code_type,code,description,gross_charge,discounted_cash,min_negotiated,max_negotiated,payer_entries
CPT,0037U,FoundationOne CDx,8550.0,5557.5,1226.93,8550.0,55
CPT,0042T,CT PERFUSION W/CONTRAST CBF,269.0,174.85,46.54,269.0,129
CPT,0045U,Oncotype DX DCIS,11283.0,7333.95,1226.93,11283.0,55
CPT,0046U,FLT3 MRD blood-Labpmm,4024.0,2615.6,186.6,4024.0,55
CPT,0046U,FLT3 MRD bone marrow-Labpmm,4024.0,2615.6,186.6,4024.0,55
CPT,0075T,Stent vert extracranil 1st IVN,11538.0,7499.7,173.17,11538.0,42
CPT,0076T,Stent vert extracranil adl IVN,11098.0,7213.7,173.17,11098.0,40
CPT,0112U,Microgendx qPCR+NGS-0112U,826.0,536.9,94.11,826.0,55
CPT,0152U,Karius Spectrum,4378.0,2845.7,757.39,4378.0,55
CPT,0172U,Myriad myChoice CDx,9868.0,6414.2,1226.93,9868.0,55
CPT,0200T,PERQ SACRAL AUGMT UNILAT INJ,22968.0,14929.2,173.17,22968.0,55
CPT,0201T,PERQ SACRAL AUGMT BILAT INJ,20253.0,13164.45,173.17,20253.0,55
CPT,0202U,Respiratory Panel including COVID-19 by PCR,1026.0,666.9,177.5,1026.0,126
CPT,0211U,MI Cancer Seek-0211U-Caris,18473.0,12007.45,1226.93,18473.0,55
CPT,0232T,Njx platelet plasma w img,3503.0,2276.95,173.17,3503.0,56
CPT,0234T,Renal artery atherectomy,17968.0,11679.2,173.17,17968.0,55
CPT,0235T,Visceral art atherectom ea ves,17968.0,11679.2,173.17,17968.0,40
CPT,0236T,Abdominal aorta atherectomy,17309.0,11250.85,173.17,17309.0,55
CPT,0237T,Brachcep & brnch aterec ea ves,18174.0,11813.1,173.17,18174.0,55
CPT,0238T,Iliac art atherectomy ea vesl,24551.0,15958.15,173.17,25843.51,55
CPT,0331T,Myocardial sym innervation,5792.0,3764.8,173.17,5792.0,56
CPT,0332T,Myocard sym innerv w spect CT,5792.0,3764.8,173.17,5792.0,56
CPT,0338T,Trnscth renal symp denrvuni,24613.0,15998.45,173.17,24613.0,55
CPT,0339T,Trnscth renal symp denrvbil,24613.0,15998.45,173.17,24613.0,55
CPT,0345T,Mitral v repr via coron sinus,34481.0,22412.65,173.17,34481.0,40
CPT,0359U,IsoPSA,735.0,477.75,6.32,992.25,55
CPT,0388U,Lung Liquid Biopsy-NG,7477.0,4860.05,22.77,7477.0,55
CPT,0408T,Ins/rplc cardiac modul sys,116889.0,75977.85,173.17,116889.0,56
CPT,0409T,Ins/rplc cardc modul pls gn,115797.0,75268.05,173.17,115797.0,56
CPT,0410T,Ins/rplc car modul atr elt,40974.0,26633.1,173.17,40974.0,56
CPT,0411T,Ins/rplc car modul vnt elt,40974.0,26633.1,173.17,40974.0,56
CPT,0412T,Rmvl cardiac modul pls gen,17290.0,11238.5,173.17,17290.0,56
CPT,0413T,Rmvl car modul tranvns elt,17290.0,11238.5,173.17,17290.0,56
CPT,0414T,Rmvl & rpl car modul pls gn,115797.0,75268.05,173.17,115797.0,56
CPT,0415T,Repos car modul tranvns elt,2721.0,1768.65,173.17,2721.0,56
CPT,0416T,Reloc skin pocket pls gen,8620.0,5603.0,173.17,8620.0,56
CPT,0439T,Echo myocar contrs perfu addon,557.0,362.05,96.36,557.0,43
CPT,0441T,Ablate cryo LE nrv perc wGUI,7811.0,5077.15,173.17,7811.0,55
CPT,0442T,Abl perc cry nerv plex wgui,27743.0,18032.95,173.17,27743.0,55
CPT,0483T,Rep mitral transcath percu,92020.0,59813.0,173.17,92020.0,40
CPT,0484T,Rep mitral transcath transthor,94856.0,61656.4,173.17,94856.0,40
CPT,0505T,Endovas fem pop cath w stent,52768.0,34299.2,173.17,52768.0,55
CPT,0515T,Insj wcs lv compl sys,99987.0,64991.55,173.17,99987.0,55
CPT,0516T,Insj wcs lv eltrd only,45296.0,29442.4,173.17,45296.0,55
CPT,0517T,Insj wcs lv pg compnt,45296.0,29442.4,173.17,45296.0,55
CPT,0518T,Rmvl pg compnt wcs,16657.0,10827.05,173.17,16657.0,55
CPT,0519T,Rmvl & rplcmt pg compnt wcs,45296.0,29442.4,173.17,45296.0,55
CPT,0520T,Rmvl&rplcmt pg wcs nw eltrd,45296.0,29442.4,173.17,45296.0,55
CPT,0523T,FFR angio intra w 3d map,6776.0,4404.4,173.17,6776.0,102
CPT,0524U,Preeclampsia risk-eval,700.0,455.0,121.1,700.0,46
CPT,0569T,Tricuspid repair init prost,34745.0,22584.25,173.17,34745.0,40
CPT,0570T,Tricuspid repair add prost,11582.0,7528.3,173.17,11582.0,40
CPT,0571T,Ins or rep ICD w sstern lead,132907.0,86389.55,173.17,132907.0,56
CPT,0572T,Ins sstern ICD lead,34321.0,22308.65,173.17,34321.0,55
CPT,0573T,Rem sstern ICD lead,15864.0,10311.6,173.17,15864.0,55
CPT,0574T,Respost sstern ICD lead,15864.0,10311.6,173.17,15864.0,55
CPT,0577T,EP Eval sstern defib dft tst,4808.0,3125.2,173.17,4808.0,53
CPT,0580T,Rem sstern ICD gen,15864.0,10311.6,173.17,15864.0,55
CPT,0600T,Ablation IRE 1+ tumor org perq,29674.0,19288.1,173.17,29674.0,56
CPT,0601T,IRE abltj 1+tumors open,15124.0,9830.6,173.17,15124.0,55
CPT,0614T,Rmv &repl impl defib sstern,95225.0,61896.25,173.17,95225.0,55
CPT,0619T,CYSTO W/PRST8 COMMISSUROTOMY,,,,,0
CPT,0620T,Evasc ven art tibl/pero vn,148402.0,96461.3,173.17,148402.0,55
CPT,0624T,Auto quan cor plaque data prep,0.01,0.01,0.01,173.17,44
CPT,0625T,Auto quan cor plaque analysis,4030.0,2619.5,173.17,4030.0,68
CPT,0644T,Tcat rem intracard mass perc,14114.0,9174.1,173.17,14114.0,55
CPT,0646T,Ttvi/rplcmt w/prstc vlv perq,92020.0,59813.0,173.17,92020.0,40
CPT,0655T,TPRNL FOCAL ABLTJ MAL PRST8,,,,,0
CPT,0659T,SSO2 Intra-Coronary Infusion,13553.0,8809.45,173.17,13553.0,41
CPT,0662T,Sclp cool mech ini meas & cal of cap,8732.0,5675.8,21.96,8732.0,43
CPT,0663T,Sclp cool mech plcmt of dev mon & rem,354.0,230.1,21.96,354.0,43
CPT,0686T,Histotripsy liver metastat tum,24107.0,15669.55,173.17,24148.75,54
CPT,0689T,Quan US tiss char w interp,387.0,251.55,66.95,387.0,56
CPT,0690T,Quan tiss w interp & dxUS add,387.0,251.55,66.95,387.0,43
CPT,0795T,Ins PM leadls dl cham comp sys,82652.0,53723.8,173.17,82652.0,112
CPT,0796T,Ins PM leadls dl cham rt atr,82652.0,53723.8,173.17,82652.0,56
CPT,0797T,Ins PM leadls rt vnt dl sys,82652.0,53723.8,173.17,82652.0,56
CPT,0798T,Rmv PM leadls dl cham comp sys,13520.0,8788.0,173.17,13520.0,56
CPT,0799T,Rmv PM leadls dl cham RA,13520.0,8788.0,173.17,13520.0,56
CPT,0800T,Rmv PM leadls dl cham RV,13520.0,8788.0,173.17,13520.0,56
CPT,0801T,Rep PM leadls dl cham PM bth,82652.0,53723.8,173.17,82652.0,56
CPT,0802T,Rep PM leadls dl cham PM RA,82652.0,53723.8,173.17,82652.0,56
CPT,0803T,Rep PM leadls dl cham PM RV,82652.0,53723.8,173.17,82652.0,56
CPT,0823T,Ins tcat sgl cbr pacer leadless,82739.0,53780.35,173.17,82739.0,112
CPT,0824T,Rmv tcat sgl cbr pacer leadless,13535.0,8797.75,173.17,13535.0,56
CPT,0825T,Rmv rpl tcat sgl cbr pacer lless,82739.0,53780.35,173.17,82739.0,56
CPT,0826T,Device eval prgm sgl cbr pacer,160.0,104.0,22.77,173.17,53
CPT,0857T,OPTO-ACOUSTIC IMG BREAST UNI,934.0,607.1,69.11,934.0,56
CPT,0861T,Rmv wless cstim bat & transmit,16675.0,10838.75,173.17,16675.0,56
CPT,0862T,Relocate pulse gen wless cstim,7743.0,5032.95,173.17,7743.0,56
CPT,0863T,Relocate wless cstim transmit,7743.0,5032.95,173.17,7743.0,56
CPT,0865T,Quan MRI analysis brain wo dx,934.0,607.1,151.97,934.0,56
CPT,0866T,Quan MRI analysis brain w dx,1041.0,676.65,151.97,1041.0,56
CPT,0881T,Cryotherapy oral cavity,1692.0,1099.8,173.17,1692.0,47
CPT,0913T,DEB angioplasty,27874.0,18118.1,173.17,27874.0,282
CPT,0914T,DEB angioplasty sm vess bs inter,15330.0,9964.5,173.17,15330.0,68
CPT,0915T,Ins perm CCM-D system,135941.0,88361.65,173.17,135941.0,47
CPT,0916T,Ins perm CCM-D pulse gen,95172.0,61861.8,173.17,95172.0,47
CPT,0917T,Ins perm CCM-D lead tv sgl,35090.0,22808.5,173.17,35090.0,47
CPT,0918T,Ins perm CCM-D lead tv dual,35090.0,22808.5,173.17,35090.0,47
CPT,0919T,Rmv perm CCM-D system,15430.0,10029.5,173.17,15430.0,47
CPT,0920T,Rmv perm CCM-D pulse gen,15430.0,10029.5,173.17,15430.0,47
CPT,0921T,Rmv perm CCM-D lead tv sgl,15430.0,10029.5,173.17,15430.0,47
CPT,0922T,Rmv perm CCM-D lead tv dual,15430.0,10029.5,173.17,15430.0,47
CPT,0923T,Rmv-replace CCM-D pulse gen,95172.0,61861.8,173.17,95172.0,47
CPT,0924T,Repo CCM-D tv lead(s) wfluro,2621.0,1703.65,173.17,2621.0,47
CPT,0925T,Relocate skin pocket CCM-D,7756.0,5041.4,173.17,7756.0,47
CPT,0933T,Imp tcath lt atrial pres sen,13638.0,8864.7,173.17,13638.0,47
CPT,10004,FNA biopsy wo guide ea ad les,522.0,339.3,90.31,522.0,86
CPT,10005,FNA biopsy w US 1st les,2264.0,1471.6,173.17,2264.0,336
CPT,10006,FNA biopsy w US ea ad les,1068.0,694.2,173.17,1068.0,215
CPT,10007,FNA biopsy fluoro 1st les,1780.0,1157.0,173.17,1780.0,112
CPT,10008,FNA biopsy fluoro ea ad les,961.0,624.65,166.25,961.0,86
CPT,10009,FNA biopsy CT 1st les,2264.0,1471.6,173.17,2264.0,112
CPT,10010,FNA biopsy CT ea add les,961.0,624.65,166.25,961.0,86
CPT,10011,FNA biopsy MR 1st les,1618.0,1051.7,173.17,1618.0,112
CPT,10012,FNA biopsy MR ea ad les,971.0,631.15,167.98,971.0,86
CPT,10021,FNA biopsy wo guide 1st les,1052.0,683.8,173.17,1052.0,112
CPT,10030,Drain soft tiss w cath w guid,2989.0,1942.85,173.17,2989.0,56
CPT,10035,Plcmt soft tiss marker w gui,2930.0,1904.5,173.17,2930.0,224
CPT,10035,Plcmt soft tiss marker w gui bil,5860.0,3809.0,173.17,5860.0,224
CPT,10036,Plcmt soft tiss marker wguiadd,2902.0,1886.3,173.17,2902.0,172
CPT,10040,Acne surg,921.0,598.65,110.64,921.0,56
CPT,10060,I-D skin abscess simple,1394.0,906.1,110.64,1394.0,168
CPT,10061,I-D skin abscess compl mul,1594.0,1036.1,110.64,1594.0,56
CPT,10080,I-D pilonidal cyst simple,811.0,527.15,110.64,998.31,56
CPT,10081,I-d pilonidal cyst complex,3063.0,1990.95,173.17,3063.0,56
CPT,10120,Rem for body,1325.0,861.25,110.64,1325.0,56
CPT,10121,Rmv foreign body complex,7596.0,4937.4,173.17,7596.0,56
CPT,10140,I-D of hematoma,2917.0,1896.05,173.17,2917.0,56
CPT,10140,Incision & drainage,2917.0,1896.05,173.17,2917.0,56
CPT,10160,Puncture aspirate absces cyst,871.0,566.15,110.64,871.0,392
CPT,10180,I-D drainage wound complex,9515.0,6184.75,173.17,9515.0,280
CPT,11000,Debr sk infect,1117.0,726.05,173.17,1117.0,56
CPT,11001,Debr infect sk ea add 10per,561.0,364.65,97.05,561.0,43
CPT,11010,Debride skin at fx site,3063.0,1990.95,173.17,3063.0,56
CPT,11011,Debride skin musc at fx site,3200.0,2080.0,173.17,3200.0,56
CPT,11012,Deb skin bone at fx site,6743.0,4382.95,173.17,6743.0,56
CPT,11042,Debr sq tis 20cm or less,2434.0,1582.1,173.17,2434.0,224
CPT,11043,Debr musc 20cm or less,2321.0,1508.65,173.17,2321.0,112
CPT,11044,Debr bone 20cm or less,8142.0,5292.3,173.17,8142.0,56
CPT,11045,Debr sq tis ea addl 20 sqc,1221.0,793.65,173.17,1221.0,43
CPT,11046,Debr musc ea addl 20 sqcm,1221.0,793.65,173.17,1221.0,43
CPT,11047,Debr bone ea 0-20 sqcm add,3792.0,2464.8,173.17,3792.0,43
CPT,11102,Bx skin tangential 1st les,1024.0,665.6,173.17,1024.0,168
CPT,11103,Bx skin tangential ea ad les,558.0,362.7,96.53,558.0,172
CPT,11104,Bx skin punch 1st les,1024.0,665.6,173.17,1024.0,280
CPT,11105,Bx skin punch ea ad les,585.0,380.25,101.21,585.0,129
CPT,11106,Bx skin incision 1st les,1655.0,1075.75,173.17,1655.0,224
CPT,11107,Bx skin incision ea add les,995.0,646.75,172.14,995.0,86
CPT,11200,Rmv skin tags,807.0,524.55,110.64,807.0,56
CPT,11300,Shave les trnk-ar-l un0.5cm,1024.0,665.6,110.64,1024.0,168
CPT,11301,Shave les trnk-arm-lg.6-1cm,976.0,634.4,110.64,976.0,56
CPT,11302,Shave les trnk-arm-lg 1.1-2,976.0,634.4,110.64,976.0,224
CPT,11303,Shave les trnk-arm-l 2cm up,1734.0,1127.1,110.64,1734.0,168
CPT,11305,Shave les hea-hd-ft un0.5cm,976.0,634.4,110.64,976.0,112
CPT,11306,Shave les head-hd-ft0.6-1cm,976.0,634.4,110.64,976.0,168
CPT,11307,Shave les head-hd-ft 1.1-2,976.0,634.4,110.64,976.0,112
CPT,11308,Shave les head-hd-ft 2cm up,1734.0,1127.1,110.64,1734.0,56
CPT,11310,Shave les face-ears un0.5cm,976.0,634.4,110.64,976.0,112
CPT,11311,Shave les face-ears 0.6-1cm,976.0,634.4,110.64,976.0,112
CPT,11312,Shave les face-ears 1.1-2cm,1734.0,1127.1,110.64,1734.0,56
CPT,11313,Shave les face-ears 2cm up,1734.0,1127.1,110.64,1734.0,112
CPT,11400,Exc  b9 les mrgn xcp sk 0.5 Cm,1110.0,721.5,173.17,1110.0,56
CPT,11401,Exc tr-ext b9 marg 0.6-1 c,1282.0,833.3,173.17,1282.0,112
CPT,11402,Exc tr-ext b9 marg 1.1-2 c,1370.0,890.5,173.17,1370.0,168
CPT,11403,Exc tr-ext b9 marg 2.1-3 c,1671.0,1086.15,173.17,1671.0,168
CPT,11404,Exc tr-ext b9 marg 3.1-4 c,3511.0,2282.15,173.17,3511.0,112
CPT,11406,Exc tr-ext b9 marg 4.0cm u,2672.0,1736.8,173.17,2672.0,168
CPT,11420,Exc h-f-nk-sp b9 m un0.5cm,1936.0,1258.4,173.17,2328.38,56
CPT,11421,Exc h-f-nk-sp b9 m 0.6-1cm,1574.0,1023.1,173.17,1574.0,112
CPT,11422,Exc h-f-nk-sp b9 m 1.1-2cm,2321.0,1508.65,173.17,2328.38,56
CPT,11423,Exc h-f-nk-sp b9 m 2.1-3cm,3264.0,2121.6,173.17,3264.0,112
CPT,11424,Exc h-f-nk-sp b9 m 3.1-4cm,1954.0,1270.1,173.17,2328.38,56
CPT,11426,Exc h-f-nk-sp b9 m 4 cm up,3211.0,2087.15,173.17,4095.0,56
CPT,11440,Exc  b9 les mrgn xcp sk 0.5Cm,897.0,583.05,155.18,998.31,56
CPT,11441,Exc face-mm b9 0.6-1cm,1184.0,769.6,173.17,1184.0,112
CPT,11442,Exc face-mm b9 marg 1.1-2c,1329.0,863.85,173.17,1329.0,112
CPT,11443,Exc face-mm b9 marg 2.1-3c,2047.0,1330.55,173.17,2328.38,112
CPT,11444,Excb9 les mrgn xcp sk 3.1-4Cm,2047.0,1330.55,173.17,2328.38,56
CPT,11446,Exc b9 les mrgn xcp sk 4 Cm Up,3211.0,2087.15,173.17,4095.0,56
CPT,11450,Exc sweat gland anx intmd,4740.0,3081.0,173.17,4740.0,56
CPT,11450,Exc sweat gland anx intmd bil,9481.0,6162.65,173.17,9481.0,56
CPT,11451,Exc sweat gland anx cmplx,3211.0,2087.15,173.17,4095.0,56
CPT,11451,Exc sweat gland anx cmplx bil,6421.0,4173.65,173.17,6421.0,56
CPT,11462,Exc sweat gland ing intmd,4740.0,3081.0,173.17,4740.0,56
CPT,11462,Exc sweat gland ing intmd bil,9481.0,6162.65,173.17,9481.0,56
CPT,11463,Exc sweat gland ing cmplx,3211.0,2087.15,173.17,4095.0,56
CPT,11463,Exc sweat gland ing cmplx bil,6421.0,4173.65,173.17,6421.0,56
CPT,11470,Exc sweat gland peri intmd,3211.0,2087.15,173.17,4095.0,56
CPT,11471,Exc sweat gland peri cmplx,3248.0,2111.2,173.17,4095.0,56
CPT,11600,Exc tr-ext mlg marg un0.5c,1300.0,845.0,173.17,1300.0,56
CPT,11601,Exc tr-ext mlg marg 0.6-1c,3101.0,2015.65,173.17,3101.0,112
CPT,11602,Exc tr-ext mlg marg 1.1-2c,2315.0,1504.75,173.17,2315.0,280
CPT,11603,Exc tr-ext mlg marg 2.1-3c,1545.0,1004.25,173.17,1545.0,280
CPT,11604,Exc tr-ext mlg marg 3.1-4c,1923.0,1249.95,173.17,1923.0,168
CPT,11606,Exc tr-ext mlg marg 4 cm u,2427.0,1577.55,173.17,2427.0,112
CPT,11620,Exc h-f-nk-sp mlg m un0.5c,1862.0,1210.3,173.17,2328.38,56
CPT,11621,Exc h-f-nk-sp mlg m 0.6-1,3101.0,2015.65,173.17,3101.0,56
CPT,11622,Exc h-f-nk-sp mlg m 1.1-2,2315.0,1504.75,173.17,2315.0,168
CPT,11623,Exc h-f-nk-sp mlg m 2.1-3,2321.0,1508.65,173.17,2328.38,112
CPT,11624,Exc h-f-nk-sp mlg m 3.1-4c,2150.0,1397.5,173.17,2328.38,112
CPT,11626,Exc h-f-nk-sp malmar 4cm u,3533.0,2296.45,173.17,4095.0,56
CPT,11640,Exc malign F-E-E-N-L M Un0.5Cm,791.0,514.15,136.84,998.31,56
CPT,11641,Exc malign F-E-E-N-L M 0.6-1,950.0,617.5,164.35,998.31,112
CPT,11642,Exc malign F-E-E-N-L M 1.1-2,978.0,635.7,169.19,998.31,168
CPT,11643,Exc malign F-E-E-N-L 2.1-3Cm,2234.0,1452.1,173.17,2328.38,112
CPT,11644,Exc malign F-E-E-N-L 3.1-4Cm,2234.0,1452.1,173.17,2328.38,112
CPT,11646,Exc malign F-E-E-N-L>4 Cm Up,3211.0,2087.15,173.17,4095.0,112
CPT,11730,Rem nail plate,551.0,358.15,42.1,551.0,224
CPT,11732,Rem nail plate ea add,352.0,228.8,42.1,352.0,43
CPT,11740,Drain nail bld,467.0,303.55,42.1,467.0,56
CPT,11750,Rem nail bed,2642.0,1717.3,173.17,2642.0,168
CPT,11755,Bx Nail Unit separate px,928.0,603.2,160.54,998.31,112
CPT,11760,Repair of nail bed,2620.0,1703.0,42.1,2620.0,56
CPT,11762,Reconstruction of nail bed,4332.0,2815.8,173.17,4332.0,56
CPT,11765,Exc wedge nail fold toe,831.0,540.15,42.1,831.0,56
CPT,11770,Drainage Pilonidal Cyst Simple,5394.0,3506.1,173.17,5394.0,56
CPT,11771,EXC PILONIDAL CYST XTNSV,,,,,0
CPT,11772,EXC PILONIDAL CYST COMP,,,,,0
CPT,11900,Inj intralesion up to 7 le,379.0,246.35,65.57,379.0,168
CPT,11901,Inj Intralesion >7 les,413.0,268.45,71.45,413.0,56
CPT,11920,Nipple tattoo bil artist,2159.0,1403.35,173.17,2159.0,56
CPT,11920,Nipple tattoo uni artist,1800.0,1170.0,173.17,1800.0,56
CPT,11950,Subq inj fill matl 1cc or less,258.0,167.7,44.63,300.9,55
CPT,11951,Subq inj fill matl 1.1 to 5cc,569.0,369.85,98.44,1041.93,55
CPT,11952,Subq inj fill matl 5.1 to 10cc,517.0,336.05,89.44,1041.93,55
CPT,11954,Subq inj fill matl over 10cc,572.0,371.8,98.96,1041.93,55
CPT,11970,RPLCMT TISS XPNDR PERM IMPLT,,,,,0
CPT,11971,Remove tissue expander(s),8715.0,5664.75,173.17,8715.0,112
CPT,11971,Remove tissue expander(s) bil,17431.0,11330.15,173.17,17431.0,112
CPT,11980,Implant hormone pellet subq,1459.0,948.35,173.17,1459.0,56
CPT,11981,INSERTION DRUG DLVR IMPLANT,,,,,0
CPT,11982,REMOVE DRUG IMPLANT DEVICE,,,,,0
CPT,11983,REMOVE/INSERT DRUG IMPLANT,,,,,0
CPT,12001,Repair laceration un 2.5cm,886.0,575.9,120.46,886.0,56
CPT,12002,Repair laceration 2.6-7.5cm,886.0,575.9,120.46,886.0,112
CPT,12004,Repair laceration 7.6-12.5cm,280.0,182.0,48.44,282.85,56
CPT,12005,Repair laceration 12.6-20cm,429.0,278.85,74.22,573.1,56
CPT,12006,Repair laceration 20.1-30cm,429.0,278.85,74.22,573.1,56
CPT,12007,Repair laceration 30cm up,341.0,221.65,58.99,341.0,56
CPT,12011,Rpr f-e-e-n-l-mm un 2.5cm,302.0,196.3,52.25,302.0,56
CPT,12013,Rpr f-e-e-n-l-mm 2.6-5.0cm,302.0,196.3,52.25,302.0,56
CPT,12014,Rpr f-e-e-n-l-mm 5.1-7.5cm,302.0,196.3,52.25,302.0,56
CPT,12015,Rpr f-e-e-n-l-mm 7.6-12.5cm,302.0,196.3,52.25,302.0,56
CPT,12016,Rpr f-e-e-n-l-mm 12.6-20cm,429.0,278.85,74.22,573.1,56
CPT,12017,Rpr f-e-e-n-l-mm 20.1-30cm,429.0,278.85,74.22,573.1,56
CPT,12018,Rpr f-e-e-n-l-mm 30cm up,731.0,475.15,120.46,731.0,56
CPT,12020,Closure split wound,1816.0,1180.4,173.17,1816.0,56
CPT,12021,Closure split wound w packing,1729.0,1123.85,173.17,1729.0,56
CPT,12031,Rpr im s-ax-tr-ext o-2.5cm,1576.0,1024.4,173.17,1576.0,168
CPT,12032,Rpr im s-ax-tr-ext2.6-7.5c,1576.0,1024.4,173.17,1576.0,224
CPT,12034,Rpr im s-ax-tr-ext7.6-12.5c,1576.0,1024.4,173.17,1576.0,224
CPT,12035,Rpr im s-ax-tr-ext12.6-20cm,1620.0,1053.0,173.17,1620.0,112
CPT,12036,Rpr im s-ax-tr-ext20.1-30cm,685.0,445.25,118.51,1041.93,56
CPT,12037,Rpr im s-ax-tr-ext 30cm up,4332.0,2815.8,173.17,4332.0,56
CPT,12041,Rpr im nk-h-f-gen un 2.5cm,1576.0,1024.4,173.17,1576.0,168
CPT,12042,Rpr im nk-h-f-gen2.6-7.5cm,1576.0,1024.4,173.17,1576.0,280
CPT,12044,Rpr im nk-h-f-gen7.6-12.5cm,1349.0,876.85,173.17,1349.0,112
CPT,12045,Rpr im nk-h-f-gen 12.6-20cm,2425.0,1576.25,173.17,2425.0,56
CPT,12046,Rpr im nk-h-f-gen 20.1-30cm,860.0,559.0,148.78,1041.93,56
CPT,12047,Rpr im nk-h-f-gen 30cm up,4332.0,2815.8,173.17,4332.0,56
CPT,12051,Rpr im f-e-n-l-mm 0-2.5cm,1576.0,1024.4,173.17,1576.0,224
CPT,12052,Rpr im f-e-e-n-l-mm 2.6-5cm,1576.0,1024.4,173.17,1576.0,168
CPT,12053,Rpr im f-ee-n-l-mm5.1-7.5cm,860.0,559.0,148.78,860.0,168
CPT,12054,Rpr im f-ee-n-l-m7.6-12.5cm,860.0,559.0,148.78,860.0,168
CPT,12055,Rpr im f-ee-n-l-mm12.6-20cm,860.0,559.0,148.78,860.0,56
CPT,12056,Rpr im f-ee-n-l-mm21.1-30cm,860.0,559.0,148.78,860.0,56
CPT,12057,Rpr im f-ee-n-l-mm 30cm up,860.0,559.0,148.78,860.0,56
CPT,13100,Repair complex trnk 1.1-2.5cm,1948.0,1266.2,173.17,1948.0,56
CPT,13101,Repair complex trnk 2.6-7.5cm,2425.0,1576.25,173.17,2425.0,112
CPT,13102,Repair complex trnk ea add 5cm,916.0,595.4,158.47,916.0,43
CPT,13120,Rpr cmplx s-a-l 1.1-2.5cm,2830.0,1839.5,173.17,2830.0,56
CPT,13121,Rpr cmplx s-a-l 2.6-7.5cm,2830.0,1839.5,173.17,2830.0,224
CPT,13122,Rpr cmplx s-a-l ea add 5cm,1350.0,877.5,173.17,1350.0,215
CPT,13131,Rpr f-nk-ax-g-h-f 1.1-2.5cm,1592.0,1034.8,173.17,1592.0,224
CPT,13132,Rpr f-nk-ax-g-h-f 2.6-7.5cm,2668.0,1734.2,173.17,2668.0,224
CPT,13133,Rpr f-nk-ax-g-h-faddl un5cm,1350.0,877.5,173.17,1350.0,172
CPT,13151,Rpr cx e-n-e-l 1.1-2.5cm,2425.0,1576.25,173.17,2425.0,224
CPT,13152,Rpr cx e-n-e-l 2.6-7.5cm,2425.0,1576.25,173.17,2425.0,168
CPT,13153,Rpr cx e-n-e-l addl un5cm,748.0,486.2,129.4,864.86,43
CPT,13160,Cls surg secdary extn/compl,9128.0,5933.2,173.17,9128.0,112
CPT,14000,Sk tis rarrg tr un 10 sqcm,4096.0,2662.4,173.17,4096.0,56
CPT,14001,Sk tis rarrg tr 10.1-30sqcm,5735.0,3727.75,173.17,5735.0,56
CPT,14020,Tis rarrg s-a-l un10sqcm,8555.0,5560.75,173.17,8555.0,56
CPT,14021,ATT rarrg s-a-l10.1-30sqcm,8271.0,5376.15,173.17,8271.0,168
CPT,14040,ATT rarrg fnkaxhf un10sqcm,8166.0,5307.9,173.17,8166.0,168
CPT,14041,ATT rarg fccmnaxgh 10.1-30sqcm,7877.0,5120.05,173.17,7877.0,168
CPT,14060,ATT rarrg e-n-e-l un10sqcm,8271.0,5376.15,173.17,8271.0,224
CPT,14061,ATT rarrg enel un10.1-30sqcm,8271.0,5376.15,173.17,8271.0,112
CPT,14301,Sk tiss rarrg 30.1-60sqcm,14585.0,9480.25,173.17,14585.0,280
CPT,14302,Sk tiss rarrg ea add 30sqcm,7640.0,4966.0,173.17,7640.0,43
CPT,14350,Filleted finger/toe flap,,,,,0
CPT,15002,Wnd prep recip 1st 100sqcm,3279.0,2131.35,173.17,3279.0,56
CPT,15003,Wnd prep recip ea add 100sqcm,1910.0,1241.5,173.17,1910.0,43
CPT,15004,Wnd prep f/n/hf/g 1st100sqcm,2830.0,1839.5,173.17,2830.0,112
CPT,15005,Wnd prep f/n/hf/g add100scm,1350.0,877.5,173.17,1350.0,43
CPT,15100,SPLT AGRFT T/A/L 1ST 100SQCM,,,,,0
CPT,15101,SPLT AGRFT T/A/L EA ADDL 100,,,,,0
CPT,15120,SPLT AGRFT F/S/N/H/F/G/M 1ST,,,,,0
CPT,15200,Autogr FT free trunk 20sqcm,4393.0,2855.45,173.17,4393.0,56
CPT,15201,Autog FT free trnk ad20sqcm,3179.0,2066.35,173.17,3179.0,43
CPT,15220,Autogft FT free S-A-L 20sqcm,8663.0,5630.95,173.17,8663.0,56
CPT,15221,Autog FT freeS-A-L ad20sqcm,1944.0,1263.6,173.17,1944.0,43
CPT,15240,Autogr FT free 1st 20sqcm,3888.0,2527.2,173.17,3888.0,56
CPT,15241,Autogr FT free ea add20sqcm,1944.0,1263.6,173.17,1944.0,43
CPT,15260,Autogft ft N-E-E-L 1st 20sqcm,7877.0,5120.05,173.17,7877.0,112
CPT,15261,Autogr ftN-E-E-L eaad20sqcm,1944.0,1263.6,173.17,1944.0,43
CPT,15271,Skn grf t-a-l und 100 1st25,5298.0,3443.7,173.17,5298.0,56
CPT,15272,Skn grf t-a-l und 100 add25,542.0,352.3,93.77,1351.02,43
CPT,15273,Skn grf t-a-l 100 an up 1st100,4327.0,2812.55,173.17,4327.0,56
CPT,15274,Skn grf t-a-l 100 an up add100,1468.0,954.2,173.17,1468.0,43
CPT,15275,Skn grf f-n-hf-g und 100 1st25,2475.0,1608.75,173.17,2475.0,112
CPT,15276,Skn grf f-n-hf-g und 100 add25,514.0,334.1,88.92,1351.02,43
CPT,15277,Skn grf f-n-hf-g 100 up 1st100,3571.0,2321.15,173.17,3571.0,56
CPT,15278,Skn grf f-n-hf-g 100 up add100,1397.0,908.05,173.17,1397.0,43
CPT,15570,Form sk ped flap trunk,8784.0,5709.6,173.17,8784.0,56
CPT,15572,Form sk ped flap sc-arm-leg,18057.0,11737.05,173.17,18057.0,56
CPT,15574,Form sk ped flap face-ax-hf,8784.0,5709.6,173.17,8784.0,56
CPT,15576,Form sk ped flap e-n-e-lip,8784.0,5709.6,173.17,8784.0,56
CPT,15600,Delay flap trunk,18057.0,11737.05,173.17,18057.0,56
CPT,15610,Delay flap scalp arm leg,8784.0,5709.6,173.17,8784.0,56
CPT,15620,Delay fl fh-ck-nk-ax-hd-ft,8784.0,5709.6,173.17,8784.0,112
CPT,15630,Delay flap lid-n-ear-lips,8784.0,5709.6,173.17,8784.0,56
CPT,15650,Transfer skin pedicle flap,8784.0,5709.6,173.17,8784.0,56
CPT,15730,Midface flap pedicle,18057.0,11737.05,173.17,18057.0,56
CPT,15731,Forehead flp w-vasc pedicle,18057.0,11737.05,173.17,18057.0,56
CPT,15733,Myocut flap ped head neck,18057.0,11737.05,173.17,18057.0,56
CPT,15734,Muscle-skin graft trunk,9512.0,6182.8,173.17,9512.0,112
CPT,15736,Muscle-skin graft arm,8784.0,5709.6,173.17,8784.0,56
CPT,15738,Muscle-skin graft leg,18057.0,11737.05,173.17,18057.0,56
CPT,15740,Island ped flap w id dissec,8784.0,5709.6,173.17,8784.0,56
CPT,15750,Neurovascular pedicle graft,18057.0,11737.05,173.17,18057.0,56
CPT,15760,Graft composite skin,8784.0,5709.6,173.17,8784.0,56
CPT,15769,Skngft autolog sfttis direx,16443.0,10687.95,173.17,16443.0,56
CPT,15770,DERMA-FAT-FASCIA GRAFT,,,,,0
CPT,15771,Skngft autolog fatlipo<50cc,16443.0,10687.95,173.17,16443.0,56
CPT,15772,Skngf autolg fatlipo ad50cc,16443.0,10687.95,173.17,16443.0,43
CPT,15773,Skngft autolog fatlipo<25cc,8962.0,5825.3,173.17,8962.0,56
CPT,15774,Skngf autolg fatlipo ad25cc,8962.0,5825.3,173.17,8962.0,43
CPT,15777,ACELLULAR DERM MATRIX IMPLT,,,,,0
CPT,15780,Dermabrasion ttl face,12158.0,7902.7,173.17,12158.0,56
CPT,15781,Dermabrasion segment face,3191.0,2074.15,173.17,3191.0,112
CPT,15782,Dermabrasion regional,12158.0,7902.7,173.17,12158.0,56
CPT,15788,Chemical peel face epiderm,1666.0,1082.9,110.64,1666.0,56
CPT,15789,Chemical peel face dermal,2524.0,1640.6,110.64,2524.0,56
CPT,15792,Chemical peel nonfac epid,2524.0,1640.6,110.64,2524.0,56
CPT,15793,Chemical peel nonfac derm,1666.0,1082.9,110.64,1666.0,56
CPT,15822,Blepharoplasty uppr eyelid,8255.0,5365.75,173.17,8255.0,56
CPT,15822,Blepharoplasty uppr eyelid bil,16511.0,10732.15,173.17,16511.0,56
CPT,15823,Bleph uppr eyelid exc skin,8613.0,5598.45,173.17,8613.0,56
CPT,15823,Bleph uppr eyelid exc skin bil,17225.0,11196.25,173.17,17225.0,56
CPT,15828,RHYTIDECTOMY CHEEK CHN & NCK,,,,,0
CPT,15830,EXC EXCESSIVE SKIN ABDOMEN,,,,,0
CPT,15836,EXC EXCESSIVE SKIN ARM,,,,,0
CPT,15839,Exc excess skin tiss other,12158.0,7902.7,173.17,12158.0,56
CPT,15847,EXC SKIN ABD ADD-ON,,,,,0
CPT,15852,DRESSING CHANGE NOT FOR BURN,,,,,0
CPT,15853,Rmv sut-staple not req anes,1711.0,1112.15,173.17,1711.0,34
CPT,15854,Rmv sut & staple not req anes,1711.0,1112.15,173.17,1711.0,34
CPT,15860,IV NJX TST VASC FLO FLAP/GRF,,,,,0
CPT,15877,Suction assist lipo trunk,18569.0,12069.85,173.17,18569.0,56
CPT,15878,Suction lipectomy upr extrem,,,,,0
CPT,16020,DRESS/DEBRID P-THICK BURN S,,,,,0
CPT,17000,Destr premalig Lesion 1st,297.0,193.05,51.38,297.0,224
CPT,17003,Destr premalig Lesion 2-14,90.0,58.5,15.57,173.17,172
CPT,17004,Destr premalig Lesion 15/>,472.0,306.8,81.66,573.1,168
CPT,17110,Destr Benign Les upto14,887.0,576.55,110.64,887.0,168
CPT,17111,Destr Benign Les 15 />,248.0,161.2,42.9,282.85,112
CPT,17250,Chemical caut gran tissue,995.0,646.75,110.64,995.0,112
CPT,17260,Destr mal les t-a-l un.5cm,930.0,604.5,110.64,930.0,56
CPT,17261,Destr mal les t-a-l .6-1cm,930.0,604.5,110.64,930.0,112
CPT,17262,Destr mal les t-a-l 1.1-2cm,930.0,604.5,110.64,930.0,224
CPT,17263,Destr mal les t-a-l 2.1-3cm,1576.0,1024.4,110.64,1576.0,168
CPT,17264,Destr mal les t-a-l 3.1-4cm,930.0,604.5,110.64,930.0,56
CPT,17266,Dstr mal les t-a-l 4cm up,1765.0,1147.25,110.64,1765.0,56
CPT,17270,Dstr mal les n-h-f-g un.5cm,976.0,634.4,110.64,976.0,56
CPT,17271,Dstr mal les n-h-f-g .6-1,976.0,634.4,110.64,976.0,112
CPT,17272,Dstr mal les n-h-f-g 1.1-2,976.0,634.4,110.64,976.0,56
CPT,17273,Dstr mal les n-h-f-g 2.1-3,1734.0,1127.1,110.64,1734.0,56
CPT,17274,Dstr mal les n-h-f-g 3.1-4,1734.0,1127.1,110.64,1734.0,56
CPT,17276,Dstr mal les scl ext 4cm up,1765.0,1147.25,110.64,1765.0,56
CPT,17280,Destr mal les face un.5cm,1655.0,1075.75,110.64,1655.0,112
CPT,17281,Destr mal les face .6-1cm,1655.0,1075.75,110.64,1655.0,56
CPT,17282,Destr mal les face 1.1-2cm,1655.0,1075.75,110.64,1655.0,56
CPT,17283,Destr mal les face 2.1-3cm,2547.0,1655.55,110.64,2547.0,56
CPT,17284,Destr mal les face 3.1-4cm,1734.0,1127.1,110.64,1734.0,56
CPT,17286,Dstr mal les face 4cm up,2745.0,1784.25,110.64,2745.0,56
CPT,17311,Mohs stg 1 h-n-hf-g up to 5,2687.0,1746.55,173.17,2687.0,336
CPT,17312,Mohs h-n-h-f-g ea addl stg,1611.0,1047.15,173.17,1611.0,172
CPT,17313,Mohs stg 1 t-a-l up to 5,2687.0,1746.55,173.17,2687.0,336
CPT,17314,Mohs t-a-l ea addl stage,1611.0,1047.15,173.17,1611.0,129
CPT,17315,Mohs ea addl block any stg,1611.0,1047.15,173.17,1611.0,129
CPT,17999,Admin capsaicin 8% topical sys,883.0,573.95,83.81,883.0,112
CPT,17999,Fat Pad Biopsy,4576.0,2974.4,110.64,4576.0,56
CPT,17999,Mesotherapy proc,572.0,371.8,98.96,572.0,55
CPT,19000,Asp breast cyst bin,3473.0,2257.45,173.17,3473.0,224
CPT,19001,Asp breast 2nd cyst bin,3370.0,2190.5,173.17,3370.0,129
CPT,19020,Mastotomy abscess deep,7841.0,5096.65,173.17,7841.0,168
CPT,19020,Mastotomy abscess deep bil,15682.0,10193.3,173.17,15682.0,168
CPT,19081,BX BREAST 1ST LESION STRTCTC,,,,,0
CPT,19082,BX BREAST ADD LESION STRTCTC,,,,,0
CPT,19083,Brst bx percut w US,5406.0,3513.9,173.17,5406.0,224
CPT,19083,Brst bx percut w US bil,10812.0,7027.8,173.17,10812.0,224
CPT,19084,Brst bx percu adlesion w US,3641.0,2366.65,173.17,3641.0,86
CPT,19085,BX BREAST 1ST LESION MR IMAG,,,,,0
CPT,19086,BX BREAST ADD LESION MR IMAG,,,,,0
CPT,19100,Bx breast percut wo image,2126.0,1381.9,173.17,2328.38,56
CPT,19100,Bx breast percut wo image bil,4253.0,2764.45,173.17,4253.0,56
CPT,19101,Biposy breast open incisional,16435.0,10682.75,173.17,16435.0,56
CPT,19101,Biposy breast open incisional bil,32871.0,21366.15,173.17,32871.0,56
CPT,19105,Cryosurg abl fibroadenoma,12550.0,8157.5,173.17,12550.0,56
CPT,19105,Cryosurg abl fibroadenoma bil,25101.0,16315.65,173.17,25101.0,56
CPT,19110,NIPPLE EXPLORATION,,,,,0
CPT,19120,Exc benign breast lesion,8529.0,5543.85,173.17,8529.0,112
CPT,19120,Exc benign breast lesion bil,17058.0,11087.7,173.17,17058.0,112
CPT,19125,EXCISION BREAST LESION,,,,,0
CPT,19126,EXCISION ADDL BREAST LESION,,,,,0
CPT,19281,PERQ DEVICE BREAST 1ST IMAG,,,,,0
CPT,19283,PERQ DEV BREAST 1ST STRTCTC,,,,,0
CPT,19284,PERQ DEV BREAST ADD STRTCTC,,,,,0
CPT,19285,Brst loc wire 1st les w US,2451.0,1593.15,173.17,2451.0,336
CPT,19286,Brst loc wire adles w US,1885.0,1225.25,173.17,1885.0,129
CPT,19287,PERQ DEV BREAST 1ST MR GUIDE,,,,,0
CPT,19288,PERQ DEV BREAST ADD MR GUIDE,,,,,0
CPT,19296,Plc rad breast cath rad,14582.0,9478.3,173.17,14582.0,56
CPT,19296,Plc rad breast cath rad bil,29165.0,18957.25,173.17,29165.0,56
CPT,19300,MASTECTOMY FOR GYNECOMASTIA,,,,,0
CPT,19301,Mastectomy partial,15305.0,9948.25,173.17,15305.0,56
CPT,19301,Mastectomy partial bil,30611.0,19897.15,173.17,30611.0,56
CPT,19302,P-MASTECTOMY W/LN REMOVAL,,,,,0
CPT,19303,MAST SIMPLE COMPLETE,,,,,0
CPT,19307,MAST MOD RAD,,,,,0
CPT,19316,Mastopexy susp breast,26892.0,17479.8,173.17,26892.0,56
CPT,19316,Mastopexy susp breast bil,53784.0,34959.6,173.17,53784.0,56
CPT,19318,Reduction mammaplasy,28379.0,18446.35,173.17,28379.0,56
CPT,19318,Reduction mammaplasy bil,56759.0,36893.35,173.17,56759.0,56
CPT,19325,BREAST AUGMENTATION W/IMPLT,,,,,0
CPT,19328,Rmvl intact mammary impl,13696.0,8902.4,173.17,13696.0,56
CPT,19328,Rmvl intact mammary impl bil,27393.0,17805.45,173.17,27393.0,56
CPT,19330,RMVL RUPTURED BREAST IMPLANT,,,,,0
CPT,19340,INSJ BREAST IMPLT SM D MAST,,,,,0
CPT,19342,INSJ/RPLCMT BRST IMPLT SEP D,,,,,0
CPT,19350,Nipple areola reconstruction,14359.0,9333.35,173.17,14359.0,168
CPT,19350,Nipple areola reconstruction bil,28718.0,18666.7,173.17,28718.0,168
CPT,19357,TISS XPNDR PLMT BRST RCNSTJ,,,,,0
CPT,19364,BRST RCNSTJ FREE FLAP,,,,,0
CPT,19370,Capsulotomy opn breast,15854.0,10305.1,173.17,15854.0,56
CPT,19370,Capsulotomy opn breast bil,31709.0,20610.85,173.17,31709.0,56
CPT,19371,Peri-implt capslc brst compl,15219.0,9892.35,173.17,15219.0,56
CPT,19371,Peri-implt capslc brst compl bil,30439.0,19785.35,173.17,30439.0,56
CPT,19380,Rev reconstructed breast,26326.0,17111.9,173.17,26326.0,168
CPT,19380,Rev reconstructed breast bil,52652.0,34223.8,173.17,52652.0,168
CPT,19499,Chg brst drain cat cyst/abs US,4919.0,3197.35,173.17,5519.89,56
CPT,19499,Chg brst drain cat cyst/abs US bil,9839.0,6395.35,173.17,9839.0,56
CPT,20103,EXPL PENTRG WOUND EXTREMITY,,,,,0
CPT,20200,Biopsy muscle superficial,1984.0,1289.6,173.17,2328.38,56
CPT,20205,Biopsy muscle deep,3233.0,2101.45,173.17,4095.0,56
CPT,20206,Biopsy muscle perc needle,4576.0,2974.4,173.17,4576.0,56
CPT,20206,Muscle bx surg CT guid,4576.0,2974.4,173.17,4576.0,112
CPT,20220,Biopsy bone trocr ndl superfic,3498.0,2273.7,173.17,3498.0,56
CPT,20220,Bone biopsy specified site,3498.0,2273.7,173.17,3498.0,56
CPT,20225,Bone biopsy deep surgical,5306.0,3448.9,173.17,5306.0,168
CPT,20240,Biopsy bone open superficial,5371.0,3491.15,173.17,5371.0,56
CPT,20245,Biopsy bone open deep,5371.0,3491.15,173.17,5371.0,56
CPT,20250,Bx vert body open thoracic,14609.0,9495.85,173.17,14609.0,56
CPT,20251,Bx vert body open lumb cerv,30964.0,20126.6,173.17,30964.0,56
CPT,20500,Inj sinus tract therapeutic,1784.0,1159.6,173.17,2187.39,56
CPT,20501,Injection for sinus track surg,1412.0,917.8,173.17,1412.0,43
CPT,20520,Rmv fb musc-tendon simple,7064.0,4591.6,173.17,7064.0,56
CPT,20525,RMVL FB MUSC/TDN DEEP/COMP,,,,,0
CPT,20526,Ther injection carp tunnel,1379.0,896.35,157.17,1379.0,56
CPT,20526,Ther injection carp tunnel bil,2758.0,1792.7,157.17,2758.0,56
CPT,20527,Inj dupuytren cord w/enzyme,1314.0,854.1,157.17,1314.0,56
CPT,20527,Inj dupuytren cord w/enzyme bil,2629.0,1708.85,157.17,2629.0,56
CPT,20550,Inj tendon sheath/ligament,1318.0,856.7,157.17,1318.0,112
CPT,20550,Inj tendon sheath/ligament bil,2635.0,1712.75,157.17,2635.0,112
CPT,20551,Inj tendon single origin,1318.0,856.7,157.17,1318.0,56
CPT,20552,Muscle trigger point injection,1353.0,879.45,128.22,1353.0,168
CPT,20553,Trigger point inj 3 up muscles,1218.0,791.7,157.17,1218.0,56
CPT,20555,Ins ndl cath msc-tis radioelem,15394.0,10006.1,173.17,15394.0,112
CPT,20560,Ndl insj w/o njx 1 or 2 musc,111.0,72.15,17.76,173.17,56
CPT,20561,Ndl insj w/o njx 3+ musc,111.0,72.15,17.76,173.17,56
CPT,20600,Arthro asp inj smjt bur,1296.0,842.4,157.17,1296.0,56
CPT,20600,Arthro asp inj smjt bur bil,2593.0,1685.45,157.17,2593.0,56
CPT,20600,Arthro asp inj smjt bur sng,1296.0,842.4,157.17,1296.0,56
CPT,20600,Arthro asp inj smjt bur sng bil,2593.0,1685.45,157.17,2593.0,56
CPT,20604,Arthro asp inj smjt bur US,1382.0,898.3,173.17,1382.0,168
CPT,20604,Arthro asp inj smjt bur US bil,2764.0,1796.6,173.17,2764.0,168
CPT,20604,Arthro asp inj smjt bur sng US,1382.0,898.3,173.17,1382.0,56
CPT,20604,Arthro asp inj smjt bur sng US bil,2764.0,1796.6,173.17,2764.0,56
CPT,20605,Arthro asp inj intjt bur,1816.0,1180.4,157.17,1816.0,112
CPT,20605,Arthro asp inj intjt bur bil,3632.0,2360.8,157.17,3632.0,112
CPT,20605,Arthro asp inj intjt bur sng,1816.0,1180.4,157.17,1816.0,56
CPT,20605,Arthro asp inj intjt bur sng bil,3632.0,2360.8,157.17,3632.0,56
CPT,20606,Arthro asp inj intjt bur sngUS,1799.0,1169.35,173.17,1799.0,56
CPT,20606,Arthro asp inj intjt bur sngUS bil,3598.0,2338.7,173.17,3598.0,56
CPT,20606,Arthro asp inj intjt bur w US,1799.0,1169.35,173.17,1799.0,56
CPT,20606,Arthro asp inj intjt bur w US bil,3598.0,2338.7,173.17,3598.0,56
CPT,20610,Arthro asp inj lgjt bur,1650.0,1072.5,157.17,1650.0,112
CPT,20610,Arthro asp inj lgjt bur bil,3301.0,2145.65,157.17,3301.0,112
CPT,20610,Arthro asp inj lgjt bur sng,1650.0,1072.5,157.17,1650.0,112
CPT,20610,Arthro asp inj lgjt bur sng bil,3301.0,2145.65,157.17,3301.0,112
CPT,20611,Arthro asp inj lgjt bur US,1832.0,1190.8,173.17,1832.0,112
CPT,20611,Arthro asp inj lgjt bur US bil,3663.0,2380.95,173.17,3663.0,112
CPT,20611,Arthro asp inj lgjt bur sng US,1832.0,1190.8,173.17,1832.0,56
CPT,20611,Arthro asp inj lgjt bur sng US bil,3663.0,2380.95,173.17,3663.0,56
CPT,20612,Inject-asp gangl cyst 1st,1731.0,1125.15,157.17,1731.0,112
CPT,20615,Inject-asp Tx bone cyst,2243.0,1457.95,173.17,2243.0,112
CPT,20660,Application of frame only,10037.0,6524.05,173.17,10037.0,56
CPT,20665,Removal of Frame Diff MD,2320.0,1508.0,110.75,2320.0,56
CPT,20670,Remove implant superficial,6891.0,4479.15,173.17,6891.0,56
CPT,20680,Rmv implant deep,11901.0,7735.65,173.17,11901.0,56
CPT,20690,Apply ext bn fix uni unipl,17594.0,11436.1,173.17,17594.0,56
CPT,20692,Apply ext bn fix uni multi,31768.0,20649.2,173.17,31768.0,56
CPT,20693,Adjust-revs bone fix device,17594.0,11436.1,173.17,17594.0,112
CPT,20694,RMVL EXT FIXJ SYS UNDER ANES,,,,,0
CPT,20696,Apply ext bone fix w stero,48237.0,31354.05,173.17,48237.0,56
CPT,20700,Ins prep&insj dp Rx del dev,1005.0,653.25,173.17,1005.0,34
CPT,20701,Rem deep Rx deliv device,1349.0,876.85,173.17,1349.0,34
CPT,20702,Ins prep&insj intramd Rxdev,1607.0,1044.55,173.17,1607.0,34
CPT,20703,Rem inrtamed Rx deliv dev,1922.0,1249.3,173.17,1922.0,34
CPT,20704,Ins prep&insj i-artic Rxdev,2242.0,1457.3,173.17,2242.0,34
CPT,20705,Rem i-artic Rx delivery dev,2336.0,1518.4,173.17,2336.0,34
CPT,20900,REMOVAL OF BONE FOR GRAFT,,,,,0
CPT,20930,SP BONE ALGRFT MORSEL ADD-ON,,,,,0
CPT,20931,SP BONE ALGRFT STRUCT ADD-ON,,,,,0
CPT,20932,OSTEOART ALGRFT W/SURF & B1,,,,,0
CPT,20933,HEMICRT INTRCLRY ALGRFT PRTL,,,,,0
CPT,20936,SP BONE AGRFT LOCAL ADD-ON,,,,,0
CPT,20937,SP BONE AGRFT MORSEL ADD-ON,,,,,0
CPT,20982,Perc rf ablat bone tumors w gu,24328.0,15813.2,173.17,24718.77,56
CPT,20982,Perc rf ablat bone tumors w gu bil,48656.0,31626.4,173.17,48656.0,56
CPT,20983,Perc cryo ablat bone tumrs wgu,51748.0,33636.2,173.17,51748.0,56
CPT,20983,Perc cryo ablat bone tumrs wgu bil,103496.0,67272.4,173.17,103496.0,56
CPT,20999,Soft tissue cryoablation,48888.0,31777.2,173.17,48888.0,56
CPT,21011,Exc face les subq under 2cm,8233.0,5351.45,173.17,8233.0,56
CPT,21012,Exc face les sc 2cm and up,6830.0,4439.5,173.17,6830.0,56
CPT,21013,Exc face tum deep under 2c,6519.0,4237.35,173.17,6519.0,56
CPT,21014,Exc face tum deep 2cm up,11330.0,7364.5,173.17,11330.0,56
CPT,21015,Resct face tum un 2cm,10791.0,7014.15,173.17,10791.0,56
CPT,21016,Resct face tum 2cm up,10791.0,7014.15,173.17,10791.0,56
CPT,21025,Exc of bone lower jaw,25199.0,16379.35,173.17,25199.0,112
CPT,21026,EXCISION OF FACIAL BONE(S),,,,,0
CPT,21030,Exc max zygoma benign tumor,24356.0,15831.4,173.17,24356.0,56
CPT,21030,Exc max zygoma benign tumor bil,48711.0,31662.15,173.17,48711.0,56
CPT,21031,REMOVE EXOSTOSIS MANDIBLE,,,,,0
CPT,21040,EXCISE MANDIBLE LESION,,,,,0
CPT,21046,Exc mandible cyst complex,24356.0,15831.4,173.17,24356.0,56
CPT,21048,Exc maxilla cyst w osteotomy,24356.0,15831.4,173.17,24356.0,56
CPT,21073,MNPJ OF TMJ W/ANESTH,,,,,0
CPT,21079,Prep interim obturat prosth,14028.0,9118.2,173.17,14028.0,56
CPT,21085,Impres prep oral surg splnt,1084.0,704.6,173.17,1090.03,56
CPT,21100,Apply maxillofac fixation halo,13616.0,8850.4,173.17,13616.0,56
CPT,21110,Apply interdental fixation,3571.0,2321.15,173.17,3571.0,56
CPT,21141,RCNSTJ MIDFACE LEFORT I 1PC,,,,,0
CPT,21142,RCNSTJ MIDFACE LEFORT I 2PCS,,,,,0
CPT,21143,RCNSTJ MDFACE LEFORT I 3/>PC,,,,,0
CPT,21147,RCNSTJ MDFC LEFORT I 3/>GRF,,,,,0
CPT,21196,RECONST LWR JAW W/FIXATION,,,,,0
CPT,21215,Grft bone mandible,24356.0,15831.4,173.17,24356.0,56
CPT,21235,Graft ear cartilage,26081.0,16952.65,173.17,26081.0,112
CPT,21240,RECONSTRUCTION OF JAW JOINT,,,,,0
CPT,21243,RECONSTRUCTION OF JAW JOINT,,,,,0
CPT,21248,Reconstruction of jaw partial,24356.0,15831.4,173.17,24356.0,56
CPT,21249,Reconstruction of jaw complete,24356.0,15831.4,173.17,24356.0,56
CPT,21315,CLSD TX NSL FX MNPJ WO STBLJ,,,,,0
CPT,21320,CLSD TX NSL FX W/MNPJ&STABLJ,,,,,0
CPT,21337,Closed tx septal&nose fx,,,,,0
CPT,21390,Opn tx orbit periorbtl implt,,,,,0
CPT,21422,OPTX PALATAL/MAX FRACTURE,,,,,0
CPT,21451,CLTX MNDBLR FX W/MNPJ,,,,,0
CPT,21453,CLTX MNDBLR FX NTRDNTL FIXJ,,,,,0
CPT,21461,OPTX MNDBLR FX WO NTRDNTL,,,,,0
CPT,21470,OPTX COMPLICATED MNDBLR FX,,,,,0
CPT,21499,UNLISTED MUSCSKEL PX HEAD,,,,,0
CPT,21501,I-D neck thor les,11330.0,7364.5,173.17,11330.0,56
CPT,21502,I-D nck thor les w part ri,12243.0,7957.95,173.17,12243.0,56
CPT,21510,Drainage Bone Lesion thorax,12243.0,7957.95,173.17,12243.0,56
CPT,21552,Exc neck les sc 3cm and up,12494.0,8121.1,173.17,12494.0,56
CPT,21554,EXC NECK TUM DEEP 5 CM/>,,,,,0
CPT,21555,Exc neck les sc un 3cm,7237.0,4704.05,173.17,7237.0,56
CPT,21556,Exc neck tum deep un 5 cm,12226.0,7946.9,173.17,12226.0,56
CPT,21601,Exc chest wall tum incl rib(s),12820.0,8333.0,173.17,12820.0,56
CPT,21615,EXCISION 1ST &/CERVICAL RIB,,,,,0
CPT,21899,Cementoplasty sternum w guidnc,7704.0,5007.6,173.17,7704.0,56
CPT,21920,Bx back soft tiss supf,1879.0,1221.35,173.17,2328.38,56
CPT,21925,Bx back soft tiss deep,2938.0,1909.7,173.17,2938.0,56
CPT,21931,Exc back les subq 3cm and up,7841.0,5096.65,173.17,7841.0,56
CPT,21932,Exc back tum deep un5cm,7841.0,5096.65,173.17,7841.0,56
CPT,21933,Exc back tum deep 5cm up,11870.0,7715.5,173.17,11870.0,56
CPT,21935,Resct back tum un 5cm,10791.0,7014.15,173.17,10791.0,56
CPT,21936,Resct back tum 5cm up,10791.0,7014.15,173.17,10791.0,56
CPT,22510,PERQ CERVICOTHORACIC INJECT,9898.0,6433.7,173.17,9898.0,56
CPT,22511,PERQ LUMBOSACRAL INJECTION,9898.0,6433.7,173.17,9898.0,56
CPT,22512,VERTEBROPLASTY ADDL INJECT,5265.0,3422.25,173.17,5265.0,43
CPT,22513,PERQ VERTEBRAL AUGMENTATION,23837.0,15494.05,173.17,23837.0,56
CPT,22514,PERQ VERTEBRAL AUGMENTATION,23837.0,15494.05,173.17,23837.0,56
CPT,22515,PERQ VERTEBRAL AUGMENTATION,12662.0,8230.3,173.17,12662.0,43
CPT,22551,ARTHRD ANT NTRBDY CERVICAL,,,,,0
CPT,22552,ARTHRD ANT NTRBD CERVICAL EA,,,,,0
CPT,22612,ARTHRD PST TQ 1NTRSPC LUMBAR,,,,,0
CPT,22633,ARTHRD CMBN 1NTRSPC LUMBAR,,,,,0
CPT,22634,ARTHRD CMBN 1NTRSPC EA ADDL,,,,,0
CPT,22840,INSERT SPINE FIXATION DEVICE,,,,,0
CPT,22842,INSERT SPINE FIXATION DEVICE,,,,,0
CPT,22845,INSERT SPINE FIXATION DEVICE,,,,,0
CPT,22846,INSERT SPINE FIXATION DEVICE,,,,,0
CPT,22853,INSJ BIOMECHANICAL DEVICE,,,,,0
CPT,22899,Cementoplasty sacralw/img guid,7704.0,5007.6,173.17,7704.0,56
CPT,22900,Exc abd wall les subf un5c,11870.0,7715.5,173.17,11870.0,56
CPT,22901,Exc abd wal les subf 5cm u,11870.0,7715.5,173.17,11870.0,56
CPT,22902,Exc abd wall les sc un 3cm,6209.0,4035.85,173.17,6209.0,56
CPT,22903,Exc abd wall les sc 3cm up,10791.0,7014.15,173.17,10791.0,56
CPT,22904,Resct abd tum un 5cm,10791.0,7014.15,173.17,10791.0,56
CPT,22905,Resct abd tum 5cm up,10791.0,7014.15,173.17,10791.0,56
CPT,23071,Exc should les sc 3cm up,6481.0,4212.65,173.17,6481.0,112
CPT,23073,EXC SHOULDER TUM DEEP 5 CM/>,,,,,0
CPT,23076,Exc should tum deep un 5cm,11448.0,7441.2,173.17,11448.0,56
CPT,23077,RAD RESCJ TUM SHOULDER<5 CM,,,,,0
CPT,23078,RAD RESCJ TUM SHOULDER 5CM/>,,,,,0
CPT,23180,PRTL EXCISION BONE CLAVICLE,,,,,0
CPT,23220,RADICAL RESCJ TUMOR PROX HUM,,,,,0
CPT,23350,Inj shoulder arthrography,820.0,533.0,141.86,820.0,43
CPT,23350,Inj shoulder arthrography bil,1641.0,1066.65,173.17,1641.0,43
CPT,23405,Tenotomy should single,31458.0,20447.7,173.17,31458.0,56
CPT,23410,REPAIR ROTATOR CUFF ACUTE,,,,,0
CPT,23430,REPAIR BICEPS TENDON,,,,,0
CPT,23470,RECONSTRUCT SHOULDER JOINT,,,,,0
CPT,23472,RECONSTRUCT SHOULDER JOINT,,,,,0
CPT,23474,REVIS RECONST SHOULDER JOINT,,,,,0
CPT,23515,OPTX CLAVICULAR FX W/INT FIX,,,,,0
CPT,23530,OPTX STRNCLAV DISLC AQT/CHRN,,,,,0
CPT,23615,OPTX PROX HUMRL FX W/INT FIX,,,,,0
CPT,23630,OPTX GR HMRL TBRS FX INT FIX,,,,,0
CPT,23655,CLTX SHO DSLC W/MNPJ W/ANES,,,,,0
CPT,24065,Bx arm elb soft tiss supf,7126.0,4631.9,173.17,7126.0,56
CPT,24065,Bx arm elb soft tiss supf bil,14253.0,9264.45,173.17,14253.0,56
CPT,24066,Bx arm elb soft tiss deep,7841.0,5096.65,173.17,7841.0,56
CPT,24066,Bx arm elb soft tiss deep bil,15682.0,10193.3,173.17,15682.0,56
CPT,24071,Exc up arm elbow subq >3 cm,11643.0,7567.95,173.17,11643.0,56
CPT,24071,Exc up arm elbow subq >3 cm bil,23286.0,15135.9,173.17,23286.0,56
CPT,24073,Ex arm elbow tum deep 5 cm+,11643.0,7567.95,173.17,11643.0,56
CPT,24073,Ex arm elbow tum deep 5 cm+ bil,23286.0,15135.9,173.17,23286.0,56
CPT,24075,Exc up arm elbow subq< 3 cm,6891.0,4479.15,173.17,6891.0,56
CPT,24075,Exc up arm elbow subq< 3 cm bil,13782.0,8958.3,173.17,13782.0,56
CPT,24076,Ex arm elbow tum deep < 5 cm,13136.0,8538.4,173.17,13136.0,56
CPT,24076,Ex arm elbow tum deep < 5 cm bil,26271.0,17076.15,173.17,26271.0,56
CPT,24077,Resct arm elbow tum un 5cm,12191.0,7924.15,173.17,12191.0,56
CPT,24077,Resct arm elbow tum un 5cm bil,24382.0,15848.3,173.17,24382.0,56
CPT,24079,RAD RESCJ TUM TISS A/E 5 CM+,,,,,0
CPT,24105,EXCISION OLECRANON BURSA,,,,,0
CPT,24164,Rmv radial head implant,14214.0,9239.1,173.17,14214.0,56
CPT,24164,Rmv radial head implant bil,28427.0,18477.55,173.17,28427.0,56
CPT,24200,Rmv forign body arm subq,7064.0,4591.6,173.17,7064.0,56
CPT,24200,Rmv forign body arm subq bil,14128.0,9183.2,173.17,14128.0,56
CPT,24300,MNPJ ELBOW UNDER ANES,,,,,0
CPT,24305,TENDON LNGTH UPR A/E EA TDN,,,,,0
CPT,24341,RPR TDN/MUSC UPR A/E EACH,,,,,0
CPT,24342,REPAIR OF RUPTURED TENDON,,,,,0
CPT,24343,REPR ELBOW LAT LIGMNT W/TISS,,,,,0
CPT,24359,REPAIR ELBOW DEB/ATTCH OPEN,,,,,0
CPT,24430,RPR NON/MAL HUMERUS WO GRAFT,,,,,0
CPT,24435,RPR NON/MAL HUM WITH AGRFT,,,,,0
CPT,24500,Cls tx hum fx wo man,1037.0,674.05,173.17,1037.0,56
CPT,24500,Cls tx hum fx wo man bil,2073.0,1347.45,173.17,2073.0,56
CPT,24515,OPTX HUMRL SHFT FX PLATE/SCR,,,,,0
CPT,24530,Cls tx hum intr ext wo man,1037.0,674.05,173.17,1037.0,56
CPT,24530,Cls tx hum intr ext wo man bil,2073.0,1347.45,173.17,2073.0,56
CPT,24545,OPTX HUM FX WO NTRCNDYLR XTN,,,,,0
CPT,24546,OPTX HUM FX W/NTRCNDYLR XTN,,,,,0
CPT,24579,OPTX HUMRL CNDYLR FRACTURE,,,,,0
CPT,24586,OPTX PARTCLR FX&/DISLC ELBOW,,,,,0
CPT,24635,OPTX MONTEGGIA FX DISLC ELBW,,,,,0
CPT,24640,Cls tx elb disloc w manip,1037.0,674.05,173.17,1037.0,56
CPT,24640,Cls tx elb disloc w manip bil,2073.0,1347.45,173.17,2073.0,56
CPT,24650,Cls tx rad hd nck fx wo man,1037.0,674.05,173.17,1037.0,56
CPT,24650,Cls tx rad hd nck fx wo man bil,2073.0,1347.45,173.17,2073.0,56
CPT,24655,Cls tx rad hd nck fx w man,6991.0,4544.15,173.17,6991.0,56
CPT,24655,Cls tx rad hd nck fx w man bil,13981.0,9087.65,173.17,13981.0,56
CPT,24665,OPTX RADIAL HEAD/NECK FX,,,,,0
CPT,24666,OPTX RADIAL HEAD/NCK FX RPLC,,,,,0
CPT,24670,Cls tx ulnar fx prx wo man,1037.0,674.05,173.17,1037.0,56
CPT,24670,Cls tx ulnar fx prx wo man bil,2073.0,1347.45,173.17,2073.0,56
CPT,24685,OPTX ULNAR FX PROX END W/FIX,,,,,0
CPT,25000,Inc ext tendon sheath wrist,6991.0,4544.15,173.17,6991.0,56
CPT,25000,Inc ext tendon sheath wrist bil,13981.0,9087.65,173.17,13981.0,56
CPT,25065,Bx forearm wrist sft tiss supf,1861.0,1209.65,173.17,2328.38,56
CPT,25065,Bx forearm wrist sft tiss supf bil,3723.0,2419.95,173.17,3723.0,56
CPT,25066,Bx forearm wrist sft tiss deep,4150.0,2697.5,173.17,4150.0,56
CPT,25066,Bx forearm wrist sft tiss deep bil,8300.0,5395.0,173.17,8300.0,56
CPT,25071,Exc forearm wrist subq>3 cm,4833.0,3141.45,173.17,4833.0,56
CPT,25071,Exc forearm wrist subq>3 cm bil,9665.0,6282.25,173.17,9665.0,56
CPT,25073,Exc forearm wrist deep 3 cm,4833.0,3141.45,173.17,4833.0,56
CPT,25073,Exc forearm wrist deep 3 cm bil,9665.0,6282.25,173.17,9665.0,56
CPT,25075,Exc forearm les sc<3cm,4036.0,2623.4,173.17,4036.0,56
CPT,25075,Exc forearm les sc<3cm bil,8073.0,5247.45,173.17,8073.0,56
CPT,25076,Exc forearm wrist deep < 3 cm,6891.0,4479.15,173.17,6891.0,56
CPT,25076,Exc forearm wrist deep < 3 cm bil,13782.0,8958.3,173.17,13782.0,56
CPT,25078,RESECT FORARM/WRIST TUM 3CM>,,,,,0
CPT,25085,Capsulotomy of wrist,14214.0,9239.1,173.17,14214.0,56
CPT,25085,Capsulotomy of wrist bil,28427.0,18477.55,173.17,28427.0,56
CPT,25107,REMOVE WRIST JOINT CARTILAGE,,,,,0
CPT,25111,Exc wrist ganglion prim,6991.0,4544.15,173.17,6991.0,56
CPT,25111,Exc wrist ganglion prim bil,13981.0,9087.65,173.17,13981.0,56
CPT,25115,Rad exc wrst forarm lesion,6991.0,4544.15,173.17,6991.0,56
CPT,25115,Rad exc wrst forarm lesion bil,13981.0,9087.65,173.17,13981.0,56
CPT,25118,Synovect wr tndn sgl,6991.0,4544.15,173.17,6991.0,56
CPT,25118,Synovect wr tndn sgl bil,13981.0,9087.65,173.17,13981.0,56
CPT,25170,RESECT RADIUS/ULNAR TUMOR,,,,,0
CPT,25259,MANIPULATE WRIST W/ANESTHES,,,,,0
CPT,25280,REVISE WRIST/FOREARM TENDON,,,,,0
CPT,25290,INCISE WRIST/FOREARM TENDON,,,,,0
CPT,25315,Rev palsy hand tendns,31458.0,20447.7,173.17,31458.0,56
CPT,25315,Rev palsy hand tendns bil,62915.0,40894.75,173.17,62915.0,56
CPT,25320,Repair revise wrist joint,29449.0,19141.85,173.17,29449.0,56
CPT,25320,Repair revise wrist joint bil,58898.0,38283.7,173.17,58898.0,56
CPT,25500,Cls tx rad shf fx wo manip,1037.0,674.05,173.17,1037.0,56
CPT,25500,Cls tx rad shf fx wo manip bil,2073.0,1347.45,173.17,2073.0,56
CPT,25505,Cls tx rad shf fx w manip,6991.0,4544.15,173.17,6991.0,56
CPT,25505,Cls tx rad shf fx w manip bil,13981.0,9087.65,173.17,13981.0,56
CPT,25515,OPTX RADIAL SHAFT FRACTURE,,,,,0
CPT,25520,Cls tx galeazzi fx,6991.0,4544.15,173.17,6991.0,56
CPT,25520,Cls tx galeazzi fx bil,13981.0,9087.65,173.17,13981.0,56
CPT,25526,OPTX RDL SHFT FX&DSTL RAD/UL,,,,,0
CPT,25530,Cls tx ulnar shft wo man,1037.0,674.05,173.17,1037.0,56
CPT,25530,Cls tx ulnar shft wo man bil,2073.0,1347.45,173.17,2073.0,56
CPT,25535,Cls tx ulnar shft w man,1037.0,674.05,173.17,1037.0,56
CPT,25535,Cls tx ulnar shft w man bil,2073.0,1347.45,173.17,2073.0,56
CPT,25545,OPTX ULNAR SHFT FX INT FIXJ,,,,,0
CPT,25560,Cls tx rad uln sh fx wo man,1037.0,674.05,173.17,1037.0,56
CPT,25560,Cls tx rad uln sh fx wo man bil,2073.0,1347.45,173.17,2073.0,56
CPT,25565,Cls tx rad uln sh fx w man,6991.0,4544.15,173.17,6991.0,56
CPT,25565,Cls tx rad uln sh fx w man bil,13981.0,9087.65,173.17,13981.0,56
CPT,25574,OPTX RDL&ULN SHFT FX RDS/ULN,,,,,0
CPT,25575,OPTX RDL&ULN SHFT FX RDS&ULN,,,,,0
CPT,25600,Cls tx rad ulna fx wo man,1087.0,706.55,173.17,1087.0,56
CPT,25600,Cls tx rad ulna fx wo man bil,2173.0,1412.45,173.17,2173.0,56
CPT,25605,Cls tx rad ulna fx w man,6991.0,4544.15,173.17,6991.0,56
CPT,25605,Cls tx rad ulna fx w man bil,13981.0,9087.65,173.17,13981.0,56
CPT,25607,OPTX DST RD XARTC FX/EPI SEP,,,,,0
CPT,25608,OPTX DST RD XART FX/EPI SEP2,,,,,0
CPT,25609,OPTX DST RD XART FX/EP SEP3+,,,,,0
CPT,25622,Cls tx carpal fx wo manip,1037.0,674.05,173.17,1037.0,56
CPT,25622,Cls tx carpal fx wo manip bil,2073.0,1347.45,173.17,2073.0,56
CPT,25624,Cls tx carpal fx w manip,6991.0,4544.15,173.17,6991.0,56
CPT,25624,Cls tx carpal fx w manip bil,13981.0,9087.65,173.17,13981.0,56
CPT,25630,Cls tx carpal bn wo manip,1037.0,674.05,173.17,1037.0,56
CPT,25630,Cls tx carpal bn wo manip bil,2073.0,1347.45,173.17,2073.0,56
CPT,25635,Cls tx carpal bn w manip,6991.0,4544.15,173.17,6991.0,56
CPT,25635,Cls tx carpal bn w manip bil,13981.0,9087.65,173.17,13981.0,56
CPT,25650,Cls tx ulnar styloid fx,1037.0,674.05,173.17,1037.0,56
CPT,25650,Cls tx ulnar styloid fx bil,2073.0,1347.45,173.17,2073.0,56
CPT,25680,Cls tx t-scap-lunar w man,1037.0,674.05,173.17,1037.0,56
CPT,25680,Cls tx t-scap-lunar w man bil,2073.0,1347.45,173.17,2073.0,56
CPT,25685,OPTX TRNS-SCPHPRLNR FX DISLC,,,,,0
CPT,26010,Drg finger abscess simple,803.0,521.95,110.64,803.0,56
CPT,26011,Drg finger abscess complic,7064.0,4591.6,173.17,7064.0,56
CPT,26020,Drg hand tendon sheath ea,14214.0,9239.1,173.17,14214.0,56
CPT,26040,Release palm contracture,6806.0,4423.9,173.17,6806.0,56
CPT,26040,Release palm contracture bil,13613.0,8848.45,173.17,13613.0,56
CPT,26055,Incise finger tendon sheath,7145.0,4644.25,173.17,7145.0,56
CPT,26075,Expl treat metacarp jt,14214.0,9239.1,173.17,14214.0,56
CPT,26075,Expl treat metacarp jt bil,28427.0,18477.55,173.17,28427.0,56
CPT,26080,Expl treat finger jt,6991.0,4544.15,173.17,6991.0,56
CPT,26111,Exc hd fgr les sc 1.5cm up,7417.0,4821.05,173.17,7417.0,56
CPT,26113,Exc hnd fgr tum dp 1.5cm up,7064.0,4591.6,173.17,7064.0,56
CPT,26115,Exc hd fgr les sc un1.5cm,7064.0,4591.6,173.17,7064.0,56
CPT,26116,Exc hnd fgr tum dp un1.5cm,7064.0,4591.6,173.17,7064.0,56
CPT,26118,RAD RESECT HAND TUMOR 3 CM/>,,,,,0
CPT,26121,Fasciectomy palm w grft,14214.0,9239.1,173.17,14214.0,56
CPT,26121,Fasciectomy palm w grft bil,28427.0,18477.55,173.17,28427.0,56
CPT,26123,Fasciectomy palm dig w grft,14214.0,9239.1,173.17,14214.0,56
CPT,26123,Fasciectomy palm dig w grft bil,28427.0,18477.55,173.17,28427.0,56
CPT,26125,Palm release w ea addtl digit,14214.0,9239.1,173.17,14214.0,43
CPT,26145,Synovectomy tendon sh ea,3952.0,2568.8,173.17,3952.0,56
CPT,26160,Exc lesion tendon sheath,6991.0,4544.15,173.17,6991.0,56
CPT,26200,Exc bone cyst metacarpal,6991.0,4544.15,173.17,6991.0,56
CPT,26250,EXTENSIVE HAND SURGERY,,,,,0
CPT,26340,Manip finger jt w anes ea,6991.0,4544.15,173.17,6991.0,56
CPT,26340,Manip finger jt w anes ea bil,13981.0,9087.65,173.17,13981.0,56
CPT,26341,Manipulat palm cord post inj,1083.0,703.95,173.17,1083.0,56
CPT,26341,Manipulat palm cord post inj bil,2167.0,1408.55,173.17,2167.0,56
CPT,26356,REPAIR FINGER/HAND TENDON,,,,,0
CPT,26418,REPAIR FINGER TENDON,,,,,0
CPT,26432,Cls tx distal tendon,7339.0,4770.35,173.17,7339.0,56
CPT,26440,Tenolysis flex tendon,6991.0,4544.15,173.17,6991.0,56
CPT,26442,Tenolysis flex palm tendon,14214.0,9239.1,173.17,14214.0,56
CPT,26445,Tenolysis ext tendon,14214.0,9239.1,173.17,14214.0,56
CPT,26460,Tenotomy ext hand or finger,6991.0,4544.15,173.17,6991.0,56
CPT,26508,Release of thenar muscle,14214.0,9239.1,173.17,14214.0,56
CPT,26508,Release of thenar muscle bil,28427.0,18477.55,173.17,28427.0,56
CPT,26525,Release interphal jnt,6991.0,4544.15,173.17,6991.0,56
CPT,26540,Rpr collateral lig hand,14214.0,9239.1,173.17,14214.0,56
CPT,26600,Cls tx metacarp fx wo man,1037.0,674.05,173.17,1037.0,56
CPT,26605,Cls tx metacarp fx w man,1037.0,674.05,173.17,1037.0,56
CPT,26607,Cls tx metac fx w man w fix,14214.0,9239.1,173.17,14214.0,56
CPT,26615,TREAT METACARPAL FRACTURE,,,,,0
CPT,26641,Cls tx thumb disloc w manip,1037.0,674.05,173.17,1037.0,56
CPT,26641,Cls tx thumb disloc w manip bil,2073.0,1347.45,173.17,2073.0,56
CPT,26645,Cls tx thumb fx dislo w man,6991.0,4544.15,173.17,6991.0,56
CPT,26645,Cls tx thumb fx dislo w man bil,13981.0,9087.65,173.17,13981.0,56
CPT,26665,TREAT THUMB FRACTURE,,,,,0
CPT,26670,Cls tx hnd disl w man wo an,1037.0,674.05,173.17,1037.0,56
CPT,26700,Cls tx knck dis w man wo an,1037.0,674.05,173.17,1037.0,112
CPT,26720,Cls tx fngr fx wo man ea,1037.0,674.05,173.17,1037.0,56
CPT,26725,Cls tx fngr fx w man ea,1037.0,674.05,173.17,1037.0,56
CPT,26735,TREAT FINGER FRACTURE EACH,,,,,0
CPT,26740,Cls tx fngr fx wo manip,1037.0,674.05,173.17,1037.0,56
CPT,26742,Cls tx fngr fx w manip,6991.0,4544.15,173.17,6991.0,56
CPT,26746,TREAT FINGER FRACTURE EACH,,,,,0
CPT,26750,Cls tx fngr fx wo manip ea,1037.0,674.05,173.17,1037.0,56
CPT,26755,Cls tx fngr fx w manip ea,1037.0,674.05,173.17,1037.0,56
CPT,26765,TREAT FINGER FRACTURE EACH,,,,,0
CPT,26770,Cls tx fgr disl w man wo an,1037.0,674.05,173.17,1037.0,56
CPT,26775,Cls tx fgr disl w man anes,1212.0,787.8,173.17,1212.0,56
CPT,26910,AMPUTATE METACARPAL BONE,,,,,0
CPT,26951,Amp fing/th sgl w dir close,13746.0,8934.9,173.17,13746.0,56
CPT,26952,Amp fing/th sgl w loc adv flap,13746.0,8934.9,173.17,13746.0,56
CPT,27041,Biopsy pelvis soft tiss deep,4966.0,3227.9,173.17,4966.0,56
CPT,27043,EXC HIP PELVIS LES SC 3 CM/>,,,,,0
CPT,27047,EXC HIP/PELVIS LES SC < 3 CM,,,,,0
CPT,27048,EXC HIP/PELV TUM DEEP < 5 CM,,,,,0
CPT,27059,RESECT HIP/PELV TUM 5 CM/>,,,,,0
CPT,27066,REMOVE HIP BONE LES DEEP,,,,,0
CPT,27093,Hip arthrogram surgical,820.0,533.0,141.86,820.0,43
CPT,27093,Hip arthrogram surgical bil,1641.0,1066.65,173.17,1641.0,43
CPT,27096,Sacroiliac jnt inj fluo CT bil,6297.0,4093.05,173.17,6297.0,43
CPT,27096,Sacroiliac jnt inj fluo CT uni,3085.0,2005.25,173.17,3085.0,43
CPT,27216,Perq sk fix ps pelv bne fx&dis,17070.0,11095.5,173.17,17070.0,43
CPT,27266,TREAT HIP DISLOCATION,,,,,0
CPT,27279,Arthrodesis sacroiliac jnt,79051.0,51383.15,173.17,79051.0,56
CPT,27279,Arthrodesis sacroiliac jnt bil,158101.0,102765.65,173.17,158101.0,56
CPT,27299,Cementoplasty iliac w/img guid,7696.0,5002.4,173.17,7696.0,56
CPT,27299,Cementoplasty iliac w/img guid bil,15391.0,10004.15,173.17,15391.0,56
CPT,27299,Pst Abl cementoplas hip/pel bn,9898.0,6433.7,173.17,9898.0,56
CPT,27299,Pst Abl cementoplas hip/pel bn bil,19797.0,12868.05,173.17,19797.0,56
CPT,27301,DRAIN THIGH/KNEE LESION,,,,,0
CPT,27327,EXC THIGH/KNEE LES SC < 3 CM,,,,,0
CPT,27328,EXC THIGH/KNEE TUM DEEP <5CM,,,,,0
CPT,27329,RESECT THIGH/KNEE TUM < 5 CM,,,,,0
CPT,27337,EXC THIGH/KNEE LES SC 3 CM/>,,,,,0
CPT,27339,EXC THIGH/KNEE TUM DEP 5CM/>,,,,,0
CPT,27360,PARTIAL REMOVAL LEG BONE(S),,,,,0
CPT,27364,RESECT THIGH/KNEE TUM 5 CM/>,,,,,0
CPT,27365,RESECT FEMUR/KNEE TUMOR,,,,,0
CPT,27380,REPAIR OF KNEECAP TENDON,,,,,0
CPT,27381,REPAIR/GRAFT KNEECAP TENDON,,,,,0
CPT,27385,REPAIR OF THIGH MUSCLE,,,,,0
CPT,27403,REPAIR OF KNEE CARTILAGE,,,,,0
CPT,27405,REPAIR OF KNEE LIGAMENT,,,,,0
CPT,27422,REVISION OF UNSTABLE KNEECAP,,,,,0
CPT,27495,REINFORCE THIGH,,,,,0
CPT,27514,TREATMENT OF THIGH FRACTURE,,,,,0
CPT,27524,TREAT KNEECAP FRACTURE,,,,,0
CPT,27536,TREAT KNEE FRACTURE,,,,,0
CPT,27594,AMPUTATION FOLLOW-UP SURGERY,,,,,0
CPT,27600,Decompress lowr ant leg,14603.0,9491.95,173.17,14603.0,56
CPT,27600,Decompress lowr ant leg bil,29205.0,18983.25,173.17,29205.0,56
CPT,27601,Decompress lowr poster leg,14603.0,9491.95,173.17,14603.0,56
CPT,27601,Decompress lowr poster leg bil,29205.0,18983.25,173.17,29205.0,56
CPT,27602,Decompress lowr a p leg,8871.0,5766.15,173.17,8871.0,56
CPT,27602,Decompress lowr a p leg bil,17742.0,11532.3,173.17,17742.0,56
CPT,27615,RESECT LEG/ANKLE TUM < 5 CM,,,,,0
CPT,27616,RESECT LEG/ANKLE TUM 5 CM/>,,,,,0
CPT,27619,EXC LEG/ANKLE TUM DEEP <5 CM,,,,,0
CPT,27630,REMOVAL OF TENDON LESION,,,,,0
CPT,27634,EXC LEG/ANKLE TUM DEP 5 CM/>,,,,,0
CPT,27645,RESECT TIBIA TUMOR,,,,,0
CPT,27654,REPAIR OF ACHILLES TENDON,,,,,0
CPT,27658,REPAIR OF LEG TENDON EACH,,,,,0
CPT,27685,REVISION OF LOWER LEG TENDON,,,,,0
CPT,27720,REPAIR OF TIBIA,,,,,0
CPT,27745,REINFORCE TIBIA,,,,,0
CPT,27758,TREATMENT OF TIBIA FRACTURE,,,,,0
CPT,27759,TREATMENT OF TIBIA FRACTURE,,,,,0
CPT,27769,OPTX POST ANKLE FX,,,,,0
CPT,27788,TREATMENT OF ANKLE FRACTURE,,,,,0
CPT,27792,TREATMENT OF ANKLE FRACTURE,,,,,0
CPT,27814,TREATMENT OF ANKLE FRACTURE,,,,,0
CPT,27818,TREATMENT OF ANKLE FRACTURE,,,,,0
CPT,27822,TREATMENT OF ANKLE FRACTURE,,,,,0
CPT,27823,TREATMENT OF ANKLE FRACTURE,,,,,0
CPT,27825,TREAT LOWER LEG FRACTURE,,,,,0
CPT,27827,TREAT LOWER LEG FRACTURE,,,,,0
CPT,27829,TREAT LOWER LEG JOINT,,,,,0
CPT,27840,TREAT ANKLE DISLOCATION,,,,,0
CPT,27870,FUSION OF ANKLE JOINT OPEN,,,,,0
CPT,28003,TREATMENT OF FOOT INFECTION,,,,,0
CPT,28039,EXC FOOT/TOE TUM SC 1.5 CM/>,,,,,0
CPT,28041,EXC FOOT/TOE TUM DEP 1.5CM/>,,,,,0
CPT,28043,EXC FOOT/TOE TUM SC < 1.5 CM,,,,,0
CPT,28045,EXC FOOT/TOE TUM DEEP <1.5CM,,,,,0
CPT,28047,RESECT FOOT/TOE TUMOR 3 CM/>,,,,,0
CPT,28108,REMOVAL OF TOE LESIONS,,,,,0
CPT,28160,PARTIAL REMOVAL OF TOE,,,,,0
CPT,28173,RESECT METATARSAL TUMOR,,,,,0
CPT,28190,REMOVAL OF FOOT FOREIGN BODY,,,,,0
CPT,28208,REPAIR OF FOOT TENDON,,,,,0
CPT,28285,REPAIR OF HAMMERTOE,,,,,0
CPT,28306,INCISION OF METATARSAL,,,,,0
CPT,28310,REVISION OF BIG TOE,,,,,0
CPT,28415,OPTX CALCANEAL FRACTURE,,,,,0
CPT,28450,TX TARSAL B1 FX W/O MNPJ EA,,,,,0
CPT,28455,TX TARSAL B1 FX W/MNPJ EACH,,,,,0
CPT,28456,PRQ SKEL FIX TARSL FX W/MNPJ,,,,,0
CPT,28470,CLTX METATARSAL FX WO MNP EA,,,,,0
CPT,28475,CLTX METATARSAL FX W/MNPJ EA,,,,,0
CPT,28485,OPTX METATARSAL FX EACH,,,,,0
CPT,28515,TREATMENT OF TOE FRACTURE,,,,,0
CPT,28531,TREAT SESAMOID BONE FRACTURE,,,,,0
CPT,28555,REPAIR FOOT DISLOCATION,,,,,0
CPT,28605,TREAT FOOT DISLOCATION,,,,,0
CPT,28606,TREAT FOOT DISLOCATION,,,,,0
CPT,28615,REPAIR FOOT DISLOCATION,,,,,0
CPT,28635,TREAT TOE DISLOCATION,,,,,0
CPT,28725,ARTHRODESIS SUBTALAR,,,,,0
CPT,28730,FUSION OF FOOT BONES,,,,,0
CPT,28750,FUSION OF BIG TOE JOINT,,,,,0
CPT,28810,AMPUTATION TOE & METATARSAL,,,,,0
CPT,28820,AMPUTATION OF TOE,,,,,0
CPT,28825,PARTIAL AMPUTATION OF TOE,,,,,0
CPT,29000,Apply halo body cast,962.0,625.3,125.39,962.0,56
CPT,29010,Apply risser body jacket,962.0,625.3,125.39,962.0,56
CPT,29015,Apply risser body head jacket,962.0,625.3,125.39,962.0,56
CPT,29035,Apply bod cast shldr-hips,962.0,625.3,125.39,962.0,56
CPT,29040,Apply bod cast minerva,962.0,625.3,125.39,962.0,56
CPT,29044,Apply bod cast incl one thigh,458.0,297.7,79.23,458.0,56
CPT,29046,Apply bod cast inc both thigh,962.0,625.3,125.39,962.0,56
CPT,29049,Apply cast figure eight,962.0,625.3,125.39,962.0,56
CPT,29055,Apply cast fig8 shldr spica,962.0,625.3,125.39,962.0,56
CPT,29058,Apply cast fig8 pl velpeau,962.0,625.3,125.39,962.0,56
CPT,29065,Apply cast arm long,962.0,625.3,125.39,962.0,56
CPT,29065,Apply cast arm long bil,1925.0,1251.25,125.39,1925.0,56
CPT,29075,Apply cast elbow-finger,962.0,625.3,125.39,962.0,56
CPT,29075,Apply cast elbow-finger bil,1925.0,1251.25,125.39,1925.0,56
CPT,29085,Apply cast f-arm shrt & hand,458.0,297.7,79.23,458.0,56
CPT,29085,Apply cast f-arm shrt & hand bil,916.0,595.4,125.39,916.0,56
CPT,29086,Apply cast finger,458.0,297.7,79.23,458.0,56
CPT,29086,Apply cast finger bil,916.0,595.4,125.39,916.0,56
CPT,29105,Apply splint arm lng sholdhand,709.0,460.85,47.04,709.0,56
CPT,29105,Apply splint arm lng sholdhand bil,1418.0,921.7,47.04,1418.0,56
CPT,29125,Apply forearm splint static,563.0,365.95,47.04,563.0,56
CPT,29125,Apply forearm splint static bil,1126.0,731.9,47.04,1126.0,56
CPT,29126,Apply forearm splint dynamic,528.0,343.2,47.04,528.0,56
CPT,29126,Apply forearm splint dynamic bil,1056.0,686.4,47.04,1056.0,56
CPT,29130,Apply finger splint static,281.0,182.65,47.04,281.0,56
CPT,29130,Apply finger splint static bil,562.0,365.3,47.04,562.0,56
CPT,29131,Apply finger splint dynamic,281.0,182.65,47.04,281.0,56
CPT,29131,Apply finger splint dynamic bil,562.0,365.3,47.04,562.0,56
CPT,29200,Strapping of thorax,682.0,443.3,47.04,682.0,56
CPT,29240,Strapping of shoulder,528.0,343.2,47.04,528.0,56
CPT,29240,Strapping of shoulder bil,1056.0,686.4,47.04,1056.0,56
CPT,29260,Strapping elbow or wrist,159.0,103.35,27.51,173.17,56
CPT,29260,Strapping elbow or wrist bil,318.0,206.7,47.04,318.0,56
CPT,29280,Strapping of hand or finger,159.0,103.35,27.51,173.17,56
CPT,29280,Strapping of hand or finger bil,318.0,206.7,47.04,318.0,56
CPT,29305,Apply cast spica hip 1 leg,962.0,625.3,125.39,962.0,56
CPT,29325,Apply cast spica hip 2 leg,962.0,625.3,125.39,962.0,56
CPT,29345,Apply cast lng leg nwb thi-toe,962.0,625.3,125.39,962.0,56
CPT,29345,Apply cast lng leg nwb thi-toe bil,1925.0,1251.25,125.39,1925.0,56
CPT,29355,Apply cast lng leg wb thi-toe,962.0,625.3,125.39,962.0,56
CPT,29355,Apply cast lng leg wb thi-toe bil,1925.0,1251.25,125.39,1925.0,56
CPT,29358,Apply long leg cast brace,962.0,625.3,125.39,962.0,56
CPT,29358,Apply long leg cast brace bil,1925.0,1251.25,125.39,1925.0,56
CPT,29365,Apply cast cylinder thi-ankle,962.0,625.3,125.39,962.0,56
CPT,29365,Apply cast cylinder thi-ankle bil,1925.0,1251.25,125.39,1925.0,56
CPT,29405,Apply cast shrt leg nwb uni,1113.0,723.45,125.39,1113.0,56
CPT,29405,Apply cast shrt leg nwb uni bil,2226.0,1446.9,125.39,2226.0,56
CPT,29425,Apply cast shrt leg wb uni,1060.0,689.0,125.39,1060.0,56
CPT,29425,Apply cast shrt leg wb uni bil,2120.0,1378.0,125.39,2120.0,56
CPT,29435,Apply PTB cast,962.0,625.3,125.39,962.0,56
CPT,29435,Apply PTB cast bil,1925.0,1251.25,125.39,1925.0,56
CPT,29440,Apply walker heel to cast,506.0,328.9,87.54,506.0,56
CPT,29440,Apply walker heel to cast bil,1011.0,657.15,125.39,1011.0,56
CPT,29445,Apply cast total contact leg,1113.0,723.45,125.39,1113.0,56
CPT,29445,Apply cast total contact leg bil,2226.0,1446.9,125.39,2226.0,56
CPT,29450,Apply cast clubfoot mold-manpl,458.0,297.7,79.23,458.0,56
CPT,29450,Apply cast clubfoot mold-manpl bil,916.0,595.4,125.39,916.0,56
CPT,29505,Apply splint leg lng thi-ankle,458.0,297.7,47.04,458.0,56
CPT,29505,Apply splint leg lng thi-ankle bil,916.0,595.4,47.04,916.0,56
CPT,29515,Apply short leg splint calf ft,709.0,460.85,47.04,709.0,56
CPT,29515,Apply short leg splint calf ft bil,1418.0,921.7,47.04,1418.0,56
CPT,29520,Strapping of hip,682.0,443.3,47.04,682.0,56
CPT,29520,Strapping of hip bil,1363.0,885.95,47.04,1363.0,56
CPT,29530,Knee strapping,458.0,297.7,47.04,458.0,56
CPT,29530,Knee strapping bil,916.0,595.4,47.04,916.0,56
CPT,29540,Strapping of ankle and/or ft,635.0,412.75,47.04,635.0,56
CPT,29540,Strapping of ankle and/or ft bil,1270.0,825.5,47.04,1270.0,56
CPT,29550,Strapping of toe(s),460.0,299.0,47.04,460.0,56
CPT,29550,Strapping of toe(s) bil,920.0,598.0,47.04,920.0,56
CPT,29580,Application of paste boot,709.0,460.85,122.66,709.0,56
CPT,29580,Application of paste boot bil,1418.0,921.7,125.39,1418.0,56
CPT,29581,Apply multlay comprs lwr leg,709.0,460.85,122.66,709.0,280
CPT,29581,Apply multlay comprs lwr leg bil,1418.0,921.7,125.39,1418.0,280
CPT,29700,Remove-bivalv cast body-boot,458.0,297.7,79.23,458.0,56
CPT,29705,Remove-bivalv cast arm-leg,962.0,625.3,125.39,962.0,56
CPT,29705,Remove-bivalv cast arm-leg bil,1925.0,1251.25,125.39,1925.0,56
CPT,29710,Rmv cast shldr hipspica,458.0,297.7,79.23,458.0,56
CPT,29710,Rmv cast shldr hipspica bil,916.0,595.4,125.39,916.0,56
CPT,29720,Repair cast spica or body,458.0,297.7,79.23,458.0,56
CPT,29730,Window cast,458.0,297.7,79.23,458.0,56
CPT,29740,Wedge cast except clubfoot,458.0,297.7,79.23,458.0,56
CPT,29750,Wedge cast clubfoot,458.0,297.7,79.23,458.0,56
CPT,29750,Wedge cast clubfoot bil,916.0,595.4,125.39,916.0,56
CPT,29800,JAW ARTHROSCOPY/SURGERY,,,,,0
CPT,29804,JAW ARTHROSCOPY/SURGERY,,,,,0
CPT,29848,WRIST ENDOSCOPY/SURGERY,,,,,0
CPT,29893,ENDOSCOPIC PLANTR FASCIOTOMY,,,,,0
CPT,29897,ANKLE ARTHROSCOPY/SURGERY,,,,,0
CPT,30100,Bx intranasal,7133.0,4636.45,173.17,7133.0,56
CPT,30117,REMOVAL OF INTRANASAL LESION,,,,,0
CPT,30140,RESECT INFERIOR TURBINATE,,,,,0
CPT,30200,Inj turbinates therapeutic,2319.0,1507.35,117.45,2319.0,56
CPT,30420,RECONSTRUCTION OF NOSE,,,,,0
CPT,30465,REPAIR NASAL STENOSIS,,,,,0
CPT,30468,RPR NSL VLV COLLAPSE W/IMPLT,,,,,0
CPT,30520,REPAIR OF NASAL SEPTUM,,,,,0
CPT,30600,REPAIR MOUTH/NOSE FISTULA,,,,,0
CPT,30802,ABLATE INF TURBINATE SUBMUC,,,,,0
CPT,30901,CONTROL OF NOSEBLEED,,,,,0
CPT,30999,UNLISTED PROCEDURE NOSE,,,,,0
CPT,31231,NASAL ENDOSCOPY DX,,,,,0
CPT,31237,Nasal endo w bx poly debr,7889.0,5127.85,173.17,7889.0,56
CPT,31237,Nasal endo w bx poly debr bil,15777.0,10255.05,173.17,15777.0,56
CPT,31238,NSL/SINS NDSC SRG NSL HEMRRG,,,,,0
CPT,31240,NSL/SNS NDSC CNCH BULL RESCJ,,,,,0
CPT,31242,Endo nsl RF destr post nrv,24867.0,16163.55,173.17,24867.0,56
CPT,31243,Endo nsl cryo destr nsl nrv,24867.0,16163.55,173.17,24867.0,56
CPT,31253,NSL/SINS NDSC TOTAL,,,,,0
CPT,31255,NSL/SINS NDSC W/TOT ETHMDCT,,,,,0
CPT,31256,EXPLORATION MAXILLARY SINUS,,,,,0
CPT,31257,NSL/SINS NDSC TOT W/SPHENDT,,,,,0
CPT,31259,NSL/SINS NDSC SPHN TISS RMVL,,,,,0
CPT,31267,ENDOSCOPY MAXILLARY SINUS,,,,,0
CPT,31276,NSL/SINS NDSC FRNT TISS RMVL,,,,,0
CPT,31288,NASAL/SINUS ENDOSCOPY SURG,,,,,0
CPT,31502,CHANGE OF WINDPIPE AIRWAY,,,,,0
CPT,31505,Laryngoscopy indirect,788.0,512.2,117.45,788.0,56
CPT,31510,Laryngoscopy indir w biopsies,14748.0,9586.2,173.17,14748.0,56
CPT,31525,Laryngo direct dx exc newb,7889.0,5127.85,173.17,7889.0,56
CPT,31526,DX LARYNGOSCOPY W/OPER SCOPE,,,,,0
CPT,31535,Laryng or dir w bx,14842.0,9647.3,173.17,14842.0,56
CPT,31536,Laryng or dir bx w op mic,14842.0,9647.3,173.17,14842.0,56
CPT,31541,LARYNSCOP W/TUMR EXC + SCOPE,,,,,0
CPT,31575,Laryngoscopy flx dx,2257.0,1467.05,83.38,2257.0,280
CPT,31576,Laryngoscopy with biopsies,13795.0,8966.75,173.17,13795.0,56
CPT,31599,UNLISTED PROCEDURE LARYNX,,,,,0
CPT,31611,CONSTJ TRACHESOPHGL FSTL,,,,,0
CPT,31613,TRACHEOSTOMA REVJ SIMPLE,,,,,0
CPT,31615,Tracheobron thru trach inc,6018.0,3911.7,173.17,6018.0,56
CPT,31622,DX BRONCHOSCOPE/WASH,,,,,0
CPT,31623,DX BRONCHOSCOPE/BRUSH,,,,,0
CPT,31624,DX BRONCHOSCOPE/LAVAGE,,,,,0
CPT,31625,BRONCHOSCOPY W/BIOPSY(S),,,,,0
CPT,31626,BRONCHOSCOPY W/MARKERS,,,,,0
CPT,31627,NAVIGATIONAL BRONCHOSCOPY,,,,,0
CPT,31628,BRONCHOSCOPY/LUNG BX EACH,,,,,0
CPT,31629,BRONCHOSCOPY/NEEDLE BX EACH,,,,,0
CPT,31630,BRONCHOSCOPY DILATE/FX REPR,,,,,0
CPT,31631,Bronch w insert tracheal stent,12373.0,8042.45,173.17,12373.0,56
CPT,31632,BRONCHOSCOPY/LUNG BX ADDL,,,,,0
CPT,31633,BRONCHOSCOPY/NEEDLE BX ADDL,,,,,0
CPT,31635,BRONCHOSCOPY W/FB REMOVAL,,,,,0
CPT,31641,BRONCHOSCOPY TREAT BLOCKAGE,,,,,0
CPT,31645,BRNCHSC W/THER ASPIR 1ST,,,,,0
CPT,31648,BRONCHIAL VALVE REMOV INIT,,,,,0
CPT,31652,BRONCH EBUS SAMPLNG 1/2 NODE,,,,,0
CPT,31653,BRONCH EBUS SAMPLNG 3/> NODE,,,,,0
CPT,31654,BRONCH EBUS IVNTJ PERPH LES,,,,,0
CPT,31820,CLOSURE OF WINDPIPE LESION,,,,,0
CPT,31825,REPAIR OF WINDPIPE DEFECT,,,,,0
CPT,31899,Inc evac trchl pkt w drn insrt,11042.0,7177.3,173.17,11042.0,56
CPT,31899,Trach exchg fistuls trck info,897.0,583.05,155.18,1277.12,56
CPT,32400,Pleura biopsy surgical,2151.0,1398.15,173.17,2328.38,56
CPT,32408,Lung core ndl bx perc w GUI,7139.0,4640.35,173.17,7139.0,56
CPT,32550,Insert tun pleural cath w cuff,16310.0,10601.5,173.17,16310.0,56
CPT,32551,Chest tube placemt sur CT guid,2780.0,1807.0,173.17,2780.0,56
CPT,32551,Chest tube placemt sur CT guid bil,5561.0,3614.65,173.17,5561.0,56
CPT,32552,Chest tube remv surgical,2048.0,1331.2,173.17,2048.0,224
CPT,32553,Place fiducial dev lung,7370.0,4790.5,173.17,7370.0,56
CPT,32554,Thoracentesis wo guidance,1861.0,1209.65,173.17,1861.0,224
CPT,32554,Thoracentesis wo guidance bil,3723.0,2419.95,173.17,3723.0,224
CPT,32555,Thoracentesis w guidance,2887.0,1876.55,173.17,2887.0,224
CPT,32555,Thoracentesis w guidance bil,5775.0,3753.75,173.17,5775.0,224
CPT,32556,Pleural drainage wo guidance,2063.0,1340.95,173.17,2705.23,112
CPT,32556,Pleural drainage wo guidance bil,4126.0,2681.9,173.17,4126.0,112
CPT,32557,Pleural drainage w guidance,7135.0,4637.75,173.17,7135.0,112
CPT,32557,Pleural drainage w guidance bil,14270.0,9275.5,173.17,14270.0,112
CPT,32560,Pleurodesis chemical Tx,2918.0,1896.7,173.17,2918.0,56
CPT,32561,Install agent chest tube intil,2944.0,1913.6,173.17,2944.0,112
CPT,32562,Install agent chest tube subs,2833.0,1841.45,173.17,2833.0,112
CPT,32601,THORACOSCOPY DIAGNOSTIC,,,,,0
CPT,32609,THORACOSCOPY W/BX PLEURA,,,,,0
CPT,32653,THORACOSCOPY REMOV FB/FIBRIN,,,,,0
CPT,32663,THORACOSCOPY W/LOBECTOMY,,,,,0
CPT,32668,THORACOSCOPY W/W RESECT DIAG,,,,,0
CPT,32673,THORACOSCOPY W/THYMUS RESECT,,,,,0
CPT,32674,THORACOSCOPY LYMPH NODE EXC,,,,,0
CPT,32800,REPAIR LUNG HERNIA,,,,,0
CPT,32994,Ablate pulm tumor perq crybl,25048.0,16281.2,173.17,25048.0,56
CPT,32994,Ablate pulm tumor perq crybl bil,50096.0,32562.4,173.17,50096.0,56
CPT,32998,Perc rf ablate pulmonary tumor,24107.0,15669.55,173.17,24107.0,56
CPT,32998,Perc rf ablate pulmonary tumor bil,48213.0,31338.45,173.17,48213.0,56
CPT,32999,Exch nontun pleural drain,3055.0,1985.75,173.17,3055.0,56
CPT,32999,Fiducual marker using wire,7370.0,4790.5,173.17,7370.0,56
CPT,33016,Pericaridiocentesis w GUI,10012.0,6507.8,173.17,10012.0,56
CPT,33017,Prcrd drain wGUI 6yr+ wo anom,2981.0,1937.65,173.17,2981.0,43
CPT,33018,Prcrd drain wGUI 0-5yr wo anom,2685.0,1745.25,173.17,2685.0,43
CPT,33019,Pericard drain insert cath wCT,4212.0,2737.8,173.17,4212.0,43
CPT,33025,Crtj pericardial window prtl res w drg,92020.0,59813.0,173.17,92020.0,43
CPT,33206,Insrt repl pm and atrial lead,32094.0,20861.1,173.17,32094.0,112
CPT,33207,Insrt repl pm and vent lead,32094.0,20861.1,173.17,32094.0,168
CPT,33208,Insrt repl pm and A&V leads,29206.0,18983.9,173.17,29206.0,168
CPT,33210,Insrt repl temp sngl pacer,26922.0,17499.3,173.17,26922.0,56
CPT,33211,Insrt repl temp dual pacer,24245.0,15759.25,173.17,24245.0,56
CPT,33212,Insert pm gen only-exist sgl,21548.0,14006.2,173.17,21548.0,56
CPT,33213,Insert pm gen only-exist dual,22363.0,14535.95,173.17,22363.0,56
CPT,33214,Pacer upgrade single to dual,14427.0,9377.55,173.17,14734.98,56
CPT,33215,Repo pre imp lead pacer-ICD,12993.0,8445.45,173.17,12993.0,112
CPT,33216,Inst trnsv sgl elctr pmk-defib,18578.0,12075.7,173.17,18578.0,56
CPT,33217,Inst trnsv 2 elctr pmk-defib,14156.0,9201.4,173.17,14156.0,56
CPT,33218,Repair one lead - pm or ICD,13383.0,8698.95,173.17,13383.0,56
CPT,33220,Repair two leads - pm or ICD,13257.0,8617.05,173.17,13257.0,56
CPT,33221,Insert pm gen only-exist mult,28402.0,18461.3,173.17,28402.0,56
CPT,33222,Relocation skin pocket pacer,12993.0,8445.45,173.17,12993.0,56
CPT,33223,Relocation skn pckt dulpac-ic,12993.0,8445.45,173.17,12993.0,56
CPT,33224,Insrt biv lead to exist pm/ICD,25927.0,16852.55,173.17,25927.0,56
CPT,33225,Insrt biv lead to new pm/ICD,27689.0,17997.85,173.17,27689.0,43
CPT,33226,Repositn biv lead exist pm/ICD,13257.0,8617.05,173.17,13257.0,56
CPT,33227,Repl pm gen only-exst sgl lead,25380.0,16497.0,173.17,25380.0,112
CPT,33228,Repl pm gen only-exst 2 lead,28670.0,18635.5,173.17,28670.0,168
CPT,33229,Repl pm gen only-exst mul lead,28670.0,18635.5,173.17,28670.0,112
CPT,33230,Inst ICD gen only-ex dual lead,14156.0,9201.4,173.17,31358.47,56
CPT,33231,Inst ICD gen only- ex mul lead,45387.0,29501.55,173.17,45387.0,56
CPT,33233,Remove pm generator only,22280.0,14482.0,173.17,22280.0,112
CPT,33234,Removal elect sgl lead a or v,13383.0,8698.95,173.17,13383.0,56
CPT,33235,Removal elect dual lead a or v,11819.0,7682.35,173.17,11819.0,56
CPT,33240,Inst ICD gen only-ex sgl lead,15447.0,10040.55,173.17,31358.47,56
CPT,33241,Remove ICD generator only,12993.0,8445.45,173.17,12993.0,56
CPT,33244,Removal ICD electrode transve,12993.0,8445.45,173.17,12993.0,56
CPT,33249,Insert/replc ICD gen and leads,45815.0,29779.75,173.17,45815.0,112
CPT,33262,Repl ICD gen only-ext sgl lead,32143.0,20892.95,173.17,32143.0,112
CPT,33263,Repl ICD gen only-ext 2 lead,32143.0,20892.95,173.17,32143.0,168
CPT,33264,Repl ICD gen only-ext mul lead,45815.0,29779.75,173.17,45815.0,112
CPT,33265,Ablate atria lmtd endo,10555.0,6860.75,173.17,10555.0,43
CPT,33266,Endo surg ablatn-atria rec ext,18267.0,11873.55,173.17,18267.0,43
CPT,33267,C-Laa excl open any meth,57837.0,37594.05,173.17,57837.0,43
CPT,33268,C-Laa excl open at time of stern/thoract any meth,7279.0,4731.35,173.17,7821.6,43
CPT,33269,C-Laa excl thoraco any meth,45738.0,29729.7,173.17,45738.0,43
CPT,33270,Insert/replace ICD-s w lead,45815.0,29779.75,173.17,45815.0,56
CPT,33271,Insert lead of ICD-s system,12872.0,8366.8,173.17,12872.0,56
CPT,33272,Remove lead from ICD-s system,12872.0,8366.8,173.17,12872.0,56
CPT,33273,Reposition lead of ICD-s systm,12872.0,8366.8,173.17,12872.0,56
CPT,33274,Insert/replace leadless pacer,54903.0,35686.95,173.17,54903.0,168
CPT,33275,Remove leadless pacer w GUI,15039.0,9775.35,173.17,15039.0,56
CPT,33276,Ins phrenic nrv system,200342.0,130222.3,173.17,200342.0,56
CPT,33277,Ins phrenic nrv tranven lead,104813.0,68128.45,173.17,104813.0,43
CPT,33278,Rmv phrenic nrv system,14448.0,9391.2,173.17,14448.0,56
CPT,33279,Rmv phrenic nrv tranven lead,14448.0,9391.2,173.17,14448.0,56
CPT,33280,Rmv phrenic nrv pulse gen,14448.0,9391.2,173.17,14448.0,56
CPT,33281,Repos phrenic nrv tv lead-s,14448.0,9391.2,173.17,14448.0,56
CPT,33285,Insert subq card rhy w prog,14447.0,9390.55,173.17,14447.0,56
CPT,33286,Remov subq card rhy w prog,8864.0,5761.6,173.17,8864.0,168
CPT,33287,Rmv repl phrenic nrv pulgen,131854.0,85705.1,173.17,131854.0,56
CPT,33288,Rmv repl phrenic nrv lead-s,57843.0,37597.95,173.17,57843.0,56
CPT,33289,Transcath pulm art press sen,71214.0,46289.1,173.17,71214.0,112
CPT,33300,Rep cardiac wnd w/o cardio bypass,27244.0,17708.6,173.17,27244.0,43
CPT,33305,Rep cardiac wnd w cardio bypass,27244.0,17708.6,173.17,27244.0,43
CPT,33340,Closure atrial app w implant,44270.0,28775.5,173.17,44270.0,215
CPT,33361,TAVR perc fem approach,92020.0,59813.0,173.17,92020.0,43
CPT,33362,TAVR open fem approach,95752.0,62238.8,173.17,95752.0,43
CPT,33363,TAVR open axil approach,104344.0,67823.6,173.17,104344.0,43
CPT,33364,TAVR open iliac approach,94856.0,61656.4,173.17,94856.0,43
CPT,33365,TAVR transaortic approach,95752.0,62238.8,173.17,95752.0,43
CPT,33366,TAVR open transapical approach,95752.0,62238.8,173.17,95752.0,43
CPT,33367,CPB wperc periph av can ad on,11314.0,7354.1,173.17,11314.0,43
CPT,33368,CPB wopen periph av can ad on,14056.0,9136.4,173.17,14056.0,43
CPT,33369,CPB wcentral av can ad,14188.0,9222.2,173.17,14188.0,43
CPT,33370,Tcath&plc rem cerebdev perc ad,11538.0,7499.7,173.17,11538.0,43
CPT,33390,Valvuoplasty aortc open simpl,35688.0,23197.2,173.17,35688.0,43
CPT,33391,Valvuoplasty aortc open compl,44611.0,28997.15,173.17,44611.0,43
CPT,33405,Replmt aortic vlv op w card byp,107174.0,69663.1,173.17,107174.0,43
CPT,33418,Mitral valve repr intl prost,56920.0,36998.0,173.17,56920.0,43
CPT,33419,Mitral valve repr addl prost,28461.0,18499.65,173.17,28461.0,43
CPT,33477,Implnt transcath pulmvalv perc,82873.0,53867.45,173.17,82873.0,43
CPT,33508,Harvest vein endo technq-cabg,44866.0,29162.9,173.17,44866.0,43
CPT,33510,Cabg vein - 1 coronary graft,24536.0,15948.4,173.17,24536.0,43
CPT,33511,Cabg vein - 2 coronary graft,29443.0,19137.95,173.17,29443.0,43
CPT,33512,Cabg vein - 3 coronary graft,34349.0,22326.85,173.17,34349.0,43
CPT,33513,Cabg vein - 4 coronary graft,39258.0,25517.7,173.17,39258.0,43
CPT,33514,Cabg vein - 5 coronary graft,44164.0,28706.6,173.17,44164.0,43
CPT,33516,Cabg vein - 6+ coronary graft,49074.0,31898.1,173.17,49074.0,43
CPT,33517,Cabg v&a 1 vein graft,24768.0,16099.2,173.17,24768.0,43
CPT,33518,Cabg v&a 2 vein grafts,29443.0,19137.95,173.17,29443.0,43
CPT,33519,Cabg v&a 3 vein grafts,34349.0,22326.85,173.17,34349.0,43
CPT,33521,Cabg v&a 4 vein grafts,39258.0,25517.7,173.17,39258.0,43
CPT,33522,Cabg v&a 5 vein grafts,44164.0,28706.6,173.17,44164.0,43
CPT,33523,Cabg v&a 6+ grafts,49074.0,31898.1,173.17,49074.0,43
CPT,33533,Cabg artery graft 1 graft,27244.0,17708.6,173.17,27244.0,43
CPT,33534,Cabg artery grafts 2 grafts,29443.0,19137.95,173.17,29443.0,43
CPT,33535,Cabg artery grafts 3 grafts,34349.0,22326.85,173.17,34349.0,43
CPT,33536,Cabg artery grafts 4+ grafts,39258.0,25517.7,173.17,39258.0,43
CPT,33741,TAS congenital car anomal wGUI,20977.0,13635.05,173.17,20977.0,43
CPT,33880,Endovasc TAA repr incl subcl,26919.0,17497.35,173.17,26919.0,43
CPT,33881,Endovasc TAA repr w/o subcl,23331.0,15165.15,173.17,23331.0,43
CPT,33883,Ins endovasc prosth TAA,17522.0,11389.3,173.17,17522.0,43
CPT,33884,Endovasc prosth TAA add-on,6487.0,4216.55,173.17,10800.84,43
CPT,33886,Endovasc prosth delayed,14984.0,9739.6,173.17,14984.0,43
CPT,33889,Opn subcl crtd art trp nck uni,69784.0,45359.6,173.17,69784.0,43
CPT,33889,Opn subcl crtd art trp nck uni bil,139568.0,90719.2,173.17,139568.0,43
CPT,33894,Endovasc stent rpr aorta maj branch,26919.0,17497.35,173.17,26919.0,43
CPT,33895,Endovasc stent rpr aorta no major,23112.0,15022.8,173.17,23112.0,43
CPT,33897,PTCA native/recurr coarct aorta,16020.0,10413.0,173.17,16020.0,43
CPT,33900,Stent pulm a norm con init uni,50095.0,32561.75,173.17,50095.0,56
CPT,33901,Stent pulm a norm con init bil,75143.0,48842.95,173.17,75143.0,56
CPT,33902,Stent pulm a abn con init uni,81064.0,52691.6,173.17,81064.0,56
CPT,33903,Stent pulm a abn con init bil,121596.0,79037.4,173.17,121596.0,56
CPT,33904,Stent pulm a norml con ea addl,25048.0,16281.2,173.17,25048.0,43
CPT,33910,Embolecto opn pulm a w cpb,23699.0,15404.35,173.17,23699.0,43
CPT,33915,Embolecto opn pulm a wo cpb,23699.0,15404.35,173.17,23699.0,43
CPT,33916,Endrterecto pulm w/wo embolcto,7854.0,5105.1,173.17,7854.0,43
CPT,33917,Repair pulm a w patch or graft,17966.0,11677.9,173.17,17966.0,43
CPT,33948,ECMO manag daily veno-venous,15064.0,9791.6,173.17,15064.0,43
CPT,33949,ECMO manag daily veno-arterial,15064.0,9791.6,173.17,15064.0,43
CPT,33952,Insert ecmo per canula 6y+perc,113303.0,73646.95,173.17,113303.0,43
CPT,33954,Insert ecmo per canula 6y+open,113303.0,73646.95,173.17,113303.0,43
CPT,33966,Remove ecmo per canula 6y+perc,24444.0,15888.6,173.17,24444.0,43
CPT,33967,Intra-ao baloon pump inse perc,17872.0,11616.8,173.17,17872.0,43
CPT,33968,Intra-ao baloon pump remv perc,17872.0,11616.8,173.17,17872.0,43
CPT,33970,Intra-ao baloon pump inse open,19475.0,12658.75,173.17,19475.0,43
CPT,33971,Intra-ao baloon pump remv open,17704.0,11507.6,173.17,17704.0,43
CPT,33975,VAD non-transeptl insert perc,102090.0,66358.5,173.17,102090.0,43
CPT,33977,VAD non-transeptl removal perc,24216.0,15740.4,173.17,24216.0,43
CPT,33984,Rem ecmo per canula 6y-open,24444.0,15888.6,173.17,24444.0,43
CPT,33990,VAD insrtn perc art acces only,103002.0,66951.3,173.17,103002.0,43
CPT,33991,VAD insrt perc av acce trnsptl,113303.0,73646.95,173.17,113303.0,43
CPT,33992,VAD removal percutaneous,26887.0,17476.55,173.17,26887.0,43
CPT,33993,VAD reposition w GUI Rt or Lt,24216.0,15740.4,173.17,24216.0,43
CPT,33995,VAD Ins per rt hrt venous wGUI,26887.0,17476.55,173.17,26887.0,43
CPT,33997,VAD Rmvl per right heart sep,24216.0,15740.4,173.17,24216.0,43
CPT,33999,Atrial apendage lariat,42579.0,27676.35,173.17,42579.0,56
CPT,33999,Endo TBE Thor branch endopros,99075.0,64398.75,173.17,99075.0,56
CPT,33999,Endo bent w fenes aortic graft,26919.0,17497.35,173.17,26919.0,56
CPT,33999,LAA plug placement,44270.0,28775.5,173.17,44270.0,56
CPT,33999,Relocation of loop recorder,1721.0,1118.65,173.17,1721.0,56
CPT,33999,Resecure card dev exist pock,2783.0,1808.95,173.17,2783.0,56
CPT,33999,Stent gft delv via thoracotomy,26134.0,16987.1,173.17,26134.0,56
CPT,33999,TAVR open subclavian approach,104344.0,67823.6,173.17,104344.0,56
CPT,33999,UNLISTED PX CARDIAC SURGERY,49336.5,32068.725000000002,173.17,95752.0,112
CPT,33999,VAD insertion rh assist dev,102040.0,66326.0,173.17,102040.0,56
CPT,34101,Embo/thromb inomsubcl carot ar,22769.0,14799.85,173.17,22769.0,56
CPT,34101,Embo/thromb inomsubcl carot ar bil,45538.0,29599.7,173.17,45538.0,56
CPT,34111,Embo/thromb rad or ulnar art,21902.0,14236.3,173.17,21902.0,56
CPT,34111,Embo/thromb rad or ulnar art bil,43803.0,28471.95,173.17,43803.0,56
CPT,34201,Embo/thromb fempop aortoil art,22769.0,14799.85,173.17,22769.0,56
CPT,34201,Embo/thromb fempop aortoil art bil,45538.0,29599.7,173.17,45538.0,56
CPT,34203,Embo/thromb pop-tib-peron art,22556.0,14661.4,173.17,22556.0,56
CPT,34203,Embo/thromb pop-tib-peron art bil,45111.0,29322.15,173.17,45111.0,56
CPT,34421,Embo/thromb vc-fempop-ili vein,22556.0,14661.4,173.17,22556.0,56
CPT,34421,Embo/thromb vc-fempop-ili vein bil,45111.0,29322.15,173.17,45111.0,56
CPT,34490,Embo/thromb axil subclav vein,21902.0,14236.3,173.17,21902.0,56
CPT,34490,Embo/thromb axil subclav vein bil,43803.0,28471.95,173.17,43803.0,56
CPT,34701,Endo rep aorta tube no rupture,18546.0,12054.9,173.17,18546.0,43
CPT,34702,Endo rep aorta tube rupture,20402.0,13261.3,173.17,20402.0,43
CPT,34703,Endo rep aort uni-iliac no rup,23630.0,15359.5,173.17,23630.0,43
CPT,34704,Endo rep aorto uni-iliac rup,25993.0,16895.45,173.17,25993.0,43
CPT,34705,Endo rep aorto bi-iliac no rup,23588.0,15332.2,173.17,23588.0,43
CPT,34706,Endo rep aorto bi-iliac rup,24769.0,16099.85,173.17,24769.0,43
CPT,34707,Endo rep iliac tube uni no rup,19579.0,12726.35,173.17,19579.0,43
CPT,34707,Endo rep iliac tube uni no rup bil,39159.0,25453.35,173.17,39159.0,43
CPT,34708,Endo rep iliac tube uni rup,19579.0,12726.35,173.17,19579.0,43
CPT,34708,Endo rep iliac tube uni rup bil,39159.0,25453.35,173.17,39159.0,43
CPT,34709,Endo place distal prosea vesad,16417.0,10671.05,173.17,16417.0,43
CPT,34710,Delayed place ext prosinit ves,16571.0,10771.15,173.17,16571.0,43
CPT,34711,Delayed place ext prosadd ves,16417.0,10671.05,173.17,16417.0,43
CPT,34712,Del  transcath fix dev endogft,37440.0,24336.0,173.17,37440.0,43
CPT,34713,Del endogft fem art uni add,552.0,358.8,95.5,10800.84,43
CPT,34713,Del endogft fem art uni add bil,1105.0,718.25,173.17,10800.84,43
CPT,34714,Open fem art conduit uni add,11373.0,7392.45,173.17,11373.0,34
CPT,34715,Open subclav del endopros add,3634.0,2362.1,173.17,3634.0,43
CPT,34715,Open subclav del endopros add bil,7267.0,4723.55,173.17,7267.0,43
CPT,34716,Open ax subclav conduit uni ad,11373.0,7392.45,173.17,11373.0,34
CPT,34716,Open ax subclav conduit uni ad bil,22745.0,14784.25,173.17,22745.0,34
CPT,34717,EVASC RPR A-ILIAC NDGFT,10499.0,6824.35,173.17,10800.84,43
CPT,34718,Evasc rpr n/a a-iliac endogft,10499.0,6824.35,173.17,10800.84,43
CPT,34808,Endo place iliac occ device su,4530.0,2944.5,173.17,10800.84,43
CPT,34808,Iliac artery occlusion device,36735.0,23877.75,173.17,36735.0,43
CPT,34812,Opn fem art del endv groin add,4226.0,2746.9,173.17,4226.0,43
CPT,34813,Endovas fem fem prosthetic gft,21280.0,13832.0,173.17,21280.0,43
CPT,34820,Expos iliac art by abd inc add,11383.0,7398.95,173.17,11383.0,43
CPT,34830,Open AAA repair rev prosth,10046.0,6529.9,173.17,10046.0,43
CPT,34831,Open AAA biliac rev prosth,10046.0,6529.9,173.17,10046.0,43
CPT,34832,Open AAA bifem rev prosthesis,10046.0,6529.9,173.17,10046.0,43
CPT,34833,Open iliac repair prosth add,11383.0,7398.95,173.17,11383.0,34
CPT,34834,Open brach repair prosth add,12523.0,8139.95,173.17,12523.0,43
CPT,34841,Fenestratd endogrft 1 visceral,37918.0,24646.7,173.17,37918.0,43
CPT,34842,Fenestrat endogrft 2 viscerals,53533.0,34796.45,173.17,53533.0,43
CPT,34843,Fenestrat endogrft 3 viscerals,68153.0,44299.45,173.17,68153.0,43
CPT,34844,Fenestrat endogrft 4 viscerals,77550.0,50407.5,173.17,77550.0,43
CPT,34845,Fenes uni/mod infra 1 visrl,43218.0,28091.7,173.17,43218.0,43
CPT,34846,Fenes uni/mod infra 2 visrl,55013.0,35758.45,173.17,55013.0,43
CPT,34847,Fenes uni/mod infra 3 visrl,62856.0,40856.4,173.17,62856.0,43
CPT,34848,Fenes uni/mod infra 4 visrl,72251.0,46963.15,173.17,72251.0,43
CPT,35201,REPAIR BLOOD VESSEL DIR NECK,,,,,0
CPT,35206,Rep blood ves dir upr ext,13928.0,9053.2,173.17,13928.0,56
CPT,35206,Rep blood ves dir upr ext bil,27857.0,18107.05,173.17,27857.0,56
CPT,35226,Direct femoral a repair,4045.0,2629.25,173.17,4045.0,56
CPT,35226,Direct femoral a repair bil,8090.0,5258.5,173.17,8090.0,56
CPT,35256,Repair le vessel w vein graft,15787.0,10261.55,173.17,15787.0,56
CPT,35256,Repair le vessel w vein graft bil,31573.0,20522.45,173.17,31573.0,56
CPT,35286,Dir femorl repair w/vein graft,17949.0,11666.85,173.17,17949.0,56
CPT,35286,Dir femorl repair w/vein graft bil,35898.0,23333.7,173.17,35898.0,56
CPT,35301,Endart carotid vertb subcl,7854.0,5105.1,173.17,7854.0,43
CPT,35301,Endart carotid vertb subcl bil,15245.0,9909.25,173.17,15245.0,43
CPT,35302,Endart superf femoral art,8722.0,5669.3,173.17,8722.0,43
CPT,35302,Endart superf femoral art bil,15245.0,9909.25,173.17,15245.0,43
CPT,35303,Endart popliteal artery,7626.0,4956.9,173.17,7626.0,43
CPT,35303,Endart popliteal artery bil,15245.0,9909.25,173.17,15245.0,43
CPT,35304,Thromb pat graft tibio trnk art,20852.0,13553.8,173.17,20852.0,43
CPT,35304,Thromb pat graft tibio trnk art bil,41705.0,27108.25,173.17,41705.0,43
CPT,35351,Endart iliac,8639.0,5615.35,173.17,8639.0,43
CPT,35351,Endart iliac bil,15702.0,10206.3,173.17,15702.0,43
CPT,35355,Endart iliofemoral artery,21280.0,13832.0,173.17,21280.0,43
CPT,35355,Endart iliofemoral artery bil,41319.0,26857.35,173.17,41319.0,43
CPT,35361,Endart combined aortoiliac,20660.0,13429.0,173.17,20660.0,43
CPT,35361,Endart combined aortoiliac bil,41319.0,26857.35,173.17,41319.0,43
CPT,35363,Endart combine aortofem bil,41319.0,26857.35,173.17,41319.0,43
CPT,35363,Endart combined aortofemoral,20660.0,13429.0,173.17,20660.0,43
CPT,35371,Endart common femoral art,20852.0,13553.8,173.17,20852.0,43
CPT,35371,Endart common femoral art bil,37552.0,24408.8,173.17,37552.0,43
CPT,35372,Endart deep femoral art,25047.0,16280.55,173.17,25047.0,56
CPT,35372,Endart deep femoral art bil,43801.0,28470.65,173.17,43801.0,56
CPT,35400,Angio therapeutic intervent,4352.0,2828.8,129.63,4352.0,43
CPT,35500,Harvest ue vein-cabg or le,32121.0,20878.65,173.17,32121.0,43
CPT,35506,Bypass w vein carotid-sublavan,69784.0,45359.6,173.17,69784.0,43
CPT,35506,Bypass w vein carotid-sublavan bil,139568.0,90719.2,173.17,139568.0,43
CPT,35533,Bypass w vein axilofemoral-fem,69784.0,45359.6,173.17,69784.0,43
CPT,35533,Bypass w vein axilofemoral-fem bil,139568.0,90719.2,173.17,139568.0,43
CPT,35565,Bypas ws aph vein gft ilio-fem,46840.0,30446.0,173.17,46840.0,43
CPT,35565,Bypas ws aph vein gft ilio-fem bil,93681.0,60892.65,173.17,93681.0,43
CPT,35600,Harvest ue art-cabg,37473.0,24357.45,173.17,37473.0,43
CPT,35606,Bypass carotid-sublavian,69784.0,45359.6,173.17,69784.0,43
CPT,35606,Bypass carotid-sublavian bil,139568.0,90719.2,173.17,139568.0,43
CPT,35626,Bypass aorta-carotid,34892.0,22679.8,173.17,34892.0,43
CPT,35626,Bypass aorta-carotid bil,69784.0,45359.6,173.17,69784.0,43
CPT,35654,Bypass axilofemoro-femoral,69784.0,45359.6,173.17,69784.0,43
CPT,35656,Bypass femoro-popliteal,69784.0,45359.6,173.17,69784.0,43
CPT,35656,Bypass femoro-popliteal bil,139568.0,90719.2,173.17,139568.0,43
CPT,35661,Bypass femoro-femoral,69784.0,45359.6,173.17,69784.0,43
CPT,35661,Bypass femoro-femoral bil,139568.0,90719.2,173.17,139568.0,43
CPT,35663,Bypass ilio-iliac,69784.0,45359.6,173.17,69784.0,43
CPT,35663,Bypass ilio-iliac bil,139568.0,90719.2,173.17,139568.0,43
CPT,35665,Bypass ilio-femoral,69784.0,45359.6,173.17,69784.0,43
CPT,35665,Bypass ilio-femoral bil,139568.0,90719.2,173.17,139568.0,43
CPT,35666,Bypass femoro-tibial or per,69784.0,45359.6,173.17,69784.0,43
CPT,35666,Bypass femoro-tibial or per bil,139568.0,90719.2,173.17,139568.0,43
CPT,35671,Bypass popliteal-tibial or per,69784.0,45359.6,173.17,69784.0,43
CPT,35671,Bypass popliteal-tibial or per bil,139568.0,90719.2,173.17,139568.0,43
CPT,35700,Reop fem-pop tib 1mo+ aftr add,2669.0,1734.85,173.17,2827.72,43
CPT,35860,Explor post op hemorrhage ext,12877.0,8370.05,173.17,12877.0,56
CPT,35875,Thrombectomy art ven graft,24027.0,15617.55,173.17,24027.0,56
CPT,35876,Thromb art ven grt w revision,23110.0,15021.5,173.17,23110.0,56
CPT,35879,Rev le ar byp op w v pt ang,22201.0,14430.65,173.17,22201.0,56
CPT,35879,Rev le ar byp op w v pt ang bil,44401.0,28860.65,173.17,44401.0,56
CPT,35903,Exc graft Extremity,7819.0,5082.35,173.17,7819.0,56
CPT,36000,Intro catheter/needle vein sur,1560.0,1014.0,45.26,1560.0,43
CPT,36002,Perc Tx extrem pseudoaneurysm,1479.0,961.35,173.17,1479.0,112
CPT,36002,Perc Tx extrem pseudoaneurysm bil,2957.0,1922.05,173.17,2957.0,112
CPT,36005,Injection for venography surgi,449.0,291.85,77.68,702.99,172
CPT,36005,Injection for venography surgi bil,899.0,584.35,155.53,899.0,172
CPT,36010,Intro catheter svc/IVC surGIca,3196.0,2077.4,173.17,3196.0,43
CPT,36010,Intro catheter svc/IVC surGIca bil,6392.0,4154.8,173.17,6392.0,43
CPT,36011,1st ord cath venous brachial/r,3161.0,2054.65,173.17,3161.0,129
CPT,36011,1st ord cath venous brachial/r bil,6322.0,4109.3,173.17,6322.0,129
CPT,36012,2nd ord cath venous,2863.0,1860.95,173.17,2863.0,129
CPT,36012,2nd ord cath venous bil,5726.0,3721.9,173.17,5726.0,129
CPT,36013,Intro cath rt heart main pulmo,2913.0,1893.45,173.17,2913.0,43
CPT,36014,Sel cath placement lt/rt pulmo,2177.0,1415.05,173.17,2177.0,86
CPT,36014,Sel cath placement lt/rt pulmo bil,4354.0,2830.1,173.17,4354.0,86
CPT,36015,Sel cath placement seg pulmona,2472.0,1606.8,173.17,2472.0,129
CPT,36015,Sel cath placement seg pulmona bil,4944.0,3213.6,173.17,4944.0,129
CPT,36140,Intro cath/needle extremity ar,6927.0,4502.55,173.17,6927.0,129
CPT,36160,Intro cath/needle aorta transl,3420.0,2223.0,173.17,3420.0,43
CPT,36200,Intro catheter aorta,3226.0,2096.9,173.17,3226.0,86
CPT,36200,Intro catheter aorta bil,6677.0,4340.05,173.17,6677.0,86
CPT,36215,1st ord cath thoracic/brachioc,3420.0,2223.0,173.17,3420.0,86
CPT,36216,2nd ord initial thoracic/brac,3056.0,1986.4,173.17,3056.0,43
CPT,36217,3rd ord initial thoracic/brach,2576.0,1674.4,173.17,2576.0,43
CPT,36218,2nd-3rd ord addl thoracic-bra,2372.0,1541.8,173.17,2372.0,43
CPT,36221,Ang caro ext in VA unbi n,10789.0,7012.85,173.17,10789.0,56
CPT,36222,Ang caro ext bi-sel CCA in,19799.0,12869.35,173.17,19799.0,168
CPT,36222,Ang caro ext un-sel CCA in,10889.0,7077.85,173.17,10889.0,168
CPT,36223,Ang caro intr bi sel CCA i,19799.0,12869.35,173.17,19799.0,224
CPT,36223,Ang caro intr un sel CCA n,15840.0,10296.0,173.17,15840.0,224
CPT,36224,Angio caro intr bi-sel ICA,21778.0,14155.7,173.17,21778.0,280
CPT,36224,Angio caro intr un-sel ICA,15840.0,10296.0,173.17,15840.0,280
CPT,36225,Angio vert bi-sel subc inn,19799.0,12869.35,173.17,19799.0,280
CPT,36225,Angio vert un-sel subc inn,16930.0,11004.5,173.17,16930.0,280
CPT,36226,Angio verte unila sel vert,15840.0,10296.0,173.17,15840.0,224
CPT,36226,Angio vertebr bil sel vert,21778.0,14155.7,173.17,21778.0,224
CPT,36227,Angio ECA uni-sel ECA adon,10889.0,7077.85,173.17,10889.0,215
CPT,36228,Ang brn ICAVA un sel ad on,1923.0,1249.95,173.17,3246.58,86
CPT,36245,1st ord cath abd pelv ex 1st,3653.0,2374.45,173.17,3653.0,172
CPT,36245,1st ord cath abd pelv ex 1st bil,7306.0,4748.9,173.17,7306.0,172
CPT,36246,2nd ord initial abdomen/pelvis,3023.0,1964.95,173.17,3023.0,172
CPT,36246,2nd ord initial abdomen/pelvis bil,6046.0,3929.9,173.17,6046.0,172
CPT,36247,3rd ord initial abdomen/pelvis,2474.0,1608.1,173.17,2474.0,258
CPT,36247,3rd ord initial abdomen/pelvis bil,4948.0,3216.2,173.17,4948.0,258
CPT,36248,2nd-3rd ord addl abd-pelvis-e,2301.0,1495.65,173.17,2301.0,172
CPT,36251,Renal angio uni selective,9250.0,6012.5,173.17,9250.0,112
CPT,36252,Renal angio bil selective,9250.0,6012.5,173.17,9250.0,112
CPT,36253,Renal angio uni superselective,9250.0,6012.5,173.17,9250.0,112
CPT,36254,Renal angio bil superselective,8321.0,5408.65,173.17,8321.0,56
CPT,36299,Chk existing CVA dev w/cont,1848.0,1201.2,173.17,1848.0,43
CPT,36299,UNLISTED PX VASCULAR NJX,449.0,291.85,77.68,449.0,43
CPT,36410,Midline catheter placement,7889.0,5127.85,45.26,7889.0,43
CPT,36415,COLL VENOUS BLD VENIPUNCTURE,11.0,7.15,1.62,12.61,330
CPT,36416,COLLJ CAPILLARY BLOOD SPEC,11.0,7.15,1.62,173.17,43
CPT,36416,Capillary blood specimen (MCI),11.0,7.15,1.62,11.0,42
CPT,36430,Blood transfusion,1309.0,850.85,173.17,1309.0,392
CPT,36465,Inj sclero foam incom vein sgl,9104.0,5917.6,173.17,9104.0,56
CPT,36465,Inj sclero foam incom vein sgl bil,18209.0,11835.85,173.17,18209.0,56
CPT,36466,Inj sclero foam incom vein mul,9104.0,5917.6,173.17,9104.0,56
CPT,36466,Inj sclero foam incom vein mul bil,18209.0,11835.85,173.17,18209.0,56
CPT,36470,Inj scleros incomp sgl vein,2202.0,1431.3,173.17,2202.0,56
CPT,36470,Inj scleros incomp sgl vein bil,4403.0,2861.95,173.17,4403.0,56
CPT,36471,Inj sclerosn incomp mult vein,2700.0,1755.0,173.17,2700.0,56
CPT,36471,Inj sclerosn incomp mult vein bil,5400.0,3510.0,173.17,5400.0,56
CPT,36473,Abl mechanochemical 1st vein,4219.0,2742.35,173.17,4451.34,56
CPT,36473,Abl mechanochemical 1st vein bil,8438.0,5484.7,173.17,8438.0,56
CPT,36474,Abl mechchem addl vein sing ex,2183.0,1418.95,173.17,2183.0,43
CPT,36474,Abl mechchem addl vein sing ex bil,4365.0,2837.25,173.17,4365.0,43
CPT,36475,Endovenus rf ablat 1st vein,22999.0,14949.35,173.17,22999.0,56
CPT,36475,Endovenus rf ablat 1st vein bil,45998.0,29898.7,173.17,45998.0,56
CPT,36476,Endovenus rf ablat add vein,14070.0,9145.5,173.17,14070.0,43
CPT,36476,Endovenus rf ablat add vein bil,28141.0,18291.65,173.17,28141.0,43
CPT,36478,Endovenus lasr abl 1st vein,11145.0,7244.25,173.17,11145.0,56
CPT,36478,Endovenus lasr abl 1st vein bil,22290.0,14488.5,173.17,22290.0,56
CPT,36479,Endovenus lasr abl add vein,11040.0,7176.0,173.17,11040.0,43
CPT,36479,Endovenus lasr abl add vein bil,22080.0,14352.0,173.17,22080.0,43
CPT,36481,Percut portal vein cath placem,2134.0,1387.1,173.17,2134.0,86
CPT,36482,Abla incom vn chem adh 1st ves,24756.0,16091.4,173.17,24756.0,56
CPT,36482,Abla incom vn chem adh 1st ves bil,49513.0,32183.45,173.17,49513.0,56
CPT,36483,Abla incom vn chem adh sub add,24756.0,16091.4,173.17,24756.0,43
CPT,36483,Abla incom vn chem adh sub add bil,49513.0,32183.45,173.17,49513.0,43
CPT,36500,Venous cath for sampling,2134.0,1387.1,173.17,2134.0,172
CPT,36511,Leuko-pheresis,5465.0,3552.25,173.17,5465.0,56
CPT,36511,Therapeutic Leukoctapheresis-ARC,4142.0,2692.3,173.17,4142.0,56
CPT,36511,Therapeutic apheresis leuko-fr,1076.0,699.4,173.17,2195.62,112
CPT,36512,Therapeutic rbc exchange-ARC,4142.0,2692.3,173.17,4142.0,56
CPT,36512,Therapeutic rbc exchange-fr,1076.0,699.4,173.17,2195.62,56
CPT,36513,Therapeutic Thrombocytapheresis-ARC,4142.0,2692.3,173.17,4142.0,56
CPT,36513,Therapeutic apheresis plt-fr,1076.0,699.4,173.17,1123.76,56
CPT,36514,Therapeutic plasma exchange-ARC,4142.0,2692.3,173.17,4142.0,56
CPT,36514,Therapeutic plasma exchange-fr,1076.0,699.4,173.17,2195.62,112
CPT,36516,Therapeutic apheresis extracor,20454.0,13295.1,173.17,20454.0,56
CPT,36522,Photopheresis extracorpor,26958.0,17522.7,173.17,26958.0,56
CPT,36555,Ins nontunnel central line un5,1961.0,1274.65,173.17,4451.34,56
CPT,36556,Ins nontunnel central line 5up,3993.0,2595.45,173.17,4451.34,56
CPT,36557,Ins tun cent lin woprt pmp un5,6314.0,4104.1,173.17,7844.68,56
CPT,36557,Ins tun cent lin woprt pmp un5 bil,12629.0,8208.85,173.17,12629.0,56
CPT,36558,Ins tun cent lin woprt pmp 5up,5904.0,3837.6,173.17,5904.0,56
CPT,36558,Ins tun cent lin woprt pmp 5up bil,11808.0,7675.2,173.17,11808.0,56
CPT,36560,Ins tun centlin wsubc port un5,6363.0,4135.95,173.17,6363.0,56
CPT,36560,Ins tun centlin wsubc port un5 bil,12726.0,8271.9,173.17,12726.0,56
CPT,36561,Ins tun centlin wsubc port 5up,6424.0,4175.6,173.17,6424.0,56
CPT,36561,Ins tun centlin wsubc port 5up bil,12847.0,8350.55,173.17,12847.0,56
CPT,36563,Ins tunneled line w subc pump,23196.0,15077.4,173.17,23196.0,56
CPT,36565,Ins tunlin 2sitelin woport pum,4727.0,3072.55,173.17,4727.0,56
CPT,36565,Ins tunlin 2sitelin woport pum bil,9453.0,6144.45,173.17,9453.0,56
CPT,36566,Ins tunlin 2sitelin w port pum,8230.0,5349.5,173.17,8230.0,56
CPT,36566,Ins tunlin 2sitelin w port pum bil,16460.0,10699.0,173.17,16460.0,56
CPT,36568,Ins picc wo prt wo guide und5,1555.0,1010.75,173.17,2219.21,112
CPT,36569,Ins picc wo prt wo guide 5up,3051.0,1983.15,173.17,3051.0,112
CPT,36570,Ins peri cent line w port un5,3768.0,2449.2,173.17,4451.34,56
CPT,36570,Ins peri cent line w port un5 bil,7537.0,4899.05,173.17,7537.0,56
CPT,36571,Ins peri cent line w port 5up,3899.0,2534.35,173.17,4451.34,56
CPT,36571,Ins peri cent line w port 5up bil,7797.0,5068.05,173.17,7797.0,56
CPT,36572,Ins picc wo prt w guide und5,1555.0,1010.75,173.17,1555.0,56
CPT,36573,Ins picc wo prt w guide 5up,4272.0,2776.8,173.17,4272.0,56
CPT,36575,Repcent lin wo portpumporsite,1092.0,709.8,173.17,1092.0,56
CPT,36576,Repcent lin w portpumporsite,1553.0,1009.45,173.17,2219.21,56
CPT,36578,Repl cent line cath wport pump,3652.0,2373.8,173.17,4451.34,56
CPT,36580,Repl nontun centcat woportpump,2198.0,1428.7,173.17,2219.21,56
CPT,36581,Repl tuncent line woportpumpsa,4328.0,2813.2,173.17,4451.34,56
CPT,36582,Repl tuncent line wport pumpsa,5773.0,3752.45,173.17,5773.0,56
CPT,36583,Repl tuncent line w pump sa,6362.0,4135.3,173.17,7844.68,56
CPT,36584,Repl picc wo prt w guide same,3357.0,2182.05,173.17,3357.0,112
CPT,36585,Repl PICC line w port sa,11905.0,7738.25,173.17,11905.0,56
CPT,36589,Rem tun cent line woport pumps,1615.0,1049.75,173.17,1615.0,224
CPT,36590,Rem tuncnlin wportpump inslins,2434.0,1582.1,173.17,2434.0,280
CPT,36591,Coll bld from impl ven acc dev,534.0,347.1,45.26,534.0,220
CPT,36592,Collect bld from impl CVP dev,535.0,347.75,45.26,535.0,110
CPT,36593,Declot thrombo access dev/cath,1423.0,924.95,137.97,1423.0,168
CPT,36595,Mech rem mat cent lin sep accs,6788.0,4412.2,173.17,6788.0,112
CPT,36596,Mech rem mat intrcth thru lums,3308.0,2150.2,173.17,3308.0,112
CPT,36597,Reposition cent line w fluro s,3236.0,2103.4,173.17,3236.0,56
CPT,36598,Inj w/fluor eval CV device,1848.0,1201.2,173.17,1848.0,56
CPT,36598,Inj w/fluor eval CV device bil,3695.0,2401.75,173.17,3695.0,56
CPT,36600,Arterial puncture,496.0,322.4,45.26,496.0,110
CPT,36620,Arterial cath sampling/monit s,2101.0,1365.65,173.17,2101.0,43
CPT,36800,Ins hemo cann vein to vein,16118.0,10476.7,173.17,16118.0,56
CPT,36810,Ins hemo cann AV ext,16118.0,10476.7,173.17,16118.0,56
CPT,36815,Ins hemo cann AV rev or cl,16118.0,10476.7,173.17,16118.0,56
CPT,36818,AV fuse uppr arm cephalic,21918.0,14246.7,173.17,21918.0,56
CPT,36819,AV fuse uppr arm basilic,21918.0,14246.7,173.17,21918.0,56
CPT,36820,AV fusion forearm vein,24108.0,15670.2,173.17,24108.0,56
CPT,36820,AV fusion forearm vein bil,43832.0,28490.8,173.17,43832.0,56
CPT,36821,AV fusion direct any site,22123.0,14379.95,173.17,22123.0,56
CPT,36825,Create AV fist autograft,21918.0,14246.7,173.17,21918.0,56
CPT,36830,Create AV fist nonautograft,21918.0,14246.7,173.17,21918.0,56
CPT,36831,Thrombect open AV fistula,21918.0,14246.7,173.17,21918.0,56
CPT,36832,Revision open AV fistula,24334.0,15817.1,173.17,24334.0,56
CPT,36833,Rev open AV fistula w thromb,21918.0,14246.7,173.17,21918.0,56
CPT,36835,Insert thomas shunt,16118.0,10476.7,173.17,16118.0,56
CPT,36836,AVF ue sgl acces peri av w px,81064.0,52691.6,173.17,81064.0,56
CPT,36837,AVF ue sep acces peri a/ w px,81064.0,52691.6,173.17,81064.0,56
CPT,36838,Distal revas liga dialy access,21278.0,13830.7,173.17,21278.0,56
CPT,36838,Distal revas liga dialy access bil,42557.0,27662.05,173.17,42557.0,56
CPT,36860,Declot embolectomy no balloon,1695.0,1101.75,173.17,2219.21,56
CPT,36861,Declot embolect with balloons,6362.0,4135.3,173.17,7844.68,56
CPT,36901,HD AV shuntogrm dial circuit,4327.0,2812.55,173.17,4327.0,168
CPT,36902,Shuntogrm circut wpta peri seg,11266.0,7322.9,173.17,11266.0,112
CPT,36903,Shuntogrm circt wstent per seg,19519.0,12687.35,173.17,19519.0,56
CPT,36904,Thrmbct mecinf lysis circ,11266.0,7322.9,173.17,11266.0,112
CPT,36905,Thrmbct mecinf lys circ-ptaper,19519.0,12687.35,173.17,19519.0,168
CPT,36906,Thrmbc mecinf lys circ-stntper,27945.0,18164.25,173.17,27945.0,56
CPT,36907,HD PTA central dial segment,3713.0,2413.45,173.17,4580.02,86
CPT,36908,HD stents central dial segmt,5567.0,3618.55,173.17,5567.0,43
CPT,36909,HD emblztn-occ circ & acc vein,5289.0,3437.85,173.17,7656.81,43
CPT,37182,Insert portosystemic shunt tip,56716.0,36865.4,173.17,56716.0,56
CPT,37183,Revis portosystemic shunt tips,41139.0,26740.35,173.17,41139.0,56
CPT,37184,Prim art mech thrombectomy,16043.0,10427.95,173.17,25843.51,112
CPT,37184,Prim art mech thrombectomy bil,32086.0,20855.9,173.17,32086.0,112
CPT,37185,Prim art mech thromb addon,7024.0,4565.6,173.17,7024.0,43
CPT,37186,Sec art mech thromb addon,7024.0,4565.6,173.17,7656.81,43
CPT,37187,Venous mech thrombectomy,16043.0,10427.95,173.17,16274.73,112
CPT,37187,Venous mech thrombectomy bil,32086.0,20855.9,173.17,32086.0,112
CPT,37188,Venous mech thromb addon,7024.0,4565.6,173.17,7024.0,56
CPT,37188,Venous mech thromb addon bil,14047.0,9130.55,173.17,14047.0,56
CPT,37191,Vena cava filter insertion,13760.0,8944.0,173.17,13760.0,56
CPT,37192,Vena cava filter reposition,8503.0,5526.95,173.17,8503.0,56
CPT,37193,Vena cava filter removal,9442.0,6137.3,173.17,9442.0,112
CPT,37195,Thrombolytic therapy stroke,1694.0,1101.1,173.17,1694.0,56
CPT,37197,Transcth ret forg bo wguid,9696.0,6302.4,173.17,9696.0,56
CPT,37200,Transcath biopsy,16356.0,10631.4,173.17,16356.0,56
CPT,37211,Infus art thrmbly intl day,6997.0,4548.05,173.17,7844.68,56
CPT,37211,Infus art thrmbly intl day bil,13994.0,9096.1,173.17,13994.0,56
CPT,37212,Infus ven thrmbly intl day,6289.0,4087.85,173.17,6289.0,56
CPT,37212,Infus ven thrmbly intl day bil,12578.0,8175.7,173.17,12578.0,56
CPT,37213,Infusn arvn thrmblys sub day,12761.0,8294.65,173.17,12761.0,56
CPT,37214,Infusn av thrmblys subsq&clos,12761.0,8294.65,173.17,12761.0,56
CPT,37215,Carotid stent w protect,13638.0,8864.7,173.17,13638.0,43
CPT,37215,Carotid stent w protect bil,20786.0,13510.9,173.17,20786.0,43
CPT,37216,Carotid stent wo protect,11538.0,7499.7,173.17,11538.0,43
CPT,37216,Carotid stent wo protect bil,20370.0,13240.5,173.17,20370.0,43
CPT,37217,STENT PLACEMT RETRO CAROTID,59560.0,38714.0,173.17,59560.0,43
CPT,37217,Stent CCA-ino retro-open cartd,30672.0,19936.8,173.17,30672.0,43
CPT,37218,Stent CCA-ino ant opn-perc,30381.0,19747.65,173.17,30381.0,43
CPT,37218,Stent CCA-ino ant opn-perc bil,59560.0,38714.0,173.17,59560.0,43
CPT,37220,Iliac artery PTA initial,21626.0,14056.9,173.17,21626.0,129
CPT,37220,Iliac artery PTA initial bil,43252.0,28113.8,173.17,43252.0,129
CPT,37221,Iliac art stent wwo PTA initl,44304.0,28797.6,173.17,44304.0,86
CPT,37221,Iliac art stent wwo PTA initl bil,88608.0,57595.2,173.17,88608.0,86
CPT,37222,Iliac art PTA ipsilat addl,19661.0,12779.65,173.17,19661.0,86
CPT,37222,Iliac art PTA ipsilat addl bil,39322.0,25559.3,173.17,39322.0,86
CPT,37223,Iliac a stent w/wo PTA addl,32461.0,21099.65,173.17,32461.0,86
CPT,37223,Iliac a stent w/wo PTA addl bil,64923.0,42199.95,173.17,64923.0,86
CPT,37224,Fempop artery PTA,20452.0,13293.8,173.17,20452.0,129
CPT,37224,Fempop artery PTA bil,40903.0,26586.95,173.17,40903.0,129
CPT,37225,Fempop a atherectomy w/wo PTA,41239.0,26805.35,173.17,41239.0,43
CPT,37225,Fempop a atherectomy w/wo PTA bil,82479.0,53611.35,173.17,82479.0,43
CPT,37226,Fempop artery stent w/wo PTA,43233.0,28101.45,173.17,43233.0,43
CPT,37226,Fempop artery stent w/wo PTA bil,86466.0,56202.9,173.17,86466.0,43
CPT,37227,Fempop stent atherect w/wo PTA,56483.0,36713.95,173.17,56483.0,43
CPT,37227,Fempop stent atherect w/wo PTA bil,112966.0,73427.9,173.17,112966.0,43
CPT,37228,Tibperoneal artery PTA initial,20452.0,13293.8,173.17,20452.0,43
CPT,37228,Tibperoneal artery PTA initial bil,40903.0,26586.95,173.17,40903.0,43
CPT,37229,Tibper athrec wwo PTA inital,41239.0,26805.35,173.17,41239.0,43
CPT,37229,Tibper athrec wwo PTA inital bil,82479.0,53611.35,173.17,82479.0,43
CPT,37230,Tibper stent wwo PTA initial,47556.0,30911.4,173.17,47556.0,43
CPT,37230,Tibper stent wwo PTA initial bil,95112.0,61822.8,173.17,95112.0,43
CPT,37231,Tibper stnt athr wwo PTA intl,62130.0,40384.5,173.17,62130.0,43
CPT,37231,Tibper stnt athr wwo PTA intl bil,124260.0,80769.0,173.17,124260.0,43
CPT,37232,Tibiperoneal PTA each addl,10902.0,7086.3,173.17,10902.0,43
CPT,37232,Tibiperoneal PTA each addl bil,21804.0,14172.6,173.17,21804.0,43
CPT,37233,Tibper atherect wwo PTA addl,22824.0,14835.6,173.17,22824.0,43
CPT,37233,Tibper atherect wwo PTA addl bil,45648.0,29671.2,173.17,45648.0,43
CPT,37234,Tibper stent wwo PTA ea addl,34231.0,22250.15,173.17,34231.0,43
CPT,37234,Tibper stent wwo PTA ea addl bil,68461.0,44499.65,173.17,68461.0,43
CPT,37235,Tibper stent athr wwo PTA addl,47236.0,30703.4,173.17,47236.0,43
CPT,37235,Tibper stent athr wwo PTA addl bil,94471.0,61406.15,173.17,94471.0,43
CPT,37236,Stent vasc open-perc intl art,36376.0,23644.4,173.17,36376.0,112
CPT,37236,Stent vasc open-perc intl art bil,72752.0,47288.8,173.17,72752.0,112
CPT,37237,Stent vasc open-perc addl art,24407.0,15864.55,173.17,24407.0,43
CPT,37237,Stent vasc open-perc addl art bil,48813.0,31728.45,173.17,48813.0,43
CPT,37238,Stent vasc opn-per intl vein,36376.0,23644.4,173.17,36376.0,56
CPT,37238,Stent vasc opn-per intl vein bil,72752.0,47288.8,173.17,72752.0,56
CPT,37239,Stent vasc opn-per addl vein,24407.0,15864.55,173.17,24407.0,43
CPT,37239,Stent vasc opn-per addl vein bil,48813.0,31728.45,173.17,48813.0,43
CPT,37241,Embolization vasc venous,37083.0,24103.95,173.17,37083.0,56
CPT,37242,Embolization vasc arterial,37083.0,24103.95,173.17,37083.0,112
CPT,37243,Embol vasc tumr-orgn-infarctn,28113.0,18273.45,173.17,28113.0,168
CPT,37244,Embol vasc AV hemorge-lymph,37083.0,24103.95,173.17,37083.0,56
CPT,37246,TRLUML BALO ANGIOP 1ST ART,24276.0,15779.400000000001,173.17,32368.0,112
CPT,37247,TRLUML BALO ANGIOP ADDL ART,12124.0,7880.6,173.17,16165.0,86
CPT,37248,PTA vein open/perc initial,17803.0,11571.95,173.17,17803.0,112
CPT,37248,PTA vein open/perc initial bil,35605.0,23143.25,173.17,35605.0,112
CPT,37249,PTA vein open/perc ea addl,8161.0,5304.65,173.17,8161.0,43
CPT,37249,PTA vein open/perc ea addl bil,16322.0,10609.3,173.17,16322.0,43
CPT,37252,Intravascular us 1st vess wgui,4352.0,2828.8,173.17,4352.0,34
CPT,37253,Intravasc us add vess wgui,4352.0,2828.8,173.17,4352.0,34
CPT,37607,Ligation of A-V fistula,13660.0,8879.0,173.17,13660.0,56
CPT,37609,Temporal artery procedure bil,18121.0,11778.65,173.17,18121.0,56
CPT,37609,Temporal artery procedure uni,9059.0,5888.35,173.17,9059.0,56
CPT,37619,Inferior vena cava ligation,11266.0,7322.9,173.17,11266.0,56
CPT,37650,Ligation of femoral vein,13262.0,8620.3,173.17,13262.0,56
CPT,37650,Ligation of femoral vein bil,26523.0,17239.95,173.17,26523.0,56
CPT,37660,Ligation of iliac vein,13262.0,8620.3,173.17,13262.0,43
CPT,37660,Ligation of iliac vein bil,26523.0,17239.95,173.17,26523.0,43
CPT,37700,Lig saph vein at junct,13262.0,8620.3,173.17,13262.0,56
CPT,37700,Lig saph vein at junct bil,26519.0,17237.35,173.17,26519.0,56
CPT,37722,LIG DIV&STRPG LONG SAPH VEIN,,,,,0
CPT,37765,Stab phlebectmy10-20 incisions,13697.0,8903.05,173.17,13697.0,56
CPT,37765,Stab phlebectmy10-20 incisions bil,27395.0,17806.75,173.17,27395.0,56
CPT,37766,Stab phlebectmy >20 incisions,13697.0,8903.05,173.17,13697.0,56
CPT,37766,Stab phlebectmy >20 incisions bil,27395.0,17806.75,173.17,27395.0,56
CPT,37799,Carotid stent wo protectn open,10393.0,6755.45,173.17,10393.0,56
CPT,37799,Creat of art cond for LE revasc,11373.0,7392.45,173.17,11373.0,56
CPT,37799,Creation avf perc revasculrztn,47556.0,30911.4,173.17,47556.0,56
CPT,37799,Endo abd aorta Nellix Evas Res,14140.0,9191.0,173.17,14140.0,56
CPT,37799,Endograft plcmnt carotid,13638.0,8864.7,173.17,13638.0,56
CPT,37799,External fem-fem bypass,70443.0,45787.95,173.17,70443.0,56
CPT,37799,Fenestration of major vessel,24782.0,16108.3,173.17,24782.0,56
CPT,37799,Resecure port hub,1394.0,906.1,173.17,1483.61,56
CPT,37799,Ret foreign body w cutdown,9061.0,5889.65,173.17,9061.0,56
CPT,37799,Sheathoplasty otw same access,7538.0,4899.7,173.17,7538.0,56
CPT,37799,Stab phlebectmy <10 incisions,5257.0,3417.05,173.17,5257.0,56
CPT,37799,TAMBE ins thoracoabd br endopr,26919.0,17497.35,173.17,26919.0,56
CPT,37799,UNLISTED PX VASCULAR SURGERY,38192.5,24825.125,173.17,74795.0,112
CPT,38120,LAPAROSCOPY SPLENECTOMY,,,,,0
CPT,38200,Splenoprotography injection,6664.0,4331.6,173.17,6664.0,43
CPT,38204,BL DONOR SEARCH MANAGEMENT,0.01,0.01,0.01,173.17,22
CPT,38204,Mgmt of blood donor search,3906.0,2538.9,173.17,3906.0,34
CPT,38205,Allogen bld-drv HPC harvest,23113.0,15023.45,173.17,23113.0,43
CPT,38206,Autolog bld-drv HPC harvest,23113.0,15023.45,173.17,23113.0,56
CPT,38207,Allogen cryo and stor,9115.0,5924.75,173.17,9115.0,56
CPT,38207,Allogen fresh prod prep,5043.0,3277.95,173.17,5043.0,56
CPT,38207,Autolog cryo and stor,9115.0,5924.75,460.71,9115.0,55
CPT,38208,Allogen thaw cryopres wo wash,9186.0,5970.9,173.17,9186.0,56
CPT,38208,Autolog thaw cryopres wo wash,9186.0,5970.9,460.71,9186.0,55
CPT,38209,WASH HARVEST STEM CELLS,987.0,641.55,170.75,1123.76,111
CPT,38210,Allogen T-cell depl w in harv,108695.0,70651.75,173.17,108695.0,56
CPT,38210,Autolog T-cell depl w in harv,108695.0,70651.75,1021.6,108695.0,55
CPT,38211,Allogen tumor cell depletion,1973.0,1282.45,173.17,1973.0,56
CPT,38211,Autolog tumor cell depletion,1973.0,1282.45,341.33,1973.0,55
CPT,38212,Allogen redbld remvl,16250.0,10562.5,173.17,16250.0,56
CPT,38212,Autolog redbld remvl,16250.0,10562.5,275.43,16250.0,55
CPT,38212,OneBlood Allogen redbld remvl,5049.0,3281.85,173.17,5049.0,56
CPT,38212,OneBlood Autolog redbld remvl,5049.0,3281.85,275.43,5049.0,55
CPT,38213,Allogen platelet depletion,2170.0,1410.5,173.17,2170.0,56
CPT,38213,Autolog platelet depletion,2170.0,1410.5,375.41,2170.0,55
CPT,38214,Allogen plasma depl,7049.0,4581.85,173.17,7049.0,56
CPT,38214,Autolog plasma depl,7049.0,4581.85,460.71,7049.0,55
CPT,38214,OneBlood Allogen plasma depl,1137.0,739.05,173.17,1137.0,56
CPT,38214,OneBlood Autolog plasma depl,1137.0,739.05,196.7,1137.0,55
CPT,38215,Allogen cell concent in plasma,1973.0,1282.45,173.17,1973.0,56
CPT,38215,Autolog cell concent in plasma,1973.0,1282.45,341.33,1973.0,55
CPT,38220,Bone marrow aspirations,6181.0,4017.65,173.17,6181.0,112
CPT,38220,Bone marrow aspirations bil,12362.0,8035.3,173.17,12362.0,112
CPT,38221,Bone marrow biopsies ndl troc,6181.0,4017.65,173.17,6181.0,112
CPT,38221,Bone marrow biopsies ndl troc bil,12362.0,8035.3,173.17,12362.0,112
CPT,38222,Bone marrow bxs w aspirations,6906.0,4488.9,173.17,6906.0,168
CPT,38222,Bone marrow bxs w aspirations bil,13812.0,8977.8,173.17,13812.0,168
CPT,38225,CAR-T therapy harvest per day,15850.0,10302.5,173.17,15850.0,34
CPT,38226,CAR-T therapy prep for xport,15941.0,10361.65,173.17,15941.0,34
CPT,38227,CAR-T therapy prep for admin,8250.0,5362.5,173.17,8250.0,34
CPT,38228,CAR-T therapy admin autologous,16033.0,10421.45,173.17,16033.0,94
CPT,38230,Bone marrow harvest allogeneic,7316.0,4755.4,173.17,7316.0,56
CPT,38232,Bone marrow harvest autologous,21109.0,13720.85,173.17,21109.0,56
CPT,38240,Allogen transpl HPC per donor,61357.0,39882.05,173.17,88676.52,56
CPT,38241,Autolog transpl HPC,22994.0,14946.1,173.17,22994.0,56
CPT,38242,Transpl lymphocyte infusion,7069.0,4594.85,173.17,7069.0,56
CPT,38243,HPC boost,6135.0,3987.75,173.17,6135.0,56
CPT,38500,Lymph node bx/exc open superfc,12895.0,8381.75,173.17,12895.0,56
CPT,38500,Lymph node bx/exc open superfc bil,25790.0,16763.5,173.17,25790.0,56
CPT,38505,Ndl bx lymph node superfi,4429.0,2878.85,173.17,4429.0,280
CPT,38505,Ndl bx lymph node superfi bil,8857.0,5757.05,173.17,8857.0,280
CPT,38510,BIOPSY/REMOVAL LYMPH NODES,,,,,0
CPT,38520,BIOPSY/REMOVAL LYMPH NODES,,,,,0
CPT,38525,BIOPSY/REMOVAL LYMPH NODES,,,,,0
CPT,38530,BIOPSY/REMOVAL LYMPH NODES,,,,,0
CPT,38531,OPEN BX/EXC INGUINOFEM NODES,,,,,0
CPT,38570,LAPAROSCOPY LYMPH NODE BIOP,,,,,0
CPT,38571,LAPAROSCOPY LYMPHADENECTOMY,,,,,0
CPT,38572,LAPAROSCOPY LYMPHADENECTOMY,,,,,0
CPT,38573,LAPS PELVIC LYMPHADEC,,,,,0
CPT,38589,UNLISTED LAPS PX LYMPHTC SYS,,,,,0
CPT,38724,REMOVAL OF LYMPH NODES NECK,,,,,0
CPT,38740,REMOVE ARMPIT LYMPH NODES,,,,,0
CPT,38745,REMOVE ARMPIT LYMPH NODES,,,,,0
CPT,38760,REMOVE GROIN LYMPH NODES,,,,,0
CPT,38790,Lymphangiogram injection surgi,1859.0,1208.35,173.17,1859.0,43
CPT,38790,Lymphangiogram injection surgi bil,3718.0,2416.7,173.17,3718.0,43
CPT,38792,RA TRACER ID OF SENTINL NODE,,,,,0
CPT,38794,Cannulation thoracic duct,6927.0,4502.55,173.17,6927.0,43
CPT,38900,IO MAP OF SENT LYMPH NODE,,,,,0
CPT,38999,Ablation dir inj lymp node eth,3253.0,2114.45,173.17,3253.0,56
CPT,38999,Umbilical linig stm cell inf,61357.0,39882.05,173.17,61357.0,56
CPT,39000,EXPLORATION OF CHEST,,,,,0
CPT,39401,MEDIASTINOSCPY W/MEDSTNL BX,,,,,0
CPT,39402,MEDIASTINOSCPY W/LMPH NOD BX,,,,,0
CPT,40490,Lip of biopsy,941.0,611.65,117.45,941.0,112
CPT,40520,Exc lip v-exc w prim ln cls,14028.0,9118.2,173.17,14028.0,56
CPT,40650,Rpr lip full thck vermilion,2319.0,1507.35,117.45,2319.0,56
CPT,40652,Rpr lip to0.5 vert height,2319.0,1507.35,117.45,2319.0,56
CPT,40654,Rpr lip ov0.5 vert h com,6938.0,4509.7,173.17,6938.0,56
CPT,40800,Drainage mouth lesion,3063.0,1990.95,173.17,3063.0,56
CPT,40808,Biopsy of mouth lesion,2424.0,1575.6,173.17,2424.0,112
CPT,40810,Excision mouth lesion,13808.0,8975.2,173.17,13808.0,56
CPT,40812,Excise repair mouth lesion,7115.0,4624.75,173.17,7115.0,56
CPT,40814,EXCISE/REPAIR MOUTH LESION,,,,,0
CPT,40818,EXCISE ORAL MUCOSA FOR GRAFT,,,,,0
CPT,40819,Exc frenum labial buccal,6161.0,4004.65,173.17,6161.0,56
CPT,40820,TREATMENT OF MOUTH LESION,,,,,0
CPT,40840,Vestibuloplsty anterior,23658.0,15377.7,173.17,23658.0,56
CPT,40845,RECONSTRUCTION OF MOUTH,,,,,0
CPT,41009,DRAINAGE OF MOUTH LESION,,,,,0
CPT,41019,Ins ndl cath head nec radioelm,13388.0,8702.2,173.17,13388.0,56
CPT,41100,Biopsy tongue anter two-thirds,2424.0,1575.6,117.45,2424.0,112
CPT,41105,Biopsy tongue post one-third,11042.0,7177.3,173.17,11042.0,112
CPT,41108,Bx floor of mouth,7237.0,4704.05,173.17,7237.0,56
CPT,41110,Exc tongue les wo clos,14028.0,9118.2,173.17,14028.0,56
CPT,41112,Exc tongue les w cl ant 2 3,14028.0,9118.2,173.17,14028.0,56
CPT,41113,EXCISION OF TONGUE LESION,,,,,0
CPT,41115,EXCISION OF TONGUE FOLD,,,,,0
CPT,41116,EXCISION OF MOUTH LESION,,,,,0
CPT,41120,Glossectomy 1 2 up tongue,26081.0,16952.65,173.17,26081.0,56
CPT,41520,Frenoplasty w z-plasty,13006.0,8453.9,173.17,13006.0,56
CPT,41530,TONGUE BASE VOL REDUCTION,,,,,0
CPT,41599,Tongue and mouth surgery,987.0,641.55,170.75,991.94,56
CPT,41800,DRAINAGE OF GUM LESION,,,,,0
CPT,41805,REMOVAL FOREIGN BODY GUM,,,,,0
CPT,41806,Rmv fb jawbone,6938.0,4509.7,173.17,6938.0,56
CPT,41820,Excision gum ea quad,13152.0,8548.8,173.17,13152.0,56
CPT,41822,Exc les gum fibrous tuber,6774.0,4403.1,173.17,6774.0,56
CPT,41825,Exc les dentoalveol wo rep,13152.0,8548.8,173.17,13152.0,56
CPT,41826,Exc les dentoalveol simple,13152.0,8548.8,173.17,13152.0,56
CPT,41827,Exc les dentoalveol complex,26081.0,16952.65,173.17,26081.0,56
CPT,41828,Exc les alv mucos each quad,6161.0,4004.65,173.17,6161.0,56
CPT,41830,Removal gum tissue,13150.0,8547.5,173.17,13150.0,56
CPT,41850,TREATMENT OF GUM LESION,,,,,0
CPT,41874,Alveoloplasty each quadrant,13152.0,8548.8,173.17,13152.0,56
CPT,41899,Extract Tooth,1075.0,698.75,173.17,1075.0,56
CPT,42100,Biopsy of palate uvula,6774.0,4403.1,173.17,6774.0,56
CPT,42104,Axc les palate uvula wo cl,13152.0,8548.8,173.17,13152.0,56
CPT,42140,EXCISION OF UVULA,,,,,0
CPT,42145,REPAIR PALATE PHARYNX/UVULA,,,,,0
CPT,42160,Destr les palate or uvula,13006.0,8453.9,173.17,13006.0,56
CPT,42330,REMOVAL OF SALIVARY STONE,,,,,0
CPT,42335,REMOVAL OF SALIVARY STONE,,,,,0
CPT,42400,Bx salivary gland,4026.0,2616.9,173.17,4026.0,56
CPT,42405,Biopsy salivary gland incision,6774.0,4403.1,173.17,6774.0,56
CPT,42408,Exc subling sal cyst,13006.0,8453.9,173.17,13006.0,56
CPT,42410,EXCISE PAROTID GLAND/LESION,,,,,0
CPT,42415,EXCISE PAROTID GLAND/LESION,,,,,0
CPT,42420,EXCISE PAROTID GLAND/LESION,,,,,0
CPT,42440,EXCISE SUBMAXILLARY GLAND,,,,,0
CPT,42450,EXCISE SUBLINGUAL GLAND,,,,,0
CPT,42500,REPAIR SALIVARY DUCT,,,,,0
CPT,42505,REPAIR SALIVARY DUCT,,,,,0
CPT,42650,Dilatation salivary duct,6181.0,4017.65,173.17,6181.0,56
CPT,42660,Dila cath saliv duc wwo inj,2033.0,1321.45,173.17,2033.0,56
CPT,42699,Salivary surgery procedure,987.0,641.55,170.75,987.0,56
CPT,42700,I&D ABSCESS PERITONSILLAR,,,,,0
CPT,42800,Bx Oropharynx,11594.0,7536.1,173.17,11594.0,112
CPT,42808,EXCISE PHARYNX LESION,,,,,0
CPT,42810,EXCISION OF NECK CYST,,,,,0
CPT,42815,EXCISION OF NECK CYST,,,,,0
CPT,42820,REMOVE TONSILS AND ADENOIDS,,,,,0
CPT,42821,REMOVE TONSILS AND ADENOIDS,,,,,0
CPT,42825,REMOVAL OF TONSILS,,,,,0
CPT,42826,REMOVAL OF TONSILS,,,,,0
CPT,42830,REMOVAL OF ADENOIDS,,,,,0
CPT,42831,REMOVAL OF ADENOIDS,,,,,0
CPT,42842,EXTENSIVE SURGERY OF THROAT,,,,,0
CPT,42870,EXCISION OF LINGUAL TONSIL,,,,,0
CPT,42950,RECONSTRUCTION OF THROAT,,,,,0
CPT,42960,CONTROL THROAT BLEEDING,,,,,0
CPT,42961,CONTROL THROAT BLEEDING,,,,,0
CPT,42962,CONTROL THROAT BLEEDING,,,,,0
CPT,42975,DISE EVAL SLP DO BRTH FLX DX,,,,,0
CPT,42999,UNLISTED PX PHRNX ADND/TNSL,,,,,0
CPT,43180,ESOPHAGOSCOPY RIGID TRNSO,,,,,0
CPT,43191,ESOPHAGOSCOPY RIGID TRNSO DX,,,,,0
CPT,43193,ESOPHAGOSCP RIG TRNSO BIOPSY,,,,,0
CPT,43194,Esoph rig rem foreign bodies,5072.0,3296.8,173.17,5072.0,56
CPT,43200,ESOPHAGOSCOPY FLEXIBLE BRUSH,,,,,0
CPT,43202,ESOPHAGOSCOPY FLEX BIOPSY,,,,,0
CPT,43215,Esoph flx w rem foreign bodies,4728.0,3073.2,173.17,4728.0,56
CPT,43226,ESOPH ENDOSCOPY DILATION,,,,,0
CPT,43229,ESOPHAGOSCOPY LESION ABLATE,,,,,0
CPT,43233,EGD BALLOON DIL ESOPH30 MM/>,,,,,0
CPT,43235,EGD DIAGNOSTIC BRUSH WASH,,,,,0
CPT,43236,UPPR GI SCOPE W/SUBMUC INJ,,,,,0
CPT,43237,ENDOSCOPIC US EXAM ESOPH,,,,,0
CPT,43238,EGD US FINE NEEDLE BX/ASPIR,,,,,0
CPT,43239,EGD BIOPSY SINGLE/MULTIPLE,,,,,0
CPT,43240,EGD W/TRANSMURAL DRAIN CYST,,,,,0
CPT,43241,EGD TUBE/CATH INSERTION,,,,,0
CPT,43242,EGD US FINE NEEDLE BX/ASPIR,,,,,0
CPT,43244,EGD VARICES LIGATION,,,,,0
CPT,43245,EGD DILATE STRICTURE,,,,,0
CPT,43246,EGD w insertn peg tube,5710.0,3711.5,173.17,5710.0,56
CPT,43247,EGD REMOVE FOREIGN BODY,,,,,0
CPT,43248,EGD GUIDE WIRE INSERTION,,,,,0
CPT,43249,ESOPH EGD DILATION <30 MM,,,,,0
CPT,43251,EGD REMOVE LESION SNARE,,,,,0
CPT,43253,EGD US TRANSMURAL INJXN/MARK,,,,,0
CPT,43254,EGD ENDO MUCOSAL RESECTION,,,,,0
CPT,43255,EGD CONTROL BLEEDING ANY,,,,,0
CPT,43259,EGD US EXAM DUODENUM/JEJUNUM,,,,,0
CPT,43260,ERCP with-without wash-brush,8371.0,5441.15,173.17,8371.0,56
CPT,43261,ENDO CHOLANGIOPANCREATOGRAPH,,,,,0
CPT,43262,ENDO CHOLANGIOPANCREATOGRAPH,,,,,0
CPT,43264,ERCP REMOVE DUCT CALCULI,,,,,0
CPT,43266,EGD ENDOSCOPIC STENT PLACE,,,,,0
CPT,43270,EGD LESION ABLATION,,,,,0
CPT,43273,EGD w rem foreign body add on,3145.0,2044.25,173.17,3145.0,43
CPT,43274,ERCP DUCT STENT PLACEMENT,,,,,0
CPT,43275,ERCP REMOVE FORGN BODY DUCT,,,,,0
CPT,43276,ERCP STENT EXCHANGE W/DILATE,,,,,0
CPT,43277,ERCP EA DUCT/AMPULLA DILATE,,,,,0
CPT,43278,ERCP LESION ABLATE W/DILATE,,,,,0
CPT,43279,LAP MYOTOMY HELLER,,,,,0
CPT,43280,LAPAROSCOPY FUNDOPLASTY,,,,,0
CPT,43281,LAP PARAESOPHAG HERN REPAIR,,,,,0
CPT,43282,LAP PARAESOPH HER RPR W/MESH,,,,,0
CPT,43291,EGD FLX TRNSORL RMVL BALO,,,,,0
CPT,43450,DILATE ESOPHAGUS 1/MULT PASS,,,,,0
CPT,43453,Dilitation of esophagus surgic,2187.0,1421.55,173.17,2705.23,56
CPT,43510,SURGICAL OPENING OF STOMACH,,,,,0
CPT,43631,Gstrct prtl dstl w/gastroduo,10046.0,6529.9,173.17,10046.0,43
CPT,43659,UNLISTED LAPS PX STOMACH,,,,,0
CPT,43752,Instrt ng tube w/fluro guide,850.0,552.5,147.05,850.0,56
CPT,43761,Repositn gastrostomy tube,1273.0,827.45,173.17,1273.0,56
CPT,43762,Repl gastros wo GUI no revis,1273.0,827.45,173.17,1273.0,112
CPT,43763,Repl gastro wo GUI revis tract,1278.0,830.7,173.17,1278.0,112
CPT,43999,UNLISTED PROCEDURE STOMACH,,,,,0
CPT,44015,Jejunostomy cath placement sur,2057.0,1337.05,173.17,2824.58,43
CPT,44180,LAP ENTEROLYSIS,,,,,0
CPT,44205,LAP COLECTOMY PART W/ILEUM,,,,,0
CPT,44238,UNLISTED LAPS PX INTESTINE,,,,,0
CPT,44300,Cecostomy tube placement surg,2559.0,1663.35,173.17,2705.23,56
CPT,44360,SMALL BOWEL ENDOSCOPY,,,,,0
CPT,44361,SMALL BOWEL ENDOSCOPY/BIOPSY,,,,,0
CPT,44363,SMALL BOWEL ENDOSCOPY,,,,,0
CPT,44366,SMALL BOWEL ENDOSCOPY,,,,,0
CPT,44370,Enterosc w stent placement,7039.0,4575.35,173.17,8558.61,56
CPT,44373,Enteroscopy convert peg to pej,4933.0,3206.45,173.17,4933.0,56
CPT,44380,SMALL BOWEL ENDOSCOPY BR/WA,,,,,0
CPT,44388,COLONOSCOPY THRU STOMA SPX,,,,,0
CPT,44389,COLONOSCOPY WITH BIOPSY,,,,,0
CPT,44394,COLONOSCOPY W/SNARE,,,,,0
CPT,44500,Intro perc long gi tube surgic,1355.0,880.75,173.17,1355.0,56
CPT,44604,Sutr lg int 1mult perf wo colo,20053.0,13034.45,173.17,20053.0,43
CPT,44620,REPAIR BOWEL OPENING,,,,,0
CPT,44799,UNLISTED PX SMALL INTESTINE,,,,,0
CPT,44970,LAPAROSCOPY APPENDECTOMY,,,,,0
CPT,44979,UNLISTED LAPS PX APPENDIX,,,,,0
CPT,45171,EXC RECT TUM TRANSANAL PART,,,,,0
CPT,45172,EXC RECT TUM TRANSANAL FULL,,,,,0
CPT,45300,Procto with-without wash-brush,2012.0,1307.8,173.17,2012.0,56
CPT,45330,Sigmodscop flex wash-brush dx,3319.0,2157.35,173.17,3319.0,56
CPT,45331,Sigmoidoscopy w bx,3003.0,1951.95,173.17,3003.0,56
CPT,45332,SIGMOIDOSCOPY W/FB REMOVAL,,,,,0
CPT,45334,SIGMOIDOSCOPY FOR BLEEDING,,,,,0
CPT,45335,SIGMOIDOSCOPY W/SUBMUC INJ,,,,,0
CPT,45337,Sigmoidoscop w plc decomp tube,6240.0,4056.0,173.17,6240.0,56
CPT,45338,SIGMOIDOSCOPY W/TUMR REMOVE,,,,,0
CPT,45340,SIG W/TNDSC BALLOON DILATION,,,,,0
CPT,45346,SIGMOIDOSCOPY W/ABLATION,,,,,0
CPT,45349,SIGMOIDOSCOPY W/RESECTION,,,,,0
CPT,45378,DIAGNOSTIC COLONOSCOPY,,,,,0
CPT,45380,COLONOSCOPY AND BIOPSY,,,,,0
CPT,45381,COLONOSCOPY SUBMUCOUS NJX,,,,,0
CPT,45382,COLONOSCOPY W/CONTROL BLEED,,,,,0
CPT,45384,COLONOSCOPY W/LESION REMOVAL,,,,,0
CPT,45385,COLONOSCOPY W/LESION REMOVAL,,,,,0
CPT,45386,COLONOSCOPY W/BALLOON DILAT,,,,,0
CPT,45388,COLONOSCOPY W/ABLATION,,,,,0
CPT,45390,COLONOSCOPY W/RESECTION,,,,,0
CPT,45392,COLONOSCOPY W/ENDOSCOPIC FNB,,,,,0
CPT,45399,UNLISTED PROCEDURE COLON,,,,,0
CPT,45499,LAPAROSCOPE PROC RECTUM,,,,,0
CPT,45560,REPAIR OF RECTOCELE,,,,,0
CPT,45915,REMOVE RECTAL OBSTRUCTION,,,,,0
CPT,45990,SURG DX EXAM ANORECTAL,,,,,0
CPT,46020,PLACEMENT OF SETON,,,,,0
CPT,46030,Removal of Seton,2203.0,1431.95,173.17,2203.0,56
CPT,46040,I-D perirectal abscess,4627.0,3007.55,173.17,4627.0,56
CPT,46045,I&D ABSC TRANAL UNDER ANES,,,,,0
CPT,46050,I-D perianal abscess superf,4225.0,2746.25,173.17,4225.0,56
CPT,46060,I&D ISCHIORECTAL/NTRMRL ABSC,,,,,0
CPT,46080,SPHNCTROTMY ANAL DIV SPHNCTR,,,,,0
CPT,46083,Hemorrhoids Thrombectomy,1727.0,1122.55,173.17,1727.0,56
CPT,46200,REMOVAL OF ANAL FISSURE,,,,,0
CPT,46220,"Excise extern tag, anus sgl",2203.0,1431.95,173.17,2203.0,56
CPT,46221,Hemorrhoidect simple,1756.0,1141.4,173.17,1756.0,56
CPT,46230,Excise extern tags anus mult,5441.0,3536.65,173.17,5441.0,56
CPT,46250,"Remove Hemorrhoid External, 2+",5441.0,3536.65,173.17,5441.0,56
CPT,46255,REMOVE INT/EXT HEM 1 GROUP,,,,,0
CPT,46260,REMOVE IN/EX HEM GROUPS 2+,,,,,0
CPT,46261,REMOVE IN/EX HEM GRPS & FISS,,,,,0
CPT,46262,REMOVE IN/EX HEM GRPS W/FIST,,,,,0
CPT,46270,REMOVE ANAL FIST SUBQ,,,,,0
CPT,46275,REMOVE ANAL FIST INTER,,,,,0
CPT,46280,REMOVE ANAL FIST COMPLEX,,,,,0
CPT,46285,REMOVE ANAL FIST 2 STAGE,,,,,0
CPT,46320,Exc thromb hemorrhoid ext,4627.0,3007.55,173.17,4627.0,56
CPT,46505,CHEMODENERVATION ANAL MUSC,,,,,0
CPT,46600,Anoscopy dx wash-brush spec,1614.0,1049.1,138.94,1614.0,56
CPT,46601,DIAGNOSTIC ANOSCOPY,,,,,0
CPT,46606,Anoscopy w bx sing or mult,3035.0,1972.75,173.17,3035.0,56
CPT,46607,DIAGNOSTIC ANOSCOPY & BIOPSY,,,,,0
CPT,46608,Anoscopy with rem foreign body,2696.0,1752.4,173.17,2696.0,56
CPT,46614,ANOSCOPY CONTROL BLEEDING,,,,,0
CPT,46700,REPAIR OF ANAL STRICTURE,,,,,0
CPT,46707,REPAIR ANORECTAL FIST W/PLUG,,,,,0
CPT,46910,DESTRUCTION ANAL LESION(S),,,,,0
CPT,46916,Dstr les anus simple cryo,921.0,598.65,159.33,1026.01,56
CPT,46922,EXCISION OF ANAL LESION(S),,,,,0
CPT,46999,UNLISTED PROCEDURE ANUS,,,,,0
CPT,47000,Liver biopsy,4229.0,2748.85,173.17,4229.0,56
CPT,47000,Liver bx surg CT guid,4273.0,2777.45,173.17,4273.0,56
CPT,47001,Bx ndl liver add on,622.0,404.3,107.61,622.0,43
CPT,47120,PARTIAL REMOVAL OF LIVER,,,,,0
CPT,47379,UNLISTED LAPS PX LIVER,,,,,0
CPT,47382,Perc rf ablate liver tumor,24333.0,15816.45,173.17,24333.0,112
CPT,47383,Cryo ablte liver tumor 1 more,27083.0,17603.95,173.17,27083.0,56
CPT,47399,Ablation liver tumor laser,2298.0,1493.7,173.17,2298.0,56
CPT,47490,Percutn cholecystmy su CT guid,5037.0,3274.05,173.17,5047.56,56
CPT,47531,Inj for cholang exist wgui,10299.0,6694.35,173.17,10299.0,56
CPT,47532,Inj for cholang new wgui,8348.0,5426.2,173.17,8348.0,56
CPT,47533,Placmt cholang extn wgui,7172.0,4661.8,173.17,7172.0,56
CPT,47534,Placmt cholang int ext wgui,10736.0,6978.4,173.17,10736.0,56
CPT,47535,Conversn cholan int ext wguid,7172.0,4661.8,173.17,7172.0,56
CPT,47536,Exchng cholang int ext wgui,10736.0,6978.4,173.17,10736.0,56
CPT,47537,Remv cholang int ext wgui,3336.0,2168.4,173.17,3336.0,56
CPT,47538,Plmt cholang stent wgui,7701.0,5005.65,173.17,8522.84,56
CPT,47539,Plmt cholanstent no drain wgui,12860.0,8359.0,173.17,12860.0,56
CPT,47540,Plmt cholan stent w drain wgui,12983.0,8438.95,173.17,12983.0,56
CPT,47541,Plmt biliry tree sm bowel wgui,7172.0,4661.8,173.17,9126.64,56
CPT,47542,Dilation bilary duct wgui add,1873.0,1217.45,173.17,3969.28,43
CPT,47543,Endolum bx bily tree w gui add,1892.0,1229.8,173.17,3969.28,43
CPT,47544,Remv calcui biliary duct wgui,3660.0,2379.0,173.17,3969.28,43
CPT,47552,Bili endo via t-tube dx w spec,7163.0,4655.95,173.17,9126.64,56
CPT,47553,Bili endo via t-tube w bx,7378.0,4795.7,173.17,9126.64,56
CPT,47554,Bili endo via t-tube w rem cal,7954.0,5170.1,173.17,14985.69,56
CPT,47555,Biliary dilitation no stent su,8193.0,5325.45,173.17,9126.64,56
CPT,47556,Biliary dilitation with stent,7371.0,4791.15,173.17,14985.69,56
CPT,47562,LAPAROSCOPIC CHOLECYSTECTOMY,,,,,0
CPT,47563,LAPARO CHOLECYSTECTOMY/GRAPH,,,,,0
CPT,47564,LAPARO CHOLECYSTECTOMY/EXPLR,,,,,0
CPT,47801,Biliary/choledochal stent plac,6919.0,4497.35,173.17,6919.0,43
CPT,47999,Balloon dil biliary sphincter,14752.0,9588.8,173.17,14752.0,56
CPT,47999,Bx common bile duct (cbd) only,3217.0,2091.05,173.17,3217.0,56
CPT,47999,Cryo ablation gallbladder,27059.0,17588.35,173.17,27059.0,56
CPT,47999,Foreign body retrieval by endo,7378.0,4795.7,173.17,7378.0,56
CPT,47999,Reposition biliary stent,7629.0,4958.85,173.17,7629.0,56
CPT,48102,Bx pancreas perc ndl,2151.0,1398.15,173.17,2328.38,56
CPT,48999,UNLISTED PROCEDURE PANCREAS,,,,,0
CPT,49000,Exp lap exp celitmy w/wo biopsy,20402.0,13261.3,173.17,20402.0,43
CPT,49082,Paracentesis abd without guide,2891.0,1879.15,173.17,2891.0,112
CPT,49083,Paracentesis abd with guidance,3645.0,2369.25,173.17,3645.0,168
CPT,49084,Peritoneal lavage w guidance,2806.0,1823.9,173.17,2806.0,56
CPT,49180,Abdomen retrop biopsy surg,3039.0,1975.35,173.17,3039.0,56
CPT,49185,Sclerotx fluid collection wgui,3253.0,2114.45,173.17,3253.0,224
CPT,49320,DIAG LAPARO SEPARATE PROC,,,,,0
CPT,49321,LAPAROSCOPY BIOPSY,,,,,0
CPT,49322,LAPAROSCOPY ASPIRATION,,,,,0
CPT,49323,LAPARO DRAIN LYMPHOCELE,,,,,0
CPT,49324,LAP INSERT TUNNEL IP CATH,,,,,0
CPT,49325,LAP REVISION PERM IP CATH,,,,,0
CPT,49326,LAP W/OMENTOPEXY ADD-ON,,,,,0
CPT,49329,UNLSTD LAPS PX ABD PERTM&OMN,,,,,0
CPT,49400,Inj air-contrast peritonel cav,1848.0,1201.2,173.17,1848.0,43
CPT,49405,Drain viscrl w cath w guid,3462.0,2250.3,173.17,3462.0,56
CPT,49406,Drain per ret w cath w guid,3462.0,2250.3,173.17,3462.0,112
CPT,49407,Drain transvagnl rectl w guid,2183.0,1418.95,173.17,2328.38,56
CPT,49411,Insert intraperitn dev rad th,7439.0,4835.35,173.17,7439.0,168
CPT,49418,Inst tun intraperitn cath,9063.0,5890.95,173.17,9063.0,56
CPT,49419,Inst tun intraperitn cath port,6697.0,4353.05,173.17,7844.68,56
CPT,49421,Insert intraperitn cath open,16158.0,10502.7,173.17,16158.0,56
CPT,49422,Remove intrapertin tun cath,12082.0,7853.3,173.17,12082.0,56
CPT,49423,Change drain cath cyst or absc,5289.0,3437.85,173.17,5289.0,112
CPT,49424,Inj. abscess/cyst contrast,1635.0,1062.75,173.17,1635.0,86
CPT,49425,Insert peritoneal-ven shunt,56716.0,36865.4,173.17,56716.0,43
CPT,49426,Rev peritoneal-ven shunt,13535.0,8797.75,173.17,13535.0,56
CPT,49427,Inj abdominal shunt,939.0,610.35,162.45,939.0,43
CPT,49429,Remv abdominal shunt,11970.0,7780.5,173.17,11970.0,56
CPT,49440,Gastrostomy tube perc rad,8132.0,5285.8,173.17,8132.0,56
CPT,49441,Place duod jej tube perc,4809.0,3125.85,173.17,4809.0,56
CPT,49442,Place cecostomy tube perc,6119.0,3977.35,173.17,6119.0,56
CPT,49446,Change g-tube to g-j perc,5290.0,3438.5,173.17,5290.0,56
CPT,49450,Gastrostomy tube change w fl,3521.0,2288.65,173.17,3521.0,112
CPT,49451,Replace duod jej tube perc,2021.0,1313.65,173.17,2021.0,56
CPT,49452,Replace g-j tube perc,2021.0,1313.65,173.17,2021.0,56
CPT,49460,Remov obstruc in g-colon w dev,1820.0,1183.0,173.17,1820.0,56
CPT,49465,Fluoro exam of g colon tube,937.0,609.05,73.69,937.0,56
CPT,49495,RPR ING HERNIA BABY REDUC,,,,,0
CPT,49505,PRP I/HERN INIT REDUC >5 YR,,,,,0
CPT,49507,PRP I/HERN INIT BLOCK >5 YR,,,,,0
CPT,49520,REREPAIR ING HERNIA REDUCE,,,,,0
CPT,49521,REREPAIR ING HERNIA BLOCKED,,,,,0
CPT,49550,RPR REM HERNIA INIT REDUCE,,,,,0
CPT,49591,RPR AA HRN 1ST < 3 CM RDC,,,,,0
CPT,49592,RPR AA HRN 1ST < 3 NCR/STRN,,,,,0
CPT,49593,RPR AA HRN 1ST 3-10 RDC,,,,,0
CPT,49594,RPR AA HRN 1ST 3-10 NCR/STRN,,,,,0
CPT,49595,RPR AA HRN 1ST > 10 RDC,,,,,0
CPT,49596,RPR AA HRN 1ST > 10 NCR/STRN,,,,,0
CPT,49614,Rpr abd hern recur incar <3cm,24737.0,16079.05,173.17,24737.0,56
CPT,49615,RPR AA HRN RCR 3-10 RDC,,,,,0
CPT,49616,RPR AA HRN RCR 3-10 NCR/STRN,,,,,0
CPT,49617,RPR AA HRN RCR > 10 RDC,,,,,0
CPT,49618,RPR AA HRN RCR > 10 NCR/STRN,,,,,0
CPT,49622,RPR PARASTOMAL HRNA NCR/STRN,,,,,0
CPT,49623,RMVL NINFCT MESH HERNIA RPR,,,,,0
CPT,49650,LAP ING HERNIA REPAIR INIT,,,,,0
CPT,49651,LAP ING HERNIA REPAIR RECUR,,,,,0
CPT,49659,UNLSTD LAPS PX HRNAP HRNRPHY,,,,,0
CPT,49999,Ablate cryo abd periton/oment,72038.0,46824.7,173.17,72038.0,56
CPT,49999,Exchg tunneled pleural cath,11620.0,7553.0,173.17,11620.0,56
CPT,49999,Fibrinolysis thru peritnl cath,3240.0,2106.0,173.17,3240.0,56
CPT,49999,Perit-in cath tnld chg ovrwire,3936.0,2558.4,173.17,3936.0,56
CPT,49999,UNLISTED PX ABD PERTM&OMN,7505.0,4878.25,173.17,7505.0,56
CPT,50080,Perc lithotomy stone ext w GUI,12569.0,8169.85,173.17,13345.6,56
CPT,50080,Perc lithotomy stone ext w GUI bil,25139.0,16340.35,173.17,25139.0,56
CPT,50081,Perc nephrolitho comp >2cm,40384.0,26249.6,173.17,40384.0,56
CPT,50081,Perc nephrolitho comp >2cm bil,80768.0,52499.2,173.17,80768.0,56
CPT,50200,Renal biopsy surgical,3523.0,2289.95,173.17,3523.0,56
CPT,50200,Renal biopsy surgical bil,7047.0,4580.55,173.17,7047.0,56
CPT,50382,Chng ureter stent percut,4612.0,2997.8,173.17,4612.0,56
CPT,50382,Chng ureter stent percut bil,9224.0,5995.6,173.17,9224.0,56
CPT,50384,Rmv ureter stent percut,4963.0,3225.95,173.17,4963.0,56
CPT,50384,Rmv ureter stent percut bil,9926.0,6451.9,173.17,9926.0,56
CPT,50385,Rmv replc uret stent w/fluoro,10168.0,6609.2,173.17,10168.0,56
CPT,50385,Rmv replc uret stent w/fluoro bil,20335.0,13217.75,173.17,20335.0,56
CPT,50386,Rmv uret stent w/fluoro,3934.0,2557.1,173.17,3934.0,56
CPT,50386,Rmv uret stent w/fluoro bil,7867.0,5113.55,173.17,7867.0,56
CPT,50387,Chg ext int ureter cath,3227.0,2097.55,173.17,3227.0,112
CPT,50387,Chg ext int ureter cath bil,6453.0,4194.45,173.17,6453.0,112
CPT,50389,Rmv renal tube w/fluoro,1486.0,965.9,173.17,1486.0,168
CPT,50389,Rmv renal tube w/fluoro bil,2972.0,1931.8,173.17,2972.0,168
CPT,50390,Asp inj renal cyst ndl PRC,2967.0,1928.55,173.17,2967.0,56
CPT,50390,Asp inj renal cyst ndl PRC bil,5934.0,3857.1,173.17,5934.0,56
CPT,50391,Inj Rx agent nephrostomy,572.0,371.8,98.96,572.0,112
CPT,50391,Inj Rx agent nephrostomy bil,1145.0,744.25,173.17,1145.0,56
CPT,50430,Inj antegrad/nephrost new wgui,3291.0,2139.15,173.17,3291.0,56
CPT,50430,Inj antegrad/nephrost new wgui bil,6583.0,4278.95,173.17,6583.0,56
CPT,50431,Inj antegrad/nephros existwgui,3291.0,2139.15,173.17,3291.0,112
CPT,50431,Inj antegrad/nephros existwgui bil,6583.0,4278.95,173.17,6583.0,56
CPT,50432,Plmt nephrostomy cath wgui,9457.0,6147.05,173.17,9457.0,56
CPT,50432,Plmt nephrostomy cath wgui bil,18915.0,12294.75,173.17,18915.0,56
CPT,50433,Plmt nephrosty cath new wgui,9457.0,6147.05,173.17,9457.0,56
CPT,50433,Plmt nephrosty cath new wgui bil,18915.0,12294.75,173.17,18915.0,56
CPT,50434,Convert nephrostomy cath wgui,4175.0,2713.75,173.17,4175.0,112
CPT,50434,Convert nephrostomy cath wgui bil,8351.0,5428.15,173.17,8351.0,112
CPT,50435,Exchang nephrosty cath wgui,6311.0,4102.15,173.17,6311.0,112
CPT,50435,Exchang nephrosty cath wgui bil,12622.0,8204.3,173.17,12622.0,112
CPT,50436,Nephros dilation perc w guide,9618.0,6251.7,173.17,9618.0,56
CPT,50436,Nephros dilation perc w guide bil,19237.0,12504.05,173.17,19237.0,56
CPT,50437,nephros dilat w guid new tract,16181.0,10517.65,173.17,16181.0,56
CPT,50437,nephros dilat w guid new tract bil,32362.0,21035.3,173.17,32362.0,56
CPT,50541,LAPARO ABLATE RENAL CYST,,,,,0
CPT,50543,LAPARO PARTIAL NEPHRECTOMY,,,,,0
CPT,50544,LAPAROSCOPY PYELOPLASTY,,,,,0
CPT,50545,LAPARO RADICAL NEPHRECTOMY,,,,,0
CPT,50546,LAPAROSCOPIC NEPHRECTOMY,,,,,0
CPT,50555,KIDNEY ENDOSCOPY & BIOPSY,,,,,0
CPT,50590,FRAGMENTING OF KIDNEY STONE,,,,,0
CPT,50592,Perc rf ablate renal tumor,24333.0,15816.45,173.17,24333.0,56
CPT,50592,Perc rf ablate renal tumor bil,48667.0,31633.55,173.17,48667.0,56
CPT,50593,Ablat perc cryo renal tum,26830.0,17439.5,173.17,26830.0,56
CPT,50593,Ablat perc cryo renal tum bil,53659.0,34878.35,173.17,53659.0,56
CPT,50606,Endolum bx ureter pel wgui add,4033.0,2621.45,173.17,4863.88,43
CPT,50606,Endolum bx ureter pel wgui add bil,8067.0,5243.55,173.17,8067.0,43
CPT,50684,Injection via ureteral cathetr,597.0,388.05,103.28,597.0,86
CPT,50684,Injection via ureteral cathetr bil,1194.0,776.1,173.17,1194.0,86
CPT,50688,Change ureterostomy tube surg,2979.0,1936.35,173.17,2979.0,280
CPT,50690,Injection for loopogram surgic,605.0,393.25,104.67,605.0,43
CPT,50693,Ureter stent nephropreext wgui,9457.0,6147.05,173.17,9457.0,112
CPT,50693,Ureter stent nephropreext wgui bil,18915.0,12294.75,173.17,18915.0,112
CPT,50694,Ureter stent wo sepnephro wgui,10402.0,6761.3,173.17,10402.0,56
CPT,50694,Ureter stent wo sepnephro wgui bil,20804.0,13522.6,173.17,20804.0,56
CPT,50695,Ureter stentnephro newsep wgui,10402.0,6761.3,173.17,10402.0,56
CPT,50695,Ureter stentnephro newsep wgui bil,20804.0,13522.6,173.17,20804.0,56
CPT,50705,Ureterl emboliza occl wgui add,4033.0,2621.45,173.17,4863.88,43
CPT,50705,Ureterl emboliza occl wgui add bil,8067.0,5243.55,173.17,8067.0,43
CPT,50706,Ureterl bal dil stric wgui add,4154.0,2700.1,173.17,7295.82,86
CPT,50706,Ureterl bal dil stric wgui add bil,8308.0,5400.2,173.17,8308.0,86
CPT,50780,REIMPLANT URETER IN BLADDER,,,,,0
CPT,50947,LAPARO NEW URETER/BLADDER,,,,,0
CPT,50949,UNLISTED LAPS PX URETER,,,,,0
CPT,50955,URETER ENDOSCOPY & BIOPSY,,,,,0
CPT,51040,INCISE & DRAIN BLADDER,,,,,0
CPT,51045,INCISE BLADDER/DRAIN URETER,,,,,0
CPT,51050,REMOVAL OF BLADDER STONE,,,,,0
CPT,51100,DRAIN BLADDER BY NEEDLE,,,,,0
CPT,51102,Insert suprapubic cath perc,5652.0,3673.8,173.17,5652.0,224
CPT,51600,Inj cystogram,2743.0,1782.95,173.17,2743.0,43
CPT,51610,Inj retrograde cystography,1240.0,806.0,173.17,1240.0,86
CPT,51700,Bldr irrigation smpl lavage instillation,1196.0,777.4,53.16,1196.0,112
CPT,51701,Insert sterile bladder cath residual,496.0,322.4,53.16,496.0,112
CPT,51702,Insert foley bladder catheter,496.0,322.4,53.16,496.0,168
CPT,51703,Ins str bladder cath complicat,307.0,199.55,53.11,307.0,224
CPT,51705,Chg cysto tube simple,1567.0,1018.55,53.16,1567.0,168
CPT,51710,Chg cysto tube complicated,2144.0,1393.6,173.17,2144.0,112
CPT,51715,Endo inj implant mat urethr,15447.0,10040.55,173.17,15447.0,56
CPT,51720,Bladder instillation anticarcinogenc agent,1196.0,777.4,173.17,1196.0,112
CPT,51725,Cystometrogram simple,1048.0,681.2,173.17,1048.0,56
CPT,51726,Uro cystometrogram,2840.0,1846.0,173.17,2840.0,56
CPT,51727,Uro cystometrogram w urethpres,3123.0,2029.95,173.17,3123.0,56
CPT,51728,Cystometrogram w void press study,3163.0,2055.95,173.17,3163.0,112
CPT,51729,Uro cystomet w blad/ureth pres,2840.0,1846.0,173.17,2840.0,56
CPT,51741,Complx uroflometry,781.0,507.65,135.11,781.0,168
CPT,51784,EMG anal ureth sphnctr other than needle,1214.0,789.1,85.02,1214.0,168
CPT,51785,ANAL/URINARY MUSCLE STUDY,1223.0,794.95,85.02,1223.0,56
CPT,51797,Intra-abd void pressure add on,1179.0,766.35,53.16,1179.0,86
CPT,51798,Measure post-void resid cap non-imag US,279.0,181.35,48.27,279.0,112
CPT,51840,ATTACH BLADDER/URETHRA,,,,,0
CPT,51860,REPAIR OF BLADDER WOUND,,,,,0
CPT,51990,LAPARO URETHRAL SUSPENSION,,,,,0
CPT,51999,UNLISTED LAPS PX BLADDER,,,,,0
CPT,52000,Cystourethroscopy sep px,3042.0,1977.3,173.17,3042.0,224
CPT,52001,CYSTO W/IRRG&EVAC MLT CLOTS,,,,,0
CPT,52005,Cystoureth w ureteral cath,9183.0,5968.95,173.17,9183.0,56
CPT,52204,Cystourethroscopy with bx,9104.0,5917.6,173.17,9104.0,56
CPT,52214,Cystour w fulgur trigone bl,15766.0,10247.9,173.17,15766.0,56
CPT,52224,Cysto w removal of lesions small,9104.0,5917.6,173.17,9104.0,56
CPT,52234,Cysto w removal of tumors small,14076.0,9149.4,173.17,14076.0,56
CPT,52235,Cystoureth w resec med tmr,15766.0,10247.9,173.17,15766.0,56
CPT,52240,Cystoureth w resec lg tmr,22626.0,14706.9,173.17,22626.0,56
CPT,52260,Cystoureth w dil bladder,9453.0,6144.45,173.17,9453.0,56
CPT,52276,Cystoureth w dir vis int ur,9183.0,5968.95,173.17,9183.0,56
CPT,52281,Cysto calibrat dilat urtl strix stenosis,9104.0,5917.6,173.17,9104.0,56
CPT,52284,Cysto ureteral dil w Rx ball,21972.0,14281.8,173.17,21972.0,56
CPT,52287,Cystour w inj chemoden blad,8941.0,5811.65,173.17,8941.0,56
CPT,52300,CYSTOSCOPY AND TREATMENT,,,,,0
CPT,52310,Cysto w simple removal stone and stent,9104.0,5917.6,173.17,9104.0,112
CPT,52317,REMOVE BLADDER STONE,,,,,0
CPT,52318,REMOVE BLADDER STONE,,,,,0
CPT,52320,CYSTOSCOPY AND TREATMENT,,,,,0
CPT,52332,Cystoureth w inser ure ste,15766.0,10247.9,173.17,15766.0,56
CPT,52332,Cystoureth w inser ure ste bil,31533.0,20496.45,173.17,31533.0,56
CPT,52334,Cystoureth w perc nephros,40456.0,26296.4,173.17,40456.0,56
CPT,52344,CYSTO/URETERO STRICTURE TX,,,,,0
CPT,52346,CYSTOURETERO W/RENAL STRICT,,,,,0
CPT,52351,Cysto-pyelscope Dx,3761.0,2444.65,173.17,4969.44,56
CPT,52352,CYSTOURETERO W/STONE REMOVE,,,,,0
CPT,52353,CYSTOURETERO W/LITHOTRIPSY,,,,,0
CPT,52354,CYSTOURETERO W/BIOPSY,,,,,0
CPT,52356,CYSTO/URETERO W/LITHOTRIPSY,,,,,0
CPT,52441,CYSTO INSJ TRNSPRSTC 1 IMPLT,,,,,0
CPT,52442,CYSTO INS TRNSPRSTC IMPLT EA,,,,,0
CPT,52500,TRURL RESECTION BLADDER NECK,,,,,0
CPT,52601,PROSTATECTOMY (TURP),,,,,0
CPT,52630,REMOVE PROSTATE REGROWTH,,,,,0
CPT,52640,RELIEVE BLADDER CONTRACTURE,,,,,0
CPT,52647,LASER SURGERY OF PROSTATE,,,,,0
CPT,52648,LASER SURGERY OF PROSTATE,,,,,0
CPT,52649,PROSTATE LASER ENUCLEATION,,,,,0
CPT,53200,Biopsy of urethra,8734.0,5677.1,173.17,8734.0,56
CPT,53220,TREATMENT OF URETHRA LESION,,,,,0
CPT,53230,Exc urethral diverticul fem,20188.0,13122.2,173.17,20188.0,56
CPT,53265,Exc urethral caruncle,9003.0,5851.95,173.17,9003.0,56
CPT,53275,REPAIR OF URETHRA DEFECT,,,,,0
CPT,53410,RECONSTRUCTION OF URETHRA,,,,,0
CPT,53415,RECONSTRUCTION OF URETHRA,,,,,0
CPT,53430,RECONSTRUCTION OF URETHRA,,,,,0
CPT,53440,MALE SLING PROCEDURE,,,,,0
CPT,53442,REMOVE/REVISE MALE SLING,,,,,0
CPT,53445,INSERT URO/VES NCK SPHINCTER,,,,,0
CPT,53446,REMOVE URO SPHINCTER,,,,,0
CPT,53447,REMOVE/REPLACE UR SPHINCTER,,,,,0
CPT,53450,REVISION OF URETHRA,,,,,0
CPT,53505,REPAIR OF URETHRA INJURY,,,,,0
CPT,53600,Dil urethral str male init,1018.0,661.7,53.16,1018.0,56
CPT,53601,Dil urethral str male subs,469.0,304.85,53.16,469.0,56
CPT,53605,DILATE URETHRA STRICTURE,,,,,0
CPT,53620,Dil ureth str male fili ini,2471.0,1606.15,173.17,2471.0,56
CPT,53621,Dil ureth str male fili sub,1018.0,661.7,173.17,1018.0,56
CPT,53660,Dil urethra fem suppos init,597.0,388.05,53.16,597.0,56
CPT,53661,Dil urethra fem suppos subs,469.0,304.85,53.16,469.0,56
CPT,53852,Destr prostate w rf therm,14787.0,9611.55,173.17,14787.0,56
CPT,53899,Drain urinoma neprostomy acc,9368.0,6089.2,173.17,9368.0,56
CPT,53899,Retr foreign body via neph acs,3073.0,1997.45,173.17,3073.0,56
CPT,53899,Ureteral stent exc suprapubic,569.0,369.85,98.44,1038.93,56
CPT,54000,Splitting prepuce newborn,14787.0,9611.55,173.17,14787.0,56
CPT,54001,Slitting of prepuce exc newbn,9340.0,6071.0,173.17,9340.0,56
CPT,54050,Destr penile les simp chem,7778.0,5055.7,173.17,7778.0,56
CPT,54055,Destr penile les eletrodesi,6805.0,4423.25,173.17,6805.0,56
CPT,54056,Destr penile les simpl cryo,930.0,604.5,160.89,930.0,112
CPT,54057,Destr penile les laser surg,886.0,575.9,153.28,2908.76,56
CPT,54060,Destr penile les simpl surg,6805.0,4423.25,173.17,6805.0,56
CPT,54065,Destr penile les complex,8784.0,5709.6,173.17,8784.0,112
CPT,54100,Bx penis separate procedure,1692.0,1099.8,173.17,2328.38,56
CPT,54115,TREATMENT OF PENIS LESION,,,,,0
CPT,54120,PARTIAL REMOVAL OF PENIS,,,,,0
CPT,54150,CIRCUMCISION W/REGIONL BLOCK,,,,,0
CPT,54161,Circumcisn excis not newb,7644.0,4968.6,173.17,7644.0,56
CPT,54163,REPAIR OF CIRCUMCISION,,,,,0
CPT,54164,Frenulotomy of penis,7644.0,4968.6,173.17,7644.0,56
CPT,54200,Inj peyronie disease,1018.0,661.7,53.16,1018.0,112
CPT,54220,Irrig corpora cavernosa,1018.0,661.7,53.16,1018.0,56
CPT,54235,Inj corpo cavernos w phm agent,893.0,580.45,53.16,893.0,56
CPT,54235,NJX CORPORA CAVERNOSA RX AGT,893.0,580.45,53.16,893.0,56
CPT,54240,Penile plethysmography,474.0,308.1,53.16,474.0,56
CPT,54405,INSERT MULTI-COMP PENIS PROS,,,,,0
CPT,54440,REPAIR OF PENIS,,,,,0
CPT,54500,Bx testis needle,10448.0,6791.2,173.17,10448.0,56
CPT,54500,Bx testis needle bil,20897.0,13583.05,173.17,20897.0,56
CPT,54505,Bx testis incisisional,12860.0,8359.0,173.17,12860.0,56
CPT,54505,Bx testis incisisional bil,25720.0,16718.0,173.17,25720.0,56
CPT,54512,EXCISE LESION TESTIS,,,,,0
CPT,54520,REMOVAL OF TESTIS,,,,,0
CPT,54522,ORCHIECTOMY PARTIAL,,,,,0
CPT,54530,REMOVAL OF TESTIS,,,,,0
CPT,54600,REDUCE TESTIS TORSION,,,,,0
CPT,54640,ORCHIOPEXY INGUN/SCROT APPR,,,,,0
CPT,54660,REVISION OF TESTIS,,,,,0
CPT,54700,I&D EPDIDYMS TSTIS&/SCROT SP,,,,,0
CPT,54800,Bx epididymis needle,6042.0,3927.3,173.17,6042.0,56
CPT,54800,Bx epididymis needle bil,12084.0,7854.6,173.17,12084.0,56
CPT,54840,REMOVE EPIDIDYMIS LESION,,,,,0
CPT,55040,REMOVAL OF HYDROCELE,,,,,0
CPT,55041,REMOVAL OF HYDROCELES,,,,,0
CPT,55100,DRAINAGE OF SCROTUM ABSCESS,,,,,0
CPT,55150,REMOVAL OF SCROTUM,,,,,0
CPT,55250,Vasectomy w post semen exam,8025.0,5216.25,173.17,8025.0,56
CPT,55520,REMOVAL OF SPERM CORD LESION,,,,,0
CPT,55530,REVISE SPERMATIC CORD VEINS,,,,,0
CPT,55559,UNLSTD LAPS PX SPRMATIC CORD,,,,,0
CPT,55700,Prostate biopsy surgical,2968.0,1929.2,173.17,2968.0,172
CPT,55706,Bx prostate ndl steriotactic,6063.0,3940.95,173.17,6063.0,56
CPT,55866,LAPS SURG PRST8ECT RPBIC RAD,,,,,0
CPT,55867,LAPS SURG PRST8ECT SMPL STOT,,,,,0
CPT,55874,Place bio mat wgui sing or mul,20326.0,13211.9,173.17,20326.0,112
CPT,55875,Percut needle insert pros,21264.0,13821.6,173.17,21264.0,56
CPT,55876,Place fiducial dev prostate,6708.0,4360.2,173.17,6708.0,168
CPT,55880,Ablate mal prostate HIFU,22185.0,14420.25,173.17,22185.0,56
CPT,55899,UNLISTED PX MALE GENITAL SYS,,,,,0
CPT,55920,Place ndl pelvis radioelem,12433.0,8081.45,173.17,12433.0,112
CPT,56405,I-D vulva perineum abscess,1384.0,899.6,138.41,1384.0,56
CPT,56420,I-D bartholin gland absces,764.0,496.6,132.17,764.0,56
CPT,56440,MRSPLZATN BRTHLNS GLND CST,,,,,0
CPT,56501,Destruction lesions vulva simp,7904.0,5137.6,173.17,7904.0,56
CPT,56515,Destr vulva lesions extens,12577.0,8175.05,173.17,12577.0,56
CPT,56605,Vulva perineum bx 1lesion,1600.0,1040.0,173.17,1600.0,56
CPT,56606,Vulva perineum bx ea add les,764.0,496.6,132.17,764.0,43
CPT,56620,VULVECTOMY SIMPLE PARTIAL,,,,,0
CPT,56700,PRTL HYMNCTMY/REVJ HYMNL RNG,,,,,0
CPT,56740,EXC BARTHOLINS GLAND/CYST,,,,,0
CPT,56820,Vulva colposcopy,843.0,547.95,138.41,843.0,56
CPT,56821,Vulva colposcopy w bx,1527.0,992.55,173.17,1527.0,56
CPT,57061,Destr vag lesion simple,10472.0,6806.8,173.17,10472.0,56
CPT,57100,Vaginal mucosa bx simple,3686.0,2395.9,173.17,3686.0,112
CPT,57105,Bx vaginal mucosa complex,10472.0,6806.8,173.17,10472.0,56
CPT,57106,VAGNC PRTL RMVL VAG WALL,,,,,0
CPT,57120,COLPOCLEISIS LE FORT TYPE,,,,,0
CPT,57135,Vaginal excision cyst tumor,11546.0,7504.9,173.17,11546.0,56
CPT,57150,Irrig vagina,528.0,343.2,61.6,528.0,56
CPT,57155,Ins uteri tandem ovoid brac,12449.0,8091.85,173.17,12449.0,112
CPT,57156,Ins vag brachytx device,1427.0,927.55,127.29,1427.0,112
CPT,57160,Insert pessary other device,847.0,550.55,138.41,847.0,56
CPT,57240,ANTERIOR COLPORRHAPHY,,,,,0
CPT,57250,REPAIR RECTUM & VAGINA,,,,,0
CPT,57260,CMBN ANT PST COLPRHY,,,,,0
CPT,57265,CMBN AP COLPRHY W/NTRCL RPR,,,,,0
CPT,57267,INSERT MESH/PELVIC FLR ADDON,,,,,0
CPT,57268,REPAIR OF BOWEL BULGE,,,,,0
CPT,57282,COLPOPEXY EXTRAPERITONEAL,,,,,0
CPT,57283,COLPOPEXY INTRAPERITONEAL,,,,,0
CPT,57285,REPAIR PARAVAG DEFECT VAG,,,,,0
CPT,57287,REVISE/REMOVE SLING REPAIR,,,,,0
CPT,57288,REPAIR BLADDER DEFECT,,,,,0
CPT,57295,REVISE VAG GRAFT VIA VAGINA,,,,,0
CPT,57300,REPAIR RECTUM-VAGINA FISTULA,,,,,0
CPT,57320,REPAIR BLADDER-VAGINA LESION,,,,,0
CPT,57400,Dilation vagina under anes,13454.0,8745.1,173.17,13454.0,56
CPT,57410,PELVIC EXAMINATION,,,,,0
CPT,57420,Colposcopy of vagina,1832.0,1190.8,173.17,1832.0,56
CPT,57421,Colposcopy vag w vag cerv bx,3686.0,2395.9,173.17,3686.0,56
CPT,57425,LAPAROSCOPY SURG COLPOPEXY,,,,,0
CPT,57426,REVISE PROSTH VAG GRAFT LAP,,,,,0
CPT,57452,Colposcopy cervix upadj vag,843.0,547.95,145.84,843.0,56
CPT,57454,Colposcopy cervix upadj vag bx,1527.0,992.55,173.17,1527.0,56
CPT,57455,Colposc cerv w bx,1453.0,944.45,173.17,1453.0,56
CPT,57456,Colposc cerv w curett,1453.0,944.45,173.17,1453.0,56
CPT,57460,Colposc cerv w loop bx,10472.0,6806.8,173.17,10472.0,56
CPT,57461,Colposc cerv w loop coniza,10472.0,6806.8,173.17,10472.0,56
CPT,57465,CAD mapping of cervix add,422.0,274.3,73.01,422.0,43
CPT,57500,Cervix bx sgl mult exc of les,3686.0,2395.9,173.17,3686.0,56
CPT,57505,Endocervical curettage,3511.0,2282.15,173.17,3511.0,56
CPT,57511,Cryocaut cervix init repea,1384.0,899.6,173.17,1384.0,56
CPT,57520,CONIZATION OF CERVIX,,,,,0
CPT,57522,CONIZATION OF CERVIX,,,,,0
CPT,57720,REVISION OF CERVIX,,,,,0
CPT,57800,Dilation cervi canal instr,10995.0,7146.75,173.17,10995.0,56
CPT,58100,Endometrial biopsy,664.0,431.6,84.45,664.0,168
CPT,58110,Bx done w/colposcopy add-o,728.0,473.2,125.94,728.0,43
CPT,58120,D-C diagnostic non-ob,10472.0,6806.8,173.17,10472.0,56
CPT,58140,MYOMECTOMY ABDOM METHOD,,,,,0
CPT,58146,MYOMECTOMY ABDOM COMPLEX,,,,,0
CPT,58150,TOTAL HYSTERECTOMY,,,,,0
CPT,58260,VAGINAL HYSTERECTOMY,,,,,0
CPT,58262,VAG HYST INCLUDING T/O,,,,,0
CPT,58263,VAG HYST W/T/O & VAG REPAIR,,,,,0
CPT,58300,Placement of iud,1384.0,899.6,138.41,1384.0,43
CPT,58301,Removal intrauterine dev iud,1527.0,992.55,138.41,1527.0,56
CPT,58340,Hysterography cath/inject,1278.0,830.7,173.17,1278.0,43
CPT,58345,Cath fallopian tube surgical,3142.0,2042.3,173.17,4563.62,56
CPT,58345,Cath fallopian tube surgical bil,6284.0,4084.6,173.17,6284.0,56
CPT,58346,Insert heyman uteri capsule,22141.0,14391.65,173.17,22141.0,56
CPT,58350,REOPEN FALLOPIAN TUBE,,,,,0
CPT,58542,LSH W/T/O UT 250 G OR LESS,,,,,0
CPT,58545,LAPAROSCOPIC MYOMECTOMY,,,,,0
CPT,58546,LAPARO-MYOMECTOMY COMPLEX,,,,,0
CPT,58552,LAPARO-VAG HYST INCL T/O,,,,,0
CPT,58554,LAPARO-VAG HYST W/T/O COMPL,,,,,0
CPT,58555,HYSTEROSCOPY DX SEP PROC,,,,,0
CPT,58558,HYSTEROSCOPY BIOPSY,,,,,0
CPT,58561,HYSTEROSCOPY REMOVE MYOMA,,,,,0
CPT,58562,HYSTEROSCOPY REMOVE FB,,,,,0
CPT,58563,HYSTEROSCOPY ABLATION,,,,,0
CPT,58570,TLH UTERUS 250 G OR LESS,,,,,0
CPT,58571,TLH W/T/O 250 G OR LESS,,,,,0
CPT,58573,TLH W/T/O UTERUS OVER 250 G,,,,,0
CPT,58575,LAPS TOT HYST RESJ MAL,,,,,0
CPT,58578,UNLISTED LAPS PX UTERUS,,,,,0
CPT,58580,Uterine fibroid ablate RF,32086.0,20855.9,173.17,32086.0,56
CPT,58660,LAPAROSCOPY LYSIS,,,,,0
CPT,58661,LAPAROSCOPY REMOVE ADNEXA,,,,,0
CPT,58662,LAPAROSCOPY EXCISE LESIONS,,,,,0
CPT,58674,LAPS ABLTJ UTERINE FIBROIDS,,,,,0
CPT,58679,UNLISTED LAPS PX OVIDCT OVRY,,,,,0
CPT,58999,MonaLisa,2267.0,1473.55,211.12,2267.0,55
CPT,59020,Oxytocin stress test fetal,1352.0,878.8,125.24,1352.0,112
CPT,59025,Fetal nonstress test,1026.0,666.9,125.24,1026.0,168
CPT,59120,TREAT ECTOPIC PREGNANCY,,,,,0
CPT,59150,TREAT ECTOPIC PREGNANCY,,,,,0
CPT,59151,TREAT ECTOPIC PREGNANCY,,,,,0
CPT,59160,D & C AFTER DELIVERY,,,,,0
CPT,59812,TREATMENT OF MISCARRIAGE,,,,,0
CPT,59820,CARE OF MISCARRIAGE,,,,,0
CPT,59830,TREAT UTERUS INFECTION,,,,,0
CPT,60100,Thyroid biopsy surgical,1686.0,1095.9,173.17,1686.0,56
CPT,60200,REMOVE THYROID LESION,,,,,0
CPT,60210,PARTIAL THYROID EXCISION,,,,,0
CPT,60212,PARTIAL THYROID EXCISION,,,,,0
CPT,60220,PARTIAL REMOVAL OF THYROID,,,,,0
CPT,60225,PARTIAL REMOVAL OF THYROID,,,,,0
CPT,60240,REMOVAL OF THYROID,,,,,0
CPT,60252,REMOVAL OF THYROID,,,,,0
CPT,60254,EXTENSIVE THYROID SURGERY,,,,,0
CPT,60260,REPEAT THYROID SURGERY,,,,,0
CPT,60271,REMOVAL OF THYROID,,,,,0
CPT,60280,REMOVE THYROID DUCT LESION,,,,,0
CPT,60300,Aspiration-inj thyroid gland,2541.0,1651.65,173.17,2541.0,56
CPT,60500,EXPLORE PARATHYROID GLANDS,,,,,0
CPT,60502,RE-EXPLORE PARATHYROIDS,,,,,0
CPT,60512,AUTOTRANSPLANT PARATHYROID,,,,,0
CPT,60520,REMOVAL OF THYMUS GLAND,,,,,0
CPT,60650,LAPAROSCOPY ADRENALECTOMY,,,,,0
CPT,60660,Ablate thyroid nod w GUI RF,6870.0,4465.5,173.17,6870.0,47
CPT,60661,Ablate thyr ad lobe wGUI RF,4740.0,3081.0,173.17,4740.0,34
CPT,60699,Ablation rf/mw thyroid,24084.0,15654.6,173.17,24084.0,56
CPT,60699,UNLISTED PX ENDOCRINE SYSTEM,12720.0,8268.0,173.17,12720.0,56
CPT,61020,Ventric punc prv burhole woinj,3537.0,2299.05,173.17,3537.0,112
CPT,61026,Ventric punc prv burhole winj,2673.0,1737.45,173.17,2673.0,56
CPT,61050,Cisternal C1C2 punct wo inj,2024.0,1315.6,173.17,2024.0,56
CPT,61055,Cisternal C1C2 punct winj,1928.0,1253.2,173.17,1928.0,56
CPT,61070,BRAIN CANAL SHUNT PROCEDURE,,,,,0
CPT,61623,Temp baln occl head-neck,24584.0,15979.6,173.17,24584.0,56
CPT,61624,Embo-occlu intrcran spinal,16741.0,10881.65,173.17,25843.51,56
CPT,61626,Embo-occlu extrcran surg,36488.0,23717.2,173.17,36488.0,56
CPT,61630,Intracran angioplas,20315.0,13204.75,173.17,20315.0,43
CPT,61635,Intracran angioplas w stnt,16415.0,10669.75,173.17,16415.0,86
CPT,61640,Dilate ic vasospasm init IVN,7214.0,4689.1,173.17,9677.25,43
CPT,61641,Dilate ic vasosp addon sam IVN,2972.0,1931.8,173.17,9677.25,43
CPT,61642,Dilate ic vasospaddon dif IVN,2972.0,1931.8,173.17,9677.25,43
CPT,61645,Perc aterial thromb angio wgui,14441.0,9386.65,173.17,14441.0,43
CPT,61645,Perc aterial thromb angio wgui bil,28883.0,18773.95,173.17,28883.0,43
CPT,61650,Endovas admin rxagent 1st wgui,9713.0,6313.45,173.17,9713.0,43
CPT,61651,Endovas admin rxagent add wgui,9713.0,6313.45,173.17,9713.0,43
CPT,61715,MR image guided hi-intensityUS,152303.0,98996.95,173.17,152303.0,47
CPT,61782,SCAN PROC CRANIAL EXTRA,,,,,0
CPT,61783,SCAN PROC SPINAL,,,,,0
CPT,61867,IMPLANT NEUROELECTRODE,,,,,0
CPT,61868,IMPLANT NEUROELECTRDE ADDL,,,,,0
CPT,61885,INSRT/REDO NEUROSTIM 1 ARRAY,,,,,0
CPT,61886,IMPLANT NEUROSTIM ARRAYS,,,,,0
CPT,61888,REVISE/REMOVE NEURORECEIVER,,,,,0
CPT,62140,CRNOP SKULL DEFECT<5 CM DIAM,,,,,0
CPT,62142,RMVL B1 FLP/PROSTC PLATE SKL,,,,,0
CPT,62252,VP Shunt valve reprogram,724.0,470.6,22.77,724.0,56
CPT,62267,Perc aspir interdiscal Dx,2557.0,1662.05,173.17,2557.0,56
CPT,62269,Bx spinal cord ndl,5230.0,3399.5,173.17,5230.0,56
CPT,62270,Lumbar punct Dx,1403.0,911.95,173.17,1403.0,56
CPT,62270,Spinal punct lum dx,1403.0,911.95,173.17,1403.0,168
CPT,62272,Spinal puncture drang csf,1862.0,1210.3,173.17,1862.0,112
CPT,62281,Epidural injection cerv/thorac,2925.0,1901.25,173.17,2925.0,56
CPT,62282,Inj epidural lumbar sacral,2925.0,1901.25,173.17,2925.0,56
CPT,62284,Inj myelo & CT lumb,646.0,419.9,111.76,646.0,43
CPT,62287,L-spine perc discectomy,18883.0,12273.95,173.17,18883.0,56
CPT,62290,Discogram per level lumbar inj,3417.0,2221.05,173.17,3417.0,43
CPT,62302,Inj myelo & CT cerv not C1-2,3508.0,2280.2,173.17,3508.0,56
CPT,62303,Inj myelo & CT thoracic,3508.0,2280.2,173.17,3508.0,56
CPT,62304,Inj myelo & CT lumbosacral,3508.0,2280.2,173.17,3508.0,56
CPT,62305,Inj myelo & CT 2up regions,3508.0,2280.2,173.17,3508.0,56
CPT,62322,Lumbar sac epidural inj wo gui,3382.0,2198.3,173.17,3382.0,56
CPT,62323,Lumbar sac epidural inj w gui,5329.0,3463.85,173.17,5329.0,56
CPT,62328,Lumbar punct dx w fluoro CT,3625.0,2356.25,173.17,3625.0,168
CPT,62329,Spinal punct thera fluoroCT,3456.0,2246.4,173.17,3456.0,56
CPT,62362,IMPLANT SPINE INFUSION PUMP,,,,,0
CPT,62367,Analys spine inf pump wo repro,1096.0,712.4,87.33,1096.0,56
CPT,62368,Analys spine inf pump w reprog,1018.0,661.7,87.33,1018.0,56
CPT,62369,Analys spine inf pump prgfill,1197.0,778.05,87.33,1197.0,56
CPT,62370,Analys spine pump prgfill w MD,1129.0,733.85,87.33,1129.0,56
CPT,63005,Remove spine lamina 1/2 lmbr,,,,,0
CPT,63030,LAMOT DCMPRN NRV RT 1 LMBR,,,,,0
CPT,63035,LAMOT DCMPRN NRV RT EA ADDL,,,,,0
CPT,63042,LAMINOTOMY SINGLE LUMBAR,,,,,0
CPT,63047,LAM FACETEC & FORAMOT LUMBAR,,,,,0
CPT,63048,LAM FACETEC &FORAMOT EA ADDL,,,,,0
CPT,63052,LAM FACETC/FRMT ARTHRD LUM 1,,,,,0
CPT,63053,LAM FACTC/FRMT ARTHRD LUM EA,,,,,0
CPT,63056,Decompress spinal cord lmbr,,,,,0
CPT,63075,NECK SPINE DISK SURGERY,,,,,0
CPT,63076,NECK SPINE DISK SURGERY,,,,,0
CPT,63650,IMPLANT NEUROELECTRODES,,,,,0
CPT,63655,IMPLANT NEUROELECTRODES,,,,,0
CPT,63685,INS/RPLC SPI NPG/RCVR POCKET,,,,,0
CPT,64400,Inj trigemininal nerve each,714.0,464.1,123.52,714.0,56
CPT,64400,Inj trigemininal nerve each bil,1429.0,928.85,173.17,1429.0,56
CPT,64405,Injs occipit nrv ea branch,1968.0,1279.2,173.17,1968.0,56
CPT,64405,Injs occipit nrv ea branch bil,3937.0,2559.05,173.17,3937.0,56
CPT,64415,Injs occipit nrv ea branch wGUI,2998.0,1948.7,173.17,2998.0,56
CPT,64415,Injs occipit nrv ea branch wGUI bil,5995.0,3896.75,173.17,5995.0,56
CPT,64418,NJX AA&/STRD SPRSCAP NRV,,,,,0
CPT,64420,Inj intercostal sngl level,3146.0,2044.9,173.17,3146.0,56
CPT,64420,Inj intercostal sngl level bil,6292.0,4089.8,173.17,6292.0,56
CPT,64421,Inj intercostal nrv add lvl,3146.0,2044.9,173.17,3146.0,112
CPT,64421,Inj intercostal nrv add lvl bil,6292.0,4089.8,173.17,6292.0,112
CPT,64425,Inj ilioinguin hypog nrv ea,3006.0,1953.9,173.17,3006.0,56
CPT,64425,Inj ilioinguin hypog nrv ea bil,6012.0,3907.8,173.17,6012.0,56
CPT,64430,Inj pudendal nerve ea,3180.0,2067.0,173.17,3180.0,56
CPT,64430,Inj pudendal nerve ea bil,6360.0,4134.0,173.17,6360.0,56
CPT,64445,Inj sciatic nerve sing ea wGUI,3258.0,2117.7,173.17,3258.0,56
CPT,64445,Inj sciatic nerve sing ea wGUI bil,6517.0,4236.05,173.17,6517.0,56
CPT,64447,NJX AA&/STRD FEMORAL NRV IMG,,,,,0
CPT,64450,Inj other periph nerve ea,4306.0,2798.9,173.17,4306.0,112
CPT,64450,Inj other periph nerve ea bil,8611.0,5597.15,173.17,8611.0,112
CPT,64451,Inj sacroiliac jt w GUI uni,3328.0,2163.2,173.17,3328.0,56
CPT,64451,NJX AA&/STRD NRV NRVTG SI JT,6657.0,4327.05,173.17,6657.0,56
CPT,64454,Inj genicular nrv w GUI ea,3328.0,2163.2,173.17,3328.0,56
CPT,64454,Inj genicular nrv w GUI ea bil,6657.0,4327.05,173.17,6657.0,56
CPT,64483,Transfor epi L-S sglv w gui,3366.0,2187.9,173.17,3366.0,168
CPT,64483,Transfor epi ls sg lv bil wgui,6729.0,4373.85,173.17,6729.0,168
CPT,64486,TAP BLOCK UNIL BY INJECTION,,,,,0
CPT,64488,TAP BLOCK BI INJECTION,,,,,0
CPT,64517,Sup hypogastr plxus anest inj,3543.0,2302.95,173.17,3543.0,56
CPT,64520,Block lumbar sympathetic,6526.0,4241.9,173.17,6526.0,56
CPT,64520,Block lumbar sympathetic bil,13053.0,8484.45,173.17,13053.0,56
CPT,64530,Celiac plexus nerve block,1376.0,894.4,173.17,1376.0,56
CPT,64561,IMPLANT NEUROELECTRODES,31926.0,20751.9,173.17,31926.0,56
CPT,64561,Perc impl elctr sacral nrv bil,63850.0,41502.5,173.17,63850.0,56
CPT,64566,Post tib neurost prq ndl elect,1291.0,839.15,173.17,1291.0,56
CPT,64568,OPN IMPLTJ CRNL NRV NEA&PG,,,,,0
CPT,64581,OPN IMPLTJ NEA SACRAL NERVE,,,,,0
CPT,64582,OPN MPLTJ HPGLSL NSTM ARY PG,,,,,0
CPT,64585,REV/RMV PERPH NSTIM ELTRD RA,,,,,0
CPT,64590,INS/RPL PRPH SAC/GSTR NPG/R,,,,,0
CPT,64595,REV/RMV PRPH SAC/GSTR NPG/R,,,,,0
CPT,64611,Chemodener parotid saliv glnd,1403.0,911.95,173.17,1403.0,112
CPT,64612,Chemodener face muscle uni,1379.0,896.35,173.17,1379.0,56
CPT,64612,Chemodener face muscle uni bil,2758.0,1792.7,173.17,2758.0,56
CPT,64615,Chemodener musc migrain bil,1314.0,854.1,173.17,1314.0,56
CPT,64616,Chemodenrv neck musc uni,1379.0,896.35,173.17,1379.0,56
CPT,64616,Chemodenrv neck musc uni bil,2758.0,1792.7,173.17,2758.0,56
CPT,64617,Chemodenrv larynx w emg uni,1314.0,854.1,173.17,1314.0,56
CPT,64617,Chemodenrv larynx w emg uni bil,2629.0,1708.85,173.17,2629.0,56
CPT,64624,Destr genicular nrv wGUI ea,8720.0,5668.0,173.17,8720.0,56
CPT,64624,Destr genicular nrv wGUI ea bil,17439.0,11335.35,173.17,17439.0,56
CPT,64625,RF ablate SI jt nerves w GUI,8633.0,5611.45,173.17,8633.0,56
CPT,64625,RF ablate SI jt nerves w GUI bil,17265.0,11222.25,173.17,17265.0,56
CPT,64633,Paraver fct ct rf sgl w gui,9064.0,5891.6,173.17,9064.0,112
CPT,64633,Paraver fct ct rf sgl wgui bil,24233.0,15751.45,173.17,24233.0,112
CPT,64634,Paraver fct ct rf add w gui,2449.0,1591.85,173.17,2449.0,86
CPT,64634,Paraver fct ct rf add wgui bil,4662.0,3030.3,173.17,4662.0,86
CPT,64635,Paraver fct ls rf sgl w gui,9064.0,5891.6,173.17,9064.0,56
CPT,64635,Paraver fct ls rf sgl wgui bil,26972.0,17531.8,173.17,26972.0,56
CPT,64636,Paraver fct ls rf add w gui,2449.0,1591.85,173.17,2449.0,43
CPT,64636,Paraver fct ls rf add wgui bil,4896.0,3182.4,173.17,4896.0,43
CPT,64640,Peripheral nerve rf sgl w gui,26972.0,17531.8,173.17,26972.0,56
CPT,64640,Peripheral nerve rf sgl w gui bil,53943.0,35062.95,173.17,53943.0,56
CPT,64642,Chemodenrv 1 extrem 1-4musc,2730.0,1774.5,173.17,2730.0,56
CPT,64644,Chemodenrv 1 extrem 5up musc,2730.0,1774.5,173.17,2730.0,56
CPT,64646,Chemodenrv trunk 1-5musc,3041.0,1976.65,173.17,3041.0,112
CPT,64647,Chemodenrv trunk 6up musc,2934.0,1907.1,173.17,2934.0,56
CPT,64650,Chemodener eccrn glnd axill,1339.0,870.35,173.17,1339.0,112
CPT,64653,Chemodener eccrn glnd other,1339.0,870.35,173.17,1339.0,56
CPT,64680,Celiac plexus destruction inj,2279.0,1481.35,173.17,2279.0,56
CPT,64681,Destr sup hypogastric plexus,5047.0,3280.55,173.17,5047.0,56
CPT,64708,Neuroplasty arm leg nerve,8280.0,5382.0,173.17,8280.0,56
CPT,64712,REVISION OF SCIATIC NERVE,,,,,0
CPT,64718,REVISE ULNAR NERVE AT ELBOW,,,,,0
CPT,64721,CARPAL TUNNEL SURGERY,,,,,0
CPT,64722,DECOMPRESSION UNSPEC NERVE,,,,,0
CPT,64772,INCISION OF SPINAL NERVE,,,,,0
CPT,64774,REMOVE SKIN NERVE LESION,,,,,0
CPT,64776,Exc neuro digital nerve,8810.0,5726.5,173.17,8810.0,56
CPT,64788,REMOVE SKIN NERVE LESION,,,,,0
CPT,64790,Exc fibrom lemmoma peri nrv,8810.0,5726.5,173.17,8810.0,56
CPT,64792,REMOVAL OF NERVE LESION,,,,,0
CPT,64795,BIOPSY OF NERVE,,,,,0
CPT,64831,REPAIR OF DIGIT NERVE,,,,,0
CPT,64834,REPAIR OF HAND OR FOOT NERVE,,,,,0
CPT,64840,REPAIR OF LEG NERVE,,,,,0
CPT,64857,REPAIR ARM/LEG NERVE,,,,,0
CPT,64905,NERVE PEDICLE TRANSFER,,,,,0
CPT,64910,NERVE REPAIR W/ALLOGRAFT,,,,,0
CPT,64912,NRV RPR W/NRV ALGRFT 1ST,,,,,0
CPT,64913,NRV RPR W/NRV ALGRFT EA ADDL,,,,,0
CPT,64999,NovoTAL transducer plcmt,6225.0,4046.25,173.17,6225.0,56
CPT,64999,R-joint-aspiration facet joint,1296.0,842.4,173.17,1296.0,56
CPT,65105,REMOVE EYE/ATTACH IMPLANT,,,,,0
CPT,65780,OCULAR RECONST TRANSPLANT,,,,,0
CPT,65800,DRAINAGE OF EYE,,,,,0
CPT,67028,INJECTION EYE DRUG,,,,,0
CPT,67210,TREATMENT OF RETINAL LESION,,,,,0
CPT,67220,TREATMENT OF CHOROID LESION,,,,,0
CPT,67299,UNLISTED PX POSTERIOR SEGMNT,,,,,0
CPT,67515,INJECT/TREAT EYE SOCKET,,,,,0
CPT,67550,INSERT EYE SOCKET IMPLANT,,,,,0
CPT,67810,Inc Bx eyelid skin/ lid marg,336.0,218.4,58.13,447.47,56
CPT,67810,Inc Bx eyelid skin/ lid marg bil,672.0,436.8,116.26,672.0,56
CPT,67840,Remv eyelid lesion,4065.0,2642.25,173.17,4065.0,56
CPT,67840,Remv eyelid lesion bil,8130.0,5284.5,173.17,8130.0,56
CPT,67875,CLOSURE OF EYELID BY SUTURE,,,,,0
CPT,67911,REVISE EYELID DEFECT,,,,,0
CPT,67930,Sut wnd eyelid prt thck,10262.0,6670.3,173.17,10262.0,56
CPT,67930,Sut wnd eyelid prt thck bil,20524.0,13340.6,173.17,20524.0,56
CPT,67935,Sut wnd eyelid full thck,10262.0,6670.3,173.17,10262.0,56
CPT,67935,Sut wnd eyelid full thck bil,20524.0,13340.6,173.17,20524.0,56
CPT,67950,Canthoplasty,9977.0,6485.05,173.17,9977.0,56
CPT,67950,Canthoplasty bil,19953.0,12969.45,173.17,19953.0,56
CPT,69100,Bx external ear,577.0,375.05,99.82,577.0,112
CPT,69110,REMOVE EXTERNAL EAR PARTIAL,,,,,0
CPT,69145,REMOVE EAR CANAL LESION(S),,,,,0
CPT,69210,Rmv impacted cerumen uni,276.0,179.4,47.75,276.0,47
CPT,69436,CREATE EARDRUM OPENING,,,,,0
CPT,69440,EXPLORATION OF MIDDLE EAR,,,,,0
CPT,69706,NPS SURG DILAT EUST TUBE BI,,,,,0
CPT,69990,MICROSURGERY ADD-ON,,,,,0
CPT,70030,X-RAY EYE FOR FOREIGN BODY,628.0,408.2,35.25,628.0,56
CPT,70100,Mandib partial < 4view xr,400.0,260.0,35.25,400.0,56
CPT,70110,Mandib compl min 4 vws XR UC,871.0,566.15,35.25,871.0,112
CPT,70110,Mandib complete min 4view xr,1307.0,849.55,35.25,1307.0,112
CPT,70140,Facial bones less 3 views xr,772.0,501.8,35.25,772.0,56
CPT,70140,Facial bones less 3 vws XR UC,803.0,521.95,35.25,803.0,56
CPT,70150,Facial bones min 3 views XR UC,803.0,521.95,35.25,803.0,112
CPT,70150,Facial bones min 3 views xr,1254.0,815.1,35.25,1254.0,112
CPT,70160,Nasal bones compl min 3 view x,992.0,644.8,35.25,992.0,112
CPT,70160,Nasal bones compl min 3vw x UC,803.0,521.95,35.25,803.0,112
CPT,70200,Orbits compl min 4 vws XR UC,871.0,566.15,35.25,871.0,112
CPT,70200,Orbits compl mini 4 views xr,1415.0,919.75,35.25,1415.0,112
CPT,70210,Sinuses paranas less 3vw XR UC,803.0,521.95,35.25,803.0,112
CPT,70210,Sinuses paranasal less 3 vw xr,573.0,372.45,35.25,573.0,112
CPT,70220,Sinuses paranas min 3vws XR UC,803.0,521.95,35.25,803.0,112
CPT,70220,Sinuses paranasal min 3 vws xr,1393.0,905.45,35.25,1393.0,112
CPT,70250,Skull less than 4 views XR UC,871.0,566.15,35.25,871.0,112
CPT,70250,Skull less than 4 views xr,845.0,549.25,35.25,845.0,112
CPT,70260,Skull compl mini 4 views XR UC,871.0,566.15,35.25,871.0,56
CPT,70260,Skull compl mini 4 views xr,1400.0,910.0,35.25,1400.0,56
CPT,70300,Teeth single view XR,299.0,194.35,35.25,299.0,56
CPT,70310,Teeth partial XR,878.0,570.7,35.25,878.0,56
CPT,70320,Teeth full mouth XR,878.0,570.7,35.25,878.0,56
CPT,70330,TMJ open & clo bilat XR UC,871.0,566.15,35.25,871.0,112
CPT,70330,TMJ open & clo bilat xr,1240.0,806.0,35.25,1240.0,112
CPT,70336,MAGNETIC IMAGE JAW JOINT,5761.0,3744.65,151.97,5761.0,112
CPT,70350,Cephalogram orthodontic,299.0,194.35,35.25,299.0,56
CPT,70355,Mandible panorex xr,615.0,399.75,35.25,615.0,56
CPT,70355,Panoramic XR,299.0,194.35,35.25,299.0,56
CPT,70360,Neck soft tissue XR UC,573.0,372.45,35.25,573.0,112
CPT,70360,Neck soft tissue xr,918.0,596.7,35.25,918.0,112
CPT,70450,CT HEAD/BRAIN W/O DYE,4855.0,3155.75,109.17,5011.0,560
CPT,70460,Brain or head CT w con UC,5620.0,3653.0,173.17,5620.0,56
CPT,70460,CT HEAD/BRAIN W/DYE,5272.0,3426.8,173.17,5272.0,56
CPT,70470,Brain or head CT wwo con UC,7110.0,4621.5,173.17,7110.0,56
CPT,70470,CT HEAD/BRAIN W/O & W/DYE,6670.0,4335.5,173.17,6670.0,56
CPT,70480,CT ORBIT/EAR/FOSSA W/O DYE,5473.0,3557.45,67.49,5473.0,224
CPT,70480,Orbit sella pf ear ct wo c UC,5834.0,3792.1,67.49,5834.0,224
CPT,70481,CT ORBIT/EAR/FOSSA W/DYE,5921.0,3848.65,173.17,5921.0,168
CPT,70481,Orbit sella pf ear ct w con UC,6313.0,4103.45,173.17,6313.0,168
CPT,70482,CT ORBIT/EAR/FOSSA W/O&W/DYE,7273.0,4727.45,173.17,7273.0,56
CPT,70482,Orbit sella pf ear ct wwo c UC,7439.0,4835.35,173.17,7439.0,56
CPT,70486,CT MAXILLOFACIAL W/O DYE,4742.5,3082.625,67.49,4894.0,280
CPT,70487,CT MAXILLOFACIAL W/DYE,5596.5,3637.725,173.17,5775.0,224
CPT,70488,CT MAXILLOFACIAL W/O & W/DYE,5860.5,3809.325,173.17,6047.0,112
CPT,70490,CT SOFT TISSUE NECK W/O DYE,4963.5,3226.275,67.49,5121.0,336
CPT,70491,CT SOFT TISSUE NECK W/DYE,5695.0,3701.75,173.17,5877.0,336
CPT,70492,CT SFT TSUE NCK W/O & W/DYE,6101.5,3965.9750000000004,173.17,6296.0,112
CPT,70496,CT ANGIOGRAPHY HEAD,4061.0,2639.65,173.17,4061.0,224
CPT,70496,Head angio w wo con UC,3764.0,2446.6,173.17,3764.0,224
CPT,70498,CT ANGIOGRAPHY NECK,9058.0,5887.7,173.17,9058.0,168
CPT,70498,Neck angio w wo con UC,9270.0,6025.5,173.17,9270.0,168
CPT,70540,MRI ORBIT/FACE/NECK W/O DYE,5251.0,3413.15,151.97,5251.0,112
CPT,70542,Orbit face neck MRI w con,5900.0,3835.0,173.17,5900.0,56
CPT,70543,Orbit face neck MRI wwo con,6552.0,4258.8,173.17,6552.0,168
CPT,70544,Head MRA wo con,4347.0,2825.55,173.17,4347.0,224
CPT,70545,Head MRA w con,5224.0,3395.6,173.17,5224.0,56
CPT,70546,Head MRA wwo con,6530.0,4244.5,173.17,6530.0,112
CPT,70547,Neck MRA wo con,2841.0,1846.65,173.17,2841.0,168
CPT,70548,Neck MRA w con,3405.0,2213.25,173.17,3405.0,56
CPT,70549,Neck MRA wwo con,4254.0,2765.1,173.17,4254.0,224
CPT,70551,Mri brain stem w/o dye,5337.0,3469.05,75.98,5337.0,336
CPT,70552,Brain & stem MRI w con,6001.0,3900.65,173.17,6001.0,56
CPT,70553,Mri brain stem w/o & w/dye,7569.0,4919.85,173.17,7569.0,280
CPT,70554,Brain functnl MRI by tech,2397.0,1558.05,151.97,2397.0,56
CPT,70554,Brain functnl MRI by tech UC,2620.0,1703.0,151.97,2620.0,56
CPT,70555,Brain functnl MRI by MD,2397.0,1558.05,151.97,2397.0,56
CPT,70555,Brain functnl MRI by md UC,2620.0,1703.0,151.97,2620.0,56
CPT,70557,Brain MRI open proc wo con,2397.0,1558.05,151.97,2397.0,56
CPT,70558,Brain MRI open proc w con,2583.0,1678.95,173.17,2583.0,56
CPT,70559,Brain MRI open proc w wo con,3426.0,2226.9,173.17,3426.0,56
CPT,71045,Chest XR 1 views,644.0,418.6,35.25,644.0,224
CPT,71045,Chest XR 1 views UC,413.0,268.45,35.25,413.0,224
CPT,71046,Chest XR 2 views,765.0,497.25,35.25,765.0,336
CPT,71046,Chest XR 2 views UC,474.0,308.1,35.25,474.0,336
CPT,71047,Chest XR 3 views,1049.0,681.85,35.25,1049.0,56
CPT,71047,Chest XR 3 views UC,802.0,521.3,35.25,802.0,56
CPT,71048,Chest XR 4 views or more,1393.0,905.45,35.25,1393.0,56
CPT,71048,Chest XR 4 views or more UC,871.0,566.15,35.25,871.0,56
CPT,71100,Ribs uni 2 views XR UC,744.0,483.6,35.25,744.0,112
CPT,71100,Ribs uni 2 views xr,1133.0,736.45,35.25,1133.0,112
CPT,71101,Ribs uni w chest min 3vw XR UC,803.0,521.95,35.25,803.0,168
CPT,71101,Ribs uni w chest min 3vw xr,1264.0,821.6,35.25,1264.0,168
CPT,71110,Ribs bil 3 views XR UC,803.0,521.95,35.25,803.0,112
CPT,71110,Ribs bil 3 views xr,1397.0,908.05,35.25,1397.0,112
CPT,71111,Ribs bil w chest min 4 view xr,1356.0,881.4,35.25,1356.0,112
CPT,71111,Ribs bil w chest min 4vw XR UC,871.0,566.15,35.25,871.0,112
CPT,71120,X-ray exam breastbone 2/>vws,855.0,555.75,17.62,966.0,336
CPT,71130,Sternoclavicu jts min 3v XR UC,803.0,521.95,35.25,803.0,56
CPT,71130,Sternoclavicular jts min 3v xr,487.0,316.55,35.25,487.0,56
CPT,71250,CT THORAX DX C-,4483.0,2913.95,67.49,4483.0,336
CPT,71250,Chest CT wo con UC,4778.0,3105.7,67.49,4778.0,336
CPT,71260,CT THORAX DX C+,5719.5,3717.675,173.17,5902.0,448
CPT,71270,CT THORAX DX C-/C+,5824.0,3785.6,173.17,5824.0,112
CPT,71270,Chest CT w wo con UC,5958.0,3872.7,173.17,5958.0,112
CPT,71271,CT THORAX LUNG CANCER SCR C-,658.0,427.7,67.49,658.0,158
CPT,71275,CT ANGIOGRAPHY CHEST,7271.0,4726.15,173.17,7271.0,168
CPT,71275,Chest angio CT w wo con UC,7750.0,5037.5,173.17,7750.0,168
CPT,71550,MRI CHEST W/O DYE,5533.0,3596.45,151.97,5533.0,56
CPT,71551,Chest MRI w con,5626.0,3656.9,173.17,5626.0,56
CPT,71552,Chest MRI wwo con,7002.0,4551.3,173.17,7002.0,56
CPT,71555,MRI ANGIO CHEST W OR W/O DYE,5059.0,3288.35,173.17,5569.0,129
CPT,72020,X-ray exam of spine 1 view,659.5,428.67499999999995,35.25,746.0,112
CPT,72040,Cerv spine 2 or 3 views XR,1020.0,663.0,35.25,1020.0,112
CPT,72040,Cerv spine 2 or 3 views XR UC,803.0,521.95,35.25,803.0,112
CPT,72050,Cerv spine 4 or 5 views xr,1354.0,880.1,35.25,1354.0,56
CPT,72050,Cerv spine 4 or 5 vws XR UC,871.0,566.15,35.25,871.0,56
CPT,72052,Cerv spine 6 or more views UC,960.0,624.0,35.25,960.0,112
CPT,72052,Cerv spine 6 or more views xr,1530.0,994.5,35.25,1530.0,112
CPT,72070,Thoracic spine 2 views XR UC,744.0,483.6,35.25,744.0,112
CPT,72070,Thoracic spine 2 views xr,1115.0,724.75,35.25,1115.0,112
CPT,72072,Thoracic spine 3 views XR UC,803.0,521.95,35.25,803.0,112
CPT,72072,Thoracic spine 3 views xr,1137.0,739.05,35.25,1137.0,112
CPT,72080,XR thorocolumbar spine 2vws,298.0,193.7,35.25,298.0,56
CPT,72082,Scoliosi tot spin 2-3vw XR,667.0,433.55,35.25,667.0,56
CPT,72082,Scoliosi tot spin 2-3vw xruc,457.0,297.05,35.25,457.0,56
CPT,72083,Scoliosi tot spin 4-5vw xr,1273.0,827.45,35.25,1273.0,56
CPT,72083,Scoliosi tot spin 4-5vw xruc,871.0,566.15,35.25,871.0,56
CPT,72084,Scolios tot spin min6vw xr,1273.0,827.45,35.25,1273.0,56
CPT,72084,Scolios tot spin min6vw xruc,871.0,566.15,35.25,871.0,56
CPT,72100,Lumb spine 2-3 view XR UC,803.0,521.95,35.25,803.0,112
CPT,72100,Lumbar spine 2-3 view xr,1064.0,691.6,35.25,1064.0,112
CPT,72110,Lumb spine mini 4 view XR UC,871.0,566.15,35.25,871.0,56
CPT,72110,Lumbar spine mini 4 view xr,1723.0,1119.95,35.25,1723.0,56
CPT,72114,Lumb spine bend min 6 vw XR UC,871.0,566.15,35.25,871.0,56
CPT,72114,Lumb spine bend min 6 vw xr,1901.0,1235.65,35.25,1901.0,56
CPT,72120,Lumb spine bend 2 or 3vw XR UC,871.0,566.15,35.25,871.0,56
CPT,72120,Lumb spine bend 2 or 3vw xr,703.0,456.95,35.25,703.0,56
CPT,72125,CT NECK SPINE W/O DYE,5396.0,3507.3999999999996,67.49,5568.0,336
CPT,72126,CT NECK SPINE W/DYE,5157.0,3352.05,173.17,5321.0,112
CPT,72127,CT NECK SPINE W/O & W/DYE,6609.0,4295.85,173.17,6820.0,112
CPT,72128,CT CHEST SPINE W/O DYE,4789.0,3112.85,67.49,4943.0,224
CPT,72129,CT CHEST SPINE W/DYE,4829.5,3139.175,173.17,4884.0,224
CPT,72130,CT CHEST SPINE W/O & W/DYE,5514.0,3584.1000000000004,173.17,5576.0,224
CPT,72131,CT LUMBAR SPINE W/O DYE,5050.0,3282.5,67.49,5050.0,112
CPT,72131,Lumb spine ct wo con & rec UC,5384.0,3499.6,67.49,5384.0,112
CPT,72132,CT LUMBAR SPINE W/DYE,5578.0,3625.7,173.17,5578.0,56
CPT,72132,Lumb spine ct w con & rec UC,5708.0,3710.2,173.17,5708.0,56
CPT,72133,CT LUMBAR SPINE W/O & W/DYE,6562.0,4265.3,173.17,6562.0,56
CPT,72133,Lumb spine ct wwo con & rec UC,6714.0,4364.1,173.17,6714.0,56
CPT,72141,MRI NECK SPINE W/O DYE,5864.0,3811.6,75.98,5864.0,224
CPT,72142,Cerv spine MRI w con,6078.0,3950.7,173.17,6078.0,56
CPT,72146,MRI CHEST SPINE W/O DYE,5808.0,3775.2,151.97,5808.0,224
CPT,72147,Thoracic spine MRI w con,6343.0,4122.95,173.17,6343.0,56
CPT,72148,MRI LUMBAR SPINE W/O DYE,5808.0,3775.2,75.98,5808.0,224
CPT,72149,Lumbar spine MRI w con,6198.0,4028.7,173.17,6198.0,56
CPT,72156,MRI NECK SPINE W/O & W/DYE,7352.0,4778.8,173.17,7352.0,224
CPT,72157,MRI CHEST SPINE W/O & W/DYE,7434.0,4832.1,173.17,7434.0,168
CPT,72158,MRI LUMBAR SPINE W/O & W/DYE,7456.0,4846.4,173.17,7456.0,168
CPT,72159,Spinal canal MRA w con,5069.0,3294.85,173.17,5069.0,43
CPT,72159,Spinal canal MRA wo con,3380.0,2197.0,173.17,3380.0,43
CPT,72159,Spinal canal MRA wwo con,6761.0,4394.65,173.17,6761.0,43
CPT,72159,Spinal canal mra w con UC,5329.0,3463.85,173.17,5329.0,43
CPT,72159,Spinal canal mra w wo con UC,7388.0,4802.2,173.17,7388.0,43
CPT,72159,Spinal canal mra wo con UC,3554.0,2310.1,173.17,3554.0,43
CPT,72170,Pelvis 1-2 views XR UC,744.0,483.6,35.25,744.0,168
CPT,72170,Pelvis 1-2 views xr,1001.0,650.65,35.25,1001.0,168
CPT,72190,Pelvis complt min 3 vws XR UC,803.0,521.95,35.25,803.0,112
CPT,72190,Pelvis complt mini 3 views xr,1291.0,839.15,35.25,1291.0,112
CPT,72191,CT ANGIOGRAPH PELV W/O&W/DYE,3673.0,2387.45,173.17,3673.0,112
CPT,72191,Pelvis angio CT w wo con UC,3758.0,2442.7,173.17,3758.0,112
CPT,72192,CT PELVIS W/O DYE,4838.5,3145.0249999999996,67.49,4994.0,448
CPT,72193,CT PELVIS W/DYE,5371.5,3491.4750000000004,173.17,5542.0,224
CPT,72194,CT PELVIS W/O & W/DYE,5873.0,3817.45,173.17,6060.0,112
CPT,72195,MRI PELVIS W/O DYE,4999.0,3249.35,75.98,4999.0,168
CPT,72196,Pelvis MRI w con,5268.0,3424.2,173.17,5268.0,56
CPT,72197,Pelvis MRI wwo con,5545.0,3604.25,173.17,5545.0,224
CPT,72198,Pelvis MRA w con,5146.0,3344.9,173.17,5146.0,43
CPT,72198,Pelvis MRA wo con,4754.0,3090.1,173.17,4754.0,43
CPT,72198,Pelvis MRA wwo con,5261.0,3419.65,173.17,5261.0,43
CPT,72202,Si joints 3 or more views xr,1178.0,765.7,35.25,1178.0,112
CPT,72202,Si joints 3 or more vws XR UC,803.0,521.95,35.25,803.0,112
CPT,72220,Sacrum & coccyx min 2 vws xr,1004.0,652.6,35.25,1004.0,112
CPT,72220,Sacrum & coccyx min 2vws XR UC,744.0,483.6,35.25,744.0,112
CPT,72240,Myelogram cervical xr,3831.0,2490.15,173.17,3831.0,112
CPT,72255,Myelogram thoracic xr,2958.0,1922.7,173.17,2958.0,56
CPT,72265,Myelogram lumbar xr,3770.0,2450.5,173.17,3770.0,112
CPT,72270,Myelogram 2 or more region xr,4332.0,2815.8,173.17,4332.0,112
CPT,72285,Discography cerv/thor spine,4824.5,3135.925,173.17,5000.0,112
CPT,72295,Discography lumbar,5250.0,3412.5,173.17,5250.0,56
CPT,72295,Discography lumbar addl lev,4649.0,3021.85,173.17,4649.0,56
CPT,73000,X-RAY EXAM OF COLLAR BONE,719.0,467.35,35.25,865.0,112
CPT,73010,X-RAY EXAM OF SHOULDER BLADE,757.0,492.04999999999995,35.25,941.0,112
CPT,73020,X-RAY EXAM OF SHOULDER,624.0,405.6,35.25,675.0,448
CPT,73030,X-RAY EXAM OF SHOULDER,868.0,564.2,35.25,992.0,336
CPT,73040,CONTRAST X-RAY OF SHOULDER,1777.0,1155.05,73.69,1777.0,56
CPT,73050,AC joints bil w or wo weights,584.0,379.6,35.25,584.0,56
CPT,73050,Ac jnts bil w or wo weights UC,744.0,483.6,35.25,744.0,56
CPT,73060,X-RAY EXAM OF HUMERUS,819.0,532.35,35.25,894.0,224
CPT,73070,X-RAY EXAM OF ELBOW,709.5,461.175,35.25,744.0,224
CPT,73080,X-RAY EXAM OF ELBOW,861.5,559.975,35.25,920.0,112
CPT,73085,CONTRAST X-RAY OF ELBOW,1231.0,800.15,73.69,1231.0,56
CPT,73090,X-RAY EXAM OF FOREARM,803.0,521.95,35.25,862.0,224
CPT,73092,X-RAY EXAM OF ARM INFANT,658.5,428.025,35.25,744.0,112
CPT,73100,X-RAY EXAM OF WRIST,708.5,460.525,35.25,744.0,224
CPT,73110,X-RAY EXAM OF WRIST,894.0,581.1,35.25,985.0,336
CPT,73115,CONTRAST X-RAY OF WRIST,1448.0,941.2,73.69,1448.0,56
CPT,73120,X-RAY EXAM OF HAND,683.5,444.275,35.25,744.0,336
CPT,73130,X-RAY EXAM OF HAND,848.0,551.2,35.25,893.0,224
CPT,73140,X-RAY EXAM OF FINGER(S),735.5,478.07500000000005,35.25,744.0,224
CPT,73200,CT UPPER EXTREMITY W/O DYE,3741.5,2431.9750000000004,67.49,3861.0,112
CPT,73201,CT UPPER EXTREMITY W/DYE,4205.0,2733.25,173.17,4254.0,112
CPT,73202,CT UPPR EXTREMITY W/O&W/DYE,4688.5,3047.5249999999996,173.17,4744.0,112
CPT,73206,CT ANGIO UPR EXTRM W/O&W/DYE,4730.0,3074.5,173.17,4744.0,112
CPT,73218,MRI UPPER EXTREMITY W/O DYE,4270.0,2775.5,151.97,4270.0,112
CPT,73219,MRI UPPER EXTREMITY W/DYE,4910.0,3191.5,173.17,4910.0,56
CPT,73220,MRI UPPR EXTREMITY W/O&W/DYE,5705.0,3708.25,173.17,5705.0,56
CPT,73221,MRI JOINT UPR EXTREM W/O DYE,5085.0,3305.25,151.97,5085.0,112
CPT,73222,MRI JOINT UPR EXTREM W/DYE,5912.0,3842.8,173.17,5912.0,56
CPT,73223,MRI JOINT UPR EXTR W/O&W/DYE,6900.0,4485.0,173.17,6900.0,112
CPT,73225,Ext upper MRA bil wwo con,10781.0,7007.65,173.17,10781.0,43
CPT,73225,MR ANGIO UPR EXTR W/O&W/DYE,4606.0,2993.9,173.17,5529.0,129
CPT,73501,Hip uni w wo pel 1 view xr,638.0,414.7,35.25,638.0,168
CPT,73501,Hip uni w wo pel 1 view xr uc,533.0,346.45,35.25,533.0,168
CPT,73502,Hip uni w wo pel 2-3 view xr,1026.0,666.9,35.25,1026.0,112
CPT,73502,Hip uni w wo pel 2-3view xr uc,744.0,483.6,35.25,744.0,112
CPT,73503,Hip uni w wo pelv min4 vw xruc,744.0,483.6,35.25,744.0,112
CPT,73503,Hip uni w wo pelv min4 vws xr,1377.0,895.05,35.25,1377.0,112
CPT,73521,Hips bil w wo pel 2 vws xr,1275.0,828.75,35.25,1275.0,112
CPT,73521,Hips bil w wo pel 2 vws xr uc,1067.0,693.55,35.25,1067.0,112
CPT,73522,Hip bil w wo pel 3-4 view xr,2053.0,1334.45,35.25,2053.0,112
CPT,73522,Hip bil w wo pel 3-4 vw xr uc,1488.0,967.2,35.25,1488.0,112
CPT,73523,Hip bil w wo pel min5 view xr,2921.0,1898.65,35.25,2921.0,112
CPT,73523,Hip bil w wo pel min5 vw xr uc,1830.0,1189.5,35.25,1830.0,112
CPT,73525,CONTRAST X-RAY OF HIP,1629.0,1058.85,73.69,1629.0,56
CPT,73551,X-RAY EXAM OF FEMUR 1,674.5,438.42499999999995,35.25,776.0,112
CPT,73552,X-RAY EXAM OF FEMUR 2/>,855.0,555.75,35.25,966.0,224
CPT,73560,X-RAY EXAM OF KNEE 1 OR 2,726.5,472.225,35.25,744.0,336
CPT,73562,X-RAY EXAM OF KNEE 3,834.5,542.425,35.25,866.0,224
CPT,73564,X-RAY EXAM KNEE 4 OR MORE,945.0,614.25,35.25,1019.0,224
CPT,73565,Knee bil standing XR UC,871.0,566.15,35.25,871.0,112
CPT,73565,Knee bil standing xr,960.0,624.0,35.25,960.0,112
CPT,73580,CONTRAST X-RAY OF KNEE JOINT,1874.0,1218.1,73.69,1874.0,56
CPT,73590,X-RAY EXAM OF LOWER LEG,820.5,533.325,35.25,897.0,224
CPT,73592,X-RAY EXAM OF LEG INFANT,497.5,323.375,35.25,744.0,112
CPT,73600,X-RAY EXAM OF ANKLE,690.0,448.5,35.25,744.0,224
CPT,73610,X-RAY EXAM OF ANKLE,862.5,560.625,35.25,922.0,224
CPT,73615,CONTRAST X-RAY OF ANKLE,942.0,612.3,73.69,942.0,56
CPT,73620,X-RAY EXAM OF FOOT,706.5,459.225,35.25,744.0,224
CPT,73630,X-RAY EXAM OF FOOT,863.5,561.2750000000001,35.25,924.0,224
CPT,73650,X-RAY EXAM OF HEEL,751.0,488.15,35.25,758.0,224
CPT,73660,X-RAY EXAM OF TOE(S),723.5,470.275,35.25,744.0,112
CPT,73700,CT LOWER EXTREMITY W/O DYE,3642.5,2367.625,67.49,3728.0,112
CPT,73701,CT LOWER EXTREMITY W/DYE,4080.5,2652.325,173.17,4127.0,112
CPT,73702,CT LWR EXTREMITY W/O&W/DYE,4609.0,2995.8500000000004,173.17,4661.0,112
CPT,73706,CT ANGIO LWR EXTR W/O&W/DYE,5861.5,3809.975,173.17,5929.0,112
CPT,73718,MRI LOWER EXTREMITY W/O DYE,4551.0,2958.15,151.97,4551.0,112
CPT,73719,MRI LOWER EXTREMITY W/DYE,4741.0,3081.65,173.17,4741.0,56
CPT,73720,MRI LWR EXTREMITY W/O&W/DYE,5508.0,3580.2,173.17,5508.0,112
CPT,73721,MRI JNT OF LWR EXTRE W/O DYE,5526.0,3591.9,151.97,5526.0,112
CPT,73722,MRI JOINT OF LWR EXTR W/DYE,6812.0,4427.8,173.17,6812.0,56
CPT,73723,MRI JOINT LWR EXTR W/O&W/DYE,8768.0,5699.2,173.17,8768.0,56
CPT,73725,MR ANG LWR EXT W OR W/O DYE,4606.0,2993.9,173.17,5529.0,129
CPT,74018,Abdomen 1 view XR,886.0,575.9,35.25,886.0,168
CPT,74018,Abdomen 1 view XR UC,573.0,372.45,35.25,573.0,168
CPT,74019,Abdomen 2 view XR,985.0,640.25,35.25,985.0,56
CPT,74019,Abdomen 2 view XR UC,803.0,521.95,35.25,803.0,56
CPT,74021,Abdomen 3 or more view XR,1038.0,674.7,35.25,1038.0,112
CPT,74021,Abdomen 3 or more view XR UC,871.0,566.15,35.25,871.0,112
CPT,74022,Abd 2+vw 1vw chst acute compUC,573.0,372.45,35.25,573.0,56
CPT,74022,Abd 2+vw 1vw chst acute compxr,1171.0,761.15,35.25,1171.0,56
CPT,74150,Abd CT wo con UC,5241.0,3406.65,67.49,5241.0,168
CPT,74150,CT ABDOMEN W/O CONTRAST,4915.0,3194.75,67.49,4915.0,168
CPT,74160,Abd CT w con UC,5480.0,3562.0,173.17,5480.0,224
CPT,74160,CT ABDOMEN W/CONTRAST,5141.0,3341.65,173.17,5141.0,224
CPT,74170,Abd CT w wo con UC,6821.0,4433.65,173.17,6821.0,112
CPT,74170,CT ABD WO CNTRST FLWD CNTRST,6075.0,3948.75,173.17,6075.0,112
CPT,74174,Abd pelv CTA scan wwo con UC,10232.0,6650.8,173.17,10232.0,168
CPT,74174,CTA ABD&PLVS W/CONTRAST,9110.0,5921.5,173.17,9110.0,168
CPT,74175,Abd angio CT w wo con UC,3936.0,2558.4,173.17,3936.0,112
CPT,74175,CTA ABDOMEN W/CONTRAST,3650.0,2372.5,173.17,3650.0,112
CPT,74176,Abd pelvis CT scans wo con UC,9568.0,6219.2,173.17,9568.0,336
CPT,74176,CT ABD & PELVIS W/O CONTRAST,8519.0,5537.35,173.17,8519.0,336
CPT,74177,Abd pelvis CT scans w con UC,10307.0,6699.55,173.17,10307.0,336
CPT,74177,CT ABD & PELVIS W/CONTRAST,9176.0,5964.4,173.17,9176.0,336
CPT,74178,Abd pelvis CT scans wwo con UC,12048.0,7831.2,173.17,12048.0,168
CPT,74178,CT ABD&PLV WO CNTR FLWD CNTR,10726.0,6971.9,173.17,10726.0,168
CPT,74181,MRI ABDOMEN W/O CONTRAST,5612.0,3647.8,75.98,5612.0,224
CPT,74182,Abd MRI w con,5793.0,3765.45,173.17,5793.0,56
CPT,74183,Abd MRI w wo con,6175.0,4013.75,173.17,6175.0,168
CPT,74185,MRA ABD W OR W/O CNTRST,5352.0,3478.8,173.17,6417.0,129
CPT,74190,Peritoneum w air/cont xr,1348.0,876.2,73.69,1348.0,56
CPT,74210,Phary cerv eso scout con xr,604.0,392.6,35.25,604.0,56
CPT,74220,Esophagram w scout sgl con xr,1269.0,824.85,35.25,1269.0,56
CPT,74221,Esophagram w scout dbl con XR,1269.0,824.85,73.69,1269.0,56
CPT,74230,Swallow funct vid scout con,1352.0,878.8,73.69,1352.0,112
CPT,74240,UGI w scout sgl con xr,1816.0,1180.4,73.69,1816.0,56
CPT,74246,UGI w scout dbl con xr,1960.0,1274.0,73.69,1960.0,56
CPT,74248,Small intestine follow thru ad,1588.0,1032.2,73.69,1588.0,43
CPT,74250,Small bowel w scout sgl con,1588.0,1032.2,73.69,1588.0,56
CPT,74251,Small bowel w scout dbl con,1845.0,1199.25,73.69,1845.0,56
CPT,74261,CT COLONOGRAPHY DX,1186.0,770.9,67.49,1186.0,56
CPT,74261,Colonography CT dx wo con UC,1154.0,750.1,67.49,1154.0,56
CPT,74262,CT COLONOGRAPHY DX W/DYE,1808.0,1175.2,173.17,1808.0,56
CPT,74262,Colonography CT dx w wo con UC,1760.0,1144.0,173.17,1760.0,56
CPT,74270,Colon exam w scout sgl con,1922.0,1249.3,73.69,1922.0,56
CPT,74280,Colon xr w scout dbl con,2619.0,1702.35,73.69,2619.0,56
CPT,74283,Barium enema w gastro hypaque,2619.0,1702.35,73.69,2619.0,56
CPT,74290,Cholecystogram w oral con xr,894.0,581.1,73.69,894.0,56
CPT,74300,Choli & or panc intraop 1st,1765.0,1147.25,129.63,1765.0,43
CPT,74301,Choli & or panc intraop addl,809.0,525.85,129.63,809.0,43
CPT,74328,ERCP biliary duct xr,1648.0,1071.2,129.63,1648.0,43
CPT,74329,ERCP pancreatic duct xr,1648.0,1071.2,129.63,1648.0,43
CPT,74330,ERCP bili pancreatic ducts xr,2523.0,1639.95,129.63,2523.0,43
CPT,74340,Intro GI tube xr,1181.0,767.65,129.63,1181.0,43
CPT,74355,Enteroclysis tube placement xr,2194.0,1426.1,129.63,2194.0,43
CPT,74360,Esophageal dilation rad,7743.0,5032.95,129.63,7743.0,43
CPT,74363,Biliary dilitation w/wo stent,9024.0,5865.6,129.63,9024.0,43
CPT,74400,IVP w or wo KUB w or wo tomo,2179.0,1416.35,73.69,2179.0,56
CPT,74410,IVP drip and or bolus xr,2616.0,1700.4,73.69,2616.0,56
CPT,74415,IVP drip and or bolu w tomo xr,2336.0,1518.4,73.69,2336.0,56
CPT,74420,Urogram retrogr w or wo KUB xr,1745.0,1134.25,73.69,1745.0,56
CPT,74425,Urography antegrad w radS&I xr,4138.0,2689.7,73.69,4138.0,112
CPT,74430,Cystogram mini 3 views xr,1259.0,818.35,73.69,1259.0,56
CPT,74445,Corpara cavernosography,943.0,612.95,73.69,943.0,56
CPT,74450,X-RAY URETHRA/BLADDER,1699.0,1104.35,73.69,1699.0,56
CPT,74455,Urethrocystogram voiding xr,1610.0,1046.5,73.69,1610.0,56
CPT,74470,Renal cyst rad,6327.0,4112.55,73.69,6327.0,56
CPT,74485,Neph tract/ureteral/uretheral,5852.0,3803.8,129.63,5852.0,56
CPT,74712,MRI fetal sngl/1st gestation,4999.0,3249.35,151.97,4999.0,56
CPT,74713,MRI fetal sngl/ea add gest,4999.0,3249.35,151.97,4999.0,43
CPT,74740,X-RAY FEMALE GENITAL TRACT,1730.0,1124.5,73.69,1730.0,56
CPT,74742,Fallopian tube recan rad,10767.0,6998.55,129.63,10767.0,43
CPT,75557,Cardiac MRI morp func wo con,2143.0,1392.95,151.97,2143.0,56
CPT,75559,Cardiac MRI w stress wo con,2143.0,1392.95,151.97,2143.0,56
CPT,75561,Cardiac MRI morp func wwo con,3280.0,2132.0,173.17,3280.0,56
CPT,75563,Cardiac MRI w stress wwo con,3280.0,2132.0,173.17,3280.0,56
CPT,75565,Cardiac MRI veloc flow mapping,1034.0,672.1,151.97,1034.0,43
CPT,75571,CT HRT W/O DYE W/CA TEST,1943.0,1262.95,67.49,1943.0,168
CPT,75572,CT HRT W/3D IMAGE,2328.0,1513.2,173.17,2328.0,112
CPT,75573,CT HRT C+ STRUX CGEN HRT DS,1873.0,1217.45,173.17,1873.0,56
CPT,75574,CT ANGIO HRT W/3D IMAGE,3236.0,2103.4,173.17,3236.0,168
CPT,75580,Estimate coron FFR noninva CTA,4439.0,2885.35,173.17,4439.0,56
CPT,75600,Thoracic aorta angio wo serial,5743.0,3732.95,173.17,5743.0,56
CPT,75605,Contrast exam thoracic aorta,6891.0,4479.15,173.17,7844.68,56
CPT,75625,Angio abdominal aorta rad,4883.0,3173.95,173.17,4883.0,112
CPT,75625,Angiography renal w cath,13628.0,8858.2,173.17,13628.0,112
CPT,75630,Aorto peripheral angio rad,8927.0,5802.55,173.17,8927.0,112
CPT,75635,Abd aorta runoff CTA w wo c UC,3936.0,2558.4,173.17,3936.0,112
CPT,75635,CT ANGIO ABDOMINAL ARTERIES,3846.0,2499.9,173.17,3846.0,112
CPT,75705,Spinal angio select rad,12508.0,8130.2,173.17,12508.0,168
CPT,75710,ARTERY X-RAYS ARM/LEG,10095.0,6561.75,173.17,10095.0,224
CPT,75710,Angio iliac fem uni w cath,15456.0,10046.4,173.17,15456.0,56
CPT,75716,Angio extremity bilat rad,10095.0,6561.75,173.17,10095.0,112
CPT,75716,Angio iliac fem bil w cath,30912.0,20092.8,173.17,30912.0,56
CPT,75726,Visceral selective angio rad,9176.0,5964.4,173.17,9176.0,224
CPT,75731,Adrenal angio unilat rad,6445.0,4189.25,173.17,6445.0,56
CPT,75733,Adrenal angio bilateral rad,7203.0,4681.95,173.17,7203.0,56
CPT,75736,Pelvic angio rad,7390.0,4803.5,173.17,7844.68,224
CPT,75741,Pulmonary angio unilat rad,11891.0,7729.15,173.17,11891.0,112
CPT,75743,Pulmonary angio bilateral rad,11289.0,7337.85,173.17,11289.0,112
CPT,75746,Pulmonary angio non-selective,7021.0,4563.65,173.17,7021.0,56
CPT,75756,Internal mammary angio rad,9648.0,6271.2,173.17,9648.0,56
CPT,75774,Addl vessel angio rad,2493.0,1620.45,173.17,3246.58,172
CPT,75801,Lymphangiogram ext uni xr,4053.0,2634.45,173.17,4053.0,56
CPT,75803,Lymphangiogram extremity bilat,4943.0,3212.95,173.17,4943.0,56
CPT,75805,Lymphangiogram pel/abd uni,4053.0,2634.45,173.17,4451.34,56
CPT,75807,Lymphangiogram pel/abd bilat r,8725.0,5671.25,173.17,8725.0,56
CPT,75809,Nonvascular shunt xr,766.0,497.9,73.69,766.0,56
CPT,75810,Splenoportagram rad,3980.0,2587.0,173.17,4451.34,56
CPT,75820,Venogram extremity uni rad,4252.0,2763.8,173.17,4252.0,112
CPT,75822,Venogram extremity bilat rad,6119.0,3977.35,173.17,6119.0,168
CPT,75825,Inferior venacavagram rad,10095.0,6561.75,173.17,10095.0,168
CPT,75827,Superior venacavagram rad,2741.0,1781.65,173.17,2741.0,56
CPT,75831,Venogram renal unilat rad,10095.0,6561.75,173.17,10095.0,56
CPT,75833,Venogram renal bilateral rad,10095.0,6561.75,173.17,10095.0,56
CPT,75840,Venogram adrenal unilat rad,4961.0,3224.65,173.17,4961.0,56
CPT,75842,Venogram adrenal bilateral rad,5354.0,3480.1,173.17,5354.0,43
CPT,75860,Venogram sinus-jugular rad,10095.0,6561.75,173.17,10095.0,56
CPT,75870,Venogram sup sag sinus rad,2643.0,1717.95,173.17,4451.34,112
CPT,75872,Epidural venogram rad,8116.0,5275.4,173.17,8116.0,56
CPT,75880,Venogram orbital rad,3755.0,2440.75,173.17,3755.0,56
CPT,75885,Transhepatic portogram w/hemo,10095.0,6561.75,173.17,10095.0,56
CPT,75887,Transhepatic portogram w/o hem,10095.0,6561.75,173.17,10095.0,168
CPT,75889,Hepatic venogram w/pressure ra,10095.0,6561.75,173.17,10095.0,112
CPT,75891,Hepatic venogram no pressure r,10095.0,6561.75,173.17,10095.0,56
CPT,75893,Venous sampling,7492.0,4869.8,173.17,7844.68,224
CPT,75894,X-RAYS TRANSCATH THERAPY,10711.0,6962.15,129.63,10711.0,43
CPT,75898,Angio exis cath emb/inf,3397.0,2208.05,173.17,4451.34,112
CPT,75901,Mech remv CV dev obstruct w xr,736.0,478.4,127.33,736.0,43
CPT,75902,Mech remv CV lum obstruct w xr,760.0,494.0,129.63,760.0,43
CPT,75956,Endovasc thor ao repr w sb xr,3681.0,2392.65,129.63,3681.0,43
CPT,75957,Endovasc thor ao repr wo sb xr,3151.0,2048.15,129.63,3151.0,43
CPT,75958,Place prox ext thor ao xr,2104.0,1367.6,129.63,2104.0,43
CPT,75959,Place dist ext thor ao xr,1838.0,1194.7,129.63,1838.0,43
CPT,75970,Transcath biopsy rad supv,14437.0,9384.05,129.63,14437.0,43
CPT,75984,Non vascular cath exch wcon,4691.0,3049.15,129.63,4691.0,86
CPT,75989,ABSCESS DRAINAGE UNDER X-RAY,5374.0,3493.1,129.63,5374.0,129
CPT,76000,FLUOROSCOPY <1 HR PHYS/QHP,1344.0,873.6,73.69,1344.0,112
CPT,76010,Foreign body pedi 1 view XR UC,573.0,372.45,35.25,573.0,56
CPT,76010,Foreign body pedi 1 view xr,511.0,332.15,35.25,511.0,56
CPT,76014,MRI safety init pln 15m,104.0,67.6,17.99,173.17,47
CPT,76015,MRI safety init pln ea add 30m,104.0,67.6,17.99,173.17,34
CPT,76016,MRI safety prof review & determ,373.0,242.45,64.53,373.0,47
CPT,76017,MRI safety med phys exam param,1025.0,666.25,173.17,1025.0,47
CPT,76018,MRI safety prep electronic dev,389.0,252.85,67.3,389.0,47
CPT,76019,MRI safety implant pos-imbol,252.0,163.8,43.6,252.0,47
CPT,76080,Absc fistulat sinus tract xr,1984.0,1289.6,73.69,1984.0,112
CPT,76098,Rad exam surg specimen by Pathology,48.0,31.2,8.3,770.32,112
CPT,76098,Surgical specimen,987.0,641.55,73.69,987.0,112
CPT,76100,Tomogram,1842.0,1197.3,35.25,1842.0,56
CPT,76145,Med physic dose eval rad exps,636.0,413.4,75.73,636.0,56
CPT,76376,3D recon CT not on iw UC,286.0,185.9,49.48,286.0,34
CPT,76376,3D recon US not on iw UC,286.0,185.9,49.48,286.0,34
CPT,76376,3D reconstruction US not on iw,272.0,176.8,47.06,272.0,34
CPT,76376,3d render w/intrp postproces,272.0,176.8,47.06,272.0,68
CPT,76377,3D recon CT on iw UC,775.0,503.75,134.08,775.0,34
CPT,76377,3D recon US on iw UC,775.0,503.75,134.08,775.0,34
CPT,76377,3D reconstr MRI on iw add on,732.0,475.8,126.64,732.0,136
CPT,76377,3D reconstruction US on iw,732.0,475.8,126.64,732.0,34
CPT,76377,3d render w/intrp postproces,732.0,475.8,126.64,732.0,34
CPT,76380,CAT SCAN FOLLOW-UP STUDY,1886.0,1225.9,67.49,1886.0,56
CPT,76380,Limited or localized fu ct UC,1930.0,1254.5,67.49,1930.0,56
CPT,76390,Spectroscopy MRI,4435.0,2882.75,90.88,4435.0,112
CPT,76391,Magnet resonance elastography,1158.0,752.7,151.97,1158.0,56
CPT,76496,UNLISTED FLUOROSCOPIC PX,555.0,360.75,35.25,555.0,56
CPT,76496,Venography other vein,10095.0,6561.75,35.25,10095.0,56
CPT,76497,Chg perc tube/drain cath wo con rs&i,5212.0,3387.8,67.49,5212.0,56
CPT,76497,UNLISTED CT PROCEDURE,3716.0,2415.4,67.49,3716.0,56
CPT,76497,Whole body CT UC,3943.0,2562.95,67.49,3943.0,56
CPT,76498,Treatment Planning MRI,312.0,202.8,53.98,312.0,112
CPT,76506,Echoencephalography head US,1441.0,936.65,69.11,1441.0,56
CPT,76506,Echoencephalography head US UC,1326.0,861.9,69.11,1326.0,56
CPT,76536,Head & neck soft tissue us UC,1014.0,659.1,69.11,1014.0,214
CPT,76536,Head and neck soft tissue US,1105.0,718.25,69.11,1105.0,214
CPT,76604,US EXAM CHEST,1041.0,676.65,34.55,1085.0,448
CPT,76641,Breast compl bilateral US,1102.0,716.3,69.11,1102.0,224
CPT,76641,ULTRASOUND BREAST COMPLETE,551.0,358.15,69.11,551.0,224
CPT,76642,Breast lim bilateral US,882.0,573.3,69.11,882.0,168
CPT,76642,ULTRASOUND BREAST LIMITED,440.0,286.0,69.11,440.0,168
CPT,76700,Abdominal complete US,2276.0,1479.4,104.7,2276.0,168
CPT,76700,Abdominal complete US UC,2090.0,1358.5,104.7,2090.0,168
CPT,76705,Abdominal US limited UC,1647.0,1070.55,69.11,1647.0,168
CPT,76705,ECHO EXAM OF ABDOMEN,1796.0,1167.4,69.11,1796.0,168
CPT,76706,AAA ultrasound screen exam,760.0,494.0,69.11,760.0,56
CPT,76770,Retroperitoneal complete US,2004.0,1302.6,104.7,2004.0,224
CPT,76770,Retroperitoneal complete us UC,1561.0,1014.65,104.7,1561.0,224
CPT,76775,Retroperitoneal limited US,1794.0,1166.1,69.11,1794.0,168
CPT,76775,Retroperitoneal limited us UC,1701.0,1105.65,69.11,1701.0,168
CPT,76776,Renal transpl us w doppler UC,697.0,453.05,69.11,697.0,56
CPT,76776,Renal transplant US w doppler,760.0,494.0,69.11,760.0,56
CPT,76800,Spinal canal & contents us UC,1223.0,794.95,69.11,1223.0,56
CPT,76800,Spinal canal and contents US,1331.0,865.15,69.11,1331.0,56
CPT,76801,OB 1st tri transabd US,1151.0,748.15,63.37,1151.0,168
CPT,76801,OB 1st tri transabd US UC,1057.0,687.05,63.37,1057.0,168
CPT,76802,OB 1st tri add fetus US,1127.0,732.55,63.37,1127.0,43
CPT,76802,OB 1st tri add fetus US UC,1036.0,673.4,63.37,1036.0,43
CPT,76805,OB 2nd 3rd tri complete US,1259.0,818.35,63.37,1259.0,56
CPT,76805,OB 2nd 3rd tri complete US UC,1155.0,750.75,63.37,1155.0,56
CPT,76810,OB 2nd 3rd tri add fetus US,1259.0,818.35,63.37,1259.0,43
CPT,76810,OB 2nd 3rd tri add fetus US UC,1155.0,750.75,63.37,1155.0,43
CPT,76811,OB level II single US,1419.0,922.35,63.37,1419.0,56
CPT,76811,OB level II single US UC,1303.0,846.95,63.37,1303.0,56
CPT,76812,OB level 2 add fetus US,1259.0,818.35,63.37,1259.0,43
CPT,76812,OB level 2 add fetus US UC,1155.0,750.75,63.37,1155.0,43
CPT,76813,OB US 1st tri nuch 1 gest,689.0,447.85,63.37,689.0,56
CPT,76813,OB US 1st tri nuch 1 gest UC,635.0,412.75,63.37,635.0,56
CPT,76814,OB US 1st tri nuch add-on,437.0,284.05,63.37,437.0,43
CPT,76814,OB US 1st tri nuch add-on UC,402.0,261.3,63.37,402.0,43
CPT,76815,OB limited US,905.0,588.25,63.37,905.0,56
CPT,76815,OB limited US UC,832.0,540.8,63.37,832.0,56
CPT,76816,OB US FOLLOW-UP PER FETUS,1127.0,732.55,63.37,1127.0,112
CPT,76816,OB US f u add fetus UC,1036.0,673.4,63.37,1036.0,112
CPT,76817,OB US transvag,1672.0,1086.8,63.37,1672.0,168
CPT,76817,OB US transvag UC,1536.0,998.4,63.37,1536.0,168
CPT,76818,FETAL BIOPHYS PROFILE W/NST,1513.5,983.775,63.37,1577.0,112
CPT,76819,FETAL BIOPHYS PROFIL W/O NST,1127.0,732.55,63.37,1127.0,112
CPT,76819,OB BPP wo nonstres ad fet usUC,934.0,607.1,63.37,934.0,112
CPT,76819,OB bioprof wo non stress US UC,1036.0,673.4,63.37,1036.0,112
CPT,76820,OB umbilical cord doppler US,905.0,588.25,63.37,905.0,56
CPT,76820,OB umbilical cord dopplr US UC,832.0,540.8,63.37,832.0,56
CPT,76821,OB fetal MCA doppler US UC,832.0,540.8,63.37,832.0,56
CPT,76821,OB fetal mca doppler US,905.0,588.25,63.37,905.0,56
CPT,76825,Fetal 2D ECHO wwo M-mode only,2414.0,1569.1,63.37,2414.0,56
CPT,76826,Fetal ECHO wwo M-mode fu ltd,807.0,524.55,63.37,807.0,56
CPT,76827,Doppler ECHO fetal,869.0,564.85,63.37,869.0,56
CPT,76828,Doppler ECHO fetal fu ltd,1217.0,791.05,63.37,1217.0,56
CPT,76830,Transvaginal US,1354.0,880.1,69.11,1354.0,112
CPT,76830,Transvaginal US UC,1242.0,807.3,69.11,1242.0,112
CPT,76831,Sis sonohysterography US,1904.0,1237.6,104.7,1904.0,56
CPT,76831,Sis sonohysterography us UC,1747.0,1135.55,104.7,1747.0,56
CPT,76856,Pelvic complete US,1945.0,1264.25,104.7,1945.0,112
CPT,76856,Pelvic complete US UC,1788.0,1162.2,104.7,1788.0,112
CPT,76857,Pelvic limited US,1729.0,1123.85,69.11,1729.0,168
CPT,76857,Pelvic limited US UC,1589.0,1032.85,69.11,1589.0,168
CPT,76870,Scrotum US,1337.0,869.05,69.11,1337.0,168
CPT,76870,Scrotum US UC,1229.0,798.85,69.11,1229.0,112
CPT,76872,Transrectal ultrasound,2000.0,1300.0,69.11,2000.0,224
CPT,76872,Transrectal ultrasound UC,1780.0,1157.0,69.11,1780.0,224
CPT,76873,Transrectal prostate vol US,1301.0,845.65,104.7,1301.0,56
CPT,76881,US COMPL JOINT R-T W/IMG,587.5,381.875,69.11,602.0,112
CPT,76882,US LMTD JT/FCL EVL NVASC XTR,379.0,246.35,64.01,388.0,672
CPT,76883,Extrem nrv US comp per extrem,506.0,328.9,69.11,506.0,56
CPT,76885,Hips US w manip up to 1yr,1589.0,1032.85,69.11,1589.0,56
CPT,76885,Hips US w manip up to 1yr UC,1460.0,949.0,69.11,1460.0,56
CPT,76886,Hips US wo manip up to 1yr,948.0,616.2,69.11,948.0,56
CPT,76886,Hips US wo manip up to 1yr UC,871.0,566.15,69.11,871.0,56
CPT,76932,US guid endomyocardial biopsy,4254.0,2765.1,68.65,4254.0,43
CPT,76936,Pseudo AVF compression Dx US,2573.0,1672.45,129.63,2573.0,56
CPT,76936,Pseudo avf compression dxus UC,2317.0,1506.05,129.63,2317.0,56
CPT,76937,US for vascular access r,142.0,92.3,24.57,173.17,215
CPT,76940,Us for visceral tissue ablat r,412.0,267.8,68.65,412.0,43
CPT,76941,Intrauterine fetal guide US,313.0,203.45,54.15,313.0,43
CPT,76941,Intrauterine fetal guide us UC,286.0,185.9,49.48,286.0,43
CPT,76942,Guided ndl placement us bin UC,2414.0,1569.1,68.65,2414.0,344
CPT,76942,Guided needle placement US bin,2628.0,1708.2,68.65,2628.0,344
CPT,76946,Amniocentesis US,1936.0,1258.4,68.65,1936.0,43
CPT,76946,Amniocentesis us UC,1849.0,1201.85,68.65,1849.0,43
CPT,76965,Ultrasound isotope needle plac,1282.0,833.3,68.65,1282.0,43
CPT,76978,US trgt dyn microbub 1st les,1115.0,724.75,104.7,1115.0,56
CPT,76979,US trgt dyn microbub ea addl,781.0,507.65,104.7,781.0,43
CPT,76981,US elastography parenchyma,622.0,404.3,69.11,622.0,112
CPT,76982,US elastog 1st target lesion,622.0,404.3,69.11,622.0,56
CPT,76983,US elastog ea ad target lesion,386.0,250.9,66.78,386.0,43
CPT,76984,US intraop thor aorta diagnos,1503.0,976.95,173.17,1503.0,34
CPT,76987,US Intraop epicard diag CHD,1503.0,976.95,173.17,1503.0,34
CPT,76988,US Intraop epicar diag img acq,1503.0,976.95,173.17,1503.0,34
CPT,76989,US Intraop epicar diag int rpt,1503.0,976.95,173.17,1503.0,34
CPT,76998,Intraoperative US,1503.0,976.95,68.65,1503.0,86
CPT,76999,Translabial US,632.0,410.8,69.11,632.0,56
CPT,77001,Fluro cent lin place chg chkrr,942.0,612.3,129.63,942.0,129
CPT,77002,Fluoro biopsy/asp/injection ra,4069.0,2644.85,129.63,4069.0,129
CPT,77003,Fluor guide spine-epid rad,763.0,495.95,129.63,763.0,86
CPT,77012,CT SCAN FOR NEEDLE BIOPSY,3877.0,2520.05,50.85,3877.0,172
CPT,77012,Guided ndl placement ct bin UC,3968.0,2579.2,50.85,3968.0,172
CPT,77013,CT GUIDE FOR TISSUE ABLATION,2359.0,1533.35,50.85,2359.0,43
CPT,77013,CT guide for tissue ablatn UC,2413.0,1568.45,50.85,2413.0,43
CPT,77014,CT SCAN FOR THERAPY GUIDE,1682.0,1093.3,50.85,1682.0,43
CPT,77021,Guidance MRI needle placement,6877.0,4470.05,132.75,6877.0,43
CPT,77022,MRI guide for tissue ablation,2521.0,1638.65,132.75,2521.0,43
CPT,77046,Breast MRI uni wo contrast,4205.0,2733.25,151.97,4205.0,56
CPT,77047,Breast MRI bil wo contrast,5505.0,3578.25,151.97,5505.0,56
CPT,77048,Breast MRI uni w con or CAD,5258.0,3417.7,173.17,5258.0,43
CPT,77048,Breast MRI uni wwo con or CAD,6311.0,4102.15,173.17,6311.0,43
CPT,77049,Breast MRI bil w con or CAD,5739.0,3730.35,173.17,5739.0,86
CPT,77049,Breast MRI bil wwo con or CAD,8253.0,5364.45,173.17,8253.0,86
CPT,77053,Galactogram single duct xr bin,1145.0,744.25,73.69,1145.0,56
CPT,77054,Galactogram multi duct xr bin,1195.0,776.75,73.69,1195.0,56
CPT,77061,BREAST TOMOSYNTHESIS UNI,250.0,162.5,14.85,250.0,86
CPT,77062,BREAST TOMOSYNTHESIS BI,250.0,162.5,14.85,250.0,86
CPT,77063,BREAST TOMOSYNTHESIS BI,250.0,162.5,14.85,250.0,168
CPT,77065,DX MAMMO INCL CAD UNI,665.0,432.25,14.85,665.0,112
CPT,77066,DX MAMMO INCL CAD BI,862.0,560.3,14.85,862.0,168
CPT,77067,SCR MAMMO BI INCL CAD,731.0,475.15,14.85,731.0,168
CPT,77072,Bone age studies XR UC,573.0,372.45,35.25,573.0,56
CPT,77072,Bone age studies xr,641.0,416.65,35.25,641.0,56
CPT,77073,Bone length studies xr,972.0,631.8,35.25,972.0,56
CPT,77074,Skeleton survey ltd xr,1259.0,818.35,35.25,1259.0,56
CPT,77075,Skeleton survey complete xr,1898.0,1233.7,73.69,1898.0,56
CPT,77076,Skeleton complete pedi xr,955.0,620.75,35.25,955.0,56
CPT,77077,Joint surv 1 vw 2or more jt xr,2101.0,1365.65,35.25,2101.0,56
CPT,77078,Bone dens ct 1+sites axial UC,1984.0,1289.6,47.84,1984.0,56
CPT,77078,CT BONE DENSITY AXIAL,1872.0,1216.8,47.84,1872.0,56
CPT,77084,MRI bone marrow,1374.0,893.1,151.97,1374.0,56
CPT,77091,Tbs techl struc cond calc only,390.0,253.5,47.84,390.0,56
CPT,77280,THER RAD SIMULAJ FIELD SMPL,3362.0,2185.3,56.14,3362.0,336
CPT,77285,Rad simulation inter,4464.0,2901.6,112.72,4464.0,112
CPT,77290,Rad simulation complex,5548.0,3606.2,112.72,5548.0,168
CPT,77293,Resp motion mang simult add on,1831.0,1190.15,75.73,1831.0,129
CPT,77295,3D tx plan w dose-vol histogm,7565.0,4917.25,173.17,7565.0,224
CPT,77295,Adaptive 3D Plan,8955.0,5820.75,173.17,8955.0,224
CPT,77299,NovoTAL trmnt planning,651.0,423.15,75.73,651.0,112
CPT,77300,Dosimetry basic calc,2104.0,1367.6,56.14,2104.0,224
CPT,77301,Adaptive IMRT Plan,7081.0,4602.65,173.17,7081.0,168
CPT,77301,RADIOTHERAPY DOSE PLAN IMRT,9040.0,5876.0,173.17,9040.0,168
CPT,77306,Tele isodose plan simple,5740.0,3731.0,75.73,5740.0,56
CPT,77307,Tele isodose plan complex,6097.0,3963.05,112.72,6097.0,56
CPT,77316,Brachy thx isodos plan sim 1-4,1310.0,851.5,75.73,1310.0,56
CPT,77317,Brachy thx isodos plan int5-10,2568.0,1669.2,112.72,2568.0,112
CPT,77318,Brachy thx isodos comp 10up,2909.0,1890.85,112.72,2909.0,56
CPT,77321,SPECIAL TELETX PORT PLAN,5853.0,3804.45,112.72,5853.0,168
CPT,77331,SPECIAL RADIATION DOSIMETRY,2450.0,1592.5,75.73,2450.0,56
CPT,77332,RADIATION TREATMENT AID(S),1487.0,966.55,56.14,1487.0,224
CPT,77333,RADIATION TREATMENT AID(S),1856.0,1206.4,75.73,1856.0,112
CPT,77334,RADIATION TREATMENT AID(S),2166.0,1407.9,112.72,2166.0,280
CPT,77336,RADIATION PHYSICS CONSULT,1221.0,793.65,56.14,1221.0,224
CPT,77338,Multi-leaf per imrt plan,3313.0,2153.45,112.72,3313.0,224
CPT,77370,Physics special consultation,1898.0,1233.7,56.14,1898.0,224
CPT,77371,Gamma Knife Treatment Del,65636.0,42663.4,173.17,65636.0,112
CPT,77372,Stereotactic radiosurgery,38383.0,24948.95,173.17,38383.0,56
CPT,77373,Fraction stereotact radiothera,14717.0,9566.05,173.17,14717.0,168
CPT,77385,NTSTY MODUL RAD TX DLVR SMPL,9040.0,5876.0,173.17,9040.0,172
CPT,77386,NTSTY MODUL RAD TX DLVR CPLX,9040.0,5876.0,173.17,9040.0,215
CPT,77387,GUIDANCE FOR RADJ TX DLVR,1561.0,1014.65,75.73,1561.0,258
CPT,77401,RADIATION TX DELIVERY SUPFC,635.0,412.75,109.86,635.0,43
CPT,77402,RADIATION TX DELIVERY LVL 1,1521.0,988.65,106.55,1521.0,56
CPT,77407,RADIATION TX DELIVERY LVL 2,1690.0,1098.5,113.64,1690.0,56
CPT,77412,RADIATION TX DELIVERY LVL 3,2138.0,1389.7,113.64,2138.0,336
CPT,77417,THER RADIOLOGY PORT IMAGE(S),582.0,378.3,35.25,582.0,129
CPT,77470,Special Tx procedure,4451.0,2893.15,173.17,4451.0,224
CPT,77520,PROTON TRMT SIMPLE W/O COMP,4314.0,2804.1,173.17,4314.0,56
CPT,77522,PROTON TRMT SIMPLE W/COMP,9040.0,5876.0,173.17,9040.0,56
CPT,77523,PROTON TRMT INTERMEDIATE,9040.0,5876.0,173.17,9040.0,280
CPT,77525,PROTON TREATMENT COMPLEX,9040.0,5876.0,173.17,9040.0,112
CPT,77750,Infusion of radioelement,1695.0,1101.75,113.64,1695.0,56
CPT,77761,Intracavitary radioel. simple,2620.0,1703.0,173.17,2620.0,56
CPT,77762,Intracavitary radioel inter,1411.0,917.15,173.17,1411.0,56
CPT,77763,Intracavitary radioel complex,3134.0,2037.1,173.17,3134.0,56
CPT,77767,HDR rdncl skn surf brachytx  <2,1115.0,724.75,173.17,1115.0,56
CPT,77768,HDR rdncl skn surf brachytx  >2,1115.0,724.75,173.17,1115.0,56
CPT,77770,HDR RDNCL NTRSTL/ICAV BRCHTX,16175.0,10513.75,173.17,16175.0,168
CPT,77771,HDR RDNCL NTRSTL/ICAV BRCHTX,21075.0,13698.75,173.17,21075.0,168
CPT,77772,HDR RDNCL NTRSTL/ICAV BRCHTX,28819.0,18732.35,173.17,28819.0,112
CPT,77778,Interstitial radioel complex,8675.0,5638.75,173.17,8675.0,112
CPT,77789,Surface radioelement-SR-90,860.0,559.0,106.55,860.0,56
CPT,77790,Isotope handling/loading,896.0,582.4,75.73,896.0,43
CPT,77799,Removal of breast balloon SAVI,635.0,412.75,106.55,635.0,56
CPT,78012,Thyroid uptake sgl or multi,1185.0,770.25,173.17,1185.0,56
CPT,78013,Thyroid scan w vas flow,1876.0,1219.4,173.17,1876.0,56
CPT,78014,Thyroid scan w vas flow&uptake,2909.0,1890.85,173.17,2909.0,56
CPT,78015,Thyroid metastasis imaging ltd,1582.0,1028.3,173.17,1582.0,56
CPT,78018,Thyroid metastasis imaging wb,3055.0,1985.75,173.17,3055.0,56
CPT,78020,Thyroid metastasis uptake,840.0,546.0,145.32,840.0,43
CPT,78070,Parathyroid scan,3070.0,1995.5,173.17,3070.0,56
CPT,78071,Parathyroid scan w tom-SPECT,2607.0,1694.55,173.17,2607.0,56
CPT,78072,Parathyroid scan tom-SPECT-CT,3738.0,2429.7,173.17,3738.0,56
CPT,78102,Bone marrow ltd,1403.0,911.95,173.17,1403.0,56
CPT,78103,Bone marrow multi,1579.0,1026.35,173.17,1579.0,56
CPT,78104,Bone marrow wb,1767.0,1148.55,173.17,1767.0,56
CPT,78122,Whole blood volume study,1084.0,704.6,173.17,1084.0,56
CPT,78185,Splenic imaging w or wo flow,1852.0,1203.8,173.17,1852.0,56
CPT,78195,Lymphangiography,2755.0,1790.75,173.17,2755.0,56
CPT,78201,Liver static only,3081.0,2002.65,173.17,3081.0,56
CPT,78215,Liver spleen scan static,3386.0,2200.9,173.17,3386.0,56
CPT,78226,Hepatobiliary w gallbladder,3135.0,2037.75,173.17,3135.0,112
CPT,78227,Hepatobiliary w gallblad w med,3135.0,2037.75,173.17,3135.0,56
CPT,78231,Salivary gland imaging serial,1712.0,1112.8,173.17,1712.0,56
CPT,78258,Esophageal motility study,1630.0,1059.5,173.17,1630.0,56
CPT,78262,Gastroesophageal reflux,1697.0,1103.05,173.17,1697.0,56
CPT,78264,Gastric emptying study,3028.0,1968.2,173.17,3028.0,56
CPT,78266,Gastric empty study w sm bowc,3660.0,2379.0,173.17,3660.0,56
CPT,78267,Pytest acquisition + analysis,419.0,272.35,6.32,419.0,56
CPT,78278,G.I. bleeding scan,2232.0,1450.8,173.17,2232.0,56
CPT,78290,Meckels scan,2680.0,1742.0,173.17,2680.0,56
CPT,78291,Shunt / pump patency dx,2708.0,1760.2,173.17,2708.0,56
CPT,78300,Bone scan limited,2798.0,1818.7,173.17,2798.0,56
CPT,78305,Bone scan multiple areas,2332.0,1515.8,173.17,2332.0,56
CPT,78306,Bone scan total body,3905.0,2538.25,173.17,3905.0,112
CPT,78315,Bone scan triple phase,4212.0,2737.8,173.17,4212.0,168
CPT,78428,Cardiac shunt imaging,3043.0,1977.95,173.17,3043.0,56
CPT,78429,PET myocard metab sgl w CT,7244.0,4708.6,173.17,7244.0,56
CPT,78430,PET-CT Myocardial single w ef WM,7244.0,4708.6,173.17,7244.0,56
CPT,78431,PET-CT Myocardial mult w ef WM,13810.0,8976.5,173.17,13810.0,56
CPT,78432,PET mult rest-strs w2rad trace,13810.0,8976.5,173.17,13810.0,56
CPT,78433,PETmult w2rad trace w concurCT,13810.0,8976.5,173.17,13810.0,56
CPT,78434,PET Myocardial blood flow,9265.0,6022.25,173.17,9265.0,43
CPT,78445,Non cardiac vascul flow imag,1964.0,1276.6,173.17,1964.0,56
CPT,78451,Myocardial spect sngl w ef wm,6636.0,4313.4,173.17,6636.0,56
CPT,78451,Myocardial spect sngl wo ef wm,3674.0,2388.1,173.17,3674.0,56
CPT,78452,Myocardial spect mult w ef wm,10110.0,6571.5,173.17,10110.0,112
CPT,78452,Myocardial spect mult wo ef wm,7098.0,4613.7,173.17,7098.0,112
CPT,78453,Myocardial planar sngl w ef wm,5165.0,3357.25,173.17,5165.0,56
CPT,78453,Myocardial planar sngl wo efwm,2228.0,1448.2,173.17,2228.0,56
CPT,78454,Myocardial planar mult w ef wm,6255.0,4065.75,173.17,6255.0,56
CPT,78454,Myocardial planar mult wo efwm,3318.0,2156.7,173.17,3318.0,56
CPT,78458,Acute thrombosis imaging bilat,2707.0,1759.55,173.17,2707.0,56
CPT,78459,PET myocard metab sgl study,9073.0,5897.45,173.17,9073.0,56
CPT,78466,Myocardial infarct planar,1447.0,940.55,173.17,1447.0,56
CPT,78468,Myocardial infarct planar w ef,1906.0,1238.9,173.17,1906.0,56
CPT,78469,Myocardial infarct spect,2589.0,1682.85,173.17,2589.0,56
CPT,78472,Cardiac wall motion single,3352.0,2178.8,173.17,3352.0,56
CPT,78473,Cardiac wall motion multiple,3376.0,2194.4,173.17,3376.0,56
CPT,78481,Cardiac first pass - single,2536.0,1648.4,173.17,2536.0,56
CPT,78483,Cardiac first pass - multiple,5449.0,3541.85,173.17,5449.0,56
CPT,78494,Cardiac wal mo spect rest w ef,3544.0,2303.6,173.17,3544.0,56
CPT,78496,Card bl pool gated w right ef,5586.0,3630.9,173.17,5586.0,43
CPT,78579,Lung vent aerosol/gas imaging,2672.0,1736.8,173.17,2672.0,56
CPT,78580,Lung perfusion particulate,3207.0,2084.55,173.17,3207.0,112
CPT,78582,Lung perfusn vent aerosol/gas,5901.0,3835.65,173.17,5901.0,112
CPT,78597,Lung perfusn quantitv differen,5901.0,3835.65,173.17,5901.0,56
CPT,78598,Lung perfusn/vent quant differ,8596.0,5587.4,173.17,8596.0,56
CPT,78606,Brain static min 4vw vas flow,2766.0,1797.9,173.17,2766.0,56
CPT,78608,BRAIN IMAGING (PET),9103.5,5917.275,173.17,9223.0,448
CPT,78610,Brain scan flow study only,2184.0,1419.6,173.17,2184.0,56
CPT,78630,Cisternogram,2584.0,1679.6,173.17,2584.0,56
CPT,78660,Dacrocystogram,1251.0,813.15,173.17,1251.0,56
CPT,78701,Renal flow & morphology,2068.0,1344.2,173.17,2068.0,56
CPT,78707,Renal flow & function plain,2967.0,1928.55,173.17,2967.0,56
CPT,78708,Renal flow & function pharm,3437.0,2234.05,173.17,3437.0,56
CPT,78709,Renal flow & function wwo con,7020.0,4563.0,173.17,7020.0,56
CPT,78725,Renal ERFP,1637.0,1064.05,173.17,1637.0,56
CPT,78730,Residual urinary bladder study,876.0,569.4,151.55,876.0,43
CPT,78740,Cystogram,2190.0,1423.5,173.17,2190.0,56
CPT,78761,Testicular scintigraphy,3587.0,2331.55,173.17,3587.0,56
CPT,78800,Rp local tumor sgl area 1day,2369.0,1539.85,173.17,2369.0,112
CPT,78801,Rp local tumor 2+ area 1+day,3553.0,2309.45,173.17,3553.0,168
CPT,78802,Tumor locate whole bdy sng day,6220.0,4043.0,173.17,6220.0,56
CPT,78803,Tumor local spect sgl area,6435.0,4182.75,173.17,6435.0,112
CPT,78804,Tumor loc whole body 2day up,6220.0,4043.0,173.17,6220.0,56
CPT,78808,Parathyroid injection only,1666.0,1082.9,173.17,1666.0,56
CPT,78811,PET IMAGE LTD AREA,7070.0,4595.5,173.17,7560.0,168
CPT,78812,PET IMAGE SKULL-THIGH,8548.5,5556.525,173.17,8565.0,224
CPT,78813,PET IMAGE FULL BODY,9509.0,6180.85,173.17,9509.0,112
CPT,78813,PET whole body 4th,9265.0,6022.25,173.17,9265.0,112
CPT,78814,PET IMAGE W/CT LMTD,7560.0,4914.0,173.17,7560.0,112
CPT,78815,PET IMAGE W/CT SKULL-THIGH,8565.0,5567.25,173.17,8565.0,280
CPT,78816,PET IMAGE W/CT FULL BODY,9509.0,6180.85,173.17,9509.0,280
CPT,78830,Myocrd SPECT rest stres w CT,6388.0,4152.2,173.17,6388.0,56
CPT,78831,Myocrd SPECT rest&stress w CT,6388.0,4152.2,173.17,6388.0,56
CPT,78832,Myocrd SPECT 2+areas 2+days,7244.0,4708.6,173.17,7244.0,112
CPT,78835,Vascular flow imaging add,3193.0,2075.45,173.17,3193.0,43
CPT,79005,RPH therapy oral,5090.0,3308.5,97.47,5090.0,112
CPT,79101,NUCLEAR RX IV ADMIN,4626.0,3006.9,97.47,4626.0,112
CPT,79403,Monoclonal antibody therapy,527.0,342.55,91.17,527.0,55
CPT,79445,Radiopharm therapy intra-arter,2180.0,1417.0,153.43,2180.0,56
CPT,80047,Basic Metabolic Panel w/ Ionized Calcium UC,579.0,376.35,4.74,579.0,224
CPT,80048,BASIC METABOLIC PNL TOTAL CA,675.0,438.75,4.74,675.0,336
CPT,80051,Electrolyte panel,336.0,218.4,4.74,336.0,56
CPT,80053,COMPREHEN METABOLIC PANEL,1178.0,765.7,4.74,1178.0,336
CPT,80061,Lipid panel,252.0,163.8,4.74,252.0,220
CPT,80061,NMR-lipid panel,59.0,38.35,4.74,59.0,220
CPT,80069,Renal function panel,841.0,546.65,4.74,841.0,168
CPT,80074,"ARU Hepatitis Panel, Acute w/ HCV NAAT Rflx",91.0,59.15,4.74,91.0,224
CPT,80074,Hepatitis panel-acute,1924.0,1250.6,4.74,1924.0,224
CPT,80076,HEPATIC FUNCTION PANEL,590.0,383.5,4.74,590.0,336
CPT,80076,Hepatic function panel-UC,409.0,265.85,4.74,409.0,336
CPT,80143,Acetaminophen Drug Level,372.0,241.8,6.36,372.0,110
CPT,80150,ASSAY OF AMIKACIN,174.5,113.425,6.36,303.0,112
CPT,80150,Amikacin level,37.0,24.05,6.36,37.0,56
CPT,80151,Amiodarone,24.0,15.6,4.15,25.16,55
CPT,80155,Caffeine Level Blood,46.0,29.9,3.24,52.07,56
CPT,80155,Caffeine level,307.0,199.55,3.24,307.0,56
CPT,80156,Carbamazepine-total (tegretol),251.0,163.15,6.36,251.0,112
CPT,80158,ARU Cyclosporin,68.0,44.2,6.36,68.0,56
CPT,80158,Cyclosporine,774.0,503.1,6.36,774.0,56
CPT,80162,Digoxin,307.0,199.55,6.36,307.0,112
CPT,80164,Valproic acid (depakene),687.0,446.55,6.36,687.0,112
CPT,80168,Ethosuximide (zarontin),48.0,31.2,6.36,48.0,56
CPT,80170,ASSAY OF GENTAMICIN,578.0,375.7,6.36,578.0,56
CPT,80171,Neurontin-gabapentin level,35.0,22.75,6.06,35.0,56
CPT,80173,Haldol (haloperidol),58.0,37.7,6.36,58.0,56
CPT,80175,ARU Lamotrigine-Lamictal,64.0,41.6,6.36,64.0,56
CPT,80175,Lamotrigine-lamictal level,22.0,14.3,3.81,22.0,56
CPT,80176,Lidocaine level,14.0,9.1,2.42,18.9,56
CPT,80177,ARU Keppra (Levetiracetam),58.0,37.7,6.36,58.0,112
CPT,80177,Levetiracetam-keppra level,57.0,37.05,6.36,57.0,112
CPT,80178,Lithium,272.0,176.8,5.94,272.0,112
CPT,80179,Salicylate Drug Level,372.0,241.8,6.36,372.0,110
CPT,80180,MPA level,541.0,351.65,6.36,541.0,56
CPT,80180,MPA metabolite drug level (so),201.0,130.65,6.36,201.0,56
CPT,80181,Flecainide,48.0,31.2,6.36,48.0,55
CPT,80183,ARU Oxcarbazepine-Trileptal,70.0,45.5,6.36,70.0,56
CPT,80183,Oxcarbazepine-trileptal level,25.0,16.25,4.33,25.0,56
CPT,80184,Phenobarbital,766.0,497.9,6.36,766.0,56
CPT,80185,Dilantin-total (phenytoin),228.0,148.2,6.36,228.0,112
CPT,80186,Dilantin-free (phenytoin-free),136.0,88.4,6.36,136.0,56
CPT,80186,Phenytoin free (Dilantin),34.0,22.1,5.88,34.0,56
CPT,80187,Posaconazole Level,552.0,358.8,6.36,552.0,55
CPT,80187,Posaconazole drug level (so),967.0,628.55,6.36,967.0,55
CPT,80188,Primidone(mysoline),48.0,31.2,6.36,48.0,56
CPT,80192,Procainamide Level,47.0,30.55,6.36,47.0,56
CPT,80195,Sirolimus level,27.0,17.55,4.67,27.0,56
CPT,80195,Sirolimus test,211.0,137.15,6.36,211.0,56
CPT,80197,ARU Tacrolimus-Prograf-Fk506,81.0,52.65,6.36,81.0,56
CPT,80197,Tacrolimus level,86.0,55.9,6.36,86.0,56
CPT,80197,Tacrolimus test,211.0,137.15,6.36,211.0,56
CPT,80198,Theophylline (aminophylline),249.0,161.85,6.36,249.0,56
CPT,80200,ASSAY OF TOBRAMYCIN,597.0,388.05,6.36,597.0,56
CPT,80201,Topiramate (topamax),22.0,14.3,3.81,22.0,112
CPT,80202,ASSAY OF VANCOMYCIN,633.0,411.45,6.36,633.0,56
CPT,80204,Methotrexate Drug Level,434.0,282.1,6.36,434.0,55
CPT,80235,Lacosamide,449.0,291.85,6.36,449.0,55
CPT,80299,BMT-Busulfan Drug Level,1542.0,1002.3,6.36,1542.0,56
CPT,80299,Busulfan Drug Level,828.0,538.2,6.36,828.0,56
CPT,80299,Digitoxin level,131.0,85.15,6.36,131.0,56
CPT,80299,Doriden-quantitative,61.0,39.65,6.36,61.0,56
CPT,80299,Eculizumab level,513.0,333.45,6.36,513.0,56
CPT,80299,Furosemide,315.0,204.75,6.36,315.0,56
CPT,80299,Mexiletine,68.0,44.2,6.36,68.0,56
CPT,80299,Sotalol,199.0,129.35,6.36,199.0,56
CPT,80299,Trazodone (desyrer),57.0,37.05,6.36,57.0,56
CPT,80299,Voriconazole drug level (so),444.0,288.6,6.36,444.0,56
CPT,80299,Voriconozole Level,552.0,358.8,6.36,552.0,56
CPT,80305,Fentanyl screen urine,22.0,14.3,3.81,22.0,110
CPT,80307,Alcohol Urine Level,568.0,369.2,36.33,568.0,110
CPT,80307,Drug Panel on Blood (Alc-Acet-Sali),420.0,273.0,36.33,420.0,110
CPT,80307,Drug Screen on Urine,331.0,215.15,36.33,331.0,110
CPT,80307,Ethyl Glucuronide (ETG) Level,289.0,187.85,36.33,289.0,110
CPT,80307,Fentanyl screen urine auto,25.0,16.25,4.33,39.96,110
CPT,80307,Meconium drug scn,303.0,196.95,36.33,303.0,110
CPT,80307,Toxassure-GC/MS comp UR scrn,338.0,219.7,36.33,338.0,110
CPT,80323,ARU Alkaloids,53.0,34.45,7.24,53.0,43
CPT,80323,"Alkaloids, not specified",11.0,7.15,1.9,11.88,43
CPT,80323,Nicotine and metabolites-blood,212.0,137.8,7.24,212.0,43
CPT,80325,"Amphetamines, 3-4",11.0,7.15,1.9,11.88,43
CPT,80326,"ARU Amphethamines, 5 or more",53.0,34.45,7.24,53.0,43
CPT,80327,Dehydrotestosterone Level,181.0,117.65,7.24,181.0,43
CPT,80330,"Analgesics, non-opioid 3-5",11.0,7.15,1.9,11.0,43
CPT,80333,"Anti-depressants, serotonergic class, 3-5",11.0,7.15,1.9,11.88,43
CPT,80337,"Anti-depressants, tricyclic & other cyclicals, =6",11.0,7.15,1.9,11.88,43
CPT,80338,"Anti-depressants, not specified",11.0,7.15,1.9,11.88,43
CPT,80340,"Antiepileptics, not specified 4-6",11.0,7.15,1.9,11.88,43
CPT,80342,Thorazine(chlorpromazine),53.0,34.45,7.24,53.0,43
CPT,80344,"Antipsychotics, not specified =7",11.0,7.15,1.9,11.34,43
CPT,80345,Barbiturates,11.0,7.15,1.9,11.0,43
CPT,80346,"Benzodiazepines, 1-12",11.0,7.15,1.9,11.88,43
CPT,80346,Diazepam-valium,54.0,35.1,7.24,54.0,43
CPT,80347,"ARU Benzodiazepines, 13 or more",53.0,34.45,7.24,53.0,43
CPT,80348,Buprenorphine,11.0,7.15,1.9,11.88,43
CPT,80349,"Cannabinoids, natural",11.0,7.15,1.9,11.88,43
CPT,80349,Carboxy-THC,149.0,96.85,7.24,149.0,43
CPT,80353,Cocaine,11.0,7.15,1.9,11.88,43
CPT,80354,ARU fentanyl conf Ur-0092570,153.0,99.45,7.24,153.0,43
CPT,80354,Fentanyl,11.0,7.15,1.9,11.88,43
CPT,80354,Fentanyl confirmation Ur-LC,284.0,184.6,7.24,284.0,43
CPT,80355,ARU Gabapentin,53.0,34.45,7.24,53.0,42
CPT,80355,"Gabapentin, non-blood",11.0,7.15,1.9,11.0,42
CPT,80356,Heroin Metabolite,11.0,7.15,1.9,11.88,43
CPT,80357,Ketamine & norketamine,11.0,7.15,1.9,11.88,43
CPT,80358,Methadone,11.0,7.15,1.9,11.88,43
CPT,80359,Methylenedioxyamphetamines,11.0,7.15,1.9,11.88,43
CPT,80360,Methylphenidate,11.0,7.15,1.9,11.88,43
CPT,80361,Opiates =1,11.0,7.15,1.9,11.88,43
CPT,80363,"Opioids & opiate analogs, 3-4",11.0,7.15,1.9,11.88,43
CPT,80364,"ARU Opioids, 5 or more",53.0,34.45,7.24,53.0,43
CPT,80364,"Opioids & opiate analogs, =5",11.0,7.15,1.9,11.88,43
CPT,80366,Pregabalin,11.0,7.15,1.9,11.88,43
CPT,80368,Sedative Hypnotics,11.0,7.15,1.9,11.88,43
CPT,80370,"Skeletal Muscle Relaxants, =3",11.0,7.15,1.9,11.88,43
CPT,80372,Tapentadol,11.0,7.15,1.9,11.88,43
CPT,80373,Tramadol,11.0,7.15,1.9,11.88,43
CPT,80376,"Drugs, definitive, Qual or Qnt, not specified 4-6",11.0,7.15,1.9,11.88,43
CPT,80377,Hypoglycemia Panel,284.0,184.6,7.24,284.0,43
CPT,81001,URINALYSIS AUTO W/SCOPE,251.0,163.15,1.54,251.0,168
CPT,81001,Urinalysis (with micro),251.0,163.15,1.54,251.0,280
CPT,81001,Urinalysis (with micro) UC,58.0,37.7,1.54,58.0,280
CPT,81003,Specific gravity-urine,136.0,88.4,1.54,136.0,392
CPT,81003,URINALYSIS AUTO W/O SCOPE,67.0,43.55,1.54,88.0,784
CPT,81005,Melanin in urine,56.0,36.4,1.54,56.0,56
CPT,81015,Eosinophil-urine,230.0,149.5,1.54,230.0,112
CPT,81025,Pregnancy test-HCG (urine) UC,111.0,72.15,1.54,111.0,168
CPT,81025,Pregnancy test-urine (Qual),193.0,125.45,1.54,193.0,168
CPT,81050,Volume measurement(c),206.0,133.9,1.54,206.0,56
CPT,81120,Rapid AML - IDH1,348.0,226.2,60.2,348.0,55
CPT,81121,Rapid AML - IDH2,348.0,226.2,60.2,399.32,55
CPT,81168,BCL-1 Translocation t 11:14 -NG,699.0,454.35,83.71,699.0,55
CPT,81170,ABL1 KINASE Mutation Analysis,1177.0,765.05,83.71,1177.0,56
CPT,81170,ABL1 kinase domain mutation-NG,1029.0,668.85,83.71,1029.0,56
CPT,81206,BCR/ABL1 GENE MAJOR BP,312.0,202.8,53.98,312.0,55
CPT,81207,BCR/ABL1 GENE MINOR BP,261.0,169.65,45.15,261.0,55
CPT,81210,BRAF mutation analysis-NG,224.0,145.6,38.75,236.79,55
CPT,81218,CEBRA Mutation-NG,746.0,484.9,83.71,746.0,112
CPT,81218,Rapid AML - CEBPA,348.0,226.2,60.2,348.0,112
CPT,81219,CALR Mutation-NG,941.0,611.65,22.77,941.0,110
CPT,81219,CARL Mutation Analysis,1220.0,793.0,22.77,1220.0,110
CPT,81220,Cystic fibrosis DNA analysis,700.0,455.0,121.1,700.0,46
CPT,81225,CYP2C19 Genotype,428.0,278.2,74.04,428.0,55
CPT,81226,Cytochrome P450 2D6 genotype,541.0,351.65,93.59,608.73,55
CPT,81229,Chromosome microarray,3744.0,2433.6,647.71,3744.0,55
CPT,81229,Neo-Array Cytogenetic-NG,3916.0,2545.4,677.47,3916.0,55
CPT,81229,Products of conception microarray-gen. assoc,2648.0,1721.2,458.1,2648.0,55
CPT,81232,DPYD Genotyping,557.0,362.05,83.71,557.0,55
CPT,81235,EGFR 81235-ng,796.0,517.4,137.71,796.0,55
CPT,81240,ARU Prothrombin By PCR/Fret,104.0,67.6,17.99,104.0,55
CPT,81240,Prothrombin 20210 mutation,240.0,156.0,22.77,240.0,55
CPT,81241,ARU Factor V Leiden,114.0,74.1,19.72,114.0,55
CPT,81241,Factor V leiden,162.0,105.3,22.77,162.0,55
CPT,81245,FLT3 Assay blood labPMM,665.0,432.25,83.71,665.0,55
CPT,81245,FLT3 Mutation-NG,759.0,493.35,83.71,759.0,110
CPT,81245,Flt3 Itd-Ng,525.0,341.25,83.71,525.0,110
CPT,81245,Flt3 assay bld-ng-(c),628.0,408.2,83.71,628.0,110
CPT,81245,Rapid AML - FLT3-ITD,348.0,226.2,60.2,348.0,110
CPT,81246,Flt3 Tkd-Ng,232.0,150.8,22.77,232.0,110
CPT,81246,Rapid AML - FLT3-TKD,348.0,226.2,22.77,348.0,110
CPT,81246,TKD assay blood labPMM,665.0,432.25,22.77,665.0,55
CPT,81246,Tkd assay-blood-ng-(c),628.0,408.2,22.77,628.0,110
CPT,81256,Hereditary hemochromatosis-DNA,240.0,156.0,22.77,240.0,55
CPT,81260,Sautomia DNA familial,393.0,255.45,22.77,393.0,55
CPT,81261,IGH gene rearrangement,310.0,201.5,53.63,310.0,55
CPT,81263,IGH VARI REGIONAL MUTATION,1055.0,685.75,83.71,1055.0,55
CPT,81264,IGK gene analysis,331.0,215.15,57.26,331.0,55
CPT,81265,BMT-pre transplant profile,635.0,412.75,83.71,635.0,55
CPT,81265,DNA fingerprinting analysis-NG,1007.0,654.55,83.71,1007.0,55
CPT,81265,Molecular DNA-John Hopkins,1505.0,978.25,83.71,1505.0,55
CPT,81267,BMT-Post transplant engraftment,323.0,209.95,55.88,323.0,110
CPT,81268,BMT-Chimerism & CD3 cells,510.0,331.5,83.71,510.0,110
CPT,81268,BMT-Chimerism & CD33/CD66b (Myeloid),709.0,460.85,83.71,709.0,110
CPT,81268,BMT-Chimerism & CD56 cells,635.0,412.75,83.71,635.0,110
CPT,81268,CHIMERISM ANAL W/CELL SELECT,261.0,169.65,45.15,352.07,110
CPT,81270,JAK2 GENE,528.0,343.2,22.77,528.0,165
CPT,81270,JAK2 V617F mutation analysis,495.0,321.75,22.77,495.0,165
CPT,81272,CKIT Mutation-NG,622.0,404.3,83.71,622.0,56
CPT,81275,KRAS 81275-ng,1256.0,816.4,83.71,1256.0,55
CPT,81278,BCL-1 Translocation t 14:18 -NG,711.0,462.15,83.71,711.0,55
CPT,81279,JAK2 GENE TRGT SEQUENCE ALYS,746.0,484.9,83.71,746.0,55
CPT,81287,81287 AP Bill MGMT methylation-CC,700.0,455.0,22.77,700.0,55
CPT,81287,MGMT promoter Methylation-81287-NG,1023.0,664.95,22.77,1023.0,55
CPT,81287,Mgmt-Me-81287-Caris,316.0,205.4,22.77,316.0,55
CPT,81288,MLH1 Promoter Methylation-NG,1023.0,664.95,83.71,1023.0,55
CPT,81291,MTHFR thermolabile variant,248.0,161.2,22.77,248.0,55
CPT,81292,Ambry TumorNext-Lynch-81292,1739.0,1130.35,300.85,1739.0,55
CPT,81295,Ambry TumorNext-Lynch-81295,1739.0,1130.35,186.6,1739.0,55
CPT,81298,Ambry TumorNext-Lynch-81298,1739.0,1130.35,300.85,1739.0,55
CPT,81301,Ambry TumorNext-Lynch-81301,1739.0,1130.35,83.71,1739.0,55
CPT,81301,Lynch syndrome analysis,991.0,644.15,83.71,991.0,55
CPT,81301,MSI Fragment Analysis-81301-Caris,863.0,560.95,83.71,863.0,55
CPT,81301,MSI analysis-NG,1169.0,759.85,83.71,1169.0,55
CPT,81305,MYD88 Mutation Analysis 81305 NG,796.0,517.4,83.71,796.0,55
CPT,81309,PIK3CA mutation analysis-NG,1023.0,664.95,83.71,1023.0,55
CPT,81310,NMP1 Mrd blood NG C,814.0,529.1,83.71,814.0,55
CPT,81310,NPM1 Mutation-NG,548.0,356.2,83.71,548.0,110
CPT,81310,Rapid AML - NPM1,348.0,226.2,60.2,348.0,110
CPT,81311,NRAS Mutation EX 2-4-NG,1216.0,790.4,83.71,1216.0,55
CPT,81311,NRAS mutation analysis-NG,1455.0,945.75,83.71,1455.0,55
CPT,81314,PDGFRa Mutation Analysis-NG,1293.0,840.45,65.73,1293.0,56
CPT,81315,PML/RARALPHA COM BREAKPOINTS,697.0,453.05,83.71,697.0,55
CPT,81317,Ambry TumorNext-Lynch-81317,1742.0,1132.3,301.37,1742.0,55
CPT,81335,TPMT genetics-prometheus,703.0,456.95,83.71,703.0,55
CPT,81339,MOPATH level mutation anal-NG,671.0,436.15,83.71,671.0,55
CPT,81339,MPL Mutation-NG,596.0,387.4,83.71,596.0,55
CPT,81340,T-Cell Recep Beta Gene-81340-NG,635.0,412.75,83.71,635.0,110
CPT,81342,T cell antigen receptor gene,340.0,221.0,58.82,340.0,55
CPT,81342,TRG GENE REARRANGEMENT ANAL,672.0,436.8,83.71,672.0,55
CPT,81345,TERT Promoter Mutation-NG,439.0,285.35,75.95,439.0,55
CPT,81347,SF3B1 mutation analysis-NG,684.0,444.6,83.71,684.0,55
CPT,81350,UGT1A1 Irinotecan Toxicity,392.0,254.8,67.82,392.0,55
CPT,81352,Rapid AML - TP53,349.0,226.85,60.38,444.84,110
CPT,81352,TP53 GENE TRGT SEQUENCE ALYS,2122.0,1379.3,83.71,2122.0,110
CPT,81373,HLA I TYPING 1 LOCUS LR,194.0,126.1,22.77,194.0,110
CPT,81375,BMT-HLA-DRB1 (C),197.0,128.05,34.08,265.95,110
CPT,81376,BMT-HLA HR - CLASS II,439.0,285.35,22.77,439.0,55
CPT,81377,Celiac HLA II low res-81377,232.0,150.8,22.77,232.0,110
CPT,81378,BMT-HLA A B C DRB1 (C),406.0,263.9,70.24,466.52,55
CPT,81379,BMT-HLA A B C HR - CLASS 1,439.0,285.35,75.95,452.76,55
CPT,81380,HLA class I typing-Onebld (MCI),1878.0,1220.7,83.71,1878.0,55
CPT,81380,HLA class i typing-onebld,1878.0,1220.7,83.71,1878.0,55
CPT,81382,HLA II TYPING 1 LOC HR,422.5,274.625,22.77,439.0,220
CPT,81382,HLA class II typing-Onebld (MCI),1878.0,1220.7,22.77,1878.0,55
CPT,81382,HLA class ii typing-onebld,1878.0,1220.7,22.77,1878.0,110
CPT,81383,Celiac HLA II high res-81383,229.0,148.85,22.77,229.0,55
CPT,81400,BMT-CCR5 DELTA 32,281.0,182.65,22.77,281.0,55
CPT,81400,Lactose intolerance-prometheus,517.0,336.05,22.77,517.0,55
CPT,81401,Crohn-nod2,578.0,375.7,83.71,578.0,46
CPT,81401,Inv (16) CBFB-MYH11 translocation,684.0,444.6,83.71,684.0,46
CPT,81401,Inv 16 CBFB-MYH11 translo blood NG C,675.0,438.75,83.71,675.0,46
CPT,81401,RunX1-RunXit1 AML1-Eto t821 blood NG C,470.0,305.5,81.31,470.0,46
CPT,81401,"Runxit1 Translocation,t(8:21)-NG",440.0,286.0,76.12,440.0,46
CPT,81403,MOPATH PROCEDURE LEVEL 4,843.0,547.95,83.71,843.0,92
CPT,81405,STAT3 Mutation Analysis 81405 -NG,1112.0,722.8,83.71,1112.0,46
CPT,81406,ACH-mol path proc level 7,3324.0,2160.6,83.71,3324.0,46
CPT,81407,NOTCH1 Mutation Analysis-NG,1904.0,1237.6,329.39,1904.0,46
CPT,81445,Ambry TumorNext-Lynch-81445,1742.0,1132.3,186.6,1742.0,55
CPT,81445,NEOTYPE Brain Tumor Profile-NG,3496.0,2272.4,186.6,3496.0,55
CPT,81445,Neo Ovarian Tumor Profile-NG,3549.0,2306.85,186.6,3549.0,55
CPT,81450,AML Express-Blood-NG,6551.0,4258.15,341.5,6551.0,55
CPT,81450,HL NEO GSAP 5-50DNA/DNA&RNA,6343.0,4122.95,341.5,6343.0,55
CPT,81450,NeoType AITL/Peripheral,4018.0,2611.7,341.5,4018.0,55
CPT,81450,NeoType follicular lymphoma-NG,4989.0,3242.85,341.5,4989.0,55
CPT,81450,Neotype AML Prognostic Profile-81450-NG,3993.0,2595.45,341.5,3993.0,55
CPT,81450,Neotype CLL prog profile (molecular) 81479-NG,1256.0,816.4,217.29,1256.0,55
CPT,81450,Neotype Lymphoma Profile-81450-NG,2002.0,1301.3,341.5,2002.0,55
CPT,81450,Neotype MDS-CMML -81450-NG,952.0,618.8,164.7,1025.37,55
CPT,81450,Neotype all profile-NG,6855.0,4455.75,341.5,6855.0,55
CPT,81455,81455 AP Bill target onco panel NGS-CC,2576.0,1674.4,445.65,3477.6,55
CPT,81455,Neo comprehensive-heme cancers bld-NG (C),9728.0,6323.2,1226.93,9728.0,55
CPT,81455,Neo comprehensive-myeloid disorders-81479-NG,6774.0,4403.1,1171.9,6774.0,55
CPT,81455,NeoType Discovery Solid Tumor Profile,15762.0,10245.3,1226.93,15762.0,55
CPT,81455,NeoType NGS Discovery prof-NG,7477.0,4860.05,1226.93,7477.0,55
CPT,81455,Pancreaseq panel-upmc,1731.0,1125.15,299.46,2336.85,55
CPT,81479,81479 AP Bill IDH1-IDH2 mutation analysis-CC,1627.0,1057.55,22.77,1627.0,46
CPT,81479,81479 AP bill-Panc fluid interpace Dx,6782.0,4408.3,22.77,6782.0,46
CPT,81479,B-cell Gene Rearrangement-NG,590.0,383.5,22.77,590.0,46
CPT,81479,BCR-ABL1 Standard p210 p190,549.0,356.85,22.77,549.0,46
CPT,81479,BMT-KIR Typing,485.0,315.25,22.77,485.0,46
CPT,81479,EGFR-VIII PCR-NG,217.0,141.05,22.77,217.0,46
CPT,81479,IDH1-IDH2 Mutation Analysis-NG,671.0,436.15,22.77,671.0,46
CPT,81479,KRAS Mutation EX 2-4-NG,1049.0,681.85,22.77,1049.0,46
CPT,81479,MET Exon 14 Deletion-81479-NG,1132.0,735.8,22.77,1132.0,46
CPT,81479,MI Tumor Seek-81479-Caris,8036.0,5223.4,22.77,8036.0,47
CPT,81479,NGS-Zb8N7-81479-Caris,7136.0,4638.4,22.77,7136.0,46
CPT,81479,NavDX-PCT for TTMV,1595.0,1036.75,22.77,1595.0,46
CPT,81479,Neo comprehensive-myeloid disorders bld-NG (C),6452.0,4193.8,22.77,6452.0,46
CPT,81479,NeoType lung tumor profile-NG,4056.0,2636.4,22.77,4056.0,46
CPT,81479,Neotype CLL prog profile (molecular) 81479-NG (MCI),1317.0,856.05,22.77,1317.0,46
CPT,81479,Ngs Ewing Sarcoma Fusion Profile-Ng,964.0,626.6,22.77,964.0,46
CPT,81479,Oncotype DX Prostate,11039.0,7175.35,22.77,11039.0,46
CPT,81479,RAS RAF Panel NG,3183.0,2068.95,22.77,3183.0,46
CPT,81479,Single Signatera Assay-Natera,15869.0,10314.85,22.77,15869.0,46
CPT,81479,Solid Tumor Liquid Biopsy-NG,7477.0,4860.05,22.77,7477.0,46
CPT,81479,UNLISTED MOLECULAR PATHOLOGY,45.0,29.25,7.79,45.0,46
CPT,81515,Multiplex Vaginal PCR Panel (MVP),123.0,79.95,21.28,166.05,46
CPT,81517,Enhanced liver fibrosis panel (elf),470.0,305.5,81.31,470.0,55
CPT,81519,Oncotype DX IBC,11283.0,7333.95,1226.93,11283.0,55
CPT,81521,Agendia Breast Ca-Mammaprint,10258.0,6667.7,1226.93,10258.0,55
CPT,81525,Oncotype DX Colon,10794.0,7016.1,1226.93,10794.0,55
CPT,81529,DecisionDX-Melanoma-CB,20747.0,13485.55,1226.93,20747.0,55
CPT,81540,Breast Cancer Index-Biotheranostics,18796.0,12217.4,1226.93,18796.0,55
CPT,81542,Decipher Prostate Biopsy,13408.0,8715.2,1226.93,13408.0,55
CPT,81551,Confirm MDx for Prostate cancer,8062.0,5240.3,1226.93,8062.0,55
CPT,81599,Agendia Breast Ca-Blueprint,9588.0,6232.2,22.77,9588.0,42
CPT,82009,Acetone,189.0,122.85,2.85,189.0,56
CPT,82010,Beta-hydroxybutyrate,78.0,50.7,2.7,78.0,112
CPT,82017,Acylcarnitines,38.0,24.7,3.64,38.0,56
CPT,82024,ACTH - Corticotropin,59.0,38.35,10.21,59.0,56
CPT,82024,ARU ACTH,39.0,25.35,6.75,52.14,56
CPT,82030,Cyclic amp-blood,261.0,169.65,6.93,261.0,56
CPT,82040,"ARU Albumin, serum",37.0,24.05,2.16,37.0,56
CPT,82040,ASSAY OF SERUM ALBUMIN,84.0,54.6,2.16,84.0,224
CPT,82040,Albumin (blood) UC,77.0,50.05,2.16,77.0,224
CPT,82040,IgG synthetic rate-ALB bld,34.0,22.1,2.16,34.0,224
CPT,82040,MS profile-albumin in serum,174.0,113.1,2.16,174.0,224
CPT,82040,"MS, Albumin on Blood",19.0,12.35,2.16,19.0,224
CPT,82042,"ARU Albumin, CSF",37.0,24.05,0.54,37.0,56
CPT,82042,Albumin- CSF,208.0,135.2,0.54,208.0,112
CPT,82042,Albumin-urine,189.0,122.85,0.54,189.0,112
CPT,82042,IgG synthetic rate-ALB CSF,34.0,22.1,0.54,34.0,112
CPT,82042,MS albumin in CSF,19.0,12.35,0.54,19.0,112
CPT,82042,MS profile-albumin in CSF,174.0,113.1,0.54,174.0,112
CPT,82042,OTHER SOURCE ALBUMIN QUAN EA,220.0,143.0,0.54,220.0,112
CPT,82043,Albumin urine(quant 24 hour),230.0,149.5,1.08,230.0,56
CPT,82077,Alcohol Blood Level,579.0,376.35,7.24,579.0,110
CPT,82085,ARU Aldolase,29.0,18.85,2.85,29.0,56
CPT,82085,Aldolase,17.0,11.05,2.85,17.0,56
CPT,82088,"ARU Aldosterone, Serum",43.0,27.95,7.44,55.01,56
CPT,82088,ASSAY OF ALDOSTERONE,69.0,44.85,11.94,69.0,56
CPT,82103,ARU Alpha-1 Antitrypsin,30.0,19.5,5.19,30.0,56
CPT,82103,Alpha 1 antitrypsin (A1AT),142.0,92.3,6.32,142.0,56
CPT,82103,Alpha 1 antitrypsin stool,192.0,124.8,6.32,192.0,56
CPT,82104,Alpha-1 antitrypsin phenotypin,57.0,37.05,6.32,57.0,56
CPT,82105,ARU Alpha Fetoprotein,35.0,22.75,6.06,35.0,112
CPT,82105,Alpha Fetoprotein on Blood,554.0,360.1,6.32,554.0,112
CPT,82105,Alpha fetoprotein pregnancy,112.0,72.8,6.32,112.0,112
CPT,82108,Aluminum,45.0,29.25,6.36,45.0,56
CPT,82135,ASSAY AMINOLEVULINIC ACID,76.0,49.4,6.32,76.0,56
CPT,82139,"Amino acid, urine",253.0,164.45,3.64,253.0,56
CPT,82139,Amino acid-quantitation-blood,349.0,226.85,3.64,349.0,56
CPT,82140,Ammonia,500.0,325.0,6.32,500.0,112
CPT,82140,Ammonia in blood,40.0,26.0,6.32,40.0,112
CPT,82150,82150 AP bill-Amylase interpace Dx,31.0,20.15,2.85,31.0,56
CPT,82150,ASSAY OF AMYLASE,511.0,332.15,2.85,511.0,224
CPT,82150,Amylase (MCI),141.0,91.65,2.85,141.0,224
CPT,82150,Amylase (blood) UC,77.0,50.05,2.85,77.0,224
CPT,82150,Amylase for isoenzymes (c),42.0,27.3,2.85,42.0,224
CPT,82150,Evd -amylase by Piccolo,83.0,53.95,2.85,83.0,224
CPT,82157,Androstenedione,51.0,33.15,6.93,51.0,56
CPT,82164,"ARU Ace, CSF",51.0,33.15,6.32,51.0,112
CPT,82164,ARU Angiotension I Converting Enz,35.0,22.75,6.06,35.0,112
CPT,82164,Angiotensin convert enzyme,29.0,18.85,5.02,29.0,112
CPT,82164,Angiotensin converting enz-CSF,96.0,62.4,6.32,96.0,112
CPT,82166,Anti mullerian hormone-AMH,118.0,76.7,6.32,118.0,55
CPT,82172,ASSAY OF APOLIPOPROTEIN,34.0,22.1,5.88,34.0,56
CPT,82172,Hep C fibro sure 82712 (c),68.0,44.2,6.32,68.0,56
CPT,82175,Arsenic-blood,36.0,23.4,6.23,36.0,56
CPT,82175,Arsenic-urine,106.0,68.9,6.36,106.0,56
CPT,82180,Ascorbic acid (vitamin C),42.0,27.3,2.85,42.0,56
CPT,82232,Beta 2 Microglobulin,67.0,43.55,6.93,67.0,168
CPT,82240,Bile acids cholylglycine,48.0,31.2,8.3,48.0,56
CPT,82247,BILIRUBIN TOTAL,84.0,54.6,2.85,84.0,224
CPT,82247,Bilirubin total UC,77.0,50.05,2.85,77.0,224
CPT,82247,Hep C fibro sure 82247 (c),70.0,45.5,2.85,70.0,224
CPT,82248,BILIRUBIN DIRECT,84.0,54.6,2.85,84.0,280
CPT,82261,Biotinidase deficiency blood,143.0,92.95,3.64,143.0,56
CPT,82270,Occult blood-x3 (screening),136.0,88.4,1.62,136.0,56
CPT,82271,Occult blood-other (qual),153.0,99.45,2.57,153.0,56
CPT,82272,OCCULT BLD FECES 1-3 TESTS,136.0,88.4,2.57,136.0,168
CPT,82272,Occult blood-feces UC,186.0,120.9,2.57,186.0,168
CPT,82274,Fecal occult blood immunoassay,136.0,88.4,1.62,136.0,112
CPT,82300,Cadmium-blood,92.0,59.8,5.94,92.0,56
CPT,82300,Cadmium-urine,108.0,70.2,5.94,108.0,56
CPT,82306,ARU 25-Hydroxyvita D2 D3 By Tms,69.0,44.85,11.94,69.0,224
CPT,82306,Vitamin D (25 OH),136.0,88.4,14.68,136.0,224
CPT,82308,Calcitonin,48.0,31.2,6.93,48.0,56
CPT,82310,ASSAY OF CALCIUM,84.0,54.6,2.85,84.0,224
CPT,82330,ASSAY OF CALCIUM,84.0,54.6,6.32,84.0,280
CPT,82330,Calcium-ionized UC,53.0,34.45,6.32,53.0,280
CPT,82340,Calcium-24 hour urine(c),82.0,53.3,2.85,82.0,56
CPT,82340,Calcium-random urine,84.0,54.6,2.85,84.0,56
CPT,82360,LHL-stone analysis-calculus,88.0,57.2,4.86,88.0,56
CPT,82365,Stone Analysis - Calculus,48.0,31.2,6.32,48.0,112
CPT,82374,ASSAY BLOOD CARBON DIOXIDE,84.0,54.6,2.85,84.0,168
CPT,82374,CO2 (bicarbonate) UC,74.0,48.1,2.85,74.0,168
CPT,82375,CO oximetry-ABG qual,241.0,156.65,6.32,241.0,56
CPT,82376,ASSAY CARBOXYHB QUAL,159.0,103.35,3.24,159.0,112
CPT,82378,82378 AP bill-Accucea interpace Dx,68.0,44.2,6.32,68.0,56
CPT,82378,CEA,251.0,163.15,6.32,251.0,168
CPT,82378,CEA-body fluid,409.0,265.85,6.32,409.0,168
CPT,82379,Carnitine free and total,27.0,17.55,3.64,27.0,56
CPT,82380,Carotene,42.0,27.3,2.85,42.0,56
CPT,82382,Catecholamine fract-ur 24 hr,40.0,26.0,6.92,40.0,56
CPT,82384,Catecholamine fract-ur random,45.0,29.25,6.93,45.0,56
CPT,82384,Catecholamine fractionated-bld,59.0,38.35,6.93,59.0,56
CPT,82390,ARU Ceruloplasmin,34.0,22.1,2.85,34.0,56
CPT,82390,Ceruloplasmin,111.0,72.15,2.85,111.0,56
CPT,82397,CHEMILUMINESCENT ASSAY,72.0,46.8,6.32,72.0,56
CPT,82397,PTH related peptide,70.0,45.5,6.32,70.0,56
CPT,82397,TIMP-1 (c),204.0,132.6,6.32,204.0,56
CPT,82415,Chloramphenicol level,154.0,100.1,6.36,154.0,56
CPT,82435,ASSAY OF BLOOD CHLORIDE,84.0,54.6,2.85,84.0,224
CPT,82435,Chloride (blood) UC,74.0,48.1,2.85,74.0,224
CPT,82436,Chloride-urine (24 hour),247.0,160.55,1.62,247.0,56
CPT,82436,Chloride-urine (random),189.0,122.85,1.62,189.0,56
CPT,82438,ASSAY OTHER FLUID CHLORIDES,189.0,122.85,2.85,189.0,56
CPT,82465,Cholesterol,84.0,54.6,2.85,84.0,56
CPT,82480,Cholinesterase on Blood,40.0,26.0,2.85,40.0,56
CPT,82482,Cholinesterase - rbc,41.0,26.65,2.85,41.0,56
CPT,82495,Chromium-plasma,85.0,55.25,3.24,85.0,56
CPT,82495,Chromium-urine,208.0,135.2,3.24,208.0,56
CPT,82507,Citrate,48.0,31.2,8.3,48.0,56
CPT,82523,C-telopeptide,149.0,96.85,6.32,149.0,56
CPT,82523,Deoxypyridinoline cross links,81.0,52.65,6.32,81.0,56
CPT,82523,N-telopeptides,38.0,24.7,6.32,38.0,56
CPT,82525,"ARU Copper, Serum",45.0,29.25,6.36,45.0,56
CPT,82525,Copper liver tissue,719.0,467.35,6.36,719.0,56
CPT,82525,Copper on Blood,24.0,15.6,4.15,24.0,56
CPT,82525,Copper-urine,27.0,17.55,4.67,27.0,56
CPT,82525,Hepatic copper,222.0,144.3,6.36,222.0,56
CPT,82530,Cortisol free,162.0,105.3,6.32,162.0,56
CPT,82530,Cortisol free-urine,36.0,23.4,6.23,36.0,56
CPT,82533,TOTAL CORTISOL,652.0,423.8,6.93,652.0,224
CPT,82542,Co enzyme Q10,54.0,35.1,6.32,54.0,56
CPT,82542,Darvon quant (darvocet),51.0,33.15,6.32,51.0,56
CPT,82542,Fatty acid profile essential,899.0,584.35,6.32,899.0,56
CPT,82542,OmegaCheck,131.0,85.15,6.32,131.0,56
CPT,82542,Seroquel level,294.0,191.1,6.32,294.0,56
CPT,82542,TPMT quant HPLC (c),204.0,132.6,6.32,204.0,56
CPT,82542,Thiopurine quant HPLC 1 (c),248.0,161.2,6.32,248.0,56
CPT,82542,Thiopurine quant HPLC 2 (c),246.0,159.9,6.32,246.0,56
CPT,82550,CK (total),85.0,55.25,2.85,85.0,224
CPT,82553,CK-MB,464.0,301.6,5.94,464.0,56
CPT,82565,ASSAY OF CREATININE,84.0,54.6,2.85,84.0,280
CPT,82565,Creatinine (blood) UC,74.0,48.1,2.85,74.0,280
CPT,82570,ASSAY OF URINE CREATININE,247.0,160.55,2.85,247.0,280
CPT,82570,Creatinine-24 hour urine(c),240.0,156.0,2.85,240.0,280
CPT,82570,Total protein on urine-charge,141.0,91.65,2.85,141.0,280
CPT,82570,VMA-creatinine in urine (c),24.0,15.6,2.85,24.0,280
CPT,82575,Creatinine clearance (c),322.0,209.3,2.85,322.0,56
CPT,82595,Cryoglobulin,22.0,14.3,2.85,22.0,56
CPT,82607,Vitamin B12,251.0,163.15,6.93,251.0,280
CPT,82608,Vit B12 binding,48.0,31.2,6.32,48.0,56
CPT,82610,Cystatin C,170.0,110.5,6.32,170.0,56
CPT,82626,DHEA,45.0,29.25,6.32,45.0,56
CPT,82627,ARU Dhea-S,41.0,26.65,6.93,41.0,112
CPT,82627,DHEA sulfate,35.0,22.75,6.06,35.0,112
CPT,82638,Dibucaine number,34.0,22.1,5.88,34.0,56
CPT,82652,"ARU Vitamin D 1,25 Dihy",65.0,42.25,11.25,65.0,165
CPT,82652,Vitamin D (1 25 OH),67.0,43.55,11.59,67.0,165
CPT,82653,ARU pancreatic elastase fecal 3002858,175.0,113.75,6.32,175.0,55
CPT,82656,Elastase (pancreatic) stool,535.0,347.75,6.32,535.0,55
CPT,82657,ENZYME CELL ACTIVITY,131.0,85.15,6.32,131.0,112
CPT,82657,Uroporphyrinogen 3 synthetase,1010.0,656.5,6.32,1010.0,112
CPT,82664,Amylase electrophoresis (c),83.0,53.95,10.26,83.03,56
CPT,82668,ARU Erythropoitin (Epo),48.0,31.2,6.32,48.0,168
CPT,82668,Erythropoietin,36.0,23.4,6.23,36.0,168
CPT,82670,ARU Estradiol by Mass Spec,92.0,59.8,6.93,92.0,112
CPT,82670,"ARU Estradiol, Premen Female",41.0,26.65,6.93,41.0,112
CPT,82670,Estradiol level,48.0,31.2,6.93,48.0,112
CPT,82670,Estradiol-sensitive,80.0,52.0,6.93,80.0,112
CPT,82672,Estrogen,40.0,26.0,6.92,40.0,56
CPT,82677,Estriol in blood,80.0,52.0,6.93,80.0,56
CPT,82679,Estrone,45.0,29.25,6.93,45.0,56
CPT,82705,ARU stool fat-qualitative 0020385,50.0,32.5,2.85,50.0,56
CPT,82705,Stool fat-qualitative,22.0,14.3,2.85,22.0,56
CPT,82710,Stool fat-quantitative,48.0,31.2,6.32,48.0,56
CPT,82728,Ferritin,523.0,339.95,6.32,523.0,280
CPT,82728,Ferritin (MCI),84.0,54.6,6.32,84.0,280
CPT,82731,Fetal fibronectin,1392.0,904.8,35.48,1392.0,56
CPT,82746,Folate (Folic Acid),251.0,163.15,6.32,251.0,224
CPT,82747,Rbc-folate,31.0,20.15,2.16,31.0,56
CPT,82757,Fructose-semen,73.0,47.45,6.32,73.0,56
CPT,82760,Galactose,457.0,297.05,3.24,457.0,56
CPT,82777,Galectin-3,385.0,250.25,14.68,385.0,55
CPT,82784,ARU IgA Rflx,20.0,13.0,2.85,20.0,224
CPT,82784,ASSAY IGA/IGD/IGG/IGM EACH,105.5,68.575,2.85,445.0,728
CPT,82784,Celiac-total IgA,24.0,15.6,2.85,24.0,224
CPT,82784,IgD immunoglobulins,36.0,23.4,2.85,36.0,224
CPT,82784,IgG CSF,420.0,273.0,2.85,420.0,224
CPT,82784,MS IgG in CSF,22.0,14.3,2.85,22.0,224
CPT,82784,MS IgG in serum,19.0,12.35,2.85,19.0,224
CPT,82785,ARU Ige Immunoglobulin,34.0,22.1,5.88,34.0,112
CPT,82785,IgE immunoglobulins,982.0,638.3,6.32,982.0,112
CPT,82785,Resp panel total IgE,63.0,40.95,6.32,63.0,112
CPT,82787,ARU Immunoglob G Subclass 4,47.0,30.55,2.85,47.0,56
CPT,82787,IgG subclasses,119.0,77.35,2.85,119.0,56
CPT,82787,IgG4,40.0,26.0,2.85,40.0,56
CPT,82800,pH only blood specimen,234.0,152.1,1.62,234.0,56
CPT,82803,BLOOD GASES ANY COMBINATION,906.0,588.9,14.68,906.0,56
CPT,82805,BLOOD GASES W/O2 SATURATION,924.0,600.6,23.22,924.0,112
CPT,82805,Blood gas/CO-ox capillary,526.0,341.9,23.22,526.0,112
CPT,82805,PH-PCO2-PO2-measured O2 sat,906.0,588.9,23.22,906.0,112
CPT,82810,BLOOD GASES O2 SAT ONLY,182.0,118.3,2.85,182.0,56
CPT,82810,O2 saturation subsequent,171.0,111.15,2.85,171.0,56
CPT,82930,Gastric analysis each specimen,50.0,32.5,2.85,50.0,55
CPT,82941,Gastrin-blood,35.0,22.75,6.06,35.0,112
CPT,82943,Glucagon,24.0,15.6,4.15,24.0,56
CPT,82945,ARU Glucose Body Fluid,24.0,15.6,2.83,24.0,168
CPT,82945,GLUCOSE OTHER FLUID,160.0,104.0,2.83,160.0,168
CPT,82945,Glucose-urine (random),80.0,52.0,2.83,80.0,168
CPT,82947,ASSAY GLUCOSE BLOOD QUANT,52.0,33.8,2.85,84.0,784
CPT,82947,Glucose (random) UC,74.0,48.1,2.85,74.0,392
CPT,82950,Glucose gestational 1hr 50gm,230.0,149.5,2.85,230.0,56
CPT,82951,Glucose tolerance-3 samples(c),490.0,318.5,6.32,490.0,56
CPT,82951,Lactose tolerance,625.0,406.25,6.32,625.0,56
CPT,82952,GTT-ADDED SAMPLES,166.0,107.9,2.85,166.0,56
CPT,82955,G6PD-quantitative,24.0,15.6,2.85,24.0,56
CPT,82977,ASSAY OF GGT,84.0,54.6,2.85,84.0,224
CPT,82977,GGT UC,77.0,50.05,2.85,77.0,224
CPT,82977,Hep C fibro sure 82977 (c),70.0,45.5,2.85,70.0,224
CPT,82985,ARU Fructosamine,30.0,19.5,5.19,30.0,56
CPT,82985,Fructosamine,27.0,17.55,4.67,27.0,56
CPT,82985,Glycated albumin,193.0,125.45,6.32,193.0,56
CPT,83001,ARU Fsh serum Follicle Stim Horm,32.0,20.8,5.54,32.0,168
CPT,83001,FSH,301.0,195.65,6.93,301.0,168
CPT,83001,FSH-LC,28.0,18.2,4.84,28.0,168
CPT,83002,ARU Luteinizing Hormone (Lh) Serum,37.0,24.05,6.4,37.0,168
CPT,83002,LH,303.0,196.95,6.93,303.0,168
CPT,83002,LH-LC,28.0,18.2,4.84,28.0,168
CPT,83003,HGH (human growth hormone),34.0,22.1,5.88,34.0,56
CPT,83010,Haptoglobin,520.0,338.0,6.32,520.0,168
CPT,83010,Hep C fibro sure 83010 (c),70.0,45.5,6.32,70.0,168
CPT,83015,HEAVY METAL QUAL ANY NUMBER,36.0,23.4,6.23,36.0,56
CPT,83018,Cobalt-plasma,199.0,129.35,6.36,199.0,56
CPT,83018,Heavy metals scrn-random urine,40.0,26.0,6.36,40.0,56
CPT,83020,Hemoglobin A2,40.0,26.0,6.32,40.0,112
CPT,83020,Hemoglobin electrophoresis,741.0,481.65,6.32,741.0,112
CPT,83020,Hemoglobin fetal-quantitative,50.0,32.5,6.32,50.0,112
CPT,83020,Hgb electrophoresis acid,446.0,289.9,6.32,446.0,112
CPT,83021,ARU Hemoglobin Evaluation,89.0,57.85,3.12,89.0,56
CPT,83033,Hemoglobin F fetal-Apt (qual),516.0,335.4,2.85,516.0,56
CPT,83036,Hemoglobin A1c (glycosylated),476.0,309.4,2.85,476.0,224
CPT,83045,HGB METHEMOGLOBIN QUAL,159.0,103.35,1.62,159.0,112
CPT,83051,Plasma hemoglobin,36.0,23.4,2.85,36.0,56
CPT,83088,ASSAY OF HISTAMINE,51.0,33.15,8.82,51.0,56
CPT,83090,ARU Homocysteine,39.0,25.35,3.64,39.0,56
CPT,83090,Homocysteine,292.0,189.8,3.64,292.0,56
CPT,83090,Homocysteine-urine,177.0,115.05,3.64,177.0,56
CPT,83150,Homovanillic acid-24hr ur,45.0,29.25,6.93,45.0,56
CPT,83497,ASSAY OF 5-HIAA,27.0,17.55,4.67,27.0,56
CPT,83498,17 hydroxyprogesterone,49.0,31.85,6.93,49.0,56
CPT,83500,Hydroxyproline-free (c),71.0,46.15,6.93,71.0,56
CPT,83505,Hydroxyproline-total (c),69.0,44.85,6.93,69.0,56
CPT,83516,ARU Glomerular Basement Membrane,85.0,55.25,6.32,85.0,112
CPT,83516,ARU gastric parietal cell Ab IgG 0050596,54.0,35.1,6.32,54.0,112
CPT,83516,Glomerular basement membr Ab,24.0,15.6,4.15,24.0,112
CPT,83516,IMMUNOASSAY NONANTIBODY,36.0,23.4,1.04,275.0,336
CPT,83516,Lupus screen,537.0,349.05,6.32,537.0,112
CPT,83516,Lupus-collagen pnl - 83516 (c),34.0,22.1,5.88,34.0,112
CPT,83516,"Phospholipase a2 recep auto-ab, igg",455.0,295.75,6.32,455.0,112
CPT,83519,IgF binding protein 1,131.0,85.15,6.32,131.0,56
CPT,83519,IgF binding protein 2,112.0,72.8,6.32,112.0,56
CPT,83520,ADAMTS13 Antibody,490.0,318.5,6.32,490.0,56
CPT,83520,Histone antibodies,22.0,14.3,3.81,23.31,224
CPT,83520,Hyaluronic acid (c),204.0,132.6,6.32,204.0,224
CPT,83520,IMMUNOASSAY QUANT NOS NONAB,163.0,105.94999999999999,6.32,306.0,896
CPT,83520,IgF binding protein 3,76.0,49.4,6.32,76.0,224
CPT,83520,Inhibin B,303.0,196.95,6.32,303.0,224
CPT,83520,Interleukin-2 Soluble Receptor a,257.0,167.05,6.32,257.0,224
CPT,83520,Mag IgM antibody,167.0,108.55,6.32,167.0,224
CPT,83520,SGPG IgM antibodies,99.0,64.35,6.32,99.0,224
CPT,83520,Soluble transferrin receptor,92.0,59.8,6.32,92.0,224
CPT,83520,Thyrotropin binding immuno,42.0,27.3,6.32,42.0,224
CPT,83520,Tryptase,108.0,70.2,6.32,108.0,224
CPT,83521,IG LIGHT CHAINS FREE EACH,81.0,52.65,6.32,148.0,660
CPT,83521,Kappa free light chain-ur (c),57.0,37.05,6.32,57.0,220
CPT,83521,Lambda free light chain-ur (c),54.0,35.1,6.32,54.0,220
CPT,83525,ARU Insulin Level,34.0,22.1,5.88,34.0,56
CPT,83525,Insulin (total),111.0,72.15,6.93,111.0,56
CPT,83525,Total Insulin,21.0,13.65,3.63,21.0,56
CPT,83529,Interleukin-6 (IL-6),136.0,88.4,6.32,136.0,55
CPT,83540,ASSAY OF IRON,84.0,54.6,2.85,84.0,224
CPT,83540,Iron on tissue-quantitative,660.0,429.0,2.85,660.0,224
CPT,83550,Iron Binding Capacity (MCI),84.0,54.6,2.85,84.0,280
CPT,83550,Iron binding capacity,219.0,142.35,2.85,219.0,280
CPT,83605,ASSAY OF LACTIC ACID,312.5,203.125,6.32,541.0,224
CPT,83615,LACTATE (LD) (LDH) ENZYME,135.0,87.75,2.85,186.0,448
CPT,83615,LDH - CSF,175.0,113.75,2.85,175.0,224
CPT,83625,LD isoenzyme,37.0,24.05,6.32,37.0,56
CPT,83632,Human placental lactogen,288.0,187.2,6.32,288.0,56
CPT,83655,ARU lead blood venous,30.0,19.5,5.19,30.0,56
CPT,83655,ASSAY OF LEAD,22.0,14.3,3.81,22.0,56
CPT,83655,Lead on hair,851.0,553.15,6.36,851.0,56
CPT,83655,Lead-24 hour urine,43.0,27.95,6.36,43.0,56
CPT,83690,ASSAY OF LIPASE,141.0,91.65,2.85,141.0,224
CPT,83690,Lipase-UC,201.0,130.65,2.85,201.0,224
CPT,83690,Lipase-fluid,60.0,39.0,2.85,60.0,224
CPT,83695,Lipoprotein (A) quantitation,31.0,20.15,5.36,31.0,56
CPT,83704,NMR-lipoprotein quantitation,85.0,55.25,14.68,85.0,55
CPT,83718,HDL cholesterol,84.0,54.6,2.85,84.0,56
CPT,83721,LDL cholesterol - direct,301.0,195.65,2.85,301.0,112
CPT,83735,ASSAY OF MAGNESIUM,272.0,176.8,2.85,272.0,336
CPT,83735,Magnesium-red cell,22.0,14.3,2.85,22.0,336
CPT,83785,Manganese,89.0,57.85,6.36,89.0,56
CPT,83789,ARU Bile Acids Frac-Total Lc-Ms/Ms,241.0,156.65,6.32,241.0,56
CPT,83789,ARU Fungal ID maldi-TOF MS 2007693,167.0,108.55,6.32,167.0,56
CPT,83789,Neogen newborn screening,136.0,88.4,6.32,136.0,56
CPT,83825,Mercury-blood (quant),74.0,48.1,6.36,74.0,56
CPT,83825,Mercury-urine (quant),96.0,62.4,6.36,96.0,56
CPT,83835,"ARU Metanephrines, Plasma (Free)",195.0,126.75,6.93,195.0,56
CPT,83835,Metanephrine-24 hour urine,66.0,42.9,6.93,66.0,56
CPT,83835,Metanephrines frac pl free,36.0,23.4,6.23,36.0,56
CPT,83873,MS (MBP CSF),32.0,20.8,5.54,32.0,56
CPT,83873,MS profile-MBP on CSF,174.0,113.1,6.32,174.0,56
CPT,83873,Myelin basic protein-CSF,40.0,26.0,6.32,40.0,56
CPT,83874,Myoglobin on Blood,409.0,265.85,6.32,409.0,56
CPT,83874,Myoglobin-urine,22.0,14.3,3.81,22.0,56
CPT,83880,Pro-BNP,473.0,307.45,14.68,473.0,110
CPT,83880,Pro-BNP baseline,488.0,317.2,14.68,488.0,110
CPT,83883,Alpha 2 macroglobulin quant,48.0,31.2,5.89,48.0,56
CPT,83883,Alpha 2 macroglobulin quant(c),240.0,156.0,5.89,240.0,56
CPT,83883,Hep C fibro sure 83883 (c),70.0,45.5,5.89,70.0,56
CPT,83915,5-nucleotidase,31.0,20.15,5.36,31.0,56
CPT,83916,"ARU Oligoclonal Bands, CSF",37.0,24.05,6.4,37.0,56
CPT,83916,MS profile-oligoclonal bands,170.0,110.5,11.88,170.0,56
CPT,83916,OLIGOCLONAL BANDS,39.0,25.35,6.75,39.0,56
CPT,83916,Oligoclonal bands send out,57.0,37.05,9.86,57.0,56
CPT,83919,Organic acids (qual)-urine,162.0,105.3,6.32,162.0,56
CPT,83921,"ARU Methylmalonic Acid,Quant",69.0,44.85,6.32,69.0,112
CPT,83921,Methylmalonic acid,63.0,40.95,6.32,63.0,112
CPT,83930,Osmolality-blood,366.0,237.9,2.85,366.0,112
CPT,83935,Osmolality-urine,366.0,237.9,2.85,366.0,112
CPT,83970,ASSAY OF PARATHORMONE,219.0,142.35,18.18,219.0,280
CPT,83970,Parathyroid intact aspirate washout,335.0,217.75,18.18,335.0,56
CPT,83970,Parathyroid(PTH) intact aspirate washout,335.0,217.75,18.18,335.0,280
CPT,83986,ASSAY PH BODY FLUID NOS,272.0,176.8,2.85,272.0,168
CPT,83986,Eye pH,84.0,54.6,2.85,84.0,168
CPT,83986,HCA pH-body fluid 025018,23.0,14.95,2.85,23.0,168
CPT,83986,POCT pH nitrazine,35.0,22.75,2.85,35.0,168
CPT,83986,pH in feces,22.0,14.3,2.85,22.0,168
CPT,83992,Phencyclidine (PCP),11.0,7.15,1.9,11.88,43
CPT,83993,"ARU Calprotectin, Fecal by Immunoass",287.0,186.55,6.32,287.0,56
CPT,83993,Calprotectin stool,275.0,178.75,6.32,275.0,56
CPT,84066,Acid phosphatase-prostatic,31.0,20.15,2.85,31.0,56
CPT,84075,ASSAY ALKALINE PHOSPHATASE,84.0,54.6,2.85,84.0,224
CPT,84075,Alkaline phosphatase UC,77.0,50.05,2.85,77.0,224
CPT,84078,Alk phosphatase-heat fraction,512.0,332.8,2.85,512.0,56
CPT,84080,Alk phosphase electrophoresis,24.0,15.6,4.15,24.0,56
CPT,84080,Bone Specific Alkaline Phosphatase (BAP),73.0,47.45,6.32,73.0,56
CPT,84100,ASSAY OF PHOSPHORUS,84.0,54.6,2.85,84.0,336
CPT,84105,Phosphorus-urine,247.0,160.55,2.85,247.0,56
CPT,84105,Urine phosphorus-24 hour,301.0,195.65,2.85,301.0,56
CPT,84106,Porphobilinogen-urine,36.0,23.4,2.85,36.0,56
CPT,84110,Porphobilinogen-urine (24hr),36.0,23.4,2.85,36.0,56
CPT,84112,ROM (Rupture of Membranes),181.0,117.65,31.31,181.0,55
CPT,84119,Porphyrin-random urine,42.0,27.3,6.32,42.0,56
CPT,84120,Coproporphyrin-urine,73.0,47.45,6.32,73.0,56
CPT,84120,Porphyrin-24 hour urine,42.0,27.3,6.32,42.0,56
CPT,84132,ASSAY OF SERUM POTASSIUM,84.0,54.6,2.85,84.0,392
CPT,84132,Potassium serum UC,74.0,48.1,2.85,74.0,392
CPT,84133,ASSAY OF URINE POTASSIUM,179.0,116.35,2.85,179.0,112
CPT,84133,Potassium-random urine,266.0,172.9,2.85,266.0,112
CPT,84134,Prealbumin,251.0,163.15,6.32,251.0,224
CPT,84140,Pregnenolone level,162.0,105.3,6.93,162.0,56
CPT,84143,17-hydroxypregnenolone,114.0,74.1,6.93,114.0,56
CPT,84144,"ARU Progesterone Quant, Serum/Plasma",67.0,43.55,6.93,67.0,112
CPT,84144,Progesterone level,29.0,18.85,5.02,29.0,112
CPT,84145,Procalcitonin (PCT),88.0,57.2,6.93,88.0,110
CPT,84146,"ARU Prolactin, Serum",37.0,24.05,6.4,37.0,112
CPT,84146,Prolactin,654.0,425.1,6.93,654.0,112
CPT,84146,Prolactin - LC,25.0,16.25,4.33,26.16,112
CPT,84153,ARU PSA total,34.0,22.1,5.88,34.0,168
CPT,84153,ARU Prostate Specific Ag,37.0,24.05,6.32,37.0,168
CPT,84153,ASSAY OF PSA TOTAL,324.0,210.6,6.32,324.0,168
CPT,84153,PSA Free & Total,482.0,313.3,6.32,482.0,168
CPT,84154,ARU PSA free,34.0,22.1,5.88,34.0,168
CPT,84154,PSA free,511.0,332.15,6.32,511.0,168
CPT,84155,"ARU Protein, total",10.0,6.5,1.73,10.0,224
CPT,84155,ASSAY OF PROTEIN SERUM,84.0,54.6,2.85,84.0,224
CPT,84155,Protein total UC,77.0,50.05,2.85,77.0,224
CPT,84156,"ARU Protein, Total urine",81.0,52.65,2.83,81.0,168
CPT,84156,Creatinine or urine-charge,247.0,160.55,2.83,247.0,168
CPT,84156,Protein urine (random),141.0,91.65,2.83,141.0,168
CPT,84156,Protein-24 hour urine(c),165.0,107.25,2.83,165.0,168
CPT,84156,Total protein in urine (c),40.0,26.0,2.83,40.0,168
CPT,84157,"ARU Total Protein, Body Fluid",28.0,18.2,2.83,28.0,168
CPT,84157,ASSAY OF PROTEIN OTHER,172.0,111.8,2.83,172.0,168
CPT,84165,ARU SPEP,10.0,6.5,1.73,13.5,168
CPT,84165,Protein elec serum-LC(c),50.0,32.5,2.85,50.0,168
CPT,84165,Protein electrophoresis ser-so,27.0,17.55,2.85,27.0,168
CPT,84165,Protein electrophoresis-serum,625.0,406.25,2.85,625.0,168
CPT,84166,Protein elec 24hr ur (c),40.0,26.0,0.32,40.0,112
CPT,84166,Protein elec CSF-LC(c),38.0,24.7,0.32,38.0,112
CPT,84166,Protein elec urine-LC(c),50.0,32.5,0.32,50.0,112
CPT,84166,Protein electro-CSF send out,42.0,27.3,0.32,42.0,112
CPT,84166,Protein electrophoresis-ur so,36.0,23.4,0.32,36.0,112
CPT,84166,Protein electrophoresis-urine,824.0,535.6,0.32,824.0,112
CPT,84182,CJD Pnl-Western Blot (C),87.0,56.55,12.8,87.0,56
CPT,84182,PROTEIN WESTERN BLOT TEST,223.5,145.275,12.8,305.0,112
CPT,84202,Protoporphrin(quant)-rbc,31.0,20.15,4.86,31.0,56
CPT,84206,Proinsulin,87.0,56.55,6.93,87.0,56
CPT,84207,ARU Vitamin B6 (Pyridoxal 5-Phosphate),53.0,34.45,9.17,53.0,56
CPT,84207,Vitamin B-6 (pyridoxal phosp),50.0,32.5,8.65,50.0,56
CPT,84210,Pyruvic acid,22.0,14.3,3.81,22.0,56
CPT,84220,Pyruvate kinase screen,183.0,118.95,2.85,183.0,56
CPT,84244,ARU Renin Activity,45.0,29.25,6.93,45.0,56
CPT,84244,Renin,40.0,26.0,6.92,40.0,56
CPT,84252,Vitamin B2 (riboflavin),38.0,24.7,6.32,38.0,56
CPT,84255,Selenium,48.0,31.2,6.36,48.0,56
CPT,84260,Serotonin,53.0,34.45,9.17,53.0,56
CPT,84270,ARU Sex Hormone Binding Globulin (SHBG),17.0,11.05,2.94,22.95,56
CPT,84270,Sex hormone binding globulin,40.0,26.0,5.94,40.0,56
CPT,84295,ASSAY OF SERUM SODIUM,84.0,54.6,2.85,84.0,224
CPT,84295,Sodium (serum) UC,74.0,48.1,2.85,74.0,224
CPT,84300,Sodium-24 hour urine(c),183.0,118.95,2.85,183.0,112
CPT,84300,Sodium-random urine,189.0,122.85,2.85,189.0,112
CPT,84302,Fecal sodium,67.0,43.55,2.85,67.0,56
CPT,84302,Sodium-fluid,179.0,116.35,2.85,179.0,56
CPT,84305,ARU Igf-1 (Insul-Like Gr I),56.0,36.4,6.93,56.0,112
CPT,84305,IgF-1 somatomedin-C,39.0,25.35,6.75,39.0,112
CPT,84307,Somatostatin,284.0,184.6,6.48,284.0,56
CPT,84311,Adenosine deaminase on CSF,298.0,193.7,2.85,298.0,56
CPT,84315,Specific gravity-body fluid,127.0,82.55,1.62,127.0,56
CPT,84376,Reducing substances feces,34.0,22.1,2.85,34.0,56
CPT,84393,"TAU, phosphorylated, CSF",458.0,297.7,79.23,458.0,46
CPT,84394,"Total TAU, CSF",458.0,297.7,79.23,458.0,46
CPT,84402,"ARU Testosterone, free",17.0,11.05,2.94,22.95,112
CPT,84402,Testosterone-free,45.0,29.25,6.93,45.0,112
CPT,84403,"ARU Testosterone, total",17.0,11.05,2.94,22.95,224
CPT,84403,ASSAY OF TOTAL TESTOSTERONE,25.0,16.25,4.33,33.75,224
CPT,84403,Testosterone Total,366.0,237.9,6.93,366.0,224
CPT,84425,"ARU Vitamin B1, Whole Blood",65.0,42.25,4.86,65.0,56
CPT,84425,Vitamin B1 (thiamine),36.0,23.4,4.86,36.0,56
CPT,84430,Thiocyanate,64.0,41.6,6.36,64.0,56
CPT,84432,Thyroglobulin lymph node aspirate,372.0,241.8,6.93,372.0,56
CPT,84432,Thyroglobulin lymph-node aspirate,372.0,241.8,6.93,372.0,56
CPT,84432,Thyroglobulin-includes Abs,63.0,40.95,6.93,63.0,56
CPT,84433,TPMT enzyme activity (c),204.0,132.6,6.32,204.0,55
CPT,84436,T4 (thyroxine)-total,219.0,142.35,5.94,219.0,280
CPT,84439,ASSAY OF FREE THYROXINE,219.0,142.35,5.94,219.0,224
CPT,84442,Thyroxine-binding globulin,24.0,15.6,4.15,24.0,56
CPT,84443,ARU TSH 3rd Generation,32.0,20.8,5.54,32.0,336
CPT,84443,ASSAY THYROID STIM HORMONE,255.0,165.75,6.93,255.0,336
CPT,84443,TSH-UC,186.0,120.9,6.93,186.0,336
CPT,84445,TSI-thyroid stim immuno,141.0,91.65,10.26,141.0,56
CPT,84446,Vitamin E,42.0,27.3,6.32,42.0,56
CPT,84450,AST (SGOT) UC,77.0,50.05,2.85,77.0,224
CPT,84450,TRANSFERASE (AST) (SGOT),84.0,54.6,2.85,84.0,224
CPT,84460,ALANINE AMINO (ALT) (SGPT),84.0,54.6,2.85,84.0,224
CPT,84460,ALT (SGPT) UC,77.0,50.05,2.85,77.0,224
CPT,84460,Hep C fibro sure 84460 (c),59.0,38.35,2.85,59.0,224
CPT,84466,Transferrin,687.0,446.55,6.32,687.0,168
CPT,84478,ASSAY OF TRIGLYCERIDES,84.0,54.6,2.85,84.0,56
CPT,84479,T3-uptake,19.0,12.35,3.29,19.0,56
CPT,84480,ARU T3 Total,23.0,14.95,3.98,23.0,224
CPT,84480,T3 (total),219.0,142.35,6.93,219.0,224
CPT,84480,Total T3,22.0,14.3,3.81,22.0,224
CPT,84481,ARU Free T3 (Ft3),23.0,14.95,3.98,23.0,224
CPT,84481,T3 (free),219.0,142.35,6.93,219.0,224
CPT,84482,Reverse T3,34.0,22.1,5.88,34.0,55
CPT,84484,ASSAY OF TROPONIN QUANT,535.0,347.75,6.32,535.0,168
CPT,84484,HS Troponin T,230.0,149.5,6.32,230.0,168
CPT,84484,Troponin I-triage (BHHD only),254.0,165.1,6.32,254.0,168
CPT,84484,Troponin-I on I-Stat (MCI),167.0,108.55,6.32,167.0,168
CPT,84520,ASSAY OF UREA NITROGEN,84.0,54.6,2.85,84.0,280
CPT,84520,Bun UC,74.0,48.1,2.85,74.0,280
CPT,84520,"Urea nitrogen, body fluid",151.0,98.15,2.85,151.0,280
CPT,84540,Urea nitrogen-random urine,247.0,160.55,2.85,247.0,112
CPT,84540,Urine urea nitrogen-24 hour,251.0,163.15,2.85,251.0,112
CPT,84550,ASSAY OF BLOOD/URIC ACID,84.0,54.6,2.85,84.0,224
CPT,84560,Uric acid-24 hour urine(c),183.0,118.95,2.85,183.0,56
CPT,84560,Uric acid-random urine,189.0,122.85,2.85,189.0,56
CPT,84585,VMA in urine (c),31.0,20.15,5.36,31.0,56
CPT,84585,VMA on 24hr urine,27.0,17.55,4.67,27.0,56
CPT,84586,Vasoactive intestinal peptide,74.0,48.1,12.8,74.0,56
CPT,84588,Anti diurectic hormone (ADH),58.0,37.7,10.03,58.0,56
CPT,84590,Vitamin A (retinol),45.0,29.25,6.32,45.0,56
CPT,84597,Vitamin K,242.0,157.3,4.32,242.0,56
CPT,84620,Xylose absorption,141.0,91.65,6.32,141.0,56
CPT,84630,"ARU Zinc, Serum or Plasma",37.0,24.05,6.36,37.0,56
CPT,84630,Zinc,23.0,14.95,3.98,23.0,56
CPT,84630,Zinc-urine,48.0,31.2,6.36,48.0,56
CPT,84681,"ARU C-Pep, Ser Or Pl",41.0,26.65,6.32,41.0,56
CPT,84681,C peptide,202.0,131.3,6.32,202.0,56
CPT,84681,C-Peptide,22.0,14.3,3.81,28.09,56
CPT,84702,Beta HCG on Blood (Quant)-UC,201.0,130.65,6.93,201.0,112
CPT,84702,CHORIONIC GONADOTROPIN TEST,295.0,191.75,6.93,295.0,112
CPT,84703,Pregnancy test on blood UC,186.0,120.9,2.85,186.0,168
CPT,84703,Pregnancy test-blood(qual),208.0,135.2,2.85,208.0,168
CPT,84999,"CJD RT-QulC Prion, CSF",458.0,297.7,6.32,458.0,46
CPT,84999,Osmolality-stool,24.0,15.6,4.15,24.0,46
CPT,85007,BL SMEAR W/DIFF WBC COUNT,283.0,183.95,3.12,283.0,56
CPT,85007,Differential UC,183.0,118.95,3.12,183.0,56
CPT,85014,HEMATOCRIT,96.0,62.4,1.62,96.0,224
CPT,85014,Hematocrit (MCI),47.0,30.55,1.62,47.0,224
CPT,85014,Hematocrit UC,61.0,39.65,1.62,61.0,224
CPT,85014,Hematocrit-or,83.0,53.95,1.62,83.0,224
CPT,85018,HEMOGLOBIN,96.0,62.4,1.62,96.0,280
CPT,85018,Hemoglobin (MCI),47.0,30.55,1.62,47.0,280
CPT,85018,Hemoglobin Hemocue - UC,5.0,3.25,0.87,5.0,280
CPT,85018,Hemoglobin UC,61.0,39.65,1.62,61.0,280
CPT,85018,Hemoglobin-or,84.0,54.6,1.62,84.0,280
CPT,85025,CBC with diff UC,217.0,141.05,3.12,217.0,336
CPT,85025,COMPLETE CBC W/AUTO DIFF WBC,389.0,252.85,3.12,389.0,336
CPT,85025,OneBlood CBC w auto diff,27.0,17.55,3.12,27.0,336
CPT,85027,CBC UC,188.0,122.2,3.12,188.0,336
CPT,85027,COMPLETE CBC AUTOMATED,247.0,160.55,3.12,247.0,336
CPT,85027,OneBlood CBC manual diff,55.0,35.75,3.12,55.0,336
CPT,85045,Reticulocyte count (auto)-BHSF,307.0,199.55,3.12,307.0,224
CPT,85048,Eosinophil-circulating-BHSF,248.0,161.2,1.62,248.0,112
CPT,85049,AUTOMATED PLATELET COUNT,205.0,133.25,3.12,205.0,112
CPT,85049,Platelet count (MCI),199.0,129.35,3.12,199.0,112
CPT,85049,Platelet count UC,130.0,84.5,3.12,130.0,112
CPT,85097,Bone marrow smear interpret,930.0,604.5,11.83,1135.83,112
CPT,85210,ARU Factor Ii (Prothrombin),114.0,74.1,2.31,114.0,56
CPT,85210,Factor II assay,750.0,487.5,2.31,750.0,56
CPT,85220,Factor V assay,750.0,487.5,2.31,750.0,56
CPT,85230,Factor VII assay,750.0,487.5,2.31,750.0,56
CPT,85240,ARU Factor Viii Activity,72.0,46.8,2.31,72.0,56
CPT,85240,Factor VIII 1-stage (c),261.0,169.65,2.31,261.0,56
CPT,85240,Factor VIII assay (activity),750.0,487.5,2.31,750.0,56
CPT,85240,"Factor VIII, AHG 1-stage-charge",143.0,92.95,2.31,143.0,56
CPT,85245,"Factor VIII, Ristoceting Cofactor-charge",143.0,92.95,13.41,143.0,56
CPT,85245,Factor VIII-ristocetin cofac,138.0,89.7,13.41,138.0,56
CPT,85246,ARU Von Willebrand Factor Ag,73.0,47.45,12.63,73.0,56
CPT,85246,Factor VIII VW Antigen,170.0,110.5,13.41,170.0,56
CPT,85246,"Factor VIII, VW Factor Antigen-charge",143.0,92.95,13.41,143.0,56
CPT,85247,Factor VIII VW-multimetric,402.0,261.3,13.41,402.0,56
CPT,85250,Factor IX assay,750.0,487.5,13.41,750.0,56
CPT,85260,Factor X assay,750.0,487.5,2.31,750.0,56
CPT,85260,Factor X chromogenic,94.0,61.1,2.31,94.0,56
CPT,85270,Factor XI assay,750.0,487.5,2.31,750.0,56
CPT,85280,Factor XII assay,750.0,487.5,13.41,750.0,56
CPT,85290,Factor XIII assay,187.0,121.55,2.31,187.0,56
CPT,85300,"ARU Antithrombin, Enzymatic (Activity)",66.0,42.9,2.31,66.0,56
CPT,85300,Anti thrombin-iii function,790.0,513.5,2.31,790.0,56
CPT,85300,AntiThrombin Activity-charge,57.0,37.05,2.31,57.0,56
CPT,85301,ARU Antithrombin Antigen,66.0,42.9,2.31,66.0,56
CPT,85301,AntiThrombin Antigen-charge,54.0,35.1,2.31,54.0,56
CPT,85302,"ARU Protein C, Total Ag",48.0,31.2,2.31,48.0,56
CPT,85302,Protein C antigen,96.0,62.4,2.31,96.0,56
CPT,85303,ARU protein c functional,38.0,24.7,2.31,38.0,56
CPT,85303,Protein C activity,657.0,427.05,2.31,657.0,56
CPT,85303,Protein C activity-charge,87.0,56.55,2.31,87.0,56
CPT,85303,Protein C antigen-charge,85.0,55.25,2.31,85.0,56
CPT,85305,"ARU Protein S, Total, Ag",48.0,31.2,2.31,48.0,56
CPT,85305,PROTEIN S TOTAL-LC (C),52.0,33.8,2.31,52.0,56
CPT,85306,ARU protein s functional,38.0,24.7,2.31,38.0,56
CPT,85306,PROTEIN S FREE-LC (C),52.0,33.8,2.31,52.0,56
CPT,85306,Protein S activity,657.0,427.05,2.31,657.0,56
CPT,85307,Activated protein C resistance,199.0,129.35,3.12,199.0,56
CPT,85335,ADAMTS13 Inhibitor,403.0,261.95,2.31,403.0,56
CPT,85335,FACTOR VIII BETHESDA TITER-Reflex,671.0,436.15,2.31,671.0,56
CPT,85347,Coagulation time activated,57.0,37.05,2.31,57.0,112
CPT,85362,FDP (Fibrin deg product),331.0,215.15,2.31,331.0,56
CPT,85379,D-dimer (quant),638.0,414.7,2.31,638.0,168
CPT,85384,Fibrinogen (activity),510.0,331.5,2.31,510.0,168
CPT,85397,ARU Adamts13 Activity,387.0,251.55,13.41,387.0,55
CPT,85397,Adamts13 activity,429.0,278.85,13.41,429.0,55
CPT,85397,CLOTTING FUNCT ACTIVITY,391.0,254.15,13.41,391.0,55
CPT,85415,Tissue plasminogen activator,323.0,209.95,2.31,323.0,56
CPT,85420,Plasminogen activity,192.0,124.8,2.31,192.0,56
CPT,85460,Fetomaternal hemorrhage study,681.0,442.65,3.12,681.0,56
CPT,85461,Fetal hemoglobin scrn-rosette,377.0,245.05,3.12,377.0,56
CPT,85520,ARU Rflx anti-xa qual interp (C),109.0,70.85,2.31,109.0,56
CPT,85520,Anti-XA UFH,339.0,220.35,2.31,339.0,56
CPT,85520,Anti-Xa LMW heparin,638.0,414.7,2.31,638.0,56
CPT,85520,Fondaparinux level-arixtra,205.0,133.25,2.31,205.0,56
CPT,85520,Heparin analysis,666.0,432.9,2.31,666.0,56
CPT,85525,ARU Rflx hepzyme treatment (C),87.0,56.55,2.31,87.0,56
CPT,85540,Leukocyte alk phos stain (chg),379.0,246.35,3.12,379.0,56
CPT,85549,Lysozyme (muramidase),48.0,31.2,3.12,48.0,56
CPT,85576,BLOOD PLATELET AGGREGATION,425.5,276.575,13.41,727.0,336
CPT,85576,HCA platelet function analysis 055060,206.0,133.9,13.41,206.0,168
CPT,85576,NATP-platelet aggreg-onebld(c),809.0,525.85,13.41,809.0,168
CPT,85576,Platelet function analysis,398.0,258.7,13.41,398.0,168
CPT,85576,Platelet mapping,547.0,355.55,13.41,547.0,168
CPT,85598,ARU Rflx hexagonal phos (C),159.0,103.35,2.31,159.0,55
CPT,85598,HexagonalL Phase Phospholipid-Reflex,68.0,44.2,2.31,68.0,55
CPT,85610,ARU PT-INR (PROTHROMBIN TIME),25.0,16.25,2.31,25.0,224
CPT,85610,HCA mixing studies-PT,32.0,20.8,2.31,32.0,224
CPT,85610,POCT pt prothrombin time,83.0,53.95,2.31,83.0,224
CPT,85610,PROTHROMBIN TIME,201.0,130.65,2.31,201.0,224
CPT,85610,PT-charge,191.0,124.15,2.31,191.0,224
CPT,85611,Circulating anticoagulant,977.0,635.05,2.31,977.0,56
CPT,85611,HCA mixing studies-PT plasma fract,32.0,20.8,2.31,32.0,56
CPT,85613,APS-Diluted SRVVT Confirm Seconds,64.0,41.6,2.31,64.0,112
CPT,85613,ARU Rflx dRVVT 1:1 mix & confirm (C),95.0,61.75,2.31,95.0,112
CPT,85613,"ARU Rflx dRVVT scrn ratio, treated (C)",87.0,56.55,2.31,87.0,112
CPT,85613,ARU dRVVT Screen Ratio,25.0,16.25,2.31,25.0,112
CPT,85613,DRVVT Confirmation-Reflex,52.0,33.8,2.31,52.0,112
CPT,85613,DRVVT Mix-Reflex,45.0,29.25,2.31,45.0,112
CPT,85613,Eval-lupus anticoagulant(c),22.0,14.3,2.31,22.0,112
CPT,85613,Russell viper venon time (c),92.0,59.8,2.31,92.0,112
CPT,85635,Reptilase test,336.0,218.4,3.12,336.0,56
CPT,85652,Sed rate,179.0,116.35,2.43,179.0,168
CPT,85660,RBC SICKLE CELL TEST,136.0,88.4,3.12,136.0,56
CPT,85660,Sickle cell screen,143.0,92.95,3.12,143.0,56
CPT,85670,ARU Rflx thrombin time (C),43.0,27.95,2.31,43.0,56
CPT,85670,Thrombin time,370.0,240.5,2.31,370.0,56
CPT,85730,APS-APTT,49.0,31.85,2.31,49.0,280
CPT,85730,ARU PTT-LA Ratio,25.0,16.25,2.31,25.0,280
CPT,85730,"ARU Rflx PTT ratio, treated (C)",87.0,56.55,2.31,87.0,280
CPT,85730,Factor VIII profile-ptt (c),99.0,64.35,2.31,99.0,280
CPT,85730,HCA mixing studies-PTT,54.0,35.1,2.31,54.0,280
CPT,85730,Mixing Studies-PTT,112.0,72.8,2.31,112.0,280
CPT,85730,PTT (partial thromb time),244.0,158.6,2.31,244.0,280
CPT,85730,PTT charge,202.0,131.3,2.31,202.0,280
CPT,85730,PTT-charge,191.0,124.15,2.31,191.0,280
CPT,85732,HCA mixing studies-PTT plasma fract,54.0,35.1,2.31,54.0,168
CPT,85732,PTT subs-plasma fraction (c),70.0,45.5,2.31,70.0,168
CPT,85732,PTT-LA Incubation Mix-Reflex,87.0,56.55,2.31,87.0,168
CPT,85732,PTT-LA Mix-Reflex,45.0,29.25,2.31,45.0,168
CPT,85732,THROMBOPLASTIN TIME PARTIAL,114.0,74.1,2.31,125.0,336
CPT,85810,Viscosity - fluid,34.0,22.1,3.12,34.0,56
CPT,85810,Viscosity-serum,36.0,23.4,3.12,36.0,56
CPT,86003,ALLG SPEC IGE CRUDE XTRC EA,23.0,14.95,3.81,24.0,224
CPT,86015,ARU Smooth Muscle Antibodies,46.0,29.9,5.89,46.0,55
CPT,86015,Smooth muscle antibody,24.0,15.6,4.15,24.0,110
CPT,86021,Anti-neutrophil antibody,199.0,129.35,5.89,199.0,56
CPT,86022,"ARU SRA, Unfractionated Heparin",781.0,507.65,5.89,781.0,56
CPT,86022,HCA heparin induced PLT ABS 040649,175.0,113.75,5.89,175.0,56
CPT,86022,Heparin induced platelet Abs,290.0,188.5,5.89,290.0,56
CPT,86022,NATP-platelet Ab id-onebld (c),837.0,544.05,5.89,837.0,56
CPT,86022,PLATELET ANTIBODIES,835.5,543.075,5.89,843.0,112
CPT,86022,Serotonin release assay,459.0,298.35,5.89,459.0,56
CPT,86023,IMMUNOGLOBULIN ASSAY,843.0,547.95,5.89,843.0,56
CPT,86036,ARU ANCA scrn,36.0,23.4,5.89,36.0,55
CPT,86037,ANCA TITER EACH ANTIBODY,6.0,3.9,1.04,8.1,55
CPT,86037,ANCA antibodies screen,30.0,19.5,5.19,30.0,55
CPT,86037,C-ANCA (c),6.0,3.9,1.04,8.1,55
CPT,86038,ANA (antinuclear antibody),708.0,460.2,5.89,708.0,168
CPT,86038,"ARU Anti-Nuclear Ab, IgG",23.0,14.95,3.98,23.0,168
CPT,86038,Lupus-collagen pnl - 86038 (c),34.0,22.1,5.88,34.0,168
CPT,86039,ANA titer,489.0,317.85,5.89,489.0,112
CPT,86039,"ARU Ana, Hep2 IgG",45.0,29.25,5.89,45.0,112
CPT,86041,AChR binding antibodies (c),127.0,82.55,5.89,127.0,55
CPT,86041,ARU ACTH Binding Ab,99.0,64.35,5.89,99.0,55
CPT,86041,ARU Acetylcholine binding Ab,78.0,50.7,5.89,78.0,55
CPT,86041,Acetylcholine receptor binding ABS,63.0,40.95,5.89,63.0,55
CPT,86042,AChR blocking antibodies (c),127.0,82.55,5.89,127.0,55
CPT,86042,ARU ACTH Blocking Ab,127.0,82.55,5.89,127.0,55
CPT,86042,ARU Acetylcholine blocking Ab,78.0,50.7,5.89,78.0,55
CPT,86042,Acetylchol receptor block Ab,50.0,32.5,5.89,50.0,55
CPT,86043,AChR modulating antibodies (c),127.0,82.55,5.89,127.0,55
CPT,86043,ARU ACTH Modulating Ab,114.0,74.1,5.89,114.0,55
CPT,86043,Acetylchol receptor modul Abs,212.0,137.8,5.89,212.0,55
CPT,86051,Nmo IgG autoantibodies,1282.0,833.3,5.89,1282.0,55
CPT,86052,Anti-aquaporin 4 (AQP4) CSF,1593.0,1035.45,5.89,1593.0,55
CPT,86060,ASO (antistreptolysin O)-titer,571.0,371.15,4.86,571.0,56
CPT,86063,ASO screen w reflex to titer,151.0,98.15,4.32,151.0,56
CPT,86140,ARU C-Reactive Protein,39.0,25.35,4.32,39.0,280
CPT,86140,CRP,59.0,38.35,4.32,59.0,280
CPT,86140,CRP (C-reactive protein),377.0,245.05,4.32,377.0,280
CPT,86140,CRP (MCI),83.0,53.95,4.32,83.0,280
CPT,86141,CRP hs(cardiac risk),532.0,345.8,5.89,532.0,112
CPT,86146,Beta 2 glycoprotein antibodies,45.0,29.25,5.89,45.0,112
CPT,86146,Beta-2 glycoprotein antibody,77.5,50.375,5.89,104.0,224
CPT,86147,Cardiolipin antibody ea ig,45.0,29.25,5.89,130.0,840
CPT,86148,Anti-phospholipid antibody,29.0,18.85,4.15,34.0,112
CPT,86148,Phospha serine IgG Abs (c),36.0,23.4,5.89,36.0,56
CPT,86148,Phosphatidylserine IgA Ab(c),32.0,20.8,5.54,32.0,56
CPT,86152,Cell enumeration & id-86152-Biocept,1683.0,1093.95,83.71,1683.0,55
CPT,86157,Cold agglutinin titer,22.0,14.3,3.81,22.0,56
CPT,86160,C4a Level,187.0,121.55,5.89,187.0,56
CPT,86160,COMPLEMENT ANTIGEN,395.0,256.75,5.89,754.0,112
CPT,86160,Complement C1,31.0,20.15,5.36,31.0,56
CPT,86160,Complement C5,427.0,277.55,5.89,427.0,56
CPT,86160,Lupus-collagen pnl - 86160 (c),34.0,22.1,5.88,34.0,56
CPT,86160,sC5b-9 level,614.0,399.1,5.89,614.0,56
CPT,86162,Complement-CH50 (total),38.0,24.7,5.89,38.0,56
CPT,86200,"ARU Cycl Citrulline Ab, IgG",43.0,27.95,5.89,43.0,165
CPT,86200,CCP IgG and IgA antibodies,42.0,27.3,5.89,42.0,165
CPT,86200,CCP antibody-charge,207.0,134.55,5.89,207.0,165
CPT,86215,Anti-DNase antibody,27.0,17.55,4.67,27.0,56
CPT,86225,ARU Double-Stranded Dna,35.0,22.75,5.89,35.0,56
CPT,86225,DNA (ds) antibodies,27.0,17.55,4.67,27.0,56
CPT,86225,DNA (ds) antibody(c),134.0,87.1,5.89,134.0,56
CPT,86231,ARU endomsyial AB IgG,103.0,66.95,5.89,103.0,55
CPT,86231,ARU endomysial AB IgA IFA,69.0,44.85,5.89,69.0,55
CPT,86231,Celiac-endomysial IgA Abs,24.0,15.6,4.15,24.0,55
CPT,86231,Endomysial antibody IgA,22.0,14.3,3.81,22.0,55
CPT,86235,Jo-1 antibody(c),141.0,91.65,5.89,141.0,168
CPT,86235,NUCLEAR ANTIGEN ANTIBODY,40.0,26.0,3.81,269.0,672
CPT,86235,Scleroderma antibodies,38.0,24.7,5.89,38.0,168
CPT,86255,"ARU N-methyl-D-Aspartate Rcptr Ab, CBA, CSF",393.0,255.45,1.98,393.0,56
CPT,86255,ARU PCCA/ANNA by IFA Rflx,78.0,50.7,1.98,78.0,56
CPT,86255,Anti-Nmdar,881.0,572.65,1.98,881.0,56
CPT,86255,FLUORESCENT ANTIBODY SCREEN,114.0,74.1,1.98,142.0,168
CPT,86255,Striated muscle antobody titer,57.0,37.05,1.98,57.0,56
CPT,86255,Striational antibodies (c),127.0,82.55,1.98,127.0,56
CPT,86256,"ARU CV2.1 Ab titer, IgG (C)",502.0,326.3,5.89,502.0,56
CPT,86256,"ARU MuSK Ab IgG, Titer (not a sa test)",501.0,325.65,5.89,501.0,56
CPT,86256,ARU N-methyl-D-aspartate receptor bill (C),305.0,198.25,5.89,305.0,56
CPT,86256,ARU Reflex Dsdna By Ifa Titer,61.0,39.65,5.89,61.0,56
CPT,86256,ARU smooth muscle IgG titer (C),81.0,52.65,5.89,81.0,56
CPT,86256,Adrenal antibody titer,31.0,20.15,5.36,31.0,56
CPT,86256,"Anti-Nmdar Ab titer, rflx",321.0,208.65,5.89,321.0,56
CPT,86256,FLUORESCENT ANTIBODY TITER,244.0,158.6,4.67,363.0,168
CPT,86256,Myocardial antibody,50.0,32.5,5.89,50.0,56
CPT,86256,Paraneoplastic syndrome pn-ser,117.0,76.05,5.89,117.0,56
CPT,86256,Striated muscle antibody,42.0,27.3,5.89,42.0,56
CPT,86258,Celiac-gliandin antibodies,24.0,15.6,4.15,24.0,110
CPT,86258,DGP ANTIBODY EACH IG CLASS,28.5,18.525,3.81,35.0,165
CPT,86277,Growth hormone antibody,68.0,44.2,5.89,68.0,56
CPT,86300,CA 15-3,446.0,289.9,5.89,446.0,168
CPT,86300,CA 27-29,206.0,133.9,5.89,206.0,168
CPT,86301,ARU Ca 19-9,39.0,25.35,5.89,39.0,168
CPT,86301,CA 19-9,375.0,243.75,5.89,375.0,168
CPT,86304,ARU Ca 125,32.0,20.8,5.54,32.0,168
CPT,86304,CA 125,446.0,289.9,5.89,446.0,168
CPT,86305,Human epididymis protein 4,529.0,343.85,5.89,529.0,110
CPT,86308,Monotest-heterophile Abs,220.0,143.0,4.32,220.0,168
CPT,86308,Monotest-heterophile abs UC,186.0,120.9,4.32,186.0,168
CPT,86316,IMMUNOASSAY TUMOR OTHER,42.0,27.3,5.89,42.0,168
CPT,86317,CJD Pnl-Immunoassay (C),74.0,48.1,5.89,74.0,56
CPT,86317,Diptheria antioxoid IgG Abs,38.0,24.7,5.89,38.0,56
CPT,86331,Teichoic acid Ab,43.0,27.95,5.89,43.0,56
CPT,86332,Immune complex-C1Q,43.0,27.95,5.89,43.0,56
CPT,86332,Immune complex-raji cell,70.0,45.5,5.89,70.0,56
CPT,86334,ARU Immfix Electrophor Gel,48.0,31.2,5.89,48.0,168
CPT,86334,Immunofixation Elect-Reflex,232.0,150.8,5.89,232.0,168
CPT,86334,Immunofixation elec-serum (c),1084.0,704.6,5.89,1084.0,168
CPT,86334,Immunofixation serum-LC(c),50.0,32.5,5.89,50.0,168
CPT,86335,"ARU Immunofix, urine",81.0,52.65,14.01,81.0,56
CPT,86335,IMMUNFIX E-PHORSIS/URINE/CSF,50.0,32.5,8.65,50.0,112
CPT,86335,Immunofixation 24hr uri-LC (c),51.0,33.15,8.82,51.0,112
CPT,86335,Immunofixation electro-urine,1259.0,818.35,20.55,1259.0,112
CPT,86337,Insulin autoantibody,38.0,24.7,5.89,38.0,56
CPT,86340,Intrinsic factor blocking Abs,31.0,20.15,5.36,31.0,56
CPT,86341,Glutamic acid decarboxylase Ab,38.0,24.7,5.89,38.0,56
CPT,86341,Islet cell Abs,34.0,22.1,5.88,34.0,56
CPT,86355,"ARU B cells, total count",42.0,27.3,2.54,50.94,56
CPT,86356,ARU Fetal Hemogl Determin FetomatHemorr,336.0,218.4,5.55,336.0,56
CPT,86356,OneBlood Mono ag quant NOS ea,74.0,48.1,5.55,74.0,56
CPT,86357,"ARU NK cells, total count",42.0,27.3,2.54,50.94,56
CPT,86359,"ARU T cells, total count",42.0,27.3,2.16,50.94,56
CPT,86359,ARU T-cells total count,131.0,85.15,2.16,131.0,56
CPT,86359,OneBlood Tcells total count,74.0,48.1,2.16,74.0,56
CPT,86360,ARU CD4/CD8 absolute count,131.0,85.15,4.86,131.0,56
CPT,86360,"ARU T cells, CD4/CD8  absolute count & ratio",42.0,27.3,4.86,56.7,56
CPT,86361,ARU Lymph subset 2-CD4 % & Absol,69.0,44.85,3.24,69.0,56
CPT,86361,OneBlood Tcells absol CD4 cnt,74.0,48.1,3.24,74.0,56
CPT,86364,ARU Celiac Disease Screen,63.0,40.95,5.89,63.0,110
CPT,86364,"ARU tissue transglutaminase Ab, IgA",37.0,24.05,5.89,37.0,55
CPT,86364,"ARU tissue transglutaminase Ab, IgG (C)",57.0,37.05,5.89,57.0,55
CPT,86364,Celiac-tissue transgluta Abs,24.0,15.6,4.15,24.0,110
CPT,86364,TISS TRNSGLTMNASE EA IG CLAS,19.0,12.35,3.29,19.0,110
CPT,86366,ARU MuSK Ab IgG,655.0,425.75,5.89,655.0,55
CPT,86366,Musk antibody,2963.0,1925.95,5.89,2963.0,55
CPT,86367,OneBlood CD34 test,439.0,285.35,21.3,439.0,55
CPT,86376,ARU Microsomal Ab(Anti Tpo),34.0,22.1,5.88,34.0,56
CPT,86376,Microsomal Abs,31.0,20.15,5.36,31.0,56
CPT,86376,Thyroid Peroxidase AB,24.0,15.6,4.15,24.0,112
CPT,86376,Thyroid peroxidase antibody,143.0,92.95,5.89,143.0,56
CPT,86381,ARU Mitochondrial Antibodies,37.0,24.05,5.89,37.0,110
CPT,86381,Mitochondrial antibody,24.0,15.6,4.15,32.4,110
CPT,86403,Cryptococcus antigen (latex),251.0,163.15,5.89,251.0,56
CPT,86406,Cryptococcal antigen titer,259.0,168.35,5.89,259.0,56
CPT,86430,Ra (rheumatoid factor),251.0,163.15,4.86,251.0,168
CPT,86431,RF quantitative-charge,104.0,67.6,4.86,104.0,112
CPT,86431,RF titer,514.0,334.1,4.86,514.0,112
CPT,86480,"ARU QuantiFERON-TB Gold Plus, 4-Tube",114.0,74.1,19.72,114.0,56
CPT,86480,Quantiferon-Sent Out,141.0,91.65,21.3,141.0,56
CPT,86480,Quantiferon-TB,198.0,128.7,21.3,198.0,56
CPT,86485,Skin test-candida,73.0,47.45,5.89,73.0,55
CPT,86580,Skin test-TB,74.0,48.1,3.86,74.0,56
CPT,86581,Pneumococcal IM serotype,920.0,598.0,92.03,920.0,46
CPT,86592,ARU Vdrl-Spinal Fluid (CSF),25.0,16.25,3.24,25.0,56
CPT,86592,Rpr (qual)-UC,106.0,68.9,3.24,106.0,112
CPT,86592,SYPHILIS TEST NON-TREP QUAL,146.0,94.9,3.24,146.0,112
CPT,86592,VDRL-CSF (qual),408.0,265.2,3.24,408.0,112
CPT,86593,"ARU VDRL titer, CSF (C)",61.0,39.65,3.78,61.0,112
CPT,86593,SYPHILIS TEST NON-TREP QUANT,269.0,174.85,3.78,269.0,112
CPT,86593,VDRL-RPR (quantitative),399.0,259.35,3.78,399.0,112
CPT,86596,VGCC antibody,329.0,213.85,5.89,329.0,55
CPT,86596,VOLTAGE-GTD CA CHNL ANTB EA,546.0,354.9,5.89,546.0,55
CPT,86606,Aspergillus Abs,38.0,24.7,5.89,38.0,56
CPT,86611,BARTONELLA ANTIBODY,34.0,22.1,3.87,34.0,224
CPT,86612,Blastomyces Abs,24.0,15.6,4.15,24.0,56
CPT,86615,B pertussis Abs IgA (c),38.0,24.7,5.89,38.0,168
CPT,86615,BORDETELLA ANTIBODY,36.0,23.4,5.89,36.0,168
CPT,86617,Lyme western blot blood,68.0,44.2,5.89,68.0,112
CPT,86617,Lyme western blot- csf,123.0,79.95,5.89,123.0,112
CPT,86618,ARU Lyme Dis Acute Rflx Pnl,165.0,107.25,5.89,165.0,168
CPT,86618,B. burgdorferi IgG CSF (c),153.0,99.45,5.89,153.0,168
CPT,86618,B. burgdorferi IgM CSF (c),147.0,95.55,5.89,147.0,168
CPT,86618,LYME DISEASE ANTIBODY,66.0,42.9,5.89,66.0,168
CPT,86618,Lyme disease IgG/IgM reflex test,73.0,47.45,5.89,73.0,168
CPT,86618,"Lyme disease total Ab, rflx to immuno",52.0,33.8,5.89,52.0,168
CPT,86622,Brucella Abs,72.0,46.8,5.89,72.0,56
CPT,86628,CANDIDA ANTIBODY,42.0,27.3,4.86,42.0,56
CPT,86628,Candida antibodies IgM (c),40.0,26.0,4.86,40.0,56
CPT,86631,CHLAMYDIA ANTIBODY,45.0,29.25,5.89,45.0,112
CPT,86631,Chlamydia Abs-resp pnl (c),183.0,118.95,5.89,183.0,112
CPT,86631,Chlamydia psittaci Ab IgG,38.0,24.7,5.89,38.0,112
CPT,86631,Chlamydia trachomatis IgG,170.0,110.5,5.89,170.0,112
CPT,86632,CHLAMYDIA IGM ANTIBODY,48.0,31.2,5.89,48.0,112
CPT,86632,Chlamydia psittaci Ab IgM,40.0,26.0,5.89,40.0,112
CPT,86632,Chlamydia psittaci IgM (c),45.0,29.25,5.89,45.0,112
CPT,86632,Chlamydia trachomatis IgM,31.0,20.15,5.36,31.0,112
CPT,86635,"Coccidioides Ab, IgG",52.0,33.8,5.89,52.0,56
CPT,86635,"Coccidioides Ab, IgM",52.0,33.8,5.89,52.0,112
CPT,86638,Q fever Abs,54.0,35.1,5.89,54.0,56
CPT,86644,CMV ANTIBODY,106.0,68.9,5.36,181.0,112
CPT,86644,CMV IgG antibodies,54.0,35.1,5.89,54.0,56
CPT,86645,"ARU CMV Ab, IgM",29.0,18.85,5.02,29.0,56
CPT,86645,ARU CMV IGM,31.0,20.15,5.36,31.0,56
CPT,86645,BMT-CMV Ab IGM,36.0,23.4,5.89,36.0,56
CPT,86645,CMV IgM antibodies,54.0,35.1,5.89,54.0,56
CPT,86658,Coxsackie group B AB,73.0,47.45,5.89,73.0,112
CPT,86658,Coxsackie-A antibody panel,134.0,87.1,5.89,134.0,112
CPT,86658,ENTEROVIRUS ANTIBODY,38.0,24.7,5.89,38.0,112
CPT,86658,Echovirus antibody 5 (c),36.0,23.4,5.89,36.0,112
CPT,86663,ARU EA-D IgG Ab,16.0,10.4,2.77,17.71,112
CPT,86663,Epstein barr early Ag Ab (c),348.0,226.2,5.89,348.0,112
CPT,86663,Epstein barr early antigen Ab,357.0,232.05,5.89,357.0,112
CPT,86664,ARU EBNA-IgG Ab,16.0,10.4,2.77,20.64,112
CPT,86664,Epstein barr nuclear Ag Ab,357.0,232.05,5.89,357.0,112
CPT,86664,Epstein barr nuclear Ag Ab (c),348.0,226.2,5.89,348.0,112
CPT,86665,Epstein-barr capsid vca,348.0,226.2,2.77,357.0,504
CPT,86666,EHRLICHIA ANTIBODY,57.0,37.05,3.87,57.0,112
CPT,86666,Ehrlichia human monocytic (c),66.0,42.9,3.87,66.0,112
CPT,86671,Fungus nes antibody,19.0,12.35,3.29,19.0,110
CPT,86677,Helicobacter pylori IgG screen,399.0,259.35,5.89,399.0,56
CPT,86682,Cysticercus Abs,237.0,154.05,5.89,237.0,110
CPT,86682,Echinococcus antibody,340.0,221.0,5.89,340.0,110
CPT,86682,Strongyloides IgG antibodies,110.0,71.5,5.89,110.0,110
CPT,86687,BMT-HTLV I Immunoblot (C),104.0,67.6,5.89,104.0,56
CPT,86687,HTLV-1 antibodies(c),19.0,12.35,3.29,19.0,56
CPT,86688,BMT-HTLV II Immunoblot (C),104.0,67.6,5.89,104.0,56
CPT,86688,HTLV-II antibodies(c),27.0,17.55,4.67,27.0,56
CPT,86689,BMT HIV1 Ab WESTERN Blot,286.0,185.9,5.89,286.0,56
CPT,86694,"ARU HSV 1/2 Abs, IgM",29.0,18.85,5.02,29.0,168
CPT,86694,ARU HSV 1/2 IgG Ab w/ rflx to glycoprotein G Ab 1 & 2,42.0,27.3,5.89,42.0,168
CPT,86694,Herpes simplex nes antbdy,46.0,29.9,5.89,54.0,336
CPT,86695,ARU HSV1 Ab glycoprotein G IgG,57.0,37.05,5.89,57.0,56
CPT,86695,HSV 1 IgG antibodies,54.0,35.1,5.89,54.0,56
CPT,86696,ARU HSV2 Ab glycoprotein G IgG,53.0,34.45,5.89,53.0,56
CPT,86696,HSV 2 IgG antibodies,54.0,35.1,5.89,54.0,56
CPT,86698,Histoplasma antibody,51.0,33.15,5.89,51.0,56
CPT,86701,ARU HIV-1 Ab,124.0,80.6,5.89,124.0,56
CPT,86701,Hiv-1antibody,78.0,50.7,5.89,78.0,56
CPT,86702,ARU HIV-2 Ab,124.0,80.6,5.89,124.0,56
CPT,86702,Hiv-2 antibody,78.0,50.7,5.89,78.0,56
CPT,86703,Hiv-1/hiv-2 1 result antbdy,214.5,139.425,5.89,377.0,112
CPT,86704,BMT-HBCORE total (C),40.0,26.0,5.89,40.0,112
CPT,86704,Hepatitis B core Abs-total,511.0,332.15,5.89,511.0,112
CPT,86705,BMT-HB CORE Ab IGM,63.0,40.95,5.89,63.0,112
CPT,86705,Hepatitis B core IgM antibody,511.0,332.15,5.89,511.0,112
CPT,86706,ARU Hepatitis B Virus Surface Antibody,30.0,19.5,5.19,30.0,112
CPT,86706,Hepatitis B surface ab-UC,369.0,239.85,5.89,369.0,112
CPT,86706,Hepatitis B surface antibody,511.0,332.15,5.89,511.0,112
CPT,86707,Hepatitis Be Abs (HBeAb),27.0,17.55,4.67,27.0,56
CPT,86708,Hepatitis A antibody-total,511.0,332.15,5.89,511.0,56
CPT,86709,Hepatitis A IgM antibody,511.0,332.15,5.89,511.0,56
CPT,86710,INFLUENZA VIRUS ANTIBODY,32.0,20.8,5.54,32.0,112
CPT,86713,Legionella Abs,24.0,15.6,4.15,24.0,56
CPT,86735,"ARU Mumps Virus Ab, IgG",28.0,18.2,4.84,28.0,112
CPT,86735,MUMPS ANTIBODY,25.0,16.25,4.33,25.0,112
CPT,86735,Mumps IgM Abs,31.0,20.15,5.36,31.0,112
CPT,86738,MYCOPLASMA ANTIBODY,20.5,13.325,2.42,27.0,168
CPT,86738,Mycoplasma IgG Abs(c),31.0,20.15,5.36,31.0,112
CPT,86738,Mycoplasma IgM Abs,504.0,327.6,5.89,504.0,112
CPT,86747,PARVOVIRUS ANTIBODY,52.0,33.8,5.89,57.0,168
CPT,86753,Amebiasis Abs,31.0,20.15,5.36,31.0,55
CPT,86753,BMT-CHAGAS,99.0,64.35,5.89,99.0,55
CPT,86753,Trypanosoma cruzi IgG Abs,212.0,137.8,5.89,212.0,55
CPT,86757,RICKETTSIA ANTIBODY,47.0,30.55,5.89,47.0,56
CPT,86762,RUBELLA ANTIBODY,41.5,26.975,5.02,54.0,224
CPT,86762,Rubella IgG immune status,334.0,217.1,5.89,334.0,112
CPT,86765,ARU Measles(Rubeola) IgG,28.0,18.2,4.84,28.0,56
CPT,86765,MMR - measles antibody,25.0,16.25,4.33,25.0,56
CPT,86765,Measles (Rubeola) IgM,390.0,253.5,5.89,390.0,56
CPT,86765,Rubeola IgG immune status,334.0,217.1,5.89,334.0,56
CPT,86769,SARS-COV-2 COVID-19 ANTIBODY,136.0,88.4,5.89,136.0,55
CPT,86769,SARS-CoV-2 Serology (COVID-19) IgG,129.0,83.85,5.89,129.0,55
CPT,86774,Tetanus IgG Abs,27.0,17.55,4.67,27.0,56
CPT,86777,Toxoplasma IgG antibodies,54.0,35.1,5.89,54.0,56
CPT,86778,"ARU Toxoplasma gondii Ab, IgM",29.0,18.85,5.02,29.0,56
CPT,86778,Toxoplasma IgM antibodies,54.0,35.1,5.89,54.0,56
CPT,86780,BMT-SYPHILIS (C),27.0,17.55,4.67,27.0,165
CPT,86780,FTA,22.0,14.3,3.81,22.0,165
CPT,86780,Syphilis Test (EIA) w reflex,38.0,24.7,5.89,38.0,165
CPT,86780,TP-PA,59.0,38.35,5.89,59.0,165
CPT,86780,TREPONEMA PALLIDUM,50.0,32.5,5.89,63.0,330
CPT,86787,"ARU Varicella-Zoster Ab, IgG",30.0,19.5,5.19,30.0,112
CPT,86787,Varicella IgG immune status,523.0,339.95,5.89,523.0,112
CPT,86787,Varicella IgM Abs,157.0,102.05,5.89,157.0,112
CPT,86788,"ARU West Nile virus, IgM",46.0,29.9,5.89,46.0,56
CPT,86788,Encephalitis west nile IgM,141.0,91.65,5.89,141.0,56
CPT,86788,West Nile Virus IgM,75.0,48.75,5.89,75.0,56
CPT,86788,West nile IgM CSF (c),94.0,61.1,5.89,94.0,56
CPT,86789,"ARU West Nile virus, IgG",46.0,29.9,5.89,46.0,56
CPT,86789,Encephalitis west nile IgG,138.0,89.7,5.89,138.0,56
CPT,86789,West nile IgG (c),96.0,62.4,5.89,96.0,56
CPT,86789,West nile virus antibody-blood,179.0,116.35,5.89,179.0,56
CPT,86790,Chikungunya IgG ab,318.0,206.7,5.89,318.0,168
CPT,86790,Chikungunya IgM ab,316.0,205.4,5.89,316.0,168
CPT,86790,Hepatitis E IgG,177.0,115.05,5.89,177.0,168
CPT,86790,Hepatitis E IgM,143.0,92.95,5.89,143.0,168
CPT,86790,VIRUS ANTIBODY NOS,94.5,61.425,5.89,123.0,336
CPT,86794,"Zika Virus, IgM",199.0,129.35,5.89,199.0,55
CPT,86800,ARU Thyroglobulin Ab,34.0,22.1,5.88,34.0,56
CPT,86800,Anti-thyroglobulin,171.0,111.15,5.89,171.0,56
CPT,86800,Thyroglobulin AB,27.0,17.55,4.67,27.0,56
CPT,86803,BMT-HCV (C),66.0,42.9,5.89,66.0,224
CPT,86803,HCV (Gilead),377.0,245.05,5.89,377.0,224
CPT,86803,Hepatitis C antibody,511.0,332.15,5.89,511.0,224
CPT,86803,Hepatitis C antibody-UC,369.0,239.85,5.89,369.0,224
CPT,86805,BMT-Allo crossmatch,884.0,574.6,44.28,884.0,56
CPT,86805,LYMPHOCYTOTOXICITY ASSAY,635.0,412.75,44.28,635.0,56
CPT,86807,CYTOTOXIC ANTIBODY SCREENING,843.0,547.95,32.2,843.0,56
CPT,86812,HLA typing (B27 antigen),68.0,44.2,2.27,68.0,56
CPT,86813,HLA TYPING A B OR C,1257.0,817.05,32.2,1257.0,56
CPT,86817,HLA TYPING DR/DQ,853.0,554.45,32.2,853.0,56
CPT,86832,BMT-HLA Class I antibody HD,572.0,371.8,85.75,572.0,55
CPT,86832,HLA CLASS I HIGH DEFIN QUAL,1007.0,654.55,85.75,1007.0,55
CPT,86833,BMT-HLA Class II antibody HD,572.0,371.8,85.75,572.0,55
CPT,86850,RBC ANTIBODY SCREEN,149.0,96.85,2.27,200.0,448
CPT,86860,Antibody elution,335.0,217.75,11.88,335.0,56
CPT,86860,Antibody elution (MCI),335.0,217.75,57.96,335.0,112
CPT,86860,Elution- onebld,208.0,135.2,11.88,240.18,56
CPT,86860,RBC ANTIBODY ELUTION,208.0,135.2,35.98,240.18,112
CPT,86870,Antibody identification - Onebld (MCI),386.0,250.9,6.36,505.33,56
CPT,86870,Antibody identification-Onebld (MCI),386.0,250.9,66.78,505.33,112
CPT,86870,Antibody identification-onebld,386.0,250.9,6.36,505.33,56
CPT,86870,RBC ANTIBODY IDENTIFICATION,146.0,94.9,6.36,505.33,56
CPT,86880,COOMBS TEST DIRECT,110.5,71.82499999999999,2.27,123.0,448
CPT,86900,BLOOD TYPING SEROLOGIC ABO,86.5,56.224999999999994,2.27,187.57,448
CPT,86901,BLOOD TYPING SEROLOGIC RH(D),86.5,56.224999999999994,2.27,117.0,448
CPT,86902,Antigen type unit - Onebld (MCI),149.0,96.85,2.27,505.33,112
CPT,86902,Antigen type unit-reag serum,177.0,115.05,2.27,505.33,55
CPT,86902,BLOOD TYPE ANTIGEN DONOR EA,149.0,96.85,2.27,505.33,55
CPT,86904,Ag screen unit - pt serum,201.0,130.65,2.27,201.0,56
CPT,86905,Antigen type patient,147.0,95.55,2.27,505.33,56
CPT,86905,Rare unit fee -  Onebld - charge only (MCI),779.0,506.35,2.27,779.0,56
CPT,86905,Rare unit fee-rbc ag-onebld,779.0,506.35,2.27,779.0,56
CPT,86906,BLD TYPING SEROLOGIC RH PHNT,550.0,357.5,2.27,550.0,56
CPT,86920,COMPATIBILITY TEST SPIN,252.0,163.8,16.2,252.0,56
CPT,86921,COMPATIBILITY TEST INCUBATE,114.0,74.1,19.72,240.18,112
CPT,86922,COMPATIBILITY TEST ANTIGLOB,168.5,109.52499999999999,19.72,240.18,224
CPT,86923,Crossmatch compat(ec) (c),159.0,103.35,27.51,240.18,55
CPT,86927,Thawing of blood product,66.0,42.9,11.42,240.18,55
CPT,86932,FROZEN BLOOD FREEZE/THAW,385.0,250.25,39.0,385.0,56
CPT,86940,Isohemaglutinin titer,103.0,66.95,2.27,103.0,56
CPT,86945,Irradiation of blood product,125.0,81.25,21.63,173.17,56
CPT,86965,Pooling of blood product,63.0,40.95,4.32,240.18,56
CPT,86970,Chemical treatment - Onebld (MCI),176.0,114.4,30.45,176.0,56
CPT,86970,Rbc pretx incubatj w/chemicl,176.0,114.4,12.96,176.0,56
CPT,86972,Cell separation - Onebld (MCI),624.0,405.6,54.51,624.0,56
CPT,86972,Rbc pretx incubatj w/density,624.0,405.6,4.86,624.0,56
CPT,86978,RBC PRETREATMENT SERUM,399.5,259.67499999999995,11.34,416.0,112
CPT,86985,Splitting of blood product,146.0,94.9,25.26,240.18,56
CPT,87015,Concent - microsporidia (c),104.0,67.6,5.16,104.0,112
CPT,87015,Microsporidia conc (c),50.0,32.5,5.16,50.0,112
CPT,87015,Specimen concentration(c),102.0,66.3,5.16,102.0,112
CPT,87040,BLOOD CULTURE FOR BACTERIA,1074.0,698.1,5.16,1074.0,280
CPT,87040,Culture blood-UC,186.0,120.9,5.16,186.0,280
CPT,87045,Culture stool-salm & shi-UC,186.0,120.9,5.16,186.0,168
CPT,87045,Culture stool-salm & shig(c),494.0,321.1,5.16,494.0,168
CPT,87046,Culture E coli 0157:H7(c),118.0,76.7,1.62,118.0,168
CPT,87046,Stool cultr aerobic bact ea,153.0,99.45,1.62,186.0,336
CPT,87070,Culture cath tip,395.0,256.75,5.16,395.0,224
CPT,87070,Culture othr specimn aerobic,882.0,573.3,5.16,882.0,224
CPT,87070,Culture routine aerobic (c)-UC,409.0,265.85,5.16,409.0,224
CPT,87070,Culture routine aerobic(c),859.0,558.35,5.16,859.0,224
CPT,87075,Culture anaerobic,886.0,575.9,5.16,886.0,224
CPT,87075,Culture anaerobic-UC,186.0,120.9,5.16,186.0,224
CPT,87076,Anaerobic bacteria id-each (c),241.0,156.65,5.16,241.0,168
CPT,87077,Aerobic bacteria id-each (c),232.0,150.8,5.16,232.0,224
CPT,87081,CULTURE SCREEN ONLY,303.0,196.95,4.86,303.0,224
CPT,87081,Culture throat strep-UC,60.0,39.0,4.86,60.0,224
CPT,87088,Culture urine,288.0,187.2,5.16,288.0,224
CPT,87101,Culture fungus-skin,532.0,345.8,5.16,532.0,56
CPT,87102,ARU Fungus Culture,114.0,74.1,5.16,114.0,112
CPT,87102,Culture candida,377.0,245.05,5.16,377.0,112
CPT,87102,Culture fungus-miscellaneou-UC,446.0,289.9,5.16,446.0,112
CPT,87102,FUNGUS ISOLATION CULTURE,837.0,544.05,5.16,837.0,112
CPT,87103,ARU Fungus culture blood 0060070,88.0,57.2,5.16,88.0,56
CPT,87103,Culture fungus-blood,837.0,544.05,5.16,837.0,56
CPT,87106,ARU Yeast ID 0062148,182.0,118.3,5.16,182.0,112
CPT,87106,Yeast id-each (c),272.0,176.8,5.16,272.0,112
CPT,87107,Mold id,399.0,259.35,5.16,399.0,112
CPT,87109,Culture mycoplasma,85.0,55.25,5.16,85.0,56
CPT,87110,Culture chlamydia,303.0,196.95,5.16,303.0,112
CPT,87116,"ARU Culture, Acid Fast Bacilli",145.0,94.25,5.16,145.0,112
CPT,87116,Culture AFB-blood,988.0,642.2,5.16,988.0,112
CPT,87116,Culture acid fast(c),732.0,475.8,5.16,732.0,112
CPT,87118,Mycobacteria sp id-each (c),361.0,234.65,5.16,361.0,56
CPT,87140,Culture typing - each,37.0,24.05,4.86,37.0,112
CPT,87147,CULTURE TYPE IMMUNOLOGIC,82.0,53.3,3.78,82.0,168
CPT,87147,Peng bind proteine-PBP2A,84.0,54.6,3.78,84.0,168
CPT,87149,Mycobacteria id by probe,377.0,245.05,5.16,377.0,56
CPT,87150,ARU M. tuberculosis spp ID 2014218,434.0,282.1,30.43,434.0,165
CPT,87150,DNA/RNA AMPLIFIED PROBE,64.5,41.925,10.38,69.0,330
CPT,87153,ARU AFB ID dna seq. 0061208,269.0,174.85,46.54,269.0,55
CPT,87153,ARU Ethambutol resistance seq 2011789,407.0,264.55,70.41,407.0,55
CPT,87153,ARU Fungal ID dna seq 0060757,383.0,248.95,66.26,383.0,55
CPT,87168,Arthropod identification,335.0,217.75,3.24,335.0,56
CPT,87172,Pinworm preparation,264.0,171.6,4.27,264.0,55
CPT,87176,Homogenization tissue (c),118.0,76.7,4.86,118.0,56
CPT,87177,ARU O & P,46.0,29.9,5.16,46.0,112
CPT,87177,OVA AND PARASITES SMEARS,427.0,277.55,5.16,427.0,112
CPT,87177,Ova & parasites-UC,298.0,193.7,5.16,298.0,112
CPT,87181,Agar dilution mic - per drug,251.0,163.15,0.54,251.0,112
CPT,87184,KB sensitivities-each (c),114.0,74.1,5.16,114.0,168
CPT,87186,"ARU Nocardia susceptibility, broth dilution 3005188",241.0,156.65,5.16,241.0,224
CPT,87186,Mic-each organism (c),328.0,213.2,5.16,328.0,224
CPT,87205,Gram stain,247.0,160.55,3.24,247.0,112
CPT,87205,Gram stain (c)-UC,179.0,116.35,3.24,179.0,112
CPT,87205,SMEAR GRAM STAIN,240.0,156.0,3.24,240.0,112
CPT,87205,WBC in feces,189.0,122.85,3.24,189.0,112
CPT,87205,WBC in feces-UC,186.0,120.9,3.24,186.0,112
CPT,87206,"ARU Stain, Fungal KOH with Calcofluor White",89.0,57.85,4.32,89.0,168
CPT,87206,Acid fast smear,304.0,197.6,4.32,304.0,168
CPT,87206,Acid fast smear(c),292.0,189.8,4.32,292.0,168
CPT,87206,Cyclos-crypto-isospora smear,554.0,360.1,4.32,554.0,168
CPT,87207,Blood borne parasite smear,295.0,191.75,4.14,295.0,112
CPT,87207,Microsporidia - 87207 (c),106.0,68.9,4.14,106.0,112
CPT,87207,Microsporidia special stain(c),50.0,32.5,4.14,50.0,112
CPT,87209,ARU TRICHROME STAIN,46.0,29.9,5.16,46.0,112
CPT,87209,Trichrome stain(c),108.0,70.2,5.16,108.0,112
CPT,87210,SMEAR WET MOUNT SALINE/INK,255.0,165.75,3.24,255.0,112
CPT,87210,Trichomonas preparation,272.0,176.8,3.24,272.0,112
CPT,87210,Vaginal wet prep,82.0,53.3,3.24,82.0,112
CPT,87210,Vaginal wet prep UC,74.0,48.1,3.24,74.0,112
CPT,87220,Fungus KOH preparation,303.0,196.95,3.24,303.0,56
CPT,87254,Culture CMV,307.0,199.55,3.64,307.0,56
CPT,87254,Culture viral-UC,224.0,145.6,3.64,224.0,112
CPT,87254,VIRUS INOCULATION SHELL VIA,54.5,35.425,3.64,60.0,224
CPT,87255,ARU HSV Culture,69.0,44.85,11.94,69.0,56
CPT,87255,HSV culture plus typing,307.0,199.55,26.73,307.0,56
CPT,87255,HSV culture plus typing-UC,224.0,145.6,26.73,224.0,56
CPT,87260,Adenovirus antigen-not stool,92.0,59.8,5.16,92.0,56
CPT,87278,Legionella pneumophila stain,131.0,85.15,5.16,131.0,56
CPT,87281,Pneumocystis jirovecii DFA,60.0,39.0,5.16,60.0,56
CPT,87301,Adenovirus 40-41 antigen-stool,48.0,31.2,5.16,48.0,56
CPT,87305,A. Galactomannan AG-BAL,471.0,306.15,5.16,471.0,56
CPT,87305,ARU Aspergillus Galactomannan Antigen,217.0,141.05,5.16,217.0,56
CPT,87305,Galactomannan-aspergillus Ag,206.0,133.9,5.16,206.0,56
CPT,87324,Clostridium difficile toxin,295.0,191.75,5.16,295.0,112
CPT,87328,Cryptosporidium antigen,54.0,35.1,5.16,54.0,112
CPT,87329,Giardia antigen,50.0,32.5,5.16,50.0,168
CPT,87337,Amoeba antigen on stool,106.0,68.9,5.16,106.0,56
CPT,87338,ARU H Pylori Antigen,126.0,81.9,5.16,126.0,55
CPT,87338,H pylori stool Ag,67.0,43.55,5.16,67.0,55
CPT,87340,ARU Hepatitis B Surface Ag w/ Reflex to Conf,25.0,16.25,4.33,25.0,168
CPT,87340,BMT-HBSAG (C),45.0,29.25,5.16,45.0,168
CPT,87340,Hepatitis B surface antigen,511.0,332.15,5.16,511.0,168
CPT,87341,ARU Hep B Surface Ag Conf,75.0,48.75,5.16,75.0,56
CPT,87341,BMT-HBSAG Confirmation,159.0,103.35,5.16,159.0,56
CPT,87350,Hepatitis Be antigen,24.0,15.6,4.15,24.0,56
CPT,87385,Histoplasma antigen in urine,242.0,157.3,5.16,242.0,56
CPT,87389,HIV-1 AG W/HIV-1&-2 AB AG IA,377.0,245.05,5.16,377.0,275
CPT,87425,Rotavirus antigen,597.0,388.05,5.16,597.0,112
CPT,87426,Coronavirus (SARS-CoV-2) Antigen,136.0,88.4,5.16,136.0,110
CPT,87426,Coronavirus (SARS-CoV-2) Antigen UC,121.0,78.65,5.16,121.0,110
CPT,87428,Flu A&B/Covid19 Antigen Panel UC,358.0,232.7,30.43,358.0,165
CPT,87430,Strep A scrn+culture rflx,317.0,206.05,5.16,317.0,112
CPT,87430,Strep A scrn+culture rflx UC,113.0,73.45,5.16,113.0,112
CPT,87449,"ARU (1,3)-Beta-D-Glucan (Fungitell)",390.0,253.5,5.16,390.0,168
CPT,87449,ARU Leg Pneumophila Ag,48.0,31.2,5.16,48.0,168
CPT,87449,Beta D glucan,326.0,211.9,5.16,326.0,168
CPT,87449,Blastomyces Ag urine,225.0,146.25,5.16,225.0,56
CPT,87449,NOS EACH ORGANISM AG IA,251.0,163.15,5.16,251.0,168
CPT,87468,A. phagocytophilium DNA PCR,57.0,37.05,9.86,57.0,55
CPT,87468,ARU A. phagocytophilum PCR 2007863,108.0,70.2,18.68,108.0,55
CPT,87476,ARU Borrelia Spec by PCR (Lyme Disease),246.0,159.9,23.08,246.0,56
CPT,87476,B. burgdorferi-direct probe,400.0,260.0,23.08,400.0,56
CPT,87481,C. auris PCR Screen,121.0,78.65,20.93,121.0,56
CPT,87483,ARU Meningitis Encephalitis Panel by PCR,848.0,551.2,94.11,848.0,55
CPT,87483,Meningitis-Encephalitis PCR Panel,1186.0,770.9,94.11,1186.0,55
CPT,87484,ARU E. chaffeensis PCR 2007865,108.0,70.2,18.68,108.0,55
CPT,87484,E. chaffeensis DNA PCR,57.0,37.05,9.86,57.0,55
CPT,87491,ARU C. trachomatis by TMA,35.0,22.75,6.06,47.25,112
CPT,87491,Chlamydia amplification so (c),48.0,31.2,8.3,48.0,112
CPT,87491,Chlamydia amplification(c),81.0,52.65,14.01,81.0,112
CPT,87491,Chlamydia trachomatis by PCR,82.0,53.3,14.19,82.0,112
CPT,87491,Chlamydia trachomatis by PCR-LC,50.0,32.5,8.65,50.0,112
CPT,87493,C difficile toxin by DNA,305.0,198.25,30.43,305.0,220
CPT,87496,"ARU CMV Qual PCR, Saliva",231.0,150.15,23.08,231.0,56
CPT,87496,CMV by PCR qualitative,265.0,172.25,23.08,265.0,56
CPT,87496,CMV dna pcr qual-congenital saliva,195.0,126.75,23.08,195.0,56
CPT,87496,Congenital CMV by PCR,131.0,85.15,22.66,131.0,56
CPT,87497,CMV DNA Quantitative Real Time PCR,379.0,246.35,30.43,379.0,168
CPT,87497,CMV by PCR quantitative,242.0,157.3,30.43,242.0,168
CPT,87497,CMV by pcr qnt-urine,460.0,299.0,30.43,460.0,168
CPT,87497,CMV dna pcr qnt-congenital saliva,214.0,139.1,30.43,214.0,56
CPT,87497,CMV qPCR-BAL,518.0,336.7,30.43,518.0,168
CPT,87497,CMV quantitative by PCR,281.0,182.65,30.43,281.0,168
CPT,87498,Enterovirus by realtime PCR,261.0,169.65,23.62,261.0,56
CPT,87500,VRE by PCR,1169.0,759.85,30.43,1169.0,55
CPT,87502,Influenza A H5 NAAT qual,318.0,206.7,55.01,318.0,56
CPT,87502,Influenza A&B w/rflx to H5 subtyping,231.0,150.15,39.96,231.0,56
CPT,87502,Influenza virus by PCR,130.0,84.5,22.49,130.0,56
CPT,87507,ARU GI pathogen panel,1070.0,695.5,94.11,1070.0,55
CPT,87507,GI Panel by PCR,444.0,288.6,76.81,562.65,110
CPT,87507,GI pathogen PCR panel,535.0,347.75,92.56,562.65,110
CPT,87517,"ARU Hbv Dna, Ultra Qnt PCR",258.0,167.7,30.43,258.0,56
CPT,87517,HBV quantitative DNA real-time PCR,385.0,250.25,30.43,385.0,56
CPT,87522,ARU HCV by Quantitative NAAT,216.0,140.4,30.43,216.0,56
CPT,87522,HCV-PCR quant (Gilead) LC,298.0,193.7,30.43,298.0,56
CPT,87522,Hepatitis C-PCR quantitation,298.0,193.7,30.43,298.0,56
CPT,87529,HSV DNA AMP PROBE,173.0,112.44999999999999,23.08,187.0,336
CPT,87529,HSV I - DNA quantitation (c),119.0,77.35,20.59,119.0,168
CPT,87529,HSV II - DNA quantitation (c),117.0,76.05,20.24,117.0,168
CPT,87532,Human Herpes Virus 6 DNA PCR,522.0,339.3,23.08,522.0,56
CPT,87533,HHV-6 quantitative by PCR,306.0,198.9,30.43,306.0,112
CPT,87533,HHV6 DNA Quantitative Real Time PCR,379.0,246.35,30.43,379.0,112
CPT,87535,HIV 1-rna by pcr qual-blood,78.0,50.7,13.49,78.0,56
CPT,87536,"ARU HIV-1 Qnt Naat, Plasma",177.0,115.05,30.43,177.0,56
CPT,87536,HIV i-RNA by PCR quant-CSF,275.0,178.75,30.43,275.0,56
CPT,87536,HIV i-RNA by PCR quant-blood,212.0,137.8,30.43,212.0,56
CPT,87538,HIV 2-rna by pcr qual-blood,78.0,50.7,13.49,78.0,56
CPT,87541,Legionella pneumophilia PCR,119.0,77.35,20.59,119.0,56
CPT,87551,Non MTB by PCR to UOW,803.0,521.95,23.08,803.0,56
CPT,87556,MTB Complex PCR to UOW,536.0,348.4,23.08,536.0,56
CPT,87556,MTB-Rifampin Amplified test,141.0,91.65,23.08,141.0,56
CPT,87556,Ref MTB id by amp probe to NJM,463.0,300.95,23.08,463.0,56
CPT,87564,"M. tuberculosis complex pcr, non-sputum",761.0,494.65,76.77,761.0,46
CPT,87591,ARU N. gonorrhoeae by TMA,35.0,22.75,6.06,47.25,112
CPT,87591,Gc amplification (c),81.0,52.65,14.01,81.0,112
CPT,87591,Gc amplification so (c),48.0,31.2,8.3,48.0,112
CPT,87591,Neisseria gonorrhoeae by PCR,82.0,53.3,14.19,82.0,112
CPT,87591,Neisseria gonorrhoeae by PCR-LC,49.0,31.85,8.48,49.0,112
CPT,87593,ARU Orthopox By PCR(Monkeypox),206.0,133.9,30.43,206.0,55
CPT,87593,Monkeypox DNA qual rt-pcr(quest),232.0,150.8,30.43,232.0,55
CPT,87593,ORTHOPOXVIRUS AMP PRB EACH,116.0,75.4,20.07,116.0,55
CPT,87593,Orthopoxvirus pcr-swab,200.0,130.0,30.43,200.0,55
CPT,87594,Pneumocystis jirovecii DNA ql rt-PCR,584.0,379.6,35.09,584.0,46
CPT,87624,HPV by naa,74.0,48.1,12.8,74.0,55
CPT,87624,Human papillomavirus (HPV) by naa,98.0,63.7,16.95,98.0,55
CPT,87632,Respiratory viral panel-qual-tem-PCR-bal,550.0,357.5,94.11,550.0,43
CPT,87633,Respiratory Panel by PCR,846.0,549.9,94.11,846.0,43
CPT,87633,Rpp-probe 12-25 virus targets,727.0,472.55,94.11,727.0,43
CPT,87635,Coronavirus (SARS-CoV-2) Micro UC,183.0,118.95,30.43,183.0,165
CPT,87635,Coronavirus (SARS-CoV-2) Molecular Lab,198.0,128.7,30.43,198.0,55
CPT,87635,SARS-COV-2 COVID-19 AMP PRB,194.0,126.1,30.43,198.0,220
CPT,87637,FLU A&B-RSV-COVID19 Panel by PCR,214.0,139.1,30.43,214.0,110
CPT,87641,MRSA PCR,187.0,121.55,23.62,187.0,168
CPT,87641,MRSA PCR Nasal Screen,140.0,91.0,23.62,140.0,168
CPT,87651,STREP A DNA AMP PROBE,226.0,146.9,23.08,226.0,112
CPT,87797,Toxoplasma direct probe,502.0,326.3,9.72,502.0,56
CPT,87798,ARU Varicella-Zoster By PCR,195.0,126.75,23.08,195.0,224
CPT,87798,Adenovirus by PCR,206.0,133.9,23.08,206.0,224
CPT,87798,BMT-WNV NAT,112.0,72.8,19.38,112.0,224
CPT,87798,CJD Pnl- Amplified Probe (C),125.0,81.25,21.63,125.0,224
CPT,87798,DETECT AGENT NOS DNA AMP,282.5,183.625,18.68,623.0,1344
CPT,87798,Dengue Virus by PCR,667.0,433.55,23.08,667.0,224
CPT,87798,Legionella species qual PCR,119.0,77.35,20.59,119.0,224
CPT,87798,Monkeypox DNA Qual RT-PCR,232.0,150.8,23.08,232.0,224
CPT,87798,Mucorales RT-PCR bal,769.0,499.85,23.08,769.0,224
CPT,87798,Nocardia-RT-PCR bal,736.0,478.4,23.08,736.0,224
CPT,87798,RT-QuIC (CSF) - Reflex,1393.0,905.45,23.08,1393.0,224
CPT,87798,Varicella zoster DNA ql RT-PCR,265.0,172.25,23.08,265.0,224
CPT,87799,Adenovirus quantitative by PCR,306.0,198.9,30.43,306.0,112
CPT,87799,"B.K virus quant, DNA by PCR",660.0,429.0,30.43,660.0,112
CPT,87799,BKV Quantitative Real Time PCR,371.0,241.15,30.43,371.0,112
CPT,87799,DETECT AGENT NOS DNA QUANT,379.0,246.35,30.43,379.0,112
CPT,87799,EBV DNA quant by PCR,540.0,351.0,30.43,540.0,112
CPT,87799,EBV quantitative by PCR,281.0,182.65,30.43,281.0,112
CPT,87799,Toxoplasma gondii qnt-RT-PCR-bal,762.0,495.3,30.43,762.0,112
CPT,87799,Varicella zoster DNA qt RT-PCR,512.0,332.8,30.43,512.0,112
CPT,87801,BMT-HIV1-HBV-HCV ULTrio NAT (C),125.0,81.25,21.63,125.0,112
CPT,87804,Influenza a&b antigen scrn UC,188.0,122.2,5.16,188.0,168
CPT,87806,HIV abs test (HIV 1 & 2)-UC,276.0,179.4,30.43,276.0,110
CPT,87807,RSV antigen screen,251.0,163.15,5.16,251.0,168
CPT,87807,Rsv antigen screen UC,179.0,116.35,5.16,179.0,168
CPT,87808,Trichomonas,162.0,105.3,5.16,162.0,112
CPT,87808,Trichomonas - UC,165.0,107.25,5.16,165.0,112
CPT,87810,Chlamydia immunoassay,153.0,99.45,9.31,153.0,56
CPT,87899,AGENT NOS ASSAY W/OPTIC,39.0,25.35,5.16,45.0,448
CPT,87899,"ARU Streptococcus pneumoniae Ag, Urine",114.0,74.1,5.16,114.0,224
CPT,87899,Campylobacter ag in stool-UC,74.0,48.1,5.16,74.0,224
CPT,87899,Campylobacter antigen in stool,102.0,66.3,5.16,102.0,224
CPT,87899,Cryptococcal Antigen,228.0,148.2,5.16,228.0,224
CPT,87899,Cryptococcal Titer,235.0,152.75,5.16,235.0,224
CPT,87899,Malaria Antigen Test,78.0,50.7,5.16,78.0,224
CPT,87902,Hepatitis C genotyping,461.0,299.65,79.75,461.0,56
CPT,87905,Bacterial Vaginosis - UC,165.0,107.25,5.16,165.0,110
CPT,87910,CMV Drug Resistance by PCR,1905.0,1238.25,94.11,1905.0,55
CPT,87999,Joint fluid infection panel by PCR,591.0,384.15,5.16,591.0,42
CPT,88104,Cytology non GYN brush or wash,640.0,416.0,20.76,640.0,56
CPT,88106,Cytopathology CSF (chg),661.0,429.65,20.76,661.0,56
CPT,88108,Cytology non GYN body fluids,825.0,536.25,20.76,825.0,168
CPT,88112,Thin prep - non GYN,793.0,515.45,20.76,793.0,56
CPT,88142,Thin prep pap test,53.0,34.45,9.17,53.0,56
CPT,88160,Cytopathology smear 88160,855.0,555.75,20.76,855.0,56
CPT,88161,Cytopathology-prep & interp,439.0,285.35,20.76,439.0,56
CPT,88172,Fine needle evaluation,393.0,255.45,12.39,393.0,112
CPT,88173,Fine needle interpretation,643.0,417.95,50.13,643.0,112
CPT,88175,Thin prep PAP - reflex to HPV,63.0,40.95,10.67,63.0,56
CPT,88175,Thin prep pap(c),76.0,49.4,10.67,76.0,56
CPT,88177,Fine needle evaluation-addl,379.0,246.35,10.34,379.0,43
CPT,88184,88184 Bill flow cytometry single marker-NG,224.0,145.6,30.03,505.33,112
CPT,88184,B-ALL For MRD-Flow Marker 1,279.0,181.35,30.03,505.33,224
CPT,88184,BMT-CD3,201.0,130.65,30.03,505.33,112
CPT,88184,CD3 (T-cell),610.0,396.5,30.03,610.0,224
CPT,88184,FLOWCYTOMETRY/ TC 1 MARKER,243.0,157.95,30.03,505.33,560
CPT,88184,Flow cyto first marker-ng,235.0,152.75,30.03,505.33,112
CPT,88184,PNH HS 1st marker-Bld-NG (C),218.0,141.7,30.03,505.33,224
CPT,88184,PNH first marker,348.0,226.2,30.03,505.33,224
CPT,88185,FLOWCYTOMETRY/TC ADD-ON,166.0,107.9,6.57,610.0,1462
CPT,88230,Cytogenetics with no growth-NG,87.0,56.55,13.5,117.45,56
CPT,88230,Tissue culture-long chrom(c),387.0,251.55,13.5,387.0,56
CPT,88233,Cyto study-tissue cul 88233-ng,410.0,266.5,16.2,410.0,56
CPT,88233,TISSUE CULTURE SKIN/BIOPSY,246.0,159.9,16.2,246.0,56
CPT,88233,Tissue culture or solid tissue-88233-NG,866.0,562.9,16.2,866.0,56
CPT,88233,Tissue culture skin or solid tissue-NG,254.0,165.1,16.2,254.0,56
CPT,88233,Tissue culture-no growth-gen. assoc,183.0,118.95,16.2,189.99,56
CPT,88235,Chromosome ana FISH amnio fld,332.0,215.8,16.74,332.0,56
CPT,88237,ACH-bone mar cytogenetics cult,562.0,365.3,14.58,562.0,56
CPT,88237,BM initial tissue culture-NG,884.0,574.6,14.58,884.0,56
CPT,88237,CML tissue culture (c),200.0,130.0,14.58,200.0,56
CPT,88237,Chrom Ana-Tissue Culture,447.0,290.55,14.58,447.0,56
CPT,88237,Chromosome ana leukemia lympho,554.0,360.1,14.58,554.0,56
CPT,88237,Cyto study-tissue cul 88237-ng,585.0,380.25,14.58,585.0,56
CPT,88237,TISSUE CULTURE BONE MARROW,237.0,154.05,14.58,237.0,56
CPT,88240,OneBlood Storage 1 year,813.0,528.45,2.58,813.0,55
CPT,88261,Chromosome analysis 5 cells 1 karyotype-NG,447.0,290.55,15.12,447.0,56
CPT,88261,Chromosome analysis 5 cells 1 karyotype-gen. assoc,584.0,379.6,15.12,584.0,56
CPT,88261,Cyto study-count 5 cells-ng,335.0,217.75,15.12,356.86,56
CPT,88262,Chromosome routine blood,626.0,406.9,14.04,626.0,56
CPT,88262,Long chromo 15-20 cells(c),286.0,185.9,14.04,286.0,56
CPT,88264,CML chom anal 20-25 cells (c),198.0,128.7,34.25,198.0,56
CPT,88264,Chrom Ana-20-25 Cells,447.0,290.55,77.33,447.0,56
CPT,88264,Cyto study-chrom0 analysis-ng,312.0,202.8,53.98,312.0,56
CPT,88271,CYTOGENETICS DNA PROBE,78.5,51.025,6.57,119.0,168
CPT,88273,CML FISH 10-30 cells (c),50.0,32.5,8.65,50.0,56
CPT,88274,ACH-fish cyto interp-99 1,572.0,371.8,22.77,572.0,55
CPT,88274,ACH-fish cyto interp-99 4,915.0,594.75,22.77,915.0,55
CPT,88275,Multiple myeloma-DNA probe (c),196.0,127.4,22.77,196.0,56
CPT,88280,CML chom anal karyo 1(c),52.0,33.8,2.7,52.0,112
CPT,88280,CML chom anal karyo 2 (c),50.0,32.5,2.7,50.0,112
CPT,88280,Chromosome Analysis-Additional Karyocyte-NG,99.0,64.35,2.7,99.0,56
CPT,88280,Chromosome analysis addit karyotypes-NG,74.0,48.1,2.7,74.0,56
CPT,88280,"Chromosome analysis, add. karyotypes-gen. assoc",69.0,44.85,2.7,69.0,56
CPT,88280,Cyto study-add karyotypes-ng,125.0,81.25,2.7,125.0,56
CPT,88285,Additional cell count-88285-NG,94.0,61.1,0.54,94.0,56
CPT,88285,Cyto study-additional cells-ng,125.0,81.25,0.54,125.0,56
CPT,88289,Chromosome analysis-high re(c),275.0,178.75,3.24,275.0,56
CPT,88291,Cytogenetics interpretation & report-gen. assoc,58.0,37.7,3.96,66.78,43
CPT,88300,Surg path level-I (gross only),264.0,171.6,8.4,264.0,112
CPT,88302,Surg path level-II (gr&micro),488.0,317.2,18.73,488.0,56
CPT,88304,Surg path level-III (gr&micro),560.0,364.0,18.31,560.0,224
CPT,88305,88305 AP  bill surgical path level IV-UF,231.0,150.15,20.65,231.0,224
CPT,88305,Biopsy to UM-88305-2 (C),206.0,133.9,20.65,206.0,224
CPT,88305,Muscle Biopsy to UM-88305,421.0,273.65,20.65,421.0,224
CPT,88305,Renal biopsy gross-88305,265.0,172.25,20.65,265.0,224
CPT,88305,TISSUE EXAM BY PATHOLOGIST,507.5,329.875,20.65,862.0,448
CPT,88305,Tissue Exam By Pathologist-88305-Caris,88.0,57.2,15.22,88.0,224
CPT,88307,Surg path level-V (gr&micro),1184.0,769.6,101.78,1184.0,224
CPT,88307,Tissue Exam By Pathologist-88307-Caris,442.0,287.3,76.47,505.33,224
CPT,88309,Surg path level-VI (gr&micro),1983.0,1288.95,101.78,1983.0,112
CPT,88311,Decalcification,158.0,102.7,5.37,158.0,129
CPT,88312,88312 AP Bill Special stain I-CC,342.0,222.3,20.65,342.0,224
CPT,88312,88312 TC AP bill special stain I-UF,179.0,116.35,20.65,179.0,224
CPT,88312,Consult-MGH-sp stain 88312,306.0,198.9,20.65,306.0,224
CPT,88312,Consult-Mayo special st 88312,383.0,248.95,20.65,383.0,224
CPT,88312,SPECIAL STAINS GROUP 1,136.0,88.4,20.65,136.0,224
CPT,88312,Special stain GR 1 88312TC-VI,138.0,89.7,20.65,138.0,224
CPT,88312,Special stain group I,325.0,211.25,20.65,325.0,224
CPT,88313,88313 AP Bill Special stain II-CC,286.0,185.9,20.65,286.0,168
CPT,88313,88313 AP bill special stain II-UF,134.0,87.1,20.65,187.57,168
CPT,88313,88313 TC AP Bill Special stain II-CC,120.0,78.0,20.65,187.57,168
CPT,88313,Consult UM 88313,269.0,174.85,20.65,269.0,168
CPT,88313,Consult-MGH-sp stain 88313,312.0,202.8,20.65,312.0,168
CPT,88313,SPECIAL STAINS GROUP 2,155.0,100.75,8.65,261.0,504
CPT,88313,Special stain GR 2 88313TC-VI,112.0,72.8,19.38,187.57,168
CPT,88313,Special stain TC-NG,123.0,79.95,20.65,187.57,168
CPT,88313,Special stain global-NG,149.0,96.85,20.65,187.57,168
CPT,88313,Special stain group II,311.0,202.15,20.65,311.0,168
CPT,88314,88314 AP Bill Muscle biopsy-UF,50.0,32.5,8.65,50.0,43
CPT,88314,Biopsy to UM-88314-1,286.0,185.9,20.65,286.0,43
CPT,88319,ENZYME HISTOCHEMISTRY,463.5,301.275,38.93,1135.83,110
CPT,88319,Histo cytochemistry-enzyme,529.0,343.85,91.52,1135.83,55
CPT,88321,88321 AP Bill Consult-Cleveland-CC,562.0,365.3,39.0,562.0,110
CPT,88321,88321 AP bill consult-UF,301.0,195.65,39.0,301.0,110
CPT,88321,CONSLTJ&REPRT SLD PREP ELSWR,385.0,250.25,39.0,759.0,550
CPT,88321,Consult w/o slide prep-MSK,822.0,534.3,39.0,822.0,110
CPT,88321,Consult-Brigham 88321,893.0,580.45,39.0,893.0,110
CPT,88321,Consult-Brigham-Dr Mihm,697.0,453.05,39.0,697.0,110
CPT,88321,Consult-Cornell-88321,866.0,562.9,39.0,866.0,110
CPT,88321,Consult-Dr Ghossein msk 88321,995.0,646.75,39.0,995.0,110
CPT,88321,Consult-Dr Inwards-88321,776.0,504.4,39.0,776.0,110
CPT,88321,Consult-Dr Katzenstein 88321,655.0,425.75,39.0,655.0,110
CPT,88321,Consult-Dr Redline 88321,525.0,341.25,39.0,525.0,110
CPT,88321,Consult-Dr Travis msk 88321,1525.0,991.25,39.0,1525.0,110
CPT,88321,Consult-MD Anderson 88321,622.0,404.3,39.0,622.0,110
CPT,88321,Consult-MGH 88321,763.0,495.95,39.0,763.0,110
CPT,88321,Consult-Mayo 88321,1299.0,844.35,39.0,1299.0,110
CPT,88321,Consult-Moffit Cancer Center,1007.0,654.55,39.0,1007.0,110
CPT,88321,Consult-UCSF Dr Ferrell 88321,872.0,566.8,39.0,872.0,110
CPT,88321,Consult-UM-Dr Nadji 88321,403.0,261.95,39.0,403.0,110
CPT,88321,Consult-UM-Dr Rosenberg 88321,447.0,290.55,39.0,447.0,110
CPT,88323,88323 AP Bill Consult With Mat Prep-CC,382.0,248.3,33.24,382.0,112
CPT,88323,88323 AP Bill Consult-Cleveland-CC,197.0,128.05,33.24,197.0,112
CPT,88323,88323 AP bill consult-UF,163.0,105.95,28.2,163.0,112
CPT,88323,CONSLTJ&REPRT MATRL PREP SLD,884.0,574.6,33.24,884.0,112
CPT,88323,Consult MD Myers 88323,622.0,404.3,33.24,622.0,112
CPT,88323,Consult W/slide-Blk 88323-MSK,908.0,590.2,33.24,908.0,112
CPT,88323,Consult-Dr Shimada 88323,476.0,309.4,33.24,476.0,112
CPT,88323,Consult-MGH 88323,785.0,510.25,33.24,785.0,112
CPT,88323,Consult-Mayo 88323,1299.0,844.35,33.24,1299.0,112
CPT,88323,Consult-UM-Dr Nadji 88323,697.0,453.05,33.24,697.0,112
CPT,88325,Consult-Cornell-88325,909.0,590.85,4.94,909.0,56
CPT,88325,Consult-Mayo 88325,673.0,437.45,4.94,673.0,56
CPT,88329,Operative consultation,686.0,445.9,4.0,686.0,56
CPT,88331,PATH CONSLTJ SURG 1 BLK 1SPC,789.0,512.85,19.44,789.0,280
CPT,88332,PATH CONSLTJ SURG EA ADD BLK,393.0,255.45,8.92,393.0,43
CPT,88333,Surg cyto prep-initial site,538.0,349.7,22.09,1135.83,56
CPT,88334,Surg cyto prep-additional site,186.0,120.9,13.47,186.0,86
CPT,88341,88341 AP Bill IHC Ea Add Ab-CC,111.0,72.15,19.2,111.0,215
CPT,88341,88341 AP bill ihc ea add-UF,206.0,133.9,20.65,206.0,215
CPT,88341,88341 TC AP Bill IHC Ea Add Ab-CC,130.0,84.5,20.65,130.0,215
CPT,88341,88341 TC AP bill ihc ea add-UF,122.0,79.3,20.65,122.0,215
CPT,88341,Consult-Brigham-88341 -IHC Additional,291.0,189.15,20.65,291.0,215
CPT,88341,IHC- Qualitative (2+ Markers)-88341-Caris,154.0,100.1,20.65,154.0,215
CPT,88341,IHC-ADD 88341-Global-UHealth,188.0,122.2,20.65,188.0,215
CPT,88341,IHC-Each Add Ab-88341-MA,428.0,278.2,20.65,428.0,215
CPT,88341,IHC-add ab-88341 global-vi,144.0,93.6,20.65,144.0,215
CPT,88341,IHC-each add 88341-MSK,822.0,534.3,20.65,822.0,215
CPT,88341,IHC-each add AB 88341TC-VI,102.0,66.3,17.65,102.0,215
CPT,88341,IHC-each add ab 88341-jh,646.0,419.9,20.65,646.0,215
CPT,88341,IHC-each add ab 88341-ng,110.0,71.5,19.03,110.0,215
CPT,88341,IHC-each additional ab 88341,1000.0,650.0,20.65,1000.0,215
CPT,88341,IMHCHEM/IMCYTCHM EA ADD ANTB,160.5,104.32499999999999,20.65,194.0,430
CPT,88341,Immunohisto antb addl slide,1060.0,689.0,20.65,1060.0,215
CPT,88342,88342 AP Bill IHC Initial Ab-CC,130.0,84.5,22.49,240.18,336
CPT,88342,88342 AP Bill Muscle biopsy-UF,127.0,82.55,21.97,240.18,336
CPT,88342,88342 AP bill ihc initial-UF,208.0,135.2,35.98,240.18,336
CPT,88342,88342 TC AP Bill IHC Initial Ab-CC,111.0,72.15,19.2,240.18,336
CPT,88342,88342 TC AP bill ihc initial-UF,122.0,79.3,21.11,240.18,336
CPT,88342,Consult-Brigham-88342-IHC Initial,484.0,314.6,44.37,484.0,336
CPT,88342,IHC ab per spec 88342-MGH,329.0,213.85,44.37,329.0,336
CPT,88342,IHC first ab per spec 88342-jh,435.0,282.75,44.37,435.0,336
CPT,88342,"IHC for Mole, P57",385.0,250.25,44.37,385.0,336
CPT,88342,IHC- Qualitative (1st Marker)-88342-Caris,168.0,109.2,29.06,240.18,336
CPT,88342,IHC-88342-MSK,1147.0,745.55,44.37,1147.0,336
CPT,88342,IHC-First Ab per spec-88342-MA,428.0,278.2,44.37,428.0,336
CPT,88342,IHC-first Antibody-88342 global-NG,200.0,130.0,34.6,240.18,336
CPT,88342,IHC-first ab per spec glob-88342,1000.0,650.0,44.37,1000.0,336
CPT,88342,IMHCHEM/IMCYTCHM 1ST ANTB,188.0,122.2,30.45,240.18,1008
CPT,88342,Immunohisto antb 1st stain,1060.0,689.0,44.37,1060.0,336
CPT,88344,IHC ea mltplx ab global VI,272.0,176.8,42.62,505.33,168
CPT,88344,IHC-each multiplex ab-88344,1000.0,650.0,42.62,1000.0,168
CPT,88344,IMHCHEM/IMCYTCHM EA MLT ANTB,328.0,213.2,42.62,505.33,168
CPT,88346,88346 AP Bill-Renal biopsy if initial stain 1-UF,220.0,143.0,35.45,240.18,56
CPT,88346,88346 AP bill-if initial spec stain-UF,346.0,224.9,35.45,346.0,56
CPT,88346,88346 TC AP bill-if initial spec stain-UF,151.0,98.15,26.12,240.18,56
CPT,88346,Ck by Icc-88346-Biocept,842.0,547.3,35.45,842.0,56
CPT,88346,IF initial stain-Beutner,333.0,216.45,35.45,333.0,56
CPT,88346,IMFLUOR 1ST 1ANTB STAIN PX,348.0,226.2,35.45,348.0,56
CPT,88348,88348 AP Bill Nerve biopsy-UF,1372.0,891.8,101.78,1372.0,56
CPT,88348,88348 AP Bill Renal biopsy if-UF,1548.0,1006.2,101.78,1548.0,56
CPT,88348,88348 AP bill-electron micro Dx-UF,1293.0,840.45,101.78,1293.0,56
CPT,88348,BIOPSY TO UM-88348,1343.0,872.95,101.78,1343.0,56
CPT,88348,Renal biopsy elect micro-88348,1049.0,681.85,101.78,1135.83,56
CPT,88350,88350 TC AP bill-if spec stain ea add-UF,144.0,93.6,20.65,144.0,43
CPT,88350,Crohn-dnase sensitivity IgG,275.0,178.75,20.65,275.0,43
CPT,88350,IF add stain-Beutner,343.0,222.95,20.65,343.0,43
CPT,88350,IMFLUOR EA ADDL 1ANTB STN PX,228.5,148.525,20.65,842.0,172
CPT,88358,Tissue morphometric analysis,936.0,608.4,101.78,936.0,55
CPT,88360,88360 AP Bill IHC-Global-CC,288.0,187.2,40.45,288.0,224
CPT,88360,88360 AP Bill Tumor IHC manual-CC,270.0,175.5,40.45,270.0,224
CPT,88360,Consult-Brigham-88360-IHC Manual,572.0,371.8,40.45,572.0,224
CPT,88360,Her2 by IHC-USC Press,80.0,52.0,13.84,240.18,224
CPT,88360,IHC Additional Global-NG,510.0,331.5,40.45,510.0,224
CPT,88360,IHC Quantitative-88360-Caris,195.0,126.75,33.74,240.18,224
CPT,88360,IHC-88360TC-NG,176.0,114.4,30.45,240.18,224
CPT,88360,IHC-Global 88360-Neogenomics,481.0,312.65,40.45,481.0,224
CPT,88360,IHC-PD-L1-Keytruda-TC VII,344.0,223.6,40.45,344.0,224
CPT,88360,IHC-PD-L1-Keytruda-glob VI,452.0,293.8,40.45,452.0,224
CPT,88360,Immunohistochemistry-88360,1411.0,917.15,40.45,1411.0,224
CPT,88360,Ki-67 pharmD IHD,875.0,568.75,40.45,875.0,224
CPT,88360,PD-L1 global-88360-NG,443.0,287.95,40.45,443.0,224
CPT,88360,TUMOR IMMUNOHISTOCHEM/MANUAL,341.0,221.65,33.22,1496.0,672
CPT,88361,IHC Morphometric Analysis-Global-NG,261.0,169.65,45.15,505.33,56
CPT,88361,IHC morpho analysis 88361TC-NG,199.0,129.35,34.43,505.33,56
CPT,88363,Retrieved tissue-mol analysis,49.0,31.85,8.48,49.0,112
CPT,88364,88364 AP Bill ISH FISH Ea Add-CC,153.0,99.45,20.65,153.0,129
CPT,88364,88364 TC AP Bill ISH FISH Ea Add-CC,371.0,241.15,20.65,371.0,129
CPT,88364,88364 TC-AP bill-HPV ISH EA add-TC-NG,137.0,89.05,20.65,137.0,129
CPT,88364,HPV 88364-NG,312.0,202.8,20.65,312.0,129
CPT,88364,IHC by ISH-88364 TC-NG,286.0,185.9,20.65,286.0,129
CPT,88364,ISH add probe global VI,263.0,170.95,20.65,263.0,129
CPT,88364,ISH each add single probe-NG,425.0,276.25,20.65,425.0,129
CPT,88364,ISH-Additional Probe-TC-Vitro,177.0,115.05,20.65,177.0,129
CPT,88364,ISH-additional probe 88364,1060.0,689.0,20.65,1060.0,129
CPT,88365,88365 AP Bill ISH FISH initial-CC,382.0,248.3,66.09,382.0,168
CPT,88365,88365 TC AP Bill ISH FISH initial-CC,153.0,99.45,26.47,240.18,168
CPT,88365,88365 TC-AP bill-HPV ISH ini-TC-NG,137.0,89.05,23.7,240.18,168
CPT,88365,Consult-MGH-FISH 88365,561.0,364.65,78.52,561.0,168
CPT,88365,HPV 88365-NG,312.0,202.8,53.98,312.0,168
CPT,88365,INSITU HYBRIDIZATION (FISH),286.0,185.9,34.43,425.0,504
CPT,88365,ISH-88365-Caris,336.0,218.4,58.13,336.0,168
CPT,88365,ISH-HPV TC VI,195.0,126.75,33.74,240.18,168
CPT,88365,ISH-first probe per spec-88365,1060.0,689.0,78.52,1060.0,168
CPT,88367,FISH Probe Stain each-88367 TC-NG,348.0,226.2,60.2,505.33,112
CPT,88367,Fish probe stain each-88367-ng,385.0,250.25,66.61,505.33,112
CPT,88368,FISH Probe Stain each-88368 TC-NG,348.0,226.2,60.2,505.33,112
CPT,88368,INSITU HYBRIDIZATION MANUAL,442.0,287.3,66.61,505.33,224
CPT,88369,FISH Probe Stain each-88369 TC-NG,317.0,206.05,20.65,317.0,43
CPT,88369,Fish probe stain each-88369-ng,377.0,245.05,20.65,377.0,43
CPT,88373,FISH Probe Stain each-88373 TC-NG,336.0,218.4,20.65,336.0,43
CPT,88373,Fish probe stain each-88373-ng,377.0,245.05,20.65,377.0,43
CPT,88374,M/PHMTRC ALYS ISHQUANT/SEMIQ,679.5,441.675,60.38,759.0,672
CPT,88374,Ros1 Fusion-88374-Caris,720.0,468.0,82.0,720.0,168
CPT,88377,88377 AP Bill FISH-AGRSV Bcell lymph-CC,189.0,122.85,32.7,240.18,112
CPT,88377,88377 AP Bill Morphometric ISH ea multplx-CC,721.0,468.65,85.74,721.0,112
CPT,88377,Cish-88377-Caris,819.0,532.35,85.74,819.0,112
CPT,88377,FISH assay-manual-multiplex,806.0,523.9,85.74,806.0,112
CPT,88377,Her2 by FISH-USC Press,831.0,540.15,85.74,831.0,112
CPT,88377,M/PHMTRC ALYS ISHQUANT/SEMIQ,697.0,453.05,85.74,759.0,224
CPT,88381,"Microdissection, Manual",349.0,226.85,20.65,349.0,43
CPT,88381,Microdissection-88381-Caris,381.0,247.65,20.65,381.0,43
CPT,88720,POCT transcutaneous bilirubin,18.0,11.7,3.11,18.0,55
CPT,89051,BODY FLUID CELL COUNT,364.0,236.6,2.58,364.0,112
CPT,89051,Cell count & diff-CSF,350.0,227.5,2.58,350.0,56
CPT,89055,Wright stain (fecal leukocytes),190.0,123.5,2.58,190.0,56
CPT,89060,Crystals body fluid(c),265.0,172.25,2.58,265.0,112
CPT,89060,Crystals-body fluid,219.0,142.35,2.58,219.0,112
CPT,89125,Fat stain-urine,119.0,77.35,0.54,119.0,56
CPT,89190,Eosinophil smear-nasal,184.0,119.6,0.54,184.0,56
CPT,89310,Semen analysis-post vasectomy,251.0,163.15,2.58,251.0,55
CPT,89320,Semen analysis-vol ct mot diff,470.0,305.5,2.58,470.0,55
CPT,89325,SPERM ANTIBODY TEST,89.0,57.85,2.58,89.0,55
CPT,90371,Hep B ImmGlob Nabi-HB 1mlvial,964.0,626.6,134.19,964.0,55
CPT,90371,Imm glob Hep B (hum) 0.5ml inj,1103.0,716.95,134.19,1103.0,55
CPT,90371,Imm glob Hep B 1ml inj,1937.0,1259.05,134.19,1937.0,55
CPT,90371,Imm glob Hep B 5ml inj,6993.0,4545.45,134.19,6993.0,55
CPT,90375,Hyperrab 300 units/ml Inj,1813.0,1178.45,279.85,1813.0,55
CPT,90375,Hyperrab s/d 150 u/ml 2ml inj,1843.0,1197.95,279.85,1843.0,55
CPT,90376,Imm glob rabies 2ml inj,1987.0,1291.55,343.75,1987.0,220
CPT,90377,Imm glob rabies 10ml inj,9067.0,5893.55,222.25,9067.0,55
CPT,90378,Palivizumab 50mg/0.5ml vial,15910.0,10341.5,436.75,15910.0,55
CPT,90380,Imm glob rsv mono ant0.5ml inj,1482.0,963.3,256.39,1482.0,42
CPT,90381,Imm glob rsv mono ant 1ml inj,1482.0,963.3,256.39,1482.0,42
CPT,90460,IM ADMIN 1ST/ONLY COMPONENT,192.0,124.8,25.27,192.0,42
CPT,90461,IM ADMIN EACH ADDL COMPONENT,192.0,124.8,25.27,192.0,42
CPT,90471,IMMUNIZATION ADMIN,176.5,114.725,25.27,182.0,438
CPT,90472,Admin each additional vacc tox inj,182.0,118.3,25.27,182.0,133
CPT,90472,Immun admin ea ad vactoxinj UC,171.0,111.15,25.27,171.0,133
CPT,90473,Immun admin 1st vac oral NS UC,171.0,111.15,25.27,171.0,110
CPT,90473,Immun admin 1st vacc oral nose,182.0,118.3,25.27,182.0,110
CPT,90474,Immun admin add vac oral NS UC,171.0,111.15,25.27,171.0,42
CPT,90474,Immun admin add vacc oral nose,179.0,116.35,25.27,179.0,42
CPT,90480,Admin SARSCOV2vacc single dose,199.0,129.35,25.27,199.0,55
CPT,90620,Vacc Bexsero mening G-B 0.5inj,596.0,387.4,77.93,596.0,42
CPT,90621,Vacc Trumenb mening G-B 0.5inj,448.0,291.2,77.5,448.0,42
CPT,90632,Vacc Hep A virus 1.44mu syr,208.0,135.2,16.14,208.0,42
CPT,90633,Vacc Vaqta Hep A 25u/0.5ml im,95.0,61.75,16.14,95.0,42
CPT,90636,Vacc Twinrix 1ml IM-inj,336.0,218.4,58.13,336.0,42
CPT,90648,Vacc act hib 0.5ml inj,36.0,23.4,6.23,36.0,42
CPT,90651,Vacc Gardasil 9vHPV IM,676.0,439.4,77.93,676.0,42
CPT,90653,Vacc Fluad>/=65 0.5 mL IM,126.0,81.9,16.14,126.0,110
CPT,90653,Vacc Fluad>/=65 0.5 mL IM UCP,185.0,120.25,16.14,185.0,110
CPT,90656,Vacc Fluarix 0.5 mL IM,53.0,34.45,9.17,53.0,110
CPT,90656,Vacc Fluarix 0.5 mL IM UCP,50.0,32.5,8.65,50.0,110
CPT,90661,Vacc Flucelvax 0.5 mL IM,47.0,30.55,8.13,47.0,55
CPT,90661,Vacc Flucelvax 0.5 mL IM UCP,82.0,53.3,14.19,82.0,55
CPT,90670,Vacc prevnar 13 val 0.5ml inj,605.0,393.25,77.93,605.0,55
CPT,90671,Pneumococcal15val conj vacc im,593.0,385.45,77.93,593.0,55
CPT,90675,Vacc rabies 2.5u vial,1171.0,761.15,77.93,1171.0,165
CPT,90675,Vacc rabies 2.5u vial UCP,1099.0,714.35,77.93,1099.0,165
CPT,90675,Vacc rabies kit 1ml,1103.0,716.95,77.93,1103.0,165
CPT,90675,Vacc rabies kit 1ml UCP,1035.0,672.75,77.93,1035.0,165
CPT,90677,Pneumococcal 20-val conjugate,698.0,453.7,77.93,698.0,55
CPT,90678,Vacc rsv 120mcg/0.5ml im,767.0,498.55,16.14,767.0,42
CPT,90687,Vacc Afluria 6-35m ped 0.25 mL IM,41.0,26.65,7.09,41.0,55
CPT,90691,Vacc typhoid 25mcg/0.5ml inj,390.0,253.5,16.14,390.0,42
CPT,90696,Vacc DTAP-IPV 0.5ml 4-6 yrs,163.0,105.95,16.14,163.0,91
CPT,90700,Vacc diphth tet pertuss 0.5ml un 7,77.0,50.05,13.32,77.0,42
CPT,90702,Vacc tetanus dipth under age 7,176.0,114.4,16.14,176.0,42
CPT,90707,Vacc measles mumps rubella sq,246.0,159.9,16.14,246.0,42
CPT,90713,Vacc poliomyelitis 0.5ml inj,119.0,77.35,16.14,119.0,42
CPT,90714,Vacc tenivac 0.5 ml inj,107.0,69.55,16.14,107.0,133
CPT,90714,Vacc tenivac 0.5 ml inj UCP,101.0,65.65,16.14,101.0,133
CPT,90715,Tdap vaccine 7 yrs/> im,126.0,81.9,16.14,126.0,133
CPT,90715,Vacc adacel 0.5 ml vial,85.0,55.25,14.71,85.0,133
CPT,90715,Vacc boostrix 0.5 ml inj UCP,119.0,77.35,16.14,119.0,133
CPT,90716,Vacc varicella vir live0.5ml inj,488.0,317.2,77.93,488.0,42
CPT,90717,Vacc yellow fever sq,456.0,296.4,77.93,456.0,42
CPT,90723,Vacc pediarix 0.5ml susp-inj,240.0,156.0,16.14,240.0,42
CPT,90732,Vacc pneumococcal 23 0.5ml vl,312.0,202.8,16.14,312.0,55
CPT,90733,Vacc meningococcal poly sq,307.0,199.55,53.11,307.0,42
CPT,90734,Vacc Menveo 0.5ml inj kit,419.0,272.35,72.49,419.0,42
CPT,90734,Vacc menactra 0.5 ml inj,378.0,245.7,65.39,378.0,42
CPT,90740,Vacc HB recom 40mcg/ml 1ml inj,456.0,296.4,77.93,456.0,55
CPT,90744,Vacc Engerix-B 10mcg/0.5ml ped,76.0,49.4,13.15,76.0,55
CPT,90744,Vacc Hep B vir recom 5mcg/0.5,72.0,46.8,12.46,72.0,55
CPT,90746,Vacc Hep B vir 10mcg/ml 1ml,169.0,109.85,16.14,169.0,55
CPT,90746,Vacc Hep B vir 20mcg/ml 1ml,185.0,120.25,16.14,185.0,55
CPT,90749,Vacc Daptacel DTAP 0.5ml adult,80.0,52.0,13.84,80.0,91
CPT,90750,Vacc zoster recom 0.5ml vial,489.0,317.85,77.93,489.0,42
CPT,90791,Psych diagnostic evaluation,644.0,418.6,111.41,644.0,56
CPT,90792,Psych diag eval w/med srvcs,644.0,418.6,111.41,644.0,56
CPT,90832,Psytx w pt 30 minutes,644.0,418.6,82.28,644.0,56
CPT,90833,Psytx w pt w e/m 30 min,644.0,418.6,82.28,644.0,43
CPT,90834,Psytx w pt 45 minutes,644.0,418.6,92.61,644.0,56
CPT,90836,Psytx w pt w e/m 45 min,644.0,418.6,92.61,644.0,43
CPT,90837,Psytx w pt 60 minutes,644.0,418.6,92.61,644.0,56
CPT,90838,Psytx w pt w e/m 60 min,644.0,418.6,92.61,644.0,43
CPT,90839,Psytx crisis initial 60 min,644.0,418.6,92.61,644.0,56
CPT,90867,TCRANIAL MAGN STIM TX PLAN,1286.0,835.9,173.17,1286.0,56
CPT,90868,TCRANIAL MAGN STIM TX DELI,1286.0,835.9,173.17,1286.0,56
CPT,90869,TCRAN MAGN STIM REDETEMINE,704.0,457.6,121.79,704.0,56
CPT,90870,Electroconvulsive  therapy,2122.0,1379.3,173.17,2122.0,56
CPT,90901,OT biofeed back,444.0,288.6,42.7,444.0,56
CPT,90901,PT biofeed back,444.0,288.6,42.7,444.0,112
CPT,90912,PT biofeed one to one 1st 15m,357.0,232.05,61.52,357.0,168
CPT,90913,PT biofeed one to one ea ad15m,357.0,232.05,34.88,357.0,168
CPT,90935,Dialysis,4398.0,2858.7,173.17,4398.0,56
CPT,90945,DIALYSIS ONE EVALUATION,4398.0,2858.7,173.17,4398.0,112
CPT,90945,Peritoneal dialysis,4398.0,2858.7,173.17,4398.0,56
CPT,90997,Hemo-perfusion,7068.0,4594.2,173.17,7068.0,43
CPT,91010,Esoph motlility study/interp,2012.0,1307.8,173.17,2012.0,56
CPT,91013,Esoph motility stim perf addon,2143.0,1392.95,173.17,2143.0,43
CPT,91020,Gastric motility,1650.0,1072.5,173.17,1650.0,56
CPT,91022,Duodenal motility,2080.0,1352.0,173.17,2080.0,56
CPT,91034,24 hour pH study,2463.0,1600.95,173.17,2463.0,56
CPT,91035,48 hr pH study bravo,3260.0,2119.0,173.17,3260.0,56
CPT,91038,24 hr pH w impedence,3104.0,2017.6,173.17,3104.0,56
CPT,91040,Endo balloon distention tst,2166.0,1407.9,173.17,2166.0,56
CPT,91110,GI tract cap endo esoph ileum,3823.0,2484.95,173.17,3823.0,56
CPT,91112,GI WIRELESS CAPSULE MEASURE,3823.0,2484.95,173.17,3823.0,56
CPT,91112,GI tract transit wireless cap,3823.0,2484.95,173.17,3823.0,56
CPT,91113,GI tract image intralum w interp,4069.0,2644.85,173.17,4069.0,56
CPT,91117,Colon motility min 6 hrs,1627.0,1057.55,173.17,1627.0,56
CPT,91122,Manometry Anorectal,2989.0,1942.85,85.02,2989.0,43
CPT,91320,Vacc SARS-CoV2 30mcg/0.3 ml im,369.0,239.85,16.14,369.0,55
CPT,91322,Vacc SARS-CoV2 50mcg/0.5 ml im,345.0,224.25,16.14,345.0,55
CPT,92018,COMPL OPH EXAM GENERAL ANES,,,,,0
CPT,92240,Indocyanine green angio uni/bi,1247.0,810.55,173.17,1247.0,56
CPT,92507,TX SP LANG VOICE COMM INDIV,629.0,408.85,77.99,629.0,336
CPT,92508,SP speech Tx group,220.0,143.0,22.42,220.0,56
CPT,92511,Nasopharyngoscopy-fiberoptic,273.0,177.45,47.23,281.4,56
CPT,92517,VEMP TEST I&R CERVICAL,702.0,456.3,86.98,702.0,56
CPT,92518,VEMP TEST I&R OCULAR,702.0,456.3,86.98,702.0,56
CPT,92519,VEMP TST I&R CERVICAL&OCULAR,1329.0,863.85,86.98,1329.0,56
CPT,92520,SP SLP laryngeal funct study,642.0,417.3,86.98,642.0,56
CPT,92521,EVALUATION OF SPEECH FLUENCY,535.0,347.75,92.56,535.0,112
CPT,92522,EVALUATE SPEECH PRODUCTION,577.0,375.05,99.82,577.0,112
CPT,92523,SP SLP eval lang compreh neona,903.0,586.95,156.22,903.0,56
CPT,92523,SPEECH SOUND LANG COMPREHEN,903.0,586.95,156.22,903.0,92
CPT,92524,BEHAVRAL QUALIT ANALYS VOICE,454.0,295.1,78.54,454.0,112
CPT,92524,SP SLP eval voice reson adult,454.0,295.1,78.54,454.0,92
CPT,92526,SP swallow-oral Tx,570.0,370.5,22.42,570.0,112
CPT,92551,Scrn pure tone air,153.0,99.45,20.76,173.17,43
CPT,92551,Scrn pure tone air UC,106.0,68.9,18.34,173.17,43
CPT,92587,EOAE limited,420.0,273.0,50.58,420.0,56
CPT,92597,SP voice prosth eval w spk val,2069.0,1344.85,73.37,2069.0,112
CPT,92597,SP voice prosth eval wo vale,1092.0,709.8,73.37,1092.0,112
CPT,92607,SP generating dev eval 1st hr,788.0,512.2,125.22,788.0,46
CPT,92608,SP generating dev eval ad30mn,395.0,256.75,48.76,395.0,46
CPT,92609,SP voice prosth Tx wo spk val,629.0,408.85,22.42,629.0,112
CPT,92609,SP voice prosth mod/Tx spk val,1605.0,1043.25,22.42,1605.0,112
CPT,92610,SP swallow eval clinical,900.0,585.0,87.03,900.0,92
CPT,92611,SP swallow eval w fluoro,1154.0,750.1,95.96,1154.0,92
CPT,92612,SP fees endo swall eval recrd,619.0,402.35,107.09,619.0,92
CPT,92616,SP fees endo swall w/sen test,779.0,506.35,134.77,779.0,46
CPT,92626,Eval auditory func 1st hr,682.0,443.3,117.99,682.0,56
CPT,92627,Eval auditory func ea ad 15m,164.0,106.6,28.37,195.39,43
CPT,92633,SP aural rehab post coch impl,682.0,443.3,17.76,682.0,43
CPT,92651,AEP HEARING STATUS DETER I&R,702.0,456.3,50.58,702.0,56
CPT,92652,AEP THRSHLD EST MLT FREQ I&R,1329.0,863.85,50.58,1329.0,56
CPT,92653,AEP NEURODIAGNOSTIC I&R,1410.0,916.5,50.58,1410.0,56
CPT,92920,Coronry PTCA-sngl maj coronbr,27874.0,18118.1,173.17,27874.0,336
CPT,92921,Coronary PTCA ea addl branch,15330.0,9964.5,173.17,15330.0,172
CPT,92924,Coronary athrc singl maj cobr,53149.0,34546.85,173.17,53149.0,336
CPT,92925,Coronary athrct ea addl branch,26577.0,17275.05,173.17,26577.0,43
CPT,92928,PRQ TCAT PLMT NTRAC ST 1 LES,45211.0,29387.15,173.17,45211.0,392
CPT,92929,PRQ CARD STENT W/ANGIO ADDL,24867.0,16163.55,173.17,24867.0,172
CPT,92933,PRQ TRLML C ATHRC ST ANGIOP1,49733.0,32326.45,173.17,49733.0,224
CPT,92934,PRQ CARD STENT/ATH/ANGIO,23288.0,15137.2,173.17,23288.0,43
CPT,92937,PRQ TRLUML REVSC CAB GRF 1,49733.0,32326.45,173.17,49733.0,224
CPT,92938,PRQ REVASC BYP GRAFT ADDL,25107.0,16319.55,173.17,25107.0,43
CPT,92941,PRQ TRLML REVSC TOT OCCL AMI,49733.0,32326.45,173.17,49733.0,129
CPT,92943,PRQ TRLUML REVSC CH OCC ANT,49733.0,32326.45,173.17,49733.0,280
CPT,92944,PRQ CARD REVASC CHRONIC ADDL,22396.0,14557.4,173.17,22396.0,43
CPT,92950,Resuscitation,2019.0,1312.35,173.17,2019.0,56
CPT,92953,Pacing transcutaneous temp,3091.0,2009.15,173.17,3091.0,112
CPT,92953,Pacing transcutaneous temp UC,971.0,631.15,74.29,971.0,47
CPT,92960,Cardioversion external,3227.0,2097.55,173.17,3227.0,336
CPT,92961,Cardioversion internal,3049.0,1981.85,173.17,3049.0,56
CPT,92970,Cardioassist internal,17422.0,11324.3,173.17,17422.0,43
CPT,92971,Cardio-pulmonary assist,13422.0,8724.3,173.17,13422.0,43
CPT,92972,Coronary lithotripsy perc add,56045.0,36429.25,173.17,56045.0,215
CPT,92973,Coronary thrombectomy mechn,20353.0,13229.45,173.17,20353.0,43
CPT,92975,Thrombolysis intracoronary,6552.0,4258.8,173.17,6552.0,43
CPT,92977,Thrombolysis coronry by IV inf,1115.0,724.75,173.17,1115.0,43
CPT,92978,Ivus-oct coronary intl vessel,9812.0,6377.8,129.63,9812.0,258
CPT,92979,Ivus-oct coronary add vessel,9812.0,6377.8,129.63,9812.0,172
CPT,92986,Valvuloplasty-aortic,10674.0,6938.1,173.17,10674.0,54
CPT,92987,Valvuloplasty-mitral valve,11468.0,7454.2,173.17,16274.73,54
CPT,92990,Valvuloplasty-pulmonary valve,11341.0,7371.65,173.17,16274.73,54
CPT,92997,PTCA pulm artery sngl vessel,21989.0,14292.85,173.17,21989.0,56
CPT,92998,PTCA pulm artery ea add ves,21989.0,14292.85,173.17,21989.0,43
CPT,93005,ELECTROCARDIOGRAM TRACING,519.0,337.35,8.24,629.0,1008
CPT,93017,CV STRESS TEST TRACING ONLY,2847.0,1850.55,108.32,2847.0,168
CPT,93024,Provocative study,2009.0,1305.85,108.32,2009.0,56
CPT,93041,RHYTHM ECG TRACING,197.0,128.05,16.49,242.0,112
CPT,93150,Therapy activ phrenic nrv stim,410.0,266.5,22.77,410.0,56
CPT,93151,Interrog impl phren nrv stim,410.0,266.5,22.77,410.0,56
CPT,93152,Interrog phren nrv stim polysm,1269.0,824.85,22.77,1269.0,56
CPT,93153,interog wo prog phren nrv stim,389.0,252.85,22.77,389.0,56
CPT,93225,XTRNL ECG REC<48 HRS REC,2286.0,1485.9,37.21,2286.0,56
CPT,93226,XTRNL ECG REC<48 HR SCAN A/R,2064.0,1341.6,37.21,2064.0,56
CPT,93246,Ext ECG >7d< 15d recording,687.0,446.55,37.21,687.0,56
CPT,93260,ICDs dev progr eval sng ftf,784.0,509.6,22.77,784.0,56
CPT,93261,ICDs dev interrogat eval ftf,659.0,428.35,22.77,659.0,56
CPT,93271,Event monitoring w analysis,485.0,315.25,25.77,485.0,56
CPT,93271,Event monitoring w analysis UC,320.0,208.0,25.77,320.0,56
CPT,93279,Pmk dev progr eval sngl ftf,598.0,388.7,22.77,598.0,56
CPT,93280,Pmk dev progr eval dual ftf,647.0,420.55,22.77,647.0,56
CPT,93281,Pmk dev progr eval mult ftf,760.0,494.0,22.77,760.0,56
CPT,93282,ICD dev progr eval sngl ftf,686.0,445.9,22.77,686.0,56
CPT,93283,ICD dev progr eval dual ftf,788.0,512.2,22.77,788.0,56
CPT,93284,ICD dev progr eval mult ftf,894.0,581.1,22.77,894.0,56
CPT,93285,Loop recordr impl eval ftf,565.0,367.25,22.77,565.0,56
CPT,93286,PERI-PX EVAL PM/LDLS PM IP,387.0,251.55,22.77,387.0,129
CPT,93287,PERI-PX DEVICE EVAL & PRGR,442.0,287.3,22.77,442.0,129
CPT,93288,Pmk dev interrogat eval ftf,544.0,353.6,22.77,544.0,56
CPT,93289,ICD dev interrogat eval ftf,652.0,423.8,22.77,652.0,56
CPT,93290,ICM dev interrogat eval ftf,310.0,201.5,22.77,310.0,56
CPT,93291,Loop recordr interrog eval ftf,489.0,317.85,22.77,489.0,56
CPT,93292,Wear dev interrogat eval ftf,400.0,260.0,22.77,400.0,56
CPT,93293,Pmk phone r-strip dev eval,1271.0,826.15,22.77,1271.0,56
CPT,93296,Pmk-ICD interrogat tech remot,1037.0,674.05,22.77,1037.0,112
CPT,93303,ECHO TTE cong abn,2095.0,1361.75,173.17,2095.0,56
CPT,93304,ECHO TTE cong abn fu ltd,1738.0,1129.7,173.17,1738.0,56
CPT,93306,TTE W/DOPPLER COMPLETE,6321.0,4108.65,173.17,6321.0,280
CPT,93307,2D ECHO only I,3434.0,2232.1,173.17,3434.0,56
CPT,93308,2D ECHO only fu ltd,1310.0,851.5,173.17,1310.0,224
CPT,93312,TEE 2D ECHO only,4664.0,3031.6,173.17,4664.0,168
CPT,93315,ECHO transesophageal cong abn,3479.0,2261.35,173.17,3479.0,56
CPT,93318,TEE 2D monitoring,3618.0,2351.7,173.17,3618.0,56
CPT,93319,Echo image congen w assess add,1239.0,805.35,173.17,1239.0,43
CPT,93320,Doppler ECHO,1606.0,1043.9,173.17,1606.0,129
CPT,93321,Doppler ECHO fu ltd,732.0,475.8,126.64,732.0,172
CPT,93325,Doppler color flow mapping,1121.0,728.65,69.11,1121.0,172
CPT,93351,Stress ECHO w continuous ECG,4365.0,2837.25,173.17,4365.0,56
CPT,93355,TEE guide transcath procedures,688.0,447.2,119.02,688.0,86
CPT,93356,Myocardial strain image add,1344.0,873.6,173.17,1344.0,86
CPT,93451,Right heart cath,11219.0,7292.35,173.17,11219.0,112
CPT,93452,Lt heart cath wwo vgram,20797.0,13518.05,173.17,20797.0,112
CPT,93453,Rt lt heart wwo vgram,27495.0,17871.75,173.17,27495.0,56
CPT,93454,Coronary angio only,17293.0,11240.45,173.17,17293.0,168
CPT,93455,Coronary w bypass graft angio,19084.0,12404.6,173.17,19084.0,168
CPT,93456,Coronary w right heart cath,27118.0,17626.7,173.17,27118.0,112
CPT,93457,Coronary w bypass graft w rhc,33411.0,21717.15,173.17,33411.0,112
CPT,93458,Coron w lt heart c wwo vgram,37543.0,24402.95,173.17,37543.0,224
CPT,93459,Coron w lt hc wwo vgram wbypas,42553.0,27659.45,173.17,42553.0,112
CPT,93460,Coron w lt hc wwo vgram w rhc,38767.0,25198.55,173.17,38767.0,168
CPT,93461,Coron w lhc wwo vgrm w rhc byp,43357.0,28182.05,173.17,43357.0,112
CPT,93462,Lt hc transep transap punc add,19084.0,12404.6,173.17,19084.0,43
CPT,93463,Pharmacologic agent admini add,396.0,257.4,32.74,396.0,43
CPT,93464,Physiologic exercise study add,396.0,257.4,68.51,396.0,43
CPT,93503,Insert heart cath swan ganz,7847.0,5100.55,173.17,7847.0,56
CPT,93505,Endomyocardial biopsy,14053.0,9134.45,173.17,14053.0,52
CPT,93563,Coronary inj congenit add,264.0,171.6,45.67,264.0,43
CPT,93564,Bypass graft inj congntl add,292.0,189.8,50.52,292.0,43
CPT,93565,Lt vent/atr inj congntl add,317.0,206.05,54.84,317.0,43
CPT,93566,Rt vent/atr inj congntl add,317.0,206.05,54.84,317.0,43
CPT,93567,Supravalvular aortography add,1098.0,713.7,173.17,1098.0,43
CPT,93568,Pulmonary angio add,837.0,544.05,144.8,837.0,43
CPT,93569,Angio pulm sel unil add on,11780.0,7657.0,173.17,11780.0,43
CPT,93571,Coronary flow procedure,6776.0,4404.4,173.17,6776.0,172
CPT,93572,Coronary flow ea add ves,6161.0,4004.65,173.17,6161.0,129
CPT,93573,Angio pulm sel bil add on,11289.0,7337.85,173.17,11289.0,43
CPT,93574,Venogrm pulm sel ea pulm v add,317.0,206.05,54.84,317.0,43
CPT,93575,Ang pulm cong sel ea mapca ao ad,11780.0,7657.0,173.17,11780.0,43
CPT,93580,PFO interatrial,44270.0,28775.5,173.17,44270.0,56
CPT,93581,PFO ventricular septal,43855.0,28505.75,173.17,43855.0,56
CPT,93582,Closure PDA percutaneous,42579.0,27676.35,173.17,42579.0,56
CPT,93583,Septal reduction therapy,39163.0,25455.95,173.17,39163.0,43
CPT,93584,Venog congen anom sup ven cav ad,4674.0,3038.1,173.17,4674.0,43
CPT,93585,Venog congen anom azygos add,2898.0,1883.7,173.17,3246.58,43
CPT,93586,Venog congen coronary sinus ad,3248.0,2111.2,173.17,3248.0,43
CPT,93587,Venog congen venovenous abv ad,3670.0,2385.5,173.17,3670.0,43
CPT,93588,Venog congen venovenous blw ad,3707.0,2409.55,173.17,3707.0,43
CPT,93590,Paravl leak mitral intl oc dev,43855.0,28505.75,173.17,43855.0,56
CPT,93591,Paravl leak aortic intl oc dev,48696.0,31652.4,173.17,48696.0,112
CPT,93592,Paravl leak ea addl occlu dev,9907.0,6439.55,173.17,10170.91,43
CPT,93593,Rt h cath cong wGUI native,14885.0,9675.25,173.17,14885.0,56
CPT,93594,Rt h cath cong wGUI abn native,14885.0,9675.25,173.17,14885.0,56
CPT,93595,Lt h cath cong wGUI norm native,14885.0,9675.25,173.17,14885.0,56
CPT,93596,Rt&Lt h cath cong wGUI norm natv,14885.0,9675.25,173.17,14885.0,56
CPT,93597,Rt&Lt h cath cong wGUI abn natv,14885.0,9675.25,173.17,14885.0,56
CPT,93598,Cardiac output w cont ox mon add,742.0,482.3,128.37,742.0,43
CPT,93600,Bundle of his recording,7925.0,5151.25,173.17,10995.78,56
CPT,93602,Intr-atrial recording,7205.0,4683.25,173.17,10995.78,56
CPT,93603,Right ventricular recording,1742.0,1132.3,173.17,4754.39,56
CPT,93609,Intra vent/intra atrial map,6728.0,4373.2,173.17,11861.89,43
CPT,93610,Intra atrial pacing,7205.0,4683.25,173.17,10995.78,56
CPT,93612,Intraventricular pacing,7925.0,5151.25,173.17,10995.78,56
CPT,93613,Intracardiac 3D mapping,13549.0,8806.85,173.17,13549.0,43
CPT,93615,Eso rec atr elec w-wo ven elec,4808.0,3125.2,173.17,4808.0,56
CPT,93618,Induct arrhythmis with pacing,4158.0,2702.7,173.17,4754.39,56
CPT,93619,EP wo induct/attempted arrhy,18835.0,12242.75,173.17,18835.0,56
CPT,93620,EP study w induct/attmpt arrhy,22690.0,14748.5,173.17,22690.0,56
CPT,93621,EP study w atral rec pacng ind,19013.0,12358.45,173.17,19013.0,43
CPT,93622,COMP EP EVAL L VENTR PAC&REC,19013.0,12358.45,173.17,19013.0,43
CPT,93623,Prg. stim. pace after drug,7978.0,5185.7,173.17,7978.0,43
CPT,93624,EP follow up study,8586.0,5580.9,173.17,10995.78,56
CPT,93640,ICD lead eval at implant,8572.0,5571.8,173.17,8572.0,43
CPT,93641,ICD lead eval and gen at impl,8572.0,5571.8,173.17,8572.0,43
CPT,93642,EP eval ICD generatr sngl/dual,3771.0,2451.15,173.17,4754.39,56
CPT,93644,Ep eval of ICDs,7805.0,5073.25,173.17,7805.0,43
CPT,93650,Ablation study AV node,27055.0,17585.75,173.17,27055.0,56
CPT,93653,Compre EP eval WSVT ablation,45794.0,29766.1,173.17,45794.0,112
CPT,93654,Compre EP eval WVT ablation,45794.0,29766.1,173.17,45794.0,112
CPT,93655,Ablatn diff arrhyth mech addl,25157.0,16352.05,173.17,25157.0,86
CPT,93656,Comp EP evl & pv isltn -af abl,45794.0,29766.1,173.17,45794.0,56
CPT,93657,Ablation of lr atria -af addl,20814.0,13529.1,173.17,20814.0,129
CPT,93660,Ped cardiac tilttest,3010.0,1956.5,108.32,3010.0,56
CPT,93660,Tilt table study,3342.0,2172.3,108.32,3342.0,56
CPT,93662,Intracardiac ECHO (ICE) add on,7372.0,4791.8,173.17,7372.0,43
CPT,93668,PERIPHERAL VASCULAR REHAB,155.0,100.75,26.82,173.17,56
CPT,93702,BIS extracell fluid analysis,714.0,464.1,37.21,714.0,168
CPT,93724,Pacer analy antitachycardia,1927.0,1252.55,87.33,1927.0,56
CPT,93786,Ambulatory BP recording 24 hr,493.0,320.45,37.21,493.0,56
CPT,93788,Ambulatory BP analysis 24 hr,493.0,320.45,37.21,493.0,56
CPT,93797,PHYS/QHP OP CAR RHAB WO ECG,240.0,156.0,41.52,240.0,56
CPT,93798,PHYS/QHP OP CAR RHAB W/ECG,510.0,331.5,88.23,510.0,224
CPT,93799,Abl oth intracardiac vein w alc,39127.0,25432.55,16.49,39127.0,56
CPT,93799,Ang con rt atr or vent-s/o,302.0,196.3,16.49,302.0,56
CPT,93799,Angioplasty Coron Art Thrombo,22179.0,14416.35,16.49,22179.0,56
CPT,93799,Basilica Procedure,10575.0,6873.75,16.49,10575.0,392
CPT,93799,Cardioversion intrnl thru aicd,3358.0,2182.7,16.49,3358.0,56
CPT,93799,ICE intracard echo dur tx dx int,7372.0,4791.8,16.49,7372.0,56
CPT,93799,IFR/RFR/DFR Coronary,6776.0,4404.4,16.49,6776.0,392
CPT,93799,IVL on same lesion as DEB,56045.0,36429.25,16.49,56045.0,56
CPT,93799,Ivus oct ffr ifr coronry alone,10793.0,7015.45,16.49,10793.0,392
CPT,93799,Paravalvular leak treatmt,43855.0,28505.75,16.49,43855.0,56
CPT,93799,Pharmacologic challenge test,837.0,544.05,16.49,837.0,56
CPT,93799,Placement Cardiomems System,25393.0,16505.45,16.49,25393.0,56
CPT,93799,Provocation test other,2009.0,1305.85,16.49,2009.0,56
CPT,93799,Venog congen cor sinus-s/o,3093.0,2010.45,16.49,3093.0,56
CPT,93880,Carotid duplex complete bil,3329.0,2163.85,104.7,3329.0,112
CPT,93880,Carotid duplex complete bil UC,3332.0,2165.8,104.7,3332.0,112
CPT,93882,Carotid duplex limited uni,1597.0,1038.05,69.11,1597.0,56
CPT,93882,Carotid duplex limited uni UC,1598.0,1038.7,69.11,1598.0,56
CPT,93886,Transcranial doppler complete,1572.0,1021.8,104.7,1572.0,56
CPT,93888,Transcranial doppler limited,1193.0,775.45,69.11,1193.0,56
CPT,93893,Transcraindop bub embol detect,732.0,475.8,69.11,732.0,56
CPT,93895,Carotid intim-atheroma evalbil,316.0,205.4,54.67,316.0,43
CPT,93896,Vasoreactivty study comp ad,669.0,434.85,115.74,669.0,34
CPT,93897,Emboli detec wo mbub comp ad,911.0,592.15,157.6,911.0,34
CPT,93898,Ven-art shunt detec w mbub comp ad,1140.0,741.0,173.17,1140.0,34
CPT,93922,Arterial pvr ltd 1-2lev,621.0,403.65,34.55,621.0,168
CPT,93923,Art pvr compl ue 3uplev excr,1278.0,830.7,108.32,1278.0,168
CPT,93923,UPR/LXTR ART STDY 3+ LVLS,1136.0,738.4,108.32,1136.0,168
CPT,93924,Art pvr compl le 3uplev excr,1282.0,833.3,69.11,1282.0,56
CPT,93925,Art duplex lwr ext comp bil,1803.0,1171.95,104.7,1803.0,112
CPT,93926,Arterial duplex lower ext lim,1317.0,856.05,69.11,1317.0,168
CPT,93930,Art duplex upper ext comp bil,1879.0,1221.35,69.11,1879.0,56
CPT,93931,Arterial duplex upper ext lim,1317.0,856.05,69.11,1317.0,112
CPT,93970,EXTREMITY STUDY,1747.5,1135.875,104.7,1748.0,448
CPT,93971,EXTREMITY STUDY,1300.5,845.325,69.11,1317.0,336
CPT,93975,Abdominal pelvic duplex US,1973.0,1282.45,104.7,1973.0,168
CPT,93975,Abdominal pelvic duplex US UC,1885.0,1225.25,104.7,1885.0,168
CPT,93975,Arterial duplex celiac mes com,2299.0,1494.35,104.7,2299.0,168
CPT,93975,Arterial duplex renal complet,1862.0,1210.3,104.7,1862.0,168
CPT,93975,Venous duplx ven portal hepat,1664.0,1081.6,104.7,1664.0,168
CPT,93976,Abdominal pelv duplex US ltd,795.0,516.75,104.7,795.0,56
CPT,93976,Abdominal pelv duplx US ltd UC,939.0,610.35,104.7,939.0,168
CPT,93976,VASCULAR STUDY,795.0,516.75,104.7,795.0,168
CPT,93978,VASCULAR STUDY,1664.0,1081.6,104.7,1664.0,112
CPT,93979,Arterial duplex aortoiliac lim,1065.0,692.25,69.11,1065.0,56
CPT,93979,VASCULAR STUDY,1664.0,1081.6,69.11,1664.0,56
CPT,93980,Penile duplex eval complete,909.0,590.85,104.7,909.0,112
CPT,93981,Penile duplex eval ltd,884.0,574.6,69.11,884.0,56
CPT,93985,Duplx hemo ves assess comp bil,1287.0,836.55,69.11,1287.0,56
CPT,93986,Duplx hemo ves assess comp uni,620.0,403.0,69.11,620.0,56
CPT,93990,Hemodialysis access duplex,1306.0,848.9,69.11,1306.0,56
CPT,93990,Hemodialysis access duplex UC,1307.0,849.55,69.11,1307.0,56
CPT,94002,VENT MGMT INPAT INIT DAY,5302.0,3446.3,173.17,5302.0,112
CPT,94003,VENT MGMT INPAT SUBQ DAY,5302.0,3446.3,173.17,5302.0,112
CPT,94010,Spirometry UC,199.0,129.35,34.43,304.4,56
CPT,94010,Spirometry w measurements,263.0,170.95,36.79,304.4,56
CPT,94060,Fvl with bronchodilator,1383.0,898.95,67.11,1383.0,112
CPT,94070,Bronchial challenge,2938.0,1909.7,67.11,2938.0,56
CPT,94150,VITAL CAPACITY TEST,791.0,514.15,36.79,791.0,112
CPT,94200,Max. voluntary vent. (MVV),579.0,376.35,36.79,579.0,224
CPT,94375,Flow volume loop (fvl),881.0,572.65,67.11,881.0,112
CPT,94452,High altitude simul w rpt,538.0,349.7,36.79,538.0,56
CPT,94453,High altitude simul w O2 rpt,550.0,357.5,36.79,550.0,56
CPT,94610,Intrapulm surfactant admin,330.0,214.5,36.79,330.0,56
CPT,94617,Exercise test for bronchospasm,668.0,434.2,36.79,668.0,56
CPT,94618,Pulmonary Stress Testing,668.0,434.2,36.79,668.0,56
CPT,94619,Exercise test bronchspsm woECG,280.0,182.0,36.79,280.0,56
CPT,94621,Cardiopulmonary stress test,3395.0,2206.75,67.11,3395.0,56
CPT,94640,AIRWAY INHALATION TREATMENT,263.5,171.275,36.79,308.71,672
CPT,94642,Aerosol pentamidine treatment,952.0,618.8,36.79,952.0,56
CPT,94644,Cont inhaltx airwy obst per hr,346.0,224.9,36.79,346.0,56
CPT,94645,Cont inhaltx airwy obst add hr,346.0,224.9,36.79,346.0,43
CPT,94660,CPAP INITIATION&MGMT,2056.0,1336.4,90.14,2056.0,112
CPT,94660,CPAP titration,465.0,302.25,80.45,465.0,112
CPT,94664,DEMO&/EVAL PT USE INHALER,297.0,193.05,36.79,308.71,168
CPT,94664,Inhaler demo 1 time per day UC,194.0,126.1,33.56,308.71,168
CPT,94667,Chest physio therapy init,299.0,194.35,36.79,299.0,112
CPT,94668,Chest physio therapy subs,232.0,150.8,36.79,232.0,56
CPT,94669,MECHANICAL CHEST WALL OSCILL,297.0,193.05,36.79,308.71,56
CPT,94690,Indirect calorimetry,1341.0,871.65,36.79,1341.0,56
CPT,94726,Plethysgrf lung vol w airw res,1171.0,761.15,67.11,1171.0,112
CPT,94727,Helium dilution n2 wash frc,1047.0,680.55,36.79,1047.0,112
CPT,94728,Airway resist oscillmetry,896.0,582.4,67.11,896.0,56
CPT,94729,Diffusion capacity add on,502.0,326.3,36.79,502.0,86
CPT,94761,Exercise oxygen qualif test,685.0,445.25,118.51,685.0,34
CPT,94762,Nocturnal oximetry,1787.0,1161.55,36.79,1787.0,56
CPT,94780,Car seat test upto 12mon 60min,311.0,202.15,36.79,311.0,56
CPT,94781,Car seat test upto 12mon ad30m,156.0,101.4,26.99,173.17,43
CPT,94799,MIP/MEP max�insp/exp pressure,791.0,514.15,36.79,791.0,56
CPT,95012,Nitric oxide expired gas deter,176.0,114.4,30.45,176.0,56
CPT,95076,Ingestion challeng init 120min,2176.0,1414.4,173.17,2176.0,56
CPT,95079,Ingestion challeng add 60min,1089.0,707.85,173.17,1089.0,43
CPT,95249,DM cont gluc mon 7dayspt equip,281.0,182.65,43.8,281.0,56
CPT,95250,DM cont gluc mont sys 7days,593.0,385.45,37.21,593.0,56
CPT,95700,EEG cont rec w vid EEG tech,1271.0,826.15,173.17,1271.0,112
CPT,95705,EEG wo video 2-12 hr unmntr,1271.0,826.15,173.17,1271.0,56
CPT,95706,EEG wo vid 2-12hr intmt maint,1271.0,826.15,173.17,1271.0,56
CPT,95707,EEG wo vid 2-12hr cont monitor,1271.0,826.15,173.17,1271.0,56
CPT,95708,EEG wo vid ea12-26hr unmonitor,2438.0,1584.7,173.17,2438.0,56
CPT,95709,EEG wo vid ea 12-26hr intmt,2438.0,1584.7,173.17,2438.0,56
CPT,95710,EEG wo vid ea12-26hr contw mon,2438.0,1584.7,173.17,2438.0,56
CPT,95711,VEEG 2-12 hr unmonitored,1271.0,826.15,173.17,1271.0,56
CPT,95712,VEEG 2-12 hr intermit monitor,1271.0,826.15,173.17,1271.0,56
CPT,95713,VEEG 2-12 hr cont monitor,5901.0,3835.65,173.17,5901.0,112
CPT,95714,VEEG ea 12-26 hr unmonitor,5901.0,3835.65,173.17,5901.0,56
CPT,95715,VEEG ea12-26hr intermit monitr,5901.0,3835.65,173.17,5901.0,56
CPT,95716,VEEG ea 12-26hr cont mntr,5901.0,3835.65,173.17,5901.0,56
CPT,95782,Sleep study un6 yrs apnea1,6505.0,4228.25,173.17,6505.0,112
CPT,95812,EEG 1hr,1529.0,993.85,173.17,1529.0,112
CPT,95813,EEG extend monitor 61-119 min,1893.0,1230.45,173.17,1893.0,112
CPT,95819,EEG AWAKE AND ASLEEP,1927.0,1252.55,173.17,1927.0,168
CPT,95822,EEG COMA OR SLEEP ONLY,1927.0,1252.55,173.17,1927.0,56
CPT,95824,EEG cere br dth,2273.0,1477.45,173.17,2273.0,56
CPT,95829,SURGERY ELECTROCORTICOGRAM,2763.0,1795.95,173.17,2763.0,43
CPT,95851,OT ROM measurement,248.0,161.2,27.4,248.0,47
CPT,95851,PT ROM measurement,248.0,161.2,27.4,248.0,94
CPT,95852,OT ROM hand measurement,218.0,141.7,22.6,218.0,47
CPT,95860,NEEDLE EMG 1 EXTREMITY,629.0,408.85,85.02,629.0,56
CPT,95861,NEEDLE EMG 2 EXTREMITIES,629.0,408.85,85.02,629.0,56
CPT,95863,NEEDLE EMG 3 EXTREMITIES,629.0,408.85,85.02,629.0,56
CPT,95864,NEEDLE EMG 4 EXTREMITIES,629.0,408.85,85.02,629.0,56
CPT,95865,NEEDLE EMG LARYNX,571.0,371.15,85.02,571.0,112
CPT,95866,Muscle test hemidiaphragm,571.0,371.15,85.02,571.0,56
CPT,95867,NDL EMG CRANIAL NRV MUSC UNI,743.0,482.95,85.02,743.0,56
CPT,95868,NDL EMG CRANIAL NRV MUSC BI,743.0,482.95,85.02,743.0,56
CPT,95869,Muscle test thor paraspinal,571.0,371.15,85.02,571.0,56
CPT,95870,NDL EMG LMTD STD MUSC 1 XTR,508.0,330.2,85.02,508.0,112
CPT,95872,Muscle test one fiber,571.0,371.15,85.02,571.0,56
CPT,95873,Guide nerv destr elec stim,257.0,167.05,44.46,279.59,43
CPT,95874,Guide nerv destr needle EMG,257.0,167.05,44.46,279.59,43
CPT,95875,Limb exercise test,571.0,371.15,85.02,571.0,56
CPT,95885,MUSC TST DONE W/NERV TST LIM,597.0,388.05,85.02,597.0,43
CPT,95886,MUSC TEST DONE W/N TEST COMP,544.0,353.6,85.02,544.0,43
CPT,95887,EMG nonext mus w nrv con addon,337.0,219.05,58.3,337.0,43
CPT,95905,Motor-sensory nerve conduction,571.0,371.15,85.02,629.78,56
CPT,95907,NVR CNDJ TST 1-2 STUDIES,449.0,291.85,77.68,449.0,56
CPT,95908,Nerve conduction studies 3-4,762.0,495.3,85.02,762.0,56
CPT,95909,Nerve conduction studies 5-6,1055.0,685.75,85.02,1055.0,56
CPT,95910,Nerve conduction studies 7-8,1405.0,913.25,85.02,1405.0,56
CPT,95911,Nerve conduction studies 9-10,1756.0,1141.4,85.02,1756.0,56
CPT,95912,Nerve conduction studies 11-12,2109.0,1370.85,85.02,2109.0,56
CPT,95913,Nerve conduction studies 13 up,2907.0,1889.55,85.02,2907.0,56
CPT,95921,Auto nerv funct test cardiovag,273.0,177.45,47.23,273.0,56
CPT,95922,Auto nerv funct test vasomotor,273.0,177.45,47.23,273.0,56
CPT,95923,Auto nerv funct test sudomotor,273.0,177.45,47.23,273.0,56
CPT,95925,SOMATOSENSORY TESTING,1350.0,877.5,85.02,1350.0,56
CPT,95926,SOMATOSENSORY TESTING,1694.0,1101.1,85.02,1694.0,56
CPT,95927,SOMATOSENSORY TESTING,1273.0,827.45,85.02,1273.0,56
CPT,95928,C MOTOR EVOKED UPPR LIMBS,2396.0,1557.4,85.02,2396.0,56
CPT,95929,C MOTOR EVOKED LWR LIMBS,2396.0,1557.4,85.02,2396.0,112
CPT,95930,VISUAL EP TEST CNS W/I&R,1312.0,852.8,85.02,1312.0,56
CPT,95933,IOM CN-Blink reflex,257.0,167.05,44.46,257.0,56
CPT,95937,Neuromuscular junction test,277.0,180.05,47.92,277.0,56
CPT,95938,SOMATOSENSORY TESTING,2786.0,1810.9,85.02,2786.0,112
CPT,95939,C MOTOR EVOKED UPR&LWR LIMBS,2965.0,1927.25,85.02,2965.0,112
CPT,95955,EEG DURING SURGERY,231.0,150.15,39.96,259.71,43
CPT,95957,EEG digital analysis,1392.0,904.8,22.77,1392.0,43
CPT,95958,EEG MONITORING/FUNCTION TEST,2510.0,1631.5,173.17,2510.0,56
CPT,95961,ELECTRODE STIMULATION BRAIN,2280.0,1482.0,173.17,2280.0,56
CPT,95962,ELECTRODE STIM BRAIN ADD-ON,1214.0,789.1,173.17,1214.0,43
CPT,95971,Interrogate neurostim simple,607.0,394.55,87.33,607.0,56
CPT,95972,Interrogate neurostim complex,844.0,548.6,87.33,844.0,56
CPT,95982,Analysis NeurStim w Reprog Sub,177.0,115.05,22.77,177.0,56
CPT,95999,NovoTAL dx proc,664.0,431.6,85.02,664.0,56
CPT,96000,Motion anal w vid&3D kine comp,1650.0,1072.5,85.02,1650.0,56
CPT,96001,Motion anal w plant pres comp,1650.0,1072.5,85.02,1650.0,56
CPT,96002,Dynamic fine wire emg 1-12musc,961.0,624.65,85.02,961.0,56
CPT,96003,Dynamic fine wire emg 1 muscle,349.0,226.85,60.38,349.0,43
CPT,96020,Brain functional mapping,792.0,514.8,137.02,792.0,43
CPT,96105,SP aphasia assess,1031.0,670.15,101.27,1031.0,224
CPT,96110,OT developmental screeng,399.0,259.35,69.03,428.28,86
CPT,96112,OT develop test admin 1st hr,349.0,226.85,60.38,428.28,56
CPT,96113,OT develop test admin ea ad30m,175.0,113.75,30.28,428.28,43
CPT,96125,OT cognitive test-reprt per hr,641.0,416.65,106.75,641.0,56
CPT,96125,SLP cognitiv test-reprt per hr,641.0,416.65,106.75,641.0,56
CPT,96360,HYDRATION IV INFUSION INIT,359.0,233.35,39.44,490.0,813
CPT,96361,Hydration IV each additional hr all site,269.0,174.85,19.56,357.6,504
CPT,96361,Inf IV hyd ea add hr all UC,216.0,140.4,37.37,216.0,94
CPT,96365,THER/PROPH/DIAG IV INF INIT,468.5,304.525,39.44,709.0,869
CPT,96366,IV inf Tx ea add hr all site,307.0,199.55,48.9,357.6,168
CPT,96366,Inf IV tx/dx ea ad hr all UC,216.0,140.4,37.37,216.0,47
CPT,96366,THER/PROPH/DIAG IV INF ADDON,307.0,199.55,19.56,357.6,280
CPT,96367,TX/PROPH/DG ADDL SEQ IV INF,255.5,166.075,30.08,295.0,607
CPT,96368,IV inf Tx concurrent anysite x 1,86.0,55.9,14.88,197.76,301
CPT,96368,Inf IV tx/dx conc anysitex1 UC,38.0,24.7,6.57,38.0,68
CPT,96369,Inf subQ Tx/Dx 1st hr 1 site,422.0,274.3,73.01,422.0,56
CPT,96370,Inf subQ Tx/Dx add hr 1 site,208.0,135.2,35.98,357.6,56
CPT,96371,Inf subQ Tx/Dx 2nd site once,208.0,135.2,35.98,208.0,56
CPT,96372,Inj IM/subQ,347.0,225.55,30.08,347.0,616
CPT,96372,Inj im/subq UC,111.0,72.15,19.2,111.0,141
CPT,96374,THER/PROPH/DIAG INJ IV PUSH,359.5,233.675,32.74,490.0,925
CPT,96375,TX/PRO/DX INJ NEW DRUG ADDON,175.0,113.75,19.2,239.0,813
CPT,96376,TX/PRO/DX INJ SAME DRUG ADON,174.0,113.10000000000001,19.2,237.0,498
CPT,96377,Application on-body inj SubQ,239.0,155.35,19.56,239.0,224
CPT,96401,Inj chemo IM-sub-Q non-hormone,422.0,274.3,30.08,422.0,224
CPT,96401,Inj hi complex drug IM-subQ,422.0,274.3,30.08,422.0,224
CPT,96402,Inj chemo IM-sub-Q hormone,422.0,274.3,30.08,422.0,280
CPT,96405,Inj chemo intralesion up to 7,474.0,308.1,32.74,474.0,56
CPT,96406,Inj chemo intralesion 8 up,292.0,189.8,32.74,299.86,56
CPT,96409,CHEMO IV PUSH SNGL DRUG,964.0,626.6,32.74,964.0,224
CPT,96411,CHEMO IV PUSH ADDL DRUG,474.0,308.1,30.08,474.0,168
CPT,96413,CHEMO IV INFUSION 1 HR,1305.0,848.25,137.97,1305.0,392
CPT,96413,Inf IV hi cmplx 1sthr 1st site,1305.0,848.25,173.17,1305.0,56
CPT,96415,CHEMO IV INFUSION ADDL HR,474.0,308.1,30.08,474.0,336
CPT,96415,Inf IV hi cmplx ad hr 1st site,474.0,308.1,75.19,474.0,56
CPT,96416,Inf IV chemo prolonged w/pump,1305.0,848.25,137.97,1305.0,168
CPT,96417,CHEMO IV INFUS EACH ADDL SEQ,474.0,308.1,30.08,474.0,280
CPT,96420,Inj chemo intra-arterial push,1809.0,1175.85,32.74,1809.0,56
CPT,96422,Inj chemo intra-art up to 1hr,1161.0,754.65,173.17,1161.0,56
CPT,96423,Inj chemo intra-art inf ad hr,205.0,133.25,35.47,357.6,56
CPT,96440,Inf chemo pleural thorac daily,444.0,288.6,76.81,704.39,56
CPT,96446,Inf chemo peritoneal cav daily,444.0,288.6,76.81,465.66,56
CPT,96450,Intrathecal chemotherapy,1108.0,720.2,173.17,1108.0,112
CPT,96450,Intrathecal hi complex drug,1108.0,720.2,173.17,1108.0,56
CPT,96521,Chemo refill/maint port pump,964.0,626.6,32.74,964.0,112
CPT,96521,Non-chemo refill/mnt portable pump,490.0,318.5,32.74,490.0,168
CPT,96521,Non-chemo refl mnt prt pump UC,225.0,146.25,38.93,299.86,47
CPT,96522,Chemo refill/maint implnt pump,930.0,604.5,32.74,930.0,56
CPT,96522,Non-chemo refill/mnt imp pump,483.0,313.95,32.74,483.0,112
CPT,96522,Non-chemo refl mnt imp pump UC,458.0,297.7,74.29,458.0,47
CPT,96523,Irr impl venous access dev UC,98.0,63.7,16.95,98.0,47
CPT,96523,Irrigate implant venous access dev,535.0,347.75,24.64,535.0,224
CPT,96542,Inj chemo sub-Q reservoir spin,490.0,318.5,32.74,490.0,56
CPT,96567,Pdt dstr prmlg les skn,878.0,570.7,110.64,878.0,56
CPT,96570,Photodynam ther endo 1st 30min,4057.0,2637.05,129.63,4057.0,43
CPT,96570,Photodynam ther endo limited,2028.0,1318.2,129.63,2028.0,43
CPT,96571,Photodynam ther endo eaad15min,2028.0,1318.2,129.63,2028.0,43
CPT,96573,Pdt dstr prmlg les phys/qhp,878.0,570.7,110.64,878.0,56
CPT,96574,Dbrdmt Prmlg Les W/Pdt,248.0,161.2,42.9,282.85,224
CPT,96900,Actinotherapy uv light,170.0,110.5,17.76,173.17,56
CPT,96904,Whole body photography,728.0,473.2,125.94,728.0,34
CPT,96910,Photochemotherapy with uvb,276.0,179.4,22.42,276.0,56
CPT,96912,Photochemotherapy with uv-a,260.0,169.0,22.42,260.0,56
CPT,96932,Rcm skn img acq 1st les,93.0,60.45,16.09,173.17,43
CPT,96935,Rcm skn img acq ea add les,93.0,60.45,16.09,173.17,43
CPT,97012,PT traction-mechan,247.0,160.55,15.12,247.0,112
CPT,97014,ELECTRIC STIMULATION THERAPY,225.0,146.25,17.76,225.0,129
CPT,97014,OT e-stim unattend,225.0,146.25,17.76,225.0,86
CPT,97016,OT interim compression,258.0,167.7,12.77,258.0,56
CPT,97016,PT vasopneumatics,307.0,199.55,12.77,307.0,56
CPT,97018,OT paraffin bath,227.0,147.55,6.67,227.0,112
CPT,97018,PT paraffin bath,227.0,147.55,6.67,227.0,56
CPT,97022,OT fluidotherapy,414.0,269.1,16.61,414.0,56
CPT,97022,OT whirlpool extremity,340.0,221.0,16.61,340.0,56
CPT,97022,PT fluidotherapy,414.0,269.1,16.61,414.0,56
CPT,97022,PT whirlpool extremity,340.0,221.0,16.61,340.0,56
CPT,97032,OT e-stim attended ea 15 min,269.0,174.85,15.45,269.0,112
CPT,97032,PT elec stim atten ea 15 min,269.0,174.85,13.13,269.0,224
CPT,97033,OT iontophoresis ea 15 min,303.0,196.95,17.76,303.0,112
CPT,97033,PT iontophoresis ea 15 min,303.0,196.95,17.76,303.0,112
CPT,97034,OT contrast bath ea 15 min,151.0,98.15,14.81,173.17,56
CPT,97034,PT contrast bath ea 15 min,151.0,98.15,14.81,173.17,56
CPT,97035,APP MDLTY 1+ULTRASOUND EA 15,272.0,176.8,12.89,272.0,168
CPT,97035,OT ultrasound ea 15 min,272.0,176.8,15.16,272.0,112
CPT,97036,PT hubbard tank ea 15 min,410.0,266.5,22.42,410.0,56
CPT,97037,OT low level laser non-therm,171.0,111.15,17.76,173.17,56
CPT,97037,PT low level laser non-therm,171.0,111.15,17.76,173.17,56
CPT,97110,THERAPEUTIC EXERCISES,248.0,161.2,22.42,248.0,784
CPT,97112,OT neuro musc re-edc ea 15 min,290.0,188.5,22.42,290.0,224
CPT,97112,PT neuro musc re-edc ea 15 min,290.0,188.5,22.42,290.0,336
CPT,97113,OT aquatic therapy ea 15 min,303.0,196.95,22.42,303.0,56
CPT,97113,PT aquatic therapy ea 15 min,303.0,196.95,22.42,303.0,56
CPT,97116,GAIT TRAINING THERAPY,248.0,161.2,17.76,248.0,336
CPT,97124,OT massage Rx ea 15 min,227.0,147.55,17.76,227.0,112
CPT,97124,PT massage Rx ea 15 min,227.0,147.55,17.76,227.0,112
CPT,97129,OT ther interven cog init 15m,290.0,188.5,22.42,290.0,56
CPT,97129,SLP ther interven cog init 15m,290.0,188.5,22.42,290.0,168
CPT,97130,OT ther interven cog add 15m,290.0,188.5,21.25,290.0,56
CPT,97130,SLP ther interven cog add 15m,290.0,188.5,21.25,290.0,168
CPT,97140,Manual therapy 1/> regions,290.0,188.5,22.42,290.0,336
CPT,97140,OT manual therapy ea 15 min,290.0,188.5,22.42,290.0,224
CPT,97150,OT group therapy,182.0,118.3,18.88,182.0,56
CPT,97150,PT group exercise,182.0,118.3,18.88,182.0,56
CPT,97161,PT eval low complex,402.0,261.3,69.55,402.0,392
CPT,97162,PT eval mod complex,602.0,391.3,85.23,602.0,336
CPT,97163,PT eval high complex,903.0,586.95,100.27,903.0,168
CPT,97164,PT re-eval est poc,460.0,299.0,69.42,460.0,168
CPT,97165,OT eval low complex,402.0,261.3,69.55,402.0,138
CPT,97166,OT eval mod complex,602.0,391.3,103.05,602.0,184
CPT,97167,OT eval high complex,903.0,586.95,103.05,903.0,92
CPT,97168,OT re-eval est poc,460.0,299.0,70.46,460.0,92
CPT,97530,THERAPEUTIC ACTIVITIES,248.0,161.2,22.42,248.0,728
CPT,97533,OT sensory integratn ea 15 min,136.0,88.4,22.42,173.17,56
CPT,97535,PT ADL training ea 15 min,290.0,188.5,17.76,290.0,168
CPT,97535,SELF CARE MNGMENT TRAINING,290.0,188.5,17.76,290.0,112
CPT,97537,COMMUNITY/WORK REINTEGRATION,267.0,173.55,22.42,267.0,56
CPT,97537,PT commwork reint ea 15 min,267.0,173.55,22.42,267.0,56
CPT,97542,OT wheelchair train ea 15 min,290.0,188.5,22.42,290.0,56
CPT,97542,PT wheelchair train ea 15 min,290.0,188.5,22.42,290.0,56
CPT,97545,OT work hardening first 2 hrs,788.0,512.2,17.76,788.0,43
CPT,97545,PT work hardening first 2 hrs,788.0,512.2,17.76,788.0,43
CPT,97546,OT work hardening ea addtl hr,249.0,161.85,17.76,249.0,43
CPT,97546,PT work hardening ea addtl hr,249.0,161.85,17.76,249.0,43
CPT,97550,OT caregive train FTF init 30m,206.0,133.9,35.64,206.0,56
CPT,97550,PT caregive train FTF init 30m,206.0,133.9,35.64,206.0,56
CPT,97551,OT caregive train FTFea ad 30m,109.0,70.85,18.86,173.17,56
CPT,97551,PT caregive train FTFea ad 30m,109.0,70.85,18.86,173.17,56
CPT,97552,OT caregive train FTF w group,49.0,31.85,8.48,173.17,56
CPT,97552,PT caregive train FTF w group,49.0,31.85,8.48,173.17,56
CPT,97597,OT select debrid 1st 0-20cm,840.0,546.0,107.16,840.0,112
CPT,97597,PT select debrid 1st 0-20cm,840.0,546.0,107.16,840.0,56
CPT,97597,Select debrid 1st 0-20cm,840.0,546.0,120.46,840.0,112
CPT,97597,Select debrid 1st 0-20cm UC,1487.0,966.55,74.29,1487.0,47
CPT,97598,OT select debrid ea add 20cm,404.0,262.6,52.03,712.99,56
CPT,97598,PT select debrid ea add 20cm,404.0,262.6,52.03,712.99,56
CPT,97598,Select debrid ea add 20cm,404.0,262.6,69.89,712.99,86
CPT,97598,Select debrid ea add 20cm UC,784.0,509.6,74.29,784.0,34
CPT,97602,OT wound care non select deb,551.0,358.15,95.32,551.0,94
CPT,97602,Rmvl tiss non select dbrdmt,878.0,570.7,151.89,878.0,47
CPT,97602,WOUND(S) CARE NON-SELECTIVE,551.0,358.15,95.32,551.0,47
CPT,97605,OT wnd car neg pres les 50cm,438.0,284.7,43.57,438.0,56
CPT,97605,PT wnd car neg pres les 50cm,438.0,284.7,43.57,438.0,56
CPT,97605,Wound car neg presr less 50cm,438.0,284.7,75.77,438.0,112
CPT,97606,OT wound car neg presr 50cm up,638.0,414.7,52.19,638.0,56
CPT,97606,PT wnd car neg pres 50cm up,638.0,414.7,52.19,638.0,56
CPT,97606,Wound car neg presr over 50cm,638.0,414.7,110.37,638.0,112
CPT,97607,OT wnd car neg pr disp 50cm un,772.0,501.8,133.56,772.0,56
CPT,97607,PT wnd car neg pr disp 50cm un,772.0,501.8,133.56,772.0,56
CPT,97607,Wnd car neg pr disp 50cm un,772.0,501.8,133.56,772.0,56
CPT,97608,OT wnd car neg pr disp 50cm up,772.0,501.8,133.56,772.0,56
CPT,97608,PT wnd car neg pr disp 50cm up,772.0,501.8,133.56,772.0,56
CPT,97608,Wnd car neg pr disp 50cm up,772.0,501.8,133.56,772.0,56
CPT,97750,OT function cap tst ea 15 min,890.0,578.5,22.42,890.0,112
CPT,97750,PHYSICAL PERFORMANCE TEST,890.0,578.5,22.42,890.0,56
CPT,97760,ORTHOTIC MGMT&TRAING 1ST ENC,253.0,164.45,22.42,253.0,112
CPT,97760,OT orthotc fit train ea 15 min,253.0,164.45,22.42,253.0,168
CPT,97761,PT prosthetic train ea 15 min,280.0,182.0,22.42,280.0,56
CPT,97763,ORTHC/PROSTC MGMT SBSQ ENC,187.0,121.55,22.42,187.0,56
CPT,97763,OT ort pros up lwr ext 15 min,187.0,121.55,22.42,187.0,56
CPT,97802,Nutrition eval unit 15 min,70.0,45.5,12.11,173.17,56
CPT,97803,Nutrition fu unit 15min,70.0,45.5,12.11,173.17,56
CPT,97804,Nutrition educ grp 30min,27.0,17.55,4.67,173.17,56
CPT,98975,OT Rem ther mntr 1st setup&edu,608.0,395.2,37.21,608.0,56
CPT,98975,PT Rem ther mntr 1st setup&edu,608.0,395.2,37.21,608.0,56
CPT,98977,OT Rem ther mntr dv sply mscskl,192.0,124.8,25.77,192.0,56
CPT,98977,PT Rem ther mntr dv sply mscskl,192.0,124.8,25.77,192.0,56
CPT,98978,OT Rem ther mntr dv sply cog beh,192.0,124.8,33.22,192.0,56
CPT,98978,PT Rem ther mntr dv sply cog beh,192.0,124.8,33.22,192.0,56
CPT,99001,Specimen processing fee,58.0,37.7,1.62,58.0,42
CPT,99151,Mod sed same MD <5yrs 15m,752.0,488.8,13.83,752.0,43
CPT,99152,Mod sed same MD >5yrs 15m,789.0,512.85,13.83,789.0,129
CPT,99153,Mod sed same MD ea add 15m,707.0,459.55,13.83,707.0,129
CPT,99155,Mod sed other MD <5yrs 15m,752.0,488.8,13.83,752.0,43
CPT,99156,Mod sed other MD >5yrs 15m,752.0,488.8,13.83,752.0,43
CPT,99157,Mod sed other MD ea add 15m,672.0,436.8,13.83,672.0,43
CPT,99195,Therapeutic phlebotomy,537.0,349.05,45.26,537.0,112
CPT,99195,Therapeutic phlebotomy-ARC,941.0,611.65,45.26,941.0,112
CPT,99195,Therapeutic phlebotomy-fr,299.0,194.35,45.26,299.0,112
CPT,99199,Alter G Training 15min,16.0,10.4,2.77,16.0,66
CPT,99199,Cardiac rehab OP 3 per ses mtr,30.0,19.5,5.19,30.0,66
CPT,99199,Cardiac rehab nutrition consel,57.0,37.05,9.86,57.0,66
CPT,99199,Dia beat-it full,1272.0,826.8,220.06,1272.0,66
CPT,99199,Exercise training DM 1 year,2014.0,1309.1,348.42,2014.0,66
CPT,99199,Exercise training DM 12 mont,2052.0,1333.8,355.0,2052.0,66
CPT,99199,Exercise training DM 2nd year,1590.0,1033.5,275.07,1590.0,66
CPT,99199,Exercise training DM 3 month,767.0,498.55,132.69,767.0,66
CPT,99199,Exercise training DM 6 month,1194.0,776.1,206.56,1194.0,66
CPT,99199,Exercise training add month,196.0,127.4,33.91,196.0,66
CPT,99199,Juvederm UltraPXC lidocaine 1ml,2886.0,1875.9,499.28,2886.0,66
CPT,99199,Juvederm UltraPlXC 0.4ml syr,633.0,411.45,109.51,633.0,66
CPT,99199,Juvederm UltraXC 0.4ml,575.0,373.75,99.48,575.0,66
CPT,99199,Juvederm UltraXC lidocaine 0.4ml,655.0,425.75,113.32,655.0,66
CPT,99199,Juvederm UltraXC lidocaine 1ml,768.0,499.2,132.86,768.0,66
CPT,99199,Juvederm VolumaXC lidocaine 1ml,918.0,596.7,158.81,918.0,66
CPT,99199,Kid cadre 3 month,233.0,151.45,40.31,233.0,66
CPT,99199,Kybella 4 vial kit,9847.0,6400.55,1703.53,9847.0,66
CPT,99199,Lac breast pump rental,20.0,13.0,3.46,20.0,66
CPT,99199,Latisse 0.03% Ophth soln 3ml,274.0,178.1,47.4,274.0,66
CPT,99199,MR image guide lo-intensity US,7527.0,4892.55,1302.17,7527.0,66
CPT,99199,OT- driving eval clinic,180.0,117.0,31.14,180.0,66
CPT,99199,OT- driving training,160.0,104.0,27.68,160.0,66
CPT,99199,Onabotulinumtoxina 50units SDV,3767.0,2448.55,651.69,3767.0,66
CPT,99199,Phase 3 cardiac rehab 1 month,84.0,54.6,14.53,84.0,66
CPT,99199,Phase 3 cardiac rehab 6 month,477.0,310.05,82.52,477.0,66
CPT,99199,Phase 3 cardiac rehab monitord,636.0,413.4,110.03,636.0,66
CPT,99199,Soft tray,216.0,140.4,37.37,216.0,66
CPT,99199,Sports Physical UC,25.0,16.25,4.33,25.0,66
CPT,99199,UNLISTED SPECIAL SVC PX/RPRT,80.0,52.0,0.01,833.0,702
CPT,99202,MCVI new patient consult only,57.0,37.05,9.86,173.17,34
CPT,99202,OFFICE O/P NEW SF 15 MIN,51.0,33.15,8.82,173.17,70
CPT,99202,Urgent patient care lev 2 new UC,561.0,364.65,74.29,561.0,72
CPT,99202,WC evaluation - new UC,279.0,181.35,48.27,279.0,72
CPT,99203,OFFICE O/P NEW LOW 30 MIN,57.0,37.05,9.86,173.17,35
CPT,99203,Urgent patient care lev 3 new UC,735.0,477.75,74.29,735.0,72
CPT,99204,OFFICE O/P NEW MOD 45 MIN,63.0,40.95,10.9,173.17,35
CPT,99204,Urgent patient care lev 4 new UC,767.0,498.55,74.29,767.0,72
CPT,99205,OFFICE O/P NEW HI 60 MIN,70.0,45.5,12.11,173.17,35
CPT,99205,Urgent patient care lev 5 new UC,810.0,526.5,74.29,810.0,72
CPT,99211,Coronavirus clearance UC,189.0,122.85,32.7,189.0,33
CPT,99211,MCVI estab patient consult only,57.0,37.05,9.86,173.17,34
CPT,99211,OFF/OP EST MAY X REQ PHY/QHP,45.0,29.25,7.79,173.17,70
CPT,99211,PICC line remv bedside opt,506.0,328.9,87.54,506.0,34
CPT,99211,PICC removal,506.0,328.9,87.54,506.0,68
CPT,99211,Remove or reposition drain tube,522.0,339.3,90.31,522.0,68
CPT,99211,Remove peg tube,555.0,360.75,96.02,555.0,102
CPT,99211,Urgent care level ltd UC,200.0,130.0,34.6,200.0,72
CPT,99211,Urgent patient care lev 1 est UC,413.0,268.45,71.45,413.0,72
CPT,99211,WC follow up UC,141.0,91.65,24.39,141.0,72
CPT,99212,OFFICE O/P EST SF 10 MIN,51.0,33.15,8.82,173.17,70
CPT,99212,Urgent patient care lev 2 est UC,561.0,364.65,74.29,561.0,72
CPT,99213,OFFICE O/P EST LOW 20 MIN,57.0,37.05,9.86,173.17,70
CPT,99213,Urgent patient care lev 3 est UC,735.0,477.75,74.29,735.0,72
CPT,99214,OFFICE O/P EST MOD 30 MIN,63.0,40.95,10.9,173.17,70
CPT,99214,Urgent patient care lev 4 est UC,767.0,498.55,74.29,767.0,72
CPT,99215,OFFICE O/P EST HI 40 MIN,70.0,45.5,12.11,173.17,35
CPT,99215,Urgent patient care lev 5 est UC,810.0,526.5,74.29,810.0,72
CPT,99281,ER level 1,785.0,510.25,88.06,785.0,141
CPT,99282,ER level 2,1075.0,698.75,160.34,1075.0,188
CPT,99283,ER level 3,1814.0,1179.1,173.17,1814.0,235
CPT,99284,ER level 4,2444.0,1588.6,173.17,2444.0,188
CPT,99285,ER level 5,2912.0,1892.8,173.17,2912.0,141
CPT,99291,ER level CC 30-74min,6236.0,4053.4,173.17,6236.0,94
CPT,99292,ER level CC ea addl 30min,1018.0,661.7,173.17,1018.0,68
CPT,99406,Smoking cessatn counsl 3-10min,86.0,55.9,14.14,173.17,56
CPT,99407,Smoking cessatn counsl11min up,86.0,55.9,14.14,173.17,56
CPT,99499,NovoTAL eval,753.0,489.45,130.27,753.0,33
HCPCS,A2001,Allogrt matrix triad imx050501,12985.0,8440.25,129.95,12985.0,47
HCPCS,A2004,Drsg wnd collagn pwdr xswp0250,5512.0,3582.8,173.17,5512.0,34
HCPCS,A2004,Drsg wnd collagn pwdr xswp0500,10487.0,6816.55,173.17,10487.0,34
HCPCS,A2004,Drsg wnd collagn pwdr xswp1000,14304.0,9297.6,173.17,14304.0,34
HCPCS,A2007,Restrata wnd 125sqcm rmesh4x5,34106.0,22168.9,129.95,34106.0,47
HCPCS,A2007,Restrata wnd 125sqcm rwm14x5,31151.0,20248.15,129.95,31151.0,47
HCPCS,A2007,Restrata wnd 19sqcm rmesh1.5x2,10335.0,6717.75,129.95,10335.0,47
HCPCS,A2007,Restrata wnd 25sqcm rmesh2x2,19531.0,12695.15,129.95,19531.0,47
HCPCS,A2007,Restrata wnd 25sqcm rwm12x2,19292.0,12539.8,129.95,19292.0,47
HCPCS,A2007,Restrata wnd 56sqcm rwm13x3,23254.0,15115.1,129.95,23254.0,47
HCPCS,A2007,Restrata wnd 6.25sqcm rwm11x1,6738.0,4379.7,129.95,6738.0,47
HCPCS,A2007,Restrata wnd hyd 2sqcm rwm11x2,14232.0,9250.8,129.95,14232.0,47
HCPCS,A2007,Restrata wnd218.75sqcmrmesh5x7,67453.0,43844.45,129.95,67453.0,47
HCPCS,A2007,Restrata wnd218.75sqcmrwm15x7,61610.0,40046.5,129.95,61610.0,47
HCPCS,A2007,Restrata wnd56.25sqcm rmesh3x3,25838.0,16794.7,129.95,25838.0,47
HCPCS,A2026,Restrata wnd 1000mg rmini1000,31423.0,20424.95,5436.18,31423.0,33
HCPCS,A2026,Restrata wnd 500mg rmini500,16683.0,10843.95,2886.16,16683.0,33
HCPCS,A4215,STERILE NEEDLE,848.0,551.2,146.7,848.0,34
HCPCS,A4221,Drsg Tegaderm IV 3M 1685,12.0,7.8,2.08,173.17,34
HCPCS,A4221,Drsg Tegaderm IV 3M 1689,13.0,8.45,2.25,173.17,34
HCPCS,A4221,Drsg Tegaderm IV 3M 1882,7.0,4.55,1.21,173.17,34
HCPCS,A4262,Stent eye canaliculi s11500u,549.0,356.85,94.98,549.0,34
HCPCS,A4263,Tube lacrimal s11392,1243.0,807.95,173.17,1243.0,34
HCPCS,A4264,Birth control perm sys Ess305,13139.0,8540.35,173.17,13139.0,34
HCPCS,A4311,Cath uret CR Bard 277716,7.0,4.55,1.21,173.17,34
HCPCS,A4312,Cath uret 14f foley 165814,70.0,45.5,12.11,173.17,34
HCPCS,A4313,Cath uret 24f foley 0119l24,198.0,128.7,34.25,198.0,34
HCPCS,A4338,Cath foley 2 way Coude 0102l18,226.0,146.9,39.1,226.0,34
HCPCS,A4338,Foley cath 18f 5cc red 0196l18,220.0,143.0,38.06,220.0,34
HCPCS,A4342,Tube inflow thermacl 502500100,1813.0,1178.45,173.17,1813.0,34
HCPCS,A4346,CATH INDW FOLEY 3 WAY,209.0,135.85,36.16,209.0,34
HCPCS,A4346,Cath Prostatic Dufour ab6324,219.0,142.35,37.89,219.0,34
HCPCS,A4362,Ostomy barrier 79402,3.0,1.95,0.52,173.17,34
HCPCS,A4367,OSTOMY BELT,8.0,5.2,1.38,173.17,34
HCPCS,A4371,Ostomy powder 7906,8.0,5.2,1.38,173.17,34
HCPCS,A4385,OST SKN BARRIER SLD EXT WEAR,6.0,3.9,1.04,173.17,34
HCPCS,A4388,Ostomy pouch fecal 64mm 8531,5.0,3.25,0.87,173.17,34
HCPCS,A4406,Ostomy barrier 79300,12.0,7.8,2.08,173.17,34
HCPCS,A4407,EXT WEAR OST SKN BARR <=4SQ,7.0,4.55,1.21,173.17,34
HCPCS,A4407,Ostomy barrier Hollister 11704,13.0,8.45,2.25,173.17,34
HCPCS,A4409,OST SKN BARR CONVEX <=4 SQ I,4.0,2.6,0.69,173.17,34
HCPCS,A4413,Ostomy bag collct hiop 2l 5551,31.0,20.15,5.36,173.17,34
HCPCS,A4413,Ostomy pouch 18024,11.0,7.15,1.9,173.17,34
HCPCS,A4424,Ostomy pouch 1 piece side85711,12.0,7.8,2.08,173.17,34
HCPCS,A4425,OST PCH DRAIN FOR BARRIER FL,3.0,1.95,0.52,173.17,34
HCPCS,A4425,Ostomy pouch Hollister 18194,11.0,7.15,1.9,173.17,34
HCPCS,A4428,Ostomy 1piece cut tofit 84590,2.0,1.3,0.35,173.17,34
HCPCS,A4430,Ostomy pouch 1piece 84138,11.0,7.15,1.9,173.17,34
HCPCS,A4432,OS PCH URINE W BAR/FANGE/TAP,9.0,5.85,0.52,173.17,68
HCPCS,A4432,Ostomy pouch 2 piece 18923,2.0,1.3,0.35,173.17,34
HCPCS,A4435,Ostomy pouch 1piece drain26064,13.0,8.45,2.25,173.17,34
HCPCS,A4435,Ostomy pouch Convx 1piece83055,15.0,9.75,2.6,173.17,34
HCPCS,A4550,Cann co2 o2 luer 32903210125ue,24.0,15.6,4.15,173.17,34
HCPCS,A4550,Cath tray Becton D pig1260tcdf,582.0,378.3,100.69,582.0,34
HCPCS,A4550,Cath tray CR Bard pedints06,71.0,46.15,12.28,173.17,34
HCPCS,A4550,Pack ct biop Medline dyndh1759,187.0,121.55,32.35,187.0,34
HCPCS,A4550,Tray bone marrow bmt1104bdf,1297.0,843.05,173.17,1297.0,34
HCPCS,A4550,Tray bx breast Medln dyndh1679,108.0,70.2,18.68,173.17,34
HCPCS,A4550,Tray cath uret Surestp a902918,275.0,178.75,47.58,275.0,34
HCPCS,A4550,Tray epidurl Lidocain pain2278,535.0,347.75,92.56,535.0,34
HCPCS,A4550,Tray laceratn Medln dyndl1974,85.0,55.25,14.71,173.17,34
HCPCS,A4550,Tube suction Medline or610,11.0,7.15,1.9,173.17,34
HCPCS,A4550,Tube trach Covidien 4cn65h,195.0,126.75,33.74,195.0,34
HCPCS,A4550,Tube trach flx Covidien 7cn80h,498.0,323.7,86.15,498.0,34
HCPCS,A4600,Wrap calf m 18in blue vp501m,15.0,9.75,2.6,173.17,34
HCPCS,A4605,Cath suct y conn ped 6 dyncpy6,142.0,92.3,24.57,173.17,34
HCPCS,A4623,TRACHEOSTOMY INNER CANNULA,35.0,22.75,6.06,173.17,34
HCPCS,A4624,Cath safe-t-vac suct 18f 37724,16.0,10.4,2.77,173.17,34
HCPCS,A4624,Cath tray open suct dynd40984,5.0,3.25,0.87,173.17,34
HCPCS,A4641,RADIOPHARM DX AGENT NOC,960.0,624.0,166.08,960.0,34
HCPCS,A4648,Breast marker Hologic 351230,403.0,261.95,69.72,403.0,102
HCPCS,A4648,Breast reflector ssr13b01,2364.0,1536.6,173.17,2364.0,102
HCPCS,A4648,IMPLANTABLE TISSUE MARKER,427.0,277.54999999999995,17.47,5300.0,816
HCPCS,A4648,Marker Checkpoint 3.5 111653,493.0,320.45,85.29,493.0,102
HCPCS,A4648,Marker breast unkown,0.01,0.01,0.01,173.17,66
HCPCS,A4648,Marker brst magseed sm18107001,3056.0,1986.4,173.17,3056.0,102
HCPCS,A4648,Marker brst magseed sm18112001,2881.0,1872.65,173.17,2881.0,102
HCPCS,A4648,Marker bx 2 trimarkeviva2s13,767.0,498.55,132.69,767.0,102
HCPCS,A4648,Marker fiducal gold seed prost,1125.0,731.25,173.17,1125.0,102
HCPCS,A4648,Marker tissue Videra 60023,1961.0,1274.65,173.17,1961.0,102
HCPCS,A4648,Ndl bx breast us 40100215t3,530.0,344.5,91.69,530.0,102
HCPCS,A4648,Wire local 20gx5cm bln2005,92.0,59.8,15.92,173.17,102
HCPCS,A4648,Wire local 21gx15 Kopans,126.0,81.9,21.8,173.17,102
HCPCS,A4648,Wire local 5x20g Hawkin,13.0,8.45,2.25,173.17,102
HCPCS,A4648,Wire local Ghiata 20x7 477201,95.0,61.75,16.44,173.17,102
HCPCS,A4649,Adhesive lq Mastisol vial fl,18.0,11.7,3.11,173.17,68
HCPCS,A4649,Adhesive premierpro 1.0ml 3470,143.0,92.95,24.74,173.17,68
HCPCS,A4649,Cautery pencil J&J 251010j,236.0,153.4,40.83,236.0,68
HCPCS,A4649,Coagltr suction 10fr 130188,80.0,52.0,13.84,173.17,68
HCPCS,A4649,Drape rio onepiece pock 111320,438.0,284.7,75.77,438.0,68
HCPCS,A4649,Drsg Preven peel sng pre1001us,5247.0,3410.55,173.17,5247.0,68
HCPCS,A4649,Drsg WDO Medline mnk0015,124.0,80.6,21.45,173.17,68
HCPCS,A4649,Drsg WDO Medline mnk0087,95.0,61.75,16.44,173.17,68
HCPCS,A4649,Filter clipper 5513 5575,91.0,59.15,15.74,173.17,68
HCPCS,A4649,Hys waste Aveta mgt 2052036,449.0,291.85,77.68,449.0,34
HCPCS,A4649,Hys waste mgt Meditrina2052001,661.0,429.65,114.35,661.0,34
HCPCS,A4649,Inflatn dev hiflo fltr20400161,200.0,130.0,34.6,200.0,68
HCPCS,A4649,Irrg tip pulse lavag fem canal,102.0,66.3,17.65,173.17,68
HCPCS,A4649,Mesh wnd clsr Sylke sylwc32010,482.0,313.3,83.39,482.0,68
HCPCS,A4649,Ndl bx harves CR Bard din1515x,93.0,60.45,16.09,173.17,68
HCPCS,A4649,Ndl insuf Verres 120mm 172015,170.0,110.5,29.41,173.17,68
HCPCS,A4649,Punch bx Medline mds0033330,15.0,9.75,2.6,173.17,68
HCPCS,A4649,Puregraft coll set 50pure5pack,2957.0,1922.05,173.17,2957.0,68
HCPCS,A4649,SURGICAL SUPPLIES,40.0,26.0,2.42,173.17,136
HCPCS,A4649,Suction intracardiac Mayo12013,163.0,105.95,28.2,173.17,68
HCPCS,A4649,Surgicel absor agent oxi 1955s,190.0,123.5,32.87,190.0,68
HCPCS,A4649,Suture Monocryl 2-o sh y417h,20.0,13.0,3.46,173.17,68
HCPCS,A4649,Suture Monocryl 4-0 ps-1 y935h,58.0,37.7,10.03,173.17,68
HCPCS,A4649,Suture Monocryl+ps-2 4-0cp426h,63.0,40.95,10.9,173.17,68
HCPCS,A4649,Suture PDS II 0 ct z334h,25.0,16.25,4.33,173.17,68
HCPCS,A4649,Suture Prolene 2-0 ct-2 8411h,23.0,14.95,3.98,173.17,68
HCPCS,A4649,Suture Vicryl o ur-6 j603h,17.0,11.05,2.94,173.17,68
HCPCS,A4649,Tray instr surg ortho 16800020,2862.0,1860.3,173.17,2862.0,68
HCPCS,A4649,Tube irrig assm lapar250070520,837.0,544.05,144.8,837.0,68
HCPCS,A4649,Tube nasogastric 18f st,31.0,20.15,5.36,173.17,68
HCPCS,A5056,Ostomy pouch ceraplus 89311,5.0,3.25,0.87,173.17,34
HCPCS,A5057,1 PC OST POU W BUILT-IN CONV,12.5,8.125,1.38,173.17,68
HCPCS,A5063,DRAIN OSTOMY POUCH W/FLANGE,14.0,9.1,0.35,173.17,102
HCPCS,A6010,Graft Cellerate 5g WCI05SACRXP,15530.0,10094.5,173.17,15530.0,68
HCPCS,A6010,Graft Cellerate1g WCI01SACRXP,4823.0,3134.95,173.17,4823.0,68
HCPCS,A6021,COLLAGEN DRESSING <=16 SQ IN,94.0,61.1,16.26,173.17,34
HCPCS,A6154,Ostomy pouch sys drain 9776,41.0,26.65,7.09,173.17,34
HCPCS,A6154,Ostomy pouch sys drain 9778,7.0,4.55,1.21,173.17,34
HCPCS,A6196,Drsg maxorb extra4x4 msc7044ep,28.0,18.2,4.84,173.17,34
HCPCS,A6197,Aquacel ag 6x6 dressing,231.0,150.15,39.96,231.0,34
HCPCS,A6197,Drsg aquacel Convatec 422298,214.0,139.1,37.02,214.0,34
HCPCS,A6199,ALGINATE DRSG WOUND FILLER,429.0,278.85,74.22,429.0,34
HCPCS,A6199,Drsg wnd Aquacel 3.5x10 413555,385.0,250.25,66.61,385.0,34
HCPCS,A6199,Drsg wnd Aquacel 3.5x4 413557,286.0,185.9,49.48,286.0,34
HCPCS,A6199,Drsg wnd Aquacel 3.5x6 413556,308.0,200.2,53.28,308.0,34
HCPCS,A6203,Drsg helix Arthrex abs4053,371.0,241.15,64.18,371.0,34
HCPCS,A6203,Drsg jumpstart Arthrex abs4054,112.0,72.8,19.38,173.17,34
HCPCS,A6203,Drsg jumpstart Arthrex abs4056,146.0,94.9,25.26,173.17,34
HCPCS,A6203,Drsg stratasorb island msc3066,16.0,10.4,2.77,173.17,34
HCPCS,A6203,Drsg tegaderm 3M 3588,18.0,11.7,3.11,173.17,34
HCPCS,A6203,Drsg tegaderm transp 3x3 90800,87.0,56.55,15.05,173.17,34
HCPCS,A6204,Drsg jumpstart Arthrex abs4050,517.0,336.05,89.44,517.0,34
HCPCS,A6209,Aquacel 4x4 dressing,104.0,67.6,17.99,173.17,34
HCPCS,A6209,Drsg Hydrofera hbcc4550,206.0,133.9,35.64,206.0,34
HCPCS,A6209,Drsg Hydrofera hbcc6675,321.0,208.65,55.53,321.0,34
HCPCS,A6210,Drsg foam Mepilex sil 294399,60.0,39.0,10.38,173.17,34
HCPCS,A6211,Drsg Mepilex Transfr Ag 394190,131.0,85.15,22.66,173.17,34
HCPCS,A6212,Drsg Mepilex post op4x10 39579,257.0,167.05,44.46,257.0,34
HCPCS,A6213,Drsg Mepilex 10x30cm 498600,321.0,208.65,55.53,321.0,34
HCPCS,A6213,Drsg Mepilex post op4x12 39599,299.0,194.35,51.73,299.0,34
HCPCS,A6213,Drsg Mepilex post op4x8 395890,208.0,135.2,35.98,208.0,34
HCPCS,A6222,Drsg Xeroform 2x2,4.0,2.6,0.69,173.17,68
HCPCS,A6232,Drsg hydrogel 4x5in sns58820,18.0,11.7,3.11,173.17,34
HCPCS,A6248,Drsg hydro Skintegrity msc6201,20.0,13.0,3.46,173.17,34
HCPCS,A6257,Allogrt biocartilage 1ml 1614,7791.0,5064.15,173.17,7791.0,34
HCPCS,A6257,Drsg transp suresite msc2304,6.0,3.9,1.04,173.17,34
HCPCS,A6257,Drsg transp suresite msc2710zz,25.0,16.25,4.33,173.17,34
HCPCS,A6266,Curad iodofm medline non256125,28.0,18.2,4.84,173.17,34
HCPCS,A6456,Drsg Unna-Z Zinc nonunnas130,53.0,34.45,9.17,173.17,34
HCPCS,A6457,Drsg net spandage thigh mt05,59.0,38.35,10.21,173.17,34
HCPCS,A9270,Drsg wnd hemo absorb 4x8 1952s,621.0,403.65,107.43,621.0,34
HCPCS,A9272,"DISP WOUND SUCT, DRSG/ACCESS",3085.0,2005.25,173.17,3085.0,38
HCPCS,A9272,Drsg Prevan13 neg 5pk pre1155u,3127.0,2032.55,173.17,3127.0,38
HCPCS,A9272,Drsg Prevan13neg PWT pre1101us,5247.0,3410.55,173.17,5247.0,38
HCPCS,A9272,Drsg vac veraflo ultvcc05mds,1417.0,921.05,173.17,1417.0,38
HCPCS,A9500,Tc-99m sestamibi UD,265.0,172.25,45.85,265.0,102
HCPCS,A9502,Tc-99m myoview (tetrofosmin)UD,290.0,188.5,50.17,290.0,34
HCPCS,A9503,Tc-99m MDP UD up to 30 mCi,264.0,171.6,45.67,264.0,68
HCPCS,A9505,Tl-201 per mCi,110.0,71.5,19.03,173.17,34
HCPCS,A9507,In-111 prostascint (capro) UD,4833.0,3141.45,173.17,4833.0,47
HCPCS,A9508,I-131 mibg 10 mCi (full dose),6222.0,4044.3,173.17,6222.0,47
HCPCS,A9509,I123 per MCI DX,1933.0,1256.45,173.17,1933.0,34
HCPCS,A9510,Tc-99m hepatolite (disof) UD,427.0,277.55,73.87,427.0,34
HCPCS,A9512,Tc-99m pertechnetate per mCi,4.0,2.6,0.69,173.17,68
HCPCS,A9513,Lutetium LU 177 dotatate 1 mCi,1220.0,793.0,211.06,25191.93,55
HCPCS,A9516,I-123 200 uCi capsule,384.0,249.6,66.43,384.0,68
HCPCS,A9516,I-123 300 uCi capsule,836.0,543.4,144.63,836.0,68
HCPCS,A9517,I-131 therapy cap per mCi,552.0,358.8,9.63,552.0,220
HCPCS,A9520,Tc99 tilmanocept Dx 0.5mci,1936.0,1258.4,173.17,1936.0,34
HCPCS,A9521,Tc-99m Ceretec perfusion UD,3548.0,2306.2,173.17,3548.0,47
HCPCS,A9527,Lotrex i-125 mci brachy sol,85.0,55.25,14.71,535.03,46
HCPCS,A9528,I-131 Dx capsule per mCi,466.0,302.9,80.62,466.0,34
HCPCS,A9530,I-131 Na iodide therapy 1 mCi,647.0,420.55,20.77,647.0,56
HCPCS,A9536,Tc-99m neotect (depreotide) UD,3405.0,2213.25,173.17,3405.0,34
HCPCS,A9537,Tc-99m mebrofenin up to 15mCi,258.0,167.7,44.63,258.0,102
HCPCS,A9538,Tc-99m PYP (pyrophosphate) UD,190.0,123.5,32.87,190.0,34
HCPCS,A9539,Tc-99m DTPA (pentetate) UD,557.0,362.05,96.36,557.0,34
HCPCS,A9540,Tc99m MAA up to 10mCi,744.0,483.6,128.71,744.0,68
HCPCS,A9541,Tc-99m sulfur colloid UD,370.0,240.5,64.01,370.0,68
HCPCS,A9542,In-111 Dx zevalin up to 5mCi,4950.0,3217.5,173.17,4950.0,34
HCPCS,A9543,Y90 zevalin Tx up to 40mCi,79083.0,51403.95,13681.36,79083.0,55
HCPCS,A9547,In-111 wbc oxyquinoline 0.5mCi,2988.0,1942.2,173.17,2988.0,141
HCPCS,A9548,In-111 dtpa (pentetate) 0.5mCi,2988.0,1942.2,173.17,2988.0,47
HCPCS,A9550,Tc-99m glucoheptonate UD,585.0,380.25,101.21,585.0,34
HCPCS,A9551,Tc-99m DMSA (succimer) UD,1736.0,1128.4,173.17,1736.0,47
HCPCS,A9552,PET F-18 FDG up to 45mCi,872.0,566.8,150.86,872.0,102
HCPCS,A9555,PET RB82 up to 60mCi,4924.0,3200.6,173.17,4924.0,34
HCPCS,A9556,Ga-67 per mCi,315.0,204.75,54.5,315.0,34
HCPCS,A9557,Tc-99m neurolite (bicisate) UD,4509.0,2930.85,173.17,4509.0,94
HCPCS,A9558,Xe-133 per 10 mCi,517.0,336.05,89.44,517.0,68
HCPCS,A9560,Tc-99m RBC ultratag upto 30mCi,606.0,393.9,104.84,606.0,34
HCPCS,A9561,Tc-99m HDP(oxidronat)upto30mCi,348.0,226.2,60.2,348.0,34
HCPCS,A9562,Tc-99m MAG3 (Mertiatide) UD,1289.0,837.85,173.17,1289.0,34
HCPCS,A9568,Tc-99m CEA (arcitumomab) UD,5475.0,3558.75,173.17,5475.0,34
HCPCS,A9569,Tc-99m Ceretec WBC tagging UD,3256.0,2116.4,173.17,3256.0,235
HCPCS,A9572,In-111 pentetrotide up to 6mCi,7607.0,4944.55,173.17,7607.0,47
HCPCS,A9573,Gadopiclenol 1ml inj,78.0,50.7,13.49,78.0,132
HCPCS,A9575,MR contrast dotarem per 0.1ml,216.0,140.4,37.37,216.0,33
HCPCS,A9577,MR contrast multihance per ml,8.0,5.2,1.38,8.0,99
HCPCS,A9579,MR contrast Prohance per ml,21.0,13.65,3.63,21.0,165
HCPCS,A9579,MR contrast gadolinium per ml,24.0,15.6,4.15,24.0,165
HCPCS,A9580,PET F-18 NAF up to 30mCi,866.0,562.9,149.82,866.0,34
HCPCS,A9581,MR contrast Eovist 1ml,105.0,68.25,18.17,105.0,33
HCPCS,A9582,I-123 mibg 10 mCi (full dose),6016.0,3910.4,173.17,6016.0,94
HCPCS,A9583,MR contrast ablavar per ml,64.0,41.6,11.07,64.0,33
HCPCS,A9584,I-123 ioflupane inj up to 5mCi,4773.0,3102.45,173.17,4773.0,141
HCPCS,A9585,MR contrast gadobut inj 0.1 ML,4.0,2.6,0.69,4.0,33
HCPCS,A9586,PET florbetapir F18 upto 10mCi,7057.0,4587.05,173.17,7057.0,141
HCPCS,A9587,Gallium ga68 per mCi,442.0,287.3,49.63,442.0,141
HCPCS,A9588,FLUCICLOVINE F-18,0.01,0.01,0.01,173.17,110
HCPCS,A9588,PET F18 fluciclovin 1mCi,1006.0,653.9,173.17,1006.0,235
HCPCS,A9591,PET Fluoroestradiol F18 per mCi,2448.0,1591.2,173.17,2448.0,141
HCPCS,A9592,Cu-64 copper dotatate per mCi,3511.0,2282.15,173.17,3511.0,135
HCPCS,A9595,PET Piflufolastat F-18 per mCi,1777.0,1155.05,173.17,1777.0,141
HCPCS,A9596,PET gallium68 illuccix per mCi,3566.0,2317.9,173.17,3566.0,141
HCPCS,A9600,Radioisotope (Sr-89) per mCi,11004.0,7152.6,1903.69,11004.0,110
HCPCS,A9603,Pafolacianine 0.1mg inj,678.0,440.7,117.29,678.0,33
HCPCS,A9604,SM 153 LEXIDRONAM,18452.0,11993.8,3159.8,18452.0,55
HCPCS,A9606,Radium Ra223 xofigo per uCi,243.0,157.95,42.04,9527.75,110
HCPCS,A9607,Lutetium Lu177 vip tet per mCi,1010.0,656.5,174.73,25191.93,110
HCPCS,A9608,PET Flotufolastat F18 1 mCi,1955.0,1270.75,173.17,1955.0,141
HCPCS,A9611,PET F18 Flurpiridaz per 1mCi,1590.0,1033.5,173.17,1590.0,47
HCPCS,A9698,Sitzmarks barium sulf24 markers,313.0,203.45,54.15,313.0,33
HCPCS,A9800,PET gallium68 goz locametz per mCi,2852.0,1853.8,173.17,2852.0,188
HCPCS,C1052,Hemostat abs NU-KNIT 3x4 1943s,279.0,181.35,48.27,279.0,34
HCPCS,C1062,INTRAVERTEBRAL FX AUG IMPL,27639.0,17965.35,173.17,27639.0,34
HCPCS,C1602,Matrix bn Cerament a053506,29274.0,19028.1,173.17,29274.0,47
HCPCS,C1602,Matrix bn cerament a053505,37226.0,24196.9,173.17,37226.0,47
HCPCS,C1603,"RET DEV, LASER, IVC FILTER",20561.0,13364.65,173.17,20561.0,47
HCPCS,C1604,Stent graft casepricedetour,127800.0,83070.0,173.17,127800.0,47
HCPCS,C1713,"ANCHOR/SCREW BN/BN,TIS/BN",1982.0,1288.3,1.21,62519.0,145554
HCPCS,C1713,Allogenix dbm putty 023110,5977.0,3885.05,173.17,5977.0,102
HCPCS,C1713,Allogrt AccuFill 3ml 206130,11920.0,7748.0,173.17,11920.0,102
HCPCS,C1713,Allogrt Alloaid In2Bns admh5x10,14682.0,9543.3,173.17,14682.0,102
HCPCS,C1713,Allogrt bn prostm20cc 86sr0420,37571.0,24421.15,173.17,37571.0,102
HCPCS,C1713,Allogrt bn void prostm86sr0410,23166.0,15057.9,173.17,23166.0,102
HCPCS,C1713,Allogrt can 13x14 Cornst245341,7393.0,4805.45,173.17,7393.0,102
HCPCS,C1713,Allogrt fem hem condy 32247001,61568.0,40019.2,173.17,61568.0,102
HCPCS,C1713,Allogrt graftlink ar1588alcp,4705.0,3058.25,173.17,4705.0,102
HCPCS,C1713,Allogrt plug sub grn 5 ocp05,6848.0,4451.2,173.17,6848.0,102
HCPCS,C1713,Anchor Bio Roc 2.8x18cm 251201,2498.0,1623.7,173.17,2498.0,102
HCPCS,C1713,Anchor Bio Roc 3.5x18cm 251202,2545.0,1654.25,173.17,2545.0,102
HCPCS,C1713,Anchor Fast Fix crv 72201494,1856.0,1206.4,173.17,1856.0,102
HCPCS,C1713,Anchor FastFix 360slt 72202674,753.0,489.45,130.27,753.0,102
HCPCS,C1713,Anchor Footprint 4.5 72202901,2165.0,1407.25,173.17,2165.0,102
HCPCS,C1713,Anchor Herculs In2Bns a02s0003,1225.0,796.25,173.17,1225.0,102
HCPCS,C1713,Anchor Herculs In2Bns a80st100,9496.0,6172.4,173.17,9496.0,102
HCPCS,C1713,Anchor Jugger 2.9mm 912057,1967.0,1278.55,173.17,1967.0,102
HCPCS,C1713,Anchor Microaire 3.5 22102,2877.0,1870.05,173.17,2877.0,102
HCPCS,C1713,Anchor bio ant Embody tr000121,5356.0,3481.4,173.17,5356.0,102
HCPCS,C1713,Anchor bioraptr2.3 blk72203280,1708.0,1110.2,173.17,1708.0,102
HCPCS,C1713,Anchor bioraptr2.3 blu72203281,1823.0,1184.95,173.17,1823.0,102
HCPCS,C1713,Anchor cath vent enh sy bvxres,125138.0,81339.7,173.17,125138.0,34
HCPCS,C1713,Anchor clav Arthrex ar2658tr,4931.0,3205.15,173.17,4931.0,102
HCPCS,C1713,Anchor fibertak Arthrex ar3670,3129.0,2033.85,173.17,3129.0,102
HCPCS,C1713,Anchor juggerknt 110024773n,1490.0,968.5,173.17,1490.0,102
HCPCS,C1713,Anchor lig citrefix 301107045,3460.0,2249.0,173.17,3460.0,102
HCPCS,C1713,Anchor lig citrefix 708104524,7249.0,4711.85,173.17,7249.0,102
HCPCS,C1713,Anchor set fibertk Arth ar3680,3949.0,2566.85,173.17,3949.0,102
HCPCS,C1713,Anchor speedlck hip knot232001,2217.0,1441.05,173.17,2217.0,102
HCPCS,C1713,Anchor sut Arthr ar1662psl710s,3448.0,2241.2,173.17,3448.0,102
HCPCS,C1713,Anchor sut Arthrex ar3638h,2228.0,1448.2,173.17,2228.0,102
HCPCS,C1713,Anchor sut Depuy fgs1000,7148.0,4646.2,173.17,7148.0,102
HCPCS,C1713,Anchor sut Juggerknot 912075,2379.0,1546.35,173.17,2379.0,102
HCPCS,C1713,Anchor sut Medshape 1101001230,2205.0,1433.25,173.17,2205.0,102
HCPCS,C1713,Anchor sut Parag28 p421220050s,2947.0,1915.55,173.17,2947.0,102
HCPCS,C1713,Anchor sut Q-Fix kntls7220588,7366.0,4787.9,173.17,7366.0,102
HCPCS,C1713,Anchor sut S&N 72203776,1786.0,1160.9,173.17,1786.0,102
HCPCS,C1713,Anchor sut S&N 72290001,5487.0,3566.55,173.17,5487.0,102
HCPCS,C1713,Anchor sut Stryker cat02462,2532.0,1645.8,173.17,2532.0,102
HCPCS,C1713,Anchor sut Stryker cat02969,3151.0,2048.15,173.17,3151.0,102
HCPCS,C1713,Anchor sut Syndes 86syn005,4560.0,2964.0,173.17,4560.0,102
HCPCS,C1713,Anchor sut Twinfx ultr72202600,1995.0,1296.75,173.17,1995.0,102
HCPCS,C1713,Anchor sut Ultrabuttn 72205601,5762.0,3745.3,173.17,5762.0,102
HCPCS,C1713,Anchor sut air meniscl sys4722,4565.0,2967.25,173.17,4565.0,102
HCPCS,C1713,Anchor sut arth ar1288btbibfc3,5682.0,3693.3,173.17,5682.0,102
HCPCS,C1713,Anchor sut bio swvl ar2600fsb1,12990.0,8443.5,173.17,12990.0,102
HCPCS,C1713,Anchor sut crvd2.3 blk72203291,2160.0,1404.0,173.17,2160.0,102
HCPCS,C1713,Anchor sut crvd2.3 blu72203290,2076.0,1349.4,173.17,2076.0,102
HCPCS,C1713,Anchor sut fibertk dbl ar36022,1852.0,1203.8,173.17,1852.0,102
HCPCS,C1713,Anchor sut heal 5.5mm 72203707,2003.0,1301.95,173.17,2003.0,102
HCPCS,C1713,Anchor sut juggerknot 912082,2017.0,1311.05,173.17,2017.0,102
HCPCS,C1713,Anchor sut morphix 100005235,2678.0,1740.7,173.17,2678.0,102
HCPCS,C1713,Anchor sut nano 1.4 00cat01858,2287.0,1486.55,173.17,2287.0,102
HCPCS,C1713,Anchor sut parcus 11259,2963.0,1925.95,173.17,2963.0,102
HCPCS,C1713,Anchor sut peek 3.5mm 51004,19316.0,12555.4,173.17,19316.0,102
HCPCS,C1713,Anchor sut peek omeg3910500391,5000.0,3250.0,173.17,5000.0,102
HCPCS,C1713,Anchor sut swvlck ar2323kbcsp1,2725.0,1771.25,173.17,2725.0,102
HCPCS,C1713,Anchor sut tigh ar1588btb2ibsf,5093.0,3310.45,173.17,5093.0,102
HCPCS,C1713,Anchor sut xtwist peek xt24700,3083.0,2003.95,173.17,3083.0,102
HCPCS,C1713,Anchor sut y-knot #2 hf13a,2473.0,1607.45,173.17,2473.0,102
HCPCS,C1713,Anchor swlck Arthrx ar1665kpsl,4180.0,2717.0,173.17,4180.0,102
HCPCS,C1713,Anchor tib cann Zimmer cm3010c,3074.0,1998.1,173.17,3074.0,102
HCPCS,C1713,Anchor tightr acl ar1360cstcp,8444.0,5488.6,173.17,8444.0,102
HCPCS,C1713,Anchor ultrabuttn adj 72290003,1985.0,1290.25,173.17,1985.0,102
HCPCS,C1713,Ankle kit Orthofix 9993503us,19291.0,12539.15,173.17,19291.0,102
HCPCS,C1713,Ankle pin S&N 71065359,1038.0,674.7,173.17,1038.0,102
HCPCS,C1713,Bar dental arch 5in 13cm 10295,37.0,24.05,6.4,173.17,102
HCPCS,C1713,Blade helical ti 90mm 456303s,3920.0,2548.0,173.17,3920.0,102
HCPCS,C1713,Bn imp 4.75biocom ar2324bccs,2087.0,1356.55,173.17,2087.0,102
HCPCS,C1713,Bolt 5.0x100mm sb050100,7694.0,5001.1,173.17,7694.0,102
HCPCS,C1713,Bolt 5x17.5mm 6955172,9215.0,5989.75,173.17,9215.0,102
HCPCS,C1713,Bolt 6.5x80mm sb006580,8264.0,5371.6,173.17,8264.0,102
HCPCS,C1713,Bone sub Beta BSM 2.5cc 766025,8229.0,5348.85,173.17,8229.0,102
HCPCS,C1713,Bone sub kit prodens 87srck15,31590.0,20533.5,173.17,31590.0,102
HCPCS,C1713,Bone sub prodens 10cc 87sr0410,19742.0,12832.3,173.17,19742.0,102
HCPCS,C1713,Bone sub prodens 20cc 87sr0420,31125.0,20231.25,173.17,31125.0,102
HCPCS,C1713,Bone sub prodens 4cc 87sr0404,9766.0,6347.9,173.17,9766.0,102
HCPCS,C1713,Bone void filler power 4cc 876,8559.0,5563.35,173.17,8559.0,102
HCPCS,C1713,Bonegraft 25cc Wright 84000311,5927.0,3852.55,173.17,5927.0,102
HCPCS,C1713,Bonegraft 4cc J&J 47000040,4090.0,2658.5,173.17,4090.0,102
HCPCS,C1713,Bonegraft 5cc 84sr4805,2489.0,1617.85,173.17,2489.0,102
HCPCS,C1713,Bonegraft Actifuse506005078072,8489.0,5517.85,173.17,8489.0,102
HCPCS,C1713,Bonegraft J&J 47000060,6134.0,3987.1,173.17,6134.0,102
HCPCS,C1713,Bonegraft MIIG 10cc 84xs0415,16275.0,10578.75,173.17,16275.0,102
HCPCS,C1713,Bonegraft MIIG 5cc 84xs0405,11177.0,7265.05,173.17,11177.0,102
HCPCS,C1713,Bonegraft MIIG 84000411,8707.0,5659.55,173.17,8707.0,102
HCPCS,C1713,Bonegraft Osteoset10cc84000102,4138.0,2689.7,173.17,4138.0,102
HCPCS,C1713,Bonegraft Osteoset10cc84000310,3986.0,2590.9,173.17,3986.0,102
HCPCS,C1713,Bonegraft Osteoset20cc84000101,6089.0,3957.85,173.17,6089.0,102
HCPCS,C1713,Bonegraft Osteoset25cc84000211,6711.0,4362.15,173.17,6711.0,102
HCPCS,C1713,Bonegraft Stryker 21021805,12617.0,8201.05,173.17,12617.0,102
HCPCS,C1713,Bonegraft Stryker 21022210,25860.0,16809.0,173.17,25860.0,102
HCPCS,C1713,Bonegraft Wright 87sr0150,25554.0,16610.1,173.17,25554.0,102
HCPCS,C1713,Bonegraft Zimmer 910010z,17895.0,11631.75,173.17,17895.0,102
HCPCS,C1713,Bonegraft matrx Depuy 48000040,4605.0,2993.25,173.17,4605.0,102
HCPCS,C1713,Bonegraft matrx Depuy 48000060,6563.0,4265.95,173.17,6563.0,102
HCPCS,C1713,Bonegraft matrx Depuy 55000170,21018.0,13661.7,173.17,21018.0,102
HCPCS,C1713,Bonegraft matrx Depuy 55000200,24727.0,16072.55,173.17,24727.0,102
HCPCS,C1713,Bonegraft mini MIIG 84mm0411,5449.0,3541.85,173.17,5449.0,102
HCPCS,C1713,Bonegraft morsel Depuy46000100,10461.0,6799.65,173.17,10461.0,102
HCPCS,C1713,Bonegraft stryker 21021901,2868.0,1864.2,173.17,2868.0,102
HCPCS,C1713,Bonegraft sub matrix a42275,11503.0,7476.95,173.17,11503.0,102
HCPCS,C1713,Bonegraft sub paste 3cc910003z,6019.0,3912.35,173.17,6019.0,102
HCPCS,C1713,Bonegraft sub paste5cc 910005z,8947.0,5815.55,173.17,8947.0,102
HCPCS,C1713,Bonevoid 10cc Stryker 7943910,13981.0,9087.65,173.17,13981.0,102
HCPCS,C1713,Bonevoid 10cc osteocret1610100,19830.0,12889.5,173.17,19830.0,102
HCPCS,C1713,Bonevoid 2.5cc vitoss 21022202,7391.0,4804.15,173.17,7391.0,102
HCPCS,C1713,Bonevoid 5ml Bonesupp a021009,7002.0,4551.3,173.17,7002.0,102
HCPCS,C1713,Bonevoid Arthrex abs 3105,7518.0,4886.7,173.17,7518.0,102
HCPCS,C1713,Bonevoid Evo Seaspine 26000050,7563.0,4915.95,173.17,7563.0,102
HCPCS,C1713,Bonevoid Evo Seaspine 26000100,14052.0,9133.8,173.17,14052.0,102
HCPCS,C1713,Bonevoid In2Bones bgp00102,6492.0,4219.8,173.17,6492.0,102
HCPCS,C1713,Bonevoid In2Bones bgp00110,11998.0,7798.7,173.17,11998.0,102
HCPCS,C1713,Bonevoid Paragon 28 p02bvf0005,10737.0,6979.05,173.17,10737.0,102
HCPCS,C1713,Bonevoid Seaspine 057100100,15643.0,10167.95,173.17,15643.0,102
HCPCS,C1713,Bonevoid bonesupp a021011,23501.0,15275.65,173.17,23501.0,102
HCPCS,C1713,Bonevoid cerm 5 8004000,7458.0,4847.7,173.17,7458.0,102
HCPCS,C1713,Bonevoid cerm18 8004002,25398.0,16508.7,173.17,25398.0,102
HCPCS,C1713,Bonevoid filler 10cc ob10d,7844.0,5098.6,173.17,7844.0,102
HCPCS,C1713,Bonevoid filler 406622015,3064.0,1991.6,173.17,3064.0,102
HCPCS,C1713,Bonevoid filler 506005078068,15313.0,9953.45,173.17,15313.0,102
HCPCS,C1713,Bonevoid filler 506005078070,11729.0,7623.85,173.17,11729.0,102
HCPCS,C1713,Bonevoid filler inj 10cc 14340,19371.0,12591.15,173.17,19371.0,102
HCPCS,C1713,Bonevoid filler inj2.5cc 14120,9661.0,6279.65,173.17,9661.0,102
HCPCS,C1713,Bonevoid filler15cc 4415000bsi,28164.0,18306.6,173.17,28164.0,102
HCPCS,C1713,Bonevoid fillr 10cc p02bvf0010,17870.0,11615.5,173.17,17870.0,102
HCPCS,C1713,Bonevoid fillr 15cc p02bvf0015,27981.0,18187.65,173.17,27981.0,102
HCPCS,C1713,Bonevoid morsels 10cc 21020006,3544.0,2303.6,173.17,3544.0,102
HCPCS,C1713,Bonevoid morsels 15cc 21020020,3690.0,2398.5,173.17,3690.0,102
HCPCS,C1713,Bonevoid morsels 30cc 21020021,7734.0,5027.1,173.17,7734.0,102
HCPCS,C1713,Bonevoidfil sr005rms,7016.0,4560.4,173.17,7016.0,102
HCPCS,C1713,Bunion Nanoplasty 3d sk57,21614.0,14049.1,173.17,21614.0,102
HCPCS,C1713,Button cerclage 4.5mm ss sy,2094.0,1361.1,173.17,2094.0,102
HCPCS,C1713,C1713 impl anchor/screw 0-25,63.0,40.95,10.9,173.17,102
HCPCS,C1713,C1713 impl anchor/screw 10251-11250,53811.0,34977.15,173.17,53811.0,102
HCPCS,C1713,C1713 impl anchor/screw 1101-1300,6009.0,3905.85,173.17,6009.0,102
HCPCS,C1713,C1713 impl anchor/screw 11251-12250,58817.0,38231.05,173.17,58817.0,102
HCPCS,C1713,C1713 impl anchor/screw 12251-13250,63822.0,41484.3,173.17,63822.0,102
HCPCS,C1713,C1713 impl anchor/screw 1301-1500,7010.0,4556.5,173.17,7010.0,102
HCPCS,C1713,C1713 impl anchor/screw 13251-14250,68828.0,44738.2,173.17,68828.0,102
HCPCS,C1713,C1713 impl anchor/screw 14251-15250,73833.0,47991.45,173.17,73833.0,102
HCPCS,C1713,C1713 impl anchor/screw 15251-16750,80090.0,52058.5,173.17,80090.0,102
HCPCS,C1713,C1713 impl anchor/screw 16751-18250,87598.0,56938.7,173.17,87598.0,102
HCPCS,C1713,C1713 impl anchor/screw 18251-19750,95107.0,61819.55,173.17,95107.0,102
HCPCS,C1713,C1713 impl anchor/screw 19751-21250,102615.0,66699.75,173.17,102615.0,102
HCPCS,C1713,C1713 impl anchor/screw 2001-2500,11265.0,7322.25,173.17,11265.0,102
HCPCS,C1713,C1713 impl anchor/screw 201-250,1129.0,733.85,173.17,1129.0,102
HCPCS,C1713,C1713 impl anchor/screw 21251-22750,110123.0,71579.95,173.17,110123.0,102
HCPCS,C1713,C1713 impl anchor/screw 22751-24250,117631.0,76460.15,173.17,117631.0,102
HCPCS,C1713,C1713 impl anchor/screw 24251-25750,125140.0,81341.0,173.17,125140.0,102
HCPCS,C1713,C1713 impl anchor/screw 2501-3000,13767.0,8948.55,173.17,13767.0,102
HCPCS,C1713,C1713 impl anchor/screw 251-300,1379.0,896.35,173.17,1379.0,102
HCPCS,C1713,C1713 impl anchor/screw 25751-27250,132648.0,86221.2,173.17,132648.0,102
HCPCS,C1713,C1713 impl anchor/screw 27251-29000,140782.0,91508.3,173.17,140782.0,102
HCPCS,C1713,C1713 impl anchor/screw 29001-30750,149542.0,97202.3,173.17,149542.0,102
HCPCS,C1713,C1713 impl anchor/screw 3001-3500,16270.0,10575.5,173.17,16270.0,102
HCPCS,C1713,C1713 impl anchor/screw 301-400,1754.0,1140.1,173.17,1754.0,102
HCPCS,C1713,C1713 impl anchor/screw 30751-32500,158302.0,102896.3,173.17,158302.0,102
HCPCS,C1713,C1713 impl anchor/screw 32501-34250,167061.0,108589.65,173.17,167061.0,102
HCPCS,C1713,C1713 impl anchor/screw 34251-36000,175821.0,114283.65,173.17,175821.0,102
HCPCS,C1713,C1713 impl anchor/screw 3501-4250,19399.0,12609.35,173.17,19399.0,102
HCPCS,C1713,C1713 impl anchor/screw 36001-37750,184580.0,119977.0,173.17,184580.0,102
HCPCS,C1713,C1713 impl anchor/screw 37751-39500,193340.0,125671.0,173.17,193340.0,102
HCPCS,C1713,C1713 impl anchor/screw 39501-41250,202100.0,131365.0,173.17,202100.0,102
HCPCS,C1713,C1713 impl anchor/screw 401-500,2255.0,1465.75,173.17,2255.0,102
HCPCS,C1713,C1713 impl anchor/screw 41251-43250,211485.0,137465.25,173.17,211485.0,102
HCPCS,C1713,C1713 impl anchor/screw 4251-5000,23153.0,15049.45,173.17,23153.0,102
HCPCS,C1713,C1713 impl anchor/screw 43251-45250,221496.0,143972.4,173.17,221496.0,102
HCPCS,C1713,C1713 impl anchor/screw 45251-47250,231507.0,150479.55,173.17,231507.0,102
HCPCS,C1713,C1713 impl anchor/screw 47251-49250,241518.0,156986.7,173.17,241518.0,102
HCPCS,C1713,C1713 impl anchor/screw 49251-51250,251529.0,163493.85,173.17,251529.0,102
HCPCS,C1713,C1713 impl anchor/screw 5001-5750,26907.0,17489.55,173.17,26907.0,102
HCPCS,C1713,C1713 impl anchor/screw 501-600,2755.0,1790.75,173.17,2755.0,102
HCPCS,C1713,C1713 impl anchor/screw 5751-6500,30661.0,19929.65,173.17,30661.0,102
HCPCS,C1713,C1713 impl anchor/screw 6501-7250,34415.0,22369.75,173.17,34415.0,102
HCPCS,C1713,C1713 impl anchor/screw 701-900,4007.0,2604.55,173.17,4007.0,102
HCPCS,C1713,C1713 impl anchor/screw 7251-8250,38795.0,25216.75,173.17,38795.0,102
HCPCS,C1713,C1713 impl anchor/screw 8251-9250,43800.0,28470.0,173.17,43800.0,102
HCPCS,C1713,C1713 impl anchor/screw 901-1100,5008.0,3255.2,173.17,5008.0,102
HCPCS,C1713,C1713 impl anchor/screw 9251-10250,48806.0,31723.9,173.17,48806.0,102
HCPCS,C1713,Cable cerclage w/crimp1.8x25in,1749.0,1136.85,173.17,1749.0,102
HCPCS,C1713,Cable clamp 71340008,3291.0,2139.15,173.17,3291.0,102
HCPCS,C1713,Cable grip 121.4 mm x 22.1 mm,8051.0,5233.15,173.17,8051.0,102
HCPCS,C1713,Cable ortho 23x121mm 22320205,14576.0,9474.4,173.17,14576.0,102
HCPCS,C1713,Cable ti 1.7mm cocr 61110501s,2514.0,1634.1,173.17,2514.0,102
HCPCS,C1713,Cable w crimp 1.0mm SYNT,2511.0,1632.15,173.17,2511.0,102
HCPCS,C1713,Cage lum Coug14x10 l 186710314,24271.0,15776.15,173.17,24271.0,102
HCPCS,C1713,Cage spine wall medial9428025,2993.0,1945.45,173.17,2993.0,102
HCPCS,C1713,Cage vertbl 9x27 187827409,16218.0,10541.7,173.17,16218.0,102
HCPCS,C1713,Cement 5cc inj calcim ph201050,12354.0,8030.1,173.17,12354.0,102
HCPCS,C1713,Cement Bone Simplex HV61941010,3279.0,2131.35,173.17,3279.0,102
HCPCS,C1713,Cement Simplex P bone 61911010,328.0,213.2,56.74,328.0,102
HCPCS,C1713,Cement arthr delv end 402203,16494.0,10721.1,173.17,16494.0,102
HCPCS,C1713,Cement bn avamax uni1040300000,3216.0,2090.4,173.17,3216.0,102
HCPCS,C1713,Cement bn quickset 5cc abs3005,10989.0,7142.85,173.17,10989.0,102
HCPCS,C1713,Cement bn quickset 8cc abs3008,14236.0,9253.4,173.17,14236.0,102
HCPCS,C1713,Cement bone 10 7704010s,14370.0,9340.5,173.17,14370.0,102
HCPCS,C1713,Cement bone 3 7704003s,4453.0,2894.45,173.17,4453.0,102
HCPCS,C1713,Cement bone 5 7704105s,7311.0,4752.15,173.17,7311.0,102
HCPCS,C1713,Cement boneHydroset 10cc397005,17034.0,11072.1,173.17,17034.0,102
HCPCS,C1713,Cement boneHydroset 15cc397015,24164.0,15706.6,173.17,24164.0,102
HCPCS,C1713,Cement boneHydroset 3cc 397003,5580.0,3627.0,173.17,5580.0,102
HCPCS,C1713,Cement boneHydroset 5cc 397005,8948.0,5816.2,173.17,8948.0,102
HCPCS,C1713,Cement bonehydroset 3cc 897003,6954.0,4520.1,173.17,6954.0,102
HCPCS,C1713,Cement bonehydroset 5cc 897005,11153.0,7249.45,173.17,11153.0,102
HCPCS,C1713,Cement bonehydrost 10cc 897010,21232.0,13800.8,173.17,21232.0,102
HCPCS,C1713,Cement bonehydrost 15cc 897015,30463.0,19800.95,173.17,30463.0,102
HCPCS,C1713,Cement bonehydrost 15cc7943915,20064.0,13041.6,173.17,20064.0,102
HCPCS,C1713,Cement cobalt hv 402282BIMT,750.0,487.5,129.75,750.0,102
HCPCS,C1713,Cement restrict plug 24 ebo101,1021.0,663.65,173.17,1021.0,102
HCPCS,C1713,Cement vertaplex 0607687000,2180.0,1417.0,173.17,2180.0,102
HCPCS,C1713,Conn cross sza5 exp189401405,8167.0,5308.55,173.17,8167.0,102
HCPCS,C1713,Countersink cann strykr4520007,1906.0,1238.9,173.17,1906.0,102
HCPCS,C1713,Cranial plate mesh 2182007,9436.0,6133.4,173.17,9436.0,102
HCPCS,C1713,Cranial plate mesh2182006,6337.0,4119.05,173.17,6337.0,102
HCPCS,C1713,Cranioplastic cement 431280,6863.0,4460.95,173.17,6863.0,102
HCPCS,C1713,Crosslink mult39-45x10 8115539,7298.0,4743.7,173.17,7298.0,102
HCPCS,C1713,Disc cerv prestg7x14med696167,13891.0,9029.15,173.17,13891.0,102
HCPCS,C1713,Disc mtp rest21x10mm pmtp21010,8329.0,5413.85,173.17,8329.0,102
HCPCS,C1713,Dowel spine facet 5x10 223510,7197.0,4678.05,173.17,7197.0,102
HCPCS,C1713,Drill bit 4.3x280 depuy 310423,2100.0,1365.0,173.17,2100.0,102
HCPCS,C1713,Endcap 10mm 1115100,1741.0,1131.65,173.17,1741.0,102
HCPCS,C1713,Endobutton pk ACL pcl 72202799,1835.0,1192.75,173.17,1835.0,102
HCPCS,C1713,Ext fix bar Parag28 p474100300,3384.0,2199.6,173.17,3384.0,102
HCPCS,C1713,Ext fix hand innov sbfs062,1524.0,990.6,173.17,1524.0,102
HCPCS,C1713,Ext fix hemicap15 81560032w,3734.0,2427.1,173.17,3734.0,102
HCPCS,C1713,Ext fix pin 3x15x100 1415100,1050.0,682.5,173.17,1050.0,102
HCPCS,C1713,Ext fix pin 5x200mm 50186200,940.0,611.0,162.62,940.0,102
HCPCS,C1713,Ext fix pin Parag28 p472205325,2923.0,1899.95,173.17,2923.0,102
HCPCS,C1713,Ext fix pin Parag28 p473200005,7188.0,4672.2,173.17,7188.0,102
HCPCS,C1713,Ext fix pin tracti5x50 7106550,1966.0,1277.9,173.17,1966.0,102
HCPCS,C1713,Ext fix pin xtrafx 00520403015,806.0,523.9,139.44,806.0,102
HCPCS,C1713,Ext fix post Parag28p47510p000,2803.0,1821.95,173.17,2803.0,102
HCPCS,C1713,Ext fix radius monotub 5150996,11855.0,7705.75,173.17,11855.0,102
HCPCS,C1713,Ext fix smart tsf ring71075115,9898.0,6433.7,173.17,9898.0,102
HCPCS,C1713,Ext fix smart tsf ring71075305,13052.0,8483.8,173.17,13052.0,102
HCPCS,C1713,Fibergraft bn J&J 59000063,9273.0,6027.45,173.17,9273.0,102
HCPCS,C1713,Fibergraft bn mtrx J&J55000063,7728.0,5023.2,173.17,7728.0,102
HCPCS,C1713,Fibergraft matrix J&J 55000125,15454.0,10045.1,173.17,15454.0,102
HCPCS,C1713,Flexband Twist Artelon tw030,25508.0,16580.2,173.17,25508.0,102
HCPCS,C1713,Flexband hex anchor 81001,2638.0,1714.7,173.17,2638.0,102
HCPCS,C1713,Flexband twist artelon tw012,33330.0,21664.5,173.17,33330.0,102
HCPCS,C1713,Foot bolt depuy 2111205,2895.0,1881.75,173.17,2895.0,102
HCPCS,C1713,Foot bolt depuy 2111245,2863.0,1860.95,173.17,2863.0,102
HCPCS,C1713,Glenoid Tornier Perform dwj001,2362.0,1535.3,173.17,2362.0,102
HCPCS,C1713,Graft Mastr matrx 10ml 7600110,2649.0,1721.85,173.17,2649.0,102
HCPCS,C1713,Graft Mastr matrx 20ml 7600320,5886.0,3825.9,173.17,5886.0,102
HCPCS,C1713,Graft bn Bonus Triad 15 486015,33603.0,21841.95,173.17,33603.0,102
HCPCS,C1713,Graft bn Vitoss Strykr21022105,7251.0,4713.15,173.17,7251.0,102
HCPCS,C1713,Graft bn vitoss Strykr21021800,20392.0,13254.8,173.17,20392.0,102
HCPCS,C1713,Graft bn vitoss Strykr21021905,1844.0,1198.6,173.17,1844.0,102
HCPCS,C1713,Graft bn vitoss Strykr21021910,1718.0,1116.7,173.17,1718.0,102
HCPCS,C1713,Grasper sut TendMIN ama1z01,16750.0,10887.5,173.17,16750.0,102
HCPCS,C1713,Guide pin 3.2x330mm 100000,456.0,296.4,78.89,456.0,102
HCPCS,C1713,Hammertoe Parag28 p400010275sk,9443.0,6137.95,173.17,9443.0,102
HCPCS,C1713,Hammertoe Stryker ht00001,8517.0,5536.05,173.17,8517.0,102
HCPCS,C1713,Hammertoe kit 46239001,7239.0,4705.35,173.17,7239.0,102
HCPCS,C1713,Hip GTR w cbl Zimmer 22320206,19902.0,12936.3,173.17,19902.0,102
HCPCS,C1713,Hip gtr short 00223200202,3600.0,2340.0,173.17,3600.0,102
HCPCS,C1713,Hip labral impl sys ar6955,14036.0,9123.4,173.17,14036.0,102
HCPCS,C1713,Humerl IlluminOss usml1310120,21874.0,14218.1,173.17,21874.0,102
HCPCS,C1713,Humerl Illuminoss usml1310090,20523.0,13339.95,173.17,20523.0,102
HCPCS,C1713,Humerl rod Illumin usml1310070,18520.0,12038.0,173.17,18520.0,102
HCPCS,C1713,Knee headless pin 3in 65414003,1590.0,1033.5,173.17,1590.0,102
HCPCS,C1713,Kyphon cement& mixer cx01b,2444.0,1588.6,173.17,2444.0,102
HCPCS,C1713,Mandib plt pat spec sd980021,51473.0,33457.45,173.17,51473.0,102
HCPCS,C1713,Meniscus repair rasp ar4130,1707.0,1109.55,173.17,1707.0,102
HCPCS,C1713,Mesh 93x93x0.6mm 2131613,11664.0,7581.6,173.17,11664.0,102
HCPCS,C1713,Mesh LPM 93x93x0.6mm 2131620,7401.0,4810.65,173.17,7401.0,102
HCPCS,C1713,Mesh LPM rigid 187x161 2131622,17722.0,11519.3,173.17,17722.0,102
HCPCS,C1713,Mesh orth lct .25x50 9152812,6950.0,4517.5,173.17,6950.0,102
HCPCS,C1713,Nail 16mm ti lat fem 04003972s,9339.0,6070.35,173.17,9339.0,102
HCPCS,C1713,Nail Dyna nail 7x120 2600007120,31515.0,20484.75,173.17,31515.0,102
HCPCS,C1713,Nail Gamma11x360x125 32250360s,15512.0,10082.8,173.17,15512.0,102
HCPCS,C1713,Nail NX extr 4x50 nxnc4050s,10852.0,7053.8,173.17,10852.0,102
HCPCS,C1713,Nail Triway In2Bones n20st201,39769.0,25849.85,173.17,39769.0,102
HCPCS,C1713,Nail activcor p311152000s,57563.0,37415.95,173.17,57563.0,102
HCPCS,C1713,Nail affix 11x180x130 81451118,9705.0,6308.25,173.17,9705.0,102
HCPCS,C1713,Nail bn sm fx 1.6mm sbfn062,1031.0,670.15,173.17,1031.0,102
HCPCS,C1713,Nail cann hum 7x230 040012265,9732.0,6325.8,173.17,9732.0,102
HCPCS,C1713,Nail cann tib 11x330 04004546s,7675.0,4988.75,173.17,7675.0,102
HCPCS,C1713,Nail cann troc 130x235 456325s,7091.0,4609.15,173.17,7091.0,102
HCPCS,C1713,Nail compr univ meta 71654528,331.0,215.15,57.26,331.0,102
HCPCS,C1713,Nail dual comp 11.5 ar909006s,62569.0,40669.85,173.17,62569.0,102
HCPCS,C1713,Nail dyn Medshape 1200011022,65322.0,42459.3,173.17,65322.0,102
HCPCS,C1713,Nail dynanail 1200011026,85644.0,55668.6,173.17,85644.0,102
HCPCS,C1713,Nail elastic Ti cap 3-4 475900,440.0,286.0,76.12,440.0,102
HCPCS,C1713,Nail elastic ti 4.0x440mm SYNT,1858.0,1207.7,173.17,1858.0,102
HCPCS,C1713,Nail end cap t2 scn 18260003s,1041.0,676.65,173.17,1041.0,102
HCPCS,C1713,Nail es troch Arthrex 1023455,11037.0,7174.05,173.17,11037.0,102
HCPCS,C1713,Nail fem 04233442s,11176.0,7264.4,173.17,11176.0,102
HCPCS,C1713,Nail fem 13x75mm 71931663,19562.0,12715.3,173.17,19562.0,102
HCPCS,C1713,Nail fem 14444330,9275.0,6028.75,173.17,9275.0,102
HCPCS,C1713,Nail fem Arthrex 1311040,11077.0,7200.05,173.17,11077.0,102
HCPCS,C1713,Nail fem Depuy 04033069s,11090.0,7208.5,173.17,11090.0,102
HCPCS,C1713,Nail fem RFNA 12x420 04233242s,11074.0,7198.1,173.17,11074.0,102
HCPCS,C1713,Nail fem Stryker 34251320s,17066.0,11092.9,173.17,17066.0,102
HCPCS,C1713,Nail fem Zimmer 14444338,11457.0,7447.05,173.17,11457.0,102
HCPCS,C1713,Nail fem Zimmer 814413380,13770.0,8950.5,173.17,13770.0,102
HCPCS,C1713,Nail fem Zimmer 814513180,7874.0,5118.1,173.17,7874.0,102
HCPCS,C1713,Nail fem long 12x340 04037255s,11750.0,7637.5,173.17,11750.0,102
HCPCS,C1713,Nail fem lt 11x360mm 85301360s,18997.0,12348.05,173.17,18997.0,102
HCPCS,C1713,Nail fem retr 30x11.5 71653230,8622.0,5604.3,173.17,8622.0,102
HCPCS,C1713,Nail fem retrog 47249424011,10064.0,6541.6,173.17,10064.0,102
HCPCS,C1713,Nail fem stryker 18281242s,12897.0,8383.05,173.17,12897.0,102
HCPCS,C1713,Nail fib Arthrex ar8973l38180,14673.0,9537.45,173.17,14673.0,102
HCPCS,C1713,Nail flexcap 3.0mm orth1000130,679.0,441.35,117.47,679.0,102
HCPCS,C1713,Nail gamma lng11x340 35251340s,16652.0,10823.8,173.17,16652.0,102
HCPCS,C1713,Nail him 47249616109,8056.0,5236.4,173.17,8056.0,102
HCPCS,C1713,Nail hum Carbofix 4qhpn8015,11158.0,7252.7,173.17,11158.0,102
HCPCS,C1713,Nail hum Zimmer 47249628009,8157.0,5302.05,173.17,8157.0,102
HCPCS,C1713,Nail hum sprl blde 36 462636,3068.0,1994.2,173.17,3068.0,102
HCPCS,C1713,Nail im 10mmx21cmx130 71163010,6567.0,4268.55,173.17,6567.0,102
HCPCS,C1713,Nail im 130 lt 12x34 71163034l,12393.0,8055.45,173.17,12393.0,102
HCPCS,C1713,Nail im scw hn3012,5947.0,3865.55,173.17,5947.0,102
HCPCS,C1713,Nail im short 99t93125,6539.0,4250.35,173.17,6539.0,102
HCPCS,C1713,Nail im tib 10x320 47249532010,7832.0,5090.8,173.17,7832.0,102
HCPCS,C1713,Nail imhs 10x34x130 71163034r,13675.0,8888.75,173.17,13675.0,102
HCPCS,C1713,Nail imhs 10x42x130 71163042r,18170.0,11810.5,173.17,18170.0,102
HCPCS,C1713,Nail midfoot cann smn08140,17910.0,11641.5,173.17,17910.0,102
HCPCS,C1713,Nail rfna10x200 bend 04233020s,12121.0,7878.65,173.17,12121.0,102
HCPCS,C1713,Nail s&n 224543,2763.0,1795.95,173.17,2763.0,102
HCPCS,C1713,Nail short Orthofix 99t93025,8534.0,5547.1,173.17,8534.0,102
HCPCS,C1713,Nail t2 prox hum cann18321035s,15120.0,9828.0,173.17,15120.0,102
HCPCS,C1713,Nail ti cann tfna 04037924s,12946.0,8414.9,173.17,12946.0,102
HCPCS,C1713,Nail ti fem cann TFNA04037262s,12279.0,7981.35,173.17,12279.0,102
HCPCS,C1713,Nail ti im univ 47249534009,7754.0,5040.1,173.17,7754.0,102
HCPCS,C1713,Nail ti kit Stryker 31301200s,16812.0,10927.8,173.17,16812.0,102
HCPCS,C1713,Nail tibial 04043230s,8611.0,5597.15,173.17,8611.0,102
HCPCS,C1713,Nail troch 10x130x340 456354,9409.0,6115.85,173.17,9409.0,102
HCPCS,C1713,Nail troch 10x135dx170 456316,7147.0,4645.55,173.17,7147.0,102
HCPCS,C1713,Nail trochanteric 81302170s,14583.0,9478.95,173.17,14583.0,102
HCPCS,C1713,Nail valr 10x200 lt 415101020l,17299.0,11244.35,173.17,17299.0,102
HCPCS,C1713,Nut open close top 4.0mm 70101,608.0,395.2,105.18,608.0,102
HCPCS,C1713,Nut orth 11mm 8mm ect ZIM,75.0,48.75,12.98,173.17,102
HCPCS,C1713,Opus anchor magnum 2 1502,2114.0,1374.1,173.17,2114.0,102
HCPCS,C1713,Opus anchor magnum pikntls4500,2279.0,1481.35,173.17,2279.0,102
HCPCS,C1713,Ossiofiber cann fix of2054100s,14701.0,9555.65,173.17,14701.0,102
HCPCS,C1713,Osteoset pellet prtinj87003012,2657.0,1727.05,173.17,2657.0,102
HCPCS,C1713,Osteoset pellet prtinj87004805,3263.0,2120.95,173.17,3263.0,102
HCPCS,C1713,Pack pip fusn 2.7x4mm 72204370,3717.0,2416.05,173.17,3717.0,102
HCPCS,C1713,Patella fem 4.5mm ar1360bcp,6902.0,4486.3,173.17,6902.0,102
HCPCS,C1713,Patella fem 4.75mm ar1360ccp,7443.0,4837.95,173.17,7443.0,102
HCPCS,C1713,Peg bn fix Zimmer fp08,431.0,280.15,74.56,431.0,102
HCPCS,C1713,Pin Buttress Ti 1.8x18mm SYNT,322.0,209.3,55.71,322.0,102
HCPCS,C1713,Pin Illum kt15x260 ussl1500260,25383.0,16498.95,173.17,25383.0,102
HCPCS,C1713,Pin IlluminOss kt ussl1700260,26194.0,17026.1,173.17,26194.0,102
HCPCS,C1713,Pin IlluminOss kt ussl1700280,26735.0,17377.75,173.17,26735.0,102
HCPCS,C1713,Pin Illuminoss kit ussl2213220,27270.0,17725.5,173.17,27270.0,102
HCPCS,C1713,Pin Illuminoss kit ussl2213240,27540.0,17901.0,173.17,27540.0,102
HCPCS,C1713,Pin Siteinman 3/16 thread MIAI,53.0,34.45,9.17,173.17,102
HCPCS,C1713,Pin Siteinman 3/32x9 1624509ns,24.0,15.6,4.15,173.17,102
HCPCS,C1713,Pin Siteinman 5/32 plain MIAI,31.0,20.15,5.36,173.17,102
HCPCS,C1713,Pin Steinmann 3.1mm 2220190031,383.0,248.95,66.26,383.0,102
HCPCS,C1713,Pin bn cann 4.0mm 02221004s,948.0,616.2,164.0,948.0,102
HCPCS,C1713,Pin cerclage thrd4.5 strl SYNT,965.0,627.25,166.95,965.0,102
HCPCS,C1713,Pin clavicle 3.0mm 112912020,5549.0,3606.85,173.17,5549.0,102
HCPCS,C1713,Pin condyle Medartis a434031,2458.0,1597.7,173.17,2458.0,102
HCPCS,C1713,Pin flutd hdlss 3.5 76502038ar,2258.0,1467.7,173.17,2258.0,102
HCPCS,C1713,Pin fxt 3.5x40mm 71173325,837.0,544.05,144.8,837.0,102
HCPCS,C1713,Pin half button dshp6020020b,1509.0,980.85,173.17,1509.0,102
HCPCS,C1713,Pin kit Osteomed opk20k3,6344.0,4123.6,173.17,6344.0,102
HCPCS,C1713,Pin peri loc 2.7x14 71171228,749.0,486.85,129.58,749.0,102
HCPCS,C1713,Pin perilock 2.7x18mm 71173438,649.0,421.85,112.28,649.0,102
HCPCS,C1713,Pin steinm trocr 1/8x9 1632509,54.0,35.1,9.34,173.17,102
HCPCS,C1713,Pin steinman 1/8 thread MIAI,51.0,33.15,8.82,173.17,102
HCPCS,C1713,Pin steinman 1/8 x 9,44.0,28.6,7.61,173.17,102
HCPCS,C1713,Pin steinman thrd9/64x9 127960,259.0,168.35,44.81,259.0,102
HCPCS,C1713,Pin steinman type3/16x9 128140,189.0,122.85,32.7,189.0,102
HCPCS,C1713,Pin steinman type3/32x9 128090,144.0,93.6,24.91,173.17,102
HCPCS,C1713,Pin steinman type9/64x9 128120,198.0,128.7,34.25,198.0,102
HCPCS,C1713,Plate 02112623s,5937.0,3859.05,173.17,5937.0,102
HCPCS,C1713,Plate 1 hole Medartis a431032,3180.0,2067.0,173.17,3180.0,102
HCPCS,C1713,Plate 1-2rt sm tmt00212sr,66738.0,43379.7,173.17,66738.0,102
HCPCS,C1713,Plate 1.5 strg 12h 246191,1268.0,824.2,173.17,1268.0,102
HCPCS,C1713,Plate 16 hole ss compr 430016,2455.0,1595.75,173.17,2455.0,102
HCPCS,C1713,Plate 16h 148mm 02247380s,2585.0,1680.25,173.17,2585.0,102
HCPCS,C1713,Plate 2.7mm 20h 770722200,7568.0,4919.2,173.17,7568.0,102
HCPCS,C1713,Plate 20 hole ss compr 430020,2949.0,1916.85,173.17,2949.0,102
HCPCS,C1713,Plate 4 hole Medartis a430001,1989.0,1292.85,173.17,1989.0,102
HCPCS,C1713,Plate 4.5 lcp prox fem 242104s,9434.0,6132.1,173.17,9434.0,102
HCPCS,C1713,Plate 5h stryker 626965,5953.0,3869.45,173.17,5953.0,102
HCPCS,C1713,Plate 7h 107m rt 72822007,3792.0,2464.8,173.17,3792.0,102
HCPCS,C1713,Plate 7h l91mm w 4h lck629537s,3096.0,2012.4,173.17,3096.0,102
HCPCS,C1713,Plate 9h zimmer 816202009,6855.0,4455.75,173.17,6855.0,102
HCPCS,C1713,Plate A.L.P.S lck 816235008,1168.0,759.2,173.17,1168.0,102
HCPCS,C1713,Plate A.L.P.S lck 816245212,2249.0,1461.85,173.17,2249.0,102
HCPCS,C1713,Plate A.L.P.S timax 133525125,7619.0,4952.35,173.17,7619.0,102
HCPCS,C1713,Plate A.L.P.S10.9x88 131218702,4864.0,3161.6,173.17,4864.0,102
HCPCS,C1713,Plate ALPS 2.4mm 10h 770600100,4028.0,2618.2,173.17,4028.0,102
HCPCS,C1713,Plate Adapt II TriLck a4750107,7849.0,5101.85,173.17,7849.0,102
HCPCS,C1713,Plate Ambi 6h 80mm 135d SN,3055.0,1985.75,173.17,3055.0,102
HCPCS,C1713,Plate Apoll Novastp f30004004s,4225.0,2746.25,173.17,4225.0,102
HCPCS,C1713,Plate Atlant ant cerv 52.5MED,12293.0,7990.45,173.17,12293.0,102
HCPCS,C1713,Plate Atlant ant cerv 72.5 MED,13209.0,8585.85,173.17,13209.0,102
HCPCS,C1713,Plate Carbofix dfeln1808,8115.0,5274.75,173.17,8115.0,102
HCPCS,C1713,Plate Evos 3.5x102 72465605,7041.0,4576.65,173.17,7041.0,102
HCPCS,C1713,Plate Evos 3.5x61mm 72466603,7015.0,4559.75,173.17,7015.0,102
HCPCS,C1713,Plate Evos fib S&N 72465007,4168.0,2709.2,173.17,4168.0,102
HCPCS,C1713,Plate Evos hum S&N 72465503,6325.0,4111.25,173.17,6325.0,102
HCPCS,C1713,Plate Evos hum S&N 72465907,7158.0,4652.7,173.17,7158.0,102
HCPCS,C1713,Plate Evos lck 8h 142 72562008,2434.0,1582.1,173.17,2434.0,102
HCPCS,C1713,Plate Evos lck S&N 72440210,2221.0,1443.65,173.17,2221.0,102
HCPCS,C1713,Plate Evos prox S&N 72453505,6339.0,4120.35,173.17,6339.0,102
HCPCS,C1713,Plate Evos prox S&N 72463710,8401.0,5460.65,173.17,8401.0,102
HCPCS,C1713,Plate Evos tib S&N 72463713,8853.0,5754.45,173.17,8853.0,102
HCPCS,C1713,Plate Facialid ortho 5 7892005,48718.0,31666.7,173.17,48718.0,102
HCPCS,C1713,Plate Freefix dist dhpfmdl6hl,10537.0,6849.05,173.17,10537.0,102
HCPCS,C1713,Plate Gravity plantar 86pps1n0,5782.0,3758.3,173.17,5782.0,102
HCPCS,C1713,Plate In2Bones p40st235,10988.0,7142.2,173.17,10988.0,102
HCPCS,C1713,Plate Jones 7h TriMed mh00k7,4030.0,2619.5,173.17,4030.0,102
HCPCS,C1713,Plate KLSMartin 507160609,2787.0,1811.55,173.17,2787.0,102
HCPCS,C1713,Plate LCP Depuy 242003s,15843.0,10297.95,173.17,15843.0,102
HCPCS,C1713,Plate Lcp 1.5 6 h 2114514,2899.0,1884.35,173.17,2899.0,102
HCPCS,C1713,Plate Lcp 2.4 str shrt r242479,2341.0,1521.65,173.17,2341.0,102
HCPCS,C1713,Plate Lcp 2.7 5 h 249681,2183.0,1418.95,173.17,2183.0,102
HCPCS,C1713,Plate Lcp 3.5 10hl 137mm SYNT,1930.0,1254.5,173.17,1930.0,102
HCPCS,C1713,Plate Lcp 3.5 14hl 189mm SYNT,3191.0,2074.15,173.17,3191.0,102
HCPCS,C1713,Plate Lcp 3.5 9hl 124mm SYNT,1870.0,1215.5,173.17,1870.0,102
HCPCS,C1713,Plate Lcp 7h 3.5x98mm SYNT,1713.0,1113.45,173.17,1713.0,102
HCPCS,C1713,Plate Lcp 8h 3.5x111mm SYNT,1799.0,1169.35,173.17,1799.0,102
HCPCS,C1713,Plate Lcp rad 4h hd long242468,4919.0,3197.35,173.17,4919.0,102
HCPCS,C1713,Plate Lcp tib 3.5mm 4hl 238701,9720.0,6318.0,173.17,9720.0,102
HCPCS,C1713,Plate Lopr 1.6 2hl lng 2180093,307.0,199.55,53.11,307.0,102
HCPCS,C1713,Plate Lopr 1.6 bur sm 2180094,695.0,451.75,120.24,695.0,102
HCPCS,C1713,Plate MTP mfp601,12334.0,8017.1,173.17,12334.0,102
HCPCS,C1713,Plate Midshaft Ulna 10h 700072,5426.0,3526.9,173.17,5426.0,102
HCPCS,C1713,Plate NCB Zimmer 203260005,8093.0,5260.45,173.17,8093.0,102
HCPCS,C1713,Plate Novastep pl010252,11813.0,7678.45,173.17,11813.0,102
HCPCS,C1713,Plate Osteomed 3362752,9491.0,6169.15,173.17,9491.0,102
HCPCS,C1713,Plate Paragon 28 p530510011,5813.0,3778.45,173.17,5813.0,102
HCPCS,C1713,Plate Peanut 3h mft002pmx,5516.0,3585.4,173.17,5516.0,102
HCPCS,C1713,Plate Pilon 9h Depy816210006,6767.0,4398.55,173.17,6767.0,102
HCPCS,C1713,Plate S&N 74441522,2111.0,1372.15,173.17,2111.0,102
HCPCS,C1713,Plate Skeletl DYN prtrhplt,6783.0,4408.95,173.17,6783.0,102
HCPCS,C1713,Plate Stryker 5505742,1376.0,894.4,173.17,1376.0,102
HCPCS,C1713,Plate Stryker 626679,2896.0,1882.4,173.17,2896.0,102
HCPCS,C1713,Plate Stryker 7892002,44764.0,29096.6,173.17,44764.0,102
HCPCS,C1713,Plate T 3 h ZIM,847.0,550.55,146.53,847.0,102
HCPCS,C1713,Plate T 3.5 obl lt 3h 96 SYNT,2214.0,1439.1,173.17,2214.0,102
HCPCS,C1713,Plate T 3.5 obl rt 3h 52 SYNT,1863.0,1210.95,173.17,1863.0,102
HCPCS,C1713,Plate T 3.5 obl rt 3h 63 SYNT,1950.0,1267.5,173.17,1950.0,102
HCPCS,C1713,Plate T 3.5 obl rt 3h 74 SYNT,2036.0,1323.4,173.17,2036.0,102
HCPCS,C1713,Plate T 3.5 obl rt 3h 96 SYNT,2211.0,1437.15,173.17,2211.0,102
HCPCS,C1713,Plate T 3.5 rt ang 3h 67 SYNT,1890.0,1228.5,173.17,1890.0,102
HCPCS,C1713,Plate T 3.5 rt ang 3h 87 SYNT,2760.0,1794.0,173.17,2760.0,102
HCPCS,C1713,Plate T Lcp 4.5 4h 83 240141,3199.0,2079.35,173.17,3199.0,102
HCPCS,C1713,Plate T Lcp 4.5 6h 115 240161,3670.0,2385.5,173.17,3670.0,102
HCPCS,C1713,Plate T Lcp 4.5 8h 147 240181,4236.0,2753.4,173.17,4236.0,102
HCPCS,C1713,Plate VA LCP nrw 6h 02111540s,4837.0,3144.05,173.17,4837.0,102
HCPCS,C1713,Plate Variax compr 629564,5404.0,3512.6,173.17,5404.0,102
HCPCS,C1713,Plate Volar 2.4 6+4 l 02111641,5469.0,3554.85,173.17,5469.0,102
HCPCS,C1713,Plate Volar TriLck a4750124,7368.0,4789.2,173.17,7368.0,102
HCPCS,C1713,Plate Volar trilck a4750123,7171.0,4661.15,173.17,7171.0,102
HCPCS,C1713,Plate Y calc 87 24165,2796.0,1817.4,173.17,2796.0,102
HCPCS,C1713,Plate Y lck midfc 5h 4 5505751,1154.0,750.1,173.17,1154.0,102
HCPCS,C1713,Plate Z spire 35mm 9010000535,21974.0,14283.1,173.17,21974.0,102
HCPCS,C1713,Plate Zimmer 110030301,7378.0,4795.7,173.17,7378.0,102
HCPCS,C1713,Plate Zimmer 740004,5068.0,3294.2,173.17,5068.0,102
HCPCS,C1713,Plate acc cbl trc grip 7134001,28168.0,18309.2,173.17,28168.0,102
HCPCS,C1713,Plate accord S&N 71340012,19120.0,12428.0,173.17,19120.0,102
HCPCS,C1713,Plate acet 46.5mm 4h 425754,3057.0,1987.05,173.17,3057.0,102
HCPCS,C1713,Plate ankle p532100007,10041.0,6526.65,173.17,10041.0,102
HCPCS,C1713,Plate ant acp Zimmer 407714,11027.0,7167.55,173.17,11027.0,102
HCPCS,C1713,Plate ant lat 6hl 816202006,6765.0,4397.25,173.17,6765.0,102
HCPCS,C1713,Plate assembly ijs-e ijselbbpa,27180.0,17667.0,173.17,27180.0,102
HCPCS,C1713,Plate bn 3d 6x2h 5510562,1838.0,1194.7,173.17,1838.0,102
HCPCS,C1713,Plate bn 3d rt stryker 4015062,5337.0,3469.05,173.17,5337.0,102
HCPCS,C1713,Plate bn 3d stryker 5504233,1896.0,1232.4,173.17,1896.0,102
HCPCS,C1713,Plate bn 4015091,3145.0,2044.25,173.17,3145.0,102
HCPCS,C1713,Plate bn 50x50x.3mm rsr5230350,4132.0,2685.8,173.17,4132.0,102
HCPCS,C1713,Plate bn Zimmer 117900508,2067.0,1343.55,173.17,2067.0,102
HCPCS,C1713,Plate bn Zimmer 203263112,6534.0,4247.1,173.17,6534.0,102
HCPCS,C1713,Plate bn cranial 25x25 7092013,4496.0,2922.4,173.17,4496.0,102
HCPCS,C1713,Plate bn dvr crosslck131822090,4975.0,3233.75,173.17,4975.0,102
HCPCS,C1713,Plate bn lck 13h 0203260105,6599.0,4289.35,173.17,6599.0,102
HCPCS,C1713,Plate bn lck 203265014,3166.0,2057.9,173.17,3166.0,102
HCPCS,C1713,Plate bn occ sm adjust 7755279,15298.0,9943.7,173.17,15298.0,102
HCPCS,C1713,Plate bn pdhp Depuy 2117107s,6771.0,4401.15,173.17,6771.0,102
HCPCS,C1713,Plate bn road 8h s&n 71829488,1454.0,945.1,173.17,1454.0,102
HCPCS,C1713,Plate bone 6h 8mm 5505765,1112.0,722.8,173.17,1112.0,102
HCPCS,C1713,Plate bone 8 h 246mm ZIM,4059.0,2638.35,173.17,4059.0,102
HCPCS,C1713,Plate bone Skeletl DYN prtcrdr,4684.0,3044.6,173.17,4684.0,102
HCPCS,C1713,Plate bone ster 8h 86200,3419.0,2222.35,173.17,3419.0,102
HCPCS,C1713,Plate bone ster v 4h 86100,2483.0,1613.95,173.17,2483.0,102
HCPCS,C1713,Plate bridge Zimmer 3231033,21008.0,13655.2,173.17,21008.0,102
HCPCS,C1713,Plate broad 4h Med OSTE,1693.0,1100.45,173.17,1693.0,102
HCPCS,C1713,Plate broad lc-dcp 11h SYNT,3551.0,2308.15,173.17,3551.0,102
HCPCS,C1713,Plate broad lc-dcp 14h SYNT,4195.0,2726.75,173.17,4195.0,102
HCPCS,C1713,Plate broad lc-dcp 7h SYNT,2345.0,1524.25,173.17,2345.0,102
HCPCS,C1713,Plate bur 1.6 hl shnt 2180069,1030.0,669.5,173.17,1030.0,102
HCPCS,C1713,Plate calc beaver p531072015,9180.0,5967.0,173.17,9180.0,102
HCPCS,C1713,Plate calc mini lt ss 3.5 64mm,3214.0,2089.1,173.17,3214.0,102
HCPCS,C1713,Plate calc perimeter mpcf202r,6368.0,4139.2,173.17,6368.0,102
HCPCS,C1713,Plate calcaneal 60mm SYNT,2740.0,1781.0,173.17,2740.0,102
HCPCS,C1713,Plate calcaneal 70mm SYNT,2857.0,1857.05,173.17,2857.0,102
HCPCS,C1713,Plate cerv ant 23mm 9790023,7575.0,4923.75,173.17,7575.0,102
HCPCS,C1713,Plate cervical 42.5 Atlant MED,10832.0,7040.8,173.17,10832.0,102
HCPCS,C1713,Plate class supra 10slot90d SN,4946.0,3214.9,173.17,4946.0,102
HCPCS,C1713,Plate clav Depuy 02112621s,6119.0,3977.35,173.17,6119.0,102
HCPCS,C1713,Plate clav Depuy 2112622,5398.0,3508.7,173.17,5398.0,102
HCPCS,C1713,Plate clav Stryker 628027,7097.0,4613.05,173.17,7097.0,102
HCPCS,C1713,Plate clav lcp rt 3h 02112006s,4824.0,3135.6,173.17,4824.0,102
HCPCS,C1713,Plate clav shft cs2 02112622s,6115.0,3974.75,173.17,6115.0,102
HCPCS,C1713,Plate clav shft cs3 02112624s,6224.0,4045.6,173.17,6224.0,102
HCPCS,C1713,Plate claw ii wright 40240230,9575.0,6223.75,173.17,9575.0,102
HCPCS,C1713,Plate claw ii wright 40240420,11678.0,7590.7,173.17,11678.0,102
HCPCS,C1713,Plate colink In2Bones p70st003,4991.0,3244.15,173.17,4991.0,102
HCPCS,C1713,Plate comp condyle 5h a434030,3814.0,2479.1,173.17,3814.0,102
HCPCS,C1713,Plate comp lck 4h s&n 71829704,1574.0,1023.1,173.17,1574.0,102
HCPCS,C1713,Plate compr 2.7mm 8h 10052108,3984.0,2589.6,173.17,3984.0,102
HCPCS,C1713,Plate compr 6h acumed700508006,1947.0,1265.55,173.17,1947.0,102
HCPCS,C1713,Plate compr tm 4h p531014021,6787.0,4411.55,173.17,6787.0,102
HCPCS,C1713,Plate compress 10mm 10052106,3914.0,2544.1,173.17,3914.0,102
HCPCS,C1713,Plate compress 2h 130d SN,2671.0,1736.15,173.17,2671.0,102
HCPCS,C1713,Plate comprs lng 4h 019284,1366.0,887.9,173.17,1366.0,102
HCPCS,C1713,Plate comprs med 4h 019282,1972.0,1281.8,173.17,1972.0,102
HCPCS,C1713,Plate comprs smfrag 10h 121 SN,1033.0,671.45,173.17,1033.0,102
HCPCS,C1713,Plate comprs smfrag 7h 109m SN,1005.0,653.25,173.17,1005.0,102
HCPCS,C1713,Plate cond 1.5 7h 36 rt 24662,1491.0,969.15,173.17,1491.0,102
HCPCS,C1713,Plate condyl 2.7 lcp 7h 249685,3800.0,2470.0,173.17,3800.0,102
HCPCS,C1713,Plate condyl 4.5 10hrt 242SYNT,8581.0,5577.65,173.17,8581.0,102
HCPCS,C1713,Plate condyl 4.5 12hrt 278SYNT,8944.0,5813.6,173.17,8944.0,102
HCPCS,C1713,Plate condyl 4.5 14 lt 314SYNT,9229.0,5998.85,173.17,9229.0,102
HCPCS,C1713,Plate condyl 4.5 6h lt 170SYNT,8301.0,5395.65,173.17,8301.0,102
HCPCS,C1713,Plate condyl 4.5 6h rt 170SYNT,8123.0,5279.95,173.17,8123.0,102
HCPCS,C1713,Plate condyl2.0 lcp 7h 247349,4069.0,2644.85,173.17,4069.0,102
HCPCS,C1713,Plate condylar 1.5 SYNT,1476.0,959.4,173.17,1476.0,102
HCPCS,C1713,Plate condylar 80x204mm 23726,3412.0,2217.8,173.17,3412.0,102
HCPCS,C1713,Plate condylr Depuy 23724s,3669.0,2384.85,173.17,3669.0,102
HCPCS,C1713,Plate condylr crvd rt 4124410s,12745.0,8284.25,173.17,12745.0,102
HCPCS,C1713,Plate coronoid acumed 700413,7688.0,4997.2,173.17,7688.0,102
HCPCS,C1713,Plate cranial 2180221,1861.0,1209.65,173.17,1861.0,102
HCPCS,C1713,Plate crosslck 24x62 131822060,4641.0,3016.65,173.17,4641.0,102
HCPCS,C1713,Plate crv 6hl 02.112.080,4769.0,3099.85,173.17,4769.0,102
HCPCS,C1713,Plate crvcl hlx min 26 7740126,4426.0,2876.9,173.17,4426.0,102
HCPCS,C1713,Plate curved 6h 3.5mm 24530,2262.0,1470.3,173.17,2262.0,102
HCPCS,C1713,Plate curved 8h 3.5mm 24531,2456.0,1596.4,173.17,2456.0,102
HCPCS,C1713,Plate cvd 4.5 14h 314 r2001324,9031.0,5870.15,173.17,9031.0,102
HCPCS,C1713,Plate cvd 4.5 16h 350 r2001326,9206.0,5983.9,173.17,9206.0,102
HCPCS,C1713,Plate dcp 12h 2.7x100mm 24412,1447.0,940.55,173.17,1447.0,102
HCPCS,C1713,Plate dcp 9h 2.7x76mm 24409,1159.0,753.35,173.17,1159.0,102
HCPCS,C1713,Plate depuy 02001320s,1380.0,897.0,173.17,1380.0,102
HCPCS,C1713,Plate depuy 02111570s,1239.0,805.35,173.17,1239.0,102
HCPCS,C1713,Plate depuy 02111650s,5013.0,3258.45,173.17,5013.0,102
HCPCS,C1713,Plate depuy 02111690s,4880.0,3172.0,173.17,4880.0,102
HCPCS,C1713,Plate depuy 02112011s,4896.0,3182.4,173.17,4896.0,102
HCPCS,C1713,Plate depuy 02112018s,4966.0,3227.9,173.17,4966.0,102
HCPCS,C1713,Plate depuy 02112046s,4986.0,3240.9,173.17,4986.0,102
HCPCS,C1713,Plate depuy 02112047s,13137.0,8539.05,173.17,13137.0,102
HCPCS,C1713,Plate depuy 02112113s,3788.0,2462.2,173.17,3788.0,102
HCPCS,C1713,Plate depuy 02112137s,3877.0,2520.05,173.17,3877.0,102
HCPCS,C1713,Plate depuy 02112144s,3156.0,2051.4,173.17,3156.0,102
HCPCS,C1713,Plate depuy 02112145s,8617.0,5601.05,173.17,8617.0,102
HCPCS,C1713,Plate depuy 02112148s,3321.0,2158.65,173.17,3321.0,102
HCPCS,C1713,Plate depuy 02112152s,8802.0,5721.3,173.17,8802.0,102
HCPCS,C1713,Plate depuy 02112208s,8236.0,5353.4,173.17,8236.0,102
HCPCS,C1713,Plate depuy 02112530s,7936.0,5158.4,173.17,7936.0,102
HCPCS,C1713,Plate depuy 02117606s,4935.0,3207.75,173.17,4935.0,102
HCPCS,C1713,Plate depuy 02117805s,3903.0,2536.95,173.17,3903.0,102
HCPCS,C1713,Plate depuy 02117807s,2969.0,1929.85,173.17,2969.0,102
HCPCS,C1713,Plate depuy 02118209s,3848.0,2501.2,173.17,3848.0,102
HCPCS,C1713,Plate depuy 02118212s,3377.0,2195.05,173.17,3377.0,102
HCPCS,C1713,Plate depuy 02120601s,3226.0,2096.9,173.17,3226.0,102
HCPCS,C1713,Plate depuy 02120702s,6457.0,4197.05,173.17,6457.0,102
HCPCS,C1713,Plate depuy 02120704s,6673.0,4337.45,173.17,6673.0,102
HCPCS,C1713,Plate depuy 02120710s,7080.0,4602.0,173.17,7080.0,102
HCPCS,C1713,Plate depuy 02124408s,5473.0,3557.45,173.17,5473.0,102
HCPCS,C1713,Plate depuy 02124409s,11958.0,7772.7,173.17,11958.0,102
HCPCS,C1713,Plate depuy 02124419s,6200.0,4030.0,173.17,6200.0,102
HCPCS,C1713,Plate depuy 02127230s,4868.0,3164.2,173.17,4868.0,102
HCPCS,C1713,Plate depuy 02127330s,2421.0,1573.65,173.17,2421.0,102
HCPCS,C1713,Plate depuy 02161214s,2232.0,1450.8,173.17,2232.0,102
HCPCS,C1713,Plate depuy 02211247s,6156.0,4001.4,173.17,6156.0,102
HCPCS,C1713,Plate depuy 02211256s,5471.0,3556.15,173.17,5471.0,102
HCPCS,C1713,Plate depuy 02211257s,5323.0,3459.95,173.17,5323.0,102
HCPCS,C1713,Plate depuy 02211258s,5615.0,3649.75,173.17,5615.0,102
HCPCS,C1713,Plate depuy 04110151s,4597.0,2988.05,173.17,4597.0,102
HCPCS,C1713,Plate depuy 2100208,7980.0,5187.0,173.17,7980.0,102
HCPCS,C1713,Plate depuy 2100209,9656.0,6276.4,173.17,9656.0,102
HCPCS,C1713,Plate depuy 2100363,13230.0,8599.5,173.17,13230.0,102
HCPCS,C1713,Plate depuy 2107202,5463.0,3550.95,173.17,5463.0,102
HCPCS,C1713,Plate depuy 2107206,5591.0,3634.15,173.17,5591.0,102
HCPCS,C1713,Plate depuy 2110202,6601.0,4290.65,173.17,6601.0,102
HCPCS,C1713,Plate depuy 2110204,5287.0,3436.55,173.17,5287.0,102
HCPCS,C1713,Plate depuy 2110206,6734.0,4377.1,173.17,6734.0,102
HCPCS,C1713,Plate depuy 2110208,4174.0,2713.1,173.17,4174.0,102
HCPCS,C1713,Plate depuy 2112045,8459.0,5498.35,173.17,8459.0,102
HCPCS,C1713,Plate depuy 2112046,8818.0,5731.7,173.17,8818.0,102
HCPCS,C1713,Plate depuy 2112094,3428.0,2228.2,173.17,3428.0,102
HCPCS,C1713,Plate depuy 2112109,2687.0,1746.55,173.17,2687.0,102
HCPCS,C1713,Plate depuy 2112143,2699.0,1754.35,173.17,2699.0,102
HCPCS,C1713,Plate depuy 2117003,6286.0,4085.9,173.17,6286.0,102
HCPCS,C1713,Plate depuy 2124417,5152.0,3348.8,173.17,5152.0,102
HCPCS,C1713,Plate depuy 2211201,5344.0,3473.6,173.17,5344.0,102
HCPCS,C1713,Plate depuy 2211222,5279.0,3431.35,173.17,5279.0,102
HCPCS,C1713,Plate depuy 2211255,5083.0,3303.95,173.17,5083.0,102
HCPCS,C1713,Plate depuy 2211260,5237.0,3404.05,173.17,5237.0,102
HCPCS,C1713,Plate depuy 2211404,3327.0,2162.55,173.17,3327.0,102
HCPCS,C1713,Plate depuy 2211420,5089.0,3307.85,173.17,5089.0,102
HCPCS,C1713,Plate depuy 222658s,2290.0,1488.5,173.17,2290.0,102
HCPCS,C1713,Plate depuy 222659s,4211.0,2737.15,173.17,4211.0,102
HCPCS,C1713,Plate depuy 223521,1370.0,890.5,173.17,1370.0,102
HCPCS,C1713,Plate depuy 22359,882.0,573.3,152.59,882.0,102
HCPCS,C1713,Plate depuy 22661,9024.0,5865.6,173.17,9024.0,102
HCPCS,C1713,Plate depuy 226622s,9207.0,5984.55,173.17,9207.0,102
HCPCS,C1713,Plate depuy 226632s,10744.0,6983.6,173.17,10744.0,102
HCPCS,C1713,Plate depuy 226662s,2163.0,1405.95,173.17,2163.0,102
HCPCS,C1713,Plate depuy 226702s,2259.0,1468.35,173.17,2259.0,102
HCPCS,C1713,Plate depuy 237103s,2029.0,1318.85,173.17,2029.0,102
HCPCS,C1713,Plate depuy 237104s,2103.0,1366.95,173.17,2103.0,102
HCPCS,C1713,Plate depuy 23792s,2767.0,1798.55,173.17,2767.0,102
HCPCS,C1713,Plate depuy 239939s,9778.0,6355.7,173.17,9778.0,102
HCPCS,C1713,Plate depuy 239964s,10248.0,6661.2,173.17,10248.0,102
HCPCS,C1713,Plate depuy 240036s,4250.0,2762.5,173.17,4250.0,102
HCPCS,C1713,Plate depuy 240037s,4412.0,2867.8,173.17,4412.0,102
HCPCS,C1713,Plate depuy 240040s,3964.0,2576.6,173.17,3964.0,102
HCPCS,C1713,Plate depuy 240041s,5362.0,3485.3,173.17,5362.0,102
HCPCS,C1713,Plate depuy 240045s,6547.0,4255.55,173.17,6547.0,102
HCPCS,C1713,Plate depuy 240046s,3818.0,2481.7,173.17,3818.0,102
HCPCS,C1713,Plate depuy 240048s,8506.0,5528.9,173.17,8506.0,102
HCPCS,C1713,Plate depuy 240053s,9646.0,6269.9,173.17,9646.0,102
HCPCS,C1713,Plate depuy 241918,9640.0,6266.0,173.17,9640.0,102
HCPCS,C1713,Plate depuy 242110s,9838.0,6394.7,173.17,9838.0,102
HCPCS,C1713,Plate depuy 242120s,9131.0,5935.15,173.17,9131.0,102
HCPCS,C1713,Plate depuy 242127s,11614.0,7549.1,173.17,11614.0,102
HCPCS,C1713,Plate depuy 245131,10075.0,6548.75,173.17,10075.0,102
HCPCS,C1713,Plate depuy 245906,10186.0,6620.9,173.17,10186.0,102
HCPCS,C1713,Plate depuy 245926,9669.0,6284.85,173.17,9669.0,102
HCPCS,C1713,Plate depuy 247346,11242.0,7307.3,173.17,11242.0,102
HCPCS,C1713,Plate depuy 247351,9586.0,6230.9,173.17,9586.0,102
HCPCS,C1713,Plate depuy 247360,8975.0,5833.75,173.17,8975.0,102
HCPCS,C1713,Plate depuy 281040s,9084.0,5904.6,173.17,9084.0,102
HCPCS,C1713,Plate depuy 281530s,9368.0,6089.2,173.17,9368.0,102
HCPCS,C1713,Plate depuy 281540s,9545.0,6204.25,173.17,9545.0,102
HCPCS,C1713,Plate depuy 32930,3737.0,2429.05,173.17,3737.0,102
HCPCS,C1713,Plate depuy 422226,10436.0,6783.4,173.17,10436.0,102
HCPCS,C1713,Plate dis fib7h 2.7mm 72465307,6707.0,4359.55,173.17,6707.0,102
HCPCS,C1713,Plate dis rad 2.4m7h 02111720s,4169.0,2709.85,173.17,4169.0,102
HCPCS,C1713,Plate dist S&N 72468304,8235.0,5352.75,173.17,8235.0,102
HCPCS,C1713,Plate dist Skeletl DYN scl250,11400.0,7410.0,173.17,11400.0,102
HCPCS,C1713,Plate dist Stryker 5425573,6736.0,4378.4,173.17,6736.0,102
HCPCS,C1713,Plate dist clvcl acumed 700124,6212.0,4037.8,173.17,6212.0,102
HCPCS,C1713,Plate dist fem 10h rt 627640,17677.0,11490.05,173.17,17677.0,102
HCPCS,C1713,Plate dist fib 3.5mm 72465105,4376.0,2844.4,173.17,4376.0,102
HCPCS,C1713,Plate dist fib 5hl 3.5 2112141,2640.0,1716.0,173.17,2640.0,102
HCPCS,C1713,Plate dist fib 6h 02118406s,4508.0,2930.2,173.17,4508.0,102
HCPCS,C1713,Plate dist lat fem 10h 627610,15338.0,9969.7,173.17,15338.0,102
HCPCS,C1713,Plate dist lat fem lt 627606,14670.0,9535.5,173.17,14670.0,102
HCPCS,C1713,Plate dist mdl Axos 12h 437232,10353.0,6729.45,173.17,10353.0,102
HCPCS,C1713,Plate dist rad2.4mm rt 2111730,3926.0,2551.9,173.17,3926.0,102
HCPCS,C1713,Plate dist tib post mpdt304r,10287.0,6686.55,173.17,10287.0,102
HCPCS,C1713,Plate distal 12h 274mm 627612,15673.0,10187.45,173.17,15673.0,102
HCPCS,C1713,Plate distl Arthrex ar8963mr08,8810.0,5726.5,173.17,8810.0,102
HCPCS,C1713,Plate distl Skeletl dhpflhr5hl,9546.0,6204.9,173.17,9546.0,102
HCPCS,C1713,Plate distl evos 7h lt72464907,4259.0,2768.35,173.17,4259.0,102
HCPCS,C1713,Plate distl fem 12h 627642,18011.0,11707.15,173.17,18011.0,102
HCPCS,C1713,Plate dorsal lt 2hl 14400722,3311.0,2152.15,173.17,3311.0,102
HCPCS,C1713,Plate dvr lck narrow 131821040,4141.0,2691.65,173.17,4141.0,102
HCPCS,C1713,Plate dvr wrist 131849181,12113.0,7873.45,173.17,12113.0,102
HCPCS,C1713,Plate evos 2.4mm 5h 72442478n,5732.0,3725.8,173.17,5732.0,102
HCPCS,C1713,Plate evos 2.7mm 3h 72442722,4205.0,2733.25,173.17,4205.0,102
HCPCS,C1713,Plate evos 3.5mm 72463708,8130.0,5284.5,173.17,8130.0,102
HCPCS,C1713,Plate evos 3.5x195mm 72469216,14866.0,9662.9,173.17,14866.0,102
HCPCS,C1713,Plate evos S&N 72440410,2113.0,1373.45,173.17,2113.0,102
HCPCS,C1713,Plate evos S&N 72440807,493.0,320.45,85.29,493.0,102
HCPCS,C1713,Plate evos S&N 72463808,8132.0,5285.8,173.17,8132.0,102
HCPCS,C1713,Plate evos S&N 72464012,11822.0,7684.3,173.17,11822.0,102
HCPCS,C1713,Plate evos prox S&N 72463213,10615.0,6899.75,173.17,10615.0,102
HCPCS,C1713,Plate evos tib 14h rt 72464414,11923.0,7749.95,173.17,11923.0,102
HCPCS,C1713,Plate facial id orth 6 7892006,58535.0,38047.75,173.17,58535.0,102
HCPCS,C1713,Plate facialid orth 7 7892007,61978.0,40285.7,173.17,61978.0,102
HCPCS,C1713,Plate fem 19 h 4.5 l-d71800019,9951.0,6468.15,173.17,9951.0,102
HCPCS,C1713,Plate fem 72585116,24206.0,15733.9,173.17,24206.0,102
HCPCS,C1713,Plate fem NCB dist 0202264009,7779.0,5056.35,173.17,7779.0,102
HCPCS,C1713,Plate fem Zimmer 0203264109,6204.0,4032.6,173.17,6204.0,102
HCPCS,C1713,Plate fem dist rt15h 203264015,6929.0,4503.85,173.17,6929.0,102
HCPCS,C1713,Plate fem distal lat 627646,18679.0,12141.35,173.17,18679.0,102
HCPCS,C1713,Plate fem prox 2221113s,13955.0,9070.75,173.17,13955.0,102
HCPCS,C1713,Plate fem prox rt 2221086s,15469.0,10054.85,173.17,15469.0,102
HCPCS,C1713,Plate female post 1h dne1fp,288.0,187.2,49.82,288.0,102
HCPCS,C1713,Plate fib 3hl lt 816206003,3162.0,2055.3,173.17,3162.0,102
HCPCS,C1713,Plate fib 9h 3.5x125 72464909,4510.0,2931.5,173.17,4510.0,102
HCPCS,C1713,Plate fib Acumed 3365203,10171.0,6611.15,173.17,10171.0,102
HCPCS,C1713,Plate fib Alps 3hl 816207003,3262.0,2120.3,173.17,3262.0,102
HCPCS,C1713,Plate fib In2Bones p70st205,9774.0,6353.1,173.17,9774.0,102
HCPCS,C1713,Plate fib Paragon28 p532040006,6920.0,4498.0,173.17,6920.0,102
HCPCS,C1713,Plate fib alps zimmer816207004,3359.0,2183.35,173.17,3359.0,102
HCPCS,C1713,Plate fib anatomic 770708041,5135.0,3337.75,173.17,5135.0,102
HCPCS,C1713,Plate fib comp lck 816204008,1282.0,833.3,173.17,1282.0,102
HCPCS,C1713,Plate fib dist lat 5h 2112140,3326.0,2161.9,173.17,3326.0,102
HCPCS,C1713,Plate fib evos 7h 80mm72455307,3672.0,2386.8,173.17,3672.0,102
HCPCS,C1713,Plate fib evos l159mm 72465311,8049.0,5231.85,173.17,8049.0,102
HCPCS,C1713,Plate fib lck 9h lt 72821009,4025.0,2616.25,173.17,4025.0,102
HCPCS,C1713,Plate fib lck lat 5888103r,9381.0,6097.65,173.17,9381.0,102
HCPCS,C1713,Plate fib post ss ar8963pll05,4105.0,2668.25,173.17,4105.0,102
HCPCS,C1713,Plate fib rt dist 9h 02112148,2887.0,1876.55,173.17,2887.0,102
HCPCS,C1713,Plate fibula 6hl 4020906,4794.0,3116.1,173.17,4794.0,102
HCPCS,C1713,Plate flat 1.5x2mm 770513100,2973.0,1932.45,173.17,2973.0,102
HCPCS,C1713,Plate forerunner 8hl 14401360,8222.0,5344.3,173.17,8222.0,102
HCPCS,C1713,Plate fps Osteomed 3241090,3404.0,2212.6,173.17,3404.0,102
HCPCS,C1713,Plate fracture 14h 5515514,3089.0,2007.85,173.17,3089.0,102
HCPCS,C1713,Plate fracture 6h w/bar5515507,2156.0,1401.4,173.17,2156.0,102
HCPCS,C1713,Plate genioplasty 2x7 11042109,1020.0,663.0,173.17,1020.0,102
HCPCS,C1713,Plate grip troch S&N 71340011,14233.0,9251.45,173.17,14233.0,102
HCPCS,C1713,Plate head Depuy 04130257,2460.0,1599.0,173.17,2460.0,102
HCPCS,C1713,Plate hip 130d 4h 100mmshortsn,2866.0,1862.9,173.17,2866.0,102
HCPCS,C1713,Plate hip 145o 4h 100mmshortsn,2891.0,1879.15,173.17,2891.0,102
HCPCS,C1713,Plate hook Stryker 58882010,5193.0,3375.45,173.17,5193.0,102
HCPCS,C1713,Plate hook Wright 52020400,7052.0,4583.8,173.17,7052.0,102
HCPCS,C1713,Plate howmed 437506,12563.0,8165.95,173.17,12563.0,102
HCPCS,C1713,Plate hum 3.5 prox 6h 2419195,8961.0,5824.65,173.17,8961.0,102
HCPCS,C1713,Plate hum 3h 80mm 72465603,10812.0,7027.8,173.17,10812.0,102
HCPCS,C1713,Plate hum 8h rt 194 02104008,7830.0,5089.5,173.17,7830.0,102
HCPCS,C1713,Plate hum Zimmer 110030101,9110.0,5921.5,173.17,9110.0,102
HCPCS,C1713,Plate hum dist condyl scr250,12358.0,8032.7,173.17,12358.0,102
HCPCS,C1713,Plate hum lat 12h prox 627212s,14540.0,9451.0,173.17,14540.0,102
HCPCS,C1713,Plate hum post lat dist 241275,5242.0,3407.3,173.17,5242.0,102
HCPCS,C1713,Plate hum post-lat dist 700379,7753.0,5039.45,173.17,7753.0,102
HCPCS,C1713,Plate hum prox 110030400,8724.0,5670.6,173.17,8724.0,102
HCPCS,C1713,Plate hum prox hi lt 110030300,7102.0,4616.3,173.17,7102.0,102
HCPCS,C1713,Plate hum prox hi lt 110030302,8615.0,5599.75,173.17,8615.0,102
HCPCS,C1713,Plate humerl cemented36 dwb960,9475.0,6158.75,173.17,9475.0,102
HCPCS,C1713,Plate j lopr 3.5mm 12h 245932,3659.0,2378.35,173.17,3659.0,102
HCPCS,C1713,Plate l prof 14h 3.5mm 245934,3938.0,2559.7,173.17,3938.0,102
HCPCS,C1713,Plate lapid Novastep pl030402,12389.0,8052.85,173.17,12389.0,102
HCPCS,C1713,Plate lapidus Stryker 3814100r,13502.0,8776.3,173.17,13502.0,102
HCPCS,C1713,Plate lapidus med l p53106l003,7358.0,4782.7,173.17,7358.0,102
HCPCS,C1713,Plate lat distal 3052015,11791.0,7664.15,173.17,11791.0,102
HCPCS,C1713,Plate lat ttc fusin ank022ttcl,20072.0,13046.8,173.17,20072.0,102
HCPCS,C1713,Plate lc dcp 6h 2x39mm 243586,1264.0,821.6,173.17,1264.0,102
HCPCS,C1713,Plate lc dcp 6h 51mm rt 249926,1740.0,1131.0,173.17,1740.0,102
HCPCS,C1713,Plate lc dcp 8h 67mm rt 249928,1825.0,1186.25,173.17,1825.0,102
HCPCS,C1713,Plate lc dcp12h 2.7x113 242222,969.0,629.85,167.64,969.0,102
HCPCS,C1713,Plate lc-dcp 2.0 8h hand SYNT,1673.0,1087.45,173.17,1673.0,102
HCPCS,C1713,Plate lcdcp narrow 4h SYNT,1826.0,1186.9,173.17,1826.0,102
HCPCS,C1713,Plate lcdcp narrow 5h SYNT,1953.0,1269.45,173.17,1953.0,102
HCPCS,C1713,Plate lcdcp narrow 7h SYNT,2392.0,1554.8,173.17,2392.0,102
HCPCS,C1713,Plate lck 1.5 3/5h t a4350.14,2193.0,1425.45,173.17,2193.0,102
HCPCS,C1713,Plate lck 12h 2x6 grid strg,2118.0,1376.7,173.17,2118.0,102
HCPCS,C1713,Plate lck 2.4x2.7 4h 02211263s,5036.0,3273.4,173.17,5036.0,102
HCPCS,C1713,Plate lck 2h ffp071,7799.0,5069.35,173.17,7799.0,102
HCPCS,C1713,Plate lck 3d midfc 2x2h5505731,1313.0,853.45,173.17,1313.0,102
HCPCS,C1713,Plate lck 5h rt3.5x83 72822005,3595.0,2336.75,173.17,3595.0,102
HCPCS,C1713,Plate lck Acumed 3331601,2108.0,1370.2,173.17,2108.0,102
HCPCS,C1713,Plate lck Depuy 02100109,4471.0,2906.15,173.17,4471.0,102
HCPCS,C1713,Plate lck S&N 72440708,2250.0,1462.5,173.17,2250.0,102
HCPCS,C1713,Plate lck S&N 72440710,2391.0,1554.15,173.17,2391.0,102
HCPCS,C1713,Plate lck Zimmer 131220252,2538.0,1649.7,173.17,2538.0,102
HCPCS,C1713,Plate lck Zimmer 131220255,2288.0,1487.2,173.17,2288.0,102
HCPCS,C1713,Plate lck Zimmer 202263202,4715.0,3064.75,173.17,4715.0,102
HCPCS,C1713,Plate lck Zimmer 816207006,3882.0,2523.3,173.17,3882.0,102
HCPCS,C1713,Plate lck broad 2.7x108 629752,6055.0,3935.75,173.17,6055.0,102
HCPCS,C1713,Plate lck compr 2.7mm 10052105,3845.0,2499.25,173.17,3845.0,102
HCPCS,C1713,Plate lck contour 4.5 10504312,14687.0,9546.55,173.17,14687.0,102
HCPCS,C1713,Plate lck dvr Zimmer 131822050,4976.0,3234.4,173.17,4976.0,102
HCPCS,C1713,Plate lck evos 7h 82 72440507,960.0,624.0,166.08,960.0,102
HCPCS,C1713,Plate lck evos 8h 94mm72440508,1701.0,1105.65,173.17,1701.0,102
HCPCS,C1713,Plate lck fx no cmpr 1.5 crvd,2527.0,1642.55,173.17,2527.0,102
HCPCS,C1713,Plate lck fx xlong 6h 1.0mm,312.0,202.8,53.98,312.0,102
HCPCS,C1713,Plate lck lopr 3h 3.5mm2100103,3499.0,2274.35,173.17,3499.0,102
HCPCS,C1713,Plate lck lopr 7h 3.5mm2100107,3287.0,2136.55,173.17,3287.0,102
HCPCS,C1713,Plate lck medl long 9h pllem9l,6617.0,4301.05,173.17,6617.0,102
HCPCS,C1713,Plate lck mndb recon 26h 2.3,273.0,177.45,47.23,273.0,102
HCPCS,C1713,Plate lck narrow 2.4 3600100,208.0,135.2,35.98,208.0,102
HCPCS,C1713,Plate lck narrow 2.7x79 629730,5334.0,3467.1,173.17,5334.0,102
HCPCS,C1713,Plate lck reg 1.0mm thk 4h,1322.0,859.3,173.17,1322.0,102
HCPCS,C1713,Plate lck sternal Depuy 460045,5534.0,3597.1,173.17,5534.0,102
HCPCS,C1713,Plate lck vdu rt acumed 700046,5085.0,3305.25,173.17,5085.0,102
HCPCS,C1713,Plate lckn 2.0 6h strt bar,2771.0,1801.15,173.17,2771.0,102
HCPCS,C1713,Plate lcp 18h depuy 223671,3962.0,2575.3,173.17,3962.0,102
HCPCS,C1713,Plate lcp 2h depuy 249670,3286.0,2135.9,173.17,3286.0,102
HCPCS,C1713,Plate lcp 3.5mm 14h 239945s,10294.0,6691.1,173.17,10294.0,102
HCPCS,C1713,Plate lcp 3h 2.7x79 2118401,3558.0,2312.7,173.17,3558.0,102
HCPCS,C1713,Plate lcp 4.5mm 700304,9399.0,6109.35,173.17,9399.0,102
HCPCS,C1713,Plate lcp 5h 2.4x51 02115150s,4120.0,2678.0,173.17,4120.0,102
HCPCS,C1713,Plate lcp 7h depuy 242531s,4479.0,2911.35,173.17,4479.0,102
HCPCS,C1713,Plate lcp 7h depuy 249679,2972.0,1931.8,173.17,2972.0,102
HCPCS,C1713,Plate lcp Depuy 02112013s,5697.0,3703.05,173.17,5697.0,102
HCPCS,C1713,Plate lcp Depuy 02123030s,13749.0,8936.85,173.17,13749.0,102
HCPCS,C1713,Plate lcp Depuy 224765,7280.0,4732.0,173.17,7280.0,102
HCPCS,C1713,Plate lcp Depuy 239959,8819.0,5732.35,173.17,8819.0,102
HCPCS,C1713,Plate lcp clav3.5x81 2112010s,5718.0,3716.7,173.17,5718.0,102
HCPCS,C1713,Plate lcp clav3.5x94 2112012s,5820.0,3783.0,173.17,5820.0,102
HCPCS,C1713,Plate lcp condyl depuy 249684,3238.0,2104.7,173.17,3238.0,102
HCPCS,C1713,Plate lcp curvd4.5x336 226682s,6122.0,3979.3,173.17,6122.0,102
HCPCS,C1713,Plate lcp curvd4.5x408 226722s,7385.0,4800.25,173.17,7385.0,102
HCPCS,C1713,Plate lcp dist 2.4 lt 02111521,8467.0,5503.55,173.17,8467.0,102
HCPCS,C1713,Plate lcp dist 3.5x208 241302s,6603.0,4291.95,173.17,6603.0,102
HCPCS,C1713,Plate lcp dist 7h depuy241267s,5630.0,3659.5,173.17,5630.0,102
HCPCS,C1713,Plate lcp dist 7h depuy241276s,6249.0,4061.85,173.17,6249.0,102
HCPCS,C1713,Plate lcp femur4.5x133 242120,8715.0,5664.75,173.17,8715.0,102
HCPCS,C1713,Plate lcp femur4.5x169 242121,8834.0,5742.1,173.17,8834.0,102
HCPCS,C1713,Plate lcp femur4.5x169 242121s,9716.0,6315.4,173.17,9716.0,102
HCPCS,C1713,Plate lcp femur4.5x205 242122s,9876.0,6419.4,173.17,9876.0,102
HCPCS,C1713,Plate lcp femur4.5x313 242125s,11111.0,7222.15,173.17,11111.0,102
HCPCS,C1713,Plate lcp hum 3.5 8h 02104008s,8979.0,5836.35,173.17,8979.0,102
HCPCS,C1713,Plate lcp hum 3.5x268mm 241925,11261.0,7319.65,173.17,11261.0,102
HCPCS,C1713,Plate lcp hum3.5x160 prx241919,9932.0,6455.8,173.17,9932.0,102
HCPCS,C1713,Plate lcp j&j 2110151,8901.0,5785.65,173.17,8901.0,102
HCPCS,C1713,Plate lcp methpys3.5 6h 223406,4497.0,2923.05,173.17,4497.0,102
HCPCS,C1713,Plate lcp metphy depuy 223407,4586.0,2980.9,173.17,4586.0,102
HCPCS,C1713,Plate lcp metphys depuy 224758,6374.0,4143.1,173.17,6374.0,102
HCPCS,C1713,Plate lcp prox hum 3.5 241918s,10244.0,6658.6,173.17,10244.0,102
HCPCS,C1713,Plate lcp prox10h depuy241923s,9633.0,6261.45,173.17,9633.0,102
HCPCS,C1713,Plate lcp radial depuy 241680,3540.0,2301.0,173.17,3540.0,102
HCPCS,C1713,Plate lcp tib 10h depuy239961s,9917.0,6446.05,173.17,9917.0,102
HCPCS,C1713,Plate lcp tib 12h depuy239963s,10066.0,6542.9,173.17,10066.0,102
HCPCS,C1713,Plate lcp tib2.7 dstl02118204s,10172.0,6611.8,173.17,10172.0,102
HCPCS,C1713,Plate lcp2.4 dstl 3h 02115131s,3917.0,2546.05,173.17,3917.0,102
HCPCS,C1713,Plate lcp2.4 dstl 3h 02115330s,4047.0,2630.55,173.17,4047.0,102
HCPCS,C1713,Plate lg ang 2.6mm 441005,10602.0,6891.3,173.17,10602.0,102
HCPCS,C1713,Plate lisfranc Zimmer strm1lf2,6444.0,4188.6,173.17,6444.0,102
HCPCS,C1713,Plate lisfrnc Novastp pl050201,13615.0,8849.75,173.17,13615.0,102
HCPCS,C1713,Plate lock 3rd tib ss 8h,1327.0,862.55,173.17,1327.0,102
HCPCS,C1713,Plate lock calcal long rt SYNT,3836.0,2493.4,173.17,3836.0,102
HCPCS,C1713,Plate lock comminut 2.0mm OSTE,4248.0,2761.2,173.17,4248.0,102
HCPCS,C1713,Plate lopr 3.5mm 6h 2100206,2464.0,1601.6,173.17,2464.0,102
HCPCS,C1713,Plate lt ant Acumed 3362210,13950.0,9067.5,173.17,13950.0,102
HCPCS,C1713,Plate mandible 2x110 251970771,2019.0,1312.35,173.17,2019.0,102
HCPCS,C1713,Plate mandible Stryker 7831028,51757.0,33642.05,173.17,51757.0,102
HCPCS,C1713,Plate mandible angl 2 sd480110,37874.0,24618.1,173.17,37874.0,102
HCPCS,C1713,Plate mdl dist4h rt ar8963mr04,8609.0,5595.85,173.17,8609.0,102
HCPCS,C1713,Plate mesh 1.6 111x191 2180040,6896.0,4482.4,173.17,6896.0,102
HCPCS,C1713,Plate mesh 1.6 150x300 2180041,6412.0,4167.8,173.17,6412.0,102
HCPCS,C1713,Plate mesh 1.6 165 2182005sp,16798.0,10918.7,173.17,16798.0,102
HCPCS,C1713,Plate mesh 1.6 90x90 2182004sp,3369.0,2189.85,173.17,3369.0,102
HCPCS,C1713,Plate mesh 1.6 rig165 2182008,9422.0,6124.3,173.17,9422.0,102
HCPCS,C1713,Plate mesh orb floor lg 017108,4781.0,3107.65,173.17,4781.0,102
HCPCS,C1713,Plate mesh spine 74x50 ostefrm,4345.0,2824.25,173.17,4345.0,102
HCPCS,C1713,Plate mesh.2x85x54mm 250402509,2820.0,1833.0,173.17,2820.0,102
HCPCS,C1713,Plate meta vdr 7h 02110007s,9430.0,6129.5,173.17,9430.0,102
HCPCS,C1713,Plate micro orbital OSTE,2815.0,1829.75,173.17,2815.0,102
HCPCS,C1713,Plate micro strt 8h reg KLSM,496.0,322.4,85.81,496.0,102
HCPCS,C1713,Plate midface l 9208231,2315.0,1504.75,173.17,2315.0,102
HCPCS,C1713,Plate mini 4 h reg kls,344.0,223.6,59.51,344.0,102
HCPCS,C1713,Plate mini 4h 5510504,412.0,267.8,71.28,412.0,102
HCPCS,C1713,Plate mp lt 9255511,3714.0,2414.1,173.17,3714.0,102
HCPCS,C1713,Plate mtp 5 lng rt p53103r153,9316.0,6055.4,173.17,9316.0,102
HCPCS,C1713,Plate mtp Paragon28 p53103r101,7178.0,4665.7,173.17,7178.0,102
HCPCS,C1713,Plate mtp j bar 2702435,8604.0,5592.6,173.17,8604.0,102
HCPCS,C1713,Plate narrow 4.5 16h 286 SYNT,4370.0,2840.5,173.17,4370.0,102
HCPCS,C1713,Plate narrow lc-dcp 8h SYNT,2530.0,1644.5,173.17,2530.0,102
HCPCS,C1713,Plate neuro1.6 x shape 8x10mmk,26779.0,17406.35,173.17,26779.0,102
HCPCS,C1713,Plate nuvasive 6951234,22525.0,14641.25,173.17,22525.0,102
HCPCS,C1713,Plate olecran 3.5 6h lt 236507,4982.0,3238.3,173.17,4982.0,102
HCPCS,C1713,Plate olecranon 15h rt 700311,7673.0,4987.45,173.17,7673.0,102
HCPCS,C1713,Plate olecranon 3.5 8h 236508s,5394.0,3506.1,173.17,5394.0,102
HCPCS,C1713,Plate olecranon 4hl lt 236504,4829.0,3138.85,173.17,4829.0,102
HCPCS,C1713,Plate olecranon 5h lt 72466505,7652.0,4973.8,173.17,7652.0,102
HCPCS,C1713,Plate olecranon 6 h 236506,5002.0,3251.3,173.17,5002.0,102
HCPCS,C1713,Plate olecranon 83mm 72466605,13064.0,8491.6,173.17,13064.0,102
HCPCS,C1713,Plate olecranon lk6h r71823906,6187.0,4021.55,173.17,6187.0,102
HCPCS,C1713,Plate olecrn Medartis a485601,4753.0,3089.45,173.17,4753.0,102
HCPCS,C1713,Plate olif25 2h small 2140001,35133.0,22836.45,173.17,35133.0,102
HCPCS,C1713,Plate orbit uprfce 4hl,502.0,326.3,86.85,502.0,102
HCPCS,C1713,Plate orbital floor .25 sp1966,6101.0,3965.65,173.17,6101.0,102
HCPCS,C1713,Plate orbt 12h trma 70mm,809.0,525.85,139.96,809.0,102
HCPCS,C1713,Plate paragon28 p531012023,2971.0,1931.15,173.17,2971.0,102
HCPCS,C1713,Plate paragon28 p531013011,4126.0,2681.9,173.17,4126.0,102
HCPCS,C1713,Plate paragon28 p531091014,1607.0,1044.55,173.17,1607.0,102
HCPCS,C1713,Plate paragon28 p53109l103,4291.0,2789.15,173.17,4291.0,102
HCPCS,C1713,Plate paragon28 p53109l112,525.0,341.25,90.83,525.0,102
HCPCS,C1713,Plate paragon28 p53109r001,3846.0,2499.9,173.17,3846.0,102
HCPCS,C1713,Plate paragon28 p53109r002,4031.0,2620.15,173.17,4031.0,102
HCPCS,C1713,Plate paragon28 p53109r003,2996.0,1947.4,173.17,2996.0,102
HCPCS,C1713,Plate paragon28 p53109r011,1724.0,1120.6,173.17,1724.0,102
HCPCS,C1713,Plate pat spec mdface sd980014,18384.0,11949.6,173.17,18384.0,102
HCPCS,C1713,Plate pat spec ti mb sd980113,44465.0,28902.25,173.17,44465.0,102
HCPCS,C1713,Plate pdhp med 02117004s,7121.0,4628.65,173.17,7121.0,102
HCPCS,C1713,Plate perc calc vlp 72821049s,6047.0,3930.55,173.17,6047.0,102
HCPCS,C1713,Plate phalng 1.5 depuy 2130254,2655.0,1725.75,173.17,2655.0,102
HCPCS,C1713,Plate plck Novastep pl040220,13995.0,9096.75,173.17,13995.0,102
HCPCS,C1713,Plate plnt Parag28 p130005016s,4731.0,3075.15,173.17,4731.0,102
HCPCS,C1713,Plate plnt Parag28p13000weilsk,4414.0,2869.1,173.17,4414.0,102
HCPCS,C1713,Plate polyax u medium 40243020,13290.0,8638.5,173.17,13290.0,102
HCPCS,C1713,Plate post Acumed 70010206l,7682.0,4993.3,173.17,7682.0,102
HCPCS,C1713,Plate post fib 10h 770709101,6541.0,4251.65,173.17,6541.0,102
HCPCS,C1713,Plate pro Stryker 5305212,567.0,368.55,98.09,567.0,102
HCPCS,C1713,Plate profyles 5705262,1933.0,1256.45,173.17,1933.0,102
HCPCS,C1713,Plate prox Arthrex 3081011,12158.0,7902.7,173.17,12158.0,102
HCPCS,C1713,Plate prox S&N 72463407,7965.0,5177.25,173.17,7965.0,102
HCPCS,C1713,Plate prox Stryker 627336,12402.0,8061.3,173.17,12402.0,102
HCPCS,C1713,Plate prox Stryker 627340,13071.0,8496.15,173.17,13071.0,102
HCPCS,C1713,Plate prox hum 10hl 241.923,9376.0,6094.4,173.17,9376.0,102
HCPCS,C1713,Plate prox hum 3.5 6h 5h SYNT,8292.0,5389.8,173.17,8292.0,102
HCPCS,C1713,Plate prox hum s&n 71821403,8209.0,5335.85,173.17,8209.0,102
HCPCS,C1713,Plate prox icp 4.5tibia04 SYNT,7680.0,4992.0,173.17,7680.0,102
HCPCS,C1713,Plate proximal humerus 3.5SYNT,8040.0,5226.0,173.17,8040.0,102
HCPCS,C1713,Plate prx hum 3.5x86 3h 540003,18190.0,11823.5,173.17,18190.0,102
HCPCS,C1713,Plate prx hum lo lt 110030102,8669.0,5634.85,173.17,8669.0,102
HCPCS,C1713,Plate qtr tube 8h 63mm SYNT,554.0,360.1,95.84,554.0,102
HCPCS,C1713,Plate quad 1.6 hl 2x3 2180059,992.0,644.8,171.62,992.0,102
HCPCS,C1713,Plate radius dist 2.4 02111640,4083.0,2653.95,173.17,4083.0,102
HCPCS,C1713,Plate recon 10h 3.5x140mm SYNT,2989.0,1942.85,173.17,2989.0,102
HCPCS,C1713,Plate recon 3.5 12h 168mm SYNT,3310.0,2151.5,173.17,3310.0,102
HCPCS,C1713,Plate recon 3.5 6h 84mm SYNT,2634.0,1712.1,173.17,2634.0,102
HCPCS,C1713,Plate recon 3.5 7h 98mm SYNT,2764.0,1796.6,173.17,2764.0,102
HCPCS,C1713,Plate recon 3.5 curv 6h SN,2523.0,1639.95,173.17,2523.0,102
HCPCS,C1713,Plate recon 5h SYNT,1819.0,1182.35,173.17,1819.0,102
HCPCS,C1713,Plate recon 8h 3.5x112mm SYNT,2883.0,1873.95,173.17,2883.0,102
HCPCS,C1713,Plate resorbx floor 5230623,2919.0,1897.35,173.17,2919.0,102
HCPCS,C1713,Plate rib Zimmer 3231013,12131.0,7885.15,173.17,12131.0,102
HCPCS,C1713,Plate ribfix Zimmer 762601,5035.0,3272.75,173.17,5035.0,102
HCPCS,C1713,Plate ribfix Zimmer 762603,9360.0,6084.0,173.17,9360.0,102
HCPCS,C1713,Plate ribfix Zimmer 762604,12414.0,8069.1,173.17,12414.0,102
HCPCS,C1713,Plate rt ankle 4 h mppa004s,4581.0,2977.65,173.17,4581.0,102
HCPCS,C1713,Plate s&n 72821042s,5526.0,3591.9,173.17,5526.0,102
HCPCS,C1713,Plate shoulder s3 4h lt sspl4,6151.0,3998.15,173.17,6151.0,102
HCPCS,C1713,Plate shouldr Skeltl dhpmdl3hl,8404.0,5462.6,173.17,8404.0,102
HCPCS,C1713,Plate sk dynamics prtfspys,7775.0,5053.75,173.17,7775.0,102
HCPCS,C1713,Plate sm ang 1.6mm 431001,4010.0,2606.5,173.17,4010.0,102
HCPCS,C1713,Plate spinal 4h 1cb 86600,3559.0,2313.35,173.17,3559.0,102
HCPCS,C1713,Plate square 8mm OSTE,722.0,469.3,124.91,722.0,102
HCPCS,C1713,Plate sternalck Zimmer sp2889,5436.0,3533.4,173.17,5436.0,102
HCPCS,C1713,Plate sternalck Zimmer sp2890,3194.0,2076.1,173.17,3194.0,102
HCPCS,C1713,Plate sternalck Zimmer sp2899,2838.0,1844.7,173.17,2838.0,102
HCPCS,C1713,Plate sternalck Zimmer sp2914,4820.0,3133.0,173.17,4820.0,102
HCPCS,C1713,Plate sternalck Zimmer sp2927,4149.0,2696.85,173.17,4149.0,102
HCPCS,C1713,Plate sternalck Zimmer sp3001,2994.0,1946.1,173.17,2994.0,102
HCPCS,C1713,Plate sternalck Zimmer sp3060,3144.0,2043.6,173.17,3144.0,102
HCPCS,C1713,Plate str 1.6mm 16hl 431016,4690.0,3048.5,173.17,4690.0,102
HCPCS,C1713,Plate str 4hl wgap 1.6mm 31004,1230.0,799.5,173.17,1230.0,102
HCPCS,C1713,Plate str midfce 24h 5504724,2506.0,1628.9,173.17,2506.0,102
HCPCS,C1713,Plate str up mlbl 18h 5504218,2304.0,1497.6,173.17,2304.0,102
HCPCS,C1713,Plate strt 10 h OSTE 2100032,1386.0,900.9,173.17,1386.0,102
HCPCS,C1713,Plate strt 12h 1.0mm OSTE,1513.0,983.45,173.17,1513.0,102
HCPCS,C1713,Plate strt 2.0 6h 247031,1107.0,719.55,173.17,1107.0,102
HCPCS,C1713,Plate strt 20h 460023,10996.0,7147.4,173.17,10996.0,102
HCPCS,C1713,Plate strt 5h 2.0 SYNT,342.0,222.3,59.17,342.0,102
HCPCS,C1713,Plate strt Arthrex ar18720p07,3895.0,2531.75,173.17,3895.0,102
HCPCS,C1713,Plate stryker 37043130,2775.0,1803.75,173.17,2775.0,102
HCPCS,C1713,Plate stryker 430014,1475.0,958.75,173.17,1475.0,102
HCPCS,C1713,Plate stryker 5300324,8474.0,5508.1,173.17,8474.0,102
HCPCS,C1713,Plate stryker 5504720,9344.0,6073.6,173.17,9344.0,102
HCPCS,C1713,Plate stryker 5506240,8532.0,5545.8,173.17,8532.0,102
HCPCS,C1713,Plate stryker 5506270,9789.0,6362.85,173.17,9789.0,102
HCPCS,C1713,Plate stryker 5506771,498.0,323.7,86.15,498.0,102
HCPCS,C1713,Plate stryker 5515536,2968.0,1929.2,173.17,2968.0,102
HCPCS,C1713,Plate stryker 67043081,6084.0,3954.6,173.17,6084.0,102
HCPCS,C1713,Plate stryker 7830020,3059.0,1988.35,173.17,3059.0,102
HCPCS,C1713,Plate stryker 9200762,3339.0,2170.35,173.17,3339.0,102
HCPCS,C1713,Plate stryker 9210506,7914.0,5144.1,173.17,7914.0,102
HCPCS,C1713,Plate stryker 9210556,8300.0,5395.0,173.17,8300.0,102
HCPCS,C1713,Plate stryker 9255660,4785.0,3110.25,173.17,4785.0,102
HCPCS,C1713,Plate sym-pub 75x92.5mm 425796,6255.0,4065.75,173.17,6255.0,102
HCPCS,C1713,Plate synthes 21040285,2358.0,1532.7,173.17,2358.0,102
HCPCS,C1713,Plate synthes 24968,2246.0,1459.9,173.17,2246.0,102
HCPCS,C1713,Plate synthes 28114,1045.0,679.25,173.17,1045.0,102
HCPCS,C1713,Plate synthes 42132,38.0,24.7,6.57,173.17,102
HCPCS,C1713,Plate syst Arthrex ar8959tds,19998.0,12998.7,173.17,19998.0,102
HCPCS,C1713,Plate ti bn 0.5mm holex5504424,2452.0,1593.8,173.17,2452.0,102
HCPCS,C1713,Plate ti bn 1.5mm 4h 507140409,2407.0,1564.55,173.17,2407.0,102
HCPCS,C1713,Plate ti bn 1.5mm holex5515911,3210.0,2086.5,173.17,3210.0,102
HCPCS,C1713,Plate ti bn 1.7mm holex5506708,1165.0,757.25,173.17,1165.0,102
HCPCS,C1713,Plate ti bn 2.8mm holex5528917,5234.0,3402.1,173.17,5234.0,102
HCPCS,C1713,Plate ti bn compr2.8mm 7830028,49404.0,32112.6,173.17,49404.0,102
HCPCS,C1713,Plate ti bn holex 2x2 5506231,990.0,643.5,171.27,990.0,102
HCPCS,C1713,Plate ti bn lck 8 holex5510503,619.0,402.35,107.09,619.0,102
HCPCS,C1713,Plate ti bn mandib 2mm 7831020,48229.0,31348.85,173.17,48229.0,102
HCPCS,C1713,Plate ti bn mandib2.8mm5528911,3783.0,2458.95,173.17,3783.0,102
HCPCS,C1713,Plate ti cmf 4h 24mm 257500409,1651.0,1073.15,173.17,1651.0,102
HCPCS,C1713,Plate ti cmf 4h 28mm 507120409,2301.0,1495.65,173.17,2301.0,102
HCPCS,C1713,Plate ti lck 4h 1mm 257520409,1751.0,1138.15,173.17,1751.0,102
HCPCS,C1713,Plate ti lcp prx lat tib422225,9552.0,6208.8,173.17,9552.0,102
HCPCS,C1713,Plate ti mandbl o ang sd480112,25575.0,16623.75,173.17,25575.0,102
HCPCS,C1713,Plate ti matr sdril4 450322401,537.0,349.05,92.9,537.0,102
HCPCS,C1713,Plate ti matrx 10x16mm 4502073,1689.0,1097.85,173.17,1689.0,102
HCPCS,C1713,Plate ti matrx 10x16mm 4503073,1562.0,1015.3,173.17,1562.0,102
HCPCS,C1713,Plate ti matrx 18h 0.5 4503363,3886.0,2525.9,173.17,3886.0,102
HCPCS,C1713,Plate ti matrx lt 25 04503905,18628.0,12108.2,173.17,18628.0,102
HCPCS,C1713,Plate ti matrx sm lt 4503801,10097.0,6563.05,173.17,10097.0,102
HCPCS,C1713,Plate ti matrxwav mmf 04503820,1832.0,1190.8,173.17,1832.0,102
HCPCS,C1713,Plate ti micro 4h 253040091,455.0,295.75,78.72,455.0,102
HCPCS,C1713,Plate ti prx tib liss 422301,7957.0,5172.05,173.17,7957.0,102
HCPCS,C1713,Plate ti prx tib liss 422309,8126.0,5281.9,173.17,8126.0,102
HCPCS,C1713,Plate ti sternl lck 12h 460019,8276.0,5379.4,173.17,8276.0,102
HCPCS,C1713,Plate ti sternl lck 12h 460039,7764.0,5046.6,173.17,7764.0,102
HCPCS,C1713,Plate tib 2.7x72 4h 02118303s,5504.0,3577.6,173.17,5504.0,102
HCPCS,C1713,Plate tib 3.5x113mm 72463108,10346.0,6724.9,173.17,10346.0,102
HCPCS,C1713,Plate tib 3.5x196mm 71821010,6667.0,4333.55,173.17,6667.0,102
HCPCS,C1713,Plate tib 4.5 10h lt 190mmSYNT,7763.0,5045.95,173.17,7763.0,102
HCPCS,C1713,Plate tib 6h lt 98mm 72464506,4746.0,3084.9,173.17,4746.0,102
HCPCS,C1713,Plate tib 6hl 72820606,5866.0,3812.9,173.17,5866.0,102
HCPCS,C1713,Plate tib 8h lt 161mm 02112519,7461.0,4849.65,173.17,7461.0,102
HCPCS,C1713,Plate tib Arthrex 3082005,11556.0,7511.4,173.17,11556.0,102
HCPCS,C1713,Plate tib Stryker 627735,10679.0,6941.35,173.17,10679.0,102
HCPCS,C1713,Plate tib ant ar8963ar10,9410.0,6116.5,173.17,9410.0,102
HCPCS,C1713,Plate tib ant dist ar8963ar06,9210.0,5986.5,173.17,9210.0,102
HCPCS,C1713,Plate tib dist ant 3.5 241442,7608.0,4945.2,173.17,7608.0,102
HCPCS,C1713,Plate tib dist artx ar8963al08,9310.0,6051.5,173.17,9310.0,102
HCPCS,C1713,Plate tib evos3.5x134 72463210,10464.0,6801.6,173.17,10464.0,102
HCPCS,C1713,Plate tib lat 3.5 s&n 71800406,8169.0,5309.85,173.17,8169.0,102
HCPCS,C1713,Plate tib lck 3.5 3h rt9033203,10278.0,6680.7,173.17,10278.0,102
HCPCS,C1713,Plate tib lp 8h s&n 71800308,8249.0,5361.85,173.17,8249.0,102
HCPCS,C1713,Plate tib prox 12h 02124216,8107.0,5269.55,173.17,8107.0,102
HCPCS,C1713,Plate trident pf2543082,4750.0,3087.5,173.17,4750.0,102
HCPCS,C1713,Plate trilck 2.5 aptus a475091,5286.0,3435.9,173.17,5286.0,102
HCPCS,C1713,Plate trilck 8h str a435008,3469.0,2254.85,173.17,3469.0,102
HCPCS,C1713,Plate trilck Medartis a435001,2954.0,1920.1,173.17,2954.0,102
HCPCS,C1713,Plate trilck Medarts a4750193s,13374.0,8693.1,173.17,13374.0,102
HCPCS,C1713,Plate trilck Ulna 2.8 a485711,5148.0,3346.2,173.17,5148.0,102
HCPCS,C1713,Plate trilck t1.3 a465516,4699.0,3054.35,173.17,4699.0,102
HCPCS,C1713,Plate trilck wrist a476007,11589.0,7532.85,173.17,11589.0,102
HCPCS,C1713,Plate troc grip vital 67043092,7999.0,5199.35,173.17,7999.0,102
HCPCS,C1713,Plate troch 135deg 4h 597404s,6201.0,4030.65,173.17,6201.0,102
HCPCS,C1713,Plate troch lock ss 2221101s,9079.0,5901.35,173.17,9079.0,102
HCPCS,C1713,Plate troch md 150 67043082,7929.0,5153.85,173.17,7929.0,102
HCPCS,C1713,Plate ttc fusion mpaf501r,12039.0,7825.35,173.17,12039.0,102
HCPCS,C1713,Plate tube 1 3 c0lr 4h 49mm SN,405.0,263.25,70.07,405.0,102
HCPCS,C1713,Plate tube 1 3 c0lr 8h 97mm SN,428.0,278.2,74.04,428.0,102
HCPCS,C1713,Plate tube 1.3 12h 141mm SYNT,988.0,642.2,170.92,988.0,102
HCPCS,C1713,Plate tubular 4h 1 4 SYNT,439.0,285.35,75.95,439.0,102
HCPCS,C1713,Plate tubular 5h 1 4 SYNT,466.0,302.9,80.62,466.0,102
HCPCS,C1713,Plate tubular3.5m 10h 72440510,1845.0,1199.25,173.17,1845.0,102
HCPCS,C1713,Plate ulnar short prox uspprx,8700.0,5655.0,173.17,8700.0,102
HCPCS,C1713,Plate univ neuro 3 5334804,835.0,542.75,144.46,835.0,102
HCPCS,C1713,Plate va lck phalangl 02130256,2735.0,1777.75,173.17,2735.0,102
HCPCS,C1713,Plate va lcp 2.7 prox02107002s,5125.0,3331.25,173.17,5125.0,102
HCPCS,C1713,Plate va lcp 2.7 prox02107102s,5375.0,3493.75,173.17,5375.0,102
HCPCS,C1713,Plate va lcp 4.5x159mm 2124407,10828.0,7038.2,173.17,10828.0,102
HCPCS,C1713,Plate va lcp Depuy 02111751s,4667.0,3033.55,173.17,4667.0,102
HCPCS,C1713,Plate va lcp Depuy 02127260s,14152.0,9198.8,173.17,14152.0,102
HCPCS,C1713,Plate va lcp Depuy 02127351s,13559.0,8813.35,173.17,13559.0,102
HCPCS,C1713,Plate va lcp curv12hrt2124412,11435.0,7432.75,173.17,11435.0,102
HCPCS,C1713,Plate va lcp depuy 02130255s,6085.0,3955.25,173.17,6085.0,102
HCPCS,C1713,Plate va lcp radius 2111740s,4499.0,2924.35,173.17,4499.0,102
HCPCS,C1713,Plate va lcp tib 2.7 02118206s,10279.0,6681.35,173.17,10279.0,102
HCPCS,C1713,Plate va lcp tib 262 02118013s,12691.0,8249.15,173.17,12691.0,102
HCPCS,C1713,Plate va lcp tib12hslt2127251s,13532.0,8795.8,173.17,13532.0,102
HCPCS,C1713,Plate va lock rot 02130266,3486.0,2265.9,173.17,3486.0,102
HCPCS,C1713,Plate va prox fem 02221084s,18148.0,11796.2,173.17,18148.0,102
HCPCS,C1713,Plate va prox fem 02221095s,21601.0,14040.65,173.17,21601.0,102
HCPCS,C1713,Plate va prox fem Depuy2221115,13501.0,8775.65,173.17,13501.0,102
HCPCS,C1713,Plate val 12h depuy 2130351,2788.0,1812.2,173.17,2788.0,102
HCPCS,C1713,Plate val 3.5 02221102s,10201.0,6630.65,173.17,10201.0,102
HCPCS,C1713,Plate val fem Depuy 02221120,14317.0,9306.05,173.17,14317.0,102
HCPCS,C1713,Plate variax Stryker 626993,7656.0,4976.4,173.17,7656.0,102
HCPCS,C1713,Plate variax fib4h l60 4020804,3155.0,2050.75,173.17,3155.0,102
HCPCS,C1713,Plate volar Medartis a475038,6426.0,4176.9,173.17,6426.0,102
HCPCS,C1713,Plate volar dstl rad 02111671s,8529.0,5543.85,173.17,8529.0,102
HCPCS,C1713,Plate volar radius prrtn2203,5331.0,3465.15,173.17,5331.0,102
HCPCS,C1713,Plate wright 4024303l,12373.0,8042.45,173.17,12373.0,102
HCPCS,C1713,Plate wright 8375,8003.0,5201.95,173.17,8003.0,102
HCPCS,C1713,Plate wrist lcp 170 sd242003,9370.0,6090.5,173.17,9370.0,102
HCPCS,C1713,Plate xtra art dis hum 540110s,15958.0,10372.7,173.17,15958.0,102
HCPCS,C1713,Plate y tine 2.4mm 770604090,4406.0,2863.9,173.17,4406.0,102
HCPCS,C1713,Plate zevo 21mm 1 lvl 3001021,7291.0,4739.15,173.17,7291.0,102
HCPCS,C1713,Plate zevo 39mm 2 lvl 3002039,7884.0,5124.6,173.17,7884.0,102
HCPCS,C1713,Plates fib Novastep f30004008s,5070.0,3295.5,173.17,5070.0,102
HCPCS,C1713,Plug bone tunne9-10mm sn013561,160.0,104.0,27.68,173.17,102
HCPCS,C1713,Pro Dense 12cc portinj87sr0120,20883.0,13573.95,173.17,20883.0,102
HCPCS,C1713,Pro Dense 2cc port inj87sr0020,4677.0,3040.05,173.17,4677.0,102
HCPCS,C1713,Pro Dense 40cc portinj87sr0400,29972.0,19481.8,173.17,29972.0,102
HCPCS,C1713,Pro Dense 5cc port inj87sr0050,11118.0,7226.7,173.17,11118.0,102
HCPCS,C1713,Pro Dense 7cc port inj87sr0070,13893.0,9030.45,173.17,13893.0,102
HCPCS,C1713,Pro Dense cdk portinj 87srcdk0,28136.0,18288.4,173.17,28136.0,102
HCPCS,C1713,Pro Dense10cc port inj87sr0100,19731.0,12825.15,173.17,19731.0,102
HCPCS,C1713,Pro stim 2cc port inj 86sr0020,6176.0,4014.4,173.17,6176.0,102
HCPCS,C1713,Pro stim 7cc port inj 86sr0070,17948.0,11666.2,173.17,17948.0,102
HCPCS,C1713,Pro stim10cc port inj 86sr0100,23457.0,15247.05,173.17,23457.0,102
HCPCS,C1713,Pro stim12cc port inj 86sr0120,25935.0,16857.75,173.17,25935.0,102
HCPCS,C1713,Pro stim15cc port inj 86sr0150,31128.0,20233.2,173.17,31128.0,102
HCPCS,C1713,Rapid stim calci bonefil620020,18465.0,12002.25,173.17,18465.0,102
HCPCS,C1713,Rib clip 3d 9 seg 1401009,11993.0,7795.45,173.17,11993.0,102
HCPCS,C1713,Rod conn hoffmn11x350 49228350,2383.0,1548.95,173.17,2383.0,102
HCPCS,C1713,Rod fem oss arcos im 28 151869,16043.0,10427.95,173.17,16043.0,102
HCPCS,C1713,Rod guide ball 2x900 71118201,865.0,562.25,149.65,865.0,102
HCPCS,C1713,Rod guide flex 2x900 71118280,853.0,554.45,147.57,853.0,102
HCPCS,C1713,Rod illuminoss ussl2213260,27810.0,18076.5,173.17,27810.0,102
HCPCS,C1713,Rod kit 11x220mm ussl1100220,23491.0,15269.15,173.17,23491.0,102
HCPCS,C1713,Rod kit 15x180mm ussl1500180,23761.0,15444.65,173.17,23761.0,102
HCPCS,C1713,Rod kit 15x220mm ussl1500220,24302.0,15796.3,173.17,24302.0,102
HCPCS,C1713,Rod kit 15x280mm ussl1500280,25923.0,16849.95,173.17,25923.0,102
HCPCS,C1713,Rod kit 17x220mm ussl1700220,25113.0,16323.45,173.17,25113.0,102
HCPCS,C1713,Rod kit 22/13x140 ussl2213140,24032.0,15620.8,173.17,24032.0,102
HCPCS,C1713,Rod kit 7x160mm ussl0700160,20252.0,13163.8,173.17,20252.0,102
HCPCS,C1713,Rod kit 9x160mm ussl0900160,21333.0,13866.45,173.17,21333.0,102
HCPCS,C1713,Rod kit 9x180mm ussl0900180,21604.0,14042.6,173.17,21604.0,102
HCPCS,C1713,Rod kit mini 8x100mm usml08100,19442.0,12637.3,173.17,19442.0,102
HCPCS,C1713,Rod kit mini 8x120mm usml08120,19982.0,12988.3,173.17,19982.0,102
HCPCS,C1713,Rod kit mini 8x80mm usml08080,18901.0,12285.65,173.17,18901.0,102
HCPCS,C1713,Rod kit mini 9x100mm usml09100,19712.0,12812.8,173.17,19712.0,102
HCPCS,C1713,Rod rad 3x230 acumed rl3023s,8595.0,5586.75,173.17,8595.0,102
HCPCS,C1713,Rod spinal ti5.5x45mm 11355045,3756.0,2441.4,173.17,3756.0,102
HCPCS,C1713,Rod spine peek 6.35x70mm 78930,2230.0,1449.5,173.17,2230.0,102
HCPCS,C1713,Rod spine ti Nuvasive 16028510,11481.0,7462.65,173.17,11481.0,102
HCPCS,C1713,Rod spine viprii 35mm 18678803,3510.0,2281.5,173.17,3510.0,102
HCPCS,C1713,Rod ti lordotc 5.5x70 14355070,2960.0,1924.0,173.17,2960.0,102
HCPCS,C1713,Scw 3.0x32 0830532hl,1812.0,1177.8,173.17,1812.0,102
HCPCS,C1713,Scw Absorb 2.8x17mm 948103,1742.0,1132.3,173.17,1742.0,102
HCPCS,C1713,Scw Acutrak 24x3.5 305235024,8943.0,5812.95,173.17,8943.0,102
HCPCS,C1713,Scw Amb hip clip 121115 SN,633.0,411.45,109.51,633.0,102
HCPCS,C1713,Scw Asnis III can mcr 4530006,1644.0,1068.6,173.17,1644.0,102
HCPCS,C1713,Scw Dartfire Edge2x12 d2420012,3374.0,2193.1,173.17,3374.0,102
HCPCS,C1713,Scw Depuy 204030,80.0,52.0,13.84,173.17,102
HCPCS,C1713,Scw Depuy 280990S,492.0,319.8,85.12,492.0,102
HCPCS,C1713,Scw Depuy 309150,1798.0,1168.7,173.17,1798.0,102
HCPCS,C1713,Scw Depuy 309450,2413.0,1568.45,173.17,2413.0,102
HCPCS,C1713,Scw Depuy 309530,403.0,261.95,69.72,403.0,102
HCPCS,C1713,Scw Depuy 4005418,885.0,575.25,153.11,885.0,102
HCPCS,C1713,Scw Digital sz 2x26mm ad2026,1994.0,1296.1,173.17,1994.0,102
HCPCS,C1713,Scw Evos cortx 4.5x20 72504520,162.0,105.3,28.03,173.17,102
HCPCS,C1713,Scw HT x drive 2x17mm 912017,235.0,152.75,40.66,235.0,102
HCPCS,C1713,Scw HT xdr sd 2.0x5mm 916205,295.0,191.75,51.04,295.0,102
HCPCS,C1713,Scw IM hip set hn1202,1113.0,723.45,173.17,1113.0,102
HCPCS,C1713,Scw IM hip sleeve hn1200,1734.0,1127.1,173.17,1734.0,102
HCPCS,C1713,Scw INTEG Lifesc ad2024,1936.0,1258.4,173.17,1936.0,102
HCPCS,C1713,Scw In2Bones p65st690,5864.0,3811.6,173.17,5864.0,102
HCPCS,C1713,Scw Interf BIO RCL 9x25 SN,1104.0,717.6,173.17,1104.0,102
HCPCS,C1713,Scw Lactosorb hammrto sm948052,1917.0,1246.05,173.17,1917.0,102
HCPCS,C1713,Scw Lapiplasty sys 3r bip sk23,35014.0,22759.1,173.17,35014.0,102
HCPCS,C1713,Scw M Monster2.7x16 p20427016s,896.0,582.4,155.01,896.0,102
HCPCS,C1713,Scw MAS set ModuLeX 559200006,2830.0,1839.5,173.17,2830.0,102
HCPCS,C1713,Scw NCB canc Zimmer 203152065,823.0,534.95,142.38,823.0,102
HCPCS,C1713,Scw NCB uni Zimmer 203151010,694.0,451.1,120.06,694.0,102
HCPCS,C1713,Scw Nexs comp Novastp sc070090,9605.0,6243.25,173.17,9605.0,102
HCPCS,C1713,Scw Novastep f10825030s,3549.0,2306.85,173.17,3549.0,102
HCPCS,C1713,Scw Orthopedi 10504206,16320.0,10608.0,173.17,16320.0,102
HCPCS,C1713,Scw Peca Novastep ps020034,11648.0,7571.2,173.17,11648.0,102
HCPCS,C1713,Scw Skeletl DYN tcsf,1452.0,943.8,173.17,1452.0,102
HCPCS,C1713,Scw SmithNeph 71631428,1389.0,902.85,173.17,1389.0,102
HCPCS,C1713,Scw SmithNeph 71631432,2422.0,1574.3,173.17,2422.0,102
HCPCS,C1713,Scw SmithNeph 71656000,985.0,640.25,170.41,985.0,102
HCPCS,C1713,Scw SmithNeph 71672030,1534.0,997.1,173.17,1534.0,102
HCPCS,C1713,Scw Softsilk cann 7x20 7205649,1263.0,820.95,173.17,1263.0,102
HCPCS,C1713,Scw Stryker 4027022,557.0,362.05,96.36,557.0,102
HCPCS,C1713,Scw Stryker 4035036,587.0,381.55,101.55,587.0,102
HCPCS,C1713,Scw Stryker 7071794,1955.0,1270.75,173.17,1955.0,102
HCPCS,C1713,Scw a/r 5.0x90mm 8021090,2021.0,1313.65,173.17,2021.0,102
HCPCS,C1713,Scw anchor 4.0mm rsa4050,14916.0,9695.4,173.17,14916.0,102
HCPCS,C1713,Scw ant cerv st var 15 3120315,1243.0,807.95,173.17,1243.0,102
HCPCS,C1713,Scw ant cerv vr sdrl17 3125517,1589.0,1032.85,173.17,1589.0,102
HCPCS,C1713,Scw antirotation 6.4x100mm str,1398.0,908.7,173.17,1398.0,102
HCPCS,C1713,Scw arthx  ar1999,2367.0,1538.55,173.17,2367.0,102
HCPCS,C1713,Scw assembly ars655105,4299.0,2794.35,173.17,4299.0,102
HCPCS,C1713,Scw biocmp swvlk ar1662bcs812s,3599.0,2339.35,173.17,3599.0,102
HCPCS,C1713,Scw biocryl rapide10x23 254803,3869.0,2514.85,173.17,3869.0,102
HCPCS,C1713,Scw bn 3.5x28mm 614828,343.0,222.95,59.34,343.0,102
HCPCS,C1713,Scw bn affixus 814510075,3169.0,2059.85,173.17,3169.0,102
HCPCS,C1713,Scw bn cort873-144 4x44 873144,2343.0,1522.95,173.17,2343.0,102
HCPCS,C1713,Scw bn craniofacial 5614005,472.0,306.8,81.66,472.0,102
HCPCS,C1713,Scw bone 6.5x35 203065351,654.0,425.1,113.14,654.0,102
HCPCS,C1713,Scw bone cort 150x50 sd6015050,672.0,436.8,116.26,672.0,102
HCPCS,C1713,Scw can Medartis a5780151,2664.0,1731.6,173.17,2664.0,102
HCPCS,C1713,Scw canc Arthrex 8128048,1219.0,792.35,173.17,1219.0,102
HCPCS,C1713,Scw canc bn 6.5x55mm 121755500,738.0,479.7,127.67,738.0,102
HCPCS,C1713,Scw cancel 4.0x38 ECT ZIM,86.0,55.9,14.88,173.17,102
HCPCS,C1713,Scw cann 1/2 thd42mm 114704241,1192.0,774.8,173.17,1192.0,102
HCPCS,C1713,Scw cann 2.4x28mm 211828,967.0,628.55,167.29,967.0,102
HCPCS,C1713,Scw cann 44mm 8081044,2715.0,1764.75,173.17,2715.0,102
HCPCS,C1713,Scw cann 6.5 208485,1288.0,837.2,173.17,1288.0,102
HCPCS,C1713,Scw cann DartFir Edge D0130026,2297.0,1493.05,173.17,2297.0,102
HCPCS,C1713,Scw cann Medartis a5880221,2088.0,1357.2,173.17,2088.0,102
HCPCS,C1713,Scw cann Medartis a8110601,2199.0,1429.35,173.17,2199.0,102
HCPCS,C1713,Scw cann OrthoPedi 10715030,1646.0,1069.9,173.17,1646.0,102
HCPCS,C1713,Scw cann ac4012,1604.0,1042.6,173.17,1604.0,102
HCPCS,C1713,Scw cann asnis Stryker 4030128,793.0,515.45,137.19,793.0,102
HCPCS,C1713,Scw cann hdless th p26555120f,6517.0,4236.05,173.17,6517.0,102
HCPCS,C1713,Scw cann hless Acumed 3152022,23276.0,15129.4,173.17,23276.0,102
HCPCS,C1713,Scw cann t15 4x55 msd14055,4949.0,3216.85,173.17,4949.0,102
HCPCS,C1713,Scw colink In2Bones v30st434,1102.0,716.3,173.17,1102.0,102
HCPCS,C1713,Scw comp Arthrex ar8770105h,3405.0,2213.25,173.17,3405.0,102
HCPCS,C1713,Scw comp dhs dcs 36mm 28099,224.0,145.6,38.75,224.0,102
HCPCS,C1713,Scw comp hless f11656055s,6402.0,4161.3,173.17,6402.0,102
HCPCS,C1713,Scw compression of1073514s,513.0,333.45,88.75,513.0,102
HCPCS,C1713,Scw cort 2.3x12mm con2312,580.0,377.0,100.34,580.0,102
HCPCS,C1713,Scw cort 4.5x22mm 71827022,781.0,507.65,135.11,781.0,102
HCPCS,C1713,Scw cort 4.5x80mm 71826080,223.0,144.95,38.58,223.0,102
HCPCS,C1713,Scw cort 5.0x90mm 202150090,742.0,482.3,128.37,742.0,102
HCPCS,C1713,Scw cort Carbofix pcst40240,1047.0,680.55,173.17,1047.0,102
HCPCS,C1713,Scw cort cancel chips 4-10 459,4155.0,2700.75,173.17,4155.0,102
HCPCS,C1713,Scw cort lck S&N 72413550,728.0,473.2,125.94,728.0,102
HCPCS,C1713,Scw cortex 2.7x12 202.812 SYNT,56.0,36.4,9.69,173.17,102
HCPCS,C1713,Scw cortex Ti slf 2.7x6mm SYNT,268.0,174.2,46.36,268.0,102
HCPCS,C1713,Scw cortex self tap1x10 200530,377.0,245.05,65.22,377.0,102
HCPCS,C1713,Scw cortex selftap 2x14 SYNT,199.0,129.35,34.43,199.0,102
HCPCS,C1713,Scw cortx 1.3 Ti 18mm 400698,390.0,253.5,67.47,390.0,102
HCPCS,C1713,Scw cortx s tap 3.5x16 2206216,190.0,123.5,32.87,190.0,102
HCPCS,C1713,Scw cross pin Stryker 5023706,324.0,210.6,56.05,324.0,102
HCPCS,C1713,Scw depuy 450341001,414.0,269.1,71.62,414.0,102
HCPCS,C1713,Scw emergency 1.2x7 self SYNT,215.0,139.75,37.2,215.0,102
HCPCS,C1713,Scw emgr xdr 2.7x8mm 412708,595.0,386.75,102.94,595.0,102
HCPCS,C1713,Scw fixed lck Zimmer 180551,754.0,490.1,130.44,754.0,102
HCPCS,C1713,Scw head .441 sd800441,69152.0,44948.8,173.17,69152.0,102
HCPCS,C1713,Scw hex intrnl 4.5x25 71642125,1110.0,721.5,173.17,1110.0,102
HCPCS,C1713,Scw hless Osteomed 3152416,1935.0,1257.75,173.17,1935.0,102
HCPCS,C1713,Scw hless Osteomed 3194538,2009.0,1305.85,173.17,2009.0,102
HCPCS,C1713,Scw hless Stryker  658355,4343.0,2822.95,173.17,4343.0,102
HCPCS,C1713,Scw hless Stryker ih2512,2605.0,1693.25,173.17,2605.0,102
HCPCS,C1713,Scw hless dartfire d0120040,1882.0,1223.3,173.17,1882.0,102
HCPCS,C1713,Scw hum prox 13h s&n 71801613,10912.0,7092.8,173.17,10912.0,102
HCPCS,C1713,Scw hum prox 15h s&n 71801615,11253.0,7314.45,173.17,11253.0,102
HCPCS,C1713,Scw interf bicept7x25 72202357,1986.0,1290.9,173.17,1986.0,102
HCPCS,C1713,Scw intertan S&N 71934480,10892.0,7079.8,173.17,10892.0,102
HCPCS,C1713,Scw lag 2.7x10mm 2837110,972.0,631.8,168.16,972.0,102
HCPCS,C1713,Scw lag 3.6x24mm 626924,1114.0,724.1,173.17,1114.0,102
HCPCS,C1713,Scw lag 4x28mm 10240028,3700.0,2405.0,173.17,3700.0,102
HCPCS,C1713,Scw lag Omega 80mm 3362-5-080,2357.0,1532.05,173.17,2357.0,102
HCPCS,C1713,Scw lag Stryker 30660085s,5899.0,3834.35,173.17,5899.0,102
HCPCS,C1713,Scw lag fixed 85mm 99t93685,3300.0,2145.0,173.17,3300.0,102
HCPCS,C1713,Scw lag suppl 80 99t93580,2311.0,1502.15,173.17,2311.0,102
HCPCS,C1713,Scw lag t2 6.5x85mm 18976085sr,1170.0,760.5,173.17,1170.0,102
HCPCS,C1713,Scw lapip Treace sk30,25778.0,16755.7,173.17,25778.0,102
HCPCS,C1713,Scw lapiplasty system 2 sk14,22931.0,14905.15,173.17,22931.0,102
HCPCS,C1713,Scw lck 1.7 stryker 5317005r,482.0,313.3,83.39,482.0,102
HCPCS,C1713,Scw lck 34mm advance 8024340,1340.0,871.0,173.17,1340.0,102
HCPCS,C1713,Scw lck 5x30mm stryker 370330,523.0,339.95,90.48,523.0,102
HCPCS,C1713,Scw lck Stryker 23605035s,1555.0,1010.75,173.17,1555.0,102
HCPCS,C1713,Scw lck Zimmer fp09,397.0,258.05,68.68,397.0,102
HCPCS,C1713,Scw lck cancl Zimmer 732710,2933.0,1906.45,173.17,2933.0,102
HCPCS,C1713,Scw lck cnn 3.7x58mm 02240058,892.0,579.8,154.32,892.0,102
HCPCS,C1713,Scw lck con pt 3.5x75mm 212427,723.0,469.95,125.08,723.0,102
HCPCS,C1713,Scw lck s tap 202240,611.0,397.15,105.7,611.0,102
HCPCS,C1713,Scw lck t15 662505,857.0,557.05,148.26,857.0,102
HCPCS,C1713,Scw lck xdr 2.3x8mm 412408,600.0,390.0,103.8,600.0,102
HCPCS,C1713,Scw lock hi pitch 2.7mm sd22,365.0,237.25,63.15,365.0,102
HCPCS,C1713,Scw low pro recon 3.5 245920,3493.0,2270.45,173.17,3493.0,102
HCPCS,C1713,Scw lprof ti6 2x12mm tc2012,7423.0,4824.95,173.17,7423.0,102
HCPCS,C1713,Scw lum ant 30mm 2150130,2816.0,1830.4,173.17,2816.0,102
HCPCS,C1713,Scw mas Medtr 55840005555,3527.0,2292.55,173.17,3527.0,102
HCPCS,C1713,Scw medtr 876320,1158.0,752.7,173.17,1158.0,102
HCPCS,C1713,Scw mini maxdr 2.0x9 25872091,272.0,176.8,47.06,272.0,102
HCPCS,C1713,Scw multi-direct 131227324,804.0,522.6,139.09,804.0,102
HCPCS,C1713,Scw ncb cort 203150028,783.0,508.95,135.46,783.0,102
HCPCS,C1713,Scw nexis Novastep xre01009,2182.0,1418.3,173.17,2182.0,102
HCPCS,C1713,Scw nlck vlr carbofx prast2526,477.0,310.05,82.52,477.0,102
HCPCS,C1713,Scw nut cann 5mm SYNT,854.0,555.1,147.74,854.0,102
HCPCS,C1713,Scw orthopedi 1015620,1222.0,794.3,173.17,1222.0,102
HCPCS,C1713,Scw pa J&J 186770445,8134.0,5287.1,173.17,8134.0,102
HCPCS,C1713,Scw pa cort J&J 102045228,4654.0,3025.1,173.17,4654.0,102
HCPCS,C1713,Scw peek Paragon28 p410702000s,3360.0,2184.0,173.17,3360.0,102
HCPCS,C1713,Scw precept nuvasive 8800000,1787.0,1161.55,173.17,1787.0,102
HCPCS,C1713,Scw s tap 5.5x25mm 7965525,1873.0,1217.45,173.17,1873.0,102
HCPCS,C1713,Scw sdrill Stryker 5615035,364.0,236.6,62.97,364.0,102
HCPCS,C1713,Scw silverback nlck p506534534,1070.0,695.5,173.17,1070.0,102
HCPCS,C1713,Scw sk dynamics gmnhpscrw,356.0,231.4,61.59,356.0,102
HCPCS,C1713,Scw sm metacarpl 4x30 12012530,7113.0,4623.45,173.17,7113.0,102
HCPCS,C1713,Scw softsilk S&N 7207001,974.0,633.1,168.5,974.0,102
HCPCS,C1713,Scw spade point 4x120mm 29446,438.0,284.7,75.77,438.0,102
HCPCS,C1713,Scw spade point 6x190mm 29468,435.0,282.75,75.26,435.0,102
HCPCS,C1713,Scw std Surgalign 862710s2,755.0,490.75,130.62,755.0,102
HCPCS,C1713,Scw std Surgalign 862712s12,4532.0,2945.8,173.17,4532.0,102
HCPCS,C1713,Scw std anchorage3x16 plss3016,609.0,395.85,105.36,609.0,102
HCPCS,C1713,Scw stryker 349634,204.0,132.6,35.29,204.0,102
HCPCS,C1713,Scw stryker 4530001s,1608.0,1045.2,173.17,1608.0,102
HCPCS,C1713,Scw stryker 4535015,1461.0,949.65,173.17,1461.0,102
HCPCS,C1713,Scw stryker 5027510,575.0,373.75,99.48,575.0,102
HCPCS,C1713,Scw synthes 20283,242.0,157.3,41.87,242.0,102
HCPCS,C1713,Scw synthes 20888,1857.0,1207.05,173.17,1857.0,102
HCPCS,C1713,Scw synthes 21483,165.0,107.25,28.55,173.17,102
HCPCS,C1713,Scw syst arcphix exarc903028,7838.0,5094.7,173.17,7838.0,102
HCPCS,C1713,Scw t30 set 9.5 od ss6mph95t30,1424.0,925.6,173.17,1424.0,102
HCPCS,C1713,Scw tfna fenestr 80 04038180s,3656.0,2376.4,173.17,3656.0,102
HCPCS,C1713,Scw ti 4.75 ns sxt brk 5440430,1044.0,678.6,173.17,1044.0,102
HCPCS,C1713,Scw ti bn 1.7x3mm bio 7017403,1904.0,1237.6,173.17,1904.0,102
HCPCS,C1713,Scw ti cancel stryker 608475,207.0,134.55,35.81,207.0,102
HCPCS,C1713,Scw ti es tendon 902570,2140.0,1391.0,173.17,2140.0,102
HCPCS,C1713,Scw ti lck Depuy 413582e,1026.0,666.9,173.17,1026.0,102
HCPCS,C1713,Scw ti lck depuy 04025438s,1083.0,703.95,173.17,1083.0,102
HCPCS,C1713,Scw ti lck depuy 413584,5133.0,3336.45,173.17,5133.0,102
HCPCS,C1713,Scw ti lck sdrl depuy450111401,868.0,564.2,150.16,868.0,102
HCPCS,C1713,Scw ti matrixwave 0450382401,797.0,518.05,137.88,797.0,102
HCPCS,C1713,Scw ti uss 4.2x25 j&j 499640,3707.0,2409.55,173.17,3707.0,102
HCPCS,C1713,Scw tip Medartis a5210081,692.0,449.8,119.72,692.0,102
HCPCS,C1713,Scw trilck 2.0X22 hd6 A5450121,546.0,354.9,94.46,546.0,102
HCPCS,C1713,Scw va lck Depuy 42231218,1072.0,696.8,173.17,1072.0,102
HCPCS,C1713,Scw va lck Depuy 42231270,2537.0,1649.05,173.17,2537.0,102
HCPCS,C1713,Scw va lck Depuy 42231630,1371.0,891.15,173.17,1371.0,102
HCPCS,C1713,Scw vented 8x20mm ar4020c08,1551.0,1008.15,173.17,1551.0,102
HCPCS,C1713,Scw viper j&j 186750440,18020.0,11713.0,173.17,18020.0,102
HCPCS,C1713,Scw vlp 4.0mm ft ost 72823250s,349.0,226.85,60.38,349.0,102
HCPCS,C1713,Scw vpc 233230032,12172.0,7911.8,173.17,12172.0,102
HCPCS,C1713,Scw vuepoint 2 3.5x12 8975512,6540.0,4251.0,173.17,6540.0,102
HCPCS,C1713,Scw x-dr ht 1.5x9mm 911509,285.0,185.25,49.31,285.0,102
HCPCS,C1713,Sealant cranial dural sml,9389.0,6102.85,173.17,9389.0,102
HCPCS,C1713,Spacer lumb sm 6d 14mm 2151114,25678.0,16690.7,173.17,25678.0,102
HCPCS,C1713,Spinal medtr 8115525,7828.0,5088.2,173.17,7828.0,102
HCPCS,C1713,Spine Stryker 808110000,12670.0,8235.5,173.17,12670.0,102
HCPCS,C1713,Spine conn arch 60-70mm7243060,6441.0,4186.65,173.17,6441.0,102
HCPCS,C1713,Spine top close Sequoia 33011,486.0,315.9,84.08,486.0,102
HCPCS,C1713,Stpl Arthrex ar8719mx2020,10487.0,6816.55,173.17,10487.0,102
HCPCS,C1713,Stpl Depuy el2520s4,7710.0,5011.5,173.17,7710.0,102
HCPCS,C1713,Stpl assm 15x15x15 p720151515s,10992.0,7144.8,173.17,10992.0,102
HCPCS,C1713,Stpl bone 10x10x10mm ms101010,5311.0,3452.15,173.17,5311.0,102
HCPCS,C1713,Stpl bone fix 13x10mm se1310,3879.0,2521.35,173.17,3879.0,102
HCPCS,C1713,Stpl bone fix tabl 22x16med SN,652.0,423.8,112.8,652.0,102
HCPCS,C1713,Stpl bone fixatn extloc 400Ac,9866.0,6412.9,173.17,9866.0,102
HCPCS,C1713,Stpl cartrig 16x20 orthoc 7625,2453.0,1594.45,173.17,2453.0,102
HCPCS,C1713,Stpl elite comp 18x18 el1818s2,6916.0,4495.4,173.17,6916.0,102
HCPCS,C1713,Stpl elite compr20x20 el2020s2,7567.0,4918.55,173.17,7567.0,102
HCPCS,C1713,Stpl hto 12mm 25x25mm SN128607,1326.0,861.9,173.17,1326.0,102
HCPCS,C1713,Stpl imp Depuy se1512,5370.0,3490.5,173.17,5370.0,102
HCPCS,C1713,Stpl nit 15x14x8mm cs031414,9991.0,6494.15,173.17,9991.0,102
HCPCS,C1713,Stpl os2 vp In2Bones t40sp190,6844.0,4448.6,173.17,6844.0,102
HCPCS,C1713,Suture Lasso anchor ar406545r,651.0,423.15,112.62,651.0,102
HCPCS,C1713,Suture wire #7 k-60,149.0,96.85,25.78,173.17,102
HCPCS,C1713,Suture wire 18g monofilmt ds18,29.0,18.85,5.02,173.17,102
HCPCS,C1713,Tekbrace Solo kt sys 2470k012,23475.0,15258.75,173.17,23475.0,102
HCPCS,C1713,Tib block aug sz4 10 5541a402,6029.0,3918.85,173.17,6029.0,102
HCPCS,C1713,Tib rotate comp mrh 64812100,14120.0,9178.0,173.17,14120.0,102
HCPCS,C1713,Tibial kit 5mm pin350 71062705,18880.0,12272.0,173.17,18880.0,102
HCPCS,C1713,Toe Lapiplasty sys sk39,25003.0,16251.95,173.17,25003.0,102
HCPCS,C1713,Trochantr reattch Depuy498806,9935.0,6457.75,173.17,9935.0,102
HCPCS,C1713,Washer 13.0mm SYNT,148.0,96.2,25.6,173.17,102
HCPCS,C1713,Washer 3.5mm 3075000,358.0,232.7,61.93,358.0,102
HCPCS,C1713,Washer 6.5 mm SN,286.0,185.9,49.48,286.0,102
HCPCS,C1713,Washer osteomed 3160226,380.0,247.0,65.74,380.0,102
HCPCS,C1713,Washer scw 4.5 6.5 8mm 619904,256.0,166.4,44.29,256.0,102
HCPCS,C1713,Washer thred scw 3.0 SYNT,727.0,472.55,125.77,727.0,102
HCPCS,C1713,WayPoint disp impl kit 66wpiks,2356.0,1531.4,173.17,2356.0,102
HCPCS,C1713,Wedge Tricort block l op101024,12536.0,8148.4,173.17,12536.0,102
HCPCS,C1713,Wedge Tricort block m op101022,11627.0,7557.55,173.17,11627.0,102
HCPCS,C1713,Wire C .028,32.0,20.8,5.54,173.17,102
HCPCS,C1713,Wire K 062 smooth ZIM,35.0,22.75,6.06,173.17,102
HCPCS,C1713,Wire K 1.0,82.0,53.3,14.19,173.17,102
HCPCS,C1713,Wire K 1.1x160mm 0740281,178.0,115.7,30.79,178.0,102
HCPCS,C1713,Wire K 1.6x100 hallux K10016,81.0,52.65,14.01,173.17,102
HCPCS,C1713,Wire K 2.0 mm SYNT,463.0,300.95,80.1,463.0,102
HCPCS,C1713,Wire K 3.2 702627,396.0,257.4,68.51,396.0,102
HCPCS,C1713,Wire K 3x285mm 18060050s,922.0,599.3,159.51,922.0,102
HCPCS,C1713,Wire K nail gamma 450mmSTRY,976.0,634.4,168.85,976.0,102
HCPCS,C1713,Wire K sngl 1x150 44112000,145.0,94.25,25.09,173.17,102
HCPCS,C1713,Wire K troc 15x200mm 29276,986.0,640.9,170.58,986.0,102
HCPCS,C1713,Wire K w drill tp 2x285 703583,815.0,529.75,141.0,815.0,102
HCPCS,C1713,Wire bay pt cortl 370 71102102,354.0,230.1,61.24,354.0,102
HCPCS,C1713,Wire bn 00223200518,1266.0,822.9,173.17,1266.0,102
HCPCS,C1713,Wire bn ortho fix eba5304,568.0,369.2,98.26,568.0,102
HCPCS,C1713,Wire cable 1.7x750 crimp SYNT,2586.0,1680.9,173.17,2586.0,102
HCPCS,C1713,Wire cerclage fibertape ar7268,11889.0,7727.85,173.17,11889.0,102
HCPCS,C1713,Wire diam point1.8x450 4933801,325.0,211.25,56.23,325.0,102
HCPCS,C1713,Wire k 0.8mm ar873740,130.0,84.5,22.49,173.17,102
HCPCS,C1713,Wire k 3.2x220mm 703977,535.0,347.75,92.56,535.0,102
HCPCS,C1713,Wire k bayonet stpr 1.8 541215,858.0,557.7,148.43,858.0,102
HCPCS,C1713,Wire k precept nuv 8801068,305.0,198.25,52.77,305.0,102
HCPCS,C1713,Wire k targeter1.6x260 7117330,98.0,63.7,16.95,173.17,102
HCPCS,C1713,Wire k trocar .045x5 24900091,170.0,110.5,29.41,173.17,102
HCPCS,C1713,Wire kirschner 2.0 29221,592.0,384.8,102.42,592.0,102
HCPCS,C1713,Wire oliv smooth1.3 p992501309,543.0,352.95,93.94,543.0,102
HCPCS,C1713,Wire oliv smooth1.4 p992001406,473.0,307.45,81.83,473.0,102
HCPCS,C1713,Wire olive 2x450 49338040,570.0,370.5,98.61,570.0,102
HCPCS,C1713,Wire tip j 035 iq35f260j105,66.0,42.9,11.42,173.17,102
HCPCS,C1714,"CATH, TRANS ATHERECTOMY, DIR",14879.0,9671.35,173.17,15589.0,68
HCPCS,C1715,Ndl brachy 15g Best Med 193425,793.0,515.45,137.19,793.0,34
HCPCS,C1717,Brachy thr no strand hi ir-192,883.0,573.95,143.0,883.0,112
HCPCS,C1721,"AICD, DUAL CHAMBER",62014.0,40309.1,0.17,80652.0,644
HCPCS,C1721,ICD Crome Surescn bip ddpc3d1,46008.0,29905.2,173.17,46008.0,34
HCPCS,C1721,ICD Momentum EL DR D121,74129.0,48183.85,173.17,74129.0,34
HCPCS,C1721,ICD Resonate EL 5.37x7.68 d433,79415.0,51619.75,173.17,79415.0,34
HCPCS,C1721,ICD dual Crome dr df4 ddpc3d4,53676.0,34889.4,173.17,53676.0,34
HCPCS,C1721,ICD dual Vigilant El DR d233,74303.0,48296.95,173.17,74303.0,34
HCPCS,C1721,ICD dual entrant DR cddra300q,58183.0,37818.95,173.17,58183.0,34
HCPCS,C1721,ICD ever dul xt dr mri ddmb1d4,66910.0,43491.5,173.17,66910.0,34
HCPCS,C1722,"AICD, SINGLE CHAMBER",58601.0,38090.65,0.17,99684.0,644
HCPCS,C1722,ICD Aurora EV dvea3e4,106074.0,68948.1,173.17,106074.0,34
HCPCS,C1722,ICD Intica vr Biotronik 429559,65945.0,42864.25,173.17,65945.0,34
HCPCS,C1722,ICD dual Medtr dvpa2d1,63876.0,41519.4,173.17,63876.0,34
HCPCS,C1722,ICD dual Medtr dvpa2d4,69651.0,45273.15,173.17,69651.0,34
HCPCS,C1722,ICD inventr hybrd he whm399437,56360.0,36634.0,173.17,56360.0,34
HCPCS,C1722,ICD lead-les sqrx puls gen1010,104796.0,68117.4,173.17,104796.0,34
HCPCS,C1722,ICD sng Crome vr df4 dvpc3d4,47235.0,30702.75,173.17,47235.0,34
HCPCS,C1722,ICD sng MEDT vr Evera dvbb1d1,80526.0,52341.9,173.17,80526.0,34
HCPCS,C1722,ICD sng MEDT vr Evera dvbb1d4,53365.0,34687.25,173.17,53365.0,34
HCPCS,C1722,ICD sng Visia cardi af dvab1d1,40661.0,26429.65,173.17,40661.0,34
HCPCS,C1722,ICD sng biotr 372419 atrial dx,60122.0,39079.3,173.17,60122.0,34
HCPCS,C1722,ICD sng stj vr36 ell cd141136c,52449.0,34091.85,173.17,52449.0,34
HCPCS,C1722,ICD sngl Energen vr df4 e140,55276.0,35929.4,173.17,55276.0,34
HCPCS,C1724,"CATH, TRANS ATHEREC,ROTATION",20578.5,13376.025,173.17,27080.0,272
HCPCS,C1724,Cath atherec 1.5pred dbgsct150,22691.0,14749.15,173.17,22691.0,34
HCPCS,C1724,Cath atherect Steal sld1.25x15,23118.0,15026.7,173.17,23118.0,34
HCPCS,C1724,Cath atherectomy prdsc30200,25653.0,16674.45,173.17,25653.0,34
HCPCS,C1725,"CATH, TRANSLUMIN NON-LASER",3000.0,1950.0,110.03,24502.0,5848
HCPCS,C1725,Cath Crossboss .04x135cm m2000,11377.0,7395.05,173.17,11377.0,68
HCPCS,C1725,Cath PTA AngioSculpt 223760100,5037.0,3274.05,173.17,5037.0,68
HCPCS,C1725,Cath angio Cors 150 csw15026n,9349.0,6076.85,173.17,9349.0,68
HCPCS,C1725,Cath angio pigtail g47308,833.0,541.45,144.11,833.0,68
HCPCS,C1725,Cath angiop PTA scrng 3.0 20mm,8674.0,5638.1,173.17,8674.0,68
HCPCS,C1725,Cath apoll detach2.7f 10550950,11434.0,7432.1,173.17,11434.0,68
HCPCS,C1725,Cath bal 16 4 5.8 120e xxl,2929.0,1903.85,173.17,2929.0,68
HCPCS,C1725,Cath bal 25mm 3.0cm 035 8f,2415.0,1569.75,173.17,2415.0,68
HCPCS,C1725,Cath bal 3 h74939401063000,9095.0,5911.75,173.17,9095.0,68
HCPCS,C1725,Cath bal 3.0 20mm rx Esprit,774.0,503.1,133.9,774.0,68
HCPCS,C1725,Cath bal 3.5x120 OTW3918635121,2541.0,1651.65,173.17,2541.0,68
HCPCS,C1725,Cath bal 5fr Commonbile g36347,4367.0,2838.55,173.17,4367.0,68
HCPCS,C1725,Cath bal 6 4 5.3 135 ultra sds,2147.0,1395.55,173.17,2147.0,68
HCPCS,C1725,Cath bal 7 2 30mm eql 100cm,2703.0,1756.95,173.17,2703.0,68
HCPCS,C1725,Cath bal 7 6 80 Opta 4197060s,1080.0,702.0,173.17,1080.0,68
HCPCS,C1725,Cath bal 8 3 75cm ut sds del,2873.0,1867.45,173.17,2873.0,68
HCPCS,C1725,Cath bal Gateway 3.0x15mm otw,10371.0,6741.15,173.17,10371.0,68
HCPCS,C1725,Cath bal Reliant 8fr 46mm MEDT,4717.0,3066.05,173.17,4717.0,68
HCPCS,C1725,Cath bal Structual omSt10Sb,1887.0,1226.55,173.17,1887.0,68
HCPCS,C1725,Cath bal angio fgs068220120,11896.0,7732.4,173.17,11896.0,68
HCPCS,C1725,Cath bal ia 8fr 40ml ARRW,7556.0,4911.4,173.17,7556.0,68
HCPCS,C1725,Cath bal ia 9fr 50ml iabr950u,8840.0,5746.0,173.17,8840.0,68
HCPCS,C1725,Cath bal paci pta pcp040040180,5565.0,3617.25,173.17,5565.0,68
HCPCS,C1725,Cath bal pmkr venogram bivent,965.0,627.25,166.95,965.0,68
HCPCS,C1725,Cath bal refhusvsk hde060002,318.0,206.7,55.01,318.0,68
HCPCS,C1725,Cath bal true valv 12f 0284514,8310.0,5401.5,173.17,8310.0,68
HCPCS,C1725,Cath ball adv 14lp 2mmx4x90,4187.0,2721.55,173.17,4187.0,68
HCPCS,C1725,Cath ball adv 14lp 2mmx8x90,3445.0,2239.25,173.17,3445.0,68
HCPCS,C1725,Cath ball dil 8f herc13 g51796,2574.0,1673.1,173.17,2574.0,68
HCPCS,C1725,Cath ball graft 10-37 mob37,5003.0,3251.95,173.17,5003.0,68
HCPCS,C1725,Cath ball guide inc12098,14491.0,9419.15,173.17,14491.0,68
HCPCS,C1725,Cath dorado 6x4 dr8064,872.0,566.8,150.86,872.0,68
HCPCS,C1725,Cath evd antimic 35cm 82-1745,4394.0,2856.1,173.17,4394.0,34
HCPCS,C1725,Cath evd antimic distl 82-3074,4702.0,3056.3,173.17,4702.0,34
HCPCS,C1725,Cath micro corsair csr13526p,10336.0,6718.4,173.17,10336.0,68
HCPCS,C1725,Cath micro corsair csr15026p,8830.0,5739.5,173.17,8830.0,68
HCPCS,C1725,Cath pta CR Bard dr13564,1837.0,1194.05,173.17,1837.0,68
HCPCS,C1725,Cath pta Spectranetics 2249602,14854.0,9655.1,173.17,14854.0,68
HCPCS,C1725,Cath ultraverse 2.5x10 u41502h,797.0,518.05,137.88,797.0,68
HCPCS,C1726,Balln cre dilat endo m00558340,1746.0,1134.9,173.17,1746.0,34
HCPCS,C1726,Balln dilat endo 195x12 g22549,1568.0,1019.2,173.17,1568.0,34
HCPCS,C1726,Baln cre 8-10 m00550330,3111.0,2022.15,173.17,3111.0,34
HCPCS,C1726,Baln dil rig achal35 m00554510,6519.0,4237.35,173.17,6519.0,34
HCPCS,C1726,"CATH, BAL DIL, NON-VASCULAR",3272.5,2127.125,78.37,14879.0,1020
HCPCS,C1726,Cath UroMax Ultr m0062251250,1283.0,833.95,173.17,1283.0,34
HCPCS,C1726,Cath Uromax 6cm bal,2639.0,1715.35,173.17,2639.0,34
HCPCS,C1726,Cath bal Mac Forc mf 8 3 5 180,2391.0,1554.15,173.17,2391.0,34
HCPCS,C1726,Cath bal Medtr es310,3222.0,2094.3,173.17,3222.0,34
HCPCS,C1726,Cath bal Medtr es320,3451.0,2243.15,173.17,3451.0,34
HCPCS,C1726,Cath bal Medtr es330,4147.0,2695.55,173.17,4147.0,34
HCPCS,C1726,Cath bal Quest Med dcr508unit,4304.0,2797.6,173.17,4304.0,34
HCPCS,C1726,Cath bal dil 2cm p10l20,2433.0,1581.45,173.17,2433.0,34
HCPCS,C1726,Cath bal dil cre7.5f m00558650,2483.0,1613.95,173.17,2483.0,34
HCPCS,C1726,Cath bal guidewire cre12-15eso,2020.0,1313.0,173.17,2020.0,34
HCPCS,C1726,Cath bal uret 15f m0062251010,2556.0,1661.4,173.17,2556.0,34
HCPCS,C1726,Cath bal uret 6-12 dilatr BOST,1299.0,844.35,173.17,1299.0,34
HCPCS,C1726,Cath bal uret Uromax dila 6x10,2656.0,1726.4,173.17,2656.0,34
HCPCS,C1726,Cath ball Relieva rsp0616mfsn,11066.0,7192.9,173.17,11066.0,34
HCPCS,C1726,Cath bil Papilla 8f cgdc8575,992.0,644.8,171.62,992.0,34
HCPCS,C1726,Cath bln dil pulm m00550340,2595.0,1686.75,173.17,2595.0,34
HCPCS,C1726,Cath cholangiog 2lum kit cs017,5109.0,3320.85,173.17,5109.0,34
HCPCS,C1726,Cath cholangiogr 5f mix g09331,562.0,365.3,97.23,562.0,34
HCPCS,C1726,Cath cholangiogram 7.5fr 45cm,551.0,358.15,95.32,551.0,34
HCPCS,C1726,Cath cholangiogram endoscop ol,827.0,537.55,143.07,827.0,34
HCPCS,C1726,Cath cholangiography 19g cc019,392.0,254.8,67.82,392.0,34
HCPCS,C1726,Cath cholango commonbil g09108,5311.0,3452.15,173.17,5311.0,34
HCPCS,C1726,Cath dil uret vag posit 52080,3366.0,2187.9,173.17,3366.0,34
HCPCS,C1726,Dilator Amplatz renal 260-250,2245.0,1459.25,173.17,2245.0,34
HCPCS,C1726,Dilator amplatz renal g57459,3263.0,2120.95,173.17,3263.0,34
HCPCS,C1726,Dilator bal 14 pebax m00554520,4422.0,2874.3,173.17,4422.0,34
HCPCS,C1726,Dilator endo 8f 5.5cml g51798,2054.0,1335.1,173.17,2054.0,34
HCPCS,C1726,ENT cath bal sinus 5mm bc500,13452.0,8743.8,173.17,13452.0,34
HCPCS,C1726,ENT cath bal sinus mul jd100,15063.0,9790.95,173.17,15063.0,34
HCPCS,C1726,ENT cath bal sinus3.5 bc3512sp,8089.0,5257.85,173.17,8089.0,34
HCPCS,C1726,Ent cath bal insp8.5x24bc8524a,6943.0,4512.95,173.17,6943.0,34
HCPCS,C1726,Ent cath bal sinu ven85060100k,5830.0,3789.5,173.17,5830.0,34
HCPCS,C1726,Ent cath cal sinus 6x18lplf106,10653.0,6924.45,173.17,10653.0,34
HCPCS,C1726,Ent cath dalent med inf2030,1352.0,878.8,173.17,1352.0,34
HCPCS,C1726,Tamponade vag 1balloon g30673,2379.0,1546.35,173.17,2379.0,34
HCPCS,C1726,Tamponade vag 2balloon ebb,3975.0,2583.75,173.17,3975.0,34
HCPCS,C1727,Balln dissect Medtr smbttrnd,4098.0,2663.7,173.17,4098.0,34
HCPCS,C1727,Balln dissect pertonl omspdbs,2840.0,1846.0,173.17,2840.0,34
HCPCS,C1727,Balln spacmkr lapsc omspdb1000,3016.0,1960.4,173.17,3016.0,34
HCPCS,C1727,"CATH, BAL TIS DIS, NON-VAS",4430.0,2879.5,173.17,4430.0,34
HCPCS,C1727,Cath export 7fr 140cm,4770.0,3100.5,173.17,4770.0,34
HCPCS,C1728,"CATH, BRACHYTX SEED ADM",18820.0,12233.0,173.17,18820.0,34
HCPCS,C1728,Mammosite cath mtlum4-5 ml2345,20253.0,13164.45,173.17,20253.0,34
HCPCS,C1728,Mammosite dev eval cavity 9031,1626.0,1056.9,173.17,1626.0,34
HCPCS,C1729,"CATH, DRAINAGE",885.0,575.25,109.16,8830.0,1020
HCPCS,C1729,Cath Denver pleural line7225,180.0,117.0,31.14,180.0,68
HCPCS,C1729,Cath EDM trans od 4.9mm 27637,2470.0,1605.5,173.17,2470.0,68
HCPCS,C1729,Cath bal Nephro w/o leven infl,2513.0,1633.45,173.17,2513.0,68
HCPCS,C1729,Cath bioglide peritoneal 93522,2439.0,1585.35,173.17,2439.0,68
HCPCS,C1729,Cath centesis 6frtray safe t,594.0,386.1,102.76,594.0,68
HCPCS,C1729,Cath csf vent std pliant 41103,1598.0,1038.7,173.17,1598.0,68
HCPCS,C1729,Cath drain 12f Pigtail g06485,463.0,300.95,80.1,463.0,68
HCPCS,C1729,Cath drain 6.0 .025 25cm,955.0,620.75,165.22,955.0,68
HCPCS,C1729,Cath drain 8.5 038 25cm,1032.0,670.8,173.17,1032.0,68
HCPCS,C1729,Cath drain 8.5f g09501,882.0,573.3,152.59,882.0,68
HCPCS,C1729,Cath drain 8fr h787140008035,3233.0,2101.45,173.17,3233.0,68
HCPCS,C1729,Cath drain Dawson Mllr g09706,1085.0,705.25,173.17,1085.0,68
HCPCS,C1729,Cath drain Irraflow icgs020,5300.0,3445.0,173.17,5300.0,68
HCPCS,C1729,Cath drain Thal Quick g06339,1524.0,990.6,173.17,1524.0,68
HCPCS,C1729,Cath drain Thal-Quick18 g06343,718.0,466.7,124.21,718.0,68
HCPCS,C1729,Cath drain Ultrathane g11020,501.0,325.65,86.67,501.0,68
HCPCS,C1729,Cath drain Ultrathane g11974,1108.0,720.2,173.17,1108.0,68
HCPCS,C1729,Cath drain apd 14 25 reg 27137,937.0,609.05,162.1,937.0,68
HCPCS,C1729,Cath drain g09491,237.0,154.05,41.0,237.0,68
HCPCS,C1729,Cath drain jeju 16.5dual lum80,4104.0,2667.6,173.17,4104.0,68
HCPCS,C1729,Cath drain mpurp 25x16f g07254,782.0,508.3,135.29,782.0,68
HCPCS,C1729,Cath drain multi 12f g09499,1030.0,669.5,173.17,1030.0,68
HCPCS,C1729,Cath drain reg 14-25cm apdloop,808.0,525.2,139.78,808.0,68
HCPCS,C1729,Cath drain std 12f h965104231,661.0,429.65,114.35,661.0,68
HCPCS,C1729,Cath drain tube chest g04139,1867.0,1213.55,173.17,1867.0,68
HCPCS,C1729,Cath drain tube chest g05454,1512.0,982.8,173.17,1512.0,68
HCPCS,C1729,Cath drn pneumothorax g03301,2296.0,1492.4,173.17,2296.0,68
HCPCS,C1729,Cath jeje 10.2fr sgl lum 100cm,3075.0,1998.75,173.17,3075.0,68
HCPCS,C1729,Cath medv 16.0x28 Mueller mpa,1352.0,878.8,173.17,1352.0,68
HCPCS,C1729,Cath nephrstmy 12frx38cm,794.0,516.1,137.36,794.0,68
HCPCS,C1729,Cath nephrstmy 16frx30cm,790.0,513.5,136.67,790.0,68
HCPCS,C1729,Cath nephrstmy 21frx30cm,2695.0,1751.75,173.17,2695.0,68
HCPCS,C1729,Cath nephrstmy berm12f 6400303,192.0,124.8,33.22,192.0,68
HCPCS,C1729,Cath pericardiocentesis 4305,2461.0,1599.65,173.17,2461.0,68
HCPCS,C1729,Cath pericardiocentesis 8.3fr,1183.0,768.95,173.17,1183.0,68
HCPCS,C1729,Cath peritoneal tunnel stylet,1513.0,983.45,173.17,1513.0,68
HCPCS,C1729,Cath shunt ventr Bactsea821749,4707.0,3059.55,173.17,4707.0,34
HCPCS,C1729,Cath thor 10fr 8888561019,175.0,113.75,30.28,175.0,68
HCPCS,C1729,Cath thor axiom med 100032at,214.0,139.1,37.02,214.0,68
HCPCS,C1729,Cath thor axiom med 111132at,262.0,170.3,45.33,262.0,68
HCPCS,C1729,Cath thora tray otp5000,353.0,229.45,61.07,353.0,68
HCPCS,C1729,Cath thoracic Getinge 8128,85.0,55.25,14.71,173.17,68
HCPCS,C1729,Cath ventricular 82-1650,1802.0,1171.3,173.17,1802.0,34
HCPCS,C1729,Cath ventricular kit ins4500,1838.0,1194.7,173.17,1838.0,34
HCPCS,C1729,Drain cath Billiary g09498,1091.0,709.15,173.17,1091.0,34
HCPCS,C1729,Drain nephros 10f m001241410,641.0,416.65,110.89,641.0,68
HCPCS,C1729,Guidewire iq35f260s,114.0,74.1,19.72,173.17,68
HCPCS,C1729,Tamponad cath17f nephrost Kaye,2544.0,1653.6,173.17,2544.0,68
HCPCS,C1729,Tamponade cath nephrost Kaye,1995.0,1296.75,173.17,1995.0,68
HCPCS,C1729,Tray Pneumothorax Wayne g56537,2877.0,1870.05,173.17,2877.0,68
HCPCS,C1730,"CATH, EP, 19 OR FEW ELECT",4733.0,3076.45,67.82,10795.0,306
HCPCS,C1730,Cath Advisor sensor davhdxdf16,12720.0,8268.0,173.17,12720.0,34
HCPCS,C1730,Cath EP 4f quad 4pol f4qa005rt,1114.0,724.1,173.17,1114.0,34
HCPCS,C1730,Cath EP 5fr jsn 5 5 5 110,1352.0,878.8,173.17,1352.0,34
HCPCS,C1730,Cath EP 5fr jsn quad 5mm,3233.0,2101.45,173.17,3233.0,34
HCPCS,C1730,Cath EP 6f quad defl d6dr252ct,3053.0,1984.45,173.17,3053.0,34
HCPCS,C1730,Cath EP 7f 10pole bd710fj282ct,5268.0,3424.2,173.17,5268.0,34
HCPCS,C1730,Cath EP Strykr bd710fj282ctrep,1983.0,1288.95,173.17,1983.0,34
HCPCS,C1730,Cath EP quad 5f jsn 5mm 120cm,717.0,466.05,124.04,717.0,34
HCPCS,C1730,Cath EP quad Stryker 401860rep,349.0,226.85,60.38,349.0,34
HCPCS,C1730,Cath EP steer m curve 81102rep,2862.0,1860.3,173.17,2862.0,34
HCPCS,C1730,Cath SOS Omni 2 4f 65 11714054,78.0,50.7,13.49,173.17,34
HCPCS,C1730,Cath SOS Omni 3 4f 80 11714026,449.0,291.85,77.68,449.0,34
HCPCS,C1730,Cath dx EP 5fr deca cs 90cm,3180.0,2067.0,173.17,3180.0,34
HCPCS,C1730,Cath ep deca cs d610drp10rt,4728.0,3073.2,173.17,4728.0,34
HCPCS,C1730,Cath ep decapolr 6f f6adp282rt,2692.0,1749.8,173.17,2692.0,34
HCPCS,C1730,Cath ep map f5qa005ct,403.0,261.95,69.72,403.0,34
HCPCS,C1730,Cath ep sinus bi bd710df282ct,5385.0,3500.25,173.17,5385.0,34
HCPCS,C1730,Cath map reprocess d610drp10rt,1380.0,897.0,173.17,1380.0,34
HCPCS,C1730,Cath navig deca 7fr r7f282ct,9931.0,6455.15,173.17,9931.0,34
HCPCS,C1730,Cath sim 1 4fr 65cm 10718401,141.0,91.65,24.39,173.17,34
HCPCS,C1730,Cath sim 1 5fr 65cm 10709005,163.0,105.95,28.2,173.17,34
HCPCS,C1730,Cath soft 1 vu SOS Omni 5fr,799.0,519.35,138.23,799.0,34
HCPCS,C1731,"CATH, EP, 20 OR MORE ELEC",11448.5,7441.525,173.17,16484.0,204
HCPCS,C1731,Cath EP Stryker 81683rep,5607.0,3644.55,173.17,5607.0,34
HCPCS,C1731,Cath EP deca livwr 6fr 2mm STJ,4240.0,2756.0,173.17,4240.0,34
HCPCS,C1731,Cath EP mapping Octaray,11832.0,7690.8,173.17,11832.0,34
HCPCS,C1731,Cath EP quad Stryker 401904rep,2595.0,1686.75,173.17,2595.0,34
HCPCS,C1731,Cath ep refl Abott d402865,11718.0,7616.7,173.17,11718.0,34
HCPCS,C1731,Cath reflexn rad spirl d402893,10795.0,7016.75,173.17,10795.0,34
HCPCS,C1732,"CATH, EP, DIAG/ABL, 3D/VECT",16484.0,10714.6,173.17,27793.0,238
HCPCS,C1732,Cath EP Biosense r7d282ct,9931.0,6455.15,173.17,9931.0,34
HCPCS,C1732,Cath EP cels therm 7 jcrv bwe,12922.0,8399.3,173.17,12922.0,34
HCPCS,C1732,Cath Ensite mapping ec1000,6805.0,4423.25,173.17,6805.0,34
HCPCS,C1732,Cath ep advisr grid davhddf16,13849.0,9001.85,173.17,13849.0,34
HCPCS,C1732,Cath map electr 10p d7t20282rt,12217.0,7941.05,173.17,12217.0,34
HCPCS,C1732,Cath navistar 4mm tc bn7tcdf4l,14133.0,9186.45,173.17,14133.0,34
HCPCS,C1732,Rhythmic umbil cath 4rc64s0,19531.0,12695.15,173.17,19531.0,34
HCPCS,C1733,"CATH, EP, OTHR THAN COOL-TIP",11427.0,7427.55,173.17,31218.0,442
HCPCS,C1733,CAth Agilis 8.5f nxt sm wndl,10907.0,7089.55,173.17,10907.0,34
HCPCS,C1733,Cath EP Teleflex ai07165,1568.0,1019.2,173.17,1568.0,34
HCPCS,C1733,Cath EP Teleflex ai07368nhf,1622.0,1054.3,173.17,1622.0,34
HCPCS,C1733,Cath Sphere 9 mapping afr00001,56232.0,36550.8,173.17,56232.0,34
HCPCS,C1733,Cath abln 1304-cp-7-25-fl,223.0,144.95,38.58,223.0,34
HCPCS,C1733,Cath abln Blaz 8 m0044500thk20,11718.0,7616.7,173.17,11718.0,34
HCPCS,C1733,Cath abln Blaz sm 4 45031tk10,9258.0,6017.7,173.17,9258.0,34
HCPCS,C1733,Cath abln Freezor3 4x53mm307f3,15063.0,9790.95,173.17,15063.0,34
HCPCS,C1733,Cath abln Halo 90-9100,13712.0,8912.8,173.17,13712.0,34
HCPCS,C1733,Cath abln Halo ultra 909200,11889.0,7727.85,173.17,11889.0,34
HCPCS,C1733,Cath abln cryo 23mm 2af232,32110.0,20871.5,173.17,32110.0,34
HCPCS,C1733,Cath abln lrg crv standr seg,11541.0,7501.65,173.17,11541.0,34
HCPCS,C1733,Cath abln n nan cels bd7tcfj8l,11624.0,7555.6,173.17,11624.0,34
HCPCS,C1733,Cath abltn 1304-cp-7-25m 83326,11531.0,7495.15,173.17,11531.0,34
HCPCS,C1733,Cath chilli ii asym crv ep25mm,11561.0,7514.65,173.17,11561.0,34
HCPCS,C1733,Cath cryoabl Medtr afapro23,20646.0,13419.9,173.17,20646.0,34
HCPCS,C1733,Cath cryoabl Medtr afapro28,30862.0,20060.3,173.17,30862.0,34
HCPCS,C1733,Cath loop pulse pfa pscc100,33739.0,21930.35,173.17,33739.0,34
HCPCS,C1733,Ep abla rf conductr soft,5830.0,3789.5,173.17,5830.0,34
HCPCS,C1734,Augment 1.5cc kt inj k30001510,9548.0,6206.2,173.17,9548.0,34
HCPCS,C1734,Augment 3cc kt inj k30003010,17358.0,11282.7,173.17,17358.0,34
HCPCS,C1734,Influx Fibrnt chps iflxfbglgdc,37332.0,24265.8,173.17,37332.0,34
HCPCS,C1734,Influx Fibrnt chps iflxfbgsmdc,28152.0,18298.8,173.17,28152.0,34
HCPCS,C1734,"ORTH/DEVIC/DRUG BN/BN,TIS/BN",12858.0,8357.7,173.17,12858.0,34
HCPCS,C1735,Cath elect Symplicity rdn016,80156.0,52101.4,173.17,80156.0,47
HCPCS,C1747,"ENDO, SINGLE, URINARY TRACT",10335.0,6717.75,173.17,13245.0,136
HCPCS,C1747,Scope urteral pusen pu100,7261.0,4719.65,173.17,7261.0,34
HCPCS,C1747,Ureteroscope CR Bard bdvp01,35670.0,23185.5,173.17,35670.0,34
HCPCS,C1747,Ureteroscope Dornier ax93us31b,8176.0,5314.4,173.17,8176.0,34
HCPCS,C1747,Ureteroscope flx Hugemed hu30m,7697.0,5003.05,173.17,7697.0,34
HCPCS,C1747,Ureteroscope video CVC1270201,24502.0,15926.3,173.17,24502.0,34
HCPCS,C1747,Ureteroscp lithovu m0067913500,10653.0,6924.45,173.17,10653.0,34
HCPCS,C1748,"ENDOSCOPE, SINGLE, UGI",20809.0,13525.85,173.17,20809.0,34
HCPCS,C1750,"CATH, HEMODIALYSIS,LONG-TERM",2968.0,1929.1999999999998,119.02,17045.0,646
HCPCS,C1750,Cath 8f Swan Popvich8888414029,1932.0,1255.8,173.17,1932.0,34
HCPCS,C1750,Cath CV perm 36cm 17680-001,2283.0,1483.95,173.17,2283.0,34
HCPCS,C1750,Cath Swan 2.9f 50 29mc29150sn,2915.0,1894.75,173.17,2915.0,34
HCPCS,C1750,Cath Swan neck curl 8888413100,1216.0,790.4,173.17,1216.0,34
HCPCS,C1750,Cath dial 15f 24 peel 32401524,3445.0,2239.25,173.17,3445.0,34
HCPCS,C1750,Cath dial 15fr 22x55cm,2671.0,1736.15,173.17,2671.0,34
HCPCS,C1750,Cath dial 36cm duramax10302806,2915.0,1894.75,173.17,2915.0,34
HCPCS,C1750,Cath dial 44.5l peritn 413005,1756.0,1141.4,173.17,1756.0,34
HCPCS,C1750,Cath dial 55cm cannon,3920.0,2548.0,173.17,3920.0,34
HCPCS,C1750,Cath dial Ash Split 14fx32,3292.0,2139.8,173.17,3292.0,34
HCPCS,C1750,Cath dial Ash Split 14fx36-so,3410.0,2216.5,173.17,3410.0,34
HCPCS,C1750,Cath dial Covidien 8888145040p,2355.0,1530.75,173.17,2355.0,34
HCPCS,C1750,Cath dial Quinton 62cm 411702,984.0,639.6,170.23,984.0,34
HCPCS,C1750,Cath dial peri-acu 15fr g09251,2033.0,1321.45,173.17,2033.0,34
HCPCS,C1750,Cath dial peri-acu 37cm g08984,1655.0,1075.75,173.17,1655.0,34
HCPCS,C1750,Cath dial peritoneal sm,1837.0,1194.05,173.17,1837.0,34
HCPCS,C1750,Cath dialysis 19 strg 5833690,4600.0,2990.0,173.17,4600.0,34
HCPCS,C1750,Cath dialysis 8817278006,886.0,575.9,153.28,886.0,34
HCPCS,C1750,Cath hemo Arrow cs15322spm,3657.0,2377.05,173.17,3657.0,34
HCPCS,C1750,Cath hemo Chromic w/blnt tray,1135.0,737.75,173.17,1135.0,34
HCPCS,C1750,Cath hemo Covidien 8888145066p,2597.0,1688.05,173.17,2597.0,34
HCPCS,C1750,Cath hemo Covidien 8888146144p,2597.0,1688.05,173.17,2597.0,34
HCPCS,C1750,Cath swan neck curl 8888414813,1401.0,910.65,173.17,1401.0,34
HCPCS,C1751,"CATH, INF, PER/CENT/MIDLINE",1305.0,848.25,54.84,3498.0,1020
HCPCS,C1751,CatH CV Hick 1l 9.6f 600564,2092.0,1359.8,173.17,2092.0,34
HCPCS,C1751,CatH CV Hick 1l pwr 8f 802815,3339.0,2170.35,173.17,3339.0,34
HCPCS,C1751,CatH CV Hick 2l 7f pedi 600310,1592.0,1034.8,173.17,1592.0,34
HCPCS,C1751,Cath CV 1 lum 16g ak04210,164.0,106.6,28.37,173.17,34
HCPCS,C1751,Cath CV 1 lum 2.7f Bro Vitcuff,3122.0,2029.3,173.17,3122.0,34
HCPCS,C1751,Cath CV 1 lum 2.7f Brov 600040,1219.0,792.35,173.17,1219.0,34
HCPCS,C1751,Cath CV 1 lum 4.2f Brov 600520,2227.0,1447.55,173.17,2227.0,34
HCPCS,C1751,Cath CV 1 lum 5f 73776,383.0,248.95,66.26,383.0,34
HCPCS,C1751,Cath CV 16g ak-04200,188.0,122.2,32.52,188.0,34
HCPCS,C1751,Cath CV 2 Teleflex ak11142spcs,983.0,638.95,170.06,983.0,34
HCPCS,C1751,Cath CV 2 lum 10f 600634,2526.0,1641.9,173.17,2526.0,34
HCPCS,C1751,Cath CV 2 lum 4f 15402,345.0,224.25,59.69,345.0,34
HCPCS,C1751,Cath CV 2 lum 5f 501j g04526,1229.0,798.85,173.17,1229.0,34
HCPCS,C1751,Cath CV 2 lum 5fr 8cm nb 25502,740.0,481.0,128.02,740.0,34
HCPCS,C1751,Cath CV 2 lum 6r 70cm 3276155,859.0,558.35,148.61,859.0,34
HCPCS,C1751,Cath CV 2 lum 7-8f mac 11142,959.0,623.35,165.91,959.0,34
HCPCS,C1751,Cath CV 2 lum 8f 16cm pl 42802,849.0,551.85,146.88,849.0,34
HCPCS,C1751,Cath CV 2 lum ak-27702,668.0,434.2,115.56,668.0,34
HCPCS,C1751,Cath CV 2 lum rt subclav t4000,1025.0,666.25,173.17,1025.0,34
HCPCS,C1751,Cath CV 2l 8f 16 cdc42802xp1,1132.0,735.8,173.17,1132.0,34
HCPCS,C1751,Cath CV 2lumn 7f ak47702,655.0,425.75,113.32,655.0,34
HCPCS,C1751,Cath CV 3 lum 12f 16cm 221231,1254.0,815.1,173.17,1254.0,34
HCPCS,C1751,Cath CV 3 lum 12fr 20cm 15123h,703.0,456.95,121.62,703.0,34
HCPCS,C1751,Cath CV 3 lum 7fx20 cdc251231,1321.0,858.65,173.17,1321.0,34
HCPCS,C1751,Cath CV 3f 8cm j gwg02061,349.0,226.85,60.38,349.0,34
HCPCS,C1751,Cath CV 3fr line cpmsy301j,630.0,409.5,108.99,630.0,34
HCPCS,C1751,Cath CV 3l 7f 16cm cdc42703p1a,1044.0,678.6,173.17,1044.0,68
HCPCS,C1751,Cath CV 3l 7f 6in Biopatc42703,1159.0,753.35,173.17,1159.0,34
HCPCS,C1751,Cath CV 3l maxbrr Biopatc45703,1253.0,814.45,173.17,1253.0,34
HCPCS,C1751,Cath CV 3lum 7fr 15cm kit,897.0,583.05,155.18,897.0,34
HCPCS,C1751,Cath CV gradplus kit ask45703,1304.0,847.6,173.17,1304.0,34
HCPCS,C1751,Cath CV midline 4f ms02041t,357.0,232.05,61.76,357.0,34
HCPCS,C1751,Cath CVP 2 lum kit 16g 04300,253.0,164.45,43.77,253.0,34
HCPCS,C1751,Cath CVP mult lumen kt 20cm aw,724.0,470.6,125.25,724.0,34
HCPCS,C1751,Cath CVP mult lumen kt 30cm aw,705.0,458.25,121.97,705.0,34
HCPCS,C1751,Cath EP Teleflex ai07365nhl,1406.0,913.9,173.17,1406.0,68
HCPCS,C1751,Cath Footprint p1pic1.4c,584.0,379.6,101.03,584.0,68
HCPCS,C1751,Cath PICC 1lum 1.9frx50cm,1102.0,716.3,173.17,1102.0,34
HCPCS,C1751,Cath PICC 2 lum 20gx60 384466,555.0,360.75,96.02,555.0,34
HCPCS,C1751,Cath PICC 2fr 30x.6x24 1252232,986.0,640.9,170.58,986.0,34
HCPCS,C1751,Cath PICC 2lum 5frx55cm kit,1128.0,733.2,173.17,1128.0,34
HCPCS,C1751,Cath PICC 3lum 6frx55cm,437.0,284.05,75.6,437.0,34
HCPCS,C1751,Cath PICC 5fr 65cm sng12102603,2682.0,1743.3,173.17,2682.0,34
HCPCS,C1751,Cath PICC 5fr Solo 9395108qd,2486.0,1615.9,173.17,2486.0,34
HCPCS,C1751,Cath PICC CR Bard s4254108bdp,6106.0,3968.9,173.17,6106.0,34
HCPCS,C1751,Cath PICC Pwr 4f sngl 1194108d,2507.0,1629.55,173.17,2507.0,34
HCPCS,C1751,Cath PICC Pwr 4f solo 9194108d,2113.0,1373.45,173.17,2113.0,34
HCPCS,C1751,Cath PICC Pwr 5f solo 9295108d,2062.0,1340.3,173.17,2062.0,34
HCPCS,C1751,Cath PICC Pwr 5f trpl1395108qd,2843.0,1847.95,173.17,2843.0,34
HCPCS,C1751,Cath PICC Pwr 5fr 55cm01456720,1330.0,864.5,173.17,1330.0,34
HCPCS,C1751,Cath PICC Pwr 5fr sngl 70cm,248.0,161.2,42.9,248.0,34
HCPCS,C1751,Cath PICC Pwr 6f Max 9396108d,2240.0,1456.0,173.17,2240.0,34
HCPCS,C1751,Cath PICC sngl 4frx80cm tapred,844.0,548.6,146.01,844.0,34
HCPCS,C1751,Cath PICC stylet 1fr 1261203g,558.0,362.7,96.53,558.0,34
HCPCS,C1751,Cath PowerGlide F318108PT,1196.0,777.4,173.17,1196.0,68
HCPCS,C1751,Cath Swan Ganz 8fr cont 746hf8,2264.0,1471.6,173.17,2264.0,34
HCPCS,C1751,Cath Swan Ganz ts105f5,1588.0,1032.2,173.17,1588.0,34
HCPCS,C1751,Cath Swan ganz 7fr cont 746f8,2325.0,1511.25,173.17,2325.0,34
HCPCS,C1751,Cath art 20x4.45cm ak04020c,241.0,156.65,41.69,241.0,68
HCPCS,C1751,Cath ball Teleflex ai07127,882.0,573.3,152.59,882.0,68
HCPCS,C1751,Cath cv 2 lum 8fr 20cm g44070,1022.0,664.3,173.17,1022.0,68
HCPCS,C1751,Cath cv Cook Med g02126,752.0,488.8,130.1,752.0,34
HCPCS,C1751,Cath cvc Teleflex ml00703,1504.0,977.6,173.17,1504.0,68
HCPCS,C1751,Cath indigo d tube catd,18962.0,12325.3,173.17,18962.0,34
HCPCS,C1751,Cath intro micrflash 125235g,509.0,330.85,88.06,509.0,68
HCPCS,C1751,Cath kt art 20x3.81cm ra04120,116.0,75.4,20.07,173.17,68
HCPCS,C1751,Cath micro venous 0659230,3908.0,2540.2,173.17,3908.0,68
HCPCS,C1751,Cath midline CR Bard p4154108d,1438.0,934.7,173.17,1438.0,34
HCPCS,C1751,Cath picc 4f sngl nitinol45885,1406.0,913.9,173.17,1406.0,34
HCPCS,C1751,Cath picc 5 lum single 3175355,947.0,615.55,163.83,947.0,34
HCPCS,C1751,Cath picc 5f 2lum 1275108d,2212.0,1437.8,173.17,2212.0,34
HCPCS,C1751,Cath picc 5f dual nitinol45887,1547.0,1005.55,173.17,1547.0,34
HCPCS,C1751,Cath picc CR Bard s1294108d5,3093.0,2010.45,173.17,3093.0,34
HCPCS,C1751,Cath picc dual lum 2.6f 384466,861.0,559.65,148.95,861.0,34
HCPCS,C1751,Cath picc dual lumen 1.9f p2pi,840.0,546.0,145.32,840.0,34
HCPCS,C1751,Cath picc l ban 28g 1l 384516,906.0,588.9,156.74,906.0,34
HCPCS,C1751,Cath picc ped s1173108pd,2595.0,1686.75,173.17,2595.0,34
HCPCS,C1751,Cath picc pw5f solo2 s1395108d,2966.0,1927.9,173.17,2966.0,34
HCPCS,C1751,Cath picc pwf5fr dls1295108fd5,2697.0,1753.05,173.17,2697.0,34
HCPCS,C1751,Cath picc pwr 4fr 1194108d5,2629.0,1708.85,173.17,2629.0,34
HCPCS,C1751,Cath picc pwr 5fr s1395108d5,3288.0,2137.2,173.17,3288.0,34
HCPCS,C1751,Cath picc sil 1.9f 26g 384232,511.0,332.15,88.4,511.0,34
HCPCS,C1751,Cath picc tray CR Bard 1174108,2353.0,1529.45,173.17,2353.0,34
HCPCS,C1751,Cath picc tray CR Bard s127410,2593.0,1685.45,173.17,2593.0,34
HCPCS,C1751,Cath picc tray CR Bard s138510,2668.0,1734.2,173.17,2668.0,34
HCPCS,C1751,Cath powerglide 18g 10 f118100,607.0,394.55,105.01,607.0,34
HCPCS,C1751,Cath separator d sepd,11754.0,7640.1,173.17,11754.0,34
HCPCS,C1751,Cath sgl lum sil picc ar384221,511.0,332.15,88.4,511.0,68
HCPCS,C1751,Cath sng lumen 18g 4f p4154108,1171.0,761.15,173.17,1171.0,34
HCPCS,C1751,Cath sng lumn 4f try p4154108d,1339.0,870.35,173.17,1339.0,34
HCPCS,C1751,Cath swan edward 777f8,3049.0,1981.85,173.17,3049.0,34
HCPCS,C1751,Cath swan ganz 7fr 131f7p,434.0,282.1,75.08,434.0,68
HCPCS,C1751,Cath thermaldi 6f 2lmn c145hf6,1359.0,883.35,173.17,1359.0,68
HCPCS,C1751,Cath tray powerglide f118100t,1849.0,1201.85,173.17,1849.0,68
HCPCS,C1751,Cath tray powerglide f118101t,9645.0,6269.25,173.17,9645.0,68
HCPCS,C1751,Cath venous lumen 018 g26928,1547.0,1005.55,173.17,1547.0,68
HCPCS,C1751,Kit central ln Medln dyndc3198,177.0,115.05,30.62,177.0,68
HCPCS,C1752,"CATH,HEMODIALYSIS,SHORT-TERM",1406.0,913.9,132.69,2475.0,238
HCPCS,C1752,Cath CV 2l 24cm ngr 5575240,1655.0,1075.75,173.17,1655.0,34
HCPCS,C1752,Cath dial 11.5fr Mahurkar,453.0,294.45,78.37,453.0,34
HCPCS,C1752,Cath dial 2lum 20cm cvd 543620,1921.0,1248.65,173.17,1921.0,34
HCPCS,C1752,Cath dial CR Bard 5655150,2761.0,1794.65,173.17,2761.0,34
HCPCS,C1752,Cath dial Niag 15cm shrt557515,1781.0,1157.65,173.17,1781.0,34
HCPCS,C1752,Cath dial Niagara 15c crv66150,1773.0,1152.45,173.17,1773.0,34
HCPCS,C1752,Cath dial Niagara 20c str75200,1749.0,1136.85,173.17,1749.0,34
HCPCS,C1752,Cath dial Teleflex cdc261221a,1507.0,979.55,173.17,1507.0,34
HCPCS,C1752,Cath dial crv kt 24cm 5655240,2707.0,1759.55,173.17,2707.0,34
HCPCS,C1752,Cath dial duoglide 30cm 562530,1848.0,1201.2,173.17,1848.0,34
HCPCS,C1752,Cath dial hemo 8fr 18cm sl18p,2562.0,1665.3,173.17,2562.0,34
HCPCS,C1752,Cath dial trflw kt20cm 5613200,772.0,501.8,133.56,772.0,34
HCPCS,C1752,Cath dial trflw kt24cm 5613240,2026.0,1316.9,173.17,2026.0,34
HCPCS,C1752,Cath dial triflow 11.5fx20,494.0,321.1,85.46,494.0,34
HCPCS,C1752,Cath dialy Covidien 8888222120,352.0,228.8,60.9,352.0,34
HCPCS,C1752,Cath dialysis 13fx15 5605150,2119.0,1377.35,173.17,2119.0,34
HCPCS,C1752,Cath hemo Covidien 8888212416,1183.0,768.95,173.17,1183.0,34
HCPCS,C1753,"CATH, INTRAVAS ULTRASOUND",5559.5,3613.675,114.35,9611.0,136
HCPCS,C1753,Cath Ivus 5f imag h749518110,6307.0,4099.55,173.17,6307.0,34
HCPCS,C1753,Cath OptiCross h7493932800180,14284.0,9284.6,173.17,14284.0,34
HCPCS,C1753,Cath OptiCross h7493932800350,11505.0,7478.25,173.17,11505.0,34
HCPCS,C1753,Cath Pioner reentry6f pplus120,17045.0,11079.25,173.17,17045.0,34
HCPCS,C1753,Cath ViewFlex Eco d087031r,14024.0,9115.6,173.17,14024.0,34
HCPCS,C1753,Cath abl ICE Nuvision fg10593,25134.0,16337.1,173.17,25134.0,34
HCPCS,C1753,Cath ivus visions pv.035 88901,9869.0,6414.85,173.17,9869.0,34
HCPCS,C1753,Cath ultrsoun 15mhz Atlan,5941.0,3861.65,173.17,5941.0,34
HCPCS,C1753,Cath ultrsoun 3.0 40mhz Atla,8477.0,5510.05,173.17,8477.0,34
HCPCS,C1753,Cath ultrsoun pv8.2 AAA 8890,8570.0,5570.5,173.17,8570.0,34
HCPCS,C1753,Cath ultrsoun revol 2.9f 89000,6360.0,4134.0,173.17,6360.0,34
HCPCS,C1753,Cath us Eagle gold2.9f 85900,6625.0,4306.25,173.17,6625.0,34
HCPCS,C1753,Cath vas dragon 135 c408646,7420.0,4823.0,173.17,7420.0,34
HCPCS,C1753,Cath vas femol drag135 c408643,8830.0,5739.5,173.17,8830.0,34
HCPCS,C1754,Cath brevi xl spine,620.0,403.0,107.26,620.0,34
HCPCS,C1755,Cath pain intrathcl pump 8781,10336.0,6718.4,173.17,10336.0,34
HCPCS,C1755,Pump pain intracath Synch 695,6890.0,4478.5,173.17,6890.0,34
HCPCS,C1755,Pump pain intrathcl cath 11823,6360.0,4134.0,173.17,6360.0,34
HCPCS,C1755,Pump pain intrathcl cath1 8780,10336.0,6718.4,173.17,10336.0,34
HCPCS,C1757,"CATH, THROMBECTOMY/EMBOLECT",16732.0,10875.8,0.01,56232.0,1212
HCPCS,C1757,Cath 2.9f 45x150cm 29mc2915045,2862.0,1860.3,173.17,2862.0,34
HCPCS,C1757,Cath Penumbra litng7xtorq130,28474.0,18508.1,173.17,28474.0,34
HCPCS,C1757,Cath aspir Penumbra cat7dkit,18962.0,12325.3,173.17,18962.0,34
HCPCS,C1757,Cath aspir litngbt7tq130,40794.0,26516.1,173.17,40794.0,34
HCPCS,C1757,Cath aspir throm 135cm cat6kit,16371.0,10641.15,173.17,16371.0,34
HCPCS,C1757,Cath aspir tub 140cm catrxkit,13494.0,8771.1,173.17,13494.0,34
HCPCS,C1757,Cath axs Stryker inc11597115,15269.0,9924.85,173.17,15269.0,34
HCPCS,C1757,Cath axs Stryker inc11597132,18018.0,11711.7,173.17,18018.0,34
HCPCS,C1757,Cath embol 2fr 80cm,1047.0,680.55,173.17,1047.0,34
HCPCS,C1757,Cath embol 3fr 40cm,827.0,537.55,143.07,827.0,34
HCPCS,C1757,Cath embol 4fr 40cm,388.0,252.2,67.12,388.0,34
HCPCS,C1757,Cath embol 5fr 80cm lf,404.0,262.6,69.89,404.0,34
HCPCS,C1757,Cath embol extration Pronto,3159.0,2053.35,173.17,3159.0,34
HCPCS,C1757,Cath export asp 6fe 140cm,4770.0,3100.5,173.17,4770.0,34
HCPCS,C1757,Cath flowtreiver retriev 25201,2.0,1.3,0.35,173.17,34
HCPCS,C1757,Cath fogarty adherent 5fr 8mm,2473.0,1607.45,173.17,2473.0,34
HCPCS,C1757,Cath fogarty ae 2fr cv1035,944.0,613.6,163.31,944.0,34
HCPCS,C1757,Cath fogarty graft throm 5 50,4042.0,2627.3,173.17,4042.0,34
HCPCS,C1757,Cath fogarty irr 4mm cv1058,252.0,163.8,43.6,252.0,34
HCPCS,C1757,Cath micro penumbra sep12,13459.0,8748.35,173.17,13459.0,34
HCPCS,C1757,Cath midlin max 3f s4153108bdp,1817.0,1181.05,173.17,1817.0,34
HCPCS,C1757,Cath penumbra litng8xtorq115,29496.0,19172.4,173.17,29496.0,34
HCPCS,C1757,Cath pronto lp 5010,3445.0,2239.25,173.17,3445.0,34
HCPCS,C1757,Cath reperf rd red72sdkit,34964.0,22726.6,173.17,34964.0,34
HCPCS,C1757,Cath sepatr indigo 068 sep8res,13175.0,8563.75,173.17,13175.0,34
HCPCS,C1757,Cath seperator sepc4,8882.0,5773.3,173.17,8882.0,34
HCPCS,C1757,Cath thrmb 135cm 700109,7832.0,5090.8,173.17,7832.0,34
HCPCS,C1757,Cath thrmb 15x135cm 700115,11718.0,7616.7,173.17,11718.0,34
HCPCS,C1757,Cath thrmb 15x65cm 700015,10336.0,6718.4,173.17,10336.0,34
HCPCS,C1757,Cath thrmb 65cm 700009,6678.0,4340.7,173.17,6678.0,34
HCPCS,C1757,Cath thrmb pounce pts10117f135,25440.0,16536.0,173.17,25440.0,34
HCPCS,C1757,Cath thromb 3f 15 111303001,14081.0,9152.65,173.17,14081.0,34
HCPCS,C1757,Cath thromb 5fr 40cm,661.0,429.65,114.35,661.0,34
HCPCS,C1757,Cath thromb 6f 9x135cm700109xt,9640.0,6266.0,173.17,9640.0,34
HCPCS,C1757,Cath thromb 6fqcat Extrc 145cm,4134.0,2687.1,173.17,4134.0,34
HCPCS,C1757,Cath thromb 6fr 120cm Expedior,13556.0,8811.4,173.17,13556.0,34
HCPCS,C1757,Cath thromb 6fr 50cm Exped avx,6824.0,4435.6,173.17,6824.0,34
HCPCS,C1757,Cath thromb 6fr 90cm Exped dvx,10689.0,6947.85,173.17,10689.0,34
HCPCS,C1757,Cath thromb litng8xtorq115RES,29496.0,19172.4,173.17,29496.0,34
HCPCS,C1757,Cath thromb perc trero pt45509,6487.0,4216.55,173.17,6487.0,34
HCPCS,C1757,Cath thromb sol Omni 109681001,11741.0,7631.65,173.17,11741.0,34
HCPCS,C1757,Cath thromb sol Prox 109676001,11009.0,7155.85,173.17,11009.0,34
HCPCS,C1757,Cath thrombec dvt 8f 114610001,21992.0,14294.8,173.17,21992.0,34
HCPCS,C1757,Cath thrombectomy 7f pt65709wc,9090.0,5908.5,173.17,9090.0,34
HCPCS,C1757,Cath triever 16f 25201iso,40896.0,26582.4,173.17,40896.0,34
HCPCS,C1757,Penum Seperatr .054x135 pss054,14843.0,9647.95,173.17,14843.0,34
HCPCS,C1757,Penum reperf6f .054x132 psc054,15063.0,9790.95,173.17,15063.0,34
HCPCS,C1757,Penumbra cath reperf 8f psc026,15063.0,9790.95,173.17,15063.0,34
HCPCS,C1758,Allograft putty dbm 1ml 38010,2432.0,1580.8,173.17,2432.0,34
HCPCS,C1758,"CATHETER, URETERAL",109.0,70.85,15.05,2463.0,170
HCPCS,C1758,Cath uret 5fr 70 Opnend g15216,143.0,92.95,24.74,173.17,34
HCPCS,C1758,Cath uret Cardinal 3143,16.0,10.4,2.77,173.17,34
HCPCS,C1758,Cath uret Cone tip 8fr 138008,164.0,106.6,28.37,173.17,34
HCPCS,C1758,Cath uret Illum 5 fr 84120,1942.0,1262.3,173.17,1942.0,34
HCPCS,C1758,Cath uret Olive tip 4fr 70cm,89.0,57.85,15.4,173.17,34
HCPCS,C1758,Cath uret Open end 70x4.8fr,41.0,26.65,7.09,173.17,34
HCPCS,C1758,Cath uret Open end 70x6fr,45.0,29.25,7.79,173.17,34
HCPCS,C1758,Cath uret Pollack 5 fr,182.0,118.3,31.49,182.0,34
HCPCS,C1758,Cath uret Pollack 6 fr,179.0,116.35,30.97,179.0,34
HCPCS,C1758,Cath uret Pollack openend 4fr,92.0,59.8,15.92,173.17,34
HCPCS,C1758,Cath uret Whistle tip 3fr22203,153.0,99.45,26.47,173.17,34
HCPCS,C1758,Cath uret Whistle tip 4fr 6in,6.0,3.9,1.04,173.17,34
HCPCS,C1758,Cath uret Whistle tip 5 fr,33.0,21.45,5.71,173.17,34
HCPCS,C1758,Cath uret dual lum.04x50g17145,531.0,345.15,91.86,531.0,34
HCPCS,C1758,Cath uret dual lumen 10f 50cm,726.0,471.9,125.6,726.0,34
HCPCS,C1758,Cath uret laser fiber g17797,289.0,187.85,50.0,289.0,34
HCPCS,C1758,Cath uret open70 cflx 64001530,418.0,271.7,72.31,418.0,34
HCPCS,C1758,Cath uret perc pig neph ped,1886.0,1225.9,173.17,1886.0,34
HCPCS,C1758,Cath uret pigtail 6frx70 COOK,535.0,347.75,92.56,535.0,34
HCPCS,C1758,Cath uret vari-pass asv1012,703.0,456.95,121.62,703.0,34
HCPCS,C1758,Cath ureteral g17323,283.0,183.95,48.96,283.0,34
HCPCS,C1758,Cath ureth filiform 2fr 021902,330.0,214.5,57.09,330.0,34
HCPCS,C1758,Cath ureth filiform 3fr 021903,790.0,513.5,136.67,790.0,34
HCPCS,C1758,Cath ureth filiform 5fr 023825,684.0,444.6,118.33,684.0,34
HCPCS,C1759,"CATH, INTRA ECHOCARDIOGRAPHY",13938.0,9059.7,173.17,21306.0,170
HCPCS,C1759,Cath EP Veris Philips vsice3d,24147.0,15695.55,173.17,24147.0,34
HCPCS,C1759,Cath US Acunav Crystl 11510825,20434.0,13282.1,173.17,20434.0,34
HCPCS,C1759,Cath US SndStar Crystl11510826,21165.0,13757.25,173.17,21165.0,34
HCPCS,C1759,Cath ice Stryker d087031rep,15530.0,10094.5,173.17,15530.0,34
HCPCS,C1759,Cath soundstar eco10f 10438577,16477.0,10710.05,173.17,16477.0,34
HCPCS,C1759,Cath us card 10x90cm 10439072,16974.0,11033.1,173.17,16974.0,34
HCPCS,C1759,Cath us view flex d087031,14914.0,9694.1,173.17,14914.0,34
HCPCS,C1760,"CLOSURE DEV, VASC",2335.0,1517.75,173.17,30672.0,374
HCPCS,C1760,Close angio seal sts 6f,279.0,181.35,48.27,279.0,68
HCPCS,C1760,Close dev Perclose 6f,1967.0,1278.55,173.17,1967.0,68
HCPCS,C1760,Close dev Perclose 6fr Proglid,2044.0,1328.6,173.17,2044.0,68
HCPCS,C1760,Close dev Perclose Prostr 8.5,10232.0,6650.8,173.17,10232.0,68
HCPCS,C1760,Close dev angiosl Terumo610130,219.0,142.35,37.89,219.0,68
HCPCS,C1760,Close dev cardiva 800612c10u,2595.0,1686.75,173.17,2595.0,68
HCPCS,C1760,Close dev mynx mx6700,2379.0,1546.35,173.17,2379.0,68
HCPCS,C1760,Close dev vas Starclose 14679,1892.0,1229.8,173.17,1892.0,68
HCPCS,C1760,Close dev vasc Abott 1277303,246.0,159.9,42.56,246.0,68
HCPCS,C1760,Closure dev vasc Wave2a mx5060,2466.0,1602.9,173.17,2466.0,68
HCPCS,C1761,"CATH, TRANS INTRA LITHO/CORO",33453.5,21744.775,173.17,33537.0,68
HCPCS,C1762,Allograft GRAFTON paste 10ml,13941.0,9061.65,173.17,13941.0,68
HCPCS,C1762,Allograft GRAFTON strp 1x20cm,20283.0,13183.95,173.17,20283.0,68
HCPCS,C1762,Allograft Repliform 4 x 7,10555.0,6860.75,173.17,10555.0,68
HCPCS,C1762,Allograft Repliform 5x10,11677.0,7590.05,173.17,11677.0,68
HCPCS,C1762,Allograft dura 7.5 x 7.5 62105,7869.0,5114.85,173.17,7869.0,68
HCPCS,C1762,Allograft dura durepair 4x5in,14945.0,9714.25,173.17,14945.0,68
HCPCS,C1762,Allograft dura mater patch,3413.0,2218.45,173.17,3413.0,68
HCPCS,C1762,Allograft gracilis tend r1101,11008.0,7155.2,173.17,11008.0,68
HCPCS,C1762,Allograft matxpaste 1ml dbm001,1976.0,1284.4,173.17,1976.0,68
HCPCS,C1762,Allograft patella tendon 1901,21306.0,13848.9,173.17,21306.0,68
HCPCS,C1762,Allograft patella tendon ff,22818.0,14831.7,173.17,22818.0,68
HCPCS,C1762,Allograft pericardum mtf400273,7642.0,4967.3,173.17,7642.0,68
HCPCS,C1762,Allograft talus 32647001,32717.0,21266.05,173.17,32717.0,68
HCPCS,C1762,Allograft tibal tendn ant 2701,13335.0,8667.75,173.17,13335.0,68
HCPCS,C1762,Allograft tibal tendn post2702,14559.0,9463.35,173.17,14559.0,68
HCPCS,C1762,Allogrt Arthrex abs201305,8310.0,5401.5,173.17,8310.0,68
HCPCS,C1762,Allogrt Avive soft tiss CA3060,28364.0,18436.6,173.17,28364.0,68
HCPCS,C1762,Allogrt Avive soft tiss ca2040,15945.0,10364.25,173.17,15945.0,68
HCPCS,C1762,Allogrt Coastal cartilag450030,6827.0,4437.55,173.17,6827.0,68
HCPCS,C1762,Allogrt Graftn dbm2.5x5 t42210,13682.0,8893.3,173.17,13682.0,68
HCPCS,C1762,Allogrt Graftn dbm8x10 t42275,11448.0,7441.2,173.17,11448.0,68
HCPCS,C1762,Allogrt Grafton dbm10 t45010,9722.0,6319.3,173.17,9722.0,68
HCPCS,C1762,Allogrt SMO modif psmost025e,21158.0,13752.7,173.17,21158.0,68
HCPCS,C1762,Allogrt Suspend 2x12cm 937212,12624.0,8205.6,173.17,12624.0,68
HCPCS,C1762,Allogrt achil JRFOrth222726064,22016.0,14310.4,173.17,22016.0,68
HCPCS,C1762,Allogrt achil tend w bn 233613,12500.0,8125.0,173.17,12500.0,68
HCPCS,C1762,Allogrt allosy Arthr abs2012,4664.0,3031.6,173.17,4664.0,68
HCPCS,C1762,Allogrt allosy Arthr abs201210,11344.0,7373.6,173.17,11344.0,68
HCPCS,C1762,Allogrt allosy Arthr abs201410,13452.0,8743.8,173.17,13452.0,68
HCPCS,C1762,Allogrt allosync dbm abs201503,5300.0,3445.0,173.17,5300.0,68
HCPCS,C1762,Allogrt allosync pur abs201010,12073.0,7847.45,173.17,12073.0,68
HCPCS,C1762,Allogrt allosync5cc abs201005,10388.0,6752.2,173.17,10388.0,68
HCPCS,C1762,Allogrt artery all lenght r010,109371.0,71091.15,173.17,109371.0,68
HCPCS,C1762,Allogrt bio cartilage 1cc 1850,7999.0,5199.35,173.17,7999.0,68
HCPCS,C1762,Allogrt bio cartl1ml abs1010bc,9879.0,6421.35,173.17,9879.0,68
HCPCS,C1762,Allogrt bn Trinity 10cc 410110,17521.0,11388.65,173.17,17521.0,68
HCPCS,C1762,Allogrt bn Trinity 15cc 410115,28686.0,18645.9,173.17,28686.0,68
HCPCS,C1762,Allogrt bn Trinity 5cc 410105,18891.0,12279.15,173.17,18891.0,68
HCPCS,C1762,Allogrt bn matrx 5ccp01v920500,21008.0,13655.2,173.17,21008.0,68
HCPCS,C1762,Allogrt bn trinity 1cc 410101,6181.0,4017.65,173.17,6181.0,68
HCPCS,C1762,Allogrt cmt flow lv0200,20532.0,13345.8,173.17,20532.0,68
HCPCS,C1762,Allogrt coastal cart MTF258222,2594.0,1686.1,173.17,2594.0,68
HCPCS,C1762,Allogrt dermis 6x8cm 939268,12578.0,8175.7,173.17,12578.0,68
HCPCS,C1762,Allogrt dermis Coloplast939812,20277.0,13180.05,173.17,20277.0,68
HCPCS,C1762,Allogrt fascala 15x3 400268,2628.0,1708.2,173.17,2628.0,68
HCPCS,C1762,Allogrt fascala 15x30 400264,3194.0,2076.1,173.17,3194.0,68
HCPCS,C1762,Allogrt fascala 4x5 fd asp0716,1921.0,1248.65,173.17,1921.0,68
HCPCS,C1762,Allogrt fascia Coloplast937227,7897.0,5133.05,173.17,7897.0,68
HCPCS,C1762,Allogrt fascia Coloplast937268,12841.0,8346.65,173.17,12841.0,68
HCPCS,C1762,Allogrt fascia MTF 430120,8302.0,5396.3,173.17,8302.0,68
HCPCS,C1762,Allogrt fem Lifenet fib,6539.0,4250.35,173.17,6539.0,68
HCPCS,C1762,Allogrt graftn strp1x20 t42280,14152.0,9198.8,173.17,14152.0,68
HCPCS,C1762,Allogrt irr Evologics ps189ff,12855.0,8355.75,173.17,12855.0,68
HCPCS,C1762,Allogrt irr Evologics ps290ff,13849.0,9001.85,173.17,13849.0,68
HCPCS,C1762,Allogrt irr Evologics ps292ff,16335.0,10617.75,173.17,16335.0,68
HCPCS,C1762,Allogrt irr Evologics ps294ff,13504.0,8777.6,173.17,13504.0,68
HCPCS,C1762,Allogrt irr Evologics ps393ff,11946.0,7764.9,173.17,11946.0,68
HCPCS,C1762,Allogrt matrix 6x12cm 939612,14975.0,9733.75,173.17,14975.0,68
HCPCS,C1762,Allogrt matrix CTM bio fl0600,29087.0,18906.55,173.17,29087.0,68
HCPCS,C1762,Allogrt matrix CTM bio tk2030,9297.0,6043.05,173.17,9297.0,68
HCPCS,C1762,Allogrt matrix CTM bio tk3040,10653.0,6924.45,173.17,10653.0,68
HCPCS,C1762,Allogrt matrix CTM bio tk3060,19175.0,12463.75,173.17,19175.0,68
HCPCS,C1762,Allogrt matrix CTM bio tk4040,13920.0,9048.0,173.17,13920.0,68
HCPCS,C1762,Allogrt matrix CTM bio tk4070,21661.0,14079.65,173.17,21661.0,68
HCPCS,C1762,Allogrt matrix CTM bio tn2040,9869.0,6414.85,173.17,9869.0,68
HCPCS,C1762,Allogrt matrix CTM bio tn4040,13210.0,8586.5,173.17,13210.0,68
HCPCS,C1762,Allogrt matrix CTM bio tn4070,20596.0,13387.4,173.17,20596.0,68
HCPCS,C1762,Allogrt matrix CTM bio xt2030,12414.0,8069.1,173.17,12414.0,68
HCPCS,C1762,Allogrt matrix CTM bio xt3030,12038.0,7824.7,173.17,12038.0,68
HCPCS,C1762,Allogrt patel lig bisec 234313,14488.0,9417.2,173.17,14488.0,68
HCPCS,C1762,Allogrt patella 197739,16300.0,10595.0,173.17,16300.0,68
HCPCS,C1762,Allogrt patella lig 10 fpl10,19650.0,12772.5,173.17,19650.0,68
HCPCS,C1762,Allogrt patella tndn bn 430007,20536.0,13348.4,173.17,20536.0,68
HCPCS,C1762,Allogrt prof cartilag sm258223,6355.0,4130.75,173.17,6355.0,68
HCPCS,C1762,Allogrt semitendinos 198639,12465.0,8102.25,173.17,12465.0,68
HCPCS,C1762,Allogrt tendn ankl sut fpsst,13535.0,8797.75,173.17,13535.0,68
HCPCS,C1762,Allogrt tendon 60x80mm fgl,15749.0,10236.85,173.17,15749.0,68
HCPCS,C1762,Allogrt tib tendon 20cm 430335,14017.0,9111.05,173.17,14017.0,68
HCPCS,C1762,Allogrt tibials ant 26 235113,11931.0,7755.15,173.17,11931.0,68
HCPCS,C1762,Allogrt tibials post26 235213,11186.0,7270.9,173.17,11186.0,68
HCPCS,C1762,Allogrt trinity exl16cc 410004,31035.0,20172.75,173.17,31035.0,68
HCPCS,C1762,Allogrt trinity l10.6cc 410003,34650.0,22522.5,173.17,34650.0,68
HCPCS,C1762,"CONN TISS, HUMAN(INC FASCIA)",12164.0,7906.6,173.17,33846.0,2040
HCPCS,C1762,Graft Fenflex UM TB fco015000,10913.0,7093.45,173.17,10913.0,68
HCPCS,C1762,Graft bn tendon hemi 13 430014,17116.0,11125.4,173.17,17116.0,68
HCPCS,C1762,Sling uret Repliform 6x12mm,14958.0,9722.7,173.17,14958.0,68
HCPCS,C1762,SpeedGraft QuadLnk10X65 SPQ001,20241.0,13156.65,173.17,20241.0,68
HCPCS,C1762,Tibialis dbl strd ant dat001,14914.0,9694.1,173.17,14914.0,68
HCPCS,C1762,Versagraft 3.5 tendon vrg351,13401.0,8710.65,173.17,13401.0,68
HCPCS,C1762,ViaFlow 0.5ccplacentl amaf0005,4345.0,2824.25,173.17,4345.0,68
HCPCS,C1762,ViaFlow 1cc placentl amaf0010,11297.0,7343.05,173.17,11297.0,68
HCPCS,C1762,ViaFlow 1cc placentl amcf0010,7541.0,4901.65,173.17,7541.0,68
HCPCS,C1762,ViaFlow 2cc placentl amaf0020,16994.0,11046.1,173.17,16994.0,68
HCPCS,C1763,Allograft Allomtrx putty 3mlJJ,11022.0,7164.3,173.17,11022.0,68
HCPCS,C1763,Allograft Allomtrx synth 1m,2841.0,1846.65,173.17,2841.0,68
HCPCS,C1763,Allograft Allomtrx synth 5ml,9224.0,5995.6,173.17,9224.0,68
HCPCS,C1763,Allograft Duraform 2x2 801476,2899.0,1884.35,173.17,2899.0,68
HCPCS,C1763,Allograft Duraform 3x31 801477,6650.0,4322.5,173.17,6650.0,68
HCPCS,C1763,Allograft Duragen 2x2 dp1022,5447.0,3540.55,173.17,5447.0,68
HCPCS,C1763,Allograft Duragen 2x2 dp5022,4755.0,3090.75,173.17,4755.0,68
HCPCS,C1763,Allograft Duragen 3x3 dp5033,8481.0,5512.65,173.17,8481.0,68
HCPCS,C1763,Allograft Duragen pls3x3dp1033,8888.0,5777.2,173.17,8888.0,68
HCPCS,C1763,Allograft Duraguard 8x14,7373.0,4792.45,173.17,7373.0,68
HCPCS,C1763,Allograft H2 extns 8mm 5504008,17710.0,11511.5,173.17,17710.0,68
HCPCS,C1763,Allograft Ignit power mix 4ml,12144.0,7893.6,173.17,12144.0,68
HCPCS,C1763,Allograft Infus lrg 7510800 md,30212.0,19637.8,173.17,30212.0,68
HCPCS,C1763,Allograft Infuse med7510400,27094.0,17611.1,173.17,27094.0,68
HCPCS,C1763,Allograft Infuse sm7510200med,27151.0,17648.15,173.17,27151.0,68
HCPCS,C1763,Allograft Osteocel 1ml 5013001,4961.0,3224.65,173.17,4961.0,68
HCPCS,C1763,Allograft db matrix paste 2ml,3243.0,2107.95,173.17,3243.0,68
HCPCS,C1763,Allograft db matrix paste 5ml,7123.0,4629.95,173.17,7123.0,68
HCPCS,C1763,Allograft dmx 2.5cc syn58025,6557.0,4262.05,173.17,6557.0,68
HCPCS,C1763,Allograft dmx putty 5cc 38050m,9591.0,6234.15,173.17,9591.0,68
HCPCS,C1763,Allograft duragen 4x5in dp1045,15135.0,9837.75,173.17,15135.0,68
HCPCS,C1763,Allograft putty Progn pls 5ml,9536.0,6198.4,173.17,9536.0,68
HCPCS,C1763,Allograft putty db matri 10ml,12224.0,7945.6,173.17,12224.0,68
HCPCS,C1763,Allogrt Biodesign 2x3 G32437,4028.0,2618.2,173.17,4028.0,68
HCPCS,C1763,Allogrt Biodesign 7x20 G31092,11583.0,7528.95,173.17,11583.0,68
HCPCS,C1763,Allogrt INTEG Lifes rnfmtx0407,26662.0,17330.3,173.17,26662.0,68
HCPCS,C1763,Allogrt Xenmtrx 19x35 1161935,88116.0,57275.4,173.17,88116.0,68
HCPCS,C1763,Allogrt Xenmtrx 2x7 68302410,6313.0,4103.45,173.17,6313.0,68
HCPCS,C1763,Allogrt Xenmtrx 4x7 68302430,8161.0,5304.65,173.17,8161.0,68
HCPCS,C1763,Allogrt Xenmtrx 8X12 68302470,12108.0,7870.2,173.17,12108.0,68
HCPCS,C1763,Allogrt bn matrix 10 6000310,5600.0,3640.0,173.17,5600.0,68
HCPCS,C1763,Allogrt bn pro Osteon500 5b024,5947.0,3865.55,173.17,5947.0,68
HCPCS,C1763,Allogrt bone matrix 10 5013010,24014.0,15609.1,173.17,24014.0,68
HCPCS,C1763,Allogrt dmx putty5cc abs200205,8310.0,5401.5,173.17,8310.0,68
HCPCS,C1763,Allogrt dura mater lrg 0003,12860.0,8359.0,173.17,12860.0,68
HCPCS,C1763,Allogrt dura mater med 0002,10804.0,7022.6,173.17,10804.0,68
HCPCS,C1763,Allogrt knee acl Miach Ort1000,25688.0,16697.2,173.17,25688.0,68
HCPCS,C1763,Allogrt nerve prtc agha22,18402.0,11961.3,173.17,18402.0,68
HCPCS,C1763,Allogrt sholdr scaff med 21692,19020.0,12363.0,173.17,19020.0,68
HCPCS,C1763,"CONN TISS, NON-HUMAN",13742.5,8932.625,173.17,31396.0,272
HCPCS,C1763,Collagn scaff Biorez bb23x30,27472.0,17856.8,173.17,27472.0,68
HCPCS,C1763,Collagn scaff Biorez bb5x250,18288.0,11887.2,173.17,18288.0,68
HCPCS,C1763,Collagn scaff bov S&N 4566,17062.0,11090.3,173.17,17062.0,68
HCPCS,C1763,Ear tympanic membrane Epidisc,1726.0,1121.9,173.17,1726.0,68
HCPCS,C1763,Graft Otologc bio2.5x2.5g44451,2756.0,1791.4,173.17,2756.0,68
HCPCS,C1763,Graft bio dural cdur7x10g31091,9598.0,6238.7,173.17,9598.0,68
HCPCS,C1763,Graft biod hern umb 5cm g49088,3445.0,2239.25,173.17,3445.0,68
HCPCS,C1763,Graft dura biodesign g31090,6678.0,4340.7,173.17,6678.0,68
HCPCS,C1763,Graft otologc bio.6x.9cmg44839,2141.0,1391.65,173.17,2141.0,68
HCPCS,C1763,Graft otologic bio 5x5 g44452,4982.0,3238.3,173.17,4982.0,68
HCPCS,C1763,Matrix bn dental bio-oss 20113,4908.0,3190.2,173.17,4908.0,68
HCPCS,C1763,Mesh Surgis 4x7inch,4782.0,3108.3,173.17,4782.0,68
HCPCS,C1763,Mesh Surgis 7x10cm hern COOK,7407.0,4814.55,173.17,7407.0,68
HCPCS,C1763,Mesh Surgis biod 13x15c g36032,36157.0,23502.05,173.17,36157.0,68
HCPCS,C1763,Mesh Surgis biod 13x22c g46600,46347.0,30125.55,173.17,46347.0,68
HCPCS,C1763,Mesh Surgis biod 20x20c g36033,65656.0,42676.4,173.17,65656.0,68
HCPCS,C1763,Mesh Surgis biod 20x30c g48216,77532.0,50395.8,173.17,77532.0,68
HCPCS,C1763,Mesh Surgis biod 5x30 g52869,11420.0,7423.0,173.17,11420.0,68
HCPCS,C1763,Mesh Surgis hernia ingn 10x1,2067.0,1343.55,173.17,2067.0,68
HCPCS,C1763,Mesh porcine peritoneal 910120,20670.0,13435.5,173.17,20670.0,68
HCPCS,C1763,Mesh porcine peritoneal 910204,2956.0,1921.4,173.17,2956.0,68
HCPCS,C1763,Mesh porcine peritoneal 910405,4919.0,3197.35,173.17,4919.0,68
HCPCS,C1763,Mesh porcine peritoneal 910608,7876.0,5119.4,173.17,7876.0,68
HCPCS,C1763,Mesh porcine peritoneal 910816,14469.0,9404.85,173.17,14469.0,68
HCPCS,C1763,Mesh repair pericardial pp1015,10888.0,7077.2,173.17,10888.0,68
HCPCS,C1763,Mesh y upsylon m0068318200,6035.0,3922.75,173.17,6035.0,68
HCPCS,C1763,Patch pericardm photofx pfp6x8,10128.0,6583.2,173.17,10128.0,68
HCPCS,C1763,Plug fistula anal0.6x9.5g53614,10741.0,6981.65,173.17,10741.0,68
HCPCS,C1763,Protector nerv Axoguard agha24,22613.0,14698.45,173.17,22613.0,68
HCPCS,C1763,Protector nerv Axoguard agha36,25881.0,16822.65,173.17,25881.0,68
HCPCS,C1763,Protector nerv Axoguard agha48,25124.0,16330.6,173.17,25124.0,68
HCPCS,C1763,Sling uret vag6x10 m0068302450,10170.0,6610.5,173.17,10170.0,68
HCPCS,C1763,Via graft bn 10cc vcax100000,28854.0,18755.1,173.17,28854.0,68
HCPCS,C1764,"EVENT RECORDER, CARDIAC",31557.0,20512.05,173.17,33145.0,68
HCPCS,C1764,Recorder event reveal lnq11,35642.0,23167.3,173.17,35642.0,34
HCPCS,C1764,Recorder event reveal xt 9529,27651.0,17973.15,173.17,27651.0,34
HCPCS,C1764,Recorder loop Abbott dm4500,32673.0,21237.45,173.17,32673.0,34
HCPCS,C1764,Recorder loop confirm dm2100,19886.0,12925.9,173.17,19886.0,34
HCPCS,C1764,Recorder loop rx insert dm3500,30825.0,20036.25,173.17,30825.0,34
HCPCS,C1764,Recordr event reveal lnqsys,35670.0,23185.5,173.17,35670.0,34
HCPCS,C1764,Recordr loop card montr dm2102,19175.0,12463.75,173.17,19175.0,34
HCPCS,C1764,Recordr loop monitor dm5300,33180.0,21567.0,173.17,33180.0,34
HCPCS,C1764,Recordr loop monitor dm5500,34250.0,22262.5,173.17,34250.0,34
HCPCS,C1766,"INTRO/SHEATH,STRBLE,NON-PEEL",6869.0,4464.85,173.17,12466.0,170
HCPCS,C1766,Introd acqguide Acutus 900200,6625.0,4306.25,173.17,6625.0,34
HCPCS,C1766,Introd epicardl acc kt g402047,9869.0,6414.85,173.17,9869.0,34
HCPCS,C1767,"GENERATOR, NEURO NON-RECHARG",59473.0,38657.45,173.17,111299.0,238
HCPCS,C1767,Gastric gen Enter3116 HDE90014,8957.0,5822.05,173.17,8957.0,34
HCPCS,C1767,Generator Inspire Pulse V 3150,110419.0,71772.35,173.17,110419.0,34
HCPCS,C1767,Generator spinl stim elite3662,92403.0,60061.95,173.17,92403.0,34
HCPCS,C1767,IPG proclaim Abbott 3670abt,111186.0,72270.9,173.17,111186.0,34
HCPCS,C1767,Neuro stim dual 5 octrode 3660,125244.0,81408.6,173.17,125244.0,34
HCPCS,C1767,Neuro stim gen dbs 37601,91684.0,59594.6,173.17,91684.0,34
HCPCS,C1767,Neuro stim gen ipg Medt b35200,109090.0,70908.5,173.17,109090.0,34
HCPCS,C1767,Neuro stim gener Axonics 4b01,82676.0,53739.4,173.17,82676.0,34
HCPCS,C1767,Neuro stim genr 222pp5ctrsy33,115925.0,75351.25,173.17,115925.0,34
HCPCS,C1767,Neuro stim genr dual Nalu71007,56232.0,36550.8,173.17,56232.0,34
HCPCS,C1767,Neuro stim genr sng Nalu 71020,56999.0,37049.35,173.17,56999.0,34
HCPCS,C1767,Neuro stim ipg Abbott 3660,85474.0,55558.1,173.17,85474.0,34
HCPCS,C1767,Neuro stim ipg ReActiv8 5100,77432.0,50330.8,173.17,77432.0,34
HCPCS,C1767,Neuro stim ipg dbs 62400abt,134241.0,87256.65,173.17,134241.0,34
HCPCS,C1767,Neuro stim ipg nalu 71019,66456.0,43196.4,173.17,66456.0,34
HCPCS,C1767,Neuro stim spine prim adv97702,69012.0,44857.8,173.17,69012.0,34
HCPCS,C1767,Neuro stm aspi Livanova asr106,161320.0,104858.0,173.17,161320.0,34
HCPCS,C1767,Neuropace generator rns300mk,132656.0,86226.4,173.17,132656.0,34
HCPCS,C1767,Neuropace generator rns320k,139510.0,90681.5,173.17,139510.0,34
HCPCS,C1767,Neurostim enterra Medtr 37800,45369.0,29489.85,173.17,45369.0,34
HCPCS,C1767,Neurostim gentr pulse hypo3028,87415.0,56819.75,173.17,87415.0,34
HCPCS,C1767,Neurostim proclm 3664contrlsys,107585.0,69930.25,173.17,107585.0,34
HCPCS,C1767,Neurstim gentr slp apnea 3024,78469.0,51004.85,173.17,78469.0,34
HCPCS,C1767,Uro stIm Interstm II Imp3058,57382.0,37298.3,173.17,57382.0,34
HCPCS,C1767,Vagal gen stim SenTiva m1000,180306.0,117198.9,173.17,180306.0,34
HCPCS,C1767,Vagal gen stim nerv asphc s105,121906.0,79238.9,173.17,121906.0,34
HCPCS,C1767,Vagal gen stim nerv aspsr s106,146367.0,95138.55,173.17,146367.0,34
HCPCS,C1767,Vercise Genus ipg kt p db14080,51120.0,33228.0,173.17,51120.0,34
HCPCS,C1767,Vercise Genus ipg kt p db14160,89460.0,58149.0,173.17,89460.0,34
HCPCS,C1767,Vercise Genus ipg kt p db14320,135468.0,88054.2,173.17,135468.0,34
HCPCS,C1768,Allograft saphenous vein human,26071.0,16946.15,173.17,26071.0,34
HCPCS,C1768,Allogrt bioline 8x80mm 503088b,17409.0,11315.85,173.17,17409.0,34
HCPCS,C1768,"GRAFT, VASCULAR",13182.0,8568.3,173.17,89692.0,2210
HCPCS,C1768,Graft 4 7x70 s47070 BOST,9671.0,6286.15,173.17,9671.0,34
HCPCS,C1768,Graft CV Wall Advnt 7x50 21618,3223.0,2094.95,173.17,3223.0,34
HCPCS,C1768,Graft CV hmsh pl wdv 10x30cm,5332.0,3465.8,173.17,5332.0,34
HCPCS,C1768,Graft Gelsoft 2.5 strt TERU,2891.0,1879.15,173.17,2891.0,34
HCPCS,C1768,Graft Gelweav ante34x8 7340348,10870.0,7065.5,173.17,10870.0,34
HCPCS,C1768,Graft Gelweav strG34x30 733034,5049.0,3281.85,173.17,5049.0,34
HCPCS,C1768,Graft Gelweave Valsalva 24mm,16874.0,10968.1,173.17,16874.0,34
HCPCS,C1768,Graft Hemashld 16x30 095216 bs,5159.0,3353.35,173.17,5159.0,34
HCPCS,C1768,Graft Vectra 6.0mmx20cm,12704.0,8257.6,173.17,12704.0,34
HCPCS,C1768,Graft Vectra impra 6x40,12791.0,8314.15,173.17,12791.0,34
HCPCS,C1768,Graft acuseal 6x20 ECH060020A,8040.0,5226.0,173.17,8040.0,34
HCPCS,C1768,Graft acuseal 6x40 ech060040a,13723.0,8919.95,173.17,13723.0,34
HCPCS,C1768,Graft acuseal7x45cm ech470045a,10766.0,6997.9,173.17,10766.0,34
HCPCS,C1768,Graft aor 14f 20x80 HDE100008,10589.0,6882.85,173.17,10589.0,34
HCPCS,C1768,Graft fep ringd strtch 8mm,18068.0,11744.2,173.17,18068.0,34
HCPCS,C1768,Graft flex 6mmx70cm f7006s,9038.0,5874.7,173.17,9038.0,34
HCPCS,C1768,Graft fluropas Vascutk 10x75mm,1388.0,902.2,173.17,1388.0,34
HCPCS,C1768,Graft gelweave Valsalva 30mm,17363.0,11285.95,173.17,17363.0,34
HCPCS,C1768,Graft intering 6x20 BOST,3572.0,2321.8,173.17,3572.0,34
HCPCS,C1768,Graft proptn 6mmx80cm h060080a,16164.0,10506.6,173.17,16164.0,34
HCPCS,C1768,Graft proptn stnd wll 6mmx10cm,3456.0,2246.4,173.17,3456.0,34
HCPCS,C1768,Graft proptn stnd wll 6mmx40cm,11105.0,7218.25,173.17,11105.0,34
HCPCS,C1768,Graft rmv rng srr06060070lBOST,13390.0,8703.5,173.17,13390.0,34
HCPCS,C1768,Graft spine bn acf 9mm 17709,11016.0,7160.4,173.17,11016.0,34
HCPCS,C1768,Graft stent 16x9.5 Excludr pxc,29256.0,19016.4,173.17,29256.0,34
HCPCS,C1768,Graft stent 31x14x15 Exc311415,46519.0,30237.35,173.17,46519.0,34
HCPCS,C1768,Graft stent 34x20 Tag tgt3420,73485.0,47765.25,173.17,73485.0,34
HCPCS,C1768,Graft stent 37x15 Tag tgt3715,63261.0,41119.65,173.17,63261.0,34
HCPCS,C1768,Graft stent 37x20 Tag tgt3720,65178.0,42365.7,173.17,65178.0,34
HCPCS,C1768,Graft stent 40x15 Tag tgt4015,58788.0,38212.2,173.17,58788.0,34
HCPCS,C1768,Graft stent 40x20 Tag tgt4020,56232.0,36550.8,173.17,56232.0,34
HCPCS,C1768,Graft str thwl 8x20 0802 BOST,3371.0,2191.15,173.17,3371.0,34
HCPCS,C1768,Graft str thwl ring 6x80 BOST,17016.0,11060.4,173.17,17016.0,34
HCPCS,C1768,Graft straight 8mmx70cm DATA,11141.0,7241.65,173.17,11141.0,34
HCPCS,C1768,Graft stretch 4 7x45 47045BOST,6402.0,4161.3,173.17,6402.0,34
HCPCS,C1768,Graft strt 20x30 igw0028-30,4844.0,3148.6,173.17,4844.0,34
HCPCS,C1768,Graft strt 6mmx70cm BOST,6742.0,4382.3,173.17,6742.0,34
HCPCS,C1768,Graft strt 6x20cm 21604 ATRI,1566.0,1017.9,173.17,1566.0,34
HCPCS,C1768,Graft strtch st ring10x80BOST,9951.0,6468.15,173.17,9951.0,34
HCPCS,C1768,Graft taper 4-7mmx45 25012ATRI,7928.0,5153.2,173.17,7928.0,34
HCPCS,C1768,Graft thinwall strt 6x80 BOST,11416.0,7420.4,173.17,11416.0,34
HCPCS,C1768,Graft vas 24x40 igk0024-40,3918.0,2546.7,173.17,3918.0,34
HCPCS,C1768,Graft vas 4 branch20 732010888,13377.0,8695.05,173.17,13377.0,34
HCPCS,C1768,Graft vas 6x40x40 irs06040l,5448.0,3541.2,173.17,5448.0,34
HCPCS,C1768,Graft vas Flexine 4-7x45 25135,11650.0,7572.5,173.17,11650.0,34
HCPCS,C1768,Graft vas Flixen 8mmx50cm ATRI,9154.0,5950.1,173.17,9154.0,34
HCPCS,C1768,Graft vas Flixene 6x50 25058,12519.0,8137.35,173.17,12519.0,34
HCPCS,C1768,Graft vas antefl 32x20 7320328,6711.0,4362.15,173.17,6711.0,34
HCPCS,C1768,Graft vas aort 6 hgkut000640h,4623.0,3004.95,173.17,4623.0,34
HCPCS,C1768,Graft vas brn 32mm 732032cx4rm,25653.0,16674.45,173.17,25653.0,34
HCPCS,C1768,Graft vas patch ptfe2x2 007977,7791.0,5064.15,173.17,7791.0,34
HCPCS,C1768,Graft vas ptfe 6x6in 7837,2227.0,1447.55,173.17,2227.0,34
HCPCS,C1768,Graft vas tw8x80 srrt08070080l,15032.0,9770.8,173.17,15032.0,34
HCPCS,C1768,Graft vasc 4 7x60cm BOST,6816.0,4430.4,173.17,6816.0,34
HCPCS,C1768,Graft vasc 50x6 artl hero1002,11427.0,7427.55,173.17,11427.0,34
HCPCS,C1768,Graft vasc 8x15cm 731508,3356.0,2181.4,173.17,3356.0,34
HCPCS,C1768,Graft vasc Propaten 8mmx80cm,20525.0,13341.25,173.17,20525.0,34
HCPCS,C1768,Graft vasc Propaten HT066070A,19170.0,12460.5,173.17,19170.0,34
HCPCS,C1768,Graft vasc Propaten ht063070a,17300.0,11245.0,173.17,17300.0,34
HCPCS,C1768,Graft vasc Ringed rr06070080l,11768.0,7649.2,173.17,11768.0,34
HCPCS,C1768,Graft vasc Saphenous v0103039,31669.0,20584.85,173.17,31669.0,34
HCPCS,C1768,Graft vasc Saphenous v0105059,43682.0,28393.3,173.17,43682.0,34
HCPCS,C1768,Graft vasc Saphenous v0106069,50507.0,32829.55,173.17,50507.0,34
HCPCS,C1768,Graft vasc Saphenous v0107079,53395.0,34706.75,173.17,53395.0,34
HCPCS,C1768,Graft vasc Saphenous v01080,60961.0,39624.65,173.17,60961.0,34
HCPCS,C1768,Graft vasc Terumo 733010,6256.0,4066.4,173.17,6256.0,34
HCPCS,C1768,Graft vasc WLGore rrt10070070l,12247.0,7960.55,173.17,12247.0,34
HCPCS,C1768,Graft vasc aort ring r16030030,10606.0,6893.9,173.17,10606.0,34
HCPCS,C1768,Graft vasc bio xeno .8x8cm 8p8,1514.0,984.1,173.17,1514.0,34
HCPCS,C1768,Graft vasc bio xeno 6x8cm 6p8,4452.0,2893.8,173.17,4452.0,34
HCPCS,C1768,Graft vasc collagen 5x35 ag535,11995.0,7796.75,173.17,11995.0,34
HCPCS,C1768,Graft vasc collagen 5x40 ag540,11285.0,7335.25,173.17,11285.0,34
HCPCS,C1768,Graft vasc collagen 6x15 ag616,10284.0,6684.6,173.17,10284.0,34
HCPCS,C1768,Graft vasc collagen 6x40 ag640,10866.0,7062.9,173.17,10866.0,34
HCPCS,C1768,Graft vasc collagen 7x15 ag715,8715.0,5664.75,173.17,8715.0,34
HCPCS,C1768,Graft vasc collagen 7x30 ag730,11832.0,7690.8,173.17,11832.0,34
HCPCS,C1768,Graft vasc collagen 7x35 ag735,12351.0,8028.15,173.17,12351.0,34
HCPCS,C1768,Graft vasc collagen 7x40 ag740,13297.0,8643.05,173.17,13297.0,34
HCPCS,C1768,Graft vasc collagen 7x45 ag745,11569.0,7519.85,173.17,11569.0,34
HCPCS,C1768,Graft vasc collagen 7x50 ag750,13131.0,8535.15,173.17,13131.0,34
HCPCS,C1768,Graft vasc collagen 8x40 ag840,11520.0,7488.0,173.17,11520.0,34
HCPCS,C1768,Graft vasc collagn 9x15 ag1015,11853.0,7704.45,173.17,11853.0,34
HCPCS,C1768,Graft vasc collagn 9x30 ag1030,14410.0,9366.5,173.17,14410.0,34
HCPCS,C1768,Graft vasc dbl 18x10 850010,7371.0,4791.15,173.17,7371.0,34
HCPCS,C1768,Graft vasc flixen 4x7x45 25079,15659.0,10178.35,173.17,15659.0,34
HCPCS,C1768,Graft vasc heparn hgk0008rs20h,8362.0,5435.3,173.17,8362.0,34
HCPCS,C1768,Graft vasc ht064050a,13628.0,8858.2,173.17,13628.0,34
HCPCS,C1768,Graft vasc patch 0.8x8 vg0108,1799.0,1169.35,173.17,1799.0,34
HCPCS,C1768,Graft vasc patch 1x6cm vg0106,1615.0,1049.75,173.17,1615.0,34
HCPCS,C1768,Graft vasc patch cmcv014609,14027.0,9117.55,173.17,14027.0,34
HCPCS,C1768,Graft vasc patch pc0608n SYNO,5465.0,3552.25,173.17,5465.0,34
HCPCS,C1768,Graft vasc patch vg0108n SYNO,2079.0,1351.35,173.17,2079.0,34
HCPCS,C1768,Graft vasc propaten h060060a,11349.0,7376.85,173.17,11349.0,34
HCPCS,C1768,Graft vasc sbt1202d,13162.0,8555.3,173.17,13162.0,34
HCPCS,C1768,Graft vasc std Wal 6x45 ATRI,4913.0,3193.45,173.17,4913.0,34
HCPCS,C1768,Graft vasc std str 6x20cms0602,3275.0,2128.75,173.17,3275.0,34
HCPCS,C1768,Graft vasc std wall8x90 hax02a,32374.0,21043.1,173.17,32374.0,34
HCPCS,C1768,Graft vasc std wall8x90 sax02d,18465.0,12002.25,173.17,18465.0,34
HCPCS,C1768,Graft vasc strt 6x30cm BOST,3477.0,2260.05,173.17,3477.0,34
HCPCS,C1768,Graft vasc strt 6x40cm 22012,3880.0,2522.0,173.17,3880.0,34
HCPCS,C1768,Graft vasc syn 733038,4890.0,3178.5,173.17,4890.0,34
HCPCS,C1768,Graft vasc syn bifur igk2412,5769.0,3749.85,173.17,5769.0,34
HCPCS,C1768,Graft vasc syn sws 6x40 s0604,6243.0,4057.95,173.17,6243.0,34
HCPCS,C1768,Graft vascular 6mmx70cm,23295.0,15141.75,173.17,23295.0,34
HCPCS,C1768,Graft w slider 6mmx40cm ATRI,3165.0,2057.25,173.17,3165.0,34
HCPCS,C1768,Meshhemashield knitted 8mm fab,724.0,470.6,125.25,724.0,34
HCPCS,C1768,Patch bovine Duravess dp08x8,3933.0,2556.45,173.17,3933.0,34
HCPCS,C1768,Patch carotid 8x75cm DATA,1324.0,860.6,173.17,1324.0,34
HCPCS,C1768,Patch cv m002000196240,1661.0,1079.65,173.17,1661.0,34
HCPCS,C1768,Patch pericardial 10x15cm EDWA,4453.0,2894.45,173.17,4453.0,34
HCPCS,C1768,Patch vasc Lemaitre Vasc e8p14,5978.0,3885.7,173.17,5978.0,34
HCPCS,C1768,Patch vasc guard 1x10cm vg0110,1194.0,776.1,173.17,1194.0,34
HCPCS,C1768,Patch vasc xenosur10x16 e10p16,6911.0,4492.15,173.17,6911.0,34
HCPCS,C1768,Patch vasc xenosur12x25 e12p25,8663.0,5630.95,173.17,8663.0,34
HCPCS,C1768,Shunt av heroack,6413.0,4168.45,173.17,6413.0,34
HCPCS,C1768,Shunt av heroally,11946.0,7764.9,173.17,11946.0,34
HCPCS,C1768,Shunt av herograft,12569.0,8169.85,173.17,12569.0,34
HCPCS,C1768,Shunt av herovoc,18749.0,12186.85,173.17,18749.0,34
HCPCS,C1768,Shunt av superhero,31396.0,20407.4,173.17,31396.0,34
HCPCS,C1769,C1769 guidewire 101-150,1357.0,882.05,173.17,1357.0,102
HCPCS,C1769,C1769 guidewire 1101-1300,12471.0,8106.15,173.17,12471.0,102
HCPCS,C1769,C1769 guidewire 1301-1500,14549.0,9456.85,173.17,14549.0,102
HCPCS,C1769,C1769 guidewire 1501-2000,12432.0,8080.8,173.17,12432.0,102
HCPCS,C1769,C1769 guidewire 151-200,1897.0,1233.05,173.17,1897.0,102
HCPCS,C1769,C1769 guidewire 2001-2500,15983.0,10388.95,173.17,15983.0,102
HCPCS,C1769,C1769 guidewire 201-250,2438.0,1584.7,173.17,2438.0,102
HCPCS,C1769,C1769 guidewire 2501-3000,19534.0,12697.1,173.17,19534.0,102
HCPCS,C1769,C1769 guidewire 251-300,2920.0,1898.0,173.17,2920.0,102
HCPCS,C1769,C1769 guidewire 3001-3500,23085.0,15005.25,173.17,23085.0,102
HCPCS,C1769,C1769 guidewire 301-400,3715.0,2414.75,173.17,3715.0,102
HCPCS,C1769,C1769 guidewire 3501-4250,27654.0,17975.1,173.17,27654.0,102
HCPCS,C1769,C1769 guidewire 401-500,4775.0,3103.75,173.17,4775.0,102
HCPCS,C1769,C1769 guidewire 4251-5000,33005.0,21453.25,173.17,33005.0,102
HCPCS,C1769,C1769 guidewire 501-600,5835.0,3792.75,173.17,5835.0,102
HCPCS,C1769,C1769 guidewire 601-700,6895.0,4481.75,173.17,6895.0,102
HCPCS,C1769,C1769 guidewire 701-900,8316.0,5405.4,173.17,8316.0,102
HCPCS,C1769,C1769 guidewire 76-100,970.0,630.5,167.81,970.0,102
HCPCS,C1769,C1769 guidewire 901-1100,10393.0,6755.45,173.17,10393.0,102
HCPCS,C1769,Cath CV Impella intro3f 460061,7420.0,4823.0,173.17,7420.0,102
HCPCS,C1769,Cath bal guidwire 6-10 amplaz,2791.0,1814.15,173.17,2791.0,102
HCPCS,C1769,Cath drain Amplatz g11975,1108.0,720.2,173.17,1108.0,102
HCPCS,C1769,Cath drain Amplatz g12622,2098.0,1363.7,173.17,2098.0,102
HCPCS,C1769,Cath emerg Cricothyr g47665,5682.0,3693.3,173.17,5682.0,102
HCPCS,C1769,Dilator venous Medtr 96551,873.0,567.45,151.03,873.0,102
HCPCS,C1769,Drain cath g51594,1141.0,741.65,173.17,1141.0,102
HCPCS,C1769,GUIDE WIRE,992.0,644.8,10.55,10653.0,11356
HCPCS,C1769,Glidewire 025 180 angl,847.0,550.55,146.53,847.0,102
HCPCS,C1769,Glidewire 035 150 5 s shft,712.0,462.8,123.18,712.0,102
HCPCS,C1769,Glidewire 035 8cm str 150,524.0,340.6,90.65,524.0,102
HCPCS,C1769,Glidewire Terumo 259092,1025.0,666.25,173.17,1025.0,102
HCPCS,C1769,Glidewire advant spirl25ga3502,1838.0,1194.7,173.17,1838.0,102
HCPCS,C1769,Glidewire gold Terumo gm1811,1319.0,857.35,173.17,1319.0,102
HCPCS,C1769,Glidewire j tip Terumo gr3510,336.0,218.4,58.13,336.0,102
HCPCS,C1769,Glidewire j tip Terumo gr3525,452.0,293.8,78.2,452.0,102
HCPCS,C1769,Glidewire stif shaft .038 BOS,605.0,393.25,104.67,605.0,102
HCPCS,C1769,Guideware Terumo gs3540,1049.0,681.85,173.17,1049.0,102
HCPCS,C1769,Guidewir entr 3.2x320 14440052,1087.0,706.55,173.17,1087.0,102
HCPCS,C1769,Guidewir jag 025 450 m00556561,1182.0,768.3,173.17,1182.0,102
HCPCS,C1769,Guidewir jag 035 450 m00556041,1842.0,1197.3,173.17,1842.0,102
HCPCS,C1769,Guidewire .035 150cm fwirz4005,11427.0,7427.55,173.17,11427.0,102
HCPCS,C1769,Guidewire .038 emerald 502520,74.0,48.1,12.8,173.17,102
HCPCS,C1769,Guidewire .045 bcmps ar5025k,78.0,50.7,13.49,173.17,102
HCPCS,C1769,Guidewire 0.014 h74912120011,936.0,608.4,161.93,936.0,102
HCPCS,C1769,Guidewire 0.035ss 1.5mmj 260cm,506.0,328.9,87.54,506.0,102
HCPCS,C1769,Guidewire 0.14 200cm fathom,2615.0,1699.75,173.17,2615.0,102
HCPCS,C1769,Guidewire 008 mirage 103-0608,4632.0,3010.8,173.17,4632.0,102
HCPCS,C1769,Guidewire 014 190 transend,1890.0,1228.5,173.17,1890.0,102
HCPCS,C1769,Guidewire 014 35cm 200cm,5867.0,3813.55,173.17,5867.0,102
HCPCS,C1769,Guidewire 014 3cm trans flopp,5587.0,3631.55,173.17,5587.0,102
HCPCS,C1769,Guidewire 014 extra sup 300cm,5486.0,3565.9,173.17,5486.0,102
HCPCS,C1769,Guidewire 018 175 nitonal,300.0,195.0,51.9,300.0,102
HCPCS,C1769,Guidewire 018 8cm 200cm v 18,828.0,538.2,143.24,828.0,102
HCPCS,C1769,Guidewire 032 260 3 amp ss,287.0,186.55,49.65,287.0,102
HCPCS,C1769,Guidewire 035 018 145 Tadii,1010.0,656.5,173.17,1010.0,102
HCPCS,C1769,Guidewire 035 1.5j 260cm rose,186.0,120.9,32.18,186.0,102
HCPCS,C1769,Guidewire 035 175 soft str,534.0,347.1,92.38,534.0,102
HCPCS,C1769,Guidewire 035 180 3j amp stiff,438.0,284.7,75.77,438.0,102
HCPCS,C1769,Guidewire 035 180 angl g36284,383.0,248.95,66.26,383.0,102
HCPCS,C1769,Guidewire 035 180 shft g36292,409.0,265.85,70.76,409.0,102
HCPCS,C1769,Guidewire 035 260 3 amp stiff,458.0,297.7,79.23,458.0,102
HCPCS,C1769,Guidewire 035 260 angl g36300,395.0,256.75,68.34,395.0,102
HCPCS,C1769,Guidewire 035 260cm str STJM,38.0,24.7,6.57,173.17,102
HCPCS,C1769,Guidewire 035 3 180 Katzen 46,1822.0,1184.3,173.17,1822.0,102
HCPCS,C1769,Guidewire 035 3j 260cm STJM,163.0,105.95,28.2,173.17,102
HCPCS,C1769,Guidewire 035 j tip iq35f260j3,1271.0,826.15,173.17,1271.0,102
HCPCS,C1769,Guidewire 035x150mer q35f150j3,75.0,48.75,12.98,173.17,102
HCPCS,C1769,Guidewire 038 180 angl g36288,470.0,305.5,81.31,470.0,102
HCPCS,C1769,Guidewire 038art-periph art100,302.0,196.3,52.25,302.0,102
HCPCS,C1769,Guidewire 063 j6.5 160cm BOS,456.0,296.4,78.89,456.0,102
HCPCS,C1769,Guidewire 1.1 14450350,1070.0,695.5,173.17,1070.0,102
HCPCS,C1769,Guidewire 1.2x100mm ar8005k,247.0,160.55,42.73,247.0,102
HCPCS,C1769,Guidewire 1.5x150mm 0109150,1030.0,669.5,173.17,1030.0,102
HCPCS,C1769,Guidewire 1.6 drill tip2113001,439.0,285.35,75.95,439.0,102
HCPCS,C1769,Guidewire 1.6mm 245020,584.0,379.6,101.03,584.0,102
HCPCS,C1769,Guidewire 1.6mm 900.601,510.0,331.5,88.23,510.0,102
HCPCS,C1769,Guidewire 145 Versa 101206802,717.0,466.05,124.04,717.0,102
HCPCS,C1769,Guidewire 14in 2.4mm amer,2530.0,1644.5,173.17,2530.0,102
HCPCS,C1769,Guidewire 175 Versa 101206804,794.0,516.1,137.36,794.0,102
HCPCS,C1769,Guidewire 2 thrd 230 spd292652,466.0,302.9,80.62,466.0,102
HCPCS,C1769,Guidewire 2.0x240mm 03010025,402.0,261.3,69.55,402.0,102
HCPCS,C1769,Guidewire 2.2x800 18060093s,2821.0,1833.65,173.17,2821.0,102
HCPCS,C1769,Guidewire 2.5 drill tip3120026,793.0,515.45,137.19,793.0,102
HCPCS,C1769,Guidewire 2.5x100mm afpk25100,315.0,204.75,54.5,315.0,102
HCPCS,C1769,Guidewire 2.5x800 18060083s,2905.0,1888.25,173.17,2905.0,102
HCPCS,C1769,Guidewire 2.8mm 350mm 357.04,575.0,373.75,99.48,575.0,102
HCPCS,C1769,Guidewire 200 tadII 101206906,959.0,623.35,165.91,959.0,102
HCPCS,C1769,Guidewire 260 Versa 101206809,816.0,530.4,141.17,816.0,102
HCPCS,C1769,Guidewire 2mm 0109070021,2152.0,1398.8,173.17,2152.0,102
HCPCS,C1769,Guidewire 2x150mm 16800070,180.0,117.0,31.14,180.0,102
HCPCS,C1769,Guidewire 3.0mm 35171s,1973.0,1282.45,173.17,1973.0,102
HCPCS,C1769,Guidewire 3.0x800 18060090s,2925.0,1901.25,173.17,2925.0,102
HCPCS,C1769,Guidewire 3.2x290 3010115,1097.0,713.05,173.17,1097.0,102
HCPCS,C1769,Guidewire 3.2x400 357399,1093.0,710.45,173.17,1093.0,102
HCPCS,C1769,Guidewire 300 .018 vas ultslct,1478.0,960.7,173.17,1478.0,102
HCPCS,C1769,Guidewire 300cm str prim7913,5512.0,3582.8,173.17,5512.0,102
HCPCS,C1769,Guidewire 3hl 011071019,4156.0,2701.4,173.17,4156.0,102
HCPCS,C1769,Guidewire 3mm str j moo1491201,130.0,84.5,22.49,173.17,102
HCPCS,C1769,Guidewire 45cm Duoflex sprng,96.0,62.4,16.61,173.17,102
HCPCS,C1769,Guidewire 4mm rod 71631626,2362.0,1535.3,173.17,2362.0,102
HCPCS,C1769,Guidewire 7fr intro 26 g14270,611.0,397.15,105.7,611.0,102
HCPCS,C1769,Guidewire Agility 350x42cm,6445.0,4189.25,173.17,6445.0,102
HCPCS,C1769,Guidewire Amplatz 46525,178.0,115.7,30.79,178.0,102
HCPCS,C1769,Guidewire Ampltz Bostn SC46509,2258.0,1467.7,173.17,2258.0,102
HCPCS,C1769,Guidewire Astato pagh18m371,585.0,380.25,101.21,585.0,102
HCPCS,C1769,Guidewire Bentson 035 260cm,215.0,139.75,37.2,215.0,102
HCPCS,C1769,Guidewire Boston SC 49175,166.0,107.9,28.72,173.17,102
HCPCS,C1769,Guidewire Boston SC m001509100,3676.0,2389.4,173.17,3676.0,102
HCPCS,C1769,Guidewire Boston SC m00515171,1270.0,825.5,173.17,1270.0,102
HCPCS,C1769,Guidewire Boston SC m00584240,4414.0,2869.1,173.17,4414.0,102
HCPCS,C1769,Guidewire Boston SC m006620101,125.0,81.25,21.63,173.17,102
HCPCS,C1769,Guidewire Cook Med g04421,942.0,612.3,162.97,942.0,102
HCPCS,C1769,Guidewire Cook Med g05822,340.0,221.0,58.82,340.0,102
HCPCS,C1769,Guidewire Cook Med g08427,328.0,213.2,56.74,328.0,102
HCPCS,C1769,Guidewire Cook Med g25666,2767.0,1798.55,173.17,2767.0,102
HCPCS,C1769,Guidewire Cook Med tsfna35145,102.0,66.3,17.65,173.17,102
HCPCS,C1769,Guidewire Cordis 502455,101.0,65.65,17.47,173.17,102
HCPCS,C1769,Guidewire Cordis 503456j,517.0,336.05,89.44,517.0,102
HCPCS,C1769,Guidewire Cordis c3526rsa,568.0,369.2,98.26,568.0,102
HCPCS,C1769,Guidewire Epiducr crvd 60 1771,982.0,638.3,169.89,982.0,102
HCPCS,C1769,Guidewire Finecros 2.6Fr 150cm,4770.0,3100.5,173.17,4770.0,102
HCPCS,C1769,Guidewire InQwir iqr35f150bstb,52.0,33.8,9.0,173.17,102
HCPCS,C1769,Guidewire Meditech 49122,94.0,61.1,16.26,173.17,102
HCPCS,C1769,Guidewire Merit Med iq35f150s,749.0,486.85,129.58,749.0,102
HCPCS,C1769,Guidewire Olympus kdvc611q0730,3848.0,2501.2,173.17,3848.0,102
HCPCS,C1769,Guidewire STJ 404570,86.0,55.9,14.88,173.17,102
HCPCS,C1769,Guidewire Savary str 200 ck,1492.0,969.8,173.17,1492.0,102
HCPCS,C1769,Guidewire Stryker m001468070,4619.0,3002.35,173.17,4619.0,102
HCPCS,C1769,Guidewire Stryker m00326510,6599.0,4289.35,173.17,6599.0,102
HCPCS,C1769,Guidewire Surgipro sgw05602,355.0,230.75,61.42,355.0,102
HCPCS,C1769,Guidewire Zebr .035in 150cm,589.0,382.85,101.9,589.0,102
HCPCS,C1769,Guidewire aes .035 300cmg04001,314.0,204.1,54.32,314.0,102
HCPCS,C1769,Guidewire amplatz 46502,872.0,566.8,150.86,872.0,102
HCPCS,C1769,Guidewire anch1.6x150 agk16150,560.0,364.0,96.88,560.0,102
HCPCS,C1769,Guidewire bal 3.0x900mm 101900,2363.0,1535.95,173.17,2363.0,102
HCPCS,C1769,Guidewire ball 2x800mm 103800,2974.0,1933.1,173.17,2974.0,102
HCPCS,C1769,Guidewire ball 3x100 18060085s,3113.0,2023.45,173.17,3113.0,102
HCPCS,C1769,Guidewire beadtip2.6x80 410002,934.0,607.1,161.58,934.0,102
HCPCS,C1769,Guidewire bili hydra 035 260cm,732.0,475.8,126.64,732.0,102
HCPCS,C1769,Guidewire bili hydra 44 260cm,4164.0,2706.6,173.17,4164.0,102
HCPCS,C1769,Guidewire blunt sext 8670001,730.0,474.5,126.29,730.0,102
HCPCS,C1769,Guidewire choicflopy 300x0.014,1014.0,659.1,173.17,1014.0,102
HCPCS,C1769,Guidewire coated Terumo gm1813,1353.0,879.45,173.17,1353.0,102
HCPCS,C1769,Guidewire dbl flx tip.025x60cm,307.0,199.55,53.11,307.0,102
HCPCS,C1769,Guidewire dbl flx tip.032x60cm,334.0,217.1,57.78,334.0,102
HCPCS,C1769,Guidewire douflex spring,77.0,50.05,13.32,173.17,102
HCPCS,C1769,Guidewire dtdw 35 145 10 tip,806.0,523.9,139.44,806.0,102
HCPCS,C1769,Guidewire emerald 502555,110.0,71.5,19.03,173.17,102
HCPCS,C1769,Guidewire enrout.14x95 sr014gw,2054.0,1335.1,173.17,2054.0,102
HCPCS,C1769,Guidewire ext sys wwes35001,536.0,348.4,92.73,536.0,102
HCPCS,C1769,Guidewire flex Cook g57281,2075.0,1348.75,173.17,2075.0,102
HCPCS,C1769,Guidewire fusin locdev g31522,175.0,113.75,30.28,175.0,102
HCPCS,C1769,Guidewire fusion ul shrt fsw35,1655.0,1075.75,173.17,1655.0,102
HCPCS,C1769,Guidewire glide Terumo ga1430,2433.0,1581.45,173.17,2433.0,102
HCPCS,C1769,Guidewire hvy duty260cm g02384,194.0,126.1,33.56,194.0,102
HCPCS,C1769,Guidewire impella 523005,5300.0,3445.0,173.17,5300.0,102
HCPCS,C1769,Guidewire mlbl tip 6fr 4036,419.0,272.35,72.49,419.0,102
HCPCS,C1769,Guidewire nailgamma bal tip008,2981.0,1937.65,173.17,2981.0,102
HCPCS,C1769,Guidewire neuro soft xl 300cm,7704.0,5007.6,173.17,7704.0,102
HCPCS,C1769,Guidewire nonthr3.2x300 702462,775.0,503.75,134.08,775.0,102
HCPCS,C1769,Guidewire nonthrd 1.25x150SYNT,331.0,215.15,57.26,331.0,102
HCPCS,C1769,Guidewire novagold 450 552011,1892.0,1229.8,173.17,1892.0,102
HCPCS,C1769,Guidewire ortho 2.0 spade SYNT,448.0,291.2,77.5,448.0,102
HCPCS,C1769,Guidewire ortho 2.8 calb SYNT,915.0,594.75,158.3,915.0,102
HCPCS,C1769,Guidewire ortho 2.8 thrd SYNT,1153.0,749.45,173.17,1153.0,102
HCPCS,C1769,Guidewire path asst sinusgw100,1043.0,677.95,173.17,1043.0,102
HCPCS,C1769,Guidewire platinum h74917521,2700.0,1755.0,173.17,2700.0,102
HCPCS,C1769,Guidewire pmg 18 sp 60 cope,271.0,176.15,46.88,271.0,102
HCPCS,C1769,Guidewire prstg 185 jtip 8185j,5830.0,3789.5,173.17,5830.0,102
HCPCS,C1769,Guidewire road runner COOK,1719.0,1117.35,173.17,1719.0,102
HCPCS,C1769,Guidewire rotablatr flop 325cm,1789.0,1162.85,173.17,1789.0,102
HCPCS,C1769,Guidewire rotablatr xsuport325,2167.0,1408.55,173.17,2167.0,102
HCPCS,C1769,Guidewire savary 250cm g21962,1795.0,1166.75,173.17,1795.0,102
HCPCS,C1769,Guidewire shapeable ge3502,138.0,89.7,23.87,173.17,102
HCPCS,C1769,Guidewire spring hg str 025ar,88.0,57.2,15.22,173.17,102
HCPCS,C1769,Guidewire spring w ARRO,116.0,75.4,20.07,173.17,102
HCPCS,C1769,Guidewire stainles 021 25MEDL,815.0,529.75,141.0,815.0,102
HCPCS,C1769,Guidewire stainles 025 40MEDL,89.0,57.85,15.4,173.17,102
HCPCS,C1769,Guidewire stainles 035 40MEDL,71.0,46.15,12.28,173.17,102
HCPCS,C1769,Guidewire stiff 180cm 80129403,882.0,573.3,152.59,882.0,102
HCPCS,C1769,Guidewire stiff gs3505,329.0,213.85,56.92,329.0,102
HCPCS,C1769,Guidewire stnd Arist acl200002,13764.0,8946.6,173.17,13764.0,102
HCPCS,C1769,Guidewire str 4 .018in g02255,264.0,171.6,45.67,264.0,102
HCPCS,C1769,Guidewire straight 35x260cm,1145.0,744.25,173.17,1145.0,102
HCPCS,C1769,Guidewire suriepas.035 endo035,1784.0,1159.6,173.17,1784.0,102
HCPCS,C1769,Guidewire thrd 2.5mm 900723,562.0,365.3,97.23,562.0,102
HCPCS,C1769,Guidewire thrd 2.8x300mm,542.0,352.3,93.77,542.0,102
HCPCS,C1769,Guidewire thrd 3.2 71631690,1142.0,742.3,173.17,1142.0,102
HCPCS,C1769,Guidewire thrd guid1.6 150SYNT,400.0,260.0,69.2,400.0,102
HCPCS,C1769,Guidewire thrd tip 2.8 704012s,2367.0,1538.55,173.17,2367.0,102
HCPCS,C1769,Guidewire thrd trc2.88 3007020,932.0,605.8,161.24,932.0,102
HCPCS,C1769,Guidewire throway 190cm BOST,878.0,570.7,151.89,878.0,102
HCPCS,C1769,Guidewire throway 300cm BOST,960.0,624.0,166.08,960.0,102
HCPCS,C1769,Guidewire thsch 038 260 3AESC,284.0,184.6,49.13,284.0,102
HCPCS,C1769,Guidewire tov 300x2.0mm blunt,644.0,418.6,111.41,644.0,102
HCPCS,C1769,Guidewire treasur12 pagh18m370,573.0,372.45,99.13,573.0,102
HCPCS,C1769,Guidewire trocar tip 66975n,1247.0,810.55,173.17,1247.0,102
HCPCS,C1769,Guidewire tscf 25 260 3 bh,184.0,119.6,31.83,184.0,102
HCPCS,C1769,Guidewire tscf 35 260 1.5 bh,571.0,371.15,98.78,571.0,102
HCPCS,C1769,Guidewire tsf 35 260 bh exch,151.0,98.15,26.12,173.17,102
HCPCS,C1769,Guidewire tsmg351807les,483.0,313.95,83.56,483.0,102
HCPCS,C1769,Guidewire uro Olympus 50bx,678.0,440.7,117.29,678.0,102
HCPCS,C1769,Guidewire uro tip hyb gwh3505r,546.0,354.9,94.46,546.0,102
HCPCS,C1769,Guidewire v-18 110cm 46848,862.0,560.3,149.13,862.0,102
HCPCS,C1769,Guidewire v18 018 8cm 300cm,866.0,562.9,149.82,866.0,102
HCPCS,C1769,Guidewire vanburen crvd6f 4026,418.0,271.7,72.31,418.0,102
HCPCS,C1769,Guidewire vas 025 180x3 g01602,144.0,93.6,24.91,173.17,102
HCPCS,C1769,Guidewire vas 101206801,739.0,480.35,127.85,739.0,102
HCPCS,C1769,Guidewire vas st 0.018 n181804,955.0,620.75,165.22,955.0,102
HCPCS,C1769,Guidewire vasc .038 wwtd35001,109.0,70.85,18.86,173.17,102
HCPCS,C1769,Guidewire vasc 0.035 101206807,6996.0,4547.4,173.17,6996.0,102
HCPCS,C1769,Guidewire vasc 155cm wwes35001,581.0,377.65,100.51,581.0,102
HCPCS,C1769,Guidewire vasc 260x3 .035in ss,267.0,173.55,46.19,267.0,102
HCPCS,C1769,Guidewire vasc 502524,49.0,31.85,8.48,173.17,102
HCPCS,C1769,Guidewire vasc 502530,91.0,59.15,15.74,173.17,102
HCPCS,C1769,Guidewire vasc Amplatz g03330,230.0,149.5,39.79,230.0,102
HCPCS,C1769,Guidewire vasc Emerald 502544,192.0,124.8,33.22,192.0,102
HCPCS,C1769,Guidewire vasc Terumo gat1418,3615.0,2349.75,173.17,3615.0,102
HCPCS,C1769,Guidewire vasc Terumo gat1830,3858.0,2507.7,173.17,3858.0,102
HCPCS,C1769,Guidewire vasc h74939216730010,3244.0,2108.6,173.17,3244.0,102
HCPCS,C1769,Guidewire1.1mm non-thread SYNT,333.0,216.45,57.61,333.0,102
HCPCS,C1769,Guidewire1.1mm thread,1896.0,1232.4,173.17,1896.0,102
HCPCS,C1769,Gw Betson str 035 180cm g01290,148.0,96.2,25.6,173.17,102
HCPCS,C1769,Gw r350 stainless 350 7390,9245.0,6009.25,173.17,9245.0,102
HCPCS,C1769,Gw smooth 1.2x100mm p991921210,228.0,148.2,39.44,228.0,102
HCPCS,C1769,Gw tower olive p992501608,1322.0,859.3,173.17,1322.0,102
HCPCS,C1769,Introd peel away g06445,527.0,342.55,91.17,527.0,102
HCPCS,C1769,Quidewire short 1.6mm 14401441,587.0,381.55,101.55,587.0,102
HCPCS,C1769,Shouldr hemcap gw2.5 80071200,1179.0,766.35,173.17,1179.0,102
HCPCS,C1769,Voice prosth provo gw 7215,727.0,472.55,125.77,727.0,102
HCPCS,C1769,Wire 1.6x150 drilltip 71101502,550.0,357.5,95.15,550.0,34
HCPCS,C1769,Wire extension stingray m-3010,1080.0,702.0,173.17,1080.0,102
HCPCS,C1769,Wire roadrunner ang .038 260cm,412.0,267.8,71.28,412.0,102
HCPCS,C1771,Mesh sling Desara calds01,6512.0,4232.8,173.17,6512.0,34
HCPCS,C1771,"REP DEV, URINARY, W/SLING",9225.0,5996.25,173.17,12410.0,170
HCPCS,C1771,Sling tvt mid uret cur68502111,13009.0,8455.85,173.17,13009.0,34
HCPCS,C1771,Sling tvt uret Hal Obt68505111,11346.0,7374.9,173.17,11346.0,34
HCPCS,C1771,Sling tvt uret cur Obt68504111,11656.0,7576.4,173.17,11656.0,34
HCPCS,C1771,Sling uret 1.1x60 graft 934450,7931.0,5155.15,173.17,7931.0,34
HCPCS,C1771,Sling uret Monarc 72403830,13203.0,8581.95,173.17,13203.0,34
HCPCS,C1771,Sling uret Monarc tran 7240193,10336.0,6718.4,173.17,10336.0,34
HCPCS,C1771,Sling uret Obtry II m006850511,9934.0,6457.1,173.17,9934.0,34
HCPCS,C1771,Sling uret Sparc Tensn sut AMS,14284.0,9284.6,173.17,14284.0,34
HCPCS,C1771,Sling uret Virtue 50200,30519.0,19837.35,173.17,30519.0,34
HCPCS,C1771,Sling uret adv sys 72008801,14793.0,9615.45,173.17,14793.0,34
HCPCS,C1771,Sling uret advance sys72016301,34985.0,22740.25,173.17,34985.0,34
HCPCS,C1771,Sling uret altis 7.75cm 519650,13063.0,8490.95,173.17,13063.0,34
HCPCS,C1771,Sling uret mesh knotless kim01,5035.0,3272.75,173.17,5035.0,34
HCPCS,C1771,Sling uret mesh wpassr oid5,6095.0,3961.75,173.17,6095.0,34
HCPCS,C1771,Sling uret remeex srem01,20951.0,13618.15,173.17,20951.0,34
HCPCS,C1771,Sling uret rs support brd300rs,7685.0,4995.25,173.17,7685.0,34
HCPCS,C1771,Sling uret tenson fre kit COOK,6419.0,4172.35,173.17,6419.0,34
HCPCS,C1771,Sling uret to hook- halo 600hh,7791.0,5064.15,173.17,7791.0,34
HCPCS,C1771,Sling uret trans 1.1x60 934400,8237.0,5354.05,173.17,8237.0,34
HCPCS,C1772,"INFUSION PUMP, PROGRAMMABLE",54392.0,35354.8,173.17,54392.0,34
HCPCS,C1772,Pump inf Synch III 40ml 866740,57254.0,37215.1,173.17,57254.0,34
HCPCS,C1772,Pump pain Prometra II 20 13827,50609.0,32895.85,173.17,50609.0,34
HCPCS,C1772,Pump pain synch progr 866720,59810.0,38876.5,173.17,59810.0,34
HCPCS,C1773,Cath 15mm snare 035-150cm,1875.0,1218.75,173.17,1875.0,34
HCPCS,C1773,Lead lock lld 1 518018,5830.0,3789.5,173.17,5830.0,34
HCPCS,C1773,"RET DEV, INSERTABLE",6591.5,4284.475,173.17,35863.0,340
HCPCS,C1773,Retrev balln inj15-18 547020,1568.0,1019.2,173.17,1568.0,34
HCPCS,C1773,Retrev dev Spectranetics560011,12038.0,7824.7,173.17,12038.0,34
HCPCS,C1773,Retrev dev filter Tulip g13287,2809.0,1825.85,173.17,2809.0,34
HCPCS,C1773,Retrieval wnsb 8.5 50wit COOK,5438.0,3534.7,173.17,5438.0,34
HCPCS,C1773,Retriever Spectranetics 560013,12038.0,7824.7,173.17,12038.0,34
HCPCS,C1773,Retrv cath Aveir tri lscr111,21306.0,13848.9,173.17,21306.0,34
HCPCS,C1773,Retrv dev Merci v2.0 firm90110,38253.0,24864.45,173.17,38253.0,34
HCPCS,C1773,Retrv dev alligt jaw flx711177,1047.0,680.55,173.17,1047.0,34
HCPCS,C1773,Retrv dev alligtr fa8881030 cm,17755.0,11540.75,173.17,17755.0,34
HCPCS,C1773,Retrvl dev trevo pro 80030,35249.0,22911.85,173.17,35249.0,34
HCPCS,C1773,Snare Ensnare en2007030endo,2142.0,1392.3,173.17,2142.0,34
HCPCS,C1773,Snare retrev 27x45mm 7f fenstr,3816.0,2480.4,173.17,3816.0,34
HCPCS,C1773,Snare retrev Bard srk30,3710.0,2411.5,173.17,3710.0,34
HCPCS,C1773,Snare retrev endo15x7f db15015,1622.0,1054.3,173.17,1622.0,34
HCPCS,C1773,Snare tourniquet surg5.5 79003,70.0,45.5,12.11,173.17,34
HCPCS,C1773,Snare vasc 120x18-30 en2007030,3494.0,2271.1,173.17,3494.0,34
HCPCS,C1773,Snare vasc retr 4 loop g53008,6413.0,4168.45,173.17,6413.0,34
HCPCS,C1776,Acetabulr Corin 32103354,9110.0,5921.5,173.17,9110.0,136
HCPCS,C1776,Acetabulr Depuy 122036460,10863.0,7060.95,173.17,10863.0,136
HCPCS,C1776,Acetabulr Depuy ds10014728,9689.0,6297.85,173.17,9689.0,136
HCPCS,C1776,Acetabulr G7 Longevity20154006,751.0,488.15,129.92,751.0,136
HCPCS,C1776,Acetabulr Stryker 20820056r,16411.0,10667.15,173.17,16411.0,136
HCPCS,C1776,Acetabulr Trident II 7090454e,17211.0,11187.15,173.17,17211.0,136
HCPCS,C1776,Acetabulr Zimmer 110031010,9406.0,6113.9,173.17,9406.0,136
HCPCS,C1776,Acetabulr aug Stryker 50965420,11406.0,7413.9,173.17,11406.0,136
HCPCS,C1776,Acetabulr aug Zimmer 489405020,12964.0,8426.6,173.17,12964.0,136
HCPCS,C1776,Acetabulr bip cup linr50014022,1982.0,1288.3,173.17,1982.0,136
HCPCS,C1776,Acetabulr cage 52mm 101172000,14211.0,9237.15,173.17,14211.0,136
HCPCS,C1776,Acetabulr cup trident 65c3250,5713.0,3713.45,173.17,5713.0,136
HCPCS,C1776,Acetabulr depuy 122346000,4660.0,3029.0,173.17,4660.0,136
HCPCS,C1776,Acetabulr djortho 43098056,4255.0,2765.75,173.17,4255.0,136
HCPCS,C1776,Acetabulr insrt 0deg 6230032dr,6855.0,4455.75,173.17,6855.0,136
HCPCS,C1776,Acetabulr insrt 6900032i,16598.0,10788.7,173.17,16598.0,136
HCPCS,C1776,Acetabulr liner 71358204,15079.0,9801.35,173.17,15079.0,136
HCPCS,C1776,Acetabulr liner S&N 71333373,15067.0,9793.55,173.17,15067.0,136
HCPCS,C1776,Acetabulr liner S&N 71333396,15855.0,10305.75,173.17,15855.0,136
HCPCS,C1776,Acetabulr liner cocr 6260058j,13912.0,9042.8,173.17,13912.0,136
HCPCS,C1776,Acetabulr linr Depuy 122136062,7618.0,4951.7,173.17,7618.0,136
HCPCS,C1776,Acetabulr linr Depuy 136308000,1153.0,749.45,173.17,1153.0,136
HCPCS,C1776,Acetabulr linr Zimmer010000985,22751.0,14788.15,173.17,22751.0,136
HCPCS,C1776,Acetabulr linr Zimmer110017220,12801.0,8320.65,173.17,12801.0,136
HCPCS,C1776,Acetabulr linr Zimmer110024459,10241.0,6656.65,173.17,10241.0,136
HCPCS,C1776,Acetabulr linr bi 122122043,9125.0,5931.25,173.17,9125.0,136
HCPCS,C1776,Acetabulr pinn lnr 121832752,24174.0,15713.1,173.17,24174.0,136
HCPCS,C1776,Acetabulr shell 3h 46 71335546,12058.0,7837.7,173.17,12058.0,136
HCPCS,C1776,Acetabulr shell 47 75100453,15582.0,10128.3,173.17,15582.0,136
HCPCS,C1776,Acetabulr shell 54mm 7020454e,6241.0,4056.65,173.17,6241.0,136
HCPCS,C1776,Acetabulr shell 58mm 121730058,6898.0,4483.7,173.17,6898.0,136
HCPCS,C1776,Acetabulr shell 71352354,17006.0,11053.9,173.17,17006.0,136
HCPCS,C1776,Acetabulr shell Stryk5040260dr,19917.0,12946.05,173.17,19917.0,136
HCPCS,C1776,Acetabulr shell Zimmr110010240,14949.0,9716.85,173.17,14949.0,136
HCPCS,C1776,Acetabulr shell liner 71106240,17970.0,11680.5,173.17,17970.0,136
HCPCS,C1776,Acetabulr shell multi 5090276j,16053.0,10434.45,173.17,16053.0,136
HCPCS,C1776,Acetabulr spacer +5 136312000,2428.0,1578.2,173.17,2428.0,136
HCPCS,C1776,Acetabulr tridnt 5421144c,4271.0,2776.15,173.17,4271.0,136
HCPCS,C1776,Acetabulr tridnt 5421154f,4147.0,2695.55,173.17,4147.0,136
HCPCS,C1776,Ankle Paragon 28 p10250tll0s,4875.0,3168.75,173.17,4875.0,136
HCPCS,C1776,Ankle insrt poly inf 33651110,14421.0,9373.65,173.17,14421.0,136
HCPCS,C1776,Ankle talar dome 33630025,33647.0,21870.55,173.17,33647.0,136
HCPCS,C1776,Ankle talar stem 14 200347902,7573.0,4922.45,173.17,7573.0,136
HCPCS,C1776,Ankle talar stem1 lg 200347901,7814.0,5079.1,173.17,7814.0,136
HCPCS,C1776,Ankle talr Paragn28 p109440975,2866.0,1862.9,173.17,2866.0,136
HCPCS,C1776,Ankle talr Wright Med 33680023,38256.0,24866.4,173.17,38256.0,136
HCPCS,C1776,Ankle tals Parag28 p10251tll1s,27557.0,17912.05,173.17,27557.0,136
HCPCS,C1776,Ankle talus custm imp aociaxxx,79838.0,51894.7,173.17,79838.0,136
HCPCS,C1776,Ankle tib base 18 200009902,4019.0,2612.35,173.17,4019.0,136
HCPCS,C1776,Ankle tibial base 16 200009901,4084.0,2654.6,173.17,4084.0,136
HCPCS,C1776,Ankle tray Wright 33680002,36062.0,23440.3,173.17,36062.0,136
HCPCS,C1776,Baseplate modular 24 ar956024,14090.0,9158.5,173.17,14090.0,136
HCPCS,C1776,C1776 impl joint dev 0-25,63.0,40.95,10.9,173.17,136
HCPCS,C1776,C1776 impl joint dev 101-150,628.0,408.2,108.64,628.0,136
HCPCS,C1776,C1776 impl joint dev 10251-11250,53811.0,34977.15,173.17,53811.0,136
HCPCS,C1776,C1776 impl joint dev 11251-12250,58817.0,38231.05,173.17,58817.0,136
HCPCS,C1776,C1776 impl joint dev 12251-13250,63822.0,41484.3,173.17,63822.0,136
HCPCS,C1776,C1776 impl joint dev 1301-1500,7010.0,4556.5,173.17,7010.0,136
HCPCS,C1776,C1776 impl joint dev 13251-14250,68828.0,44738.2,173.17,68828.0,136
HCPCS,C1776,C1776 impl joint dev 14251-15250,73833.0,47991.45,173.17,73833.0,136
HCPCS,C1776,C1776 impl joint dev 1501-2000,8762.0,5695.3,173.17,8762.0,136
HCPCS,C1776,C1776 impl joint dev 151-200,879.0,571.35,152.07,879.0,136
HCPCS,C1776,C1776 impl joint dev 15251-16750,80090.0,52058.5,173.17,80090.0,136
HCPCS,C1776,C1776 impl joint dev 16751-18250,87598.0,56938.7,173.17,87598.0,136
HCPCS,C1776,C1776 impl joint dev 18251-19750,95107.0,61819.55,173.17,95107.0,136
HCPCS,C1776,C1776 impl joint dev 19751-21250,102615.0,66699.75,173.17,102615.0,136
HCPCS,C1776,C1776 impl joint dev 2001-2500,11265.0,7322.25,173.17,11265.0,136
HCPCS,C1776,C1776 impl joint dev 201-250,1129.0,733.85,173.17,1129.0,136
HCPCS,C1776,C1776 impl joint dev 21251-22750,110123.0,71579.95,173.17,110123.0,136
HCPCS,C1776,C1776 impl joint dev 22751-24250,117631.0,76460.15,173.17,117631.0,136
HCPCS,C1776,C1776 impl joint dev 24251-25750,125140.0,81341.0,173.17,125140.0,136
HCPCS,C1776,C1776 impl joint dev 2501-3000,13767.0,8948.55,173.17,13767.0,136
HCPCS,C1776,C1776 impl joint dev 251-300,1379.0,896.35,173.17,1379.0,136
HCPCS,C1776,C1776 impl joint dev 25751-27250,132648.0,86221.2,173.17,132648.0,136
HCPCS,C1776,C1776 impl joint dev 26-50,191.0,124.15,33.04,191.0,136
HCPCS,C1776,C1776 impl joint dev 27251-29000,140782.0,91508.3,173.17,140782.0,136
HCPCS,C1776,C1776 impl joint dev 29001-30750,149542.0,97202.3,173.17,149542.0,136
HCPCS,C1776,C1776 impl joint dev 3001-3500,16270.0,10575.5,173.17,16270.0,136
HCPCS,C1776,C1776 impl joint dev 301-400,1754.0,1140.1,173.17,1754.0,136
HCPCS,C1776,C1776 impl joint dev 30751-32500,158302.0,102896.3,173.17,158302.0,136
HCPCS,C1776,C1776 impl joint dev 32501-34250,167061.0,108589.65,173.17,167061.0,136
HCPCS,C1776,C1776 impl joint dev 34251-36000,175821.0,114283.65,173.17,175821.0,136
HCPCS,C1776,C1776 impl joint dev 3501-4250,19399.0,12609.35,173.17,19399.0,136
HCPCS,C1776,C1776 impl joint dev 36001-37750,184580.0,119977.0,173.17,184580.0,136
HCPCS,C1776,C1776 impl joint dev 37751-39500,193340.0,125671.0,173.17,193340.0,136
HCPCS,C1776,C1776 impl joint dev 39501-41250,202100.0,131365.0,173.17,202100.0,136
HCPCS,C1776,C1776 impl joint dev 401-500,2255.0,1465.75,173.17,2255.0,136
HCPCS,C1776,C1776 impl joint dev 41251-43250,211485.0,137465.25,173.17,211485.0,136
HCPCS,C1776,C1776 impl joint dev 4251-5000,23153.0,15049.45,173.17,23153.0,136
HCPCS,C1776,C1776 impl joint dev 43251-45250,221496.0,143972.4,173.17,221496.0,136
HCPCS,C1776,C1776 impl joint dev 45251-47250,231507.0,150479.55,173.17,231507.0,136
HCPCS,C1776,C1776 impl joint dev 47251-49250,241518.0,156986.7,173.17,241518.0,136
HCPCS,C1776,C1776 impl joint dev 49251-51250,251529.0,163493.85,173.17,251529.0,136
HCPCS,C1776,C1776 impl joint dev 5001-5750,26907.0,17489.55,173.17,26907.0,136
HCPCS,C1776,C1776 impl joint dev 501-600,2755.0,1790.75,173.17,2755.0,136
HCPCS,C1776,C1776 impl joint dev 51-75,315.0,204.75,54.5,315.0,136
HCPCS,C1776,C1776 impl joint dev 5751-6500,30661.0,19929.65,173.17,30661.0,136
HCPCS,C1776,C1776 impl joint dev 601-700,3256.0,2116.4,173.17,3256.0,136
HCPCS,C1776,C1776 impl joint dev 6501-7250,34415.0,22369.75,173.17,34415.0,136
HCPCS,C1776,C1776 impl joint dev 701-900,4007.0,2604.55,173.17,4007.0,136
HCPCS,C1776,C1776 impl joint dev 7251-8250,38795.0,25216.75,173.17,38795.0,136
HCPCS,C1776,C1776 impl joint dev 76-100,441.0,286.65,76.29,441.0,136
HCPCS,C1776,C1776 impl joint dev 8251-9250,43800.0,28470.0,173.17,43800.0,136
HCPCS,C1776,C1776 impl joint dev 901-1100,5008.0,3255.2,173.17,5008.0,136
HCPCS,C1776,C1776 impl joint dev 9251-10250,48806.0,31723.9,173.17,48806.0,136
HCPCS,C1776,Cage ti acet max 60mm rt124322,41258.0,26817.7,173.17,41258.0,136
HCPCS,C1776,Cap totl knee hyb captriathlon,16894.0,10981.1,173.17,16894.0,136
HCPCS,C1776,Cement restrict plug8 41500080,1127.0,732.55,173.17,1127.0,136
HCPCS,C1776,Cement stem Depuy 151214080,11533.0,7496.45,173.17,11533.0,136
HCPCS,C1776,Coil hydrosft 3d 4x10 71100410,14236.0,9253.4,173.17,14236.0,136
HCPCS,C1776,Collagen S&N 4565,13405.0,8713.25,173.17,13405.0,136
HCPCS,C1776,Countersink orthopedi 11030004,1223.0,794.95,173.17,1223.0,136
HCPCS,C1776,Crosslink lp 5.5x1.375 811307,2252.0,1463.8,173.17,2252.0,136
HCPCS,C1776,Elbow arh sol 2 head50010524ls,19341.0,12571.65,173.17,19341.0,136
HCPCS,C1776,Elbow head Acumed 50010522ls,16274.0,10578.1,173.17,16274.0,136
HCPCS,C1776,Elbow head arh acumd50010224ls,16748.0,10886.2,173.17,16748.0,136
HCPCS,C1776,Elbow head rad Depuy 03405000s,2043.0,1327.95,173.17,2043.0,136
HCPCS,C1776,Elbow head rad Depuy 09405573s,18374.0,11943.1,173.17,18374.0,136
HCPCS,C1776,Elbow radial hd 22 09405263s,19777.0,12855.05,173.17,19777.0,136
HCPCS,C1776,Elbow radl hd 19hd 09405970s,22218.0,14441.7,173.17,22218.0,136
HCPCS,C1776,Elbow radl hd 19hd 09405973s,19994.0,12996.1,173.17,19994.0,136
HCPCS,C1776,Elbow stem rad Acumed trsl09s,10906.0,7088.9,173.17,10906.0,136
HCPCS,C1776,Eye RingJect ctr 12mm mr1410,915.0,594.75,158.3,915.0,34
HCPCS,C1776,Femoral comp med 154601,18240.0,11856.0,173.17,18240.0,136
HCPCS,C1776,Femoral comp prx std 64951001,23855.0,15505.75,173.17,23855.0,136
HCPCS,C1776,Femoral comp sz 3 rt 5512f302,23175.0,15063.75,173.17,23175.0,136
HCPCS,C1776,Femoral comp sz4 lft 5515f401,16706.0,10858.9,173.17,16706.0,136
HCPCS,C1776,Femoral head 36 stry 65191036,7149.0,4646.85,173.17,7149.0,136
HCPCS,C1776,Femoral head 36mm tapr 6280136,6604.0,4292.6,173.17,6604.0,136
HCPCS,C1776,Femoral head 36mm zm 902636,5372.0,3491.8,173.17,5372.0,136
HCPCS,C1776,Femorl Arcos Zimmer 11301310,34413.0,22368.45,173.17,34413.0,136
HCPCS,C1776,Femorl Attune Depuy 150410225,17676.0,11489.4,173.17,17676.0,136
HCPCS,C1776,Femorl Attune Depuy 150411204,23551.0,15308.15,173.17,23551.0,136
HCPCS,C1776,Femorl Attune Depuy 150440203,35001.0,22750.65,173.17,35001.0,136
HCPCS,C1776,Femorl Attune Depuy 154703002,6284.0,4084.6,173.17,6284.0,136
HCPCS,C1776,Femorl Atune Depuy 151320060,8927.0,5802.55,173.17,8927.0,136
HCPCS,C1776,Femorl Hip comp 585003038,25604.0,16642.6,173.17,25604.0,136
HCPCS,C1776,Femorl Legion S&N 71421234,29658.0,19277.7,173.17,29658.0,136
HCPCS,C1776,Femorl OSS 7cm seg lt 150355,40020.0,26013.0,173.17,40020.0,136
HCPCS,C1776,Femorl Versys Zimmer 785701400,10582.0,6878.3,173.17,10582.0,136
HCPCS,C1776,Femorl Versys Zimmer 785901100,566.0,367.9,97.92,566.0,136
HCPCS,C1776,Femorl adpt 5deg 960781,10263.0,6670.95,173.17,10263.0,136
HCPCS,C1776,Femorl aug Stryker 64811230,3356.0,2181.4,173.17,3356.0,136
HCPCS,C1776,Femorl axle sm distal 64952115,4900.0,3185.0,173.17,4900.0,136
HCPCS,C1776,Femorl bolt Depuy 4168300s,1971.0,1281.15,173.17,1971.0,136
HCPCS,C1776,Femorl bushing sm dist64952105,1470.0,955.5,173.17,1470.0,136
HCPCS,C1776,Femorl button 25mm 11302109,13543.0,8802.95,173.17,13543.0,136
HCPCS,C1776,Femorl cntrlzr versys785901300,526.0,341.9,91.0,526.0,136
HCPCS,C1776,Femorl comp Depuy 198713111,53967.0,35078.55,173.17,53967.0,136
HCPCS,C1776,Femorl comp S&N 71421215,29908.0,19440.2,173.17,29908.0,136
HCPCS,C1776,Femorl comp Spherika 0212ka12l,25278.0,16430.7,173.17,25278.0,136
HCPCS,C1776,Femorl comp Stryker 5610f201,11850.0,7702.5,173.17,11850.0,136
HCPCS,C1776,Femorl comp Stryker 5610f402,11846.0,7699.9,173.17,11846.0,136
HCPCS,C1776,Femorl comp Zimmer  cp113128,39669.0,25784.85,173.17,39669.0,136
HCPCS,C1776,Femorl comp Zimmer 42500607002,20845.0,13549.25,173.17,20845.0,136
HCPCS,C1776,Femorl comp Zimmer 42502607401,12914.0,8394.1,173.17,12914.0,136
HCPCS,C1776,Femorl comp Zimmer 42504605801,39230.0,25499.5,173.17,39230.0,136
HCPCS,C1776,Femorl comp cr sz1 lt 5510f101,14360.0,9334.0,173.17,14360.0,136
HCPCS,C1776,Femorl comp s&n 74022114,35390.0,23003.5,173.17,35390.0,136
HCPCS,C1776,Femorl conn 90mm GMRS 64956019,21121.0,13728.65,173.17,21121.0,136
HCPCS,C1776,Femorl couplr legion2 71424223,5809.0,3775.85,173.17,5809.0,136
HCPCS,C1776,Femorl dist 65mm GMRS 64952040,34368.0,22339.2,173.17,34368.0,136
HCPCS,C1776,Femorl dist stem 195 62767119,16640.0,10816.0,173.17,16640.0,136
HCPCS,C1776,Femorl ellip OSS Zimmer 161013,55974.0,36383.1,173.17,55974.0,136
HCPCS,C1776,Femorl ext 80mm GMRS 64956080,14544.0,9453.6,173.17,14544.0,136
HCPCS,C1776,Femorl head 136532720,12997.0,8448.05,173.17,12997.0,136
HCPCS,C1776,Femorl head 22mm 63642122,2808.0,1825.2,173.17,2808.0,136
HCPCS,C1776,Femorl head 28mm 877702802,12951.0,8418.15,173.17,12951.0,136
HCPCS,C1776,Femorl head 36mm 136550000,4948.0,3216.2,173.17,4948.0,136
HCPCS,C1776,Femorl head 41mm 00781804100,2152.0,1398.8,173.17,2152.0,136
HCPCS,C1776,Femorl head 5mm strykr62800232,3939.0,2560.35,173.17,3939.0,136
HCPCS,C1776,Femorl head Bio-Rad 802403601,7543.0,4902.95,173.17,7543.0,136
HCPCS,C1776,Femorl head DJO 40003283,2753.0,1789.45,173.17,2753.0,136
HCPCS,C1776,Femorl head Depuy 136506000,8157.0,5302.05,173.17,8157.0,136
HCPCS,C1776,Femorl head Depuy 136540740,11380.0,7397.0,173.17,11380.0,136
HCPCS,C1776,Femorl head S&N 71302200,5892.0,3829.8,173.17,5892.0,136
HCPCS,C1776,Femorl head S&N 71322042,6621.0,4303.65,173.17,6621.0,136
HCPCS,C1776,Femorl head Zimmer 6501058,11588.0,7532.2,173.17,11588.0,136
HCPCS,C1776,Femorl head artic m 136555000,5098.0,3313.7,173.17,5098.0,136
HCPCS,C1776,Femorl head ceramic pha04440,15643.0,10167.95,173.17,15643.0,136
HCPCS,C1776,Femorl head freedom 110025133,7534.0,4897.1,173.17,7534.0,136
HCPCS,C1776,Femorl head mod 36mm 11107020,14664.0,9531.6,173.17,14664.0,136
HCPCS,C1776,Femorl head option36mm 6501057,16331.0,10615.15,173.17,16331.0,136
HCPCS,C1776,Femorl head resurf 74121154,28118.0,18276.7,173.17,28118.0,136
HCPCS,C1776,Femorl head spectr remd gvhdxs,12829.0,8338.85,173.17,12829.0,136
HCPCS,C1776,Femorl head v40 cocr 62609228r,3359.0,2183.35,173.17,3359.0,136
HCPCS,C1776,Femorl lck nexgen lt599401391,48503.0,31526.95,173.17,48503.0,136
HCPCS,C1776,Femorl mod ball 136353000,2790.0,1813.5,173.17,2790.0,136
HCPCS,C1776,Femorl neck Zimmer 11301311,45928.0,29853.2,173.17,45928.0,136
HCPCS,C1776,Femorl neck ceramc 36 183600,10132.0,6585.8,173.17,10132.0,136
HCPCS,C1776,Femorl oss 3cm lt 161006,35990.0,23393.5,173.17,35990.0,136
HCPCS,C1776,Femorl oss 3cm resurf lt150351,49667.0,32283.55,173.17,49667.0,136
HCPCS,C1776,Femorl oss seg dstl 161093,41596.0,27037.4,173.17,41596.0,136
HCPCS,C1776,Femorl prox comp 585003238,49780.0,32357.0,173.17,49780.0,136
HCPCS,C1776,Femorl prox comp 7cm rt 150457,48804.0,31722.6,173.17,48804.0,136
HCPCS,C1776,Femorl ps oxnm 71421203,29633.0,19261.45,173.17,29633.0,136
HCPCS,C1776,Femorl seg OSS Zimmer 161008,48429.0,31478.85,173.17,48429.0,136
HCPCS,C1776,Femorl seg OSS Zimmer 161011,50558.0,32862.7,173.17,50558.0,136
HCPCS,C1776,Femorl seg OSS Zimmer 161014,54784.0,35609.6,173.17,54784.0,136
HCPCS,C1776,Femorl seg ellip 7cm rt 161009,39219.0,25492.35,173.17,39219.0,136
HCPCS,C1776,Femorl seg oss 8.5 elp 150496,42397.0,27558.05,173.17,42397.0,136
HCPCS,C1776,Femorl segment sys 585003217,13594.0,8836.1,173.17,13594.0,136
HCPCS,C1776,Femorl sleeve Depuy 129453216,18184.0,11819.6,173.17,18184.0,136
HCPCS,C1776,Femorl sleeve Depuy 198706005,3507.0,2279.55,173.17,3507.0,136
HCPCS,C1776,Femorl sm rt dist65mm 64952020,34377.0,22345.05,173.17,34377.0,136
HCPCS,C1776,Femorl spacer eze +0 136310000,1118.0,726.7,173.17,1118.0,136
HCPCS,C1776,Femorl stem 11x127mm 64853011,18379.0,11946.35,173.17,18379.0,136
HCPCS,C1776,Femorl stem 135dg std 192010,45350.0,29477.5,173.17,45350.0,136
HCPCS,C1776,Femorl stem 20x155 62767020r,14283.0,9283.95,173.17,14283.0,136
HCPCS,C1776,Femorl stem Depuy 101011100,24054.0,15635.1,173.17,24054.0,136
HCPCS,C1776,Femorl stem Depuy 197719240,21802.0,14171.3,173.17,21802.0,136
HCPCS,C1776,Femorl stem Stryker 67210330,22665.0,14732.25,173.17,22665.0,136
HCPCS,C1776,Femorl stem Zimmer 100102217,43735.0,28427.75,173.17,43735.0,136
HCPCS,C1776,Femorl stem Zimmer 100561214,22638.0,14714.7,173.17,22638.0,136
HCPCS,C1776,Femorl stem Zimmer 11300916,23662.0,15380.3,173.17,23662.0,136
HCPCS,C1776,Femorl stem Zimmer 145024,10024.0,6515.6,173.17,10024.0,136
HCPCS,C1776,Femorl stem Zimmer 42560613510,14316.0,9305.4,173.17,14316.0,136
HCPCS,C1776,Femorl stem arcos 11300812,18196.0,11827.4,173.17,18196.0,136
HCPCS,C1776,Femorl stem arcos 250 11301019,28457.0,18497.05,173.17,28457.0,136
HCPCS,C1776,Femorl stem body21mm 62761021r,19935.0,12957.75,173.17,19935.0,136
HCPCS,C1776,Femorl stem cement 12 71424204,10076.0,6549.4,173.17,10076.0,136
HCPCS,C1776,Femorl stem dist 197620190,22032.0,14320.8,173.17,22032.0,136
HCPCS,C1776,Femorl stem exeter v40 5803422,22330.0,14514.5,173.17,22330.0,136
HCPCS,C1776,Femorl stem legion 13 71424026,5657.0,3677.05,173.17,5657.0,136
HCPCS,C1776,Femorl stem legion 16 71424049,5822.0,3784.3,173.17,5822.0,136
HCPCS,C1776,Femorl stem offset 193110,26354.0,17130.1,173.17,26354.0,136
HCPCS,C1776,Femorl stem tapr 16 197616190,21569.0,14019.85,173.17,21569.0,136
HCPCS,C1776,Femorl stem versys 785911,578.0,375.7,99.99,578.0,136
HCPCS,C1776,Femorl stryker 64812110,1429.0,928.85,173.17,1429.0,136
HCPCS,C1776,Femorl stryker 64812120,4889.0,3177.85,173.17,4889.0,136
HCPCS,C1776,Femorl stryker 65191028,7891.0,5129.15,173.17,7891.0,136
HCPCS,C1776,Femorl ti head slv tpr71344247,1371.0,891.15,173.17,1371.0,136
HCPCS,C1776,Femorl trathlon 5510f401r,13157.0,8552.05,173.17,13157.0,136
HCPCS,C1776,Femorl tray trumatch 200420906,5108.0,3320.2,173.17,5108.0,136
HCPCS,C1776,Femorl wedg scw S&N 71421662,9386.0,6100.9,173.17,9386.0,136
HCPCS,C1776,Femorl wedge step s2 129456121,10357.0,6732.05,173.17,10357.0,136
HCPCS,C1776,Femorl zimmer 801803203,6707.0,4359.55,173.17,6707.0,136
HCPCS,C1776,Femrl comp dist 65mm 64952030,34066.0,22142.9,173.17,34066.0,136
HCPCS,C1776,Femrl head tpr c ceram36 18365,8478.0,5510.7,173.17,8478.0,136
HCPCS,C1776,Femrl trident head 62609040,7834.0,5092.1,173.17,7834.0,136
HCPCS,C1776,Femur Cryort UM Tissue Bnk0081,26989.0,17542.85,173.17,26989.0,136
HCPCS,C1776,Fermorl bearng Zimmer xl200148,7680.0,4992.0,173.17,7680.0,136
HCPCS,C1776,Foot resurf hemicap post9.5mm,1782.0,1158.3,173.17,1782.0,136
HCPCS,C1776,Glenoid Arthrosurf g2032015w,11124.0,7230.6,173.17,11124.0,136
HCPCS,C1776,Glenoid aug Arthrx ar91070115r,15392.0,10004.8,173.17,15392.0,136
HCPCS,C1776,Glenoid bplate hlf ar958124252,12814.0,8329.1,173.17,12814.0,136
HCPCS,C1776,Glenoid bplate lat ar9560244,8810.0,5726.5,173.17,8810.0,136
HCPCS,C1776,Glenoid cortiloc m40 dwe413,13164.0,8556.6,173.17,13164.0,136
HCPCS,C1776,Glenoid head 40 neut 50840101,5506.0,3578.9,173.17,5506.0,136
HCPCS,C1776,Glenoid rss bplt-s gbb0961094s,13928.0,9053.2,173.17,13928.0,136
HCPCS,C1776,Glenoid sphere Depuy 130762138,12546.0,8154.9,173.17,12546.0,136
HCPCS,C1776,Glenoshpere rss 2mm gl096102cs,14450.0,9392.5,173.17,14450.0,136
HCPCS,C1776,Hand MCP sz 20 prox mcp10020pw,11688.0,7597.2,173.17,11688.0,136
HCPCS,C1776,Hand interphal 10dis HDE010005,1572.0,1021.8,173.17,1572.0,136
HCPCS,C1776,Hand interphal 10prx HDE010005,1965.0,1277.25,173.17,1965.0,136
HCPCS,C1776,Hand mcp finger stryker mcp60,4736.0,3078.4,173.17,4736.0,136
HCPCS,C1776,Hand metcarpophalng 10dist ASC,8392.0,5454.8,173.17,8392.0,136
HCPCS,C1776,Hand metcarpophalng 10prox ASC,12482.0,8113.3,173.17,12482.0,136
HCPCS,C1776,Hip acetabul liner 32 11107004,17607.0,11444.55,173.17,17607.0,136
HCPCS,C1776,Hip adapter sleeve 10340000j,2057.0,1337.05,173.17,2057.0,136
HCPCS,C1776,Hip arcos impl sys 11302102,6870.0,4465.5,173.17,6870.0,136
HCPCS,C1776,Hip cap totalhipdualmobstkr4,24026.0,15616.9,173.17,24026.0,136
HCPCS,C1776,Hip fem head 28mm +4 129936,4665.0,3032.25,173.17,4665.0,136
HCPCS,C1776,Hip fem head S&N 71342368,16494.0,10721.1,173.17,16494.0,136
HCPCS,C1776,Hip fem seg 161012,51657.0,33577.05,173.17,51657.0,136
HCPCS,C1776,Hip fem stem 127deg 60540915s,22784.0,14809.6,173.17,22784.0,136
HCPCS,C1776,Hip fem stem 37.5mm 5801371,15004.0,9752.6,173.17,15004.0,136
HCPCS,C1776,Hip fem stem Zimmer 148320,9236.0,6003.4,173.17,9236.0,136
HCPCS,C1776,Hip fem stem Zimmer 787101360,26429.0,17178.85,173.17,26429.0,136
HCPCS,C1776,Hip fem stem sz11 3l93711,23111.0,15022.15,173.17,23111.0,136
HCPCS,C1776,Hip fem stem totalhipcorin3,21223.0,13794.95,173.17,21223.0,136
HCPCS,C1776,Hip fem stem13x210mm 787101361,35176.0,22864.4,173.17,35176.0,136
HCPCS,C1776,Hip head C taper 32 +0 063200,3728.0,2423.2,173.17,3728.0,136
HCPCS,C1776,Hip impl linr insrt tride hip5,26279.0,17081.35,173.17,26279.0,136
HCPCS,C1776,Hip joint Depuy osc378823,22780.0,14807.0,173.17,22780.0,136
HCPCS,C1776,Hip scw RingLoc 103537,701.0,455.65,121.27,701.0,136
HCPCS,C1776,Hip sleeve matrix S&N mh0002,1131.0,735.15,173.17,1131.0,136
HCPCS,C1776,Hip stem Exodus 51040000,11622.0,7554.3,173.17,11622.0,136
HCPCS,C1776,Hip stem dual fix osc366413,8509.0,5530.85,173.17,8509.0,136
HCPCS,C1776,Humeral stem monoblck 51000008,30147.0,19595.55,173.17,30147.0,136
HCPCS,C1776,Humerl bearg Zimmer 110031424,5585.0,3630.25,173.17,5585.0,136
HCPCS,C1776,Humerl bearg Zimmer 110031428,7113.0,4623.45,173.17,7113.0,136
HCPCS,C1776,Humerl bearing 36mm 110031419,4705.0,3058.25,173.17,4705.0,136
HCPCS,C1776,Humerl bearing 36mm 110031426,6807.0,4424.55,173.17,6807.0,136
HCPCS,C1776,Humerl cup 38+9mm 130738209,7746.0,5034.9,173.17,7746.0,136
HCPCS,C1776,Humerl cup retent pe 130738106,6685.0,4345.25,173.17,6685.0,136
HCPCS,C1776,Humerl depuy 10040000,7881.0,5122.65,173.17,7881.0,136
HCPCS,C1776,Humerl depuy 110050000,8010.0,5206.5,173.17,8010.0,136
HCPCS,C1776,Humerl depuy 110052510,9832.0,6390.8,173.17,9832.0,136
HCPCS,C1776,Humerl djortho 52007000,3004.0,1952.6,173.17,3004.0,136
HCPCS,C1776,Humerl head 41x15mm dwb241,9451.0,6143.15,173.17,9451.0,136
HCPCS,C1776,Humerl head 42x16mm 52042016,8228.0,5348.2,173.17,8228.0,136
HCPCS,C1776,Humerl head 50x18mm 52050318,9479.0,6161.35,173.17,9479.0,136
HCPCS,C1776,Humerl head 54x20mm 52054320,13512.0,8782.8,173.17,13512.0,136
HCPCS,C1776,Humerl head Depuy 130748021,19330.0,12564.5,173.17,19330.0,136
HCPCS,C1776,Humerl head Versa Dial 118001,851.0,553.15,147.22,851.0,136
HCPCS,C1776,Humerl head equinoxe 3100253,8890.0,5778.5,173.17,8890.0,136
HCPCS,C1776,Humerl head reunion 5542p0040,14632.0,9510.8,173.17,14632.0,136
HCPCS,C1776,Humerl head revers ar955019rca,9410.0,6116.5,173.17,9410.0,136
HCPCS,C1776,Humerl head stb 48x18 7122884,21049.0,13681.85,173.17,21049.0,136
HCPCS,C1776,Humerl insrt Arthrex ar9503363,4972.0,3231.8,173.17,4972.0,136
HCPCS,C1776,Humerl liner Arthrex ar9531sp,465.0,302.25,80.45,465.0,136
HCPCS,C1776,Humerl liner std 0 lnr096000s,7346.0,4774.9,173.17,7346.0,136
HCPCS,C1776,Humerl neck neutral 52000000,2607.0,1694.55,173.17,2607.0,136
HCPCS,C1776,Humerl spacer gleno ar950415,8409.0,5465.85,173.17,8409.0,136
HCPCS,C1776,Humerl stem 11x23mm 5569c2011,24033.0,15621.45,173.17,24033.0,136
HCPCS,C1776,Humerl stem 14x70mm 52014000,18577.0,12075.05,173.17,18577.0,136
HCPCS,C1776,Humerl stem 18mm 52018000,26481.0,17212.65,173.17,26481.0,136
HCPCS,C1776,Humerl stem 55680009,21677.0,14090.05,173.17,21677.0,136
HCPCS,C1776,Humerl stem 8x220mm 53008220,47178.0,30665.7,173.17,47178.0,136
HCPCS,C1776,Humerl stem 9x130mm130d dwb172,22860.0,14859.0,173.17,22860.0,136
HCPCS,C1776,Humerl stem 9x146mm ar910009p,18396.0,11957.4,173.17,18396.0,136
HCPCS,C1776,Humerl stem Arthrex ar950110p,12174.0,7913.1,173.17,12174.0,136
HCPCS,C1776,Humerl stem Perform s1 dwx1ps,20838.0,13544.7,173.17,20838.0,136
HCPCS,C1776,Humerl stem Primar 14 52001014,16127.0,10482.55,173.17,16127.0,136
HCPCS,C1776,Humerl stem Zimmer 12113560,19988.0,12992.2,173.17,19988.0,136
HCPCS,C1776,Humerl stem ar950106rcpc,11913.0,7743.45,173.17,11913.0,136
HCPCS,C1776,Humerl stem comp 113649,15867.0,10313.55,173.17,15867.0,136
HCPCS,C1776,Humerl stem equinoxe 3080108,27723.0,18019.95,173.17,27723.0,136
HCPCS,C1776,Humerl stem equinoxe 3081005,28945.0,18814.25,173.17,28945.0,136
HCPCS,C1776,Humerl stem equinoxe 3081025,49321.0,32058.65,173.17,49321.0,136
HCPCS,C1776,Humerl stem equinoxe 3081075,56668.0,36834.2,173.17,56668.0,136
HCPCS,C1776,Humerl stem equinoxe 3081600,2778.0,1805.7,173.17,2778.0,136
HCPCS,C1776,Humerl stem ptc ars741803,19356.0,12581.4,173.17,19356.0,136
HCPCS,C1776,Humerl stem sz 12mm ar950112p,9951.0,6468.15,173.17,9951.0,136
HCPCS,C1776,Humerl stem sz 14 53014108,36658.0,23827.7,173.17,36658.0,136
HCPCS,C1776,Humerl stem tss sem092002514,14686.0,9545.9,173.17,14686.0,136
HCPCS,C1776,Humerl stem w scw bbs096021sml,17156.0,11151.4,173.17,17156.0,136
HCPCS,C1776,Humerl tray 40mm 110031403,7458.0,4847.7,173.17,7458.0,136
HCPCS,C1776,Humerl tray Zimmer 110031399,6803.0,4421.95,173.17,6803.0,136
HCPCS,C1776,Humerl tray neutral 6 sahtnem6,8885.0,5775.25,173.17,8885.0,136
HCPCS,C1776,Humerl ulna assembl3281052704,34838.0,22644.7,173.17,34838.0,136
HCPCS,C1776,Insert hum 6x36mm dwd970,5477.0,3560.05,173.17,5477.0,136
HCPCS,C1776,Insert hum aqu 36x6 dwb993,4475.0,2908.75,173.17,4475.0,136
HCPCS,C1776,Insert tridnt 0dg 36 6230036dr,7488.0,4867.2,173.17,7488.0,136
HCPCS,C1776,JOINT DEVICE (IMPLANTABLE),11944.0,7763.6,77.85,100110.0,70856
HCPCS,C1776,Knee Attune ps insrt 151650606,9959.0,6473.35,173.17,9959.0,136
HCPCS,C1776,Knee Mako Stryker 1807351e,4600.0,2990.0,173.17,4600.0,136
HCPCS,C1776,Knee OSS cmntd im stem 150373,9961.0,6474.65,173.17,9961.0,136
HCPCS,C1776,Knee OXF anat brg rt 159582,4581.0,2977.65,173.17,4581.0,136
HCPCS,C1776,Knee Trthl pin3.2x89 76502038a,2484.0,1614.6,173.17,2484.0,136
HCPCS,C1776,Knee cement 26mm 42540200026,3304.0,2147.6,173.17,3304.0,136
HCPCS,C1776,Knee fem OSS Zimmer 161010,52745.0,34284.25,173.17,52745.0,136
HCPCS,C1776,Knee fem sz 1 lt arthx ar5021l,23826.0,15486.9,173.17,23826.0,136
HCPCS,C1776,Knee gns ii Biconvex 71420566,6170.0,4010.5,173.17,6170.0,136
HCPCS,C1776,Knee impl totl w petela knee6,27030.0,17569.5,173.17,27030.0,136
HCPCS,C1776,Knee impl totl z petela knee7,26029.0,16918.85,173.17,26029.0,136
HCPCS,C1776,Knee itotl med insr rcr0100700,1272.0,826.8,173.17,1272.0,136
HCPCS,C1776,Knee stem 20x120mm 148323,11788.0,7662.2,173.17,11788.0,136
HCPCS,C1776,Knee stem fltd 14x100 5565s014,7161.0,4654.65,173.17,7161.0,136
HCPCS,C1776,Knee stem fltd 15x100 5565s015,4568.0,2969.2,173.17,4568.0,136
HCPCS,C1776,Knee total cap cem wo pat1.1st,18270.0,11875.5,173.17,18270.0,136
HCPCS,C1776,Knee total journy bicrucate SN,28531.0,18545.15,173.17,28531.0,136
HCPCS,C1776,Knee triathlon hinge 56124000,3630.0,2359.5,173.17,3630.0,136
HCPCS,C1776,Knee triathlon hinge 5612f602,31822.0,20684.3,173.17,31822.0,136
HCPCS,C1776,Knee uni press fit STRY,17019.0,11062.35,173.17,17019.0,136
HCPCS,C1776,Limb bplate OSS Zimmer 150422,24590.0,15983.5,173.17,24590.0,136
HCPCS,C1776,Limb diaphyseal adapter 150483,1051.0,683.15,173.17,1051.0,136
HCPCS,C1776,Limb pin poly lck oss 150478,1539.0,1000.35,173.17,1539.0,136
HCPCS,C1776,Meniscal root kit ar4550,4981.0,3237.65,173.17,4981.0,136
HCPCS,C1776,Otologc imp lamna2.5x2 141700,2294.0,1491.1,173.17,2294.0,136
HCPCS,C1776,Patella Arthrex ar13070sps,14992.0,9744.8,173.17,14992.0,136
HCPCS,C1776,Patella comp 35mm 71420578,2497.0,1623.05,173.17,2497.0,136
HCPCS,C1776,Patella sym Stryker 5550g319e,4887.0,3176.55,173.17,4887.0,136
HCPCS,C1776,Patella triathln sym 5550g298e,4958.0,3222.7,173.17,4958.0,136
HCPCS,C1776,Patellar  dome arthx ar504psa8,4380.0,2847.0,173.17,4380.0,136
HCPCS,C1776,Plate glenoid 28mm 55722800,10224.0,6645.6,173.17,10224.0,136
HCPCS,C1776,Plate rsp glenoid30mm 50832204,9909.0,6440.85,173.17,9909.0,136
HCPCS,C1776,Radial stem 8x28mm 11210063,5793.0,3765.45,173.17,5793.0,136
HCPCS,C1776,Shouldr 0mm fix ang kt 3002100,6963.0,4525.95,173.17,6963.0,136
HCPCS,C1776,Shouldr Apex stem ar950110s,11954.0,7770.1,173.17,11954.0,136
HCPCS,C1776,Shouldr Zimmer 10000589,9911.0,6442.15,173.17,9911.0,136
HCPCS,C1776,Shouldr Zimmer 211228,23763.0,15445.95,173.17,23763.0,136
HCPCS,C1776,Shouldr baseplat std 15 dwd003,8598.0,5588.7,173.17,8598.0,136
HCPCS,C1776,Shouldr cap Ascend FLX CAP1117,39543.0,25702.95,173.17,39543.0,136
HCPCS,C1776,Shouldr comp Zimmer 3281052504,27530.0,17894.5,173.17,27530.0,136
HCPCS,C1776,Shouldr comp ephiph 130740103,19223.0,12494.95,173.17,19223.0,136
HCPCS,C1776,Shouldr compr Zimmer 211225,44524.0,28940.6,173.17,44524.0,136
HCPCS,C1776,Shouldr glenoid 10mm140760020,12907.0,8389.55,173.17,12907.0,136
HCPCS,C1776,Shouldr glenoid media223000030,2901.0,1885.65,173.17,2901.0,136
HCPCS,C1776,Shouldr glenoid ped 52001242,7789.0,5062.85,173.17,7789.0,136
HCPCS,C1776,Shouldr glenoid sm 113849l,8365.0,5437.25,173.17,8365.0,136
HCPCS,C1776,Shouldr hem post15.6 81560032a,3734.0,2427.1,173.17,3734.0,136
HCPCS,C1776,Shouldr hum comp11x115 1111370,20167.0,13108.55,173.17,20167.0,136
HCPCS,C1776,Shouldr hum comp30mm 83020070w,30897.0,20083.05,173.17,30897.0,136
HCPCS,C1776,Shouldr hum head 21x52mm 20034,9805.0,6373.25,173.17,9805.0,136
HCPCS,C1776,Shouldr hum head40x12 53504012,11296.0,7342.4,173.17,11296.0,136
HCPCS,C1776,Shouldr hum head52x18 11285201,9852.0,6403.8,173.17,9852.0,136
HCPCS,C1776,Shouldr hum spacr 9mm130730009,10131.0,6585.15,173.17,10131.0,136
HCPCS,C1776,Shouldr hum stem 10 13071000,12785.0,8310.25,173.17,12785.0,136
HCPCS,C1776,Shouldr hum stem 12x110 020012,19636.0,12763.4,173.17,19636.0,136
HCPCS,C1776,Shouldr hum stem 9x180 dwd932,29542.0,19202.3,173.17,29542.0,136
HCPCS,C1776,Shouldr hum stem pfx10130,50055.0,32535.75,173.17,50055.0,136
HCPCS,C1776,Shouldr hum stem9x115 11113705,19597.0,12738.05,173.17,19597.0,136
HCPCS,C1776,Shouldr insrt dev g0000200,1832.0,1190.8,173.17,1832.0,136
HCPCS,C1776,Shouldr insrt ret 36mm dwp4363,11262.0,7320.3,173.17,11262.0,136
HCPCS,C1776,Shouldr lower cup meg130760000,8716.0,5665.4,173.17,8716.0,136
HCPCS,C1776,Shouldr partial prosth 211267,17345.0,11274.25,173.17,17345.0,136
HCPCS,C1776,Shouldr revers 36 ar950236arca,8609.0,5595.85,173.17,8609.0,136
HCPCS,C1776,Shouldr rsa epi s1 l 140720102,24620.0,16003.0,173.17,24620.0,136
HCPCS,C1776,Shouldr spcr Zimmer 434903909,3604.0,2342.6,173.17,3604.0,136
HCPCS,C1776,Shouldr sphere 36x25 dwd180,16859.0,10958.35,173.17,16859.0,136
HCPCS,C1776,Shouldr sphere 36x29 dwd191,19007.0,12354.55,173.17,19007.0,136
HCPCS,C1776,Spacer dist stem 14mm 10594514,617.0,401.05,106.74,617.0,136
HCPCS,C1776,Spacer stem lt 240 154133000,30765.0,19997.25,173.17,30765.0,136
HCPCS,C1776,Sphere glenoid allpoly52107246,11378.0,7395.7,173.17,11378.0,136
HCPCS,C1776,Spine end cap 13mm 8dg 9401308,1177.0,765.05,173.17,1177.0,136
HCPCS,C1776,Stem ext nexgen15x75 598801215,8822.0,5734.3,173.17,8822.0,136
HCPCS,C1776,Stem hum Zimmer 12113564,17545.0,11404.25,173.17,17545.0,136
HCPCS,C1776,Stem triathl cmnt9x50 5560s109,6157.0,4002.05,173.17,6157.0,136
HCPCS,C1776,Tib axle oss 150480,3153.0,2049.45,173.17,3153.0,136
HCPCS,C1776,Tib knee reinf yoke oss 150493,7358.0,4782.7,173.17,7358.0,136
HCPCS,C1776,Tib prox 4.0 lock insrt 370002,383.0,248.95,66.26,383.0,136
HCPCS,C1776,Tibal insrt nexgen12 596203012,4805.0,3123.25,173.17,4805.0,136
HCPCS,C1776,Tibial Attune Depuy 150660006,25406.0,16513.9,173.17,25406.0,136
HCPCS,C1776,Tibial Attune Depuy 151111205,19222.0,12494.3,173.17,19222.0,136
HCPCS,C1776,Tibial Attune Depuy 151216080,5413.0,3518.45,173.17,5413.0,136
HCPCS,C1776,Tibial Attune Depuy 151710316,15165.0,9857.25,173.17,15165.0,136
HCPCS,C1776,Tibial Atune Depuy 150660008,26512.0,17232.8,173.17,26512.0,136
HCPCS,C1776,Tibial PSN bplt Zim42542006702,19147.0,12445.55,173.17,19147.0,136
HCPCS,C1776,Tibial Triathlon bplt 5536b100,14180.0,9217.0,173.17,14180.0,136
HCPCS,C1776,Tibial aug post sz3 4mm 960866,5171.0,3361.15,173.17,5171.0,136
HCPCS,C1776,Tibial aug rt sz 7 10 5546a702,5421.0,3523.65,173.17,5421.0,136
HCPCS,C1776,Tibial aug tri rm ll 5545a602,5549.0,3606.85,173.17,5549.0,136
HCPCS,C1776,Tibial augm 152303001,7591.0,4934.15,173.17,7591.0,136
HCPCS,C1776,Tibial baseplate 5520b100r,7857.0,5107.05,173.17,7857.0,136
HCPCS,C1776,Tibial baseplate sz5 150640005,17218.0,11191.7,173.17,17218.0,136
HCPCS,C1776,Tibial bearing Zimmer 183884,11638.0,7564.7,173.17,11638.0,136
HCPCS,C1776,Tibial bearng Arthrx ar523b408,10181.0,6617.65,173.17,10181.0,136
HCPCS,C1776,Tibial bplace S&N 71420186,12220.0,7943.0,173.17,12220.0,136
HCPCS,C1776,Tibial bplate 161018,17244.0,11208.6,173.17,17244.0,136
HCPCS,C1776,Tibial bplate S&N 71926222,12402.0,8061.3,173.17,12402.0,136
HCPCS,C1776,Tibial bplate Stryker 5536b700,13987.0,9091.55,173.17,13987.0,136
HCPCS,C1776,Tibial bplate s&n 74022213,14206.0,9233.9,173.17,14206.0,136
HCPCS,C1776,Tibial com locking bar 141205,938.0,609.7,162.27,938.0,136
HCPCS,C1776,Tibial insert Zimmer 425214007,3904.0,2537.6,173.17,3904.0,136
HCPCS,C1776,Tibial insrt Depuy 151760112,21549.0,14006.85,173.17,21549.0,136
HCPCS,C1776,Tibial insrt S&N 71453247,12348.0,8026.2,173.17,12348.0,136
HCPCS,C1776,Tibial insrt Stryker 66421911,4419.0,2872.35,173.17,4419.0,136
HCPCS,C1776,Tibial insrt hrhk sm 64813210r,4961.0,3224.65,173.17,4961.0,136
HCPCS,C1776,Tibial insrt journey 74027232,21824.0,14185.6,173.17,21824.0,136
HCPCS,C1776,Tibial insrt legion13 71453103,12017.0,7811.05,173.17,12017.0,136
HCPCS,C1776,Tibial insrt ps xlpem 71453202,15192.0,9874.8,173.17,15192.0,136
HCPCS,C1776,Tibial insrt psn 42536008802,10737.0,6979.05,173.17,10737.0,136
HCPCS,C1776,Tibial insrt s&n 74027233,19148.0,12446.2,173.17,19148.0,136
HCPCS,C1776,Tibial insrt stb 10m 158121110,8229.0,5348.85,173.17,8229.0,136
HCPCS,C1776,Tibial insrt trulnt02022444009,7953.0,5169.45,173.17,7953.0,136
HCPCS,C1776,Tibial insrt vgd14x63 ve189024,6633.0,4311.45,173.17,6633.0,136
HCPCS,C1776,Tibial insrt vgd63x16 ve189026,10887.0,7076.55,173.17,10887.0,136
HCPCS,C1776,Tibial oss poly bushings150477,2929.0,1903.85,173.17,2929.0,136
HCPCS,C1776,Tibial prox Stryker 64953102,34308.0,22300.2,173.17,34308.0,136
HCPCS,C1776,Tibial sleeve sz4 151111204,20059.0,13038.35,173.17,20059.0,136
HCPCS,C1776,Tibial sleeve univ 64812140r,2230.0,1449.5,173.17,2230.0,136
HCPCS,C1776,Tibial stem Stryker 64786635r,4905.0,3188.25,173.17,4905.0,136
HCPCS,C1776,Tibial stem ext Nexgn598801016,6357.0,4132.05,173.17,6357.0,136
HCPCS,C1776,Tibial stem ext Nexgn598801618,5882.0,3823.3,173.17,5882.0,136
HCPCS,C1776,Tibial tray 53mm 129454120,15849.0,10301.85,173.17,15849.0,136
HCPCS,C1776,Tibial tray Depuy 200420915,4545.0,2954.25,173.17,4545.0,136
HCPCS,C1776,Tibial tray cmntd s3 02071203l,12401.0,8060.65,173.17,12401.0,136
HCPCS,C1776,Tibial tray md cocr2 158120000,10721.0,6968.65,173.17,10721.0,136
HCPCS,C1776,Tibila insert Depuy 960633,7143.0,4642.95,173.17,7143.0,136
HCPCS,C1776,Toe fgt prox broach sm fgtpst,3200.0,2080.0,173.17,3200.0,136
HCPCS,C1776,Toe flex great 1526br wmti,4054.0,2635.1,173.17,4054.0,136
HCPCS,C1776,Toe imp hemi 2.5x4.5 9m522545w,12634.0,8212.1,173.17,12634.0,136
HCPCS,C1776,Toe imp hemi sz20 mgt89020pph,6983.0,4538.95,173.17,6983.0,136
HCPCS,C1776,Toe imp hemi sz30 mgt89030pph,11863.0,7710.95,173.17,11863.0,136
HCPCS,C1776,Toe imp prox phlnx mgt89010ppt,12745.0,8284.25,173.17,12745.0,136
HCPCS,C1776,Toe impl mtp Osteomed 3850018,12894.0,8381.1,173.17,12894.0,136
HCPCS,C1776,Toe mgt prox phal mgt89040ppt,12384.0,8049.6,173.17,12384.0,136
HCPCS,C1776,Toe sz 20 Integra mgt89020ppt,12409.0,8065.85,173.17,12409.0,136
HCPCS,C1776,Total elbow Zimmer 98000900070,67574.0,43923.1,173.17,67574.0,136
HCPCS,C1776,Total hip ball 28mm 101814000,5011.0,3257.15,173.17,5011.0,136
HCPCS,C1776,Total hip cap poros unihipdep2,11763.0,7645.95,173.17,11763.0,136
HCPCS,C1776,Total hip cap press osc365937,22024.0,14315.6,173.17,22024.0,136
HCPCS,C1776,Total hip cemnt pres bihipdep1,9510.0,6181.5,173.17,9510.0,136
HCPCS,C1776,Total hip porus ha n cm STRY,21273.0,13827.45,173.17,21273.0,136
HCPCS,C1776,Total knee unipolar 48mm,1472.0,956.8,173.17,1472.0,136
HCPCS,C1777,"LEAD, AICD, ENDO SINGLE COIL",25688.0,16697.2,173.17,27472.0,170
HCPCS,C1777,Lead ICD Durata 60cm 712260,31759.0,20643.35,173.17,31759.0,34
HCPCS,C1777,Lead ICD endo sngl coil recall,1.0,0.65,0.17,173.17,32
HCPCS,C1777,Lead ICD sng quattro 693565cm,25141.0,16341.65,173.17,25141.0,34
HCPCS,C1777,Lead ICD sngl ria optm7070 STJ,24857.0,16157.05,173.17,24857.0,34
HCPCS,C1778,Ans lead 3mm octrode 60cm 3186,16337.0,10619.05,173.17,16337.0,68
HCPCS,C1778,Deep brain electr lead 66elep,1503.0,976.95,173.17,1503.0,34
HCPCS,C1778,Deep brain electro arra 22675z,1589.0,1032.85,173.17,1589.0,34
HCPCS,C1778,Deep brain electro s dza34685z,2021.0,1313.65,173.17,2021.0,34
HCPCS,C1778,Deep brain extractr arra70cnet,573.0,372.45,99.13,573.0,34
HCPCS,C1778,Electrode depth 44975l,2031.0,1320.15,173.17,2031.0,68
HCPCS,C1778,Electrode depth 66ellp,1933.0,1256.45,173.17,1933.0,68
HCPCS,C1778,Gastric lead Ente5135 HDE90014,2380.0,1547.0,173.17,2380.0,68
HCPCS,C1778,"LEAD, NEUROSTIMULATOR",19886.0,12925.9,173.17,34904.0,748
HCPCS,C1778,Lead Sprint PNS dual 92886002,42430.0,27579.5,173.17,42430.0,68
HCPCS,C1778,Lead Sprint PNS dual 92886003,44986.0,29240.9,173.17,44986.0,68
HCPCS,C1778,Lead stylet lin preld sc221850,18643.0,12117.95,173.17,18643.0,68
HCPCS,C1778,Lead stylet lin preldsc221850e,10653.0,6924.45,173.17,10653.0,34
HCPCS,C1778,Lead trial Prospera IPG 478623,14914.0,9694.1,173.17,14914.0,68
HCPCS,C1778,Lead trial mrics comp 977d260,6360.0,4134.0,173.17,6360.0,68
HCPCS,C1778,MicroTarget Min-Alligatr c0230,2650.0,1722.5,173.17,2650.0,68
HCPCS,C1778,MicroTarget Min-Alligatr c0231,2130.0,1384.5,173.17,2130.0,68
HCPCS,C1778,MicroTarget stereotactc 44975z,2238.0,1454.7,173.17,2238.0,68
HCPCS,C1778,Neuro stim chg Vbloc mobil2402,8830.0,5739.5,173.17,8830.0,68
HCPCS,C1778,Neuro stim lead 65cm 977c165,31183.0,20268.95,173.17,31183.0,68
HCPCS,C1778,Neuro stim lead 8145,21498.0,13973.7,173.17,21498.0,68
HCPCS,C1778,Neuro stim lead 8165,22215.0,14439.75,173.17,22215.0,68
HCPCS,C1778,Neuro stim lead Axonics 1201,23799.0,15469.35,173.17,23799.0,68
HCPCS,C1778,Neuro stim lead Livanova 304,41243.0,26807.95,173.17,41243.0,68
HCPCS,C1778,Neuro stim lead paddl 60 3228,27376.0,17794.4,173.17,27376.0,68
HCPCS,C1778,Neuro stim lead paddl 65 39286,28627.0,18607.55,173.17,28627.0,68
HCPCS,C1778,Neuro stim lead padl16 sc82165,29650.0,19272.5,173.17,29650.0,68
HCPCS,C1778,Neurostim Tricentrus16 3292abt,27380.0,17797.0,173.17,27380.0,68
HCPCS,C1778,Neurostim lead inspir 4063,13849.0,9001.85,173.17,13849.0,68
HCPCS,C1778,Neurostim leadsense inspir4323,21661.0,14079.65,173.17,21661.0,68
HCPCS,C1778,Resilence neurostm revsn478620,8310.0,5401.5,173.17,8310.0,68
HCPCS,C1778,Sensing lead resp Inspire 4340,23970.0,15580.5,173.17,23970.0,68
HCPCS,C1778,Stm neur RSTR IPG lead1x8 3778,15269.0,9924.85,173.17,15269.0,68
HCPCS,C1778,Uro lead Interstm 28cm 388928,24254.0,15765.1,173.17,24254.0,68
HCPCS,C1778,Vagus nerv lead dur sng pin304,28970.0,18830.5,173.17,28970.0,68
HCPCS,C1779,Lead pmkr transvens vdd recall,1.0,0.65,0.17,173.17,32
HCPCS,C1781,Envelop cangarooxxl cmcv009xxl,5978.0,3885.7,173.17,5978.0,34
HCPCS,C1781,Graft matrix 20x30cm psmt2030,82814.0,53829.1,173.17,82814.0,34
HCPCS,C1781,Graft matrix Acell mspl1010,19175.0,12463.75,173.17,19175.0,34
HCPCS,C1781,Graft surg 10x15cm 1151015,25224.0,16395.6,173.17,25224.0,34
HCPCS,C1781,Graft surg 10x15cm 1161015,22300.0,14495.0,173.17,22300.0,34
HCPCS,C1781,Graft surg 12x25cm 1162025,53472.0,34756.8,173.17,53472.0,34
HCPCS,C1781,Graft surg 15X20cm 1161520,32052.0,20833.8,173.17,32052.0,34
HCPCS,C1781,Graft surg 15x20cm 1151520,36313.0,23603.45,173.17,36313.0,34
HCPCS,C1781,Graft surg 20x25cm 1152025,60015.0,39009.75,173.17,60015.0,34
HCPCS,C1781,Graft surg 25x40cm 1152540,116554.0,75760.1,173.17,116554.0,34
HCPCS,C1781,Graft surg 25x40cm 1162540,104489.0,67917.85,173.17,104489.0,34
HCPCS,C1781,Graft surg 30x30cm 1153030,104285.0,67785.25,173.17,104285.0,34
HCPCS,C1781,Graft surg 30x30cm 1163030,94010.0,61106.5,173.17,94010.0,34
HCPCS,C1781,Integrity patch surg 6000101,15624.0,10155.6,173.17,15624.0,34
HCPCS,C1781,MESH (IMPLANTABLE),2157.0,1402.0500000000002,0.17,45882.0,1292
HCPCS,C1781,Mesh 10x10cm Ethicon spmli,1084.0,704.6,173.17,1084.0,34
HCPCS,C1781,Mesh 1x20x30cm 1dlmc07,17205.0,11183.25,173.17,17205.0,34
HCPCS,C1781,Mesh 1x8x12cm 1dlmc02,3880.0,2522.0,173.17,3880.0,34
HCPCS,C1781,Mesh 2x18x24cm 1dlmc202,22034.0,14322.1,173.17,22034.0,34
HCPCS,C1781,Mesh 30x30cm Ultrpro JJ,1806.0,1173.9,173.17,1806.0,34
HCPCS,C1781,Mesh 3d max lt 3x5 0115310 ba,1076.0,699.4,173.17,1076.0,34
HCPCS,C1781,Mesh 3d max rt 5x3 0115320 ba,1075.0,698.75,173.17,1075.0,34
HCPCS,C1781,Mesh Artisyn y 27x5cm arty,5060.0,3289.0,173.17,5060.0,34
HCPCS,C1781,Mesh Centrifx lg 10.5x16 31396,942.0,612.3,162.97,942.0,34
HCPCS,C1781,Mesh Centrifx md 9x14.5 31395,906.0,588.9,156.74,906.0,34
HCPCS,C1781,Mesh Centrifx xl 12x17cm 31397,1163.0,755.95,173.17,1163.0,34
HCPCS,C1781,Mesh Comp Parietex 6x6teCr1515,460.0,299.0,79.58,460.0,34
HCPCS,C1781,Mesh Composit Parietex 6x41510,405.0,263.25,70.07,405.0,34
HCPCS,C1781,Mesh Composite 37x28 pCo3728x,11756.0,7641.4,173.17,11756.0,34
HCPCS,C1781,Mesh Composix e x 10x13,10439.0,6785.35,173.17,10439.0,34
HCPCS,C1781,Mesh Composix e/x 4x6,2373.0,1542.45,173.17,2373.0,34
HCPCS,C1781,Mesh Composix e/x 8x10,8257.0,5367.05,173.17,8257.0,34
HCPCS,C1781,Mesh Delta 1.7 55x0.5 7005145,15746.0,10234.9,173.17,15746.0,34
HCPCS,C1781,Mesh Kugel herniapatch 11x14ov,2019.0,1312.35,173.17,2019.0,34
HCPCS,C1781,Mesh Kugel herniapatch 8x11ovl,1655.0,1075.75,173.17,1655.0,34
HCPCS,C1781,Mesh Mersilene hernia 12x12 lf,919.0,597.35,158.99,919.0,34
HCPCS,C1781,Mesh Perfix plus lg,997.0,648.05,172.48,997.0,34
HCPCS,C1781,Mesh Phasix rect 6x8in 1190300,27517.0,17886.05,173.17,27517.0,34
HCPCS,C1781,Mesh Phasix umbil md 1230008,5374.0,3493.1,173.17,5374.0,34
HCPCS,C1781,Mesh Phasix umbil sm 1230007,4547.0,2955.55,173.17,4547.0,34
HCPCS,C1781,Mesh ProGrip 16x12 lpg1612,4718.0,3066.7,173.17,4718.0,34
HCPCS,C1781,Mesh Proced 10x13cm Eth pcdt1,14358.0,9332.7,173.17,14358.0,34
HCPCS,C1781,Mesh Proced 4x6cm JJ,3129.0,2033.85,173.17,3129.0,34
HCPCS,C1781,Mesh Proced 6x8cm JJ,5857.0,3807.05,173.17,5857.0,34
HCPCS,C1781,Mesh Proced 8x10cm JJ,9473.0,6157.45,173.17,9473.0,34
HCPCS,C1781,Mesh Proceed 30.5x30.5cm JJ,13711.0,8912.15,173.17,13711.0,34
HCPCS,C1781,Mesh Proceed ventral sml pvps,2582.0,1678.3,173.17,2582.0,34
HCPCS,C1781,Mesh Prolen keyhol s 1.8x4pmsk,500.0,325.0,86.5,500.0,34
HCPCS,C1781,Mesh Prolen keyhol2.4x5.4 pmlk,755.0,490.75,130.62,755.0,34
HCPCS,C1781,Mesh Prolene 35.6x30cm42295513,3360.0,2184.0,173.17,3360.0,34
HCPCS,C1781,Mesh Prolene patch 3d 3dpm,5420.0,3523.0,173.17,5420.0,34
HCPCS,C1781,Mesh Prolene soft 6x6 spmh,1792.0,1164.8,173.17,1792.0,34
HCPCS,C1781,Mesh Prolit 10x14 atr 1001014,376.0,244.4,65.05,376.0,34
HCPCS,C1781,Mesh Prolit 3x6 atr1000306,176.0,114.4,30.45,176.0,34
HCPCS,C1781,Mesh Prolit 6x6 atr1000606,210.0,136.5,36.33,210.0,34
HCPCS,C1781,Mesh Prolit 7.5x7.5cm atr,245.0,159.25,42.39,245.0,34
HCPCS,C1781,Mesh Prolit ult 10x14 atr30720,621.0,403.65,107.43,621.0,34
HCPCS,C1781,Mesh Prolit ult 3x3 atr 30713,276.0,179.4,47.75,276.0,34
HCPCS,C1781,Mesh Prolit ultra 7.5x15cm at,215.0,139.75,37.2,215.0,34
HCPCS,C1781,Mesh Proloop xl atr30903,855.0,555.75,147.92,855.0,34
HCPCS,C1781,Mesh Resorb .3x50x50 523035004,6328.0,4113.2,173.17,6328.0,34
HCPCS,C1781,Mesh Sepramesh IP12x14 5959124,9821.0,6383.65,173.17,9821.0,34
HCPCS,C1781,Mesh Softmesh 3x6in 0117009,2726.0,1771.9,173.17,2726.0,34
HCPCS,C1781,Mesh Softmesh 6x6in 0117011,1111.0,722.15,173.17,1111.0,34
HCPCS,C1781,Mesh Suprafoil smooth 0.3mm SJ,336.0,218.4,58.13,336.0,34
HCPCS,C1781,Mesh Suprafoil smooth 0.4mm SJ,53.0,34.45,9.17,173.17,34
HCPCS,C1781,Mesh TIGR matrx 10x20 nstm1520,18603.0,12091.95,173.17,18603.0,34
HCPCS,C1781,Mesh TIGR matrx 20x30 nstm2030,39458.0,25647.7,173.17,39458.0,34
HCPCS,C1781,Mesh TIGR matrx rnd 17 nstmr17,22737.0,14779.05,173.17,22737.0,34
HCPCS,C1781,Mesh TIGR matrx rnd 20 nstmr20,24804.0,16122.6,173.17,24804.0,34
HCPCS,C1781,Mesh UltraPro plug  uppl,1177.0,765.05,173.17,1177.0,34
HCPCS,C1781,Mesh UltraPro plug  uppm,1165.0,757.25,173.17,1165.0,34
HCPCS,C1781,Mesh Ultrapro 2.4x3 ums3 JJ,696.0,452.4,120.41,696.0,34
HCPCS,C1781,Mesh Ultrapro 3x6 umr3 JJ,668.0,434.2,115.56,668.0,34
HCPCS,C1781,Mesh Ultrapro 6x6 umm3 JJ,833.0,541.45,144.11,833.0,34
HCPCS,C1781,Mesh Ultrapro plug lrg uppl6JJ,1215.0,789.75,173.17,1215.0,34
HCPCS,C1781,Mesh Ultrapro plug med uppm6JJ,1168.0,759.2,173.17,1168.0,34
HCPCS,C1781,Mesh Ultrapro plug sm upps6,1190.0,773.5,173.17,1190.0,34
HCPCS,C1781,Mesh Ultrapro pluglrg5cm uppl2,1238.0,804.7,173.17,1238.0,34
HCPCS,C1781,Mesh Ultrapro plugmed4cm uppm2,1226.0,796.9,173.17,1226.0,34
HCPCS,C1781,Mesh Ultrapro sml 3cm upps2,1214.0,789.1,173.17,1214.0,34
HCPCS,C1781,Mesh Ventralight 5954124,11251.0,7313.15,173.17,11251.0,34
HCPCS,C1781,Mesh Ventralight 5990011,3721.0,2418.65,173.17,3721.0,34
HCPCS,C1781,Mesh Ventralight 5990015,5340.0,3471.0,173.17,5340.0,34
HCPCS,C1781,Mesh Veritas matrx 3x4 rm0304,2439.0,1585.35,173.17,2439.0,34
HCPCS,C1781,Mesh Veritas matrx 4x16 rm0416,13008.0,8455.2,173.17,13008.0,34
HCPCS,C1781,Mesh Veritas matrx 4x7 rm0407,5691.0,3699.15,173.17,5691.0,34
HCPCS,C1781,Mesh Veritas matrx 6x18 rm0618,23706.0,15408.9,173.17,23706.0,34
HCPCS,C1781,Mesh Veritas matrx 6x8 rm0608,10536.0,6848.4,173.17,10536.0,34
HCPCS,C1781,Mesh Veritas matrx 8x16 rm0816,26139.0,16990.35,173.17,26139.0,34
HCPCS,C1781,Mesh Veritas matrx 8x18 rm0818,27912.0,18142.8,173.17,27912.0,34
HCPCS,C1781,Mesh Veritas matrx10x16 rm1016,25760.0,16744.0,173.17,25760.0,34
HCPCS,C1781,Mesh Veritas matrx12x12 rm1212,29407.0,19114.55,173.17,29407.0,34
HCPCS,C1781,Mesh Veritas matrx12x25 rm1225,61264.0,39821.6,173.17,61264.0,34
HCPCS,C1781,Mesh Vertessa lite calvly2654,6098.0,3963.7,173.17,6098.0,34
HCPCS,C1781,Mesh Vicryl knit 6x6 Vkmm,1402.0,911.3,173.17,1402.0,34
HCPCS,C1781,Mesh Xenmatrix 25x40cm 1152530,120027.0,78017.55,173.17,120027.0,34
HCPCS,C1781,Mesh absor vent bard 5950007,2552.0,1658.8,173.17,2552.0,34
HCPCS,C1781,Mesh absor vent bard 5950008,3090.0,2008.5,173.17,3090.0,34
HCPCS,C1781,Mesh absor vent bard 5950009,3997.0,2598.05,173.17,3997.0,34
HCPCS,C1781,Mesh absorb ventr10x13 5954113,11252.0,7313.8,173.17,11252.0,34
HCPCS,C1781,Mesh absorb ventr10x13 5955113,14807.0,9624.55,173.17,14807.0,34
HCPCS,C1781,Mesh absorb ventra8x10 5955810,11838.0,7694.7,173.17,11838.0,34
HCPCS,C1781,Mesh absorb ventral4x6 5954460,2484.0,1614.6,173.17,2484.0,34
HCPCS,C1781,Mesh absorb ventral6x8 5954680,5134.0,3337.1,173.17,5134.0,34
HCPCS,C1781,Mesh absorb ventral6x8 5955680,7325.0,4761.25,173.17,7325.0,34
HCPCS,C1781,Mesh absorb ventral8x10 595481,8491.0,5519.15,173.17,8491.0,34
HCPCS,C1781,Mesh allm 8X16rtu 1520128,37520.0,24388.0,173.17,37520.0,34
HCPCS,C1781,Mesh bio matristm 5x5 psmx0505,4651.0,3023.15,173.17,4651.0,34
HCPCS,C1781,Mesh bioinductive 4565,18451.0,11993.15,173.17,18451.0,34
HCPCS,C1781,Mesh bioresorb SIA ptm1025,17225.0,11196.25,173.17,17225.0,34
HCPCS,C1781,Mesh biosyn Surg innov ptm0616,6663.0,4330.95,173.17,6663.0,34
HCPCS,C1781,Mesh biosyn Surg innov ptm2025,32190.0,20923.5,173.17,32190.0,34
HCPCS,C1781,Mesh cqur edge 3.2x3.2 31202AT,3563.0,2315.95,173.17,3563.0,34
HCPCS,C1781,Mesh cqur edge 3.5x3.5 31543AT,1538.0,999.7,173.17,1538.0,34
HCPCS,C1781,Mesh cqur edge 3x6 31526 ATRI,885.0,575.25,153.11,885.0,34
HCPCS,C1781,Mesh cqur edge 4x6 31528 ATRI,1907.0,1239.55,173.17,1907.0,34
HCPCS,C1781,Mesh cqur edge 6x8 31533 ATRI,4255.0,2765.75,173.17,4255.0,34
HCPCS,C1781,Mesh cqur edge 8x10 31536 ATRI,6951.0,4518.15,173.17,6951.0,34
HCPCS,C1781,Mesh cqur edge10x14 31540 ATRI,9988.0,6492.2,173.17,9988.0,34
HCPCS,C1781,Mesh dual bio 20x30cm 1dlmc203,19299.0,12544.35,173.17,19299.0,34
HCPCS,C1781,Mesh dual biomtr 2mm18x24 c202,17666.0,11482.9,173.17,17666.0,34
HCPCS,C1781,Mesh durasorb sia ptm0616,11713.0,7613.45,173.17,11713.0,34
HCPCS,C1781,Mesh dynamic Stryker 5690312,9158.0,5952.7,173.17,9158.0,34
HCPCS,C1781,Mesh felt 6x6 dacron strl 8972,1427.0,927.55,173.17,1427.0,34
HCPCS,C1781,Mesh flex 122x122x0.5 7092017,35528.0,23093.2,173.17,35528.0,34
HCPCS,C1781,Mesh gentrx thck20x20 psmt2020,74763.0,48595.95,173.17,74763.0,34
HCPCS,C1781,Mesh gentrx thck20x25 psmt2025,93454.0,60745.1,173.17,93454.0,34
HCPCS,C1781,Mesh henia CR Bard 5950090,14846.0,9649.9,173.17,14846.0,34
HCPCS,C1781,Mesh hernia 4.3x4.3cm Ventralx,2687.0,1746.55,173.17,2687.0,34
HCPCS,C1781,Mesh hernia 6x4 lt tect1510al,948.0,616.2,164.0,948.0,34
HCPCS,C1781,Mesh hernia 8x6 ventral 123680,5000.0,3250.0,173.17,5000.0,34
HCPCS,C1781,Mesh hernia CR Bard 112680,260.0,169.0,44.98,260.0,34
HCPCS,C1781,Mesh hernia CR Bard 112780,2378.0,1545.7,173.17,2378.0,34
HCPCS,C1781,Mesh hernia CR Bard 117016,2549.0,1656.85,173.17,2549.0,34
HCPCS,C1781,Mesh hernia CR Bard 117050,1152.0,748.8,173.17,1152.0,34
HCPCS,C1781,Mesh hernia CR Bard 117060,1159.0,753.35,173.17,1159.0,34
HCPCS,C1781,Mesh hernia CR Bard 117070,1106.0,718.9,173.17,1106.0,34
HCPCS,C1781,Mesh hernia CR Bard 117080,1368.0,889.2,173.17,1368.0,34
HCPCS,C1781,Mesh hernia CR Bard 117320,1261.0,819.65,173.17,1261.0,34
HCPCS,C1781,Mesh hernia CR Bard 1180010,1723.0,1119.95,173.17,1723.0,34
HCPCS,C1781,Mesh hernia CR Bard 1190400,45647.0,29670.55,173.17,45647.0,34
HCPCS,C1781,Mesh hernia CR Bard 5950010,3221.0,2093.65,173.17,3221.0,34
HCPCS,C1781,Mesh hernia CR Bard 5950060,11831.0,7690.15,173.17,11831.0,34
HCPCS,C1781,Mesh hernia CR Bard 5950080,11192.0,7274.8,173.17,11192.0,34
HCPCS,C1781,Mesh hernia CR Bard 5954600,3934.0,2557.1,173.17,3934.0,34
HCPCS,C1781,Mesh hernia CR Bard 5954610,6751.0,4388.15,173.17,6751.0,34
HCPCS,C1781,Mesh hernia CR Bard 5955450,4112.0,2672.8,173.17,4112.0,34
HCPCS,C1781,Mesh hernia CR Bard 5991520,7783.0,5058.95,173.17,7783.0,34
HCPCS,C1781,Mesh hernia CR Bard 5992025,12525.0,8141.25,173.17,12525.0,34
HCPCS,C1781,Mesh hernia Davol 1190011,13504.0,8777.6,173.17,13504.0,34
HCPCS,C1781,Mesh hernia Davol 1190500,68533.0,44546.45,173.17,68533.0,34
HCPCS,C1781,Mesh hernia Davol 1190808,8199.0,5329.35,173.17,8199.0,34
HCPCS,C1781,Mesh hernia Davol 1191025,24597.0,15988.05,173.17,24597.0,34
HCPCS,C1781,Mesh hernia Davol 1191525,37243.0,24207.95,173.17,37243.0,34
HCPCS,C1781,Mesh hernia Davol 1193030,86359.0,56133.35,173.17,86359.0,34
HCPCS,C1781,Mesh hernia Davol 1193535,117510.0,76381.5,173.17,117510.0,34
HCPCS,C1781,Mesh hernia Davol 1194040,151430.0,98429.5,173.17,151430.0,34
HCPCS,C1781,Mesh hernia Davol 1200008,8888.0,5777.2,173.17,8888.0,34
HCPCS,C1781,Mesh hernia Davol 1200011,13264.0,8621.6,173.17,13264.0,34
HCPCS,C1781,Mesh hernia Davol 1200015,24632.0,16010.8,173.17,24632.0,34
HCPCS,C1781,Mesh hernia Davol 1201010,12747.0,8285.55,173.17,12747.0,34
HCPCS,C1781,Mesh hernia Davol 1201520,33692.0,21899.8,173.17,33692.0,34
HCPCS,C1781,Mesh hernia Davol 1202025,56072.0,36446.8,173.17,56072.0,34
HCPCS,C1781,Mesh hernia Davol 1202530,83070.0,53995.5,173.17,83070.0,34
HCPCS,C1781,Mesh hernia Davol 1203035,116298.0,75593.7,173.17,116298.0,34
HCPCS,C1781,Mesh hernia Davol 1211015,21290.0,13838.5,173.17,21290.0,34
HCPCS,C1781,Mesh hernia Davol 1211520,38766.0,25197.9,173.17,38766.0,34
HCPCS,C1781,Mesh hernia Davol 1211823,55311.0,35952.15,173.17,55311.0,34
HCPCS,C1781,Mesh hernia Davol 1212025,59930.0,38954.5,173.17,59930.0,34
HCPCS,C1781,Mesh hernia Davol 1221015,22186.0,14420.9,173.17,22186.0,34
HCPCS,C1781,Mesh hernia Davol 1221520,40927.0,26602.55,173.17,40927.0,34
HCPCS,C1781,Mesh hernia Davol 1222025,89993.0,58495.45,173.17,89993.0,34
HCPCS,C1781,Mesh hernia Davol 1222530,98715.0,64164.75,173.17,98715.0,34
HCPCS,C1781,Mesh hernia Parietex 12 pco12x,2970.0,1930.5,173.17,2970.0,34
HCPCS,C1781,Mesh hernia Parietex 15 pco15x,3887.0,2526.55,173.17,3887.0,34
HCPCS,C1781,Mesh hernia Parietex 20 pco20x,5717.0,3716.05,173.17,5717.0,34
HCPCS,C1781,Mesh hernia Parietex 9cm pco9x,2166.0,1407.9,173.17,2166.0,34
HCPCS,C1781,Mesh hernia Parietex pco2015x,4765.0,3097.25,173.17,4765.0,34
HCPCS,C1781,Mesh hernia Parietex pco2520x,7241.0,4706.65,173.17,7241.0,34
HCPCS,C1781,Mesh hernia Prolene 2x4 spms,1438.0,934.7,173.17,1438.0,34
HCPCS,C1781,Mesh hernia Prolene 6x6 phm,473.0,307.45,81.83,473.0,34
HCPCS,C1781,Mesh hernia Ventralight5955610,8681.0,5642.65,173.17,8681.0,34
HCPCS,C1781,Mesh hernia Zena10x15 g35477,5953.0,3869.45,173.17,5953.0,34
HCPCS,C1781,Mesh hernia Zenapr15X22 g23771,19843.0,12897.95,173.17,19843.0,34
HCPCS,C1781,Mesh hernia Zenapr20X20 g35479,26582.0,17278.3,173.17,26582.0,34
HCPCS,C1781,Mesh hernia Zenapr20X30 g23770,36551.0,23758.15,173.17,36551.0,34
HCPCS,C1781,Mesh hernia Zenapr30X30 g35114,43196.0,28077.4,173.17,43196.0,34
HCPCS,C1781,Mesh hernia Zenapro 10 g35476,3094.0,2011.1,173.17,3094.0,34
HCPCS,C1781,Mesh hernia Zenapro 15 g23772,7937.0,5159.05,173.17,7937.0,34
HCPCS,C1781,Mesh hernia crc sm 3in 10213,4203.0,2731.95,173.17,4203.0,34
HCPCS,C1781,Mesh hernia groin repair112750,1923.0,1249.95,173.17,1923.0,34
HCPCS,C1781,Mesh hernia lg Davol 5950050,7227.0,4697.55,173.17,7227.0,34
HCPCS,C1781,Mesh hernia md davol 5950070,10049.0,6531.85,173.17,10049.0,34
HCPCS,C1781,Mesh hernia ovl 10x15 phy1015v,2734.0,1777.1,173.17,2734.0,34
HCPCS,C1781,Mesh hernia ovl 20x25 phy2025v,8525.0,5541.25,173.17,8525.0,34
HCPCS,C1781,Mesh hernia ovl 25x35 phy2535v,12121.0,7878.65,173.17,12121.0,34
HCPCS,C1781,Mesh hernia ovl 3.1x4.7 10211,3692.0,2399.8,173.17,3692.0,34
HCPCS,C1781,Mesh hernia ovl 4.3x5.5 10215,5454.0,3545.1,173.17,5454.0,34
HCPCS,C1781,Mesh hernia ovl 5.4x7 10212,6525.0,4241.25,173.17,6525.0,34
HCPCS,C1781,Mesh hernia ovl 7.7x9.7 10218,9362.0,6085.3,173.17,9362.0,34
HCPCS,C1781,Mesh hernia ovl 8.7x10.7 10216,11100.0,7215.0,173.17,11100.0,34
HCPCS,C1781,Mesh hernia ovl10.8x13.7 10217,13869.0,9014.85,173.17,13869.0,34
HCPCS,C1781,Mesh hernia phasix 1220011,15089.0,9807.85,173.17,15089.0,34
HCPCS,C1781,Mesh hernia rect 15x20phy1020r,4113.0,2673.45,173.17,4113.0,34
HCPCS,C1781,Mesh hernia sm davol 5950030,3853.0,2504.45,173.17,3853.0,34
HCPCS,C1781,Mesh hernia w/position 1210011,14848.0,9651.2,173.17,14848.0,34
HCPCS,C1781,Mesh keyhole 0112710,325.0,211.25,56.23,325.0,34
HCPCS,C1781,Mesh marlx flat 10x14 112660da,1640.0,1066.0,173.17,1640.0,34
HCPCS,C1781,Mesh marlx flat 6x6 112720da,978.0,635.7,169.19,978.0,34
HCPCS,C1781,Mesh matristem 10x15cm psm1015,21927.0,14252.55,173.17,21927.0,34
HCPCS,C1781,Mesh matristem 2x4cm smrs0204,1042.0,677.3,173.17,1042.0,34
HCPCS,C1781,Mesh matristem 5x5cm smrs0505,2791.0,1814.15,173.17,2791.0,34
HCPCS,C1781,Mesh matristem 7x10cm psmx0710,13673.0,8887.45,173.17,13673.0,34
HCPCS,C1781,Mesh matristem 7x10cm smrs0710,6512.0,4232.8,173.17,6512.0,34
HCPCS,C1781,Mesh matristem pl5x5cm psm0505,3653.0,2374.45,173.17,3653.0,34
HCPCS,C1781,Mesh matristem pl7x10cm psm071,10232.0,6650.8,173.17,10232.0,34
HCPCS,C1781,Mesh matristem10x15cm smrs1015,13953.0,9069.45,173.17,13953.0,34
HCPCS,C1781,Mesh monofilament knit 2x12,862.0,560.3,149.13,862.0,34
HCPCS,C1781,Mesh monofilnt knit 1x4 011264,586.0,380.9,101.38,586.0,34
HCPCS,C1781,Mesh oval 1x26x34cm 1dlmc08,22696.0,14752.4,173.17,22696.0,34
HCPCS,C1781,Mesh oval 2x10x15cm 1dlmc200,8000.0,5200.0,173.17,8000.0,34
HCPCS,C1781,Mesh oval 2x15x19cm 1dlmc201,15896.0,10332.4,173.17,15896.0,34
HCPCS,C1781,Mesh oval 2x26x34cm 1dlmc204,36060.0,23439.0,173.17,36060.0,34
HCPCS,C1781,Mesh phasix CR Bard 1200710,8923.0,5799.95,173.17,8923.0,34
HCPCS,C1781,Mesh phasix CR Bard 1210015,42795.0,27816.75,173.17,42795.0,34
HCPCS,C1781,Mesh plug 2x1.6 ex large BARD,1171.0,761.15,173.17,1171.0,34
HCPCS,C1781,Mesh plug Prefix medium,964.0,626.6,166.77,964.0,34
HCPCS,C1781,Mesh plug self form sm ATRI,695.0,451.75,120.24,695.0,34
HCPCS,C1781,Mesh progrip10x15 2un lpg1510,2584.0,1679.6,173.17,2584.0,34
HCPCS,C1781,Mesh progrip10x15 lpg1510x2,2123.0,1379.95,173.17,2123.0,34
HCPCS,C1781,Mesh progrip10x15bl lpg1510ak2,3402.0,2211.3,173.17,3402.0,34
HCPCS,C1781,Mesh rect phasix st 10 1201015,18087.0,11756.55,173.17,18087.0,34
HCPCS,C1781,Mesh rectangle 4x6in 1190200,13780.0,8957.0,173.17,13780.0,34
HCPCS,C1781,Mesh restorelle y 24x4 501420,5688.0,3697.2,173.17,5688.0,34
HCPCS,C1781,Mesh scaff Galaflex gflt1020,20284.0,13184.6,173.17,20284.0,34
HCPCS,C1781,Mesh scaff Galatea Surg sh3d06,20670.0,13435.5,173.17,20670.0,34
HCPCS,C1781,Mesh scaff galatea surg sh3d03,9646.0,6269.9,173.17,9646.0,34
HCPCS,C1781,Mesh scaffold Tephainc gp0103,2067.0,1343.55,173.17,2067.0,34
HCPCS,C1781,Mesh scaffold Tephainc gp0206,4134.0,2687.1,173.17,4134.0,34
HCPCS,C1781,Mesh scaffold Tephainc gp0208,7579.0,4926.35,173.17,7579.0,34
HCPCS,C1781,Mesh scaffold Tephainc gp0608,15158.0,9852.7,173.17,15158.0,34
HCPCS,C1781,Mesh seri scaffold 10x25cm,24115.0,15674.75,173.17,24115.0,34
HCPCS,C1781,Mesh sheet 38x50x.085mm px,2921.0,1898.65,173.17,2921.0,34
HCPCS,C1781,Mesh silicone ii stryker mcp20,7420.0,4823.0,173.17,7420.0,34
HCPCS,C1781,Mesh soft 2x4in 0117008,265.0,172.25,45.85,265.0,34
HCPCS,C1781,Mesh soft 4x6in 0117010,338.0,219.7,58.47,338.0,34
HCPCS,C1781,Mesh soft non absorb gpsl,3266.0,2122.9,173.17,3266.0,34
HCPCS,C1781,Mesh stp 1x20x30cm 1420030010,20822.0,13534.3,173.17,20822.0,34
HCPCS,C1781,Mesh stp 1x5x10cm 1405010010,2281.0,1482.65,173.17,2281.0,34
HCPCS,C1781,Mesh stp 1x5x15cm 1405015010,3004.0,1952.6,173.17,3004.0,34
HCPCS,C1781,Mesh stp 2x10x15cm 1310015020,10183.0,6618.95,173.17,10183.0,34
HCPCS,C1781,Mesh stp 2x15x20cm 1315020020,20333.0,13216.45,173.17,20333.0,34
HCPCS,C1781,Mesh stp 2x5x10cm 1305010020,3693.0,2400.45,173.17,3693.0,34
HCPCS,C1781,Mesh stp 2x5x15cm 1305015020,5547.0,3605.55,173.17,5547.0,34
HCPCS,C1781,Mesh stp ovl 1x5x10 140501001b,1992.0,1294.8,173.17,1992.0,34
HCPCS,C1781,Mesh stp ovl1x26x34 142603401a,27365.0,17787.25,173.17,27365.0,34
HCPCS,C1781,Mesh symbotex 12 sym12,2985.0,1940.25,173.17,2985.0,34
HCPCS,C1781,Mesh symbotex 15x20 sym2520,7278.0,4730.7,173.17,7278.0,34
HCPCS,C1781,Mesh symbotex 17x10 sym1710e,3203.0,2081.95,173.17,3203.0,34
HCPCS,C1781,Mesh symbotex 20x12 sym2012e,4672.0,3036.8,173.17,4672.0,34
HCPCS,C1781,Mesh symbotex 20x15 sym2015,4789.0,3112.85,173.17,4789.0,34
HCPCS,C1781,Mesh symbotex 25x15 sym2515e,7456.0,4846.4,173.17,7456.0,34
HCPCS,C1781,Mesh symbotex 9 sym9,2177.0,1415.05,173.17,2177.0,34
HCPCS,C1781,Mesh ventralex 3.2 10303,3996.0,2597.4,173.17,3996.0,34
HCPCS,C1781,Patch CV 2cmx9cmx4mm BOST,2628.0,1708.2,173.17,2628.0,34
HCPCS,C1781,Patch hernia Kugel circ 8x8crb,2982.0,1938.3,173.17,2982.0,34
HCPCS,C1781,Patch mesh 6x75 thn knit BOST,1136.0,738.4,173.17,1136.0,34
HCPCS,C1781,Patch soft tis 30 gor132003002,24899.0,16184.35,173.17,24899.0,34
HCPCS,C1781,Patch soft tissue 10x15x1 BOST,6243.0,4057.95,173.17,6243.0,34
HCPCS,C1781,Patch soft tissue 15x20x1 BOST,11583.0,7528.95,173.17,11583.0,34
HCPCS,C1781,Rhythmic umbil patch raumbil11,6360.0,4134.0,173.17,6360.0,34
HCPCS,C1782,MORCELLATOR,7791.0,5064.15,173.17,7791.0,34
HCPCS,C1782,Tissue rem Myosure 10401fcrep,6890.0,4478.5,173.17,6890.0,34
HCPCS,C1782,Tissue rem Myosure30401literep,4240.0,2756.0,173.17,4240.0,34
HCPCS,C1782,Tissue rem dev myos 30403liter,4578.0,2975.7,173.17,4578.0,34
HCPCS,C1782,Tissue rem myosure 50603xl,10388.0,6752.2,173.17,10388.0,34
HCPCS,C1783,Eye drain NewWorldMed cp250,7420.0,4823.0,173.17,7420.0,34
HCPCS,C1783,Eye drain ahmed glaucoma fp7,6307.0,4099.55,173.17,6307.0,34
HCPCS,C1783,Eye stent gel Xen 45 5513001,15063.0,9790.95,173.17,15063.0,34
HCPCS,C1783,"OCULAR IMP, AQUEOUS DRAIN DE",12180.0,7917.0,173.17,14803.0,136
HCPCS,C1783,Stent Aqueous inj sys tabc is3,11008.0,7155.2,173.17,11008.0,34
HCPCS,C1784,Eye gas IOL 8065797105,12466.0,8102.9,173.17,12466.0,34
HCPCS,C1784,Eye gas perfluor c3 f8 ophthal,8803.0,5721.95,173.17,8803.0,34
HCPCS,C1784,Eye gas perflur 7ml 8065900164,2806.0,1823.9,173.17,2806.0,34
HCPCS,C1784,Eye gas sf6 cnstl 8065797005,11416.0,7420.4,173.17,11416.0,34
HCPCS,C1784,Eye gas sf6 sulfurhex ophthal,8467.0,5503.55,173.17,8467.0,34
HCPCS,C1785,"PMKR, DUAL, RATE-RESP",22336.0,14518.4,0.17,31753.0,304
HCPCS,C1785,Pmkr adapta dr47.9x46.7 addr03,21561.0,14014.65,173.17,21561.0,34
HCPCS,C1785,Pmkr dual Advantio dr k063,4844.0,3148.6,173.17,4844.0,34
HCPCS,C1785,Pmkr dual Advisa MEDT a2dr01,29104.0,18917.6,173.17,29104.0,34
HCPCS,C1785,Pmkr dual Attesta mri atdr01,14914.0,9694.1,173.17,14914.0,34
HCPCS,C1785,Pmkr dual MRI Azure s w3dr01,21008.0,13655.2,173.17,21008.0,34
HCPCS,C1785,Pmkr dual MRI Azure xt w1dr01,22904.0,14887.6,173.17,22904.0,34
HCPCS,C1785,Pmkr dual assurit pm2272cell,43224.0,28095.6,173.17,43224.0,34
HCPCS,C1785,Pmkr dual chamber 359529 BIOT,14545.0,9454.25,173.17,14545.0,34
HCPCS,C1785,Pmkr dual evia 359524 BIOT,24964.0,16226.6,173.17,24964.0,34
HCPCS,C1785,Pmkr dual p1501dr MED,23692.0,15399.8,173.17,23692.0,34
HCPCS,C1785,Pmkr dual revo MRI rvdr0 MED,32338.0,21019.7,173.17,32338.0,34
HCPCS,C1786,"PMKR, SINGLE, RATE-RESP",22861.0,14859.65,0.17,57510.0,372
HCPCS,C1786,Pmkr advisa sr mri a3sro1,26561.0,17264.65,173.17,26561.0,34
HCPCS,C1786,Pmkr lead Aveir lsp201a,64667.0,42033.55,173.17,64667.0,34
HCPCS,C1786,Pmkr leadless micraav2 system,62366.0,40537.9,173.17,62366.0,34
HCPCS,C1786,Pmkr leadless micravr2system,48104.0,31267.6,173.17,48104.0,34
HCPCS,C1786,Pmkr sngl Advantio sr K062bos,20340.0,13221.0,173.17,20340.0,34
HCPCS,C1786,Pmkr sngl MRI Azure s w3sr01,16158.0,10502.7,173.17,16158.0,34
HCPCS,C1786,Pmkr sngl MRI Azure xt w1sr01,18637.0,12114.05,173.17,18637.0,34
HCPCS,C1786,Pmkr sngl Zephy xl5626 STJM,23891.0,15529.15,173.17,23891.0,34
HCPCS,C1786,Pmkr sngl assurit pm1272cell,37563.0,24415.95,173.17,37563.0,34
HCPCS,C1786,Pmkr sngl chambr srt-hm 359533,13054.0,8485.1,173.17,13054.0,34
HCPCS,C1786,Pmkr sngl evia sr 359531ELAM,21959.0,14273.35,173.17,21959.0,34
HCPCS,C1786,Pmkr sngl micr mcvr01 research,46008.0,29905.2,173.17,46008.0,34
HCPCS,C1787,Ans pulse gen progrm impl 3851,12632.0,8210.8,173.17,12632.0,34
HCPCS,C1787,Ans pulse gener progrmr 3037,12362.0,8035.3,173.17,12362.0,34
HCPCS,C1787,Neuro stim controller 97745,10653.0,6924.45,173.17,10653.0,34
HCPCS,C1787,Neuro stim prog Medtr th90d01,12362.0,8035.3,173.17,12362.0,34
HCPCS,C1787,Neuro stim prog Medtr th90q01,13139.0,8540.35,173.17,13139.0,34
HCPCS,C1787,Neuro stim prog Medtr th91d01,12466.0,8102.9,173.17,12466.0,34
HCPCS,C1787,Neuro stim prog algovita 4100,10388.0,6752.2,173.17,10388.0,34
HCPCS,C1787,Neuro stim prog dbs 37642,11988.0,7792.2,173.17,11988.0,34
HCPCS,C1787,Neuro stim prog recharg 4200,14317.0,9306.05,173.17,14317.0,34
HCPCS,C1787,Neuro stim prog rechr dbs37651,16463.0,10700.95,173.17,16463.0,34
HCPCS,C1787,Neuro stim prog remote 2580,14543.0,9452.95,173.17,14543.0,34
HCPCS,C1787,Neuro stim progrmr prc sc55321,10653.0,6924.45,173.17,10653.0,34
HCPCS,C1787,Neuro stim remote Axonics 2301,8757.0,5692.05,173.17,8757.0,34
HCPCS,C1787,Neuro stim remote prcs sc55004,12466.0,8102.9,173.17,12466.0,34
HCPCS,C1787,Neurostim remot slp inspir3032,4823.0,3134.95,173.17,4823.0,34
HCPCS,C1787,"PATIENT PROGR, NEUROSTIM",10336.0,6718.4,173.17,13849.0,102
HCPCS,C1787,Patient controller 15500ans,14834.0,9642.1,173.17,14834.0,34
HCPCS,C1787,Programer imp ipg Evoke 3040,10388.0,6752.2,173.17,10388.0,34
HCPCS,C1787,Programmer pt Abbott 3883,9633.0,6261.45,173.17,9633.0,34
HCPCS,C1788,Cath guide triclip tsgc0203res,153360.0,99684.0,173.17,153360.0,34
HCPCS,C1788,Cath port 1lum 8fr 1808060,4219.0,2742.35,173.17,4219.0,34
HCPCS,C1788,Cath port 6F clear slim5616000,4237.0,2754.05,173.17,4237.0,34
HCPCS,C1788,Cath port 6fr sing lum,2841.0,1846.65,173.17,2841.0,34
HCPCS,C1788,Cath port 8f triflx mrctt80001,3106.0,2018.9,173.17,3106.0,34
HCPCS,C1788,Cath port 8fr 1lum lf 7707540,3922.0,2549.3,173.17,3922.0,34
HCPCS,C1788,Cath port Pow dl 9.7f 21846824,4971.0,3231.15,173.17,4971.0,34
HCPCS,C1788,Cath port Power 8.5fr unassmb,3074.0,1998.1,173.17,3074.0,34
HCPCS,C1788,Cath port Powr 6fr lw prof4483,2350.0,1527.5,173.17,2350.0,34
HCPCS,C1788,Cath port Powr 8fr MRI 1808002,3805.0,2473.25,173.17,3805.0,34
HCPCS,C1788,Cath port Powr 8fr lwpro180869,3954.0,2570.1,173.17,3954.0,34
HCPCS,C1788,Cath port Pwr 5.8fr 21445301,2370.0,1540.5,173.17,2370.0,34
HCPCS,C1788,Cath port Pwr 8fr stnd 80001,3265.0,2122.25,173.17,3265.0,34
HCPCS,C1788,Cath port apheres 9.6f a710962,6604.0,4292.6,173.17,6604.0,34
HCPCS,C1788,Cath port dul pwr 7fr 21806624,4216.0,2740.4,173.17,4216.0,34
HCPCS,C1788,Cath port lock 2pcvsy chemosit,9882.0,6423.3,173.17,9882.0,34
HCPCS,C1788,Cath port pass elite 21459124,2486.0,1615.9,173.17,2486.0,34
HCPCS,C1788,Cath port peritoneal 21-2000,3253.0,2114.45,173.17,3253.0,34
HCPCS,C1788,Cath port power 4708061,2894.0,1881.1,173.17,2894.0,34
HCPCS,C1788,Cath port pwr ClearVUE 1666362,3933.0,2556.45,173.17,3933.0,34
HCPCS,C1788,Cath port pwr clearvue 1616001,4007.0,2604.55,173.17,4007.0,34
HCPCS,C1788,Cath port slim 1lum 6f 1716001,3816.0,2480.4,173.17,3816.0,34
HCPCS,C1788,Cath port slim 6f 75 605550ce,2162.0,1405.3,173.17,2162.0,34
HCPCS,C1788,Cath port vortx low profil 5fr,3233.0,2101.45,173.17,3233.0,34
HCPCS,C1788,Cath porta flfree 1.9 21468324,4179.0,2716.35,173.17,4179.0,34
HCPCS,C1788,Neurostim endura 92446001,26582.0,17278.3,173.17,26582.0,34
HCPCS,C1788,"PORT, INDWELLING, IMP",2582.0,1678.3,173.17,4499.0,442
HCPCS,C1788,Port 7.2fr access Rita p5355k,2756.0,1791.4,173.17,2756.0,34
HCPCS,C1788,Port cath 8F clear slim1618000,529.0,343.85,91.52,529.0,34
HCPCS,C1788,Port cath 8fclear smth 5668362,2628.0,1708.2,173.17,2628.0,34
HCPCS,C1788,Port inf AngioDyn h965440220,3169.0,2059.85,173.17,3169.0,34
HCPCS,C1788,Port inf AngioDyn h965440280,3445.0,2239.25,173.17,3445.0,34
HCPCS,C1788,Port power inf 9.6f h965451830,2433.0,1581.45,173.17,2433.0,34
HCPCS,C1788,Port powr dl mri9.5 chro182957,5756.0,3741.4,173.17,5756.0,34
HCPCS,C1788,Port powr dl mri9.5 shro829500,5544.0,3603.6,173.17,5544.0,34
HCPCS,C1789,Breast expan 400cc 133ssx13t,11342.0,7372.3,173.17,11342.0,34
HCPCS,C1789,Breast expan 850ml 3548315,11687.0,7596.55,173.17,11687.0,34
HCPCS,C1789,Breast expn TE 600cc 133smv15t,15530.0,10094.5,173.17,15530.0,34
HCPCS,C1789,Breast imp 68lp loprfl 325-345,4717.0,3066.05,173.17,4717.0,34
HCPCS,C1789,Breast imp NS natr 180ml 6818,2670.0,1735.5,173.17,2670.0,34
HCPCS,C1789,Breast imp NS natr 800ml 20800,6226.0,4046.9,173.17,6226.0,34
HCPCS,C1789,Breast imp Si txtr300ml 110300,10135.0,6587.75,173.17,10135.0,34
HCPCS,C1789,Breast imp enhance scpx15the,12002.0,7801.3,173.17,12002.0,34
HCPCS,C1789,Breast imp gel low 420ml 10420,3339.0,2170.35,173.17,3339.0,34
HCPCS,C1789,Breast imp gel low 480ml 10480,5788.0,3762.2,173.17,5788.0,34
HCPCS,C1789,Breast imp rnd smooth 125cc,2215.0,1439.75,173.17,2215.0,34
HCPCS,C1789,Breast imp rnd smooth 175cc,2328.0,1513.2,173.17,2328.0,34
HCPCS,C1789,Breast imp sil styl sclp280,13764.0,8946.6,173.17,13764.0,34
HCPCS,C1789,Breast impSi txtr 120ml 110120,4333.0,2816.45,173.17,4333.0,34
HCPCS,C1789,"PROSTHESIS, BREAST, IMP",9972.5,6482.125,173.17,17755.0,1292
HCPCS,C1813,"PROSTHESIS, PENILE, INFLATAB",56629.0,36808.85,173.17,71121.0,408
HCPCS,C1813,Penile ambicor 16x14 72401453,65797.0,42768.05,173.17,65797.0,34
HCPCS,C1813,Penile assmbly kit 919480sc,4770.0,3100.5,173.17,4770.0,34
HCPCS,C1813,Penile clover reservoir er8125,17379.0,11296.35,173.17,17379.0,34
HCPCS,C1813,Penile ext nrrw base 519300,4600.0,2990.0,173.17,4600.0,34
HCPCS,C1813,Penile imp uro CX MS7240423312,54780.0,35607.0,173.17,54780.0,34
HCPCS,C1813,Penile impl 700 kit 72401850,8925.0,5801.25,173.17,8925.0,34
HCPCS,C1813,Penile kit assem Titan 519150,8009.0,5205.85,173.17,8009.0,34
HCPCS,C1813,Penile prosth 14x20cm 72005603,57000.0,37050.0,173.17,57000.0,34
HCPCS,C1813,Penile prosth ams 7240423210,52632.0,34210.8,173.17,52632.0,34
HCPCS,C1813,Penile pump 15x12 72404236,40851.0,26553.15,173.17,40851.0,34
HCPCS,C1813,Penile pump Coloplast es8820,53227.0,34597.55,173.17,53227.0,34
HCPCS,C1813,Penile pump cly imp set en8918,54954.0,35720.1,173.17,54954.0,34
HCPCS,C1813,Penile pump cyl 0 deg es8920,42634.0,27712.1,173.17,42634.0,34
HCPCS,C1813,Penile reserv 75cc er8075,11896.0,7732.4,173.17,11896.0,34
HCPCS,C1813,Penile titan w pump es2820,56605.0,36793.25,173.17,56605.0,34
HCPCS,C1813,Plate Apoll Novastp f30037052s,2314.0,1504.1,173.17,2314.0,34
HCPCS,C1813,Plate Apoll Novastp f31001008s,15901.0,10335.65,173.17,15901.0,34
HCPCS,C1813,Plate Apoll Novastp f31037012s,3307.0,2149.55,173.17,3307.0,34
HCPCS,C1813,Stpl tri eea md 28 trieea28mt,3927.0,2552.55,173.17,3927.0,34
HCPCS,C1814,Eye oil silicn1000 8065601185,3710.0,2411.5,173.17,3710.0,34
HCPCS,C1814,Retina eye oil Alcon8065601187,3821.0,2483.65,173.17,3821.0,34
HCPCS,C1815,Uro occlusive st cuff 72404132,31275.0,20328.75,173.17,31275.0,34
HCPCS,C1815,Uro sphinct Boston Sc 72015701,29256.0,19016.4,173.17,29256.0,34
HCPCS,C1815,Uro sphinctr balln reg 7240002,20648.0,13421.2,173.17,20648.0,34
HCPCS,C1815,Uro sphinctr cuff 4cm 7240413,32508.0,21130.2,173.17,32508.0,34
HCPCS,C1815,Uro sphinctr cuff 800 72404131,32538.0,21149.7,173.17,32538.0,34
HCPCS,C1815,Uro sphinctr pump 72404127,31309.0,20350.85,173.17,31309.0,34
HCPCS,C1816,Neuro stim IPG Stimw stq4rcva0,97128.0,63133.2,173.17,97128.0,34
HCPCS,C1816,Neuro stim ipg rec kit q4sp1us,89460.0,58149.0,173.17,89460.0,34
HCPCS,C1816,Neuro stim ipg rec kit q4sp2us,96106.0,62468.9,173.17,96106.0,34
HCPCS,C1816,Neuro stim ipg rec kit s4t1us,7791.0,5064.15,173.17,7791.0,34
HCPCS,C1816,Neuro stim ipg rec kit s4t2us,10388.0,6752.2,173.17,10388.0,34
HCPCS,C1816,Neuro stim ipg rec kit s8sp1us,94572.0,61471.8,173.17,94572.0,34
HCPCS,C1816,Neuro stim ipg rec kit s8sp2us,99684.0,64794.6,173.17,99684.0,34
HCPCS,C1816,Neuro stim trans ReActiv8 7000,7843.0,5097.95,173.17,7843.0,34
HCPCS,C1817,Introd sheath amp del 5f 45x80,6148.0,3996.2,173.17,6148.0,34
HCPCS,C1817,Occluder Septal ampl 7 9asd007,38141.0,24791.65,173.17,38141.0,34
HCPCS,C1817,Occluder septal 15mm gsx0015a,36664.0,23831.6,173.17,36664.0,34
HCPCS,C1817,SEPTAL DEFECT IMP SYS,33401.5,21710.975,173.17,51094.0,272
HCPCS,C1817,Stent graft limb etlw1610c146e,31076.0,20199.4,173.17,31076.0,34
HCPCS,C1820,GENERATOR NEURO RECHG BAT SY,78725.0,51171.25,173.17,80770.0,68
HCPCS,C1820,Neuro Vbloc maestro charg 2400,76015.0,49409.75,173.17,76015.0,34
HCPCS,C1820,Neuro Vbloc maestro rechrg2002,60833.0,39541.45,173.17,60833.0,34
HCPCS,C1820,Neuro Vbloc pt rechrg s 2404,13297.0,8643.05,173.17,13297.0,34
HCPCS,C1820,Neuro chrgr Vbloc ac 1620,937.0,609.05,162.1,937.0,34
HCPCS,C1820,Neuro stim Boston Sc sc1160,84273.0,54777.45,173.17,84273.0,34
HCPCS,C1820,Neuro stim charg eon mini 3722,11219.0,7292.35,173.17,11219.0,34
HCPCS,C1820,Neuro stim charg prcs sc64123,19886.0,12925.9,173.17,19886.0,34
HCPCS,C1820,Neuro stim charg surescan97754,10653.0,6924.45,173.17,10653.0,34
HCPCS,C1820,Neuro stim charger  16000abt,10653.0,6924.45,173.17,10653.0,34
HCPCS,C1820,Neuro stim gen Axonics 1101,54872.0,35666.8,173.17,54872.0,34
HCPCS,C1820,Neuro stim gen Axonics 1401,9349.0,6076.85,173.17,9349.0,34
HCPCS,C1820,Neuro stim gen dbd rechrg37612,133934.0,87057.1,173.17,133934.0,34
HCPCS,C1820,Neuro stim gener eon 16ch 3788,73593.0,47835.45,173.17,73593.0,34
HCPCS,C1820,Neuro stim gener prcs sc111002,86904.0,56487.6,173.17,86904.0,34
HCPCS,C1820,Neuro stim gener prcs sc1132,107352.0,69778.8,173.17,107352.0,34
HCPCS,C1820,Neuro stim gener prodg ipg3772,96427.0,62677.55,173.17,96427.0,34
HCPCS,C1820,Neuro stim generator 32400abt,113742.0,73932.3,173.17,113742.0,34
HCPCS,C1820,Neuro stim ipg Medtr 97810,57382.0,37298.3,173.17,57382.0,34
HCPCS,C1820,Neuro stim percpt rc v1 b35300,142508.0,92630.2,173.17,142508.0,34
HCPCS,C1820,Neuro stim rchg Medtr rs6200,21235.0,13802.75,173.17,21235.0,34
HCPCS,C1820,Neuro stim rechrg Medtr rs5200,13535.0,8797.75,173.17,13535.0,34
HCPCS,C1820,Vercise Genus ipg kt r db12160,112464.0,73101.6,173.17,112464.0,34
HCPCS,C1820,Vercise Genus ipg kt r db12320,148248.0,96361.2,173.17,148248.0,34
HCPCS,C1820,Vercise neuro stim db64125us,12784.0,8309.6,173.17,12784.0,34
HCPCS,C1821,INTERSPINOUS IMPLANT,34526.5,22442.225,173.17,48564.0,68
HCPCS,C1822,Neuro stim IPG Prospera 478614,92016.0,59810.4,173.17,92016.0,34
HCPCS,C1822,Neuro stim IPG Prospera 478627,112464.0,73101.6,173.17,112464.0,34
HCPCS,C1822,Neurostim IPG nipg3000,96412.0,62667.8,173.17,96412.0,34
HCPCS,C1824,"GENERATOR, CCM, IMPLANT",132912.0,86392.8,173.17,132912.0,34
HCPCS,C1824,Generator CCM D 10n1012xx RES,0.01,0.01,0.01,173.17,22
HCPCS,C1824,Generator CCM Dynamic10b4113xx,100430.0,65279.5,173.17,100430.0,34
HCPCS,C1824,Generator Sentiva duo 1000d,200109.0,130070.85,173.17,200109.0,34
HCPCS,C1825,Ipg barostim 100065202,161028.0,104668.2,173.17,161028.0,34
HCPCS,C1825,Ipg barostim sys 100069202,178920.0,116298.0,173.17,178920.0,34
HCPCS,C1826,"GEN, NEURO, CLO LOOP, RECHG",102240.0,66456.0,173.17,219816.0,102
HCPCS,C1826,Lead ipg stim 55cm Evoke 3011,8310.0,5401.5,173.17,8310.0,34
HCPCS,C1826,Neurostim inceptiv 97719,107352.0,69778.8,173.17,107352.0,34
HCPCS,C1827,Vivistim generatr nerve vivipg,150804.0,98022.6,173.17,150804.0,34
HCPCS,C1830,Bone bx tray Teleflex9458vc006,1640.0,1066.0,173.17,1640.0,34
HCPCS,C1830,POWER BONE MARROW BX NEEDLE,4328.0,2813.2,173.17,4328.0,34
HCPCS,C1831,Cage fusion level 1 aprevo1,132912.0,86392.8,173.17,132912.0,34
HCPCS,C1831,Cage fusion level 2 aprevo2,163584.0,106329.6,173.17,163584.0,34
HCPCS,C1831,Cage fusion level 3 aprevo3,194256.0,126266.4,173.17,194256.0,34
HCPCS,C1831,Cage fusion level 4 aprevo4,224928.0,146203.2,173.17,224928.0,34
HCPCS,C1831,Cage fusion level 5 aprevo5,255600.0,166140.0,173.17,255600.0,34
HCPCS,C1874,Coil smart handl detach sch1,2574.0,1673.1,173.17,2574.0,34
HCPCS,C1874,Eval stent coated w del c1874,1.0,0.65,0.17,173.17,34
HCPCS,C1874,Graft Main 36x32x145mm RES,28542.0,18552.3,173.17,28542.0,34
HCPCS,C1874,Graft Zen diss Cook Med g47472,71785.0,46660.25,173.17,71785.0,34
HCPCS,C1874,Graft bif EnduII esbf2514c103e,45882.0,29823.3,173.17,45882.0,34
HCPCS,C1874,Graft cnvtr anclry 1x24x108,31635.0,20562.75,173.17,31635.0,34
HCPCS,C1874,Graft endovasc Cook Med g47475,83837.0,54494.05,173.17,83837.0,34
HCPCS,C1874,Graft iliacleg ext8x55g55195,13799.0,8969.35,173.17,13799.0,34
HCPCS,C1874,Graft mainbody renu28x62g55407,29128.0,18933.2,173.17,29128.0,34
HCPCS,C1874,Graft sft tis2x8cm vrts rm0208,5003.0,3251.95,173.17,5003.0,34
HCPCS,C1874,Graft thor Zenith Alpha g60052,81996.0,53297.4,173.17,81996.0,34
HCPCS,C1874,Graft zen dist2d 34x186 g53479,34628.0,22508.2,173.17,34628.0,34
HCPCS,C1874,Graft zen prox tbe34x77 g53457,27369.0,17789.85,173.17,27369.0,34
HCPCS,C1874,Graft zen prox2p 34x202 g53429,63681.0,41392.65,173.17,63681.0,34
HCPCS,C1874,"STENT, COATED/COV W/DEL SYS",20153.5,13099.775,0.17,148248.0,4692
HCPCS,C1874,Stent 8x10 8f viabahn 082502a,31725.0,20621.25,173.17,31725.0,34
HCPCS,C1874,Stent AAA Zenith 14x56 iliac,23245.0,15109.25,173.17,23245.0,34
HCPCS,C1874,Stent AAA Zenith 24x56 iliac,23948.0,15566.2,173.17,23948.0,34
HCPCS,C1874,Stent Atrium flex 7x45 25138,13315.0,8654.75,173.17,13315.0,34
HCPCS,C1874,Stent Axio Boston SC m00553670,32451.0,21093.15,173.17,32451.0,34
HCPCS,C1874,Stent Bifur afx2 bea2880i2040,70725.0,45971.25,173.17,70725.0,34
HCPCS,C1874,Stent Esph wal23x10.5 m0051693,16481.0,10712.65,173.17,16481.0,34
HCPCS,C1874,Stent Fluency 13.5x60 fem14060,20596.0,13387.4,173.17,20596.0,34
HCPCS,C1874,Stent Gore vbhr060502a,11833.0,7691.45,173.17,11833.0,34
HCPCS,C1874,Stent Nephro g48180,1465.0,952.25,173.17,1465.0,34
HCPCS,C1874,Stent Vb hep 7f 8x5 Vbj080502,23202.0,15081.3,173.17,23202.0,34
HCPCS,C1874,Stent Viabhn graft vbjr080702a,24254.0,15765.1,173.17,24254.0,34
HCPCS,C1874,Stent Viabhn hep 5x15mm 120cm,26166.0,17007.9,173.17,26166.0,34
HCPCS,C1874,Stent Viabhn hep 6x5mm 120cm,19431.0,12630.15,173.17,19431.0,34
HCPCS,C1874,Stent Viabil 10x8cm vh1008040,21803.0,14171.95,173.17,21803.0,34
HCPCS,C1874,Stent aor Afx 28x28x115rl,24112.0,15672.8,173.17,24112.0,34
HCPCS,C1874,Stent bil 11.5fr intro oa11.5,915.0,594.75,158.3,915.0,34
HCPCS,C1874,Stent bil 7fr 5cm pls 545550,1384.0,899.6,173.17,1384.0,34
HCPCS,C1874,Stent bil Wallflex m00547540,19367.0,12588.55,173.17,19367.0,34
HCPCS,C1874,Stent bil cttn 10f 9cm oacl109,1243.0,807.95,173.17,1243.0,34
HCPCS,C1874,Stent biliary 10fr 7cm Oasis,1081.0,702.65,173.17,1081.0,34
HCPCS,C1874,Stent carotid 6-8x40acc RES,15980.0,10387.0,173.17,15980.0,34
HCPCS,C1874,Stent covera Bard avsm10060,19638.0,12764.7,173.17,19638.0,34
HCPCS,C1874,Stent covered iCast 6x16 42616,17618.0,11451.7,173.17,17618.0,34
HCPCS,C1874,Stent cuff Suprar 25x25x95elgx,4844.0,3148.6,173.17,4844.0,34
HCPCS,C1874,Stent cuff Suprar 28x28x95elgx,19851.0,12903.15,173.17,19851.0,34
HCPCS,C1874,Stent dist38x34x112 tw3834c112,73741.0,47931.65,173.17,73741.0,34
HCPCS,C1874,Stent esoph Cook Med g57365,17223.0,11194.95,173.17,17223.0,34
HCPCS,C1874,Stent esoph Evolution g52226,11008.0,7155.2,173.17,11008.0,34
HCPCS,C1874,Stent esoph prx18x97 m00517450,22204.0,14432.6,173.17,22204.0,34
HCPCS,C1874,Stent esph WAL 18x25-12 516710,16824.0,10935.6,173.17,16824.0,34
HCPCS,C1874,Stent esph WAL 18x25-15 516730,16741.0,10881.65,173.17,16741.0,34
HCPCS,C1874,Stent esph WAL 21x25-120 51434,13956.0,9071.4,173.17,13956.0,34
HCPCS,C1874,Stent graft AFX bea25110i1630,70559.0,45863.35,173.17,70559.0,34
HCPCS,C1874,Stent graft Fluency 10x40 117,22321.0,14508.65,173.17,22321.0,34
HCPCS,C1874,Stent graft Vela a2828c95v,26699.0,17354.35,173.17,26699.0,34
HCPCS,C1874,Stent graft Viabah vbjr070702a,26388.0,17152.2,173.17,26388.0,34
HCPCS,C1874,Stent graft ext ix tvex181845j,23970.0,15580.5,173.17,23970.0,34
HCPCS,C1874,Stent graft limb etlw1620c146e,32318.0,21006.7,173.17,32318.0,34
HCPCS,C1874,Stent iCast 7fr 48938,18825.0,12236.25,173.17,18825.0,34
HCPCS,C1874,Stent limb afx 20x13x70f,24005.0,15603.25,173.17,24005.0,34
HCPCS,C1874,Stent limb afx flared 20x25x65,23402.0,15211.3,173.17,23402.0,34
HCPCS,C1874,Stent limb ext i1616c55fsa,17604.0,11442.6,173.17,17604.0,34
HCPCS,C1874,Stent limb xtn 20x13x88fl,20206.0,13133.9,173.17,20206.0,34
HCPCS,C1874,Stent nellix endologix n10190,42174.0,27413.1,173.17,42174.0,34
HCPCS,C1874,Stent pncr axios20x10m00553660,35642.0,23167.3,173.17,35642.0,34
HCPCS,C1874,Stent ptx drug zil5x140 g38416,16498.0,10723.7,173.17,16498.0,34
HCPCS,C1874,Stent tachebron16F 20X5 g08553,10994.0,7146.1,173.17,10994.0,34
HCPCS,C1874,Stent tracbron16x40 dist576330,13352.0,8678.8,173.17,13352.0,34
HCPCS,C1874,Stent wng 2.5x15mm ws025015,31027.0,20167.55,173.17,31027.0,34
HCPCS,C1875,Eval stent coated wo del c1875,1.0,0.65,0.17,173.17,34
HCPCS,C1875,Stent cuff Afx Infren 25x25x75,25734.0,16727.1,173.17,25734.0,34
HCPCS,C1876,Eval stent no coat w del c1876,1.0,0.65,0.17,173.17,68
HCPCS,C1876,"STENT, NON-COA/NON-COV W/DEL",12466.0,8102.9,143.07,82017.0,5576
HCPCS,C1876,Stent 4.5 multi ultra 28mm,6095.0,3961.75,173.17,6095.0,68
HCPCS,C1876,Stent 8mmx8cm 40cm Viabil,20020.0,13013.0,173.17,20020.0,68
HCPCS,C1876,Stent Aocxtn32x49 etcf3232c49e,29380.0,19097.0,173.17,29380.0,68
HCPCS,C1876,Stent Aocxtn36x49 etcf3636c49e,30022.0,19514.3,173.17,30022.0,68
HCPCS,C1876,Stent Bostn SC h74912044109470,10714.0,6964.1,173.17,10714.0,68
HCPCS,C1876,Stent CR Bard ex060603csr RES,17670.0,11485.5,173.17,17670.0,34
HCPCS,C1876,Stent Cast 6x22x80,16335.0,10617.75,173.17,16335.0,68
HCPCS,C1876,Stent Herculink 1012537100,11240.0,7306.0,173.17,11240.0,34
HCPCS,C1876,Stent Icast 5x22mm 80cm,16968.0,11029.2,173.17,16968.0,68
HCPCS,C1876,Stent Prec6x30nit po6030rxcRES,15132.0,9835.8,173.17,15132.0,34
HCPCS,C1876,Stent Prec7x40nit po7040rxcRES,16214.0,10539.1,173.17,16214.0,34
HCPCS,C1876,Stent Prec8x30nit po8030rxcRES,14530.0,9444.5,173.17,14530.0,34
HCPCS,C1876,Stent Precis 6fr 8x40mm rx nit,13712.0,8912.8,173.17,13712.0,68
HCPCS,C1876,Stent Protoge 6 serb651040120,9611.0,6247.15,173.17,9611.0,68
HCPCS,C1876,Stent Supera5.5x40 s55040120p6,14710.0,9561.5,173.17,14710.0,68
HCPCS,C1876,Stent Visi Pro pxb350612080,7420.0,4823.0,173.17,7420.0,68
HCPCS,C1876,Stent Wall 10mm dia.x 60mm lng,14387.0,9351.55,173.17,14387.0,68
HCPCS,C1876,Stent Wall 14mm 60mm 100cm,10338.0,6719.7,173.17,10338.0,68
HCPCS,C1876,Stent Wall 14mm-90mm-100cm-del,11336.0,7368.4,173.17,11336.0,68
HCPCS,C1876,Stent Wall billiary10x80mm,13255.0,8615.75,173.17,13255.0,68
HCPCS,C1876,Stent Zilver 8x40x80 g43856,8726.0,5671.9,173.17,8726.0,68
HCPCS,C1876,Stent aocxtn36x70 ettf3636c70e,35541.0,23101.65,173.17,35541.0,68
HCPCS,C1876,Stent bil dbl pig10x5 zss105rb,1492.0,969.8,173.17,1492.0,68
HCPCS,C1876,Stent bilary 7fx5 advan 534200,1439.0,935.35,173.17,1439.0,68
HCPCS,C1876,Stent bilary 8.5fx15adv 534300,1411.0,917.15,173.17,1411.0,68
HCPCS,C1876,Stent biliar 8x60cov m00570500,17691.0,11499.15,173.17,17691.0,68
HCPCS,C1876,Stent biliar 8x80cov m00570510,17698.0,11503.7,173.17,17698.0,68
HCPCS,C1876,Stent biliary 10 7 bw flaps,545.0,354.25,94.29,545.0,68
HCPCS,C1876,Stent biliary 11.5x9cm Oasis,1402.0,911.3,173.17,1402.0,68
HCPCS,C1876,Stent biliary 7x6x lapsc fene,6254.0,4065.1,173.17,6254.0,68
HCPCS,C1876,Stent biliary Lum 8x60 bard,11931.0,7755.15,173.17,11931.0,68
HCPCS,C1876,Stent biliary Luminexx 10x60mm,12206.0,7933.9,173.17,12206.0,68
HCPCS,C1876,Stent biliary Luminexx 10x80mm,13193.0,8575.45,173.17,13193.0,68
HCPCS,C1876,Stent carotid 9x40 101134140,16690.0,10848.5,173.17,16690.0,68
HCPCS,C1876,Stent carotidWall 8x36 171903,17720.0,11518.0,173.17,17720.0,68
HCPCS,C1876,Stent esophag18x12.3 m00516910,16069.0,10444.85,173.17,16069.0,68
HCPCS,C1876,Stent pncr geenen 5f 3 gepd53,1243.0,807.95,173.17,1243.0,68
HCPCS,C1876,Stent precis 5f 6x30 research,16697.0,10853.05,173.17,16697.0,34
HCPCS,C1876,Stent precis 5f 7x30 research,15127.0,9832.55,173.17,15127.0,34
HCPCS,C1876,Stent precis 5f 7x40 research,16700.0,10855.0,173.17,16700.0,34
HCPCS,C1876,Stent renal xprs sd 5x19x150cm,14491.0,9419.15,173.17,14491.0,68
HCPCS,C1877,Eval stent coated wo del c1877,1.0,0.65,0.17,173.17,34
HCPCS,C1877,"STENT, NON-COAT/COV W/O DEL",69390.0,45103.5,173.17,76501.0,204
HCPCS,C1877,Stent Surpass Elite fdse47540,78304.0,50897.6,173.17,78304.0,34
HCPCS,C1877,Stent trachbro z 16fx20 g08553,10994.0,7146.1,173.17,10994.0,34
HCPCS,C1878,MATRL FOR VOCAL CORD,6890.0,4478.5,173.17,6890.0,34
HCPCS,C1878,Vocal proalynplus Merz8044mok5,6626.0,4306.9,173.17,6626.0,34
HCPCS,C1880,Filter Trapease fem-jug each,6360.0,4134.0,173.17,6360.0,34
HCPCS,C1880,Filter Tulip 65cm jug g33017,8830.0,5739.5,173.17,8830.0,34
HCPCS,C1880,Filter jug venacav lter ec500j,12466.0,8102.9,173.17,12466.0,34
HCPCS,C1880,Filter jugulr denal dl900j,11896.0,7732.4,173.17,11896.0,34
HCPCS,C1880,Filter vena cava6.5 352506100e,13816.0,8980.4,173.17,13816.0,34
HCPCS,C1880,Filter venacav 65 30x48 g48378,10907.0,7089.55,173.17,10907.0,34
HCPCS,C1880,Filter venacava 5010519,10825.0,7036.25,173.17,10825.0,34
HCPCS,C1880,Filter venacava 8.5f g30016,8986.0,5840.9,173.17,8986.0,34
HCPCS,C1880,Filter venacava Optease bs,7155.0,4650.75,173.17,7155.0,34
HCPCS,C1880,Filter venacava femoral 50-501,10711.0,6962.15,173.17,10711.0,34
HCPCS,C1880,Filter venacava jugular,10705.0,6958.25,173.17,10705.0,34
HCPCS,C1880,Filter venacava lp fjug5010024,10648.0,6921.2,173.17,10648.0,34
HCPCS,C1880,Filter venacava30x50mm ac3930a,15980.0,10387.0,173.17,15980.0,34
HCPCS,C1880,Filter venacavaoptn 6f35250607,11219.0,7292.35,173.17,11219.0,34
HCPCS,C1880,Filtr VenaCavfem30x50g52917res,8570.0,5570.5,173.17,8570.0,34
HCPCS,C1880,VENA CAVA FILTER,9479.0,6161.35,173.17,14709.0,136
HCPCS,C1882,"AICD, OTHER THAN SING/DUAL",81694.0,53101.1,0.17,94521.0,610
HCPCS,C1882,ICD crt d Abbott cdhfa300q,75981.0,49387.65,173.17,75981.0,34
HCPCS,C1882,ICD crt d quad dtpc2q1,80437.0,52284.05,173.17,80437.0,34
HCPCS,C1882,ICD crt promr invent hft393012,14027.0,9117.55,173.17,14027.0,34
HCPCS,C1882,ICD not sgl dl ddd d314trm MED,84885.0,55175.25,173.17,84885.0,34
HCPCS,C1882,ICD not sgl dul dlv1 n164BOS,86132.0,55985.8,173.17,86132.0,34
HCPCS,C1882,ICD not sn dul Viva dtba14MED,86904.0,56487.6,173.17,86904.0,34
HCPCS,C1882,ICD not sng dl hm monitr401662,74288.0,48287.2,173.17,74288.0,34
HCPCS,C1882,ICD sng Proteg t 65 379967,26758.0,17392.7,173.17,26758.0,34
HCPCS,C1882,Lead ICD du pro sd65/18 399410,27472.0,17856.8,173.17,27472.0,34
HCPCS,C1883,"ADAPT/EXT, PACING/NEURO LEAD",10302.0,6696.3,173.17,13139.0,170
HCPCS,C1883,Adapter Y ICD-pmkr med 6726,937.0,609.05,162.1,937.0,34
HCPCS,C1883,Deep brain insrt elect 66it05p,2048.0,1331.2,173.17,2048.0,34
HCPCS,C1883,Deep brain insrt elect 70itarp,1127.0,732.55,173.17,1127.0,34
HCPCS,C1883,Lead adapter 8 10cm 2311ans,6604.0,4292.6,173.17,6604.0,34
HCPCS,C1883,Lead adaptr splitr df1df4 5019,24857.0,16157.05,173.17,24857.0,34
HCPCS,C1883,Lead extendr across chest6984m,1400.0,910.0,173.17,1400.0,34
HCPCS,C1883,Lead extendr handle mri g46542,2836.0,1843.4,173.17,2836.0,34
HCPCS,C1883,Lead infinin kit 50cm sc231650,21306.0,13848.9,173.17,21306.0,34
HCPCS,C1883,Neuro stim anchor biwing 97792,2915.0,1894.75,173.17,2915.0,34
HCPCS,C1883,Neuro stim anchor conn55039,1568.0,1019.2,173.17,1568.0,34
HCPCS,C1883,Neuro stim cable 2f 2x9 sc4108,1622.0,1054.3,173.17,1622.0,34
HCPCS,C1883,Neuro stim exten dbs coil37086,8009.0,5205.85,173.17,8009.0,34
HCPCS,C1883,Neuro stim exten dbs lp 748351,7144.0,4643.6,173.17,7144.0,34
HCPCS,C1883,Neuro stim lead dbs0.5 3389s40,22321.0,14508.65,173.17,22321.0,34
HCPCS,C1883,Neuro stim lead dbs1.5 3387s40,21632.0,14060.8,173.17,21632.0,34
HCPCS,C1883,Neuro stim lead restor 3708260,15063.0,9790.95,173.17,15063.0,34
HCPCS,C1883,Vercise lead ext kit nm313855,5300.0,3445.0,173.17,5300.0,34
HCPCS,C1884,EMBOLIZATION PROTECT SYST,14169.0,9209.85,173.17,74303.0,714
HCPCS,C1884,Embol dev moma protect9f 069x6,11496.0,7472.4,173.17,11496.0,34
HCPCS,C1884,Embol protct Medt spd2 us070320,13245.0,8609.25,173.17,13245.0,34
HCPCS,C1884,Filter enroute system sr200nps,25212.0,16387.8,173.17,25212.0,34
HCPCS,C1884,Filter wire embol cms1510cus,28542.0,18552.3,173.17,28542.0,34
HCPCS,C1884,Guidewire angio bskt 501814rec,12273.0,7977.45,173.17,12273.0,34
HCPCS,C1884,Stent LVIS EVO 2.5x12 lev2512,36551.0,23758.15,173.17,36551.0,34
HCPCS,C1884,Stent pipe emb4.25x16 ped42516,68194.0,44326.1,173.17,68194.0,34
HCPCS,C1884,Wire bare fltr dlv014x315 4031,1297.0,843.05,173.17,1297.0,34
HCPCS,C1884,Wire barewir 190014-2245019RES,1514.0,984.1,173.17,1514.0,34
HCPCS,C1885,"CATH, TRANSLUMIN ANGIO LASER",20596.0,13387.4,173.17,21271.0,136
HCPCS,C1885,Cath Elca 2.0 Eccentric 120008,17436.0,11333.4,173.17,17436.0,34
HCPCS,C1885,Cath guid turb Tandem7f 472110,17755.0,11540.75,173.17,17755.0,34
HCPCS,C1885,Cath wire turbo 2x150cm 420050,24822.0,16134.3,173.17,24822.0,34
HCPCS,C1886,"CATHETER, ABLATION",15980.0,10387.0,173.17,29720.0,238
HCPCS,C1886,Cath Alair bronch m005ats25010,17755.0,11540.75,173.17,17755.0,34
HCPCS,C1886,Cath ep rf abl 8f fj atcsefj,21684.0,14094.6,173.17,21684.0,34
HCPCS,C1886,Device rf abl Hlg nsv5kitus003,13176.0,8564.4,173.17,13176.0,34
HCPCS,C1886,Device rf abl Holgic nsv5us003,12690.0,8248.5,173.17,12690.0,34
HCPCS,C1886,Gyn thermachoice tc 003,12301.0,7995.65,173.17,12301.0,34
HCPCS,C1886,Probe abl cool-tip rtp20,5957.0,3872.05,173.17,5957.0,34
HCPCS,C1886,Probe ablate pr15xt,14488.0,9417.2,173.17,14488.0,34
HCPCS,C1886,SD therm bal umbilcord abl1105,287.0,186.55,49.65,287.0,34
HCPCS,C1887,"CATHETER, GUIDING",3629.0,2358.85,14.53,183600.0,8092
HCPCS,C1887,Cath 4.0 035 20 100cm mti del,1142.0,742.3,173.17,1142.0,68
HCPCS,C1887,Cath Boston SC m001394111550,7314.0,4754.1,173.17,7314.0,68
HCPCS,C1887,Cath Microvent da5115st,10795.0,7016.75,173.17,10795.0,68
HCPCS,C1887,Cath Microvention mc272156s,9972.0,6481.8,173.17,9972.0,68
HCPCS,C1887,Cath Navicross angl nc18901,2086.0,1355.9,173.17,2086.0,68
HCPCS,C1887,Cath Omni flush 4fr x 65cm,101.0,65.65,17.47,173.17,68
HCPCS,C1887,Cath OmniFlush 5.0 13709701,631.0,410.15,109.16,631.0,68
HCPCS,C1887,Cath QuickCross 518077,1805.0,1173.25,173.17,1805.0,68
HCPCS,C1887,Cath Soft Vu Sim 2 5f 10709007,204.0,132.6,35.29,204.0,68
HCPCS,C1887,Cath Tenzing Route 92 MD 1005,12073.0,7847.45,173.17,12073.0,68
HCPCS,C1887,Cath Trinav sys inf flx2112035,39525.0,25691.25,173.17,39525.0,68
HCPCS,C1887,Cath angio 5fr 90cm g57017,672.0,436.8,116.26,672.0,68
HCPCS,C1887,Cath angio Impress 56538ka2h,2234.0,1452.1,173.17,2234.0,68
HCPCS,C1887,Cath angio MPA 10735502,102.0,66.3,17.65,173.17,68
HCPCS,C1887,Cath angio Marin h787117105145,616.0,400.4,106.57,616.0,68
HCPCS,C1887,Cath angio Soft Vu 10720405,77.0,50.05,13.32,173.17,68
HCPCS,C1887,Cath angio Soft Vu 10732203,148.0,96.2,25.6,173.17,68
HCPCS,C1887,Cath attain 6250v50s,1211.0,787.15,173.17,1211.0,68
HCPCS,C1887,Cath attain select ii 6248v90p,2891.0,1879.15,173.17,2891.0,68
HCPCS,C1887,Cath cable bipolar adapt 5700,4187.0,2721.55,173.17,4187.0,68
HCPCS,C1887,Cath cross peri trif 5f g56414,3556.0,2311.4,173.17,3556.0,68
HCPCS,C1887,Cath cxi angl2.3f 14x90 g23859,1665.0,1082.25,173.17,1665.0,68
HCPCS,C1887,Cath delv Penumbra vel160str,10762.0,6995.3,173.17,10762.0,68
HCPCS,C1887,Cath dx 4.1fr 65cm sim1 cust,64.0,41.6,11.07,173.17,68
HCPCS,C1887,Cath dx 5.0 Kimny rb 1 100cm,379.0,246.35,65.57,379.0,68
HCPCS,C1887,Cath dx 6.0 kimny/rb 100 ts6rb,76.0,49.4,13.15,173.17,68
HCPCS,C1887,Cath excel sl10 150x6 31681900,9256.0,6016.4,173.17,9256.0,68
HCPCS,C1887,Cath fetch 6f 2 135 109400tab,3975.0,2583.75,173.17,3975.0,68
HCPCS,C1887,Cath gd Stryker m003dc050150a0,11362.0,7385.3,173.17,11362.0,68
HCPCS,C1887,Cath gd Stryker m003ic0581150,14740.0,9581.0,173.17,14740.0,68
HCPCS,C1887,Cath gd Vista Brite tip sm7435,1749.0,1136.85,173.17,1749.0,68
HCPCS,C1887,Cath gd deflect 3830 c304his,4240.0,2756.0,173.17,4240.0,68
HCPCS,C1887,Cath guid ext hook 375528,2595.0,1686.75,173.17,2595.0,68
HCPCS,C1887,Cath guide .035ss Amplatz BOST,428.0,278.2,74.04,428.0,68
HCPCS,C1887,Cath guide .035ss Amplatz JJ,448.0,291.2,77.5,448.0,68
HCPCS,C1887,Cath guide 2.0f-6cm 150-excels,9316.0,6055.4,173.17,9316.0,68
HCPCS,C1887,Cath guide 2lum Teleflex 5201,4452.0,2893.8,173.17,4452.0,68
HCPCS,C1887,Cath guide 3.0 2.5 250 transit,5342.0,3472.3,173.17,5342.0,68
HCPCS,C1887,Cath guide 6fr RDC 1 67021055,296.0,192.4,51.21,296.0,68
HCPCS,C1887,Cath guide 8fr merci 10x10mm,11569.0,7519.85,173.17,11569.0,68
HCPCS,C1887,Cath guide 8fx54cm mp 7073,17256.0,11216.4,173.17,17256.0,68
HCPCS,C1887,Cath guide RunWayh749389697130,576.0,374.4,99.65,576.0,68
HCPCS,C1887,Cath guide STJM cps std pkg01,5802.0,3771.3,173.17,5802.0,68
HCPCS,C1887,Cath guide Spectranetics518089,1643.0,1067.95,173.17,1643.0,68
HCPCS,C1887,Cath guide Vista 67005500m,412.0,267.8,71.28,412.0,68
HCPCS,C1887,Cath guide Vista XB 6700540e,1838.0,1194.7,173.17,1838.0,68
HCPCS,C1887,Cath guide VistaBrite 588842PM,640.0,416.0,110.72,640.0,68
HCPCS,C1887,Cath guide attain 6238tel,1438.0,934.7,173.17,1438.0,68
HCPCS,C1887,Cath guide attain 6250mb2x,2159.0,1403.35,173.17,2159.0,68
HCPCS,C1887,Cath guide attain 6250vc,6938.0,4509.7,173.17,6938.0,68
HCPCS,C1887,Cath guide envoy 67025290b,4979.0,3236.35,173.17,4979.0,68
HCPCS,C1887,Cath guide hnb7x.38x100 g05576,1135.0,737.75,173.17,1135.0,68
HCPCS,C1887,Cath guide hyb braid 67205425,181.0,117.65,31.31,181.0,68
HCPCS,C1887,Cath guide infus Prow 10,10078.0,6550.7,173.17,10078.0,68
HCPCS,C1887,Cath guide infus Prow 14 2mrk,10518.0,6836.7,173.17,10518.0,68
HCPCS,C1887,Cath guide infus Prow 45 2mkr,11074.0,7198.1,173.17,11074.0,68
HCPCS,C1887,Cath guide mach1 h749343581920,595.0,386.75,102.94,595.0,68
HCPCS,C1887,Cath guide navicross nc18650,2087.0,1356.55,173.17,2087.0,68
HCPCS,C1887,Cath guide surg Dest CCV rsc06,1014.0,659.1,173.17,1014.0,68
HCPCS,C1887,Cath guideliner 145cm 7fr 5572,4123.0,2679.95,173.17,4123.0,68
HCPCS,C1887,Cath headway 21x150 mc212150s,8191.0,5324.15,173.17,8191.0,68
HCPCS,C1887,Cath headway 21x156 mc162156s,9177.0,5965.05,173.17,9177.0,68
HCPCS,C1887,Cath headway 21x167 mc162167s,11842.0,7697.3,173.17,11842.0,68
HCPCS,C1887,Cath infus rapid transit dual,8903.0,5786.95,173.17,8903.0,68
HCPCS,C1887,Cath mic BostnSC m001394101750,7632.0,4960.8,173.17,7632.0,68
HCPCS,C1887,Cath mic Strykr m003xt2750810,9953.0,6469.45,173.17,9953.0,68
HCPCS,C1887,Cath micr 130 bern m001195640,8269.0,5374.85,173.17,8269.0,68
HCPCS,C1887,Cath micr 130ber hfl m00119574,9303.0,6046.95,173.17,9303.0,68
HCPCS,C1887,Cath micr 130st hfl m001195710,8882.0,5773.3,173.17,8882.0,68
HCPCS,C1887,Cath micro .68in 132cm react68,15624.0,10155.6,173.17,15624.0,68
HCPCS,C1887,Cath micro .71in 132cm react71,16690.0,10848.5,173.17,16690.0,68
HCPCS,C1887,Cath micro 130j hfl m001195470,7152.0,4648.8,173.17,7152.0,68
HCPCS,C1887,Cath micro Medtr fa551601030,11593.0,7535.45,173.17,11593.0,68
HCPCS,C1887,Cath micro Stryker 168189,9044.0,5878.6,173.17,9044.0,68
HCPCS,C1887,Cath micro Terumo pgp28140str,5915.0,3844.75,173.17,5915.0,68
HCPCS,C1887,Cath micro Terumo pgp28165str,6996.0,4547.4,173.17,6996.0,68
HCPCS,C1887,Cath micro Trevo Stryker 90338,9297.0,6043.05,173.17,9297.0,68
HCPCS,C1887,Cath micro maestro 29mc29150st,2862.0,1860.3,173.17,2862.0,34
HCPCS,C1887,Cath micro renegade 150x20 2r0,7797.0,5068.05,173.17,7797.0,68
HCPCS,C1887,Cath micro scross.014 150 5301,3911.0,2542.15,173.17,3911.0,68
HCPCS,C1887,Cath micro scross.014 90 5305,4653.0,3024.45,173.17,4653.0,68
HCPCS,C1887,Cath phenom v06 fg1516006151s,10937.0,7109.05,173.17,10937.0,68
HCPCS,C1887,Cath px 400 45deg syst px40045,9661.0,6279.65,173.17,9661.0,68
HCPCS,C1887,Cath quick-cross 518086,8674.0,5638.1,173.17,8674.0,68
HCPCS,C1887,Cath sheathlss6.5f g6mp100l100,1406.0,913.9,173.17,1406.0,68
HCPCS,C1887,Cath turnpike gold 5f 135 5621,6731.0,4375.15,173.17,6731.0,68
HCPCS,C1887,Cath turnpike lp 135cm 5638,6169.0,4009.85,173.17,6169.0,68
HCPCS,C1887,Cath turnpike lp 15cm 0 5639,6498.0,4223.7,173.17,6498.0,68
HCPCS,C1887,Cath vasc renovo mmrc120db1111,13849.0,9001.85,173.17,13849.0,68
HCPCS,C1887,Cath zoom 88 distl ictc008100s,21271.0,13826.15,173.17,21271.0,68
HCPCS,C1887,ENT lite guidecabl sislgc08 re,4547.0,2955.55,173.17,4547.0,68
HCPCS,C1887,Glidecath 5fr 100cm cg506,1308.0,850.2,173.17,1308.0,68
HCPCS,C1887,Glidecath Terumo cg512,667.0,433.55,115.39,667.0,68
HCPCS,C1887,Glidecath Terumo rfzv9510gm,555.0,360.75,96.02,555.0,68
HCPCS,C1887,Glidecath angio RadiFocs cg412,267.0,173.55,46.19,267.0,68
HCPCS,C1887,Guide 5.0 056 100cm Envoy,4834.0,3142.1,173.17,4834.0,68
HCPCS,C1887,Guide 6.0 067 mpa 125cm,1618.0,1051.7,173.17,1618.0,68
HCPCS,C1887,Guide Rapido 7720,1081.0,702.65,173.17,1081.0,68
HCPCS,C1887,Guide cs eh str 58cm,2476.0,1609.4,173.17,2476.0,68
HCPCS,C1887,Guide frontrunner mgc-3990,2325.0,1511.25,173.17,2325.0,68
HCPCS,C1887,Guide sheath Destination rsc05,469.0,304.85,81.14,469.0,68
HCPCS,C1887,Guide sheath Destination rsp02,458.0,297.7,79.23,458.0,68
HCPCS,C1887,Penumbra cath .054 5maxace132,16832.0,10940.8,173.17,16832.0,68
HCPCS,C1887,Penumbra cath 3maxckit,13636.0,8863.4,173.17,13636.0,68
HCPCS,C1887,Penumbra cath 4.8f 157cm 3maxc,10653.0,6924.45,173.17,10653.0,68
HCPCS,C1887,Penumbra cath 6f mult 4maxcmp,13401.0,8710.65,173.17,13401.0,68
HCPCS,C1887,Penumbra cath reperfusn 032,12002.0,7801.3,173.17,12002.0,68
HCPCS,C1887,Sphincterto curv 6f 320 g22732,3445.0,2239.25,173.17,3445.0,34
HCPCS,C1888,ENDOVAS NON-CARDIAC ABL CATH,5691.5,3699.475,173.17,6878.0,68
HCPCS,C1889,Ablatherm HiFU US Catheter,0.01,0.01,0.01,173.17,44
HCPCS,C1889,Acetabulr hole cover 71330001,1481.0,962.65,173.17,1481.0,136
HCPCS,C1889,Acetabulr kit redapt 71354240,1171.0,761.15,173.17,1171.0,136
HCPCS,C1889,Adapter cusa clarity c7523x,2809.0,1825.85,173.17,2809.0,68
HCPCS,C1889,Adhesive Dermbnd adv0.7mldnx12,187.0,121.55,32.35,187.0,68
HCPCS,C1889,Agili-C Cartiheal7.5mm chp0753,32717.0,21266.05,173.17,32717.0,136
HCPCS,C1889,Agili-C Cartiheal7.5mm chp0755,35017.0,22761.05,173.17,35017.0,136
HCPCS,C1889,Agili-C tiss bio7.5-2 71700053,33739.0,21930.35,173.17,33739.0,136
HCPCS,C1889,Agili-C tiss bio7.5-2 71700066,38851.0,25253.15,173.17,38851.0,136
HCPCS,C1889,Agili-C tiss bio7.5-3 71700067,40385.0,26250.25,173.17,40385.0,136
HCPCS,C1889,Agili-C tiss bio7.5-4 71700068,41663.0,27080.95,173.17,41663.0,136
HCPCS,C1889,Agili-C tiss bio7.5-4 71700074,36321.0,23608.65,173.17,36321.0,136
HCPCS,C1889,Agili-C tiss bio7.5-5 71700055,37573.0,24422.45,173.17,37573.0,136
HCPCS,C1889,Agili-C tiss bio7.5-5 71700069,42685.0,27745.25,173.17,42685.0,136
HCPCS,C1889,Allofiber imp DBF 5cc 86060050,8243.0,5357.95,173.17,8243.0,136
HCPCS,C1889,Allofiber imp DBF10cc 86060100,14196.0,9227.4,173.17,14196.0,136
HCPCS,C1889,Allofiber imp DBF2.5cc86060025,4538.0,2949.7,173.17,4538.0,136
HCPCS,C1889,Allograft condyle fem lat 0417,9931.0,6455.15,173.17,9931.0,136
HCPCS,C1889,Allograft cort can 20cc um1803,2497.0,1623.05,173.17,2497.0,136
HCPCS,C1889,Allograft femur head,9720.0,6318.0,173.17,9720.0,136
HCPCS,C1889,Allograft fibula segment 1.0,4260.0,2769.0,173.17,4260.0,136
HCPCS,C1889,Allograft head femoral,9434.0,6132.1,173.17,9434.0,136
HCPCS,C1889,Allograft putty 6cc t50106,11479.0,7461.35,173.17,11479.0,136
HCPCS,C1889,Allogrft can cross13x15 400482,6657.0,4327.05,173.17,6657.0,136
HCPCS,C1889,Allogrt Alloaid In2Bn aac0406,17734.0,11527.1,173.17,17734.0,136
HCPCS,C1889,Allogrt Alloaid admh4x8m,19864.0,12911.6,173.17,19864.0,136
HCPCS,C1889,Allogrt Alloaid mesh ad0404mm,12336.0,8018.4,173.17,12336.0,136
HCPCS,C1889,Allogrt Cartimax viable 401210,32823.0,21334.95,173.17,32823.0,136
HCPCS,C1889,Allogrt Costal cartl MTF450040,6118.0,3976.7,173.17,6118.0,136
HCPCS,C1889,Allogrt DBM Medtr t43110,9722.0,6319.3,173.17,9722.0,136
HCPCS,C1889,Allogrt DBM Paragn28 fco005000,5380.0,3497.0,173.17,5380.0,136
HCPCS,C1889,Allogrt DBM chips abs200703,7314.0,4754.1,173.17,7314.0,136
HCPCS,C1889,Allogrt DBM putty 10 abs201210,11346.0,7374.9,173.17,11346.0,136
HCPCS,C1889,Allogrt Iliac LifeNet picw5,7765.0,5047.25,173.17,7765.0,136
HCPCS,C1889,Allogrt Leneva MTF wc5103,15050.0,9782.5,173.17,15050.0,136
HCPCS,C1889,Allogrt Magnus Royal Bio mg25,19851.0,12903.15,173.17,19851.0,136
HCPCS,C1889,Allogrt Magnus Royal Bio mg5,29624.0,19255.6,173.17,29624.0,136
HCPCS,C1889,Allogrt Paragon 28 p01v920501,23366.0,15187.9,173.17,23366.0,136
HCPCS,C1889,Allogrt Paragon 28 pdmw4x4,14403.0,9361.95,173.17,14403.0,136
HCPCS,C1889,Allogrt Paragon 28 pdmw4x8,25362.0,16485.3,173.17,25362.0,136
HCPCS,C1889,Allogrt Parametrics dod15453,6307.0,4099.55,173.17,6307.0,136
HCPCS,C1889,Allogrt ProteiOS grwth60100005,7489.0,4867.85,173.17,7489.0,136
HCPCS,C1889,Allogrt ProteiOS grwth60100010,13323.0,8659.95,173.17,13323.0,136
HCPCS,C1889,Allogrt ProteiOS grwth60100100,30665.0,19932.25,173.17,30665.0,136
HCPCS,C1889,Allogrt Tricort blc 7mm 320107,5851.0,3803.15,173.17,5851.0,136
HCPCS,C1889,Allogrt Tricort wdg bn 1328,5279.0,3431.35,173.17,5279.0,136
HCPCS,C1889,Allogrt Tutoplast 4x7cm 939247,14314.0,9304.1,173.17,14314.0,136
HCPCS,C1889,Allogrt acel Stryker 31022548,20227.0,13147.55,173.17,20227.0,136
HCPCS,C1889,Allogrt acel Stryker 31022648,21238.0,13804.7,173.17,21238.0,136
HCPCS,C1889,Allogrt achil tndn 19.5 430200,15647.0,10170.55,173.17,15647.0,136
HCPCS,C1889,Allogrt achil tndn 19.5 430207,17769.0,11549.85,173.17,17769.0,136
HCPCS,C1889,Allogrt alloaid 4x7 admh4x7,16313.0,10603.45,173.17,16313.0,136
HCPCS,C1889,Allogrt alloaid In2Bn admh4x4m,10020.0,6513.0,173.17,10020.0,136
HCPCS,C1889,Allogrt alloaid In2Bns aac0203,14305.0,9298.25,173.17,14305.0,136
HCPCS,C1889,Allogrt amn Arthrex abs4100044,11061.0,7189.65,173.17,11061.0,136
HCPCS,C1889,Allogrt amnio 1ly 1x1Bn Bnk730,5724.0,3720.6,173.17,5724.0,136
HCPCS,C1889,Allogrt amnio 1ly 2x2Bn Bnk731,9921.0,6448.65,173.17,9921.0,136
HCPCS,C1889,Allogrt amnio 1ly 4x6Bn Bnk733,18998.0,12348.7,173.17,18998.0,136
HCPCS,C1889,Allogrt amnio 2ly 2x2Bn Bnk831,11718.0,7616.7,173.17,11718.0,136
HCPCS,C1889,Allogrt amnio Mimedx aas5460,12787.0,8311.55,173.17,12787.0,136
HCPCS,C1889,Allogrt amnio Mimedx ac5230,8835.0,5742.75,173.17,8835.0,136
HCPCS,C1889,Allogrt amnio Mimedx ah5410,18468.0,12004.2,173.17,18468.0,136
HCPCS,C1889,Allogrt amnio Mimedx ah5610,27832.0,18090.8,173.17,27832.0,136
HCPCS,C1889,Allogrt amnio Mimedx ah5616,31901.0,20735.65,173.17,31901.0,136
HCPCS,C1889,Allogrt amnio Mimedx ah5920,59787.0,38861.55,173.17,59787.0,136
HCPCS,C1889,Allogrt amnio Mimedx ah5990,26917.0,17496.05,173.17,26917.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5160,3556.0,2311.4,173.17,3556.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5212,10331.0,6715.15,173.17,10331.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5230,7900.0,5135.0,173.17,7900.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5260,5252.0,3413.8,173.17,5252.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5410,19392.0,12604.8,173.17,19392.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5610,29224.0,18995.6,173.17,29224.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5616,23405.0,15213.25,173.17,23405.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5915,47109.0,30620.85,173.17,47109.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5920,40515.0,26334.75,173.17,40515.0,136
HCPCS,C1889,Allogrt amnio Mimedx aps5990,28271.0,18376.15,173.17,28271.0,136
HCPCS,C1889,Allogrt amnio Mimedx tn5220,7690.0,4998.5,173.17,7690.0,136
HCPCS,C1889,Allogrt amnio Mimedx tn5240,13458.0,8747.7,173.17,13458.0,136
HCPCS,C1889,Allogrt amnio Mimedx tn5460,15621.0,10153.65,173.17,15621.0,136
HCPCS,C1889,Allogrt amnion 3x3 abs4100033,11453.0,7444.45,173.17,11453.0,136
HCPCS,C1889,Allogrt amnion 3x6 abs4200036,18394.0,11956.1,173.17,18394.0,136
HCPCS,C1889,Allogrt amnion 3x8 abs4200038,21874.0,14218.1,173.17,21874.0,136
HCPCS,C1889,Allogrt amnion 4x4cm aac0404,15603.0,10141.95,173.17,15603.0,136
HCPCS,C1889,Allogrt amnion 4x8 abs4100048,18518.0,12036.7,173.17,18518.0,136
HCPCS,C1889,Allogrt amnion 7x7 abs4100077,24484.0,15914.6,173.17,24484.0,136
HCPCS,C1889,Allogrt amnion Arth abs4200033,12180.0,7917.0,173.17,12180.0,136
HCPCS,C1889,Allogrt ankle tendon fplt,11803.0,7671.95,173.17,11803.0,136
HCPCS,C1889,Allogrt aort thor descend a020,75555.0,49110.75,173.17,75555.0,136
HCPCS,C1889,Allogrt aortoiliac artery r010,109371.0,71091.15,173.17,109371.0,136
HCPCS,C1889,Allogrt bisected liga fbplsb,16178.0,10515.7,173.17,16178.0,136
HCPCS,C1889,Allogrt bn Osteocel 5016005,17859.0,11608.35,173.17,17859.0,136
HCPCS,C1889,Allogrt bn Paragn28 p01v920252,13672.0,8886.8,173.17,13672.0,136
HCPCS,C1889,Allogrt bn Stability phm9101,5936.0,3858.4,173.17,5936.0,136
HCPCS,C1889,Allogrt bn cancel Vivex 1612,702.0,456.3,121.45,702.0,136
HCPCS,C1889,Allogrt bn cel Nuvasive5016010,31032.0,20170.8,173.17,31032.0,136
HCPCS,C1889,Allogrt bn fib14-18x100 400750,8170.0,5310.5,173.17,8170.0,136
HCPCS,C1889,Allogrt bn matrix p01v921002,34353.0,22329.45,173.17,34353.0,136
HCPCS,C1889,Allogrt bn mtx2.5cc p01v920250,11313.0,7353.45,173.17,11313.0,136
HCPCS,C1889,Allogrt bn vivign 1 bl1500001,4685.0,3045.25,173.17,4685.0,136
HCPCS,C1889,Allogrt bn vivign 10 bl1500003,24254.0,15765.1,173.17,24254.0,136
HCPCS,C1889,Allogrt bn vivign 15 bl1500004,30183.0,19618.95,173.17,30183.0,136
HCPCS,C1889,Allogrt bn vivign 5 bl1500002,13572.0,8821.8,173.17,13572.0,136
HCPCS,C1889,Allogrt bonus triad 10cc486010,19292.0,12539.8,173.17,19292.0,136
HCPCS,C1889,Allogrt bonus triad 5cc 486005,19904.0,12937.6,173.17,19904.0,136
HCPCS,C1889,Allogrt can 11x14 Cornst245141,7534.0,4897.1,173.17,7534.0,136
HCPCS,C1889,Allogrt can bn 30cc 400150,5532.0,3595.8,173.17,5532.0,136
HCPCS,C1889,Allogrt canc 15cc 400145,3274.0,2128.1,173.17,3274.0,136
HCPCS,C1889,Allogrt canc crush frzd 102412,4558.0,2962.7,173.17,4558.0,136
HCPCS,C1889,Allogrt cancel 4-10 pcan30410,3867.0,2513.55,173.17,3867.0,136
HCPCS,C1889,Allogrt cancel 5cc mcan0050,1946.0,1264.9,173.17,1946.0,136
HCPCS,C1889,Allogrt cell Vivigen bl1900kt2,27023.0,17564.95,173.17,27023.0,136
HCPCS,C1889,Allogrt cell bn 10cc mcbm1010d,31039.0,20175.35,173.17,31039.0,136
HCPCS,C1889,Allogrt cell vivign1 bl1600001,5671.0,3686.15,173.17,5671.0,136
HCPCS,C1889,Allogrt cell vivign10bl1600003,28913.0,18793.45,173.17,28913.0,136
HCPCS,C1889,Allogrt cell vivign5 bl1600002,16193.0,10525.45,173.17,16193.0,136
HCPCS,C1889,Allogrt coastal cartl 258111,2045.0,1329.25,173.17,2045.0,136
HCPCS,C1889,Allogrt coastal cartl 258112,2336.0,1518.4,173.17,2336.0,136
HCPCS,C1889,Allogrt coastal cartl 258114,6516.0,4235.4,173.17,6516.0,136
HCPCS,C1889,Allogrt coastal cartl 258221,2423.0,1574.95,173.17,2423.0,136
HCPCS,C1889,Allogrt coastal cartl 258224,7241.0,4706.65,173.17,7241.0,136
HCPCS,C1889,Allogrt coastal cartl 450035,6395.0,4156.75,173.17,6395.0,136
HCPCS,C1889,Allogrt coastal cartl 450045,5479.0,3561.35,173.17,5479.0,136
HCPCS,C1889,Allogrt cort PDR 100-200u 1622,3469.0,2254.85,173.17,3469.0,136
HCPCS,C1889,Allogrt cort Zimmer 921377,7537.0,4899.05,173.17,7537.0,136
HCPCS,C1889,Allogrt cort cancel 10cc 458,8622.0,5604.3,173.17,8622.0,136
HCPCS,C1889,Allogrt cort pwdr10 asp1458,1408.0,915.2,173.17,1408.0,136
HCPCS,C1889,Allogrt cort pwdr20 asp1459,2444.0,1588.6,173.17,2444.0,136
HCPCS,C1889,Allogrt costal Mtf 258113,5721.0,3718.65,173.17,5721.0,136
HCPCS,C1889,Allogrt costal cartl MTF258115,6626.0,4306.9,173.17,6626.0,136
HCPCS,C1889,Allogrt costal cartl MTF258225,8570.0,5570.5,173.17,8570.0,136
HCPCS,C1889,Allogrt costal cartl MTF450030,6355.0,4130.75,173.17,6355.0,136
HCPCS,C1889,Allogrt dbf 6cc t50306,13200.0,8580.0,173.17,13200.0,136
HCPCS,C1889,Allogrt dbf 6cc t50309,11832.0,7690.8,173.17,11832.0,136
HCPCS,C1889,Allogrt dbm In2Bones paa050,13058.0,8487.7,173.17,13058.0,136
HCPCS,C1889,Allogrt dbm Parag28 p01dbm1003,7798.0,5068.7,173.17,7798.0,136
HCPCS,C1889,Allogrt dbm Seaspine 029100032,14559.0,9463.35,173.17,14559.0,136
HCPCS,C1889,Allogrt dbm aft tub 227010,2130.0,1384.5,173.17,2130.0,136
HCPCS,C1889,Allogrt dbm bn progrt 22500025,7107.0,4619.55,173.17,7107.0,136
HCPCS,C1889,Allogrt dbm moldable phg01p,6710.0,4361.5,173.17,6710.0,136
HCPCS,C1889,Allogrt dbm putty 2.5cc 38025,5198.0,3378.7,173.17,5198.0,136
HCPCS,C1889,Allogrt dura onlay 5x7 dmop57,15278.0,9930.7,173.17,15278.0,136
HCPCS,C1889,Allogrt fascia CTS 112812,2227.0,1447.55,173.17,2227.0,136
HCPCS,C1889,Allogrt fem MTF 450100,14697.0,9553.05,173.17,14697.0,136
HCPCS,C1889,Allogrt fem dist Lifenet fdf,23431.0,15230.15,173.17,23431.0,136
HCPCS,C1889,Allogrt ff lt tib shaft 252,12819.0,8332.35,173.17,12819.0,136
HCPCS,C1889,Allogrt ff um Tissue Bnk 1800,24748.0,16086.2,173.17,24748.0,136
HCPCS,C1889,Allogrt fib bn 400740,7785.0,5060.25,173.17,7785.0,136
HCPCS,C1889,Allogrt fib shft 15fd asp0049,5841.0,3796.65,173.17,5841.0,136
HCPCS,C1889,Allogrt fibu shft 15 asp0048,6012.0,3907.8,173.17,6012.0,136
HCPCS,C1889,Allogrt fibu shft 15fd rad1343,4552.0,2958.8,173.17,4552.0,136
HCPCS,C1889,Allogrt hum head Lifenet fhh,9459.0,6148.35,173.17,9459.0,136
HCPCS,C1889,Allogrt ilium tricort 12 ma114,8986.0,5840.9,173.17,8986.0,136
HCPCS,C1889,Allogrt ilium tricort 18 ma116,11635.0,7562.75,173.17,11635.0,136
HCPCS,C1889,Allogrt leneva MTF wc5101,12217.0,7941.05,173.17,12217.0,136
HCPCS,C1889,Allogrt matr Parag28p01v921001,32563.0,21165.95,173.17,32563.0,136
HCPCS,C1889,Allogrt matrigrft LifeNet ffib,7942.0,5162.3,173.17,7942.0,136
HCPCS,C1889,Allogrt matrix amnion hpm0022,9212.0,5987.8,173.17,9212.0,136
HCPCS,C1889,Allogrt matrix amnion hpm0023,13245.0,8609.25,173.17,13245.0,136
HCPCS,C1889,Allogrt matrix amnion hpm0033,13050.0,8482.5,173.17,13050.0,136
HCPCS,C1889,Allogrt matrix amnion hpm0054,2635.0,1712.75,173.17,2635.0,136
HCPCS,C1889,Allogrt matrix placenta wc3080,14432.0,9380.8,173.17,14432.0,136
HCPCS,C1889,Allogrt matrx adipose 5 ap0005,12436.0,8083.4,173.17,12436.0,136
HCPCS,C1889,Allogrt nerve 1-2x50 111150,31230.0,20299.5,173.17,31230.0,136
HCPCS,C1889,Allogrt nerve 1-2x70 111270,29038.0,18874.7,173.17,29038.0,136
HCPCS,C1889,Allogrt nerve 2-3 50 211250,29407.0,19114.55,173.17,29407.0,136
HCPCS,C1889,Allogrt nerve 2-3x15 211215,12607.0,8194.55,173.17,12607.0,136
HCPCS,C1889,Allogrt nerve 2-3x70 211270,26327.0,17112.55,173.17,26327.0,136
HCPCS,C1889,Allogrt osteo bi comp 43747004,99173.0,64462.45,173.17,99173.0,136
HCPCS,C1889,Allogrt paragon 28 p01dbm1001,3450.0,2242.5,173.17,3450.0,136
HCPCS,C1889,Allogrt patella hemi 430012,17290.0,11238.5,173.17,17290.0,136
HCPCS,C1889,Allogrt patellar lig plp101,22016.0,14310.4,173.17,22016.0,136
HCPCS,C1889,Allogrt patellar tendon fpl11,19650.0,12772.5,173.17,19650.0,136
HCPCS,C1889,Allogrt peroneus tndn 430345,15258.0,9917.7,173.17,15258.0,136
HCPCS,C1889,Allogrt placental emc pcm0250,5809.0,3775.85,173.17,5809.0,136
HCPCS,C1889,Allogrt placental emc pcm0500,11375.0,7393.75,173.17,11375.0,136
HCPCS,C1889,Allogrt placental emc pcm1000,15561.0,10114.65,173.17,15561.0,136
HCPCS,C1889,Allogrt placental emc pcm2000,31267.0,20323.55,173.17,31267.0,136
HCPCS,C1889,Allogrt powdr micr Metis 1620,8958.0,5822.7,173.17,8958.0,136
HCPCS,C1889,Allogrt rib fd asp0158,4834.0,3142.1,173.17,4834.0,136
HCPCS,C1889,Allogrt sclera hum tiss wc4044,81792.0,53164.8,173.17,81792.0,136
HCPCS,C1889,Allogrt semi tnd Lifenet fst,14613.0,9498.45,173.17,14613.0,136
HCPCS,C1889,Allogrt sterigraft crushed 449,3911.0,2542.15,173.17,3911.0,136
HCPCS,C1889,Allogrt tendn JRF Ortho spd001,16513.0,10733.45,173.17,16513.0,136
HCPCS,C1889,Allogrt tendn UMTissue bnk0263,18401.0,11960.65,173.17,18401.0,136
HCPCS,C1889,Allogrt tendon LifeNet fatb,12369.0,8039.85,173.17,12369.0,136
HCPCS,C1889,Allogrt tendon Lifenet fglts,15749.0,10236.85,173.17,15749.0,136
HCPCS,C1889,Allogrt tendon quad 430705,13311.0,8652.15,173.17,13311.0,136
HCPCS,C1889,Allogrt tib cort strut 450530,9096.0,5912.4,173.17,9096.0,136
HCPCS,C1889,Allogrt tib shaft 50x10 450500,8446.0,5489.9,173.17,8446.0,136
HCPCS,C1889,Allogrt tibialis ant 81b001,11795.0,7666.75,173.17,11795.0,136
HCPCS,C1889,Allogrt trinity s 1.2cc 410001,6181.0,4017.65,173.17,6181.0,136
HCPCS,C1889,Allogrt versa tendon 224749355,12559.0,8163.35,173.17,12559.0,136
HCPCS,C1889,Allogrt viable bn 10cc ps51010,27221.0,17693.65,173.17,27221.0,136
HCPCS,C1889,Allogrt viable bn 1cc ps51001,7738.0,5029.7,173.17,7738.0,136
HCPCS,C1889,Allogrt viable bn2.5cc ps51002,11292.0,7339.8,173.17,11292.0,136
HCPCS,C1889,Allomatrix x bn dbm 860c0500,10092.0,6559.8,173.17,10092.0,136
HCPCS,C1889,Allowedge biocort cottn d18808,17500.0,11375.0,173.17,17500.0,136
HCPCS,C1889,Allowedge biocort evans d18008,18785.0,12210.25,173.17,18785.0,136
HCPCS,C1889,Amniograft 1.25ml bf010125,29628.0,19258.2,173.17,29628.0,136
HCPCS,C1889,Amniogrft fluid 2ml p01amf0200,34764.0,22596.6,173.17,34764.0,136
HCPCS,C1889,Anchor fibertag ar1288rtt2fc3,14226.0,9246.9,173.17,14226.0,136
HCPCS,C1889,Anchor sut Capsure 15 0113215,2487.0,1616.55,173.17,2487.0,136
HCPCS,C1889,Anchor sut Capsure 30 0113230,2968.0,1929.2,173.17,2968.0,136
HCPCS,C1889,Anchor sut Helix m00505500,8952.0,5818.8,173.17,8952.0,136
HCPCS,C1889,Anchor sut Optifix 30 0113126,4876.0,3169.4,173.17,4876.0,136
HCPCS,C1889,Anchor sut Sorbafix 15 0113115,3286.0,2135.9,173.17,3286.0,136
HCPCS,C1889,Anchor suture ligament 520350,469.0,304.85,81.14,469.0,136
HCPCS,C1889,Aortc stent anchr appl16f sa85,33894.0,22031.1,173.17,33894.0,136
HCPCS,C1889,Aortc stent anchr appl18f18114,31776.0,20654.4,173.17,31776.0,136
HCPCS,C1889,Autograft harvester mbgh0009,12414.0,8069.1,173.17,12414.0,68
HCPCS,C1889,Bag ipg bioab Medtr nmrm6122,9297.0,6043.05,173.17,9297.0,136
HCPCS,C1889,Band falope ring appli lapscop,2836.0,1843.4,173.17,2836.0,136
HCPCS,C1889,Battery rechrg sysprcpt rs6230,20170.0,13110.5,173.17,20170.0,68
HCPCS,C1889,Blade arthro shaver 72205292,2167.0,1408.55,173.17,2167.0,68
HCPCS,C1889,Blade endo rad rot 1883516hre,2340.0,1521.0,173.17,2340.0,68
HCPCS,C1889,Blade endo rad rot 1883519hr,3000.0,1950.0,173.17,3000.0,68
HCPCS,C1889,Blade sagit 18x90 str611812790,576.0,374.4,99.65,576.0,68
HCPCS,C1889,Blade saw Mako Stryker 116171,3233.0,2101.45,173.17,3233.0,68
HCPCS,C1889,Bolt 12mm dne12b,78.0,50.7,13.49,173.17,136
HCPCS,C1889,Bolt fem adap 960784,3283.0,2133.95,173.17,3283.0,136
HCPCS,C1889,Bone filler Kyphon curv vpt02a,5565.0,3617.25,173.17,5565.0,136
HCPCS,C1889,Bone graft kit inf xs 7510100,13530.0,8794.5,173.17,13530.0,136
HCPCS,C1889,Bone harvestr avitus 6mm bh220,14533.0,9446.45,173.17,14533.0,68
HCPCS,C1889,Bonecube Seaspine 56101010,8488.0,5517.2,173.17,8488.0,136
HCPCS,C1889,Bonegraft FusionFlex 86080008,2310.0,1501.5,173.17,2310.0,136
HCPCS,C1889,Bonegraft FusionFlex 86080010,3036.0,1973.4,173.17,3036.0,136
HCPCS,C1889,Bonegraft FusionFlex 86080012,4041.0,2626.65,173.17,4041.0,136
HCPCS,C1889,Bonegraft FusionFlex 86081020,4969.0,3229.85,173.17,4969.0,136
HCPCS,C1889,Bonegraft FusionFlex 86082020,7309.0,4750.85,173.17,7309.0,136
HCPCS,C1889,Bonegraft FusionFlex 86082040,11963.0,7775.95,173.17,11963.0,136
HCPCS,C1889,Bonegrft cann Vivign bl1900001,12125.0,7881.25,173.17,12125.0,136
HCPCS,C1889,Breast nipple imp cyl rec1x1.5,4279.0,2781.35,173.17,4279.0,136
HCPCS,C1889,Bronchoscope BFlex 2 05700449,15011.0,9757.15,173.17,15011.0,68
HCPCS,C1889,Bur cranial 3.0mm 5820107530c,2686.0,1745.9,173.17,2686.0,68
HCPCS,C1889,Burr ball Stryker 110135,466.0,302.9,80.62,466.0,68
HCPCS,C1889,C1889 implant other NOC 0-25,141.0,91.65,24.39,173.17,136
HCPCS,C1889,C1889 implant other NOC 101-150,1357.0,882.05,173.17,1357.0,136
HCPCS,C1889,C1889 implant other NOC 10251-11250,54956.0,35721.4,173.17,54956.0,136
HCPCS,C1889,C1889 implant other NOC 1101-1300,12471.0,8106.15,173.17,12471.0,136
HCPCS,C1889,C1889 implant other NOC 11251-12250,60068.0,39044.2,173.17,60068.0,136
HCPCS,C1889,C1889 implant other NOC 12251-13250,65180.0,42367.0,173.17,65180.0,136
HCPCS,C1889,C1889 implant other NOC 13251-14250,70292.0,45689.8,173.17,70292.0,136
HCPCS,C1889,C1889 implant other NOC 14251-15250,75404.0,49012.6,173.17,75404.0,136
HCPCS,C1889,C1889 implant other NOC 1501-2000,12432.0,8080.8,173.17,12432.0,136
HCPCS,C1889,C1889 implant other NOC 151-200,1897.0,1233.05,173.17,1897.0,136
HCPCS,C1889,C1889 implant other NOC 15251-16750,81794.0,53166.1,173.17,81794.0,136
HCPCS,C1889,C1889 implant other NOC 16751-18250,89462.0,58150.3,173.17,89462.0,136
HCPCS,C1889,C1889 implant other NOC 18251-19750,97130.0,63134.5,173.17,97130.0,136
HCPCS,C1889,C1889 implant other NOC 19751-21250,104798.0,68118.7,173.17,104798.0,136
HCPCS,C1889,C1889 implant other NOC 201-250,2438.0,1584.7,173.17,2438.0,136
HCPCS,C1889,C1889 implant other NOC 21251-22750,112466.0,73102.9,173.17,112466.0,136
HCPCS,C1889,C1889 implant other NOC 22751-24250,120134.0,78087.1,173.17,120134.0,136
HCPCS,C1889,C1889 implant other NOC 24251-25750,127802.0,83071.3,173.17,127802.0,136
HCPCS,C1889,C1889 implant other NOC 2501-3000,19534.0,12697.1,173.17,19534.0,136
HCPCS,C1889,C1889 implant other NOC 251-300,2920.0,1898.0,173.17,2920.0,136
HCPCS,C1889,C1889 implant other NOC 25751-27250,135470.0,88055.5,173.17,135470.0,136
HCPCS,C1889,C1889 implant other NOC 26-50,427.0,277.55,73.87,427.0,136
HCPCS,C1889,C1889 implant other NOC 27251-29000,143777.0,93455.05,173.17,143777.0,136
HCPCS,C1889,C1889 implant other NOC 29001-30750,152723.0,99269.95,173.17,152723.0,136
HCPCS,C1889,C1889 implant other NOC 3001-3500,23085.0,15005.25,173.17,23085.0,136
HCPCS,C1889,C1889 implant other NOC 301-400,3715.0,2414.75,173.17,3715.0,136
HCPCS,C1889,C1889 implant other NOC 30751-32500,161669.0,105084.85,173.17,161669.0,136
HCPCS,C1889,C1889 implant other NOC 32501-34250,170615.0,110899.75,173.17,170615.0,136
HCPCS,C1889,C1889 implant other NOC 34251-36000,179561.0,116714.65,173.17,179561.0,136
HCPCS,C1889,C1889 implant other NOC 3501-4250,27654.0,17975.1,173.17,27654.0,136
HCPCS,C1889,C1889 implant other NOC 36001-37750,188507.0,122529.55,173.17,188507.0,136
HCPCS,C1889,C1889 implant other NOC 37751-39500,197453.0,128344.45,173.17,197453.0,136
HCPCS,C1889,C1889 implant other NOC 39501-41250,206399.0,134159.35,173.17,206399.0,136
HCPCS,C1889,C1889 implant other NOC 401-500,4775.0,3103.75,173.17,4775.0,136
HCPCS,C1889,C1889 implant other NOC 41251-43250,215984.0,140389.6,173.17,215984.0,136
HCPCS,C1889,C1889 implant other NOC 4251-5000,33005.0,21453.25,173.17,33005.0,136
HCPCS,C1889,C1889 implant other NOC 43251-45250,226208.0,147035.2,173.17,226208.0,136
HCPCS,C1889,C1889 implant other NOC 45251-47250,236432.0,153680.8,173.17,236432.0,136
HCPCS,C1889,C1889 implant other NOC 47251-49250,246656.0,160326.4,173.17,246656.0,136
HCPCS,C1889,C1889 implant other NOC 49251-51250,256880.0,166972.0,173.17,256880.0,136
HCPCS,C1889,C1889 implant other NOC 5001-5750,27479.0,17861.35,173.17,27479.0,136
HCPCS,C1889,C1889 implant other NOC 501-600,5835.0,3792.75,173.17,5835.0,136
HCPCS,C1889,C1889 implant other NOC 51-75,694.0,451.1,120.06,694.0,136
HCPCS,C1889,C1889 implant other NOC 5751-6500,31313.0,20353.45,173.17,31313.0,136
HCPCS,C1889,C1889 implant other NOC 601-700,6895.0,4481.75,173.17,6895.0,136
HCPCS,C1889,C1889 implant other NOC 6501-7250,35147.0,22845.55,173.17,35147.0,136
HCPCS,C1889,C1889 implant other NOC 701-900,8316.0,5405.4,173.17,8316.0,136
HCPCS,C1889,C1889 implant other NOC 7251-8250,39620.0,25753.0,173.17,39620.0,136
HCPCS,C1889,C1889 implant other NOC 76-100,970.0,630.5,167.81,970.0,136
HCPCS,C1889,C1889 implant other NOC 8251-9250,44732.0,29075.8,173.17,44732.0,136
HCPCS,C1889,C1889 implant other NOC 901-1100,10393.0,6755.45,173.17,10393.0,136
HCPCS,C1889,C1889 implant other NOC 9251-10250,49844.0,32398.6,173.17,49844.0,136
HCPCS,C1889,C1889 insertable dev NOC 0-25,141.0,91.65,24.39,173.17,68
HCPCS,C1889,C1889 insertable dev NOC 101-150,1357.0,882.05,173.17,1357.0,68
HCPCS,C1889,C1889 insertable dev NOC 10251-11250,54956.0,35721.4,173.17,54956.0,68
HCPCS,C1889,C1889 insertable dev NOC 1101-1300,12471.0,8106.15,173.17,12471.0,68
HCPCS,C1889,C1889 insertable dev NOC 11251-12250,60068.0,39044.2,173.17,60068.0,68
HCPCS,C1889,C1889 insertable dev NOC 12251-13250,65180.0,42367.0,173.17,65180.0,68
HCPCS,C1889,C1889 insertable dev NOC 1301-1500,14549.0,9456.85,173.17,14549.0,68
HCPCS,C1889,C1889 insertable dev NOC 13251-14250,70292.0,45689.8,173.17,70292.0,68
HCPCS,C1889,C1889 insertable dev NOC 14251-15250,75404.0,49012.6,173.17,75404.0,68
HCPCS,C1889,C1889 insertable dev NOC 1501-2000,12432.0,8080.8,173.17,12432.0,68
HCPCS,C1889,C1889 insertable dev NOC 151-200,1897.0,1233.05,173.17,1897.0,68
HCPCS,C1889,C1889 insertable dev NOC 15251-16750,81794.0,53166.1,173.17,81794.0,68
HCPCS,C1889,C1889 insertable dev NOC 16751-18250,89462.0,58150.3,173.17,89462.0,68
HCPCS,C1889,C1889 insertable dev NOC 18251-19750,97130.0,63134.5,173.17,97130.0,68
HCPCS,C1889,C1889 insertable dev NOC 19751-21250,104798.0,68118.7,173.17,104798.0,68
HCPCS,C1889,C1889 insertable dev NOC 2001-2500,15983.0,10388.95,173.17,15983.0,68
HCPCS,C1889,C1889 insertable dev NOC 201-250,2438.0,1584.7,173.17,2438.0,68
HCPCS,C1889,C1889 insertable dev NOC 21251-22750,112466.0,73102.9,173.17,112466.0,68
HCPCS,C1889,C1889 insertable dev NOC 22751-24250,120134.0,78087.1,173.17,120134.0,68
HCPCS,C1889,C1889 insertable dev NOC 24251-25750,127802.0,83071.3,173.17,127802.0,68
HCPCS,C1889,C1889 insertable dev NOC 2501-3000,19534.0,12697.1,173.17,19534.0,68
HCPCS,C1889,C1889 insertable dev NOC 251-300,2920.0,1898.0,173.17,2920.0,68
HCPCS,C1889,C1889 insertable dev NOC 25751-27250,135470.0,88055.5,173.17,135470.0,68
HCPCS,C1889,C1889 insertable dev NOC 26-50,427.0,277.55,73.87,427.0,68
HCPCS,C1889,C1889 insertable dev NOC 27251-29000,143777.0,93455.05,173.17,143777.0,68
HCPCS,C1889,C1889 insertable dev NOC 29001-30750,152723.0,99269.95,173.17,152723.0,68
HCPCS,C1889,C1889 insertable dev NOC 3001-3500,23085.0,15005.25,173.17,23085.0,68
HCPCS,C1889,C1889 insertable dev NOC 301-400,3715.0,2414.75,173.17,3715.0,68
HCPCS,C1889,C1889 insertable dev NOC 30751-32500,161669.0,105084.85,173.17,161669.0,68
HCPCS,C1889,C1889 insertable dev NOC 32501-34250,170615.0,110899.75,173.17,170615.0,68
HCPCS,C1889,C1889 insertable dev NOC 34251-36000,179561.0,116714.65,173.17,179561.0,68
HCPCS,C1889,C1889 insertable dev NOC 3501-4250,27654.0,17975.1,173.17,27654.0,68
HCPCS,C1889,C1889 insertable dev NOC 36001-37750,188507.0,122529.55,173.17,188507.0,68
HCPCS,C1889,C1889 insertable dev NOC 37751-39500,197453.0,128344.45,173.17,197453.0,68
HCPCS,C1889,C1889 insertable dev NOC 39501-41250,206399.0,134159.35,173.17,206399.0,68
HCPCS,C1889,C1889 insertable dev NOC 401-500,4775.0,3103.75,173.17,4775.0,68
HCPCS,C1889,C1889 insertable dev NOC 41251-43250,215984.0,140389.6,173.17,215984.0,68
HCPCS,C1889,C1889 insertable dev NOC 4251-5000,33005.0,21453.25,173.17,33005.0,68
HCPCS,C1889,C1889 insertable dev NOC 43251-45250,226208.0,147035.2,173.17,226208.0,68
HCPCS,C1889,C1889 insertable dev NOC 45251-47250,236432.0,153680.8,173.17,236432.0,68
HCPCS,C1889,C1889 insertable dev NOC 47251-49250,246656.0,160326.4,173.17,246656.0,68
HCPCS,C1889,C1889 insertable dev NOC 49251-51250,256880.0,166972.0,173.17,256880.0,68
HCPCS,C1889,C1889 insertable dev NOC 5001-5750,27479.0,17861.35,173.17,27479.0,68
HCPCS,C1889,C1889 insertable dev NOC 501-600,5835.0,3792.75,173.17,5835.0,68
HCPCS,C1889,C1889 insertable dev NOC 51-75,694.0,451.1,120.06,694.0,68
HCPCS,C1889,C1889 insertable dev NOC 5751-6500,31313.0,20353.45,173.17,31313.0,68
HCPCS,C1889,C1889 insertable dev NOC 601-700,6895.0,4481.75,173.17,6895.0,68
HCPCS,C1889,C1889 insertable dev NOC 6501-7250,35147.0,22845.55,173.17,35147.0,68
HCPCS,C1889,C1889 insertable dev NOC 701-900,8316.0,5405.4,173.17,8316.0,68
HCPCS,C1889,C1889 insertable dev NOC 7251-8250,39620.0,25753.0,173.17,39620.0,68
HCPCS,C1889,C1889 insertable dev NOC 76-100,970.0,630.5,167.81,970.0,68
HCPCS,C1889,C1889 insertable dev NOC 8251-9250,44732.0,29075.8,173.17,44732.0,68
HCPCS,C1889,C1889 insertable dev NOC 901-1100,10393.0,6755.45,173.17,10393.0,68
HCPCS,C1889,C1889 insertable dev NOC 9251-10250,49844.0,32398.6,173.17,49844.0,68
HCPCS,C1889,Cable medtr 826211,3501.0,2275.65,173.17,3501.0,136
HCPCS,C1889,Cage AVS anchor-c imp 48321064,11505.0,7478.25,173.17,11505.0,136
HCPCS,C1889,Cage Capri 17x22 210124222l0,16459.0,10698.35,173.17,16459.0,136
HCPCS,C1889,Cage Capri crvcl 750121425l7g2,30730.0,19974.5,173.17,30730.0,136
HCPCS,C1889,Cage Eclipse Arthrex ar940108s,1189.0,772.85,173.17,1189.0,136
HCPCS,C1889,Cage alif 1921006p2,29445.0,19139.25,173.17,29445.0,136
HCPCS,C1889,Cage alif J&J aui71437,27285.0,17735.25,173.17,27285.0,136
HCPCS,C1889,Cage centerpiece 13mm 436013a,30960.0,20124.0,173.17,30960.0,136
HCPCS,C1889,Cage cerv Stryker 170323814l,34142.0,22192.3,173.17,34142.0,136
HCPCS,C1889,Cage cerv capri 750121419l7g2,24346.0,15824.9,173.17,24346.0,136
HCPCS,C1889,Cage cerv cif J&J cui8070s,10070.0,6545.5,173.17,10070.0,136
HCPCS,C1889,Cage clydesdale 6dg 10 4986045,32752.0,21288.8,173.17,32752.0,136
HCPCS,C1889,Cage endcap Nuvasive 5161600,292.0,189.8,50.52,292.0,136
HCPCS,C1889,Cage lumb xc mini 12mm 5962253,27955.0,18170.75,173.17,27955.0,136
HCPCS,C1889,Cage medtr 9391623,27454.0,17845.1,173.17,27454.0,136
HCPCS,C1889,Cage medtr 9391928,34036.0,22123.4,173.17,34036.0,136
HCPCS,C1889,Cage spine Stryker 211220822,30722.0,19969.3,173.17,30722.0,136
HCPCS,C1889,Cage tm sht flange rt712306254,23544.0,15303.6,173.17,23544.0,136
HCPCS,C1889,Cann transseptl tandem51406217,53676.0,34889.4,173.17,53676.0,68
HCPCS,C1889,Cann venous perf 28fr 67528,348.0,226.2,60.2,348.0,68
HCPCS,C1889,Cap Solera Voyager 6550016,3891.0,2529.15,173.17,3891.0,68
HCPCS,C1889,Cap end xl25 0mm 04233000s,2609.0,1695.85,173.17,2609.0,136
HCPCS,C1889,Cap lck ars655200,4251.0,2763.15,173.17,4251.0,136
HCPCS,C1889,Cartridge TherOx ds2 900430001,35454.0,23045.1,173.17,35454.0,68
HCPCS,C1889,Cath 88 strght 8f 115 da8115st,22340.0,14521.0,173.17,22340.0,68
HCPCS,C1889,Cath CV Grosh conntr 7712400,167.0,108.55,28.89,173.17,136
HCPCS,C1889,Cath IAB Maquet 68400046901,10610.0,6896.5,173.17,10610.0,68
HCPCS,C1889,Cath Impress 4f 30cm 43035ka2,157.0,102.05,27.16,173.17,68
HCPCS,C1889,Cath abl probe ndl ibxpa1327,27900.0,18135.0,173.17,27900.0,68
HCPCS,C1889,Cath abl suresnd nsv5kitus001,13176.0,8564.4,173.17,13176.0,136
HCPCS,C1889,Cath ablate novasure nsv5us001,12690.0,8248.5,173.17,12690.0,136
HCPCS,C1889,Cath abln RFA Coviden 909300,13712.0,8912.8,173.17,13712.0,68
HCPCS,C1889,Cath abln rf endo tts1100,11634.0,7562.1,173.17,11634.0,68
HCPCS,C1889,Cath adv hd grid map vadhddf16,14333.0,9316.45,173.17,14333.0,68
HCPCS,C1889,Cath angio vestan 534543t,84.0,54.6,14.53,173.17,68
HCPCS,C1889,Cath arterl Teleflx na04020x1a,472.0,306.8,81.66,472.0,68
HCPCS,C1889,Cath bal aort 068400029401u,10329.0,6713.85,173.17,10329.0,68
HCPCS,C1889,Cath ball RFA Coviden 64082,16093.0,10460.45,173.17,16093.0,68
HCPCS,C1889,Cath barrx sb rfa endo tts2100,12933.0,8406.45,173.17,12933.0,68
HCPCS,C1889,Cath delv Aveir Abbott lscd111,12429.0,8078.85,173.17,12429.0,68
HCPCS,C1889,Cath dual lumen kit 51301715,5830.0,3789.5,173.17,5830.0,68
HCPCS,C1889,Cath dual lumen kit 51404629,66456.0,43196.4,173.17,66456.0,68
HCPCS,C1889,Cath guide Mach 1 34356685,639.0,415.35,110.55,639.0,68
HCPCS,C1889,Cath guide MitraClip sgc0801,168696.0,109652.4,173.17,168696.0,68
HCPCS,C1889,Cath impella rp flex 1000323,127800.0,83070.0,173.17,127800.0,68
HCPCS,C1889,Cath inf Ekos h74939605106120,30283.0,19683.95,173.17,30283.0,68
HCPCS,C1889,Cath litho ivl jvnpivlf,33537.0,21799.05,173.17,33537.0,68
HCPCS,C1889,Cath pacing temp 006225p,6057.0,3937.05,173.17,6057.0,68
HCPCS,C1889,Cath shunt ventr Bactsea823072,8114.0,5274.1,173.17,8114.0,136
HCPCS,C1889,Cath shunt ventr Bactsea823073,4702.0,3056.3,173.17,4702.0,136
HCPCS,C1889,Cath sys base camp 5001190,3612.0,2347.8,173.17,3612.0,68
HCPCS,C1889,Cath sys hipoint 200488143,20402.0,13261.3,173.17,20402.0,68
HCPCS,C1889,Cath sys lumbar peritoneal md,7408.0,4815.2,173.17,7408.0,136
HCPCS,C1889,Cath thrmb pounce pts06077f135,35670.0,23185.5,173.17,35670.0,68
HCPCS,C1889,Cath thromb lp 7f pts04077f150,23914.0,15544.1,173.17,23914.0,68
HCPCS,C1889,Cath zoom 35 asp icrc035158,11967.0,7778.55,173.17,11967.0,68
HCPCS,C1889,Cath zoom asp ictc088110,21271.0,13826.15,173.17,21271.0,68
HCPCS,C1889,CathWork KeyCrd FFR lab0000379,8572.0,5571.8,173.17,8572.0,68
HCPCS,C1889,Cement autoplx mixer605887000,6892.0,4479.8,173.17,6892.0,136
HCPCS,C1889,Cement bn Stryker 507486000,8545.0,5554.25,173.17,8545.0,136
HCPCS,C1889,Cement bn Stryker 7945910,28212.0,18337.8,173.17,28212.0,136
HCPCS,C1889,Cement bn autoplxthin605687000,10078.0,6550.7,173.17,10078.0,136
HCPCS,C1889,Cement bn quickst 16cc abs3016,21253.0,13814.45,173.17,21253.0,136
HCPCS,C1889,Cement bn syst Heraeus 5075298,5141.0,3341.65,173.17,5141.0,136
HCPCS,C1889,Cement bn syst Heraeus 5075299,3034.0,1972.1,173.17,3034.0,136
HCPCS,C1889,Cement bn traumacem 07702040s,4244.0,2758.6,173.17,4244.0,136
HCPCS,C1889,Cement bone antibiotc 61921001,722.0,469.3,124.91,722.0,136
HCPCS,C1889,Cement cannula 42420,6996.0,4547.4,173.17,6996.0,68
HCPCS,C1889,Cement graftgun gds ggu1000,8830.0,5739.5,173.17,8830.0,68
HCPCS,C1889,Cement osteolysis proc84lk0000,11260.0,7319.0,173.17,11260.0,136
HCPCS,C1889,Cement restr univ s b0001185,1346.0,874.9,173.17,1346.0,136
HCPCS,C1889,Cement sys viscosity 10001127,12980.0,8437.0,173.17,12980.0,68
HCPCS,C1889,Cement verteport 8ga 605408500,3170.0,2060.5,173.17,3170.0,136
HCPCS,C1889,Cement verteport thck607687000,9048.0,5881.2,173.17,9048.0,136
HCPCS,C1889,Clip Filshie avm-851,3446.0,2239.9,173.17,3446.0,136
HCPCS,C1889,Clip LAA AtriClip ach235,6106.0,3968.9,173.17,6106.0,136
HCPCS,C1889,Clip MICS irrigation 111331,834.0,542.1,144.28,834.0,68
HCPCS,C1889,Clip aneurysm Aesculap ft740t,4417.0,2871.05,173.17,4417.0,136
HCPCS,C1889,Clip aneurysm fe716k,4383.0,2848.95,173.17,4383.0,136
HCPCS,C1889,Clip aneurysm lg 18.0 strg 25,3306.0,2148.9,173.17,3306.0,136
HCPCS,C1889,Clip aneurysm mini 5.0 strg 6,3148.0,2046.2,173.17,3148.0,136
HCPCS,C1889,Clip device Cook Med g58010,16561.0,10764.65,173.17,16561.0,136
HCPCS,C1889,Clip ligation med 51114v,317.0,206.05,54.84,317.0,136
HCPCS,C1889,Clip titanium 3d rib clip 0140,15759.0,10243.35,173.17,15759.0,136
HCPCS,C1889,Closure sternl Zimmer 94140004,12425.0,8076.25,173.17,12425.0,136
HCPCS,C1889,Closure sternl Zimmer 94160005,14295.0,9291.75,173.17,14295.0,136
HCPCS,C1889,Closure sternl Zimmer 94170010,15973.0,10382.45,173.17,15973.0,136
HCPCS,C1889,Closure sternl Zimmer94150004s,12800.0,8320.0,173.17,12800.0,136
HCPCS,C1889,Coil 018 fiber 10mm straight,933.0,606.45,161.41,933.0,136
HCPCS,C1889,Coil 018 fiber 2mm straight,641.0,416.65,110.89,641.0,136
HCPCS,C1889,Coil 10 2mmx6cm 100206h2hs-v,14112.0,9172.8,173.17,14112.0,136
HCPCS,C1889,Coil 10 3mmx4cm 100304h2hs-v,12829.0,8338.85,173.17,12829.0,136
HCPCS,C1889,Coil 10 3mmx6cm 100306hes-v,13620.0,8853.0,173.17,13620.0,136
HCPCS,C1889,Coil 10 4mmx10cm 100410hes-v,11012.0,7157.8,173.17,11012.0,136
HCPCS,C1889,Coil 10 4mmx6cm 100406h2hs-v,14457.0,9397.05,173.17,14457.0,136
HCPCS,C1889,Coil 10 5mmx10cm 100510hes-v,10964.0,7126.6,173.17,10964.0,136
HCPCS,C1889,Coil 10 7x30cm Presidio MICV,17113.0,11123.45,173.17,17113.0,136
HCPCS,C1889,Coil 10mmx30cm 101030cmsr-v,14698.0,9553.7,173.17,14698.0,136
HCPCS,C1889,Coil 14 2mmx5cm 140205hes-v,12900.0,8385.0,173.17,12900.0,136
HCPCS,C1889,Coil 14 3mmx5cm 140305hes-v,12779.0,8306.35,173.17,12779.0,136
HCPCS,C1889,Coil 14 4mm 10cm Hydrocoil,10886.0,7075.9,173.17,10886.0,136
HCPCS,C1889,Coil 14 5mmx10cm 140510hes-v,10930.0,7104.5,173.17,10930.0,136
HCPCS,C1889,Coil 14 5mmx15cm 140515hes-v,11955.0,7770.75,173.17,11955.0,136
HCPCS,C1889,Coil 14 6mmx10cm 140610hes-v,10844.0,7048.6,173.17,10844.0,136
HCPCS,C1889,Coil 14 6mmx15cm 140615hes-v,11920.0,7748.0,173.17,11920.0,136
HCPCS,C1889,Coil 14 7mmx20cm 140720hes-v,12381.0,8047.65,173.17,12381.0,136
HCPCS,C1889,Coil 18 13mmx39cm 181339cm-v,14047.0,9130.55,173.17,14047.0,136
HCPCS,C1889,Coil 35 detach 10x26 45-651026,12289.0,7987.85,173.17,12289.0,136
HCPCS,C1889,Coil 35 detach 8x20 45-650820,11331.0,7365.15,173.17,11331.0,136
HCPCS,C1889,Coil 400 J 10cm 4004j10,16469.0,10704.85,173.17,16469.0,136
HCPCS,C1889,Coil 400 J 15cm 4004j15,17123.0,11129.95,173.17,17123.0,136
HCPCS,C1889,Coil 400 sft 13x48cm 4004c1348,19097.0,12413.05,173.17,19097.0,136
HCPCS,C1889,Coil 400 sft 16x45cm 4004c1645,18295.0,11891.75,173.17,18295.0,136
HCPCS,C1889,Coil 400 sft 3x3cm 4004c0303,16058.0,10437.7,173.17,16058.0,136
HCPCS,C1889,Coil 400 sft 3x4cm 4004c0304,16129.0,10483.85,173.17,16129.0,136
HCPCS,C1889,Coil 400 sft 4x12cm 4004c0412,16143.0,10492.95,173.17,16143.0,136
HCPCS,C1889,Coil 400 sft 4x4cm 4004c0404,15617.0,10151.05,173.17,15617.0,136
HCPCS,C1889,Coil 400 sft 4x8cm 4004c0408,15880.0,10322.0,173.17,15880.0,136
HCPCS,C1889,Coil 400 sft 5x13cm 4004c0513,16206.0,10533.9,173.17,16206.0,136
HCPCS,C1889,Coil 400 sft 5x9cm 4004c0509,15945.0,10364.25,173.17,15945.0,136
HCPCS,C1889,Coil 400 std 13x35mm 4002c1335,16697.0,10853.05,173.17,16697.0,136
HCPCS,C1889,Coil 400 std 13x48cm 4002c1348,16597.0,10788.05,173.17,16597.0,136
HCPCS,C1889,Coil 400 std 3x10mm 4002c0310,15185.0,9870.25,173.17,15185.0,136
HCPCS,C1889,Coil 400 std 4x12mm 4002c0412,15319.0,9957.35,173.17,15319.0,136
HCPCS,C1889,Coil 400 std 4x8mm 4002c0408,14573.0,9472.45,173.17,14573.0,136
HCPCS,C1889,Coil 400 std 5x6mm 4002c0506,14446.0,9389.9,173.17,14446.0,136
HCPCS,C1889,Coil 400 std 9x25mm 4002c0925,15682.0,10193.3,173.17,15682.0,136
HCPCS,C1889,Coil 400 xsft 10x30cm4004c1030,17315.0,11254.75,173.17,17315.0,136
HCPCS,C1889,Coil 400 xsft 14x40cm4004c1440,17968.0,11679.2,173.17,17968.0,136
HCPCS,C1889,Coil 400 xsft 14x50cm4004c1450,19233.0,12501.45,173.17,19233.0,136
HCPCS,C1889,Coil 400 xsft 2x1cm 4006u0201,11207.0,7284.55,173.17,11207.0,136
HCPCS,C1889,Coil 400 xsft 3x10cm 4006c0310,18621.0,12103.65,173.17,18621.0,136
HCPCS,C1889,Coil 400 xsft 3x10cm 4006u0310,17571.0,11421.15,173.17,17571.0,136
HCPCS,C1889,Coil 400 xsft 3x5cm 4006c0305,14609.0,9495.85,173.17,14609.0,136
HCPCS,C1889,Coil 400 xsft 3x5cm 4006u0305,13956.0,9071.4,173.17,13956.0,136
HCPCS,C1889,Coil 400 xsft 4x10cm 4006c0410,18039.0,11725.35,173.17,18039.0,136
HCPCS,C1889,Coil 400 xsft 4x10cm 4006u0410,17024.0,11065.6,173.17,17024.0,136
HCPCS,C1889,Coil 400 xsft 6x20cm 4004c0620,17208.0,11185.2,173.17,17208.0,136
HCPCS,C1889,Coil 400 xsft 8x30cm 4004c0830,17883.0,11623.95,173.17,17883.0,136
HCPCS,C1889,Coil 400 xsft 9x35cm 4004c0935,18217.0,11841.05,173.17,18217.0,136
HCPCS,C1889,Coil 4mmx12cm 100412cmsr-v,13619.0,8852.35,173.17,13619.0,136
HCPCS,C1889,Coil 4mmx8cm 100408cmsr-v,13790.0,8963.5,173.17,13790.0,136
HCPCS,C1889,Coil 5mmx10cm 100510cmsr-v,13875.0,9018.75,173.17,13875.0,136
HCPCS,C1889,Coil 7mmx21cm 100721cmsr-v,14189.0,9222.85,173.17,14189.0,136
HCPCS,C1889,Coil 8mmx24cm 100824cmsr-v,14585.0,9480.25,173.17,14585.0,136
HCPCS,C1889,Coil GDC10 2d detch 9mmx30cm,4913.0,3193.45,173.17,4913.0,136
HCPCS,C1889,Coil GDC10 3d detch 8mmx20cm,10674.0,6938.1,173.17,10674.0,136
HCPCS,C1889,Coil Hydrfll 11x30 101130hfilv,14506.0,9428.9,173.17,14506.0,136
HCPCS,C1889,Coil Micr csp10 3.5mmx6.6cm,426.0,276.9,73.7,426.0,136
HCPCS,C1889,Coil Nester mwce 38 14 12,2033.0,1321.45,173.17,2033.0,136
HCPCS,C1889,Coil Target 360 xl m0036109300,17750.0,11537.5,173.17,17750.0,136
HCPCS,C1889,Coil concerto 2mmx6 nv26helix,6890.0,4478.5,173.17,6890.0,136
HCPCS,C1889,Coil emb mwce Cook Med g47344,562.0,365.3,97.23,562.0,136
HCPCS,C1889,Coil embl 035 4x14 nst g26993,860.0,559.0,148.78,860.0,136
HCPCS,C1889,Coil fiber 7mm 0.18,787.0,511.55,136.15,787.0,136
HCPCS,C1889,Coil fram detach 8x20 45680820,6758.0,4392.7,173.17,6758.0,136
HCPCS,C1889,Coil micr Hila .018 .1cmg04523,558.0,362.7,96.53,558.0,136
HCPCS,C1889,Coil mwce 38 4 3,188.0,122.2,32.52,188.0,136
HCPCS,C1889,Coil mwce 38 5 5,639.0,415.35,110.55,639.0,136
HCPCS,C1889,Coil target 35 5x10,13035.0,8472.75,173.17,13035.0,136
HCPCS,C1889,Coil target nano m0035442030,12971.0,8431.15,173.17,12971.0,136
HCPCS,C1889,Coil vasc HydroF 4x15 71100415,14901.0,9685.65,173.17,14901.0,136
HCPCS,C1889,Collagen DuraMatr sut2x2 dms22,5223.0,3394.95,173.17,5223.0,136
HCPCS,C1889,Conextions tendn inst fa0002,4579.0,2976.35,173.17,4579.0,68
HCPCS,C1889,Conextions tendn mechan fa0004,9215.0,5989.75,173.17,9215.0,68
HCPCS,C1889,Conn spinal Medtr 5135251,7573.0,4922.45,173.17,7573.0,136
HCPCS,C1889,Connector CSF cath 3way,2532.0,1645.8,173.17,2532.0,136
HCPCS,C1889,Connector click push y dpy01b,229.0,148.85,39.62,229.0,68
HCPCS,C1889,Connector lat ofst 102021351,1654.0,1075.1,173.17,1654.0,136
HCPCS,C1889,Connector shunt cranial rt ang,815.0,529.75,141.0,815.0,136
HCPCS,C1889,Connector strt ventriculr 17mm,798.0,518.7,138.05,798.0,136
HCPCS,C1889,Connectr step 22063 hydroceph,932.0,605.8,161.24,932.0,136
HCPCS,C1889,Corneal tissue full c0301al90,4062.0,2640.3,173.17,4062.0,136
HCPCS,C1889,Countersink Osteomed 3201009,2065.0,1342.25,173.17,2065.0,136
HCPCS,C1889,Countersink cann AO 4 a800403,3179.0,2066.35,173.17,3179.0,68
HCPCS,C1889,Countersink hdless p209157200,2649.0,1721.85,173.17,2649.0,136
HCPCS,C1889,Countersink qc cann 3333200,5395.0,3506.75,173.17,5395.0,136
HCPCS,C1889,Cranial imp kt peek lrg 781003,78864.0,51261.6,173.17,78864.0,136
HCPCS,C1889,Cranial imp peek cust 7810020,66051.0,42933.15,173.17,66051.0,136
HCPCS,C1889,Cranial imp sm Ossdsign 101010,66456.0,43196.4,173.17,66456.0,136
HCPCS,C1889,Cranial imp xl Stryker 7810040,94164.0,61206.6,173.17,94164.0,136
HCPCS,C1889,Cranial mesh Stryker 5400344,12373.0,8042.45,173.17,12373.0,136
HCPCS,C1889,Cranial mesh Stryker 5691064,67632.0,43960.8,173.17,67632.0,136
HCPCS,C1889,Cranial plate 2180228,1915.0,1244.75,173.17,1915.0,136
HCPCS,C1889,Cranial plate Stryker 5300364,8804.0,5722.6,173.17,8804.0,136
HCPCS,C1889,Cranial plate Stryker 9203608,5024.0,3265.6,173.17,5024.0,136
HCPCS,C1889,Cranial plate facialid 7892004,46645.0,30319.25,173.17,46645.0,136
HCPCS,C1889,Cranial plate mtrx sd449504b,34468.0,22404.2,173.17,34468.0,136
HCPCS,C1889,Cup cmnt bi Mentum ds4901143,15130.0,9834.5,173.17,15130.0,136
HCPCS,C1889,Cutter Echelon linear glc100,1111.0,722.15,173.17,1111.0,68
HCPCS,C1889,Cutter Echelon linear glc60,489.0,317.85,84.6,489.0,68
HCPCS,C1889,Cutter Echelon linear glc80,743.0,482.95,128.54,743.0,68
HCPCS,C1889,Cutter Echelon linear glcr100b,1458.0,947.7,173.17,1458.0,68
HCPCS,C1889,Cutter Echelon linear glcr60b,657.0,427.05,113.66,657.0,68
HCPCS,C1889,Cutter cann Gamma 13200041,12398.0,8058.7,173.17,12398.0,68
HCPCS,C1889,Delivery sys archim ad1ch40120,10377.0,6745.05,173.17,10377.0,68
HCPCS,C1889,Delivery sys autgrt ad5ch52120,12455.0,8095.75,173.17,12455.0,68
HCPCS,C1889,Delivery sys cement 279726508,5390.0,3503.5,173.17,5390.0,136
HCPCS,C1889,Delivery sys voyager 6550041,1427.0,927.55,173.17,1427.0,68
HCPCS,C1889,Dermaclose tiss exp gem204010k,10377.0,6745.05,173.17,10377.0,136
HCPCS,C1889,Device Detacher coil XCEL,2216.0,1440.4,173.17,2216.0,68
HCPCS,C1889,Dilator insulated 8mm ml0441s,10726.0,6971.9,173.17,10726.0,68
HCPCS,C1889,Dissector 7 5 crvd jaw scd7a13,9256.0,6016.4,173.17,9256.0,68
HCPCS,C1889,Dissector 7 5 crvd jaw scd7a39,10677.0,6940.05,173.17,10677.0,68
HCPCS,C1889,Drain CSF lumbar 46442,2695.0,1751.75,173.17,2695.0,136
HCPCS,C1889,Drill ACP 15mm 7786715,893.0,580.45,154.49,893.0,68
HCPCS,C1889,Drill bit 3.5x40 drllssc35040,2767.0,1798.55,173.17,2767.0,68
HCPCS,C1889,Drill bit 3.8x127mm 816299009,1322.0,859.3,173.17,1322.0,68
HCPCS,C1889,Drill bit 4x110mm dt03019a,4011.0,2607.15,173.17,4011.0,68
HCPCS,C1889,Drill bit AO 2.5x135 542020,3328.0,2163.2,173.17,3328.0,68
HCPCS,C1889,Drill bit AO 3.2x215 542051,3795.0,2466.75,173.17,3795.0,68
HCPCS,C1889,Drill bit AO 4.3x215 542053,4039.0,2625.35,173.17,4039.0,68
HCPCS,C1889,Drill bit AO 4.5x135 542054,3403.0,2211.95,173.17,3403.0,68
HCPCS,C1889,Drill bit AO qc 1.8mm mpn11018,1503.0,976.95,173.17,1503.0,68
HCPCS,C1889,Drill bit Evos AO 3.7 71175618,2333.0,1516.45,173.17,2333.0,68
HCPCS,C1889,Drill bit ao 2.4 ovrdrll703696,2550.0,1657.5,173.17,2550.0,68
HCPCS,C1889,Drill bit ao 2.5 fit 703966,4519.0,2937.35,173.17,4519.0,68
HCPCS,C1889,Drill bit cann 1.8mm drlldip18,2873.0,1867.45,173.17,2873.0,68
HCPCS,C1889,Drill bit cann 12mm 03043014,9221.0,5993.65,173.17,9221.0,68
HCPCS,C1889,Drill bit cann 31063s,5155.0,3350.75,173.17,5155.0,68
HCPCS,C1889,Drill bit cann 4.9 702601,6226.0,4046.9,173.17,6226.0,68
HCPCS,C1889,Drill bit cann 5.6 lg 702611,6849.0,4451.85,173.17,6849.0,68
HCPCS,C1889,Drill bit cann stryker702613,7528.0,4893.2,173.17,7528.0,68
HCPCS,C1889,Drill bit jlatch 1.4 03511248,2122.0,1379.3,173.17,2122.0,68
HCPCS,C1889,Drill bit matrx 03503479,2260.0,1469.0,173.17,2260.0,68
HCPCS,C1889,Drill bit overdrill 770003240,2277.0,1480.05,173.17,2277.0,68
HCPCS,C1889,Drill bit shaft1.5x107 6015520,3371.0,2191.15,173.17,3371.0,68
HCPCS,C1889,Drill bit sut Ossio thn00511,4399.0,2859.35,173.17,4399.0,68
HCPCS,C1889,Drill cann 2.3mm 1.1mm 470019s,8239.0,5355.35,173.17,8239.0,68
HCPCS,C1889,Drill cann 2.4x200 0740230,4850.0,3152.5,173.17,4850.0,68
HCPCS,C1889,Drill guide 2leg univ300001000,4969.0,3229.85,173.17,4969.0,68
HCPCS,C1889,Drill guide A.L.P.S 214235016,2945.0,1914.25,173.17,2945.0,68
HCPCS,C1889,Drill guide post Truelk 502509,3657.0,2377.05,173.17,3657.0,68
HCPCS,C1889,Drill guide surg distr16800010,4738.0,3079.7,173.17,4738.0,68
HCPCS,C1889,Drill twist AO 2.9x10x61 a3834,1710.0,1111.5,173.17,1710.0,68
HCPCS,C1889,Driver Affixus hum 110035662,2738.0,1779.7,173.17,2738.0,68
HCPCS,C1889,Driver reduction 2 drvrhcs0010,3042.0,1977.3,173.17,3042.0,68
HCPCS,C1889,Drsg surg aquacel 423560,367.0,238.55,63.49,367.0,68
HCPCS,C1889,EEG headband adult c152,7049.0,4581.85,173.17,7049.0,68
HCPCS,C1889,Ear imp pistn pla stap3.5 730,1726.0,1121.9,173.17,1726.0,136
HCPCS,C1889,Ear micron ii olympus 70142036,3567.0,2318.55,173.17,3567.0,136
HCPCS,C1889,Ear nucleus 8 processr singln8,58788.0,38212.2,173.17,58788.0,68
HCPCS,C1889,Ear pros 4.25 oss 70142160,2434.0,1582.1,173.17,2434.0,136
HCPCS,C1889,Ear pros 4x3torp head eg140858,4863.0,3160.95,173.17,4863.0,136
HCPCS,C1889,Ear pros 7torp sheh eg70140933,2626.0,1706.9,173.17,2626.0,136
HCPCS,C1889,Ear pros piston 4.25 cup modif,2163.0,1405.95,173.17,2163.0,136
HCPCS,C1889,Ear pros sheehy 0.8 1156363,2229.0,1448.85,173.17,2229.0,136
HCPCS,C1889,Ear pros sheehy 1.17 1156362,2156.0,1401.4,173.17,2156.0,136
HCPCS,C1889,Ear tube 1.14 Paparella,320.0,208.0,55.36,320.0,136
HCPCS,C1889,Ear tube 1.52 Paparela gromet,303.0,196.95,52.42,303.0,136
HCPCS,C1889,Ear tube 1.52 myrintomy,260.0,169.0,44.98,260.0,136
HCPCS,C1889,Ear tube 2.4 Paparella gromet,257.0,167.05,44.46,257.0,136
HCPCS,C1889,Ear tube 2.7 reuter bobbin,421.0,273.65,72.83,421.0,136
HCPCS,C1889,Ear tube 2.7gromet spoon bobbn,428.0,278.2,74.04,428.0,136
HCPCS,C1889,Ear tube Donaldson 2.3 silicn,171.0,111.15,29.58,173.17,136
HCPCS,C1889,Ear tube Paparella ultrasil,179.0,116.35,30.97,179.0,136
HCPCS,C1889,Ear tube Sheppard 1066155,119.0,77.35,20.59,173.17,136
HCPCS,C1889,Ear tube T grommet 1.25mm,352.0,228.8,60.9,352.0,136
HCPCS,C1889,Ear tube gromet Armstr 1010170,298.0,193.7,51.55,298.0,136
HCPCS,C1889,Ear tube gromet Armstrg 140242,151.0,98.15,26.12,173.17,136
HCPCS,C1889,Ear tube gromet Shepard7.0wire,175.0,113.75,30.28,175.0,136
HCPCS,C1889,Ear tube gromet vent/wire 1mm,109.0,70.85,18.86,173.17,136
HCPCS,C1889,Ear tube micron bobbin 45281,357.0,232.05,61.76,357.0,136
HCPCS,C1889,Ear tube titan bobbin 145276,346.0,224.9,59.86,346.0,136
HCPCS,C1889,Ear tube vent Paparella1040006,2091.0,1359.15,173.17,2091.0,136
HCPCS,C1889,Ear vent tube 1026014,1288.0,837.2,173.17,1288.0,136
HCPCS,C1889,Elbow bush Zimmer 31810604300,2703.0,1756.95,173.17,2703.0,136
HCPCS,C1889,Elect abln Vapr Tripolr 225028,3742.0,2432.3,173.17,3742.0,68
HCPCS,C1889,Electrod kt Abbot ensitesek501,10907.0,7089.55,173.17,10907.0,68
HCPCS,C1889,Electrod pef sft tiss gti00024,48053.0,31234.45,173.17,48053.0,68
HCPCS,C1889,Electrode endo coag30d a22205c,967.0,628.55,167.29,967.0,68
HCPCS,C1889,Electrode endo hi freq a22265c,2030.0,1319.5,173.17,2030.0,68
HCPCS,C1889,Embol 300 500 1mlsyr micr76123,1605.0,1043.25,173.17,1605.0,136
HCPCS,C1889,Embol 500 700 red gold 2ml,2909.0,1890.85,173.17,2909.0,136
HCPCS,C1889,Embol Trufll n bca 1 vl 631500,28084.0,18254.6,173.17,28084.0,136
HCPCS,C1889,Embol Trufll n bca liq 631400,35656.0,23176.4,173.17,35656.0,136
HCPCS,C1889,Embol partcl pva 355500 micron,1354.0,880.1,173.17,1354.0,136
HCPCS,C1889,Embol partcl pva 45 150 micron,1168.0,759.2,173.17,1168.0,136
HCPCS,C1889,End cap 13mm 4d 9401304,2542.0,1652.3,173.17,2542.0,136
HCPCS,C1889,End cap lock 0mm 99t770000,2369.0,1539.85,173.17,2369.0,136
HCPCS,C1889,Endcap dynanail 1200040000,4095.0,2661.75,173.17,4095.0,136
HCPCS,C1889,Endcap t15 Trident 85221s,1135.0,737.75,173.17,1135.0,136
HCPCS,C1889,Endcap ti nail 5mm 04004001s,2954.0,1920.1,173.17,2954.0,136
HCPCS,C1889,Endo retrieve Ncompass g46027,3375.0,2193.75,173.17,3375.0,68
HCPCS,C1889,Ext fix bar 11x250 00520201125,2671.0,1736.15,173.17,2671.0,136
HCPCS,C1889,Ext fix bar carbon p474100400,7505.0,4878.25,173.17,7505.0,136
HCPCS,C1889,Ext fix clamp pin 1pst49222340,10559.0,6863.35,173.17,10559.0,68
HCPCS,C1889,Ext fix frame rod Strykr703573,8626.0,5606.9,173.17,8626.0,136
HCPCS,C1889,Ext fix pin Xtrafx 00520004004,5611.0,3647.15,173.17,5611.0,136
HCPCS,C1889,Ext fix pin bn Zimmer520404025,1675.0,1088.75,173.17,1675.0,136
HCPCS,C1889,Ext fix plate 71071305,12584.0,8179.6,173.17,12584.0,68
HCPCS,C1889,Ext fix wire bolt p459132011,2392.0,1554.8,173.17,2392.0,136
HCPCS,C1889,Eye Canaloplasty iTrackADS,71057.0,46187.05,173.17,71057.0,68
HCPCS,C1889,Eye drain lacrim crawsut280184,959.0,623.35,165.91,959.0,136
HCPCS,C1889,Eye drain lacrim nosut280185,904.0,587.6,156.39,904.0,136
HCPCS,C1889,Eye hpiece Centurion 8065752914,19886.0,12925.9,173.17,19886.0,68
HCPCS,C1889,Eye imp spg oval 506 s1981-5,522.0,339.3,90.31,522.0,136
HCPCS,C1889,Eye imp spg slev 70 2.1mms3018,92.0,59.8,15.92,173.17,136
HCPCS,C1889,Eye mi scope cann t325095c,4045.0,2629.25,173.17,4045.0,68
HCPCS,C1889,Eye retina circli band2.5 9202,157.0,102.05,27.16,173.17,136
HCPCS,C1889,Eye scraper 33823,1466.0,952.9,173.17,1466.0,68
HCPCS,C1889,Eye silicn str Dutch Opt 9230,110.0,71.5,19.03,173.17,136
HCPCS,C1889,Eye sphere 18mm por80002,7462.0,4850.3,173.17,7462.0,136
HCPCS,C1889,Eye sphere Stryker 80012,7083.0,4603.95,173.17,7083.0,136
HCPCS,C1889,Eye stent FCI s11500,699.0,454.35,120.93,699.0,136
HCPCS,C1889,Eye weight ptose s33001,937.0,609.05,162.1,937.0,136
HCPCS,C1889,Eyelid imp Labtician Oph sgp12,3053.0,1984.45,173.17,3053.0,136
HCPCS,C1889,Eyelid imp gol con1.4gr ll3014,3127.0,2032.55,173.17,3127.0,136
HCPCS,C1889,Eyelid imp gold 1.8gm LL3018,3763.0,2445.95,173.17,3763.0,136
HCPCS,C1889,Eyelid impl 1.0g s36010,4399.0,2859.35,173.17,4399.0,136
HCPCS,C1889,Eyelid weight s34014,3392.0,2204.8,173.17,3392.0,136
HCPCS,C1889,Fastouch fix VIA Surg fta25,5035.0,3272.75,173.17,5035.0,136
HCPCS,C1889,Fastouch rload VIA Surg ftac10,3233.0,2101.45,173.17,3233.0,136
HCPCS,C1889,Femorl bushing 161034,6201.0,4030.65,173.17,6201.0,136
HCPCS,C1889,Fiber laser Agility 8000014,3774.0,2453.1,173.17,3774.0,68
HCPCS,C1889,Fiber opt bifr illum gza160002,4452.0,2893.8,173.17,4452.0,68
HCPCS,C1889,Fibertak knee disp k ar3719,2857.0,1857.05,173.17,2857.0,68
HCPCS,C1889,Fiberwire meniscl ndl ar7223sm,7632.0,4960.8,173.17,7632.0,68
HCPCS,C1889,Focalpak single-use kit 901400,11363.0,7385.95,173.17,11363.0,68
HCPCS,C1889,Forcep bio 2 4x160cm m00513301,2408.0,1565.2,173.17,2408.0,68
HCPCS,C1889,Forcep bio 2.4x240cm m00513322,3415.0,2219.75,173.17,3415.0,68
HCPCS,C1889,Forcep resc Alligatr m00527451,877.0,570.05,151.72,877.0,136
HCPCS,C1889,Forceps endo bx2.8mm m00513443,1762.0,1145.3,173.17,1762.0,68
HCPCS,C1889,Forehead tissue fix3mmcfd22202,5554.0,3610.1,173.17,5554.0,136
HCPCS,C1889,Gastric bal Orbera 700cc b4800,13139.0,8540.35,173.17,13139.0,136
HCPCS,C1889,Gastric band adj crv rlzb32d1,21719.0,14117.35,173.17,21719.0,136
HCPCS,C1889,Gastric band adjus real rlzb22,19999.0,12999.35,173.17,19999.0,136
HCPCS,C1889,Gastric band kit rlzb22dg,20312.0,13202.8,173.17,20312.0,136
HCPCS,C1889,Gastric band port rlzpt2,9402.0,6111.3,173.17,9402.0,136
HCPCS,C1889,Gastro Endogastric Sol r2275,25958.0,16872.7,173.17,25958.0,136
HCPCS,C1889,Gauge orth Edge 21342650140ln,3174.0,2063.1,173.17,3174.0,68
HCPCS,C1889,Graft ArtiFascia Dura art3406,4579.0,2976.35,173.17,4579.0,136
HCPCS,C1889,Graft ArtiFascia Dura art5506,6493.0,4220.45,173.17,6493.0,136
HCPCS,C1889,Graft DMB Paragon 28 fco010000,12326.0,8011.9,173.17,12326.0,136
HCPCS,C1889,Graft aaa g50417,64411.0,41867.15,173.17,64411.0,136
HCPCS,C1889,Graft ant tib 1x30cm 247494011,11690.0,7598.5,173.17,11690.0,136
HCPCS,C1889,Graft bn Osteoflo 12cc hfosf12,27828.0,18088.2,173.17,27828.0,136
HCPCS,C1889,Graft bn sub med 7.5g msbg0750,11186.0,7270.9,173.17,11186.0,136
HCPCS,C1889,Graft ilc polymrfill HDE100008,795.0,516.75,137.54,795.0,136
HCPCS,C1889,Graft stent40x55 vnmc4040c55tu,85091.0,55309.15,173.17,85091.0,136
HCPCS,C1889,Graft valv aor w cond av001822,78725.0,51171.25,173.17,78725.0,136
HCPCS,C1889,Graft valv aor w cond av0023,81434.0,52932.1,173.17,81434.0,136
HCPCS,C1889,Graft valv aor w cond av009,78418.0,50971.7,173.17,78418.0,136
HCPCS,C1889,Graft valv aor w cond av00917,81460.0,52949.0,173.17,81460.0,136
HCPCS,C1889,Guard vess preclud 5x6 1pvg506,4632.0,3010.8,173.17,4632.0,136
HCPCS,C1889,Guard vess preclud6x10 1pvg610,8560.0,5564.0,173.17,8560.0,136
HCPCS,C1889,Guide accushape acsgu,22620.0,14703.0,173.17,22620.0,68
HCPCS,C1889,Guide pin cann 4x400 12139091,2905.0,1888.25,173.17,2905.0,136
HCPCS,C1889,Guidewire 1mm balltip ct020001,483.0,313.95,83.56,483.0,68
HCPCS,C1889,Guidewire Phantom p369300001,12500.0,8125.0,173.17,12500.0,68
HCPCS,C1889,Guidewire ortho p109122450,1751.0,1138.15,173.17,1751.0,68
HCPCS,C1889,Guidewire pusher rod ct0207,1686.0,1095.9,173.17,1686.0,68
HCPCS,C1889,Handpiece Cusa clarity c7414s,8576.0,5574.4,173.17,8576.0,68
HCPCS,C1889,Handpiece Hydros hh1000,25212.0,16387.8,173.17,25212.0,68
HCPCS,C1889,Handpiece Mammotome mep13,1321.0,858.65,173.17,1321.0,68
HCPCS,C1889,Handpiece acessa disp 7300,23010.0,14956.5,173.17,23010.0,68
HCPCS,C1889,Handpiece bipolar 201380imt,554.0,360.1,95.84,554.0,68
HCPCS,C1889,Handpiece bipolar 225031,3995.0,2596.75,173.17,3995.0,68
HCPCS,C1889,Handpiece cusa clarity c7404ls,13359.0,8683.35,173.17,13359.0,68
HCPCS,C1889,Handpiece cusa clarity c7404s,12549.0,8156.85,173.17,12549.0,68
HCPCS,C1889,Handpiece cusa clarity c7405s,4303.0,2796.95,173.17,4303.0,68
HCPCS,C1889,Handpiece electsg dual harhpbl,9297.0,6043.05,173.17,9297.0,68
HCPCS,C1889,Handpiece kit percept th91dbs,11842.0,7697.3,173.17,11842.0,68
HCPCS,C1889,Handpiece tip 110311220,6910.0,4491.5,173.17,6910.0,68
HCPCS,C1889,Handpiece tip Strykr550025b114,10461.0,6799.65,173.17,10461.0,68
HCPCS,C1889,Handpiece tip Strykr550025b312,10982.0,7138.3,173.17,10982.0,68
HCPCS,C1889,Handpiece tip Strykr550025b318,10270.0,6675.5,173.17,10270.0,68
HCPCS,C1889,Handpiece tip Strykr550025s301,10495.0,6821.75,173.17,10495.0,68
HCPCS,C1889,Handpiece tip Strykr550025s308,8580.0,5577.0,173.17,8580.0,68
HCPCS,C1889,Handpiece tip sStrykr550025b303,12486.0,8115.9,173.17,12486.0,68
HCPCS,C1889,Harmonic shear ace 5x36 har36,4446.0,2889.9,173.17,4446.0,68
HCPCS,C1889,Hemostatic Wax BN2.5gm 1503832,1170.0,760.5,173.17,1170.0,136
HCPCS,C1889,Hip bolt troch 28mm 11302128,8882.0,5773.3,173.17,8882.0,136
HCPCS,C1889,Humerl head Lifenet fhh,9758.0,6342.7,173.17,9758.0,136
HCPCS,C1889,Hys resec Aveta Meditrin210080,8310.0,5401.5,173.17,8310.0,68
HCPCS,C1889,Hys resec Aveta flex 2102011,8416.0,5470.4,173.17,8416.0,68
HCPCS,C1889,"IMPLANT/INSERT DEVICE, NOC",11935.5,7758.075,0.01,219816.0,68744
HCPCS,C1889,Ignite powder mix inj 876p0080,11547.0,7505.55,173.17,11547.0,136
HCPCS,C1889,Ignite powder mix inj 876p0200,13636.0,8863.4,173.17,13636.0,136
HCPCS,C1889,Instr NX nail 2.0 kit NXI20s,13856.0,9006.4,173.17,13856.0,68
HCPCS,C1889,Instr Nexis kit sui01001,13141.0,8541.65,173.17,13141.0,68
HCPCS,C1889,Instr Phantm explnt p319580005,12466.0,8102.9,173.17,12466.0,68
HCPCS,C1889,Instr Phantm explnt p319580010,4155.0,2700.75,173.17,4155.0,68
HCPCS,C1889,Instr fix Osteotomy 015410601,7367.0,4788.55,173.17,7367.0,68
HCPCS,C1889,Instr pat kt mandbl sd900003,26995.0,17546.75,173.17,26995.0,68
HCPCS,C1889,Instr patient specifc sd900001,27069.0,17594.85,173.17,27069.0,68
HCPCS,C1889,Instr pmr wmt kit pscl0000,6259.0,4068.35,173.17,6259.0,68
HCPCS,C1889,Instr rod extr conicl 18066130,6340.0,4121.0,173.17,6340.0,68
HCPCS,C1889,Instr sut rem ossio thn00509,5141.0,3341.65,173.17,5141.0,68
HCPCS,C1889,Integrity caddy fixatn 6000102,4452.0,2893.8,173.17,4452.0,136
HCPCS,C1889,Integrity cann obturatr6000122,2054.0,1335.1,173.17,2054.0,68
HCPCS,C1889,Integrity tool dep ptch6000118,4664.0,3031.6,173.17,4664.0,68
HCPCS,C1889,Intracept instr 2vb rlv0045,15482.0,10063.3,173.17,15482.0,68
HCPCS,C1889,Intracept instr 3vb rlv0055,20454.0,13295.1,173.17,20454.0,68
HCPCS,C1889,Intracept kit add vb rlv0075,7420.0,4823.0,173.17,7420.0,68
HCPCS,C1889,Intracept probe rlv0015,31539.0,20500.35,173.17,31539.0,68
HCPCS,C1889,Introd bullt mat Biocomp660001,7455.0,4845.75,173.17,7455.0,68
HCPCS,C1889,Irrig handpc hiflw inpul210114,337.0,219.05,58.3,337.0,68
HCPCS,C1889,Irrig tube hydro 5x33 0026870,457.0,297.05,79.06,457.0,68
HCPCS,C1889,Kit cannula15fr bypas 96530115,39629.0,25758.85,173.17,39629.0,68
HCPCS,C1889,Kit floseal 10ml ads202110,4759.0,3093.35,173.17,4759.0,68
HCPCS,C1889,Kit proced iobp hip abs2010ot,9349.0,6076.85,173.17,9349.0,68
HCPCS,C1889,Kit sling male incont 72016303,39629.0,25758.85,173.17,39629.0,136
HCPCS,C1889,Kit spy-phi syst hh9006,6485.0,4215.25,173.17,6485.0,68
HCPCS,C1889,Kit syndesmosis 3500000001,11931.0,7755.15,173.17,11931.0,136
HCPCS,C1889,Kyphoplsty bal Ivas 0808815800,16879.0,10971.35,173.17,16879.0,68
HCPCS,C1889,Laser Waveguide co2-500 omn102,12412.0,8067.8,173.17,12412.0,68
HCPCS,C1889,Laser fiber Revolix rev102,5851.0,3803.15,173.17,5851.0,68
HCPCS,C1889,Laser fiber Revolix rev104,6519.0,4237.35,173.17,6519.0,68
HCPCS,C1889,Laser fiber bare db400,1092.0,709.8,173.17,1092.0,68
HCPCS,C1889,Lead Sprint conv kit 92446001b,26582.0,17278.3,173.17,26582.0,68
HCPCS,C1889,Lead atrial port plug,393.0,255.45,67.99,393.0,136
HCPCS,C1889,Lead cap pmkr kit 6623,93.0,60.45,16.09,173.17,136
HCPCS,C1889,Lead pmkr bipolar myocrd 6495,734.0,477.1,126.98,734.0,136
HCPCS,C1889,Ligasure seal 5mm lf1823,5025.0,3266.25,173.17,5025.0,68
HCPCS,C1889,Mandib model anatom sd900207,25340.0,16471.0,173.17,25340.0,68
HCPCS,C1889,Mandib model anatom sd900212,12249.0,7961.85,173.17,12249.0,68
HCPCS,C1889,Mandib model clearvw6500000007,19671.0,12786.15,173.17,19671.0,136
HCPCS,C1889,Mandib pt plan instr sd900051,22306.0,14498.9,173.17,22306.0,136
HCPCS,C1889,Mask IMRT long rff1033002b,8466.0,5502.9,173.17,8466.0,68
HCPCS,C1889,Mask IMRT short rfc1003002b,2649.0,1721.85,173.17,2649.0,68
HCPCS,C1889,Matrix bone Bio-OSS 2gm 500043,5088.0,3307.2,173.17,5088.0,68
HCPCS,C1889,Maverick bar 11x300mm 71094300,6609.0,4295.85,173.17,6609.0,136
HCPCS,C1889,Maverick bent bar 71094190,15063.0,9790.95,173.17,15063.0,136
HCPCS,C1889,Maverick clamp pin 71094045,10574.0,6873.1,173.17,10574.0,136
HCPCS,C1889,Maverick clamp swivel 71094020,15334.0,9967.1,173.17,15334.0,136
HCPCS,C1889,Maverick clamp swivel 71095050,12821.0,8333.65,173.17,12821.0,136
HCPCS,C1889,Maverick drill bit min71093524,6646.0,4319.9,173.17,6646.0,68
HCPCS,C1889,Maverick swivel attc 71094111,11929.0,7753.85,173.17,11929.0,136
HCPCS,C1889,Maxifacl imp psi peek sd800434,59431.0,38630.15,173.17,59431.0,136
HCPCS,C1889,Maxifacl imp psi peek sd800539,68341.0,44421.65,173.17,68341.0,136
HCPCS,C1889,Maxillofac Stryker vspreconti,47675.0,30988.75,173.17,47675.0,68
HCPCS,C1889,Maxillofac vspopreplan,9972.0,6481.8,173.17,9972.0,68
HCPCS,C1889,Mesh Dutch Opt fss035,107.0,69.55,18.51,173.17,136
HCPCS,C1889,Mesh crainal Stryker 5690314,11385.0,7400.25,173.17,11385.0,136
HCPCS,C1889,Mesh cranial 5691062,91585.0,59530.25,173.17,91585.0,136
HCPCS,C1889,Mesh cranial Osteomed 2180285,3134.0,2037.1,173.17,3134.0,136
HCPCS,C1889,Mesh cranial Osteomed 2180290,6829.0,4438.85,173.17,6829.0,136
HCPCS,C1889,Mesh cranial Osteomed acsl003,123893.0,80530.45,173.17,123893.0,136
HCPCS,C1889,Mesh cranial Stryker 5690614,11268.0,7324.2,173.17,11268.0,136
HCPCS,C1889,Mesh dyn Stryker 5400647,46419.0,30172.35,173.17,46419.0,136
HCPCS,C1889,Mesh lpro Osteomed 2131614,112930.0,73404.5,173.17,112930.0,136
HCPCS,C1889,Mesh phasix 30cm x 35 1223035,125955.0,81870.75,173.17,125955.0,136
HCPCS,C1889,Mesh surg resorb12x122 7005150,29455.0,19145.75,173.17,29455.0,136
HCPCS,C1889,MicroTarget cann insrt 66it09p,2830.0,1839.5,173.17,2830.0,136
HCPCS,C1889,Model 3D bone avhb,8955.0,5820.75,173.17,8955.0,68
HCPCS,C1889,Model 3D custom acacs,9391.0,6104.15,173.17,9391.0,68
HCPCS,C1889,Nano perc insert kit ar1090pk1,761.0,494.65,131.65,761.0,68
HCPCS,C1889,Nasal lat mp latsys implant,1613.0,1048.45,173.17,1613.0,136
HCPCS,C1889,Nasal valve stent20x16mm 15000,1682.0,1093.3,173.17,1682.0,136
HCPCS,C1889,Nav powerease srg ssspineuf010,12784.0,8309.6,173.17,12784.0,68
HCPCS,C1889,Ndl Chiba 23ga 15cm g00014,118.0,76.7,20.41,173.17,68
HCPCS,C1889,Ndl Evolution 18x6 tt186,1259.0,818.35,173.17,1259.0,68
HCPCS,C1889,Ndl TendMIN telescop ama2z01,8312.0,5402.8,173.17,8312.0,68
HCPCS,C1889,Ndl bio ultrasound m00555640,4438.0,2884.7,173.17,4438.0,68
HCPCS,C1889,Ndl looped minitape 72205437,1257.0,817.05,173.17,1257.0,68
HCPCS,C1889,Ndl looped minitape 72205438,1234.0,802.1,173.17,1234.0,68
HCPCS,C1889,Nerve Tape 2mm imp nt2014,12776.0,8304.4,173.17,12776.0,136
HCPCS,C1889,Neuro embl sys enroute sr250np,26180.0,17017.0,173.17,26180.0,136
HCPCS,C1889,Neuro stim contrl dbs 65600abt,10653.0,6924.45,173.17,10653.0,68
HCPCS,C1889,Neuro stim leadwire 7101481,978.0,635.7,169.19,978.0,136
HCPCS,C1889,Neurostim ipg trial Evoke 3035,551.0,358.15,95.32,551.0,68
HCPCS,C1889,Nico canist suct myriad nn9001,60.0,39.0,10.38,173.17,68
HCPCS,C1889,Nico specimen inf valve nn8039,1168.0,759.2,173.17,1168.0,68
HCPCS,C1889,Nipple imp breast cyl rec.1x.1,4932.0,3205.8,173.17,4932.0,136
HCPCS,C1889,Nut Condyle AOS 1348000,3620.0,2353.0,173.17,3620.0,136
HCPCS,C1889,Occluder Flo-Rester 1.25 50125,3990.0,2593.5,173.17,3990.0,68
HCPCS,C1889,Osteopearl allogrt 1cc 420200,3256.0,2116.4,173.17,3256.0,136
HCPCS,C1889,Osteopearl allogrt 2cc 420201,5699.0,3704.35,173.17,5699.0,136
HCPCS,C1889,Osteopearl cann bvld tip 10043,1272.0,826.8,173.17,1272.0,68
HCPCS,C1889,Osteopearl cann dmnd tip 10043,1145.0,744.25,173.17,1145.0,68
HCPCS,C1889,Pack rem TX2 TX sys 5542003001,8778.0,5705.7,173.17,8778.0,68
HCPCS,C1889,Pascal mitrl Edw Lifesc pas2ma,156427.0,101677.55,173.17,156427.0,136
HCPCS,C1889,Patch kit loc refer afr00007,12985.0,8440.25,173.17,12985.0,68
HCPCS,C1889,Peek priority cust 7850030,83976.0,54584.4,173.17,83976.0,136
HCPCS,C1889,Peg pull Endoviv sft m00509001,1065.0,692.25,173.17,1065.0,68
HCPCS,C1889,Peg pull endoviv sft m00509021,2090.0,1358.5,173.17,2090.0,68
HCPCS,C1889,Pen ablt liner Atricure mcr1,20277.0,13180.05,173.17,20277.0,68
HCPCS,C1889,Pen iso linear 20mm elect mlp1,18288.0,11887.2,173.17,18288.0,68
HCPCS,C1889,Penile assmbly kit 91480sc,7102.0,4616.3,173.17,7102.0,68
HCPCS,C1889,Penile kit acc Tenacio 72404850,9573.0,6222.45,173.17,9573.0,68
HCPCS,C1889,Penile pump Tenacio iz72404429,45567.0,29618.55,173.17,45567.0,136
HCPCS,C1889,Pentax valv o-ring ball ofb207,2724.0,1770.6,173.17,2724.0,68
HCPCS,C1889,Perclot hemostat 3gm pcus003,2395.0,1556.75,173.17,2395.0,68
HCPCS,C1889,Photodynamc poly vial ct030001,5427.0,3527.55,173.17,5427.0,136
HCPCS,C1889,PillCam endo Genius SB fgs0688,5735.0,3727.75,173.17,5735.0,68
HCPCS,C1889,PillCam endo Genius SB fgs0689,5739.0,3730.35,173.17,5739.0,68
HCPCS,C1889,Pin Tarsoplasty post ckw08002,2400.0,1560.0,173.17,2400.0,68
HCPCS,C1889,Pin bn ki71513,46.0,29.9,7.96,173.17,136
HCPCS,C1889,Pin cap half 6mm 71070290,3663.0,2380.95,173.17,3663.0,136
HCPCS,C1889,Pin guide Stryker 144140,1163.0,755.95,173.17,1163.0,68
HCPCS,C1889,Pin guide Stryker 144170,1163.0,755.95,173.17,1163.0,136
HCPCS,C1889,Pin guide drl2.8x300 28zbgp300,1568.0,1019.2,173.17,1568.0,68
HCPCS,C1889,Pin ortho s&n 72201594,1392.0,904.8,173.17,1392.0,136
HCPCS,C1889,Pin perc thrd term 2.8 ar2521,661.0,429.65,114.35,661.0,136
HCPCS,C1889,Pin prov 5in 71210003,1260.0,819.0,173.17,1260.0,136
HCPCS,C1889,Pin steinmann 4.5x250mm 29383,1353.0,879.45,173.17,1353.0,136
HCPCS,C1889,Pin temp Stryker 111645,884.0,574.6,152.93,884.0,68
HCPCS,C1889,Pin temp fix 2.0x25mm 71175091,1746.0,1134.9,173.17,1746.0,136
HCPCS,C1889,Piranha Morcel suct tub mor105,1597.0,1038.05,173.17,1597.0,68
HCPCS,C1889,Piranha Morcelltr blade mor101,7569.0,4919.85,173.17,7569.0,68
HCPCS,C1889,Piranha Morcelltr filtr mor103,553.0,359.45,95.67,553.0,68
HCPCS,C1889,Piranha Morcl col conta mor104,814.0,529.1,140.82,814.0,68
HCPCS,C1889,Piranha Morcl morcescop mor107,3227.0,2097.55,173.17,3227.0,68
HCPCS,C1889,Plate Depuy 4503061,949.0,616.85,164.18,949.0,136
HCPCS,C1889,Plate Profile Osteomed 2180210,1890.0,1228.5,173.17,1890.0,136
HCPCS,C1889,Plate Profile Osteomed 2180211,1921.0,1248.65,173.17,1921.0,136
HCPCS,C1889,Plate Profile Osteomed 2180212,2088.0,1357.2,173.17,2088.0,136
HCPCS,C1889,Plate Profile Osteomed 2180217,953.0,619.45,164.87,953.0,136
HCPCS,C1889,Plate Stryker 5334212,1330.0,864.5,173.17,1330.0,136
HCPCS,C1889,Plate Syndes 2h p532011002s,12050.0,7832.5,173.17,12050.0,136
HCPCS,C1889,Plate cranial Osteomed 2180065,2638.0,1714.7,173.17,2638.0,136
HCPCS,C1889,Plate cranial Osteomed 2180201,654.0,425.1,113.14,654.0,136
HCPCS,C1889,Plate cranial Osteomed 2180207,1838.0,1194.7,173.17,1838.0,136
HCPCS,C1889,Plate cranial Osteomed 2180208,2103.0,1366.95,173.17,2103.0,136
HCPCS,C1889,Plate cranial Osteomed 2180218,1955.0,1270.75,173.17,1955.0,136
HCPCS,C1889,Plate mesh 1.2 90x90mm 5400642,15151.0,9848.15,173.17,15151.0,136
HCPCS,C1889,Plate peek Stryker 7850040,99276.0,64529.4,173.17,99276.0,136
HCPCS,C1889,Plate shunt Osteomed 2180213,2162.0,1405.3,173.17,2162.0,136
HCPCS,C1889,Plug Ampltz 6x6mm 100cm,9163.0,5955.95,173.17,9163.0,136
HCPCS,C1889,Plug Ampltz 8x7mm 100cm,8643.0,5617.95,173.17,8643.0,136
HCPCS,C1889,Plug embol trufill 632400na,36740.0,23881.0,173.17,36740.0,136
HCPCS,C1889,Plug embol trufill 632500na,29380.0,19097.0,173.17,29380.0,136
HCPCS,C1889,Plug scw Zimmer iclap35p,2670.0,1735.5,173.17,2670.0,136
HCPCS,C1889,Port access MRI 9.6sngl 602680,1871.0,1216.15,173.17,1871.0,68
HCPCS,C1889,Port lap Levalap suct dmt001,1784.0,1159.6,173.17,1784.0,68
HCPCS,C1889,Post female 2h dne2fp,689.0,447.85,119.2,689.0,136
HCPCS,C1889,Pouch ecm xl9.5x6.9 cmcv009xlg,9609.0,6245.85,173.17,9609.0,136
HCPCS,C1889,Pro stim cdk port inj 86srcdk0,34191.0,22224.15,173.17,34191.0,136
HCPCS,C1889,Probe abl asp rf apollo ar9821,1870.0,1215.5,173.17,1870.0,68
HCPCS,C1889,Probe cryo 11in cryosp,17755.0,11540.75,173.17,17755.0,68
HCPCS,C1889,Probe cryo 18in cryospl,18465.0,12002.25,173.17,18465.0,68
HCPCS,C1889,Probe microwv ablate ca20l2,20590.0,13383.5,173.17,20590.0,68
HCPCS,C1889,Probe rf Arthrex ar9835,2756.0,1791.4,173.17,2756.0,68
HCPCS,C1889,Probe rf apollo 90 deg ar9811,1362.0,885.3,173.17,1362.0,68
HCPCS,C1889,Probe rf discmonitor 407290000,3097.0,2013.05,173.17,3097.0,68
HCPCS,C1889,Probe rf serfs 50 xl 279351253,2154.0,1400.1,173.17,2154.0,68
HCPCS,C1889,Probe stim cortical 222496100,7621.0,4953.65,173.17,7621.0,68
HCPCS,C1889,Probe tip Cadwell 302430000160,1233.0,801.45,173.17,1233.0,68
HCPCS,C1889,Puma G tube feed gastro001021x,14186.0,9220.9,173.17,14186.0,68
HCPCS,C1889,Punch disp bio assorted 3338,2103.0,1366.95,173.17,2103.0,68
HCPCS,C1889,Puregraft 50pure1singlesystem,3063.0,1990.95,173.17,3063.0,136
HCPCS,C1889,Pusher rx naviflex m00535010,577.0,375.05,99.82,577.0,136
HCPCS,C1889,Putty DBM Matrixcel 5cc 452050,11221.0,7293.65,173.17,11221.0,136
HCPCS,C1889,Putty Maxxi fuse 2.5cc mfc2,15506.0,10078.9,173.17,15506.0,136
HCPCS,C1889,Putty beast plus 10 p01dbm3100,20383.0,13248.95,173.17,20383.0,136
HCPCS,C1889,Putty beast plus 5 p01dbm3050,15270.0,9925.5,173.17,15270.0,136
HCPCS,C1889,Putty bn Allomatrx10cc86001000,6200.0,4030.0,173.17,6200.0,136
HCPCS,C1889,Putty bn Allomatrx10cc860c1000,7902.0,5136.3,173.17,7902.0,136
HCPCS,C1889,Putty bn Allomatrx10cc86xc1000,10685.0,6945.25,173.17,10685.0,136
HCPCS,C1889,Putty bn Allomatrx1cc 86000100,1067.0,693.55,173.17,1067.0,136
HCPCS,C1889,Putty bn Allomatrx3cc 86DR0300,3729.0,2423.85,173.17,3729.0,136
HCPCS,C1889,Putty bn Allomatrx5cc 86000500,3760.0,2444.0,173.17,3760.0,136
HCPCS,C1889,Putty bn dmb maxx fuse mfc10,27322.0,17759.3,173.17,27322.0,136
HCPCS,C1889,Putty bn hemasorb 3.5cm osa351,2851.0,1853.15,173.17,2851.0,136
HCPCS,C1889,Putty bn hemasorb 4g os401,2476.0,1609.4,173.17,2476.0,136
HCPCS,C1889,Putty bn hemo montag osmon1001,12066.0,7842.9,173.17,12066.0,136
HCPCS,C1889,Putty dbm vesuvius 4104k5050dp,8901.0,5785.65,173.17,8901.0,136
HCPCS,C1889,Reamer Phantom fib p369206816,5512.0,3582.8,173.17,5512.0,68
HCPCS,C1889,Reamer collar 10mm trcra10,6021.0,3913.65,173.17,6021.0,68
HCPCS,C1889,Reamer lag scw 14200240,21651.0,14073.15,173.17,21651.0,68
HCPCS,C1889,Reamer stnd stem 10mm 801610,8237.0,5354.05,173.17,8237.0,68
HCPCS,C1889,Reservoir Ommaya 2.5csf w-conn,4704.0,3057.6,173.17,4704.0,136
HCPCS,C1889,Reservoir csf 1.5 Omaya8501210,6445.0,4189.25,173.17,6445.0,136
HCPCS,C1889,Reservoir csf neonate 30mm,4599.0,2989.35,173.17,4599.0,136
HCPCS,C1889,Reservoir csf neonate 35mm,4050.0,2632.5,173.17,4050.0,136
HCPCS,C1889,Reservoir flush Aesculapfv035,3279.0,2131.35,173.17,3279.0,136
HCPCS,C1889,Retrieval sys 12f cor ono12100,49229.0,31998.85,173.17,49229.0,68
HCPCS,C1889,Ring malyugin sys 6.25 mal1001,1439.0,935.35,173.17,1439.0,136
HCPCS,C1889,Rod J&J 102064080,3578.0,2325.7,173.17,3578.0,136
HCPCS,C1889,Rod adj ti 4.0 102074220s,11617.0,7551.05,173.17,11617.0,136
HCPCS,C1889,Rod asf15t lat offset 8452004,6917.0,4496.05,173.17,6917.0,136
HCPCS,C1889,Rod asf25t conn 5.5h 8452855,12274.0,7978.1,173.17,12274.0,136
HCPCS,C1889,Rod carbn fiber 8x160mm 395779,1805.0,1173.25,173.17,1805.0,136
HCPCS,C1889,Rod chromaloy 3.5x300mm7750088,4201.0,2730.65,173.17,4201.0,136
HCPCS,C1889,Rod oc adj Medtr 3600200,6413.0,4168.45,173.17,6413.0,136
HCPCS,C1889,Rod spinal precurv 200 7755275,4718.0,3066.7,173.17,4718.0,136
HCPCS,C1889,Rod spine 5.5x35mm 11355035,7795.0,5066.75,173.17,7795.0,136
HCPCS,C1889,Rod spine 5.5x40mm 11355040,7159.0,4653.35,173.17,7159.0,136
HCPCS,C1889,Rod spine reline o con11101255,14028.0,9118.2,173.17,14028.0,136
HCPCS,C1889,Rod spine ti reline-o 14355060,6267.0,4073.55,173.17,6267.0,136
HCPCS,C1889,Rod tapr vertx 5.5x420 7753707,8257.0,5367.05,173.17,8257.0,136
HCPCS,C1889,Rod ti conn 37-50mm sclx63750,11735.0,7627.75,173.17,11735.0,136
HCPCS,C1889,Rod ti reline 5.5x300 12355300,9174.0,5963.1,173.17,9174.0,136
HCPCS,C1889,Rod ti sagittal 70mm 778167055,8941.0,5811.65,173.17,8941.0,136
HCPCS,C1889,SD Shears crvd hot 470179 INT,3562.0,2315.3,173.17,3562.0,68
HCPCS,C1889,Scope cysto stnd ambu601001000,1892.0,1229.8,173.17,1892.0,68
HCPCS,C1889,Screwdriver Asnis micr4520001s,3444.0,2238.6,173.17,3444.0,68
HCPCS,C1889,Screwdriver Asnis micro4530001,1608.0,1045.2,173.17,1608.0,68
HCPCS,C1889,Screwdriver Phantm p369400001s,3392.0,2204.8,173.17,3392.0,68
HCPCS,C1889,Scw NCB cap Zimmer 0203150300,1967.0,1278.55,173.17,1967.0,136
HCPCS,C1889,Scw endcap Nuvasive 7162000,2311.0,1502.15,173.17,2311.0,136
HCPCS,C1889,Scw red fract 1175000,2807.0,1824.55,173.17,2807.0,136
HCPCS,C1889,Sealant dura adher spry nus109,30326.0,19711.9,173.17,30326.0,136
HCPCS,C1889,Shaver Torpedo 3 5x7 ar9350td,4872.0,3166.8,173.17,4872.0,68
HCPCS,C1889,Shear harmonic 700 23cm har723,4140.0,2691.0,173.17,4140.0,68
HCPCS,C1889,Shear harmonic 700 36cm har736,4715.0,3064.75,173.17,4715.0,68
HCPCS,C1889,Sheath distl scw  211201401,6241.0,4056.65,173.17,6241.0,68
HCPCS,C1889,Sheath endo 30dg 4mm 197230bva,2621.0,1703.65,173.17,2621.0,68
HCPCS,C1889,Sheath endo 70dg 197230cva,2554.0,1660.1,173.17,2554.0,68
HCPCS,C1889,Sheeting silicone 0.5x55x75mm,222.0,144.3,38.41,222.0,136
HCPCS,C1889,Shouldr cap Catalyst bhsfcsr2,28627.0,18607.55,173.17,28627.0,136
HCPCS,C1889,Shouldr cap Catalyst bhsfreva1,39362.0,25585.3,173.17,39362.0,136
HCPCS,C1889,Shouldr cap Catalyst bhsfreva2,45497.0,29573.05,173.17,45497.0,136
HCPCS,C1889,Shouldr pin BP MxR mrue206,4426.0,2876.9,173.17,4426.0,68
HCPCS,C1889,Shunt Loftus med nl8505500,2620.0,1703.0,173.17,2620.0,68
HCPCS,C1889,Shunt Loftus sm nl8505400,2674.0,1738.1,173.17,2674.0,68
HCPCS,C1889,Shunt carotid 3.5x4 nll8505063,4176.0,2714.4,173.17,4176.0,68
HCPCS,C1889,Shunt carotid loop Sundt 4x5mm,4346.0,2824.9,173.17,4346.0,68
HCPCS,C1889,Shunt endart Sundt nl81064s01,10683.0,6943.95,173.17,10683.0,68
HCPCS,C1889,Shunt tunneller rigid fx003su,1593.0,1035.45,173.17,1593.0,136
HCPCS,C1889,Shunt tunneller rigid fx004su,1712.0,1112.8,173.17,1712.0,136
HCPCS,C1889,Shunt valve Aesculap fx231t,13420.0,8723.0,173.17,13420.0,136
HCPCS,C1889,Shunt valve INTEG Lifs828810pl,30501.0,19825.65,173.17,30501.0,136
HCPCS,C1889,Sleeve insrt Embody ema00401,948.0,616.2,164.0,948.0,136
HCPCS,C1889,Smart TSF ring 155mm 71075306,13370.0,8690.5,173.17,13370.0,136
HCPCS,C1889,Smart TSF ring 180mm 71075145,16477.0,10710.05,173.17,16477.0,136
HCPCS,C1889,Smart TSF wire bolt 71075284,1319.0,857.35,173.17,1319.0,136
HCPCS,C1889,Snare itind nitinol wa2ita00,19260.0,12519.0,173.17,19260.0,68
HCPCS,C1889,Snare sys en 45mm en382007045,2330.0,1514.5,173.17,2330.0,68
HCPCS,C1889,Sonopet tip Stryker 550025s307,20866.0,13562.9,173.17,20866.0,68
HCPCS,C1889,Spacer 7deg 12x14x8mm 61012121,5088.0,3307.2,173.17,5088.0,136
HCPCS,C1889,Spacer Osteoremedies rhacsm,14644.0,9518.6,173.17,14644.0,136
HCPCS,C1889,Spacer Osteoremedies rhstsm,15980.0,10387.0,173.17,15980.0,136
HCPCS,C1889,Spacer Stryker 10670010,1332.0,865.8,173.17,1332.0,136
HCPCS,C1889,Spacer hum 50mm rshhlg,23082.0,15003.3,173.17,23082.0,136
HCPCS,C1889,Spacer interspace knee spk0122,31361.0,20384.65,173.17,31361.0,136
HCPCS,C1889,Spacer olif 12x50 pivx 2111350,26225.0,17046.25,173.17,26225.0,136
HCPCS,C1889,Spacer vrb J&J 08807202s,32487.0,21116.55,173.17,32487.0,136
HCPCS,C1889,Spacer zimmer 3201090926,18408.0,11965.2,173.17,18408.0,136
HCPCS,C1889,Spinal conn Medtr 7750445,4858.0,3157.7,173.17,4858.0,136
HCPCS,C1889,Spinal hooks J&J 179752060,8414.0,5469.1,173.17,8414.0,136
HCPCS,C1889,Spine yukon conn plt760173747h,2290.0,1488.5,173.17,2290.0,136
HCPCS,C1889,Spinejack Stryker 909000042,27639.0,17965.35,173.17,27639.0,136
HCPCS,C1889,Splint nasl Reuter Biv 1527005,3282.0,2133.3,173.17,3282.0,68
HCPCS,C1889,Sponge scler dutch optic 92505,2894.0,1881.1,173.17,2894.0,136
HCPCS,C1889,Stabilizer surg acr-i xp5000,9954.0,6470.1,173.17,9954.0,68
HCPCS,C1889,Stabilizer surg suv om9000s,3193.0,2075.45,173.17,3193.0,68
HCPCS,C1889,Stent delvsys naviflxm00533560,923.0,599.95,159.68,923.0,136
HCPCS,C1889,Stent graft Nexus endcmd0001,107096.0,69612.4,173.17,107096.0,136
HCPCS,C1889,Stent wng 3.5x15mm ws035015,31027.0,20167.55,173.17,31027.0,136
HCPCS,C1889,SteriGraft cortical cancel 464,8767.0,5698.55,173.17,8767.0,136
HCPCS,C1889,Stm bone growth 8x15 101320m,35709.0,23210.85,173.17,35709.0,136
HCPCS,C1889,Stm bone growth sz20 10-1320,38493.0,25020.45,173.17,38493.0,136
HCPCS,C1889,Stm bone growth sz40 10-1348,30508.0,19830.2,173.17,30508.0,136
HCPCS,C1889,Stm bone osteogen 40mm 101348m,51529.0,33493.85,173.17,51529.0,136
HCPCS,C1889,Stpl Covidien reltack10rsw,2272.0,1476.8,173.17,2272.0,136
HCPCS,C1889,Stpl Surefrm 30 curved 488530,5788.0,3762.2,173.17,5788.0,68
HCPCS,C1889,Stpl applier clip 5mm Ligamx j,1201.0,780.65,173.17,1201.0,68
HCPCS,C1889,Stpl echelon flex 34cm psee45a,3256.0,2116.4,173.17,3256.0,68
HCPCS,C1889,Stpl endo 6 row 45 reld gst45b,1689.0,1097.85,173.17,1689.0,68
HCPCS,C1889,Stpl secure strap opstrap20,5374.0,3493.1,173.17,5374.0,68
HCPCS,C1889,Stylis Rhinaer Aerin Md cat723,9869.0,6414.85,173.17,9869.0,68
HCPCS,C1889,Surgifoam powd collagen et1978,553.0,359.45,95.67,553.0,136
HCPCS,C1889,Suture Cinch OverSti m00505530,1869.0,1214.85,173.17,1869.0,68
HCPCS,C1889,Suture Cinch OverSti m00505550,2056.0,1336.4,173.17,2056.0,68
HCPCS,C1889,Suture DuraMesh msi5015,5563.0,3615.95,173.17,5563.0,68
HCPCS,C1889,Suture Ethilon 3-0 ps11663h,40.0,26.0,6.92,173.17,68
HCPCS,C1889,Suture Prolene 7-0 bv1 epm8747,555.0,360.75,96.02,555.0,68
HCPCS,C1889,Suture Vicryl 2-0 ct1 j259h,14.0,9.1,2.42,173.17,68
HCPCS,C1889,Suture Vicryl+ ct-1 2-0Vcp945h,17.0,11.05,2.94,173.17,68
HCPCS,C1889,Suture absorb #0 48inl 833137,5119.0,3327.35,173.17,5119.0,136
HCPCS,C1889,Suture ff flex crvd 72205676,8072.0,5246.8,173.17,8072.0,68
HCPCS,C1889,Suture firstpass mini 72290130,10688.0,6947.2,173.17,10688.0,68
HCPCS,C1889,Suture overstitich essg02nxt,10375.0,6743.75,173.17,10375.0,68
HCPCS,C1889,Suture pars imp kit ar8862ds,15530.0,10094.5,173.17,15530.0,68
HCPCS,C1889,Suture pdo2 ctx36x36 sxpd2b405,225.0,146.25,38.93,225.0,68
HCPCS,C1889,Suture prolene 5-0 eph8710h,147.0,95.55,25.43,173.17,68
HCPCS,C1889,Suture steel 0sh sks-30 tpw50,102.0,66.3,17.65,173.17,136
HCPCS,C1889,Suture strat3-0 ps-1 sxmp1b102,307.0,199.55,53.11,307.0,68
HCPCS,C1889,Syringe Dermapose refresh,5289.0,3437.85,173.17,5289.0,68
HCPCS,C1889,Tap Asnis micro cann 4520006s,3670.0,2385.5,173.17,3670.0,68
HCPCS,C1889,Tap Asnis micro cann 4530006s,3510.0,2281.5,173.17,3510.0,68
HCPCS,C1889,Tap cann twinfix 0740232,4850.0,3152.5,173.17,4850.0,136
HCPCS,C1889,Tendon 4x200mm LifeNet FCON,12698.0,8253.7,173.17,12698.0,136
HCPCS,C1889,Tendon impl sys ar1588btb2ibs,9770.0,6350.5,173.17,9770.0,136
HCPCS,C1889,Tensix putty DBM chips phg05c,10012.0,6507.8,173.17,10012.0,136
HCPCS,C1889,Tensix putty DBM chips phg10c,14517.0,9436.05,173.17,14517.0,136
HCPCS,C1889,Tensix putty DBM chips phg10p,13268.0,8624.2,173.17,13268.0,136
HCPCS,C1889,Testicle prosthesis 4501325,16669.0,10834.85,173.17,16669.0,136
HCPCS,C1889,Tib nrv eCoin ec001 1011-2447,103262.0,67120.3,173.17,103262.0,136
HCPCS,C1889,Tibial slv OSS Zimmer 161023,23331.0,15165.15,173.17,23331.0,136
HCPCS,C1889,Tibial ti end cap t40 4004008s,2468.0,1604.2,173.17,2468.0,136
HCPCS,C1889,Tip clarity Integ Lifsc c7415s,29076.0,18899.4,173.17,29076.0,68
HCPCS,C1889,Tip clarity Integ Lifsc c7417s,29397.0,19108.05,173.17,29397.0,68
HCPCS,C1889,Total elbow Zimmer 98001000001,52142.0,33892.3,173.17,52142.0,136
HCPCS,C1889,Tray Kyphpak kex202ebcds,24076.0,15649.4,173.17,24076.0,68
HCPCS,C1889,Tray instrument surg rutrayf,34862.0,22660.3,173.17,34862.0,68
HCPCS,C1889,Trocar 12mm bladed thrd ctb73,230.0,149.5,39.79,230.0,68
HCPCS,C1889,Trocar 5mm bladed thrd ctb03,163.0,105.95,28.2,173.17,68
HCPCS,C1889,Trocar sleev z thrd5x100 cts02,90.0,58.5,15.57,173.17,68
HCPCS,C1889,Tube Jejunostomy 12f m00566350,1562.0,1015.3,173.17,1562.0,68
HCPCS,C1889,Tube MR8 irrig on drill ird800,5268.0,3424.2,173.17,5268.0,68
HCPCS,C1889,Tube StarArray insert 70ITAR5P,1729.0,1123.85,173.17,1729.0,136
HCPCS,C1889,Tube asp cusa clarity c7300,5513.0,3583.45,173.17,5513.0,68
HCPCS,C1889,Tube feed Jejunal 027185545,3758.0,2442.7,173.17,3758.0,68
HCPCS,C1889,Tube feed gastro 536053001s,2551.0,1658.15,173.17,2551.0,68
HCPCS,C1889,Tube high pressure h7499105173,1470.0,955.5,173.17,1470.0,68
HCPCS,C1889,Tube intest J 9fpeg abbviejpeg,6432.0,4180.8,173.17,6432.0,136
HCPCS,C1889,Tube irrig rio Stryker 111613,1055.0,685.75,173.17,1055.0,68
HCPCS,C1889,Tube mryringo su1301240,4272.0,2776.8,173.17,4272.0,136
HCPCS,C1889,Tube myringo 500011,1407.0,914.55,173.17,1407.0,136
HCPCS,C1889,Tube myringo Summit vt122501,2254.0,1465.1,173.17,2254.0,136
HCPCS,C1889,Tube set Da Vinci 470551,7696.0,5002.4,173.17,7696.0,68
HCPCS,C1889,Tube vent mod Armstr 1014242,1557.0,1012.05,173.17,1557.0,68
HCPCS,C1889,Tube zoom asp pod aft117b,4823.0,3134.95,173.17,4823.0,68
HCPCS,C1889,Tubing irrig Midas mr8 ird870,2141.0,1391.65,173.17,2141.0,68
HCPCS,C1889,Tubing irrig Midas mr9 ird875,2065.0,1342.25,173.17,2065.0,68
HCPCS,C1889,Urolift impl sys atc ul400atc,12206.0,7933.9,173.17,12206.0,136
HCPCS,C1889,Valve Hakin press low 825473,10352.0,6728.8,173.17,10352.0,136
HCPCS,C1889,Valve aortic conduit 21mm av00,63874.0,41518.1,173.17,63874.0,136
HCPCS,C1889,Valve aortic conduit 23mm stj,27492.0,17869.8,173.17,27492.0,136
HCPCS,C1889,Valve cerebrospinal 828804pl,26274.0,17078.1,173.17,26274.0,136
HCPCS,C1889,Valve inline anti siphon JJ,34333.0,22316.45,173.17,34333.0,136
HCPCS,C1889,Valve mitral 29mm 7300tfx29,34480.0,22412.0,173.17,34480.0,136
HCPCS,C1889,Valve mitral c-e prm 25mm,40870.0,26565.5,173.17,40870.0,136
HCPCS,C1889,Valve mitral porcine 25mm,26557.0,17262.05,173.17,26557.0,136
HCPCS,C1889,Valve shunt Strata Medtr 42365,29261.0,19019.65,173.17,29261.0,136
HCPCS,C1889,Valve shunt Strata nsc sm42355,28218.0,18341.7,173.17,28218.0,136
HCPCS,C1889,Valve shunt certas 828814pl,25651.0,16673.15,173.17,25651.0,136
HCPCS,C1889,Valve system triclip tcg40100,184032.0,119620.8,173.17,184032.0,136
HCPCS,C1889,Vertebral body pros 129119229,65945.0,42864.25,173.17,65945.0,136
HCPCS,C1889,Vial polymer 20ml ct030001,5427.0,3527.55,173.17,5427.0,68
HCPCS,C1889,Vizadisc hip trackg kt 107130,1962.0,1275.3,173.17,1962.0,68
HCPCS,C1889,Voice imp barrier 40x40 82008,7262.0,4720.3,173.17,7262.0,136
HCPCS,C1889,Voice impl floor 20x20 82007,6631.0,4310.15,173.17,6631.0,136
HCPCS,C1889,Voice postop Atos 2010073,8871.0,5766.15,173.17,8871.0,136
HCPCS,C1889,Voice prosth prov22.5f 8134,2660.0,1729.0,173.17,2660.0,136
HCPCS,C1889,Voices prosth8 provox 20f 8122,2562.0,1665.3,173.17,2562.0,136
HCPCS,C1889,Voices provox life sola kt6136,7304.0,4747.6,173.17,7304.0,68
HCPCS,C1889,Washer Evos S&N 72442135,458.0,297.7,79.23,458.0,136
HCPCS,C1889,Washer Medtr 9090117,1777.0,1155.05,173.17,1777.0,136
HCPCS,C1889,Washer asnis iii strykr390016s,1154.0,750.1,173.17,1154.0,136
HCPCS,C1889,Washer cann Zimmer 114709800,617.0,401.05,106.74,617.0,136
HCPCS,C1889,Washer flat Zimmer 110008347,588.0,382.2,101.72,588.0,136
HCPCS,C1889,Washer spiked13.5x6.5mm 219951,1310.0,851.5,173.17,1310.0,136
HCPCS,C1889,Washers for 40mm scw 001030000,726.0,471.9,125.6,726.0,136
HCPCS,C1889,Wedge bn AlloPure 6mm 86660006,10198.0,6628.7,173.17,10198.0,136
HCPCS,C1889,Wedge bn AlloPure12mm 86661200,12370.0,8040.5,173.17,12370.0,136
HCPCS,C1889,Wedge evans Osteomed 7002208,15908.0,10340.2,173.17,15908.0,136
HCPCS,C1889,Wire cable crimp 400401,325.0,211.25,56.23,325.0,136
HCPCS,C1889,Wire k Eyelet 1.6 p991971620,1514.0,984.1,173.17,1514.0,68
HCPCS,C1889,Wire k In2Bones k10ns150,629.0,408.85,108.82,629.0,136
HCPCS,C1889,Wire k Novastep ckw01004,651.0,423.15,112.62,651.0,136
HCPCS,C1889,Wire k Novastep ckw01011,1080.0,702.0,173.17,1080.0,136
HCPCS,C1889,Wire k Paragon 28 p991932015,331.0,215.15,57.26,331.0,136
HCPCS,C1889,Wire olive Phantom p992051607,1287.0,836.55,173.17,1287.0,68
HCPCS,C1889,Wrench cusa clarity c7601,1312.0,852.8,173.17,1312.0,68
HCPCS,C1889,Wrist inst radl broach 3002100,6557.0,4262.05,173.17,6557.0,68
HCPCS,C1892,"INTRO/SHEATH,FIXED,PEEL-AWAY",562.0,365.3,27.16,3085.0,306
HCPCS,C1892,Intro cholangiogrm 8x3.5 pi104,332.0,215.8,57.44,332.0,34
HCPCS,C1892,Intro safesheath 10 13cm su105,2460.0,1599.0,173.17,2460.0,34
HCPCS,C1892,Intro tear away 6f 14cm 612782,254.0,165.1,43.94,254.0,34
HCPCS,C1892,Introd 5fr peel apart,550.0,357.5,95.15,550.0,34
HCPCS,C1892,Introd 6 fr 405104,474.0,308.1,82.0,474.0,34
HCPCS,C1892,Introd Peel Away 18f g06444,447.0,290.55,77.33,447.0,34
HCPCS,C1892,Introd peel away 10fr cpli1038,1249.0,811.85,173.17,1249.0,34
HCPCS,C1892,Introd peel away 12fr cpli1238,1319.0,857.35,173.17,1319.0,34
HCPCS,C1892,Introd peel away 9fr g03245,557.0,362.05,96.36,557.0,34
HCPCS,C1892,Introd peel away coax g04096,534.0,347.1,92.38,534.0,34
HCPCS,C1892,Introd peelway 18f g04501,1003.0,651.95,173.17,1003.0,34
HCPCS,C1892,Introd plvtw 6.0 38 14cm,202.0,131.3,34.95,202.0,34
HCPCS,C1892,Introd safesheath11f 13cm ss11,511.0,332.15,88.4,511.0,34
HCPCS,C1892,Introd sheath 16fr 30cm g02950,811.0,527.15,140.3,811.0,34
HCPCS,C1892,Introd sheath 7fx43cm 501616a,180.0,117.0,31.14,180.0,34
HCPCS,C1892,Introd sheath sscl9,4070.0,2645.5,173.17,4070.0,34
HCPCS,C1892,Introd sys Merit MD worcsgb109,279.0,181.35,48.27,279.0,34
HCPCS,C1892,Introd sys Merit MD worcsgb209,3180.0,2067.0,173.17,3180.0,34
HCPCS,C1892,Introd tube cfm9.0 perf g05149,96.0,62.4,16.61,173.17,34
HCPCS,C1892,Lead introd csg9009,3481.0,2262.65,173.17,3481.0,34
HCPCS,C1893,Cath guide 7fr sheath 55cm,1200.0,780.0,173.17,1200.0,34
HCPCS,C1893,Cath guide outer Stj ds2c021,4070.0,2645.5,173.17,4070.0,34
HCPCS,C1893,Cath transeptl 8.5fr sl140849,1784.0,1159.6,173.17,1784.0,34
HCPCS,C1893,"INTRO/SHEATH, FIXED,NON-PEEL",4226.5,2747.2250000000004,82.0,11718.0,544
HCPCS,C1893,Introd 10fr,237.0,154.05,41.0,237.0,34
HCPCS,C1893,Introd 12 12cm standard del,303.0,196.95,52.42,303.0,34
HCPCS,C1893,Introd 26ga 1.9cm 384021,551.0,358.15,95.32,551.0,34
HCPCS,C1893,Introd 8.5 .116 60 ultra,1153.0,749.45,173.17,1153.0,34
HCPCS,C1893,Introd Swartz sl1 trans 407453,1838.0,1194.7,173.17,1838.0,34
HCPCS,C1893,Introd acqcross Acutus 900305,4876.0,3169.4,173.17,4876.0,34
HCPCS,C1893,Introd braid gd8x63 sr0 407449,1817.0,1181.05,173.17,1817.0,34
HCPCS,C1893,Introd cathfast 12fr 406301,81.0,52.65,14.01,173.17,34
HCPCS,C1893,Introd cathfast 14fr 406303,90.0,58.5,15.57,173.17,34
HCPCS,C1893,Introd eh lead vntrc 45 375527,2595.0,1686.75,173.17,2595.0,34
HCPCS,C1893,Introd epiducer 13cm 1772,4840.0,3146.0,173.17,4840.0,34
HCPCS,C1893,Introd epiducer 19cm 1773,4787.0,3111.55,173.17,4787.0,34
HCPCS,C1893,Introd pmkr lds kit 6216-47,4452.0,2893.8,173.17,4452.0,34
HCPCS,C1893,Lead intrd kit selectr 375518,1352.0,878.8,173.17,1352.0,34
HCPCS,C1894,Cath guide Aveir lscd201,12429.0,8078.85,173.17,12429.0,102
HCPCS,C1894,Cath repair introducr ak-09806,304.0,197.6,52.59,304.0,102
HCPCS,C1894,Cath vw micrflash intr1261208g,677.0,440.05,117.12,677.0,102
HCPCS,C1894,Guidewire Cardinal 401814rmc,11479.0,7461.35,173.17,11479.0,102
HCPCS,C1894,"INTRO/SHEATH, NON-LASER",602.0,391.3,0.01,14204.0,8430
HCPCS,C1894,Intro sheath 14f 70cm g08682,1499.0,974.35,173.17,1499.0,102
HCPCS,C1894,Intro sheath 16f 70cm g08683,2433.0,1581.45,173.17,2433.0,102
HCPCS,C1894,Intro sheath 6fr pinnacl 4cm,354.0,230.1,61.24,354.0,102
HCPCS,C1894,Intro sheath 8.5x10 ak29803cdc,525.0,341.25,90.83,525.0,102
HCPCS,C1894,Intro sheath 8f 45cm g49099,640.0,416.0,110.72,640.0,102
HCPCS,C1894,Intro sheath 9x10cm ak09903cdc,471.0,306.15,81.48,471.0,102
HCPCS,C1894,Introd .038 14fr 45cm g28438,1582.0,1028.3,173.17,1582.0,102
HCPCS,C1894,Introd 10fr 13cm Safe,12.0,7.8,2.08,173.17,102
HCPCS,C1894,Introd 11fr 30 cm 406182,101.0,65.65,17.47,173.17,102
HCPCS,C1894,Introd 18x30cm excluder,1438.0,934.7,173.17,1438.0,102
HCPCS,C1894,Introd 20f checflo 25cm g28999,3922.0,2549.3,173.17,3922.0,102
HCPCS,C1894,Introd 20x30cm exclur pg203000,2616.0,1700.4,173.17,2616.0,102
HCPCS,C1894,Introd 6.0 45cm flex,193.0,125.45,33.39,193.0,102
HCPCS,C1894,Introd 6.5 x 5cm,202.0,131.3,34.95,202.0,102
HCPCS,C1894,Introd 6fr x 5cm saftey,348.0,226.2,60.2,348.0,102
HCPCS,C1894,Introd 7.0 45cm flex,794.0,516.1,137.36,794.0,102
HCPCS,C1894,Introd 8.0 100cm flex,1166.0,757.9,173.17,1166.0,102
HCPCS,C1894,Introd 8.0 45cm flex,904.0,587.6,156.39,904.0,102
HCPCS,C1894,Introd 9frx10cm ak09907s,435.0,282.75,75.26,435.0,102
HCPCS,C1894,Introd EP kit 7fr BARD,550.0,357.5,95.15,550.0,102
HCPCS,C1894,Introd GW vasc Ultimum 407688,871.0,566.15,150.68,871.0,102
HCPCS,C1894,Introd Lieberman g12762,700.0,455.0,121.1,700.0,102
HCPCS,C1894,Introd Micro puncture kit00239,341.0,221.65,58.99,341.0,102
HCPCS,C1894,Introd PreludeRoadster pg5f90s,625.0,406.25,108.13,625.0,102
HCPCS,C1894,Introd cath guid flexor g12606,683.0,443.95,118.16,683.0,102
HCPCS,C1894,Introd cath micr 5f 6597018,371.0,241.15,64.18,371.0,102
HCPCS,C1894,Introd cath st Micrpnct g48002,485.0,315.25,83.91,485.0,102
HCPCS,C1894,Introd cath st chck flo g28322,604.0,392.6,104.49,604.0,102
HCPCS,C1894,Introd chk flow cook md g12830,3414.0,2219.1,173.17,3414.0,102
HCPCS,C1894,Introd excluder 12x30cm,959.0,623.35,165.91,959.0,102
HCPCS,C1894,Introd flex 9.0x65cm,999.0,649.35,172.83,999.0,102
HCPCS,C1894,Introd glidesheath 521050,900.0,585.0,155.7,900.0,102
HCPCS,C1894,Introd guid 4f id 70cml g56219,818.0,531.7,141.51,818.0,102
HCPCS,C1894,Introd guide 6.0 90cm Tuohy st,877.0,570.05,151.72,877.0,102
HCPCS,C1894,Introd guide rcfw12-38-75-rbhl,1255.0,815.75,173.17,1255.0,102
HCPCS,C1894,Introd guide ucer 7fr rdc,915.0,594.75,158.3,915.0,102
HCPCS,C1894,Introd intrsyt-n 26ga autogrd,792.0,514.8,137.02,792.0,102
HCPCS,C1894,Introd lead neuro ndl 9 355018,2968.0,1929.2,173.17,2968.0,102
HCPCS,C1894,Introd micro 5fr 10cm g43870,367.0,238.55,63.49,367.0,102
HCPCS,C1894,Introd micro pedal 4f g02972,652.0,423.8,112.8,652.0,102
HCPCS,C1894,Introd ndl 18gx2 .5,23.0,14.95,3.98,173.17,102
HCPCS,C1894,Introd ndl 5f 19g 20cm isn1920,35.0,22.75,6.06,173.17,102
HCPCS,C1894,Introd ndl labs 200,3816.0,2480.4,173.17,3816.0,102
HCPCS,C1894,Introd picc 1.9fr sheath19,429.0,278.85,74.22,429.0,102
HCPCS,C1894,Introd port a cath,2530.0,1644.5,173.17,2530.0,102
HCPCS,C1894,Introd rcf-14-38-j,554.0,360.1,95.84,554.0,102
HCPCS,C1894,Introd sheath 10f steerab3fc10,14024.0,9115.6,173.17,14024.0,102
HCPCS,C1894,Introd sheath 16f 70 g08683,1644.0,1068.6,173.17,1644.0,102
HCPCS,C1894,Introd sheath 20fr sensh2028w,2809.0,1825.85,173.17,2809.0,102
HCPCS,C1894,Introd sheath 5fr g48194,1133.0,736.45,173.17,1133.0,102
HCPCS,C1894,Introd sheath 9fr 25cm hls2509,520.0,338.0,89.96,520.0,102
HCPCS,C1894,Introd sheath Cook Med g30009,1094.0,711.1,173.17,1094.0,102
HCPCS,C1894,Introd sheath Cook Med g56225,826.0,536.9,142.9,826.0,102
HCPCS,C1894,Introd sheath Flexor 6f g11638,534.0,347.1,92.38,534.0,102
HCPCS,C1894,Introd sheath Microp 5f g07324,322.0,209.3,55.71,322.0,102
HCPCS,C1894,Introd sheath Microp g56201,248.0,161.2,42.9,248.0,102
HCPCS,C1894,Introd sheath Pinnacle rsb701,102.0,66.3,17.65,173.17,102
HCPCS,C1894,Introd sheath dsf1665,7664.0,4981.6,173.17,7664.0,102
HCPCS,C1894,Introd sheath g48008,564.0,366.6,97.57,564.0,102
HCPCS,C1894,Introd sheath micro 7f mis7f07,342.0,222.3,59.17,342.0,102
HCPCS,C1894,Introd sheath perc 8.5fx80,593.0,385.45,102.59,593.0,102
HCPCS,C1894,Introd sheath perc 9,403.0,261.95,69.72,403.0,102
HCPCS,C1894,Introd sheath perc intro 8.5fr,378.0,245.7,65.39,378.0,102
HCPCS,C1894,Introd sheath teleflexak09908s,492.0,319.8,85.12,492.0,102
HCPCS,C1894,Introd sheath vasc mull g07601,502.0,326.3,86.85,502.0,102
HCPCS,C1894,Introd tranjugl ring 10fg29769,5372.0,3491.8,173.17,5372.0,102
HCPCS,C1894,Introd tranjugl ring rtps100bc,5833.0,3791.45,173.17,5833.0,102
HCPCS,C1894,Introd transeptal 8 032 60,1168.0,759.2,173.17,1168.0,102
HCPCS,C1894,Introd tunnneler 18fr 423100,1025.0,666.25,173.17,1025.0,102
HCPCS,C1894,Introd vasc 16f 20cm g03947,146.0,94.9,25.26,173.17,102
HCPCS,C1894,Introd vasc hemo valv i500bf85,991.0,644.15,171.44,991.0,102
HCPCS,C1894,Introd w gundry rcsp 94115t,924.0,600.6,159.85,924.0,102
HCPCS,C1894,Introducer 14fr mic gi 98431,2190.0,1423.5,173.17,2190.0,102
HCPCS,C1894,Introducer minop 19fr fh604su,2672.0,1736.8,173.17,2672.0,102
HCPCS,C1894,Kit neurostim lead Axonics 1801,3657.0,2377.05,173.17,3657.0,102
HCPCS,C1894,Ndl introd tip10g 5in306100000,569.0,369.85,98.44,569.0,102
HCPCS,C1894,Rotablator Advancer 22782-001a,2631.0,1710.15,173.17,2631.0,102
HCPCS,C1894,Sheath 5fr long arrw cl-07524,685.0,445.25,118.51,685.0,102
HCPCS,C1894,Sheath 6fr long arrw cl-07624,639.0,415.35,110.55,639.0,102
HCPCS,C1894,Sheath Safe 12.5f 13 hls1012.5,1047.0,680.55,173.17,1047.0,102
HCPCS,C1894,Sheath Safe 9fr 25cm hls2509,1460.0,949.0,173.17,1460.0,102
HCPCS,C1894,Sheath access dialys 16 1016s,717.0,466.05,124.04,717.0,102
HCPCS,C1894,Sheath access uret 11 13x36,1156.0,751.4,173.17,1156.0,102
HCPCS,C1894,Sheath guide 5f g56220,854.0,555.1,147.74,854.0,102
HCPCS,C1894,Sheath guide Cook Med g11635,501.0,325.65,86.67,501.0,102
HCPCS,C1894,Sheath pinnacle 4fr rss402,52.0,33.8,9.0,173.17,102
HCPCS,C1894,Sheath pinnacle 8x10cm rsb812,268.0,174.2,46.36,268.0,102
HCPCS,C1894,Sheath protrieve 20fr 60101,28542.0,18552.3,173.17,28542.0,102
HCPCS,C1894,Sheath renal dil17 m0062601600,615.0,399.75,106.4,615.0,102
HCPCS,C1894,Sheath rent tip retrieval ez,855.0,555.75,147.92,855.0,102
HCPCS,C1894,Sheath uret 13-15fr 61324bx,1189.0,772.85,173.17,1189.0,102
HCPCS,C1894,Sheath uret acc 36 m0062502031,1113.0,723.45,173.17,1113.0,102
HCPCS,C1894,Sheath uret acces 10fr 35cm,937.0,609.05,162.1,937.0,102
HCPCS,C1894,Sheath uret acces set28cm bs,1073.0,697.45,173.17,1073.0,102
HCPCS,C1894,Sheath uret access clrpet100,7929.0,5153.85,173.17,7929.0,102
HCPCS,C1894,introd sheath 12fr strbl 4fc12,11427.0,7427.55,173.17,11427.0,102
HCPCS,C1895,"LEAD, AICD, ENDO DUAL COIL",24356.0,15831.4,0.17,27472.0,272
HCPCS,C1895,Lead ICD Dual Coil RV 7170Q58,26587.0,17281.55,173.17,26587.0,34
HCPCS,C1895,Lead ICD dual 185 endotakGUID,28899.0,18784.35,173.17,28899.0,34
HCPCS,C1895,Lead ICD dual 350053 lin BIOT,4441.0,2886.65,173.17,4441.0,34
HCPCS,C1895,Lead ICD dual Medtr 6946m55,17620.0,11453.0,173.17,17620.0,34
HCPCS,C1896,"LEAD, AICD, NON SING/DUAL",27554.0,17910.1,173.17,35642.0,170
HCPCS,C1896,Lead ICD non sing-dual recall,1.0,0.65,0.17,173.17,32
HCPCS,C1896,Lead oval patch 6721m50,5939.0,3860.35,173.17,5939.0,34
HCPCS,C1896,Lead q-trak electrode 3400,25440.0,16536.0,173.17,25440.0,34
HCPCS,C1897,"LEAD, NEUROSTIM TEST KIT",24174.0,15713.1,173.17,125244.0,340
HCPCS,C1897,Lead infin kit 50cm sc231650e,21306.0,13848.9,173.17,21306.0,34
HCPCS,C1897,Lead interstim Medtr 306001,661.0,429.65,114.35,661.0,34
HCPCS,C1897,Lead istim test medtr 309201,1081.0,702.65,173.17,1081.0,68
HCPCS,C1897,Lead neurostm axium mn1045050a,15615.0,10149.75,173.17,15615.0,68
HCPCS,C1897,Neuro stim 3660 contrlsys,92403.0,60061.95,173.17,92403.0,68
HCPCS,C1897,Neuro stim Medt tl23,5512.0,3582.8,173.17,5512.0,68
HCPCS,C1897,Neuro stim Octro 1leadtrialsys,12708.0,8260.2,173.17,12708.0,68
HCPCS,C1897,Neuro stim Octro 2leadtrialsys,15473.0,10057.45,173.17,15473.0,68
HCPCS,C1897,Neuro stim lead Axonics 1701,2756.0,1791.4,173.17,2756.0,68
HCPCS,C1897,Neuro stim lead Axonics 1901,449.0,291.85,77.68,449.0,68
HCPCS,C1897,Neuro stim lead octrode60 3086,9565.0,6217.25,173.17,9565.0,68
HCPCS,C1897,Neuro stim lead trial s8t1us,7791.0,5064.15,173.17,7791.0,68
HCPCS,C1897,Neuro stim lead trial s8t2us,10388.0,6752.2,173.17,10388.0,68
HCPCS,C1897,Neurostim test lead kit TL23,4086.0,2655.9,173.17,4086.0,68
HCPCS,C1897,Neurostm lead trial mn1035050a,11930.0,7754.5,173.17,11930.0,68
HCPCS,C1898,Eval lead pacemaker,1.0,0.65,0.17,173.17,34
HCPCS,C1898,"LEAD, PMKR, OTHER THAN TRANS",4727.5,3072.875,173.17,27472.0,408
HCPCS,C1898,Lead pmkr guid 4480 sterox aj,3222.0,2094.3,173.17,3222.0,34
HCPCS,C1898,Lead pmkr not trnsg 1688tc STJ,4505.0,2928.25,173.17,4505.0,34
HCPCS,C1898,Lead pmkr not trnsg 4471GUID,5451.0,3543.15,173.17,5451.0,34
HCPCS,C1898,Lead pmkr not trnsg346368 BIOT,5300.0,3445.0,173.17,5300.0,34
HCPCS,C1898,Lead pmkr other trans recall,1.0,0.65,0.17,173.17,32
HCPCS,C1899,Lead pmkr-ICD combo recall,1.0,0.65,0.17,173.17,32
HCPCS,C1900,Eval lead coronary sinus,1.0,0.65,0.17,173.17,34
HCPCS,C1900,"LEAD, CORONARY VENOUS",13270.0,8625.5,173.17,16159.0,340
HCPCS,C1900,Lead lt qflex Stj 1258t75,16158.0,10502.7,173.17,16158.0,34
HCPCS,C1900,Lead lt ven MEDT fix 419588,14053.0,9134.45,173.17,14053.0,34
HCPCS,C1900,Lead lt ven fix 4195 MED,11498.0,7473.7,173.17,11498.0,34
HCPCS,C1900,Lead lt vent 4194-88 MED,10653.0,6924.45,173.17,10653.0,34
HCPCS,C1900,Lead lt vent sutls 511212 STJ,5597.0,3638.05,173.17,5597.0,34
HCPCS,C1900,Lead pacing qd 86cm 1457q86,18408.0,11965.2,173.17,18408.0,34
HCPCS,C1900,Lead wire pacing 2-0 tpw30,111.0,72.15,19.2,173.17,34
HCPCS,C1900,Lead wire pacing 2-0 tpw32,219.0,142.35,37.89,219.0,34
HCPCS,C1982,"CATH, PRESSURE,VALVE-OCCLU",39618.0,25751.7,173.17,39618.0,34
HCPCS,C2613,Sealant biosentry 768022019s,3896.0,2532.4,173.17,3896.0,34
HCPCS,C2613,Sealant bxAngDynh78776822019s1,1744.0,1133.6,173.17,1744.0,34
HCPCS,C2614,"PROBE, PERC LUMB DISC",4016.0,2610.4,173.17,4016.0,34
HCPCS,C2614,Probe NIM spine 23cm 9450015,1102.0,716.3,173.17,1102.0,34
HCPCS,C2614,Probe nim spine 2.3cm 9450051,912.0,592.8,157.78,912.0,34
HCPCS,C2615,Sealan pulmleak ide g120186res,1.0,0.65,0.17,173.17,34
HCPCS,C2615,Sealant pulm air leak pgps002,8830.0,5739.5,173.17,8830.0,34
HCPCS,C2616,Brachy n-s yttrium-90 per src,40563.0,26365.95,173.17,40563.0,112
HCPCS,C2616,Y-90 Sirtex brachy per source,42680.0,27742.0,7383.64,42680.0,55
HCPCS,C2617,"STENT, NON-COR, TEM W/O DEL",1089.0,707.85,19.55,15530.0,782
HCPCS,C2617,Stent Viabahn 10x10mm x 110cm,18110.0,11771.5,173.17,18110.0,34
HCPCS,C2617,Stent Viabahn 9x5mm x 115cm,15127.0,9832.55,173.17,15127.0,34
HCPCS,C2617,Stent bil 10fr dia m00532270,573.0,372.45,99.13,573.0,34
HCPCS,C2617,Stent convertx 8.3 28 10001028,9349.0,6076.85,173.17,9349.0,34
HCPCS,C2617,Stent nephrouret 8f m001245520,1532.0,995.8,173.17,1532.0,34
HCPCS,C2617,Stent uret .038x100 lt g14780,852.0,553.8,147.4,852.0,34
HCPCS,C2617,Stent uret .038x100 rt g14779,844.0,548.6,146.01,844.0,34
HCPCS,C2617,Stent uret 4.5f dia 5604522,796.0,517.4,137.71,796.0,34
HCPCS,C2617,Stent uret Diversn sng j 8.5fr,2573.0,1672.45,173.17,2573.0,34
HCPCS,C2617,Stent uret dbl pig 6fr 5606020,360.0,234.0,62.28,360.0,34
HCPCS,C2617,Stent uret dbl pigtail 7x26,1665.0,1082.25,173.17,1665.0,34
HCPCS,C2617,Stent uret hydr28x7flur ufh728,1519.0,987.35,173.17,1519.0,34
HCPCS,C2617,Stent uret intro 810 g15010,646.0,419.9,111.76,646.0,34
HCPCS,C2617,Stent ureteral m001221370,508.0,330.2,87.88,508.0,34
HCPCS,C2617,Stent ureterl flx10x20 1274050,1180.0,767.0,173.17,1180.0,34
HCPCS,C2618,Cath bal cryo 4x20x120,6360.0,4134.0,173.17,6360.0,34
HCPCS,C2618,Cath cryoabla xtra5 7f 227f5,10653.0,6924.45,173.17,10653.0,34
HCPCS,C2618,Cryoabl kit prostate 8031308,19080.0,12402.0,173.17,19080.0,34
HCPCS,C2618,Eval probe Cryoablation,0.01,0.01,0.01,173.17,22
HCPCS,C2618,Ndl abl Cryo sensor fprpr4010,9349.0,6076.85,173.17,9349.0,34
HCPCS,C2618,Ndl abl cryo 8 prost fprpr3508,9869.0,6414.85,173.17,9869.0,34
HCPCS,C2618,Ndl abl cryo ice 2.4 fprpr3506,10907.0,7089.55,173.17,10907.0,34
HCPCS,C2618,"PROBE/NEEDLE, CRYO",11299.5,7344.674999999999,173.17,28542.0,204
HCPCS,C2618,Probe 11in sphr atricure cryos,17400.0,11310.0,173.17,17400.0,34
HCPCS,C2618,Probe 18in atricure cryos-l,18110.0,11771.5,173.17,18110.0,34
HCPCS,C2618,Probe Cryo Dev ClariFx CFX2000,13652.0,8873.8,173.17,13652.0,34
HCPCS,C2618,Probe CryoAblation cryof,16690.0,10848.5,173.17,16690.0,34
HCPCS,C2618,Probe Cryoabl plus cryosmaxl,20590.0,13383.5,173.17,20590.0,34
HCPCS,C2618,Probe ablat rf xli 700103024,19140.0,12441.0,173.17,19140.0,34
HCPCS,C2618,Probe cryo cryosphere cryosmax,19886.0,12925.9,173.17,19886.0,34
HCPCS,C2619,Pmkr dual non rate resp recall,1.0,0.65,0.17,173.17,32
HCPCS,C2620,Pmkr sing non rate resp recall,1.0,0.65,0.17,173.17,32
HCPCS,C2621,"PMKR, OTHER THAN SING/DUAL",31885.0,20725.25,0.17,38084.0,270
HCPCS,C2621,Pmkr not sngl dl STJD pm3222,30672.0,19936.8,173.17,30672.0,34
HCPCS,C2621,Pmkr not sngl dl biotr 377208,26838.0,17444.7,173.17,26838.0,34
HCPCS,C2621,Pmkr not sngl dl c2tr0 MED,32008.0,20805.2,173.17,32008.0,34
HCPCS,C2621,Pmkr not sngl dl c4tr0 MED,35846.0,23299.9,173.17,35846.0,34
HCPCS,C2621,Pmkr not sngl dl pm3210 STJ,33484.0,21764.6,173.17,33484.0,34
HCPCS,C2622,"PROSTHESIS, PENILE, NON-INF",48832.0,31740.8,173.17,55025.0,68
HCPCS,C2623,"CATH, TRANSLUMIN, DRUG-COAT",13405.5,8713.575,173.17,17755.0,272
HCPCS,C2624,Cordella pulm sensor 10030305,121410.0,78916.5,173.17,121410.0,68
HCPCS,C2624,Sensor cardiomems impl cm2000,115020.0,74763.0,173.17,115020.0,68
HCPCS,C2625,Eval stent no corny w delc2625,1.0,0.65,0.17,173.17,34
HCPCS,C2625,"STENT, NON-COR, TEM W/DEL SY",1565.0,1017.25,119.2,11597.0,204
HCPCS,C2625,Stent bil 11.5fr dia m00545700,994.0,646.1,171.96,994.0,34
HCPCS,C2625,Stent bil Cook Med g22402,1514.0,984.1,173.17,1514.0,34
HCPCS,C2625,Stent bileduct pigtail g21397,1373.0,892.45,173.17,1373.0,34
HCPCS,C2625,Stent biliary advanx m00534250,1479.0,961.35,173.17,1479.0,34
HCPCS,C2625,Stent pancreat Cook Med g26828,346.0,224.9,59.86,346.0,34
HCPCS,C2625,Stent sinus Intersect 5009684,14256.0,9266.4,173.17,14256.0,34
HCPCS,C2625,Stent uro hydr pigtail g18070,1280.0,832.0,173.17,1280.0,34
HCPCS,C2625,Tube Nephrostomy 8.5fr g07203,691.0,449.15,119.54,691.0,34
HCPCS,C2627,"CATH, SUPRAPUBIC/CYSTOSCOPIC",527.5,342.875,83.91,570.0,68
HCPCS,C2627,Cath Malecot 4 wing 18f 086018,1586.0,1030.9,173.17,1586.0,34
HCPCS,C2627,Cath plug dynd12200,2.0,1.3,0.35,173.17,34
HCPCS,C2627,Cath suprapubc Rutnr 12fr 1912,807.0,524.55,139.61,807.0,34
HCPCS,C2627,Cath suprapubc intro set143112,858.0,557.7,148.43,858.0,34
HCPCS,C2627,Cath suprapubic Bonano kit ch,835.0,542.75,144.46,835.0,34
HCPCS,C2627,Cath suprapubic drain g55825,581.0,377.65,100.51,581.0,34
HCPCS,C2628,"CATHETER, OCCLUSION",14538.0,9449.7,173.17,15530.0,136
HCPCS,C2628,Cath bal 3.5 7mm 150 Hyperform,10731.0,6975.15,173.17,10731.0,34
HCPCS,C2628,Cath bal coda 10.0 35 100 32,4696.0,3052.4,173.17,4696.0,34
HCPCS,C2628,Cath bal coda 10f 120cm g53025,4420.0,2873.0,173.17,4420.0,34
HCPCS,C2628,Cath bal occl Scepter bc0210m,21271.0,13826.15,173.17,21271.0,34
HCPCS,C2628,Cath bal occl Scepter bc0411xc,11470.0,7455.5,173.17,11470.0,34
HCPCS,C2628,Cath bal occl bridg80mm 590001,8830.0,5739.5,173.17,8830.0,34
HCPCS,C2628,Cath bal occlusn 15x12x90 2006,9308.0,6050.2,173.17,9308.0,34
HCPCS,C2628,Cath bal occlusn 6-2-80-17-102,1831.0,1190.15,173.17,1831.0,34
HCPCS,C2628,Cath bal occlusn 7-2-100,1629.0,1058.85,173.17,1629.0,34
HCPCS,C2628,Cath ball 100cm q50100x,4228.0,2748.2,173.17,4228.0,34
HCPCS,C2628,Cath ball 6fr 90cm 6714,551.0,358.15,95.32,551.0,34
HCPCS,C2628,Cath dilt cerv jsosr100500,2666.0,1732.9,173.17,2666.0,34
HCPCS,C2629,"INTRO/SHEATH, LASER",2782.0,1808.3,141.0,20561.0,136
HCPCS,C2629,Intro chkfl 6x35x70mult g56226,826.0,536.9,142.9,826.0,34
HCPCS,C2629,Intro chkfl 6x35x70strg g56221,540.0,351.0,93.42,540.0,34
HCPCS,C2629,Intro chkfl 8x38x90 g09602,781.0,507.65,135.11,781.0,34
HCPCS,C2629,Intro chkfl 9x38x80 g09442,1468.0,954.2,173.17,1468.0,34
HCPCS,C2629,Introd chkfl 10x38x80 g13033,870.0,565.5,150.51,870.0,34
HCPCS,C2629,Introd ndl mic 5fr w gw g43869,346.0,224.9,59.86,346.0,34
HCPCS,C2629,Introd rcf 12x38 w gw go7369,554.0,360.1,95.84,554.0,34
HCPCS,C2630,"CATH, EP, COOL-TIP",14204.0,9232.6,173.17,28542.0,306
HCPCS,C2630,Cath abl ds bi direc bn7tcfj8l,16477.0,10710.05,173.17,16477.0,34
HCPCS,C2630,Cath ep abl se 8fr d-f afasedf,14701.0,9555.65,173.17,14701.0,34
HCPCS,C2630,Cath ep thera cool bd a088047,14284.0,9284.6,173.17,14284.0,34
HCPCS,C2630,Cath ep theracol unid ibi84308,11427.0,7427.55,173.17,11427.0,34
HCPCS,C2630,Cath sensor enabled fj afasefj,12784.0,8309.6,173.17,12784.0,34
HCPCS,C2630,Ndl ablation 1x4x25cm semiflex,19694.0,12801.1,173.17,19694.0,34
HCPCS,C2630,Ndl ablation 1x7x25cm700104077,32003.0,20801.95,173.17,32003.0,34
HCPCS,C2630,Ndl ablation uniblate 10cm,21569.0,14019.85,173.17,21569.0,34
HCPCS,C2630,Ndl ablation uniblate 15cm,15624.0,10155.6,173.17,15624.0,34
HCPCS,C2630,Ndl perc micro ablt 17 vt1720,14191.0,9224.15,173.17,14191.0,34
HCPCS,C2630,Ndl perc micro ablt 22 vt2220,12891.0,8379.15,173.17,12891.0,34
HCPCS,C2630,Probe ablat 10cm cryo a000683,16335.0,10617.75,173.17,16335.0,34
HCPCS,C2630,Probe ablat Emprint 15 ca15l1,22691.0,14749.15,173.17,22691.0,34
HCPCS,C2630,Probe spacr elec h787204003015,253.0,164.45,43.77,253.0,34
HCPCS,C2631,Device capio slim m0068318250,5890.0,3828.5,173.17,5890.0,34
HCPCS,C2631,"REP DEV, URINARY, W/O SLING",11079.0,7201.35,173.17,11079.0,34
HCPCS,C2631,Suture Capio dev captr 831-125,4760.0,3094.0,173.17,4760.0,34
HCPCS,C2631,Suture anchorsure 1 fr asure,4823.0,3134.95,173.17,4823.0,34
HCPCS,C2638,I125 stranded per seed,320.0,208.0,35.26,320.0,55
HCPCS,C2639,I125 non stranded per seed,126.0,81.9,21.8,180.98,55
HCPCS,C2640,PD-103 stranded each seed,1002.0,651.3,88.26,2296.6,55
HCPCS,C2641,PD-103 non-stranded each seed,944.0,613.6,64.48,2296.6,55
HCPCS,C2642,Gammatile GT Med per source,3445.0,2239.25,119.11,3445.0,56
HCPCS,C2642,Gammatile gt10,27513.0,17883.45,119.11,27513.0,56
HCPCS,C2642,Gammatile gt11,26871.0,17466.15,119.11,26871.0,56
HCPCS,C2642,Gammatile gt12,26335.0,17117.75,119.11,26335.0,56
HCPCS,C2642,Gammatile gt13,25883.0,16823.95,119.11,25883.0,56
HCPCS,C2642,Gammatile gt14,25374.0,16493.1,119.11,25374.0,56
HCPCS,C2642,Gammatile gt15,25050.0,16282.5,119.11,25050.0,56
HCPCS,C2642,Gammatile gt16,24747.0,16085.55,119.11,24747.0,56
HCPCS,C2642,Gammatile gt17,24488.0,15917.2,119.11,24488.0,56
HCPCS,C2642,Gammatile gt18,24258.0,15767.7,119.11,24258.0,56
HCPCS,C2642,Seed mesh Isoray cs1bcs,1827.0,1187.55,119.11,2296.6,56
HCPCS,C7544,ERCP RMV CALC PANCREATOSCOPY,,,,,0
HCPCS,C8001,Anat seg 3D CT imaging preop,664.0,431.6,114.87,664.0,47
HCPCS,C8001,Anat seg 3D MRI imaging preop,664.0,431.6,114.87,664.0,47
HCPCS,C8004,Sim�angio�w use press gen�cath,48084.0,31254.6,173.17,48084.0,47
HCPCS,C8921,ECHO TTE cong abn w con,1408.0,915.2,173.17,1408.0,54
HCPCS,C8922,ECHO TTE cong abn fu ltd w con,1058.0,687.7,173.17,1105.15,54
HCPCS,C8923,2D ECHO only w con,3469.0,2254.85,173.17,3469.0,56
HCPCS,C8924,2D ECHO only fu ltd w con,1310.0,851.5,173.17,1310.0,56
HCPCS,C8925,TEE 2D ECHO only w con,4664.0,3031.6,173.17,4664.0,54
HCPCS,C8926,TEE 2D only congntl w contrast,3749.0,2436.85,173.17,3749.0,54
HCPCS,C8927,TEE 2D monitoring w con,3835.0,2492.75,173.17,3835.0,54
HCPCS,C8928,Stress ECHO w con,3752.0,2438.8,173.17,3752.0,56
HCPCS,C8930,Stress ECHO w contrast supv,4583.0,2978.95,173.17,4583.0,56
HCPCS,C9047,Caplacizumab-yhdp 1mg inj,3194.0,2076.1,552.56,11639.51,55
HCPCS,C9254,Lacosamide 10mg/ml 20ml vial,1126.0,731.9,194.8,1126.0,33
HCPCS,C9254,Lacosamide 1mg IV,5.0,3.25,0.87,5.0,33
HCPCS,C9254,Lacosamide 2 mg/mL PED,15.0,9.75,2.6,15.0,33
HCPCS,C9293,Glucarpidase 10 unit inj,1640.0,1066.0,283.72,11639.51,55
HCPCS,C9305,Nipocalimab-aahu 3mg IV,175.0,113.75,30.28,175.0,33
HCPCS,C9306,Telisotuzumab vedotin-tllv 1mg IV,867.0,563.55,149.99,867.0,198
HCPCS,C9352,Collagen INTEG Lifesc png130,15996.0,10397.4,173.17,15996.0,34
HCPCS,C9352,Collagen Neurogn INTEG pngm120,17373.0,11292.45,173.17,17373.0,34
HCPCS,C9352,Collagen Neurogn INTEG pngm130,22435.0,14582.75,173.17,22435.0,34
HCPCS,C9352,Collagen nerveguide 1x3 png130,16813.0,10928.45,173.17,16813.0,34
HCPCS,C9352,Collagen nerveguide 2x2 png220,11656.0,7576.4,173.17,11656.0,34
HCPCS,C9352,Collagen nerveguide 6x3 png630,14714.0,9564.1,173.17,14714.0,34
HCPCS,C9352,"NEURAGEN NERVE GUIDE, PER CM",17371.0,11291.15,173.17,23794.0,102
HCPCS,C9353,Collagen neurawrap 3x4 nw340,17995.0,11696.75,173.17,17995.0,34
HCPCS,C9353,"NEURAWRAP NERVE PROTECTOR,CM",14812.5,9628.125,173.17,17122.0,68
HCPCS,C9355,"NEUROMATRIX NERVE CUFF, CM",11772.0,7651.8,173.17,11772.0,34
HCPCS,C9356,Tendon Tenogld IntgLifsc tg451,32709.0,21260.85,173.17,32709.0,34
HCPCS,C9356,Tendon protec tenoglid4x5tg221,21420.0,13923.0,173.17,21420.0,34
HCPCS,C9358,Collagen Surgmd10x10 606001005,14204.0,9232.6,173.17,14204.0,34
HCPCS,C9358,Collagen Surgmd10x20 606001007,28542.0,18552.3,173.17,28542.0,34
HCPCS,C9358,Collagen surgm0.3x25 606003001,1622.0,1054.3,173.17,1622.0,34
HCPCS,C9358,Collagen surgm0.6x25 606003002,3180.0,2067.0,173.17,3180.0,34
HCPCS,C9358,Collagen surgmd 1x25 606003003,5300.0,3445.0,173.17,5300.0,34
HCPCS,C9358,Collagen surgmd 3x3 606001012,1946.0,1264.9,173.17,1946.0,34
HCPCS,C9358,Collagen surgmd 3x3 606002005,1730.0,1124.5,173.17,1730.0,34
HCPCS,C9358,Collagen surgmd 4x12 606001014,9972.0,6481.8,173.17,9972.0,34
HCPCS,C9358,Collagen surgmd 4x16 606001010,13297.0,8643.05,173.17,13297.0,34
HCPCS,C9358,Collagen surgmd 6x12 606001004,14959.0,9723.35,173.17,14959.0,34
HCPCS,C9358,Collagen surgmd 7x17 606004101,19438.0,12634.7,173.17,19438.0,34
HCPCS,C9358,Collagen surgmd 8x12 606005001,15682.0,10193.3,173.17,15682.0,34
HCPCS,C9358,Collagen surgmd 8x16 606001018,18181.0,11817.65,173.17,18181.0,34
HCPCS,C9358,Collagen surgmd 8x16 606004103,20909.0,13590.85,173.17,20909.0,34
HCPCS,C9358,Collagen surgmd 8x20 606004105,26259.0,17068.35,173.17,26259.0,34
HCPCS,C9358,Collagen surgmd10x20 606004102,32823.0,21334.95,173.17,32823.0,34
HCPCS,C9358,Collagen surgmd13x25 606001009,33228.0,21598.2,173.17,33228.0,34
HCPCS,C9358,Collagen surgmd15x15 606004104,26455.0,17195.75,173.17,26455.0,34
HCPCS,C9358,Collagen surgmd16x20 606001008,32717.0,21266.05,173.17,32717.0,34
HCPCS,C9358,Collagen surgmd20x30 606001017,61344.0,39873.6,173.17,61344.0,34
HCPCS,C9358,Collagen surgmd25x40 606001016,102240.0,66456.0,173.17,102240.0,34
HCPCS,C9358,"SURGIMEND, FETAL",24502.0,15926.3,173.17,117576.0,442
HCPCS,C9359,Bonevoid syn rapd 620010,14024.0,9115.6,173.17,14024.0,34
HCPCS,C9363,Mesh 125sqcm Integ l mwm4051,38339.0,24920.35,129.95,38339.0,46
HCPCS,C9363,Mesh 25sqcm INTEGLifsc mwm2021,21988.0,14292.2,129.95,21988.0,46
HCPCS,C9363,Mesh 500sqcm INTEGLifscMWM8101,158629.0,103108.85,129.95,158629.0,46
HCPCS,C9363,Mesh bilayr wnd250sqcm mwm4101,74343.0,48322.95,129.95,74343.0,46
HCPCS,C9399,Aminolevulinic acid1500mg oral,19176.0,12464.4,3317.45,19176.0,218
HCPCS,C9399,Dasatinib 140mg oral tab,1361.0,884.65,235.45,1361.0,218
HCPCS,C9399,Dasatinib 80mg oral tab,931.0,605.15,161.06,931.0,218
HCPCS,C9399,Omidubicel-onlv IV,3072420.0,1997073.0,173.17,3072420.0,38
HCPCS,C9399,Peginterferon alfa2a 180mcg/ml,10442.0,6787.3,1806.47,10442.0,37
HCPCS,C9399,Quizartinib 17.7mg oral tab,3736.0,2428.4,646.33,3736.0,218
HCPCS,C9399,Quizartinib 26.5mg oral tab,4670.0,3035.5,807.91,4670.0,218
HCPCS,C9399,Ropegint alfa2bnjft 500mcg inj,52814.0,34329.1,9136.82,52814.0,37
HCPCS,C9399,Sulbactam durlobactam1g-1g IV kit,1940.0,1261.0,335.62,1940.0,218
HCPCS,C9399,Terlipressin 0.85mg IV,7055.0,4585.75,1220.52,7055.0,218
HCPCS,C9399,UNCLASSIFIED DRUGS OR BIOLOG,20883.0,13573.95,3612.76,20883.0,218
HCPCS,C9399,Zopapogene Imdrba500bil pu inj,644000.0,418600.0,111412.0,644000.0,218
HCPCS,C9460,Kengreal 1mg inj,210.0,136.5,19.98,335.22,110
HCPCS,C9600,PERC DRUG-EL COR STENT SING,,,,,0
HCPCS,C9601,PERC DRUG-EL COR STENT BRAN,,,,,0
HCPCS,C9602,PERC D-E COR STENT ATHER S,,,,,0
HCPCS,C9604,PERC D-E COR REVASC T CABG S,,,,,0
HCPCS,C9606,PERC D-E COR REVASC W AMI S,,,,,0
HCPCS,C9607,PERC D-E COR REVASC CHRO SIN,,,,,0
HCPCS,C9610,CATH CORONARY DRUG-DELIVERY,28883.0,18773.95,173.17,28883.0,47
HCPCS,C9728,Place fiducial dev other site,7542.0,4902.3,173.17,7542.0,54
HCPCS,C9733,Non-ophthalmic fva,1848.0,1201.2,173.17,1848.0,56
HCPCS,C9740,CYSTO IMPL 4 OR MORE,,,,,0
HCPCS,C9756,Fluorescence lymph map w/icg,1893.0,1230.45,173.17,1893.0,34
HCPCS,C9764,IVL includes PTA,30412.0,19767.8,173.17,30412.0,162
HCPCS,C9765,IVL w stent incl PTA,60824.0,39535.6,173.17,60824.0,108
HCPCS,C9766,IVL w atherectomy incl PTA,55295.0,35941.75,173.17,55295.0,54
HCPCS,C9767,IVL w stent & atherec incl PTA,88124.0,57280.6,173.17,88124.0,54
HCPCS,C9772,Revas lithotrip tibi/perone,56045.0,36429.25,173.17,56045.0,108
HCPCS,C9773,Revasc lithotr-stnt tib/per,80736.0,52478.4,173.17,80736.0,54
HCPCS,C9774,Revas lithotr-ather tib/per,80736.0,52478.4,173.17,80736.0,54
HCPCS,C9775,Revas lith-sten-ath tib/per,80736.0,52478.4,173.17,80736.0,54
HCPCS,C9776,FLUO BILE DUCT IMAGING W/ICG,,,,,0
HCPCS,C9797,Embolize vasc press-gen cath,74380.0,48347.0,173.17,74380.0,45
HCPCS,C9898,Inpt radiopharm for OP billing,1.0,0.65,0.17,1.0,33
HCPCS,D0120,Periodic oral evaluation,534.0,347.1,82.05,534.0,56
HCPCS,D0140,Limit oral eval problm focus,534.0,347.1,82.05,534.0,56
HCPCS,D0150,Comprehensve oral evaluation,534.0,347.1,82.05,534.0,56
HCPCS,D4341,Periodontal scaling & root,3557.0,2312.05,173.17,3557.0,56
HCPCS,D4342,Periodontal scaling 1-3teeth,3557.0,2312.05,173.17,3557.0,56
HCPCS,D4355,Full mouth debridement,3557.0,2312.05,173.17,3557.0,56
HCPCS,D4910,Periodontal maint procedures,3557.0,2312.05,173.17,3557.0,56
HCPCS,D7140,Extraction erupted tooth/exr,3557.0,2312.05,173.17,3557.0,112
HCPCS,D7210,Rem imp tooth w mucoper flp,6161.0,4004.65,173.17,6161.0,56
HCPCS,D7250,Tooth root removal,3557.0,2312.05,173.17,3557.0,56
HCPCS,G0023,Pin service 60m per mo,360.0,234.0,36.87,360.0,56
HCPCS,G0024,Pin srv add 30 min pr mo,360.0,234.0,36.87,360.0,43
HCPCS,G0103,PSA (screening),324.0,210.6,5.89,324.0,55
HCPCS,G0104,CA SCREEN;FLEXI SIGMOIDSCOPE,,,,,0
HCPCS,G0105,COLORECTAL SCRN; HI RISK IND,,,,,0
HCPCS,G0108,Complex diet train indv 30min,348.0,226.2,43.8,348.0,56
HCPCS,G0108,DIAB MANAGE TRN  PER INDIV,257.0,167.05,17.65,297.0,168
HCPCS,G0108,DM monitoring train ind 1/2 hr,70.0,45.5,12.11,173.17,56
HCPCS,G0109,DIAB MANAGE TRN IND/GROUP,70.0,45.5,12.11,173.17,56
HCPCS,G0121,COLON CA SCRN NOT HI RSK IND,,,,,0
HCPCS,G0136,Adm of soc dtr assess 5-15m,116.0,75.4,14.14,173.17,56
HCPCS,G0269,Place vascular closure,386.0,250.9,66.78,386.0,102
HCPCS,G0288,Preview treatment planning,2228.0,1448.2,173.17,2228.0,34
HCPCS,G0378,HOSPITAL OBSERVATION PER HR,198.0,128.7,34.25,198.0,102
HCPCS,G0379,Direct refer hospital observ,696.0,452.4,120.41,696.0,34
HCPCS,G0460,Autologous prp non diab ulcers,8613.0,5598.45,173.17,8613.0,56
HCPCS,G0465,Autolog prp diab wnd ulcers,8784.0,5709.6,173.17,8784.0,56
HCPCS,G0483,Comprehensive blood urine drug scrn,341.0,221.65,58.99,341.0,55
HCPCS,G0498,Chemo extend iv infus w/pump,1437.0,934.05,137.97,1437.0,112
HCPCS,G2082,Visit esketamine 56mg or less,3267.0,2123.55,173.17,3267.0,56
HCPCS,G2083,Visit esketamine 56mg &up,4772.0,3101.8,173.17,4772.0,56
HCPCS,G6001,Echo guidance radio therapy,643.0,417.95,68.65,643.0,43
HCPCS,J0121,Omadacycline 1mg inj,17.0,11.05,2.94,133.22,55
HCPCS,J0122,Eravacycline 1mg inj,20.0,13.0,1.3,74.41,55
HCPCS,J0129,Abatacept 10mg inj,471.0,306.15,44.11,1213.51,157
HCPCS,J0130,Abciximab 10mg inj,11354.0,7380.1,788.35,11354.0,42
HCPCS,J0131,Acetaminophen 10mg/ml 100ml vl,142.0,92.3,24.57,142.0,99
HCPCS,J0131,Acetaminophen 10mg/ml 1ml ped,5.0,3.25,0.87,5.0,99
HCPCS,J0132,Acetylcysteine 100 mg inj,22.0,14.3,3.81,22.0,33
HCPCS,J0133,Acyclovir 5mg/1ml ped/neo,4.0,2.6,0.69,4.0,33
HCPCS,J0133,Acyclovir sodium 50mg/ml 10ml,219.0,142.35,37.89,219.0,33
HCPCS,J0134,Acetaminophen 10mg/ml 100ml vl J0134,144.0,93.6,24.91,144.0,33
HCPCS,J0136,Acetaminophen 10mg/ml 100ml vl J0136,122.0,79.3,21.11,122.0,33
HCPCS,J0137,Acetaminophen 10mg/ml 100ml vl J0137,178.0,115.7,30.79,178.0,33
HCPCS,J0139,Adalimumab 1mg inj,1079.0,701.35,186.67,1079.0,33
HCPCS,J0153,Adenosine 3 mg/ml 20 ml vial,1457.0,947.05,252.06,1457.0,66
HCPCS,J0153,Adenosine 300mcg/ml 1ml ped IV,158.0,102.7,27.33,158.0,66
HCPCS,J0153,Adenosine 3mg/ml 2ml,97.0,63.05,16.78,97.0,66
HCPCS,J0153,Adenosine 3mg/ml 30ml,1311.0,852.15,226.8,1311.0,66
HCPCS,J0165,Epinephrine 0.1 mg inj J0165,19.0,12.35,3.29,19.0,66
HCPCS,J0165,Epinephrine 0.1 mg inj J0165 UCP,7.0,4.55,1.21,7.0,66
HCPCS,J0167,Epinephrine 0.1 mg inj J0167,19.0,12.35,3.29,19.0,33
HCPCS,J0167,Epinephrine 0.1 mg inj J0167 UCP,7.0,4.55,1.21,7.0,33
HCPCS,J0168,Epinephrine 0.1mg inj,17.0,11.05,2.94,17.0,33
HCPCS,J0172,Aducanumab-avwa 2mg IV,24.0,15.6,4.15,2998.44,42
HCPCS,J0174,Lecanemab-irmb 1mg IV,14.0,9.1,1.32,350.05,267
HCPCS,J0175,Donanemab-azbt 2mg inj,37.0,24.05,4.13,37.0,92
HCPCS,J0180,Agalsidase beta 1mg IV,2610.0,1696.5,230.15,5313.39,55
HCPCS,J0185,Aprepitant 1mg IV,41.0,26.65,1.64,83.73,165
HCPCS,J0202,Alemtuzumab 1mg IV,9617.0,6251.05,1663.74,11639.51,55
HCPCS,J0206,Allopurinol 500mg/25ml vial,29509.0,19180.85,4.72,29509.0,55
HCPCS,J0207,Amifostine 500mg vial IV,9819.0,6382.35,1103.19,9819.0,42
HCPCS,J0209,Sodium thiosulfate 25% 50ml,1067.0,693.55,0.88,1067.0,46
HCPCS,J0209,Sodium thiosulfate 4% 10ml,245.0,159.25,0.88,245.0,46
HCPCS,J0210,Methyldopate 50mg/ml 5ml vial,518.0,336.7,76.12,518.0,42
HCPCS,J0221,Alglucosidase Alfa 10mg IV,2435.0,1582.75,206.59,16732.68,55
HCPCS,J0222,Patisiran 0.1mg IV,647.0,420.55,99.97,11639.51,55
HCPCS,J0225,Vutrisiran 1mg sub inj,28491.0,18519.15,4928.94,28491.0,110
HCPCS,J0248,Remdesivir 1mg vial,27.0,17.55,4.67,335.22,110
HCPCS,J0256,Alpha -1-proteinase 10mg,5.0,3.25,0.87,867.19,55
HCPCS,J0278,Amikacin 100mg IV,36.0,23.4,6.23,36.0,33
HCPCS,J0280,Aminophylline 25mg/ml 10 ml vl,288.0,187.2,49.82,288.0,66
HCPCS,J0280,Aminophylline 25mg/ml 20ml vl,150.0,97.5,25.95,150.0,66
HCPCS,J0280,Aminophylline 500mg/500ml IV,191.0,124.15,33.04,191.0,66
HCPCS,J0281,Aminocaproic acid 1gm inj,28.0,18.2,4.84,28.0,33
HCPCS,J0282,AMIODARONE HCL,221.0,143.65,38.23,221.0,66
HCPCS,J0282,Amiodarone 150mg/3ml inj,45.0,29.25,7.79,45.0,66
HCPCS,J0282,Amiodarone 450mg/250ml IVPB,56.0,36.4,9.69,56.0,66
HCPCS,J0282,Amiodarone 450mg/9ml inj,111.0,72.15,19.2,111.0,66
HCPCS,J0283,Amiodarone 150mg/100ml ivpb,477.0,310.05,82.52,477.0,66
HCPCS,J0283,Amiodarone 360 mg/200 ml,634.0,412.1,109.68,634.0,66
HCPCS,J0285,Amphotericin B 50mg vl,670.0,435.5,115.91,670.0,33
HCPCS,J0289,Amphotericin b liposome 10mg,545.0,354.25,21.48,545.0,212
HCPCS,J0290,Ampicillin 1g/NACL 0.9% 50ml,35.0,22.75,6.06,35.0,33
HCPCS,J0290,Ampicillin 1gm vial,26.0,16.9,4.5,26.0,33
HCPCS,J0290,Ampicillin 2g/NACL 0.9% 100ml,202.0,131.3,34.95,202.0,33
HCPCS,J0290,Ampicillin 2gm vial,104.0,67.6,17.99,104.0,33
HCPCS,J0290,Ampicillin 500mg vl,21.0,13.65,3.63,21.0,33
HCPCS,J0295,Ampicillin/sulba 1.5g/NS 100ml,74.0,48.1,12.8,74.0,66
HCPCS,J0295,Ampicillin/sulbac 3g/NS 100ml,145.0,94.25,25.09,145.0,66
HCPCS,J0295,Unasyn 1.5g vial,112.0,72.8,19.38,112.0,66
HCPCS,J0295,Unasyn 3g vial,87.0,56.55,15.05,87.0,66
HCPCS,J0330,Succinylcholine 20mg/ml 10ml,257.0,167.05,44.46,257.0,99
HCPCS,J0330,Succinylcholine 20mg/ml Inj,10.0,6.5,1.73,10.0,99
HCPCS,J0349,Rezafungin 1mg IV,76.0,49.4,10.63,76.0,92
HCPCS,J0360,Hydralazine 1mg/ml 1ml ped inj,12.0,7.8,2.08,12.0,99
HCPCS,J0360,Hydralazine 20mg/ml vial,155.0,100.75,26.82,155.0,99
HCPCS,J0391,Artesunate 1mg IV,653.54,424.8,51.83,1213.51,55
HCPCS,J0456,Azithromycin 500mg inj,75.0,48.75,12.98,75.0,99
HCPCS,J0456,Azithromycin 500mg/D5W 250ml,400.0,260.0,69.2,400.0,99
HCPCS,J0456,Azithromycin 500mg/NS 250ml,107.0,69.55,18.51,107.0,99
HCPCS,J0457,Aztreonam 1g inj,450.0,292.5,77.85,450.0,99
HCPCS,J0457,Aztreonam 2g inj,827.0,537.55,143.07,827.0,99
HCPCS,J0457,Aztreonam iso-osmot 1g/50ml IV,464.0,301.6,80.27,464.0,99
HCPCS,J0457,Aztreonam iso-osmot 2g/50ml IV,873.0,567.45,151.03,873.0,99
HCPCS,J0457,Aztreonam/NS 50mg/ml 5ml,140.0,91.0,24.22,140.0,99
HCPCS,J0461,Atropine 0.1mg/ml 10ml syringe,168.0,109.2,29.06,168.0,132
HCPCS,J0461,Atropine 0.1mg/ml 5ml abboject,148.0,96.2,25.6,148.0,132
HCPCS,J0461,Atropine 0.25 mg,26.0,16.9,4.5,26.0,132
HCPCS,J0461,Atropine 1.2 mg,129.0,83.85,22.32,129.0,132
HCPCS,J0461,Atropine Sulfate 0.01mg IV,5.0,3.25,0.87,5.0,132
HCPCS,J0462,Atropine 0.01 mg inj,5.0,3.25,0.87,5.0,99
HCPCS,J0470,Dimercaprol 100mg/ml IV,728.0,473.2,125.94,728.0,33
HCPCS,J0476,Baclofen 50 mcg inj,18.0,11.7,3.11,18.0,33
HCPCS,J0480,Basiliximab 20mg IV,34497.0,22423.05,1103.19,34497.0,165
HCPCS,J0485,Belatacept 1mg IV,36.0,23.4,3.89,667.18,267
HCPCS,J0490,Belimumab 10mg inj,397.0,258.05,56.07,867.19,212
HCPCS,J0491,Anifrolumab-fnia 1mg IV,123.0,79.95,18.08,1213.51,110
HCPCS,J0500,Dicyclomine HCL 10mg/ml 2ml,490.0,318.5,84.77,490.0,99
HCPCS,J0500,Dicyclomine HCL 10mg/ml 2ml UCP,190.0,123.5,32.87,190.0,99
HCPCS,J0515,Benztropine 1mg/ml 2ml inj,710.0,461.5,122.83,710.0,66
HCPCS,J0517,Benralizumab 1mg Inj,1288.0,837.2,164.59,2998.44,165
HCPCS,J0558,Pen G Benz/pen G pro 1.2mmu,1818.0,1181.7,19.52,1818.0,55
HCPCS,J0561,Penicillin g benz 100k units,377.0,245.05,30.01,377.0,267
HCPCS,J0561,Penicillin g benz 100k units UCP,164.0,106.6,28.37,164.0,267
HCPCS,J0561,PenicillinGbenz600000u inj ped,1474.0,958.1,30.01,1474.0,267
HCPCS,J0565,Bezlotoxumab 10 mg IV,296.0,192.4,39.83,867.19,110
HCPCS,J0571,Buprenorphine 2mg tab,11.0,7.15,1.9,11.0,33
HCPCS,J0583,Bivalirudin 1mg inj,7.0,4.55,1.21,74.41,84
HCPCS,J0584,Burosumab twza 1 mg sub inj,1654.0,1075.1,286.14,11639.51,55
HCPCS,J0585,Onabotulinumtoxina 1unit inj,70.0,45.5,6.5,335.22,267
HCPCS,J0586,Abobotulinumtoxina 5 units inj,129.0,83.85,8.75,335.22,55
HCPCS,J0588,IncobotulinumtoxinA 1unit inj,56.0,36.4,5.57,335.22,110
HCPCS,J0594,Busulfan 1mg inj,21.0,13.65,0.88,78.43,55
HCPCS,J0595,Butorphanol 1mg inj,128.0,83.2,22.14,128.0,33
HCPCS,J0597,C1 esterase inhibitor 10u IV,1120.0,728.0,75.86,3341.84,55
HCPCS,J0600,Edetate calcium 200mg/ml 2.5ml,24674.0,16038.1,3038.04,24674.0,55
HCPCS,J0612,Calcium gluc/NS 50mg/ml 1mlped,208.0,135.2,35.98,208.0,165
HCPCS,J0612,Calcium gluconate 100mg/ml 10ml vl,446.0,289.9,77.16,446.0,165
HCPCS,J0612,Calcium gluconate 1gm/100ml IV,87.0,56.55,15.05,87.0,165
HCPCS,J0612,Calcium gluconate 1gm/50ml IV,284.0,184.6,49.13,284.0,165
HCPCS,J0613,Calcium gluconate 1gm/50ml IV J0613,284.0,184.6,49.13,284.0,33
HCPCS,J0616,Metoprolol tartrate 1mg inj,4.0,2.6,0.69,4.0,66
HCPCS,J0618,Calcium Chloride 2 mg inj,4.0,2.6,0.69,4.0,33
HCPCS,J0630,Calcitonin 1 unit inj,59.0,38.35,10.21,867.19,84
HCPCS,J0630,Calcitonin 200u/ml 2ml inj,20453.0,13294.45,788.35,20453.0,42
HCPCS,J0636,Calcitriol 1mcg/ml inj,143.0,92.95,24.74,143.0,33
HCPCS,J0637,Caspofungin acetate 5mg inj,411.0,267.15,71.1,411.0,33
HCPCS,J0640,Leucovorin calcium 50mg vial,132.0,85.8,22.84,132.0,264
HCPCS,J0641,Levoleucovorin 0.5 mg inj,5.0,3.25,0.87,30.55,42
HCPCS,J0650,Levothyroxine 100mcg inj,1241.0,806.65,214.69,1241.0,66
HCPCS,J0650,Levothyroxine 20mcg/1ml IV,215.0,139.75,37.2,215.0,66
HCPCS,J0670,Mepivacaine Mpf 10ml inj,196.0,127.4,33.91,196.0,33
HCPCS,J0675,Carboprost 0.1 mg inj,1297.0,843.05,51.05,1297.0,46
HCPCS,J0688,Cefazolin 500mg IV J0688,36.0,23.4,6.23,36.0,33
HCPCS,J0689,Cefazolin 2gm/D5W 100ml,135.0,87.75,23.36,135.0,33
HCPCS,J0690,Cefazolin 1 g/D5W 50ml premx,127.0,82.55,21.97,127.0,132
HCPCS,J0690,Cefazolin 2gm/50ml IVPB,192.0,124.8,33.22,192.0,132
HCPCS,J0690,Cefazolin 3gm/D5W 100ml,81.0,52.65,14.01,81.0,132
HCPCS,J0690,Cefazolin 500mg vial,25.0,16.25,4.33,25.0,132
HCPCS,J0690,Cefazolin sodium 1g vial,22.0,14.3,3.81,22.0,132
HCPCS,J0692,Cefepime 1gm vial,92.0,59.8,15.92,92.0,99
HCPCS,J0692,Cefepime 2gm vial,193.0,125.45,33.39,193.0,99
HCPCS,J0692,Cefepime 2gm/50ml IVPB,417.0,271.05,72.14,417.0,99
HCPCS,J0694,Cefoxitin sodium 1g vial,106.0,68.9,18.34,106.0,33
HCPCS,J0694,Cefoxitin sodium 2g vial,192.0,124.8,33.22,192.0,33
HCPCS,J0694,Cefoxitin sodium/D5W 1gm premx,238.0,154.7,41.17,238.0,33
HCPCS,J0694,Cefoxitin sodium/D5W 2gm premx,408.0,265.2,70.58,408.0,33
HCPCS,J0695,Ceftolozane/tazobactam 75mginj,89.0,57.85,9.07,89.0,212
HCPCS,J0696,Ceftriaxone 1gm premix 50ml IV,287.0,186.55,49.65,287.0,99
HCPCS,J0696,Ceftriaxone 1gm vial,25.0,16.25,4.33,25.0,99
HCPCS,J0696,Ceftriaxone 1gm vial UCP,8.0,5.2,1.38,8.0,99
HCPCS,J0696,Ceftriaxone 250mg vial,20.0,13.0,3.46,20.0,99
HCPCS,J0696,Ceftriaxone 2gm premix 50ml IV,366.0,237.9,63.32,366.0,99
HCPCS,J0696,Ceftriaxone 2gm vial,53.0,34.45,9.17,53.0,99
HCPCS,J0696,Ceftriaxone 350mg/ml 1mlpedinj,179.0,116.35,30.97,179.0,99
HCPCS,J0696,Ceftriaxone 500mg vial,34.0,22.1,5.88,34.0,99
HCPCS,J0696,Ceftriaxone 500mg vial UCP,16.0,10.4,2.77,16.0,99
HCPCS,J0696,Ceftriaxone/lido350mg/ml1mlped,15.0,9.75,2.6,15.0,99
HCPCS,J0697,Cefuroxime 1.5gm vial,89.0,57.85,15.4,89.0,33
HCPCS,J0697,Cefuroxime 750mg/D5W 50ml,46.0,29.9,7.96,46.0,33
HCPCS,J0698,Cefotaxime 1g vial,41.0,26.65,7.09,41.0,33
HCPCS,J0698,Cefotaxime sodium 2g vial,76.0,49.4,13.15,76.0,33
HCPCS,J0699,Cefiderocol 10mg IV,25.0,16.25,2.42,83.73,212
HCPCS,J0702,Betamethasone 6mg/ml 2ml syr,159.0,103.35,27.51,159.0,33
HCPCS,J0702,Celestone solu 6mg/ml inj,150.0,97.5,25.95,150.0,33
HCPCS,J0703,Cefepime 1gm/50ml IVPB,341.0,221.65,58.99,341.0,66
HCPCS,J0703,Cefepime 2gm/50ml IVPB J0703,355.0,230.75,61.42,355.0,66
HCPCS,J0706,Caffeine 20mg/ml 1ml inj pedi,154.0,100.1,26.64,154.0,33
HCPCS,J0712,Ceftaroline fosamil 10mg inj,52.0,33.8,4.23,83.73,110
HCPCS,J0712,Ceftaroline fosamil/NS12mg ped,75.0,48.75,4.23,83.73,110
HCPCS,J0713,Ceftazidime 1gm vial,75.0,48.75,12.98,75.0,33
HCPCS,J0713,Ceftazidime 2gm vial,151.0,98.15,26.12,151.0,33
HCPCS,J0714,Ceftazidime/avibactam 0.625 g,1107.0,719.55,104.73,1107.0,55
HCPCS,J0717,Certolizumab pegol 1mg inj,159.0,103.35,3.91,867.19,110
HCPCS,J0720,Chloramphenicol 1gm vial,431.0,280.15,50.26,431.0,46
HCPCS,J0725,Chorionic gona 10000 units inj,2407.0,1564.55,416.41,2407.0,33
HCPCS,J0735,Clonidine 1 mg inj,344.0,223.6,59.51,344.0,66
HCPCS,J0736,Clindamycin 300mg vial,39.0,25.35,6.75,39.0,132
HCPCS,J0736,Clindamycin 600mg vial,46.0,29.9,7.96,46.0,132
HCPCS,J0736,Clindamycin 900mg vial,67.0,43.55,11.59,67.0,132
HCPCS,J0736,Clindamycin 900mg/D5W 50ml,201.0,130.65,34.77,201.0,132
HCPCS,J0736,Clindamycin600mg/D5W 50ml,163.0,105.95,28.2,163.0,132
HCPCS,J0737,Clindamycin/ns 300mg inj,102.0,66.3,17.65,102.0,99
HCPCS,J0737,Clindamycin/ns 600mg inj,160.0,104.0,27.68,160.0,99
HCPCS,J0737,Clindamycin/ns 900mg inj,196.0,127.4,33.91,196.0,99
HCPCS,J0738,Lenacapavir 1mg sub inj,85.0,55.25,14.71,85.0,46
HCPCS,J0739,Cabotegravir 1mg intramusc inj,98.0,63.7,7.02,1213.51,55
HCPCS,J0740,Cidofovir 375mg vial,8280.0,5382.0,217.88,8280.0,165
HCPCS,J0742,Recarbrio 1.25g IV,3762.0,2445.3,76.12,3762.0,42
HCPCS,J0743,Imipenem/cilastatin 250mg vl,225.0,146.25,38.93,225.0,33
HCPCS,J0743,Imipenem/cilastatin 500mg vl,407.0,264.55,70.41,407.0,33
HCPCS,J0743,Imipenem/cilastatin 5mg ped,5.0,3.25,0.87,5.0,33
HCPCS,J0744,Ciprofloxacin 10mg/ml 20ml inj,38.0,24.7,6.57,38.0,66
HCPCS,J0744,Ciprofloxacin 10mg/ml 40ml inj,42.0,27.3,7.27,42.0,66
HCPCS,J0744,Ciprofloxacin 200mg/D5W 100ml,49.0,31.85,8.48,49.0,66
HCPCS,J0744,Ciprofloxacin 400mg/D5W 200ml,106.0,68.9,18.34,106.0,66
HCPCS,J0770,Colistimethate 150mg vl,391.0,254.15,67.64,391.0,33
HCPCS,J0775,Collagenase clost hist.01mginj,300.0,195.0,51.9,1213.51,212
HCPCS,J0780,Prochlorperazine 0.5 mg/ml ped,21.0,13.65,3.63,21.0,99
HCPCS,J0780,Prochlorperazine 5mg/ml 2ml vl,84.0,54.6,14.53,84.0,99
HCPCS,J0791,Crizanlizumab-tmca 5 mg IV,889.0,577.85,129.48,889.0,267
HCPCS,J0795,Corticorelin ovine 1mcg inj,137.0,89.05,23.7,350.05,42
HCPCS,J0801,Corticotropin 40unit inj,26510.0,17231.5,2725.86,26510.0,55
HCPCS,J0834,Cosyntropin 0.25mg vl,1270.0,825.5,219.71,1270.0,66
HCPCS,J0840,Antivenin crotalidae,13632.0,8860.8,1828.72,13632.0,55
HCPCS,J0841,Crotalidae immunefab2 120mg IV,5627.0,3657.55,973.47,5627.0,55
HCPCS,J0850,Cytomegalovirus immune 2.5g vl,13893.0,9030.45,1808.65,13893.0,55
HCPCS,J0870,Imetelstat 1mg inj,358.0,232.7,57.03,358.0,138
HCPCS,J0873,Daptomycin 1mg inj J0873,5.0,3.25,0.87,5.0,33
HCPCS,J0875,Dalbavancin 5mg IV,129.0,83.85,15.61,2998.44,212
HCPCS,J0878,Daptomycin 1mg inj,4.0,2.6,0.69,4.0,66
HCPCS,J0881,Darbepoetin alfa 1mcg inj,68.0,44.2,2.93,335.22,377
HCPCS,J0883,Argatroban 1mg inj,43.0,27.95,0.8,74.41,55
HCPCS,J0885,Epoetin alfa inj 1000 units,268.0,174.2,8.54,268.0,275
HCPCS,J0893,Decitabine 1 mg inj J0893,25.0,16.25,4.33,30.55,42
HCPCS,J0894,Decitabine 1 mg inj,133.0,86.45,23.01,133.0,202
HCPCS,J0895,Deferoxamine 500mg vl,225.0,146.25,38.93,225.0,66
HCPCS,J0896,Luspatercept aamt 0.25mg inj,241.0,156.65,41.69,5313.39,377
HCPCS,J0897,Denosumab 1mg inj,211.0,137.15,29.38,772.61,165
HCPCS,J0898,Argatroban 1mg inj J0898,62.0,40.3,10.73,74.41,42
HCPCS,J1010,Methylprednisolone 40mg/ml vl,159.0,103.35,27.51,159.0,66
HCPCS,J1010,Methylprednisolone 80mg/ml vl,235.0,152.75,40.66,235.0,66
HCPCS,J1050,Medroxyprogesterone 150mg vl,379.0,246.35,65.57,379.0,33
HCPCS,J1071,Testosterone cyp 200mg/ml,302.0,196.3,52.25,302.0,33
HCPCS,J1100,Dexameth Sod PF 1mg inj,9.0,5.85,1.56,9.0,231
HCPCS,J1100,Dexamethasone 1 mg,5.0,3.25,0.87,5.0,231
HCPCS,J1100,Dexamethasone 10 mg/1 ml pedpo,31.0,20.15,5.36,31.0,231
HCPCS,J1100,Dexamethasone 10mg/ml 1ml vl,52.0,33.8,9.0,52.0,231
HCPCS,J1100,Dexamethasone 1mg/ml 1ml pediv,40.0,26.0,6.92,40.0,231
HCPCS,J1100,Dexamethasone 4 mg/1 ml Ped PO,43.0,27.95,7.44,43.0,231
HCPCS,J1100,Dexamethasone 4 mg/1 ml Ped PO UCP,21.0,13.65,3.63,21.0,231
HCPCS,J1100,Dexamethasone 4mg/1ml inj,14.0,9.1,2.42,14.0,231
HCPCS,J1100,Dexamethasone 4mg/1ml inj UCP,11.0,7.15,1.9,11.0,231
HCPCS,J1110,Dihydroergotamine 1mg/1ml amp,1198.0,778.7,207.25,1198.0,66
HCPCS,J1120,Acetazolamide sodium 500mg vl,534.0,347.1,92.38,534.0,66
HCPCS,J1120,Acetazolamide/water 100mg/ml,109.0,70.85,18.86,109.0,66
HCPCS,J1160,Digoxin 0.25mg/ml 2ml ampule,83.0,53.95,14.36,83.0,33
HCPCS,J1160,Digoxin 100mcg ped inj,1659.0,1078.35,287.01,1659.0,33
HCPCS,J1160,Digoxin 10mcg/1ml ped/neo,90.0,58.5,15.57,90.0,33
HCPCS,J1160,Digoxin oral sol 50 mcg/ml 1ml,403.0,261.95,69.72,403.0,33
HCPCS,J1162,Digoxin immune fab 40mg vial,32865.0,21362.25,3038.04,32865.0,110
HCPCS,J1163,Diltiazem hcl 0.5mg inj,4.0,2.6,0.69,4.0,66
HCPCS,J1165,Phenytoin 100mg/2ml vial,22.0,14.3,3.81,22.0,66
HCPCS,J1165,Phenytoin 50mg/1ml 5 ml vl,32.0,20.8,5.54,32.0,66
HCPCS,J1171,Hydromorphone 0.1mg inj,8.0,5.2,1.38,8.0,132
HCPCS,J1171,Hydromorphone 0.1mg inj UCP,3.0,1.95,0.52,3.0,132
HCPCS,J1190,Dexrazoxane 250mg vl,2913.0,1893.45,63.06,2913.0,377
HCPCS,J1200,Diphenhydramine 25 mg/50 ml,38.0,24.7,6.57,38.0,165
HCPCS,J1200,Diphenhydramine 50 mg/50 ml,19.0,12.35,3.29,19.0,165
HCPCS,J1200,Diphenhydramine 50mg vial,34.0,22.1,5.88,34.0,165
HCPCS,J1200,Diphenhydramine 50mg vial UCP,11.0,7.15,1.9,11.0,165
HCPCS,J1205,Chlorothiazide 500 mg inj,3585.0,2330.25,620.21,3585.0,33
HCPCS,J1212,Dimethyl sulfoxide 50ml soln,1322.0,859.3,228.71,1322.0,110
HCPCS,J1230,Methadone 1 mg/ml IV Sol ped,38.0,24.7,6.57,38.0,33
HCPCS,J1230,Methadone 10mg/ml IV,294.0,191.1,50.86,294.0,33
HCPCS,J1250,Dobutamine 12.5mg/ml vl 20ml,96.0,62.4,16.61,96.0,66
HCPCS,J1250,Dobutamine 1g/250ml,331.0,215.15,57.26,331.0,66
HCPCS,J1250,Dobutamine 250mg/125 ml D5W,962.0,625.3,166.43,962.0,66
HCPCS,J1250,Dobutamine 500mg/250 ml D5W,1030.0,669.5,178.19,1030.0,66
HCPCS,J1265,Dopamine 40mg/ml 10ml vial,69.0,44.85,11.94,69.0,66
HCPCS,J1265,Dopamine 40mg/ml 5ml,55.0,35.75,9.52,55.0,66
HCPCS,J1265,Dopamine 800mg/D5W 250mlpremix,285.0,185.25,49.31,285.0,66
HCPCS,J1265,Dopamine/D5W 400mg/250ml bag,210.0,136.5,36.33,210.0,66
HCPCS,J1271,Doxycycline hyclate 1mg inj,4.0,2.6,0.69,4.0,66
HCPCS,J1290,Ecallantide 1mg inj,6021.0,3913.65,579.97,6021.0,55
HCPCS,J1299,Eculizumab 2mg inj,287.0,186.55,44.82,287.0,92
HCPCS,J1302,Sutimlimab-jome 10mg IV,115.0,74.75,18.86,3341.84,212
HCPCS,J1303,Ravulizumab cwvz 10mg IV,1410.0,916.5,225.11,16732.68,267
HCPCS,J1306,Inclisiran1mg sub inj,87.0,56.55,12.32,1213.51,110
HCPCS,J1308,Famotidine 0.25mg inj,5.0,3.25,0.87,5.0,198
HCPCS,J1308,Famotidine 0.25mg inj UCP,2.0,1.3,0.35,2.0,198
HCPCS,J1323,Elranatamab-bcmm 1mg sub inj,1197.0,778.05,184.07,1197.0,138
HCPCS,J1325,Epoprostenol 0.5mg inj,320.0,208.0,55.36,320.0,33
HCPCS,J1325,Epoprostenol 1.5mg inj,653.0,424.45,112.97,653.0,33
HCPCS,J1325,Veletri 0.5 mg inj,356.0,231.4,61.59,356.0,33
HCPCS,J1325,Veletri 1.5 mg inj,574.0,373.1,99.3,574.0,33
HCPCS,J1326,Zolbetuximab-clzb 2mg inj,211.0,137.15,33.71,211.0,46
HCPCS,J1327,Eptifibatide 5mg inj,244.0,158.6,2.99,244.0,110
HCPCS,J1335,Ertapenem 1gm vial,1435.0,932.75,248.26,1435.0,66
HCPCS,J1364,Erythrocin lact 500mg/NS 100ml,819.0,532.35,141.69,819.0,66
HCPCS,J1364,Erythromycin 500mg vial,1345.0,874.25,232.69,1345.0,66
HCPCS,J1380,Estradiol val 20mg/ml 5ml vl,1644.0,1068.6,284.41,1644.0,33
HCPCS,J1410,Estrogens conj 25mg vl,4137.0,2689.05,121.11,4137.0,110
HCPCS,J1430,Ethanolamine 100mg inj,5785.0,3760.25,318.23,5785.0,55
HCPCS,J1437,Ferric derisomaltose 10mg IV,246.0,159.9,22.02,335.22,267
HCPCS,J1438,Etanercept 25mg inj ea,8911.0,5792.15,318.23,8911.0,42
HCPCS,J1439,Ferric carboxym 1mg inj,18.0,11.7,1.11,335.22,267
HCPCS,J1440,Fecal microbiota live jslm 1ml,435.0,282.75,63.84,3341.84,110
HCPCS,J1442,Filgrastim (g-csf) 1mcg inj,12.0,7.8,1.0,133.22,55
HCPCS,J1442,Filgrastim/D5W 20mcg/ml ped IV,290.0,188.5,1.0,290.0,165
HCPCS,J1448,Trilaciclib 1mg IV,38.0,24.7,5.46,667.18,212
HCPCS,J1450,Fluconazole 200mg/NS 100ml,143.0,92.95,24.74,143.0,66
HCPCS,J1450,Fluconazole/NS 400mg 200ml IV,248.0,161.2,42.9,248.0,66
HCPCS,J1451,Fomepizole 15mg inj,128.0,83.2,6.28,133.22,55
HCPCS,J1453,Fosaprepitant 1mg inj,8.0,5.2,1.38,8.0,132
HCPCS,J1455,Foscarnet sodium 1000mg inj,861.0,559.65,76.12,861.0,42
HCPCS,J1459,Privigen IVIG 500mg IV,637.0,414.05,50.74,867.19,330
HCPCS,J1460,Imm Gamma globul 1cc inj,559.0,363.35,49.03,559.0,55
HCPCS,J1561,Gamunex C 10% 500MG,512.0,332.8,48.96,867.19,110
HCPCS,J1566,Carimune ivig 500mg inj,353.0,229.45,61.07,1213.51,55
HCPCS,J1566,Imm glob Gammagard S/D 500mgIV,751.0,488.15,78.8,1213.51,55
HCPCS,J1568,Octagam ivig 500mg inj,704.0,457.6,47.53,867.19,322
HCPCS,J1569,Gammagard ivig 500mg inj,633.0,411.45,45.31,1213.51,432
HCPCS,J1570,Ganciclovir 500mg vl,912.0,592.8,157.78,912.0,66
HCPCS,J1571,Hepagam B 0.5 ml,1110.0,721.5,66.64,1110.0,55
HCPCS,J1572,Imm glob(flebogama) 500mg IV,694.0,451.1,120.06,867.19,42
HCPCS,J1575,Hyqvia 10% 100mg sub inj,310.0,201.5,18.15,1213.51,55
HCPCS,J1580,Gentamicin 100 mg/100 ml IVPB,67.0,43.55,11.59,67.0,66
HCPCS,J1580,Gentamicin 100 mg/50ml IVPB,65.0,42.25,11.25,65.0,66
HCPCS,J1580,Gentamicin 120 mg/100 ml IVPB,66.0,42.9,11.42,66.0,66
HCPCS,J1580,Gentamicin 2mg/1ml ped/neo,21.0,13.65,3.63,21.0,66
HCPCS,J1580,Gentamicin 40mg/ml 2ml vl,58.0,37.7,10.03,58.0,66
HCPCS,J1580,Gentamicin 40mg/ml 2ml vl UCP,29.0,18.85,5.02,29.0,66
HCPCS,J1580,Gentamicin 40mg/ml inj ped,10.0,6.5,1.73,10.0,66
HCPCS,J1580,Gentamicin 60mg/50ml IV,56.0,36.4,9.69,56.0,66
HCPCS,J1580,Gentamicin 80mg/100ml IV,63.0,40.95,10.9,63.0,66
HCPCS,J1580,Gentamicin pf 10mg/ml inj ped,31.0,20.15,5.36,31.0,66
HCPCS,J1580,Gentamicin sulfate 10mg/ml 2ml,91.0,59.15,15.74,91.0,66
HCPCS,J1595,Glatiramer acetate20mg/1ml inj,2755.0,1790.75,67.64,2755.0,42
HCPCS,J1595,Glatiramer acetate40mg/1ml inj,1452.0,943.8,67.64,1452.0,42
HCPCS,J1596,Glycopyrrolate 0.2mg/1ml inj,48.0,31.2,8.3,48.0,99
HCPCS,J1596,Glycopyrrolate 0.2mg/ml 2ml vl,78.0,50.7,13.49,78.0,99
HCPCS,J1602,Golimumab 1mg IV,290.0,188.5,11.04,867.19,212
HCPCS,J1610,Glucagon 1 mg vial,2208.0,1435.2,76.12,2208.0,165
HCPCS,J1610,Glucagon 1 mg vial UCP,977.0,635.05,76.12,977.0,165
HCPCS,J1626,Granisetron 100 mcg inj,27.0,17.55,4.67,27.0,33
HCPCS,J1628,Guselkumab 1mg IV,955.0,620.75,75.97,5313.39,55
HCPCS,J1630,Haloperidol 5mg/ml 1ml inj,15.0,9.75,2.6,15.0,66
HCPCS,J1632,Brexanolone 1 mg IV,580.0,377.0,100.34,3341.84,42
HCPCS,J1640,Hemin 1mg IV,216.0,140.4,34.18,2998.44,55
HCPCS,J1642,Heparin 100u/ml 5ml syr,8.0,5.2,1.38,8.0,231
HCPCS,J1644,Heparin 100 units,6.0,3.9,1.04,6.0,132
HCPCS,J1644,Heparin 10000u/NS 1L bag,1541.0,1001.65,266.59,1541.0,132
HCPCS,J1644,Heparin 4000U/1000mL Nacl bag,571.0,371.15,98.78,571.0,132
HCPCS,J1644,Heparin porci 1000u 1ml vl,26.0,16.9,4.5,26.0,132
HCPCS,J1644,Heparin porci 5000u/ml 1ml inj,29.0,18.85,5.02,29.0,132
HCPCS,J1644,Heparin porci pf 1000u/ml 2ml,140.0,91.0,24.22,140.0,132
HCPCS,J1644,Heparin sod 1000 u/ml 10ml vl,59.0,38.35,10.21,59.0,132
HCPCS,J1644,Heparin sodium 25000u/500ml,177.0,115.05,30.62,177.0,132
HCPCS,J1644,Heparin-1/2ns 25000 unit/500ml,159.0,103.35,27.51,159.0,132
HCPCS,J1644,Heparin/NS 25000unit/500ml bag,56.0,36.4,9.69,56.0,132
HCPCS,J1644,Heparin2000U/1000ml Nacl bag,114.0,74.1,19.72,114.0,132
HCPCS,J1644,Heparin2500units/ns 250ml bag,89.0,57.85,15.4,89.0,132
HCPCS,J1644,INJ HEPARIN SODIUM PER 1000U,308.5,200.525,49.31,332.0,264
HCPCS,J1644,Sol IV Hep Baxter ahb0953u,28.0,18.2,4.84,28.0,132
HCPCS,J1650,Enoxaparin 100mg/ml syringe,197.0,128.05,34.08,197.0,66
HCPCS,J1650,Enoxaparin 120mg/0.8ml syringe,220.0,143.0,38.06,220.0,66
HCPCS,J1650,Enoxaparin 150mg/1 ml syringe,360.0,234.0,62.28,360.0,66
HCPCS,J1650,Enoxaparin 20mg/ml Neo inj,118.0,76.7,20.41,118.0,66
HCPCS,J1650,Enoxaparin 30mg/0.3ml syringe,106.0,68.9,18.34,106.0,66
HCPCS,J1650,Enoxaparin 40mg/0.4ml syringe,68.0,44.2,11.76,68.0,66
HCPCS,J1650,Enoxaparin 60mg/0.6ml syringe,111.0,72.15,19.2,111.0,66
HCPCS,J1650,Enoxaparin 80mg/0.8ml syringe,237.0,154.05,41.0,237.0,66
HCPCS,J1652,Fondaparinux 10 mg/0.8 ml inj,741.0,481.65,128.19,741.0,66
HCPCS,J1652,Fondaparinux 2.5 mg/0.5 ml inj,336.0,218.4,58.13,336.0,66
HCPCS,J1652,Fondaparinux 5 mg/0.4 ml inj,714.0,464.1,123.52,714.0,66
HCPCS,J1652,Fondaparinux 7.5 mg/0.6 ml inj,748.0,486.2,129.4,748.0,66
HCPCS,J1670,Tetanus immune globulin 250u,7126.0,4631.9,121.11,7126.0,110
HCPCS,J1670,Tetanus immune globulin 250u UCP,3246.0,2109.9,121.11,3246.0,110
HCPCS,J1720,Hydrocortisone 10 mg/ml iv ped,33.0,21.45,5.71,33.0,99
HCPCS,J1720,Hydrocortisone 1000mg inj,2105.0,1368.25,364.17,2105.0,99
HCPCS,J1720,Hydrocortisone 100mg vial,276.0,179.4,47.75,276.0,99
HCPCS,J1720,Hydrocortisone 1mg/ml pedi,5.0,3.25,0.87,5.0,99
HCPCS,J1720,Hydrocortisone 250mg inj,519.0,337.35,89.79,519.0,99
HCPCS,J1720,Hydrocortisone1mg/ml 10mlivped,341.0,221.65,58.99,341.0,99
HCPCS,J1729,Hydroxyprogesterone 10mg inj,1056.0,686.4,67.64,1056.0,42
HCPCS,J1740,Ibandronate sodium 1mg IV,1053.0,684.45,76.12,1053.0,42
HCPCS,J1741,Ibuprofen 100 mg/ml 1ml inj,38.0,24.7,6.57,38.0,33
HCPCS,J1742,Ibutilide 0.1mg/ml 10ml vl,6025.0,3916.25,76.12,6025.0,165
HCPCS,J1744,Icatibant 1mg sub inj,722.0,469.3,124.91,3341.84,42
HCPCS,J1745,Infliximab 10mg inj,836.0,543.4,31.09,836.0,267
HCPCS,J1746,Ibalizumab-uiyk 10mg IV,552.0,358.8,79.26,3341.84,110
HCPCS,J1747,Spesolimab-sbzo 1mg inj,813.0,528.45,65.73,16732.68,55
HCPCS,J1750,Iron dextran 50mg inj,214.0,139.1,18.11,214.0,267
HCPCS,J1756,Iron sucrose 1mg inj,7.0,4.55,1.21,7.0,198
HCPCS,J1756,Venofer 20 mg/ml 10 ml inj,1131.0,735.15,195.66,1131.0,198
HCPCS,J1756,Venofer 200mg/NS 100ml IVPB,1135.0,737.75,196.36,1135.0,198
HCPCS,J1756,Venofer 20mg/ml 5ml vial,474.0,308.1,82.0,474.0,198
HCPCS,J1756,Venofer 300mg/NS 250ml IVPB,1585.0,1030.25,274.21,1585.0,198
HCPCS,J1756,Venofer 400mg/NS 250ml IVPB,2119.0,1377.35,366.59,2119.0,198
HCPCS,J1756,Venofer 500mg/NS 250ml IVPB,2705.0,1758.25,467.97,2705.0,198
HCPCS,J1786,Imiglucerase 10unit IV,590.0,383.5,43.19,5313.39,55
HCPCS,J1790,Droperidol 2.5mg/ml vl 2ml,157.0,102.05,27.16,157.0,33
HCPCS,J1800,Propranolol HCL 1mg/ml vial,149.0,96.85,25.78,149.0,33
HCPCS,J1800,Propranolol hcl 0.1mg IV ped,16.0,10.4,2.77,16.0,33
HCPCS,J1805,Esmolol 100mg/10ml vl,95.0,61.75,16.44,95.0,99
HCPCS,J1805,Esmolol 10mg/ml pedi,11.0,7.15,1.9,11.0,99
HCPCS,J1805,Esmolol 20 mg/ml ped drip,61.0,39.65,10.55,61.0,99
HCPCS,J1805,Esmolol hclswfi2000mg/100ml IV,1559.0,1013.35,269.71,1559.0,99
HCPCS,J1805,Esmolol premix 2000mg/100ml NS,3167.0,2058.55,547.89,3167.0,99
HCPCS,J1807,Ethacrynate sod 1mg inj,510.0,331.5,20.97,510.0,46
HCPCS,J1808,Folic acid 0.1mg inj,5.0,3.25,0.87,5.0,33
HCPCS,J1815,Humulin 70/30 KwikPen 3 mL,332.0,215.8,57.44,332.0,33
HCPCS,J1815,INSULIN INJECTION,162.5,105.625,0.52,322.0,66
HCPCS,J1815,Insu humulin 70/30 100u/ml 3ml,204.0,132.6,35.29,204.0,33
HCPCS,J1815,Insulin (Lantus)100u/ml 3mlpen,390.0,253.5,67.47,390.0,33
HCPCS,J1815,Insulin detemir 5 units,10.0,6.5,1.73,10.0,33
HCPCS,J1815,Insulin humalog 100u/ml 3ml,363.0,235.95,62.8,363.0,33
HCPCS,J1815,Insulin humalog 5 units,4.0,2.6,0.69,4.0,33
HCPCS,J1815,Insulin humulin n 100u/ml 3ml,606.0,393.9,104.84,606.0,33
HCPCS,J1815,Insulin humulin r 100u/ml 3ml,192.0,124.8,33.22,192.0,33
HCPCS,J1815,Insulin humulin r 5 units UCP,1.0,0.65,0.17,1.0,33
HCPCS,J1815,Levemir flextouch 100 U/ML 3ML,345.0,224.25,59.69,345.0,33
HCPCS,J1815,Neo Insulin Lispro 10 units PEDI,58.0,37.7,10.03,58.0,33
HCPCS,J1823,Inebilizumab-cdon 1mg IV,5729.0,3723.85,495.55,11639.51,55
HCPCS,J1830,Interferon beta-1b 0.25mg inj,6283.0,4083.95,67.64,6283.0,42
HCPCS,J1833,Cresemba 372mg vial,4693.0,3050.45,1.01,4693.0,55
HCPCS,J1836,Metronidazole 250mg/NS 50ml,18.0,11.7,3.11,18.0,132
HCPCS,J1836,Metronidazole 500mg/NS 100ml,34.0,22.1,5.88,34.0,132
HCPCS,J1885,Ketorolac 15mg/ml 1ml vial,49.0,31.85,0.3,49.0,184
HCPCS,J1885,Ketorolac 30mg/ml 1ml vial,40.0,26.0,0.3,40.0,184
HCPCS,J1885,Ketorolac 30mg/ml 1ml vial UCP,13.0,8.45,0.3,13.0,184
HCPCS,J1885,Ketorolac 30mg/ml 2ml vial,36.0,23.4,0.3,36.0,184
HCPCS,J1885,Ketorolac 30mg/ml 2ml vial UCP,12.0,7.8,0.3,12.0,184
HCPCS,J1920,Labetalol 5mg/ml 20ml vial,38.0,24.7,6.57,38.0,132
HCPCS,J1920,Labetalol HCL 20mg/4 ml inj,128.0,83.2,22.14,128.0,132
HCPCS,J1920,Labetalol HCL 5mg/ml inj J1920,5.0,3.25,0.87,5.0,132
HCPCS,J1920,Labetalol Hcl 200mg/40ml IV,161.0,104.65,27.85,161.0,132
HCPCS,J1930,Lanreotide 1mg inj,600.0,390.0,34.05,3341.84,165
HCPCS,J1932,Lanreotide acetate 1mg sub inj J1932,537.0,349.05,29.84,3341.84,55
HCPCS,J1938,Furosemide 1mg/ml,5.0,3.25,0.87,5.0,66
HCPCS,J1939,Bumetanide 0.25mg/ml 10ml inj,47.0,30.55,8.13,47.0,66
HCPCS,J1939,Bumetanide 0.25mg/ml 4ml inj,38.0,24.7,6.57,38.0,66
HCPCS,J1939,Bumetanide 25mg/100ml IV drip,289.0,187.85,50.0,289.0,66
HCPCS,J1950,Leuprolide depot 3.75mg kit inj,14012.0,9107.8,606.53,14012.0,110
HCPCS,J1953,Levetiracetam 1000mg/100ml bag,300.0,195.0,51.9,300.0,66
HCPCS,J1953,Levetiracetam 100mg/ml 5ml inj,96.0,62.4,16.61,96.0,66
HCPCS,J1953,Levetiracetam 10mg/ml 1ml IV,5.0,3.25,0.87,5.0,66
HCPCS,J1953,Levetiracetam 1500mg/100ml bag,374.0,243.1,64.7,374.0,66
HCPCS,J1953,Levetiracetam 250mg/100ml bag,146.0,94.9,25.26,146.0,66
HCPCS,J1953,Levetiracetam 500mg/100ml bag,201.0,130.65,34.77,201.0,66
HCPCS,J1953,Levetiracetam 750mg/100ml bag,215.0,139.75,37.2,215.0,66
HCPCS,J1956,Levofloxacin 250mg/D5W 50ml,75.0,48.75,12.98,75.0,66
HCPCS,J1956,Levofloxacin 500mg vial,234.0,152.1,40.48,234.0,66
HCPCS,J1956,Levofloxacin 500mg/D5W 100ml,91.0,59.15,15.74,91.0,66
HCPCS,J1956,Levofloxacin 750mg/D5W 150ml,119.0,77.35,20.59,119.0,66
HCPCS,J2002,Lidocaine2g/500ml IV,104.0,67.6,17.99,104.0,66
HCPCS,J2003,Lidocaine HCL2% 100mg/5ml syr,78.0,50.7,13.49,78.0,66
HCPCS,J2003,Lidocaine1% abboject 50mg/5ml,167.0,108.55,28.89,167.0,66
HCPCS,J2020,Linezolid 200mg inj,307.0,199.55,53.11,307.0,66
HCPCS,J2060,Lorazepam 2mg/ml 1ml vial,20.0,13.0,3.46,20.0,99
HCPCS,J2060,Lorazepam 2mg/ml 1ml vial UCP,7.0,4.55,1.21,7.0,99
HCPCS,J2060,Lorazepam 50mg/50ml D5W premix,16.0,10.4,2.77,16.0,99
HCPCS,J2060,Lorazepam 50mg/50ml ns premix,56.0,36.4,9.69,56.0,99
HCPCS,J2151,Mannitol 250mg inj,12.0,7.8,2.08,12.0,33
HCPCS,J2175,Meperidine 100mg vl,73.0,47.45,12.63,73.0,33
HCPCS,J2182,Mepolizumab 1 mg inj,255.0,165.75,31.27,1213.51,165
HCPCS,J2185,Meropenem 1 gm/nacl 50 ml,362.0,235.3,62.63,362.0,66
HCPCS,J2185,Meropenem 1gm vial,248.0,161.2,42.9,248.0,66
HCPCS,J2185,Meropenem 1gm/NACL 0.9% 100ml,94.0,61.1,16.26,94.0,66
HCPCS,J2185,Meropenem 500 mg/nacl 50 ml,178.0,115.7,30.79,178.0,66
HCPCS,J2185,Meropenem 500mg inj vial,122.0,79.3,21.11,122.0,66
HCPCS,J2185,Meropenem 500mg/NACL 0.9%100ml,90.0,58.5,15.57,90.0,66
HCPCS,J2185,Meropenem/NS 20mg/ml 10ml,416.0,270.4,71.97,416.0,66
HCPCS,J2186,Meropenem-vaborbactam 20 mgIV,26.0,16.9,2.18,83.73,55
HCPCS,J2210,Methylergonovine 0.2mg/ml inj,359.0,233.35,62.11,359.0,33
HCPCS,J2212,Methylnaltrexone 12mg/0.6ml vl,461.0,299.65,79.75,461.0,66
HCPCS,J2212,Methylnaltrexone 4mg/0.2ml inj,730.0,474.5,126.29,730.0,33
HCPCS,J2212,Methylnaltrexone 6mg/0.3ml inj,1931.0,1255.15,334.06,1931.0,66
HCPCS,J2212,Relistor 8 mg/0.4 ml inj,2046.0,1329.9,353.96,2046.0,66
HCPCS,J2247,Micafungin sodium 100mg vial J2247,1833.0,1191.45,317.11,1833.0,33
HCPCS,J2247,Micafungin sodium 50mg vial J2247,980.0,637.0,169.54,980.0,33
HCPCS,J2248,Micafungin 100mg/100ml IVPB,2292.0,1489.8,396.52,2292.0,66
HCPCS,J2248,Micafungin sodium 100mg vial,679.0,441.35,117.47,679.0,66
HCPCS,J2248,Micafungin sodium 50mg vial,380.0,247.0,65.74,380.0,66
HCPCS,J2248,Mycamine 1.5mg/ml 1ml IV pedi,21.0,13.65,3.63,21.0,66
HCPCS,J2250,INJ MIDAZOLAM HYDROCHLORIDE,17.0,11.05,2.94,17.0,132
HCPCS,J2250,Midazolam 1 mg/ml 100 ml cass,305.0,198.25,52.77,305.0,132
HCPCS,J2250,Midazolam 1 mg/ml 25ml pedIV,104.0,67.6,17.99,104.0,132
HCPCS,J2250,Midazolam 100mg/100 ml NS,411.0,267.15,71.1,411.0,132
HCPCS,J2250,Midazolam 1mg/ml 2 ml vial,11.0,7.15,1.9,11.0,132
HCPCS,J2250,Midazolam 1mg/ml 5 ml vial,23.0,14.95,3.98,23.0,132
HCPCS,J2250,Midazolam 5mg/ml 10 ml vial,82.0,53.3,14.19,82.0,132
HCPCS,J2251,Midazolam 100mg/100 ml NS J2251,431.0,280.15,74.56,431.0,33
HCPCS,J2260,Milrinone 5mg inj,51.0,33.15,8.82,51.0,33
HCPCS,J2265,Minocycline 100 mg inj,2424.0,1575.6,2.67,2424.0,46
HCPCS,J2267,Mirikizumab-mrkz 1mg IV,446.0,289.9,43.05,446.0,46
HCPCS,J2270,Morphine 0.1mg/ml pedi,117.0,76.05,20.24,117.0,99
HCPCS,J2270,Morphine 10mg/ml tubex,38.0,24.7,6.57,38.0,99
HCPCS,J2270,Morphine 15mg/ml 20ml,113.0,73.45,19.55,113.0,99
HCPCS,J2270,Morphine 1mg/ml NACL 100ml,160.0,104.0,27.68,160.0,99
HCPCS,J2270,Morphine 2 mg/mL INJ,76.0,49.4,13.15,76.0,99
HCPCS,J2270,Morphine 2mg/ml tubex,56.0,36.4,9.69,56.0,99
HCPCS,J2270,Morphine 2mg/ml tubex UCP,20.0,13.0,3.46,20.0,99
HCPCS,J2270,Morphine 4mg tubex,68.0,44.2,11.76,68.0,99
HCPCS,J2270,Morphine 4mg tubex UCP,22.0,14.3,3.81,22.0,99
HCPCS,J2270,Morphine 8mg inj,55.0,35.75,9.52,55.0,99
HCPCS,J2270,Morphine PCA 50mg/50 tubex,134.0,87.1,23.18,134.0,99
HCPCS,J2270,Morphine PF 5mg/10ml IV,304.0,197.6,52.59,304.0,99
HCPCS,J2270,Morphine Sulfate50mg/ml20ml IV,299.0,194.35,51.73,299.0,99
HCPCS,J2270,Morphine/nacl0.9%50mg/50ml IV,192.0,124.8,33.22,192.0,99
HCPCS,J2272,Morphine 2mg/ml tubex J2272,180.0,117.0,31.14,180.0,66
HCPCS,J2272,Morphine 2mg/ml tubex J2272 UCP,65.0,42.25,11.25,65.0,66
HCPCS,J2272,Morphine 4mg tubex J2272,45.0,29.25,7.79,45.0,66
HCPCS,J2272,Morphine 4mg tubex J2272 UCP,22.0,14.3,3.81,22.0,66
HCPCS,J2274,Duramorph 1mg/ml 10ml ampule,140.0,91.0,24.22,140.0,66
HCPCS,J2274,Morphine 1mg/ml 100 ml cass,179.0,116.35,30.97,179.0,66
HCPCS,J2274,Morphine 250mg/NS 250ml bag,194.0,126.1,33.56,194.0,66
HCPCS,J2274,Morphine 25mg/ml pf 10ml vial,116.0,75.4,20.07,116.0,66
HCPCS,J2274,Morphine-Infumor 10mg/ml 20ml,2505.0,1628.25,433.37,2505.0,66
HCPCS,J2274,Morphine-Infumor 25mg/ml 20ml,3882.0,2523.3,671.59,3882.0,66
HCPCS,J2277,Motixafortide 0.25mg sub inj,347.0,225.55,25.22,347.0,46
HCPCS,J2280,Avelox 400mg/nacl 250ml bag,663.0,430.95,114.7,663.0,33
HCPCS,J2300,Nalbuphine 10mg/ml ampule,69.0,44.85,11.94,69.0,33
HCPCS,J2300,Nalbuphine 20mg/ml ampule,94.0,61.1,16.26,94.0,33
HCPCS,J2305,Nitroglycerin 0.1 mg/ml 10 ml,5.0,3.25,0.87,5.0,99
HCPCS,J2305,Nitroglycerin 25mg/D5W 250ml,295.0,191.75,51.04,295.0,99
HCPCS,J2305,Nitroglycerin 50mg/10ml vial,211.0,137.15,36.5,211.0,99
HCPCS,J2312,Naloxone hcl 0.01mg inj,4.0,2.6,0.69,4.0,66
HCPCS,J2312,Naloxone hcl 0.01mg inj UCP,2.0,1.3,0.35,2.0,66
HCPCS,J2323,Tysabri 1 mg inj,190.0,123.5,24.0,3341.84,110
HCPCS,J2326,Nusinersen 0.1mg INJ,4899.0,3184.35,847.53,16732.68,110
HCPCS,J2327,Risankizumab-rzaa 1mg inj,231.0,150.15,14.94,3341.84,55
HCPCS,J2329,Ublituximab-xiiy 1mg IV,433.0,281.45,70.75,11639.51,110
HCPCS,J2350,Ocrelizumab 1 mg inj,434.0,282.1,59.41,16732.68,110
HCPCS,J2351,Ocrelizumab hyalurondiase 1mg,598.0,388.7,47.23,598.0,46
HCPCS,J2353,Octreotide depot 1mg inj,1750.0,1137.5,203.58,3341.84,165
HCPCS,J2354,Octreotide 25mcg inj,31.0,20.15,5.36,31.0,132
HCPCS,J2354,Octreotide/Nacl50mcg/10ml pedIV,46.0,29.9,7.96,46.0,132
HCPCS,J2356,Tezepelumab-ekko 1mg sub inj,141.0,91.65,18.01,1213.51,110
HCPCS,J2357,Omalizumab 5mg PFS inj,403.0,261.95,44.6,867.19,267
HCPCS,J2357,Omalizumab 5mg inj,413.0,268.45,44.6,867.19,267
HCPCS,J2358,Olanzapine long-act 1mg inj,271.0,176.15,46.88,271.0,33
HCPCS,J2359,Olanzapine 0.5mg inj im,19.0,12.35,3.29,19.0,66
HCPCS,J2360,Orphenadrine 30mg/ml 2ml ampul,218.0,141.7,37.71,218.0,132
HCPCS,J2360,Orphenadrine 30mg/ml 2ml ampul UCP,81.0,52.65,14.01,81.0,132
HCPCS,J2371,Phenylephrine 1 mg/10 ml IV,71.0,46.15,12.28,71.0,66
HCPCS,J2371,Phenylephrine 10mg/ml vial,39.0,25.35,6.75,39.0,66
HCPCS,J2371,Phenylephrine 400 mcg/10ml,67.0,43.55,11.59,67.0,66
HCPCS,J2371,Phenylephrine 500 mcg/ml syr,27.0,17.55,4.67,27.0,66
HCPCS,J2371,Phenylephrine 800 mcg/10 ml,76.0,49.4,13.15,76.0,66
HCPCS,J2404,Nicardipine 0.1mg inj,5.0,3.25,0.87,74.41,84
HCPCS,J2404,Nicardipine/NACL 0.1mg/ml200ml,1224.0,795.6,67.64,1224.0,84
HCPCS,J2404,Nicardipine/NS 0.2mg/ml 200ml,2233.0,1451.45,67.64,2233.0,84
HCPCS,J2405,Ondansetron 1mg inj,5.0,3.25,0.87,5.0,132
HCPCS,J2405,Ondansetron 1mg inj UCP,2.0,1.3,0.35,2.0,132
HCPCS,J2406,Oritavancin diphosphate10mg IV,304.0,197.6,42.48,867.19,165
HCPCS,J2425,Palifermin 50 mcg inj,222.0,144.3,35.55,867.19,55
HCPCS,J2430,Pamidronate disodium 30mg inj,278.0,180.7,48.09,278.0,66
HCPCS,J2440,Papaverine 60mg inj,516.0,335.4,89.27,516.0,33
HCPCS,J2469,Palonosetron hcl inj 25mcg,26.0,16.9,4.5,26.0,99
HCPCS,J2470,Pantoprazole 40mg inj,71.0,46.15,12.28,71.0,66
HCPCS,J2501,Paricalcitol 5mcg/ml 1 ml vial,218.0,141.7,37.71,218.0,33
HCPCS,J2502,Pasireotide long acting1mg inj,3122.0,2029.3,540.11,3341.84,55
HCPCS,J2506,Pegfilgrastim 0.5mg vial,2280.0,1482.0,89.34,2280.0,220
HCPCS,J2507,Pegloticase 1mg inj,21785.0,14160.25,3660.83,21785.0,55
HCPCS,J2515,Pentobarbital 50mg inj,780.0,507.0,27.99,780.0,55
HCPCS,J2540,Pcn G K 3 million units/50ml,157.0,102.05,27.16,157.0,33
HCPCS,J2540,Penicillin G K 5mmu vial,183.0,118.95,31.66,183.0,33
HCPCS,J2540,Pfizerpen 5million u/D5W 100ml,179.0,116.35,30.97,179.0,33
HCPCS,J2543,Piperacillin/tazobac 2.25g vl,77.0,50.05,13.32,77.0,66
HCPCS,J2543,Piperacillin/tazobac 3.375g vl,75.0,48.75,12.98,75.0,66
HCPCS,J2543,Piperacillin/tazobac 4.5g vl,105.0,68.25,18.17,105.0,66
HCPCS,J2543,Piperclln/tazobac frzbag 2.25g,213.0,138.45,36.85,213.0,66
HCPCS,J2543,Piperclln/tazobac frzbag 4.5g,354.0,230.1,61.24,354.0,66
HCPCS,J2543,Piperclln/tazobac frzbag3.375g,283.0,183.95,48.96,283.0,66
HCPCS,J2547,Rapivab pf 1mg inj,75.0,48.75,1.68,867.19,55
HCPCS,J2550,PROMETHAZINE HCL INJECTION,30.0,19.5,5.19,30.0,33
HCPCS,J2550,Promethazine hcl 50mg/mL Inj,50.0,32.5,8.65,50.0,33
HCPCS,J2560,Phenobarbital 130mg/ml 1ml vl,721.0,468.65,124.73,721.0,66
HCPCS,J2560,Phenobarbital 65mg/ml 1ml vl,340.0,221.0,58.82,340.0,66
HCPCS,J2562,Plerixafor 1mg inj,233.0,151.45,25.33,3341.84,267
HCPCS,J2590,Oxytocin 10 unit/ml ampule,94.0,61.1,16.26,94.0,33
HCPCS,J2590,Oxytocin 20 unit/D5LR1000ml,149.0,96.85,25.78,149.0,33
HCPCS,J2590,Oxytocin 20 unit/LR soln,14.0,9.1,2.42,14.0,33
HCPCS,J2590,Oxytocin 20 unit/NS 1000ml,100.0,65.0,17.3,100.0,33
HCPCS,J2590,Oxytocin 30 unit/NS 500ml,54.0,35.1,9.34,54.0,33
HCPCS,J2590,Oxytocin 30 units/LR 500ml Bag,113.0,73.45,19.55,113.0,33
HCPCS,J2590,Oxytocin 40 units/LR 1000ml,201.0,130.65,34.77,201.0,33
HCPCS,J2597,Desmopressin acet 1mcg inj,177.0,115.05,30.62,177.0,202
HCPCS,J2598,Vasopressin 1 unit IV,21.0,13.65,3.63,21.0,66
HCPCS,J2599,Vasopressin 1unit IV,32.0,20.8,5.54,32.0,99
HCPCS,J2675,Progesterone 50mg/ml inj,31.0,20.15,5.36,31.0,33
HCPCS,J2690,Procainamide 1gm inj,5499.0,3574.35,294.69,5499.0,92
HCPCS,J2690,Procainamide 4mg/ml pedi,5.0,3.25,0.87,397.83,92
HCPCS,J2700,Oxacillin 10gm vial,1087.0,706.55,188.05,1087.0,33
HCPCS,J2700,Oxacillin 167mg/ml inj ped,32.0,20.8,5.54,32.0,33
HCPCS,J2700,Oxacillin 1gm vial,163.0,105.95,28.2,163.0,33
HCPCS,J2700,Oxacillin 2gm vial,258.0,167.7,44.63,258.0,33
HCPCS,J2700,Oxacillin 40mg/ml 1ml syr,147.0,95.55,25.43,147.0,33
HCPCS,J2704,Propofol 1% 10mg/ml 10ml syr,45.0,29.25,7.79,45.0,66
HCPCS,J2704,Propofol 1% 10mg/ml 20ml syr,86.0,55.9,14.88,86.0,66
HCPCS,J2704,Propofol 10mg/ml 100ml vial,255.0,165.75,44.12,255.0,66
HCPCS,J2704,Propofol 10mg/ml 20ml vial,58.0,37.7,10.03,58.0,66
HCPCS,J2704,Propofol 10mg/ml 50ml vial,132.0,85.8,22.84,132.0,66
HCPCS,J2710,Neostigmine 1 mg/ml 3 ml syr,216.0,140.4,37.37,216.0,33
HCPCS,J2710,Neostigmine 1 mg/ml 5 ml syr,681.0,442.65,117.81,681.0,33
HCPCS,J2710,Neostigmine 1:1000 10ml vl,46.0,29.9,7.96,46.0,33
HCPCS,J2710,Neostigmine 1:2000 10ml vl,344.0,223.6,59.51,344.0,33
HCPCS,J2710,Neostigmine 2 mg/2ml,223.0,144.95,38.58,223.0,33
HCPCS,J2710,Neostigmine 4 mg/4ml,237.0,154.05,41.0,237.0,33
HCPCS,J2720,Protamine 10mg/ml 25ml vial,682.0,443.3,117.99,682.0,99
HCPCS,J2720,Protamine 10mg/ml 5ml vial,212.0,137.8,36.68,212.0,99
HCPCS,J2730,Pralidoxime 1gm vial,1118.0,726.7,67.64,1118.0,42
HCPCS,J2760,Phentolamine 5mg vial,5900.0,3835.0,76.12,5900.0,110
HCPCS,J2765,Metoclopramide 0.1mg/1ml neo,17.0,11.05,2.94,17.0,99
HCPCS,J2765,Metoclopramide 1mg/ml ped IV,23.0,14.95,3.98,23.0,99
HCPCS,J2765,Metoclopramide 5 mg/ml 2ml vl,39.0,25.35,6.75,39.0,99
HCPCS,J2765,Metoclopramide 5 mg/ml 2ml vl UCP,13.0,8.45,2.25,13.0,99
HCPCS,J2783,Rasburicase 0.5mg inj,3283.0,2133.95,377.52,3283.0,165
HCPCS,J2785,Regadenoson 0.4mg/5ml inj,392.0,254.8,67.82,392.0,66
HCPCS,J2790,Rhogam 300mcg inj,503.0,326.95,67.64,503.0,42
HCPCS,J2791,Rhophylac imm glob100IU inj,170.0,110.5,29.41,170.0,42
HCPCS,J2792,Rho d ivig 100 iu inj,418.0,271.7,25.46,2998.44,110
HCPCS,J2800,Methocarbamol 100mg/ml 10ml vl,110.0,71.5,19.03,110.0,66
HCPCS,J2802,Romiplostim 1mcg inj,75.0,48.75,11.01,75.0,276
HCPCS,J2804,Rifampin 1mg inj,4.0,2.6,0.69,4.0,33
HCPCS,J2805,Sincalide 5mcg vial,1577.0,1025.05,67.64,1577.0,84
HCPCS,J2810,Theophylline 400mg/D5 500ml IV,61.0,39.65,10.55,61.0,33
HCPCS,J2820,Sargramostim (gm-csf) 50mcg inj,690.0,448.5,50.37,690.0,55
HCPCS,J2850,Secretin 1 mcg IV,360.0,234.0,40.52,360.0,102
HCPCS,J2860,Siltuximab 10mg IV,1051.0,683.15,165.83,3341.84,110
HCPCS,J2865,Smx-tmp 5mg-1mg inj,5.0,3.25,0.87,5.0,33
HCPCS,J2916,NaFerr Gluc Cmplx 12.5mg/ml IV,82.0,53.3,14.19,82.0,165
HCPCS,J2919,Methylprednisolone 125mg vl,154.0,100.1,26.64,154.0,132
HCPCS,J2919,Methylprednisolone 125mg vl UCP,55.0,35.75,9.52,55.0,132
HCPCS,J2919,Methylprednisolone 1g vial,599.0,389.35,103.63,599.0,132
HCPCS,J2919,Methylprednisolone 2g vial,1105.0,718.25,191.17,1105.0,132
HCPCS,J2919,Methylprednisolone 40mg vial,95.0,61.75,16.44,95.0,132
HCPCS,J2919,Methylprednisolone 40mg vial UCP,34.0,22.1,5.88,34.0,132
HCPCS,J2919,Methylprednisolone 500mg vial,349.0,226.85,60.38,349.0,132
HCPCS,J2919,Solu-medrol 10mg/ml 1ml ped IV,13.0,8.45,2.25,13.0,132
HCPCS,J2997,Activase recombinant 1mg inj,825.0,536.25,67.64,825.0,267
HCPCS,J2997,Cathflo 1 mg Inj,1135.0,737.75,67.64,1135.0,267
HCPCS,J3000,Streptomycin sulfate 1gm,983.0,638.95,170.06,983.0,33
HCPCS,J3010,FENTANYL CITRATE INJECTION,32.0,20.8,5.54,32.0,66
HCPCS,J3010,Fent-bupi 2mcg/ml-0.0625%250ml,181.0,117.65,31.31,181.0,66
HCPCS,J3010,Fent-bupi 5mcg/ml-0.125% 250ml,204.0,132.6,35.29,204.0,66
HCPCS,J3010,Fentanyl 10mcg/ml 100ml cass,150.0,97.5,25.95,150.0,66
HCPCS,J3010,Fentanyl 20mcg/ml 100ml IVPB,387.0,251.55,66.95,387.0,66
HCPCS,J3010,Fentanyl 20mcg/ml 100ml cass,169.0,109.85,29.24,169.0,66
HCPCS,J3010,Fentanyl Cit 0.1mg inj,14.0,9.1,2.42,14.0,66
HCPCS,J3010,Fentanyl cit 0.05mg/ml 10mlinj,48.0,31.2,8.3,48.0,66
HCPCS,J3010,Fentanyl cit 0.05mg/ml 20mlinj,108.0,70.2,18.68,108.0,66
HCPCS,J3010,Fentanyl cit 1000mcg/100ml NS,86.0,55.9,14.88,86.0,66
HCPCS,J3010,Fentanyl/NS10mcg/ml10ml syrped,85.0,55.25,14.71,85.0,66
HCPCS,J3010,Fentanyl/NS10mcg/ml25ml syrped,92.0,59.8,15.92,92.0,66
HCPCS,J3030,Sumatriptan 6mg/0.5ml vial,264.0,171.6,45.67,264.0,73
HCPCS,J3030,Sumatriptan 6mg/0.5ml vial UCP,129.0,83.85,22.32,129.0,73
HCPCS,J3032,Eptinezumab-jjmr 1mg IV,134.0,87.1,19.97,667.18,110
HCPCS,J3055,Talquetamab-tgvs 0.25mg sub inj,469.0,304.85,72.62,469.0,184
HCPCS,J3095,Telavancin 10mg inj,94.0,61.1,7.11,133.22,55
HCPCS,J3101,Tenecteplase 1mg inj,1101.0,715.65,172.22,3341.84,267
HCPCS,J3105,Terbutaline 0.2 mg/mL D5W syr,56.0,36.4,9.69,56.0,66
HCPCS,J3105,Terbutaline 1mg/ml,80.0,52.0,13.84,80.0,66
HCPCS,J3110,Teriparatide 560mcg/2.24mlInj,28322.0,18409.3,1103.19,28322.0,42
HCPCS,J3111,Romosozumab-aqqg 1mg inj,95.0,61.75,12.07,667.18,165
HCPCS,J3230,Chlorpromazine 25mg/1ml inj,397.0,258.05,68.68,397.0,33
HCPCS,J3240,Thyrotropin alfa0.9mg in 1.1mg vial,9317.0,6056.05,606.53,9317.0,220
HCPCS,J3241,Teprotumumab-trbw 10mg IV,1294.0,841.1,223.86,11639.51,55
HCPCS,J3243,Tigecycline 1mg inj,25.0,16.25,4.33,25.0,66
HCPCS,J3246,Tirofiban hcl 0.25mg inj,68.0,44.2,11.76,68.0,42
HCPCS,J3250,Trimethobenzamide 200mg/2ml vl,647.0,420.55,111.93,647.0,66
HCPCS,J3260,Tobramycin 10mg/ml 2ml inj,308.0,200.2,53.28,308.0,33
HCPCS,J3260,Tobramycin 2mg/ml 1ml syr pedi,54.0,35.1,9.34,54.0,33
HCPCS,J3260,Tobramycin 40mg/ml 2ml vial,36.0,23.4,6.23,36.0,33
HCPCS,J3260,Tobramycin sulfate 1.2gm vial,884.0,574.6,152.93,884.0,33
HCPCS,J3262,Tocilizumab 1mg inj,52.0,33.8,5.71,667.18,267
HCPCS,J3263,Toripalimab-tpzi 1mg inj,541.0,351.65,39.41,541.0,46
HCPCS,J3285,Treprostinil 1 mg inj,821.0,533.65,54.71,821.0,55
HCPCS,J3290,Tranexamic Acid 100mg/ml vial,4.0,2.6,0.69,4.0,66
HCPCS,J3290,Tranexamic acid 1000mg IV,238.0,154.7,41.17,238.0,66
HCPCS,J3290,Tranexamic acid 1000mg IV UCP,114.0,74.1,19.72,114.0,66
HCPCS,J3290,Tranexamic acid 100mg nasal UCP,2.0,1.3,0.35,2.0,66
HCPCS,J3290,Tranexamic acid 500 mg iv,292.0,189.8,50.52,292.0,66
HCPCS,J3290,Tranexamic acid 750 mg iv,225.0,146.25,38.93,225.0,66
HCPCS,J3301,Triamcinolone ace 10mg/ml,38.0,24.7,6.57,38.0,99
HCPCS,J3301,Triamcinolone ace 40mg/ml 1ml,134.0,87.1,23.18,134.0,99
HCPCS,J3315,Triptorelin pamo 3.75mg inj,6975.0,4533.75,387.18,6975.0,165
HCPCS,J3358,Ustekinumab 1 mg IV,239.0,155.35,12.99,2998.44,110
HCPCS,J3360,Diazepam 5mg/ml 2ml carpuject,355.0,230.75,61.42,355.0,66
HCPCS,J3360,Diazepam 5mg/ml 2ml carpuject UCP,124.0,80.6,21.45,124.0,66
HCPCS,J3373,Vancomycin hcl 10mg inj J3373,4.0,2.6,0.69,4.0,99
HCPCS,J3374,Vancomycin hcl 10mg inj J3374,4.0,2.6,0.69,4.0,33
HCPCS,J3380,Vedolizumab 1mg inj,209.0,135.85,21.31,3341.84,110
HCPCS,J3410,HydroxyzineHCL 50mg/ml 1ml vl,406.0,263.9,70.24,406.0,66
HCPCS,J3411,Thiamine 100mg/ml 1ml inj,56.0,36.4,9.69,56.0,66
HCPCS,J3411,Thiamine 100mg/ml 2ml vial,138.0,89.7,23.87,138.0,66
HCPCS,J3415,Vitamin B6 100mg/ml inj,274.0,178.1,47.4,274.0,33
HCPCS,J3420,Cyanocobalamin 1000mcg vl,103.0,66.95,17.82,103.0,132
HCPCS,J3424,Hydroxocobalamin 5 g inj kit,10636.0,6913.4,5.19,10636.0,46
HCPCS,J3430,Phytonadione 1 mg/0.5ml inj,356.0,231.4,61.59,356.0,66
HCPCS,J3430,Phytonadione 1 mg/mL PED,74.0,48.1,12.8,74.0,66
HCPCS,J3430,Phytonadione 10mg/ml ampule,588.0,382.2,101.72,588.0,66
HCPCS,J3465,Voriconazole 10mg inj,51.0,33.15,8.82,51.0,33
HCPCS,J3470,HYALURONIDASE INJECTION,720.0,468.0,67.64,720.0,42
HCPCS,J3471,Hyaluronidase 200u/ml 1.2ml vl,906.0,588.9,67.64,906.0,42
HCPCS,J3475,Magnesium 1g/D5W 100ml,108.0,70.2,18.68,108.0,132
HCPCS,J3475,Magnesium 20 gm/lr 500 ml bag,658.0,427.7,113.83,658.0,132
HCPCS,J3475,Magnesium 20g/D5W 500ml,92.0,59.8,15.92,92.0,132
HCPCS,J3475,Magnesium 2g/w 50ml premix,187.0,121.55,32.35,187.0,132
HCPCS,J3475,Magnesium 500mg/ml 10ml inj,35.0,22.75,6.06,35.0,132
HCPCS,J3475,Magnesium 500mg/ml 2ml inj,28.0,18.2,4.84,28.0,132
HCPCS,J3475,Magnesium sulf 2g/ns 50ml IVPB,160.0,104.0,27.68,160.0,132
HCPCS,J3475,Magnesium sulf 4g/50ml water,116.0,75.4,20.07,116.0,132
HCPCS,J3475,Magnesium sulfate 10g/20ml IV,63.0,40.95,10.9,63.0,132
HCPCS,J3480,INJ POTASSIUM CHLORIDE,285.0,185.25,9.86,332.0,693
HCPCS,J3480,Kcl 40 meq/1L NS,162.0,105.3,28.03,162.0,231
HCPCS,J3480,Potassium CL 40mEq/20ml inj,60.0,39.0,10.38,60.0,231
HCPCS,J3480,Potassium Cl 2mEq/mL Oral PED,8.0,5.2,1.38,8.0,231
HCPCS,J3480,Potassium chloride 10mEq/100ml,59.0,38.35,10.21,59.0,231
HCPCS,J3480,Potassium chloride 20mEq/100ml,61.0,39.65,10.55,61.0,231
HCPCS,J3480,Potassium chloride 20mEq/10ml,15.0,9.75,2.6,15.0,231
HCPCS,J3480,Potassium chloride 2mEq/ml IV,5.0,3.25,0.87,5.0,231
HCPCS,J3480,Potassium chloride2mEq/250ml IV,284.0,184.6,49.13,284.0,231
HCPCS,J3480,Sol IV D5 0.9%NS 20KCL 1L bg UCP,131.0,85.15,22.66,131.0,231
HCPCS,J3485,Zidovudine 10mg/ml 20ml inj,358.0,232.7,1.51,358.0,46
HCPCS,J3486,Ziprasidone 20mg inj,451.0,293.15,78.02,451.0,66
HCPCS,J3489,Zoledronic acid 1mg inj,365.0,237.25,63.15,365.0,132
HCPCS,J3489,Zoledronic/mannitol 1mg Inj,781.0,507.65,135.11,781.0,132
HCPCS,J3490,Anakinra 100mg/0.67ml Inj,2077.0,1350.05,359.32,2077.0,198
HCPCS,J3490,Brivaracetam 50mg inj,742.0,482.3,128.37,742.0,198
HCPCS,J3490,Ciprofloxacin/dex otic sus,1029.0,668.85,178.02,1029.0,198
HCPCS,J3490,Cisatracurium 10mg/ml 20ml vl,2870.0,1865.5,496.51,2870.0,198
HCPCS,J3490,Cisatracurium 2mg/ml 5ml vl,129.0,83.85,22.32,129.0,198
HCPCS,J3490,Cleocin 300mg/D5W 50ml,106.0,68.9,18.34,106.0,198
HCPCS,J3490,Clinimix e 4.25%-5% 2000ml,4254.0,2765.1,735.94,4254.0,198
HCPCS,J3490,Collagenase 250u/g oint 30g,913.0,593.45,157.95,913.0,198
HCPCS,J3490,DRUGS UNCLASSIFIED INJECTION,173.0,112.45,0.87,1277.0,1914
HCPCS,J3490,Dehydrated alcohol 5ml amp,7092.0,4609.8,1226.92,7092.0,198
HCPCS,J3490,Dexmedetomidine 100mcg/ml 2ml,80.0,52.0,13.84,80.0,198
HCPCS,J3490,Dexmedetomidine 4mcg/ml 50ml,387.0,251.55,66.95,387.0,198
HCPCS,J3490,Dextrose 50% abboject 50ml,7.0,4.55,1.21,7.0,198
HCPCS,J3490,Dextrose 50% abboject 50ml UCP,2.0,1.3,0.35,2.0,198
HCPCS,J3490,Flumazenil 0.1mg/ml 5ml vl,108.0,70.2,18.68,108.0,198
HCPCS,J3490,HC acetate/pramoxine 10gm,533.0,346.45,92.21,533.0,198
HCPCS,J3490,Hyaluronate 10mg/ml 0.55ml,1667.0,1083.55,288.39,1667.0,198
HCPCS,J3490,Hyaluronate sodium 20mg/ml gel,9821.0,6383.65,1699.03,9821.0,198
HCPCS,J3490,IC-green 25mg vial w/diluent,1636.0,1063.4,283.03,1636.0,198
HCPCS,J3490,Isoproterenol 0.2mg/ml 1ml inj,1941.0,1261.65,335.79,1941.0,198
HCPCS,J3490,Ketalar 10mg/ml 20ml vial,256.0,166.4,44.29,256.0,198
HCPCS,J3490,Nitroglycerin 100mcg/ml pedi,137.0,89.05,23.7,137.0,198
HCPCS,J3490,Nitroprusside 50mg/2ml vial,1195.0,776.75,206.74,1195.0,198
HCPCS,J3490,Norepinephrine 4mg/4ml vial,77.0,50.05,13.32,77.0,198
HCPCS,J3490,Norepinephrine B 8mg/250ml IV,451.0,293.15,78.02,451.0,198
HCPCS,J3490,Pegcetacoplan 1080mg sub inf,32388.0,21052.2,5603.12,32388.0,198
HCPCS,J3490,Plasma-lyte a 1000 ml IV,219.0,142.35,37.89,219.0,198
HCPCS,J3490,Polymyxin B sulfate 500ku vl,150.0,97.5,25.95,150.0,198
HCPCS,J3490,Potassium phosphate 15mm/5ml,330.0,214.5,57.09,330.0,198
HCPCS,J3490,Potassium phosphate 3mm/ml 15,638.0,414.7,110.37,638.0,198
HCPCS,J3490,Remifentanil HCL 1mg vial,835.0,542.75,144.46,835.0,198
HCPCS,J3490,Remifentanil HCL 2mg/5ml,1550.0,1007.5,268.15,1550.0,198
HCPCS,J3490,Remifentanil HCL 5mg vial,3295.0,2141.75,570.04,3295.0,198
HCPCS,J3490,Rocuronium 10mg/ml 5ml vial,64.0,41.6,11.07,64.0,198
HCPCS,J3490,Sodium bicarbonate 8.4% 50ml,246.0,159.9,42.56,246.0,198
HCPCS,J3490,Sodium bicarbonate 8.4% vial,102.0,66.3,17.65,102.0,198
HCPCS,J3490,Sodium phosphate 3mm/ml 5ml,221.0,143.65,38.23,221.0,198
HCPCS,J3490,Sodium tetradecyl sulf 3% 2ml,1007.0,654.55,174.21,1007.0,198
HCPCS,J3490,Sol IV LR 3000ml bg 2b7487,332.0,215.8,57.44,332.0,132
HCPCS,J3490,Sol IV NS 0.9% 100ml bag sg UCP,100.0,65.0,17.3,100.0,198
HCPCS,J3490,Sol IV NS 0.9% 50ml bag sgl UCP,55.0,35.75,9.52,55.0,198
HCPCS,J3490,Sol IV NS 0.9% 50ml bg 2b1308,61.0,39.65,10.55,61.0,132
HCPCS,J3490,Sugammadex 200 mg Inj,1639.0,1065.35,283.55,1639.0,198
HCPCS,J3490,Sugammadex 500 mg inj,2860.0,1859.0,494.78,2860.0,198
HCPCS,J3490,Tpn neo/ped 250ml,2735.0,1777.75,473.16,2735.0,198
HCPCS,J3490,Verapamil 2.5mg/ml 2ml vial,263.0,170.95,45.5,263.0,198
HCPCS,J3490,Vitamin A 50000u/ml 2ml inj,5050.0,3282.5,873.65,5050.0,198
HCPCS,J3535,Albuterol HFA 90 mcg/inh 8.5gm,165.0,107.25,28.55,165.0,33
HCPCS,J3535,Albuterol HFA 90 mcg/inh 8.5gm UCP,115.0,74.75,19.9,115.0,33
HCPCS,J3535,Albuterol HFA 90mcg 18g,203.0,131.95,35.12,203.0,33
HCPCS,J3535,Albuterol HFA 90mcg/inh 8gm,119.0,77.35,20.59,119.0,33
HCPCS,J3535,Albuterol HFA 90mcg/inh 8gmUCP,73.0,47.45,12.63,73.0,33
HCPCS,J3535,Albuterol sulf 90mcg 6.7g Inh,134.0,87.1,23.18,134.0,33
HCPCS,J3535,Albuterol sulf 90mcg 6.7g Inh UCP,88.0,57.2,15.22,88.0,33
HCPCS,J3535,Flovent HFA 220 inh aer 12gm,1224.0,795.6,211.75,1224.0,33
HCPCS,J3535,Ipratropium HFA 17mcg aer12.9g,883.0,573.95,152.76,883.0,33
HCPCS,J3590,Idarucizumab 50mg/ml 50ml IV,19084.0,12404.6,3301.53,19084.0,33
HCPCS,J3590,Sealant fibrin 2ml hmsttc evcl,1178.0,765.7,203.79,1178.0,33
HCPCS,J3590,Sealant fibrin 2x4 evt5024,4956.0,3221.4,857.39,4956.0,33
HCPCS,J3590,Sealant fibrin 5ml evicel3905,2709.0,1760.85,468.66,2709.0,33
HCPCS,J3590,Sealant fibrin Ethicon vst04,1666.0,1082.9,288.22,1666.0,33
HCPCS,J3590,Sealant fibrin Ethicon vst10,3754.0,2440.1,649.44,3754.0,33
HCPCS,J3590,Thrombin recomb 5000 unit vl,1036.0,673.4,179.23,1036.0,33
HCPCS,J3590,ThrombinBovine top 5000iu vial,868.0,564.2,150.16,868.0,33
HCPCS,J3590,Tisseel 4ml fibrn prefl1501262,1585.0,1030.25,274.21,1585.0,33
HCPCS,J3590,Tisseel sealant Baxter 1506079,1754.0,1140.1,303.44,1754.0,33
HCPCS,J3590,UNCLASSIFIED BIOLOGICS,15959.0,10373.35,2760.91,15959.0,33
HCPCS,J7030,NORMAL SALINE SOLUTION INFUS,236.0,153.4,24.22,332.0,330
HCPCS,J7030,Sol IV NS 0.45% 1000ml bag UCP,131.0,85.15,22.66,131.0,165
HCPCS,J7040,NORMAL SALINE SOLUTION INFUS,285.0,185.25,49.31,285.0,165
HCPCS,J7040,Sol IV NS 0.9% 500ml bg UCP,130.0,84.5,22.49,130.0,165
HCPCS,J7042,5% DEXTROSE/NORMAL SALINE,308.5,200.525,49.31,332.0,132
HCPCS,J7050,NORMAL SALINE SOLUTION INFUS,231.0,150.15,39.96,231.0,165
HCPCS,J7050,Sol IV NS 0.9% 250ml bag dil UCP,116.0,75.4,20.07,116.0,165
HCPCS,J7060,5% DEXTROSE/WATER,285.0,185.25,49.31,285.0,66
HCPCS,J7070,D5W INFUSION,332.0,215.8,57.44,332.0,66
HCPCS,J7120,RINGERS LACTATE INFUSION,308.5,200.525,49.31,332.0,264
HCPCS,J7120,Sol IV LR 1000ml bg UCP,140.0,91.0,24.22,140.0,132
HCPCS,J7120,Sol IV LR 500ml bag UCP,122.0,79.3,21.11,122.0,132
HCPCS,J7120,Sol IV lr 250ml 417730,231.0,150.15,39.96,231.0,132
HCPCS,J7121,5% DEXTROSE IN LAC RINGERS,308.5,200.525,49.31,332.0,66
HCPCS,J7121,Sol IV D5 LR 1000ml bag UCP,140.0,91.0,24.22,140.0,33
HCPCS,J7131,Sodium Chloride 3% IV 1mL,5.0,3.25,0.87,5.0,66
HCPCS,J7131,Sodium Chloride 3% inh 1ml,4.0,2.6,0.69,4.0,66
HCPCS,J7131,Sol IV NS 3% 500ml bag,285.0,185.25,49.31,285.0,66
HCPCS,J7165,Prothrombin-cplx human-lans 1unit,5.0,3.25,0.87,5.0,138
HCPCS,J7168,Kcentra 1 unit,20.0,13.0,2.14,1213.51,55
HCPCS,J7169,Coagu factor Xa inact 10mgIV,826.0,536.9,131.38,11639.51,267
HCPCS,J7170,Emicizumab-kxwh 0.5mg sub inj,780.0,507.0,56.1,16732.68,55
HCPCS,J7177,Fibrinogen human conc 1mg IV,18.0,11.7,1.23,867.19,55
HCPCS,J7178,Fibrinogen human conc 1mg inj,12.0,7.8,1.52,3341.84,55
HCPCS,J7179,Von willebrand factor 1iu IV,13.0,8.45,1.85,3341.84,220
HCPCS,J7182,Factor VIII recomb human 1iu IV,18.0,11.7,1.54,3341.84,110
HCPCS,J7183,Wilate 1 unit vwf inj,8.0,5.2,1.29,2998.44,322
HCPCS,J7187,Humate-P 1u inj,13.0,8.45,1.49,2998.44,110
HCPCS,J7189,Factor viia 1mcg inj,19.0,12.35,2.66,3341.84,212
HCPCS,J7192,Antihemophil fact hum rec 1 un viii,5.0,3.25,0.87,3341.84,55
HCPCS,J7195,Factor IX recomb 1 unit inj,12.0,7.8,1.85,3341.84,55
HCPCS,J7198,Feiba NF 1unit,40.0,26.0,2.41,3341.84,55
HCPCS,J7201,Alprolix 1 unit inj,5.0,3.25,0.87,3341.84,55
HCPCS,J7205,Eloctate 1 IU IV,38.0,24.7,2.43,3341.84,55
HCPCS,J7207,Adynovate 1 IU IV,16.0,10.4,2.1,3341.84,55
HCPCS,J7209,Nuwiq 1 unit,23.0,14.95,1.12,2998.44,55
HCPCS,J7296,Levonorgestrel 19.5mg iud,5178.0,3365.7,304.75,5178.0,42
HCPCS,J7297,Levonorgestrel 52mg iud ds,3972.0,2581.8,304.75,3972.0,42
HCPCS,J7298,Levonorgestrel 52mg sys iud,5178.0,3365.7,304.75,5178.0,42
HCPCS,J7301,Levonorgestrel 13.5mg sys iud,4311.0,2802.15,304.75,4311.0,42
HCPCS,J7308,Aminolevulinic acid 20%1.5ml,1109.0,720.85,121.11,1109.0,220
HCPCS,J7310,Ganciclovir 4.5mg implant,105717.0,68716.05,10581.38,105717.0,42
HCPCS,J7315,Mitomycin 0.2mg oph kit,3987.0,2591.55,67.64,3987.0,42
HCPCS,J7324,Sodium Hyaluronate30mg/2ml syr,2038.0,1324.7,76.12,2038.0,55
HCPCS,J7325,Hyaluronan synv 1mg inj,392.0,254.8,7.95,392.0,55
HCPCS,J7327,Hyaluronate sodium 22mg/ml syr,4516.0,2935.4,304.75,4516.0,55
HCPCS,J7336,Capsaicin 8%top patch per sqcm,7261.0,4719.65,3.42,7261.0,220
HCPCS,J7355,Eye idose 75mcg  idosetr,66960.0,43524.0,195.72,66960.0,46
HCPCS,J7500,Azathioprine 50mg tab,5.0,3.25,0.87,5.0,33
HCPCS,J7500,Azathioprine 50mg/ml susp 1ml,3.0,1.95,0.52,3.0,33
HCPCS,J7501,Azathioprine 100mg inj,3011.0,1957.15,67.64,3011.0,55
HCPCS,J7502,Cyclosporine 100mg cap,75.0,48.75,12.98,75.0,33
HCPCS,J7502,Cyclosporine mod sol 100mg/1ml,37.0,24.05,6.4,37.0,33
HCPCS,J7502,Cyclosporine modifi 100mg cap,26.0,16.9,4.5,26.0,33
HCPCS,J7502,Cyclosporine sol 100mg/1ml PO,85.0,55.25,14.71,85.0,33
HCPCS,J7504,Atgam 250mg inj,33442.0,21737.3,3038.04,33442.0,55
HCPCS,J7507,Tacrolimus 1mg cap,9.0,5.85,1.56,9.0,33
HCPCS,J7507,Tacrolimus 1mg/2ml susp,3.0,1.95,0.52,3.0,33
HCPCS,J7507,Tacrolimus 5mg oral cap,17.0,11.05,2.94,17.0,33
HCPCS,J7509,Medrol 8mg tab,10.0,6.5,1.73,10.0,33
HCPCS,J7509,Methylprednisolone 16mg tab,16.0,10.4,2.77,16.0,33
HCPCS,J7509,Methylprednisolone 32mg tab,35.0,22.75,6.06,35.0,33
HCPCS,J7509,Methylprednisolone 4mg tab,3.0,1.95,0.52,3.0,33
HCPCS,J7509,Methylprednisolone dosepak #21,7.0,4.55,1.21,7.0,33
HCPCS,J7510,Prednisolone 15mg/5ml soln,4.0,2.6,0.69,4.0,33
HCPCS,J7510,Prednisolone 15mg/5ml soln UCP,2.0,1.3,0.35,2.0,33
HCPCS,J7510,Prednisolone 5mg tab,50.0,32.5,8.65,50.0,33
HCPCS,J7511,Thymoglobulin 25mg inj,8113.0,5273.45,999.37,8113.0,55
HCPCS,J7512,PREDNISONE IR OR DR ORAL 1MG,2.0,1.3,0.17,3.0,66
HCPCS,J7512,Prednisone 1mg/ml 5ml soln,34.0,22.1,5.88,34.0,33
HCPCS,J7515,Cyclosporine 25mg cap,24.0,15.6,4.15,24.0,33
HCPCS,J7515,Cyclosporine modifi 25mg cap,8.0,5.2,1.38,8.0,33
HCPCS,J7516,Cyclosporine 250mg inj,865.0,562.25,149.65,865.0,33
HCPCS,J7517,Cellcept oral susp 500mg/2.5ml,55.0,35.75,9.52,55.0,33
HCPCS,J7517,Mycophenolate 250mg cap,3.0,1.95,0.52,3.0,33
HCPCS,J7517,Mycophenolate mofeti 500 mgtab,7.0,4.55,1.21,7.0,33
HCPCS,J7518,Myfortic 180 mg dr tab,3.0,1.95,0.52,3.0,33
HCPCS,J7519,Cellcept 500mg vial,889.0,577.85,153.8,889.0,42
HCPCS,J7520,Sirolimus 1mg tab,60.0,39.0,10.38,60.0,33
HCPCS,J7520,Sirolimus 1mg/mL Oral Susp,83.0,53.95,14.36,83.0,33
HCPCS,J7520,Sirolimus 2mg tab,151.0,98.15,26.12,151.0,33
HCPCS,J7525,Tacrolimus 5mg/ml ampule,3034.0,1972.1,76.12,3034.0,55
HCPCS,J7527,Afinitor 5 mg tab,5608.0,3645.2,970.18,5608.0,33
HCPCS,J7665,Mannitol Inhaled 5mg,7.0,4.55,1.21,7.0,33
HCPCS,J7674,Methacholine 100mg vial,1006.0,653.9,174.04,1006.0,33
HCPCS,J7677,Revefenacin 1mcg�inh vial,5.0,3.25,0.87,5.0,33
HCPCS,J7999,Norepinephrine 16mg/250ml bag,469.0,304.85,81.14,469.0,66
HCPCS,J8499,Alvimopan 12mg cap,452.0,293.8,78.2,452.0,33
HCPCS,J8499,Biktarvy 50mg-200mg-25 mg tab,665.0,432.25,115.05,665.0,33
HCPCS,J8499,Deutetrabenazine 6mg oral tab,884.0,574.6,152.93,884.0,33
HCPCS,J8499,Deutetrabenazine 9mg oral tab,1073.0,697.45,185.63,1073.0,33
HCPCS,J8499,Eltrombopag 75mg tab,1164.0,756.6,201.37,1164.0,33
HCPCS,J8499,Fidaxomicin 200 mg tab,1026.0,666.9,177.5,1026.0,33
HCPCS,J8499,Isavuconazonium 186 mg PO,563.0,365.95,97.4,563.0,33
HCPCS,J8499,ORAL PRESCRIP DRUG NON CHEMO,1511.0,982.15,261.4,1511.0,33
HCPCS,J8499,Omadacycline 150mg oral tab,1003.0,651.95,173.52,1003.0,33
HCPCS,J8499,Rimegepant 75mg odt tab,1357.0,882.05,234.76,1357.0,33
HCPCS,J8499,Tolvaptan 15mg tab,224.0,145.6,38.75,224.0,33
HCPCS,J8499,Upadacitinib 45mg er oral tab,4750.0,3087.5,821.75,4750.0,33
HCPCS,J8501,Aprepitant 125mg cap,984.0,639.6,170.23,984.0,33
HCPCS,J8501,Aprepitant 80mg cap,629.0,408.85,108.82,629.0,33
HCPCS,J8510,Busulfan 2mg tab,272.0,176.8,10.12,272.0,46
HCPCS,J8522,Capecitabine 50mg tab,10.0,6.5,0.04,10.0,46
HCPCS,J8530,Cyclophosphamide 25 mg caps,35.0,22.75,6.06,35.0,33
HCPCS,J8530,Cyclophosphamide 50 mg caps,48.0,31.2,8.3,48.0,33
HCPCS,J8540,Dexamethasone 0.5/5ml Elxir,6.0,3.9,1.04,6.0,33
HCPCS,J8540,Dexamethasone 4mg tab,6.0,3.9,1.04,6.0,66
HCPCS,J8540,ORAL DEXAMETHASONE,3.0,1.95,0.52,3.0,66
HCPCS,J8560,Etoposide 50mg cap,763.0,495.95,27.77,763.0,55
HCPCS,J8600,Melphalan 2mg tab,136.0,88.4,23.53,136.0,33
HCPCS,J8610,Methotrexate 2.5mg tab,32.0,20.8,5.54,32.0,33
HCPCS,J8700,Temozolomide 100mg cap,336.0,218.4,58.13,336.0,33
HCPCS,J8700,Temozolomide 10mg/ml oral susp,27.0,17.55,4.67,27.0,33
HCPCS,J8700,Temozolomide 140 mg cap,426.0,276.9,73.7,426.0,33
HCPCS,J8700,Temozolomide 20mg cap,74.0,48.1,12.8,74.0,33
HCPCS,J8700,Temozolomide 5mg cap,34.0,22.1,5.88,34.0,33
HCPCS,J8999,Acyclovir 200mg susp 5ml,8.0,5.2,1.38,8.0,33
HCPCS,J8999,Anastrozole 1mg tab,11.0,7.15,1.9,11.0,33
HCPCS,J8999,Bicalutamide 50mg tab,9.0,5.85,1.56,9.0,33
HCPCS,J8999,Bosutinib 100mg tab,1597.0,1038.05,276.28,1597.0,33
HCPCS,J8999,Bosutinib 500mg tab,4749.0,3086.85,821.58,4749.0,33
HCPCS,J8999,Dasatinib 100mg tab,4991.0,3244.15,863.44,4991.0,33
HCPCS,J8999,Dasatinib 20mg tab,1564.0,1016.6,270.57,1564.0,33
HCPCS,J8999,Dasatinib 50mg tab,2769.0,1799.85,479.04,2769.0,33
HCPCS,J8999,Dasatinib 70mg tab,3129.0,2033.85,541.32,3129.0,33
HCPCS,J8999,Erlotinib 100mg tab,114.0,74.1,19.72,114.0,33
HCPCS,J8999,Erlotinib 150mg tab,3453.0,2244.45,597.37,3453.0,33
HCPCS,J8999,Exemestane 25mg tab,31.0,20.15,5.36,31.0,33
HCPCS,J8999,Flutamide 125mg cap,25.0,16.25,4.33,25.0,33
HCPCS,J8999,Gilteritinib 40mg oral tab,3157.0,2052.05,546.16,3157.0,33
HCPCS,J8999,Hydroxyurea 500mg cap,10.0,6.5,1.73,10.0,33
HCPCS,J8999,Ibrutinib 140 mg cap,2191.0,1424.15,379.04,2191.0,33
HCPCS,J8999,Imatinib mesylate 100mg tab,339.0,220.35,58.65,339.0,33
HCPCS,J8999,Imatinib mesylate 400mg tab,75.0,48.75,12.98,75.0,33
HCPCS,J8999,Letrozole 2.5mg tab,5.0,3.25,0.87,5.0,33
HCPCS,J8999,Lomustine 10mg cap,1043.0,677.95,180.44,1043.0,33
HCPCS,J8999,Lomustine 40mg cap,4172.0,2711.8,721.76,4172.0,33
HCPCS,J8999,Midostaurin 25 mg capsule,323.0,209.95,55.88,323.0,33
HCPCS,J8999,ORAL PRESCRIPTION DRUG CHEMO,7524.5,4890.925,0.52,17415.0,132
HCPCS,J8999,Procarbazine 50mg cap,877.0,570.05,151.72,877.0,33
HCPCS,J8999,Sunitinib malate 50mg cap,8984.0,5839.6,1554.23,8984.0,33
HCPCS,J8999,Thalidomide 20 mg/ml ped susp,157.0,102.05,27.16,157.0,33
HCPCS,J8999,Thalidomide 50mg cap,1585.0,1030.25,274.21,1585.0,33
HCPCS,J8999,Thioguanine 40mg tab,1263.0,820.95,218.5,1263.0,33
HCPCS,J8999,Tretinoin 10mg cap,255.0,165.75,44.12,255.0,33
HCPCS,J8999,Vemurafenib 240mg tab,533.0,346.45,92.21,533.0,33
HCPCS,J8999,Venetoclax 10 mg tab,140.0,91.0,24.22,140.0,33
HCPCS,J8999,Venetoclax 100 mg tab,1179.0,766.35,203.97,1179.0,33
HCPCS,J8999,Venetoclax 50 mg tab,644.0,418.6,111.41,644.0,33
HCPCS,J8999,Zytiga 250 mg tab,189.0,122.85,32.7,189.0,33
HCPCS,J9000,Doxorubicin HCl 10 mg inj,75.0,48.75,12.98,75.0,198
HCPCS,J9011,Datopotamab deruxtecan1mg IV,323.0,209.95,51.56,323.0,184
HCPCS,J9015,Aldesleukin 22mmu vial IV,43915.0,28544.75,702.37,43915.0,55
HCPCS,J9017,Arsenic Trioxide 1 mg inj,425.0,276.25,71.3,425.0,160
HCPCS,J9019,Erwinaze 1000 units inj,4940.0,3211.0,854.62,11639.51,42
HCPCS,J9021,Asparaginase recomb 0.1 mg inj,361.0,234.65,55.47,11639.51,267
HCPCS,J9022,Atezolizumab 10 mg,640.0,416.0,91.34,5313.39,220
HCPCS,J9023,Avelumab 10 mg Inj,681.0,442.65,100.09,3341.84,220
HCPCS,J9025,Azacitidine 1mg inj,25.0,16.25,4.33,30.55,160
HCPCS,J9026,Tarlatamab-dlle 1mg inj,9911.0,6442.15,1564.64,9911.0,138
HCPCS,J9027,Clofarabine 1mg inj,655.0,425.75,4.19,667.18,55
HCPCS,J9028,Nogapendekin alfa1mcg intrv,591.0,384.15,94.66,591.0,138
HCPCS,J9029,Nadofaragene fir-vncg per dose,383652.0,249373.8,173.17,383652.0,112
HCPCS,J9030,TICE BCG 1mg intravesical,8.0,5.2,1.38,30.55,110
HCPCS,J9032,Belinostat 10mg inj,348.0,226.2,52.47,3341.84,157
HCPCS,J9033,Bendamustine 1mg inj,231.0,150.15,1.88,1213.51,157
HCPCS,J9034,Bendamustine (Bendeka) 1 mg,192.0,124.8,13.49,1213.51,220
HCPCS,J9035,Bevacizumab 10 mg inj,620.0,403.0,73.2,1213.51,377
HCPCS,J9036,Bendamustine (Belrapzo) 1mg IV,455.0,295.75,12.28,1213.51,55
HCPCS,J9038,Axatilimab-csfr 0.1mg,688.0,447.2,55.65,688.0,138
HCPCS,J9039,Blinatumomab 1 mcg,1049.0,681.85,164.25,3341.84,267
HCPCS,J9040,Bleomycin 15u vial,534.0,347.1,92.38,534.0,66
HCPCS,J9041,Bortezomib 0.1 mg inj,113.0,73.45,19.55,113.0,244
HCPCS,J9042,Brentuximab vedotin 1mg inj,1494.0,971.1,258.46,5313.39,267
HCPCS,J9043,Cabazitaxel 1mg inj,1527.0,992.55,227.28,3341.84,212
HCPCS,J9045,Carboplatin 10mg/ml 5ml vial,77.0,50.05,13.32,77.0,198
HCPCS,J9047,Carfilzomib 1 mg inj,406.0,263.9,55.65,867.19,377
HCPCS,J9050,Carmustine 100 mg inj,7516.0,4885.4,238.46,7516.0,165
HCPCS,J9055,Cetuximab 10mg inj,571.0,371.15,78.37,1213.51,377
HCPCS,J9057,Copanlisib 1mg IV,1148.0,746.2,198.6,2998.44,42
HCPCS,J9060,Cisplatin 10mg inj,60.0,39.0,10.38,60.0,165
HCPCS,J9060,Cisplatin Qilu 10mg inj IV,91.0,59.15,15.74,91.0,165
HCPCS,J9061,Amivantamab-vmjw 2mg IV,131.0,85.15,22.54,3341.84,220
HCPCS,J9063,Mirvetuximab soravtansine-gynx1mg IV,419.0,272.35,69.49,11639.51,212
HCPCS,J9065,Cladribine 1mg inj,482.0,313.3,10.68,482.0,322
HCPCS,J9071,Cyclophosphamide 5mg inj J9071,63.0,40.95,0.63,78.43,110
HCPCS,J9072,Cyclophosphamide 5mg inj J9072,133.0,86.45,9.11,133.0,55
HCPCS,J9073,Cyclophosphamide 5mg inj J9073,267.0,173.55,0.78,267.0,46
HCPCS,J9074,Cyclophosphamide 5mg inj J9074,128.0,83.2,3.94,128.0,46
HCPCS,J9075,Cyclophosphamide 5mg inj,29.0,18.85,0.48,29.0,322
HCPCS,J9076,Cyclophosphamide 5mg inj J9076,76.0,49.4,5.01,76.0,92
HCPCS,J9098,Cytarabine liposome 10mg inj,27072.0,17596.8,1103.19,27072.0,42
HCPCS,J9100,Cytarabine 100mg vial,29.0,18.85,5.02,29.0,165
HCPCS,J9118,Calaspargase pegol mknl 10unit IV,441.0,286.65,76.29,5313.39,110
HCPCS,J9119,Cemiplimab 1 mg inj,207.0,134.55,29.29,3341.84,220
HCPCS,J9120,Dactinomycin 0.5mg vial,4689.0,3047.85,328.34,4689.0,110
HCPCS,J9130,Dacarbazine 100mg inj,84.0,54.6,14.53,84.0,165
HCPCS,J9144,Daratumumab Hy-fihj10mg subinj,388.0,252.2,55.57,2998.44,165
HCPCS,J9145,Daratumumab 10mg inj,515.0,334.75,71.37,2998.44,267
HCPCS,J9150,Daunorubicin 10mg inj,734.0,477.1,71.3,734.0,84
HCPCS,J9153,Daunorubicin-cytarabin inj 1mg,1532.0,995.8,256.09,5313.39,55
HCPCS,J9155,Degarelix 1mg inj,69.0,44.85,4.45,82.38,220
HCPCS,J9171,Docetaxel 1 mg inj,49.0,31.85,8.48,49.0,210
HCPCS,J9172,Docetaxel 1mg inj J9172,373.0,242.45,27.77,373.0,55
HCPCS,J9173,Durvalumab 10mg,532.0,345.8,85.12,1213.51,267
HCPCS,J9176,Elotuzumab 1 mg inj,53.0,34.45,7.89,2998.44,377
HCPCS,J9177,Enfortumab vedotin ejfv 0.25mg,227.0,147.55,36.74,3341.84,377
HCPCS,J9178,Epirubicin 2mg inj,32.0,20.8,5.54,32.0,33
HCPCS,J9179,Halaven 0.1 mg inj,1097.0,713.05,89.34,1097.0,322
HCPCS,J9181,Etoposide 10mg inj,19.0,12.35,3.29,19.0,165
HCPCS,J9185,Fludarabine 50mg vial,2499.0,1624.35,432.33,2499.0,132
HCPCS,J9190,Fluorouracil 50mg/ml 10ml vl,59.0,38.35,10.21,59.0,198
HCPCS,J9196,Gemcitabine 200mg vial J9196,145.0,94.25,25.09,145.0,42
HCPCS,J9201,Gemcitabine 200mg vial,121.0,78.65,20.93,121.0,165
HCPCS,J9202,Goserelin acetate 3.6mg syring,10572.0,6871.8,606.53,10572.0,165
HCPCS,J9203,Gemtuzumab ozogamicin 0.1 mg,1570.0,1020.5,236.62,3341.84,157
HCPCS,J9204,Mogamulizumab-kpkc 1mg IV,1349.0,876.85,233.38,5313.39,267
HCPCS,J9205,Onivyde 1 mg inj,466.0,302.9,66.0,2998.44,267
HCPCS,J9206,Irinotecan 20mg inj,83.0,53.95,14.36,83.0,264
HCPCS,J9207,Ixabepilone 1 mg inj,1309.0,850.85,139.21,1309.0,55
HCPCS,J9208,Ifosfamide 1g vial,451.0,293.15,78.02,451.0,132
HCPCS,J9209,Mesna 200 mg inj,64.0,41.6,11.07,64.0,165
HCPCS,J9210,Emapalumab-lzsg 1mg inj,4451.0,2893.15,384.85,16732.68,55
HCPCS,J9211,Idarubicin 1mg/ml 5mg vial,765.0,497.25,27.77,765.0,126
HCPCS,J9214,Interferon alfa-2b 1 mill unit,353.0,229.45,61.07,772.61,42
HCPCS,J9217,Leuprolide depot 7.5mg kit inj,8714.0,5664.1,176.45,8714.0,165
HCPCS,J9217,Leuprolide/eligard 7.5 mg syr,1925.0,1251.25,176.45,1925.0,165
HCPCS,J9220,Indiotindisulfonate 1mg inj,148.0,96.2,9.96,148.0,92
HCPCS,J9223,Lurbinectedin 0.1mg IV,1313.0,853.45,207.13,2998.44,212
HCPCS,J9227,Isatuximab-irfc 10mg IV,560.0,364.0,81.9,2998.44,377
HCPCS,J9228,Ipilimumab 1 mg inj,1128.0,733.2,183.48,5313.39,267
HCPCS,J9229,Inotuzumab ozogamicin 0.1mg IV,16818.0,10931.7,2698.05,16818.0,212
HCPCS,J9230,Mechlorethamine HCL 10mg inj,3796.0,2467.4,71.3,3796.0,42
HCPCS,J9245,Melphalan 50mg vial,5595.0,3636.75,95.9,5595.0,55
HCPCS,J9246,Melphalan evomela 1mg IV,232.0,150.8,18.5,3341.84,212
HCPCS,J9260,Methotrexate 50mg inj,4.0,2.6,0.69,4.0,99
HCPCS,J9261,Nelarabine 50 mg inj,496.0,322.4,79.86,3341.84,55
HCPCS,J9262,Omacetaxine 0.01 mg inj,55.0,35.75,9.52,425.9,42
HCPCS,J9263,Oxaliplatin 0.5 mg inj,4.0,2.6,0.69,4.0,198
HCPCS,J9264,Abraxane 1 mg Inj,123.0,79.95,10.54,867.19,322
HCPCS,J9266,Pegaspargase 750unit/ml 5ml vl,168740.0,109681.0,10581.38,168740.0,110
HCPCS,J9267,Paclitaxel 1mg inj,4.0,2.6,0.69,4.0,99
HCPCS,J9268,Pentostatin 10mg inj,20873.0,13567.45,788.35,20873.0,55
HCPCS,J9269,Tagraxofusp PF(Elzonris)10MCG IV,3608.0,2345.2,356.93,16732.68,55
HCPCS,J9271,Pembrolizumab 1 mg inj,367.0,238.55,60.29,5313.39,275
HCPCS,J9272,Dostarlimab gxly 10mg IV,1498.0,973.7,243.71,5313.39,267
HCPCS,J9273,Tisotumab vedotin-TFT 1 mg IV,1090.0,708.5,188.57,11639.51,157
HCPCS,J9274,Tebentafusp-tebn 1mcg IV,2510.0,1631.5,217.09,11639.51,55
HCPCS,J9276,Zanidatamab-hrii 2mg IV,157.0,102.05,25.05,157.0,46
HCPCS,J9280,Mitomycin 5mg vial,2005.0,1303.25,20.35,2005.0,267
HCPCS,J9281,Mitomycin pyelocalyceal1mg inst,3626.0,2356.9,318.53,11639.51,110
HCPCS,J9285,Olaratumab 10mg inj,683.0,443.95,118.16,2998.44,42
HCPCS,J9286,Glofitamab-gxbm columvi 2.5mg/2.5ml,17386.0,11300.9,2767.88,17386.0,110
HCPCS,J9289,Nivolumab/hyaluronidas 2mg inj,164.0,106.6,27.36,164.0,92
HCPCS,J9292,Pemetrexed dipotassium 10mg J9292,1036.0,673.4,82.34,1036.0,46
HCPCS,J9293,Mitoxantrone 5mg inj,669.0,434.85,23.88,669.0,55
HCPCS,J9294,Pemetrexed disodium 10mg J9294,103.0,66.95,3.55,867.19,322
HCPCS,J9295,Portrazza 1 mg inj,82.0,53.3,5.73,3341.84,55
HCPCS,J9296,Pemetrexed 10mg IV J9296,124.0,80.6,9.74,867.19,377
HCPCS,J9297,Pemetrexed disodium 10mg J9297,139.0,90.35,24.05,867.19,42
HCPCS,J9298,Nivolumab Rel-rmbw 3mg/1mg IV,1200.0,780.0,197.83,16732.68,165
HCPCS,J9299,Nivolumab 1 mg inj,214.0,139.1,32.96,3341.84,377
HCPCS,J9301,Obinutuzumab 10mg inj,597.0,388.05,79.0,3341.84,267
HCPCS,J9302,Ofatumumab 10 mg inj,392.0,254.8,62.23,3341.84,55
HCPCS,J9303,Panitumumab 10 mg inj,1313.0,853.45,173.03,2998.44,377
HCPCS,J9304,Pemetrexed 10mg IV J9304,609.0,395.85,46.32,3341.84,165
HCPCS,J9305,Pemetrexed 10 mg inj,125.0,81.25,4.36,867.19,377
HCPCS,J9306,Pertuzumab 1 mg inj,113.0,73.45,17.02,2998.44,275
HCPCS,J9307,Pralatrexate 1mg inj,2330.0,1514.5,392.63,3341.84,55
HCPCS,J9308,Ramucirumab 5 mg inj,518.0,336.7,74.36,3341.84,377
HCPCS,J9309,Polatuzumab (Polivy) 1mg IV,828.0,538.2,136.67,5313.39,377
HCPCS,J9311,"Rituximab hyaluronidase, 10 mg",340.0,221.0,36.69,2998.44,165
HCPCS,J9312,Rituximab 10mg,681.0,442.65,75.22,2998.44,377
HCPCS,J9313,Moxetumomab pasudotox0.01mg IV,322.0,209.3,23.39,3341.84,55
HCPCS,J9314,Pemetrexed 10 mg inj J9314,285.0,185.25,15.54,867.19,55
HCPCS,J9316,Phesgo 10mg sub inj,527.0,342.55,62.1,2998.44,165
HCPCS,J9317,Sacituzumab govitecanhziy2.5mg,242.0,157.3,36.28,772.61,267
HCPCS,J9319,Romidepsin 0.1mg inj,232.0,150.8,30.78,3341.84,267
HCPCS,J9320,Streptozocin 1gm inj,4280.0,2782.0,74.89,4280.0,42
HCPCS,J9321,Epcoritamab-bysp 0.16mg IV,390.0,253.5,55.84,2998.44,212
HCPCS,J9324,Pemetrexed disodium 10mg rtu J9324,1047.0,680.55,75.81,1047.0,55
HCPCS,J9325,Talimogene laherparpve 1mpfu inj,650.0,422.5,73.94,3341.84,56
HCPCS,J9328,Temozolomide 1 mg IV,78.0,50.7,10.39,867.19,110
HCPCS,J9329,Tislelizumab-jsgr 1mg IV,361.03,234.67,57.45,361.03,46
HCPCS,J9330,Temsirolimus 1mg inj,484.0,314.6,26.71,484.0,55
HCPCS,J9331,Sirolimus protein bnd 1mg IV,1046.0,679.9,84.57,5313.39,55
HCPCS,J9332,Efgartigimod alfa-fcab 2mg IV,205.0,133.25,32.15,5313.39,212
HCPCS,J9333,Rozanolixizumabnoli1mg sub inf,129.0,83.85,22.32,5313.39,220
HCPCS,J9334,Efgartialfahyalqvfc2mg sub inj,191.0,124.15,33.04,5313.39,165
HCPCS,J9342,Thiotepa 1mg inj,274.0,178.1,10.54,274.0,46
HCPCS,J9345,Retifanlimab-dlwr 1mg IV,195.0,126.75,30.56,5313.39,110
HCPCS,J9347,Tremelimumab-actl 1mg IV,859.0,558.35,140.9,3341.84,165
HCPCS,J9348,Naxitamab-gqgk 1 mg IV,3482.0,2263.3,602.39,11639.51,55
HCPCS,J9349,Tafasitamab cxix 2mg IV,96.0,62.4,14.31,2998.44,267
HCPCS,J9350,Mosunetuzumab-axgb 1mg IV,3984.0,2589.6,654.63,16732.68,110
HCPCS,J9351,Topotecan 0.1mg inj,33.0,21.45,5.71,33.0,66
HCPCS,J9352,Trabectedin yondelis 0.1mg inj,2499.0,1624.35,391.07,3341.84,212
HCPCS,J9353,Margetuximabcmkb 5mg IV,305.0,198.25,52.49,2998.44,157
HCPCS,J9354,Ado-trastuzumab emtansine 1mg,257.0,167.05,42.16,2998.44,377
HCPCS,J9355,Trastuzumab 10mg vial,808.0,525.2,75.03,1213.51,267
HCPCS,J9356,Trastuzumab hyaluronidase 10mg Inj,606.0,393.9,61.44,2998.44,55
HCPCS,J9357,Valrubicin 40mg/ml 5ml inj,13408.0,8715.2,1323.35,13408.0,55
HCPCS,J9358,Fam trastuzumab der-nxki 1mg,179.0,116.35,29.98,1213.51,267
HCPCS,J9359,Loncastuximabtesirinelpyl.075mgIV,1303.0,846.95,216.9,11639.51,267
HCPCS,J9360,Vinblastine 1mg inj,70.0,45.5,12.11,70.0,33
HCPCS,J9370,Vincristine 1mg/ml 1ml,222.0,144.3,38.41,222.0,66
HCPCS,J9380,Teclistamab-cqyv 0.5mg sub inj,224.0,145.6,33.58,2998.44,212
HCPCS,J9381,Teplizumab-mzwv 5mcg inj,229.0,148.85,37.66,16732.68,102
HCPCS,J9382,Zenocutuzumab-zbco 1mg inj,209.0,135.85,32.91,209.0,46
HCPCS,J9390,Vinorelbine 10mg/ml 1ml vial,323.0,209.95,55.88,323.0,66
HCPCS,J9394,Fulvestrant 25mg inj J9394,559.0,363.35,26.77,559.0,55
HCPCS,J9395,Fulvestrant 25mg inj,513.0,333.45,71.3,513.0,126
HCPCS,J9400,Ziv-aflibercept 1 mg inj,234.0,152.1,7.88,667.18,55
HCPCS,J9600,Porfimer sodium 75mg vial IV,99421.0,64623.65,15211.53,99421.0,55
HCPCS,J9999,Dinutuximab 17.5 mg/5 ml,94813.0,61628.45,16402.65,94813.0,99
HCPCS,L1830,Immobilizer knee ort2440020l,124.0,80.6,21.45,173.17,47
HCPCS,L1902,AFO ANKLE GAUNTLET PRE OTS,275.0,178.75,47.58,275.0,47
HCPCS,L1902,Brace ankle pttd DJO 02pml1,305.0,198.25,52.77,305.0,47
HCPCS,L3260,Shoe post op DJO 7981237,69.0,44.85,11.94,173.17,34
HCPCS,L3670,Immobilizer shouldr ort16210s,80.0,52.0,13.84,195.57,47
HCPCS,L3761,Brace elbow DJO 119121,1049.0,681.85,173.17,1049.0,47
HCPCS,L3807,WHFO W/O JOINTS PRE CST,137.0,89.05,23.7,340.68,47
HCPCS,L3908,WHO COCK-UP NONMOLDE PRE OTS,119.0,77.35,20.59,173.17,47
HCPCS,L3923,Splint thumb DJO 7982700,112.0,72.8,19.38,173.17,47
HCPCS,L4350,Brace ankle air stir DJO 02e,199.0,129.35,34.43,199.0,47
HCPCS,L4350,Brace ankle lt lg DJO 02al,232.0,150.8,40.14,232.0,47
HCPCS,L4360,PNEUMAT WALKING BOOT PRE CST,520.5,338.325,85.81,545.0,94
HCPCS,L4361,Boot Xceltrax air DJO 7995518,371.0,241.15,64.18,465.27,47
HCPCS,L4361,PNEUMA/VAC WALK BOOT PRE OTS,345.5,224.575,57.61,461.76,94
HCPCS,L8501,TRACHEOSTOMY SPEAKING VALVE,770.0,500.5,133.21,770.0,45
HCPCS,L8501,Valve speak Passy Muir pmv2000,1052.0,683.8,173.17,1052.0,45
HCPCS,L8501,Valve speak Passy muir pmv001,1244.0,808.6,173.17,1244.0,47
HCPCS,L8509,TRACH-ESOPH VOICE PROS MD IN,1479.0,961.35,173.17,1479.0,47
HCPCS,L8600,Breast imp gel xtra smpx325,8622.0,5604.3,173.17,8622.0,34
HCPCS,L8600,Breast imp smooth 10610190lp,7685.0,4995.25,173.17,7685.0,34
HCPCS,L8600,IMPLANT BREAST SILICONE/EQ,12150.0,7897.5,173.17,12156.0,68
HCPCS,L8606,Uro bulk Axonics 50050,5300.0,3445.0,173.17,5300.0,34
HCPCS,L8606,Uro bulk Coaptite 1ml inject,3627.0,2357.55,173.17,3627.0,34
HCPCS,L8606,Uro bulk imp macro 2.5ml mpq25,5459.0,3548.35,173.17,5459.0,34
HCPCS,L8607,Vocalcord gel 1ml radies8602mo,6625.0,4306.25,173.17,6625.0,34
HCPCS,L8610,Eye Scleral Buckle s2987,959.0,623.35,165.91,959.0,34
HCPCS,L8610,Eye Scleral Buckle s3083,882.0,573.3,152.59,882.0,34
HCPCS,L8610,Eye Scleral Buckle s56335,543.0,352.95,93.94,543.0,34
HCPCS,L8610,Eye Scleral Buckle2.5x06 S52000,661.0,429.65,114.35,661.0,34
HCPCS,L8610,Eye Scleral Buckling 9222,124.0,80.6,21.45,173.17,34
HCPCS,L8610,Eye sphere 22mm por80004,7462.0,4850.3,173.17,7462.0,34
HCPCS,L8610,Eye sphere 22mm por80006,6021.0,3913.65,173.17,6021.0,34
HCPCS,L8610,Eye sphere plastic 22mm k86220,337.0,219.05,58.3,337.0,34
HCPCS,L8610,OCULAR IMPLANT,2915.0,1894.75,12.98,5616.0,102
HCPCS,L8613,Ear Eclipse piston oss 472450,3726.0,2421.9,173.17,3726.0,34
HCPCS,L8613,Ear Kartush Incus strut 140853,9090.0,5908.5,173.17,9090.0,34
HCPCS,L8613,Ear ossicular Olympus 70142004,3603.0,2341.95,173.17,3603.0,34
HCPCS,L8613,Ear ossicular implant rt 655b,4420.0,2873.0,173.17,4420.0,34
HCPCS,L8613,Ear ossicular offset nano 653,4558.0,2962.7,173.17,4558.0,34
HCPCS,L8613,Ear pros ossicular adj 605,3529.0,2293.85,173.17,3529.0,34
HCPCS,L8613,Ear pros ossiculr adj 70141046,3669.0,2384.85,173.17,3669.0,34
HCPCS,L8613,Ear pros ossiculr imp 70142011,2755.0,1790.75,173.17,2755.0,34
HCPCS,L8613,Ear pros stapesGrace Med421425,2476.0,1609.4,173.17,2476.0,34
HCPCS,L8613,Ear prosth stapes lippy 421400,2597.0,1688.05,173.17,2597.0,34
HCPCS,L8613,OSSICULAR IMPLANT,1935.0,1257.75,173.17,1935.0,34
HCPCS,L8614,COCHLEAR DEVICE,111646.0,72569.9,173.17,131634.0,204
HCPCS,L8614,Cochlear 2 nucleus dualn7,70290.0,45688.5,173.17,70290.0,34
HCPCS,L8614,Cochlear hl vxa300 abutmt92998,6071.0,3946.15,173.17,6071.0,34
HCPCS,L8614,Cochlear imp nucleus ci612,68533.0,44546.45,173.17,68533.0,34
HCPCS,L8614,Cochlear imp nucleus z60988,133423.0,86724.95,173.17,133423.0,34
HCPCS,L8614,Cochlear impl nucleus ci622,68501.0,44525.65,173.17,68501.0,34
HCPCS,L8614,Cochlear otologic nucl p783831,77504.0,50377.6,173.17,77504.0,34
HCPCS,L8614,Cochlear pin slm modiolr ci532,107395.0,69806.75,173.17,107395.0,34
HCPCS,L8614,Cochlear procer kit dualk2,67734.0,44027.1,173.17,67734.0,34
HCPCS,L8617,Cochlear c1500 repl z179608,1622.0,1054.3,173.17,1622.0,47
HCPCS,L8629,CID TRANSMIT COIL AND CABLE,2793.0,1815.45,173.17,2793.0,47
HCPCS,L8630,Breast sil MCP 30 smcp50030ww,11212.0,7287.8,173.17,11212.0,34
HCPCS,L8690,"AUD OSSEO DEV, INT/EXT COMP",19688.0,12797.2,173.17,19688.0,34
HCPCS,L8690,Cochlear imp abutmnt 4x6 93329,23721.0,15418.65,173.17,23721.0,34
HCPCS,L8690,Cochlear imp bonebridge 51032,29752.0,19338.8,173.17,29752.0,34
HCPCS,L8690,Cochlear impl attract 4 92129,11008.0,7155.2,173.17,11008.0,34
HCPCS,L8690,Cochlear impl attract mag93550,16335.0,10617.75,173.17,16335.0,34
HCPCS,L8691,Cochlear sound proc p1840542,49842.0,32397.3,173.17,49842.0,47
HCPCS,L8699,Elastomer sil sheet 1532510,2650.0,1722.5,173.17,2650.0,34
HCPCS,L8699,Medpor cust midface 54440510,78221.0,50843.65,173.17,78221.0,34
HCPCS,L8699,Navitr load Sys nvtrlslg+,5300.0,3445.0,173.17,5300.0,34
HCPCS,L8699,PROSTHETIC IMPLANT NOS,19978.0,12985.7,173.17,134190.0,238
HCPCS,L8699,Tissue expn Accuspan micro3603,11032.0,7170.8,173.17,11032.0,34
HCPCS,L8699,Urolift impl System BPH ul4004,24147.0,15695.55,173.17,24147.0,34
HCPCS,L8699,Valve pulmon w condiut sgpv000,142880.0,92872.0,173.17,142880.0,34
HCPCS,M0224,Inf IV pemivibart w monitor,1605.0,1043.25,277.67,1605.0,46
HCPCS,M0249,Inf IV Tocilizu COVID-19 1st,1605.0,1043.25,179.78,1605.0,55
HCPCS,M0250,Inf IV Tocilizu COVID-19 2nd,1605.0,1043.25,179.78,1605.0,55
HCPCS,P9010,WHOLE BLOOD FOR TRANSFUSION,449.0,291.85,77.68,449.0,56
HCPCS,P9011,BLOOD SPLIT UNIT,277.0,180.05,47.92,277.0,56
HCPCS,P9012,CRYOPRECIPITATE EACH UNIT,162.0,105.30000000000001,23.53,213.06,112
HCPCS,P9016,RBC LEUKOCYTES REDUCED,684.0,444.6,73.96,684.0,224
HCPCS,P9017,Convalescent plasma,0.01,0.01,0.01,173.17,44
HCPCS,P9019,"PLATELETS, EACH UNIT",160.0,104.0,27.68,173.17,56
HCPCS,P9021,RED BLOOD CELLS UNIT,666.0,432.9,86.37,666.0,56
HCPCS,P9022,PLT-LR-washed (MCI),1978.0,1285.7,173.17,1978.0,112
HCPCS,P9022,PLT-LR-washed-IRR (MCI),2098.0,1363.7,173.17,2098.0,112
HCPCS,P9022,WASHED RED BLOOD CELLS UNIT,952.0,618.8,164.7,952.0,112
HCPCS,P9026,"FC Cryo, Ea. Unit",2241.0,1456.65,86.37,2241.0,56
HCPCS,P9031,PLATELETS LEUKOCYTES REDUCED,729.0,473.84999999999997,43.42,1207.0,112
HCPCS,P9032,"PLATELETS, IRRADIATED",222.0,144.3,38.41,530.51,56
HCPCS,P9033,PLATELETS LEUKOREDUCED IRRAD,869.5,565.175,63.15,1374.0,112
HCPCS,P9034,"PLATELETS, PHERESIS",1345.0,874.25,173.17,1345.0,56
HCPCS,P9035,PLATELET PHERES LEUKOREDUCED,1627.0,1057.55,173.17,1627.0,112
HCPCS,P9035,PLT LR washed,1978.0,1285.7,173.17,1978.0,112
HCPCS,P9036,PLATELET PHERESIS IRRADIATED,1750.0,1137.5,173.17,1750.0,56
HCPCS,P9037,PLATE PHERES LEUKOREDU IRRAD,1356.0,881.4000000000001,164.18,1763.0,112
HCPCS,P9037,Plateletpheresis LR irr washed,2098.0,1363.7,173.17,2098.0,56
HCPCS,P9038,RBC IRRADIATED,801.0,520.65,86.37,801.0,56
HCPCS,P9039,RBC DEGLYCEROLIZED,1295.0,841.75,86.37,1295.0,56
HCPCS,P9040,RBC LEUKOREDUCED IRRADIATED,813.0,528.45,86.37,813.0,224
HCPCS,P9041,Albumin human 5% 50ml ped,458.0,297.7,10.62,458.0,55
HCPCS,P9044,CRYOPRECIPITATEREDUCEDPLASMA,182.0,118.3,31.49,182.0,56
HCPCS,P9045,Albumin human 5% 250ml IV,638.0,414.7,53.08,638.0,220
HCPCS,P9046,Albumin 25% 20ml,384.0,249.6,21.23,384.0,55
HCPCS,P9047,Albumin human 25% 50ml IV,588.0,382.2,53.08,588.0,212
HCPCS,P9050,"GRANULOCYTES, PHERESIS UNIT",2299.0,1494.35,173.17,2299.0,43
HCPCS,P9052,"PLATELETS, HLA-M, L/R, UNIT",2552.0,1658.8,173.17,2552.0,56
HCPCS,P9070,PATHOGEN REDUCED PLASMA POOL,152.0,98.8,26.3,173.17,56
HCPCS,P9071,PATHOGEN REDUCED PLASMA SING,152.0,98.8,26.3,397.55,56
HCPCS,P9073,PLATELETS PHERESIS PATH REDU,2079.0,1351.35,173.17,2079.0,168
HCPCS,P9612,Catheterize for urine specimen,59.0,38.35,1.62,59.0,110
HCPCS,Q0138,Ferumoxytol 1mg IV,16.0,10.4,0.32,133.22,165
HCPCS,Q0224,Pemivibart 4500mg inj,41850.0,27202.5,7240.05,41850.0,46
HCPCS,Q2009,Fosphenytoin 50mg/ml 10ml inj,1209.0,785.85,1.47,1209.0,92
HCPCS,Q2009,Fosphenytoin 50mg/ml 2ml inj,173.0,112.45,1.47,173.0,92
HCPCS,Q2041,Axicabtagene ciloleucel upto200M,3219991.0,2092994.15,173.17,3219991.0,56
HCPCS,Q2043,Sipuleucel-t CD54 infusion,266862.0,173460.3,173.17,583075.96,56
HCPCS,Q2050,Doxorubicin lipo 10 mg inj,2178.0,1415.7,108.47,2178.0,377
HCPCS,Q2053,BREXUCABTAGENE CAR POS T,2954120.0,1920178.0,173.17,2954120.0,112
HCPCS,Q2054,Lisocabtagene maraleucel upto 110M,3397561.0,2208414.65,173.17,3397561.0,168
HCPCS,Q2055,Idecabtagene car pos t upto460M,3378135.0,2195787.75,173.17,3378135.0,112
HCPCS,Q2056,Ciltacabtagene autoleuce upto100M,3550766.0,2307997.9,173.17,3550766.0,112
HCPCS,Q2058,Obecabtagene auto up to 400mil,3150000.0,2047500.0,173.17,3150000.0,47
HCPCS,Q4100,Allograft Alloma 16x20 1181620,48528.0,31543.2,8395.34,48528.0,33
HCPCS,Q4100,Allograft Alloma 8x16 1180816m,30418.0,19771.7,5262.31,30418.0,33
HCPCS,Q4100,Allograft dermis neoform 4x16,12958.0,8422.7,2241.73,12958.0,33
HCPCS,Q4100,Allogrt 3x6cmParag28p01amc0306,16271.0,10576.15,2814.88,16271.0,33
HCPCS,Q4100,Allogrt Enduragn 1x4x1 89223,3827.0,2487.55,662.07,3827.0,33
HCPCS,Q4100,Allogrt Integra rnfmtx0150,28214.0,18339.1,4881.02,28214.0,33
HCPCS,Q4100,Allogrt memb 2x12cm p01amp0212,14485.0,9415.25,2505.91,14485.0,33
HCPCS,Q4100,Allogrt pro3-c2x3cm p01amc0203,13480.0,8762.0,2332.04,13480.0,33
HCPCS,Q4100,Myriad Morcl 1000mg pw02na1000,11274.0,7328.1,1950.4,11274.0,33
HCPCS,Q4100,Myriad Morcl 2000mg pw02na2000,22548.0,14656.2,3900.8,22548.0,33
HCPCS,Q4100,Myriad Morcl 500mg pw02na0500,6174.0,4013.1,1068.1,6174.0,33
HCPCS,Q4100,Myriad mtrx 5x5cm sr02lg0505us,1527.0,992.55,264.17,1527.0,33
HCPCS,Q4100,Myriad mtrx7x10cm sr02lg0710us,7011.0,4557.15,173.17,7011.0,34
HCPCS,Q4100,Myriad mtx10x10cm sr02lg1010us,6109.0,3970.85,1056.86,6109.0,33
HCPCS,Q4100,Myriad mtx10x20cm sr02lg1020us,12218.0,7941.7,2113.71,12218.0,33
HCPCS,Q4100,"SKIN SUBSTITUTE, NOS",2469.0,1604.85,427.14,2469.0,33
HCPCS,Q4100,Skin sub 1000mgAroa pw01na1000,11268.0,7324.2,1949.36,11268.0,33
HCPCS,Q4100,Skin sub 500mg Aroa pw01na0500,6171.0,4011.15,1067.58,6171.0,33
HCPCS,Q4100,Skin sub 5x5 Aroa sr03lg0505us,1464.0,951.6,253.27,1464.0,33
HCPCS,Q4100,Skin sub 5x5 Aroa sr05lg0505us,2025.0,1316.25,350.33,2025.0,33
HCPCS,Q4100,Skin sub 7x10Aroa sr03lg0710us,4391.0,2854.15,759.64,4391.0,33
HCPCS,Q4100,Skin sub 7x10Aroa sr05lg0710us,6075.0,3948.75,1050.98,6075.0,33
HCPCS,Q4100,Skin sub Amnio7x7cm p01amp0707,25799.0,16769.35,4463.23,25799.0,33
HCPCS,Q4100,Skin sub amnio4x8cm p01amp0408,16016.0,10410.4,2770.77,16016.0,33
HCPCS,Q4100,Skin sub amniot lg nucl nc1002,17323.0,11259.95,2996.88,17323.0,33
HCPCS,Q4100,Skin sub matrix 6x16cm 6161097,19520.0,12688.0,3376.96,19520.0,33
HCPCS,Q4100,Skin sub matrix 77sqcm cs1097,15649.0,10171.85,2707.28,15649.0,33
HCPCS,Q4100,Skin sub matrix 8x16cm 8161097,26012.0,16907.8,4500.08,26012.0,33
HCPCS,Q4100,Skin sub matrix 8x20cm 8201097,32529.0,21143.85,5627.52,32529.0,33
HCPCS,Q4100,Skin sub matrx 200sqcm cxl1097,40669.0,26434.85,7035.74,40669.0,33
HCPCS,Q4100,Skin sub matrx XO Fixx xob02f,14300.0,9295.0,2473.9,14300.0,33
HCPCS,Q4100,Skin sub matrx XO Fixx xob05f,24050.0,15632.5,4160.65,24050.0,33
HCPCS,Q4100,Skin sub matrx XO Fixx xob10f,31850.0,20702.5,5510.05,31850.0,33
HCPCS,Q4100,Skin sub matrx10x16cm 10161097,32537.0,21149.05,5628.9,32537.0,33
HCPCS,Q4100,Skin sub matrx16x20cm 16201097,65052.0,42283.8,11254.0,65052.0,33
HCPCS,Q4100,Skin sub md Nucl Organg nc1001,7183.0,4668.95,1242.66,7183.0,33
HCPCS,Q4100,Skin sub membran XO Dual xob04,22425.0,14576.25,3879.53,22425.0,33
HCPCS,Q4100,Skin sub perf 132sqcm cm1097p,27625.0,17956.25,4779.13,27625.0,33
HCPCS,Q4100,Skin sub perf 164sqcm cl1097p,34324.0,22310.6,5938.05,34324.0,33
HCPCS,Q4100,Skin sub perf 200sqcm cxl1097p,41888.0,27227.2,7246.62,41888.0,33
HCPCS,Q4100,Skin sub perf 77sqcm cs1097p,16120.0,10478.0,2788.76,16120.0,33
HCPCS,Q4100,Skin sub perf16x20cm 16201097p,66998.0,43548.7,11590.65,66998.0,33
HCPCS,Q4100,Skin sub sm Nucl Organg nc1000,2902.0,1886.3,502.05,2902.0,33
HCPCS,Q4100,Skin sub xl Nucl Organg nc1003,24727.0,16072.55,4277.77,24727.0,33
HCPCS,Q4100,Skin sub10x10Aroa sr03lg1010us,5855.0,3805.75,1012.92,5855.0,33
HCPCS,Q4100,Skin sub10x10Aroa sr05lg1010us,8099.0,5264.35,1401.13,8099.0,33
HCPCS,Q4100,Skin sub10x20Aroa sr03lg1020us,11711.0,7612.15,2026.0,11711.0,33
HCPCS,Q4100,Skin sub10x20Aroa sr05lg1020us,16200.0,10530.0,2802.6,16200.0,33
HCPCS,Q4100,Skin sub20x20Aroa sr02lg2020us,30973.0,20132.45,5358.33,30973.0,33
HCPCS,Q4101,Allogrt 44sqcm Apligraf np199,8971.0,5831.15,129.95,8971.0,46
HCPCS,Q4102,Skin sub oasis3x3.5cm821310003,1022.0,664.3,129.95,1022.0,46
HCPCS,Q4102,Skin sub oasis3x7cm 8213100037,2124.0,1380.6,129.95,2124.0,46
HCPCS,Q4104,Skin sub Int Bil25sqcm bmw2021,20747.0,13485.55,129.95,20747.0,46
HCPCS,Q4104,Skin sub IntBil250sqcmbmwd4101,60012.0,39007.8,129.95,60012.0,46
HCPCS,Q4104,Skin sub IntBil500sqcmbmwd8101,96825.0,62936.25,129.95,96825.0,46
HCPCS,Q4104,Skin sub IntBil62.5sqcmbmw4051,35328.0,22963.2,129.95,35328.0,46
HCPCS,Q4104,Skin sub Integra 4x5in 54051t,34235.0,22252.75,129.95,34235.0,46
HCPCS,Q4106,DERMAGRAFT,8659.0,5628.35,1498.01,8659.0,33
HCPCS,Q4106,Human fibrobl derm gft 5x7.5cm,11014.0,7159.1,1905.42,11014.0,33
HCPCS,Q4107,Allogrt jckt 4x8cm 480400408m,16195.0,10526.75,129.95,16195.0,46
HCPCS,Q4107,Allogrt jckt mtrx4x7cm86st4x07,20581.0,13377.65,129.95,20581.0,46
HCPCS,Q4107,Allogrt jckt reg2x4cm 86002x04,8035.0,5222.75,129.95,8035.0,46
HCPCS,Q4107,Allogrt jckt reg4x4cm 86tm4x04,9975.0,6483.75,129.95,9975.0,46
HCPCS,Q4107,Allogrt jckt reg4x7cm 86004x07,21523.0,13989.95,129.95,21523.0,46
HCPCS,Q4107,Allogrt jckt reg5x10cm 86005x1,20227.0,13147.55,129.95,20227.0,46
HCPCS,Q4107,Allogrt jckt reg5x5cm 86005x05,16431.0,10680.15,129.95,16431.0,46
HCPCS,Q4107,Allogrt jckt reg5x5cm 86mx5x05,19403.0,12611.95,129.95,19403.0,46
HCPCS,Q4107,Graftjacket Now 2x4cm 86102x04,6071.0,3946.15,129.95,6071.0,47
HCPCS,Q4107,Graftjacket Now 2x4cm 86202x04,13283.0,8633.95,129.95,13283.0,47
HCPCS,Q4107,Graftjacket Now 4x4cm 86104x04,12452.0,8093.8,129.95,12452.0,47
HCPCS,Q4107,Graftjacket Now 4x4cm 86304x04,13479.0,8761.35,129.95,13479.0,47
HCPCS,Q4107,Graftjacket Now 4x8cm 86104x08,13128.0,8533.2,129.95,13128.0,47
HCPCS,Q4107,Graftjacket Now 4x8cm 86204x08,16221.0,10543.65,129.95,16221.0,47
HCPCS,Q4107,Graftjacket Now 4x8cm 86304x08,18736.0,12178.4,129.95,18736.0,47
HCPCS,Q4107,Graftjacket Now 5x5cm 861m5x05,12134.0,7887.1,129.95,12134.0,47
HCPCS,Q4107,Graftjacket Now 5x8cm 861m5x08,16095.0,10461.75,129.95,16095.0,47
HCPCS,Q4107,Graftjacket Now2x12cm 86202x12,12512.0,8132.8,129.95,12512.0,47
HCPCS,Q4107,Graftjacket Now4x12cm 86204x12,26418.0,17171.7,129.95,26418.0,47
HCPCS,Q4107,Graftjacket Now4x16cm 86204x16,28065.0,18242.25,129.95,28065.0,47
HCPCS,Q4107,Graftjacket Now4x16cm 86304x16,27622.0,17954.3,129.95,27622.0,47
HCPCS,Q4107,Graftjacket Now6x12cm 86206x12,26257.0,17067.05,129.95,26257.0,47
HCPCS,Q4107,Graftjacket Now6x16cm 86206x16,30952.0,20118.8,129.95,30952.0,47
HCPCS,Q4107,Graftjacket Now8x16cm 861m8x16,47030.0,30569.5,129.95,47030.0,47
HCPCS,Q4107,Graftjacket Now8x16cm 86208x16,31821.0,20683.65,129.95,31821.0,47
HCPCS,Q4107,Graftjacket Now8x16cm 86308x16,25318.0,16456.7,129.95,25318.0,47
HCPCS,Q4107,Skin sub regen 2x4cm 86102x04,8164.0,5306.6,129.95,8164.0,46
HCPCS,Q4108,Skin sub 10x25cm Integ 54101t,61094.0,39711.1,129.95,61094.0,46
HCPCS,Q4108,Skin sub Integra 5x5cm 52021t,26718.0,17366.7,129.95,26718.0,46
HCPCS,Q4110,Skin sub derma 6x6cm 607001660,9975.0,6483.75,129.95,9975.0,46
HCPCS,Q4110,Skin sub primatrix 4x4cm 004,4433.0,2881.45,129.95,4433.0,46
HCPCS,Q4110,Skin sub primatrix 8x12cm 812,26600.0,17290.0,129.95,26600.0,46
HCPCS,Q4113,Allogrt jckt reg 2ml 86gl0200,12435.0,8082.75,2151.26,12435.0,33
HCPCS,Q4114,Integra 3cc matrx wreed fwd301,37840.0,24596.0,6546.32,37840.0,33
HCPCS,Q4116,ALLODERM,39076.5,25399.725,129.95,96674.0,552
HCPCS,Q4116,Alloderm 0.24x0.04cm 141902,2381.0,1547.65,129.95,2381.0,46
HCPCS,Q4116,Alloderm 4x7cm Allergan 141628,10339.0,6720.35,129.95,10339.0,46
HCPCS,Q4116,Alloderm Select 2x4cm 141608,6380.0,4147.0,129.95,6380.0,46
HCPCS,Q4116,Alloderm acell 48sqcm 151948,13632.0,8860.8,129.95,13632.0,46
HCPCS,Q4116,Alloderm matrix 1x2cm 141802,2224.0,1445.6,129.95,2224.0,46
HCPCS,Q4116,Alloderm matrix 1x4cm 142204,3670.0,2385.5,129.95,3670.0,46
HCPCS,Q4116,Graft allodrm s 77sqcm cs1520p,23261.0,15119.65,129.95,23261.0,46
HCPCS,Q4116,Skin sub 77cm Allergan cs1518p,19201.0,12480.65,129.95,19201.0,46
HCPCS,Q4116,Skin sub Allodrm10x20cm1520102,58658.0,38127.7,129.95,58658.0,46
HCPCS,Q4116,Skin sub Allodrm1x2 regn102003,1518.0,986.7,129.95,1518.0,46
HCPCS,Q4116,Skin sub alloderm 12x12 102144,42241.0,27456.65,129.95,42241.0,46
HCPCS,Q4116,Skin sub alloderm 2x4cm 102010,4433.0,2881.45,129.95,4433.0,46
HCPCS,Q4116,Skin sub alloderm 4x16cm102082,12406.0,8063.9,129.95,12406.0,46
HCPCS,Q4116,Skin sub alloderm 4x7cm 102034,7800.0,5070.0,129.95,7800.0,46
HCPCS,Q4116,Skin sub alloderm 6x12cm102071,11971.0,7781.15,129.95,11971.0,46
HCPCS,Q4116,Skin sub alloderm 8x16cm102128,26223.0,17044.95,129.95,26223.0,46
HCPCS,Q4116,Skin sub alloderm 8x20cm102016,32529.0,21143.85,129.95,32529.0,46
HCPCS,Q4116,Skin sub alloderm s 7.3x14.7cm,22590.0,14683.5,129.95,22590.0,46
HCPCS,Q4116,Skin sub alloderm1x4matx102007,2549.0,1656.85,129.95,2549.0,46
HCPCS,Q4116,Skin sub alloderm6x16flx472616,16951.0,11018.15,129.95,16951.0,46
HCPCS,Q4116,Skin sub alloderm6x16thn992196,19520.0,12688.0,129.95,19520.0,46
HCPCS,Q4116,Skin sub alloderm8x16thn992128,26012.0,16907.8,129.95,26012.0,46
HCPCS,Q4116,Skin sub allodr16x20cm1518320p,66998.0,43548.7,129.95,66998.0,46
HCPCS,Q4116,Skin sub allodrm 6x16cm1520616,28159.0,18303.35,129.95,28159.0,46
HCPCS,Q4116,Skin sub mtrx 320sqcm 1518320,85170.0,55360.5,129.95,85170.0,46
HCPCS,Q4116,Wound mtrx16x35cm Intg wsr1635,42278.0,27480.7,129.95,42278.0,46
HCPCS,Q4117,Wound 10x10cm Medline mss4044,16364.0,10636.6,129.95,16364.0,46
HCPCS,Q4117,Wound 10x20cm Medline mss4048,24099.0,15664.35,129.95,24099.0,46
HCPCS,Q4117,Wound 18x20cm Medline mss4088,28215.0,18339.75,129.95,28215.0,46
HCPCS,Q4117,Wound 2.5x2.5cm Medlin mss4011,1475.0,958.75,129.95,1475.0,46
HCPCS,Q4117,Wound 5x5cm Medline mss4022,2669.0,1734.85,129.95,2669.0,46
HCPCS,Q4118,Skin sub Matrist pwd 1000mg,16833.0,10941.45,2912.11,16833.0,33
HCPCS,Q4118,Skin sub matrist pwd 100mg,1995.0,1296.75,345.14,1995.0,33
HCPCS,Q4118,Skin sub matrist pwd 200mg,3990.0,2593.5,690.27,3990.0,33
HCPCS,Q4118,Skin sub matrist pwd 500mg,9196.0,5977.4,1590.91,9196.0,33
HCPCS,Q4121,Graft Theraskin 1x2in 101tss,6679.0,4341.35,129.95,6679.0,46
HCPCS,Q4121,Graft Theraskin 20x30in 102tsl,8733.0,5676.45,129.95,8733.0,46
HCPCS,Q4121,Graft Theraskin 6 sqcm 100tsxs,5993.0,3895.45,129.95,5993.0,46
HCPCS,Q4121,Graft Theraskn 116sqcm 103tsxl,20513.0,13333.45,129.95,20513.0,46
HCPCS,Q4122,Allogrt derm 16x20cm dcell217m,48991.0,31844.15,129.95,48991.0,46
HCPCS,Q4122,Mesh Dermacell 4x4cm dcell112,7899.0,5134.35,129.95,7899.0,46
HCPCS,Q4122,Mesh dermis 8x16cm dcell215m,24432.0,15880.8,129.95,24432.0,46
HCPCS,Q4124,Skin sub oasis 5x7cm 8213000013,2160.0,1404.0,129.95,2160.0,46
HCPCS,Q4125,Allogrt 2.5x3cm Arthr aflex403,12533.0,8146.45,129.95,12533.0,46
HCPCS,Q4125,Allogrt 2x2.5cm Arthr aflex402,11488.0,7467.2,129.95,11488.0,46
HCPCS,Q4125,Allogrt 2x3cm aflex352,1837.0,1194.05,129.95,1837.0,46
HCPCS,Q4125,Allogrt 3x4cm 0.5mm aflex500,12342.0,8022.3,129.95,12342.0,46
HCPCS,Q4125,Allogrt 4x7cm 2mm aflex201,24468.0,15904.2,129.95,24468.0,46
HCPCS,Q4125,Allogrt 4x7cm Lifenet aflex401,14111.0,9172.15,129.95,14111.0,46
HCPCS,Q4125,Allogrt Acell 28sqcm aflex101,18378.0,11945.7,129.95,18378.0,46
HCPCS,Q4125,Allogrt Acell 28sqcm aflex301,26445.0,17189.25,129.95,26445.0,46
HCPCS,Q4125,Allogrt Acell 45sqcm aflex103,24964.0,16226.6,129.95,24964.0,46
HCPCS,Q4125,Allogrt Acell12.25sqcmaflex100,15611.0,10147.15,129.95,15611.0,46
HCPCS,Q4125,Allogrt Acell12.25sqcmaflex200,21051.0,13683.15,129.95,21051.0,46
HCPCS,Q4126,Allogrt acell 50sqcm 480900510,20250.0,13162.5,129.95,20250.0,46
HCPCS,Q4126,Allogrt derm 4x8cm acd0700408,24983.0,16238.95,129.95,24983.0,46
HCPCS,Q4126,Allogrt jckt drm4x4cm480700404,10391.0,6754.15,129.95,10391.0,46
HCPCS,Q4126,Allogrt jckt drm4x7cm481100407,14014.0,9109.1,129.95,14014.0,46
HCPCS,Q4126,Allogrt jckt drm5x10cm48110051,23552.0,15308.8,129.95,23552.0,46
HCPCS,Q4126,Allogrt jckt drm5x5cm481100505,18287.0,11886.55,129.95,18287.0,46
HCPCS,Q4128,Allogrt 1.5x1.5cm MTF wc1515,2042.0,1327.3,129.95,2042.0,46
HCPCS,Q4128,Allogrt 2x2cm MTF wc0202,3551.0,2308.15,129.95,3551.0,46
HCPCS,Q4128,Allogrt 4x12cm MTF HP1412,7967.0,5178.55,129.95,7967.0,46
HCPCS,Q4128,Allogrt 4x4cm MTF wc0404,10015.0,6509.75,129.95,10015.0,46
HCPCS,Q4128,Allogrt 4x8cm MTF wc0418,14968.0,9729.2,129.95,14968.0,46
HCPCS,Q4128,Allogrt 6x15cm MTF pf2616,15356.0,9981.4,129.95,15356.0,46
HCPCS,Q4128,Allogrt Flex HD 19x22cm pp1500,64056.0,41636.4,129.95,64056.0,46
HCPCS,Q4128,Allogrt Flex HD 21x24cm pp0002,69395.0,45106.75,129.95,69395.0,46
HCPCS,Q4128,Allogrt alloptch4x8cmmtfwc0448,11263.0,7320.95,129.95,11263.0,46
HCPCS,Q4128,Allogrt derm20x25cm MTF 471225,93754.0,60940.1,129.95,93754.0,46
HCPCS,Q4128,Allogrt dermi flex 8x16 pk1816,44704.0,29057.6,129.95,44704.0,46
HCPCS,Q4128,Allogrt derms fen hd10x10tdf01,24937.0,16209.05,129.95,24937.0,46
HCPCS,Q4128,Allogrt drm flxhd320sqcmpf1620,39496.0,25672.4,129.95,39496.0,46
HCPCS,Q4128,Allogrt flex 20x20cm hp1202,49369.0,32089.85,129.95,49369.0,46
HCPCS,Q4128,Allogrt flex hd 8x20cm hp0208,27165.0,17657.25,129.95,27165.0,46
HCPCS,Q4128,Allogrt flex hd12x12derm471122,26451.0,17193.15,129.95,26451.0,46
HCPCS,Q4128,Allogrt flexhd 11x20cm sf2000,25187.0,16371.55,129.95,25187.0,46
HCPCS,Q4128,Allogrt flexhd 11x20cm sf2002,24377.0,15845.05,129.95,24377.0,46
HCPCS,Q4128,Allogrt flexhd 11x20cm sf2200,49367.0,32088.55,129.95,49367.0,46
HCPCS,Q4128,Allogrt flexhd 11x20cm sf2202,44405.0,28863.25,129.95,44405.0,46
HCPCS,Q4128,Allogrt flexhd 12x20cm hp1220,42722.0,27769.3,129.95,42722.0,46
HCPCS,Q4128,Allogrt flexhd 13x22cm sf3000,31305.0,20348.25,129.95,31305.0,46
HCPCS,Q4128,Allogrt flexhd 15x24cm sf4000,41908.0,27240.2,129.95,41908.0,46
HCPCS,Q4128,Allogrt flexhd 9x15cm sf1000,16126.0,10481.9,129.95,16126.0,46
HCPCS,Q4128,Allogrt vas acel HD flx 8x16cm,23863.0,15510.95,129.95,23863.0,46
HCPCS,Q4128,Allogrt vas acel hdrt 25x35cm,104396.0,67857.4,129.95,104396.0,46
HCPCS,Q4128,Allogrt vasc acel HD flex12x20,43541.0,28301.65,129.95,43541.0,46
HCPCS,Q4128,Allogrt vasc acel HD flex4x7,4730.0,3074.5,129.95,4730.0,46
HCPCS,Q4128,Allogrt vasc acel hdrt 4x12cm,4739.0,3080.35,129.95,4739.0,46
HCPCS,Q4128,Allogrt vasc acel hdrt 6x12cm,12711.0,8262.15,129.95,12711.0,46
HCPCS,Q4128,FLEXHD/ALLOPATCHHD/SQ CM,22352.0,14528.8,129.95,56962.0,414
HCPCS,Q4128,Skin sub FlexHD 600sqcm 471230,85453.0,55544.45,129.95,85453.0,46
HCPCS,Q4128,Skin sub alloderm12x16cm471216,33477.0,21760.05,129.95,33477.0,46
HCPCS,Q4128,Skin sub alloderm6x8flex471608,7739.0,5030.35,129.95,7739.0,46
HCPCS,Q4128,Skin sub flex hd 4x16cm pf1416,11013.0,7158.45,129.95,11013.0,46
HCPCS,Q4128,Skin sub flex hd 6x20cm pf1206,20377.0,13245.05,129.95,20377.0,46
HCPCS,Q4128,Skin sub flex hd 8x16cm pf0816,23877.0,15520.05,129.95,23877.0,46
HCPCS,Q4128,Skin sub flex hd 8x16cm pf1816,22785.0,14810.25,129.95,22785.0,46
HCPCS,Q4128,Skin sub flex hd 8x20cm pf0208,27179.0,17666.35,129.95,27179.0,46
HCPCS,Q4128,Skin sub flexhd 10x16 471016,25449.0,16541.85,129.95,25449.0,46
HCPCS,Q4128,Skin sub flexhd 20x20cm 471202,71200.0,46280.0,129.95,71200.0,46
HCPCS,Q4128,Skin sub flexhd 20x20cm pf1202,66811.0,43427.15,129.95,66811.0,46
HCPCS,Q4128,Skin sub flexhd2x4cmthin470204,1076.0,699.4,129.95,1076.0,46
HCPCS,Q4128,Skin sub flxhd2brt8x16cmrk0816,42115.0,27374.75,129.95,42115.0,46
HCPCS,Q4128,Skin sub flxhd2brt8x20cmrk0208,47966.0,31177.9,129.95,47966.0,46
HCPCS,Q4130,STRATTICE TM,15815.0,10279.75,129.95,39450.0,184
HCPCS,Q4130,Skin sub 20x25cmAllerg2025002p,126959.0,82523.35,129.95,126959.0,46
HCPCS,Q4130,Skin sub Stratt16x20cm1620002p,81254.0,52815.1,129.95,81254.0,46
HCPCS,Q4130,Skin sub stratt 20x30cm2030002,147934.0,96157.1,129.95,147934.0,46
HCPCS,Q4130,Skin sub stratt10x16cm1016002p,40634.0,26412.1,129.95,40634.0,46
HCPCS,Q4130,Skin sub strattfirm8X8cm808002,16902.0,10986.3,129.95,16902.0,46
HCPCS,Q4130,Skin sub stratti10x10cm1010005,24654.0,16025.1,129.95,24654.0,46
HCPCS,Q4130,Skin sub stratti10x22cmcon3006,20761.0,13494.65,129.95,20761.0,46
HCPCS,Q4130,Skin sub stratti16x20cm1620002,78899.0,51284.35,129.95,78899.0,46
HCPCS,Q4130,Skin sub stratti20x20cm2020002,98621.0,64103.65,129.95,98621.0,46
HCPCS,Q4130,Skin sub stratti20x25cm2025002,123274.0,80128.1,129.95,123274.0,46
HCPCS,Q4130,Skin sub stratti25x40cm2540002,246555.0,160260.75,129.95,246555.0,46
HCPCS,Q4130,Skin sub stratti3x14cm 3141006,8403.0,5461.95,129.95,8403.0,46
HCPCS,Q4130,Skin sub stratti5x16cm 516001,19728.0,12823.2,129.95,19728.0,46
HCPCS,Q4130,Skin sub stratti6x10cm 610008,15849.0,10301.85,129.95,15849.0,46
HCPCS,Q4130,Skin sub stratti8x16cm 816001,31553.0,20509.45,129.95,31553.0,46
HCPCS,Q4133,Allograft Prime Grafix 3x4cm,8697.0,5653.05,129.95,8697.0,46
HCPCS,Q4133,Allograft Prime Grafix 4x4cm,58880.0,38272.0,129.95,58880.0,46
HCPCS,Q4133,Allograft Prime Grafix dis14mm,3117.0,2026.05,129.95,3117.0,46
HCPCS,Q4133,Allograft Prime Grafix7.5x15cm,74812.0,48627.8,129.95,74812.0,46
HCPCS,Q4133,Allogrt Stravix 18sqcm ps61036,17909.0,11640.85,129.95,17909.0,46
HCPCS,Q4133,Allogrt grafix 3x3cm ps13033,7793.0,5065.45,129.95,7793.0,46
HCPCS,Q4133,Allogrt grafix 3x4cm ps13034,8417.0,5471.05,129.95,8417.0,46
HCPCS,Q4133,Allogrt grafx1.6cm S&N ps13016,4605.0,2993.25,129.95,4605.0,46
HCPCS,Q4133,Allogrt placenta 2x4cm ps60005,11845.0,7699.25,129.95,11845.0,46
HCPCS,Q4133,Allogrt placental2x2cm ps60006,8722.0,5669.3,129.95,8722.0,46
HCPCS,Q4133,Allogrt placental3x6cm ps60008,18517.0,12036.05,129.95,18517.0,46
HCPCS,Q4133,GRAFIX STRAVIX PRIME PL SQCM,6858.0,4457.7,129.95,18703.0,138
HCPCS,Q4136,Graft EZderm 10msh 5x5cm131705,408.0,265.2,70.58,408.0,46
HCPCS,Q4136,Graft EZderm 10msh 8x10cm,299.0,194.35,51.73,299.0,46
HCPCS,Q4137,Amnioexcel plus 3x4cm 25330,14783.0,9608.95,129.95,14783.0,46
HCPCS,Q4137,Amnioexcel plus 5x8cm 25350,29908.0,19440.2,129.95,29908.0,46
HCPCS,Q4140,Allogrt 4x4cm Biod L df020404,16761.0,10894.65,129.95,16761.0,46
HCPCS,Q4140,Allogrt 4x8cm Biod L df020408,28502.0,18526.3,129.95,28502.0,46
HCPCS,Q4140,Allogrt 4x8cm Biod L df030408,19678.0,12790.7,129.95,19678.0,46
HCPCS,Q4140,Allogrt 6x6cm Biod L df020606,25457.0,16547.05,129.95,25457.0,46
HCPCS,Q4142,Allogrt bio xcm hdrt 10x16cm,25747.0,16735.55,129.95,25747.0,46
HCPCS,Q4142,Allogrt bio xcm hdrt 10x20cm,32185.0,20920.25,129.95,32185.0,46
HCPCS,Q4142,Allogrt bio xcm hdrt 16x20cm,51488.0,33467.2,129.95,51488.0,46
HCPCS,Q4142,Allogrt bio xcm hdrt 20x20cm,64360.0,41834.0,129.95,64360.0,46
HCPCS,Q4142,Allogrt bio xcm hdrt 6x16cm,15448.0,10041.2,129.95,15448.0,46
HCPCS,Q4142,Allogrt bio xcm hdrt 8x16cm,20602.0,13391.3,129.95,20602.0,46
HCPCS,Q4148,Skin sub Neox 2x1cm nxur2010,1486.0,965.9,129.95,1486.0,46
HCPCS,Q4148,Skin sub neox 4sq cm nxur2020,2440.0,1586.0,129.95,2440.0,46
HCPCS,Q4148,Wnd neox cord amniox nxur8030,21421.0,13923.65,129.95,21421.0,46
HCPCS,Q4151,Allogrt AmnioBand 4x6cm WC3046,21035.0,13672.75,129.95,21035.0,46
HCPCS,Q4151,Allogrt Amnioband 2x2cm wc3022,9210.0,5986.5,129.95,9210.0,46
HCPCS,Q4151,Allogrt Amnioband 3x4cm wc3034,12761.0,8294.65,129.95,12761.0,47
HCPCS,Q4151,Allogrt Amnioband 4x4cm wc3044,18877.0,12270.05,129.95,18877.0,46
HCPCS,Q4154,Allogrt Biovan2x2cm dham0022,13566.0,8817.9,129.95,13566.0,46
HCPCS,Q4154,Allogrt biovance4x4cm DHAM0044,15887.0,10326.55,129.95,15887.0,46
HCPCS,Q4154,Biovance 6x6sqcm dham0066,30910.0,20091.5,129.95,30910.0,46
HCPCS,Q4155,Allogrt clarix100 crfl100mg,7966.0,5177.9,1378.12,7966.0,33
HCPCS,Q4155,Allogrt clarix50mg crfl50mg,4156.0,2701.4,718.99,4156.0,33
HCPCS,Q4160,Allogrt 1.6sqcm Organg no1160c,2737.0,1779.05,129.95,2737.0,46
HCPCS,Q4160,Allogrt 12sqcm Organg no1340,14174.0,9213.1,129.95,14174.0,46
HCPCS,Q4160,Allogrt 16sqcm Organg no1440,12091.0,7859.15,129.95,12091.0,46
HCPCS,Q4160,Allogrt 24sqcm Organg no1460,16902.0,10986.3,129.95,16902.0,46
HCPCS,Q4160,Allogrt 36sqcm Organg no1660,23078.0,15000.7,129.95,23078.0,46
HCPCS,Q4160,Allogrt 6sqcm Organg no1230,8049.0,5231.85,129.95,8049.0,46
HCPCS,Q4160,Allogrt 8sqcm Organg no1240,6581.0,4277.65,129.95,6581.0,46
HCPCS,Q4162,Allogrt placental 1.5cc am150,17742.0,11532.3,3069.37,17742.0,33
HCPCS,Q4163,Allogrt Bioskin 15mm wa20d015,2914.0,1894.1,129.95,2914.0,46
HCPCS,Q4163,Allogrt Bioskin 2x2cm wa202x02,4502.0,2926.3,129.95,4502.0,46
HCPCS,Q4163,Allogrt Bioskin 2x3cm wa202x03,7303.0,4746.95,129.95,7303.0,46
HCPCS,Q4163,Allogrt Bioskin 2x4cm wa202x04,6633.0,4311.45,129.95,6633.0,46
HCPCS,Q4163,Allogrt Bioskin 4x4cm wa204x04,10829.0,7038.85,129.95,10829.0,46
HCPCS,Q4166,"CYTAL, PER SQUARE CENTIMETER",7793.0,5065.45,129.95,14028.0,138
HCPCS,Q4166,Wound matrx cytal10x15cmws1015,4252.0,2763.8,129.95,4252.0,46
HCPCS,Q4166,Wound matrx cytal7x10cm ws0710,1995.0,1296.75,129.95,1995.0,46
HCPCS,Q4166,Wound matrx cytl10x15cmwsr1015,25062.0,16290.3,129.95,25062.0,46
HCPCS,Q4166,Wound matrx5x5cm Acell wsr0505,9540.0,6201.0,129.95,9540.0,46
HCPCS,Q4166,Wound matrxcytal10x15WSX1015,32419.0,21072.35,129.95,32419.0,46
HCPCS,Q4167,Wound matrx7x10cmAcell wsr0710,14619.0,9502.35,129.95,14619.0,46
HCPCS,Q4168,Allogrt amnio 40mg MTF wc3040,7417.0,4821.05,1283.14,7417.0,33
HCPCS,Q4168,Wound matrx5x5cm Acell wsx0505,12689.0,8247.85,2195.2,12689.0,33
HCPCS,Q4169,Wound matrx7x10cmAcell wsx0710,19471.0,12656.15,129.95,19471.0,46
HCPCS,Q4171,Interfyl matrx45mgArth hctm030,7845.0,5099.25,1357.19,7845.0,33
HCPCS,Q4171,Interfyl mtrx 170mg hctm010,12169.0,7909.85,2105.24,12169.0,33
HCPCS,Q4171,Interfyl mtrx275mg Art hctm015,14012.0,9107.8,2424.08,14012.0,33
HCPCS,Q4186,Allogrt 1.5 sqcm Mimedx gs5140,3096.0,2012.4,129.95,3096.0,46
HCPCS,Q4186,Allogrt 12 sqcm Mimedx es4400,13106.0,8518.9,129.95,13106.0,46
HCPCS,Q4186,Allogrt 12 sqcm Mimedx gs5340,14880.0,9672.0,129.95,14880.0,46
HCPCS,Q4186,Allogrt 16 sqcm Mimedx gs5440,18823.0,12234.95,129.95,18823.0,46
HCPCS,Q4186,Allogrt 2.5 sqcm Mimedx gs5180,6208.0,4035.2,129.95,6208.0,46
HCPCS,Q4186,Allogrt 30 sqcm Mimedx gs5560,23575.0,15323.75,129.95,23575.0,46
HCPCS,Q4186,Allogrt 4.0 sqcm Mimedx es2300,10129.0,6583.85,129.95,10129.0,46
HCPCS,Q4186,Allogrt 4.0 sqcm Mimedx gs5220,8611.0,5597.15,129.95,8611.0,46
HCPCS,Q4186,Allogrt 49 sqcm Mimedx gs5770,39436.0,25633.4,129.95,39436.0,46
HCPCS,Q4186,Allogrt 4x10cm Mimedx eh5410,21456.0,13946.4,129.95,21456.0,46
HCPCS,Q4186,Allogrt 4x10cm Mimedx xl5410,17880.0,11622.0,129.95,17880.0,46
HCPCS,Q4186,Allogrt 6.0 sqcm Mimedx gs5230,11587.0,7531.55,129.95,11587.0,46
HCPCS,Q4186,Allogrt 8.0 sqcm Mimedx es3300,12094.0,7861.1,129.95,12094.0,46
HCPCS,Q4186,Allogrt 8.0 sqcm Mimedx gs5240,13014.0,8459.1,129.95,13014.0,46
HCPCS,Q4186,EPIFIX 1 SQ CM,33865.0,22012.25,129.95,51102.0,230
HCPCS,Q4186,Epifix Dressing 1.4 cm,1730.0,1124.5,129.95,1730.0,46
HCPCS,Q4186,Epifix Dressing 1.8 cm,4298.0,2793.7,129.95,4298.0,46
HCPCS,Q4186,Epifix Dressing 2x3 cm,6607.0,4294.55,129.95,6607.0,46
HCPCS,Q4186,Epifix Dressing 4x4.5cm,8050.0,5232.5,129.95,8050.0,46
HCPCS,Q4187,Allogrt 2x3cm Mimedx ec5230,12650.0,8222.5,129.95,12650.0,46
HCPCS,Q4187,Allogrt 2x3cm Mimedx ex5230,13531.0,8795.15,129.95,13531.0,46
HCPCS,Q4187,Allogrt 3x5cm Mimedx ec5350,20286.0,13185.9,129.95,20286.0,46
HCPCS,Q4187,Epicord 1x2cm Mimedx ec5120,7528.0,4893.2,129.95,7528.0,46
HCPCS,Q4195,Puraply matrx puraplycomp2x4cm,6581.0,4277.65,129.95,6581.0,46
HCPCS,Q4195,Puraply matrx puraplycomp5x5cm,17838.0,11594.7,129.95,17838.0,46
HCPCS,Q4195,Puraply matrx puraplycomp6x9cm,38528.0,25043.2,129.95,38528.0,46
HCPCS,Q4196,Puraply matrx puraplyamco2x2cm,5195.0,3376.75,129.95,5195.0,46
HCPCS,Q4196,Puraply matrx puraplyamco2x4cm,6581.0,4277.65,129.95,6581.0,46
HCPCS,Q4196,Puraply matrx puraplyamco5x5cm,19049.0,12381.85,129.95,19049.0,46
HCPCS,Q4196,Puraply matrx puraplyamco6x9cm,41147.0,26745.55,129.95,41147.0,46
HCPCS,Q4238,Allogrt 4x8cm Royal Bio mdrm48,19957.0,12972.05,129.95,19957.0,46
HCPCS,Q4239,Allogrt amnion 4x4cm amn44,13789.0,8962.85,129.95,13789.0,46
HCPCS,Q4239,Allogrt amnion 4x6cm amn46,14130.0,9184.5,129.95,14130.0,46
HCPCS,Q4239,Allogrt amnion 4x8cm amn48,18867.0,12263.55,129.95,18867.0,46
HCPCS,Q4283,Biovance 3l 2x4sqcm dham024s,13909.0,9040.85,129.95,13909.0,46
HCPCS,Q4283,Biovance 3l 3x6sqcm dham036s,31316.0,20355.4,129.95,31316.0,46
HCPCS,Q4283,Biovance 3l 4x4sqcm dham044s,27818.0,18081.7,129.95,27818.0,46
HCPCS,Q5101,Zarxio 1 mcg inj,4.0,2.6,0.46,83.73,330
HCPCS,Q5103,Infliximab-dyyb 10 mg IV,686.0,445.9,19.99,686.0,157
HCPCS,Q5104,Infliximab-abda 10mg IV,586.0,380.9,27.0,667.18,157
HCPCS,Q5106,Epoetin alfaepbx non-esrd1000U,128.0,83.2,7.85,133.22,330
HCPCS,Q5107,Mvasi 10mg IV,543.0,352.95,27.86,667.18,377
HCPCS,Q5108,Pegfilgrastim-jmdb 0.5mg inj,1594.0,1036.1,99.13,1594.0,220
HCPCS,Q5110,Filgrastim-aafi 1mcg syr,8.0,5.2,0.3,83.73,385
HCPCS,Q5111,Pegfilgrastim-cbqv 0.5mg inj,2484.0,1614.6,106.33,2484.0,165
HCPCS,Q5112,Trastuzumab-dttb 10mg IV,1158.0,752.7,19.0,1213.51,55
HCPCS,Q5113,Trastuzumab-pkrb 10mg IV,727.0,472.55,69.37,1213.51,267
HCPCS,Q5114,Trastuzumab-dkst 10mg IV,821.0,533.65,40.29,1213.51,55
HCPCS,Q5115,Rituximab-abbs 10 mg IV,613.0,398.45,29.38,1213.51,377
HCPCS,Q5116,Trazimera-qyyp 10mg IV,585.0,380.25,27.99,1213.51,212
HCPCS,Q5117,Trastuzumab Anns 10 mg IV,705.0,458.25,47.55,867.19,322
HCPCS,Q5118,Bevacizumab-bvzr 10mg IV,477.0,310.05,25.77,667.18,157
HCPCS,Q5119,Rituximab-pvvr IV 10mg,558.0,362.7,27.85,1213.51,377
HCPCS,Q5120,Pegfilgrastim-bmez.5mg sub inj,2336.0,1518.4,30.32,2336.0,55
HCPCS,Q5121,Infliximab-axxq 10mg IV,469.0,304.85,20.41,469.0,55
HCPCS,Q5122,Pegfilgrastimapgf0.5mg sub inj,2335.0,1517.75,131.16,2998.44,165
HCPCS,Q5123,Rituximab-arrx 10mg IV,611.0,397.15,26.51,1213.51,212
HCPCS,Q5125,Filgrastim-ayow 1mcg inj,8.0,5.2,0.38,83.73,55
HCPCS,Q5126,Bevacizumab-maly 10mg inj,559.0,363.35,37.82,667.18,212
HCPCS,Q5127,Pegfilgrastimfpgk 0.5mg inj,4163.0,2705.95,184.91,4163.0,55
HCPCS,Q5129,Bevacizumab-adcd 10mg IV,888.0,577.2,39.96,888.0,55
HCPCS,Q5130,Pegfilgrastimpbbk 0.5mg inj,2553.0,1659.45,137.97,2553.0,55
HCPCS,Q5133,Tocilizumab-bavi 1mg IV,77.0,50.05,5.54,77.0,46
HCPCS,Q5135,Tocilizumab-aazg 1mg IV,77.0,50.05,4.42,77.0,46
HCPCS,Q5146,Trastuzumab-strf 10mg IV,827.0,537.55,40.03,827.0,46
HCPCS,Q5151,Eculizumab-aagh 2mg IV,201.0,130.65,31.35,201.0,92
HCPCS,Q9950,Lumason IV contrast 1ml,140.0,91.0,24.22,140.0,33
HCPCS,Q9951,"LOCM >= 400 MG/ML IODINE,1ML",5.0,3.25,0.87,5.0,33
HCPCS,Q9953,MR contrast iron based per ml,2.0,1.3,0.35,2.0,33
HCPCS,Q9957,Perflutren lip micro per 1ml,387.0,251.55,66.95,387.0,99
HCPCS,Q9963,"HOCM 350-399MG/ML IODINE,1ML",3.0,1.95,0.52,3.0,33
HCPCS,Q9965,"LOCM 100-199MG/ML IODINE,1ML",8.0,5.2,1.38,8.0,33
HCPCS,Q9965,LOCM 100-199mg ml iodine ml uc,7.0,4.55,1.21,7.0,33
HCPCS,Q9966,"LOCM 200-299MG/ML IODINE,1ML",5.0,3.25,0.87,5.0,33
HCPCS,Q9967,"LOCM 300-399MG/ML IODINE,1ML",5.0,3.25,0.87,5.0,198
HCPCS,Q9967,LOCM 300-399mg ml iodine ml uc,4.0,2.6,0.69,4.0,198
HCPCS,Q9968,ICG Elevsn25mg Covidien1850001,1213.0,788.45,8.73,1213.0,230
HCPCS,Q9968,Isosulfan blue 1mg inj,90.0,58.5,8.73,90.0,230
HCPCS,Q9968,Methylene blue 1 mg,39.0,25.35,6.75,39.0,230
HCPCS,Q9968,VISUALIZATION ADJUNCT,1902.0,1236.3,8.73,1902.0,230
HCPCS,Q9982,Flutemetamol F18 up to 5 mCi,7346.0,4774.9,173.17,7346.0,141
HCPCS,S0013,Esketamine 1mg nasal spray,30.0,19.5,5.19,83.73,42
HCPCS,S2107,Adoptive immunotherapy,6427.0,4177.55,173.17,6427.0,43
HCPCS,S2900,ROBOTIC SURGICAL SYSTEM,,,,,0
HCPCS,S9090,Spinal decompression Tx,131.0,85.15,17.76,173.17,43
HCPCS,S9443,Lac brief consult,69.0,44.85,11.94,173.17,34
HCPCS,S9443,Lac followup lactation consult,86.0,55.9,14.88,173.17,34
HCPCS,V2630,ANTER CHAMBER INTRAOCUL LENS,0.01,0.01,0.01,173.17,20
HCPCS,V2632,IOL EE-EEU00 any size,318.0,206.7,55.01,318.0,32
HCPCS,V2632,IOL SA6AT6 any size,1574.0,1023.1,173.17,1574.0,34
HCPCS,V2632,IOL ar40000 Abbott any size,350.0,227.5,60.55,350.0,32
HCPCS,V2632,IOL ctlucia602 Carl Z any size,557.0,362.05,96.36,557.0,32
HCPCS,V2632,IOL mx60et Envista any size,1431.0,930.15,173.17,1431.0,34
HCPCS,V2632,POST CHMBR INTRAOCULAR LENS,213.005,138.45499999999998,0.01,426.0,52
HCPCS,V2785,CORNEAL TISSUE PROCESSING,4360.0,2834.0,173.17,4360.0,43
HCPCS,V2785,Corneal but rt LEI2034326odcn,10449.0,6791.85,173.17,10449.0,43
HCPCS,V2785,Corneal graft LEI2033233os,16248.0,10561.2,173.17,16248.0,43
HCPCS,V2785,Corneal tissue full sz cod,13708.0,8910.2,173.17,13708.0,43
HCPCS,V2785,Corneal tissue full sz cos,10674.0,6938.1,173.17,10674.0,43
HCPCS,V2785,Corneal tissue whole 110,26388.0,17152.2,173.17,26388.0,43
HCPCS,V2785,Corneal tissue whole 510,20734.0,13477.1,173.17,20734.0,43
HCPCS,V2785,Corneal tissue whole 610,21590.0,14033.5,173.17,21590.0,43
HCPCS,V2785,Corneal tissue whole 710,17821.0,11583.65,173.17,17821.0,43
HCPCS,V2785,Corneal tissue whole osi,20562.0,13365.3,173.17,20562.0,43
HCPCS,V2785,V2785 impl corneal tiss 0-25,40.0,26.0,6.92,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 101-150,400.0,260.0,69.2,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 10251-11250,34187.0,22221.55,173.17,34187.0,43
HCPCS,V2785,V2785 impl corneal tiss 1101-1300,3818.0,2481.7,173.17,3818.0,43
HCPCS,V2785,V2785 impl corneal tiss 11251-12250,37367.0,24288.55,173.17,37367.0,43
HCPCS,V2785,V2785 impl corneal tiss 12251-13250,40547.0,26355.55,173.17,40547.0,43
HCPCS,V2785,V2785 impl corneal tiss 1301-1500,4454.0,2895.1,173.17,4454.0,43
HCPCS,V2785,V2785 impl corneal tiss 13251-14250,43727.0,28422.55,173.17,43727.0,43
HCPCS,V2785,V2785 impl corneal tiss 14251-15250,46907.0,30489.55,173.17,46907.0,43
HCPCS,V2785,V2785 impl corneal tiss 1501-2000,5567.0,3618.55,173.17,5567.0,43
HCPCS,V2785,V2785 impl corneal tiss 151-200,559.0,363.35,96.71,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 15251-16750,50882.0,33073.3,173.17,50882.0,43
HCPCS,V2785,V2785 impl corneal tiss 16751-18250,55652.0,36173.8,173.17,55652.0,43
HCPCS,V2785,V2785 impl corneal tiss 18251-19750,60422.0,39274.3,173.17,60422.0,43
HCPCS,V2785,V2785 impl corneal tiss 19751-21250,65192.0,42374.8,173.17,65192.0,43
HCPCS,V2785,V2785 impl corneal tiss 2001-2500,7157.0,4652.05,173.17,7157.0,43
HCPCS,V2785,V2785 impl corneal tiss 201-250,718.0,466.7,124.21,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 21251-22750,69962.0,45475.3,173.17,69962.0,43
HCPCS,V2785,V2785 impl corneal tiss 22751-24250,74732.0,48575.8,173.17,74732.0,43
HCPCS,V2785,V2785 impl corneal tiss 24251-25750,79502.0,51676.3,173.17,79502.0,43
HCPCS,V2785,V2785 impl corneal tiss 2501-3000,8747.0,5685.55,173.17,8747.0,43
HCPCS,V2785,V2785 impl corneal tiss 251-300,877.0,570.05,151.72,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 25751-27250,84272.0,54776.8,173.17,84272.0,43
HCPCS,V2785,V2785 impl corneal tiss 26-50,121.0,78.65,20.93,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 27251-29000,89440.0,58136.0,173.17,89440.0,43
HCPCS,V2785,V2785 impl corneal tiss 29001-30750,95005.0,61753.25,173.17,95005.0,43
HCPCS,V2785,V2785 impl corneal tiss 3001-3500,10337.0,6719.05,173.17,10337.0,43
HCPCS,V2785,V2785 impl corneal tiss 301-400,1115.0,724.75,173.17,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 30751-32500,100570.0,65370.5,173.17,100570.0,43
HCPCS,V2785,V2785 impl corneal tiss 32501-34250,106135.0,68987.75,173.17,106135.0,43
HCPCS,V2785,V2785 impl corneal tiss 34251-36000,111700.0,72605.0,173.17,111700.0,43
HCPCS,V2785,V2785 impl corneal tiss 3501-4250,12325.0,8011.25,173.17,12325.0,43
HCPCS,V2785,V2785 impl corneal tiss 36001-37750,117265.0,76222.25,173.17,117265.0,43
HCPCS,V2785,V2785 impl corneal tiss 37751-39500,122830.0,79839.5,173.17,122830.0,43
HCPCS,V2785,V2785 impl corneal tiss 39501-41250,128395.0,83456.75,173.17,128395.0,43
HCPCS,V2785,V2785 impl corneal tiss 401-500,1433.0,931.45,173.17,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 41251-43250,134357.0,87332.05,173.17,134357.0,43
HCPCS,V2785,V2785 impl corneal tiss 4251-5000,14710.0,9561.5,173.17,14710.0,43
HCPCS,V2785,V2785 impl corneal tiss 43251-45250,140717.0,91466.05,173.17,140717.0,43
HCPCS,V2785,V2785 impl corneal tiss 45251-47250,147077.0,95600.05,173.17,147077.0,43
HCPCS,V2785,V2785 impl corneal tiss 47251-49250,153437.0,99734.05,173.17,153437.0,43
HCPCS,V2785,V2785 impl corneal tiss 49251-51250,159797.0,103868.05,173.17,159797.0,43
HCPCS,V2785,V2785 impl corneal tiss 5001-5750,17095.0,11111.75,173.17,17095.0,43
HCPCS,V2785,V2785 impl corneal tiss 501-600,1751.0,1138.15,173.17,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 51-75,200.0,130.0,34.6,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 5751-6500,19480.0,12662.0,173.17,19480.0,43
HCPCS,V2785,V2785 impl corneal tiss 601-700,2069.0,1344.85,173.17,2069.0,43
HCPCS,V2785,V2785 impl corneal tiss 6501-7250,21865.0,14212.25,173.17,21865.0,43
HCPCS,V2785,V2785 impl corneal tiss 701-900,2546.0,1654.9,173.17,2546.0,43
HCPCS,V2785,V2785 impl corneal tiss 7251-8250,24647.0,16020.55,173.17,24647.0,43
HCPCS,V2785,V2785 impl corneal tiss 76-100,280.0,182.0,48.44,1892.47,43
HCPCS,V2785,V2785 impl corneal tiss 8251-9250,27827.0,18087.55,173.17,27827.0,43
HCPCS,V2785,V2785 impl corneal tiss 901-1100,3182.0,2068.3,173.17,3182.0,43
HCPCS,V2785,V2785 impl corneal tiss 9251-10250,31007.0,20154.55,173.17,31007.0,43
HCPCS,V2786,IOL snd1t6 multifocal toric,2846.0,1849.9,173.17,2846.0,34
HCPCS,V2787,ASTIGMATISM-CORRECT FUNCTION,1431.0,930.15,82.52,3180.0,367
HCPCS,V2787,IOL ETAU Aspire toric any size,1670.0,1085.5,173.17,1670.0,75
HCPCS,V2787,IOL ETNU Envy toric any size,3021.0,1963.65,173.17,3021.0,75
HCPCS,V2787,IOL PXYAT0 PanOptix Pro anysz,3228.0,2098.2,173.17,3228.0,75
HCPCS,V2787,IOL dfw000 J&J any size,3323.0,2159.95,173.17,3323.0,75
HCPCS,V2787,IOL diu000 J&J any size,2208.0,1435.2,173.17,2208.0,75
HCPCS,V2787,IOL sa6at7 acrysof toric post,1509.0,980.85,173.17,1509.0,75
HCPCS,V2787,IOL zxr00 tecnis symfony,2624.0,1705.6,173.17,2624.0,75
HCPCS,V2787,IOL zxt300 tecnis symfo toric,2754.0,1790.1,173.17,2754.0,75
HCPCS,V2788,IOL EAU Aspire any size,350.0,227.5,60.55,350.0,71
HCPCS,V2788,IOL cnw0t8 Toric any sz,992.0,644.8,171.62,992.0,71
HCPCS,V2788,IOL dat000 Alcon any size,3005.0,1953.25,173.17,3005.0,75
HCPCS,V2788,IOL dfr00v J&J any size,3323.0,2159.95,173.17,3323.0,75
HCPCS,V2788,IOL dft00 any size Alcon,3506.0,2278.9,173.17,3506.0,75
HCPCS,V2788,PRESBYOPIA-CORRECT FUNCTION,2800.0,1820.0,173.17,3482.0,825
HCPCS,V2790,AMNIOTIC MEMBRANE,2968.0,1929.2,173.17,2968.0,34
HCPCS,V2790,Amniograft ActiShield am204x04,19640.0,12766.0,173.17,19640.0,34
HCPCS,V2790,Amniograft ActiShield am204x08,22470.0,14605.5,173.17,22470.0,34
HCPCS,V2790,Amniograft ActiShield am452x04,19641.0,12766.65,173.17,19641.0,34
HCPCS,V2790,Amniograft ActiShield am454x04,11756.0,7641.4,173.17,11756.0,34
HCPCS,V2790,Amniograft ActiShield am454x08,18873.0,12267.45,173.17,18873.0,34
HCPCS,V2790,Amniograft membrn 1x2cm ad5120,5035.0,3272.75,173.17,5035.0,34
HCPCS,V2790,Amniograft membrn 2x3cm ad5230,6307.0,4099.55,173.17,6307.0,34
HCPCS,V2790,Amniograft size a ag2520,6938.0,4509.7,173.17,6938.0,34
HCPCS,V2790,Amniograft size b ag2015,6037.0,3924.05,173.17,6037.0,34
HCPCS,V2790,Amniograft size c ag3535,7902.0,5136.3,173.17,7902.0,34
HCPCS,V2790,Amniogrd corneal prokera pks,9858.0,6407.7,173.17,9858.0,34
HCPCS,V2790,Amniogrd corneal1x0.75 agd1075,3469.0,2254.85,173.17,3469.0,34
HCPCS,V2790,Amniogrd corneal4x3cm agdgs40,13452.0,8743.8,173.17,13452.0,34
RC,250,Abiraterone acetate 500 mg tab,1682.0,1093.3,173.17,1682.0,34
RC,250,Acetylcysteine 10% 3g/30ml inh,95.0,61.75,16.44,173.17,34
RC,250,Acyclovir 5% oint 30gm,751.0,488.15,129.92,751.0,34
RC,250,Advair diskus 100/50 puf14 inh,674.0,438.1,116.6,674.0,34
RC,250,Advair diskus 250/50 dsk14 inh,437.0,284.05,75.6,437.0,34
RC,250,Aerochamber mask lrg mist,77.0,50.05,13.32,173.17,34
RC,250,Alprostadil 10mcg/ml 25ml pedi,1092.0,709.8,173.17,1092.0,34
RC,250,Alprostadil 500mcg/ml inj,1762.0,1145.3,173.17,1762.0,34
RC,250,Ambrisentan 10mg tab,1080.0,702.0,173.17,1080.0,34
RC,250,Ambrisentan 5mg oral tab,266.0,172.9,46.02,266.0,34
RC,250,Amino acid 15% 2000ml IV,1578.0,1025.7,173.17,1578.0,34
RC,250,Amino acid 15% 500ml IV,1199.0,779.35,173.17,1199.0,34
RC,250,Aminocaproic 500mg tab,44.0,28.6,7.61,173.17,34
RC,250,Ampicillin/sulbactm 30mg/ml IV,163.0,105.95,28.2,173.17,34
RC,250,Angiotensin II 2.5mg/ml IV,13748.0,8936.2,173.17,13748.0,34
RC,250,Anticoag cit dextrose 500ml IV,105.0,68.25,18.17,173.17,34
RC,250,Anticoag cit dextrose 750 ml,152.0,98.8,26.3,173.17,34
RC,250,Anticoag cit/phos dextros500ml,132.0,85.8,22.84,173.17,34
RC,250,Anticoag sodium cit 500 ml,135.0,87.75,23.36,173.17,34
RC,250,Antivenin coral snake,35824.0,23285.6,173.17,35824.0,34
RC,250,Anusol HC 2.5% 30gm cream,104.0,67.6,17.99,173.17,34
RC,250,Apap/codeine elix 120-12mg/5ml,15.0,9.75,2.6,173.17,34
RC,250,Apixaban 2.5 mg tab,52.0,33.8,9.0,173.17,34
RC,250,Aquaphor oint 396 gm,35.0,22.75,6.06,173.17,34
RC,250,Arformoterol tartrate 2ml inh,36.0,23.4,6.23,173.17,34
RC,250,Argatroban 0.2 mg/ml ped drip,23.0,14.95,3.98,173.17,34
RC,250,Argatroban 0.2mg/ml 10ml IVped,612.0,397.8,105.88,612.0,34
RC,250,Argatroban 1mg/ml ped drip,83.0,53.95,14.36,173.17,34
RC,250,Arginine 10% soln 300ml,576.0,374.4,99.65,576.0,34
RC,250,Aripiprazole 15 mg tab,32.0,20.8,5.54,173.17,34
RC,250,Ascorbate sod 1gm vl,156.0,101.4,26.99,173.17,34
RC,250,Atomoxetine 10mg oral cap,43.0,27.95,7.44,173.17,34
RC,250,Atracurium 100mg/10ml,213.0,138.45,36.85,213.0,34
RC,250,Atropen 2mg/pralidoxm 600mg im,348.0,226.2,60.2,348.0,34
RC,250,Avc 15% cream,1132.0,735.8,173.17,1132.0,34
RC,250,Avitene 1 gram powder,1413.0,918.45,173.17,1413.0,34
RC,250,Avitene sheet 70x35 mm,554.0,360.1,95.84,554.0,34
RC,250,Azelastine/Fluticason 23g sus,603.0,391.95,104.32,603.0,34
RC,250,Bacitracin 50mu inj,142.0,92.3,24.57,173.17,34
RC,250,Bacitracin eye oint 3.5gm,541.0,351.65,93.59,541.0,34
RC,250,Baricitinib 2mg oral tab,263.0,170.95,45.5,263.0,34
RC,250,Becaplermin 15gm gel,2042.0,1327.3,173.17,2042.0,34
RC,250,Beractant 25mg/ml 4ml vl,3611.0,2347.15,173.17,3611.0,34
RC,250,Beractant 25mg/ml 8ml vl,6392.0,4154.8,173.17,6392.0,34
RC,250,Betaxolol 0.5% eye drop 5ml,190.0,123.5,32.87,190.0,34
RC,250,Bosentan 62.5mg tab,558.0,362.7,96.53,558.0,34
RC,250,Brevital 1 mg/ml syr,613.0,398.45,106.05,613.0,34
RC,250,Budesonide Rectal Foam,1095.0,711.75,173.17,1095.0,34
RC,250,Budesonide flex 180mcg 120m,739.0,480.35,127.85,739.0,34
RC,250,Buprenorphine 15mcg td patch,334.0,217.1,57.78,334.0,34
RC,250,Buprenorphine 20mcg td patch,407.0,264.55,70.41,407.0,34
RC,250,Cafcit oral 20mg/ml 1ml ped,125.0,81.25,21.63,173.17,34
RC,250,Calcitonin nasal 200u/sp 3.7ml,279.0,181.35,48.27,279.0,34
RC,250,Candin skin test 0.1 ml inj,3946.0,2564.9,173.17,3946.0,34
RC,250,Caputo eye drops 5 ml neo,117.0,76.05,20.24,173.17,34
RC,250,Cefdinir 250mg/5ml susp,374.0,243.1,64.7,374.0,34
RC,250,Cenobamate 100mg oral tab,186.0,120.9,32.18,186.0,34
RC,250,Cephalexin 125mg/5ml susp,9.0,5.85,1.56,173.17,34
RC,250,Cephalexin 250mg/5ml oral susp,10.0,6.5,1.73,173.17,34
RC,250,Chlorambucil 2mg tab,291.0,189.15,50.34,291.0,34
RC,250,Chlorambucil 2mg/ml susp 1ml,123.0,79.95,21.28,173.17,34
RC,250,Chloroquine 500mg tab,63.0,40.95,10.9,173.17,34
RC,250,Chlorothiazide 10mg/ml 1ml IV,153.0,99.45,26.47,173.17,34
RC,250,Chlorothiazide 50mg/ml 1ml liq,26.0,16.9,4.5,173.17,34
RC,250,Chlorpromazine 100mg tab,64.0,41.6,11.07,173.17,34
RC,250,Chlorpromazine 25mg tab,17.0,11.05,2.94,173.17,34
RC,250,Chlorpromazine 50mg tab,31.0,20.15,5.36,173.17,34
RC,250,Chromium 4mcg/ml 10ml inj,285.0,185.25,49.31,285.0,34
RC,250,Ciclopirox 15gm cream,113.0,73.45,19.55,173.17,34
RC,250,Ciclopirox gel 30g 0.77%,381.0,247.65,65.91,381.0,34
RC,250,Ciloxan opth oint 3.5g,1239.0,805.35,173.17,1239.0,34
RC,250,Ciprofloxacin 0.2% otic,62.0,40.3,10.73,173.17,34
RC,250,Ciprofloxacin 0.2% otic UCP,24.0,15.6,4.15,173.17,34
RC,250,Ciprofloxacin 0.3% ophth 5 mL,109.0,70.85,18.86,173.17,34
RC,250,Ciprofloxacin 250mg/5ml susp,653.0,424.45,112.97,653.0,34
RC,250,Clarithromycin 250mg/5ml susp,502.0,326.3,86.85,502.0,34
RC,250,Clarithromycin 500mg tab,11.0,7.15,1.9,173.17,34
RC,250,Clindamycin 1% soln 30ml,174.0,113.1,30.1,174.0,34
RC,250,Clindamycin 40gm vaginal,503.0,326.95,87.02,503.0,34
RC,250,Clindamycin 75mg/5ml oral susp,179.0,116.35,30.97,179.0,34
RC,250,Clindamycin 9gm/60ml IV,225.0,146.25,38.93,225.0,34
RC,250,Clonidine tts-2 patch,189.0,122.85,32.7,189.0,34
RC,250,Cocaine 4% 4ml,866.0,562.9,149.82,866.0,34
RC,250,Collodion flex 120ml top liq,78.0,50.7,13.49,173.17,34
RC,250,Combivent respimat inh 4 gm,913.0,593.45,157.95,913.0,34
RC,250,Complera 200-25-300mg tab,545.0,354.25,94.29,545.0,34
RC,250,Cortisporin opth soln 7.5ml,682.0,443.3,117.99,682.0,34
RC,250,Cortisporin otic soln 10ml,492.0,319.8,85.12,492.0,34
RC,250,Cuprimine 250mg cap,754.0,490.1,130.44,754.0,34
RC,250,Custodiol HTK 2000ml IV,312.0,202.8,53.98,312.0,34
RC,250,Cyanide antidote,4507.0,2929.55,173.17,4507.0,34
RC,250,Cycloserine 250mg cap,260.0,169.0,44.98,260.0,34
RC,250,Cysteine HCL 500mg vl,322.0,209.3,55.71,322.0,34
RC,250,Darunavir 800mg tab,422.0,274.3,73.01,422.0,34
RC,250,Defibrotide 200mg/2.5ml IV,7783.0,5058.95,173.17,7783.0,34
RC,250,Del Nido cardioplegia solution,803.0,521.95,138.92,803.0,34
RC,250,Descovy 200 mg-25 mg tab,430.0,279.5,74.39,430.0,34
RC,250,Desmopressin 0.2mg tab,18.0,11.7,3.11,173.17,34
RC,250,Desmopressin nasal soln 2.5ml,794.0,516.1,137.36,794.0,34
RC,250,Desmopressin nasal spray 5ml,414.0,269.1,71.62,414.0,34
RC,250,Dexamethasone opth soln 5ml,201.0,130.65,34.77,201.0,34
RC,250,Dexmedetomidine 4mcg/ml 100 ml,932.0,605.8,161.24,932.0,34
RC,250,Dextrometho&quinidine 20mg cap,124.0,80.6,21.45,173.17,34
RC,250,Dextrose 25% 10ml ampule,223.0,144.95,38.58,223.0,34
RC,250,Dialys sol w dex 1.5% 2000ml,275.0,178.75,47.58,275.0,34
RC,250,Dialys sol w dex 4.25% 2000ml,141.0,91.65,24.39,173.17,34
RC,250,Dialys sol w/dex 1.5% 5000 Ml,332.0,215.8,57.44,332.0,34
RC,250,Diazepam soln 5mg/5ml oral,22.0,14.3,3.81,173.17,34
RC,250,Diazoxide 50mg/ml 1ml susp PO,68.0,44.2,11.76,173.17,34
RC,250,Diclegis 10-10 mg dr tab,33.0,21.45,5.71,173.17,34
RC,250,Diclofenac sodium 1% gel 100 g,75.0,48.75,12.98,173.17,34
RC,250,Diltiazem SR 60mg cap,16.0,10.4,2.77,173.17,34
RC,250,Dinoprostone 10mg supp vag,997.0,648.05,172.48,997.0,34
RC,250,Dinoprostone 20mg supp vag,4730.0,3074.5,173.17,4730.0,34
RC,250,Diphenhydramine 25mg cap UCP,1.0,0.65,0.17,173.17,34
RC,250,Diphenoxylate/atropine liq 10m,66.0,42.9,11.42,173.17,34
RC,250,Diprosone 0.05% oint 15g,176.0,114.4,30.45,176.0,34
RC,250,Dolutegravir 50 mg tab,441.0,286.65,76.29,441.0,34
RC,250,Dornase 1mg/ml 2.5ml inh,385.0,250.25,66.61,385.0,34
RC,250,Dorzolamide 2% eye 10ml,150.0,97.5,25.95,173.17,34
RC,250,Dorzolamide/timolol ophsol10ml,198.0,128.7,34.25,198.0,34
RC,250,Doxapram HCL 20mg/ml 20ml vial,686.0,445.9,118.68,686.0,34
RC,250,Dronedarone 400mg tab,61.0,39.65,10.55,173.17,34
RC,250,Duovisc kit,571.0,371.15,98.78,571.0,34
RC,250,Eltrombopag 25mg tab,579.0,376.35,100.17,579.0,34
RC,250,Enlon 10mg/ml 15ml inj,996.0,647.4,172.31,996.0,34
RC,250,Ephedrine 25 mg/5 ml inj,183.0,118.95,31.66,183.0,34
RC,250,Ephedrine Sulfate 50mg/10ml IV,399.0,259.35,69.03,399.0,34
RC,250,Ephedrine sulf 50mg/ml 1ml inj,138.0,89.7,23.87,173.17,34
RC,250,Ephedrine sulfate 50mg/ml IV,244.0,158.6,42.21,244.0,34
RC,250,Epidural drip- fentanyl/marcai,663.0,430.95,114.7,663.0,34
RC,250,Epifoam 10gm topical,237.0,154.05,41.0,237.0,34
RC,250,Epinephrine epipen 0.3mg inj,1806.0,1173.9,173.17,1806.0,34
RC,250,Epinephrine epipen 0.3mg inj UCP,799.0,519.35,138.23,799.0,34
RC,250,Epinephrine nasal 30ml,721.0,468.65,124.73,721.0,34
RC,250,Eslicarbazepine 200 mg tab,171.0,111.15,29.58,173.17,34
RC,250,Eslicarbazepine 600 mg tab,158.0,102.7,27.33,173.17,34
RC,250,Etravirine 200 mg tab,144.0,93.6,24.91,173.17,34
RC,250,Fat emulsions 20% 250ml,226.0,146.9,39.1,226.0,34
RC,250,Fentanyl 100 mcg patch,126.0,81.9,21.8,173.17,34
RC,250,Fentanyl 50mcg patch,72.0,46.8,12.46,173.17,34
RC,250,Fish oil 10gm/100ml inj emul,856.0,556.4,148.09,856.0,34
RC,250,Flovent HFA 110 inh aer 12gm,788.0,512.2,136.32,788.0,34
RC,250,Flovent diskus 250mcg 28 inh,445.0,289.25,76.99,445.0,34
RC,250,Flucytosine 250mg cap,137.0,89.05,23.7,173.17,34
RC,250,Fluorouracil Cream 0.5% 30 gm,2839.0,1845.35,173.17,2839.0,34
RC,250,Fluticasone nasal spray 16gm,90.0,58.5,15.57,173.17,34
RC,250,Fosfomycin tromethamine 3g pkt,300.0,195.0,51.9,300.0,34
RC,250,Fosphenytoin 10mg/1ml ped/neo,38.0,24.7,6.57,173.17,34
RC,250,Furosemide 40mg/4ml oral soln,14.0,9.1,2.42,173.17,34
RC,250,Furosemide 40mg/5ml soln,178.0,115.7,30.79,178.0,34
RC,250,Galantamine 4mg/ml 5ml soln,85.0,55.25,14.71,173.17,34
RC,250,Ganciclovir oph gel 0.15% 5gm,1854.0,1205.1,173.17,1854.0,34
RC,250,Gatifloxacin 0.5%oph sol 2.5ml,317.0,206.05,54.84,317.0,34
RC,250,Gebauers pain ease 108.5ml,115.0,74.75,19.9,173.17,34
RC,250,Gebauers pain ease 108.5ml UCP,57.0,37.05,9.86,173.17,34
RC,250,Gentamicin 0.1% 5gm topical,97.0,63.05,16.78,173.17,34
RC,250,Gentamicin 0.1% cream 30 gm,463.0,300.95,80.1,463.0,34
RC,250,Gentamicin opth oint 3.5gm,209.0,135.85,36.16,209.0,34
RC,250,Gentamicin opth oint 3.5gm UCP,94.0,61.1,16.26,173.17,34
RC,250,Gentamicin sulf 0.1% oint 15gm,265.0,172.25,45.85,265.0,34
RC,250,Genvoya 1 tablet,665.0,432.25,115.05,665.0,34
RC,250,Glycophos 1 mmol/ml 1ml inj,193.0,125.45,33.39,193.0,34
RC,250,Griseofulvin 250mg tab,41.0,26.65,7.09,173.17,34
RC,250,Guiafenesin/codeine syrup 5ml UCP,2.0,1.3,0.35,173.17,34
RC,250,Heparin 50 units/ml ped drip,166.0,107.9,28.72,173.17,34
RC,250,Hextend 6% lact elec 500ml,929.0,603.85,160.72,929.0,34
RC,250,Histatrol 0.1 ml syringe,87.0,56.55,15.05,173.17,34
RC,250,Hyaluronate 10mg/ml 0.4ml syr,1153.0,749.45,173.17,1153.0,34
RC,250,Hyaluronate 10mg/ml 0.85ml,1623.0,1054.95,173.17,1623.0,34
RC,250,Hyaluronate 16mg/ml 0.8ml syr,1830.0,1189.5,173.17,1830.0,34
RC,250,Hydrocortisone enema 60ml,116.0,75.4,20.07,173.17,34
RC,250,Hydroxyurea 100 mg/ml soln 5ml,82.0,53.3,14.19,173.17,34
RC,250,Ibuprofen lysine 20mg/2ml inj,4886.0,3175.9,173.17,4886.0,34
RC,250,Indocin 50 mg supp,626.0,406.9,108.3,626.0,34
RC,250,Indomethacin 0.5mg/ml 1mlpedIV,3185.0,2070.25,173.17,3185.0,34
RC,250,Indomethacin 1mg vial,4848.0,3151.2,173.17,4848.0,34
RC,250,Indomethacin 25mg/5ml liq,208.0,135.2,35.98,208.0,34
RC,250,Inhal nitric oxide per day,16256.0,10566.4,173.17,16256.0,34
RC,250,Insulin R100 units/100ml NS IV,160.0,104.0,27.68,173.17,34
RC,250,Insulin(HumulinR)100U/100ml IV,79.0,51.35,13.67,173.17,34
RC,250,Intralipid 20% 100ml IV,431.0,280.15,74.56,431.0,34
RC,250,KCL 10mEq/50ml IV,344.0,223.6,59.51,344.0,34
RC,250,Ketamine 100mg/ml 5ml,167.0,108.55,28.89,173.17,34
RC,250,Ketamine 10mg/ml 100ml cass,247.0,160.55,42.73,247.0,34
RC,250,Ketamine 10mg/ml 200ml cass,474.0,308.1,82.0,474.0,34
RC,250,Lacosamide 200mg/20ml oral sol,293.0,190.45,50.69,293.0,34
RC,250,Lansoprazole susp 3 mg/ml 1ml,504.0,327.6,87.19,504.0,34
RC,250,Lanthanum carbonate 1000mg tab,47.0,30.55,8.13,173.17,34
RC,250,Lapatinib ditosylate 250mg tab,316.0,205.4,54.67,316.0,34
RC,250,Letermovir 240mg tablets,1187.0,771.55,173.17,1187.0,34
RC,250,Letermovir 480mg tab,1309.0,850.85,173.17,1309.0,34
RC,250,Letermovir 480mg/24ml IV,4430.0,2879.5,173.17,4430.0,34
RC,250,Levocarnitine 1gm/5ml vial,533.0,346.45,92.21,533.0,34
RC,250,Levothyroxin 40mcg/ml1mlinjped,458.0,297.7,79.23,458.0,34
RC,250,Levothyroxine 500mcg vial,5020.0,3263.0,173.17,5020.0,34
RC,250,Lidocaine 5% patch,102.0,66.3,17.65,173.17,34
RC,250,Linezolid 100mg/5ml liq,131.0,85.15,22.66,173.17,34
RC,250,Liothyronine 10 mcg/1 ml inj,4960.0,3224.0,173.17,4960.0,34
RC,250,Loteprednol Etabonate gel0.5%5gm,654.0,425.1,113.14,654.0,34
RC,250,LumIgAn 0.01% oph soln 2.5ml,656.0,426.4,113.49,656.0,34
RC,250,Mannitol 20% 500ml bag,796.0,517.4,137.71,796.0,34
RC,250,Megestrol acetate 40mg/ml 10ml,67.0,43.55,11.59,173.17,34
RC,250,Meropenem 10mg/ml 1 ml ped IV,229.0,148.85,39.62,229.0,34
RC,250,Mesalamine 4g/60ml enema,76.0,49.4,13.15,173.17,34
RC,250,Mestinon 180mg cap SR,48.0,31.2,8.3,173.17,34
RC,250,Methacholine chloride inh kit,1067.0,693.55,173.17,1067.0,34
RC,250,Methoxsalen 10mL Vial,6379.0,4146.35,173.17,6379.0,34
RC,250,Methylergonovine 0.2mg tab,89.0,57.85,15.4,173.17,34
RC,250,Metronidazole vag 70g gel,526.0,341.9,91.0,526.0,34
RC,250,Morph(astramorph) 0.5mg/ml10ml,338.0,219.7,58.47,338.0,34
RC,250,Morphine 10mg supp,29.0,18.85,5.02,173.17,34
RC,250,Morphine sulf pf 2mg/2ml,127.0,82.55,21.97,173.17,34
RC,250,Moviprep powder kit,250.0,162.5,43.25,250.0,34
RC,250,Multitrace 5 1ml vial,185.0,120.25,32.01,185.0,34
RC,250,Nalbuphine HCL 3mg syr,683.0,443.95,118.16,683.0,34
RC,250,Nembutal 50mg/ml 1ml inj,681.0,442.65,117.81,681.0,34
RC,250,Nembutal/NS 5mg/ml 10ml sy,204.0,132.6,35.29,204.0,34
RC,250,Neoprofen/d5w 4mg/ml 1ml pedIV,1229.0,798.85,173.17,1229.0,34
RC,250,Netarsdil/latan0.02-0.005% drp,1017.0,661.05,173.17,1017.0,34
RC,250,Neupro 2 mg patch,129.0,83.85,22.32,173.17,34
RC,250,Nicardipine 1mg/10ml IV syr,481.0,312.65,83.21,481.0,34
RC,250,Nicardipine 2.5mg/ml 10ml IV,396.0,257.4,68.51,396.0,34
RC,250,Nicardipine 25mg/NS 250 ml IV,345.0,224.25,59.69,345.0,34
RC,250,Nimodipine 60mg/10ml oral sol,282.0,183.3,48.79,282.0,34
RC,250,Nitazoxanide 100mg/5ml60mlsusp,2058.0,1337.7,173.17,2058.0,34
RC,250,Odefsey Tablet,605.0,393.25,104.67,605.0,34
RC,250,Ofloxacin 0.3% ear drp 5ml flx,409.0,265.85,70.76,409.0,34
RC,250,Ondansetron 2mg/2.5ml liquid,106.0,68.9,18.34,173.17,34
RC,250,Ondansetron 2mg/2.5ml liquid UCP,65.0,42.25,11.25,173.17,34
RC,250,Onfi 5 mg tab,81.0,52.65,14.01,173.17,34
RC,250,Oxcarbazepine 300mg/5ml susp,476.0,309.4,82.35,476.0,34
RC,250,Oxycodone 20mg tab SR,53.0,34.45,9.17,173.17,34
RC,250,Oxycodone 40mg cr tab,69.0,44.85,11.94,173.17,34
RC,250,Oxycodone 80mg tab SR,148.0,96.2,25.6,173.17,34
RC,250,P.T.E 4 vial,180.0,117.0,31.14,180.0,34
RC,250,PN starter D10/heparin 250ml ped,321.0,208.65,55.53,321.0,34
RC,250,PPN 1000ml IV,3160.0,2054.0,173.17,3160.0,34
RC,250,PPN 2000ml IV,4254.0,2765.1,173.17,4254.0,34
RC,250,PPN 3000ml IV,5347.0,3475.55,173.17,5347.0,34
RC,250,Pacritinib 100mg oral cap,2000.0,1300.0,173.17,2000.0,34
RC,250,Pancuronium 10mg/10ml vial,86.0,55.9,14.88,173.17,34
RC,250,Pancuronium 2mg/ml 5ml vail,149.0,96.85,25.78,173.17,34
RC,250,Pegasys 180mcg/0.5ml 0.5ml syr,8927.0,5802.55,173.17,8927.0,34
RC,250,Pentamidine 300 mg inh vial,786.0,510.9,135.98,786.0,34
RC,250,Pentamidine 300 mgInh,836.0,543.4,144.63,836.0,34
RC,250,Pentamidine 300mg vial,2011.0,1307.15,173.17,2011.0,34
RC,250,Perampanel 12mg oral tab,514.0,334.1,88.92,514.0,34
RC,250,Perampanel 2mg oral tab,258.0,167.7,44.63,258.0,34
RC,250,Phenobarbital 10mg/ml 1mlpedIV,340.0,221.0,58.82,340.0,34
RC,250,Phenylephrine 2.5% ophsol 15ml,336.0,218.4,58.13,336.0,34
RC,250,Physostigmine 2mg/2ml ampule,1009.0,655.85,173.17,1009.0,34
RC,250,Pilocarpine 1% eye drops 15ml,289.0,187.85,50.0,289.0,34
RC,250,Pilocarpine 2% eye drops 15ml,287.0,186.55,49.65,287.0,34
RC,250,Pilocarpine h4% eye drops 15ml,297.0,193.05,51.38,297.0,34
RC,250,Pimecrolimus 1% cream 30gm,730.0,474.5,126.29,730.0,34
RC,250,Plenvu oral soln,200.0,130.0,34.6,200.0,34
RC,250,Polysporin oint 3.5g,154.0,100.1,26.64,173.17,34
RC,250,Poractant 120mg/1.5ml inj,5489.0,3567.85,173.17,5489.0,34
RC,250,Poractant 240mg/3ml inj,10319.0,6707.35,173.17,10319.0,34
RC,250,Posaconazole 100 mg dr tab,55.0,35.75,9.52,173.17,34
RC,250,Posaconazole 18mg/ml 16.7ml IV,5936.0,3858.4,173.17,5936.0,34
RC,250,Posaconazole 200mg/5ml susp,343.0,222.95,59.34,343.0,34
RC,250,Potassium acetate 2mEq/ml 20ml,80.0,52.0,13.84,173.17,34
RC,250,Potassium acetate 2mEq/ml 50ml,54.0,35.1,9.34,173.17,34
RC,250,Potassium aluminum 20gm intrv,1947.0,1265.55,173.17,1947.0,34
RC,250,Praziquantel 600mg tab,333.0,216.45,57.61,333.0,34
RC,250,Prednisolone acetate 0.12% oph,462.0,300.3,79.93,462.0,34
RC,250,Premarin 0.45mg tab,37.0,24.05,6.4,173.17,34
RC,250,Premarin 0.625mg/g vag cr 30gm,1295.0,841.75,173.17,1295.0,34
RC,250,Prepen skin test,1912.0,1242.8,173.17,1912.0,34
RC,250,Prezcobix 150 mg-800 mg tab,435.0,282.75,75.26,435.0,34
RC,250,Prezista 600mg tab,211.0,137.15,36.5,211.0,34
RC,250,Prochlorperazine 25mg supp,51.0,33.15,8.82,173.17,34
RC,250,Promethazine 12.5mg/50ml IVPB,56.0,36.4,9.69,173.17,34
RC,250,Pyridostigmine bromide60mg/5ml,46.0,29.9,7.96,173.17,34
RC,250,Pyrimethamine 25mg tablet,1984.0,1289.6,173.17,1984.0,34
RC,250,Qvar inhaler 40mcg/inh 8.7gm,575.0,373.75,99.48,575.0,34
RC,250,Qvar inhaler 80 mcg/inh 8.7gm,570.0,370.5,98.61,570.0,34
RC,250,Raltegravir 400mg tab,195.0,126.75,33.74,195.0,34
RC,250,Revonto 20 mg inj,1040.0,676.0,173.17,1040.0,34
RC,250,Ribavirin 6g/1 vial,164927.0,107202.55,173.17,164927.0,34
RC,250,Rifabutin oral susp 20mg/1ml,143.0,92.95,24.74,173.17,34
RC,250,Rifampin 150mg cap,25.0,16.25,4.33,173.17,34
RC,250,Rifampin 300mg cap,19.0,12.35,3.29,173.17,34
RC,250,Rifapentine 150mg tab,28.0,18.2,4.84,173.17,34
RC,250,Rifaximin 200mg tab,71.0,46.15,12.28,173.17,34
RC,250,Rilpivirine 25 mg tab,325.0,211.25,56.23,325.0,34
RC,250,Ritonavir 100mg oral powder,50.0,32.5,8.65,173.17,34
RC,250,Rivaroxaban 10mg tab,99.0,64.35,17.13,173.17,34
RC,250,Ruxolitinib 5mg oral tab,2720.0,1768.0,173.17,2720.0,34
RC,250,Ryanodex 250 mg inj,25784.0,16759.6,173.17,25784.0,34
RC,250,Salmetrol disk 50mcg 28 inh,958.0,622.7,165.73,958.0,34
RC,250,Sealant fibrin 1ml hmstt evcl,671.0,436.15,116.08,671.0,34
RC,250,Sealant fibrin 2ml 1501651,1292.0,839.8,173.17,1292.0,34
RC,250,Sealant fibrin Baxter 1506078,1078.0,700.7,173.17,1078.0,34
RC,250,Sealant fibrin Ethicon vst02,949.0,616.85,164.18,949.0,34
RC,250,Sealant fibrin spraytip3902asa,1178.0,765.7,173.17,1178.0,34
RC,250,Sealant fibrin spraytip3905asa,2709.0,1760.85,173.17,2709.0,34
RC,250,Sildenafil 0.8mg/ml 12.5ml inj,2168.0,1409.2,173.17,2168.0,34
RC,250,Sildenafil 20mg tab,6.0,3.9,1.04,173.17,34
RC,250,Sildenafil PO sus 2.5mg/ml 1ml,191.0,124.15,33.04,191.0,34
RC,250,Silvasorb wound gel 44.4 ml,107.0,69.55,18.51,173.17,34
RC,250,Silver coated antimicrobial dr,84.0,54.6,14.53,173.17,34
RC,250,Simethicone 125 mg chew tab,3.0,1.95,0.52,173.17,34
RC,250,Sinemet cr 50/200 tab,5.0,3.25,0.87,173.17,34
RC,250,Sitagliptin 100mg tab,91.0,59.15,15.74,173.17,34
RC,250,Smoflipid 1000ml emul,812.0,527.8,140.48,812.0,34
RC,250,Smoflipid 250 ML EMUL,357.0,232.05,61.76,357.0,34
RC,250,Sodium acetate 200meq/100ml IV,358.0,232.7,61.93,358.0,34
RC,250,Sodium acetate 2mEq/ml 50ml,255.0,165.75,44.12,255.0,34
RC,250,Sodium acetate1.54meq/Hep IV ped,73.0,47.45,12.63,173.17,34
RC,250,Sodium bicarbonate 4.2% 10ml,111.0,72.15,19.2,173.17,34
RC,250,Sodium bicarbonate 4.2% 5 ml,39.0,25.35,6.75,173.17,34
RC,250,Sodium bicarbonate 4.2% 5ml,339.0,220.35,58.65,339.0,34
RC,250,Sodium bicarbonate 8.4% 2.4 ml,130.0,84.5,22.49,173.17,34
RC,250,Sodium chloride 0.9% 125ml syr,121.0,78.65,20.93,173.17,34
RC,250,Sodium hyaluronate gv 1.4%,301.0,195.65,52.07,301.0,34
RC,250,Sodium nitroprusside20mg/100ml IV,619.0,402.35,107.09,619.0,34
RC,250,Sodium phenylbutyrate pwdr ped,12901.0,8385.65,173.17,12901.0,34
RC,250,Sodium tetradecyl 1% 2ml,1007.0,654.55,173.17,1007.0,34
RC,250,Sol IV amino acids 5.4% 250ml,231.0,150.15,39.96,231.0,34
RC,250,Sol cpd cell acda 500 abs10009,256.0,166.4,44.29,256.0,34
RC,250,Starter TPN D10W neo IV ped,641.0,416.65,110.89,641.0,34
RC,250,Starter TPN D5W neo IV ped,639.0,415.35,110.55,639.0,34
RC,250,StarterTPND10Wneo/heparinIVped,629.0,408.85,108.82,629.0,34
RC,250,Stelazine 5mg tab,8.0,5.2,1.38,173.17,34
RC,250,Sterile talc 4gm,489.0,317.85,84.6,489.0,34
RC,250,Stribild 150-150-200-300mg tab,628.0,408.2,108.64,628.0,34
RC,250,Stromectol 3mg tab,30.0,19.5,5.19,173.17,34
RC,250,Suboxone 8 mg-2 mg sl film,45.0,29.25,7.79,173.17,34
RC,250,Sucralfate 1g/10ml susp,42.0,27.3,7.27,173.17,34
RC,250,Sufentanil 100mcg ampule,114.0,74.1,19.72,173.17,34
RC,250,Sufentanil 50mcg/ml 5ml inj,197.0,128.05,34.08,197.0,34
RC,250,Sufentanil Citrate50mcgc/ml IV,70.0,45.5,12.11,173.17,34
RC,250,Sulfacetamide sod. 10% eye drp,327.0,212.55,56.57,327.0,34
RC,250,Sulfadiazine 500mg tab,108.0,70.2,18.68,173.17,34
RC,250,Symbicort 160/4.5mcg 6gm inh,552.0,358.8,95.5,552.0,34
RC,250,Symbicort 80/4.5mcg 6.9gm inh,398.0,258.7,68.85,398.0,34
RC,250,TPN electrolytes 20ml IV,101.0,65.65,17.47,173.17,34
RC,250,Tacrolimus 0.5mg cap,12.0,7.8,2.08,173.17,34
RC,250,Tacrolimus 100mg oral pwd peds,1711.0,1112.15,173.17,1711.0,34
RC,250,Tacrolimus250mg oral pwd peds,4277.0,2780.05,173.17,4277.0,34
RC,250,Tadalafil 20mg oral tab,2.5,1.63,0.43,173.17,34
RC,250,Tenofovir Alafenamide 25mg tab,323.0,209.95,55.88,323.0,34
RC,250,Tetrabenazine 12.5 mg tab,74.0,48.1,12.8,173.17,34
RC,250,Tetrabenazine 25 mg tab,118.0,76.7,20.41,173.17,34
RC,250,Thrombin bovine gel-flow kit,2144.0,1393.6,173.17,2144.0,34
RC,250,Thrombin recomb 20000 unit vl,4143.0,2692.95,173.17,4143.0,34
RC,250,Tisseel 10 ml fibrin sealant,3242.0,2107.3,173.17,3242.0,34
RC,250,Tisseel 10mlfibrn prefl1501263,3890.0,2528.5,173.17,3890.0,34
RC,250,Tisseel 2.0ml fibrin sealant,926.0,601.9,160.2,926.0,34
RC,250,Tisseel 2ml fibrn seal 1501261,945.0,614.25,163.49,945.0,34
RC,250,Tobradex eye ointment,1359.0,883.35,173.17,1359.0,34
RC,250,Tobramycin 0.3% opth oint,1276.0,829.4,173.17,1276.0,34
RC,250,Trace elements4 1ml IV,356.0,231.4,61.59,356.0,34
RC,250,Tranexamic Acid1000mg/100ml IV,305.0,198.25,52.77,305.0,34
RC,250,Tranexamic acid5% 10ml oral sol,139.0,90.35,24.05,173.17,34
RC,250,Tranylcypromine 10mg tablet,13.0,8.45,2.25,173.17,34
RC,250,Triamcinolone ace 0.1%454gm topical,93.0,60.45,16.09,173.17,34
RC,250,Triamcinolone dental paste,240.0,156.0,41.52,240.0,34
RC,250,Triamterene 50mg capsule,58.0,37.7,10.03,173.17,34
RC,250,Triesence 40mg/ml susp pf 1ml,10362.0,6735.3,173.17,10362.0,34
RC,250,Trifluoperazine 1mg tablet,7.0,4.55,1.21,173.17,34
RC,250,Triumeq 600-50-300 mg tab,557.0,362.05,96.36,557.0,34
RC,250,Trizivir tab,168.0,109.2,29.06,173.17,34
RC,250,Tuberculin purif pro 5 TU,162.0,105.3,28.03,173.17,34
RC,250,Uridine triacetate 10gm oral,17107.0,11119.55,173.17,17107.0,34
RC,250,Vancomycin 125mg/2.5ml PO liq,40.0,26.0,6.92,173.17,34
RC,250,Vancomycin HCL 125mg pulvule,20.0,13.0,3.46,173.17,34
RC,250,Vancomycin HCL 250mg pulvule,34.0,22.1,5.88,173.17,34
RC,250,Varenicline 0.5mg tab,49.0,31.85,8.48,173.17,34
RC,250,Vasocidin 0.25% eye drops 5ml,110.0,71.5,19.03,173.17,34
RC,250,Vasopressin 0.16 units/ml pedi,21.0,13.65,3.63,173.17,34
RC,250,Vasopressin 0.8 units/ml pedi,227.0,147.55,39.27,227.0,34
RC,250,Vasopressin/Nacl 0.9%2u ped IV,27.0,17.55,4.67,173.17,34
RC,250,Vecuronium 20mg vial,219.0,142.35,37.89,219.0,34
RC,250,Vecuronium bromide 10mg vial,98.0,63.7,16.95,173.17,34
RC,250,Venlafaxine XR 150mg capsule,4.0,2.6,0.69,173.17,34
RC,250,Ventavis 10 mcg/ml amp,388.0,252.2,67.12,388.0,34
RC,250,Verapamil 2.5mg/ml 4ml vial,444.0,288.6,76.81,444.0,34
RC,250,Vilazodone Hcl 20mg tab,59.0,38.35,10.21,173.17,34
RC,250,Vincristine liposomal 1mg inj,24369.0,15839.85,173.17,24369.0,34
RC,250,Viroptic 1% eye drops,893.0,580.45,154.49,893.0,34
RC,250,Viscoat 0.5ml syringe,2763.0,1795.95,173.17,2763.0,34
RC,250,Vosol ear drops 15ml,188.0,122.2,32.52,188.0,34
RC,250,Zidovudine 10mg/ml 5ml syr,212.0,137.8,36.68,212.0,34
RC,250,Zidovudine 4mg/ml 1ml syringe,367.0,238.55,63.49,367.0,34
RC,258,Fat emulsions 20% 250ml bag,661.0,429.65,114.35,661.0,34
RC,258,Fat emulsions 20% 500ml,482.0,313.3,83.39,482.0,34
RC,258,Fat emulsions 20% 500ml bag,588.0,382.2,101.72,588.0,34
RC,258,Hetastarch 6%/NS 500ml,219.0,142.35,37.89,219.0,34
RC,258,M.T.E 5 (trace elements),320.0,208.0,55.36,320.0,34
RC,258,Normosol-m/D5W 1000ml,332.0,215.8,57.44,332.0,34
RC,258,Plegisol soln 1000ml,879.0,571.35,152.07,879.0,34
RC,258,Potassium acetate 20mEq/10mlIV,153.0,99.45,26.47,173.17,34
RC,258,Potassium chloride/D5-0.33nac,33.0,21.45,5.71,173.17,34
RC,258,Procalamine 3% soln 1000ml,398.0,258.7,68.85,398.0,34
RC,258,Sildenafil 0.8mg/ml 1ml injped,280.0,182.0,48.44,280.0,34
RC,258,Sodium acetate 2mEq/ml 25ml IV,96.0,62.4,16.61,173.17,34
RC,258,Sodium chloride 0.45% 25ml,38.0,24.7,6.57,173.17,34
RC,258,TPN Neo/Ped 500ml,2735.0,1777.75,173.17,2735.0,34
RC,258,TPN adult 1000ml,3160.0,2054.0,173.17,3160.0,34
RC,258,TPN adult 2000ml,4254.0,2765.1,173.17,4254.0,34
RC,258,TPN adult 3000ml,5347.0,3475.55,173.17,5347.0,34
RC,259,Sirolimus 0.5mg oral tab,32.0,20.8,5.54,173.17,34
RC,270,Hypothrm blankt genthermcsz876,125.0,81.25,21.63,173.17,34
RC,271,Aerochamber dev/ mist,83.0,53.95,14.36,173.17,34
RC,271,Ankle cobb elevator ar865510,5300.0,3445.0,173.17,5300.0,34
RC,271,Antifog lapscp Conmed lapvue10,359.0,233.35,62.11,359.0,34
RC,271,Bag Infusor 1000mlhook etx4010,143.0,92.95,24.74,173.17,34
RC,271,Bag Infusor 3000ml 4030,428.0,278.2,74.04,428.0,34
RC,271,Bag Infusor 500ml In950012,304.0,197.6,52.59,304.0,34
RC,271,Bag Infusor 500ml hook 4005h,136.0,88.4,23.53,173.17,34
RC,271,Bag Infusor pressure 3l In9500,338.0,219.7,58.47,338.0,34
RC,271,Bag Infusor stop 1ml fczIt1002,116.0,75.4,20.07,173.17,34
RC,271,Bag Infusor stop500ml fczIt500,76.0,49.4,13.15,173.17,34
RC,271,Belt lumbar 2pull 10in 7989009,117.0,76.05,20.24,173.17,34
RC,271,Belt lumbar sacrl lg d13831007,197.0,128.05,34.08,197.0,34
RC,271,Belt pelvic stabilizatn tpodr,1464.0,951.6,173.17,1464.0,34
RC,271,Blanket hypo Gentherm 82276,187.0,121.55,32.35,187.0,34
RC,271,Blanket hypo lt blu 25x33 874,84.0,54.6,14.53,173.17,34
RC,271,Boot Bucks traction universal,100.0,65.0,17.3,173.17,34
RC,271,Boot Bunny Deroyal complete,210.0,136.5,36.33,210.0,34
RC,271,Boot Bunny Donjoy complete,199.0,129.35,34.43,199.0,34
RC,271,Boot cradle spant aid50644-515,283.0,183.95,48.96,283.0,34
RC,271,Boot multi podus lrg lmb 4301d,496.0,322.4,85.81,496.0,34
RC,271,Brace ankl stirup univ aircast,181.0,117.65,31.31,181.0,34
RC,271,Brace ankle airsport DJO 02rsl,333.0,216.45,57.61,333.0,34
RC,271,Brace back Isoform DJO 1116942,735.0,477.75,127.16,735.0,34
RC,271,Brace back Isoform DJO 1116962,1133.0,736.45,173.17,1133.0,34
RC,271,Brace harness pavil 5178/na/xs,590.0,383.5,102.07,590.0,34
RC,271,Brace harness pavlk 2970002454,717.0,466.05,124.04,717.0,34
RC,271,Brace harness pavlk 51968namd,485.0,315.25,83.91,485.0,34
RC,271,Brace hip DJO 113333,3005.0,1953.25,173.17,3005.0,34
RC,271,Brace knee hinged DJO 1106733,465.0,302.25,80.45,465.0,34
RC,271,Brace knee irom Donjoy long,1072.0,696.8,173.17,1072.0,34
RC,271,Brace knee irom Donjoy short,1129.0,733.85,173.17,1129.0,34
RC,271,Brace knee long post 7600breg,833.0,541.45,144.11,833.0,34
RC,271,Brace knee post DJO 1121819,991.0,644.15,171.44,991.0,34
RC,271,Brace knee rom short adj 7570,134.0,87.1,23.18,173.17,34
RC,271,Brace lumbarsacrl lso med male,2779.0,1806.35,173.17,2779.0,34
RC,271,Brace orth lg 1460tlsal,1930.0,1254.5,173.17,1930.0,34
RC,271,Brace pad thor lso strnl lg xl,526.0,341.9,91.0,526.0,34
RC,271,Brace thor LSO average sm,1425.0,926.25,173.17,1425.0,34
RC,271,Brace tlso S2S Global mts3315,2487.0,1616.55,173.17,2487.0,34
RC,271,Canister pump suct tub 7 paps3,3816.0,2480.4,173.17,3816.0,34
RC,271,Cannula set F Hematek stainer,285.0,185.25,49.31,285.0,34
RC,271,Cast air shoulder automt chill,764.0,496.6,132.17,764.0,34
RC,271,Cast bsn med 58050000,712.0,462.8,123.18,712.0,34
RC,271,Circuit resc tpiece m1091335vs,81.0,52.65,14.01,173.17,34
RC,271,Circuit tub Carefusion11437pmn,233.0,151.45,40.31,233.0,34
RC,271,Cochlear accsry earhk p1840394,401.0,260.65,69.37,401.0,34
RC,271,Cochlear p1757686,2344.0,1523.6,173.17,2344.0,34
RC,271,Cochlear procesr audio us3100,45548.0,29606.2,173.17,45548.0,34
RC,271,Cochlear procesr audio us8100,49075.0,31898.75,173.17,49075.0,34
RC,271,Collar Miami J lg xp34492500,937.0,609.05,162.1,937.0,34
RC,271,Collar Philadelphia 2 1/4 p,111.0,72.15,19.2,173.17,34
RC,271,Collar Philadelphia adjd104421,54.0,35.1,9.34,173.17,34
RC,271,Collar cerv & pad 1107ssspp,347.0,225.55,60.03,347.0,34
RC,271,Collar cerv adv univ 11341000,303.0,196.95,52.42,303.0,34
RC,271,Collar cerv adv univ 11342000,395.0,256.75,68.34,395.0,34
RC,271,Collar cerv adv wide 11343000,92.0,59.8,15.92,173.17,34
RC,271,Collar cerv contoured 11442000,370.0,240.5,64.01,370.0,34
RC,271,Collar cerv foam 15 m 1103spp,40.0,26.0,6.92,173.17,34
RC,271,Collar cerv rig lr3.25 1113lpp,101.0,65.65,17.47,173.17,34
RC,271,Collar cervical soft3 1/4 xlrg,61.0,39.65,10.55,173.17,34
RC,271,Collar pad miam j 0-6 34491950,871.0,566.15,150.68,871.0,34
RC,271,Collar soft 2 1/2 univ,39.0,25.35,6.75,173.17,34
RC,271,Collar soft cervical 3in large,48.0,31.2,8.3,173.17,34
RC,271,Collar soft cervical peds,110.0,71.5,19.03,173.17,34
RC,271,Collar stifneck peds,82.0,53.3,14.19,173.17,34
RC,271,Cradle arm compressin dm60034,172.0,111.8,29.76,173.17,34
RC,271,Drain bag CR Bard 154002,28.0,18.2,4.84,173.17,34
RC,271,Drsg Prevena canstr pre1095,266.0,172.9,46.02,266.0,34
RC,271,Drsg Tubegrip 2 3/4 sz c,407.0,264.55,70.41,407.0,34
RC,271,Drsg Tubegrip 4 sz f a43311,613.0,398.45,106.05,613.0,34
RC,271,Drsg Tubegrip3 1/2 sz e a43310,533.0,346.45,92.21,533.0,34
RC,271,Drsg Tubegrip4 1/2 sz g a43312,702.0,456.3,121.45,702.0,34
RC,271,Drsg Tubigrip 1m sTrl mhc1522,27.0,17.55,4.67,173.17,34
RC,271,Drsg Tubigrip 1mm mhc 1523,32.0,20.8,5.54,173.17,34
RC,271,Drsg Tubigrip 3 sz d a339,472.0,306.8,81.66,472.0,34
RC,271,Drsg Tubigrip b cv,21.0,13.65,3.63,173.17,34
RC,271,Drsg Tubigrip f knee lg a4335,665.0,432.25,115.05,665.0,34
RC,271,Drsg Vac blk med m8275052,440.0,286.0,76.12,440.0,34
RC,271,Drsg tubigrip Molnlycke HC1434,305.0,198.25,52.77,305.0,34
RC,271,Drsg tubigrip Molnlycke HC1437,269.0,174.85,46.54,269.0,34
RC,271,Drsg tubigrip Molnlycke HC1439,384.0,249.6,66.43,384.0,34
RC,271,Drsg tubigrip Molnlycke HC1443,236.0,153.4,40.83,236.0,34
RC,271,Electrode Quick combo edge,214.0,139.1,37.02,214.0,34
RC,271,Electrode Quick combo pedi,270.0,175.5,46.71,270.0,34
RC,271,Electrode loop 26thic 84261320,683.0,443.95,118.16,683.0,34
RC,271,Electrode quick combo pro2001m,202.0,131.3,34.95,202.0,34
RC,271,Elevator foot univ 6in m30206,131.0,85.15,22.66,173.17,34
RC,271,Ext fix black pin cap 5 290061,323.0,209.95,55.88,323.0,34
RC,271,Ext fix bolt Xlon wire71013000,3417.0,2221.05,173.17,3417.0,34
RC,271,Ext fix bolt cann wire 100600,573.0,372.45,99.13,573.0,34
RC,271,Ext fix bolt slotted wire 100700,646.0,419.9,111.76,646.0,34
RC,271,Ext fix cube ranch 1h 103451,2015.0,1309.75,173.17,2015.0,34
RC,271,Ext fix cube ranch 2h 103452,2292.0,1489.8,173.17,2292.0,34
RC,271,Ext fix cube ranch 3h 103453,2569.0,1669.85,173.17,2569.0,34
RC,271,Ext fix cube ranch 4h 103454,2663.0,1730.95,173.17,2663.0,34
RC,271,Ext fix cube ranch 5h 103455,2951.0,1918.15,173.17,2951.0,34
RC,271,Ext fix foot ring 155 71070144,11221.0,7293.65,173.17,11221.0,34
RC,271,Ext fix foot ring roc 71070365,10388.0,6752.2,173.17,10388.0,34
RC,271,Ext fix full ring130 71070113X,13920.0,9048.0,173.17,13920.0,34
RC,271,Ext fix hinge LoW prof 102500,1923.0,1249.95,173.17,1923.0,34
RC,271,Ext fix hinge conn 35 71070276,4282.0,2783.3,173.17,4282.0,34
RC,271,Ext fix hinge fem high 101700,1427.0,927.55,173.17,1427.0,34
RC,271,Ext fix hinge high prof 102501,2849.0,1851.85,173.17,2849.0,34
RC,271,Ext fix nut 10mm 103300,1076.0,699.4,173.17,1076.0,34
RC,271,Ext fix nut disraction 103302,1194.0,776.1,173.17,1194.0,34
RC,271,Ext fix post 2 h 101500,1911.0,1242.15,173.17,1911.0,34
RC,271,Ext fix post ranch 1h 71070273,2085.0,1355.25,173.17,2085.0,34
RC,271,Ext fix re clip sponge 102133,544.0,353.6,94.11,544.0,34
RC,271,Ext fix ring 1/2 130 71070123,13879.0,9021.35,173.17,13879.0,34
RC,271,Ext fix ring 2/3 130 71070133X,13297.0,8643.05,173.17,13297.0,34
RC,271,Ext fix rod 100mm thred 102302,434.0,282.1,75.08,434.0,34
RC,271,Ext fix rod 200mm thred 102305,595.0,386.75,102.94,595.0,34
RC,271,Ext fix rod 300mm thred 102312,762.0,495.3,131.83,762.0,34
RC,271,Ext fix rod 350mm thred 102313,847.0,550.55,146.53,847.0,34
RC,271,Ext fix rod 400mm thred 102314,932.0,605.8,161.24,932.0,34
RC,271,Ext fix rod 60mm thred 102300,349.0,226.85,60.38,349.0,34
RC,271,Ext fix rod telescop00 101105,11842.0,7697.3,173.17,11842.0,34
RC,271,Ext fix sleeve rancho 5 103405,1601.0,1040.65,173.17,1601.0,34
RC,271,Ext fix socket 20mm 100900,708.0,460.2,122.48,708.0,34
RC,271,Ext fix socket 60mm 100911,1005.0,653.25,173.17,1005.0,34
RC,271,Ext fix strut long 71070230,12964.0,8426.6,173.17,12964.0,34
RC,271,Ext fix strut long 71070730,13338.0,8669.7,173.17,13338.0,34
RC,271,Ext fix support 2 hoLES 101400,1591.0,1034.15,173.17,1591.0,34
RC,271,Ext fix support 3 hoLES 101401,1670.0,1085.5,173.17,1670.0,34
RC,271,Ext fix support 4 hoLES 101402,1825.0,1186.25,173.17,1825.0,34
RC,271,Ext fix washer 2 retane 102706,260.0,169.0,44.98,260.0,34
RC,271,Ext fix washer 2.0mm 102701,119.0,77.35,20.59,173.17,34
RC,271,Ext fix washer 20.0mm 201800,87.0,56.55,15.05,173.17,34
RC,271,Ext fix washer 4 retang 102707,4893.0,3180.45,173.17,4893.0,34
RC,271,Ext fix washer conical 201700,511.0,332.15,88.4,511.0,34
RC,271,Ext fix wire 1.8 olove 102107,2957.0,1922.05,173.17,2957.0,34
RC,271,Ext fix wire 1.8 smooth 102107,809.0,525.85,139.96,809.0,34
RC,271,Eye ndl strgt lf bl3318,1235.0,802.75,173.17,1235.0,34
RC,271,Fecal management flex syst,1297.0,843.05,173.17,1297.0,34
RC,271,Fecal managmnt flex sys 418000,1081.0,702.65,173.17,1081.0,34
RC,271,Fecal managmnt flex sys sms001,2455.0,1595.75,173.17,2455.0,34
RC,271,Fibulock remv kt Arthrexst6900,10653.0,6924.45,173.17,10653.0,34
RC,271,Halter repro special 6114-00,107.0,69.55,18.51,173.17,34
RC,271,Hypothermia Arctc set lg31709,11812.0,7677.8,173.17,11812.0,34
RC,271,Hypothermia Arctc set sm31705,11250.0,7312.5,173.17,11250.0,34
RC,271,Hypothermia Arctc set unv31700,3901.0,2535.65,173.17,3901.0,34
RC,271,Hypothermia blanket 25x64,118.0,76.7,20.41,173.17,34
RC,271,Hypothermia blanket adlt st060,103.0,66.95,17.82,173.17,34
RC,271,Hypothermia blanket pedi 55501,124.0,80.6,21.45,173.17,34
RC,271,Hypothermia cryopad 11x11 ct99,328.0,213.2,56.74,328.0,34
RC,271,Hypothermia pad 24x60 disp,192.0,124.8,33.22,192.0,34
RC,271,Hypothermia pad 24x60 lrg25125,195.0,126.75,33.74,195.0,34
RC,271,Immobilizer knee 12 1120917,268.0,174.2,46.36,268.0,34
RC,271,Immobilizer knee 14 cnv tri-pn,331.0,215.15,57.26,331.0,34
RC,271,Immobilizer knee 16 cnv 1162pp,142.0,92.3,24.57,173.17,34
RC,271,Immobilizer knee 16 med 20844,219.0,142.35,37.89,219.0,34
RC,271,Immobilizer shoulder sm 900102,67.0,43.55,11.59,173.17,34
RC,271,Immobilizer shouldr univ900900,163.0,105.95,28.2,173.17,34
RC,271,Lac breast adpt tub ameda10004,4.0,2.6,0.69,173.17,34
RC,271,Lac breast pump adpt cap623129,1.0,0.65,0.17,173.17,34
RC,271,Lac breast pump adpt sngl17141,8.0,5.2,1.38,173.17,34
RC,271,Lac breast pump adpt wht 10005,2.0,1.3,0.35,173.17,34
RC,271,Lac breast pump manu dl 67186c,31.0,20.15,5.36,173.17,34
RC,271,Lac breast pump manu dl6709906,41.0,26.65,7.09,173.17,34
RC,271,Lac breast pump manu syn67114c,46.0,29.9,7.96,173.17,34
RC,271,Lac breast pump mlk contr17152,47.0,30.55,8.13,173.17,34
RC,271,Lac breast pump piston 617607,23.0,14.95,3.98,173.17,34
RC,271,Lac breast pump pury4oz 17085m,383.0,248.95,66.26,383.0,34
RC,271,Lac breast pump suppl 00901s,45.0,29.25,7.79,173.17,34
RC,271,Lead accessory kit Medtr 6056m,315.0,204.75,54.5,315.0,34
RC,271,Manifold x4 verte 8g 605408000,4103.0,2666.95,173.17,4103.0,34
RC,271,Mask BIPAP vinyl petite 312122,138.0,89.7,23.87,173.17,34
RC,271,Mask CPAP lg BIPAP 1010871,255.0,165.75,44.12,255.0,34
RC,271,Mask CPAP lg BIPAP 1018587,239.0,155.35,41.35,239.0,34
RC,271,Mask CPAP lg adlt 60705,276.0,179.4,47.75,276.0,34
RC,271,Mask CPAP lg flp adj 012572,296.0,192.4,51.21,296.0,34
RC,271,Mask cpap down flow md lg 2222,229.0,148.85,39.62,229.0,34
RC,271,Mask cpap full face lg 1072629,294.0,191.1,50.86,294.0,34
RC,271,Nebulizer sidstrm mthpc 2175,12.0,7.8,2.08,173.17,34
RC,271,Neuro stim external 3531,4240.0,2756.0,173.17,4240.0,34
RC,271,O2 service daily,552.0,358.8,95.5,552.0,34
RC,271,Ortho cold tx 300plr c09330,795.0,516.75,137.54,795.0,34
RC,271,Ortho cooler portbl cold dt505,1713.0,1113.45,173.17,1713.0,34
RC,271,Ortho coolquilt optflx cq00004,189.0,122.85,32.7,189.0,34
RC,271,Ossur brace hip bil b465350072,1146.0,744.9,173.17,1146.0,34
RC,271,Ossur brace hip unl b465350030,7865.0,5112.25,173.17,7865.0,34
RC,271,Ossur brace knee post b8381470,893.0,580.45,154.49,893.0,34
RC,271,Ossur pad trochantr b465350066,191.0,124.15,33.04,191.0,34
RC,271,Ossur post op knee b8381082,253.0,164.45,43.77,253.0,34
RC,271,Ossur post op knee b8382082,337.0,219.05,58.3,337.0,34
RC,271,Ossur post op velcr pdb8380008,51.0,33.15,8.82,173.17,34
RC,271,Ossur strap hipthighb465350067,461.0,299.65,79.75,461.0,34
RC,271,Ossur strap rotationb465350064,749.0,486.85,129.58,749.0,34
RC,271,Ossur trousr hip unlb465350077,5289.0,3437.85,173.17,5289.0,34
RC,271,Ostomy belt 175507,15.0,9.75,2.6,173.17,34
RC,271,Ostomy belt Coloplast 4237,24.0,15.6,4.15,173.17,34
RC,271,Ostomy belt Coloplast 4247,29.0,18.85,5.02,173.17,34
RC,271,Ostomy pouc 1.75hioutput401557,14.0,9.1,2.42,173.17,34
RC,271,Ostomy pouch 9873 holl,36.0,23.4,6.23,173.17,34
RC,271,Ostomy pouch Coloplast 16778,11.0,7.15,1.9,173.17,34
RC,271,Ostomy pouch new image 2 19252,30.0,19.5,5.19,173.17,34
RC,271,Ostomy pouch preemie 70s1222,756.0,491.4,130.79,756.0,34
RC,271,Ostomy pouch uro 32mm 401929,7.0,4.55,1.21,173.17,34
RC,271,Ostomy pouch uro 57mm 401545,25.0,16.25,4.33,173.17,34
RC,271,Ostomy pouch uro 57mm 401554,78.0,50.7,13.49,173.17,34
RC,271,Ostomy pouch uro 70mm 401546,63.0,40.95,10.9,173.17,34
RC,271,Ostomy powder adhes 25510,6.0,3.9,1.04,173.17,34
RC,271,Ostomy seal Coloplast 12035,10.0,6.5,1.73,173.17,34
RC,271,Ostomy seal Coloplast 12045,18.0,11.7,3.11,173.17,34
RC,271,Pad Reston 1560m 3m m1560m,20.0,13.0,3.46,173.17,34
RC,271,Pad defib Medline mdspedphy,267.0,173.55,46.19,267.0,34
RC,271,Pad foam 8x9avoid pressur83sia,130.0,84.5,22.49,173.17,34
RC,271,Padding cast delta 2 7344300,56.0,36.4,9.69,173.17,34
RC,271,Padding cast delta 2in 734432,70.0,45.5,12.11,173.17,34
RC,271,Plug ear lowpress med e8801bc,405.0,263.25,70.07,405.0,34
RC,271,Polypectm tube fluid manag 112,882.0,573.3,152.59,882.0,34
RC,271,Positioner ultr core pink40544,198.0,128.7,34.25,198.0,34
RC,271,Positioner ultr core pink40545,408.0,265.2,70.58,408.0,34
RC,271,Pump pain progr prsnl thrp8835,7367.0,4788.55,173.17,7367.0,34
RC,271,Sandle insrt plastazot .25pink,152.0,98.8,26.3,173.17,34
RC,271,Sandle insrt plastazot .5white,208.0,135.2,35.98,208.0,34
RC,271,Sandle insrt plastazot.25white,112.0,72.8,19.38,173.17,34
RC,271,Sd stpl endowrist30cur 470530,1557.0,1012.05,173.17,1557.0,34
RC,271,Sd stpl endowrist30strt 470430,1470.0,955.5,173.17,1470.0,34
RC,271,Sensor elec mmg 286202108,3829.0,2488.85,173.17,3829.0,34
RC,271,Shoe wedge healing revers lrg,228.0,148.2,39.44,228.0,34
RC,271,Shoe wedge healing revers med,259.0,168.35,44.81,259.0,34
RC,271,Shoe wedge healing revers sm,126.0,81.9,21.8,173.17,34
RC,271,Sleeve compresion antiembol ty,668.0,434.2,115.56,668.0,34
RC,271,Sleeve knee elastic lrg 8in l,53.0,34.45,9.17,173.17,34
RC,271,Sling & swathe universal adlt,127.0,82.55,21.97,173.17,34
RC,271,Sling and swathe child 906601,95.0,61.75,16.44,173.17,34
RC,271,Sling arm elevator univ,59.0,38.35,10.21,173.17,34
RC,271,Sling cradle arm blu 582310,86.0,55.9,14.88,173.17,34
RC,271,Sling knee plstr lg 20in 56011,426.0,276.9,73.7,426.0,34
RC,271,Sling shoulder imob lg 902303,98.0,63.7,16.95,173.17,34
RC,271,Sling shoulder lg Ossur ssl,478.0,310.7,82.69,478.0,34
RC,271,Sling shoulder ultra lg8413130,510.0,331.5,88.23,510.0,34
RC,271,Sling shouldr imob DJO 7984017,50.0,32.5,8.65,173.17,34
RC,271,Sling shouldr ultra 110450406,707.0,459.55,122.31,707.0,34
RC,271,Sling shouldr ultra DJO 110210,1555.0,1010.75,173.17,1555.0,34
RC,271,Sling swathe pedi 16602259,169.0,109.85,29.24,173.17,34
RC,271,Smoke evac laser filter inline,213.0,138.45,36.85,213.0,34
RC,271,Specimen suct polyp trp 710201,1757.0,1142.05,173.17,1757.0,34
RC,271,Splint BSN Med 7800901,811.0,527.15,140.3,811.0,34
RC,271,Splint Freedom sm jtpo 8168s,89.0,57.85,15.4,173.17,34
RC,271,Splint JS BSN 7333,390.0,253.5,67.47,390.0,34
RC,271,Splint Oscarplus lg,427.0,277.55,73.87,427.0,34
RC,271,Splint S2S Global 506682,64.0,41.6,11.07,173.17,34
RC,271,Splint bsn med 7449803,424.0,275.6,73.35,424.0,34
RC,271,Splint bsn med 7449804,509.0,330.85,88.06,509.0,34
RC,271,Splint bsn med 7449805,624.0,405.6,107.95,624.0,34
RC,271,Splint bsn med og2l2,361.0,234.65,62.45,361.0,34
RC,271,Splint bsn med og3l2,502.0,326.3,86.85,502.0,34
RC,271,Splint bsn med og5l2,739.0,480.35,127.85,739.0,34
RC,271,Splint finger fold lg,13.0,8.45,2.25,173.17,34
RC,271,Splint immob knee 16 universal,160.0,104.0,27.68,173.17,34
RC,271,Splint immob knee 19 universal,178.0,115.7,30.79,178.0,34
RC,271,Splint immob knee 24 universal,225.0,146.25,38.93,225.0,34
RC,271,Splint intranasl Hucks Md ss50,2152.0,1398.8,173.17,2152.0,34
RC,271,Splint irom blck sm 1101702060,953.0,619.45,164.87,953.0,34
RC,271,Splint nasal Denver 1500,522.0,339.3,90.31,522.0,34
RC,271,Splint nasal Thermaplast,94.0,61.1,16.26,173.17,34
RC,271,Splint soft toe s-m-l 6207,158.0,102.7,27.33,173.17,34
RC,271,Splint wrist forearm left,80.0,52.0,13.84,173.17,34
RC,271,Splint wrist left 5066-93,96.0,62.4,16.61,173.17,34
RC,271,Splint wrist left lrg 513d71,77.0,50.05,13.32,173.17,34
RC,271,Splint wrist w/loop rt 874501,88.0,57.2,15.22,173.17,34
RC,271,Splint wrist/thum l lg12860107,194.0,126.1,33.56,194.0,34
RC,271,Stockinette BSN Med 7272302,146.0,94.9,25.26,173.17,34
RC,271,Stocking cmpr thg m shrt3310lf,55.0,35.75,9.52,173.17,34
RC,271,Stocking knee hi med long,22.0,14.3,3.81,173.17,34
RC,271,Strap clavical adult xl3004-05,65.0,42.25,11.25,173.17,34
RC,271,Strap clavical infant,75.0,48.75,12.98,173.17,34
RC,271,Strap clavical large,69.0,44.85,11.94,173.17,34
RC,271,Strap distract ank ascp ar1712,506.0,328.9,87.54,506.0,34
RC,271,Strap distraction ankle,672.0,436.8,116.26,672.0,34
RC,271,Strap knee-body 60x4 31142964,193.0,125.45,33.39,193.0,34
RC,271,Strap patella lg DJO 7980327,108.0,70.2,18.68,173.17,34
RC,271,Support arterial wrist adult,60.0,39.0,10.38,173.17,34
RC,271,Support back xsm bs1000-10,234.0,152.1,40.48,234.0,34
RC,271,Support elbow elastic lg600303,38.0,24.7,6.57,173.17,34
RC,271,Support knee lrg 4811007,85.0,55.25,14.71,173.17,34
RC,271,Support knee xlrg 4811008,90.0,58.5,15.57,173.17,34
RC,271,Supporter adult lr waist202636,99.0,64.35,17.13,173.17,34
RC,271,Supporter adult md waist202549,72.0,46.8,12.46,173.17,34
RC,271,Supporter adult sm waist202460,93.0,60.45,16.09,173.17,34
RC,271,Supporter athletc m sa1503whmd,201.0,130.65,34.77,201.0,34
RC,271,Supporter athletc s sa1503whsm,141.0,91.65,24.39,173.17,34
RC,271,Suspensory large 201255,109.0,70.85,18.86,173.17,34
RC,271,Suspensory medium 202262,66.0,42.9,11.42,173.17,34
RC,271,Suspensory xlr adj waist201352,135.0,87.75,23.36,173.17,34
RC,271,Tape paper micropore 1inx10yd,3.0,1.95,0.52,173.17,34
RC,271,Tape plastc transpor 1in 15271,5.0,3.25,0.87,173.17,34
RC,271,Trach bag aerotrach,19.0,12.35,3.29,173.17,34
RC,271,Transmittr pmkr Abbott ex1150,2099.0,1364.35,173.17,2099.0,34
RC,271,Tube chest drain peds 16100,352.0,228.8,60.9,352.0,34
RC,271,Tube laser J&J 2395j,129.0,83.85,22.32,173.17,34
RC,271,Vest cpt wrap lg 344p300632005,608.0,395.2,105.18,608.0,34
RC,271,Vest cpt wrap xl 344p300633000,679.0,441.35,117.47,679.0,34
RC,271,WayPoint templ fiducl 66daft02,466.0,302.9,80.62,466.0,34
RC,271,Wedge achilles large Breg 94,173.0,112.45,29.93,173.17,34
RC,271,Wrap calf bariatr 28 dvt60,49.0,31.85,8.48,173.17,34
RC,271,Wrap calf lg 24in grn vp501lg,16.0,10.4,2.77,173.17,34
RC,271,Wrap calf lrg 17-23 dvt20,42.0,27.3,7.27,173.17,34
RC,271,Wrap footflowtrn lr fg200r,43.0,27.95,7.44,173.17,34
RC,272,Access kit mas alif 6973450,14543.0,9452.95,173.17,14543.0,34
RC,272,Achille sut pars sys ar8860j,24857.0,16157.05,173.17,24857.0,34
RC,272,Adapter Olympus maj2319,2198.0,1428.7,173.17,2198.0,34
RC,272,Adhesive Bioglue 2ml bg3515us,8393.0,5455.45,173.17,8393.0,34
RC,272,Adhesive Dermabnd zip16 ps1160,947.0,615.55,163.83,947.0,34
RC,272,Adhesive Dermabond propen,290.0,188.5,50.17,290.0,34
RC,272,Adhesive bioglue 5ml bg35105us,33877.0,22020.05,173.17,33877.0,34
RC,272,Adhesive bioglue tip bgat27sy,7579.0,4926.35,173.17,7579.0,34
RC,272,Adhesive skin Prineo clr602us,1346.0,874.9,173.17,1346.0,34
RC,272,Allogrt bio mixr 3cc abs1000,2044.0,1328.6,173.17,2044.0,34
RC,272,Anchor clos fasc5-15 ncag5152u,826.0,536.9,142.9,826.0,34
RC,272,Anchor clos fasca8-15 ncag815u,561.0,364.65,97.05,561.0,34
RC,272,Anchor fix instr 520340,5173.0,3362.45,173.17,5173.0,34
RC,272,AngioVac circuit 20 h965251950,74124.0,48180.6,173.17,74124.0,34
RC,272,AngioVac circuit180 h965251960,73776.0,47954.4,173.17,73776.0,34
RC,272,Angiovac drain sys h965251920,66456.0,43196.4,173.17,66456.0,34
RC,272,Ankle talar reamer p10920tlrm,1932.0,1255.8,173.17,1932.0,34
RC,272,Ans accessr 30x60cm 1701,3131.0,2035.15,173.17,3131.0,34
RC,272,Anstm ast enclose II 4.0 en240,6084.0,3954.6,173.17,6084.0,34
RC,272,Applicator Evicel 35cm jj3908,382.0,248.3,66.09,382.0,34
RC,272,Applicator endo cannula JJ1995,495.0,321.75,85.64,495.0,34
RC,272,Applicator fibrn Ethicon 3922s,614.0,399.1,106.22,614.0,34
RC,272,Applicator surgiflo J&J ms1995,535.0,347.75,92.56,535.0,34
RC,272,Aquamantys endo Medtr 233201,7176.0,4664.4,173.17,7176.0,34
RC,272,Artho electr disc 3.0 ar9300ds,472.0,306.8,81.66,472.0,34
RC,272,Arthro electr ablat ar9809sj45,1131.0,735.15,173.17,1131.0,34
RC,272,Arthro irrig set 2 lead 2c4030,87.0,56.55,15.05,173.17,34
RC,272,Arthro irrig set 4 lead 2c4031,114.0,74.1,19.72,173.17,34
RC,272,Arthrogram disp tray 4325,88.0,57.2,15.22,173.17,34
RC,272,Arthroscop irrig outflow284610,427.0,277.55,73.87,427.0,34
RC,272,Aspirator nosecone 23khz c6623,20065.0,13042.25,173.17,20065.0,34
RC,272,Aspirator ultrasonic surg IL,7251.0,4713.15,173.17,7251.0,34
RC,272,Aspiratr Ultrechotip echohd22c,4335.0,2817.75,173.17,4335.0,34
RC,272,Aspiratr tube 23khz c3600,5090.0,3308.5,173.17,5090.0,34
RC,272,Aspiratr tube mrc Vers25210219,348.0,226.2,60.2,348.0,34
RC,272,Autologous Fib Royal Bio510359,19851.0,12903.15,173.17,19851.0,34
RC,272,BX transjug liver 18g 7f tl18c,4579.0,2976.35,173.17,4579.0,34
RC,272,Bag spec 100x10 trs100sbs,634.0,412.1,109.68,634.0,34
RC,272,Bag spec 175x15 trs175sb2,1292.0,839.8,173.17,1292.0,34
RC,272,Bag spec robotc 12mm trsrobo12,983.0,638.95,170.06,983.0,34
RC,272,Bal spine 10ga 10mm 1021010000,11126.0,7231.9,173.17,11126.0,34
RC,272,Bal spine 11ga 15mm 1021115000,12185.0,7920.25,173.17,12185.0,34
RC,272,Bal spine 13ga 10mm 1021310000,14427.0,9377.55,173.17,14427.0,34
RC,272,Balln esoph 12x15 hbd1213.515,2206.0,1433.9,173.17,2206.0,34
RC,272,Balloon sizing 47.5mm 3441c,4494.0,2921.1,173.17,4494.0,34
RC,272,Band ligatr 7 super m00542251,2509.0,1630.85,173.17,2509.0,34
RC,272,Bandage compresn 13in 92989902,1891.0,1229.15,173.17,1891.0,34
RC,272,Bandage compresn 8in 92989901,1584.0,1029.6,173.17,1584.0,34
RC,272,Battery driver Depuy 05000021s,2919.0,1897.35,173.17,2919.0,34
RC,272,Battery driver Stryker 6250113,2220.0,1443.0,173.17,2220.0,34
RC,272,Battery matrix pro 05000031s,4311.0,2802.15,173.17,4311.0,34
RC,272,Battery pack Osteomed pdbp0012,1162.0,755.3,173.17,1162.0,34
RC,272,Battery pack p drivr500000701s,2361.0,1534.65,173.17,2361.0,34
RC,272,Blade 4 mrcl recip 72203012,9339.0,6070.35,173.17,9339.0,34
RC,272,Blade aggr wide md 2108302000,318.0,206.7,55.01,318.0,34
RC,272,Blade bn S&N 72202531,1077.0,700.05,173.17,1077.0,34
RC,272,Blade cut arthro2.5mm275628000,3190.0,2073.5,173.17,3190.0,34
RC,272,Blade cut full2.5x7cm275627000,430.0,279.5,74.39,430.0,34
RC,272,Blade drmtm padgett 3539252,485.0,315.25,83.91,485.0,34
RC,272,Blade endoscopic gastroc310138,11923.0,7749.95,173.17,11923.0,34
RC,272,Blade eye mvr 25ga e7525,301.0,195.65,52.07,301.0,34
RC,272,Blade eye scrapr diamd 200423,6243.0,4057.95,173.17,6243.0,34
RC,272,Blade fan 30x30x.38 5400134279,441.0,286.65,76.29,441.0,34
RC,272,Blade helica 85 456302s,6944.0,4513.6,173.17,6944.0,34
RC,272,Blade helical depuy 456301s,8136.0,5288.4,173.17,8136.0,34
RC,272,Blade mako stryker 116170,3233.0,2101.45,173.17,3233.0,34
RC,272,Blade osteotomy saw hub800739s,1114.0,724.1,173.17,1114.0,34
RC,272,Blade quad cut4.3x13 1884380hr,2155.0,1400.75,173.17,2155.0,34
RC,272,Blade rasp 5100037114 STR,1147.0,745.55,173.17,1147.0,34
RC,272,Blade recipr tapr 27.0x.38 STR,802.0,521.3,138.75,802.0,34
RC,272,Blade sagit 25x9str312513790,608.0,395.2,105.18,608.0,34
RC,272,Blade saw Paragn28 p99151p105s,1937.0,1259.05,173.17,1937.0,34
RC,272,Blade saw Paragn28 p99151p106s,1995.0,1296.75,173.17,1995.0,34
RC,272,Blade saw oscil 16x14 ae,1402.0,911.3,173.17,1402.0,34
RC,272,Blade shaver Trudi 3mm tsb3str,2417.0,1571.05,173.17,2417.0,34
RC,272,Blade spiral retr 75 04013047s,6665.0,4332.25,173.17,6665.0,34
RC,272,Blade sw lng tpr 0.6 4512226sp,732.0,475.8,126.64,732.0,34
RC,272,Blade tfna helical90 04038390s,7574.0,4923.1,173.17,7574.0,34
RC,272,Blade thin Osteo 8x3 71369208,1254.0,815.1,173.17,1254.0,34
RC,272,Blade tip jplamsa33cm bvx330b,5459.0,3548.35,173.17,5459.0,34
RC,272,Blade tip jplas150cm bvx150bps,5512.0,3582.8,173.17,5512.0,34
RC,272,Blade tip jplasma15cm bvx150b,5088.0,3307.2,173.17,5088.0,34
RC,272,Blade torpedo Arthrex ar6420td,1013.0,658.45,173.17,1013.0,34
RC,272,Blade trct ang 22.5x4 1884030,2219.0,1442.35,173.17,2219.0,34
RC,272,Blade trephine 6.0 k20-2057,816.0,530.4,141.17,816.0,34
RC,272,Blade trephine 7.0 Hesburg bar,700.0,455.0,121.1,700.0,34
RC,272,Blade trephine 7.0 k20-2054,860.0,559.0,148.78,860.0,34
RC,272,Blade trephine p809605500,3858.0,2507.7,173.17,3858.0,34
RC,272,Blade tunnel cubital 096005,3318.0,2156.7,173.17,3318.0,34
RC,272,Blade u ti 10.5x85mm 30650085s,12509.0,8130.85,173.17,12509.0,34
RC,272,Blade xd 2.0 2.3 94mm 2554097,1041.0,676.65,173.17,1041.0,34
RC,272,Bladesaw caspar 5 5400134005,1834.0,1192.1,173.17,1834.0,34
RC,272,Bn angel pwr asp kit abs10062d,11271.0,7326.15,173.17,11271.0,34
RC,272,Bolt depuy 3120030,4175.0,2713.75,173.17,4175.0,34
RC,272,Bolt interlocking nut 3231006,2290.0,1488.5,173.17,2290.0,34
RC,272,Bolt mini 2.2mm cmb022,10357.0,6732.05,173.17,10357.0,34
RC,272,Bone Osteocool 10ga 095 ocn004,4240.0,2756.0,173.17,4240.0,34
RC,272,Bone access osteocol10g ocn002,4272.0,2776.8,173.17,4272.0,34
RC,272,Bone bio prep kit 206-71str,1034.0,672.1,173.17,1034.0,34
RC,272,Bone collectr-bx sys ANSPC,880.0,572.0,152.24,880.0,34
RC,272,Bone extremity implant kit ar,3127.0,2032.55,173.17,3127.0,34
RC,272,Bone fill dev Medtr 6550102,1095.0,711.75,173.17,1095.0,34
RC,272,Bone harvest Novastep g05s1006,9869.0,6414.85,173.17,9869.0,34
RC,272,Bone harvester 8mm abs800008,5989.0,3892.85,173.17,5989.0,34
RC,272,Bone harvesting & filtr352229s,3543.0,2302.95,173.17,3543.0,34
RC,272,Bone harvesting Depuy03404000s,20028.0,13018.2,173.17,20028.0,34
RC,272,Bone insertr button ar2262,1514.0,984.1,173.17,1514.0,34
RC,272,Bone insertr md 5mm 03820130s,2176.0,1414.4,173.17,2176.0,34
RC,272,Bone marrow Fres Kabi x6r2107,4450.0,2892.5,173.17,4450.0,34
RC,272,Bone marrw graft harvst5 bh210,14533.0,9446.45,173.17,14533.0,34
RC,272,Bone marrw royal bio mxc2,15802.0,10271.3,173.17,15802.0,34
RC,272,Bone repair ACL acces ar215430,2271.0,1476.15,173.17,2271.0,34
RC,272,Bone repair ACL disp cm1501,4017.0,2611.05,173.17,4017.0,34
RC,272,Bone repair ACL inside ar1587s,5014.0,3259.1,173.17,5014.0,34
RC,272,Bone repair ac disp ar2271,11687.0,7596.55,173.17,11687.0,34
RC,272,Bone repair acl disp 110102000,4664.0,3031.6,173.17,4664.0,34
RC,272,Bone tip 11 cut aggr5450815114,7421.0,4823.65,173.17,7421.0,34
RC,272,Bone tip 11 cut serr5450800107,6827.0,4437.55,173.17,6827.0,34
RC,272,Bone tip 20 micr clw5450800304,10806.0,7023.9,173.17,10806.0,34
RC,272,Bone tip 20 sft barr5450800317,9303.0,6046.95,173.17,9303.0,34
RC,272,Bone tip 20 soft tis5450800301,8947.0,5815.55,173.17,8947.0,34
RC,272,Bone tip abl cut pay5450800312,7507.0,4879.55,173.17,7507.0,34
RC,272,Bone tip abl cut spt5450800315,8351.0,5428.15,173.17,8351.0,34
RC,272,Bone tip ablt str lg5450800308,6493.0,4220.45,173.17,6493.0,34
RC,272,Bonegraft marrow asp 1200bmak,396.0,257.4,68.51,396.0,34
RC,272,Bonevoid tray Bonesupp a0513,3618.0,2351.7,173.17,3618.0,34
RC,272,Bowl bn mill Midax Rex bm210,2397.0,1558.05,173.17,2397.0,34
RC,272,Brain bx guide trajectr9733066,12450.0,8092.5,173.17,12450.0,34
RC,272,Breast bx Hologic atec091412mr,3244.0,2108.6,173.17,3244.0,34
RC,272,Breast bx Hologic brevdisp09,12102.0,7866.3,173.17,12102.0,34
RC,272,Breast intr 9 Hologic ai091220,218.0,141.7,37.71,218.0,34
RC,272,Breast sizer 530 memor rsz1508,2756.0,1791.4,173.17,2756.0,34
RC,272,Bronchoscope Monarch mbr00211,12070.0,7845.5,173.17,12070.0,34
RC,272,Brush cyto Monarch mbr00015,819.0,532.35,141.69,819.0,34
RC,272,Bscope large Ambu 478001000,2982.0,1938.3,173.17,2982.0,34
RC,272,Bscope large ambu 478101000,4593.0,2985.45,173.17,4593.0,34
RC,272,Bscope slim ambu 476101000,4890.0,3178.5,173.17,4890.0,34
RC,272,Bskt extrac stone 5f g48277,3072.0,1996.8,173.17,3072.0,34
RC,272,Bur Legend cylindr 5mm 9cy50,1536.0,998.4,173.17,1536.0,34
RC,272,Bur Legend diamnd mh 9mh30d,1821.0,1183.65,173.17,1821.0,34
RC,272,Bur Legend diamnd2.5mm t9mh25d,1801.0,1170.65,173.17,1801.0,34
RC,272,Bur Legend gall carbid7ba50cmn,1474.0,958.1,173.17,1474.0,34
RC,272,Bur Legend id hs 10.8mm 9hs108,2329.0,1513.85,173.17,2329.0,34
RC,272,Bur Legend markr h 10mm 9hm100,2054.0,1335.1,173.17,2054.0,34
RC,272,Bur Legend mh 9cm 1.5mm t9mh15,1587.0,1031.55,173.17,1587.0,34
RC,272,Bur Legend oval9cm 5.5mm 9ov55,1607.0,1044.55,173.17,1607.0,34
RC,272,Bur bal Legend diamnd 75ba40dl,1964.0,1276.6,173.17,1964.0,34
RC,272,Bur bal Legend diamnd 7ba25dmn,1556.0,1011.4,173.17,1556.0,34
RC,272,Bur bal Legend diamnd 9ba30dc,1902.0,1236.3,173.17,1902.0,34
RC,272,Bur bal Legend diamnd 9ba40dx,1882.0,1223.3,173.17,1882.0,34
RC,272,Bur bal Legend diamnd75ba10dcl,1516.0,985.4,173.17,1516.0,34
RC,272,Bur bal Legend diamnd75ba10dlf,1487.0,966.55,173.17,1487.0,34
RC,272,Bur bal Legend diamnd7ba20dcmn,1567.0,1018.55,173.17,1567.0,34
RC,272,Bur bal Legend fluted 75mh30,1392.0,904.8,173.17,1392.0,34
RC,272,Bur bal Legend mednext 7ba05mn,1434.0,932.1,173.17,1434.0,34
RC,272,Bur bal Legend symme tri9ba30t,1983.0,1288.95,173.17,1983.0,34
RC,272,Bur bal Legend symmetri75ba30t,1716.0,1115.4,173.17,1716.0,34
RC,272,Bur bal Legend symmetri75ba75t,1773.0,1152.45,173.17,1773.0,34
RC,272,Bur bal acorn mednext 7ac60mn,1505.0,978.25,173.17,1505.0,34
RC,272,Bur carbide  2.1mm 0277010421,103.0,66.95,17.82,173.17,34
RC,272,Bur egg oval 0277010062 str,324.0,210.6,56.05,324.0,34
RC,272,Bur legend flutd 2.3mm 15ta23l,1699.0,1104.35,173.17,1699.0,34
RC,272,Burr 1.5mm side cut 5019-204,83.0,53.95,14.36,173.17,34
RC,272,Burr 1.6 short OSTE 3116,537.0,349.05,92.9,537.0,34
RC,272,Burr 1.6x65mm 455-5702,423.0,274.95,73.18,423.0,34
RC,272,Burr 10flut Conmed 00509223000,288.0,187.2,49.82,288.0,34
RC,272,Burr 3.2mm round 1608211,562.0,365.3,97.23,562.0,34
RC,272,Burr 3mm xmed30115e,2441.0,1586.65,173.17,2441.0,34
RC,272,Burr 4.0mm egg 1607235,566.0,367.9,97.92,566.0,34
RC,272,Burr 4mm sharp 31214053u,601.0,390.65,103.97,601.0,34
RC,272,Burr 6mm m-6b Anspch,830.0,539.5,143.59,830.0,34
RC,272,Burr 702 1.6x65 OSTE 5702-sp,273.0,177.45,47.23,273.0,34
RC,272,Burr 8 flut Conmed 00509223600,268.0,174.2,46.36,268.0,34
RC,272,Burr Acorn Stryker 5220030575,1437.0,934.05,173.17,1437.0,34
RC,272,Burr Acorn Stryker 5230030060,1071.0,696.15,173.17,1071.0,34
RC,272,Burr Legend 10bL Mdsrx 14ba60d,1852.0,1203.8,173.17,1852.0,34
RC,272,Burr Legend 4x8 Mdsrx 8td134,1224.0,795.6,173.17,1224.0,34
RC,272,Burr Legend 6baL Mdsr 14ba60dc,1910.0,1241.5,173.17,1910.0,34
RC,272,Burr Lindemann 2.2 med STRY,668.0,434.2,115.56,668.0,34
RC,272,Burr Mica cutting 57sc320l,4569.0,2969.85,173.17,4569.0,34
RC,272,Burr Stryker 5120071223,1415.0,919.75,173.17,1415.0,34
RC,272,Burr acorn lng 6.5 st513030165,992.0,644.8,171.62,992.0,34
RC,272,Burr bal diam Medtr mr87ba10dl,1990.0,1293.5,173.17,1990.0,34
RC,272,Burr bal legend 12x2.5 t12mh25,1629.0,1058.85,173.17,1629.0,34
RC,272,Burr ball 14x3mm 14ba30,1770.0,1150.5,173.17,1770.0,34
RC,272,Burr ball Medtr 14ba50,1810.0,1176.5,173.17,1810.0,34
RC,272,Burr ball crvd 9x2mm cb09ba20,3228.0,2098.2,173.17,3228.0,34
RC,272,Burr ball fltd 3mm Ansp 15cm,1014.0,659.1,173.17,1014.0,34
RC,272,Burr ball fluted 10cmx4mm,1658.0,1077.7,173.17,1658.0,34
RC,272,Burr ball fluted 10cmx5mm,1597.0,1038.05,173.17,1597.0,34
RC,272,Burr ball legend 12x3mm 12mh30,1496.0,972.4,173.17,1496.0,34
RC,272,Burr ball legend 12x4mm 12ba40,1638.0,1064.7,173.17,1638.0,34
RC,272,Burr barrel 2.9 72201520,752.0,488.8,130.1,752.0,34
RC,272,Burr barrel 5 12flut 375951112,736.0,478.4,127.33,736.0,34
RC,272,Burr barrel 6 p991066005s,1330.0,864.5,173.17,1330.0,34
RC,272,Burr barrel 6mm lng agress,1112.0,722.8,173.17,1112.0,34
RC,272,Burr barrel cut 3mm 1883040brc,3815.0,2479.75,173.17,3815.0,34
RC,272,Burr conical Arthrex ar300b004,3710.0,2411.5,173.17,3710.0,34
RC,272,Burr cover Medtr b31000,2098.0,1363.7,173.17,2098.0,34
RC,272,Burr cover Stryker 5334510,2498.0,1623.7,173.17,2498.0,34
RC,272,Burr cover Stryker 5334614,2686.0,1745.9,173.17,2686.0,34
RC,272,Burr cover hole suretk db4600c,5300.0,3445.0,173.17,5300.0,34
RC,272,Burr cross cut 2.1mm,75.0,48.75,12.98,173.17,34
RC,272,Burr cross xcut strl4512052sp,1594.0,1036.1,173.17,1594.0,34
RC,272,Burr curv rad55 30k 1883655brc,3831.0,2490.15,173.17,3831.0,34
RC,272,Burr curv septo 12 deg,1464.0,951.6,173.17,1464.0,34
RC,272,Burr cut 15x4 1884075hse,3520.0,2288.0,173.17,3520.0,34
RC,272,Burr cut 4mm 313140530,3609.0,2345.85,173.17,3609.0,34
RC,272,Burr cut flex 4.5mm ct0239,5660.0,3679.0,173.17,5660.0,34
RC,272,Burr cut rnd 1mm,499.0,324.35,86.33,499.0,34
RC,272,Burr cut rnd 64mm,522.0,339.3,90.31,522.0,34
RC,272,Burr cyl Medtr mr810cy40,1957.0,1272.05,173.17,1957.0,34
RC,272,Burr diamnd long fine 3mm medt,1449.0,941.85,173.17,1449.0,34
RC,272,Burr diamnd long fine 4mm medt,1479.0,961.35,173.17,1479.0,34
RC,272,Burr diamnd rnd med2 530010303,546.0,354.9,94.46,546.0,34
RC,272,Burr diamnd.8mm med 512013025,1337.0,869.05,173.17,1337.0,34
RC,272,Burr diamond ball 6x14 14ba50d,1921.0,1248.65,173.17,1921.0,34
RC,272,Burr diamond cutter 4mm dia,270.0,175.5,46.71,270.0,34
RC,272,Burr diamond head12cm t12mh30d,1739.0,1130.35,173.17,1739.0,34
RC,272,Burr diamond oval 4x8 5092-170,528.0,343.2,91.34,528.0,34
RC,272,Burr diamond rnd 3.5x59 o 5035,840.0,546.0,145.32,840.0,34
RC,272,Burr diamond rnd 4.0mm,365.0,237.25,63.15,365.0,34
RC,272,Burr diamond rnd long 3mm str,1256.0,816.4,173.17,1256.0,34
RC,272,Burr diamond scrapr membrn 25g,1389.0,902.85,173.17,1389.0,34
RC,272,Burr dissectr mdsrx 1.6 mc16,2350.0,1527.5,173.17,2350.0,34
RC,272,Burr egg 4.0mm 58201540 STRY,1489.0,967.85,173.17,1489.0,34
RC,272,Burr egg 4mm 1607002035,577.0,375.05,99.82,577.0,34
RC,272,Burr flute 4.0,849.0,551.85,146.88,849.0,34
RC,272,Burr irrig rhinoplast 3.2tardy,1931.0,1255.15,173.17,1931.0,34
RC,272,Burr long round 3.0mm zb-226,112.0,72.8,19.38,173.17,34
RC,272,Burr long strt 1.3x9.9 l13s,252.0,163.8,43.6,252.0,34
RC,272,Burr matchstk fltd3mm ans l8ns,1523.0,989.95,173.17,1523.0,34
RC,272,Burr mica 2x8 sgl use 57sc0208,4145.0,2694.25,173.17,4145.0,34
RC,272,Burr oto flex carbide violet,1606.0,1043.9,173.17,1606.0,34
RC,272,Burr oval 4.0mm zb-136,143.0,92.95,24.74,173.17,34
RC,272,Burr oval 5.5x10mm long,287.0,186.55,49.65,287.0,34
RC,272,Burr oval long 4mm oste 6140,638.0,414.7,110.37,638.0,34
RC,272,Burr oval long 4x8mm,266.0,172.9,46.02,266.0,34
RC,272,Burr payner 360 3x3 5450800312,5077.0,3300.05,173.17,5077.0,34
RC,272,Burr payner 360 7x3 5450800302,9941.0,6461.65,173.17,9941.0,34
RC,272,Burr pineapple 6mm 3160 OSTE,1017.0,661.05,173.17,1017.0,34
RC,272,Burr powerasp 4x13cm ar8400pr,1427.0,927.55,173.17,1427.0,34
RC,272,Burr powerasp 5.5x13 ar8550pr,1297.0,843.05,173.17,1297.0,34
RC,272,Burr powermini abradr 72201518,5652.0,3673.8,173.17,5652.0,34
RC,272,Burr rnd 2.3x51 ent MED,2257.0,1467.05,173.17,2257.0,34
RC,272,Burr rnd 5.0,921.0,598.65,159.33,921.0,34
RC,272,Burr rnd carbide 4.0 277010240,376.0,244.4,65.05,376.0,34
RC,272,Burr rnd fltd5.5med 5320010055,1350.0,877.5,173.17,1350.0,34
RC,272,Burr rnd flut 5.0 med tps STRY,1015.0,659.75,173.17,1015.0,34
RC,272,Burr round 4 6 flute 375940000,713.0,463.45,123.35,713.0,34
RC,272,Burr round 4.0 6 flute STRY,682.0,443.3,117.99,682.0,34
RC,272,Burr round 4mm 5300010307,791.0,514.15,136.84,791.0,34
RC,272,Burr round 5.5 12flut 37590012,710.0,461.5,122.83,710.0,34
RC,272,Burr round 6.5mm,135.0,87.75,23.36,173.17,34
RC,272,Burr round diamod 5.0 med STRY,1176.0,764.4,173.17,1176.0,34
RC,272,Burr round diamod 5.0cr m STRY,1194.0,776.1,173.17,1194.0,34
RC,272,Burr round diamod 6.0 lng STRY,1229.0,798.85,173.17,1229.0,34
RC,272,Burr round diamond 2.0x51mm,1469.0,954.85,173.17,1469.0,34
RC,272,Burr round extended 3mm,1089.0,707.85,173.17,1089.0,34
RC,272,Burr round flut 6.0 med STRY,920.0,598.0,159.16,920.0,34
RC,272,Burr router Crain 1.85x16acrn,897.0,583.05,155.18,897.0,34
RC,272,Burr shaver S&N 72200730,926.0,601.9,160.2,926.0,34
RC,272,Burr shaver abrs 2mm 275641000,3377.0,2195.05,173.17,3377.0,34
RC,272,Burr stand 592705000,2028.0,1318.2,173.17,2028.0,34
RC,272,Burr stand 6mm 31316046u,750.0,487.5,129.75,750.0,34
RC,272,Burr surg 18.5x9mm km3105,96.0,62.4,16.61,173.17,34
RC,272,Burr surg 6 flute 06c0619,116.0,75.4,20.07,173.17,34
RC,272,Burr surg 8 flute kms951703ln,34.0,22.1,5.88,173.17,34
RC,272,Burr surg 8 flute ov kms95901n,57.0,37.05,9.86,173.17,34
RC,272,Burr surg Stryker 5130071223s1,3262.0,2120.3,173.17,3262.0,34
RC,272,Burr surg round diamond 03d013,162.0,105.3,28.03,173.17,34
RC,272,Burr surg stryker 1608006093,829.0,538.85,143.42,829.0,34
RC,272,Burr tap diam 70d 1884070rtd,3947.0,2565.55,173.17,3947.0,34
RC,272,Burr taper 8cmx1.1,1200.0,780.0,173.17,1200.0,34
RC,272,Burr taper 8cmx2.3,1343.0,872.95,173.17,1343.0,34
RC,272,Burr taper Legend 3x90 f39ta30,1618.0,1051.7,173.17,1618.0,34
RC,272,Burr xl round 4mm 485840000,3057.0,1987.05,173.17,3057.0,34
RC,272,Bx cup Monarch mbr00014,1054.0,685.1,173.17,1054.0,34
RC,272,Bx ndl nv ipasIII diam 2010028,3342.0,2172.3,173.17,3342.0,34
RC,272,Cable EP cath 10 densinqodcbl,4388.0,2852.2,173.17,4388.0,34
RC,272,Cable adapter disp adap2000,282.0,183.3,48.79,282.0,34
RC,272,Cable arthx 495nd,6996.0,4547.4,173.17,6996.0,34
RC,272,Cable arthx ar32405027,5289.0,3437.85,173.17,5289.0,34
RC,272,Cable cocr clamp 2mm 71340007,5783.0,3758.95,173.17,5783.0,34
RC,272,Cable ext disp surg 4042,1006.0,653.9,173.17,1006.0,34
RC,272,Cable lite disp 48851313a,10664.0,6931.6,173.17,10664.0,34
RC,272,Cable quick cabri lsrl32bdin10,8964.0,5826.6,173.17,8964.0,34
RC,272,Cable quick cabri lsrl64bdin10,14106.0,9168.9,173.17,14106.0,34
RC,272,Cable quick cabrio lsrl4din10,3498.0,2273.7,173.17,3498.0,34
RC,272,Cable quick cabrio lsrl8din10,4208.0,2735.2,173.17,4208.0,34
RC,272,Cable stryker 67049460,12838.0,8344.7,173.17,12838.0,34
RC,272,Cable stryker 67049715,14992.0,9744.8,173.17,14992.0,34
RC,272,Cann Advanced 8096048,2673.0,1737.45,173.17,2673.0,34
RC,272,Cann Arterial perf opti18,2655.0,1725.75,173.17,2655.0,34
RC,272,Cann Medtr 30212,2322.0,1509.3,173.17,2322.0,34
RC,272,Cann Medtr 96570117,3253.0,2114.45,173.17,3253.0,34
RC,272,Cann Medtr 96880021,4430.0,2879.5,173.17,4430.0,34
RC,272,Cann access ivas 8g 306080000,692.0,449.8,119.72,692.0,34
RC,272,Cann arterial 18fr 11018a,2224.0,1445.6,173.17,2224.0,34
RC,272,Cann arterial flex8f femii008a,1683.0,1093.95,173.17,1683.0,34
RC,272,Cann asp AngioDyn h787253000,38340.0,24921.0,173.17,38340.0,34
RC,272,Cann driver bit hex 231201240,1865.0,1212.25,173.17,1865.0,34
RC,272,Cann fem Medtr 96600119,4407.0,2864.55,173.17,4407.0,34
RC,272,Cann obtur Stryker cat02439,4058.0,2637.7,173.17,4058.0,34
RC,272,Cann open J&J 279726500,5390.0,3503.5,173.17,5390.0,34
RC,272,Cann perfus 32fr 16in venous,372.0,241.8,64.36,372.0,34
RC,272,Cann thorac 13fr 31.8 94113tdt,4197.0,2728.05,173.17,4197.0,34
RC,272,Cann verteport 11ga 306511000,699.0,454.35,120.93,699.0,34
RC,272,Cann verteport ivas8 306310000,703.0,456.95,121.62,703.0,34
RC,272,Cannula nasal bio 17fr96530117,3883.0,2523.95,173.17,3883.0,34
RC,272,Cannula nasal junior lg ojr416,473.0,307.45,81.83,473.0,34
RC,272,Cannula perfusion artery 3fr,425.0,276.25,73.53,425.0,34
RC,272,Cannula venous singl 32f 66132,299.0,194.35,51.73,299.0,34
RC,272,Cardioblate pen xl 60814,11328.0,7363.2,173.17,11328.0,34
RC,272,Cardioplegia mang inf mis004,766.0,497.9,132.52,766.0,34
RC,272,Cartridge SSO2 Zoll 900290002,35017.0,22761.05,173.17,35017.0,34
RC,272,Catcher Stone bs,762.0,495.3,131.83,762.0,34
RC,272,Cath 5.0 20 100 pig marker de,808.0,525.2,139.78,808.0,34
RC,272,Cath 501J,363.0,235.95,62.8,363.0,34
RC,272,Cath 5fr cardiac multi cp0208,249.0,161.85,43.08,249.0,34
RC,272,Cath 6.0 Jl 6.0 100 533624,84.0,54.6,14.53,173.17,34
RC,272,Cath 6fr jl 3.0 srd6979,95.0,61.75,16.44,173.17,34
RC,272,Cath Abbott ds3h01038,17755.0,11540.75,173.17,17755.0,34
RC,272,Cath AngioDyn h787ct80lppdvi0,1893.0,1230.45,173.17,1893.0,34
RC,272,Cath AngioDyn h965105251,782.0,508.3,135.29,782.0,34
RC,272,Cath CV feml aspr 5.8 581jscj,918.0,596.7,158.81,918.0,34
RC,272,Cath Cardinal 8887664224,70.0,45.5,12.11,173.17,34
RC,272,Cath Edw Lifesc rc2014,1021.0,663.65,173.17,1021.0,34
RC,272,Cath IABP Maquet 068400047001u,10598.0,6888.7,173.17,10598.0,34
RC,272,Cath IABP Maquet 068400056801u,11074.0,7198.1,173.17,11074.0,34
RC,272,Cath IABP Maquet 068400057601u,10852.0,7053.8,173.17,10852.0,34
RC,272,Cath Indigo 6 seperator sep6,10959.0,7123.35,173.17,10959.0,34
RC,272,Cath Indigo 6 str tip 135 cat6,13281.0,8632.65,173.17,13281.0,34
RC,272,Cath Indigo 8 seperator sep8,13175.0,8563.75,173.17,13175.0,34
RC,272,Cath Indigo 8 tip cat8str85,20383.0,13248.95,173.17,20383.0,34
RC,272,Cath Neff percut set g04593,435.0,282.75,75.26,435.0,34
RC,272,Cath Novy Cornual jncs503570,1222.0,794.3,173.17,1222.0,34
RC,272,Cath Outback re entry otb42120,11576.0,7524.4,173.17,11576.0,34
RC,272,Cath Penumbra pxslimlan150str,6254.0,4065.1,173.17,6254.0,34
RC,272,Cath TherOx str 5f jl900330001,1070.0,695.5,173.17,1070.0,34
RC,272,Cath Worley Merit 57538cshkwor,1259.0,818.35,173.17,1259.0,34
RC,272,Cath Worley Merit MD57538cswor,3187.0,2071.55,173.17,3187.0,34
RC,272,Cath ablate ic6fsim143,2010.0,1306.5,173.17,2010.0,34
RC,272,Cath abln cryo 23x140 2afpr023,30862.0,20060.3,173.17,30862.0,34
RC,272,Cath abln cryo kodx98980630011,11718.0,7616.7,173.17,11718.0,34
RC,272,Cath abln cryo kodx98980630021,11427.0,7427.55,173.17,11427.0,34
RC,272,Cath abln kodex 98980630031,13494.0,8771.1,173.17,13494.0,34
RC,272,Cath angio 18f jcrb4000,438.0,284.7,75.77,438.0,34
RC,272,Cath angio 532513,154.0,100.1,26.64,173.17,34
RC,272,Cath angio 5fr 510035ver,717.0,466.05,124.04,717.0,34
RC,272,Cath angio Cook Med g13792,689.0,447.85,119.2,689.0,34
RC,272,Cath angio PerformaG 760220m65,1058.0,687.7,173.17,1058.0,34
RC,272,Cath angio soft-vu flush h7871,177.0,115.05,30.62,177.0,34
RC,272,Cath angiogr 5fr headhunter h1,506.0,328.9,87.54,506.0,34
RC,272,Cath arterial ask04020bhs,517.0,336.05,89.44,517.0,34
RC,272,Cath bal infl Encor dev 151062,1766.0,1147.9,173.17,1766.0,34
RC,272,Cath bal integra 7cbd10,3341.0,2171.65,173.17,3341.0,34
RC,272,Cath ball cerv jcrbs184000,502.0,326.3,86.85,502.0,34
RC,272,Cath ball dil m00558420,2382.0,1548.3,173.17,2382.0,34
RC,272,Cath ball ivas ala15 705115500,9456.0,6146.4,173.17,9456.0,34
RC,272,Cath balln cerv 18f 40 g19891,470.0,305.5,81.31,470.0,34
RC,272,Cath bil dil Cook Med g21571,882.0,573.3,152.59,882.0,34
RC,272,Cath bili bskt extrct fsn COOK,2357.0,1532.05,173.17,2357.0,34
RC,272,Cath bili bskt msb2x4-6 COOK,3604.0,2342.6,173.17,3604.0,34
RC,272,Cath bili bskt msb2x4-f COOK,1611.0,1047.15,173.17,1611.0,34
RC,272,Cath bili pushing fsn 5fr COOK,794.0,516.1,137.36,794.0,34
RC,272,Cath bronch left 35fr,488.0,317.2,84.42,488.0,34
RC,272,Cath bronch right 39fr,523.0,339.95,90.48,523.0,34
RC,272,Cath cardiac Teleflx ai07155ks,1393.0,905.45,173.17,1393.0,34
RC,272,Cath cardiac pack san22cpbmi,1079.0,701.35,173.17,1079.0,34
RC,272,Cath centrl venous 5 ck000526b,3288.0,2137.2,173.17,3288.0,34
RC,272,Cath cholangrm perc cs01701,1189.0,772.85,173.17,1189.0,34
RC,272,Cath coil pusher 016 195cm,2968.0,1929.2,173.17,2968.0,34
RC,272,Cath coil wire pushe 16 175cm,1453.0,944.45,173.17,1453.0,34
RC,272,Cath councill 20fr 5cc 0196l20,1461.0,949.65,173.17,1461.0,34
RC,272,Cath cysticduct reddicke240055,6623.0,4304.95,173.17,6623.0,34
RC,272,Cath dbl lum Swan Ganz 111f7p,948.0,616.2,164.0,948.0,34
RC,272,Cath dcmp Enteroclys14f g05481,2266.0,1472.9,173.17,2266.0,34
RC,272,Cath delvry 25-45 pxslim045,9183.0,5968.95,173.17,9183.0,34
RC,272,Cath dual lumen 10f 608bx,516.0,335.4,89.27,516.0,34
RC,272,Cath dx angio 5.5fr hi si 100,504.0,327.6,87.19,504.0,34
RC,272,Cath dx multipac 5fr 533593,1197.0,778.05,173.17,1197.0,34
RC,272,Cath ecmo crescent 70124,17400.0,11310.0,173.17,17400.0,34
RC,272,Cath elect Stryker 5404s,392.0,254.8,67.82,392.0,34
RC,272,Cath electr7frx300cm m00560070,1657.0,1077.05,173.17,1657.0,34
RC,272,Cath electrhem 7f 350cm 560220,1685.0,1095.25,173.17,1685.0,34
RC,272,Cath endo CR Bard wq4300,35784.0,23259.6,173.17,35784.0,34
RC,272,Cath epidural radio opaque bre,669.0,434.85,115.74,669.0,34
RC,272,Cath filiform 10fr straight,598.0,388.7,103.45,598.0,34
RC,272,Cath filiform 5fr spiral 22105,790.0,513.5,136.67,790.0,34
RC,272,Cath flow revers sys 9f gfrs71,13046.0,8479.9,173.17,13046.0,34
RC,272,Cath foley 16f uromtr 303316a,196.0,127.4,33.91,196.0,34
RC,272,Cath foley 6f 1.5ml 170003060,876.0,569.4,151.55,876.0,34
RC,272,Cath guideliner 6fr 5571,4590.0,2983.5,173.17,4590.0,34
RC,272,Cath iab ultra kit iab05840u,8778.0,5705.7,173.17,8778.0,34
RC,272,Cath indigobolt LITNGBT6XTX,39260.0,25519.0,173.17,39260.0,34
RC,272,Cath intrauterin10f 5ml gl2662,458.0,297.7,79.23,458.0,34
RC,272,Cath lumen 025 5fr 15cm g26943,1143.0,742.95,173.17,1143.0,34
RC,272,Cath marker pig 5.0 100 25cm,1125.0,731.25,173.17,1125.0,34
RC,272,Cath nasal balln Epist nozstop,540.0,351.0,93.42,540.0,34
RC,272,Cath nasal balln Epistat grn,1120.0,728.0,173.17,1120.0,34
RC,272,Cath nasal balln Pistaxis,580.0,377.0,100.34,580.0,34
RC,272,Cath opti circ10 pol 4f 81767,13972.0,9081.8,173.17,13972.0,34
RC,272,Cath passer hydrocephalic 36cm,1142.0,742.3,173.17,1142.0,34
RC,272,Cath passer hydrocephlus shunt,1246.0,809.9,173.17,1246.0,34
RC,272,Cath peg 20fr kit BOS,652.0,423.8,112.8,652.0,34
RC,272,Cath perf intrd stiff dlp12016,253.0,164.45,43.77,253.0,34
RC,272,Cath periton120 w antibi93032,2799.0,1819.35,173.17,2799.0,34
RC,272,Cath peritoneal pleurx 509000b,6095.0,3961.75,173.17,6095.0,34
RC,272,Cath peritonel Denvr15f 422322,1308.0,850.2,173.17,1308.0,34
RC,272,Cath pigtail no b.t g05189,866.0,562.9,149.82,866.0,34
RC,272,Cath pleurx acess kit 507280,306.0,198.9,52.94,306.0,34
RC,272,Cath presep 16cm xa3816ksafnl,5639.0,3665.35,173.17,5639.0,34
RC,272,Cath presep 20cm xa3820ksafnl,3869.0,2514.85,173.17,3869.0,34
RC,272,Cath probe esoph 8f f8ennnnhsb,3954.0,2570.1,173.17,3954.0,34
RC,272,Cath px 400 90deg syst px40090,9661.0,6279.65,173.17,9661.0,34
RC,272,Cath right heart 5x110 ai07124,904.0,587.6,156.39,904.0,34
RC,272,Cath shetty gjs 14.0x63cm,956.0,621.4,165.39,956.0,34
RC,272,Cath shetty gjs-1400,3626.0,2356.9,173.17,3626.0,34
RC,272,Cath shunt Denver 11.5f 422050,13515.0,8784.75,173.17,13515.0,34
RC,272,Cath soundstar eco 8f 10439011,16477.0,10710.05,173.17,16477.0,34
RC,272,Cath suprapubc punct16f 551316,451.0,293.15,78.02,451.0,34
RC,272,Cath td swan-ganz 782f75m,2444.0,1588.6,173.17,2444.0,34
RC,272,Cath thermodilutn 4lum 7frx110,545.0,354.25,94.29,545.0,34
RC,272,Cath umbil FootPrint cathtray,1063.0,690.95,173.17,1063.0,34
RC,272,Cath umbil FootPrint p2uvc35,542.0,352.3,93.77,542.0,34
RC,272,Cath vent 17f 36cm e060,285.0,185.25,49.31,285.0,34
RC,272,Cath vent perit kit antib95001,4909.0,3190.85,173.17,4909.0,34
RC,272,Cath xp cto cntrlt 3.1fr 140cm,9765.0,6347.25,173.17,9765.0,34
RC,272,Cautery Aquamnt6.0bipol 231121,5166.0,3357.9,173.17,5166.0,34
RC,272,Cautery Enseal etrio345h srgx,4650.0,3022.5,173.17,4650.0,34
RC,272,Cautery Enseal g2jaw nsealx22l,5373.0,3492.45,173.17,5373.0,34
RC,272,Cautery Enseal nslg2c14 esurg,3863.0,2510.95,173.17,3863.0,34
RC,272,Cautery Enseal nslg2c35 esurg,3950.0,2567.5,173.17,3950.0,34
RC,272,Cautery Enseal nslg2c45 esurg,4389.0,2852.85,173.17,4389.0,34
RC,272,Cautery Enseal tiss nseal535rh,3951.0,2568.15,173.17,3951.0,34
RC,272,Cautery Enseal tiss nslg2535,3561.0,2314.65,173.17,3561.0,34
RC,272,Cautery aquamnt Medtr 233141,6202.0,4031.3,173.17,6202.0,34
RC,272,Cautery bipolr oc32 ocs2pnd,8958.0,5822.7,173.17,8958.0,34
RC,272,Cautery enseal J&J nslx137c,4626.0,3006.9,173.17,4626.0,34
RC,272,Cautery enseal g2crv nslg2S35a,4840.0,3146.0,173.17,4840.0,34
RC,272,Cautery enseal g2str nslg2c35a,4753.0,3089.45,173.17,4753.0,34
RC,272,Cautery enseal strt nslx137s,4020.0,2613.0,173.17,4020.0,34
RC,272,Cautery enseal x1 jaw nslx120l,5288.0,3437.2,173.17,5288.0,34
RC,272,Cautery microwav oblat vts1737,14907.0,9689.55,173.17,14907.0,34
RC,272,Cautery pencil Ethicon 211010j,286.0,185.9,49.48,286.0,34
RC,272,Cautery tip plasm ade ps300003,2372.0,1541.8,173.17,2372.0,34
RC,272,Cement avamax 1040-200-500,3784.0,2459.6,173.17,3784.0,34
RC,272,Cement avamax plus1040-300-500,4595.0,2986.75,173.17,4595.0,34
RC,272,Cement bn avatek 1040-100-000,2481.0,1612.65,173.17,2481.0,34
RC,272,Cement handl scop mult 402201,23402.0,15211.3,173.17,23402.0,34
RC,272,Cement hip stem11x135mm 431191,11384.0,7399.6,173.17,11384.0,34
RC,272,Cement ndl traumacem 03702121s,3836.0,2493.4,173.17,3836.0,34
RC,272,Cement sculps kit sn111000,629.0,408.85,108.82,629.0,34
RC,272,Cement syr traumacem 03702150s,1445.0,939.25,173.17,1445.0,34
RC,272,Cement thread adptr 110030166,276.0,179.4,47.75,276.0,34
RC,272,Cement tray avamax1040-200-000,5676.0,3689.4,173.17,5676.0,34
RC,272,Cement verteport 10g 605410500,3170.0,2060.5,173.17,3170.0,34
RC,272,Centesis kit safe 6f pig1260k,4780.0,3107.0,173.17,4780.0,34
RC,272,Circa probe temp s 10f cs2001,6784.0,4409.6,173.17,6784.0,34
RC,272,Clamp Microvas 1-2mm tkm1,393.0,255.45,67.99,393.0,34
RC,272,Clamp bar to bar 1151200,5321.0,3458.65,173.17,5321.0,34
RC,272,Clamp bar to bar 4600,6445.0,4189.25,173.17,6445.0,34
RC,272,Clamp circ 330cr,331.0,215.15,57.26,331.0,34
RC,272,Clamp combo lg ar896407,5258.0,3417.7,173.17,5258.0,34
RC,272,Clamp multi pin 1158,12317.0,8006.05,173.17,12317.0,34
RC,272,Clamp post vision biom14400065,2303.0,1496.95,173.17,2303.0,34
RC,272,Clamp quick 10.5 to 4 71067371,7428.0,4828.2,173.17,7428.0,34
RC,272,Clamp to pin 14090BIMT,6005.0,3903.25,173.17,6005.0,34
RC,272,Clamp to rod 4-6mm 14400070,7993.0,5195.45,173.17,7993.0,34
RC,272,Clamp tranpolr lng jaw ac oll2,19175.0,12463.75,173.17,19175.0,34
RC,272,Clamp tranpolr short ac osl2,18465.0,12002.25,173.17,18465.0,34
RC,272,Clip Aesculap ff015p,4.0,2.6,0.69,173.17,34
RC,272,Clip aneu t2 temp10.5 1700152,4120.0,2678.0,173.17,4120.0,34
RC,272,Clip aneur ptfe Depuy 20176,653.0,424.45,112.97,653.0,34
RC,272,Clip aneurysm Aesculap ft210t,4639.0,3015.35,173.17,4639.0,34
RC,272,Clip applier endo 5 auto543965,1341.0,871.65,173.17,1341.0,34
RC,272,Clip applier xi sm 470401int,19886.0,12925.9,173.17,19886.0,34
RC,272,Clip close Gamma3 1320012ss,2483.0,1613.95,173.17,2483.0,34
RC,272,Clip endo 235cm m00521232,2152.0,1398.8,173.17,2152.0,34
RC,272,Clip endo Boston SC m00521230,2584.0,1679.6,173.17,2584.0,34
RC,272,Clip endo hemo 235cm m00521421,4007.0,2604.55,173.17,4007.0,34
RC,272,Clip endo hemo235cml m00521231,2368.0,1539.2,173.17,2368.0,34
RC,272,Clip endosc 11mm resolu 542251,1799.0,1169.35,173.17,1799.0,34
RC,272,Clip hemo Boston SC m00521400,2910.0,1891.5,173.17,2910.0,34
RC,272,Clip hemo clip med Pill Weck,316.0,205.4,54.67,316.0,34
RC,272,Clip liga large eth mcl20,434.0,282.1,75.08,434.0,34
RC,272,Clip liga lrg Weck non-absorb,317.0,206.05,54.84,317.0,34
RC,272,Clip liga12 absor lapr 6848812,719.0,467.35,124.39,719.0,34
RC,272,Clip micro superfine gem1521sf,131.0,85.15,22.66,173.17,34
RC,272,Clip on ravine elect 270190027,2820.0,1833.0,173.17,2820.0,34
RC,272,Clip suture absorb xc200 jj,632.0,410.8,109.34,632.0,34
RC,272,Closure Abra Acell cwk08,27054.0,17585.1,173.17,27054.0,34
RC,272,Closure dev fascialweck efx001,1097.0,713.05,173.17,1097.0,34
RC,272,Closure dev skin 20x35 cl1020s,165.0,107.25,28.55,173.17,34
RC,272,Closure dev skin 25x35 cl1025s,187.0,121.55,32.35,187.0,34
RC,272,Closure dev sut lariat sys3002,35321.0,22958.65,173.17,35321.0,34
RC,272,Closure sternl zip 0850100101s,5231.0,3400.15,173.17,5231.0,34
RC,272,Cochlear accsry wireless 94761,3154.0,2050.1,173.17,3154.0,34
RC,272,Cochlear audio accsry p770848,3830.0,2489.5,173.17,3830.0,34
RC,272,Cochlear cap healing 90801,1904.0,1237.6,173.17,1904.0,34
RC,272,Cochlear procesr audio lt51560,31147.0,20245.55,173.17,31147.0,34
RC,272,Cochlear procesr sys kt dualn6,67734.0,44027.1,173.17,67734.0,34
RC,272,Cochlear sonnet rondo r3191,55670.0,36185.5,173.17,55670.0,34
RC,272,Cochlear two processor patient,57050.0,37082.5,173.17,57050.0,34
RC,272,Coil Penumbra rbypod3,12002.0,7801.3,173.17,12002.0,34
RC,272,Coil Penumbra rbypodj5,10180.0,6617.0,173.17,10180.0,34
RC,272,Coil contrl vgrip detcht vg501,1886.0,1225.9,173.17,1886.0,34
RC,272,Coil handle detach 345100950,2092.0,1359.8,173.17,2092.0,34
RC,272,Coil handle detch revr ed2rmus,7843.0,5097.95,173.17,7843.0,34
RC,272,Collamator neoprobe npe14,3240.0,2106.0,173.17,3240.0,34
RC,272,Commn bile duct strange cook,8986.0,5840.9,173.17,8986.0,34
RC,272,Conn assembl ring to bar 14069,6222.0,4044.3,173.17,6222.0,34
RC,272,Connector 5.5 6side 5554220,6678.0,4340.7,173.17,6678.0,34
RC,272,Connector clsd lat 20 5444120,7813.0,5078.45,173.17,7813.0,34
RC,272,Connector cross nuvasiv7906130,12009.0,7805.85,173.17,12009.0,34
RC,272,Connector lat open10mm 7756064,3673.0,2387.45,173.17,3673.0,34
RC,272,Connector medtr 75470740,3600.0,2340.0,173.17,3600.0,34
RC,272,Connector medtr 778146545,10107.0,6569.55,173.17,10107.0,34
RC,272,Corevalve del sys dcsca18fr,14985.0,9740.25,173.17,14985.0,34
RC,272,Corknot avr min dev wknot31300,7674.0,4988.1,173.17,7674.0,34
RC,272,Corknot fastnr 12pk wpouc30874,2671.0,1736.15,173.17,2671.0,34
RC,272,Countersink 1.7 cann a3932,3179.0,2066.35,173.17,3179.0,34
RC,272,Countersink 2.8 coupl 4520007s,4076.0,2649.4,173.17,4076.0,34
RC,272,Countersink 4mm Stryker 705260,3827.0,2487.55,173.17,3827.0,34
RC,272,Countersink 5.46mm 4006000,3162.0,2055.3,173.17,3162.0,34
RC,272,Countersink A.L.P.S 231220208,1036.0,673.4,173.17,1036.0,34
RC,272,Countersink Depuy 31087,3202.0,2081.3,173.17,3202.0,34
RC,272,Countersink In2Bones 3160201,4884.0,3174.6,173.17,4884.0,34
RC,272,Countersink Skeletl drllcsk65,3403.0,2211.95,173.17,3403.0,34
RC,272,Countersink Zimmer t001000042,3387.0,2201.55,173.17,3387.0,34
RC,272,Countersink cann 03333201s,5377.0,3495.05,173.17,5377.0,34
RC,272,Countersink cann 2mm 9071003,4000.0,2600.0,173.17,4000.0,34
RC,272,Countersink cann Depuy 3333201,4744.0,3083.6,173.17,4744.0,34
RC,272,Countersink cann Depuy 3333202,4616.0,3000.4,173.17,4616.0,34
RC,272,Countersink stryker 705261,4661.0,3029.65,173.17,4661.0,34
RC,272,Counterskink 03333000s,3576.0,2324.4,173.17,3576.0,34
RC,272,Coupler dev 2.0mm grn gem2752,3268.0,2124.2,173.17,3268.0,34
RC,272,Coupler pin/rod 4-5/8 49211020,8016.0,5210.4,173.17,8016.0,34
RC,272,Coupler pin/rod 5 49401020,7844.0,5098.6,173.17,7844.0,34
RC,272,Coupler pin/rod 6mm 49221020,8505.0,5528.25,173.17,8505.0,34
RC,272,Coupler rod/rod 11mm 49221010,9292.0,6039.8,173.17,9292.0,34
RC,272,Coupler rod/rod 8 49211010,8598.0,5588.7,173.17,8598.0,34
RC,272,Cover Profile Stryker 5305520,2554.0,1660.1,173.17,2554.0,34
RC,272,Cranial Axeim shun ninv9733605,7019.0,4562.35,173.17,7019.0,34
RC,272,Cranial Axeim shunt mnt9733606,7196.0,4677.4,173.17,7196.0,34
RC,272,Cranial acc kt Medtr 110401ce,13110.0,8521.5,173.17,13110.0,34
RC,272,Cranial access kit integ 7250,3078.0,2000.7,173.17,3078.0,34
RC,272,Cranial axeim Medtr 9735318,5120.0,3328.0,173.17,5120.0,34
RC,272,Cranial axem Medtemniptpointer,7807.0,5074.55,173.17,7807.0,34
RC,272,Cranial icp post monitor1104g,6661.0,4329.65,173.17,6661.0,34
RC,272,Cranial icp tempmonitor 1104bt,6207.0,4034.55,173.17,6207.0,34
RC,272,Cranial icp vent montor1104hmt,6713.0,4363.45,173.17,6713.0,34
RC,272,Cranial kt INTEG Lifesc 826616,2883.0,1873.95,173.17,2883.0,34
RC,272,Cranial seps Medtr 110401ca,11470.0,7455.5,173.17,11470.0,34
RC,272,Curette nitinol 10g 306620000,5545.0,3604.25,173.17,5545.0,34
RC,272,Cutter cath rap caway667060100,549.0,356.85,94.98,549.0,34
RC,272,Cutter resec 5 strg 375552000,658.0,427.7,113.83,658.0,34
RC,272,Cutter resec captiv m00561601,15478.0,10060.7,173.17,15478.0,34
RC,272,Cutting guide Zimmer 598304048,1217.0,791.05,173.17,1217.0,34
RC,272,Delivery sys Bostn SC d22015sb,12673.0,8237.45,173.17,12673.0,34
RC,272,Delivery sys Vivigen bl1900gun,4965.0,3227.25,173.17,4965.0,34
RC,272,Derm excision medline mns13000,796.0,517.4,137.71,796.0,34
RC,272,Dermacarrier graft mesh 219513,650.0,422.5,112.45,650.0,34
RC,272,Dermacarriers for skin graftii,235.0,152.75,40.66,235.0,34
RC,272,Dermacarries for skin graft 8,237.0,154.05,41.0,237.0,34
RC,272,Device Covidien reltack4xdptsw,5714.0,3714.1,173.17,5714.0,34
RC,272,Device bal infl 60ml db25012,307.0,199.55,53.11,307.0,34
RC,272,Device cerv Medicm23170310010t,749.0,486.85,129.58,749.0,34
RC,272,Device coag episens 3 cdp43301,56232.0,36550.8,173.17,56232.0,34
RC,272,Device cor-knot LSI sol 32500,14024.0,9115.6,173.17,14024.0,34
RC,272,Device inf BostnSC m0067101140,361.0,234.65,62.45,361.0,34
RC,272,Device suction medtr 12112,2704.0,1757.6,173.17,2704.0,34
RC,272,Device sut endostitch 10m us,1307.0,849.55,173.17,1307.0,34
RC,272,Dilator .038 20cm 20fr g01471,174.0,113.1,30.1,174.0,34
RC,272,Dilator 16f .035 x 45cm g52834,2065.0,1342.25,173.17,2065.0,34
RC,272,Dilator 4.0 035 20cm 48 149,49.0,31.85,8.48,173.17,34
RC,272,Dilator arterial 16fr pika,626.0,406.9,108.3,626.0,34
RC,272,Dilator bal Toray Int dms1,970.0,630.5,167.81,970.0,34
RC,272,Dilator disp 72011701,3339.0,2170.35,173.17,3339.0,34
RC,272,Dilator heal regn 5.5 72203952,2280.0,1482.0,173.17,2280.0,34
RC,272,Dilator sheath peel 16f 98702,1040.0,676.0,173.17,1040.0,34
RC,272,Dilator sheath shrt 11f g49652,12414.0,8069.1,173.17,12414.0,34
RC,272,Dilator taper Coons 18f g04051,183.0,118.95,31.66,183.0,34
RC,272,Dilator ureth s curv st g32789,2170.0,1410.5,173.17,2170.0,34
RC,272,Dilator xlif kit 2029950,7727.0,5022.55,173.17,7727.0,34
RC,272,Dilatr salivary access g24131,1557.0,1012.05,173.17,1557.0,34
RC,272,Dissector ball tip mr814ba60dx,2400.0,1560.0,173.17,2400.0,34
RC,272,Dissector ligas Coviden lf2019,5915.0,3844.75,173.17,5915.0,34
RC,272,Dissector us Covidien scda13,4412.0,2867.8,173.17,4412.0,34
RC,272,Drain 10mm ff flat 72213,172.0,111.8,29.76,173.17,34
RC,272,Drain 10mm flat huf100,208.0,135.2,35.98,208.0,34
RC,272,Drain 19fr hubles blake jj2231,930.0,604.5,160.89,930.0,34
RC,272,Drain 24fr Blake rnd jj2234,742.0,482.3,128.37,742.0,34
RC,272,Drain CFS Duet sys46916,4192.0,2724.8,173.17,4192.0,34
RC,272,Drain CFS bag edms 46912,408.0,265.2,70.58,408.0,34
RC,272,Drain CSF extrnal eds3 821731,1718.0,1116.7,173.17,1718.0,34
RC,272,Drain bil 8f 40 h787140009015,672.0,436.8,116.26,672.0,34
RC,272,Drain channel CR Bard 072223,1712.0,1112.8,173.17,1712.0,34
RC,272,Drain chest Oasis suct 3600100,465.0,302.25,80.45,465.0,34
RC,272,Drain chest valve g36370,820.0,533.0,141.86,820.0,34
RC,272,Drain csf INTEG Lifesc ins9020,2795.0,1816.75,173.17,2795.0,34
RC,272,Drain csf integ lifesc ins9030,3500.0,2275.0,173.17,3500.0,34
RC,272,Drain incision edms duet 46914,2472.0,1606.8,173.17,2472.0,34
RC,272,Drain lumb INTEG Lifesc 31127,3080.0,2002.0,173.17,3080.0,34
RC,272,Drain pneumo 14f w heimlch vlv,1723.0,1119.95,173.17,1723.0,34
RC,272,Drain silo bg Bentec gr7408901,5705.0,3708.25,173.17,5705.0,34
RC,272,Drain surg Bard 72290,2862.0,1860.3,173.17,2862.0,34
RC,272,Drain tls suction sys por6650,2503.0,1626.95,173.17,2503.0,34
RC,272,Drain ventric cerebrlspinfluid,364.0,236.6,62.97,364.0,34
RC,272,Drain ventricular cod821720,2453.0,1594.45,173.17,2453.0,34
RC,272,Drain ventricular icp h400mr,17010.0,11056.5,173.17,17010.0,34
RC,272,Drain ventricular icp h700mr,16300.0,10595.0,173.17,16300.0,34
RC,272,Drain wnd 15f silic fltd72188,1421.0,923.65,173.17,1421.0,34
RC,272,Drape Magellan robotic 11635,1620.0,1053.0,173.17,1620.0,34
RC,272,Drape disc warmer esd340,467.0,303.55,80.79,467.0,34
RC,272,Drape stick pad apuzz sm asd1b,979.0,636.35,169.37,979.0,34
RC,272,Dril bit 2x135mm 703896,2550.0,1657.5,173.17,2550.0,34
RC,272,Drill 21mm drlldip21,2873.0,1867.45,173.17,2873.0,34
RC,272,Drill 4.0mm 225,3310.0,2151.5,173.17,3310.0,34
RC,272,Drill 4.0mm short 210200,2849.0,1851.85,173.17,2849.0,34
RC,272,Drill ao calib 5.5mm 288,3058.0,1987.7,173.17,3058.0,34
RC,272,Drill ao style 2.5x200 4016000,3210.0,2086.5,173.17,3210.0,34
RC,272,Drill bill  Depuy 227425500,6514.0,4234.1,173.17,6514.0,34
RC,272,Drill bit 03333200s,5933.0,3856.45,173.17,5933.0,34
RC,272,Drill bit 03503408,2122.0,1379.3,173.17,2122.0,34
RC,272,Drill bit 1.0mm modular q-cou,862.0,560.3,149.13,862.0,34
RC,272,Drill bit 1.1Jacob chk 45mm,848.0,551.2,146.7,848.0,34
RC,272,Drill bit 1.1mm quk cl 60mm,841.0,546.65,145.49,841.0,34
RC,272,Drill bit 1.35x50 stop 6013506,1344.0,873.6,173.17,1344.0,34
RC,272,Drill bit 1.5 mini qc 310507,1700.0,1105.0,173.17,1700.0,34
RC,272,Drill bit 1.5 stryker 6015620,3974.0,2583.1,173.17,3974.0,34
RC,272,Drill bit 1.5x107.5mm 6015920,1780.0,1157.0,173.17,1780.0,34
RC,272,Drill bit 1.5x110mm j-latch,1085.0,705.25,173.17,1085.0,34
RC,272,Drill bit 1.6x115mm 9216135,2580.0,1677.0,173.17,2580.0,34
RC,272,Drill bit 1.6x19 cranio6016908,1173.0,762.45,173.17,1173.0,34
RC,272,Drill bit 1.7mm ms2610,4089.0,2657.85,173.17,4089.0,34
RC,272,Drill bit 1.8mm 3503461,2260.0,1469.0,173.17,2260.0,34
RC,272,Drill bit 1.8mm drltfs18,1888.0,1227.2,173.17,1888.0,34
RC,272,Drill bit 1.9mm 4008000,2228.0,1448.2,173.17,2228.0,34
RC,272,Drill bit 1.9x115mm 6019135,2775.0,1803.75,173.17,2775.0,34
RC,272,Drill bit 1.9x115mm 9219135,2779.0,1806.35,173.17,2779.0,34
RC,272,Drill bit 10 cann tap 03037021,5242.0,3407.3,173.17,5242.0,34
RC,272,Drill bit 10.2mm 3168005,7112.0,4622.8,173.17,7112.0,34
RC,272,Drill bit 100mm 3flt 03025105,2679.0,1741.35,173.17,2679.0,34
RC,272,Drill bit 10mm hollow 3019003,4041.0,2626.65,173.17,4041.0,34
RC,272,Drill bit 11 cann 357404,5510.0,3581.5,173.17,5510.0,34
RC,272,Drill bit 11.5 depuy 03019004s,5192.0,3374.8,173.17,5192.0,34
RC,272,Drill bit 13mm 7080513,1842.0,1197.3,173.17,1842.0,34
RC,272,Drill bit 13mm 7730016,893.0,580.45,154.49,893.0,34
RC,272,Drill bit 150mm 3flt 03025083,2101.0,1365.65,173.17,2101.0,34
RC,272,Drill bit 17 cann qc lg 357394,8518.0,5536.7,173.17,8518.0,34
RC,272,Drill bit 193826,2742.0,1782.3,173.17,2742.0,34
RC,272,Drill bit 193971,9986.0,6490.9,173.17,9986.0,34
RC,272,Drill bit 2.0 2.4mm 3160127,4749.0,3086.85,173.17,4749.0,34
RC,272,Drill bit 2.0 cannulated,1582.0,1028.3,173.17,1582.0,34
RC,272,Drill bit 2.0 qc 125 31021,940.0,611.0,162.62,940.0,34
RC,272,Drill bit 2.0 quk cl 100mm,888.0,577.2,153.62,888.0,34
RC,272,Drill bit 2.05 nuvasive7907012,2639.0,1715.35,173.17,2639.0,34
RC,272,Drill bit 2.0mm cannul SYNT,4698.0,3053.7,173.17,4698.0,34
RC,272,Drill bit 2.0mm w/qc 71177110,3197.0,2078.05,173.17,3197.0,34
RC,272,Drill bit 2.0x102mm 4527010,1694.0,1101.1,173.17,1694.0,34
RC,272,Drill bit 2.2 50851222,1664.0,1081.6,173.17,1664.0,34
RC,272,Drill bit 2.4 288301024,1741.0,1131.65,173.17,1741.0,34
RC,272,Drill bit 2.4 7756010,2185.0,1420.25,173.17,2185.0,34
RC,272,Drill bit 2.45mm 45303045,2660.0,1729.0,173.17,2660.0,34
RC,272,Drill bit 2.4mm 9733515,5669.0,3684.85,173.17,5669.0,34
RC,272,Drill bit 2.5 qc 3flt 31592,2126.0,1381.9,173.17,2126.0,34
RC,272,Drill bit 2.5 tri-fluted,2951.0,1918.15,173.17,2951.0,34
RC,272,Drill bit 2.5mm flut 315.23,1273.0,827.45,173.17,1273.0,34
RC,272,Drill bit 2.5mm j&j 324155,2529.0,1643.85,173.17,2529.0,34
RC,272,Drill bit 2.5x110mm qc,474.0,308.1,82.0,474.0,34
RC,272,Drill bit 2.5x285mm ao 703586,3198.0,2078.7,173.17,3198.0,34
RC,272,Drill bit 2.5x50 drllssc25050,982.0,638.3,169.89,982.0,34
RC,272,Drill bit 2.65mm dk265,2806.0,1823.9,173.17,2806.0,34
RC,272,Drill bit 2.7mm  p991002711,1419.0,922.35,173.17,1419.0,34
RC,272,Drill bit 2.7mm orth1000009,2227.0,1447.55,173.17,2227.0,34
RC,272,Drill bit 2.7mm over 71175025,1188.0,772.2,173.17,1188.0,34
RC,272,Drill bit 2.7x127mm BIOM501,2579.0,1676.35,173.17,2579.0,34
RC,272,Drill bit 2.7x130mm 71173803,996.0,647.4,172.31,996.0,34
RC,272,Drill bit 2.8 calibrt 3113024,1383.0,898.95,173.17,1383.0,34
RC,272,Drill bit 2.8mm depuy 310284,1091.0,709.15,173.17,1091.0,34
RC,272,Drill bit 240mm 4.8mm 3015,1524.0,990.6,173.17,1524.0,34
RC,272,Drill bit 249003449,4122.0,2679.3,173.17,4122.0,34
RC,272,Drill bit 249007243,453.0,294.45,78.37,453.0,34
RC,272,Drill bit 2mm 800318,1416.0,920.4,173.17,1416.0,34
RC,272,Drill bit 3 fltd 4.2 03010104s,2445.0,1589.25,173.17,2445.0,34
RC,272,Drill bit 3 fltd 4.2 3010061s,3199.0,2079.35,173.17,3199.0,34
RC,272,Drill bit 3.0mm 44112012,3032.0,1970.8,173.17,3032.0,34
RC,272,Drill bit 3.1x204mm 702742,1761.0,1144.65,173.17,1761.0,34
RC,272,Drill bit 3.2 jacob chk130SYNT,814.0,529.1,140.82,814.0,34
RC,272,Drill bit 3.2 qc 3flt 31593,2631.0,1710.15,173.17,2631.0,34
RC,272,Drill bit 3.2 quk cl 145mmSYNT,828.0,538.2,143.24,828.0,34
RC,272,Drill bit 3.2mm 03010103,1930.0,1254.5,173.17,1930.0,34
RC,272,Drill bit 3.2mm 3161104,3650.0,2372.5,173.17,3650.0,34
RC,272,Drill bit 3.2mm 7756131,2489.0,1617.85,173.17,2489.0,34
RC,272,Drill bit 3.2mm ao 0229,2793.0,1815.45,173.17,2793.0,34
RC,272,Drill bit 3.2mm biom3036,1484.0,964.6,173.17,1484.0,34
RC,272,Drill bit 3.2mm cann 03226039,4488.0,2917.2,173.17,4488.0,34
RC,272,Drill bit 3.2mm orth0112000041,2034.0,1322.1,173.17,2034.0,34
RC,272,Drill bit 3.2x145 depuy 31031s,1456.0,946.4,173.17,1456.0,34
RC,272,Drill bit 3.2x300mm 702626,1170.0,760.5,173.17,1170.0,34
RC,272,Drill bit 3.3x25mm 21073325,934.0,607.1,161.58,934.0,34
RC,272,Drill bit 3.5 canu 160mmSYNT,4966.0,3227.9,173.17,4966.0,34
RC,272,Drill bit 3.5 overdrill 703704,2435.0,1582.75,173.17,2435.0,34
RC,272,Drill bit 3.5x130 s&n 71173805,1349.0,876.85,173.17,1349.0,34
RC,272,Drill bit 31015s,711.0,462.15,123.0,711.0,34
RC,272,Drill bit 35x152 dba3152,2735.0,1777.75,173.17,2735.0,34
RC,272,Drill bit 3mm biomed 110027747,1470.0,955.5,173.17,1470.0,34
RC,272,Drill bit 4 qc 3 fltd 357407,2298.0,1493.7,173.17,2298.0,34
RC,272,Drill bit 4 qc 3flt 31540,1771.0,1151.15,173.17,1771.0,34
RC,272,Drill bit 4.3mm 249006443,1152.0,748.8,173.17,1152.0,34
RC,272,Drill bit 4.3mm 3168011,4688.0,3047.2,173.17,4688.0,34
RC,272,Drill bit 4.5 qc 3flt 31548,1572.0,1021.8,173.17,1572.0,34
RC,272,Drill bit 4.5 sb080045,4176.0,2714.4,173.17,4176.0,34
RC,272,Drill bit 4.5mm 11000011,2060.0,1339.0,173.17,2060.0,34
RC,272,Drill bit 4.5mm orth011071013,3438.0,2234.7,173.17,3438.0,34
RC,272,Drill bit 4mm short fdb40s,1001.0,650.65,173.17,1001.0,34
RC,272,Drill bit 5.0mm,4899.0,3184.35,173.17,4899.0,34
RC,272,Drill bit 5.0mm 209500,3225.0,2096.25,173.17,3225.0,34
RC,272,Drill bit 5.0mm 71177134,5605.0,3643.25,173.17,5605.0,34
RC,272,Drill bit 5mm 1.35X50 6013505,1291.0,839.15,173.17,1291.0,34
RC,272,Drill bit 6.1x150 entry4019100,5145.0,3344.25,173.17,5145.0,34
RC,272,Drill bit 6.4mm 71631035,3146.0,2044.9,173.17,3146.0,34
RC,272,Drill bit 6.5 conical03019018s,4294.0,2791.1,173.17,4294.0,34
RC,272,Drill bit 6.5mm 03019018,3715.0,2414.75,173.17,3715.0,34
RC,272,Drill bit 6.5x485mm lg 3010078,5925.0,3851.25,173.17,5925.0,34
RC,272,Drill bit 6x10 cann lg 357403,6247.0,4060.55,173.17,6247.0,34
RC,272,Drill bit 71177735,3748.0,2436.2,173.17,3748.0,34
RC,272,Drill bit 8.0mm 338.10,6449.0,4191.85,173.17,6449.0,34
RC,272,Drill bit 93999382,597.0,388.05,103.28,597.0,34
RC,272,Drill bit 9X46 stopend 6009504,1271.0,826.15,173.17,1271.0,34
RC,272,Drill bit A.L.P.S 233500027,858.0,557.7,148.43,858.0,34
RC,272,Drill bit Accutrak 2l At2l2515,3519.0,2287.35,173.17,3519.0,34
RC,272,Drill bit Advanced 4020037,3695.0,2401.75,173.17,3695.0,34
RC,272,Drill bit Advanced s0209200,3758.0,2442.7,173.17,3758.0,34
RC,272,Drill bit Ansis 1.4x150 702448,2990.0,1943.5,173.17,2990.0,34
RC,272,Drill bit Arthrex 4032,3102.0,2016.3,173.17,3102.0,34
RC,272,Drill bit Arthrex s0289100,3226.0,2096.9,173.17,3226.0,34
RC,272,Drill bit Ascensn cmcdisstr,4251.0,2763.15,173.17,4251.0,34
RC,272,Drill bit Carbofix pft911000us,2556.0,1661.4,173.17,2556.0,34
RC,272,Drill bit Carbofix phn920510,4318.0,2806.7,173.17,4318.0,34
RC,272,Drill bit Carbofix pn913220,2976.0,1934.4,173.17,2976.0,34
RC,272,Drill bit Cardinal 310113,905.0,588.25,156.57,905.0,34
RC,272,Drill bit DJO 80101020,720.0,468.0,124.56,720.0,34
RC,272,Drill bit DJO 80403049,1193.0,775.45,173.17,1193.0,34
RC,272,Drill bit Depuy 03033005,5595.0,3636.75,173.17,5595.0,34
RC,272,Drill bit Depuy 03045022s,3504.0,2277.6,173.17,3504.0,34
RC,272,Drill bit Depuy 03133100s,1698.0,1103.7,173.17,1698.0,34
RC,272,Drill bit Depuy 03133102s,1530.0,994.5,173.17,1530.0,34
RC,272,Drill bit Depuy 03133107s,1788.0,1162.2,173.17,1788.0,34
RC,272,Drill bit Depuy 03133109s,912.0,592.8,157.78,912.0,34
RC,272,Drill bit Depuy 03168004,11913.0,7743.45,173.17,11913.0,34
RC,272,Drill bit Depuy 3010101,2789.0,1812.85,173.17,2789.0,34
RC,272,Drill bit Depuy 3043016,12268.0,7974.2,173.17,12268.0,34
RC,272,Drill bit Depuy 310221s,4608.0,2995.2,173.17,4608.0,34
RC,272,Drill bit Depuy 31067s,4856.0,3156.4,173.17,4856.0,34
RC,272,Drill bit Depuy 31592s,2784.0,1809.6,173.17,2784.0,34
RC,272,Drill bit Depuy 3233001,7893.0,5130.45,173.17,7893.0,34
RC,272,Drill bit Depuy 3333100,4701.0,3055.65,173.17,4701.0,34
RC,272,Drill bit Depuy 3333102,4985.0,3240.25,173.17,4985.0,34
RC,272,Drill bit Gamma 3.2mm 700358,2695.0,1751.75,173.17,2695.0,34
RC,272,Drill bit Gamma nail ao,3000.0,1950.0,173.17,3000.0,34
RC,272,Drill bit INTEG Lifesc fs3042,2825.0,1836.25,173.17,2825.0,34
RC,272,Drill bit Integra 430425,2308.0,1500.2,173.17,2308.0,34
RC,272,Drill bit Medartis a3733,1689.0,1097.85,173.17,1689.0,34
RC,272,Drill bit Medartis a3736,7753.0,5039.45,173.17,7753.0,34
RC,272,Drill bit Medtr navg3606010,8861.0,5759.65,173.17,8861.0,34
RC,272,Drill bit NexsNovastpxdb01009d,2841.0,1846.65,173.17,2841.0,34
RC,272,Drill bit Nim 3.0mm 2345030l,2234.0,1452.1,173.17,2234.0,34
RC,272,Drill bit Novastep xdb01007d,4198.0,2728.7,173.17,4198.0,34
RC,272,Drill bit Orthofix 193286,5712.0,3712.8,173.17,5712.0,34
RC,272,Drill bit Paragon28 p991003525,5157.0,3352.05,173.17,5157.0,34
RC,272,Drill bit Paragon28 p99195140,1325.0,861.25,173.17,1325.0,34
RC,272,Drill bit QC Zimmer 480610027,1211.0,787.15,173.17,1211.0,34
RC,272,Drill bit QC Zimmer 480619535,1384.0,899.6,173.17,1384.0,34
RC,272,Drill bit S&N 71158092,4717.0,3066.05,173.17,4717.0,34
RC,272,Drill bit S&N 71173403,1323.0,859.95,173.17,1323.0,34
RC,272,Drill bit S&N 72205169,3752.0,2438.8,173.17,3752.0,34
RC,272,Drill bit Skeletl DYN drllssc2,1302.0,846.3,173.17,1302.0,34
RC,272,Drill bit Skeletl DYN drllssc3,2684.0,1744.6,173.17,2684.0,34
RC,272,Drill bit Skeletl drllssc32050,2767.0,1798.55,173.17,2767.0,34
RC,272,Drill bit Stryker 23514213s,3245.0,2109.25,173.17,3245.0,34
RC,272,Drill bit Stryker 3133108,1737.0,1129.05,173.17,1737.0,34
RC,272,Drill bit Stryker 3910500568,2159.0,1403.35,173.17,2159.0,34
RC,272,Drill bit Stryker 6013570,1286.0,835.9,173.17,1286.0,34
RC,272,Drill bit Stryker 6016535,1400.0,910.0,173.17,1400.0,34
RC,272,Drill bit Stryker 702621,3623.0,2354.95,173.17,3623.0,34
RC,272,Drill bit Stryker 705133,2396.0,1557.4,173.17,2396.0,34
RC,272,Drill bit Stryker 9260135,2830.0,1839.5,173.17,2830.0,34
RC,272,Drill bit Stryker cat02463,2085.0,1355.25,173.17,2085.0,34
RC,272,Drill bit Trident 85291s,2309.0,1500.85,173.17,2309.0,34
RC,272,Drill bit Variax 2.6mm 4535010,1992.0,1294.8,173.17,1992.0,34
RC,272,Drill bit Variax 3.5mm 4535020,1876.0,1219.4,173.17,1876.0,34
RC,272,Drill bit Vertex 2.4 6956010,2150.0,1397.5,173.17,2150.0,34
RC,272,Drill bit Wright 57s00022,2476.0,1609.4,173.17,2476.0,34
RC,272,Drill bit Zimmer 00520704010,1355.0,880.75,173.17,1355.0,34
RC,272,Drill bit Zimmer 0200024002,1362.0,885.3,173.17,1362.0,34
RC,272,Drill bit Zimmer 0200024344,1105.0,718.25,173.17,1105.0,34
RC,272,Drill bit Zimmer 0200024381,1136.0,738.4,173.17,1136.0,34
RC,272,Drill bit Zimmer 110008408,2244.0,1458.6,173.17,2244.0,34
RC,272,Drill bit Zimmer 110035650,4023.0,2614.95,173.17,4023.0,34
RC,272,Drill bit Zimmer 200024003,1438.0,934.7,173.17,1438.0,34
RC,272,Drill bit Zimmer 211201406,2551.0,1658.15,173.17,2551.0,34
RC,272,Drill bit Zimmer 231201030,2192.0,1424.8,173.17,2192.0,34
RC,272,Drill bit Zimmer 231220205,550.0,357.5,95.15,550.0,34
RC,272,Drill bit Zimmer 249,2393.0,1555.45,173.17,2393.0,34
RC,272,Drill bit Zimmer 27961,2021.0,1313.65,173.17,2021.0,34
RC,272,Drill bit Zimmer 323001,3212.0,2087.8,173.17,3212.0,34
RC,272,Drill bit Zimmer 405889,2352.0,1528.8,173.17,2352.0,34
RC,272,Drill bit Zimmer 520704070,1589.0,1032.85,173.17,1589.0,34
RC,272,Drill bit Zimmer 939999382,444.0,288.6,76.81,444.0,34
RC,272,Drill bit Zimmer iclap0114,805.0,523.25,139.27,805.0,34
RC,272,Drill bit Zimmer strmdrl25,1094.0,711.1,173.17,1094.0,34
RC,272,Drill bit Zimmer t001130166,941.0,611.65,162.79,941.0,34
RC,272,Drill bit a/o qc 3005100,2166.0,1407.9,173.17,2166.0,34
RC,272,Drill bit anchor 2.5 xfo082501,2764.0,1796.6,173.17,2764.0,34
RC,272,Drill bit anti rot 2 200178002,1913.0,1243.45,173.17,1913.0,34
RC,272,Drill bit ao 2 lg 70 xfo112001,1376.0,894.4,173.17,1376.0,34
RC,272,Drill bit ao 5x340 18065020s,3048.0,1981.2,173.17,3048.0,34
RC,272,Drill bit ao 85301s,2422.0,1574.3,173.17,2422.0,34
RC,272,Drill bit ao cann 27 011030003,3820.0,2483.0,173.17,3820.0,34
RC,272,Drill bit ao cann 3.2 11010009,3568.0,2319.2,173.17,3568.0,34
RC,272,Drill bit ao2mm stop xfo102001,1328.0,863.2,173.17,1328.0,34
RC,272,Drill bit ar1880049,1018.0,661.7,173.17,1018.0,34
RC,272,Drill bit biodrive3 scw ft300b,1833.0,1191.45,173.17,1833.0,34
RC,272,Drill bit calib 4.0mm 0219100,2701.0,1755.65,173.17,2701.0,34
RC,272,Drill bit calib 4.3x310 703541,3292.0,2139.8,173.17,3292.0,34
RC,272,Drill bit can In2Bones 3160427,3753.0,2439.45,173.17,3753.0,34
RC,272,Drill bit cann 12mm 03010036,5887.0,3826.55,173.17,5887.0,34
RC,272,Drill bit cann 12mm sy0301036s,6431.0,4180.15,173.17,6431.0,34
RC,272,Drill bit cann 13x300 35127,6414.0,4169.1,173.17,6414.0,34
RC,272,Drill bit cann 14mm 3033004,8905.0,5788.25,173.17,8905.0,34
RC,272,Drill bit cann 15x280 3010028,5577.0,3625.05,173.17,5577.0,34
RC,272,Drill bit cann 16 depuy3037002,8691.0,5649.15,173.17,8691.0,34
RC,272,Drill bit cann 16mm 3037003,10077.0,6550.05,173.17,10077.0,34
RC,272,Drill bit cann 16mm 3037004,9399.0,6109.35,173.17,9399.0,34
RC,272,Drill bit cann 17mm 4520005s,3698.0,2403.7,173.17,3698.0,34
RC,272,Drill bit cann 2.0mm ar8005d20,1503.0,976.95,173.17,1503.0,34
RC,272,Drill bit cann 2.2mm 11071001,3526.0,2291.9,173.17,3526.0,34
RC,272,Drill bit cann 2.7 705250,4424.0,2875.6,173.17,4424.0,34
RC,272,Drill bit cann 2.7mm 702449,4707.0,3059.55,173.17,4707.0,34
RC,272,Drill bit cann 2mm 707200001,2346.0,1524.9,173.17,2346.0,34
RC,272,Drill bit cann 3.0 14450315,3952.0,2568.8,173.17,3952.0,34
RC,272,Drill bit cann 3.0mm 10200002,1625.0,1056.25,173.17,1625.0,34
RC,272,Drill bit cann 3.0mm 9733519,6605.0,4293.25,173.17,6605.0,34
RC,272,Drill bit cann 3.2 170mm SYNT,4874.0,3168.1,173.17,4874.0,34
RC,272,Drill bit cann 4.5mm 03010089,3978.0,2585.7,173.17,3978.0,34
RC,272,Drill bit cann 4mm 71119007,4961.0,3224.65,173.17,4961.0,34
RC,272,Drill bit cann 5.0mm 243,5046.0,3279.9,173.17,5046.0,34
RC,272,Drill bit cann 5mm 44180010,2745.0,1784.25,173.17,2745.0,34
RC,272,Drill bit cann 6-9mm 3037002,5953.0,3869.45,173.17,5953.0,34
RC,272,Drill bit cann 6.5mm 702603,7670.0,4985.5,173.17,7670.0,34
RC,272,Drill bit cann 7.3mm syn,4975.0,3233.75,173.17,4975.0,34
RC,272,Drill bit cann Advanced 232100,4861.0,3159.65,173.17,4861.0,34
RC,272,Drill bit cann Depuy 03333101s,5184.0,3369.6,173.17,5184.0,34
RC,272,Drill bit cann Depuy 3333101,4713.0,3063.45,173.17,4713.0,34
RC,272,Drill bit cann depuy 3010034,7679.0,4991.35,173.17,7679.0,34
RC,272,Drill bit cann depuy 31065s,4766.0,3097.9,173.17,4766.0,34
RC,272,Drill bit cann depuy 3111002,4442.0,2887.3,173.17,4442.0,34
RC,272,Drill bit cann depuy 3226003,3473.0,2257.45,173.17,3473.0,34
RC,272,Drill bit cann depuy 35127s,6818.0,4431.7,173.17,6818.0,34
RC,272,Drill bit cann nxdlc2401,2315.0,1504.75,173.17,2315.0,34
RC,272,Drill bit cann qc 190mm 36005s,6945.0,4514.25,173.17,6945.0,34
RC,272,Drill bit cann qc 4.5 71173508,5283.0,3433.95,173.17,5283.0,34
RC,272,Drill bit cann12x270mm 3010439,5121.0,3328.65,173.17,5121.0,34
RC,272,Drill bit cann13x465mm3010034s,8054.0,5235.1,173.17,8054.0,34
RC,272,Drill bit conn 3.5 s&n71063006,3451.0,2243.15,173.17,3451.0,34
RC,272,Drill bit depuy 309006s,3688.0,2397.2,173.17,3688.0,34
RC,272,Drill bit depuy 309504s,3087.0,2006.55,173.17,3087.0,34
RC,272,Drill bit diap 4.0 71641123,1220.0,793.0,173.17,1220.0,34
RC,272,Drill bit dt03016a,4011.0,2607.15,173.17,4011.0,34
RC,272,Drill bit elite compr3mm dk300,3081.0,2002.65,173.17,3081.0,34
RC,272,Drill bit evos 2mm sm 71175021,1296.0,842.4,173.17,1296.0,34
RC,272,Drill bit flex 12mm 03043016s,6807.0,4424.55,173.17,6807.0,34
RC,272,Drill bit fltd3.8x270 3019016s,3054.0,1985.1,173.17,3054.0,34
RC,272,Drill bit flutd 4x195mm 31540s,2355.0,1530.75,173.17,2355.0,34
RC,272,Drill bit flutd3.8x270 3019016,2524.0,1640.6,173.17,2524.0,34
RC,272,Drill bit flute depuy 3010062s,3385.0,2200.25,173.17,3385.0,34
RC,272,Drill bit flutelss lp6975150,3005.0,1953.25,173.17,3005.0,34
RC,272,Drill bit flx 16 depuy 3037102,9567.0,6218.55,173.17,9567.0,34
RC,272,Drill bit frs releif mod DEPU,1075.0,698.75,173.17,1075.0,34
RC,272,Drill bit grad lg 3.2 71751149,2705.0,1758.25,173.17,2705.0,34
RC,272,Drill bit head Osteomed 316051,4370.0,2840.5,173.17,4370.0,34
RC,272,Drill bit j latch 03503476,2615.0,1699.75,173.17,2615.0,34
RC,272,Drill bit lag 23510210,13370.0,8690.5,173.17,13370.0,34
RC,272,Drill bit lck 3.1x238mm 705077,3887.0,2526.55,173.17,3887.0,34
RC,272,Drill bit lck 3.2x216mm 705043,3981.0,2587.65,173.17,3981.0,34
RC,272,Drill bit lng 2.4mm 202000224,1798.0,1168.7,173.17,1798.0,34
RC,272,Drill bit matrix 1.1mm 3503248,2110.0,1371.5,173.17,2110.0,34
RC,272,Drill bit mill 1.8 03820153s,4683.0,3043.95,173.17,4683.0,34
RC,272,Drill bit nanotack 00cat01859,2306.0,1498.9,173.17,2306.0,34
RC,272,Drill bit no loc 2.5 705025,4038.0,2624.7,173.17,4038.0,34
RC,272,Drill bit noloc shor3.0 705031,3633.0,2361.45,173.17,3633.0,34
RC,272,Drill bit nxmdc351,2646.0,1719.9,173.17,2646.0,34
RC,272,Drill bit osteom nail6 3007006,5870.0,3815.5,173.17,5870.0,34
RC,272,Drill bit ovdril2.0-2.5 ai3042,2413.0,1568.45,173.17,2413.0,34
RC,272,Drill bit over 3.5mm 71175027,1644.0,1068.6,173.17,1644.0,34
RC,272,Drill bit paral gud sleeve 2.0,2931.0,1905.15,173.17,2931.0,34
RC,272,Drill bit parcus 10505u,1665.0,1082.25,173.17,1665.0,34
RC,272,Drill bit perc calib2.5 324210,2249.0,1461.85,173.17,2249.0,34
RC,272,Drill bit perc guide4.3 324203,4279.0,2781.35,173.17,4279.0,34
RC,272,Drill bit percutanes 32 324212,2136.0,1388.4,173.17,2136.0,34
RC,272,Drill bit periar2.7 236020527,1483.0,963.95,173.17,1483.0,34
RC,272,Drill bit peripheral 223000095,1907.0,1239.55,173.17,1907.0,34
RC,272,Drill bit peripherl 3.2 mwj126,2497.0,1623.05,173.17,2497.0,34
RC,272,Drill bit pilot 1.3mm 12mm stp,1643.0,1067.95,173.17,1643.0,34
RC,272,Drill bit pilot long 4.0mm sn,2697.0,1753.05,173.17,2697.0,34
RC,272,Drill bit pin 2.0x62 6020012,1592.0,1034.8,173.17,1592.0,34
RC,272,Drill bit qc 2.9x150mm 310229,1045.0,679.25,173.17,1045.0,34
RC,272,Drill bit qc 3.5mm 71173505,1601.0,1040.65,173.17,1601.0,34
RC,272,Drill bit qc 4x197mm 31040,1010.0,656.5,173.17,1010.0,34
RC,272,Drill bit qc depuy 03133101s,1889.0,1227.85,173.17,1889.0,34
RC,272,Drill bit qc depuy 03133105s,1332.0,865.8,173.17,1332.0,34
RC,272,Drill bit qc depuy 31026s,1467.0,953.55,173.17,1467.0,34
RC,272,Drill bit quick conn3.5 700349,2020.0,1313.0,173.17,2020.0,34
RC,272,Drill bit quick rel  32486265,579.0,376.35,100.17,579.0,34
RC,272,Drill bit quickrl 2.3mm 800627,1492.0,969.8,173.17,1492.0,34
RC,272,Drill bit quickrl 2x5 msdc5020,1025.0,666.25,173.17,1025.0,34
RC,272,Drill bit rev 2.5m 47430904601,2677.0,1740.05,173.17,2677.0,34
RC,272,Drill bit sb080050,3328.0,2163.2,173.17,3328.0,34
RC,272,Drill bit scw 405883,1784.0,1159.6,173.17,1784.0,34
RC,272,Drill bit short 2.5mm 237100,2265.0,1472.25,173.17,2265.0,34
RC,272,Drill bit short 3.5mm 71173504,1418.0,921.7,173.17,1418.0,34
RC,272,Drill bit short 4.0 71631117,1859.0,1208.35,173.17,1859.0,34
RC,272,Drill bit shr quic2.7 71173362,1023.0,664.95,173.17,1023.0,34
RC,272,Drill bit sleeve 3.1mm 705075,3774.0,2453.1,173.17,3774.0,34
RC,272,Drill bit sleeve grn 5 ocd05,2894.0,1881.1,173.17,2894.0,34
RC,272,Drill bit solid ao p991002013,2011.0,1307.15,173.17,2011.0,34
RC,272,Drill bit speedguide ao 703891,3217.0,2091.05,173.17,3217.0,34
RC,272,Drill bit ss 11mm 7080510,1659.0,1078.35,173.17,1659.0,34
RC,272,Drill bit step shrt3.8 7107034,4172.0,2711.8,173.17,4172.0,34
RC,272,Drill bit stryker 5300010041,395.0,256.75,68.34,395.0,34
RC,272,Drill bit stryker is1114,2736.0,1778.4,173.17,2736.0,34
RC,272,Drill bit t10 driver 5015,4881.0,3172.65,173.17,4881.0,34
RC,272,Drill bit talr 4 ankl ib200020,1319.0,857.35,173.17,1319.0,34
RC,272,Drill bit target 4.2 38152142,2617.0,1701.05,173.17,2617.0,34
RC,272,Drill bit trim it 2.7 ar416027,871.0,566.15,150.68,871.0,34
RC,272,Drill bit twist 1.0mm STRY,594.0,386.1,102.76,594.0,34
RC,272,Drill bit twist 1.1 254520791,1574.0,1023.1,173.17,1574.0,34
RC,272,Drill bit twist 1.1x50x5 45205,1272.0,826.8,173.17,1272.0,34
RC,272,Drill bit twist 1.1x50x5 7142,1795.0,1166.75,173.17,1795.0,34
RC,272,Drill bit twist 1.1x50x7 7144,1206.0,783.9,173.17,1206.0,34
RC,272,Drill bit twist 1.4x27 6019326,1742.0,1132.3,173.17,1742.0,34
RC,272,Drill bit twist 1.4x54 6014008,1433.0,931.45,173.17,1433.0,34
RC,272,Drill bit twist 1.5x105 019198,1827.0,1187.55,173.17,1827.0,34
RC,272,Drill bit twist 1.5x50 019195,1168.0,759.2,173.17,1168.0,34
RC,272,Drill bit twist 1.5x50 254419,1414.0,919.1,173.17,1414.0,34
RC,272,Drill bit twist 1.5x50x22 9196,1686.0,1095.9,173.17,1686.0,34
RC,272,Drill bit twist 1.5x58 6015020,1420.0,923.0,173.17,1420.0,34
RC,272,Drill bit twist 1.6x25 A3430,1037.0,674.05,173.17,1037.0,34
RC,272,Drill bit twist 1.6x35 6016035,1586.0,1030.9,173.17,1586.0,34
RC,272,Drill bit twist 1.6x7 6016007,1324.0,860.6,173.17,1324.0,34
RC,272,Drill bit twist 26 stop 461007,2530.0,1644.5,173.17,2530.0,34
RC,272,Drill bit twist 3.5,622.0,404.3,107.61,622.0,34
RC,272,Drill bit twist 4.0,3400.0,2210.0,173.17,3400.0,34
RC,272,Drill bit twist 4.0mm,175.0,113.75,30.28,175.0,34
RC,272,Drill bit twist 4.3,677.0,440.05,117.12,677.0,34
RC,272,Drill bit twist 4.3 211201405,1751.0,1138.15,173.17,1751.0,34
RC,272,Drill bit twist 4.5 700354,2925.0,1901.25,173.17,2925.0,34
RC,272,Drill bit twist 7x50x5mm 17425,1313.0,853.45,173.17,1313.0,34
RC,272,Drill bit twist a3130,1710.0,1111.5,173.17,1710.0,34
RC,272,Drill bit twist cann 4mm702446,5113.0,3323.45,173.17,5113.0,34
RC,272,Drill bit twist medart a800401,5815.0,3779.75,173.17,5815.0,34
RC,272,Drill bit vert 2.4mm nav2075,9844.0,6398.6,173.17,9844.0,34
RC,272,Drill bit vuepoint 8977010,3181.0,2067.65,173.17,3181.0,34
RC,272,Drill bit widening 4mm 92141,2019.0,1312.35,173.17,2019.0,34
RC,272,Drill bit wright 40122000,1655.0,1075.75,173.17,1655.0,34
RC,272,Drill bit wright dsds0017,2508.0,1630.2,173.17,2508.0,34
RC,272,Drill bit y-knot anchor hf13d,971.0,631.15,167.98,971.0,34
RC,272,Drill bit2.5x40mm drllssc25040,1092.0,709.8,173.17,1092.0,34
RC,272,Drill bt twist 1.6x110 6016620,4081.0,2652.65,173.17,4081.0,34
RC,272,Drill calib 4.2mm ar909142,4505.0,2928.25,173.17,4505.0,34
RC,272,Drill cann 13.5mm 266,4315.0,2804.75,173.17,4315.0,34
RC,272,Drill cann 2.0x120 p991102112,2232.0,1450.8,173.17,2232.0,34
RC,272,Drill cann Acumed 3160514,3106.0,2018.9,173.17,3106.0,34
RC,272,Drill cann Osteomed 3160513,2572.0,1671.8,173.17,2572.0,34
RC,272,Drill cann Paragn28 p991107020,1986.0,1290.9,173.17,1986.0,34
RC,272,Drill cann Skeltl drllcdc37080,3159.0,2053.35,173.17,3159.0,34
RC,272,Drill cann Skeltl drllcdc40020,3625.0,2356.25,173.17,3625.0,34
RC,272,Drill cann Zimmer 114703000,6159.0,4003.35,173.17,6159.0,34
RC,272,Drill cann arthx ar8945csf,3180.0,2067.0,173.17,3180.0,34
RC,272,Drill cann asnis 2x1.7 4520005,3670.0,2385.5,173.17,3670.0,34
RC,272,Drill cann nxmdc301,1526.0,991.9,173.17,1526.0,34
RC,272,Drill cann p991103320,5009.0,3255.85,173.17,5009.0,34
RC,272,Drill countersink 3mm 4530007,3755.0,2440.75,173.17,3755.0,34
RC,272,Drill cutter flute routr 1.4mm,705.0,458.25,121.97,705.0,34
RC,272,Drill depuy 3111900,8492.0,5519.8,173.17,8492.0,34
RC,272,Drill depuy 357405,3909.0,2540.85,173.17,3909.0,34
RC,272,Drill fibulck prod pck st6100,7420.0,4823.0,173.17,7420.0,34
RC,272,Drill grad shrt 3.2 71751148,2574.0,1673.1,173.17,2574.0,34
RC,272,Drill guide S&N 71691152,2953.0,1919.45,173.17,2953.0,34
RC,272,Drill guide Spyro 1.8 72202040,1022.0,664.3,173.17,1022.0,34
RC,272,Drill guide Stryker 703888,6094.0,3961.1,173.17,6094.0,34
RC,272,Drill guide Zimmer 0200024011,3042.0,1977.3,173.17,3042.0,34
RC,272,Drill guide ao S&N 71691155,2033.0,1321.45,173.17,2033.0,34
RC,272,Drill guide instr 3.5mm,6622.0,4304.3,173.17,6622.0,34
RC,272,Drill guide kit Brainlab 19769,6042.0,3927.3,173.17,6042.0,34
RC,272,Drill guide lock 2.0mm,3740.0,2431.0,173.17,3740.0,34
RC,272,Drill guide sizing sg1,391.0,254.15,67.64,391.0,34
RC,272,Drill guide target 38152100,3556.0,2311.4,173.17,3556.0,34
RC,272,Drill guide thrd 4.3mm,1623.0,1054.95,173.17,1623.0,34
RC,272,Drill guide wnut instr 3120023,5836.0,3793.4,173.17,5836.0,34
RC,272,Drill hand 8ga 7.75 306808000,969.0,629.85,167.64,969.0,34
RC,272,Drill lag scw 13200191,17919.0,11647.35,173.17,17919.0,34
RC,272,Drill lag scw intertn 71674540,6275.0,4078.75,173.17,6275.0,34
RC,272,Drill pilot 1.6mm J-latch os,1305.0,848.25,173.17,1305.0,34
RC,272,Drill pilot 4 long ao 71631121,2569.0,1669.85,173.17,2569.0,34
RC,272,Drill pilot 4 short ao71631123,1869.0,1214.85,173.17,1869.0,34
RC,272,Drill pin 3.7mm ar2272,1406.0,913.9,173.17,1406.0,34
RC,272,Drill pin arthx ar1342402,3717.0,2416.05,173.17,3717.0,34
RC,272,Drill pin genesis set 114968,1743.0,1132.95,173.17,1743.0,34
RC,272,Drill pin tip 2.4x15 sn014604,1215.0,789.75,173.17,1215.0,34
RC,272,Drill quick rel Acumed 3202125,2379.0,1546.35,173.17,2379.0,34
RC,272,Drill quick rel Acumed tr0206,3572.0,2321.8,173.17,3572.0,34
RC,272,Drill recon stepdrill18063026s,3651.0,2373.15,173.17,3651.0,34
RC,272,Drill scw lag Galileo 10.3 258,5176.0,3364.4,173.17,5176.0,34
RC,272,Drill slap hammer ct0163,9806.0,6373.9,173.17,9806.0,34
RC,272,Drill sleeve 3.2x1.6mm 31275,1879.0,1221.35,173.17,1879.0,34
RC,272,Drill sleeve 5x3.5 depuy395913,1707.0,1109.55,173.17,1707.0,34
RC,272,Drill sleeve 5x3.5mm 395912,1315.0,854.75,173.17,1315.0,34
RC,272,Drill sleeve 6x5mm thrd 395921,1512.0,982.8,173.17,1512.0,34
RC,272,Drill sleeve Zimmer 211201410,3551.0,2308.15,173.17,3551.0,34
RC,272,Drill sleeve measur 856301005,1731.0,1125.15,173.17,1731.0,34
RC,272,Drill spi opening 18061400,6198.0,4028.7,173.17,6198.0,34
RC,272,Drill step calib 4 p471004020,1903.0,1236.95,173.17,1903.0,34
RC,272,Drill step calib 5 gold0209200,3603.0,2341.95,173.17,3603.0,34
RC,272,Drill step calibr 3.5 2.5 254,2974.0,1933.1,173.17,2974.0,34
RC,272,Drill step smn10018,4653.0,3024.45,173.17,4653.0,34
RC,272,Drill stryker 18066165,13461.0,8749.65,173.17,13461.0,34
RC,272,Drill stryker 18066167,13590.0,8833.5,173.17,13590.0,34
RC,272,Drill stryker 18066180,12213.0,7938.45,173.17,12213.0,34
RC,272,Drill surg Affixus Zim42321507,4367.0,2838.55,173.17,4367.0,34
RC,272,Drill tip guide 3.5mm ar1250f,494.0,321.1,85.46,494.0,34
RC,272,Drill tip gw 2.5x200 sy310243,754.0,490.1,130.44,754.0,34
RC,272,Drill tip wire 150mm 71101413,3112.0,2022.8,173.17,3112.0,34
RC,272,Drill twist 6010115,1675.0,1088.75,173.17,1675.0,34
RC,272,Drill vert augment8 1036008000,1012.0,657.8,173.17,1012.0,34
RC,272,Drive ultra 11 diskdrill423873,6270.0,4075.5,173.17,6270.0,34
RC,272,Driver cann 4.5mm 11071006,3001.0,1950.65,173.17,3001.0,34
RC,272,Driver cann Advanced 5014000,4540.0,2951.0,173.17,4540.0,34
RC,272,Driver cann mas5.5-6.0 9735278,11649.0,7571.85,173.17,11649.0,34
RC,272,Driver cann mas5.5-6.0 9735279,13252.0,8613.8,173.17,13252.0,34
RC,272,Driver power 68omsd,1696.0,1102.4,173.17,1696.0,34
RC,272,Driver pwr Surgalign pdsd50001,11282.0,7333.3,173.17,11282.0,34
RC,272,Driver ret t15 mpn30002,3286.0,2135.9,173.17,3286.0,34
RC,272,Driver sk dynamics drvruqct20,639.0,415.35,110.55,639.0,34
RC,272,Driver t15 AO Arthrex 432300,3313.0,2153.45,173.17,3313.0,34
RC,272,Driver t15 ret long 770001151,4293.0,2790.45,173.17,4293.0,34
RC,272,Drsg Acticoat silver 10x20cm,245.0,159.25,42.39,245.0,34
RC,272,Drsg Aquacel Convatec 422603,241.0,156.65,41.69,241.0,34
RC,272,Drsg Aquacel Convatec 422604,294.0,191.1,50.86,294.0,34
RC,272,Drsg Biobran d10x15 cah4094520,13928.0,9053.2,173.17,13928.0,34
RC,272,Drsg Biobran d15x20 cah4094538,5464.0,3551.6,173.17,5464.0,34
RC,272,Drsg Biobran ds5x5 cah4248795,23814.0,15479.1,173.17,23814.0,34
RC,272,Drsg Mepilex ag4x7 39109000,243.0,157.95,42.04,243.0,34
RC,272,Drsg Mepilex ag8x12 39209000,663.0,430.95,114.7,663.0,34
RC,272,Drsg Preven cust 5pk pre2055us,3742.0,2432.3,173.17,3742.0,34
RC,272,Drsg Preven cust sng pre2001us,6307.0,4099.55,173.17,6307.0,34
RC,272,Drsg VAC R peel ez5lrg,1538.0,999.7,173.17,1538.0,34
RC,272,Drsg VAC R peel ez5med,1274.0,828.1,173.17,1274.0,34
RC,272,Drsg Vac lrg m8275053,531.0,345.15,91.86,531.0,34
RC,272,Drsg Vac slv med 8275096,660.0,429.0,114.18,660.0,34
RC,272,Drsg Vac start tx Viakit07s05,5992.0,3894.8,173.17,5992.0,34
RC,272,Drsg Vac wound kit 370605,4727.0,3072.55,173.17,4727.0,34
RC,272,Drsg Vac-R peel sm ez5sml,1030.0,669.5,173.17,1030.0,34
RC,272,Drsg acticoat8x16 fl7 66800407,1129.0,733.85,173.17,1129.0,34
RC,272,Drsg aquacel hydro9x40 403789,1478.0,960.7,173.17,1478.0,34
RC,272,Drsg glov wnd burn sil1 403791,541.0,351.65,93.59,541.0,34
RC,272,Drsg glov wnd burn sil2 403792,2654.0,1725.1,173.17,2654.0,34
RC,272,Drsg glov wnd burn sil3 403793,2758.0,1792.7,173.17,2758.0,34
RC,272,Drsg glov wnd burn sil4 403794,2967.0,1928.55,173.17,2967.0,34
RC,272,Drsg jumpstart 5x6 abs4058,411.0,267.15,71.1,411.0,34
RC,272,Drsg jumpstart shouldr abs4051,410.0,266.5,70.93,410.0,34
RC,272,Drsg kit incision pre4055us,4057.0,2637.05,173.17,4057.0,34
RC,272,Drsg kit neg press 66022042,3085.0,2005.25,173.17,3085.0,34
RC,272,Drsg kit neg press 66022043,3095.0,2011.75,173.17,3095.0,34
RC,272,Drsg mepitel one 6.8x10 289700,207.0,134.55,35.81,207.0,34
RC,272,Drsg nasal 5.5 anterior rr552,563.0,365.95,97.4,563.0,34
RC,272,Drsg nasal disslv c-pak1520001,1106.0,718.9,173.17,1106.0,34
RC,272,Drsg sinus Rapid rhino rr650,810.0,526.5,140.13,810.0,34
RC,272,Drsg wnd Arthrex abs4057,507.0,329.55,87.71,507.0,34
RC,272,Drsg wnd burn wsil21x16 403789,2462.0,1600.3,173.17,2462.0,34
RC,272,Drsg wnd burn wsil9x39 403790,2670.0,1735.5,173.17,2670.0,34
RC,272,Drsg wnd tx neg pres ultvl05md,1181.0,767.65,173.17,1181.0,34
RC,272,Dsrg meplx ag 8x20in 287500,679.0,441.35,117.47,679.0,34
RC,272,Duafit inst In2Bones a0610401,15551.0,10108.15,173.17,15551.0,34
RC,272,Duraseal applicatr tip20510801,6763.0,4395.95,173.17,6763.0,34
RC,272,ENT bal inflt snus syr20ml rel,822.0,534.3,142.21,822.0,34
RC,272,ENT cath bal sinus Inflatn kit,1847.0,1200.55,173.17,1847.0,34
RC,272,ENT cath deploy 100cm re gc020,3699.0,2404.35,173.17,3699.0,34
RC,272,ENT cath guide sin f70 gc070rf,3922.0,2549.3,173.17,3922.0,34
RC,272,ENT navigat pt trackr 9733533,1509.0,980.85,173.17,1509.0,34
RC,272,ENT navigat pt trackr 9733534,1906.0,1238.9,173.17,1906.0,34
RC,272,ENT sinus asirator strt 45deg,836.0,543.4,144.63,836.0,34
RC,272,Ecmo cardio hls Getng701069078,67478.0,43860.7,173.17,67478.0,34
RC,272,Elbow kit Zimmer 3281060012,10674.0,6938.1,173.17,10674.0,34
RC,272,Elect 3 contact cedl3pdinx100,2714.0,1764.1,173.17,2714.0,34
RC,272,Electrd dragnfly 6.0 nvtkitms5,1962.0,1275.3,173.17,1962.0,34
RC,272,Electrod Star Taewoong1807s04f,5477.0,3560.05,173.17,5477.0,34
RC,272,Electrod bipolr ball 26040nb,4289.0,2787.85,173.17,4289.0,34
RC,272,Electrod bipolr loop 26040bl1,4414.0,2869.1,173.17,4414.0,34
RC,272,Electrod bipolr loop 26040gp1,4364.0,2836.6,173.17,4364.0,34
RC,272,Electrod cut loop 22f 46221313,3851.0,2503.15,173.17,3851.0,34
RC,272,Electrod cut loop 24f 84241410,2261.0,1469.65,173.17,2261.0,34
RC,272,Electrod def medlin mdsphy200,611.0,397.15,105.7,611.0,34
RC,272,Electrod dph 10c sd10rsp05x000,5650.0,3672.5,173.17,5650.0,34
RC,272,Electrod dph 12c sd12rsp05x000,6328.0,4113.2,173.17,6328.0,34
RC,272,Electrod dph 14c sd14rsp05x000,6519.0,4237.35,173.17,6519.0,34
RC,272,Electrod eeg 1x6 ts06rsp10x000,6943.0,4512.95,173.17,6943.0,34
RC,272,Electrod eeg1x10 ts10rsp10x001,7611.0,4947.15,173.17,7611.0,34
RC,272,Electrod knife 22/24f 84231905,973.0,632.45,168.33,973.0,34
RC,272,Electrod laryn Inomd5140530855,12429.0,8078.85,173.17,12429.0,34
RC,272,Electrod loop hf 2448fwa22037c,1724.0,1120.6,173.17,1724.0,34
RC,272,Electrod plasma 4.0 ps200040,3039.0,1975.35,173.17,3039.0,34
RC,272,Electrod plasma peak 3ps210030,3392.0,2204.8,173.17,3392.0,34
RC,272,Electrod plasma peak 4ps100100,2692.0,1749.8,173.17,2692.0,34
RC,272,Electrod sm rollball 84224355,2086.0,1355.9,173.17,2086.0,34
RC,272,Electrod stp 1x4 is04rsp10x000,5311.0,3452.15,173.17,5311.0,34
RC,272,Electrod stp 1x6 is08rsp10x000,8289.0,5387.85,173.17,8289.0,34
RC,272,Electrod tail4x8 fg32csp10xoc6,13556.0,8811.4,173.17,13556.0,34
RC,272,Electrod tail8x8 fg64csp10x0c6,12223.0,7944.95,173.17,12223.0,34
RC,272,Electrod tail8x8 fg64csp10x0cb,12478.0,8110.7,173.17,12478.0,34
RC,272,Electrode J hook 33cm 0021,2296.0,1492.4,173.17,2296.0,34
RC,272,Electrode Novasure gyn n2000,11714.0,7614.1,173.17,11714.0,34
RC,272,Electrode Novasure gyn ns2007,24026.0,15616.9,173.17,24026.0,34
RC,272,Electrode Verspnt 0deg 1950JJ,4094.0,2661.1,173.17,4094.0,34
RC,272,Electrode ball 3 24f 26050n6,1331.0,865.15,173.17,1331.0,34
RC,272,Electrode band 12deg wa22621s,5031.0,3270.15,173.17,5031.0,34
RC,272,Electrode barrel3 24f 26050nx6,1613.0,1048.45,173.17,1613.0,34
RC,272,Electrode button Kinet 786500,5357.0,3482.05,173.17,5357.0,34
RC,272,Electrode button oval wa22666s,5795.0,3766.75,173.17,5795.0,34
RC,272,Electrode button resecwa22657s,5237.0,3404.05,173.17,5237.0,34
RC,272,Electrode esg plasma wa22705s,5023.0,3264.95,173.17,5023.0,34
RC,272,Electrode esg plasma wa22766s,5796.0,3767.4,173.17,5796.0,34
RC,272,Electrode knife cold disp KARL,2071.0,1346.15,173.17,2071.0,34
RC,272,Electrode ligasur vseal 5m div,4285.0,2785.25,173.17,4285.0,34
RC,272,Electrode ligasure ridg xtd,1760.0,1144.0,173.17,1760.0,34
RC,272,Electrode loop 24f rt mle24015,776.0,504.4,134.25,776.0,34
RC,272,Electrode loop 24fr 20x12 uro,1458.0,947.7,173.17,1458.0,34
RC,272,Electrode loop 26f uro a22202d,1678.0,1090.7,173.17,1678.0,34
RC,272,Electrode loop 32dg wa22557c,5625.0,3656.25,173.17,5625.0,34
RC,272,Electrode loop Kinetic 784415,5135.0,3337.75,173.17,5135.0,34
RC,272,Electrode loop hf 24f wa22602d,5404.0,3512.6,173.17,5404.0,34
RC,272,Electrode loop sm wa22642s,5022.0,3264.3,173.17,5022.0,34
RC,272,Electrode res Olympus wa47786a,5347.0,3475.55,173.17,5347.0,34
RC,272,Electrode rollball 27f 3mmKARL,1096.0,712.4,173.17,1096.0,34
RC,272,Electrode roller25-28f a22257c,2942.0,1912.3,173.17,2942.0,34
RC,272,Electrode subderml 2chanel dis,1068.0,694.2,173.17,1068.0,34
RC,272,Electrode tip Olympus wa47782a,5117.0,3326.05,173.17,5117.0,34
RC,272,Electrode vapor 24fr 27050sg g,2006.0,1303.9,173.17,2006.0,34
RC,272,Electrode vapr 90d hndpc227204,2904.0,1887.6,173.17,2904.0,34
RC,272,Embol Onyx 18 kit 1057100060,18856.0,12256.4,173.17,18856.0,34
RC,272,Embol Onyx mixer 1031205001,6837.0,4444.05,173.17,6837.0,34
RC,272,Endcap 5mm 1115050,3687.0,2396.55,173.17,3687.0,34
RC,272,Endo capsule cam pill fgs0180,5152.0,3348.8,173.17,5152.0,34
RC,272,Endo capsule sm 26ml maj2027,5043.0,3277.95,173.17,5043.0,34
RC,272,Endo chole kit tyco 00C8861,5091.0,3309.15,173.17,5091.0,34
RC,272,Endo cutter ring 374100,399.0,259.35,69.03,399.0,34
RC,272,Endo retrn arteral cann er23b,4876.0,3169.4,173.17,4876.0,34
RC,272,Endobronc edge tip180 sdk400ft,13442.0,8737.3,173.17,13442.0,34
RC,272,Endobronc edge tip90 sdk4900ft,11930.0,7754.5,173.17,11930.0,34
RC,272,Endobronch aScope 3 402001000,2851.0,1853.15,173.17,2851.0,34
RC,272,Endoplg coronary sinus cath ep,14737.0,9579.05,173.17,14737.0,34
RC,272,Endostitch relod o-poly 170052,2845.0,1849.25,173.17,2845.0,34
RC,272,Ent inflator Aeris dev ql2530,466.0,302.9,80.62,466.0,34
RC,272,Eval balloon EP,1.0,0.65,0.17,173.17,34
RC,272,Everest gw Stryker 510190101g1,1134.0,737.1,173.17,1134.0,34
RC,272,Everest scalpl Stry510190175g1,2622.0,1704.3,173.17,2622.0,34
RC,272,Ex fix clamp 8-11combin 390037,7419.0,4822.35,173.17,7419.0,34
RC,272,Ext fix Outrigger Depuy 390013,1386.0,900.9,173.17,1386.0,34
RC,272,Ext fix ank ring 1/2 818004060,4791.0,3114.15,173.17,4791.0,34
RC,272,Ext fix ank zipti sys ti909853,11873.0,7717.45,173.17,11873.0,34
RC,272,Ext fix ankl ring 2/3 fc10029,6190.0,4023.5,173.17,6190.0,34
RC,272,Ext fix ankle kit 03301010s,29154.0,18950.1,173.17,29154.0,34
RC,272,Ext fix ankle kit orth9991647,25881.0,16822.65,173.17,25881.0,34
RC,272,Ext fix ankle span kit71062702,34250.0,22262.5,173.17,34250.0,34
RC,272,Ext fix ankle univ carbn 20380,26955.0,17520.75,173.17,26955.0,34
RC,272,Ext fix band id strut 71070340,4333.0,2816.45,173.17,4333.0,34
RC,272,Ext fix bar 100mm 71062100,2943.0,1912.95,173.17,2943.0,34
RC,272,Ext fix bar 11mm 520301140,2601.0,1690.65,173.17,2601.0,34
RC,272,Ext fix bar 250mm 71062250,3155.0,2050.75,173.17,3155.0,34
RC,272,Ext fix bar 400x10.5 71062400,3477.0,2260.05,173.17,3477.0,34
RC,272,Ext fix bar 6x185 s&n 71065185,1549.0,1006.85,173.17,1549.0,34
RC,272,Ext fix bar S&N 71065110,2024.0,1315.6,173.17,2024.0,34
RC,272,Ext fix bar Zimmer 00520201130,2316.0,1505.4,173.17,2316.0,34
RC,272,Ext fix bar Zimmer 520201135,2459.0,1598.35,173.17,2459.0,34
RC,272,Ext fix bar Zimmer 520300610,2388.0,1552.2,173.17,2388.0,34
RC,272,Ext fix bar Zimmer 520301135,3116.0,2025.4,173.17,3116.0,34
RC,272,Ext fix bar Zimmer 520301150,5520.0,3588.0,173.17,5520.0,34
RC,272,Ext fix bar carbon p474100150,6657.0,4327.05,173.17,6657.0,34
RC,272,Ext fix bar carbon p474100200,6826.0,4436.9,173.17,6826.0,34
RC,272,Ext fix bar carbon p474100350,7335.0,4767.75,173.17,7335.0,34
RC,272,Ext fix bar glass 00520201125,2245.0,1459.25,173.17,2245.0,34
RC,272,Ext fix bar wright rr1072,4781.0,3107.65,173.17,4781.0,34
RC,272,Ext fix bar-pin Zimmr520001002,6901.0,4485.65,173.17,6901.0,34
RC,272,Ext fix bolt shldr 8mm 3312830,1043.0,677.95,173.17,1043.0,34
RC,272,Ext fix cap block 5mm 290061,3663.0,2380.95,173.17,3663.0,34
RC,272,Ext fix carbon bar 520301120,2031.0,1320.15,173.17,2031.0,34
RC,272,Ext fix clamp 10.5 4 71064010,8435.0,5482.75,173.17,8435.0,34
RC,272,Ext fix clamp 16mm 395126,8420.0,5473.0,173.17,8420.0,34
RC,272,Ext fix clamp 3mm 395133,7829.0,5088.85,173.17,7829.0,34
RC,272,Ext fix clamp 4hl pin 71067375,7132.0,4635.8,173.17,7132.0,34
RC,272,Ext fix clamp 5hl 49212020,9126.0,5931.9,173.17,9126.0,34
RC,272,Ext fix clamp 6hl pin 71067376,7708.0,5010.2,173.17,7708.0,34
RC,272,Ext fix clamp Depuy 39001,5636.0,3663.4,173.17,5636.0,34
RC,272,Ext fix clamp MRI safe390005,7921.0,5148.65,173.17,7921.0,34
RC,272,Ext fix clamp Orthofix 9993040,7659.0,4978.35,173.17,7659.0,34
RC,272,Ext fix clamp Zimmer 520001001,5904.0,3837.6,173.17,5904.0,34
RC,272,Ext fix clamp Zimmer 520003006,10937.0,7109.05,173.17,10937.0,34
RC,272,Ext fix clamp Zimmr00520004008,6953.0,4519.45,173.17,6953.0,34
RC,272,Ext fix clamp conn lo ext 2015,25390.0,16503.5,173.17,25390.0,34
RC,272,Ext fix clamp depuy 390051,8740.0,5681.0,173.17,8740.0,34
RC,272,Ext fix clamp fre 6mm 71064019,9474.0,6158.1,173.17,9474.0,34
RC,272,Ext fix clamp hfmn2 hl49412020,6736.0,4378.4,173.17,6736.0,34
RC,272,Ext fix clamp med comb390031,6168.0,4009.2,173.17,6168.0,34
RC,272,Ext fix clamp open lg 390.008,6566.0,4267.9,173.17,6566.0,34
RC,272,Ext fix clamp overhang71933622,7530.0,4894.5,173.17,7530.0,34
RC,272,Ext fix clamp p473200008,15374.0,9993.1,173.17,15374.0,34
RC,272,Ext fix clamp pin 2pst49222240,10780.0,7007.0,173.17,10780.0,34
RC,272,Ext fix clamp pin 6pos 390036,7963.0,5175.95,173.17,7963.0,34
RC,272,Ext fix clamp pin lg 4 390004,8314.0,5404.1,173.17,8314.0,34
RC,272,Ext fix clamp pin lg 4 390009,4541.0,2951.65,173.17,4541.0,34
RC,272,Ext fix clamp pin lg 6 390002,8880.0,5772.0,173.17,8880.0,34
RC,272,Ext fix clamp pin lg 6 390010,4675.0,3038.75,173.17,4675.0,34
RC,272,Ext fix clamp pin pre assem 3h,13629.0,8858.85,173.17,13629.0,34
RC,272,Ext fix clamp rail 2h 71933329,3841.0,2496.65,173.17,3841.0,34
RC,272,Ext fix clamp rail 2h 71933342,5978.0,3885.7,173.17,5978.0,34
RC,272,Ext fix clamp rail 3h 71933325,2993.0,1945.45,173.17,2993.0,34
RC,272,Ext fix clamp rail min xtr7050,4102.0,2666.3,173.17,4102.0,34
RC,272,Ext fix clamp s comb mr 390041,3963.0,2575.95,173.17,3963.0,34
RC,272,Ext fix clamp tube-tube 390007,8018.0,5211.7,173.17,8018.0,34
RC,272,Ext fix clamp2 10h pin49212060,12157.0,7902.05,173.17,12157.0,34
RC,272,Ext fix clamp3 5h pin492220201,9754.0,6340.1,173.17,9754.0,34
RC,272,Ext fix cube 1 hole ilz103451,2015.0,1309.75,173.17,2015.0,34
RC,272,Ext fix dev distr rt 71934681,7191.0,4674.15,173.17,7191.0,34
RC,272,Ext fix dist rad kit 71064701,19375.0,12593.75,173.17,19375.0,34
RC,272,Ext fix distractr 70mm 5011010,4451.0,2893.15,173.17,4451.0,34
RC,272,Ext fix drill 2.7 103044,3986.0,2590.9,173.17,3986.0,34
RC,272,Ext fix drill 4.8mm 71934029,3485.0,2265.25,173.17,3485.0,34
RC,272,Ext fix drill 6mm 71933346,3791.0,2464.15,173.17,3791.0,34
RC,272,Ext fix drill cann5.2 71119106,5749.0,3736.85,173.17,5749.0,34
RC,272,Ext fix drill tip 355 71933244,702.0,456.3,121.45,702.0,34
RC,272,Ext fix field kit a 49229940s,32289.0,20987.85,173.17,32289.0,34
RC,272,Ext fix field kit b 49229941s,46343.0,30122.95,173.17,46343.0,34
RC,272,Ext fix foot arch 49346180,13672.0,8886.8,173.17,13672.0,34
RC,272,Ext fix foot plate DNE180dhfp,8570.0,5570.5,173.17,8570.0,34
RC,272,Ext fix foot ring long49344180,15720.0,10218.0,173.17,15720.0,34
RC,272,Ext fix foot ring md 818004011,13317.0,8656.05,173.17,13317.0,34
RC,272,Ext fix frame 160mm DNE160sfc,8056.0,5236.4,173.17,8056.0,34
RC,272,Ext fix frame assm160 rrcf0160,35467.0,23053.55,173.17,35467.0,34
RC,272,Ext fix half ring DNE1405,4373.0,2842.45,173.17,4373.0,34
RC,272,Ext fix half ring DNE2005,6228.0,4048.2,173.17,6228.0,34
RC,272,Ext fix hinge bolt lng49341016,1154.0,750.1,173.17,1154.0,34
RC,272,Ext fix hinge compass 71060001,51733.0,33626.45,173.17,51733.0,34
RC,272,Ext fix hinge male 71933327,4808.0,3125.2,173.17,4808.0,34
RC,272,Ext fix hook extractn 355399S,3734.0,2427.1,173.17,3734.0,34
RC,272,Ext fix low extrm extn bio0702,12262.0,7970.3,173.17,12262.0,34
RC,272,Ext fix mini clamp bridge 0705,4460.0,2899.0,173.17,4460.0,34
RC,272,Ext fix mini strt rail 20 0703,12747.0,8285.55,173.17,12747.0,34
RC,272,Ext fix motor strut xs49340190,20227.0,13147.55,173.17,20227.0,34
RC,272,Ext fix nut square 3311060,1103.0,716.95,173.17,1103.0,34
RC,272,Ext fix open ring 155 49336155,11731.0,7625.15,173.17,11731.0,34
RC,272,Ext fix oval ring DNE140ov,6625.0,4306.25,173.17,6625.0,34
RC,272,Ext fix pin 1.7mm ms2640,2847.0,1850.55,173.17,2847.0,34
RC,272,Ext fix pin bolt 71010705rp,674.0,438.1,116.6,674.0,34
RC,272,Ext fix plate 180x160mm 101218,15333.0,9966.45,173.17,15333.0,34
RC,272,Ext fix plate 35mm 2h 101810,1314.0,854.1,173.17,1314.0,34
RC,272,Ext fix plate foot kit 3312010,14489.0,9417.85,173.17,14489.0,34
RC,272,Ext fix plate mod 2h 71933833,1670.0,1085.5,173.17,1670.0,34
RC,272,Ext fix plate mod 4h 71933835,1825.0,1186.25,173.17,1825.0,34
RC,272,Ext fix plate mod 6h 71933837,2127.0,1382.55,173.17,2127.0,34
RC,272,Ext fix plate mod10h 719338341,3104.0,2017.6,173.17,3104.0,34
RC,272,Ext fix post 3hl female 101501,1911.0,1242.15,173.17,1911.0,34
RC,272,Ext fix post angl 30d 49412140,1309.0,850.85,173.17,1309.0,34
RC,272,Ext fix post angl 30d 71067381,3163.0,2055.95,173.17,3163.0,34
RC,272,Ext fix post foot ring lng2124,2173.0,1412.45,173.17,2173.0,34
RC,272,Ext fix post footring shrt2124,1861.0,1209.65,173.17,1861.0,34
RC,272,Ext fix post hfmn2 30d 4940214,1251.0,813.15,173.17,1251.0,34
RC,272,Ext fix post strt 71067379,2985.0,1940.25,173.17,2985.0,34
RC,272,Ext fix radius acces disp 4102,18893.0,12280.45,173.17,18893.0,34
RC,272,Ext fix rail Orthofix m103,10307.0,6699.55,173.17,10307.0,34
RC,272,Ext fix rail arc conn 71933335,10236.0,6653.4,173.17,10236.0,34
RC,272,Ext fix rail arc end 71933339,4520.0,2938.0,173.17,4520.0,34
RC,272,Ext fix rail arc sm 71933941,8352.0,5428.8,173.17,8352.0,34
RC,272,Ext fix rail cap fem 71933639,4087.0,2656.55,173.17,4087.0,34
RC,272,Ext fix rail connect 71933343,5105.0,3318.25,173.17,5105.0,34
RC,272,Ext fix rail hinge 71934040,7632.0,4960.8,173.17,7632.0,34
RC,272,Ext fix rail mini xtrn 10 7030,11542.0,7502.3,173.17,11542.0,34
RC,272,Ext fix rail speed DNE9000sfr,12588.0,8182.2,173.17,12588.0,34
RC,272,Ext fix ring .5 Iliz180 101357,14377.0,9345.05,173.17,14377.0,34
RC,272,Ext fix ring 160mm lng 3311986,12511.0,8132.15,173.17,12511.0,34
RC,272,Ext fix ring 200mm 101358,11562.0,7515.3,173.17,11562.0,34
RC,272,Ext fix ring 205mm 71071308,13006.0,8453.9,173.17,13006.0,34
RC,272,Ext fix ring extrnl 1/3 13020,3996.0,2597.4,173.17,3996.0,34
RC,272,Ext fix ring full carb49335155,12307.0,7999.55,173.17,12307.0,34
RC,272,Ext fix ring ha 160mm 3311816,6942.0,4512.3,173.17,6942.0,34
RC,272,Ext fix ring mrsafe160 3311846,13032.0,8470.8,173.17,13032.0,34
RC,272,Ext fix ring segm 49337210,11364.0,7386.6,173.17,11364.0,34
RC,272,Ext fix ring ti 160mm 3311316,6465.0,4202.25,173.17,6465.0,34
RC,272,Ext fix ring u long 180 21205,11821.0,7683.65,173.17,11821.0,34
RC,272,Ext fix rocker shoe md49348140,13273.0,8627.45,173.17,13273.0,34
RC,272,Ext fix rod 11x150mm 49228150,4792.0,3114.8,173.17,4792.0,34
RC,272,Ext fix rod 11x350 crbn 39486,2467.0,1603.55,173.17,2467.0,34
RC,272,Ext fix rod 11x400mm 49228400,5774.0,3753.1,173.17,5774.0,34
RC,272,Ext fix rod 11x500mm 49228500,6585.0,4280.25,173.17,6585.0,34
RC,272,Ext fix rod 11x550 crbn 39490,2867.0,1863.55,173.17,2867.0,34
RC,272,Ext fix rod 5x250mm 50495525,1279.0,831.35,173.17,1279.0,34
RC,272,Ext fix rod 6x200 49331200,825.0,536.25,142.73,825.0,34
RC,272,Ext fix rod 80mm long 3311108,861.0,559.65,148.95,861.0,34
RC,272,Ext fix rod 8mm 50287030,4500.0,2925.0,173.17,4500.0,34
RC,272,Ext fix rod 8x200 50298820,3679.0,2391.35,173.17,3679.0,34
RC,272,Ext fix rod 8x250mm 50288250,4736.0,3078.4,173.17,4736.0,34
RC,272,Ext fix rod 8x350mm 50288350,4877.0,3170.05,173.17,4877.0,34
RC,272,Ext fix rod carbn 11x300 39485,2914.0,1894.1,173.17,2914.0,34
RC,272,Ext fix rod carbon 9.5 1152600,3142.0,2042.3,173.17,3142.0,34
RC,272,Ext fix rod cfbr 11x100 39480,2301.0,1495.65,173.17,2301.0,34
RC,272,Ext fix rod cfbr 3x45mm 395107,519.0,337.35,89.79,519.0,34
RC,272,Ext fix rod cfbr 8x320mm395792,1805.0,1173.25,173.17,1805.0,34
RC,272,Ext fix rod conn 11 49228200,4915.0,3194.75,173.17,4915.0,34
RC,272,Ext fix rod grad lg sn100106,11847.0,7700.55,173.17,11847.0,34
RC,272,Ext fix rod lg pin clamp390003,5074.0,3298.1,173.17,5074.0,34
RC,272,Ext fix rod semi circl49227220,6415.0,4169.75,173.17,6415.0,34
RC,272,Ext fix rod shouldr ret dwd163,1320.0,858.0,173.17,1320.0,34
RC,272,Ext fix rod wrist200 03304320s,15518.0,10086.7,173.17,15518.0,34
RC,272,Ext fix rod8x200 carbn f395782,1782.0,1158.3,173.17,1782.0,34
RC,272,Ext fix rod8x360 carbn f395796,1950.0,1267.5,173.17,1950.0,34
RC,272,Ext fix scw post mount 3311059,3384.0,2199.6,173.17,3384.0,34
RC,272,Ext fix scw rail 6mm 71933598,12050.0,7832.5,173.17,12050.0,34
RC,272,Ext fix scw ring mount 3311058,2882.0,1873.3,173.17,2882.0,34
RC,272,Ext fix skis walking DNE9000ws,7553.0,4909.45,173.17,7553.0,34
RC,272,Ext fix slotted plate 49341060,1732.0,1125.8,173.17,1732.0,34
RC,272,Ext fix sm bn mini md 7010,11782.0,7658.3,173.17,11782.0,34
RC,272,Ext fix socket Iliza 30 100310,708.0,460.2,122.48,708.0,34
RC,272,Ext fix spatial frame 71070200,12964.0,8426.6,173.17,12964.0,34
RC,272,Ext fix strut 100-125 49330100,12477.0,8110.05,173.17,12477.0,34
RC,272,Ext fix strut 150mm 3312150,15153.0,9849.45,173.17,15153.0,34
RC,272,Ext fix strut band set 3312820,5015.0,3259.75,173.17,5015.0,34
RC,272,Ext fix strut fast fix71070710,13338.0,8669.7,173.17,13338.0,34
RC,272,Ext fix strut plug set 3312821,5619.0,3652.35,173.17,5619.0,34
RC,272,Ext fix strut qa med 3312812,14554.0,9460.1,173.17,14554.0,34
RC,272,Ext fix strut quick med5010180,8394.0,5456.1,173.17,8394.0,34
RC,272,Ext fix strut short30 49331530,883.0,573.95,152.76,883.0,34
RC,272,Ext fix strut30 mid tier 21252,7812.0,5077.8,173.17,7812.0,34
RC,272,Ext fix strut5-8 150mm 3312650,14466.0,9402.9,173.17,14466.0,34
RC,272,Ext fix struts DNE6000750,2783.0,1808.95,173.17,2783.0,34
RC,272,Ext fix tlck ring 180 5610950,11113.0,7223.45,173.17,11113.0,34
RC,272,Ext fix wire bolt adap49331005,3481.0,2262.65,173.17,3481.0,34
RC,272,Ext fix wire bolt offst3311051,616.0,400.4,106.57,616.0,34
RC,272,Ext fix wire bolt shrt 3311054,691.0,449.15,119.54,691.0,34
RC,272,Ext fix wire post 4h 3311174,3160.0,2054.0,173.17,3160.0,34
RC,272,Ext fix wire post 5h 3311175,3251.0,2113.15,173.17,3251.0,34
RC,272,Ext fix wire post short3311070,2637.0,1714.05,173.17,2637.0,34
RC,272,Ext fix wire post tall 3311071,2936.0,1908.4,173.17,2936.0,34
RC,272,Ext fix xs mac clamp t cd 4475,11613.0,7548.45,173.17,11613.0,34
RC,272,Ext fix xs mac diaph 15275,5480.0,3562.0,173.17,5480.0,34
RC,272,Ext fix xs mac module 15230,21981.0,14287.65,173.17,21981.0,34
RC,272,Ext fix xs mac rail 10cm 4411,7399.0,4809.35,173.17,7399.0,34
RC,272,Ext fix xs mac ring rot 15265,13735.0,8927.75,173.17,13735.0,34
RC,272,Ext fix xs scw clamp ang 15295,4887.0,3176.55,173.17,4887.0,34
RC,272,Ext fx bar offs jetx6 71065226,2688.0,1747.2,173.17,2688.0,34
RC,272,Ext fx clamp pin jetx 71062016,9059.0,5888.35,173.17,9059.0,34
RC,272,Ext fx post 2hl 5411610,1646.0,1069.9,173.17,1646.0,34
RC,272,Ext fx ring 200mm 5610960,12182.0,7918.3,173.17,12182.0,34
RC,272,Extractor rev Nuvasive cta1000,4940.0,3211.0,173.17,4940.0,34
RC,272,Extractor stone 10mm g23797,4219.0,2742.35,173.17,4219.0,34
RC,272,Extractr cath rx12-15 m0054701,1542.0,1002.3,173.17,1542.0,34
RC,272,Eye Constlnt20g totl ppk512701,734.0,477.1,126.98,734.0,34
RC,272,Eye OVD OmniSurg 1102,13262.0,8620.3,173.17,13262.0,34
RC,272,Eye PTOSIS sling ndl s31000u,373.0,242.45,64.53,373.0,34
RC,272,Eye aspheric maculr dsp 618.6,559.0,363.35,96.71,559.0,34
RC,272,Eye barrier dv 0.77 8065183135,924.0,600.6,159.85,924.0,34
RC,272,Eye barrier dv 1.0 8065183710,997.0,648.05,172.48,997.0,34
RC,272,Eye bevl comb intrp 8065000095,3376.0,2194.4,173.17,3376.0,34
RC,272,Eye cann Visco New World100066,13809.0,8975.85,173.17,13809.0,34
RC,272,Eye corneal cannula Novy set,1191.0,774.15,173.17,1191.0,34
RC,272,Eye inj BVI nuviscovd,0.01,0.01,0.01,173.17,22
RC,272,Eye pack cnstl Alcon 806575161,7414.0,4819.1,173.17,7414.0,34
RC,272,Eye phaco IOL unipack ALCN,4436.0,2883.4,173.17,4436.0,34
RC,272,Eye phaco microflow 30 dp8330s,1239.0,805.35,173.17,1239.0,34
RC,272,Eye probe virectm23g8065752134,2157.0,1402.05,173.17,2157.0,34
RC,272,Eye reform ring 6.25 mal00011,1439.0,935.35,173.17,1439.0,34
RC,272,Eye visc fluid .75ml8065183975,741.0,481.65,128.19,741.0,34
RC,272,Eye vitrectm 20g as1538601,5339.0,3470.35,173.17,5339.0,34
RC,272,Eye vitrectm 23g vlv as1533601,6819.0,4432.35,173.17,6819.0,34
RC,272,Eye vitrectm 23g vlv8065751900,6349.0,4126.85,173.17,6349.0,34
RC,272,Eye vitrectm23g comb8065751077,6455.0,4195.75,173.17,6455.0,34
RC,272,Eye vitrectm25g nvlv as1533401,7108.0,4620.2,173.17,7108.0,34
RC,272,Eye vitrectmy post BAUS,1504.0,977.6,173.17,1504.0,34
RC,272,Fastnr mesh 5mm secure strap12,3731.0,2425.15,173.17,3731.0,34
RC,272,Fecal cap Microbiome fmp250,12038.0,7824.7,173.17,12038.0,34
RC,272,Fecal lwr Microbiome fmpcapde,14559.0,9463.35,173.17,14559.0,34
RC,272,Feeding tube kit gastro 98433,2211.0,1437.15,173.17,2211.0,34
RC,272,Fiber ent elite 8340155,13504.0,8777.6,173.17,13504.0,34
RC,272,Fiber laser 200 m0068403961,4615.0,2999.75,173.17,4615.0,34
RC,272,Fiber laser BostnSC ac1001635,4418.0,2871.7,173.17,4418.0,34
RC,272,Fiber laser BostnSC ac10030100,5194.0,3376.1,173.17,5194.0,34
RC,272,Fiber laser sol solv100,7897.0,5133.05,173.17,7897.0,34
RC,272,Fiber lasr BostnS m006l8405910,3868.0,2514.2,173.17,3868.0,34
RC,272,Fiber lasr BostnS m006l8405911,3822.0,2484.3,173.17,3822.0,34
RC,272,Fiber lasr BostnS m006l8405920,3236.0,2103.4,173.17,3236.0,34
RC,272,Fiber lasr BostnS m006l8405960,4711.0,3062.15,173.17,4711.0,34
RC,272,Fiber lasr Olympus tflfbx150bs,4888.0,3177.2,173.17,4888.0,34
RC,272,Fiber lasr Olympus tflfbx150s,4519.0,2937.35,173.17,4519.0,34
RC,272,Fiber lasr Olympus tflfbx365s,4518.0,2936.7,173.17,4518.0,34
RC,272,Fiber lasr Olympus tflfbx550s,5277.0,3430.05,173.17,5277.0,34
RC,272,Fiber lasr Olympus tflfbx940s,6337.0,4119.05,173.17,6337.0,34
RC,272,Fiber tip ball sol m solv200bt,6148.0,3996.2,173.17,6148.0,34
RC,272,Fiber tip flat sol m solv150,4775.0,3103.75,173.17,4775.0,34
RC,272,Fiber tip flat sol m solv550,6180.0,4017.0,173.17,6180.0,34
RC,272,Filter repl Conmed vsnep04,3166.0,2057.9,173.17,3166.0,34
RC,272,Filter venacava 2in 1 remv,3074.0,1998.1,173.17,3074.0,34
RC,272,Fix minirail orthofix m512,16158.0,10502.7,173.17,16158.0,34
RC,272,Floseal hemostatc 1501825,1059.0,688.35,173.17,1059.0,34
RC,272,Forcep bipo irr disp6770180005,4815.0,3129.75,173.17,4815.0,34
RC,272,Forcep bipo spetzlr 6780200005,4700.0,3055.0,173.17,4700.0,34
RC,272,Forcep bipolar irrg 1.5 200431,628.0,408.2,108.64,628.0,34
RC,272,Forcep bipolr fen 428093INT,2721.0,1768.65,173.17,2721.0,34
RC,272,Forcep grasping pz s 2200260,903.0,586.95,156.22,903.0,34
RC,272,Forcep hemostat Lifesc bsix14,234.0,152.1,40.48,234.0,34
RC,272,Forcep irr bplr 190mm 159000,4900.0,3185.0,173.17,4900.0,34
RC,272,Forcep irrig tip bp 9008100ir,3271.0,2126.15,173.17,3271.0,34
RC,272,Forcep spec retr rad m00513302,111.0,72.15,19.2,173.17,34
RC,272,Forcep spec retr rad m00513304,110.0,71.5,19.03,173.17,34
RC,272,Forcep stryker 67049520,12364.0,8036.6,173.17,12364.0,34
RC,272,Forceps Boston SC m00515220,5380.0,3497.0,173.17,5380.0,34
RC,272,Forceps alligatr Medline66590k,189.0,122.85,32.7,189.0,34
RC,272,Forceps bipolar 159001,4411.0,2867.15,173.17,4411.0,34
RC,272,Forceps endo biopsy m00515182,298.0,193.7,51.55,298.0,34
RC,272,Fresenius resrv 120um 9108474,325.0,211.25,56.23,325.0,34
RC,272,GI capsule delvery dev00711144,1676.0,1089.4,173.17,1676.0,34
RC,272,GI colon anstm ring 43511127,4187.0,2721.55,173.17,4187.0,34
RC,272,GI valve suctn endoscp 11301ce,206.0,133.9,35.64,206.0,34
RC,272,Gauge orth Edge Srg21342651010,3174.0,2063.1,173.17,3174.0,34
RC,272,Gelfoam 100cm sponge1303361,284.0,184.6,49.13,284.0,34
RC,272,Glidescope bflx Verathn5700375,2879.0,1871.35,173.17,2879.0,34
RC,272,Glidescope bflx Verathn5700397,3321.0,2158.65,173.17,3321.0,34
RC,272,Glidescope cable Verath8000602,16008.0,10405.2,173.17,16008.0,34
RC,272,Glidescope video Verath2701099,78098.0,50763.7,173.17,78098.0,34
RC,272,Glidesheath Terumo 801650,667.0,433.55,115.39,667.0,34
RC,272,Graft iliac auto inj HDE100008,265.0,172.25,45.85,265.0,34
RC,272,Graft spreader ar19007gs,1399.0,909.35,173.17,1399.0,34
RC,272,Grasper Stone 3f 90 m00637012,1826.0,1186.9,173.17,1826.0,34
RC,272,Grasper blunt 3.4 mm ar12500sr,10336.0,6718.4,173.17,10336.0,34
RC,272,Grasper endopath curved 5 5dsg,479.0,311.35,82.87,479.0,34
RC,272,Grasper suture 60deg 251723,1967.0,1278.55,173.17,1967.0,34
RC,272,Graspit 2.6frx120cm,2304.0,1497.6,173.17,2304.0,34
RC,272,Graspr wavy Spider flx 9000026,890.0,578.5,153.97,890.0,34
RC,272,Guid locat supertr olym sdk200,10855.0,7055.75,173.17,10855.0,34
RC,272,Guid stereoframles stry6000002,4666.0,3032.9,173.17,4666.0,34
RC,272,Guide align bn prophec42293401,11079.0,7201.35,173.17,11079.0,34
RC,272,Guide carpal Sonex 600112001,10377.0,6745.05,173.17,10377.0,34
RC,272,Guide fluoro tib align propinf,14688.0,9547.2,173.17,14688.0,34
RC,272,Guide insertion 323050,13290.0,8638.5,173.17,13290.0,34
RC,272,Guide pat spec mdface sd980015,26208.0,17035.2,173.17,26208.0,34
RC,272,Guide pin 1.2dril tip230790004,1544.0,1003.6,173.17,1544.0,34
RC,272,Guide pin 2.3x230mm p301962323,511.0,332.15,88.4,511.0,34
RC,272,Guide pin 2.4x450mm 0113,257.0,167.05,44.46,257.0,34
RC,272,Guide pin 2.8x350mm 0112,3680.0,2392.0,173.17,3680.0,34
RC,272,Guide pin 3.2x330mm 0100,1005.0,653.25,173.17,1005.0,34
RC,272,Guide pin 3.2x343mm 71631436,1522.0,989.3,173.17,1522.0,34
RC,272,Guide pin IM hs 3.2mm 71687000,869.0,564.85,150.34,869.0,34
RC,272,Guide pin Zimmer 110008399,1552.0,1008.8,173.17,1552.0,34
RC,272,Guide pin mica 57790010,4431.0,2880.15,173.17,4431.0,34
RC,272,Guide pin tip 1.9x300 71110400,600.0,390.0,103.8,600.0,34
RC,272,Guide speed scw ao 2.6 70394,2755.0,1790.75,173.17,2755.0,34
RC,272,Guide trijectory kit 9733065,11013.0,7158.45,173.17,11013.0,34
RC,272,Guide vsp orth vspoaddguidesti,21306.0,13848.9,173.17,21306.0,34
RC,272,Guide vsp ortho vspcust7,20288.0,13187.2,173.17,20288.0,34
RC,272,Guide vsp ortho vsporthog,12897.0,8383.05,173.17,12897.0,34
RC,272,Guide vsp surgicl vspaddguides,13712.0,8912.8,173.17,13712.0,34
RC,272,Guidewire 03333002s,4604.0,2992.6,173.17,4604.0,34
RC,272,Guidewire 1.6x150mm 10050002,329.0,213.85,56.92,329.0,34
RC,272,Guidewire 1.6x410mm 292655,624.0,405.6,107.95,624.0,34
RC,272,Guidewire 2.5mm drilltip338002,809.0,525.85,139.96,809.0,34
RC,272,Guidewire Arthrex ar415986d,1459.0,948.35,173.17,1459.0,34
RC,272,Guidewire Bostn SC m0066802251,572.0,371.8,98.96,572.0,34
RC,272,Guidewire Carbofix pft912122,919.0,597.35,158.99,919.0,34
RC,272,Guidewire Carbofix pft912250,1161.0,754.65,173.17,1161.0,34
RC,272,Guidewire Carbofix pft912260,1052.0,683.8,173.17,1052.0,34
RC,272,Guidewire Depuy 03333001s,3994.0,2596.1,173.17,3994.0,34
RC,272,Guidewire Depuy 03333002,873.0,567.45,151.03,873.0,34
RC,272,Guidewire Orthofix 99173281,2163.0,1405.95,173.17,2163.0,34
RC,272,Guidewire Orthofix 99193287,2774.0,1803.1,173.17,2774.0,34
RC,272,Guidewire Phantm fibp369122015,377.0,245.05,65.22,377.0,34
RC,272,Guidewire Zimmer 110035668,3381.0,2197.65,173.17,3381.0,34
RC,272,Guidewire ac0190064g4,1249.0,811.85,173.17,1249.0,34
RC,272,Guidewire asnis3.2x300 702627s,2707.0,1759.55,173.17,2707.0,34
RC,272,Guidewire d tip Depuy 03045018,1726.0,1121.9,173.17,1726.0,34
RC,272,Guidewire insrt in6310,3890.0,2528.5,173.17,3890.0,34
RC,272,Guidewire ortho 2x9 t001000006,951.0,618.15,164.52,951.0,34
RC,272,Guidewire pilot 59011119,456.0,296.4,78.89,456.0,34
RC,272,Guidewire troc tip ar8750k,169.0,109.85,29.24,173.17,34
RC,272,Guidewire troc tip.62 ar8750kt,337.0,219.05,58.3,337.0,34
RC,272,Guidewire trocar tip2.5 ct0310,1102.0,716.3,173.17,1102.0,34
RC,272,Guidewire trocar tip2200184013,389.0,252.85,67.3,389.0,34
RC,272,Guidewire trocar40mm 011030006,295.0,191.75,51.04,295.0,34
RC,272,Guidewire w flutes 450 2207001,1026.0,666.9,173.17,1026.0,34
RC,272,Gun tip delv cortoss 21100039,5830.0,3789.5,173.17,5830.0,34
RC,272,Gw Sphinctero dom021 5f g56103,3964.0,2576.6,173.17,3964.0,34
RC,272,Gw Sphincteroto acr 025 g34779,4399.0,2859.35,173.17,4399.0,34
RC,272,Gw Sphincteroto acr 035 g34711,4185.0,2720.25,173.17,4185.0,34
RC,272,Gw asnis iii 1.4x150mm 702459s,1213.0,788.45,173.17,1213.0,34
RC,272,Gw calibrat 035 260cm g34265,2454.0,1595.1,173.17,2454.0,34
RC,272,Gw vasc 035 145cml g09607,349.0,226.85,60.38,349.0,34
RC,272,Gyn hydrotherm probe abla56021,12985.0,8440.25,173.17,12985.0,34
RC,272,Gyn myosure lite 3x32 30403,6890.0,4478.5,173.17,6890.0,34
RC,272,Handle Depuy 3120022,4254.0,2765.1,173.17,4254.0,34
RC,272,Handpiece Surgilav spraytip,412.0,267.8,71.28,412.0,34
RC,272,Handpiece US breast bx 12gx9.5,2389.0,1552.85,173.17,2389.0,34
RC,272,Handpiece gynesonics cskit001,28185.0,18320.25,173.17,28185.0,34
RC,272,Handpiece tip Strykr550025b302,11521.0,7488.65,173.17,11521.0,34
RC,272,Handpiece tip Strykr550025s310,8348.0,5426.2,173.17,8348.0,34
RC,272,Harmonic scalpel ace45 harh45,5313.0,3453.45,173.17,5313.0,34
RC,272,Harmonic scalpel combo snghk2,2407.0,1564.55,173.17,2407.0,34
RC,272,Harmonic scalpel handc lcsc5ha,3956.0,2571.4,173.17,3956.0,34
RC,272,Harmonic scalpel hook 10 dh105,1353.0,879.45,173.17,1353.0,34
RC,272,Harmonic scalpel hook hc325jj,1727.0,1122.55,173.17,1727.0,34
RC,272,Harmonic scalpel hpo54 eth,9297.0,6043.05,173.17,9297.0,34
RC,272,Harmonic shear 9cm open har9f,4614.0,2999.1,173.17,4614.0,34
RC,272,Harmonic shear Ethicon har1136,6675.0,4338.75,173.17,6675.0,34
RC,272,Harmonic shear ace 5x23 har23,3797.0,2468.05,173.17,3797.0,34
RC,272,Harmonic shear ace 5x36 harh36,5041.0,3276.65,173.17,5041.0,34
RC,272,Harmonic shear cs14c JJ,3201.0,2080.65,173.17,3201.0,34
RC,272,Harmonic shear foc 9cm fcs-9hp,4563.0,2965.95,173.17,4563.0,34
RC,272,Harmonic shear foc17cm fcs17jj,5234.0,3402.1,173.17,5234.0,34
RC,272,Harmonic shear insert 400272,4558.0,2962.7,173.17,4558.0,34
RC,272,Harmonic shear lcsc5 JJ,3260.0,2119.0,173.17,3260.0,34
RC,272,Heartport Endopulm vent,11186.0,7270.9,173.17,11186.0,34
RC,272,Hemorrhoid kt THDAmerica800070,5825.0,3786.25,173.17,5825.0,34
RC,272,Hemorrhoid lig triband4 g34063,534.0,347.1,92.38,534.0,34
RC,272,Hemorroid stpl 3.5mm hem3335,4252.0,2763.8,173.17,4252.0,34
RC,272,Hemorroid stpl 4.8mm hem3336,4573.0,2972.45,173.17,4573.0,34
RC,272,Hemostat abso aris1g sm0005usa,938.0,609.7,162.27,938.0,34
RC,272,Hemostat abso aris3g sm0002usa,1832.0,1190.8,173.17,1832.0,34
RC,272,Hemostat absorb 1010020,2229.0,1448.85,173.17,2229.0,34
RC,272,Hemostat dsg KolBiomdbldap6219,122.0,79.3,21.11,173.17,34
RC,272,Hemostatc dstat flothrombn4000,1373.0,892.45,173.17,1373.0,34
RC,272,Hemostatc flo seal 5ml 1503350,1844.0,1198.6,173.17,1844.0,34
RC,272,Hemostatc gel10mlsyn 61100110s,1338.0,869.7,173.17,1338.0,34
RC,272,Hemostatic bandg mrdh4x4 49086,10804.0,7022.6,173.17,10804.0,34
RC,272,Hemostatic drsg Merit MD sgf1a,854.0,555.1,147.74,854.0,34
RC,272,Hemostatic drsg Safegrd 24cm,573.0,372.45,99.13,573.0,34
RC,272,Hemostatic drsg dstat12cm 3000,452.0,293.8,78.2,452.0,34
RC,272,Hemostatic drsg snow2x4 JJ2082,907.0,589.55,156.91,907.0,34
RC,272,Hip cann clear8.5x110 72200436,216.0,140.4,37.37,216.0,34
RC,272,Hip ndl gud pin pac sn7209874,3038.0,1974.7,173.17,3038.0,34
RC,272,Hip positioner s&n 72205286,8061.0,5239.65,173.17,8061.0,34
RC,272,Humerl push-pull 4.5dev 311449,2890.0,1878.5,173.17,2890.0,34
RC,272,Hypothermia infus cavity990009,12466.0,8102.9,173.17,12466.0,34
RC,272,Hysterosc proc kit 72205015,3373.0,2192.45,173.17,3373.0,34
RC,272,Hysteroscp inflow tub 72205028,1736.0,1128.4,173.17,1736.0,34
RC,272,Hysterscp warm irrig Dolphin,1113.0,723.45,173.17,1113.0,34
RC,272,Impella bld pump 9f circ480003,127800.0,83070.0,173.17,127800.0,34
RC,272,Impella bld pump 9f w kit 4672,102240.0,66456.0,173.17,102240.0,34
RC,272,Impella pump smartassis5500008,230040.0,149526.0,173.17,230040.0,34
RC,272,Infatn device bal enco26 56667,778.0,505.7,134.59,778.0,34
RC,272,Inflatn device heated set st,369.0,239.85,63.84,369.0,34
RC,272,Inflatn device step access 14g,184.0,119.6,31.83,184.0,34
RC,272,Inflatn device w-filter st,102.0,66.3,17.65,173.17,34
RC,272,Inflatn monarch kit  k0500109g,739.0,480.35,127.85,739.0,34
RC,272,Inst transator first 57s100mt,1849.0,1201.85,173.17,1849.0,34
RC,272,Instr FTRD colonic Ovesco 2007,13193.0,8575.45,173.17,13193.0,34
RC,272,Instr arm kit Stryker 991065s,8864.0,5761.6,173.17,8864.0,34
RC,272,Instr hip navitracker kit a 20,5109.0,3320.85,173.17,5109.0,34
RC,272,Instr jig Parag28 p10psil100ns,12784.0,8309.6,173.17,12784.0,34
RC,272,Instr jig Parag28 p10psir100ns,11639.0,7565.35,173.17,11639.0,34
RC,272,Instr kit Zimmer strminstktstd,3090.0,2008.5,173.17,3090.0,34
RC,272,Instr kit xlif Nuvasive2010001,3344.0,2173.6,173.17,3344.0,34
RC,272,Instr kit xlif Nuvasive8050215,15456.0,10046.4,173.17,15456.0,34
RC,272,Instr kt knee fibertak ar-3710,2857.0,1857.05,173.17,2857.0,34
RC,272,Instr modul surg ent dynjs3051,513.0,333.45,88.75,513.0,34
RC,272,Instr pack strl mis 57s1mi07,3350.0,2177.5,173.17,3350.0,34
RC,272,Instr pat spec kt mdf sd900056,23533.0,15296.45,173.17,23533.0,34
RC,272,Intercanial pressur sys 801190,4358.0,2832.7,173.17,4358.0,34
RC,272,Interceed 3x4 d,610.0,396.5,105.53,610.0,34
RC,272,Interceed 4x3 4350,2905.0,1888.25,173.17,2905.0,34
RC,272,Intramedullary prep kit,3178.0,2065.7,173.17,3178.0,34
RC,272,Introd Biopin16gx10 mcxs1610bp,191.0,124.15,33.04,191.0,34
RC,272,Introd Cook Med g21739,915.0,594.75,158.3,915.0,34
RC,272,Introd arrow-flex 8.5 ak09807,475.0,308.75,82.18,475.0,34
RC,272,Introd cath micropunctr g47944,406.0,263.9,70.24,406.0,34
RC,272,Introd endo Teleflex pi93,332.0,215.8,57.44,332.0,34
RC,272,Introd load envelsenveor2629us,5406.0,3513.9,173.17,5406.0,34
RC,272,Irrig clip Stryker 116239,834.0,542.1,144.28,834.0,34
RC,272,Irrig inj bil refill m00566001,2241.0,1456.65,173.17,2241.0,34
RC,272,Irrig probe bicap hemost 7300a,1636.0,1063.4,173.17,1636.0,34
RC,272,Irrig suctn Sonopet 5450850003,3855.0,2505.75,173.17,3855.0,34
RC,272,Irrig suctn Stryker 5500573000,4304.0,2797.6,173.17,4304.0,34
RC,272,Irrig suctn arthro flo dc1500,490.0,318.5,84.77,490.0,34
RC,272,Irrig suctn arthro set ar6410,612.0,397.8,105.88,612.0,34
RC,272,Irrig suctn plsw 5102710,586.0,380.9,101.38,586.0,34
RC,272,Irrig tub Medtr ird400,1035.0,672.75,173.17,1035.0,34
RC,272,Kit GPS Exactech a10012,4627.0,3007.55,173.17,4627.0,34
RC,272,Kit access lg 430075,2538.0,1649.7,173.17,2538.0,34
RC,272,Kit brachy blue Best Med 16273,10337.0,6719.05,173.17,10337.0,34
RC,272,Kit c section Medln dynj908351,723.0,469.95,125.08,723.0,34
RC,272,Kit conv neonat Medln dykm2124,404.0,262.6,69.89,404.0,34
RC,272,Kit guide entry 430022,961.0,624.65,166.25,961.0,34
RC,272,Kit instrument Stryker6556c001,8310.0,5401.5,173.17,8310.0,34
RC,272,Kit newborn Bethesda dykl1809,275.0,178.75,47.58,275.0,34
RC,272,Kit or c sec Medln dynj908350a,959.0,623.35,165.91,959.0,34
RC,272,Kit proced teligen 186000002s,26988.0,17542.2,173.17,26988.0,34
RC,272,Kit procedure histotripsy hpk,7261.0,4719.65,173.17,7261.0,34
RC,272,Kit prp autologous 60ml mxprp1,16680.0,10842.0,173.17,16680.0,34
RC,272,Kit spec foley Medln dylab1011,8.0,5.2,1.38,173.17,34
RC,272,Knee mix bioc Arthrex abs1000s,2412.0,1567.8,173.17,2412.0,34
RC,272,Knee mix deliv sys abs1000l,2649.0,1721.85,173.17,2649.0,34
RC,272,Knee mold spacer 5159869,17045.0,11079.25,173.17,17045.0,34
RC,272,Knife 15 degree 1 disp,77.0,50.05,13.32,173.17,34
RC,272,Knife bayonet long188mm 156300,2819.0,1832.35,173.17,2819.0,34
RC,272,Knife bayonet sheathed 158709,5936.0,3858.4,173.17,5936.0,34
RC,272,Knife carpal tunnel 1pc 80003,2062.0,1340.3,173.17,2062.0,34
RC,272,Knife cold strt uretrotm k-sb,1661.0,1079.65,173.17,1661.0,34
RC,272,Knife eye ang slit 2.4 373724,129.0,83.85,22.32,173.17,34
RC,272,Knife eye angled slit 2.5,170.0,110.5,29.41,173.17,34
RC,272,Knife eye crescent bevel up,984.0,639.6,170.23,984.0,34
RC,272,Knife eye retinal 20ga e7520,283.0,183.95,48.96,283.0,34
RC,272,Knife eye super blade 30 deg,455.0,295.75,78.72,455.0,34
RC,272,Knife graft ACL 9mm athro,596.0,387.4,103.11,596.0,34
RC,272,Knife hybrid i type 20150261,5183.0,3368.95,173.17,5183.0,34
RC,272,Knife slit 2.75 8065992745,194.0,126.1,33.56,194.0,34
RC,272,Knife slit angled 2.5mm 370145,160.0,104.0,27.68,173.17,34
RC,272,Knife slit laser edge 3.2,159.0,103.35,27.51,173.17,34
RC,272,Knife surg Segway 2001003,2595.0,1686.75,173.17,2595.0,34
RC,272,Kyphn bone tamp inf 10/2 k15a,11946.0,7764.9,173.17,11946.0,34
RC,272,Kyphn bone tamp xpand elv 15/3,12377.0,8045.05,173.17,12377.0,34
RC,272,Kyphn bx tool f08a,13523.0,8789.95,173.17,13523.0,34
RC,272,Kyphn intro Osteo Adv a10a,4096.0,2662.4,173.17,4096.0,34
RC,272,Kyphn intro Osteo tro dia t05j,11468.0,7454.2,173.17,11468.0,34
RC,272,Kyphn xpand 10 3 1stfx kpt1001,20596.0,13387.4,173.17,20596.0,34
RC,272,Kyphon bone tamp oi kex152eb,22016.0,14310.4,173.17,22016.0,34
RC,272,Kyphp xpand 10 3 addfx kpt1004,14914.0,9694.1,173.17,14914.0,34
RC,272,Laser alig Parag28 p10941lazm,8459.0,5498.35,173.17,8459.0,34
RC,272,Laser fiber 1000 m0068404040,7077.0,4600.05,173.17,7077.0,34
RC,272,Laser fiber 200 micr27750200u1,2827.0,1837.55,173.17,2827.0,34
RC,272,Laser fiber 365 micr27750365u1,2870.0,1865.5,173.17,2870.0,34
RC,272,Laser fiber 550 duoside6840846,8551.0,5558.15,173.17,8551.0,34
RC,272,Laser fiber 550 m0068404030,4228.0,2748.2,173.17,4228.0,34
RC,272,Laser fiber 550 micr27750550u1,3853.0,2504.45,173.17,3853.0,34
RC,272,Laser fiber 940 micr27750940u1,4816.0,3130.4,173.17,4816.0,34
RC,272,Laser fiber Fortec su272do,2188.0,1422.2,173.17,2188.0,34
RC,272,Laser fiber Holm 150um g25292,5168.0,3359.2,173.17,5168.0,34
RC,272,Laser fiber flx1000m0068403941,7032.0,4570.8,173.17,7032.0,34
RC,272,Laser fiber flx550 m0068403931,4183.0,2718.95,173.17,4183.0,34
RC,272,Laser fiber og select 8000094,8051.0,5233.15,173.17,8051.0,34
RC,272,Laser fiber smartsyn273 g25294,4750.0,3087.5,173.17,4750.0,34
RC,272,Laser fiber smartsyn550 g25296,5063.0,3290.95,173.17,5063.0,34
RC,272,Laser fiber smartsyn940 g25297,8081.0,5252.65,173.17,8081.0,34
RC,272,Laser probe argon 2.3 20132216,2702.0,1756.3,173.17,2702.0,34
RC,272,Laser sheath 14fr sls ii,20561.0,13364.65,173.17,20561.0,34
RC,272,Lavage gastric 28fr kit,730.0,474.5,126.29,730.0,34
RC,272,Lead pmkr lockng e pak 518039,5123.0,3329.95,173.17,5123.0,34
RC,272,Ligasur vssel adv grip lf5544,7088.0,4607.2,173.17,7088.0,34
RC,272,Ligasur vssel blunt tip lf1637,5025.0,3266.25,173.17,5025.0,34
RC,272,Ligasur vssel jaw 18.8 lf1212a,4346.0,2824.9,173.17,4346.0,34
RC,272,Ligasur vssel open inst lf4418,6877.0,4470.05,173.17,6877.0,34
RC,272,Ligasur vssel seal 10mm ls1037,3968.0,2579.2,173.17,3968.0,34
RC,272,Ligasure dissector lf2019rep,3781.0,2457.65,173.17,3781.0,34
RC,272,Ligasure seal impact lf4418rep,4553.0,2959.45,173.17,4553.0,34
RC,272,Ligasure seal s jaw lf1212arep,3007.0,1954.55,173.17,3007.0,34
RC,272,Ligasure vssel seal37cm lf1937,5528.0,3593.2,173.17,5528.0,34
RC,272,Light quad dual bnd 2762010003,4062.0,2640.3,173.17,4062.0,34
RC,272,Light surg fiberopt 9560668,6912.0,4492.8,173.17,6912.0,34
RC,272,Lipograft surg kit  MTF 913000,3936.0,2558.4,173.17,3936.0,34
RC,272,Lithotr retrv bskt 2x4 510870,2703.0,1756.95,173.17,2703.0,34
RC,272,Lithotrip electr1 3f splpbx097,7770.0,5050.5,173.17,7770.0,34
RC,272,Lithotripsy probe 3.3f 2280335,2285.0,1485.25,173.17,2285.0,34
RC,272,Lithotrispy probe 1.9fr 919612,2962.0,1925.3,173.17,2962.0,34
RC,272,Loop cutting 22fr angled,1379.0,896.35,173.17,1379.0,34
RC,272,Mandib guid pat spc sd900111,18834.0,12242.1,173.17,18834.0,34
RC,272,Mandib model anatom sd900201,16891.0,10979.15,173.17,16891.0,34
RC,272,Mandib model anatom sd900206,29170.0,18960.5,173.17,29170.0,34
RC,272,Mandib model clearvw6500000006,19671.0,12786.15,173.17,19671.0,34
RC,272,Maquet prxseal Getinge hsk3038,5990.0,3893.5,173.17,5990.0,34
RC,272,Marker fid Civcomtctxpc0819153,1948.0,1266.2,173.17,1948.0,34
RC,272,Marker knee Stryker 111651,476.0,309.4,82.35,476.0,34
RC,272,Maxces 4shim assory kit3240061,14923.0,9699.95,173.17,14923.0,34
RC,272,Mender meniscus II sn 10714,1171.0,761.15,173.17,1171.0,34
RC,272,Meniscus rep ndl crv 3 mr003c,7209.0,4685.85,173.17,7209.0,34
RC,272,Meniscus rep ndl crv 4 mr004c,11130.0,7234.5,173.17,11130.0,34
RC,272,Meniscus rep ndl crv 7 mr007c,14180.0,9217.0,173.17,14180.0,34
RC,272,Mesh dynamic Stryker 5400346,10743.0,6982.95,173.17,10743.0,34
RC,272,Midas Rex Medtr mr810mh22,1412.0,917.8,173.17,1412.0,34
RC,272,Midas Rex Medtr mr812ba40,1672.0,1086.8,173.17,1672.0,34
RC,272,Midas Rex Medtr mr812mh30,1525.0,991.25,173.17,1525.0,34
RC,272,Midas Rex Medtr mr814ba30,1806.0,1173.9,173.17,1806.0,34
RC,272,Midas Rex Medtr mr814mc16,2398.0,1558.7,173.17,2398.0,34
RC,272,Midas Rex Medtr mr814mc254,1972.0,1281.8,173.17,1972.0,34
RC,272,Midas Rex Medtr mr814ov55,1640.0,1066.0,173.17,1640.0,34
RC,272,Midas Rex Medtr mr815ta23l,1733.0,1126.45,173.17,1733.0,34
RC,272,Midas Rex Medtr mr87ba10d,1518.0,986.7,173.17,1518.0,34
RC,272,Midas Rex Medtr mr87ba20,1411.0,917.15,173.17,1411.0,34
RC,272,Midas Rex Medtr mr87ba40dl,2004.0,1302.6,173.17,2004.0,34
RC,272,Midas Rex Medtr mr89ba40,1692.0,1099.8,173.17,1692.0,34
RC,272,Midas Rex Medtr mr8f27ta23,1371.0,891.15,173.17,1371.0,34
RC,272,Midas Rex Medtr mr8f39ta30,1650.0,1072.5,173.17,1650.0,34
RC,272,Midas Rex Medtr mr8lp05ba20,3293.0,2140.45,173.17,3293.0,34
RC,272,Midas Rex Medtr mr8t12ba30d,2097.0,1363.05,173.17,2097.0,34
RC,272,Midas Rex tool mr8 mr87ba10l,1038.0,674.7,173.17,1038.0,34
RC,272,Morcellator laporscpc 15156,7547.0,4905.55,173.17,7547.0,34
RC,272,Morcellator tissue mx0100,8151.0,5298.15,173.17,8151.0,34
RC,272,Morsellator 12 rotocut 9111205,4982.0,3238.3,173.17,4982.0,34
RC,272,Morsellator 15 rotocut 9111505,6667.0,4333.55,173.17,6667.0,34
RC,272,Morsellatr g1 rotocut 9112505,6130.0,3984.5,173.17,6130.0,34
RC,272,Nano fx chondral pick furs0100,371.0,241.15,64.18,371.0,34
RC,272,Nanoscope camara kt ar32100043,5565.0,3617.25,173.17,5565.0,34
RC,272,Nanoscope camera kt ar32100040,6985.0,4540.25,173.17,6985.0,34
RC,272,Nasal Hemopore 8cm 5400020208,2769.0,1799.85,173.17,2769.0,34
RC,272,Nasal cann optiflow opt1044,320.0,208.0,55.36,320.0,34
RC,272,Nasal handpiece hydro 1921002,4830.0,3139.5,173.17,4830.0,34
RC,272,Nasal merogel packg4x4 1517002,943.0,612.95,163.14,943.0,34
RC,272,Nasal pkg Stryker 5400020004,1375.0,893.75,173.17,1375.0,34
RC,272,Nasal snare wire 5,10.0,6.5,1.73,173.17,34
RC,272,Nasal splint Airway sp79300,568.0,369.2,98.26,568.0,34
RC,272,Natus drain ext vent 3 821730c,2463.0,1600.95,173.17,2463.0,34
RC,272,Natus drain sys ext spn821731c,1769.0,1149.85,173.17,1769.0,34
RC,272,Navig proce edg90 sdk3900olym,11941.0,7761.65,173.17,11941.0,34
RC,272,Navitr delv sys flx l fnavdslg,10653.0,6924.45,173.17,10653.0,34
RC,272,Ndl Baylis Md vxsk35p2306345d0,9609.0,6245.85,173.17,9609.0,34
RC,272,Ndl Jamshidi 11gx6 tjc6011,2665.0,1732.25,173.17,2665.0,34
RC,272,Ndl Jamshidi 13gx8.5 tjc3513,201.0,130.65,34.77,201.0,34
RC,272,Ndl Jamshidi aspir stern 15g,93.0,60.45,16.09,173.17,34
RC,272,Ndl Jamshidi sft tiss 16gx100,204.0,132.6,35.29,204.0,34
RC,272,Ndl ablation mic 24hkz 1529165,26231.0,17050.15,173.17,26231.0,34
RC,272,Ndl acces pedicle Navig9733498,4489.0,2917.85,173.17,4489.0,34
RC,272,Ndl asp wright med 12001200,524.0,340.6,90.65,524.0,34
RC,272,Ndl aspir 22G 40Mmna201Sx4022A,784.0,509.6,135.63,784.0,34
RC,272,Ndl aspir 22g ball 4f g34279,2722.0,1769.3,173.17,2722.0,34
RC,272,Ndl aspir bone marrow 16g,190.0,123.5,32.87,190.0,34
RC,272,Ndl aspir endo 19ga m00555530,4831.0,3140.15,173.17,4831.0,34
RC,272,Ndl blunt 18gx20 Hawkin g05042,515.0,334.75,89.1,515.0,34
RC,272,Ndl bn bx avamax11g 1050211000,1158.0,752.7,173.17,1158.0,34
RC,272,Ndl bn harves Argon bmhn1104x,366.0,237.9,63.32,366.0,34
RC,272,Ndl bone ezio stab 9066vc005,886.0,575.9,153.28,886.0,34
RC,272,Ndl bsdn 18 7.0 wing g00003,46.0,29.9,7.96,173.17,34
RC,272,Ndl bx 10x13ga mrph dmd g13762,447.0,290.55,77.33,447.0,34
RC,272,Ndl bx 12 abc 100 6.5cm g03385,2917.0,1896.05,173.17,2917.0,34
RC,272,Ndl bx 14gx11cm ca1411,454.0,295.1,78.54,454.0,34
RC,272,Ndl bx 15x20cm ct2020,493.0,320.45,85.29,493.0,34
RC,272,Ndl bx 18ga 11cm ct1811,420.0,273.0,72.66,420.0,34
RC,272,Ndl bx 18gx10 Max core mc1810,387.0,251.55,66.95,387.0,34
RC,272,Ndl bx 20gx10 Tru guide c2010a,148.0,96.2,25.6,173.17,34
RC,272,Ndl bx 20gx20cm Turner g01072,250.0,162.5,43.25,250.0,34
RC,272,Ndl bx 9ga std Eviva091320,2527.0,1642.55,173.17,2527.0,34
RC,272,Ndl bx Chiba 20ga Cook g02986,153.0,99.45,26.47,173.17,34
RC,272,Ndl bx Maxcore 16ga mc1616,651.0,423.15,112.62,651.0,34
RC,272,Ndl bx Stereosedan stry6000024,6466.0,4202.9,173.17,6466.0,34
RC,272,Ndl bx a14-11 Temmo a1411,326.0,211.9,56.4,326.0,34
RC,272,Ndl bx abc 200 elson g07895,3585.0,2330.25,173.17,3585.0,34
RC,272,Ndl bx asp Vericel 80006,6021.0,3913.65,173.17,6021.0,34
RC,272,Ndl bx bn 10ga 306105000,760.0,494.0,131.48,760.0,34
RC,272,Ndl bx bn 10ga 9in 306195000,1184.0,769.6,173.17,1184.0,34
RC,272,Ndl bx bn 13g murp 10cm g34607,965.0,627.25,166.95,965.0,34
RC,272,Ndl bx bn coaxl dbbn11150m2s,851.0,553.15,147.22,851.0,34
RC,272,Ndl bx bn ivas 10ga 306104000,902.0,586.3,156.05,902.0,34
RC,272,Ndl bx bn ivas 8ga 306125000,917.0,596.05,158.64,917.0,34
RC,272,Ndl bx bn marrow tkm1110,916.0,595.4,158.47,916.0,34
RC,272,Ndl bx bn murphy m3 13g g36409,1261.0,819.65,173.17,1261.0,34
RC,272,Ndl bx bone 15ga tin3015,138.0,89.7,23.87,173.17,34
RC,272,Ndl bx core ArgonMd 763118100x,242.0,157.3,41.87,242.0,34
RC,272,Ndl bx dbbn 11 15 m2 bone,514.0,334.1,88.92,514.0,34
RC,272,Ndl bx fna 8cm 19 echo19,2325.0,1511.25,173.17,2325.0,34
RC,272,Ndl bx fna 8cm 22 echo322,2484.0,1614.6,173.17,2484.0,34
RC,272,Ndl bx nashold 2x10x249 nbnd5,4039.0,2625.35,173.17,4039.0,34
RC,272,Ndl bx passive kit med9733068,6676.0,4339.4,173.17,6676.0,34
RC,272,Ndl bx plexu celiac 2.4 echo20,2430.0,1579.5,173.17,2430.0,34
RC,272,Ndl bx tranjugl ring 10fg31478,4204.0,2732.6,173.17,4204.0,34
RC,272,Ndl cysto 3.5fr g15296,463.0,300.95,80.1,463.0,34
RC,272,Ndl cysto 5f 25 cscp injg15276,394.0,256.1,68.16,394.0,34
RC,272,Ndl cyto 21g naviga ins0392,6010.0,3906.5,173.17,6010.0,34
RC,272,Ndl electrod micr 45 1 5 e1175,649.0,421.85,112.28,649.0,34
RC,272,Ndl eye 20ga str sil 1281b1d,560.0,364.0,96.88,560.0,34
RC,272,Ndl flex 22g navigatn ins0410,8835.0,5742.75,173.17,8835.0,34
RC,272,Ndl front suspen BVI 585192,1126.0,731.9,173.17,1126.0,34
RC,272,Ndl gastro T fasner 9870107,1198.0,778.7,173.17,1198.0,34
RC,272,Ndl grip infu 20gx1.25,29.0,18.85,5.02,173.17,34
RC,272,Ndl inf port access22g 2142275,136.0,88.4,23.53,173.17,34
RC,272,Ndl injector ii cart cat01857,3191.0,2074.15,173.17,3191.0,34
RC,272,Ndl insuf Verres 150mm pn150,484.0,314.6,83.73,484.0,34
RC,272,Ndl intraosseous 45deg g07698,1372.0,891.8,173.17,1372.0,34
RC,272,Ndl introd tip11g 5in306110000,3284.0,2134.6,173.17,3284.0,34
RC,272,Ndl knife fusion fs-precut cok,2051.0,1333.15,173.17,2051.0,34
RC,272,Ndl micropunctur 5f m001459941,304.0,197.6,52.59,304.0,34
RC,272,Ndl nim spine pedicl 9450020,4016.0,2610.4,173.17,4016.0,34
RC,272,Ndl ortho cap ntnl 224036,1626.0,1056.9,173.17,1626.0,34
RC,272,Ndl perc acc 12.5 m0067001210,339.0,220.35,58.65,339.0,34
RC,272,Ndl rigid 14.6x21ga m006890304,464.0,301.6,80.27,464.0,34
RC,272,Ndl ross modifying 16g 52cm,2708.0,1760.2,173.17,2708.0,34
RC,272,Ndl spinl avaflx10g 1025010000,5947.0,3865.55,173.17,5947.0,34
RC,272,Ndl spinl avaflx11g 1025011000,4641.0,3016.65,173.17,4641.0,34
RC,272,Ndl stylet 11ga 4in 306114000,3446.0,2239.9,173.17,3446.0,34
RC,272,Ndl suture 1842-14d 209516,89.0,57.85,15.4,173.17,34
RC,272,Ndl taperes crvd 26mm ar7281,2466.0,1602.9,173.17,2466.0,34
RC,272,Ndl tran jugular g06427,4413.0,2868.45,173.17,4413.0,34
RC,272,Ndl transseptal 72cm 5140-6217,13849.0,9001.85,173.17,13849.0,34
RC,272,Ndl trocar Medtr pk1011,3940.0,2561.0,173.17,3940.0,34
RC,272,Ndl trocar md pak 2 8670015,1429.0,928.85,173.17,1429.0,34
RC,272,Ndl troflex cann 11g 306011000,4998.0,3248.7,173.17,4998.0,34
RC,272,Ndl troflex curved 306011500,4476.0,2909.4,173.17,4476.0,34
RC,272,Nerve block kit cont19g ab0506,1146.0,744.9,173.17,1146.0,34
RC,272,Neuro stim 25mm 5x tub 66it13p,2770.0,1800.5,173.17,2770.0,34
RC,272,Neuro stim cable mltc 355531,3021.0,1963.65,173.17,3021.0,34
RC,272,Neuro stim cable trial mul3013,1908.0,1240.2,173.17,1908.0,34
RC,272,Neuro stim control dbs 6883ans,6638.0,4314.7,173.17,6638.0,34
RC,272,Neuro stim control dbs 6884ans,972.0,631.8,168.16,972.0,34
RC,272,Neuro stim cov bur dbs 6010ans,8482.0,5513.3,173.17,8482.0,34
RC,272,Neuro stim cov bur5 dbs6015ans,1283.0,833.95,173.17,1283.0,34
RC,272,Neuro stim loc bip  9092,1787.0,1161.55,173.17,1787.0,34
RC,272,Neuro stim ndl nvm5  8050015,11322.0,7359.3,173.17,11322.0,34
RC,272,Neuro stim toolinsr dbs1803ans,908.0,590.2,157.08,908.0,34
RC,272,Neuro stm tunnelr Livanova 402,5205.0,3383.25,173.17,5205.0,34
RC,272,Neuroblade driver probe rpd01,21285.0,13835.25,173.17,21285.0,34
RC,272,Neurostim probe 302427000275,991.0,644.15,171.44,991.0,34
RC,272,Nim dilator stim 945nsd2750,4463.0,2900.95,173.17,4463.0,34
RC,272,Nim endotrach tube 8 8229508,3763.0,2445.95,173.17,3763.0,34
RC,272,Nim endotrach tube size 6 mm,3707.0,2409.55,173.17,3707.0,34
RC,272,Nim endotrach tube size 7 mm,3276.0,2129.4,173.17,3276.0,34
RC,272,Nim endotrach tube size 8 mm,3529.0,2293.85,173.17,3529.0,34
RC,272,Nim et trivantag 5mm 8229705,3239.0,2105.35,173.17,3239.0,34
RC,272,Nim spine accessr kit 9733497,7313.0,4753.45,173.17,7313.0,34
RC,272,Non-impl supply sterile 101-150,1357.0,882.05,173.17,1357.0,34
RC,272,Non-impl supply sterile 10251-11250,54956.0,35721.4,173.17,54956.0,34
RC,272,Non-impl supply sterile 1101-1300,12471.0,8106.15,173.17,12471.0,34
RC,272,Non-impl supply sterile 11251-12250,60068.0,39044.2,173.17,60068.0,34
RC,272,Non-impl supply sterile 12251-13250,65180.0,42367.0,173.17,65180.0,34
RC,272,Non-impl supply sterile 1301-1500,14549.0,9456.85,173.17,14549.0,34
RC,272,Non-impl supply sterile 13251-14250,70292.0,45689.8,173.17,70292.0,34
RC,272,Non-impl supply sterile 14251-15250,75404.0,49012.6,173.17,75404.0,34
RC,272,Non-impl supply sterile 1501-2000,12432.0,8080.8,173.17,12432.0,34
RC,272,Non-impl supply sterile 151-200,1897.0,1233.05,173.17,1897.0,34
RC,272,Non-impl supply sterile 15251-16750,81794.0,53166.1,173.17,81794.0,34
RC,272,Non-impl supply sterile 16751-18250,89462.0,58150.3,173.17,89462.0,34
RC,272,Non-impl supply sterile 18251-19750,97130.0,63134.5,173.17,97130.0,34
RC,272,Non-impl supply sterile 19751-21250,104798.0,68118.7,173.17,104798.0,34
RC,272,Non-impl supply sterile 2001-2500,15983.0,10388.95,173.17,15983.0,34
RC,272,Non-impl supply sterile 201-250,2438.0,1584.7,173.17,2438.0,34
RC,272,Non-impl supply sterile 21251-22750,112466.0,73102.9,173.17,112466.0,34
RC,272,Non-impl supply sterile 22751-24250,120134.0,78087.1,173.17,120134.0,34
RC,272,Non-impl supply sterile 24251-25750,127802.0,83071.3,173.17,127802.0,34
RC,272,Non-impl supply sterile 2501-3000,19534.0,12697.1,173.17,19534.0,34
RC,272,Non-impl supply sterile 251-300,2920.0,1898.0,173.17,2920.0,34
RC,272,Non-impl supply sterile 25751-27250,135470.0,88055.5,173.17,135470.0,34
RC,272,Non-impl supply sterile 27251-29000,143777.0,93455.05,173.17,143777.0,34
RC,272,Non-impl supply sterile 29001-30750,152723.0,99269.95,173.17,152723.0,34
RC,272,Non-impl supply sterile 3001-3500,23085.0,15005.25,173.17,23085.0,34
RC,272,Non-impl supply sterile 30751-32500,161669.0,105084.85,173.17,161669.0,34
RC,272,Non-impl supply sterile 32501-34250,170615.0,110899.75,173.17,170615.0,34
RC,272,Non-impl supply sterile 34251-36000,179561.0,116714.65,173.17,179561.0,34
RC,272,Non-impl supply sterile 3501-4250,27524.0,17890.6,173.17,27524.0,34
RC,272,Non-impl supply sterile 36001-37750,188507.0,122529.55,173.17,188507.0,34
RC,272,Non-impl supply sterile 37751-39500,197453.0,128344.45,173.17,197453.0,34
RC,272,Non-impl supply sterile 39501-41250,206399.0,134159.35,173.17,206399.0,34
RC,272,Non-impl supply sterile 41251-43250,215984.0,140389.6,173.17,215984.0,34
RC,272,Non-impl supply sterile 4251-5000,33005.0,21453.25,173.17,33005.0,34
RC,272,Non-impl supply sterile 43251-45250,226208.0,147035.2,173.17,226208.0,34
RC,272,Non-impl supply sterile 45251-47250,236432.0,153680.8,173.17,236432.0,34
RC,272,Non-impl supply sterile 47251-49250,246656.0,160326.4,173.17,246656.0,34
RC,272,Non-impl supply sterile 49251-51250,256880.0,166972.0,173.17,256880.0,34
RC,272,Non-impl supply sterile 5001-5750,27350.0,17777.5,173.17,27350.0,34
RC,272,Non-impl supply sterile 501-600,5835.0,3792.75,173.17,5835.0,34
RC,272,Non-impl supply sterile 5751-6500,31313.0,20353.45,173.17,31313.0,34
RC,272,Non-impl supply sterile 601-700,6895.0,4481.75,173.17,6895.0,34
RC,272,Non-impl supply sterile 6501-7250,34982.0,22738.3,173.17,34982.0,34
RC,272,Non-impl supply sterile 701-900,8316.0,5405.4,173.17,8316.0,34
RC,272,Non-impl supply sterile 7251-8250,39620.0,25753.0,173.17,39620.0,34
RC,272,Non-impl supply sterile 8251-9250,44522.0,28939.3,173.17,44522.0,34
RC,272,Non-impl supply sterile 901-1100,10393.0,6755.45,173.17,10393.0,34
RC,272,Non-impl supply sterile 9251-10250,49844.0,32398.6,173.17,49844.0,34
RC,272,Nut compr scw inserter 3037116,1974.0,1283.1,173.17,1974.0,34
RC,272,Occluder coronary 1.0,767.0,498.55,132.69,767.0,34
RC,272,Opthalmc sleeve acc pac bl3118,140.0,91.0,24.22,173.17,34
RC,272,Opus sut perfctpassr,1860.0,1209.0,173.17,1860.0,34
RC,272,Opus sut perfctpassr cobraid,2405.0,1563.25,173.17,2405.0,34
RC,272,Opus sut speedsttch cobraid,1960.0,1274.0,173.17,1960.0,34
RC,272,Opus sut speedsttch white,11299.0,7344.35,173.17,11299.0,34
RC,272,Ortho ext fixatr ankl supplies,51574.0,33523.1,173.17,51574.0,34
RC,272,Osteotomy cort wedge p0779,11306.0,7348.9,173.17,11306.0,34
RC,272,Ostomy Hollister 19154,232.0,150.8,40.14,232.0,34
RC,272,Ostomy barrier sm convat839002,24.0,15.6,4.15,173.17,34
RC,272,Ostomy convx light sensur16483,6.0,3.9,1.04,173.17,34
RC,272,Ostomy drain kt Hollister19056,31.0,20.15,5.36,173.17,34
RC,272,Ostomy powder Coloplast 19075,12.0,7.8,2.08,173.17,34
RC,272,Ostomy wafer flex 57mm 125265,30.0,19.5,5.19,173.17,34
RC,272,Overdrill AO Stryker 705137,2075.0,1348.75,173.17,2075.0,34
RC,272,Oxygenatr oh lonterm jh1028553,8269.0,5374.85,173.17,8269.0,34
RC,272,Pack custom Livanova 044032703,5353.0,3479.45,173.17,5353.0,34
RC,272,Pack custom Livanova 044062203,5497.0,3573.05,173.17,5497.0,34
RC,272,Pack eye post intgr 20g bl5420,4805.0,3123.25,173.17,4805.0,34
RC,272,Pack eye post intgr23g bl5423w,5229.0,3398.85,173.17,5229.0,34
RC,272,Pack knee medline dynj80576a,2277.0,1480.05,173.17,2277.0,34
RC,272,Pack minor bethesda dynj80536a,334.0,217.1,57.78,334.0,34
RC,272,Pack surg cust boca dynj88411,240.0,156.0,41.52,240.0,34
RC,272,Pack surg cust traum dynj88416,1366.0,887.9,173.17,1366.0,34
RC,272,Pack surg custm beth dynj88413,407.0,264.55,70.41,407.0,34
RC,272,Pack surg custm boca dynj88407,532.0,345.8,92.04,532.0,34
RC,272,Pack surg custm robt dynj88412,1311.0,852.15,173.17,1311.0,34
RC,272,Pack surg custm vasc dynj88410,770.0,500.5,133.21,770.0,34
RC,272,Pack surg us surg syneture 291,59.0,38.35,10.21,173.17,34
RC,272,Pack vasc pacr Medln dynj81644,618.0,401.7,106.91,618.0,34
RC,272,Pack vent suppl 020972702,5788.0,3762.2,173.17,5788.0,34
RC,272,Packing nasal sinus drsg 3cm,319.0,207.35,55.19,319.0,34
RC,272,Packing nasal xerogel xg108,923.0,599.95,159.68,923.0,34
RC,272,Passer ligament 10.5mm,899.0,584.35,155.53,899.0,34
RC,272,Passer stryker 67049760,4361.0,2834.65,173.17,4361.0,34
RC,272,Passer stryker 67049800,4244.0,2758.6,173.17,4244.0,34
RC,272,Passer stryker 67049820,4146.0,2694.9,173.17,4146.0,34
RC,272,Passer sut Novostch proctxa003,5777.0,3755.05,173.17,5777.0,34
RC,272,Passer sut Paragon28p419600030,3141.0,2041.65,173.17,3141.0,34
RC,272,Passer sut S&N 72200419,1485.0,965.25,173.17,1485.0,34
RC,272,Passer sut Stryker cat01356,3515.0,2284.75,173.17,3515.0,34
RC,272,Passer sut Stryker cat02590,3850.0,2502.5,173.17,3850.0,34
RC,272,Passer sut crescent cat02298,3126.0,2031.9,173.17,3126.0,34
RC,272,Passer sut firstp S&N 72290128,13379.0,8696.35,173.17,13379.0,34
RC,272,Passer sut knee scorpn ar12990,21271.0,13826.15,173.17,21271.0,34
RC,272,Passer sut slingshot catt02862,3464.0,2251.6,173.17,3464.0,34
RC,272,Passer sut sys cti512nrep,565.0,367.25,97.75,565.0,34
RC,272,Passer sutr Shuttle conm c6005,832.0,540.8,143.94,832.0,34
RC,272,Passer sutr accupass xl 232005,5141.0,3341.65,173.17,5141.0,34
RC,272,Passer sutr chia percut21410jj,1395.0,906.75,173.17,1395.0,34
RC,272,Passer wire cut ndl 400727,1166.0,757.9,173.17,1166.0,34
RC,272,Passer wire cut tap 402523,2586.0,1680.9,173.17,2586.0,34
RC,272,Patch reference carto 3 crefp6,4060.0,2639.0,173.17,4060.0,34
RC,272,Patch tachosil absorb 1144922,8064.0,5241.6,173.17,8064.0,34
RC,272,Peg fix Stryker 5575x000,4687.0,3046.55,173.17,4687.0,34
RC,272,Peg pull safety 20fr kit,1595.0,1036.75,173.17,1595.0,34
RC,272,Peg removal pin 71362129,595.0,386.75,102.94,595.0,34
RC,272,Peg talar Paragon28 p109444013,2868.0,1864.2,173.17,2868.0,34
RC,272,Penumb cath mp bmk6f015mber130,9921.0,6448.65,173.17,9921.0,34
RC,272,Penumbra Seperatr .022x200cm,14843.0,9647.95,173.17,14843.0,34
RC,272,Penumbra Seperatr .028x200cm,17684.0,11494.6,173.17,17684.0,34
RC,272,Penumbra tube aspiration pst2,3816.0,2480.4,173.17,3816.0,34
RC,272,Perc antena emprint20cm ca20l2,22691.0,14749.15,173.17,22691.0,34
RC,272,Percusurg occlus 14 3.0 6 200,11044.0,7178.6,173.17,11044.0,34
RC,272,Perforator cranil 11 dm0011faa,1631.0,1060.15,173.17,1631.0,34
RC,272,Perfusion hemoconcen hph1000ts,1019.0,662.35,173.17,1019.0,34
RC,272,Perfusn biopump cntrf bpx80t,2172.0,1411.8,173.17,2172.0,34
RC,272,Perfusn biopump cntrf3/8 95201,1815.0,1179.75,173.17,1815.0,34
RC,272,Phaco tip 30dg 0.9mm pt29830,1057.0,687.05,173.17,1057.0,34
RC,272,Pin Novastep xpp01003d,2292.0,1489.8,173.17,2292.0,34
RC,272,Pin bn quick r DJO 80001338,722.0,469.3,124.91,722.0,34
RC,272,Pin depuy 3211432,1031.0,670.15,173.17,1031.0,34
RC,272,Pin distr cerv 14mm ff904sb,1747.0,1135.55,173.17,1747.0,34
RC,272,Pin fix thrd temp 701595001,833.0,541.45,144.11,833.0,34
RC,272,Pin fix threat temp 286850200,977.0,635.05,169.02,977.0,34
RC,272,Pin fixation 3.2mm 249095000,1195.0,776.75,173.17,1195.0,34
RC,272,Pin fixation arthx ar601fp30,489.0,317.85,84.6,489.0,34
RC,272,Pin fixt temp 2.5m 47430902501,2514.0,1634.1,173.17,2514.0,34
RC,272,Pin flute Paragon28 p109023010,421.0,273.65,72.83,421.0,34
RC,272,Pin fxt temp 1.5mm 6971116,5169.0,3359.85,173.17,5169.0,34
RC,272,Pin guide 1/8x3 71210002,1260.0,819.0,173.17,1260.0,34
RC,272,Pin guide 230 x2.4 410236 SN,403.0,261.95,69.72,403.0,34
RC,272,Pin guide 3.2x300mm 71110500,3324.0,2160.6,173.17,3324.0,34
RC,272,Pin guide Stryker 144110,1163.0,755.95,173.17,1163.0,34
RC,272,Pin guide hip 2mm 10071200,1179.0,766.35,173.17,1179.0,34
RC,272,Pin guide osteotm2.4 ar1330324,416.0,270.4,71.97,416.0,34
RC,272,Pin guide osteotom 3 ar1330330,359.0,233.35,62.11,359.0,34
RC,272,Pin guide th 3.2mm 903003004,1481.0,962.65,173.17,1481.0,34
RC,272,Pin guide thr 3.2x343 71674029,1462.0,950.3,173.17,1462.0,34
RC,272,Pin guide thrd tip3.2 71751147,1800.0,1170.0,173.17,1800.0,34
RC,272,Pin guide thread 3.2x230mm SN,555.0,360.75,96.02,555.0,34
RC,272,Pin guide trocar s0110000,2130.0,1384.5,173.17,2130.0,34
RC,272,Pin perc ref 100mm 9733235,2363.0,1535.95,173.17,2363.0,34
RC,272,Pin pfc Depuy 864192,2541.0,1651.65,173.17,2541.0,34
RC,272,Pin skull Mayfd headrest adult,311.0,202.15,53.8,311.0,34
RC,272,Pin skull Mayfield adult disp,167.0,108.55,28.89,173.17,34
RC,272,Pin skull tit disp adult a1120,219.0,142.35,37.89,219.0,34
RC,272,Pin spine Caspar 70mm 5760102,803.0,521.95,138.92,803.0,34
RC,272,Pin temp Zimmer 405800,1866.0,1212.9,173.17,1866.0,34
RC,272,Pin temp fix 71175090,1550.0,1007.5,173.17,1550.0,34
RC,272,Pin temp tack osteomed 3210004,605.0,393.25,104.67,605.0,34
RC,272,Pin trocar 2.4mm 014395,1719.0,1117.35,173.17,1719.0,34
RC,272,Plasma platelt angel abs10061t,3275.0,2128.75,173.17,3275.0,34
RC,272,Plasma platelt angel abs10062t,9671.0,6286.15,173.17,9671.0,34
RC,272,Plasmajet coag hndp lscp0528h,5819.0,3782.35,173.17,5819.0,34
RC,272,Plate bender Zimmer 761195,3254.0,2115.1,173.17,3254.0,34
RC,272,Plate templ Depuy 3294098,590.0,383.5,102.07,590.0,34
RC,272,Plate template 7h SYNT,384.0,249.6,66.43,384.0,34
RC,272,Plate template Depuy 03100035,1513.0,983.45,173.17,1513.0,34
RC,272,Plateform Spider adv24 9000021,7884.0,5124.6,173.17,7884.0,34
RC,272,Pledget CV 7x3x1.5 pcp20 sm,27.0,17.55,4.67,173.17,34
RC,272,Pledget vas 3mmx6.5mm q705,33.0,21.45,5.71,173.17,34
RC,272,Pleur vac drain Xpress4000100n,457.0,297.05,79.06,457.0,34
RC,272,Pmkr Slittr unv CPS II ds 2a006,171.0,111.15,29.58,173.17,34
RC,272,Pmkr introducer valve,2460.0,1599.0,173.17,2460.0,34
RC,272,Port aces aseaL5X120SIASB5150,978.0,635.7,169.19,978.0,34
RC,272,Port endo Covidien 176673p,1502.0,976.3,173.17,1502.0,34
RC,272,Port gelpoint trananal cn011,7685.0,4995.25,173.17,7685.0,34
RC,272,Port otur BLNT12mm 400193INTU,1671.0,1086.15,173.17,1671.0,34
RC,272,Port sng st for 8.5scop 428065,1541.0,1001.65,173.17,1541.0,34
RC,272,Portal entry kit cat00241,3558.0,2312.7,173.17,3558.0,34
RC,272,Positioner atlas Terumot401261,6360.0,4134.0,173.17,6360.0,34
RC,272,Positioner heart Terummd27320a,7155.0,4650.75,173.17,7155.0,34
RC,272,Positioner heartstabl4.3octop,9349.0,6076.85,173.17,9349.0,34
RC,272,Positioner medt hp3000,7531.0,4895.15,173.17,7531.0,34
RC,272,Positioner medt tsmics1,11443.0,7437.95,173.17,11443.0,34
RC,272,Pouch endo spcmn 10mm 173050g,737.0,479.05,127.5,737.0,34
RC,272,Pouch lap sac10x8 c-lsp-10-8in,1632.0,1060.8,173.17,1632.0,34
RC,272,Pouch lapsac jls081000,756.0,491.4,130.79,756.0,34
RC,272,Pouch lapsac tiss2x5 jls050201,481.0,312.65,83.21,481.0,34
RC,272,Powder bandage pro qr blflp636,251.0,163.15,43.42,251.0,34
RC,272,Probe Mammotome Devicor mep10,2593.0,1685.45,173.17,2593.0,34
RC,272,Probe abl14cm h787700106001uso,19531.0,12695.15,173.17,19531.0,34
RC,272,Probe ablat pre 20cm 15 pr20xt,14062.0,9140.3,173.17,14062.0,34
RC,272,Probe ablat spinestar str1015l,21555.0,14010.75,173.17,21555.0,34
RC,272,Probe antena emprint15 ca15l2n,27828.0,18088.2,173.17,27828.0,34
RC,272,Probe array velys j&j451570203,3933.0,2556.45,173.17,3933.0,34
RC,272,Probe bipolar prass stim,1476.0,959.4,173.17,1476.0,34
RC,272,Probe bipolr inj gold m0056015,2392.0,1554.8,173.17,2392.0,34
RC,272,Probe boston sc m0068403550,8103.0,5266.95,173.17,8103.0,34
RC,272,Probe bx vacora 10g vb10118,3053.0,1984.45,173.17,3053.0,34
RC,272,Probe cryoablation 10cm cryo3,16335.0,10617.75,173.17,16335.0,34
RC,272,Probe cyberwand cwrbpbx,11531.0,7495.15,173.17,11531.0,34
RC,272,Probe cyberwand us cwusirbp,6473.0,4207.45,173.17,6473.0,34
RC,272,Probe ehl Boston SC m00546620,4547.0,2955.55,173.17,4547.0,34
RC,272,Probe electrode flex2.3 133023,2370.0,1540.5,173.17,2370.0,34
RC,272,Probe electrohydraul 1.6fr ks,2331.0,1515.15,173.17,2331.0,34
RC,272,Probe flex erberjet 20150220,2391.0,1554.15,173.17,2391.0,34
RC,272,Probe heat 2.8 chan 230 cd120u,4530.0,2944.5,173.17,4530.0,34
RC,272,Probe laser fullfire dtp000-01,45818.0,29781.7,173.17,45818.0,34
RC,272,Probe mammo devicor mst1012,2375.0,1543.75,173.17,2375.0,34
RC,272,Probe mono 270190257,2816.0,1830.4,173.17,2816.0,34
RC,272,Probe mono Inomed 5140525608,10824.0,7035.6,173.17,10824.0,34
RC,272,Probe pack doppler dipp10,378.0,245.7,65.39,378.0,34
RC,272,Probe plasma2.3x220cm 20132214,2367.0,1538.55,173.17,2367.0,34
RC,272,Probe plasma2.3x220cm 20132218,2432.0,1580.8,173.17,2432.0,34
RC,272,Probe shrt angle 10529,2616.0,1700.4,173.17,2616.0,34
RC,272,Probe stm nerve bipolar8225401,1268.0,824.2,173.17,1268.0,34
RC,272,Probe temp esph Abbtt stprobe7,7388.0,4802.2,173.17,7388.0,34
RC,272,Probe ultra 1x570mm,2344.0,1523.6,173.17,2344.0,34
RC,272,Probe ultra 3.8x403mm,5301.0,3445.65,173.17,5301.0,34
RC,272,Probe ultra0.89x940m0068407390,2632.0,1710.8,173.17,2632.0,34
RC,272,Probe vasc bld evaluatr0715007,2628.0,1708.2,173.17,2628.0,34
RC,272,Probe vasc std 15cm 7151015,988.0,642.2,170.92,988.0,34
RC,272,Prolact+10 50ml btl 9390150,695.0,451.75,120.24,695.0,34
RC,272,Prolact+4 10ml btl 9390110,145.0,94.25,25.09,173.17,34
RC,272,Prolact+4 20ml btl 9390120,292.0,189.8,50.52,292.0,34
RC,272,Prolact+6 30ml btl 9390130,418.0,271.7,72.31,418.0,34
RC,272,Prolact+8 40ml btl 9390140,557.0,362.05,96.36,557.0,34
RC,272,Pump pain managt on q pm025a,1591.0,1034.15,173.17,1591.0,34
RC,272,Punch megabitr 5.5x2.5 ar41006,14491.0,9419.15,173.17,14491.0,34
RC,272,Pursestring 45,850.0,552.5,147.05,850.0,34
RC,272,Pusher knot Fastfix 72201537sn,1520.0,988.0,173.17,1520.0,34
RC,272,Reamer 13mm p109441375,6201.0,4030.65,173.17,6201.0,34
RC,272,Reamer 2.7cann 117066 sn,5495.0,3571.75,173.17,5495.0,34
RC,272,Reamer 23516113,5500.0,3575.0,173.17,5500.0,34
RC,272,Reamer 3. 9x6mm 145mm 3025028,5083.0,3303.95,173.17,5083.0,34
RC,272,Reamer 3.9x6mm 288mm 03025135,5460.0,3549.0,173.17,5460.0,34
RC,272,Reamer 4.0cann 117067 sn,4613.0,2998.45,173.17,4613.0,34
RC,272,Reamer 52mm 223000031,6144.0,3993.6,173.17,6144.0,34
RC,272,Reamer Medartis a3635,3586.0,2330.9,173.17,3586.0,34
RC,272,Reamer Novastep cre24113,6318.0,4106.7,173.17,6318.0,34
RC,272,Reamer Orthofix 193270,6624.0,4305.6,173.17,6624.0,34
RC,272,Reamer Stryker 02278510s,7255.0,4715.75,173.17,7255.0,34
RC,272,Reamer bur Novastep cre12012,5470.0,3555.5,173.17,5470.0,34
RC,272,Reamer calib 2mm xfo01200200,2792.0,1814.8,173.17,2792.0,34
RC,272,Reamer cann Arthrex 257000,5767.0,3748.55,173.17,5767.0,34
RC,272,Reamer cannulat 4.8mm sn,4689.0,3047.85,173.17,4689.0,34
RC,272,Reamer collar head 9mm trcra09,6265.0,4072.25,173.17,6265.0,34
RC,272,Reamer conicl 13200011,9958.0,6472.7,173.17,9958.0,34
RC,272,Reamer cross plate xfr006100,7896.0,5132.4,173.17,7896.0,34
RC,272,Reamer cut Paragon 28 p3195500,3599.0,2339.35,173.17,3599.0,34
RC,272,Reamer depuy 33846,12590.0,8183.5,173.17,12590.0,34
RC,272,Reamer entry flx shft211201103,7936.0,5158.4,173.17,7936.0,34
RC,272,Reamer head 12.5 352251s,3927.0,2552.55,173.17,3927.0,34
RC,272,Reamer head 14mm 362254s,3676.0,2389.4,173.17,3676.0,34
RC,272,Reamer head 17mm 352261s,3886.0,2525.9,173.17,3886.0,34
RC,272,Reamer head Depuy 33811,7495.0,4871.75,173.17,7495.0,34
RC,272,Reamer head ria 2 16 03404028s,7533.0,4896.45,173.17,7533.0,34
RC,272,Reamer irrigtube520ria 314746,4732.0,3075.8,173.17,4732.0,34
RC,272,Reamer kit Depuy 03404001s,15908.0,10340.2,173.17,15908.0,34
RC,272,Reamer metatr 10/20 msr8901020,2680.0,1742.0,173.17,2680.0,34
RC,272,Reamer mtp 19 male p019001903,4420.0,2873.0,173.17,4420.0,34
RC,272,Reamer one step 14442002,7346.0,4774.9,173.17,7346.0,34
RC,272,Reamer one step 41009,6773.0,4402.45,173.17,6773.0,34
RC,272,Reamer rf 249001314,5451.0,3543.15,173.17,5451.0,34
RC,272,Reamer rod wbal tip650 351709s,1608.0,1045.2,173.17,1608.0,34
RC,272,Reamer spare tube hollow309080,2533.0,1646.45,173.17,2533.0,34
RC,272,Reamer stem 801607,6816.0,4430.4,173.17,6816.0,34
RC,272,Reamer tube for 309035 309038,2822.0,1834.3,173.17,2822.0,34
RC,272,Reamer tube for 309450 309480,3209.0,2085.85,173.17,3209.0,34
RC,272,Reamer wright 86ps1005,5215.0,3389.75,173.17,5215.0,34
RC,272,Reload Covidien reltack3x10sw,8159.0,5303.35,173.17,8159.0,34
RC,272,Repair Hickman dual 10fr,2981.0,1937.65,173.17,2981.0,34
RC,272,Retention pannus sys czprs04,3737.0,2429.05,173.17,3737.0,34
RC,272,Retina cann25g infu 8065751459,706.0,458.9,122.14,706.0,34
RC,272,Retina tip sft 20g 8065149520,211.0,137.15,36.5,211.0,34
RC,272,Retractor Livanova mials001,4063.0,2640.95,173.17,4063.0,34
RC,272,Retractor Manual Surg 11075150,8258.0,5367.7,173.17,8258.0,34
RC,272,Retractor esoph esosure 10001,4028.0,2618.2,173.17,4028.0,34
RC,272,Retractor wnd hr005,2195.0,1426.75,173.17,2195.0,34
RC,272,Retractr light bifur ac0190046,4456.0,2896.4,173.17,4456.0,34
RC,272,Retrev bskt 3wire 0.6 11575k,3333.0,2166.45,173.17,3333.0,34
RC,272,Retrev bskt Cook Med g18778,2662.0,1730.3,173.17,2662.0,34
RC,272,Retrev bskt trapez3.2m00510880,2750.0,1787.5,173.17,2750.0,34
RC,272,Retrev bskt zero 0.8 m00513200,2652.0,1723.8,173.17,2652.0,34
RC,272,Retrev spec pouch Conmed sb936,374.0,243.1,64.7,374.0,34
RC,272,Retrev stone basket  390500,2145.0,1394.25,173.17,2145.0,34
RC,272,Retrev stone basket 3wir Bagly,1656.0,1076.4,173.17,1656.0,34
RC,272,Retrev stone basket 4w 11582m,3450.0,2242.5,173.17,3450.0,34
RC,272,Retrev strght tip3.4mm ar12540,10648.0,6921.2,173.17,10648.0,34
RC,272,Retrev twist loop21 M00561421,4003.0,2601.95,173.17,4003.0,34
RC,272,Retrev twist loop22 M00561411,4611.0,2997.15,173.17,4611.0,34
RC,272,Retrv bag Inzii sys 10mm cd005,229.0,148.85,39.62,229.0,34
RC,272,Retrv balln stone 3 6f g31921,2184.0,1419.6,173.17,2184.0,34
RC,272,Retrv balln stone8.5 6f g50695,2213.0,1438.45,173.17,2213.0,34
RC,272,Retrv basket Nitnl 1.9f BOST,2539.0,1650.35,173.17,2539.0,34
RC,272,Retrv basket Nitnl 1.9f120BOST,2095.0,1361.75,173.17,2095.0,34
RC,272,Retrv basket Nitnl 3f120BOST,1829.0,1188.85,173.17,1829.0,34
RC,272,Retrv bskt Nitnl 1.7f 11 COOK,3168.0,2059.2,173.17,3168.0,34
RC,272,Retrv dev Trevo Stryker 90312,34270.0,22275.5,173.17,34270.0,34
RC,272,Retrv dev Trevo Stryker 91312,35148.0,22846.2,173.17,35148.0,34
RC,272,Retrv dev spec pro9-12 547000,1535.0,997.75,173.17,1535.0,34
RC,272,Retrv stone bsket 4w 11573m,3712.0,2412.8,173.17,3712.0,34
RC,272,Retrv stone bsket 4x35 11573np,28543.0,18552.95,173.17,28543.0,34
RC,272,Ring contour recon lt 71367150,3720.0,2418.0,173.17,3720.0,34
RC,272,Rita ablatn habib 75-125 4401,20951.0,13618.15,173.17,20951.0,34
RC,272,Rita ablatn habib laparosc3659,23153.0,15049.45,173.17,23153.0,34
RC,272,Rod cann blunt tip5x335 328170,3416.0,2220.4,173.17,3416.0,34
RC,272,Rod cann tap 5x195mm 328140,2738.0,1779.7,173.17,2738.0,34
RC,272,Rod conn Stryker 49228300,5048.0,3281.2,173.17,5048.0,34
RC,272,Rod guide2.5 w trocar03019026s,801.0,520.65,138.57,801.0,34
RC,272,Rod lord J&J 102064095,3579.0,2326.35,173.17,3579.0,34
RC,272,Rod position Terumo 1410110,11167.0,7258.55,173.17,11167.0,34
RC,272,Rod ream ball tip 3x950 35176s,1973.0,1282.45,173.17,1973.0,34
RC,272,Rod reaming w bal handl3010093,3835.0,2492.75,173.17,3835.0,34
RC,272,Rod s drilling tip3x270 325160,3643.0,2367.95,173.17,3643.0,34
RC,272,Rod spine digitizer 2040001,12713.0,8263.45,173.17,12713.0,34
RC,272,Rongeur handle Symmetry 53167,1577.0,1025.05,173.17,1577.0,34
RC,272,Rongeur tip Symmetry 531661,1554.0,1010.1,173.17,1554.0,34
RC,272,Rongeur tip Symmetry 531661t,1506.0,978.9,173.17,1506.0,34
RC,272,SD forcep Intuitive 471405,2989.0,1942.85,173.17,2989.0,34
RC,272,SD forcep blk diamd420033 INTU,1802.0,1171.3,173.17,1802.0,34
RC,272,SD laser fiber hol 1000,1697.0,1103.05,173.17,1697.0,34
RC,272,SD laser fiber hol 365,792.0,514.8,137.02,792.0,34
RC,272,SD scissor monopolar 430004,4897.0,3183.05,173.17,4897.0,34
RC,272,Sacrocolpopex tip1.3x3 sacro1s,1137.0,739.05,173.17,1137.0,34
RC,272,Scissor cann stryker 326070,4236.0,2753.4,173.17,4236.0,34
RC,272,Scissor endopath curved 5 5dcs,508.0,330.2,87.88,508.0,34
RC,272,Scissors Apollo es26165,3410.0,2216.5,173.17,3410.0,34
RC,272,Scope hemo valve ambu k1211413,648.0,421.2,112.1,648.0,34
RC,272,Scope nano ndl ar32100044,5671.0,3686.15,173.17,5671.0,34
RC,272,Scw Interf ifix pro kit cm1500,4681.0,3042.65,173.17,4681.0,34
RC,272,Scw comprs drill 71674034,2059.0,1338.35,173.17,2059.0,34
RC,272,Scw lag adv ortho 259000,4353.0,2829.45,173.17,4353.0,34
RC,272,Scw lag reamer 193970,12235.0,7952.75,173.17,12235.0,34
RC,272,Scwdrive shft cann2.5 hex31410,2858.0,1857.7,173.17,2858.0,34
RC,272,Scwdriver blue metal 2200262,2682.0,1743.3,173.17,2682.0,34
RC,272,Scwdriver t15 in2bones c02s009,14169.0,9209.85,173.17,14169.0,34
RC,272,Sealant surgical omnex 4901,1651.0,1073.15,173.17,1651.0,34
RC,272,Sealer bp Intuitive 480440,7314.0,4754.1,173.17,7314.0,34
RC,272,Sensor oximet EdwLifesc fsesns,1240.0,806.0,173.17,1240.0,34
RC,272,Seprafilm 5x6,2161.0,1404.65,173.17,2161.0,34
RC,272,Seprafilm 6x5 430102,2790.0,1813.5,173.17,2790.0,34
RC,272,Shaft adaptr driver qc7480741t,2311.0,1502.15,173.17,2311.0,34
RC,272,Shaver 2.0 full radius arthros,725.0,471.25,125.43,725.0,34
RC,272,Shaver 2.9 angl 1882924hre,4988.0,3242.2,173.17,4988.0,34
RC,272,Shaver 2.9 barrel abrader arth,671.0,436.15,116.08,671.0,34
RC,272,Shaver 3.5 cutter arthro,620.0,403.0,107.26,620.0,34
RC,272,Shaver 4.0 Tomcat 375545000,2863.0,1860.95,173.17,2863.0,34
RC,272,Shaver 4.0 tri cut trim arthr,2066.0,1342.9,173.17,2066.0,34
RC,272,Shaver 4.5 concave cvd arth,898.0,583.7,155.35,898.0,34
RC,272,Shaver 4.5 convex cvd arthr,872.0,566.8,150.86,872.0,34
RC,272,Shaver 4x27 tricut 1884031hre,4847.0,3150.55,173.17,4847.0,34
RC,272,Shaver 5.5 aggre plus375564000,799.0,519.35,138.23,799.0,34
RC,272,Shaver 5.5 burr 6flu 375951000,3024.0,1965.6,173.17,3024.0,34
RC,272,Shaver T & A tube rem1884008ta,11344.0,7373.6,173.17,11344.0,34
RC,272,Shaver ascp rds4.5x180 7210979,1388.0,902.2,173.17,1388.0,34
RC,272,Shaver colcut 5x13ar8500fot,547.0,355.55,94.63,547.0,34
RC,272,Shaver sinus 2.0 turbin Infer,2312.0,1502.8,173.17,2312.0,34
RC,272,Shaver sinus mag 40d 1884006,3167.0,2058.55,173.17,3167.0,34
RC,272,Shear harmonic curvd 36cm,4598.0,2988.7,173.17,4598.0,34
RC,272,Sheath dil rota tigt13f 545513,13459.0,8748.35,173.17,13459.0,34
RC,272,Sheath hndl ass suprap 0641000,8362.0,5435.3,173.17,8362.0,34
RC,272,Sheath safe csgworley109m,2929.0,1903.85,173.17,2929.0,34
RC,272,Sheath suprap Advanced 642000,3824.0,2485.6,173.17,3824.0,34
RC,272,Shouldr pck Medline dynj80521a,939.0,610.35,162.45,939.0,34
RC,272,Shouldr slap rasp ar1309,3657.0,2377.05,173.17,3657.0,34
RC,272,Shunt Sundt external carotid,4339.0,2820.35,173.17,4339.0,34
RC,272,Shunt cardio Medtr 31100,3975.0,2583.75,173.17,3975.0,34
RC,272,Shunt cardio Medtr 31200,4134.0,2687.1,173.17,4134.0,34
RC,272,Shunt carotd javid17-10f007714,213.0,138.45,36.85,213.0,34
RC,272,Shunt carotid 6in long 577775,351.0,228.15,60.72,351.0,34
RC,272,Shunt carotid T port 9fr200349,4971.0,3231.15,173.17,4971.0,34
RC,272,Shunt carotid flex 10fr 202025,449.0,291.85,77.68,449.0,34
RC,272,Shunt carotid flex set 202005,818.0,531.7,141.51,818.0,34
RC,272,Shunt carotid tport 9fre201210,2520.0,1638.0,173.17,2520.0,34
RC,272,Shunt carotid tport 9fre201212,7409.0,4815.85,173.17,7409.0,34
RC,272,Shunt cv polymer 16.25m of1000,1111.0,722.15,173.17,1111.0,34
RC,272,Shunt denver curv 15.5f 422060,18579.0,12076.35,173.17,18579.0,34
RC,272,Shunt loop 3.5mmx5mm,2216.0,1440.4,173.17,2216.0,34
RC,272,Shunt lumb sys Natus 903330a,15385.0,10000.25,173.17,15385.0,34
RC,272,Shunt lumb-peritn 80 nl8507210,9386.0,6100.9,173.17,9386.0,34
RC,272,Shunt valv prog certas828800pl,29660.0,19279.0,173.17,29660.0,34
RC,272,Shunt valve Aesculap fv310t,14598.0,9488.7,173.17,14598.0,34
RC,272,Sinus blade medtr 1883480em,3216.0,2090.4,173.17,3216.0,34
RC,272,Sleeve 120 outer prot03010437s,1276.0,829.4,173.17,1276.0,34
RC,272,Sleeve nail Stryker 18061406s,2107.0,1369.55,173.17,2107.0,34
RC,272,Sleeve protect long 03043034s,1494.0,971.1,173.17,1494.0,34
RC,272,Smoke evac J&J 2390j,108.0,70.2,18.68,173.17,34
RC,272,Smoke evactube/filtr strl disp,188.0,122.2,32.52,188.0,34
RC,272,Snare hex endo mucosl dt65f,3371.0,2191.15,173.17,3371.0,34
RC,272,Snare poly oval 15 sm sd240u15,98.0,63.7,16.95,173.17,34
RC,272,Spacer compr bolt 1326,3645.0,2369.25,173.17,3645.0,34
RC,272,Spacer lat 61012225510lpg2,29969.0,19479.85,173.17,29969.0,34
RC,272,Sphere navigation eval 240037,3962.0,2575.3,173.17,3962.0,34
RC,272,Sphincterotom auto moo545170,2242.0,1457.3,173.17,2242.0,34
RC,272,Sphincterotome 4.4f m00584040,4250.0,2762.5,173.17,4250.0,34
RC,272,Spinal ball avaflex 1031015000,16828.0,10938.2,173.17,16828.0,34
RC,272,Spinal ball avaflex 1031020000,16661.0,10829.65,173.17,16661.0,34
RC,272,Spinal ball avaflex 1031115000,18242.0,11857.3,173.17,18242.0,34
RC,272,Spinal light radianc18 9560802,3111.0,2022.15,173.17,3111.0,34
RC,272,Spinal light radianc22 9560702,3447.0,2240.55,173.17,3447.0,34
RC,272,Spine augme ivas 10g 705110000,12366.0,8037.9,173.17,12366.0,34
RC,272,Spine augme ivas 8ga 705810000,13156.0,8551.4,173.17,13156.0,34
RC,272,Spine maxces kit 3240060,11359.0,7383.35,173.17,11359.0,34
RC,272,Spyglass cath delv m00546230,9090.0,5908.5,173.17,9090.0,34
RC,272,Stealth Latis insert sz1 a0c01,180.0,117.0,31.14,180.0,34
RC,272,Stealth Latis insert sz2 aoco2,17.0,11.05,2.94,173.17,34
RC,272,Steer torque dev PTCA 8958,56.0,36.4,9.69,173.17,34
RC,272,Steer torque dev ptca ac4006,281.0,182.65,48.61,281.0,34
RC,272,Stem Vari nerve locatr 8562010,538.0,349.7,93.07,538.0,34
RC,272,Stent Seidmon antgrd 6fr set,1285.0,835.25,173.17,1285.0,34
RC,272,Stent advanx Bostnsc m00536600,993.0,645.45,171.79,993.0,34
RC,272,Sternal fix dev Zim86scrcaddy2,7470.0,4855.5,173.17,7470.0,34
RC,272,Sternal fix dev Zimm86crimper,7695.0,5001.75,173.17,7695.0,34
RC,272,Sternal fix dev Zimm86driver2,4184.0,2719.6,173.17,4184.0,34
RC,272,Sternal fix dev Zimm86sizerxl,2886.0,1875.9,173.17,2886.0,34
RC,272,Sternal fix dev Zimm86trial100,913.0,593.45,157.95,913.0,34
RC,272,Sternal fix dev Zimm86trial400,964.0,626.6,166.77,964.0,34
RC,272,Sternal fix dev Zimmer 86case2,12303.0,7996.95,173.17,12303.0,34
RC,272,Sternal fix dev Zimmer 86sizer,2348.0,1526.2,173.17,2348.0,34
RC,272,Sternal fix dev Zimmer sp2891,5957.0,3872.05,173.17,5957.0,34
RC,272,Sternal fix dev Zimmer111ed05,1979.0,1286.35,173.17,1979.0,34
RC,272,Sternal fx dev Zim86cblcutter2,5403.0,3511.95,173.17,5403.0,34
RC,272,Sternal fx dev Zim86pltcutter2,6065.0,3942.25,173.17,6065.0,34
RC,272,Sternal fx dev Zim86tensioner3,12634.0,8212.1,173.17,12634.0,34
RC,272,Stp endo GIA 30-2.5 12 030811,2618.0,1701.7,173.17,2618.0,34
RC,272,Stpe Endo GIA reld wtri egiara,4271.0,2776.15,173.17,4271.0,34
RC,272,Stpl 25mm 111985 USS,3114.0,2024.1,173.17,3114.0,34
RC,272,Stpl Covidien eeaorvil25a,1062.0,690.3,173.17,1062.0,34
RC,272,Stpl EEA xl 25mm eeaxl25,4013.0,2608.45,173.17,4013.0,34
RC,272,Stpl Echelon Ethicon ech60l,4131.0,2685.15,173.17,4131.0,34
RC,272,Stpl Echelon Ethicon ech60r,2611.0,1697.15,173.17,2611.0,34
RC,272,Stpl Echln pwr pls std psee60a,3456.0,2246.4,173.17,3456.0,34
RC,272,Stpl GIA 35 endovas reld e JJ,1966.0,1277.9,173.17,1966.0,34
RC,272,Stpl GIA endo ref30 3.5 30807l,1133.0,736.45,173.17,1133.0,34
RC,272,Stpl GIA single use 60-2.5,1109.0,720.85,173.17,1109.0,34
RC,272,Stpl GIA single use 80-3.8,1569.0,1019.85,173.17,1569.0,34
RC,272,Stpl Protack ptack 174006,3043.0,1977.95,173.17,3043.0,34
RC,272,Stpl Signia reld sigadaptshort,14834.0,9642.1,173.17,14834.0,34
RC,272,Stpl Signia reload sigadaptxl,20283.0,13183.95,173.17,20283.0,34
RC,272,Stpl TA 30-3.5 sin,999.0,649.35,172.83,999.0,34
RC,272,Stpl TA 30-3.5 singl re load,445.0,289.25,76.99,445.0,34
RC,272,Stpl TA 60-3.5,1032.0,670.8,173.17,1032.0,34
RC,272,Stpl TA 60-4.8 single,501.0,325.65,86.67,501.0,34
RC,272,Stpl TA 90-3.5,1090.0,708.5,173.17,1090.0,34
RC,272,Stpl adj ils Ethicon cdh31p,4201.0,2730.65,173.17,4201.0,34
RC,272,Stpl bioabsorb seam 12bsgec60a,1927.0,1252.55,173.17,1927.0,34
RC,272,Stpl circ Ethicon cdh23p,3702.0,2406.3,173.17,3702.0,34
RC,272,Stpl circular transtar str10,4730.0,3074.5,173.17,4730.0,34
RC,272,Stpl contour crvd cs40b,4769.0,3099.85,173.17,4769.0,34
RC,272,Stpl controller powr sigpshell,1265.0,822.25,173.17,1265.0,34
RC,272,Stpl cut 40mm crvd cr40b rl JJ,2683.0,1743.95,173.17,2683.0,34
RC,272,Stpl cut lin 45mm artc ec45a,2687.0,1746.55,173.17,2687.0,34
RC,272,Stpl echelon ethicon gcs40b,5340.0,3471.0,173.17,5340.0,34
RC,272,Stpl echln pwr 45mm pse45a,3727.0,2422.55,173.17,3727.0,34
RC,272,Stpl echln pwr 60mm lng ple60a,4220.0,2743.0,173.17,4220.0,34
RC,272,Stpl ecs29 ethicon,3486.0,2265.9,173.17,3486.0,34
RC,272,Stpl ecs33 JJ,2502.0,1626.3,173.17,2502.0,34
RC,272,Stpl endo 30-5mm Abstack30-5mm,5140.0,3341.0,173.17,5140.0,34
RC,272,Stpl endo 55mm tvc55,811.0,527.15,140.3,811.0,34
RC,272,Stpl endo 60mm echeln str ec60,2573.0,1672.45,173.17,2573.0,34
RC,272,Stpl endo EEA 25mm eea25,3325.0,2161.25,173.17,3325.0,34
RC,272,Stpl endo GIA ii 45 4.8 030456,1993.0,1295.45,173.17,1993.0,34
RC,272,Stpl endo articlt 35mm atb35,2699.0,1754.35,173.17,2699.0,34
RC,272,Stpl endo articlt 45mm ats45,2090.0,1358.5,173.17,2090.0,34
RC,272,Stpl endo cut flex 60 ec60a,3034.0,1972.1,173.17,3034.0,34
RC,272,Stpl endo cut flex 60 long60a,3444.0,2238.6,173.17,3444.0,34
RC,272,Stpl endo lin cut 45mm ez45g,1066.0,692.9,173.17,1066.0,34
RC,272,Stpl endo lin rotic 55,2832.0,1840.8,173.17,2832.0,34
RC,272,Stpl endo linear 458 tr45b et,2414.0,1569.1,173.17,2414.0,34
RC,272,Stpl endo pur 30reld EGIA30amt,1885.0,1225.25,173.17,1885.0,34
RC,272,Stpl endo pur 60reld EGIA60amt,2710.0,1761.5,173.17,2710.0,34
RC,272,Stpl endo tan 30reld EGIA30avm,1819.0,1182.35,173.17,1819.0,34
RC,272,Stpl endo tan 60reld EGIA60avm,2647.0,1720.55,173.17,2647.0,34
RC,272,Stpl gia endo unv xl egiauxl,2099.0,1364.35,173.17,2099.0,34
RC,272,Stpl lin cut thick 45mm et45g,3796.0,2467.4,173.17,3796.0,34
RC,272,Stpl lin endo 45 ecr45m reld,1543.0,1002.95,173.17,1543.0,34
RC,272,Stpl lin endo 45reg zr45b reld,1385.0,900.25,173.17,1385.0,34
RC,272,Stpl lin endo 60d ecr60d reld,1588.0,1032.2,173.17,1588.0,34
RC,272,Stpl lin reld endo bl gst60b,1673.0,1087.45,173.17,1673.0,34
RC,272,Stpl lincut red reg 55mm tvr55,518.0,336.7,89.61,518.0,34
RC,272,Stpl lincut rt45 intralc45,3493.0,2270.45,173.17,3493.0,34
RC,272,Stpl linear 55 mm JJ,757.0,492.05,130.96,757.0,34
RC,272,Stpl linear 55 mm reload JJ,413.0,268.45,71.45,413.0,34
RC,272,Stpl linear 75 mm JJicon,1108.0,720.2,173.17,1108.0,34
RC,272,Stpl linear 75 mm reload JJ,602.0,391.3,104.15,602.0,34
RC,272,Stpl linear 75 mm thick JJ,1370.0,890.5,173.17,1370.0,34
RC,272,Stpl linear articul 55mm JJ,2165.0,1407.25,173.17,2165.0,34
RC,272,Stpl linear cutter 45mm et,1065.0,692.25,173.17,1065.0,34
RC,272,Stpl memofix 18x19x17 ms181917,14711.0,9562.15,173.17,14711.0,34
RC,272,Stpl microcut xchg30 fg025302,2915.0,1894.75,173.17,2915.0,34
RC,272,Stpl microcut30 rld bl fg02532,2162.0,1405.3,173.17,2162.0,34
RC,272,Stpl peristrip dry psd4506JJ,5809.0,3775.85,173.17,5809.0,34
RC,272,Stpl peristrip dry psd4506e,1460.0,949.0,173.17,1460.0,34
RC,272,Stpl peristrp endo psd4506echv,2246.0,1459.9,173.17,2246.0,34
RC,272,Stpl peristrp endo psd6006echv,2180.0,1417.0,173.17,2180.0,34
RC,272,Stpl pin loc 3.0mm mstp0030,827.0,537.55,143.07,827.0,34
RC,272,Stpl proced polaps hemo 3mm JJ,4214.0,2739.1,173.17,4214.0,34
RC,272,Stpl reld ventral reltack8rdpt,2362.0,1535.3,173.17,2362.0,34
RC,272,Stpl reload Covidien sig30avm,9150.0,5947.5,173.17,9150.0,34
RC,272,Stpl reload GIA 30 2.5,1000.0,650.0,173.0,1000.0,34
RC,272,Stpl reload Medtr sigsds30ctvt,6610.0,4296.5,173.17,6610.0,34
RC,272,Stpl reload Medtr sigtrs60amt,3608.0,2345.2,173.17,3608.0,34
RC,272,Stpl reload echl 60 blk ecr60t,1559.0,1013.35,173.17,1559.0,34
RC,272,Stpl reload lng ech45l,3443.0,2237.95,173.17,3443.0,34
RC,272,Stpl reload sureform0.5 48360b,2487.0,1616.55,173.17,2487.0,34
RC,272,Stpl reload tri60 sigtrsb60axt,5247.0,3410.55,173.17,5247.0,34
RC,272,Stpl reload unit 45-3.5 sgl u,1436.0,933.4,173.17,1436.0,34
RC,272,Stpl remover skin dynj04058,7.0,4.55,1.21,173.17,34
RC,272,Stpl rload gst45t,1547.0,1005.55,173.17,1547.0,34
RC,272,Stpl rotation20x5mm jrst252.06,7791.0,5064.15,173.17,7791.0,34
RC,272,Stpl roticulat endo GIA 55-3.5,2231.0,1450.15,173.17,2231.0,34
RC,272,Stpl roticulat endo GIA 60 3.5,2364.0,1536.6,173.17,2364.0,34
RC,272,Stpl sizer In2Bones t05s0001,1081.0,702.65,173.17,1081.0,34
RC,272,Stpl sizer Stryker ffhsizer,1871.0,1216.15,173.17,1871.0,34
RC,272,Stpl skin 15r arcuate mds-15,54.0,35.1,9.34,173.17,34
RC,272,Stpl skin 35 w disp,200.0,130.0,34.6,200.0,34
RC,272,Stpl skin 35 w rot prw35 JJ,197.0,128.05,34.08,197.0,34
RC,272,Stpl skin 35mm disp,227.0,147.55,39.27,227.0,34
RC,272,Stpl skin 35r pmr35,51.0,33.15,8.82,173.17,34
RC,272,Stpl skin 35r reld uss,163.0,105.95,28.2,173.17,34
RC,272,Stpl skin 35w,69.0,44.85,11.94,173.17,34
RC,272,Stpl skin Royal 35mm ty,73.0,47.45,12.63,173.17,34
RC,272,Stpl skin absb 30 insorb 2030,487.0,316.55,84.25,487.0,34
RC,272,Stpl skin regular,429.0,278.85,74.22,429.0,34
RC,272,Stpl sureform sgle pat 480460,5618.0,3651.7,173.17,5618.0,34
RC,272,Stpl tri crvd purpl sig45ctamt,2542.0,1652.3,173.17,2542.0,34
RC,272,Stpl tri crvd purpl sig60ctamt,3374.0,2193.1,173.17,3374.0,34
RC,272,Stpl tri crvd purple sig30amt,1835.0,1192.75,173.17,1835.0,34
RC,272,Stpl tri crvd tan30 sig30ctavm,2141.0,1391.65,173.17,2141.0,34
RC,272,Stpl tri crvd tan45 sig45ctavm,2446.0,1589.9,173.17,2446.0,34
RC,272,Stpl trs60 3.5 relod duet6035a,4929.0,3203.85,173.17,4929.0,34
RC,272,Stpl unit circular 29 cs29 pm,4381.0,2847.65,173.17,4381.0,34
RC,272,Stpl unit load sgl TA45-4.8uss,607.0,394.55,105.01,607.0,34
RC,272,Stpl unit load sgl TA90-3.5uss,529.0,343.85,91.52,529.0,34
RC,272,Stpl unit load sglta 30-v3 uss,497.0,323.05,85.98,497.0,34
RC,272,Stpl vasc powr 35X320 PVE35A,2869.0,1864.85,173.17,2869.0,34
RC,272,Stpl vasc reload thn VASCECR32,1609.0,1045.85,173.17,1609.0,34
RC,272,Stylet Glidescope rigid2700681,354.0,230.1,61.24,354.0,34
RC,272,Stylet ISG disp Brainlab 55797,4601.0,2990.65,173.17,4601.0,34
RC,272,Stylet bevel 11g 5in 306150000,569.0,369.85,98.44,569.0,34
RC,272,Stylet bevel ivas 8g 306081000,564.0,366.6,97.57,564.0,34
RC,272,Stylet brady balltip 52 609352,315.0,204.75,54.5,315.0,34
RC,272,Stylet closure Medtr rfs2612,4770.0,3100.5,173.17,4770.0,34
RC,272,Stylet closure RFS Medtr cpk90,5035.0,3272.75,173.17,5035.0,34
RC,272,Stylet coil sngl pkg 9735428,5419.0,3522.35,173.17,5419.0,34
RC,272,Stylet gliderite Verath2700916,60.0,39.0,10.38,173.17,34
RC,272,Stylet kit pacing ds0600140,688.0,447.2,119.02,688.0,34
RC,272,Stylet sunglid8f 15.5st9020972,47.0,30.55,8.13,173.17,34
RC,272,Stylet viper J&J 286750210s,3864.0,2511.6,173.17,3864.0,34
RC,272,Suction Berkley tissue trap ns,1093.0,710.45,173.17,1093.0,34
RC,272,Suction bx valve endo 100305,74.0,48.1,12.8,173.17,34
RC,272,Suction cardiovas spare tubing,942.0,612.3,162.97,942.0,34
RC,272,Suction coag 10f 15cm sng e331,118.0,76.7,20.41,173.17,34
RC,272,Suction coagul 10fr 6in,61.0,39.65,10.55,173.17,34
RC,272,Suction coagul peak ps300004,1430.0,929.5,173.17,1430.0,34
RC,272,Suction illuminator Vital Vue,2007.0,1304.55,173.17,2007.0,34
RC,272,Suction intracardiac suckr4300,228.0,148.2,39.44,228.0,34
RC,272,Suction irrig Intuitive 480299,2809.0,1825.85,173.17,2809.0,34
RC,272,Suction irrig Versajt 15d exct,5607.0,3644.55,173.17,5607.0,34
RC,272,Suction irrig Versajt 15d plus,6137.0,3989.05,173.17,6137.0,34
RC,272,Suction irrig Versajt 45d plus,1252.0,813.8,173.17,1252.0,34
RC,272,Suction lnr canistr kt 6565152,18.0,11.7,3.11,173.17,34
RC,272,Suction ortho tip Kanvac,20.0,13.0,3.46,173.17,34
RC,272,Suction sigmoidoscope,19.0,12.35,3.29,173.17,34
RC,272,Suction/irrig level1 Normthrmc,567.0,368.55,98.09,567.0,34
RC,272,Superfon kit Boston SC 1029800,7166.0,4657.9,173.17,7166.0,34
RC,272,Support athletic sa1503whlg,120.0,78.0,20.76,173.17,34
RC,272,Surgicel 2x14 d,478.0,310.7,82.69,478.0,34
RC,272,Surgicel 4x8 dr,520.0,338.0,89.96,520.0,34
RC,272,Surgicel hemostat 2x14in 1951,552.0,358.8,95.5,552.0,34
RC,272,Surgicel hemostat 4x4in 1963,1088.0,707.2,173.17,1088.0,34
RC,272,Surgicel hemostat pw3gr 3013sp,1564.0,1016.6,173.17,1564.0,34
RC,272,Surgicel hemostatic 2x.5 1955,161.0,104.65,27.85,173.17,34
RC,272,Surgicel hemostatic 2x3 1953,646.0,419.9,111.76,646.0,34
RC,272,Surgicel hemostatic 2x4 1962,935.0,607.75,161.76,935.0,34
RC,272,Surgicel hemostatic 3x4 1943,496.0,322.4,85.81,496.0,34
RC,272,Surgicel hemostatic 4x8 1952,589.0,382.85,101.9,589.0,34
RC,272,Surgiflo hemostatc 8ml 2993,1746.0,1134.9,173.17,1746.0,34
RC,272,Surgiflo matrx 8 hemostat 2991,1159.0,753.35,173.17,1159.0,34
RC,272,Surgifoam bar adh 1975JJ,178.0,115.7,30.79,178.0,34
RC,272,Surgifoam gel 8x3cm sponge,186.0,120.9,32.18,186.0,34
RC,272,Surgifoam gel bar adh 1976JJ,931.0,605.15,161.06,931.0,34
RC,272,Sut Stratafx Ethicon sxmp2b407,215.0,139.75,37.2,215.0,34
RC,272,Sut Stratafx Ethicon sxmp2b408,261.0,169.65,45.15,261.0,34
RC,272,Sut Stratafx Ethicon sxmp2b409,277.0,180.05,47.92,277.0,34
RC,272,Sut Stratafx Ethicon sxmp2b410,255.0,165.75,44.12,255.0,34
RC,272,Sut Stratafx Ethicon sxmp2b412,272.0,176.8,47.06,272.0,34
RC,272,Sut anchor 20035s,1233.0,801.45,173.17,1233.0,34
RC,272,Sut anchr GI adj Entuit g35562,1321.0,858.65,173.17,1321.0,34
RC,272,Sut anchr GI adj Entuit g35563,1981.0,1287.65,173.17,1981.0,34
RC,272,Sut anchr GI std Entuit g35569,1117.0,726.05,173.17,1117.0,34
RC,272,Sut anchr GI std Entuit g35570,1677.0,1090.05,173.17,1677.0,34
RC,272,Sut braid Infinity Parcus20053,772.0,501.8,133.56,772.0,34
RC,272,Sut lasso reel 90d ar-6069-90,1730.0,1124.5,173.17,1730.0,34
RC,272,Sut otsc anchor Ovesco 20010,4812.0,3127.8,173.17,4812.0,34
RC,272,Sut peek twist parcus 10522,2638.0,1714.7,173.17,2638.0,34
RC,272,Sut plain 5-0 g-3 18in 772g,144.0,93.6,24.91,173.17,34
RC,272,Sut poly Apollo plyg02020apl,856.0,556.4,148.09,856.0,34
RC,272,Sut stratafix 4-0 ps sxmp1b118,347.0,225.55,60.03,347.0,34
RC,272,Sut stratafix 4-0 ps sxmp1b119,182.0,118.3,31.49,182.0,34
RC,272,Sut stratafix Ethicn sxmp2b414,217.0,141.05,37.54,217.0,34
RC,272,Sut vloc 3-0 v20 6in vlocl0604,3958.0,2572.7,173.17,3958.0,34
RC,272,Suture #2 fibersnare ar7209snl,1135.0,737.75,173.17,1135.0,34
RC,272,Suture 0 Ceterix 38 ctss00238,551.0,358.15,95.32,551.0,34
RC,272,Suture 10-0 sidecut bl ja2559n,104.0,67.6,17.99,173.17,34
RC,272,Suture 10-0 spatula black9031g,14.0,9.1,2.42,173.17,34
RC,272,Suture 180 abs 0 vlocl0316,367.0,238.55,63.49,367.0,34
RC,272,Suture 2 fw bp blu wtpr ar7242,247.0,160.55,42.73,247.0,34
RC,272,Suture 4-0 p-12 syn abs sm5637,1540.0,1001.0,173.17,1540.0,34
RC,272,Suture 90 2 Covidien vlocm0015,338.0,219.7,58.47,338.0,34
RC,272,Suture 90 gs22 vl 12 vlocm0315,350.0,227.5,60.55,350.0,34
RC,272,Suture Arthrex ar4515,1352.0,878.8,173.17,1352.0,34
RC,272,Suture Capio captur 68318261,4850.0,3152.5,173.17,4850.0,34
RC,272,Suture Capio o 833-123,346.0,224.9,59.86,346.0,34
RC,272,Suture Chromic 0 m04 cr cc02g,328.0,213.2,56.74,328.0,34
RC,272,Suture Chromic 0 sutupak sg14t,139.0,90.35,24.05,173.17,34
RC,272,Suture Chromic 1 ct1 cr cc40g,231.0,150.15,39.96,231.0,34
RC,272,Suture D-special 3-0 rb1 d7050,758.0,492.7,131.13,758.0,34
RC,272,Suture Durastat gzl002,9245.0,6009.25,173.17,9245.0,34
RC,272,Suture Endostitch 0 surg170043,644.0,418.6,111.41,644.0,34
RC,272,Suture Ethibond 0 3endosu ec11,192.0,124.8,33.22,192.0,34
RC,272,Suture Ethibond 0 fslx c d7976,300.0,195.0,51.9,300.0,34
RC,272,Suture Ethibond 0 os4 d5865,724.0,470.6,125.25,724.0,34
RC,272,Suture Ethibond 0 st3 ex10g,360.0,234.0,62.28,360.0,34
RC,272,Suture Ethibond 0 v34 d6959,1682.0,1093.3,173.17,1682.0,34
RC,272,Suture Ethibond 10-30in pxx76,588.0,382.2,101.72,588.0,34
RC,272,Suture Ethibond 2-0 10x72n,491.0,319.15,84.94,491.0,34
RC,272,Suture Ethibond 2-0 pxx77n,676.0,439.4,116.95,676.0,34
RC,272,Suture Ethibond 2-0 v7 mspxx77,774.0,503.1,133.9,774.0,34
RC,272,Suture Ethicon 1 ctx c550d,113.0,73.45,19.55,173.17,34
RC,272,Suture Ethilon 0 ct1 d3747,267.0,173.55,46.19,267.0,34
RC,272,Suture Ethilon 10-0 bv75 2850g,233.0,151.45,40.31,233.0,34
RC,272,Suture Ethilon 11-0 8in 9016g,199.0,129.35,34.43,199.0,34
RC,272,Suture Ethilon 2-0 ct1 d3746,345.0,224.25,59.69,345.0,34
RC,272,Suture Gortex cv-2 ph24 2n10b,9557.0,6212.05,173.17,9557.0,34
RC,272,Suture Gortex cv4 th-18 4u02a,3530.0,2294.5,173.17,3530.0,34
RC,272,Suture Gortex cv6 thc-13 6m12b,296.0,192.4,51.21,296.0,34
RC,272,Suture OverStitch2-0 m00505451,743.0,482.95,128.54,743.0,34
RC,272,Suture PDS 3-0 ps-2 sxpp1b106,310.0,201.5,53.63,310.0,34
RC,272,Suture PDS 4-0 ps-2 sxpp1b113,223.0,144.95,38.58,223.0,34
RC,272,Suture Prolene 0 mono 30 d6141,1227.0,797.55,173.17,1227.0,34
RC,272,Suture Prolene 3-0 Pledg d9947,633.0,411.45,109.51,633.0,34
RC,272,Suture Prolene 4-0 rb1 d7049,666.0,432.9,115.22,666.0,34
RC,272,Suture Prolene 4-0 sh d7048,641.0,416.65,110.89,641.0,34
RC,272,Suture Prolene 5-0 c-1 m8720,357.0,232.05,61.76,357.0,34
RC,272,Suture Prolene 5-0 cc14 m8721,643.0,417.95,111.24,643.0,34
RC,272,Suture Prolene 7-0 bv175 m8745,976.0,634.4,168.85,976.0,34
RC,272,Suture Pronova 7-0 18in m3768,721.0,468.65,124.73,721.0,34
RC,272,Suture Silk 7-0 bv1 et10q07,806.0,523.9,139.44,806.0,34
RC,272,Suture Vicryl 2-o cp-1 j266h,15.0,9.75,2.6,173.17,34
RC,272,Suture Vicryl 2-o cp-2 j869h,16.0,10.4,2.77,173.17,34
RC,272,Suture Vicryl 2-o ct-1 j839d,106.0,68.9,18.34,173.17,34
RC,272,Suture Vicryl 2-o ps-2 j428h,37.0,24.05,6.4,173.17,34
RC,272,Suture Vicryl 2-o ties j111t,80.0,52.0,13.84,173.17,34
RC,272,Suture Vicryl 3-0 cp2 j761d,133.0,86.45,23.01,173.17,34
RC,272,Suture Vicryl 3-0 ps1 18 j683g,40.0,26.0,6.92,173.17,34
RC,272,Suture Vicryl 3-0 rapide Vr944,32.0,20.8,5.54,173.17,34
RC,272,Suture Vicryl 3-0 rb1 cr j713d,107.0,69.55,18.51,173.17,34
RC,272,Suture Vicryl 3-0 rp ps1 Vr935,66.0,42.9,11.42,173.17,34
RC,272,Suture Vicryl 3-0sh cr j774d,105.0,68.25,18.17,173.17,34
RC,272,Suture Vicryl 3-o ps-1 j936h,41.0,26.65,7.09,173.17,34
RC,272,Suture Vicryl 3-o ties j644,22.0,14.3,3.81,173.17,34
RC,272,Suture Vicryl 4-0 p2 u j504g,48.0,31.2,8.3,173.17,34
RC,272,Suture Vicryl 4-0 ps-2 j426h,38.0,24.7,6.57,173.17,34
RC,272,Suture Vicryl 4-0 rpd p3 Vr494,65.0,42.25,11.25,173.17,34
RC,272,Suture Vicryl 4-0 rpd ps2Vr496,63.0,40.95,10.9,173.17,34
RC,272,Suture Vicryl 5-0 s14 j671g,109.0,70.85,18.86,173.17,34
RC,272,Suture Vicryl 7-0 tg140-8j546g,126.0,81.9,21.8,173.17,34
RC,272,Suture Vicryl 8-0 V13059 j409g,156.0,101.4,26.99,173.17,34
RC,272,Suture Vicryl 8-0 tg140-8j547g,147.0,95.55,25.43,173.17,34
RC,272,Suture Vicryl 8-0 tg140-8j548g,128.0,83.2,22.14,173.17,34
RC,272,Suture Vicryl 8-o bV130-4j405g,158.0,102.7,27.33,173.17,34
RC,272,Suture Vicryl 8-otg140-6 j974g,164.0,106.6,28.37,173.17,34
RC,272,Suture Vicryl 9-0 ophth V449g,173.0,112.45,29.93,173.17,34
RC,272,Suture Vicryl Plus 2-0 vcp105g,85.0,55.25,14.71,173.17,34
RC,272,Suture Vicryl Plus 3-0 vcp790d,166.0,107.9,28.72,173.17,34
RC,272,Suture Vicryl pls 1-0dVcp841d,117.0,76.05,20.24,173.17,34
RC,272,Suture Vicryl pls 2-0 Vcp726d,119.0,77.35,20.59,173.17,34
RC,272,Suture Vicryl pls 2-0 Vcp789d,181.0,117.65,31.31,181.0,34
RC,272,Suture Vicryl pls 4-0 Vcp109g,94.0,61.1,16.26,173.17,34
RC,272,Suture Vicryl pls 4-0 Vcp823h,45.0,29.25,7.79,173.17,34
RC,272,Suture Vicryl pls 5-0 Vcp495h,43.0,27.95,7.44,173.17,34
RC,272,Suture Vicryl pls ct-1 Vcp840d,123.0,79.95,21.28,173.17,34
RC,272,Suture Vicryl pls2-0cp2Vcp762d,152.0,98.8,26.3,173.17,34
RC,272,Suture Vicryl+ ps-2 3-0Vcp497h,42.0,27.3,7.27,173.17,34
RC,272,Suture Vicryl+ps-1 3-0 cp683h,39.0,25.35,6.75,173.17,34
RC,272,Suture Vicryl+und brd 0Vcp112g,53.0,34.45,9.17,173.17,34
RC,272,Suture Vicryl+undbrd2-0Vcp111g,91.0,59.15,15.74,173.17,34
RC,272,Suture Vicryl+undbrd3-0Vcp110g,90.0,58.5,15.57,173.17,34
RC,272,Suture abs 5-0 revr cut18 658g,5.0,3.25,0.87,173.17,34
RC,272,Suture abs 5-0braidviolt j571g,11.0,7.15,1.9,173.17,34
RC,272,Suture abs 6-0braidundydsl1625,99.0,64.35,17.13,173.17,34
RC,272,Suture abs ethicon sxpp1b427,341.0,221.65,58.99,341.0,34
RC,272,Suture absorb #1 36mm vlp2015,137.0,89.05,23.7,173.17,34
RC,272,Suture absorb 2-0 17mm vlm2005,130.0,84.5,22.49,173.17,34
RC,272,Suture absorb 4-0 18inl vr845,780.0,507.0,134.94,780.0,34
RC,272,Suture absorb vcp504g,55.0,35.75,9.52,173.17,34
RC,272,Suture acl cutter arthx ar4520,1709.0,1110.85,173.17,1709.0,34
RC,272,Suture adh hrd001,469.0,304.85,81.14,469.0,34
RC,272,Suture arthx ar11791,10907.0,7089.55,173.17,10907.0,34
RC,272,Suture arthx ar13975sr,15530.0,10094.5,173.17,15530.0,34
RC,272,Suture arthx ar7216,236.0,153.4,40.83,236.0,34
RC,272,Suture arthx ar723717n,837.0,544.05,144.8,837.0,34
RC,272,Suture belt miami instr miisba,1532.0,995.8,173.17,1532.0,34
RC,272,Suture bio micro 2 ar1320bcnf,3445.0,2239.25,173.17,3445.0,34
RC,272,Suture bio10-0 cu-5 8065862301,303.0,196.95,52.42,303.0,34
RC,272,Suture biosyn 3-0 c-13 sm822,21.0,13.65,3.63,173.17,34
RC,272,Suture biosyn 4-0 c-13 sm691,67.0,43.55,11.59,173.17,34
RC,272,Suture biosyn 4-0 dx 18 xm823,35.0,22.75,6.06,173.17,34
RC,272,Suture chromic 2-0 v-20 gg123,50.0,32.5,8.65,173.17,34
RC,272,Suture cinch Apollo cnhc01213l,1087.0,706.55,173.17,1087.0,34
RC,272,Suture cobrad pp mw blk om8177,3440.0,2236.0,173.17,3440.0,34
RC,272,Suture cpr viper artx ar8692ds,11375.0,7393.75,173.17,11375.0,34
RC,272,Suture ethibond 2-0 rb-1 pxx41,459.0,298.35,79.41,459.0,34
RC,272,Suture ethibond Ethicon d9913,3659.0,2378.35,173.17,3659.0,34
RC,272,Suture ethibond J&J pxx80n,558.0,362.7,96.53,558.0,34
RC,272,Suture ethibond exc 2-0 10x52n,498.0,323.7,86.15,498.0,34
RC,272,Suture ethibond excel sxx54n,690.0,448.5,119.37,690.0,34
RC,272,Suture fibert Arthrex ar7268t,6981.0,4537.65,173.17,6981.0,34
RC,272,Suture firstpass 224038,2061.0,1339.65,173.17,2061.0,34
RC,272,Suture goretex cv6 th13 6j12a,314.0,204.1,54.32,314.0,34
RC,272,Suture goretx cv5 db arm 5n14a,368.0,239.2,63.66,368.0,34
RC,272,Suture gut chromic 0 cc41g,220.0,143.0,38.06,220.0,34
RC,272,Suture helix Apollo thx165028,2658.0,1727.7,173.17,2658.0,34
RC,272,Suture holdr/saver kit c6180,401.0,260.65,69.37,401.0,34
RC,272,Suture loop 20in 72205182,855.0,555.75,147.92,855.0,34
RC,272,Suture loop gforce 86ps1000,2238.0,1454.7,173.17,2238.0,34
RC,272,Suture maxbraid kt Zimmr900314,5645.0,3669.25,173.17,5645.0,34
RC,272,Suture monocryl sxmp2b416,2787.0,1811.55,173.17,2787.0,34
RC,272,Suture monodr 2-0 70mm ya1050q,226.0,146.9,39.1,226.0,34
RC,272,Suture pack mitral valve 7580e,4435.0,2882.75,173.17,4435.0,34
RC,272,Suture pass ocl ar77154.5,7367.0,4788.55,173.17,7367.0,34
RC,272,Suture pds 0 ct-1 30 sxpp1b450,263.0,170.95,45.5,263.0,34
RC,272,Suture pga 3-0 30x30 sxmd2b150,248.0,161.2,42.9,248.0,34
RC,272,Suture pga 3-0 fs-2 sxmd2b405,149.0,96.85,25.78,173.17,34
RC,272,Suture polysorb 1 gs-21 cl11mg,385.0,250.25,66.61,385.0,34
RC,272,Suture sternal A&E med 46267,1361.0,884.65,173.17,1361.0,34
RC,272,Suture stratafix 2 sxpp2b407,244.0,158.6,42.21,244.0,34
RC,272,Suture stratafix 2 sxpp2b408,322.0,209.3,55.71,322.0,34
RC,272,Suture stratafix 2 sxpp2b413,260.0,169.0,44.98,260.0,34
RC,272,Suture stratafix 3 sxpp2b412,258.0,167.7,44.63,258.0,34
RC,272,Suture stratafix sxpp1b422,4065.0,2642.25,173.17,4065.0,34
RC,272,Suture stratafx mono sxmp1b424,3911.0,2542.15,173.17,3911.0,34
RC,272,Suture surgigut Autosut g1790k,1144.0,743.6,173.17,1144.0,34
RC,272,Suture tape Arthrex ar7523,1207.0,784.55,173.17,1207.0,34
RC,272,Suture ultraloop S&N 72205446,1153.0,749.45,173.17,1153.0,34
RC,272,Suture v-loc 90 2-0 vlocm2145,2.0,1.3,0.35,173.17,34
RC,272,Suture vicryl 3-0 j910t,71.0,46.15,12.28,173.17,34
RC,272,Suture vicryl 3-0 ties j104t,78.0,50.7,13.49,173.17,34
RC,272,Suture vicryl 3-0 vcp774d,121.0,78.65,20.93,173.17,34
RC,272,Suture vicryl 4-0 sa rb1 j714d,124.0,80.6,21.45,173.17,34
RC,272,Suture vicryl 4-0 ties j103t,82.0,53.3,14.19,173.17,34
RC,272,Suture vicryl 5 0 vcp503g,655.0,425.75,113.32,655.0,34
RC,272,Suture vicryl 6 da s24 j578g,134.0,87.1,23.18,173.17,34
RC,272,Suture vicryl plus 0 vcp334h,582.0,378.3,100.69,582.0,34
RC,272,Suture vicryl plus 1 vcp741d,127.0,82.55,21.97,173.17,34
RC,272,Suture vicryl plus 3-0 vcp516h,949.0,616.85,164.18,949.0,34
RC,272,Suture vicryl sa v34 j516h,23.0,14.95,3.98,173.17,34
RC,272,Suture vicryl+18 braid vcp646t,25.0,16.25,4.33,173.17,34
RC,272,Suture vloc 3-0 90 vlocm0604,333.0,216.45,57.61,333.0,34
RC,272,Suture vloc 4x10cm vloca004l,400.0,260.0,69.2,400.0,34
RC,272,Suture vloc vlocn0306,383.0,248.95,66.26,383.0,34
RC,272,Suturelaso 45deg ar4065s ar,1243.0,807.95,173.17,1243.0,34
RC,272,Suturetak Arthrex ar1938dss,1568.0,1019.2,173.17,1568.0,34
RC,272,Suturetape Fiberlnk 0.9 ar7559,1047.0,680.55,173.17,1047.0,34
RC,272,Suturetape curved ar7505tt02,606.0,393.9,104.84,606.0,34
RC,272,Switch ariss perf unequal13000,460.0,299.0,79.58,460.0,34
RC,272,Syr Orise gel 10ml m00519201,1838.0,1194.7,173.17,1838.0,34
RC,272,Syr Orise gel ndl23g m00519210,2108.0,1370.2,173.17,2108.0,34
RC,272,Syringe Cardinal 406sg,3.0,1.95,0.52,173.17,34
RC,272,Syringe Pro Dense20cc 1200syr0,570.0,370.5,98.61,570.0,34
RC,272,Syringe acp arthx abs10010s,1578.0,1025.7,173.17,1578.0,34
RC,272,Syringe diaph s port 295002000,1225.0,796.25,173.17,1225.0,34
RC,272,Tampon nasal Doyle 8cm 400410,214.0,139.1,37.02,214.0,34
RC,272,Tandemheart cann Protk51900020,99684.0,64794.6,173.17,99684.0,34
RC,272,Tandemlung kt LIVanova58303118,109908.0,71440.2,173.17,109908.0,34
RC,272,Tap 2.5 p209202500,2433.0,1581.45,173.17,2433.0,34
RC,272,Tap 5.0mm cortical lg 0260,4069.0,2644.85,173.17,4069.0,34
RC,272,Tap NCB Zimmer 200024050,2119.0,1377.35,173.17,2119.0,34
RC,272,Tap bn 22mm ar5025tbc22,1946.0,1264.9,173.17,1946.0,34
RC,272,Tap bn 4.75mm arthx ar167804,1622.0,1054.3,173.17,1622.0,34
RC,272,Tap bn cann 6.0mm ar8956c60t,1892.0,1229.8,173.17,1892.0,34
RC,272,Tap bn dhs 12.5x220mm 33817,3910.0,2541.5,173.17,3910.0,34
RC,272,Tap cancel 3.5mm s&n 71173318,1401.0,910.65,173.17,1401.0,34
RC,272,Tap cort 5.0mm 0216,3980.0,2587.0,173.17,3980.0,34
RC,272,Tap laminaria lg 5mm 1p021005,76.0,49.4,13.15,173.17,34
RC,272,Tap laminaria med 4mm 1p021004,81.0,52.65,14.01,173.17,34
RC,272,Tap middle phalanx 4mm72204362,2788.0,1812.2,173.17,2788.0,34
RC,272,Tap middle phalanx 5mm72204598,2798.0,1818.7,173.17,2798.0,34
RC,272,Tap prox phalanx 2.7 72204358,2650.0,1722.5,173.17,2650.0,34
RC,272,Taper size 3 cluster 32103350,10388.0,6752.2,173.17,10388.0,34
RC,272,Tightrope mini ft ar8912ds,7208.0,4685.2,173.17,7208.0,34
RC,272,Tip lovera ndl Pacira stt03095,6355.0,4130.75,173.17,6355.0,34
RC,272,Tip macro excel 23khz c4605s,5922.0,3849.3,173.17,5922.0,34
RC,272,Tip micro 24hkz 1529066,8275.0,5378.75,173.17,8275.0,34
RC,272,Tisseel spray accesory 600065,5262.0,3420.3,173.17,5262.0,34
RC,272,Tissue stabalizer 29400,6869.0,4464.85,173.17,6869.0,34
RC,272,Toe smart positioner xdb002001,1099.0,714.35,173.17,1099.0,34
RC,272,Top hat bn Paragn28 p1094235th,2874.0,1868.1,173.17,2874.0,34
RC,272,Trach care 8fr elbow ba208,155.0,100.75,26.82,173.17,34
RC,272,Trach care bhs tray dispos,13.0,8.45,2.25,173.17,34
RC,272,Trach care suc clsd14f 2270135,125.0,81.25,21.63,173.17,34
RC,272,Trach perc intro kit,4439.0,2885.35,173.17,4439.0,34
RC,272,Tracheostmy 4fr mini II 500100,195.0,126.75,33.74,195.0,34
RC,272,Transfusion exchange tray 275,1566.0,1017.9,173.17,1566.0,34
RC,272,Tray angiogram Medln dynj80667,781.0,507.65,135.11,781.0,34
RC,272,Tray avamx plus proc1040300000,6812.0,4427.8,173.17,6812.0,34
RC,272,Tray bx basic Medln dyndh1678,101.0,65.65,17.47,173.17,34
RC,272,Tray bx breast Medln dyndh1677,202.0,131.3,34.95,202.0,34
RC,272,Tray cbl stern Surgalign431762,4632.0,3010.8,173.17,4632.0,34
RC,272,Tray cervical ant dynjs3016,675.0,438.75,116.78,675.0,34
RC,272,Tray chest tube dynda2006,553.0,359.45,95.67,553.0,34
RC,272,Tray circumcis gomco clamp 1.1,179.0,116.35,30.97,179.0,34
RC,272,Tray circumcs Centurion cr230k,246.0,159.9,42.56,246.0,34
RC,272,Tray coude 14f w statlck304914,239.0,155.35,41.35,239.0,34
RC,272,Tray coude 16f w statlck304916,193.0,125.45,33.39,193.0,34
RC,272,Tray dress port any sz dt21585,426.0,276.9,73.7,426.0,34
RC,272,Tray e p Medline dynj80458,402.0,261.3,69.55,402.0,34
RC,272,Tray endo Strykr dykendotray,52.0,33.8,9.0,173.17,34
RC,272,Tray ep cath Medline dynj80510,696.0,452.4,120.41,696.0,34
RC,272,Tray ep pack custom san22pahch,631.0,410.15,109.16,631.0,34
RC,272,Tray ep pack medline dynj80518,2715.0,1764.75,173.17,2715.0,34
RC,272,Tray ep pack medline dynj80519,3073.0,1997.45,173.17,3073.0,34
RC,272,Tray epidural ndl 17ga 3320293,305.0,198.25,52.77,305.0,34
RC,272,Tray exam Mohs fine mns15135,731.0,475.15,126.46,731.0,34
RC,272,Tray exam Mohs layer mns15130,356.0,231.4,61.59,356.0,34
RC,272,Tray exam Mohs plan mns15120,224.0,145.6,38.75,224.0,34
RC,272,Tray heart cathMedln dynj80459,1203.0,781.95,173.17,1203.0,34
RC,272,Tray hip total dynjs3011,1020.0,663.0,173.17,1020.0,34
RC,272,Tray impl e p Medlin dynj80460,625.0,406.25,108.13,625.0,34
RC,272,Tray incision Medlin dynda2876,58.0,37.7,10.03,173.17,34
RC,272,Tray infusion 275001,661.0,429.65,114.35,661.0,34
RC,272,Tray inst In2Bones p06s0003,3148.0,2046.2,173.17,3148.0,34
RC,272,Tray instr Healthmark 31042h,209.0,135.85,36.16,209.0,34
RC,272,Tray instr Healthmark 31772h,269.0,174.85,46.54,269.0,34
RC,272,Tray instr Novastep f42540000s,13089.0,8507.85,173.17,13089.0,34
RC,272,Tray laceratn Medln dyndl1973,68.0,44.2,11.76,173.17,34
RC,272,Tray laparotomy basc dynjs0302,271.0,176.15,46.88,271.0,34
RC,272,Tray proced Cardinal 55431,72.0,46.8,12.46,173.17,34
RC,272,Tray proced Medline sut2045a,763.0,495.95,132.0,763.0,34
RC,272,Tray proced Medline sut20685,1287.0,836.55,173.17,1287.0,34
RC,272,Tray scrub skin dynd70660,28.0,18.2,4.84,173.17,34
RC,272,Tray special Medline dynda2880,336.0,218.4,58.13,336.0,34
RC,272,Tray sternalck Zimmer 731300,9453.0,6144.45,173.17,9453.0,34
RC,272,Tray surg basc Medln dynda2879,92.0,59.8,15.92,173.17,34
RC,272,Tray surg basic cardinal 17-42,1447.0,940.55,173.17,1447.0,34
RC,272,Tray surg dilat curt dynjs0900,212.0,137.8,36.68,212.0,34
RC,272,Tray surg extremity dynjs0801,379.0,246.35,65.57,379.0,34
RC,272,Tray surg hip taa dynjsg3011,1873.0,1217.45,173.17,1873.0,34
RC,272,Tray surg icd medlindynj80511,656.0,426.4,113.49,656.0,34
RC,272,Tray surg knee arthr dynjs0802,548.0,356.2,94.8,548.0,34
RC,272,Tray surg laparotomy dynjs0115,744.0,483.6,128.71,744.0,34
RC,272,Tray surg minr setup dynjs0104,432.0,280.8,74.74,432.0,34
RC,272,Tray surg shouldr dynjs0840,584.0,379.6,101.03,584.0,34
RC,272,Tray sut rem stpl dynj04059,533.0,346.45,92.21,533.0,34
RC,272,Tray trach Medline dynda2877,36.0,23.4,6.23,173.17,34
RC,272,Tray trach cardinal 15-5431a,727.0,472.55,125.77,727.0,34
RC,272,Trephine bone Depuy 270905115,6216.0,4040.4,173.17,6216.0,34
RC,272,Trocar 10 12mm housing obt JJ,312.0,202.8,53.98,312.0,34
RC,272,Trocar 10 15 Versapt plus USS,571.0,371.15,98.78,571.0,34
RC,272,Trocar 11mm bldless vs101011p,694.0,451.1,120.06,694.0,34
RC,272,Trocar 11mm obtuatr c0702 APPL,146.0,94.9,25.26,173.17,34
RC,272,Trocar 11x100mm smth bld c0r62,405.0,263.25,70.07,405.0,34
RC,272,Trocar 11x100mm xcel dilt tp,1642.0,1067.3,173.17,1642.0,34
RC,272,Trocar 12 blade w cann b12lgf6,462.0,300.3,79.93,462.0,34
RC,272,Trocar 12-100mm slv hous cb12l,990.0,643.5,171.27,990.0,34
RC,272,Trocar 12mm bldless b12lt,1848.0,1201.2,173.17,1848.0,34
RC,272,Trocar 12mm bldless thrd ctf73,230.0,149.5,39.79,230.0,34
RC,272,Trocar 12mm blunt c0718 APPL,293.0,190.45,50.69,293.0,34
RC,272,Trocar 12mm blunt tip c0r85,297.0,193.05,51.38,297.0,34
RC,272,Trocar 12mm dilt d12xt JJ,2208.0,1435.2,173.17,2208.0,34
RC,272,Trocar 12x100 fios bld ctf74,259.0,168.35,44.81,259.0,34
RC,272,Trocar 12x100airs bld ias12100,936.0,608.4,161.93,936.0,34
RC,272,Trocar 12x100mm xcel blnt tp,2451.0,1593.15,173.17,2451.0,34
RC,272,Trocar 12x100mm xcel dilt tp,1831.0,1190.15,173.17,1831.0,34
RC,272,Trocar 12x120airs bld ias12120,966.0,627.9,167.12,966.0,34
RC,272,Trocar 15mm bldless bt15,1264.0,821.6,173.17,1264.0,34
RC,272,Trocar 2-3 short coni nb3shflp,482.0,313.3,83.39,482.0,34
RC,272,Trocar 2-3mm bldless 23nbs,1553.0,1009.45,173.17,1553.0,34
RC,272,Trocar 5 11mm USS,422.0,274.3,73.01,422.0,34
RC,272,Trocar 5 12mm bluntpt plus USS,604.0,392.6,104.49,604.0,34
RC,272,Trocar 5 Versaport USS,1049.0,681.85,173.17,1049.0,34
RC,272,Trocar 5-100mm slv housg cb5lt,761.0,494.65,131.65,761.0,34
RC,272,Trocar 5-75mm xcel dilt d5st,1382.0,898.3,173.17,1382.0,34
RC,272,Trocar 5.5 short 2nd port USS,343.0,222.95,59.34,343.0,34
RC,272,Trocar 5mm bldless b5lt,388.0,252.2,67.12,388.0,34
RC,272,Trocar 5mm bldless b5st JJ,1452.0,943.8,173.17,1452.0,34
RC,272,Trocar 5mm bldless vs101005,583.0,378.95,100.86,583.0,34
RC,272,Trocar 5mm guard slv 65mm w gs,340.0,221.0,58.82,340.0,34
RC,272,Trocar 5mm housg obt reg 355da,264.0,171.6,45.67,264.0,34
RC,272,Trocar 5mm slv Versapt fix USS,205.0,133.25,35.47,205.0,34
RC,272,Trocar 5x75mm slv xcel cb5sta,824.0,535.6,142.55,824.0,34
RC,272,Trocar Acumed 3160118,483.0,313.95,83.56,483.0,34
RC,272,Trocar Covidien b11stf,1472.0,956.8,173.17,1472.0,34
RC,272,Trocar Covidien b12stf,1347.0,875.55,173.17,1347.0,34
RC,272,Trocar Covidien bpt12sts,1450.0,942.5,173.17,1450.0,34
RC,272,Trocar Covidien onb11stf,1627.0,1057.55,173.17,1627.0,34
RC,272,Trocar Covidien onb12stf,906.0,588.9,156.74,906.0,34
RC,272,Trocar Covidien onb5lgf,1223.0,794.95,173.17,1223.0,34
RC,272,Trocar Covidien onb5stf,685.0,445.25,118.51,685.0,34
RC,272,Trocar Covidien vs101005,1182.0,768.3,173.17,1182.0,34
RC,272,Trocar Covidien vs101012p,1410.0,916.5,173.17,1410.0,34
RC,272,Trocar Covidien vs101015p,1662.0,1080.3,173.17,1662.0,34
RC,272,Trocar Ethicon tt012,684.0,444.6,118.33,684.0,34
RC,272,Trocar avamx 11g 15 1047511000,759.0,493.35,131.31,759.0,34
RC,272,Trocar blade 8-13 03043012s,678.0,440.7,117.29,678.0,34
RC,272,Trocar bladelss sleev cb5ltrep,141.0,91.65,24.39,173.17,34
RC,272,Trocar bldl Z thrd15x100 c0r37,500.0,325.0,86.5,500.0,34
RC,272,Trocar bldles12x100 ias12100lp,937.0,609.05,162.1,937.0,34
RC,272,Trocar close dev oneport pcd10,530.0,344.5,91.69,530.0,34
RC,272,Trocar endo XCEL Optivw 2b12lt,225.0,146.25,38.93,225.0,34
RC,272,Trocar endo XCEL Optivw 2cb5lt,157.0,102.05,27.16,173.17,34
RC,272,Trocar long 3.5mm depuy 394182,1473.0,957.45,173.17,1473.0,34
RC,272,Trocar no blade 11x150 c0r64,2335.0,1517.75,173.17,2335.0,34
RC,272,Trocar port optc 100mm ias5100,900.0,585.0,155.7,900.0,34
RC,272,Trocar spear blunt tip ar1948,3901.0,2535.65,173.17,3901.0,34
RC,272,Trocar tip 0.9 wire 71101521,330.0,214.5,57.09,330.0,34
RC,272,Trocar tip S&N 71161014,4452.0,2893.8,173.17,4452.0,34
RC,272,Trocar tip gw 2x300mm 0102300,1923.0,1249.95,173.17,1923.0,34
RC,272,Trocar tip spacemakr smbttovl,4098.0,2663.7,173.17,4098.0,34
RC,272,Trocr bldls port8 100 as8100lp,922.0,599.3,159.51,922.0,34
RC,272,Tub irrig tip 10x32cm250070404,1495.0,971.75,173.17,1495.0,34
RC,272,Tube Fisher & Paykel900pt561,617.0,401.05,106.74,617.0,34
RC,272,Tube NG 36in 10fr 209361trak2,642.0,417.3,111.07,642.0,34
RC,272,Tube NG 55in 10fr 209551trak2,654.0,425.1,113.14,654.0,34
RC,272,Tube NG Blakemore adult 20fr,3788.0,2462.2,173.17,3788.0,34
RC,272,Tube Nephrostomy 16fr g07254,1130.0,734.5,173.17,1130.0,34
RC,272,Tube Nephrostomy g48183,1465.0,952.25,173.17,1465.0,34
RC,272,Tube Stryker 909400400,726.0,471.9,125.6,726.0,34
RC,272,Tube bal aera 6x16mm eu061655,11905.0,7738.25,173.17,11905.0,34
RC,272,Tube cann etco2 shrt trm mvaol,151.0,98.15,26.12,173.17,34
RC,272,Tube cardio Medtr 10061,3144.0,2043.6,173.17,3144.0,34
RC,272,Tube chest 10fr Thai Quik COOK,1936.0,1258.4,173.17,1936.0,34
RC,272,Tube chest 32fr trocar 16l,198.0,128.7,34.25,198.0,34
RC,272,Tube chest sng thopaz 790021,419.0,272.35,72.49,419.0,34
RC,272,Tube chest tray medlinecht1620,2465.0,1602.25,173.17,2465.0,34
RC,272,Tube conn arthrex ar32901007,815.0,529.75,141.0,815.0,34
RC,272,Tube conn bayer tagc120hpct,100.0,65.0,17.3,173.17,34
RC,272,Tube entry semiextend 71654526,2214.0,1439.1,173.17,2214.0,34
RC,272,Tube et EMG Nuvasive 2010470,2067.0,1343.55,173.17,2067.0,34
RC,272,Tube ext 10g 5in pcd 505582000,6832.0,4440.8,173.17,6832.0,34
RC,272,Tube ext pcd lng90 hv507586000,6488.0,4217.2,173.17,6488.0,34
RC,272,Tube ext pcd long10g 506482000,5275.0,3428.75,173.17,5275.0,34
RC,272,Tube ext pcd long13g 506485000,5738.0,3729.7,173.17,5738.0,34
RC,272,Tube ext pcd long90d 505587000,6234.0,4052.1,173.17,6234.0,34
RC,272,Tube ext pcd long90d 506486000,4795.0,3116.75,173.17,4795.0,34
RC,272,Tube ext pcd short 507589000,4454.0,2895.1,173.17,4454.0,34
RC,272,Tube ext pcd shrt90d 505586000,6780.0,4407.0,173.17,6780.0,34
RC,272,Tube feed 10fr w stylt 209551,289.0,187.85,50.0,289.0,34
RC,272,Tube feed Applied Med tgj1845,3169.0,2059.85,173.17,3169.0,34
RC,272,Tube feed Cardinal 8884711246,86.0,55.9,14.88,173.17,34
RC,272,Tube feed Corgrip bl 8f 26008,875.0,568.75,151.38,875.0,34
RC,272,Tube feed gastro 12 bolus22312,142.0,92.3,24.57,173.17,34
RC,272,Tube feed gastro 16f 120161.5,995.0,646.75,172.14,995.0,34
RC,272,Tube feed gastros 18fr 0210-18,1807.0,1174.55,173.17,1807.0,34
RC,272,Tube feed j Halyard 0270142530,3528.0,2293.2,173.17,3528.0,34
RC,272,Tube feed jejunal 16fr 020016,1377.0,895.05,173.17,1377.0,34
RC,272,Tube feed mickey avanos 98438,2190.0,1423.5,173.17,2190.0,34
RC,272,Tube feed transga 18f mic25018,2371.0,1541.15,173.17,2371.0,34
RC,272,Tube feed w introd 12fr 98420,2079.0,1351.35,173.17,2079.0,34
RC,272,Tube feeding jejunostomy 9fr,1929.0,1253.85,173.17,1929.0,34
RC,272,Tube flopack Hologic FLT112,2648.0,1721.2,173.17,2648.0,34
RC,272,Tube gastro Bostn sc m00582070,321.0,208.65,55.53,321.0,34
RC,272,Tube gastrostomy 18fr,1820.0,1183.0,173.17,1820.0,34
RC,272,Tube gastrostomy mic 14fr-1.7,975.0,633.75,168.68,975.0,34
RC,272,Tube hysteroflow ii wa40634a,1080.0,702.0,173.17,1080.0,34
RC,272,Tube insl w fltr clevr20325207,280.0,182.0,48.44,280.0,34
RC,272,Tube irr nozle micsped ga391su,701.0,455.65,121.27,701.0,34
RC,272,Tube irrig assm lapar250070500,712.0,462.8,123.18,712.0,34
RC,272,Tube jejunal feeding 9fr,1156.0,751.4,173.17,1156.0,34
RC,272,Tube pump perc antenna vtube,2338.0,1519.7,173.17,2338.0,34
RC,272,Tube r-t med exchange 415113,2934.0,1907.1,173.17,2934.0,34
RC,272,Tube suction 30 nst03020,1777.0,1155.05,173.17,1777.0,34
RC,272,Tube suction olympus bkt506,222.0,144.3,38.41,222.0,34
RC,272,Tube sys Applied Med 4420810,1164.0,756.6,173.17,1164.0,34
RC,272,Tube thor insrt kt 17100 ATRI,911.0,592.15,157.6,911.0,34
RC,272,Tube thor trach10 t xlngelt10s,2439.0,1585.35,173.17,2439.0,34
RC,272,Tube trac Bivona 6x110 67ha60,2094.0,1361.1,173.17,2094.0,34
RC,272,Tube trach 10.0 inner cann10sc,262.0,170.3,45.33,262.0,34
RC,272,Tube trach 10.0 lp Shiley,471.0,306.15,81.48,471.0,34
RC,272,Tube trach 10.0 lp cuff,439.0,285.35,75.95,439.0,34
RC,272,Tube trach 4.0 uncuff 4dcfs,335.0,217.75,57.96,335.0,34
RC,272,Tube trach 5.0 cuf Shly dstl,636.0,413.4,110.03,636.0,34
RC,272,Tube trach 5.0 foamcuff 850150,1127.0,732.55,173.17,1127.0,34
RC,272,Tube trach Covidien  30nef,448.0,291.2,77.5,448.0,34
RC,272,Tube trach flx Covidien 5un70h,446.0,289.9,77.16,446.0,34
RC,272,Tubing conn O2 Covidien 012531,2568.0,1669.2,173.17,2568.0,34
RC,272,Tubing handpiece 1529036 in,526.0,341.9,91.0,526.0,34
RC,272,Umbilical tray cath uvt235,536.0,348.4,92.73,536.0,34
RC,272,Urimometer specific gravity,409.0,265.85,70.76,409.0,34
RC,272,Urinary acess kit 800 72006601,13297.0,8643.05,173.17,13297.0,34
RC,272,Valve Pulmoniix ebvts55lp,15624.0,10155.6,173.17,15624.0,34
RC,272,Valve aortic cath26 9355nfp26a,166140.0,107991.0,173.17,166140.0,34
RC,272,Valvulotome 1.8mm 98cm e100095,15364.0,9986.6,173.17,15364.0,34
RC,272,Valvulotome 2mm 100cm e100500,13344.0,8673.6,173.17,13344.0,34
RC,272,Valvulotomes 1.5 100900,16087.0,10456.55,173.17,16087.0,34
RC,272,Vein Harvest Endosc vsp550,8830.0,5739.5,173.17,8830.0,34
RC,272,Vein harvest sys hmpro vh3000,13447.0,8740.55,173.17,13447.0,34
RC,272,Vein harvst Saphena MD vpx3000,5929.0,3853.85,173.17,5929.0,34
RC,272,Vein harvst Saphena MD vpx4000,6726.0,4371.9,173.17,6726.0,34
RC,272,Vein pick acc kit Abbott 420,755.0,490.75,130.62,755.0,34
RC,272,Vena cava tourniquet 7in 79009,64.0,41.6,11.07,173.17,34
RC,272,Ventriculostomy Ghajar JJ,5553.0,3609.45,173.17,5553.0,34
RC,272,Vertebralplasty kit vmx00ct,1424.0,925.6,173.17,1424.0,34
RC,272,Vertiflex kit Boston SC1409800,5894.0,3831.1,173.17,5894.0,34
RC,272,Vessel harvest Vasoview vh2004,1455.0,945.75,173.17,1455.0,34
RC,272,Vessel harvest hemopro2 vh4000,14448.0,9391.2,173.17,14448.0,34
RC,272,Visibility mat green 50x25 vb3,1817.0,1181.05,173.17,1817.0,34
RC,272,Voice aid speech SolaTone k355,5395.0,3506.75,173.17,5395.0,34
RC,272,Voice prosth10 insert prov8113,2562.0,1665.3,173.17,2562.0,34
RC,272,Wand 50d w/ifs asha253001,2621.0,1703.65,173.17,2621.0,34
RC,272,Wand Aris Coblation 72290113,2663.0,1730.95,173.17,2663.0,34
RC,272,Wand ENT evac 10x70 coblatr,2431.0,1580.15,173.17,2431.0,34
RC,272,Wand ablator asp 90d ar9703a90,1721.0,1118.65,173.17,1721.0,34
RC,272,Wand amb mltvc 50 asha483001,2383.0,1548.95,173.17,2383.0,34
RC,272,Wand capsr 30deg ac183001,3587.0,2331.55,173.17,3587.0,34
RC,272,Wand chisel micro cvd SN,1953.0,1269.45,173.17,1953.0,34
RC,272,Wand covac 50deg ac253001,2143.0,1392.95,173.17,2143.0,34
RC,272,Wand electro hook vpr 4 227305,2947.0,1915.55,173.17,2947.0,34
RC,272,Wand hipvac arthr S&N 72290004,8292.0,5389.8,173.17,8292.0,34
RC,272,Wand microblaster 30deg arthrc,4473.0,2907.45,173.17,4473.0,34
RC,272,Wand microblat icw art q600201,3549.0,2306.85,173.17,3549.0,34
RC,272,Wand microcap a1720-01arthro,3068.0,1994.2,173.17,3068.0,34
RC,272,Wand paragn t2 ac553101,2560.0,1664.0,173.17,2560.0,34
RC,272,Wand plasma procise eic707101,6106.0,3968.9,173.17,6106.0,34
RC,272,Wand saber 30deg as430001,2328.0,1513.2,173.17,2328.0,34
RC,272,Wand strt 90d 2.5x90 arthroc,2069.0,1344.85,173.17,2069.0,34
RC,272,Wand topaxl mic debrid4045ARTH,4575.0,2973.75,173.17,4575.0,34
RC,272,Web controller detachment wdc1,2000.0,1300.0,173.17,2000.0,34
RC,272,Wire K kirsc oliv1x100 2227711,1078.0,700.7,173.17,1078.0,34
RC,272,Wire carriage ft ring 2 21244,2443.0,1587.95,173.17,2443.0,34
RC,272,Wire comp 10x200 depuy 3118010,729.0,473.85,126.12,729.0,34
RC,272,Wire depuy 03118010s,1312.0,852.8,173.17,1312.0,34
RC,272,Wire full olive p992512007,1703.0,1106.95,173.17,1703.0,34
RC,272,Wire k 2x150 stryker 703818,1501.0,975.65,173.17,1501.0,34
RC,272,Wire k Skeletl DYN kwirsd20152,461.0,299.65,79.75,461.0,34
RC,272,Wire k insert 1.25mm 324084,3877.0,2520.05,173.17,3877.0,34
RC,272,Wire k sleeve 2.0mm 705003,4189.0,2722.85,173.17,4189.0,34
RC,272,Wire k temp 1.1mm 2228611,390.0,253.5,67.47,390.0,34
RC,272,Wire k temp 214143000,1537.0,999.05,173.17,1537.0,34
RC,272,Wire k temp 71070368,11319.0,7357.35,173.17,11319.0,34
RC,272,Wire k temp 71070369,11590.0,7533.5,173.17,11590.0,34
RC,272,Wire k temp Depuy 2922,1027.0,667.55,173.17,1027.0,34
RC,272,Wire k temp Reline Nuv10000607,1072.0,696.8,173.17,1072.0,34
RC,272,Wire k temp Stryker 23513028s,2012.0,1307.8,173.17,2012.0,34
RC,272,Wire k temp a5040211,358.0,232.7,61.93,358.0,34
RC,272,Wire k temp kwdt101001,176.0,114.4,30.45,176.0,34
RC,272,Wire k temp microaire 1600021,210.0,136.5,36.33,210.0,34
RC,272,Wire k temp recn 3.2 18063031s,2406.0,1563.9,173.17,2406.0,34
RC,272,Wire k temp smooth 1.8 3311032,987.0,641.55,170.75,987.0,34
RC,272,Wire k temp trocar p991922323,278.0,180.7,48.09,278.0,34
RC,272,Wire k temp2x450mm 51012450,1060.0,689.0,173.17,1060.0,34
RC,272,Wire k w drill tp 2x234 705002,844.0,548.6,146.01,844.0,34
RC,272,Wire k wtrocar point 285 29226,1242.0,807.3,173.17,1242.0,34
RC,272,Wire pass burr,1248.0,811.2,173.17,1248.0,34
RC,272,Wire sleeve 93mm 338720,2299.0,1494.35,173.17,2299.0,34
RC,272,Wrench 10mm p479500001,4070.0,2645.5,173.17,4070.0,34
RC,272,Wrench depuy 321159,3425.0,2226.25,173.17,3425.0,34
RC,272,Wrench depuy 392965,5487.0,3566.55,173.17,5487.0,34
RC,272,Wrench t fix wrist Orthfx m210,994.0,646.1,171.96,994.0,34
RC,272,Wrench torque 23khz c5601,7859.0,5108.35,173.17,7859.0,34
RC,278,Cage alif 14x33x25 480114535,29969.0,19479.85,173.17,29969.0,34
RC,278,Eval coils neuro,1.0,0.65,0.17,173.17,34
RC,278,Gelfilm opth,348.0,226.2,60.2,348.0,34
RC,278,Gliadel 7.7mg wafer 8wafer box,131126.0,85231.9,173.17,131126.0,34
RC,300,BMT Viability (trypan blue),288.0,187.2,49.82,288.0,33
RC,360,Arterial-pulm-venous monitor,3538.0,2299.7,173.17,3538.0,32
RC,360,Ballon insertion,14408.0,9365.2,173.17,14408.0,32
RC,360,Cardioplegia system,2632.0,1710.8,173.17,2632.0,32
RC,360,Membrane,5907.0,3839.55,173.17,5907.0,32
RC,360,OR class 1 1st 1/2 hour,8705.0,5658.25,173.17,8705.0,32
RC,360,OR class 1 add 1/4 hour,1968.0,1279.2,173.17,1968.0,32
RC,360,OR class 2 1st 1/2 hour,9571.0,6221.15,173.17,9571.0,32
RC,360,OR class 2 add 1/4 hour,2353.0,1529.45,173.17,2353.0,32
RC,360,OR class 3 1st 1/2 hour,11189.0,7272.85,173.17,11189.0,32
RC,360,OR class 3 add 1/4 hour,2746.0,1784.9,173.17,2746.0,32
RC,360,OR class 4 1st 1/2 hour,12926.0,8401.9,173.17,12926.0,32
RC,360,OR class 4 add 1/4 hour,3204.0,2082.6,173.17,3204.0,32
RC,360,OR class 5 1st 1/2 hour,15128.0,9833.2,173.17,15128.0,32
RC,360,OR class 5 add 1/4 hour,3748.0,2436.2,173.17,3748.0,32
RC,360,OR class 6 1st 1/2 hour,20077.0,13050.05,173.17,20077.0,32
RC,360,OR class 6 add 1/4 hour,5018.0,3261.7,173.17,5018.0,32
RC,360,Pump on bypass,9255.0,6015.75,173.17,9255.0,32
RC,360,Retrograde cspc,3042.0,1977.3,173.17,3042.0,32
RC,361,Arthro asp inj intjt bur sng,1816.0,1180.4,173.17,1816.0,31
RC,361,Arthro asp inj intjt bur sngUS,1799.0,1169.35,173.17,1799.0,31
RC,361,Arthro asp inj lgjt bur sng,1650.0,1072.5,173.17,1650.0,31
RC,361,Arthro asp inj lgjt bur sng US,1832.0,1190.8,173.17,1832.0,31
RC,361,Arthro asp inj smjt bur sng,1296.0,842.4,173.17,1296.0,31
RC,361,Arthro asp inj smjt bur sng US,1382.0,898.3,173.17,1382.0,31
RC,361,Asp 3rd or more ea cyst bin,3370.0,2190.5,173.17,3370.0,31
RC,361,Asp breast cyst bin,3473.0,2257.45,173.17,3473.0,31
RC,361,Brain canal shunt proc,1318.0,856.7,173.17,1318.0,31
RC,361,Breast seroma aspiration,7116.0,4625.4,173.17,7116.0,31
RC,361,Brst bx percu add les lt wMRI,5186.0,3370.9,173.17,5186.0,31
RC,361,Brst bx percu add les lt wster,3525.0,2291.25,173.17,3525.0,31
RC,361,Brst bx percu adlesion lt w US,3641.0,2366.65,173.17,3641.0,31
RC,361,Brst bx percut lt w MRI,6175.0,4013.75,173.17,6175.0,31
RC,361,Brst bx percut lt w US,5406.0,3513.9,173.17,5406.0,31
RC,361,Brst bx percut lt w stereotc,5347.0,3475.55,173.17,5347.0,31
RC,361,Brst loc wire 1st les lt w US,2451.0,1593.15,173.17,2451.0,31
RC,361,Brst loc wire 1st les lt wMRI,3428.0,2228.2,173.17,3428.0,31
RC,361,Brst loc wire 1st lt wmamo,1516.0,985.4,173.17,1516.0,31
RC,361,Brst loc wire 1st lt wstereot,2396.0,1557.4,173.17,2396.0,31
RC,361,Brst loc wire add lt wstereot,1770.0,1150.5,173.17,1770.0,31
RC,361,Brst loc wire adles lt w US,1885.0,1225.25,173.17,1885.0,31
RC,361,Bx skin incision 1st les,1655.0,1075.75,173.17,1655.0,31
RC,361,Bx skin incision ea add les,995.0,646.75,172.14,995.0,31
RC,361,Bx skin punch 1st les,1024.0,665.6,173.17,1024.0,31
RC,361,Bx skin punch ea ad les,585.0,380.25,101.21,585.0,31
RC,361,Bx skin tangential ea ad les,558.0,362.7,96.53,558.0,31
RC,361,Cerv thor epidural block,3222.0,2094.3,173.17,3222.0,31
RC,361,Cisternal C1C2 punct winj,1928.0,1253.2,173.17,1928.0,31
RC,361,Cisternal C1C2 punct wo inj NUC MED,2024.0,1315.6,173.17,2024.0,31
RC,361,Dialysis plasma pheresis,4762.0,3095.3,173.17,4762.0,31
RC,361,ECMO manag daily veno-venous,15064.0,9791.6,173.17,15064.0,31
RC,361,Ecmo/ecl rep pep cnula opn=>6y,3498.0,2273.7,173.17,3498.0,31
RC,361,Ecmo/ecl repos cetr cnula =>6y,7416.0,4820.4,173.17,7416.0,31
RC,361,Ecmo/ecls initiation artery,5139.0,3340.35,173.17,5139.0,31
RC,361,Ecmo/ecls initiation venous,4624.0,3005.6,173.17,4624.0,31
RC,361,Ecmo/ecls repo perp cnula =>6y,2748.0,1786.2,173.17,2748.0,31
RC,361,Exp lap exp celitmy w/wo biopsy,20402.0,13261.3,173.17,20402.0,31
RC,361,FNA biopsy CT 1st les,2264.0,1471.6,173.17,2264.0,31
RC,361,FNA biopsy CT ea add les,961.0,624.65,166.25,961.0,31
RC,361,FNA biopsy MR 1st les,1618.0,1051.7,173.17,1618.0,31
RC,361,FNA biopsy MR ea ad les,971.0,631.15,167.98,971.0,31
RC,361,FNA biopsy fluoro 1st les,1780.0,1157.0,173.17,1780.0,31
RC,361,FNA biopsy w US ea ad les,1068.0,694.2,173.17,1068.0,31
RC,361,FNA biopsy wo guide 1st les,1052.0,683.8,173.17,1052.0,31
RC,361,FNA biopsy wo guide ea ad les,522.0,339.3,90.31,522.0,31
RC,361,I-D pilonidal cyst simple,811.0,527.15,140.3,811.0,31
RC,361,I-D skin abscess simple,1394.0,906.1,173.17,1394.0,31
RC,361,Inj cystogram,2743.0,1782.95,173.17,2743.0,31
RC,361,Inj for cholang exist wgui,10299.0,6694.35,173.17,10299.0,31
RC,361,Inj for cholang new wgui,8348.0,5426.2,173.17,8348.0,31
RC,361,Inj galactogram multi duct bin,524.0,340.6,90.65,524.0,31
RC,361,Inj galactogram singl duct bin,418.0,271.7,72.31,418.0,31
RC,361,Inj myelo & CT 2up regions,3508.0,2280.2,173.17,3508.0,31
RC,361,Inj myelo & CT lumb,646.0,419.9,111.76,646.0,31
RC,361,Inj proc elbow arthrography,820.0,533.0,141.86,820.0,31
RC,361,Inj proc sialography,595.0,386.75,102.94,595.0,31
RC,361,Inj proc wrist arthrography,781.0,507.65,135.11,781.0,31
RC,361,Inj sinus tract Dx,1054.0,685.1,173.17,1054.0,31
RC,361,Injection abdominal shunt,939.0,610.35,162.45,939.0,31
RC,361,Injection tendon single,1332.0,865.8,173.17,1332.0,31
RC,361,Lumbar punct Dx,1403.0,911.95,173.17,1403.0,31
RC,361,Lumbar punct dx w fluoro CT,3625.0,2356.25,173.17,3625.0,31
RC,361,Lumbar sac epidural inj w gui,5329.0,3463.85,173.17,5329.0,31
RC,361,Lumbar sac epidural inj wo gui,3382.0,2198.3,173.17,3382.0,31
RC,361,Minor procedure,2489.0,1617.85,173.17,2489.0,31
RC,361,Ndl bx lymph node superfi,4429.0,2878.85,173.17,4429.0,31
RC,361,PICC line insert bedside opt,3579.0,2326.35,173.17,3579.0,31
RC,361,Perc Tx extrem pseudoaneurysm,1479.0,961.35,173.17,1479.0,31
RC,361,Plcmt soft tiss marker w gui,2930.0,1904.5,173.17,2930.0,31
RC,361,Plcmt soft tiss marker wguiadd,2902.0,1886.3,173.17,2902.0,31
RC,361,Remove ecmo per canula 6y+perc,24444.0,15888.6,173.17,24444.0,31
RC,361,Reopening of recent laparotomy,13884.0,9024.6,173.17,13884.0,31
RC,361,Sis sonohysterography cath/inj,1278.0,830.7,173.17,1278.0,31
RC,361,Spinal punct lum Tx drain csf,1862.0,1210.3,173.17,1862.0,31
RC,361,Therapeutic apheresis-leuko,1933.0,1256.45,173.17,1933.0,31
RC,361,Therapeutic apheresis-platelet,2965.0,1927.25,173.17,2965.0,31
RC,361,Tracheostomy planned,13006.0,8453.9,173.17,13006.0,31
RC,361,Tracheostomy transtrach,4484.0,2914.6,173.17,4484.0,31
RC,361,US guide carpal tunnel release,8482.0,5513.3,173.17,8482.0,31
RC,370,A line insertion,2101.0,1365.65,173.17,2101.0,34
RC,370,Blood patch,2738.0,1779.7,173.17,2738.0,34
RC,370,CMB MAC spinal 1st 30 min,2575.0,1673.75,173.17,2575.0,34
RC,370,CMB MAC spinal add 15 min,571.0,371.15,98.78,571.0,34
RC,370,CMB Spinal Epidural 1st 30 min,2463.0,1600.95,173.17,2463.0,34
RC,370,CMB Spinal Epidural add 15 min,547.0,355.55,94.63,547.0,34
RC,370,CVP insertion,3844.0,2498.6,173.17,3844.0,34
RC,370,Difficult intubation,5351.0,3478.15,173.17,5351.0,34
RC,370,Epidural anes 1st 30 min,2537.0,1649.05,173.17,2537.0,34
RC,370,Epidural anes add 15 min,562.0,365.3,97.23,562.0,34
RC,370,General anes 1st 30 min,3326.0,2161.9,173.17,3326.0,34
RC,370,General anes add 15 min,758.0,492.7,131.13,758.0,34
RC,370,MAC w Regional Anes 1st 30 min,2498.0,1623.7,173.17,2498.0,34
RC,370,MAC w Regional Anes add 15 min,553.0,359.45,95.67,553.0,34
RC,370,OB epidural anes add 15 min,207.0,134.55,35.81,207.0,34
RC,370,Sequestration,7962.0,5175.3,173.17,7962.0,34
RC,370,Swan insertion (PA/CVP),7847.0,5100.55,173.17,7847.0,34
RC,391,Bld transfusion intrauterine,1414.0,919.1,173.17,1414.0,34
RC,391,Blood transfusion,1309.0,850.85,173.17,1309.0,34
RC,402,Sis sonohysterograp cath/injUC,863.0,560.95,149.3,863.0,34
RC,410,Emergency intubation,1448.0,941.2,173.17,1448.0,34
RC,410,Heliox treatment per day,666.0,432.9,115.22,666.0,34
RC,440,SP SLP laryngosc Dx w strobosc,1727.0,1122.55,173.17,1727.0,34
RC,450,Arthocentesis & ligament/tend,705.0,458.25,121.97,705.0,34
RC,450,Blood patch,2738.0,1779.7,173.17,2738.0,34
RC,450,Closed Tx fracture/dislocation,1464.0,951.6,173.17,1464.0,34
RC,450,Debridement,1121.0,728.65,173.17,1121.0,34
RC,450,ENT procedure,1164.0,756.6,173.17,1164.0,34
RC,450,Emergency intubation,1448.0,941.2,173.17,1448.0,34
RC,450,Eye procedure,1212.0,787.8,173.17,1212.0,34
RC,450,Finger or toe sx procedure,6187.0,4021.55,173.17,6187.0,34
RC,450,Foreign body,817.0,531.05,141.34,817.0,34
RC,450,Gastric tube change/repostioni,1273.0,827.45,173.17,1273.0,34
RC,450,Gyn procedures,1169.0,759.85,173.17,1169.0,34
RC,450,Incision & drainage,2917.0,1896.05,173.17,2917.0,34
RC,450,Insert chest tube percut wogui,4562.0,2965.3,173.17,4562.0,34
RC,450,Insert foley bladder catheter,496.0,322.4,85.81,496.0,34
RC,450,Lavage - gastric,764.0,496.6,132.17,764.0,34
RC,450,Lumbar punct dx w fluoro CT,3625.0,2356.25,173.17,3625.0,34
RC,450,Minor procedure,2489.0,1617.85,173.17,2489.0,34
RC,450,Muscle trigger point injection,1353.0,879.45,173.17,1353.0,34
RC,450,Nail procedures,708.0,460.2,122.48,708.0,34
RC,450,Nasal packing,694.0,451.1,120.06,694.0,34
RC,450,Nerve block,2236.0,1453.4,173.17,2236.0,34
RC,450,Remv impact cerum irrig bil,664.0,431.6,114.87,664.0,34
RC,450,Remv impact cerum irrig uni,332.0,215.8,57.44,332.0,34
RC,450,Skin repair,1142.0,742.3,173.17,1142.0,34
RC,450,Spinal punct lum dx,1403.0,911.95,173.17,1403.0,34
RC,450,Strap-splint-cast apply,860.0,559.0,148.78,860.0,34
RC,450,Thoracentesis/paracentesis,1954.0,1270.1,173.17,1954.0,34
RC,450,Transvenous catheters/arterial,4896.0,3182.4,173.17,4896.0,34
RC,450,Urinary/anal rectal procedure,1149.0,746.85,173.17,1149.0,34
RC,450,Ventriculostomy ED,6536.0,4248.4,173.17,6536.0,34
RC,516,Arthocentes & ligament tend UC,368.0,239.2,63.66,368.0,34
RC,516,Closed tx fracture/dislocatnUC,594.0,386.1,74.29,594.0,34
RC,516,Debridement UC,663.0,430.95,74.29,663.0,34
RC,516,Finger or toe sx procedure UC,3232.0,2100.8,74.29,3232.0,34
RC,516,Follow up Incision&drainage UC,235.0,152.75,40.66,235.0,34
RC,516,Foreign body UC,283.0,183.95,48.96,283.0,34
RC,516,Gastric tube chng repostion UC,971.0,631.15,74.29,971.0,34
RC,516,Gyn procedures UC,692.0,449.8,74.29,692.0,34
RC,516,Incision & drainage UC,770.0,500.5,74.29,770.0,34
RC,516,Ins foley bladder cath UC,171.0,111.15,29.58,171.0,34
RC,516,Lavage - gastric UC,383.0,248.95,66.26,383.0,34
RC,516,Muscle trigger point inject UC,499.0,324.35,74.29,499.0,34
RC,516,Nail procedures UC,320.0,208.0,55.36,320.0,34
RC,516,Nasal packing UC,254.0,165.1,43.94,254.0,34
RC,516,Nerve block UC,1266.0,822.9,74.29,1266.0,34
RC,516,Remv impact cerum irrig bil UC,265.0,172.25,45.85,265.0,34
RC,516,Remv impact cerum irrig uni UC,133.0,86.45,23.01,133.0,34
RC,516,Skin repair UC,212.0,137.8,36.68,212.0,34
RC,516,Strap-splint-cast apply UC,365.0,237.25,63.15,365.0,34
RC,516,Transvenous cath arterial UC,2555.0,1660.75,74.29,2555.0,34
RC,516,Urinary anal rectal proced UC,599.0,389.35,74.29,599.0,34
RC,624,Carillon CardiacD ide171201RES,115020.0,74763.0,173.17,115020.0,34
RC,624,Cath nellix acces3.5 nx002aRES,5300.0,3445.0,173.17,5300.0,34
RC,624,Cath nellix cartr p70 np004RES,5406.0,3513.9,173.17,5406.0,34
RC,624,Delivery syst Endo 10030300RES,125244.0,81408.6,173.17,125244.0,34
RC,624,Eval research tracking no Hcp,1.0,0.65,0.17,173.17,34
RC,624,Graft arotic 732010888 RES,3975.0,2583.75,173.17,3975.0,34
RC,624,Graft excld aort cxa200005cres,17755.0,11540.75,173.17,17755.0,34
RC,624,Graft exclud leg cxt201212cres,48564.0,31566.6,173.17,48564.0,34
RC,624,Neuroguard Contegong0630140ide,27828.0,18088.2,173.17,27828.0,34
RC,624,Stent Evolve Stry fdcd20010RES,68322.0,44409.3,173.17,68322.0,34
RC,624,Stent Evolve Stryk fdc45040RES,73372.0,47691.8,173.17,73372.0,34
RC,624,Stent Nellix pol 40ml np002RES,3180.0,2067.0,173.17,3180.0,34
RC,624,Valve Lotus h749ltvr3cl230 res,127800.0,83070.0,173.17,127800.0,34
RC,624,Valve mitral Tendvlp37sclinRES,153360.0,99684.0,173.17,153360.0,34
RC,700,Apply cast arm long,962.0,625.3,166.43,962.0,34
RC,700,Apply cast clubfoot mold-manpl,458.0,297.7,79.23,458.0,34
RC,700,Apply cast shrt leg nwb uni,1113.0,723.45,173.17,1113.0,34
RC,700,Apply cast shrt leg wb uni,1060.0,689.0,173.17,1060.0,34
RC,700,Apply splint arm lng sholdhand,709.0,460.85,122.66,709.0,34
RC,700,Apply splint arm shrt&hand sta,563.0,365.95,97.4,563.0,34
RC,700,Apply walker heel to cast,506.0,328.9,87.54,506.0,34
RC,710,Endoscopy recov ea add 15 min,243.0,157.95,42.04,243.0,34
RC,710,Endoscopy recovery 1st 30 min,2687.0,1746.55,173.17,2687.0,34
RC,710,Phase I rec 1st 1/2 hour,635.0,412.75,109.86,635.0,34
RC,710,Phase I rec addl 15 min,123.0,79.95,21.28,173.17,34
RC,710,Phase II rec 1st 1/2 hour,673.0,437.45,116.43,673.0,34
RC,710,Phase II rec addl 15 min,130.0,84.5,22.49,173.17,34
RC,710,Rec room addl 15 min,417.0,271.05,72.14,417.0,34
RC,720,Antepartum evaluation,1184.0,769.6,173.17,1184.0,34
RC,720,External version,6963.0,4525.95,173.17,6963.0,34
RC,720,LDR level I,9555.0,6210.75,173.17,9555.0,34
RC,720,LDR level II,13299.0,8644.35,173.17,13299.0,34
RC,720,LDR level III,15408.0,10015.2,173.17,15408.0,34
RC,720,Lbr rm intensive,561.0,364.65,97.05,561.0,34
RC,720,Lbr rm routine,186.0,120.9,32.18,186.0,34
RC,720,OB surgery 1 1st 1/2hr,8705.0,5658.25,173.17,8705.0,34
RC,720,OB surgery 1 add 1/4hr,1968.0,1279.2,173.17,1968.0,34
RC,720,OB surgery 2 1st 1/2hr,9571.0,6221.15,173.17,9571.0,34
RC,720,OB surgery 2 add 1/4hr,2353.0,1529.45,173.17,2353.0,34
RC,720,OB surgery 3 1st 1/2hr,11189.0,7272.85,173.17,11189.0,34
RC,720,OB surgery 3 add 1/4hr,2746.0,1784.9,173.17,2746.0,34
RC,720,OB surgery 4 1st 1/2hr,12926.0,8401.9,173.17,12926.0,34
RC,720,OB surgery 4 add 1/4hr,3204.0,2082.6,173.17,3204.0,34
RC,720,Preg termination hourly,261.0,169.65,45.15,261.0,34
RC,750,Anal lesion creation rad freq,17085.0,11105.25,173.17,17085.0,32
RC,750,Anoscopy HRA w bx,2895.0,1881.75,173.17,2895.0,32
RC,750,Anoscopy ablation tumor-polyp,6857.0,4457.05,173.17,6857.0,32
RC,750,Anoscopy dx w HRA/collect,921.0,598.65,159.33,921.0,32
RC,750,Anoscopy dx wash-brush spec,1614.0,1049.1,173.17,1614.0,32
RC,750,Anoscopy w bld control,3569.0,2319.85,173.17,3569.0,32
RC,750,Anoscopy w bx sing or mult,3035.0,1972.75,173.17,3035.0,32
RC,750,Anoscopy w rem tumor snare,2688.0,1747.2,173.17,2688.0,32
RC,750,Anoscopy with rem foreign body,2696.0,1752.4,173.17,2696.0,32
RC,750,Bronch EBUS ivnt perph les add,2190.0,1423.5,173.17,2190.0,32
RC,750,Bronch EBUS samplng 1to2 node,5144.0,3343.6,173.17,5144.0,32
RC,750,Bronch brachy,6964.0,4526.6,173.17,6964.0,32
RC,750,Bronch endobronchial bx,4771.0,3101.15,173.17,4771.0,32
RC,750,Bronch rem foreign body,6683.0,4343.95,173.17,6683.0,32
RC,750,Bronch revise stent prev sessn,12980.0,8437.0,173.17,12980.0,32
RC,750,Bronch transbronchial bx,8282.0,5383.3,173.17,8282.0,32
RC,750,Bronch w asp trach/bron intial,5782.0,3758.3,173.17,5782.0,32
RC,750,Bronch w asp trach/bron subeq,5347.0,3475.55,173.17,5347.0,32
RC,750,Bronch w balloon occlusion,7803.0,5071.95,173.17,7803.0,32
RC,750,Bronch w insert tracheal stent,12373.0,8042.45,173.17,12373.0,32
RC,750,Bronch w ndl bx ea addl lobe,5613.0,3648.45,173.17,5613.0,32
RC,750,Bronch w thermoplasty one lobe,15027.0,9767.55,173.17,15027.0,32
RC,750,Bronch w theromoplasty 2+ lobe,15778.0,10255.7,173.17,15778.0,32
RC,750,Bronch w trach bronc dil fx,15885.0,10325.25,173.17,15885.0,32
RC,750,Bronch w wash comp assist add,1183.0,768.95,173.17,1183.0,32
RC,750,Bronch with brushings,7426.0,4826.9,173.17,7426.0,32
RC,750,Bronch with fidul marker,8481.0,5512.65,173.17,8481.0,32
RC,750,Bronch with lavage,7350.0,4777.5,173.17,7350.0,32
RC,750,Bronch with ndl aspiration,6289.0,4087.85,173.17,6289.0,32
RC,750,Bronch with-without washings,4454.0,2895.1,173.17,4454.0,32
RC,750,Bronchoscopy valve addl insert,17099.0,11114.35,173.17,17099.0,32
RC,750,Bronchoscopy valve init insert,34195.0,22226.75,173.17,34195.0,32
RC,750,Bronchoscopy valve remov addon,8663.0,5630.95,173.17,8663.0,32
RC,750,Bronchoscopy valve remove init,18207.0,11834.55,173.17,18207.0,32
RC,750,Bronchoscopy w drug instill,7544.0,4903.6,173.17,7544.0,32
RC,750,Chg trach tube,985.0,640.25,170.41,985.0,32
RC,750,Colon screening,3352.0,2178.8,173.17,3352.0,32
RC,750,Colposcopy of vagina,1832.0,1190.8,173.17,1832.0,32
RC,750,Destr anus les simp surg,12883.0,8373.95,173.17,12883.0,32
RC,750,Dilate eso w unguid sound boug,1301.0,845.65,173.17,1301.0,32
RC,750,EGD diagnostic incl brush-wash,3517.0,2286.05,173.17,3517.0,32
RC,750,EGD esophagogastrc fndoplsty,12020.0,7813.0,173.17,12020.0,32
RC,750,EGD flx tansoral deploy balloon,8218.0,5341.7,173.17,8218.0,32
RC,750,EGD flx tansoral rmv balloon,3896.0,2532.4,173.17,3896.0,32
RC,750,EGD flx transnasal bopsies,4149.0,2696.85,173.17,4149.0,32
RC,750,EGD flx transnasal ins tube,8329.0,5413.85,173.17,8329.0,32
RC,750,EGD flx vol adj bariatric ball,3849.0,2501.85,173.17,3849.0,32
RC,750,EGD w EUS esoph stom duod ltd,5565.0,3617.25,173.17,5565.0,32
RC,750,EGD w EUS linear beyond eso,6423.0,4174.95,173.17,6423.0,32
RC,750,EGD w US tranmural inj dx-ther,7026.0,4566.9,173.17,7026.0,32
RC,750,EGD w ablate tumor-polyp w dil,6532.0,4245.8,173.17,6532.0,32
RC,750,EGD w ball dil 30mm&up w fluor,6238.0,4054.7,173.17,6238.0,32
RC,750,EGD w balloon dil less 30mm,4379.0,2846.35,173.17,4379.0,32
RC,750,EGD w band ligation,6948.0,4516.2,173.17,6948.0,32
RC,750,EGD w biopsy single or multi,3932.0,2555.8,173.17,3932.0,32
RC,750,EGD w control of bleed,5720.0,3718.0,173.17,5720.0,32
RC,750,EGD w dil outlet obstruction,4980.0,3237.0,173.17,4980.0,32
RC,750,EGD w directed submucosal inj,3952.0,2568.8,173.17,3952.0,32
RC,750,EGD w endoscopic mucosal resec,7515.0,4884.75,173.17,7515.0,32
RC,750,EGD w insert stent incl dil,7479.0,4861.35,173.17,7479.0,32
RC,750,EGD w insertion peg tube,5710.0,3711.5,173.17,5710.0,32
RC,750,EGD w optical endomicroscopy,4441.0,2886.65,173.17,4441.0,32
RC,750,EGD w rem foreign bodies,4987.0,3241.55,173.17,4987.0,32
RC,750,EGD w rem tumor-polyp hot bx,4823.0,3134.95,173.17,4823.0,32
RC,750,EGD w rem tumor-polyp snare,5582.0,3628.3,173.17,5582.0,32
RC,750,EGD w savary dilation,4746.0,3084.9,173.17,4746.0,32
RC,750,EGD w tube-cath placement,4268.0,2774.2,173.17,4268.0,32
RC,750,EGD w up EUS FNA beyond esoph,7238.0,4704.7,173.17,7238.0,32
RC,750,EGD w upper FNA esophagus,6349.0,4126.85,173.17,6349.0,32
RC,750,EGD w varice injection,6707.0,4359.55,173.17,6707.0,32
RC,750,EGD w w drainage pseudocyst,11049.0,7181.85,173.17,11049.0,32
RC,750,EGD w w thermal energy gerd,5913.0,3843.45,173.17,5913.0,32
RC,750,ERCP ablate tumor-polyp & dil,11498.0,7473.7,173.17,11498.0,32
RC,750,ERCP ball dil bil-pan dct 1st,10109.0,6570.85,173.17,10109.0,32
RC,750,ERCP rem-exchg bil-p stent 1st,13284.0,8634.6,173.17,13284.0,32
RC,750,ERCP stent bil-pan dct ea add,12768.0,8299.2,173.17,12768.0,32
RC,750,ERCP w calculi/debris removal,9726.0,6321.9,173.17,9726.0,32
RC,750,ERCP w cann papilla visual add,3145.0,2044.25,173.17,3145.0,32
RC,750,ERCP w dest calculi any method,12097.0,7863.05,173.17,12097.0,32
RC,750,ERCP w optical endomicrosc add,1015.0,659.75,173.17,1015.0,32
RC,750,ERCP w pressure sphincter oddi,9553.0,6209.45,173.17,9553.0,32
RC,750,ERCP w rem FB-stent bil-pandct,10051.0,6533.15,173.17,10051.0,32
RC,750,ERCP w/wo brush or wash,8371.0,5441.15,173.17,8371.0,32
RC,750,ERCP with biopsy,9041.0,5876.65,173.17,9041.0,32
RC,750,ERCP with papillotomy,9540.0,6201.0,173.17,9540.0,32
RC,750,Endo clos enterocutane fistula,4588.0,2982.2,173.17,4588.0,32
RC,750,Endo clos gastrocutane fistula,15746.0,10234.9,173.17,15746.0,32
RC,750,Endo drug Induce w eval flx dx,845.0,549.25,146.19,845.0,32
RC,750,Endo fecal microbiota instill,5516.0,3585.4,173.17,5516.0,32
RC,750,Endo myotomy lwr eso transoral,15745.0,10234.25,173.17,15745.0,32
RC,750,Endo sm intestine injection,4483.0,2913.95,173.17,4483.0,32
RC,750,Endos eval sm int pouch wbx(s),4927.0,3202.55,173.17,4927.0,32
RC,750,Endos eval sm intest pouch w b,4836.0,3143.4,173.17,4836.0,32
RC,750,Endos pancreatic necrosectomy,3713.0,2413.45,173.17,3713.0,32
RC,750,Enteros wwo w b not inc ileum,4007.0,2604.55,173.17,4007.0,32
RC,750,Enterosc ablation tumor-polyp,4954.0,3220.1,173.17,4954.0,32
RC,750,Enterosc insertion pej,4311.0,2802.15,173.17,4311.0,32
RC,750,Enterosc sm int w rem f bodies,5481.0,3562.65,173.17,5481.0,32
RC,750,Enterosc w stent placement,7039.0,4575.35,173.17,7039.0,32
RC,750,Enteroscopy convert peg to pej,4933.0,3206.45,173.17,4933.0,32
RC,750,Enteroscopy via anal approach,4648.0,3021.2,173.17,4648.0,32
RC,750,Esoph flx ablat tumr-polyp dil,7137.0,4639.05,173.17,7137.0,32
RC,750,Esoph flx ball dil gtr 30mm,6451.0,4193.15,173.17,6451.0,32
RC,750,Esoph flx ball dil retro fluor,8488.0,5517.2,173.17,8488.0,32
RC,750,Esoph flx band ligation,4557.0,2962.05,173.17,4557.0,32
RC,750,Esoph flx cntrl bleed any meth,5514.0,3584.1,173.17,5514.0,32
RC,750,Esoph flx incl brush-wash,3076.0,1999.4,173.17,3076.0,32
RC,750,Esoph flx insert & pass dilatr,4577.0,2975.05,173.17,4577.0,32
RC,750,Esoph flx insert stent w dil,6791.0,4414.15,173.17,6791.0,32
RC,750,Esoph flx mucosal resect,7412.0,4817.8,173.17,7412.0,32
RC,750,Esoph flx rem tumor-polyp bx,4510.0,2931.5,173.17,4510.0,32
RC,750,Esoph flx rem tumor-polyp snar,5217.0,3391.05,173.17,5217.0,32
RC,750,Esoph flx tne w bx sgl mult,2886.0,1875.9,173.17,2886.0,32
RC,750,Esoph flx tne wwo wsh bsh,2497.0,1623.05,173.17,2497.0,32
RC,750,Esoph flx varices scler inj,4543.0,2952.95,173.17,4543.0,32
RC,750,Esoph flx w biospy sgl or mult,3797.0,2468.05,173.17,3797.0,32
RC,750,Esoph flx w direct submuco inj,3440.0,2236.0,173.17,3440.0,32
RC,750,Esoph flx w rem foreign bodies,4728.0,3073.2,173.17,4728.0,32
RC,750,Esoph flx w transendo ball dil,4352.0,2828.8,173.17,4352.0,32
RC,750,Esoph rig ball dil less 30mm,5439.0,3535.35,173.17,5439.0,32
RC,750,Esoph rig insert gw w dil,6562.0,4265.3,173.17,6562.0,32
RC,750,Esoph rig rem foreign bodies,5072.0,3296.8,173.17,5072.0,32
RC,750,Esoph rig tranoral wdiver esop,15710.0,10211.5,173.17,15710.0,32
RC,750,Esoph rig tranoral wwo wsh bsh,3821.0,2483.65,173.17,3821.0,32
RC,750,Esoph rig w biopsy sgl or mult,5428.0,3528.2,173.17,5428.0,32
RC,750,Esoph w optical endomicroscopy,4357.0,2832.05,173.17,4357.0,32
RC,750,Esoph w us gui FNA,6214.0,4039.1,173.17,6214.0,32
RC,750,Esophagus with eus,5645.0,3669.25,173.17,5645.0,32
RC,750,Fecal disimpaction under anes,5685.0,3695.25,173.17,5685.0,32
RC,750,Fecal microbiota preparation,3788.0,2462.2,173.17,3788.0,32
RC,750,Flex ablate colon tum polyp,5370.0,3490.5,173.17,5370.0,32
RC,750,Flex balloon dilate colon,5077.0,3300.05,173.17,5077.0,32
RC,750,Flex biopsy sgl mult colon,4032.0,2620.8,173.17,4032.0,32
RC,750,Flex control bleed colon,6438.0,4184.7,173.17,6438.0,32
RC,750,Flex decompression colon,7172.0,4661.8,173.17,7172.0,32
RC,750,Flex diagnostic colon,3680.0,2392.0,173.17,3680.0,32
RC,750,Flex endo us exam ltd colon,6830.0,4439.5,173.17,6830.0,32
RC,750,Flex hemorrhoid band lig colon,7386.0,4800.9,173.17,7386.0,32
RC,750,Flex remove les hot bx colon,5519.0,3587.35,173.17,5519.0,32
RC,750,Flex remove les snare colon,3927.0,2552.55,173.17,3927.0,32
RC,750,Flex submucosal inj any colon,5159.0,3353.35,173.17,5159.0,32
RC,750,Flex transend us examltd colon,4693.0,3050.45,173.17,4693.0,32
RC,750,Gastric lavage aspiratn,799.0,519.35,138.23,799.0,32
RC,750,Gastric sleeve adjust,4024.0,2615.6,173.17,4024.0,32
RC,750,Hemorrhoidect simple,1756.0,1141.4,173.17,1756.0,32
RC,750,I-D perianal abscess superf,4225.0,2746.25,173.17,4225.0,32
RC,750,Ileoscopy thru stoma baln dil,5232.0,3400.8,173.17,5232.0,32
RC,750,Ileoscopy thru stoma diag,5087.0,3306.55,173.17,5087.0,32
RC,750,Ileoscopy thru stoma w bx,5341.0,3471.65,173.17,5341.0,32
RC,750,Ileoscopy thru stoma wstent,6604.0,4292.6,173.17,6604.0,32
RC,750,Instill fecal microbiota susp,548.0,356.2,94.8,548.0,32
RC,750,Instrt ng tube w/fluro guide,850.0,552.5,147.05,850.0,32
RC,750,Laryngoscop rem foreign bodies,5459.0,3548.35,173.17,5459.0,32
RC,750,Laryngoscopy with biopsies,13795.0,8966.75,173.17,13795.0,32
RC,750,Lumbar Puncture Dx,1403.0,911.95,173.17,1403.0,32
RC,750,Procto ablation tumor-polyp,4250.0,2762.5,173.17,4250.0,32
RC,750,Procto control bleed,3034.0,1972.1,173.17,3034.0,32
RC,750,Procto multi procedure,3527.0,2292.55,173.17,3527.0,32
RC,750,Procto rem tumor-polyp hot bx,5588.0,3632.2,173.17,5588.0,32
RC,750,Procto rem tumor-polyp snare,2978.0,1935.7,173.17,2978.0,32
RC,750,Procto with biopsy,3186.0,2070.9,173.17,3186.0,32
RC,750,Procto with dilation,8061.0,5239.65,173.17,8061.0,32
RC,750,Procto with-without wash-brush,2012.0,1307.8,173.17,2012.0,32
RC,750,Remove gastrostomy tube,1014.0,659.1,173.17,1014.0,32
RC,750,Rep gastrotube woGUI rev tract,1278.0,830.7,173.17,1278.0,32
RC,750,Repl g-j tube perc,1908.0,1240.2,173.17,1908.0,32
RC,750,Reposition gastrostomy tube,1273.0,827.45,173.17,1273.0,32
RC,750,Sig flex rem tumr-polyp hot bx,3554.0,2310.1,173.17,3554.0,32
RC,750,Sigm flex w balloon dilatation,5076.0,3299.4,173.17,5076.0,32
RC,750,Sigm flex w endo US guide bx,5255.0,3415.75,173.17,5255.0,32
RC,750,Sigm flx ablation tumor-polyps,4366.0,2837.9,173.17,4366.0,32
RC,750,Sigmodscop flex remv f bodies,4450.0,2892.5,173.17,4450.0,32
RC,750,Sigmodscop flex wash-brush dx,3319.0,2157.35,173.17,3319.0,32
RC,750,Sigmoid flex screen,2346.0,1524.9,173.17,2346.0,32
RC,750,Sigmoid flex w band ligation,6261.0,4069.65,173.17,6261.0,32
RC,750,Sigmoid flex w stent placmt,7736.0,5028.4,173.17,7736.0,32
RC,750,Sigmoid flx endosc mucol resec,5787.0,3761.55,173.17,5787.0,32
RC,750,Sigmoidoscop flex w endo US,5006.0,3253.9,173.17,5006.0,32
RC,750,Sigmoidoscop w plc decomp tube,6240.0,4056.0,173.17,6240.0,32
RC,750,Sigmoidoscopy w bx,3003.0,1951.95,173.17,3003.0,32
RC,750,Sigmoidoscopy w contr bleed,4990.0,3243.5,173.17,4990.0,32
RC,750,Sigmoidoscopy w submuc inj,2767.0,1798.55,173.17,2767.0,32
RC,750,Sm int endo ileum contr bld,5493.0,3570.45,173.17,5493.0,32
RC,750,Sm int endo ileum w stent,7383.0,4798.95,173.17,7383.0,32
RC,750,Sm int endo w bx,4593.0,2985.45,173.17,4593.0,32
RC,750,Sm int endo w contr bleeding,5646.0,3669.9,173.17,5646.0,32
RC,750,Sm int endo w rem tum caut,4718.0,3066.7,173.17,4718.0,32
RC,750,Sm int endo w rem tum snare,4872.0,3166.8,173.17,4872.0,32
RC,750,Stoma ablate colon tum polyp,3341.0,2171.65,173.17,3341.0,32
RC,750,Stoma balloon dilate colon,2847.0,1850.55,173.17,2847.0,32
RC,750,Stoma biopsy sgl mult colon,3747.0,2435.55,173.17,3747.0,32
RC,750,Stoma control bleed colon,5383.0,3498.95,173.17,5383.0,32
RC,750,Stoma decompression colon,2901.0,1885.65,173.17,2901.0,32
RC,750,Stoma diagnostic colon,2711.0,1762.15,173.17,2711.0,32
RC,750,Stoma endo us exam ltd colon,2763.0,1795.95,173.17,2763.0,32
RC,750,Stoma muscoal resect colon,3140.0,2041.0,173.17,3140.0,32
RC,750,Stoma remove fb colon,3592.0,2334.8,173.17,3592.0,32
RC,750,Stoma remove les hot bx colon,4363.0,2835.95,173.17,4363.0,32
RC,750,Stoma remove les snare colon,4780.0,3107.0,173.17,4780.0,32
RC,750,Tracheobronch thru trach inc,6018.0,3911.7,173.17,6018.0,32
RC,761,Amniocentesis diagnostic,1328.0,863.2,173.17,1328.0,34
RC,761,Amniocentesis therapeutic,2731.0,1775.15,173.17,2731.0,34
RC,761,Analys spine inf pump prgfill,1197.0,778.05,173.17,1197.0,34
RC,761,Analys spine inf pump w reprog,1018.0,661.7,173.17,1018.0,34
RC,761,Analys spine inf pump wo repro,1096.0,712.4,173.17,1096.0,34
RC,761,Analys spine pump prgfill w MD,1129.0,733.85,173.17,1129.0,34
RC,761,Apply multlay comprs lwr leg,709.0,460.85,122.66,709.0,34
RC,761,Arthocentesis & ligament/tend,705.0,458.25,121.97,705.0,34
RC,761,Arthro asp inj intjt bur mul,1816.0,1180.4,173.17,1816.0,34
RC,761,Arthro asp inj intjt bur mulUS,1799.0,1169.35,173.17,1799.0,34
RC,761,Arthro asp inj lgjt bur mul,1650.0,1072.5,173.17,1650.0,34
RC,761,Arthro asp inj lgjt bur mul US,1832.0,1190.8,173.17,1832.0,34
RC,761,Arthro asp inj smjt bur mul,1296.0,842.4,173.17,1296.0,34
RC,761,Arthro asp inj smjt bur mul US,1382.0,898.3,173.17,1382.0,34
RC,761,Bier block,6225.0,4046.25,173.17,6225.0,34
RC,761,Block lumbar sympathetic,6526.0,4241.9,173.17,6526.0,34
RC,761,Block lysis of adhesn 1 day,6530.0,4244.5,173.17,6530.0,34
RC,761,Block lysis of adhesn 2+ days,6218.0,4041.7,173.17,6218.0,34
RC,761,Blood patch injection,2738.0,1779.7,173.17,2738.0,34
RC,761,Bone marrow aspirations,6181.0,4017.65,173.17,6181.0,34
RC,761,Bone marrow bxs w aspirations,6906.0,4488.9,173.17,6906.0,34
RC,761,Bx skin punch tang inc 1st les,1024.0,665.6,173.17,1024.0,34
RC,761,Bx skin punch tang inc ea addl,558.0,362.7,96.53,558.0,34
RC,761,CAD mapping of cervix add,422.0,274.3,73.01,422.0,34
RC,761,Celiac plexus destruction inj,2279.0,1481.35,173.17,2279.0,34
RC,761,Celiac plexus nerve block,1376.0,894.4,173.17,1376.0,34
RC,761,Cerv thor cont inf w gui,3192.0,2074.8,173.17,3192.0,34
RC,761,Cerv thor cont inf wo gui,3287.0,2136.55,173.17,3287.0,34
RC,761,Cerv thor epidural inj wgui,3553.0,2309.45,173.17,3553.0,34
RC,761,Cerv thor epidural inj wo gui,3382.0,2198.3,173.17,3382.0,34
RC,761,Circumcision excision newborn,2776.0,1804.4,173.17,2776.0,34
RC,761,Closed Tx fracture/dislocation,1464.0,951.6,173.17,1464.0,34
RC,761,Debridement,1121.0,728.65,173.17,1121.0,34
RC,761,Destr genicular nrv wGUI ea,8720.0,5668.0,173.17,8720.0,34
RC,761,Destr sup hypogastric plexus,5047.0,3280.55,173.17,5047.0,34
RC,761,Discogram per level lumb inj,3417.0,2221.05,173.17,3417.0,34
RC,761,Discogram per lvl cer/thor inj,6191.0,4024.15,173.17,6191.0,34
RC,761,ENT procedure,1164.0,756.6,173.17,1164.0,34
RC,761,Epidural/intrathec cath place,6102.0,3966.3,173.17,6102.0,34
RC,761,Epidurall/intrathec cath rem,2123.0,1379.95,173.17,2123.0,34
RC,761,Gastric tube change/repostioni,1273.0,827.45,173.17,1273.0,34
RC,761,Gyn procedures,1169.0,759.85,173.17,1169.0,34
RC,761,Hip arthrogram surgical,820.0,533.0,141.86,820.0,34
RC,761,Incision & drainage,2917.0,1896.05,173.17,2917.0,34
RC,761,Inj genicular nrv w GUI ea,3328.0,2163.2,173.17,3328.0,34
RC,761,Inj ilioinguin hypog nrv ea,3006.0,1953.9,173.17,3006.0,34
RC,761,Inj intercostal nrv add lvl,3146.0,2044.9,173.17,3146.0,34
RC,761,Inj other periph nerve ea,4306.0,2798.9,173.17,4306.0,34
RC,761,Inj pudendal nerve ea,3180.0,2067.0,173.17,3180.0,34
RC,761,Inj sacroiliac jt w GUI bil,6657.0,4327.05,173.17,6657.0,34
RC,761,Inj sciatic nerve sing ea wGUI,3258.0,2117.7,173.17,3258.0,34
RC,761,Inj tendon sheath/ligament,1318.0,856.7,173.17,1318.0,34
RC,761,Inj trigemininal nerve each,714.0,464.1,123.52,714.0,34
RC,761,Injs occipit nrv ea branch,1968.0,1279.2,173.17,1968.0,34
RC,761,Injs occipit nrv ea branch wGUI,2998.0,1948.7,173.17,2998.0,34
RC,761,Ins stab dev w GUI lum ad lvl,40031.0,26020.15,173.17,40031.0,34
RC,761,Ins stab dev w GUI lum sgl,80063.0,52040.95,173.17,80063.0,34
RC,761,Insert foley bladder catheter,496.0,322.4,85.81,496.0,34
RC,761,Laryngoscopy flx dx,2257.0,1467.05,173.17,2257.0,34
RC,761,Liver biopsy,4229.0,2748.85,173.17,4229.0,34
RC,761,Lumbar punct Dx,1403.0,911.95,173.17,1403.0,34
RC,761,Lumbar punct dx w fluoro CT,3625.0,2356.25,173.17,3625.0,34
RC,761,Lumbar sac cont inf w gui,3944.0,2563.6,173.17,3944.0,34
RC,761,Lumbar sac epidural inj w gui,5329.0,3463.85,173.17,5329.0,34
RC,761,Minor procedure,2489.0,1617.85,173.17,2489.0,34
RC,761,Muscle trigger point injection,1353.0,879.45,173.17,1353.0,34
RC,761,Nail procedures,708.0,460.2,122.48,708.0,34
RC,761,Nerve block,2236.0,1453.4,173.17,2236.0,34
RC,761,Neurostim perc impl elec array,19916.0,12945.4,173.17,19916.0,34
RC,761,Neurostim rem rev impl pulsegn,9342.0,6072.3,173.17,9342.0,34
RC,761,Njx platelet plasma w img,3503.0,2276.95,173.17,3503.0,34
RC,761,PICC replace,1548.0,1006.2,173.17,1548.0,34
RC,761,Paraver fct ct rf add w gui,2449.0,1591.85,173.17,2449.0,34
RC,761,Paraver fct ct rf add wgui bil,4662.0,3030.3,173.17,4662.0,34
RC,761,Paraver fct ct rf sgl w gui,9064.0,5891.6,173.17,9064.0,34
RC,761,Paraver fct ct rf sgl wgui bil,24233.0,15751.45,173.17,24233.0,34
RC,761,Paraver fct ls rf sgl wgui bil,26972.0,17531.8,173.17,26972.0,34
RC,761,Paravr C-T injs 2nd lv bilwgui,3157.0,2052.05,173.17,3157.0,34
RC,761,Paravr C-T injs 2nd lv w gui,1577.0,1025.05,173.17,1577.0,34
RC,761,Perc Tx extrem pseudoaneurysm,1479.0,961.35,173.17,1479.0,34
RC,761,Perc impl elctr periph nrv,15963.0,10375.95,173.17,15963.0,34
RC,761,Punct shunt reservoir asp inj,2616.0,1700.4,173.17,2616.0,34
RC,761,RF ablate SI jt nerves w GUI,8633.0,5611.45,173.17,8633.0,34
RC,761,Repl gastro wo GUI revis tract,1278.0,830.7,173.17,1278.0,34
RC,761,Sacroiliac jnt inj fluor CTbil,6005.0,3903.25,173.17,6005.0,34
RC,761,Sacroiliac jnt inj fluor CTuni,2915.0,1894.75,173.17,2915.0,34
RC,761,Skin repair,1142.0,742.3,173.17,1142.0,34
RC,761,Sphenopalatine anesth inj,2360.0,1534.0,173.17,2360.0,34
RC,761,Stellate ganglion anesth inj,4234.0,2752.1,173.17,4234.0,34
RC,761,Strap-splint-cast apply,860.0,559.0,148.78,860.0,34
RC,761,Sup hypogastr plxus anest inj,3543.0,2302.95,173.17,3543.0,34
RC,761,Thoracentesis/paracentesis,1954.0,1270.1,173.17,1954.0,34
RC,761,Transfor epi C-T sglv bil wgui,6729.0,4373.85,173.17,6729.0,34
RC,761,Transfor epi CT add lv sg wgui,1719.0,1117.35,173.17,1719.0,34
RC,761,Transfor epi CT sg lv sg wgui,3366.0,2187.9,173.17,3366.0,34
RC,761,Transfor epiC-T addlv bil wgui,3276.0,2129.4,173.17,3276.0,34
RC,761,Transfor epiL-S addlv bil wgui,3441.0,2236.65,173.17,3441.0,34
RC,761,Transv abd plan block cont bil,3583.0,2328.95,173.17,3583.0,34
RC,761,Transv abd plan block cont uni,1790.0,1163.5,173.17,1790.0,34
RC,761,Transv abd plan block inj bil,3447.0,2240.55,173.17,3447.0,34
RC,761,Transv abd plan block inj unil,1742.0,1132.3,173.17,1742.0,34
RC,761,Transvenous catheters/arterial,4896.0,3182.4,173.17,4896.0,34
RC,761,Trigger point inj 3 up muscles,1218.0,791.7,173.17,1218.0,34
RC,761,Urinary/anal rectal procedure,1149.0,746.85,173.17,1149.0,34
RC,761,VP Shunt valve reprogram,724.0,470.6,125.25,724.0,34
RC,821,Dialysis non emer/ non vasc OP,4398.0,2858.7,173.17,4398.0,34
RC,922,Sphincter-pudendal EMG,1214.0,789.1,173.17,1214.0,34
RC,990,Lac breast pump pury bac17075p,286.0,185.9,49.48,286.0,33
RC,990,Lac breast pump pury basi7070p,201.0,130.65,34.77,201.0,33
RC,990,Lac breast pump pury ultr17085,383.0,248.95,66.26,383.0,33