRO EXAM - SLIDE REVIEW",115.0,115.0,,,0 HCPCS,85009,Manual diff wbc count b-coat,,,5.07,13.44,7 HCPCS,85013,Spun microhematocrit,,,7.0,18.55,7 HCPCS,85014,HC HEMATOCRIT,284.0,284.0,,,0 HCPCS,85014,HC HEMATOCRIT - HEMATOCRIT (BODY FLUID),162.0,162.0,,,0 HCPCS,85014,HC HEMATOCRIT - POCT HEMATOCRIT,284.0,284.0,,,0 HCPCS,85014,Hematocrit,,,2.37,6.28,7 HCPCS,85018,HC HEMOGLOBIN,162.0,162.0,,,0 HCPCS,85018,Hemoglobin,,,2.37,6.28,7 HCPCS,85025,Complete cbc w/auto diff wbc,,,7.77,20.59,7 HCPCS,85025,HC COMPLETE CBC & AUTO WBC DIFF,299.0,299.0,,,0 HCPCS,85027,Complete cbc automated,,,6.47,17.15,7 HCPCS,85027,HC CBC,214.0,214.0,,,0 HCPCS,85032,HC PLATELET COUNT MANUAL,23.0,23.0,,,0 HCPCS,85032,Manual cell count each,,,4.31,11.42,7 HCPCS,85041,Automated rbc count,,,3.02,8.0,7 HCPCS,85041,HC RED BLOOD CELL (RBC) COUNT - RED BLOOD CELL COUNT,123.0,123.0,,,0 HCPCS,85044,"HC RETICULOCYTE COUNT, MANUAL",216.0,216.0,,,0 HCPCS,85044,Manual reticulocyte count,,,4.31,11.42,7 HCPCS,85045,Automated reticulocyte count,,,3.99,10.57,7 HCPCS,85045,"HC RETICULOCYTE COUNT, AUTO - RETICULOCYTES",213.0,213.0,,,0 HCPCS,85046,"HC RETICULOCYTE COUNT, AUTO, W CELL PARAM - HEMOGLOBIN (PG) IN RETIC",304.0,304.0,,,0 HCPCS,85046,Reticyte/hgb concentrate,,,5.57,14.76,7 HCPCS,85048,Automated leukocyte count,,,2.54,6.73,7 HCPCS,85048,HC LEUKOCYTE (WBC) COUNT - WHITE BLOOD COUNT,175.0,175.0,,,0 HCPCS,85049,Automated platelet count,,,4.48,11.87,7 HCPCS,85049,HC PLATELET COUNT,208.0,208.0,,,0 HCPCS,85055,HC RETICULATED PLATELET ASSAY,304.0,304.0,,,0 HCPCS,85055,Reticulated platelet assay,,,35.74,94.71,7 HCPCS,85060,HC PERIPHERAL BLOOD SMEAR INTERPRETATION,149.0,149.0,,,0 HCPCS,85097,Bone marrow interpretation,,,841.35,2229.59,7 HCPCS,85097,HC BONE MARROW DIFFERENTIAL,728.0,728.0,,,0 HCPCS,85097,HC BONE MARROW SMEAR INTERPRETATION,964.0,964.0,,,0 HCPCS,85097,"HC BONE MARROW,SMEAR INTERPRETATION - BONE MARROW SMEAR INTERP",592.0,592.0,,,0 HCPCS,85130,Chromogenic substrate assay,,,11.89,31.51,7 HCPCS,85130,HC CHROMOGENIC SUBSTRATE ASSAY FACTOR 10,699.0,699.0,,,0 HCPCS,85130,HC CHROMOGENIC SUBSTRATE ASSAY FACTOR 9 ANTIGEN,1464.0,1464.0,,,0 HCPCS,85130,HC CHROMOGENIC SUBSTRATE ASSAY FUNGITELL 1 3 BETA D GLUCAN,1640.0,1640.0,,,0 HCPCS,85130,HC FACTOR 10 ACTIVITY CHROMOGENIC,646.0,646.0,,,0 HCPCS,85170,Blood clot retraction,,,16.3,43.2,7 HCPCS,85175,Blood clot lysis time,,,20.37,53.98,7 HCPCS,85210,Clot factor ii prothrom spec,,,12.98,34.4,7 HCPCS,85210,HC CLOT FACTOR II PROTHROM SPEC - FACTOR 2 ACTIVITY,867.0,867.0,,,0 HCPCS,85210,HC FACTOR 2 ACTIVITY,802.0,802.0,,,0 HCPCS,85210,HC FACTOR 2 ACTIVITY - ARUP,181.0,181.0,,,0 HCPCS,85220,Blooc clot factor v test,,,17.65,46.77,7 HCPCS,85220,HC BLOOC CLOT FACTOR V TEST - FACTOR 5 ACTIVITY,962.0,962.0,,,0 HCPCS,85220,HC FACTOR 5 ACTIVITY,888.0,888.0,,,0 HCPCS,85220,HC FACTOR 5 ACTIVITY - ARUP,101.0,101.0,,,0 HCPCS,85230,Clot factor vii proconvertin,,,17.9,47.43,7 HCPCS,85230,HC CLOT FACTOR VII PROCONVERTIN - FACTOR 7 ACTIVITY,975.0,975.0,,,0 HCPCS,85230,HC FACTOR 7 ACTIVITY,900.0,900.0,,,0 HCPCS,85230,HC FACTOR 7 ACTIVITY - ARUP,127.0,127.0,,,0 HCPCS,85240,Clot factor viii ahg 1 stage,,,17.9,47.43,7 HCPCS,85240,HC FACTOR 8 ACTIVITY,975.0,975.0,,,0 HCPCS,85240,HC FACTOR 8 ACTIVITY (ARUP),91.0,91.0,,,0 HCPCS,85240,HC FACTOR 8 ACTIVITY - VON WILLEBRAND MULTIMERIC (ARUP),90.0,90.0,,,0 HCPCS,85240,HC FACTOR 8 ACTIVITY - VON WILLEBRAND PANEL (ARUP),90.0,90.0,,,0 HCPCS,85244,Clot factor viii reltd antgn,,,20.42,54.11,7 HCPCS,85244,HC CLOT FACTOR VIII RELTD ANTGN - VON WILLEBRAND MULTIMERIC,251.0,251.0,,,0 HCPCS,85245,Clot factor viii vw ristoctn,,,22.94,60.79,7 HCPCS,85245,HC CLOT FACTOR VIII VW RISTOCTN - FACTOR VIII RISTOCETIN COFACTR,1303.0,1303.0,,,0 HCPCS,85245,HC FACTOR 8 RISTOCETIN COFACTOR - ARUP,109.0,109.0,,,0 HCPCS,85245,HC VON WILLEBRAND RISTOCETIN FACTOR ACIVITY - VON WILLEBRAND MULTIMERIC PANEL(ARUP),123.0,123.0,,,0 HCPCS,85245,HC VON WILLEBRAND RISTOCETIN FACTOR ACIVITY - VON WILLEBRAND PANEL- (ARUP),105.0,105.0,,,0 HCPCS,85246,Clot factor viii vw antigen,,,22.94,60.79,7 HCPCS,85246,HC CLOT FACTOR VIII VW ANTIGEN - FACTOR 8 CARRIER PANEL,1191.0,1191.0,,,0 HCPCS,85246,HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND ANTIGEN,1191.0,1191.0,,,0 HCPCS,85246,HC CLOT FACTOR VIII VW ANTIGEN - VON WILLEBRAND SCREEN,1191.0,1191.0,,,0 HCPCS,85246,HC VON WILLEBRAND FACTOR (VWF) ANTIGEN - ARUP,101.0,101.0,,,0 HCPCS,85246,HC VON WILLEBRAND FACTOR ANTIGEN - VON WILLEBRAND MULTIMERIC PANEL(ARUP),123.0,123.0,,,0 HCPCS,85246,HC VON WILLEBRAND FACTOR ANTIGEN - VON WILLEBRAND PANEL- (ARUP),115.0,115.0,,,0 HCPCS,85247,Clot factor viii multimetric,,,22.94,60.79,7 HCPCS,85247,HC CLOT FACTOR VIII VWF MULTIMETRIC ANALYSIS,344.0,344.0,,,0 HCPCS,85247,HC CLOT FACTOR VIII VWF MULTIMETRIC ANALYSIS - VON WILLEBRAND MULTIMERIC PANEL(ARUP),123.0,123.0,,,0 HCPCS,85247,HC VON WILLEBRAND FACTOR (VWF) MULTIMERIC ANALYSIS,328.0,328.0,,,0 HCPCS,85247,HC VON WILLEBRAND FACTOR (VWF) MULTIMERIC ANALYSIS - ARUP,155.0,155.0,,,0 HCPCS,85250,Clot factor ix ptc/chrstmas,,,19.04,50.46,7 HCPCS,85250,HC CLOT FACTOR IX PTC/CHRSTMAS - FACTOR 9 ACTIVITY,909.0,909.0,,,0 HCPCS,85250,HC FACTOR 8 ACTIVITY - ARUP,84.0,84.0,,,0 HCPCS,85250,HC FACTOR 9 ACTIVITY,840.0,840.0,,,0 HCPCS,85250,HC FACTOR 9 ACTIVITY -ARUP,157.0,157.0,,,0 HCPCS,85260,Clot factor x stuart-power,,,17.9,47.43,7 HCPCS,85260,HC CLOT FACTOR X STUART-POWER - FACTOR 10 ACTIVITY,1036.0,1036.0,,,0 HCPCS,85260,HC FACTOR 10 ACTIVITY - ARUP,118.0,118.0,,,0 HCPCS,85270,Clot factor xi pta,,,17.9,47.43,7 HCPCS,85270,HC CLOT FACTOR XI PTA - FACTOR 11 ACTIVITY,909.0,909.0,,,0 HCPCS,85270,HC FACTOR 11 ACTIVITY,840.0,840.0,,,0 HCPCS,85270,HC FACTOR 11 ACTIVITY - ARUP,203.0,203.0,,,0 HCPCS,85280,Clot factor xii hageman,,,19.35,51.28,7 HCPCS,85280,HC CLOT FACTOR XII HAGEMAN - FACTOR 12 ACTIVITY,1120.0,1120.0,,,0 HCPCS,85280,HC FACTOR 12 ACTIVITY,1035.0,1035.0,,,0 HCPCS,85280,HC FACTOR 12 ACTIVITY - ARUP,190.0,190.0,,,0 HCPCS,85290,Clot factor xiii fibrin stab,,,16.34,43.3,7 HCPCS,85290,HC CLOT FACTOR XIII FIBRIN STAB - FACTOR 13 ACTIVITY,87.0,87.0,,,0 HCPCS,85291,Clot factor xiii fibrin scrn,,,9.11,24.14,7 HCPCS,85291,HC FACTOR 13 SOLUBILITY SCREEN,436.0,436.0,,,0 HCPCS,85292,Clot factor fletcher fact,,,18.93,50.16,7 HCPCS,85293,Clot factor wght kininogen,,,18.93,50.16,7 HCPCS,85300,Antithrombin iii activity,,,11.85,31.4,7 HCPCS,85300,HC ANTITHROMBIN III,584.0,584.0,,,0 HCPCS,85300,HC ANTITHROMBIN III - ARUP,117.0,117.0,,,0 HCPCS,85300,HC ANTITHROMBIN III - INPATIENT,540.0,540.0,,,0 HCPCS,85301,Antithrombin iii antigen,,,10.81,28.65,7 HCPCS,85301,HC ANTITHROMBIN III ANTIGEN,504.0,504.0,,,0 HCPCS,85301,HC ANTITHROMBIN III ANTIGEN - ARUP,89.0,89.0,,,0 HCPCS,85302,Clot inhibit prot c antigen,,,12.01,31.83,7 HCPCS,85302,"HC CLOT INHIB PROTEIN C,ANTIGEN - PROTEIN C ANTIGEN TOTAL",688.0,688.0,,,0 HCPCS,85302,HC PROTEIN C ANTIGEN TOTAL - ARUP,59.0,59.0,,,0 HCPCS,85302,HC PROTEIN C ANTIGEN TOTAL - PROTEIN C AND S ANTIGEN PANEL - ARUP,69.0,69.0,,,0 HCPCS,85303,Clot inhibit prot c activity,,,13.84,36.68,7 HCPCS,85303,"HC CLOT INHIB PROTEIN C,ACTIV - PROTEIN C ACTIVITY",865.0,865.0,,,0 HCPCS,85303,HC PROTEIN C ACTIVITY - ARUP,110.0,110.0,,,0 HCPCS,85305,Clot inhibit prot s total,,,11.61,30.77,7 HCPCS,85305,"HC CLOT INHIB PROTEIN S,TOTAL - PROTEIN S ANTIGEN TOTAL",852.0,852.0,,,0 HCPCS,85305,HC PROTEIN S ANTIGEN TOTAL - ARUP,76.0,76.0,,,0 HCPCS,85305,HC PROTEIN S ANTIGEN TOTAL - PROTEIN C AND S ANTIGEN PANEL - ARUP,66.0,66.0,,,0 HCPCS,85306,Clot inhibit prot s free,,,15.32,40.6,7 HCPCS,85306,"HC CLOT INHIB PROTEIN S,FREE - PROTEIN S ACTIVITY",849.0,849.0,,,0 HCPCS,85306,"HC CLOT INHIB PROTEIN S,FREE - PROTEIN S ANTIGEN FREE",897.0,897.0,,,0 HCPCS,85306,HC PROTEIN S ACTIVITY - ARUP,127.0,127.0,,,0 HCPCS,85306,HC PROTEIN S ANTIGEN FREE - ARUP,186.0,186.0,,,0 HCPCS,85307,Assay Activated Protein C,,,15.32,40.6,7 HCPCS,85307,HC ACTIVATED PROT C (APC) RESISTNCE ASSAY - APC RESISTANCE,536.0,536.0,,,0 HCPCS,85307,HC ACTIVATED PROTEIN C (APC) RESISTANCE - APC RESISTANCE PANEL - ARUP,89.0,89.0,,,0 HCPCS,85335,Factor inhibitor test,,,12.87,34.11,7 HCPCS,85335,HC FACTOR 8 INHIBITOR HUMAN,1026.0,1026.0,,,0 HCPCS,85335,HC FACTOR 9 INHIBITOR,1026.0,1026.0,,,0 HCPCS,85335,HC FACTOR INHIBITOR,1212.0,1212.0,,,0 HCPCS,85337,Thrombomodulin,,,17.27,45.77,7 HCPCS,85345,Coagulation time lee & white,,,4.69,12.43,7 HCPCS,85347,Coagulation time activated,,,4.28,11.34,7 HCPCS,85347,HC ACTIVATED CLOT TIME POINT OF CARE C,312.0,312.0,,,0 HCPCS,85347,HC CITRATED K ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS SURGICAL LAB,52.0,52.0,,,0 HCPCS,85347,HC CITRATED K TIME - ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS,301.0,301.0,,,0 HCPCS,85347,HC CITRATED R ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS SURGICAL LAB,52.0,52.0,,,0 HCPCS,85347,HC CITRATED R TIME - ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS,301.0,301.0,,,0 HCPCS,85347,"HC COAGULATION TIME, ACTIVATED - ACTIVATED CLOTTING TIME",301.0,301.0,,,0 HCPCS,85347,"HC COAGULATION TIME, ACTIVATED - POCT ACTIVATED CLOTTING TIME",312.0,312.0,,,0 HCPCS,85347,HC HEPARIN DOSE RESPONSE BASELINE POC,312.0,312.0,,,0 HCPCS,85347,HC HEPARINASE R ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS SURGICAL LAB,52.0,52.0,,,0 HCPCS,85347,HC HEPARINASE R TIME - ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS,301.0,301.0,,,0 HCPCS,85347,HC KAOLIN CLOT TIME - LUPUS ANTICOAGULANT SCREEN,554.0,554.0,,,0 HCPCS,85347,HC KAOLIN CLOT TIME WITH REFLEX,312.0,312.0,,,0 HCPCS,85347,HC KAOLIN K ACTIVATED CLOTTING TIME - KAOLIN WITH HEPARINASE SURGICAL LAB,73.0,73.0,,,0 HCPCS,85347,HC KAOLIN R ACTIVATED CLOTTING TIME - KAOLIN WITH HEPARINASE SURGICAL LAB,73.0,73.0,,,0 HCPCS,85347,HC LYSIS R ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS LYSIS,64.0,64.0,,,0 HCPCS,85347,HC LYSIS R ACTIVATED CLOTTING TIME - GLOBAL HEMOSTASIS LYSIS SRUGICAL LAB,64.0,64.0,,,0 HCPCS,85347,HC MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS SURGICAL LAB,306.0,306.0,,,0 HCPCS,85348,Coagulation time otr method,,,4.49,11.9,7 HCPCS,85360,Euglobulin lysis,,,8.41,22.29,7 HCPCS,85362,Fibrin degradation products,,,6.89,18.26,7 HCPCS,85362,"HC FIBRIN DEGRAD PRODUCTS, AGGLUTINATION - FIBRIN SPLIT PRODUCTS",437.0,437.0,,,0 HCPCS,85362,HC FIBRIN SPLITS PRODUCTS - ARUP,169.0,169.0,,,0 HCPCS,85366,Fibrinogen test,,,80.46,213.22,7 HCPCS,85370,Fibrinogen test,,,12.43,32.94,7 HCPCS,85378,Fibrin degrade semiquant,,,9.72,25.76,7 HCPCS,85378,"HC FIBRIN DEGRADPRODUCTS,D-DIMER, QUAL - D-DIMER,SEMIQUANT",95.5,95.5,,,0 HCPCS,85379,Fibrin degradation quant,,,10.18,26.98,7 HCPCS,85379,HC D-DIMER QUANTITATIVE,622.0,622.0,,,0 HCPCS,85380,Fibrin degradj d-dimer,,,10.18,26.98,7 HCPCS,85380,"HC FIBRIN DEGRADPRODUCTS,D-DIMER, ULTRASENS - D-DIMER, RAPID",500.0,500.0,,,0 HCPCS,85384,Fibrinogen activity,,,9.72,25.76,7 HCPCS,85384,HC FIBRINOGEN (SURGICAL LAB),448.0,448.0,,,0 HCPCS,85384,HC FIBRINOGEN LEVEL QUANT - SURGICAL LAB,417.0,417.0,,,0 HCPCS,85384,HC FIBRINOGEN QUANTITATIVE,248.5,248.5,,,0 HCPCS,85384,HC FIBRINOGEN QUANTITATIVE - GLOBAL HEMOSTASIS,248.5,248.5,,,0 HCPCS,85384,HC FIBRINOGEN QUANTITATIVE - GLOBAL HEMOSTASIS (SURGICAL LAB),132.0,132.0,,,0 HCPCS,85384,HC FIBRINOGEN QUANTITATIVE - SPECIAL COAG FIBRINOGEN,248.5,248.5,,,0 HCPCS,85385,Fibrinogen antigen,,,14.46,38.32,7 HCPCS,85385,HC FIBRINOGEN ANTIGEN - ARUP,200.0,200.0,,,0 HCPCS,85385,"HC FIBRINOGEN, ANTIGEN - FIBRINOGEN ANTIGEN",135.0,135.0,,,0 HCPCS,85390,Fibrinolysins screen i&r,,,15.48,41.02,7 HCPCS,85390,HC SPECIAL COAGULATION INTERPRETATION AND REPORT,252.0,252.0,,,0 HCPCS,85397,Clotting funct activity,,,30.86,81.78,7 HCPCS,85397,HC ADAMTS13 ACTIVITY,2529.0,2529.0,,,0 HCPCS,85397,HC ADAMTS13 ACTIVITY - ARUP,477.0,477.0,,,0 HCPCS,85397,HC CLOTTING ASSAY - FUNCTIONAL ACTIVITY ASSAY - EACH ANALYTE,2529.0,2529.0,,,0 HCPCS,85400,Fibrinolytic plasmin,,,7.71,20.43,7 HCPCS,85410,Fibrinolytic antiplasmin,,,7.71,20.43,7 HCPCS,85410,HC ALPHA 2 ANTIPLASMIN,709.0,709.0,,,0 HCPCS,85415,Fibrinolytic plasminogen,,,17.19,45.55,7 HCPCS,85415,HC PLASMINOGEN ACTIVATOR INHIBITOR,727.0,727.0,,,0 HCPCS,85415,HC TISSUE PLASMINOGEN ACTIVATOR ANTIGEN,760.0,760.0,,,0 HCPCS,85420,Fibrinolytic plasminogen,,,6.53,17.3,7 HCPCS,85420,HC FIBRINOLYTIC PLASMINOGEN - PLASMINOGEN ACTIVITY,801.0,801.0,,,0 HCPCS,85420,HC PLASMINOGEN ACTIVITY - ARUP,87.0,87.0,,,0 HCPCS,85421,Fibrinolytic plasminogen,,,10.18,26.98,7 HCPCS,85441,Heinz bodies direct,,,4.2,11.13,7 HCPCS,85445,Heinz bodies induced,,,6.82,18.07,7 HCPCS,85460,HC FETAL HEMOGLOBIN BY KLEIHAUER BETKE STAIN ON MATERNAL BLOOD - CFD,903.0,903.0,,,0 HCPCS,85460,Hemoglobin fetal,,,7.73,20.48,7 HCPCS,85461,"HC HEMOGLOBIN FETAL,ROSETTE - FETAL BLEED SCREEN",149.0,149.0,,,0 HCPCS,85461,Hemoglobin fetal,,,9.36,24.8,7 HCPCS,85475,Hemolysin acid,,,8.87,23.51,7 HCPCS,85520,"HC HEPARIN ANTI XA ASSAY, UNFRACTIONATED",672.0,672.0,,,0 HCPCS,85520,HC HEPARIN ANTI-XA QUALITATIVE REFLEXED - ARUP,189.0,189.0,,,0 HCPCS,85520,HC HEPARIN ASSAY - LOW MOLECULAR WGT HEPARIN,673.0,673.0,,,0 HCPCS,85520,HC HEPARIN LEVEL - ANTI XA LOW MOLECULAR WEIGHT HEPARIN - ARUP,294.0,294.0,,,0 HCPCS,85520,HC HEPARIN LEVEL ANTI XA HYBRID,624.0,624.0,,,0 HCPCS,85520,HC HEPARIN PROTAMINE TITRATION POC,589.5,589.5,,,0 HCPCS,85520,Heparin assay,,,13.09,34.69,7 HCPCS,85525,HC HEPARIN NEUTRALIZATION,182.0,182.0,,,0 HCPCS,85525,HC HEPARIN NEUTRALIZATION - GLOBAL HEMOSTASIS,182.0,182.0,,,0 HCPCS,85525,HC HEPARIN NEUTRALIZATION - GLOBAL HEMOSTASIS SURGICAL LAB,149.0,149.0,,,0 HCPCS,85525,HC HEPARIN NEUTRALIZATION - KAOLIN WITH HEPARINASE SURGICAL LAB,203.0,203.0,,,0 HCPCS,85525,HC HEPARIN NEUTRALIZATION - PLATELET MAPPING,246.0,246.0,,,0 HCPCS,85525,HC HEPARIN NEUTRALIZATION - PLATELET MAPPING POC,246.0,246.0,,,0 HCPCS,85525,HC HEPARIN NEUTRALIZATION - PLATELET MAPPING SURGICAL LAB,246.0,246.0,,,0 HCPCS,85525,HC HEPARIN NEUTRALIZATN - HEPARINASE,182.0,182.0,,,0 HCPCS,85525,HC HEPARIN NEUTRALIZATN - PTT-D HEPARIN REFLEX BILL (ARUP),126.0,126.0,,,0 HCPCS,85525,Heparin neutralization,,,11.84,31.38,7 HCPCS,85530,Heparin-protamine tolerance,,,13.09,34.69,7 HCPCS,85536,HC IRON STAIN PERIPHERAL BLOOD,51.0,51.0,,,0 HCPCS,85536,Iron Stain Peripheral Blood,,,6.88,18.23,7 HCPCS,85540,HC LEUKOCYTE ALKALINE PHOSPHATASE - ARUP,250.0,250.0,,,0 HCPCS,85540,HC WBC ALKALINE PHOSPHATASE - LEUKOCYTE ALKALINE PHOSPHATASE,169.0,169.0,,,0 HCPCS,85540,Wbc alkaline phosphatase,,,8.6,22.79,7 HCPCS,85547,RBC mechanical fragility,,,8.6,22.79,7 HCPCS,85549,HC LYSOZYME SERUM - ARUP,70.0,70.0,,,0 HCPCS,85549,"HC MURAMIDASE - LYSOZYME, SERUM",99.0,99.0,,,0 HCPCS,85549,"HC MURAMIDASE - LYSOZYME, URINE",99.0,99.0,,,0 HCPCS,85549,Muramidase,,,18.75,49.69,7 HCPCS,85555,HC RBC OSMOTIC FRAGILITY - OSMOTIC FRAGILITY RBC,194.0,194.0,,,0 HCPCS,85555,RBC osmotic fragility,,,7.47,19.8,7 HCPCS,85557,HC RBC OSMOTIC FRAGILITY - OSMOTIC FRAGILITY RBC INCUBATED,224.0,224.0,,,0 HCPCS,85557,RBC osmotic fragility,,,13.36,35.4,7 HCPCS,85576,Blood platelet aggregation,,,24.91,66.01,7 HCPCS,85576,HC AA MA PLATELET AGGREGATION - PLATELET MAPPING,459.0,459.0,,,0 HCPCS,85576,HC AA MA PLATELET AGGREGATION - PLATELET MAPPING POC,459.0,459.0,,,0 HCPCS,85576,HC AA MA PLATELET AGGREGATION - PLATELET MAPPING SURGICAL LAB,459.0,459.0,,,0 HCPCS,85576,HC ACTF MA PLATELET AGGREGATION - PLATELET MAPPING,459.0,459.0,,,0 HCPCS,85576,HC ACTF MA PLATELET AGGREGATION - PLATELET MAPPING POC,459.0,459.0,,,0 HCPCS,85576,HC ACTF MA PLATELET AGGREGATION - PLATELET MAPPING SURGICAL LAB,459.0,459.0,,,0 HCPCS,85576,HC ADP MA PLATELET AGGREGATION - PLATELET MAPPING,459.0,459.0,,,0 HCPCS,85576,HC ADP MA PLATELET AGGREGATION - PLATELET MAPPING POC,459.0,459.0,,,0 HCPCS,85576,HC ADP MA PLATELET AGGREGATION - PLATELET MAPPING SURGICAL LAB,459.0,459.0,,,0 HCPCS,85576,HC ADP/PGE1 - P2Y12 PLATELET FUNCTION,491.0,491.0,,,0 HCPCS,85576,HC ARACHADONIC ACID - PLATELET AGGREGATION,397.0,397.0,,,0 HCPCS,85576,HC BLOOD PLATELET AGGREGATION - ASPIRIN,427.0,427.0,,,0 HCPCS,85576,HC BLOOD PLATELET AGGREGATION - COLLAGEN,427.0,427.0,,,0 HCPCS,85576,HC BLOOD PLATELET AGGREGATION - P2Y12 PROFILE,502.0,502.0,,,0 HCPCS,85576,HC BLOOD PLATELET AGGREGATION - PLATELET FUNCTION PANEL,574.0,574.0,,,0 HCPCS,85576,HC BLOOD PLATELET AGGREGATION - POCT PLATELET AGGREGATION,574.0,574.0,,,0 HCPCS,85576,HC BLOOD PLATELET AGGREGATION - RISTOCETIN,427.0,427.0,,,0 HCPCS,85576,HC BLOOD PLATELET AGGREGATION - THROMBIN,427.0,427.0,,,0 HCPCS,85576,HC CITRATED MA AGGREGATION - GLOBAL HEMOSTASIS,427.0,427.0,,,0 HCPCS,85576,HC CITRATED MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS,306.0,306.0,,,0 HCPCS,85576,HC COLLAGEN - PLATELET AGGREGATION,427.0,427.0,,,0 HCPCS,85576,HC DIAGNOSTIC PLATELET AGGREGATION,427.0,427.0,,,0 HCPCS,85576,HC ISO-TRAP - P2Y12 PLATELET FUNCTION,491.0,491.0,,,0 HCPCS,85576,HC KAOLIN MA HEPARINASE PLATELET AGGREGATION - PLATELET MAPPING,459.0,459.0,,,0 HCPCS,85576,HC KAOLIN MA HEPARINASE PLATELET AGGREGATION - PLATELET MAPPING POC,459.0,459.0,,,0 HCPCS,85576,HC KAOLIN MA HEPARINASE PLATELET AGGREGATION - PLATELET MAPPING SURGICALLAB,459.0,459.0,,,0 HCPCS,85576,HC KAOLIN MA PLATELET AGGREGATION - KAOLIN WITH HEPARINASE SURGICAL LAB,422.0,422.0,,,0 HCPCS,85576,HC LYSIS CFF MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS LYSIS,372.0,372.0,,,0 HCPCS,85576,HC LYSIS CFF MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS LYSIS SURGICAL LAB,372.0,372.0,,,0 HCPCS,85576,HC LYSIS CRT MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS LYSIS,372.0,372.0,,,0 HCPCS,85576,HC LYSIS CRT MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS LYSIS SURGICAL LAB,372.0,372.0,,,0 HCPCS,85576,HC PLATELET FUNCTION ANALYSIS ADP,452.0,452.0,,,0 HCPCS,85576,HC PLATELET FUNCTION ASPIRIN,493.0,493.0,,,0 HCPCS,85576,HC PLATELET FUNCTION EPINEPHRINE,427.0,427.0,,,0 HCPCS,85576,HC RAPID TEG MA AGGREGATION- GLOBAL HEMOSTASIS,427.0,427.0,,,0 HCPCS,85576,HC RAPID TEG MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS,306.0,306.0,,,0 HCPCS,85576,HC RAPID TEG MA PLATELET AGGREGATION - GLOBAL HEMOSTASIS SURGICAL LAB,306.0,306.0,,,0 HCPCS,85576,HC RISTOCETIN AGGREGATION,427.0,427.0,,,0 HCPCS,85576,HC RISTOCETIN HIGH - PLATELET AGGREGATION,397.0,397.0,,,0 HCPCS,85576,HC RISTOCETIN HIGH - RISTOCETIN AGGREGATION HI/LO,228.0,228.0,,,0 HCPCS,85576,HC RISTOCETIN LOW - PLATELET AGGREGATION,397.0,397.0,,,0 HCPCS,85576,HC RISTOCETIN LOW - RISTOCETIN AGGREGATION HI/LO,228.0,228.0,,,0 HCPCS,85597,"HC PHOSPHOLIPID NEUTRALIZATION,PLATELET - PLATELET NEUTRALIZATION",68.0,68.0,,,0 HCPCS,85597,Phospholipid pltlt neutraliz,,,17.98,47.65,7 HCPCS,85598,HC HEXAGONAL PHOSPHOLIPID NEUTRAL (STACLOT LUPUS ANTICOAGULANT),390.0,390.0,,,0 HCPCS,85598,HC HEXAGONAL PHOSPHOLIPID NEUTRAL - ARUP,223.0,223.0,,,0 HCPCS,85598,HC HEXAGONAL PHOSPHOLIPID NEUTRAL REFLEX - ARUP,223.0,223.0,,,0 HCPCS,85598,HC PHOSPHOLIPID NEUTRALIZATION - HEXAGONAL PHOSPHOLIPID,534.0,534.0,,,0 HCPCS,85598,Hexagnal phosph pltlt neutrl,,,17.98,47.65,7 HCPCS,85610,HC POC PROTHROMBIN TIME INR,268.0,268.0,,,0 HCPCS,85610,HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY,109.0,109.0,,,0 HCPCS,85610,HC PROTHROMBIN TIME - PROTIME DILUTION PROTOCOL,155.0,155.0,,,0 HCPCS,85610,HC PROTHROMBIN TIME - PT AND PTT PANEL,250.5,250.5,,,0 HCPCS,85610,HC PROTHROMBIN TIME - SURGICAL LAB,261.0,261.0,,,0 HCPCS,85610,HC PROTHROMBIN TIME -ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP,21.0,21.0,,,0 HCPCS,85610,HC PROTHROMBIN TIME INHIBITOR ASSAY PT WITH REFLEX TO PT 1:1 MIX - ARUP,64.0,64.0,,,0 HCPCS,85610,HC PROTHROMBIN TIME INR,254.0,254.0,,,0 HCPCS,85610,HC PROTHROMBIN TIME INR - ARUP INHIB SCRN,47.5,47.5,,,0 HCPCS,85610,HC PROTHROMBIN TIME INR - ARUP PHOSLIPID,19.5,19.5,,,0 HCPCS,85610,HC PROTHROMBIN TIME INR - LUPUS ANTICOAGULANT PANEL WITH REFLEX -ARUP,26.0,26.0,,,0 HCPCS,85610,HC PROTHROMBIN TIME INR - SPECIAL COAG,264.0,264.0,,,0 HCPCS,85610,HC PROTHROMBIN TIME INR COUMADIN CLINIC,87.5,87.5,,,0 HCPCS,85610,HC PROTHROMBIN TIME SPECIAL COAGULATION - INHIBITOR SCREEN,264.0,264.0,,,0 HCPCS,85610,Prothrombin time,,,4.29,11.37,7 HCPCS,85611,"HC PROTHROMBIN TEST,SUBSTI,FRACTN - EQUAL MIX,PT/INR",318.0,318.0,,,0 HCPCS,85611,HC PROTHROMBIN TIME 1:1 MIX,293.0,293.0,,,0 HCPCS,85611,HC PROTHROMBIN TIME INHIBITOR SCREEN 1:1 MIX - ARUP,64.0,64.0,,,0 HCPCS,85611,HC PROTHROMBIN TIME INR - INHIB SCRN - ARUP,70.0,70.0,,,0 HCPCS,85611,Prothrombin test,,,3.94,10.44,7 HCPCS,85612,Viper venom prothrombin time,,,17.49,46.35,7 HCPCS,85613,HC DILUTED RUSSEL VIPER VENOM (DRVVT) - 1:1 MIX - ARUP,53.0,53.0,,,0 HCPCS,85613,HC DILUTED RUSSEL VIPER VENOM (DRVVT) - ARUP,53.0,53.0,,,0 HCPCS,85613,HC DILUTED RUSSEL VIPER VENOM (DRVVT) - CONFIRMATION - ARUP,93.0,93.0,,,0 HCPCS,85613,HC DILUTED RUSSEL VIPER VENOM (DRVVT) - LUPUS ANTICOAGULANT SCREEN,346.0,346.0,,,0 HCPCS,85613,HC DILUTED RUSSELL VIPER VENOM (DRVTT),693.0,693.0,,,0 HCPCS,85613,HC DRVVT - ANTIPHOSPHOLIPID SYNDROME REFLX PANEL - ARUP,61.0,61.0,,,0 HCPCS,85613,HC DRVVT CONFIRMATION - ARUP,93.0,93.0,,,0 HCPCS,85613,"HC RUSSELL VIPER VENOM, DILUTED - DRVVT (DILUTE RUSSEL VV TIME)",751.0,751.0,,,0 HCPCS,85613,"HC RUSSELL VIPER VENOM, DILUTED - DRVVT (DILUTE RUSSEL VV TIME) - PHOSLIPID ARUP",372.0,372.0,,,0 HCPCS,85613,"HC RUSSELL VIPER VENOM, DILUTED - LUPUS ANTICOAGULANT PANEL W/REFLEX -ARUP",61.0,61.0,,,0 HCPCS,85613,Russell viper venom diluted,,,9.58,25.39,7 HCPCS,85635,HC REPTILASE TIME,689.0,689.0,,,0 HCPCS,85635,Reptilase test,,,9.85,26.1,7 HCPCS,85651,"HC RBC SED RATE, NONAUTO - SEDIMENTATION RATE, MANUAL",236.0,236.0,,,0 HCPCS,85651,Rbc sed rate nonautomated,,,4.27,11.32,7 HCPCS,85652,"HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED",150.0,150.0,,,0 HCPCS,85652,Rbc sed rate automated,,,2.7,7.16,7 HCPCS,85660,HC RBC SICKLE CELL TEST - SICKLE CELL SCREEN,169.0,169.0,,,0 HCPCS,85660,HC SICKLE CELL SCREEN-BLOOD UNIT,119.5,119.5,,,0 HCPCS,85660,HC SICKLE CELL SOLUBILITY BILL - ARUP,101.0,101.0,,,0 HCPCS,85660,RBC sickle cell test,,,5.51,14.6,7 HCPCS,85670,HC THROMBIN TIME - ARUP,62.0,62.0,,,0 HCPCS,85670,HC THROMBIN TIME 1:1 MIX - ARUP,90.0,90.0,,,0 HCPCS,85670,"HC THROMBIN TIME, PLASMA - THROMBIN TIME",437.0,437.0,,,0 HCPCS,85670,Thrombin time plasma,,,5.77,15.29,7 HCPCS,85675,Thrombin time titer,,,6.85,18.15,7 HCPCS,85705,Thromboplastin inhibition,,,9.63,25.52,7 HCPCS,85730,HC ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) - PT AND PTT PANEL,307.0,307.0,,,0 HCPCS,85730,HC ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) LUPUS SENS-INHIBITOR SCREEN,543.0,543.0,,,0 HCPCS,85730,HC APTT,264.0,264.0,,,0 HCPCS,85730,HC APTT (SURGICAL LAB),332.0,332.0,,,0 HCPCS,85730,HC APTT - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP,38.0,38.0,,,0 HCPCS,85730,HC APTT - INHIBITOR ASSAY PTT WITH REFLEX (ARUP),48.0,48.0,,,0 HCPCS,85730,HC APTT - LUPUS ANTICOAGULANT PANEL WITH REFLEX - ARUP,38.5,38.5,,,0 HCPCS,85730,HC APTT - LUPUS ANTICOAGULANT SCREEN,584.0,584.0,,,0 HCPCS,85730,HC APTT CRRT SYSTEM,307.0,307.0,,,0 HCPCS,85730,HC APTT LUPUS SENSITIVE,307.0,307.0,,,0 HCPCS,85730,"HC APTT, HEPZYME TREATED",115.0,115.0,,,0 HCPCS,85730,"HC APTT, INHIBITOR SCREEN, 1-HOUR (RFLX) (ARUP)",42.0,42.0,,,0 HCPCS,85730,HC APTT-D 1:1 MIX BILL (ARUP),45.0,45.0,,,0 HCPCS,85730,HC APTT-D HEPARIN REFLEX BILL (ARUP),49.0,49.0,,,0 HCPCS,85730,HC SPECIAL COAG APTT,118.5,118.5,,,0 HCPCS,85730,HC THROMBOPLAS TIME PARTIAL - APTT - PHOSLIPID ARUP,29.0,29.0,,,0 HCPCS,85730,HC THROMBOPLAS TIME PARTIAL - PTT CRRT SYSTEM,179.0,179.0,,,0 HCPCS,85730,Thromboplastin time partial,,,6.01,15.93,7 HCPCS,85732,HC ACTIVATED PARTIAL THROMBOPLASTIN TIME 1 TO 1 MIX,575.0,575.0,,,0 HCPCS,85732,HC APTT 1:1 MIX INHIBITOR SCREEN 1-HOUR (REFLX) (ARUP),48.0,48.0,,,0 HCPCS,85732,HC APTT 1:1 MIX INHIBITOR SCREEN ASSAY (REFLX) (ARUP),73.0,73.0,,,0 HCPCS,85732,HC INHIBITOR SCREEN CHARGE,338.0,338.0,,,0 HCPCS,85732,"HC KAOLIN CLOT TIME, 1:1 MIX REFLEXED",575.0,575.0,,,0 HCPCS,85732,HC LUPUS ANTICOAGULANT PTT 1 TO 1 MIX,575.0,575.0,,,0 HCPCS,85732,HC PTT 1:1 MIX LUPUS SENSITIVE REFLEX,338.0,338.0,,,0 HCPCS,85732,HC PTT INHIBITOR SCREEN 1:1 MIX - ARUP,68.0,68.0,,,0 HCPCS,85732,HC THROMBOPLAS TIME PART PLASMA FRAC - PTT MIXING STUDY,619.0,619.0,,,0 HCPCS,85732,Thromboplastin time partial,,,6.47,17.15,7 HCPCS,85810,Blood viscosity examination,,,11.67,30.93,7 HCPCS,85810,"HC BLOOD VISCOSITY EXAMINATION - VISCOSITY, SERUM",93.0,93.0,,,0 HCPCS,85810,HC VISCOSITY SERUM - ARUP,47.0,47.0,,,0 HCPCS,86000,Agglutinins febrile antigen,,,6.98,18.5,7 HCPCS,86000,HC AGGLUTININS; FEBRILE - FEBRILE AGGLUTININS,130.0,130.0,,,0 HCPCS,86000,HC FRANCISELLA TULARENIS ANTIBODY - ARUP,155.0,155.0,,,0 HCPCS,86001,Allergen Specific Igg,,,7.82,20.72,7 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, BAKER'S YEAST IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, BARLEY IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, BEEF IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, CHICKEN IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, CHOCOLATE IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, CORN IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, EGG WHITE IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, LETTUCE IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, MALT IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, MILK (COW'S) IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, OAT IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, ORANGE IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, PEANUT IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, PORK IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, RYE IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ALLERGEN, FOOD, SOYBEAN IGG",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - ASPERGILLUS FUMIGATUS",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - AUREOBASIDIUM PULLULANS",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - CANDIDA ALBICANS",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - FUSARIUM MONILIFORME",75.0,75.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - PENICILLIUM NOTATUM",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - PHOMA BETAE",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - TOMATO",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - WHEAT",23.0,23.0,,,0 HCPCS,86001,"HC ALLERGEN SPEC IGG QUANT,EACH - WHITE POTATO",23.0,23.0,,,0 HCPCS,86001,HC ALLERGY TEST AUREOBASIDIUM PULLULANS IGG - ARUP,75.0,75.0,,,0 HCPCS,86001,HC ALLERGY TEST CANDIDA ALBICANS IGG - ARUP,75.0,75.0,,,0 HCPCS,86001,HC ALLERGY TEST CASEIN (COW'S MILK) IGG - ARUP,75.0,75.0,,,0 HCPCS,86001,HC ALLERGY TEST EGG YOLK IGG - ARUP,75.0,75.0,,,0 HCPCS,86001,HC ALLERGY TEST FUSARIUM MONILIFORME IGG - ARUP,75.0,75.0,,,0 HCPCS,86001,HC ALLERGY TEST PEANUT IGG - ARUP,75.0,75.0,,,0 HCPCS,86001,HC ALLERGY TEST PENICILLIUM NOTATUM IGG - ARUP,75.0,75.0,,,0 HCPCS,86001,HC ALLERGY TEST PHOMA BETAE IGG - ARUP,75.0,75.0,,,0 HCPCS,86003,Allergen specific IgE,,,5.22,13.83,7 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN ANIMAL: MOUSE EPITHELIUM,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN ANIMAL: PARAKEET FEATHERS IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN APRICOT IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN ASH, WHITE IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN ASPARAGUS IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN AVOCADO IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BAYBERRY/SWEET GALE IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN BEAN, GREEN IGE",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN BEAN, LIMA IGE",103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BETA LACTOGLOBULIN,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BLACKBERRY IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BLUEBERRY IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BOTRYTIS CINEREA IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN BROME, SMOOTH IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BROMELAIN IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN BUCKWHEAT IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CANTALOUPE IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CASEIN IGE,103.0,103.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, RED IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CELERY IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CEPHALOSPORIUM ACRE IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CHEESE MOLD IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN CHEESE, CHEDDAR IGE",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN CHERRY, BING IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN FEATHERS IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CINNAMON IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN COCKLEBUR IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN COFFEE IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN CORN POLLEN, CULTIVATED IGE",103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN COTTON LINTERS IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN COW EPITHELIA/DANDER IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CRANBERRY IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CUCUMBER IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN CURVULARIA LUNATA IGE,103.0,103.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN CYPRESS,BALD (WHITE) IGE",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN DOCKWEED, YELLOW IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN DRUG: AMOXICILLOYL IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN EACH,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN EPICOCCUM PURPURASCEN IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN FENNEL, DOG IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CATFISH,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CHICKPEA,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: GRAPEFRUIT,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN FOOD: NGAL D 1 OVOMUCOID, EGG IGE",103.0,103.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN FOOD: NGAL D 2 OVALBUMIN, EGG IGE",103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEA (PISUM SATIVUM) IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEAR,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: RJUG R 1 WALNUT,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWEET CHESTNUT,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN FOOD: TILAPIA,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN GARLIC IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN GINGER IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN GOOSE FEATHERS IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN GRAPE IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN GREEN PEA,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN GUINEA PIG EPITHELIUM IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN GUM, SWEET IGE",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN HICKORY, WHITE IGE",96.0,96.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN HOPS IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN HORMODENDRUM HORDEI,103.0,103.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN HORSE DANDER IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: HOLLISTER IGE,103.0,103.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN INSECT: COCKROACH, ORIENTAL",103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN KIWI FRUIT IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN KOCHIA IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN LEMON IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN LENTIL IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN LIME IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MACKEREL IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MANGO IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN MAPLE,RED IGE",99.5,99.5,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MELALEUCA IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MESQUITE IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN MILK, GOAT'S IGE",103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MUGWORT IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN MULLBERRY, RED IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MUSHROOM IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN MUSTARD IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN NUTMEG IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN NUTS PANEL,103.0,103.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN OAK,WHITE IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN ONION IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN ORCHARD GRASS IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN PALM, QUEEN IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIN V IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, BLACK IGE",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, CHILI IGE",103.0,103.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN PERCH IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN PHOMA BETAE IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN POTATO, SWEET IGE",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN PRIVET, COMMON IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN RABBIT EPITHELIUM IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, FALSE IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN RASPBERRY IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN REDTOP, BENTGRASS IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN RHIZOPUS NIGRICANS IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN SAGEBRUSH, COMMON IGE",103.0,103.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN SCALE, WEED IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN SEAFOOD PANEL,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN SEASONAL INHALANTS PANEL,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN SPINACH IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN STEMPHYLIUM BOTRYOSUM IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN SUGAR, CANE IGE",103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN SUMMER SQUASH IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN SUNFLOWER SEED IGE,103.0,103.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN SYCAMORE, AMERICAN IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN TEA IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN THISTLE, RUSSIAN IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN TREE: ITALIAN/MED/FUNERAL CYPRESS,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN TROUT IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN VANILLA IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN VENOM: EUROPEAN PAPER WASP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN WALNUT TREE IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN WATERMELON IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN WEED: DANDELION IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN WEED: GOLDENROD IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN WHEAT SMUT IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN WHEY IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN WHITE BEAN IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN WILLOW, BLACK IGE",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - ALLERGEN YEAST, BAKER'S IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - ALLERGEN: MOSQUITO IGE,21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - AUREOBASIDIUM PULLULANS IGE,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGEN SPEC IGE - LATEX, IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGEN SPEC IGE - STACHYBOTRYS IGE,103.0,103.0,,,0 HCPCS,86003,HC ALLERGY TEST ALMONDS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST ALMONDS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST ALTERNARIA ALTERNATA IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST ALTERNARIA ALTERNATA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST APPLE IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST APPLE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST APRICOT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST ASH, WHITE IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST ASPARAGUS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST ASPERGILLUS NIGER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST AUREOBASIDIUM PULLULANS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST AVOCADO IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BAHIA GRASS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST BAHIA GRASS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BANANA IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST BANANA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BARLEY IGE- ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BAYBERRY/SWEET GALE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST BEAN, GREEN IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BEECH AMERICAN IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST BEEF IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST BEEF IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BERMUDA GRASS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST BERMUDA GRASS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BIRCH TREE IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST BIRCH TREE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BLACKBERRY IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BLUEBERRY IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BOTRYTIS CINEREA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BRAZIL NUT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BROCCOLI IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST BROME GRASS IGE - ARUP,20.0,20.0,,,0 HCPCS,86003,HC ALLERGY TEST BUCKWHEAT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CABBAGE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CANDIDA ALBICANS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CANDIDA ALBICANS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CANTALOUPE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CARELESS WEED IGE - ARUP,20.0,20.0,,,0 HCPCS,86003,HC ALLERGY TEST CARROT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CASHEW IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CASHEW IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CAT HAIR DANDER IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CAT HAIR DANDER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CATFISH IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST CEDAR, MOUNTAIN IGE",96.0,96.0,,,0 HCPCS,86003,"HC ALLERGY TEST CEDAR, MOUNTAIN IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST CEDAR, RED IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CELERY IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CEPHALOSPORIUM ACRE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CHEESE MOLD IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST CHEESE, CHEDDAR IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CHERRY IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CHICKEN FEATHERS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CHICKEN IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CHICKEN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CHICKPEA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CHOCOLATE IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CHOCOLATE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CINNAMON IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CLADOSPORIUM HERBARUM IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CLAMS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CLAMS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST COCKLEBUR IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST COCKROACH, AMERICAN IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST COCONUT IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST COCONUT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CODFISH IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CODFISH IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST COFFEE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CORN IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CORN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CORN SMUT IGE - ARUP,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST COTTONWOOD TREE IGE,50.0,50.0,,,0 HCPCS,86003,HC ALLERGY TEST COTTONWOOD TREE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST COW HAIR/DANDER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST COW MILK IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST COW MILK WITH REFLEX IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CRAB IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST CRAB IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CRANBERRY IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CUCUMBER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CULTIVATED WHEAT POLLEN IGE - ARUP,20.0,20.0,,,0 HCPCS,86003,HC ALLERGY TEST CURVULARIA LUNATA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST CYPRESS ITALIAN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST CYPRESS,BALD (WHITE) IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST DOCKWEED, YELLOW IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST DOG DANDER IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST DOG DANDER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST DRUG AMOXICILLIN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST EGG WHITE IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST EGG WHITE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST EGG WHOLE IGE,58.5,58.5,,,0 HCPCS,86003,HC ALLERGY TEST EGG WHOLE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST EGG YOLK IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST EGG YOLK IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST ELM TREE IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST ELM TREE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST EPICOCCUM PURPURASCEN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST EUROPEAN PAPER WASP IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST FENNEL, DOG IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST FESCUE, MEADOW IGE",96.0,96.0,,,0 HCPCS,86003,"HC ALLERGY TEST FESCUE, MEADOW IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST FIRE ANT (INVICTA) IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST FLOUNDER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE,58.5,58.5,,,0 HCPCS,86003,HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST FOOD RYE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST FUSARIUM MONILIFORME IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GARLIC IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GERMAN COCKROACH IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST GERMAN COCKROACH IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GIANT RAGWEED IGE - ARUP,69.0,69.0,,,0 HCPCS,86003,HC ALLERGY TEST GINGER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GLUTEN IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST GLUTEN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GOAT MILK IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GOLDENROD IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GOOSE FEATHERS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GRAPE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GRAPEFRUIT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST GRASS RYE, PERENNIAL IGE",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GREEN PEA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST GUINEA PIG EPITHELIUM IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST GUM, SWEET IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST HACKBERRY IGE - ARUP,20.0,20.0,,,0 HCPCS,86003,HC ALLERGY TEST HAZELNUT TREE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST HICKORY TREE WHITE (SHAGBARK) IGE - ARUP,91.0,91.0,,,0 HCPCS,86003,HC ALLERGY TEST HONEYBEE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST HORMODENDRUM (CLADOSPORIUM) IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST HORNET, WHITE FACE IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST HORNET, YELLOW IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST HORSE DANDER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST HOUSE DUST GREER IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST HOUSE DUST GREER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST HOUSE DUST STIER IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST JOHNSON GRASS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST JOHNSON GRASS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST JUNE GRASS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST JUNE GRASS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST KIWI FRUIT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST LAMB IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST LAMB'S QUARTER IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST LAMB'S QUARTER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST LATEX IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST LEMON IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST LENTIL IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST LETTUCE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST LIME IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST LOBSTER IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST LOBSTER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MACADAMIA NUT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MACKEREL IGE- ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MALT IGE - TEST,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MANGO IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MAPLE SUGAR TREE IGE - ARUP,69.0,69.0,,,0 HCPCS,86003,HC ALLERGY TEST MAPLE TREE BOX ELDER IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST MAPLE TREE BOX ELDER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST MARSHELDER, ROUGH IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MELALEUCA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MITES BLOMIA TROPICALIS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST MITES BLOMIA TROPICALIS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MOSQUITO IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MOUSE EPIPHELIUM IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST MOUSE EPITHELIUM IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MUCOR RACEMOSUS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST MUCOR RACEMOSUS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MUGWORT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST MULBERRY, RED IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MUSHROOM IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MUSSEL IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST MUSTARD IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST NAVY BEAN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST NETTLE WEED IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST NETTLE WEED IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST NUTMEG IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST OAK TREE RED IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST OAK TREE RED IGE - ARUP,96.0,96.0,,,0 HCPCS,86003,"HC ALLERGY TEST OAK, LIVE/VIRGINIA IGE",96.0,96.0,,,0 HCPCS,86003,"HC ALLERGY TEST OAK, LIVE/VIRGINIA IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST OAK, WHITE IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST OAT IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST OAT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST OLIVE TREE IGE - ARUP,20.0,20.0,,,0 HCPCS,86003,HC ALLERGY TEST ONION IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST ORANGE IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST ORANGE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST ORCHARD GRASS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST OYSTER IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST PALM, QUEEN IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PARAKEET FEATHERS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PEACH IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST PEACH IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PEANUT IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST PEANUT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PEAR IGE- ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PECAN NUT IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST PECAN NUT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PECAN TREE IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST PECAN TREE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PENICILLIN G IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST PENICILLIN G IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PENICILLIN V IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PENICILLIUM NOTATUM IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST PENICILLIUM NOTATUM IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST PEPPER, BLACK IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST PEPPER, CHILI IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST PEPPER, GREEN BELL IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PERCH IGE - ARUP,69.0,69.0,,,0 HCPCS,86003,HC ALLERGY TEST PHOMA BETAE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PIGWEED ROUGH IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST PIGWEED ROUGH IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST PINE NUT, PIGNOLES IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PINE TREE AUSTRALIAN IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST PINE TREE AUSTRALIAN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST PINE, WHITE IGE",96.0,96.0,,,0 HCPCS,86003,"HC ALLERGY TEST PINE, WHITE IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PINEAPPLE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PISTACHIO IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST PORK IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST PORK IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST POTATO, SWEET IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST POTATO, WHITE IGE",96.0,96.0,,,0 HCPCS,86003,"HC ALLERGY TEST POTATO, WHITE IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST PRIVET, COMMON IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST RABBIT EPITHELIUM IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST RAGWEED SHORT/COMMON IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST RAGWEED SHORT/COMMON IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST RAGWEED, FALSE IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST RAGWEED, GIANT IGE",96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST RASPBERRY IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST REDTOP, BENTGRASS IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST RHIZOPUS NIGRICANS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST RICE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST RJUG R 1 WALNUT IGE ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SALMON IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST SALMON IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SCALE WEED IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SCALLOP IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST SCALLOP IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SESAME SEED IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST SESAME SEED IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SHEEP SORREL (DOCK) IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST SHEEP SORREL (DOCK) IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SHRIMP IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST SHRIMP IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SOYBEAN IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST SOYBEAN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SPINACH IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST STEMPHYLIUM BOTRYOSUM IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST STRAWBERRY IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST STRAWBERRY IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SUMMER SQUASH IGE - ARUP,69.0,69.0,,,0 HCPCS,86003,HC ALLERGY TEST SUNFLOWER SEED IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SWEET CHESTNUT IGE- ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST SWEET VERNAL GRASS IGE,96.0,96.0,,,0 HCPCS,86003,"HC ALLERGY TEST SYCAMORE, AMERICAN IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST TEA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST THISTLE, RUSSIAN IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST TILAPIA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST TIMOTHY GRASS IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST TIMOTHY GRASS IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST TOMATO IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST TOMATO IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST TREE MULBERRY (MORUS ALBA) IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST TROUT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST TUNA IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST TUNA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST TURKEY IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST VANILLA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST WALNUT IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST WALNUT JUGLANS REGIA IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST WALNUT TREE IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST WATERMELON IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST WESTERN RAGWEED IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST WESTERN WATER HEMP (AMARANTHUS SPP) IGE - ARUP,69.0,69.0,,,0 HCPCS,86003,HC ALLERGY TEST WHEAT IGE,96.0,96.0,,,0 HCPCS,86003,HC ALLERGY TEST WHEAT IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST WHEY IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST WHITE BEAN IGE - ARUP,21.0,21.0,,,0 HCPCS,86003,"HC ALLERGY TEST WILLOW, BLACK IGE - ARUP",21.0,21.0,,,0 HCPCS,86003,HC ALLERGY TEST YELLOW JACKET IGE - ARUP,21.0,21.0,,,0 HCPCS,86005,Allergen specific IgE,,,7.97,21.12,7 HCPCS,86005,HC ALLERGEN SPEC IGE - FEATHER MIX IGE,5.0,5.0,,,0 HCPCS,86005,HC ALLERGEN SPEC IGE - MULTIALLERGEN SCREEN,5.0,5.0,,,0 HCPCS,86005,HC ALLERGEN SPEC IGE - PINE MIX IGE,5.0,5.0,,,0 HCPCS,86005,HC ALLERGY TEST FEATHER MIX IGE - ARUP,35.0,35.0,,,0 HCPCS,86008,Allg spec ige recomb ea,,,17.93,47.51,7 HCPCS,86008,HC ALLERGEN SPEC IGE - EGG COMPONENT PANEL IGE,263.0,263.0,,,0 HCPCS,86008,HC ALLERGEN SPEC IGE - MILK COMPONENT PANEL IGE,263.0,263.0,,,0 HCPCS,86008,HC ALLERGEN SPEC IGE - PEANUT COMPONENT PANEL IGE,263.0,263.0,,,0 HCPCS,86008,HC ALLERGEN SPEC IGE - PURIFIED COMPONENT EACH,263.0,263.0,,,0 HCPCS,86008,HC ALLERGY TEST ALPHA GALACTOSE IGE - ARUP,155.0,155.0,,,0 HCPCS,86008,HC ALLERGY TEST BETA LACTOGLOBULIN IGE,96.0,96.0,,,0 HCPCS,86008,HC ALLERGY TEST BETA LACTOGLOBULIN IGE - ARUP,21.0,21.0,,,0 HCPCS,86008,HC ALLERGY TEST CASEIN IGE,263.0,263.0,,,0 HCPCS,86008,HC ALLERGY TEST CASEIN IGE - ARUP,21.0,21.0,,,0 HCPCS,86008,HC ALLERGY TEST CASHEW COMPONENT RANA O 3 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 HCPCS,86008,HC ALLERGY TEST HAZELNUT COMPONENT RCOR A 1 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 HCPCS,86008,HC ALLERGY TEST HAZELNUT COMPONENT RCOR A 14 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 HCPCS,86008,HC ALLERGY TEST HAZELNUT COMPONENT RCOR A 8 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 HCPCS,86008,HC ALLERGY TEST HAZELNUT COMPONENT RCOR A 9 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 HCPCS,86008,HC ALLERGY TEST LACTALBUMIN IGE,263.0,263.0,,,0 HCPCS,86008,HC ALLERGY TEST LACTALBUMIN IGE - ARUP,21.0,21.0,,,0 HCPCS,86008,HC ALLERGY TEST MILD PEANUT ARA H 8 IGE - PEANUT COMPONENT RFLX - ARUP,53.0,53.0,,,0 HCPCS,86008,HC ALLERGY TEST OVALBUMIN EGG IGE,263.0,263.0,,,0 HCPCS,86008,HC ALLERGY TEST OVALBUMIN EGG IGE - ARUP,21.0,21.0,,,0 HCPCS,86008,HC ALLERGY TEST OVOMUCOID EGG IGE,263.0,263.0,,,0 HCPCS,86008,HC ALLERGY TEST OVOMUCOID EGG IGE - ARUP,21.0,21.0,,,0 HCPCS,86008,HC ALLERGY TEST SEVERE PEANUT ARA H 1 IGE - PEANUT COMPONENT RFLX- ARUP,53.0,53.0,,,0 HCPCS,86008,HC ALLERGY TEST SEVERE PEANUT ARA H 2 IGE - PEANUT COMPONENT RFLX - ARUP,53.0,53.0,,,0 HCPCS,86008,HC ALLERGY TEST SEVERE PEANUT ARA H 3 IGE - PEANUT COMPONENT RFLX- ARUP,53.0,53.0,,,0 HCPCS,86008,HC ALLERGY TEST SEVERE PEANUT ARA H 6 IGE - PEANUT COMPONENT RFLX - ARUP,53.0,53.0,,,0 HCPCS,86008,HC ALLERGY TEST SEVERE PEANUT ARA H 9 IGE - PEANUT COMPONENT RFLX - ARUP,53.0,53.0,,,0 HCPCS,86008,HC ALLERGY TEST WALNUT COMPONENT RJUG R 1 IGE - NUT COMP PANEL - ARUP,256.0,256.0,,,0 HCPCS,86015,Actin antibody each,,,12.05,31.93,7 HCPCS,86015,HC ANTI-SMOOTH MUSCLE ANTIBODY,406.0,406.0,,,0 HCPCS,86015,HC F ACTIN SMOOTH MUSCLE IGA - ARUP,267.0,267.0,,,0 HCPCS,86015,HC F ACTIN SMOOTH MUSCLE IGG WITH REFLEX TITER - ARUP,46.0,46.0,,,0 HCPCS,86015,"HC F-ACTIN (SMOOTH MUSCLE), IGG",406.0,406.0,,,0 HCPCS,86015,HC SMOOTH MUSCLE IGG,378.0,378.0,,,0 HCPCS,86021,HC WBC ANTIBODY IDENTIFICATION - ANTI-NEUTROPHIL ANTIBODY,182.0,182.0,,,0 HCPCS,86021,HC WBC ANTIBODY IDENTIFICATION - ANTI-NEUTROPHIL ANTIBODY PERINUCLEAR,182.0,182.0,,,0 HCPCS,86021,HC WBC ANTIBODY IDENTIFICATION- ANTI-NEUTROPHIL ANTIBDY ANTIMYELOPEROXIDASE,182.0,182.0,,,0 HCPCS,86021,WBC antibody identification,,,15.05,39.88,7 HCPCS,86022,HC HEPARIN ANTIBODY,716.5,716.5,,,0 HCPCS,86022,HC HEPARIN-INDUCED PLATELET ANTIBODY,1327.0,1327.0,,,0 HCPCS,86022,HC PLATELET ANTIBODIES - HEPARIN-INDUCED PLATELET ANTIBODY,722.5,722.5,,,0 HCPCS,86022,HC PLATELET ANTIBODIES INDIRECT (ARUP),420.0,420.0,,,0 HCPCS,86022,HC PLATELET ANTIBODY SCREEN INDIRECT,525.5,525.5,,,0 HCPCS,86022,HC PLATELET ANTIBODY SCREEN INDIRECT - ONEBLOOD,1506.0,1506.0,,,0 HCPCS,86022,HC PLATELET CROSSMATCH,931.0,931.0,,,0 HCPCS,86022,HC PLATELET CROSSMATCH - REFERRED,1325.0,1325.0,,,0 HCPCS,86022,HC PLATELET HIT PF4 IGG WITH REFLEX SEROTONIN RELEASE ASSAY (ARUP),189.0,189.0,,,0 HCPCS,86022,HC PLATELET PF4 ANTIBODY HEPARIN INDUCED - ARUP,189.0,189.0,,,0 HCPCS,86022,HC SEROTONIN RELEASE ASSAY UNFRACTIONATED HEPARIN,716.5,716.5,,,0 HCPCS,86022,HC SEROTONIN RELEASE UNFRACTIONATED HEPARIN - ARUP,566.0,566.0,,,0 HCPCS,86022,HC SEROTONIN RELEASE UNFRACTIONATED HEPARIN - VERSITI,1620.0,1620.0,,,0 HCPCS,86022,Platelet antibodies,,,18.37,48.68,7 HCPCS,86023,"HC IMMUNOGLOBULIN ASSAY - PLATELET ANTIBODIES, DIRECT",166.0,166.0,,,0 HCPCS,86023,HC IMMUNOGLOBULIN ASSAY - PLATELET ASSOCIATED ANTIBODIES IDENTIFICATION,166.0,166.0,,,0 HCPCS,86023,Immunoglobulin assay,,,12.46,33.02,7 HCPCS,86036,Anca screen each antibody,,,12.05,31.93,7 HCPCS,86036,HC ANCA - ANCA ASSOCIATED VASCULITIS PROFILE - ARUP,56.0,56.0,,,0 HCPCS,86036,HC ANCA - INFLAMMATORY BOWEL DISEASE PANEL - ARUP,79.0,79.0,,,0 HCPCS,86036,HC ANCA ASSOCIATED VASCULITIS PROFILE - ARUP,61.0,61.0,,,0 HCPCS,86036,HC ANTI NEUTROPHIL CYTO ANTIBY SCREEN,406.0,406.0,,,0 HCPCS,86036,HC ANTI NEUTROPHIL CYTOPLASMIC ANTIBODY (ANCA),376.0,376.0,,,0 HCPCS,86036,"HC ANTI-NEUTROPHIL CYTOPLASMIC ANTIBODY, IGG BY IFA - ARUP",59.0,59.0,,,0 HCPCS,86036,HC NEUTROPHIL CYTOPLASMIC ANTIBODY (ANCA) IGG IFA - ARUP,55.0,55.0,,,0 HCPCS,86037,Anca titer each antibody,,,12.05,31.93,7 HCPCS,86037,HC ANCA TITER AND PATTERN,569.0,569.0,,,0 HCPCS,86037,HC ANTI-NEUTROPHIL CYTOPLASMIC TITER,615.0,615.0,,,0 HCPCS,86037,"HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODIES, TITER, FA",615.0,615.0,,,0 HCPCS,86038,Antinuclear antibodies,,,12.09,32.04,7 HCPCS,86038,HC ANA (ANTINUCLEAR ANTIBODIES),247.0,247.0,,,0 HCPCS,86038,HC ANA - ANTINUCLEAR ANTIBODY WRFLX TITER - ARUP,50.5,50.5,,,0 HCPCS,86038,HC ANA - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP,62.0,62.0,,,0 HCPCS,86038,HC ANA IFA SCREEN W/RFLX - QWDL,25.0,25.0,,,0 HCPCS,86038,HC ANA REFLEXIVE PROFILE - ARUP,50.5,50.5,,,0 HCPCS,86039,Antinuclear antibodies (ANA),,,11.16,29.57,7 HCPCS,86039,"HC ANA ANTIBODY, HEP-2, IGG - SYSTEMIC SCLEROSIS PANEL - ARUP",107.0,107.0,,,0 HCPCS,86039,HC ANA TITER,601.0,601.0,,,0 HCPCS,86039,HC ANA TITER - ANTINUCLEAR ANTIBODY HEP-2 IGG W REFLEX - ARUP,43.0,43.0,,,0 HCPCS,86039,HC ANA TITER - ANA IGG HEP-2 REFLEX - ARUP,21.0,21.0,,,0 HCPCS,86039,HC ANA TITER - ANA TITER AND PATTERN REFLEX - QWDL,33.0,33.0,,,0 HCPCS,86039,HC ANA TITER - ANTINUCLEAR ABS TITER AND PATTERN REFLEX - QWDL,33.0,33.0,,,0 HCPCS,86039,HC ANA TITER - ANTINUCLEAR ANTIBODY HEP-2 IGG (RFLX) - ARUP,65.0,65.0,,,0 HCPCS,86039,HC ANA TITER - ANTINUCLEAR ANTIBODY HEP-2 IGG - ARUP,61.0,61.0,,,0 HCPCS,86039,HC ANA TITER - SYSTEMIC SCLEROSIS PANEL - ARUP,116.0,116.0,,,0 HCPCS,86041,Acetylcholn rcptr bndng antb,,,18.4,48.76,7 HCPCS,86041,HC ACETYLCHOLINE RECEPTOR BINDING ANTIBODY - ARUP,84.0,84.0,,,0 HCPCS,86041,HC ACHR BINDING ANTIBODY - ACETYLCHOLINE RECEPTOR AB W/REFLEX PANEL - ARUP,105.0,105.0,,,0 HCPCS,86041,"HC ACHR BINDING ANTIBODY - ACHR, TITIN, STM AB REFLEX PANEL - ARUP",169.0,169.0,,,0 HCPCS,86042,Acetylcholn rcptr blckg antb,,,18.4,48.76,7 HCPCS,86042,HC ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY - ARUP,126.0,126.0,,,0 HCPCS,86042,HC ACHR BLOCKING ANTIBODY - ACETYLCHOLINE RECEPTOR AB W/REFLEX PANEL - ARUP,105.0,105.0,,,0 HCPCS,86042,"HC ACHR BLOCKING ANTIBODY - ACHR, TITIN, STM AB REFLEX PANEL - ARUP",169.0,169.0,,,0 HCPCS,86043,Acetylcholn rcptr modlg antb,,,12.05,31.93,7 HCPCS,86043,HC ACETYLCHOLINE REC (ACHR) MOD AB,147.0,147.0,,,0 HCPCS,86051,Aquaporin-4 antb elisa,,,11.53,30.55,7 HCPCS,86051,HC AQUAPORIN 4 RECEPTOR ANTIBODY WITH REFLEX - ARUP,327.0,327.0,,,0 HCPCS,86051,HC AQUAPORIN-4 RECEPTOR AB,441.0,441.0,,,0 HCPCS,86052,Aquaporin-4 antb cba each,,,12.05,31.93,7 HCPCS,86052,HC - AQUAPHORIN - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 HCPCS,86052,HC AQUAPORIN 4 REC AB CSF,64.0,64.0,,,0 HCPCS,86052,HC AQUAPORIN 4 RECEPTOR ANTIBODY CSF - ARUP,840.0,840.0,,,0 HCPCS,86052,HC NEUROMYELITIS OPTICA/AQPF IGG WITH REFLEX TO TITER SERUM - ARUP,735.0,735.0,,,0 HCPCS,86052,HC NMO / AQP4 IGG CSF - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86053,Aqaprn-4 antb flo cytmtry ea,,,37.73,99.98,7 HCPCS,86060,Antistreptolysin o titer,,,7.3,19.34,7 HCPCS,86060,HC ANTISTREPTOLYSIN O TITER - ANTISTREPTOLYSIN O TITER,430.0,430.0,,,0 HCPCS,86063,Antistreptolysin o screen,,,5.77,15.29,7 HCPCS,86063,HC ANTISTREPTOLYSIN O SCREEN - ANTI-STREPTOLYSIN O,335.0,335.0,,,0 HCPCS,86077,HC BB PHYS.CONSULT INTERP&RP,123.0,123.0,,,0 HCPCS,86078,HC PHYSICIAN TRANSFUSION REACTION INTERP & REPORT,659.0,659.0,,,0 HCPCS,86078,Phys blood bank serv reactj,,,177.91,471.47,7 HCPCS,86079,Phys blood bank serv authrj,,,54.42,144.21,7 HCPCS,86140,C-reactive protein,,,5.18,13.73,7 HCPCS,86140,HC C REACTIVE PROTEIN LEVEL MG/DL INFLAMMATORY,288.0,288.0,,,0 HCPCS,86140,HC C REACTIVE PROTEIN LEVEL MG/L INFLAMMATORY,288.5,288.5,,,0 HCPCS,86140,HC CRP (C-REACTIVE PROTEIN) INFLAMMATORY,172.5,172.5,,,0 HCPCS,86141,C-reactive protein hs,,,12.95,34.32,7 HCPCS,86141,HC C REACTIVE PROTEIN HIGH SENSITIVITY (CARDIO) - ARUP,68.0,68.0,,,0 HCPCS,86141,HC C REACTIVE PROTEIN HIGH SENSITIVITY (CARDIO) MG/DL,243.0,243.0,,,0 HCPCS,86141,HC C REACTIVE PROTEIN HIGH SENSITIVITY CARDIAC MG/L,241.0,241.0,,,0 HCPCS,86141,HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - ARUP,93.5,93.5,,,0 HCPCS,86141,HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - CARDIAC,188.0,188.0,,,0 HCPCS,86146,Beta-2 glycoprotein antibody,,,25.45,67.44,7 HCPCS,86146,HC BETA 2 GLYCOPROTEIN 1 IGA - ARUP,63.0,63.0,,,0 HCPCS,86146,HC BETA 2 GLYCOPROTEIN 1 IGA - BETA 2 GLYCOPROTEIN 1 IGA IGG IGM - ARUP,63.0,63.0,,,0 HCPCS,86146,HC BETA 2 GLYCOPROTEIN 1 IGG - BETA 2 GLYCOPROTEIN 1 IGA IGG IGM - ARUP,63.0,63.0,,,0 HCPCS,86146,HC BETA 2 GLYCOPROTEIN 1 IGG - BETA 2 GLYCOPROTEIN 1 IGG IGM - ARUP,63.0,63.0,,,0 HCPCS,86146,HC BETA 2 GLYCOPROTEIN 1 IGM - BETA 2 GLYCOPROTEIN 1 IGA IGG IGM - ARUP,63.0,63.0,,,0 HCPCS,86146,HC BETA 2 GLYCOPROTEIN 1 IGM - BETA 2 GLYCOPROTEIN 1 IGG IGM - ARUP,63.0,63.0,,,0 HCPCS,86146,"HC BETA 2 GLYCOPROTEIN I ANTIBODY,EA - BETA-2 GLYCOPROTEIN ABS",933.0,933.0,,,0 HCPCS,86146,"HC BETA 2 GLYCOPROTEIN I ANTIBODY,EA - BETA-2 GLYCOPROTEIN ABS IGA",40.0,40.0,,,0 HCPCS,86146,HC BETA-2 GLYCOPROTEIN ABS IGG - PHOSLIPID ARUP,77.0,77.0,,,0 HCPCS,86146,HC BETA-2 GLYCOPROTEIN ABS IGM - PHOSLIPID ARUP,77.0,77.0,,,0 HCPCS,86147,Cardiolipin antibody ea ig,,,25.45,67.44,7 HCPCS,86147,HC CARDIOLIPIN ANTIBODY - CARDIOLIPIN ANTIBODY,23.0,23.0,,,0 HCPCS,86147,HC CARDIOLIPIN ANTIBODY IGA - ARUP,49.0,49.0,,,0 HCPCS,86147,HC CARDIOLIPIN ANTIBODY IGA ARUP,311.0,311.0,,,0 HCPCS,86147,HC CARDIOLIPIN ANTIBODY IGG - ARUP,49.0,49.0,,,0 HCPCS,86147,HC CARDIOLIPIN ANTIBODY IGG - ARUP PHOSLIPID,77.0,77.0,,,0 HCPCS,86147,HC CARDIOLIPIN ANTIBODY IGG ARUP,311.0,311.0,,,0 HCPCS,86147,HC CARDIOLIPIN ANTIBODY IGM - ARUP,42.0,42.0,,,0 HCPCS,86147,HC CARDIOLIPIN ANTIBODY IGM - ARUP PHOSLIPID,77.0,77.0,,,0 HCPCS,86147,HC CARDIOLIPIN ANTIBODY IGM ARUP,311.0,311.0,,,0 HCPCS,86147,HC CARDIOLIPIN IGG - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP,72.0,72.0,,,0 HCPCS,86147,HC CARDIOLIPIN IGG - CARDIOLIPIN IGG IGM ANTIBODIES - ARUP,45.0,45.0,,,0 HCPCS,86147,HC CARDIOLIPIN IGM - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP,72.0,72.0,,,0 HCPCS,86147,HC CARDIOLIPIN IGM - CARDIOLIPIN IGG IGM ANTIBODIES - ARUP,45.0,45.0,,,0 HCPCS,86148,Anti-phospholipid antibody,,,16.07,42.59,7 HCPCS,86148,HC PHOSPHATIDYLSERINE IGG - NON-CRITERIA APS - ARUP,256.0,256.0,,,0 HCPCS,86148,HC PHOSPHATIDYLSERINE IGM - NON-CRITERIA APS - ARUP,256.0,256.0,,,0 HCPCS,86148,HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODIES,933.0,933.0,,,0 HCPCS,86148,HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODY IGA,30.0,30.0,,,0 HCPCS,86148,HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODY IGG,30.0,30.0,,,0 HCPCS,86148,HC PHOSPHOLIPID ANTIBODY - PHOSPHATIDYLSERINE ANTIBODY IGM,30.0,30.0,,,0 HCPCS,86148,HC PHOSPHOLIPID ANTIBODY - PHOSPHOLIPID ANTIBODIES,30.0,30.0,,,0 HCPCS,86148,HC PHOSPHOLIPID IGA - PHOSPHATIDYLSERINE ANTIBODIES - ARUP,56.0,56.0,,,0 HCPCS,86148,HC PHOSPHOLIPID IGG - PHOSPHATIDYLSERINE ANTIBODIES - ARUP,56.0,56.0,,,0 HCPCS,86148,HC PHOSPHOLIPID IGG - PHOSPHATIDYLSERINE ANTIBODIES IGG & IGM - ARUP,56.0,56.0,,,0 HCPCS,86148,HC PHOSPHOLIPID IGM - PHOSPHATIDYLSERINE ANTIBODIES - ARUP,56.0,56.0,,,0 HCPCS,86148,HC PHOSPHOLIPID IGM - PHOSPHATIDYLSERINE ANTIBODIES IGG & IGM - ARUP,56.0,56.0,,,0 HCPCS,86152,Cell enumeration & id,,,250.78,664.57,7 HCPCS,86152,HC IMMUNOLOGIC SELECTION CELL ENUMERATION AND ID,821.0,821.0,,,0 HCPCS,86155,Chemotaxis assay,,,15.99,42.37,7 HCPCS,86156,Cold agglutinin screen,,,8.07,21.39,7 HCPCS,86156,HC COLD AGGLUTININ SCREEN - ARUP,59.0,59.0,,,0 HCPCS,86156,HC COLD AGGLUTININ SCREEN - COLD AGGLUTININ SCREEN,241.0,241.0,,,0 HCPCS,86156,HC COLD AGGLUTININ SCREEN - COLD AGGLUTININ SCREEN REF LAB,241.0,241.0,,,0 HCPCS,86157,Cold agglutinin titer,,,8.06,21.36,7 HCPCS,86157,"HC COLD AGGLUTININ, TITER - COLD AGGLUTININ TITER",84.0,84.0,,,0 HCPCS,86160,Complement antigen,,,12.0,31.8,7 HCPCS,86160,"HC C1 ESTERASE INHIBITOR, ESTERASE INHIB PANEL - ARUP",50.0,50.0,,,0 HCPCS,86160,HC C3 COMPLEMENT,311.0,311.0,,,0 HCPCS,86160,HC C3 COMPLEMENT - ARUP,50.0,50.0,,,0 HCPCS,86160,HC C3 COMPLEMENT COMPONENT C3C - QWDL,41.5,41.5,,,0 HCPCS,86160,HC C3 COMPLEMENT COMPONENT C4C - QWDL,41.5,41.5,,,0 HCPCS,86160,HC C3 LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP,39.0,39.0,,,0 HCPCS,86160,HC C4 COMPLEMENT,311.0,311.0,,,0 HCPCS,86160,HC C4 COMPLEMENT - ARUP,41.5,41.5,,,0 HCPCS,86160,HC C4 LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP,39.0,39.0,,,0 HCPCS,86160,"HC COMPLEMENT, ANTIGEN - C1 COMPLEMENT",304.5,304.5,,,0 HCPCS,86160,"HC COMPLEMENT, ANTIGEN - C1 ESTERASE INHIBITOR COMPLEMENT",64.5,64.5,,,0 HCPCS,86160,"HC COMPLEMENT, ANTIGEN - C2 COMPLEMENT",82.0,82.0,,,0 HCPCS,86160,"HC COMPLEMENT, ANTIGEN - C5 COMPLEMENT",82.0,82.0,,,0 HCPCS,86160,"HC COMPLEMENT, ANTIGEN - C7 COMPLEMENT",304.5,304.5,,,0 HCPCS,86160,"HC COMPLEMENT, ANTIGEN - C8 COMPLEMENT",304.5,304.5,,,0 HCPCS,86160,"HC COMPLEMENT, ANTIGEN - COMPLEMENT",65.5,65.5,,,0 HCPCS,86161,Complement/function activity,,,12.0,31.8,7 HCPCS,86161,HC C1 ESTERASE INHIBITOR FUNCTIONAL - ARUP,62.0,62.0,,,0 HCPCS,86161,"HC C1 ESTERASE INHIBITOR, FUNCTIONAL, ESTERASE INHIB PANEL - ARUP",68.0,68.0,,,0 HCPCS,86161,"HC COMPLEMENT/FUNCTION ACTIVITY - C1, FUNCTIONAL",113.0,113.0,,,0 HCPCS,86162,Complement total (ch50),,,20.32,53.85,7 HCPCS,86162,HC COMPLEMENT TOTAL (CH50) - ARUP,63.0,63.0,,,0 HCPCS,86162,"HC COMPLEMENT, TOTAL (CH50) - COMPLEMENT TOTAL",73.5,73.5,,,0 HCPCS,86171,Complement fixation each,,,10.01,26.53,7 HCPCS,86171,HC COMPLEMENT FIXATION - EACH ANTIGEN,54.0,54.0,,,0 HCPCS,86200,Ccp antibody,,,12.95,34.32,7 HCPCS,86200,HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY,386.0,386.0,,,0 HCPCS,86200,HC CYCLIC CIRULLINATED PEPTIDE IGG/A - RHEUMATOID ARTHRITIS PANEL - ARUP,124.0,124.0,,,0 HCPCS,86200,HC CYCLIC CITRUL PEPTIDE (CCP) ANTIBODY - RHEUMATOID ARTHRITIS PANEL - ARUP,124.0,124.0,,,0 HCPCS,86200,HC CYCLIC CITRUL PEPTIDE (CCP) IGG & IGA - ARUP,76.0,76.0,,,0 HCPCS,86200,HC CYCLIC CITRULLINATED PEPTIDE IGG,410.5,410.5,,,0 HCPCS,86215,Deoxyribonuclease antibody,,,13.25,35.11,7 HCPCS,86215,HC ANTI DNASE B ANTIBODY - ARUP,44.0,44.0,,,0 HCPCS,86215,"HC DEOXYRIBONUCLEASE, ANTIBODY - ANTI DNASE B ANTIBODY",64.0,64.0,,,0 HCPCS,86225,Dna antibody native,,,13.74,36.41,7 HCPCS,86225,HC ANTI DNA DOUBLE STRANDED,345.0,345.0,,,0 HCPCS,86225,HC ANTI DNA DOUBLE STRANDED - ARUP,82.5,82.5,,,0 HCPCS,86225,HC ANTI DNA DOUBLE STRANDED ANTIBODY - QWDL,77.0,77.0,,,0 HCPCS,86225,HC DNA ANTIBODY DOUBLE STRANDED - QWDL,34.0,34.0,,,0 HCPCS,86225,HC DNA ANTIBODY DOUBLE STRANDED IGG W/REFLEX TO IFA TITER - ARUP,42.0,42.0,,,0 HCPCS,86226,Dna antibody single strand,,,12.11,32.09,7 HCPCS,86231,Ema each ig class,,,12.09,32.04,7 HCPCS,86231,HC ENDOMYSIAL IGA - ARUP,72.0,72.0,,,0 HCPCS,86231,HC ENDOMYSIAL IGA ANTIBODY,161.0,161.0,,,0 HCPCS,86231,HC ENDOMYSIAL IGA ANTIBODY TITER,161.0,161.0,,,0 HCPCS,86231,HC ENDOMYSIAL IGA BY IFA - CELIAC DISEASE REFLEX CASCADE - ARUP,72.0,72.0,,,0 HCPCS,86231,HC ENDOMYSIAL IGG - ARUP,176.0,176.0,,,0 HCPCS,86231,HC ENDOMYSIAL IGG ANTIBODY,64.0,64.0,,,0 HCPCS,86235,HC ANTI SMITH ANTIBODY,322.0,322.0,,,0 HCPCS,86235,HC FIBRILLARIN (U3 RNP) IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 HCPCS,86235,HC FIBRILLARIN U3 RNP IGG - ARUP,333.0,333.0,,,0 HCPCS,86235,HC JO1 IGG - ARUP,84.0,84.0,,,0 HCPCS,86235,HC JO1 IGG - CONNECT TISSUE DIS PROFILE - ARUP,70.0,70.0,,,0 HCPCS,86235,HC JO1 IGG - DERMATOMYOSITIS POLYMYOSITIS PANEL - ARUP,96.0,96.0,,,0 HCPCS,86235,HC JO1 IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 HCPCS,86235,HC NUCLEAR ANTIGEN ANTIBODY - ANTI JO-1 IGG,348.0,348.0,,,0 HCPCS,86235,HC NUCLEAR ANTIGEN ANTIBODY - ENA PM1 ABY,332.0,332.0,,,0 HCPCS,86235,HC NUCLEAR ANTIGEN ANTIBODY - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES,59.0,59.0,,,0 HCPCS,86235,HC NUCLEAR ANTIGEN ANTIBODY - RIBOSOMAL P PROTEIN ANTIBODY,113.0,113.0,,,0 HCPCS,86235,HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-A EXT NU AB,348.0,348.0,,,0 HCPCS,86235,HC NUCLEAR ANTIGEN ANTIBODY - SJOGRENS SYNDROME-B EXT NUC AB,348.0,348.0,,,0 HCPCS,86235,HC NUCLEAR ANTIGEN ANTIBODY - SMITH ANTIBODY,348.0,348.0,,,0 HCPCS,86235,HC PM/SCL 100 IGG - SYSTEMIC SCLEROSIS PANEL - ARUP,172.0,172.0,,,0 HCPCS,86235,HC PM/SCL 100 IGG IMMUNOBLOT - ARUP,273.0,273.0,,,0 HCPCS,86235,HC PM1 ANTIBODY,332.0,332.0,,,0 HCPCS,86235,HC PMSCL 100 IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 HCPCS,86235,HC RIBONUCLEIC PROTEIN (RNP) IGG,322.0,322.0,,,0 HCPCS,86235,HC RIBONUCLEIC PROTEIN ANTIBODY,332.0,332.0,,,0 HCPCS,86235,HC RIBOSOMAL P PROTEIN IGG - ARUP,72.0,72.0,,,0 HCPCS,86235,HC RNA POLYMERASE III IGG - SYSTEMIC SCLEROSIS PANEL - ARUP,258.5,258.5,,,0 HCPCS,86235,HC SCLERODERMA (SCL-70) ANTIBODY- SYSTEMIC SCLEROSIS PANEL - ARUP,185.0,185.0,,,0 HCPCS,86235,HC SCLERODERMA SCL-70 ANTIBODY,322.0,322.0,,,0 HCPCS,86235,HC SCLERODERMA SCL-70 ANTIBODY - CONNECT TISSUE DIS PROFILE - ARUP,70.0,70.0,,,0 HCPCS,86235,HC SCLERODERMA SCL-70 IGG - SYSTEMIC SCLEROSIS PROFILE - ARUP,348.0,348.0,,,0 HCPCS,86235,HC SCLERODERMA SCL70 ENA IGG - ARUP,59.0,59.0,,,0 HCPCS,86235,HC SMITH ANTIBODY - CONNECTIVE TISSUE DIS PROFILE - ARUP,70.0,70.0,,,0 HCPCS,86235,HC SMITH ANTIBODY - SYSTEMIC SCLEROSIS PANEL - ARUP,185.0,185.0,,,0 HCPCS,86235,HC SMITH ENA IGG - ARUP,59.0,59.0,,,0 HCPCS,86235,HC SMITH ENA IGG - ENA ANTIBODIES - ARUP,47.0,47.0,,,0 HCPCS,86235,HC SMITH RNP ENA IGG - ARUP,59.0,59.0,,,0 HCPCS,86235,HC SMITH RNP IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 HCPCS,86235,HC SMITH/RNP ENA IGG - ENA ANTIBODIES - ARUP,47.0,47.0,,,0 HCPCS,86235,HC SMITH/RNP ENA IGG - SYSTEMIC SCLEROSIS PANEL - ARUP,172.0,172.0,,,0 HCPCS,86235,HC SSA (RO) IGG,322.0,322.0,,,0 HCPCS,86235,HC SSA52 (RO52) ENA IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 HCPCS,86235,HC SSA52 (RO52) ENA IGG - SSA RO ANTIBODY - ARUP,59.0,59.0,,,0 HCPCS,86235,HC SSA52 (RO52) IGG - CONNECTIVE TISSUE DISEASE PROFILE - ARUP,70.0,70.0,,,0 HCPCS,86235,HC SSA52 (RO52) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES - ARUP,47.0,47.0,,,0 HCPCS,86235,HC SSA52 (RO52) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES- ARUP,39.0,39.0,,,0 HCPCS,86235,HC SSA60 (RO60) IGG - CONNECTIVE TISSUE DISEASE PROFILE - ARUP,70.0,70.0,,,0 HCPCS,86235,HC SSA60 (RO60) IGG - EXTENDED MYOSITIS PANEL - ARUP,90.0,90.0,,,0 HCPCS,86235,HC SSA60 (RO60) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES - ARUP,47.0,47.0,,,0 HCPCS,86235,HC SSA60 (RO60) IGG- EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES- ARUP,39.0,39.0,,,0 HCPCS,86235,HC SSB (LA) IGG,322.0,322.0,,,0 HCPCS,86235,HC SSB (LA) IGG - ARUP,59.0,59.0,,,0 HCPCS,86235,HC SSB (LA) IGG - CONNECTIVE TISSUE DISEASE PANEL - ARUP,70.0,70.0,,,0 HCPCS,86235,HC SSB (LA) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES ARUP,47.0,47.0,,,0 HCPCS,86235,HC SSB (LA) IGG - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODIES- ARUP,39.0,39.0,,,0 HCPCS,86235,Nuclear antigen antibody,,,17.93,47.51,7 HCPCS,86255,Fluorescent antibody screen,,,12.05,31.93,7 HCPCS,86255,"HC AMPA RECEPT AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,HC AMPA RECEPTOR IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL -ARUP,295.0,295.0,,,0 HCPCS,86255,HC AMPA RECEPTOR IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86255,HC AMPA RECEPTOR IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC AMPA RECPTOR IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,HC ANTI-PARIETAL CELL ANTIBODY,380.5,380.5,,,0 HCPCS,86255,HC AQUAPORIN 4 RECEPTOR ANTIBODY CSF,213.0,213.0,,,0 HCPCS,86255,"HC CASPR2 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,HC CASPR2 IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 HCPCS,86255,HC CASPR2 IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86255,HC CASPR2 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC CASPR2 IGG - LGI1 & CASPR2 ANTIBODIES SCREEN - ARUP,466.0,466.0,,,0 HCPCS,86255,HC CASPR2 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,"HC CV2 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,HC CV2.1 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC CV2.1 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,HC CV2.1 IGG IFA - PARANEOPLASTIC REFLEX PANEL - ARUP,104.0,104.0,,,0 HCPCS,86255,"HC DPPX AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,HC DPPX IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 HCPCS,86255,HC DPPX IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86255,HC DPPX IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC DPPX IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,HC FLUORESCENT ANTIBODY - ENDOMYSIAL ANTIBODY,89.5,89.5,,,0 HCPCS,86255,HC FLUORESCENT ANTIBODY - EPIDERMAL ANTIBODY,89.5,89.5,,,0 HCPCS,86255,HC FLUORESCENT ANTIBODY - MYOCARDIAL ANTIBODY,89.5,89.5,,,0 HCPCS,86255,HC FLUORESCENT ANTIBODY - NEUROMYELITIS OPTICA,89.5,89.5,,,0 HCPCS,86255,HC FLUORESCENT ANTIBODY - PARIETAL CELL ANTIBODY,89.5,89.5,,,0 HCPCS,86255,HC FLUORESCENT ANTIBODY - RETICULIN ANTIBODY,89.5,89.5,,,0 HCPCS,86255,HC FLUORESCENT ANTIBODY - RETICULIN IGA ANTIBODY,89.5,89.5,,,0 HCPCS,86255,HC FLUORESCENT ANTIBODY; SCREEN - ANTI NEUTROPHIL CYTO ANTIBDY,222.5,222.5,,,0 HCPCS,86255,HC FLUORESCENT ANTIBODY; SCREEN - GLOMERULAR BASEMT MEMB IGG AB,89.5,89.5,,,0 HCPCS,86255,HC FLUORESCENT NONINFECTIOUS ANTIBODY - MITOCHONDRIAL ANTIBODY,222.5,222.5,,,0 HCPCS,86255,HC FLUORESCENT NONINFECTIOUS ANTIBODY - SCREEN EACH,84.5,84.5,,,0 HCPCS,86255,HC FLUORESCENT NONINFECTIOUS ANTIBODY - SMOOTH MUSCLE ANTIBODY,222.5,222.5,,,0 HCPCS,86255,HC FLUORESCENT NONINFECTIOUS ANTIBODY - STRIATED MUSCLE ANTIBODY,70.0,70.0,,,0 HCPCS,86255,HC GABA AR IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 HCPCS,86255,HC GABA AR IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86255,HC GABA AR IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,HC GABA BR IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 HCPCS,86255,HC GABA BR IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86255,HC GABA BR IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC GABA BR IGG BY CBA IFA WITH REFLEX TO TITER CSF - ARUP,609.0,609.0,,,0 HCPCS,86255,HC GABA BR IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,"HC GABA-BR AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,HC GLOMERULAR BASEMENT MEMBRANE IGG - ARUP,252.0,252.0,,,0 HCPCS,86255,"HC IGLON5 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,HC IGLON5 IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86255,HC IGLON5 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC IGLON5 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,HC IGLONS IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 HCPCS,86255,HC ITPR1 IGG CSF -AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,HC LGI IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86255,"HC LGI1 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,HC LGI1 IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 HCPCS,86255,HC LGI1 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC LGI1 IGG - LGI1 & CASPR2 ANTIBODIES SCREEN - ARUP,466.0,466.0,,,0 HCPCS,86255,HC LGI1 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,"HC MGLUR1 AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,HC MGLUR1 IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,295.0,295.0,,,0 HCPCS,86255,HC MGLUR1 IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86255,HC MGLUR1 IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC MGLUR1 IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,HC MUSCLE SPECIFIC KINASE (MUSK) IGG - ARUP,1238.0,1238.0,,,0 HCPCS,86255,HC N METHYL D ASPARTATE (NMDA) RECEPTOR IGG WITH REFLEX - ARUP,525.0,525.0,,,0 HCPCS,86255,HC N METHYL D ASPARTATE (NMDA) RECEPTOR IGG WITH REFLEX CSF - ARUP,492.0,492.0,,,0 HCPCS,86255,HC N-METHYL-D-ASPARTATE RECEPTOR ANTIBODY,180.5,180.5,,,0 HCPCS,86255,HC N-METHYL-D-ASPARTATE RECEPTOR ANTIBODY CSF,210.5,210.5,,,0 HCPCS,86255,"HC NMDA RECEPT AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,HC NMDA RECEPTOR IGG - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL -ARUP,295.0,295.0,,,0 HCPCS,86255,HC NMDA RECEPTOR IGG - AUTOIMMUNE ENCEPHALITIS REFLEX PANEL CSF - ARUP,281.0,281.0,,,0 HCPCS,86255,HC NMDA RECEPTOR IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC NMDA RECEPTOR IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL -ARUP,227.0,227.0,,,0 HCPCS,86255,HC PARANEOPLASTIC ANTIBODIES (PCCA/ANNA) CSF - ARUP,130.0,130.0,,,0 HCPCS,86255,HC PARANEOPLASTIC ANTIBODIES PCCA/ANNA,81.0,81.0,,,0 HCPCS,86255,HC PARANEOPLASTIC ANTIBODIES PCCA/ANNA CSF,81.0,81.0,,,0 HCPCS,86255,HC PARANEOPLASTIC ANTIBODIES REFLEX TITER & WB - ARUP,130.0,130.0,,,0 HCPCS,86255,HC PARIETAL CELL ANTIBODY,222.5,222.5,,,0 HCPCS,86255,HC PCCA/ANNA IGG - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PANEL CSF - ARUP,237.0,237.0,,,0 HCPCS,86255,HC PCCA/ANNA IGG - PARANEOPLASTIC REFLEX PANEL - ARUP,104.0,104.0,,,0 HCPCS,86255,HC PCCA/ANNA IGG CSF - AUTOIMMUNE NEUROLOGIC DISEASE REFLEX PANEL - ARUP,227.0,227.0,,,0 HCPCS,86255,HC PHOSPHOLIPASE A2 RECEPTOR IGG WITH REFLEX - ARUP,588.0,588.0,,,0 HCPCS,86255,HC PURKINJE CELL / NEURONAL NUCLEAR IGG - SENSORY NEUROPATHY PANEL - ARUP,132.0,132.0,,,0 HCPCS,86255,"HC PURKINJE CELL AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",197.0,197.0,,,0 HCPCS,86255,"HC STRIATED MUSCLE AB - ACHR, TITIN, STM AB REFLEX PANEL - ARUP",111.0,111.0,,,0 HCPCS,86255,HC STRIATED MUSCLE IGG WITH REFLEX - ARUP,51.0,51.0,,,0 HCPCS,86255,HC TITIN ANTIBODY - MYASTHENIA GRAVIS PANEL - ARUP,124.0,124.0,,,0 HCPCS,86256,Fluorescent antibody titer,,,12.05,31.93,7 HCPCS,86256,HC AMPA RECEPTOR IGG TITER CSF - ARUP,1050.0,1050.0,,,0 HCPCS,86256,HC AMPA RECEPTOR IGG TITER SERUM - ARUP,1050.0,1050.0,,,0 HCPCS,86256,HC ANTI-MITOCHONDRIAL TITER,418.0,418.0,,,0 HCPCS,86256,HC ANTI-SMOOTH MUSCLE ANTIBODY TITER,615.0,615.0,,,0 HCPCS,86256,HC ANTI-SMOOTH MUSCLE ANTIBODY TITER - ARUP,142.0,142.0,,,0 HCPCS,86256,HC AQUAPORIN 4 RECEPTOR ANTIBODY TITER CSF,337.0,337.0,,,0 HCPCS,86256,HC CASPR2 IGG IFA SERUM TITER - ARUP,876.0,876.0,,,0 HCPCS,86256,HC CASPR2 IGG TITER CSF - ARUP,876.0,876.0,,,0 HCPCS,86256,HC CV2.1 IGG TITER CSF - ARUP,945.0,945.0,,,0 HCPCS,86256,HC CV2.1 IGG TITER- ARUP,945.0,945.0,,,0 HCPCS,86256,HC DOUBLE-STRANDED DNA (DSDNA) IGG IFA - ARUP,93.0,93.0,,,0 HCPCS,86256,HC DPPX IGG TITER CSF - ARUP,1175.0,1175.0,,,0 HCPCS,86256,HC DPPX IGG TITER SERUM - ARUP,1175.0,1175.0,,,0 HCPCS,86256,HC ENDOMYSIAL ANTIBODY IGG,583.0,583.0,,,0 HCPCS,86256,HC FLUORESCENT ANTIBODY TITER - ENDOMYSIAL,583.0,583.0,,,0 HCPCS,86256,HC FLUORESCENT ANTIBODY TITER - NEUTROPHIL CYTOPLASMIC (ANCA),583.0,583.0,,,0 HCPCS,86256,HC FLUORESCENT ANTIBODY TITER - STRIATED MUSCLE,583.0,583.0,,,0 HCPCS,86256,HC FLUORESCENT ANTIBODY; TITER - ANTIMITOCHONDRIAL AB,615.0,615.0,,,0 HCPCS,86256,HC FLUORESCENT ANTIBODY; TITER - DSDNA IGG,583.0,583.0,,,0 HCPCS,86256,"HC FLUORESCENT ANTIBODY; TITER - ENDOMYSIAL ANTIBODY, IGA TITER",137.0,137.0,,,0 HCPCS,86256,HC FLUORESCENT NONINFECTIOUS ANTIBODY - TITER - EACH ANTIBODY,504.0,504.0,,,0 HCPCS,86256,HC GABA-A RECEPTOR IGG TITER CSF - ARUP,2254.0,2254.0,,,0 HCPCS,86256,HC GABA-A RECEPTOR IGG TITER SERUM - ARUP,2254.0,2254.0,,,0 HCPCS,86256,HC GABA-B RECEPTOR IGG TITER CSF - ARUP,1050.0,1050.0,,,0 HCPCS,86256,HC GABA-B RECEPTOR IGG TITER SERUM - ARUP,1050.0,1050.0,,,0 HCPCS,86256,HC IGLON5 IGG TITER CSF - ARUP,2582.0,2582.0,,,0 HCPCS,86256,HC IGLON5 IGG TITER SERUM - ARUP,2582.0,2582.0,,,0 HCPCS,86256,HC ITPR1 IGG TITER CSF - ARUP,3472.0,3472.0,,,0 HCPCS,86256,HC LGI1 IGG SERUM TITER BY IFA - ARUP,968.0,968.0,,,0 HCPCS,86256,HC LGI1 IGG TITER BY IFA CSF - ARUP,967.0,967.0,,,0 HCPCS,86256,HC MGLUR1 IGG TITER CSF - ARUP,2023.0,2023.0,,,0 HCPCS,86256,HC MGLUR1 IGG TITER SERUM - ARUP,2023.0,2023.0,,,0 HCPCS,86256,HC MOG IGG TITER SERUM - ARUP,1050.0,1050.0,,,0 HCPCS,86256,HC MUSK IGG TITER SERUM - ARUP,945.0,945.0,,,0 HCPCS,86256,HC N METHYL D ASPARTATE (NMDA) RECEPTOR - ARUP,602.0,602.0,,,0 HCPCS,86256,HC NEUROMYELITIS OPTICA/AQP4 IGG TITER CSF - ARUP,709.0,709.0,,,0 HCPCS,86256,HC NEUROMYELITIS OPTICA/AQP4-IGG TITER SERUM - ARUP,708.0,708.0,,,0 HCPCS,86256,HC NEURONAL NUCLEAR (HU) ANTIBODY TITER CSF - ARUP,589.0,589.0,,,0 HCPCS,86256,HC NEURONAL NUCLEAR AB TITER CSF,583.0,583.0,,,0 HCPCS,86256,HC NEURONAL NUCLEAR ANTIBODY ANNA IFA TITER IGG - ARUP,449.0,449.0,,,0 HCPCS,86256,HC NEURONAL NUCLEAR ANTIBODY TITER,583.0,583.0,,,0 HCPCS,86256,HC NEUTROPHIL CYTOPLASMIC AB TITER AND PATTERN,583.0,583.0,,,0 HCPCS,86256,HC NMDA RECEP AB TITER CHARGE,246.0,246.0,,,0 HCPCS,86256,HC PARIETAL CELL ANTIBODY TITER,576.0,576.0,,,0 HCPCS,86256,HC PHOSPHOLIPASE A2 RECEPTOR IGG TITER - ARUP,986.0,986.0,,,0 HCPCS,86256,HC PURKINJE CELL AB IGG TITER CSF,583.0,583.0,,,0 HCPCS,86256,HC PURKINJE CELL ANTIBODY TITER,583.0,583.0,,,0 HCPCS,86256,HC PURKINJE CELL ANTIBODY TITER CSF - ARUP,449.0,449.0,,,0 HCPCS,86256,HC PURKINJE CELL IGG TITER - ARUP,449.0,449.0,,,0 HCPCS,86256,HC RETICULIN IGA TITER,583.0,583.0,,,0 HCPCS,86256,HC STRIATED MUSCLE IGG ANTIBODY TITER,583.0,583.0,,,0 HCPCS,86256,HC STRIATED MUSCLES IGG TITER - ARUP,190.0,190.0,,,0 HCPCS,86256,HC THSD7A IGG TITER - ARUP,1113.0,1113.0,,,0 HCPCS,86258,Dgp antibody each ig class,,,12.05,31.93,7 HCPCS,86258,"HC GLIADIN ANTIBODY (DEAMIDATED), IGA",284.0,284.0,,,0 HCPCS,86258,"HC GLIADIN ANTIBODY (DEAMIDATED), IGA - CELIAC DISEASE REFLEX CASCADE -ARUP",38.0,38.0,,,0 HCPCS,86258,"HC GLIADIN ANTIBODY (DEAMIDATED), IGG",284.0,284.0,,,0 HCPCS,86258,"HC GLIADIN ANTIBODY (DEAMIDATED), IGG - CELIAC DISEASE REFLEX CASCADE -ARUP",46.0,46.0,,,0 HCPCS,86258,HC GLIADIN IGA,263.0,263.0,,,0 HCPCS,86258,HC GLIADIN IGA - CELIAC CASCADE SCREEN,263.0,263.0,,,0 HCPCS,86258,HC GLIADIN IGA - CELIAC COMPREHENSIVE PANEL,263.0,263.0,,,0 HCPCS,86258,HC GLIADIN IGA - GLIADIN PEPTIDE ANTIBODIES IGA AND IGG - ARUP,42.0,42.0,,,0 HCPCS,86258,HC GLIADIN IGA PEPTIDE ANTIBODIES - ARUP,38.0,38.0,,,0 HCPCS,86258,HC GLIADIN IGG,263.0,263.0,,,0 HCPCS,86258,HC GLIADIN IGG - CELIAC COMPREHENSIVE PANEL,263.0,263.0,,,0 HCPCS,86258,HC GLIADIN IGG - GLIADIN PEPTIDE ANTIBODIES IGA AND IGG - ARUP,42.0,42.0,,,0 HCPCS,86258,HC GLIADIN IGG PEPTIDE ANTIBODIES - ARUP,46.0,46.0,,,0 HCPCS,86277,Growth hormone antibody,,,15.74,41.71,7 HCPCS,86280,Hemagglutination inhibition,,,8.19,21.7,7 HCPCS,86294,Immunoassay tumor qual,,,25.57,67.76,7 HCPCS,86300,HC CANCER ANTIGEN 15-3,399.0,399.0,,,0 HCPCS,86300,HC CANCER ANTIGEN 15-3 - ARUP,57.0,57.0,,,0 HCPCS,86300,HC CANCER ANTIGEN 27.29 - ARUP,38.0,38.0,,,0 HCPCS,86300,"HC IMMUNOASSAY, TUMOR ANTIGEN, CA 15-3 - CANCER ANTIGEN 27.29",116.5,116.5,,,0 HCPCS,86300,Immunoassay tumor ca 15-3,,,20.81,55.15,7 HCPCS,86301,HC CANCER ANTIGEN 19-9,353.5,353.5,,,0 HCPCS,86301,HC CANCER ANTIGEN 19-9 - ARUP,46.0,46.0,,,0 HCPCS,86301,HC CANCER ANTIGEN 19-9 FLUID,353.5,353.5,,,0 HCPCS,86301,HC CANCER ANTIGIEN 19-9 BODY FLUID - ARUP,61.0,61.0,,,0 HCPCS,86301,Immunoassay tumor ca 19-9,,,20.81,55.15,7 HCPCS,86304,HC CA 125,525.0,525.0,,,0 HCPCS,86304,HC CA 125 - ARUP,92.0,92.0,,,0 HCPCS,86304,HC CA 125 - QWDL,97.0,97.0,,,0 HCPCS,86304,HC CA 125 - RISK OF OVARIAN MALIGNANCY ALGORITHM - ARUP,240.5,240.5,,,0 HCPCS,86304,Immunoassay tumor ca 125,,,20.81,55.15,7 HCPCS,86305,HC EPIDIDYMIS PROTEIN 4,475.0,475.0,,,0 HCPCS,86305,HC HE4 - RISK OF OVARIAN MALIGNANCY ALGORITHM - ARUP,262.0,262.0,,,0 HCPCS,86305,HC HUMAN EPIDIDYMIS PROTEIN 4 (HE4) - ARUP,440.0,440.0,,,0 HCPCS,86305,Human epididymis protein 4,,,20.81,55.15,7 HCPCS,86308,HC MONONUCLEOSIS SCREEN,268.0,268.0,,,0 HCPCS,86308,Heterophile antibody screen,,,5.18,13.73,7 HCPCS,86309,"HC HETEROPHILE ANTIBODIES,TITER - HETEROPHILE",114.0,114.0,,,0 HCPCS,86309,Heterophile antibody titer,,,6.47,17.15,7 HCPCS,86310,Heterophile antibody absrbj,,,7.37,19.53,7 HCPCS,86316,HC ALPHA FETOPROTEIN TUMOR MARKER CSF,75.0,75.0,,,0 HCPCS,86316,HC CHROMOGRANIN A - ARUP,105.0,105.0,,,0 HCPCS,86316,HC CYFRA 21-1 (CYTOKERATIN 19 FRAGMENT - ARUP,374.0,374.0,,,0 HCPCS,86316,HC IMMUNOASSAY TUMOR ANTIGEN - CHROMOGRANIN A,81.5,81.5,,,0 HCPCS,86316,HC NEURON SPECIFIC ENOLASE,92.5,92.5,,,0 HCPCS,86316,HC NEURON SPECIFIC ENOLASE - ARUP,136.0,136.0,,,0 HCPCS,86316,Immunoassay tumor other,,,20.81,55.15,7 HCPCS,86317,HC ASPERGILLUS FUMIGATUS IGG - ARUP,252.0,252.0,,,0 HCPCS,86317,HC CREUTZFELDT JACOB DISEASE CSF,52.0,52.0,,,0 HCPCS,86317,HC CREUTZFELDT-JAKOB DISEASE - 14 3 3 PROTEIN CSF - ARUP,69.0,69.0,,,0 HCPCS,86317,HC DIPHTHERIA ANTIBODY,93.0,93.0,,,0 HCPCS,86317,HC DIPHTHERIA IGG - ARUP,68.0,68.0,,,0 HCPCS,86317,HC DIPHTHERIA IGG - DIPHTHERIA AND TETANUS ANTIBODIES IGG - ARUP,61.0,61.0,,,0 HCPCS,86317,HC HAEMOPHILUS INFLUENZAE B ANTIBODY IGG,93.0,93.0,,,0 HCPCS,86317,HC HAEMOPHILUS INFLUENZAE B IGG - ARUP,52.0,52.0,,,0 HCPCS,86317,HC HEPATITIS B SURFACE ANTIBODY QUANT - QWDL,40.0,40.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - DIPHTHERIA",60.0,60.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - EPSTEIN BAR VIRUS IGM",60.0,60.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - HAEMOPHILUS INFLUENZAE",60.0,60.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - OTHER",60.0,60.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - PNEUMOCOCCAL",60.0,60.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - RUBELLA ANTIBODY IGG",60.0,60.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - STREP PNEUMONIAE ANTIBODY SEROTYPES",134.0,134.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - TETANUS",60.0,60.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - TETANUS ANTIBODY, IGG",93.0,93.0,,,0 HCPCS,86317,"HC IMMUNOASSAY,INFECT AGENT,QUANT - TOXOPLASMA",60.0,60.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 1 IGG (P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 1 IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 10A IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 11A IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 12F IGG (PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP,11.0,11.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 12F IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 14 IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 14 IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 15B IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 17F IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 18C IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 18C IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 19A IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 19F IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 19F IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 2 IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 20 IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 22F IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 23F IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 23F IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 3 IGG (P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 3 IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 33F IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 4 IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 4 IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 5 IGG (P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 5 IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 6B IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 6B IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 7F IGG (P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 7F IGG (P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 8 IGG (PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP,11.0,11.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 8 IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 9N IGG (PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP,11.0,11.0,,,0 HCPCS,86317,HC PNEUMO SEROTYPE 9N IGG (PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP,13.0,13.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 9V IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 14 SEROTYPES - ARUP",11.0,11.0,,,0 HCPCS,86317,"HC PNEUMO SEROTYPE 9V IGG (P7,P13,PNX) - PNEUMOCOCCAL AB 23 SEROTYPES - ARUP",13.0,13.0,,,0 HCPCS,86317,HC TETANUS IGG - ARUP,55.0,55.0,,,0 HCPCS,86317,HC TETANUS IGG - DIPHTHERIA AND TETANUS ANTIBODIES IGG - ARUP,61.0,61.0,,,0 HCPCS,86317,Immunoassay infectious agent,,,14.99,39.72,7 HCPCS,86318,Immunoassay infectious agent,,,18.09,47.94,7 HCPCS,86320,Serum immunoelectrophoresis,,,29.92,79.29,7 HCPCS,86325,Other immunoelectrophoresis,,,23.13,61.29,7 HCPCS,86328,Ia nfct ab sarscov2 covid19,,,45.28,119.99,7 HCPCS,86329,HC IMMUNOASSAY IMMUNODIFFUSION - TEICHOIC ACID,97.0,97.0,,,0 HCPCS,86329,HC TEICHOIC ACID ANTIBODIES - ARUP,99.0,99.0,,,0 HCPCS,86329,Immunodiffusion nes,,,14.05,37.23,7 HCPCS,86331,HC A PULLULANS AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 HCPCS,86331,HC HYPERSENSITIVITY PNEUMONITIS 2 PANEL,99.0,99.0,,,0 HCPCS,86331,HC IMMUNOASSAY GEL DIFFUSION EACH ANTIGEN OR ANTIBODY QUAL,110.0,110.0,,,0 HCPCS,86331,HC M FAENI AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 HCPCS,86331,HC PIGEON SERUM AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 HCPCS,86331,HC S VIRIDIS AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 HCPCS,86331,HC S VIRIDIS AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,23.0,23.0,,,0 HCPCS,86331,HC T CANDIDUS AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,26.0,26.0,,,0 HCPCS,86331,HC T CANDIDUS AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,23.0,23.0,,,0 HCPCS,86331,Immunodiffusion ouchterlony,,,11.98,31.75,7 HCPCS,86332,HC C1Q BINDING - ARUP,77.0,77.0,,,0 HCPCS,86332,HC CIRCULATING IMMUNE COMPLEX C3 FRAGMENTS - ARUP,617.0,617.0,,,0 HCPCS,86332,HC IMMUNE COMPLEX ASSAY - C1Q BINDING,103.0,103.0,,,0 HCPCS,86332,HC IMMUNE COMPLEX ASSAY - OTHER,103.0,103.0,,,0 HCPCS,86332,HC IMMUNOASSAY IMMUNE COMPLEX ASSAY C1Q,103.0,103.0,,,0 HCPCS,86332,HC IMMUNOASSAY IMMUNE COMPLEX ASSAY C3B,103.0,103.0,,,0 HCPCS,86332,HC IMMUNOASSAY IMMUNE COMPLEX ASSAY RAJI CELL,103.0,103.0,,,0 HCPCS,86332,HC RAJI CELL - ARUP,618.0,618.0,,,0 HCPCS,86332,Immune complex assay,,,24.37,64.58,7 HCPCS,86334,HC IMMUNOFIX ELECTROPHORESIS - MONOCLONAL PROTEIN EXTEND STUDY SERUM - ARUP,72.0,72.0,,,0 HCPCS,86334,HC IMMUNOFIX ELECTROPHORESIS BILL - ARUP,60.0,60.0,,,0 HCPCS,86334,HC IMMUNOFIXATION - ARUP,76.0,76.0,,,0 HCPCS,86334,HC IMMUNOFIXATION - SERUM - QWDL,89.0,89.0,,,0 HCPCS,86334,HC IMMUNOFIXATION ADD ON SERUM,743.0,743.0,,,0 HCPCS,86334,HC IMMUNOFIXATION ELECTROPHORESIS - ARUP,76.0,76.0,,,0 HCPCS,86334,HC IMMUNOFIXATION ELECTROPHORESIS - BETA 2 TRANSFERRIN,116.0,116.0,,,0 HCPCS,86334,HC IMMUNOFIXATION ELECTROPHORESIS - EACH ANALYTE,804.0,804.0,,,0 HCPCS,86334,HC IMMUNOFIXATION ELECTROPHORESIS - MONOCLONAL PROTEIN STUDY EXTENDED SERUM - ARUP,58.0,58.0,,,0 HCPCS,86334,HC IMMUNOFIXATION ELECTROPHORESIS - MONOCLONAL PROTEIN STUDY SERUM - ARUP,78.0,78.0,,,0 HCPCS,86334,HC IMMUNOFIXATION SERUM,743.0,743.0,,,0 HCPCS,86334,HC IMMUNOFIXATION SERUM - ARUP,76.0,76.0,,,0 HCPCS,86334,"HC IMMUNOFIXATION, SERUM - QWDL",66.5,66.5,,,0 HCPCS,86334,HC MONOCLONAL PROTEIN STUDY - SERUM - ARUP,118.0,118.0,,,0 HCPCS,86334,Immunofix e-phoresis serum,,,22.34,59.2,7 HCPCS,86335,HC BETA 2 TRANSFERRIN BODY FLUID - ARUP,294.0,294.0,,,0 HCPCS,86335,"HC IMMUNFIX E-PHORSIS URINE - IMMUNOFIXATION WITH FLC, URINE - ARUP",211.0,211.0,,,0 HCPCS,86335,HC IMMUNFIX E-PHORSIS/URINE/CSF - EACH ANALYTE,704.0,704.0,,,0 HCPCS,86335,HC IMMUNFIX E-PHORSIS/URINE/CSF - MONOCLONAL PROTEIN URINE,185.5,185.5,,,0 HCPCS,86335,HC IMMUNFIX EPHORESIS BETA 2 TRANSFERRIN,609.0,609.0,,,0 HCPCS,86335,HC IMMUNOFIXATION - IMMUNOFIXATION URINE - ARUP,220.0,220.0,,,0 HCPCS,86335,HC IMMUNOFIXATION - IMMUNOFIXATION WITH FREE LIGHT CHAINS URINE - ARUP,197.0,197.0,,,0 HCPCS,86335,"HC IMMUNOFIXATION - MONOCLONAL PROTEIN STUDY, URINE - ARUP",172.0,172.0,,,0 HCPCS,86335,HC IMMUNOFIXATION ELECTROPHORESIS 24 HOUR URINE,757.0,757.0,,,0 HCPCS,86335,HC IMMUNOFIXATION URINE,650.0,650.0,,,0 HCPCS,86335,HC IMMUNOFIXATION URINE ADD ON,757.0,757.0,,,0 HCPCS,86335,Immunfix e-phorsis/urine/csf,,,29.35,77.78,7 HCPCS,86336,HC INHIBIN A - ADDITIONAL CHARGE,135.0,135.0,,,0 HCPCS,86336,HC INHIBIN A - ARUP,116.0,116.0,,,0 HCPCS,86336,HC MATERNAL QUAD SCREEN - INHIBIB A,99.0,99.0,,,0 HCPCS,86336,Inhibin A,,,15.59,41.31,7 HCPCS,86337,HC INSULIN ANTIBODIES - INSULIN ANTIBODY,135.0,135.0,,,0 HCPCS,86337,HC INSULIN ANTIBODY - ARUP,110.0,110.0,,,0 HCPCS,86337,Insulin antibodies,,,21.41,56.74,7 HCPCS,86340,HC INTRINSIC FACTOR BLOCKING ANTIBODY - ARUP,84.0,84.0,,,0 HCPCS,86340,Intrinsic factor antibody,,,15.08,39.96,7 HCPCS,86341,"HC GAD AB - AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA PNL, SERUM - ARUP",385.0,385.0,,,0 HCPCS,86341,HC GLUTAMIC ACID DECARBOXYLASE 65,159.0,159.0,,,0 HCPCS,86341,HC GLUTAMIC ACID DECARBOXYLASE ANTIBODY - ARUP,147.0,147.0,,,0 HCPCS,86341,HC GLUTAMIC ACID DECARBOXYLASE ANTIBODY CSF - ARUP,231.0,231.0,,,0 HCPCS,86341,HC GLUTAMIC ACID DECARBOXYLASE CSF,512.0,512.0,,,0 HCPCS,86341,HC GLUTAMIC ACID DECARBOXYLASE-AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL-ARUP,579.0,579.0,,,0 HCPCS,86341,HC GLUTAMIC ACID DECARBOXYLASE-AUTOIMMUNE ENCEPHALITIS REFLEX PNL CSF-ARUP,549.0,549.0,,,0 HCPCS,86341,HC GLUTAMIC ACID DECARBOXYLASE-AUTOIMMUNE ENCEPHALOPATHY/DEMENTIA CSF-ARUP,464.0,464.0,,,0 HCPCS,86341,HC GLUTAMIC ACID DECAROXYLASE CSF-AUTOIMMUNE NEURO DISEASE PANEL RFLX-ARUP,444.0,444.0,,,0 HCPCS,86341,HC INSULINOMA ANTIGEN 2 ANTIBODY,159.0,159.0,,,0 HCPCS,86341,HC ISLET ANTIGEN 2 (IA-2) AUTOANTIBODY - ARUP,273.0,273.0,,,0 HCPCS,86341,HC ISLET CELL ANTIBODY - ANTI-ISLET CELL AB,90.0,90.0,,,0 HCPCS,86341,HC ISLET CELL CYTOPLASMIC IGG - ARUP,84.0,84.0,,,0 HCPCS,86341,HC ZINC TRANSPORTERS 8 AB,359.0,359.0,,,0 HCPCS,86341,HC ZINC TRANSPROTER 8 ANTIBODY - ARUP,861.0,861.0,,,0 HCPCS,86341,Islet cell antibody,,,23.57,62.46,7 HCPCS,86343,Leukocyte histamine release,,,12.46,33.02,7 HCPCS,86344,Leukocyte phagocytosis,,,10.39,27.53,7 HCPCS,86352,Cell function assay w/stim,,,135.86,360.03,7 HCPCS,86352,HC CELLULAR FUNCTION STIMULATION AND BIOMARKER ASSAY,397.0,397.0,,,0 HCPCS,86352,HC INTERFERON BETA NEUTRALIZING ANTIBODY,396.0,396.0,,,0 HCPCS,86352,HC NEUTROPHIL OXIDATIVE BURST,396.0,396.0,,,0 HCPCS,86352,HC TRANSPLANT IMMUNE CELL,396.0,396.0,,,0 HCPCS,86353,HC LYMPHOCYTE MITOGENS - ARUP,1050.0,1050.0,,,0 HCPCS,86353,"HC LYMPHOCYTE TRANSFORMATION - LYMPHOCYTE CULTURE, PRIMED",614.0,614.0,,,0 HCPCS,86353,Lymphocyte transformation,,,49.03,129.93,7 HCPCS,86355,B cells total count,,,37.73,99.98,7 HCPCS,86355,"HC B CELLS, TOTAL - B CELL CD20 EXPRESSION BY FLOW, QUANT - ARUP",429.0,429.0,,,0 HCPCS,86355,"HC B CELLS, TOTAL COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP",92.0,92.0,,,0 HCPCS,86356,"HC CD20 CELLS, QUANT - B CELL CD20 EXPRESSION BY FLOW, QUANT - ARUP",308.0,308.0,,,0 HCPCS,86356,HC CD57+ MONONUCLEAR CELL ANTIGEN QUANTITATIVE BY FLOW CYTOMETRY - ARUP,743.0,743.0,,,0 HCPCS,86356,HC FETAL HEMOGLOBIN DETERMINATION - ARUP,667.0,667.0,,,0 HCPCS,86356,HC MONONUCLEAR ANTIGEN QUANT,72.0,72.0,,,0 HCPCS,86356,"HC PNH, HIGH SENSITIVITY, RBC AND WBC - ARUP",220.0,220.0,,,0 HCPCS,86356,Mononuclear cell antigen,,,26.78,70.97,7 HCPCS,86357,"HC NATURAL KILLER CELLS, TOTAL COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP",92.0,92.0,,,0 HCPCS,86357,Nk cells total count,,,37.73,99.98,7 HCPCS,86359,HC T CELL COUNT - LYMPHOCYTE SUBSET PANEL 3 - ARUP,72.0,72.0,,,0 HCPCS,86359,HC T CELL COUNT - LYMPHOCYTE SUBSET PANEL 4 - ARUP,94.0,94.0,,,0 HCPCS,86359,HC T CELL COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP,92.0,92.0,,,0 HCPCS,86359,HC T CELLS TOTAL COUNT,65.0,65.0,,,0 HCPCS,86359,T cells total count,,,37.73,99.98,7 HCPCS,86360,HC CD4/CD8 COUNT,455.0,455.0,,,0 HCPCS,86360,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP,80.0,80.0,,,0 HCPCS,86360,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 3 - ARUP,82.0,82.0,,,0 HCPCS,86360,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 4 - ARUP,112.0,112.0,,,0 HCPCS,86360,HC CD4/CD8 COUNT - LYMPHOCYTE SUBSET PANEL 5 - ARUP,107.0,107.0,,,0 HCPCS,86360,T cell absolute count/ratio,,,46.98,124.5,7 HCPCS,86361,HC CD4 ABSOLUTE COUNT ONLY - LYMPHOCYTE SUBSET PANEL 1 - ARUP,169.0,169.0,,,0 HCPCS,86361,HC LYMPHOCYTE SUBSET PANEL 2 - CD4 PERCENT AND ABSOLUTE - ARUP,148.0,148.0,,,0 HCPCS,86361,T cell absolute count,,,26.78,70.97,7 HCPCS,86362,HC MOG-IGG IMMUNOFLUOR - AUTOIMMUNE ENCEPHALITIS EXTENDED PANEL - ARUP,275.0,275.0,,,0 HCPCS,86362,HC MYELIN OLIGODENTROCYTE GLYCOPROTEIN (MOG) IGG WITH REFLEX - ARUP,609.0,609.0,,,0 HCPCS,86362,Mog-igg1 antb cba each,,,12.05,31.93,7 HCPCS,86363,Mog-igg1 antb flo cytmtry ea,,,37.73,99.98,7 HCPCS,86364,"HC TISSUE TRANSGLUTAMINASE ANTIBODY, IGA",284.0,284.0,,,0 HCPCS,86364,"HC TISSUE TRANSGLUTAMINASE ANTIBODY, IGG",284.0,284.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGA,263.0,263.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGA - ARUP,30.0,30.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGA - CELIAC CASCADE SCREEN,263.0,263.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGA - CELIAC COMPREHENSIVE PANEL,263.0,263.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGA - CELIAC DISEASE REFLEX CASCADE - ARUP,51.0,51.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGA WITH REFLEX TITER - ARUP,30.0,30.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGG,263.0,263.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGG - ARUP,63.0,63.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGG - CELIAC COMPREHENSIVE PANEL,263.0,263.0,,,0 HCPCS,86364,HC TISSUE TRANSGLUTAMINASE IGG - CELIAC DISEASE REFLEX CASCADE - ARUP,63.0,63.0,,,0 HCPCS,86364,Tiss trnsgltmnase ea ig clas,,,11.53,30.55,7 HCPCS,86366,HC MUSCLE-SPECIFIC KINASE (MUSK) IGG BY CBA-IFA WITH REFLEX - ARUP,1238.0,1238.0,,,0 HCPCS,86366,Muscle-specific kinase antb,,,18.4,48.76,7 HCPCS,86367,HC STEM CELL COUNT,997.0,997.0,,,0 HCPCS,86367,Stem cells total count,,,77.78,206.12,7 HCPCS,86376,HC LIVER KIDNEY MICROSOMAL ANTIBODY,255.0,255.0,,,0 HCPCS,86376,HC LIVER KIDNEY MICROSOME 1 IGG - ARUP,59.0,59.0,,,0 HCPCS,86376,HC LIVER KIDNEY MICROSOME IGG - ARUP,59.0,59.0,,,0 HCPCS,86376,HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB,170.5,170.5,,,0 HCPCS,86376,HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODIES - QWDL,38.0,38.0,,,0 HCPCS,86376,HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY,59.0,59.0,,,0 HCPCS,86376,HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY - ARUP,34.0,34.0,,,0 HCPCS,86376,HC THYROID PEROXIDASE (TPO) ANTIBODY - THYROID ANTIBODIES - ARUP,30.0,30.0,,,0 HCPCS,86376,HC THYROID PEROXIDASE ANTIBODY,255.0,255.0,,,0 HCPCS,86376,HC THYROID PEROXIDASE ANTIBODY - ARUP,34.0,34.0,,,0 HCPCS,86376,HC THYROID PEROXIDASE ANTIBODY - QWDL,38.0,38.0,,,0 HCPCS,86376,Microsomal antibody each,,,14.55,38.56,7 HCPCS,86381,HC MITOCHONDRIAL ANTIBODY M2 IGG AB,406.0,406.0,,,0 HCPCS,86381,HC MITOCHONDRIAL M2 ANTIBODIES,301.0,301.0,,,0 HCPCS,86381,HC MITOCHONDRIAL M2 ANTIBODIES - ARUP,42.0,42.0,,,0 HCPCS,86381,Mitochondrial antibody each,,,25.45,67.44,7 HCPCS,86382,HC NEUTRALIZATION TEST - OTHER,213.0,213.0,,,0 HCPCS,86382,"HC NEUTRALIZATION TEST, VIRAL - RABIES ANTIBODY TITER",185.0,185.0,,,0 HCPCS,86382,HC RABIES ANTIBODY SCREEN - ARUP,306.0,306.0,,,0 HCPCS,86382,Neutralization test viral,,,16.91,44.81,7 HCPCS,86384,Nitroblue tetrazolium dye,,,13.61,36.07,7 HCPCS,86386,Nuclear matrix protein 22,,,21.78,57.72,7 HCPCS,86403,HC CMV AB DONOR,103.0,103.0,,,0 HCPCS,86403,HC MONONUCLEOSIS SCREEN,315.0,315.0,,,0 HCPCS,86403,"HC PARTICLE AGGLUTINATION TEST, SCREEN - BACTERIAL ANTIGEN DETECTION",211.0,211.0,,,0 HCPCS,86403,"HC PARTICLE AGGLUTINATION TEST, SCREEN - CANDIDA",315.0,315.0,,,0 HCPCS,86403,"HC PARTICLE AGGLUTINATION TEST, SCREEN - CRYPTOCOCCAL ANTIGEN",331.0,331.0,,,0 HCPCS,86403,"HC PARTICLE AGGLUTINATION TEST, SCREEN - CRYPTOCOCCAL ANTIGEN CSF",315.0,315.0,,,0 HCPCS,86403,"HC PARTICLE AGGLUTINATION TEST, SCREEN - MENINGITIS SCREEN",315.0,315.0,,,0 HCPCS,86403,"HC PARTICLE AGGLUTINATION TST, SCRN - BACTERIAL ANTIGEN DETECT GRP B STREP",315.0,315.0,,,0 HCPCS,86403,"HC PARTICLE AGGLUTINATION TST, SCRN - BACTRL ANTIGEN DETECT H. INFLUENZAE",315.0,315.0,,,0 HCPCS,86403,Particle agglut antbdy scrn,,,11.54,30.58,7 HCPCS,86406,"HC PARTICLE AGGLUTINATION TEST, TITER - CRYPTOCOCCUS ANTIGEN TITER",319.0,319.0,,,0 HCPCS,86406,Particle agglut antbdy titr,,,10.64,28.2,7 HCPCS,86408,HC NEUTRALIZING ABY SARS-COV-2 SCREEN,185.0,185.0,,,0 HCPCS,86408,Neutrlzg antb sarscov2 scr,,,42.13,111.64,7 HCPCS,86409,HC NEUTRALIZING ABY SARS-COV-2 TITER,380.0,380.0,,,0 HCPCS,86409,Neutrlzg antb sarscov2 titer,,,79.61,210.97,7 HCPCS,86413,HC SARS-COV-2 ABY QUANT,262.0,262.0,,,0 HCPCS,86413,Sars-cov-2 antb quantitative,,,51.43,136.29,7 HCPCS,86430,HC RHEUMATOID FACTOR TEST - RHEUMATOID FACTOR,223.0,223.0,,,0 HCPCS,86430,HC RHEUMATOID FACTOR TEST - RHEUMATOID FACTOR SCREEN,132.5,132.5,,,0 HCPCS,86430,Rheumatoid factor test qual,,,6.14,16.27,7 HCPCS,86431,HC RHEUMATOID FACTOR,223.5,223.5,,,0 HCPCS,86431,HC RHEUMATOID FACTOR - ARUP,34.0,34.0,,,0 HCPCS,86431,HC RHEUMATOID FACTOR - LUPUS COMPREHENSIVE REFLEX PANEL - ARUP,20.0,20.0,,,0 HCPCS,86431,HC RHEUMATOID FACTOR - QWDL,22.0,22.0,,,0 HCPCS,86431,HC RHEUMATOID FACTOR - RHEUMATOID ARTHRITIS PANEL - ARUP,55.0,55.0,,,0 HCPCS,86431,HC RHEUMATOID FACTOR TITER REFLEX,365.0,365.0,,,0 HCPCS,86431,"HC RHEUMATOID FACTOR, QUANT - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP",23.0,23.0,,,0 HCPCS,86431,"HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR",393.5,393.5,,,0 HCPCS,86431,"HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR, BODY FLUID",419.0,419.0,,,0 HCPCS,86431,Rheumatoid factor quant,,,5.67,15.03,7 HCPCS,86480,HC QUANTIFERON TB GOLD PLUS 1 TUBE - QWDL,210.0,210.0,,,0 HCPCS,86480,HC QUANTIFERON TB PLUS - ARUP,181.0,181.0,,,0 HCPCS,86480,HC QUANTIFERON TB PLUS 4 TUBE - ARUP,147.0,147.0,,,0 HCPCS,86480,"HC TB TEST CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON",540.0,540.0,,,0 HCPCS,86480,Tb test cell immun measure,,,61.98,164.25,7 HCPCS,86481,Tb ag response t-cell susp,,,100.0,265.0,7 HCPCS,86510,Histoplasmosis skin test,,,39.0,103.36,7 HCPCS,86580,APLISOL 5 UNIT/0.1ML ID SOLN,260.71,260.71,,,0 HCPCS,86580,HC PBB TB INTRADERMAL TEST,123.0,123.0,,,0 HCPCS,86580,HC TB INTRADERMAL TEST,123.0,123.0,,,0 HCPCS,86580,TUBERSOL 5 UNIT/0.1ML ID SOLN,211.39499999999998,211.39499999999998,,,0 HCPCS,86581,"HC STREPTOCOCCUS PNEUMONIA IGG, 14 SEROTYPES - ARUP",142.0,142.0,,,0 HCPCS,86581,Strptcs pneum antb serot ia,,,92.03,243.88,7 HCPCS,86590,Streptokinase antibody,,,12.66,33.55,7 HCPCS,86592,HC DONOR RPR SCREEN,27.0,27.0,,,0 HCPCS,86592,HC RAPID PLASMA REAGIN (RPR) DX WITH REFLEX TO TITER AND CONFIRMATORY -QWDL,15.0,15.0,,,0 HCPCS,86592,HC RAPID PLASMA REAGIN (RPR) QUAL,293.0,293.0,,,0 HCPCS,86592,HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - ARUP,25.0,25.0,,,0 HCPCS,86592,HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - QWDL,15.0,15.0,,,0 HCPCS,86592,HC RAPID PLASMA REAGIN (RPR) WITH REFLEX - ARUP,25.0,25.0,,,0 HCPCS,86592,HC RPR (MONITOR) W/REFL TITER - QWDL,21.5,21.5,,,0 HCPCS,86592,HC RPR QUAL,291.0,291.0,,,0 HCPCS,86592,HC RPR QUAL W REFLEX TITER - ARUP,27.0,27.0,,,0 HCPCS,86592,HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL,171.0,171.0,,,0 HCPCS,86592,HC VDRL CSF,152.5,152.5,,,0 HCPCS,86592,HC VDRL CSF - ARUP,25.0,25.0,,,0 HCPCS,86592,"HC VDRL WITH REFLEX TO TITER, CSF - ARUP",27.0,27.0,,,0 HCPCS,86592,"HC VDRL WITH REFLEX TO TITER, SERUM - ARUP",36.0,36.0,,,0 HCPCS,86592,Syphilis test non-trep qual,,,4.27,11.32,7 HCPCS,86593,HC RPR TITER,261.0,261.0,,,0 HCPCS,86593,HC RPR TITER - ARUP,127.0,127.0,,,0 HCPCS,86593,HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUANT - VDRL TITER,273.0,273.0,,,0 HCPCS,86593,HC VDRL TITER - ARUP,127.0,127.0,,,0 HCPCS,86593,HC VDRL TITER CSF,261.0,261.0,,,0 HCPCS,86593,HC VDRL TITER CSF - ARUP,98.0,98.0,,,0 HCPCS,86593,Syphilis test non-trep quant,,,4.4,11.66,7 HCPCS,86596,HC VOLTAGE GATED CALCIUM CHANNEL AB,313.0,313.0,,,0 HCPCS,86596,HC VOLTAGE GATED CALCIUM CHANNEL ANTIBODY - ARUP,626.0,626.0,,,0 HCPCS,86596,Voltage-gtd ca chnl antb ea,,,12.05,31.93,7 HCPCS,86602,Antinomyces antibody,,,10.18,26.98,7 HCPCS,86603,Adenovirus antibody,,,12.87,34.11,7 HCPCS,86603,HC ADENOVIRUS ANTIBODIES - ARUP,331.0,331.0,,,0 HCPCS,86603,"HC ADENOVIRUS, ANTIBODY - ADENOVIRUS ANTIBODIES",208.0,208.0,,,0 HCPCS,86603,"HC ADENOVIRUS, ANTIBODY - ADENOVIRUS ANTIBODY IGM",208.0,208.0,,,0 HCPCS,86606,Aspergillus antibody,,,15.05,39.88,7 HCPCS,86606,HC A FLAVUS AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 HCPCS,86606,HC A FLAVUS AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,30.0,30.0,,,0 HCPCS,86606,HC A FUMIGATUS #1 AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 HCPCS,86606,HC A FUMIGATUS #2 AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 HCPCS,86606,HC A FUMIGATUS #2 AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,30.0,30.0,,,0 HCPCS,86606,HC A FUMIGATUS #3 AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 HCPCS,86606,HC A FUMIGATUS #3 AB PRECIPITIN - HYPERSENSITIVITY PNEUMONITIS 2 - ARUP,30.0,30.0,,,0 HCPCS,86606,HC A FUMIGATUS #6 AB PRECIPITIN - HYPER PNEUMO EXTENDED PANEL - ARUP,33.0,33.0,,,0 HCPCS,86606,HC ASPERGILLUS AB BY COMPLEMENT FIXATION - FUNGAL AB W/RFLX SERUM - ARUP,54.0,54.0,,,0 HCPCS,86606,HC ASPERGILLUS ANTIBODY - ASPERGILLUS ABS,95.0,95.0,,,0 HCPCS,86606,HC ASPERGILLUS ANTIBODY - ASPERGILLUS ABS IMMUNODIFFUSION,92.0,92.0,,,0 HCPCS,86606,HC ASPERGILLUS ANTIBODY BY COMPLEMENT FIXATION - ARUP,46.0,46.0,,,0 HCPCS,86606,HC ASPERGILLUS ANTIBODY BY IMMUNODIFFUSION - ARUP,47.0,47.0,,,0 HCPCS,86606,HC FUNGAL ANTIBODIES - ASPERGILLUS,36.0,36.0,,,0 HCPCS,86606,"HC HYPERSENSITIVITY PNEUMONITIS 1 - IMMUNOASSAY ANTIBODY - A FUMIGATUS #1, A FUMIGATUS #6",95.0,95.0,,,0 HCPCS,86606,"HC HYPERSENSITIVITY PNEUOMONITIS 2 - IMMUNOASSAY ANTIBODY - A FLAVUS #2, A FUMIGATUS #2, A FUMIGATUS #3",107.0,107.0,,,0 HCPCS,86609,Bacterium antibody,,,12.88,34.13,7 HCPCS,86609,HC BACTERIUM ANTIBODY - LISTERIA ANTIBODY,187.0,187.0,,,0 HCPCS,86609,HC BACTERIUM ANTIBODY - NEISSERIA GONORRHOEAE ANTIBODY,18.0,18.0,,,0 HCPCS,86611,Bartonella Antibody,,,10.18,26.98,7 HCPCS,86611,HC BARTONELLA HENSELAE ANTIBODY,26.0,26.0,,,0 HCPCS,86611,HC BARTONELLA HENSELAE IGG - ARUP,47.0,47.0,,,0 HCPCS,86611,HC BARTONELLA HENSELAE IGG - BARTONELLA AB PANEL - ARUP,48.0,48.0,,,0 HCPCS,86611,HC BARTONELLA HENSELAE IGM - ARUP,47.0,47.0,,,0 HCPCS,86611,HC BARTONELLA HENSELAE IGM - BARTONELLA AB PANEL - ARUP,47.0,47.0,,,0 HCPCS,86611,HC BARTONELLA QUINTANA ANTIBODY,26.0,26.0,,,0 HCPCS,86611,HC BARTONELLA QUINTANA IGG - ARUP,47.0,47.0,,,0 HCPCS,86611,HC BARTONELLA QUINTANA IGG - BARTONELLA AB PANEL - ARUP,48.0,48.0,,,0 HCPCS,86611,HC BARTONELLA QUINTANA IGM - ARUP,47.0,47.0,,,0 HCPCS,86611,HC BARTONELLA QUINTANA IGM - BARTONELLA AB PANEL - ARUP,48.0,48.0,,,0 HCPCS,86611,"HC BARTONELLA, ANTIBODY - BARTONELLA AB PANEL",111.0,111.0,,,0 HCPCS,86612,Blastomyces antibody,,,12.9,34.18,7 HCPCS,86612,HC BLASTOMYCES ANTIBODY BY EIA - FUNGAL ANTIBODIES W/ REFLEX SERUM - ARUP,46.0,46.0,,,0 HCPCS,86612,HC BLASTOMYCES DERMATITIDIS AB EIA W/ RFLX TO IMMUNODIFFUSION SERUM - ARUP,58.0,58.0,,,0 HCPCS,86612,HC BLASTOMYCES DERMATITIDIS ANTIBODIES IMMUNODIFFUSION SERUM - ARUP,52.0,52.0,,,0 HCPCS,86612,"HC BLASTOMYCES, ANTIBODY - BLASTOMYCES ANTIBODIES",95.0,95.0,,,0 HCPCS,86612,HC FUNGAL ANTIBODIES - BLASTOMYCES,32.0,32.0,,,0 HCPCS,86615,Bordetella antibody,,,13.19,34.95,7 HCPCS,86615,HC BORDETELLA ANTIBODY - BORDETELLA PERTUSSIS ANTIBODY,54.0,54.0,,,0 HCPCS,86615,HC BORDETELLA ANTIBODY IGA,60.0,60.0,,,0 HCPCS,86615,HC BORDETELLA PERTUSSIS ANTIBODIES IGG & IGM,60.0,60.0,,,0 HCPCS,86615,HC BORDETELLA PERTUSSIS ANTIBODY IGA BLOT - ARUP,105.0,105.0,,,0 HCPCS,86615,HC BORDETELLA PERTUSSIS IGA IMMUNOBLOT,60.0,60.0,,,0 HCPCS,86615,HC BORDETELLA PERTUSSIS IGG - BORDETELLA PERTUSSIS IGG IGM AB - ARUP,50.0,50.0,,,0 HCPCS,86615,HC BORDETELLA PERTUSSIS IGG BLOT - ARUP,105.0,105.0,,,0 HCPCS,86615,HC BORDETELLA PERTUSSIS IGG IMMUNOBLOT,72.5,72.5,,,0 HCPCS,86615,HC BORDETELLA PERTUSSIS IGM BLOT - ARUP,105.0,105.0,,,0 HCPCS,86615,HC BORDETELLA PERTUSSIS IGM IMMUNOBLOT,72.5,72.5,,,0 HCPCS,86617,"HC B BURGDORFERI IGG - LYME STANDARD 2 TIER, 2ND TIER REFLEXED - ARUP",63.0,63.0,,,0 HCPCS,86617,"HC B BURGDORFERI IGM - LYME STANDARD 2 TIER, 2ND TIER REFLEXED - ARUP",63.0,63.0,,,0 HCPCS,86617,HC B. BURGDORFERI (LYME) IGG - ARUP,63.0,63.0,,,0 HCPCS,86617,HC B. BURGDORFERI (LYME) IGM CSF,63.0,63.0,,,0 HCPCS,86617,HC BORRELIA BUGDORFERI/LYME IGG BY IMMUNOBLOT - LYME ANTIBODIES - ARUP,51.5,51.5,,,0 HCPCS,86617,HC BORRELIA BUGDORFERI/LYME IGM BY IMMUNOBLOT - LYME ANTIBODIES - ARUP,51.5,51.5,,,0 HCPCS,86617,HC BORRELIA BURGDORFERI ANTIBODY IMMUNOBLOT CSF,68.5,68.5,,,0 HCPCS,86617,HC BORRELIA BURGDORFERI IGG BY IMMUNOBLOT REFLEX - ARUP,78.0,78.0,,,0 HCPCS,86617,HC BORRELIA BURGDORFERI IGM BY IMMUNOBLOT REFLEX - ARUP,78.0,78.0,,,0 HCPCS,86617,HC BORRELIA BURGDORFERI IMMUNOBLOT IGG,75.5,75.5,,,0 HCPCS,86617,HC BORRELIA BURGDORFERI IMMUNOBLOT IGM,68.5,68.5,,,0 HCPCS,86617,"HC LYME DISEASE ANTIBODY, CONFIRMATORY - LYME DISEASE, WESTERN BLOT",36.0,36.0,,,0 HCPCS,86617,Lyme disease antibody,,,15.49,41.05,7 HCPCS,86618,"HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP",244.0,244.0,,,0 HCPCS,86618,"HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT",88.0,88.0,,,0 HCPCS,86618,Lyme disease antibody,,,17.03,45.13,7 HCPCS,86619,Borrelia antibody,,,13.38,35.46,7 HCPCS,86622,Brucella antibody,,,8.93,23.66,7 HCPCS,86622,HC BRUCELLA ANTIBODY - FEBRILE ANTIBODIES ID PANEL - ARUP,32.0,32.0,,,0 HCPCS,86622,HC BRUCELLA SPECIES ANTIBODY TOTAL - ARUP,36.0,36.0,,,0 HCPCS,86622,"HC BRUCELLA, ANTIBODY - BRUCELLA SPECIES ANTIBODY",88.0,88.0,,,0 HCPCS,86625,Campylobacter antibody,,,13.12,34.77,7 HCPCS,86625,"HC CAMPYLOBACTER, ANTIBODY - CAMPYLOBACTER JEJUNI ANTIBODY",268.0,268.0,,,0 HCPCS,86628,Candida antibody,,,12.01,31.83,7 HCPCS,86628,HC CANDIDA IGA - CANDIDA ANTIBODIES IGA IGG IGM - ARUP,51.0,51.0,,,0 HCPCS,86628,HC CANDIDA IGG - CANDIDA ANTIBODIES IGA IGG IGM - ARUP,51.0,51.0,,,0 HCPCS,86628,HC CANDIDA IGM - CANDIDA ANTIBODIES IGA IGG IGM - ARUP,51.0,51.0,,,0 HCPCS,86628,"HC CANDIDA, ANTIBODY - CANDIDA ANTIBODY",182.0,182.0,,,0 HCPCS,86631,Chlamydia antibody,,,11.82,31.32,7 HCPCS,86631,HC C PNEUMONIAE IGG - CHLAMYDIA ANTIBODY PANEL IGG - ARUP,33.0,33.0,,,0 HCPCS,86631,HC C PNEUMONIAE IGG TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,34.0,34.0,,,0 HCPCS,86631,HC C PSITTACI IGG - CHLAMYDIA ANTIBODY PANEL IGG - ARUP,33.0,33.0,,,0 HCPCS,86631,HC C PSITTACI IGG TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,34.0,34.0,,,0 HCPCS,86631,HC C TRACHOMATIS IGG - CHLAMYDIA ANTIBODY PANEL IGG - ARUP,33.0,33.0,,,0 HCPCS,86631,HC C TRACHOMATIS IGG TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,34.0,34.0,,,0 HCPCS,86631,"HC CHLAMYDIA, ANTIBODY - CHLAMYDIA TRACHOMATIS IGG",20.0,20.0,,,0 HCPCS,86631,HC LYMPHOGRANULOMA VENEREUM ANTIBODY,254.0,254.0,,,0 HCPCS,86632,Chlamydia igm antibody,,,12.68,33.6,7 HCPCS,86632,HC C PNEUMONIAE IGM TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,37.0,37.0,,,0 HCPCS,86632,HC C PSITTACI IGM TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,37.0,37.0,,,0 HCPCS,86632,HC C TRACHOMATIS IGM TITER - CHLAMYDIA ANTIBODY PANEL IGG IGM - ARUP,37.0,37.0,,,0 HCPCS,86635,Coccidioides antibody,,,11.47,30.4,7 HCPCS,86635,HC COCCIDIOIDES ANTIBODY BY COMPLEMENT FIXATION - ARUP,46.0,46.0,,,0 HCPCS,86635,HC COCCIDIOIDES ANTIBODY BY IMMUNODIFFUSION REFLEX - ARUP,51.0,51.0,,,0 HCPCS,86635,HC COCCIDIOIDES ANTIBODY TITER COMPLEMENT FIXATION - ARUP,147.0,147.0,,,0 HCPCS,86635,HC COCCIDIOIDES BY COMPLEMENT FIXATION - FUNGAL AB W/RFLX SERUM - ARUP,41.0,41.0,,,0 HCPCS,86635,HC COCCIDIOIDES BY COMPLEMENT FIXATION-COCCIDIOIDES AB PNL SERUM ELISA-ARUP,54.0,54.0,,,0 HCPCS,86635,HC COCCIDIOIDES BY IMMUNODIFFUSION - COCCIDIOIDES AB PNL SERUM ELISA - ARUP,54.0,54.0,,,0 HCPCS,86635,HC COCCIDIOIDES IGG - COCCIDIOIDES AB PNL SERUM ELISA - ARUP,54.0,54.0,,,0 HCPCS,86635,HC COCCIDIOIDES IGG BY ELISA - COCCIDIOIDES ANTIBODY REFLEX PANEL - ARUP,62.0,62.0,,,0 HCPCS,86635,HC COCCIDIOIDES IGG BY ELISA - COCCIDIOIDES IGG IGM AB - ARUP,62.0,62.0,,,0 HCPCS,86635,HC COCCIDIOIDES IGM - COCCIDIOIDES AB PNL SERUM ELISA - ARUP,54.0,54.0,,,0 HCPCS,86635,HC COCCIDIOIDES IGM BY ELISA - COCCIDIOIDES ANTIBODY REFLEX PANEL - ARUP,62.0,62.0,,,0 HCPCS,86635,HC COCCIDIOIDES IGM BY ELISA - COCCIDIOIDES IGG IGM AB - ARUP,62.0,62.0,,,0 HCPCS,86635,"HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES ANTIBODIES",93.0,93.0,,,0 HCPCS,86635,"HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES COMP FIX",30.0,30.0,,,0 HCPCS,86635,"HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES IMMUNOASSAY",30.0,30.0,,,0 HCPCS,86635,"HC COCCIDIOIDES, ANTIBODY - COCCIDIOIDES IMMUNODIFFUSION",30.0,30.0,,,0 HCPCS,86635,HC FUNGAL ANTIBODIES - COCCIDIOEDES,28.0,28.0,,,0 HCPCS,86638,HC COXIELLA BURNETTI ANTIBODY IGG,140.0,140.0,,,0 HCPCS,86638,HC COXIELLA BURNETTI ANTIBODY IGG PHASE 1 TITER,147.0,147.0,,,0 HCPCS,86638,HC COXIELLA BURNETTI ANTIBODY IGG PHASE 2 TITER,147.0,147.0,,,0 HCPCS,86638,HC COXIELLA BURNETTI ANTIBODY IGM PHASE 1 TITER,147.0,147.0,,,0 HCPCS,86638,HC COXIELLA BURNETTI ANTIBODY IGM PHASE 2 TITER,147.0,147.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 1 - Q FEVER ANTIBODY - ARUP,63.0,63.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 1 - Q FEVER IGG IGM AB RFLX - ARUP,63.0,63.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 1 TITER - ARUP,138.0,138.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 2 - Q FEVER ANTIBODY - ARUP,63.0,63.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 2 - Q FEVER IGG IGM AB RFLX - ARUP,63.0,63.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGG PHASE 2 TITER - ARUP,138.0,138.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGM PHASE 1 - Q FEVER IGG IGM AB RFLX - ARUP,63.0,63.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGM PHASE 1 TITER - ARUP,303.0,303.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGM PHASE 2 - Q FEVER IGG IGM AB RFLX - ARUP,63.0,63.0,,,0 HCPCS,86638,HC Q FEVER (COXIELLA BURNETII) IGM PHASE 2 TITER - ARUP,303.0,303.0,,,0 HCPCS,86638,HC Q FEVER ANTIBODY - Q FEVER ANTIBODY,153.0,153.0,,,0 HCPCS,86638,Q fever antibody,,,12.12,32.12,7 HCPCS,86641,Cryptococcus antibody,,,14.41,38.19,7 HCPCS,86644,CMV antibody,,,14.39,38.13,7 HCPCS,86644,HC CMV ANTIBODY - CMV IGG,184.5,184.5,,,0 HCPCS,86644,HC CMV TESTING-COMPONENT,183.5,183.5,,,0 HCPCS,86644,HC CYTOMEGALOVIRUS (CMV) IGG - ARUP,42.0,42.0,,,0 HCPCS,86644,HC CYTOMEGALOVIRUS (CMV) IGG - CMV ANTIBODIES IGG IGM - ARUP,39.0,39.0,,,0 HCPCS,86644,HC CYTOMEGALOVIRUS (CMV) IGG - TORCH ANTIBODIES IGG - ARUP,45.0,45.0,,,0 HCPCS,86645,Cmv antibody igm,,,16.85,44.65,7 HCPCS,86645,"HC CMV ANTIBODY, IGM - CMV IGM",210.0,210.0,,,0 HCPCS,86645,HC CYTOMEGALOVIRUS (CMV) IGM - ARUP,42.0,42.0,,,0 HCPCS,86645,HC CYTOMEGALOVIRUS (CMV) IGM - CMV ANTIBODIES IGG IGM - ARUP,45.0,45.0,,,0 HCPCS,86645,HC CYTOMEGALOVIRUS (CMV) IGM - TORCH ANTIBODIES - ARUP,45.0,45.0,,,0 HCPCS,86648,Diphtheria antibody,,,15.21,40.31,7 HCPCS,86651,Encephalitis californ antbdy,,,13.19,34.95,7 HCPCS,86651,HC CALIFORNIA ENCEPHALITIS IGG - ARBOVIRUS PANEL IGG - ARUP,77.0,77.0,,,0 HCPCS,86651,HC CALIFORNIA ENCEPHALITIS IGG CSF- ARBOVIRUS PANEL IGG CSF - ARUP,153.0,153.0,,,0 HCPCS,86651,HC CALIFORNIA ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,153.0,153.0,,,0 HCPCS,86651,"HC CALIFORNIA ENCEPHALITIS IGM CSF - ARBOVIRUS PANEL, IGM CSF - ARUP",153.0,153.0,,,0 HCPCS,86651,HC ENCEPHAL ANTIBODY CALIF - ADDITIONAL CHARGE,102.0,102.0,,,0 HCPCS,86651,HC ENCEPHALITIS ANTIBODY PANEL IGM CSF,132.0,132.0,,,0 HCPCS,86651,"HC ENCEPHALITIS CALIFORN ANTBDY - ENCEPHALITIS, CALIFORNIA ANTIBODY IGG",102.0,102.0,,,0 HCPCS,86651,"HC ENCEPHALITIS CALIFORN ANTBDY - ENCEPHALITIS, CALIFORNIA ANTIBODY IGM",132.0,132.0,,,0 HCPCS,86652,Encephaltis east eqne anbdy,,,13.19,34.95,7 HCPCS,86652,HC EASTERN EQUINE ENCEPHALITIS IGG - ARBOVIRUS PANEL IGG - ARUP,77.0,77.0,,,0 HCPCS,86652,HC EASTERN EQUINE ENCEPHALITIS IGG CSF - ARBOVIRUS PANEL IGG CSF - ARUP,153.0,153.0,,,0 HCPCS,86652,HC EASTERN EQUINE ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,153.0,153.0,,,0 HCPCS,86652,HC EASTERN EQUINE ENCEPHALITIS IGM CSF - ARBOVIRUS PANEL IGM CSF - ARUP,153.0,153.0,,,0 HCPCS,86652,HC ENCEPHAL ANTIBODY EAST EQU - ADDITIONAL CHARGE,102.0,102.0,,,0 HCPCS,86652,"HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGG",102.0,102.0,,,0 HCPCS,86652,"HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGG CSF",102.0,102.0,,,0 HCPCS,86652,"HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGM",102.0,102.0,,,0 HCPCS,86652,"HC ENCEPHALTIS EAST EQNE ANBDY - ENCEPHALITIS, EASTERN EQUINE ANTI IGM CSF",102.0,102.0,,,0 HCPCS,86653,Encephaltis st louis antbody,,,13.19,34.95,7 HCPCS,86653,HC ENCEPHAL ANTIBODY ST LOUIS - ADDITIONAL CHARGE,102.0,102.0,,,0 HCPCS,86653,"HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGG",102.0,102.0,,,0 HCPCS,86653,"HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGG CSF",102.0,102.0,,,0 HCPCS,86653,"HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM",102.0,102.0,,,0 HCPCS,86653,"HC ENCEPHALTIS ST LOUIS ANTBODY - ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM CSF",102.0,102.0,,,0 HCPCS,86653,HC ST LOUIS ENCEPHALITIS IGG - ARBOVIRUS PANEL IGG - ARUP,77.0,77.0,,,0 HCPCS,86653,HC ST LOUIS ENCEPHALITIS IGG CSF - ARBOVIRUS PANEL IGG CSF - ARUP,153.0,153.0,,,0 HCPCS,86653,HC ST LOUIS ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,153.0,153.0,,,0 HCPCS,86653,HC ST LOUIS ENCEPHALITIS IGM CSF - ARBOVIRUS PANEL IGM CSF - ARUP,153.0,153.0,,,0 HCPCS,86654,Encephaltis west eqne antbdy,,,13.19,34.95,7 HCPCS,86654,HC ENCEPHAL ANTIBODY WEST EQU - ADDITIONAL CHARGE,102.0,102.0,,,0 HCPCS,86654,"HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGG",102.0,102.0,,,0 HCPCS,86654,"HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGG CSF",102.0,102.0,,,0 HCPCS,86654,"HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGM",102.0,102.0,,,0 HCPCS,86654,"HC ENCEPHALTIS WEST EQNE ANTBDY - ENCEPHALITIS, WESTERN EQUINE ANTI IGM CSF",102.0,102.0,,,0 HCPCS,86654,HC WESTERN EQUINE ENCEPHALITIS IGG -ARBOVIRUS PANEL IGG - ARUP,77.0,77.0,,,0 HCPCS,86654,HC WESTERN EQUINE ENCEPHALITIS IGG CSF-ARBOVIRUS PANEL IGG CSF - ARUP,153.0,153.0,,,0 HCPCS,86654,HC WESTERN EQUINE ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,153.0,153.0,,,0 HCPCS,86654,HC WESTERN EQUINE ENCEPHALITIS IGM CSF-ARBOVIRUS PANEL IGM CSF - ARUP,153.0,153.0,,,0 HCPCS,86658,Enterovirus antibody,,,13.03,34.53,7 HCPCS,86658,HC COXSACKIE A VIRUS ANTIBODY,33.0,33.0,,,0 HCPCS,86658,HC ECHOVIRUS TYPE 11 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 HCPCS,86658,HC ECHOVIRUS TYPE 30 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 HCPCS,86658,HC ECHOVIRUS TYPE 6 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 HCPCS,86658,HC ECHOVIRUS TYPE 7 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 HCPCS,86658,HC ECHOVIRUS TYPE 9 - ECHOVIRUS ANTIBODY PANEL - ARUP,107.0,107.0,,,0 HCPCS,86658,HC ENTEROVIRUS ANTIBODY - ENTEROVIRUS PANEL,33.0,33.0,,,0 HCPCS,86658,HC ENTEROVIRUS ANTIBODY - ENTEROVIRUS PANEL COXSACKIE,52.0,52.0,,,0 HCPCS,86658,HC ENTEROVIRUS ANTIBODY - ENTEROVIRUS PANEL ECHOVIRUS,285.0,285.0,,,0 HCPCS,86658,"HC ENTEROVIRUS ANTIBODY - POLIOVIRUS ANTIBODIES, TYPES 1, 2, AND 3",211.0,211.0,,,0 HCPCS,86658,HC POLIO VIRUS TYPE 1 - POLIOVIRUS ANTIBODIES TYPES 1 AND 3 - ARUP,161.0,161.0,,,0 HCPCS,86658,HC POLIO VIRUS TYPE 3 - POLIOVIRUS ANTIBODIES TYPES 1 AND 3 - ARUP,161.0,161.0,,,0 HCPCS,86663,Epstein-barr antibody,,,13.12,34.77,7 HCPCS,86663,HC EBV - EARLY IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP,31.0,31.0,,,0 HCPCS,86663,HC EPSTEIN BARR VIRUS EARLY ANTIGEN IGG - ARUP,34.0,34.0,,,0 HCPCS,86663,HC EPSTEIN BARR VIRUS EARLY IGG,511.0,511.0,,,0 HCPCS,86664,Epstein-barr nuclear antigen,,,15.29,40.52,7 HCPCS,86664,"HC EBV - NUCLEAR AG, IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP",35.0,35.0,,,0 HCPCS,86664,HC EPSTEIN BARR VIRUS NUCLEAR ANTIGEN IGG - ARUP,34.0,34.0,,,0 HCPCS,86664,HC EPSTEIN BARR VIRUS NUCLEAR ANTIGEN-EPSTEIN BARR VIRUS ANTIBODY PNL1-ARUP,32.0,32.0,,,0 HCPCS,86664,HC EPSTEIN-BARR NUCLEAR ANTIGEN - EPSTEIN-BARR VIRUS NUCLEAR ANTIGEN AB,204.0,204.0,,,0 HCPCS,86665,Epstein-barr capsid vca,,,18.14,48.07,7 HCPCS,86665,HC DONOR EBV VIRAL CAPSID ANTIGEN ANTIBODY IGG,47.0,47.0,,,0 HCPCS,86665,HC DONOR EBV VIRAL CAPSID ANTIGEN ANTIBODY IGM,47.0,47.0,,,0 HCPCS,86665,HC EBV VIRAL CAPSID AG (VCA) AB (IGG) - QWDL,48.5,48.5,,,0 HCPCS,86665,HC EBV VIRAL CAPSID AG (VCA) AB (IGM) - QWDL,53.0,53.0,,,0 HCPCS,86665,"HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGG - ARUP",41.5,41.5,,,0 HCPCS,86665,"HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGM - ARUP",41.5,41.5,,,0 HCPCS,86665,HC EPSTEIN BARR VIRUS CAPSID VCA IGG - ARUP,34.0,34.0,,,0 HCPCS,86665,HC EPSTEIN BARR VIRUS CAPSID VCA IGG - EBV ANTIBODY PANEL,180.5,180.5,,,0 HCPCS,86665,HC EPSTEIN BARR VIRUS CAPSID VCA IGG - QWDL,42.0,42.0,,,0 HCPCS,86665,HC EPSTEIN BARR VIRUS CAPSID VCA IGG-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP,38.0,38.0,,,0 HCPCS,86665,HC EPSTEIN BARR VIRUS CAPSID VCA IGM - ARUP,34.0,34.0,,,0 HCPCS,86665,HC EPSTEIN BARR VIRUS CAPSID VCA IGM - EBV ANTIBODY PANEL,180.5,180.5,,,0 HCPCS,86665,HC EPSTEIN BARR VIRUS CAPSID VCA IGM - QWDL,41.0,41.0,,,0 HCPCS,86665,HC EPSTEIN BARR VIRUS CAPSID VCA IGM-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP,38.0,38.0,,,0 HCPCS,86665,"HC EPSTEIN-BARR CAPSID VCA, IGG",101.0,101.0,,,0 HCPCS,86665,"HC EPSTEIN-BARR CAPSID VCA, IGM",177.0,177.0,,,0 HCPCS,86665,"HC EPSTEIN-BARR VIRUS VCA, IGG",165.0,165.0,,,0 HCPCS,86665,HC VCA IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP,44.0,44.0,,,0 HCPCS,86665,HC VCA IGM - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP,44.0,44.0,,,0 HCPCS,86666,Ehrlichia Antibody,,,10.18,26.98,7 HCPCS,86666,HC ANAPLASMA PHGOCYTOPHILUM IGG - ANAPLASMA PHAGOCYTOPHYLLIU IGG IGM - ARUP,149.0,149.0,,,0 HCPCS,86666,HC ANAPLASMA PHGOCYTOPHILUM IGM - ANAPLASMA PHAGOCYTOPHYLLIU IGG IGM - ARUP,149.0,149.0,,,0 HCPCS,86666,HC EHRLICHIA ANTIBODY - ANAPLASMA PHAGOCYTOPHILUM IGG,49.0,49.0,,,0 HCPCS,86666,HC EHRLICHIA ANTIBODY - ANAPLASMA PHAGOCYTOPHILUM IGM,49.0,49.0,,,0 HCPCS,86666,HC EHRLICHIA ANTIBODY - EHRLICHIA CHAFFEENSIS PANEL,115.0,115.0,,,0 HCPCS,86668,Francisella tularensis,,,14.16,37.52,7 HCPCS,86668,HC FRANCISELLA TULARENSIS - TULAREMIA ANTIBODY,138.0,138.0,,,0 HCPCS,86671,Fungus nes antibody,,,12.25,32.46,7 HCPCS,86671,"HC FUNGUS, ANTIBODY - OTHER ORGANISM ANTIBODIES",61.0,61.0,,,0 HCPCS,86671,"HC FUNGUS, ANTIBODY - SACCHAROMYCES CEREVISIAE ANTIBODIES, IGG AND IGA",275.0,275.0,,,0 HCPCS,86671,HC S CEREVISIAE IGG/IGA - INFLAMMATORY BOWEL DISEASE PANEL - ARUP,80.0,80.0,,,0 HCPCS,86674,Giardia lamblia antibody,,,14.72,39.01,7 HCPCS,86674,HC G LAMBLIA AB IGM,171.0,171.0,,,0 HCPCS,86674,"HC GIARDIA LAMBLIA - GIARDIA LAMBLIA ANTIBODY, IFA",148.0,148.0,,,0 HCPCS,86674,HC GIARDIA LAMBLIA AB IGA,171.0,171.0,,,0 HCPCS,86674,HC GIARDIA LAMBLIA AB IGG,171.0,171.0,,,0 HCPCS,86677,HC HELICOBACTER PYLORI - HELICOBACTER PYLORI IGG,540.0,540.0,,,0 HCPCS,86677,HC HELICOBACTER PYLORI IGG,418.5,418.5,,,0 HCPCS,86677,Helicobacter pylori antibody,,,16.85,44.65,7 HCPCS,86682,HC ECHINOCOCCUS IGG - ARUP,63.0,63.0,,,0 HCPCS,86682,"HC HELMINTH, ANTIBODY - CYSTICERCOSIS ANTIBODY, IGG",103.0,103.0,,,0 HCPCS,86682,"HC HELMINTH, ANTIBODY - ECHINOCOCCUS ANTIBODY, IGG",107.0,107.0,,,0 HCPCS,86682,"HC HELMINTH, ANTIBODY - SCHISTOSOMA ANTIBODY, IGG",226.0,226.0,,,0 HCPCS,86682,"HC HELMINTH, ANTIBODY - STRONGYLOIDES ANTIBODY, IGG",107.0,107.0,,,0 HCPCS,86682,"HC HELMINTH, ANTIBODY - TOXACARA ANTIBODY",256.0,256.0,,,0 HCPCS,86682,HC SCHISTOSOMA IGG - ARUP,379.0,379.0,,,0 HCPCS,86682,HC STRONGYLOIDES IGG - ARUP,63.0,63.0,,,0 HCPCS,86682,HC TOXOCARA IGG - ARUP,379.0,379.0,,,0 HCPCS,86682,Helminth antibody,,,13.01,34.48,7 HCPCS,86684,Hemophilus influenza antibdy,,,15.84,41.98,7 HCPCS,86687,Htlv-i antibody,,,9.09,24.09,7 HCPCS,86688,Htlv-ii antibody,,,14.0,37.1,7 HCPCS,86689,HC HTLV 1 AND 2 ANTIBODY WESTERN BLOT,119.5,119.5,,,0 HCPCS,86689,HC HTLV/HIV CONFIRMATORY TEST - HIV-1 WESTERN BLOT,177.0,177.0,,,0 HCPCS,86689,HC HUMAN T-LYMPHOTROPIC VIRUS (HTLV) I AND II ANTIBODY WESTERN BLOT - ARUP,333.0,333.0,,,0 HCPCS,86689,Htlv/hiv confirmj antibody,,,19.35,51.28,7 HCPCS,86692,HC HEPATITIS DELTA VIRUS - ARUP,60.0,60.0,,,0 HCPCS,86692,"HC HEPATITIS, DELTA AGENT - HEPATITIS DELTA VIRUS",92.0,92.0,,,0 HCPCS,86692,Hepatitis delta agent antbdy,,,17.16,45.47,7 HCPCS,86694,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC ANTIBODY",89.5,89.5,,,0 HCPCS,86694,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGG AB",94.0,94.0,,,0 HCPCS,86694,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGG AB CSF",40.0,40.0,,,0 HCPCS,86694,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGM AB",40.0,40.0,,,0 HCPCS,86694,"HC HERPES SIMPLEX TEST, UNSPECIFIED TYPE - HSV NON-SPECIFIC TYPE IGM AB CSF",40.0,40.0,,,0 HCPCS,86694,HC HERPES SIMPLEX VIRUS (HSV) 1/2 COMBINED IGG - ARUP,55.0,55.0,,,0 HCPCS,86694,HC HERPES SIMPLEX VIRUS (HSV) 1/2 IGG - TORCH ANTIBODIES IGG - ARUP,45.0,45.0,,,0 HCPCS,86694,HC HERPES SIMPLEX VIRUS (HSV) 1/2 IGG CSF - ARUP,78.0,78.0,,,0 HCPCS,86694,HC HERPES SIMPLEX VIRUS (HSV) 1/2 IGM - TORCH ANTIBODIES IGM - ARUP,39.0,39.0,,,0 HCPCS,86694,HC HERPES SIMPLEX VIRUS (HSV) TYPE 1/2 IGM - ARUP,40.0,40.0,,,0 HCPCS,86694,HC HERPES SIMPLEX VIRUS (HSV) TYPE 1/2 IGM CSF - ARUP,78.0,78.0,,,0 HCPCS,86694,HC HERPES SIMPLEX VIRUS(HSV) 1/2 IGG W/ RFLX TYPE 1/2 GLYCO G SPECIFIC-ARUP,55.0,55.0,,,0 HCPCS,86694,HC HSV COMB IGG - HSV 1/2 IGG IGM W/ RFLX TYPE 1/2 GLYCO G SPECIFIC - ARUP,47.0,47.0,,,0 HCPCS,86694,HC HSV IGM - HSV 1/2 IGG IGM W/ RFLX TYPE 1/2 GLYCO G SPECIFIC - ARUP,47.0,47.0,,,0 HCPCS,86694,Herpes simplex nes antbdy,,,14.39,38.13,7 HCPCS,86695,HC HERPES SIMPLEX 1 GLYCOPROTEIN G AB IGG,57.0,57.0,,,0 HCPCS,86695,"HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGM ANTIBODY",87.0,87.0,,,0 HCPCS,86695,"HC HERPES SIMPLEX TEST, TYPE 1 IGG",469.0,469.0,,,0 HCPCS,86695,HC HERPES SIMPLEX VIRUS 1 IGM AB TITER,43.0,43.0,,,0 HCPCS,86695,HC HERPES SIMPLEX VIRUS TYPE 1 ANTIBODY IGM TITER - QDID,180.0,180.0,,,0 HCPCS,86695,HC HERPES SIMPLEX VIRUS TYPE 1 IGG - HSV 1 AND 2 ANTIBODY IGG,435.0,435.0,,,0 HCPCS,86695,HC HSV 1 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP,46.0,46.0,,,0 HCPCS,86695,"HC HSV 1 IGM - HSV 1&2 AB IGM, IFA WITH REFLEX TO TITER, SERUM - QDID",22.0,22.0,,,0 HCPCS,86695,HC HSV 1 SPECIFIC IGG - HSV 1&2 IGG WITH REFLX TO HSV 2 INHIBITION - QDID,34.0,34.0,,,0 HCPCS,86695,HC HSV TYPE 1 IGG - HSV 1 GLYCOPROTEIN G IGG - ARUP,57.0,57.0,,,0 HCPCS,86695,HC TYPE 1 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP,50.0,50.0,,,0 HCPCS,86695,HC TYPE 1 IGG - HERPES SIMPLEX VIRUS 1/2 IGG TYPE SPECIFIC AB - QWDL,26.0,26.0,,,0 HCPCS,86695,Herpes simplex type 1 test,,,13.19,34.95,7 HCPCS,86696,"HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGM ANTIBODY",88.0,88.0,,,0 HCPCS,86696,HC HERPES SIMPLEX VIRUS 2 ANTIBODY IGM TITER - QDID,180.0,180.0,,,0 HCPCS,86696,HC HERPES SIMPLEX VIRUS 2 GLYCOPROTEIN G IGG - ARUP,57.0,57.0,,,0 HCPCS,86696,HC HERPES SIMPLEX VIRUS 2 IGM AB TITER,43.0,43.0,,,0 HCPCS,86696,HC HERPES SIMPLEX VIRUS 2 SPECIFC IGG - HSV 1&2 IGG TYPE SPECIFIC AB - QWDL,87.0,87.0,,,0 HCPCS,86696,HC HERPES SIMPLEX VIRUS TYPE 2 IGG - HSV 1 AND 2 ANTIBODY IGG,435.0,435.0,,,0 HCPCS,86696,HC HSV 2 GLYCOPROTEIN G IGG - ARUP,55.0,55.0,,,0 HCPCS,86696,HC HSV 2 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP,68.0,68.0,,,0 HCPCS,86696,HC HSV 2 IGG INHIBITION ELISA - ARUP,632.0,632.0,,,0 HCPCS,86696,HC HSV 2 IGG INHIBITION REFLEX - HSV 2 IGG INHIBITION RFLX - QDID,630.0,630.0,,,0 HCPCS,86696,"HC HSV 2 IGM - HSV 1&2 AB IGM, IFA WITH REFLEX TO TITER, SERUM - QDID",33.0,33.0,,,0 HCPCS,86696,HC HSV 2 SPECIFIC IGG - HSV 1&2 IGG WITH REFLX TO HSV 2 INHIBITION - QDID,50.0,50.0,,,0 HCPCS,86696,HC HSV TYPE 2 IGG - HSV 2 GLYCOPROTEIN G IGG - ARUP,57.0,57.0,,,0 HCPCS,86696,HC TYPE 2 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP,74.0,74.0,,,0 HCPCS,86696,HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 1/2 IGG TYPE SPECIFIC AB - QWDL,54.0,54.0,,,0 HCPCS,86696,HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 2 GLYCOPROTEIN G AB IGG - ARUP,68.0,68.0,,,0 HCPCS,86696,HC TYPE 2 IGG - HERPES SIMPLEX VIRUS-2 IGG INHIBITION BY ELISA - ARUP,905.0,905.0,,,0 HCPCS,86696,Herpes simplex type 2 test,,,19.35,51.28,7 HCPCS,86698,HC FUNGAL ANTIBODIES - HISTOPLASMA,68.0,68.0,,,0 HCPCS,86698,HC HISTOPLASMA - HISTOPLASMA ANTIBODIES,108.0,108.0,,,0 HCPCS,86698,HC HISTOPLASMA - HISTOPLASMA ANTIBODIES COMP FIX,25.0,25.0,,,0 HCPCS,86698,HC HISTOPLASMA ABS IMMUNODIFFUSION - HISTOPLASMA ABS BY CF AND ID - ARUP,46.0,46.0,,,0 HCPCS,86698,HC HISTOPLASMA ANTIBODIES IMMUNODIFFUSION - ARUP,50.0,50.0,,,0 HCPCS,86698,HC HISTOPLASMA MYCELIA AB BY COMPLEMENTFIXATION-FUNGAL AB W/RFLX SERUM-ARUP,50.0,50.0,,,0 HCPCS,86698,HC HISTOPLASMA MYCELIA ABS CF - HISTOPLASMA ABS BY CF AND ID - ARUP,46.0,46.0,,,0 HCPCS,86698,HC HISTOPLASMA MYCELIA ANTIBODIES - HISTOPLASMA ANTIBODIES BY CF - ARUP,45.0,45.0,,,0 HCPCS,86698,HC HISTOPLASMA YEAST AB BY COMPLEMENT FIXATION-FUNGAL AB W/RFLX SERUM-ARUP,50.0,50.0,,,0 HCPCS,86698,HC HISTOPLASMA YEAST ABS CF - HISTOPLASMA ABS BY CF AND ID - ARUP,46.0,46.0,,,0 HCPCS,86698,HC HISTOPLASMA YEAST ANTIBODIES - HISTOPLASMA ANTIBODIES BY CF - ARUP,45.0,45.0,,,0 HCPCS,86698,Histoplasma antibody,,,13.79,36.54,7 HCPCS,86701,HC HIV 1 - HIV 1 AND 2 ANTIBODY DIFFERENTIATION,507.0,507.0,,,0 HCPCS,86701,"HC HIV 1 - HIV 1/2 AB DIFF, SUPPLEMENTAL - ARUP",157.0,157.0,,,0 HCPCS,86701,HC HIV-1 - HIV 1 ANTIBODY EIA,550.0,550.0,,,0 HCPCS,86701,HC HIV-1 - HIV 1/2 ANTIBODY DIFFERENTIATION - FOCUS SCREENING PROGRAM,507.0,507.0,,,0 HCPCS,86701,Hiv-1antibody,,,8.89,23.56,7 HCPCS,86702,HC HIV 2 - HIV 1 AND 2 ANTIBODY DIFFERENTIATION,507.0,507.0,,,0 HCPCS,86702,"HC HIV 2 - HIV 1/2 AB DIFF, SUPPLEMENTAL - ARUP",190.0,190.0,,,0 HCPCS,86702,HC HIV-2 - HIV 1/2 ANTIBODY DIFFERENTIATION - FOCUS SCREENING PROGRAM,507.0,507.0,,,0 HCPCS,86702,HC HIV-2 - HIV-2 ANTIBODIES,550.0,550.0,,,0 HCPCS,86702,Hiv-2 antibody,,,13.52,35.83,7 HCPCS,86703,HC HIV 1+2 (DONOR),103.0,103.0,,,0 HCPCS,86703,"HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN",103.0,103.0,,,0 HCPCS,86703,Hiv-1/hiv-2 1 result antbdy,,,13.71,36.33,7 HCPCS,86704,HC DONOR HEPATITIS B CORE ANTIBODY TOTAL,78.0,78.0,,,0 HCPCS,86704,HC HBCORE AB ONEBLOOD CHARGE,80.5,80.5,,,0 HCPCS,86704,HC HEP B CORE AB DONOR,103.0,103.0,,,0 HCPCS,86704,HC HEPATITIS B CORE ANTIBODY TOTAL,174.0,174.0,,,0 HCPCS,86704,HC HEPATITIS B CORE ANTIBODY TOTAL - ARUP,58.0,58.0,,,0 HCPCS,86704,Hep b core antibody total,,,12.05,31.93,7 HCPCS,86705,HC DONOR HEP B COR AB IGM,31.0,31.0,,,0 HCPCS,86705,HC HEPATITIS B CORE ANTIBODY IGM,286.0,286.0,,,0 HCPCS,86705,HC HEPATITIS B VIRUS CORE IGM - ARUP,36.5,36.5,,,0 HCPCS,86705,HC HEPATITIS B VIRUS CORE IGM - QWDL,34.0,34.0,,,0 HCPCS,86705,Hep b core antibody igm,,,11.77,31.19,7 HCPCS,86706,HC DONOR HEPATITIS B SURFACE ANTIBODY,71.0,71.0,,,0 HCPCS,86706,HC HEPATITIS B SURFACE ANTIBODY,333.0,333.0,,,0 HCPCS,86706,HC HEPATITIS B SURFACE ANTIBODY - ARUP,53.0,53.0,,,0 HCPCS,86706,HC HEPATITIS B SURFACE ANTIBODY QUAL - QWDL,54.0,54.0,,,0 HCPCS,86706,Hep b surface antibody,,,10.74,28.46,7 HCPCS,86707,HC HEPATITIS B E VIRUS ANTIBODY - ARUP,70.0,70.0,,,0 HCPCS,86707,HC HEPATITIS BE AB TEST - HEPATITIS B E ANTIBODY,65.0,65.0,,,0 HCPCS,86707,Hepatitis be antibody,,,11.57,30.66,7 HCPCS,86708,HC HEPATITIS A ANTIBODY TOTAL,198.0,198.0,,,0 HCPCS,86708,"HC HEPATITIS A ANTIBODY, TOTAL - ARUP",35.5,35.5,,,0 HCPCS,86708,Hepatitis a antibody,,,12.39,32.83,7 HCPCS,86709,HC HEPATITIS A IGM,318.5,318.5,,,0 HCPCS,86709,HC HEPATITIS A IGM - ARUP,66.5,66.5,,,0 HCPCS,86709,HC HEPATITIS A IGM - QWDL,68.0,68.0,,,0 HCPCS,86709,Hepatitis a igm antibody,,,11.26,29.84,7 HCPCS,86710,HC INFLUENZA A VIRUS IGG - INFLUENZA TYPE A&B ANTIBODIES - ARUP,43.0,43.0,,,0 HCPCS,86710,HC INFLUENZA A VIRUS IGM - INFLUENZA TYPE A&B ANTIBODIES - ARUP,43.0,43.0,,,0 HCPCS,86710,HC INFLUENZA B VIRUS IGG - INFLUENZA TYPE A&B ANTIBODIES - ARUP,43.0,43.0,,,0 HCPCS,86710,HC INFLUENZA B VIRUS IGM - INFLUENZA TYPE A&B ANTIBODIES - ARUP,43.0,43.0,,,0 HCPCS,86710,"HC INFLUENZA VIRUS - INFLUENZA A ANTIBODY, IGM",57.5,57.5,,,0 HCPCS,86710,"HC INFLUENZA VIRUS - INFLUENZA B ANTIBODY, IGM",57.5,57.5,,,0 HCPCS,86710,HC INFLUENZA VIRUS - INFLUENZA TYPE A ANTIBODY IGG,57.5,57.5,,,0 HCPCS,86710,HC INFLUENZA VIRUS - INFLUENZA TYPE A&B ANTIBODIES,108.5,108.5,,,0 HCPCS,86710,HC INFLUENZA VIRUS - INFLUENZA TYPE B ANTIBODY,57.5,57.5,,,0 HCPCS,86710,Influenza virus antibody,,,13.55,35.91,7 HCPCS,86711,"HC JC VIRUS ANTIBODY BY ELISA, SERUM, WITH REFLEX - ARUP",126.0,126.0,,,0 HCPCS,86711,HC JOHN CUNNINGHAM ANTIBODY,329.0,329.0,,,0 HCPCS,86711,HC JOHN CUNNINGHAM VIRUS ANTIBODY INHIBITION - ARUP,1.0,1.0,,,0 HCPCS,86711,John cunningham antibody,,,16.89,44.76,7 HCPCS,86713,HC LEGIONELLA - LEGIONELLA PNEUMOPHILA TOTL AB,93.0,93.0,,,0 HCPCS,86713,HC LEGIONELLA ANTIBODY IGG,27.0,27.0,,,0 HCPCS,86713,HC LEGIONELLA ANTIBODY IGM 1,57.0,57.0,,,0 HCPCS,86713,HC LEGIONELLA ANTIBODY IGM 1-6,27.0,27.0,,,0 HCPCS,86713,HC LEGIONELLA PNEUMONPHILA IGG IGA IGM TYPE 1 THRU 6 BY ELISA - ARUP,97.0,97.0,,,0 HCPCS,86713,Legionella antibody,,,15.3,40.54,7 HCPCS,86717,HC LEISHMANIA AB - LEISHMANIA ANTIBODY,131.0,131.0,,,0 HCPCS,86717,HC LEISHMANIA IGG - ARUP,185.0,185.0,,,0 HCPCS,86717,Leishmania antibody,,,12.25,32.46,7 HCPCS,86720,HC LEPTOSPIRA - LEPTOSPIRA ANTIBODY,142.0,142.0,,,0 HCPCS,86720,HC LEPTOSPIRA IGM - ARUP,217.0,217.0,,,0 HCPCS,86720,Leptospira antibody,,,16.2,42.93,7 HCPCS,86723,Listeria monocytogenes,,,13.19,34.95,7 HCPCS,86727,HC LCM VIRUS IGG - LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY - ARUP,84.0,84.0,,,0 HCPCS,86727,HC LCM VIRUS IGM - LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY - ARUP,84.0,84.0,,,0 HCPCS,86727,HC LYMPH CHORIOMENINGITIS - LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY,129.0,129.0,,,0 HCPCS,86727,Lymph choriomeningitis ab,,,12.87,34.11,7 HCPCS,86732,Mucormycosis antibody,,,15.0,39.75,7 HCPCS,86735,HC MUMPS - MUMPS IGG ANTIBODY,486.0,486.0,,,0 HCPCS,86735,HC MUMPS - MUMPS IGM ANTIBODY,61.0,61.0,,,0 HCPCS,86735,HC MUMPS IGG - ARUP,30.0,30.0,,,0 HCPCS,86735,HC MUMPS IGG - MEASLES MUMPS IGG,641.0,641.0,,,0 HCPCS,86735,HC MUMPS IGG - QUALITATIVE,641.0,641.0,,,0 HCPCS,86735,HC MUMPS IGG - QUANTITATIVE,451.0,451.0,,,0 HCPCS,86735,HC MUMPS IGG - QWDL,41.0,41.0,,,0 HCPCS,86735,HC MUMPS IGM - ARUP,42.0,42.0,,,0 HCPCS,86735,Mumps antibody,,,13.05,34.58,7 HCPCS,86738,"HC MYCOPLASMA - MYCOPLASMA PNEUMONIAE ANTIBODY, IGG AND IGM",70.0,70.0,,,0 HCPCS,86738,"HC MYCOPLASMA - MYCOPLASMA PNEUMONIAE ANTIBODY, IGM",284.0,284.0,,,0 HCPCS,86738,HC MYCOPLASMA PNEUMONIAE IGG,96.0,96.0,,,0 HCPCS,86738,HC MYCOPLASMA PNEUMONIAE IGG - ARUP,46.0,46.0,,,0 HCPCS,86738,HC MYCOPLASMA PNEUMONIAE IGG - MYCOPLASMA PNEUMONIAE ANTIBODY G/M - ARUP,46.0,46.0,,,0 HCPCS,86738,HC MYCOPLASMA PNEUMONIAE IGM - ARUP,46.0,46.0,,,0 HCPCS,86738,HC MYCOPLASMA PNEUMONIAE IGM - MYCOPLASMA PNEUMONIAE ANTIBODY G/M - ARUP,46.0,46.0,,,0 HCPCS,86738,Mycoplasma antibody,,,13.24,35.09,7 HCPCS,86741,HC NEISSERIA MENINGITIDIS - NEISSERIA MENINGITIDIS ANTIBODIES,69.0,69.0,,,0 HCPCS,86741,Neisseria meningitidis,,,13.19,34.95,7 HCPCS,86744,Nocardia antibody,,,15.99,42.37,7 HCPCS,86747,"HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGG",32.5,32.5,,,0 HCPCS,86747,"HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGG AND IGM",77.0,77.0,,,0 HCPCS,86747,"HC PARVOVIRUS - PARVOVIRUS B19 ANTIBODY, IGM",32.5,32.5,,,0 HCPCS,86747,HC PARVOVIRUS B19 IGG - ARUP,59.0,59.0,,,0 HCPCS,86747,HC PARVOVIRUS B19 IGG - PARVOVIRUS B19 IGG AND IGM - ARUP,59.0,59.0,,,0 HCPCS,86747,HC PARVOVIRUS B19 IGM - ARUP,59.0,59.0,,,0 HCPCS,86747,HC PARVOVIRUS B19 IGM - PARVOVIRUS B19 IGG AND IGM - ARUP,59.0,59.0,,,0 HCPCS,86747,Parvovirus antibody,,,15.03,39.83,7 HCPCS,86750,Malaria antibody,,,13.19,34.95,7 HCPCS,86753,HC AMOEBA ANTIBODY,50.0,50.0,,,0 HCPCS,86753,HC BABESIA MICROTI IGG -BABESIA IGG IGM AB - ARUP,68.0,68.0,,,0 HCPCS,86753,HC BABESIA MICROTI IGG -BABESIA IGG IGM AB - QWDL,126.0,126.0,,,0 HCPCS,86753,HC BABESIA MICROTI IGM -BABESIA IGG IGM AB - ARUP,68.0,68.0,,,0 HCPCS,86753,HC BABESIA MICROTI IGM -BABESIA IGG IGM AB - QWDL,126.0,126.0,,,0 HCPCS,86753,HC E HISTOLYTICA IGG - ARUP,49.0,49.0,,,0 HCPCS,86753,"HC PROTOZOA, NOT ELSEWHERE - ANTIBODIES",128.0,128.0,,,0 HCPCS,86753,"HC PROTOZOA, NOT ELSEWHERE - BABESIA MICROTI, IGG",132.0,132.0,,,0 HCPCS,86753,"HC PROTOZOA, NOT ELSEWHERE - BABESIA MICROTI, IGM",50.0,50.0,,,0 HCPCS,86753,"HC PROTOZOA, NOT ELSEWHERE - E HISTOLYTICA, IGG",50.0,50.0,,,0 HCPCS,86753,"HC PROTOZOA, NOT ELSEWHERE - TRYPANOSOMA CRUZI ANTIBODY, IGG",103.0,103.0,,,0 HCPCS,86753,"HC PROTOZOA, NOT ELSEWHERE - TRYPANOSOMA CRUZI ANTIBODY, IGM",101.0,101.0,,,0 HCPCS,86753,HC TRYPANOSOMA CRUZI IGG - ARUP,84.0,84.0,,,0 HCPCS,86753,Protozoa antibody nos,,,12.39,32.83,7 HCPCS,86756,Respiratory virus antibody,,,15.89,42.11,7 HCPCS,86757,HC RICKETTSIA - RICKETTSIA RICKETTSII ANTIBODY,101.0,101.0,,,0 HCPCS,86757,HC RICKETTSIA - RICKETTSIA RICKETTSII ANTIBODY IGG AND IGM,28.0,28.0,,,0 HCPCS,86757,HC RICKETTSIA - RICKETTSIA RICKETTSII ANTIBODY IGM,28.0,28.0,,,0 HCPCS,86757,HC RICKETTSIA - RICKETTSIA TYPHI (TYPHUS FEVER) ANTIBODY,101.0,101.0,,,0 HCPCS,86757,HC RICKETTSIA RICKETTSII ANTIBODY IGM,101.0,101.0,,,0 HCPCS,86757,HC RICKETTSIA TYPHI ANTIBODY IGM,101.0,101.0,,,0 HCPCS,86757,HC ROCKY MOUNTAIN SPOT FEVER IGG - ARUP,26.0,26.0,,,0 HCPCS,86757,HC ROCKY MOUNTAIN SPOT FEVER IGG - ROCKY MOUNTAIN SPOT FEVER IGG IGM - ARUP,53.0,53.0,,,0 HCPCS,86757,HC ROCKY MOUNTAIN SPOT FEVER IGM - ROCKY MOUNTAIN SPOT FEVER IGG IGM - ARUP,53.0,53.0,,,0 HCPCS,86757,HC ROCKY MOUNTAIN SPOTTED FEVER IGM - ARUP,53.0,53.0,,,0 HCPCS,86757,HC ROCKY MT SPOTTED FEVER IGG - FEBRILE ANTIBODIES ID PANEL - ARUP,69.0,69.0,,,0 HCPCS,86757,HC ROCKY MT SPOTTED FEVER IGM - FEBRILE ANTIBODIES ID PANEL - ARUP,69.0,69.0,,,0 HCPCS,86757,HC TYPHUS FEVER IGG - ARUP,63.0,63.0,,,0 HCPCS,86757,HC TYPHUS FEVER IGG - FEBRILE ANTIBODIES ID PANEL - ARUP,69.0,69.0,,,0 HCPCS,86757,HC TYPHUS FEVER IGM - ARUP,69.0,69.0,,,0 HCPCS,86757,HC TYPHUS FEVER IGM - FEBRILE ANTIBODIES ID PANEL - ARUP,69.0,69.0,,,0 HCPCS,86757,Rickettsia Antibody,,,19.35,51.28,7 HCPCS,86759,Rotavirus antibody,,,18.23,48.31,7 HCPCS,86762,HC IGG - RUBELLA IMMUNE STATUS - QWDL,41.0,41.0,,,0 HCPCS,86762,"HC RUBELLA - RUBELLA ANTIBODY, IGM",474.0,474.0,,,0 HCPCS,86762,HC RUBELLA AB IGG - ARUP,41.0,41.0,,,0 HCPCS,86762,HC RUBELLA IGG (IMMUNE STATUS) - QWDL,22.0,22.0,,,0 HCPCS,86762,HC RUBELLA IGG - ARUP,38.0,38.0,,,0 HCPCS,86762,HC RUBELLA IGG - TORCH ANTIBODIES IGG - ARUP,45.0,45.0,,,0 HCPCS,86762,HC RUBELLA IGG QUALITATIVE,323.5,323.5,,,0 HCPCS,86762,HC RUBELLA IGG QUANTITATIVE,347.5,347.5,,,0 HCPCS,86762,HC RUBELLA IGM - ARUP,38.0,38.0,,,0 HCPCS,86762,HC RUBELLA IGM - TORCH ANTIBODIES IGM - ARUP,39.0,39.0,,,0 HCPCS,86762,Rubella antibody,,,14.39,38.13,7 HCPCS,86765,HC MEASLES ANTIBODY (IGG) - QWDL,45.0,45.0,,,0 HCPCS,86765,"HC RUBEOLA (MEASLES) - MEASLES MUMPS, IGG",723.0,723.0,,,0 HCPCS,86765,HC RUBEOLA (MEASLES) IGG - ARUP,30.0,30.0,,,0 HCPCS,86765,HC RUBEOLA (MEASLES) IGG - MEASLES MUMPS IGG,673.0,673.0,,,0 HCPCS,86765,HC RUBEOLA (MEASLES) IGG - QWDL,41.0,41.0,,,0 HCPCS,86765,HC RUBEOLA (MEASLES) IGM - ARUP,58.0,58.0,,,0 HCPCS,86765,"HC RUBEOLA - RUBEOLA ANTIBODY, IGM",93.0,93.0,,,0 HCPCS,86765,HC RUBEOLA ANTIBODY IGG,723.0,723.0,,,0 HCPCS,86765,"HC RUBEOLA ANTIBODY, IGG - ARUP",32.0,32.0,,,0 HCPCS,86765,HC RUBEOLA IGG - MEASLES - QWDL,42.0,42.0,,,0 HCPCS,86765,HC RUBEOLA IGM - ARUP,58.0,58.0,,,0 HCPCS,86765,Rubeola antibody,,,12.88,34.13,7 HCPCS,86768,HC SALMONELLA - SALMONELLA ANTIBODY,161.0,161.0,,,0 HCPCS,86768,HC SALMONELLA ANTIBODIES - FEBRILE ANTIBODIES IDENTIFICATION PANEL - ARUP,46.0,46.0,,,0 HCPCS,86768,HC SALMONELLA TYPHY / PARATYPHI ANTIBODY - ARUP,53.0,53.0,,,0 HCPCS,86768,Salmonella antibody,,,13.19,34.95,7 HCPCS,86769,HC COVID-19 SARS-COV-2 ANTIBODY,343.0,343.0,,,0 HCPCS,86769,HC COVID-19 SARS-COV-2 IGG QUALITATIVE - ARUP,115.0,115.0,,,0 HCPCS,86769,HC COVID-19 SARS-COV-2 IGG QUALITATIVE - QWDL,273.0,273.0,,,0 HCPCS,86769,HC COVID-19 SARS-COV-2 IGG SPIKE SEMI-QUANTITATIVE BY CIA - ARUP,140.0,140.0,,,0 HCPCS,86769,"HC SARS-COV-2 COVID-19 ANTIBODY - COVID-19 ANTIBODY TITER, IGG AND IGM",341.0,341.0,,,0 HCPCS,86769,Sars-cov-2 covid-19 antibody,,,42.13,111.64,7 HCPCS,86771,Shigella antibody,,,24.48,64.87,7 HCPCS,86774,Tetanus antibody,,,14.8,39.22,7 HCPCS,86777,HC TOXOPLASMA - TOXOPLASMA GONDII IGG ANTIBODY,370.0,370.0,,,0 HCPCS,86777,HC TOXOPLASMA GONDII IGG - ARUP,47.0,47.0,,,0 HCPCS,86777,HC TOXOPLASMA GONDII IGG - TORCH ANTIBODIES IGG - ARUP,45.0,45.0,,,0 HCPCS,86777,HC TOXOPLASMA GONDII IGG - TOXOPLASMA IGG IGM ANTIBODY - ARUP,44.0,44.0,,,0 HCPCS,86777,HC TOXOPLASMA GONDII IGG ELISA CSF - ARUP,313.0,313.0,,,0 HCPCS,86777,HC TOXOPLASMA GONDII IGG ELISA CSF - QDID,223.0,223.0,,,0 HCPCS,86777,Toxoplasma antibody,,,14.39,38.13,7 HCPCS,86778,HC TOXOPLASMA ANTIBODY IGM,54.0,54.0,,,0 HCPCS,86778,HC TOXOPLASMA ANTIBODY IGM CSF,54.0,54.0,,,0 HCPCS,86778,HC TOXOPLASMA GONDII IGM - ARUP,42.0,42.0,,,0 HCPCS,86778,HC TOXOPLASMA GONDII IGM - TORCH ANTIBODIES IGM - ARUP,39.0,39.0,,,0 HCPCS,86778,HC TOXOPLASMA GONDII IGM - TOXOPLASMA IGG IGM ANTIBODY - ARUP,45.0,45.0,,,0 HCPCS,86778,HC TOXOPLASMA GONDII IGM ELISA CSF - QDID,154.0,154.0,,,0 HCPCS,86778,"HC TOXOPLASMA, IGM - TOXOPLASMA GONDII ANTIBODY, IGM",54.0,54.0,,,0 HCPCS,86778,Toxoplasma antibody igm,,,14.41,38.19,7 HCPCS,86780,HC ANTIBODY TREPONEMA PALLIDUM - DONOR TOTAL SYPHILIS,89.0,89.0,,,0 HCPCS,86780,"HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM",89.0,89.0,,,0 HCPCS,86780,HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM DONOR,103.0,103.0,,,0 HCPCS,86780,HC TREPONEMA PALLIDUM (SYPHILIS) ANTIBODY - ARUP,59.0,59.0,,,0 HCPCS,86780,HC TREPONEMA PALLIDUM ANTIBODY,338.0,338.0,,,0 HCPCS,86780,HC TREPONEMA PALLIDUM ANTIBODY - ARUP,45.0,45.0,,,0 HCPCS,86780,HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA - ARUP,55.0,55.0,,,0 HCPCS,86780,HC TREPONEMA PALLIDUM CONFIRMATION,353.0,353.0,,,0 HCPCS,86780,HC TREPONEMA PALLIDUM IGG BY ELISA - ARUP,93.0,93.0,,,0 HCPCS,86780,HC TREPONEMA PALLIDUM IGG BY IFA (FTA-ABS) - ARUP,45.0,45.0,,,0 HCPCS,86780,Treponema pallidum,,,13.24,35.09,7 HCPCS,86784,HC TRICHINELLA - TRICHINELLA ANTIBODY,235.0,235.0,,,0 HCPCS,86784,HC TRICHINELLA ANTIBODY - ARUP,298.0,298.0,,,0 HCPCS,86784,Trichinella antibody,,,12.56,33.28,7 HCPCS,86787,HC VARICELLA ZOSTER ANTIBODY (IGG) - QWDL,31.0,31.0,,,0 HCPCS,86787,"HC VARICELLA ZOSTER ANTIBODY, IGG - ARUP",32.0,32.0,,,0 HCPCS,86787,HC VARICELLA ZOSTER IGG,495.0,495.0,,,0 HCPCS,86787,HC VARICELLA ZOSTER IGG - ARUP,30.0,30.0,,,0 HCPCS,86787,HC VARICELLA ZOSTER IGG - QWDL,27.0,27.0,,,0 HCPCS,86787,HC VARICELLA ZOSTER IGG - VZ IGG AND IGM - ARUP,30.0,30.0,,,0 HCPCS,86787,HC VARICELLA ZOSTER IGM - ARUP,30.0,30.0,,,0 HCPCS,86787,HC VARICELLA ZOSTER IGM - VARICELLA ZOSTER IGG AND IGM - ARUP,30.0,30.0,,,0 HCPCS,86787,HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGM,87.0,87.0,,,0 HCPCS,86787,Varicella-zoster antibody,,,12.88,34.13,7 HCPCS,86788,HC ENCEPHALITIS PANEL WEST NILE VIRUS ANTIBODY IGM CSF,104.0,104.0,,,0 HCPCS,86788,HC WEST NILE ENCEPHALITIS CSF - ARBOVIRUS PANEL IGM CSF - ARUP,195.0,195.0,,,0 HCPCS,86788,HC WEST NILE ENCEPHALITIS IGM - ARBOVIRUS PANEL IGM - ARUP,195.0,195.0,,,0 HCPCS,86788,"HC WEST NILE VIRUS AB, IGM - WEST NILE ANTIBODIES, IGG AND IGM",59.0,59.0,,,0 HCPCS,86788,"HC WEST NILE VIRUS AB, IGM - WEST NILE VIRUS ANTIBODY, IGM",59.0,59.0,,,0 HCPCS,86788,HC WEST NILE VIRUS ANTIBODY CSF,59.0,59.0,,,0 HCPCS,86788,HC WEST NILE VIRUS IGG - WEST NILE VIRUS CSF - ARUP,54.0,54.0,,,0 HCPCS,86788,HC WEST NILE VIRUS IGM - WEST NILE VIRUS CSF - ARUP,54.0,54.0,,,0 HCPCS,86788,HC WEST NILE VIRUS IGM CSF - ARUP,72.0,72.0,,,0 HCPCS,86788,West nile virus ab igm,,,16.85,44.65,7 HCPCS,86789,HC ENCEPHALITIS PANEL WEST NILE VIRUS - ARBOVIRUS PANEL IGG - ARUP,83.0,83.0,,,0 HCPCS,86789,HC ENCEPHALITIS PANEL WEST NILE VIRUS ANTIBODY IGG,107.0,107.0,,,0 HCPCS,86789,HC ENCEPHALITIS PANEL WEST NILE VIRUS ANTIBODY IGG CSF,107.0,107.0,,,0 HCPCS,86789,"HC WEST NILE VIRUS ANTIBODY - WEST NILE VIRUS ANTIBODY, IGG",107.0,107.0,,,0 HCPCS,86789,HC WEST NILE VIRUS IGG - WNV CSF - ARUP,68.0,68.0,,,0 HCPCS,86789,West Nile Virus Antibody,,,14.39,38.13,7 HCPCS,86790,HC ANTIBODY CHIKUNGUNYA IGG,161.0,161.0,,,0 HCPCS,86790,HC ANTIBODY CHIKUNGUNYA IGM,157.0,157.0,,,0 HCPCS,86790,HC ANTIBODY DENGUE FEVER IGG,135.0,135.0,,,0 HCPCS,86790,HC ANTIBODY DENGUE FEVER IGM,62.0,62.0,,,0 HCPCS,86790,HC ANTIBODY HEPATITIS E IGG,62.0,62.0,,,0 HCPCS,86790,HC ANTIBODY HEPATITIS E IGM,62.0,62.0,,,0 HCPCS,86790,HC ANTIBODY HERPES VIRUS 6 IGG,62.0,62.0,,,0 HCPCS,86790,HC ANTIBODY HERPES VIRUS 6 IGM,243.0,243.0,,,0 HCPCS,86790,HC ANTIBODY HTLV I AND II,95.0,95.0,,,0 HCPCS,86790,HC ANTIBODY NONSPECIFIC - OTHER,56.0,56.0,,,0 HCPCS,86790,HC ANTIBODY VIRUS NOT OTHERWISE SPECIFIED,62.0,62.0,,,0 HCPCS,86790,HC CHIKUNGUNYA ANTIBODY IGM TITER,62.0,62.0,,,0 HCPCS,86790,HC CHIKUNGUNYA IGG - CHIKUNGUNYA AB IGG IGM WITH REFLEX - QDID,199.0,199.0,,,0 HCPCS,86790,HC CHIKUNGUNYA IGG - CHIKUNGUNYA ANTIBODIES IGG IGM - ARUP,182.0,182.0,,,0 HCPCS,86790,HC CHIKUNGUNYA IGG TITER - QDID,199.0,199.0,,,0 HCPCS,86790,HC CHIKUNGUNYA IGG TITER REFLEX - QDID,199.0,199.0,,,0 HCPCS,86790,HC CHIKUNGUNYA IGM - CHIKUNGUNYA AB IGG IGM WITH REFLEX - QDID,199.0,199.0,,,0 HCPCS,86790,HC CHIKUNGUNYA IGM - CHIKUNGUNYA ANTIBODIES IGG IGM - ARUP,182.0,182.0,,,0 HCPCS,86790,HC CHIKUNGUNYA IGM TITER REFLEX - QDID,199.0,199.0,,,0 HCPCS,86790,HC DENGUE FEVER IGG - DENGUE FEVER IGG IGM AB - ARUP,159.0,159.0,,,0 HCPCS,86790,HC DENGUE FEVER IGM - ARUP,80.0,80.0,,,0 HCPCS,86790,HC DENGUE FEVER IGM - DENGUE FEVER IGG IGM AB - ARUP,159.0,159.0,,,0 HCPCS,86790,HC HEPATITIS E IGG - ARUP,126.0,126.0,,,0 HCPCS,86790,HC HEPATITIS E IGM - ARUP,138.0,138.0,,,0 HCPCS,86790,HC HERPES VIRUS 6 IGG - ARUP,378.0,378.0,,,0 HCPCS,86790,HC HERPES VIRUS 6 IGM - ARUP,379.0,379.0,,,0 HCPCS,86790,HC HTLV I AND II ANTIBODY WITH REFLEX - ARUP,52.0,52.0,,,0 HCPCS,86790,HC HTLV I/II DONOR,109.0,109.0,,,0 HCPCS,86790,HC HTLV I/II FBC CHARGE,62.0,62.0,,,0 HCPCS,86790,HC ZIKA VIRUS IGM - VC,62.0,62.0,,,0 HCPCS,86790,Virus antibody nos,,,12.88,34.13,7 HCPCS,86793,HC YERSENIA IGA - YERSINIA ANTIBODY WEST BLOT - ARUP,173.0,173.0,,,0 HCPCS,86793,HC YERSENIA IGG - YERSINIA ANTIBODY WEST BLOT - ARUP,173.0,173.0,,,0 HCPCS,86793,"HC YERSINIA - YERSINIA ANTIBODY, IGA, IGM, IGG",191.0,191.0,,,0 HCPCS,86793,Yersinia antibody,,,13.19,34.95,7 HCPCS,86794,HC ANTIBODY ZIKA VIRUS IGM,178.0,178.0,,,0 HCPCS,86794,HC ZIKA VIRUS IGM - ARUP,358.0,358.0,,,0 HCPCS,86794,Zika virus igm antibody,,,16.85,44.65,7 HCPCS,86800,HC ANTI THYROGLOBULIN (ATHYG) ANTIBODY,268.5,268.5,,,0 HCPCS,86800,HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB,268.5,268.5,,,0 HCPCS,86800,HC THYROGLOBULIN ANTIBODY - ANTI-THYROGLOBULIN AB WITH REFLEX TO THYROGLOBULIN,46.0,46.0,,,0 HCPCS,86800,HC THYROGLOBULIN ANTIBODY - ARUP,27.0,27.0,,,0 HCPCS,86800,HC THYROGLOBULIN ANTIBODY - THYROID ANTIBODIES - ARUP,32.0,32.0,,,0 HCPCS,86800,HC THYROGLOBULIN ANTIBODY CSF,25.5,25.5,,,0 HCPCS,86800,HC THYROGLOBULIN ANTIBODY WITH REFLEX - ARUP,27.0,27.0,,,0 HCPCS,86800,Thyroglobulin antibody,,,15.91,42.16,7 HCPCS,86803,HC DONOR HEPATITIS C ANTIBODY,93.0,93.0,,,0 HCPCS,86803,HC HEPATITIS C AB TEST - HEPATITIS C AB DONOR,103.0,103.0,,,0 HCPCS,86803,"HC HEPATITIS C AB W/REFL TO HCV RNA, QN, PCR - QWDL",67.0,67.0,,,0 HCPCS,86803,HC HEPATITIS C ANTIBODY - HEPATITIS PANEL ACUTE,371.5,371.5,,,0 HCPCS,86803,HC HEPATITIS C ANTIBODY BY CIA WITH REFLEX - ARUP,69.0,69.0,,,0 HCPCS,86803,HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR - QWDL,30.0,30.0,,,0 HCPCS,86803,HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR- ARUP,42.0,42.0,,,0 HCPCS,86803,"HC HEPATITUS C VIRUS ANTIBODY - HEPATITIS PANEL, ACUTE",425.0,425.0,,,0 HCPCS,86803,Hepatitis c ab test,,,14.27,37.82,7 HCPCS,86804,Hep c ab test confirm,,,15.49,41.05,7 HCPCS,86805,Lymphocytotoxicity assay,,,189.51,502.2,7 HCPCS,86806,Lymphocytotoxicity assay,,,47.59,126.11,7 HCPCS,86807,Cytotoxic antibody screening,,,78.65,208.42,7 HCPCS,86807,HC CYTOTOXIC ANTIBODY SCREEN PERCENT REACTIVE ANTIBODY,785.0,785.0,,,0 HCPCS,86808,Cytotoxic antibody screening,,,29.68,78.65,7 HCPCS,86812,HC HLA B27 ANTIGEN - ARUP,114.0,114.0,,,0 HCPCS,86812,"HC HLA TYPING, A,B,OR C /SINGLE - HLA-B27 ANTIGEN",47.0,47.0,,,0 HCPCS,86812,Hla typing a b or c,,,25.81,68.4,7 HCPCS,86813,"HC HLA TYPING CLASS I, MULTI ANTIGENS - PLATELET",354.5,354.5,,,0 HCPCS,86813,"HC HLA TYPING, A,B,OR C /MULTI - HLA A AND B PHENOTYPE",476.0,476.0,,,0 HCPCS,86813,Hla typing a b or c,,,58.0,153.7,7 HCPCS,86816,"HC HLA TYPING, DR/DQ,SINGLE ANTIGEN - HLA TYPING, DR/DQ, SINGLE ANTIGEN",222.0,222.0,,,0 HCPCS,86816,Hla typing dr/dq,,,30.17,79.95,7 HCPCS,86817,Hla typing dr/dq,,,106.14,281.27,7 HCPCS,86821,Lymphocyte culture mixed,,,36.56,96.88,7 HCPCS,86825,HC HLA FLOW CYTOMETRY CROSSMATCH - 1ST SAMPLE,569.0,569.0,,,0 HCPCS,86825,Hla x-math non-cytotoxic,,,109.49,290.15,7 HCPCS,86826,HC HLA FLOW CYTOMETRY CROSSMATCH ADDITIONAL,569.0,569.0,,,0 HCPCS,86826,Hla x-match noncytotoxc addl,,,36.53,96.8,7 HCPCS,86828,HC HLA ANTIBODY SCREEN CLASS I AND CLASS II,1467.0,1467.0,,,0 HCPCS,86828,Hla class i&ii antibody qual,,,64.19,170.1,7 HCPCS,86829,Hla class i/ii antibody qual,,,64.19,170.1,7 HCPCS,86830,Hla class i phenotype qual,,,95.52,253.13,7 HCPCS,86831,Hla class ii phenotype qual,,,81.88,216.98,7 HCPCS,86832,HC DONOR SPECIFIC ANTIBODY CLASS I UNDILUTED,676.5,676.5,,,0 HCPCS,86832,HC HLA AB ID CLASS I HD,1319.0,1319.0,,,0 HCPCS,86832,HC HLA AB ID CLASS I UNDILUTED HD - POST TRANSPLANT ANTIBODY MONITORING,1319.0,1319.0,,,0 HCPCS,86832,HC HLA DSA C1Q AB CLASS I,676.5,676.5,,,0 HCPCS,86832,HC HLA ID CLASS I TREATED,1319.0,1319.0,,,0 HCPCS,86832,Hla class i high defin qual,,,323.75,857.94,7 HCPCS,86833,HC DONOR SPECIFIC ANTIBODY CLASS II UNDILUTED,639.0,639.0,,,0 HCPCS,86833,HC HLA AB ID CLASS II HD,1289.5,1289.5,,,0 HCPCS,86833,HC HLA AB ID CLASS II UNDILUTED HD - POST TRANSPLANT ANTIBODY MONITORING,1289.5,1289.5,,,0 HCPCS,86833,HC HLA DSA C1Q AB CLASS II,2020.5,2020.5,,,0 HCPCS,86833,HC HLA ID CLASS II TREATED,1289.5,1289.5,,,0 HCPCS,86833,Hla class ii high defin qual,,,325.8,863.37,7 HCPCS,86834,HC DONOR SPECIFIC ANTIBODY CLASS I 1:8 DILUTION,879.0,879.0,,,0 HCPCS,86834,HC HLA CLASS I ANTIBODY TITER,2029.0,2029.0,,,0 HCPCS,86834,Hla class i semiquant panel,,,357.56,947.53,7 HCPCS,86835,HC DONOR SPECIFIC ANTIBODY CLASS II 1:8 DILUTION,879.0,879.0,,,0 HCPCS,86835,HC HLA CLASS II ANTIBODY TITER,2023.0,2023.0,,,0 HCPCS,86835,Hla class ii semiquant panel,,,322.96,855.84,7 HCPCS,86849,HC ANTIBODY PROCEDURE UNLISTED,264.0,264.0,,,0 HCPCS,86849,HC PROTHROMBIN IGG - NON-CRITERIA ANTIPHOSOPHOLIPID SYNDROME (APS) - ARUP,185.0,185.0,,,0 HCPCS,86850,HC RBC ANTIBODY SCREEN - ANTIBODY SCREEN,211.5,211.5,,,0 HCPCS,86850,RBC antibody screen,,,54.42,144.21,7 HCPCS,86860,"HC RBC ANTIBODY ELUTION - ELUTION & ANTIBODY IDENTIFICATION, RBC",852.0,852.0,,,0 HCPCS,86860,RBC antibody elution,,,177.91,471.47,7 HCPCS,86870,HC RBC ANTIBODY IDENTIFICATION - ANTIBODY IDENTIFICATION,531.5,531.5,,,0 HCPCS,86870,RBC antibody identification,,,374.32,991.94,7 HCPCS,86880,Coombs test direct,,,61.6,163.25,7 HCPCS,86880,HC DIRECT COOMBS (ANTIGLOBULIN TEST),177.0,177.0,,,0 HCPCS,86885,Coombs test indirect qual,,,177.91,471.47,7 HCPCS,86885,"HC ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL - COOMBS TEST, IND",749.0,749.0,,,0 HCPCS,86885,"HC ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL - COOMBS TEST, IND - WEAK D",749.0,749.0,,,0 HCPCS,86886,Coombs test indirect titer,,,177.91,471.47,7 HCPCS,86886,HC ANTIHUMAN GLOBULIN INDIRECT EA ANTIBODY TITER - ANTIBODY TITER,753.0,753.0,,,0 HCPCS,86890,Autologous blood process,,,177.91,471.47,7 HCPCS,86890,HC PLASMA AUTOLOGOUS UNUSED,1038.0,1038.0,,,0 HCPCS,86890,HC RBC AUTOLOGOUS UNUSED,1791.0,1791.0,,,0 HCPCS,86890,HC RBC FROZEN AUTOLOGOUS UNUSED,1038.0,1038.0,,,0 HCPCS,86890,HC WHOLE BLOOD AUTOLOGOUS UNUSED,1038.0,1038.0,,,0 HCPCS,86891,Autologous blood op salvage,,,841.35,2229.59,7 HCPCS,86891,HC AUTOLOGOUS BLOOD SALVAGE INTRA/POST-OP NON-INF,2224.0,2224.0,,,0 HCPCS,86900,Blood typing serologic abo,,,138.94,368.19,7 HCPCS,86900,HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE,158.0,158.0,,,0 HCPCS,86900,HC BLOOD TYPING SEROLOGIC ABO - BLOOD GROUP,105.0,105.0,,,0 HCPCS,86901,Blood typing serologic rh(d),,,39.0,103.36,7 HCPCS,86901,HC BLOOD TYPING SEROLOGIC RH (D) - BLOOD TYPE,73.5,73.5,,,0 HCPCS,86901,HC BLOOD TYPING SEROLOGIC RH (D) - BLOOD TYPE REF LAB,93.5,93.5,,,0 HCPCS,86901,HC BLOOD TYPING SEROLOGIC RH (D) - CORD BLOOD TYPE,93.5,93.5,,,0 HCPCS,86902,Blood type antigen donor ea,,,374.32,991.94,7 HCPCS,86902,"HC BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EA - BLOOD TYPING, ANTIGEN REFRD",232.5,232.5,,,0 HCPCS,86902,"HC BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH - BLOOD TYPING, ANTIGEN",232.5,232.5,,,0 HCPCS,86904,Blood typing patient serum,,,61.6,163.25,7 HCPCS,86904,"HC BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT - BLOOD TYPING, PAT",170.0,170.0,,,0 HCPCS,86905,Blood typing rbc antigens,,,374.32,991.94,7 HCPCS,86905,"HC BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH - BLOOD TYPING, RBC",188.5,188.5,,,0 HCPCS,86905,HC PATIENT RBC PHENOTYPE REFERRED,736.5,736.5,,,0 HCPCS,86906,Bld typing serologic rh phnt,,,39.0,103.36,7 HCPCS,86906,HC BLOOD TYPING - RH PHENOTYPE COMPLETE,170.0,170.0,,,0 HCPCS,86920,Compatibility test spin,,,177.91,471.47,7 HCPCS,86920,HC CROSSMATCH - IMMEDIATE SPIN,428.0,428.0,,,0 HCPCS,86921,Compatibility test incubate,,,177.91,471.47,7 HCPCS,86922,Compatibility test antiglob,,,177.91,471.47,7 HCPCS,86922,HC CROSSMATCH - ANTIHUMAN GLOBULIN,242.0,242.0,,,0 HCPCS,86922,HC CROSSMATCH - ANTIHUMAN GLOBULIN REF LAB,445.0,445.0,,,0 HCPCS,86923,Compatibility test electric,,,177.91,471.47,7 HCPCS,86923,HC BLOOD COMPATIBILITY - CROSSMATCH -COMPUTER,211.5,211.5,,,0 HCPCS,86927,HC FFP THAWING - EACH,749.0,749.0,,,0 HCPCS,86927,Plasma fresh frozen,,,177.91,471.47,7 HCPCS,86930,Frozen blood prep,,,177.91,471.47,7 HCPCS,86931,Frozen blood thaw,,,177.91,471.47,7 HCPCS,86932,Frozen blood freeze/thaw,,,39.0,103.36,7 HCPCS,86940,Hemolysins/agglutinins auto,,,8.77,23.24,7 HCPCS,86941,Hemolysins/agglutinins,,,12.11,32.09,7 HCPCS,86945,Blood product/irradiation,,,39.0,103.36,7 HCPCS,86945,HC BLOOD PRODUCT IRRADIATION - EACH,490.0,490.0,,,0 HCPCS,86950,Leukacyte transfusion,,,177.91,471.47,7 HCPCS,86960,HC BLOOD PRODUCT VOLUME REDUCTION EACH,865.0,865.0,,,0 HCPCS,86960,HC BOOD UNIT VOLUME REDUCTION EACH UNIT,865.0,865.0,,,0 HCPCS,86960,HC VOLUME REDUCTION-PLATELET,865.0,865.0,,,0 HCPCS,86960,Vol reduction of blood/prod,,,177.91,471.47,7 HCPCS,86965,HC POOLING BLOOD PRODUCTS,712.0,712.0,,,0 HCPCS,86965,Pooling blood platelets,,,177.91,471.47,7 HCPCS,86970,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT,345.0,345.0,,,0 HCPCS,86970,Rbc pretx incubatj w/chemicl,,,61.6,163.25,7 HCPCS,86971,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT ENZYME,150.0,150.0,,,0 HCPCS,86971,Rbc pretx incubatj w/enzymes,,,177.91,471.47,7 HCPCS,86972,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT SEPARATION,458.0,458.0,,,0 HCPCS,86972,Rbc pretx incubatj w/density,,,177.91,471.47,7 HCPCS,86975,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT DRUG,1364.0,1364.0,,,0 HCPCS,86975,Rbc serum pretx incubj drugs,,,466.5,1236.24,7 HCPCS,86977,"HC RBC PRETREATMENT,SERUM INHIB",749.0,749.0,,,0 HCPCS,86977,Rbc serum pretx incubj/inhib,,,177.91,471.47,7 HCPCS,86978,HC BLOOD COMPATIBILITY ANTIBODY IDENTIFICATION - PRETREATMENT ABSORPTION,341.0,341.0,,,0 HCPCS,86978,Rbc pretreatment serum,,,61.6,163.25,7 HCPCS,86985,HC BLOOD COMPONENT UNIT SPLITTING - EACH,712.0,712.0,,,0 HCPCS,86985,Split blood or products,,,177.91,471.47,7 HCPCS,86999,HC MONOCYTE MONOLAYER ASSAY (MMA) - ONEBLOOD,2227.0,2227.0,,,0 HCPCS,86999,HC TRANFUSION MEDICINE UNLISTED PROCEDURE,741.5,741.5,,,0 HCPCS,87003,Small animal inoculation,,,16.84,44.63,7 HCPCS,87015,HC AFB CONCENTRATION,51.5,51.5,,,0 HCPCS,87015,HC BLOOD PARASITE SMEAR THICK PREP,181.0,181.0,,,0 HCPCS,87015,HC CONCENTRATION - (ARUP),52.0,52.0,,,0 HCPCS,87015,HC CONCENTRATION - MICROSPORIDIA STAIN - ARUP,44.0,44.0,,,0 HCPCS,87015,HC CONCENTRATION - PNEUMOCYSTIS SMEAR BY DFA - ARUP,71.5,71.5,,,0 HCPCS,87015,HC INFECTIOUS AGENT CONCENTRATION FECES,57.0,57.0,,,0 HCPCS,87015,HC MALARIA SMEAR THICK PREP,120.0,120.0,,,0 HCPCS,87015,HC NAOH-NALC DIGESTION-DECONTAMINATION CONCENTRATION - ARUP,97.0,97.0,,,0 HCPCS,87015,HC PARASITOLOGY STAIN FECES,56.5,56.5,,,0 HCPCS,87015,HC PNEUMOCYSTIS JIROVECII CONC - P JIROVECII DFA - ARUP,55.0,55.0,,,0 HCPCS,87015,HC PNEUMOCYSTIS JIROVECII CONC - P JIROVECII DFA W/REFLEX TO PCR - ARUP,55.0,55.0,,,0 HCPCS,87015,HC SPECIMEN CONCENTRATION - SPINAL FLUID CULTURE,98.0,98.0,,,0 HCPCS,87015,HC SPECIMEN CONCENTRATION AFB CULTURE,181.0,181.0,,,0 HCPCS,87015,HC SPECIMEN CONCENTRATION BODY FLUID CULTURE,99.0,99.0,,,0 HCPCS,87015,HC VIROLOGY ORGANISM CONCENTRATION,57.0,57.0,,,0 HCPCS,87015,Specimen infect agnt concntj,,,6.68,17.7,7 HCPCS,87040,Blood culture for bacteria,,,10.32,27.35,7 HCPCS,87040,HC CULTURE BLOOD,738.0,738.0,,,0 HCPCS,87045,Feces culture aerobic bact,,,9.44,25.02,7 HCPCS,87045,HC MICROBIOLOGY - CULTURE STOOL - SALMONELLA SHIGELLA,348.0,348.0,,,0 HCPCS,87045,HC SALMONELLA SHIGELLA - STOOL CULTURE - ARUP,65.0,65.0,,,0 HCPCS,87046,HC CAMPYLOBACTER - STOOL CULTURE - ARUP,65.0,65.0,,,0 HCPCS,87046,HC E COLI - STOOL CULTURE - ARUP,65.0,65.0,,,0 HCPCS,87046,"HC STOOL CULTURE, ADDL PATHOGENS - ADDITIONAL PATHOGEN CULTURE, STOOL",159.0,159.0,,,0 HCPCS,87046,"HC STOOL CULTURE, ADDL PATHOGENS - CAMPYLOBACTER CULTURE, STOOL",159.0,159.0,,,0 HCPCS,87046,"HC STOOL CULTURE, ADDL PATHOGENS - YERSINIA CULTURE, STOOL",159.0,159.0,,,0 HCPCS,87046,HC VIBRIO STOOL CULTURE REFLEXED,159.0,159.0,,,0 HCPCS,87046,HC YERSINIA STOOL CULTURE - ARUP,169.0,169.0,,,0 HCPCS,87046,HC YERSINIA STOOL CULTURE REFLEX,148.0,148.0,,,0 HCPCS,87046,Stool cultr aerobic bact ea,,,9.44,25.02,7 HCPCS,87070,Culture othr specimn aerobic,,,8.62,22.84,7 HCPCS,87070,HC ABSCESS CULTURE,275.0,275.0,,,0 HCPCS,87070,HC BACTERIA FOR ID,275.0,275.0,,,0 HCPCS,87070,HC BONE CULTURE,297.5,297.5,,,0 HCPCS,87070,HC BONE MARROW CULTURE,275.0,275.0,,,0 HCPCS,87070,HC BRONCHIAL BRUSH CULTURE,275.0,275.0,,,0 HCPCS,87070,HC BRONCHIAL LAVAGE CULTURE,276.5,276.5,,,0 HCPCS,87070,HC CATH TIP CULTURE,297.5,297.5,,,0 HCPCS,87070,HC CORNEA CULTURE,275.0,275.0,,,0 HCPCS,87070,HC CRYOBANKS CULTURE,85.0,85.0,,,0 HCPCS,87070,HC CSF CULTURE WITH GRAM STAIN,297.5,297.5,,,0 HCPCS,87070,HC CULTURE BODY FLUID,275.0,275.0,,,0 HCPCS,87070,HC CULTURE WOUND DRAINAGE-SUPERFICIAL,493.0,493.0,,,0 HCPCS,87070,HC CYSTIC FIBROSIS CULTURE BRONCHWASH,275.0,275.0,,,0 HCPCS,87070,HC CYSTIC FIBROSIS SPUTUM CULTURE,275.0,275.0,,,0 HCPCS,87070,HC CYSTIC FIBROSIS THROAT CULTURE,275.0,275.0,,,0 HCPCS,87070,HC EAR CULTURE,360.5,360.5,,,0 HCPCS,87070,HC ENVIRONMENTAL CULTURE,85.0,85.0,,,0 HCPCS,87070,HC EYE CULTURE,360.5,360.5,,,0 HCPCS,87070,HC FINE NEEDLE ASPIRATE CULTURE,275.0,275.0,,,0 HCPCS,87070,HC GENITAL CULTURE,297.5,297.5,,,0 HCPCS,87070,HC HELICOBACTER PYLORI CULTURE,275.0,275.0,,,0 HCPCS,87070,HC HELIOBACTER PYLORI CULTURE - ARUP,117.0,117.0,,,0 HCPCS,87070,HC MICROBIOLOGY - CULTURE AEROBIC,297.5,297.5,,,0 HCPCS,87070,HC NOSE OR NP CULTURE,275.0,275.0,,,0 HCPCS,87070,HC PERITONEAL FLUID CULTURE,275.0,275.0,,,0 HCPCS,87070,HC PLACENTA CULTURE,275.0,275.0,,,0 HCPCS,87070,HC SINUS CULTURE,297.5,297.5,,,0 HCPCS,87070,HC SPUTUM CULTURE,465.0,465.0,,,0 HCPCS,87070,HC SURGICAL CULTURE,493.0,493.0,,,0 HCPCS,87070,HC THROAT CULTURE COMPREHENSIVE,275.0,275.0,,,0 HCPCS,87070,HC WOUND CULTURE STERNUM,297.5,297.5,,,0 HCPCS,87070,HC WOUND CULTURE WITH ANAEROBES,297.5,297.5,,,0 HCPCS,87071,Culture aerobic quant other,,,9.89,26.21,7 HCPCS,87071,HC CULTURE BRONCH WASH QUANTITATIVE,236.0,236.0,,,0 HCPCS,87071,HC MICROBIOLOGY - CULTURE AEROBIC QUANT,546.0,546.0,,,0 HCPCS,87071,HC TISSUE CULTURE QUANTITATIVE,236.0,236.0,,,0 HCPCS,87073,Culture Bacteria Anaerobic,,,9.66,25.6,7 HCPCS,87075,Cultr bacteria except blood,,,9.47,25.1,7 HCPCS,87075,HC ANAEROBIC BACTERIA ID,264.0,264.0,,,0 HCPCS,87075,HC ANEROBIC CULTURE - ARUP,237.0,237.0,,,0 HCPCS,87075,HC CLOSTRIDIUM DIFFICILE CULTURE - ARUP,160.0,160.0,,,0 HCPCS,87075,HC MICROBIOLOGY - CULTURE ANAEROBIC,105.5,105.5,,,0 HCPCS,87076,Culture anaerobe ident each,,,8.08,21.41,7 HCPCS,87076,HC ANAEROBIC CULTURE IDENTIFICATION - ARUP,253.0,253.0,,,0 HCPCS,87076,HC MICROBIOLOGY - CULTURE ANAEROBIC ADDITIONAL ID METHOD,172.0,172.0,,,0 HCPCS,87077,Culture Aerobic Identify,,,8.08,21.41,7 HCPCS,87077,HC BACTERIA IDENTIFICATION AEROBIC,109.5,109.5,,,0 HCPCS,87077,HC ORGANISM IDENTIFICATION AEROBIC ARUP,80.0,80.0,,,0 HCPCS,87081,Culture screen only,,,6.63,17.57,7 HCPCS,87081,HC ACANTHAMOEBA AND NAEGLERIA CULTURE,97.0,97.0,,,0 HCPCS,87081,HC ACANTHAMOEBA AND NAEGLERIA CULTURE - ARUP,60.0,60.0,,,0 HCPCS,87081,HC ACANTHAMOEBA AND NAEGLERIA CULTURE CSF,187.0,187.0,,,0 HCPCS,87081,HC ACANTHAMOEBA& NAEGLERIA CULTURE CSF-ARUP,230.0,230.0,,,0 HCPCS,87081,HC ACTINOMYCES CULTURE,187.0,187.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - LEGIONELLA CULTURE,116.0,116.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE E COLI 157 CULTURE,187.0,187.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE GC CULTURE,187.0,187.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE GROUP A STREP CULTURE,187.0,187.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE GROUP B STREP CULTURE,344.0,344.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE MRSA CULTURE,415.0,415.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE NOCARDIA CULTURE,187.0,187.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE PATHOGEN CULTURE,391.0,391.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE VRE CULTURE,187.0,187.0,,,0 HCPCS,87081,HC BACTERIA CULTURE SCREEN - PRESUMPTIVE YERSINIA CULTURE,187.0,187.0,,,0 HCPCS,87081,HC CARBAPENEMASE RESISTANT ENTEROBACTERIACEAE CULTURE,187.0,187.0,,,0 HCPCS,87081,HC FLUOROQUINOLONE CULTURE (RESISTANT ORGANISM) - ARUP,169.0,169.0,,,0 HCPCS,87081,HC FLUOROQUINOLONE RESISTANT ORGANISM CULTURE,187.0,187.0,,,0 HCPCS,87081,HC HELICOBACTER PYLORI CULTURE - MAYO,477.0,477.0,,,0 HCPCS,87081,HC LEGIONELLA CULTURE - ARUP,105.0,105.0,,,0 HCPCS,87081,HC NOCARDIA CULTURE,789.0,789.0,,,0 HCPCS,87081,HC SHIGA TOXIN 1 AND 2 CULTURE STOOL REFLEXED,173.0,173.0,,,0 HCPCS,87081,HC STREP THROAT A CULTURE,173.0,173.0,,,0 HCPCS,87081,HC VANCOMYCIN-RESISTANT ENTEROCOCCUS (VRE) CULTURE,318.0,318.0,,,0 HCPCS,87081,HC VANCOMYCIN-RESISTANT ENTEROCOCCUS (VRE) CULTURE - ARUP,169.0,169.0,,,0 HCPCS,87081,HC VIBRIO CULTURE STOOL - ARUP,169.0,169.0,,,0 HCPCS,87084,Culture of specimen by kit,,,27.07,71.74,7 HCPCS,87086,HC CULTURE URINE QUANTITATIVE,398.5,398.5,,,0 HCPCS,87086,Urine culture/colony count,,,8.07,21.39,7 HCPCS,87088,HC MICROBIOLOGY - CULTURE URINE PRESUMPTIVE ID,382.0,382.0,,,0 HCPCS,87088,Urine bacteria culture,,,8.09,21.44,7 HCPCS,87101,"HC CULTURE FUNGI-SKIN HAIR NAILS - FUNGAL CULTURE, CUTANEOUS",260.5,260.5,,,0 HCPCS,87101,Skin fungi culture,,,7.71,20.43,7 HCPCS,87102,Fungus isolation culture,,,8.41,22.29,7 HCPCS,87102,HC CANDIDA AURIS CULTURE REFLEX,235.0,235.0,,,0 HCPCS,87102,HC FUNGAL CULTURE,593.5,593.5,,,0 HCPCS,87102,HC FUNGAL CULTURE - ARUP,174.0,174.0,,,0 HCPCS,87102,HC MICROBIOLOGY - CULTURE FUNGUS,642.0,642.0,,,0 HCPCS,87102,HC MICROBIOLOGY - CULTURE FUNGUS SEND OUT,300.0,300.0,,,0 HCPCS,87103,Blood fungus culture,,,20.46,54.22,7 HCPCS,87103,HC FUNGUS BLOOD CULTURE,555.0,555.0,,,0 HCPCS,87103,HC FUNGUS BLOOD CULTURE - ARUP,148.0,148.0,,,0 HCPCS,87106,Fungi identification yeast,,,10.32,27.35,7 HCPCS,87106,HC MICROBIOLOGY - YEAST ID,145.0,145.0,,,0 HCPCS,87107,Fungi identification mold,,,10.32,27.35,7 HCPCS,87107,"HC FUNGUS IDENTIFICATION, MOLD - FUNGAL IDENTIFICATION, MOLD",119.0,119.0,,,0 HCPCS,87109,HC MYCOPLASMA / UREAPLASMA CULTURE - ARUP,152.0,152.0,,,0 HCPCS,87109,HC MYCOPLASMA CULTURE - MYCOPLASMA / UREAPLASMA CULTURE,135.0,135.0,,,0 HCPCS,87109,Mycoplasma,,,15.39,40.78,7 HCPCS,87110,Chlamydia culture,,,19.6,51.94,7 HCPCS,87110,HC MICROBIOLOGY - CULTURE CHLAMYDIA,129.0,129.0,,,0 HCPCS,87116,HC AFB CULTURE,700.0,700.0,,,0 HCPCS,87116,HC AFB CULTURE - AFB CULTURE REFLEX TO MTBRIF PCR - ARUP,134.0,134.0,,,0 HCPCS,87116,"HC AFB CULTURE - AFB CULTURE, BLOOD - ARUP",148.0,148.0,,,0 HCPCS,87116,HC AFB CULTURE - ARUP,134.0,134.0,,,0 HCPCS,87116,HC BLOOD CULTURE ACID FAST BACTERIA,291.0,291.0,,,0 HCPCS,87116,Mycobacteria culture,,,10.8,28.62,7 HCPCS,87118,HC MYCOBACTERIA IDENTIFICATION - MYCOBACTERIA IDENTIFICATION,271.5,271.5,,,0 HCPCS,87118,Mycobacteric identification,,,14.61,38.72,7 HCPCS,87140,Culture type immunofluoresc,,,5.57,14.76,7 HCPCS,87140,HC CHLAMYDIA TRACHOMATIS CULTURE - ARUP,39.0,39.0,,,0 HCPCS,87140,"HC CULTURE TYPING, FLUORESCENT - HERPES SIMPLEX TYPING",33.0,33.0,,,0 HCPCS,87140,"HC CULTURE TYPING, FLUORESCENT - TYPING EACH",94.0,94.0,,,0 HCPCS,87140,HC HERPES SIMPLEX VIRUS (HSV) TYPING - ARUP,88.0,88.0,,,0 HCPCS,87143,Culture typing glc/hplc,,,12.52,33.18,7 HCPCS,87147,Culture type immunologic,,,5.18,13.73,7 HCPCS,87147,HC MICROBIOLOGY - SEROTYPING,419.0,419.0,,,0 HCPCS,87147,HC MICROBIOLOGY - SEROTYPING AGGLUTINATION GROUPING,92.0,92.0,,,0 HCPCS,87147,HC MICROBIOLOGY - SEROTYPING BETA STREP,165.0,165.0,,,0 HCPCS,87147,HC MICROBIOLOGY - SEROTYPING MRSA PBP2,149.0,149.0,,,0 HCPCS,87147,HC MICROBIOLOGY - SEROTYPING SALMONELLA,534.0,534.0,,,0 HCPCS,87147,HC MICROBIOLOGY - SEROTYPING SPECIATION,92.0,92.0,,,0 HCPCS,87149,Dna/rna direct probe,,,20.05,53.13,7 HCPCS,87149,HC BLOOD CULTURE GRAM NET RESISTANCE,628.0,628.0,,,0 HCPCS,87149,HC BLOOD CULTURE GRAM POS RESISTANCE,109.0,109.0,,,0 HCPCS,87149,HC BLOOD CULTURE NUCLEIC ACID TEST GRAM POS ORGS,109.0,109.0,,,0 HCPCS,87149,HC MICROBIOLOGY - DNA DIRECT PROBE EACH,628.0,628.0,,,0 HCPCS,87149,HC MYCOBACTERIUM AVIUM DNA PROBE,109.0,109.0,,,0 HCPCS,87149,HC MYCOBACTERIUM GORDONAE DNA PROBE,109.0,109.0,,,0 HCPCS,87149,HC MYCOBACTERIUM TB DNA PROBE,109.0,109.0,,,0 HCPCS,87150,Dna/rna amplified probe,,,35.09,92.99,7 HCPCS,87150,HC CRE PCR #1,164.0,164.0,,,0 HCPCS,87150,HC CRE PCR #2,164.0,164.0,,,0 HCPCS,87150,HC CRE PCR #3,164.0,164.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE ACINETOBACTER BAUMANNII,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE BACILLUS CEREUS GROUP,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE BLD CULTURE EACH ID#1,1081.0,1081.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE CANDIDA ALBICANS,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE CANDIDA KRUSEI,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE CANDIDA PARAPSILOSIS,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE CARBAPENEM RESIST ENTEROBACTERIACEAE,177.0,177.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE EACH,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE ID BY NAAT EA ORG,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE IMP GENE,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE KLEBSIELLA OXYTOCA,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE MRSA,162.0,162.0,,,0 HCPCS,87150,HC MICROBIOLOGY - DNA AMPLIFIED PROBE PROTEUS,145.0,145.0,,,0 HCPCS,87152,Culture Type Pulse Field Gel,,,7.74,20.51,7 HCPCS,87153,Dna/rna sequencing,,,115.36,305.7,7 HCPCS,87153,HC FUNGAL/YEAST ID DNA/RNA SEQUENCE,532.0,532.0,,,0 HCPCS,87153,HC MICROORGANISM IDENTIFICATION - NGS,1108.0,1108.0,,,0 HCPCS,87154,Cul typ id bld pthgn 6+ trgt,,,218.06,577.86,7 HCPCS,87154,HC BLOOD PATHOGEN FUNGAL ID RESISTANCE PCR 6 + TARGETS,799.0,799.0,,,0 HCPCS,87154,HC BLOOD PATHOGEN GRAM NEG ID RESISTANCE PCR 6 + TARGETS,1073.0,1073.0,,,0 HCPCS,87154,HC BLOOD PATHOGEN GRAM POS ID RESISTANCE PCR 6 + TARGETS,1171.0,1171.0,,,0 HCPCS,87158,Culture typing added method,,,7.74,20.51,7 HCPCS,87158,HC MICROBIOLOGY - CULTURE TYPING OTHER,126.0,126.0,,,0 HCPCS,87158,HC MICROBIOLOGY - CULTURE TYPING OTHER CATALASE,126.0,126.0,,,0 HCPCS,87158,HC MICROBIOLOGY - CULTURE TYPING OTHER GERM TUBE,126.0,126.0,,,0 HCPCS,87158,HC MICROBIOLOGY - CULTURE TYPING OTHER INDOLE,126.0,126.0,,,0 HCPCS,87164,Dark field examination,,,10.74,28.46,7 HCPCS,87166,Dark field examination,,,11.3,29.94,7 HCPCS,87168,Macroscopic Exam Arthropod,,,4.27,11.32,7 HCPCS,87169,HC ARTHROPOD AND PARASITE IDENTIFICATION MACROSCOPIC,80.5,80.5,,,0 HCPCS,87169,HC ARTHROPOD AND PARASITE IDENTIFICATION MACROSCOPIC - ARUP,84.0,84.0,,,0 HCPCS,87169,Macroscopic exam parasite,,,4.31,11.42,7 HCPCS,87172,HC PINWORM EXAM - ARUP,77.0,77.0,,,0 HCPCS,87172,HC PINWORM EXAM - PINWORM PREP,318.0,318.0,,,0 HCPCS,87172,Pinworm Exam,,,4.27,11.32,7 HCPCS,87176,HC TISSUE HOMOGENIZATION FOR CULTURE,102.0,102.0,,,0 HCPCS,87176,HC TISSUE HOMOGENIZATION FOR CULTURE - ARUP,79.0,79.0,,,0 HCPCS,87176,Tissue homogenization cultr,,,5.88,15.58,7 HCPCS,87177,"HC O&P SMEARS, CONC, ID - CRYPTOSPROIDIA & COCCIDIA EXAM, FECES - ARUP",66.0,66.0,,,0 HCPCS,87177,"HC OVA & PARASITE DIR SMEARS, CONC, ID - O&P EXAM BODY FLUID/URINE - ARUP",40.0,40.0,,,0 HCPCS,87177,HC OVA AND PARASITE EXAMINATION - OVA AND PARISITE FECAL - ARUP,34.0,34.0,,,0 HCPCS,87177,HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION,249.5,249.5,,,0 HCPCS,87177,HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION DIRECT,74.0,74.0,,,0 HCPCS,87177,Ova and parasites smears,,,8.9,23.58,7 HCPCS,87181,HC MIC SENSITIVITY (E-TEST),207.0,207.0,,,0 HCPCS,87181,HC MICROBIOLOGY - SUSCEPTIBILITY EPSILOMETER TEST/E-TEST,92.0,92.0,,,0 HCPCS,87181,HC SUSCEPTIBILITY E-TEST PER AGENT,207.0,207.0,,,0 HCPCS,87181,Microbe susceptible diffuse,,,4.75,12.59,7 HCPCS,87183,Sc std carbapenem resist gen,,,35.09,92.99,7 HCPCS,87184,HC SUSCEPTIBILITY KIRBY BAUER MULTIPLE ANTIBIOTICS,313.0,313.0,,,0 HCPCS,87184,HC SUSCEPTIBILITY KIRBY BAUER SINGLE ANTIBIOTIC,147.0,147.0,,,0 HCPCS,87184,Microbe susceptible disk,,,7.48,19.82,7 HCPCS,87185,HC MICROBIOLOGY - CULTURE SUSCEPTIBILITY ENZYME,83.0,83.0,,,0 HCPCS,87185,Microbe susceptible enzyme,,,4.75,12.59,7 HCPCS,87186,HC SUSCEPTIBILITY MIC GRAM NEGATIVE,354.0,354.0,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC GRAM POSITIVE,374.5,374.5,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC HAEMOPHILUS,374.5,374.5,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC MICRODILUTION CEFIDEROCOL,590.0,590.0,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC MICRODILUTION GRAM NEGATIVE,798.5,798.5,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC MICRODILUTION GRAM POSITIVE,389.0,389.0,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC MICRODILUTION YEAST,1669.0,1669.0,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC MOLD,149.0,149.0,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC STREPTOCOCCUS,374.5,374.5,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC URINE,149.0,149.0,,,0 HCPCS,87186,HC SUSCEPTIBILITY MIC YEAST,358.0,358.0,,,0 HCPCS,87186,Microbe susceptible mic,,,8.65,22.92,7 HCPCS,87187,HC MINIMAL BACTERICIDAL CONC,149.0,149.0,,,0 HCPCS,87187,Microbe susceptible mlc,,,40.17,106.45,7 HCPCS,87188,"HC ANTIBIOTIC SENS,MACROBROTH,EACH",421.0,421.0,,,0 HCPCS,87188,Microbe suscept macrobroth,,,6.64,17.6,7 HCPCS,87190,HC ANTIBIOTIC SENS - MYCOBACTERIA,473.0,473.0,,,0 HCPCS,87190,HC MYCOBACTERIA SUSCEPT PROPORTIONAL METHOD EA,473.0,473.0,,,0 HCPCS,87190,Microbe suscept mycobacteri,,,7.31,19.37,7 HCPCS,87197,Bactericidal level serum,,,15.02,39.8,7 HCPCS,87197,HC ANTIMICROBIAL BACTERICIDAL ASSAYS - ARUP,456.0,456.0,,,0 HCPCS,87197,"HC BACTERICIDAL LEVEL, SERUM - BACTERICIDAL TITER SERUM",399.0,399.0,,,0 HCPCS,87205,HC BRONCHIAL WASH DIFFERENTIAL,101.0,101.0,,,0 HCPCS,87205,HC DFT - DIFFERENTIAL BRONCHIAL LAVAGE/WASH,110.0,110.0,,,0 HCPCS,87205,HC EOSINOPHILS SMEAR URINE,154.5,154.5,,,0 HCPCS,87205,HC EOSINOPHILS SMEAR URINE - EOSINOPHILS COUNT % URINE,196.0,196.0,,,0 HCPCS,87205,HC EOSINOPHILS SMEAR URINE - EOSINOPHILS PRESENCE IN URINE,196.0,196.0,,,0 HCPCS,87205,HC GRAM STAIN,196.0,196.0,,,0 HCPCS,87205,HC MICROBIOLOGY - FUNGAL STAIN,110.0,110.0,,,0 HCPCS,87205,"HC MICROBIOLOGY - SMEAR - BACTERIA, FUNGI, CELL TYPE",69.0,69.0,,,0 HCPCS,87205,Smear gram stain,,,4.27,11.32,7 HCPCS,87206,HC AFB STAIN ONLY - ARUP,55.0,55.0,,,0 HCPCS,87206,"HC FUNGAL STAIN, FLUORESCENT",134.0,134.0,,,0 HCPCS,87206,"HC FUNGAL STAIN, KOH WITH CALCOFLUOR WHITE - ARUP",89.0,89.0,,,0 HCPCS,87206,"HC SMEAR,FLUOR STAIN,INTERP - AFB STAIN",256.0,256.0,,,0 HCPCS,87206,"HC SMEAR,FLUOR STAIN,INTERP - CRYPTOSPORIDIUM",134.0,134.0,,,0 HCPCS,87206,Smear fluorescent/acid stai,,,5.39,14.28,7 HCPCS,87207,HC AMOEBA GEIMSA STAIN - ACANTHAMOEBA AND NAEGLERIA CULTURE CSF - ARUP,208.0,208.0,,,0 HCPCS,87207,HC AMOEBA SCREEN CSF,971.0,971.0,,,0 HCPCS,87207,HC FECES PARSITOLOGY STAIN - PARASITE STAIN,44.0,44.0,,,0 HCPCS,87207,"HC INCLUSION BODY STAIN - CRYPTOSPORIDIA & COCCIDIA EXAM, FECES - ARUP",45.0,45.0,,,0 HCPCS,87207,HC MALARIA RAPID SCREEN WITH GIEMSA - ARUP,813.0,813.0,,,0 HCPCS,87207,HC MICROSPORIDIA FECES,122.0,122.0,,,0 HCPCS,87207,HC MODIFIED TRICHROME - MICROSPORIDIA STAIN - ARUP,39.0,39.0,,,0 HCPCS,87207,HC PARASITE BLOOD SMEAR,181.0,181.0,,,0 HCPCS,87207,HC PARASITE BLOOD SMEAR - ARUP,379.0,379.0,,,0 HCPCS,87207,"HC SMEAR,INCLUSION BODIES/PARASITES,INTERP - MALARIA SMEAR",196.0,196.0,,,0 HCPCS,87207,HC TZANCK SMEAR,47.0,47.0,,,0 HCPCS,87207,Smear special stain,,,5.99,15.87,7 HCPCS,87209,HC MICROBIOLOGY - O&P STAIN,90.0,90.0,,,0 HCPCS,87209,HC OVA AND PARASITE COMPLEX STAIN - O&P EXAM BODY FLUID OR URINE - ARUP,188.0,188.0,,,0 HCPCS,87209,HC OVA AND PARASITE COMPLEX STAIN - O&P FECAL - ARUP,68.0,68.0,,,0 HCPCS,87209,HC TRICHROME STAIN - OVA AND PARASITE EXAM,83.0,83.0,,,0 HCPCS,87209,Smear complex stain,,,17.98,47.65,7 HCPCS,87210,"HC SMEAR,STAIN,WET MNT,INTERP - POCT FERN TEST, SALIVA",184.0,184.0,,,0 HCPCS,87210,HC WET PREP GENITAL,188.0,188.0,,,0 HCPCS,87210,Smear wet mount saline/ink,,,5.82,15.42,7 HCPCS,87220,HC FUNGAL (KOH) STAIN,105.0,105.0,,,0 HCPCS,87220,HC TISSUE EXAM BY KOH - KOH PREP,91.0,91.0,,,0 HCPCS,87220,Tissue exam for fungi,,,4.27,11.32,7 HCPCS,87230,Assay toxin or antitoxin,,,19.74,52.31,7 HCPCS,87230,"HC ASSAY, TOXIN OR ANTITOXIN - CLOSTRIDIUM DIFFICILE TOXINS TISSUE CULT",273.0,273.0,,,0 HCPCS,87230,HC CLOSTRIDIUM DIFFICILE CYTOTOXIN CELL ASSAY - ARUP,118.0,118.0,,,0 HCPCS,87250,Virus inoculate eggs/animal,,,19.56,51.83,7 HCPCS,87252,HC ANTIVIRAL SUSCEPTIBILITY CULTURE (HSV ACYCLOVIR) - ARUP,816.0,816.0,,,0 HCPCS,87252,HC MICROBIOLOGY - CULTURE VIRUS TISSUE,403.0,403.0,,,0 HCPCS,87252,HC MICROBIOLOGY - CULTURE VIRUS TISSUE CYTOMEGALOVIRUS,80.0,80.0,,,0 HCPCS,87252,HC VIRAL CULTURE NONRESPIRATORY - ARUP,190.0,190.0,,,0 HCPCS,87252,HC VIRAL CULTURE RESPIRATORY - ARUP,252.0,252.0,,,0 HCPCS,87252,Virus inoculation tissue,,,26.07,69.09,7 HCPCS,87253,HC ANTIVIRAL SUSCEPTIBILITY CULTURE ADDITIONAL STUDY (HSV ACYCLOVIR) - ARUP,47.0,47.0,,,0 HCPCS,87253,HC HERPES SIMPLEX VIRUS (HSV) CULTURE - ARUP,119.0,119.0,,,0 HCPCS,87253,HC MICROBIOLOGY - CULTURE VIRUS ADDITIONAL STUDY,94.0,94.0,,,0 HCPCS,87253,Virus inoculate tissue addl,,,20.2,53.53,7 HCPCS,87254,HC CYTOMEGALOVIRUS (CMV) CULTURE RAPID - ARUP,288.0,288.0,,,0 HCPCS,87254,HC MICROBIOLOGY - VIRUS IMMUNO ID,65.0,65.0,,,0 HCPCS,87254,HC VARICELLA ZOSTER VIRUS CULTURE - ARUP,288.0,288.0,,,0 HCPCS,87254,Virus inoculation shell via,,,19.56,51.83,7 HCPCS,87255,Genet virus isolate hsv,,,33.86,89.73,7 HCPCS,87255,HC HERPES SIMPLEX VIRUS (HSV) WITH REFLEX TO HSV TYPING CULTURE - ARUP,119.0,119.0,,,0 HCPCS,87255,HC HERPES SIMPLEX VIRUS CULTURE - ARUP,119.0,119.0,,,0 HCPCS,87260,Adenovirus ag if,,,14.43,38.24,7 HCPCS,87260,HC ADENOVIRUS DFA - RESPIRATORY VIRUSES DFA WITH REFLEX - ARUP,28.0,28.0,,,0 HCPCS,87265,Pertussis ag if,,,11.98,31.75,7 HCPCS,87267,Enterovirus antibody dfa,,,13.42,35.56,7 HCPCS,87269,Giardia ag if,,,13.61,36.07,7 HCPCS,87270,Chlamydia trachomatis ag if,,,11.98,31.75,7 HCPCS,87270,"HC CHYLMD TRACH AG, DFA - CHLAMYDIA TRACHOMATIS ANTIGEN",281.0,281.0,,,0 HCPCS,87271,Cytomegalovirus dfa,,,13.42,35.56,7 HCPCS,87272,Cryptosporidium ag if,,,11.98,31.75,7 HCPCS,87273,"HC HERPES SIMPLEX TYPE 2 AG, DFA",97.0,97.0,,,0 HCPCS,87273,HC HERPES SIMPLEX VIRUS 2 - VZV AND HSV DFA W/ RFLX TO CULTURE - ARUP,47.0,47.0,,,0 HCPCS,87273,Herpes simplex 2 ag if,,,11.98,31.75,7 HCPCS,87274,"HC HERPES SIMPLEX TYPE 1 AG, DFA",636.0,636.0,,,0 HCPCS,87274,HC HERPES SIMPLEX VIRUS 1 - VZV AND HSV DFA W/ RFLX TO CULTURE - ARUP,167.0,167.0,,,0 HCPCS,87274,Herpes simplex 1 ag if,,,11.98,31.75,7 HCPCS,87275,"HC INFLUENZA B AG, DFA",57.0,57.0,,,0 HCPCS,87275,Influenza b ag if,,,12.25,32.46,7 HCPCS,87276,"HC INFLUENZA A AG, DFA",57.0,57.0,,,0 HCPCS,87276,Influenza a ag if,,,16.07,42.59,7 HCPCS,87278,HC IMMUNOFLUOR - LEGIONELLA PNEUMOPHILIA ANTIGEN URINE,73.0,73.0,,,0 HCPCS,87278,"HC LEGION PNEUMO AG, DFA - LEGIONELLA PNEUMOPHILIA ANTIGEN",83.0,83.0,,,0 HCPCS,87278,HC LEGIONELLA PNEUMOPHILA DFA - ARUP,155.0,155.0,,,0 HCPCS,87278,Legion pneumophilia ag if,,,15.6,41.34,7 HCPCS,87279,HC PARAINFLUENZA AG BY DFA,2.0,2.0,,,0 HCPCS,87279,Parainfluenza ag if,,,16.43,43.54,7 HCPCS,87280,"HC RESP SYNCYTIAL AG, DFA",254.0,254.0,,,0 HCPCS,87280,Respiratory syncytial ag if,,,13.42,35.56,7 HCPCS,87281,"HC PNEUMOCYSTIS CARINII AG, DFA - PNEUMOCYSTIS SMEAR BY DFA",188.0,188.0,,,0 HCPCS,87281,"HC PNEUMOCYSTIS JIROVECII AG, DFA - (ARUP)",108.0,108.0,,,0 HCPCS,87281,HC PNEUMOCYSTIS JIROVECII DFA - P JIROVECII DFA W/REFLEX TO PCR - ARUP,99.0,99.0,,,0 HCPCS,87281,Pneumocystis carinii ag if,,,11.98,31.75,7 HCPCS,87283,Rubeola ag if,,,60.8,161.12,7 HCPCS,87285,Treponema pallidum ag if,,,12.18,32.28,7 HCPCS,87290,HC VARICELLA DFA - VZV AND HSV DFA WITH CULTURE IF INDICATED - ARUP,540.0,540.0,,,0 HCPCS,87290,Varicella zoster ag if,,,13.42,35.56,7 HCPCS,87299,Antibody detection nos if,,,16.1,42.66,7 HCPCS,87299,HC AG DETECTION IMMUNOFLOUR EA ORG,254.0,254.0,,,0 HCPCS,87300,Ag detection polyval if,,,11.98,31.75,7 HCPCS,87301,Adenovirus ag ia,,,11.98,31.75,7 HCPCS,87301,HC IAAD IA QUAL/SEMIQUAN MULTIPLE STEP - ADENOVIRUS ENTERIC TYPE 40/41,261.0,261.0,,,0 HCPCS,87305,Aspergillus ag ia,,,11.98,31.75,7 HCPCS,87305,HC ASPERGILLUS GALACTOMANNAN ANTIGEN,1193.0,1193.0,,,0 HCPCS,87305,HC ASPERGILLUS GALACTOMANNAN ANTIGEN - ARUP,252.0,252.0,,,0 HCPCS,87305,HC ASPERGILLUS GALACTOMANNAN ANTIGEN BRONCH,164.0,164.0,,,0 HCPCS,87305,HC ASPERGILLUS GALACTOMANNAN ANTIGEN BRONCH - ARUP,252.0,252.0,,,0 HCPCS,87305,HC IAAD IA QUAL/SEMIQUAN MULTIPLE STEP ASPERGILLUS - ASPERGILLUS GALACT,1292.0,1292.0,,,0 HCPCS,87320,Chylmd trach ag ia,,,15.0,39.75,7 HCPCS,87324,Clostridium ag ia,,,11.98,31.75,7 HCPCS,87324,HC CLOSTRIDIOIDES DIFFICILE TOXINS EIA,224.0,224.0,,,0 HCPCS,87327,Cryptococcus neoform ag ia,,,13.42,35.56,7 HCPCS,87327,HC CRYPTOCOCCAL ANTIGEN CSF - ARUP,114.0,114.0,,,0 HCPCS,87327,HC MICROBIOLOGY - IMMUNOASSAY CRYPTOCOCCAL AG,155.0,155.0,,,0 HCPCS,87328,Cryptosporidium ag ia,,,13.82,36.62,7 HCPCS,87328,HC CRYPTOSPORIDIUM - OVA AND PARASITE ANTIGEN SCREEN,211.0,211.0,,,0 HCPCS,87328,HC CRYPTOSPORIDIUM ANTIGEN STOOL - ARUP,63.0,63.0,,,0 HCPCS,87329,Giardia ag ia,,,11.98,31.75,7 HCPCS,87329,HC GIARDIA ANTIGEN STOOL - ARUP,64.0,64.0,,,0 HCPCS,87329,HC GIARDIA LAMBLIA - OVA AND PARASITE ANTIGEN SCREEN,211.0,211.0,,,0 HCPCS,87332,Cytomegalovirus ag ia,,,11.98,31.75,7 HCPCS,87335,E coli 0157 ag ia,,,12.66,33.55,7 HCPCS,87336,Entamoeb hist dispr ag ia,,,16.0,42.4,7 HCPCS,87336,HC IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP - ENTAMOEBA HYSTOLYTICA EIA,211.0,211.0,,,0 HCPCS,87337,Entamoeb hist group ag ia,,,11.98,31.75,7 HCPCS,87337,HC ENTAMOEBA HISTOLYTICA ANTIGEN - ARUP,94.0,94.0,,,0 HCPCS,87337,HC IAAD IA ENTAMOEBA HISTOLYTICA GRP - ENTAMOEBA HYSTOLYTICA GRP EIA,45.0,45.0,,,0 HCPCS,87338,HC HELICOBACTER PYLORI ANTIGEN STOOL,448.0,448.0,,,0 HCPCS,87338,HC HELICOBACTER PYLORI ANTIGEN STOOL - ARUP,168.0,168.0,,,0 HCPCS,87338,Hpylori stool ia,,,14.38,38.11,7 HCPCS,87339,H pylori ag ia,,,16.0,42.4,7 HCPCS,87340,HC HEPATITIS B SURFACE ANTIGEN,308.0,308.0,,,0 HCPCS,87340,HC HEPATITIS B SURFACE ANTIGEN (HBSAG) DONOR,308.0,308.0,,,0 HCPCS,87340,HC HEPATITIS B VIRUS SURFACE ANTIGEN - HEPATITIS PANEL ACUTE,416.0,416.0,,,0 HCPCS,87340,HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX CONFIRMATION - QWDL,61.0,61.0,,,0 HCPCS,87340,HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION - ARUP,61.0,61.0,,,0 HCPCS,87340,Hepatitis b surface ag ia,,,10.33,27.37,7 HCPCS,87341,HC HEPATITIS B SURFACE ANTIGEN CONFIRMATION - ARUP,105.0,105.0,,,0 HCPCS,87341,HC IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION - HEPATITIS B SURFACE,116.0,116.0,,,0 HCPCS,87341,Hepatitis b surface ag ia,,,10.33,27.37,7 HCPCS,87350,HC HEAPATITIS B E ANTIGEN - ARUP,66.0,66.0,,,0 HCPCS,87350,HC IAAD IA HEPATITIS BE ANTIGEN - HEPATITIS B E ANTIGEN,62.5,62.5,,,0 HCPCS,87350,Hepatitis be ag ia,,,11.53,30.55,7 HCPCS,87380,Hepatitis delta ag ia,,,18.36,48.65,7 HCPCS,87385,HC HISTOPLASM ANTIGEN URINE - ARUP,252.0,252.0,,,0 HCPCS,87385,HC HISTOPLASMA ANTIGEN SERUM - ARUP,289.0,289.0,,,0 HCPCS,87385,HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN URINE,132.0,132.0,,,0 HCPCS,87385,"HC IAAD IA HISTOPLASM CAPSULATUM - HISTOPLASMA ANTIGEN, SERUM",177.0,177.0,,,0 HCPCS,87385,Histoplasma capsul ag ia,,,13.25,35.11,7 HCPCS,87389,HC DONOR HIV 1 & 2 ANTIGEN/ANTIBODY,607.0,607.0,,,0 HCPCS,87389,HC HIV 1 & 2 ANTIBODY/ANTIGEN WITH REFLEX DIFF -ARUP,63.0,63.0,,,0 HCPCS,87389,HC HIV 1 & 2 ANTIGEN/ANTIBODY 4TH GENERATION WITH REFLEX - QWDL,44.0,44.0,,,0 HCPCS,87389,HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP,63.0,63.0,,,0 HCPCS,87389,HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX HIV1WB - ARUP,63.0,63.0,,,0 HCPCS,87389,HC HIV 1/2 ANTIBODY/ANTIGEN SCREEN - FOCUS SCREENING PROGRAM,656.0,656.0,,,0 HCPCS,87389,HC HIV1/2 ANTIBODY/ANTIGEN SCREEN,656.0,656.0,,,0 HCPCS,87389,Hiv-1 ag w/hiv-1 & hiv-2 ab,,,24.08,63.81,7 HCPCS,87390,Hiv-1 ag ia,,,24.06,63.76,7 HCPCS,87391,Hiv-2 ag ia,,,21.9,58.04,7 HCPCS,87400,HC MICROBIOLOGY - IMMUNOASSAY INFLUENZA A,250.0,250.0,,,0 HCPCS,87400,HC MICROBIOLOGY - IMMUNOASSAY INFLUENZA B,250.0,250.0,,,0 HCPCS,87400,Influenza a/b ag ia,,,14.13,37.44,7 HCPCS,87420,HC IAAD IA RESPIRATORY SYNCTIAL VIRUS - RSV RAPID ANTIGEN SCREEN,371.0,371.0,,,0 HCPCS,87420,Resp syncytial ag ia,,,13.91,36.86,7 HCPCS,87425,HC IAAD IA ROTAVIRUS - ROTAVIRUS ANTIGEN STOOL,190.0,190.0,,,0 HCPCS,87425,HC ROTAVIRUS ANTIGEN EIA STOOL - ARUP,61.0,61.0,,,0 HCPCS,87425,HC ROTAVIRUS ANTIGEN STOOL,210.0,210.0,,,0 HCPCS,87425,Rotavirus ag ia,,,11.98,31.75,7 HCPCS,87426,Coronavirus ag ia,,,35.33,93.62,7 HCPCS,87426,HC SARS COVID-19 AG BY IMMUNOASSAY,434.0,434.0,,,0 HCPCS,87427,"HC IAAD IA SHIGA-LIKE TOXIN - SHIGA-LIKE TOXIN ANTIGEN, FECES",103.0,103.0,,,0 HCPCS,87427,"HC IAAD IA SHIGA-LIKE TOXIN - SHIGA-LIKE TOXIN ANTIGEN, EIA",103.0,103.0,,,0 HCPCS,87427,HC SHIGA-LIKE TOXIN ANTIGEN EIA STOOL,95.0,95.0,,,0 HCPCS,87427,HC SHIGA-LIKE TOXIN ANTIGEN EIA STOOL - ARUP,78.0,78.0,,,0 HCPCS,87427,Shiga-like toxin ag ia,,,11.98,31.75,7 HCPCS,87428,HC SARS-COV-2 ATGN DETECT IMMUNOASSAY QUAL / SEMIQUANT PLUS FLU A AND B,115.0,115.0,,,0 HCPCS,87428,Sarscov & inf vir a&b ag ia,,,70.29,186.27,7 HCPCS,87430,HC MICROBIOLOGY - IMMUNOASSAY GROUP A STREP,266.0,266.0,,,0 HCPCS,87430,Strep a ag ia,,,16.81,44.55,7 HCPCS,87449,Ag detect nos ia mult,,,11.98,31.75,7 HCPCS,87449,"HC 1,3 BETA D-GLUCAN (FUNGITELL)",260.0,260.0,,,0 HCPCS,87449,"HC 1,3 BETA-D-GLUCAN (FUNGITELL) (ARUP)",277.0,277.0,,,0 HCPCS,87449,HC BLASTOMYCES ANTIGEN,111.0,111.0,,,0 HCPCS,87449,HC BLASTOMYCES DERMATITIDIS ANTIGEN SERUM OR PLASMA - ARUP,474.0,474.0,,,0 HCPCS,87449,HC BLASTOMYCES DERMATITIDIS ANTIGEN URINE - ARUP,335.0,335.0,,,0 HCPCS,87449,"HC BLASTOMYCES DERMATITIDIS ANTIGEN, URINE (ARUP)",220.5,220.5,,,0 HCPCS,87449,HC CAMPYLOBACTER AG TOXINS EIA - ARUP,123.0,123.0,,,0 HCPCS,87449,HC CAMPYLOBACTER ANTIGEN STOOL - ARUP,169.0,169.0,,,0 HCPCS,87449,HC CLOSTRIDIUM DIFFICILE AG TOXINS EIA,80.0,80.0,,,0 HCPCS,87449,HC COCCIDIOIDES ANTIGEN BY EIA (ARUP),327.0,327.0,,,0 HCPCS,87449,HC COCCIDIOIDES ANTIGEN EIA - ARUP,474.0,474.0,,,0 HCPCS,87449,"HC IAAD IA MULT STEP METHOD NOS EACH ORGANISM - STREP PNEUMO AG, UR",111.0,111.0,,,0 HCPCS,87449,HC LEGIONELLA ANTIGEN URINE,111.0,111.0,,,0 HCPCS,87449,HC LEGIONELLA ANTIGEN URINE - ARUP,72.0,72.0,,,0 HCPCS,87449,HC LEGIONELLA PNEUMOPHILA ANTIGEN URINE - ARUP,72.0,72.0,,,0 HCPCS,87451,Ag detect polyval ia mult,,,10.51,27.85,7 HCPCS,87467,Hepatitis b surface ag quan,,,25.32,67.1,7 HCPCS,87468,Anaplsma phgcytophlm amp prb,,,35.09,92.99,7 HCPCS,87468,HC ANAPLASMA PHAGOCYTOPHILUM AMP PROBE,430.0,430.0,,,0 HCPCS,87468,HC ANAPLASMA PHAGOCYTOPHILUM PCR - EHRLICHIA & ANAPLASMA SPECIES PCR - ARUP,188.0,188.0,,,0 HCPCS,87468,HC ANAPLASMA PHAGOCYTOPHILUM PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 HCPCS,87468,HC ANAPLASMA PHAGOCYTOPHILUM PCR QUAL - QDID,886.0,886.0,,,0 HCPCS,87469,Babesia microti amp prb,,,35.09,92.99,7 HCPCS,87469,HC BABESIA MICROTI AMP PROBE,633.0,633.0,,,0 HCPCS,87469,HC BABESIA MICROTI PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 HCPCS,87471,Bartonella dna amp probe,,,35.09,92.99,7 HCPCS,87471,HC BARTONELLA DNA QUALITATIVE PCR - ARUP,815.0,815.0,,,0 HCPCS,87471,HC BARTONELLA DNA QUALITATIVE PCR - QDID,920.0,920.0,,,0 HCPCS,87471,"HC BARTONELLA, DNA, AMP PROBE - BARTONELLA, DNA, AMP PROBE",430.0,430.0,,,0 HCPCS,87472,Bartonella dna quant,,,42.84,113.53,7 HCPCS,87475,Lyme dis dna dir probe,,,20.05,53.13,7 HCPCS,87476,"HC DNA/RNA AMP PROBE - LYME DISEASE (BORRELIA BURGDORFERI), PCR CSF",113.0,113.0,,,0 HCPCS,87476,"HC LYME DIS, DNA, AMP PROBE - LYME DISEASE (BORRELIA BURGDORFERI), PCR",167.0,167.0,,,0 HCPCS,87476,HC LYME DISEASE (BORRELIA BURGDORFERI) PCR - ARUP,210.0,210.0,,,0 HCPCS,87476,Lyme dis dna amp probe,,,35.09,92.99,7 HCPCS,87478,Borrelia miyamotoi amp prb,,,35.09,92.99,7 HCPCS,87478,HC BORRELIA MIYAMOTOI AMP PROBE,633.0,633.0,,,0 HCPCS,87480,Candida dna dir probe,,,20.05,53.13,7 HCPCS,87480,"HC CANDIDA, DNA, DIR PROBE - CANDIDA DNA PROBE",110.0,110.0,,,0 HCPCS,87481,Candida dna amp probe,,,35.09,92.99,7 HCPCS,87481,HC C ALBICANS - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 HCPCS,87481,HC C DUBLINIENSIS - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 HCPCS,87481,HC C GLABRATA - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 HCPCS,87481,HC C KRUSEI - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 HCPCS,87481,HC C PARAPSILOSIS COMPLEX - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 HCPCS,87481,HC C TROPICALIS - CANDIDA SPECIES BY PCR - ARUP,139.0,139.0,,,0 HCPCS,87481,HC CANDIDA AURIS PCR - ARUP,1154.0,1154.0,,,0 HCPCS,87481,HC CANDIDA AURIS PCR SCREENING,521.0,521.0,,,0 HCPCS,87481,HC CANDIDA DNA PCR - VAGINAL PATHOGEN DNA PANEL,345.0,345.0,,,0 HCPCS,87481,HC CANDIDA GLABRATA - CANDIDA AND TRICHOMONAS BY TMA - ARUP,133.0,133.0,,,0 HCPCS,87481,HC CANDIDA GLABRATA - SURESWAB CANDIDIASIS PCR - QDID,315.0,315.0,,,0 HCPCS,87481,HC CANDIDA GLABRATA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 HCPCS,87481,HC CANDIDA GLABRATA - VAGINAL PATHOGEN DNA PANEL - ARUP,114.0,114.0,,,0 HCPCS,87481,HC CANDIDA GLABRATA BY TMA 10119 -SURESWAB BACTI VAGINOSIS/VAGINITIS -QDID,322.0,322.0,,,0 HCPCS,87481,HC CANDIDA RNA BY TMA 10119,235.5,235.5,,,0 HCPCS,87481,HC CANDIDA RNA BY TMA 10120,99.0,99.0,,,0 HCPCS,87481,HC CANDIDA RNA BY TMA 10121,311.0,311.0,,,0 HCPCS,87481,HC CANDIDA SPECIES - CANDIDA AND TRICHOMONAS BY TMA - ARUP,133.0,133.0,,,0 HCPCS,87481,HC CANDIDA SPECIES - SURESWAB CANDIDIASIS PCR - QDID,315.0,315.0,,,0 HCPCS,87481,HC CANDIDA SPECIES - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 HCPCS,87481,HC CANDIDA SPECIES BY TMA - VAGINAL PATHOGEN DNA PANEL - ARUP,114.0,114.0,,,0 HCPCS,87481,HC CANDIDA SPECIES BY TMA 10119- SURESWAB BACTI VAGINOSIS/VAGINITIS -QDID,322.0,322.0,,,0 HCPCS,87481,"HC CANDIDA, DNA, AMP PROBE - CANDIDA DNA, PCR",373.0,373.0,,,0 HCPCS,87482,Candida dna quant,,,55.74,147.71,7 HCPCS,87483,Cns dna amp probe type 12-25,,,416.78,1104.47,7 HCPCS,87483,HC MENINGITIS ENCEPHALITIS PCR PANEL CSF - ARUP,1365.0,1365.0,,,0 HCPCS,87483,HC MICROBIOLOGY - DNA AMP PROBE 12-25 TARGETS,2733.0,2733.0,,,0 HCPCS,87484,Ehrlicha chaffeensis amp prb,,,35.09,92.99,7 HCPCS,87484,HC EHRLICHIA CHAFEENSIS AMP PROBE,403.0,403.0,,,0 HCPCS,87484,HC EHRLICHIA CHAFFEENSIS DNA PCR QUAL - QDID,755.0,755.0,,,0 HCPCS,87484,HC EHRLICHIA CHAFFEENSIS PCR - EHRLICHIA & ANAPLASMA SPECIES PCR - ARUP,188.0,188.0,,,0 HCPCS,87484,HC EHRLICHIA CHAFFEENSIS PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 HCPCS,87485,Chylmd pneum dna dir probe,,,20.05,53.13,7 HCPCS,87486,Chylmd pneum dna amp probe,,,35.09,92.99,7 HCPCS,87486,HC CHLAMYDIA PNEUMONIAE PCR - ARUP,386.0,386.0,,,0 HCPCS,87486,"HC CHYLMD PNEUM, DNA, AMP PROBE - CHLAMYDIA PNEUMONIAE DNA PROBE, AMP",347.0,347.0,,,0 HCPCS,87487,Chylmd pneum dna quant,,,42.84,113.53,7 HCPCS,87490,Chylmd trach dna dir probe,,,22.75,60.29,7 HCPCS,87491,Chylmd trach dna amp probe,,,35.09,92.99,7 HCPCS,87491,"HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID",73.0,73.0,,,0 HCPCS,87491,"HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA UROGENITAL - QDID",79.0,79.0,,,0 HCPCS,87491,HC C TRACHOMATIS TMA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 HCPCS,87491,HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - ARUP,42.0,42.0,,,0 HCPCS,87491,HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - QWDL,83.0,83.0,,,0 HCPCS,87491,HC CHLAMYDIA TRACHOMATIS - SEXUALLY TRANSMITTED DISEASE PANEL 1 - ARUP,119.0,119.0,,,0 HCPCS,87491,HC CHLAMYDIA TRACHOMATIS BY TMA - ARUP,63.0,63.0,,,0 HCPCS,87491,HC CHLAMYDIA TRACHOMATIS CONFIRMATION TMA - ARUP,62.0,62.0,,,0 HCPCS,87491,HC CHLAMYDIA TRACHOMATIS DNA PROBE AMPLIFIED,380.0,380.0,,,0 HCPCS,87491,HC CHLAMYDIA TRACHOMATIS RNA BY TMA 10120,198.0,198.0,,,0 HCPCS,87491,HC CHLAMYDIA TRACHOMATIS-C TRACHOMATIS & N GONNORRHOEAE BY TMA W/ RFLX-ARUP,42.0,42.0,,,0 HCPCS,87491,"HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR TMA",378.0,378.0,,,0 HCPCS,87492,Chylmd trach dna quant,,,53.47,141.7,7 HCPCS,87493,C diff amplified probe,,,37.27,98.77,7 HCPCS,87493,HC CLOSTRIDIOIDES DIFFICILE TCDB GENE PCR STOOL - ARUP,441.0,441.0,,,0 HCPCS,87493,HC CLOSTRIDIOIDES DIFFICILE TOXIN TCBD GENE PCR,844.0,844.0,,,0 HCPCS,87494,Chlmy trch&neisra gonor mult,,,70.18,185.98,7 HCPCS,87495,Cytomeg dna dir probe,,,30.03,79.58,7 HCPCS,87496,Cytomeg dna amp probe,,,35.09,92.99,7 HCPCS,87496,HC CONGENITAL CYTOMEGALOVIRUS (CMV) PCR URINE CONFIRMATION,730.0,730.0,,,0 HCPCS,87496,HC CONGENITAL CYTOMEGALOVIRUS PCR,734.0,734.0,,,0 HCPCS,87496,"HC CYTOMEG, DNA, AMP PROBE - CYTOMEGALOVIRUS DNA PROBE, AMPLIFIED",730.0,730.0,,,0 HCPCS,87496,HC CYTOMEGALOVIRUS (CMV) PCR QUAL - ARUP,211.0,211.0,,,0 HCPCS,87496,HC CYTOMEGALOVIRUS (CMV) PCR QUAL - QDID,369.0,369.0,,,0 HCPCS,87496,HC CYTOMEGALOVIRUS (CMV) PCR QUAL SALIVA - ARUP,386.0,386.0,,,0 HCPCS,87496,HC CYTOMEGALOVIRUS (CMV) PCR URINE,730.0,730.0,,,0 HCPCS,87497,Cytomeg dna quant,,,42.84,113.53,7 HCPCS,87497,HC CMV QUANT PCR,413.5,413.5,,,0 HCPCS,87497,HC CYTOMEGALOVIRUS (CMV) PCR QUANT FLUID - QDID,407.0,407.0,,,0 HCPCS,87497,HC CYTOMEGALOVIRUS PCR QUANTITATIVE FLUID,126.0,126.0,,,0 HCPCS,87497,HC CYTOMEGALOVIRUS QUANT NAAT - ARUP,293.5,293.5,,,0 HCPCS,87498,Enterovirus probe&revrs trns,,,35.09,92.99,7 HCPCS,87498,HC ENTEROVIRUS PCR FECES,295.0,295.0,,,0 HCPCS,87498,HC ENTEROVIRUS PCR QUAL,340.0,340.0,,,0 HCPCS,87498,HC ENTEROVIRUS PCR QUAL - ARUP,337.0,337.0,,,0 HCPCS,87498,HC ENTEROVIRUS PCR QUAL STOOL - QDID,731.0,731.0,,,0 HCPCS,87498,"HC ENTEROVIRUS PROBE&REVRS TRNS - ENTEROVIRUS DNA PROBE, AMPLIFIED",714.0,714.0,,,0 HCPCS,87500,HC MICROBIOLODY - AMP PROBE VRE,160.0,160.0,,,0 HCPCS,87500,Vanomycin dna amp probe,,,35.09,92.99,7 HCPCS,87501,HC MICROBIOLOGY - AMP PROBE CORONAVIRUS,1057.0,1057.0,,,0 HCPCS,87501,Influenza dna amp prob 1+,,,51.31,135.97,7 HCPCS,87502,Influenza dna amp probe,,,95.8,253.87,7 HCPCS,87503,Influenza dna amp prob addl,,,29.22,77.43,7 HCPCS,87505,HC GASTROINTESTINAL PARASITE PANEL PCR 3 TARGETS,477.0,477.0,,,0 HCPCS,87505,HC GASTROINTESTINAL PARASITE PANELY BY PCR 5 TARGETS - ARUP,972.0,972.0,,,0 HCPCS,87505,HC GASTROINTESTINAL PARASITE PCR PANEL STOOL - 5 TARGETS - ARUP,903.0,903.0,,,0 HCPCS,87505,HC GASTROINTESTINAL VIRAL PCR PANEL STOOL - 5 TARGETS,460.0,460.0,,,0 HCPCS,87505,HC MICROBIOLOGY AMP PROBE - GI PATHOGEN 3-5 TARGETS,477.0,477.0,,,0 HCPCS,87505,Nfct agent detection gi,,,128.29,339.97,7 HCPCS,87506,HC GASTROINTESTINAL BACTERIAL PCR PANEL STOOL - 6 -11 TARGETS,1318.0,1318.0,,,0 HCPCS,87506,Iadna-dna/rna probe tq 6-11,,,262.99,696.92,7 HCPCS,87507,HC GASTROINTESTINAL PATHOGENS PANEL PCR STOOL - 21 TARGETS - ARUP,2007.0,2007.0,,,0 HCPCS,87507,HC GASTROINTESTINAL PATHOGENS PANEL PCR STOOL - 22 TARGETS - MAYO,1995.0,1995.0,,,0 HCPCS,87507,HC IADNA-DNA/RNA PROBE TQ 12-25 - GASTROINTESTINAL PANEL,1043.0,1043.0,,,0 HCPCS,87507,Iadna-dna/rna probe tq 12-25,,,416.78,1104.47,7 HCPCS,87510,Gardner vag dna dir probe,,,20.05,53.13,7 HCPCS,87510,"HC GARDNER VAG DNA DIR PROBE - GARDNERELLA VAGINALIS DNA PROBE, DIRECT",110.0,110.0,,,0 HCPCS,87511,Gardner vag dna amp probe,,,35.09,92.99,7 HCPCS,87512,Gardner vag dna quant,,,41.76,110.66,7 HCPCS,87512,"HC GARDNER VAG DNA QUANT - GARDNERELLA VAGINALIS DNA PROBE, QUANT",84.0,84.0,,,0 HCPCS,87513,H pylri clrthmcn rst amp prb,,,35.09,92.99,7 HCPCS,87516,"HC HEPATITIS B , DNA, AMP PROBE",201.0,201.0,,,0 HCPCS,87516,Hepatitis b dna amp probe,,,35.09,92.99,7 HCPCS,87517,"HC HEPATITIS B , DNA, QUANT - HEPATITIS B DNA PROBE, DIRECT",1438.0,1438.0,,,0 HCPCS,87517,"HC HEPATITIS B , DNA, QUANT - HEPATITIS B DNA, ULTRAQUANTITATIVE, PCR",122.0,122.0,,,0 HCPCS,87517,HC HEPATITIS B DNA BY QUANT NAAT - HEPATITIS BE DNA PROBE DIRECT - ARUP,403.0,403.0,,,0 HCPCS,87517,HC HEPATITIS B PCR QUANTITATIVE - HEPATITIS B DNA QUATITATIVE PCR,833.0,833.0,,,0 HCPCS,87517,Hepatitis b dna quant,,,42.84,113.53,7 HCPCS,87520,Hepatitis c rna dir probe,,,31.22,82.73,7 HCPCS,87521,HC HEPATITIS C VIRUS NAT DONOR,103.0,103.0,,,0 HCPCS,87521,HC HEPATITIS C VIRUS NAT FBC CHARGE,187.0,187.0,,,0 HCPCS,87521,HC IADNA HEPATITIS C AMPLIFIED PROBE&REVERSE TRANSCR,114.0,114.0,,,0 HCPCS,87521,Hepatitis c probe&rvrs trnsc,,,35.09,92.99,7 HCPCS,87522,HC HEPATITIS C BY QUANT NAAT WITH REFLEX GENOTYPE - ARUP,294.0,294.0,,,0 HCPCS,87522,HC HEPATITIS C DNA/RNA QUANT W/ REVERSE TRANSCRIPTION,206.0,206.0,,,0 HCPCS,87522,HC HEPATITIS C QUANT NAAT - ARUP,294.0,294.0,,,0 HCPCS,87522,HC HEPATITIS C QUANT PCR - QWDL,407.0,407.0,,,0 HCPCS,87522,HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR,1465.0,1465.0,,,0 HCPCS,87522,Hepatitis c revrs trnscrpj,,,42.84,113.53,7 HCPCS,87523,HC HEPATITIS D DELTA QUANT,92.0,92.0,,,0 HCPCS,87523,Hepatitis d quantification,,,42.84,113.53,7 HCPCS,87525,Hepatitis g dna dir probe,,,29.8,78.97,7 HCPCS,87526,Hepatitis g dna amp probe,,,39.26,104.04,7 HCPCS,87527,Hepatitis g dna quant,,,41.76,110.66,7 HCPCS,87528,Hsv dna dir probe,,,20.05,53.13,7 HCPCS,87529,HC HERPES SIMPLEX VIRUS 1 & 2 PCR QUALITATIVE,137.0,137.0,,,0 HCPCS,87529,HC HSV 1 PCR - HSV PCR QUAL NONBLOOD,983.0,983.0,,,0 HCPCS,87529,HC HSV 1 PCR QUAL - HSV 1 AND 2 SUBTYPE BY PCR - ARUP,357.0,357.0,,,0 HCPCS,87529,HC HSV 1 PCR QUAL - HSV 1 AND 2 SURESWAB BY TMA - QDID,189.0,189.0,,,0 HCPCS,87529,HC HSV 2 PCR - HSV PCR QUAL NONBLOOD,983.0,983.0,,,0 HCPCS,87529,HC HSV 2 PCR QUAL - HSV 1 AND 2 SUBTYPE BY PCR - ARUP,357.0,357.0,,,0 HCPCS,87529,HC HSV 2 PCR QUAL - HSV 1 AND 2 SURESWAB BY TMA - QDID,189.0,189.0,,,0 HCPCS,87529,HC HSV QUAL PCR,934.0,934.0,,,0 HCPCS,87529,"HC HSV-1 - T PALLIDUM, HSV-1, HSV-2 BY PCR - ARUP",305.0,305.0,,,0 HCPCS,87529,"HC HSV-2 - T PALLIDUM, HSV-1, HSV-2 BY PCR - ARUP",305.0,305.0,,,0 HCPCS,87529,"HC SURESWAB, HERPES SIMPLEX VIRUS TYPE 1 AND 2 MRNA, TMA - QDID",904.0,904.0,,,0 HCPCS,87529,Hsv dna amp probe,,,35.09,92.99,7 HCPCS,87530,HC HERPES SIMPLEX VIRUS (HSV) 1/2 PCR - QDID,941.0,941.0,,,0 HCPCS,87530,"HC HSV, DNA, QUANT - HSV DNA, QUANTITATIVE",451.0,451.0,,,0 HCPCS,87530,Hsv dna quant,,,42.84,113.53,7 HCPCS,87531,Hhv-6 dna dir probe,,,58.0,153.7,7 HCPCS,87532,HC HERPES VIRUS 6 (HHV-6) DNA PCR QUAL - QDID,679.0,679.0,,,0 HCPCS,87532,"HC HHV-6, DNA, AMP PROBE - HHV-6 DNA PROBE, AMPLIFIED",347.0,347.0,,,0 HCPCS,87532,Hhv-6 dna amp probe,,,35.09,92.99,7 HCPCS,87533,HC HERPES VIRUS 6 PCR QUANT - ARUP,664.0,664.0,,,0 HCPCS,87533,HC HERPES VIRUS 6 PCR QUANT - CSF - VC,518.0,518.0,,,0 HCPCS,87533,HC HERPES VIRUS 6 PCR QUANT - PLASMA - VC,518.0,518.0,,,0 HCPCS,87533,HC HERPES VIRUS 6 PCR QUANT - SERUM - VC,518.0,518.0,,,0 HCPCS,87533,HC HERPES VIRUS 6 PCR QUANT - WB - VC,518.0,518.0,,,0 HCPCS,87533,"HC HHV-6, DNA, QUANT - HHV-6 DNA PROBE, QUANTITATIVE",233.0,233.0,,,0 HCPCS,87533,Hhv-6 dna quant,,,41.76,110.66,7 HCPCS,87534,Hiv-1 dna dir probe,,,21.92,58.09,7 HCPCS,87535,HC HIV 1 RNA PCR QUAL TMA - QDID,1050.0,1050.0,,,0 HCPCS,87535,HC HIV 1 RNA PCR QUAL TMA - QWDL,1050.0,1050.0,,,0 HCPCS,87535,HC HIV NAT DONOR,109.0,109.0,,,0 HCPCS,87535,HC HIV NAT ONEBLOOD CHARGE,212.0,212.0,,,0 HCPCS,87535,HC HIV-1 - HIV-1/HIV-2 QUALITATIVE NAAT - ARUP,267.0,267.0,,,0 HCPCS,87535,HC HIV-1 PCR QUALITATIVE - FOCUS SCREENING PROGRAM,1322.0,1322.0,,,0 HCPCS,87535,"HC HIV-1 PROBE&REVERSE TRNSCRPJ - HIV-1 DNA PROBE, AMPLIFIED",190.0,190.0,,,0 HCPCS,87535,Hiv-1 probe&reverse trnscrpj,,,35.09,92.99,7 HCPCS,87536,"HC HIV 1 BY QUANTITATIVE NAAT, PLASMA (ARUP)",340.0,340.0,,,0 HCPCS,87536,HC HIV 1 PCR QUANTITATIVE,1322.0,1322.0,,,0 HCPCS,87536,HC HIV 1 QUANT PCR - QDID,406.0,406.0,,,0 HCPCS,87536,HC HIV 1 RNA QUANT PCR - QDID,315.0,315.0,,,0 HCPCS,87536,"HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, ULTRASENSITIVE QUANT, PCR",177.0,177.0,,,0 HCPCS,87536,Hiv-1 quant&revrse trnscrpj,,,85.1,225.52,7 HCPCS,87537,Hiv-2 dna dir probe,,,21.92,58.09,7 HCPCS,87538,HC HIV 2 PCR QUAL - QDID,866.0,866.0,,,0 HCPCS,87538,HC HIV-2 - HIV-1/HIV-2 QUALITATIVE NAAT - ARUP,267.0,267.0,,,0 HCPCS,87538,"HC HIV-2 PROBE&REVRSE TRNSCRIPJ - HIV-2 DNA PROBE, AMPLIFIED",421.0,421.0,,,0 HCPCS,87538,Hiv-2 probe&revrse trnscripj,,,35.09,92.99,7 HCPCS,87539,Hiv-2 quant&revrse trnscripj,,,58.62,155.34,7 HCPCS,87540,Legion pneumo dna dir prob,,,20.05,53.13,7 HCPCS,87541,HC LEGIONELLA PNEUMOPHILA PCR - LEGIONELLA SPECIES QUALITATIVE PCR - ARUP,178.0,178.0,,,0 HCPCS,87541,HC LEGIONELLA SPECIES BY QUALITATIVE PCR,227.0,227.0,,,0 HCPCS,87541,Legion pneumo dna amp prob,,,35.09,92.99,7 HCPCS,87542,Legion pneumo dna quant,,,41.76,110.66,7 HCPCS,87550,HC MYCOBACTERIA DNA PROBE,600.0,600.0,,,0 HCPCS,87550,Mycobacteria dna dir probe,,,20.05,53.13,7 HCPCS,87551,"HC MYCOBACTERIA, DNA, AMP PROBE - MYCOBACTERIA DNA PROBE, AMPLIFIED",249.0,249.0,,,0 HCPCS,87551,Mycobacteria dna amp probe,,,48.24,127.84,7 HCPCS,87552,Mycobacteria dna quant,,,42.84,113.53,7 HCPCS,87555,M.tuberculo dna dir probe,,,26.88,71.23,7 HCPCS,87556,HC DNA/RNA AMP PROBE - M. TUBERCULOSIS CSF,248.0,248.0,,,0 HCPCS,87556,"HC M TUBERCULOSIS COMPLEX, DNA PCR AMPLIFIED",177.5,177.5,,,0 HCPCS,87556,HC MYCOBACTERIUM TUBERCULOSIS DNA PROBE DIRECT,210.0,210.0,,,0 HCPCS,87556,HC MYCOBACTERIUM TUBERCULOSIS PCR - DIRECT M TUBERCULOSIS RIFAMPIN - ARUP,320.0,320.0,,,0 HCPCS,87556,M.tuberculo dna amp probe,,,41.68,110.45,7 HCPCS,87557,M.tuberculo dna quant,,,42.84,113.53,7 HCPCS,87560,"HC M.AVIUM-INTRA, DNA, DIR PROB - M. AVIUM-INTRA DNA PROBE, DIRECT",97.0,97.0,,,0 HCPCS,87560,M.avium-intra dna dir prob,,,27.29,72.32,7 HCPCS,87561,M.avium-intra dna amp prob,,,35.09,92.99,7 HCPCS,87562,M.avium-intra dna quant,,,42.84,113.53,7 HCPCS,87563,HC M GENITALIUM AMP PROBE,187.0,187.0,,,0 HCPCS,87563,HC MYCOPLASMA GENITALIUM - UREAPLASMA AND MYCOPLASMA SPECIES BY PCR - ARUP,204.0,204.0,,,0 HCPCS,87563,M. genitalium amp probe,,,35.09,92.99,7 HCPCS,87564,"HC M TUBERCULOSIS COMPLEX AND RIFAMPIN RESISTANCE, DNA PCR AMPLIFIED",465.0,465.0,,,0 HCPCS,87564,"HC M TUBERCULOSIS COMPLEX AND RIFAMPIN RESISTANCE, DNA PCR AMPLIFIED - ARUP",557.0,557.0,,,0 HCPCS,87564,Mtb rifampin rst amp prb tq,,,76.77,203.44,7 HCPCS,87580,M.pneumon dna dir probe,,,20.05,53.13,7 HCPCS,87581,HC MYCOPLASMA PNEUMONIAE PCR,294.0,294.0,,,0 HCPCS,87581,HC MYCOPLASMA PNEUMONIAE PCR - ARUP,231.0,231.0,,,0 HCPCS,87581,M.pneumon dna amp probe,,,35.09,92.99,7 HCPCS,87582,M.pneumon dna quant,,,302.62,801.94,7 HCPCS,87590,N.gonorrhoeae dna dir prob,,,26.88,71.23,7 HCPCS,87591,HC GC DNA TMA,194.0,194.0,,,0 HCPCS,87591,"HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID",73.0,73.0,,,0 HCPCS,87591,"HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA THROAT - QDID",88.0,88.0,,,0 HCPCS,87591,HC N GONORRHOEAE TMA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 HCPCS,87591,"HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR REFER",378.0,378.0,,,0 HCPCS,87591,HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - ARUP,42.0,42.0,,,0 HCPCS,87591,HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - QWDL,126.0,126.0,,,0 HCPCS,87591,HC NEISSERIA GONNORRHOEAE BY TMA - ARUP,63.0,63.0,,,0 HCPCS,87591,HC NEISSERIA GONNORRHOEAE-CHLAMYDIA T & N GONNORRHOEAE BY TMA W/ RFLX-QWDL,42.0,42.0,,,0 HCPCS,87591,HC NEISSERIA GONORRHEA DNA AMPLIFIED PROBE,380.0,380.0,,,0 HCPCS,87591,HC NEISSERIA GONORRHOEA DNA PROBE,378.0,378.0,,,0 HCPCS,87591,HC NEISSERIA GONORRHOEAE BY TMA-SEXUALLY TRANSMITTED DISEASE PANEL 1-ARUP,119.0,119.0,,,0 HCPCS,87591,HC NEISSERIA GONORRHOEAE CONFIRMATION TMA - ARUP,62.0,62.0,,,0 HCPCS,87591,HC NEISSERIA GONORRHOEAE RNA BY TMA 10120,198.0,198.0,,,0 HCPCS,87591,N.gonorrhoeae dna amp prob,,,35.09,92.99,7 HCPCS,87592,N.gonorrhoeae dna quant,,,42.84,113.53,7 HCPCS,87593,HC MONKEYPOX (ORTHOPOXVIRUS) DNA PCR - ARUP,358.0,358.0,,,0 HCPCS,87593,"HC MONKEYPOX VIRUS PCR QUAL - MONKEYPOX, ORTHOPOXVIRUS DNA PCR - QDID",210.0,210.0,,,0 HCPCS,87593,HC ORTHOPOXVIRUS AMP PRB EACH,418.0,418.0,,,0 HCPCS,87593,Orthopoxvirus amp prb each,,,51.31,135.97,7 HCPCS,87594,HC PNEUMOCYSTIS JIROVECCI DNA PCR AMPLIFIED,1063.0,1063.0,,,0 HCPCS,87594,HC PNEUMOCYSTIS JIROVECII DNA PCR AMPLIFIED - ARUP,796.0,796.0,,,0 HCPCS,87594,Pneumcysts jirovecii amp prb,,,35.09,92.99,7 HCPCS,87623,Hpv low-risk types,,,35.09,92.99,7 HCPCS,87624,"HC HPV HIGH RISK SCREEN BY TMA, THIN PREP, WITH REFLEX - ARUP",159.0,159.0,,,0 HCPCS,87624,HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE SUREPATH - ARUP,231.0,231.0,,,0 HCPCS,87624,HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE THIN PREP- ARUP,231.0,231.0,,,0 HCPCS,87624,HC HUMAN PAPOLLOMAVIRUS (HPV) NUCLEIC ACID AMPLIFICATION HIGH RISK - ARUP,231.0,231.0,,,0 HCPCS,87624,"HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP",115.0,115.0,,,0 HCPCS,87624,"HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, DIRECT",115.0,115.0,,,0 HCPCS,87624,HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV HIGH RISK PCR,415.0,415.0,,,0 HCPCS,87624,HC PAP SMEAR+HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 SUREPATH - ARUP,231.0,231.0,,,0 HCPCS,87624,Hpv high-risk types,,,35.09,92.99,7 HCPCS,87625,"HC HPV GENOTYPE 16 + 18/45 BY TMA, THIN PREP - ARUP",189.0,189.0,,,0 HCPCS,87625,HC MICROBIOLOGY - AMP PROBE HPV 16/18,145.0,145.0,,,0 HCPCS,87625,Hpv types 16 & 18 only,,,40.55,107.46,7 HCPCS,87626,HC HUMAN PAPILLOMAVIRUS (HPV) HIGH RISK WITH 16/18 GENOTYPE BY PCR SUREPATH- ARUP,219.0,219.0,,,0 HCPCS,87626,HC HUMAN PAPILLOMAVIRUS (HPV) HIGH RISK WITH 16/18 GENOTYPE BY PCR THINPREP - ARUP,219.0,219.0,,,0 HCPCS,87626,Hpv sep hi-rsk typ&pool rslt,,,70.2,186.03,7 HCPCS,87627,Jt spc pthgn&rx rsist gen26+,,,679.77,1801.39,7 HCPCS,87631,HC MICROBIOLOGY - AMP PROBE RESP 3-5 TARGETS,578.0,578.0,,,0 HCPCS,87631,HC RESPIRATORY VIRUS MINI PANEL PCR - 3 TARGETS - ARUP,630.0,630.0,,,0 HCPCS,87631,Resp virus 3-5 targets,,,142.63,377.97,7 HCPCS,87632,HC IADNA RESPIRATRY PROBE & REV TRNSCR 6-11 TARGET - ADDITIONAL CHARGE,30.0,30.0,,,0 HCPCS,87632,HC RESPIRATORY VIRAL PANEL PCR - ARUP,2309.0,2309.0,,,0 HCPCS,87632,Resp virus 6-11 targets,,,218.06,577.86,7 HCPCS,87633,HC IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET - ADDITIONAL CHARGE,2081.5,2081.5,,,0 HCPCS,87633,HC IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET - PANEL COMP CHARGE,2081.5,2081.5,,,0 HCPCS,87633,HC RESPIRATORY PANEL - 14 TARGETS,1319.0,1319.0,,,0 HCPCS,87633,Resp virus 12-25 targets,,,416.78,1104.47,7 HCPCS,87634,HC MICROBIOLOGY - AMP PROBE RSV,198.0,198.0,,,0 HCPCS,87634,HC RSV PCR,184.0,184.0,,,0 HCPCS,87634,Rsv dna/rna amp probe,,,70.2,186.03,7 HCPCS,87635,HC COVID-19 SARS-COV-2 (MAWD),343.0,343.0,,,0 HCPCS,87635,HC COVID-19 SARS-COV-2 AMPLIFIED PROBE,343.0,343.0,,,0 HCPCS,87635,HC COVID-19 SARS-COV-2 BY NAA (ARUP),273.0,273.0,,,0 HCPCS,87635,HC COVID-19 SARS-COV-2 NAA (LABCORP),343.0,343.0,,,0 HCPCS,87635,HC COVID-19 SARS-COV-2 RNA QUALITATIVE NAAT (QST) (MF),343.0,343.0,,,0 HCPCS,87635,HC COVID-19 SARS-COV-2 RT PCR (VC),343.0,343.0,,,0 HCPCS,87635,Sars-cov-2 covid-19 amp prb,,,51.31,135.97,7 HCPCS,87636,"HC COVID-19, FLU A, FLU B PCR",467.0,467.0,,,0 HCPCS,87636,HC SARS-COV2 + INFLUENZA A AND B PCR MULTIPLEX,708.0,708.0,,,0 HCPCS,87636,Sarscov2 & inf a&b amp prb,,,142.63,377.97,7 HCPCS,87637,"HC COVID-19, FLU A, FLU B, RSV PCR",750.0,750.0,,,0 HCPCS,87637,HC SARS-COV2 + INFLUENZA A AND B + RSV PCR MULTIPLEX,807.0,807.0,,,0 HCPCS,87637,Sarscov2&inf a&b&rsv amp prb,,,142.63,377.97,7 HCPCS,87640,"HC STAPH A, DNA, AMP PROBE - STAPH A DNA PROBE, AMPLIFICATION COMPONENT",582.0,582.0,,,0 HCPCS,87640,HC STAPH AUREUS PCR - MRSA AND STAPH AUREUS PCR SCREEN NARES,582.0,582.0,,,0 HCPCS,87640,Staph a dna amp probe,,,35.09,92.99,7 HCPCS,87641,HC MRSA PCR - MRSA AND STAPH AUREUS PCR SCREEN NARES,582.0,582.0,,,0 HCPCS,87641,HC MRSA RAPID SCREEN PCR NARES,344.0,344.0,,,0 HCPCS,87641,Mr-staph dna amp probe,,,35.09,92.99,7 HCPCS,87650,Strep a dna dir probe,,,20.05,53.13,7 HCPCS,87651,HC STREP A DNA PROBE AMPLIFICATION THROAT,555.0,555.0,,,0 HCPCS,87651,"HC STREP A, DNA, AMP PROBE - STREP A DNA PROBE, AMPLIFICATION",555.0,555.0,,,0 HCPCS,87651,Strep a dna amp probe,,,35.09,92.99,7 HCPCS,87652,"HC STREP A, DNA, QUANT - STREP A DNA, QUANTITATIVE",118.0,118.0,,,0 HCPCS,87652,Strep a dna quant,,,41.76,110.66,7 HCPCS,87653,HC STREP B DNA PCR AMPLIFIED PROBE ANTENATAL,769.0,769.0,,,0 HCPCS,87653,HC STREP B DNA PCR PROBE,769.0,769.0,,,0 HCPCS,87653,Strep b dna amp probe,,,35.09,92.99,7 HCPCS,87660,"HC TRICHOMONAS VAGIN, DIR PROBE - TRICHOMONAS VAGINALIS DNA PROBE",110.0,110.0,,,0 HCPCS,87660,Trichomonas vagin dir probe,,,20.05,53.13,7 HCPCS,87661,HC MICROBIOLOGY - AMP PROBE TRICHOMONAS,373.0,373.0,,,0 HCPCS,87661,HC TRICHOMONAS RNA BY TMA 10119,467.0,467.0,,,0 HCPCS,87661,HC TRICHOMONAS RNA BY TMA 10120,198.0,198.0,,,0 HCPCS,87661,HC TRICHOMONAS VAG TMA - SURESWAB VAGINOSIS/VAGINITIS PLUS 10120 - QDID,185.0,185.0,,,0 HCPCS,87661,HC TRICHOMONAS VAGINALIS - CANDIDA AND TRICHOMONAS BY TMA - ARUP,133.0,133.0,,,0 HCPCS,87661,HC TRICHOMONAS VAGINALIS - SEXUALLY TRANSMITTED DISEASE PANEL 1 - ARUP,119.0,119.0,,,0 HCPCS,87661,HC TRICHOMONAS VAGINALIS - VAGINAL PATHOGEN DNA PANEL - ARUP,114.0,114.0,,,0 HCPCS,87661,HC TRICHOMONAS VAGINALIS BY TMA,161.0,161.0,,,0 HCPCS,87661,HC TRICHOMONAS VAGINALIS BY TMA - ARUP,231.0,231.0,,,0 HCPCS,87661,HC TRICHOMONAS VAGINALIS PCR - VAGINAL PATHOGEN DNA PANEL,343.5,343.5,,,0 HCPCS,87661,HC TRICHOMONAS VAGINALIS PCR PROBE,316.0,316.0,,,0 HCPCS,87661,HC TRICHOMONAS VAGINALIS RNA TMA QUAL MALES - QDID,161.0,161.0,,,0 HCPCS,87661,HC TRICHOMONAS VAGINALIS TMA 10119-SURESWAB BACTI VAGINOSIS/VAGINITIS -QDID,322.0,322.0,,,0 HCPCS,87661,Trichomonas vaginalis amplif,,,35.09,92.99,7 HCPCS,87662,HC MICROBIOLOGY - AMP PROBE ZIKA VIRUS,219.0,219.0,,,0 HCPCS,87662,HC ZIKA VIRUS PCR PLASMA - VC,430.0,430.0,,,0 HCPCS,87662,HC ZIKA VIRUS PCR SERUM - VC,430.0,430.0,,,0 HCPCS,87662,HC ZIKA VIRUS PCR URINE - VC,430.0,430.0,,,0 HCPCS,87662,Zika virus dna/rna amp probe,,,51.31,135.97,7 HCPCS,87797,Detect agent nos dna dir,,,30.03,79.58,7 HCPCS,87798,Detect agent nos dna amp,,,35.09,92.99,7 HCPCS,87798,HC ACANTHAMOEBA SPECIES - AMOEBA DETECTION PCR,588.0,588.0,,,0 HCPCS,87798,HC ADENOVIRUS BY QUAL PCR - ARUP,757.0,757.0,,,0 HCPCS,87798,HC ADENOVIRUS PCR QUAL NONBLOOD - ARUP,756.0,756.0,,,0 HCPCS,87798,HC ADENOVIRUS QUANT/QUAL PCR BLOOD,294.0,294.0,,,0 HCPCS,87798,HC AMPLIFIED NUCLEIC ACID PROBE QUALITATIVE- ADENOVIRUS NONBLOOD PCR,1152.0,1152.0,,,0 HCPCS,87798,HC ANAPLASMA PHAGOCYTOPHILUM PCR,430.0,430.0,,,0 HCPCS,87798,HC BABESIA SPECIES PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 HCPCS,87798,HC BALAMUTHIA MANDRILLARIS - AMOEBA DETECTION PCR,588.0,588.0,,,0 HCPCS,87798,HC BORDETELLA PARAPERTUSSIS PCR - BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR,134.0,134.0,,,0 HCPCS,87798,HC BORDETELLA PARAPERTUSSIS PCR-BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR,134.0,134.0,,,0 HCPCS,87798,HC BORDETELLA PARAPERTUSSIS PCR-BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR-ARUP,147.0,147.0,,,0 HCPCS,87798,HC BORDETELLA PCR FLUID.,101.0,101.0,,,0 HCPCS,87798,HC BORDETELLA PERTUSSIS PCR,230.0,230.0,,,0 HCPCS,87798,HC BORDETELLA PERTUSSIS PCR - BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR,134.0,134.0,,,0 HCPCS,87798,HC BORDETELLA PERTUSSIS PCR -BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR,134.0,134.0,,,0 HCPCS,87798,HC BORDETELLA PERTUSSIS PCR -BORDETELLA PERTUSSIS/PARAPERTUSSIS PCR - ARUP,147.0,147.0,,,0 HCPCS,87798,HC CHIKUNGUNYA PCR QUAL - QDID,1251.0,1251.0,,,0 HCPCS,87798,HC CHIKUNGUNYA PCR QUALITATIVE,577.0,577.0,,,0 HCPCS,87798,"HC DETECT AGENT NOS, DNA, AMP",633.0,633.0,,,0 HCPCS,87798,"HC DETECT AGENT NOS, DNA, AMP - BORDETELLA PERTUSSIS PCR",219.0,219.0,,,0 HCPCS,87798,"HC DETECT AGENT NOS, DNA, AMP - WEST NILE VIRUS CSF",120.0,120.0,,,0 HCPCS,87798,HC DNA/RNA AMP PROBE - ADENOVIRUS,773.0,773.0,,,0 HCPCS,87798,HC DNA/RNA AMP PROBE - BORDETELLA PARAPERTUSSIS,92.0,92.0,,,0 HCPCS,87798,HC DNA/RNA AMP PROBE - PARVOVIRUS B19/HUMAN,136.0,136.0,,,0 HCPCS,87798,HC EHRLICHIA EWINGII/CANIS PCR - EHRLICHIA & ANAPLASMA SPECIES PCR - ARUP,188.0,188.0,,,0 HCPCS,87798,HC EHRLICHIA EWINGII/CANIS PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 HCPCS,87798,HC EHRLICHIA MURIS LIKE PCR - TICK BORNE DISEASE PANEL PCR - ARUP,243.0,243.0,,,0 HCPCS,87798,HC EHRLICHIA MURIS-LIKE PCR - EHRLICHIA & ANAPLASMA SPECIES PCR - ARUP,188.0,188.0,,,0 HCPCS,87798,HC EHRLICHIA PCR,403.0,403.0,,,0 HCPCS,87798,HC EPSTEIN BARR VIRUS PCR QUAL - ARUP,210.0,210.0,,,0 HCPCS,87798,HC EPSTEIN BARR VIRUS PCR QUALITATIVE,194.0,194.0,,,0 HCPCS,87798,HC HERPES VIRUS 8 PCR,511.0,511.0,,,0 HCPCS,87798,HC HERPES VIRUS 8 PCR QUAL - QDID,1085.0,1085.0,,,0 HCPCS,87798,HC HTLV 1 AND 2 PCR,278.0,278.0,,,0 HCPCS,87798,HC HTLV 1 PCR - HTLV 1 & 2 PCR - QDID,254.0,254.0,,,0 HCPCS,87798,HC HTLV 2 PCR - HTLV 1 & 2 PCR - QDID,254.0,254.0,,,0 HCPCS,87798,HC HUMAN METAPNEUMOVIRUS PCR FLUID,486.0,486.0,,,0 HCPCS,87798,HC JC VIRUS PCR,243.0,243.0,,,0 HCPCS,87798,HC JC VIRUS PCR QUAL - ARUP,315.0,315.0,,,0 HCPCS,87798,HC LEGIONELLA PCR QUALITATIVE - LEGIONELLA SP AMPLIFIED PROBE,227.0,227.0,,,0 HCPCS,87798,HC LEGIONELLA SPECIES PCR - LEGIONELLA SPECIES QUALITATIVE PCR - ARUP,178.0,178.0,,,0 HCPCS,87798,HC MALARIA P. FALCIPARUM PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 HCPCS,87798,HC MALARIA P. KNOWLESI PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 HCPCS,87798,HC MALARIA P. MALARIAE PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 HCPCS,87798,HC MALARIA P. OVALE PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 HCPCS,87798,HC MALARIA P. VIVAX PCR QUAL - MALARIA SPECIES ID BY PCR - ARUP,252.0,252.0,,,0 HCPCS,87798,"HC MEASLES (RUBEOLA) QUALITATIVE PCR, NP/THROAT - QUEST",1322.0,1322.0,,,0 HCPCS,87798,HC MEASLES - MEASLES VIRUS BY QUAL NAAT - ARUP,328.0,328.0,,,0 HCPCS,87798,HC MEASLES VACCINE STRAIN - MEASLES VIRUS BY QUAL NAAT - ARUP,328.0,328.0,,,0 HCPCS,87798,HC MTB RIFAMPIN PCR - DIRECT M. TUBERCULOSIS RIFAMPIN,210.0,210.0,,,0 HCPCS,87798,HC MTB RIFAMPIN PCR - DIRECT M. TUBERCULOSIS RIFAMPIN - ARUP,269.0,269.0,,,0 HCPCS,87798,HC MUMPS VIRUS PCR QUAL - ARUP,609.0,609.0,,,0 HCPCS,87798,HC MYCOBACTERIA TB COMPLEX PCR,227.0,227.0,,,0 HCPCS,87798,HC MYCOBACTERIUM TUBERCULOSIS DNA PROBE DIRECT,210.0,210.0,,,0 HCPCS,87798,HC MYCOPLASMA HOMINIS - UREAPLASMA AND MYCOPLASMA SPECIES BY PCR - ARUP,204.0,204.0,,,0 HCPCS,87798,HC NAEGLERIA FOWLERI - AMOEBA DETECTION PCR,588.0,588.0,,,0 HCPCS,87798,HC NOROVIRUS 1 QUAL - NOROVIRUS GROUPS 1 AND 2 BY PCR - ARUP,273.0,273.0,,,0 HCPCS,87798,HC NOROVIRUS 2 QUAL - NOROVIRUS GROUPS 1 AND 2 BY PCR - ARUP,273.0,273.0,,,0 HCPCS,87798,HC NOROVIRUS PCR,599.0,599.0,,,0 HCPCS,87798,HC PAROVIRUS B19 PCR QUAL - ARUP,210.0,210.0,,,0 HCPCS,87798,HC PARVOVIRUS B19 DNA PCR,101.0,101.0,,,0 HCPCS,87798,HC PNEUMOCYSTIS JIROVECII PCR,1068.0,1068.0,,,0 HCPCS,87798,HC PNEUMOCYSTIS JIROVECII PCR - ARUP,840.0,840.0,,,0 HCPCS,87798,HC TOXOPLASMA GONDII PCR QUAL - ARUP,386.0,386.0,,,0 HCPCS,87798,HC TOXOPLASMA PCR,241.0,241.0,,,0 HCPCS,87798,"HC TREPONEMA PALLIDUM - T PALLIDUM, HSV-1, HSV-2 BY PCR - ARUP",305.0,305.0,,,0 HCPCS,87798,HC TROPHERYMA WHIPPLEI (WHIPPLE DISEASE) PCR QUAL - ARUP,525.0,525.0,,,0 HCPCS,87798,HC TROPHERYMA WHIPPLEI (WHIPPLE DISEASE) PCR QUAL - QDID,756.0,756.0,,,0 HCPCS,87798,HC TROPHERYMA WHIPPLEI PCR,380.0,380.0,,,0 HCPCS,87798,HC UREAPLASMA PARVUM - UREAPLASMA AND MYCOPLASMA SPECIES BY PCR - ARUP,204.0,204.0,,,0 HCPCS,87798,HC UREAPLASMA UREALYTICUM - UREAPLASMA AND MYCOPLASMA SPECIES BY PCR - ARUP,204.0,204.0,,,0 HCPCS,87798,HC VARICELLA ZOSTER VIRUS PCR QUAL - ARUP,231.0,231.0,,,0 HCPCS,87798,HC VARICELLA ZOSTER VIRUS PCR.,194.0,194.0,,,0 HCPCS,87798,"HC VARICELLA ZOSTER VIRUS RT-PCR QUAL, NONBLOOD",949.0,949.0,,,0 HCPCS,87798,HC WEST NILE VIRUS NAT DONOR,109.0,109.0,,,0 HCPCS,87798,HC WEST NILE VIRUS NAT FBC CHARGE,101.0,101.0,,,0 HCPCS,87798,HC WEST NILE VIRUS PCR,363.0,363.0,,,0 HCPCS,87798,HC WEST NILE VIRUS PCR QUAL - ARUP,571.0,571.0,,,0 HCPCS,87799,Detect agent nos dna quant,,,42.84,113.53,7 HCPCS,87799,HC ADENOVIRUS QUANT PCR - ARUP,735.0,735.0,,,0 HCPCS,87799,HC BK VIRUS DNA QUANT RT-PCR PLASMA - QWDL,429.5,429.5,,,0 HCPCS,87799,HC BK VIRUS PCR QUANT BLOOD,834.0,834.0,,,0 HCPCS,87799,HC BK VIRUS PCR QUANT PLASMA - ARUP,378.5,378.5,,,0 HCPCS,87799,HC BK VIRUS PCR QUANT URINE,1281.0,1281.0,,,0 HCPCS,87799,HC BK VIRUS PCR QUANT/QUAL URINE - ARUP,475.0,475.0,,,0 HCPCS,87799,HC EPSTEIN BARR VIRUS (EBV) PCR QUANTITATIVE/QUALITATIVE,878.0,878.0,,,0 HCPCS,87799,HC EPSTEIN BARR VIRUS (EBV) QUANT NAAT PLASMA - ARUP,392.0,392.0,,,0 HCPCS,87799,HC EPSTEIN BARR VIRUS PCR QUANT CSF,252.0,252.0,,,0 HCPCS,87799,HC NUCLEIC ACID PROBE QUANTITATIVE - ADENOVIRUS PCR BLOOD,325.5,325.5,,,0 HCPCS,87799,HC NUCLEIC ACID PROBE QUANTITATIVE - EPSTEIN BARR VIRUS PCR,938.5,938.5,,,0 HCPCS,87800,Detect agnt mult dna direc,,,43.67,115.73,7 HCPCS,87800,"HC DETECT AGENT, MULT ORGS, DNA, DIR - C. TRACHOMATIS / N. GONORRHOEAE",43.0,43.0,,,0 HCPCS,87801,Detect agnt mult dna ampli,,,70.2,186.03,7 HCPCS,87801,HC BACTERIAL VAGINOSIS PCR - VAGINAL PATHOGEN DNA PANEL,690.0,690.0,,,0 HCPCS,87801,HC BORRELIA SPECIES (LYME DISEASE) ON TICK BY PCR - ARUP,1063.0,1063.0,,,0 HCPCS,87801,"HC DETECT AGENT, MULT ORGS, DNA, AMP - MULTIPLE ORGANISMS",747.0,747.0,,,0 HCPCS,87802,"HC STREP B ANTIGEN,IMMUN,DIR OBS",68.0,68.0,,,0 HCPCS,87802,Strep b assay w/optic,,,12.73,33.73,7 HCPCS,87803,Clostridium toxin a w/optic,,,16.0,42.4,7 HCPCS,87804,"HC DETECT AGENT,IMMUN,DIR OBS,INFLUENZA - RAPID FLU",445.0,445.0,,,0 HCPCS,87804,Influenza assay w/optic,,,16.55,43.86,7 HCPCS,87806,HC RAPID HIV ANTIBODY/ANTIGEN SCREEN,285.0,285.0,,,0 HCPCS,87806,Hiv antigen w/hiv antibodies,,,32.77,86.84,7 HCPCS,87807,HC MICROBIOLOGY - IMMUNOASSAY RSV AG,371.0,371.0,,,0 HCPCS,87807,Rsv assay w/optic,,,13.1,34.71,7 HCPCS,87808,Trichomonas assay w/optic,,,15.29,40.52,7 HCPCS,87809,Adenovirus assay w/optic,,,21.76,57.66,7 HCPCS,87810,Chylmd trach assay w/optic,,,35.29,93.52,7 HCPCS,87811,Sars-cov-2 covid19 w/optic,,,41.38,109.66,7 HCPCS,87812,Sarscov2&inf typ a&b w/optic,,,74.48,197.37,7 HCPCS,87850,N. gonorrhoeae assay w/optic,,,24.56,65.08,7 HCPCS,87880,"HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION",289.5,289.5,,,0 HCPCS,87880,"HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION, POC",294.0,294.0,,,0 HCPCS,87880,Strep a assay w/optic,,,16.53,43.8,7 HCPCS,87899,Agent nos assay w/optic,,,16.07,42.59,7 HCPCS,87899,HC AGENT NOS ASSAY W/OPTIC - CAMPYLOBACTER,121.0,121.0,,,0 HCPCS,87899,HC AGENT NOS ASSAY W/OPTIC - CRYPTOCOCCAL,132.0,132.0,,,0 HCPCS,87899,HC AGENT NOS ASSAY W/OPTIC - LEGIONELLA,239.0,239.0,,,0 HCPCS,87899,HC AGENT NOS ASSAY W/OPTIC - SHIGELLA,132.0,132.0,,,0 HCPCS,87899,HC AGENT NOS ASSAY W/OPTIC - STREP PNEUMO,239.0,239.0,,,0 HCPCS,87899,HC AGENT NOS ASSAY W/OPTIC - UNLISTED ORGANISM,224.0,224.0,,,0 HCPCS,87899,HC MALARIA SMEAR - RAPID SCREEN (WITH GIEMSA) - ARUP,593.0,593.0,,,0 HCPCS,87899,HC STREPTOCOCCUS PNEUMONIAE ANTIGEN URINE,223.0,223.0,,,0 HCPCS,87899,HC STREPTOCOCCUS PNEUMONIAE ANTIGEN URINE - ARUP,151.0,151.0,,,0 HCPCS,87900,HC CYTOMEGALOVIRUS (CMV) ANTIVIRAL RESISTANCE PHENOTYPE - ARUP,1165.0,1165.0,,,0 HCPCS,87900,HC MICROBIOLOGY - SUSCEPTIBILITY PHENOTYPE HIV,692.0,692.0,,,0 HCPCS,87900,Phenotype infect agent drug,,,130.35,345.43,7 HCPCS,87901,Genotype dna hiv reverse t,,,257.45,682.24,7 HCPCS,87901,HC MICROBIOLOGY - GENOTYPE BY NA - HIV1,530.0,530.0,,,0 HCPCS,87902,Genotype dna/rna hep c,,,257.45,682.24,7 HCPCS,87902,HC HCV NS3 DRUG RESISTANCE GENOTYPE - QDID,2646.0,2646.0,,,0 HCPCS,87902,HC HCV NS5A DRUG RESISTANCE GENOTYPE - ARUP,179.0,179.0,,,0 HCPCS,87902,HC HCV NS5A GENOTYPE,314.0,314.0,,,0 HCPCS,87902,HC HEPATITIS C GENOTYPE,1513.0,1513.0,,,0 HCPCS,87902,HC HEPATITIS C GENOTYPE - ARUP,337.0,337.0,,,0 HCPCS,87902,HC HEPATITIS C HIGH RESOLUTION GENOTYPE - ARUP,840.0,840.0,,,0 HCPCS,87902,HC HEPATITIS C NS3 DRUG RESISTANCE GENOTYPE,314.0,314.0,,,0 HCPCS,87903,HC HIV-1 PHENOTYPE 10 DRUG SUSCEPT - HIV-1 PHENOSENSE - ARUP,2797.0,2797.0,,,0 HCPCS,87903,HC MICROBIOLOGY - NA PHENOTYPE DRUG RESIST 1-10 HIV1,1224.0,1224.0,,,0 HCPCS,87903,Phenotype dna hiv w/culture,,,488.66,1294.95,7 HCPCS,87904,HC HIV-1 PHENOTYPE 12 DRUG SUSCEPT - HIV-1 PHENOSENSE - ARUP,149.0,149.0,,,0 HCPCS,87904,HC MICROBIOLOGY - NA PHENOTYPE DRUG RESIST EA ADD HIV1,716.0,716.0,,,0 HCPCS,87904,Phenotype dna hiv w/clt add,,,26.07,69.09,7 HCPCS,87905,HC IA SIALIDASE ENZYME ASSAY POC,83.0,83.0,,,0 HCPCS,87905,Sialidase enzyme assay,,,12.22,32.38,7 HCPCS,87906,Genotype dna/rna hiv,,,128.73,341.13,7 HCPCS,87906,HC MICROBIOLOGY - NA GENOTYPE HIV1 OTHER REGION,326.0,326.0,,,0 HCPCS,87910,Genotype cytomegalovirus,,,257.45,682.24,7 HCPCS,87910,HC CYTOMEGALOVIRUS (CMV) ANTIVIRAL RESISTANCE - ARUP,2300.0,2300.0,,,0 HCPCS,87912,Genotype dna hepatitis b,,,257.45,682.24,7 HCPCS,87912,HC HEPATITIS B GENOTYPE - ARUP,1226.0,1226.0,,,0 HCPCS,87912,HC MICROBIOLOGY - NA GENOTYPE HEP B VIRUS,666.0,666.0,,,0 HCPCS,87913,Nfct agt gntyp alys sarscov2,,,257.45,682.24,7 HCPCS,87999,HC MICROBIOLOGY - UNLISTED PROCEDURE,1059.0,1059.0,,,0 HCPCS,88104,Cytopath fl nongyn smears,,,39.0,103.36,7 HCPCS,88104,"HC CTYOPATHOLOGY SMEARS AND INTERPRETATION, FLUIDS",469.0,469.0,,,0 HCPCS,88108,Cytopath concentrate tech,,,39.0,103.36,7 HCPCS,88108,"HC CYTOPATHOLOGY CONCENTRATION, SMEARS, AND INTERPRETATION, FLUIDS",1309.0,1309.0,,,0 HCPCS,88112,Cytopath cell enhance tech,,,54.42,144.21,7 HCPCS,88112,HC CYTO-BRUSH WASHINGS,250.0,250.0,,,0 HCPCS,88112,HC CYTO-WASHING,250.0,250.0,,,0 HCPCS,88112,"HC CYTOPATH CELL ENHANCE TECH - LAB CYTOPATH, CELL ENHANCE TECH CMPLX",858.0,858.0,,,0 HCPCS,88112,"HC CYTOPATH CELL ENHANCE TECH - LAB CYTOPATH, CELL ENHANCE TECH INTERM",858.0,858.0,,,0 HCPCS,88112,HC LAB CYTOPATH CELL ENHANCE TECH - ANAL PAP,1118.0,1118.0,,,0 HCPCS,88120,Cytp urne 3-5 probes ea spec,,,177.91,471.47,7 HCPCS,88120,"HC CYTP URNE 3-5 PROBES EA SPEC - LAB CYTOPATH, INSITU HYB URINE SPEC",591.0,591.0,,,0 HCPCS,88121,Cytp urine 3-5 probes cmptr,,,177.91,471.47,7 HCPCS,88121,"HC CYTP URINE 3-5 PROBES CMPTR - LAB CYTOPATH, INSITU HYB URINE SPEC",849.0,849.0,,,0 HCPCS,88125,Forensic cytopathology,,,54.42,144.21,7 HCPCS,88130,Sex chromatin identification,,,17.98,47.65,7 HCPCS,88140,Sex chromatin identification,,,7.99,21.17,7 HCPCS,88141,HC PAP SMEAR PATHOLOGIST INTERPRETATION NO ALT CODE,35.0,35.0,,,0 HCPCS,88141,HC PAP SMEAR SCREENING IMAGED PATHOLOGIST INTERPRETATION ALT CODE G0141,35.0,35.0,,,0 HCPCS,88141,HC PAP SMEAR SCREENING MANUAL PATHOLOGIST INTERPRETATION ALT CODE G0124,33.0,33.0,,,0 HCPCS,88142,Cytopath c/v thin layer,,,20.26,53.69,7 HCPCS,88142,HC PAP SMEAR DIAGNOSTIC MANUAL NO ALT CODE,180.0,180.0,,,0 HCPCS,88142,HC PAP SMEAR SCREENING MANUAL ALT CODE G0123,180.0,180.0,,,0 HCPCS,88143,Cytopath c/v thin layer redo,,,23.04,61.06,7 HCPCS,88147,Cytopath c/v automated,,,50.56,133.98,7 HCPCS,88148,Cytopath c/v auto rescreen,,,18.54,49.13,7 HCPCS,88150,Cytopath c/v manual,,,18.54,49.13,7 HCPCS,88152,Cytopath c/v auto redo,,,27.64,73.25,7 HCPCS,88153,Cytopath c/v redo,,,24.03,63.68,7 HCPCS,88155,Cytopath c/v index add-on,,,14.65,38.82,7 HCPCS,88160,"HC CYTOPATHOLOGY SMEARS, INTERPRETATION, ANY OTHER SOURCE",515.0,515.0,,,0 HCPCS,88161,"HC CYTOPATHOLOGY SMEARS, PREPARATION AND INTERPRETATION, ANY OTHER SOURCE",617.0,617.0,,,0 HCPCS,88162,Cytopath smear other source,,,54.42,144.21,7 HCPCS,88164,Cytopath tbs c/v manual,,,18.54,49.13,7 HCPCS,88164,HC CYTOPATH PAPSM - PAP MAN SCRN PHY SPV BETHES DIAG,46.0,46.0,,,0 HCPCS,88165,Cytopath tbs c/v redo,,,42.22,111.88,7 HCPCS,88165,HC CYTOPATH TBS C/V REDO - LAB CYTOPATH TBS CERV/VAG REDO,287.0,287.0,,,0 HCPCS,88166,Cytopath tbs c/v auto redo,,,18.54,49.13,7 HCPCS,88167,Cytopath tbs c/v select,,,18.54,49.13,7 HCPCS,88172,Cytp dx eval fna 1st ea site,,,177.91,471.47,7 HCPCS,88172,HC FINE NEEDLE ASPIRATION IMMEDIATE EVALUATION FOR ADEQUACY FIRST SITE,1094.0,1094.0,,,0 HCPCS,88173,Cytopath eval fna report,,,54.42,144.21,7 HCPCS,88173,HC CYTOPATH EVAL FNA REPORT - LAB INTERPRETATION OF FNA SMEAR ADDL SITE,1239.0,1239.0,,,0 HCPCS,88173,HC FINE NEEDLE ASPIRATION INTERPRETATION AND REPORT,1095.0,1095.0,,,0 HCPCS,88174,Cytopath c/v auto in fluid,,,25.37,67.23,7 HCPCS,88175,Cytopath c/v auto fluid redo,,,26.61,70.52,7 HCPCS,88175,"HC CYTOPATH C/V AUTO FLUID - PAPSM THIN LAYER,INTER DIAG NO ALT CODE",537.0,537.0,,,0 HCPCS,88175,HC PAP SMEAR DIAGNOSTIC IMAGED NO ALT CODE,537.0,537.0,,,0 HCPCS,88175,HC PAP SMEAR SCREENING IMAGED ALT CODE G0145,537.0,537.0,,,0 HCPCS,88177,HC FINE NEEDLE ASPIRATION IMMEDIATE EVALUATION FOR ADEQUACY EACH ADDL SITE,1094.0,1094.0,,,0 HCPCS,88182,Cell marker study,,,54.42,144.21,7 HCPCS,88182,"HC FLOWCYTOMETRY/ TECH COMPONENT, CELL CYCLE OR DNA ANALYSIS",618.0,618.0,,,0 HCPCS,88184,Flowcytometry/ tc 1 marker,,,374.32,991.94,7 HCPCS,88184,HC B CELL CD20 EXPRESSION FIRST MARKER - ARUP,388.0,388.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY ANALYSIS FIRST MARKER - MAWD,588.0,588.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY FIRST MARKER,413.0,413.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 10 MARKERS - ARUP,103.0,103.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 11 MARKERS - ARUP,108.0,108.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 12 MARKERS - ARUP,103.0,103.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 13 MARKERS - ARUP,99.0,99.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 14 MARKERS - ARUP,96.0,96.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 15 MARKERS - ARUP,94.0,94.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 16 MARKERS - ARUP,91.0,91.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 17 MARKERS - ARUP,90.0,90.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 18 MARKERS - ARUP,88.0,88.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 19 MARKERS - ARUP,85.0,85.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 20 MARKERS - ARUP,84.0,84.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 21 MARKERS - ARUP,83.0,83.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 22 MARKERS - ARUP,81.0,81.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 23 MARKERS - ARUP,80.0,80.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 24 MARKERS - ARUP,79.0,79.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 25 MARKERS - ARUP,74.0,74.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 26 MARKERS - ARUP,78.0,78.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 27 MARKERS - ARUP,77.0,77.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 28 MARKERS - ARUP,76.0,76.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 29 MARKERS - ARUP,76.0,76.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 30 MARKERS - ARUP,75.0,75.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 31 MARKERS - ARUP,74.0,74.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 32 MARKERS - ARUP,74.0,74.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 33 MARKERS - ARUP,73.0,73.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 34 MARKERS - ARUP,73.0,73.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 35 MARKERS - ARUP,72.0,72.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 5 MARKERS - ARUP,169.0,169.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 6 MARKERS - ARUP,150.0,150.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 7 MARKERS - ARUP,136.0,136.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 8 MARKERS - ARUP,127.0,127.0,,,0 HCPCS,88184,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 1ST OF 9 MARKERS - ARUP,118.0,118.0,,,0 HCPCS,88184,"HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - FLOWCYTOMETRY",814.5,814.5,,,0 HCPCS,88184,"HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - IMMUNOPHENOTYPE",814.5,814.5,,,0 HCPCS,88184,"HC FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER - LYMPHOBLASTIC LYMPHOMA",814.5,814.5,,,0 HCPCS,88184,HC LYMPHOCYTE SUBSETS,284.0,284.0,,,0 HCPCS,88184,HC LYMPHOCYTE SUBSETS FIRST MARKER,233.0,233.0,,,0 HCPCS,88184,HC NATURAL KILLER CELL FUNCTION ASSAY,229.0,229.0,,,0 HCPCS,88184,HC PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH) FIRST MARKER,588.0,588.0,,,0 HCPCS,88184,HC RBC BAND 3 PROTEIN REDUCTION - ARUP,464.0,464.0,,,0 HCPCS,88184,HC REFERENCE FETAL HEMOGLOBIN QUANTITATIVE,401.0,401.0,,,0 HCPCS,88185,HC B CELL CD20 EXPRESSION ADDITIONAL MARKER - ARUP,388.0,388.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY EACH ADDITIONAL MARKER,358.0,358.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 10 ADDITIONAL MARKERS - ARUP,108.0,108.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 11 ADDITIONAL MARKERS - ARUP,103.0,103.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 12 ADDITIONAL MARKERS - ARUP,99.0,99.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 13 ADDITIONAL MARKERS - ARUP,96.0,96.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 14 ADDITIONAL MARKERS - ARUP,94.0,94.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 15 ADDITIONAL MARKERS - ARUP,91.0,91.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 16 ADDITIONAL MARKERS - ARUP,90.0,90.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 17 ADDITIONAL MARKERS - ARUP,88.0,88.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 18 ADDITIONAL MARKERS - ARUP,85.0,85.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 19 ADDITIONAL MARKERS - ARUP,84.0,84.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 20 ADDITIONAL MARKERS - ARUP,83.0,83.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 21 ADDITIONAL MARKERS - ARUP,81.0,81.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 22 ADDITIONAL MARKERS - ARUP,80.0,80.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 23 ADDITIONAL MARKERS - ARUP,79.0,79.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 24 ADDITIONAL MARKERS - ARUP,74.0,74.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 25 ADDITIONAL MARKERS - ARUP,78.0,78.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 26 ADDITIONAL MARKERS - ARUP,77.0,77.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 27 ADDITIONAL MARKERS - ARUP,76.0,76.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 28 ADDITIONAL MARKERS - ARUP,76.0,76.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 29 ADDITIONAL MARKERS - ARUP,75.0,75.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 30 ADDITIONAL MARKERS - ARUP,74.0,74.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 31 ADDITIONAL MARKERS - ARUP,74.0,74.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 32 ADDITIONAL MARKERS - ARUP,73.0,73.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 33 ADDITIONAL MARKERS - ARUP,73.0,73.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 34 ADDITIONAL MARKERS - ARUP,72.0,72.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 4 ADDITIONAL MARKERS - ARUP,169.0,169.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 5 ADDITIONAL MARKERS - ARUP,150.0,150.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 6 ADDITIONAL MARKERS - ARUP,136.0,136.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 7 ADDITIONAL MARKERS - ARUP,127.0,127.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 8 ADDITIONAL MARKERS - ARUP,118.0,118.0,,,0 HCPCS,88185,HC FLOW CYTOMETRY LEUKEMIA/LYMPHOMA PHENOTYPE 9 ADDITIONAL MARKERS - ARUP,103.0,103.0,,,0 HCPCS,88185,"HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - BUNDLED CHARGE",94.5,94.5,,,0 HCPCS,88185,"HC FLOWCYTOMETRY/TECH COMPONENT, ADD-ON - LAB FLOWCYTOMETRY/TECH CMP",293.0,293.0,,,0 HCPCS,88185,HC LYMPHOCYTE SUBSETS ADDITIONAL MARKERS,639.0,639.0,,,0 HCPCS,88185,HC PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH) ADDITIONAL MARKERS,544.0,544.0,,,0 HCPCS,88185,HC PNH ADDITIONAL MARKERS,2260.0,2260.0,,,0 HCPCS,88187,HC FLOW CYTOMETRY LEUK/LYMPH PHENO 2-8 MARKERS - ARUP,161.0,161.0,,,0 HCPCS,88188,HC FLOW CYTOMETRY LEUK/LYMPH PHENO 9-15 MARKERS - ARUP,154.0,154.0,,,0 HCPCS,88189,HC FLOW CYTOMETRY LEUK/LYMPH 16 OR MORE MARKERS - ARUP,194.0,194.0,,,0 HCPCS,88199,Cytopathology procedure,,,54.42,144.21,7 HCPCS,88230,HC TISSUE CULTURE LYMPHOCYTE - CHROMOS WHOLE BLD CONSTITUTIONAL - ARUP,627.0,627.0,,,0 HCPCS,88230,"HC TISSUE CULTURE, LYMPHOCYTE - CHROMOSOME ANALYSIS",397.0,397.0,,,0 HCPCS,88230,Tissue culture lymphocyte,,,116.49,308.7,7 HCPCS,88233,HC CHROMOSOME PRODUCTS OF CONCEPTION,177.0,177.0,,,0 HCPCS,88233,HC TISSUE CULTURE - CHROMOSIME ANALYSIS PRODUCTS OF CONCEPTION - ARUP,947.0,947.0,,,0 HCPCS,88233,"HC TISSUE CULTURE, SKIN OR SOLID TISSUE BIOPSY - CHROMOSOME ANALYSIS",178.0,178.0,,,0 HCPCS,88233,Tissue culture skin/biopsy,,,140.73,372.93,7 HCPCS,88235,HC CHROMOSOME CHORIONIC VILLI,457.0,457.0,,,0 HCPCS,88235,"HC TISSUE CULTURE, AMNIOTIC FLD OR CVS - CHROMOSOME ANALYSIS",457.0,457.0,,,0 HCPCS,88235,Tissue culture placenta,,,150.3,398.3,7 HCPCS,88237,HC CHROMOSOME LEUKEMIC BLOOD,314.0,314.0,,,0 HCPCS,88237,"HC TISSUE CULTURE NEOPLASTIC DISORDER - CHROMOSOME ANALYSIS - BONE MARROW, BLOOD CELLS",280.0,280.0,,,0 HCPCS,88237,Tissue culture bone marrow,,,143.75,380.94,7 HCPCS,88239,HC CHROMOSOME TUMOR,184.0,184.0,,,0 HCPCS,88239,HC TISSUE CULTURE NEOPLASTIC DISORDER - CHROMOSOME ANALYSIS - SOLID TUMOR,164.0,164.0,,,0 HCPCS,88239,Tissue culture tumor,,,147.52,390.93,7 HCPCS,88240,Cell cryopreserve/storage,,,13.07,34.64,7 HCPCS,88240,HC CRYOPRESERVE AND STORE EA CELL LINE,569.0,569.0,,,0 HCPCS,88241,Frozen cell preparation,,,12.09,32.04,7 HCPCS,88245,Chromosome analysis 20-25,,,173.17,458.9,7 HCPCS,88248,Chromosome analysis 50-100,,,173.17,458.9,7 HCPCS,88248,HC CHROMOSOME ANALYSIS 50-100 CELLS,919.0,919.0,,,0 HCPCS,88249,Chromosome analysis 100,,,173.17,458.9,7 HCPCS,88249,HC CHROMOSOME ANALYSIS 100 CELLS,919.0,919.0,,,0 HCPCS,88261,Chromosome analysis 5,,,264.34,700.5,7 HCPCS,88261,HC PATHOLOGY - CHROM ANALYSIS 5 CELL KAROTYPE BANDING,319.5,319.5,,,0 HCPCS,88262,Chromosome analysis 15-20,,,125.49,332.55,7 HCPCS,88262,HC 15-20 CELL 2 KARYO BAND -CHROMOSOME WHOLE BLD CONSTITUTIONAL - ARUP,675.0,675.0,,,0 HCPCS,88262,HC CHROMOSOME COUNT - CHROMOSOME ANALYSIS PRODUCTS OF CONCEPTION - ARUP,844.0,844.0,,,0 HCPCS,88262,HC PATHOLOGY - 15 - 20 CELL 2 KAROTYPE BANDING,246.0,246.0,,,0 HCPCS,88263,Chromosome analysis 45,,,150.29,398.27,7 HCPCS,88264,Chromosome analysis 20-25,,,144.61,383.22,7 HCPCS,88264,HC PATHOLOGY - CHROM ANALYSIS 20 - 25 CELL,323.0,323.0,,,0 HCPCS,88267,Chromosome analys placenta,,,188.57,499.71,7 HCPCS,88267,HC PATHOLOGY - CHROM ANALYSIS 15 CELLS 1 KARYOTYPE WITH BANDING AMNIOTIC FLD OR CVS,315.0,315.0,,,0 HCPCS,88269,Chromosome analys amniotic,,,173.66,460.2,7 HCPCS,88269,HC CHROMOSOME ANALYSIS IN SITU AMNIOTIC FL,962.0,962.0,,,0 HCPCS,88271,Cytogenetics dna probe,,,21.42,56.76,7 HCPCS,88271,"HC CYTOGENETICS DNA PROBE, EACH - DIGEORGE SYMDROME",194.0,194.0,,,0 HCPCS,88271,"HC CYTOGENETICS, DNA PROBE - ALK, FISH",138.0,138.0,,,0 HCPCS,88271,"HC CYTOGENETICS, DNA PROBE - FISH",2.0,2.0,,,0 HCPCS,88272,Cytogenetics 3-5,,,40.7,107.86,7 HCPCS,88272,"HC CYTOGENETICS, DNA PROBE - CHROM IN SITU HYBRID 3-5 CELLS",216.0,216.0,,,0 HCPCS,88273,Cytogenetics 10-30,,,34.81,92.25,7 HCPCS,88273,"HC CYTOGENETICS, DNA PROBE - CHROM IN SITU HYBRID 10-30 CELLS",324.0,324.0,,,0 HCPCS,88273,HC DIGEORGE SYNDROME,324.0,324.0,,,0 HCPCS,88273,HC WILLIAMS SYNDROME,324.0,324.0,,,0 HCPCS,88274,Cytogenetics 25-99,,,42.38,112.31,7 HCPCS,88274,HC PATHOLOGY - INTERPHASE IN SITU HYBRID 25 - 99 CELL ANALYSIS,145.0,145.0,,,0 HCPCS,88275,Cytogenetics 100-300,,,51.19,135.65,7 HCPCS,88275,HC PATHOLOGY - INTERPHASE IN SITU HYBRID 100-300 CELL ANALYSIS,3.0,3.0,,,0 HCPCS,88275,HC PRENATAL INSIGHT BY FISH AMNIOTIC FLUID,134.0,134.0,,,0 HCPCS,88280,Chromosome karyotype study,,,33.47,88.7,7 HCPCS,88280,HC PATHOLOGY - CHROM ANALYSIS ADDITIONAL KARYOTYPE,110.0,110.0,,,0 HCPCS,88283,Chromosome banding study,,,68.6,181.79,7 HCPCS,88285,Chromosome count additional,,,26.91,71.31,7 HCPCS,88285,HC PATHOLOGY - CHROM ANALYSIS ADDITIONAL CELLS COUNTED,138.0,138.0,,,0 HCPCS,88289,Chromosome study additional,,,34.43,91.24,7 HCPCS,88289,HC PATHOLOGY - CHROM ANALYSIS ADDITIONAL HIGH RES,843.0,843.0,,,0 HCPCS,88291,HC CYTOGENETICS INTERPRETATION AND REPORT - AMNIO PRENATAL INSIGHT,79.0,79.0,,,0 HCPCS,88291,HC CYTOGENETICS INTERPRETATION AND REPORT - AMNIOTIC FLUID,79.0,79.0,,,0 HCPCS,88291,HC CYTOGENETICS INTERPRETATION AND REPORT - DIGEORGE SYNDROME,95.0,95.0,,,0 HCPCS,88291,HC PATHOLOGY - GENETIC STUDY INTERP & REPORT,79.0,79.0,,,0 HCPCS,88299,Cytogenetic study,,,54.42,144.21,7 HCPCS,88299,HC CYTOGENETICS UNLIST PROC,250.0,250.0,,,0 HCPCS,88300,HC SURGICAL PATHOLOGY LEVEL I GROSS ONLY,316.0,316.0,,,0 HCPCS,88302,HC SURGICAL PATHOLOGY LEVEL II,641.0,641.0,,,0 HCPCS,88302,Tissue exam by pathologist,,,39.0,103.36,7 HCPCS,88304,"HC SURG PATH,LEVEL III - LAB SURG PATH,LEVEL III",926.0,926.0,,,0 HCPCS,88304,Tissue exam by pathologist,,,54.42,144.21,7 HCPCS,88305,HC SURGICAL PATHOLOGY LEVEL IV,1200.0,1200.0,,,0 HCPCS,88305,Tissue exam by pathologist,,,54.42,144.21,7 HCPCS,88307,HC SURGICAL PATHOLOGY LEVEL V,1384.0,1384.0,,,0 HCPCS,88307,Tissue exam by pathologist,,,374.32,991.94,7 HCPCS,88309,HC SURGICAL PATHOLOGY LEVEL VI,1653.0,1653.0,,,0 HCPCS,88309,Tissue exam by pathologist,,,841.35,2229.59,7 HCPCS,88311,HC SURGICAL PATHOLOGY DECALCIFY TISSUE,260.0,260.0,,,0 HCPCS,88312,"HC SPECIAL STAINS,GROUP I - LAB SPECIAL STAINS,GROUP I",302.0,302.0,,,0 HCPCS,88312,"HC SPECIAL STAINS,GROUP I - LAB SPECIAL STAINS,GROUP I - CRYPTOSPORIDIUM",302.0,302.0,,,0 HCPCS,88312,HC SURGICAL PATHOLOGY SPECIAL STAIN GROUP I MICROORGANISMS,579.0,579.0,,,0 HCPCS,88312,Special stains group 1,,,54.42,144.21,7 HCPCS,88313,HC IRON STAIN,589.0,589.0,,,0 HCPCS,88313,HC PATHOLOGY SPECIAL STAINS GROUP II - ARKANA,80.0,80.0,,,0 HCPCS,88313,"HC SPECIAL STAINS,GROUP II - LAB SPECIAL STAINS,GROUP II",326.0,326.0,,,0 HCPCS,88313,HC SURGICAL PATHOLOGY SPECIAL STAIN GROUP II EXCEPT MICROORGANISMS,657.0,657.0,,,0 HCPCS,88313,Special stains group 2,,,138.94,368.19,7 HCPCS,88314,HC SURGICAL PATHOLOGY HISTOCHEMICAL STAIN ON FROZEN TISSUE,790.0,790.0,,,0 HCPCS,88319,Enzyme histochemistry,,,841.35,2229.59,7 HCPCS,88319,HC PEROXIDASE STAIN,712.0,712.0,,,0 HCPCS,88319,HC SURGICAL PATHOLOGY SPECIAL STAIN FOR ENZYME CONSTITUENTS,654.0,654.0,,,0 HCPCS,88321,HC SURGICAL PATHOLOGY CONSULT ON SLIDES PREPARED ELSEWHERE,306.0,306.0,,,0 HCPCS,88321,Microslide consultation,,,39.0,103.36,7 HCPCS,88323,HC MICROSLIDE CONSULT W SLIDE PREP - LAB MICROSLIDE CONSULT W SLD PREP,339.0,339.0,,,0 HCPCS,88323,Microslide consultation,,,54.42,144.21,7 HCPCS,88325,Comprehensive review of data,,,177.91,471.47,7 HCPCS,88325,HC COMPREHENSIVE PATHOLOGY CONSULT,749.0,749.0,,,0 HCPCS,88329,HC PATHOLOGY - INTRAOP CONSULT,170.0,170.0,,,0 HCPCS,88329,Path consult introp,,,61.6,163.25,7 HCPCS,88331,"HC PATHOLOGY CONSULT IN SURGERY, FROZEN SECTION BLOCK",655.0,655.0,,,0 HCPCS,88331,Path consult intraop 1 bloc,,,177.91,471.47,7 HCPCS,88332,"HC PATHOLOGY CONSULT IN SURGERY, EACH ADDITIONAL FROZEN SECTION BLOCK",469.0,469.0,,,0 HCPCS,88333,HC PATHOLOGY - INTRAOP CONSULT INITIAL SITE PREP EXAM,428.0,428.0,,,0 HCPCS,88333,Intraop cyto path consult 1,,,841.35,2229.59,7 HCPCS,88334,HC PATHOLOGY CONSULT IN SURGERY - TOUCH PREP DISTINCT SITE,226.0,226.0,,,0 HCPCS,88334,"HC PATHOLOGY CONSULT IN SURGERY, EACH ADDITIONAL CYTOLOGIC EXAMINATION",226.0,226.0,,,0 HCPCS,88341,HC IMMUNOHISTOCHEMISTRY (IHC) EACH ADDITIONAL ANTIBODY,892.0,892.0,,,0 HCPCS,88342,HC IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE - HER2/NEU,460.0,460.0,,,0 HCPCS,88342,HC IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE - SINGLE ABY,460.0,460.0,,,0 HCPCS,88342,HC IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE - TUMOR PROT P53/TP53,460.0,460.0,,,0 HCPCS,88342,HC IMMUNOHISTOCHEMISTRY (IHC) FIRST ANTIBODY,892.0,892.0,,,0 HCPCS,88342,HC IMMUNOHISTOCHEMISTRY - INITIAL SINGLE ANTIBODY STAIN PROCEDURE - ARKANA,75.0,75.0,,,0 HCPCS,88342,Immunohisto antb 1st stain,,,177.91,471.47,7 HCPCS,88344,HC PATHOLOGY - IMMUNOCYTOCHEM MULTIPLEX ABY STAIN,733.0,733.0,,,0 HCPCS,88344,Immunohisto antibody slide,,,374.32,991.94,7 HCPCS,88346,HC BASEMENT MEMBRANE ANTIBODY 1ST IIF - PEMPHIGOID ANTIBODY PANEL - AP,670.0,670.0,,,0 HCPCS,88346,HC IMMUNOFLOURESCENCE - INITIAL SINGLE ANTIBODY STAIN PROCEDURE - ARKANA,72.0,72.0,,,0 HCPCS,88346,"HC IMMUNOFLUORESCENT STUDY,INDIRECT - ANTIBODY EACH",223.0,223.0,,,0 HCPCS,88346,HC SKIN ANTIBODY,250.0,250.0,,,0 HCPCS,88346,Immunofluor antb 1st stain,,,177.91,471.47,7 HCPCS,88348,Electron microscopy,,,841.35,2229.59,7 HCPCS,88348,HC PATHOLOGY - ELECTRON MICROSCOPY,672.0,672.0,,,0 HCPCS,88350,HC BASEMENT MEMBRANE AB ADDITIONAL IIF - PEMPHIGOID ANTIBODY PANEL - ARUP,510.0,510.0,,,0 HCPCS,88350,"HC IMMUNOFLUORESCENT STUDY,INDIRECT ADDITIONAL SINGLE ABY STAIN",59.0,59.0,,,0 HCPCS,88350,HC PATHOLOGY - IMMUNOFLUOR ADDITIONAL SINGLE ABY STAIN,124.0,124.0,,,0 HCPCS,88355,Analysis skeletal muscle,,,177.91,471.47,7 HCPCS,88356,Analysis nerve,,,54.42,144.21,7 HCPCS,88358,Analysis tumor,,,177.91,471.47,7 HCPCS,88360,HC ESTROGEN RECEPTOR SEMIQUANTITATIVE,419.0,419.0,,,0 HCPCS,88360,HC IMMUNOHISTOCHEMISTRY (IHC) MANUAL MORPHOMETRIC ANALYSIS EACH ANTIBODY,910.0,910.0,,,0 HCPCS,88360,HC MIB1 SEMIQUANTITATIVE,419.0,419.0,,,0 HCPCS,88360,HC PDL1 22C3 IMMUNOHISTOCHEMISTRY (IHC) WITH TUMOR PROPORTION SCORE - ARUP,1196.0,1196.0,,,0 HCPCS,88360,HC PROGESTERONE RECEPTOR SEMIQUANTITATIVE,419.0,419.0,,,0 HCPCS,88360,Tumor immunohistochem/manual,,,177.91,471.47,7 HCPCS,88361,HC PATHOLOGY - ER/PR MORPH ANALYSIS IHC STAIN SGL ABY QUANT/QUAL COMP ASST,350.0,350.0,,,0 HCPCS,88361,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPTR HER2,350.0,350.0,,,0 HCPCS,88361,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPTR TUMOR,350.0,350.0,,,0 HCPCS,88361,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPUTER ER,350.0,350.0,,,0 HCPCS,88361,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPUTER PR,350.0,350.0,,,0 HCPCS,88361,HC PATHOLOGY - MORPH ANALYSIS IHC STAIN SINGLE ABY QUANT/QUAL COMPUTER ASSIST,311.0,311.0,,,0 HCPCS,88361,Tumor immunohistochem/comput,,,374.32,991.94,7 HCPCS,88362,HC PATHOLOGY - NERVE TEASING PREPARATIONS,546.0,546.0,,,0 HCPCS,88362,Nerve teasing preparations,,,841.35,2229.59,7 HCPCS,88363,HC EXAMINATION AND SELECTION OF ARCHIVED TISSUE FOR MOLECULAR ANALYSIS,115.0,115.0,,,0 HCPCS,88364,HC IN SITU HYBRIDIZATION EACH ADDITIONAL SINGLE PROBE STAIN,549.0,549.0,,,0 HCPCS,88365,HC EBER BY ISH,339.0,339.0,,,0 HCPCS,88365,HC IN SITU HYBRIDIZATION INITIAL SINGLE PROBE STAIN,549.0,549.0,,,0 HCPCS,88365,HC PATHOLOGY - INSITU HYB INITIAL STAIN - HPV,339.0,339.0,,,0 HCPCS,88365,Insitu hybridization (fish),,,177.91,471.47,7 HCPCS,88366,Insitu hybridization (fish),,,177.91,471.47,7 HCPCS,88367,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB INITIAL STAIN COMPUTER ASSIST,1464.0,1464.0,,,0 HCPCS,88367,Insitu hybridization auto,,,374.32,991.94,7 HCPCS,88368,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB INITIAL STAIN MANUAL,1464.0,1464.0,,,0 HCPCS,88368,Insitu hybridization manual,,,374.32,991.94,7 HCPCS,88369,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB ADDITIONAL STAIN MANUAL,2351.0,2351.0,,,0 HCPCS,88373,"HC PATHOLOGY-MORPH ANALYSIS IN SITU,PER SPCMN,EA ADDL PROBE STAIN COMP ASST",135.0,135.0,,,0 HCPCS,88374,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB MULTIPLX STAIN COMPUTER ASSIST,2.0,2.0,,,0 HCPCS,88374,M/phmtrc alys ishquant/semiq,,,177.91,471.47,7 HCPCS,88377,HC ALK1 GENE REARRANGEMENT BY FISH,473.0,473.0,,,0 HCPCS,88377,HC HER2 NEU NON-BREAST TISSUE,473.0,473.0,,,0 HCPCS,88377,"HC HER2NEU FISH, BREAST TISSUE",1990.0,1990.0,,,0 HCPCS,88377,HC PATHOLOGY - MORPH ANALYSIS IN SITU HYB MANUAL EACH MULTIPLEX STAIN PROCEDURE,420.0,420.0,,,0 HCPCS,88377,M/phmtrc alys ishquant/semiq,,,177.91,471.47,7 HCPCS,88380,HC PATHOLOGY - MICRODISSECTION LASER CAPTURE,1516.0,1516.0,,,0 HCPCS,88381,HC PATHOLOGY - MICRODISSECTION MANUAL,284.5,284.5,,,0 HCPCS,88399,HC PATHOLOGY - UNLISTED SURGICAL PATHOLOGY PROCEDURE,250.0,250.0,,,0 HCPCS,88399,Surgical pathology procedure,,,54.42,144.21,7 HCPCS,88720,Bilirubin total transcut,,,5.02,13.3,7 HCPCS,88720,HC BILIRUBIN TOTAL TRANSCUTANEOUS,129.0,129.0,,,0 HCPCS,88738,HC HEMOGLOBIN TOTAL TRANSCUTANEOUS PER DAY,165.0,165.0,,,0 HCPCS,88738,Hgb quant transcutaneous,,,5.02,13.3,7 HCPCS,88740,"HC CARBOXYHEMOGLOBIN, TRANSCUTANEOUS, PER DAY",35.0,35.0,,,0 HCPCS,88740,Transcutaneous carboxyhb,,,9.37,24.83,7 HCPCS,88741,Transcutaneous methb,,,9.37,24.83,7 HCPCS,89049,Chct for mal hyperthermia,,,177.91,471.47,7 HCPCS,89050,Body fluid cell count,,,4.72,12.51,7 HCPCS,89050,HC CELL COUNT AND DIFFERENTIAL CSF,258.5,258.5,,,0 HCPCS,89050,"HC CELL COUNT,MISC BODY FLUIDS - BODY FLUID CELL COUNT",258.5,258.5,,,0 HCPCS,89051,Body fluid cell count,,,5.6,14.84,7 HCPCS,89051,HC BODY FLUID CELL COUNT W DIFF - BODY FLUID CELL COUNT W/DIFF,583.0,583.0,,,0 HCPCS,89055,"HC LEUKOCYTE COUNT,FECAL - FECAL LEUKOCYTES",172.0,172.0,,,0 HCPCS,89055,Leukocyte assessment fecal,,,4.27,11.32,7 HCPCS,89060,Exam synovial fluid crystals,,,7.33,19.42,7 HCPCS,89060,"HC CRYSTALS, BODY FLUID",315.0,315.0,,,0 HCPCS,89060,"HC EXAM,SYNOVIAL FLUID CRYSTALS - SYNOVIAL FLUID CRYSTAL",162.0,162.0,,,0 HCPCS,89060,"HC FERN TEST, AMNIOTIC FLUID",149.0,149.0,,,0 HCPCS,89125,Specimen fat stain,,,5.88,15.58,7 HCPCS,89160,Exam feces for meat fibers,,,4.85,12.85,7 HCPCS,89190,HC NASAL SMEAR FOR EOSINOPHILS - EOSINOPHIL SMEAR,414.0,414.0,,,0 HCPCS,89190,HC SMEAR FOR EOSINOPHILS - EOSINOPHIL SMEAR,159.0,159.0,,,0 HCPCS,89190,Nasal smear for eosinophils,,,5.79,15.34,7 HCPCS,89220,Sputum specimen collection,,,177.91,471.47,7 HCPCS,89230,Collect sweat for test,,,54.42,144.21,7 HCPCS,89230,HC CHLORIDE - SWEAT COLLECTION BY IONTOPHORESIS,1147.0,1147.0,,,0 HCPCS,89240,Pathology lab procedure,,,54.42,144.21,7 HCPCS,89250,Cultr oocyte/embryo <4 days,,,177.91,471.47,7 HCPCS,89251,Cultr oocyte/embryo <4 days,,,177.91,471.47,7 HCPCS,89253,Embryo hatching,,,177.91,471.47,7 HCPCS,89254,Oocyte identification,,,177.91,471.47,7 HCPCS,89255,Prepare embryo for transfer,,,54.42,144.21,7 HCPCS,89257,Sperm identification,,,54.42,144.21,7 HCPCS,89258,Cryopreservation embryo(s),,,841.35,2229.59,7 HCPCS,89259,Cryopreservation sperm,,,177.91,471.47,7 HCPCS,89260,Sperm isolation simple,,,54.42,144.21,7 HCPCS,89261,Sperm isolation complex,,,54.42,144.21,7 HCPCS,89264,Identify sperm tissue,,,54.42,144.21,7 HCPCS,89268,Insemination of oocytes,,,177.91,471.47,7 HCPCS,89272,Extended culture of oocytes,,,841.35,2229.59,7 HCPCS,89280,Assist oocyte fertilization,,,841.35,2229.59,7 HCPCS,89281,Assist oocyte fertilization,,,177.91,471.47,7 HCPCS,89290,Biopsy oocyte polar body,,,177.91,471.47,7 HCPCS,89291,Biopsy oocyte polar body,,,177.91,471.47,7 HCPCS,89300,Semen analysis w/huhner,,,9.84,26.08,7 HCPCS,89310,"HC SEMEN ANALYSIS,MOTIL & COUNT W/O HUHNER - SEMEN ANALYSIS MOTILITY",226.0,226.0,,,0 HCPCS,89310,Semen analysis w/count,,,8.61,22.82,7 HCPCS,89320,Semen anal vol/count/mot,,,12.31,32.62,7 HCPCS,89321,"HC SEMEN ANALYSIS, PRESENCE - SEMEN ANALYSIS PRESENCE AND MOTILITY",656.0,656.0,,,0 HCPCS,89321,Semen anal sperm detection,,,12.05,31.93,7 HCPCS,89322,HC SEMEN ANALYSIS,1013.0,1013.0,,,0 HCPCS,89322,"HC SEMEN ANALYSIS,COMPLETE - SEMEN ANALYSIS VOLUME, COUNT, MOTILITY, DIFFERENTIAL",1097.0,1097.0,,,0 HCPCS,89322,Semen anal strict criteria,,,15.5,41.08,7 HCPCS,89325,HC SPERM ANTIBODIES,239.0,239.0,,,0 HCPCS,89325,HC SPERM ANTIBODIES ORL,239.0,239.0,,,0 HCPCS,89325,Sperm antibody test,,,10.67,28.28,7 HCPCS,89329,Sperm evaluation test,,,19.59,51.91,7 HCPCS,89330,Evaluation cervical mucus,,,10.38,27.51,7 HCPCS,89331,Retrograde ejaculation anal,,,19.59,51.91,7 HCPCS,89335,Cryopreserve testicular tiss,,,54.42,144.21,7 HCPCS,89337,Cryopreservation oocyte(s),,,177.91,471.47,7 HCPCS,89342,Storage/year embryo(s),,,177.91,471.47,7 HCPCS,89343,Storage/year sperm/semen,,,177.91,471.47,7 HCPCS,89344,Storage/year reprod tissue,,,177.91,471.47,7 HCPCS,89346,Storage/year oocyte(s),,,177.91,471.47,7 HCPCS,89352,Thawing cryopresrved embryo,,,177.91,471.47,7 HCPCS,89353,Thawing cryopresrved sperm,,,54.42,144.21,7 HCPCS,89354,Thaw cryoprsvrd reprod tiss,,,177.91,471.47,7 HCPCS,89356,Thawing cryopresrved oocyte,,,177.91,471.47,7 HCPCS,89398,Unlisted reprod med lab proc,,,54.42,144.21,7 HCPCS,90375,HYPERRAB 1500 UNIT/5ML IJ SOLN,12205.85,12205.85,,,0 HCPCS,90377,KEDRAB 1500 UNIT/10ML IJ SOLN,12197.79,12197.79,,,0 HCPCS,90377,KEDRAB 300 UNIT/2ML IJ SOLN,993.38,993.38,,,0 HCPCS,90460,"HC IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID",282.0,282.0,,,0 HCPCS,90471,"HC IMMUNIZ ADMIN, INFLUENZA",266.0,266.0,,,0 HCPCS,90471,"HC IMMUNIZ ADMIN, PNEUMOCOCCAL",266.0,266.0,,,0 HCPCS,90471,"HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID",266.0,266.0,,,0 HCPCS,90471,Immunization admin,,,75.19,199.25,7 HCPCS,90472,"HC IMMUNIZ,ADMIN,EACH ADDL",129.0,129.0,,,0 HCPCS,90473,HC IMMUNE ADMIN ORAL/NASAL 1 VAC,63.0,63.0,,,0 HCPCS,90473,Immune admin oral/nasal,,,75.19,199.25,7 HCPCS,90474,HC IMMUNE ADMIN ORAL/NASAL EA ADDL VAC,63.0,63.0,,,0 HCPCS,90480,HC SARS-COV2 VACCINE ADMIN 1 DOSE,74.0,74.0,,,0 HCPCS,90620,BEXSERO 0.5 ML IM SUSY,1658.11,1658.11,,,0 HCPCS,90632,HAVRIX 1440 EL U/ML IM SUSP,628.84,628.84,,,0 HCPCS,90632,VAQTA 50 UNIT/ML IM SUSP,600.08,600.08,,,0 HCPCS,90636,TWINRIX 720-20 ELU-MCG/ML IM SUSY,1844.03,1844.03,,,0 HCPCS,90648,HC HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE,195.0,195.0,,,0 HCPCS,90651,GARDASIL 9 0.5 ML IM SUSP,2056.88,2056.88,,,0 HCPCS,90651,GARDASIL 9 0.5 ML IM SUSY,2930.69,2930.69,,,0 HCPCS,90653,FLUAD 0.5 ML IM SUSY,555.24,555.24,,,0 HCPCS,90656,AFLURIA PRESERVATIVE FREE 0.5 ML IM SUSY,278.63,278.63,,,0 HCPCS,90656,FLUARIX 0.5 ML IM SUSY,267.99,267.99,,,0 HCPCS,90656,FLUZONE 0.5 ML IM SUSY,359.36,359.36,,,0 HCPCS,90661,FLUCELVAX 0.5 ML IM SUSY,613.88,613.88,,,0 HCPCS,90662,FLUZONE HIGH-DOSE 0.5 ML IM SUSY,1276.11,1276.11,,,0 HCPCS,90670,HC PCV13 VACCINE FOR INTRAMUSCULAR USE,58.0,58.0,,,0 HCPCS,90677,HC INJ PNEUMO PCV20 VACCINE IM,3573.0,3573.0,,,0 HCPCS,90677,PREVNAR 20 0.5 ML IM SUSY,2310.635,2310.635,,,0 HCPCS,90686,HC IIV4 VACC PRESRV FREE 3 YRS & OLDER IM USE,29.0,29.0,,,0 HCPCS,90688,FLULAVAL 0.5 ML IM SUSY,300.5,300.5,,,0 HCPCS,90694,HC INJ FLU AIIV4 NO PRESERV 0.5ML IM,255.0,255.0,,,0 HCPCS,90707,"HC MMR VIRUS IMMUNIZATION, SUBCUT",394.0,394.0,,,0 HCPCS,90714,HC TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE,75.0,75.0,,,0 HCPCS,90714,TENIVAC 5-2 LFU IM INJ,720.41,720.41,,,0 HCPCS,90715,ADACEL 5-2-15.5 LF-MCG/0.5 IM SUSP,879.1800000000001,879.1800000000001,,,0 HCPCS,90715,BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 IM SUSY,696.59,696.59,,,0 HCPCS,90715,"HC TDAP VACCINE >7 YO, IM",269.0,269.0,,,0 HCPCS,90732,HC PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE,490.0,490.0,,,0 HCPCS,90732,PNEUMOVAX 23 25 MCG/0.5ML IJ SOSY,1121.57,1121.57,,,0 HCPCS,90734,MENQUADFI 0.5 ML IM SOLN,1599.83,1599.83,,,0 HCPCS,90739,HC HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE,193.0,193.0,,,0 HCPCS,90746,ENGERIX-B 10 MCG/0.5ML IJ SUSY,743.66,743.66,,,0 HCPCS,90746,ENGERIX-B 20 MCG/ML IJ SUSY,935.97,935.97,,,0 HCPCS,90746,HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE,348.0,348.0,,,0 HCPCS,90746,RECOMBIVAX HB 10 MCG/ML IJ SUSP,742.9,742.9,,,0 HCPCS,90746,RECOMBIVAX HB 10 MCG/ML IJ SUSY,479.24,479.24,,,0 HCPCS,90785,HC PSYCHOTHERAPY COMPLEX INTERACTIVE,876.0,876.0,,,0 HCPCS,90791,HC PSYCHIATRIC DIAGNOSTIC EVALUATION,971.5,971.5,,,0 HCPCS,90791,Psych diagnostic evaluation,,,185.35,491.19,7 HCPCS,90792,HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES,971.0,971.0,,,0 HCPCS,90792,Psych diag eval w/med srvcs,,,185.35,491.19,7 HCPCS,90832,HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES,971.0,971.0,,,0 HCPCS,90832,Psytx w pt 30 minutes,,,185.35,491.19,7 HCPCS,90834,HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES,388.0,388.0,,,0 HCPCS,90834,Psytx w pt 45 minutes,,,185.35,491.19,7 HCPCS,90837,HC PSYCHOTHERAPY W/ PT 60 MINUTES,524.0,524.0,,,0 HCPCS,90837,Psytx w pt 60 minutes,,,185.35,491.19,7 HCPCS,90839,Psytx crisis initial 60 min,,,185.35,491.19,7 HCPCS,90845,Psychoanalysis,,,185.35,491.19,7 HCPCS,90846,Family psytx w/o pt 50 min,,,185.35,491.19,7 HCPCS,90847,Family psytx w/pt 50 min,,,185.35,491.19,7 HCPCS,90847,HC FAMILY PSYCHOTHERAPY W/ PT 50 MIN,971.5,971.5,,,0 HCPCS,90849,HC MULTIP FAMILY-GROUP PSYCHOTHERAPY,971.5,971.5,,,0 HCPCS,90849,Multiple family group psytx,,,185.35,491.19,7 HCPCS,90853,"HC GROUP PSYCHOTHERAPY, IOP/PHP",450.0,450.0,,,0 HCPCS,90853,"HC GROUP PSYCHOTHERAPY, VIRTUAL/IN-PERSON",427.0,427.0,,,0 HCPCS,90865,Narcosynthesis,,,185.35,491.19,7 HCPCS,90867,Tcranial magn stim tx plan,,,225.48,597.53,7 HCPCS,90868,Tcranial magn stim tx deli,,,225.48,597.53,7 HCPCS,90869,Tcran magn stim redetemine,,,225.48,597.53,7 HCPCS,90870,Electroconvulsive therapy,,,896.76,2376.43,7 HCPCS,90870,HC ELECTROCONVULSIVE THERAPY,1577.0,1577.0,,,0 HCPCS,90901,Biofeedback train any meth,,,16.97,44.97,7 HCPCS,90901,"HC OT BIOFEEDBACK TRAINING,ANY MODALITY",353.0,353.0,,,0 HCPCS,90901,"HC PT BIOFEEDBACK TRAINING,ANY MODALITY",353.0,353.0,,,0 HCPCS,90912,Bfb training 1st 15 min,,,38.0,100.7,7 HCPCS,90912,HC BIOFEED PERINEAL / RECTAL INIT 15 MIN,506.0,506.0,,,0 HCPCS,90912,HC OT BIOFEED PERINEAL / RECTAL INIT 15 MIN,494.5,494.5,,,0 HCPCS,90912,HC PT BIOFEED PERINEAL / RECTAL INIT 15 MIN,494.5,494.5,,,0 HCPCS,90913,Bfb training ea addl 15 min,,,21.4,56.71,7 HCPCS,90913,HC BIOFEED PERINEAL / RECTAL ADDITIONAL 15 MIN,470.0,470.0,,,0 HCPCS,90913,HC OT BIOFEED PERINEAL / RECTAL ADDITIONAL 15 MIN,470.0,470.0,,,0 HCPCS,90935,HC HEMODIALYSIS PROCEDURE INPATIENT CRRT W/ SINGLE EVALUATION,5894.0,5894.0,,,0 HCPCS,90935,HC HEMODIALYSIS PROCEDURE INPATIENT HD W/ SINGLE EVALUATION,5894.0,5894.0,,,0 HCPCS,90935,HC HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION,5894.0,5894.0,,,0 HCPCS,90935,HC INPT HEMODIALYSIS PROCEDURE W/ PHYS/QHP SNGL EVALUATION,5894.0,5894.0,,,0 HCPCS,90935,Hemodialysis one evaluation,,,716.7,1899.27,7 HCPCS,90937,"HC HEMODIALYSIS, W/ REPEATED EVALS",3297.0,3297.0,,,0 HCPCS,90945,Dialysis one evaluation,,,435.74,1154.71,7 HCPCS,90945,HC DIALYSIS - PERITONEAL INPATIENT W/ SINGLE EVAL,2793.0,2793.0,,,0 HCPCS,90945,HC DIALYSIS - PERITONEAL INPATIENT EXCHANGE FLUSH,2793.0,2793.0,,,0 HCPCS,90945,HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - MISCELLANEOUS DIALYSIS,2793.0,2793.0,,,0 HCPCS,90945,HC DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL - PERITONEAL DIALYSIS,2793.0,2793.0,,,0 HCPCS,90997,HC HEMOPERFUSION,3090.0,3090.0,,,0 HCPCS,90999,HC DIALYSIS PROCEDURE,5495.0,5495.0,,,0 HCPCS,91010,Esophagus motility study,,,389.68,1032.65,7 HCPCS,91020,Gastric motility studies,,,389.68,1032.65,7 HCPCS,91022,Duodenal motility study,,,389.68,1032.65,7 HCPCS,91030,Acid perfusion of esophagus,,,389.68,1032.65,7 HCPCS,91034,Gastroesophageal reflux test,,,389.68,1032.65,7 HCPCS,91035,G-esoph reflx tst w/electrod,,,896.76,2376.43,7 HCPCS,91037,Esoph imped function test,,,225.48,597.53,7 HCPCS,91038,Esoph imped funct test > 1hr,,,389.68,1032.65,7 HCPCS,91040,Esoph balloon distension tst,,,389.68,1032.65,7 HCPCS,91065,Breath hydrogen/methane test,,,225.48,597.53,7 HCPCS,91065,HC BREATH HYDROGEN/METHANE TEST,1426.0,1426.0,,,0 HCPCS,91110,Gi tract capsule endoscopy,,,947.15,2509.94,7 HCPCS,91111,Esophageal Capsule Endoscopy,,,947.15,2509.94,7 HCPCS,91112,Gi wireless capsule measure,,,947.15,2509.94,7 HCPCS,91113,Gi trc img intral colon i&r,,,971.14,2573.51,7 HCPCS,91117,Colon motility 6 hr study,,,225.48,597.53,7 HCPCS,91124,Rct snsatn tone&cmplianc std,,,225.48,597.53,7 HCPCS,91125,Anrct mano rct snsatn&balo,,,389.68,1032.65,7 HCPCS,91132,Electrogastrography,,,225.48,597.53,7 HCPCS,91133,Electrogastrography W/Test,,,138.94,368.19,7 HCPCS,91200,HC LIVER ELASTOGRAPH W INTERP,833.0,833.0,,,0 HCPCS,91200,Liver elastography,,,134.37,356.08,11 HCPCS,91299,Gastroenterology procedure,,,134.37,356.08,7 HCPCS,92002,Eye exam new patient,,,139.03,368.43,7 HCPCS,92004,Eye exam new patient,,,139.03,368.43,7 HCPCS,92012,Eye exam establish patient,,,139.03,368.43,7 HCPCS,92014,Eye exam&tx estab pt 1/>vst,,,139.03,368.43,7 HCPCS,92018,New eye exam & treatment,,,2482.76,6579.31,7 HCPCS,92019,Eye exam & treatment,,,2482.76,6579.31,7 HCPCS,92020,Special eye evaluation,,,138.94,368.19,7 HCPCS,92025,Corneal Topography,,,61.6,163.25,7 HCPCS,92060,Special eye evaluation,,,61.6,163.25,7 HCPCS,92066,Orthop traing supvj phys/qhp,,,61.6,163.25,7 HCPCS,92081,Visual field examination(s),,,61.6,163.25,7 HCPCS,92082,Visual field examination(s),,,61.6,163.25,7 HCPCS,92083,Visual field examination(s),,,138.94,368.19,7 HCPCS,92132,Cmptr ophth dx img ant segmt,,,61.6,163.25,7 HCPCS,92133,Cmptr ophth img optic nerve,,,61.6,163.25,7 HCPCS,92134,Cptr ophth dx img post segmt,,,61.6,163.25,7 HCPCS,92136,Ophthalmic biometry,,,138.94,368.19,7 HCPCS,92137,Cptrz oph img pst sg rta oct,,,225.48,597.53,11 HCPCS,92145,Corneal hysteresis deter,,,61.6,163.25,7 HCPCS,92201,Opscpy extnd rta draw uni/bi,,,61.6,163.25,7 HCPCS,92202,Opscpy extnd on/mac draw,,,61.6,163.25,7 HCPCS,92227,HC IMG RETINA W/REMOTE REVIEW CLIN STAFF UNI/BIL,120.0,120.0,,,0 HCPCS,92227,Remote dx retinal imaging,,,61.6,163.25,7 HCPCS,92228,HC IMG RETINA W/REMOTE REVIEW PHSYCIAN UNI/BIL,120.0,120.0,,,0 HCPCS,92228,Remote retinal imaging mgmt,,,39.0,103.36,7 HCPCS,92229,Img rta detc/mntr ds poc aly,,,61.6,163.25,7 HCPCS,92230,Eye exam with photos,,,389.68,1032.65,7 HCPCS,92235,Fluorescein angrph uni/bi,,,225.48,597.53,7 HCPCS,92240,Icg angiography uni/bi,,,225.48,597.53,7 HCPCS,92242,Fluorescein icg angiography,,,225.48,597.53,7 HCPCS,92250,Eye exam with photos,,,138.94,368.19,7 HCPCS,92260,Ophthalmoscopy/dynamometry,,,39.0,103.36,7 HCPCS,92265,Eye muscle evaluation,,,61.6,163.25,7 HCPCS,92270,Electro-oculography,,,138.94,368.19,7 HCPCS,92273,Full field erg w/i&r,,,225.48,597.53,7 HCPCS,92274,HC ELECTRORETINOGRAPHY W/ INTERP AND RPT MULTIFOCAL,530.0,530.0,,,0 HCPCS,92274,Multifocal erg w/i&r,,,134.37,356.08,7 HCPCS,92283,Color vision examination,,,61.6,163.25,7 HCPCS,92284,Dark adaptation eye exam,,,466.5,1236.24,7 HCPCS,92285,Eye photography,,,39.0,103.36,7 HCPCS,92286,Internal eye photography,,,138.94,368.19,7 HCPCS,92287,Internal eye photography,,,138.94,368.19,7 HCPCS,92311,Contact lens fitting,,,466.5,1236.24,7 HCPCS,92312,Contact lens fitting,,,138.94,368.19,7 HCPCS,92313,Contact lens fitting,,,138.94,368.19,7 HCPCS,92315,Rx cntact lens aphakia 1 eye,,,138.94,368.19,7 HCPCS,92316,Rx cntact lens aphakia 2 eye,,,138.94,368.19,7 HCPCS,92317,Rx corneoscleral cntact lens,,,39.0,103.36,7 HCPCS,92325,Modification of contact lens,,,138.94,368.19,7 HCPCS,92326,Replacement of contact lens,,,61.6,163.25,7 HCPCS,92352,Fit aphakia spectcl monofocl,,,61.6,163.25,7 HCPCS,92353,Fit aphakia spectcl multifoc,,,61.6,163.25,7 HCPCS,92354,Fit spectacles single system,,,39.0,103.36,7 HCPCS,92355,Fit spectacles compound lens,,,39.0,103.36,7 HCPCS,92358,Aphakia prosth service temp,,,61.6,163.25,7 HCPCS,92371,Repair & adjust spectacles,,,61.6,163.25,7 HCPCS,92502,Ear and throat examination,,,563.21,1492.5,7 HCPCS,92504,HC BINOCULAR MICROSCOPY EAR,590.0,590.0,,,0 HCPCS,92507,"HC SPEECH/HEARING THERAPY, INDIVIDUAL",730.5,730.5,,,0 HCPCS,92507,Speech/hearing therapy,,,74.9,198.48,7 HCPCS,92508,"HC SPEECH/HEARING THERAPY, GROUP",320.5,320.5,,,0 HCPCS,92508,Speech/hearing therapy,,,25.08,66.46,7 HCPCS,92511,HC NASOPHARYNGOSCOPY,318.0,318.0,,,0 HCPCS,92511,Nasopharyngoscopy,,,208.45,552.38,7 HCPCS,92512,Nasal function studies,,,225.48,597.53,7 HCPCS,92516,Facial nerve function test,,,225.48,597.53,7 HCPCS,92517,"HC VESTIBULAR EVOKED MYOGENIC POTENTIAL, CERVICAL",1177.0,1177.0,,,0 HCPCS,92517,Vemp test i&r cervical,,,134.37,356.08,7 HCPCS,92518,Vemp test i&r ocular,,,134.37,356.08,7 HCPCS,92519,"HC VESTIBULAR EVOKED MYOGENIC POTENTIAL, CERVICAL & OCULAR",2357.0,2357.0,,,0 HCPCS,92519,Vemp tst i&r cervical&ocular,,,225.48,597.53,7 HCPCS,92520,HC LARYNGEAL FUNCTION STUDIES,789.5,789.5,,,0 HCPCS,92520,Laryngeal function studies,,,138.94,368.19,7 HCPCS,92521,Evaluation of speech fluency,,,136.16,360.82,7 HCPCS,92521,HC EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER),799.0,799.0,,,0 HCPCS,92522,Evaluate speech production,,,110.52,292.88,7 HCPCS,92522,HC EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE,780.5,780.5,,,0 HCPCS,92523,HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION,1481.0,1481.0,,,0 HCPCS,92523,Speech sound lang comprehen,,,222.32,589.15,7 HCPCS,92524,Behavral qualit analys voice,,,110.94,293.99,7 HCPCS,92524,HC BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE,799.0,799.0,,,0 HCPCS,92526,HC ORAL FUNCTION THERAPY,428.5,428.5,,,0 HCPCS,92526,Oral function therapy,,,82.62,218.94,7 HCPCS,92537,Caloric vstblr test w/rec,,,134.37,356.08,7 HCPCS,92537,HC CALORIC VESTIBULAR TEST W/REC BI BITHERMAL,446.0,446.0,,,0 HCPCS,92538,Caloric vstblr test w/rec,,,225.48,597.53,7 HCPCS,92538,HC CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL,446.0,446.0,,,0 HCPCS,92540,Basic vestibular evaluation,,,225.48,597.53,7 HCPCS,92540,HC BASIC VESTIBULAR EVAL,2050.0,2050.0,,,0 HCPCS,92541,HC SPONTANEOUS NYSTAGMUS TEST,511.0,511.0,,,0 HCPCS,92541,Spontaneous nystagmus test,,,138.94,368.19,7 HCPCS,92542,Positional nystagmus test,,,138.94,368.19,7 HCPCS,92544,HC OPTOKINETIC NYSTAGMUS TEST,511.0,511.0,,,0 HCPCS,92544,Optokinetic nystagmus test,,,134.37,356.08,7 HCPCS,92545,HC OSCILLATING TRACKING TEST,451.0,451.0,,,0 HCPCS,92545,Oscillating tracking test,,,225.48,597.53,7 HCPCS,92546,Sinusoidal rotational test,,,134.37,356.08,7 HCPCS,92547,HC SUPPLEMENTAL ELECTRICAL TEST,900.0,900.0,,,0 HCPCS,92548,Posturography,,,138.94,368.19,7 HCPCS,92549,Cdp-sot 6 cond w/i&r mct&adt,,,138.94,368.19,7 HCPCS,92550,HC TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS,444.0,444.0,,,0 HCPCS,92550,Tympanometry & reflex thresh,,,225.48,597.53,7 HCPCS,92551,"HC PURE TONE HEARING TEST, AIR",143.0,143.0,,,0 HCPCS,92552,"HC PURE TONE AUDIOMETRY, AIR",223.0,223.0,,,0 HCPCS,92552,Pure tone audiometry air,,,138.94,368.19,7 HCPCS,92553,Audiometry air & bone,,,134.37,356.08,7 HCPCS,92553,"HC AUDIOMETRY, AIR & BONE",331.0,331.0,,,0 HCPCS,92555,HC SPEECH THRESHOLD AUDIOMETRY,119.0,119.0,,,0 HCPCS,92555,Speech threshold audiometry,,,61.6,163.25,7 HCPCS,92556,"HC SPEECH AUDIOMETRY, COMPLETE",139.0,139.0,,,0 HCPCS,92556,Speech audiometry complete,,,61.6,163.25,7 HCPCS,92557,Comprehensive hearing test,,,134.37,356.08,7 HCPCS,92557,HC COMPREHENSIVE HEARING TEST,465.0,465.0,,,0 HCPCS,92558,HC INFANT HEARING AND SCREENING,407.0,407.0,,,0 HCPCS,92562,Loudness balance test,,,225.48,597.53,7 HCPCS,92563,Tone decay hearing test,,,39.0,103.36,7 HCPCS,92565,Stenger test pure tone,,,61.6,163.25,7 HCPCS,92567,HC TYMPANOMETRY,224.0,224.0,,,0 HCPCS,92567,Tympanometry,,,39.0,103.36,7 HCPCS,92568,Acoustic refl threshold tst,,,39.0,103.36,7 HCPCS,92570,Acoustic immitance testing,,,134.37,356.08,7 HCPCS,92570,HC ACOUSTIC IMMIT TEST TYMPANOMETRY/ACOUST REFLEX/DECAY,667.0,667.0,,,0 HCPCS,92571,Filtered speech hearing test,,,39.0,103.36,7 HCPCS,92572,Staggered spondaic word test,,,134.37,356.08,7 HCPCS,92575,Sensorineural acuity test,,,39.0,103.36,7 HCPCS,92576,Synthetic sentence test,,,39.0,103.36,7 HCPCS,92577,Stenger test speech,,,389.68,1032.65,7 HCPCS,92579,HC VISUAL AUDIOMETRY (VRA),223.0,223.0,,,0 HCPCS,92579,Visual audiometry (vra),,,225.48,597.53,7 HCPCS,92582,Conditioning play audiometry,,,134.37,356.08,7 HCPCS,92582,HC CONDITIONING PLAY AUDIOMETRY,238.0,238.0,,,0 HCPCS,92583,HC SELECT PICTURE AUDIOMETRY,224.0,224.0,,,0 HCPCS,92583,Select picture audiometry,,,61.6,163.25,7 HCPCS,92584,Electrocochleography,,,134.37,356.08,7 HCPCS,92584,HC ELECTROCOCHLEOGRAPHY,1090.0,1090.0,,,0 HCPCS,92587,Evoked auditory test limited,,,225.48,597.53,7 HCPCS,92587,"HC EVOKED AUDITORY TEST,LIMITED",417.0,417.0,,,0 HCPCS,92588,Evoked auditory tst complete,,,389.68,1032.65,7 HCPCS,92588,"HC EVOKED AUDITORY TEST,COMPREHSV",671.0,671.0,,,0 HCPCS,92596,Ear protector evaluation,,,39.0,103.36,7 HCPCS,92597,HC EVAL VOICE PROSTH DEVICE,857.0,857.0,,,0 HCPCS,92597,Oral speech device eval,,,72.07,190.99,7 HCPCS,92601,Cochlear implt f/up exam <7,,,134.37,356.08,7 HCPCS,92601,"HC DX ANAL COCHLEAR IMP,PT <7 YRS,W/PROG",975.0,975.0,,,0 HCPCS,92602,"HC DX ANAL COCHLEAR IMP,PT <7 YRS,REPROG",783.0,783.0,,,0 HCPCS,92602,Reprogram cochlear implt 7/>,,,134.37,356.08,7 HCPCS,92603,Cochlear implt f/up exam 7/>,,,134.37,356.08,7 HCPCS,92603,"HC DX ANAL COCHLEAR IMP,PT >7 YRS,W/PROG",975.0,975.0,,,0 HCPCS,92604,"HC DX ANAL COCHLEAR IMP,PT >7 YRS,REPROG",783.0,783.0,,,0 HCPCS,92604,Reprogram cochlear implt 7/>,,,134.37,356.08,7 HCPCS,92606,"HC THER SRVC(S),NON-SPEECH GEN DEV, W/PROG",1126.0,1126.0,,,0 HCPCS,92607,Ex for speech device rx 1hr,,,123.3,326.74,7 HCPCS,92607,"HC EVAL,SPEECH-GEN AUG/ALT COMM DEV,1ST HR",739.5,739.5,,,0 HCPCS,92608,Ex for speech device rx addl,,,48.76,129.21,7 HCPCS,92609,"HC THER SRVC, SPEECH GEN DEV USE, W/PROG",1218.5,1218.5,,,0 HCPCS,92609,Use of speech device service,,,105.19,278.75,7 HCPCS,92610,Evaluate swallowing function,,,58.87,156.01,7 HCPCS,92610,"HC EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION",845.5,845.5,,,0 HCPCS,92611,"HC EVAL,SWALLOW FUNCTION,CINE/VIDEO RECORD",1050.0,1050.0,,,0 HCPCS,92611,Motion fluoroscopy/swallow,,,93.47,247.7,7 HCPCS,92612,Endoscopy swallow (fees) vid,,,57.11,151.34,7 HCPCS,92612,"HC ENDOSCOPIC EVAL,SWALLOW,CINE/VIDEO",1114.5,1114.5,,,0 HCPCS,92614,Laryngoscopic sensory vid,,,55.87,148.06,7 HCPCS,92616,Fees w/laryngeal sense test,,,84.07,222.79,7 HCPCS,92620,Auditory function 60 min,,,134.37,356.08,7 HCPCS,92620,"HC AUDITORY FUNCTION, 60 MIN",562.0,562.0,,,0 HCPCS,92621,"HC AUDITORY FUNCTION, + 15 MIN",113.0,113.0,,,0 HCPCS,92622,Dx aly aud oi snd prcsr 1st,,,134.37,356.08,7 HCPCS,92625,HC TINNITUS ASSESSMENT,378.0,378.0,,,0 HCPCS,92625,Tinnitus assessment,,,134.37,356.08,7 HCPCS,92626,Eval aud rehab status,,,134.37,356.08,7 HCPCS,92640,Aud brainstem implt programg,,,134.37,356.08,7 HCPCS,92650,"HC AUD: AUDITORY EVOKED POTENTIALS, HEARING STATUS DETERMINATION AUTOMATED",739.0,739.0,,,0 HCPCS,92651,Aep hearing status deter i&r,,,225.48,597.53,7 HCPCS,92651,"HC AUD: AUDITORY EVOKED POTENTIALS, HEARING STATUS DETERMINATION MANUAL",1177.0,1177.0,,,0 HCPCS,92652,Aep thrshld est mlt freq i&r,,,225.48,597.53,7 HCPCS,92652,HC AUDITORY EVOKED POTENTIAL THRESHOLD EST AT MULT FREQ W/ INTERP AND RPT,2371.0,2371.0,,,0 HCPCS,92653,Aep neurodiagnostic i&r,,,225.48,597.53,7 HCPCS,92653,HC AUDITORY EVOKED POTENTIAL NEURODIAGNOSTIC WITH INTERP AND REPORT,2177.0,2177.0,,,0 HCPCS,92920,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH,26237.0,26237.0,,,0 HCPCS,92920,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH - LC,26237.0,26237.0,,,0 HCPCS,92920,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH - LD,26237.0,26237.0,,,0 HCPCS,92920,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH - LM,26237.0,26237.0,,,0 HCPCS,92920,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH - RC,26237.0,26237.0,,,0 HCPCS,92920,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH - RI,26237.0,26237.0,,,0 HCPCS,92920,Prq cardiac angioplast 1 art,,,5943.58,15750.49,7 HCPCS,92921,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH,21053.0,21053.0,,,0 HCPCS,92921,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH - LC,21053.0,21053.0,,,0 HCPCS,92921,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH - LD,21053.0,21053.0,,,0 HCPCS,92921,HC CATH PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH - RC,21053.0,21053.0,,,0 HCPCS,92924,HC PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH,41970.0,41970.0,,,0 HCPCS,92924,Prq card angio/athrect 1 art,,,12055.35,31946.69,7 HCPCS,92925,HC CATH PRQ TRLUML CORONARY ANGIO/ATHEREC ADDL ART/BRNCH,29694.0,29694.0,,,0 HCPCS,92928,HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH,39451.0,39451.0,,,0 HCPCS,92928,Prq card stent w/angio 1 vsl,,,12055.35,31946.69,7 HCPCS,92929,HC PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH,29314.0,29314.0,,,0 HCPCS,92930,Prq tcat plmt ntrac st 2+les,,,19143.34,50729.86,7 HCPCS,92933,HC PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH,39451.0,39451.0,,,0 HCPCS,92933,Prq card stent/ath/angio,,,19143.34,50729.86,7 HCPCS,92934,HC CATH PRQ TRLUML CORONARY STENT/ATH/ANGIO ADDL BRANCH,27602.0,27602.0,,,0 HCPCS,92937,HC PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL,39451.0,39451.0,,,0 HCPCS,92937,Prq revasc byp graft 1 vsl,,,12055.35,31946.69,7 HCPCS,92938,HC PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL,29314.0,29314.0,,,0 HCPCS,92941,HC PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL,39451.0,39451.0,,,0 HCPCS,92943,HC PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL,39451.0,39451.0,,,0 HCPCS,92943,Prq card revasc chronic 1vsl,,,12055.35,31946.69,7 HCPCS,92944,HC CATH PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL,29314.0,29314.0,,,0 HCPCS,92945,Prq trl rvs ch occ ant&rtrgr,,,12055.35,31946.69,7 HCPCS,92950,HC HEART/LUNG RESUSCITATION (CPR),1773.0,1773.0,,,0 HCPCS,92950,Heart/lung resuscitation cpr,,,225.48,597.53,7 HCPCS,92953,HC TEMPORARY EXTERNAL PACING,5069.0,5069.0,,,0 HCPCS,92953,Temporary external pacing,,,690.21,1829.06,7 HCPCS,92960,Cardioversion electric ext,,,690.21,1829.06,7 HCPCS,92960,"HC CARDIOVERSION, ELECTIVE;EXTERN",1655.0,1655.0,,,0 HCPCS,92961,Cardioversion electric int,,,690.21,1829.06,7 HCPCS,92961,HC CARDIOVERSION ELECTRIC INT - CARDIOVERSION INTERNAL,27737.0,27737.0,,,0 HCPCS,92973,HC PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY,3836.0,3836.0,,,0 HCPCS,92974,"HC CATH TRANSCATH PLACMT,RAD DELIV DEV,CORONARY",1770.0,1770.0,,,0 HCPCS,92975,"HC CATH THROMBOLYSIS,CORONARY,IA INFUSN",9336.0,9336.0,,,0 HCPCS,92977,"HC THROMBOLYSIS,CORONARY,IV INFUSN",2314.0,2314.0,,,0 HCPCS,92978,"HC CATH INTRAVASC US,HEART,1ST VESSEL",8613.0,8613.0,,,0 HCPCS,92978,"HC CATH INTRAVASC US,HEART,1ST VESSEL - LC",8613.0,8613.0,,,0 HCPCS,92978,"HC CATH INTRAVASC US,HEART,1ST VESSEL - LD",8613.0,8613.0,,,0 HCPCS,92978,"HC CATH INTRAVASC US,HEART,1ST VESSEL - RC",8613.0,8613.0,,,0 HCPCS,92979,"HC CATH INTRAVASC CORONARY SONO,ADDN VESSEL",8651.0,8651.0,,,0 HCPCS,92979,"HC CATH INTRAVASC CORONARY SONO,ADDN VESSEL - LC",8651.0,8651.0,,,0 HCPCS,92979,"HC CATH INTRAVASC CORONARY SONO,ADDN VESSEL - LD",8651.0,8651.0,,,0 HCPCS,92986,HC PERCUT AORTIC VALVULOPLASTY,27595.0,27595.0,,,0 HCPCS,92986,Revision of aortic valve,,,5943.58,15750.49,7 HCPCS,92987,HC PERCUT MITRAL VALVULOPLASTY,27595.0,27595.0,,,0 HCPCS,92987,Revision of mitral valve,,,12055.35,31946.69,7 HCPCS,92990,HC PERCUT PULMONARY VALVULOPLASTY,27595.0,27595.0,,,0 HCPCS,92990,Revision of pulmonary valve,,,12055.35,31946.69,7 HCPCS,92997,"HC CATH PUL ART BALLOON REPAIR,PERC,1ST VESL",25939.0,25939.0,,,0 HCPCS,92997,Pul art balloon repr percut,,,12055.35,31946.69,7 HCPCS,92998,"HC CATH PUL ART BALLOON REPAIR,PERC,ADDN VES",15235.0,15235.0,,,0 HCPCS,93005,Electrocardiogram tracing,,,61.6,163.25,7 HCPCS,93005,"HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD",832.0,832.0,,,0 HCPCS,93016,"HC CARDIOVASCULAR STRESS TEST - STRESS TEST ONLY, EXERCISE",165.0,165.0,,,0 HCPCS,93017,Cardiovascular stress test,,,225.48,597.53,7 HCPCS,93017,HC CARDIAC STRESS TEST EXERCISE/PHARM - TRACING ONLY,2825.0,2825.0,,,0 HCPCS,93017,"HC CARDIAC STRESS TST,TRACING - ECHOCARDIOGRAM EXERCISE STRESS TEST",2825.0,2825.0,,,0 HCPCS,93017,"HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE",2825.0,2825.0,,,0 HCPCS,93017,"HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, PHARM",2825.0,2825.0,,,0 HCPCS,93017,"HC CARDIAC STRESS TST,TRACING ONLY - COMPLETE ECHOCARDIOGRAM EXERCISE",2825.0,2825.0,,,0 HCPCS,93024,Cardiac drug stress test,,,466.5,1236.24,7 HCPCS,93025,HC MICROVOLT T-WAVE ALTERNANS - T WAVE ALTERNANS,1014.0,1014.0,,,0 HCPCS,93025,Microvolt t-wave assess,,,134.37,356.08,7 HCPCS,93041,"HC RHYTHM ECG, TRACING",404.0,404.0,,,0 HCPCS,93041,Rhythm ecg tracing,,,61.6,163.25,7 HCPCS,93145,Interrog crtd sins bat ip wo,,,134.37,356.08,7 HCPCS,93146,Interrog crtd sins bat ip w/,,,134.37,356.08,7 HCPCS,93225,Ecg monit/reprt up to 48 hrs,,,138.94,368.19,7 HCPCS,93225,"HC EXT ECG RECORD CONTIN 48 HR, RECORD - HOLTER MONITOR - 24 HOUR",972.0,972.0,,,0 HCPCS,93225,"HC EXT ECG RECORD CONTIN 48 HR, RECORD - HOLTER MONITOR - 48 HOUR",972.0,972.0,,,0 HCPCS,93226,Ecg monit/reprt up to 48 hrs,,,61.6,163.25,7 HCPCS,93226,HC ECG MONIT/REPRT UP TO 48 HRS - HOLTER MONITOR - 24 HOUR,1551.0,1551.0,,,0 HCPCS,93226,HC ECG MONIT/REPRT UP TO 48 HRS - HOLTER MONITOR - 48 HOUR,1551.0,1551.0,,,0 HCPCS,93229,HC XTRNL MOBILE CV TELE W/TECH SUPPORT 30 DAYS,449.0,449.0,,,0 HCPCS,93229,Remote 30 day ecg tech supp,,,389.68,1032.65,7 HCPCS,93242,Ext ecg>48hr<7d recording,,,39.0,103.36,7 HCPCS,93242,HC ECG RECORDING >48 HOURS <7 DAYS - HOLTER RECORDING - 2 DAYS TO 7 DAYS,404.0,404.0,,,0 HCPCS,93243,Ext ecg>48hr<7d scan a/r,,,138.94,368.19,7 HCPCS,93243,HC ECG ANALYSIS/RPT >48 HRS <7 DAYS - HOLTER REC ANALYSIS/RPT - 2 -7 DAYS,819.0,819.0,,,0 HCPCS,93246,Ext ecg>7d<15d recording,,,39.0,103.36,7 HCPCS,93246,HC ECG RECORDING >7 DAYS <15 DAYS - HOLTER RECORDING - 7 DAYS TO 15 DAYS,404.0,404.0,,,0 HCPCS,93247,Ext ecg>7d<15d scan a/r,,,138.94,368.19,7 HCPCS,93247,HC ECG ANALYSIS/RPT >7 DAYS <15 DAYS - HOLTER REC ANALYSIS/RPT - 7-15 DAYS,819.0,819.0,,,0 HCPCS,93260,HC EP PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM,307.0,307.0,,,0 HCPCS,93260,HC PRGRMG DEV EVAL IMPLTBL SYS - CARD DEVICE IN CLINIC SUBQ ICD W/ PROG,307.0,307.0,,,0 HCPCS,93260,HC PRGRMG DEV EVAL IMPLTBL SYS - CARD DEVICE INPATIENT SUBQ ICD W/ PROG,307.0,307.0,,,0 HCPCS,93261,HC EP INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB,256.0,256.0,,,0 HCPCS,93261,HC INTERROGATE SUBQ DEFIB - CARD DEVICE IN CLINIC - SUBQ ICD,256.0,256.0,,,0 HCPCS,93261,HC INTERROGATE SUBQ DEFIB - CARD DEVICE INPATIENT - SUBQ ICD,256.0,256.0,,,0 HCPCS,93270,"HC EXT ECG,PT DEMAND EVENT, SYMPT MEMORY LOOP, RECORD",331.0,331.0,,,0 HCPCS,93271,"HC EXT ECG,PT DEMAND EVENT, SYMPT MEMORY LOOP, TRANSMIT",729.0,729.0,,,0 HCPCS,93278,ECG/signal-averaged,,,61.6,163.25,7 HCPCS,93279,HC EP PROGRAM EVAL IMPLANTABLE IN PRSN 1 LD PACEMAKER,288.0,288.0,,,0 HCPCS,93279,HC PM DEVICE PROGR EVAL SNGL - CARD DEVICE IN CLINIC PCMKR SING CHAMBER,288.0,288.0,,,0 HCPCS,93279,HC PM DEVICE PROGR EVAL SNGL - CARD DEVICE INPATIENT PCMKR W/ PROG,288.0,288.0,,,0 HCPCS,93280,HC PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER,27737.0,27737.0,,,0 HCPCS,93281,HC EP PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER,329.0,329.0,,,0 HCPCS,93281,HC PM DEVICE PROGR EVAL MULTI - CARD DEVICE IN CLINIC PCMKR BIV CHAMBER,329.0,329.0,,,0 HCPCS,93281,HC PM DEVICE PROGR EVAL MULTI - CARD DEVICE INPATIENT PCMKR BIV CHAMBER,329.0,329.0,,,0 HCPCS,93282,HC EP PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB,234.0,234.0,,,0 HCPCS,93282,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE IN CLINIC ICD SING CHAMBER,234.0,234.0,,,0 HCPCS,93282,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE INPATIENT ICD SING CHAMBER,234.0,234.0,,,0 HCPCS,93283,HC EP PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB,292.0,292.0,,,0 HCPCS,93283,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE IN CLINIC ICD DUAL CHAMBER,292.0,292.0,,,0 HCPCS,93283,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE INPATIENT ICD DUAL CHAMBER,292.0,292.0,,,0 HCPCS,93284,HC EP PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB,300.0,300.0,,,0 HCPCS,93284,HC PRGRMG EVAL IMPLANTABLE DFB - CARD DEVICE INPATIENT ICD BIV CHAMBER,300.0,300.0,,,0 HCPCS,93284,HC PRGRMG EVAL IMPLANTABLE DFB - CARDIAC DEVICE CLINIC ICD BIV CHAMBER,300.0,300.0,,,0 HCPCS,93285,HC EP PROGRAM EVAL IMPLANTABLE DEV IN PRSN ILR SYSTEM,185.0,185.0,,,0 HCPCS,93285,HC ILR DEVICE EVAL PROGR - CARD DEVICE IN CLINIC LOOP RECORDER (ILR),185.0,185.0,,,0 HCPCS,93285,HC ILR DEVICE EVAL PROGR - CARD DEVICE INPATIENT LOOP RECORDER (ILR),185.0,185.0,,,0 HCPCS,93286,HC EP PERI-PX EVAL&PROGRAM IN PRSN PACEMAKER SYSTEM,27737.0,27737.0,,,0 HCPCS,93286,HC PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,27737.0,27737.0,,,0 HCPCS,93287,HC PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB,27737.0,27737.0,,,0 HCPCS,93288,HC INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON,27737.0,27737.0,,,0 HCPCS,93289,HC EP INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB,270.0,270.0,,,0 HCPCS,93289,HC INTERROG DEVICE EVAL HEART - CARD DEVICE IN CLINIC - ICD,270.0,270.0,,,0 HCPCS,93289,HC INTERROG DEVICE EVAL HEART - CARD DEVICE INPATIENT - ICD,270.0,270.0,,,0 HCPCS,93290,HC EP INTERROGATION EVAL IN PERSON ICPM,270.0,270.0,,,0 HCPCS,93291,HC EP INTERROGATION EVALUATION IN PERSON ILR SYSTEM,177.0,177.0,,,0 HCPCS,93291,HC ILR DEVICE INTERROGATE - CARD DEVICE IN CLINIC - LOOP RECORDER (ILR),177.0,177.0,,,0 HCPCS,93291,HC ILR DEVICE INTERROGATE - CARD DEVICE INPATIENT - LOOP RECORDER (ILR),177.0,177.0,,,0 HCPCS,93293,HC PM PHONE R-STRIP DEVICE EVAL - CARD DEVICE TTM - ICD,270.0,270.0,,,0 HCPCS,93294,HC PM DEVICE INTERROGATE REMOTE - CARD DEVICE REMOTE - PACEMAKER,162.0,162.0,,,0 HCPCS,93294,HC PM DEVICE INTERROGATE REMOTE - CARD DEVICE REMOTE ALERT - PACEMAKER,162.0,162.0,,,0 HCPCS,93296,HC EP INTERROGATION REMOTE 72HR,863.0,863.0,,,0 HCPCS,95250,HC CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT,863.0,863.0,,,0 HCPCS,95700,Eeg cont rec w/vid eeg tech,,,225.48,597.53,7 HCPCS,95700,HC EEG CONT REC W/VIDEO & EDUC 8+ CHAN TECH,1097.0,1097.0,,,0 HCPCS,95705,Eeg w/o vid 2-12 hr unmntr,,,225.48,597.53,7 HCPCS,95705,"HC EEG, W/O VID, 2 - 12HRS UNMONITORED",1921.0,1921.0,,,0 HCPCS,95706,Eeg wo vid 2-12hr intmt mntr,,,225.48,597.53,7 HCPCS,95706,HC EEG W/O VID 2-12HRS INT MON,1921.0,1921.0,,,0 HCPCS,95707,Eeg w/o vid 2-12hr cont mntr,,,225.48,597.53,7 HCPCS,95707,"HC EEG, W/O VID, 2 - 12HRS CONTINUOUS MONITOR",1921.0,1921.0,,,0 HCPCS,95708,Eeg wo vid ea 12-26hr unmntr,,,389.68,1032.65,7 HCPCS,95708,"HC EEG 12-26 HR W/O VIDEO, TECH UNMONITORED",3542.0,3542.0,,,0 HCPCS,95709,Eeg w/o vid ea 12-26hr intmt,,,389.68,1032.65,7 HCPCS,95709,HC EEG W/O VID 12-26HRS INT MON,3542.0,3542.0,,,0 HCPCS,95710,Eeg w/o vid ea 12-26hr cont,,,389.68,1032.65,7 HCPCS,95710,HC EEG W/O VID 12-26HRS RT MON,3542.0,3542.0,,,0 HCPCS,95711,HC VEEG BY TECH 2-12 HR UNMONITORED,1921.0,1921.0,,,0 HCPCS,95711,Veeg 2-12 hr unmonitored,,,225.48,597.53,7 HCPCS,95712,"HC EEG 2-12 HR W/VIDEO, TECH, INTERMIT MON",1097.0,1097.0,,,0 HCPCS,95712,Veeg 2-12 hr intmt mntr,,,389.68,1032.65,7 HCPCS,95713,"HC EEG 2-12 HR W/VIDEO, TECH, REAL-TIME MON",2106.0,2106.0,,,0 HCPCS,95713,Veeg 2-12 hr cont mntr,,,389.68,1032.65,7 HCPCS,95714,HC EEG W/ VID 12-26HRS UNMON,3542.0,3542.0,,,0 HCPCS,95714,Veeg ea 12-26 hr unmntr,,,389.68,1032.65,7 HCPCS,95715,"HC EEG 12-26 HR W/VIDEO, TECH, INTERMIT MON",2106.0,2106.0,,,0 HCPCS,95715,Veeg ea 12-26hr intmt mntr,,,389.68,1032.65,7 HCPCS,95716,"HC EEG 12-26 HR W/VIDEO, TECH, REALTIME MON",3940.0,3940.0,,,0 HCPCS,95716,Veeg ea 12-26hr cont mntr,,,896.76,2376.43,7 HCPCS,95782,HC SLEEP POLYSOM 4/+ <6 YRS,8093.0,8093.0,,,0 HCPCS,95782,Polysom <6 yrs 4/> paramtrs,,,896.76,2376.43,7 HCPCS,95783,HC SLEEP POLYSOM 4/+ <6 YRS WITH CPAP,5897.0,5897.0,,,0 HCPCS,95783,Polysom <6 yrs cpap/bilvl,,,896.76,2376.43,7 HCPCS,95800,"HC SLEEP STUDY, UNATTENDED, RECORD HEART RATE/O2 SAT/RESP ANAL/SLEEP TIME",4308.0,4308.0,,,0 HCPCS,95800,HC UNATTENDED SLEEP STUDY W/ PERIPH ART TONE,4308.0,4308.0,,,0 HCPCS,95800,Slp stdy unattended,,,225.48,597.53,7 HCPCS,95801,HC UNATTENDED SLEEP STUDY W/ RESP ANAL,819.0,819.0,,,0 HCPCS,95801,Slp stdy unatnd w/anal,,,61.6,163.25,7 HCPCS,95803,Actigraphy testing,,,61.6,163.25,7 HCPCS,95805,HC MULTIPLE SLEEP LATENCY TEST,7888.0,7888.0,,,0 HCPCS,95805,HC MULTIPLE SLEEP LATENCY TEST W/ SCORING,7888.0,7888.0,,,0 HCPCS,95805,Multiple sleep latency test,,,896.76,2376.43,7 HCPCS,95806,"HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF",4308.0,4308.0,,,0 HCPCS,95806,Sleep study unatt&resp efft,,,225.48,597.53,7 HCPCS,95807,Sleep study attended,,,389.68,1032.65,7 HCPCS,95808,Polysom any age 1-3> param,,,896.76,2376.43,7 HCPCS,95810,HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND,8626.0,8626.0,,,0 HCPCS,95810,Polysom 6/> yrs 4/> param,,,896.76,2376.43,7 HCPCS,95811,HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND,9861.0,9861.0,,,0 HCPCS,95811,Polysom 6/>yrs cpap 4/> parm,,,896.76,2376.43,7 HCPCS,95812,Eeg 41-60 minutes,,,225.48,597.53,7 HCPCS,95812,"HC EEG,EXTENDED MONITORING,41-60 MINUTES",3876.0,3876.0,,,0 HCPCS,95813,Eeg over 1 hour,,,225.48,597.53,7 HCPCS,95813,HC EEG EXTENDED MONITORING 61-119 MINUTES,7765.0,7765.0,,,0 HCPCS,95816,Eeg awake and drowsy,,,225.48,597.53,7 HCPCS,95816,"HC EEG,W/AWAKE & DROWSY RECORD",3470.0,3470.0,,,0 HCPCS,95819,Eeg awake and asleep,,,225.48,597.53,7 HCPCS,95819,"HC EEG,W/AWAKE & ASLEEP RECORD",2168.0,2168.0,,,0 HCPCS,95822,Eeg coma or sleep only,,,225.48,597.53,7 HCPCS,95822,"HC EEG,COMA/SLEEP RECORD ONLY",3470.0,3470.0,,,0 HCPCS,95824,Eeg cerebral death only,,,389.68,1032.65,7 HCPCS,95824,HC EEG EVAL CEREBRAL DEATH,3470.0,3470.0,,,0 HCPCS,95829,HC SURGERY ELECTROCORTICOGRAM,7760.0,7760.0,,,0 HCPCS,95851,"HC PT RANGE MOTION MEASURE,EACH EXTREM",145.5,145.5,,,0 HCPCS,95851,Range of motion measurements,,,6.8,18.02,7 HCPCS,95852,Range of motion measurements,,,5.56,14.73,7 HCPCS,95857,Cholinesterase challenge,,,225.48,597.53,7 HCPCS,95860,"HC EMG, NEEDLE, ONE LIMB",1244.0,1244.0,,,0 HCPCS,95860,Muscle test one limb,,,138.94,368.19,7 HCPCS,95861,"HC EMG, NEEDLE, TWO LIMBS",1422.0,1422.0,,,0 HCPCS,95861,Muscle test 2 limbs,,,138.94,368.19,7 HCPCS,95863,"HC EMG, NEEDLE, 3 LIMBS - EMG 3 LIMBS",1156.0,1156.0,,,0 HCPCS,95863,Muscle test 3 limbs,,,134.37,356.08,7 HCPCS,95864,"HC EMG, NEEDLE, 4 LIMBS",2009.0,2009.0,,,0 HCPCS,95864,Muscle test 4 limbs,,,134.37,356.08,7 HCPCS,95865,HC EMG LARYNX,545.0,545.0,,,0 HCPCS,95865,Muscle test larynx,,,138.94,368.19,7 HCPCS,95866,Muscle test hemidiaphragm,,,134.37,356.08,7 HCPCS,95867,"HC EMG,NEEDLE,CRANIAL NERVE SUPP MUS,UNILAT",1053.0,1053.0,,,0 HCPCS,95867,Muscle test cran nerv unilat,,,225.48,597.53,7 HCPCS,95868,"HC EMG, NEEDLE, HEAD OR NECK",636.0,636.0,,,0 HCPCS,95868,Muscle test cran nerve bilat,,,225.48,597.53,7 HCPCS,95869,"HC EMG,NEEDLE,THOR PARASPIN MUS,EXC T1/T12 - EMG THORACIC/PARASPINAL",911.0,911.0,,,0 HCPCS,95869,Muscle test thor paraspinal,,,225.48,597.53,7 HCPCS,95870,"HC EMG,1 EXTREM,NONPARASPINAL",819.0,819.0,,,0 HCPCS,95870,Muscle test nonparaspinal,,,138.94,368.19,7 HCPCS,95872,Muscle test one fiber,,,225.48,597.53,7 HCPCS,95873,HC ESTIM GUIDANCE FOR CHEMODENERVATION,752.0,752.0,,,0 HCPCS,95874,HC NEEDLE EMG GUIDANCE FOR CHEMODENERVATION,338.0,338.0,,,0 HCPCS,95875,Limb exercise test,,,134.37,356.08,7 HCPCS,95885,HC NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED,355.0,355.0,,,0 HCPCS,95886,HC NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE,495.0,495.0,,,0 HCPCS,95887,HC NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION,391.0,391.0,,,0 HCPCS,95905,Motor &/ sens nrve cndj test,,,466.5,1236.24,7 HCPCS,95907,HC MOTOR &/SENS 1-2 NRV CNDJ PRECONF ELTRODE LIMB,543.0,543.0,,,0 HCPCS,95907,Nvr cndj tst 1-2 studies,,,225.48,597.53,7 HCPCS,95908,HC MOTOR &/SENS 3-4 NRV CNDJ PRECONF ELTRODE LIMB,1199.0,1199.0,,,0 HCPCS,95908,Nrv cndj tst 3-4 studies,,,225.48,597.53,7 HCPCS,95909,HC MOTOR &/SENS 5-6 NRV CNDJ PRECONF ELTRODE LIMB,1280.0,1280.0,,,0 HCPCS,95909,Nrv cndj tst 5-6 studies,,,225.48,597.53,7 HCPCS,95910,HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB,1181.0,1181.0,,,0 HCPCS,95910,Nrv cndj test 7-8 studies,,,389.68,1032.65,7 HCPCS,95911,HC MOTOR &/SENS 9-10 NRV CNDJ PRECONF ELTRODE LIMB,2007.0,2007.0,,,0 HCPCS,95911,Nrv cndj test 9-10 studies,,,389.68,1032.65,7 HCPCS,95912,HC MOTOR &/SENS 11-12 NRV CNDJ PRECONF ELTRODE LIMB,2404.0,2404.0,,,0 HCPCS,95912,Nrv cndj test 11-12 studies,,,389.68,1032.65,7 HCPCS,95913,HC MOTOR &/SENS 13/> NRV CNDJ PRECONF ELTRODE LIMB,3462.0,3462.0,,,0 HCPCS,95913,Nrv cndj test 13/> studies,,,389.68,1032.65,7 HCPCS,95919,Quan puplmtry phy/qhp uni/bi,,,138.94,368.19,7 HCPCS,95921,Autonomic nrv parasym inervj,,,134.37,356.08,7 HCPCS,95921,"HC TEST AUTO NERV SYS,CARDIOVAGAL INNER",1014.0,1014.0,,,0 HCPCS,95922,Autonomic nrv adrenrg inervj,,,138.94,368.19,7 HCPCS,95923,Autonomic nrv syst funj test,,,138.94,368.19,7 HCPCS,95923,"HC TEST AUTO NERV SYS,SUDOMOTOR",819.0,819.0,,,0 HCPCS,95924,Ans parasymp & symp w/tilt,,,225.48,597.53,7 HCPCS,95925,HC EMG SSEP UPPER EXTREMITY,2810.0,2810.0,,,0 HCPCS,95925,Somatosensory testing,,,225.48,597.53,7 HCPCS,95926,"HC SOMATOSENSORY TEST,LOWER LIMBS",2810.0,2810.0,,,0 HCPCS,95926,Somatosensory testing,,,225.48,597.53,7 HCPCS,95927,Somatosensory testing,,,225.48,597.53,7 HCPCS,95928,C motor evoked uppr limbs,,,896.76,2376.43,7 HCPCS,95928,HC TRANSCRAN MTR STIM UPPER 95928,6679.0,6679.0,,,0 HCPCS,95929,C motor evoked lwr limbs,,,389.68,1032.65,7 HCPCS,95929,HC TRANSCRAN MTR STIM LOWER 95929,3542.0,3542.0,,,0 HCPCS,95930,HC VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R,3090.0,3090.0,,,0 HCPCS,95930,Visual evoked potential test,,,225.48,597.53,7 HCPCS,95933,Blink reflex test,,,61.6,163.25,7 HCPCS,95937,HC NEUROMUSCULAR JUNCTION TEST,1403.0,1403.0,,,0 HCPCS,95937,Neuromuscular junction test,,,134.37,356.08,7 HCPCS,95938,HC SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMBS,5204.0,5204.0,,,0 HCPCS,95938,Somatosensory testing,,,896.76,2376.43,7 HCPCS,95939,C motor evoked upr&lwr limbs,,,896.76,2376.43,7 HCPCS,95939,HC CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LIMB,2407.0,2407.0,,,0 HCPCS,95940,HC IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES,269.0,269.0,,,0 HCPCS,95941,HC IONM REMOTE/NEARBY/>1 PATIENT IN OR PER HOUR,1594.0,1594.0,,,0 HCPCS,95954,EEG monitoring/giving drugs,,,389.68,1032.65,7 HCPCS,95955,HC EEG DURING SURGERY,3145.0,3145.0,,,0 HCPCS,95957,HC EEG DIGITAL ANALYSIS,2587.0,2587.0,,,0 HCPCS,95958,EEG monitoring/function test,,,896.76,2376.43,7 HCPCS,95958,HC WADA W/EEG ADULT,3317.0,3317.0,,,0 HCPCS,95961,Electrode stimulation brain,,,896.76,2376.43,7 HCPCS,95961,HC FUNCT CORTICAL AND SUBCORTICAL MAPPING INITIAL HR,2529.0,2529.0,,,0 HCPCS,95965,HC MEG SPONTANEOUS BRAIN ACTIVITY,21054.0,21054.0,,,0 HCPCS,95965,Meg spontaneous,,,896.76,2376.43,7 HCPCS,95966,HC MEG EVOKED FIELD SINGLE,7534.0,7534.0,,,0 HCPCS,95966,Meg evoked single,,,896.76,2376.43,7 HCPCS,95967,HC MEG EVOKED EACH ADDITIONAL FIELD,7534.0,7534.0,,,0 HCPCS,95970,Analyze neurostim no prog,,,138.94,368.19,7 HCPCS,95970,HC ELEC ANAL IMP NEUROSTIM NPGT W/O PROG,326.0,326.0,,,0 HCPCS,95971,"HC ANALYZE IMP NEUROSTIM W/PROGRAM, SIMPLE",326.0,326.0,,,0 HCPCS,95972,HC ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG,964.0,964.0,,,0 HCPCS,95976,HC ELEC ANAL IMP NEURSTM NPGT SIM CRN NRV W/PRG,111.0,111.0,,,0 HCPCS,95977,HC ELEC ANAL IMP NEURO CPLX NPGT W/PROG,314.0,314.0,,,0 HCPCS,95981,Io anal gast n-stim subsq,,,61.6,163.25,7 HCPCS,95990,HC SPINE/BRAIN PUMP REFIL & MAIN,2551.0,2551.0,,,0 HCPCS,95990,Spin/brain pump refil & main,,,344.93,914.07,7 HCPCS,95991,"HC REFILL/MAINT IMPLANTED PUMP, SPINE/BRAIN, BY PHYSICIAN",2133.0,2133.0,,,0 HCPCS,95991,Spin/brain pump refil & main,,,320.54,849.44,7 HCPCS,95992,Canalith repositioning proc,,,30.33,80.37,7 HCPCS,95992,"HC CANALITH REPOSITIONING PROCEDURE, PER DAY",293.0,293.0,,,0 HCPCS,95992,"HC OT CANALITH REPOSITIONING PROCEDURE, PER DAY",293.0,293.0,,,0 HCPCS,95999,Neurological procedure,,,134.37,356.08,7 HCPCS,96000,HC PT MOTION ANALYSIS VIDEO/3D,3542.0,3542.0,,,0 HCPCS,96000,Motion analysis video/3d,,,389.68,1032.65,7 HCPCS,96001,Motion test w/ft press meas,,,896.76,2376.43,7 HCPCS,96002,Dynamic surface emg,,,225.48,597.53,7 HCPCS,96041,HC GENETIC COUNSELING EA 30 MIN,344.0,344.0,,,0 HCPCS,96105,Assessment of aphasia,,,99.03,262.43,7 HCPCS,96105,HC ASSESSMENT OF APHASIA,887.0,887.0,,,0 HCPCS,96112,Devel tst phys/qhp 1st hr,,,134.37,356.08,7 HCPCS,96116,Neurobehavioral status exam,,,225.48,597.53,7 HCPCS,96125,Cognitive test by hc pro,,,101.58,269.19,7 HCPCS,96125,HC STANDARDIZED COGNITIVE PERFORMANCE TESTING,885.0,885.0,,,0 HCPCS,96127,Brief emotional/behav assmt,,,39.0,103.36,7 HCPCS,96127,HC BRIEF BEHAVIOR ASSESS W/SCORING/DOC PER INSTRUMENT,111.0,111.0,,,0 HCPCS,96130,HC PSYCH TEST EVAL BY PHYS 1ST HR,864.0,864.0,,,0 HCPCS,96130,Psycl tst eval phys/qhp 1st,,,225.48,597.53,7 HCPCS,96132,HC NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR,922.0,922.0,,,0 HCPCS,96132,Nrpsyc tst eval phys/qhp 1st,,,389.68,1032.65,7 HCPCS,96136,Psycl/nrpsyc tst phy/qhp 1st,,,138.94,368.19,7 HCPCS,96138,HC PSYCL/NRPSYCL TST TECH 2+ TST 1ST 30 MIN,790.0,790.0,,,0 HCPCS,96138,Psycl/nrpsyc tech 1st,,,466.5,1236.24,7 HCPCS,96139,HC PSYCL/NRPSYC TST TECH EA,790.0,790.0,,,0 HCPCS,96156,HC BH ASSESSMENT CLINICAL INTERVIEW,128.0,128.0,,,0 HCPCS,96156,HC BH ASSESSMENT/REASSESSMENT,128.0,128.0,,,0 HCPCS,96158,HC BH INTERVENT INDIVIDUAL INIT 30 MIN,124.0,124.0,,,0 HCPCS,96158,HC BH INTERVENTION FACE TO FACE INITIAL 30 MIN,124.0,124.0,,,0 HCPCS,96158,Hlth bhv ivntj indiv 1st 30,,,185.35,491.19,7 HCPCS,96159,HC BH INTERVENT INDIVIDUAL ADDL 15 MIN,134.0,134.0,,,0 HCPCS,96164,HC BH INTERVENT GROUP INIT 30 MIN,33.0,33.0,,,0 HCPCS,96167,HC BH INTERVENT FAMILY W/ PATIENT INIT 30 MIN,151.0,151.0,,,0 HCPCS,96167,HC BH PT INTERVENTION FACE TO FACE W/FAMILY INITIAL 30 MIN,151.0,151.0,,,0 HCPCS,96170,HC BH INTERVENT FAMILY W/O PATIENT INIT 30 MIN,449.0,449.0,,,0 HCPCS,96202,Mlt fam grp bhv train 1st 60,,,17.67,46.83,7 HCPCS,96203,Mlt fam grp bhv train ea add,,,5.55,14.71,7 HCPCS,96360,"HC IV INF HYDRATION, 30-60 MIN",699.0,699.0,,,0 HCPCS,96360,Hydration iv infusion init,,,222.12,588.62,7 HCPCS,96361,"HC IV INF HYDRATION, EA ADDL HR",249.0,249.0,,,0 HCPCS,96361,Hydrate iv infusion add-on,,,48.9,129.58,7 HCPCS,96365,"HC IV INF NON-CHEMO, THER/PROPH/DIAG, INITIAL, TO 1 HR",847.5,847.5,,,0 HCPCS,96365,Ther/proph/diag iv inf init,,,222.12,588.62,7 HCPCS,96366,"HC IV INF NON-CHEMO, THER/PROPH/DIAG, EA ADD HOUR",249.0,249.0,,,0 HCPCS,96366,Ther/proph/diag iv inf addon,,,48.9,129.58,7 HCPCS,96367,"HC IV INF NON-CHEMO, THER/PROPH/DIAG, SEQUENTIAL, NEW DRUG, TO 1 HR",241.5,241.5,,,0 HCPCS,96367,Tx/proph/dg addl seq iv inf,,,75.19,199.25,7 HCPCS,96368,"HC IV INF NON-CHEMO, THER/PROPH/DIAG, CONCURRENT",247.0,247.0,,,0 HCPCS,96369,"HC SC INF W/ PUMP, NON-CHEMO, THER/PROPH, INITIAL, TO 1 HR",978.0,978.0,,,0 HCPCS,96369,Sc ther infusion up to 1 hr,,,222.12,588.62,7 HCPCS,96370,"HC SC INF, NON-CHEMO, THER/PROPH, EA ADDL HOUR",406.0,406.0,,,0 HCPCS,96370,Sc ther infusion addl hr,,,48.9,129.58,7 HCPCS,96371,"HC SC INF, NON-CHEMO, THER/PROPH, ADDL PUMP W/ NEW SITE",986.0,986.0,,,0 HCPCS,96371,Sc ther infusion reset pump,,,75.19,199.25,7 HCPCS,96372,"HC INJ NON-CHEMO, THER/PROPH/DIAG, SUBQ/IM",238.0,238.0,,,0 HCPCS,96372,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,200.28,200.28,,,0 HCPCS,96372,Ther/proph/diag inj sc/im,,,75.19,199.25,7 HCPCS,96373,"HC INJ NON-CHEMO, THER/PROPH/DIAG, INTRA-ARTERIAL",255.0,255.0,,,0 HCPCS,96373,Ther/proph/diag inj ia,,,222.12,588.62,7 HCPCS,96374,"HC INJ NON-CHEMO, THER/PROPH/DIAG, IV PUSH, SGL/INITIAL DRUG",441.5,441.5,,,0 HCPCS,96374,Ther/proph/diag inj iv push,,,222.12,588.62,7 HCPCS,96375,"HC INJ NON-CHEMO, THER/PROPH/DIAG, EA IV PUSH, SEQUENTIAL, NEW DRUG",301.0,301.0,,,0 HCPCS,96375,Tx/pro/dx inj new drug addon,,,48.9,129.58,7 HCPCS,96376,"HC INJ NON-CHEMO, THER/PROPH/DIAG, EA IV PUSH, SEQUENTIAL, SAME DRUG",300.0,300.0,,,0 HCPCS,96377,Applicaton on-body injector,,,48.9,129.58,7 HCPCS,96377,HC APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION,206.5,206.5,,,0 HCPCS,96379,Ther/prop/diag inj/inf proc,,,48.9,129.58,7 HCPCS,96401,Chemo anti-neopl sq/im,,,75.19,199.25,7 HCPCS,96401,"HC INJ CHEMO, NON-HORMONAL ANTI-NEOPL, SUBQ/IM",510.0,510.0,,,0 HCPCS,96402,Chemo hormon antineopl sq/im,,,75.19,199.25,7 HCPCS,96402,"HC INJ CHEMO, HORMONAL ANTI-NEOPL, SUBQ/IM",1423.0,1423.0,,,0 HCPCS,96405,Chemo intralesional up to 7,,,75.19,199.25,7 HCPCS,96405,"HC INJ CHEMO, INTRALESIONAL, <8 LESIONS",4208.0,4208.0,,,0 HCPCS,96406,Chemo intralesional over 7,,,222.12,588.62,7 HCPCS,96406,"HC INJ CHEMO, INTRALESIONAL, 8+ LESIONS",4208.0,4208.0,,,0 HCPCS,96409,Chemo iv push sngl drug,,,344.93,914.07,7 HCPCS,96409,"HC INJ CHEMO, IV PUSH, SGL/INITIAL DRUG",1711.5,1711.5,,,0 HCPCS,96411,Chemo iv push addl drug,,,75.19,199.25,7 HCPCS,96411,"HC INJ CHEMO, IV PUSH, EA ADDL DRUG",1423.0,1423.0,,,0 HCPCS,96413,Chemo iv infusion 1 hr,,,344.93,914.07,7 HCPCS,96413,"HC IV INF, CHEMO, SGL/INITIAL DRUG, TO 1 HR",1415.5,1415.5,,,0 HCPCS,96415,Chemo iv infusion addl hr,,,75.19,199.25,7 HCPCS,96415,"HC IV INF, CHEMO, SGL/INITIAL DRUG, EA ADDL HR",388.0,388.0,,,0 HCPCS,96416,Chemo prolong infuse w/pump,,,344.93,914.07,7 HCPCS,96416,"HC IV INF BY PUMP, CHEMO, 8+ HOURS W/O FOLLOW-UP",2777.0,2777.0,,,0 HCPCS,96417,Chemo iv infus each addl seq,,,75.19,199.25,7 HCPCS,96417,"HC IV INF, CHEMO, EA SEQUENTIAL, TO 1 HR",241.5,241.5,,,0 HCPCS,96420,Chemo ia push tecnique,,,344.93,914.07,7 HCPCS,96420,"HC INJ CHEMO, IA PUSH",845.0,845.0,,,0 HCPCS,96422,Chemo ia infusion up to 1 hr,,,344.93,914.07,7 HCPCS,96422,"HC IA INF, CHEMO, TO 1 HR",1485.0,1485.0,,,0 HCPCS,96423,Chemo ia infuse each addl hr,,,48.9,129.58,7 HCPCS,96423,"HC IA INF, CHEMO, EA ADDL HR",383.5,383.5,,,0 HCPCS,96425,Chemotherapy infusion method,,,344.93,914.07,7 HCPCS,96425,"HC IA INF BY PUMP, CHEMO, 8+ HOURS W/O FOLLOW-UP",1559.0,1559.0,,,0 HCPCS,96440,Chemotherapy intracavitary,,,344.93,914.07,7 HCPCS,96440,"HC INJ CHEMO, PLEURAL CAVITY, W/ THORACENTESIS",4208.0,4208.0,,,0 HCPCS,96446,Chemotx admn prtl cavity,,,344.93,914.07,7 HCPCS,96446,"HC INJ CHEMO, PERITONEAL CAVITY, VIA PORT/CATH",859.5,859.5,,,0 HCPCS,96450,Chemotherapy into cns,,,344.93,914.07,7 HCPCS,96450,"HC INJ CHEMO, CNS, W/ SPINAL PUNCTURE",1998.0,1998.0,,,0 HCPCS,96521,"HC REFILL/MAINT, PORTABLE PUMP",992.0,992.0,,,0 HCPCS,96521,Refill/maint portable pump,,,222.12,588.62,7 HCPCS,96522,"HC REFILL/MAINT IMPLANTED PUMP, SYSTEMIC",1831.0,1831.0,,,0 HCPCS,96522,Refill/maint pump/resvr syst,,,222.12,588.62,7 HCPCS,96523,HC IRRIG IMPLANTED DRUG DELIVERY DEVICE,282.0,282.0,,,0 HCPCS,96523,Irrig drug delivery device,,,61.6,163.25,7 HCPCS,96542,Chemotherapy injection,,,344.93,914.07,7 HCPCS,96542,"HC INJ CHEMO, SUBARACHND/INTRAVENTR VIA SC RSVR, SGL/MULT",908.0,908.0,,,0 HCPCS,96549,Chemotherapy unspecified,,,48.9,129.58,7 HCPCS,96549,"HC CHEMOTHERAPY, UNSPECIFIED PROCEDURE",414.0,414.0,,,0 HCPCS,96567,HC PHOTODYNAMIC THER DEST PREMALG SKIN LES PER DAY,621.0,621.0,,,0 HCPCS,96567,Photodynamic tx skin,,,209.52,555.22,7 HCPCS,96573,Pdt dstr prmlg les phys/qhp,,,209.52,555.22,7 HCPCS,96574,Dbrdmt prmlg les w/pdt,,,209.52,555.22,7 HCPCS,96900,Ultraviolet light therapy,,,39.0,103.36,7 HCPCS,96910,HC PHOTOCHEMOTHERAPY WITH UV-B,214.0,214.0,,,0 HCPCS,96910,Photochemotherapy with UV-B,,,61.6,163.25,7 HCPCS,96912,HC PHOTOCHEMOTHERAPY WITH UV-A (PUVA),190.0,190.0,,,0 HCPCS,96912,Photochemotherapy with UV-A,,,61.6,163.25,7 HCPCS,96913,HC PHOTOCHEMOTHERAPY UV-A OR B,1198.0,1198.0,,,0 HCPCS,96913,Photochemotherapy uv-a or b,,,424.52,1124.97,7 HCPCS,96920,Laser tx skin < 250 sq cm,,,209.52,555.22,7 HCPCS,96921,Laser tx skin 250-500 sq cm,,,209.52,555.22,7 HCPCS,96922,Laser tx skin >500 sq cm,,,424.52,1124.97,7 HCPCS,96999,Dermatological procedure,,,209.52,555.22,7 HCPCS,97010,HC OT HOT OR COLD PACKS THERAPY,168.0,168.0,,,0 HCPCS,97010,HC PT HOT OR COLD PACKS THERAPY,168.0,168.0,,,0 HCPCS,97012,HC MECHANICAL TRACTION THERAPY,205.5,205.5,,,0 HCPCS,97012,Mechanical traction therapy,,,14.27,37.82,7 HCPCS,97014,HC OT ELECTRIC STIMULATION THERAPY UNATTENDED,169.5,169.5,,,0 HCPCS,97014,HC PT ELECTRIC STIMULATION THERAPY UNATTENDED,169.5,169.5,,,0 HCPCS,97016,HC OT VASOPNEUMATIC DEVICE THERAPY,389.0,389.0,,,0 HCPCS,97016,HC PT VASOPNEUMATIC DEVICE THERAPY,389.0,389.0,,,0 HCPCS,97016,Vasopneumatic device therapy,,,11.94,31.64,7 HCPCS,97018,HC OT PARAFFIN BATH THERAPY,124.0,124.0,,,0 HCPCS,97018,HC PT PARAFFIN BATH THERAPY,124.0,124.0,,,0 HCPCS,97018,Paraffin bath therapy,,,6.67,17.68,7 HCPCS,97022,HC OT WHIRLPOOL THERAPY,191.5,191.5,,,0 HCPCS,97022,HC PT WHIRLPOOL THERAPY,191.5,191.5,,,0 HCPCS,97022,Whirlpool therapy,,,16.61,44.02,7 HCPCS,97024,Diathermy eg microwave,,,7.68,20.35,7 HCPCS,97026,HC OT INFRARED THERAPY,300.0,300.0,,,0 HCPCS,97026,HC PT INFRARED THERAPY,300.0,300.0,,,0 HCPCS,97026,Infrared therapy,,,7.01,18.58,7 HCPCS,97028,Ultraviolet therapy,,,8.28,21.94,7 HCPCS,97032,Electrical stimulation,,,15.04,39.86,7 HCPCS,97032,HC OT ELECTRICAL STIMULATION EACH 15 MINUTES,240.5,240.5,,,0 HCPCS,97032,HC PT ELECTRICAL STIMULATION EACH 15 MINUTES,240.5,240.5,,,0 HCPCS,97032,HC SLP ELECTRICAL STIMULATION EACH 15 MINUTES,240.5,240.5,,,0 HCPCS,97033,Electric current therapy,,,19.96,52.89,7 HCPCS,97033,HC OT IONTOPHORESIS EACH 15 MINUTES,188.5,188.5,,,0 HCPCS,97033,HC PT IONTOPHORESIS EACH 15 MINUTES,188.5,188.5,,,0 HCPCS,97034,Contrast bath therapy,,,14.81,39.25,7 HCPCS,97034,HC CONTRAST BATH THERAPY,221.0,221.0,,,0 HCPCS,97035,HC OT ULTRASOUND THERAPY,125.0,125.0,,,0 HCPCS,97035,HC PT ULTRASOUND THERAPY,125.0,125.0,,,0 HCPCS,97035,Ultrasound therapy,,,15.16,40.17,7 HCPCS,97036,Hydrotherapy,,,36.27,96.12,7 HCPCS,97037,Appl modality 1+lllt po pain,,,39.0,103.36,7 HCPCS,97110,HC OT THERAPEUTIC EXERCISES,217.0,217.0,,,0 HCPCS,97110,HC PT THERAPEUTIC EXERCISES,217.0,217.0,,,0 HCPCS,97110,Therapeutic exercises,,,29.51,78.2,7 HCPCS,97112,"HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN",213.0,213.0,,,0 HCPCS,97112,"HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN",213.0,213.0,,,0 HCPCS,97112,Neuromuscular reeducation,,,32.21,85.36,7 HCPCS,97113,Aquatic therapy/exercises,,,38.43,101.84,7 HCPCS,97113,HC OT AQUATIC THERAPY/EXERCISES,165.5,165.5,,,0 HCPCS,97113,HC PT AQUATIC THERAPY/EXERCISES,165.5,165.5,,,0 HCPCS,97116,Gait training therapy,,,30.13,79.84,7 HCPCS,97116,HC GAIT TRAINING THERAPY,215.0,215.0,,,0 HCPCS,97124,HC OT MASSAGE THERAPY,186.0,186.0,,,0 HCPCS,97124,HC PT MASSAGE THERAPY,186.0,186.0,,,0 HCPCS,97124,Massage therapy,,,29.12,77.17,7 HCPCS,97129,HC OT COGNITIVE SKILLS DEV INIT 15 MIN,174.0,174.0,,,0 HCPCS,97129,HC PT COGNITIVE SKILLS DEV INIT 15 MIN PEDS,174.0,174.0,,,0 HCPCS,97129,HC PT-COGNITIVE SKILLS DEV INIT 15 MIN,174.0,174.0,,,0 HCPCS,97129,HC SLP COGNITIVE SKILLS DEV INIT 15 MIN,174.0,174.0,,,0 HCPCS,97129,Ther ivntj 1st 15 min,,,20.33,53.87,7 HCPCS,97130,HC OT COGNITIVE SKILLS DEV ADDITIONAL 15 MIN,151.5,151.5,,,0 HCPCS,97130,HC SLP COGNITIVE SKILLS DEV ADDITIONAL 15 MIN,151.5,151.5,,,0 HCPCS,97130,Ther ivntj ea addl 15 min,,,18.47,48.95,7 HCPCS,97140,"HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN",230.5,230.5,,,0 HCPCS,97140,"HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN",230.5,230.5,,,0 HCPCS,97140,Manual therapy 1/> regions,,,28.77,76.24,7 HCPCS,97150,Group therapeutic procedures,,,17.85,47.3,7 HCPCS,97150,HC OT GROUP THERAPEUTIC PROCEDURES,193.5,193.5,,,0 HCPCS,97150,HC PT GROUP THERAPEUTIC PROCEDURES,193.5,193.5,,,0 HCPCS,97151,HC BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN,543.0,543.0,,,0 HCPCS,97152,HC BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN,543.0,543.0,,,0 HCPCS,97153,HC ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN,543.0,543.0,,,0 HCPCS,97154,"HC ABT GROUP TREAT BY PROTOCOL, TECH, 15 MIN",191.0,191.0,,,0 HCPCS,97155,Adapt behavior tx phys/qhp,,,185.35,491.19,7 HCPCS,97155,HC ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN,543.0,543.0,,,0 HCPCS,97156,HC ADAPT BHV TX PRTCL MODIF PHYS/QHP EA 15 MIN FAM,191.0,191.0,,,0 HCPCS,97157,"HC ABT MULTI-FAM GRP W/O PT, 15 MIN",93.0,93.0,,,0 HCPCS,97158,HC GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN,191.0,191.0,,,0 HCPCS,97161,HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS,799.0,799.0,,,0 HCPCS,97161,Pt eval low complex 20 min,,,98.73,261.63,7 HCPCS,97162,HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS,905.5,905.5,,,0 HCPCS,97162,Pt eval mod complex 30 min,,,96.0,254.4,7 HCPCS,97163,HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS,989.0,989.0,,,0 HCPCS,97163,Pt eval high complex 45 min,,,100.27,265.72,7 HCPCS,97164,HC PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS,1107.0,1107.0,,,0 HCPCS,97164,Pt re-eval est plan care,,,66.09,175.14,7 HCPCS,97165,HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS,783.0,783.0,,,0 HCPCS,97165,Ot eval low complex 30 min,,,98.56,261.18,7 HCPCS,97166,HC OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS,871.0,871.0,,,0 HCPCS,97166,Ot eval mod complex 45 min,,,98.56,261.18,7 HCPCS,97167,HC OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS,949.0,949.0,,,0 HCPCS,97167,Ot eval high complex 60 min,,,98.56,261.18,7 HCPCS,97168,HC OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS,1116.0,1116.0,,,0 HCPCS,97168,Ot re-eval est plan care,,,69.21,183.41,7 HCPCS,97530,HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,211.5,211.5,,,0 HCPCS,97530,HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN,211.5,211.5,,,0 HCPCS,97530,Therapeutic activities,,,36.4,96.46,7 HCPCS,97533,HC OT SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,150.5,150.5,,,0 HCPCS,97533,HC PT SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,150.5,150.5,,,0 HCPCS,97533,HC SLP SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES,150.5,150.5,,,0 HCPCS,97533,Sensory Integration,,,63.12,167.27,7 HCPCS,97535,HC OT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,252.5,252.5,,,0 HCPCS,97535,HC PT SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES,252.5,252.5,,,0 HCPCS,97535,Self care mngment training,,,31.82,84.32,7 HCPCS,97537,Community/work reintegration,,,33.22,88.03,7 HCPCS,97537,HC OT COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN,373.0,373.0,,,0 HCPCS,97537,HC PT COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN,373.0,373.0,,,0 HCPCS,97542,"HC OT WHEELCHAIR MNGEMENT TRAINING, EA 15 MIN",189.0,189.0,,,0 HCPCS,97542,"HC PT WHEELCHAIR MNGEMENT TRAINING, EA 15 MIN",189.0,189.0,,,0 HCPCS,97542,Wheelchair mngment training,,,32.18,85.28,7 HCPCS,97545,"HC OT WORK HARDENING/CONDN,0-2 HR",415.0,415.0,,,0 HCPCS,97545,"HC PT WORK HARDENING/CONDN,0-2 HR",415.0,415.0,,,0 HCPCS,97546,"HC OT WORK HARDENING/CONDN,EA ADDNL HR",219.0,219.0,,,0 HCPCS,97546,"HC PT WORK HARDENING/CONDN,EA ADDNL HR",219.0,219.0,,,0 HCPCS,97550,Caregiver traing 1st 30 min,,,40.1,106.26,7 HCPCS,97550,HC BH CAREGIVER TRAIN INIT 30 MIN,415.0,415.0,,,0 HCPCS,97550,HC OT CAREGIVER TRAINING 1ST 30 MIN W/O PT,415.0,415.0,,,0 HCPCS,97550,HC PT CAREGIVER TRAINING 1ST 30 MIN W/O PT,415.0,415.0,,,0 HCPCS,97550,HC ST CAREGIVER TRAINING 1ST 30 MIN W/O PT,415.0,415.0,,,0 HCPCS,97551,Caregiver traing ea addl 15,,,21.17,56.1,7 HCPCS,97551,HC BH CAREGIVER TRAIN EA ADD 15 MIN,206.0,206.0,,,0 HCPCS,97551,HC OT CAREGIVER TRAINING EA ADD 15 MIN W/O PT,206.0,206.0,,,0 HCPCS,97551,HC PT CAREGIVER TRAINING EA ADD 15 MIN W/O PT,206.0,206.0,,,0 HCPCS,97551,HC ST CAREGIVER TRAINING EA ADD 15 MIN W/O PT,206.0,206.0,,,0 HCPCS,97552,Group caregiver training,,,9.64,25.55,7 HCPCS,97552,HC OT GROUP CAREGIVER TRAINING W/O PT,156.0,156.0,,,0 HCPCS,97597,HC DEBRIDEMENT OPEN WOUND 20 SQ CM<,440.0,440.0,,,0 HCPCS,97597,HC PT DEBRIDEMENT OPEN WOUND 20 SQ CM<,429.5,429.5,,,0 HCPCS,97597,Rmvl devital tis 20 cm/<,,,209.52,555.22,7 HCPCS,97598,HC DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,442.5,442.5,,,0 HCPCS,97598,HC PT DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM,432.5,432.5,,,0 HCPCS,97602,"HC OT WOUND DEBRIDEMNT, NON-SELECTIVE, EA",383.5,383.5,,,0 HCPCS,97602,"HC PT WOUND DEBRIDEMNT, NON-SELECTIVE, EA",383.5,383.5,,,0 HCPCS,97602,"HC WOUND DEBRIDEMNT, NON-SELECTIVE, EA",392.0,392.0,,,0 HCPCS,97602,Wound(s) care non-selective,,,209.52,555.22,7 HCPCS,97605,HC NEGATIVE PRESSURE WOUND THERAPY DME 50 SQ CM,742.0,742.0,,,0 HCPCS,97606,Neg press wound tx >50 cm,,,424.52,1124.97,7 HCPCS,97607,HC NEG PRESSURE WOUND THERAPY NON DME 50 SQ CM,1437.0,1437.0,,,0 HCPCS,97608,HC PT NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM,1403.5,1403.5,,,0 HCPCS,97608,Neg press wound tx >50 cm,,,424.52,1124.97,7 HCPCS,97610,Low frequency non-thermal us,,,209.52,555.22,7 HCPCS,97750,HC OT PHYSICAL PERFORMANCE TEST,179.5,179.5,,,0 HCPCS,97750,HC PT PHYSICAL PERFORMANCE TEST,179.5,179.5,,,0 HCPCS,97750,Physical performance test,,,34.24,90.74,7 HCPCS,97755,Assistive technology assess,,,38.23,101.31,7 HCPCS,97760,"HC OT ORTHOTIC MGMT AND TRAINING, EACH 15 MIN",173.5,173.5,,,0 HCPCS,97760,"HC PT ORTHOTIC MGMT AND TRAINING, EACH 15 MIN",173.5,173.5,,,0 HCPCS,97760,Orthotic mgmt and training,,,47.8,126.67,7 HCPCS,97761,Prosthetic training,,,40.99,108.62,7 HCPCS,97763,HC OT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,178.0,178.0,,,0 HCPCS,97763,HC PT ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN,178.0,178.0,,,0 HCPCS,97763,Orthc/prostc mgmt sbsq enc,,,48.79,129.29,7 HCPCS,97799,HC PT GROUP THERAPY WELLNESS,117.0,117.0,,,0 HCPCS,97799,HC PT INDIVIDUAL THERAPY WELLNESS,120.0,120.0,,,0 HCPCS,97802,"HC MED NUTR THER, 1ST, INDIV, EA 15 MIN",106.0,106.0,,,0 HCPCS,97802,Medical nutrition indiv in,,,26.77,70.94,7 HCPCS,97803,"HC MED NUTR THER, SUBSQ, INDIV, EA 15 MIN",124.0,124.0,,,0 HCPCS,97803,Med nutrition indiv subseq,,,22.4,59.36,7 HCPCS,97804,"HC MED NUTR THER, GROUP, EA 30 MIN",79.0,79.0,,,0 HCPCS,97804,Medical nutrition group,,,12.36,32.75,7 HCPCS,97810,HC ACUPUNCTURE W/O ELEC STIM INITIAL 15 MIN,235.0,235.0,,,0 HCPCS,97811,HC ACUPUNCTURE REINSERT W/O ELEC STIM EA ADDL 15 MIN,196.0,196.0,,,0 HCPCS,97813,HC ACUPUNCTURE W/ ELEC STIM INITIAL 15 MIN,273.0,273.0,,,0 HCPCS,97814,HC ACUPUNCTURE REINSERT W/ ELEC STIM EA ADDL 15 MIN,235.0,235.0,,,0 HCPCS,98925,HC OSTEOPATH MANIP TX 1-2 REGIONS,94.0,94.0,,,0 HCPCS,98926,HC OSTEOPATH MANIP TX 3-4 REGIONS,94.0,94.0,,,0 HCPCS,98927,HC OSTEOPATH MANIP TX 5-6 REGIONS,94.0,94.0,,,0 HCPCS,98928,HC OSTEOPATH MANIP TX 7-8 REGIONS,94.0,94.0,,,0 HCPCS,98929,HC OSTEOPATH MANIP TX 9-10 REGIONS,94.0,94.0,,,0 HCPCS,98966,Hc pro phone call 5-10 min,,,10.93,28.96,7 HCPCS,98967,Hc pro phone call 11-20 min,,,21.17,56.1,7 HCPCS,98968,Hc pro phone call 21-30 min,,,29.64,78.55,7 HCPCS,98970,Qnhp ol dig e/m svc 5-10min,,,10.93,28.96,7 HCPCS,98971,Qnhp ol dig em svc 11-20min,,,19.21,50.91,7 HCPCS,98972,Qnhp ol dig e/m svc 21+ min,,,30.8,81.62,7 HCPCS,98975,Rem ther mntr 1st setup&edu,,,139.03,368.43,7 HCPCS,98979,Rtm tx mgmt 1st 10 min,,,11.89,31.51,7 HCPCS,98980,Rem ther mntr 1st 20 min,,,26.58,70.44,7 HCPCS,98981,Rem ther mntr ea addl 20 min,,,25.71,68.13,7 HCPCS,99001,HC SPECIMEN HANDLING FEE,123.0,123.0,,,0 HCPCS,99151,HC MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS,436.0,436.0,,,0 HCPCS,99152,HC MOD SED SAME PHYS/QHP INIT 15 MINS 5/> YRS GI ONLY,436.0,436.0,,,0 HCPCS,99152,HC MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS,436.0,436.0,,,0 HCPCS,99153,HC MOD SED SAME PHYS/QHP EACH ADDL 15 MINS,436.0,436.0,,,0 HCPCS,99155,HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS,397.0,397.0,,,0 HCPCS,99156,HC MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS,439.0,439.0,,,0 HCPCS,99157,HC MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS,115.0,115.0,,,0 HCPCS,99170,Anogenital exam child w imag,,,211.12,559.48,7 HCPCS,99183,HC HYPERBARIC OXYGEN THERAPY (HBO) PER 30 MIN,1575.0,1575.0,,,0 HCPCS,99195,HC PEDIATRIC THERAPTEUTIC PHLEBOTOMY,773.0,773.0,,,0 HCPCS,99195,HC THERAPEUTIC PHLEBOTOMY (SEPARATE PROCEDURE),2818.0,2818.0,,,0 HCPCS,99195,Phlebotomy,,,138.94,368.19,7 HCPCS,99199,HC MUSIC TX - ASSESS THERAPY BENEFIT PER 15 MIN,158.0,158.0,,,0 HCPCS,99199,HC MUSIC TX - NEONATE PER 15 MIN,153.0,153.0,,,0 HCPCS,99199,HC MUSIC TX - PEDIATRIC GROUP THERAPY PER 15 MIN,65.0,65.0,,,0 HCPCS,99199,HC MUSIC TX - PEDIATRIC INDIVID THERAPY PER 15 MIN,136.0,136.0,,,0 HCPCS,99199,HC MUSIC TX Çô SESSION W/ FAMILY AND PATIENT,151.0,151.0,,,0 HCPCS,99199,HC MUSIC TX Çô SESSION W/ FAMILY ONLY,154.0,154.0,,,0 HCPCS,99202,HC OFFICE OUTPATIENT NEW PT SF MDM,618.0,618.0,,,0 HCPCS,99203,HC OFFICE OUTPATIENT NEW PT LOW LVL MDM,1088.0,1088.0,,,0 HCPCS,99204,HC OFFICE OUTPATIENT NEW PT MOD LVL MDM,1409.0,1409.0,,,0 HCPCS,99205,HC OFFICE OUTPATIENT NEW PT HIGH LVL MDM,2843.0,2843.0,,,0 HCPCS,99211,HC OFFICE OUTPATIENT VISIT EST PT MINIMAL,223.0,223.0,,,0 HCPCS,99212,HC OFFICE OUTPATIENT VISIT EST PT SF MDM,445.0,445.0,,,0 HCPCS,99213,HC OFFICE OUTPATIENT VISIT EST PT LOW LVL MDM,395.5,395.5,,,0 HCPCS,99214,HC OFFICE OUTPATIENT VISIT EST PT MOD LVL MDM,916.0,916.0,,,0 HCPCS,99215,HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM,2300.0,2300.0,,,0 HCPCS,99242,HC OFFICE/OP CONSULT NEW/ESTAB PATIENT 20 MIN,50.0,50.0,,,0 HCPCS,99243,HC OFFICE/OP CONSULT NEW/ESTAB PATIENT 30 MIN,88.0,88.0,,,0 HCPCS,99244,HC OFFICE/OP CONSULT NEW/ESTAB PATIENT 40 MIN,139.0,139.0,,,0 HCPCS,99245,HC OFFICE/OP CONSULT NEW/ESTAB PATIENT 55 MIN,189.0,189.0,,,0 HCPCS,99281,Emergency dept visit,,,88.06,233.35,7 HCPCS,99281,HC EMERGENCY DEPARTMENT VISIT LEVEL 1,460.0,460.0,,,0 HCPCS,99281,HC EMERGENCY DEPT VISIT LEFT BEFORE SEEING PROVIDER,413.0,413.0,,,0 HCPCS,99282,Emergency dept visit,,,160.34,424.91,7 HCPCS,99282,HC EMERGENCY DEPARTMENT VISIT LEVEL 2,631.0,631.0,,,0 HCPCS,99283,Emergency dept visit,,,285.06,755.42,7 HCPCS,99283,HC EMERGENCY DEPARTMENT VISIT LEVEL 3,1455.0,1455.0,,,0 HCPCS,99284,Emergency dept visit,,,435.74,1154.71,7 HCPCS,99284,HC EMERGENCY DEPARTMENT VISIT LEVEL 4,3392.0,3392.0,,,0 HCPCS,99285,Emergency dept visit,,,621.9,1648.04,7 HCPCS,99285,HC EMERGENCY DEPARTMENT VISIT LEVEL 5,6054.0,6054.0,,,0 HCPCS,99291,Critical care first hour,,,862.6,2285.9,7 HCPCS,99291,"HC CRITICAL CARE, E/M 30-74 MINUTES",7214.0,7214.0,,,0 HCPCS,99292,"HC CRITICAL CARE, ADDL 30 MIN",1512.0,1512.0,,,0 HCPCS,99401,HC PREVENT COUNSEL INDIV 15 MIN,125.0,125.0,,,0 HCPCS,99402,"HC PREVENT COUNSEL,INDIV,30 MIN",166.0,166.0,,,0 HCPCS,99403,HC PREVENT COUNSEL INDIV 45 MIN,220.0,220.0,,,0 HCPCS,99404,HC PREVENT COUNSEL INDIV 60 MIN,300.0,300.0,,,0 HCPCS,99406,HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES,618.0,618.0,,,0 HCPCS,99407,HC TOBACCO USE CESSATION INTENSIVE >10 MINUTES,1088.0,1088.0,,,0 HCPCS,99453,Rem mntr physiol param setup,,,139.03,368.43,7 HCPCS,99460,Init nb em per day hosp,,,139.03,368.43,7 HCPCS,99463,Same day nb discharge,,,139.03,368.43,7 HCPCS,99465,HC DELIVERY/BIRTHING ROOM RESUSCITATION,4077.0,4077.0,,,0 HCPCS,99465,Nb resuscitation,,,690.21,1829.06,7 HCPCS,99487,Cmplx chron care w/o pt vsit,,,185.35,491.19,7 HCPCS,99495,HC PBB TRANSITIONAL CARE MANAGE SERVICE 14 DAY DISCHRGE,863.0,863.0,,,0 HCPCS,99495,Trans care mgmt 14 day disch,,,139.03,368.43,7 HCPCS,99496,HC PBB TRANSITIONAL CARE MANAGE SERVICE 7 DAY DISCHARGE,863.0,863.0,,,0 HCPCS,99496,Trans care mgmt 7 day disch,,,139.03,368.43,7 HCPCS,99605,HC MEDICATION THERAPY MGMT 15 MINUTES NEW PATIENT,219.0,219.0,,,0 HCPCS,99606,HC MEDICATION THERAPY MGMT 15 MINUTES EST PATIENT,219.0,219.0,,,0 HCPCS,99607,HC MEDICATION THERAPY MGMT ADDITIONA 15 MINUTES,219.0,219.0,,,0 HCPCS,A0120,HC STRETCHER BASE RATE A0120,504.0,504.0,,,0 HCPCS,A0130,HC WHEELCHAIR VAN BASE RATE A0130,308.0,308.0,,,0 HCPCS,A0425,HC AMBULANCE GROUND MILEAGE A0425,35.0,35.0,,,0 HCPCS,A0426,HC ALS1 NON_EMERGENCY A0426,2798.0,2798.0,,,0 HCPCS,A0427,HC ALS1 EMERGENCY BASE RATE A0427,3254.0,3254.0,,,0 HCPCS,A0428,HC BLS NON EMERGENCY A0428,2435.0,2435.0,,,0 HCPCS,A0429,HC BLS EMERGENCY BASE RATE A0429,2602.0,2602.0,,,0 HCPCS,A0431,HC ROTOR WING BASE RATE A0431,43397.0,43397.0,,,0 HCPCS,A0433,HC ALS2 EMERGENCY BASE RATE A0433,3874.0,3874.0,,,0 HCPCS,A0434,HC SPECIAL CARE TRANSPORT A0434,4955.0,4955.0,,,0 HCPCS,A0436,HC ROTOR MILEAGE A0436,311.0,311.0,,,0 HCPCS,A0888,HC NONCOVERED AMBULANCE MILEAGE,35.0,35.0,,,0 HCPCS,A0998,HC AMBULANCE RESPONSE TREATMENT,2435.0,2435.0,,,0 HCPCS,A2002,HC SUPPLY CHARGE SKIN SUB (TOTAL 26 SC) MIRRAGEN PER SQ CM,1094.0,1094.0,,,0 HCPCS,A2002,HC SUPPLY CHARGE SKIN SUB(TOTAL 12 SC) MIRRAGEN PER SQ CM,1913.0,1913.0,,,0 HCPCS,A2002,HC SUPPLY CHARGE SKIN SUB(TOTAL 3 SC) MIRRAGEN PER SQ CM,4116.0,4116.0,,,0 HCPCS,A2002,HC SUPPLY CHARGE SKIN SUB(TOTAL 7 SC) MIRRAGEN PER SQ CM,1960.0,1960.0,,,0 HCPCS,A2007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 13 SC) RESTRATA PER SQ CM,1922.0,1922.0,,,0 HCPCS,A2007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) RESTRATA PER SQ CM,1987.0,1987.0,,,0 HCPCS,A2007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) RESTRATA PER SQ CM,2661.0,2661.0,,,0 HCPCS,A2007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) RESTRATA PER SQ CM,1928.0,1928.0,,,0 HCPCS,A2007,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) RESTRATA PER SQ CM,1077.0,1077.0,,,0 HCPCS,A2007,HC SUPPLY CHARGE SKIN SUB (TOTAL SZ 125 SC) RESTRATA PER SQ CM,823.0,823.0,,,0 HCPCS,A2007,HC SUPPLY CHARGE SKIN SUB (TOTAL SZ 19 SC '2.5X7.5') RESTRATA PER SQ CM,1915.0,1915.0,,,0 HCPCS,A2025,"HC SUPPLY CHARGE SKIN SUB (TOT SZ 8) MIRO3D, PER CUBIC CM",1066.29,1066.29,,,0 HCPCS,A4266,HC SUPPLY DIAPHRAGM,260.0,260.0,,,0 HCPCS,A4563,Vag inser rectal control sys,,,1689.73,4477.78,7 HCPCS,A4593,Neuromod sti sys adj rehab,,,52.81,139.95,7 HCPCS,A4648,HC FIDUCIAL MRKR NDL GLD 18GAX20CM 1X3MM,90.0,90.0,,,0 HCPCS,A4648,HC NEEDLE PLACMNT GLD MRKR 17GAX20CM 1.2X3MM POUCH 1,1520.0,1520.0,,,0 HCPCS,A4648,HC NEEDLE PLACMNT GLD MRKR 17GAX20CM 1.2X3MM POUCH 3,1867.0,1867.0,,,0 HCPCS,A4649,HC SPACEOAR GEL SUPPLY,32834.0,32834.0,,,0 HCPCS,A5512,HC SUPPLY DIABETIC SHOE INSERT 35/40 DUROMETER PREFAB - A5512,39.0,39.0,,,0 HCPCS,A6520,G com garmnt glove nghttime,,,126.45,335.09,7 HCPCS,A6521,G com garmnt glove nght cust,,,501.75,1329.64,7 HCPCS,A6522,G com garment arm nighttime,,,307.26,814.24,7 HCPCS,A6523,G com garment arm nght custm,,,729.02,1931.9,7 HCPCS,A6524,G com garmnt lwr leg/ft nght,,,383.34,1015.85,7 HCPCS,A6525,G com garm lwrleg/ft ngt cus,,,773.9,2050.84,7 HCPCS,A6526,G com garmt full leg/ft nght,,,693.06,1836.61,7 HCPCS,A6527,G garmt full leg/ft nght cus,,,1274.45,3377.29,7 HCPCS,A6528,G com garment bra nighttime,,,666.42,1766.01,7 HCPCS,A6529,G com garmt bra night custm,,,1053.04,2790.56,7 HCPCS,A6530,Compression stocking bk18-30,,,39.07,103.54,7 HCPCS,A6530,HC SUPPLY GRADIENT COMPRESSION STOCKING BELOW KNEE 18-30 MMHG - A6530,758.0,758.0,,,0 HCPCS,A6531,Compression stocking bk30-40,,,61.66,163.4,7 HCPCS,A6531,HC SUPPLY DME GRADIENT COMPRESSION STOCKING BELOW KNEE 30-40 MMHG,468.0,468.0,,,0 HCPCS,A6532,Compression stocking bk40-50,,,86.88,230.23,7 HCPCS,A6532,HC SUPPLY DME GRADIENT COMPRESSION STOCKING BELOW KNEE 40-50 MMHG,660.0,660.0,,,0 HCPCS,A6533,Gc stocking thighlngth 18-30,,,54.86,145.38,7 HCPCS,A6533,HC SUPPLY DME GRADIENT COMPRESSION STOCKING THIGH LENGTH 18-30 MMHG,2825.0,2825.0,,,0 HCPCS,A6534,Gc stocking thighlngth 30-40,,,62.65,166.02,7 HCPCS,A6534,HC SUPPLY DME GRADIENT COMPRESSION STOCKING THIGH LENGTH 30-40 MMHG,636.0,636.0,,,0 HCPCS,A6535,Gc stocking thighlngth 40-50,,,72.13,191.14,7 HCPCS,A6535,HC SUPPLY DME GRADIENT COMPRESSION STOCKING THIGH LENGTH 40-50 MMHG,993.0,993.0,,,0 HCPCS,A6536,Gc stocking full lngth 18-30,,,73.95,195.97,7 HCPCS,A6536,HC SUPPLY DME GRADIENT COMPRESSION STOCKING FULL LENGTH/CHAP STYLE 18-30 MMHG,2825.0,2825.0,,,0 HCPCS,A6537,Gc stocking full lngth 30-40,,,87.67,232.33,7 HCPCS,A6537,HC SUPPLY DME GRADIENT COMPRESSION STOCKING FULL LENGTH/CHAP STYLE 30-40 MMHG,636.0,636.0,,,0 HCPCS,A6538,Gc stocking full lngth 40-50,,,102.65,272.02,7 HCPCS,A6538,HC SUPPLY DME GRADIENT COMPRESSION STOCKING FULL LENGTH/CHAP STYLE 40-50 MMHG,993.0,993.0,,,0 HCPCS,A6539,Gc stocking waistlngth 18-30,,,97.86,259.33,7 HCPCS,A6539,HC SUPPLY DME GRADIENT COMPRESSION STOCKING WAIST LENGTH 18-30 MMHG,2825.0,2825.0,,,0 HCPCS,A6540,Gc stocking waistlngth 30-40,,,116.68,309.2,7 HCPCS,A6540,HC SUPPLY DME GRADIENT COMPRESSION STOCKING WAIST LENGTH 30-40 MMHG,636.0,636.0,,,0 HCPCS,A6541,Gc stocking waistlngth 40-50,,,138.21,366.26,7 HCPCS,A6541,HC SUPPLY DME GRADIENT COMPRESSION STOCKING WAIST LENGTH 40-50 MMHG,993.0,993.0,,,0 HCPCS,A6542,HC SUPPLY DME GRADIENT COMPRESSION STOCKING CUSTOM,55.0,55.0,,,0 HCPCS,A6544,HC SUPPLY DME GRADIENT COMPRESSION STOCKING GARTER BELT,532.0,532.0,,,0 HCPCS,A6545,Grad comp non-elastic BK,,,121.41,321.74,7 HCPCS,A6549,"HC SUPPLY DME GRADIENT COMPRESSION GARMENT, NOS, FOR DAYTIME USE, EACH",2825.0,2825.0,,,0 HCPCS,A6552,Grad com stocking bk 30-40,,,57.97,153.62,7 HCPCS,A6553,G com stcking bk 30-40 custm,,,226.38,599.91,7 HCPCS,A6554,Grad com stocking bk 40+,,,79.72,211.26,7 HCPCS,A6555,G com stcking bk 40+ custm,,,226.38,599.91,7 HCPCS,A6556,G com stcking thgh18-30 cust,,,310.25,822.16,7 HCPCS,A6557,G com stcking thgh30-40 cust,,,310.25,822.16,7 HCPCS,A6558,G com stcking thgh 40+ cust,,,320.17,848.45,7 HCPCS,A6562,G com stckng waist18-30 cust,,,1015.37,2690.73,7 HCPCS,A6563,G com stckng waist30-40 cust,,,1015.37,2690.73,7 HCPCS,A6564,G com stckng waist 40+ cust,,,1093.78,2898.52,7 HCPCS,A6565,Grad comp gauntlet custom,,,175.45,464.94,7 HCPCS,A6566,Grad com garment neck/head,,,254.75,675.09,7 HCPCS,A6567,G com garment neck/head cust,,,800.42,2121.11,7 HCPCS,A6568,G com garment torso/shldr,,,166.26,440.59,7 HCPCS,A6569,G com garmnt torso/shdr cust,,,946.74,2508.86,7 HCPCS,A6570,Grad com garment genital,,,113.28,300.19,7 HCPCS,A6571,G com garment genital custm,,,680.84,1804.23,7 HCPCS,A6572,Grad com garment toe caps,,,105.11,278.54,7 HCPCS,A6573,Grad com garmnt toe cap cust,,,249.43,660.99,7 HCPCS,A6574,Custom gradient sleev/glov,,,317.99,842.67,7 HCPCS,A6575,Gradient comp sleev/glov,,,103.05,273.08,7 HCPCS,A6576,Custom grad com sleeve med,,,195.16,517.17,7 HCPCS,A6577,Custom grad cm sleeve heavy,,,161.53,428.05,7 HCPCS,A6578,Gradient comp sleeve,,,79.55,210.81,7 HCPCS,A6579,Custom grad com glove med,,,313.26,830.14,7 HCPCS,A6580,Custom grad com glove heavy,,,310.96,824.04,7 HCPCS,A6581,Gradient comp glove,,,72.99,193.42,7 HCPCS,A6582,Gradient comp gauntlet,,,48.68,129.0,7 HCPCS,A6583,Grad com wrap w straps bk,,,160.13,424.34,7 HCPCS,A6585,Grad com wrap w straps ak,,,189.6,502.44,7 HCPCS,A6586,Grad com wrap w straps leg,,,558.59,1480.26,7 HCPCS,A6587,Grad com wrap w straps foot,,,73.17,193.9,7 HCPCS,A6588,Grad com wrap w straps arm,,,243.87,646.26,7 HCPCS,A6589,Grad com wrap w straps bra,,,96.27,255.12,7 HCPCS,A6594,G comp bandge liner lwr extr,,,35.05,92.88,7 HCPCS,A6595,G comp bandge liner upr extr,,,34.48,91.37,7 HCPCS,A6596,G comp bandge conform gauze,,,0.18,0.48,7 HCPCS,A6597,G comp bandage long stretch,,,1.55,4.11,7 HCPCS,A6598,G comp bandage med stretch,,,0.75,1.99,7 HCPCS,A6599,G comp bandage short stretch,,,1.7,4.5,7 HCPCS,A6600,G com bandge hgh dn foam sht,,,3.07,8.14,7 HCPCS,A6601,G com bandge hgh dn foam pad,,,3.45,9.14,7 HCPCS,A6602,G com bandge hgh dn foamroll,,,5.03,13.33,7 HCPCS,A6603,G com bandge low dn foamchnl,,,2.36,6.25,7 HCPCS,A6604,G com bandge low dn foam flt,,,1.38,3.66,7 HCPCS,A6605,G com bandage padded foam,,,1.57,4.16,7 HCPCS,A6606,G com bandage padded textile,,,4.67,12.38,7 HCPCS,A6607,G com bandage tub protct lyr,,,1.25,3.31,7 HCPCS,A6608,G com bandage tub protct pad,,,5.21,13.81,7 HCPCS,A6610,G com stcking bk 18-30 custm,,,226.38,599.91,7 HCPCS,A8000,HC SUPPLY HELMET PROTECT SOFT PREFAB - A8000,683.0,683.0,,,0 HCPCS,A9282,HC SUPPLY DME WIG ANY TYPE EACH,620.0,620.0,,,0 HCPCS,A9573,ELUCIREM 0.5 MMOL/ML IV SOLN,337.43,337.43,,,0 HCPCS,A9573,VUEWAY 0.5 MMOL/ML IV SOLN,115.49000000000001,115.49000000000001,,,0 HCPCS,A9575,CLARISCAN 10 MMOL/20ML IV SOLN,583.74,583.74,,,0 HCPCS,A9575,DOTAREM 10 MMOL/20ML IV SOLN,25.8,25.8,,,0 HCPCS,A9575,DOTAREM 10 MMOL/20ML IV SOSY,285.92,285.92,,,0 HCPCS,A9575,DOTAREM 2.5 MMOL/5ML IV SOLN,35.96,35.96,,,0 HCPCS,A9575,DOTAREM 5 MMOL/10ML IV SOLN,113.3,113.3,,,0 HCPCS,A9575,DOTAREM 50 MMOL/100ML IV SOLN,1.13,1.13,,,0 HCPCS,A9575,DOTAREM 7.5 MMOL/15ML IV SOLN,2.27,2.27,,,0 HCPCS,A9575,DOTAREM 7.5 MMOL/15ML IV SOSY,191.22,191.22,,,0 HCPCS,A9575,GADOTERATE MEGLUMINE 50 MMOL/100ML IV SOLN,171.88,171.88,,,0 HCPCS,A9575,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,337.43,337.43,,,0 HCPCS,A9577,MULTIHANCE 529 MG/ML IV SOLN,178.56,178.56,,,0 HCPCS,A9579,PROHANCE 279.3 MG/ML IV SOLN,429.81,429.81,,,0 HCPCS,A9581,EOVIST 0.25 MMOL/ML IV SOLN,678.52,678.52,,,0 HCPCS,A9585,GADAVIST 1 MMOL/ML IV SOLN,197.59,197.59,,,0 HCPCS,A9585,GADOBUTROL 1 MMOL/ML IV SOLN,117.225,117.225,,,0 HCPCS,C1715,HC BRACHYTHERAPY NEEDLE,149.0,149.0,,,0 HCPCS,C1715,HC NEEDLE BRACHY FLEXINEEDLE 15G W/ STY STRL,1499.0,1499.0,,,0 HCPCS,C1717,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE HDR IR-192,1818.0,1818.0,,,0 HCPCS,C1717,HC BRACHYTHERAPY SOURCE NON-STRANDED HDR IR-192,1818.0,1818.0,,,0 HCPCS,C1719,HC BRACHYTHERAPY SOURCE NON-STRANDED LDR IR-192,125.0,125.0,,,0 HCPCS,C1728,HC CATH BRACHY ADMIN C1728,677.0,677.0,,,0 HCPCS,C1728,HC DISPOSABLE BRACHY CATHETERS (# OF CATHETERS),15901.0,15901.0,,,0 HCPCS,C1751,HC SUPPLY PS1753272 PICC SNGL 4FR,3607.0,3607.0,,,0 HCPCS,C1751,HC SUPPLY PS1753273 PICC DBL 5FR,3407.0,3407.0,,,0 HCPCS,C1751,HC SUPPLY PS1790314 PICC TRPL 5FR,3640.0,3640.0,,,0 HCPCS,C1751,HC SUPPLY PS1806966 POWERGLIDE MIDLINE 18G 8CM,1836.0,1836.0,,,0 HCPCS,C1751,HC SUPPLY PS1817234 POWERGLIDE MIDLINE 20G 8CM,1300.0,1300.0,,,0 HCPCS,C1751,HC SUPPLY PS1817235 POWERGLIDE MIDLINE 20G 10CM,1300.0,1300.0,,,0 HCPCS,C1751,HC SUPPLY PS1817236 POWERGLIDE MIDLINE 18G 8CM,1300.0,1300.0,,,0 HCPCS,C1751,HC SUPPLY PS1820843 MIDLINE DBL 4FR,2927.0,2927.0,,,0 HCPCS,C1751,HC SUPPLY PS1822337 MIDLINE SNGL 3FR,2501.0,2501.0,,,0 HCPCS,C1751,HC SUPPLY PS1828298 POWERGLIDE MIDLINE 18G 10CM,2019.0,2019.0,,,0 HCPCS,C1751,HC SUPPLY PS1828844 POWERGLIDE MIDLINE 18G 8CM,2019.0,2019.0,,,0 HCPCS,C1751,HC SUPPLY PS1829511 POWERGLIDE MIDLINE 20G 8CM,2019.0,2019.0,,,0 HCPCS,C1751,HC SUPPLY PS1832685 POWERGLIDE MIDLINE 20G 10CM,2019.0,2019.0,,,0 HCPCS,C1751,HC SUPPLY PS1838106 MST MIDLINE DBL 4FR,3406.0,3406.0,,,0 HCPCS,C1751,HC SUPPLY PS1838107 MST MIDLINE SNGL 3FR,2981.0,2981.0,,,0 HCPCS,C1751,HC SUPPLY PS1838110 PICC SNGL 3FR,4439.0,4439.0,,,0 HCPCS,C1751,HC SUPPLY PS1838111 PICC DBL 4FR,4555.0,4555.0,,,0 HCPCS,C1751,HC SUPPLY PS1838112 PICC TRPL 5FR,4853.0,4853.0,,,0 HCPCS,C1757,HC EXPERIMENTAL DEVICE PENUMBRA SEPERATOR 3D IDE G120028,25221.0,25221.0,,,0 HCPCS,C1769,HC SUPPLY GW VASC ACSS AVALON ELITE,630.0,630.0,,,0 HCPCS,C1824,HC EXPERIMENTAL DEVICE OPTIMIZER IPG AIM HIGHER G200042,41000.0,41000.0,,,0 HCPCS,C1874,HC EXPERIMENTAL DEVICE ONYX FRONTIER DES ONYXNG-UX G190299,1.0,1.0,,,0 HCPCS,C1874,HC EXPERIMENTAL DEVICE ONYX RESOLUTE DES RONYX-UX G190299,1.0,1.0,,,0 HCPCS,C1874,HC EXPERIMENTAL DEVICE ONYX RESOLUTE DES RONYX-W G190299,1.0,1.0,,,0 HCPCS,C1889,HC IMPLANT SPACEROAR HYDRGL 10ML RDTPY TRMT PROST CNCR,28054.0,28054.0,,,0 HCPCS,C1889,HC IMPLANT VUE SPACEOAR HYDROGEL RDTPY TRMT PROST CANCER,16317.0,16317.0,,,0 HCPCS,C2616,"Brachytx, non-str,Yttrium-90",,,17771.01,47093.18,7 HCPCS,C2616,HC BRACHYTHERAPY SOURCE NON-STRANDED LDR IR-192,149085.0,149085.0,,,0 HCPCS,C2616,HC BRACHYTHERAPY SOURCE NON-STRANDED Y-90,149085.0,149085.0,,,0 HCPCS,C2623,HC EXPERIMENTAL DEVICE RANGER PACLITAXEL COATED PTA BAL CATH,8250.0,8250.0,,,0 HCPCS,C2638,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE STRANDED I-125,588.0,588.0,,,0 HCPCS,C2638,HC BRACHYTHERAPY SOURCE STRANDED I-125,588.0,588.0,,,0 HCPCS,C2639,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE NON-STRANDED I-125,714.0,714.0,,,0 HCPCS,C2639,HC BRACHYTHERAPY SOURCE NON-STRANDED I-125,714.0,714.0,,,0 HCPCS,C2640,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE STRANDED PD-103,380.0,380.0,,,0 HCPCS,C2640,HC BRACHYTHERAPY SOURCE STRANDED P-103,380.0,380.0,,,0 HCPCS,C2641,HC 278 SHELL CODE W/ HCPCS BRACHYTHERAPY SOURCE NON-STRANDED PD-103,380.0,380.0,,,0 HCPCS,C2641,HC BRACHYTHERAPY SOURCE NON-STRANDED P-103,380.0,380.0,,,0 HCPCS,C8001,3d anat seg imaging preop,,,134.37,356.08,11 HCPCS,C8003,Imp extar knee shck absrb,,,18310.2,48522.02,7 HCPCS,C8004,Sim ang w/prs cath rad emb,,,12055.35,31946.69,7 HCPCS,C8005,Pef bronch ablt 3d nav ebus,,,17887.96,47403.1,7 HCPCS,C8006,Inst pleu-perit shnt w pump,,,6760.47,17915.26,7 HCPCS,C8900,"Mra w/cont, abd",,,364.32,965.45,11 HCPCS,C8901,"Mra w/o cont, abd",,,249.17,660.29,11 HCPCS,C8902,HC MRA ABDOMEN W/WO CONTRAST,6162.0,6162.0,,,0 HCPCS,C8902,"Mra w/o fol w/cont, abd",,,364.32,965.45,11 HCPCS,C8903,"HC MRI W/CONT, BREAST, UNI",3800.0,3800.0,,,0 HCPCS,C8903,"Mri w/cont, breast, uni",,,183.17,485.39,11 HCPCS,C8905,"Mri w/o fol w/cont, brst, un",,,364.32,965.45,11 HCPCS,C8906,HC MRI BREASTS W/ CONTRAST BILATERAL,6083.0,6083.0,,,0 HCPCS,C8906,"Mri w/cont, breast, bi",,,364.32,965.45,11 HCPCS,C8908,"Mri w/o fol w/cont, breast,",,,364.32,965.45,11 HCPCS,C8909,"MRA w/cont, chest",,,364.32,965.45,11 HCPCS,C8910,"MRA w/o cont, chest",,,249.17,660.29,11 HCPCS,C8911,HC MRA CHEST W/WO CONTRAST,5681.0,5681.0,,,0 HCPCS,C8911,"MRA w/o fol w/cont, chest",,,364.32,965.45,11 HCPCS,C8912,"Mra w/cont, lwr ext",,,364.32,965.45,11 HCPCS,C8913,"Mra w/o cont, lwr ext",,,249.17,660.29,11 HCPCS,C8914,HC MRA LOWER EXTREMITY W/WO CONTRAST,6309.0,6309.0,,,0 HCPCS,C8914,"Mra w/o fol w/cont, lwr ext",,,364.32,965.45,11 HCPCS,C8918,"MRA w/cont, pelvis",,,364.32,965.45,11 HCPCS,C8919,"MRA w/o cont, pelvis",,,249.17,660.29,11 HCPCS,C8920,HC MRA PELVIS W/WO CONTRAST,5836.0,5836.0,,,0 HCPCS,C8920,"Mra w/o fol w/cont, pelvis",,,364.32,965.45,11 HCPCS,C8921,"Tte w or w/o fol w/cont, com",,,818.63,2169.37,7 HCPCS,C8922,"Tte w or w/o fol w/cont, f/u",,,818.63,2169.37,7 HCPCS,C8923,"2d tte w or w/o fol w/con,co",,,818.63,2169.37,7 HCPCS,C8923,HC TEE COMPLETE W W/O CONTRAST,3134.0,3134.0,,,0 HCPCS,C8924,"2d tte w or w/o fol w/con,fu",,,364.32,965.45,7 HCPCS,C8925,"2d tee w or w/o fol w/con,in",,,818.63,2169.37,7 HCPCS,C8926,"Tee w or w/o fol w/cont,cong",,,818.63,2169.37,7 HCPCS,C8927,"TEE w or w/o fol w/cont, mon",,,818.63,2169.37,7 HCPCS,C8928,HC 2D TTE W OR W/O CONT W/ STRESS,5406.0,5406.0,,,0 HCPCS,C8928,"Tte w or w/o fol w/con,stres",,,818.63,2169.37,7 HCPCS,C8929,"TTE w or wo fol wcon,Doppler",,,818.63,2169.37,7 HCPCS,C8930,"TTE w or w/o contr, cont ECG",,,818.63,2169.37,7 HCPCS,C8931,"MRA, w/dye, spinal canal",,,364.32,965.45,11 HCPCS,C8932,"MRA, w/o dye, spinal canal",,,249.17,660.29,11 HCPCS,C8933,HC MRA SPINAL CANAL W/O CONTRAST FOLLOWED W/ CONTRAST,1027.0,1027.0,,,0 HCPCS,C8933,"MRA, w/o&w/dye, spinal canal",,,364.32,965.45,11 HCPCS,C8934,"MRA, w/dye, upper extremity",,,364.32,965.45,11 HCPCS,C8935,"MRA, w/o dye, upper extr",,,249.17,660.29,11 HCPCS,C8936,"HC MRA W/O FOL W/CONT, UPR EXT",3435.0,3435.0,,,0 HCPCS,C8936,"MRA, w/o&w/dye, upper extr",,,364.32,965.45,11 HCPCS,C8937,HC CAD BREAST MRI,2.0,2.0,,,0 HCPCS,C8957,"Prolonged iv inf, req pump",,,222.12,588.62,7 HCPCS,C9046,COCAINE HCL 40 MG/ML NA SOLN,1613.6599999999999,1613.6599999999999,,,0 HCPCS,C9088,ZYNRELEF 200-6 MG/7ML IJ SOLN,1349.57,1349.57,,,0 HCPCS,C9088,ZYNRELEF 400-12 MG/14ML IJ SOLN,1430.59,1430.59,,,0 HCPCS,C9254,LACOSAMIDE 200 MG/20ML IV SOLN,252.2,252.2,,,0 HCPCS,C9257,BEVACIZUMAB 1.25 MG/0.05ML IZ SOSY,1454.24,1454.24,,,0 HCPCS,C9290,EXPAREL 1.3 % IJ SUSP,1259.74,1259.74,,,0 HCPCS,C9352,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 CM) NEURAGEN PER CM LENGTH,7878.0,7878.0,,,0 HCPCS,C9352,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 CM) NEURAGEN PER CM LENGTH,6784.0,6784.0,,,0 HCPCS,C9353,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 CM) NEURAWRAP PER CM LENGTH,1362.0,1362.0,,,0 HCPCS,C9353,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 CM) NEURAWRAP PER CM LENGTH,1362.0,1362.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 108 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 112 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 144 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9354,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) VERITAS PER SQ CM,91.0,91.0,,,0 HCPCS,C9355,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 HALF CM) NEUROMATRIX PER 0.5 CM LENGTH,979.0,979.0,,,0 HCPCS,C9356,HC SUPPLY CHARGE SKIN SUB (TOT SZ 10 SC) TENOGLIDE PER SQ CM,4142.0,4142.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1000 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 112 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 120 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1200 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 144 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 15 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 192 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2000 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 238 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 30 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 640 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,96.0,96.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 650 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 800 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9358,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 HALF SC) SURGIMEND FTL PER 0.5 SQ CM,79.0,79.0,,,0 HCPCS,C9360,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1000 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,83.0,83.0,,,0 HCPCS,C9360,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1200 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,165.0,165.0,,,0 HCPCS,C9360,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1300 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,41.0,41.0,,,0 HCPCS,C9360,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,83.0,83.0,,,0 HCPCS,C9360,HC SUPPLY CHARGE SKIN SUB (TOT SZ 60 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,83.0,83.0,,,0 HCPCS,C9360,HC SUPPLY CHARGE SKIN SUB (TOT SZ 600 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,72.0,72.0,,,0 HCPCS,C9360,HC SUPPLY CHARGE SKIN SUB (TOT SZ 640 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,83.0,83.0,,,0 HCPCS,C9360,HC SUPPLY CHARGE SKIN SUB (TOT SZ 800 HALF SC) SURGIMEND NTL PER 0.5 SQ CM,72.0,72.0,,,0 HCPCS,C9361,HC SUPPLY CHARGE SKIN SUB (TOT SZ 10 HALF CM) NEUROMEND PER 0.5 CM LENGTH,403.0,403.0,,,0 HCPCS,C9361,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 CM) NEUROMEND PER 0.5 CM LENGTH,403.0,403.0,,,0 HCPCS,C9363,HC SUPPLY CHARGE SKIN SUB (TOT SZ 125 SC) INTEGRA BMWD PER SQ CM,733.0,733.0,,,0 HCPCS,C9364,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 HCPCS,C9364,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1120 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 HCPCS,C9364,HC SUPPLY CHARGE SKIN SUB (TOT SZ 150 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 HCPCS,C9364,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 HCPCS,C9364,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 SC) PERMACOL PER SQ CM,201.0,201.0,,,0 HCPCS,C9364,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 HCPCS,C9364,HC SUPPLY CHARGE SKIN SUB (TOT SZ 504 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 HCPCS,C9364,HC SUPPLY CHARGE SKIN SUB (TOT SZ 600 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 HCPCS,C9364,HC SUPPLY CHARGE SKIN SUB (TOT SZ 800 SC) PERMACOL PER SQ CM,88.0,88.0,,,0 HCPCS,C9399,DUPIXENT 300 MG/2ML SC SOSY,18105.14,18105.14,,,0 HCPCS,C9399,NITROPRUSSIDE SODIUM 25 MG/ML IV SOLN,1523.53,1523.53,,,0 HCPCS,C9507,HC PLASMA COVID-19 CONVALESCENT ABYS,4230.0,4230.0,,,0 HCPCS,C9600,HC CCL PTA PLCMT DRUG ELUTING SNGL STENT MAJ COR VESSEL,39451.0,39451.0,,,0 HCPCS,C9600,Perc drug-el cor stent sing,,,12055.35,31946.69,7 HCPCS,C9601,HC CCL PTA PLCMT DRUG ELUTING ADDITIONAL STENT MAJ COR VESSEL,29314.0,29314.0,,,0 HCPCS,C9602,HC CCL ATHER W/DRUG ELUTING SNGL STENT MAJ COR VESSEL,39451.0,39451.0,,,0 HCPCS,C9602,Perc d-e cor stent ather s,,,19143.34,50729.86,7 HCPCS,C9603,HC CCL ATHER W/DRUG ELUTING ADDITIONAL STENT MAJ COR VESSEL,29314.0,29314.0,,,0 HCPCS,C9604,HC CCL REVAS COR GRAFT W DRUG STENT PLCMT SINGLE,39451.0,39451.0,,,0 HCPCS,C9604,Perc d-e cor revasc t cabg s,,,12055.35,31946.69,7 HCPCS,C9605,HC CCL REVAS COR GRAFT W DRUG STENT PLCMT ADDITIONAL,29314.0,29314.0,,,0 HCPCS,C9606,HC CCL AMI REVAS W DRUG STENT PLCMT SINGLE,39451.0,39451.0,,,0 HCPCS,C9607,HC CCL REVAS CHRON OCCL W DRUG STENT PLCMT SINGLE,39451.0,39451.0,,,0 HCPCS,C9607,Perc d-e cor revasc chro sin,,,19143.34,50729.86,7 HCPCS,C9608,HC PERC D-E COR REVASC CHRO ADDITIONAL,29314.0,29314.0,,,0 HCPCS,C9608,HC REVSC CHRN OCL COR EA ADL,29314.0,29314.0,,,0 HCPCS,C9725,Place endorectal app,,,971.14,2573.51,7 HCPCS,C9727,Insert palate implants,,,1620.29,4293.76,7 HCPCS,C9728,"Place device/marker, non pro",,,1445.42,3830.36,7 HCPCS,C9733,Non-ophthalmic FVA,,,364.32,965.45,11 HCPCS,C9734,"U/s trtmt, not leiomyomata",,,13407.17,35528.99,7 HCPCS,C9739,Cystoscopy prostatic imp 1-3,,,5599.21,14837.91,7 HCPCS,C9740,Cysto impl 4 or more,,,9885.63,26196.91,7 HCPCS,C9757,Spine/lumbar disk surgery,,,13407.17,35528.99,7 HCPCS,C9761,"Cysto, litho, vacuum kidney",,,9885.63,26196.91,7 HCPCS,C9762,Cardiac MRI seg dys strain,,,570.61,1512.12,11 HCPCS,C9763,Cardiac MRI seg dys stress,,,570.61,1512.12,11 HCPCS,C9764,HC REVASC ENDOVAS ANY VESSEL W/ IV LITHO/ANGIO,30475.0,30475.0,,,0 HCPCS,C9764,Revasc intravasc lithotripsy,,,12055.35,31946.69,7 HCPCS,C9765,HC REVASC ENDOVAS ANY VESSEL W/ IV LITHO/ANGIO/STENT,61923.0,61923.0,,,0 HCPCS,C9765,Revasc intra lithotrip-stent,,,19143.34,50729.86,7 HCPCS,C9766,HC REVASC ENDOVAS ANY VESSEL W/ IV LITHO/ATHER,61923.0,61923.0,,,0 HCPCS,C9766,Revasc intra lithotrip-ather,,,19143.34,50729.86,7 HCPCS,C9767,HC REVASC ENDOVAS ANY VESSEL W/ IV LITHO/ATHER/STENT,59070.0,59070.0,,,0 HCPCS,C9767,Revasc lithotrip-stent-ather,,,19143.34,50729.86,7 HCPCS,C9772,HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO,61923.0,61923.0,,,0 HCPCS,C9772,Revasc lithotrip tibi/perone,,,12055.35,31946.69,7 HCPCS,C9773,HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO/STENT,99049.0,99049.0,,,0 HCPCS,C9773,Revasc lithotr-stent tib/per,,,19143.34,50729.86,7 HCPCS,C9774,HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO/ATHER,99049.0,99049.0,,,0 HCPCS,C9774,Revasc lithotr-ather tib/per,,,19143.34,50729.86,7 HCPCS,C9775,HC REVASC TIBIAL/PERONEAL ART W/ IV LITHO/ATHER/STENT,99049.0,99049.0,,,0 HCPCS,C9775,Revasc lith-sten-ath tib/per,,,19143.34,50729.86,7 HCPCS,C9777,Esophag mucosal integ add-on,,,4026.19,10669.4,7 HCPCS,C9778,"Colpopexy, min/inv, ex-perit",,,5223.95,13843.48,7 HCPCS,C9779,ESD endoscopy or colonoscopy,,,4026.19,10669.4,7 HCPCS,C9781,Arthro/shoul surg; w/spacer,,,13407.17,35528.99,7 HCPCS,C9783,Blind cor sinus reducer impl,,,12055.35,31946.69,7 HCPCS,C9785,Endo outlet restrict w/tube,,,11100.51,29416.36,7 HCPCS,C9789,HC INSTILL ANTINEOPLASTIC PHARM RENAL PELVIS W/IMG & VOL MEAS,9269.0,9269.0,,,0 HCPCS,C9791,Mri hyperpolarized xenon129,,,1278.19,3387.19,11 HCPCS,C9793,Pre-plan 3d model w/ccta,,,896.76,2376.43,7 HCPCS,C9796,Rpr intst excl anrect fist,,,2898.56,7681.2,7 HCPCS,C9797,Vasc emb/occ w/prs cath,,,19143.34,50729.86,7 HCPCS,C9901,Endo defect closure GI tract,,,11100.51,29416.36,7 HCPCS,D0120,Periodic oral evaluation,,,139.03,368.43,7 HCPCS,D0140,Limit oral eval problm focus,,,139.03,368.43,7 HCPCS,D0150,Comprehensve oral evaluation,,,139.03,368.43,7 HCPCS,D0160,Extensv oral eval prob focus,,,139.03,368.43,7 HCPCS,D0170,"Re-eval,est pt,problem focus",,,139.03,368.43,7 HCPCS,D0171,Re-eval post-op visit,,,139.03,368.43,7 HCPCS,D0180,Comp periodontal evaluation,,,139.03,368.43,7 HCPCS,D0191,Assessment of a patient,,,139.03,368.43,7 HCPCS,D0210,Intraor complete film series,,,249.17,660.29,7 HCPCS,D0220,Intraoral periapical first,,,90.88,240.83,7 HCPCS,D0240,Intraoral occlusal film,,,90.88,240.83,7 HCPCS,D0250,Extraoral 2d project image,,,90.88,240.83,7 HCPCS,D0251,Extraoral posterior image,,,90.88,240.83,7 HCPCS,D0270,Dental bitewing single image,,,90.88,240.83,7 HCPCS,D0272,Dental bitewings two images,,,90.88,240.83,7 HCPCS,D0273,Bitewings - three images,,,249.17,660.29,7 HCPCS,D0274,Bitewings four images,,,249.17,660.29,7 HCPCS,D0277,Vert bitewings 7 to 8 images,,,249.17,660.29,7 HCPCS,D0310,Dental saliography,,,249.17,660.29,7 HCPCS,D0320,Dental tmj arthrogram incl i,,,249.17,660.29,7 HCPCS,D0321,Other tmj images by report,,,90.88,240.83,7 HCPCS,D0322,Dental tomographic survey,,,109.17,289.31,7 HCPCS,D0330,Panoramic image,,,249.17,660.29,7 HCPCS,D0340,2d cephalometric image,,,90.88,240.83,7 HCPCS,D0350,Oral/facial photo images,,,90.88,240.83,7 HCPCS,D0364,Cone beam ct capt & interp,,,109.17,289.31,7 HCPCS,D0365,Cone beam ct interprete man,,,109.17,289.31,7 HCPCS,D0366,Cone beam ct interprete max,,,109.17,289.31,7 HCPCS,D0367,Cone beam ct interp both jaw,,,109.17,289.31,7 HCPCS,D0368,Cone beam ct interprete TMJ,,,109.17,289.31,7 HCPCS,D0369,Max MRI capture & interprete,,,109.17,289.31,7 HCPCS,D0370,Max ultrasound capt & interp,,,109.17,289.31,7 HCPCS,D0371,Sialoendoscopy capt & interp,,,90.88,240.83,7 HCPCS,D0380,Cone beam ct capture limited,,,109.17,289.31,7 HCPCS,D0381,Cone beam ct capt mandible,,,109.17,289.31,7 HCPCS,D0382,Cone beam ct capt maxilla,,,109.17,289.31,7 HCPCS,D0383,Cone beam ct both jaws,,,109.17,289.31,7 HCPCS,D0384,Cone beam ct capture TMJ,,,109.17,289.31,7 HCPCS,D0385,Max MRI image capture,,,109.17,289.31,7 HCPCS,D0386,Max ultrasound image capture,,,109.17,289.31,7 HCPCS,D0393,Trtmnt simulation 3d image,,,90.88,240.83,7 HCPCS,D0394,Digital sub 2 or more images,,,90.88,240.83,7 HCPCS,D0395,Fusion 2 or more 3d images,,,90.88,240.83,7 HCPCS,D0460,Pulp vitality test,,,675.11,1789.05,7 HCPCS,D0600,Non-ionizing diag proc,,,675.11,1789.05,7 HCPCS,D0701,Fracture of lower extremity M >=61.50,,,90.88,240.83,7 HCPCS,D0702,Fracture of lower extremity M >=52.50 and M <61.50,,,90.88,240.83,7 HCPCS,D0703,Fracture of lower extremity M >=41.50 and M <52.50,,,90.88,240.83,7 HCPCS,D0705,Extra oral post radio image,,,90.88,240.83,7 HCPCS,D0706,Intraoral occlus radio image,,,90.88,240.83,7 HCPCS,D0707,Intraoral periap radio image,,,90.88,240.83,7 HCPCS,D0708,Intraoral bite radio image,,,90.88,240.83,7 HCPCS,D0709,Intraoral cmplt radio images,,,90.88,240.83,7 HCPCS,D1110,Dental prophylaxis adult,,,139.03,368.43,7 HCPCS,D1510,Space maintainer fxd unilat,,,675.11,1789.05,7 HCPCS,D1516,"Fixed bilat space maint, max",,,675.11,1789.05,7 HCPCS,D1517,"Fixed bilat space maint, man",,,675.11,1789.05,7 HCPCS,D1520,Remove unilat space maintain,,,675.11,1789.05,7 HCPCS,D1526,"Remove bilat space main, max",,,675.11,1789.05,7 HCPCS,D1527,"Remove bilat space main, man",,,675.11,1789.05,7 HCPCS,D1551,Recement space maint - max,,,675.11,1789.05,7 HCPCS,D1552,Recement space maint - man,,,675.11,1789.05,7 HCPCS,D1553,Recement unilat space maint,,,675.11,1789.05,7 HCPCS,D1575,"Dist space maint, fixed unil",,,675.11,1789.05,7 HCPCS,D2140,Amalgam one surface permanen,,,675.11,1789.05,7 HCPCS,D2150,Amalgam two surfaces permane,,,675.11,1789.05,7 HCPCS,D2160,Amalgam three surfaces perma,,,675.11,1789.05,7 HCPCS,D2161,Amalgam 4 or > surfaces perm,,,675.11,1789.05,7 HCPCS,D2330,Resin one surface-anterior,,,675.11,1789.05,7 HCPCS,D2331,Resin two surfaces-anterior,,,675.11,1789.05,7 HCPCS,D2332,Resin three surfaces-anterio,,,675.11,1789.05,7 HCPCS,D2335,Resin 4/> surf or w incis an,,,675.11,1789.05,7 HCPCS,D2390,Ant resin-based cmpst crown,,,675.11,1789.05,7 HCPCS,D2391,Post 1 srfc resinbased cmpst,,,675.11,1789.05,7 HCPCS,D2392,Post 2 srfc resinbased cmpst,,,675.11,1789.05,7 HCPCS,D2393,Post 3 srfc resinbased cmpst,,,675.11,1789.05,7 HCPCS,D2394,Post >=4srfc resinbase cmpst,,,675.11,1789.05,7 HCPCS,D2410,Dental gold foil one surface,,,675.11,1789.05,7 HCPCS,D2420,Dental gold foil two surface,,,675.11,1789.05,7 HCPCS,D2430,Dental gold foil three surfa,,,675.11,1789.05,7 HCPCS,D2510,Dental inlay metalic 1 surf,,,675.11,1789.05,7 HCPCS,D2520,Dental inlay metallic 2 surf,,,675.11,1789.05,7 HCPCS,D2530,Dental inlay metl 3/more sur,,,675.11,1789.05,7 HCPCS,D2542,Dental onlay metallic 2 surf,,,675.11,1789.05,7 HCPCS,D2543,Dental onlay metallic 3 surf,,,675.11,1789.05,7 HCPCS,D2544,Dental onlay metl 4/more sur,,,675.11,1789.05,7 HCPCS,D2610,Inlay porcelain/ceramic 1 su,,,675.11,1789.05,7 HCPCS,D2620,Inlay porcelain/ceramic 2 su,,,675.11,1789.05,7 HCPCS,D2630,Dental onlay porc 3/more sur,,,675.11,1789.05,7 HCPCS,D2642,Dental onlay porcelin 2 surf,,,675.11,1789.05,7 HCPCS,D2643,Dental onlay porcelin 3 surf,,,675.11,1789.05,7 HCPCS,D2644,Dental onlay porc 4/more sur,,,675.11,1789.05,7 HCPCS,D2650,Inlay composite/resin one su,,,675.11,1789.05,7 HCPCS,D2651,Inlay composite/resin two su,,,675.11,1789.05,7 HCPCS,D2652,Dental inlay resin 3/mre sur,,,675.11,1789.05,7 HCPCS,D2662,Dental onlay resin 2 surface,,,675.11,1789.05,7 HCPCS,D2663,Dental onlay resin 3 surface,,,675.11,1789.05,7 HCPCS,D2664,Dental onlay resin 4/mre sur,,,675.11,1789.05,7 HCPCS,D2710,Crown resin-based indirect,,,675.11,1789.05,7 HCPCS,D2712,Crown 3/4 resin-based compos,,,675.11,1789.05,7 HCPCS,D2720,Crown resin w/ high noble me,,,675.11,1789.05,7 HCPCS,D2721,Crown resin w/ base metal,,,675.11,1789.05,7 HCPCS,D2722,Crown resin w/ noble metal,,,675.11,1789.05,7 HCPCS,D2740,Crown porcelain/ceramic subs,,,675.11,1789.05,7 HCPCS,D2750,Crown porcelain w/ h noble m,,,675.11,1789.05,7 HCPCS,D2751,Crown porcelain fused base m,,,675.11,1789.05,7 HCPCS,D2752,Crown porcelain w/ noble met,,,675.11,1789.05,7 HCPCS,D2753,Crown porc fused to titanium,,,675.11,1789.05,7 HCPCS,D2780,Crown 3/4 cast hi noble met,,,675.11,1789.05,7 HCPCS,D2781,Crown 3/4 cast base metal,,,675.11,1789.05,7 HCPCS,D2782,Crown 3/4 cast noble metal,,,675.11,1789.05,7 HCPCS,D2783,Crown 3/4 porcelain/ceramic,,,675.11,1789.05,7 HCPCS,D2790,Crown full cast high noble m,,,675.11,1789.05,7 HCPCS,D2791,Crown full cast base metal,,,675.11,1789.05,7 HCPCS,D2792,Crown full cast noble metal,,,675.11,1789.05,7 HCPCS,D2794,Crown-titanium,,,675.11,1789.05,7 HCPCS,D2799,Provisional crown,,,675.11,1789.05,7 HCPCS,D2910,Recement inlay onlay or part,,,675.11,1789.05,7 HCPCS,D2915,Recement cast or prefab post,,,675.11,1789.05,7 HCPCS,D2920,Re-cement or re-bond crown,,,675.11,1789.05,7 HCPCS,D2921,Reattach tooth fragment,,,675.11,1789.05,7 HCPCS,D2928,Prefab porc/cer crown perm,,,675.11,1789.05,7 HCPCS,D2929,Prefab porc/ceram crown pri,,,675.11,1789.05,7 HCPCS,D2930,Prefab stnlss steel crwn pri,,,675.11,1789.05,7 HCPCS,D2931,Prefab stnlss steel crown pe,,,675.11,1789.05,7 HCPCS,D2932,Prefabricated resin crown,,,675.11,1789.05,7 HCPCS,D2933,Prefab stainless steel crown,,,675.11,1789.05,7 HCPCS,D2934,Prefab steel crown primary,,,675.11,1789.05,7 HCPCS,D2940,Protective restoration,,,675.11,1789.05,7 HCPCS,D2949,Restorative foundation,,,675.11,1789.05,7 HCPCS,D2950,Core build-up incl any pins,,,675.11,1789.05,7 HCPCS,D2951,Tooth pin retention,,,675.11,1789.05,7 HCPCS,D2952,Post and core cast + crown,,,675.11,1789.05,7 HCPCS,D2954,Prefab post/core + crown,,,675.11,1789.05,7 HCPCS,D2957,Each addtnl prefab post,,,675.11,1789.05,7 HCPCS,D2960,Laminate labial veneer,,,675.11,1789.05,7 HCPCS,D2961,Lab labial veneer resin,,,675.11,1789.05,7 HCPCS,D2962,Lab labial veneer porcelain,,,675.11,1789.05,7 HCPCS,D2971,Add proc construct new crown,,,675.11,1789.05,7 HCPCS,D2975,Coping,,,675.11,1789.05,7 HCPCS,D2980,Crown repair,,,675.11,1789.05,7 HCPCS,D2981,Inlay repair,,,675.11,1789.05,7 HCPCS,D2982,Onlay repair,,,675.11,1789.05,7 HCPCS,D2983,Veneer repair,,,675.11,1789.05,7 HCPCS,D2990,Resin infiltration of lesion,,,675.11,1789.05,7 HCPCS,D2999,Dental unspec restorative pr,,,675.11,1789.05,7 HCPCS,D3110,Pulp cap direct,,,675.11,1789.05,7 HCPCS,D3120,Pulp cap indirect,,,675.11,1789.05,7 HCPCS,D3220,Therapeutic pulpotomy,,,675.11,1789.05,7 HCPCS,D3221,Gross pulpal debridement,,,675.11,1789.05,7 HCPCS,D3222,Part pulp for apexogenesis,,,675.11,1789.05,7 HCPCS,D3230,Pulpal therapy anterior prim,,,675.11,1789.05,7 HCPCS,D3240,Pulpal therapy posterior pri,,,675.11,1789.05,7 HCPCS,D3310,"End thxpy, anterior tooth",,,675.11,1789.05,7 HCPCS,D3320,"End thxpy, bicuspid tooth",,,675.11,1789.05,7 HCPCS,D3330,"End thxpy, molar",,,675.11,1789.05,7 HCPCS,D3331,Non-surg tx root canal obs,,,675.11,1789.05,7 HCPCS,D3332,Incomplete endodontic tx,,,675.11,1789.05,7 HCPCS,D3333,Internal root repair,,,675.11,1789.05,7 HCPCS,D3346,Retreat root canal anterior,,,675.11,1789.05,7 HCPCS,D3347,Retreat root canal bicuspid,,,675.11,1789.05,7 HCPCS,D3348,Retreat root canal molar,,,675.11,1789.05,7 HCPCS,D3351,Apexification/recalc initial,,,675.11,1789.05,7 HCPCS,D3352,Apexification/recalc interim,,,675.11,1789.05,7 HCPCS,D3353,Apexification/recalc final,,,675.11,1789.05,7 HCPCS,D3355,Pulpal regeneration initial,,,675.11,1789.05,7 HCPCS,D3356,Pulpal regeneration interim,,,675.11,1789.05,7 HCPCS,D3357,Pulpal regeneration complete,,,675.11,1789.05,7 HCPCS,D3410,Apicoectomy - anterior,,,675.11,1789.05,7 HCPCS,D3421,Root surgery bicuspid,,,675.11,1789.05,7 HCPCS,D3425,Root surgery molar,,,675.11,1789.05,7 HCPCS,D3428,Bone graft peri per tooth,,,675.11,1789.05,7 HCPCS,D3430,Retrograde filling,,,675.11,1789.05,7 HCPCS,D3431,Biological materials,,,675.11,1789.05,7 HCPCS,D3432,Guided tissue regeneration,,,675.11,1789.05,7 HCPCS,D3450,Root amputation,,,675.11,1789.05,7 HCPCS,D3460,Endodontic endosseous implan,,,675.11,1789.05,7 HCPCS,D3470,Intentional replantation,,,675.11,1789.05,7 HCPCS,D3471,Surg rep root res anterior,,,675.11,1789.05,7 HCPCS,D3472,Surg rep root res premolar,,,675.11,1789.05,7 HCPCS,D3473,Surg rep root res molar,,,675.11,1789.05,7 HCPCS,D3501,Surg exp root surf anterior,,,675.11,1789.05,7 HCPCS,D3502,Surg exp root surf premolar,,,675.11,1789.05,7 HCPCS,D3503,Surg exp root surf molar,,,675.11,1789.05,7 HCPCS,D3910,Isolation- tooth w rubb dam,,,675.11,1789.05,7 HCPCS,D3911,Intraorifice barrier,,,675.11,1789.05,7 HCPCS,D3920,Tooth splitting,,,675.11,1789.05,7 HCPCS,D3921,D?cor or submerg erupt tooth,,,675.11,1789.05,7 HCPCS,D3950,Canal prep/fitting of dowel,,,675.11,1789.05,7 HCPCS,D3999,Endodontic procedure,,,675.11,1789.05,7 HCPCS,D4210,Gingivectomy/plasty 4 or mor,,,3462.26,9175.0,7 HCPCS,D4211,Gingivectomy/plasty 1 to 3,,,3462.26,9175.0,7 HCPCS,D4212,Gingivectomy/plasty rest,,,3462.26,9175.0,7 HCPCS,D4230,Ana crown exp 4 or> per quad,,,3462.26,9175.0,7 HCPCS,D4231,Ana crown exp 1-3 per quad,,,1620.29,4293.76,7 HCPCS,D4240,Gingival flap proc w/ planin,,,3462.26,9175.0,7 HCPCS,D4241,Gngvl flap w rootplan 1-3 th,,,1620.29,4293.76,7 HCPCS,D4245,Apically positioned flap,,,1620.29,4293.76,7 HCPCS,D4249,Crown lengthen hard tissue,,,675.11,1789.05,7 HCPCS,D4260,Osseous surgery 4 or more,,,6181.95,16382.18,7 HCPCS,D4261,Osseous surg 1 to 3 teeth,,,3462.26,9175.0,7 HCPCS,D4263,Bone replce graft first site,,,675.11,1789.05,7 HCPCS,D4265,Bio mtrls to aid soft/os reg,,,675.11,1789.05,7 HCPCS,D4266,Guided tiss regen resorble,,,1620.29,4293.76,7 HCPCS,D4267,Guided tiss regen nonresorb,,,1620.29,4293.76,7 HCPCS,D4268,Surgical revision procedure,,,675.11,1789.05,7 HCPCS,D4270,Pedicle soft tissue graft pr,,,1620.29,4293.76,7 HCPCS,D4273,Auto tissue graft 1st tooth,,,1620.29,4293.76,7 HCPCS,D4274,Mesial/distal wedge proc,,,675.11,1789.05,7 HCPCS,D4275,Non-auto graft 1st tooth,,,1620.29,4293.76,7 HCPCS,D4276,Con tissue w dble ped graft,,,1620.29,4293.76,7 HCPCS,D4277,Soft tissue graft firsttooth,,,1620.29,4293.76,7 HCPCS,D4322,Splint intra-coronal,,,675.11,1789.05,7 HCPCS,D4323,Splint extra-coronal,,,675.11,1789.05,7 HCPCS,D4341,Periodontal scaling & root,,,675.11,1789.05,7 HCPCS,D4342,Periodontal scaling 1-3teeth,,,675.11,1789.05,7 HCPCS,D4346,Scaling gingiv inflammation,,,675.11,1789.05,7 HCPCS,D4355,Full mouth debridement,,,675.11,1789.05,7 HCPCS,D4381,Localized delivery antimicro,,,675.11,1789.05,7 HCPCS,D4910,Periodontal maint procedures,,,675.11,1789.05,7 HCPCS,D4920,Unscheduled dressing change,,,675.11,1789.05,7 HCPCS,D4921,Gingival irrigation per quad,,,139.03,368.43,7 HCPCS,D4999,Unspecified periodontal proc,,,247.34,655.44,7 HCPCS,D5911,Facial moulage sectional,,,675.11,1789.05,7 HCPCS,D5912,Facial moulage complete,,,675.11,1789.05,7 HCPCS,D5983,Radiation applicator,,,675.11,1789.05,7 HCPCS,D5984,Radiation shield,,,675.11,1789.05,7 HCPCS,D5985,Radiation cone locator,,,675.11,1789.05,7 HCPCS,D5987,Commissure splint,,,675.11,1789.05,7 HCPCS,D5988,Surgical splint,,,675.11,1789.05,7 HCPCS,D6920,Dental connector bar,,,675.11,1789.05,7 HCPCS,D7111,Extraction coronal remnants,,,675.11,1789.05,7 HCPCS,D7140,Extraction erupted tooth/exr,,,675.11,1789.05,7 HCPCS,D7210,Rem imp tooth w mucoper flp,,,1620.29,4293.76,7 HCPCS,D7220,Impact tooth remov soft tiss,,,675.11,1789.05,7 HCPCS,D7230,Impact tooth remov part bony,,,675.11,1789.05,7 HCPCS,D7240,Impact tooth remov comp bony,,,675.11,1789.05,7 HCPCS,D7241,Impact tooth rem bony w/comp,,,675.11,1789.05,7 HCPCS,D7250,Tooth root removal,,,675.11,1789.05,7 HCPCS,D7251,Coronectomy,,,1620.29,4293.76,7 HCPCS,D7260,Oral antral fistula closure,,,675.11,1789.05,7 HCPCS,D7261,Primary closure sinus perf,,,675.11,1789.05,7 HCPCS,D7270,Tooth reimplantation,,,675.11,1789.05,7 HCPCS,D7272,Tooth transplantation,,,675.11,1789.05,7 HCPCS,D7280,Exposure of unerupted tooth,,,675.11,1789.05,7 HCPCS,D7291,Transseptal fiberotomy,,,675.11,1789.05,7 HCPCS,D7310,Alveoplasty w/ extraction,,,1620.29,4293.76,7 HCPCS,D7311,Alveoloplasty w/extract 1-3,,,1620.29,4293.76,7 HCPCS,D7320,Alveoplasty w/o extraction,,,1620.29,4293.76,7 HCPCS,D7321,Alveoloplasty not w/extracts,,,1620.29,4293.76,7 HCPCS,D7340,Vestibuloplasty ridge extens,,,6181.95,16382.18,7 HCPCS,D7350,Vestibuloplasty exten graft,,,6181.95,16382.18,7 HCPCS,D7410,Rad exc lesion up to 1.25 cm,,,1620.29,4293.76,7 HCPCS,D7411,Excision benign lesion>1.25c,,,1620.29,4293.76,7 HCPCS,D7412,Excision benign lesion compl,,,1620.29,4293.76,7 HCPCS,D7413,Excision malig lesion<=1.25c,,,1620.29,4293.76,7 HCPCS,D7414,Excision malig lesion>1.25cm,,,1620.29,4293.76,7 HCPCS,D7415,Excision malig les complicat,,,1620.29,4293.76,7 HCPCS,D7440,Malig tumor exc to 1.25 cm,,,3462.26,9175.0,7 HCPCS,D7441,Malig tumor > 1.25 cm,,,3462.26,9175.0,7 HCPCS,D7450,Rem odontogen cyst to 1.25cm,,,3462.26,9175.0,7 HCPCS,D7451,Rem odontogen cyst > 1.25 cm,,,3462.26,9175.0,7 HCPCS,D7460,Rem nonodonto cyst to 1.25cm,,,675.11,1789.05,7 HCPCS,D7461,Rem nonodonto cyst > 1.25 cm,,,675.11,1789.05,7 HCPCS,D7471,Rem exostosis any site,,,3462.26,9175.0,7 HCPCS,D7472,Removal of torus palatinus,,,675.11,1789.05,7 HCPCS,D7473,Remove torus mandibularis,,,675.11,1789.05,7 HCPCS,D7485,Surg reduct osseoustuberosit,,,6181.95,16382.18,7 HCPCS,D7510,I&d absc intraoral soft tiss,,,739.49,1959.64,7 HCPCS,D7511,Incision/drain abscess intra,,,739.49,1959.64,7 HCPCS,D7520,I&d abscess extraoral,,,739.49,1959.64,7 HCPCS,D7521,Incision/drain abscess extra,,,739.49,1959.64,7 HCPCS,D7530,Removal fb skin/areolar tiss,,,675.11,1789.05,7 HCPCS,D7540,Removal of fb reaction,,,675.11,1789.05,7 HCPCS,D7550,Removal of sloughed off bone,,,675.11,1789.05,7 HCPCS,D7670,Closd rductn splint alveolus,,,3462.26,9175.0,7 HCPCS,D7671,Alveolus open reduction,,,6181.95,16382.18,7 HCPCS,D7770,Open reduc compd alveolus fx,,,6181.95,16382.18,7 HCPCS,D7771,Alveolus clsd reduc stblz te,,,3462.26,9175.0,7 HCPCS,D7874,Tmj arthroscopy disc reposit,,,3416.88,9054.74,7 HCPCS,D7922,Place intra-socket bio dress,,,675.11,1789.05,7 HCPCS,D7940,Reshaping bone orthognathic,,,675.11,1789.05,7 HCPCS,D7950,Mandible graft,,,6181.95,16382.18,7 HCPCS,D9930,Treatment of complications,,,675.11,1789.05,7 HCPCS,D9944,"Occ guard, hard, full arch",,,675.11,1789.05,7 HCPCS,D9945,"Occ guard, soft, full arch",,,675.11,1789.05,7 HCPCS,D9946,"Occ guard, hard, part arch",,,675.11,1789.05,7 HCPCS,D9950,Occlusion analysis,,,675.11,1789.05,7 HCPCS,D9951,Limited occlusal adjustment,,,675.11,1789.05,7 HCPCS,D9952,Complete occlusal adjustment,,,675.11,1789.05,7 HCPCS,E0201,Penile contractur devic manu,,,146.52,388.28,7 HCPCS,E0736,Transcut tibial nerv stimula,,,52.38,138.81,7 HCPCS,E0738,Upper extremity rehab,,,2039.64,5405.05,7 HCPCS,E0739,Rehab sys active assist rt,,,1597.66,4233.8,7 HCPCS,E1905,Vr cbt therapy,,,674.77,1788.14,7 HCPCS,E2104,Glucose monitor w cartridge,,,54.52,144.48,7 HCPCS,G0008,Admin influenza virus vac,,,48.9,129.58,7 HCPCS,G0008,FLUBLOK 0.5 ML IM SOSY,1274.22,1274.22,,,0 HCPCS,G0009,Admin pneumococcal vaccine,,,48.9,129.58,7 HCPCS,G0010,Admin hepatitis b vaccine,,,48.9,129.58,7 HCPCS,G0010,HC ADMIN HEPATITIS B VACCINE,282.0,282.0,,,0 HCPCS,G0012,Injection of hiv prep drug,,,75.19,199.25,7 HCPCS,G0023,HC PRICIPAL ILLNESS NAVIGATION 60MIN/MONTH,741.0,741.0,,,0 HCPCS,G0027,Semen analysis,,,6.5,17.22,7 HCPCS,G0101,HC CA SCREEN;PELVIC/BREAST EXAM,698.0,698.0,,,0 HCPCS,G0103,PSA Screening,,,19.31,51.17,7 HCPCS,G0104,CA screen;flexi sigmoidscope,,,971.14,2573.51,7 HCPCS,G0105,Colorectal scrn; hi risk ind,,,971.14,2573.51,7 HCPCS,G0108,Diab manage trn per indiv,,,57.18,151.53,7 HCPCS,G0108,HC DIAB MANAGE TRN PER INDIV,247.0,247.0,,,0 HCPCS,G0109,Diab manage trn ind/group,,,16.84,44.63,7 HCPCS,G0109,HC DIAB MANAGE TRN IND/GROUP,103.0,103.0,,,0 HCPCS,G0118,Glaucoma scrn hgh risk direc,,,39.0,103.36,7 HCPCS,G0121,Colon ca scrn not hi rsk ind,,,971.14,2573.51,7 HCPCS,G0121,HC COLON CA SCRN NOT HI RSK IND,5407.0,5407.0,,,0 HCPCS,G0123,Screen cerv/vag thin layer,,,20.26,53.69,7 HCPCS,G0124,HC CYTOPATH CERV/VAG THIN LAYER INTERPRET - PAP TEST,118.5,118.5,,,0 HCPCS,G0127,Trim nail(s),,,61.6,163.25,7 HCPCS,G0130,Single energy x-ray study,,,109.17,289.31,11 HCPCS,G0143,"Scr c/v cyto,thinlayer,rescr",,,27.05,71.68,7 HCPCS,G0144,"Scr c/v cyto,thinlayer,rescr",,,43.97,116.52,7 HCPCS,G0145,"Scr c/v cyto,thinlayer,rescr",,,26.49,70.2,7 HCPCS,G0147,"Scr c/v cyto, automated sys",,,18.54,49.13,7 HCPCS,G0148,"Scr c/v cyto, autosys, rescr",,,31.94,84.64,7 HCPCS,G0166,"Extrnl counterpulse, per tx",,,138.94,368.19,7 HCPCS,G0168,HC WOUND CLOSURE BY ADHESIVE,662.0,662.0,,,0 HCPCS,G0175,"Opps service,sched team conf",,,435.74,1154.71,7 HCPCS,G0176,HC BH ACTIVITY THERAPY PER SESSION,671.0,671.0,,,0 HCPCS,G0183,Software meas of cardiac vol,,,90.88,240.83,7 HCPCS,G0186,"Dstry eye lesn,fdr vssl tech",,,574.35,1522.03,7 HCPCS,G0202,Scr mammo bi incl cad,,,159.64,248.95,5 HCPCS,G0204,Dx mammo incl cad bi,,,192.89,300.8,5 HCPCS,G0206,Dx mammo incl cad uni,,,151.04,235.54,5 HCPCS,G0235,PET not otherwise specified,,,417.47,1106.3,11 HCPCS,G0237,HC THERAPEUTIC PROCD STRG ENDUR,282.0,282.0,,,0 HCPCS,G0238,"HC OTH RESP PROC, INDIV",282.0,282.0,,,0 HCPCS,G0239,"HC OTH RESP PROC, GROUP",282.0,282.0,,,0 HCPCS,G0239,"Oth resp proc, group",,,39.0,103.36,7 HCPCS,G0245,Initial foot exam pt lops,,,139.03,368.43,7 HCPCS,G0246,Followup eval of foot pt lop,,,139.03,368.43,7 HCPCS,G0247,Routine footcare pt w lops,,,209.52,555.22,7 HCPCS,G0248,Demonstrate use home inr mon,,,139.03,368.43,7 HCPCS,G0249,Provide INR test mater/equip,,,139.03,368.43,7 HCPCS,G0257,HC UNSCHED DIALYSIS ESRD PT HOS,5223.0,5223.0,,,0 HCPCS,G0257,Unsched dialysis ESRD pt hos,,,716.7,1899.27,7 HCPCS,G0260,HC INJ FOR SACROILIAC JT ANESTH,3710.0,3710.0,,,0 HCPCS,G0260,Inj for sacroiliac jt anesth,,,737.14,1953.41,7 HCPCS,G0269,HC OCCLUSIVE DEVICE IN VEIN ART,1417.0,1417.0,,,0 HCPCS,G0270,HC MNT SUBS TX FOR CHANGE DX,2.0,2.0,,,0 HCPCS,G0270,MNT subs tx for change dx,,,22.83,60.5,7 HCPCS,G0271,Group MNT 2 or more 30 mins,,,13.02,34.5,7 HCPCS,G0276,Pild/placebo control clin tr,,,7577.51,20080.41,7 HCPCS,G0277,"Hbot, full body chamber, 30m",,,143.7,380.81,7 HCPCS,G0278,"HC ILIAC ART ANGIO,CARDIAC CATH",10819.0,10819.0,,,0 HCPCS,G0279,HC MA TOMOSYNTHESIS DIAG ADD ON,213.0,213.0,,,0 HCPCS,G0279,"Tomosynthesis, mammo",,,12.86,43.45,11 HCPCS,G0281,Elec stim unattend for press,,,12.42,32.91,7 HCPCS,G0283,Elec stim other than wound,,,13.46,35.67,7 HCPCS,G0293,"Non-cov surg proc,clin trial",,,39.0,103.36,7 HCPCS,G0294,"Non-cov proc, clinical trial",,,39.0,103.36,7 HCPCS,G0302,Pre-op service LVRS complete,,,389.68,1032.65,7 HCPCS,G0303,Pre-op service LVRS 10-15dos,,,225.48,597.53,7 HCPCS,G0304,Pre-op service LVRS 1-9 dos,,,389.68,1032.65,7 HCPCS,G0305,Post op service LVRS min 6,,,389.68,1032.65,7 HCPCS,G0306,CBC/diffwbc w/o platelet,,,7.77,20.59,7 HCPCS,G0307,CBC without platelet,,,6.47,17.15,7 HCPCS,G0328,Fecal blood scrn immunoassay,,,18.05,47.83,7 HCPCS,G0329,Electromagntic tx for ulcers,,,11.54,30.58,7 HCPCS,G0330,Facility svs dental rehab,,,3462.26,9175.0,7 HCPCS,G0378,HC OBSERVATION CARVE-OUT,335.0,335.0,,,0 HCPCS,G0378,HC OBSERVATION CARVE-OUT - CARDIOLOGY,335.0,335.0,,,0 HCPCS,G0378,HC OBSERVATION CARVE-OUT - G.I.,335.0,335.0,,,0 HCPCS,G0378,HC OBSERVATION CARVE-OUT - INFUSION,335.0,335.0,,,0 HCPCS,G0378,HC OBSERVATION CARVE-OUT - PT OT ST,335.0,335.0,,,0 HCPCS,G0378,HC OBSERVATION CARVE-OUT - RADIOLOGY,335.0,335.0,,,0 HCPCS,G0378,HC OBSERVATION CARVE-OUT - RECOVERY TIME,335.0,335.0,,,0 HCPCS,G0378,HC OBSERVATION CARVE-OUT - RESPIRATORY,335.0,335.0,,,0 HCPCS,G0378,HC OBSERVATION CARVE-OUT - REVENUE INTEGRITY,335.0,335.0,,,0 HCPCS,G0378,HC OBSERVATION CARVE-OUT - SURGICAL,335.0,335.0,,,0 HCPCS,G0379,Direct refer hospital observ,,,621.9,1648.04,7 HCPCS,G0379,HC DIRECT REFER HOSPITAL OBSERV,315.0,315.0,,,0 HCPCS,G0397,Alcohol/subs interv >30 min,,,185.35,491.19,7 HCPCS,G0398,HC HOME SLEEP TEST TYPE II,1303.0,1303.0,,,0 HCPCS,G0398,Home sleep test/type 2 porta,,,225.48,597.53,7 HCPCS,G0399,HC HOME SLEEP TEST TYPE III,888.0,888.0,,,0 HCPCS,G0399,Home sleep test/type 3 porta,,,225.48,597.53,7 HCPCS,G0400,HC HOME SLEEP STUDY TYPE 4,819.0,819.0,,,0 HCPCS,G0400,Home sleep test/type 4 porta,,,225.48,597.53,7 HCPCS,G0402,Initial preventive exam,,,139.03,368.43,7 HCPCS,G0404,HC EEG INIT PREVENT EXAM,231.0,231.0,,,0 HCPCS,G0412,Open tx iliac spine uni/bil,,,7577.51,20080.41,7 HCPCS,G0413,Pelvic ring fracture uni/bil,,,7577.51,20080.41,7 HCPCS,G0414,Pelvic ring fx treat int fix,,,7577.51,20080.41,7 HCPCS,G0415,Open tx post pelvic fxcture,,,3416.88,9054.74,7 HCPCS,G0416,"HC SURGICAL PATHOLOGY PROSTATE NEEDLE BIOPSY, ANY NUMBER OF SPECIMENS",14550.0,14550.0,,,0 HCPCS,G0416,"Prostate biopsy, any mthd",,,374.32,991.94,7 HCPCS,G0420,Ed svc CKD ind per session,,,117.57,311.56,7 HCPCS,G0421,Ed svc CKD grp per session,,,29.32,77.7,7 HCPCS,G0422,HC INTENSIVE CARDIAC REHAB W/ EXERCISE,710.0,710.0,,,0 HCPCS,G0422,Intens cardiac rehab w/exerc,,,134.62,356.73,7 HCPCS,G0423,HC INTENSIVE CARDIAC REHAB W/O EXERCISE,710.0,710.0,,,0 HCPCS,G0423,Intens cardiac rehab no exer,,,134.62,356.73,7 HCPCS,G0429,Dermal filler injection(s),,,2154.64,5709.8,7 HCPCS,G0432,EIA HIV-1/HIV-2 screen,,,19.57,51.86,7 HCPCS,G0432,"HC HIV-1/HIV-2, SINGLE ASSAY - HIV 1 AND 2 SCREEN",473.0,473.0,,,0 HCPCS,G0433,ELISA HIV-1/HIV-2 screen,,,18.29,48.47,7 HCPCS,G0435,Oral hiv-1/hiv-2 screen,,,11.98,31.75,7 HCPCS,G0438,"PPPS, initial visit",,,180.0,477.0,7 HCPCS,G0439,"PPPS, subseq visit",,,136.75,362.39,7 HCPCS,G0452,HC MOLECULAR PATH PHYSICIAN INTERPRETATION,299.0,299.0,,,0 HCPCS,G0455,Fecal microbiota prep instil,,,971.14,2573.51,7 HCPCS,G0460,Autologous PRP for ulcers,,,2154.64,5709.8,7 HCPCS,G0463,Hospital outpt clinic visit,,,139.03,368.43,7 HCPCS,G0471,Ven blood coll snf/hha,,,11.34,30.05,7 HCPCS,G0472,HC HEPATITIS C AB TEST - HEPATITIS C ANTIBODY HIGH RISK SCREEN,565.0,565.0,,,0 HCPCS,G0472,Hep c screen high risk/other,,,46.35,122.83,7 HCPCS,G0475,Hiv combination assay,,,24.08,63.81,7 HCPCS,G0476,Hpv combo assay ca screen,,,35.09,92.99,7 HCPCS,G0480,Drug test def 1-7 classes,,,114.43,303.24,7 HCPCS,G0480,HC DRUG ID PANEL 1 - 7 CLASSES PER DAY,353.0,353.0,,,0 HCPCS,G0481,Drug test def 8-14 classes,,,156.59,414.96,7 HCPCS,G0482,Drug test def 15-21 classes,,,198.74,526.66,7 HCPCS,G0483,Drug test def 22+ classes,,,246.92,654.34,7 HCPCS,G0498,Chemo extend iv infus w/pump,,,344.93,914.07,7 HCPCS,G0498,"HC IV INF BY EXT PUMP, CHEMO, 8+ HOURS W/FOLLOW-UP",2361.0,2361.0,,,0 HCPCS,G0499,Hepb screen high risk indiv,,,28.27,74.92,7 HCPCS,G0516,"Insert drug del implant, >4",,,466.5,1236.24,7 HCPCS,G0517,Remove drug implant,,,466.5,1236.24,7 HCPCS,G0518,Remove w insert drug implant,,,466.5,1236.24,7 HCPCS,G0539,Initial care training 30 m,,,39.65,105.07,7 HCPCS,G0540,Train for caregiver add 15,,,21.17,56.1,7 HCPCS,G0552,Supply of digital device,,,139.03,368.43,7 HCPCS,G0553,Monthly tx for dmht 20mins,,,139.03,368.43,7 HCPCS,G0555,Replacment pt electronic sys,,,896.76,2376.43,7 HCPCS,G0560,Safety plan interven,,,39.72,105.26,7 HCPCS,G0566,3d bn img algor drvd fr mri,,,134.37,356.08,7 HCPCS,G0567,Screening Hep C detect,,,35.09,92.99,7 HCPCS,G0659,Drug test def simple all cl,,,62.14,164.67,7 HCPCS,G2000,Blinded conv. Tx MDD clin tr,,,389.68,1032.65,7 HCPCS,G2066,HC ICM/ILR REMOTE TECH SERVICE,126.0,126.0,,,0 HCPCS,G2082,HC OP ESKETAMINE ADMIN SUPERVISION AND OBSERVATION,4300.0,4300.0,,,0 HCPCS,G2083,HC OP ESKETAMINE ADMIN SUPERVISION AND OBSERVATION REMS,3496.0,3496.0,,,0 HCPCS,G2086,Off base opioid tx 70min,,,185.35,491.19,7 HCPCS,G2087,"Off base opioid tx, 60 m",,,185.35,491.19,7 HCPCS,G2212,HC PROLONGED OFFICE /OP VISIT EACH ADDL 15 MIN,92.0,92.0,,,0 HCPCS,G2214,HC INIT/SUB PSYCH CARE MGMT INIT MONTHLY 1ST 30 MIN,284.0,284.0,,,0 HCPCS,G2250,"Remot img sub by pt, non e/m",,,8.11,21.49,7 HCPCS,G2251,"Brief chkin, 5-10, non-e/m",,,10.98,29.1,7 HCPCS,G2252,"Brief chkin by md/qhp, 11-20",,,23.51,62.3,7 HCPCS,G6001,HC ULTRASONIC IMAGE GUIDANCE,167.0,167.0,,,0 HCPCS,H0015,HC BH IOP PER DIEM DRUG & ALCOHOL,1215.0,1215.0,,,0 HCPCS,H0031,HC MH HEALTH ASSESS BY NON-MD,589.0,589.0,,,0 HCPCS,H0032,HC MH SVC PLAN DEV BY NON-MD,589.0,589.0,,,0 HCPCS,H2012,"HC BEHAV HLTH DAY TREAT, PER HR",975.0,975.0,,,0 HCPCS,H2014,"HC BH SKILLS TRAINING & DEVELOPMENT, PER 15 MIN",225.0,225.0,,,0 HCPCS,H2019,"HC THER BEHAV SVC, PER 15 MIN",357.0,357.0,,,0 HCPCS,J0131,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,109.26,109.26,,,0 HCPCS,J0132,ACETYLCYSTEINE 200 MG/ML IV SOLN,219.11,219.11,,,0 HCPCS,J0133,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,102.52,102.52,,,0 HCPCS,J0134,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,44.27,44.27,,,0 HCPCS,J0136,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,54.91,54.91,,,0 HCPCS,J0136,ACETAMINOPHEN 500 MG/50 ML IV SOLN,82.8,82.8,,,0 HCPCS,J0137,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,109.71,109.71,,,0 HCPCS,J0153,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,927.815,927.815,,,0 HCPCS,J0153,ADENOSINE 12 MG/4ML IV SOLN,233.565,233.565,,,0 HCPCS,J0153,ADENOSINE 6 MG/2ML IV SOLN,79.11,79.11,,,0 HCPCS,J0171,EPINEPHRINE 1 MG/10ML IV SOSY,265.59,265.59,,,0 HCPCS,J0171,EPINEPHRINE 30 MG/30ML IJ SOLN,99.7,99.7,,,0 HCPCS,J0185,CINVANTI 130 MG/18ML IV EMUL,2279.9,2279.9,,,0 HCPCS,J0280,AMINOPHYLLINE 25 MG/ML IV SOLN,56.875,56.875,,,0 HCPCS,J0282,AMIODARONE HCL 150 MG/3ML IV SOLN,119.64,119.64,,,0 HCPCS,J0282,AMIODARONE HCL 450 MG/9ML IV SOLN,153.625,153.625,,,0 HCPCS,J0283,NEXTERONE 150-4.21 MG/100ML-% IV SOLN,383.28,383.28,,,0 HCPCS,J0283,NEXTERONE 360-4.14 MG/200ML-% IV SOLN,526.5,526.5,,,0 HCPCS,J0290,AMPICILLIN SODIUM 2 G IJ SOLR,86.77,86.77,,,0 HCPCS,J0295,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,105.36,105.36,,,0 HCPCS,J0295,UNASYN 3 (2-1) G IJ SOLR,116.36,116.36,,,0 HCPCS,J0330,ANECTINE 20 MG/ML IJ SOLN,99.69,99.69,,,0 HCPCS,J0330,QUELICIN 20 MG/ML IJ SOLN,38.25,38.25,,,0 HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY,119.97,119.97,,,0 HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,58.14,58.14,,,0 HCPCS,J0330,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,168.35,168.35,,,0 HCPCS,J0360,HYDRALAZINE HCL 20 MG/ML IJ SOLN,100.34,100.34,,,0 HCPCS,J0456,AZITHROMYCIN 500 MG IV SOLR,83.4,83.4,,,0 HCPCS,J0456,ZITHROMAX 500 MG IV SOLR,77.46,77.46,,,0 HCPCS,J0461,ATROPINE SULFATE 0.4 MG/ML IV SOLN,118.515,118.515,,,0 HCPCS,J0461,ATROPINE SULFATE 1 MG/10ML IJ SOSY,124.75999999999999,124.75999999999999,,,0 HCPCS,J0461,ATROPINE SULFATE 1 MG/ML IV SOLN,140.905,140.905,,,0 HCPCS,J0500,DICYCLOMINE HCL 10 MG/ML IM SOLN,219.84,219.84,,,0 HCPCS,J0515,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN,197.77,197.77,,,0 HCPCS,J0517,FASENRA 30 MG/ML SC SOSY,50606.14,50606.14,,,0 HCPCS,J0517,HC INJ BENRALIZUMAB 1MG,1092.0,1092.0,,,0 HCPCS,J0561,BICILLIN L-A 1200000 UNIT/2ML IM SUSY,3213.61,3213.61,,,0 HCPCS,J0561,BICILLIN L-A 2400000 UNIT/4ML IM SUSY,6425.71,6425.71,,,0 HCPCS,J0565,ZINPLAVA 1000 MG/40ML IV SOLN,11334.91,11334.91,,,0 HCPCS,J0595,BUTORPHANOL TARTRATE 2 MG/ML IJ SOLN,111.53,111.53,,,0 HCPCS,J0612,CALCIUM GLUCONATE 10 % IV SOLN,210.49,210.49,,,0 HCPCS,J0612,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,173.25,173.25,,,0 HCPCS,J0612,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN,225.06,225.06,,,0 HCPCS,J0613,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,161.46,161.46,,,0 HCPCS,J0630,MIACALCIN 200 UNIT/ML IJ SOLN,3752.05,3752.05,,,0 HCPCS,J0640,LEUCOVORIN CALCIUM 100 MG IJ SOLR,376.28499999999997,376.28499999999997,,,0 HCPCS,J0640,LEUCOVORIN CALCIUM 200 MG IJ SOLR,935.97,935.97,,,0 HCPCS,J0640,LEUCOVORIN CALCIUM 350 MG IJ SOLR,278.79,278.79,,,0 HCPCS,J0640,LEUCOVORIN CALCIUM 50 MG IJ SOLR,375.69,375.69,,,0 HCPCS,J0640,LEUCOVORIN CALCIUM 500 MG IJ SOLR,1969.34,1969.34,,,0 HCPCS,J0665,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,38.12,38.12,,,0 HCPCS,J0665,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,29.9,29.9,,,0 HCPCS,J0665,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,34.86,34.86,,,0 HCPCS,J0665,BUPIVACAINE HCL 0.25 % IJ SOLN,2.605,2.605,,,0 HCPCS,J0665,BUPIVACAINE HCL 0.5 % IJ SOLN,5.07,5.07,,,0 HCPCS,J0665,BUPIVACAINE SPINAL 0.75-8.25 % IT SOLN,7.68,7.68,,,0 HCPCS,J0665,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN,181.62,181.62,,,0 HCPCS,J0665,BUPIVACAINE-EPINEPHRINE 0.25% -1:200000 IJ SOLN,135.83,135.83,,,0 HCPCS,J0665,MARCAINE 0.75 % IJ SOLN,175.48,175.48,,,0 HCPCS,J0665,MARCAINE PRESERVATIVE FREE 0.25 % IJ SOLN,25.79,25.79,,,0 HCPCS,J0665,MARCAINE PRESERVATIVE FREE 0.5 % IJ SOLN,11.8,11.8,,,0 HCPCS,J0665,MARCAINE SPINAL 0.75-8.25 % IT SOLN,14.42,14.42,,,0 HCPCS,J0665,MARCAINE/EPINEPHRINE 0.25% -1:200000 IJ SOLN,53.86,53.86,,,0 HCPCS,J0665,MARCAINE/EPINEPHRINE 0.5% -1:200000 IJ SOLN,186.335,186.335,,,0 HCPCS,J0665,MARCAINE/EPINEPHRINE PF 0.25% -1:200000 IJ SOLN,75.50999999999999,75.50999999999999,,,0 HCPCS,J0665,MARCAINE/EPINEPHRINE PF 0.5% -1:200000 IJ SOLN,136.965,136.965,,,0 HCPCS,J0665,SENSORCAINE 0.25 % IJ SOLN,73.79,73.79,,,0 HCPCS,J0665,SENSORCAINE 0.5 % IJ SOLN,20.55,20.55,,,0 HCPCS,J0665,SENSORCAINE-MPF 0.25 % IJ SOLN,10.84,10.84,,,0 HCPCS,J0665,SENSORCAINE-MPF 0.5 % IJ SOLN,7.525,7.525,,,0 HCPCS,J0665,SENSORCAINE-MPF 0.75 % IJ SOLN,14.34,14.34,,,0 HCPCS,J0665,SENSORCAINE-MPF/EPINEPHRINE 0.25% -1:200000 IJ SOLN,91.015,91.015,,,0 HCPCS,J0665,SENSORCAINE-MPF/EPINEPHRINE 0.5% -1:200000 IJ SOLN,88.855,88.855,,,0 HCPCS,J0665,SENSORCAINE/EPINEPHRINE 0.25% -1:200000 IJ SOLN,181.62,181.62,,,0 HCPCS,J0665,SENSORCAINE/EPINEPHRINE 0.5% -1:200000 IJ SOLN,370.31,370.31,,,0 HCPCS,J0666,"Inj, bupivacaine liposome",,,1.47,3.9,7 HCPCS,J0670,POLOCAINE-MPF 2 % IJ SOLN,3.4,3.4,,,0 HCPCS,J0688,CEFAZOLIN SODIUM 2 G IV SOLR,159.01,159.01,,,0 HCPCS,J0690,CEFAZOLIN IN SODIUM CHLORIDE 3-0.9 GM/100ML-% IV SOLN,248.25,248.25,,,0 HCPCS,J0690,CEFAZOLIN SODIUM 2 G IJ SOLR,139.09,139.09,,,0 HCPCS,J0690,CEFAZOLIN SODIUM 2 G IV SOLR,168.57,168.57,,,0 HCPCS,J0690,CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR,102.98,102.98,,,0 HCPCS,J0694,CEFOXITIN SODIUM 1 G IV SOLR,184.96,184.96,,,0 HCPCS,J0696,CEFTRIAXONE SODIUM 1 G IJ SOLR,84.755,84.755,,,0 HCPCS,J0696,CEFTRIAXONE SODIUM 500 MG IJ SOLR,65.49,65.49,,,0 HCPCS,J0696,CEFTRIAXONE SODIUM-DEXTROSE 2-2.22 GM-%(50ML) IV SOLR,161.27,161.27,,,0 HCPCS,J0702,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP,50.35,50.35,,,0 HCPCS,J0702,CELESTONE SOLUSPAN 6 (3-3) MG/ML IJ SUSP,230.45,230.45,,,0 HCPCS,J0713,CEFTAZIDIME 1 G IJ SOLR,238.71,238.71,,,0 HCPCS,J0735,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN,49.519999999999996,49.519999999999996,,,0 HCPCS,J0735,DURACLON 100 MCG/ML EP SOLN,48.75,48.75,,,0 HCPCS,J0736,CLEOCIN PHOSPHATE 300 MG/2ML IJ SOLN,201.98,201.98,,,0 HCPCS,J0736,CLEOCIN PHOSPHATE 600 MG/4ML IJ SOLN,111.94,111.94,,,0 HCPCS,J0736,CLEOCIN PHOSPHATE 900 MG/6ML IJ SOLN,88.43,88.43,,,0 HCPCS,J0736,CLINDAMYCIN PHOSPHATE 300 MG/2ML IJ SOLN,168.54,168.54,,,0 HCPCS,J0736,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,133.55,133.55,,,0 HCPCS,J0736,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,180.09,180.09,,,0 HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,83.84,83.84,,,0 HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,113.86500000000001,113.86500000000001,,,0 HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN NACL 600-0.9 MG/50ML-% IV SOLN,83.84,83.84,,,0 HCPCS,J0737,CLINDAMYCIN PHOSPHATE IN NACL 900-0.9 MG/50ML-% IV SOLN,103.5,103.5,,,0 HCPCS,J0744,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN,124.2,124.2,,,0 HCPCS,J0780,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,86.96,86.96,,,0 HCPCS,J0881,ARANESP (ALBUMIN FREE) 100 MCG/0.5ML IJ SOSY,1656.02,1656.02,,,0 HCPCS,J0881,ARANESP (ALBUMIN FREE) 150 MCG/0.3ML IJ SOSY,6210.08,6210.08,,,0 HCPCS,J0881,ARANESP (ALBUMIN FREE) 200 MCG/0.4ML IJ SOSY,8280.14,8280.14,,,0 HCPCS,J0881,ARANESP (ALBUMIN FREE) 300 MCG/0.6ML IJ SOSY,6210.08,6210.08,,,0 HCPCS,J0881,ARANESP (ALBUMIN FREE) 40 MCG/0.4ML IJ SOSY,1656.02,1656.02,,,0 HCPCS,J0881,ARANESP (ALBUMIN FREE) 500 MCG/ML IJ SOSY,22008.63,22008.63,,,0 HCPCS,J0881,ARANESP (ALBUMIN FREE) 60 MCG/0.3ML IJ SOSY,2484.05,2484.05,,,0 HCPCS,J0885,EPOGEN 10000 UNIT/ML IJ SOLN,2072.53,2072.53,,,0 HCPCS,J0885,EPOGEN 20000 UNIT/ML IJ SOLN,3346.59,3346.59,,,0 HCPCS,J0885,EPOGEN 4000 UNIT/ML IJ SOLN,1540.39,1540.39,,,0 HCPCS,J0885,PROCRIT 10000 UNIT/ML IJ SOLN,1359.15,1359.15,,,0 HCPCS,J0885,PROCRIT 20000 UNIT/ML IJ SOLN,1624.47,1624.47,,,0 HCPCS,J0885,PROCRIT 4000 UNIT/ML IJ SOLN,1489.77,1489.77,,,0 HCPCS,J0885,PROCRIT 40000 UNIT/ML IJ SOLN,2912.93,2912.93,,,0 HCPCS,J0895,DEFEROXAMINE MESYLATE 500 MG IJ SOLR (95 MG/ML WET VIAL),992.1,992.1,,,0 HCPCS,J0897,PROLIA 60 MG/ML SC SOSY,18926.98,18926.98,,,0 HCPCS,J0897,XGEVA 120 MG/1.7ML SC SOLN,34812.25,34812.25,,,0 HCPCS,J1010,DEPO-MEDROL 40 MG/ML IJ SUSP,121.4,121.4,,,0 HCPCS,J1010,DEPO-MEDROL 80 MG/ML IJ SUSP,163.19,163.19,,,0 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,196.56,196.56,,,0 HCPCS,J1010,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,116.86999999999999,116.86999999999999,,,0 HCPCS,J1030,DEPO-MEDROL 40 MG/ML IJ SUSP,137.16,137.16,,,0 HCPCS,J1030,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,156.38,156.38,,,0 HCPCS,J1040,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,166.64,166.64,,,0 HCPCS,J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,610.915,610.915,,,0 HCPCS,J1050,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,929.77,929.77,,,0 HCPCS,J1071,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,207.68,207.68,,,0 HCPCS,J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN,23.880000000000003,23.880000000000003,,,0 HCPCS,J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOSY,41.7,41.7,,,0 HCPCS,J1100,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJ (WRAPPED),19.44,19.44,,,0 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN,20.56,20.56,,,0 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML IJ SOLN,23.195,23.195,,,0 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML IJ SOLN,39.34,39.34,,,0 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,13.68,13.68,,,0 HCPCS,J1100,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,28.439999999999998,28.439999999999998,,,0 HCPCS,J1120,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,355.79,355.79,,,0 HCPCS,J1160,DIGOXIN 0.25 MG/ML IJ SOLN,58.01,58.01,,,0 HCPCS,J1165,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,112.625,112.625,,,0 HCPCS,J1170,DILAUDID 1 MG/ML IJ SOLN,58.815,58.815,,,0 HCPCS,J1170,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,89.58,89.58,,,0 HCPCS,J1170,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,33.67,33.67,,,0 HCPCS,J1170,HYDROMORPHONE HCL PF 2 MG/ML IJ SOLN,9.52,9.52,,,0 HCPCS,J1170,HYDROMORPHONE HCL PF 50 MG/5ML IJ SOLN,154.86,154.86,,,0 HCPCS,J1171,DILAUDID 0.2 MG/ML IJ SOLN,79.44,79.44,,,0 HCPCS,J1171,DILAUDID 2 MG/ML IJ SOLN,119.56,119.56,,,0 HCPCS,J1171,HYDROMORPHONE 1 MG/ML (50 ML) IN NACL PCA,861.46,861.46,,,0 HCPCS,J1171,HYDROMORPHONE HCL 0.2 MG/ML IJ SOLN,86.94,86.94,,,0 HCPCS,J1171,HYDROMORPHONE HCL 0.25 MG/0.5ML IJ SOLN,79.29,79.29,,,0 HCPCS,J1171,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,15.03,15.03,,,0 HCPCS,J1171,HYDROMORPHONE HCL PF 10 MG/ML IJ SOLN,681.76,681.76,,,0 HCPCS,J1171,HYDROMORPHONE HCL-NACL 10-0.9 MG/50ML-% IV SOLN,617.89,617.89,,,0 HCPCS,J1171,HYDROMORPHONE HCL-NACL 20-0.9 MG/100ML-% IJ SOLN,507.41,507.41,,,0 HCPCS,J1200,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,14.11,14.11,,,0 HCPCS,J1205,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,236.9,236.9,,,0 HCPCS,J1230,METHADONE HCL 10 MG/ML IJ SOLN,2127.86,2127.86,,,0 HCPCS,J1250,DOBUTAMINE-DEXTROSE 1-5 MG/ML-% IV SOLN,629.2549999999999,629.2549999999999,,,0 HCPCS,J1250,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN,435.31000000000006,435.31000000000006,,,0 HCPCS,J1265,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN,231.41,231.41,,,0 HCPCS,J1300,SOLIRIS 300 MG/30ML IV SOLN,95897.88,95897.88,,,0 HCPCS,J1303,ULTOMIRIS 300 MG/3ML IV SOLN,66442.78,66442.78,,,0 HCPCS,J1306,LEQVIO 284 MG/1.5ML SC SOSY,35791.81,35791.81,,,0 HCPCS,J1308,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,23.96,23.96,,,0 HCPCS,J1327,EPTIFIBATIDE 20 MG/10ML IV SOLN,373.62,373.62,,,0 HCPCS,J1327,EPTIFIBATIDE 75 MG/100ML IV SOLN,953.06,953.06,,,0 HCPCS,J1335,ERTAPENEM SODIUM 1 G IJ SOLR,485.055,485.055,,,0 HCPCS,J1364,ERYTHROCIN LACTOBIONATE 500 MG IV SOLR,377.61,377.61,,,0 HCPCS,J1439,INJECTAFER 750 MG/15ML IV SOLN,706.46,706.46,,,0 HCPCS,J1442,NEUPOGEN 300 MCG/0.5ML IJ SOSY,3367.85,3367.85,,,0 HCPCS,J1442,NEUPOGEN 480 MCG/0.8ML IJ SOSY,5358.0,5358.0,,,0 HCPCS,J1447,GRANIX 300 MCG/0.5ML SC SOSY,2688.43,2688.43,,,0 HCPCS,J1447,GRANIX 480 MCG/0.8ML SC SOSY,3286.895,3286.895,,,0 HCPCS,J1450,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN,98.795,98.795,,,0 HCPCS,J1450,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,120.06,120.06,,,0 HCPCS,J1451,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,3822.35,3822.35,,,0 HCPCS,J1459,PRIVIGEN 10 GM/100ML IV SOLN,7231.6,7231.6,,,0 HCPCS,J1459,PRIVIGEN 20 GM/200ML IV SOLN,15288.39,15288.39,,,0 HCPCS,J1459,PRIVIGEN 40 GM/400ML IV SOLN,26968.14,26968.14,,,0 HCPCS,J1459,PRIVIGEN 5 GM/50ML IV SOLN,4587.32,4587.32,,,0 HCPCS,J1561,GAMMAKED 10 GM/100ML IJ SOLN,8456.86,8456.86,,,0 HCPCS,J1561,GAMMAKED 20 GM/200ML IJ SOLN,18442.37,18442.37,,,0 HCPCS,J1561,GAMMAKED 5 GM/50ML IJ SOLN,4228.88,4228.88,,,0 HCPCS,J1561,GAMUNEX-C 10 GM/100ML IJ SOLN,3230.06,3230.06,,,0 HCPCS,J1561,GAMUNEX-C 20 GM/200ML IJ SOLN,3280.62,3280.62,,,0 HCPCS,J1561,GAMUNEX-C 40 GM/400ML IJ SOLN,23938.57,23938.57,,,0 HCPCS,J1561,GAMUNEX-C 5 GM/50ML IJ SOLN,3339.25,3339.25,,,0 HCPCS,J1568,OCTAGAM 10 GM/100ML IV SOLN,8491.76,8491.76,,,0 HCPCS,J1568,OCTAGAM 20 GM/200ML IV SOLN,16983.52,16983.52,,,0 HCPCS,J1568,OCTAGAM 30 GM/300ML IV SOLN,25475.28,25475.28,,,0 HCPCS,J1568,OCTAGAM 5 GM/100ML IV SOLN,1538.13,1538.13,,,0 HCPCS,J1569,GAMMAGARD 10 GM/100ML IJ SOLN,3452.33,3452.33,,,0 HCPCS,J1569,GAMMAGARD 20 GM/200ML IJ SOLN,9904.07,9904.07,,,0 HCPCS,J1569,GAMMAGARD 30 GM/300ML IJ SOLN,9947.93,9947.93,,,0 HCPCS,J1569,GAMMAGARD 5 GM/50ML IJ SOLN,4937.27,4937.27,,,0 HCPCS,J1580,GENTAMICIN IN SALINE 0.8-0.9 MG/ML-% IV SOLN,128.07,128.07,,,0 HCPCS,J1580,GENTAMICIN SULFATE 10 MG/ML IJ SOLN,138.29,138.29,,,0 HCPCS,J1580,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,112.35,112.35,,,0 HCPCS,J1596,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,51.06,51.06,,,0 HCPCS,J1596,GLYCOPYRROLATE 0.4 MG/2ML IJ SOLN,41.33,41.33,,,0 HCPCS,J1596,GLYCOPYRROLATE 1 MG/5ML IJ SOLN,102.63,102.63,,,0 HCPCS,J1596,GLYCOPYRROLATE PF 0.4 MG/2ML IJ SOSY,128.82,128.82,,,0 HCPCS,J1598,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,103.03,103.03,,,0 HCPCS,J1602,SIMPONI ARIA 50 MG/4ML IV SOLN,5041.56,5041.56,,,0 HCPCS,J1630,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN,12.62,12.62,,,0 HCPCS,J1631,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,231.11,231.11,,,0 HCPCS,J1642,HEPARIN NA (PORK) LOCK FLSH PF 10 UNIT/ML IV SOLN,12.025,12.025,,,0 HCPCS,J1642,HEPARIN NA (PORK) LOCK FLSH PF 100 UNIT/ML IV SOLN,38.47,38.47,,,0 HCPCS,J1644,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,113.85,113.85,,,0 HCPCS,J1644,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/500ML-% IV SOLN,144.9,144.9,,,0 HCPCS,J1644,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,150.08,150.08,,,0 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,48.61,48.61,,,0 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN,24.83,24.83,,,0 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/0.5ML IJ SOSY,74.42,74.42,,,0 HCPCS,J1644,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,54.775000000000006,54.775000000000006,,,0 HCPCS,J1644,HEPARIN SODIUM (PORCINE) PF 1000 UNIT/ML IJ SOLN,209.815,209.815,,,0 HCPCS,J1644,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML IJ SOLN,111.66,111.66,,,0 HCPCS,J1650,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,76.675,76.675,,,0 HCPCS,J1650,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY,240.79,240.79,,,0 HCPCS,J1650,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY,562.5,562.5,,,0 HCPCS,J1650,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,138.45,138.45,,,0 HCPCS,J1650,ENOXAPARIN SODIUM 300 MG/3ML IJ SOLN,199.59,199.59,,,0 HCPCS,J1650,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,134.04000000000002,134.04000000000002,,,0 HCPCS,J1650,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY,120.86,120.86,,,0 HCPCS,J1650,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,81.44,81.44,,,0 HCPCS,J1650,LOVENOX 100 MG/ML IJ SOSY,60.37,60.37,,,0 HCPCS,J1650,LOVENOX 120 MG/0.8ML IJ SOSY,240.79,240.79,,,0 HCPCS,J1650,LOVENOX 30 MG/0.3ML IJ SOSY,140.85,140.85,,,0 HCPCS,J1650,LOVENOX 40 MG/0.4ML IJ SOSY,109.38,109.38,,,0 HCPCS,J1650,LOVENOX 60 MG/0.6ML IJ SOSY,59.375,59.375,,,0 HCPCS,J1650,LOVENOX 80 MG/0.8ML IJ SOSY,104.36500000000001,104.36500000000001,,,0 HCPCS,J1652,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,179.815,179.815,,,0 HCPCS,J1740,IBANDRONATE SODIUM 3 MG/3ML IV SOLN,1173.34,1173.34,,,0 HCPCS,J1742,CORVERT 1 MG/10ML IV SOLN,1637.35,1637.35,,,0 HCPCS,J1742,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1515.35,1515.35,,,0 HCPCS,J1747,SPEVIGO 450 MG/7.5ML IV SOLN,255588.84,255588.84,,,0 HCPCS,J1750,INFED 50 MG/ML IJ SOLN,246.11,246.11,,,0 HCPCS,J1756,VENOFER 20 MG/ML IV SOLN,605.0699999999999,605.0699999999999,,,0 HCPCS,J1790,DROPERIDOL 2.5 MG/ML IJ SOLN,72.58,72.58,,,0 HCPCS,J1805,ESMOLOL HCL 100 MG/10ML IV SOLN,114.25,114.25,,,0 HCPCS,J1805,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN,825.22,825.22,,,0 HCPCS,J1806,ESMOLOL HCL 2500 MG/250ML IV SOLN,1138.94,1138.94,,,0 HCPCS,J1808,FOLIC ACID 5 MG/ML IJ SOLN,33.725,33.725,,,0 HCPCS,J1815,HUMULIN 70/30 (70-30) 100 UNIT/ML SC SUSP,79.7,79.7,,,0 HCPCS,J1815,HUMULIN R 100 UNIT/ML IJ SOLN,3.9050000000000002,3.9050000000000002,,,0 HCPCS,J1815,INSULIN ASPART 100 UNIT/ML IJ SOLN,25.53,25.53,,,0 HCPCS,J1815,INSULIN GLARGINE-YFGN 100 UNIT/ML SC SOLN,15.31,15.31,,,0 HCPCS,J1815,INSULIN LISPRO 100 UNIT/ML IJ SOLN,15.99,15.99,,,0 HCPCS,J1836,METRONIDAZOLE 500 MG/100ML IV SOLN,87.82,87.82,,,0 HCPCS,J1885,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,63.08,63.08,,,0 HCPCS,J1885,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,35.02,35.02,,,0 HCPCS,J1885,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,24.37,24.37,,,0 HCPCS,J1885,Ketorolac tromethamine inj,,,0.3,0.8,7 HCPCS,J1920,LABETALOL HCL 20 MG/4ML IV SOSY,182.745,182.745,,,0 HCPCS,J1920,LABETALOL HCL 5 MG/ML IV SOLN,43.72,43.72,,,0 HCPCS,J1921,LABETALOL HCL 10 MG/2ML IV SOSY,186.73,186.73,,,0 HCPCS,J1921,LABETALOL HCL 5 MG/ML IV SOLN,3.37,3.37,,,0 HCPCS,J1930,SOMATULINE DEPOT 120 MG/0.5ML SC SOLN,56559.62,56559.62,,,0 HCPCS,J1939,BUMETANIDE 0.25 MG/ML IJ SOLN,92.925,92.925,,,0 HCPCS,J1940,FUROSEMIDE 10 MG/ML IJ SOLN,39.34,39.34,,,0 HCPCS,J1953,LEVETIRACETAM 500 MG/5ML IV SOLN,60.435,60.435,,,0 HCPCS,J1953,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,167.77,167.77,,,0 HCPCS,J1953,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,202.86,202.86,,,0 HCPCS,J1953,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,105.57,105.57,,,0 HCPCS,J1956,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,95.22,95.22,,,0 HCPCS,J1956,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,88.55,88.55,,,0 HCPCS,J1956,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,93.76,93.76,,,0 HCPCS,J1980,HYOSCYAMINE SULFATE 0.5 MG/ML IJ SOLN,1491.61,1491.61,,,0 HCPCS,J2001,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN,103.61,103.61,,,0 HCPCS,J2001,LIDOCAINE HCL (PF) 1 % IJ SOLN,81.73,81.73,,,0 HCPCS,J2001,LIDOCAINE HCL (PF) 2 % IJ SOLN,14.34,14.34,,,0 HCPCS,J2001,XYLOCAINE 1 % IJ SOLN,4.55,4.55,,,0 HCPCS,J2003,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY,77.73,77.73,,,0 HCPCS,J2003,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOSY,147.09,147.09,,,0 HCPCS,J2003,LIDOCAINE HCL (PF) 0.5 % IJ SOLN,3.5,3.5,,,0 HCPCS,J2003,LIDOCAINE HCL (PF) 1 % IJ SOLN,32.745000000000005,32.745000000000005,,,0 HCPCS,J2003,LIDOCAINE HCL (PF) 2 % IJ SOLN,8.79,8.79,,,0 HCPCS,J2003,LIDOCAINE HCL (PF) 4 % IJ SOLN,6.59,6.59,,,0 HCPCS,J2003,LIDOCAINE HCL 1 % IJ SOLN,12.285,12.285,,,0 HCPCS,J2003,LIDOCAINE HCL 100 MG/5ML IJ SOSY,172.24,172.24,,,0 HCPCS,J2003,LIDOCAINE HCL 2 % IJ SOLN,5.42,5.42,,,0 HCPCS,J2003,LIDOCAINE-SODIUM BICARBONATE 1-8.4 % IJ SOSY,200.75,200.75,,,0 HCPCS,J2003,XYLOCAINE 0.5 % IJ SOLN,25.7,25.7,,,0 HCPCS,J2003,XYLOCAINE 1 % IJ SOLN,17.79,17.79,,,0 HCPCS,J2003,XYLOCAINE 2 % IJ SOLN,20.985,20.985,,,0 HCPCS,J2003,XYLOCAINE-MPF 0.5 % IJ SOLN,128.92,128.92,,,0 HCPCS,J2003,XYLOCAINE-MPF 1 % IJ SOLN,13.100000000000001,13.100000000000001,,,0 HCPCS,J2003,XYLOCAINE-MPF 2 % IJ SOLN,11.67,11.67,,,0 HCPCS,J2004,LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200000 IJ SOLN,9.76,9.76,,,0 HCPCS,J2004,LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200000 IJ SOLN,13.9,13.9,,,0 HCPCS,J2004,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN,19.23,19.23,,,0 HCPCS,J2004,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,50.36,50.36,,,0 HCPCS,J2004,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN,57.35,57.35,,,0 HCPCS,J2004,XYLOCAINE-MPF/EPINEPHRINE 1 %-1:200000 IJ SOLN,40.39,40.39,,,0 HCPCS,J2004,XYLOCAINE-MPF/EPINEPHRINE 2 %-1:200000 IJ SOLN,138.835,138.835,,,0 HCPCS,J2004,XYLOCAINE/EPINEPHRINE 0.5 %-1:200000 IJ SOLN,109.07,109.07,,,0 HCPCS,J2004,XYLOCAINE/EPINEPHRINE 1 %-1:100000 IJ SOLN,11.625,11.625,,,0 HCPCS,J2004,XYLOCAINE/EPINEPHRINE 2 %-1:100000 IJ SOLN,44.72,44.72,,,0 HCPCS,J2020,LINEZOLID 600 MG/300ML IV SOLN,249.61,249.61,,,0 HCPCS,J2020,ZYVOX 600 MG/300ML IV SOLN,149.04,149.04,,,0 HCPCS,J2060,ATIVAN 2 MG/ML IJ SOLN,18.91,18.91,,,0 HCPCS,J2060,ATIVAN 4 MG/ML IJ SOLN,52.7,52.7,,,0 HCPCS,J2060,LORAZEPAM 2 MG/ML IJ SOLN,15.774999999999999,15.774999999999999,,,0 HCPCS,J2150,MANNITOL 25 % IV SOLN,173.4,173.4,,,0 HCPCS,J2175,DEMEROL 25 MG/ML IJ SOLN,123.425,123.425,,,0 HCPCS,J2175,DEMEROL 50 MG/ML IJ SOLN,114.61,114.61,,,0 HCPCS,J2175,MEPERIDINE HCL 25 MG/ML IJ SOLN,36.42,36.42,,,0 HCPCS,J2175,MEPERIDINE HCL 50 MG/ML IJ SOLN,47.5,47.5,,,0 HCPCS,J2182,NUCALA 100 MG/ML SC SOSY,38272.44,38272.44,,,0 HCPCS,J2185,MEROPENEM 500 MG IV SOLR,131.12,131.12,,,0 HCPCS,J2212,RELISTOR 12 MG/0.6ML SC SOLN,1627.86,1627.86,,,0 HCPCS,J2212,RELISTOR 8 MG/0.4ML SC SOLN,1513.71,1513.71,,,0 HCPCS,J2250,MIDAZOLAM HCL (PF) 10 MG/2ML IJ SOLN,38.73,38.73,,,0 HCPCS,J2250,MIDAZOLAM HCL (PF) 2 MG/2ML IJ SOLN,49.14,49.14,,,0 HCPCS,J2250,MIDAZOLAM HCL (PF) 5 MG/5ML IJ SOLN,9.77,9.77,,,0 HCPCS,J2250,MIDAZOLAM HCL (PF) 5 MG/ML IJ SOLN,6.71,6.71,,,0 HCPCS,J2250,MIDAZOLAM HCL 10 MG/2ML IJ SOLN,150.31,150.31,,,0 HCPCS,J2250,MIDAZOLAM HCL 2 MG/2ML IJ SOLN,11.21,11.21,,,0 HCPCS,J2250,MIDAZOLAM HCL 5 MG/5ML IJ SOLN,8.31,8.31,,,0 HCPCS,J2250,MIDAZOLAM HCL 5 MG/ML IJ SOLN,9.44,9.44,,,0 HCPCS,J2250,MIDAZOLAM HCL 50 MG/10ML IJ SOLN,321.90999999999997,321.90999999999997,,,0 HCPCS,J2251,MIDAZOLAM-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,699.9449999999999,699.9449999999999,,,0 HCPCS,J2251,MIDAZOLAM-SODIUM CHLORIDE 50-0.9 MG/50ML-% IV SOLN,349.975,349.975,,,0 HCPCS,J2260,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,175.56,175.56,,,0 HCPCS,J2270,DURAMORPH 1 MG/ML IJ SOLN,362.9,362.9,,,0 HCPCS,J2270,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN,108.05,108.05,,,0 HCPCS,J2270,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN,83.75,83.75,,,0 HCPCS,J2270,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,59.29,59.29,,,0 HCPCS,J2270,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,106.655,106.655,,,0 HCPCS,J2270,MORPHINE SULFATE 1 MG/ML IJ SOLN (WRAPPED),113.44,113.44,,,0 HCPCS,J2270,MORPHINE SULFATE 10 MG/ML IV SOLN,18.27,18.27,,,0 HCPCS,J2270,MORPHINE SULFATE 4 MG/ML IV SOLN,23.25,23.25,,,0 HCPCS,J2270,MORPHINE SULFATE 8 MG/ML IV SOLN,124.23,124.23,,,0 HCPCS,J2270,MORPHINE SULFATE POWD,191.9,191.9,,,0 HCPCS,J2270,MORPHINE SULFATE-NACL 1-0.9 MG/ML-% IV SOLN,706.69,706.69,,,0 HCPCS,J2270,MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN,171.86,171.86,,,0 HCPCS,J2272,MORPHINE SULFATE (PF) 2 MG/ML IJ SOLN,69.46,69.46,,,0 HCPCS,J2272,MORPHINE SULFATE (PF) 4 MG/ML IJ SOLN,121.72,121.72,,,0 HCPCS,J2272,MORPHINE SULFATE 2 MG/ML IJ SOLN,78.71,78.71,,,0 HCPCS,J2272,MORPHINE SULFATE 4 MG/ML IJ SOLN,114.65,114.65,,,0 HCPCS,J2300,NALBUPHINE HCL 10 MG/ML IJ SOLN,125.68,125.68,,,0 HCPCS,J2305,NITROGLYCERIN IN D5W 100-5 MCG/ML-% IV SOLN,4.7,4.7,,,0 HCPCS,J2305,NITROGLYCERIN IN D5W 200-5 MCG/ML-% IV SOLN,1.29,1.29,,,0 HCPCS,J2310,NALOXONE HCL 0.4 MG/ML IJ SOLN,145.97,145.97,,,0 HCPCS,J2310,NALOXONE HCL 2 MG/2ML IJ SOSY,214.03,214.03,,,0 HCPCS,J2323,TYSABRI 300 MG/15ML IV CONC,82329.26,82329.26,,,0 HCPCS,J2350,OCREVUS 300 MG/10ML IV SOLN,202302.14,202302.14,,,0 HCPCS,J2354,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN,96.61000000000001,96.61000000000001,,,0 HCPCS,J2354,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN,106.62,106.62,,,0 HCPCS,J2354,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,235.375,235.375,,,0 HCPCS,J2356,TEZSPIRE 210 MG/1.91ML SC SOAJ,48505.85,48505.85,,,0 HCPCS,J2357,XOLAIR 150 MG/ML SC SOSY,20670.91,20670.91,,,0 HCPCS,J2357,XOLAIR 75 MG/0.5ML SC SOSY,7153.595,7153.595,,,0 HCPCS,J2360,ORPHENADRINE CITRATE 30 MG/ML IJ SOLN,137.13,137.13,,,0 HCPCS,J2371,PHENYLEPHRINE HCL (PRESSORS) 1 MG/10ML IV SOSY,56.080000000000005,56.080000000000005,,,0 HCPCS,J2371,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,151.79500000000002,151.79500000000002,,,0 HCPCS,J2371,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY,24.35,24.35,,,0 HCPCS,J2401,CHLOROPROCAINE HCL (PF) 2 % IJ SOLN,118.49,118.49,,,0 HCPCS,J2401,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN,53.51,53.51,,,0 HCPCS,J2401,NESACAINE-MPF 3 % IJ SOLN,80.26,80.26,,,0 HCPCS,J2404,CARDENE IV 20-0.86 MG/200ML-% IV SOLN,630.98,630.98,,,0 HCPCS,J2404,CARDENE IV 40-0.83 MG/200ML-% IV SOLN,788.315,788.315,,,0 HCPCS,J2404,NICARDIPINE HCL 2.5 MG/ML IV SOLN,277.375,277.375,,,0 HCPCS,J2404,NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% IV SOLN,354.64,354.64,,,0 HCPCS,J2404,NICARDIPINE HCL IN NACL 40-0.9 MG/200ML-% IV SOLN,6.46,6.46,,,0 HCPCS,J2405,ONDANSETRON HCL 4 MG/2ML IJ SOLN,36.72,36.72,,,0 HCPCS,J2405,ONDANSETRON HCL 40 MG/20ML IJ SOLN,19.76,19.76,,,0 HCPCS,J2430,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,235.25,235.25,,,0 HCPCS,J2430,PAMIDRONATE DISODIUM 90 MG/10ML IV SOLN,553.71,553.71,,,0 HCPCS,J2440,PAPAVERINE HCL 30 MG/ML IJ SOLN,253.23,253.23,,,0 HCPCS,J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,237.39,237.39,,,0 HCPCS,J2469,PALONOSETRON HCL 0.25 MG/5ML IV SOSY,373.43,373.43,,,0 HCPCS,J2470,PANTOPRAZOLE SODIUM 40 MG IV SOLR,119.475,119.475,,,0 HCPCS,J2470,PROTONIX 40 MG IV SOLR,124.99000000000001,124.99000000000001,,,0 HCPCS,J2506,NEULASTA 6 MG/0.6ML SC SOSY,49183.48,49183.48,,,0 HCPCS,J2506,NEULASTA ONPRO 6 MG/0.6ML SC PSKT,32753.56,32753.56,,,0 HCPCS,J2543,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR,77.27,77.27,,,0 HCPCS,J2543,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,94.62,94.62,,,0 HCPCS,J2543,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,103.51,103.51,,,0 HCPCS,J2543,ZOSYN 3-0.375 GM/50ML IV SOLN,203.9,203.9,,,0 HCPCS,J2550,PROMETHAZINE HCL 25 MG/ML IJ SOLN,32.66,32.66,,,0 HCPCS,J2550,PROMETHAZINE HCL 50 MG/ML IJ SOLN,72.78,72.78,,,0 HCPCS,J2560,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,569.49,569.49,,,0 HCPCS,J2560,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN,235.89,235.89,,,0 HCPCS,J2597,DDAVP 4 MCG/ML IJ SOLN,2437.54,2437.54,,,0 HCPCS,J2597,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,996.87,996.87,,,0 HCPCS,J2597,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,287.88,287.88,,,0 HCPCS,J2598,VASOPRESSIN 20 UNIT/ML IV SOLN,238.25,238.25,,,0 HCPCS,J2598,VASOSTRICT 20 UNIT/ML IV SOLN,82.65,82.65,,,0 HCPCS,J2598,VASOSTRICT 40-5 UT/100ML-% IV SOLN,897.51,897.51,,,0 HCPCS,J2680,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN,143.12,143.12,,,0 HCPCS,J2690,PROCAINAMIDE HCL 500 MG/ML IJ SOLN,5464.06,5464.06,,,0 HCPCS,J2704,DIPRIVAN 1000 MG/100ML IV EMUL,143.435,143.435,,,0 HCPCS,J2704,DIPRIVAN 200 MG/20ML IV EMUL,3.005,3.005,,,0 HCPCS,J2704,DIPRIVAN 500 MG/50ML IV EMUL,139.55,139.55,,,0 HCPCS,J2704,PROPOFOL 1000 MG/100ML IV EMUL,123.065,123.065,,,0 HCPCS,J2704,PROPOFOL 200 MG/20ML IV EMUL,8.61,8.61,,,0 HCPCS,J2704,PROPOFOL 500 MG/50ML IV EMUL,5.61,5.61,,,0 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,20.72,20.72,,,0 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 3 MG/3ML IV SOSY,232.62,232.62,,,0 HCPCS,J2710,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,191.73000000000002,191.73000000000002,,,0 HCPCS,J2720,PROTAMINE SULFATE 10 MG/ML IV SOLN,104.80000000000001,104.80000000000001,,,0 HCPCS,J2765,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,35.235,35.235,,,0 HCPCS,J2785,LEXISCAN 0.4 MG/5ML IV SOLN,1927.69,1927.69,,,0 HCPCS,J2785,REGADENOSON 0.4 MG/5ML IV SOLN,260.875,260.875,,,0 HCPCS,J2788,HC RHIG MICRHOGAM UF PLUS PFS 50 MCG NDC 00562780601,476.0,476.0,,,0 HCPCS,J2788,HC RHIG MICRHOGAM UF PLUS SYG 25 NDC 00562780625,476.0,476.0,,,0 HCPCS,J2788,HC RHIG MICRHOGAM UF+ PFS 5 NDC 00562780605,476.0,476.0,,,0 HCPCS,J2790,HC RHO(D) HYPERRHO S/D 300MCG NDC 13533063102,901.0,901.0,,,0 HCPCS,J2790,HC RHO(D) HYPERRHO S/D 300MCG NDC 13533063111,897.5,897.5,,,0 HCPCS,J2790,HC RHO(D) RHOGAM 300MCG NDC 00562780501,982.5,982.5,,,0 HCPCS,J2790,HC RHO(D) RHOGAM 300MCG NDC 00562780505,1516.0,1516.0,,,0 HCPCS,J2791,HC RHIG RHOPHYLAC 300MCG/2ML NDC 44206030001,85.0,85.0,,,0 HCPCS,J2791,HC RHIG RHOPHYLAC 300MCG/2ML NDC 44206030010,85.0,85.0,,,0 HCPCS,J2795,NAROPIN 10 MG/ML IJ SOLN,277.44,277.44,,,0 HCPCS,J2795,NAROPIN 2 MG/ML IJ SOLN,176.79,176.79,,,0 HCPCS,J2795,NAROPIN 5 MG/ML IJ SOLN,77.36,77.36,,,0 HCPCS,J2795,ROPIVACAINE HCL 10 MG/ML IJ SOLN,194.70999999999998,194.70999999999998,,,0 HCPCS,J2795,ROPIVACAINE HCL 2 MG/ML IJ SOLN,105.34,105.34,,,0 HCPCS,J2795,ROPIVACAINE HCL 5 MG/ML IJ SOLN,40.39,40.39,,,0 HCPCS,J2795,ROPIVACAINE HCL-NACL 0.2-0.9 % (ON-Q) IJ SOLN,2368.03,2368.03,,,0 HCPCS,J2800,METHOCARBAMOL 1000 MG/10ML IJ SOLN,125.215,125.215,,,0 HCPCS,J2800,ROBAXIN 1000 MG/10ML IJ SOLN,147.97,147.97,,,0 HCPCS,J2916,FERRLECIT 12.5 MG/ML IV SOLN,206.92,206.92,,,0 HCPCS,J2916,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,462.53,462.53,,,0 HCPCS,J2997,CATHFLO ACTIVASE 2 MG IJ SOLR,1737.675,1737.675,,,0 HCPCS,J3010,FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN,19.06,19.06,,,0 HCPCS,J3010,FENTANYL CITRATE (PF) 250 MCG/5ML IJ SOLN,13.285,13.285,,,0 HCPCS,J3010,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,257.21,257.21,,,0 HCPCS,J3010,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN,29.384999999999998,29.384999999999998,,,0 HCPCS,J3010,FENTANYL CITRATE PF 25 MCG/0.5ML IJ SOSY,101.5,101.5,,,0 HCPCS,J3010,FENTANYL CITRATE PF 50 MCG/ML IJ SOSY,50.019999999999996,50.019999999999996,,,0 HCPCS,J3030,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,165.66,165.66,,,0 HCPCS,J3032,VYEPTI 100 MG/ML IV SOLN,19589.95,19589.95,,,0 HCPCS,J3105,TERBUTALINE SULFATE 1 MG/ML IJ SOLN,26.46,26.46,,,0 HCPCS,J3111,EVENITY 105 MG/1.17ML SC SOSY,25664.989999999998,25664.989999999998,,,0 HCPCS,J3230,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN,421.3,421.3,,,0 HCPCS,J3230,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN,378.655,378.655,,,0 HCPCS,J3247,COSENTYX 125 MG/5ML IV SOLN,22384.65,22384.65,,,0 HCPCS,J3250,TIGAN 100 MG/ML IM SOLN,928.85,928.85,,,0 HCPCS,J3260,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN,125.06,125.06,,,0 HCPCS,J3262,ACTEMRA 200 MG/10ML IV SOLN,1246.17,1246.17,,,0 HCPCS,J3262,ACTEMRA 400 MG/20ML IV SOLN,8711.05,8711.05,,,0 HCPCS,J3262,ACTEMRA 80 MG/4ML IV SOLN,1246.17,1246.17,,,0 HCPCS,J3301,KENALOG-10 10 MG/ML IJ SUSP,113.17,113.17,,,0 HCPCS,J3301,KENALOG-40 40 MG/ML IJ SUSP,120.41,120.41,,,0 HCPCS,J3301,KENALOG-80 80 MG/ML IJ SUSP,334.06,334.06,,,0 HCPCS,J3301,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,110.02,110.02,,,0 HCPCS,J3358,STELARA 130 MG/26ML IV SOLN,86608.31,86608.31,,,0 HCPCS,J3360,DIAZEPAM 5 MG/ML IJ SOLN,98.46000000000001,98.46000000000001,,,0 HCPCS,J3370,VANCOMYCIN HCL 1 G IV SOLR,119.31,119.31,,,0 HCPCS,J3370,VANCOMYCIN HCL 2 G IV SOLR,754.89,754.89,,,0 HCPCS,J3370,VANCOMYCIN HCL 750 MG IV SOLR,150.295,150.295,,,0 HCPCS,J3370,VANCOMYCIN HCL IN NACL 1.25-0.9 GM/250ML-% IV SOLN,323.95,323.95,,,0 HCPCS,J3370,VANCOMYCIN HCL IN NACL 1.5-0.9 GM/250ML-% IV SOLN,354.64,354.64,,,0 HCPCS,J3370,VANCOMYCIN HCL IN NACL 1.75-0.9 GM/500ML-% IV SOLN,620.62,620.62,,,0 HCPCS,J3370,VANCOMYCIN HCL IN NACL 2-0.9 GM/500ML-% IV SOLN,695.64,695.64,,,0 HCPCS,J3371,VANCOMYCIN HCL 1 G IV SOLR,70.18,70.18,,,0 HCPCS,J3372,VANCOMYCIN HCL 1000 MG/200ML IV SOLN,169.14,169.14,,,0 HCPCS,J3372,VANCOMYCIN HCL 1250 MG/250ML IV SOLN,208.01,208.01,,,0 HCPCS,J3372,VANCOMYCIN HCL 1500 MG/300ML IV SOLN,253.7,253.7,,,0 HCPCS,J3372,VANCOMYCIN HCL 1750 MG/350ML IV SOLN,295.99,295.99,,,0 HCPCS,J3372,VANCOMYCIN HCL 2000 MG/400ML IV SOLN,338.27,338.27,,,0 HCPCS,J3372,VANCOMYCIN HCL 750 MG/150ML IV SOLN,189.41,189.41,,,0 HCPCS,J3410,HYDROXYZINE HCL 25 MG/ML IM SOLN,334.57,334.57,,,0 HCPCS,J3410,HYDROXYZINE HCL 50 MG/ML IM SOLN,387.77,387.77,,,0 HCPCS,J3411,THIAMINE HCL 100 MG/ML IJ SOLN,126.41,126.41,,,0 HCPCS,J3411,THIAMINE HCL 200 MG/2ML IJ SOLN,113.06,113.06,,,0 HCPCS,J3420,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,87.36,87.36,,,0 HCPCS,J3430,PHYTONADIONE 10 MG/ML IJ SOLN,202.63,202.63,,,0 HCPCS,J3430,VITAMIN K1 10 MG/ML IJ SOLN,135.1,135.1,,,0 HCPCS,J3470,AMPHADASE 150 UNIT/ML IJ SOLN,299.58,299.58,,,0 HCPCS,J3475,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,117.09,117.09,,,0 HCPCS,J3475,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,102.45500000000001,102.45500000000001,,,0 HCPCS,J3475,MAGNESIUM SULFATE 4 GM/50ML IV SOLN,108.855,108.855,,,0 HCPCS,J3475,MAGNESIUM SULFATE 50 % IJ SOLN,76.49,76.49,,,0 HCPCS,J3475,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,80.5,80.5,,,0 HCPCS,J3480,KCL (0.149%) IN NACL 20-0.45 MEQ/L-% IV SOLN,246.4,246.4,,,0 HCPCS,J3480,KCL (0.149%) IN NACL 20-0.9 MEQ/L-% IV SOLN,246.4,246.4,,,0 HCPCS,J3480,KCL (0.298%) IN NACL 40-0.9 MEQ/L-% IV SOLN,172.4,172.4,,,0 HCPCS,J3480,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN,92.4,92.4,,,0 HCPCS,J3480,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN,184.8,184.8,,,0 HCPCS,J3480,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN,132.4,132.4,,,0 HCPCS,J3480,KCL-LACTATED RINGERS-D5W 20 MEQ/L IV SOLN,189.64,189.64,,,0 HCPCS,J3480,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,131.72,131.72,,,0 HCPCS,J3480,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,57.3,57.3,,,0 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,99.36,99.36,,,0 HCPCS,J3480,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,112.8,112.8,,,0 HCPCS,J3480,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN,169.4,169.4,,,0 HCPCS,J3480,POTASSIUM CHLORIDE IN NACL 20-0.9 MEQ/L-% IV SOLN,92.4,92.4,,,0 HCPCS,J3480,POTASSIUM CHLORIDE IN NACL 40-0.9 MEQ/L-% IV SOLN,180.44,180.44,,,0 HCPCS,J3480,POTASSIUM CL IN DEXTROSE 5% 20 MEQ/L IV SOLN,172.4,172.4,,,0 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,316.45,316.45,,,0 HCPCS,J3489,ZOLEDRONIC ACID 4 MG/5ML IV CONC,148.62,148.62,,,0 HCPCS,J3489,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,499.22,499.22,,,0 HCPCS,J3490,ADRENALIN-NACL 4-0.9 MG/250ML-% IV SOLN,398.97,398.97,,,0 HCPCS,J3490,BUMETANIDE 0.25 MG/ML IJ SOLN,64.35,64.35,,,0 HCPCS,J3490,LIPIODOL 480 MG/ML IJ OIL,8913.7,8913.7,,,0 HCPCS,J3490,OMNIPAQUE 12 MG/ML PO SOLN,5.74,5.74,,,0 HCPCS,J3490,SODIUM BICARBONATE 4.2 % IV SOLN,108.41,108.41,,,0 HCPCS,J3490,SODIUM BICARBONATE 8.4 % IV SOLN,9.62,9.62,,,0 HCPCS,J7030,SALINE BACTERIOSTATIC 0.9 % IJ SOLN,26.93,26.93,,,0 HCPCS,J7030,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,29.549999999999997,29.549999999999997,,,0 HCPCS,J7042,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,154.0,154.0,,,0 HCPCS,J7060,DEXTROSE 5 % IV SOLN,20.19,20.19,,,0 HCPCS,J7070,DEXTROSE 5 % IV SOLN,92.4,92.4,,,0 HCPCS,J7120,LACTATED RINGERS IV SOLN,52.235,52.235,,,0 HCPCS,J7121,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN,79.635,79.635,,,0 HCPCS,J7131,SODIUM CHLORIDE 3 % IV SOLN,70.53,70.53,,,0 HCPCS,J7318,DUROLANE 60 MG/3ML IX PRSY,5340.76,5340.76,,,0 HCPCS,J7321,HYALGAN 20 MG/2ML IX SOSY,1816.6,1816.6,,,0 HCPCS,J7321,SUPARTZ FX 25 MG/2.5ML IX SOSY,1915.24,1915.24,,,0 HCPCS,J7323,EUFLEXXA 20 MG/2ML IX SOSY,1746.98,1746.98,,,0 HCPCS,J7324,ORTHOVISC 30 MG/2ML IX SOSY,1179.0,1179.0,,,0 HCPCS,J7325,SYNVISC 16 MG/2ML IX SOSY,2303.78,2303.78,,,0 HCPCS,J7325,SYNVISC ONE 48 MG/6ML IX SOSY,1542.39,1542.39,,,0 HCPCS,J7327,MONOVISC 88 MG/4ML IX SOSY,6069.81,6069.81,,,0 HCPCS,J7502,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN UNIT DOSE,42.97,42.97,,,0 HCPCS,J7510,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN UNIT DOSE,60.15,60.15,,,0 HCPCS,J7517,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR UNIT DOSE,185.545,185.545,,,0 HCPCS,J7606,FORMOTEROL FUMARATE 20 MCG/2ML IN NEBU,188.19,188.19,,,0 HCPCS,J7612,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU,53.07,53.07,,,0 HCPCS,J7613,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,13.36,13.36,,,0 HCPCS,J7620,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,12.365,12.365,,,0 HCPCS,J7620,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU,55.57,55.57,,,0 HCPCS,J7644,IPRATROPIUM BROMIDE 0.02 % IN SOLN,12.94,12.94,,,0 HCPCS,J9000,DOXORUBICIN HCL 2 MG/ML IV SOLN,362.26,362.26,,,0 HCPCS,J9017,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2119.43,2119.43,,,0 HCPCS,J9022,TECENTRIQ 1200 MG/20ML IV SOLN,51441.59,51441.59,,,0 HCPCS,J9022,TECENTRIQ 840 MG/14ML IV SOLN,50327.94,50327.94,,,0 HCPCS,J9025,AZACITIDINE 100 MG IJ SUSR,760.5350000000001,760.5350000000001,,,0 HCPCS,J9030,HC INJ BCG LIVE INTRAVESICAL INSTILLATION 1MG,5193.0,5193.0,,,0 HCPCS,J9034,BENDEKA 100 MG/4ML IV SOLN,29120.93,29120.93,,,0 HCPCS,J9035,AVASTIN 100 MG/4ML IV SOLN,12055.61,12055.61,,,0 HCPCS,J9035,AVASTIN 400 MG/16ML IV SOLN,18114.8,18114.8,,,0 HCPCS,J9041,BORTEZOMIB 3.5 MG IJ SOLR,294.49,294.49,,,0 HCPCS,J9043,JEVTANA 60 MG/1.5ML IV SOLN,20844.8,20844.8,,,0 HCPCS,J9045,CARBOPLATIN 450 MG/45ML IV SOLN,343.71,343.71,,,0 HCPCS,J9045,CARBOPLATIN 600 MG/60ML IV SOLN,203.45,203.45,,,0 HCPCS,J9055,ERBITUX 100 MG/50ML IV SOLN,6651.62,6651.62,,,0 HCPCS,J9055,ERBITUX 200 MG/100ML IV SOLN,3102.84,3102.84,,,0 HCPCS,J9060,CISPLATIN 100 MG/100ML IV SOLN,752.95,752.95,,,0 HCPCS,J9060,CISPLATIN 200 MG/200ML IV SOLN,687.1,687.1,,,0 HCPCS,J9060,CISPLATIN 50 MG/50ML IV SOLN,527.55,527.55,,,0 HCPCS,J9061,RYBREVANT 350 MG/7ML IV SOLN,52464.6,52464.6,,,0 HCPCS,J9063,ELAHERE 100 MG/20ML IV SOLN,7349.18,7349.18,,,0 HCPCS,J9065,CLADRIBINE 10 MG/10ML IV SOLN,4599.025,4599.025,,,0 HCPCS,J9100,CYTARABINE (PF) 20 MG/ML IJ SOLN,175.16,175.16,,,0 HCPCS,J9119,LIBTAYO 350 MG/7ML IV SOLN,50969.15,50969.15,,,0 HCPCS,J9144,DARZALEX FASPRO 1800-30000 MG-UT/15ML SC SOLN,51807.49,51807.49,,,0 HCPCS,J9145,DARZALEX 100 MG/5ML IV SOLN,23349.06,23349.06,,,0 HCPCS,J9145,DARZALEX 400 MG/20ML IV SOLN,17542.01,17542.01,,,0 HCPCS,J9171,DOCETAXEL 160 MG/8ML IV CONC,1415.745,1415.745,,,0 HCPCS,J9171,DOCETAXEL 80 MG/4ML IV CONC,957.55,957.55,,,0 HCPCS,J9173,IMFINZI 500 MG/10ML IV SOLN,61900.0,61900.0,,,0 HCPCS,J9179,HALAVEN 1 MG/2ML IV SOLN,18266.45,18266.45,,,0 HCPCS,J9181,ETOPOSIDE 1 GM/50ML IV SOLN,668.04,668.04,,,0 HCPCS,J9181,ETOPOSIDE 100 MG/5ML IV SOLN,358.74,358.74,,,0 HCPCS,J9181,ETOPOSIDE 500 MG/25ML IV SOLN,598.47,598.47,,,0 HCPCS,J9190,FLUOROURACIL 1 GM/20ML IV SOLN,203.76999999999998,203.76999999999998,,,0 HCPCS,J9190,FLUOROURACIL 2.5 GM/50ML IV SOLN,331.69,331.69,,,0 HCPCS,J9190,FLUOROURACIL 5 GM/100ML IV SOLN,266.245,266.245,,,0 HCPCS,J9190,FLUOROURACIL 500 MG/10ML IV SOLN,123.15,123.15,,,0 HCPCS,J9196,GEMCITABINE HCL 200 MG/2ML IV SOLN,1511.55,1511.55,,,0 HCPCS,J9201,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,853.53,853.53,,,0 HCPCS,J9201,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,214.14499999999998,214.14499999999998,,,0 HCPCS,J9201,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,66.97,66.97,,,0 HCPCS,J9205,ONIVYDE 43 MG/10ML IV INJ,11530.96,11530.96,,,0 HCPCS,J9206,CAMPTOSAR 300 MG/15ML IV SOLN,743.8,743.8,,,0 HCPCS,J9206,IRINOTECAN HCL 100 MG/5ML IV SOLN,189.08,189.08,,,0 HCPCS,J9206,IRINOTECAN HCL 300 MG/15ML IV SOLN,218.46,218.46,,,0 HCPCS,J9206,IRINOTECAN HCL 40 MG/2ML IV SOLN,129.605,129.605,,,0 HCPCS,J9209,MESNA 100 MG/ML IV SOLN,118.25,118.25,,,0 HCPCS,J9227,SARCLISA 100 MG/5ML IV SOLN,12751.47,12751.47,,,0 HCPCS,J9227,SARCLISA 500 MG/25ML IV SOLN,21405.18,21405.18,,,0 HCPCS,J9228,YERVOY 200 MG/40ML IV SOLN,60994.4,60994.4,,,0 HCPCS,J9228,YERVOY 50 MG/10ML IV SOLN,15133.68,15133.68,,,0 HCPCS,J9260,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN,11.17,11.17,,,0 HCPCS,J9263,OXALIPLATIN 100 MG/20ML IV SOLN,365.515,365.515,,,0 HCPCS,J9263,OXALIPLATIN 50 MG/10ML IV SOLN,157.19,157.19,,,0 HCPCS,J9267,PACLITAXEL 150 MG/25ML IV CONC,3654.56,3654.56,,,0 HCPCS,J9267,PACLITAXEL 300 MG/50ML IV CONC,362.1,362.1,,,0 HCPCS,J9271,KEYTRUDA 100 MG/4ML IV SOLN,57614.71,57614.71,,,0 HCPCS,J9272,JEMPERLI 500 MG/10ML IV SOLN,56374.31,56374.31,,,0 HCPCS,J9280,MITOMYCIN 20 MG IV SOLR,2451.1,2451.1,,,0 HCPCS,J9298,OPDUALAG 240-80 MG/20ML IV SOLN,148187.16,148187.16,,,0 HCPCS,J9299,OPDIVO 100 MG/10ML IV SOLN,35788.56,35788.56,,,0 HCPCS,J9299,OPDIVO 120 MG/12ML IV SOLN,21052.07,21052.07,,,0 HCPCS,J9299,OPDIVO 240 MG/24ML IV SOLN,9816.73,9816.73,,,0 HCPCS,J9299,OPDIVO 40 MG/4ML IV SOLN,9816.79,9816.79,,,0 HCPCS,J9301,GAZYVA 1000 MG/40ML IV SOLN,11209.71,11209.71,,,0 HCPCS,J9302,KESIMPTA 20 MG/0.4ML SC SOAJ,83703.13,83703.13,,,0 HCPCS,J9303,VECTIBIX 100 MG/5ML IV SOLN,19072.64,19072.64,,,0 HCPCS,J9303,VECTIBIX 400 MG/20ML IV SOLN,38145.17,38145.17,,,0 HCPCS,J9306,PERJETA 420 MG/14ML IV SOLN,38758.11,38758.11,,,0 HCPCS,J9308,CYRAMZA 100 MG/10ML IV SOLN,6735.55,6735.55,,,0 HCPCS,J9308,CYRAMZA 500 MG/50ML IV SOLN,41805.86,41805.86,,,0 HCPCS,J9311,RITUXAN HYCELA 1400-23400 MG -UT/11.7ML SC SOLN,29573.83,29573.83,,,0 HCPCS,J9312,RITUXAN 500 MG/50ML IV SOLN,26694.73,26694.73,,,0 HCPCS,J9316,PHESGO 60-60-2000 MG-MG-U/ML SC SOLN,92109.24,92109.24,,,0 HCPCS,J9316,PHESGO 80-40-2000 MG-MG-U/ML SC SOLN,59840.38,59840.38,,,0 HCPCS,J9329,TEVIMBRA 100 MG/10ML IV SOLN,53552.66,53552.66,,,0 HCPCS,J9334,VYVGART HYTRULO 180-2000 MG-UNIT/ML SC SOLN,77295.58,77295.58,,,0 HCPCS,J9347,IMJUDO 300 MG/15ML IV SOLN,198840.76,198840.76,,,0 HCPCS,J9351,TOPOTECAN HCL 4 MG/4ML IV SOLN,402.33,402.33,,,0 HCPCS,J9353,MARGENZA 250 MG/10ML IV SOLN,59492.43,59492.43,,,0 HCPCS,J9360,VINBLASTINE SULFATE 1 MG/ML IV SOLN,1714.04,1714.04,,,0 HCPCS,J9370,VINCRISTINE SULFATE 1 MG/ML IV SOLN,489.22,489.22,,,0 HCPCS,J9390,VINORELBINE TARTRATE 50 MG/5ML IV SOLN,828.28,828.28,,,0 HCPCS,J9394,FULVESTRANT 250 MG/5ML IM SOSY,4346.1,4346.1,,,0 HCPCS,J9395,FULVESTRANT 250 MG/5ML IM SOSY,2966.74,2966.74,,,0 HCPCS,K0672,Removable soft interface le,,,104.76,277.61,7 HCPCS,L0112,Cranial cervical orthosis,,,1729.39,4582.88,7 HCPCS,L0113,Cranial cervical torticollis,,,352.38,933.81,7 HCPCS,L0120,Cerv flex n/adj foam pre ots,,,34.57,91.61,7 HCPCS,L0130,Flex thermoplastic collar mo,,,249.97,662.42,7 HCPCS,L0140,Cervical semi-rigid adjustab,,,86.25,228.56,7 HCPCS,L0140,HC COLLAR CERV VISTA 464 LWR TLSO,1475.0,1475.0,,,0 HCPCS,L0140,HC COLLAR CERV VISTA 637 LWR LSO,1475.0,1475.0,,,0 HCPCS,L0150,Cerv semi-rig adj molded chn,,,143.84,381.18,7 HCPCS,L0160,Cerv sr wire occ/man pre ots,,,204.81,542.75,7 HCPCS,L0170,Cervical collar molded to pt,,,866.65,2296.62,7 HCPCS,L0172,Cerv col sr foam 2pc pre ots,,,175.72,465.66,7 HCPCS,L0172,HC SUPPLY CERVICAL COLLAR SEMI-RIGID THERMOPLASTIC FOAM TWO-PIECE - L0172,238.0,238.0,,,0 HCPCS,L0174,Cerv sr 2pc thor ext pre ots,,,315.67,836.53,7 HCPCS,L0174,HC SUPPLY CERVICAL COLLAR SEMI-RIGID THERMOPLASTIC FOAM TWO PIECE THOR EXT - L0174,329.0,329.0,,,0 HCPCS,L0180,Cer post col occ/man sup adj,,,429.3,1137.64,7 HCPCS,L0180,HC COLLAR CERV VISTA MULTIPOST,396.0,396.0,,,0 HCPCS,L0190,Cerv collar supp adj cerv ba,,,646.26,1712.59,7 HCPCS,L0190,HC SUPPLY CERVICAL COLLAR MULTI POST OCCIP/MANDIP SUPPORTS - L0190,672.0,672.0,,,0 HCPCS,L0200,Cerv col supp adj bar & thor,,,593.42,1572.56,7 HCPCS,L0220,Thor rib belt custom fabrica,,,140.73,372.93,7 HCPCS,L0450,Tlso flex trunk/thor pre ots,,,145.1,384.52,7 HCPCS,L0454,Tlso trnk sj-t9 pre cst,,,428.54,1135.63,7 HCPCS,L0455,Tlso flex trnk sj-t9 pre ots,,,269.37,713.83,7 HCPCS,L0456,Tlso flex trnk sj-ss pre cst,,,1228.92,3256.64,7 HCPCS,L0457,Tlso flex trnk sj-ss pre ots,,,772.46,2047.02,7 HCPCS,L0458,TLSO 2Mod symphis-xipho pre,,,1101.98,2920.25,7 HCPCS,L0460,Tlso 2 shl symphys-stern cst,,,1240.37,3286.98,7 HCPCS,L0462,TLSO 3Mod sacro-scap pre,,,1542.8,4088.42,7 HCPCS,L0464,TLSO 4Mod sacro-scap pre,,,1836.64,4867.1,7 HCPCS,L0466,Tlso r fram soft ant pre cst,,,472.27,1251.52,7 HCPCS,L0467,Tlso r fram soft pre ots,,,302.1,800.56,7 HCPCS,L0468,Tlso rig fram pelvic pre cst,,,592.16,1569.22,7 HCPCS,L0469,Tlso rig fram pelvic pre ots,,,384.93,1020.06,7 HCPCS,L0470,TLSO rigid frame pre subclav,,,843.0,2233.95,7 HCPCS,L0472,HC ORTHOSIS C.A.S.H. HNGD PEC/PUBIC PD STD 36IN LWR RIB 36IN LF,527.0,527.0,,,0 HCPCS,L0472,HC ORTHOSIS C.A.S.H. HNGD PEC/PUBIC PD STD 42IN LWR RIB 42IN LF,527.0,527.0,,,0 HCPCS,L0472,TLSO rigid frame hyperex pre,,,529.16,1402.27,7 HCPCS,L0480,TLSO rigid plastic custom fa,,,1636.27,4336.12,7 HCPCS,L0482,TLSO rigid lined custom fab,,,1875.79,4970.84,7 HCPCS,L0484,TLSO rigid plastic cust fab,,,2187.12,5795.87,7 HCPCS,L0486,"HC SUPPLY TLSO, TRIPLANAR CONTROL, TWO PIECE RIGID PLASTIC SHELL CUSTOM - L0486",16450.0,16450.0,,,0 HCPCS,L0486,TLSO rigidlined cust fab two,,,2166.6,5741.49,7 HCPCS,L0488,TLSO rigid lined pre one pie,,,1240.37,3286.98,7 HCPCS,L0490,TLSO rigid plastic pre one,,,349.51,926.2,7 HCPCS,L0491,TLSO 2 piece rigid shell,,,948.92,2514.64,7 HCPCS,L0492,TLSO 3 piece rigid shell,,,614.99,1629.72,7 HCPCS,L0621,Sio flex pelvic/sacr pre ots,,,76.5,202.72,7 HCPCS,L0622,Sio flex pelvisacral custom,,,298.76,791.71,7 HCPCS,L0623,Sio rig pnl pelv/sac pre ots,,,137.13,363.39,7 HCPCS,L0625,Lo flex l1-below l5 pre ots,,,42.8,113.42,7 HCPCS,L0626,Lo sag rig pnl stays pre cst,,,96.32,255.25,7 HCPCS,L0627,Lo sag ri an/pos pnl pre cst,,,507.93,1346.01,7 HCPCS,L0628,Lso flex no ri stays pre ots,,,65.17,172.7,7 HCPCS,L0630,Lso r post pnl sj-t9 pre cst,,,200.07,530.19,7 HCPCS,L0631,Lso sag r an/pos pnl pre cst,,,1268.47,3361.45,7 HCPCS,L0633,Lso sc r pos/lat pnl pre cst,,,354.33,938.97,7 HCPCS,L0635,Lso sagit rigid panel prefab,,,1313.9,3481.84,7 HCPCS,L0636,Lso sagittal rigid panel cus,,,1938.77,5137.74,7 HCPCS,L0637,"HC SUPPLY LUMBAR-SACRAL ORTHOSIS, SAGITTAL-CORONAL CONTROL, WITH RIGID - L0637",255.0,255.0,,,0 HCPCS,L0637,Lso sc r ant/pos pnl pre cst,,,1682.1,4457.56,7 HCPCS,L0638,Lso sag-coronal panel custom,,,1629.67,4318.63,7 HCPCS,L0639,Lso s/c shell/panel prefab,,,1682.1,4457.56,7 HCPCS,L0640,Lso s/c shell/panel custom,,,1292.96,3426.34,7 HCPCS,L0641,Lo rig pos pnl l1-l5 pre ots,,,60.55,160.46,7 HCPCS,L0642,Lo sag ri an/pos pnl pre ots,,,319.33,846.22,7 HCPCS,L0643,Lso sag ctr rigi pos pre ots,,,125.81,333.4,7 HCPCS,L0648,Lso sag r an/pos pnl pre ots,,,797.49,2113.35,7 HCPCS,L0649,Lso sc r pos/lat pnl pre ots,,,222.77,590.34,7 HCPCS,L0650,Lso sc r ant/pos pnl pre ots,,,922.75,2445.29,7 HCPCS,L0651,LSO sag-co shell pnl pre ots,,,922.75,2445.29,7 HCPCS,L0700,Ctlso a-p-l control molded,,,2660.31,7049.82,7 HCPCS,L0710,Ctlso a-p-l control w/ inter,,,2903.9,7695.34,7 HCPCS,L0720,Ctlso a-p-l control custom,,,2265.94,6004.74,7 HCPCS,L0810,"HC 274 SHELL CODE W/ HCPCS HALO PROCEDURE, CERVICAL HALO INCORPORATED INTO JACKET VEST",23423.0,23423.0,,,0 HCPCS,L0810,HC SUPPLY PROCEDURE CERVICAL HALO INCORP INTO JACKET VEST,23423.0,23423.0,,,0 HCPCS,L0810,Halo cervical into jckt vest,,,3084.99,8175.22,7 HCPCS,L0820,Halo cervical into body jack,,,2495.61,6613.37,7 HCPCS,L0830,Halo cerv into milwaukee typ,,,3603.4,9549.01,7 HCPCS,L0859,MRI compatible system,,,1399.89,3709.71,7 HCPCS,L0861,Halo repl liner/interface,,,266.32,705.75,7 HCPCS,L0970,Tlso corset front,,,131.34,348.05,7 HCPCS,L0972,Lso corset front,,,134.25,355.76,7 HCPCS,L0974,Tlso full corset,,,274.31,726.92,7 HCPCS,L0976,HC SUPPLY LUMBAR SACRAL ORTHOSIS FULL CORSET - L0976,255.0,255.0,,,0 HCPCS,L0976,Lso full corset,,,244.99,649.22,7 HCPCS,L0978,Axillary crutch extension,,,221.2,586.18,7 HCPCS,L0980,Peroneal straps pair pre ots,,,20.07,53.19,7 HCPCS,L0982,Stocking sup grips 4 pre ots,,,21.87,57.96,7 HCPCS,L0984,Protect body sock ea pre ots,,,69.77,184.89,7 HCPCS,L1000,Ctlso milwauke initial model,,,2332.97,6182.37,7 HCPCS,L1005,Tension based scoliosis orth,,,3954.81,10480.25,7 HCPCS,L1010,Ctlso axilla sling,,,93.95,248.97,7 HCPCS,L1020,Kyphosis pad,,,128.37,340.18,7 HCPCS,L1025,Kyphosis pad floating,,,145.9,386.64,7 HCPCS,L1030,Lumbar bolster pad,,,97.47,258.3,7 HCPCS,L1040,Lumbar or lumbar rib pad,,,117.32,310.9,7 HCPCS,L1050,Sternal pad,,,101.56,269.13,7 HCPCS,L1060,Thoracic pad,,,114.57,303.61,7 HCPCS,L1070,Trapezius sling,,,117.15,310.45,7 HCPCS,L1080,Outrigger,,,81.17,215.1,7 HCPCS,L1085,Outrigger bil w/ vert extens,,,225.49,597.55,7 HCPCS,L1090,Lumbar sling,,,105.33,279.12,7 HCPCS,L1100,Ring flange plastic/leather,,,185.94,492.74,7 HCPCS,L1110,Ring flange plas/leather mol,,,314.94,834.59,7 HCPCS,L1120,Covers for upright each,,,50.16,132.92,7 HCPCS,L1200,Furnsh initial orthosis only,,,1997.03,5292.13,7 HCPCS,L1210,Lateral thoracic extension,,,300.68,796.8,7 HCPCS,L1220,Anterior thoracic extension,,,254.58,674.64,7 HCPCS,L1220,HC SUPPLY THORACIC LUMBAR SACRAL ORTHOSIS ANTERIOR THORACIC EXTENSION - L1220,265.0,265.0,,,0 HCPCS,L1230,Milwaukee type superstructur,,,653.22,1731.03,7 HCPCS,L1240,Lumbar derotation pad,,,112.41,297.89,7 HCPCS,L1250,Anterior asis pad,,,110.69,293.33,7 HCPCS,L1260,Anterior thoracic derotation,,,113.77,301.49,7 HCPCS,L1270,Abdominal pad,,,113.64,301.15,7 HCPCS,L1280,Rib gusset (elastic) each,,,101.29,268.42,7 HCPCS,L1290,Lateral trochanteric pad,,,114.83,304.3,7 HCPCS,L1300,Body jacket mold to patient,,,1919.53,5086.75,7 HCPCS,L1310,Post-operative body jacket,,,1975.19,5234.25,7 HCPCS,L1600,Ho flex frejka w/cov pre cst,,,148.08,392.41,7 HCPCS,L1610,Ho frejka cov only pre cst,,,50.45,133.69,7 HCPCS,L1620,"HC SUPPLY HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINTS, FLEXIBLE - L1620",173.0,173.0,,,0 HCPCS,L1620,Ho flex pavlik harns pre cst,,,166.13,440.24,7 HCPCS,L1630,Abduct control hip semi-flex,,,198.25,525.36,7 HCPCS,L1640,Pelv band/spread bar thigh c,,,530.24,1405.14,7 HCPCS,L1650,HO abduction hip adjustable,,,281.19,745.15,7 HCPCS,L1652,HO bi thighcuffs w sprdr bar,,,440.48,1167.27,7 HCPCS,L1660,HO abduction static plastic,,,196.66,521.15,7 HCPCS,L1680,"HC SUPPLY HIP ORTHOSIS, ABDUCTION CONTROL OF HIP JOINTS, DYNAMIC, PELV - L1680",1682.0,1682.0,,,0 HCPCS,L1680,Pelvic & hip control thigh c,,,1616.8,4284.52,7 HCPCS,L1681,Ho bilateral hip abduction,,,2289.0,6065.85,7 HCPCS,L1685,Post-op hip abduct custom fa,,,1705.99,4520.87,7 HCPCS,L1686,HO post-op hip abduction,,,1144.5,3032.92,7 HCPCS,L1690,Combination bilateral HO,,,2389.39,6331.88,7 HCPCS,L1700,Leg perthes orth toronto typ,,,1987.82,5267.72,7 HCPCS,L1710,Legg perthes orth newington,,,2336.55,6191.86,7 HCPCS,L1720,Legg perthes orthosis trilat,,,1726.01,4573.93,7 HCPCS,L1730,Legg perthes orth scottish r,,,1302.22,3450.88,7 HCPCS,L1755,Legg perthes patten bottom t,,,1895.44,5022.92,7 HCPCS,L1810,Ko elastic with joints,,,149.59,396.41,7 HCPCS,L1812,Ko elastic w/joints pre ots,,,85.71,227.13,7 HCPCS,L1820,Ko elas w/ condyle pads & jo,,,148.99,394.82,7 HCPCS,L1830,Ko immob canvas long pre ots,,,77.23,204.66,7 HCPCS,L1831,Knee orth pos locking joint,,,363.64,963.65,7 HCPCS,L1832,HC BRACE KNE X-ACT ROM SWVL AND SNP UNIV,643.0,643.0,,,0 HCPCS,L1832,Ko adj jnt pos r sup pre cst,,,931.51,2468.5,7 HCPCS,L1833,HC BRACE KNE FORM FIT SHT ROM LG,396.0,396.0,,,0 HCPCS,L1833,HC BRACE KNE POSTOP ROM FULL FOAM BLK SM/MD 28IN,396.0,396.0,,,0 HCPCS,L1833,Ko adj jnt pos r sup pre ots,,,556.31,1474.22,7 HCPCS,L1834,Ko w/0 joint rigid molded to,,,1095.91,2904.16,7 HCPCS,L1836,Ko rigid w/o joints pre ots,,,109.2,289.38,7 HCPCS,L1840,Ko derot ant cruciate custom,,,1151.99,3052.77,7 HCPCS,L1843,"HC SUPPLY KNEE ORTHOSIS, SINGLE UPRIGHT, THIGH AND CALF, WITH ADJUSTAB - L1843",1153.0,1153.0,,,0 HCPCS,L1843,Ko single upright pre cst,,,1108.66,2937.95,7 HCPCS,L1844,Ko w/adj jt rot cntrl molded,,,1921.07,5090.84,7 HCPCS,L1845,Ko double upright pre cst,,,1157.34,3066.95,7 HCPCS,L1846,Ko w adj flex/ext rotat mold,,,1468.46,3891.42,7 HCPCS,L1847,Ko dbl upright w/air pre cst,,,710.72,1883.41,7 HCPCS,L1848,Ko dbl upright w/air pre ots,,,710.72,1883.41,7 HCPCS,L1850,"HC SUPPLY KNEE ORTHOSIS, SWEDISH TYPE, PREFABRICATED, OFF-THE-SHELF - L1850",301.0,301.0,,,0 HCPCS,L1850,Ko swedish type pre ots,,,251.5,666.48,7 HCPCS,L1851,Ko single upright prefab ots,,,734.28,1945.84,7 HCPCS,L1852,Ko double upright prefab ots,,,700.49,1856.3,7 HCPCS,L1860,Ko supracondylar socket mold,,,1282.92,3399.74,7 HCPCS,L1900,Afo sprng wir drsflx calf bd,,,347.57,921.06,7 HCPCS,L1902,Afo ankle gauntlet pre ots,,,94.39,250.13,7 HCPCS,L1904,Afo molded ankle gauntlet,,,540.36,1431.95,7 HCPCS,L1906,Afo multilig ank sup pre ots,,,157.92,418.49,7 HCPCS,L1906,"HC SUPPLY ANKLE FOOT ORTHOSIS, MULTILIGAMENTOUS ANKLE SUPPORT, PREFABR - L1906",1079.0,1079.0,,,0 HCPCS,L1907,AFO supramalleolar custom,,,695.27,1842.47,7 HCPCS,L1910,Afo sing bar clasp attach sh,,,307.3,814.34,7 HCPCS,L1920,Afo sing upright w/ adjust s,,,401.73,1064.58,7 HCPCS,L1930,Afo plastic,,,271.84,720.38,7 HCPCS,L1930,"HC SUPPLY ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, PREFABRICATE - L1930",282.0,282.0,,,0 HCPCS,L1932,Afo rig ant tib prefab TCF/=,,,1102.62,2921.94,7 HCPCS,L1932,"HC SUPPLY AFO, RIGID ANTERIOR TIBIAL SECTION, TOTAL CARBON FIBER OR EQ - L1932",1148.0,1148.0,,,0 HCPCS,L1933,Afo rig ant tib tcf/= ots,,,1102.62,2921.94,7 HCPCS,L1940,Afo molded to patient plasti,,,614.33,1627.97,7 HCPCS,L1945,Afo molded plas rig ant tib,,,1128.15,2989.6,7 HCPCS,L1950,Afo spiral molded to pt plas,,,855.92,2268.19,7 HCPCS,L1951,AFO spiral prefabricated,,,1037.71,2749.93,7 HCPCS,L1951,HC SUPPLY ANKLE FOOT ORTHOSIS SPIRAL PREFAB - L1951,1079.0,1079.0,,,0 HCPCS,L1952,Afo spiral prefab ots,,,1037.71,2749.93,7 HCPCS,L1960,Afo pos solid ank plastic mo,,,636.95,1687.92,7 HCPCS,L1960,HC SUPPLY ANKLE FOOT ORTHOSIS POSTERIOR SOLID ANKLE CUSTOM - L1960,663.0,663.0,,,0 HCPCS,L1970,Afo plastic molded w/ankle j,,,942.1,2496.56,7 HCPCS,L1970,"HC SUPPLY ANKLE FOOT ORTHOSIS, PLASTIC WITH ANKLE JOINT, CUSTOM FABRIC - L1970",981.0,981.0,,,0 HCPCS,L1971,"AFO w/ankle joint, prefab",,,579.17,1534.8,7 HCPCS,L1980,Afo sing solid stirrup calf,,,421.73,1117.58,7 HCPCS,L1990,Afo doub solid stirrup calf,,,541.86,1435.93,7 HCPCS,L2000,Kafo sing fre stirr thi/calf,,,1165.54,3088.68,7 HCPCS,L2005,KAFO sng/dbl mechanical act,,,5063.24,13417.59,7 HCPCS,L2010,Kafo sng solid stirrup w/o j,,,1062.5,2815.62,7 HCPCS,L2020,Kafo dbl solid stirrup band/,,,1341.77,3555.69,7 HCPCS,L2030,Kafo dbl solid stirrup w/o j,,,1164.11,3084.89,7 HCPCS,L2034,Kafo pla sin up w/wo k/a cus,,,2537.13,6723.39,7 HCPCS,L2035,KAFO plastic pediatric size,,,214.06,567.26,7 HCPCS,L2036,Kafo plas doub free knee mol,,,2131.99,5649.77,7 HCPCS,L2037,Kafo plas sing free knee mol,,,1964.76,5206.61,7 HCPCS,L2038,Kafo w/o joint multi-axis an,,,1642.94,4353.79,7 HCPCS,L2040,Hkafo torsion bil rot straps,,,209.85,556.1,7 HCPCS,L2050,Hkafo torsion cable hip pelv,,,558.87,1481.01,7 HCPCS,L2060,Hkafo torsion ball bearing j,,,717.28,1900.79,7 HCPCS,L2070,Hkafo torsion unilat rot str,,,206.05,546.03,7 HCPCS,L2080,Hkafo unilat torsion cable,,,439.45,1164.54,7 HCPCS,L2090,Hkafo unilat torsion ball br,,,541.63,1435.32,7 HCPCS,L2106,Afo tib fx cast plaster mold,,,781.31,2070.47,7 HCPCS,L2108,Afo tib fx cast molded to pt,,,1227.78,3253.62,7 HCPCS,L2112,Afo tibial fracture soft,,,582.98,1544.9,7 HCPCS,L2114,Afo tib fx semi-rigid,,,666.99,1767.52,7 HCPCS,L2116,Afo tibial fracture rigid,,,878.76,2328.71,7 HCPCS,L2126,Kafo fem fx cast thermoplas,,,1563.58,4143.49,7 HCPCS,L2128,Kafo fem fx cast molded to p,,,1970.44,5221.67,7 HCPCS,L2132,Kafo femoral fx cast soft,,,926.98,2456.5,7 HCPCS,L2134,Kafo fem fx cast semi-rigid,,,1111.41,2945.24,7 HCPCS,L2136,Kafo femoral fx cast rigid,,,1358.95,3601.22,7 HCPCS,L2180,Plas shoe insert w ank joint,,,134.58,356.64,7 HCPCS,L2182,Drop lock knee,,,105.33,279.12,7 HCPCS,L2184,Limited motion knee joint,,,189.8,502.97,7 HCPCS,L2186,Adj motion knee jnt lerman t,,,210.31,557.32,7 HCPCS,L2188,Quadrilateral brim,,,458.87,1216.01,7 HCPCS,L2190,Waist belt,,,119.18,315.83,7 HCPCS,L2192,Pelvic band & belt thigh fla,,,409.73,1085.78,7 HCPCS,L2200,HC SUPPLY LEO ADDITION LIMITED ANKLE MOTION - L2200,57.0,57.0,,,0 HCPCS,L2200,Limited ankle motion ea jnt,,,54.63,144.77,7 HCPCS,L2210,Dorsiflexion assist each joi,,,88.64,234.9,7 HCPCS,L2220,Dorsi & plantar flex ass/res,,,101.79,269.74,7 HCPCS,L2230,Split flat caliper stirr & p,,,88.17,233.65,7 HCPCS,L2232,HC SUPPLY LEO ROCKER BOTTOM FOR TOTAL CONTACT AFO CUSTOM - L2232,124.0,124.0,,,0 HCPCS,L2232,"Rocker bottom, contact AFO",,,119.38,316.36,7 HCPCS,L2240,Round caliper and plate atta,,,96.11,254.69,7 HCPCS,L2250,Foot plate molded stirrup at,,,408.31,1082.02,7 HCPCS,L2260,Reinforced solid stirrup,,,230.35,610.43,7 HCPCS,L2265,Long tongue stirrup,,,135.33,358.62,7 HCPCS,L2270,Varus/valgus strap padded/li,,,61.71,163.53,7 HCPCS,L2275,"HC SUPPLY ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION, PLASTI - L2275",155.0,155.0,,,0 HCPCS,L2275,Plastic mod low ext pad/line,,,150.16,397.92,7 HCPCS,L2280,Molded inner boot,,,557.83,1478.25,7 HCPCS,L2300,Abduction bar jointed adjust,,,314.89,834.46,7 HCPCS,L2310,Abduction bar-straight,,,141.37,374.63,7 HCPCS,L2320,Non-molded lacer,,,236.44,626.57,7 HCPCS,L2330,Lacer molded to patient mode,,,451.21,1195.71,7 HCPCS,L2335,Anterior swing band,,,265.43,703.39,7 HCPCS,L2340,HC SUPPLY LEO ADDITION ROUND CALIPER AND PLATE ATTACHMENT - L2340,652.0,652.0,,,0 HCPCS,L2340,Pre-tibial shell molded to p,,,626.36,1659.85,7 HCPCS,L2350,Prosthetic type socket molde,,,1023.92,2713.39,7 HCPCS,L2360,Extended steel shank,,,59.45,157.54,7 HCPCS,L2370,Patten bottom,,,294.98,781.7,7 HCPCS,L2375,Torsion ank & half solid sti,,,129.84,344.08,7 HCPCS,L2380,Torsion straight knee joint,,,141.47,374.9,7 HCPCS,L2385,Straight knee joint heavy du,,,153.92,407.89,7 HCPCS,L2387,Add le poly knee custom kafo,,,208.88,553.53,7 HCPCS,L2390,Offset knee joint each,,,125.79,333.34,7 HCPCS,L2395,Offset knee joint heavy duty,,,192.05,508.93,7 HCPCS,L2397,Suspension sleeve lower ext,,,134.68,356.9,7 HCPCS,L2405,HC SUPPLY KNEE JNT ADDITION DROP LOCK EACH - L2405,111.0,111.0,,,0 HCPCS,L2405,Knee joint drop lock ea jnt,,,107.74,285.51,7 HCPCS,L2415,Knee joint cam lock each joi,,,150.1,397.76,7 HCPCS,L2425,Knee disc/dial lock/adj flex,,,177.12,469.37,7 HCPCS,L2430,Knee jnt ratchet lock ea jnt,,,177.12,469.37,7 HCPCS,L2492,Knee lift loop drop lock rin,,,117.18,310.53,7 HCPCS,L2500,Thi/glut/ischia wgt bearing,,,362.52,960.68,7 HCPCS,L2510,Th/wght bear quad-lat brim m,,,970.6,2572.09,7 HCPCS,L2520,Th/wght bear quad-lat brim c,,,529.38,1402.86,7 HCPCS,L2525,Th/wght bear nar m-l brim mo,,,1816.17,4812.85,7 HCPCS,L2526,Th/wght bear nar m-l brim cu,,,978.93,2594.16,7 HCPCS,L2530,Thigh/wght bear lacer non-mo,,,269.99,715.47,7 HCPCS,L2540,Thigh/wght bear lacer molded,,,485.83,1287.45,7 HCPCS,L2550,Thigh/wght bear high roll cu,,,330.04,874.61,7 HCPCS,L2570,Hip clevis type 2 posit jnt,,,729.78,1933.92,7 HCPCS,L2580,Pelvic control pelvic sling,,,691.79,1833.24,7 HCPCS,L2600,Hip clevis/thrust bearing fr,,,236.01,625.43,7 HCPCS,L2610,Hip clevis/thrust bearing lo,,,279.07,739.54,7 HCPCS,L2620,Pelvic control hip heavy dut,,,307.25,814.21,7 HCPCS,L2622,Hip joint adjustable flexion,,,352.39,933.83,7 HCPCS,L2624,"HC SUPPLY ADDITION TO LOWER EXTREMITY, PELVIC CONTROL, HIP JOINT, ADJ - L2624",498.0,498.0,,,0 HCPCS,L2624,Hip adj flex ext abduct cont,,,479.06,1269.51,7 HCPCS,L2627,Plastic mold recipro hip & c,,,1973.72,5230.36,7 HCPCS,L2628,Metal frame recipro hip & ca,,,2318.48,6143.97,7 HCPCS,L2630,Pelvic control band & belt u,,,284.55,754.06,7 HCPCS,L2640,Pelvic control band & belt b,,,386.17,1023.35,7 HCPCS,L2650,Pelv & thor control gluteal,,,137.9,365.44,7 HCPCS,L2660,Thoracic control thoracic ba,,,214.17,567.55,7 HCPCS,L2670,Thorac cont paraspinal uprig,,,196.02,519.45,7 HCPCS,L2680,Thorac cont lat support upri,,,179.82,476.52,7 HCPCS,L2750,Plating chrome/nickel pr bar,,,96.05,254.53,7 HCPCS,L2755,Carbon graphite lamination,,,161.49,427.95,7 HCPCS,L2760,Extension per extension per,,,69.82,185.02,7 HCPCS,L2768,Ortho sidebar disconnect,,,161.0,426.65,7 HCPCS,L2780,Non-corrosive finish,,,82.59,218.86,7 HCPCS,L2785,Drop lock retainer each,,,48.56,128.68,7 HCPCS,L2795,Knee control full kneecap,,,97.65,258.77,7 HCPCS,L2800,Knee cap medial or lateral p,,,122.57,324.81,7 HCPCS,L2810,Knee control condylar pad,,,89.75,237.84,7 HCPCS,L2820,HC SUPPLY LEO ADDITION SOFT INTERFACE BELOW KNEE SECTION - L2820,105.0,105.0,,,0 HCPCS,L2820,Soft interface below knee se,,,99.79,264.44,7 HCPCS,L2830,HC SUPPLY LEO ADDITION SOFT INTERFACE ABOVE KNEE SECTION - L2830,117.0,117.0,,,0 HCPCS,L2830,Soft interface above knee se,,,112.21,297.36,7 HCPCS,L2840,HC SUPPLY LEO ADDITION TIBIAL LENGTH SOCK FRACTURE OR EQUAL EACH - L2840,66.0,66.0,,,0 HCPCS,L2840,Tibial length sock fx or equ,,,62.64,166.0,7 HCPCS,L2850,Femoral lgth sock fx or equa,,,71.15,188.55,7 HCPCS,L3000,Ft insert ucb berkeley shell,,,388.16,1028.62,7 HCPCS,L3001,Foot insert remov molded spe,,,163.43,433.09,7 HCPCS,L3002,Foot insert plastazote or eq,,,199.55,528.81,7 HCPCS,L3002,HC SUPPLY FOOT INSERT REMOVABLE MOLDED TO PT PLASTAZOTE OR EQUAL EACH - L3002,207.0,207.0,,,0 HCPCS,L3003,Foot insert silicone gel eac,,,215.29,570.52,7 HCPCS,L3010,Foot longitudinal arch suppo,,,215.29,570.52,7 HCPCS,L3020,Foot longitud/metatarsal sup,,,245.15,649.65,7 HCPCS,L3030,Foot arch support remov prem,,,94.31,249.92,7 HCPCS,L3031,Foot lamin/prepreg composite,,,151.32,401.0,7 HCPCS,L3040,Ft arch suprt premold longit,,,58.15,154.1,7 HCPCS,L3050,Foot arch supp premold metat,,,58.15,154.1,7 HCPCS,L3060,Foot arch supp longitud/meta,,,91.14,241.52,7 HCPCS,L3070,Arch suprt att to sho longit,,,39.28,104.09,7 HCPCS,L3080,Arch supp att to shoe metata,,,39.28,104.09,7 HCPCS,L3090,Arch supp att to shoe long/m,,,50.31,133.32,7 HCPCS,L3100,Hallus-valgus nt dyn pre ots,,,53.41,141.54,7 HCPCS,L3140,Abduction rotation bar shoe,,,110.03,291.58,7 HCPCS,L3150,Abduct rotation bar w/o shoe,,,100.58,266.54,7 HCPCS,L3170,Foot plas heel stabi pre ots,,,62.87,166.61,7 HCPCS,L3170,HC SUPPLY DME FOOT PLASTIC SILICONE OR EQUAL HEEL STAB PREFAB OTS EA,1103.0,1103.0,,,0 HCPCS,L3216,HC SUPPLY LADIES SHOE DEPTH INLAY EACH - L3216,63.0,63.0,,,0 HCPCS,L3221,HC SUPPLY MENS SHOE DEPTH INLAY EACH - L3221,70.0,70.0,,,0 HCPCS,L3224,Woman's shoe oxford brace,,,67.57,179.06,7 HCPCS,L3225,Man's shoe oxford brace,,,77.73,205.98,7 HCPCS,L3260,"HC 274 SHELL CODE W/ HCPCS SURGICAL BOOT/SHOE, EACH",95.0,95.0,,,0 HCPCS,L3260,HC SUPPLY POST OP SHOE/BOOT,95.0,95.0,,,0 HCPCS,L3300,HC SUPPLY LIFT ELEVATION HEEL TAPERED TO METATARSALS PER IN - L3300,67.0,67.0,,,0 HCPCS,L3300,Sho lift taper to metatarsal,,,64.41,170.69,7 HCPCS,L3310,Shoe lift elev heel/sole neo,,,100.58,266.54,7 HCPCS,L3330,Lifts elevation metal extens,,,699.28,1853.09,7 HCPCS,L3332,Shoe lifts tapered to one-ha,,,91.14,241.52,7 HCPCS,L3334,Shoe lifts elevation heel /i,,,47.13,124.89,7 HCPCS,L3340,Shoe wedge sach,,,105.33,279.12,7 HCPCS,L3350,Shoe heel wedge,,,28.26,74.89,7 HCPCS,L3360,Shoe sole wedge outside sole,,,44.0,116.6,7 HCPCS,L3370,Shoe sole wedge between sole,,,61.3,162.44,7 HCPCS,L3380,Shoe clubfoot wedge,,,61.3,162.44,7 HCPCS,L3390,Shoe outflare wedge,,,61.3,162.44,7 HCPCS,L3400,Shoe metatarsal bar wedge ro,,,50.31,133.32,7 HCPCS,L3410,Shoe metatarsal bar between,,,114.74,304.06,7 HCPCS,L3420,Full sole/heel wedge btween,,,67.55,179.01,7 HCPCS,L3430,Sho heel count plast reinfor,,,198.0,524.7,7 HCPCS,L3440,Heel leather reinforced,,,94.31,249.92,7 HCPCS,L3450,Shoe heel sach cushion type,,,130.4,345.56,7 HCPCS,L3455,Shoe heel new leather standa,,,50.31,133.32,7 HCPCS,L3460,Shoe heel new rubber standar,,,42.41,112.39,7 HCPCS,L3465,Shoe heel thomas with wedge,,,72.28,191.54,7 HCPCS,L3470,Shoe heel thomas extend to b,,,76.99,204.02,7 HCPCS,L3480,Shoe heel pad & depress for,,,76.99,204.02,7 HCPCS,L3500,Ortho shoe add leather insol,,,36.18,95.88,7 HCPCS,L3510,Orthopedic shoe add rub insl,,,36.18,95.88,7 HCPCS,L3520,O shoe add felt w leath insl,,,39.28,104.09,7 HCPCS,L3530,Ortho shoe add half sole,,,39.28,104.09,7 HCPCS,L3540,Ortho shoe add full sole,,,62.87,166.61,7 HCPCS,L3550,O shoe add standard toe tap,,,11.02,29.2,7 HCPCS,L3560,O shoe add horseshoe toe tap,,,28.26,74.89,7 HCPCS,L3570,O shoe add instep extension,,,105.33,279.12,7 HCPCS,L3580,O shoe add instep velcro clo,,,80.14,212.37,7 HCPCS,L3590,O shoe convert to sof counte,,,66.01,174.93,7 HCPCS,L3595,Ortho shoe add march bar,,,51.85,137.4,7 HCPCS,L3600,Trans shoe calip plate exist,,,94.31,249.92,7 HCPCS,L3610,Trans shoe caliper plate new,,,124.12,328.92,7 HCPCS,L3620,Trans shoe solid stirrup exi,,,94.31,249.92,7 HCPCS,L3630,Trans shoe solid stirrup new,,,124.12,328.92,7 HCPCS,L3640,Shoe dennis browne splint bo,,,53.41,141.54,7 HCPCS,L3650,So 8 abd restraint pre ots,,,67.31,178.37,7 HCPCS,L3660,So 8 ab rstr can/web pre ots,,,115.57,306.26,7 HCPCS,L3670,"HC SUPPLY SHOULDER ORTHOSIS, ACROMIO/CLAVICULAR (CANVAS AND WEBBING) - L3670",167.0,167.0,,,0 HCPCS,L3670,So acro/clav can web pre ots,,,161.08,426.86,7 HCPCS,L3671,"HC SUPPLY SHOULDER ORTHOSIS, SHOULDER JOINT DESIGN, WITHOUT JOINTS, MA - L3671",1006.0,1006.0,,,0 HCPCS,L3671,SO cap design w/o jnts CF,,,1013.24,2685.09,7 HCPCS,L3674,SO airplane w/wo joint CF,,,1329.23,3522.46,7 HCPCS,L3675,So vest canvas/web pre ots,,,197.34,522.95,7 HCPCS,L3702,EO w/o joints CF,,,324.72,860.51,7 HCPCS,L3702,"HC SUPPLY ELBOW ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE - L3702",328.0,328.0,,,0 HCPCS,L3710,Eo elas w/metal jnts pre ots,,,163.06,432.11,7 HCPCS,L3720,Forearm/arm cuffs free motio,,,813.4,2155.51,7 HCPCS,L3720,"HC SUPPLY ELBOW ORTHOSIS, DOUBLE UPRIGHT WITH FOREARM/ARM CUFFS, FREE - L3720",1908.0,1908.0,,,0 HCPCS,L3730,Forearm/arm cuffs ext/flex a,,,1070.75,2837.49,7 HCPCS,L3730,HC SUPPLY ELBOW ORTHOSIS DBL UPRT W/ FOREARM/ARM CUFFS FLEX ASST CUST-L3740,1177.0,1177.0,,,0 HCPCS,L3740,Cuffs adj lock w/ active con,,,1203.36,3188.9,7 HCPCS,L3740,"HC SUPPLY ELBOW ORTHOSIS, DOUBLE UPRIGHT WITH FOREARM/ARM CUFFS, ADJ - L3740",2590.0,2590.0,,,0 HCPCS,L3760,"EO withjoint, Prefabricated",,,562.35,1490.23,7 HCPCS,L3760,"HC SUPPLY ELBOW ORTHOSIS (EO), WITH ADJUST POSIT LOCK JNT - L3760",297.0,297.0,,,0 HCPCS,L3761,"Eo, adj lock joint prefab ot",,,562.35,1490.23,7 HCPCS,L3762,Eo rigid w/o joints pre ots,,,120.93,320.46,7 HCPCS,L3763,EWHO rigid w/o jnts CF,,,892.81,2365.95,7 HCPCS,L3763,"HC SUPPLY ELBOW WRIST HAND ORTHOSIS, RIGID, W/O JNTS - L3763",2224.0,2224.0,,,0 HCPCS,L3764,EWHO w/joint(s) CF,,,890.38,2359.51,7 HCPCS,L3765,EWHFO rigid w/o jnts CF,,,1441.9,3821.04,7 HCPCS,L3766,EWHFO w/joint(s) CF,,,1526.89,4046.26,7 HCPCS,L3806,"HC SUPPLY WRIST HAND FINGER ORTHOSIS, 1+ NONTORSION - L3806",1260.0,1260.0,,,0 HCPCS,L3806,WHFO w/joint(s) custom fab,,,510.8,1353.62,7 HCPCS,L3807,Whfo w/o joints pre cst,,,281.19,745.15,7 HCPCS,L3808,"HC SUPPLY WRIST HAND FINGER ORTHOSIS, RIGID W/O JNTS - L3808",798.0,798.0,,,0 HCPCS,L3808,"WHFO, rigid w/o joints",,,375.59,995.31,7 HCPCS,L3809,"HC SUPPLY WRIST HAND FINGER ORTHOSIS, WITHOUT JOINT(S), PREFAB - L3809",292.0,292.0,,,0 HCPCS,L3809,Whfo w/o joints pre ots,,,281.19,745.15,7 HCPCS,L3900,Hinge extension/flex wrist/f,,,1756.7,4655.26,7 HCPCS,L3901,Hinge ext/flex wrist finger,,,1969.72,5219.76,7 HCPCS,L3904,Whfo electric custom fitted,,,4009.81,10626.0,7 HCPCS,L3905,Who w/nontorsion jnt(s) cf,,,1115.21,2955.31,7 HCPCS,L3906,"HC SUPPLY WRIST HAND ORTHOSIS, W/O JNTS, MAY INCLUDE SOFT - L3906",474.0,474.0,,,0 HCPCS,L3906,Who w/o joints cf,,,474.38,1257.11,7 HCPCS,L3908,"HC SUPPLY WRIST HAND ORTHOSIS, WRIST EXTENSION CONTROL COCK-UP, NON MO",101.0,101.0,,,0 HCPCS,L3908,Who cock-up nonmolde pre ots,,,67.37,178.53,7 HCPCS,L3912,"HC SUPPLY HAND FINGER ORTHOSIS, FLEXION GLOVE ELAS FING CONT - L3912",240.0,240.0,,,0 HCPCS,L3912,Hfo flexion glove pre ots,,,108.07,286.39,7 HCPCS,L3913,"HC SUPPLY HAND FINGER ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT CUST",663.0,663.0,,,0 HCPCS,L3913,HFO w/o joints CF,,,304.58,807.14,7 HCPCS,L3915,Who nontorsion jnts pre cst,,,597.78,1584.12,7 HCPCS,L3916,Who nontorsion jnts pre ots,,,597.78,1584.12,7 HCPCS,L3917,Metacarp fx orthosis pre cst,,,118.79,314.79,7 HCPCS,L3918,Metacarp fx orthosis pre ots,,,118.79,314.79,7 HCPCS,L3919,"HC SUPPLY HAND ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE, S",989.0,989.0,,,0 HCPCS,L3919,HO w/o joints CF,,,304.58,807.14,7 HCPCS,L3921,"HC SUPPLY HAND FINGER ORTHOSIS, INCLUDES ONE OR MORE NONTORSION JOINTS",1070.0,1070.0,,,0 HCPCS,L3921,HFO w/joint(s) CF,,,361.18,957.13,7 HCPCS,L3923,Hfo without joints pre cst,,,97.81,259.2,7 HCPCS,L3924,"HC SUPPLY HAND FINGER ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT OTS",320.0,320.0,,,0 HCPCS,L3924,Hfo without joints pre ots,,,97.81,259.2,7 HCPCS,L3925,Fo pip dip jnt/sprng pre ots,,,59.39,157.38,7 HCPCS,L3925,"HC SUPPLY FINGER ORTHOSIS, PROXIMAL INTERPHALANGEAL (PIP) NON TORSION",279.0,279.0,,,0 HCPCS,L3927,Fo pip dip no jt spr pre ots,,,39.34,104.25,7 HCPCS,L3927,"HC SUPPLY FINGER ORTHOSIS, PROXIMAL INTERPHALANGEAL (PIP)/DISTAL INTER",189.0,189.0,,,0 HCPCS,L3929,"HC SUPPLY FINGER ORTHOSIS, NONTORSION JNT PREFAB ADJ - L3929",275.0,275.0,,,0 HCPCS,L3929,Hfo nontorsion jnts pre cst,,,94.67,250.88,7 HCPCS,L3930,Hfo nontorsion jnts pre ots,,,94.67,250.88,7 HCPCS,L3931,WHFO nontorsion joint prefab,,,229.01,606.88,7 HCPCS,L3933,FO w/o joints CF,,,239.92,635.79,7 HCPCS,L3933,"HC SUPPLY FINGER ORTHOSIS, WITHOUT JOINTS, MAY INCLUDE SOFT INTERFACE,",403.0,403.0,,,0 HCPCS,L3935,FO nontorsion joint CF,,,248.47,658.45,7 HCPCS,L3935,"HC SUPPLY FINGER ORTHOSIS, NONTORSION JOINT, MAY INCLUDE SOFT INTERFAC",905.0,905.0,,,0 HCPCS,L3960,Sewho airplan desig abdu pos,,,926.91,2456.31,7 HCPCS,L3961,Sewho cap design w/o jnts cf,,,1889.33,5006.72,7 HCPCS,L3962,Sewho erbs palsey design abd,,,965.12,2557.57,7 HCPCS,L3967,Sewho airplane w/o jnts cf,,,2230.66,5911.25,7 HCPCS,L3971,Sewho cap design w/jnt(s) cf,,,2117.37,5611.03,7 HCPCS,L3973,Sewho airplane w/jnt(s) cf,,,2230.66,5911.25,7 HCPCS,L3975,Sewhfo cap design w/o jnt cf,,,1889.33,5006.72,7 HCPCS,L3976,Sewhfo airplane w/o jnts cf,,,1889.33,5006.72,7 HCPCS,L3977,Sewhfo cap desgn w/jnt(s) cf,,,2117.37,5611.03,7 HCPCS,L3978,Sewhfo airplane w/jnt(s) cf,,,2230.66,5911.25,7 HCPCS,L3980,"HC SUPPLY UPPER EXTREMITY FRACTURE ORTHOSIS, HUMERAL, PREFABRICATED, I",360.0,360.0,,,0 HCPCS,L3980,Up ext fx orthos humeral nos,,,347.63,921.22,7 HCPCS,L3981,Ue fx orth shoul cap forearm,,,1131.9,2999.54,7 HCPCS,L3982,Upper ext fx orthosis rad/ul,,,429.48,1138.12,7 HCPCS,L3984,Upper ext fx orthosis wrist,,,458.44,1214.87,7 HCPCS,L3995,Sock fracture or equal each,,,38.45,101.89,7 HCPCS,L4000,Repl girdle milwaukee orth,,,1499.07,3972.54,7 HCPCS,L4002,HC SUPPLY REPLACMNT STRAP ANY ORTHOSIS ANY LENGTH ANY TYPE,30.0,30.0,,,0 HCPCS,L4010,Replace trilateral socket br,,,843.58,2235.49,7 HCPCS,L4020,Replace quadlat socket brim,,,1053.71,2792.33,7 HCPCS,L4030,Replace socket brim cust fit,,,580.17,1537.45,7 HCPCS,L4040,Replace molded thigh lacer,,,469.07,1243.04,7 HCPCS,L4045,Replace non-molded thigh lac,,,376.94,998.89,7 HCPCS,L4050,Replace molded calf lacer,,,474.4,1257.16,7 HCPCS,L4055,Replace non-molded calf lace,,,307.2,814.08,7 HCPCS,L4060,Replace high roll cuff,,,365.19,967.75,7 HCPCS,L4070,Replace prox & dist upright,,,348.4,923.26,7 HCPCS,L4080,Repl met band kafo-afo prox,,,122.83,325.5,7 HCPCS,L4090,Repl met band kafo-afo calf/,,,108.72,288.11,7 HCPCS,L4100,Repl leath cuff kafo prox th,,,122.63,324.97,7 HCPCS,L4110,Repl leath cuff kafo-afo cal,,,97.45,258.24,7 HCPCS,L4130,Replace pretibial shell,,,670.68,1777.3,7 HCPCS,L4205,Ortho dvc repair per 15 min,,,29.95,79.37,7 HCPCS,L4350,Ankle control ortho pre ots,,,120.83,320.2,7 HCPCS,L4360,"HC SUPPLY WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINT",352.0,352.0,,,0 HCPCS,L4360,Pneumat walking boot pre cst,,,338.06,895.86,7 HCPCS,L4361,Pneuma/vac walk boot pre ots,,,338.06,895.86,7 HCPCS,L4370,Pneum full leg splnt pre ots,,,216.94,574.89,7 HCPCS,L4386,Non-pneum walk boot pre cst,,,195.89,519.11,7 HCPCS,L4387,Non-pneum walk boot pre ots,,,195.89,519.11,7 HCPCS,L4392,Replace AFO soft interface,,,29.1,77.11,7 HCPCS,L4394,Replace foot drop spint,,,21.24,56.29,7 HCPCS,L4396,Static or dynami afo pre cst,,,207.41,549.64,7 HCPCS,L4397,Static or dynami afo pre ots,,,207.41,549.64,7 HCPCS,L4398,Foot drop splint pre ots,,,95.45,252.94,7 HCPCS,L4631,"Afo, walk boot type, cus fab",,,1843.94,4886.44,7 HCPCS,L5000,Sho insert w arch toe filler,,,647.9,1716.94,7 HCPCS,L5010,Mold socket ank hgt w/ toe f,,,1564.83,4146.8,7 HCPCS,L5020,Tibial tubercle hgt w/ toe f,,,2657.4,7042.11,7 HCPCS,L5050,Ank symes mold sckt sach ft,,,2939.57,7789.86,7 HCPCS,L5060,Symes met fr leath socket ar,,,3381.38,8960.66,7 HCPCS,L5100,Molded socket shin sach foot,,,2946.06,7807.06,7 HCPCS,L5105,Plast socket jts/thgh lacer,,,4252.97,11270.37,7 HCPCS,L5150,Mold sckt ext knee shin sach,,,4299.18,11392.83,7 HCPCS,L5160,Mold socket bent knee shin s,,,4676.12,12391.72,7 HCPCS,L5200,Kne sing axis fric shin sach,,,4478.06,11866.86,7 HCPCS,L5210,No knee/ankle joints w/ ft b,,,2970.73,7872.43,7 HCPCS,L5220,No knee joint with artic ali,,,3376.78,8948.47,7 HCPCS,L5230,Fem focal defic constant fri,,,4657.24,12341.69,7 HCPCS,L5250,Hip canad sing axi cons fric,,,6352.07,16832.99,7 HCPCS,L5270,Tilt table locking hip sing,,,6323.89,16758.31,7 HCPCS,L5280,Hemipelvect canad sing axis,,,6275.46,16629.97,7 HCPCS,L5301,Bk mold socket sach ft endo,,,3367.55,8924.01,7 HCPCS,L5312,"Knee disart, SACH ft, endo",,,4820.42,12774.11,7 HCPCS,L5321,Ak open end sach,,,4881.34,12935.55,7 HCPCS,L5331,Hip disart canadian sach ft,,,6219.83,16482.55,7 HCPCS,L5341,Hemipelvectomy canadian sach,,,6474.88,17158.43,7 HCPCS,L5400,Postop dress & 1 cast chg bk,,,1667.22,4418.13,7 HCPCS,L5410,Postop dsg bk ea add cast ch,,,511.51,1355.5,7 HCPCS,L5420,Postop dsg & 1 cast chg ak/d,,,2043.12,5414.27,7 HCPCS,L5430,Postop dsg ak ea add cast ch,,,616.07,1632.59,7 HCPCS,L5450,"HC SUPPLY IMMEDIATE POST SURGICAL OR EARLY FITTING, APPLICATION OF NON",521.0,521.0,,,0 HCPCS,L5450,Postop app non-wgt bear dsg,,,501.19,1328.15,7 HCPCS,L5460,Postop app non-wgt bear dsg,,,667.75,1769.54,7 HCPCS,L5500,Init bk ptb plaster direct,,,1572.33,4166.67,7 HCPCS,L5505,Init ak ischal plstr direct,,,2174.6,5762.69,7 HCPCS,L5510,Prep BK ptb plaster molded,,,1782.34,4723.2,7 HCPCS,L5520,Perp BK ptb thermopls direct,,,1760.53,4665.4,7 HCPCS,L5530,Prep BK ptb thermopls molded,,,2114.56,5603.58,7 HCPCS,L5535,Prep BK ptb open end socket,,,2076.09,5501.64,7 HCPCS,L5540,Prep BK ptb laminated socket,,,2215.83,5871.95,7 HCPCS,L5560,Prep AK ischial plast molded,,,2379.43,6305.49,7 HCPCS,L5570,Prep AK ischial direct form,,,2473.76,6555.46,7 HCPCS,L5580,Prep AK ischial thermo mold,,,2887.94,7653.04,7 HCPCS,L5585,Prep AK ischial open end,,,3554.08,9418.31,7 HCPCS,L5590,Prep AK ischial laminated,,,2943.01,7798.98,7 HCPCS,L5595,Hip disartic sach thermopls,,,5199.23,13777.96,7 HCPCS,L5600,Hip disart sach laminat mold,,,5588.93,14810.66,7 HCPCS,L5610,Above knee hydracadence,,,2534.66,6716.85,7 HCPCS,L5611,Ak 4 bar link w/fric swing,,,1972.47,5227.05,7 HCPCS,L5613,Ak 4 bar ling w/hydraul swig,,,3083.91,8172.36,7 HCPCS,L5614,4-bar link above knee w/swng,,,2089.13,5536.19,7 HCPCS,L5615,Ak 4 bar link hydl swg/stanc,,,6841.95,18131.17,7 HCPCS,L5616,Ak univ multiplex sys frict,,,1666.52,4416.28,7 HCPCS,L5617,AK/BK self-aligning unit ea,,,692.69,1835.63,7 HCPCS,L5618,Test socket symes,,,366.46,971.12,7 HCPCS,L5620,Test socket below knee,,,340.36,901.95,7 HCPCS,L5622,Test socket knee disarticula,,,443.82,1176.12,7 HCPCS,L5624,Test socket above knee,,,445.08,1179.46,7 HCPCS,L5626,Test socket hip disarticulat,,,583.7,1546.8,7 HCPCS,L5628,Test socket hemipelvectomy,,,624.13,1653.94,7 HCPCS,L5629,Below knee acrylic socket,,,389.06,1031.01,7 HCPCS,L5630,Syme typ expandabl wall sckt,,,549.44,1456.02,7 HCPCS,L5631,Ak/knee disartic acrylic soc,,,537.91,1425.46,7 HCPCS,L5632,Symes type ptb brim design s,,,300.21,795.56,7 HCPCS,L5634,Symes type poster opening so,,,372.4,986.86,7 HCPCS,L5636,Symes type medial opening so,,,311.94,826.64,7 HCPCS,L5637,Below knee total contact,,,353.67,937.23,7 HCPCS,L5638,Below knee leather socket,,,616.08,1632.61,7 HCPCS,L5639,Below knee wood socket,,,1372.6,3637.39,7 HCPCS,L5640,Knee disarticulat leather so,,,782.83,2074.5,7 HCPCS,L5642,Above knee leather socket,,,758.5,2010.02,7 HCPCS,L5643,Hip flex inner socket ext fr,,,1905.46,5049.47,7 HCPCS,L5644,Above knee wood socket,,,723.09,1916.19,7 HCPCS,L5645,Bk flex inner socket ext fra,,,976.81,2588.55,7 HCPCS,L5646,Below knee cushion socket,,,670.77,1777.54,7 HCPCS,L5647,Below knee suction socket,,,973.84,2580.68,7 HCPCS,L5648,Above knee cushion socket,,,806.01,2135.93,7 HCPCS,L5649,Isch containmt/narrow m-l so,,,2920.65,7739.72,7 HCPCS,L5650,Tot contact ak/knee disart s,,,597.66,1583.8,7 HCPCS,L5651,Ak flex inner socket ext fra,,,1470.22,3896.08,7 HCPCS,L5652,Suction susp ak/knee disart,,,533.75,1414.44,7 HCPCS,L5653,Knee disart expand wall sock,,,712.51,1888.15,7 HCPCS,L5654,Socket insert symes,,,406.02,1075.95,7 HCPCS,L5655,Socket insert below knee,,,344.08,911.81,7 HCPCS,L5656,Socket insert knee articulat,,,461.57,1223.16,7 HCPCS,L5658,Socket insert above knee,,,445.13,1179.59,7 HCPCS,L5661,Multi-durometer symes,,,745.01,1974.28,7 HCPCS,L5665,Multi-durometer below knee,,,626.84,1661.13,7 HCPCS,L5666,Below knee cuff suspension,,,85.69,227.08,7 HCPCS,L5668,Bk molded distal cushion,,,138.23,366.31,7 HCPCS,L5670,Bk molded supracondylar susp,,,332.2,880.33,7 HCPCS,L5671,Bk/ak locking mechanism,,,703.98,1865.55,7 HCPCS,L5672,Bk removable medial brim sus,,,365.06,967.41,7 HCPCS,L5673,Socket insert w lock mech,,,870.51,2306.85,7 HCPCS,L5676,Bk knee joints single axis p,,,443.63,1175.62,7 HCPCS,L5677,Bk knee joints polycentric p,,,603.62,1599.59,7 HCPCS,L5678,Bk joint covers pair,,,48.61,128.82,7 HCPCS,L5679,Socket insert w/o lock mech,,,725.39,1922.28,7 HCPCS,L5680,Bk thigh lacer non-molded,,,405.77,1075.29,7 HCPCS,L5681,Intl custm cong/latyp insert,,,1628.51,4315.55,7 HCPCS,L5682,Bk thigh lacer glut/ischia m,,,765.63,2028.92,7 HCPCS,L5683,Initial custom socket insert,,,1628.51,4315.55,7 HCPCS,L5684,Bk fork strap,,,58.93,156.16,7 HCPCS,L5685,Below knee sus/seal sleeve,,,158.57,420.21,7 HCPCS,L5686,Bk back check,,,62.55,165.76,7 HCPCS,L5688,Bk waist belt webbing,,,74.78,198.17,7 HCPCS,L5690,Bk waist belt padded and lin,,,119.8,317.47,7 HCPCS,L5692,Ak pelvic control belt light,,,162.67,431.08,7 HCPCS,L5694,Ak pelvic control belt pad/l,,,222.1,588.56,7 HCPCS,L5695,Ak sleeve susp neoprene/equa,,,205.01,543.28,7 HCPCS,L5696,Ak/knee disartic pelvic join,,,226.51,600.25,7 HCPCS,L5697,Ak/knee disartic pelvic band,,,98.28,260.44,7 HCPCS,L5698,Ak/knee disartic silesian ba,,,160.7,425.85,7 HCPCS,L5699,Shoulder harness,,,289.51,767.2,7 HCPCS,L5700,Replace socket below knee,,,3507.7,9295.4,7 HCPCS,L5701,Replace socket above knee,,,4212.49,11163.1,7 HCPCS,L5702,Replace socket hip,,,5329.4,14122.91,7 HCPCS,L5703,Symes ankle w/o (sach) foot,,,2758.03,7308.78,7 HCPCS,L5704,Custom shape cover bk,,,656.22,1738.98,7 HCPCS,L5705,Custom shape cover ak,,,1172.55,3107.26,7 HCPCS,L5706,Custom shape cvr knee disart,,,1149.39,3045.88,7 HCPCS,L5707,Custom shape cvr hip disart,,,1515.28,4015.49,7 HCPCS,L5710,Kne-shin exo sng axi mnl loc,,,457.86,1213.33,7 HCPCS,L5711,Knee-shin exo mnl lock ultra,,,639.88,1695.68,7 HCPCS,L5712,Knee-shin exo frict swg & st,,,536.15,1420.8,7 HCPCS,L5714,Knee-shin exo variable frict,,,550.71,1459.38,7 HCPCS,L5716,Knee-shin exo mech stance ph,,,892.28,2364.54,7 HCPCS,L5718,Knee-shin exo frct swg & sta,,,1115.26,2955.44,7 HCPCS,L5722,Knee-shin pneum swg frct exo,,,1178.22,3122.28,7 HCPCS,L5724,Knee-shin exo fluid swing ph,,,1847.9,4896.94,7 HCPCS,L5726,Knee-shin ext jnts fld swg e,,,2129.66,5643.6,7 HCPCS,L5728,Knee-shin fluid swg & stance,,,2913.09,7719.69,7 HCPCS,L5780,Knee-shin pneum/hydra pneum,,,1401.65,3714.37,7 HCPCS,L5781,Lower limb pros vacuum pump,,,4953.58,13126.99,7 HCPCS,L5782,HD low limb pros vacuum pump,,,5222.21,13838.86,7 HCPCS,L5783,Add low ext mec limb vol sys,,,3150.07,8347.69,7 HCPCS,L5785,Exoskeletal bk ultralt mater,,,787.9,2087.94,7 HCPCS,L5790,Exoskeletal ak ultra-light m,,,880.26,2332.69,7 HCPCS,L5795,Exoskel hip ultra-light mate,,,1752.61,4644.42,7 HCPCS,L5810,Endoskel knee-shin mnl lock,,,596.04,1579.51,7 HCPCS,L5811,Endo knee-shin mnl lck ultra,,,892.86,2366.08,7 HCPCS,L5812,Endo knee-shin frct swg & st,,,692.06,1833.96,7 HCPCS,L5814,Endo knee-shin hydral swg ph,,,4597.89,12184.41,7 HCPCS,L5816,Endo knee-shin polyc mch sta,,,1047.44,2775.72,7 HCPCS,L5818,Endo knee-shin frct swg & st,,,1175.67,3115.53,7 HCPCS,L5822,Endo knee-shin pneum swg frc,,,2084.77,5524.64,7 HCPCS,L5824,Endo knee-shin fluid swing p,,,1877.46,4975.27,7 HCPCS,L5826,Miniature knee joint,,,3866.22,10245.48,7 HCPCS,L5827,Endo knee shin single axis,,,7007.5,18569.88,7 HCPCS,L5828,Endo knee-shin fluid swg/sta,,,3457.19,9161.55,7 HCPCS,L5830,Endo knee-shin pneum/swg pha,,,2323.05,6156.08,7 HCPCS,L5840,Multi-axial knee/shin system,,,4295.32,11382.6,7 HCPCS,L5841,Addition endoskletl knee-shi,,,2870.47,7606.75,7 HCPCS,L5845,Knee-shin sys stance flexion,,,2219.05,5880.48,7 HCPCS,L5848,Knee-shin sys hydraul stance,,,1331.26,3527.84,7 HCPCS,L5850,Endo ak/hip knee extens assi,,,156.61,415.02,7 HCPCS,L5855,Mech hip extension assist,,,420.83,1115.2,7 HCPCS,L5856,Elec knee-shin swing/stance,,,29719.96,78757.89,7 HCPCS,L5857,Elec knee-shin swing only,,,10545.73,27946.18,7 HCPCS,L5858,Stance phase only,,,23009.05,60973.98,7 HCPCS,L5859,Knee-shin pro flex/ext cont,,,17962.99,47601.92,7 HCPCS,L5910,Endo below knee alignable sy,,,443.39,1174.98,7 HCPCS,L5920,Endo ak/hip alignable system,,,649.58,1721.39,7 HCPCS,L5925,Above knee manual lock,,,548.48,1453.47,7 HCPCS,L5926,Endoskel posit rotat unit,,,697.41,1848.14,7 HCPCS,L5930,High activity knee frame,,,4167.07,11042.74,7 HCPCS,L5940,Endo bk ultra-light material,,,614.1,1627.36,7 HCPCS,L5950,Endo ak ultra-light material,,,960.18,2544.48,7 HCPCS,L5960,Endo hip ultra-light materia,,,1180.22,3127.58,7 HCPCS,L5961,"Endo poly hip, pneu/hyd/rot",,,5627.8,14913.67,7 HCPCS,L5962,Below knee flex cover system,,,776.72,2058.31,7 HCPCS,L5964,Above knee flex cover system,,,1146.54,3038.33,7 HCPCS,L5966,Hip flexible cover system,,,1460.97,3871.57,7 HCPCS,L5968,Multiaxial ankle w dorsiflex,,,4498.91,11922.11,7 HCPCS,L5970,Foot external keel sach foot,,,248.63,658.87,7 HCPCS,L5971,"SACH foot, replacement",,,248.63,658.87,7 HCPCS,L5972,Flexible keel foot,,,464.44,1230.77,7 HCPCS,L5973,Ank-foot sys dors-plant flex,,,21299.94,56444.84,7 HCPCS,L5974,Foot single axis ankle/foot,,,285.29,756.02,7 HCPCS,L5975,Combo ankle/foot prosthesis,,,573.98,1521.05,7 HCPCS,L5976,Energy storing foot,,,685.61,1816.87,7 HCPCS,L5978,Ft prosth multiaxial ankl/ft,,,357.27,946.77,7 HCPCS,L5979,Multi-axial ankle/ft prosth,,,2793.44,7402.62,7 HCPCS,L5980,Flex foot system,,,4539.15,12028.75,7 HCPCS,L5981,Flex-walk sys low ext prosth,,,3667.02,9717.6,7 HCPCS,L5982,Exoskeletal axial rotation u,,,707.75,1875.54,7 HCPCS,L5984,Endoskeletal axial rotation,,,697.41,1848.14,7 HCPCS,L5985,Lwr ext dynamic prosth pylon,,,349.58,926.39,7 HCPCS,L5986,Multi-axial rotation unit,,,775.79,2055.84,7 HCPCS,L5987,Shank ft w vert load pylon,,,8906.07,23601.09,7 HCPCS,L5988,Vertical shock reducing pylo,,,2473.19,6553.95,7 HCPCS,L5990,User adjustable heel height,,,2246.04,5952.01,7 HCPCS,L5991,Low pros ext osseo connector,,,11755.04,31150.86,7 HCPCS,L6000,Part hand thumb rem,,,1626.65,4310.62,7 HCPCS,L6010,Part hand little/ring,,,1810.19,4797.0,7 HCPCS,L6020,Part hand no fingers,,,1687.71,4472.43,7 HCPCS,L6026,Part hand myo exclu term dev,,,6119.92,16217.79,7 HCPCS,L6050,Wrst MLd sck flx hng tri pad,,,2325.6,6162.84,7 HCPCS,L6055,Wrst mold sock w/exp interfa,,,3241.3,8589.44,7 HCPCS,L6100,Elb mold sock flex hinge pad,,,2356.19,6243.9,7 HCPCS,L6110,Elbow mold sock suspension t,,,2499.14,6622.72,7 HCPCS,L6120,Elbow mold doub splt soc ste,,,2912.39,7717.83,7 HCPCS,L6130,Elbow stump activated lock h,,,3169.22,8398.43,7 HCPCS,L6200,Elbow mold outsid lock hinge,,,3339.85,8850.6,7 HCPCS,L6205,Elbow molded w/ expand inter,,,4458.17,11814.15,7 HCPCS,L6250,Elbow inter loc elbow forarm,,,3499.39,9273.38,7 HCPCS,L6300,Shlder disart int lock elbow,,,4561.09,12086.89,7 HCPCS,L6310,Shoulder passive restor comp,,,3938.3,10436.5,7 HCPCS,L6320,Shoulder passive restor cap,,,2151.39,5701.18,7 HCPCS,L6350,Thoracic intern lock elbow,,,4795.29,12707.52,7 HCPCS,L6360,Thoracic passive restor comp,,,4312.59,11428.36,7 HCPCS,L6370,Thoracic passive restor cap,,,2580.53,6838.4,7 HCPCS,L6380,Postop dsg cast chg wrst/elb,,,1495.35,3962.68,7 HCPCS,L6382,Postop dsg cast chg elb dis/,,,2249.69,5961.68,7 HCPCS,L6384,Postop dsg cast chg shlder/t,,,3112.22,8247.38,7 HCPCS,L6386,Postop ea cast chg & realign,,,491.64,1302.85,7 HCPCS,L6388,Postop applicat rigid dsg on,,,538.21,1426.26,7 HCPCS,L6400,Below elbow prosth tiss shap,,,2840.74,7527.96,7 HCPCS,L6450,Elb disart prosth tiss shap,,,3795.18,10057.23,7 HCPCS,L6500,Above elbow prosth tiss shap,,,3970.5,10521.82,7 HCPCS,L6550,Shldr disar prosth tiss shap,,,4772.61,12647.42,7 HCPCS,L6570,Scap thorac prosth tiss shap,,,5358.37,14199.68,7 HCPCS,L6580,Wrist/elbow bowden cable mol,,,2045.72,5421.16,7 HCPCS,L6582,Wrist/elbow bowden cbl dir f,,,1852.87,4910.11,7 HCPCS,L6584,Elbow fair lead cable molded,,,2905.79,7700.34,7 HCPCS,L6586,Elbow fair lead cable dir fo,,,2719.34,7206.25,7 HCPCS,L6588,Shdr fair lead cable molded,,,3573.15,9468.85,7 HCPCS,L6590,Shdr fair lead cable direct,,,3393.93,8993.91,7 HCPCS,L6600,Polycentric hinge pair,,,229.64,608.55,7 HCPCS,L6605,Single pivot hinge pair,,,226.75,600.89,7 HCPCS,L6610,Flexible metal hinge pair,,,217.74,577.01,7 HCPCS,L6611,"Additional switch, ext power",,,509.7,1350.7,7 HCPCS,L6615,Disconnect locking wrist uni,,,234.61,621.72,7 HCPCS,L6616,Disconnect insert locking wr,,,86.93,230.36,7 HCPCS,L6620,Flexion/extension wrist unit,,,375.39,994.78,7 HCPCS,L6621,Flex/ext wrist w/wo friction,,,2831.71,7504.03,7 HCPCS,L6623,Spring-ass rot wrst w/ latch,,,1047.08,2774.76,7 HCPCS,L6624,Flex/ext/rotation wrist unit,,,4662.49,12355.6,7 HCPCS,L6625,Rotation wrst w/ cable lock,,,743.95,1971.47,7 HCPCS,L6628,Quick disconn hook adapter o,,,586.48,1554.17,7 HCPCS,L6629,Lamination collar w/ couplin,,,179.11,474.64,7 HCPCS,L6630,Stainless steel any wrist,,,263.85,699.2,7 HCPCS,L6632,Latex suspension sleeve each,,,91.64,242.85,7 HCPCS,L6635,Lift assist for elbow,,,215.63,571.42,7 HCPCS,L6637,Nudge control elbow lock,,,459.92,1218.79,7 HCPCS,L6638,Elec lock on manual pw elbow,,,3095.98,8204.35,7 HCPCS,L6640,Shoulder abduction joint pai,,,408.59,1082.76,7 HCPCS,L6641,Excursion amplifier pulley t,,,196.4,520.46,7 HCPCS,L6642,Excursion amplifier lever ty,,,266.21,705.46,7 HCPCS,L6645,Shoulder flexion-abduction j,,,491.37,1302.13,7 HCPCS,L6646,Multipo locking shoulder jnt,,,3904.74,10347.56,7 HCPCS,L6647,Shoulder lock actuator,,,642.83,1703.5,7 HCPCS,L6648,Ext pwrd shlder lock/unlock,,,4027.16,10671.97,7 HCPCS,L6650,Shoulder universal joint,,,510.16,1351.92,7 HCPCS,L6655,Standard control cable extra,,,100.26,265.69,7 HCPCS,L6660,Heavy duty control cable,,,112.37,297.78,7 HCPCS,L6665,Teflon or equal cable lining,,,56.38,149.41,7 HCPCS,L6670,Hook to hand cable adapter,,,62.34,165.2,7 HCPCS,L6672,Harness chest/shlder saddle,,,247.39,655.58,7 HCPCS,L6675,Harness figure of 8 sing con,,,147.02,389.6,7 HCPCS,L6676,Harness figure of 8 dual con,,,169.95,450.37,7 HCPCS,L6677,UE triple control harness,,,367.3,973.34,7 HCPCS,L6680,Test sock wrist disart/bel e,,,284.03,752.68,7 HCPCS,L6682,Test sock elbw disart/above,,,314.04,832.21,7 HCPCS,L6684,Test socket shldr disart/tho,,,426.74,1130.86,7 HCPCS,L6686,Suction socket,,,963.67,2553.73,7 HCPCS,L6687,Frame typ socket bel elbow/w,,,706.16,1871.32,7 HCPCS,L6688,Frame typ sock above elb/dis,,,701.89,1860.01,7 HCPCS,L6689,Frame typ socket shoulder di,,,840.96,2228.54,7 HCPCS,L6690,Frame typ sock interscap-tho,,,916.41,2428.49,7 HCPCS,L6691,Removable insert each,,,424.15,1124.0,7 HCPCS,L6692,Silicone gel insert or equal,,,684.63,1814.27,7 HCPCS,L6693,Lockingelbow forearm cntrbal,,,3514.73,9314.03,7 HCPCS,L6694,Elbow socket ins use w/lock,,,870.51,2306.85,7 HCPCS,L6695,Elbow socket ins use w/o lck,,,725.39,1922.28,7 HCPCS,L6696,Cus elbo skt in for con/atyp,,,1628.51,4315.55,7 HCPCS,L6697,Cus elbo skt in not con/atyp,,,1628.51,4315.55,7 HCPCS,L6698,Below/above elbow lock mech,,,703.98,1865.55,7 HCPCS,L6700,Ue add ext power myoel,,,29510.19,78202.0,7 HCPCS,L6703,"Term dev, passive hand mitt",,,445.07,1179.44,7 HCPCS,L6704,"Term dev, sport/rec/work att",,,716.96,1899.94,7 HCPCS,L6706,Term dev mech hook vol open,,,427.16,1131.97,7 HCPCS,L6707,Term dev mech hook vol close,,,1574.47,4172.35,7 HCPCS,L6708,Term dev mech hand vol open,,,1029.27,2727.57,7 HCPCS,L6709,Term dev mech hand vol close,,,1483.22,3930.53,7 HCPCS,L6711,"Ped term dev, hook, vol open",,,832.33,2205.67,7 HCPCS,L6712,"Ped term dev, hook, vol clos",,,1532.52,4061.18,7 HCPCS,L6713,"Ped term dev, hand, vol open",,,1934.13,5125.44,7 HCPCS,L6714,"Ped term dev, hand, vol clos",,,1638.27,4341.42,7 HCPCS,L6715,"Term device, multi art digit",,,3908.64,10357.9,7 HCPCS,L6721,"Hook/hand, hvy dty, vol open",,,2911.82,7716.32,7 HCPCS,L6722,"Hook/hand, hvy dty, vol clos",,,2510.19,6652.0,7 HCPCS,L6805,Term dev modifier wrist unit,,,416.53,1103.8,7 HCPCS,L6810,Term dev precision pinch dev,,,236.08,625.61,7 HCPCS,L6880,Elec hand ind art digits,,,29579.67,78386.13,7 HCPCS,L6881,Term dev auto grasp feature,,,5061.33,13412.52,7 HCPCS,L6882,Microprocessor control uplmb,,,3839.33,10174.22,7 HCPCS,L6883,Replc sockt below e/w disa,,,1942.73,5148.23,7 HCPCS,L6884,Replc sockt above elbow disa,,,2883.44,7641.12,7 HCPCS,L6885,Replc sockt shldr dis/interc,,,4312.59,11428.36,7 HCPCS,L6890,Prefab glove for term device,,,208.23,551.81,7 HCPCS,L6895,Custom glove for term device,,,766.02,2029.95,7 HCPCS,L6900,Hand restorat thumb/1 finger,,,2186.02,5792.95,7 HCPCS,L6905,Hand restoration multiple fi,,,2173.6,5760.04,7 HCPCS,L6910,Hand restoration no fingers,,,1858.64,4925.4,7 HCPCS,L6915,Hand restoration replacmnt g,,,937.1,2483.32,7 HCPCS,L6920,Wrist disarticul switch ctrl,,,8170.29,21651.27,7 HCPCS,L6925,Wrist disart myoelectronic c,,,10998.63,29146.37,7 HCPCS,L6930,Below elbow switch control,,,8220.96,21785.54,7 HCPCS,L6935,Below elbow myoelectronic ct,,,11169.31,29598.67,7 HCPCS,L6940,Elbow disarticulation switch,,,10741.21,28464.21,7 HCPCS,L6945,Elbow disart myoelectronic c,,,13124.47,34779.85,7 HCPCS,L6950,Above elbow switch control,,,12208.9,32353.58,7 HCPCS,L6955,Above elbow myoelectronic ct,,,14621.82,38747.82,7 HCPCS,L6960,Shldr disartic switch contro,,,16562.87,43891.61,7 HCPCS,L6965,Shldr disartic myoelectronic,,,17664.91,46812.01,7 HCPCS,L6970,Interscapular-thor switch ct,,,18407.12,48778.87,7 HCPCS,L6975,Interscap-thor myoelectronic,,,20131.45,53348.34,7 HCPCS,L7007,Adult electric hand,,,4212.72,11163.71,7 HCPCS,L7008,Pediatric electric hand,,,6630.37,17570.48,7 HCPCS,L7009,Adult electric hook,,,4298.3,11390.5,7 HCPCS,L7040,Prehensile actuator,,,3451.37,9146.13,7 HCPCS,L7045,Pediatric electric hook,,,1978.79,5243.79,7 HCPCS,L7170,Electronic elbow hosmer swit,,,9111.07,24144.34,7 HCPCS,L7180,Electronic elbow sequential,,,39992.59,105980.36,7 HCPCS,L7181,Electronic elbo simultaneous,,,49605.45,131454.44,7 HCPCS,L7185,Electron elbow adolescent sw,,,8997.32,23842.9,7 HCPCS,L7186,Electron elbow child switch,,,10829.14,28697.22,7 HCPCS,L7190,Elbow adolescent myoelectron,,,9450.26,25043.19,7 HCPCS,L7191,Elbow child myoelectronic ct,,,11315.81,29986.9,7 HCPCS,L7259,Electronic wrist rotator any,,,3912.59,10368.36,7 HCPCS,L7360,Six volt bat otto bock/eq ea,,,292.13,774.14,7 HCPCS,L7362,Battery chrgr six volt otto,,,306.73,812.83,7 HCPCS,L7364,Twelve volt battery utah/equ,,,487.84,1292.78,7 HCPCS,L7366,Battery chrgr 12 volt utah/e,,,657.13,1741.39,7 HCPCS,L7367,Replacemnt lithium ionbatter,,,481.97,1277.22,7 HCPCS,L7368,Lithium ion battery charger,,,624.83,1655.8,7 HCPCS,L7400,"Add ue prost be/wd, ultlite",,,379.46,1005.57,7 HCPCS,L7401,Add ue prost a/e ultlite mat,,,424.81,1125.75,7 HCPCS,L7402,Add ue prost s/d ultlite mat,,,458.7,1215.55,7 HCPCS,L7403,Add UE prost b/e acrylic,,,455.94,1208.24,7 HCPCS,L7404,Add UE prost a/e acrylic,,,688.07,1823.39,7 HCPCS,L7405,Add UE prost s/d acrylic,,,899.94,2384.84,7 HCPCS,L7406,Add to upp extr user adj mec,,,3150.07,8347.69,7 HCPCS,L7520,Repair prosthesis per 15 min,,,40.67,107.78,7 HCPCS,L7700,Pros soc insert gasket/seal,,,138.17,366.15,7 HCPCS,L8000,HC SUPPLY DME BREAST PROSTHESIS MASTECTOMY BRA,944.0,944.0,,,0 HCPCS,L8000,Mastectomy bra,,,53.85,142.7,7 HCPCS,L8001,Breast prosthesis bra & form,,,155.28,411.49,7 HCPCS,L8002,Brst prsth bra & bilat form,,,204.28,541.34,7 HCPCS,L8010,HC SUPPLY DME BREAST PROSTHESIS MASTECTOMY SLEEVE,254.0,254.0,,,0 HCPCS,L8015,Ext breastprosthesis garment,,,74.19,196.6,7 HCPCS,L8015,HC SUPPLY DME EXT BREAST PROSTHESIS GARMENT WITH MASTECTOMY FORM POST,1301.0,1301.0,,,0 HCPCS,L8020,HC SUPPLY DME BREAST PROSTHESIS MASTECTOMY FORM,3873.0,3873.0,,,0 HCPCS,L8020,Mastectomy form,,,279.11,739.64,7 HCPCS,L8030,Breast prosthes w/o adhesive,,,403.72,1069.86,7 HCPCS,L8030,HC SUPPLY DME BREAST PROSTHESIS SILICONE OR EQUAL,5602.0,5602.0,,,0 HCPCS,L8031,Breast prosthesis w adhesive,,,403.72,1069.86,7 HCPCS,L8032,HC SUPPLY DME NIPPLE PROSTHESIS,851.0,851.0,,,0 HCPCS,L8032,Reusable nipple prosthesis,,,48.49,128.5,7 HCPCS,L8035,Custom breast prosthesis,,,4535.66,12019.5,7 HCPCS,L8040,Nasal prosthesis,,,2992.53,7930.2,7 HCPCS,L8041,Midfacial prosthesis,,,3606.94,9558.39,7 HCPCS,L8042,Orbital prosthesis,,,4052.7,10739.66,7 HCPCS,L8043,Upper facial prosthesis,,,4539.05,12028.48,7 HCPCS,L8044,Hemi-facial prosthesis,,,5025.35,13317.18,7 HCPCS,L8045,Auricular prosthesis,,,3147.02,8339.6,7 HCPCS,L8046,Partial facial prosthesis,,,3242.18,8591.78,7 HCPCS,L8047,Nasal septal prosthesis,,,1661.59,4403.21,7 HCPCS,L8300,Truss single w/ standard pad,,,119.24,315.99,7 HCPCS,L8310,Truss double w/ standard pad,,,183.33,485.82,7 HCPCS,L8320,Truss addition to std pad wa,,,80.07,212.19,7 HCPCS,L8330,Truss add to std pad scrotal,,,79.38,210.36,7 HCPCS,L8400,Sheath below knee,,,23.21,61.51,7 HCPCS,L8410,Sheath above knee,,,26.4,69.96,7 HCPCS,L8415,Sheath upper limb,,,26.24,69.54,7 HCPCS,L8417,Pros sheath/sock w gel cushn,,,93.1,246.71,7 HCPCS,L8420,Prosthetic sock multi ply BK,,,30.67,81.28,7 HCPCS,L8430,Prosthetic sock multi ply AK,,,33.75,89.44,7 HCPCS,L8435,Pros sock multi ply upper lm,,,30.27,80.22,7 HCPCS,L8440,"HC SUPPLY PROSTHETIC SHRINKER, BELOW KNEE, EACH",67.0,67.0,,,0 HCPCS,L8440,Shrinker below knee,,,64.18,170.08,7 HCPCS,L8460,"HC SUPPLY PROSTHETIC SHRINKER, ABOVE KNEE, EACH",93.0,93.0,,,0 HCPCS,L8460,Shrinker above knee,,,89.33,236.72,7 HCPCS,L8465,Shrinker upper limb,,,79.62,210.99,7 HCPCS,L8470,Pros sock single ply BK,,,8.17,21.65,7 HCPCS,L8480,Pros sock single ply AK,,,11.27,29.87,7 HCPCS,L8485,Pros sock single ply upper l,,,13.62,36.09,7 HCPCS,L8499,HC 272 SHELL CODE W/HCPCS UNLISTED PROCEDURE FOR MISC PROSTHETIC SERVICES,606.0,606.0,,,0 HCPCS,L8500,Artificial larynx,,,807.95,2141.07,7 HCPCS,L8500,HC 274 SHELL CODE W/HCPCS ARTIFICIAL LARYNX ANY TYPE,8698.0,8698.0,,,0 HCPCS,L8501,Tracheostomy speaking valve,,,179.42,475.46,7 HCPCS,L8507,Trach-esoph voice pros pt in,,,51.86,137.43,7 HCPCS,L8509,Trach-esoph voice pros md in,,,135.22,358.33,7 HCPCS,L8510,Voice amplifier,,,312.86,829.08,7 HCPCS,L8511,Indwelling trach insert,,,90.05,238.63,7 HCPCS,L8512,Gel cap for trach voice pros,,,2.7,7.16,7 HCPCS,L8513,Trach pros cleaning device,,,6.47,17.15,7 HCPCS,L8514,Repl trach puncture dilator,,,116.74,309.36,7 HCPCS,L8515,Gel cap app device for trach,,,78.14,207.07,7 HCPCS,L8615,Coch implant headset replace,,,558.37,1479.68,7 HCPCS,L8616,Coch implant microphone repl,,,130.06,344.66,7 HCPCS,L8617,Coch implant trans coil repl,,,113.64,301.15,7 HCPCS,L8617,HC SUPPLY TRANS COIL FOR COCHLEAR IMPLANT DEV RPLC - L8617,1236.0,1236.0,,,0 HCPCS,L8618,Coch implant tran cable repl,,,32.46,86.02,7 HCPCS,L8618,HC SUPPLY TRANSMITTER CABLE FOR USE WITH COCHLEAR IMPLANT DEVICE OR AU,501.0,501.0,,,0 HCPCS,L8619,Coch imp ext proc/contr rplc,,,10053.97,26643.02,7 HCPCS,L8619,"HC SUPPLY COCHLEAR IMPLNT, EXT SPEECH PROCESSOR_CONT RPLCMT - L8619",50714.0,50714.0,,,0 HCPCS,L8621,Repl zinc air battery,,,0.77,2.04,7 HCPCS,L8622,Repl alkaline battery,,,0.4,1.06,7 HCPCS,L8623,"Lith ion batt cid,non-earlvl",,,80.07,212.19,7 HCPCS,L8624,"Lith ion batt cid, ear level",,,199.62,528.99,7 HCPCS,L8625,Charger coch impl/aoi battry,,,233.81,619.6,7 HCPCS,L8627,CID ext speech process repl,,,8522.43,22584.44,7 HCPCS,L8628,CID ext controller repl,,,1531.57,4058.66,7 HCPCS,L8629,CID transmit coil and cable,,,221.67,587.43,7 HCPCS,L8681,Pt prgrm for implt neurostim,,,1398.33,3705.57,7 HCPCS,L8683,Radiofq trsmtr for implt neu,,,6496.7,17216.25,7 HCPCS,L8684,Radiof trsmtr implt scrl neu,,,853.14,2260.82,7 HCPCS,L8689,External recharg sys intern,,,2135.51,5659.1,7 HCPCS,L8691,Osseointegrated snd proc rpl,,,2132.09,5650.04,7 HCPCS,L8693,"Aud osseo dev, abutment",,,1877.27,4974.77,7 HCPCS,L8693,HC 272 SHELL CODE W/HCPCS OSSEOINTEGRATED AUDITORY DEV ABUTMENT REPL ONLY,14253.0,14253.0,,,0 HCPCS,L8694,Aoi transducer/actuator repl,,,1169.21,3098.41,7 HCPCS,L8695,External recharg sys extern,,,20.61,54.62,7 HCPCS,L8696,Ext antenna phren nerve stim,,,268.36,711.15,7 HCPCS,L8701,Pow ue rom dev ewh uprt cust,,,34970.13,92670.84,7 HCPCS,L8702,Pow ue rom dev ewhf uprt cus,,,68801.71,182324.53,7 HCPCS,M0220,HC TIXAGEVIMAB AND CILGAVIMAB INFUSION,1233.0,1233.0,,,0 HCPCS,M0222,HC BEBTELOVIMAB ADMIN W/ POST ADMIN MONITOR,1549.0,1549.0,,,0 HCPCS,M0243,HC CASIRIVI AND IMDEVI INFUSION,1233.0,1233.0,,,0 HCPCS,M0245,HC BAMLAN AND ETESEV INFUSION,1233.0,1233.0,,,0 HCPCS,M0247,HC SOTROVIMAB INFUSION,1233.0,1233.0,,,0 HCPCS,M0249,HC TOCILIZUMAB 1ST DOSE INFUSION,1754.0,1754.0,,,0 HCPCS,M0250,HC TOCILIZUMAB 2ND DOSE INFUSION,1754.0,1754.0,,,0 HCPCS,P2028,Cephalin floculation test,,,4.95,13.12,7 HCPCS,P2029,Congo red blood test,,,4.95,13.12,7 HCPCS,P2033,Blood thymol turbidity,,,4.95,13.12,7 HCPCS,P2038,Blood mucoprotein,,,4.95,13.12,7 HCPCS,P3000,HC PAP SMEAR SCREENING,84.0,84.0,,,0 HCPCS,P3000,Screen pap by tech w md supv,,,18.54,49.13,7 HCPCS,P3001,HC PATHOLOGIST INTERPRETATION SCREENING,116.0,116.0,,,0 HCPCS,P9010,HC WHOLE BLOOD UNIT,1399.0,1399.0,,,0 HCPCS,P9010,"HC WHOLE BLOOD, AUTO",1399.0,1399.0,,,0 HCPCS,P9011,HC BLOOD PRODUCT - SPLIT UNIT,2089.0,2089.0,,,0 HCPCS,P9011,HC BLOOD SPLIT UNIT NEO FFP FROZEN WITHIN 8HR,717.0,717.0,,,0 HCPCS,P9011,HC BLOOD SPLIT UNIT NEO LR PLATELET PHERESIS,10707.0,10707.0,,,0 HCPCS,P9011,HC BLOOD SPLIT UNIT NEO LR RBC,525.0,525.0,,,0 HCPCS,P9011,HC BLOOD SPLIT UNIT NEO LR WHOLE BLOOD,1438.0,1438.0,,,0 HCPCS,P9012,HC BLOOD PRODUCT - CRYOPRECIPITATE UNIT,522.0,522.0,,,0 HCPCS,P9016,HC BLOOD PRODUCT - RBC LEUKO REDUCED UNIT,1364.0,1364.0,,,0 HCPCS,P9016,HC RBC LEUKOCYTES REDUCED AUTOLOGOUS,807.0,807.0,,,0 HCPCS,P9017,HC BLOOD PRODUCT - FRESH FROZEN PLASMA 8HR UNIT,747.0,747.0,,,0 HCPCS,P9019,"HC PLATELETS, EACH UNIT",666.0,666.0,,,0 HCPCS,P9021,HC RBC UNIT ADSOL,1284.0,1284.0,,,0 HCPCS,P9021,HC RED BLOOD CELLS EACH UNIT,1284.0,1284.0,,,0 HCPCS,P9022,HC WASHED RED BLOOD CELLS EACH UNIT,3542.0,3542.0,,,0 HCPCS,P9026,HC CRYOPRECIPITATE PATHOGEN REDUCED PRCFC PER DONOR,2151.0,2151.0,,,0 HCPCS,P9031,HC BLOOD PRODUCT - PLATELETS LEUKO REDUCED UNIT,5150.5,5150.5,,,0 HCPCS,P9031,HC PLATELETS LEUKOCYTES REDUCED LVDS,9745.0,9745.0,,,0 HCPCS,P9032,HC PLATELETS IRRADIATED EACH UNIT,1063.5,1063.5,,,0 HCPCS,P9033,HC BLOOD PRODUCT - PLATELETS LEUKO REDUCED IRRADIATED UNIT,5645.5,5645.5,,,0 HCPCS,P9033,HC PLATELETS LEUKOREDUCED IRRAD LVDS,10523.0,10523.0,,,0 HCPCS,P9034,HC PLATELET PHERESIS UNIT,2471.0,2471.0,,,0 HCPCS,P9035,HC BLOOD PRODUCT - PLATELET PHERESIS LEUKO REDUCED UNIT,6066.0,6066.0,,,0 HCPCS,P9035,HC PLATELET PHERES LEUKOREDUCED LVDS,9745.0,9745.0,,,0 HCPCS,P9035,Platelet pheres leukoreduced,,,511.59,1355.71,7 HCPCS,P9037,HC BLOOD PRODUCT - PLATELET PHERESIS LEUKO REDUCED IRRADIATED UNIT,6953.0,6953.0,,,0 HCPCS,P9037,HC PLATE PHERES LEUKOREDU IRRAD LVDS,10707.0,10707.0,,,0 HCPCS,P9037,Plate pheres leukoredu irrad,,,680.61,1803.62,7 HCPCS,P9039,HC RBC DEGLYC UNIT,4073.0,4073.0,,,0 HCPCS,P9040,HC BLOOD PRODUCT - RBC LEUKO REDUCED IRRADIATED UNIT,2034.5,2034.5,,,0 HCPCS,P9040,RBC leukoreduced irradiated,,,265.41,703.34,7 HCPCS,P9044,HC PLASMA CRYOPRECIP REDUCED UNIT,1350.0,1350.0,,,0 HCPCS,P9045,ALBUKED 5 5 % IV SOLN,547.37,547.37,,,0 HCPCS,P9045,ALBUMIN HUMAN 5 % IV SOLN,998.81,998.81,,,0 HCPCS,P9045,ALBURX 5 % IV SOLN,756.71,756.71,,,0 HCPCS,P9045,ALBUTEIN 5 % IV SOLN,612.02,612.02,,,0 HCPCS,P9045,FLEXBUMIN 5 % IV SOLN,741.32,741.32,,,0 HCPCS,P9046,ALBUKED 25 25 % IV SOLN,822.905,822.905,,,0 HCPCS,P9046,ALBUMIN HUMAN 25 % IV SOLN,808.86,808.86,,,0 HCPCS,P9046,ALBUMINEX 25 % IV SOLN,461.34,461.34,,,0 HCPCS,P9046,ALBUTEIN 25 % IV SOLN,585.3,585.3,,,0 HCPCS,P9046,FLEXBUMIN 25 % IV SOLN,1484.25,1484.25,,,0 HCPCS,P9047,ALBUTEIN 25 % IV SOLN,602.54,602.54,,,0 HCPCS,P9047,"HC ALBUMIN (HUMAN), 25%, 50ML",254.0,254.0,,,0 HCPCS,P9047,KEDBUMIN 25 % IV SOLN,1879.5,1879.5,,,0 HCPCS,P9050,HC GRANULOCYTE PHERESIS UNIT,2599.0,2599.0,,,0 HCPCS,P9051,HC WB/RBC LEUKOREDUCE CMV NEG UNIT,1979.0,1979.0,,,0 HCPCS,P9052,HC BLOOD PRODUCT - PLATELET PHERESIS HLA MATCH LEUKO REDUCED,9592.0,9592.0,,,0 HCPCS,P9052,HC PLATELETS HLA-M L/R UNIT LVDS,10428.0,10428.0,,,0 HCPCS,P9053,HC PLATELET PHERESIS LEUKOREDUCE CMV NEG IRRAD UNIT,4172.0,4172.0,,,0 HCPCS,P9053,HC PLATELET PHERESIS LEUKOREDUCE CMV NEG IRRAD UNIT LVDS,4172.0,4172.0,,,0 HCPCS,P9054,HC WB/RBC LEUKOREDUCE FRZ DEGLYC WASHED UNIT,2898.0,2898.0,,,0 HCPCS,P9055,HC PLATELET PHERESIS LEUKOREDUCE CMV NEG,4477.0,4477.0,,,0 HCPCS,P9055,HC PLATELET PHERESIS LEUKOREDUCE CMV NEG LVDS,4477.0,4477.0,,,0 HCPCS,P9056,HC WHOLE BLOOD LEUKOREDUCE IRRAD UNIT,1438.0,1438.0,,,0 HCPCS,P9057,HC RBC FRZ DEGLYC WASHED LEUKOREDUCE IRRAD UNIT,4599.0,4599.0,,,0 HCPCS,P9058,HC RBC LEUKOREDUCE CMV NEG IRRAD UNIT,2274.0,2274.0,,,0 HCPCS,P9058,"RBC, l/r, cmv-neg, irrad",,,249.4,660.91,7 HCPCS,P9059,HC BLOOD PRODUCT - FRESH FROZEN PLASMA 24H UNIT,717.0,717.0,,,0 HCPCS,P9059,"HC PLASMA, CONVALESCENT COVID, FRZ BETWEEN 8-24HOUR",4230.0,4230.0,,,0 HCPCS,P9060,HC PLASMA FRZ DONOR RETEST UNIT,608.0,608.0,,,0 HCPCS,P9073,HC BLOOD PRODUCT - PLATELET PHERESIS PATHOGEN REDUCED,10700.0,10700.0,,,0 HCPCS,P9073,"Platelets, pathogen reduced",,,607.43,1609.69,7 HCPCS,P9099,HC PLASMA COVID CONVALESCENT,75.0,75.0,,,0 HCPCS,P9100,HC PLATELET PATHOGEN TESTING PER UNIT,450.0,450.0,,,0 HCPCS,P9100,Pathogen test for platelets,,,61.6,163.25,7 HCPCS,P9603,HC TRAVEL ALLOWANCE PRORATED MILETRAVELED,1.0,1.0,,,0 HCPCS,P9604,HC TRAVEL ALLOWANCE PRORATED TRIP CHARGE,43.0,43.0,,,0 HCPCS,P9612,Catheterize for urine spec,,,9.34,24.75,7 HCPCS,P9612,HC CATHETERIZATION FOR SPECIMEN COLLECTION,255.0,255.0,,,0 HCPCS,P9615,HC CATHETERIZATION FOR SPECIMEN COLLECTION MULTIPLE PATIENTS,19.0,19.0,,,0 HCPCS,Q0035,Cardiokymography,,,39.0,103.36,7 HCPCS,Q0091,HC OBTAINING SCREEN PAP SMEAR,80.0,80.0,,,0 HCPCS,Q0111,Wet mounts/ w preparations,,,18.54,49.13,7 HCPCS,Q0112,Potassium hydroxide preps,,,5.83,15.45,7 HCPCS,Q0113,Pinworm examinations,,,4.27,11.32,7 HCPCS,Q0114,Fern test,,,9.74,25.81,7 HCPCS,Q0115,Post-coital mucous exam,,,25.0,66.25,7 HCPCS,Q0138,FERAHEME 510 MG/17ML IV SOLN,2607.31,2607.31,,,0 HCPCS,Q0138,FERUMOXYTOL 510 MG/17ML IV SOLN,1194.02,1194.02,,,0 HCPCS,Q0477,Pwr module pt cable lvad rpl,,,960.54,2545.43,7 HCPCS,Q0478,"Power adapter, combo vad",,,227.5,602.88,7 HCPCS,Q0479,"Power module combo vad, rep",,,14835.04,39312.86,7 HCPCS,Q0480,"driver pneumatic vad, rep",,,111502.61,295481.92,7 HCPCS,Q0481,"microprcsr cu elec vad, rep",,,17989.68,47672.65,7 HCPCS,Q0482,"microprcsr cu combo vad, rep",,,5634.71,14931.98,7 HCPCS,Q0483,"monitor elec vad, rep",,,23212.4,61512.86,7 HCPCS,Q0484,monitor elec or comb vad rep,,,4507.79,11945.64,7 HCPCS,Q0485,"monitor cable elec vad, rep",,,435.21,1153.31,7 HCPCS,Q0486,mon cable elec/pneum vad rep,,,362.21,959.86,7 HCPCS,Q0487,"leads any type vad, rep only",,,422.6,1119.89,7 HCPCS,Q0489,"pwr pck base combo vad, rep",,,20123.89,53328.31,7 HCPCS,Q0490,"emr pwr source elec vad, rep",,,870.47,2306.75,7 HCPCS,Q0491,emr pwr source combo vad rep,,,1368.43,3626.34,7 HCPCS,Q0492,"emr pwr cbl elec vad, rep",,,110.28,292.24,7 HCPCS,Q0493,"emr pwr cbl combo vad, rep",,,313.85,831.7,7 HCPCS,Q0494,"emr hd pmp elec/combo, rep",,,265.6,703.84,7 HCPCS,Q0495,"charger elec/combo vad, rep",,,5171.38,13704.16,7 HCPCS,Q0496,"battery elec/combo vad, rep",,,1856.1,4918.66,7 HCPCS,Q0497,"bat clps elec/comb vad, rep",,,579.54,1535.78,7 HCPCS,Q0498,"holster elec/combo vad, rep",,,635.9,1685.14,7 HCPCS,Q0499,belt/vest elec/combo vad rep,,,206.62,547.54,7 HCPCS,Q0500,"filters elec/combo vad, rep",,,37.8,100.17,7 HCPCS,Q0501,"shwr cov elec/combo vad, rep",,,632.25,1675.46,7 HCPCS,Q0502,"mobility cart pneum vad, rep",,,804.93,2133.06,7 HCPCS,Q0503,battery pneum vad replacemnt,,,1609.89,4266.21,7 HCPCS,Q0504,"pwr adpt pneum vad, rep veh",,,849.48,2251.12,7 HCPCS,Q0506,Lith-ion batt elec/pneum VAD,,,1057.44,2802.22,7 HCPCS,Q2009,CEREBYX 500 MG PE/10ML IJ SOLN,368.36,368.36,,,0 HCPCS,Q2050,DOXIL 2 MG/ML IV SUSP,5521.61,5521.61,,,0 HCPCS,Q2050,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,9997.09,9997.09,,,0 HCPCS,Q3001,HC I-125 IOTREX - 2 ML,116716.0,116716.0,,,0 HCPCS,Q3014,HC TELEHEALTH FACILITY FEE,128.0,128.0,,,0 HCPCS,Q4038,HC SYS CAST TOT CONTACT BOOT,707.0,707.0,,,0 HCPCS,Q4101,HC SUPPLY CHARGE SKIN SUB (TOT SZ 44 SC) APLIGRAF PER SQ CM,262.0,262.0,,,0 HCPCS,Q4102,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) OASIS PER SQ CM,1050.0,1050.0,,,0 HCPCS,Q4102,HC SUPPLY CHARGE SKIN SUB (TOT SZ 140 SC) OASIS PER SQ CM,271.0,271.0,,,0 HCPCS,Q4102,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) OASIS PER SQ CM,2097.0,2097.0,,,0 HCPCS,Q4102,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) OASIS PER SQ CM,271.0,271.0,,,0 HCPCS,Q4104,HC SUPPLY CHARGE SKIN SUB (TOT SZ 125 SC) INTEGRA BMWD PER SQ CM,267.0,267.0,,,0 HCPCS,Q4104,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) INTEGRA BMWD PER SQ CM,829.0,829.0,,,0 HCPCS,Q4104,HC SUPPLY CHARGE SKIN SUB (TOT SZ 250 SC) INTEGRA BMWD PER SQ CM,137.0,137.0,,,0 HCPCS,Q4104,HC SUPPLY CHARGE SKIN SUB (TOT SZ 258 SC) INTEGRA BMWD PER SQ CM,222.0,222.0,,,0 HCPCS,Q4104,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) INTEGRA BMWD PER SQ CM,164.0,164.0,,,0 HCPCS,Q4105,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) INTEGRA DRT PER SQ CM,720.0,720.0,,,0 HCPCS,Q4105,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1681 SC) INTEGRA DRT PER SQ CM,236.0,236.0,,,0 HCPCS,Q4105,HC SUPPLY CHARGE SKIN SUB (TOT SZ 491 SC) INTEGRA DRT PER SQ CM,236.0,236.0,,,0 HCPCS,Q4105,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) INTEGRA DRT PER SQ CM,853.0,853.0,,,0 HCPCS,Q4106,HC SUPPLY CHARGE SKIN SUB (TOT SZ 38 SC) DERMAGRAFT PER SQ CM,114.0,114.0,,,0 HCPCS,Q4106,HC SUPPLY CHARGE SKIN SUB (TOT SZ 40 SC) DERMAGRAFT PER SQ CM,114.0,114.0,,,0 HCPCS,Q4107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 HCPCS,Q4107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 HCPCS,Q4107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 HCPCS,Q4107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 HCPCS,Q4107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 HCPCS,Q4107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 HCPCS,Q4107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 HCPCS,Q4107,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) GRAFTJACKET PER SQ CM,397.0,397.0,,,0 HCPCS,Q4108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 125 SC) INTEGRA MATRIX PER SQ CM,267.0,267.0,,,0 HCPCS,Q4108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 125 SC) INTEGRA MATRIX THIN PER SQ CM,238.0,238.0,,,0 HCPCS,Q4108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 130 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 HCPCS,Q4108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 HCPCS,Q4108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 250 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 HCPCS,Q4108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 258 SC) INTEGRA MATRIX PER SQ CM,196.0,196.0,,,0 HCPCS,Q4108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 HCPCS,Q4108,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) INTEGRA MATRIX PER SQ CM,96.0,96.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 10 SC) PRIMATRIX PER SQ CM,2114.0,2114.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 102 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 120 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) PRIMATRIX PER SQ CM,502.0,502.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) PRIMATRIX PER SQ CM,648.0,648.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 250 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) PRIMATRIX PER SQ CM,1230.0,1230.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) PRIMATRIX PER SQ CM,620.0,620.0,,,0 HCPCS,Q4110,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) PRIMATRIX PER SQ CM,205.0,205.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 108 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 112 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) ALLODERM PER SQ CM,275.0,275.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 132 SC) ALLODERM PER SQ CM,197.5,197.5,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 144 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 164 SC) ALLODERM PER SQ CM,197.5,197.5,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 168 SC) ALLODERM PER SQ CM,210.0,210.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 192 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) ALLODERM PER SQ CM,261.0,261.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 240 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 280 SC) ALLODERM PER SQ CM,202.0,202.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3201 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 328 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) ALLODERM PER SQ CM,261.0,261.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 60 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 640 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 72 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 77 SC) ALLODERM MEDIUM PER SQ CM,202.0,202.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 77 SC) ALLODERM PER SQ CM,282.0,282.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 84 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4116,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) ALLODERM PER SQ CM,113.0,113.0,,,0 HCPCS,Q4117,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) HYALOMATRIX PER SQ CM,221.0,221.0,,,0 HCPCS,Q4117,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 SC) HYALOMATRIX PER SQ CM,162.0,162.0,,,0 HCPCS,Q4117,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) HYALOMATRIX PER SQ CM,97.0,97.0,,,0 HCPCS,Q4117,HC SUPPLY CHARGE SKIN SUB (TOT SZ 360 SC) HYALOMATRIX PER SQ CM,70.0,70.0,,,0 HCPCS,Q4117,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) HYALOMATRIX PER SQ CM,1315.0,1315.0,,,0 HCPCS,Q4121,HC SUPPLY CHARGE SKIN SUB (TOT SZ 116 SC) THERASKIN PER SQ CM,242.0,242.0,,,0 HCPCS,Q4121,HC SUPPLY CHARGE SKIN SUB (TOT SZ 13 SC) THERASKIN PER SQ CM,686.0,686.0,,,0 HCPCS,Q4121,HC SUPPLY CHARGE SKIN SUB (TOT SZ 26 SC) THERASKIN PER SQ CM,417.0,417.0,,,0 HCPCS,Q4121,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) THERASKIN PER SQ CM,2534.0,2534.0,,,0 HCPCS,Q4121,HC SUPPLY CHARGE SKIN SUB (TOT SZ 39 SC) THERASKIN PER SQ CM,282.0,282.0,,,0 HCPCS,Q4121,HC SUPPLY CHARGE SKIN SUB (TOT SZ 40 SC) THERASKIN PER SQ CM,103.0,103.0,,,0 HCPCS,Q4121,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) THERASKIN PER SQ CM,1311.0,1311.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) DERMACELL PER SQ CM,229.0,229.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) DERMACELL PER SQ CM,601.0,601.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 180 SC) DERMACELL PER SQ CM,187.0,187.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) DERMACELL PER SQ CM,602.0,602.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 42 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 45 SC) DERMACELL PER SQ CM,602.0,602.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 72 SC) DERMACELL PER SQ CM,114.0,114.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) DERMACELL PER SQ CM,626.0,626.0,,,0 HCPCS,Q4122,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) DERMACELL PER SQ CM,266.0,266.0,,,0 HCPCS,Q4124,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) OASIS ULTRA PER SQ CM,58.0,58.0,,,0 HCPCS,Q4124,HC SUPPLY CHARGE SKIN SUB (TOT SZ 140 SC) OASIS ULTRA PER SQ CM,22.0,22.0,,,0 HCPCS,Q4124,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) OASIS ULTRA PER SQ CM,58.0,58.0,,,0 HCPCS,Q4124,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) OASIS ULTRA PER SQ CM,58.0,58.0,,,0 HCPCS,Q4124,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) OASIS ULTRA PER SQ CM,111.0,111.0,,,0 HCPCS,Q4125,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) ARTHROFLEX PER SQ CM,751.0,751.0,,,0 HCPCS,Q4125,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) ARTHROFLEX PER SQ CM,323.0,323.0,,,0 HCPCS,Q4125,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 SC) ARTHROFLEX PER SQ CM,1620.0,1620.0,,,0 HCPCS,Q4125,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) ARTHROFLEX PER SQ CM,1178.0,1178.0,,,0 HCPCS,Q4126,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 HCPCS,Q4126,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 HCPCS,Q4126,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 HCPCS,Q4126,HC SUPPLY CHARGE SKIN SUB (TOT SZ 50 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 HCPCS,Q4126,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) MEMODERM PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 10 SC) FLEX HD/MATRIX HD PER SQ CM,220.0,220.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) FLEX HD/MATRIX HD PER SQ CM,361.0,361.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 135 SC) FLEX HD/MATRIX HD PER SQ CM,137.0,137.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 144 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) FLEX HD/MATRIX HD PER SQ CM,620.0,620.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 170 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 192 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 20 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 220 SC) FLEX HD/MATRIX HD PER SQ CM,581.0,581.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 240 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 286 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 288 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) FLEX HD/MATRIX HD PER SQ CM,220.0,220.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 360 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) FLEX HD/MATRIX HD PER SQ CM,698.0,698.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 40 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 418 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) FLEX HD/MATRIX HD PER SQ CM,214.0,214.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) FLEX HD/MATRIX HD PER SQ CM,211.0,211.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 504 SC) FLEX HD/MATRIX HD PER SQ CM,244.0,244.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 598 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 72 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) FLEX HD/MATRIX HD PER SQ CM,292.0,292.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 840 SC) FLEX HD/MATRIX HD PER SQ CM,146.0,146.0,,,0 HCPCS,Q4128,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) FLEX HD/MATRIX HD PER SQ CM,230.0,230.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1000 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) STRATTICE PER SQ CM,197.0,197.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 176 SC) STRATTICE PER SQ CM,143.0,143.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 220 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 250 SC) STRATTICE PER SQ CM,2334.0,2334.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 450 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) STRATTICE PER SQ CM,234.0,234.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 60 SC) STRATTICE PER SQ CM,249.0,249.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 600 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 800 SC) STRATTICE PER SQ CM,108.0,108.0,,,0 HCPCS,Q4130,HC SUPPLY CHARGE SKIN SUB (TOT SZ 900 SC) STRATTICE PER SQ CM,233.0,233.0,,,0 HCPCS,Q4132,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) GRAFIX CORE/GRAFIXPL CORE PER SQ CM,420.0,420.0,,,0 HCPCS,Q4132,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) GRAFIX CORE/GRAFIXPL CORE PER SQ CM,975.0,975.0,,,0 HCPCS,Q4132,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) GRAFIX CORE/GRAFIXPL CORE PER SQ CM,420.0,420.0,,,0 HCPCS,Q4132,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) GRAFIX CORE/GRAFIXPL CORE PER SQ CM,420.0,420.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 113 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,2013.0,2013.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,2011.0,2011.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 HCPCS,Q4133,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) GRAFIX PRIME/GRAFIXPL PRIME/STRAVIX/STRAVIXPL PER SQ CM,394.0,394.0,,,0 HCPCS,Q4134,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) HMATRIX PER SQ CM,130.0,130.0,,,0 HCPCS,Q4134,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) HMATRIX PER SQ CM,300.0,300.0,,,0 HCPCS,Q4136,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 HCPCS,Q4136,HC SUPPLY CHARGE SKIN SUB (TOT SZ 126 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 HCPCS,Q4136,HC SUPPLY CHARGE SKIN SUB (TOT SZ 240 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 HCPCS,Q4136,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 HCPCS,Q4136,HC SUPPLY CHARGE SKIN SUB (TOT SZ 77 SC) EZ-DERM PER SQ CM,518.0,518.0,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,2386.0,2386.0,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,2053.0,2053.0,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,555.0,555.0,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,1302.0,1302.0,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 20 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,561.0,561.0,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,400.0,400.0,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,1238.5,1238.5,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,523.0,523.0,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 40 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,561.0,561.0,,,0 HCPCS,Q4137,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) AMNIOEXCEL/BIODEXCEL PER SQ CM,561.0,561.0,,,0 HCPCS,Q4140,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) BIODFENCE PER SQ CM,708.0,708.0,,,0 HCPCS,Q4140,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) BIODFENCE PER SQ CM,708.0,708.0,,,0 HCPCS,Q4140,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) BIODFENCE PER SQ CM,1643.0,1643.0,,,0 HCPCS,Q4140,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) BIODFENCE PER SQ CM,1221.0,1221.0,,,0 HCPCS,Q4140,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) BIODFENCE PER SQ CM,1654.0,1654.0,,,0 HCPCS,Q4140,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) BIODFENCE PER SQ CM,708.0,708.0,,,0 HCPCS,Q4140,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) BIODFENCE PER SQ CM,708.0,708.0,,,0 HCPCS,Q4142,HC SUPPLY CHARGE SKIN SUB (TOT SZ 160 SC) XCM BIOLOGIC PER SQ CM,86.0,86.0,,,0 HCPCS,Q4142,HC SUPPLY CHARGE SKIN SUB (TOT SZ 320 SC) XCM BIOLOGIC PER SQ CM,86.0,86.0,,,0 HCPCS,Q4142,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) XCM BIOLOGIC PER SQ CM,86.0,86.0,,,0 HCPCS,Q4148,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) NEOX CORD/CLARIX CORD PER SQ CM,729.0,729.0,,,0 HCPCS,Q4148,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) NEOX CORD/CLARIX CORD PER SQ CM,729.0,729.0,,,0 HCPCS,Q4148,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) NEOX CORD/CLARIX CORD 1K PER SQ CM,729.0,729.0,,,0 HCPCS,Q4148,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) NEOX CORD/CLARIX CORD PER SQ CM,1270.0,1270.0,,,0 HCPCS,Q4148,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) NEOX CORD/CLARIX CORD 1K PER SQ CM,1694.0,1694.0,,,0 HCPCS,Q4148,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) NEOX CORD/CLARIX CORD PER SQ CM,729.0,729.0,,,0 HCPCS,Q4148,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) NEOX CORD/CLARIX CORD 1K PER SQ CM,729.0,729.0,,,0 HCPCS,Q4148,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) NEOX CORD/CLARIX CORD 1K PER SQ CM,1271.0,1271.0,,,0 HCPCS,Q4150,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) ALLOWRAP DS PER SQ CM,1322.0,1322.0,,,0 HCPCS,Q4150,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) ALLOWRAP DS PER SQ CM,729.0,729.0,,,0 HCPCS,Q4150,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) ALLOWRAP DS PER SQ CM,1694.0,1694.0,,,0 HCPCS,Q4150,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) ALLOWRAP DS PER SQ CM,1401.0,1401.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1 SC) AMNIOBAND/GUARDIAN PER SQ CM,1317.0,1317.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) AMNIOBAND/GUARDIAN PER SQ CM,762.0,762.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) AMNIOBAND/GUARDIAN PER SQ CM,528.0,528.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) AMNIOBAND/GUARDIAN PER SQ CM,1053.0,1053.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) AMNIOBAND/GUARDIAN PER SQ CM,915.0,915.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) AMNIOBAND/GUARDIAN PER SQ CM,1534.0,1534.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 30 SC) AMNIOBAND/GUARDIAN PER SQ CM,1345.0,1345.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) AMNIOBAND/GUARDIAN PER SQ CM,1826.0,1826.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) AMNIOBAND/GUARDIAN PER SQ CM,528.0,528.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) AMNIOBAND/GUARDIAN PER SQ CM,1271.0,1271.0,,,0 HCPCS,Q4151,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) AMNIOBAND/GUARDIAN PER SQ CM,1017.0,1017.0,,,0 HCPCS,Q4152,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) DERMAPURE PER SQ CM,826.0,826.0,,,0 HCPCS,Q4152,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) DERMAPURE PER SQ CM,317.0,317.0,,,0 HCPCS,Q4154,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) BIOVANCE PER SQ CM,2146.0,2146.0,,,0 HCPCS,Q4156,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 HCPCS,Q4156,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 HCPCS,Q4156,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 HCPCS,Q4156,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 HCPCS,Q4156,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 HCPCS,Q4156,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) NEOX 100/CLARIX 100 PER SQ CM,365.0,365.0,,,0 HCPCS,Q4156,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) NEOX 100/CLARIX 100 PER SQ CM,847.0,847.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) KERECIS OMEGA3 PER SQ CM,466.0,466.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 140 SC) KERECIS OMEGA3 PER SQ CM,402.0,402.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 19 SC) KERECIS OMEGA3 PER SQ CM,420.0,420.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) KERECIS OMEGA3 PER SQ CM,1988.0,1988.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) KERECIS OMEGA3 PER SQ CM,475.0,475.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) KERECIS OMEGA3 PER SQ CM,371.0,371.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 38 SC) KERECIS OMEGA3 PER SQ CM,490.0,490.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) KERECIS OMEGA3 PER SQ CM,1277.0,1277.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) KERECIS OMEGA3 PER SQ CM,274.0,274.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 56 SC) MARIGEN EXPANSE PRE-MESHED PER SQ CM,311.0,311.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) KERECIS OMEGA3 PER SQ CM,1798.0,1798.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) KERECIS OMEGA3 PER SQ CM,443.0,443.0,,,0 HCPCS,Q4158,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) KERECIS OMEGA3 PER SQ CM,642.68,642.68,,,0 HCPCS,Q4159,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) AFFINITY PER SQ CM,778.0,778.0,,,0 HCPCS,Q4159,HC SUPPLY CHARGE SKIN SUB (TOT SZ 7 SC) AFFINITY PER SQ CM,778.0,778.0,,,0 HCPCS,Q4160,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) NUSHIELD PER SQ CM,443.0,443.0,,,0 HCPCS,Q4160,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) NUSHIELD PER SQ CM,847.0,847.0,,,0 HCPCS,Q4160,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) NUSHIELD PER SQ CM,659.0,659.0,,,0 HCPCS,Q4160,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) NUSHIELD PER SQ CM,844.43,844.43,,,0 HCPCS,Q4160,HC SUPPLY CHARGE SKIN SUB (TOT SZ 36 SC) NUSHIELD PER SQ CM,443.0,443.0,,,0 HCPCS,Q4160,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) NUSHIELD PER SQ CM,1167.0,1167.0,,,0 HCPCS,Q4160,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) NUSHIELD PER SQ CM,443.0,443.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 108 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1290 SC) CYTAL PER SQ CM,35.0,35.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 150 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 161 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 35 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 400 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 452 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 48 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 500 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 70 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4166,HC SUPPLY CHARGE SKIN SUB (TOT SZ 90 SC) CYTAL PER SQ CM,320.0,320.0,,,0 HCPCS,Q4170,HC SUPPLY CHARGE SKIN SUB (TOT SZ 18 SC) CYGNUS PER SQ CM,447.0,447.0,,,0 HCPCS,Q4176,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) NEOPATCH/THERION PER SQ CM,1033.0,1033.0,,,0 HCPCS,Q4176,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) NEOPATCH/THERION PER SQ CM,1102.0,1102.0,,,0 HCPCS,Q4176,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) NEOPATCH/THERION PER SQ CM,1265.0,1265.0,,,0 HCPCS,Q4176,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) NEOPATCH/THERION PER SQ CM,1491.0,1491.0,,,0 HCPCS,Q4176,HC SUPPLY CHARGE SKIN SUB (TOT SZ 30 SC) NEOPATCH/THERION PER SQ CM,1099.0,1099.0,,,0 HCPCS,Q4176,HC SUPPLY CHARGE SKIN SUB (TOT SZ 5 SC) NEOPATCH/THERION PER SQ CM,1256.0,1256.0,,,0 HCPCS,Q4176,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) NEOPATCH/THERION PER SQ CM,1242.0,1242.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 11 SC) EPIFIX PER SQ CM,1064.0,1064.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 30 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 49 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4186,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) EPIFIX PER SQ CM,742.0,742.0,,,0 HCPCS,Q4187,HC SUPPLY CHARGE SKIN SUB (TOT SZ 15 SC) EPICORD PER SQ CM,1880.0,1880.0,,,0 HCPCS,Q4187,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) EPICORD PER SQ CM,3919.0,3919.0,,,0 HCPCS,Q4187,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) EPICORD PER SQ CM,997.0,997.0,,,0 HCPCS,Q4188,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) AMNIOARMOR PER SQ CM,875.0,875.0,,,0 HCPCS,Q4188,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) AMNIOARMOR PER SQ CM,2033.0,2033.0,,,0 HCPCS,Q4193,HC SUPPLY CHARGE SKIN SUB (TOT SZ 20 SC) COLL-E-DERM PER SQ CM,610.0,610.0,,,0 HCPCS,Q4193,HC SUPPLY CHARGE SKIN SUB (TOT SZ 21 SC) COLL-E-DERM PER SQ CM,304.0,304.0,,,0 HCPCS,Q4193,HC SUPPLY CHARGE SKIN SUB (TOT SZ 28 SC) COLL-E-DERM PER SQ CM,967.0,967.0,,,0 HCPCS,Q4193,HC SUPPLY CHARGE SKIN SUB (TOT SZ 3 SC) COLL-E-DERM PER SQ CM,304.0,304.0,,,0 HCPCS,Q4193,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) COLL-E-DERM PER SQ CM,705.0,705.0,,,0 HCPCS,Q4193,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) COLL-E-DERM PER SQ CM,353.0,353.0,,,0 HCPCS,Q4195,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) PURAPLY PER SQ CM,1030.0,1030.0,,,0 HCPCS,Q4195,HC SUPPLY CHARGE SKIN SUB (TOT SZ 54 SC) PURAPLY PER SQ CM,411.0,411.0,,,0 HCPCS,Q4195,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) PURAPLY PER SQ CM,931.0,931.0,,,0 HCPCS,Q4196,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) PURAPLY AM PER SQ CM,994.0,994.0,,,0 HCPCS,Q4196,HC SUPPLY CHARGE SKIN SUB (TOT SZ 128 SC) PURAPLY AM PER SQ CM,298.0,298.0,,,0 HCPCS,Q4196,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) PURAPLY AM PER SQ CM,298.0,298.0,,,0 HCPCS,Q4196,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) PURAPLY AM PER SQ CM,2033.0,2033.0,,,0 HCPCS,Q4196,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) PURAPLY AM PER SQ CM,939.0,939.0,,,0 HCPCS,Q4196,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) PURAPLY AM PER SQ CM,1337.0,1337.0,,,0 HCPCS,Q4196,HC SUPPLY CHARGE SKIN SUB (TOT SZ 54 SC) PURAPLY AM PER SQ CM,994.0,994.0,,,0 HCPCS,Q4196,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) PURAPLY AM PER SQ CM,1012.0,1012.0,,,0 HCPCS,Q4198,HC SUPPLY CHARGE SKIN SUB (TOT SZ 8 SC) GENESIS AMNIO PER SQ CM,847.0,847.0,,,0 HCPCS,Q4199,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) CYGNUS MATRIX PER SQ CM,776.0,776.0,,,0 HCPCS,Q4199,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) CYGNUS MATRIX PER SQ CM,278.0,278.0,,,0 HCPCS,Q4199,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) CYGNUS MATRIX PER SQ CM,1087.0,1087.0,,,0 HCPCS,Q4199,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) CYGNUS MATRIX PER SQ CM,278.0,278.0,,,0 HCPCS,Q4201,HC SUPPLY CHARGE SKIN SUB (TOT SZ 12 SC) MATRION PER SQ CM,517.0,517.0,,,0 HCPCS,Q4201,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) MATRION PER SQ CM,517.0,517.0,,,0 HCPCS,Q4201,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) MATRION PER SQ CM,517.0,517.0,,,0 HCPCS,Q4201,HC SUPPLY CHARGE SKIN SUB (TOT SZ 64 SC) MATRION PER SQ CM,517.0,517.0,,,0 HCPCS,Q4205,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 HCPCS,Q4205,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 HCPCS,Q4205,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 HCPCS,Q4205,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 HCPCS,Q4205,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) MEMBRANE GRAFT/WRAP PER SQ CM,1698.0,1698.0,,,0 HCPCS,Q4226,HC SUPPLY CHARGE SKIN SUB (TOT SZ 100 SC) MYOWN SKIN INCL PREP PER SQ CM,922.0,922.0,,,0 HCPCS,Q4226,HC SUPPLY CHARGE SKIN SUB (TOT SZ 200 SC) MYOWN SKIN INCL PREP PER SQ CM,922.0,922.0,,,0 HCPCS,Q4226,HC SUPPLY CHARGE SKIN SUB (TOT SZ 25 SC) MYOWN SKIN INCL PREP PER SQ CM,922.0,922.0,,,0 HCPCS,Q4226,HC SUPPLY CHARGE SKIN SUB (TOT SZ 300 SC) MYOWN SKIN INCL PREP PER SQ CM,922.0,922.0,,,0 HCPCS,Q4227,HC SUPPLY CHARGE SKIN SUB (TOT SZ 2 SC) AMNIOCORE PER SQ CM,537.0,537.0,,,0 HCPCS,Q4227,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) AMNIOCORE PER SQ CM,537.0,537.0,,,0 HCPCS,Q4227,HC SUPPLY CHARGE SKIN SUB (TOT SZ 32 SC) AMNIOCORE PER SQ CM,537.0,537.0,,,0 HCPCS,Q4227,HC SUPPLY CHARGE SKIN SUB (TOT SZ 4 SC) AMNIOCORE PER SQ CM,2530.0,2530.0,,,0 HCPCS,Q4227,HC SUPPLY CHARGE SKIN SUB (TOT SZ 54 SC) AMNIOCORE PER SQ CM,497.0,497.0,,,0 HCPCS,Q4227,HC SUPPLY CHARGE SKIN SUB (TOT SZ 6 SC) AMNIOCORE PER SQ CM,2530.0,2530.0,,,0 HCPCS,Q4227,HC SUPPLY CHARGE SKIN SUB (TOT SZ 96 SC) AMNIOCORE PER SQ CM,434.0,434.0,,,0 HCPCS,Q4235,HC SUPPLY CHARGE SKIN SUB (TOT SZ 16 SC) AMNIOREPAIR/ALTIPLY PER SQ CM,454.0,454.0,,,0 HCPCS,Q4235,HC SUPPLY CHARGE SKIN SUB (TOT SZ 24 SC) AMNIOREPAIR/ALTIPLY PER SQ CM,454.0,454.0,,,0 HCPCS,Q4235,HC SUPPLY CHARGE SKIN SUB (TOT SZ 9 SC) AMNIOREPAIR/ALTIPLY PER SQ CM,454.0,454.0,,,0 HCPCS,Q5101,ZARXIO 300 MCG/0.5ML IJ SOSY,1398.84,1398.84,,,0 HCPCS,Q5101,ZARXIO 480 MCG/0.8ML IJ SOSY,2238.185,2238.185,,,0 HCPCS,Q5106,RETACRIT 10000 UNIT/ML IJ SOLN,885.07,885.07,,,0 HCPCS,Q5106,RETACRIT 2000 UNIT/ML IJ SOLN,355.93,355.93,,,0 HCPCS,Q5106,RETACRIT 20000 UNIT/ML IJ SOLN,1326.79,1326.79,,,0 HCPCS,Q5106,RETACRIT 3000 UNIT/ML IJ SOLN,534.05,534.05,,,0 HCPCS,Q5106,RETACRIT 4000 UNIT/ML IJ SOLN,263.71,263.71,,,0 HCPCS,Q5106,RETACRIT 40000 UNIT/ML IJ SOLN,1767.54,1767.54,,,0 HCPCS,Q5107,MVASI 100 MG/4ML IV SOLN,3570.84,3570.84,,,0 HCPCS,Q5107,MVASI 400 MG/16ML IV SOLN,7141.58,7141.58,,,0 HCPCS,Q5108,FULPHILA 6 MG/0.6ML SC SOSY,17899.839999999997,17899.839999999997,,,0 HCPCS,Q5111,UDENYCA ONBODY 6 MG/0.6ML SC SOSY,34659.77,34659.77,,,0 HCPCS,Q5115,HC INJ RITUXIMAB BIOSIMILAR / TRUXIMA 10MG,203.0,203.0,,,0 HCPCS,Q5115,TRUXIMA 100 MG/10ML IV SOLN,5293.34,5293.34,,,0 HCPCS,Q5115,TRUXIMA 500 MG/50ML IV SOLN,26893.25,26893.25,,,0 HCPCS,Q5119,RUXIENCE 100 MG/10ML IV SOLN,3776.72,3776.72,,,0 HCPCS,Q5119,RUXIENCE 500 MG/50ML IV SOLN,26612.39,26612.39,,,0 HCPCS,Q5122,NYVEPRIA 6 MG/0.6ML SC SOSY,17233.27,17233.27,,,0 HCPCS,Q5123,RIABNI 100 MG/10ML IV SOLN,10233.09,10233.09,,,0 HCPCS,Q5123,RIABNI 500 MG/50ML IV SOLN,25582.2,25582.2,,,0 HCPCS,Q5129,VEGZELMA 100 MG/4ML IV SOLN,11429.14,11429.14,,,0 HCPCS,Q5129,VEGZELMA 400 MG/16ML IV SOLN,30213.57,30213.57,,,0 HCPCS,Q9956,OPTISON IV SUSP,187.51,187.51,,,0 HCPCS,Q9957,DEFINITY 6.52 MG/ML IV SUSP,548.37,548.37,,,0 HCPCS,Q9958,CYSTO-CONRAY II 17.2 % UR SOLN,94.75,94.75,,,0 HCPCS,Q9958,CYSTOGRAFIN 30 % UR SOLN,306.46999999999997,306.46999999999997,,,0 HCPCS,Q9958,CYSTOGRAFIN-DILUTE 18 % UR SOLN,6.99,6.99,,,0 HCPCS,Q9963,GASTROGRAFIN 66-10 % PO SOLN,46.435,46.435,,,0 HCPCS,Q9965,OMNIPAQUE 180 MG/ML IJ SOLN,52.1,52.1,,,0 HCPCS,Q9966,OMNIPAQUE 240 MG/ML IJ SOLN,56.67,56.67,,,0 HCPCS,Q9966,VISIPAQUE 270 MG/ML IV SOLN,269.99,269.99,,,0 HCPCS,Q9967,HC IV CONTRAST ISOVUE 300/100 ML,2.0,2.0,,,0 HCPCS,Q9967,IODIXANOL 320 MG/ML IV SOLN,156.4,156.4,,,0 HCPCS,Q9967,ISOVUE-250 51 % IV SOLN,1.33,1.33,,,0 HCPCS,Q9967,ISOVUE-300 61 % IV SOLN,30.035,30.035,,,0 HCPCS,Q9967,ISOVUE-370 76 % IV SOLN,60.504999999999995,60.504999999999995,,,0 HCPCS,Q9967,ISOVUE-M 300 61 % IJ SOLN,17.81,17.81,,,0 HCPCS,Q9967,OMNIPAQUE 300 MG/ML IJ SOLN,12.07,12.07,,,0 HCPCS,Q9967,OMNIPAQUE 350 MG/ML IV SOLN,57.01,57.01,,,0 HCPCS,Q9967,VISIPAQUE 320 MG/ML IV SOLN,114.16,114.16,,,0 HCPCS,Q9968,ISOSULFAN BLUE 1 % SC SOLN,1128.27,1128.27,,,0 HCPCS,Q9968,METHYLENE BLUE 50 MG/10ML IV SOLN,1796.27,1796.27,,,0 HCPCS,Q9968,PROVAYBLUE 50 MG/10ML IV SOLN,649.825,649.825,,,0 HCPCS,Q9991,SUBLOCADE 100 MG/0.5ML SC SOSY,12990.48,12990.48,,,0 HCPCS,S0315,HC DISEASE MGMT INIT ASSESSMENT,323.0,323.0,,,0 HCPCS,S0316,HC DISEASE MGMT REASSESSMENT,158.0,158.0,,,0 HCPCS,S4989,HC SUPPLY CONTRACEPT IUD,866.0,866.0,,,0 HCPCS,S8420,HC SUPPLY DME GP AID SLEEVE AND GLOVE COMBO CUSTOM,2181.0,2181.0,,,0 HCPCS,S8421,HC SUPPLY DME GP AID SLEEVE AND GLOVE COMBO PREFAB,1818.0,1818.0,,,0 HCPCS,S8422,HC SUPPLY DME GP AID SLEEVE CUSTOM MEDIUM WEIGHT,1130.0,1130.0,,,0 HCPCS,S8423,HC SUPPLY DME GP AID SLEEVE CUSTOM HEAVY WEIGHT,1545.0,1545.0,,,0 HCPCS,S8424,HC SUPPLY DME GP AID SLEEVE PREFAB,1818.0,1818.0,,,0 HCPCS,S8425,HC SUPPLY DME GP AID GLOVE CUSTOM MEDIUM WEIGHT,2181.0,2181.0,,,0 HCPCS,S8426,HC SUPPLY DME GP AID GLOVE CUSTOM HEAVY WEIGHT,2181.0,2181.0,,,0 HCPCS,S8427,HC SUPPLY DME GP AID GLOVE PREFAB,1453.0,1453.0,,,0 HCPCS,S8428,HC SUPPLY DME GP AID GAUNTLET PREFAB,1431.0,1431.0,,,0 HCPCS,S8429,HC SUPPLY DME GP EXTERIOR WRAP,2167.0,2167.0,,,0 HCPCS,S8430,HC SUPPLY DME PADDING FOR COMPRESSION BANDAGE ROLL,77.0,77.0,,,0 HCPCS,S8431,HC SUPPLY DME COMPRESSION BANDAGE ROLL,1022.0,1022.0,,,0 HCPCS,U0001,2019 nCoV diagnostic P,,,35.92,95.19,7 HCPCS,U0002,COVID-19 lab test non-CDC,,,51.31,135.97,7 HCPCS,U0003,HC SARS COV2 2019 DNA RNA AMP HIGH THROUGHPUT,379.5,379.5,,,0 HCPCS,V2524,Cntct lens hydrophil photoch,,,154.45,409.29,7 HCPCS,V2790,HC SUPPLY CHARGE SKIN SUB (TOT SZ 1 EA) AMNIOTIC MMBRN SURG RECON PER PROC,454.0,454.0,,,0 HCPCS,V5011,HC FITTING FEE PER HEARING AID,213.0,213.0,,,0 HCPCS,V5040,HC SUPPLY MONAURAL BODY WORN BONE CONDUCT - V5040,18784.5,18784.5,,,0 HCPCS,V5050,HC SUPPLY HEARING AID IN EAR MONAURAL - V5050,1569.5,1569.5,,,0 HCPCS,V5060,HC SUPPLY HEARING AID BEHIND EAR MONAURAL - V5060,1510.0,1510.0,,,0 HCPCS,V5130,HC SUPPLY HEARING AID IN EAR BINAURAL - V5130,2926.0,2926.0,,,0 HCPCS,V5140,HC SUPPLY HEARING AID BEHIND EAR BINAURAL - V5140,2814.0,2814.0,,,0 HCPCS,V5171,HC HEARING AID CROS ITE MONAURAL - V5171,3355.0,3355.0,,,0 HCPCS,V5172,HC HEARING AID CROS ITC MONAURAL - V5172,3355.0,3355.0,,,0 HCPCS,V5181,HC HEARING AID CROS BTE MONAURAL - V5181,3355.0,3355.0,,,0 HCPCS,V5211,HC LEVEL 2 HEARING AID CROS ITE/ITE BINAURAL - V5211,7946.5,7946.5,,,0 HCPCS,V5211,HC LEVEL 3 HEARING AID CROS ITE/ITE BINAURAL - V5211,7367.0,7367.0,,,0 HCPCS,V5211,HC LEVEL 5 HEARING AID CROS ITE/ITE BINAURAL - V5211,9101.0,9101.0,,,0 HCPCS,V5211,HC LEVEL Iá HEARING AID CROS ITE/ITE BINAURAL - V5211,5256.0,5256.0,,,0 HCPCS,V5212,HC LEVEL 2 HEARING AID CROS ITE/ITC BINAURAL - V5212,7944.5,7944.5,,,0 HCPCS,V5212,HC LEVEL 3 HEARING AID CROS ITE/ITC BINAURAL - V5212,7452.0,7452.0,,,0 HCPCS,V5212,HC LEVEL 5 HEARING AID CROS ITE/ITC BINAURAL - V5212,9025.0,9025.0,,,0 HCPCS,V5212,HC LEVEL I HEARING AID CROS ITE/ITC BINAURAL - V5212,5376.0,5376.0,,,0 HCPCS,V5213,HC LEVEL 2 HEARING AID CROS ITE/BTE BINAURAL - V5213,8054.5,8054.5,,,0 HCPCS,V5213,HC LEVEL 3 HEARING AID CROS ITE/BTE BINAURAL - V5213,7592.0,7592.0,,,0 HCPCS,V5213,HC LEVEL 5 HEARING AID CROS ITE/BTE BINAURAL - V5213,9399.0,9399.0,,,0 HCPCS,V5213,HC LEVEL I HEARING AID CROS ITE/BTE BINAURAL - V5213,5385.0,5385.0,,,0 HCPCS,V5214,HC LEVEL 2 HEARING AID CROS ITC/ITC BINAURAL - V5214,7944.5,7944.5,,,0 HCPCS,V5214,HC LEVEL 3 HEARING AID CROS ITC/ITC BINAURAL - V5214,7452.0,7452.0,,,0 HCPCS,V5214,HC LEVEL 5 HEARING AID CROS ITC/ITC BINAURAL - V5214,9025.0,9025.0,,,0 HCPCS,V5214,HC LEVEL I HEARING AID CROS ITC/ITC BINAURAL - V5214,5376.0,5376.0,,,0 HCPCS,V5215,HC LEVEL 2 HEARING AID CROS ITC/BTE BINAURAL - V5215,8054.5,8054.5,,,0 HCPCS,V5215,HC LEVEL 3 HEARING AID CROS ITC/BTE BINAURAL - V5215,7592.0,7592.0,,,0 HCPCS,V5215,HC LEVEL 5 HEARING AID CROS ITC/BTE BINAURAL - V52154,9399.0,9399.0,,,0 HCPCS,V5215,HC LEVEL I HEARING AID CROS ITC/BTE BINAURAL - V5215,5385.0,5385.0,,,0 HCPCS,V5221,HC LEVEL 2 HEARING AID CROS BTE/BTE BINAURAL - V5221,8054.5,8054.5,,,0 HCPCS,V5221,HC LEVEL 3 HEARING AID CROS BTE/BTE BINAURAL - V5221,7592.0,7592.0,,,0 HCPCS,V5221,HC LEVEL 5 HEARING AID CROS BTE/BTE BINAURAL - V5221,9399.0,9399.0,,,0 HCPCS,V5221,HC LEVEL I HEARING AID CROS BTE/BTE BINAURAL - V5221,5385.0,5385.0,,,0 HCPCS,V5242,HC SUPPLY HEARING AID ALOG CIC MONAURAL - V5242,1857.0,1857.0,,,0 HCPCS,V5243,HC SUPPLY HEARING AID ALOG ITC MONAURAL - V5243,1421.0,1421.0,,,0 HCPCS,V5248,HC SUPPLY HEARING AID ALOG CIC BINAURAL - V5248,3715.0,3715.0,,,0 HCPCS,V5249,HC SUPPLY HEARING AID ALOG ITC BINAURAL - V5249,2841.0,2841.0,,,0 HCPCS,V5254,HC LEVEL 1 HEARING AID DIGIT CIC MONAURAL - V5254,2155.0,2155.0,,,0 HCPCS,V5254,HC LEVEL 2á HEARING AID DIGIT CIC MONAURAL - V5254,3571.0,3571.0,,,0 HCPCS,V5254,HC LEVEL 3 HEARING AID DIGIT CIC MONAURAL - V5254,4199.0,4199.0,,,0 HCPCS,V5254,HC LEVEL 5 HEARING AID DIGIT CIC MONAURAL - V5254,5903.0,5903.0,,,0 HCPCS,V5255,HC SUPPLY HEARING AID DIGIT ITC MONAURAL - V5255,1683.0,1683.0,,,0 HCPCS,V5256,HC LEVEL 1 HEARING AID DIGIT BTE MONAURAL - V5256,1901.0,1901.0,,,0 HCPCS,V5256,HC LEVEL 2 HEARING AID DIGIT BTE MONAURAL - V5256,3437.0,3437.0,,,0 HCPCS,V5256,HC LEVEL 3 HEARING AID DIGIT BTE MONAURAL - V5256,4012.0,4012.0,,,0 HCPCS,V5256,HC LEVEL 5 HEARING AID DIGIT BTE MONAURAL - V5256,5746.0,5746.0,,,0 HCPCS,V5257,HC LEVEL 1 HEARING AID DIGIT BTE MONAURAL - V5257,2030.0,2030.0,,,0 HCPCS,V5257,HC LEVEL 2 HEARING AID DIGIT BTE MONAURAL - V5257,3355.0,3355.0,,,0 HCPCS,V5257,HC LEVEL 3 HEARING AID DIGIT BTE MONAURAL - V5257,4237.0,4237.0,,,0 HCPCS,V5257,HC LEVEL 5 HEARING AID DIGIT BTE MONAURAL - V5257,6044.0,6044.0,,,0 HCPCS,V5258,HC LEVEL 1 HEARING AID DIGIT CIC BINAURAL - V5258,4310.0,4310.0,,,0 HCPCS,V5258,HC LEVEL 2 HEARING AID DIGIT CIC BINAURAL - V5258,7142.0,7142.0,,,0 HCPCS,V5258,HC LEVEL 3 HEARING AID DIGIT CIC BINAURAL - V5258,8398.0,8398.0,,,0 HCPCS,V5258,HC LEVEL 5 HEARING AID DIGIT CIC BINAURAL - V5258,11807.0,11807.0,,,0 HCPCS,V5259,HC LEVEL 1á HEARING AID DIGIT CIC BINAURAL - V5259,2021.0,2021.0,,,0 HCPCS,V5259,HC LEVEL 2 HEARING AID DIGIT CIC BINAURAL - V5259,3508.0,3508.0,,,0 HCPCS,V5259,HC LEVEL 3 HEARING AID DIGIT CIC BINAURAL - V5259,4097.0,4097.0,,,0 HCPCS,V5259,HC LEVEL 5 HEARING AID DIGIT CIC BINAURAL - V5259,5670.0,5670.0,,,0 HCPCS,V5260,HC LEVEL 1á HEARING AID DIGIT ITE BINAURAL - V5260,3802.0,3802.0,,,0 HCPCS,V5260,HC LEVEL 2 HEARING AID DIGIT ITE BINAURAL - V5260,6874.0,6874.0,,,0 HCPCS,V5260,HC LEVEL 3 HEARING AID DIGIT ITE BINAURAL - V5260,8024.0,8024.0,,,0 HCPCS,V5260,HC LEVEL 5 HEARING AID DIGIT ITE BINAURAL - V5260,11492.0,11492.0,,,0 HCPCS,V5261,HC LEVEL 1á HEARING AID DIGIT BTE BINAURAL - V5261,4061.0,4061.0,,,0 HCPCS,V5261,HC LEVEL 2 HEARING AID DIGIT BTE BINAURAL - V5261,5942.0,5942.0,,,0 HCPCS,V5261,HC LEVEL 3 HEARING AID DIGIT BTE BINAURAL - V5261,8475.0,8475.0,,,0 HCPCS,V5261,HC LEVEL 5 HEARING AID DIGIT BTE BINAURAL - V5261,12087.0,12087.0,,,0 HCPCS,V5265,HC SUPPLY EAR MOLD/INSERT DISPOSABLE - V5265,58.0,58.0,,,0 MS-DRG,001,Heart Transplant Or Implant Of Heart Assist System With Mcc,,,221272.29,1171440.58,46 MS-DRG,002,Heart Transplant Or Implant Of Heart Assist System Without Mcc,,,90396.08,458309.32,46 MS-DRG,003,"Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major",,,167966.35,891282.02,46 MS-DRG,004,"Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R.",,,110151.27,587629.27,46 MS-DRG,005,Liver Transplant With Mcc Or Intestinal Transplant,,,82388.47,442875.27,46 MS-DRG,006,Liver Transplant Without Mcc,,,37904.78,201665.75,46 MS-DRG,007,Lung Transplant,,,103085.32,543493.96,46 MS-DRG,008,Simultaneous Pancreas And Kidney Transplant,,,45491.35,226282.87,46 MS-DRG,009,Bone marrow transplant,,,,,0 MS-DRG,010,Pancreas Transplant,,,57809.73,331580.43,46 MS-DRG,011,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc",,,44311.34,224403.0,46 MS-DRG,012,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc",,,34603.88,170660.41,46 MS-DRG,013,"Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc",,,24142.94,110205.18,46 MS-DRG,014,Allogeneic Bone Marrow Transplant,,,95775.52,544866.43,46 MS-DRG,016,Autologous Bone Marrow Transplant With Cc/Mcc,,,48040.33,251016.45,46 MS-DRG,017,Autologous Bone Marrow Transplant Without Cc/Mcc,,,44140.41,251016.45,46 MS-DRG,018,Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies,,,340127.28,1568367.22,46 MS-DRG,019,Simultaneous Pancreas And Kidney Transplant With Hemodialysis,,,57487.48,329671.45,46 MS-DRG,020,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc,,,63244.05,335236.2,46 MS-DRG,021,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc,,,43054.49,229880.41,46 MS-DRG,022,Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc,,,26460.63,146829.34,46 MS-DRG,023,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla,,,46476.91,237258.47,46 MS-DRG,024,Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc,,,32219.55,158100.23,46 MS-DRG,025,Craniotomy And Endovascular Intracranial Procedures With Mcc,,,37196.77,185990.48,46 MS-DRG,026,Craniotomy And Endovascular Intracranial Procedures With Cc,,,25925.9,127198.86,46 MS-DRG,027,Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc,,,21328.95,102627.48,46 MS-DRG,028,Spinal Procedures With Mcc,,,48656.6,252829.77,46 MS-DRG,029,Spinal Procedures With Cc Or Spinal Neurostimulators,,,28296.9,139596.84,46 MS-DRG,030,Spinal Procedures Without Cc/Mcc,,,18759.58,92546.07,46 MS-DRG,031,Ventricular Shunt Procedures With Mcc,,,36677.72,174274.58,46 MS-DRG,032,Ventricular Shunt Procedures With Cc,,,18256.22,88815.45,46 MS-DRG,033,Ventricular Shunt Procedures Without Cc/Mcc,,,14586.03,66352.69,46 MS-DRG,034,Carotid Artery Stent Procedures With Mcc,,,31896.52,161722.72,46 MS-DRG,035,Carotid Artery Stent Procedures With Cc,,,20290.85,94600.61,46 MS-DRG,036,Carotid Artery Stent Procedures Without Cc/Mcc,,,16780.61,76234.47,46 MS-DRG,037,Extracranial Procedures With Mcc,,,27359.94,138107.91,46 MS-DRG,038,Extracranial Procedures With Cc,,,14270.05,67005.65,46 MS-DRG,039,Extracranial Procedures Without Cc/Mcc,,,10764.51,47337.74,46 MS-DRG,040,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc",,,31822.03,156869.16,46 MS-DRG,041,"Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator",,,18787.02,93935.17,46 MS-DRG,042,"Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc",,,15094.1,73094.43,46 MS-DRG,043,Hyphema,,,,,0 MS-DRG,044,Acute Major Eye Infections,,,,,0 MS-DRG,045,Neurological eye disorders,,,,,0 MS-DRG,046,Other Disorders of the Eye Age >17 w CC,,,,,0 MS-DRG,047,Other Disorders of the Eye Age >17 w/o CC,,,,,0 MS-DRG,048,Other Disorders of the Eye Age 0-17,,,,,0 MS-DRG,049,Major Head & Neck Procedures,,,,,0 MS-DRG,050,Sialoadenectomy,,,,,0 MS-DRG,051,Salivary Gland Procedures Except Sialoadenectomy,,,,,0 MS-DRG,052,Spinal Disorders And Injuries With Cc/Mcc,,,15749.57,83695.72,46 MS-DRG,053,Spinal Disorders And Injuries Without Cc/Mcc,,,9225.4,38316.87,46 MS-DRG,054,Nervous System Neoplasms With Mcc,,,13519.7,62347.57,46 MS-DRG,055,Nervous System Neoplasms Without Mcc,,,9542.16,45370.53,46 MS-DRG,056,Degenerative Nervous System Disorders With Mcc,,,19762.4,104141.36,46 MS-DRG,057,Degenerative Nervous System Disorders Without Mcc,,,11706.17,55510.17,46 MS-DRG,058,Multiple Sclerosis And Cerebellar Ataxia With Mcc,,,14951.4,76762.66,46 MS-DRG,059,Multiple Sclerosis And Cerebellar Ataxia With Cc,,,11277.29,50885.37,46 MS-DRG,060,Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc,,,8759.67,37114.92,46 MS-DRG,061,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc",,,23165.22,112426.09,46 MS-DRG,062,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc",,,15325.4,74063.47,46 MS-DRG,063,"Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc",,,12554.53,58421.47,46 MS-DRG,064,Intracranial Hemorrhage Or Cerebral Infarction With Mcc,,,17315.34,82726.67,46 MS-DRG,065,Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours,,,9469.25,42297.03,46 MS-DRG,066,Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc,,,6913.99,28626.4,46 MS-DRG,067,Precerebral Occlusion Without Infarction With Mcc,,,13063.38,60546.72,46 MS-DRG,068,Precerebral Occlusion Without Infarction Without Mcc,,,8325.3,36665.74,46 MS-DRG,069,Transient Ischemia Without Thrombolytic,,,7810.96,33280.32,46 MS-DRG,070,Other Cerebrovascular Disorders With Mcc,,,14600.92,72312.53,46 MS-DRG,071,Other Cerebrovascular Disorders With Cc,,,9592.34,43827.54,46 MS-DRG,072,Other Cerebrovascular Disorders Without Cc/Mcc,,,7476.95,31196.66,46 MS-DRG,073,Cranial And Peripheral Nerve Disorders With Mcc,,,14126.57,64277.35,46 MS-DRG,074,Cranial And Peripheral Nerve Disorders Without Mcc,,,9629.98,43353.42,46 MS-DRG,075,Viral Meningitis With Cc/Mcc,,,16582.25,71634.62,46 MS-DRG,076,Viral Meningitis Without Cc/Mcc,,,8017.95,38133.87,46 MS-DRG,077,Hypertensive Encephalopathy With Mcc,,,25332.94,64306.46,18 MS-DRG,078,Hypertensive Encephalopathy With Cc,,,16347.96,41498.5,18 MS-DRG,079,Hypertensive Encephalopathy Without Cc/Mcc,,,10923.21,27728.05,18 MS-DRG,080,Nontraumatic Stupor And Coma With Mcc,,,15739.38,82672.6,46 MS-DRG,081,Nontraumatic Stupor And Coma Without Mcc,,,8569.93,37630.63,46 MS-DRG,082,Traumatic Stupor And Coma >1 Hour With Mcc,,,19468.37,96492.96,46 MS-DRG,083,Traumatic Stupor And Coma >1 Hour With Cc,,,12491.8,57822.58,46 MS-DRG,084,Traumatic Stupor And Coma >1 Hour Without Cc/Mcc,,,9041.93,39760.04,46 MS-DRG,085,Traumatic Stupor And Coma <1 Hour With Mcc,,,19360.96,94238.78,46 MS-DRG,086,Traumatic Stupor And Coma <1 Hour With Cc,,,11761.84,54549.44,46 MS-DRG,087,Traumatic Stupor And Coma <1 Hour Without Cc/Mcc,,,8719.68,36765.56,46 MS-DRG,088,Concussion With Mcc,,,12146.81,58666.85,46 MS-DRG,089,Concussion With Cc,,,10161.57,44588.64,46 MS-DRG,090,Concussion Without Cc/Mcc,,,8002.27,35650.95,46 MS-DRG,091,Other Disorders Of Nervous System With Mcc,,,15317.56,75810.25,46 MS-DRG,092,Other Disorders Of Nervous System With Cc,,,9568.82,44035.49,46 MS-DRG,093,Other Disorders Of Nervous System Without Cc/Mcc,,,7791.36,32826.99,46 MS-DRG,094,Bacterial And Tuberculous Infections Of Nervous System With Mcc,,,29142.11,151736.96,46 MS-DRG,095,Bacterial And Tuberculous Infections Of Nervous System With Cc,,,21770.38,99691.23,46 MS-DRG,096,Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc,,,21770.38,99691.23,46 MS-DRG,097,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc,,,29866.59,149091.83,46 MS-DRG,098,Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc,,,19541.29,90212.87,46 MS-DRG,099,Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc,,,12229.92,57943.19,46 MS-DRG,100,Seizures With Mcc,,,16733.57,82564.47,46 MS-DRG,101,Seizures Without Mcc,,,8624.81,38329.34,46 MS-DRG,102,Headaches With Mcc,,,10336.42,48219.45,46 MS-DRG,103,Headaches Without Mcc,,,8104.98,35359.82,46 MS-DRG,104,Cardiac Valve & Oth Major Cardiothoracic Proc w Cardiac Cath,,,,,0 MS-DRG,105,Cardiac Valve & Oth Major Cardiothoracic Proc w/o Cardiac Cath,,,,,0 MS-DRG,106,Coronary Bypass w PTCA,,,,,0 MS-DRG,107,No Longer Valid,,,,,0 MS-DRG,108,Other Cardiothoracic Procedures,,,,,0 MS-DRG,109,No Longer Valid,,,,,0 MS-DRG,110,Major Cardiovascular Procedures w CC,,,,,0 MS-DRG,111,Major Cardiovascular Procedures w/o CC,,,,,0 MS-DRG,112,No Longer Valid,,,,,0 MS-DRG,113,Orbital Procedures With Cc/Mcc,,,19981.93,93851.99,46 MS-DRG,114,Orbital Procedures Without Cc/Mcc,,,12156.22,49163.54,46 MS-DRG,115,Extraocular Procedures Except Orbit,,,13582.43,63670.13,46 MS-DRG,116,Intraocular Procedures With Cc/Mcc,,,15724.48,69392.92,46 MS-DRG,117,Intraocular Procedures Without Cc/Mcc,,,10054.16,44858.97,46 MS-DRG,118,Cardiac Pacemaker Device Replacement,,,,,0 MS-DRG,119,Vein ligation & stripping,,,,,0 MS-DRG,120,Other circulatory system O.R. procedures,,,,,0 MS-DRG,121,Acute Major Eye Infections With Cc/Mcc,,,10668.86,48373.33,46 MS-DRG,122,Acute Major Eye Infections Without Cc/Mcc,,,7709.03,28210.5,46 MS-DRG,123,Neurological Eye Disorders,,,7809.39,33405.09,46 MS-DRG,124,Other Disorders Of The Eye With Mcc Or Thrombolytic Agent,,,11921.79,54225.04,46 MS-DRG,125,Other Disorders Of The Eye Without Mcc,,,7567.9,34340.86,46 MS-DRG,126,Acute & Subacute Endocarditis,,,,,0 MS-DRG,127,Heart Failure & Shock,,,,,0 MS-DRG,128,Deep Vein Thrombophlebitis,,,,,0 MS-DRG,129,Major Head & Neck Procedures W Cc/Mcc Or Major Device,,,,,0 MS-DRG,130,Major Head & Neck Procedures W/O Cc/Mcc,,,,,0 MS-DRG,131,Cranial/Facial Procedures W Cc/Mcc,,,,,0 MS-DRG,132,Cranial/Facial Procedures W/O Cc/Mcc,,,,,0 MS-DRG,133,"Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc",,,,,0 MS-DRG,134,"Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc",,,,,0 MS-DRG,135,Sinus And Mastoid Procedures With Cc/Mcc,,,18562.0,100269.33,46 MS-DRG,136,Sinus And Mastoid Procedures Without Cc/Mcc,,,9508.45,40683.34,46 MS-DRG,137,Mouth Procedures With Cc/Mcc,,,13255.48,58163.62,46 MS-DRG,138,Mouth Procedures Without Cc/Mcc,,,8496.23,33833.47,46 MS-DRG,139,Salivary Gland Procedures,,,11236.52,57098.91,46 MS-DRG,140,Major Head And Neck Procedures With Mcc,,,34990.42,175884.11,46 MS-DRG,141,Major Head And Neck Procedures With Cc,,,18649.03,89347.8,46 MS-DRG,142,Major Head And Neck Procedures Without Cc/Mcc,,,14064.63,65391.96,46 MS-DRG,143,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc",,,30923.5,137317.7,46 MS-DRG,144,"Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc",,,15134.87,73056.99,46 MS-DRG,145,"Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc",,,10974.64,49271.67,46 MS-DRG,146,"Ear, Nose, Mouth And Throat Malignancy With Mcc",,,18149.58,95403.3,46 MS-DRG,147,"Ear, Nose, Mouth And Throat Malignancy With Cc",,,11517.21,51767.07,46 MS-DRG,148,"Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc",,,7797.63,33301.11,46 MS-DRG,149,Dysequilibrium,,,7440.88,31088.53,46 MS-DRG,150,Epistaxis With Mcc,,,11987.65,57481.54,46 MS-DRG,151,Epistaxis Without Mcc,,,7302.89,31525.22,46 MS-DRG,152,Otitis Media And Uri With Mcc,,,10817.05,47192.17,46 MS-DRG,153,Otitis Media And Uri Without Mcc,,,7335.82,29599.6,46 MS-DRG,154,"Other Ear, Nose, Mouth And Throat Diagnoses With Mcc",,,13806.67,67633.66,46 MS-DRG,155,"Other Ear, Nose, Mouth And Throat Diagnoses With Cc",,,8733.8,38828.42,46 MS-DRG,156,"Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc",,,6966.52,27965.12,46 MS-DRG,157,Dental And Oral Diseases With Mcc,,,15008.64,68099.47,46 MS-DRG,158,Dental And Oral Diseases With Cc,,,8681.26,39115.4,46 MS-DRG,159,Dental And Oral Diseases Without Cc/Mcc,,,7102.95,27432.76,46 MS-DRG,160,Hernia Procedures Except Inguinal & Femoral Age >17 w/o CC,,,,,0 MS-DRG,161,Inguinal & Femoral Hernia Procedures Age >17 w CC,,,,,0 MS-DRG,162,Inguinal & Femoral Hernia Procedures Age >17 w/o CC,,,,,0 MS-DRG,163,Major Chest Procedures With Mcc,,,36687.92,191684.15,46 MS-DRG,164,Major Chest Procedures With Cc,,,21337.57,104673.71,46 MS-DRG,165,Major Chest Procedures Without Cc/Mcc,,,16556.37,77519.6,46 MS-DRG,166,Other Respiratory System O.R. Procedures With Mcc,,,30853.72,160163.09,46 MS-DRG,167,Other Respiratory System O.R. Procedures With Cc,,,15687.63,75989.09,46 MS-DRG,168,Other Respiratory System O.R. Procedures Without Cc/Mcc,,,12261.29,56304.54,46 MS-DRG,169,Mouth Procedures w/o CC,,,,,0 MS-DRG,171,Other Digestive System O.R. Procedures w/o CC,,,,,0 MS-DRG,173,Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism,,,24884.66,127614.76,46 MS-DRG,174,G.I. hemorrhage w CC,,,,,0 MS-DRG,175,Pulmonary Embolism With Mcc Or Acute Cor Pulmonale,,,12317.74,58604.47,46 MS-DRG,176,Pulmonary Embolism Without Mcc,,,7859.57,33875.06,46 MS-DRG,177,Respiratory Infections And Inflammations With Mcc,,,13800.4,67230.24,46 MS-DRG,178,Respiratory Infections And Inflammations With Cc,,,9200.31,41261.44,46 MS-DRG,179,Respiratory Infections And Inflammations Without Cc/Mcc,,,7467.54,32011.82,46 MS-DRG,180,Respiratory Neoplasms With Mcc,,,15394.39,72686.84,46 MS-DRG,181,Respiratory Neoplasms With Cc,,,9945.17,46173.22,46 MS-DRG,182,Respiratory Neoplasms Without Cc/Mcc,,,7458.13,34831.63,46 MS-DRG,183,Major Chest Trauma With Mcc,,,13543.23,66011.65,46 MS-DRG,184,Major Chest Trauma With Cc,,,9891.07,44418.12,46 MS-DRG,185,Major Chest Trauma Without Cc/Mcc,,,7714.52,32340.38,46 MS-DRG,186,Pleural Effusion With Mcc,,,13767.47,65712.2,46 MS-DRG,187,Pleural Effusion With Cc,,,9303.03,41752.2,46 MS-DRG,188,Pleural Effusion Without Cc/Mcc,,,7171.16,30531.22,46 MS-DRG,189,Pulmonary Edema And Respiratory Failure,,,11234.17,51467.63,46 MS-DRG,190,Chronic Obstructive Pulmonary Disease With Mcc,,,10232.92,46718.05,46 MS-DRG,191,Chronic Obstructive Pulmonary Disease With Cc,,,8157.51,35729.97,46 MS-DRG,192,Chronic Obstructive Pulmonary Disease Without Cc/Mcc,,,6581.55,26917.05,46 MS-DRG,193,Simple Pneumonia And Pleurisy With Mcc,,,11853.57,54807.3,46 MS-DRG,194,Simple Pneumonia And Pleurisy With Cc,,,7866.63,34103.8,46 MS-DRG,195,Simple Pneumonia And Pleurisy Without Cc/Mcc,,,6475.7,25902.25,46 MS-DRG,196,Interstitial Lung Disease With Mcc,,,16344.67,78363.88,46 MS-DRG,197,Interstitial Lung Disease With Cc,,,8989.4,41169.94,46 MS-DRG,198,Interstitial Lung Disease Without Cc/Mcc,,,7163.32,29129.64,46 MS-DRG,199,Pneumothorax With Mcc,,,15379.5,73414.67,46 MS-DRG,200,Pneumothorax With Cc,,,10167.06,46056.77,46 MS-DRG,201,Pneumothorax Without Cc/Mcc,,,7154.7,28152.27,46 MS-DRG,202,Bronchitis And Asthma With Cc/Mcc,,,9162.68,40205.05,46 MS-DRG,203,Bronchitis And Asthma Without Cc/Mcc,,,6801.09,28959.12,46 MS-DRG,204,Respiratory Signs And Symptoms,,,7878.39,33725.33,46 MS-DRG,205,Other Respiratory System Diagnoses With Mcc,,,15904.03,78509.44,46 MS-DRG,206,Other Respiratory System Diagnoses Without Mcc,,,8926.68,37672.22,46 MS-DRG,207,Respiratory System Diagnosis With Ventilator Support >96 Hours,,,51999.84,268991.64,46 MS-DRG,208,Respiratory System Diagnosis With Ventilator Support <=96 Hours,,,23099.36,111631.72,46 MS-DRG,209,Complex Aortic Arch Procedures,,,90294.15,239279.5,28 MS-DRG,210,Hip & Femur Procedures Except Major Joint Age >17 w CC,,,,,0 MS-DRG,211,Hip & Femur Procedures Except Major Joint Age >17 w/o CC,,,,,0 MS-DRG,212,Concomitant Aortic And Mitral Valve Procedures,,,86807.43,453044.03,46 MS-DRG,213,Endovascular Abdominal Aorta With Iliac Branch Procedures,,,46293.44,122677.62,28 MS-DRG,214,No Longer Valid,,,,,0 MS-DRG,215,Other Heart Assist System Implant,,,79616.81,440612.78,50 MS-DRG,216,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc,,,78250.98,401360.14,50 MS-DRG,217,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc,,,53102.23,268563.27,50 MS-DRG,218,Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc,,,53102.23,247423.07,46 MS-DRG,219,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc,,,61750.42,321781.83,50 MS-DRG,220,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc,,,43360.27,220273.12,50 MS-DRG,221,Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M,,,41066.11,190993.76,46 MS-DRG,222,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc",,,175941.01,244459.92,2 MS-DRG,223,"Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc",,,119920.51,166622.65,2 MS-DRG,224,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc",,,162902.73,226343.98,2 MS-DRG,225,"Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc",,,116220.89,161482.25,2 MS-DRG,226,Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc,,,147086.28,204367.94,2 MS-DRG,227,Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc,,,115370.67,160300.91,2 MS-DRG,228,Other Cardiothoracic Procedures With Mcc,,,40338.5,207238.81,50 MS-DRG,229,Other Cardiothoracic Procedures Without Mcc,,,26241.87,129182.7,50 MS-DRG,230,Other cardiothoracic procedures w/o CC/MCC,,,,,0 MS-DRG,231,Coronary Bypass With Ptca With Mcc,,,67643.42,352408.71,50 MS-DRG,232,Coronary Bypass With Ptca Without Mcc,,,49082.35,254044.2,50 MS-DRG,233,Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc,,,61490.89,325059.12,50 MS-DRG,234,Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc,,,44378.77,221254.64,50 MS-DRG,235,Coronary Bypass Without Cardiac Catheterization With Mcc,,,47561.27,244707.24,50 MS-DRG,236,Coronary Bypass Without Cardiac Catheterization Without Mcc,,,34390.62,171009.76,50 MS-DRG,237,Major cardiovasc procedures w MCC,,,,,0 MS-DRG,238,Major cardiovasc procedures w/o MCC,,,,,0 MS-DRG,239,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc,,,40137.0,209468.04,46 MS-DRG,240,Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc,,,23897.53,121110.08,46 MS-DRG,241,Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc,,,12402.42,62792.58,46 MS-DRG,242,Permanent Cardiac Pacemaker Implant With Mcc,,,26581.37,141073.28,50 MS-DRG,243,Permanent Cardiac Pacemaker Implant With Cc,,,18255.43,93689.79,50 MS-DRG,244,Permanent Cardiac Pacemaker Implant Without Cc/Mcc,,,15719.78,75057.47,50 MS-DRG,245,Aicd Generator Procedures,,,37319.87,203229.54,46 MS-DRG,246,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,68831.3,95637.13,2 MS-DRG,247,Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc,,,43878.4,60966.52,2 MS-DRG,248,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents,,,69162.19,96096.89,2 MS-DRG,249,Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc,,,41745.95,58003.6,2 MS-DRG,250,Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc,,,18660.01,96185.19,50 MS-DRG,251,Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc,,,13265.67,64984.38,50 MS-DRG,252,Other Vascular Procedures With Mcc,,,28898.27,142662.02,50 MS-DRG,253,Other Vascular Procedures With Cc,,,21898.96,106175.11,50 MS-DRG,254,Other Vascular Procedures Without Cc/Mcc,,,15517.49,72753.39,46 MS-DRG,255,Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc,,,22697.14,108811.92,46 MS-DRG,256,Upper Limb And Toe Amputation For Circulatory System Disorders With Cc,,,14860.45,70436.82,46 MS-DRG,257,Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc,,,10111.39,37094.12,46 MS-DRG,258,Cardiac Pacemaker Device Replacement With Mcc,,,26183.85,116676.59,50 MS-DRG,259,Cardiac Pacemaker Device Replacement Without Mcc,,,17402.37,73098.58,50 MS-DRG,260,Cardiac Pacemaker Revision Except Device Replacement With Mcc,,,27051.81,141688.81,50 MS-DRG,261,Cardiac Pacemaker Revision Except Device Replacement With Cc,,,16370.55,78912.87,50 MS-DRG,262,Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc,,,14327.29,63121.14,50 MS-DRG,263,Vein Ligation And Stripping,,,25519.75,111540.22,46 MS-DRG,264,Other Circulatory System O.R. Procedures,,,27740.21,145352.89,46 MS-DRG,265,Aicd Lead Procedures,,,29916.77,148347.37,46 MS-DRG,266,Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc,,,49598.26,249140.74,50 MS-DRG,267,Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc,,,38875.45,195656.0,50 MS-DRG,268,Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc,,,55474.8,277288.85,50 MS-DRG,269,Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc,,,34660.33,173031.04,50 MS-DRG,270,Other Major Cardiovascular Procedures With Mcc,,,42917.28,213473.15,50 MS-DRG,271,Other Major Cardiovascular Procedures With Cc,,,29431.43,143252.6,50 MS-DRG,272,Other Major Cardiovascular Procedures Without Cc/Mcc,,,21564.95,104058.18,50 MS-DRG,273,Percutaneous And Other Intracardiac Procedures With Mcc,,,33894.31,162616.9,50 MS-DRG,274,Percutaneous And Other Intracardiac Procedures Without Mcc,,,27356.81,129794.07,50 MS-DRG,275,Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc,,,57454.55,293895.74,46 MS-DRG,276,Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator,,,48643.27,257608.46,50 MS-DRG,277,Cardiac Defibrillator Implant Without Mcc,,,37759.73,193485.0,50 MS-DRG,278,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc,,,45190.27,208070.61,50 MS-DRG,279,Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc,,,29824.25,133262.68,50 MS-DRG,280,"Acute Myocardial Infarction, Discharged Alive With Mcc",,,14125.0,68269.99,46 MS-DRG,281,"Acute Myocardial Infarction, Discharged Alive With Cc",,,8754.18,38337.66,46 MS-DRG,282,"Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc",,,7217.42,30156.91,46 MS-DRG,283,"Acute Myocardial Infarction, Expired With Mcc",,,17078.56,81325.09,46 MS-DRG,284,"Acute Myocardial Infarction, Expired With Cc",,,6975.15,30814.03,46 MS-DRG,285,"Acute Myocardial Infarction, Expired Without Cc/Mcc",,,6243.62,23344.47,46 MS-DRG,286,"Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc",,,18897.58,92051.15,50 MS-DRG,287,"Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc",,,9938.11,45316.46,50 MS-DRG,288,Acute And Subacute Endocarditis With Mcc,,,22766.13,113594.77,46 MS-DRG,289,Acute And Subacute Endocarditis With Cc,,,14931.01,65570.79,46 MS-DRG,290,Acute And Subacute Endocarditis Without Cc/Mcc,,,8837.29,40716.61,46 MS-DRG,291,Heart Failure And Shock With Mcc,,,11613.65,54270.79,46 MS-DRG,292,Heart Failure And Shock With Cc,,,8204.56,35821.47,46 MS-DRG,293,Heart Failure And Shock Without Cc/Mcc,,,5985.66,22832.91,46 MS-DRG,294,Deep Vein Thrombophlebitis With Cc/Mcc,,,20117.91,51068.36,18 MS-DRG,295,Deep Vein Thrombophlebitis Without Cc/Mcc,,,12940.08,32847.78,18 MS-DRG,296,"Cardiac Arrest, Unexplained With Mcc",,,13794.13,68136.9,46 MS-DRG,297,"Cardiac Arrest, Unexplained With Cc",,,6518.83,29296.0,46 MS-DRG,298,"Cardiac Arrest, Unexplained Without Cc/Mcc",,,5116.14,18366.14,46 MS-DRG,299,Peripheral Vascular Disorders With Mcc,,,14349.24,67280.14,46 MS-DRG,300,Peripheral Vascular Disorders With Cc,,,9917.73,44522.1,46 MS-DRG,301,Peripheral Vascular Disorders Without Cc/Mcc,,,7190.77,29666.15,46 MS-DRG,302,Atherosclerosis With Mcc,,,10929.95,48377.49,46 MS-DRG,303,Atherosclerosis Without Mcc,,,6826.18,27965.12,46 MS-DRG,304,Hypertension With Mcc,,,10878.2,48859.93,46 MS-DRG,305,Hypertension Without Mcc,,,7468.32,31221.61,46 MS-DRG,306,Cardiac Congenital And Valvular Disorders With Mcc,,,13903.11,62276.87,46 MS-DRG,307,Cardiac Congenital And Valvular Disorders Without Mcc,,,8707.92,38524.82,46 MS-DRG,308,Cardiac Arrhythmia And Conduction Disorders With Mcc,,,10987.97,50157.54,46 MS-DRG,309,Cardiac Arrhythmia And Conduction Disorders With Cc,,,7316.22,30747.49,46 MS-DRG,310,Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc,,,5986.45,23269.61,46 MS-DRG,311,Angina Pectoris,,,7051.2,29050.62,46 MS-DRG,312,Syncope And Collapse,,,8381.75,36237.37,46 MS-DRG,313,Chest Pain,,,7193.12,29666.15,46 MS-DRG,314,Other Circulatory System Diagnoses With Mcc,,,17897.12,89559.91,46 MS-DRG,315,Other Circulatory System Diagnoses With Cc,,,9100.74,40022.06,46 MS-DRG,316,Other Circulatory System Diagnoses Without Cc/Mcc,,,6895.96,28389.33,46 MS-DRG,317,Concomitant Left Atrial Appendage Closure And Cardiac Ablation,,,53974.1,257275.74,46 MS-DRG,318,Percutaneous Coronary Atherectomy Without Intraluminal Device,,,20539.4,54429.41,28 MS-DRG,319,Other Endovascular Cardiac Valve Procedures With Mcc,,,36539.73,182684.08,50 MS-DRG,320,Other Endovascular Cardiac Valve Procedures Without Mcc,,,20406.89,96264.21,50 MS-DRG,321,Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal,,,22880.61,118394.25,46 MS-DRG,322,Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc,,,15370.87,75240.47,46 MS-DRG,323,Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc,,,35477.33,177140.13,46 MS-DRG,324,Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc,,,26253.64,132880.05,46 MS-DRG,325,Coronary Intravascular Lithotripsy Without Intraluminal Device,,,26719.37,119030.58,46 MS-DRG,326,"Stomach, Esophageal And Duodenal Procedures With Mcc",,,40652.13,211223.13,46 MS-DRG,327,"Stomach, Esophageal And Duodenal Procedures With Cc",,,20711.89,100984.68,46 MS-DRG,328,"Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc",,,14110.89,66269.51,46 MS-DRG,329,Major Small And Large Bowel Procedures With Mcc,,,37587.23,190968.8,46 MS-DRG,330,Major Small And Large Bowel Procedures With Cc,,,20343.38,98306.28,46 MS-DRG,331,Major Small And Large Bowel Procedures Without Cc/Mcc,,,14742.84,68665.09,46 MS-DRG,332,Rectal Resection With Mcc,,,29936.37,144254.92,46 MS-DRG,333,Rectal Resection With Cc,,,19912.15,88382.91,46 MS-DRG,334,Rectal Resection Without Cc/Mcc,,,14390.01,68972.86,46 MS-DRG,335,Peritoneal Adhesiolysis With Mcc,,,29545.91,150718.0,46 MS-DRG,336,Peritoneal Adhesiolysis With Cc,,,18081.37,87854.72,46 MS-DRG,337,Peritoneal Adhesiolysis Without Cc/Mcc,,,13583.21,63840.65,46 MS-DRG,338,Appendectomy With Complicated Principal Diagnosis With Mcc,,,61043.71,84816.73,2 MS-DRG,339,Appendectomy With Complicated Principal Diagnosis With Cc,,,37419.0,51991.56,2 MS-DRG,340,Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc,,,27572.5,38310.41,2 MS-DRG,341,Appendectomy Without Complicated Principal Diagnosis With Mcc,,,51909.56,72125.35,2 MS-DRG,342,Appendectomy Without Complicated Principal Diagnosis With Cc,,,33393.08,46397.77,2 MS-DRG,343,Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc,,,25109.15,34887.73,2 MS-DRG,344,Minor Small And Large Bowel Procedures With Mcc,,,21798.6,112060.1,46 MS-DRG,345,Minor Small And Large Bowel Procedures With Cc,,,13345.64,61935.83,46 MS-DRG,346,Minor Small And Large Bowel Procedures Without Cc/Mcc,,,10848.41,51787.87,46 MS-DRG,347,Anal And Stomal Procedures With Mcc,,,19546.78,98426.89,46 MS-DRG,348,Anal And Stomal Procedures With Cc,,,11809.67,52353.49,46 MS-DRG,349,Anal And Stomal Procedures Without Cc/Mcc,,,8373.91,36636.63,46 MS-DRG,350,Inguinal And Femoral Hernia Procedures With Mcc,,,21085.89,100639.48,46 MS-DRG,351,Inguinal And Femoral Hernia Procedures With Cc,,,13500.89,62580.47,46 MS-DRG,352,Inguinal And Femoral Hernia Procedures Without Cc/Mcc,,,10704.14,45852.98,46 MS-DRG,353,Hernia Procedures Except Inguinal And Femoral With Mcc,,,24301.32,121975.15,46 MS-DRG,354,Hernia Procedures Except Inguinal And Femoral With Cc,,,14738.92,70748.75,46 MS-DRG,355,Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc,,,12093.5,55443.63,46 MS-DRG,356,Other Digestive System O.R. Procedures With Mcc,,,35990.1,177397.99,46 MS-DRG,357,Other Digestive System O.R. Procedures With Cc,,,19781.21,93656.52,46 MS-DRG,358,Other Digestive System O.R. Procedures Without Cc/Mcc,,,12508.27,56354.45,46 MS-DRG,359,Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc,,,28508.59,75547.76,28 MS-DRG,360,Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc,,,20477.46,54265.27,28 MS-DRG,361,Laparoscopy & Incisional Tubal Interruption,,,,,0 MS-DRG,362,Endoscopic Tubal Interruption,,,,,0 MS-DRG,363,"D&C, Conization & Radio-Implant, for Malignancy",,,,,0 MS-DRG,364,"D&C, Conization Except for Malignancy",,,,,0 MS-DRG,365,Other Female Reproductive System O.R. Procedures,,,,,0 MS-DRG,366,"Malignancy, female reproductive system w CC",,,,,0 MS-DRG,367,"Malignancy, Female Reproductive System w/o CC",,,,,0 MS-DRG,368,Major Esophageal Disorders With Mcc,,,14029.34,69451.14,46 MS-DRG,369,Major Esophageal Disorders With Cc,,,9390.06,42321.98,46 MS-DRG,370,Major Esophageal Disorders Without Cc/Mcc,,,7042.58,29025.66,46 MS-DRG,371,Major Gastrointestinal Disorders And Peritoneal Infections With Mcc,,,15450.06,72711.8,46 MS-DRG,372,Major Gastrointestinal Disorders And Peritoneal Infections With Cc,,,9553.14,42808.59,46 MS-DRG,373,Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc,,,7251.14,30165.23,46 MS-DRG,374,Digestive Malignancy With Mcc,,,18316.59,87817.29,46 MS-DRG,375,Digestive Malignancy With Cc,,,11031.88,51101.63,46 MS-DRG,376,Digestive Malignancy Without Cc/Mcc,,,8794.95,36719.81,46 MS-DRG,377,Gastrointestinal Hemorrhage With Mcc,,,15880.51,75614.78,46 MS-DRG,378,Gastrointestinal Hemorrhage With Cc,,,9237.16,41003.58,46 MS-DRG,379,Gastrointestinal Hemorrhage Without Cc/Mcc,,,6490.6,26476.19,46 MS-DRG,380,Complicated Peptic Ulcer With Mcc,,,16932.72,80031.64,46 MS-DRG,381,Complicated Peptic Ulcer With Cc,,,10043.18,45295.67,46 MS-DRG,382,Complicated Peptic Ulcer Without Cc/Mcc,,,7825.07,31163.39,46 MS-DRG,383,Uncomplicated Peptic Ulcer With Mcc,,,12373.41,52578.08,46 MS-DRG,384,Uncomplicated Peptic Ulcer Without Mcc,,,8250.03,36166.66,46 MS-DRG,385,Inflammatory Bowel Disease With Mcc,,,13954.07,67571.27,46 MS-DRG,386,Inflammatory Bowel Disease With Cc,,,9202.67,41273.92,46 MS-DRG,387,Inflammatory Bowel Disease Without Cc/Mcc,,,6889.69,27877.78,46 MS-DRG,388,Gastrointestinal Obstruction With Mcc,,,13126.89,61137.3,46 MS-DRG,389,Gastrointestinal Obstruction With Cc,,,7740.39,33342.7,46 MS-DRG,390,Gastrointestinal Obstruction Without Cc/Mcc,,,5813.17,22753.89,46 MS-DRG,391,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc",,,11492.12,53438.99,46 MS-DRG,392,"Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc",,,7660.42,32452.68,46 MS-DRG,393,Other Digestive System Diagnoses With Mcc,,,14087.36,68868.88,46 MS-DRG,394,Other Digestive System Diagnoses With Cc,,,8884.34,39148.67,46 MS-DRG,395,Other Digestive System Diagnoses Without Cc/Mcc,,,6636.43,26467.88,46 MS-DRG,396,Red Blood Cell Disorders Age 0-17,,,,,0 MS-DRG,397,Appendix Procedures With Mcc,,,20325.35,103043.38,46 MS-DRG,398,Appendix Procedures With Cc,,,13415.42,62938.15,46 MS-DRG,399,Appendix Procedures Without Cc/Mcc,,,10523.02,46751.32,46 MS-DRG,400,No Longer Valid,,,,,0 MS-DRG,401,Lymphoma & non-acute leukemia w other O.R. proc w CC,,,,,0 MS-DRG,402,Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical,,,33071.04,163415.43,46 MS-DRG,403,Lymphoma & non-acute leukemia w CC,,,,,0 MS-DRG,404,Lymphoma & Non-Acute Leukemia w/o CC,,,,,0 MS-DRG,405,"Pancreas, Liver And Shunt Procedures With Mcc",,,44439.92,225767.16,46 MS-DRG,406,"Pancreas, Liver And Shunt Procedures With Cc",,,24287.21,116793.04,46 MS-DRG,407,"Pancreas, Liver And Shunt Procedures Without Cc/Mcc",,,18950.89,88819.6,46 MS-DRG,408,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc,,,29504.35,145610.75,46 MS-DRG,409,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc,,,18619.24,87185.12,46 MS-DRG,410,Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc,,,13996.41,64506.09,46 MS-DRG,411,Cholecystectomy With C.D.E. With Mcc,,,27447.76,113806.88,46 MS-DRG,412,Cholecystectomy With C.D.E. With Cc,,,18032.76,88649.09,46 MS-DRG,413,Cholecystectomy With C.D.E. Without Cc/Mcc,,,14567.21,69139.22,46 MS-DRG,414,Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc,,,29480.83,145714.72,46 MS-DRG,415,Cholecystectomy Except By Laparoscope Without C.D.E. With Cc,,,17752.06,82265.02,46 MS-DRG,416,Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc,,,12236.98,56986.62,46 MS-DRG,417,Laparoscopic Cholecystectomy Without C.D.E. With Mcc,,,20258.71,98838.64,46 MS-DRG,418,Laparoscopic Cholecystectomy Without C.D.E. With Cc,,,14811.05,68977.02,46 MS-DRG,419,Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc,,,12256.58,54798.98,46 MS-DRG,420,Hepatobiliary Diagnostic Procedures With Mcc,,,28261.61,146779.43,46 MS-DRG,421,Hepatobiliary Diagnostic Procedures With Cc,,,15170.94,68103.63,46 MS-DRG,422,Hepatobiliary Diagnostic Procedures Without Cc/Mcc,,,12520.81,61108.19,46 MS-DRG,423,Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc,,,34109.92,169150.69,46 MS-DRG,424,Other Hepatobiliary Or Pancreas O.R. Procedures With Cc,,,18702.35,94954.13,46 MS-DRG,425,Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc,,,13311.14,64285.66,46 MS-DRG,426,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made,,,87960.79,435929.74,46 MS-DRG,427,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc,,,58146.09,295234.93,46 MS-DRG,428,Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc,,,45627.78,228961.27,46 MS-DRG,429,Combined Anterior And Posterior Cervical Spinal Fusion With Mcc,,,72188.62,346860.6,46 MS-DRG,430,Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc,,,46765.45,227501.46,46 MS-DRG,431,Childhood Mental Disorders,,,,,0 MS-DRG,432,Cirrhosis And Alcoholic Hepatitis With Mcc,,,16979.76,81478.97,46 MS-DRG,433,Cirrhosis And Alcoholic Hepatitis With Cc,,,9829.13,44488.82,46 MS-DRG,434,Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc,,,7134.31,28963.28,46 MS-DRG,435,Malignancy Of Hepatobiliary System Or Pancreas With Mcc,,,15948.72,75880.96,46 MS-DRG,436,Malignancy Of Hepatobiliary System Or Pancreas With Cc,,,10416.39,46896.88,46 MS-DRG,437,Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc,,,8238.27,32652.31,46 MS-DRG,438,Disorders Of Pancreas Except Malignancy With Mcc,,,14329.64,69197.44,46 MS-DRG,439,Disorders Of Pancreas Except Malignancy With Cc,,,8143.4,35775.72,46 MS-DRG,440,Disorders Of Pancreas Except Malignancy Without Cc/Mcc,,,6420.03,25582.01,46 MS-DRG,441,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc",,,15619.42,78617.58,46 MS-DRG,442,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc",,,9116.42,40184.26,46 MS-DRG,443,"Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc",,,7033.95,29221.13,46 MS-DRG,444,Disorders Of The Biliary Tract With Mcc,,,14648.75,70058.36,46 MS-DRG,445,Disorders Of The Biliary Tract With Cc,,,10128.64,45100.2,46 MS-DRG,446,Disorders Of The Biliary Tract Without Cc/Mcc,,,8034.41,33155.55,46 MS-DRG,447,Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody,,,53935.68,278827.68,46 MS-DRG,448,Multiple Level Spinal Fusion Except Cervical Without Mcc,,,34798.33,169820.29,46 MS-DRG,449,Poisoning & toxic Effects of Drugs Age >17 w CC,,,,,0 MS-DRG,450,Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F,,,43335.18,214176.02,46 MS-DRG,451,Single Level Spinal Fusion Except Cervical Without Mcc,,,26876.18,128338.42,46 MS-DRG,452,Complications of treatment w CC,,,,,0 MS-DRG,453,Combined Anterior And Posterior Spinal Fusion With Mcc,,,3150.07,325177.93,14 MS-DRG,454,Combined Anterior And Posterior Spinal Fusion With Cc,,,4563.87,224443.74,14 MS-DRG,455,Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc,,,6060.88,169007.1,14 MS-DRG,456,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,67435.64,352209.07,50 MS-DRG,457,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,48302.21,238685.01,50 MS-DRG,458,"Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With",,,34263.6,179573.14,50 MS-DRG,459,Spinal Fusion Except Cervical With Mcc,,,4208.8,243378.88,14 MS-DRG,460,Spinal Fusion Except Cervical Without Mcc,,,7631.15,134230.3,14 MS-DRG,461,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc,,,44851.56,255225.35,50 MS-DRG,462,Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc,,,22403.9,119097.12,50 MS-DRG,463,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,46235.42,224615.11,46 MS-DRG,464,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,25969.02,122632.27,46 MS-DRG,465,Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit,,,15846.8,72196.08,46 MS-DRG,466,Revision Of Hip Or Knee Replacement With Mcc,,,42361.38,211871.94,50 MS-DRG,467,Revision Of Hip Or Knee Replacement With Cc,,,29198.57,142441.59,50 MS-DRG,468,Revision Of Hip Or Knee Replacement Without Cc/Mcc,,,23093.87,109098.89,50 MS-DRG,469,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl,,,25330.01,135936.92,50 MS-DRG,470,Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc,,,16671.63,78417.95,50 MS-DRG,471,Cervical Spinal Fusion With Mcc,,,39407.82,202002.63,50 MS-DRG,472,Cervical Spinal Fusion With Cc,,,24647.09,120486.23,50 MS-DRG,473,Cervical Spinal Fusion Without Cc/Mcc,,,20689.16,98451.85,50 MS-DRG,474,Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc,,,35206.82,186506.2,46 MS-DRG,475,Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc,,,19390.75,89713.79,46 MS-DRG,476,Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc,,,10801.37,48369.17,46 MS-DRG,477,Biopsies Of Musculoskeletal System And Connective Tissue With Mcc,,,28634.04,143019.69,46 MS-DRG,478,Biopsies Of Musculoskeletal System And Connective Tissue With Cc,,,20829.5,97254.06,46 MS-DRG,479,Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc,,,16122.79,73851.36,46 MS-DRG,480,Hip And Femur Procedures Except Major Joint With Mcc,,,24382.08,122316.19,46 MS-DRG,481,Hip And Femur Procedures Except Major Joint With Cc,,,17970.03,86295.09,46 MS-DRG,482,Hip And Femur Procedures Except Major Joint Without Cc/Mcc,,,14335.91,65978.38,46 MS-DRG,483,Major Joint Or Limb Reattachment Procedures Of Upper Extremities,,,23281.26,105975.48,46 MS-DRG,484,Major joint & limb reattachment proc of upper extremity w/o CC/MCC,,,,,0 MS-DRG,485,Knee Procedures With Principal Diagnosis Of Infection With Mcc,,,26850.31,134069.52,46 MS-DRG,486,Knee Procedures With Principal Diagnosis Of Infection With Cc,,,17943.37,88199.91,46 MS-DRG,487,Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc,,,13827.84,65716.36,46 MS-DRG,488,Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc,,,15417.13,81736.83,46 MS-DRG,489,Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc,,,10304.27,51513.37,46 MS-DRG,490,Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim,,,,,0 MS-DRG,491,Back & neck proc exc spinal fusion w/o CC/MCC,,,,,0 MS-DRG,492,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc",,,30335.46,147686.09,50 MS-DRG,493,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc",,,21432.45,99857.59,50 MS-DRG,494,"Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc",,,17280.06,78417.95,50 MS-DRG,495,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc,,,29975.57,146409.28,46 MS-DRG,496,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc,,,15691.55,82052.91,46 MS-DRG,497,Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc,,,11021.69,55855.37,46 MS-DRG,498,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc,,,25201.43,105002.27,46 MS-DRG,499,Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc,,,17345.14,48277.67,46 MS-DRG,500,Soft Tissue Procedures With Mcc,,,26361.84,131777.92,46 MS-DRG,501,Soft Tissue Procedures With Cc,,,15254.05,74233.99,46 MS-DRG,502,Soft Tissue Procedures Without Cc/Mcc,,,12100.55,58105.39,46 MS-DRG,503,Foot Procedures With Mcc,,,23431.8,110067.94,46 MS-DRG,504,Foot Procedures With Cc,,,16203.54,73015.4,46 MS-DRG,505,Foot Procedures Without Cc/Mcc,,,15604.52,73015.4,46 MS-DRG,506,Major Thumb Or Joint Procedures,,,12126.43,62343.41,46 MS-DRG,507,Major Shoulder Or Elbow Joint Procedures With Cc/Mcc,,,15711.15,80605.58,46 MS-DRG,508,Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc,,,13421.7,53676.05,46 MS-DRG,509,Arthroscopy,,,28778.5,73052.84,18 MS-DRG,510,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc",,,25230.44,118864.22,46 MS-DRG,511,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc",,,17851.64,81574.63,46 MS-DRG,512,"Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc",,,14527.22,66864.24,46 MS-DRG,513,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc",,,13891.35,62613.75,46 MS-DRG,514,"Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc",,,9563.33,42405.16,46 MS-DRG,515,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc,,,26535.11,128604.6,46 MS-DRG,516,Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc,,,17841.45,83662.44,46 MS-DRG,517,Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc,,,13596.54,62077.23,46 MS-DRG,518,Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator,,,30850.58,149050.24,50 MS-DRG,519,Back And Neck Procedures Except Spinal Fusion With Cc,,,17230.66,82003.0,50 MS-DRG,520,Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc,,,13260.96,59602.63,50 MS-DRG,521,Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc,,,24051.99,121218.21,50 MS-DRG,522,Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc,,,18151.94,87680.04,50 MS-DRG,523,Alc/Drug Abuse or Depend w/o Rehabilitation therapy w/o CC,,,,,0 MS-DRG,524,Transient ischemia,,,,,0 MS-DRG,525,Other heart assist system implant,,,,,0 MS-DRG,526,No Longer Valid,,,,,0 MS-DRG,527,No Longer Valid,,,,,0 MS-DRG,528,Intracranial Vascular Proc w Pdx Hemorrhage,,,,,0 MS-DRG,529,Ventricular shunt procedures w CC,,,,,0 MS-DRG,530,Ventricular Shunt Procedures w/o CC,,,,,0 MS-DRG,531,Spinal Procedures w CC,,,,,0 MS-DRG,532,Spinal Procedures w/o CC,,,,,0 MS-DRG,533,Fractures Of Femur With Mcc,,,13839.6,63416.43,46 MS-DRG,534,Fractures Of Femur Without Mcc,,,7868.19,33850.1,46 MS-DRG,535,Fractures Of Hip And Pelvis With Mcc,,,11599.54,55310.54,46 MS-DRG,536,Fractures Of Hip And Pelvis Without Mcc,,,7879.95,33725.33,46 MS-DRG,537,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc",,,9030.17,38217.05,46 MS-DRG,538,"Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc",,,7195.47,27927.69,46 MS-DRG,539,Osteomyelitis With Mcc,,,16991.53,84124.09,46 MS-DRG,540,Osteomyelitis With Cc,,,11711.66,53834.1,46 MS-DRG,541,Osteomyelitis Without Cc/Mcc,,,7721.57,36382.93,46 MS-DRG,542,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc,,,15398.31,77561.19,46 MS-DRG,543,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc,,,9608.02,44118.67,46 MS-DRG,544,Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc,,,7464.4,31429.56,46 MS-DRG,545,Connective Tissue Disorders With Mcc,,,21005.92,105085.45,46 MS-DRG,546,Connective Tissue Disorders With Cc,,,10591.24,48148.74,46 MS-DRG,547,Connective Tissue Disorders Without Cc/Mcc,,,8104.2,31034.46,46 MS-DRG,548,Septic Arthritis With Mcc,,,16687.31,83783.06,46 MS-DRG,549,Septic Arthritis With Cc,,,11013.06,50115.95,46 MS-DRG,550,Septic Arthritis Without Cc/Mcc,,,8401.36,35854.74,46 MS-DRG,551,Medical Back Problems With Mcc,,,14689.52,70965.02,46 MS-DRG,552,Medical Back Problems Without Mcc,,,9085.06,40084.44,46 MS-DRG,553,Bone Diseases And Arthropathies With Mcc,,,11711.66,54329.02,46 MS-DRG,554,Bone Diseases And Arthropathies Without Mcc,,,8056.37,34711.01,46 MS-DRG,555,Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc,,,11911.6,56000.94,46 MS-DRG,556,Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc,,,8060.29,33958.24,46 MS-DRG,557,"Tendonitis, Myositis And Bursitis With Mcc",,,13206.08,64452.02,46 MS-DRG,558,"Tendonitis, Myositis And Bursitis Without Mcc",,,8551.11,35925.44,46 MS-DRG,559,"Aftercare, Musculoskeletal System And Connective Tissue With Mcc",,,16169.83,77195.2,46 MS-DRG,560,"Aftercare, Musculoskeletal System And Connective Tissue With Cc",,,10377.19,47362.69,46 MS-DRG,561,"Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc",,,7850.94,34003.98,46 MS-DRG,562,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc",,,12719.18,60875.28,46 MS-DRG,563,"Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc",,,8569.14,37168.98,46 MS-DRG,564,Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc,,,13650.64,65263.03,46 MS-DRG,565,Other Musculoskeletal System And Connective Tissue Diagnoses With Cc,,,9187.77,42405.16,46 MS-DRG,566,Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc,,,7422.85,31109.32,46 MS-DRG,567,"Stomach, Esophageal & Duodenal Proc Age > 17 w CC w Major Gi Dx",,,,,0 MS-DRG,568,"Stomach, Esophageal & Duodenal Procedures Proc Age > 17 w CC w/o Major Gi Dx",,,,,0 MS-DRG,569,Major Small & Large Bowel Procedures w CC w Major Gi Dx,,,,,0 MS-DRG,570,Skin Debridement With Mcc,,,24607.89,125202.54,46 MS-DRG,571,Skin Debridement With Cc,,,14794.59,69654.93,46 MS-DRG,572,Skin Debridement Without Cc/Mcc,,,10535.57,47512.42,46 MS-DRG,573,Skin Graft For Skin Ulcer Or Cellulitis With Mcc,,,52914.84,256102.9,46 MS-DRG,574,Skin Graft For Skin Ulcer Or Cellulitis With Cc,,,28765.77,144096.87,46 MS-DRG,575,Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,15637.45,83034.44,46 MS-DRG,576,Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc,,,39976.27,224373.89,46 MS-DRG,577,Skin Graft Except For Skin Ulcer Or Cellulitis With Cc,,,22330.98,110737.53,46 MS-DRG,578,Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc,,,14143.03,70299.58,46 MS-DRG,579,"Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc",,,26939.69,135545.97,46 MS-DRG,580,"Other Skin, Subcutaneous Tissue And Breast Procedures With Cc",,,15096.45,73734.91,46 MS-DRG,581,"Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc",,,12862.66,59852.17,46 MS-DRG,582,Mastectomy For Malignancy With Cc/Mcc,,,16653.59,72828.25,46 MS-DRG,583,Mastectomy For Malignancy Without Cc/Mcc,,,15068.22,68311.58,46 MS-DRG,584,"Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc",,,18332.27,85147.21,46 MS-DRG,585,"Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc",,,16673.2,82556.15,46 MS-DRG,592,Skin Ulcers With Mcc,,,16721.81,85517.36,46 MS-DRG,593,Skin Ulcers With Cc,,,10849.19,50847.93,46 MS-DRG,594,Skin Ulcers Without Cc/Mcc,,,8344.12,35293.27,46 MS-DRG,595,Major Skin Disorders With Mcc,,,18175.46,87962.85,46 MS-DRG,596,Major Skin Disorders Without Mcc,,,10035.34,44958.79,46 MS-DRG,597,Malignant Breast Disorders With Mcc,,,14618.96,73052.84,46 MS-DRG,598,Malignant Breast Disorders With Cc,,,10417.96,44871.45,46 MS-DRG,599,Malignant Breast Disorders Without Cc/Mcc,,,7580.44,35555.29,46 MS-DRG,600,Non-Malignant Breast Disorders With Cc/Mcc,,,9714.66,39809.95,46 MS-DRG,601,Non-Malignant Breast Disorders Without Cc/Mcc,,,6291.45,24933.21,46 MS-DRG,602,Cellulitis With Mcc,,,12691.74,61112.35,46 MS-DRG,603,Cellulitis Without Mcc,,,8376.27,36636.63,46 MS-DRG,604,"Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc",,,13090.04,61790.26,46 MS-DRG,605,"Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc",,,8729.88,38416.68,46 MS-DRG,606,Minor Skin Disorders With Mcc,,,13412.29,66964.06,46 MS-DRG,607,Minor Skin Disorders Without Mcc,,,8654.61,35946.24,46 MS-DRG,614,Adrenal And Pituitary Procedures With Cc/Mcc,,,18732.92,94775.29,46 MS-DRG,615,Adrenal And Pituitary Procedures Without Cc/Mcc,,,12519.24,59594.31,46 MS-DRG,616,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,28891.22,160741.19,46 MS-DRG,617,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc",,,16212.17,80360.2,46 MS-DRG,618,"Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,12668.21,51779.55,46 MS-DRG,619,O.R. Procedures For Obesity With Mcc,,,24186.85,113390.98,46 MS-DRG,620,O.R. Procedures For Obesity With Cc,,,14095.2,66415.07,46 MS-DRG,621,O.R. Procedures For Obesity Without Cc/Mcc,,,13374.65,60792.1,46 MS-DRG,622,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc",,,29454.17,155712.96,46 MS-DRG,623,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc",,,15613.15,79603.26,46 MS-DRG,624,"Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc",,,11363.54,41718.93,46 MS-DRG,625,"Thyroid, Parathyroid And Thyroglossal Procedures With Mcc",,,25227.3,119234.37,46 MS-DRG,626,"Thyroid, Parathyroid And Thyroglossal Procedures With Cc",,,13304.09,62767.63,46 MS-DRG,627,"Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc",,,11962.56,52686.21,46 MS-DRG,628,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc",,,30768.26,164126.62,46 MS-DRG,629,"Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc",,,18631.0,93581.66,46 MS-DRG,630,"Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc",,,12991.25,58275.91,46 MS-DRG,637,Diabetes With Mcc,,,12812.48,60567.52,46 MS-DRG,638,Diabetes With Cc,,,8574.63,38146.35,46 MS-DRG,639,Diabetes Without Cc/Mcc,,,6418.47,26060.29,46 MS-DRG,640,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc",,,12019.8,55235.68,46 MS-DRG,641,"Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc",,,7649.44,32502.59,46 MS-DRG,642,Inborn And Other Disorders Of Metabolism,,,12698.01,51617.35,46 MS-DRG,643,Endocrine Disorders With Mcc,,,14454.3,68927.11,46 MS-DRG,644,Endocrine Disorders With Cc,,,9584.5,42983.27,46 MS-DRG,645,Endocrine Disorders Without Cc/Mcc,,,7571.82,32398.61,46 MS-DRG,650,Kidney Transplant With Hemodialysis With Mcc,,,38409.71,191605.13,46 MS-DRG,651,Kidney Transplant With Hemodialysis Without Mcc,,,30603.6,144408.8,46 MS-DRG,652,Kidney Transplant,,,26869.12,127731.21,46 MS-DRG,653,Major Bladder Procedures With Mcc,,,42290.81,231830.98,46 MS-DRG,654,Major Bladder Procedures With Cc,,,23496.09,117362.82,46 MS-DRG,655,Major Bladder Procedures Without Cc/Mcc,,,18143.31,86390.75,46 MS-DRG,656,Kidney And Ureter Procedures For Neoplasm With Mcc,,,26510.81,135487.74,46 MS-DRG,657,Kidney And Ureter Procedures For Neoplasm With Cc,,,15896.19,76026.52,46 MS-DRG,658,Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc,,,13714.94,62547.2,46 MS-DRG,659,Kidney And Ureter Procedures For Non-Neoplasm With Mcc,,,21470.08,107476.88,46 MS-DRG,660,Kidney And Ureter Procedures For Non-Neoplasm With Cc,,,11910.81,55726.44,46 MS-DRG,661,Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc,,,9666.05,42696.29,46 MS-DRG,662,Minor Bladder Procedures With Mcc,,,25551.9,129735.85,46 MS-DRG,663,Minor Bladder Procedures With Cc,,,13467.17,63520.41,46 MS-DRG,664,Minor Bladder Procedures Without Cc/Mcc,,,9756.21,44908.88,46 MS-DRG,665,Prostatectomy With Mcc,,,26019.98,142795.11,46 MS-DRG,666,Prostatectomy With Cc,,,15263.46,68507.05,46 MS-DRG,667,Prostatectomy Without Cc/Mcc,,,10221.16,42742.04,46 MS-DRG,668,Transurethral Procedures With Mcc,,,24442.45,121280.6,46 MS-DRG,669,Transurethral Procedures With Cc,,,13716.5,64360.53,46 MS-DRG,670,Transurethral Procedures Without Cc/Mcc,,,9210.51,39743.4,46 MS-DRG,671,Urethral Procedures With Cc/Mcc,,,15621.77,71684.52,46 MS-DRG,672,Urethral Procedures Without Cc/Mcc,,,10011.82,45511.94,46 MS-DRG,673,Other Kidney And Urinary Tract Procedures With Mcc,,,34490.98,174262.1,46 MS-DRG,674,Other Kidney And Urinary Tract Procedures With Cc,,,19883.93,96002.2,46 MS-DRG,675,Other Kidney And Urinary Tract Procedures Without Cc/Mcc,,,14417.45,65096.67,46 MS-DRG,682,Renal Failure With Mcc,,,13159.82,62468.18,46 MS-DRG,683,Renal Failure With Cc,,,8414.68,36969.35,46 MS-DRG,684,Renal Failure Without Cc/Mcc,,,6254.6,25265.93,46 MS-DRG,685,Admit For Renal Dialysis,,,,,0 MS-DRG,686,Kidney And Urinary Tract Neoplasms With Mcc,,,15689.98,78422.1,46 MS-DRG,687,Kidney And Urinary Tract Neoplasms With Cc,,,9763.27,43777.63,46 MS-DRG,688,Kidney And Urinary Tract Neoplasms Without Cc/Mcc,,,7744.31,30119.48,46 MS-DRG,689,Kidney And Urinary Tract Infections With Mcc,,,10645.34,48676.94,46 MS-DRG,690,Kidney And Urinary Tract Infections Without Mcc,,,7894.85,33380.13,46 MS-DRG,691,Urinary Stones W Esw Lithotripsy W Cc/Mcc,,,,,0 MS-DRG,692,Urinary Stones W Esw Lithotripsy W/O Cc/Mcc,,,,,0 MS-DRG,693,Urinary Stones With Mcc,,,12089.58,61149.78,46 MS-DRG,694,Urinary Stones Without Mcc,,,7676.88,32498.43,46 MS-DRG,695,Kidney And Urinary Tract Signs And Symptoms With Mcc,,,10515.97,46901.04,46 MS-DRG,696,Kidney And Urinary Tract Signs And Symptoms Without Mcc,,,6950.06,28767.8,46 MS-DRG,697,Urethral Stricture,,,9998.49,41664.86,46 MS-DRG,698,Other Kidney And Urinary Tract Diagnoses With Mcc,,,14519.38,69908.63,46 MS-DRG,699,Other Kidney And Urinary Tract Diagnoses With Cc,,,9506.1,42413.48,46 MS-DRG,700,Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc,,,6957.12,28867.62,46 MS-DRG,707,Major Male Pelvic Procedures With Cc/Mcc,,,17231.45,80705.4,46 MS-DRG,708,Major Male Pelvic Procedures Without Cc/Mcc,,,13576.94,61653.02,46 MS-DRG,709,Penis Procedures With Cc/Mcc,,,19793.76,93452.73,46 MS-DRG,710,Penis Procedures Without Cc/Mcc,,,12534.14,62439.07,46 MS-DRG,711,Testes Procedures With Cc/Mcc,,,17886.14,79461.85,46 MS-DRG,712,Testes Procedures Without Cc/Mcc,,,10170.2,44484.66,46 MS-DRG,713,Transurethral Prostatectomy With Cc/Mcc,,,13335.45,60134.98,46 MS-DRG,714,Transurethral Prostatectomy Without Cc/Mcc,,,9838.54,39077.96,46 MS-DRG,715,Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc,,,19089.67,93918.54,46 MS-DRG,716,Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc,,,13081.41,59024.53,46 MS-DRG,717,Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc,,,16370.55,77166.09,46 MS-DRG,718,Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc,,,12078.6,51230.56,46 MS-DRG,722,"Malignancy, Male Reproductive System With Mcc",,,15737.03,71900.79,46 MS-DRG,723,"Malignancy, Male Reproductive System With Cc",,,10507.34,46701.41,46 MS-DRG,724,"Malignancy, Male Reproductive System Without Cc/Mcc",,,6688.97,30302.47,46 MS-DRG,725,Benign Prostatic Hypertrophy With Mcc,,,10722.96,52532.33,46 MS-DRG,726,Benign Prostatic Hypertrophy Without Mcc,,,7208.8,30955.44,46 MS-DRG,727,Inflammation Of The Male Reproductive System With Mcc,,,13174.72,61108.19,46 MS-DRG,728,Inflammation Of The Male Reproductive System Without Mcc,,,7908.18,33983.19,46 MS-DRG,729,Other Male Reproductive System Diagnoses With Cc/Mcc,,,9848.73,45782.27,46 MS-DRG,730,Other Male Reproductive System Diagnoses Without Cc/Mcc,,,6816.77,25240.97,46 MS-DRG,734,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc",,,18248.37,87451.29,46 MS-DRG,735,"Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc",,,12097.42,50481.94,46 MS-DRG,736,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc,,,29574.13,163752.31,46 MS-DRG,737,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc,,,17704.24,83109.3,46 MS-DRG,738,Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc,,,13061.81,63083.71,46 MS-DRG,739,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc,,,29639.21,165557.31,46 MS-DRG,740,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc,,,15736.24,75618.94,46 MS-DRG,741,Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc,,,12729.37,57123.87,46 MS-DRG,742,Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc,,,15933.83,75968.29,46 MS-DRG,743,Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc,,,11275.72,49849.77,46 MS-DRG,744,"D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc",,,17614.07,81262.7,46 MS-DRG,745,"D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc",,,10466.57,42621.43,46 MS-DRG,746,"Vagina, Cervix And Vulva Procedures With Cc/Mcc",,,15167.8,69642.46,46 MS-DRG,747,"Vagina, Cervix And Vulva Procedures Without Cc/Mcc",,,8288.45,39722.61,46 MS-DRG,748,Female Reproductive System Reconstructive Procedures,,,12425.16,56653.9,46 MS-DRG,749,Other Female Reproductive System O.R. Procedures With Cc/Mcc,,,21679.42,107651.56,46 MS-DRG,750,Other Female Reproductive System O.R. Procedures Without Cc/Mcc,,,13119.05,53630.31,46 MS-DRG,754,"Malignancy, Female Reproductive System With Mcc",,,15987.93,75244.63,46 MS-DRG,755,"Malignancy, Female Reproductive System With Cc",,,10076.89,46169.06,46 MS-DRG,756,"Malignancy, Female Reproductive System Without Cc/Mcc",,,9078.78,39714.29,46 MS-DRG,757,"Infections, Female Reproductive System With Mcc",,,12774.85,58858.17,46 MS-DRG,758,"Infections, Female Reproductive System With Cc",,,9223.83,42392.69,46 MS-DRG,759,"Infections, Female Reproductive System Without Cc/Mcc",,,6750.91,26613.44,46 MS-DRG,760,Menstrual And Other Female Reproductive System Disorders With Cc/Mcc,,,9447.29,40986.95,46 MS-DRG,761,Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc,,,6020.95,26363.9,46 MS-DRG,765,Cesarean Section W Cc/Mcc,,,,,0 MS-DRG,766,Cesarean Section W/O Cc/Mcc,,,,,0 MS-DRG,767,Vaginal Delivery W Sterilization &/Or D&C,,,,,0 MS-DRG,768,Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C,,,9949.88,45595.12,46 MS-DRG,769,Postpartum And Post Abortion Diagnoses With O.R. Procedures,,,14796.94,57789.31,46 MS-DRG,770,"Abortion With D&C, Aspiration Curettage Or Hysterotomy",,,9409.66,44746.68,46 MS-DRG,774,Vaginal Delivery W Complicating Diagnoses,,,,,0 MS-DRG,775,Vaginal Delivery W/O Complicating Diagnoses,,,,,0 MS-DRG,776,Postpartum And Post Abortion Diagnoses Without O.R. Procedures,,,6681.13,29670.31,46 MS-DRG,777,Ectopic Pregnancy,,,,,0 MS-DRG,778,Threatened Abortion,,,,,0 MS-DRG,779,Abortion Without D&C,,,8144.18,38874.17,46 MS-DRG,780,False Labor,,,,,0 MS-DRG,781,Other Antepartum Diagnoses W Medical Complications,,,,,0 MS-DRG,782,Other Antepartum Diagnoses W/O Medical Complications,,,,,0 MS-DRG,783,Cesarean Section With Sterilization With Mcc,,,20797.36,76608.78,46 MS-DRG,784,Cesarean Section With Sterilization With Cc,,,9859.71,45041.97,46 MS-DRG,785,Cesarean Section With Sterilization Without Cc/Mcc,,,9057.61,36387.09,46 MS-DRG,786,Cesarean Section Without Sterilization With Mcc,,,14480.96,67201.12,46 MS-DRG,787,Cesarean Section Without Sterilization With Cc,,,10304.27,44160.26,46 MS-DRG,788,Cesarean Section Without Sterilization Without Cc/Mcc,,,9065.45,37638.95,46 MS-DRG,789,"Neonates, Died Or Transferred To Another Acute Care Facility",,,15678.22,74974.29,46 MS-DRG,790,"Extreme Immaturity Or Respiratory Distress Syndrome, Neonate",,,48148.53,247252.55,46 MS-DRG,791,Prematurity With Major Problems,,,33372.91,168859.56,46 MS-DRG,792,Prematurity Without Major Problems,,,20751.1,101887.18,46 MS-DRG,793,Full Term Neonate With Major Problems,,,34240.08,173455.25,46 MS-DRG,794,Neonate With Other Significant Problems,,,13119.83,61395.16,46 MS-DRG,795,Normal Newborn,,,3114.43,8309.68,46 MS-DRG,796,Vaginal Delivery With Sterilization And/Or D&C With Mcc,,,10697.87,53093.79,46 MS-DRG,797,Vaginal Delivery With Sterilization And/Or D&C With Cc,,,9391.62,40267.44,46 MS-DRG,798,Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc,,,9052.13,40267.44,46 MS-DRG,799,Splenic Procedures With Mcc,,,37057.21,197739.66,46 MS-DRG,800,Splenic Procedures With Cc,,,23575.28,121176.62,46 MS-DRG,801,Splenic Procedures Without Cc/Mcc,,,16514.82,68278.3,46 MS-DRG,802,Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc,,,32785.65,149083.51,46 MS-DRG,803,Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc,,,16122.79,74026.04,46 MS-DRG,804,Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc,,,12179.74,45977.75,46 MS-DRG,805,Vaginal Delivery Without Sterilization Or D&C With Mcc,,,10009.46,41502.66,46 MS-DRG,806,Vaginal Delivery Without Sterilization Or D&C With Cc,,,7459.7,30090.37,46 MS-DRG,807,Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc,,,6834.02,26501.15,46 MS-DRG,808,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders ,,,18859.16,95257.74,46 MS-DRG,809,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders ,,,11473.31,51509.22,46 MS-DRG,810,Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders ,,,9753.86,39581.2,46 MS-DRG,811,Red Blood Cell Disorders With Mcc,,,12558.45,58508.81,46 MS-DRG,812,Red Blood Cell Disorders Without Mcc,,,8747.13,38383.41,46 MS-DRG,813,Coagulation Disorders,,,13507.16,64377.16,46 MS-DRG,814,Reticuloendothelial And Immunity Disorders With Mcc,,,18222.5,86935.58,46 MS-DRG,815,Reticuloendothelial And Immunity Disorders With Cc,,,9498.26,42259.6,46 MS-DRG,816,Reticuloendothelial And Immunity Disorders Without Cc/Mcc,,,6503.14,27424.45,46 MS-DRG,817,Other Antepartum Diagnoses With O.R. Procedures With Mcc,,,19437.01,105434.81,46 MS-DRG,818,Other Antepartum Diagnoses With O.R. Procedures With Cc,,,10636.71,53567.92,46 MS-DRG,819,Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc,,,8290.02,33958.24,46 MS-DRG,820,Lymphoma And Leukemia With Major O.R. Procedures With Mcc,,,47531.48,242132.82,46 MS-DRG,821,Lymphoma And Leukemia With Major O.R. Procedures With Cc,,,19099.86,92837.2,46 MS-DRG,822,Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc,,,10987.97,47562.32,46 MS-DRG,823,Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc,,,37495.5,194607.93,46 MS-DRG,824,Lymphoma And Non-Acute Leukemia With Other Procedures With Cc,,,19311.56,91468.89,46 MS-DRG,825,Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc,,,12128.0,51184.81,46 MS-DRG,826,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc,,,38224.67,198600.57,46 MS-DRG,827,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc,,,19669.09,98139.92,46 MS-DRG,828,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C,,,14906.71,66660.45,46 MS-DRG,829,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc,,,26324.2,128246.92,46 MS-DRG,830,Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc,,,13347.99,60821.22,46 MS-DRG,831,Other Antepartum Diagnoses Without O.R. Procedures With Mcc,,,10976.21,47865.93,46 MS-DRG,832,Other Antepartum Diagnoses Without O.R. Procedures With Cc,,,7205.66,31080.21,46 MS-DRG,833,Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc,,,5647.73,21618.48,46 MS-DRG,834,Acute Leukemia With Mcc,,,44592.03,229863.77,46 MS-DRG,835,Acute Leukemia With Cc,,,17901.82,88827.92,46 MS-DRG,836,Acute Leukemia Without Cc/Mcc,,,11109.5,52848.41,46 MS-DRG,837,Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc,,,39216.51,208232.81,46 MS-DRG,838,Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent,,,17914.36,84348.68,46 MS-DRG,839,Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,12868.93,56990.78,46 MS-DRG,840,Lymphoma And Non-Acute Leukemia With Mcc,,,26911.46,132647.15,46 MS-DRG,841,Lymphoma And Non-Acute Leukemia With Cc,,,14339.05,65208.96,46 MS-DRG,842,Lymphoma And Non-Acute Leukemia Without Cc/Mcc,,,9470.03,43744.36,46 MS-DRG,843,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc,,,17188.32,78734.03,46 MS-DRG,844,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc,,,11093.04,49704.21,46 MS-DRG,845,Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc,,,8224.94,34798.35,46 MS-DRG,846,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc,,,21874.66,106204.22,46 MS-DRG,847,Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc,,,11804.96,52844.25,46 MS-DRG,848,Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc,,,8207.69,34058.05,46 MS-DRG,849,Radiotherapy,,,22792.01,111082.73,46 MS-DRG,850,Acute Leukemia With Other Procedures,,,69443.62,383097.97,46 MS-DRG,853,Infectious And Parasitic Diseases With O.R. Procedures With Mcc,,,40269.51,208012.39,46 MS-DRG,854,Infectious And Parasitic Diseases With O.R. Procedures With Cc,,,17214.2,83105.14,46 MS-DRG,855,Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc,,,13286.84,67604.55,46 MS-DRG,856,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc,,,37212.45,187624.97,46 MS-DRG,857,Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc,,,18338.54,90620.45,46 MS-DRG,858,Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc,,,12469.06,53584.56,46 MS-DRG,862,Postoperative And Post-Traumatic Infections With Mcc,,,15846.8,76467.37,46 MS-DRG,863,Postoperative And Post-Traumatic Infections Without Mcc,,,9372.02,41585.84,46 MS-DRG,864,Fever And Inflammatory Conditions,,,8507.99,37343.66,46 MS-DRG,865,Viral Illness With Mcc,,,13295.46,61382.68,46 MS-DRG,866,Viral Illness Without Mcc,,,8366.07,36794.67,46 MS-DRG,867,Other Infectious And Parasitic Diseases Diagnoses With Mcc,,,17959.84,89177.28,46 MS-DRG,868,Other Infectious And Parasitic Diseases Diagnoses With Cc,,,9632.33,43669.5,46 MS-DRG,869,Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc,,,7269.17,29924.01,46 MS-DRG,870,Septicemia Or Severe Sepsis With Mv >96 Hours,,,55740.59,289320.84,46 MS-DRG,871,Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc,,,16778.26,81612.06,46 MS-DRG,872,Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc,,,9571.17,42879.29,46 MS-DRG,876,O.R. Procedures With Principal Diagnosis Of Mental Illness,,,31851.04,163423.75,46 MS-DRG,880,Acute Adjustment Reaction And Psychosocial Dysfunction,,,9076.43,39868.17,46 MS-DRG,881,Depressive Neuroses,,,8925.11,38017.42,46 MS-DRG,882,Neuroses Except Depressive,,,9967.12,40005.42,46 MS-DRG,883,Disorders Of Personality And Impulse Control,,,16964.87,77207.68,46 MS-DRG,884,Organic Disturbances And Intellectual Disability,,,14162.63,69459.46,46 MS-DRG,885,Psychoses,,,12499.64,58621.11,46 MS-DRG,886,Behavioral And Developmental Disorders,,,17819.49,74712.28,46 MS-DRG,887,Other Mental Disorder Diagnoses,,,9944.39,49462.99,46 MS-DRG,894,"Alcohol, Drug Abuse Or Dependence, Left Ama",,,6384.75,25956.32,46 MS-DRG,895,"Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy",,,12647.04,60218.16,46 MS-DRG,896,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc",,,15230.52,74063.47,46 MS-DRG,897,"Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc",,,8469.57,36690.7,46 MS-DRG,901,Wound Debridements For Injuries With Mcc,,,34451.77,184252.02,46 MS-DRG,902,Wound Debridements For Injuries With Cc,,,16558.72,78912.87,46 MS-DRG,903,Wound Debridements For Injuries Without Cc/Mcc,,,10718.25,50698.21,46 MS-DRG,904,Skin Grafts For Injuries With Cc/Mcc,,,30347.22,160574.83,46 MS-DRG,905,Skin Grafts For Injuries Without Cc/Mcc,,,13178.64,68544.48,46 MS-DRG,906,Hand Procedures For Injuries,,,16949.19,90766.02,46 MS-DRG,907,Other O.R. Procedures For Injuries With Mcc,,,31650.33,165673.77,46 MS-DRG,908,Other O.R. Procedures For Injuries With Cc,,,17191.46,83887.03,46 MS-DRG,909,Other O.R. Procedures For Injuries Without Cc/Mcc,,,11840.25,52744.44,46 MS-DRG,913,Traumatic Injury With Mcc,,,14364.14,67300.94,46 MS-DRG,914,Traumatic Injury Without Mcc,,,8490.74,38108.92,46 MS-DRG,915,Allergic Reactions With Mcc,,,14732.65,72275.1,46 MS-DRG,916,Allergic Reactions Without Mcc,,,6772.08,27615.76,46 MS-DRG,917,Poisoning And Toxic Effects Of Drugs With Mcc,,,13845.09,68190.96,46 MS-DRG,918,Poisoning And Toxic Effects Of Drugs Without Mcc,,,8268.06,36782.2,46 MS-DRG,919,Complications Of Treatment With Mcc,,,15902.46,75835.21,46 MS-DRG,920,Complications Of Treatment With Cc,,,9406.52,42247.12,46 MS-DRG,921,Complications Of Treatment Without Cc/Mcc,,,6945.35,28597.28,46 MS-DRG,922,"Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc",,,15264.24,70253.83,46 MS-DRG,923,"Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc",,,9527.27,42413.48,46 MS-DRG,927,Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft,,,168948.78,986631.25,46 MS-DRG,928,Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc,,,57786.21,277758.82,46 MS-DRG,929,Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc,,,26800.91,132264.52,46 MS-DRG,933,Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft,,,32080.77,179947.45,46 MS-DRG,934,Full Thickness Burn Without Skin Graft Or Inhalation Injury,,,18880.33,89239.66,46 MS-DRG,935,Non-Extensive Burns,,,17699.53,91344.12,46 MS-DRG,939,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc,,,29997.53,131998.34,46 MS-DRG,940,O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc,,,19870.6,87808.97,46 MS-DRG,941,O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc,,,17446.28,81275.18,46 MS-DRG,945,Rehabilitation With Cc/Mcc,,,13689.85,63482.98,46 MS-DRG,946,Rehabilitation Without Cc/Mcc,,,10539.49,46431.08,46 MS-DRG,947,Signs And Symptoms With Mcc,,,11500.75,53488.9,46 MS-DRG,948,Signs And Symptoms Without Mcc,,,7824.29,33043.26,46 MS-DRG,949,Aftercare With Cc/Mcc,,,10875.85,44871.45,46 MS-DRG,950,Aftercare Without Cc/Mcc,,,6469.43,24375.9,46 MS-DRG,951,Other Factors Influencing Health Status,,,5907.26,23577.37,46 MS-DRG,955,Craniotomy For Multiple Significant Trauma,,,54323.79,283972.36,46 MS-DRG,956,"Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma",,,31052.09,158965.3,46 MS-DRG,957,Other O.R. Procedures For Multiple Significant Trauma With Mcc,,,61292.53,310415.28,46 MS-DRG,958,Other O.R. Procedures For Multiple Significant Trauma With Cc,,,34587.42,170914.11,46 MS-DRG,959,Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc,,,24631.41,109951.48,46 MS-DRG,963,Other Multiple Significant Trauma With Mcc,,,22982.53,112983.39,46 MS-DRG,964,Other Multiple Significant Trauma With Cc,,,13564.4,62393.32,46 MS-DRG,965,Other Multiple Significant Trauma Without Cc/Mcc,,,8921.97,37950.88,46 MS-DRG,969,Hiv With Extensive O.R. Procedures With Mcc,,,49542.59,263011.0,46 MS-DRG,970,Hiv With Extensive O.R. Procedures Without Mcc,,,22226.7,110346.59,46 MS-DRG,974,Hiv With Major Related Condition With Mcc,,,24175.87,124187.74,46 MS-DRG,975,Hiv With Major Related Condition With Cc,,,11701.47,59111.87,46 MS-DRG,976,Hiv With Major Related Condition Without Cc/Mcc,,,8625.6,41710.61,46 MS-DRG,977,Hiv With Or Without Other Related Condition,,,11722.64,59964.46,46 MS-DRG,981,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,38334.44,197731.34,46 MS-DRG,982,Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,20824.01,101833.12,46 MS-DRG,983,Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,14986.68,69376.28,46 MS-DRG,984,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc,,,,,0 MS-DRG,985,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc,,,,,0 MS-DRG,986,Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc,,,,,0 MS-DRG,987,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc,,,28428.62,145689.77,46 MS-DRG,988,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc,,,14434.7,71368.44,46 MS-DRG,989,Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc,,,10950.34,48053.09,46 MS-DRG,998,Principal Diagnosis Invalid As Discharge Diagnosis,,,,,0 MS-DRG,999,Ungroupable,,,,,0 NDC,00002021301,HUMULIN R 100 UNIT/ML IJ SOLN,3.86,3.86,,,0 NDC,00002766901,CYRAMZA 100 MG/10ML IV SOLN,6735.55,6735.55,,,0 NDC,00002767801,CYRAMZA 500 MG/50ML IV SOLN,41805.86,41805.86,,,0 NDC,00002773701,INSULIN LISPRO 100 UNIT/ML IJ SOLN,15.99,15.99,,,0 NDC,00002821501,HUMULIN R 100 UNIT/ML IJ SOLN,3.95,3.95,,,0 NDC,00002871501,HUMULIN 70/30 (70-30) 100 UNIT/ML SC SUSP,79.7,79.7,,,0 NDC,00003029305,KENALOG-40 40 MG/ML IJ SUSP,28.41,28.41,,,0 NDC,00003029320,KENALOG-40 40 MG/ML IJ SUSP,250.79,250.79,,,0 NDC,00003029328,KENALOG-40 40 MG/ML IJ SUSP,120.41,120.41,,,0 NDC,00003031505,KENALOG-80 80 MG/ML IJ SUSP,334.06,334.06,,,0 NDC,00003049420,KENALOG-10 10 MG/ML IJ SUSP,113.17,113.17,,,0 NDC,00003232711,YERVOY 50 MG/10ML IV SOLN,15133.68,15133.68,,,0 NDC,00003232822,YERVOY 200 MG/40ML IV SOLN,60994.4,60994.4,,,0 NDC,00003373413,OPDIVO 240 MG/24ML IV SOLN,9816.73,9816.73,,,0 NDC,00003375614,OPDIVO 120 MG/12ML IV SOLN,21052.07,21052.07,,,0 NDC,00003377211,OPDIVO 40 MG/4ML IV SOLN,9816.79,9816.79,,,0 NDC,00003377412,OPDIVO 100 MG/10ML IV SOLN,35788.56,35788.56,,,0 NDC,00003712511,OPDUALAG 240-80 MG/20ML IV SOLN,148187.16,148187.16,,,0 NDC,00005200002,PREVNAR 20 0.5 ML IM SUSY,2348.57,2348.57,,,0 NDC,00005200010,PREVNAR 20 0.5 ML IM SUSY,2272.7,2272.7,,,0 NDC,00006302500,ZINPLAVA 1000 MG/40ML IV SOLN,11334.91,11334.91,,,0 NDC,00006302602,KEYTRUDA 100 MG/4ML IV SOLN,57803.64,57803.64,,,0 NDC,00006302604,KEYTRUDA 100 MG/4ML IV SOLN,57425.78,57425.78,,,0 NDC,00006409402,RECOMBIVAX HB 10 MCG/ML IJ SUSY,479.24,479.24,,,0 NDC,00006409602,VAQTA 50 UNIT/ML IM SUSP,600.08,600.08,,,0 NDC,00006411903,GARDASIL 9 0.5 ML IM SUSP,2056.88,2056.88,,,0 NDC,00006412102,GARDASIL 9 0.5 ML IM SUSY,2930.69,2930.69,,,0 NDC,00006483703,PNEUMOVAX 23 25 MCG/0.5ML IJ SOSY,1121.57,1121.57,,,0 NDC,00006499541,RECOMBIVAX HB 10 MCG/ML IJ SUSP,742.9,742.9,,,0 NDC,00008092355,PROTONIX 40 MG IV SOLR,130.3,130.3,,,0 NDC,00008400110,PROTONIX 40 MG IV SOLR,119.68,119.68,,,0 NDC,00009008202,CAMPTOSAR 300 MG/15ML IV SOLN,743.8,743.8,,,0 NDC,00009028002,DEPO-MEDROL 40 MG/ML IJ SUSP,126.93,126.93,,,0 NDC,00009028003,DEPO-MEDROL 40 MG/ML IJ SUSP,137.16,137.16,,,0 NDC,00009030602,DEPO-MEDROL 80 MG/ML IJ SUSP,185.32,185.32,,,0 NDC,00009077526,CLEOCIN PHOSPHATE 600 MG/4ML IJ SOLN,111.94,111.94,,,0 NDC,00009087026,CLEOCIN PHOSPHATE 300 MG/2ML IJ SOLN,201.98,201.98,,,0 NDC,00009090218,CLEOCIN PHOSPHATE 900 MG/6ML IJ SOLN,88.43,88.43,,,0 NDC,00009307301,DEPO-MEDROL 40 MG/ML IJ SUSP,63.04,63.04,,,0 NDC,00009307303,DEPO-MEDROL 40 MG/ML IJ SUSP,121.4,121.4,,,0 NDC,00009347503,DEPO-MEDROL 80 MG/ML IJ SUSP,141.06,141.06,,,0 NDC,00009379401,CORVERT 1 MG/10ML IV SOLN,1637.35,1637.35,,,0 NDC,00009514004,ZYVOX 600 MG/300ML IV SOLN,149.04,149.04,,,0 NDC,00009780702,ZYVOX 600 MG/300ML IV SOLN,149.04,149.04,,,0 NDC,00013830304,XALATAN 0.005 % OP SOLN,1242.03,1242.03,,,0 NDC,00019086250,CYSTO-CONRAY II 17.2 % UR SOLN,94.75,94.75,,,0 NDC,00023031204,REFRESH LACRI-LUBE OP OINT,304.73,304.73,,,0 NDC,00023079815,REFRESH TEARS 0.5 % OP SOLN,261.61,261.61,,,0 NDC,00023608210,INFED 50 MG/ML IJ SOLN,246.11,246.11,,,0 NDC,00023932105,ALPHAGAN P 0.1 % OP SOLN,2117.59,2117.59,,,0 NDC,00024065401,SARCLISA 100 MG/5ML IV SOLN,12751.47,12751.47,,,0 NDC,00024065601,SARCLISA 500 MG/25ML IV SOLN,21405.18,21405.18,,,0 NDC,00024279210,FERRLECIT 12.5 MG/ML IV SOLN,206.92,206.92,,,0 NDC,00024279410,FERRLECIT 12.5 MG/ML IV SOLN,206.92,206.92,,,0 NDC,00024582411,JEVTANA 60 MG/1.5ML IV SOLN,20844.8,20844.8,,,0 NDC,00024591401,DUPIXENT 300 MG/2ML SC SOSY,18105.14,18105.14,,,0 NDC,00037682210,PROCTOFOAM HC 1-1 % EX FOAM,2111.15,2111.15,,,0 NDC,00046087221,PREMARIN 0.625 MG/GM VA CREA,2169.49,2169.49,,,0 NDC,00049001483,UNASYN 3 (2-1) G IJ SOLR,116.36,116.36,,,0 NDC,00054004544,IPRATROPIUM BROMIDE 0.03 % NA SOLN,304.1,304.1,,,0 NDC,00054004641,IPRATROPIUM BROMIDE 0.06 % NA SOLN,259.05,259.05,,,0 NDC,00054006258,CITALOPRAM HYDROBROMIDE 10 MG/5ML PO SOLN,15.94,15.94,,,0 NDC,00054039168,METHADONE HCL 10 MG/ML PO CONC UNIT DOSE,3.91,3.91,,,0 NDC,00054051744,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN,10.28,10.28,,,0 NDC,00054074287,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,82.79,82.79,,,0 NDC,00054317644,DEXAMETHASONE INTENSOL 1 MG/ML PO CONC,59.73,59.73,,,0 NDC,00054319446,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5ML PO LIQD UNIT DOSE,71.9,71.9,,,0 NDC,00054327099,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP,288.33,288.33,,,0 NDC,00054350049,LIDOCAINE VISCOUS HCL 2 % MT SOLN,27.68,27.68,,,0 NDC,00054353244,LORAZEPAM INTENSOL 2 MG/ML PO CONC,5.52,5.52,,,0 NDC,00054355344,METHADONE HCL INTENSOL 10 MG/ML PO CONC,19.38,19.38,,,0 NDC,00054356699,MIDAZOLAM HCL 2 MG/ML PO SYRP UNIT DOSE,75.61,75.61,,,0 NDC,00065035902,CYCLOMYDRIL 0.2-1 % OP SOLN,598.11,598.11,,,0 NDC,00065039605,CYCLOGYL 1 % OP SOLN,656.55,656.55,,,0 NDC,00065041130,BETADINE OPHTHALMIC PREP 5 % OP SOLN,188.55,188.55,,,0 NDC,00065042636,GENTEAL TEARS 0.1-0.2-0.3 % OP SOLN,206.32,206.32,,,0 NDC,00065051801,GENTEAL TEARS NIGHT-TIME OP OINT,223.26,223.26,,,0 NDC,00065053001,EYE STREAM OP SOLN,339.62,339.62,,,0 NDC,00065074114,TETRACAINE HCL 0.5 % OP SOLN,224.17,224.17,,,0 NDC,00065079515,BSS IO SOLN,41.89,41.89,,,0 NDC,00065079550,BSS IO SOLN,19.86,19.86,,,0 NDC,00065080050,BSS PLUS IO SOLN,96.76,96.76,,,0 NDC,00065080094,BSS PLUS IO SOLN,7.94,7.94,,,0 NDC,00065179504,BSS IO SOLN,205.15,205.15,,,0 NDC,00067815203,VOLTAREN ARTHRITIS PAIN 1 % EX GEL,14.44,14.44,,,0 NDC,00069020910,PROPOFOL 200 MG/20ML IV EMUL,4.68,4.68,,,0 NDC,00069023801,RUXIENCE 100 MG/10ML IV SOLN,3776.72,3776.72,,,0 NDC,00069024810,PROPOFOL 1000 MG/100ML IV EMUL,5.04,5.04,,,0 NDC,00069024901,RUXIENCE 500 MG/50ML IV SOLN,26612.39,26612.39,,,0 NDC,00069032401,NYVEPRIA 6 MG/0.6ML SC SOSY,17233.27,17233.27,,,0 NDC,00069130510,RETACRIT 2000 UNIT/ML IJ SOLN,355.93,355.93,,,0 NDC,00069130610,RETACRIT 3000 UNIT/ML IJ SOLN,534.05,534.05,,,0 NDC,00069130710,RETACRIT 4000 UNIT/ML IJ SOLN,263.71,263.71,,,0 NDC,00069130810,RETACRIT 10000 UNIT/ML IJ SOLN,885.07,885.07,,,0 NDC,00069130904,RETACRIT 40000 UNIT/ML IJ SOLN,1767.54,1767.54,,,0 NDC,00069131110,RETACRIT 20000 UNIT/ML IJ SOLN,1326.79,1326.79,,,0 NDC,00069154220,DOXORUBICIN HCL 2 MG/ML IV SOLN,547.45,547.45,,,0 NDC,00069315083,ZITHROMAX 500 MG IV SOLR,77.46,77.46,,,0 NDC,00069600121,CEREBYX 500 MG PE/10ML IJ SOLN,368.36,368.36,,,0 NDC,00074736201,CARBAMIDE PEROXIDE 6.5 % OT SOLN,135.67,135.67,,,0 NDC,00075062040,LOVENOX 40 MG/0.4ML IJ SOSY,109.38,109.38,,,0 NDC,00075062160,LOVENOX 60 MG/0.6ML IJ SOSY,59.36,59.36,,,0 NDC,00075062280,LOVENOX 80 MG/0.8ML IJ SOSY,151.46,151.46,,,0 NDC,00075062300,LOVENOX 100 MG/ML IJ SOSY,60.37,60.37,,,0 NDC,00075062430,LOVENOX 30 MG/0.3ML IJ SOSY,140.85,140.85,,,0 NDC,00075801310,LOVENOX 30 MG/0.3ML IJ SOSY,140.85,140.85,,,0 NDC,00075801410,LOVENOX 40 MG/0.4ML IJ SOSY,109.38,109.38,,,0 NDC,00075801610,LOVENOX 60 MG/0.6ML IJ SOSY,59.39,59.39,,,0 NDC,00075801810,LOVENOX 80 MG/0.8ML IJ SOSY,57.27,57.27,,,0 NDC,00075802010,LOVENOX 100 MG/ML IJ SOSY,60.37,60.37,,,0 NDC,00075802210,LOVENOX 120 MG/0.8ML IJ SOSY,240.79,240.79,,,0 NDC,00078050883,TEGRETOL 100 MG/5ML PO SUSP,96.04,96.04,,,0 NDC,00078087601,TOBRADEX 0.3-0.1 % OP OINT,1403.32,1403.32,,,0 NDC,00078100060,LEQVIO 284 MG/1.5ML SC SOSY,35791.81,35791.81,,,0 NDC,00078100768,KESIMPTA 20 MG/0.4ML SC SOAJ,83703.13,83703.13,,,0 NDC,00078116861,COSENTYX 125 MG/5ML IV SOLN,22384.65,22384.65,,,0 NDC,00093354143,ESTRADIOL 0.1 MG/GM VA CREA,253.64,253.64,,,0 NDC,00093414856,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU,68.03,68.03,,,0 NDC,00093417773,CEPHALEXIN 250 MG/5ML PO SUSR,23.09,23.09,,,0 NDC,00093681573,BUDESONIDE 0.25 MG/2ML IN SUSP,234.95,234.95,,,0 NDC,00093681673,BUDESONIDE 0.5 MG/2ML IN SUSP,77.8,77.8,,,0 NDC,00093818064,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR BULK,72.1,72.1,,,0 NDC,00116400541,LACTULOSE 20 GM/30ML PO SOLN,19.79,19.79,,,0 NDC,00121043130,MILK OF MAGNESIA 7.75 % PO SUSP,11.79,11.79,,,0 NDC,00121048900,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX,52.59,52.59,,,0 NDC,00121053005,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN,41.55,41.55,,,0 NDC,00121058115,HALOPERIDOL LACTATE 2 MG/ML PO CONC UNIT DOSE,26.49,26.49,,,0 NDC,00121063800,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP UNIT DOSE,28.38,28.38,,,0 NDC,00121064610,AMANTADINE HCL 50 MG/5ML PO SOLN UNIT DOSE,69.89,69.89,,,0 NDC,00121075908,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN UNIT DOSE,60.15,60.15,,,0 NDC,00121076616,CALCIUM CARBONATE ANTACID 1250 MG/5ML (500 MG/5ML ELEMENTAL) PO SUSP UNIT DOSE,4.34,4.34,,,0 NDC,00121077001,LORAZEPAM 2 MG/ML PO CONC UNIT DOSE,10.34,10.34,,,0 NDC,00121077516,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN UNIT DOSE,15.39,15.39,,,0 NDC,00121085340,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP UNIT DOSE,90.68,90.68,,,0 NDC,00121086850,NYSTATIN 100000 UNIT/ML MT SUSP BULK,33.68,33.68,,,0 NDC,00121087316,LACTULOSE 10 GM/15ML PO SOLN,21.43,21.43,,,0 NDC,00121090594,DIAZEPAM 5 MG/5ML PO SOLN,98.49,98.49,,,0 NDC,00121091400,IBUPROFEN CHILDRENS 100 MG/5ML PO SUSP,42.78,42.78,,,0 NDC,00121094000,MILK OF MAGNESIA CONCENTRATE 2400 MG/10ML PO SUSP,38.34,38.34,,,0 NDC,00121094500,MEGESTROL ACETATE 400 MG/10ML PO SUSP,17.31,17.31,,,0 NDC,00121097440,SUCRALFATE 1 GM/10ML PO SUSP UNIT DOSE,101.66,101.66,,,0 NDC,00121097800,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX,77.1,77.1,,,0 NDC,00121115400,LACTULOSE 10 GM/15ML PO SOLN,19.21,19.21,,,0 NDC,00121119000,SODIUM CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN UNIT DOSE,88.96,88.96,,,0 NDC,00121127600,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP UNIT DOSE,24.97,24.97,,,0 NDC,00121135000,VALPROIC ACID 250 MG/5ML PO SOLN UNIT DOSE,43.42,43.42,,,0 NDC,00121148800,GUAIFENESIN 100 MG/5ML PO LIQUID UNIT DOSE,21.36,21.36,,,0 NDC,00121155040,GUAIFENESIN-CODEINE 200-20 MG/10ML PO SOLN,77.1,77.1,,,0 NDC,00121174400,GUAIFENESIN 100 MG/5ML PO LIQUID UNIT DOSE,29.86,29.86,,,0 NDC,00121176130,MAG-AL PLUS 200-200-20 MG/5ML PO LIQD,18.96,18.96,,,0 NDC,00121176230,MAG-AL PLUS XS 400-400-40 MG/5ML PO LIQD,26.93,26.93,,,0 NDC,00121177540,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN UNIT DOSE,61.32,61.32,,,0 NDC,00121187000,DOCUSATE SODIUM 100 MG/10ML PO LIQD,10.22,10.22,,,0 NDC,00121231650,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN UNIT DOSE,58.67,58.67,,,0 NDC,00121467500,VALPROIC ACID 250 MG/5ML PO SOLN UNIT DOSE,25.95,25.95,,,0 NDC,00121479950,LEVETIRACETAM 100 MG/ML PO SOLN UNIT DOSE,40.56,40.56,,,0 NDC,00121482740,OXYCODONE HCL 5 MG/5ML PO SOLN UNIT DOSE,89.49,89.49,,,0 NDC,00121482750,OXYCODONE HCL 5 MG/5ML PO SOLN UNIT DOSE,84.19,84.19,,,0 NDC,00121495040,LIDOCAINE VISCOUS HCL 2 % MT SOLN,82.1,82.1,,,0 NDC,00132020140,FLEET ENEMA RE ENEM,45.5,45.5,,,0 NDC,00132020220,FLEET PEDIATRIC RECTAL ENEMA,58.06,58.06,,,0 NDC,00132030140,FLEET OIL RE ENEM,84.5,84.5,,,0 NDC,00143902202,FULVESTRANT 250 MG/5ML IM SOSY,1397.3,1397.3,,,0 NDC,00143913925,CEFAZOLIN SODIUM 2 G IV SOLR,159.01,159.01,,,0 NDC,00143915610,FUROSEMIDE 10 MG/ML IJ SOLN,43.72,43.72,,,0 NDC,00143916210,VANCOMYCIN HCL 1 G IV SOLR,34.27,34.27,,,0 NDC,00143918025,CALCIUM GLUCONATE 10 % IV SOLN,178.6,178.6,,,0 NDC,00143920910,CHLOROPROCAINE HCL (PF) 2 % IJ SOLN,118.49,118.49,,,0 NDC,00143921010,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN,53.51,53.51,,,0 NDC,00143928410,PANTOPRAZOLE SODIUM 40 MG IV SOLR,89.58,89.58,,,0 NDC,00143932001,LABETALOL HCL 5 MG/ML IV SOLN,2.69,2.69,,,0 NDC,00143932910,BUPIVACAINE HCL 0.5 % IJ SOLN,5.07,5.07,,,0 NDC,00143933010,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,38.12,38.12,,,0 NDC,00143933110,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,29.9,29.9,,,0 NDC,00143937910,MIDAZOLAM-SODIUM CHLORIDE 50-0.9 MG/50ML-% IV SOLN,222.4,222.4,,,0 NDC,00143938610,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,109.71,109.71,,,0 NDC,00143939810,ERTAPENEM SODIUM 1 G IJ SOLR,435.64,435.64,,,0 NDC,00143950301,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,534.42,534.42,,,0 NDC,00143950501,CISPLATIN 100 MG/100ML IV SOLN,18.97,18.97,,,0 NDC,00143951001,ETOPOSIDE 100 MG/5ML IV SOLN,325.09,325.09,,,0 NDC,00143951101,ETOPOSIDE 500 MG/25ML IV SOLN,80.59,80.59,,,0 NDC,00143951201,ETOPOSIDE 1 GM/50ML IV SOLN,440.41,440.41,,,0 NDC,00143951425,DROPERIDOL 2.5 MG/ML IJ SOLN,72.58,72.58,,,0 NDC,00143951525,DROPERIDOL 2.5 MG/ML IJ SOLN,77.92,77.92,,,0 NDC,00143951910,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN,11.17,11.17,,,0 NDC,00143952901,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN,153.99,153.99,,,0 NDC,00143954210,NICARDIPINE HCL 2.5 MG/ML IV SOLN,263.57,263.57,,,0 NDC,00143955201,LEUCOVORIN CALCIUM 350 MG IJ SOLR,280.99,280.99,,,0 NDC,00143955301,LEUCOVORIN CALCIUM 200 MG IJ SOLR,755.78,755.78,,,0 NDC,00143955401,LEUCOVORIN CALCIUM 100 MG IJ SOLR,373.18,373.18,,,0 NDC,00143957010,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,462.53,462.53,,,0 NDC,00143957710,LIDOCAINE HCL 1 % IJ SOLN,2.71,2.71,,,0 NDC,00143959425,LIDOCAINE HCL (PF) 2 % IJ SOLN,14.34,14.34,,,0 NDC,00143959525,LIDOCAINE HCL (PF) 1 % IJ SOLN,2.8,2.8,,,0 NDC,00143960601,AZACITIDINE 100 MG IJ SUSR,1410.16,1410.16,,,0 NDC,00143962125,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,106.46,106.46,,,0 NDC,00143962201,LABETALOL HCL 5 MG/ML IV SOLN,3.37,3.37,,,0 NDC,00143962301,LABETALOL HCL 5 MG/ML IV SOLN,121.38,121.38,,,0 NDC,00143963310,NICARDIPINE HCL IN NACL 40-0.9 MG/200ML-% IV SOLN,6.46,6.46,,,0 NDC,00143963410,NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% IV SOLN,354.64,354.64,,,0 NDC,00143965901,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,185.83,185.83,,,0 NDC,00143967325,LEVETIRACETAM 500 MG/5ML IV SOLN,39.78,39.78,,,0 NDC,00143968910,NICARDIPINE HCL 2.5 MG/ML IV SOLN,6.39,6.39,,,0 NDC,00143970101,IRINOTECAN HCL 100 MG/5ML IV SOLN,195.2,195.2,,,0 NDC,00143970201,IRINOTECAN HCL 40 MG/2ML IV SOLN,159.1,159.1,,,0 NDC,00143971910,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,175.56,175.56,,,0 NDC,00143972024,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,93.76,93.76,,,0 NDC,00143972124,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,88.55,88.55,,,0 NDC,00143972224,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,72.93,72.93,,,0 NDC,00143972401,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN,44.69,44.69,,,0 NDC,00143974610,TERBUTALINE SULFATE 1 MG/ML IJ SOLN,25.99,25.99,,,0 NDC,00143985725,CEFTRIAXONE SODIUM 1 G IJ SOLR,73.15,73.15,,,0 NDC,00143987101,CLADRIBINE 10 MG/10ML IV SOLN,7842.08,7842.08,,,0 NDC,00143987510,AMIODARONE HCL 150 MG/3ML IV SOLN,106.88,106.88,,,0 NDC,00143987525,AMIODARONE HCL 150 MG/3ML IV SOLN,60.06,60.06,,,0 NDC,00143988980,AMOXICILLIN 250 MG/5ML PO SUSR,18.85,18.85,,,0 NDC,00168002031,HYDROCORTISONE 1 % EX OINT,158.68,158.68,,,0 NDC,00168005546,BETAMETHASONE DIPROPIONATE 0.05 % EX CREA,778.82,778.82,,,0 NDC,00168009915,KETOCONAZOLE 2 % EX CREA,220.65,220.65,,,0 NDC,00168016315,CLOBETASOL PROPIONATE 0.05 % EX CREA,274.99,274.99,,,0 NDC,00168025815,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA,287.2,287.2,,,0 NDC,00168032346,METRONIDAZOLE 0.75 % EX CREA,722.53,722.53,,,0 NDC,00168035755,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA,236.69,236.69,,,0 NDC,00172731320,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN UNIT DOSE,42.97,42.97,,,0 NDC,00173068224,VENTOLIN HFA 108 (90 BASE) MCG/ACT IN AERS,383.44,383.44,,,0 NDC,00173086906,ANORO ELLIPTA 62.5-25 MCG/ACT IN AEPB,728.6,728.6,,,0 NDC,00173086910,ANORO ELLIPTA 62.5-25 MCG/ACT IN AEPB,1647.9,1647.9,,,0 NDC,00173087306,INCRUSE ELLIPTA 62.5 MCG/ACT IN AEPB,168.36,168.36,,,0 NDC,00173087414,ARNUITY ELLIPTA 100 MCG/ACT IN AEPB,756.97,756.97,,,0 NDC,00173088714,TRELEGY ELLIPTA 100-62.5-25 MCG/ACT IN AEPB,1818.32,1818.32,,,0 NDC,00173089242,NUCALA 100 MG/ML SC SOSY,38272.44,38272.44,,,0 NDC,00173089314,TRELEGY ELLIPTA 200-62.5-25 MCG/ACT IN AEPB,1788.95,1788.95,,,0 NDC,00173089803,JEMPERLI 500 MG/10ML IV SOLN,56374.31,56374.31,,,0 NDC,00186037020,SYMBICORT 160-4.5 MCG/ACT IN AERO,1099.3,1099.3,,,0 NDC,00186037028,SYMBICORT 160-4.5 MCG/ACT IN AERO,644.4,644.4,,,0 NDC,00186037228,SYMBICORT 80-4.5 MCG/ACT IN AERO,630.1,630.1,,,0 NDC,00186198804,PULMICORT 0.25 MG/2ML IN SUSP,271.06,271.06,,,0 NDC,00225052547,AYR SALINE NASAL NA GEL,87.1,87.1,,,0 NDC,00225080047,NEO-SYNEPHRINE COLD/ALLRG MILD 0.25 % NA SOLN,108.53,108.53,,,0 NDC,00225080547,NEO-SYNEPHRINE COLD/ALLRGY REG 0.5 % NA SOLN,108.53,108.53,,,0 NDC,00225081047,NEO-SYNEPHRINE COLD/ALLRGY EXT 1 % NA SOLN,121.33,121.33,,,0 NDC,00264151031,DEXTROSE 5 % IV SOLN,40.38,40.38,,,0 NDC,00264151032,DEXTROSE 5 % IV SOLN,20.19,20.19,,,0 NDC,00264180032,SODIUM CHLORIDE 0.9 % IV SOLN,66.87,66.87,,,0 NDC,00264310511,CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR,102.98,102.98,,,0 NDC,00264315511,CEFTRIAXONE SODIUM-DEXTROSE 2-2.22 GM-%(50ML) IV SOLR,161.27,161.27,,,0 NDC,00264405080,ACETAMINOPHEN 500 MG/50 ML IV SOLN,82.8,82.8,,,0 NDC,00264410090,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,54.91,54.91,,,0 NDC,00264420452,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,106.11,106.11,,,0 NDC,00264420654,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,43.9,43.9,,,0 NDC,00264440054,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,95.13,95.13,,,0 NDC,00264751000,DEXTROSE 5 % IV SOLN,104.72,104.72,,,0 NDC,00264751010,DEXTROSE 5 % IV SOLN,26.92,26.92,,,0 NDC,00264751020,DEXTROSE 5 % IV SOLN,14.81,14.81,,,0 NDC,00264761000,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,53.84,53.84,,,0 NDC,00264762500,POTASSIUM CL IN DEXTROSE 5% 20 MEQ/L IV SOLN,172.4,172.4,,,0 NDC,00264763400,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN,92.4,92.4,,,0 NDC,00264763500,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN,92.4,92.4,,,0 NDC,00264765200,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN,92.4,92.4,,,0 NDC,00264775000,LACTATED RINGERS IV SOLN,4.04,4.04,,,0 NDC,00264775007,LACTATED RINGERS IV SOLN,80.24,80.24,,,0 NDC,00264775010,LACTATED RINGERS IV SOLN,8.08,8.08,,,0 NDC,00264775020,LACTATED RINGERS IV SOLN,4.31,4.31,,,0 NDC,00264775100,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN,66.87,66.87,,,0 NDC,00264775110,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN,26.92,26.92,,,0 NDC,00264780009,SODIUM CHLORIDE 0.9 % IV SOLN,92.4,92.4,,,0 NDC,00264780510,SODIUM CHLORIDE 3 % IV SOLN,29.61,29.61,,,0 NDC,00264786500,POTASSIUM CHLORIDE IN NACL 20-0.9 MEQ/L-% IV SOLN,92.4,92.4,,,0 NDC,00264958720,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,9.09,9.09,,,0 NDC,00270014957,CYSTOGRAFIN 30 % UR SOLN,71.92,71.92,,,0 NDC,00270014960,CYSTOGRAFIN 30 % UR SOLN,541.02,541.02,,,0 NDC,00270044535,GASTROGRAFIN 66-10 % PO SOLN,11.53,11.53,,,0 NDC,00270044540,GASTROGRAFIN 66-10 % PO SOLN,81.34,81.34,,,0 NDC,00270111101,PROHANCE 279.3 MG/ML IV SOLN,429.81,429.81,,,0 NDC,00270131525,ISOVUE-300 61 % IV SOLN,0.07,0.07,,,0 NDC,00270131530,ISOVUE-300 61 % IV SOLN,4.57,4.57,,,0 NDC,00270131535,ISOVUE-300 61 % IV SOLN,4.85,4.85,,,0 NDC,00270131545,ISOVUE-300 61 % IV SOLN,55.22,55.22,,,0 NDC,00270131550,ISOVUE-300 61 % IV SOLN,70.49,70.49,,,0 NDC,00270131595,ISOVUE-300 61 % IV SOLN,62.07,62.07,,,0 NDC,00270131604,ISOVUE-370 76 % IV SOLN,124.36,124.36,,,0 NDC,00270131635,ISOVUE-370 76 % IV SOLN,0.12,0.12,,,0 NDC,00270131637,ISOVUE-370 76 % IV SOLN,114.16,114.16,,,0 NDC,00270131645,ISOVUE-370 76 % IV SOLN,65.64,65.64,,,0 NDC,00270131652,ISOVUE-370 76 % IV SOLN,2.48,2.48,,,0 NDC,00270131695,ISOVUE-370 76 % IV SOLN,55.37,55.37,,,0 NDC,00270131702,ISOVUE-250 51 % IV SOLN,1.33,1.33,,,0 NDC,00270141030,CYSTOGRAFIN-DILUTE 18 % UR SOLN,6.99,6.99,,,0 NDC,00270141215,ISOVUE-M 300 61 % IJ SOLN,17.81,17.81,,,0 NDC,00270516413,MULTIHANCE 529 MG/ML IV SOLN,2.08,2.08,,,0 NDC,00270516414,MULTIHANCE 529 MG/ML IV SOLN,178.56,178.56,,,0 NDC,00270516415,MULTIHANCE 529 MG/ML IV SOLN,456.89,456.89,,,0 NDC,00270701546,VUEWAY 0.5 MMOL/ML IV SOLN,282.55,282.55,,,0 NDC,00270702038,VUEWAY 0.5 MMOL/ML IV SOLN,4.7,4.7,,,0 NDC,00270702540,VUEWAY 0.5 MMOL/ML IV SOLN,18.36,18.36,,,0 NDC,00270703042,VUEWAY 0.5 MMOL/ML IV SOLN,212.62,212.62,,,0 NDC,00281032608,NITRO-BID 2 % TD OINT,75.56,75.56,,,0 NDC,00283061026,HURRICAINE ONE 20 % MT SOLN,318.5,318.5,,,0 NDC,00283067902,HURRICAINE 20 % MT AERO,602.75,602.75,,,0 NDC,00310173030,FASENRA 30 MG/ML SC SOSY,50606.14,50606.14,,,0 NDC,00310453530,IMJUDO 300 MG/15ML IV SOLN,198840.76,198840.76,,,0 NDC,00310461150,IMFINZI 500 MG/10ML IV SOLN,61900.0,61900.0,,,0 NDC,00310737020,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO,1065.89,1065.89,,,0 NDC,00316022515,DESENEX 2 % EX POWD,117.41,117.41,,,0 NDC,00338001731,DEXTROSE 5 % IV SOLN,95.85,95.85,,,0 NDC,00338001738,DEXTROSE 5 % IV SOLN,89.16,89.16,,,0 NDC,00338001741,DEXTROSE 5 % IV SOLN,106.99,106.99,,,0 NDC,00338001748,DEXTROSE 5 % IV SOLN,45.76,45.76,,,0 NDC,00338004903,SODIUM CHLORIDE 0.9 % IV SOLN,138.6,138.6,,,0 NDC,00338006301,DOXIL 2 MG/ML IV SUSP,5521.61,5521.61,,,0 NDC,00338006910,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,59.28,59.28,,,0 NDC,00338007225,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,19.98,19.98,,,0 NDC,00338008904,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,154.0,154.0,,,0 NDC,00338011703,LACTATED RINGERS IV SOLN,89.16,89.16,,,0 NDC,00338011704,LACTATED RINGERS IV SOLN,154.0,154.0,,,0 NDC,00338012504,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN,92.4,92.4,,,0 NDC,00338050348,GENTAMICIN IN SALINE 0.8-0.9 MG/ML-% IV SOLN,128.07,128.07,,,0 NDC,00338067104,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN,184.8,184.8,,,0 NDC,00338069504,POTASSIUM CHLORIDE IN NACL 40-0.9 MEQ/L-% IV SOLN,206.88,206.88,,,0 NDC,00338070341,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,126.24,126.24,,,0 NDC,00338070434,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN,246.4,246.4,,,0 NDC,00338070548,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,11.92,11.92,,,0 NDC,00338070948,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,131.72,131.72,,,0 NDC,00338080304,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN,172.4,172.4,,,0 NDC,00338100702,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN,224.12,224.12,,,0 NDC,00338104702,NITROGLYCERIN IN D5W 100-5 MCG/ML-% IV SOLN,4.7,4.7,,,0 NDC,00338104902,NITROGLYCERIN IN D5W 200-5 MCG/ML-% IV SOLN,1.29,1.29,,,0 NDC,00338105548,METRONIDAZOLE 500 MG/100ML IV SOLN,56.44,56.44,,,0 NDC,00338107302,DOBUTAMINE-DEXTROSE 1-5 MG/ML-% IV SOLN,1068.87,1068.87,,,0 NDC,00338107502,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN,607.71,607.71,,,0 NDC,00338170840,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,120.75,120.75,,,0 NDC,00338170940,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,62.51,62.51,,,0 NDC,00338171540,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,84.16,84.16,,,0 NDC,00338361224,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,83.84,83.84,,,0 NDC,00338361624,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,83.84,83.84,,,0 NDC,00338381424,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,123.19,123.19,,,0 NDC,00338411424,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,104.54,104.54,,,0 NDC,00338604648,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN,115.26,115.26,,,0 NDC,00338954124,METRONIDAZOLE 500 MG/100ML IV SOLN,62.51,62.51,,,0 NDC,00338954924,CLINDAMYCIN PHOSPHATE IN NACL 600-0.9 MG/50ML-% IV SOLN,83.84,83.84,,,0 NDC,00338955324,CLINDAMYCIN PHOSPHATE IN NACL 900-0.9 MG/50ML-% IV SOLN,103.5,103.5,,,0 NDC,00338963624,ZOSYN 3-0.375 GM/50ML IV SOLN,203.9,203.9,,,0 NDC,00362055705,MARCAINE/EPINEPHRINE 0.5% -1:200000 IJ SOLN,242.83,242.83,,,0 NDC,00378163193,FORMOTEROL FUMARATE 20 MCG/2ML IN NEBU,188.19,188.19,,,0 NDC,00378699789,SODIUM CHLORIDE 3 % IN NEBU,8.3,8.3,,,0 NDC,00378699889,SODIUM CHLORIDE 10 % IN NEBU,7.94,7.94,,,0 NDC,00378797055,IPRATROPIUM BROMIDE 0.02 % IN SOLN,12.79,12.79,,,0 NDC,00378827052,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,10.83,10.83,,,0 NDC,00378827055,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,14.08,14.08,,,0 NDC,00378827093,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,13.72,13.72,,,0 NDC,00378967193,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,21.12,21.12,,,0 NDC,00386000803,GEBAUERS PAIN EASE EX AERO,532.2,532.2,,,0 NDC,00406052710,METHADOSE 10 MG/ML PO CONC,3.58,3.58,,,0 NDC,00406800330,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN,14.92,14.92,,,0 NDC,00407141110,OMNIPAQUE 180 MG/ML IJ SOLN,52.1,52.1,,,0 NDC,00407141210,OMNIPAQUE 240 MG/ML IJ SOLN,56.67,56.67,,,0 NDC,00407141220,OMNIPAQUE 240 MG/ML IJ SOLN,59.79,59.79,,,0 NDC,00407141230,OMNIPAQUE 240 MG/ML IJ SOLN,5.09,5.09,,,0 NDC,00407141359,OMNIPAQUE 300 MG/ML IJ SOLN,36.1,36.1,,,0 NDC,00407141361,OMNIPAQUE 300 MG/ML IJ SOLN,12.07,12.07,,,0 NDC,00407141363,OMNIPAQUE 300 MG/ML IJ SOLN,8.87,8.87,,,0 NDC,00407141489,OMNIPAQUE 350 MG/ML IV SOLN,57.01,57.01,,,0 NDC,00407141490,OMNIPAQUE 350 MG/ML IV SOLN,4.27,4.27,,,0 NDC,00407141493,OMNIPAQUE 350 MG/ML IV SOLN,739.03,739.03,,,0 NDC,00407141612,OMNIPAQUE 12 MG/ML PO SOLN,5.74,5.74,,,0 NDC,00407222216,VISIPAQUE 270 MG/ML IV SOLN,68.5,68.5,,,0 NDC,00407222217,VISIPAQUE 270 MG/ML IV SOLN,269.99,269.99,,,0 NDC,00407222219,VISIPAQUE 270 MG/ML IV SOLN,521.96,521.96,,,0 NDC,00407222316,VISIPAQUE 320 MG/ML IV SOLN,22.83,22.83,,,0 NDC,00407222317,VISIPAQUE 320 MG/ML IV SOLN,22.83,22.83,,,0 NDC,00407222319,VISIPAQUE 320 MG/ML IV SOLN,114.16,114.16,,,0 NDC,00407222321,VISIPAQUE 320 MG/ML IV SOLN,467.36,467.36,,,0 NDC,00407270703,OPTISON IV SUSP,187.51,187.51,,,0 NDC,00407294305,CLARISCAN 10 MMOL/20ML IV SOLN,583.74,583.74,,,0 NDC,00409000125,MIDAZOLAM HCL (PF) 2 MG/2ML IJ SOLN,49.14,49.14,,,0 NDC,00409000710,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,50.36,50.36,,,0 NDC,00409000925,ONDANSETRON HCL 4 MG/2ML IJ SOLN,18.54,18.54,,,0 NDC,00409014710,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN,57.35,57.35,,,0 NDC,00409015224,METRONIDAZOLE 500 MG/100ML IV SOLN,98.97,98.97,,,0 NDC,00409018101,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,853.53,853.53,,,0 NDC,00409018201,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,226.32,226.32,,,0 NDC,00409018301,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,43.44,43.44,,,0 NDC,00409022210,MEROPENEM 500 MG IV SOLR,103.03,103.03,,,0 NDC,00409030201,TOPOTECAN HCL 4 MG/4ML IV SOLN,402.33,402.33,,,0 NDC,00409036701,DOCETAXEL 80 MG/4ML IV CONC,957.55,957.55,,,0 NDC,00409115901,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,17.31,17.31,,,0 NDC,00409115902,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,11.02,11.02,,,0 NDC,00409116001,BUPIVACAINE HCL 0.25 % IJ SOLN,2.32,2.32,,,0 NDC,00409116201,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,18.54,18.54,,,0 NDC,00409116202,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,5.25,5.25,,,0 NDC,00409116301,BUPIVACAINE HCL 0.5 % IJ SOLN,0.86,0.86,,,0 NDC,00409116501,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,27.93,27.93,,,0 NDC,00409117630,DEMEROL 25 MG/ML IJ SOLN,140.2,140.2,,,0 NDC,00409120901,LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200000 IJ SOLN,9.76,9.76,,,0 NDC,00409121501,NALOXONE HCL 0.4 MG/ML IJ SOLN,145.97,145.97,,,0 NDC,00409127332,DIAZEPAM 5 MG/ML IJ SOLN,86.84,86.84,,,0 NDC,00409128331,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,15.03,15.03,,,0 NDC,00409128337,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,62.32,62.32,,,0 NDC,00409131230,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,40.52,40.52,,,0 NDC,00409131236,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,33.67,33.67,,,0 NDC,00409131632,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML IJ SOLN,111.66,111.66,,,0 NDC,00409132305,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOSY,147.09,147.09,,,0 NDC,00409136201,DEMEROL 25 MG/ML IJ SOLN,106.65,106.65,,,0 NDC,00409139051,MEROPENEM 500 MG IV SOLR,104.7,104.7,,,0 NDC,00409140101,REGADENOSON 0.4 MG/5ML IV SOLN,267.6,267.6,,,0 NDC,00409141801,DEMEROL 50 MG/ML IJ SOLN,114.61,114.61,,,0 NDC,00409146301,NALBUPHINE HCL 10 MG/ML IJ SOLN,125.68,125.68,,,0 NDC,00409155910,MARCAINE PRESERVATIVE FREE 0.25 % IJ SOLN,25.79,25.79,,,0 NDC,00409156029,MARCAINE PRESERVATIVE FREE 0.5 % IJ SOLN,11.8,11.8,,,0 NDC,00409158210,MARCAINE 0.75 % IJ SOLN,175.48,175.48,,,0 NDC,00409162601,BUTORPHANOL TARTRATE 2 MG/ML IJ SOLN,111.53,111.53,,,0 NDC,00409163010,ATROPINE SULFATE 1 MG/10ML IJ SOSY,122.44,122.44,,,0 NDC,00409174610,MARCAINE/EPINEPHRINE PF 0.25% -1:200000 IJ SOLN,102.58,102.58,,,0 NDC,00409174630,MARCAINE/EPINEPHRINE PF 0.25% -1:200000 IJ SOLN,48.44,48.44,,,0 NDC,00409174910,MARCAINE/EPINEPHRINE PF 0.5% -1:200000 IJ SOLN,46.78,46.78,,,0 NDC,00409174929,MARCAINE/EPINEPHRINE PF 0.5% -1:200000 IJ SOLN,227.15,227.15,,,0 NDC,00409175250,MARCAINE/EPINEPHRINE 0.25% -1:200000 IJ SOLN,53.86,53.86,,,0 NDC,00409175550,MARCAINE/EPINEPHRINE 0.5% -1:200000 IJ SOLN,129.84,129.84,,,0 NDC,00409176110,MARCAINE SPINAL 0.75-8.25 % IT SOLN,14.42,14.42,,,0 NDC,00409180501,HYDROMORPHONE HCL 0.25 MG/0.5ML IJ SOLN,79.29,79.29,,,0 NDC,00409188602,LEVETIRACETAM 500 MG/5ML IV SOLN,90.16,90.16,,,0 NDC,00409189001,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,30.64,30.64,,,0 NDC,00409189023,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,87.94,87.94,,,0 NDC,00409189101,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,62.69,62.69,,,0 NDC,00409189123,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,150.62,150.62,,,0 NDC,00409189301,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN,43.09,43.09,,,0 NDC,00409189323,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN,124.41,124.41,,,0 NDC,00409198530,LORAZEPAM 2 MG/ML IJ SOLN,34.42,34.42,,,0 NDC,00409206605,LIDOCAINE HCL (PF) 2 % IJ SOLN,4.36,4.36,,,0 NDC,00409230505,MIDAZOLAM HCL (PF) 5 MG/5ML IJ SOLN,6.78,6.78,,,0 NDC,00409230801,MIDAZOLAM HCL (PF) 5 MG/ML IJ SOLN,6.71,6.71,,,0 NDC,00409230802,MIDAZOLAM HCL (PF) 10 MG/2ML IJ SOLN,38.73,38.73,,,0 NDC,00409233934,LABETALOL HCL 5 MG/ML IV SOLN,84.94,84.94,,,0 NDC,00409234632,DOBUTAMINE-DEXTROSE 1-5 MG/ML-% IV SOLN,189.64,189.64,,,0 NDC,00409234732,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN,262.91,262.91,,,0 NDC,00409259605,MIDAZOLAM HCL 50 MG/10ML IJ SOLN,464.64,464.64,,,0 NDC,00409263401,HYDROMORPHONE HCL PF 10 MG/ML IJ SOLN,681.76,681.76,,,0 NDC,00409272002,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,10.8,10.8,,,0 NDC,00409272101,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN,4.21,4.21,,,0 NDC,00409272301,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,14.69,14.69,,,0 NDC,00409317701,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN,19.23,19.23,,,0 NDC,00409317802,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,125.79,125.79,,,0 NDC,00409317803,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,10.75,10.75,,,0 NDC,00409318201,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN,7.08,7.08,,,0 NDC,00409318301,LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200000 IJ SOLN,13.9,13.9,,,0 NDC,00409330024,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN,78.14,78.14,,,0 NDC,00409333024,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,80.5,80.5,,,0 NDC,00409336510,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,9.36,9.36,,,0 NDC,00409341401,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,17.44,17.44,,,0 NDC,00409341411,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,35.67,35.67,,,0 NDC,00409351022,ERTAPENEM SODIUM 1 G IJ SOLR,293.97,293.97,,,0 NDC,00409361301,BUPIVACAINE SPINAL 0.75-8.25 % IT SOLN,7.68,7.68,,,0 NDC,00409379325,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,158.95,158.95,,,0 NDC,00409379501,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,85.58,85.58,,,0 NDC,00409379601,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,37.8,37.8,,,0 NDC,00409381412,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN,108.05,108.05,,,0 NDC,00409403101,MANNITOL 25 % IV SOLN,173.4,173.4,,,0 NDC,00409412150,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,113.43,113.43,,,0 NDC,00409427601,LIDOCAINE HCL 1 % IJ SOLN,0.98,0.98,,,0 NDC,00409427602,LIDOCAINE HCL 1 % IJ SOLN,2.1,2.1,,,0 NDC,00409427701,LIDOCAINE HCL 2 % IJ SOLN,4.37,4.37,,,0 NDC,00409427702,LIDOCAINE HCL 2 % IJ SOLN,3.67,3.67,,,0 NDC,00409427801,LIDOCAINE HCL (PF) 0.5 % IJ SOLN,3.5,3.5,,,0 NDC,00409427902,LIDOCAINE HCL (PF) 1 % IJ SOLN,2.84,2.84,,,0 NDC,00409428202,LIDOCAINE HCL (PF) 2 % IJ SOLN,8.79,8.79,,,0 NDC,00409428301,LIDOCAINE HCL (PF) 4 % IJ SOLN,6.59,6.59,,,0 NDC,00409444424,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,87.82,87.82,,,0 NDC,00409452030,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,170.78,170.78,,,0 NDC,00409469924,PROPOFOL 1000 MG/100ML IV EMUL,5.89,5.89,,,0 NDC,00409469933,PROPOFOL 500 MG/50ML IV EMUL,5.61,5.61,,,0 NDC,00409471302,LIDOCAINE HCL (PF) 1 % IJ SOLN,30.78,30.78,,,0 NDC,00409471332,LIDOCAINE HCL (PF) 1 % IJ SOLN,46.16,46.16,,,0 NDC,00409475503,ONDANSETRON HCL 4 MG/2ML IJ SOLN,18.54,18.54,,,0 NDC,00409475901,ONDANSETRON HCL 40 MG/20ML IJ SOLN,11.72,11.72,,,0 NDC,00409488810,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,34.62,34.62,,,0 NDC,00409490334,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY,77.73,77.73,,,0 NDC,00409491134,ATROPINE SULFATE 1 MG/10ML IJ SOSY,127.08,127.08,,,0 NDC,00409525515,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,34.8,34.8,,,0 NDC,00409592101,AMINOPHYLLINE 25 MG/ML IV SOLN,70.03,70.03,,,0 NDC,00409592201,AMINOPHYLLINE 25 MG/ML IV SOLN,43.72,43.72,,,0 NDC,00409601025,PROPOFOL 200 MG/20ML IV EMUL,28.26,28.26,,,0 NDC,00409610202,FUROSEMIDE 10 MG/ML IJ SOLN,151.54,151.54,,,0 NDC,00409610204,FUROSEMIDE 10 MG/ML IJ SOLN,77.64,77.64,,,0 NDC,00409610210,FUROSEMIDE 10 MG/ML IJ SOLN,35.67,35.67,,,0 NDC,00409648201,ERYTHROCIN LACTOBIONATE 500 MG IV SOLR,377.61,377.61,,,0 NDC,00409653102,VANCOMYCIN HCL 750 MG IV SOLR,254.93,254.93,,,0 NDC,00409653321,VANCOMYCIN HCL 1 G IV SOLR,51.12,51.12,,,0 NDC,00409656201,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,200.28,200.28,,,0 NDC,00409662902,QUELICIN 20 MG/ML IJ SOLN,38.25,38.25,,,0 NDC,00409663501,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,157.73,157.73,,,0 NDC,00409665106,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,66.94,66.94,,,0 NDC,00409665305,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,47.66,47.66,,,0 NDC,00409672723,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,87.82,87.82,,,0 NDC,00409672923,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,138.69,138.69,,,0 NDC,00409733201,CEFTRIAXONE SODIUM 1 G IJ SOLR,101.14,101.14,,,0 NDC,00409733801,CEFTRIAXONE SODIUM 500 MG IJ SOLR,76.06,76.06,,,0 NDC,00409765030,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,22.95,22.95,,,0 NDC,00409765062,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,143.22,143.22,,,0 NDC,00409780922,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN,238.7,238.7,,,0 NDC,00409904201,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN,181.62,181.62,,,0 NDC,00409904301,BUPIVACAINE-EPINEPHRINE 0.25% -1:200000 IJ SOLN,135.83,135.83,,,0 NDC,00409909422,FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN,19.06,19.06,,,0 NDC,00409909425,FENTANYL CITRATE (PF) 250 MCG/5ML IJ SOLN,9.22,9.22,,,0 NDC,00409909461,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,257.21,257.21,,,0 NDC,00409915801,VITAMIN K1 10 MG/ML IJ SOLN,135.1,135.1,,,0 NDC,00430375414,ESTRACE 0.1 MG/GM VA CREA,1653.16,1653.16,,,0 NDC,00436093616,DAKINS (1/2 STRENGTH) 0.25 % EX SOLN,238.18,238.18,,,0 NDC,00469650189,LEXISCAN 0.4 MG/5ML IV SOLN,1927.69,1927.69,,,0 NDC,00487020101,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,16.79,16.79,,,0 NDC,00487020103,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,13.18,13.18,,,0 NDC,00487020160,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,13.18,13.18,,,0 NDC,00487900330,SODIUM CHLORIDE 3 % IN NEBU,27.17,27.17,,,0 NDC,00487900730,SODIUM CHLORIDE 7 % IN NEBU,50.43,50.43,,,0 NDC,00487930133,SODIUM CHLORIDE 0.9 % IN NEBU,13.0,13.0,,,0 NDC,00487950101,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,2.68,2.68,,,0 NDC,00487950103,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,13.0,13.0,,,0 NDC,00487950125,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,13.0,13.0,,,0 NDC,00487960101,BUDESONIDE 0.25 MG/2ML IN SUSP,127.44,127.44,,,0 NDC,00487970101,BUDESONIDE 0.5 MG/2ML IN SUSP,105.87,105.87,,,0 NDC,00487980101,IPRATROPIUM BROMIDE 0.02 % IN SOLN,15.95,15.95,,,0 NDC,00487980130,IPRATROPIUM BROMIDE 0.02 % IN SOLN,12.94,12.94,,,0 NDC,00487990130,ALBUTEROL SULFATE 2.5 MG/0.5ML IN NEBU,23.53,23.53,,,0 NDC,00487990401,ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU,25.66,25.66,,,0 NDC,00487990425,ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU,46.33,46.33,,,0 NDC,00517003125,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,105.49,105.49,,,0 NDC,00517037405,PROVAYBLUE 50 MG/10ML IV SOLN,130.92,130.92,,,0 NDC,00517038105,PROVAYBLUE 50 MG/10ML IV SOLN,1168.73,1168.73,,,0 NDC,00517065001,INJECTAFER 750 MG/15ML IV SOLN,706.46,706.46,,,0 NDC,00517072001,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP,50.35,50.35,,,0 NDC,00517073510,NICARDIPINE HCL 2.5 MG/ML IV SOLN,408.32,408.32,,,0 NDC,00517090125,HYDRALAZINE HCL 20 MG/ML IJ SOLN,119.46,119.46,,,0 NDC,00517100125,ATROPINE SULFATE 1 MG/ML IV SOLN,159.62,159.62,,,0 NDC,00517100425,ATROPINE SULFATE 0.4 MG/ML IV SOLN,109.79,109.79,,,0 NDC,00517102025,VASOPRESSIN 20 UNIT/ML IV SOLN,60.36,60.36,,,0 NDC,00517198005,DICYCLOMINE HCL 10 MG/ML IM SOLN,166.88,166.88,,,0 NDC,00517231005,VENOFER 20 MG/ML IV SOLN,605.85,605.85,,,0 NDC,00517234010,VENOFER 20 MG/ML IV SOLN,604.29,604.29,,,0 NDC,00517234025,VENOFER 20 MG/ML IV SOLN,604.29,604.29,,,0 NDC,00517234099,VENOFER 20 MG/ML IV SOLN,604.29,604.29,,,0 NDC,00517400225,PAPAVERINE HCL 30 MG/ML IJ SOLN,224.95,224.95,,,0 NDC,00517420125,HYDROXYZINE HCL 25 MG/ML IM SOLN,334.57,334.57,,,0 NDC,00517460225,GLYCOPYRROLATE 0.4 MG/2ML IJ SOLN,42.88,42.88,,,0 NDC,00517560125,HYDROXYZINE HCL 50 MG/ML IM SOLN,387.77,387.77,,,0 NDC,00517760425,ACETYLCYSTEINE 20 % IN SOLN,224.64,224.64,,,0 NDC,00517970225,DROPERIDOL 2.5 MG/ML IJ SOLN,41.77,41.77,,,0 NDC,00527194866,LEVOFLOXACIN 25 MG/ML PO SOLN BULK,703.0,703.0,,,0 NDC,00527600480,LIDOCAINE HCL 4 % EX SOLN,310.58,310.58,,,0 NDC,00536111825,ARTHRITIS PAIN RELIEVING 0.075 % EX CREA,120.62,120.62,,,0 NDC,00536118365,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP,216.29,216.29,,,0 NDC,00536121195,DIBUCAINE 1 % EX OINT,110.85,110.85,,,0 NDC,00536121794,EYE DROPS 0.05 % OP SOLN,49.11,49.11,,,0 NDC,00536122497,EYE WASH OP SOLN,84.57,84.57,,,0 NDC,00536125240,EYE ITCH RELIEF 0.035 % OP SOLN,192.15,192.15,,,0 NDC,00536125628,BACITRACIN 500 UNIT/GM EX OINT,88.06,88.06,,,0 NDC,00536126328,BACITRACIN ZINC 500 UNIT/GM EX OINT,50.63,50.63,,,0 NDC,00536126456,CAPSAICIN 0.1 % EX CREA,287.2,287.2,,,0 NDC,00536126526,CLOTRIMAZOLE ANTI-FUNGAL 1 % EX CREA,85.77,85.77,,,0 NDC,00536127180,FIRST AID ANTISEPTIC 10 % EX OINT,56.9,56.9,,,0 NDC,00536128806,HEMORRHOIDAL 0.25-14-74.9 % RE OINT,94.71,94.71,,,0 NDC,00536129383,ANTACID REGULAR STRENGTH 200-200-20 MG/5ML PO SUSP,13.19,13.19,,,0 NDC,00536129497,DICLOFENAC SODIUM 1 % EX GEL,269.63,269.63,,,0 NDC,00536130375,SIMETHICONE DROPS INFANTS 20 MG/0.3ML PO SUSP,3.44,3.44,,,0 NDC,00536131628,ZINC OXIDE 20 % EX OINT,77.7,77.7,,,0 NDC,00536131783,ANTACID/ANTIGAS 400-400-40 MG/10ML PO SUSP,2.47,2.47,,,0 NDC,00548560100,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,118.89,118.89,,,0 NDC,00548560200,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,158.52,158.52,,,0 NDC,00548560300,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY,237.3,237.3,,,0 NDC,00548560400,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,99.71,99.71,,,0 NDC,00548560500,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,99.7,99.7,,,0 NDC,00548560600,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY,320.12,320.12,,,0 NDC,00548560800,ENOXAPARIN SODIUM 300 MG/3ML IJ SOLN,199.59,199.59,,,0 NDC,00548909010,AMPHADASE 150 UNIT/ML IJ SOLN,299.58,299.58,,,0 NDC,00548960200,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,167.55,167.55,,,0 NDC,00548970100,VASOPRESSIN 20 UNIT/ML IV SOLN,497.85,497.85,,,0 NDC,00574052074,ACTIDOSE WITH SORBITOL 25 GM/120ML PO SUSP,333.54,333.54,,,0 NDC,00574052174,ACTIDOSE-AQUA 25 GM/120ML PO LIQD,333.54,333.54,,,0 NDC,00574082001,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,220.43,220.43,,,0 NDC,00574082701,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,194.93,194.93,,,0 NDC,00574200802,NYSTOP 100000 UNIT/GM EX POWD,227.16,227.16,,,0 NDC,00574200815,NYSTOP 100000 UNIT/GM EX POWD,142.32,142.32,,,0 NDC,00574200830,NYSTOP 100000 UNIT/GM EX POWD,221.16,221.16,,,0 NDC,00574402435,ERYTHROMYCIN 5 MG/GM OP OINT,250.86,250.86,,,0 NDC,00574402439,ERYTHROMYCIN 5 MG/GM OP OINT,217.3,217.3,,,0 NDC,00574402450,ERYTHROMYCIN 5 MG/GM OP OINT,224.27,224.27,,,0 NDC,00574403125,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP,317.07,317.07,,,0 NDC,00597003510,SPEVIGO 450 MG/7.5ML IV SOLN,255588.84,255588.84,,,0 NDC,00641036725,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN,20.56,20.56,,,0 NDC,00641037625,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,5.9,5.9,,,0 NDC,00641039112,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,245.95,245.95,,,0 NDC,00641040012,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,107.79,107.79,,,0 NDC,00641047725,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,554.88,554.88,,,0 NDC,00641049325,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,83.03,83.03,,,0 NDC,00641092825,PROMETHAZINE HCL 25 MG/ML IJ SOLN,26.54,26.54,,,0 NDC,00641139735,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN,421.3,421.3,,,0 NDC,00641139835,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN,477.7,477.7,,,0 NDC,00641141035,DIGOXIN 0.25 MG/ML IJ SOLN,62.29,62.29,,,0 NDC,00641149535,PROMETHAZINE HCL 25 MG/ML IJ SOLN,32.66,32.66,,,0 NDC,00641149635,PROMETHAZINE HCL 50 MG/ML IJ SOLN,109.84,109.84,,,0 NDC,00641234141,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,42.27,42.27,,,0 NDC,00641255510,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,142.22,142.22,,,0 NDC,00641600125,ATIVAN 2 MG/ML IJ SOLN,18.91,18.91,,,0 NDC,00641600325,ATIVAN 4 MG/ML IJ SOLN,52.7,52.7,,,0 NDC,00641600710,BUMETANIDE 0.25 MG/ML IJ SOLN,86.38,86.38,,,0 NDC,00641600810,BUMETANIDE 0.25 MG/ML IJ SOLN,99.47,99.47,,,0 NDC,00641601910,DURAMORPH 1 MG/ML IJ SOLN,362.9,362.9,,,0 NDC,00641602225,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,44.59,44.59,,,0 NDC,00641602725,FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN,13.16,13.16,,,0 NDC,00641603001,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,295.27,295.27,,,0 NDC,00641604425,LORAZEPAM 2 MG/ML IJ SOLN,12.42,12.42,,,0 NDC,00641604610,LORAZEPAM 2 MG/ML IJ SOLN,19.13,19.13,,,0 NDC,00641605225,MEPERIDINE HCL 25 MG/ML IJ SOLN,36.42,36.42,,,0 NDC,00641605325,MEPERIDINE HCL 50 MG/ML IJ SOLN,47.5,47.5,,,0 NDC,00641605725,MIDAZOLAM HCL 2 MG/2ML IJ SOLN,5.9,5.9,,,0 NDC,00641605910,MIDAZOLAM HCL 5 MG/5ML IJ SOLN,4.15,4.15,,,0 NDC,00641606010,MIDAZOLAM HCL 50 MG/10ML IJ SOLN,179.18,179.18,,,0 NDC,00641606125,MIDAZOLAM HCL 5 MG/ML IJ SOLN,9.44,9.44,,,0 NDC,00641607825,ONDANSETRON HCL 4 MG/2ML IJ SOLN,61.03,61.03,,,0 NDC,00641607901,ONDANSETRON HCL 40 MG/20ML IJ SOLN,19.76,19.76,,,0 NDC,00641610310,ROBAXIN 1000 MG/10ML IJ SOLN,147.97,147.97,,,0 NDC,00641611710,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,113.72,113.72,,,0 NDC,00641612525,MORPHINE SULFATE 4 MG/ML IV SOLN,23.25,23.25,,,0 NDC,00641612625,MORPHINE SULFATE 8 MG/ML IV SOLN,124.23,124.23,,,0 NDC,00641612725,MORPHINE SULFATE 10 MG/ML IV SOLN,18.27,18.27,,,0 NDC,00641613225,NALOXONE HCL 0.4 MG/ML IJ SOLN,107.1,107.1,,,0 NDC,00641613525,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,111.89,111.89,,,0 NDC,00641614525,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,30.91,30.91,,,0 NDC,00641614610,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,1.0,1.0,,,0 NDC,00641614910,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,16.0,16.0,,,0 NDC,00641615125,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,19.09,19.09,,,0 NDC,00641616901,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,89.58,89.58,,,0 NDC,00641617310,DICYCLOMINE HCL 10 MG/ML IM SOLN,219.84,219.84,,,0 NDC,00641617410,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN,106.62,106.62,,,0 NDC,00641617510,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN,109.79,109.79,,,0 NDC,00641617610,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,201.55,201.55,,,0 NDC,00641618210,ORPHENADRINE CITRATE 30 MG/ML IJ SOLN,205.39,205.39,,,0 NDC,00641618225,ORPHENADRINE CITRATE 30 MG/ML IJ SOLN,137.13,137.13,,,0 NDC,00641618810,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,118.92,118.92,,,0 NDC,00641618910,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,171.67,171.67,,,0 NDC,00641620510,NALOXONE HCL 2 MG/2ML IJ SOSY,158.31,158.31,,,0 NDC,00641620610,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,134.76,134.76,,,0 NDC,00641620725,LORAZEPAM 2 MG/ML IJ SOLN,12.1,12.1,,,0 NDC,00641620825,PROMETHAZINE HCL 25 MG/ML IJ SOLN,33.18,33.18,,,0 NDC,00641620925,MIDAZOLAM HCL 2 MG/2ML IJ SOLN,5.9,5.9,,,0 NDC,00641621010,MIDAZOLAM HCL 5 MG/5ML IJ SOLN,8.31,8.31,,,0 NDC,00641622825,THIAMINE HCL 100 MG/ML IJ SOLN,132.91,132.91,,,0 NDC,00641623125,HYDRALAZINE HCL 20 MG/ML IJ SOLN,100.34,100.34,,,0 NDC,00641624410,DIAZEPAM 5 MG/ML IJ SOLN,98.78,98.78,,,0 NDC,00641624725,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN,25.77,25.77,,,0 NDC,00641624810,FENTANYL CITRATE PF 50 MCG/ML IJ SOSY,61.07,61.07,,,0 NDC,00641624910,FENTANYL CITRATE PF 25 MCG/0.5ML IJ SOSY,101.5,101.5,,,0 NDC,00641625210,LABETALOL HCL 10 MG/2ML IV SOSY,186.73,186.73,,,0 NDC,00641625301,REGADENOSON 0.4 MG/5ML IV SOLN,254.15,254.15,,,0 NDC,00641625910,HYDROMORPHONE HCL 0.2 MG/ML IJ SOLN,86.94,86.94,,,0 NDC,00703011303,HYDROMORPHONE HCL PF 50 MG/5ML IJ SOLN,154.86,154.86,,,0 NDC,00703024101,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,149.9,149.9,,,0 NDC,00703321701,PACLITAXEL 150 MG/25ML IV CONC,3654.56,3654.56,,,0 NDC,00703321801,PACLITAXEL 300 MG/50ML IV CONC,328.91,328.91,,,0 NDC,00703398501,OXALIPLATIN 50 MG/10ML IV SOLN,191.19,191.19,,,0 NDC,00703398601,OXALIPLATIN 100 MG/20ML IV SOLN,831.48,831.48,,,0 NDC,00703409401,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,237.39,237.39,,,0 NDC,00703423901,CARBOPLATIN 600 MG/60ML IV SOLN,235.59,235.59,,,0 NDC,00703424801,CARBOPLATIN 450 MG/45ML IV SOLN,1.48,1.48,,,0 NDC,00703450204,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,111.39,111.39,,,0 NDC,00713028031,BACITRACIN 500 UNIT/GM EX OINT,66.62,66.62,,,0 NDC,00713035125,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,122.95,122.95,,,0 NDC,00713065615,CLOBETASOL PROPIONATE 0.05 % EX OINT,111.61,111.61,,,0 NDC,00713067831,NYSTATIN 100000 UNIT/GM EX CREA,201.71,201.71,,,0 NDC,00713068215,GENTAMICIN SULFATE 0.1 % EX OINT,219.32,219.32,,,0 NDC,00781300095,MEROPENEM 500 MG IV SOLR,131.12,131.12,,,0 NDC,00781305995,DIGOXIN 0.25 MG/ML IJ SOLN,53.73,53.73,,,0 NDC,00781311395,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,105.45,105.45,,,0 NDC,00781311495,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,82.99,82.99,,,0 NDC,00781315401,FERUMOXYTOL 510 MG/17ML IV SOLN,1194.02,1194.02,,,0 NDC,00781315695,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,71.1,71.1,,,0 NDC,00781320895,CEFTRIAXONE SODIUM 1 G IJ SOLR,89.51,89.51,,,0 NDC,00781323295,PANTOPRAZOLE SODIUM 40 MG IV SOLR,123.7,123.7,,,0 NDC,00781323863,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,143.03,143.03,,,0 NDC,00781324664,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,114.6,114.6,,,0 NDC,00781325666,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY,238.64,238.64,,,0 NDC,00781326268,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,142.37,142.37,,,0 NDC,00781326869,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,59.94,59.94,,,0 NDC,00781328909,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,133.55,133.55,,,0 NDC,00781329009,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,180.09,180.09,,,0 NDC,00781331275,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,1865.78,1865.78,,,0 NDC,00781331780,OXALIPLATIN 100 MG/20ML IV SOLN,349.94,349.94,,,0 NDC,00781340895,AMPICILLIN SODIUM 2 G IJ SOLR,73.51,73.51,,,0 NDC,00781341195,ANECTINE 20 MG/ML IJ SOLN,99.69,99.69,,,0 NDC,00781354025,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,31.4,31.4,,,0 NDC,00781610446,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR UNIT DOSE,25.42,25.42,,,0 NDC,00781713593,MOXIFLOXACIN HCL 0.5 % OP SOLN,187.68,187.68,,,0 NDC,00781729685,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,258.91,258.91,,,0 NDC,00781927395,AMPICILLIN SODIUM 2 G IJ SOLR,73.51,73.51,,,0 NDC,00781927495,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,142.7,142.7,,,0 NDC,00832046515,NYAMYC 100000 UNIT/GM EX POWD,315.36,315.36,,,0 NDC,00832141003,MOXIFLOXACIN HCL 0.5 % OP SOLN,441.84,441.84,,,0 NDC,00869016638,CITROMA 1.745 GM/30ML PO SOLN,31.35,31.35,,,0 NDC,00904110309,POVIDONE-IODINE 10 % EX SOLN,5.42,5.42,,,0 NDC,00904253321,CALAMINE 8-8 % EX LOTN,60.55,60.55,,,0 NDC,00904386575,DEEP SEA NASAL SPRAY 0.65 % NA SOLN,36.55,36.55,,,0 NDC,00904535431,BANOPHEN 2-0.1 % EX CREA,75.26,75.26,,,0 NDC,00904572514,MINTOX MAXIMUM STRENGTH 400-400-40 MG/5ML PO SUSP,7.07,7.07,,,0 NDC,00904598426,AMMONIUM LACTATE 12 % EX LOTN,123.41,123.41,,,0 NDC,00904625549,SORE THROAT 15-3.6 MG MT LOZG,8.57,8.57,,,0 NDC,00904630521,SORE THROAT SPRAY 1.4 % MT LIQD,1.02,1.02,,,0 NDC,00904648838,LUBRIFRESH P.M. OP OINT,152.54,152.54,,,0 NDC,00904662735,EAR DROPS 6.5 % OT SOLN,66.71,66.71,,,0 NDC,00904683620,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN,20.61,20.61,,,0 NDC,00904698516,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,1.54,1.54,,,0 NDC,00904698520,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,3.39,3.39,,,0 NDC,00904702367,BACITRACIN ZINC 500 UNIT/GM EX OINT,4.21,4.21,,,0 NDC,00904726594,LEVETIRACETAM 100 MG/ML PO SOLN UNIT DOSE,82.28,82.28,,,0 NDC,00904727972,DOCUSATE SODIUM 100 MG/10ML PO LIQD,6.76,6.76,,,0 NDC,00904740267,BACITRACIN 500 UNIT/GM EX OINT,4.45,4.45,,,0 NDC,00904742730,NASAL DECONGESTANT SPRAY 0.05 % NA SOLN,87.97,87.97,,,0 NDC,00904743535,NASAL DECONGESTANT SPRAY 0.05 % NA SOLN,72.57,72.57,,,0 NDC,00904880567,TRIPLE ANTIBIOTIC EX OINT,5.29,5.29,,,0 NDC,00944049302,FLEXBUMIN 25 % IV SOLN,1484.25,1484.25,,,0 NDC,00944049505,FLEXBUMIN 5 % IV SOLN,741.32,741.32,,,0 NDC,00944049506,FLEXBUMIN 5 % IV SOLN,741.32,741.32,,,0 NDC,00944270004,GAMMAGARD 5 GM/50ML IJ SOLN,4937.27,4937.27,,,0 NDC,00944270005,GAMMAGARD 10 GM/100ML IJ SOLN,3452.33,3452.33,,,0 NDC,00944270006,GAMMAGARD 20 GM/200ML IJ SOLN,9904.07,9904.07,,,0 NDC,00944270007,GAMMAGARD 30 GM/300ML IJ SOLN,9947.93,9947.93,,,0 NDC,00955100310,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,140.85,140.85,,,0 NDC,00955100410,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,109.38,109.38,,,0 NDC,00955100810,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,57.28,57.28,,,0 NDC,00955101010,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,60.37,60.37,,,0 NDC,00955101210,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY,240.79,240.79,,,0 NDC,00990707426,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,97.29,97.29,,,0 NDC,00990707526,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,99.36,99.36,,,0 NDC,00990707714,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,99.36,99.36,,,0 NDC,00990711109,KCL-LACTATED RINGERS-D5W 20 MEQ/L IV SOLN,189.64,189.64,,,0 NDC,00990711509,KCL (0.149%) IN NACL 20-0.9 MEQ/L-% IV SOLN,246.4,246.4,,,0 NDC,00990711609,KCL (0.298%) IN NACL 40-0.9 MEQ/L-% IV SOLN,172.4,172.4,,,0 NDC,00990790209,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN,246.4,246.4,,,0 NDC,00990792202,DEXTROSE 5 % IV SOLN,21.54,21.54,,,0 NDC,00990792203,DEXTROSE 5 % IV SOLN,184.8,184.8,,,0 NDC,00990792209,DEXTROSE 5 % IV SOLN,157.08,157.08,,,0 NDC,00990792255,DEXTROSE 5 % IV SOLN,169.4,169.4,,,0 NDC,00990792313,DEXTROSE 5 % IV SOLN,92.4,92.4,,,0 NDC,00990792323,DEXTROSE 5 % IV SOLN,40.38,40.38,,,0 NDC,00990792337,DEXTROSE 5 % IV SOLN,84.7,84.7,,,0 NDC,00990792903,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN,92.4,92.4,,,0 NDC,00990792909,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN,184.8,184.8,,,0 NDC,00990794109,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,184.8,184.8,,,0 NDC,00990795309,LACTATED RINGERS IV SOLN,24.23,24.23,,,0 NDC,00990925739,KCL (0.149%) IN NACL 20-0.45 MEQ/L-% IV SOLN,246.4,246.4,,,0 NDC,08290306413,HEPARIN NA (PORK) LOCK FLSH PF 10 UNIT/ML IV SOLN,11.98,11.98,,,0 NDC,08290306414,HEPARIN NA (PORK) LOCK FLSH PF 10 UNIT/ML IV SOLN,24.13,24.13,,,0 NDC,08290306424,HEPARIN NA (PORK) LOCK FLSH PF 100 UNIT/ML IV SOLN,38.47,38.47,,,0 NDC,10019012001,ESMOLOL HCL 100 MG/10ML IV SOLN,110.4,110.4,,,0 NDC,10019095301,MESNA 100 MG/ML IV SOLN,118.25,118.25,,,0 NDC,10119000252,EYE WASH OP SOLN,104.71,104.71,,,0 NDC,10119002239,SOOTHE NIGHTTIME OP OINT,229.0,229.0,,,0 NDC,10135070104,MENTHOL-ZINC OXIDE 0.44-20.625 % EX OINT,64.62,64.62,,,0 NDC,10223020103,CETACAINE 2-2-14 % EX AERO,1485.23,1485.23,,,0 NDC,10572010001,PEG-3350/ELECTROLYTES 236 G PO SOLR,275.2,275.2,,,0 NDC,11523116705,OXYMETAZOLINE HCL 0.05 % NA SOLN,288.74,288.74,,,0 NDC,11701003816,MICRO GUARD 2 % EX POWD,194.37,194.37,,,0 NDC,11701004514,BAZA ANTIFUNGAL 2 % EX CREA,155.09,155.09,,,0 NDC,11980017405,PRED MILD 0.12 % OP SUSP,1744.37,1744.37,,,0 NDC,11994001104,DEFINITY 6.52 MG/ML IV SUSP,548.37,548.37,,,0 NDC,12496010001,SUBLOCADE 100 MG/0.5ML SC SOSY,12990.48,12990.48,,,0 NDC,13533031805,HYPERRAB 1500 UNIT/5ML IJ SOLN,12205.85,12205.85,,,0 NDC,13533080020,GAMUNEX-C 5 GM/50ML IJ SOLN,3339.25,3339.25,,,0 NDC,13533080024,GAMUNEX-C 20 GM/200ML IJ SOLN,3280.62,3280.62,,,0 NDC,13533080040,GAMUNEX-C 40 GM/400ML IJ SOLN,23938.57,23938.57,,,0 NDC,13533080071,GAMUNEX-C 10 GM/100ML IJ SOLN,3230.06,3230.06,,,0 NDC,14789001002,DICYCLOMINE HCL 10 MG/ML IM SOLN,263.68,263.68,,,0 NDC,14789001202,NITROPRUSSIDE SODIUM 25 MG/ML IV SOLN,1523.53,1523.53,,,0 NDC,14789010810,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,473.31,473.31,,,0 NDC,14789010910,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,437.84,437.84,,,0 NDC,14789012805,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,516.1,516.1,,,0 NDC,14789022010,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,149.04,149.04,,,0 NDC,14789090002,PROCAINAMIDE HCL 500 MG/ML IJ SOLN,5464.06,5464.06,,,0 NDC,15054004301,ONIVYDE 43 MG/10ML IV INJ,11530.96,11530.96,,,0 NDC,15054112004,SOMATULINE DEPOT 120 MG/0.5ML SC SOLN,56559.62,56559.62,,,0 NDC,16714000610,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,139.76,139.76,,,0 NDC,16714001610,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,269.88,269.88,,,0 NDC,16714002610,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY,120.86,120.86,,,0 NDC,16714003610,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,303.33,303.33,,,0 NDC,16714004610,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,370.52,370.52,,,0 NDC,16714006610,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY,562.5,562.5,,,0 NDC,16714007002,FULVESTRANT 250 MG/5ML IM SOSY,2945.17,2945.17,,,0 NDC,16714013025,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,107.08,107.08,,,0 NDC,16714013701,PACLITAXEL 300 MG/50ML IV CONC,359.76,359.76,,,0 NDC,16714014001,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,240.27,240.27,,,0 NDC,16714015001,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,112.96,112.96,,,0 NDC,16714040302,CEFPODOXIME PROXETIL 100 MG/5ML PO SUSR BULK,99.07,99.07,,,0 NDC,16714049601,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA,193.01,193.01,,,0 NDC,16714052601,IPRATROPIUM BROMIDE 0.03 % NA SOLN,675.88,675.88,,,0 NDC,16714052701,IPRATROPIUM BROMIDE 0.06 % NA SOLN,649.02,649.02,,,0 NDC,16714062801,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP,1241.59,1241.59,,,0 NDC,16714064301,MOXIFLOXACIN HCL 0.5 % OP SOLN,862.19,862.19,,,0 NDC,16714083401,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,2918.37,2918.37,,,0 NDC,16714087801,LIDOCAINE 5 % EX OINT,335.1,335.1,,,0 NDC,16714098701,TRIAMCINOLONE ACETONIDE 0.5 % EX CREA,241.13,241.13,,,0 NDC,16729011408,ETOPOSIDE 500 MG/25ML IV SOLN,733.01,733.01,,,0 NDC,16729011411,ETOPOSIDE 1 GM/50ML IV SOLN,895.67,895.67,,,0 NDC,16729011431,ETOPOSIDE 100 MG/5ML IV SOLN,799.76,799.76,,,0 NDC,16729026765,DOCETAXEL 160 MG/8ML IV CONC,2234.83,2234.83,,,0 NDC,16729027638,FLUOROURACIL 5 GM/100ML IV SOLN,610.77,610.77,,,0 NDC,16729028811,CISPLATIN 50 MG/50ML IV SOLN,101.88,101.88,,,0 NDC,16729028838,CISPLATIN 100 MG/100ML IV SOLN,175.62,175.62,,,0 NDC,16729029512,CARBOPLATIN 600 MG/60ML IV SOLN,2.43,2.43,,,0 NDC,16729030610,AZACITIDINE 100 MG IJ SUSR,1528.26,1528.26,,,0 NDC,16729039130,GEMCITABINE HCL 200 MG/2ML IV SOLN,1511.55,1511.55,,,0 NDC,16729047731,REGADENOSON 0.4 MG/5ML IV SOLN,2394.99,2394.99,,,0 NDC,16729050008,FUROSEMIDE 10 MG/ML IJ SOLN,186.58,186.58,,,0 NDC,16729052508,ATROPINE SULFATE 0.4 MG/ML IV SOLN,127.24,127.24,,,0 NDC,16729052608,ATROPINE SULFATE 1 MG/ML IV SOLN,122.19,122.19,,,0 NDC,19515081052,FLULAVAL 0.5 ML IM SUSY,300.5,300.5,,,0 NDC,21922002705,CLINDAMYCIN PHOS (TWICE-DAILY) 1 % EX GEL,218.09,218.09,,,0 NDC,23155024041,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,26.05,26.05,,,0 NDC,23155025832,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,126.67,126.67,,,0 NDC,23155029441,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,69.38,69.38,,,0 NDC,23155029442,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,140.62,140.62,,,0 NDC,23155031331,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,146.67,146.67,,,0 NDC,23155034541,PROPOFOL 200 MG/20ML IV EMUL,8.61,8.61,,,0 NDC,23155034543,PROPOFOL 1000 MG/100ML IV EMUL,246.4,246.4,,,0 NDC,23155034544,PROPOFOL 200 MG/20ML IV EMUL,4.31,4.31,,,0 NDC,23155047341,FUROSEMIDE 10 MG/ML IJ SOLN,57.53,57.53,,,0 NDC,23155047342,FUROSEMIDE 10 MG/ML IJ SOLN,17.57,17.57,,,0 NDC,23155047344,FUROSEMIDE 10 MG/ML IJ SOLN,48.61,48.61,,,0 NDC,23155052341,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,50.88,50.88,,,0 NDC,23155054741,ONDANSETRON HCL 4 MG/2ML IJ SOLN,25.18,25.18,,,0 NDC,23155054742,ONDANSETRON HCL 4 MG/2ML IJ SOLN,29.73,29.73,,,0 NDC,23155054841,ONDANSETRON HCL 4 MG/2ML IJ SOLN,78.69,78.69,,,0 NDC,23155054842,ONDANSETRON HCL 4 MG/2ML IJ SOLN,36.72,36.72,,,0 NDC,23155054931,ONDANSETRON HCL 40 MG/20ML IJ SOLN,30.43,30.43,,,0 NDC,23155060041,MIDAZOLAM HCL 2 MG/2ML IJ SOLN,35.85,35.85,,,0 NDC,23155083131,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,198.8,198.8,,,0 NDC,23155084851,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR UNIT DOSE,161.2,161.2,,,0 NDC,23900002326,VICKS SINEX MOISTURIZING 0.05 % NA SOLN,228.33,228.33,,,0 NDC,24201010024,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,96.96,96.96,,,0 NDC,24208027615,MURO 128 2 % OP SOLN,271.08,271.08,,,0 NDC,24208029525,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP,426.34,426.34,,,0 NDC,24208039830,IPRATROPIUM BROMIDE 0.03 % NA SOLN,622.16,622.16,,,0 NDC,24208041005,OFLOXACIN 0.3 % OT SOLN,850.81,850.81,,,0 NDC,24208041105,BRIMONIDINE TARTRATE 0.2 % OP SOLN,117.07,117.07,,,0 NDC,24208043405,OFLOXACIN 0.3 % OP SOLN,346.7,346.7,,,0 NDC,24208045705,DICLOFENAC SODIUM 0.1 % OP SOLN,33.92,33.92,,,0 NDC,24208046325,LATANOPROST 0.005 % OP SOLN,101.37,101.37,,,0 NDC,24208048510,DORZOLAMIDE HCL 2 % OP SOLN,294.2,294.2,,,0 NDC,24208048610,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,270.65,270.65,,,0 NDC,24208055555,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OP OINT,204.15,204.15,,,0 NDC,24208058060,GENTAMICIN SULFATE 0.3 % OP SOLN,608.92,608.92,,,0 NDC,24208058564,TROPICAMIDE 1 % OP SOLN,509.98,509.98,,,0 NDC,24208060110,ALAWAY 0.035 % OP SOLN,293.52,293.52,,,0 NDC,24208063562,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP,616.01,616.01,,,0 NDC,24208071510,PREDNISOLONE SODIUM PHOSPHATE 1 % OP SOLN,897.81,897.81,,,0 NDC,24208072002,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % OP SOLN,749.54,749.54,,,0 NDC,24208073006,PROPARACAINE HCL 0.5 % OP SOLN,455.15,455.15,,,0 NDC,24208073501,CYCLOPENTOLATE HCL 1 % OP SOLN,205.9,205.9,,,0 NDC,24208073506,CYCLOPENTOLATE HCL 1 % OP SOLN,482.57,482.57,,,0 NDC,24208079535,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP OINT,322.53,322.53,,,0 NDC,24208083060,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP SUSP,242.26,242.26,,,0 NDC,24208091019,ERYTHROMYCIN 5 MG/GM OP OINT,240.99,240.99,,,0 NDC,24208091055,ERYTHROMYCIN 5 MG/GM OP OINT,304.73,304.73,,,0 NDC,24357070106,ANECREAM 4 % EX CREA,98.81,98.81,,,0 NDC,24385020501,GNP ATHLETES FOOT 1 % EX CREA,73.56,73.56,,,0 NDC,24385020503,GNP ATHLETES FOOT 1 % EX CREA,92.99,92.99,,,0 NDC,24385027603,GNP HYDROCORTISONE MAX ST 1 % EX OINT,58.29,58.29,,,0 NDC,24385035210,GNP NO DRIP NASAL SPRAY 0.05 % NA SOLN,92.36,92.36,,,0 NDC,25021005205,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,28.85,28.85,,,0 NDC,25021005301,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJ (WRAPPED),19.44,19.44,,,0 NDC,25021010610,CEFTRIAXONE SODIUM 1 G IJ SOLR,128.7,128.7,,,0 NDC,25021010910,CEFOXITIN SODIUM 1 G IV SOLR,184.96,184.96,,,0 NDC,25021011487,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN,124.2,124.2,,,0 NDC,25021011502,CLINDAMYCIN PHOSPHATE 300 MG/2ML IJ SOLN,168.54,168.54,,,0 NDC,25021012720,CEFTAZIDIME 1 G IJ SOLR,238.71,238.71,,,0 NDC,25021013182,METRONIDAZOLE 500 MG/100ML IV SOLN,88.55,88.55,,,0 NDC,25021013281,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,131.72,131.72,,,0 NDC,25021013282,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,95.22,95.22,,,0 NDC,25021014330,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,83.64,83.64,,,0 NDC,25021015120,VANCOMYCIN HCL 1 G IV SOLR,119.31,119.31,,,0 NDC,25021018482,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN,82.33,82.33,,,0 NDC,25021018487,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,107.64,107.64,,,0 NDC,25021019287,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN,128.34,128.34,,,0 NDC,25021020751,DOXORUBICIN HCL 2 MG/ML IV SOLN,362.26,362.26,,,0 NDC,25021021598,FLUOROURACIL 2.5 GM/50ML IV SOLN,161.93,161.93,,,0 NDC,25021021599,FLUOROURACIL 5 GM/100ML IV SOLN,99.7,99.7,,,0 NDC,25021022610,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2862.54,2862.54,,,0 NDC,25021023310,OXALIPLATIN 50 MG/10ML IV SOLN,626.95,626.95,,,0 NDC,25021023320,OXALIPLATIN 100 MG/20ML IV SOLN,1009.01,1009.01,,,0 NDC,25021024410,BORTEZOMIB 3.5 MG IJ SOLR,244.77,244.77,,,0 NDC,25021025150,MITOMYCIN 20 MG IV SOLR,879.61,879.61,,,0 NDC,25021025350,CISPLATIN 50 MG/50ML IV SOLN,953.22,953.22,,,0 NDC,25021025351,CISPLATIN 100 MG/100ML IV SOLN,860.33,860.33,,,0 NDC,25021025550,PACLITAXEL 300 MG/50ML IV CONC,451.77,451.77,,,0 NDC,25021030884,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN,825.22,825.22,,,0 NDC,25021031102,FUROSEMIDE 10 MG/ML IJ SOLN,63.3,63.3,,,0 NDC,25021031104,FUROSEMIDE 10 MG/ML IJ SOLN,43.02,43.02,,,0 NDC,25021031802,ADENOSINE 6 MG/2ML IV SOLN,136.29,136.29,,,0 NDC,25021040010,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,13.95,13.95,,,0 NDC,25021040067,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,22.82,22.82,,,0 NDC,25021040201,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,23.24,23.24,,,0 NDC,25021040266,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,55.34,55.34,,,0 NDC,25021041070,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,138.45,138.45,,,0 NDC,25021041071,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,49.12,49.12,,,0 NDC,25021041076,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,136.84,136.84,,,0 NDC,25021041077,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY,47.41,47.41,,,0 NDC,25021041078,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,44.94,44.94,,,0 NDC,25021046001,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,239.49,239.49,,,0 NDC,25021046110,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,1609.32,1609.32,,,0 NDC,25021047174,FULVESTRANT 250 MG/5ML IM SOSY,4259.21,4259.21,,,0 NDC,25021048101,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,24.04,24.04,,,0 NDC,25021050002,THIAMINE HCL 100 MG/ML IJ SOLN,131.61,131.61,,,0 NDC,25021050201,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,73.73,73.73,,,0 NDC,25021060820,PROPOFOL 200 MG/20ML IV EMUL,10.66,10.66,,,0 NDC,25021061110,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,20.72,20.72,,,0 NDC,25021061281,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,85.95,85.95,,,0 NDC,25021065102,ORPHENADRINE CITRATE 30 MG/ML IJ SOLN,122.07,122.07,,,0 NDC,25021067187,ROPIVACAINE HCL 2 MG/ML IJ SOLN,503.41,503.41,,,0 NDC,25021067376,GLYDO 2 % EX PRSY,146.21,146.21,,,0 NDC,25021067377,GLYDO 2 % EX PRSY,179.83,179.83,,,0 NDC,25021067510,METHOCARBAMOL 1000 MG/10ML IJ SOLN,112.81,112.81,,,0 NDC,25021070001,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,33.82,33.82,,,0 NDC,25021070101,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,27.98,27.98,,,0 NDC,25021075110,PANTOPRAZOLE SODIUM 40 MG IV SOLR,103.76,103.76,,,0 NDC,25021079002,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,80.78,80.78,,,0 NDC,25021079120,LACOSAMIDE 200 MG/20ML IV SOLN,245.96,245.96,,,0 NDC,25021081430,LEUCOVORIN CALCIUM 100 MG IJ SOLR,202.7,202.7,,,0 NDC,25021081530,LEUCOVORIN CALCIUM 200 MG IJ SOLR,561.34,561.34,,,0 NDC,25021081630,LEUCOVORIN CALCIUM 350 MG IJ SOLR,118.02,118.02,,,0 NDC,25021082682,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,316.45,316.45,,,0 NDC,25021083082,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,529.23,529.23,,,0 NDC,25682000101,SOLIRIS 300 MG/30ML IV SOLN,95897.88,95897.88,,,0 NDC,25682002501,ULTOMIRIS 300 MG/3ML IV SOLN,66442.78,66442.78,,,0 NDC,27241013909,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR BULK,30.45,30.45,,,0 NDC,27808005102,PROMETHAZINE HCL 6.25 MG/5ML PO SYRP UNIT DOSE,12.64,12.64,,,0 NDC,28595012049,NITROGLYCERIN 0.4 MG/SPRAY TL SOLN,1662.47,1662.47,,,0 NDC,31722020331,LACOSAMIDE 200 MG/20ML IV SOLN,167.62,167.62,,,0 NDC,31722057447,LEVETIRACETAM 100 MG/ML PO SOLN UNIT DOSE,5.9,5.9,,,0 NDC,33332002403,AFLURIA PRESERVATIVE FREE 0.5 ML IM SUSY,278.63,278.63,,,0 NDC,33342040530,LIDOCAINE 5 % EX OINT,210.92,210.92,,,0 NDC,36000001225,ONDANSETRON HCL 4 MG/2ML IJ SOLN,59.63,59.63,,,0 NDC,36000024425,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN,76.2,76.2,,,0 NDC,36000028225,FUROSEMIDE 10 MG/ML IJ SOLN,19.32,19.32,,,0 NDC,36000028325,FUROSEMIDE 10 MG/ML IJ SOLN,12.07,12.07,,,0 NDC,36000028425,FUROSEMIDE 10 MG/ML IJ SOLN,71.69,71.69,,,0 NDC,36000030660,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,101.43,101.43,,,0 NDC,36000030810,NALOXONE HCL 0.4 MG/ML IJ SOLN,43.16,43.16,,,0 NDC,36000032010,LABETALOL HCL 5 MG/ML IV SOLN,34.67,34.67,,,0 NDC,36000035240,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,93.15,93.15,,,0 NDC,36000036401,REGADENOSON 0.4 MG/5ML IV SOLN,714.31,714.31,,,0 NDC,37000080301,VICKS SINEX 12 HOUR DECONGEST 0.05 % NA SOLN,135.67,135.67,,,0 NDC,38779067307,MORPHINE SULFATE POWD,191.9,191.9,,,0 NDC,38779128408,FERRIC SUBSULFATE (BULK) SOLN,108.53,108.53,,,0 NDC,39328002455,LIDOCAINE 4 % EX CREA,87.88,87.88,,,0 NDC,39328006250,HYSEPT 50 0.5 % EX SOLN,339.01,339.01,,,0 NDC,39328006325,HYSEPT 25 0.25 % EX SOLN,75.09,75.09,,,0 NDC,39328006412,H-CHLOR 12 0.125 % EX SOLN,194.07,194.07,,,0 NDC,39328012050,SENNA 8.8 MG/5ML PO SYRP UNIT DOSE,55.28,55.28,,,0 NDC,39328015705,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN,71.8,71.8,,,0 NDC,39822019001,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,525.84,525.84,,,0 NDC,39822110001,FOLIC ACID 5 MG/ML IJ SOLN,30.62,30.62,,,0 NDC,39822200001,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN,54.35,54.35,,,0 NDC,39822555006,PROMETHAZINE HCL 50 MG/ML IJ SOLN,35.72,35.72,,,0 NDC,39822620002,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,183.15,183.15,,,0 NDC,41100001511,AFRIN NODRIP EXTRA MOISTURE 0.05 % NA SOLN,240.1,240.1,,,0 NDC,41167008016,ICY HOT ADVANCED PAIN RELIEF 16-11 % EX CREA,149.08,149.08,,,0 NDC,42023010301,ADRENALIN 0.1 % NA SOLN,1172.66,1172.66,,,0 NDC,42023010401,APLISOL 5 UNIT/0.1ML ID SOLN,260.71,260.71,,,0 NDC,42023011925,TIGAN 100 MG/ML IM SOLN,928.85,928.85,,,0 NDC,42023012989,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN,132.25,132.25,,,0 NDC,42023016410,VASOSTRICT 20 UNIT/ML IV SOLN,82.65,82.65,,,0 NDC,42023021910,VASOSTRICT 40-5 UT/100ML-% IV SOLN,897.51,897.51,,,0 NDC,42023022110,ERTAPENEM SODIUM 1 G IJ SOLR,144.57,144.57,,,0 NDC,42023022185,ERTAPENEM SODIUM 1 G IJ SOLR,144.57,144.57,,,0 NDC,42023031510,ADRENALIN-NACL 4-0.9 MG/250ML-% IV SOLN,398.97,398.97,,,0 NDC,42192060816,GABAPENTIN 250 MG/5ML PO SOLN,23.41,23.41,,,0 NDC,42192060840,GABAPENTIN 300 MG/6ML PO SOLN UNIT DOSE,22.75,22.75,,,0 NDC,42192060845,GABAPENTIN 250 MG/5ML PO SOLN,86.8,86.8,,,0 NDC,42291007715,CLOBETASOL PROPIONATE 0.05 % EX OINT,81.4,81.4,,,0 NDC,42291009430,AZELASTINE HCL 0.1 % NA SOLN,191.91,191.91,,,0 NDC,42494041525,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN,235.89,235.89,,,0 NDC,42494041625,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,584.1,584.1,,,0 NDC,42571013725,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,195.91,195.91,,,0 NDC,42571013726,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,218.76,218.76,,,0 NDC,42571014126,DORZOLAMIDE HCL 2 % OP SOLN,578.34,578.34,,,0 NDC,42571014726,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,596.99,596.99,,,0 NDC,43066001510,ROPIVACAINE HCL 2 MG/ML IJ SOLN,17.92,17.92,,,0 NDC,43066001610,CARDENE IV 40-0.83 MG/200ML-% IV SOLN,785.66,785.66,,,0 NDC,43066001910,ROPIVACAINE HCL 5 MG/ML IJ SOLN,139.88,139.88,,,0 NDC,43066002310,ROPIVACAINE HCL 5 MG/ML IJ SOLN,36.02,36.02,,,0 NDC,43066002610,CARDENE IV 20-0.86 MG/200ML-% IV SOLN,630.98,630.98,,,0 NDC,43066002710,ROPIVACAINE HCL 10 MG/ML IJ SOLN,263.57,263.57,,,0 NDC,43066002810,CARDENE IV 40-0.83 MG/200ML-% IV SOLN,790.97,790.97,,,0 NDC,43066009025,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,86.96,86.96,,,0 NDC,43066015010,NEXTERONE 150-4.21 MG/100ML-% IV SOLN,383.28,383.28,,,0 NDC,43066036020,NEXTERONE 360-4.14 MG/200ML-% IV SOLN,526.5,526.5,,,0 NDC,43386006019,GAVILYTE-C 240 G PO SOLR,220.16,220.16,,,0 NDC,43386009019,GAVILYTE-G 236 G PO SOLR,275.2,275.2,,,0 NDC,43598005025,THIAMINE HCL 200 MG/2ML IJ SOLN,113.06,113.06,,,0 NDC,43598008758,LACOSAMIDE 200 MG/20ML IV SOLN,258.44,258.44,,,0 NDC,43598010610,DIAZEPAM 5 MG/ML IJ SOLN,162.07,162.07,,,0 NDC,43598021025,SSD 1 % EX CREA,178.33,178.33,,,0 NDC,43598021055,SSD 1 % EX CREA,247.44,247.44,,,0 NDC,43598023311,ZOLEDRONIC ACID 4 MG/5ML IV CONC,122.46,122.46,,,0 NDC,43598026223,FULVESTRANT 250 MG/5ML IM SOSY,4140.58,4140.58,,,0 NDC,43598030562,AZACITIDINE 100 MG IJ SUSR,833.13,833.13,,,0 NDC,43598040516,PHYTONADIONE 10 MG/ML IJ SOLN,139.58,139.58,,,0 NDC,43598042660,BORTEZOMIB 3.5 MG IJ SOLR,344.21,344.21,,,0 NDC,43598046562,AZACITIDINE 100 MG IJ SUSR,478.6,478.6,,,0 NDC,43598054910,PROPOFOL 1000 MG/100ML IV EMUL,240.24,240.24,,,0 NDC,43598061611,REGADENOSON 0.4 MG/5ML IV SOLN,237.27,237.27,,,0 NDC,43598063610,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,167.77,167.77,,,0 NDC,43598066625,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,15.96,15.96,,,0 NDC,43598083936,METHOCARBAMOL 1000 MG/10ML IJ SOLN,140.43,140.43,,,0 NDC,43598090158,ERTAPENEM SODIUM 1 G IJ SOLR,568.99,568.99,,,0 NDC,43598093109,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,1163.48,1163.48,,,0 NDC,44206025110,ALBUMIN HUMAN 25 % IV SOLN,267.29,267.29,,,0 NDC,44206031025,ALBURX 5 % IV SOLN,581.85,581.85,,,0 NDC,44206031050,ALBURX 5 % IV SOLN,931.57,931.57,,,0 NDC,44206043605,PRIVIGEN 5 GM/50ML IV SOLN,4587.32,4587.32,,,0 NDC,44206043710,PRIVIGEN 10 GM/100ML IV SOLN,7231.6,7231.6,,,0 NDC,44206043820,PRIVIGEN 20 GM/200ML IV SOLN,15288.39,15288.39,,,0 NDC,44206043940,PRIVIGEN 40 GM/400ML IV SOLN,26968.14,26968.14,,,0 NDC,44567010310,AMPICILLIN SODIUM 2 G IJ SOLR,90.82,90.82,,,0 NDC,44567021110,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,187.15,187.15,,,0 NDC,44567040010,MEROPENEM 500 MG IV SOLR,217.33,217.33,,,0 NDC,44567042024,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,128.34,128.34,,,0 NDC,44567042124,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,124.41,124.41,,,0 NDC,44567042424,MAGNESIUM SULFATE 4 GM/50ML IV SOLN,113.43,113.43,,,0 NDC,44567043524,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,95.22,95.22,,,0 NDC,44567043624,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,156.86,156.86,,,0 NDC,44567043724,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,126.24,126.24,,,0 NDC,44567050110,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,117.99,117.99,,,0 NDC,44567050190,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,87.82,87.82,,,0 NDC,44567050210,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,153.18,153.18,,,0 NDC,44567050310,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,202.86,202.86,,,0 NDC,44567061010,MIDAZOLAM-SODIUM CHLORIDE 50-0.9 MG/50ML-% IV SOLN,477.55,477.55,,,0 NDC,44567061110,MIDAZOLAM-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,565.47,565.47,,,0 NDC,44567062024,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,161.46,161.46,,,0 NDC,44567062124,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN,225.06,225.06,,,0 NDC,44567070025,CEFTRIAXONE SODIUM 500 MG IJ SOLR,65.49,65.49,,,0 NDC,44567070125,CEFTRIAXONE SODIUM 1 G IJ SOLR,44.33,44.33,,,0 NDC,44567070195,CEFTRIAXONE SODIUM 1 G IJ SOLR,80.0,80.0,,,0 NDC,44567080210,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,88.33,88.33,,,0 NDC,44567080310,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,92.34,92.34,,,0 NDC,44567081110,ESMOLOL HCL 2500 MG/250ML IV SOLN,1138.94,1138.94,,,0 NDC,44567084025,CEFAZOLIN SODIUM 2 G IV SOLR,168.57,168.57,,,0 NDC,45802004811,NYSTATIN 100000 UNIT/GM EX OINT,206.83,206.83,,,0 NDC,45802005535,TRIAMCINOLONE ACETONIDE 0.1 % EX OINT,74.74,74.74,,,0 NDC,45802005911,NYSTATIN 100000 UNIT/GM EX CREA,206.83,206.83,,,0 NDC,45802005935,NYSTATIN 100000 UNIT/GM EX CREA,129.01,129.01,,,0 NDC,45802006001,BACITRACIN 500 UNIT/GM EX OINT,42.42,42.42,,,0 NDC,45802006003,BACITRACIN 500 UNIT/GM EX OINT,62.94,62.94,,,0 NDC,45802006070,BACITRACIN 500 UNIT/GM EX OINT,6.14,6.14,,,0 NDC,45802006435,TRIAMCINOLONE ACETONIDE 0.1 % EX CREA,52.05,52.05,,,0 NDC,45802006535,TRIAMCINOLONE ACETONIDE 0.5 % EX CREA,119.28,119.28,,,0 NDC,45802011222,MUPIROCIN 2 % EX OINT,177.2,177.2,,,0 NDC,45802014301,TRIPLE ANTIBIOTIC 3.5-400-5000 EX OINT,70.47,70.47,,,0 NDC,45802014303,TRIPLE ANTIBIOTIC 3.5-400-5000 EX OINT,90.31,90.31,,,0 NDC,45802014370,TRIPLE ANTIBIOTIC 3.5-400-5000 EX OINT,6.62,6.62,,,0 NDC,45802021001,NITROGLYCERIN 0.4 MG/SPRAY TL SOLN,1605.23,1605.23,,,0 NDC,45802024414,NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% EX OINT,115.7,115.7,,,0 NDC,45802027603,HYDROCORTISONE 1 % EX OINT,72.52,72.52,,,0 NDC,45802035758,SALINE NASAL SPRAY 0.65 % NA SOLN,39.58,39.58,,,0 NDC,45802035803,DIPHENHYDRAMINE-ZINC ACETATE 2-0.1 % EX CREA,52.0,52.0,,,0 NDC,45802041059,OXYMETAZOLINE HCL 0.05 % NA SOLN,49.85,49.85,,,0 NDC,45802043321,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5ML PO SUER,16.76,16.76,,,0 NDC,45802043401,CLOTRIMAZOLE 1 % EX CREA,98.29,98.29,,,0 NDC,45802043803,HYDROCORTISONE 1 % EX CREA,61.58,61.58,,,0 NDC,45802086801,POLYETHYLENE GLYCOL 3350 17 GM/SCOOP PO POWD,55.45,55.45,,,0 NDC,45802095301,DICLOFENAC SODIUM 1 % EX GEL,225.26,225.26,,,0 NDC,45963043965,CONSTULOSE 10 GM/15ML PO SOLN,88.96,88.96,,,0 NDC,45963060756,VINORELBINE TARTRATE 50 MG/5ML IV SOLN,828.28,828.28,,,0 NDC,45963061455,IRINOTECAN HCL 100 MG/5ML IV SOLN,189.08,189.08,,,0 NDC,45963073360,DOXORUBICIN HCL 2 MG/ML IV SOLN,325.54,325.54,,,0 NDC,46122016510,GNP NASAL SPRAY 0.05 % NA SOLN,46.92,46.92,,,0 NDC,46122020326,GNP ALL DAY ALLERGY CHILDRENS 1 MG/ML PO SOLN,3.93,3.93,,,0 NDC,46122041403,GNP TRIPLE ANTIBIOTIC EX OINT,65.23,65.23,,,0 NDC,46122041405,GNP TRIPLE ANTIBIOTIC EX OINT,60.37,60.37,,,0 NDC,46122043340,GNP ANTACID REGULAR STRENGTH 200-200-20 MG/5ML PO SUSP,5.5,5.5,,,0 NDC,46122043440,GNP ANTACID & ANTI-GAS 200-200-20 MG/5ML PO SUSP,11.54,11.54,,,0 NDC,46122054703,GNP INFANT GAS RELIEF 20 MG/0.3ML PO SUSP,4.27,4.27,,,0 NDC,46122055705,GNP EARWAX REMOVAL DROPS 6.5 % OT SOLN,43.25,43.25,,,0 NDC,46122061410,GNP LIDOCAINE PAIN RELIEVING 4 % EX CREA,91.38,91.38,,,0 NDC,46122064654,GNP ARTHRITIS PAIN 1 % EX GEL,235.5,235.5,,,0 NDC,46122068435,GNP FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP,205.33,205.33,,,0 NDC,46122074038,GNP MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN,211.79,211.79,,,0 NDC,46122074138,GNP MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN,211.79,211.79,,,0 NDC,46122075252,GNP DICLOFENAC SODIUM 1 % EX GEL,204.78,204.78,,,0 NDC,46287000660,SPS (SODIUM POLYSTYRENE SULF) 15 GM/60ML CO SUSP,299.69,299.69,,,0 NDC,47335004940,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,3998.84,3998.84,,,0 NDC,47335005040,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,9997.09,9997.09,,,0 NDC,47335075652,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,9.03,9.03,,,0 NDC,47335099301,METRONIDAZOLE 500 MG/100ML IV SOLN,87.82,87.82,,,0 NDC,47426020101,CINVANTI 130 MG/18ML IV EMUL,2279.9,2279.9,,,0 NDC,47426030102,ZYNRELEF 400-12 MG/14ML IJ SOLN,1430.59,1430.59,,,0 NDC,47426030301,ZYNRELEF 200-6 MG/7ML IJ SOLN,1349.57,1349.57,,,0 NDC,48433020230,MINERAL OIL PO OIL,14.54,14.54,,,0 NDC,48433021940,SENNA 8.8 MG/5ML PO SYRP UNIT DOSE,63.75,63.75,,,0 NDC,48433023015,IODINE STRONG 5 % PO SOLN,27.37,27.37,,,0 NDC,48582080220,BIOTENE DRY MOUTH MT LIQD,75.29,75.29,,,0 NDC,49281012465,FLUZONE HIGH-DOSE 0.5 ML IM SUSY,1276.11,1276.11,,,0 NDC,49281021510,TENIVAC 5-2 LFU IM INJ,720.41,720.41,,,0 NDC,49281021515,TENIVAC 5-2 LFU IM INJ,720.41,720.41,,,0 NDC,49281040010,ADACEL 5-2-15.5 LF-MCG/0.5 IM SUSP,879.17,879.17,,,0 NDC,49281040020,ADACEL 5-2-15.5 LF-MCG/0.5 IM SUSP,879.19,879.19,,,0 NDC,49281042450,FLUZONE 0.5 ML IM SUSY,359.36,359.36,,,0 NDC,49281059005,MENQUADFI 0.5 ML IM SOLN,1599.83,1599.83,,,0 NDC,49281072410,FLUBLOK 0.5 ML IM SOSY,1274.22,1274.22,,,0 NDC,49281075221,TUBERSOL 5 UNIT/0.1ML ID SOLN,196.17,196.17,,,0 NDC,49281075222,TUBERSOL 5 UNIT/0.1ML ID SOLN,226.62,226.62,,,0 NDC,49502060530,PERFOROMIST 20 MCG/2ML IN NEBU,159.25,159.25,,,0 NDC,49502060561,PERFOROMIST 20 MCG/2ML IN NEBU,160.96,160.96,,,0 NDC,50190014263,NEBUSAL 3 % IN NEBU,26.17,26.17,,,0 NDC,50227103005,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN,768.76,768.76,,,0 NDC,50242004110,CATHFLO ACTIVASE 2 MG IJ SOLR,1737.62,1737.62,,,0 NDC,50242004164,CATHFLO ACTIVASE 2 MG IJ SOLR,1737.73,1737.73,,,0 NDC,50242005306,RITUXAN 500 MG/50ML IV SOLN,26694.73,26694.73,,,0 NDC,50242006001,AVASTIN 100 MG/4ML IV SOLN,12055.61,12055.61,,,0 NDC,50242006101,AVASTIN 400 MG/16ML IV SOLN,18114.8,18114.8,,,0 NDC,50242007001,GAZYVA 1000 MG/40ML IV SOLN,11209.71,11209.71,,,0 NDC,50242010040,PULMOZYME 2.5 MG/2.5ML IN SOLN,1326.9,1326.9,,,0 NDC,50242010801,RITUXAN HYCELA 1400-23400 MG -UT/11.7ML SC SOLN,29573.83,29573.83,,,0 NDC,50242013501,ACTEMRA 80 MG/4ML IV SOLN,1246.17,1246.17,,,0 NDC,50242013601,ACTEMRA 200 MG/10ML IV SOLN,1246.17,1246.17,,,0 NDC,50242013701,ACTEMRA 400 MG/20ML IV SOLN,8711.05,8711.05,,,0 NDC,50242014501,PERJETA 420 MG/14ML IV SOLN,38758.11,38758.11,,,0 NDC,50242015001,OCREVUS 300 MG/10ML IV SOLN,202302.14,202302.14,,,0 NDC,50242021401,XOLAIR 75 MG/0.5ML SC SOSY,6960.92,6960.92,,,0 NDC,50242021403,XOLAIR 75 MG/0.5ML SC SOSY,7346.27,7346.27,,,0 NDC,50242021501,XOLAIR 150 MG/ML SC SOSY,11956.74,11956.74,,,0 NDC,50242021503,XOLAIR 150 MG/ML SC SOSY,29385.08,29385.08,,,0 NDC,50242024501,PHESGO 80-40-2000 MG-MG-U/ML SC SOLN,59840.38,59840.38,,,0 NDC,50242026001,PHESGO 60-60-2000 MG-MG-U/ML SC SOLN,92109.24,92109.24,,,0 NDC,50242091701,TECENTRIQ 1200 MG/20ML IV SOLN,51441.59,51441.59,,,0 NDC,50242091801,TECENTRIQ 840 MG/14ML IV SOLN,50327.94,50327.94,,,0 NDC,50268004315,ARTIFICIAL TEARS OP SOLN,194.54,194.54,,,0 NDC,50268033624,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN,60.57,60.57,,,0 NDC,50268056815,MUPIROCIN 2 % EX OINT,91.09,91.09,,,0 NDC,50268067815,POLYVINYL ALCOHOL 1.4 % OP SOLN,249.32,249.32,,,0 NDC,50268074514,SUCRALFATE 1 GM/10ML PO SUSP UNIT DOSE,81.33,81.33,,,0 NDC,50419032005,EOVIST 0.25 MMOL/ML IV SOLN,678.52,678.52,,,0 NDC,50419032511,GADAVIST 1 MMOL/ML IV SOLN,4.49,4.49,,,0 NDC,50419032512,GADAVIST 1 MMOL/ML IV SOLN,197.59,197.59,,,0 NDC,50419032513,GADAVIST 1 MMOL/ML IV SOLN,275.8,275.8,,,0 NDC,50484001030,SANTYL 250 UNIT/GM EX OINT,1464.66,1464.66,,,0 NDC,51552005106,ACETIC ACID 3 % SOLN,1.74,1.74,,,0 NDC,51672125801,CLOBETASOL PROPIONATE 0.05 % EX CREA,299.49,299.49,,,0 NDC,51672125802,CLOBETASOL PROPIONATE 0.05 % EX CREA,242.66,242.66,,,0 NDC,51672126302,NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% EX CREA,175.09,175.09,,,0 NDC,51672127502,CLOTRIMAZOLE 1 % EX CREA,202.73,202.73,,,0 NDC,51672128202,TRIAMCINOLONE ACETONIDE 0.1 % EX CREA,98.29,98.29,,,0 NDC,51672129802,KETOCONAZOLE 2 % EX CREA,290.79,290.79,,,0 NDC,51672131200,MUPIROCIN 2 % EX OINT,82.59,82.59,,,0 NDC,51672138601,FLUOCINONIDE 0.05 % EX CREA,270.31,270.31,,,0 NDC,51672200201,CLOTRIMAZOLE 1 % EX CREA,84.3,84.3,,,0 NDC,51672201301,HYDROCORTISONE 1 % EX CREA,70.76,70.76,,,0 NDC,51672201302,HYDROCORTISONE 1 % EX CREA,102.74,102.74,,,0 NDC,51672203506,7 DAY VAGINAL 2 % VA CREA,118.26,118.26,,,0 NDC,51672207501,BACITRACIN ZINC 500 UNIT/GM EX OINT,92.99,92.99,,,0 NDC,51672207502,BACITRACIN ZINC 500 UNIT/GM EX OINT,85.3,85.3,,,0 NDC,51672208902,ANTI-ITCH 2-0.1 % EX CREA,77.54,77.54,,,0 NDC,51672302009,LIDOCAINE 5 % EX OINT,166.92,166.92,,,0 NDC,51672404801,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA,287.58,287.58,,,0 NDC,51672411606,METRONIDAZOLE 0.75 % EX GEL,285.35,285.35,,,0 NDC,52268001201,SUPREP BOWEL PREP KIT 17.5-3.13-1.6 GM/177ML PO SOLN,321.49,321.49,,,0 NDC,52268010001,GOLYTELY 236 G PO SOLR,275.2,275.2,,,0 NDC,53329001311,MINERAL OIL RE ENEM,90.79,90.79,,,0 NDC,53329008701,TRIPLE ANTIBIOTIC 3.5-400-5000 EX OINT,79.11,79.11,,,0 NDC,54288010001,ZOLEDRONIC ACID 4 MG/5ML IV CONC,148.62,148.62,,,0 NDC,54288011105,HYOSCYAMINE SULFATE 0.5 MG/ML IJ SOLN,1491.61,1491.61,,,0 NDC,54288012301,EPINEPHRINE HCL (NASAL) 0.1 % NA SOLN,599.34,599.34,,,0 NDC,54288013710,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,854.46,854.46,,,0 NDC,54288014210,PAPAVERINE HCL 30 MG/ML IJ SOLN,281.51,281.51,,,0 NDC,54288016701,CARBOPLATIN 600 MG/60ML IV SOLN,686.78,686.78,,,0 NDC,54838050615,HYOSYNE 0.125 MG/ML PO SOLN,26.79,26.79,,,0 NDC,55111067802,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,222.24,222.24,,,0 NDC,55111068507,ZOLEDRONIC ACID 4 MG/5ML IV CONC,102.7,102.7,,,0 NDC,55111068852,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,259.16,259.16,,,0 NDC,55111069407,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,173.4,173.4,,,0 NDC,55150011420,AMPICILLIN SODIUM 2 G IJ SOLR,86.77,86.77,,,0 NDC,55150011710,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,97.0,97.0,,,0 NDC,55150011720,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,97.0,97.0,,,0 NDC,55150011930,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR,73.44,73.44,,,0 NDC,55150012030,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,78.74,78.74,,,0 NDC,55150012150,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,133.55,133.55,,,0 NDC,55150012502,ONDANSETRON HCL 4 MG/2ML IJ SOLN,77.36,77.36,,,0 NDC,55150016102,LIDOCAINE HCL (PF) 1 % IJ SOLN,34.71,34.71,,,0 NDC,55150016205,LIDOCAINE HCL (PF) 1 % IJ SOLN,5.38,5.38,,,0 NDC,55150016330,LIDOCAINE HCL (PF) 1 % IJ SOLN,43.02,43.02,,,0 NDC,55150016505,LIDOCAINE HCL (PF) 2 % IJ SOLN,16.0,16.0,,,0 NDC,55150016710,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,45.81,45.81,,,0 NDC,55150016830,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,111.25,111.25,,,0 NDC,55150016910,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,103.98,103.98,,,0 NDC,55150017030,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,69.51,69.51,,,0 NDC,55150017110,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,41.79,41.79,,,0 NDC,55150017305,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,165.66,165.66,,,0 NDC,55150017410,AZITHROMYCIN 500 MG IV SOLR,83.24,83.24,,,0 NDC,55150017705,LEVETIRACETAM 500 MG/5ML IV SOLN,45.9,45.9,,,0 NDC,55150018310,NICARDIPINE HCL 2.5 MG/ML IV SOLN,291.18,291.18,,,0 NDC,55150019183,IBANDRONATE SODIUM 3 MG/3ML IV SOLN,1708.58,1708.58,,,0 NDC,55150019301,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,1728.96,1728.96,,,0 NDC,55150019410,ESMOLOL HCL 100 MG/10ML IV SOLN,4.22,4.22,,,0 NDC,55150020210,PANTOPRAZOLE SODIUM 40 MG IV SOLR,159.93,159.93,,,0 NDC,55150020720,MEROPENEM 500 MG IV SOLR,126.81,126.81,,,0 NDC,55150021910,EPTIFIBATIDE 20 MG/10ML IV SOLN,373.62,373.62,,,0 NDC,55150022310,METHOCARBAMOL 1000 MG/10ML IJ SOLN,71.91,71.91,,,0 NDC,55150023010,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,137.39,137.39,,,0 NDC,55150023930,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML IJ SOLN,15.48,15.48,,,0 NDC,55150024447,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,73.18,73.18,,,0 NDC,55150024747,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,275.53,275.53,,,0 NDC,55150024950,BUPIVACAINE HCL 0.25 % IJ SOLN,2.89,2.89,,,0 NDC,55150025050,BUPIVACAINE HCL 0.5 % IJ SOLN,5.77,5.77,,,0 NDC,55150025110,LIDOCAINE HCL 1 % IJ SOLN,3.32,3.32,,,0 NDC,55150025220,LIDOCAINE HCL 1 % IJ SOLN,61.55,61.55,,,0 NDC,55150025410,LIDOCAINE HCL 2 % IJ SOLN,6.47,6.47,,,0 NDC,55150030110,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,139.88,139.88,,,0 NDC,55150030425,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN,50.38,50.38,,,0 NDC,55150030724,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,117.09,117.09,,,0 NDC,55150031925,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN,279.61,279.61,,,0 NDC,55150032225,FUROSEMIDE 10 MG/ML IJ SOLN,17.92,17.92,,,0 NDC,55150032325,FUROSEMIDE 10 MG/ML IJ SOLN,39.34,39.34,,,0 NDC,55150032710,NALOXONE HCL 0.4 MG/ML IJ SOLN,268.08,268.08,,,0 NDC,55150033501,CARBOPLATIN 450 MG/45ML IV SOLN,1084.67,1084.67,,,0 NDC,55150033701,BORTEZOMIB 3.5 MG IJ SOLR,2637.58,2637.58,,,0 NDC,55150035401,IRINOTECAN HCL 300 MG/15ML IV SOLN,218.46,218.46,,,0 NDC,55150037025,VASOPRESSIN 20 UNIT/ML IV SOLN,274.03,274.03,,,0 NDC,55150038601,CARBOPLATIN 600 MG/60ML IV SOLN,203.45,203.45,,,0 NDC,55150040025,HYDRALAZINE HCL 20 MG/ML IJ SOLN,227.18,227.18,,,0 NDC,55150040325,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,112.35,112.35,,,0 NDC,55150044301,REGADENOSON 0.4 MG/5ML IV SOLN,1435.55,1435.55,,,0 NDC,55513002104,ARANESP (ALBUMIN FREE) 40 MCG/0.4ML IJ SOSY,1656.02,1656.02,,,0 NDC,55513002304,ARANESP (ALBUMIN FREE) 60 MCG/0.3ML IJ SOSY,2484.05,2484.05,,,0 NDC,55513002504,ARANESP (ALBUMIN FREE) 100 MCG/0.5ML IJ SOSY,1656.02,1656.02,,,0 NDC,55513002704,ARANESP (ALBUMIN FREE) 150 MCG/0.3ML IJ SOSY,6210.08,6210.08,,,0 NDC,55513002801,ARANESP (ALBUMIN FREE) 200 MCG/0.4ML IJ SOSY,8280.14,8280.14,,,0 NDC,55513003201,ARANESP (ALBUMIN FREE) 500 MCG/ML IJ SOSY,22008.63,22008.63,,,0 NDC,55513011101,ARANESP (ALBUMIN FREE) 300 MCG/0.6ML IJ SOSY,6210.08,6210.08,,,0 NDC,55513012301,TEZSPIRE 210 MG/1.91ML SC SOAJ,48505.85,48505.85,,,0 NDC,55513014410,EPOGEN 10000 UNIT/ML IJ SOLN,1660.22,1660.22,,,0 NDC,55513014810,EPOGEN 4000 UNIT/ML IJ SOLN,1540.39,1540.39,,,0 NDC,55513019001,NEULASTA 6 MG/0.6ML SC SOSY,49183.48,49183.48,,,0 NDC,55513019201,NEULASTA ONPRO 6 MG/0.6ML SC PSKT,32753.56,32753.56,,,0 NDC,55513020601,MVASI 100 MG/4ML IV SOLN,3570.84,3570.84,,,0 NDC,55513020701,MVASI 400 MG/16ML IV SOLN,7141.58,7141.58,,,0 NDC,55513020991,NEUPOGEN 480 MCG/0.8ML IJ SOSY,5358.0,5358.0,,,0 NDC,55513022401,RIABNI 100 MG/10ML IV SOLN,10233.09,10233.09,,,0 NDC,55513028310,EPOGEN 10000 UNIT/ML IJ SOLN,2484.84,2484.84,,,0 NDC,55513032601,RIABNI 500 MG/50ML IV SOLN,25582.2,25582.2,,,0 NDC,55513047810,EPOGEN 20000 UNIT/ML IJ SOLN,3346.59,3346.59,,,0 NDC,55513071021,PROLIA 60 MG/ML SC SOSY,18926.98,18926.98,,,0 NDC,55513073001,XGEVA 120 MG/1.7ML SC SOLN,34812.25,34812.25,,,0 NDC,55513088002,EVENITY 105 MG/1.17ML SC SOSY,24054.32,24054.32,,,0 NDC,55513092491,NEUPOGEN 300 MCG/0.5ML IJ SOSY,3367.85,3367.85,,,0 NDC,55513095401,VECTIBIX 100 MG/5ML IV SOLN,19072.64,19072.64,,,0 NDC,55513095601,VECTIBIX 400 MG/20ML IV SOLN,38145.17,38145.17,,,0 NDC,55513099802,EVENITY 105 MG/1.17ML SC SOSY,27275.66,27275.66,,,0 NDC,55566230000,DDAVP 4 MCG/ML IJ SOLN,2437.54,2437.54,,,0 NDC,55566410001,EUFLEXXA 20 MG/2ML IX SOSY,1746.98,1746.98,,,0 NDC,56151162501,TRUEPLUS GLUCOSE 15 GM/32ML PO GEL,63.71,63.71,,,0 NDC,57237031631,ALUM & MAG HYDROXIDE-SIMETH 1200-1200-120 MG/30ML PO SUSP,34.74,34.74,,,0 NDC,57664068357,LINEZOLID 600 MG/300ML IV SOLN,249.61,249.61,,,0 NDC,57894005427,STELARA 130 MG/26ML IV SOLN,86608.31,86608.31,,,0 NDC,57894035001,SIMPONI ARIA 50 MG/4ML IV SOLN,5041.56,5041.56,,,0 NDC,57894050101,RYBREVANT 350 MG/7ML IV SOLN,52464.6,52464.6,,,0 NDC,57894050301,DARZALEX FASPRO 1800-30000 MG-UT/15ML SC SOLN,51807.49,51807.49,,,0 NDC,57894050505,DARZALEX 100 MG/5ML IV SOLN,23349.06,23349.06,,,0 NDC,57894050520,DARZALEX 400 MG/20ML IV SOLN,17542.01,17542.01,,,0 NDC,57896014514,BACITRACIN ZINC 500 UNIT/GM EX OINT,2.41,2.41,,,0 NDC,57896018105,ARTIFICIAL TEARS 0.2-0.2-1 % OP SOLN,68.17,68.17,,,0 NDC,57896047208,SENNA 8.8 MG/5ML PO SYRP UNIT DOSE,14.29,14.29,,,0 NDC,57896062912,GERI-LANTA 200-200-20 MG/5ML PO SUSP,1.85,1.85,,,0 NDC,57896063912,GERI-MOX 200-200-20 MG/5ML PO SUSP,11.54,11.54,,,0 NDC,58160081552,TWINRIX 720-20 ELU-MCG/ML IM SUSY,1844.03,1844.03,,,0 NDC,58160082052,ENGERIX-B 10 MCG/0.5ML IJ SUSY,743.66,743.66,,,0 NDC,58160082152,ENGERIX-B 20 MCG/ML IJ SUSY,935.97,935.97,,,0 NDC,58160082652,HAVRIX 1440 EL U/ML IM SUSP,628.84,628.84,,,0 NDC,58160084252,BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 IM SUSY,696.59,696.59,,,0 NDC,58160088452,FLUARIX 0.5 ML IM SUSY,267.99,267.99,,,0 NDC,58160097620,BEXSERO 0.5 ML IM SUSY,1658.11,1658.11,,,0 NDC,58468009001,SYNVISC 16 MG/2ML IX SOSY,2303.78,2303.78,,,0 NDC,58468009003,SYNVISC ONE 48 MG/6ML IX SOSY,1542.39,1542.39,,,0 NDC,58602060407,DICLOFENAC SODIUM 1 % EX GEL,273.04,273.04,,,0 NDC,59338077501,FERAHEME 510 MG/17ML IV SOLN,2607.31,2607.31,,,0 NDC,59365606501,ASTRINGYN 259 MG/GM EX SOLN,277.96,277.96,,,0 NDC,59651021430,AZELASTINE HCL 137 MCG/SPRAY NA SOLN,307.17,307.17,,,0 NDC,59676030401,PROCRIT 4000 UNIT/ML IJ SOLN,1489.77,1489.77,,,0 NDC,59676031001,PROCRIT 10000 UNIT/ML IJ SOLN,1359.15,1359.15,,,0 NDC,59676032004,PROCRIT 20000 UNIT/ML IJ SOLN,1624.47,1624.47,,,0 NDC,59676034001,PROCRIT 40000 UNIT/ML IJ SOLN,2912.93,2912.93,,,0 NDC,59676036001,ORTHOVISC 30 MG/2ML IX SOSY,1179.0,1179.0,,,0 NDC,59676082001,MONOVISC 88 MG/4ML IX SOSY,6069.81,6069.81,,,0 NDC,59762013102,SILVER SULFADIAZINE 1 % EX CREA,232.08,232.08,,,0 NDC,59762033302,LATANOPROST 0.005 % OP SOLN,77.82,77.82,,,0 NDC,60219157305,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,195.43,195.43,,,0 NDC,60219157405,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,166.64,166.64,,,0 NDC,60219174802,ATROPINE SULFATE 1 % OP SOLN,611.91,611.91,,,0 NDC,60219174903,ATROPINE SULFATE 1 % OP SOLN,745.07,745.07,,,0 NDC,60432046400,LIDOCAINE VISCOUS HCL 2 % MT SOLN,26.35,26.35,,,0 NDC,60432046551,LIDOCAINE HCL 4 % EX SOLN,545.51,545.51,,,0 NDC,60505056000,OFLOXACIN 0.3 % OP SOLN,249.83,249.83,,,0 NDC,60505056401,BRIMONIDINE TARTRATE 0.15 % OP SOLN,672.53,672.53,,,0 NDC,60505058204,MOXIFLOXACIN HCL 0.5 % OP SOLN,728.43,728.43,,,0 NDC,60505081500,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN,877.67,877.67,,,0 NDC,60505082306,CALCITONIN (SALMON) 200 UNIT/ACT NA SOLN,648.11,648.11,,,0 NDC,60505082601,IPRATROPIUM BROMIDE 0.03 % NA SOLN,279.52,279.52,,,0 NDC,60505082701,IPRATROPIUM BROMIDE 0.06 % NA SOLN,279.52,279.52,,,0 NDC,60505082901,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP,211.88,211.88,,,0 NDC,60505083305,AZELASTINE HCL 0.1 % NA SOLN,193.52,193.52,,,0 NDC,60505100301,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,174.4,174.4,,,0 NDC,60505609700,IBANDRONATE SODIUM 3 MG/3ML IV SOLN,1173.34,1173.34,,,0 NDC,60505611600,REGADENOSON 0.4 MG/5ML IV SOLN,1513.01,1513.01,,,0 NDC,60505612800,IRINOTECAN HCL 40 MG/2ML IV SOLN,100.11,100.11,,,0 NDC,60505612801,IRINOTECAN HCL 100 MG/5ML IV SOLN,98.67,98.67,,,0 NDC,60505613005,ONDANSETRON HCL 4 MG/2ML IJ SOLN,15.3,15.3,,,0 NDC,60505613206,OXALIPLATIN 50 MG/10ML IV SOLN,24.4,24.4,,,0 NDC,60505613207,OXALIPLATIN 100 MG/20ML IV SOLN,19.58,19.58,,,0 NDC,60505615201,CEFTRIAXONE SODIUM 500 MG IJ SOLR,43.72,43.72,,,0 NDC,60505615604,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR,81.1,81.1,,,0 NDC,60505615704,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,99.75,99.75,,,0 NDC,60505615904,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,103.51,103.51,,,0 NDC,60505619301,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,130.97,130.97,,,0 NDC,60505619604,ERTAPENEM SODIUM 1 G IJ SOLR,534.47,534.47,,,0 NDC,60505622600,ATROPINE SULFATE 1 % OP SOLN,328.8,328.8,,,0 NDC,60505623105,CEFAZOLIN SODIUM 2 G IJ SOLR,139.09,139.09,,,0 NDC,60505623606,DEFEROXAMINE MESYLATE 500 MG IJ SOLR (95 MG/ML WET VIAL),392.26,392.26,,,0 NDC,60687024977,LEVETIRACETAM 100 MG/ML PO SOLN UNIT DOSE,91.85,91.85,,,0 NDC,60687025286,ONDANSETRON HCL 4 MG/5ML PO SOLN UNIT DOSE,138.36,138.36,,,0 NDC,60687039483,IPRATROPIUM BROMIDE 0.02 % IN SOLN,12.94,12.94,,,0 NDC,60687039583,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,6.05,6.05,,,0 NDC,60687040583,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,16.25,16.25,,,0 NDC,60687041771,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN UNIT DOSE,41.51,41.51,,,0 NDC,60687042976,MILK OF MAGNESIA 400 MG/5ML PO SUSP,12.58,12.58,,,0 NDC,60687052483,BUDESONIDE 0.5 MG/2ML IN SUSP,112.56,112.56,,,0 NDC,60687057686,MIDAZOLAM HCL 2 MG/ML PO SYRP UNIT DOSE,29.68,29.68,,,0 NDC,60687062807,POTASSIUM CHLORIDE 20 MEQ/15ML (10%) PO SOLN UNIT DOSE,62.9,62.9,,,0 NDC,60687073856,SUCRALFATE 1 GM/10ML PO SUSP UNIT DOSE,77.52,77.52,,,0 NDC,60687074037,ACETAMINOPHEN 650 MG/20.3ML PO SOLN,20.29,20.29,,,0 NDC,60687080017,NYSTATIN 100000 UNIT/ML MT SUSP BULK,22.98,22.98,,,0 NDC,60758011905,PREDNISOLONE ACETATE 1 % OP SUSP,428.95,428.95,,,0 NDC,60758018805,GENTAMICIN SULFATE 0.3 % OP SOLN,136.18,136.18,,,0 NDC,60758077305,KETOROLAC TROMETHAMINE 0.4 % OP SOLN,648.09,648.09,,,0 NDC,60758080105,TIMOLOL MALEATE 0.5 % OP SOLN,170.65,170.65,,,0 NDC,60758088005,FLUOROMETHOLONE 0.1 % OP SUSP,815.57,815.57,,,0 NDC,60793070110,BICILLIN L-A 1200000 UNIT/2ML IM SUSY,3213.61,3213.61,,,0 NDC,60793070210,BICILLIN L-A 2400000 UNIT/4ML IM SUSY,6425.71,6425.71,,,0 NDC,61314001405,DICLOFENAC SODIUM 0.1 % OP SOLN,178.5,178.5,,,0 NDC,61314001601,PROPARACAINE HCL 0.5 % OP SOLN,457.39,457.39,,,0 NDC,61314001910,DORZOLAMIDE HCL 2 % OP SOLN,244.32,244.32,,,0 NDC,61314003002,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,341.48,341.48,,,0 NDC,61314004475,TRIFLURIDINE 1 % OP SOLN,2135.68,2135.68,,,0 NDC,61314012605,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,175.77,175.77,,,0 NDC,61314012610,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,203.29,203.29,,,0 NDC,61314014305,BRIMONIDINE TARTRATE 0.2 % OP SOLN,100.68,100.68,,,0 NDC,61314014310,BRIMONIDINE TARTRATE 0.2 % OP SOLN,127.3,127.3,,,0 NDC,61314014405,BRIMONIDINE TARTRATE 0.15 % OP SOLN,847.04,847.04,,,0 NDC,61314020315,PILOCARPINE HCL 1 % OP SOLN,715.56,715.56,,,0 NDC,61314020415,PILOCARPINE HCL 2 % OP SOLN,594.47,594.47,,,0 NDC,61314022705,TIMOLOL MALEATE 0.5 % OP SOLN,155.29,155.29,,,0 NDC,61314031810,ZARXIO 300 MCG/0.5ML IJ SOSY,1398.84,1398.84,,,0 NDC,61314032601,ZARXIO 480 MCG/0.8ML IJ SOSY,2238.22,2238.22,,,0 NDC,61314032610,ZARXIO 480 MCG/0.8ML IJ SOSY,2238.15,2238.15,,,0 NDC,61314035501,TROPICAMIDE 1 % OP SOLN,245.43,245.43,,,0 NDC,61314035502,TROPICAMIDE 1 % OP SOLN,154.61,154.61,,,0 NDC,61314039601,CYCLOPENTOLATE HCL 1 % OP SOLN,138.91,138.91,,,0 NDC,61314039603,CYCLOPENTOLATE HCL 1 % OP SOLN,285.16,285.16,,,0 NDC,61314054701,LATANOPROST 0.005 % OP SOLN,119.8,119.8,,,0 NDC,61314062810,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN,133.45,133.45,,,0 NDC,61314063006,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP SUSP,257.93,257.93,,,0 NDC,61314063136,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP OINT,331.73,331.73,,,0 NDC,61314063305,GENTAMICIN SULFATE 0.3 % OP SOLN,124.23,124.23,,,0 NDC,61314063705,PREDNISOLONE ACETATE 1 % OP SUSP,411.23,411.23,,,0 NDC,61314064610,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SOLN,726.98,726.98,,,0 NDC,61314065605,CIPROFLOXACIN HCL 0.3 % OP SOLN,120.48,120.48,,,0 NDC,61314065625,CIPROFLOXACIN HCL 0.3 % OP SOLN,140.62,140.62,,,0 NDC,61314067225,GATIFLOXACIN 0.5 % OP SOLN,764.09,764.09,,,0 NDC,61570013120,SILVADENE 1 % EX CREA,270.31,270.31,,,0 NDC,61570013125,SILVADENE 1 % EX CREA,168.94,168.94,,,0 NDC,61570013140,SILVADENE 1 % EX CREA,552.04,552.04,,,0 NDC,61570013150,SILVADENE 1 % EX CREA,320.82,320.82,,,0 NDC,61570013155,SILVADENE 1 % EX CREA,250.86,250.86,,,0 NDC,61703030538,CYTARABINE (PF) 20 MG/ML IJ SOLN,175.16,175.16,,,0 NDC,61703030906,VINCRISTINE SULFATE 1 MG/ML IV SOLN,489.22,489.22,,,0 NDC,61703032618,PAMIDRONATE DISODIUM 90 MG/10ML IV SOLN,553.71,553.71,,,0 NDC,61703033950,CARBOPLATIN 450 MG/45ML IV SOLN,343.71,343.71,,,0 NDC,61703033956,CARBOPLATIN 600 MG/60ML IV SOLN,2.72,2.72,,,0 NDC,61703034250,PACLITAXEL 300 MG/50ML IV CONC,85.13,85.13,,,0 NDC,61755000801,LIBTAYO 350 MG/7ML IV SOLN,50969.15,50969.15,,,0 NDC,62135071242,LIDOCAINE VISCOUS HCL 2 % MT SOLN,101.7,101.7,,,0 NDC,62332050503,MOXIFLOXACIN HCL 0.5 % OP SOLN,311.98,311.98,,,0 NDC,62332058204,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA,187.2,187.2,,,0 NDC,62332059925,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,81.36,81.36,,,0 NDC,62332060025,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,48.0,48.0,,,0 NDC,62332062250,PACLITAXEL 300 MG/50ML IV CONC,1342.82,1342.82,,,0 NDC,62332075150,FLUOROURACIL 2.5 GM/50ML IV SOLN,1176.63,1176.63,,,0 NDC,62332077931,FLUOROURACIL 5 GM/100ML IV SOLN,3291.58,3291.58,,,0 NDC,62559043130,HYDROCORTISONE (PERIANAL) 2.5 % EX CREA,241.64,241.64,,,0 NDC,62756042790,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP,1990.04,1990.04,,,0 NDC,62856038901,HALAVEN 1 MG/2ML IV SOLN,18266.45,18266.45,,,0 NDC,63323001002,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,9.27,9.27,,,0 NDC,63323001020,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,116.75,116.75,,,0 NDC,63323001094,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,46.6,46.6,,,0 NDC,63323001095,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,181.36,181.36,,,0 NDC,63323001302,THIAMINE HCL 100 MG/ML IJ SOLN,121.21,121.21,,,0 NDC,63323001326,THIAMINE HCL 100 MG/ML IJ SOLN,117.35,117.35,,,0 NDC,63323004401,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,81.48,81.48,,,0 NDC,63323004444,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,81.48,81.48,,,0 NDC,63323004710,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,64.09,64.09,,,0 NDC,63323006403,MAGNESIUM SULFATE 50 % IJ SOLN,76.49,76.49,,,0 NDC,63323006411,MAGNESIUM SULFATE 50 % IJ SOLN,21.86,21.86,,,0 NDC,63323006443,MAGNESIUM SULFATE 50 % IJ SOLN,78.53,78.53,,,0 NDC,63323008305,SODIUM BICARBONATE 4.2 % IV SOLN,108.41,108.41,,,0 NDC,63323008950,SODIUM BICARBONATE 8.4 % IV SOLN,9.62,9.62,,,0 NDC,63323010364,CISPLATIN 200 MG/200ML IV SOLN,687.1,687.1,,,0 NDC,63323010365,CISPLATIN 100 MG/100ML IV SOLN,752.95,752.95,,,0 NDC,63323010406,ETOPOSIDE 100 MG/5ML IV SOLN,358.74,358.74,,,0 NDC,63323010425,ETOPOSIDE 500 MG/25ML IV SOLN,598.47,598.47,,,0 NDC,63323010601,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,76.84,76.84,,,0 NDC,63323010605,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,82.04,82.04,,,0 NDC,63323010626,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,117.09,117.09,,,0 NDC,63323010705,MAGNESIUM SULFATE 4 GM/50ML IV SOLN,104.28,104.28,,,0 NDC,63323010801,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,73.18,73.18,,,0 NDC,63323010826,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,73.18,73.18,,,0 NDC,63323011710,FLUOROURACIL 500 MG/10ML IV SOLN,123.15,123.15,,,0 NDC,63323011718,FLUOROURACIL 500 MG/10ML IV SOLN,123.15,123.15,,,0 NDC,63323011720,FLUOROURACIL 1 GM/20ML IV SOLN,84.14,84.14,,,0 NDC,63323011751,FLUOROURACIL 2.5 GM/50ML IV SOLN,204.46,204.46,,,0 NDC,63323011761,FLUOROURACIL 5 GM/100ML IV SOLN,61.19,61.19,,,0 NDC,63323011805,HEPARIN SODIUM (PORCINE) 5000 UNIT/0.5ML IJ SOSY,74.42,74.42,,,0 NDC,63323014010,CLADRIBINE 10 MG/10ML IV SOLN,1355.97,1355.97,,,0 NDC,63323016101,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,26.8,26.8,,,0 NDC,63323016116,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,26.8,26.8,,,0 NDC,63323016201,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,13.79,13.79,,,0 NDC,63323016202,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,11.34,11.34,,,0 NDC,63323016216,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,27.58,27.58,,,0 NDC,63323016226,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,34.36,34.36,,,0 NDC,63323016501,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,12.98,12.98,,,0 NDC,63323016505,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,11.8,11.8,,,0 NDC,63323016516,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,25.97,25.97,,,0 NDC,63323016526,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,11.8,11.8,,,0 NDC,63323016530,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML IJ SOLN,39.34,39.34,,,0 NDC,63323017302,GENTAMICIN SULFATE 10 MG/ML IJ SOLN,138.29,138.29,,,0 NDC,63323018410,FOLIC ACID 5 MG/ML IJ SOLN,36.83,36.83,,,0 NDC,63323018610,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,24.48,24.48,,,0 NDC,63323020102,LIDOCAINE HCL 1 % IJ SOLN,82.02,82.02,,,0 NDC,63323020110,LIDOCAINE HCL 1 % IJ SOLN,21.25,21.25,,,0 NDC,63323020202,LIDOCAINE HCL 2 % IJ SOLN,12.32,12.32,,,0 NDC,63323020320,VANCOMYCIN HCL 750 MG IV SOLR,140.54,140.54,,,0 NDC,63323020326,VANCOMYCIN HCL 750 MG IV SOLR,142.39,142.39,,,0 NDC,63323020805,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN,103.61,103.61,,,0 NDC,63323022905,PROTAMINE SULFATE 10 MG/ML IV SOLN,87.12,87.12,,,0 NDC,63323022930,PROTAMINE SULFATE 10 MG/ML IV SOLN,153.1,153.1,,,0 NDC,63323022994,PROTAMINE SULFATE 10 MG/ML IV SOLN,43.63,43.63,,,0 NDC,63323022995,PROTAMINE SULFATE 10 MG/ML IV SOLN,122.48,122.48,,,0 NDC,63323026201,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,79.79,79.79,,,0 NDC,63323026929,DIPRIVAN 200 MG/20ML IV EMUL,1.0,1.0,,,0 NDC,63323026950,DIPRIVAN 500 MG/50ML IV EMUL,139.46,139.46,,,0 NDC,63323026959,DIPRIVAN 500 MG/50ML IV EMUL,139.64,139.64,,,0 NDC,63323026965,DIPRIVAN 1000 MG/100ML IV EMUL,281.16,281.16,,,0 NDC,63323026969,DIPRIVAN 1000 MG/100ML IV EMUL,5.71,5.71,,,0 NDC,63323026994,DIPRIVAN 200 MG/20ML IV EMUL,5.01,5.01,,,0 NDC,63323027601,HEPARIN SODIUM (PORCINE) PF 1000 UNIT/ML IJ SOLN,279.75,279.75,,,0 NDC,63323027602,HEPARIN SODIUM (PORCINE) PF 1000 UNIT/ML IJ SOLN,139.88,139.88,,,0 NDC,63323027810,VINBLASTINE SULFATE 1 MG/ML IV SOLN,1714.04,1714.04,,,0 NDC,63323028002,FUROSEMIDE 10 MG/ML IJ SOLN,10.8,10.8,,,0 NDC,63323028004,FUROSEMIDE 10 MG/ML IJ SOLN,12.59,12.59,,,0 NDC,63323028010,FUROSEMIDE 10 MG/ML IJ SOLN,15.91,15.91,,,0 NDC,63323028016,FUROSEMIDE 10 MG/ML IJ SOLN,21.6,21.6,,,0 NDC,63323028026,FUROSEMIDE 10 MG/ML IJ SOLN,25.7,25.7,,,0 NDC,63323028036,FUROSEMIDE 10 MG/ML IJ SOLN,19.41,19.41,,,0 NDC,63323028420,VANCOMYCIN HCL 1 G IV SOLR,81.7,81.7,,,0 NDC,63323028426,VANCOMYCIN HCL 1 G IV SOLR,150.83,150.83,,,0 NDC,63323028523,NAROPIN 2 MG/ML IJ SOLN,38.5,38.5,,,0 NDC,63323028528,NAROPIN 2 MG/ML IJ SOLN,176.79,176.79,,,0 NDC,63323028561,NAROPIN 2 MG/ML IJ SOLN,306.87,306.87,,,0 NDC,63323028623,NAROPIN 5 MG/ML IJ SOLN,160.64,160.64,,,0 NDC,63323028627,NAROPIN 5 MG/ML IJ SOLN,29.9,29.9,,,0 NDC,63323028631,NAROPIN 5 MG/ML IJ SOLN,217.62,217.62,,,0 NDC,63323028635,NAROPIN 5 MG/ML IJ SOLN,13.29,13.29,,,0 NDC,63323028638,NAROPIN 5 MG/ML IJ SOLN,77.36,77.36,,,0 NDC,63323028821,NAROPIN 10 MG/ML IJ SOLN,277.44,277.44,,,0 NDC,63323029427,POLOCAINE-MPF 2 % IJ SOLN,3.4,3.4,,,0 NDC,63323030602,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN,158.8,158.8,,,0 NDC,63323032524,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,102.52,102.52,,,0 NDC,63323036019,CALCIUM GLUCONATE 10 % IV SOLN,188.78,188.78,,,0 NDC,63323036059,CALCIUM GLUCONATE 10 % IV SOLN,205.81,205.81,,,0 NDC,63323036061,CALCIUM GLUCONATE 10 % IV SOLN,215.17,215.17,,,0 NDC,63323037604,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN,83.43,83.43,,,0 NDC,63323037701,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,269.2,269.2,,,0 NDC,63323037704,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,269.2,269.2,,,0 NDC,63323039810,AZITHROMYCIN 500 MG IV SOLR,81.94,81.94,,,0 NDC,63323039814,AZITHROMYCIN 500 MG IV SOLR,85.74,85.74,,,0 NDC,63323040044,LEVETIRACETAM 500 MG/5ML IV SOLN,69.94,69.94,,,0 NDC,63323041112,MIDAZOLAM HCL 2 MG/2ML IJ SOLN,11.21,11.21,,,0 NDC,63323041125,MIDAZOLAM HCL 5 MG/5ML IJ SOLN,22.6,22.6,,,0 NDC,63323041202,MIDAZOLAM HCL 10 MG/2ML IJ SOLN,150.31,150.31,,,0 NDC,63323041510,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,17.92,17.92,,,0 NDC,63323043400,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,44.27,44.27,,,0 NDC,63323045201,MORPHINE SULFATE (PF) 2 MG/ML IJ SOLN,69.46,69.46,,,0 NDC,63323045401,MORPHINE SULFATE (PF) 4 MG/ML IJ SOLN,121.72,121.72,,,0 NDC,63323046157,SENSORCAINE/EPINEPHRINE 0.25% -1:200000 IJ SOLN,181.62,181.62,,,0 NDC,63323046217,SENSORCAINE-MPF/EPINEPHRINE 0.5% -1:200000 IJ SOLN,90.09,90.09,,,0 NDC,63323046231,SENSORCAINE-MPF/EPINEPHRINE 0.5% -1:200000 IJ SOLN,168.83,168.83,,,0 NDC,63323046237,SENSORCAINE-MPF/EPINEPHRINE 0.5% -1:200000 IJ SOLN,87.62,87.62,,,0 NDC,63323046238,SENSORCAINE-MPF/EPINEPHRINE 0.5% -1:200000 IJ SOLN,75.62,75.62,,,0 NDC,63323046357,SENSORCAINE/EPINEPHRINE 0.5% -1:200000 IJ SOLN,370.31,370.31,,,0 NDC,63323046417,SENSORCAINE-MPF 0.25 % IJ SOLN,6.82,6.82,,,0 NDC,63323046437,SENSORCAINE-MPF 0.25 % IJ SOLN,11.37,11.37,,,0 NDC,63323046438,SENSORCAINE-MPF 0.25 % IJ SOLN,10.84,10.84,,,0 NDC,63323046557,SENSORCAINE 0.25 % IJ SOLN,73.79,73.79,,,0 NDC,63323046617,SENSORCAINE-MPF 0.5 % IJ SOLN,7.34,7.34,,,0 NDC,63323046637,SENSORCAINE-MPF 0.5 % IJ SOLN,5.68,5.68,,,0 NDC,63323046638,SENSORCAINE-MPF 0.5 % IJ SOLN,22.69,22.69,,,0 NDC,63323046639,SENSORCAINE-MPF 0.5 % IJ SOLN,7.71,7.71,,,0 NDC,63323046757,SENSORCAINE 0.5 % IJ SOLN,20.55,20.55,,,0 NDC,63323046817,SENSORCAINE-MPF/EPINEPHRINE 0.25% -1:200000 IJ SOLN,103.34,103.34,,,0 NDC,63323046837,SENSORCAINE-MPF/EPINEPHRINE 0.25% -1:200000 IJ SOLN,78.69,78.69,,,0 NDC,63323047237,SENSORCAINE-MPF 0.75 % IJ SOLN,14.34,14.34,,,0 NDC,63323047401,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN,12.62,12.62,,,0 NDC,63323047827,NESACAINE-MPF 3 % IJ SOLN,80.26,80.26,,,0 NDC,63323048157,XYLOCAINE/EPINEPHRINE 0.5 %-1:200000 IJ SOLN,109.07,109.07,,,0 NDC,63323048227,XYLOCAINE/EPINEPHRINE 1 %-1:100000 IJ SOLN,9.4,9.4,,,0 NDC,63323048257,XYLOCAINE/EPINEPHRINE 1 %-1:100000 IJ SOLN,13.85,13.85,,,0 NDC,63323048327,XYLOCAINE/EPINEPHRINE 2 %-1:100000 IJ SOLN,19.06,19.06,,,0 NDC,63323048357,XYLOCAINE/EPINEPHRINE 2 %-1:100000 IJ SOLN,70.38,70.38,,,0 NDC,63323048457,XYLOCAINE 0.5 % IJ SOLN,25.7,25.7,,,0 NDC,63323048526,XYLOCAINE 1 % IJ SOLN,20.98,20.98,,,0 NDC,63323048527,XYLOCAINE 1 % IJ SOLN,14.6,14.6,,,0 NDC,63323048557,XYLOCAINE 1 % IJ SOLN,4.55,4.55,,,0 NDC,63323048627,XYLOCAINE 2 % IJ SOLN,30.6,30.6,,,0 NDC,63323048657,XYLOCAINE 2 % IJ SOLN,11.37,11.37,,,0 NDC,63323048717,XYLOCAINE-MPF/EPINEPHRINE 1 %-1:200000 IJ SOLN,40.39,40.39,,,0 NDC,63323048731,XYLOCAINE-MPF/EPINEPHRINE 1 %-1:200000 IJ SOLN,129.69,129.69,,,0 NDC,63323048737,XYLOCAINE-MPF/EPINEPHRINE 1 %-1:200000 IJ SOLN,14.78,14.78,,,0 NDC,63323048917,XYLOCAINE-MPF/EPINEPHRINE 2 %-1:200000 IJ SOLN,138.43,138.43,,,0 NDC,63323048927,XYLOCAINE-MPF/EPINEPHRINE 2 %-1:200000 IJ SOLN,139.24,139.24,,,0 NDC,63323049157,XYLOCAINE-MPF 0.5 % IJ SOLN,128.92,128.92,,,0 NDC,63323049226,XYLOCAINE-MPF 1 % IJ SOLN,19.67,19.67,,,0 NDC,63323049231,XYLOCAINE-MPF 1 % IJ SOLN,125.85,125.85,,,0 NDC,63323049236,XYLOCAINE-MPF 1 % IJ SOLN,6.53,6.53,,,0 NDC,63323049237,XYLOCAINE-MPF 1 % IJ SOLN,1.38,1.38,,,0 NDC,63323049257,XYLOCAINE-MPF 1 % IJ SOLN,4.69,4.69,,,0 NDC,63323049297,XYLOCAINE-MPF 1 % IJ SOLN,120.74,120.74,,,0 NDC,63323049507,XYLOCAINE-MPF 2 % IJ SOLN,11.67,11.67,,,0 NDC,63323050601,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN,24.01,24.01,,,0 NDC,63323050616,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN,23.75,23.75,,,0 NDC,63323050720,MEROPENEM 500 MG IV SOLR,140.33,140.33,,,0 NDC,63323050725,MEROPENEM 500 MG IV SOLR,198.81,198.81,,,0 NDC,63323051610,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML IJ SOLN,14.48,14.48,,,0 NDC,63323051774,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,113.85,113.85,,,0 NDC,63323051877,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/500ML-% IV SOLN,144.9,144.9,,,0 NDC,63323052374,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,150.08,150.08,,,0 NDC,63323053075,SODIUM CHLORIDE 3 % IV SOLN,111.45,111.45,,,0 NDC,63323054001,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,121.5,121.5,,,0 NDC,63323054011,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,48.61,48.61,,,0 NDC,63323054015,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,104.41,104.41,,,0 NDC,63323054201,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN,24.83,24.83,,,0 NDC,63323054214,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN,201.78,201.78,,,0 NDC,63323054313,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML IJ SOLN,120.97,120.97,,,0 NDC,63323056497,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,172.1,172.1,,,0 NDC,63323057811,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,103.03,103.03,,,0 NDC,63323057812,GLYCOPYRROLATE 0.4 MG/2ML IJ SOLN,39.78,39.78,,,0 NDC,63323059710,DEFEROXAMINE MESYLATE 500 MG IJ SOLR (95 MG/ML WET VIAL),1591.94,1591.94,,,0 NDC,63323061401,HYDRALAZINE HCL 20 MG/ML IJ SOLN,24.7,24.7,,,0 NDC,63323061416,HYDRALAZINE HCL 20 MG/ML IJ SOLN,24.64,24.64,,,0 NDC,63323061603,AMIODARONE HCL 150 MG/3ML IV SOLN,132.4,132.4,,,0 NDC,63323061609,AMIODARONE HCL 450 MG/9ML IV SOLN,121.28,121.28,,,0 NDC,63323065102,ADENOSINE 6 MG/2ML IV SOLN,24.75,24.75,,,0 NDC,63323065104,ADENOSINE 12 MG/4ML IV SOLN,203.22,203.22,,,0 NDC,63323065210,ESMOLOL HCL 100 MG/10ML IV SOLN,118.1,118.1,,,0 NDC,63323065820,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,236.9,236.9,,,0 NDC,63323066401,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,6.69,6.69,,,0 NDC,63323066416,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,6.0,6.0,,,0 NDC,63323066501,TERBUTALINE SULFATE 1 MG/ML IJ SOLN,26.93,26.93,,,0 NDC,63323067389,PALONOSETRON HCL 0.25 MG/5ML IV SOSY,373.43,373.43,,,0 NDC,63323068310,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN,92.4,92.4,,,0 NDC,63323068810,POTASSIUM CHLORIDE IN NACL 40-0.9 MEQ/L-% IV SOLN,154.0,154.0,,,0 NDC,63323069404,ACETYLCYSTEINE 20 % IN SOLN,92.46,92.46,,,0 NDC,63323069444,ACETYLCYSTEINE 20 % IN SOLN,98.09,98.09,,,0 NDC,63323071050,LEUCOVORIN CALCIUM 200 MG IJ SOLR,1320.88,1320.88,,,0 NDC,63323071505,FULVESTRANT 250 MG/5ML IM SOSY,4346.1,4346.1,,,0 NDC,63323073912,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,23.96,23.96,,,0 NDC,63323073916,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,23.96,23.96,,,0 NDC,63323076350,PACLITAXEL 300 MG/50ML IV CONC,362.1,362.1,,,0 NDC,63323077810,METHOCARBAMOL 1000 MG/10ML IJ SOLN,197.99,197.99,,,0 NDC,63323080601,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN,33.0,33.0,,,0 NDC,63323080602,FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN,31.17,31.17,,,0 NDC,63323080605,FENTANYL CITRATE (PF) 250 MCG/5ML IJ SOLN,17.35,17.35,,,0 NDC,63323080650,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,192.19,192.19,,,0 NDC,63323080811,FENTANYL CITRATE PF 50 MCG/ML IJ SOSY,38.97,38.97,,,0 NDC,63323084202,DICYCLOMINE HCL 10 MG/ML IM SOLN,187.09,187.09,,,0 NDC,63323085325,HYDROMORPHONE HCL PF 2 MG/ML IJ SOLN,9.52,9.52,,,0 NDC,63323092410,SALINE BACTERIOSTATIC 0.9 % IJ SOLN,26.93,26.93,,,0 NDC,63323093001,VASOPRESSIN 20 UNIT/ML IV SOLN,202.47,202.47,,,0 NDC,63323096330,ACETYLCYSTEINE 200 MG/ML IV SOLN,219.11,219.11,,,0 NDC,63323096505,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,87.51,87.51,,,0 NDC,63323096510,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,27.59,27.59,,,0 NDC,63323096520,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,38.88,38.88,,,0 NDC,63459010310,TRUXIMA 100 MG/10ML IV SOLN,5293.34,5293.34,,,0 NDC,63459010450,TRUXIMA 500 MG/50ML IV SOLN,26893.25,26893.25,,,0 NDC,63459034804,BENDEKA 100 MG/4ML IV SOLN,29120.93,29120.93,,,0 NDC,63459091011,GRANIX 300 MCG/0.5ML SC SOSY,1479.25,1479.25,,,0 NDC,63459091017,GRANIX 300 MCG/0.5ML SC SOSY,2688.54,2688.54,,,0 NDC,63459091036,GRANIX 300 MCG/0.5ML SC SOSY,2688.43,2688.43,,,0 NDC,63459091211,GRANIX 480 MCG/0.8ML SC SOSY,2292.5,2292.5,,,0 NDC,63459091217,GRANIX 480 MCG/0.8ML SC SOSY,4281.29,4281.29,,,0 NDC,63736014308,STYE 31.9-57.7 % OP OINT,165.92,165.92,,,0 NDC,63736037882,AMERICAINE 20 % EX AERO,114.78,114.78,,,0 NDC,63739016010,NYSTATIN 100000 UNIT/ML MT SUSP BULK,20.1,20.1,,,0 NDC,63739019610,MILK OF MAGNESIA 2400 MG/30ML PO SUSP,54.11,54.11,,,0 NDC,63739097610,DOCUSATE SODIUM 100 MG/10ML PO LIQD,14.94,14.94,,,0 NDC,63807050055,HEPARIN NA (PORK) LOCK FLSH PF 10 UNIT/ML IV SOLN,7.78,7.78,,,0 NDC,63824073216,CEPACOL EXTRA STRENGTH 15-2.6 MG MT LOZG,8.06,8.06,,,0 NDC,64208251203,ALBUMINEX 25 % IV SOLN,461.34,461.34,,,0 NDC,64253022235,HEPARIN NA (PORK) LOCK FLSH PF 10 UNIT/ML IV SOLN,12.07,12.07,,,0 NDC,64253040091,ATROPINE SULFATE 1 MG/10ML IJ SOSY,115.6,115.6,,,0 NDC,64281011006,PROVOCHOLINE IN KIT,1503.21,1503.21,,,0 NDC,64380076621,PEG-3350/ELECTROLYTES 236 G PO SOLR,275.2,275.2,,,0 NDC,64380078932,LIDOCAINE 5 % EX OINT,284.25,284.25,,,0 NDC,64406000801,TYSABRI 300 MG/15ML IV CONC,82329.26,82329.26,,,0 NDC,64679001201,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,164.15,164.15,,,0 NDC,64679005601,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,94.62,94.62,,,0 NDC,64980032430,PROCTOZONE-HC 2.5 % EX CREA,195.56,195.56,,,0 NDC,64980040350,CEFPODOXIME PROXETIL 100 MG/5ML PO SUSR BULK,144.76,144.76,,,0 NDC,64980051305,TIMOLOL MALEATE 0.25 % OP SOLN,86.69,86.69,,,0 NDC,64980051405,TIMOLOL MALEATE 0.5 % OP SOLN,166.9,166.9,,,0 NDC,64980051415,TIMOLOL MALEATE 0.5 % OP SOLN,269.12,269.12,,,0 NDC,64980051505,OFLOXACIN 0.3 % OP SOLN,255.69,255.69,,,0 NDC,65162064978,OXCARBAZEPINE 300 MG/5ML PO SUSP UNIT DOSE,23.24,23.24,,,0 NDC,65162067684,AZELASTINE HCL 137 MCG/SPRAY NA SOLN,204.78,204.78,,,0 NDC,65219008415,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,337.43,337.43,,,0 NDC,65219008850,GADOTERATE MEGLUMINE 50 MMOL/100ML IV SOLN,171.88,171.88,,,0 NDC,65219016210,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,150.08,150.08,,,0 NDC,65219025945,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,112.04,112.04,,,0 NDC,65219028107,GADOBUTROL 1 MMOL/ML IV SOLN,112.05,112.05,,,0 NDC,65219028110,GADOBUTROL 1 MMOL/ML IV SOLN,122.4,122.4,,,0 NDC,65219029510,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,996.87,996.87,,,0 NDC,65219036802,LORAZEPAM 2 MG/ML IJ SOLN,55.96,55.96,,,0 NDC,65219038305,IODIXANOL 320 MG/ML IV SOLN,39.1,39.1,,,0 NDC,65219038310,IODIXANOL 320 MG/ML IV SOLN,273.7,273.7,,,0 NDC,65219043620,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,81.96,81.96,,,0 NDC,65219047905,LACTATED RINGERS IV SOLN,92.4,92.4,,,0 NDC,65219057004,BUMETANIDE 0.25 MG/ML IJ SOLN,116.05,116.05,,,0 NDC,65219057210,BUMETANIDE 0.25 MG/ML IJ SOLN,58.05,58.05,,,0 NDC,65219063019,CALCIUM GLUCONATE 10 % IV SOLN,427.42,427.42,,,0 NDC,65250013304,EXPAREL 1.3 % IJ SUSP,1084.84,1084.84,,,0 NDC,65250013309,EXPAREL 1.3 % IJ SUSP,1084.84,1084.84,,,0 NDC,65250026604,EXPAREL 1.3 % IJ SUSP,1667.27,1667.27,,,0 NDC,65250026609,EXPAREL 1.3 % IJ SUSP,1259.74,1259.74,,,0 NDC,65282160501,LIDOCAINE HCL (PF) 1 % IJ SOLN,53.33,53.33,,,0 NDC,65628005001,MAGIC MOUTHWASH SUSP UNIT DOSE,164.51,164.51,,,0 NDC,65628005004,MAGIC MOUTHWASH SUSP UNIT DOSE,193.31,193.31,,,0 NDC,65649055102,RELISTOR 12 MG/0.6ML SC SOLN,1627.86,1627.86,,,0 NDC,65649055107,RELISTOR 12 MG/0.6ML SC SOLN,1627.86,1627.86,,,0 NDC,65649055204,RELISTOR 8 MG/0.4ML SC SOLN,1513.71,1513.71,,,0 NDC,65862007150,AMOXICILLIN 400 MG/5ML PO SUSR,19.92,19.92,,,0 NDC,65862021860,CEFDINIR 125 MG/5ML PO SUSR,77.26,77.26,,,0 NDC,65862021901,CEFDINIR 250 MG/5ML PO SUSR UNIT DOSE,28.97,28.97,,,0 NDC,65862094601,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,340.36,340.36,,,0 NDC,66689006310,DONNATAL 16.2 MG/5ML PO ELIX,436.19,436.19,,,0 NDC,66733094823,ERBITUX 100 MG/50ML IV SOLN,6651.62,6651.62,,,0 NDC,66733095823,ERBITUX 200 MG/100ML IV SOLN,3102.84,3102.84,,,0 NDC,66993000210,ESTRADIOL 0.1 MG/GM VA CREA,1087.67,1087.67,,,0 NDC,66993037083,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,700.67,700.67,,,0 NDC,66993037179,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,614.71,614.71,,,0 NDC,67386013051,VYEPTI 100 MG/ML IV SOLN,19589.95,19589.95,,,0 NDC,67457012410,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,11.19,11.19,,,0 NDC,67457015303,AMIODARONE HCL 150 MG/3ML IV SOLN,163.0,163.0,,,0 NDC,67457015309,AMIODARONE HCL 450 MG/9ML IV SOLN,185.97,185.97,,,0 NDC,67457018210,ESMOLOL HCL 100 MG/10ML IV SOLN,168.32,168.32,,,0 NDC,67457019602,THIAMINE HCL 100 MG/ML IJ SOLN,110.23,110.23,,,0 NDC,67457021720,METHADONE HCL 10 MG/ML IJ SOLN,2127.86,2127.86,,,0 NDC,67457021810,DURACLON 100 MCG/ML EP SOLN,48.75,48.75,,,0 NDC,67457022005,ISOSULFAN BLUE 1 % SC SOLN,1128.27,1128.27,,,0 NDC,67457025510,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,237.34,237.34,,,0 NDC,67457026510,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,173.23,173.23,,,0 NDC,67457029202,NALOXONE HCL 0.4 MG/ML IJ SOLN,38.38,38.38,,,0 NDC,67457031725,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,221.41,221.41,,,0 NDC,67457034001,VANCOMYCIN HCL 1 G IV SOLR,70.18,70.18,,,0 NDC,67457036610,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1515.35,1515.35,,,0 NDC,67457038599,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,82.67,82.67,,,0 NDC,67457039054,ZOLEDRONIC ACID 4 MG/5ML IV CONC,514.54,514.54,,,0 NDC,67457040913,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,231.11,231.11,,,0 NDC,67457042010,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML IJ SOLN,31.91,31.91,,,0 NDC,67457042130,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML IJ SOLN,64.7,64.7,,,0 NDC,67457042254,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,15.56,15.56,,,0 NDC,67457042312,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,31.04,31.04,,,0 NDC,67457042612,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN,2.74,2.74,,,0 NDC,67457043010,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,235.25,235.25,,,0 NDC,67457043322,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,21.16,21.16,,,0 NDC,67457044220,OXALIPLATIN 100 MG/20ML IV SOLN,157.19,157.19,,,0 NDC,67457046910,OXALIPLATIN 50 MG/10ML IV SOLN,157.19,157.19,,,0 NDC,67457047322,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN,125.06,125.06,,,0 NDC,67457052433,IBANDRONATE SODIUM 3 MG/3ML IV SOLN,1036.67,1036.67,,,0 NDC,67457052810,LEUCOVORIN CALCIUM 100 MG IJ SOLR,379.39,379.39,,,0 NDC,67457052920,LEUCOVORIN CALCIUM 200 MG IJ SOLR,1096.72,1096.72,,,0 NDC,67457053035,LEUCOVORIN CALCIUM 350 MG IJ SOLR,278.5,278.5,,,0 NDC,67457055300,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,156.86,156.86,,,0 NDC,67457055400,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,117.99,117.99,,,0 NDC,67457059902,NALOXONE HCL 0.4 MG/ML IJ SOLN,151.74,151.74,,,0 NDC,67457061730,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,422.11,422.11,,,0 NDC,67457061810,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,201.97,201.97,,,0 NDC,67457061910,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,504.68,504.68,,,0 NDC,67457064002,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,141.42,141.42,,,0 NDC,67457067502,MIACALCIN 200 UNIT/ML IJ SOLN,3752.05,3752.05,,,0 NDC,67457078108,DOCETAXEL 160 MG/8ML IV CONC,596.66,596.66,,,0 NDC,67457079005,LEVETIRACETAM 500 MG/5ML IV SOLN,50.93,50.93,,,0 NDC,67457079410,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,499.22,499.22,,,0 NDC,67457083306,FULPHILA 6 MG/0.6ML SC SOSY,17445.01,17445.01,,,0 NDC,67457085350,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,355.79,355.79,,,0 NDC,67457085404,ADENOSINE 12 MG/4ML IV SOLN,263.91,263.91,,,0 NDC,67457085502,ADENOSINE 6 MG/2ML IV SOLN,79.11,79.11,,,0 NDC,67457094010,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,126.27,126.27,,,0 NDC,67457099405,REGADENOSON 0.4 MG/5ML IV SOLN,173.11,173.11,,,0 NDC,67618015017,BETADINE 10 % EX SOLN,9.63,9.63,,,0 NDC,67618016003,BETADINE 5 % EX SOLN,199.8,199.8,,,0 NDC,67684190102,LIPIODOL 480 MG/ML IJ OIL,8913.7,8913.7,,,0 NDC,67684200000,DOTAREM 2.5 MMOL/5ML IV SOLN,6.92,6.92,,,0 NDC,67684200100,DOTAREM 2.5 MMOL/5ML IV SOLN,65.0,65.0,,,0 NDC,67684200101,DOTAREM 5 MMOL/10ML IV SOLN,113.3,113.3,,,0 NDC,67684200102,DOTAREM 7.5 MMOL/15ML IV SOLN,2.27,2.27,,,0 NDC,67684200103,DOTAREM 10 MMOL/20ML IV SOLN,25.8,25.8,,,0 NDC,67684200104,DOTAREM 50 MMOL/100ML IV SOLN,1.13,1.13,,,0 NDC,67684300102,DOTAREM 7.5 MMOL/15ML IV SOSY,191.22,191.22,,,0 NDC,67684300103,DOTAREM 10 MMOL/20ML IV SOSY,285.92,285.92,,,0 NDC,67684423202,ELUCIREM 0.5 MMOL/ML IV SOLN,337.43,337.43,,,0 NDC,67850015025,PANTOPRAZOLE SODIUM 40 MG IV SOLR,93.21,93.21,,,0 NDC,67877012420,SILVER SULFADIAZINE 1 % EX CREA,247.78,247.78,,,0 NDC,67877012425,SILVER SULFADIAZINE 1 % EX CREA,232.08,232.08,,,0 NDC,67877012450,SILVER SULFADIAZINE 1 % EX CREA,208.88,208.88,,,0 NDC,67877023022,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR UNIT DOSE,209.89,209.89,,,0 NDC,67877047379,LIDOCAINE 5 % EX OINT,245.88,245.88,,,0 NDC,67877054798,CEFDINIR 125 MG/5ML PO SUSR,38.63,38.63,,,0 NDC,67877075181,VANCOMYCIN HCL 50 MG/ML PO SOLR UNIT DOSE,47.6,47.6,,,0 NDC,68001034536,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,8604.35,8604.35,,,0 NDC,68001035525,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,711.39,711.39,,,0 NDC,68001041737,LEUCOVORIN CALCIUM 200 MG IJ SOLR,1929.65,1929.65,,,0 NDC,68001041838,LEUCOVORIN CALCIUM 350 MG IJ SOLR,648.71,648.71,,,0 NDC,68001045842,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,125.4,125.4,,,0 NDC,68001045942,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY,78.0,78.0,,,0 NDC,68001046042,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,81.44,81.44,,,0 NDC,68001046142,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,75.19,75.19,,,0 NDC,68001046242,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY,74.57,74.57,,,0 NDC,68001047547,ANTIFUNGAL (CLOTRIMAZOLE) 1 % EX CREA,97.15,97.15,,,0 NDC,68001047748,BACITRACIN 500 UNIT/GM EX OINT,7.82,7.82,,,0 NDC,68001048346,TRIPLE ANTIBIOTIC 5-400-5000 EX OINT,77.03,77.03,,,0 NDC,68001050782,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,96.46,96.46,,,0 NDC,68001050831,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,139.35,139.35,,,0 NDC,68001051627,PACLITAXEL 300 MG/50ML IV CONC,1200.21,1200.21,,,0 NDC,68094000162,MORPHINE SULFATE 10 MG/5ML PO SOLN UNIT DOSE,45.33,45.33,,,0 NDC,68094003162,METHADONE HCL 5 MG/5ML PO SOLN UNIT DOSE,87.79,87.79,,,0 NDC,68094004558,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN,97.13,97.13,,,0 NDC,68094004962,SENNA 8.8 MG/5ML PO SYRP UNIT DOSE,57.19,57.19,,,0 NDC,68094006362,MEGESTROL ACETATE 40 MG/ML PO SUSP UNIT DOSE,13.85,13.85,,,0 NDC,68094049461,IBUPROFEN CHILDRENS 100 MG/5ML PO SUSP,50.83,50.83,,,0 NDC,68094060061,IBUPROFEN CHILDRENS 100 MG/5ML PO SUSP,53.8,53.8,,,0 NDC,68094076262,MIDAZOLAM HCL 2 MG/ML PO SYRP UNIT DOSE,37.93,37.93,,,0 NDC,68094076462,MIDAZOLAM HCL 2 MG/ML PO SYRP UNIT DOSE,150.67,150.67,,,0 NDC,68180042201,MOXIFLOXACIN HCL 0.5 % OP SOLN,293.86,293.86,,,0 NDC,68180072304,CEFDINIR 250 MG/5ML PO SUSR UNIT DOSE,38.63,38.63,,,0 NDC,68180072305,CEFDINIR 250 MG/5ML PO SUSR UNIT DOSE,28.97,28.97,,,0 NDC,68180095601,CLOBETASOL PROPIONATE 0.05 % EX CREA,179.18,179.18,,,0 NDC,68180096301,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,283.6,283.6,,,0 NDC,68180098430,BUDESONIDE 0.5 MG/2ML IN SUSP,89.33,89.33,,,0 NDC,68382037001,NYSTATIN 100000 UNIT/GM EX POWD,218.6,218.6,,,0 NDC,68382086010,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN,197.77,197.77,,,0 NDC,68462018022,MUPIROCIN 2 % EX OINT,97.61,97.61,,,0 NDC,68462018117,CLOTRIMAZOLE 1 % EX CREA,324.06,324.06,,,0 NDC,68462046954,BUMETANIDE 0.25 MG/ML IJ SOLN,70.64,70.64,,,0 NDC,68462047054,BUMETANIDE 0.25 MG/ML IJ SOLN,64.35,64.35,,,0 NDC,68462075525,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,43.15,43.15,,,0 NDC,68462075625,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,35.02,35.02,,,0 NDC,68516521401,ALBUTEIN 5 % IV SOLN,612.02,612.02,,,0 NDC,68516521402,ALBUTEIN 5 % IV SOLN,2398.44,2398.44,,,0 NDC,68516521409,ALBUTEIN 5 % IV SOLN,590.47,590.47,,,0 NDC,68516521600,ALBUTEIN 25 % IV SOLN,585.3,585.3,,,0 NDC,68516521601,ALBUTEIN 25 % IV SOLN,602.54,602.54,,,0 NDC,68516521602,ALBUTEIN 25 % IV SOLN,597.37,597.37,,,0 NDC,68516521609,ALBUTEIN 25 % IV SOLN,583.57,583.57,,,0 NDC,68516521804,ALBUTEIN 5 % IV SOLN,607.71,607.71,,,0 NDC,68516521902,ALBUTEIN 5 % IV SOLN,1190.53,1190.53,,,0 NDC,68682092005,TETRACAINE HCL 0.5 % OP SOLN,461.77,461.77,,,0 NDC,68982062302,ALBUMIN HUMAN 5 % IV SOLN,668.05,668.05,,,0 NDC,68982062303,ALBUMIN HUMAN 5 % IV SOLN,1329.57,1329.57,,,0 NDC,68982064302,ALBUMIN HUMAN 25 % IV SOLN,1350.43,1350.43,,,0 NDC,68982084003,OCTAGAM 5 GM/100ML IV SOLN,1538.13,1538.13,,,0 NDC,68982085003,OCTAGAM 10 GM/100ML IV SOLN,8491.76,8491.76,,,0 NDC,68982085004,OCTAGAM 20 GM/200ML IV SOLN,16983.52,16983.52,,,0 NDC,68982085005,OCTAGAM 30 GM/300ML IV SOLN,25475.28,25475.28,,,0 NDC,69097014260,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,274.03,274.03,,,0 NDC,69097031953,BUDESONIDE 0.5 MG/2ML IN SUSP,190.31,190.31,,,0 NDC,69097031987,BUDESONIDE 0.5 MG/2ML IN SUSP,77.8,77.8,,,0 NDC,69097032153,BUDESONIDE 1 MG/2ML IN SUSP,128.67,128.67,,,0 NDC,69097070896,PHYTONADIONE 10 MG/ML IJ SOLN,265.68,265.68,,,0 NDC,69097080232,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,232.13,232.13,,,0 NDC,69238161503,OFLOXACIN 0.3 % OT SOLN,254.57,254.57,,,0 NDC,69315030130,RECTASMOOTHE 5 % EX CREA,237.79,237.79,,,0 NDC,69315030615,NYSTATIN 100000 UNIT/GM EX POWD,330.38,330.38,,,0 NDC,69315030630,NYSTATIN 100000 UNIT/GM EX POWD,660.77,660.77,,,0 NDC,69315030660,NYSTATIN 100000 UNIT/GM EX POWD,753.82,753.82,,,0 NDC,69315030802,CIPROFLOXACIN HCL 0.3 % OP SOLN,327.99,327.99,,,0 NDC,69315030805,CIPROFLOXACIN HCL 0.3 % OP SOLN,238.35,238.35,,,0 NDC,69339013634,DIAZEPAM 5 MG/ML IJ SOLN,98.14,98.14,,,0 NDC,69339015217,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,39.82,39.82,,,0 NDC,69339015219,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,18.95,18.95,,,0 NDC,69339015317,MILK OF MAGNESIA 2400 MG/30ML PO SUSP,32.41,32.41,,,0 NDC,69339015717,LEVETIRACETAM 100 MG/ML PO SOLN UNIT DOSE,56.07,56.07,,,0 NDC,69374052005,LIDOCAINE HCL 1 % IJ SOLN,102.32,102.32,,,0 NDC,69374090205,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,209.52,209.52,,,0 NDC,69374091910,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,168.35,168.35,,,0 NDC,69374092005,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY,119.97,119.97,,,0 NDC,69374094634,LABETALOL HCL 5 MG/ML IV SOLN,43.72,43.72,,,0 NDC,69452038998,MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN BULK,105.9,105.9,,,0 NDC,69452039098,MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN BULK,211.79,211.79,,,0 NDC,69543045510,LACOSAMIDE 200 MG/20ML IV SOLN,270.33,270.33,,,0 NDC,69618001959,VITAMIN D INFANT 10 MCG/ML PO LIQD,5.27,5.27,,,0 NDC,69618005051,12 HOUR DECONGESTANT 0.05 % NA SOLN,93.83,93.83,,,0 NDC,69618005951,INFANTS GAS RELIEF 20 MG/0.3ML PO SUSP,3.25,3.25,,,0 NDC,69618006782,CALPROTECT 0.44-20.6 % EX OINT,134.98,134.98,,,0 NDC,69680011225,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,120.43,120.43,,,0 NDC,69784000306,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,132.48,132.48,,,0 NDC,69918070025,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,81.31,81.31,,,0 NDC,69918089910,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,287.88,287.88,,,0 NDC,69918090110,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,1432.47,1432.47,,,0 NDC,69918090112,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,196.65,196.65,,,0 NDC,69968006102,DESITIN 40 % EX PSTE,161.47,161.47,,,0 NDC,69968035501,VISINE RED EYE COMFORT 0.05 % OP SOLN,131.57,131.57,,,0 NDC,70004092644,VANCOMYCIN HCL IN NACL 1.75-0.9 GM/500ML-% IV SOLN,620.62,620.62,,,0 NDC,70004092844,VANCOMYCIN HCL IN NACL 2-0.9 GM/500ML-% IV SOLN,695.64,695.64,,,0 NDC,70069000510,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,85.14,85.14,,,0 NDC,70069001701,OLOPATADINE HCL 0.1 % OP SOLN,127.99,127.99,,,0 NDC,70069002125,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN,15.54,15.54,,,0 NDC,70069005101,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,266.21,266.21,,,0 NDC,70069006225,ROPIVACAINE HCL 2 MG/ML IJ SOLN,105.34,105.34,,,0 NDC,70069006325,ROPIVACAINE HCL 5 MG/ML IJ SOLN,22.73,22.73,,,0 NDC,70069006425,ROPIVACAINE HCL 5 MG/ML IJ SOLN,44.76,44.76,,,0 NDC,70069006710,ROPIVACAINE HCL 10 MG/ML IJ SOLN,125.85,125.85,,,0 NDC,70069007110,NALOXONE HCL 0.4 MG/ML IJ SOLN,219.29,219.29,,,0 NDC,70069010105,METHOCARBAMOL 1000 MG/10ML IJ SOLN,109.99,109.99,,,0 NDC,70069012101,TROPICAMIDE 1 % OP SOLN,193.01,193.01,,,0 NDC,70069013101,TOBRAMYCIN 0.3 % OP SOLN,154.61,154.61,,,0 NDC,70069018101,PILOCARPINE HCL 1 % OP SOLN,676.16,676.16,,,0 NDC,70069019101,PILOCARPINE HCL 2 % OP SOLN,602.58,602.58,,,0 NDC,70069023101,BRIMONIDINE TARTRATE 0.2 % OP SOLN,92.15,92.15,,,0 NDC,70069023201,BRIMONIDINE TARTRATE 0.2 % OP SOLN,100.34,100.34,,,0 NDC,70069030110,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,120.7,120.7,,,0 NDC,70069030125,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,16.57,16.57,,,0 NDC,70069037125,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,46.08,46.08,,,0 NDC,70069042103,LATANOPROST 0.005 % OP SOLN,117.07,117.07,,,0 NDC,70069044105,DICYCLOMINE HCL 10 MG/ML IM SOLN,630.31,630.31,,,0 NDC,70069069601,TIMOLOL HEMIHYDRATE 0.5 % OP SOLN,1198.68,1198.68,,,0 NDC,70069078325,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,106.16,106.16,,,0 NDC,70069080210,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,192.62,192.62,,,0 NDC,70069080610,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,84.2,84.2,,,0 NDC,70069081710,MIDAZOLAM HCL (PF) 5 MG/5ML IJ SOLN,12.76,12.76,,,0 NDC,70092100944,LABETALOL HCL 20 MG/4ML IV SOSY,220.8,220.8,,,0 NDC,70092104646,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY,24.35,24.35,,,0 NDC,70092108746,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,200.71,200.71,,,0 NDC,70092111675,HYDROMORPHONE HCL-NACL 20-0.9 MG/100ML-% IJ SOLN,507.41,507.41,,,0 NDC,70092113343,MORPHINE SULFATE 1 MG/ML IJ SOLN (WRAPPED),113.44,113.44,,,0 NDC,70092117546,LIDOCAINE-SODIUM BICARBONATE 1-8.4 % IJ SOSY,200.75,200.75,,,0 NDC,70092128674,HYDROMORPHONE HCL-NACL 10-0.9 MG/50ML-% IV SOLN,617.89,617.89,,,0 NDC,70092129474,HYDROMORPHONE 1 MG/ML (50 ML) IN NACL PCA,861.46,861.46,,,0 NDC,70092138036,MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN,171.86,171.86,,,0 NDC,70092141836,MIDAZOLAM-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,834.42,834.42,,,0 NDC,70092143350,RECK 123-0.25-0.04- 15 MG/50ML PERIARTICULA SOSY,94.4,94.4,,,0 NDC,70092161243,L.E.T. 4-0.05-0.5 % EX GEL,472.61,472.61,,,0 NDC,70092161379,MORPHINE SULFATE-NACL 1-0.9 MG/ML-% IV SOLN,706.69,706.69,,,0 NDC,70092162303,CEFAZOLIN IN SODIUM CHLORIDE 3-0.9 GM/100ML-% IV SOLN,248.25,248.25,,,0 NDC,70092165844,L.E.T. (RACEPINEPHRINE) 4-0.05-0.5 % EX SOLN,250.26,250.26,,,0 NDC,70092905405,VANCOMYCIN HCL IN NACL 1.25-0.9 GM/250ML-% IV SOLN,323.95,323.95,,,0 NDC,70092905605,VANCOMYCIN HCL IN NACL 1.5-0.9 GM/250ML-% IV SOLN,354.64,354.64,,,0 NDC,70095002402,PANTOPRAZOLE SODIUM 40 MG IV SOLR,211.32,211.32,,,0 NDC,70095002403,PANTOPRAZOLE SODIUM 40 MG IV SOLR,187.04,187.04,,,0 NDC,70095002501,AZITHROMYCIN 500 MG IV SOLR,103.37,103.37,,,0 NDC,70114013001,UDENYCA ONBODY 6 MG/0.6ML SC SOSY,34659.77,34659.77,,,0 NDC,70121104902,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,8.74,8.74,,,0 NDC,70121116801,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,164.9,164.9,,,0 NDC,70121146302,FULVESTRANT 250 MG/5ML IM SOSY,2966.74,2966.74,,,0 NDC,70121146702,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,521.16,521.16,,,0 NDC,70121148001,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,1244.83,1244.83,,,0 NDC,70121148307,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,1376.32,1376.32,,,0 NDC,70121157301,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,117.33,117.33,,,0 NDC,70121157305,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,196.56,196.56,,,0 NDC,70121157401,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,67.1,67.1,,,0 NDC,70121157405,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,166.64,166.64,,,0 NDC,70121165701,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,102.32,102.32,,,0 NDC,70121169907,GLYCOPYRROLATE PF 0.4 MG/2ML IJ SOSY,128.82,128.82,,,0 NDC,70121171909,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,118.92,118.92,,,0 NDC,70121172009,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,91.48,91.48,,,0 NDC,70436001982,AZITHROMYCIN 500 MG IV SOLR,83.4,83.4,,,0 NDC,70436014781,DICYCLOMINE HCL 10 MG/ML IM SOLN,187.71,187.71,,,0 NDC,70436016380,EPTIFIBATIDE 75 MG/100ML IV SOLN,953.06,953.06,,,0 NDC,70461002403,FLUAD 0.5 ML IM SUSY,555.24,555.24,,,0 NDC,70461065403,FLUCELVAX 0.5 ML IM SUSY,613.88,613.88,,,0 NDC,70512052005,OLOPATADINE HCL 0.1 % OP SOLN,236.86,236.86,,,0 NDC,70512084025,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,78.16,78.16,,,0 NDC,70594004203,VANCOMYCIN HCL 1000 MG/200ML IV SOLN,169.14,169.14,,,0 NDC,70594004302,VANCOMYCIN HCL 1500 MG/300ML IV SOLN,253.7,253.7,,,0 NDC,70594004402,VANCOMYCIN HCL 2000 MG/400ML IV SOLN,338.27,338.27,,,0 NDC,70594004602,VANCOMYCIN HCL 1 G IV SOLR,119.46,119.46,,,0 NDC,70594005603,VANCOMYCIN HCL 750 MG/150ML IV SOLN,189.41,189.41,,,0 NDC,70594005702,VANCOMYCIN HCL 1250 MG/250ML IV SOLN,208.01,208.01,,,0 NDC,70594005802,VANCOMYCIN HCL 1750 MG/350ML IV SOLN,295.99,295.99,,,0 NDC,70594008202,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,136.1,136.1,,,0 NDC,70594012302,VANCOMYCIN HCL 1 G IV SOLR,119.68,119.68,,,0 NDC,70677103701,FT NASAL SPRAY 0.05 % NA SOLN,83.57,83.57,,,0 NDC,70677111101,FT MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN,37.62,37.62,,,0 NDC,70700016725,GLYCOPYRROLATE 1 MG/5ML IJ SOLN,102.63,102.63,,,0 NDC,70700018723,FLUOROURACIL 1 GM/20ML IV SOLN,323.4,323.4,,,0 NDC,70700018822,FLUOROURACIL 2.5 GM/50ML IV SOLN,458.92,458.92,,,0 NDC,70700018922,FLUOROURACIL 5 GM/100ML IV SOLN,396.26,396.26,,,0 NDC,70710147801,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,3822.35,3822.35,,,0 NDC,70710153001,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,11453.28,11453.28,,,0 NDC,70710153101,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,20802.59,20802.59,,,0 NDC,70710183805,METHYLENE BLUE 50 MG/10ML IV SOLN,1796.27,1796.27,,,0 NDC,70748026130,FORMOTEROL FUMARATE 20 MCG/2ML IN NEBU,127.99,127.99,,,0 NDC,70748026160,FORMOTEROL FUMARATE 20 MCG/2ML IN NEBU,127.3,127.3,,,0 NDC,70748033202,PREDNISOLONE ACETATE 1 % OP SUSP,454.87,454.87,,,0 NDC,70752013812,PROMETHAZINE HCL 6.25 MG/5ML PO SYRP UNIT DOSE,23.56,23.56,,,0 NDC,70756060730,OFLOXACIN 0.3 % OP SOLN,244.71,244.71,,,0 NDC,70756060870,FORMOTEROL FUMARATE 20 MCG/2ML IN NEBU,197.2,197.2,,,0 NDC,70756060915,OFLOXACIN 0.3 % OT SOLN,204.59,204.59,,,0 NDC,70756061430,PHENYLEPHRINE HCL 10 % OP SOLN,648.65,648.65,,,0 NDC,70756062925,PHENYLEPHRINE HCL 2.5 % OP SOLN,537.31,537.31,,,0 NDC,70839036204,COCAINE HCL 40 MG/ML NA SOLN,1271.49,1271.49,,,0 NDC,70860021174,FULVESTRANT 250 MG/5ML IM SOSY,2364.02,2364.02,,,0 NDC,70860078101,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,51.06,51.06,,,0 NDC,70954051810,LIDOCAINE HCL 4 % EX SOLN,262.12,262.12,,,0 NDC,71266200102,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,151.29,151.29,,,0 NDC,71266629001,STERILE TOPICAL L.E.T. GEL 4-0.18-0.5 % EX GEL,320.79,320.79,,,0 NDC,71266800601,BEVACIZUMAB 1.25 MG/0.05ML IZ SOSY,1454.24,1454.24,,,0 NDC,71266821105,TROPICAMIDE-CYCLOPENTOLATE-PE 1-1-2.5 % OP SOLN,729.62,729.62,,,0 NDC,71266824001,TROPIC-CYCLOPENT-PE-KETOROLAC 1-1-2.5-0.5 % OP SOSY,220.14,220.14,,,0 NDC,71286601102,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,49.84,49.84,,,0 NDC,71288002421,VANCOMYCIN HCL 750 MG IV SOLR,158.2,158.2,,,0 NDC,71288010110,OXALIPLATIN 50 MG/10ML IV SOLN,40.62,40.62,,,0 NDC,71288011530,AZACITIDINE 100 MG IJ SUSR,550.62,550.62,,,0 NDC,71288011706,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,90.5,90.5,,,0 NDC,71288011728,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,1258.6,1258.6,,,0 NDC,71288011810,BORTEZOMIB 3.5 MG IJ SOLR,79.83,79.83,,,0 NDC,71288013850,MITOMYCIN 20 MG IV SOLR,4022.59,4022.59,,,0 NDC,71288015476,FLUOROURACIL 5 GM/100ML IV SOLN,136.23,136.23,,,0 NDC,71288016010,LEUCOVORIN CALCIUM 50 MG IJ SOLR,375.69,375.69,,,0 NDC,71288016120,LEUCOVORIN CALCIUM 100 MG IJ SOLR,900.03,900.03,,,0 NDC,71288016230,LEUCOVORIN CALCIUM 200 MG IJ SOLR,775.22,775.22,,,0 NDC,71288016330,LEUCOVORIN CALCIUM 350 MG IJ SOLR,278.79,278.79,,,0 NDC,71288016450,LEUCOVORIN CALCIUM 500 MG IJ SOLR,1969.34,1969.34,,,0 NDC,71288020185,REGADENOSON 0.4 MG/5ML IV SOLN,202.88,202.88,,,0 NDC,71288020303,FUROSEMIDE 10 MG/ML IJ SOLN,40.74,40.74,,,0 NDC,71288020305,FUROSEMIDE 10 MG/ML IJ SOLN,30.25,30.25,,,0 NDC,71288030302,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,89.58,89.58,,,0 NDC,71288040202,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,91.76,91.76,,,0 NDC,71288040211,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,6.69,6.69,,,0 NDC,71288040302,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,35.99,35.99,,,0 NDC,71288041996,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,117.67,117.67,,,0 NDC,71288042096,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,1.22,1.22,,,0 NDC,71288042296,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,36.62,36.62,,,0 NDC,71288043281,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,130.94,130.94,,,0 NDC,71288043292,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,104.17,104.17,,,0 NDC,71288043383,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,108.62,108.62,,,0 NDC,71288043392,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,131.24,131.24,,,0 NDC,71288043485,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY,46.22,46.22,,,0 NDC,71288043587,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,47.26,47.26,,,0 NDC,71288043592,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,147.97,147.97,,,0 NDC,71288043689,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,78.16,78.16,,,0 NDC,71288055586,FULVESTRANT 250 MG/5ML IM SOSY,19537.31,19537.31,,,0 NDC,71288060011,PANTOPRAZOLE SODIUM 40 MG IV SOLR,115.25,115.25,,,0 NDC,71288071610,METHOCARBAMOL 1000 MG/10ML IJ SOLN,137.62,137.62,,,0 NDC,71288071911,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,34.97,34.97,,,0 NDC,71288080876,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,163.71,163.71,,,0 NDC,71351002110,LIDOCAINE HCL (PF) 1 % IJ SOLN,81.73,81.73,,,0 NDC,71399005101,ONELAX MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN,50.15,50.15,,,0 NDC,71399740105,D-VITE PEDIATRIC 10 MCG/ML PO LIQD,5.19,5.19,,,0 NDC,71399748005,FE-VITE IRON 75 (15 FE) MG/ML PO SOLN,10.27,10.27,,,0 NDC,71399788901,ONELAX MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN,18.85,18.85,,,0 NDC,71449000115,PHENYLEPHRINE HCL (PRESSORS) 1 MG/10ML IV SOSY,20.98,20.98,,,0 NDC,71449007951,ROPIVACAINE HCL-NACL 0.2-0.9 % (ON-Q) IJ SOLN,2368.03,2368.03,,,0 NDC,71449007957,ROPIVACAINE HCL-NACL 0.2-0.9 % (ON-Q) IJ SOLN,779.25,779.25,,,0 NDC,71449007959,ROPIVACAINE HCL-NACL 0.2-0.9 % (ON-Q) IJ SOLN,2783.84,2783.84,,,0 NDC,71449009245,TROPICAMIDE-CYCLOPENTOLATE-PE 1-1-2.5 % OP SOLN,652.75,652.75,,,0 NDC,71449009642,MOXIFLOXACIN HCL-BSS 1 MG/ML IZ SOLN,235.78,235.78,,,0 NDC,71449012511,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,173.94,173.94,,,0 NDC,71506004645,LABETALOL HCL 20 MG/4ML IV SOSY,144.69,144.69,,,0 NDC,71740011230,SSKI 1 GM/ML PO SOLN,27.69,27.69,,,0 NDC,71839011110,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY,159.01,159.01,,,0 NDC,71839011210,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,47.06,47.06,,,0 NDC,71839011310,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,154.56,154.56,,,0 NDC,71839011825,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML IJ SOLN,107.56,107.56,,,0 NDC,71921022610,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,378.41,378.41,,,0 NDC,72078006699,VANCOMYCIN HCL 2 G IV SOLR,754.89,754.89,,,0 NDC,72140063377,AQUAPHOR ADVANCED THERAPY EX OINT,266.9,266.9,,,0 NDC,72205010107,BUMETANIDE 0.25 MG/ML IJ SOLN,121.56,121.56,,,0 NDC,72205026507,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,105.13,105.13,,,0 NDC,72266010201,LABETALOL HCL 5 MG/ML IV SOLN,25.62,25.62,,,0 NDC,72266010301,LABETALOL HCL 5 MG/ML IV SOLN,322.75,322.75,,,0 NDC,72266011825,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,47.96,47.96,,,0 NDC,72266011925,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,14.38,14.38,,,0 NDC,72266012705,DICYCLOMINE HCL 10 MG/ML IM SOLN,315.11,315.11,,,0 NDC,72266015201,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,289.17,289.17,,,0 NDC,72266015801,MOXIFLOXACIN HCL 0.5 % OP SOLN,297.65,297.65,,,0 NDC,72266015910,ERTAPENEM SODIUM 1 G IJ SOLR,585.83,585.83,,,0 NDC,72266020410,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,133.5,133.5,,,0 NDC,72266023425,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,80.79,80.79,,,0 NDC,72266025301,CISPLATIN 100 MG/100ML IV SOLN,1102.23,1102.23,,,0 NDC,72485010105,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,42.32,42.32,,,0 NDC,72485010125,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,17.03,17.03,,,0 NDC,72485010610,LEVETIRACETAM 500 MG/5ML IV SOLN,137.42,137.42,,,0 NDC,72485020101,AZACITIDINE 100 MG IJ SUSR,687.94,687.94,,,0 NDC,72485040401,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,85.26,85.26,,,0 NDC,72485041710,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,84.56,84.56,,,0 NDC,72485061710,KETOTIFEN FUMARATE 0.035 % OP SOLN,203.07,203.07,,,0 NDC,72485067031,ERYTHROMYCIN 5 MG/GM OP OINT,166.93,166.93,,,0 NDC,72579012101,TEVIMBRA 100 MG/10ML IV SOLN,53552.66,53552.66,,,0 NDC,72603010101,OXALIPLATIN 100 MG/20ML IV SOLN,381.09,381.09,,,0 NDC,72603013325,FUROSEMIDE 10 MG/ML IJ SOLN,55.08,55.08,,,0 NDC,72603013925,THIAMINE HCL 100 MG/ML IJ SOLN,237.56,237.56,,,0 NDC,72603015325,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,66.88,66.88,,,0 NDC,72603019801,ZOLEDRONIC ACID 4 MG/5ML IV CONC,185.61,185.61,,,0 NDC,72603025101,FUROSEMIDE 10 MG/ML IJ SOLN,64.35,64.35,,,0 NDC,72603030501,LACOSAMIDE 10 MG/ML PO SOLN UNIT DOSE,26.9,26.9,,,0 NDC,72603041225,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,54.21,54.21,,,0 NDC,72606001101,VEGZELMA 100 MG/4ML IV SOLN,11429.14,11429.14,,,0 NDC,72606001201,VEGZELMA 400 MG/16ML IV SOLN,30213.57,30213.57,,,0 NDC,72888012526,LIDOCAINE VISCOUS HCL 2 % MT SOLN,17.25,17.25,,,0 NDC,72903085301,ELAHERE 100 MG/20ML IV SOLN,7349.18,7349.18,,,0 NDC,73070010011,INSULIN ASPART 100 UNIT/ML IJ SOLN,25.53,25.53,,,0 NDC,73177010803,PHENYLEPHRINE HCL (PRESSORS) 1 MG/10ML IV SOSY,91.18,91.18,,,0 NDC,73177010913,ROPIVACAINE HCL-NACL 0.2-0.9 % (ON-Q) IJ SOLN,2014.51,2014.51,,,0 NDC,73177010914,ROPIVACAINE HCL-NACL 0.2-0.9 % (ON-Q) IJ SOLN,2952.17,2952.17,,,0 NDC,73177011603,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,261.17,261.17,,,0 NDC,73475310203,VYVGART HYTRULO 180-2000 MG-UNIT/ML SC SOLN,77295.58,77295.58,,,0 NDC,74300000301,DESITIN DAILY DEFENSE 13 % EX CREA,161.98,161.98,,,0 NDC,74527002202,MARGENZA 250 MG/10ML IV SOLN,59492.43,59492.43,,,0 NDC,75834017001,ZINC OXIDE 20 % EX OINT,163.81,163.81,,,0 NDC,75834017119,CALCIUM GLUCONATE 10 % IV SOLN,525.06,525.06,,,0 NDC,76045000411,MORPHINE SULFATE 2 MG/ML IJ SOLN,78.71,78.71,,,0 NDC,76045000511,MORPHINE SULFATE 4 MG/ML IJ SOLN,114.65,114.65,,,0 NDC,76045000906,DILAUDID 1 MG/ML IJ SOLN,75.47,75.47,,,0 NDC,76045000911,DILAUDID 1 MG/ML IJ SOLN,42.16,42.16,,,0 NDC,76045001011,DILAUDID 2 MG/ML IJ SOLN,119.56,119.56,,,0 NDC,76045010210,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,39.74,39.74,,,0 NDC,76045010410,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,112.45,112.45,,,0 NDC,76045010910,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOSY,41.7,41.7,,,0 NDC,76045012111,DILAUDID 0.2 MG/ML IJ SOLN,79.44,79.44,,,0 NDC,76045038330,NEOSTIGMINE METHYLSULFATE 3 MG/3ML IV SOSY,232.62,232.62,,,0 NDC,76045073710,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN,19.86,19.86,,,0 NDC,76125015002,KEDRAB 300 UNIT/2ML IJ SOLN,993.38,993.38,,,0 NDC,76125015010,KEDRAB 1500 UNIT/10ML IJ SOLN,12197.79,12197.79,,,0 NDC,76125079025,ALBUKED 5 5 % IV SOLN,547.37,547.37,,,0 NDC,76125079210,ALBUKED 25 25 % IV SOLN,1101.89,1101.89,,,0 NDC,76125079225,ALBUKED 25 25 % IV SOLN,543.92,543.92,,,0 NDC,76125090010,GAMMAKED 10 GM/100ML IJ SOLN,8456.86,8456.86,,,0 NDC,76125090020,GAMMAKED 20 GM/200ML IJ SOLN,18442.37,18442.37,,,0 NDC,76125090050,GAMMAKED 5 GM/50ML IJ SOLN,4228.88,4228.88,,,0 NDC,76179002504,KEDBUMIN 25 % IV SOLN,1879.5,1879.5,,,0 NDC,76204002260,SODIUM CHLORIDE 3 % IN NEBU,25.99,25.99,,,0 NDC,76204010001,IPRATROPIUM BROMIDE 0.02 % IN SOLN,14.74,14.74,,,0 NDC,76204010030,IPRATROPIUM BROMIDE 0.02 % IN SOLN,12.18,12.18,,,0 NDC,76204020001,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,13.72,13.72,,,0 NDC,76204020025,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,8.84,8.84,,,0 NDC,76204020030,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,10.65,10.65,,,0 NDC,76204020060,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,11.55,11.55,,,0 NDC,76204060001,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,14.62,14.62,,,0 NDC,76204060030,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,11.55,11.55,,,0 NDC,76204060060,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,11.55,11.55,,,0 NDC,76204080001,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU,53.07,53.07,,,0 NDC,76204090001,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU,55.57,55.57,,,0 NDC,76204090025,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU,27.8,27.8,,,0 NDC,76329146901,NALOXONE HCL 2 MG/2ML IJ SOSY,269.75,269.75,,,0 NDC,76329301105,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY,168.94,168.94,,,0 NDC,76329301205,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY,162.8,162.8,,,0 NDC,76329301305,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY,208.53,208.53,,,0 NDC,76329331801,EPINEPHRINE 1 MG/10ML IV SOSY,265.59,265.59,,,0 NDC,76329332100,REGADENOSON 0.4 MG/5ML IV SOLN,210.68,210.68,,,0 NDC,76329334001,ATROPINE SULFATE 1 MG/10ML IJ SOSY,192.16,192.16,,,0 NDC,76329336901,NALOXONE HCL 2 MG/2ML IJ SOSY,85.0,85.0,,,0 NDC,76329339001,LIDOCAINE HCL 100 MG/5ML IJ SOSY,172.24,172.24,,,0 NDC,76329346901,NALOXONE HCL 2 MG/2ML IJ SOSY,270.27,270.27,,,0 NDC,76329630005,LIDOCAINE HCL 4 % MT SOLN,484.83,484.83,,,0 NDC,76329826101,LORAZEPAM 2 MG/ML IJ SOLN,10.39,10.39,,,0 NDC,76329906000,EPINEPHRINE 30 MG/30ML IJ SOLN,99.7,99.7,,,0 NDC,78112001106,CHLORASEPTIC SORE THROAT 6-10 MG MT LOZG,7.46,7.46,,,0 NDC,78112073623,MURINE EAR 6.5 % OT SOLN,117.75,117.75,,,0 NDC,78206011801,CELESTONE SOLUSPAN 6 (3-3) MG/ML IJ SUSP,230.45,230.45,,,0 NDC,80830236209,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,196.42,196.42,,,0 NDC,81033000230,ACETAMINOPHEN 650 MG/20.3ML PO SOLN,26.23,26.23,,,0 NDC,81033000250,ACETAMINOPHEN 160 MG/5ML PO SOLN,62.38,62.38,,,0 NDC,81033002050,MUPIROCIN 2 % EX OINT,80.39,80.39,,,0 NDC,81284015310,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,85.16,85.16,,,0 NDC,81298578105,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,54.03,54.03,,,0 NDC,81665030102,COCAINE HCL 40 MG/ML NA SOLN,1955.83,1955.83,,,0 NDC,81952011106,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,89.29,89.29,,,0 NDC,81952012424,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,224.44,224.44,,,0 NDC,82182032105,BRIMONIDINE TARTRATE 0.1 % OP SOLN,1151.47,1151.47,,,0 NDC,82584079225,AKTEN 3.5 % OP GEL,398.21,398.21,,,0 NDC,82667010005,MAXITROL 0.1 % OP SUSP,1233.24,1233.24,,,0 NDC,83257000541,FULPHILA 6 MG/0.6ML SC SOSY,18354.67,18354.67,,,0 NDC,83257001411,INSULIN GLARGINE-YFGN 100 UNIT/ML SC SOLN,15.31,15.31,,,0 NDC,83634050081,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,69.02,69.02,,,0 NDC,83634077802,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,78.16,78.16,,,0 NDC,83634077941,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,93.07,93.07,,,0 NDC,89122072420,HYALGAN 20 MG/2ML IX SOSY,1816.6,1816.6,,,0 NDC,89130202001,DUROLANE 60 MG/3ML IX PRSY,5340.76,5340.76,,,0 NDC,89130444401,SUPARTZ FX 25 MG/2.5ML IX SOSY,1915.24,1915.24,,,0 RC,250,APLISOL 5 UNIT/0.1ML ID SOLN,260.71,260.71,,,0 RC,250,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 IJ SOLN,181.62,181.62,,,0 RC,250,BUPIVACAINE-EPINEPHRINE 0.25% -1:200000 IJ SOLN,135.83,135.83,,,0 RC,250,CARDENE IV 20-0.86 MG/200ML-% IV SOLN,630.98,630.98,,,0 RC,250,CARDENE IV 40-0.83 MG/200ML-% IV SOLN,788.315,788.315,,,0 RC,250,CONSTULOSE 10 GM/15ML PO SOLN,88.96,88.96,,,0 RC,250,GARDASIL 9 0.5 ML IM SUSP,2056.88,2056.88,,,0 RC,250,GARDASIL 9 0.5 ML IM SUSY,2930.69,2930.69,,,0 RC,250,HEPARIN NA (PORK) LOCK FLSH PF 10 UNIT/ML IV SOLN,12.025,12.025,,,0 RC,250,HEPARIN NA (PORK) LOCK FLSH PF 100 UNIT/ML IV SOLN,38.47,38.47,,,0 RC,250,LIDOCAINE-EPINEPHRINE 0.5 %-1:200000 IJ SOLN,19.23,19.23,,,0 RC,250,MARCAINE/EPINEPHRINE 0.25% -1:200000 IJ SOLN,53.86,53.86,,,0 RC,250,MARCAINE/EPINEPHRINE 0.5% -1:200000 IJ SOLN,186.335,186.335,,,0 RC,250,MARCAINE/EPINEPHRINE PF 0.25% -1:200000 IJ SOLN,75.50999999999999,75.50999999999999,,,0 RC,250,MARCAINE/EPINEPHRINE PF 0.5% -1:200000 IJ SOLN,136.965,136.965,,,0 RC,250,MOXIFLOXACIN HCL-BSS 1 MG/ML IZ SOLN,235.78,235.78,,,0 RC,250,NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% IV SOLN,354.64,354.64,,,0 RC,250,NITROPRUSSIDE SODIUM 25 MG/ML IV SOLN,1523.53,1523.53,,,0 RC,250,OCTAGAM 5 GM/100ML IV SOLN,1538.13,1538.13,,,0 RC,250,PRIVIGEN 10 GM/100ML IV SOLN,7231.6,7231.6,,,0 RC,250,PRIVIGEN 20 GM/200ML IV SOLN,15288.39,15288.39,,,0 RC,250,PRIVIGEN 40 GM/400ML IV SOLN,26968.14,26968.14,,,0 RC,250,PRIVIGEN 5 GM/50ML IV SOLN,4587.32,4587.32,,,0 RC,250,RECK 123-0.25-0.04- 15 MG/50ML PERIARTICULA SOSY,94.4,94.4,,,0 RC,250,SALINE BACTERIOSTATIC 0.9 % IJ SOLN,26.93,26.93,,,0 RC,250,SENSORCAINE-MPF/EPINEPHRINE 0.25% -1:200000 IJ SOLN,91.015,91.015,,,0 RC,250,SENSORCAINE-MPF/EPINEPHRINE 0.5% -1:200000 IJ SOLN,88.855,88.855,,,0 RC,250,SENSORCAINE/EPINEPHRINE 0.25% -1:200000 IJ SOLN,181.62,181.62,,,0 RC,250,SENSORCAINE/EPINEPHRINE 0.5% -1:200000 IJ SOLN,370.31,370.31,,,0 RC,250,SODIUM BICARBONATE 4.2 % IV SOLN,108.41,108.41,,,0 RC,250,SODIUM BICARBONATE 8.4 % IV SOLN,9.62,9.62,,,0 RC,250,SODIUM CHLORIDE (PF) 0.9 % IJ SOLN,29.549999999999997,29.549999999999997,,,0 RC,250,SODIUM CHLORIDE 0.9 % IV SOLN,92.4,92.4,,,0 RC,250,TUBERSOL 5 UNIT/0.1ML ID SOLN,211.39499999999998,211.39499999999998,,,0 RC,250,XYLOCAINE/EPINEPHRINE 0.5 %-1:200000 IJ SOLN,109.07,109.07,,,0 RC,255,CLARISCAN 10 MMOL/20ML IV SOLN,583.74,583.74,,,0 RC,255,CYSTO-CONRAY II 17.2 % UR SOLN,94.75,94.75,,,0 RC,255,CYSTOGRAFIN 30 % UR SOLN,306.46999999999997,306.46999999999997,,,0 RC,255,CYSTOGRAFIN-DILUTE 18 % UR SOLN,6.99,6.99,,,0 RC,255,DEFINITY 6.52 MG/ML IV SUSP,548.37,548.37,,,0 RC,255,DOTAREM 10 MMOL/20ML IV SOLN,25.8,25.8,,,0 RC,255,DOTAREM 10 MMOL/20ML IV SOSY,285.92,285.92,,,0 RC,255,DOTAREM 2.5 MMOL/5ML IV SOLN,35.96,35.96,,,0 RC,255,DOTAREM 5 MMOL/10ML IV SOLN,113.3,113.3,,,0 RC,255,DOTAREM 50 MMOL/100ML IV SOLN,1.13,1.13,,,0 RC,255,DOTAREM 7.5 MMOL/15ML IV SOLN,2.27,2.27,,,0 RC,255,DOTAREM 7.5 MMOL/15ML IV SOSY,191.22,191.22,,,0 RC,255,ELUCIREM 0.5 MMOL/ML IV SOLN,337.43,337.43,,,0 RC,255,EOVIST 0.25 MMOL/ML IV SOLN,678.52,678.52,,,0 RC,255,GADAVIST 1 MMOL/ML IV SOLN,197.59,197.59,,,0 RC,255,GADOBUTROL 1 MMOL/ML IV SOLN,117.225,117.225,,,0 RC,255,GADOTERATE MEGLUMINE 50 MMOL/100ML IV SOLN,171.88,171.88,,,0 RC,255,GADOTERATE MEGLUMINE 7.5 MMOL/15ML IV SOLN,337.43,337.43,,,0 RC,255,IODIXANOL 320 MG/ML IV SOLN,156.4,156.4,,,0 RC,255,ISOVUE-250 51 % IV SOLN,1.33,1.33,,,0 RC,255,ISOVUE-300 61 % IV SOLN,30.035,30.035,,,0 RC,255,ISOVUE-370 76 % IV SOLN,60.504999999999995,60.504999999999995,,,0 RC,255,ISOVUE-M 300 61 % IJ SOLN,17.81,17.81,,,0 RC,255,LIPIODOL 480 MG/ML IJ OIL,8913.7,8913.7,,,0 RC,255,MULTIHANCE 529 MG/ML IV SOLN,178.56,178.56,,,0 RC,255,OMNIPAQUE 12 MG/ML PO SOLN,5.74,5.74,,,0 RC,255,OMNIPAQUE 180 MG/ML IJ SOLN,52.1,52.1,,,0 RC,255,OMNIPAQUE 240 MG/ML IJ SOLN,56.67,56.67,,,0 RC,255,OMNIPAQUE 300 MG/ML IJ SOLN,12.07,12.07,,,0 RC,255,OMNIPAQUE 350 MG/ML IV SOLN,57.01,57.01,,,0 RC,255,OPTISON IV SUSP,187.51,187.51,,,0 RC,255,PROHANCE 279.3 MG/ML IV SOLN,429.81,429.81,,,0 RC,255,VISIPAQUE 270 MG/ML IV SOLN,269.99,269.99,,,0 RC,255,VISIPAQUE 320 MG/ML IV SOLN,114.16,114.16,,,0 RC,255,VUEWAY 0.5 MMOL/ML IV SOLN,115.49000000000001,115.49000000000001,,,0 RC,258,ADRENALIN-NACL 4-0.9 MG/250ML-% IV SOLN,398.97,398.97,,,0 RC,258,HYDROMORPHONE 1 MG/ML (50 ML) IN NACL PCA,861.46,861.46,,,0 RC,259,12 HOUR DECONGESTANT 0.05 % NA SOLN,93.83,93.83,,,0 RC,259,7 DAY VAGINAL 2 % VA CREA,118.26,118.26,,,0 RC,259,ACETAMINOPHEN 160 MG/5ML PO SOLN,62.38,62.38,,,0 RC,259,ACETAMINOPHEN 650 MG/20.3ML PO SOLN,23.259999999999998,23.259999999999998,,,0 RC,259,ACETIC ACID 3 % SOLN,1.74,1.74,,,0 RC,259,ACETYLCYSTEINE 20 % IN SOLN,98.09,98.09,,,0 RC,259,ACTIDOSE WITH SORBITOL 25 GM/120ML PO SUSP,333.54,333.54,,,0 RC,259,ACTIDOSE-AQUA 25 GM/120ML PO LIQD,333.54,333.54,,,0 RC,259,ADRENALIN 0.1 % NA SOLN,1172.66,1172.66,,,0 RC,259,AFRIN NODRIP EXTRA MOISTURE 0.05 % NA SOLN,240.1,240.1,,,0 RC,259,AKTEN 3.5 % OP GEL,398.21,398.21,,,0 RC,259,ALAWAY 0.035 % OP SOLN,293.52,293.52,,,0 RC,259,ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU,10.83,10.83,,,0 RC,259,ALBUTEROL SULFATE 1.25 MG/3ML IN NEBU,35.995,35.995,,,0 RC,259,ALBUTEROL SULFATE 2.5 MG/0.5ML IN NEBU,23.53,23.53,,,0 RC,259,ALBUTEROL SULFATE HFA 108 (90 BASE) MCG/ACT IN AERS,266.47,266.47,,,0 RC,259,ALPHAGAN P 0.1 % OP SOLN,2117.59,2117.59,,,0 RC,259,ALUM & MAG HYDROXIDE-SIMETH 1200-1200-120 MG/30ML PO SUSP,34.74,34.74,,,0 RC,259,AMANTADINE HCL 50 MG/5ML PO SOLN UNIT DOSE,69.89,69.89,,,0 RC,259,AMERICAINE 20 % EX AERO,114.78,114.78,,,0 RC,259,AMMONIUM LACTATE 12 % EX LOTN,123.41,123.41,,,0 RC,259,AMOXICILLIN 250 MG/5ML PO SUSR,18.85,18.85,,,0 RC,259,AMOXICILLIN 400 MG/5ML PO SUSR,19.92,19.92,,,0 RC,259,AMOXICILLIN-POT CLAVULANATE 400-57 MG/5ML PO SUSR UNIT DOSE,25.42,25.42,,,0 RC,259,ANECREAM 4 % EX CREA,98.81,98.81,,,0 RC,259,ANORO ELLIPTA 62.5-25 MCG/ACT IN AEPB,1188.25,1188.25,,,0 RC,259,ANTACID REGULAR STRENGTH 200-200-20 MG/5ML PO SUSP,13.19,13.19,,,0 RC,259,ANTACID/ANTIGAS 400-400-40 MG/10ML PO SUSP,2.47,2.47,,,0 RC,259,ANTI-ITCH 2-0.1 % EX CREA,77.54,77.54,,,0 RC,259,ANTIFUNGAL (CLOTRIMAZOLE) 1 % EX CREA,97.15,97.15,,,0 RC,259,AQUAPHOR ADVANCED THERAPY EX OINT,266.9,266.9,,,0 RC,259,ARNUITY ELLIPTA 100 MCG/ACT IN AEPB,756.97,756.97,,,0 RC,259,ARTHRITIS PAIN RELIEVING 0.075 % EX CREA,120.62,120.62,,,0 RC,259,ARTIFICIAL TEARS 0.2-0.2-1 % OP SOLN,68.17,68.17,,,0 RC,259,ARTIFICIAL TEARS OP SOLN,194.54,194.54,,,0 RC,259,ASTRINGYN 259 MG/GM EX SOLN,277.96,277.96,,,0 RC,259,ATROPINE SULFATE 1 % OP SOLN,611.91,611.91,,,0 RC,259,AYR SALINE NASAL NA GEL,87.1,87.1,,,0 RC,259,AZELASTINE HCL 0.1 % NA SOLN,192.715,192.715,,,0 RC,259,AZELASTINE HCL 137 MCG/SPRAY NA SOLN,255.97500000000002,255.97500000000002,,,0 RC,259,BACITRACIN 500 UNIT/GM EX OINT,42.42,42.42,,,0 RC,259,BACITRACIN ZINC 500 UNIT/GM EX OINT,50.63,50.63,,,0 RC,259,BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OP OINT,204.15,204.15,,,0 RC,259,BANOPHEN 2-0.1 % EX CREA,75.26,75.26,,,0 RC,259,BAZA ANTIFUNGAL 2 % EX CREA,155.09,155.09,,,0 RC,259,BETADINE 10 % EX SOLN,9.63,9.63,,,0 RC,259,BETADINE 5 % EX SOLN,199.8,199.8,,,0 RC,259,BETADINE OPHTHALMIC PREP 5 % OP SOLN,188.55,188.55,,,0 RC,259,BETAMETHASONE DIPROPIONATE 0.05 % EX CREA,778.82,778.82,,,0 RC,259,BIOTENE DRY MOUTH MT LIQD,75.29,75.29,,,0 RC,259,BRIMONIDINE TARTRATE 0.1 % OP SOLN,1151.47,1151.47,,,0 RC,259,BRIMONIDINE TARTRATE 0.15 % OP SOLN,759.785,759.785,,,0 RC,259,BRIMONIDINE TARTRATE 0.2 % OP SOLN,100.68,100.68,,,0 RC,259,BSS IO SOLN,41.89,41.89,,,0 RC,259,BSS PLUS IO SOLN,52.35,52.35,,,0 RC,259,BUDESONIDE 0.25 MG/2ML IN SUSP,181.195,181.195,,,0 RC,259,BUDESONIDE 0.5 MG/2ML IN SUSP,105.87,105.87,,,0 RC,259,BUDESONIDE 1 MG/2ML IN SUSP,128.67,128.67,,,0 RC,259,BUDESONIDE-FORMOTEROL FUMARATE 160-4.5 MCG/ACT IN AERO,1065.89,1065.89,,,0 RC,259,CALAMINE 8-8 % EX LOTN,60.55,60.55,,,0 RC,259,CALCITONIN (SALMON) 200 UNIT/ACT NA SOLN,648.11,648.11,,,0 RC,259,CALCIUM CARBONATE ANTACID 1250 MG/5ML (500 MG/5ML ELEMENTAL) PO SUSP UNIT DOSE,4.34,4.34,,,0 RC,259,CALPROTECT 0.44-20.6 % EX OINT,134.98,134.98,,,0 RC,259,CAPSAICIN 0.1 % EX CREA,287.2,287.2,,,0 RC,259,CARBAMIDE PEROXIDE 6.5 % OT SOLN,135.67,135.67,,,0 RC,259,CEFDINIR 125 MG/5ML PO SUSR,57.94500000000001,57.94500000000001,,,0 RC,259,CEFDINIR 250 MG/5ML PO SUSR UNIT DOSE,33.8,33.8,,,0 RC,259,CEFPODOXIME PROXETIL 100 MG/5ML PO SUSR BULK,121.91499999999999,121.91499999999999,,,0 RC,259,CEPACOL EXTRA STRENGTH 15-2.6 MG MT LOZG,8.06,8.06,,,0 RC,259,CEPHALEXIN 250 MG/5ML PO SUSR,23.09,23.09,,,0 RC,259,CETACAINE 2-2-14 % EX AERO,1485.23,1485.23,,,0 RC,259,CHLORASEPTIC SORE THROAT 6-10 MG MT LOZG,7.46,7.46,,,0 RC,259,CIPROFLOXACIN HCL 0.3 % OP SOLN,189.485,189.485,,,0 RC,259,CIPROFLOXACIN-DEXAMETHASONE 0.3-0.1 % OT SUSP,1615.815,1615.815,,,0 RC,259,CITALOPRAM HYDROBROMIDE 10 MG/5ML PO SOLN,15.94,15.94,,,0 RC,259,CITROMA 1.745 GM/30ML PO SOLN,31.35,31.35,,,0 RC,259,CLINDAMYCIN PHOS (TWICE-DAILY) 1 % EX GEL,218.09,218.09,,,0 RC,259,CLOBETASOL PROPIONATE 0.05 % EX CREA,258.825,258.825,,,0 RC,259,CLOBETASOL PROPIONATE 0.05 % EX OINT,96.505,96.505,,,0 RC,259,CLOTRIMAZOLE 1 % EX CREA,150.51,150.51,,,0 RC,259,CLOTRIMAZOLE ANTI-FUNGAL 1 % EX CREA,85.77,85.77,,,0 RC,259,CLOTRIMAZOLE-BETAMETHASONE 1-0.05 % EX CREA,287.2,287.2,,,0 RC,259,CYCLOGYL 1 % OP SOLN,656.55,656.55,,,0 RC,259,CYCLOMYDRIL 0.2-1 % OP SOLN,598.11,598.11,,,0 RC,259,CYCLOPENTOLATE HCL 1 % OP SOLN,245.53000000000003,245.53000000000003,,,0 RC,259,D-VITE PEDIATRIC 10 MCG/ML PO LIQD,5.19,5.19,,,0 RC,259,DAKINS (1/2 STRENGTH) 0.25 % EX SOLN,238.18,238.18,,,0 RC,259,DEEP SEA NASAL SPRAY 0.65 % NA SOLN,36.55,36.55,,,0 RC,259,DESENEX 2 % EX POWD,117.41,117.41,,,0 RC,259,DESITIN 40 % EX PSTE,161.47,161.47,,,0 RC,259,DESITIN DAILY DEFENSE 13 % EX CREA,161.98,161.98,,,0 RC,259,DESMOPRESSIN ACETATE SPRAY 0.01 % NA SOLN,877.67,877.67,,,0 RC,259,DEXAMETHASONE INTENSOL 1 MG/ML PO CONC,59.73,59.73,,,0 RC,259,DEXAMETHASONE SODIUM PHOSPHATE 0.1 % OP SOLN,749.54,749.54,,,0 RC,259,DEXTROMETHORPHAN POLISTIREX ER 30 MG/5ML PO SUER,16.76,16.76,,,0 RC,259,DIAZEPAM 5 MG/5ML PO SOLN,98.49,98.49,,,0 RC,259,DIBUCAINE 1 % EX OINT,110.85,110.85,,,0 RC,259,DICLOFENAC SODIUM 0.1 % OP SOLN,106.21000000000001,106.21000000000001,,,0 RC,259,DICLOFENAC SODIUM 1 % EX GEL,269.63,269.63,,,0 RC,259,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO ELIX,64.845,64.845,,,0 RC,259,DIPHENHYDRAMINE HCL 12.5 MG/5ML PO LIQD,11.17,11.17,,,0 RC,259,DIPHENHYDRAMINE-ZINC ACETATE 2-0.1 % EX CREA,52.0,52.0,,,0 RC,259,DIPHENOXYLATE-ATROPINE 2.5-0.025 MG/5ML PO LIQD UNIT DOSE,71.9,71.9,,,0 RC,259,DOCUSATE SODIUM 100 MG/10ML PO LIQD,10.22,10.22,,,0 RC,259,DONNATAL 16.2 MG/5ML PO ELIX,436.19,436.19,,,0 RC,259,DORZOLAMIDE HCL 2 % OP SOLN,294.2,294.2,,,0 RC,259,DORZOLAMIDE HCL-TIMOLOL MAL 2-0.5 % OP SOLN,340.92,340.92,,,0 RC,259,EAR DROPS 6.5 % OT SOLN,66.71,66.71,,,0 RC,259,EPINEPHRINE HCL (NASAL) 0.1 % NA SOLN,599.34,599.34,,,0 RC,259,ERYTHROMYCIN 5 MG/GM OP OINT,232.63,232.63,,,0 RC,259,ESTRACE 0.1 MG/GM VA CREA,1653.16,1653.16,,,0 RC,259,ESTRADIOL 0.1 MG/GM VA CREA,670.655,670.655,,,0 RC,259,EYE DROPS 0.05 % OP SOLN,49.11,49.11,,,0 RC,259,EYE ITCH RELIEF 0.035 % OP SOLN,192.15,192.15,,,0 RC,259,EYE STREAM OP SOLN,339.62,339.62,,,0 RC,259,EYE WASH OP SOLN,94.63999999999999,94.63999999999999,,,0 RC,259,FE-VITE IRON 75 (15 FE) MG/ML PO SOLN,10.27,10.27,,,0 RC,259,FERRIC SUBSULFATE (BULK) SOLN,108.53,108.53,,,0 RC,259,FERROUS SULFATE 300 (60 FE) MG/5ML PO SOLN,60.57,60.57,,,0 RC,259,FIRST AID ANTISEPTIC 10 % EX OINT,56.9,56.9,,,0 RC,259,FLEET ENEMA RE ENEM,45.5,45.5,,,0 RC,259,FLEET OIL RE ENEM,84.5,84.5,,,0 RC,259,FLEET PEDIATRIC RECTAL ENEMA,58.06,58.06,,,0 RC,259,FLUOCINONIDE 0.05 % EX CREA,270.31,270.31,,,0 RC,259,FLUOROMETHOLONE 0.1 % OP SUSP,815.57,815.57,,,0 RC,259,FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP,216.29,216.29,,,0 RC,259,FORMOTEROL FUMARATE 20 MCG/2ML IN NEBU,158.09,158.09,,,0 RC,259,FT MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN,37.62,37.62,,,0 RC,259,FT NASAL SPRAY 0.05 % NA SOLN,83.57,83.57,,,0 RC,259,GABAPENTIN 250 MG/5ML PO SOLN,55.105,55.105,,,0 RC,259,GABAPENTIN 300 MG/6ML PO SOLN UNIT DOSE,22.75,22.75,,,0 RC,259,GATIFLOXACIN 0.5 % OP SOLN,764.09,764.09,,,0 RC,259,GAVILYTE-C 240 G PO SOLR,220.16,220.16,,,0 RC,259,GAVILYTE-G 236 G PO SOLR,275.2,275.2,,,0 RC,259,GEBAUERS PAIN EASE EX AERO,532.2,532.2,,,0 RC,259,GENTAMICIN SULFATE 0.1 % EX OINT,219.32,219.32,,,0 RC,259,GENTAMICIN SULFATE 0.3 % OP SOLN,136.18,136.18,,,0 RC,259,GENTEAL TEARS 0.1-0.2-0.3 % OP SOLN,206.32,206.32,,,0 RC,259,GENTEAL TEARS NIGHT-TIME OP OINT,223.26,223.26,,,0 RC,259,GERI-LANTA 200-200-20 MG/5ML PO SUSP,1.85,1.85,,,0 RC,259,GERI-MOX 200-200-20 MG/5ML PO SUSP,11.54,11.54,,,0 RC,259,GLYDO 2 % EX PRSY,163.02,163.02,,,0 RC,259,GNP ALL DAY ALLERGY CHILDRENS 1 MG/ML PO SOLN,3.93,3.93,,,0 RC,259,GNP ANTACID & ANTI-GAS 200-200-20 MG/5ML PO SUSP,11.54,11.54,,,0 RC,259,GNP ANTACID REGULAR STRENGTH 200-200-20 MG/5ML PO SUSP,5.5,5.5,,,0 RC,259,GNP ARTHRITIS PAIN 1 % EX GEL,235.5,235.5,,,0 RC,259,GNP ATHLETES FOOT 1 % EX CREA,83.275,83.275,,,0 RC,259,GNP DICLOFENAC SODIUM 1 % EX GEL,204.78,204.78,,,0 RC,259,GNP EARWAX REMOVAL DROPS 6.5 % OT SOLN,43.25,43.25,,,0 RC,259,GNP FLUTICASONE PROPIONATE 50 MCG/ACT NA SUSP,205.33,205.33,,,0 RC,259,GNP HYDROCORTISONE MAX ST 1 % EX OINT,58.29,58.29,,,0 RC,259,GNP INFANT GAS RELIEF 20 MG/0.3ML PO SUSP,4.27,4.27,,,0 RC,259,GNP LIDOCAINE PAIN RELIEVING 4 % EX CREA,91.38,91.38,,,0 RC,259,GNP MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN,211.79,211.79,,,0 RC,259,GNP NASAL SPRAY 0.05 % NA SOLN,46.92,46.92,,,0 RC,259,GNP NO DRIP NASAL SPRAY 0.05 % NA SOLN,92.36,92.36,,,0 RC,259,GNP TRIPLE ANTIBIOTIC EX OINT,62.8,62.8,,,0 RC,259,GOLYTELY 236 G PO SOLR,275.2,275.2,,,0 RC,259,GUAIFENESIN 100 MG/5ML PO LIQUID UNIT DOSE,25.61,25.61,,,0 RC,259,GUAIFENESIN-CODEINE 100-10 MG/5ML PO SOLN UNIT DOSE,38.355000000000004,38.355000000000004,,,0 RC,259,GUAIFENESIN-CODEINE 200-20 MG/10ML PO SOLN,77.1,77.1,,,0 RC,259,GUAIFENESIN-DM 100-10 MG/5ML PO SYRP UNIT DOSE,26.674999999999997,26.674999999999997,,,0 RC,259,H-CHLOR 12 0.125 % EX SOLN,194.07,194.07,,,0 RC,259,HALOPERIDOL LACTATE 2 MG/ML PO CONC UNIT DOSE,26.49,26.49,,,0 RC,259,HEMORRHOIDAL 0.25-14-74.9 % RE OINT,94.71,94.71,,,0 RC,259,HURRICAINE 20 % MT AERO,602.75,602.75,,,0 RC,259,HURRICAINE ONE 20 % MT SOLN,318.5,318.5,,,0 RC,259,HYDROCODONE-ACETAMINOPHEN 7.5-325 MG/15ML PO SOLN UNIT DOSE,50.09,50.09,,,0 RC,259,HYDROCORTISONE (PERIANAL) 2.5 % EX CREA,241.64,241.64,,,0 RC,259,HYDROCORTISONE 1 % EX CREA,70.76,70.76,,,0 RC,259,HYDROCORTISONE 1 % EX OINT,115.6,115.6,,,0 RC,259,HYOSYNE 0.125 MG/ML PO SOLN,26.79,26.79,,,0 RC,259,HYSEPT 25 0.25 % EX SOLN,75.09,75.09,,,0 RC,259,HYSEPT 50 0.5 % EX SOLN,339.01,339.01,,,0 RC,259,IBUPROFEN CHILDRENS 100 MG/5ML PO SUSP,50.83,50.83,,,0 RC,259,ICY HOT ADVANCED PAIN RELIEF 16-11 % EX CREA,149.08,149.08,,,0 RC,259,INCRUSE ELLIPTA 62.5 MCG/ACT IN AEPB,168.36,168.36,,,0 RC,259,INFANTS GAS RELIEF 20 MG/0.3ML PO SUSP,3.25,3.25,,,0 RC,259,IPRATROPIUM BROMIDE 0.02 % IN SOLN,12.94,12.94,,,0 RC,259,IPRATROPIUM BROMIDE 0.03 % NA SOLN,463.13,463.13,,,0 RC,259,IPRATROPIUM BROMIDE 0.06 % NA SOLN,279.52,279.52,,,0 RC,259,IPRATROPIUM-ALBUTEROL 0.5-2.5 MG/3ML IN SOLN,14.62,14.62,,,0 RC,259,KETOCONAZOLE 2 % EX CREA,255.72000000000003,255.72000000000003,,,0 RC,259,KETOROLAC TROMETHAMINE 0.4 % OP SOLN,648.09,648.09,,,0 RC,259,KETOROLAC TROMETHAMINE 0.5 % OP SOLN,195.91,195.91,,,0 RC,259,KETOTIFEN FUMARATE 0.035 % OP SOLN,203.07,203.07,,,0 RC,259,L.E.T. (RACEPINEPHRINE) 4-0.05-0.5 % EX SOLN,250.26,250.26,,,0 RC,259,L.E.T. 4-0.05-0.5 % EX GEL,472.61,472.61,,,0 RC,259,LACOSAMIDE 10 MG/ML PO SOLN UNIT DOSE,26.9,26.9,,,0 RC,259,LACTULOSE 10 GM/15ML PO SOLN,20.32,20.32,,,0 RC,259,LACTULOSE 20 GM/30ML PO SOLN,19.79,19.79,,,0 RC,259,LATANOPROST 0.005 % OP SOLN,109.22,109.22,,,0 RC,259,LEVALBUTEROL HCL 0.63 MG/3ML IN NEBU,53.07,53.07,,,0 RC,259,LEVALBUTEROL HCL 1.25 MG/3ML IN NEBU,55.57,55.57,,,0 RC,259,LEVETIRACETAM 100 MG/ML PO SOLN UNIT DOSE,56.07,56.07,,,0 RC,259,LEVOFLOXACIN 25 MG/ML PO SOLN BULK,703.0,703.0,,,0 RC,259,LIDOCAINE 4 % EX CREA,87.88,87.88,,,0 RC,259,LIDOCAINE 5 % EX OINT,245.88,245.88,,,0 RC,259,LIDOCAINE HCL 4 % EX SOLN,310.58,310.58,,,0 RC,259,LIDOCAINE HCL 4 % MT SOLN,484.83,484.83,,,0 RC,259,LIDOCAINE HCL URETHRAL/MUCOSAL 2 % EX PRSY,168.94,168.94,,,0 RC,259,LIDOCAINE VISCOUS HCL 2 % MT SOLN,27.68,27.68,,,0 RC,259,LIDOCAINE-PRILOCAINE 2.5-2.5 % EX CREA,211.945,211.945,,,0 RC,259,LOPERAMIDE HCL 1 MG/7.5ML PO SOLN,20.61,20.61,,,0 RC,259,LORAZEPAM 2 MG/ML PO CONC UNIT DOSE,10.34,10.34,,,0 RC,259,LORAZEPAM INTENSOL 2 MG/ML PO CONC,5.52,5.52,,,0 RC,259,LUBRIFRESH P.M. OP OINT,152.54,152.54,,,0 RC,259,MAG-AL PLUS 200-200-20 MG/5ML PO LIQD,18.96,18.96,,,0 RC,259,MAG-AL PLUS XS 400-400-40 MG/5ML PO LIQD,26.93,26.93,,,0 RC,259,MAGIC MOUTHWASH SUSP UNIT DOSE,178.91,178.91,,,0 RC,259,MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN BULK,158.845,158.845,,,0 RC,259,MAXITROL 0.1 % OP SUSP,1233.24,1233.24,,,0 RC,259,MEGESTROL ACETATE 40 MG/ML PO SUSP UNIT DOSE,13.85,13.85,,,0 RC,259,MEGESTROL ACETATE 400 MG/10ML PO SUSP,17.31,17.31,,,0 RC,259,MENTHOL-ZINC OXIDE 0.44-20.625 % EX OINT,64.62,64.62,,,0 RC,259,METHADONE HCL 10 MG/ML PO CONC UNIT DOSE,3.91,3.91,,,0 RC,259,METHADONE HCL 5 MG/5ML PO SOLN UNIT DOSE,87.79,87.79,,,0 RC,259,METHADONE HCL INTENSOL 10 MG/ML PO CONC,19.38,19.38,,,0 RC,259,METHADOSE 10 MG/ML PO CONC,3.58,3.58,,,0 RC,259,METRONIDAZOLE 0.75 % EX CREA,722.53,722.53,,,0 RC,259,METRONIDAZOLE 0.75 % EX GEL,285.35,285.35,,,0 RC,259,MICRO GUARD 2 % EX POWD,194.37,194.37,,,0 RC,259,MIDAZOLAM HCL 2 MG/ML PO SYRP UNIT DOSE,56.769999999999996,56.769999999999996,,,0 RC,259,MILK OF MAGNESIA 2400 MG/30ML PO SUSP,43.26,43.26,,,0 RC,259,MILK OF MAGNESIA 400 MG/5ML PO SUSP,12.58,12.58,,,0 RC,259,MILK OF MAGNESIA 7.75 % PO SUSP,11.79,11.79,,,0 RC,259,MILK OF MAGNESIA CONCENTRATE 2400 MG/10ML PO SUSP,38.34,38.34,,,0 RC,259,MINERAL OIL PO OIL,14.54,14.54,,,0 RC,259,MINERAL OIL RE ENEM,90.79,90.79,,,0 RC,259,MINTOX MAXIMUM STRENGTH 400-400-40 MG/5ML PO SUSP,7.07,7.07,,,0 RC,259,MORPHINE SULFATE (CONCENTRATE) 100 MG/5ML PO SOLN,14.92,14.92,,,0 RC,259,MORPHINE SULFATE 10 MG/5ML PO SOLN UNIT DOSE,45.33,45.33,,,0 RC,259,MOXIFLOXACIN HCL 0.5 % OP SOLN,311.98,311.98,,,0 RC,259,MUPIROCIN 2 % EX OINT,91.09,91.09,,,0 RC,259,MURINE EAR 6.5 % OT SOLN,117.75,117.75,,,0 RC,259,MURO 128 2 % OP SOLN,271.08,271.08,,,0 RC,259,NASAL DECONGESTANT SPRAY 0.05 % NA SOLN,80.27,80.27,,,0 RC,259,NEBUSAL 3 % IN NEBU,26.17,26.17,,,0 RC,259,NEO-SYNEPHRINE COLD/ALLRG MILD 0.25 % NA SOLN,108.53,108.53,,,0 RC,259,NEO-SYNEPHRINE COLD/ALLRGY EXT 1 % NA SOLN,121.33,121.33,,,0 RC,259,NEO-SYNEPHRINE COLD/ALLRGY REG 0.5 % NA SOLN,108.53,108.53,,,0 RC,259,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP OINT,327.13,327.13,,,0 RC,259,NEOMYCIN-POLYMYXIN-DEXAMETH 3.5-10000-0.1 OP SUSP,250.095,250.095,,,0 RC,259,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SOLN,726.98,726.98,,,0 RC,259,NEOMYCIN-POLYMYXIN-HC 3.5-10000-1 OT SUSP,616.01,616.01,,,0 RC,259,NITRO-BID 2 % TD OINT,75.56,75.56,,,0 RC,259,NITROGLYCERIN 0.4 MG/SPRAY TL SOLN,1633.85,1633.85,,,0 RC,259,NYAMYC 100000 UNIT/GM EX POWD,315.36,315.36,,,0 RC,259,NYSTATIN 100000 UNIT/GM EX CREA,201.71,201.71,,,0 RC,259,NYSTATIN 100000 UNIT/GM EX OINT,206.83,206.83,,,0 RC,259,NYSTATIN 100000 UNIT/GM EX POWD,495.575,495.575,,,0 RC,259,NYSTATIN 100000 UNIT/ML MT SUSP BULK,22.98,22.98,,,0 RC,259,NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% EX CREA,175.09,175.09,,,0 RC,259,NYSTATIN-TRIAMCINOLONE 100000-0.1 UNIT/GM-% EX OINT,115.7,115.7,,,0 RC,259,NYSTOP 100000 UNIT/GM EX POWD,221.16,221.16,,,0 RC,259,OFLOXACIN 0.3 % OP SOLN,252.76,252.76,,,0 RC,259,OFLOXACIN 0.3 % OT SOLN,254.57,254.57,,,0 RC,259,OLOPATADINE HCL 0.1 % OP SOLN,182.425,182.425,,,0 RC,259,ONDANSETRON HCL 4 MG/5ML PO SOLN UNIT DOSE,138.36,138.36,,,0 RC,259,ONELAX MAGNESIUM CITRATE 1.745 GM/30ML PO SOLN,34.5,34.5,,,0 RC,259,OSELTAMIVIR PHOSPHATE 6 MG/ML PO SUSR BULK,51.275,51.275,,,0 RC,259,OXCARBAZEPINE 300 MG/5ML PO SUSP UNIT DOSE,23.24,23.24,,,0 RC,259,OXYCODONE HCL 5 MG/5ML PO SOLN UNIT DOSE,86.84,86.84,,,0 RC,259,OXYMETAZOLINE HCL 0.05 % NA SOLN,169.29500000000002,169.29500000000002,,,0 RC,259,PEG-3350/ELECTROLYTES 236 G PO SOLR,275.2,275.2,,,0 RC,259,PERFOROMIST 20 MCG/2ML IN NEBU,160.10500000000002,160.10500000000002,,,0 RC,259,PHENYLEPHRINE HCL 10 % OP SOLN,648.65,648.65,,,0 RC,259,PHENYLEPHRINE HCL 2.5 % OP SOLN,537.31,537.31,,,0 RC,259,PILOCARPINE HCL 1 % OP SOLN,695.8599999999999,695.8599999999999,,,0 RC,259,PILOCARPINE HCL 2 % OP SOLN,598.5250000000001,598.5250000000001,,,0 RC,259,POLYETHYLENE GLYCOL 3350 17 GM/SCOOP PO POWD,55.45,55.45,,,0 RC,259,POLYMYXIN B-TRIMETHOPRIM 10000-0.1 UNIT/ML-% OP SOLN,133.45,133.45,,,0 RC,259,POLYVINYL ALCOHOL 1.4 % OP SOLN,249.32,249.32,,,0 RC,259,POTASSIUM CHLORIDE 20 MEQ/15ML (10%) PO SOLN UNIT DOSE,62.9,62.9,,,0 RC,259,POVIDONE-IODINE 10 % EX SOLN,5.42,5.42,,,0 RC,259,PRED MILD 0.12 % OP SUSP,1744.37,1744.37,,,0 RC,259,PREDNISOLONE ACETATE 1 % OP SUSP,428.95,428.95,,,0 RC,259,PREDNISOLONE SODIUM PHOSPHATE 1 % OP SOLN,897.81,897.81,,,0 RC,259,PREMARIN 0.625 MG/GM VA CREA,2169.49,2169.49,,,0 RC,259,PROCTOFOAM HC 1-1 % EX FOAM,2111.15,2111.15,,,0 RC,259,PROCTOZONE-HC 2.5 % EX CREA,195.56,195.56,,,0 RC,259,PROMETHAZINE HCL 6.25 MG/5ML PO SYRP UNIT DOSE,18.1,18.1,,,0 RC,259,PROPARACAINE HCL 0.5 % OP SOLN,456.27,456.27,,,0 RC,259,PROVOCHOLINE IN KIT,1503.21,1503.21,,,0 RC,259,PULMICORT 0.25 MG/2ML IN SUSP,271.06,271.06,,,0 RC,259,PULMOZYME 2.5 MG/2.5ML IN SOLN,1326.9,1326.9,,,0 RC,259,RECTASMOOTHE 5 % EX CREA,237.79,237.79,,,0 RC,259,REFRESH LACRI-LUBE OP OINT,304.73,304.73,,,0 RC,259,REFRESH TEARS 0.5 % OP SOLN,261.61,261.61,,,0 RC,259,SALINE NASAL SPRAY 0.65 % NA SOLN,39.58,39.58,,,0 RC,259,SANTYL 250 UNIT/GM EX OINT,1464.66,1464.66,,,0 RC,259,SENNA 8.8 MG/5ML PO SYRP UNIT DOSE,56.235,56.235,,,0 RC,259,SILVADENE 1 % EX CREA,270.31,270.31,,,0 RC,259,SILVER SULFADIAZINE 1 % EX CREA,232.08,232.08,,,0 RC,259,SIMETHICONE DROPS INFANTS 20 MG/0.3ML PO SUSP,3.44,3.44,,,0 RC,259,SODIUM CHLORIDE 0.9 % IN NEBU,13.0,13.0,,,0 RC,259,SODIUM CHLORIDE 10 % IN NEBU,7.94,7.94,,,0 RC,259,SODIUM CHLORIDE 3 % IN NEBU,25.99,25.99,,,0 RC,259,SODIUM CHLORIDE 7 % IN NEBU,50.43,50.43,,,0 RC,259,SODIUM CITRATE-CITRIC ACID 500-334 MG/5ML PO SOLN UNIT DOSE,88.96,88.96,,,0 RC,259,SOOTHE NIGHTTIME OP OINT,229.0,229.0,,,0 RC,259,SORE THROAT 15-3.6 MG MT LOZG,8.57,8.57,,,0 RC,259,SORE THROAT SPRAY 1.4 % MT LIQD,1.02,1.02,,,0 RC,259,SPS (SODIUM POLYSTYRENE SULF) 15 GM/60ML CO SUSP,299.69,299.69,,,0 RC,259,SSD 1 % EX CREA,212.885,212.885,,,0 RC,259,SSKI 1 GM/ML PO SOLN,27.69,27.69,,,0 RC,259,STERILE TOPICAL L.E.T. GEL 4-0.18-0.5 % EX GEL,320.79,320.79,,,0 RC,259,STYE 31.9-57.7 % OP OINT,165.92,165.92,,,0 RC,259,SUCRALFATE 1 GM/10ML PO SUSP UNIT DOSE,81.33,81.33,,,0 RC,259,SULFAMETHOXAZOLE-TRIMETHOPRIM 200-40 MG/5ML PO SUSP UNIT DOSE,90.68,90.68,,,0 RC,259,SUPREP BOWEL PREP KIT 17.5-3.13-1.6 GM/177ML PO SOLN,321.49,321.49,,,0 RC,259,SYMBICORT 160-4.5 MCG/ACT IN AERO,871.8499999999999,871.8499999999999,,,0 RC,259,SYMBICORT 80-4.5 MCG/ACT IN AERO,630.1,630.1,,,0 RC,259,TEGRETOL 100 MG/5ML PO SUSP,96.04,96.04,,,0 RC,259,TETRACAINE HCL 0.5 % OP SOLN,342.96999999999997,342.96999999999997,,,0 RC,259,TIMOLOL HEMIHYDRATE 0.5 % OP SOLN,1198.68,1198.68,,,0 RC,259,TIMOLOL MALEATE 0.25 % OP SOLN,86.69,86.69,,,0 RC,259,TIMOLOL MALEATE 0.5 % OP SOLN,168.775,168.775,,,0 RC,259,TOBRADEX 0.3-0.1 % OP OINT,1403.32,1403.32,,,0 RC,259,TOBRAMYCIN 0.3 % OP SOLN,154.61,154.61,,,0 RC,259,TOBRAMYCIN-DEXAMETHASONE 0.3-0.1 % OP SUSP,371.705,371.705,,,0 RC,259,TRELEGY ELLIPTA 100-62.5-25 MCG/ACT IN AEPB,1818.32,1818.32,,,0 RC,259,TRELEGY ELLIPTA 200-62.5-25 MCG/ACT IN AEPB,1788.95,1788.95,,,0 RC,259,TRIAMCINOLONE ACETONIDE 0.1 % EX CREA,75.17,75.17,,,0 RC,259,TRIAMCINOLONE ACETONIDE 0.1 % EX OINT,74.74,74.74,,,0 RC,259,TRIAMCINOLONE ACETONIDE 0.5 % EX CREA,180.20499999999998,180.20499999999998,,,0 RC,259,TRIFLURIDINE 1 % OP SOLN,2135.68,2135.68,,,0 RC,259,TRIPLE ANTIBIOTIC 3.5-400-5000 EX OINT,74.78999999999999,74.78999999999999,,,0 RC,259,TRIPLE ANTIBIOTIC 5-400-5000 EX OINT,77.03,77.03,,,0 RC,259,TRIPLE ANTIBIOTIC EX OINT,5.29,5.29,,,0 RC,259,TROPIC-CYCLOPENT-PE-KETOROLAC 1-1-2.5-0.5 % OP SOSY,220.14,220.14,,,0 RC,259,TROPICAMIDE 1 % OP SOLN,219.22,219.22,,,0 RC,259,TROPICAMIDE-CYCLOPENTOLATE-PE 1-1-2.5 % OP SOLN,691.185,691.185,,,0 RC,259,TRUEPLUS GLUCOSE 15 GM/32ML PO GEL,63.71,63.71,,,0 RC,259,VALPROIC ACID 250 MG/5ML PO SOLN UNIT DOSE,34.685,34.685,,,0 RC,259,VANCOMYCIN HCL 50 MG/ML PO SOLR UNIT DOSE,47.6,47.6,,,0 RC,259,VENTOLIN HFA 108 (90 BASE) MCG/ACT IN AERS,383.44,383.44,,,0 RC,259,VICKS SINEX 12 HOUR DECONGEST 0.05 % NA SOLN,135.67,135.67,,,0 RC,259,VICKS SINEX MOISTURIZING 0.05 % NA SOLN,228.33,228.33,,,0 RC,259,VISINE RED EYE COMFORT 0.05 % OP SOLN,131.57,131.57,,,0 RC,259,VITAMIN D INFANT 10 MCG/ML PO LIQD,5.27,5.27,,,0 RC,259,VOLTAREN ARTHRITIS PAIN 1 % EX GEL,14.44,14.44,,,0 RC,259,XALATAN 0.005 % OP SOLN,1242.03,1242.03,,,0 RC,259,ZINC OXIDE 20 % EX OINT,120.755,120.755,,,0 RC,636,ACETAMINOPHEN 1000 MG/100 ML IV SOLN,101.43,101.43,,,0 RC,636,ACETAMINOPHEN 500 MG/50 ML IV SOLN,82.8,82.8,,,0 RC,636,ACETAZOLAMIDE SODIUM 500 MG IJ SOLR,355.79,355.79,,,0 RC,636,ACETYLCYSTEINE 200 MG/ML IV SOLN,219.11,219.11,,,0 RC,636,ACTEMRA 200 MG/10ML IV SOLN,1246.17,1246.17,,,0 RC,636,ACTEMRA 400 MG/20ML IV SOLN,8711.05,8711.05,,,0 RC,636,ACTEMRA 80 MG/4ML IV SOLN,1246.17,1246.17,,,0 RC,636,ACYCLOVIR SODIUM 50 MG/ML IV SOLN,102.52,102.52,,,0 RC,636,ADACEL 5-2-15.5 LF-MCG/0.5 IM SUSP,879.1800000000001,879.1800000000001,,,0 RC,636,ADENOSINE (DIAGNOSTIC) 3 MG/ML IV SOLN,927.815,927.815,,,0 RC,636,ADENOSINE 12 MG/4ML IV SOLN,233.565,233.565,,,0 RC,636,ADENOSINE 6 MG/2ML IV SOLN,79.11,79.11,,,0 RC,636,AFLURIA PRESERVATIVE FREE 0.5 ML IM SUSY,278.63,278.63,,,0 RC,636,ALBUKED 25 25 % IV SOLN,822.905,822.905,,,0 RC,636,ALBUKED 5 5 % IV SOLN,547.37,547.37,,,0 RC,636,ALBUMIN HUMAN 25 % IV SOLN,808.86,808.86,,,0 RC,636,ALBUMIN HUMAN 5 % IV SOLN,998.81,998.81,,,0 RC,636,ALBUMINEX 25 % IV SOLN,461.34,461.34,,,0 RC,636,ALBURX 5 % IV SOLN,756.71,756.71,,,0 RC,636,ALBUTEIN 25 % IV SOLN,591.335,591.335,,,0 RC,636,ALBUTEIN 5 % IV SOLN,612.02,612.02,,,0 RC,636,AMINOPHYLLINE 25 MG/ML IV SOLN,56.875,56.875,,,0 RC,636,AMIODARONE HCL 150 MG/3ML IV SOLN,119.64,119.64,,,0 RC,636,AMIODARONE HCL 450 MG/9ML IV SOLN,153.625,153.625,,,0 RC,636,AMPHADASE 150 UNIT/ML IJ SOLN,299.58,299.58,,,0 RC,636,AMPICILLIN SODIUM 2 G IJ SOLR,86.77,86.77,,,0 RC,636,AMPICILLIN-SULBACTAM SODIUM 3 (2-1) G IJ SOLR,105.36,105.36,,,0 RC,636,ANECTINE 20 MG/ML IJ SOLN,99.69,99.69,,,0 RC,636,ARANESP (ALBUMIN FREE) 100 MCG/0.5ML IJ SOSY,1656.02,1656.02,,,0 RC,636,ARANESP (ALBUMIN FREE) 150 MCG/0.3ML IJ SOSY,6210.08,6210.08,,,0 RC,636,ARANESP (ALBUMIN FREE) 200 MCG/0.4ML IJ SOSY,8280.14,8280.14,,,0 RC,636,ARANESP (ALBUMIN FREE) 300 MCG/0.6ML IJ SOSY,6210.08,6210.08,,,0 RC,636,ARANESP (ALBUMIN FREE) 40 MCG/0.4ML IJ SOSY,1656.02,1656.02,,,0 RC,636,ARANESP (ALBUMIN FREE) 500 MCG/ML IJ SOSY,22008.63,22008.63,,,0 RC,636,ARANESP (ALBUMIN FREE) 60 MCG/0.3ML IJ SOSY,2484.05,2484.05,,,0 RC,636,ARSENIC TRIOXIDE 10 MG/10ML IV SOLN,2119.43,2119.43,,,0 RC,636,ATIVAN 2 MG/ML IJ SOLN,18.91,18.91,,,0 RC,636,ATIVAN 4 MG/ML IJ SOLN,52.7,52.7,,,0 RC,636,ATROPINE SULFATE 0.4 MG/ML IV SOLN,118.515,118.515,,,0 RC,636,ATROPINE SULFATE 1 MG/10ML IJ SOSY,124.75999999999999,124.75999999999999,,,0 RC,636,ATROPINE SULFATE 1 MG/ML IV SOLN,140.905,140.905,,,0 RC,636,AVASTIN 100 MG/4ML IV SOLN,12055.61,12055.61,,,0 RC,636,AVASTIN 400 MG/16ML IV SOLN,18114.8,18114.8,,,0 RC,636,AZACITIDINE 100 MG IJ SUSR,760.5350000000001,760.5350000000001,,,0 RC,636,AZITHROMYCIN 500 MG IV SOLR,83.4,83.4,,,0 RC,636,BENDEKA 100 MG/4ML IV SOLN,29120.93,29120.93,,,0 RC,636,BENZTROPINE MESYLATE 1 MG/ML IJ SOLN,197.77,197.77,,,0 RC,636,BETAMETHASONE SOD PHOS & ACET 6 (3-3) MG/ML IJ SUSP,50.35,50.35,,,0 RC,636,BEVACIZUMAB 1.25 MG/0.05ML IZ SOSY,1454.24,1454.24,,,0 RC,636,BEXSERO 0.5 ML IM SUSY,1658.11,1658.11,,,0 RC,636,BICILLIN L-A 1200000 UNIT/2ML IM SUSY,3213.61,3213.61,,,0 RC,636,BICILLIN L-A 2400000 UNIT/4ML IM SUSY,6425.71,6425.71,,,0 RC,636,BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 IM SUSY,696.59,696.59,,,0 RC,636,BORTEZOMIB 3.5 MG IJ SOLR,294.49,294.49,,,0 RC,636,BUMETANIDE 0.25 MG/ML IJ SOLN,86.38,86.38,,,0 RC,636,BUPIVACAINE HCL (PF) 0.25 % IJ SOLN,38.12,38.12,,,0 RC,636,BUPIVACAINE HCL (PF) 0.5 % IJ SOLN,29.9,29.9,,,0 RC,636,BUPIVACAINE HCL (PF) 0.75 % IJ SOLN,34.86,34.86,,,0 RC,636,BUPIVACAINE HCL 0.25 % IJ SOLN,2.605,2.605,,,0 RC,636,BUPIVACAINE HCL 0.5 % IJ SOLN,5.07,5.07,,,0 RC,636,BUPIVACAINE SPINAL 0.75-8.25 % IT SOLN,7.68,7.68,,,0 RC,636,BUTORPHANOL TARTRATE 2 MG/ML IJ SOLN,111.53,111.53,,,0 RC,636,CALCIUM GLUCONATE 10 % IV SOLN,210.49,210.49,,,0 RC,636,CALCIUM GLUCONATE-NACL 1-0.675 GM/50ML-% IV SOLN,161.46,161.46,,,0 RC,636,CALCIUM GLUCONATE-NACL 2-0.675 GM/100ML-% IV SOLN,225.06,225.06,,,0 RC,636,CAMPTOSAR 300 MG/15ML IV SOLN,743.8,743.8,,,0 RC,636,CARBOPLATIN 450 MG/45ML IV SOLN,343.71,343.71,,,0 RC,636,CARBOPLATIN 600 MG/60ML IV SOLN,203.45,203.45,,,0 RC,636,CATHFLO ACTIVASE 2 MG IJ SOLR,1737.675,1737.675,,,0 RC,636,CEFAZOLIN IN SODIUM CHLORIDE 3-0.9 GM/100ML-% IV SOLN,248.25,248.25,,,0 RC,636,CEFAZOLIN SODIUM 2 G IJ SOLR,139.09,139.09,,,0 RC,636,CEFAZOLIN SODIUM 2 G IV SOLR,163.79,163.79,,,0 RC,636,CEFAZOLIN SODIUM-DEXTROSE 2-3 GM-%(50ML) IV SOLR,102.98,102.98,,,0 RC,636,CEFOXITIN SODIUM 1 G IV SOLR,184.96,184.96,,,0 RC,636,CEFTAZIDIME 1 G IJ SOLR,238.71,238.71,,,0 RC,636,CEFTRIAXONE SODIUM 1 G IJ SOLR,84.755,84.755,,,0 RC,636,CEFTRIAXONE SODIUM 500 MG IJ SOLR,65.49,65.49,,,0 RC,636,CEFTRIAXONE SODIUM-DEXTROSE 2-2.22 GM-%(50ML) IV SOLR,161.27,161.27,,,0 RC,636,CELESTONE SOLUSPAN 6 (3-3) MG/ML IJ SUSP,230.45,230.45,,,0 RC,636,CEREBYX 500 MG PE/10ML IJ SOLN,368.36,368.36,,,0 RC,636,CHLOROPROCAINE HCL (PF) 2 % IJ SOLN,118.49,118.49,,,0 RC,636,CHLOROPROCAINE HCL (PF) 3 % IJ SOLN,53.51,53.51,,,0 RC,636,CHLOROTHIAZIDE SODIUM 500 MG IV SOLR,236.9,236.9,,,0 RC,636,CHLORPROMAZINE HCL 25 MG/ML IJ SOLN,421.3,421.3,,,0 RC,636,CHLORPROMAZINE HCL 50 MG/2ML IJ SOLN,378.655,378.655,,,0 RC,636,CINVANTI 130 MG/18ML IV EMUL,2279.9,2279.9,,,0 RC,636,CIPROFLOXACIN IN D5W 400 MG/200ML IV SOLN,124.2,124.2,,,0 RC,636,CISPLATIN 100 MG/100ML IV SOLN,752.95,752.95,,,0 RC,636,CISPLATIN 200 MG/200ML IV SOLN,687.1,687.1,,,0 RC,636,CISPLATIN 50 MG/50ML IV SOLN,527.55,527.55,,,0 RC,636,CLADRIBINE 10 MG/10ML IV SOLN,4599.025,4599.025,,,0 RC,636,CLEOCIN PHOSPHATE 300 MG/2ML IJ SOLN,201.98,201.98,,,0 RC,636,CLEOCIN PHOSPHATE 600 MG/4ML IJ SOLN,111.94,111.94,,,0 RC,636,CLEOCIN PHOSPHATE 900 MG/6ML IJ SOLN,88.43,88.43,,,0 RC,636,CLINDAMYCIN PHOSPHATE 300 MG/2ML IJ SOLN,168.54,168.54,,,0 RC,636,CLINDAMYCIN PHOSPHATE IN D5W 600 MG/50ML IV SOLN,108.69500000000001,108.69500000000001,,,0 RC,636,CLINDAMYCIN PHOSPHATE IN D5W 900 MG/50ML IV SOLN,123.19,123.19,,,0 RC,636,CLINDAMYCIN PHOSPHATE IN NACL 600-0.9 MG/50ML-% IV SOLN,83.84,83.84,,,0 RC,636,CLINDAMYCIN PHOSPHATE IN NACL 900-0.9 MG/50ML-% IV SOLN,103.5,103.5,,,0 RC,636,CLONIDINE HCL (ANALGESIA) 100 MCG/ML EP SOLN,49.519999999999996,49.519999999999996,,,0 RC,636,COCAINE HCL 40 MG/ML NA SOLN,1613.6599999999999,1613.6599999999999,,,0 RC,636,CORVERT 1 MG/10ML IV SOLN,1637.35,1637.35,,,0 RC,636,COSENTYX 125 MG/5ML IV SOLN,22384.65,22384.65,,,0 RC,636,CYANOCOBALAMIN 1000 MCG/ML IJ SOLN,87.36,87.36,,,0 RC,636,CYCLOSPORINE MODIFIED 100 MG/ML PO SOLN UNIT DOSE,42.97,42.97,,,0 RC,636,CYRAMZA 100 MG/10ML IV SOLN,6735.55,6735.55,,,0 RC,636,CYRAMZA 500 MG/50ML IV SOLN,41805.86,41805.86,,,0 RC,636,CYTARABINE (PF) 20 MG/ML IJ SOLN,175.16,175.16,,,0 RC,636,DARZALEX 100 MG/5ML IV SOLN,23349.06,23349.06,,,0 RC,636,DARZALEX 400 MG/20ML IV SOLN,17542.01,17542.01,,,0 RC,636,DARZALEX FASPRO 1800-30000 MG-UT/15ML SC SOLN,51807.49,51807.49,,,0 RC,636,DDAVP 4 MCG/ML IJ SOLN,2437.54,2437.54,,,0 RC,636,DEFEROXAMINE MESYLATE 500 MG IJ SOLR (95 MG/ML WET VIAL),992.1,992.1,,,0 RC,636,DEMEROL 25 MG/ML IJ SOLN,123.425,123.425,,,0 RC,636,DEMEROL 50 MG/ML IJ SOLN,114.61,114.61,,,0 RC,636,DEPO-MEDROL 40 MG/ML IJ SUSP,124.165,124.165,,,0 RC,636,DEPO-MEDROL 80 MG/ML IJ SUSP,163.19,163.19,,,0 RC,636,DESMOPRESSIN ACETATE 4 MCG/ML IJ SOLN,996.87,996.87,,,0 RC,636,DESMOPRESSIN ACETATE PF 4 MCG/ML IJ SOLN,287.88,287.88,,,0 RC,636,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOLN,23.880000000000003,23.880000000000003,,,0 RC,636,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML IJ SOSY,41.7,41.7,,,0 RC,636,DEXAMETHASONE SOD PHOSPHATE PF 10 MG/ML INJ (WRAPPED),19.44,19.44,,,0 RC,636,DEXAMETHASONE SODIUM PHOSPHATE 10 MG/ML IJ SOLN,20.56,20.56,,,0 RC,636,DEXAMETHASONE SODIUM PHOSPHATE 100 MG/10ML IJ SOLN,23.195,23.195,,,0 RC,636,DEXAMETHASONE SODIUM PHOSPHATE 120 MG/30ML IJ SOLN,39.34,39.34,,,0 RC,636,DEXAMETHASONE SODIUM PHOSPHATE 20 MG/5ML IJ SOLN,13.68,13.68,,,0 RC,636,DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN,28.439999999999998,28.439999999999998,,,0 RC,636,DEXTROSE 5 % IV SOLN,89.16,89.16,,,0 RC,636,DEXTROSE IN LACTATED RINGERS 5 % IV SOLN,79.635,79.635,,,0 RC,636,DEXTROSE-SODIUM CHLORIDE 5-0.9 % IV SOLN,154.0,154.0,,,0 RC,636,DIAZEPAM 5 MG/ML IJ SOLN,98.46000000000001,98.46000000000001,,,0 RC,636,DICYCLOMINE HCL 10 MG/ML IM SOLN,219.84,219.84,,,0 RC,636,DIGOXIN 0.25 MG/ML IJ SOLN,58.01,58.01,,,0 RC,636,DILAUDID 0.2 MG/ML IJ SOLN,79.44,79.44,,,0 RC,636,DILAUDID 1 MG/ML IJ SOLN,58.815,58.815,,,0 RC,636,DILAUDID 2 MG/ML IJ SOLN,119.56,119.56,,,0 RC,636,DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN,14.11,14.11,,,0 RC,636,DIPRIVAN 1000 MG/100ML IV EMUL,143.435,143.435,,,0 RC,636,DIPRIVAN 200 MG/20ML IV EMUL,3.005,3.005,,,0 RC,636,DIPRIVAN 500 MG/50ML IV EMUL,139.55,139.55,,,0 RC,636,DOBUTAMINE-DEXTROSE 1-5 MG/ML-% IV SOLN,629.2549999999999,629.2549999999999,,,0 RC,636,DOBUTAMINE-DEXTROSE 2-5 MG/ML-% IV SOLN,435.31000000000006,435.31000000000006,,,0 RC,636,DOCETAXEL 160 MG/8ML IV CONC,1415.745,1415.745,,,0 RC,636,DOCETAXEL 80 MG/4ML IV CONC,957.55,957.55,,,0 RC,636,DOPAMINE-DEXTROSE 1.6-5 MG/ML-% IV SOLN,231.41,231.41,,,0 RC,636,DOXIL 2 MG/ML IV SUSP,5521.61,5521.61,,,0 RC,636,DOXORUBICIN HCL 2 MG/ML IV SOLN,362.26,362.26,,,0 RC,636,DOXORUBICIN HCL LIPOSOMAL 2 MG/ML IV SUSP,9997.09,9997.09,,,0 RC,636,DROPERIDOL 2.5 MG/ML IJ SOLN,72.58,72.58,,,0 RC,636,DUPIXENT 300 MG/2ML SC SOSY,18105.14,18105.14,,,0 RC,636,DURACLON 100 MCG/ML EP SOLN,48.75,48.75,,,0 RC,636,DURAMORPH 1 MG/ML IJ SOLN,362.9,362.9,,,0 RC,636,DUROLANE 60 MG/3ML IX PRSY,5340.76,5340.76,,,0 RC,636,ELAHERE 100 MG/20ML IV SOLN,7349.18,7349.18,,,0 RC,636,ENGERIX-B 10 MCG/0.5ML IJ SUSY,743.66,743.66,,,0 RC,636,ENGERIX-B 20 MCG/ML IJ SUSY,935.97,935.97,,,0 RC,636,ENOXAPARIN SODIUM 100 MG/ML IJ SOSY,76.675,76.675,,,0 RC,636,ENOXAPARIN SODIUM 120 MG/0.8ML IJ SOSY,240.79,240.79,,,0 RC,636,ENOXAPARIN SODIUM 150 MG/ML IJ SOSY,562.5,562.5,,,0 RC,636,ENOXAPARIN SODIUM 30 MG/0.3ML IJ SOSY,138.45,138.45,,,0 RC,636,ENOXAPARIN SODIUM 300 MG/3ML IJ SOLN,199.59,199.59,,,0 RC,636,ENOXAPARIN SODIUM 40 MG/0.4ML IJ SOSY,134.04000000000002,134.04000000000002,,,0 RC,636,ENOXAPARIN SODIUM 60 MG/0.6ML IJ SOSY,120.86,120.86,,,0 RC,636,ENOXAPARIN SODIUM 80 MG/0.8ML IJ SOSY,81.44,81.44,,,0 RC,636,EPINEPHRINE 1 MG/10ML IV SOSY,265.59,265.59,,,0 RC,636,EPINEPHRINE 30 MG/30ML IJ SOLN,99.7,99.7,,,0 RC,636,EPOGEN 10000 UNIT/ML IJ SOLN,2072.53,2072.53,,,0 RC,636,EPOGEN 20000 UNIT/ML IJ SOLN,3346.59,3346.59,,,0 RC,636,EPOGEN 4000 UNIT/ML IJ SOLN,1540.39,1540.39,,,0 RC,636,EPTIFIBATIDE 20 MG/10ML IV SOLN,373.62,373.62,,,0 RC,636,EPTIFIBATIDE 75 MG/100ML IV SOLN,953.06,953.06,,,0 RC,636,ERBITUX 100 MG/50ML IV SOLN,6651.62,6651.62,,,0 RC,636,ERBITUX 200 MG/100ML IV SOLN,3102.84,3102.84,,,0 RC,636,ERTAPENEM SODIUM 1 G IJ SOLR,485.055,485.055,,,0 RC,636,ERYTHROCIN LACTOBIONATE 500 MG IV SOLR,377.61,377.61,,,0 RC,636,ESMOLOL HCL 100 MG/10ML IV SOLN,114.25,114.25,,,0 RC,636,ESMOLOL HCL 2500 MG/250ML IV SOLN,1138.94,1138.94,,,0 RC,636,ESMOLOL HCL-SODIUM CHLORIDE 2500 MG/250ML IV SOLN,825.22,825.22,,,0 RC,636,ETOPOSIDE 1 GM/50ML IV SOLN,668.04,668.04,,,0 RC,636,ETOPOSIDE 100 MG/5ML IV SOLN,358.74,358.74,,,0 RC,636,ETOPOSIDE 500 MG/25ML IV SOLN,598.47,598.47,,,0 RC,636,EUFLEXXA 20 MG/2ML IX SOSY,1746.98,1746.98,,,0 RC,636,EVENITY 105 MG/1.17ML SC SOSY,25664.989999999998,25664.989999999998,,,0 RC,636,EXPAREL 1.3 % IJ SUSP,1259.74,1259.74,,,0 RC,636,FAMOTIDINE (PF) 20 MG/2ML IV SOLN,23.96,23.96,,,0 RC,636,FASENRA 30 MG/ML SC SOSY,50606.14,50606.14,,,0 RC,636,FENTANYL CITRATE (PF) 100 MCG/2ML IJ SOLN,19.06,19.06,,,0 RC,636,FENTANYL CITRATE (PF) 250 MCG/5ML IJ SOLN,13.285,13.285,,,0 RC,636,FENTANYL CITRATE (PF) 2500 MCG/50ML IJ SOLN,257.21,257.21,,,0 RC,636,FENTANYL CITRATE (PF) 50 MCG/ML IJ SOLN,29.384999999999998,29.384999999999998,,,0 RC,636,FENTANYL CITRATE PF 25 MCG/0.5ML IJ SOSY,101.5,101.5,,,0 RC,636,FENTANYL CITRATE PF 50 MCG/ML IJ SOSY,50.019999999999996,50.019999999999996,,,0 RC,636,FERAHEME 510 MG/17ML IV SOLN,2607.31,2607.31,,,0 RC,636,FERRLECIT 12.5 MG/ML IV SOLN,206.92,206.92,,,0 RC,636,FERUMOXYTOL 510 MG/17ML IV SOLN,1194.02,1194.02,,,0 RC,636,FLEXBUMIN 25 % IV SOLN,1484.25,1484.25,,,0 RC,636,FLEXBUMIN 5 % IV SOLN,741.32,741.32,,,0 RC,636,FLUAD 0.5 ML IM SUSY,555.24,555.24,,,0 RC,636,FLUARIX 0.5 ML IM SUSY,267.99,267.99,,,0 RC,636,FLUBLOK 0.5 ML IM SOSY,1274.22,1274.22,,,0 RC,636,FLUCELVAX 0.5 ML IM SUSY,613.88,613.88,,,0 RC,636,FLUCONAZOLE IN SODIUM CHLORIDE 200-0.9 MG/100ML-% IV SOLN,98.795,98.795,,,0 RC,636,FLUCONAZOLE IN SODIUM CHLORIDE 400-0.9 MG/200ML-% IV SOLN,120.06,120.06,,,0 RC,636,FLULAVAL 0.5 ML IM SUSY,300.5,300.5,,,0 RC,636,FLUOROURACIL 1 GM/20ML IV SOLN,203.76999999999998,203.76999999999998,,,0 RC,636,FLUOROURACIL 2.5 GM/50ML IV SOLN,331.69,331.69,,,0 RC,636,FLUOROURACIL 5 GM/100ML IV SOLN,266.245,266.245,,,0 RC,636,FLUOROURACIL 500 MG/10ML IV SOLN,123.15,123.15,,,0 RC,636,FLUPHENAZINE DECANOATE 25 MG/ML IJ SOLN,143.12,143.12,,,0 RC,636,FLUZONE 0.5 ML IM SUSY,359.36,359.36,,,0 RC,636,FLUZONE HIGH-DOSE 0.5 ML IM SUSY,1276.11,1276.11,,,0 RC,636,FOLIC ACID 5 MG/ML IJ SOLN,33.725,33.725,,,0 RC,636,FOMEPIZOLE 1.5 GM/1.5ML IV SOLN,3822.35,3822.35,,,0 RC,636,FONDAPARINUX SODIUM 2.5 MG/0.5ML SC SOLN,179.815,179.815,,,0 RC,636,FULPHILA 6 MG/0.6ML SC SOSY,17899.839999999997,17899.839999999997,,,0 RC,636,FULVESTRANT 250 MG/5ML IM SOSY,3553.66,3553.66,,,0 RC,636,FUROSEMIDE 10 MG/ML IJ SOLN,39.34,39.34,,,0 RC,636,GAMMAGARD 10 GM/100ML IJ SOLN,3452.33,3452.33,,,0 RC,636,GAMMAGARD 20 GM/200ML IJ SOLN,9904.07,9904.07,,,0 RC,636,GAMMAGARD 30 GM/300ML IJ SOLN,9947.93,9947.93,,,0 RC,636,GAMMAGARD 5 GM/50ML IJ SOLN,4937.27,4937.27,,,0 RC,636,GAMMAKED 10 GM/100ML IJ SOLN,8456.86,8456.86,,,0 RC,636,GAMMAKED 20 GM/200ML IJ SOLN,18442.37,18442.37,,,0 RC,636,GAMMAKED 5 GM/50ML IJ SOLN,4228.88,4228.88,,,0 RC,636,GAMUNEX-C 10 GM/100ML IJ SOLN,3230.06,3230.06,,,0 RC,636,GAMUNEX-C 20 GM/200ML IJ SOLN,3280.62,3280.62,,,0 RC,636,GAMUNEX-C 40 GM/400ML IJ SOLN,23938.57,23938.57,,,0 RC,636,GAMUNEX-C 5 GM/50ML IJ SOLN,3339.25,3339.25,,,0 RC,636,GASTROGRAFIN 66-10 % PO SOLN,46.435,46.435,,,0 RC,636,GAZYVA 1000 MG/40ML IV SOLN,11209.71,11209.71,,,0 RC,636,GEMCITABINE HCL 1 GM/26.3ML IV SOLN,853.53,853.53,,,0 RC,636,GEMCITABINE HCL 2 GM/52.6ML IV SOLN,214.14499999999998,214.14499999999998,,,0 RC,636,GEMCITABINE HCL 200 MG/2ML IV SOLN,1511.55,1511.55,,,0 RC,636,GEMCITABINE HCL 200 MG/5.26ML IV SOLN,66.97,66.97,,,0 RC,636,GENTAMICIN IN SALINE 0.8-0.9 MG/ML-% IV SOLN,128.07,128.07,,,0 RC,636,GENTAMICIN SULFATE 10 MG/ML IJ SOLN,138.29,138.29,,,0 RC,636,GENTAMICIN SULFATE 40 MG/ML IJ SOLN,112.35,112.35,,,0 RC,636,GLYCOPYRROLATE 0.2 MG/ML IJ SOLN,77.045,77.045,,,0 RC,636,GLYCOPYRROLATE 0.4 MG/2ML IJ SOLN,41.33,41.33,,,0 RC,636,GLYCOPYRROLATE 1 MG/5ML IJ SOLN,102.63,102.63,,,0 RC,636,GLYCOPYRROLATE PF 0.4 MG/2ML IJ SOSY,128.82,128.82,,,0 RC,636,GRANIX 300 MCG/0.5ML SC SOSY,2688.43,2688.43,,,0 RC,636,GRANIX 480 MCG/0.8ML SC SOSY,3286.895,3286.895,,,0 RC,636,HALAVEN 1 MG/2ML IV SOLN,18266.45,18266.45,,,0 RC,636,HALOPERIDOL DECANOATE 100 MG/ML IM SOLN,231.11,231.11,,,0 RC,636,HALOPERIDOL LACTATE 5 MG/ML IJ SOLN,12.62,12.62,,,0 RC,636,HAVRIX 1440 EL U/ML IM SUSP,628.84,628.84,,,0 RC,636,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/250ML-% IV SOLN,113.85,113.85,,,0 RC,636,HEPARIN (PORCINE) IN NACL 25000-0.45 UT/500ML-% IV SOLN,144.9,144.9,,,0 RC,636,HEPARIN SOD (PORCINE) IN D5W 100 UNIT/ML IV SOLN,150.08,150.08,,,0 RC,636,HEPARIN SODIUM (PORCINE) 1000 UNIT/ML IJ SOLN,48.61,48.61,,,0 RC,636,HEPARIN SODIUM (PORCINE) 10000 UNIT/ML IJ SOLN,24.83,24.83,,,0 RC,636,HEPARIN SODIUM (PORCINE) 5000 UNIT/0.5ML IJ SOSY,74.42,74.42,,,0 RC,636,HEPARIN SODIUM (PORCINE) 5000 UNIT/ML IJ SOLN,54.775000000000006,54.775000000000006,,,0 RC,636,HEPARIN SODIUM (PORCINE) PF 1000 UNIT/ML IJ SOLN,209.815,209.815,,,0 RC,636,HEPARIN SODIUM (PORCINE) PF 5000 UNIT/0.5ML IJ SOLN,111.66,111.66,,,0 RC,636,HUMULIN 70/30 (70-30) 100 UNIT/ML SC SUSP,79.7,79.7,,,0 RC,636,HUMULIN R 100 UNIT/ML IJ SOLN,3.9050000000000002,3.9050000000000002,,,0 RC,636,HYALGAN 20 MG/2ML IX SOSY,1816.6,1816.6,,,0 RC,636,HYDRALAZINE HCL 20 MG/ML IJ SOLN,100.34,100.34,,,0 RC,636,HYDROMORPHONE HCL 0.2 MG/ML IJ SOLN,86.94,86.94,,,0 RC,636,HYDROMORPHONE HCL 0.25 MG/0.5ML IJ SOLN,79.29,79.29,,,0 RC,636,HYDROMORPHONE HCL 1 MG/ML IJ SOLN,75.95,75.95,,,0 RC,636,HYDROMORPHONE HCL 2 MG/ML IJ SOLN,33.67,33.67,,,0 RC,636,HYDROMORPHONE HCL PF 10 MG/ML IJ SOLN,681.76,681.76,,,0 RC,636,HYDROMORPHONE HCL PF 2 MG/ML IJ SOLN,9.52,9.52,,,0 RC,636,HYDROMORPHONE HCL PF 50 MG/5ML IJ SOLN,154.86,154.86,,,0 RC,636,HYDROMORPHONE HCL-NACL 10-0.9 MG/50ML-% IV SOLN,617.89,617.89,,,0 RC,636,HYDROMORPHONE HCL-NACL 20-0.9 MG/100ML-% IJ SOLN,507.41,507.41,,,0 RC,636,HYDROXYZINE HCL 25 MG/ML IM SOLN,334.57,334.57,,,0 RC,636,HYDROXYZINE HCL 50 MG/ML IM SOLN,387.77,387.77,,,0 RC,636,HYOSCYAMINE SULFATE 0.5 MG/ML IJ SOLN,1491.61,1491.61,,,0 RC,636,HYPERRAB 1500 UNIT/5ML IJ SOLN,12205.85,12205.85,,,0 RC,636,IBANDRONATE SODIUM 3 MG/3ML IV SOLN,1173.34,1173.34,,,0 RC,636,IBUTILIDE FUMARATE 1 MG/10ML IV SOLN,1515.35,1515.35,,,0 RC,636,IMFINZI 500 MG/10ML IV SOLN,61900.0,61900.0,,,0 RC,636,IMJUDO 300 MG/15ML IV SOLN,198840.76,198840.76,,,0 RC,636,INFED 50 MG/ML IJ SOLN,246.11,246.11,,,0 RC,636,INJECTAFER 750 MG/15ML IV SOLN,706.46,706.46,,,0 RC,636,INSULIN ASPART 100 UNIT/ML IJ SOLN,25.53,25.53,,,0 RC,636,INSULIN GLARGINE-YFGN 100 UNIT/ML SC SOLN,15.31,15.31,,,0 RC,636,INSULIN LISPRO 100 UNIT/ML IJ SOLN,15.99,15.99,,,0 RC,636,IRINOTECAN HCL 100 MG/5ML IV SOLN,189.08,189.08,,,0 RC,636,IRINOTECAN HCL 300 MG/15ML IV SOLN,218.46,218.46,,,0 RC,636,IRINOTECAN HCL 40 MG/2ML IV SOLN,129.605,129.605,,,0 RC,636,ISOSULFAN BLUE 1 % SC SOLN,1128.27,1128.27,,,0 RC,636,JEMPERLI 500 MG/10ML IV SOLN,56374.31,56374.31,,,0 RC,636,JEVTANA 60 MG/1.5ML IV SOLN,20844.8,20844.8,,,0 RC,636,KCL (0.149%) IN NACL 20-0.45 MEQ/L-% IV SOLN,246.4,246.4,,,0 RC,636,KCL (0.149%) IN NACL 20-0.9 MEQ/L-% IV SOLN,246.4,246.4,,,0 RC,636,KCL (0.298%) IN NACL 40-0.9 MEQ/L-% IV SOLN,172.4,172.4,,,0 RC,636,KCL IN DEXTROSE-NACL 10-5-0.45 MEQ/L-%-% IV SOLN,92.4,92.4,,,0 RC,636,KCL IN DEXTROSE-NACL 20-5-0.45 MEQ/L-%-% IV SOLN,184.8,184.8,,,0 RC,636,KCL IN DEXTROSE-NACL 20-5-0.9 MEQ/L-%-% IV SOLN,132.4,132.4,,,0 RC,636,KCL-LACTATED RINGERS-D5W 20 MEQ/L IV SOLN,189.64,189.64,,,0 RC,636,KEDBUMIN 25 % IV SOLN,1879.5,1879.5,,,0 RC,636,KEDRAB 1500 UNIT/10ML IJ SOLN,12197.79,12197.79,,,0 RC,636,KEDRAB 300 UNIT/2ML IJ SOLN,993.38,993.38,,,0 RC,636,KENALOG-10 10 MG/ML IJ SUSP,113.17,113.17,,,0 RC,636,KENALOG-40 40 MG/ML IJ SUSP,120.41,120.41,,,0 RC,636,KENALOG-80 80 MG/ML IJ SUSP,334.06,334.06,,,0 RC,636,KESIMPTA 20 MG/0.4ML SC SOAJ,83703.13,83703.13,,,0 RC,636,KETOROLAC TROMETHAMINE 15 MG/ML IJ SOLN,63.08,63.08,,,0 RC,636,KETOROLAC TROMETHAMINE 30 MG/ML IJ SOLN,35.02,35.02,,,0 RC,636,KETOROLAC TROMETHAMINE 60 MG/2ML IM SOLN,24.37,24.37,,,0 RC,636,KEYTRUDA 100 MG/4ML IV SOLN,57614.71,57614.71,,,0 RC,636,LABETALOL HCL 10 MG/2ML IV SOSY,186.73,186.73,,,0 RC,636,LABETALOL HCL 20 MG/4ML IV SOSY,182.745,182.745,,,0 RC,636,LABETALOL HCL 5 MG/ML IV SOLN,39.195,39.195,,,0 RC,636,LACOSAMIDE 200 MG/20ML IV SOLN,252.2,252.2,,,0 RC,636,LACTATED RINGERS IV SOLN,52.235,52.235,,,0 RC,636,LEQVIO 284 MG/1.5ML SC SOSY,35791.81,35791.81,,,0 RC,636,LEUCOVORIN CALCIUM 100 MG IJ SOLR,376.28499999999997,376.28499999999997,,,0 RC,636,LEUCOVORIN CALCIUM 200 MG IJ SOLR,935.97,935.97,,,0 RC,636,LEUCOVORIN CALCIUM 350 MG IJ SOLR,278.79,278.79,,,0 RC,636,LEUCOVORIN CALCIUM 50 MG IJ SOLR,375.69,375.69,,,0 RC,636,LEUCOVORIN CALCIUM 500 MG IJ SOLR,1969.34,1969.34,,,0 RC,636,LEVETIRACETAM 500 MG/5ML IV SOLN,60.435,60.435,,,0 RC,636,LEVETIRACETAM IN NACL 1000 MG/100ML IV SOLN,167.77,167.77,,,0 RC,636,LEVETIRACETAM IN NACL 1500 MG/100ML IV SOLN,202.86,202.86,,,0 RC,636,LEVETIRACETAM IN NACL 500 MG/100ML IV SOLN,105.57,105.57,,,0 RC,636,LEVOFLOXACIN IN D5W 250 MG/50ML IV SOLN,95.22,95.22,,,0 RC,636,LEVOFLOXACIN IN D5W 500 MG/100ML IV SOLN,88.55,88.55,,,0 RC,636,LEVOFLOXACIN IN D5W 750 MG/150ML IV SOLN,93.76,93.76,,,0 RC,636,LEXISCAN 0.4 MG/5ML IV SOLN,1927.69,1927.69,,,0 RC,636,LIBTAYO 350 MG/7ML IV SOLN,50969.15,50969.15,,,0 RC,636,LIDOCAINE HCL (CARDIAC) 100 MG/5ML IV SOSY,77.73,77.73,,,0 RC,636,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOLN,103.61,103.61,,,0 RC,636,LIDOCAINE HCL (CARDIAC) PF 100 MG/5ML IV SOSY,147.09,147.09,,,0 RC,636,LIDOCAINE HCL (PF) 0.5 % IJ SOLN,3.5,3.5,,,0 RC,636,LIDOCAINE HCL (PF) 1 % IJ SOLN,34.71,34.71,,,0 RC,636,LIDOCAINE HCL (PF) 2 % IJ SOLN,11.565,11.565,,,0 RC,636,LIDOCAINE HCL (PF) 4 % IJ SOLN,6.59,6.59,,,0 RC,636,LIDOCAINE HCL 1 % IJ SOLN,12.285,12.285,,,0 RC,636,LIDOCAINE HCL 100 MG/5ML IJ SOSY,172.24,172.24,,,0 RC,636,LIDOCAINE HCL 2 % IJ SOLN,5.42,5.42,,,0 RC,636,LIDOCAINE-EPINEPHRINE (PF) 1.5 %-1:200000 IJ SOLN,9.76,9.76,,,0 RC,636,LIDOCAINE-EPINEPHRINE (PF) 2 %-1:200000 IJ SOLN,13.9,13.9,,,0 RC,636,LIDOCAINE-EPINEPHRINE 1 %-1:100000 IJ SOLN,50.36,50.36,,,0 RC,636,LIDOCAINE-EPINEPHRINE 2 %-1:100000 IJ SOLN,57.35,57.35,,,0 RC,636,LIDOCAINE-SODIUM BICARBONATE 1-8.4 % IJ SOSY,200.75,200.75,,,0 RC,636,LINEZOLID 600 MG/300ML IV SOLN,249.61,249.61,,,0 RC,636,LORAZEPAM 2 MG/ML IJ SOLN,15.774999999999999,15.774999999999999,,,0 RC,636,LOVENOX 100 MG/ML IJ SOSY,60.37,60.37,,,0 RC,636,LOVENOX 120 MG/0.8ML IJ SOSY,240.79,240.79,,,0 RC,636,LOVENOX 30 MG/0.3ML IJ SOSY,140.85,140.85,,,0 RC,636,LOVENOX 40 MG/0.4ML IJ SOSY,109.38,109.38,,,0 RC,636,LOVENOX 60 MG/0.6ML IJ SOSY,59.375,59.375,,,0 RC,636,LOVENOX 80 MG/0.8ML IJ SOSY,104.36500000000001,104.36500000000001,,,0 RC,636,MAGNESIUM SULFATE 2 GM/50ML IV SOLN,117.09,117.09,,,0 RC,636,MAGNESIUM SULFATE 4 GM/100ML IV SOLN,102.45500000000001,102.45500000000001,,,0 RC,636,MAGNESIUM SULFATE 4 GM/50ML IV SOLN,108.855,108.855,,,0 RC,636,MAGNESIUM SULFATE 50 % IJ SOLN,76.49,76.49,,,0 RC,636,MAGNESIUM SULFATE IN D5W 1-5 GM/100ML-% IV SOLN,80.5,80.5,,,0 RC,636,MANNITOL 25 % IV SOLN,173.4,173.4,,,0 RC,636,MARCAINE 0.75 % IJ SOLN,175.48,175.48,,,0 RC,636,MARCAINE PRESERVATIVE FREE 0.25 % IJ SOLN,25.79,25.79,,,0 RC,636,MARCAINE PRESERVATIVE FREE 0.5 % IJ SOLN,11.8,11.8,,,0 RC,636,MARCAINE SPINAL 0.75-8.25 % IT SOLN,14.42,14.42,,,0 RC,636,MARGENZA 250 MG/10ML IV SOLN,59492.43,59492.43,,,0 RC,636,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP,610.915,610.915,,,0 RC,636,MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSY,929.77,929.77,,,0 RC,636,MENQUADFI 0.5 ML IM SOLN,1599.83,1599.83,,,0 RC,636,MEPERIDINE HCL 25 MG/ML IJ SOLN,36.42,36.42,,,0 RC,636,MEPERIDINE HCL 50 MG/ML IJ SOLN,47.5,47.5,,,0 RC,636,MEROPENEM 500 MG IV SOLR,131.12,131.12,,,0 RC,636,MESNA 100 MG/ML IV SOLN,118.25,118.25,,,0 RC,636,METHADONE HCL 10 MG/ML IJ SOLN,2127.86,2127.86,,,0 RC,636,METHOCARBAMOL 1000 MG/10ML IJ SOLN,125.215,125.215,,,0 RC,636,METHOTREXATE SODIUM (PF) 50 MG/2ML IJ SOLN,11.17,11.17,,,0 RC,636,METHYLENE BLUE 50 MG/10ML IV SOLN,1796.27,1796.27,,,0 RC,636,METHYLPREDNISOLONE ACETATE 40 MG/ML IJ SUSP,195.43,195.43,,,0 RC,636,METHYLPREDNISOLONE ACETATE 80 MG/ML IJ SUSP,116.86999999999999,116.86999999999999,,,0 RC,636,METOCLOPRAMIDE HCL 5 MG/ML IJ SOLN,35.235,35.235,,,0 RC,636,METRONIDAZOLE 500 MG/100ML IV SOLN,87.82,87.82,,,0 RC,636,MIACALCIN 200 UNIT/ML IJ SOLN,3752.05,3752.05,,,0 RC,636,MIDAZOLAM HCL (PF) 10 MG/2ML IJ SOLN,38.73,38.73,,,0 RC,636,MIDAZOLAM HCL (PF) 2 MG/2ML IJ SOLN,49.14,49.14,,,0 RC,636,MIDAZOLAM HCL (PF) 5 MG/5ML IJ SOLN,9.77,9.77,,,0 RC,636,MIDAZOLAM HCL (PF) 5 MG/ML IJ SOLN,6.71,6.71,,,0 RC,636,MIDAZOLAM HCL 10 MG/2ML IJ SOLN,150.31,150.31,,,0 RC,636,MIDAZOLAM HCL 2 MG/2ML IJ SOLN,11.21,11.21,,,0 RC,636,MIDAZOLAM HCL 5 MG/5ML IJ SOLN,8.31,8.31,,,0 RC,636,MIDAZOLAM HCL 5 MG/ML IJ SOLN,9.44,9.44,,,0 RC,636,MIDAZOLAM HCL 50 MG/10ML IJ SOLN,321.90999999999997,321.90999999999997,,,0 RC,636,MIDAZOLAM-SODIUM CHLORIDE 100-0.9 MG/100ML-% IV SOLN,699.9449999999999,699.9449999999999,,,0 RC,636,MIDAZOLAM-SODIUM CHLORIDE 50-0.9 MG/50ML-% IV SOLN,349.975,349.975,,,0 RC,636,MILRINONE LACTATE IN DEXTROSE 20-5 MG/100ML-% IV SOLN,175.56,175.56,,,0 RC,636,MITOMYCIN 20 MG IV SOLR,2451.1,2451.1,,,0 RC,636,MONOVISC 88 MG/4ML IX SOSY,6069.81,6069.81,,,0 RC,636,MORPHINE SULFATE (PF) 0.5 MG/ML IJ SOLN,108.05,108.05,,,0 RC,636,MORPHINE SULFATE (PF) 10 MG/ML IV SOLN,83.75,83.75,,,0 RC,636,MORPHINE SULFATE (PF) 2 MG/ML IJ SOLN,69.46,69.46,,,0 RC,636,MORPHINE SULFATE (PF) 2 MG/ML IV SOLN,59.29,59.29,,,0 RC,636,MORPHINE SULFATE (PF) 4 MG/ML IJ SOLN,121.72,121.72,,,0 RC,636,MORPHINE SULFATE (PF) 4 MG/ML IV SOLN,106.655,106.655,,,0 RC,636,MORPHINE SULFATE 1 MG/ML IJ SOLN (WRAPPED),113.44,113.44,,,0 RC,636,MORPHINE SULFATE 10 MG/ML IV SOLN,18.27,18.27,,,0 RC,636,MORPHINE SULFATE 2 MG/ML IJ SOLN,78.71,78.71,,,0 RC,636,MORPHINE SULFATE 4 MG/ML IJ SOLN,114.65,114.65,,,0 RC,636,MORPHINE SULFATE 4 MG/ML IV SOLN,23.25,23.25,,,0 RC,636,MORPHINE SULFATE 8 MG/ML IV SOLN,124.23,124.23,,,0 RC,636,MORPHINE SULFATE POWD,191.9,191.9,,,0 RC,636,MORPHINE SULFATE-NACL 1-0.9 MG/ML-% IV SOLN,706.69,706.69,,,0 RC,636,MORPHINE SULFATE-NACL 100-0.9 MG/100ML-% IV SOLN,171.86,171.86,,,0 RC,636,MVASI 100 MG/4ML IV SOLN,3570.84,3570.84,,,0 RC,636,MVASI 400 MG/16ML IV SOLN,7141.58,7141.58,,,0 RC,636,MYCOPHENOLATE MOFETIL 200 MG/ML PO SUSR UNIT DOSE,185.545,185.545,,,0 RC,636,NA FERRIC GLUC CPLX IN SUCROSE 12.5 MG/ML IV SOLN,462.53,462.53,,,0 RC,636,NALBUPHINE HCL 10 MG/ML IJ SOLN,125.68,125.68,,,0 RC,636,NALOXONE HCL 0.4 MG/ML IJ SOLN,145.97,145.97,,,0 RC,636,NALOXONE HCL 2 MG/2ML IJ SOSY,214.03,214.03,,,0 RC,636,NAROPIN 10 MG/ML IJ SOLN,277.44,277.44,,,0 RC,636,NAROPIN 2 MG/ML IJ SOLN,176.79,176.79,,,0 RC,636,NAROPIN 5 MG/ML IJ SOLN,77.36,77.36,,,0 RC,636,NEOSTIGMINE METHYLSULFATE 10 MG/10ML IV SOLN,20.72,20.72,,,0 RC,636,NEOSTIGMINE METHYLSULFATE 3 MG/3ML IV SOSY,232.62,232.62,,,0 RC,636,NEOSTIGMINE METHYLSULFATE 5 MG/5ML IV SOSY,191.73000000000002,191.73000000000002,,,0 RC,636,NESACAINE-MPF 3 % IJ SOLN,80.26,80.26,,,0 RC,636,NEULASTA 6 MG/0.6ML SC SOSY,49183.48,49183.48,,,0 RC,636,NEULASTA ONPRO 6 MG/0.6ML SC PSKT,32753.56,32753.56,,,0 RC,636,NEUPOGEN 300 MCG/0.5ML IJ SOSY,3367.85,3367.85,,,0 RC,636,NEUPOGEN 480 MCG/0.8ML IJ SOSY,5358.0,5358.0,,,0 RC,636,NEXTERONE 150-4.21 MG/100ML-% IV SOLN,383.28,383.28,,,0 RC,636,NEXTERONE 360-4.14 MG/200ML-% IV SOLN,526.5,526.5,,,0 RC,636,NICARDIPINE HCL 2.5 MG/ML IV SOLN,277.375,277.375,,,0 RC,636,NICARDIPINE HCL IN NACL 40-0.9 MG/200ML-% IV SOLN,6.46,6.46,,,0 RC,636,NITROGLYCERIN IN D5W 100-5 MCG/ML-% IV SOLN,4.7,4.7,,,0 RC,636,NITROGLYCERIN IN D5W 200-5 MCG/ML-% IV SOLN,1.29,1.29,,,0 RC,636,NUCALA 100 MG/ML SC SOSY,38272.44,38272.44,,,0 RC,636,NYVEPRIA 6 MG/0.6ML SC SOSY,17233.27,17233.27,,,0 RC,636,OCREVUS 300 MG/10ML IV SOLN,202302.14,202302.14,,,0 RC,636,OCTAGAM 10 GM/100ML IV SOLN,8491.76,8491.76,,,0 RC,636,OCTAGAM 20 GM/200ML IV SOLN,16983.52,16983.52,,,0 RC,636,OCTAGAM 30 GM/300ML IV SOLN,25475.28,25475.28,,,0 RC,636,OCTREOTIDE ACETATE 100 MCG/ML IJ SOLN,96.61000000000001,96.61000000000001,,,0 RC,636,OCTREOTIDE ACETATE 50 MCG/ML IJ SOLN,106.62,106.62,,,0 RC,636,OCTREOTIDE ACETATE 500 MCG/ML IJ SOLN,235.375,235.375,,,0 RC,636,ONDANSETRON HCL 4 MG/2ML IJ SOLN,36.72,36.72,,,0 RC,636,ONDANSETRON HCL 40 MG/20ML IJ SOLN,19.76,19.76,,,0 RC,636,ONIVYDE 43 MG/10ML IV INJ,11530.96,11530.96,,,0 RC,636,OPDIVO 100 MG/10ML IV SOLN,35788.56,35788.56,,,0 RC,636,OPDIVO 120 MG/12ML IV SOLN,21052.07,21052.07,,,0 RC,636,OPDIVO 240 MG/24ML IV SOLN,9816.73,9816.73,,,0 RC,636,OPDIVO 40 MG/4ML IV SOLN,9816.79,9816.79,,,0 RC,636,OPDUALAG 240-80 MG/20ML IV SOLN,148187.16,148187.16,,,0 RC,636,ORPHENADRINE CITRATE 30 MG/ML IJ SOLN,137.13,137.13,,,0 RC,636,ORTHOVISC 30 MG/2ML IX SOSY,1179.0,1179.0,,,0 RC,636,OXALIPLATIN 100 MG/20ML IV SOLN,365.515,365.515,,,0 RC,636,OXALIPLATIN 50 MG/10ML IV SOLN,157.19,157.19,,,0 RC,636,PACLITAXEL 150 MG/25ML IV CONC,3654.56,3654.56,,,0 RC,636,PACLITAXEL 300 MG/50ML IV CONC,362.1,362.1,,,0 RC,636,PALONOSETRON HCL 0.25 MG/5ML IV SOLN,237.39,237.39,,,0 RC,636,PALONOSETRON HCL 0.25 MG/5ML IV SOSY,373.43,373.43,,,0 RC,636,PAMIDRONATE DISODIUM 30 MG/10ML IV SOLN,235.25,235.25,,,0 RC,636,PAMIDRONATE DISODIUM 90 MG/10ML IV SOLN,553.71,553.71,,,0 RC,636,PANTOPRAZOLE SODIUM 40 MG IV SOLR,119.475,119.475,,,0 RC,636,PAPAVERINE HCL 30 MG/ML IJ SOLN,253.23,253.23,,,0 RC,636,PERJETA 420 MG/14ML IV SOLN,38758.11,38758.11,,,0 RC,636,PHENOBARBITAL SODIUM 130 MG/ML IJ SOLN,569.49,569.49,,,0 RC,636,PHENOBARBITAL SODIUM 65 MG/ML IJ SOLN,235.89,235.89,,,0 RC,636,PHENYLEPHRINE HCL (PRESSORS) 1 MG/10ML IV SOSY,56.080000000000005,56.080000000000005,,,0 RC,636,PHENYLEPHRINE HCL (PRESSORS) 10 MG/ML IV SOLN,151.79500000000002,151.79500000000002,,,0 RC,636,PHENYLEPHRINE HCL-NACL 1-0.9 MG/10ML-% IV SOSY,24.35,24.35,,,0 RC,636,PHENYTOIN SODIUM 50 MG/ML IJ SOLN,112.625,112.625,,,0 RC,636,PHESGO 60-60-2000 MG-MG-U/ML SC SOLN,92109.24,92109.24,,,0 RC,636,PHESGO 80-40-2000 MG-MG-U/ML SC SOLN,59840.38,59840.38,,,0 RC,636,PHYTONADIONE 10 MG/ML IJ SOLN,202.63,202.63,,,0 RC,636,PIPERACILLIN SOD-TAZOBACTAM SO 2.25 (2-0.25) G IV SOLR,77.27,77.27,,,0 RC,636,PIPERACILLIN SOD-TAZOBACTAM SO 3.375 (3-0.375) G IV SOLR,94.62,94.62,,,0 RC,636,PIPERACILLIN SOD-TAZOBACTAM SO 4.5 (4-0.5) G IV SOLR,103.51,103.51,,,0 RC,636,PNEUMOVAX 23 25 MCG/0.5ML IJ SOSY,1121.57,1121.57,,,0 RC,636,POLOCAINE-MPF 2 % IJ SOLN,3.4,3.4,,,0 RC,636,POTASSIUM CHLORIDE 10 MEQ/100ML IV SOLN,131.72,131.72,,,0 RC,636,POTASSIUM CHLORIDE 2 MEQ/ML IV SOLN,57.3,57.3,,,0 RC,636,POTASSIUM CHLORIDE 20 MEQ/100ML IV SOLN,99.36,99.36,,,0 RC,636,POTASSIUM CHLORIDE 20 MEQ/50ML IV SOLN,112.8,112.8,,,0 RC,636,POTASSIUM CHLORIDE IN NACL 20-0.45 MEQ/L-% IV SOLN,169.4,169.4,,,0 RC,636,POTASSIUM CHLORIDE IN NACL 20-0.9 MEQ/L-% IV SOLN,92.4,92.4,,,0 RC,636,POTASSIUM CHLORIDE IN NACL 40-0.9 MEQ/L-% IV SOLN,180.44,180.44,,,0 RC,636,POTASSIUM CL IN DEXTROSE 5% 20 MEQ/L IV SOLN,172.4,172.4,,,0 RC,636,PREDNISOLONE SODIUM PHOSPHATE 15 MG/5ML PO SOLN UNIT DOSE,60.15,60.15,,,0 RC,636,PREVNAR 20 0.5 ML IM SUSY,2310.635,2310.635,,,0 RC,636,PROCAINAMIDE HCL 500 MG/ML IJ SOLN,5464.06,5464.06,,,0 RC,636,PROCHLORPERAZINE EDISYLATE 10 MG/2ML IJ SOLN,86.96,86.96,,,0 RC,636,PROCRIT 10000 UNIT/ML IJ SOLN,1359.15,1359.15,,,0 RC,636,PROCRIT 20000 UNIT/ML IJ SOLN,1624.47,1624.47,,,0 RC,636,PROCRIT 4000 UNIT/ML IJ SOLN,1489.77,1489.77,,,0 RC,636,PROCRIT 40000 UNIT/ML IJ SOLN,2912.93,2912.93,,,0 RC,636,PROLIA 60 MG/ML SC SOSY,18926.98,18926.98,,,0 RC,636,PROMETHAZINE HCL 25 MG/ML IJ SOLN,32.66,32.66,,,0 RC,636,PROMETHAZINE HCL 50 MG/ML IJ SOLN,72.78,72.78,,,0 RC,636,PROPOFOL 1000 MG/100ML IV EMUL,123.065,123.065,,,0 RC,636,PROPOFOL 200 MG/20ML IV EMUL,8.61,8.61,,,0 RC,636,PROPOFOL 500 MG/50ML IV EMUL,5.61,5.61,,,0 RC,636,PROTAMINE SULFATE 10 MG/ML IV SOLN,104.80000000000001,104.80000000000001,,,0 RC,636,PROTONIX 40 MG IV SOLR,124.99000000000001,124.99000000000001,,,0 RC,636,PROVAYBLUE 50 MG/10ML IV SOLN,649.825,649.825,,,0 RC,636,QUELICIN 20 MG/ML IJ SOLN,38.25,38.25,,,0 RC,636,RECOMBIVAX HB 10 MCG/ML IJ SUSP,742.9,742.9,,,0 RC,636,REGADENOSON 0.4 MG/5ML IV SOLN,260.875,260.875,,,0 RC,636,RELISTOR 12 MG/0.6ML SC SOLN,1627.86,1627.86,,,0 RC,636,RELISTOR 8 MG/0.4ML SC SOLN,1513.71,1513.71,,,0 RC,636,RETACRIT 10000 UNIT/ML IJ SOLN,885.07,885.07,,,0 RC,636,RETACRIT 2000 UNIT/ML IJ SOLN,355.93,355.93,,,0 RC,636,RETACRIT 20000 UNIT/ML IJ SOLN,1326.79,1326.79,,,0 RC,636,RETACRIT 3000 UNIT/ML IJ SOLN,534.05,534.05,,,0 RC,636,RETACRIT 4000 UNIT/ML IJ SOLN,263.71,263.71,,,0 RC,636,RETACRIT 40000 UNIT/ML IJ SOLN,1767.54,1767.54,,,0 RC,636,RIABNI 100 MG/10ML IV SOLN,10233.09,10233.09,,,0 RC,636,RIABNI 500 MG/50ML IV SOLN,25582.2,25582.2,,,0 RC,636,RITUXAN 500 MG/50ML IV SOLN,26694.73,26694.73,,,0 RC,636,RITUXAN HYCELA 1400-23400 MG -UT/11.7ML SC SOLN,29573.83,29573.83,,,0 RC,636,ROBAXIN 1000 MG/10ML IJ SOLN,147.97,147.97,,,0 RC,636,ROPIVACAINE HCL 10 MG/ML IJ SOLN,194.70999999999998,194.70999999999998,,,0 RC,636,ROPIVACAINE HCL 2 MG/ML IJ SOLN,105.34,105.34,,,0 RC,636,ROPIVACAINE HCL 5 MG/ML IJ SOLN,40.39,40.39,,,0 RC,636,ROPIVACAINE HCL-NACL 0.2-0.9 % (ON-Q) IJ SOLN,2368.03,2368.03,,,0 RC,636,RUXIENCE 100 MG/10ML IV SOLN,3776.72,3776.72,,,0 RC,636,RUXIENCE 500 MG/50ML IV SOLN,26612.39,26612.39,,,0 RC,636,RYBREVANT 350 MG/7ML IV SOLN,52464.6,52464.6,,,0 RC,636,SARCLISA 100 MG/5ML IV SOLN,12751.47,12751.47,,,0 RC,636,SARCLISA 500 MG/25ML IV SOLN,21405.18,21405.18,,,0 RC,636,SENSORCAINE 0.25 % IJ SOLN,73.79,73.79,,,0 RC,636,SENSORCAINE 0.5 % IJ SOLN,20.55,20.55,,,0 RC,636,SENSORCAINE-MPF 0.25 % IJ SOLN,10.84,10.84,,,0 RC,636,SENSORCAINE-MPF 0.5 % IJ SOLN,7.525,7.525,,,0 RC,636,SENSORCAINE-MPF 0.75 % IJ SOLN,14.34,14.34,,,0 RC,636,SIMPONI ARIA 50 MG/4ML IV SOLN,5041.56,5041.56,,,0 RC,636,SODIUM CHLORIDE 3 % IV SOLN,70.53,70.53,,,0 RC,636,SOLIRIS 300 MG/30ML IV SOLN,95897.88,95897.88,,,0 RC,636,SOMATULINE DEPOT 120 MG/0.5ML SC SOLN,56559.62,56559.62,,,0 RC,636,SPEVIGO 450 MG/7.5ML IV SOLN,255588.84,255588.84,,,0 RC,636,STELARA 130 MG/26ML IV SOLN,86608.31,86608.31,,,0 RC,636,SUBLOCADE 100 MG/0.5ML SC SOSY,12990.48,12990.48,,,0 RC,636,SUCCINYLCHOLINE CHLORIDE 100 MG/5ML IV SOSY,119.97,119.97,,,0 RC,636,SUCCINYLCHOLINE CHLORIDE 20 MG/ML IJ SOLN,58.14,58.14,,,0 RC,636,SUCCINYLCHOLINE CHLORIDE 200 MG/10ML IV SOSY,168.35,168.35,,,0 RC,636,SUMATRIPTAN SUCCINATE 6 MG/0.5ML SC SOLN,165.66,165.66,,,0 RC,636,SUPARTZ FX 25 MG/2.5ML IX SOSY,1915.24,1915.24,,,0 RC,636,SYNVISC 16 MG/2ML IX SOSY,2303.78,2303.78,,,0 RC,636,SYNVISC ONE 48 MG/6ML IX SOSY,1542.39,1542.39,,,0 RC,636,TECENTRIQ 1200 MG/20ML IV SOLN,51441.59,51441.59,,,0 RC,636,TECENTRIQ 840 MG/14ML IV SOLN,50327.94,50327.94,,,0 RC,636,TENIVAC 5-2 LFU IM INJ,720.41,720.41,,,0 RC,636,TERBUTALINE SULFATE 1 MG/ML IJ SOLN,26.46,26.46,,,0 RC,636,TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN,200.28,200.28,,,0 RC,636,TEVIMBRA 100 MG/10ML IV SOLN,53552.66,53552.66,,,0 RC,636,TEZSPIRE 210 MG/1.91ML SC SOAJ,48505.85,48505.85,,,0 RC,636,THIAMINE HCL 100 MG/ML IJ SOLN,126.41,126.41,,,0 RC,636,THIAMINE HCL 200 MG/2ML IJ SOLN,113.06,113.06,,,0 RC,636,TIGAN 100 MG/ML IM SOLN,928.85,928.85,,,0 RC,636,TOBRAMYCIN SULFATE 80 MG/2ML IJ SOLN,125.06,125.06,,,0 RC,636,TOPOTECAN HCL 4 MG/4ML IV SOLN,402.33,402.33,,,0 RC,636,TRIAMCINOLONE ACETONIDE 40 MG/ML IJ SUSP,110.02,110.02,,,0 RC,636,TRUXIMA 100 MG/10ML IV SOLN,5293.34,5293.34,,,0 RC,636,TRUXIMA 500 MG/50ML IV SOLN,26893.25,26893.25,,,0 RC,636,TWINRIX 720-20 ELU-MCG/ML IM SUSY,1844.03,1844.03,,,0 RC,636,TYSABRI 300 MG/15ML IV CONC,82329.26,82329.26,,,0 RC,636,UDENYCA ONBODY 6 MG/0.6ML SC SOSY,34659.77,34659.77,,,0 RC,636,ULTOMIRIS 300 MG/3ML IV SOLN,66442.78,66442.78,,,0 RC,636,UNASYN 3 (2-1) G IJ SOLR,116.36,116.36,,,0 RC,636,VANCOMYCIN HCL 1 G IV SOLR,100.505,100.505,,,0 RC,636,VANCOMYCIN HCL 1000 MG/200ML IV SOLN,169.14,169.14,,,0 RC,636,VANCOMYCIN HCL 1250 MG/250ML IV SOLN,208.01,208.01,,,0 RC,636,VANCOMYCIN HCL 1500 MG/300ML IV SOLN,253.7,253.7,,,0 RC,636,VANCOMYCIN HCL 1750 MG/350ML IV SOLN,295.99,295.99,,,0 RC,636,VANCOMYCIN HCL 2 G IV SOLR,754.89,754.89,,,0 RC,636,VANCOMYCIN HCL 2000 MG/400ML IV SOLN,338.27,338.27,,,0 RC,636,VANCOMYCIN HCL 750 MG IV SOLR,150.295,150.295,,,0 RC,636,VANCOMYCIN HCL 750 MG/150ML IV SOLN,189.41,189.41,,,0 RC,636,VANCOMYCIN HCL IN NACL 1.25-0.9 GM/250ML-% IV SOLN,323.95,323.95,,,0 RC,636,VANCOMYCIN HCL IN NACL 1.5-0.9 GM/250ML-% IV SOLN,354.64,354.64,,,0 RC,636,VANCOMYCIN HCL IN NACL 1.75-0.9 GM/500ML-% IV SOLN,620.62,620.62,,,0 RC,636,VANCOMYCIN HCL IN NACL 2-0.9 GM/500ML-% IV SOLN,695.64,695.64,,,0 RC,636,VAQTA 50 UNIT/ML IM SUSP,600.08,600.08,,,0 RC,636,VASOPRESSIN 20 UNIT/ML IV SOLN,238.25,238.25,,,0 RC,636,VASOSTRICT 20 UNIT/ML IV SOLN,82.65,82.65,,,0 RC,636,VASOSTRICT 40-5 UT/100ML-% IV SOLN,897.51,897.51,,,0 RC,636,VECTIBIX 100 MG/5ML IV SOLN,19072.64,19072.64,,,0 RC,636,VECTIBIX 400 MG/20ML IV SOLN,38145.17,38145.17,,,0 RC,636,VEGZELMA 100 MG/4ML IV SOLN,11429.14,11429.14,,,0 RC,636,VEGZELMA 400 MG/16ML IV SOLN,30213.57,30213.57,,,0 RC,636,VENOFER 20 MG/ML IV SOLN,605.0699999999999,605.0699999999999,,,0 RC,636,VINBLASTINE SULFATE 1 MG/ML IV SOLN,1714.04,1714.04,,,0 RC,636,VINCRISTINE SULFATE 1 MG/ML IV SOLN,489.22,489.22,,,0 RC,636,VINORELBINE TARTRATE 50 MG/5ML IV SOLN,828.28,828.28,,,0 RC,636,VITAMIN K1 10 MG/ML IJ SOLN,135.1,135.1,,,0 RC,636,VYEPTI 100 MG/ML IV SOLN,19589.95,19589.95,,,0 RC,636,VYVGART HYTRULO 180-2000 MG-UNIT/ML SC SOLN,77295.58,77295.58,,,0 RC,636,XGEVA 120 MG/1.7ML SC SOLN,34812.25,34812.25,,,0 RC,636,XOLAIR 150 MG/ML SC SOSY,20670.91,20670.91,,,0 RC,636,XOLAIR 75 MG/0.5ML SC SOSY,7153.595,7153.595,,,0 RC,636,XYLOCAINE 0.5 % IJ SOLN,25.7,25.7,,,0 RC,636,XYLOCAINE 1 % IJ SOLN,14.6,14.6,,,0 RC,636,XYLOCAINE 2 % IJ SOLN,20.985,20.985,,,0 RC,636,XYLOCAINE-MPF 0.5 % IJ SOLN,128.92,128.92,,,0 RC,636,XYLOCAINE-MPF 1 % IJ SOLN,13.100000000000001,13.100000000000001,,,0 RC,636,XYLOCAINE-MPF 2 % IJ SOLN,11.67,11.67,,,0 RC,636,XYLOCAINE-MPF/EPINEPHRINE 1 %-1:200000 IJ SOLN,40.39,40.39,,,0 RC,636,XYLOCAINE-MPF/EPINEPHRINE 2 %-1:200000 IJ SOLN,138.835,138.835,,,0 RC,636,XYLOCAINE/EPINEPHRINE 1 %-1:100000 IJ SOLN,11.625,11.625,,,0 RC,636,XYLOCAINE/EPINEPHRINE 2 %-1:100000 IJ SOLN,44.72,44.72,,,0 RC,636,YERVOY 200 MG/40ML IV SOLN,60994.4,60994.4,,,0 RC,636,YERVOY 50 MG/10ML IV SOLN,15133.68,15133.68,,,0 RC,636,ZARXIO 300 MCG/0.5ML IJ SOSY,1398.84,1398.84,,,0 RC,636,ZARXIO 480 MCG/0.8ML IJ SOSY,2238.185,2238.185,,,0 RC,636,ZINPLAVA 1000 MG/40ML IV SOLN,11334.91,11334.91,,,0 RC,636,ZITHROMAX 500 MG IV SOLR,77.46,77.46,,,0 RC,636,ZOLEDRONIC ACID 4 MG/100ML IV SOLN,316.45,316.45,,,0 RC,636,ZOLEDRONIC ACID 4 MG/5ML IV CONC,148.62,148.62,,,0 RC,636,ZOLEDRONIC ACID 5 MG/100ML IV SOLN,499.22,499.22,,,0 RC,636,ZOSYN 3-0.375 GM/50ML IV SOLN,203.9,203.9,,,0 RC,636,ZYNRELEF 200-6 MG/7ML IJ SOLN,1349.57,1349.57,,,0 RC,636,ZYNRELEF 400-12 MG/14ML IJ SOLN,1430.59,1430.59,,,0 RC,636,ZYVOX 600 MG/300ML IV SOLN,149.04,149.04,,,0 RC,999,IODINE STRONG 5 % PO SOLN,27.37,27.37,,,0